DC-6 Operation Manual Advanced V1.1

© 2006 Shenzhen Mindray Bio-medical Electronics Co., Ltd. All rights Reserved.

Product Information Product Name: Diagnostic Ultrasound System Model: DC-6 Issued date of this manual: 2006-12 Version: 1.1.

Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others. Mindray does not assume any liability arising out of any infringements of patents or other rights of third parties. Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rent, adaptation and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

IMPORTANT! 1. 2.

No part of this manual may be copied or reprinted, in whole or in part, without written permission. The contents of this manual are subject to change without prior notice and without our legal obligation.

I-1

Preface This manual details the procedures for operating the DC-6 Diagnostic Ultrasound System. Carefully read and understand the manual before using the equipment to ensure its safe and correct operation.

NOTE: In actual applications, the following manual is available: (1) Operation Manual (Basic Volume) (2) Acoustic output data

Depending on the software version, the preset settings, and optional configuration, the actual interfaces may appear different from those shown in this manual.

NOTE:

The functions described in operation manuals of this system, are not provided for all models sold in all regions. What functions are available depends on specific system you purchased.

I-2

Safety Precautions 1.

Meaning of Signal Words

In this operation manual, the signal words

DANGER,

WARNING,

CAUTION and NOTE are used regarding safety and other important instructions. The signal words and their meanings are defined as follows. Please understand their meanings clearly before reading this manual. Signal word

Meaning

DANGER

Indicates an imminently hazardous situation that, if not avoided, will result in death or serious injury.

WARNING

Indicates a potentially hazardous situation that, if not avoided, could result in death or serious injury.

CAUTION

Indicates a potentially hazardous situation that, if not avoided, may result in minor or moderate injury. Indicates a potentially hazardous situation that, if not avoided, may result in property damage.

NOTE

2.

Meaning of Safety Symbols Symbol

Description "Attention" indicates the points requiring attention. Be sure to read the operation manual concerning these points before using the equipment.

S-1

3.

Safety Precautions

Please observe the following precautions to ensure patient and operator’s safety when using this system.

CAUTION: 1. Select the proper image and measurement tools. Only the professionals can decide the appropriate measurements and results. 2. You must perform measurements on an image. Once you perform a region outside of an image, you may have incorrect measurement and calculation results.

3. Before examining a new patient, press 『Patient』 to delete the patient information and data recorded in the memory for the previous patient. Otherwise, the new data may be confused with the data of the previous patient. 4. When the system is turned OFF or 『Patient』 key is pressed, all the measured data that have not been saved are lost. 5. Changing mode during measurement will clear up the general measurement data and the application measurement data on the screen. 6. Pressing 『FREEZE』 key to unfreeze the image during measurement will clear up the general measurement data, the application measurement data reserve. 7. Pressing 『Clear』 key will clear up the general measurement data, but the application measurement data on the screen is still keep on it. 8. Please attend to measurement data according with the correct fetal in obstetric measurement. 9. Please press 「Save」 button in the measurement report to save the current valid measurenment data. 10. To know the notes on the use of this system, refer to Operation Manual [Basic Volume].

S-2

Contents 1

Measurement Overview ...1-1 1.1

Measurement Menu ... 1-1

1.2

Menu Entry ... 1-2

1.3

Result Window... 1-3

1.3.1 Display of the result ... 1-3 1.4

Measurement Preset ... 1-3

1.5

Measurement Report ... 1-4

1.5.1 View the report... 1-5 1.5.2 Edit the Report... 1-6 1.5.3 Save the Report... 1-7 1.5.4 View History Reports ... 1-7 1.5.5 Print the Report... 1-8 1.5.6 Others ... 1-8

2

Measurement Preset ...2-1 2.1

Preset Measurement Parameters ... 2-1

2.2

Preset Measurement Packs... 2-2

2.2.1 Enter Measurement Preset ... 2-2 2.2.2 Preset General Measurement... 2-3 2.2.3 Preset Application Measurement ... 2-5 2.2.4 Preset Obstetric Formulas ... 2-10

3

General Measurements...3-1 3.1

B Mode General Measurements ... 3-1

3.1.1 Depth ... 3-2 3.1.2 Distance... 3-2 3.1.3 Angle... 3-3 3.1.4 Area ... 3-3 3.1.5 Volume... 3-6 3.1.6 Cross Line... 3-7 3.1.7 Parallel Line ... 3-8 3.1.8 Trace Length... 3-9 3.1.9 Ratio ... 3-10 3.1.10 B Profile ... 3-10 C-1

3.1.11 B Histogram ... 3-11 3.2

M Mode General Measurements ... 3-12

3.2.1 Distance... 3-12 3.2.2 Time ... 3-12 3.2.3 Slope... 3-13 3.2.4 Heart Rate ... 3-14 3.3

Color Mode General Measurements ... 3-15

3.3.1 Color Velocity... 3-15 3.4

PW Mode General Measurements... 3-16

3.4.1 Velocity ... 3-16 3.4.2 Acceleration ... 3-17 3.4.3 Spectrum Trace... 3-17 3.4.4 Resistance Index ... 3-19

4

Obstetric Measurements ...4-1 4.1

Obstetric Measurement Items... 4-1

4.2

Obstetric Exam Preparations ... 4-3

4.2.1 Patient Information Input... 4-3 4.2.2 Multi-fetus Exam ... 4-4 4.2.3 Obstetric Measurement Menu... 4-5 4.2.4 Obstetric Measurement Preset ... 4-5 4.3

Obstetric Measurements and Calculations ... 4-6

4.3.1 LMP and Exp.Ovular... 4-7 4.3.2 Distance Measurement Items ... 4-8 4.3.3 Area Measurement Items... 4-9 4.3.4 FHR Measurement ... 4-9 4.3.5 Fetus Doppler Measurement ... 4-9 4.3.6 AFI Measurement ... 4-10 4.3.7 EFW Measurement ... 4-10 4.3.8 Calculation Items ... 4-11 4.4

Obstetric Exam Report... 4-11

4.4.1 Fetal Biophysical Profile... 4-12 4.4.2 Fetus Growth Curve... 4-15 4.5

5

Reference Literature ... 4-18

Cardiac Measurements...5-1 5.1

Cardiac Measurement Items... 5-1

C-2

5.2

Cardiac Exam Preparations ... 5-1

5.2.1 Patient Information Input... 5-2 5.2.2 Cardiac Measurement Menu... 5-2 5.2.3 Cardiac Measurement Preset ... 5-3 5.3

Cardiac Measurements and Calculations ... 5-3

5.3.1 LV Function Measurement ... 5-3 5.3.2 LV Mass and LVMWI... 5-16 5.3.3 RVDd ... 5-17 5.3.4 RVSd ... 5-17 5.3.5 MPA ... 5-17 5.3.6 ET ... 5-17 5.3.7 HR ... 5-17 5.3.8 LAD/AOD ... 5-17 5.3.9 Mitral Valve ... 5-18 5.3.10 Mitral Valve Flow... 5-18 5.3.11 Tricuspid Valve Flow ... 5-20 5.3.12 LVOT... 5-21 5.3.13 Aortic Valve Flow... 5-22 5.3.14 AoR ... 5-23 5.3.15 Pulmonary Valve Flow ... 5-23 5.3.16 Right Ventricular ... 5-24 5.3.17 Pulmonary Vein Valve ... 5-25 5.3.18 Volume Flow ... 5-26 5.4

6

Cardiac Exam Report ... 5-27

Gynecology Measurements ...6-1 6.1

Gynecology Measurement Items ... 6-1

6.2

Gynecology Exam Preparations ... 6-2

6.2.1 Patient Information Input... 6-2 6.2.2 Gynecology Measurement Menu ... 6-2 6.2.3 Gynecology Measurement Preset... 6-3 6.3

Gynecology Measurements and Calculations... 6-3

6.3.1 Endometrium (Endo)... 6-3 6.3.2 Uterus Body ... 6-3 6.3.3 Uterine Cervix ... 6-3 6.3.4 Uterine/cervix (UT-L/CX-L)... 6-4

C-3

6.3.5 Ovary Volume ... 6-4 6.3.6 Follicle... 6-4 6.4

7

Gynecology Exam Report ... 6-5

Peripheral Vascular (PV) Measurement...7-1 7.1

PV Measurement Items ... 7-1

7.2

PV Exam Preparations... 7-2

7.2.1 Patient Information Input... 7-2 7.2.2 PV Measurement Menu ... 7-2 7.2.3 PV Measurement Preset... 7-3

8

7.3

PV Measurements and Calculations ... 7-3

7.4

PV Exam Report ... 7-3

Small Parts Measurements...8-1 8.1

Small Parts Measurement Items ... 8-1

8.2

Small Parts Exam Preparations ... 8-1

8.2.1 Patient Information Input... 8-1 8.2.2 Small Parts Measurement Menu... 8-1 8.2.3 Small Parts Measurement Preset ... 8-2 8.3

Small Parts Measurements and Calculations ... 8-2

8.3.1 Left Thyroid ... 8-2 8.3.2 Right Thyroid ... 8-2 8.4

9

Small Parts Exam Report... 8-3

Urology Measurements ...9-1 9.1

Urology Measurement Items... 9-1

9.2

Urology Exam Preparations ... 9-2

9.2.1 Patient Information Input... 9-3 9.2.2 Urology Measurement Menu... 9-3 9.2.3 Urology Measurement Preset ... 9-3 9.3

Urology Measurements and Calculations ... 9-4

9.3.1 Prostate ... 9-4 9.3.2 PSAD ... 9-4 9.3.3 Left Seminal Vesicle... 9-4 9.3.4 Right Seminal Vesicle ... 9-5 9.3.5 Left Renal ... 9-5 9.3.6 Right Renal ... 9-5 9.3.7 Left Adrenal ... 9-5

C-4

9.3.8 Right Adrenal ... 9-6 9.3.9 RUV ... 9-6 9.3.10 Left Testicular ... 9-6 9.3.11 Right Testicular... 9-7 9.4

Urology Exam Report ... 9-7

9.5

Reference Literature ... 9-7

10 Orthopedics Measurements ...10-1 10.1 Orthopedics Measurement Items... 10-1 10.2 Orthopedics Exam Preparations ... 10-1 10.2.1 Patient Information Input... 10-2 10.2.2 Orthopedics Measurement Menu... 10-2 10.2.3 Orthopedics Measurement Preset ... 10-2 10.3 HJA Measurement ... 10-2 10.4 Orthopedics Exam Report... 10-3 10.5 Reference Literature ... 10-3

C-5

1 1.1

Measurement Overview Measurement Menu

The measurement menu consists of three parts: menu name, measurement item, and functional item. The following takes obstetric measurement menu as an example.

Menu name

Measurement item

Functional

item

Menu name: displays the name of the measurement menu. The submenu contained in the menu name can also be used to switch into other measurement menus. Measurement item: activates measurements and calculations of the measurement items contained in the current measurement package. z

When a measurement item has a set of measurement indexes, move the cursor to the item and press the 『Set』 key to perform measurements one by one; or enter the submenu, then move the cursor to [Return] and press the 『Set』 key to return to the previous menu.

z

When a measurement item has only one measurement index, move the cursor to the item and press the 『Set』 key to activate measurement and calculation of this item. The cursor displays at the center of the currently-applied image window.

z

When there is more than one page of measurement items, move the cursor to “

” or

“ ”and press the 『Set』 key to display the next page. z

The Measurement item that cannot be activated in the current environment is grey and

1-1

Measurement Overview

cannot be used. To use it, you need to switch to the corresponding image mode to brighten it. In the applications measurement menu, “√” is displayed before the item, which has

z

been measured and the result has been obtained. Functional item: refer to the item triggered through the menu in the current situation. „

Spectrum range: the spectrum wave range for the auto trace method in the PW mode; it appears only when the auto trace method is available in the measurement items.

„

Result window: used to show or hide the result window.

„

Measurement preset: used to preset information relevant to measurements.

1.2

Menu Entry

Press the

key to enter general measurement mode. The general measurement

menu displays on the right side of the screen. You can switch to the general measurement menu in another mode by using the mode switch key.

Press the

key to enter application measurement mode. The application

measurement menu displays on the right side of the screen. To switch between application measurements menus, move the cursor to the name of an application measurement menu (such as “Obstetric”. There is “ ” on its right to indicate it has submenu) to pop up the options for other application measurement menus. Then move the cursor to any item of the submenu and press the 『Set』 key to switch to another measurement menu. The following figure shows how to switch from “Obstetric” to other measurement menu.

1-2

Measurement Overview

1.3

Result Window

You can choose whether to display the measurement results through [Result] item in the measurement menu.

When “On” is selected, the result window displays the latest measurement results in time order. If there are too many results for the result window to contain, the old results will not be displayed.

1.3.1 Display of the result You can preset the result style window in the “Measurement Parameters” Preset dialog

z

box. For details, refer to section “2.1 Preset Measurement Parameters”. The result window style can be switched over any time during the measurement.

z

When some measurements are done and the result window (which should be “On”) displays the results, move the cursor to the upper right corner of result window and switch buttons (as shown below):

Different switch buttons are displayed for different display forms. If you click

, the result window displays horizontally.

If you click

, the result window displays vertically.

If you click

, you can view all results acquired in the current ultrasound exam.

If you click

, the result window is restored.

1.4

Measurement Preset

You can enter the “Measure Preset” dialog box by clicking [Measure Preset] in the measurement menu or preset menu to preset the measurement items.

You can preset the following: z

Items set of general measurement package 1-3

Measurement Overview

z

Items set of application measurement package

z

Measurement menu

z

Measurement report

z

Obstetric formulas

For details, refer to section “Measure Preset”. All the menus and screens in this manual take the system in full configuration as an example.

1.5

Measurement Report

Measurement reports are used to record measurement results. Each measurement pack generates an independent measurement report, which includes patient basic information, measurement and calculations results, and diagnostic results. You can edit, save, and print the report. You can also view history data. The obstetric exam report has [Growth] available. For the general measurement report, it has no measurement results. Only patient basic information and editing boxes are available. You can add diagnosis information and click [Print] to print the report.

For the application measurement report, you can set the items to be displayed in the measurement report through the “Measure Preset” dialog box. For details, refer to section “Measure Preset”. 1-4

Measurement Overview

The following takes “Cardiac Exam Report” as an example to describe the functions of the measurement report.

1.5.1

View the report

In the cardiac measurement mode, you can press the view the cardiac exam report.

1.

key on the control panel to

If there are too many measurement items, the results are displayed page by page. Click [Previous] or [Next] to view other pages. 1-5

Measurement Overview

2.

If the measurement value exceeds the threshold value, “?” is displayed.

3.

If a calculation item has no corresponding application measurement item, the calculation item is not displayed.

4.

For measurement or calculation values, the current measurement value or calculation value (maximum three) and mean measurement value are displayed.

5.

To exit cardiac exam report, click [Close].

1.5.2

Edit the Report

On the “Cardiac Exam Report” screen, you can click [Edit] to enter the dialog box to edit the measurement results and ultrasound diagnoses.

1.

You can edit the values of measurement item supported by the system and cannot edit the values of the calculation items.

2.

When you have edited the value of a measurement item, the mean value of the measurement item and the value of correlative calculation item are automatically updated with the measurement value.

3.

The editing dialog box displays all cardiac measurement items and calculations items, no matter whether the item is measured or not.

4.

To edit a measurement value, move the cursor to the textbox to be edited and press the 『Set』 key to start editing.

5.

When measurement values are displayed in multiple pages, click [Previous] or [Next] to view other pages. 1-6

Measurement Overview

6.

To clear all measurement data (except patient basic information) in the report, click [Clear].

7.

If the measurement value exceeds the threshold value, “?” is displayed.

8.

On the last page, you can input the diagnostic results or edit the diagnostic results in [Diagnosis].

9.

You can click [OK] to confirm your editing and exit the editing status, returning to view the report. To cancel your editing, click [Cancel] to exit the editing status and return to view the report.

Note: Input appropriate data when you edit the values of measurement item, otherwise it may result in misdiagnose.

1.5.3 Save the Report On the “Cardiac Exam Report” screen, you can click [Save] to save the current patient cardiac measurement results. However, you can save the report only when patient ID is available.

1.5.4

View History Reports

On the “Cardiac Exam Report” screen, you can click [History] to view the history measurement results of the current patient.

1.

The history report window displays the patient cardiac measurement results already 1-7

Measurement Overview

saved. 2.

To view other pages, click [Previous] or [Next].

3.

The “Cardiac” list on the left side of the screen displays the measurement reports historically saved. You can move the cursor to view the desired report.

4.

To delete the history report being viewed currently, click [Del].

5.

To print the history report being viewed currently, click [Print].

6.

To exit history report view, click [Close].

1.5.5

Print the Report

You can click [Print] to print the current or history cardiac exam report.

1.5.6

Others

You can click

on the “Obstetric Exam Report” screen to pop up the “Obstetric

Growth Curve” dialog box. For details, refer to section “Obstetric Measurements”.

1-8

2

Measurement Preset

You can preset the measurement items based on your requirements, including z

Presetting measurement parameters;

z

Adding/deleting a measurement package;

z

Adding/deleting an item into/from a measurement package;

z

Presetting how to display the menus;

z

Presetting how to group the reports;

z

Presetting obstetric formulas.

2.1

Preset Measurement Parameters

Enter “measurement parameters” preset: open [Preset] menu, move the cursor to “System Preset”, and then press the 『Set』 key, First enter the “System Preset” dialog box and move the cursor to “Meas Param” button. Then press the 『Set』 key to open the “Meas Param” tab sheet, as shown below:

2-1

Measurement Preset

You can preset the following parameters in the “Meas Param” tab sheet: z

General

You can preset “Caliper Name”, “Mark Size”, “Result Style”, and “Graph Result” by clicking “ ” to pop up the pull-down lists.

z

Calculate

You can preset “Heart Beat”, “BSA”, “Auto Average”, and “SD Display” by clicking “ ” to pop up the pull-down lists.

z

Report

You can preset “Report Style”, “Trend Format”, “Report Print”, and “Image Print” by clicking “ ”to pop up the pull-down lists.

z

Unit

You can preset “Distance”, “Area”, “Volume”, “Time”, “V/Slope”, and “Accel” by clicking “ ” to pop up the pull-down lists.

z

Volume

You can preset the formulas for calculating “Uterine”, “Ovary”, “Thyroid”, “Prostate”, “Renal”, “Residual”, and “Testicula”. The system provides default values. You can change the parameters in the formulas. To modify the parameter, move the cursor to the box after volume parameter, such as “

”, and then press the 『Set』 key.

After presetting the parameters in the “Meas Param” tab sheet, click [OK] to confirm the parameters preset and close the dialog box. To cancel the presetting, click [Cancel]. Users can also click the

2.2

button to restore the factory setups

Preset Measurement Packs

2.2.1 Enter Measurement Preset Two methods are available to enter “Measure Preset”. z

Open [Preset] Menu, move the cursor to “Measure Preset”, and then press the 『Set』 key, as shown below:

2-2