HI VISION Preirus Operation Instruction Manual Edition 15 April 2016

This manual describes how to operate the HI VISION Preirus Ultrasound Diagnostic Scanner. The main purpose of describing equipment operation is to ensure the safe and correct use of the equipment.

Conventions used in this manual: Alphanumeric keyboard (option) keys and dialog box buttons are shown in bold letters. Examples:

: Del key,

: OK button

Symbols used in this manual: This symbol indicates an immediate danger that could result in death or serious injury of personnel, total destruction of equipment, or fire if the warning is ignored and the equipment is handled incorrectly. This symbol indicates a potential (latent) danger that could result in death or serious injury of personnel, total destruction of equipment, or fire if the warning is ignored and the equipment is handled incorrectly. The following is an example of a potential danger: (Ex.) Failure to observe this warning could result in death if the cover is opened and a high-voltage terminal is touched. This symbol indicates possible danger that could result in light or moderate injury of personnel, partial equipment damage, or deletion of computer data if the warning is ignored and the equipment is handled incorrectly. This symbol indicates prohibited conditions or actions. The description accompanying this symbol indicates conditions or actions that are prohibited. This symbol indicates precautions to be observed. The description accompanying this symbol indicates conditions that require careful attention or that might be dangerous. This symbol indicates a recommended procedure, condition, or action that requires careful attention when operating the equipment.

This symbol indicates supplementary information.

Cautions on exportation: When exporting this equipment, be sure to check the Foreign Exchange and Foreign Trade Control Law and the regulations related to export control in the United States of America, and perform the necessary procedures. Contact Hitachi or an authorized representative if you have further inquiries.

Revision history: First edition:

October 2008

Fourteenth edition:

May 2014

Fifteenth edition:

April 2016

Introduction Thank you for purchasing Hitachi's HI VISION Preirus ultrasound diagnostic scanner. To use this equipment safely and correctly, and to maintain normal performance for a long period, it is essential to have a full understanding of its functions, operation, and maintenance. Read this instruction manual thoroughly before using this equipment.

About the ultrasound diagnostic scanner windows Note that the ultrasound diagnostic scanner windows referred to in this instruction manual might differ from the windows actually displayed.

Caution The HI VISION Preirus ultrasound diagnostic scanner and the probes that can be connected are designed to conform to the IEC60601-2-37. This equipment sends ultrasonic waves into the body of the patient during an examination to provide the operator with extensive real-time information. Before using the equipment, be sure to read the sections indicated below in the separate INSTRUCTION MANUAL HI VISION Preirus Preparation and in this instruction manual to ensusre that you correctly monitor and control the real-time acoustic output indices displayed on the HI VISION Preirus.

Sections related to safe operation ƒ

The section Precautions regarding ultrasound output in the chapter Saftey in the separate INSTRUCTION MANUAL HI VISION Preirus Preparation

ƒ

The section Controlling ultrasound output in the chapter Operation Procedures in the separate INSTRUCTION MANUAL HI VISION Preirus Preparation

ƒ

3.18 Applying the ALARA principle in B mode

ƒ

4.12 Applying the ALARA principle in M mode

ƒ

5.13 Applying the ALARA principle in CFM mode

ƒ

5.14 Applying the ALARA principle in CFM mode when used together with the M and PW modes

ƒ

6.17 Applying the ALARA principle in PW mode

ƒ

6.18 Applying the ALARA principle in CW mode

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About the separate INSTRUCTION MANUAL HI VISION Preirus Preparation The separate INSTRUCTION MANUAL HI VISION Preirus Preparation, provided together with this manual, contains important notes on safely using the equipment, an overview of the equipment, and preliminary procedures required before the equipment is actually used, such as how to connect probes, turn on the power, and enter patient information. Before you read this instruction manual, make sure that you read the separate INSTRUCTION MANUAL HI VISION Preirus Preparation. The separate INSTRUCTION MANUAL HI VISION Preirus Preparation also lists the principal messages that are displayed in windows. Refer to the separate INSTRUCTION MANUAL HI VISION Preirus Preparation as necessary for the messages.

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Contents Introduction...i Caution ...i About the separate INSTRUCTION MANUAL HI VISION Preirus Preparation ... ii Contents ... iii

Chapter 1 - Configuration of the Examination Window... 1 1.1 Configuration of the Examination window...1 1.1.1 System information display area ...1 1.1.2 Examination information display area...3 1.1.3 Base area...4 1.1.4 Cine memory playback bar...5 1.1.5 Screen buttons ...6 1.1.6 Tab menus...6 1.2 Comparison window ...6 1.2.1 Overview ...6 1.2.2 Toolbars for operating the Comparison window...7 1.2.3 Position of the Comparison window display ...8 1.2.4 Images displayed in the Comparison window ...8 1.2.5 Opening the Comparison window ...9 1.2.6 Closing the Comparison window...11

Chapter 2 - How to Operate the Ultrasound Diagnostic Scanner ... 13 2.1 Using the keyboard panel ...13 2.2 On-screen keyboard...14 2.3 Functions assigned to the trackball...15 2.4 Screen buttons ...16 Q1E-EA1132

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2.4.1 Overview... 16 2.4.2 Types of screen buttons... 16 2.4.3 Operating the screen buttons... 19 2.4.4 Menu list ... 20 2.4.5 Operation when freeze mode is deactivated... 22 2.5 Using tab menus... 23 2.6 Using the pointer ... 25

Chapter 3 - B Mode ...27 3.1 Displaying B-mode images... 27 3.2 Adjusting the gain ... 28 3.2.1 Adjusting the sensitivity (brightness) of an entire image ... 28 3.2.2 Adjusting the sensitivity (brightness) of an image for a specific depth (all modes)... 29 3.3 Changing the focus position (for all modes) ... 29 3.4 Changing the transmission frequency ... 30 3.5 Dynamic Tissue Harmonic Imaging (dTHI) function ... 31 3.6 HI Com function... 32 3.7 Coded function ... 34 3.8 Oblique B-mode image function (for linear probes only)... 34 3.9 Changing display depth ... 35 3.10 PAN Zoom function... 36 3.11 HI zoom function... 37 3.12 Changing the image size... 39 3.13 Dual display for B-mode images ... 40 3.14 Automatic adjustment function ... 41 3.14.1 Automatic gain adjustment ... 41 3.14.2 Automatic PDC adjustment... 42 3.15 PSS function... 42 3.15.1 Outline of PSS function ... 42 3.15.2 Selecting presets ... 42

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3.15.3 Registering presets...43 3.16 Mode-specific screen buttons ...44 3.17 Image adjustment screen buttons ...52 3.18 Applying the ALARA principle in B mode ...60

Chapter 4 - M Mode ... 61 4.1 Displaying M-mode images...61 4.2 Displaying omni-directional M (ODM)-mode images ...63 4.2.1 Overview of omni-directional M (ODM) mode ...63 4.2.2 Displaying real-time ODM-mode images...63 4.2.3 Rotating and moving the ODM cursor ...64 4.2.4 Displaying single-directional/dual-directional ODM-mode images ...64 4.2.5 Controlling the center of the ODM cursors in bi-directional ODM mode...65 4.2.6 Using the cine memory to create ODM-mode images...65 4.3 Adjusting the gain...66 4.4 Changing the display for M-mode images ...67 4.5 Changing the display depth...67 4.6 Changing the image size...68 4.7 Changing the focus position...69 4.8 Changing the sweep speed...69 4.9 PSS function...69 4.10 Mode-specific screen buttons ...70 4.11 Image adjustment screen buttons ...74 4.12 Applying the ALARA principle in M mode...78

Chapter 5 - CFM Mode ... 79 5.1 Displaying CFM-mode images ...79 5.1.1 CFI-mode images ...79 5.1.2 Fine Flow-mode images and CFA-mode images...79 5.2 Specifying the CFM ROI range ...80 Q1E-EA1132

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5.2.1 Moving the CFM ROI... 80 5.2.2 Specifying the CFM ROI range ... 80 5.3 Adjusting the gain ... 81 5.4 Changing the focus position ... 82 5.5 Changing the reference frequency ... 82 5.6 Velocity range (PRF) ... 83 5.7 Baseline... 83 5.8 Oblique function (for linear probes only) ... 84 5.9 Zoom functions ... 85 5.9.1 HI zoom function (when the angle of the CFM ROI is less than 180 degrees)... 85 5.9.2 HI zoom function (when the angle of the CFM ROI is 180 degrees or greater) ... 86 5.10 CFM filter ... 88 5.11 Mode-specific screen buttons... 88 5.12 Image adjustment screen buttons ... 93 5.13 Applying the ALARA principle in CFM mode ... 100 5.14 Applying the ALARA principle in CFM mode when used together with the M and PW modes... 101

Chapter 6 - Doppler Mode ...103 6.1 Displaying PW-mode images ... 103 6.2 Displaying Dual Doppler-mode (bi-directional Doppler-mode) images ... 105 6.3 Displaying CW-mode images ... 107 6.4 Displaying Single Element CW-mode images... 109 6.4.1 Connecting probes ... 109 6.4.2 Starting Single Element CW mode ... 109 6.4.3 Notes on operations in Single Element CW mode... 109 6.5 Adjusting the gain ...110 6.6 Adjusting the incident angle...111 6.7 Other adjustments ...112 6.8 Changing the reference frequency ...112

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6.9 Adjusting the baseline ...113 6.10 Velocity range (PRF) ...113 6.11 Oblique function (for linear probes only) ...114 6.12 Changing sample width...115 6.13 Wall filter...115 6.14 Automatic adjustments ...115 6.15 Mode-specific screen buttons ...116 6.16 Image adjustment screen buttons ...121 6.17 Applying the ALARA principle in PW mode ...125 6.18 Applying the ALARA principle in CW mode...126

Chapter 7 - TDI Mode ... 129 7.1 Basic features of TDI mode...129 7.2 Selecting TDI submode ...129 7.2.1 Doppler cursor in TDI-PW submode...130 7.2.2 B-mode images and Doppler images in Dual Doppler mode ...130 7.3 Blend function...131 7.4 Other operations...131

Chapter 8 - Cine Memory Function... 133 8.1 About cine memory ...133 8.2 Recording images ...133 8.2.1 Recording images in the cine memory ...133 8.2.2 Number of recorded images...134 8.3 Changing the cine memory split ratio...134 8.3.1 If the cine memory has not been divided...134 8.3.2 Recording two B-mode images in two parts of the cine memory...134 8.3.3 Recording B- and M/Doppler-mode images in two parts of the cine memory ...135 8.4 Changing the time display range for M mode and Doppler mode ...136

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8.5 Continuous playback mode for normal images and playback mode for automatically detected heartbeats... 136 8.6 Playing images ... 137 8.6.1 Continuous playback... 137 8.6.2 Advancing and rewinding frame by frame... 137 8.6.3 Displaying image numbers ... 138 8.6.4 Using gain encoders to play images frame by frame ... 139

Chapter 9 - Optional Physiological Signal Display Function ...141 9.1 Connecting cables ... 141 9.1.1 Connecting cables to the main unit ... 141 9.1.2 Attaching the ECG lead cable to the body ... 142 9.1.3 Selecting a connector for inputting the ECG waveforms... 142 9.2 Displaying physiological signal waveforms ... 143 9.3 Adjusting the position (height) of the displayed waveform ... 144 9.4 Changing the sweep speed... 144 9.5 Adjusting the waveform amplitude... 145 9.6 Vertically reversing waveforms... 145 9.7 Automatically adjusting the ECG gain ... 145 9.8 Adjusting filters ... 146 9.9 R-R detection function ... 146

Chapter 10 - Needle Guide Line...149 Chapter 11 - 360゜ Radial Display Mode ...153 11.1 360゜ radial display ... 153 11.2 Special operations in 360° radial display mode... 154 11.2.1 Changing the display width of B-mode images (360°/180°) ... 154 11.2.2 Rotating and reversing images ... 154

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11.2.3 Starting M mode or PW mode in 360° display mode ...155 11.2.4 Zoom function ...156

Chapter 12 - Real-time Biplane Function... 157 12.1 Real-time biplane mode (normal)...157 12.1.1 Operating conditions...157 12.1.2 Startup...157 12.1.3 Window format ...158 12.2 RTBi mode ...159 12.2.1 Operating conditions...159 12.2.2 Startup...160 12.2.3 Window format ...160 12.2.4 Adjustments ...160

Chapter 13 - Entering Comments, Annotations, and Body Marks ... 161 13.1 Entering comments and annotations...161 13.1.1 Using the keyboard to directly enter comments ...163 13.1.2 Entering annotations ...164 13.1.3 Entering arrows ...165 13.1.4 Using screen buttons to change settings ...165 13.1.5 Deleting comments ...167 13.1.6 Ending entry of comments...168 13.1.7 Types of annotations ...169 13.2 Entering body marks ...182 13.2.1 Displaying body marks ...182 13.2.2 Using the Body mark key to display body marks ...182 13.2.3 Moving and rotating probe marks...183 13.2.4 Selecting the body mark subject to operation during dual display in B mode...184 13.2.5 Changing the body mark during dual display in B mode ...185 Q1E-EA1132

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13.2.6 Displaying the label UP in body marks... 186 13.2.7 Manipulating probe marks for a radial scan... 186 13.2.8 Using screen buttons to change settings... 187

Chapter 14 - Tab menus ...189 14.1 Tool tab menu ... 190 14.1.1 Manual ... 190 14.1.2 Edit Patient... 190 14.1.3 Mode Adjust... 191 14.1.4 Media ... 191 14.1.5 Remove Hardware ... 201 14.1.6 Simplified Transfer ... 202 14.1.7 Filing... 203 14.1.8 Cine Memory ... 203 14.1.9 Display... 204 14.1.10 Bracket Select ... 205 14.1.11 Physiology... 205 14.1.12 Video/ORIG ... 205 14.2 Setup tab menu ... 206 14.2.1 System... 207 14.2.2 Application... 214 14.2.3 Region Data Setting ... 215 14.2.4 Measure... 232 14.2.5 Filing... 232 14.2.6 REC Key/Foot SW... 232 14.2.7 Recorder... 236 14.2.8 Auto Freeze ... 239 14.2.9 Comp. Window (Left/Up, Right/Down) ... 239 14.2.10 Screen Button... 240 14.2.11 Color Map ... 241

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14.2.12 Biopsy Guide ...242 14.2.13 Annotation ...242 14.2.14 Body Mark...244 14.2.15 Data Backup ...245 14.2.16 Entry Option ...247

Chapter 15 - Application Function... 249 15.1 Editing an application ...249 15.2 Application Data Setting window ...252 15.2.1 General item tabbed pages...253 15.2.2 B item tabbed page ...258 15.2.3 M item tabbed page ...260 15.2.4 D item tabbed pages ...261 15.2.5 CFM item tabbed pages ...266 15.2.6 TDI item tabbed pages...272 15.2.7 Measurement item tabbed pages...274 15.2.8 Body Mark item tabbed pages ...278 15.2.9 RTBi (Sub) item tabbed pages...280 15.3 Edit PSS window ...282 15.3.1 B1 page...283 15.3.2 B2 page...284 15.3.3 M page ...285 15.3.4 Display page ...286 15.4 Preset Copy window ...287 15.5 Application Export / Import window ...289

Chapter 16 - Filing Function... 293 16.1 Overview ...293 16.1.1 Overview of the filing function ...293 16.1.2 Notes on using data...293 Q1E-EA1132

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16.1.3 Notes on using the Filing function... 295 16.1.4 Basic operations... 296 16.2 Settings in the Setup Filing window... 297 16.2.1 Common ... 297 16.2.2 Recording Single Image... 302 16.2.3 Recording Multi Image ... 303 16.2.4 Measurement Filing ... 307 16.2.5 Retrieve... 308 16.2.6 Delete... 310 16.3 Saving examination data ...311 16.4 Filing window ... 312 16.4.1 Operations in the Filing window... 312 16.4.2 Viewing data ... 320 16.4.3 Using files ... 327 16.4.4 Printing an image ... 331 16.4.5 Displaying patient information ... 331 16.4.6 Burning a data disc ... 335 16.4.7 Transfer spool ... 337 16.5 Review window... 338 16.5.1 Filing function screen buttons... 340 16.5.2 Functions in the review bar area ... 344 16.5.3 Performing measurements on review images ... 344 16.5.4 Registering the modes of review images ... 350 16.5.5 Mode adjust function ... 355 16.5.6 Entering comments on the review image ... 355 16.5.7 Reading measurement results automatically... 355 16.5.8 Other functions ... 356 16.6 Editing image data... 357 16.6.1 Merge folder ... 357 16.6.2 Saving data... 357

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16.6.3 Deleting data...357 16.6.4 Example of editing...357 16.6.5 Display after operation completed...357 16.7 Collectively transferring images ...358 16.7.1 Setting...358 16.7.2 Transfer...358 16.8 Saving examination data to external media ...359 16.8.1 Folder configuration ...359 16.9 Image compression ratio...359

Chapter 17 - Image Print Function... 361 17.1 Overview ...361 17.1.1 Overview of the printing image function...361 17.1.2 Notes on using this function ...361 17.2 Preparing a PC printer ...362 17.3 Printer settings ...363 17.3.1 PC printer...363 17.3.2 Printing images ...364 17.3.3 Other setting items...365 17.4 Printing images...365 17.4.1 Printing using the REC key ...365 17.4.2 Printing images by using the Filing window ...366 17.5 Print preview...367

Chapter 18 - Optional VCR and DVD Video Recorders . 369 18.1 Remotely controlling VCR and DVD video recorders ...369 18.2 Recording images to VCR and DVD video recorders ...369 18.3 Switching to the VCR or DVD video recorder's playback mode ...371 18.4 Using a VCR's video playback mode ...371 18.4.1 Counter function ...372 Q1E-EA1132

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18.5 Using a DVD video recorder's video playback mode ... 373 18.5.1 Menu functions ... 374 18.5.2 Title list functions ... 376 18.6 Measurement of played back images... 377

INDEX...379

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Chapter 1 - Configuration of the Examination Window

Chapter 1 - Configuration of the Examination Window 1.1 Configuration of the Examination window Figure 1.1-1 shows the equipment's Examination window. See 1.1.3.

Examination information display area

See 1.1.6. Tab menus

Base area

See 1.1.2.

See 1.1.4. See 1.1.5.

Cine memory playback bar Screen buttons System information display area See 1.1.1.

Figure 1.1-1 Configuration of the Examination window

1.1.1 System information display area ······························································ (1) (2) (3) (4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Figure 1.1-2 System information display area components

Table 1.1-1 Description of the system information display area components No.

Description

(1)

Indicates whether the equipment is connected to the network.

(2)

Indicates whether a printer is connected.

(3)

Indicates the printer type (color or black and white), print layout, and number of films.

(4)

Indicates the wait status for batch transfer.

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Chapter 1 - Configuration of the Examination Window

No.

Description

(5)

Each bar indicates whether the corresponding drive is connected, whether media is inserted, and the approximate amount of space being used. Note that the amount of space being used is indicated even if read-only media is inserted.

(6)

Indicates the status of data transfer of the filing function.

(7)

PSS on the keyboard panel. Indicates the parameter assigned to PSS encoder encoder

(8)

Multi on the keyboard panel. Indicates the function assigned to Multi encoder encoder

(9)

Indicates the function assigned to the trackball. For details about switching the functions assigned to the trackball, see 2.3 Functions assigned to the trackball.

(10)

This symbol appears when the optional alphanumeric keyboard is not installed. To display the on-screen keyboard, click this symbol.

(11)

2

Indicates the current date and time.

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Chapter 1 - Configuration of the Examination Window

1.1.2 Examination information display area ······················································ You can use this area to view an outline of the images stored using the filing function for the current patient registered in the Patient Information window. Normally, stored images are shown in reduced size. If you move the pointer to an image (Figure 1.1-3 (a)), the image is enclosed in a yellow frame. In this state, pressing the ENTER key displays the image as a thumbnail (Figure 1.1-3 (b)). ENTER

When the Close button ² is selected, stored images are displayed in reduced size. (2)

(1) ¯

Placing the pointer over a reduced image and pressing the ENTER key ( ) displays the image as a thumbnail (see (b)).

Current

(3)

Past

Hard Disk

¯ Current

Past

Hard Disk

(5) Date 2008/12/18

(4)

2008/12/18 2008/12/18 2008/12/18

(6)

(5)

(7) (8) (9) (a) Reduced display

(b) Thumbnail display

(c) Detailed display

Figure 1.1-3 Examination information display area components

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