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Scanning Modes

Vivid i User’s Manual

2378958-100 Rev. 02

Chapter 3

Scanning Modes

• 2D-Mode ......................................................................................... .... 77

• 2D-Mode overview ..................................................................... 77

• 2D-Mode controls ....................................................................... 79

• Using 2D .................................................................................... 82

• Optimizing 2D ............................................................................. 82

• M-Mode .......................................................................................... .... 83

• M-Mode overview ....................................................................... 83

• M-Mode controls ........................................................................ 84

• Using M-Mode ............................................................................ 85

• Optimizing M-Mode .................................................................... 87

• Color Mode .................................................................................... .... 88

• Color Mode overview ................................................................. 88

• Color Mode controls ................................................................... 90

• Using Color Mode ...................................................................... 92

• Optimizing Color Mode ............................................................... 93

• PW and CW Doppler ..................................................................... .... 94

• PW and CW Doppler overview ................................................... 94

• PW and CW Doppler controls .................................................... 95

• Using PW/CW Doppler modes ................................................... 98

• Optimizing PW/CW Doppler modes ........................................... 98

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Summary of Contents for Vivid i

Page 1: ...ical Systems Technical Publications Vivid i User Manual Volume 1 GEVU 2378958 100 GEVU Rev 02 Operating Documentation Copyright 2005 By General Electric Co To Purchase Visit Avobus com or call 1 800 6...

Page 2: ...ed in a retrieval system or transmitted in any form or by any means electronic mechanical photocopying recording or otherwise without the prior written permission of GE Medical Systems COMPANY DATA GE...

Page 3: ...ed Introduction 8 Preparing the unit for use 9 Site requirements 9 Connecting the unit 10 Moving and transporting the unit 22 Moving the unit on a Cart 22 Transporting the unit 23 Unit acclimation tim...

Page 4: ...d DVD handling 61 Formatting removable media 61 Ejecting removable media 63 Zoom 63 To Magnify an image 63 Performing measurements 63 To perform measurements 63 Physiological ECG trace 64 Connecting t...

Page 5: ...urposely left empty For Future purposes 101 Chapter 5 Contrast Imaging Introduction 104 Left Ventricular Contrast Imaging 104 LV Contrast overview 105 LV Contrast controls 105 Optimizing LV Contrast 1...

Page 6: ...45 Deleting measurements 146 Worksheet 147 Overview 147 Chapter 7 Purposely Left Empty For Future purposes 151 Chapter 8 Archiving Introduction 155 Storing images and cineloops 156 Storing a cineloop...

Page 7: ...function 237 To print a report 240 To store a report 240 Retrieving an archived report 241 Deleting an archived report 241 Direct report 242 Creating comments 242 Creating pre defined text inputs 243...

Page 8: ...troduction 280 Printing 281 To print an image 281 Specifications for peripherals 282 Chapter 12 Presets and System setup Introduction 284 Starting the Configuration package 287 To open the Configurati...

Page 9: ...test 341 System malfunction 341 Chapter 14 Safety Introduction 345 Owner responsibility 346 Important safety considerations 347 Notice against user modification 347 Regulatory information 348 Standar...

Page 10: ...ard 360 Electrical safety 361 Device classifications 361 Internally connected peripheral devices 361 Internally connected battery 361 External Connection of other peripheral devices 361 Allergic react...

Page 11: ...and understand all instructions in the User s Manual before attempting to use the Vivid i ultrasound unit Keep the manual with the equipment at all time Periodically review the procedures for operati...

Page 12: ...eople who may be around the unit to fully comply with the above recommendations Indications for use The Vivid i ultrasound unit is intended for the following applications Abdominal Cardiac Small Organ...

Page 13: ...rt scanning immediately Finding information Table of Contents lists the main topics and their location Headers and Footers give the chapter name and page number Index provides an alphabetical and cont...

Page 14: ...lic type describes program windows screens and dialogue boxes Icons highlight safety issues as follow DANGER Indicates that a specific hazard exists that given inappropriate conditions or actions will...

Page 15: ...12 28 02 208 USA GE Medical Systems Ultrasound Service Engineering 4855 W Electric Avenue Milwaukee WI 53219 On line Applications Support Tel 1 800 437 1171 Fax 1 414 647 4090 Tel 1 800 682 5327 or 26...

Page 16: ...rvice Engineering 4855 W Electric Avenue Milwaukee WI 53219 On line Applications Support Tel 1 305 735 2304 Tel 1 800 682 5327 or 262 524 5698 Brazil GE Ultrasound Rua Tomas Carvalhal 711 Paraiso Cep...

Page 17: ...he unit 22 Moving the unit on a Cart 22 Transporting the unit 23 Unit acclimation time 23 System description 24 System overview 24 Control panel 25 The Scanning screen 35 Connecting and disconnecting...

Page 18: ...tor serviceable internal components Ensure that authorized personnel do not tamper with the unit Perform regular preventive maintenance See System Care and Maintenance for more information Maintain a...

Page 19: ...nnected to a separate power outlet for any range of 100 230 VAC 50 60 Hz Operating Environment Ensure that there is sufficient air flow around the Vivid i ultrasound unit when installed or operated En...

Page 20: ...it when operating it in the vicinity of radio broadcasting equipment if necessary Connecting the unit A GE qualified person should perform the initial system installation Connecting the Vivid i ultras...

Page 21: ...AC power adaptor Figure 1 1 Figure 1 1 The rating label Check the voltage range indicated on the label 100 240 V 1 08 0 45 A 50 60 Hz WARNING If the mains supply is not within the specified range do n...

Page 22: ...in some other batteries such a watch batteries Used batteries should not be placed with common household waste products Contact local authorities for the location of a chemical waste collection progr...

Page 23: ...older a battery Do not connect the battery to an electrical outlet WARNING If the Vivid i is not being used on a monthly basis the battery needs to be removed during lengthy non use period CAUTION To...

Page 24: ...operating and by a pair of LED lights which operate even while the system is OFF View Current Battery Status When the system is running a status icon is displayed in the system Status bar to indicate...

Page 25: ...save all un saved data before the system shuts down or you may lose useful informa tion Figure 1 2 Low Battery Power Warning Peripherals Accessory connection Refer to page 279 for further informa tion...

Page 26: ...g IEC 60950 for data processing equipment and IEC 60601 1 1988 for medical equipment Any person connecting additional equipment to the signal input part or output part is configuring the medical syst...

Page 27: ...SVGA Out SVGA output RGB high resolution video Computer monitor USB Universal serial bus x2 Ethernet 10 100 Base TX Ethernet IEEE 8023 Network device Network device Docking Bay Connector Docking bay...

Page 28: ...ptor the system can be used regardless of the battery level The battery is automatically charged when the system is operating with the AC Power Adaptor LEDs There are two LEDs to indicate the status o...

Page 29: ...aily basis or moved from one place to another Full shutdown the entire system is shut down Full shutdown is recommended if the system is not intended to be used for a whole day or longer It is recomme...

Page 30: ...5 In case of total lock up of the system hold the on off but ton down a few sec onds to turn the system off 2 Select Standby The system enters Standby mode The system remains in Standby mode for appro...

Page 31: ...battery may be drained In this case plug the power plug into the wall outlet and try again When turning on a system in standby it takes a few seconds before it responds Do not push the on off button...

Page 32: ...Secure the unit s power cable on the Cart 5 Place all probes securely on the cart Ensure that the probe cables do not protrude from the unit or interfere with the wheels 6 Ensure that no loose items a...

Page 33: ...rom the Cart and place it in the travel bag supplied by GE or an equivalent suitable travel bag Unit acclimation time Following transport the unit may be very cold or hot Allow the unit to acclimate b...

Page 34: ...cator 4 On Off button 5 Battery 6 ECG cable connector 7 Pedoff probe connector 8 Probe locking handle 9 Probe connector 10 Monitor hinge 11 Softmenu buttons 12 Alpha numeric keyboard 13 Functional key...

Page 35: ...led description of the buttons is provided on the following pages Figure 1 6 The Vivid i Control Panel 1 Assignable keys soft menu elements part of the Extended keyboard 2 Soft menu rocker 3 TGC slide...

Page 36: ...f key Navigation keys Key Description Turns the unit ON and OFF Sets the unit to Standby Key Description Displays the Archiving opening page Enables the user to perform the following functions Create...

Page 37: ...browser or enter the Image Review screen where bigger previews of the images are shown for image selection Refer to page 181 for details on the review of images Displays the Measurement worksheet whe...

Page 38: ...les M Mode functions Used for viewing motion patterns For further information refer to page 83 Color Displays the examination screen in Color Flow Mapping mode Used to display color coded blood flow i...

Page 39: ...images in 2D Mode or the total gain of other activated modes such as M Mode Color PW or CW Doppler mode Active mode In combined mode switches between the mode specific assignable controls and total ga...

Page 40: ...aneous mode pressing 2D FREEZE will activate or deactivate the 2D image leaving the other mode display unchanged In freeze mode stops starts the cineloop Key Description Enables multiple image display...

Page 41: ...alternative storing of images Refer to page 318 Key Description Trackball Used for navigation and together with the surrounding keys to move select or activate objects on the screen Zoom Controls ima...

Page 42: ...able keys In live mode toggles between 2D imaging and live time motion imaging Doppler M Mode Store Stores the currently active imaging window to disk The stored information depends on the configurati...

Page 43: ...in Chapter 3 Scanning Modes on page 75 Key Description Key Description Soft Menu Rocker A 4 way rocker used to access mode specific menus select a menu option and adjust option related values The vert...

Page 44: ...yped annotations and body marks Physio Provides access to controls for ECG trace The ECG controls appear on the soft menu Arrow Displays an arrow that can be used to point at a specific structure in t...

Page 45: ...all modes 11 Greyscale Color bar 12 Soft menu window 13 Clipboard navigator 14 Cine progress bar 15 Current menu name 16 Soft menu control button 17 Trackball assignment Service and iLinq Caps on off...

Page 46: ...or ID Identification code of the operator See page 331 for creating operator ID s Date and time Displays the current date and time or for a retrieved image the date and time at which it was stored Pro...

Page 47: ...epresenting the acquired data during the current examination The status bar Consists of four information fields as follows Service iLinq button wrench icon Enable access to the GE Medical Systems on l...

Page 48: ...lly remove the probe and unwrap the probe cord DO NOT allow the probe head to hang freely impact to the probe head could result in irreparable damage 3 Press the probe connector locking lever refer to...

Page 49: ...n with probe cables Do not bend the cable acutely Deactivating the Probe Press the FREEZE key to deactivate the probe When deactivating the probe the probe is automatically placed in Standby mode Disc...

Page 50: ...right side of the keyboard 5 Ensure the cable is free 6 Be sure that the probe head is clean before placing the probe in its storage case Transporting Probes When transporting a probe a long distance...

Page 51: ...press ALT PgUp to increase brightness or ALT PgDown to decrease brightness The brightness adjustment tool appears at bottom of screen as shown in Figure 1 10 Figure 1 10 Brightness Control In a totall...

Page 52: ...t scanning see page 46 Creating a new Patient record or starting an examination from an existing patient record Starting an examination 1 Press PATIENT The Patient Handling screen is displayed Figure...

Page 53: ...the search ing filters 1 Trackball to the actual patient and double click the Trackball SET key or press SET once and then Select patient The unit is ready for scanning or the Patient information win...

Page 54: ...e selected patient Enter addi tional patient infor mation if required 2 Press Begin exam or any active scanning key to start the examination In the scanning screen the patient information is displayed...

Page 55: ...en 1 The date format is configurable see page 327 2 The window can be configured to display the expanded patient info as default see page 321 3 The Address field is configurable see page 321 4 Select...

Page 56: ...tion configuration Probes and their related applications are selected from the Probes and applications pop up menus as described below Only probes currently connected are displayed in the pop up menu...

Page 57: ...the Soft Menu Rocker 53 Trackball operation 54 Trackball assignment 54 The system menu 55 Cineloop operation 56 Cineloop overview 56 Cineloop controls 58 Using cineloop 59 Storing images and cineloop...

Page 58: ...100 Rev 02 Adjusting the display of the ECG trace 66 Annotations 67 To insert an annotation 67 To edit annotation 70 To erase annotation 70 Configuration of the pre defined annotation list 71 Bodymar...

Page 59: ...e mode in which the system is running A detailed description of each function is provided with each scanning mode in the following imaging mode sections In combined modes i e combined Color flow and P...

Page 60: ...Assignable Keys and Soft Menu The soft menu provides access and user control of different system parameters The contents of the soft menu is different for every system mode This provides access to th...

Page 61: ...on the right hand area of the circular assignable button and decreased by pressing on the left hand area of the button When pressing on the bottom area of the button the bottom label Low vel Reject i...

Page 62: ...tching upper button to toggle the Variance function ON or OFF User can press the matching lower button to toggle the Simultan function ON or OFF Alternatively the user can click with the mouse pointer...

Page 63: ...icates the name of the active mode and its status freeze live The following rows list the mode specific controls The relative setting of each control is indicated by a gauge bar filling the cell as th...

Page 64: ...The trackball area consists of The trackball used as a cursor control in acquisition mode scrolling control in freeze mode and as a selecting tool like a mouse cursor in post processing mode The ZOOM...

Page 65: ...image related functions see Figure 2 3 Figure 2 3 The Trackball area 1 Zoom key select to enlarge or reduce the image size on the screen 2 Trackball key select trackball assignment from the functions...

Page 66: ...is frozen the unit automatically displays cineloop boundary markers on either side of the last detected heart cycles The cineloop boundaries can be adjusted using the cineloop assignable controls to...

Page 67: ...controls on the front panel 1 Assignable keys Left marker Right marker Cycle select Number of cycles First Cycle Last Cycle Sync Cineloop Select all 2 Image Store 3 Freeze Start stop cineloop 4 Trackb...

Page 68: ...of heart cycles to be included in the loop Select All Select all heart cycles First cycle Last cycle Selects the first or last heart cycle to be played back Cineloop Starts cineloop acquisition Cinelo...

Page 69: ...terest To jump directly to the first or to the last heart beat press the assignables FIRST CYCLE or LAST CYCLE 5 Press on the assignable NUM CYCLES to increase or decrease the number of heart beats to...

Page 70: ...89 and page 291 for further information The amount of data stored in images from 2D replay is determined by the defined cineloop Images can be stored in either DICOM and GE Raw Data formats or DICOM f...

Page 71: ...rface Fingerprints or scratches will make the disk unusable Before usage verify that disk surface has no visible scratches If there are any scratches do NOT use the disk Writing on CD or DVD media Use...

Page 72: ...select the sheet Tools see Figure 2 6 Figure 2 6 The Tools Sheet 5 Select the removable media from the Media pop up menu 6 Enter a name for the removable media in the Label field NOTE Only the follow...

Page 73: ...an image Zoom is available in live and replay 1 Press the ZOOM button The resulting magnified image appears in the acquisition window while the un magnified image is displayed in the control window s...

Page 74: ...hat particular mode s sweep The operator can control the gain the position and the sweep rate of the traces using the assignables on the control panel Connecting the ECG The ECG cable consists of a ci...

Page 75: ...the physiological trace This control is active only in 2D and color modes The sweep speed of the physio traces in M Mode and Doppler is identical to the M Mode or Doppler horizontal sweep adjusted by...

Page 76: ...he ECG trace Adjusting the ECG trace sweep speed 1 Press PHYSIO on the control panel 2 Adjust the assignable button HORIZONTAL SWEEP to change the sweep speed Adjusting the ECG trace amplitude The ECG...

Page 77: ...characters is displayed while typing Press TAB to enter the suggested word 2 Trackball the text entered to the insertion position 3 Press SET to add the annotation Pre defined annotation Word selecti...

Page 78: ...r can easily select a pre defined text from the Library using the ARROW keys Creating a Library 1 Press CONFIG 2 In the Configuration package select Measure 3 In the Measure Category select Customize...

Page 79: ...ned text within a section press ARROW UP or ARROW DOWN until the desired word is selected 3 To change section Press LEFT ARROW until the desired section is displayed in the Status bar 4 To insert the...

Page 80: ...he text can be edited using the following alphanumeric keys RIGHT ARROW moves the text cursor forward LEFT ARROW moves the text cursor backward TAB moves the text cursor by word forward SHIFT TAB move...

Page 81: ...annotation text see Figure 2 11 To re arrange the annotation list 1 Trackball to the actual annotation text 2 Press SET 3 Press the relevant button i e Delete Move up or Move down to apply change 4 P...

Page 82: ...anual 2378958 100 Rev 02 Figure 2 11 The Annotation Menu Configuration Dialog Box 1 Rearrange list 2 Delete selected text 3 Reset to factory default 4 Add new text to the list 5 Enter new text To Purc...

Page 83: ...selection of bodymarks relative to the selected exam category Figure 2 12 The Bodymark menu 2 Trackball to the desired bodymark and press SET The bodymark with a probe marker is displayed on the scann...

Page 84: ...ng a bodymark 1 Press the alphanumeric key BODYMARK The Bodymark menu is displayed 2 Press Edit 3 Using the trackball adjust the position of the probe marker and press SET 4 Using the trackball adjust...

Page 85: ...Mode overview 83 M Mode controls 84 Using M Mode 85 Optimizing M Mode 87 Color Mode 88 Color Mode overview 88 Color Mode controls 90 Using Color Mode 92 Optimizing Color Mode 93 PW and CW Doppler 94...

Page 86: ...are described in this chapter 2D Mode Imaging M Mode Imaging Anatomical M Mode Color Mode Imaging Doppler Mode Imaging Angio See page 156 for further information on image and cineloop storage When per...

Page 87: ...s Manual 77 2378958 100 Rev 02 2D Mode 2D Mode overview Figure 3 1 The 2D screen cardiac 1 Focus marker 2 Probe orientation marker 3 Status window 4 Soft menu Controls marked with R are also availabl...

Page 88: ...nable keys Width Frequency Focus Frame rate Up Down R Left Right R Cineloop in Freeze only Dual focus B color maps Select all 2 Zoom 3 Depth 4 Soft menu Compress R Reject R Dynamic Range DDP R Tilt Sp...

Page 89: ...tes the depth of the focal point Frame rate Adjusts frame rate FPS The relative setting of the frame rate is displayed in the status window When adjusting frame rate there is a trade off between spati...

Page 90: ...pth Time Gain Compensation TGC Compensates for depth related attenuation in an image The sliders nearest the operator affect the far field TGC amplifies returning signals to correct for the attenuatio...

Page 91: ...and frame rates be optimized By default the axis of symmetry of a 2D image is vertical Applicable only for cardiology applications Contour Controls image processing related to the extent of edge enha...

Page 92: ...adjusted to optimize the 2D Mode display Use the Gain and TGC controls to optimize the overall image Use the Depth control to adjust the range to be imaged Use the Focus control to center the focal po...

Page 93: ...e in the axial plane of the 2D image Anatomical M Mode AMM displays a distance time plot from a cursor line which is independent from the axial plane AMM is available in greyscale or in color modes M...

Page 94: ...tus window For some probes applications the lowest frequency settings will be Octave imaging settings Focus Changes the location of the focal point s A triangular focus marker indicates the depth of t...

Page 95: ...or less than the maximum acoustic power permitted by the FDA The Thermal Index TI and the Mechanical Index MI are displayed on the screen Dynamic Range Enables control of the dynamic range or contrast...

Page 96: ...Dynamic Range Compression and Contour to optimize the display if necessary 4 Press FREEZE to stop imaging Anatomical M Mode Anatomical M Mode is only available for cardiac applications Anatomical M Mo...

Page 97: ...Horizontal sweep to optimize the display resolution Adjust Gain and TGC controls to adjust the range to be imaged ExceptforContour all the controls list ed in the optimizing M Mode section will also a...

Page 98: ...ng Modes 88 Vivid i User s Manual 2378958 100 Rev 02 Color Mode Color Mode overview Figure 3 4 The Color Mode screen 1 Probe orientation marker 2 Color bar 3 Color sector marker 4 Status window 5 Soft...

Page 99: ...User s Manual 89 2378958 100 Rev 02 Color M Mode overview Figure 3 5 The Color M Mode screen top bottom display 1 Time motion cursors 2 Color bar 3 Focus marker 4 Flow sector marker 5 Time scale 6 Sta...

Page 100: ...jection Color data pro duced by very low flow may cause in terference LVR also called Wall motion filter enables the extent of low velocity removal to be adjusted Invert Enables the color scheme assig...

Page 101: ...the same horizontal line An increase of the lateral averaging will reduce noise but this will also reduce the lateral resolution Radial Averaging Use Averaging con trolswithcautionso as not to obscur...

Page 102: ...ackball to adjust the dimensions of the ROI To enlarge or narrow the ROI move the trackball to the left or right To lengthen or shorten the ROI move the trackball up or down 5 Press SET when the desir...

Page 103: ...r flow display Higher settings improve resolution Lower settings improve depth penetration and sensitivity This does not affect the frequency used for 2D and M Mode The Power setting affects all other...

Page 104: ...oppler PW and CW Doppler overview Figure 3 6 The PW CW Doppler Mode screen 1 Sample volume PW only 2 Angle correction marker 3 Velocity scale 4 Low velocity reject 5 Nyquist velocity 6 Doppler baselin...

Page 105: ...ocity to be modified Velocity range directly controls the pulse repetition frequency which is responsible for the setting of the Nyquist limit the ability to detect maximum velocity without aliasing S...

Page 106: ...correction is available in both Live and Freeze Quick angle adjusts the angle by 60 degrees Angle correction adjusts the angle between zero and 90 degrees with one degree increment PW CW Doppler Soft...

Page 107: ...VR settings Frame rate Adjusts the frame rate The relative setting of the frame rate is displayed in the status window under 2D Power When power is re duced it reduces the signal to noise ratio so tha...

Page 108: ...the trackball adjust the position of the cursor line 3 Press PW or CW Optimizing PW CW Doppler modes Refer to page 291 about creating pre sets The use of preset gives optimum performance with minimum...

Page 109: ...f the image Use the Horizontal sweep to optimize the sweep speed To view signal detail use the Velocity range to enlarge the vertical spectral Doppler trace Use Invert to reverse the vertical componen...

Page 110: ...Scanning Modes 100 Vivid i User s Manual 2378958 100 Rev 02...

Page 111: ...Purposely left empty Vivid i User s Manual 101 2378958 100 Rev 02 Chapter 4 Purposely left empty For Future purposes...

Page 112: ...Purposely left empty 102 Vivid i User s Manual 2378958 100 Rev 02 To Purchase Visit Avobus com or call 1 800 674 3655...

Page 113: ...i User s Manual 103 2378958 100 Rev 02 Chapter 5 Contrast Imaging Introduction 104 Left Ventricular Contrast Imaging 104 LV Contrast overview 105 LV Contrast controls 105 Running LV Contrast 108 Opti...

Page 114: ...t images may be caused by several artifacts most importantly Motion artifacts gives rise to signals independently of contrast presence This may be caused by patient movement including respiration or b...

Page 115: ...the image sector A smaller angle generally produces a scan with a higher frame rate Frequency Enables the adjustment of the probe s operating frequency A higher frequency gives better resolution Focu...

Page 116: ...grey curves or different 2D colorized curves to be selected LV Contrast Soft menu controls Power Controls the amount of acoustic power applied to the transmitted pulse Too high Power lev el will dest...

Page 117: ...ber of focal zones when turned on Diff on off Affects the level of reverberation in the image The reverberation in the image is reduced when Diff control is turned on DDP Data Dependant Processing Per...

Page 118: ...patient or the specific contrast agent being used there may be a need for further adjustment If image quality is not acceptable before contrast injection the power level should be increased When contr...

Page 119: ...ent labels 115 Cardiac measurements 117 2D Measurements 117 M Mode Measurements 121 Doppler Measurements 124 Vascular measurements 127 B Mode measurements 127 M Mode Measurements 128 Doppler measureme...

Page 120: ...rompted through the measurements in the order of the measurement labels A set of tools is implemented to make the measurement process as fast and easy as possible for the user The user is guided throu...

Page 121: ...Measure modality 1 Press MEASURE on the control panel The Measurement Menu is displayed in the Parameters window see example Figure 6 2 The trackball cursor is in the scanning window ready for startin...

Page 122: ...t the required parameter which you intend to measure 4 Perform the measurement The parameter s name and measured value will appear in the result window To perform a measurement from another study 1 Tr...

Page 123: ...Measurement and Analysis Vivid i User s Manual 113 2378958 100 Rev 02 Figure 6 2 Display of a performed measurement example 1 Performed measurement 2 Next measurement is automatically selected...

Page 124: ...is displayed in the Parameters window see example Figure 6 3 2 Select the Generic study if not already selected and trackball to the required measurement tool 3 Press SET on the trackball area to acti...

Page 125: ...see Figure 6 4 The selection of a measurement with out pre defined la bels will not display the Parameter la bel menu 2 Press SET A Parameter label menu is displayed 3 Trackball through the Parameter...

Page 126: ...user defined parameter label 1 Trackball to the actual measurement in the Measurement result table see Figure 6 4 2 Press SET A Parameter label menu is displayed 3 Trackball to User and press SET The...

Page 127: ...asurement 6 Press SET to anchor the start point of the measurement See the Status bar to get the next step to perform 7 Trackball the cursor to the measurement end point The current distance value is...

Page 128: ...selected marker turns green and is unanchored 3 With the Trackball reposition the marker 4 Press SET to anchor 2D Area measurements 1 Generate the 2D image 2 Press FREEZE to stop the cineloop 3 Press...

Page 129: ...rackball the cursor to the anchor point of the area measurement to modify 2 Press SET twice Double click to select the anchor point The selected marker turns green and is unanchored 3 With the Trackba...

Page 130: ...displayed on the 2D image and the cor responding results are numbered 11 To assign a label to the measurement see page 115 12 Repeat steps 5 through 10 to make additional volume measurements 2D Depth...

Page 131: ...t result table and is instantaneously updated when moving the cursor 8 Press SET to anchor the end point of the measurement The measurement display color on the M Mode changes from green to red af ter...

Page 132: ...sure Left Atrium The LA value is displayed in the Measurement result table The Ao LA ratio is displayed in the Measurement result table LV study The LV study consists of measurements in fixed time mod...

Page 133: ...udy The RV study consists of measurement in fixed time mode of Right ventricular internal dimension RVID in both diastole and systole To perform RV study 1 Generate the M Mode image 2 Press FREEZE to...

Page 134: ...ponding results are numbered 6 Press SET to anchor the point The velocity m s and pressure mmHg values are displayed in the Measurement result table Velocity and Pressure caliper measurements 1 Genera...

Page 135: ...envelope The trace can be adjusted while tracing by moving the cursor backward to erase portion of the trace or the entire trace and then create the trace again The measurement display color on spect...

Page 136: ...e heart rate BPM is displayed in the Measurement result table MV E A ratio Adjust Compress and reject controls to optimize the Doppler signal 1 Generate the spectrum to be measured 2 Press FREEZE to s...

Page 137: ...osis by area 1 Press MEASURE on the control panel 2 Open Stenosis in the Measurement menu 3 Select Sten Area 4 Make a trace measurement of the inner area of the blood vessel 5 Make a trace measurement...

Page 138: ...e corresponding two measurements The measurements and the corresponding A B Ratio are displayed in the Measurement result table M Mode Measurements The following instructions assume that you first sca...

Page 139: ...e Modify Calcs menu the user can select the calculations to be displayed in the Measurement result table set the calculations that should be default when an exam is started Save as default command tur...

Page 140: ...the measurements and calculations to be displayed in the Measurement result table 6 Press Save as default to set the selected calculations to be default when a new study or exam is started Figure 6 6...

Page 141: ...e Prox Mid or Dist the location of the vessel Proximal Middle or Distal Rt or Lt right or left side of the patient 2 Press Transfer to assign the measurements and calculations To undo the assign ment...

Page 142: ...cycle and press SET to anchor the caliper and complete the measurement The Heart rate is displayed in the Measurement result table Peak systole PS End diastole ED and Mid diastole MD 1 Select PS ED o...

Page 143: ...le Resistive index RI 1 Select RI 2 Position the caliper at Peak systole and press SET to anchor the caliper 3 Position the second caliper at end diastole and press SET The Peak systole End diastole a...

Page 144: ...ic Flow describes how to configure the measurement package so that necessary measurements and the resulting calculations are displayed on screen Measurement package configuration example Calculation o...

Page 145: ...t is displayed in the folder Dimension in the Measurement menu 5 For the AV VTI measurement check Doppler in the Measurement menu sheet and select the folder Aortic in the Measurement menu 6 Check the...

Page 146: ...The Measurement menu sheet is displayed 2 The AV CO calculation is based on Doppler AV Trace measurement in the folder Aortic check Doppler in the Measurement menu sheet and select the folder Aortic 3...

Page 147: ...al measurements of different types create a user defined folder in the Measurement menu so that all measurements and the formula are grouped together If the formula is based on a single measurement yo...

Page 148: ...easurements select Doppler in the Measurement menu sheet 3 Select Add folder 4 Give the folder a name e g My Folder Adding measurements Figure 6 9 The Measurement menu sheet 1 Select the user defined...

Page 149: ...d measure window 3 MCO and AV ET are measurements that already exist on the system check Use copy of and select MCO from the drop down menu 4 Select OK to add the MCO measurement 5 Repeat steps 2 to 4...

Page 150: ...Select The Edit formula window is displayed Figure 6 12 The Edit formula window 5 Select from the Operators drop down menu 6 In the Doppler drop down list select MCO My Folder MCO Make sure to select...

Page 151: ...distance measurement illustrates how to create user defined measurements Figure 6 13 The Measurement menu sheet 1 Press CONFIG and select the category Measure 2 In the Measurement menu sheet select th...

Page 152: ...nce 7 Select the appropriate measurement tool in the drop down menu next to Tool e g 2D Caliper 8 Double click Name in the appropriate parameter e g Distance and enter a name for the parameter e g My...

Page 153: ...in the table below Alternative unit column 2 When creating the formula be sure that all parameters all the X s in Y f x are in SI units All default parameters in the system are in SI units If the res...

Page 154: ...t and Analysis 144 Vivid i User s Manual 2378958 100 Rev 02 Volume flow m3 s Pressure mmHg Pressure time mmHg s Mass kg Other Calculation SI Alternative unit To Purchase Visit Avobus com or call 1 800...

Page 155: ...p 1 to en large the Measure ment result table The Measurement result table is minimized to the heading bar Moving the Measurement result table Alternative Rotate the assignable RESULT WINDOW to move t...

Page 156: ...nd Analysis 146 Vivid i User s Manual 2378958 100 Rev 02 Deleting measurements 1 Trackball to the measurement to delete in the Measurement result table and press SET A menu is displayed 2 Select Delet...

Page 157: ...of a report All measurements and calculations taken during the examination can be viewed at any time using the worksheet Overview Figure 6 17 The Worksheet screen Cardiac 1 Measurement type 2 Measurem...

Page 158: ...6 18 The Calculation method options list 3 Trackball to the required option 4 Press SET The value is updated accordingly Excluding or including measurements One or more measurement values from a set o...

Page 159: ...nged 2 Press SET An asterisk indi cates that the value has been manually altered The calcula tion type is changed to Edit 3 Use the alphanumeric keyboard to enter the required value To restore automat...

Page 160: ...Measurement and Analysis 150 Vivid i User s Manual 2378958 100 Rev 02 To Purchase Visit Avobus com or call 1 800 674 3655...

Page 161: ...Purposely Left Empty Vivid i User s Manual 151 2378958 100 Rev 02 Chapter 7 Purposely Left Empty For Future purposes...

Page 162: ...Purposely Left Empty 152 Vivid i User s Manual 2378958 100 Rev 02...

Page 163: ...archive 181 Review the images from a selected examination 181 Select images from the Image list screen 182 Connectivity 186 The dataflow concept 186 Stand alone scanner scenario 189 A stand alone sca...

Page 164: ...Archiving 154 Vivid i User s Manual 2378958 100 Rev 02 Running the Disk management function 223 Data Backup and Restore 226 DICOM spooler 232 Starting the DICOM spooler 232...

Page 165: ...egrated patient archiving system for data and image storage The Vivid i ultrasound unit enables also storing of data and images to external databases EchoServer Magneto Optical MO disk CD R or DVD R T...

Page 166: ...age 310 about available dataflows and default dataflow selection In addition stored images and cineloops can be saved to a removable media in the standard formats JPEG AVI cineloop MPEG and DICOM see...

Page 167: ...t any time during the scanning session The user can choose to preview the cineloop before storage or save the cineloop directly as described below Preview and storage of a cineloop 1 While scanning in...

Page 168: ...s CINELOOP and adjust the cineloop to be stored using the assignables see page 56 3 Press STORE to save the cineloop A thumbnail is displayed on the clipboard Saving stored images and cineloops to a s...

Page 169: ...removable media from the Save in archive pull down menu 7 Enter a file name in the File name field If the image or cineloop is saved as DICOM or RawDICOM the file name is automatically generated to fo...

Page 170: ...still image in JPEG format MPEG saves the still image or cineloop in MPEG format AVI saves the cineloop in AVI format 12 Press Save A file is saved in the selected archive MPEGVue eVue MPEGVue eVue e...

Page 171: ...time use as follows 1 Press CONFIG and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed 3 Select the dataflow Local Archive Int HD eVue...

Page 172: ...e patient window is displayed 2 Select the dataflow Local Archive Int HD eVue 3 Perform an exam When saving an image it is stored as raw data to the local machine an MPEG copy is created and stored to...

Page 173: ...List is displayed Figure 8 5 To read MPEG exams stored on other media insert the media or locate the network shared folder containing the MPEG exams and double click on the file START_MPEGVue bat The...

Page 174: ...s Distance and area in 2D images Height time and slope in M mode images Velocity and time in Doppler modes 1 Clipboard select the image to display 2 Selected image 3 Single frame image 4 Cineloop 5 Fr...

Page 175: ...gure 8 6 and perform the measurement E Mail support for MPEGVue Sending images or examinations via E mail The selected image or the entire examination can be send by e mail as an attachment providing...

Page 176: ...ncrypted and password protected If the size of the exam is too large to be sent as a single attachment it is divided in several file attachments sent with several E mails 1 Open the examination to sen...

Page 177: ...w Opening an MPEGVue exam from one or more E mails 1 In the MPEG viewer press the E mail button see Figure 8 6 page 164 The E mail dialog window is displayed see Figure 8 7 page 165 2 Click Receive ex...

Page 178: ...sking for user ID and password Figure 8 10 The Operator login window The unit can be con figured to automati cally generate a patient ID see page 321 2 Press Log on when completed The Archive entry sc...

Page 179: ...Press in front of the actual patient record and select the desired examination The Examination List window for the actual patient is displayed refer to Figure 8 14 Figure 8 12 The Search Create Patie...

Page 180: ...tended displaying the searching filters see Figure 8 13 3 Type the information in the required searching filter field 4 Type the patient Last Name and or ID The matching data is displayed in the Patie...

Page 181: ...Print Patients The displayed patient list is printed 1 Press one of the headings to sort the list accordingly 2 Select new archive and other pre defined services 3 The system can be configured to disp...

Page 182: ...w trackball to the actual patient and press the Trackball SET key The patient record is highlighted 2 Press SELECT PATIENT The Examination List window is displayed showing previous examinations and di...

Page 183: ...t Text over the actual field 2 Press SET The Insert text window is displayed see Figure 8 15 The pre defined text list is organized in a three level hierarchy Selecting one item in the first column di...

Page 184: ...le click the code to enter The selected code is displayed in the Examination list window Figure 8 16 Entering Diagnosis codes Deleting an entered Diagnosis code 1 In the Examination list window select...

Page 185: ...ress PATIENT on the control panel to quit the archive WARNING If you modify the Patient ID Last name First name or Date of birth on a patient in the archive be aware that the contents of the archived...

Page 186: ...6 Press Delete in the Search Create Patient window A dialogue box is displayed asking for confirmation of the deletion Figure 8 17 7 Trackball to OK and press SET on the control panel Figure 8 17 Dele...

Page 187: ...image 1 Press PATIENT on the Front panel 2 Select Patient List The Search Create Patient window is displayed 3 Type the patient Last Name and or ID 4 Trackball to the required patient to highlight the...

Page 188: ...og box is displayed asking for confirmation of the deletion 6 Trackball to OK and press SET on the control panel The image is deleted Moving examinations An examination can be moved from one patient r...

Page 189: ...Figure 8 19 The Move exam window 5 Search and select the target patient record 6 Press Move Exam A warning message is displayed asking the user to confirm the action to perform see Figure 8 20 CAUTION...

Page 190: ...er s Manual 2378958 100 Rev 02 Figure 8 20 Moving examination prompt 7 Trackball to OK and press SET An information window is displayed to confirm the operation 8 Press OK To Purchase Visit Avobus com...

Page 191: ...examination sessions for the actual patient Review the images from a selected examination 1 In the Examination list window see Figure 8 14 page 172 trackball to the actual examination 2 Press SET on t...

Page 192: ...low enables the analysis of images belonging to different examinations for a selected patient record If images are stored on multiple removable media they have to be restored to the local hard drive p...

Page 193: ...all images If all images are available the images are displayed for review If some of the images are not available locally the Restore images window is displayed Figure 8 22 The Restore images window...

Page 194: ...ll the required images are on the inserted media the user is prompted to insert another media until all required images are restored on the hard drive Skip media the images stored on the media require...

Page 195: ...chiving Vivid i User s Manual 185 2378958 100 Rev 02 Figure 8 24 The Image list screen 1 Examination 2 Examination date and archive location 3 Selected image 4 Preview of selected image 5 Missing imag...

Page 196: ...information providers on the network takes the form of dataflows Selecting a dataflow will automatically customize the ultrasound unit to work according to the services associated with this dataflow E...

Page 197: ...hive Int HD dataflow The local database is used for patient archiving Images are stored to internal harddrive B RemoteArch Remote HD dataflow A remote database here EchoPAC PC is used for patient arch...

Page 198: ...ackage as described below Default dataflow selection 1 Press CONFIG and log on as administrator if required 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed see...

Page 199: ...red on the scanner s internal harddrive Figure 8 28 Stand alone scanner with LocalArchive Int HD dataflow Data management Data acquisition 1 Select the LocalArchive Int HD dataflow as default dataflow...

Page 200: ...rddrive In this configuration images are first stored on the scanner s harddrive and then exported from the scanner s harddrive to a MOD and finally imported from the MOD to the EchoPAC PC s internal...

Page 201: ...PC 1 Select the LocalArchive Int HD dataflow on the EchoPAC PC can be configured as default dataflow The MOD dedicat ed to Export Import can be reformatted and reused 2 Import the data from the Export...

Page 202: ...ontain any patient information measurements or images Up to three scanners can be connected to one EchoPAC PC if the workstation has the EchoPAC Share option enabled Figure 8 30 A scanner and EchoPAC...

Page 203: ...d TCP IP subgroup The TCPIP subgroup is displayed Figure 8 31 TCP IP setting 3 In the IP settings area enter The IP address for the scanner The subnet mask for the scanner The IP address for the Defau...

Page 204: ...t dataflow When saving the study on the scanner the images are transferred from the scanner s image buffer to the harddrive of the EchoPAC PC Patient demographics measurements and reports are transfer...

Page 205: ...ons done offline from the scanner to EchoPAC PC 1 When reconnected export the data images demographics measurements and report for the examination s done offline to EchoPAC PC as describes in Export I...

Page 206: ...s dataflow configuration 1 Select the RemoteArch RemoteHD dataflow as default dataflow in the sublevel Dataflow in the subgroup Connectivity of the Configuration management package see page 310 and fo...

Page 207: ...reconnected export the data images demographics measurements and report for the examination s done offline to the server as described in Export Import patient records examinations on page 209 Press T...

Page 208: ...patient information and the examination results are stored to the local database Images are stored to a DICOM server and to an image volume on the local harddrive Worklist Remote Archive DICOM Server...

Page 209: ...dataflow selection 1 Press CONFIG and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed 3 Select the DICOM dataflow to configure in the...

Page 210: ...l 2378958 100 Rev 02 press Properties see Figure 8 33 Figure 8 33 Display of the DICOM device Properties window The Properties window for the selected DICOM device is displayed Figure 8 34 1 Select th...

Page 211: ...the DICOM server need to be modified or created Select Modify from the IP address pull down menu The IPs window is displayed Select the DICOM server and press Modify in the IPs window or press Add if...

Page 212: ...ies window Check DICOM SR if required see below Keep Reopen per image unchecked Keep Allow raw data unchecked Set Max Frame rate to 30 Keep Only Black and White unchecked Set Compression to JPEG Set Q...

Page 213: ...efer to the Vivid i Reference manual for a complete list of supported methods Basic derivations Average Last no references between the derived measurements and the ones they were made from Wall Motion...

Page 214: ...am the measurements are sent together with the images to the DICOM storage device selected To end an exam and store the measurements as DICOM SR 1 Press PATIENT and select End Exam The DICOM SR Inform...

Page 215: ...lect the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed see Figure 8 38 3 Select a DICOM Worklist dataflow or the Query Retrieve dataflow 4 Select the Worklist or Query Re...

Page 216: ...iteria Checking the connection to the DICOM server 1 In the Dataflow sheet select the DICOM device to verify the connection to 2 Press Check The verification process may takes several seconds 1 The da...

Page 217: ...taflow subgroup The Dataflow sheet is displayed 3 Select a DICOM server dataflow 4 Press CONFIG to exit Press OK in all messages appearing under exit 5 Reboot the scanner Performing a study Online sca...

Page 218: ...ICOM spooler see DICOM spooler on page 232 for further details Offline scanner When working offline the images are stored in the DICOM spooler Images can be sent to the DICOM server when re connecting...

Page 219: ...rt patient window see Figure 8 41 page 211 Similarly patient records examinations from the local archive on one system can be imported to the local archive on another system via a removable media Data...

Page 220: ...work or EchoPAC PC direct connect or network Pure DICOM Storage exports DICOM data only to a DICOM server Excel file exports data to a spreadsheet The excel file is stored in the location defined in t...

Page 221: ...ing selection methods can be used Press and hold down SHIFT while selecting patient records examinations to select several consecutive items at a time Press and hold down CTRL while selecting patient...

Page 222: ...will be copied 9 Press Copy If one or more patient examination is already present in the destination archive the Export Import conflict window is displayed see Figure 8 42 For each conflicting item s...

Page 223: ...disk The Eject device menu is displayed Figure 8 43 The Eject device menu 13 Select the relevant media The selected removable media is ejected Export Configuration The destination for Export of patien...

Page 224: ...8958 100 Rev 02 Figure 8 44 The Dataflow Sheet Configuring an Excel Export 1 Select the Excel storage device in the Selected devices pane and press Properties The Excel properties window is displayed...

Page 225: ...HL7 properties window 2 When configuring this feature for the first time the path for the HL7 export destination must be entered in the Remote path field format server name share name 3 Select OK and...

Page 226: ...4 Press Import in the Search Create Patient window The Import dialogue window is displayed see Figure 8 47 Figure 8 47 The Import Dialogue window 5 Select one of the following source archive from the...

Page 227: ...selecting patient records examinations to select several discrete items Press Select all in the Import patient window to export all patient records Press More to dis play the extended Import patient w...

Page 228: ...port Import conflict window is displayed see Figure 8 42 For each conflicting item select Keep to keep the existing examination in the destination archive Replace to replace the existing examination w...

Page 229: ...ield in the Import patient window for each item imported A status message is displayed for each item imported Make sure that the operation was successful for each item imported 11 Press Done in the Im...

Page 230: ...g the disk free space at an operational level When using this setting the images location displayed in the Examina tion list screen is the selected destina tion for the copy op eration even if the ima...

Page 231: ...Figure 8 50 The Disk management sheet Disk management schedule settings 1 Next to Reminder interval specify the number of days weeks you want the system to prompt you to perform disk management This...

Page 232: ...the local hard drive After using this setting the files exist in one location the media used to move the files to They are removed from the local hard drive Delete the images and reports from the exa...

Page 233: ...ate patient window is displayed 2 In the Search Create patient window press More to display additional menu options and select Disk management The Disk management welcome screen is displayed Figure 8...

Page 234: ...he specified drive 5 Press Next The Copying files window is displayed Figure 8 53 Figure 8 53 The copying files window The system automatically formats and labels new disks If the media contains backu...

Page 235: ...ndow is displayed asking the user to label the ejected disk and insert a new media Press OK after the new media is inserted The operation is resumed When all the files are copied the media is automati...

Page 236: ...nce a week There is no backup function for the images or reports no creation of a safety copy For long term storage images and reports should be moved to removable MOD or to a network shared folder us...

Page 237: ...g on The Search Create patient window is displayed 3 In the Search Create patient select the dataflow Local Archive Int HD Figure 8 55 Figure 8 55 Dataflow selection for backup 4 Press CONFIG 5 Select...

Page 238: ...e media is inserted If not a dialogue window is displayed Figure 8 57 prompting the user to insert a media Figure 8 57 Insert media prompt Insert the media and select OK The system is checking if the...

Page 239: ...and begin backup Select Eject to replace media and resume backup Select Cancel to abort backup 11 During backup Progress windows are displayed Figure 8 60 showing the current operation being performed...

Page 240: ...on of the system should also be noted on the media and a backup log should be kept File the media in a safe place Restore procedure 1 Press CONFIG 2 Select the category Admin 3 Select the Restore shee...

Page 241: ...selection one or two Restore confirmation windows are displayed Figure 8 64 Figure 8 64 Restore confirmation windows 9 Ensure that the correct source is selected an select OK The selected items are c...

Page 242: ...spooler window can be Pending the job is complete waiting to be active In hold the job is incomplete waiting for more images Append the job is connected to the destination device but is waiting for mo...

Page 243: ...n active jobs can be deleted 1 Trackball to the job to delete in the DICOM job spooler window 2 Press SET 3 Trackball to Delete 4 Press SET Resending a job Only jobs that failed or are in hold can be...

Page 244: ...old can be sent to a new destination 1 Trackball to the job to send in the DICOM job spooler window 2 Press SET 3 Trackball to Send to 4 Press SET A dialogue window is displayed 5 Select the new desti...

Page 245: ...port 241 Deleting an archived report 241 Direct report 242 Creating comments 242 Creating pre defined text inputs 243 Report designer 244 Accessing the Report designer 244 Report designer overview 244...

Page 246: ...amination The layout of the reports is defined by generic templates delivered with the system Custom templates can also be made Saved reports are read only Therefore it is recommended that the data be...

Page 247: ...signed and text can be entered in the free text fields All other information must be changed from the Patient information window and the Worksheet screen Working with the report function 1 Press REPOR...

Page 248: ...Report 238 Vivid i User s Manual 2378958 100 Rev 02 Figure 9 1 The Report screen and assigned keys 1 Assigned keys Print Store Retrieve Template Designer MORE menu Save as Delete...

Page 249: ...will be selected next time To change patient information 1 Trackball to heading of the information to change The trackball marker is changed to a hand with pointing finger 2 Press SET on the Trackbal...

Page 250: ...hen completed 2 Press OK Alternative storage Reports can also be saved in a user defined locations in the following formats Compiled HTML CHM files readable from any web browser Portable Document Form...

Page 251: ...report select Show active exam 2 Trackball to the report to retrieve 3 Press SET Deleting an archived report Only members of the user group Cardiologist are allowed to store a report see page 331 1 P...

Page 252: ...ed Creating comments 1 Press UPDATE MENU 2 Select Direct report see Figure 9 2 3 In the Direct report screen select the comment type 4 Type your comments in the Text field 5 To add a measurement in th...

Page 253: ...isplays pre defined text entries related to the selected text in the second and third column 3 Navigate through the pre defined text list by selecting items in the columns and double click on the desi...

Page 254: ...wer The Report designer function is based on the information container concept each type of information is included within a container with parameters that can be configured size color font properties...

Page 255: ...the template using a new name Page setup define printing orientation and header footer for the printed report Print Preview display a print preview of the report template Exit exit the Report designe...

Page 256: ...ound images Wall motion analysis insert a container for the display of Stress Echo analysis results cut planes Bull s eye and scoring table Measurements insert a container for the display of measureme...

Page 257: ...on to be included in a report are grouped in information containers Designing a report template consists in inserting and configuring the different information containers in the template page in an or...

Page 258: ...r can add delete a row or a column or open the Table properties window Figure 9 5 The Table properties window Inserting a logo 1 Provide the hospital logo in JPEG or Bitmap format onto a CD or MO disk...

Page 259: ...ixed text Fixed text is an entry that cannot be changed in the report e g hospital information 1 Select the location where to insert the fixed text a table cell or directly in the report template 2 Se...

Page 260: ...to the desired location a table cell or directly in the report template 2 Select the first table cell 3 Select Insert and Archive information The Archive information box is displayed Figure 9 8 The A...

Page 261: ...is displayed Figure 9 9 The Ultrasound image box 3 If desired enter a heading set the container size and specify the text appearance 4 Select OK Inserting measurement containers You may display the me...

Page 262: ...he Measurement list on the left side is updated 6 From the measurement list select the measurement to insert and press Add Both single measurements or a folder may be added 7 The list of the inserted...

Page 263: ...e text field container a table cell or directly in the report template 2 Select Insert and Text field The Text field box is displayed Figure 9 11 The Text field box 3 Enter a heading 4 From the Displa...

Page 264: ...the Wall motion scoring analysis A Wall motion scoring diagrams container Cut planes or Bull s eyes A Wall motion scoring table Inserting Wall motion scoring diagrams container 1 Select the location...

Page 265: ...ting the information container Resizing the information container 1 Move the Mouse cursor over the border of the container to resize The mouse cursor is changed to a cross 2 Press Left mouse button on...

Page 266: ...t 2 Press the Left mouse button 3 Press Insert and select Page Break Inserting header and footer Header and footer may be defined to be displayed in the printed report The header and footer are not vi...

Page 267: ...w is displayed asking for confirmation 2 Select Yes to save the report template No to discard the report template Cancel to go back to the Report designer without saving the report template Save exist...

Page 268: ...tion without saving the changes made in the report template Cancel to return to the application Report templates management This section describes Configuration of the Template selection menu Deletion...

Page 269: ...lates of interest Inserting a template in the Templates selection menu 1 Press CONFIG and select Report The Report template sheet is displayed Figure 9 16 2 In the Available templates field left field...

Page 270: ...rrow buttons The selected template is moved accordingly in theTemplate selection menu Deleting a report template from the system Only user defined report templates can be deled from the system 1 In th...

Page 271: ...vable media under Select target device 6 Press OK A Confirmation window is displayed 7 Press OK The selected template s are exported to the removable media 8 Press ALT E and select the media to eject...

Page 272: ...0 Rev 02 Figure 9 18 The Import template window 4 Select the source device from the pull down menu 5 Press OK A Confirmation window is displayed 6 Press OK The templates are imported into the system 7...

Page 273: ...ion 267 Probe labelling 267 Probe Integration 269 Connecting the probe 269 Activating the probe 269 Disconnecting the probe 270 Care and Maintenance 271 Planned maintenance 271 Inspecting the probe 27...

Page 274: ...mode M Mode Color Flow CW Doppler PW Doppler Cardiology Coronary Transcranial Abdomen Frequency Foot print 1 5 3 6 MHz 18 x 24 mm 7S RS 2D mode M Mode Color Flow CW Doppler PW Doppler Cardiology Pedi...

Page 275: ...ral vascular Small parts Frequency Foot print 3 2 7 5 MHz 17 x 58 mm Probe Mode Intended use Technical data Image 3C RS 2D mode M Mode Color Flow CW Doppler PW Doppler Abdomen Aorto Iliac Fetal Heart...

Page 276: ...s Manual 2378958 100 Rev 02 Multiplane Transesophageal Phased Array probe Probe Mode Intended use Technical data Image 6T RS 2D mode M Mode Color Flow CW Doppler PW Doppler Transesophag eal Cardiolog...

Page 277: ...orresponds with the V mark on the scanning screen The V mark indicates the orientation of the probe to the scan Figure 10 1 Orientation marking on probe and on screen Probe labelling Each probe is lab...

Page 278: ...Probes 268 Vivid i User s Manual 2378958 100 Rev 02 The probe name displayed on the probe housing Figure 10 2 Probe labelling examples 1 CE mark 2 Probe name...

Page 279: ...or with the probe port and carefully push into place 4 Lift the lever on the Vivid i up all the way 5 Position the probe cable so that it is not resting on the floor Activating the probe When a probe...

Page 280: ...unch the application Disconnecting the probe To disconnect probes 1 Push the locking lever on the Vivid i all the way down The probes that are not connected to the unit should be stored in their stor...

Page 281: ...ion and safety After each use Inspect the probe Clean the probe If required disinfect the probe Before each use Inspect the probe CAUTION Improper handling can lead to early probe failure and electric...

Page 282: ...into the probe Before each use 1 Inspect the lens the probe housing and the cable Figure 10 3 2 Look for damage that might allow liquid into the probe 3 Test the functionality of the probe Figure 10 3...

Page 283: ...materials used in the transducer housing cable and lens Although a necessary step in protecting patients and employees from disease transmission liquid chemical germicides must also be selected to mi...

Page 284: ...to the germicide manufacturer s instructions 4 Wipe dry with a soft towel or air dry the probe WARNING Use only germicides that are listed in the Probe Care Card enclosed with the probe In addition r...

Page 285: ...Probes Vivid i User s Manual 275 2378958 100 Rev 02 Figure 10 4 Probe immersion levels 1 Fluid level 2 Contact face with patient environment...

Page 286: ...nical shock or impact which may result in cracks or chips in the housing and degrade performance Inspect the probe before and after each use as described on page 272 for damage or degradation to the h...

Page 287: ...r each probe recommended for intra cavity procedures Adequate cleaning and disinfection are essential to prevent disease transmission It is the responsibility of the user to verify and maintain the ef...

Page 288: ...Probes 278 Vivid i User s Manual 2378958 100 Rev 02...

Page 289: ...ls Vivid i User s Manual 279 2378958 100 Rev 02 Chapter 11 Peripherals Introduction 280 Printing 281 To print an image 281 Specifications for peripherals 282 To Purchase Visit Avobus com or call 1 800...

Page 290: ...g IEC60950 must be kept outside of the patient environment as defined in IEC60601 1 1 2000 unless it according to IEC60601 1 1 2000 is equipped with additional protective earth or extra isolating tran...

Page 291: ...also be configured to perform alternative storage i e storage to DICOM media or secondary capture See page 318 for configuration of the PRINT key To print an image For details on the Thermal video pri...

Page 292: ...eripherals 282 Vivid i User s Manual 2378958 100 Rev 02 Specifications for peripherals Please refer to the documentation accompanying the peripherals To Purchase Visit Avobus com or call 1 800 674 365...

Page 293: ...ge 287 Overview 288 Imaging 289 The Global setup sheet 289 Application 291 Application menu 294 Measure Text 296 Configuration of the Measurement menu 300 Report 304 The diagnostic codes sheet 305 The...

Page 294: ...with sublevels The table below summarizes the contents and access rights of the different categories and sublevels of the Vivid i configuration package Category and sublevel Description access Refer...

Page 295: ...ge 309 Dataflow Create new dataflows or configure existing dataflows Admin Additional outputs Configure the PRINT key Admin Tools Formats removable media All Formats Configures the Examination list wi...

Page 296: ...and system configuration from a backup Admin Users Operator and referring staff registration operator s rights settings Admin Unlock patient Unlock patient records that were not properly finished Admi...

Page 297: ...tings and presets to be used The access to the entire configuration package is user configuration dependent see page 331 To open the Configuration package 1 Press CONFIG on the alphanumeric keyboard T...

Page 298: ...erent setup categories with sublevels sheets labelled with tab The functionality of each configuration category and associated sublevels are described on the following pages Figure 12 2 The Setup dial...

Page 299: ...maging Global enables the user to configure display related settings Application enables configuration of the probe and application specific settings Application menu enables configuration of the Meas...

Page 300: ...view of cineloops before storage Parameter Description Crop images In the Analysis screen removes top and bottom of the image when more than two images have been selected Parameter Description Doppler...

Page 301: ...configuration of probe application specific settings presets The application specific settings can be stored and used as default presets with this probe Figure 12 4 The Application setup sheet example...

Page 302: ...must be unchecked Auto freeze Freeze 2D image in Doppler the last 2D or color flow image is displayed when entering in Doppler mode Auto freeze after sets the time after which the system enters in fr...

Page 303: ...and select the application to edit 2 Press APPLICATION again 3 Trackball to Preset in the Application pop up menu The Application setup sheet see Figure 12 4 is displayed 4 Change the parameters as d...

Page 304: ...plication Application menu The Application menu category enables rearrangement of the the Application menu to best suit the user s requirements The Application menu is a two levels pop up menu The fir...

Page 305: ...level 1 Trackball to the application to move 2 Press SET 3 Press The application is moved one step up Press Default to get factory setting 4 Press The application is moved one step down To move an ap...

Page 306: ...300 Creation of user defined measurements see page 137 Configuration of Measurement tools see page 302 Configuration of the vascular Doppler calculation see page 303 Configuration of the Annotation f...

Page 307: ...enu setup sheet 1 Configuration window see next pages for details 2 The measurement menu displays updated configuration Parameter Description Add measurement Create or select from the pop up list a me...

Page 308: ...Copy Enables copy of a selected measurement category selection is done by selecting the category name Delete enables deletion of user defined measurement categories Factory Default restores factory di...

Page 309: ...idden from the Measurement menu Measurement Displayed when a measurement is selected in the Measurement Menu Shows all the parameters related to the selected measurement the items is displayed in the...

Page 310: ...ies to hide To copy a Measurement category 1 Press M A categories in the Configuration window The M A categories are displayed in a pop up window see page 298 2 Move the trackball marker over the M A...

Page 311: ...the entries folders and measurements of interest To hide a folder or a measurement 1 Uncheck the actual folder or measurement in the Folder or Measurement field in the Configuration window To display...

Page 312: ...arameters and global parameters Figure 12 7 The Advanced sheet Parameter configuration 1 If configuring application specific parameters select an application from the M A category pull down menu When...

Page 313: ...12 8 The Modify Calculations sheet Parameter configuration The following example describes how to configure the Carotid Doppler calculations 1 In the Modify Calculations sheet select Vascular next to...

Page 314: ...ort of user defined templates See Report templates management on page 258 for more information Diagnostic codes enables the creation of pre defined text inputs to be used in the Diagnosis information...

Page 315: ...xamination list window see Figure 8 14 page 172 Figure 12 9 The Diagnostic codes sheet Creating a diagnostic codes 1 Select New text to create a new diagnostic code see Figure 12 9 2 In the Code field...

Page 316: ...de list field trackball to the diagnostic code to delete see Figure 12 9 2 Press SET 3 Trackball to Delete 4 Press SET The Comment texts sheet This sheet enables the creation and deletion of text inpu...

Page 317: ...s New The Enter new text window is displayed Figure 12 11 The Enter new text window 3 Enter a title in the Text field Enter the pre defined text in the Full text field 4 Press OK Second and third leve...

Page 318: ...Edit 3 The Edit text window is displayed Figure 12 12 The Edit text window 4 Edit the text in both the Text and Full text fields 5 Press OK Deleting a pre defined text input 1 Select the item to delet...

Page 319: ...cation setup of the ultrasound unit with other devices Additional output configuration of the PRINT and ALT keys on the control panel Tools formatting of removable media Formats configuration of the E...

Page 320: ...on and images from an input source to the unit and from the unit to one or several output sources A dataflow is a set of pre configured settings Selecting a dataflow will automatically customize the u...

Page 321: ...ow from the list of available dataflow 5 Option for the search function In the Search Create patient window select between None All patients and Today s patient 6 Add Remove a user defined dataflow 7...

Page 322: ...MOD The local database is used for patient archiving Images are stored to a MOD The stored image files will consist of raw data only together with a single frame DICOM preview image no DICOM multi fra...

Page 323: ...w cannot be used with an ImageVault 3 0 server RemoteArchive MOD Remote archive Magneto Optical Disk A remote database either on EchoPAC workstation or on EchoServer is used for patient archiving Imag...

Page 324: ...etwork environment that includes Vivid HL7 Gateway The patient list in the Search Create Patient window is coming from Vivid HL7 Gateway through DICOM Modality Worklist All patient data and images are...

Page 325: ...Enter a name for the new dataflow 3 Press OK 4 Select an Input device in the Available inputs outputs field and press the Right arrow button to assign the service to the dataflow 5 Repeat step 4 to as...

Page 326: ...Database Name Automatically selected according to the IP address File destination Automatically selected according to the IP address Removable Check the entry is the media is removable Image settings...

Page 327: ...cifications Port The Port no is allocated during DICOM configuration Refer to your network specifications Verification Verify the connection to another DICOM application Storage commitment Send a requ...

Page 328: ...olor video print and storage to a DICOM media Figure 12 15 The sublevel Additional outputs example 1 Select between PRINT and ALT keys 2 Available output devices that can be assigned to the current bu...

Page 329: ...desired Some of the settings can be changed directly in the Image to Produce field in the sublevel Additional outputs To remove a device select the device in the Selected devices field and press the L...

Page 330: ...directory on a removable media containing DICOM images Enter a remote path of a network shared folder server name share name for Export of system error log file Save as function for images Figure 12 1...

Page 331: ...list displayed in the Examination list window see Figure 8 14 page 172 by deleting adding columns and change the information type displayed in each column Column configuration 1 Trackball to the colu...

Page 332: ...em setup 322 Vivid i User s Manual 2378958 100 Rev 02 Figure 12 18 Configuration of the Examination list window 1 Insert new column to the left of the selected column 2 Delete selected column 3 Select...

Page 333: ...h date Enter age Date of birth field not available Enter Date of birth the age is calculated Use extended patient dialog In the Patient information window see page 45 The entire patient information da...

Page 334: ...key open the extended text field Examination list on Archive button When a patient is selected pressing ARCHIVE will open the Examination list window for the selected patient open the Patient Informat...

Page 335: ...ser must press Begin Exam to enter the Scanning screen Save all images on end exam All images on the clipboard are automatically saved when ending an examination A dialogue window is displayed when en...

Page 336: ...name device s name of type VIVID_I 00nnnn or ECHOPAC7 00nnnn where nnnn is the system s serial number Do not change the computer name 2 IP settings system IP settings 3 Remote archive setup remote arc...

Page 337: ...hoose the measurement unit and language for the system and enter basic information about the organization such as the institution name and department Test enables testing of the different parts of the...

Page 338: ...ing the system Date and Time Date sets the date Select the correct date from the pop up window Time sets the time Press the arrow head buttons to set the time hour min sec Time Format select the desir...

Page 339: ...t concerning software hardware Probes Parameter Description Language Select the desired language for the system from the pop up menu Manual language Select the desired language for the Online manual I...

Page 340: ...eport archives as well as system and user defined configuration see page 227 Restore enables data retrieving of patient and report archives as well as system and user defined configuration presets fro...

Page 341: ...The Users setup sheet Users are divided in groups with different rights There are two types of groups User groups members of these groups see table below are allowed to login on the system when select...

Page 342: ...tore report Admin Service Cardiologist Activated with a Dongle Physician Sonographer Fellow Sys Admin Hosp admin GE admin Right Definition Create and delete Create update and delete a patient record C...

Page 343: ...2 Press Delete The user is removed from the User list Auto logon and auto logoff Auto logon 1 Select the desired logon setup from the pull down menu Disabled no default user is selected when logging...

Page 344: ...sheet To unlock patient records 1 Press CONFIG 2 Select the category Admin 3 In the Admin category select the sheet Unlock patient 4 In the Unlock patient sheet select the patient records to unlock Yo...

Page 345: ...Manual 335 2378958 100 Rev 02 Chapter 13 User maintenance System Care and Maintenance 336 Inspecting the system 336 Cleaning the unit 337 Prevention of static electricity interference 339 System self...

Page 346: ...system Monthly Examine the following on a monthly basis or whenever there is a reason to assume that any issue may have occurred Connectors on cables for any mechanical defects Entire length of electr...

Page 347: ...intain a clean working environment LCD Display Cover On a weekly basis moisten a soft non abrasive folded cloth or sponge with a mild general purpose non abrasive soap and water solution Do not use an...

Page 348: ...moisten a soft lint free cloth with water or a 50 50 mixture of isopropyl alcohol and water that does not contain impurities Wring out as much of the liquid as possible then wipe the LCD Display agai...

Page 349: ...VD CDRW Drive Clean the drive head and media with the vendor supplied cleaning kit Advise the user to repeat this often to prevent future problems CDs must be stored away from dust and cigarette smoke...

Page 350: ...User maintenance 340 Vivid i User s Manual 2378958 100 Rev 02...

Page 351: ...on In the event of error or system malfunction the user may generate and export a log file to a removable media as described below and contact authorized service personnel Generating a logfile 1 Press...

Page 352: ...logfile 1 Press ALT D on the alphanumeric keyboard to display the Problem description dialogue window again 2 Select the destination where to export the logfile MOD or CD R 3 Press Export A Zip file...

Page 353: ...ut and display on the Vivid i 353 ALARA 354 Safety statement 355 System controls affecting acoustic output 355 Patient safety 357 Patient identification 357 Diagnostic information 357 Mechanical hazar...

Page 354: ...Safety 344 Vivid i User s Manual 2378958 100 Rev 02 Electromagnetic Compatibility EMC 363 Environmental protection 365 System disposal 365 Battery disposal 365...

Page 355: ...ltrasound unit as a prescription device under the order of a physician Maintaining an optimum unit environment Reference to the User s Manual DANGER Indicates that a specific hazard exists that given...

Page 356: ...ultrasound unit should ensure that only properly trained fully qualified personnel are authorized to operate the system Before authorizing anyone to operate the system it should be verified that the p...

Page 357: ...e in the presence of flammable anesthetic mixture with air or with Oxygen or Nitrous Oxide This section includes considerations for the following Patient safety Personnel and equipment safety The info...

Page 358: ...tandards the following documents standards have been used Standard Directive Scope 93 42 EEC Medical Devices Directive MDD EN 55011 CISPR 11 3 1991 Emitted noise according to Class B requirements Elec...

Page 359: ...t 1 4 General requirements for collateral standard Programmable electrical medical systems ISO 10993 1 Biological evaluation of medical devices ISO 13485 Quality management standards for medical devic...

Page 360: ...ease contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment Bottom Cover Protective earth ground Internal Earth ground Internal Equip...

Page 361: ...Safety Vivid i User s Manual 351 2378958 100 Rev 02 Apply a short push on the ON OFF button to shut down the system Keyboard Label Purpose Location To Purchase Visit Avobus com or call 1 800 674 3655...

Page 362: ...includes a protective earth ground This additional safety precaution prevents exposed metal parts from becoming LIVE in the event of an insulation failure 2 Class II Equipment EQUIPMENT in which prote...

Page 363: ...bone thermal index bone located close to the surface Used for transcranial application Mechanical Index MI is the estimated likelihood of tissue damage due to cavitation The absolute maximum limits o...

Page 364: ...um possible MI and Ispta on the Vivid i is within the limits set in Track 3 in the FDA 510 k guide of 1997 MI 1 9 and Ispta 720 mW cm2 ALARA Ultrasound procedures should be performed using output leve...

Page 365: ...y when the maximum combination of control settings is selected Most settings result in a much lower output It is important to note the following The duration of an ultrasound examination is as importa...

Page 366: ...ends on the imaging mode selected The choice of mode 2D M Mode Doppler or Color Flow determines whether the ultrasound beam is stationary or in motion This greatly affects the energy absorbed by the t...

Page 367: ...regarding the clinical utility of the system The user should be aware of the product specifications and of the system accuracy and stability limitations These limitations must be considered before ma...

Page 368: ...robe safety Never use excessive force when manipulating the transesophageal probe The detailed operator manual enclosed with the transesophageal probe must be read carefully Electrical Hazard A damage...

Page 369: ...void injury Do not remove the unit s protective covers No user serviceable parts are inside If servicing is required contact qualified technical personnel Connect the attachment plug to a hospital gra...

Page 370: ...never necessary Follow sterile procedures as required Thoroughly clean probes and reusable accessories after each patient examination and disinfect or sterilize as needed Refer to Chapter 10 Probes on...

Page 371: ...he internal battery in not likely to be used for some time External Connection of other peripheral devices Other external devices such as laser cameras printers VCRs and external monitors usually exce...

Page 372: ...rofessionals to identify latex sensitive patients and be prepared to treat allergic reactions promptly Latex is a component of many medical devices including surgical and examination gloves catheters...

Page 373: ...ee that interference will not occur in a particular installation If this equipment is found to cause or respond to interference which may be determined by turning equipment on and off qualified servic...

Page 374: ...vice Directive and FCC regulations Do not use devices which intentionally transmit RF signals for example cellular phones transceivers or radio controlled products in the vicinity of this equipment as...

Page 375: ...Safety Vivid i User s Manual 365 2378958 100 Rev 02 Environmental protection System disposal To be added Battery disposal To be added...

Page 376: ...Safety 366 Vivid i User s Manual 2378958 100 Rev 02 To Purchase Visit Avobus com or call 1 800 674 3655...

Page 377: ...r Mode 93 Optimizing CW Doppler 98 Optimizing PW Doppler 98 Advanced sheet 302 303 Angle correction CW Doppler 96 Optimizing CW Doppler 99 Optimizing PW Doppler 99 PW Doppler 96 Annotations 67 74 Conf...

Page 378: ...de 90 CW Doppler 96 M Mode 84 PW Doppler 96 Color M Mode Overview 89 Using 92 Color Mode 88 93 Controls 90 Optimizing 93 Overview 88 using 92 Comments 173 Compress 2D 80 CW Doppler 96 LV Contrast 106...

Page 379: ...ing 98 D DDP 2D 81 LV Contrast 107 Optimizing 2D 82 Delete Examination 176 Image 177 Patient record 176 Depth 2D 80 Optimizing 2D 82 Diagnosis code 174 Diagnosis information 173 DICOM spooler 232 DICO...

Page 380: ...1 M Mode 85 Optimizing M Mode 87 E ECG Adjusting trace 66 Connecting 64 Controls 65 eVue 160 Examination Starting 42 Export Patient records 209 F File Management 220 Focus 2D 79 LV Contrast 105 M Mode...

Page 381: ...Doppler 98 PW Doppler 97 G Gain 2D 80 Optimizing 2D 82 Optimizing M Mode 87 H Horizontal sweep Color M Mode 90 CW Doppler 95 M Mode 84 Optimizing CW Doppler 99 Optimizing M Mode 87 Optimizing PW Dopp...

Page 382: ...LVR Color Mode 90 CW Doppler 95 Optimizing Color Mode 93 Optimizing CW Doppler 98 Optimizing PW Doppler 98 M Magneto Optical Disk Formatting 320 Measurements Configuration 134 User defined formulas 13...

Page 383: ...P Patient Entering information 42 Phono Adjusting trace 66 Controls 65 Physiological traces 64 66 Power 2D 81 Color Mode 91 CW Doppler 97 LV Contrast 106 M Mode 85 Optimizing Color Mode 93 PW Doppler...

Page 384: ...Reject 2D 80 LV Contrast 106 M Mode 85 Optimizing 2D 82 Optimizing M Mode 87 Removable media Ejecting 63 Flash Card 61 Formatting 320 Report 235 262 Add an image to 239 Configuration of the Template...

Page 385: ...Optimizing PW Doppler 98 PW Doppler 96 Scale Color Mode 90 Scanning Screen layout 35 starting 46 Site requirements 9 Soft Menu Rocker 49 using 53 System Controls affecting acoustic output 355 Switchi...

Page 386: ...t 106 Time Gain Compensation TGC 2D 80 Optimizing 2D 82 Optimizing M Mode 87 Tissue priority Color Mode 91 Optimizing Color Mode 93 Trackball Operation 54 V Variance Color Mode 90 Optimizing Color Mod...

Page 387: ......

Page 388: ...To Purchase Visit Avobus com or call 1 800 674 3655...

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