prosound -α 7 Instruction Manual Volume 1 of 2 rev 9

Page 1

ULTRASOUND DIAGNOSTIC

INSTRUMENT

Instruction Manual

How to Use

(volume 1/2)

(volume 1/2)

Instruction manuals consist of Safety

Instruction, this manual and

Measurement.

Before using this instrument, please

read Safety Instruction.

MN1-5369 rev.9

Page 2

The ProSound logo is registered mark of Hitachi Aloka Medical, Ltd. in Japan and other countries.

Copyright©Hitachi Aloka Medical, Ltd. All rights reserved.

Microsoft and Windows Media player is registered trademark of Microsoft Corporations in United States and/or other

countries. All brand name and product name are trademarks or registered trademarks of their respective companies. In

this manual, ® and ™ are omitted.

VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation. Portions of this software are based in part on the work

of the Independent JPEG Group.

Real-time Tissue Elastography is a registered trademark of Hitachi Medical Corporation.

MN1-5369 rev.9

Page 3

Introduction

Introduction

This is an instruction manual for model ProSound α7, an ultrasound diagnostic instrument.

Read the manual carefully before using the instrument. Take special note of the items in Chapter

1, "Safety Precautions" of Safety Instruction manual.

Keep this manual securely for future reference.

Symbols Used in this Document

The following items are important in preventing harm or injury to equipment operator or patient.

There are four levels of harm/damage that can be caused by ignoring instructions/displays or

using the equipment incorrectly: "Danger," "Warning," "Caution," and "Note."

These types are indicated by the following symbols.

Indicates an imminently hazardous situation that will result in the death of or

serious injury to the equipment operator.

Indicates a hazardous situation that could result in death or serious injury.

Indicates a hazardous situation that may result in slight or moderate injury, or

property damage.

Indicates a request concerning an item that must be observed in order to

prevent damage or deterioration to the equipment and also to ensure effective

use.

Contents of cautions shows the following graphics.

This mark indicates and alert, additional information.

This mark indicates that the action is not allowed.

This mark indicates that the action is required.

Conventions used in this manual.

NOTE:

Notes containing additional information.

IMPORTANT:

Information that is considered especially important.

Input, output and screen-messages are presented in the following font: message.

Menus and switches are written as Menu. Submenus are indicated by the use of angle brackets:

Menu > sub-menu > sub-menu.

MN1-5369 rev.9

3

Page 4

Introduction

About the model “ProSound α7”

The ProSound α7 is intended to be used by doctors and other qualified personnel in fracture

diagnostics and hemodynamic diagnostics.

However, this equipment is not designed to be used in ophthalmic ultrasound diagnosis, as its

sound intensity is not compliant with ophthalmic restrictions established by the FDA.

Only physicians and other qualified personnel should operate this equipment for diagnostic

purposes. Read section 1-1 of the Safety Instruction.

1)

PRECAUTIONS Concerning the Use/Management of the ProSound α7

•

Do not disassemble, repair or remodel this equipment or optional features without our

consent.

NOTE:

Disassemble is removing the parts or options from the equipment using

tools.

NOTE:

Remodel is installing or connecting the unspecified parts or equipment,

including replacement of power cord.

•

Assemble of the equipment or optional accessories shall be performed by our third party

certified. Please contact one of our offices listed on back cover.

NOTE:

Assemble is installing and connecting the parts or optional accessories in

the main equipment using tools.

2)

•

Transporting this equipment (via automobile/ship) shall be performed by a third party

certified by the manufacturer. Please contact one of our offices listed on back cover.

•

Please conduct routine cleaning and inspection of the equipment. Refer to Chapter 5 of the

Safety Instruction for details. .

•

Ensure that the output level of the scan conforms to the required duration of diagnosis.

•

If any malfunction or abnormality is discovered during operation of the equipment, remove

the probe from the patient immediately and discontinue use. If any abnormality is observed

in the patient, provide proper care as quickly as possible. Refer to Chapter 4 of the Safety

Instructions for more information on dealing with the equipment appropriately. If the

malfunction is not listed in Chapter 4 of the Safety Instructions, contact one of our offices

listed on back cover.

PRECAUTIONS for the ProSound α7 Installation

This equipment is a medical electrical equipment that intended for use in hospitals,

research facilities. The equipment should be installed in accordance with the following

guidelines.

•

Install in accordance with Chapter 3 of the Safety Instructions. .

•

Install in an environment that conforms to the operating environments indicated in section

2-2-2 of the Safety Instructions.

•

Install in an environment that ensures electromagnetic compatibility, in accordance with

section 1-2-6 of the Safety Instructions, "Precautions Concerning the Maintenance of

Electromagnetic Compatibility," and Item 1-3, "Guidelines for Electromagnetic

compatibility."

NOTE:

The electromagnetic compatibility (EMC) is ability of device to function

satisfactorily in its electromagnetic environment without introducing intolerable

electromagnetic disturbance to anything in that environment.

4

MN1-5369 rev.9

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Introduction

Classification of model “ProSound α7”

• Protection against electric shock (ME equipment): class I • ME equipment

• Protection Against Electric Shock (Applied Parts): Type BF Applied Parts

–

Probe/scanner applied parts and parts treated as applied parts:

Refer to the following diagram (Probe/Scanner Pattern Diagram) and table.

Figure: Probe/Scanner Pattern Diagram

Above illustrates a surface/intraoperative probe. Below shows a coelomic probe.

B

C

A

connector

D

connector

Applicable part

of body

C

Applied part

A

parts treated as applied

parts

B - C length

surface of body

Ultrasonic irradiation area (D)

A to B

100 cm

Intraoperative

Ultrasonic irradiation area (D)

A to B

20 cm

A to C

A to C

N/A

Endocavity

–

Physiological signal applied part: ECG electrodes

Part treated as applied part: 2m from the ECG electrode of the ECG patient cable (consult

following diagram)

2 meters

ECG electrodes

connector

ECG patient lead

• Protection against electric shock (Defibrillation-proof applied parts): Not suitable

• Protection against harmful ingress of water or particulate matter

–

equipment: IPX0 (Ordinary equipment)

–

Probe applied part: IPX7 (Watertight equipment)

• Suitability for use in an oxygen rich environment: Not suitable

• Method(s) of sterilization: Not suitable for sterilization/disinfection with medicinal

solution, gas or radiation.

• Mode of operation: Continuous operation

MN1-5369 rev.9

5

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1-5-1.

Text entry.................................................................................................................................... 1-22

1-5-2.

↑and text entry............................................................................................................................ 1-23

1-5-3.

Movement of a character string .................................................................................................. 1-24

1-5-4.

Deleting a character string .......................................................................................................... 1-24

1-5-5.

Deleting a character .................................................................................................................... 1-25

1-5-6.

System dictionary function ......................................................................................................... 1-26

1-5-7.

Registration and deletion of a key word ..................................................................................... 1-27

2. Patient Information

2-1.

2-2.

2-3.

Before Starting an Examination ................................................................................................................... 2-1

2-1-1.

Explanation of ID entry screen ..................................................................................................... 2-1

2-1-2.

How to register a patient............................................................................................................. 2-12

2-1-3.

Search function ........................................................................................................................... 2-13

2-1-4.

Find ............................................................................................................................................ 2-14

2-1-5.

Worklist ...................................................................................................................................... 2-15

2-1-6.

Data Management....................................................................................................................... 2-17

Before Completing an Examination ........................................................................................................... 2-20

2-2-1.

When the instrument is not connected to the Worklist or MPPS server .................................... 2-20

2-2-2.

When the instrument is connected to the Worklist and MPPS servers via a network................ 2-21

2-2-3.

When connected via network to the DICOM SR Server............................................................ 2-25

User Authentication.................................................................................................................................... 2-27

2-3-1.

User Levels ................................................................................................................................. 2-27

2-3-2.

Login........................................................................................................................................... 2-28

2-3-3.

User Authentication .................................................................................................................... 2-28

2-3-4.

Setting new passwords................................................................................................................ 2-29

2-3-5.

Changing passwords ................................................................................................................... 2-30

2-3-6.

Log Off ....................................................................................................................................... 2-31

2-3-7.

User Management....................................................................................................................... 2-37

3. Image Display modes

3-1.

3-2.

B mode.......................................................................................................................................................... 3-1

3-1-1.

Basic Operation Procedure ........................................................................................................... 3-1

3-1-2.

Direct to B..................................................................................................................................... 3-3

3-1-3.

Tissue Harmonic Echo.................................................................................................................. 3-4

3-1-4.

Dynamic Slow Motion Display (DSD)......................................................................................... 3-5

B/M and M modes ...................................................................................................................................... 3-10

3-2-1.

3-3.

B/D and D modes ....................................................................................................................................... 3-15

3-3-1.

3-4.

MN1-5369 Rev.9

Basic operation procedure .......................................................................................................... 3-16

Flow mode, Power Flow mode, eFlow mode............................................................................................. 3-20

3-4-1.

3-5.

Basic operation procedure .......................................................................................................... 3-10

Basic operation procedure .......................................................................................................... 3-20

Tissue Doppler Imaging display................................................................................................................. 3-23

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3-5-1.

Basic operation procedure.......................................................................................................... 3-23

4. Save of Image

4-1.

Search........................................................................................................................................................... 4-1

4-1-1.

4-2.

4-3.

4-4.

Search and scroll function............................................................................................................ 4-2

4-1-2.

Basic Operation Procedure........................................................................................................... 4-3

4-1-3.

Cine scale and search mark .......................................................................................................... 4-4

4-1-4.

Loop playback function................................................................................................................ 4-5

Store ............................................................................................................................................................. 4-7

4-2-1.

Images and Types feasible to acquire .......................................................................................... 4-9

4-2-2.

DV-800 and DDU-M01 disc operations .................................................................................... 4-12

4-2-3.

Setting of acquiring methods ..................................................................................................... 4-14

4-2-4.

Setting of Acquire data............................................................................................................... 4-15

4-2-5.

Basic Operation Procedure......................................................................................................... 4-16

4-2-6.

STORE(DDU-M01 HDD) ......................................................................................................... 4-21

Review ....................................................................................................................................................... 4-23

4-3-1.

Image Viewer ............................................................................................................................. 4-23

4-3-2.

Search for image data................................................................................................................. 4-28

4-3-3.

Saving method of images ........................................................................................................... 4-44

4-3-4.

Adjusting images........................................................................................................................ 4-56

4-3-5.

Printing an image ....................................................................................................................... 4-58

Video recording/Playing back with DVD.................................................................................................. 4-60

4-4-1.

Setting for DVD ......................................................................................................................... 4-60

4-4-2.

Recording Images....................................................................................................................... 4-62

4-4-3.

Playing back ............................................................................................................................... 4-65

5. Protocol Assistant

5-1.

Features ........................................................................................................................................................ 5-1

5-2.

Registering and Editing Examination Protocols .......................................................................................... 5-2

5-3.

5-2-1.

Adding or Inserting Examination Item ........................................................................................ 5-2

5-2-2.

Deleting Examination Item .......................................................................................................... 5-9

Using Examination Protocols to Perform Examinations ........................................................................... 5-10

5-3-1.

Preparations Before an Examination.......................................................................................... 5-10

5-3-2.

Performing an Examination According to an Examination Protocol (1)................................... 5-11

5-3-3.

Performing an Examination According to an Examination Protocol (2)................................... 5-12

6. Physiological signals

6-1.

Electrode setting........................................................................................................................................... 6-1

6-2.

Display of physiological signals .................................................................................................................. 6-1

6-3.

Electrocardiosynclonization display ............................................................................................................ 6-4

6-4.

Heart Rate Stability Display ........................................................................................................................ 6-5

8

MN1-5369 Rev.9

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7. Touch panel

7-1.

Operation on touch panel.............................................................................................................................. 7-3

7-1-1.

7-2.

7-3.

MN1-5369 Rev.9

Registration / Change of touch panel............................................................................................ 7-4

User switch area............................................................................................................................................ 7-7

7-2-1.

Invert............................................................................................................................................. 7-7

7-2-2.

FAM.............................................................................................................................................. 7-7

7-2-3.

Active(B1 - B4) ............................................................................................................................ 7-8

7-2-4.

Body Mark .................................................................................................................................... 7-8

7-2-5.

Archive Group1 - 3....................................................................................................................... 7-9

7-2-6.

EXT............................................................................................................................................... 7-9

7-2-7.

Imaging Information..................................................................................................................... 7-9

7-2-8.

M1 - M4 (Measurement1 to 4) ..................................................................................................... 7-9

7-2-9.

End Study...................................................................................................................................... 7-9

7-2-10.

Map Editor .................................................................................................................................. 7-10

7-2-11.

Cursor (CW) ...............................................................................................................................7-12

Group area .................................................................................................................................................. 7-13

7-3-1.

Image Func B1 - B3.................................................................................................................... 7-13

7-3-2.

Puncture ...................................................................................................................................... 7-13

7-3-3.

Focus(B) ..................................................................................................................................... 7-13

7-3-4.

Angle Gain.................................................................................................................................. 7-14

7-3-5.

IP Regist (B) ...............................................................................................................................7-14

7-3-6.

STC Memory .............................................................................................................................. 7-15

7-3-7.

Image Func M1 - M3.................................................................................................................. 7-16

7-3-8.

Focus(M)..................................................................................................................................... 7-16

7-3-9.

IP Regist(M) ...............................................................................................................................7-17

7-3-10.

Image Func D1 - D3 ................................................................................................................... 7-17

7-3-11.

Focus(D) ..................................................................................................................................... 7-17

7-3-12.

IP Regist(D) ................................................................................................................................ 7-18

7-3-13.

Image Func F1 - F3..................................................................................................................... 7-18

7-3-14.

Image Func PF1 - PF3 ................................................................................................................ 7-18

7-3-15.

Image Func eF1 - eF3 ................................................................................................................. 7-18

7-3-16.

Color Map(Flow) ........................................................................................................................ 7-18

7-3-17.

Display Priority(Flow)................................................................................................................ 7-19

7-3-18.

IP Regist(Flow)........................................................................................................................... 7-19

7-3-19.

Image Function Other1 - 3.......................................................................................................... 7-20

7-3-20.

Post Processing ........................................................................................................................... 7-20

7-3-21.

Graphic Editor ............................................................................................................................ 7-21

7-3-22.

Physio1, 2 ................................................................................................................................... 7-21

7-3-23.

ECG Sync ................................................................................................................................... 7-22

7-3-24.

VCR Control...............................................................................................................................7-22

7-3-25.

Color Map(B/M/D)..................................................................................................................... 7-22

7-3-26.

Store Set Up................................................................................................................................ 7-22

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Page 10

7-4.

Menu Function Area .................................................................................................................................. 7-23

7-4-1.

B mode ....................................................................................................................................... 7-23

7-4-2.

Menu function area(M mode) .................................................................................................... 7-31

7-4-3.

D mode/TDI-D menu ................................................................................................................. 7-33

7-4-4.

Flow / Power Flow / eFlow / TDI Flow / TDI Power Flow....................................................... 7-38

7-4-5.

Menu function area(Other)......................................................................................................... 7-43

8. Preset

8-1.

PRESET function......................................................................................................................................... 8-1

8-2.

Procedure for Changing the Set Contents .................................................................................................... 8-2

8-3.

Common Preset ............................................................................................................................................ 8-5

8-4.

8-5.

8-3-1.

Common Preset1 ........................................................................................................................ 8-5

8-3-2.

Common2..................................................................................................................................... 8-7

8-3-3.

Common3..................................................................................................................................... 8-9

8-3-4.

Probe Select................................................................................................................................ 8-10

8-3-5.

Print (Freeze).............................................................................................................................. 8-12

8-3-6.

Print(Realtime)........................................................................................................................... 8-13

8-3-7.

Print Select ................................................................................................................................. 8-14

8-3-8.

DICOM Store/Send.................................................................................................................... 8-15

8-3-9.

DICOM Server ........................................................................................................................... 8-17

8-3-10.

DICOM Address ........................................................................................................................ 8-18

8-3-11.

DICOM Printer........................................................................................................................... 8-19

8-3-12.

DICOM SR................................................................................................................................. 8-20

8-3-13.

IHE/Auto Delete......................................................................................................................... 8-21

8-3-14.

Stress Echo ................................................................................................................................. 8-24

8-3-15.

Protocol Assistant....................................................................................................................... 8-25

Preset Control............................................................................................................................................. 8-26

8-4-1.

Method of copying preset No. data to a USB memory .............................................................. 8-27

8-4-2.

When copying preset No. data inside the instrument................................................................. 8-28

8-4-3.

Copying individual information of Preset No. from the USB memory ..................................... 8-28

8-4-4.

When rearranging Preset No. data ............................................................................................. 8-29

8-4-5.

When copying data in Annotation Dictionary to a USB memory ............................................. 8-29

8-4-6.

When copying data in Annotation Dictionary from a USB memory......................................... 8-30

8-4-7.

When copying Common Preset data to a USB memory ............................................................ 8-30

8-4-8.

When copying Common Preset data from a USB memory ....................................................... 8-31

8-4-9.

When copying Color Map to a USB memory............................................................................ 8-31

8-4-10.

When copying Color Map from a USB memory ....................................................................... 8-32

8-4-11.

When copying Measurement to a USB memory........................................................................ 8-32

8-4-12.

When copying Measurement from a USB memory ................................................................... 8-32

8-4-13.

When copying Protocol Assistant to a USB memory ................................................................ 8-33

8-4-14.

When copying Protocol Assistant from a USB memory ........................................................... 8-33

Preset Set-Up Menu ................................................................................................................................... 8-34

10

MN1-5369 Rev.9

Page 11

8-5-1.

Preset Set-up Menu..................................................................................................................... 8-36

8-5-2.

Display1...................................................................................................................................... 8-37

8-5-3.

Display2...................................................................................................................................... 8-39

8-5-4.

DISP-B,M ................................................................................................................................... 8-41

8-5-5.

DISP-D,Flow .............................................................................................................................. 8-43

8-5-6.

ID Comment ...............................................................................................................................8-45

8-5-7.

Graphics...................................................................................................................................... 8-47

8-5-8.

Store, Cine ................................................................................................................................. 8-49

8-5-9.

Body Mark .................................................................................................................................. 8-51

8-5-10.

Menu ........................................................................................................................................... 8-53

8-5-11.

Custom SW, Custom-Foot SW, Custom-Keyboard, Custom Remote ....................................... 8-56

8-5-12.

Physio ......................................................................................................................................... 8-58

8-5-13.

Image-B,M1................................................................................................................................ 8-61

8-5-14.

Image-B,M2................................................................................................................................ 8-64

8-5-15.

Focus........................................................................................................................................... 8-70

8-5-16.

Post Processing .......................................................................................................................... 8-72

8-5-17.

Doppler1 ..................................................................................................................................... 8-73

8-5-18.

Doppler2 ..................................................................................................................................... 8-76

8-5-19.

Flow ............................................................................................................................................ 8-78

8-5-20.

Power Flow................................................................................................................................. 8-81

8-5-21.

eFlow .......................................................................................................................................... 8-84

8-5-22.

Tissue Doppler............................................................................................................................ 8-87

8-5-23.

Tissue Flow................................................................................................................................. 8-90

8-5-24.

Tissue Power Flow ..................................................................................................................... 8-93

8-5-25.

Stress Echo1................................................................................................................................ 8-96

8-5-26.

Stress Echo2................................................................................................................................ 8-99

8-5-27.

FAM.......................................................................................................................................... 8-100

8-5-28.

Contrast Echo1.......................................................................................................................... 8-101

8-5-29.

Contrast Echo2.......................................................................................................................... 8-104

8-5-30.

Echo Tracking........................................................................................................................... 8-107

8-5-31.

Wave Intensity .......................................................................................................................... 8-108

8-5-32.

FMD.......................................................................................................................................... 8-109

8-5-33.

RT3D1 ...................................................................................................................................... 8-110

8-5-34.

RT3D2 ...................................................................................................................................... 8-114

8-5-35.

RT3D3 ...................................................................................................................................... 8-116

8-5-36.

3D Scan..................................................................................................................................... 8-117

8-5-37.

STIC.......................................................................................................................................... 8-118

8-5-38.

Vol.Measurement...................................................................................................................... 8-119

8-5-39.

Flow 3D .................................................................................................................................... 8-121

9. Extended Field of View (EFV)

9-1.

MN1-5369 Rev.9

Switches to be used....................................................................................................................................... 9-2

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Page 12

9-2.

9-1-1.

Touch panel.................................................................................................................................. 9-2

9-1-2.

Operation panel ............................................................................................................................ 9-2

Basic operation procedure............................................................................................................................ 9-3

10. Real Time Doppler Auto Trace

10-1.

Real time Doppler Auto Trace display screen ........................................................................................... 10-2

10-2.

Real Time Doppler Auto Trace Touch panel menu................................................................................... 10-3

10-3.

Basic operation procedure.......................................................................................................................... 10-4

10-3-1.

Tracing a real time doppler waveform ....................................................................................... 10-4

10-3-2.

Tracing of a doppler waveform at the time of freeze................................................................. 10-4

10-3-3.

A transferring function to an applied measurement of the results of an operation .................... 10-5

11. Real-Time 3D (RT3D)

11-1.

11-2.

Displaying the 3D image............................................................................................................................ 11-3

11-1-1.

Displaying 3D image with Real Time 3D mode........................................................................ 11-3

11-1-2.

Displaying a 3D image after the data is acquired ...................................................................... 11-7

11-1-3.

Real Time 3D display screen ................................................................................................... 11-16

Adjust or modify a 3D image................................................................................................................... 11-17

11-2-1.

Switching the display format ................................................................................................... 11-17

11-2-2.

Rotation / Movement and Image display of Volume data ....................................................... 11-18

11-2-3.

Rotation and translation in Free Axis of MPR (FMPR) mode, and the images displayed ...... 11-21

11-2-4.

Adjusting 3 perpendicular sections and a 3D image................................................................ 11-22

11-2-5.

Displaying a high-resolution 3D image ................................................................................... 11-23

11-2-6.

Erasing unnecessary echoes of a 3D image ............................................................................. 11-24

11-2-7.

Cutting a 3D image on any sections......................................................................................... 11-25

11-2-8.

Switching BW image and Color image.................................................................................... 11-26

11-2-9.

Multi Slice Imaging.................................................................................................................. 11-27

11-2-10. Volume Slice Imaging.............................................................................................................. 11-28

11-2-11. Displaying Moving Image Loop playback of 3D image.......................................................... 11-30

11-2-12. Searching 3D Images ............................................................................................................... 11-30

11-3.

11-4.

3D volume measurement ......................................................................................................................... 11-31

11-3-1.

3D Automated Volume Measurement ..................................................................................... 11-31

11-3-2.

Traced Volume Measurement (TVM) ..................................................................................... 11-36

11-3-3.

Multi-Follicle Volume ............................................................................................................. 11-39

11-3-4.

3D measurement of STIC data................................................................................................. 11-45

11-3-5.

Transferring volume measurement value................................................................................. 11-47

Output 3D image...................................................................................................................................... 11-54

11-4-1.

Output a display image as a still image.................................................................................... 11-54

11-4-2.

Output a display image as moving image ................................................................................ 11-54

11-4-3.

Saving Two or More Volume Data.......................................................................................... 11-54

11-5.

Panel Switches in the RT3D mode .......................................................................................................... 11-55

11-6.

RT3D Touch panel menu......................................................................................................................... 11-57

12

MN1-5369 Rev.9

Page 13

11-7.

Meaning of terms...................................................................................................................................... 11-77

12. Contrast Harmonic Echo (CHE)

12-1.

Contrast Harmonic Echo Touch panel menu.............................................................................................. 12-2

12-2.

Basic operation procedure .......................................................................................................................... 12-9

12-3.

CHE Analysis ........................................................................................................................................... 12-14

12-3-1.

Outline of Contrast Harmonic Echo analysis ........................................................................... 12-14

12-3-2.

CHE Analysis Screen ............................................................................................................... 12-17

12-3-3.

CHE Analysis Base Menu ........................................................................................................ 12-19

12-3-4.

Basic operation procedure ........................................................................................................ 12-26

12-3-5.

Time Intensity Curve ................................................................................................................ 12-28

12-3-6.

Subtraction................................................................................................................................ 12-30

12-3-7.

CHE Analysis touch panel menu..............................................................................................12-32

13. eTRACKING

13-1.

13-2.

13-3.

13-4.

Stiffness parameter (b) data acquisition ..................................................................................................... 13-2

13-1-1.

Data acquisition screen ............................................................................................................... 13-2

13-1-2.

eTRACKING touch panel menu ................................................................................................13-3

13-1-3.

Classification of data acquired ................................................................................................... 13-5

13-1-4.

Before starting an examination................................................................................................... 13-5

13-1-5.

Data acquisition operating procedure for Stiffness parameter(b)............................................... 13-6

Stiffness parameter(b) analysis................................................................................................................... 13-8

13-2-1.

Arterial Stiffness analysis startup method .................................................................................. 13-8

13-2-2.

Description of Stiffness parameter(b) analysis screen................................................................ 13-9

13-2-3.

Stiffness parameter(b) analysis operating procedure................................................................ 13-11

Report ....................................................................................................................................................... 13-16

13-3-1.

Description of measurement report screen ............................................................................... 13-16

13-3-2.

Report operation procedure ...................................................................................................... 13-17

Reference .................................................................................................................................................. 13-18

14. Flow Mediated Dilation (FMD) analysis

14-1.

Summary of FMD examination.................................................................................................................. 14-1

14-2.

Before starting an examination................................................................................................................... 14-2

14-2-1.

FMD operation screen ................................................................................................................ 14-2

14-2-2.

FMD touch panel menu ..............................................................................................................14-3

14-3.

FMD measurement procedure .................................................................................................................... 14-6

14-4.

FMD analysis.............................................................................................................................................. 14-9

14-4-1.

Analyzing with saved data.......................................................................................................... 14-9

14-5.

FMD analysis result screen....................................................................................................................... 14-10

14-6.

FMD analysis operation procedure........................................................................................................... 14-14

14-6-1.

MN1-5369 Rev.9

Saving FMD analysis information............................................................................................ 14-20

13

Page 14

14-6-2.

14-7.

Report functions ....................................................................................................................... 14-22

References................................................................................................................................................ 14-23

15. Wave Intensity

15-1.

Summary of Wave Intensity ...................................................................................................................... 15-1

15-2.

Before starting an examination .................................................................................................................. 15-2

15-3.

Wave Intensity data collection................................................................................................................... 15-3

15-3-1.

WI operation screen ................................................................................................................... 15-3

15-3-2.

Wave Intensity touch panel menu .............................................................................................. 15-3

15-4.

Wave Intensity procedure .......................................................................................................................... 15-6

15-5.

Wave Intensity analysis ............................................................................................................................. 15-8

15-6.

15-7.

15-5-1.

Analyzing with saved data ......................................................................................................... 15-8

15-5-2.

Wave Intensity analysis result screen ........................................................................................ 15-9

15-5-3.

Wave Intensity analysis operation procedure .......................................................................... 15-13

15-5-4.

Saving Wave Intensity analysis information............................................................................ 15-16

Report....................................................................................................................................................... 15-18

15-6-1.

Measurement Report Screen.......................................................................................... 15-18

15-6-2.

Report operation procedure...................................................................................................... 15-19

Reference ................................................................................................................................................. 15-20

16. TDI Analysis

16-1.

TDI Analysis Screen .................................................................................................................................. 16-2

16-2.

Operation Panel.......................................................................................................................................... 16-3

16-3.

Base Menu Function .................................................................................................................................. 16-4

16-4.

16-3-1.

Files Menu.................................................................................................................................. 16-4

16-3-2.

Analysis Menu ......................................................................................................................... 16-12

16-3-3.

Measure menu .......................................................................................................................... 16-12

16-3-4.

Search menu ............................................................................................................................. 16-13

16-3-5.

ROI menu ................................................................................................................................. 16-14

16-3-6.

Display Menu ........................................................................................................................... 16-16

16-3-7.

Process menu............................................................................................................................ 16-18

16-3-8.

Common pop-up menu items ................................................................................................... 16-18

16-3-9.

TDI Analysis touch panel menu............................................................................................... 16-19

Analysis Methods..................................................................................................................................... 16-22

16-4-1.

Basic operation procedure........................................................................................................ 16-22

16-4-2.

Temporal VP(B mode)............................................................................................................. 16-24

16-4-3.

Regional VP(B mode) .............................................................................................................. 16-26

16-4-4.

Strain Rate(B mode)................................................................................................................. 16-27

16-4-5.

Strain(B mode) ......................................................................................................................... 16-28

16-4-6.

Myocardial Thickness(B mode)............................................................................................... 16-29

16-4-7.

Velocity Trace(M mode).......................................................................................................... 16-30

16-4-8.

Myocardial Thickness(M mode) .............................................................................................. 16-32

14

MN1-5369 Rev.9

Page 15

16-4-9.

Velocity Profile(M mode)......................................................................................................... 16-34

17. Stress Echo

17-1.

Stress Echo .................................................................................................................................................17-1

17-1-1.

Stress Echo Protocol ................................................................................................................... 17-1

17-1-2.

How to change a protocol ........................................................................................................... 17-3

17-1-3.

How to customize a protocol ...................................................................................................... 17-4

17-1-4.

Image acquisition method........................................................................................................... 17-6

17-1-5.

Convenient functions for image acquisition .............................................................................17-16

17-1-6.

Comparative display(Shuffle)................................................................................................... 17-21

17-1-7.

Scoring...................................................................................................................................... 17-26

17-1-8.

Report ....................................................................................................................................... 17-28

17-1-9.

Pause Protocol .......................................................................................................................... 17-31

17-1-10. Stress Echo touch panel menu .................................................................................................. 17-32

17-2.

Stress Echo Analysis ................................................................................................................................ 17-36

17-2-1.

Starting analysis using the Review switch................................................................................ 17-36

17-2-2.

Object Image Registration ........................................................................................................ 17-37

17-2-3.

Scoring...................................................................................................................................... 17-44

17-2-4.

Report ....................................................................................................................................... 17-51

17-2-5.

Stress Echo Analysis touch panel menu ................................................................................... 17-55

18. KI/A-SMA Analysis

18-1.

Principles of KI image................................................................................................................................ 18-2

18-2.

KI/A-SMA screen....................................................................................................................................... 18-3

18-3.

18-4.

MN1-5369 Rev.9

18-2-1.

Edge View screen ....................................................................................................................... 18-3

18-2-2.

KI Synchronous screen ............................................................................................................... 18-4

18-2-3.

KI Continuous screen ................................................................................................................. 18-5

18-2-4.

A-SMA Histogram screen .......................................................................................................... 18-6

18-2-5.

A-SMA Line Graph screen......................................................................................................... 18-7

Base menu function .................................................................................................................................... 18-9

18-3-1.

Files menu................................................................................................................................... 18-9

18-3-2.

Analysis menu .......................................................................................................................... 18-11

18-3-3.

Measure menu........................................................................................................................... 18-12

18-3-4.

Search menu.............................................................................................................................. 18-12

18-3-5.

ROI menu.................................................................................................................................. 18-12

18-3-6.

Image menu .............................................................................................................................. 18-13

18-3-7.

Display menu ............................................................................................................................ 18-13

Basic operation procedure ........................................................................................................................ 18-15

18-4-1.

Edge View ................................................................................................................................ 18-15

18-4-2.

KI Synchronous ........................................................................................................................ 18-17

18-4-3.

KI Continuous........................................................................................................................... 18-17

18-4-4.

A-SMA Histogram.................................................................................................................... 18-17

15

Page 16

18-4-5.

A-SMA Line Graph.................................................................................................................. 18-18

19. Brachytherapy Guide Lines

19-1.

Basic operation procedure.......................................................................................................................... 19-1

19-2.

Brachytherapy Touch Panel Menu............................................................................................................. 19-5

20. Remote Control

20-1.

20-2.

Before you use the remote controller......................................................................................................... 20-2

20-1-1.

Replacing the battery.................................................................................................................. 20-2

20-1-2.

Setting the channel ..................................................................................................................... 20-3

20-1-3.

Setting the remote controller operation sound ........................................................................... 20-3

Buttons ....................................................................................................................................................... 20-4

20-2-1.

Assigning functions to buttons................................................................................................... 20-4

20-2-2.

Operating the remote controller ................................................................................................. 20-5

20-3.

Switching display modes ........................................................................................................................... 20-6

20-4.

The function menu ..................................................................................................................................... 20-7

20-4-1.

Making function menu settings.................................................................................................. 20-8

20-4-2.

Selecting function menu items ................................................................................................... 20-9

16

MN1-5369 Rev.9

Page 17

1. SWITCHES AND COMMENTS

1-1.

Operation panel

The methods of operating the various switches are described below.

(1)

((2))

ACOUSTIC

POWER

(3)

(4)

(5)

S. VOLUME

SWEEP SPEED

DEPTH

RANGE

NGE

GE

E

V RANGE

VEL

VE

RA

R

(6)

B GAIN

(1)

Touch Panel

(2)

Rotary encoder 1

It is used for the menu displayed at the upper section of the touch panel.

(3)

Rotary encoder 2

It is used for the menu displayed at the middle section of the touch panel.

(4)

Rotary encoder 3

It is used for the menu displayed at the lower section of the touch panel.

(5)

Rotary encoder 4

When functions of measurement or zoom are set, it is used.

(6)

BODY MARK USER2

[Remark]

On the factory default, SEND switch is not assigned to the operation panel. To use the switch, assign it using

CustomSW2 in Preset Setup. If the SEND switch is assigned to the BODY MARK USER2 switch, select Enter/Send

for assigning switches. Refer to Section 8-5-11. "CUSTOM SW, CUSTOM-FOOT SW, CUSTOM-KEYBOARD,

CUSTOM REMOTE".

This section consists of 28 pages.

MN1-5369 Rev.9

1-1

Page 18

1.Switches and Comments

1-2.Graphic Display

1-2.

Graphic Display

(3)

'00/02/28

:

Y

:M 11:23:36

M1 =0.73 TIS< 0.4 17%

:No ID

:

ALOKA

(1)

3.75M

22Hz 1

R17.0

G60

C90

(4)

(2)

AIP

1:Abdomen Probe:52101

BbH

SCI

(5)

Fig. B mode image

(1)

Gray scale bar

(2)

Scale mark

(3)

Active mark

A[

] mark indicates an active state (An active image is the image on which operations can be performed

when two or more images are displayed.)

A[

] mark indicates inactive state.

(4)

Focus mark

(5)

AIP

BbH

SCI

: Indicates that AIP is operating.

For details, refer to Section 7-4-1-31. "AIP EDGE SENS".

: Indicates that broadband transmission is being performed in ExPHD (T.H.E.).

: Indicates that Spatial Compound is operating.

For details, refer to Section 7-4-1-28. "COMPOUND ANGLE".

[Remark]

For details, refer to the Safety Instruction Manual.

1-2

MN1-5369 Rev.9

Page 19

1.Switches and Comments

1-3.Treatment at the time of the discovery of abnormality

1-3.

Treatment at the time of the discovery of abnormality

1-3-1. Safety security of patient

In use, observe that the instrument and the patient are acting normal.

If any abnormality occurs while using the instrument, the probe shall be removed from the patient promptly.

When the patient is abnormal, apply appropriate medical treatments.

1-3-2. Instrumental treatment

When an abnormality occurs to the instrument, refer to the Safety operation manual and perform appropriate treatments.

When any abnormality that is not described in the Safety operation manual occurs, use of the system is canceled,

and a sign indicating the trouble shall be displayed or an appropriate sign shall be attached to the instrument, and

contact one of our offices listed on back cover.

MN1-5369 Rev.9

1-3

Page 20

1.Switches and Comments

1-4.Operating the various switches

1-4.

Operating the various switches

Operating instructions of each switch are explained below.

1-4-1. ACOUSTIC POWER

The ACOUSTIC POWER function enables the acoustic power to be manually adjusted from the automatic setting.

<Operation method>

(1)

Using ACOUSTIC POWER knob, adjust the output to the optimum value.

→

Turning ACOUSTIC POWER knob clockwise causes the output to increase, and vice versa. At the

same time, the output value on the image changes.

1-4-2. Angle Correct

This function corrects flow velocity value corresponding to the angle of incidence of the Doppler beam, and calculates the corrected value.

[Remark]

You cannot perform angle correction when the angle is 80 degrees or more because the error is too large.

<Operation method>

(1)

Rotate the Angle switch left or right and adjust the sensitivity to a suitable level while observing the image.

→

Position the cursor in parallel with blood velocity. Corrected calculation value is displayed after pressing

the Angle switch.

[Remark]

Set the adjustment range of the corrected angle between 0 to 80 degrees.

1-4-3. CANCEL

Used to terminate a selected operation or return to the previous step during a measurement.

1-4-4. CURSOR

The CURSOR function moves or sets the cursor and the baseline of the Doppler pattern.

<CURSOR>

<Operation method>

(1)

Press the M switch to change over from the 1B mode display to the B/M mode display.

→

(2)

The CURSOR switch is lighted in orange, and the cursor is displayed on the B mode image.

Using the trackball, move the cursor to the position where you wish to detect the M mode.

[Remark]

The method of operating the cursor in the B/D mode is the same as the description above.

The cursor cannot be moved when the B/M(B/D) image is frozen.

1-4

MN1-5369 Rev.9

Page 21

1.Switches and Comments

1-4-5.DEPTH/RANGE

<B.L.S. (BASE LINE SHIFT)>

By shifting the baseline, the Doppler pattern can be displayed without the aliasing.

<Operation method>

(1)

Press the PW switch to change over from the 1B mode display to the B/D mode display.

→

The CURSOR switch is lighted in orange, and a cursor is displayed on the B mode image.

(2)

Adjust the position of the baseline with rotary encoder 4.

(3)

Press the CURSOR switch.

→

(4)

The baseline is reset at the center position.

Press the CURSOR switch again.

→

This function is finished.

1-4-5. DEPTH/RANGE

The DEPTH/RANGE function switches over the display depth of the image.

The display depth is switched over based on the transmission point of the displayed image.

The depth is common to both the B and M mode images. The display depth that was last set remains, even if the

mode changes.

You cannot change the display depth of a frozen image.

<Operation method>

: If you press the switch lever upward, a displayed depth becomes shallow.

(The image is getting enlarged.)

The least depth is obtained by pressing this switch continuously until the depth no longer decreases.

: If you press the switch lever downward, a displayed depth becomes deepened.

(The image is getting reduced)

The greatest depth is obtained by pressing the switch continuously until the depth no longer increases.

1-4-6. ENTER

This function changes over the control function when you are controlling various functions with the trackball.

It is used mainly when inputting a measurement, a preset, a review, and comments.

<Operation method>

Example: Performing measurement

(1)

Perform measurement.

(2)

Press the ENTER switch.

→

MN1-5369 Rev.9

The measurement caliper mark divides into two marks.

1-5

Page 22

1.Switches and Comments

1-4.Operating the various switches

1-4-7. FOCUS

The FOCUS function converges the ultrasound beam to make a clearer image.

A focal point can be changed when the ultrasound beam is being transmitted.

B mode image has eight transmission focal points, F1 to F8 in the depth direction. You can set the focus at up to any

four of these points.

In the case of an M mode image, one optimum focal point is set near the center of the display range. (The display

range varies with the display depth and the M-WINDOW.) The above also applies when only an M mode image is

displayed.

In the case of a B/D mode display, one focal point is set according to the sample volume. (Only when you set the

Auto)

Also, when an M mode image or a D mode image in a B/* mode display is frozen, you can perform multi-stage focus

setting.

[Remark]

You can not turn off all focal points. At least one focal point must be selected.

<Operation method>

Select the auto focus or the manual focus on the menu.

For details, refer to Section 7. "Touch panel".

(1)

Press the FOCUS switch.

→

(2)

The transmission focus position can be set.

Using the trackball, move the transmission focus position.

→

Rolling the trackball up moves the transmission focus position to the shallow depth point, and rolling

the trackball down moves the transmission focus position to the deep depth point.

[Remark]

When the AUTO focus is set at two or more points, you can change the distance between the focal points by using

rotary encoder 4.

[Remark]

The focus position can not go outside the displayed depth in AUTO focus.

[Remark]

After changing the focus position to any place in AUTO focus, changing the depth with the DEPTH/RANGE switch

changes the focus position to the optimum position according to the changed depth.

[Remark]

In Manual focus, the focus position can be positioned to the maximum depth for a particular probe being used. Furthermore, even if you change the depth, the focus position will remain unchanged.

Note

If you set multiple focus points, that results in obtaining an image with high resolution, but decreasing the

frame rate.

Select the optimum setting so as to suit the desired body part while checking the acoustic power index.

1-6

MN1-5369 Rev.9

Page 23

1.Switches and Comments

1-4-8.FREEZE

1-4-8. FREEZE

The FREEZE function freezes a moving image.

When you press the FREEZE switch, the B mode image freezes upon the completion of one ultrasound wave scan,

and the M and D mode images freeze immediately, or the M and D mode images freeze just after they are displayed

completely.

Also, stops counting the date and time and ultrasound transmission.

[Remark]

In order to protect the instrument, you can set the instrument so that the freeze condition automatically goes ON

when you do not perform a panel operation for a certain period. (You can set this period to between 1 and 20 minutes

using a preset. You can also turn this function OFF when you wish to use the monitor for a long period.

For details, refer to Section 8. "PRESET".)

By connecting an optional foot switch, you can turn the freeze function ON and OFF using either the FREEZE

switch or the foot switch.

<Operation method>

(1)

Press the FREEZE switch.

→

(2)

The switch is lighted in orange, and the displayed image freezes.

Press the FREEZE switch.

→

The switch is lighted in blue, and the frozen image becomes a real time image.

1-4-9. GAIN

M GAIN

D GAIN

FLOW GAIN

B GAIN

S. VOLU

VOLUME

VOL

OL ME

OL

SWEEP

EP SPEED

DEPTH

RANGE

VEL RANGE

B GAIN

Rotate each switch for the B mode, M mode, D mode, and FLOW mode to adjust the sensitivity in the respective

mode.

[Remark]

You can set the gain at startup by means of a preset, however depending upon the conditions of the probe, and so

on, the gain may not always match the dB value displayed on the screen.

<Operation method>

(1)

Rotate the switch left or right and adjust the sensitivity to a suitable level while observing an image.

→

MN1-5369 Rev.9

Turning the knob clockwise increases the image sensitivity, and vice versa.

1-7

Page 24

1.Switches and Comments

1-4.Operating the various switches

1-4-10. KEY BOARD

Display the full keyboard on the touch panel menu.

The full keyboard is displayed automatically when ID is input or the Preset setting screen is displayed.

[Remark]

The full keyboard can be displayed on the touch panel menu if an optional keyboard unit is attached.

<Operation method>

(1)

Press the

→

1-4-11.

switch.

The virtual keyboard is displayed on the touch panel menu.

MEASUREMENT

This switch is used to display measurement menus.

<Operation method>

(1)

Press the

→

(2)

switch.

The measurement menu is displayed on the touch panel menu.

Measure according to the measurement procedure.

For details, refer to the Measurement manual.

1-4-12. MENU

This switch is used to displays menus.

<Operation method>

(1)

Press the MENU switch.

→ The menu is displayed on the touch panel menu.

(2)

Select the item, follow the setting procedure to register it.

For details, refer to Section 7. "Touch panel".

1-8

MN1-5369 Rev.9

Page 25

1.Switches and Comments

1-4-13.MODE

1-4-13. MODE

Image mode selection to display on a screen is made.

The modes which can be displayed are as follows:

B

B/B

4B

B/M

M

PW

M/PW

CW

FLOW

POWERFLOW

eFLOW

<Operation method>

: The instrument enters the B mode (only a B mode image is displayed on the screen).

: The instrument enters the 2B mode (two B mode images are displayed on the screen).

4B

: The instrument enters the 4B mode (four B mode images are displayed on the screen).

[Remark]

4B switch can be selected on the touch panel menu. Register it on the touch panel menu with the preset beforehand.

: The instrument enters the B/M mode.

: The instrument enters the B/PW mode.

M/PW

: The instrument enters the B/M/PW mode.

[Remark]

M/PW Mode is only available when the Phased Array is active and is in use.

Press the M/PW switch when operating in B/PW mode to change to B/M/PW mode.

The M/PW switch can be selected from the touch panel menu or the operation panel (the function must be set to the

touch panel or the operation panel in the Preset).

: The instrument enters the B/CW mode. (Option: UCW-ALPHA7 is necessary.)

: Displays a B mode image or an M mode image in Flow.

: Displays a B mode image or an M mode image in Power Flow.

: Displays a B mode image or an M mode image in eFLOW.

[Remark]

The eFlow mode can be selected from the touch panel or the operation panel (the function must be set to the touch

panel or the operation panel in the Preset).

<Request function>

At the time of two-screen display such as 2B, B/M, and B/D mode, it is a function that, after freezing only one image

is called up to the screen and can be displayed.

A transition diagram by each mode is shown.

(Transition Diagram)

MN1-5369 Rev.9

1-9