GE LOGIQ 200, Quality Assurance Manual, Page: 194 / 196

Section H Equipment Chart
Facility Name: _____________________________________ ACR UAP Id No. _____________
1. Describe all Ultrasound units in use by facility being reviewed in the accreditation process by completing the blanks. If necessary, copy this page, if more space is
needed for additional units.
Total number of units in this US facility (this geographic location) applying for ACR accreditation: __________
TRANSDUCERS*
Phased Array
Linear &
Curvilinear Array
Mechanical Sector
Endovaginal
Endorectal Other
Recording
System
Unit # Name of Manufacturer
Model Type
Year Manufactured
Biopsy
Guide
Spec-
Tral
Dop-
pler
C
o
l
o
r
2-3.5
mHz
5-7.5
mHz
>7.5
mHz
2-3.5
mHz
5-7.5
mHz
> 7.5
mHz
2-3.5
mHz
5-7.5
mHz
> 7.5
mHz
3-5
mHz
>5
mHz
3-5
mHz
>5
mHz
sample Equip. make, M36, ‘92 X X 1 1 1 2 1 2 1 1 1 1,5,6
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
*Place X in the appropriate box if the ultrasound unit has this feature.
**In the appropriate box, indicate the number of transducers of each type and frequency utilized with this unit. If a transducer is used with more than one machine list only once.
***Place in the box the appropriate number(s) to show recording system(s) used with each unit. 1. Multiformat camera 2. Laser camera 3. Thermal paper printer 4. Polaroid
5. Videotape 6. Color printer 7. Digital storage. Units not used to acquire images are subject to onsite inspection or random film checks.
Key : Acuson (ACU), Acoustic Imaging (ASO), Ausonics (AUS), Diasonics (DIA), GE Medical Systems (GEM), Hewlett-Packard Co. (HEW), Hitachi Medical Corp. (HIT),
Phillips Medical Systems (PHI), Shimadzu Medical Systems (SHI), Siemens Medical Systems (SIE), Thomson Components and Tubes Corp. (THO), Toshiba America
Medical Systems (TOS0, ATL (ATL)
ACR US Accreditation Application 2/96
Reprinted with permission of the American College of Radiology,
Reston, Virginia. No other representation of this material is authorized without express, written permission from the American College of Radiology.
GEM,RT3200 ADV3,'91