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Measurement and Analysis

370

Vivid S5/Vivid S6 User Manual

R2424458-100 Rev. 2

GYN Measurements

Introduction

The Gynecology exam category includes the following three
studies:
•

Generic

: This study is common to all exam categories, and

is part of the Measure and Assign Modality. See "Starting
the Measure and Assign modality" on page 251 for more
information.

•

General Gynecology

: This study includes uterine, ovarian,

ovarian follicle, and endometrium measurements.

•

OB/GYN Vessel

: This study includes the following vessels:

uterine, ovarian, umbilical, middle cerebral artery, aorta,
placenta, and descending aorta.

Note

: The calculation formulas are listed in the Advanced

Reference Manual.

To Start a Gynecology Exam

To begin a gynecology exam, you enter patient data or, if the
patient data from a previous exam is saved in the system, find
the patient information.

For details about how to start an exam, see "Performing an OB
exam" on page 317.

After you complete the patient information, you can begin the
scan.
1.

To change from the

Patient Data Entry

screen to the

Scan

screen, do one of the following:
• On the keyboard, press Esc.
• On the Control Panel, select

PATIENT

FREEZE

• On the Control Panel, press the

B-MODE

key.

The system displays the

Scan

screen.

On the Control Panel, press

MEASURE

The default Gynecology study is displayed on the Top/Sub
Menu.

Summary of Contents for Vivid S5

Page 2: ... 100 07 February 2010 Doc ID DOC0600341 GE Medical Systems All rights reserved No part of this manual may be reproduced stored 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 Medical Systems Israel Ltd 4 Etgar Street 39120 Tirat Carmel Israel Tel 972...

Page 3: ...traindications 3 Documentation 3 Manual contents 4 Conventions used in this manual 5 Regulatory requirements 6 Contact information 7 Chapter 1 Safety Introduction 15 Hazard symbols 16 Owner responsibility 17 Important safety considerations 18 Notice against user modification 18 Regulatory information 19 Directives 19 Product Classifications 19 Conformity to Standards 19 Certifications 21 Software ...

Page 4: ...afety 32 Mechanical hazards 32 Electrical Hazard 33 Biological hazards 34 Personnel and equipment safety 35 Explosion hazard 35 Electrical hazard 35 Smoke and fire hazard 36 Biological hazard 36 Pacemaker hazard 36 LCD Monitor 37 Electrical safety 39 Internally connected peripheral devices 39 External Connection of other peripheral devices 39 Allergic reactions to latex containing medical devices ...

Page 5: ...54 Switching On Off 61 Moving and transporting the unit 64 Wheels 64 Moving the unit 64 Transporting the unit 66 Reinstalling at a new location 67 Preparing Vivid S5 Vivid S6 for scanning 67 Unit acclimation time 68 System description 69 System overview 69 Control panel 71 The Scanning screen 84 Three Pedal Footswitch operation 87 Connecting and disconnecting probes 87 Adjusting the Display Monito...

Page 6: ...g images and cineloops 113 To store a single image 113 To store a cineloop 113 Removable Media 114 Intended use 114 Supported removable media 115 Zoom 120 To Magnify an image Display zoom 120 To activate the HR zoom 120 Performing measurements 121 To perform measurements 121 Physiological trace 122 Connecting the internal ECG 122 Physio controls 126 Displaying the ECG trace 126 Adjusting the displ...

Page 7: ...verview 157 Color M Mode overview 158 Color Mode controls 159 Using Color Mode 162 Optimizing Color Mode 163 PW and CW Doppler 164 PW and CW Doppler overview 164 PW and CW Doppler controls 165 Using PW CW Doppler modes 167 Optimizing PW CW Doppler modes 168 Tissue Velocity Imaging TVI 169 Tissue Tracking 173 Strain rate 178 Strain rate overview 178 Strain rate controls 179 Using Strain rate 181 Op...

Page 8: ...Selection of a stress test protocol template 199 Image acquisition 200 Starting acquisition 201 Continuous capture mode 205 Analysis 213 Quantitative TVI Stress echo analysis 218 Accessing QTVI Stress analysis tools 219 Vpeak measurement 220 Tissue Tracking 223 Quantitative analysis 223 References 224 Editing creating a template 225 Entering the Template editor screen 225 Template editor screen ov...

Page 9: ... and Measure modality 248 Entering a study and performing measurements 249 Measure and Assign modality 251 Starting the Measure and Assign modality 251 Post measurement assignment labels 252 Cardiac measurements 255 2D Measurements 255 M Mode Measurements 259 Doppler Measurements 262 TSI Measurements 266 Automated Function Imaging 273 AutoEF Measurements 292 Vascular measurements 302 B Mode measur...

Page 10: ...a example 343 About units 349 Measurement result table 351 Minimizing the Measurement result table 351 Moving the Measurement result table 351 Deleting measurements 352 Worksheet 353 Overview 353 Using Worksheet 354 OB worksheet 356 Patient data 357 Measurement information 357 Calculation information 358 OB graphs 359 Overview 359 Fetal Growth Curve Graph 360 Fetal Trending 364 Fetal Growth Bar Gr...

Page 11: ... trace 386 Manual tracking of the sample area dynamic anchored sample area 387 Zooming in the Analysis window 388 Deletion of a trace 389 To delete all traces 389 To delete one specific trace 389 Saving retrieving Quantitative analysis 389 Frame disabling 390 Disabling frames 390 Re enabling all frames 390 Optimizing sample area 392 Reshaping a sample area 392 Labelling a sample area 393 Optimizin...

Page 12: ...in archive 426 Review the images from a selected examination 426 Select images from the Image list screen 427 Connectivity 431 The dataflow concept 431 Stand alone scanner scenario 434 A stand alone scanner and a stand alone EchoPAC PC environment 435 A scanner and EchoPAC PC in a direct connect environment 437 A scanner and EchoPAC PC in a network environment 441 A scanner and a DICOM server in a...

Page 13: ...97 Deleting an archived report 497 Structured Findings 498 Prerequisite 498 Starting Structured Findings 499 Structured Findings structure 499 Using Structured Findings 501 Structured Findings configuration 504 Direct report 514 Creating comments 514 Creating pre defined text inputs 515 Report designer 516 Accessing the Report designer 516 Report designer overview 516 Designing a report template 5...

Page 14: ...ating the probe 550 Disconnecting the probe 551 Care and Maintenance 552 Planned maintenance 552 Inspecting the probe 553 Special handling instructions 554 Cleaning and disinfecting probes 556 Probe safety 562 Biopsy 563 Precaution concerning the use of biopsy procedures 563 Preparing the Biopsy guide attachment 565 Displaying the Guide zone 569 Endocavitary Probe Biopsy Guide Assembly 571 Biopsy ...

Page 15: ... and System setup Introduction 585 Starting the Configuration package 588 To open the Configuration package 588 Overview 589 Imaging 590 The Global setup sheet 590 Application 593 Application menu 596 Measure Text 598 The measurement menu sheet 598 Configuration of the Measurement menu 601 The Advanced sheet 603 Parameter configuration 603 The Modify Calculations sheet 604 Parameter configuration ...

Page 16: ...on 636 Users 637 Unlock Patient 640 Chapter 14 User maintenance System Care and Maintenance 642 Inspecting the system 642 Cleaning the unit 643 Prevention of static electricity interference 645 System self test 646 System malfunction 646 Using InSite ExC 650 InSite ExC Functionalities 650 Initiating a Request for Service RFS 650 Clinical Lifeline Mode 653 Exiting InSite ExC 654 Index ...

Page 17: ...ision of this document If you need to know the latest revision contact your distributor local GE Sales Representative or in the USA call the GE Medical Systems Clinical Answer Center at 1 800 682 5327 or 1 262 524 5698 Revision Date Reason for Change 1 19 July 2009 Initial release 2 07 February 2010 Updates and additions Revision Effective Pages 1 All 2 All ...

Page 18: ...Revision History xvi Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 19: ...ge of all scanning modes and probe types throughout the full spectrum of operating frequencies Attention This manual contains necessary and sufficient information to operate the system safely Advanced equipment training may be provided by a factory trained Applications Specialist for the agreed upon time period Read and understand all instructions in the User s Manual before attempting to use the ...

Page 20: ...he image can be displayed in real time on the image monitor All signal transmission reception and processing characteristics are controlled by the main computer By selection from the system control panel the user can alter the characteristics and features of the system allowing a wide range of uses from obstetrics to peripheral vascular examinations Transducers are accurate solid state devices pro...

Page 21: ...sophageal Peripheral Vascular Neonatal Cephalic Adult Cephalic Intraoperative Contraindications Documentation Vivid S5 Vivid S6 documentation consists of two manuals The Basic User Manual TRANSLATED provides information needed by the user to operate the system safely It describes the basic functions of the system safety features operating modes measurements calculations CAUTION This machine should...

Page 22: ...mentation may be ordered The Vivid S5 Vivid S6 documentation is written for users who are familiar with basic ultrasound principles and techniques They do not include sonographic training or detailed clinical procedures Note The original documentation was written in English Manual contents The Vivid S5 Vivid S6 User s Manual is organized to provide the information needed to start scanning immediat...

Page 23: ...s as described in Introduction on page 15 Product icons indicate product variant features as follows Indicates that the relevant feature exists in the standard configuration of Vivid S6 and is not available on Vivid S5 Indicates that the relevant feature exists as an option of the Vivid S6 and is not available on Vivid S5 Indicates that the relevant feature exists as an option on both Vivid S6 and...

Page 24: ...azard is known to exist which through inappropriate conditions or actions will cause Severe or fatal personal injury Substantial property damage WARNING Indicates that a specific hazard is known to exist which through inappropriate conditions or actions will cause Severe personal injury Substantial property damage CAUTION Indicates that a potential hazard may exist which through inappropriate cond...

Page 25: ...tomer Answer Center In other locations contact your local Applications Sales or Service Representative Tel 1 800 682 5327 or 262 524 5698 Service Questions For service in the United States call GE CARES In other locations contact your local Service Representative Tel 1 800 437 1171 Accessories Catalog Requests To request the latest GE Accessories catalog or equipment brochures in the United States...

Page 26: ...chland GmbH Co KG Beethovenstraße 239 Postfach 11 05 60 D 42655 Solingen Tel 0130 81 6370 toll free Tel 33 130 831 300 Fax 49 0 212 28 02 431 Asia GE Medical Systems Asia Singapore Service Department Ultrasound 298 Tiong Bahru Road 15 01 06 Central Plaza Singapore 168730 Tel 65 291 8528 Fax 65 272 3997 Japan GE Healthcare Japan Corporation Customer Service Center Tel 81 426 48 2950 Fax 81 426 48 2...

Page 27: ...ic Technology Development Area Beijing 100176 China Tel 8610 5806 9403 Fax 8610 6787 1162 Denmark GE Medical Systems Denmark A S Park Allé 295 2605 Broenby Tel 45 4348 5400 Fax 45 4348 5399 France GE Healthcare France 11 avenue Morane Saulnier 78457 VELIZY CEDEX Tel 33 1 34495231 Fax 33 1 34495202 Germany GE Ultraschall Deutschland GmbH Co KG Beethovenstraße 239 Postfach 11 05 60 D 42655 Solingen ...

Page 28: ...al Systems Nederland B V Atoomweg 512 NL 3542 AB Utrecht Tel 06 022 3797 toll free Fax 31 304 11702 Poland GE Medical Systems Polska Sp z o o UI Wołoska 9 02 583 Warszawa Tel 48223308300 Fax 48223308383 Portugal GE Portuguesa S A Avenida do Forte 6 6A Edificio Ramazzotti 2790 072 Carnaxide Tel 351 21 4251309 Fax 351 21 4251343 Russia GE Healthcare LLC 18 Krasnopresnenskaya Nab Moscow 123317 Russia...

Page 29: ...gg Tel 41 44 8099292 Fax 41 44 8099222 Turkey GE Healthcare Sun Plaza Dereboyu Sok No 24 7 34398 Maslak Istanbul Tel 90 212 366 29 00 Fax 90 212 366 29 99 United Kingdom GE Healthcare Ultrasound 2 Napier Road Bedford MK41 0JW Tel 44 1234 340881 Fax 44 1234 266261 Other countries NO TOLL FREE Tel int code 33 1 39 20 0007 Manufacturer GE Medical Systems Israel Ltd Einstein Bldg 4 Etgar st P O Box 20...

Page 30: ...Introduction 12 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 31: ...nformity to Standards 19 Certifications 21 Software License Acknowledgements 21 Device labels 22 Label Locations 22 Label Icon Description 23 Acoustic output 26 Definition of the acoustic output parameters 26 ALARA 26 Safety statement 27 System controls affecting acoustic output 27 OB Exam 29 Exam Preparation 29 Acoustic Output Considerations 30 Concerns surrounding fetal exposure 30 Patient safet...

Page 32: ...ipheral devices 39 External Connection of other peripheral devices 39 Allergic reactions to latex containing medical devices 40 Use of ECG 41 Use of Defibrillator 41 Use of Electrosurgical Unit 41 Electromagnetic Compatibility EMC 42 EMC performance 43 Declaration of Emissions 44 Declaration of Immunity 44 Notice upon Installation of Product 44 General notice 45 Peripheral Update for EC countries ...

Page 33: ...ng an optimum system environment Using this Manual Notes to emphasize or clarify a point Other precautions or prudent use recommendations are indicated in the note sections in the left column These are Use of the Vivid S5 Vivid S6 ultrasound 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 sp...

Page 34: ...accessories or optional storage devices that can fall on patient user or others Collision with persons or objects may result in injury while maneuvering or during system transport Injury to user from moving the console Moving Using brakes Transporting Patient injury or tissue damage from ultrasound radiation ALARA the use of Power Output following the as low as reasonably achievable principle Risk...

Page 35: ...vid S6 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 person has read and fully understands the operating instructions contained in this manual It is advisable to maintain a list of authorized operators Should the system fail to operate correctly o...

Page 36: ...or the following Patient safety Personnel and equipment safety The information contained in this section is intended to familiarize the user with the hazards associated with the use of the unit and to alert them to the extent to which injury and damage may occur if the precautions are not observed Users are obligated to familiarize themselves with these safety considerations and to avoid condition...

Page 37: ...cal Device According to IEC EN 60601 1 Equipment is Class I Type B with BF or CF Applied Parts According to CISPR 11 this is Group 1 Class B ISM Equipment According to IEC 60529 the footswitch rate IPx8 is suitable for use in surgical rooms Classification according to the degree of protection against ingress of water as detailed in the current edition of IEC 529 section 6 1 1 Ordinary for Main Uni...

Page 38: ...EC EN 60601 2 37 Medical Electrical Equipment Part 2 37 Particular Requirements for the Safety of Ultrasonic Medical Diagnostic and Monitoring Equipment EN60601 1 1 2001 Medical Electrical Equipment Part 1 1 General Requirements for Safety Collateral Standard Safety Requirements for Medical Electrical Systems International Organization of Standards ISO ISO 10993 1 Biological Evaluation of Medical ...

Page 39: ...98 Medical Device Good Manufacturing Practice Manual issued by the FDA Food and Drug Administration Department of Health USA Certifications Quality management standards for medical devices General Electric Medical Systems is ISO 9001 and ISO13485 certified Software License Acknowledgements WindowBlinds OCX Stardock ...

Page 40: ...vice labels Label Locations Figure 1 1 System Label and Location Label 1 Vivid S5 100 120V Label 2 Vivid S5 220 240V Label 3 Vivid S6 100 120V Label 4 Vivid S6 220 240V Label 5 Universal Label for all systems Vivid S5 Vivid S6 label locations 1 2 3 4 5 1 2 4 3 5 ...

Page 41: ...y on basic insulation only Provides additional safety precautions such as double insulation or reinforced insulation because there is no provision for protective earthing or reliance upon installation conditions Probe connectors Equipment Type CF indicates equipment having a floating applied part having a degree of protection suitable for direct cardiac contact ECG connector Bottom of unit Alterna...

Page 42: ...de assurance that all equipment is at the same potential and operates within acceptable leakage current limits An example of a high risk patient would be a special procedure where the patient has an accessible conductive path to the heart such as exposed cardiac pacing leads Bottom of unit Attention Consult accompanying documents alerts the user to refer to the user documentation when complete inf...

Page 43: ...n the monitor display contain mercury Date of manufacture The date could be a year year and month or year month and day as appropriate See ISO 8601 for date formats Rear of unit Catalog or model number Rear of unit Serial number Rear of unit Direct Current For products to be powered from a DC supply Rear of unit GOST R Mark per Law of the Russian Federation No 184 FZ The field 0000 will contain th...

Page 44: ...olute maximum limits of the MI is 1 9 as set by the FDA 510 k guidance of 1997 Note Further explanation on cavitation appears in the Reference Manual Chapter 3 Nonthermal Bioeffects Ispta The Ispta is the Spatial Peak Temporal Average Intensity The absolute maximum limit of Ispta is 720 MW cm2 as set by the FDA 510 k guidance of 1997 ALARA Ultrasound procedures should be performed using output lev...

Page 45: ...st possible acoustic intensity for a given mode obtainable only 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 important as the acoustic output since patient exposure to output is directly related to the exposure time Better image quality yields faster cli...

Page 46: ... depends 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 tissue See Chapter 4 Scanning Modes on page 137 for complete information on changing imaging modes When operating in a combined mode such as 2D and M Mode the total acoustic output comprises contri...

Page 47: ...more these examinations should be conducted in a manner and take place in a setting which assures patient dignity and privacy Prior material knowledge and approval of the presence of nonessential personnel with the number of such personnel kept to a minimum An intent to share with the parents per the physician s judgment either during the examination or shortly hereafter the information derived An...

Page 48: ...thoroughly familiar with the Acoustic Output Display and equipment controls affecting output WARNING The Vivid S5 Vivid S6 system is a multi use device which is capable of exceeding FDA Pre enactment acoustic output spatial peak temporal average intensity limits for fetal applications CAUTION It is prudent to conduct an exam with the minimum amount and duration of acoustic output necessary to opti...

Page 49: ...uraged to study the literature and reach their own professional conclusions 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 making any decision based on quantitative values If in doubt the nearest GE Medical Systems Service Office should be consulted ...

Page 50: ...ns provided with special purpose probes The use of damaged probes can result in injury or increased risk of infection Inspect probes often for sharp pointed or rough surface damage that could cause injury or tear protective barriers Become familiar with all instructions and precautions provided with special purpose probes CAUTION Remember to assist the patient when moving up to the examination bed...

Page 51: ...llow moisture to enter Become familiar with the use and care precautions described in Chapter 11 Probes on page 535 CAUTION Allowing the machine to transmit acoustic output with the probe not in use or in its holder can cause the transducer to build up heat Always turn off acoustic output or freeze the image when not in use The system s acoustic output remains transmitting when the user controls a...

Page 52: ...e 553 for damage or degradation to the housing strain relief lens and seal DO NOT apply excessive force to the probe cable to prevent insulation failure Electrical leakage checks should be performed regularly by a GE service representative or qualified hospital personnel according to the procedures described in EN 60601 1 IEC 60601 1 19 CAUTION Ultrasound can produce harmful effects in tissue and ...

Page 53: ...e unit Electrical hazard If any defects are observed or malfunctions occur stop operating the equipment and perform the proper action for the patient Inform a qualified service person and contact a Service Representative for information To avoid injury Do not remove the unit s protective covers No user serviceable parts are inside If servicing is required contact qualified technical personnel Conn...

Page 54: ...cified Biological hazard For patient and personnel safety beware of biological hazards while performing transesophageal procedures To avoid the risk of disease transmission Use protective barriers gloves and probe sheaths whenever necessary Follow sterile procedures as required Thoroughly clean probes and reusable accessories after each patient examination and disinfect or sterilize as needed Refe...

Page 55: ...or cabinet Blocking the ventilation slots prevents proper airflow and may result in fire electric shock or equipment damage Keep small objects or liquids away from the LCD monitor CAUTION To avoid injury or system damage NEVER place any object or liquid on the monitor CAUTION Archived data is managed at the individual sites Performing data backup to any device is recommended CAUTION Do not unpack ...

Page 56: ...abinet or spill into the cabinet which may result in fire electric shock or equipment damage If an object or liquid falls spills into the cabinet unplug the system immediately Call a Service Representative for information DO NOT scratch or press on the panel with any sharp objects such as a pencil or pen as this may result in damage to the panel ...

Page 57: ...rnal devices such as laser cameras printers VCRs and external monitors usually exceed allowable leakage limits and when plugged into separate AC outlets that are then connected to the unit are in violation of patient safety standards Suitable electrical isolation of such external AC outlets may be required in order to meet UL2601 1 and IEC 60601 1 1988 standards for electrical leakage CAUTION Exte...

Page 58: ...o 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 incubation tubes anesthesia masks and dental dams Patient reaction to latex has ranged from contact urticaria to systemic anaphylaxis For more details regarding allergic reaction to latex refer to FDA Medical Alert...

Page 59: ...ry make sure the transducer is not located between the ESU active and dispersive electrodes and keep the ESU cables away from the transducer cable CAUTION Do not use the Vivid S5 Vivid S6 Ultrasound system ECG wave for diagnosis and monitoring CAUTION Do not use the Vivid S5 Vivid S6 Ultrasound system with Defibrillator This equipment does not have defibrillator approved applied parts CAUTION Remo...

Page 60: ...ion There is no guarantee 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 service personnel should attempt to correct the problem by one or more of the following measures Re orient or re locate the affected device Increase the separation between the unit an...

Page 61: ...t e g two way radio cellular cordless telephones wireless computer networks other than those supplied by GE should be used no closer to any part of this system including cables than determined according to the following method Table 1 1 Portable and mobile radio communications equipment distance requirements Frequency range 150 kHz 80 MHz 80 MHz 800 MHz 800 MHz 2 5 GHz Calculation Method d 3 5 V1 ...

Page 62: ...ns for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast transmitter cannot be predicted theoretically with accuracy To assess the Table 1 2 Declaration of Emissions Emission Type Compliance Electromagnetic Environment CISPR 11 RF Emissions Group 1 Class B This system uses RF energy only for its internal function Therefore RF emissio...

Page 63: ...ct with a power source plug e g three prong to two prong converter 2 Locate the equipment as far away as possible from other electronic equipment 3 Be sure to use only the cables provided by or designated by GE Medical Systems Connect these cables following the installation procedures e g wire power cables separately from signal cables 4 Lay out the main equipment and other peripherals following t...

Page 64: ... D897MD Digital Printer Sony UP D23 MD Digital Color Printer HP DeskJet 460 Series Inkjet printer HP OfficeJet Pro K5400 Series Inkjet printer The Vivid S5 Vivid S6 has also been verified for compatibility and compliance for connection to a local area network LAN via the rear panel Ethernet connection provided the LAN components are IEC EN 60950 compliant Connection may also be made to a CE Marked...

Page 65: ...ff board remote device or a network would include The added device s must have appropriate safety standard conformance and CE Marking The added device s must be used for their intended purpose having a compatible interface Signal or mains isolation devices and additional protective earth may be needed to assure compliance with IEC EN 60601 1 1 CAUTION The connection of equipment or transmission ne...

Page 66: ...4 Rear USB Ports 5 Audio Output 6 DVI Video output 7 Power Line Circuit Breaker 8 Ground Line 9 Power Line AC 10 DVD Drive 11 Hard Copy Printer numbers 12 through19 not used in figure 20 LCD 21 LCD Folding Lever 22 Up Down Left right swivel release levers 23 Front USB Ports 24 RS Probe Connectors 25 LOGIQ Probe Connector Vivid S6 only 26 Non imaging Pencil Probe Connector 27 ECG connector ...

Page 67: ...ee Peripheral Update for EC countries on page 46 for more information CAUTION DO NOT use unapproved devices If devices are connected without the approval of GE the warranty will be INVALID Any device connected to the Vivid S5 Vivid S6 must conform to one or more of the requirements listed below IEC standard or equivalent standards appropriate to devices The devices shall be connected to PROTECTIVE...

Page 68: ...unicipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or country laws Within this system the backlight lamps in the monitor display contain mercury ...

Page 69: ...Moving the unit 64 Transporting the unit 66 Reinstalling at a new location 67 Unit acclimation time 68 System description 69 System overview 69 Control panel 71 The Scanning screen 84 Three Pedal Footswitch operation 87 Connecting and disconnecting probes 87 Adjusting the Display Monitor 90 Starting an examination 95 Creating a new Patient record or starting an examination from an existing patient...

Page 70: ... will unpack and install the unit Do not attempt to install the unit alone Never set liquids on the unit in order to avoid spillage into the unit or the control panel Maintain a clean environment Turn off the circuit breaker before cleaning the unit Refer to System Care and Maintenance on page 642 for cleaning instructions To carry out regular preventative maintenance refer to Chapter 14 User main...

Page 71: ...VAC or 240 VAC 50 60 Hz Operating Environment Ensure that there is sufficient air flow around the Vivid S5 Vivid S6 ultrasound unit when installed or operated Environmental requirements The Vivid S5 Vivid S6 ultrasound unit requires constant maintenance of its operational environment Different temperature and humidity requirements are specified for operation storage and transportation WARNING Oper...

Page 72: ... checks of the power adaptor unit and cord voltage level and compliance with electrical safety requirements Use only power supply cords cables and plugs provided by or designated by GE Medical Systems Ensure that the power cord and plug are intact and that the power plug is the proper hospital grade type where required The unit should be connected to a fixed power socket which has the protective g...

Page 73: ...re 2 2 Figure 2 1 Vivid S5 rating labels Figure 2 2 Vivid S6 rating labels Check the voltage range indicated on the label 100 120 VAC 50 60 Hz 5 A Or 230 VAC 50 60 Hz 2 5 A Figure 2 3 Universal label WARNING If the mains supply is not within the specified range do not connect the unit to the power source Contact the dealer to have the unit adjusted to the specific mains supply ...

Page 74: ...UTAGE MAY OCCUR The Vivid S5 Vivid S6 requires a dedicated single branch circuit To avoid circuit overload and possible loss of critical care equipment make sure you DO NOT have other equipment operating on the same circuit The unit s power must be supplied from a separate properly rated outlet to avoid risk of fire Refer to Power requirements on page 53 for rating information The power cord shoul...

Page 75: ... neer Battery technology The lithium ion technology used in the system s battery is significantly less hazardous to the environment than the lithium metal technology used in some other batteries such as watch batteries Used batteries should not be placed with common household waste products Contact local authorities for the location of a chemical waste collection program nearest you CAUTION Use ca...

Page 76: ...h an extent that even after prolonged charging it will not hold enough charge Peripherals Accessory connection The external Peripherals accessories connectors are situated on the rear side of the unit See Figure 2 6 Refer to page 575 for further informa tion on peripherals Peripherals Accessory Connector Panel Vivid S5 Vivid S6 peripherals and accessories can be properly connected using the rear c...

Page 77: ...the analogue and digital interfaces must be certified according to the respective IEC standards e 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 system and is therefore responsible that the system complies with the requirements of the system standard I...

Page 78: ...electric shock hazard Alternate connections will require verification of compatibility and conformity to IEC EN 60601 1 1 by the installer Table 2 3 Contents of the Rear Panel Socket Signal type Device type Note DVI I Out DVI I output high resolution video External monitor USB Universal serial bus x2 USB Cable Device Ethernet 10 100 Base TX Ethernet IEEE 8023 Network device Network device ...

Page 79: ...atus of the system Password Protection Log In By factory Login default the Opera tor ID is USR and there is no need to enter a password During the turn on process the system may require the user to enter a password in order to operate it Personal IDs and associated passwords can be configured in the Vivid S5 Vivid S6 See Presets and System setup on page 583 for more information If IDs and password...

Page 80: ...ause some computer slowdown Standby mode most of the system is powered down but a certain portion of the unit remains energized The standby mode allows a shorter reboot time when the system is used on a daily basis or moved from one place to another Battery mode When AC power is interrupted the screen and keyboard are powered down The rest of the system is still powered ON The fans are heard When ...

Page 81: ... may take about 60 seconds Standby mode 1 Press on off button on the top left of the control panel The Exit dialogue window is displayed Figure 2 8 2 Select Standby The system enters Standby mode Booting up from Standby mode may take about 20 seconds Note Whenever the system is fully shut down or put in standby mode the system will automatically perform End Exam to save all data and images of the ...

Page 82: ...by mode for approximately 1 hour using the internal battery power assuming battery is fully charged and relatively new If left for more than about 1 hour while in standby mode without AC power the system will switch from Standby in to full Shut down mode Moving and transporting the unit Wheels The front wheels of the unit are controlled by the break pedals situated above each wheel The rear wheels...

Page 83: ...ward to a horizontal position see Position Adjustment on page 92 9 Unlock the front wheel s brakes 10 Lock the rear wheel brakes Swivel Brake for long travel or free it for short distance traveling where maneuvering is needed Once all cables and cords are wrapped and secure out of the lower portion of the system not extending beyond sides of system you are ready for transport To ensure safety whil...

Page 84: ... 3 Park the vehicle on a level surface for loading and unloading 4 Secure the unit while it is on the lift to prevent rolling Do not attempt to hold it in place by hand Cushion the unit and strap the lower part so that it does not break loose 5 Ensure that the unit is secured inside the vehicle Secure it with straps to prevent movement while in transit 6 Drive cautiously to prevent vibration damag...

Page 85: ...ght and swivel see page 93 Note Ensure that the probe cables do not protrude from the unit or interfere with the wheels or foot area The Hanging cords may cause damage to system if lodged or hooked onto nearby items By ensuring cords are secure and out of lower portion of the system this may provide a more secure atmosphere and avoid unnecessary damage Avoiding possible hazards Avoid dragging cabl...

Page 86: ...he unit to acclimate before being switched on Acclimation will take one hour for each 2 5 oC increment when the unit s temperature is below 10 oC or above 40 oC Proper Gel bottle storage Improper Gel bottle storage oC 0 2 5 5 7 5 10 35 40 42 5 oF 32 36 5 41 45 5 50 95 104 108 5 Hours 4 3 2 1 0 0 2 3 oC 45 47 5 50 52 5 55 57 5 60 oF 113 117 5 122 126 5 131 135 5 140 Hours 4 5 6 7 8 9 10 ...

Page 87: ...Getting started Vivid S5 Vivid S6 User Manual 69 R2424458 100 Rev 2 System description System overview Figure 2 10 Vivid S5 Vivid S6 System Overview Note Above figure is Vivid S6 ...

Page 88: ...r 10 Rear Wheels Swivel wheels May be swivel locked 11 Foot Rest removable 12 Front Wheels Each wheel may be braked 13 Control panel Contains all the buttons softkeys and the alphanumeric keyboard used to operate the system 14 USB Port 15 Probe cable hooks Located on each side in the front and rear of system 16 Front Handle 17 Console swivel operating handle Situated on the right side under the co...

Page 89: ...escription of the buttons is provided on the following pages Figure 2 11 Vivid S5 Vivid S6 Control Panel Note Above figure is Vivid S6 1 Power status LEDs and light sensor 2 On off button 3 Softmenu keys and rotaries 4 Alphanumeric Keyboard 5 2D gain and active gain rotaries 6 TGC sliders 7 Speakers 8 Softmenu 4 way Rocker 9 Alphanumeric Function keys 10 Speaker volume rotary 11 Scan mode keys 12 ...

Page 90: ...ges on the scanner They are related to either pre or post examination operations Each of these operations are described in more detail in the following chapters 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 a new patient record Edit the current patient s information B...

Page 91: ... or delete measurements change averaging etc Refer to page 353 for details on how to operate the worksheet Brings the scanner into the Image review mode that enables the user to select images from the clipboard for analysis activate the image browser or enter the Image Review screen where bigger previews of the images are shown for image selection Refer to page 426 for details on the review of ima...

Page 92: ...n refer to page 150 Displays the examination screen in Color Flow Mapping mode Used to display color coded blood flow information For further information refer to page 157 Displays the examination screen in Pulsed Wave Doppler mode Used for displaying the Doppler spectrum of blood flow at a selected part of the anatomy For further information refer to page 164 CW mode is not available on all scann...

Page 93: ...option will also appear if installed as a softkey button named Q Analysis Note Some functions are available only on Vivid S6 Note Key Description Controls Description Gain rotary Controls the total gain of the gray scale images in 2D Mode ATO Automatic tissue optimization while in 2D press the rotary knob to optimize 2D image automatically Active mode rotary Controls the total gain of other activa...

Page 94: ...nification Press to activate HR Zoom mode Rotate clockwise to activate Display zoom mode and increase zoom factor Rotate counterclockwise to decrease and turn off zoom see Zoom on page 120 Auto While in 2D it activates ATO Automatic Tissue Optimization to optimize 2D image automatically see page 144 While in CW or PW Doppler it activates ASO Automatic Spectrum Optimization to optimize the Doppler ...

Page 95: ...In freeze mode stops starts the cineloop Key Description Toggles the display priority of 2D Mode or Doppler M Mode and top bottom or side by side display when working in combined mode Enables multiple image display windows in which two or four images can be viewed simultaneously When reducing the number of images the active window will always been kept Toggles the active window in multiple imaging...

Page 96: ...nsitive and will display relevant measurements to the current mode and application See page 243 for further details on M A Activates measurement tools unassigned measurement See page 243 for further details on M A Key Description Record When the DVR option is installed and DVR media has been mounted the Record button will activate or pause the real time recording of the displayed image See page 57...

Page 97: ... page 623 Key Description Trackball Used for navigation and together with the surrounding keys to move select or activate objects on the screen Trackball Button Controls the trackball assignments between the mode specific options By pressing TRACKBALL the trackball function will cycle through the possible assignments which are indicated in the lower right corner of the screen see page 108 Set Depe...

Page 98: ...d position that is currently active These assignable rotaries are used both as rotary control knobs and as on off toggles for different controls on the menu The assigned functions are indicated above the rotary on the LCD display The mode specific functions for these rotary knobs are described in Chapter 4 Scanning Modes on page 137 Assignable Buttons Four assignable buttons whose mode specific fu...

Page 99: ...alues The mode specific menus are described in Chapter 4 Scanning Modes on page 137 Key Description Help Displays the on line version of the user manual Config Diag Displays the configuration dialog box allowing user configuration of various settings on the scanner Diagnostics of the system is activated by pressing Shift CONFIG LCD To activate LCD adjustments controlled by softkeys Biopsy Displays...

Page 100: ... Key Description Alt E Allows to eject a device like MOD CD or memory card Alt L Allows to adjust intensity of keyboard backlight Alt P Allows to view and control printer spooler Alt S Allows to view and control DICOM spooler see DICOM spooler on page 479 The DICOM spooler is used for checking the current job s status when a job is saved or when the total spooler status on the right of the Archive...

Page 101: ... Fn function key PgUp or PgDn Allows to view clipboard images sequentially forward or backwards Alt F1 Activates the Front panel Simulator for the use of system diagnostics Do not activate this function It is to be used only by a service representative Key Description ...

Page 102: ...9 Heart rate 10 Parameter window all modes 11 Greyscale Color bar 12 Soft menu window 13 Clipboard navigator 14 Cine progress bar 15 Current menu name 16 Watermark area for screen calibration 17 Soft menu control button 18 Tracknall assignment 19 Rotary soft menu control 20 Soft menu toggle button 21 Clipboard image number 22 Loop icon 23 Service and iLinq Caps on off 24 Clipboard 25 ECG trace and...

Page 103: ...tification code of the operator See page 637 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 Probe and Application Displays the currently selected probe and application or for retrieved image the probe and application that were used See page 100 and page 548 for further information on how to select probe ...

Page 104: ... page 137 For operating procedure of the 4 way rocker see page 107 Clipboard Displays the thumbnail images representing the acquired data during the current examination The status bar Consists of four information fields as follows Service Insite Express Connection ExC icon Enable access to the GE Healthcare on line service center Connectivity status icon Displays the network status Connected or di...

Page 105: ... one imaging probe port type OR and one pencil probe port The connector panel situated in the front of the Vivid S5 has three imaging probe ports type RS and one pencil probe port To connect a probe Small connector type RS 1 Hold the probe connector vertically with the cable pointing upward 2 Push the connector locking handle to the right most position 3 Align the connector with the probe port and...

Page 106: ...with the probe port and carefully push into place 4 Rotate the locking handle to the full vertical position to lock in place Cable Handling Take the following precaution with probe cables Do not bend the cable acutely CAUTION Take the following precautions with the probe cables Keep free from the wheels Do not bend the cables Do not cross cables between probes CAUTION Fault conditions can result i...

Page 107: ... slide the probe and connector away form the probe port and around the 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 To disconnect a probe Large connector type OR 1 Rotate the lock handle counter clockwise to the horizontal position to unlock the connector 2 Pull the connector straight out of the probe port...

Page 108: ...yet visible letter V which is called Watermark see Figure 2 12 item 22 If the watermark is not visible it is because the screen is adjusted too dark relative to the surrounding bright ambient light conditions In this situation the screen brightness should be adjusted Note For best results make sure the watermark is always visible Using LCD adjustment Soft menu Controls When pressing the LCD button...

Page 109: ...sible at all time In a totally dark room it is recommended to lower the contrast somewhat In a well lit or semi lit room it is recommended to set contrast to its maximal setting Blue Tint Rotary This control is used to adjust blue tint or color temperature of the white colors When soft rotary is rotated the Blue tint adjustment tool appears at bottom of screen as shown in Figure 2 16 Figure 2 16 B...

Page 110: ...omatically adjust screen s brightness when ambient light conditions have changed It is recommended to leave the Auto Sensor ON by default for the duration of the system s operation Auto Adjust button When this button is depressed the system will perform a one time screen adjustment based on the current ambient light Position Adjustment The monitor position can be adjusted for easy viewing The moni...

Page 111: ...ase the display s locking mechanism see Figure 2 17 pull and lower the display towards you When fully horizontal release the knob To unfold the LCD monitor Lift the display and pivot it to a vertical position Adjust the tilt of the display to the desired position Figure 2 17 Monitor position adjustment Control Panel adjustment The system Control panel can be freely adjusted to swivel or move up do...

Page 112: ...tion the LCD may be swiveled independently of the control panel To move the control panel up or down 1 Pull and hold the right hand handle located under the control panel The control panel can now be freely adjusted up or down 2 When reaching the desired height release the height adjust handle The control panel will remain at the set height Note When the control panel is lowered it moves towards t...

Page 113: ...ient record or starting an examination from an existing patient record Starting an examination 1 Press PATIENT The Patient Handling screen is displayed Figure 2 18 The Patient Handling Screen 2 Press CREATE NEW PATIENT To create an opera tor ID see page 637 If the unit is password protected a Log In window will appear asking for operator ID and password as explained in Figure 2 19 Note In case the...

Page 114: ...le click the Trackball SET key or press SET once and then Select patient The unit is ready for scanning or the Patient information window is displayed Figure 2 21 depending on system configuration see page 626 If the Patient name is not on the patient record list The automatic search tool display ing matching pa tient information in the Patient list can be turned off see page 626 Press Create Pati...

Page 115: ... if required 2 Press Begin exam or any active scanning key to start the examination In the scanning screen the patient information is displayed on the left side of the Title bar see Figure 2 22 Figure 2 20 The Search Create Patient window 1 Press one of the headings to sort the list accordingly 2 Select the column heading border and drag to adjust column width 3 Expended Patient record displaying ...

Page 116: ...nformation on the scanning screen 1 The date format is configurable see page 633 2 The window can be configured to display the expanded patient info as default see page 626 3 The Address field is configurable see page 626 4 Select patient information category 1 The patient information on the scanning screen is configurable see page 590 ...

Page 117: ... on the clipboard were not previously stored a prompt window is displayed where the user can choose to store all none or a selection of the images saved to the clipboard 3 Select All to store all images and end the exam None to end the exam without storing any images Select to select the images to store from the Review screen and end the exam Connectivity on the Vivid S5 Vivid S6 ultrasound unit R...

Page 118: ...are shown To select a probe and an application 1 Press PROBE on the control panel A list of the connected probes is displayed 2 Trackball to the desired probe 3 Press SET An Application menu for the selected probe is displayed 4 Trackball to the desired application To select a probe with the default ap plication press SET twice on the actual probe 5 Press SET to launch the application CAUTION Make...

Page 119: ...g the Assignable Keys Soft Menu 104 Using the Soft Menu Rocker 107 Trackball operation 108 Trackball assignment 108 The system menu 109 Cineloop operation 110 Cineloop overview 110 Cineloop controls 111 Using cineloop 112 Storing images and cineloops 113 To store a single image 113 To store a cineloop 113 Removable Media 114 Intended use 114 Supported removable media 115 Zoom 120 To Magnify an ima...

Page 120: ...Vivid S6 User Manual R2424458 100 Rev 2 Adjusting the display of the ECG trace 126 Annotations 128 To insert an annotation 128 To edit annotation 131 To erase annotation 131 Configuration of the pre defined annotation list 132 Bodymarks 134 ...

Page 121: ... 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 PW Doppler one mode is active live while the other is frozen In this case the assignable keys and rotary knobs controls parameters associated with the active mode Switching the active mode will change t...

Page 122: ... 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 the relevant settings in each of the different modes There are several different control key elements in the soft menu area as follows Variable Single parameter rotary knob In this example the Baseline parameter can be...

Page 123: ... and decreased by turning the rotary counterclockwise When pressing the rotary knob the bottom label Low vel Reject in this example will be highlighted In this case from now on turning the assignable rotary knob will either increase or decrease respectively the value of the lower highlighted parameter At this point pressing the rotary knob will again associate the rotary with the upper labeled par...

Page 124: ...ight control The light colored font changes location upon each button press indicating if left or right status is currently active Alternatively the user can click with the mouse pointer on the relevant button graphic instead of pressing the actual button Soft Menu rocker button The circular button on the bottom right area of the screen acts as a soft menu rocker button It has access to a differen...

Page 125: ...number appearing on each of the gauge bars indicates the value associated with the relevant control To select a control from the menu 1 Press any part of the 4 way rocker to display the soft menu 2 Press the vertical arrows on the 4 way Rocker to navigate up or down through the menu The frame of the selected row is highlighted To adjust values Note when soft menu is not access ed for a defined per...

Page 126: ...as a selecting tool like a mouse cursor in post processing mode Three SET keys identical depending on the situation the SET keys toggle between the trackball functions within the active functional group or perform the selected control or highlighted menu item The TRACKBALL key toggles between the trackball functional groups The UPDATE MENU key enables quick access to various functions form a pop u...

Page 127: ...lated functions see Figure 3 3 Figure 3 3 The Trackball area 1 Trackball key select trackball assignment from the functions available in the Status line 2 Set key perform the selected control or highlighted menu item 3 Update Menu key select the operation to perform from the pop up System menu Menu contents may change Figure shows a typical menu ...

Page 128: ... mode 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 cover one or more heart cycles Cineloop overview Figure 3 4 The cineloop controls display 1 ECG 2 Left marker 3 Current frame 4 Right marker 5 Heart rate or Cine speed in replay 6 Cine frame numb...

Page 129: ...umber 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 Cineloop Freeze Control 2D Freeze Toggles between replay and freeze modes Cineloop trackball controls Scroll When the scan mode is frozen trackball to move the current marker and review the images Cin...

Page 130: ...of interest 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 be played back 6 Adjust LEFT MARKER and RIGHT MARKER assignables to trim or expand the cineloop boundaries Adjustment of cineloop playback 1 If in freeze mode press the assignable 2D FREEZE to s...

Page 131: ... included or time span if ECG is not active time span before R wave etc refer to page 590 and page 593 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 format only depending on the dataflow configuration refer to page 616 for further information To store a single im...

Page 132: ...nd EchoPAC PC using the Import Export feature see Export Import patient records examinations on page 452 with a removable media DICOM export to copy a set of patient records to a third party DICOM review station MPEGVue export review exported images on a Windows computer see Export Import patient records examinations on page 452 Excel export exports demographics measurements and reporting data fro...

Page 133: ...image storage because of the longevity and reliability of these media It is not recommended to use CD or DVD for long term storage because of weaker performance in general when it comes to longevity and reliability However Disk management does not prevent the use of CD DVD for long term image storage If CD DVD is used it is recommended to use Archival Grade or Medical Grade CD DVD CAUTION Use only...

Page 134: ... 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 specifically recommended for writing on CD or DVD media Never use a solvent based permanent marker on such media The following pens are recommended Dixon Ticonderoga Redi Sharp Plus Sanford Powermark TDK CD Writer Smart and Friendly CD Speed Marker Formatting removable m...

Page 135: ...ty and select the sheet Tools see Figure 3 5 Figure 3 5 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 following characters and signs can be used when labelling a media A Z a z 0 9 underscore _ and hyphen Do not use more than 11 characters or signs Do not use space 7 Select Format A confirmation window...

Page 136: ...ork 1 Under Save As PDF Network Path in the Remote Path field type the remote path For example type IP ADDRESS DIRECTORY where directory is the name of the shared folder in the destination PC 2 Click Check to verify the connection Note When clicking the Check button you might momentarily see a failed message that disappears if you click Check a second time The system will then confirm the setting ...

Page 137: ...y type of CD DVD media writing session such as export backup disk management save As etc the system may issue different error messages in case a writing error has been detected In the special case where the AC power to the DVD drive is interrupted in the midst of media writing session some error messages may be misleading It is therefore required that whenever such a failure has occurred the user ...

Page 138: ... region 2 Use the Trackball to position the zoom area over the desired portion of the image 3 To turn off the Display zoom rotate the Zoom knob counterclockwise or press it twice Note While in Display zoom pressing the zoom knob once will activate HR zoom as explained below To activate the HR zoom As a default setting the zoom area is centered to the cur sor color area if present 1 Press the Zoom ...

Page 139: ...5 Vivid S6 User Manual 121 R2424458 100 Rev 2 Performing measurements To perform measurements Press MEASURE to enter the Measurement mode Refer to page 243 for further information Or Press CALIPER to perform simple generic measurements ...

Page 140: ...ables parts The Trunk a single cable connecting to the system at one end and providing a cable splitter device at the other end The triple color coded electrode cable to be inserted in the splitter device Each electrode cable hooks up to the appropriate stick on electrode by a color coded clip type connector The color coding of the electrodes follows one of two standards that are common in differe...

Page 141: ...el The patient I O panel is located in the front left of the ultrasound unit see Figure 3 7 Table 3 1 ECG Electrode Placement table AHA USA IEC Europe Asia ROW Black LA p n 412680 104 Yellow L p n 412680 106 White RA p n 412680 102 Red R p n 412680 108 Green RL p n 412680 103 Black N p n 412680 107 LL Unassigned F Unassigned V Unassigned C Unassigned Trunk cable p n 412931 001 Trunk cable p n 4129...

Page 142: ...d adapters to allow interfacing with various external ECG monitors The type of adapter should match the connector recommended by the ECG monitor vendor Figure 3 7 The Patient ECG Connector Port Connecting ECG electrodes for Pediatrics It is possible to use pre attached miniature disposable ECG electrodes for pediatrics and neonatal use A special adapter is available allowing the connection of pre ...

Page 143: ...operations Vivid S5 Vivid S6 User Manual 125 R2424458 100 Rev 2 Figure 3 8 DIN 1 55 type connector The electrodes should connect to their corresponding locations as shown on Figure 3 9 Figure 3 9 Electrode connections ...

Page 144: ...cal trace displayed on the screen Position Enables the user to move the physiological trace on the screen ECG Turns the ECG trace on and off Invert Inverts the ECG trace upside down QRS visible Shows hides the QRS marker on the ECG Displaying the ECG trace To turn the ECG display off press PHYSIO and press the assignable ECG Cardiac applications The ECG is turned on by default in all cardiac appli...

Page 145: ...patients due to different skin moisture and other physiological pa rameters 1 Press PHYSIO on the control panel 2 Adjust the assignable button GAIN to adjust the amplitude of the trace Adjusting the ECG trace position 1 Press PHYSIO on the control panel 2 Adjust the assignable button POSITION to move the trace vertically CAUTION Do not use the Vivid S5 Vivid S6 Ultrasound system ECG physio wavefor...

Page 146: ...isplayed 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 selection from the Annotation menu 1 Press the alphanumeric key TEXT A list of application specific pre defined texts is displayed see Figure 3 10 CAUTION Annotations text arrow or body mark are created on separate layers W...

Page 147: ...e user 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 Meas Text category 3 In the Meas Text category select Customize The Customize sheet is displayed see Figure 3 11 4 Select a pre defined text in the Application pane 5 Select Add in the desired section 6 Repeat step 4 and 5 to populate the library...

Page 148: ...rd within square brackets 2 To select a pre defined 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 selected pre defined text press RIGHT ARROW 1 The Application pane 2 Library section 3 Insert selected pre defined text in the section 4 Remove selected...

Page 149: ...phanumeric keys RIGHT ARROW moves the text cursor forward LEFT ARROW moves the text cursor backward TAB moves the text cursor by word forward BACKSPACE deletes backward DELETE deletes the selected word 5 Do the appropriate changes to the annotation 6 Press SET to anchor the edited annotation To erase annotation To erase all annotations on the screen in one operation press the alphanumeric key PAGE...

Page 150: ... arrange the annotation text see Figure 3 12 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 Press save to store the new annotation list To add an annotation text 1 Trackball to the text entry field see Figure 3 12 2 Press SET to activate the text cursor 3 Type the new annotation t...

Page 151: ...ons Vivid S5 Vivid S6 User Manual 133 R2424458 100 Rev 2 Figure 3 12 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 ...

Page 152: ...g a selection of bodymarks relative to the selected exam category Figure 3 13 The Bodymark menu 2 Trackball to the desired bodymark and press SET The bodymark with a probe marker is displayed on the scanning screen Figure 3 14 The bodymark with probe marker 3 Using the trackball adjust the position of the probe marker and press SET 4 Using the trackball adjust the probe marker orientation and pres...

Page 153: ...s displayed 2 Select Erase When pressing PAGE ERASE on alphanumeric keyboard the bodymark will be erased provided it has been configured this way To change the configuration 1 Press CONFIG 2 In the Configuration package select Meas Text category 3 In the Meas Text category select Annotation see Figure 3 12 4 Check or uncheck the Delete on Page erase option ...

Page 154: ...Basic scanning operations 136 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 155: ...51 Using M Mode 153 Optimizing M Mode 155 Color Mode 157 Color Mode overview 157 Color M Mode overview 158 Color Mode controls 159 Using Color Mode 162 Optimizing Color Mode 163 PW and CW Doppler 164 PW and CW Doppler overview 164 PW and CW Doppler controls 165 Using PW CW Doppler modes 167 Optimizing PW CW Doppler modes 168 Tissue Velocity Imaging TVI 169 Tissue Tracking 173 Strain rate 178 Strai...

Page 156: ... 181 Strain 183 Strain overview 183 Strain controls 184 Using Strain 186 Optimizing Strain 186 Tissue Synchronization Imaging TSI 188 TSI overview 188 TSI controls 189 Using TSI 191 Optimizing TSI 192 Additional scanning features 193 LogiqView 193 Compound 194 B Flow 195 Blood flow imaging 195 Virtual Convex 196 ...

Page 157: ...olor Mode Imaging Doppler Mode Imaging Angio Tissue Velocity Imaging Tissue Tracking Tissue Synchronization Imaging BFlow BFI B Flow Imaging Strain Strain Rate imaging Note Some optional scan modes listed above are not available on Vivid S5 See page 406 for further information on image and cineloop storage When performing an examination using any of these modes images and image sequences cineloops...

Page 158: ...Scanning Modes 140 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 2D Mode 2D Mode overview Figure 4 1 The 2D screen cardiac 1 Focus marker 2 Probe orientation marker 3 Status window 4 Soft menu ...

Page 159: ...nable keys Width Frequency Focus Pos Frame rate Up Down R Left Right R Cineloop in Freeze only Dual focus B color maps Tilt 2 Zoom 3 Depth 4 Soft menu Compress R Reject R Dynamic Range DDP R Speckle reduce R Contour Diff On Off Power 5 Freeze 6 2D 7 Gain Controls marked with R are also available in freeze and cine replay ...

Page 160: ...Pos Changes the location of the focal point s A triangular focus marker indicates the depth of the focal point Note On convex and linear probes there are two additional optional focus controls Focus number Allows to control the number of focal point Focal Spread Allows to control the distance among the different focal points Frame rate Adjusts frame rate FPS The relative setting of the frame rate ...

Page 161: ...ncy selection rotary knob Invert Left Right Invert enables a mirror image of the 2D image to be created The left right reference marker V moves to the other side of the image Up Down Invert enables the 2D image to be flipped 180 degrees Dual focus Activates Dual focus mode optionally available in cardiology applications only To adjust the location of the Dual focus activate the FOCUS assignable B ...

Page 162: ... always activate in Display zoom mode only Cineloop in Freeze only Allocates different cineloop control functions to the assignable soft keys Gain When rotated clockwise increases the overall gain applied to the received echo signals equally for all depth Time Gain Compensation TGC Compensates for depth related attenuation in an image The sliders nearest the operator affect the far field TGC ampli...

Page 163: ...ting The Frequency Transmit Pattern should be optimized to produce both a clean signal and maximal spatial resolution With Smart Depth turned ON the system will optimize the Frequency Transmit Pattern to follow above guideline and automatically set optimal setting for the currently selected depth The Frequency control value displayed on screen will be modified to display the updated value with eve...

Page 164: ...ower is set to maximum it is equal to 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 Ultra Definition UD Clarity This control is effective in Cardiology applications only This control reduces the unwanted effects of speckle in the ultrasound image Image speckle usually appears as a grainy texture in otherwis...

Page 165: ...nning the common carotid artery in a longitudinal scan the Clear Vessel function is designed to optimize the acquired image by automatically adjusting the TGC of the system to remove noise artifacts within the vessel without affecting surrounding tissue structures Operation 1 Use the Carotid preset with a linear probe 2 Make sure the Clear Vessel soft key is turned ON The label CLR will appear on ...

Page 166: ... common carotid vessel the user may turn off Clear Vessel in order to assure the visualization of all reflected echoes even if obscured by surrounding noise Using 2D Refer to page 593 about creating pre sets The 2D Mode is the system s default mode 1 Press 2D on the control panel to access 2D mode Check the Display s brightness and con trast setting before adjusting the unit imaging controls see p...

Page 167: ...to reduce near field haze and blood pol artifact without diluting tissue appearance of moving structures Press Color maps and select a grey map from the menu on screen The Wide Aperture function may improve image quality by increasing spatial resolution and signal to noise ratio This feature involves special processing which allows to improving the beam focus at large depth by increasing the numbe...

Page 168: ...marker Wide Aperture is turned ON Compound mode is ON Coded Phased Inversion CPI mode is ON M Mode M Mode overview Figure 4 4 The cardiac M Mode screen top bottom This unit has three types of M Mode Conventional M Mode MM displays a distance time plot of a cursor line in the axial plane of the 2D image 1 Time motion cursor conventional M Mode 2 Depth Scale 3 Focus Marker 4 Time Scale ...

Page 169: ...s not to be used for measurements or analysis This is not an absolute value but simply a reference number Users performing studies using standardized protocols may find this sweep speed information useful for reading studies from other institutions M Mode controls M Mode assignable controls Horizontal sweep Adjusts the horizontal refresh rate of the M Mode area of the display Horizontal sweep does...

Page 170: ...bles an option from a list of non linear gray curves or different colorized curves to be selected Use the trackball to point to a color map and press SET to activate the desired map AMM Anatomical M Mode option is only available for cardiac applications See further information in Anatomical M Mode on page 154 Compress Controls the amount of contrast in the image An index number is displayed in the...

Page 171: ...rols image processing related to the extent of edge enhancement applied to an image Using M Mode Conventional M Mode greyscale 1 While in 2D Mode press cursor on the control panel 2 Use the trackball to position the cursor over the required area of the image Gain Frequency Focus Dynamic Range and Com pression affect also the 2D image 3 Press M the M mode sweep will start to sweep 4 Adjust horizont...

Page 172: ...mical M Mode can also be used with previous lyacquireddigitally stored 2D images 1 Enter live M mode 2 Press the assignable AMM soft key to enter Live Anatomical M mode Continue to step 4 below OR While in 2D Live or 2D Freeze modes press ALT button and press the assignable AMM soft key OR 1 From the 2D Live press FREEZE 2 Press M to access the Freeze Anatomical M Mode The Trackball as signable Po...

Page 173: ...e second point of the time motion curve 6 Press SET to anchor the second point of the time motion curve 7 Repeat step 5 and 6 up to seven times to draw a complete time motion curve Optimizing M Mode Refer to page 593 about creating pre sets The use of preset gives optimum performance with minimum adjustment If necessary the following controls can be adjusted to further optimize the M Mode display ...

Page 174: ...Scanning Modes 156 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 eliminate significant low level diagnostic information ...

Page 175: ...Modes Vivid S5 Vivid S6 User Manual 157 R2424458 100 Rev 2 Color Mode Color Mode overview Figure 4 5 The Color Mode screen 1 Probe orientation marker 2 Color bar 3 Color sector marker 4 Status window 5 Soft menu ...

Page 176: ...5 Vivid S6 User Manual R2424458 100 Rev 2 Color M Mode overview Figure 4 6 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 Status window 7 Soft menu ...

Page 177: ...way from the probe Baseline is available in both Live and Freeze Frame rate Controls the Frame rate by changing line density When adjusting frame rate there is a trade off between spatial and temporal resolution LVR Low Velocity Rejection Colordataproduced by very low flow may cause interfer ence LVR also called Wall motion filter enables the extent of low velocity removal to be adjusted Invert En...

Page 178: ...setting gives better flow resolution while a higher setting increases sensitivity and helps to locate turbulent flows DDP Data Dependant Processing Performs temporal processing which reduces random noise without affecting the motion of significant tissue structures Frequency Enables the adjustment of the transmission frequency to control the sensitivity or the level of penetration The selected fre...

Page 179: ...I depth setting is changed Lateral Averaging Color 2D only Smoothes the image by averaging collected data along 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 trols with caution so as not to obscure significant diagnos tic information Smooths the image by averaging collected data al...

Page 180: ...the trackball 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 desired size is obtained to allow repositioning of the ROI if desired 6 Press FREEZE to stop imaging Color M Mode 1 From M Mode press COLOR or from Color Mode press M The assignable con trols of the ...

Page 181: ... Frequency to optimize the color 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 op erating modes Adjust Power to obtain an acceptable image using the lowest setting possible Adjust the following settings to further optimize display of the image Use...

Page 182: ...e to confirm that the image was acquired at the selected sweep speed It is not to be used for measurements or analysis This is not an absolute value but simply a reference number Users performing studies using standardized protocols may find this sweep speed information useful for reading studies from other institutions 1 Sample volume PW only 2 Angle correction marker 3 Velocity scale 4 Low veloc...

Page 183: ... detectable velocity 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 Low velocity reject Enables the low velocity portions of the spectrum to be filtered since the Doppler spectrum and audio may contain strong wall motion signals The amount of Low Velocit...

Page 184: ...ated blood vessel or blood flow A thin cross bar on the Doppler cursor will rotate as the control is adjusted Angle 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 Sample volume In PW mode set the longitudinal size of the region to be sampled for measurement Adjustin...

Page 185: ...g PW CW Doppler modes Controls and opera tions for PW and CW mode are the same unless other wise noted There are two ways to start PW CW Doppler Alternative 1 1 Press PW or CW A scanning screen is displayed with a Doppler cursor on the 2D mode image and a Doppler spectrum in the lower part of the screen 2 Use the trackball to position the Doppler cursor line and in PW the sample volume location ov...

Page 186: ...ion and the lower setting will increase the depth penetration Adjust Frame rate to a higher setting to improve motion detection or to a lower setting to improve resolution The Doppler Power setting affects only Doppler operating modes Adjust Power to obtain an acceptable image using the lowest setting possible This is particularly important in CW mode as the energy duty cycle is 100 constant Adjus...

Page 187: ...olded spectrum and stretch the spectrum vertically as large as possible ASO optimization is not continuous but performed instantaneously each time the button is pressed Tissue Velocity Imaging TVI TVI overview Figure 4 8 The TVI Mode screen Tissue Velocity Imaging TVI calculates and color codes the velocities in tissue The tissue velocity information is acquired by sampling of tissue Doppler veloc...

Page 188: ...he color map to emphasize tissue motion either toward or away from the probe Baseline is available in both Live and Freeze Frame rate Controls the line density When adjusting frame rate there is a trade off between spatial and temporal resolution Invert Enables the color scheme assigned to positive and negative tissue velocities to be inverted Invert is available in live and cine replay TSI Starts...

Page 189: ...155 Strain rate see page 178 Strain see page 183 TVI Soft menu controls Compress Controls the amount of color compression The color bar is adjusted accordingly Tilt Enables the axis of the 2D image to be tilted to the left or right By using this control in combination with angle control the image can be aligned to the direction of interest and frame rates be optimized By default the axis of symmet...

Page 190: ...dards The Thermal Index TI and the Mechanical Index MI are displayed on the screen Using TVI 1 Select the desired probe 2 While in 2D mode press TVI on the control panel then select TVI soft key 3 Use the trackball to position the ROI frame over the area to be examined The assignable con trols of the trackball are displayed in the trackball status bar in the bottom right corner of the screen 4 Pre...

Page 191: ...ide TVI TVI provides velocity information only in the beam direction The apical view typically provides the best window since the beams are then approximately aligned to the longitudinal direction of the myocardium except near the apex To obtain radial or circumferential tissue velocities a parasternal view must be used However from this window the beam cannot be aligned to the muscle for all the ...

Page 192: ...ng assignable controls Tracking start The time after ECG R peak when the integration should start Tracking end The time after tracking start when the integration should end Tracking scale Controls the color cut off value of max displacement displayed The chosen values is shown on the color bar when the assignable is activated Frame rate Controls the line density When adjusting frame rate there is ...

Page 193: ...rols 2D width Controls the angular width of the 2D image sector Tilt Enables the axis of the 2D image to be tilted to the left or to the right By default the axis of the 2D image is vertical Threshold Controls the level of greyscale intensity that is used as a threshold for color Transparency Controls the degree of transparency of the Tissue Tracking color Frequency Enables the adjustment of the t...

Page 194: ...e near the T wave 4 Use the trackball to position the ROI frame over the area to be examined The assignable con trols of the trackball are displayed in the trackball status bar in the bottom right corner of the screen 5 Press SET The instruction Size should be highlighted in the trackball status bar If not press SET again to select Size Note If the trackball control Pointer is selected press TRACK...

Page 195: ...ycle The maximum displacement that is color coded can be adjusted using the TRACKING SCALE assignable If set too low most of the wall will show the color indicating maximum displacement If set too high the maximum displacement color is never reached Tissue Tracking provides velocity information only in the beam direction The apical view typically provides the best window since the beams are then a...

Page 196: ...ew Figure 4 10 The Strain rate mode screen Strain rate calculates and color codes the deformation per unit time i e the speed at which the tissue deformation occurs Strain rate is defined as the spatial gradient of velocity data 1 Color sector marker 2 Status window 3 Soft menu 4 Strain sample size ...

Page 197: ... is available in live and cine replay TSI Starts TSI mode see page 188 Simultaneous Enables simultaneous display of 2D image and 2D image with Strain rate color Color maps Displays a menu of color map options Use the trackball to point a color map and press SET to activate a desired color map Q analysis in Freeze only Starts the Quantitative analysis application see Chapter 8 Quantitative Analysis...

Page 198: ...olor compression The color bar is adjusted accordingly Transparency Control the degree of transparency of the strain rate color Threshold Controls the level of greyscale intensity that is used as threshold for color Frequency Enables the adjustment of the transmission frequency to control the sensitivity or the level of penetration Lateral Averaging Smooths the image by averaging collected data al...

Page 199: ...ted in the trackball status bar If not press SET again to select Size Note If the trackball control Pointer is selected press TRACKBALL to be able to select between Position and Size controls 4 Use the trackball to adjust the dimensions of the ROI Optimizing Strain rate To reduce quantification noise variance the Nyquist limit should be as low as possible without creating aliasing To reduce the Ny...

Page 200: ...hat is color coded can be adjusted using the SRI SCALE assignable If set too low most of the wall will show the color indicating maximum Strain rate If set too high the maximum Strain rate color is never reached Low strain rates may be masked out with a green color using the SRI Reject control ...

Page 201: ...train calculates and color codes the extent of tissue deformation lengthening or shortening relative to the original size over a given time interval typically the systole 1 Color sector marker 2 Strain color bar 3 Status window 4 Soft menu 5 Strain start and end markers 6 Strain start and end from R peak and Strain sample size ...

Page 202: ... for the color coding of the tissue deformation Frame rate Controls the line density When adjusting frame rate there is a trade off between spatial and temporal resolution Invert Enables the color scheme assigned to shortening and elongation tissue deformation to be inverted Invert is available in live and cine replay TSI Starts TSI mode see page 188 Simultaneous Enables simultaneous display of 2D...

Page 203: ...strain sample volume size There is a trade off between noise and spatial resolution controlled by the Strain length To minimize noise the Strain length should be maximized A value of 12mm is typical for adult cardiac patients see Optimizing Strain on page 186 Strain Reject Adjust the cut off level of the low tissue velocity to be discarded when generating the color image Rejected values are uncolo...

Page 204: ...f cycles averaged is controlled from the Soft menu rocker The number of averaged cycles displayed on the top left corner Using Strain 1 From TVI Mode press ALT on the control panel and press STRAIN 2 Adjust STRAIN START close to the R peak 3 Adjust STRAIN END near the T wave 4 Use the trackball to position the ROI frame over the area to be examined The assignable con trols of the trackball are dis...

Page 205: ...on that is color coded can be adjusted using the STRAIN SCALE assignable If set too low most of the wall will show the color indicating maximum deformation If set too high the maximum deformation color is never reached Strain provides velocity information only in the beam direction The apical view typically provides the best window since the beams are then approximately aligned to the longitudinal...

Page 206: ...aging TSI TSI overview Figure 4 12 The TSI mode screen TSI calculates and color codes the time from onset of QRS to a detected event typically the time to peak systolic velocity 1 TSI start end and TSI Cut off 2 TSI start and end markers 3 QRS marker 4 TSI color bar 5 Status window 6 Soft menu ...

Page 207: ...etween spatial and temporal resolution TSI Starts stops TSI Mode TSI Start This rotary allows manual adjustment of TSI starting point TSI End This rotary allows manual adjustment of TSI ending point Note While in Freeze press MORE to see the TSI Start End controls Q analysis in Freeze only Starts the Quantitative analysis application see Chapter 8 Quantitative Analysis on page 375 Simultaneous Ena...

Page 208: ...e using this control it is possible to color all parts of the TSI image that has a time to peak less than a certain cutoff time Threshold Controls the level of greyscale intensity that is used as threshold for color Transparency Control the degree of transparency of the TSI color Frequency Enables the adjustment of the transmission frequency to control the sensitivity or the level of penetration P...

Page 209: ...st the dimensions of the ROI TSI markers adjustments The default TSI markers settings are TSI start The time of the Event Timing measurement Aortic Valve Opening AVO If no AVO measurement is available 60 ms from the detected QRS is used TSI end The time of the Event Timing measurement Aortic Valve Closure AVC If no AVC measurement is available an estimated time of end systole 200 ms is used The sy...

Page 210: ...ss CONFIG and select the category Measure 2 In the Measure category select the sheet Advanced 3 In the Application specific parameters section adjust TSI Start and TSI End parameters by selecting a new value from the combo menu displayed upon selection Optimizing TSI Use apical view when imaging and ensure that both LV walls and opposing walls are in the view Activate TSI from an optimized TVI dis...

Page 211: ... skill and practice to develop proper technique LogiqView is available with linear probes in 2D mode only Note LogiqView is available only when Compound see below is turned off Using LogiqView 1 Perform a detailed examination of the anatomy pathology Optimize parameters for tissue texture and visible window prior to activating LogiqView 2 Press the assigned key LOGIQVIEW 3 To start acquiring the i...

Page 212: ...lift the transducer from the skin surface Always keep the transducer perpendicular to the skin surface DO NOT rock the transducer Keep the motion within the same scan plane if possible DO NOT slide the transducer laterally Lateral turning change in direction to follow anatomical structure can be accommodated with slower motion DO NOT make abrupt changes in direction The system accommodates a reaso...

Page 213: ...and size If the scan direction is the same as the flow direction then the image scatter is elongated if the scan direction is the opposite as the flow direction then the image scatter is tighter Therefore have the scan direction opposite to that of flow direction Switch the way you hold the probe with the probe orientation marker inferior to maintain correct orientation on the monitor Flow starts ...

Page 214: ...igned to provide a wider field of view in the far field and is available on linear probes While in 2D mode use the Virtual Convex soft key to turn virtual convex ON or OFF When Virtual convex is turned on you may enter other scanning modes such as Color Doppler or M mode and virtual convex will remain active on the 2D image Note While Virtual Convex is turned on the Zoom function will always activ...

Page 215: ...00 Starting acquisition 201 Continuous capture mode 205 Analysis 213 Quantitative TVI Stress echo analysis 218 Accessing QTVI Stress analysis tools 219 Vpeak measurement 220 Tissue Tracking 223 Quantitative analysis 223 References 224 Editing creating a template 225 Entering the Template editor screen 225 Template editor screen overview 226 Editing Creating a template 229 ...

Page 216: ...preset factory protocol templates templates can be created or modified to suit users needs Users can define various quad screen review groups in any order and combination that will suit their normal review protocol When reviewing stress examination images the images are viewed at their original image quality and different post processing and zoom factors may be applied to the images under review f...

Page 217: ...l for the current probe To create or edit a template see page 225 2 To use the current template Turn freeze off to initiate scanning To use another template Press the assignable TEMPLATE The template list is displayed 3 Trackball to the desired template 4 Press SET 5 Turn freeze off to initiate scanning using the new template Figure 5 1 The Protocol screen 1 Projection selection 2 Level 3 Current ...

Page 218: ...ll green of the matrix displayed in the Clipboard window indicates which view is currently being acquired see Figure 5 2 The names of both the view and the level for the current cell is displayed on the top corner of the image area and under the template matrix Figure 5 2 The stress mode acquisition screen 1 Current view label 2 Template matrix 3 Current view Green cell 4 Timers ...

Page 219: ... STORE to save the selected cineloop If the actual stress level is not configured to preview cineloop before storing the system will automatically store the last cardiac cycle When storage of the cineloop is completed the actual highlighted cell in the template matrix displays a 2D icon indicating that the view has been acquired After storing the loop the system automatically highlights the next v...

Page 220: ...xit the protocol mode press PROTO IN OUT soft key button 2 Acquire the desired images outside the protocol 3 Press the 2D mode button 4 Press PROTO IN OUT soft key button to restart the protocol acquisition mode and resume the stress acquisition Selecting a view during acquisition A fixed protocol is provided for scanning based on the selected template The system automatically highlights the next ...

Page 221: ...cell that represents the view that is to be replaced The selected cell in the template matrix is highlighted in red indicating non default position 2 Turn freeze off to initiate scanning 3 Scan and save the selected loop as explained in the previous section 4 Select in the dialog window if you want to Replace or Keep the existing loop Replace the original image is deleted from the examination and ...

Page 222: ...oved from the source cell to the destination cell Procedure 2 1 In the Protocol screen trackball to the cell containing the image to move source cell 2 Press and hold down SET 3 With the SET key still depressed trackball to the destination cell 4 Release the SET key The image is moved from the source cell to the destination cell Stored images can not be moved If the destination cell contains an im...

Page 223: ... Menu Press MENU on the control panel The display of T1 and T2 is user configurable see page 225 Continuous capture mode Continuous capture mode enables the user to perform acquisition continuously for all views at any level depending on the selected template configuration Continuous capture consists of temporary saving images acquired in a storage buffer To enable best possible use of the limited...

Page 224: ...onfiguration The buffer bar When entering a level with Continuous capture enabled a Buffer bar is displayed in the Info window see Figure 5 5 The Buffer bar displays the following information The unit s scanning state PAUSE live scanning without storing CAPTURE live scanning with storing to buffer The percentage of the buffer that is filled The buffer filling progression showed by a green filling ...

Page 225: ...er bar the gauge starts filling and the percentage of filled memory buffer increases see Figure 5 5 page 207 2 Press STORE or 2D FREEZE again to stop capture Pause is displayed in the buffer bar When 90 of the memory buffer is filled up the text display in the buffer bar turns red The unit enters Freeze mode automatically once the buffer is full and the captured loops are displayed in the Continuo...

Page 226: ... the bed press STORE or 2D FREEZE The Continuous capture acquisition is started 9 Acquire all your views The memory buffer gauge increases Figure 5 5 When memory filling exceeds 90 the percent number turns red 10 Press FREEZE to finish 11 Press the SELECT CYCLE assignable The Continuous capture selection screen is displayed see Figure 5 6 page 211 If the buffer is filled up the system will automat...

Page 227: ...e g Color flow Doppler Images will be stored outside the protocol 4 In order to resume the stress echo exam and assign loops for the views from the Continuous capture buffer press PROTOCOL 5 Press on the Continuous capture icon on the lower left corner of the Protocol screen The Continuous capture selection screen is displayed 6 Assign the cineloops to the views see page 211 A dialogue window is d...

Page 228: ...een The Continuous capture selection screen is displayed 6 Assign the cineloops to the views see page 211 7 Press Done when finished 8 Perform Analysis and scoring see page 213 9 When exiting this patient a dialogue window is displayed asking whether the remaining continuous capture images should be deleted Press Yes to delete the remaining continuous capture images OR Press No to keep the entire ...

Page 229: ... selection screen Assigning a cineloop to a view 1 Trackball to the desired loop in order to assign it to a particular view of the stress template The frame of the loop is highlighted 2 Press SET A pop up menu is displayed with the view names of the template see Figure 5 7 1 Rotate CHANGE PAGE assignable to display other pages 2 Cycle number and total number of cycles 3 Highlighted loop 4 Red bar ...

Page 230: ... A dialogue window is displayed asking whether the entire Continuous capture acquisition should be saved or not 7 Press Delete to discard the acquisition Saving the entire acquisition may take a few seconds on the local hard disk and several minutes on a re movable media OR Press Store all to keep the entire acquisition The normal procedure is to discard the acquisition The acquisition is very big...

Page 231: ...op in the quad screen can be magnified using the Crop Images function see page 591 or the zoom control see page 120 Image selection for analysis Images can be selected manually or from a pre defined group in the Protocol screen Selection of images from a group If groups of images have been defined in the protocol template see page 231 the user can select a group of images for analysis and sequenti...

Page 232: ...atrix 3 Press SET The selected loop is displayed in the Stress analyze screen and the next window in the quad screen is automatically selected 4 Repeat steps 2 and 3 to select other images 5 Depress SHIFT Manual selection of images in the Protocol screen 1 In a stress examination press PROTOCOL A preview of the acquisitions is displayed 2 Trackball to the first image to select 3 Press SET The fram...

Page 233: ...ber of segments e g 16 or 18 and each segment is assigned a score based on visual evaluation eye balling The wall motion scoring results are linked to the stress level of the image being evaluated This means that for instance when scoring a short axis projection and a long axis projection from the same stress level then common segments with the same scoring value will be shown in the respective sc...

Page 234: ... press SET The Score pop up list is displayed see Figure 5 10 3 Trackball to a score Alternative Press the arrow heads at the bottom of the scoring diagram see Figure 5 9 4 Press SET The score is displayed in the relevant segment area in the diagram see Figure 5 10 5 Repeat steps 1 through 3 to score relevant segments 6 Rotate the assignable CHANGE PAGE to display next group of images 7 Repeat ste...

Page 235: ...Stress Echo Vivid S5 Vivid S6 User Manual 217 R2424458 100 Rev 2 Figure 5 10 Segment scoring 1 Selected segment 2 Selected score 1 Scored segment ...

Page 236: ...locity measure ments in mid and basal segments of the myocard will contain contribu tions from the api cal region of the myocard E g if measured value in a mid segment is be low the cutoff value for this segment then this might re late to a reduced function in the mid or apical region Submaximal stress 85 predicted max HR Patients at extremes of age 40 or 70 Previous myocardial infarction revascul...

Page 237: ...r coded on the 2D image From the velocity trace the user can estimate the peak systolic velocity see References on page 224 This tool is available in views from peak levels only and only when a segment has been scored in one of these views Tissue Tracking on page 223 enables visualization of the systolic contraction of the heart by color coding the myocardial displacement through the systole Quant...

Page 238: ...er a clinically determined velocity threshold see References on page 224 to confirm the wall motion scoring To display a Vpeak measurement 1 Perform segment scoring as described on page 216 1 Vpeak measurement V peak measurement is displayed in views from peak levels and only after scoring 2 Tissue Tracking 3 Quantitative analysis CAUTION QTVI Stress can be used only in conjunction with wall motio...

Page 239: ...s follow Green Velocities above threshold value 5 Yellow Velocities near threshold 5 interval White Velocities below threshold value 5 A result window to display tissue velocity profile shown when moving the sampling area in the view 3 In the 2D sector trackball the sampling point over the wall area corresponding to the current segment shown as the highlighted segment in the diagram A tissue veloc...

Page 240: ...velocity at peak stress level Dobutamine stress procedure for the three apical views Only threshold values for basal and mid segments for each apical view are defined see References on page 224 The result is highlighted by a color coding of the thresholds lines the color coding in the 2D image and the scoring bullet see Figure 5 12 1 Threshold for current segment green 2 Sampling point 3 Current s...

Page 241: ...s the user can confirm the standard segmental wall motion scoring at peak levels To display Tissue Tracking 1 Trackball to a loop with TVI data usually an apical view at peak level 2 Press SET on the control panel 3 Trackball to the corresponding Wall segment diagram 4 Press T on the Wall segment diagram field see Figure 5 11 The Tissue Tracking color overlay is displayed in the Acquisition window...

Page 242: ...all to the corresponding Wall segment diagram 4 Press Q on the Wall segment diagram field to launch the Quantitative analysis package see Chapter 8 Quantitative Analysis on page 375 References 1 Application of Tissue Doppler to Interpretation of Dubotamine Echocardiography and Comparison With Quantitative Coronary Angiography Cain P Baglin T Case C Spicer D Short L and Marwick T H Am J Cardiol 200...

Page 243: ...only during the current examination or saved as new templates for future use and reference The editions that may be performed include Adding deleting levels and projections page 229 Assigning new labels to levels and projections page 230 Defining level options page 230 Defining new groups page 231 Templates are edited created from the Template editor screen Entering the Template editor screen 1 Pr...

Page 244: ...l R2424458 100 Rev 2 Template editor screen overview Figure 5 14 The Template editor screen Template Parameter Description Template Select a pre defined template from the pop up menu The Protocol template preview see below is updated accordingly ...

Page 245: ...s acquisition enables TVI data acquisition for QTVI Stress analysis Parameter Description Template settings Cycles select the number of cineloop heart cycles to store for each level from the drop down menu Continuous capture enables continuous image acquisition throughout the level The images acquired are temporarily stored in the unit s storage buffer Preview of store enables review and adjustmen...

Page 246: ...isition settings geometry incl zoom gain compress reject power etc for each view in the protocol Smart Stress enables to set image acquisition settings for each view at baseline level and automatically get the same image settings in the corresponding views in the next levels In Continuous capture acquisition at peak stress the active cell must be moved manually through the views using the arrow bu...

Page 247: ...tocol template preview field showing the levels and projections and their labels Adding deleting levels and projections Factory templates cannot be changed 1 Enter the number of levels and projections in the Grid size field see Figure 5 14 The new grid size is displayed in the Protocol template preview field 2 Press New Template to create a new template Or Press Save Template to update the base te...

Page 248: ...responding views in the next levels In Continuous capture acquisition at peak stress the active cell must be moved manually through the views using the arrow buttons Assigning new labels to levels and projections 1 In the Protocol template preview field Trackball to the Label field that is to be changed 2 Select the Label pop up menu and press SET on the desired pre defined label Or If the Label f...

Page 249: ...yed asking the user to enter a name for the new group 3 Enter the group name 4 Press OK The new group is displayed in the Pre defined group field Updating an existing group A selected group is highlighted by a yellow frame 1 In the Pre defined group field select the group to edit The selected cell are highlighted in the Protocol template preview field 2 Either select a new cell s to add to the gro...

Page 250: ...Stress Echo 232 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 251: ...t Imaging Introduction 234 Cardiac imaging 234 Non cardiac imaging 235 Data acquisition 235 Left Ventricular Contrast Imaging 235 LV Contrast overview 236 LV Contrast controls 236 Using LV Contrast 238 Optimizing LV Contrast 239 Vascular Contrast Imaging 240 Abdominal Contrast Imaging 241 ...

Page 252: ... use with these agents may not be commercially marketed nor made available before the contrast agent is approved for use Advanced contrast features are only enabled on systems for delivery in countries or regions where the agents are approved for use or for investigational or research use Cardiac imaging The only contrast acquisition application available for cardiac imaging is Left Ventricular Co...

Page 253: ...on The LV Contrast application may help to identify LV thrombus and evaluate wall motion WARNING Abdominal and Vascular Contrast applications are for research purposes only Diagnosis must not be based on results achieved by contrast analysis alone WARNING Misdiagnosis based on image artifacts Misdiagnosis in ultrasound contrast images may be caused by several artifacts most importantly Motion arti...

Page 254: ...e sector A smaller angle generally produces a scan with a higher frame rate Tilt Enables the axis of the 2D image to be tilted to the left or to the right By default the axis of the 2D image is vertical Frequency Enables the adjustment of the probe s operating frequency A higher frequency gives better resolution Frequency is also used to switch between Octave single pulse and CPI Coded Phase inver...

Page 255: ...ves better spatial resolution Controls the line density Up Down Enables the 2D image to be flipped 180 degrees Left Right Enables the display of a mirrored image When applied the reference marker V moves to the other side of the image T1 T2 Timers Contrast timer press T1 once to start the timer press again to stop the timer A second timer T2 is available from the More menu B Color maps Displays a ...

Page 256: ...s the frame rate and the number 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 Performs temporal processing which reduces random noise without affecting the motion of significant tissue structures Using LV Contrast The LV Contrast application works with ...

Page 257: ... the probe before the contrast agent arrives In this case we recommend to stay in the Cardiac application until the contrast agent is observed in the right ventricle and quickly switch to the LV Contrast application If a swirling pattern is observed and persists after the LV cavity has been filled with contrast the power should be reduced until homogenous opacification is obtained CAUTION Too high...

Page 258: ...ontrast agents Because the availability of these agents is subject to government regulation and approval product features intended for use with these agents may not be commercially marketed nor made available before the contrast agent is approved for use Note the Vascular Contrast application requires the Vascular Abdominal Contrast option enabled WARNING Abdominal and Vascular Contrast applicatio...

Page 259: ...ts Because the availability of these agents is subject to government regulation and approval product features intended for use with these agents may not be commercially marketed nor made available before the contrast agent is approved for use Note The Abdominal Contrast application requires the Vascular Abdominal Contrast option enabled WARNING Abdominal and Vascular Contrast applications are for ...

Page 260: ...Contrast Imaging 242 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 261: ...e and Assign modality 251 Post measurement assignment labels 252 Cardiac measurements 255 2D Measurements 255 M Mode Measurements 259 Doppler Measurements 262 TSI Measurements 266 Automated Function Imaging 273 AutoEF Measurements 292 Vascular measurements 302 B Mode measurements 302 Intima Media Thickness 303 M Mode Measurements 308 Doppler measurements 309 Pediatric Calculations 314 Overview 314...

Page 262: ...ample 338 User defined formulas 343 User defined formula example 343 About units 349 Measurement result table 351 Minimizing the Measurement result table 351 Moving the Measurement result table 351 Deleting measurements 352 Worksheet 353 Overview 353 Using Worksheet 354 OB worksheet 356 Patient data 357 Measurement information 357 Calculation information 358 OB graphs 359 Overview 359 Fetal Growth...

Page 263: ...al 245 R2424458 100 Rev 2 B Mode Measurements 371 Uterus length width and height 371 Ovary length width and height 372 Follicle measurements length width and height 373 Endometrium thickness Endo 373 M Mode Measurements 374 Doppler Mode Measurements 374 ...

Page 264: ... from the MEASURE button on the control panel You must select desired folder Dimension Volumes area etc A set of tools is implemented to make the measurement process as fast and easy as possible for the user The user is guided through the study an auto sequence functionality automatically selects the next measurement in a study The selected measurement is highlighted in the Measurement menu The pe...

Page 265: ...sured in Doppler This means that values from above and below baseline will all be displayed as positive results For Cardiac this behavior cannot be changed For non Cardiac the Absolute Value setting can be turned off in Config Meas Text Advanced by setting the attribute Absolute Value to Off Calculated parameters For calculated parameters the system uses signed values in calculation formulas and d...

Page 266: ...ments Starting the Assign and Measure modality 1 Press MEASURE on the control panel The Measurement Menu is displayed in the Parameters window see example Figure 7 2 The trackball cursor is in the parameter window ready for measurement selection Figure 7 1 Example of a measurement study 1 Active application 2 Study 3 Selected study 4 Opened study 5 Measurements related to the area study for the ca...

Page 267: ...select 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 Trackball to the required study 2 Press SET on the trackball area The study folder is opened displaying the measurements related to this study Other related studies may also be available from withi...

Page 268: ...Measurement and Analysis 250 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Figure 7 2 Display of a performed measurement example 1 Performed measurement 2 Next measurement is automatically selected ...

Page 269: ...l from the as signables 1 Press MEASURE on the control panel The Measurement Menu is displayed in the Parameters window see example Figure 7 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 activate the measurement tool The cursor is moved back to the scanning window ready for measurement Figure 7 3 The 2D Mode...

Page 270: ...table see Figure 7 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 label menu to highlight the required label 4 Press SET to assign the highlighted parameter label to the measurement The assigned measurements may be reviewed in the Worksheet see page 353 Up to ...

Page 271: ...Measurement and Analysis Vivid S5 Vivid S6 User Manual 253 R2424458 100 Rev 2 Figure 7 4 Measurement assignment 1 Parameter Label menu 2 Selected label Assignment 3 Assigned measurement ...

Page 272: ...easurement in the Measurement result table see Figure 7 4 2 Press SET A Parameter label menu is displayed 3 Trackball to User and press SET The Enter new parameter window is displayed Figure 7 5 The Enter new parameter window 4 Type a name for the parameter label 5 Press OK The user defined parameter label is assigned to the selected measurement ...

Page 273: ...moving the cursor The measurement display color on the 2D image changes from green to blue after completion of the measurement 8 Press SET to anchor the end point of the measurement The measurement result is displayed in the Measurement result table 9 To assign a label to the measurement see page 252 10 Repeat steps 5 through 8 to make additional length measurements The measurements displayed on t...

Page 274: ...t display color on the 2D image changes from green to blue after completion of the measurement The area and circumference fields are displayed in the Measurement result table 8 Press SET to complete the measurement The current measurement results are instantly updated and displayed in the Measurement result table 9 To assign a label to the measurement see page 252 The measurements displayed on the...

Page 275: ...op Alternative Press CALIPER and VOLUME assignable 3 Press MEASURE on the Control Panel 4 Select Volume in the Measurement Menu see Figure 7 1 5 Trackball the cursor to the start point where a volume is to be measured See the Status bar to get the next step to perform 6 Press SET to anchor the start point of the measurement 7 Trackball the cursor to draw the length Use the trackball to outline the...

Page 276: ...configuration on page 338 for details about on how to enable it through configuration menu To perform a depth measurement 1 Generate the 2D image 2 Press FREEZE to stop the cineloop 3 Press MEASURE on the Control Panel See the Status bar to get the next step to perform 4 Press the assignable POINT to select the depth measurement function 5 Trackball the cursor to the position to measure The curren...

Page 277: ...ll the cursor to the measurement end point The current distance value is displayed in the Measurement 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 blue after completion of the measurement The measurement result is displayed in the Measurement result table 9...

Page 278: ...cursor 8 Press SET The measurement end point is anchored and the value is displayed in the Measurement result table A new free moving cursor is displayed on the image ready for the next measurement 9 Repeat steps 5 through 8 to measure 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...

Page 279: ...easurement result table The end point of the LVIDd is also the start point for the LVPWd 1 Trackball to the end point of the LVPWd measurement 2 Press SET The LVPWd measurement end point is anchored and the value is displayed in the Measurement result table 3 Repeat steps 5 through 2 to measure IVS LVID and LVPW in systole RV study The RV study consists of measurement in fixed time mode of Right v...

Page 280: ...e measured 2 Press FREEZE to stop the cineloop Alternative Press CALIPER on the con trol panel and press the POINT CALIPER assignable 3 Press MEASURE on the Control Panel 4 Select Point in the Measurement Menu 5 Trackball the cursor to the position to measure The current velocity is displayed in the Measurement result table and is instantaneously updated when moving the cursor The measurement disp...

Page 281: ...ls to optimize the Doppler signal 1 Generate the spectrum to be measured 2 Press FREEZE to stop the cineloop 3 Press MEASURE on the Control Panel Alternative Press CALIPER on the con trol panel and press the MANUAL TRACE assignable 4 Select Trace in the Measurement Menu A vertical green cursor is displayed on the spectrum 5 Trackball the cursor to the start point on the left side of the trace 6 Pr...

Page 282: ... result table Maximum and mean Velocities Maximum and mean pressures Env Ti Velocity time integral VTI 9 Trackball the cursor to the next heart beat 10 Press SET to anchor the next heart beat starting point The 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 FR...

Page 283: ...is on the rising slope of the R wave Event timing can be performed on a Doppler spectrum or an M Mode acquisition showing the corresponding valves The procedure is similar on both modes In addition event timing can be done on curved anatomical M Mode traces in Q Analysis The measurements are shown as dashed lines in the Analysis window and Anatomical M Mode window in Q Analysis 1 Generate the spec...

Page 284: ...mage represents the time to the maximum velocity within the chosen TSI search interval from TSI Start to TSI End See page 189 on how to set the TSI search interval There are two automatic TSI time to peak measurement tools Generic TSI Time to peak measurement displays the TSI value at the location point set by the user Segment TSI Time to peak measurement measures the time to peak velocity in spec...

Page 285: ... the 2D image see the Caution text on page 272 Figure 7 6 TSI Generic Time to peak measurement screen Segment Time to peak measurements 1 Acquire TSI loops from all three apical views 2 Press MEASURE and select TSI time study The TSI loop freezes at the TSI end frame The first measurement in the study is automatically selected see Figure 7 7 3 Place a point in the middle of the corresponding segme...

Page 286: ...x basal segment measurements Basal standard deviation the standard deviation of the time to peak measurements in the six basal segments Requires at least four of the six basal segment measurements All segments max delay difference between the maximum and minimum time to peak measurements in all the measured basal and mid level segments Requires at least eight of the twelve segmental measurements A...

Page 287: ...Time to peak measurement can be verified and eventually manually changed from the TSI trace 1 Double click on the measurement point The ROI and the corresponding TSI curve are displayed see Figure 7 8 2 Press SET to anchor the ROI and trace 3 If required select a new peak location in the trace 4 Click in the acquisition window to exit the TSI trace ...

Page 288: ... a myocardial segment A velocity trace is displayed in the Analysis window see Figure 7 9 3 Press MEASURE 4 In the Measurement menu select Generic and Time Note if Time is not available in the Generic folder press ACTIVE MODE on the Control panel 5 In the Analysis window measure the time from the yellow QRS marker to the peak velocity of the velocity trace 1 TSI ROI 2 TSI trace 3 TSI Time to peak ...

Page 289: ...ble to do a Generic or a Segment Time to peak measurement from within Q Analysis and compare the result with a manual Time to peak measurement To access to the corresponding measurement tool in Q Analysis you may have to press ACTIVE MODE to display the relevant Measurement menu 1 Time measurement tool 2 Sample area 3 QRS marker 4 Time to peak measurement ...

Page 290: ...h interval the Generic and Segment time to peak measurements return the time of the end of the TSI search interval In some cases the falling flank of an iso volumic contraction peak at the time of TSI Start or the rising flank of a post systolic contraction peak at the time of TSI End may be detected In a manual measurement the time to a peak within the TSI search interval with a lower velocity th...

Page 291: ...deformations in the myocardium The purpose of AFI is to provide the user with a decision support tool when reporting myocardial function AFI is performed on apical views in the following order apical long axis 4 chamber and 2 chamber view following an on screen guided workflow Figure 7 10 The result is presented as a Bulls Eye display showing color coded and numerical values for peak systolic long...

Page 292: ...Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Figure 7 10 AFI workflow APLAX 4 Ch 2 Ch Step Acquired views Defining a ROI Tracking validation AVC timing adjustment Parametric image result Review screen Trace and Bulls Eye result ...

Page 293: ...ll views The frame rate should be between 37 and 80 frames per second A high frame rate is recommended for high heart rate The scanner should be configured to store at least 100 ms before and after each heart cycle or The scanner should be configured to store 3 loops or more If the stored loop contains more than one heart cycle the analysis will be done on the second last heart cycle The entire my...

Page 294: ...APLAX view Defining a ROI When selecting the view to analyze the system automatically displays a frame where the endocardial border is usually clearly visible To use another frame adjust SELECT FRAME To define a ROI place three points at the endocardial border two annular points at the base and one at the apex Figure 7 12 Follow the indications displayed on the screen when placing the three points...

Page 295: ...g the apex point the ROI is displayed Figure 7 13 Note Correct ROI definition is important for accurate measurements The system has an adaptive ROI function using the endocardial three points as a guide the system will analyze the image and automatically adapt the ROI to an optimal position Figure 7 13 ROI Generation ...

Page 296: ...the ROI is updated accordingly Figure 7 14 Selected anchor point on the inner ROI border Note System may be configured so that data processing is started automatically if the cursor is not moved for a few seconds Figure 7 15 Note The auto processing function is configurable from Config Meas Text Advanced AFI AutoEF auto processing Figure 7 15 AFI auto processing configuration CAUTION If the ROI ne...

Page 297: ...e R R interval correctly Redraw Allows to go back to previous screen and re position the three points ROI Width May be adjusted to include more or less of the myocardial tissue that needs to be assessed by AFI Process Starts the speckle analysis of the tissue within the selected ROI Quick Tips Correct ROI definition is crucial to get good tracking Refer to the example displayed in the Tip window f...

Page 298: ... Rev 2 Apex Correct Wrong 1 Correct position of the Apex point 2 The apex point is placed too high The ROI is extending beyond the epicardium Apex Correct Wrong 1 Correct position of the Apex point 2 The upper right border of the ROI is way too much into the chamber cavity ...

Page 299: ...ollowing screen appears Bulges Correct Wrong 1 Correct ROI 2 ROI should not be bulging or follow the papillary muscle ROI Adjustment on page 284 General Correct Wrong The left ventricle must be visible through the entire cycle 1 End systole frame the entire left ventricle is displayed 2 End diastole frame the annulus is not displayed ...

Page 300: ...he heart cycle Recalc Allows to go back to previous screen in order to manually correct the ROI Approve Press Approve once the tracking quality has been validated 1 Display Quick Tips on tracking quality assessment 2 The ROI divided in segments 3 The Scoring table acceptable tracking unacceptable tracking 4 Bulls Eye icon Segments with yellow border segments being analyzed Green segments segments ...

Page 301: ... mainly the endocardium If the apex point is placed too high the ROI will mainly cover the epicardium resulting in poor tracking see example cineloops in the Quick tips Too small ROI width Narrowing the ROI too much will result in poor tracking due to lack of tissue data in the ROI see example cineloops in the Quick tips Too much clutter Images with too much static clutter will result in poor trac...

Page 302: ...al to accurate diagnosis The most important event timing is the aortic valve closure AVC since it is part of the definition of the peak systolic strain parameter Determination of the AVC timing by the system is as follow depending on the situation If AVC timing has been measured by the operator through an event timing measurement tool prior to running AFI the system is using this data If event tim...

Page 303: ...ual AVC setting Event timing to discard the manual AVC setting if for example the AVC setting was not possible to assess from the APLAX view The AVC event timing measurement will then be used Note This choice is only visible if AVC event timing measurement has been done Auto to discard the manual AVC setting and use the automatic AVC timing The Parametric systolic strain APLAX view is displayed Fi...

Page 304: ...he APLAX view AFI on A4 Ch and A2 Ch views The procedure for AFI on Apical 4 chamber and 2 chamber views is similar to the one used in the APLAX view Open the apical view from the clipboard Select the corresponding view in the View selection menu Figure 7 11 Define a ROI Defining a ROI on page 276 Tracking Validation Tracking Validation on page 283 Note the AVC timing setting defined in the APLAX ...

Page 305: ...as AVC timing calculation method when running AFI AVC Timing Adjustment on page 284 the strain values displayed in the Quad screen for the APLAX and 4 Chamber views may differ from the strain values obtained after the system has performed the final calculation from all three views The reason for this is that the Auto AVC calculation derived from all three views is most accurate and may be differen...

Page 306: ...bal Longitudinal Peak Strain GLPS is defined as the percentage of maximal contraction over the whole cardiac cycle of the entire myocardial wall relative to its end diastolic length Averaged global Peak strain value from all three apical view data AVC measurement either automatic event timing measurement or manual AVC Timing Adjustment on page 284 APLAX heart rate Bulls Eye presentation The Bulls ...

Page 307: ...AFI PSS PSI Mode Figure 7 15 Getting Results When approving the tracking in the Apical 2 chamber the Review screen with three Apical views and Bulls Eye is displayed Figure 7 20 Select Bulls Eye only to display the Single Bulls Eye screen Figure 7 22 Figure 7 20 Review Screen Figure 7 21 BE Traces Screen ...

Page 308: ... and answer Yes to the prompt Do you want to store Once the results are saved the measurements are available in the Worksheet and can be used in the report If the tracking quality of a segment was scored as Not acceptable the colorimetric display on the Bulls Eye is greyed Figure 7 23 Figure 7 23 Colorimetric display 1 Segment with tracking quality scored as Not acceptable ...

Page 309: ... marker and move it to a new position The position of the AVC marker can also be checked in the Bulls Eye and Traces screen If needed the APLAX view should be reprocessed to change the AVC time About the Results Be aware of the following Clinical assessments should be made based on both color and segmental Peak systolic strain values The Save As function is intended for research purposes and shoul...

Page 310: ...uble click on the Bulls Eye thumbnail A quad screen is displayed showing the three apical views and the Bulls Eye diagram 2 Select the view to reprocess and perform the analysis Acquisition on page 275 AutoEF Measurements Automated Ejection Fraction AutoEF is a semi automatic measurement tool used for measurement of the global EF Ejection fraction The AutoEF tool is utilized as optional decision s...

Page 311: ...an exam connect the ECG device and make sure to obtain a stable ECG trace 2 Acquire 2D grey scale cineloops of an Apical 4 chamber view and an Apical 2 chamber view The frame rate should be between 35 and 100 frames per second A higher frame rate is recommended for high heart rate The scanner should be configured to store at least 100 ms before and after each heart cycle If the acquisition has mor...

Page 312: ...ELECT FRAME To trace the endocardial border place three points at the endocardial border two annular points at the base and one at the apex Follow the indications displayed on the screen when placing the three points After placing the third point on the Apex an endocardial border will automatically be traced Figure 7 26 Note Correct border tracing is important for an accurate EF measurement The sy...

Page 313: ...f the endocardial border visually as best as possible 2 If required move the trackball cursor over the border trace select an anchor point red circle press SET and correct the trace by dragging the anchor point to a new location Figure 7 27 The shape of the border trace will update accordingly 3 In case you wish to start over press Redraw and re position the 3 points defining the basal and apex po...

Page 314: ...ssing is configured by default to start automatically if the cursor is not moved for a few seconds If the trace needs to be adjusted make sure to make the changes immediately after the ROI is displayed 1 Place the trackball cursor over the desired point 2 Selected point is marked by a red circle 3 Click over the red circle it will turn to a square 4 Move the square to re align the border trace ...

Page 315: ...igure 7 28 after measuring both 2 Ch and 4 Ch views The AutoEF pro cessed image runs slower than the originalloop speed In order to see the loop in correct play back speed exit au toEF The running loop is shown on the left A green dotted line marks the inner border of the chamber In case of poor tracking the system will automatically display parts of the border in red The system will automatically...

Page 316: ...e are several options If required press Layout softkey to enlarge the ES and ED frames and position them side by side Figure 7 29 You may manually select a different ED frame or ES frame using the ED frame or ES frame softkeys You may edit any misaligned point on either ED or ES frames This is done by a Placing the trackball cursor over the desired point b Clicking over the red circle it will turn...

Page 317: ...rom the annular region the border segments at the annular base will not move together with the underlying 2D image throughout the entire heart beat Erroneous placement of the apex point when defining the border The point should be placed so that the resulting border trace covers mainly the endocardium If the apex point is placed too high the border trace will mainly cover the epicardium resulting ...

Page 318: ...package Press Measure to exit AutoEF Whenever pressing Worksheet Patient or 2D the system closes the AutoEF package Before AutoEF closes a prompt appears Do you want to store the loop Click Yes to store the loop or No to discard it Note Do not disable any sub measurement of AutoEF using Config tab as this will disable the whole set of AutoEF measurements Figure 7 32 Results in worksheet ...

Page 319: ...Measurement and Analysis Vivid S5 Vivid S6 User Manual 301 R2424458 100 Rev 2 Figure 7 33 Results in the Report template ...

Page 320: ...splayed in the Measurement result table Stenosis 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 of the outer area of the blood vessel The area measurements and the Stenosis are displayed in the Measurement result table Volume The volume calculation ca...

Page 321: ...asurements The measurements and the corresponding A B Ratio are displayed in the Measurement result table Intima Media Thickness The Intima Media Thickness IMT is calculated based on automatic contour detection of the Intima and Media layers on a user defined search region along the vessel wall Multiple IMT measurements are made between pairs of intima and adventitia points along the wall Figure 7...

Page 322: ...OI length is also arbitrarily defined by the user Protocol defined Place an ROI with predefined length at a predefined distance offset from some vertical marker Both ROI offset and length are predefined by the user according to the user s protocol At any time the users may select if they wish to measure IMT by the protocol or by the arbitrary method IMT Measurement procedure The following procedur...

Page 323: ...ng on your requirement to operate the tool arbitrarily or by a fixed protocol 7 If Protocol is turned OFF place the cursor in the artery closer to the posterior wall and press SET to anchor the start of the search region Figure 7 36 left 8 Move the cursor parallel to the artery to define the end point of the search region Make sure the Intima and Media layers are within the search region indicated...

Page 324: ...ers are not within the search region the contour is not drawn Select double click and move the anchored points closer to the Intima layer Figure 7 36 IMT Measurement segment and traces 12 If the contour is not optimal the following assigned control may be adjusted to improve border detection TRACE FIT the traces are modified according to different threshold values If the contour is still not optim...

Page 325: ...Note When adjusting the offset for the ICA the offset values are negative as the ROI is located to the left of the vertical reference marker IMT trace approval Since the IMT measurements are done semiautomatically the operator has to approve the detection by visual inspection before storing the results in worksheet and report If the traces fit both layers of the intima media walls approve the meas...

Page 326: ...f the blood vessel 4 Make a distance measurement of the outer area of the blood vessel The distance measurements and the Stenosis are displayed in the Measurement result table A B Ratio In M Mode A B Ratio can be measured by diameter time or velocity 1 Press MEASURE on the control panel 2 Open A B Ratio in the Measurement menu 3 Select between Ratio Diam Ratio Time Ratio Velocity 4 Make the corres...

Page 327: ...rn on the automatically detected trace to display max and or mean trace Max and Mean commands display forward flow reverse flow or both flows Above Below and Both commands Setting up auto vascular calculation 1 Press MEASURE The Vascular measurement menu is displayed Figure 7 37 2 Press Auto and select between Live calculation displayed on the real time image Freeze calculation displayed on the fr...

Page 328: ...to vascular calculation 1 Perform the scan and press FREEZE The system performs the calculation automatically and the pre defined measurements and calculation are displayed in the Measurement result table 1 Selected vessel 2 Vessel location parameters 3 Manual auto calculation controls 4 Other vessels 5 Trace parameters 6 Selected measurements and calculation to appear in the Measurement result ta...

Page 329: ...lations To undo the assign ment press Cancel transfer The Measurement result table is updated accordingly and the measurements and calculations are added to the worksheet and report Manual vascular calculation When doing manual measurements the system can detect the trace automatically or it can be drawn by the user This is controlled by the Auto and Manual commands is the Measurement menu The fol...

Page 330: ...ult table Peak systole PS End diastole ED and Mid diastole MD 1 Select PS ED or MD 2 Position the caliper at the corresponding measurement point and press SET to complete the measurement The selected measurement is displayed in the Measurement result table Pulsatility index PI With Auto trace on 1 Select PI 2 Position the caliper at the beginning of the wave form and press SET to anchor the calipe...

Page 331: ... caliper at end diastole and press SET The Peak systole End diastole and RI are displayed in the Measurement result table TAMAX TAMEAN Volume Flow With Auto trace on 1 Select TAMAX TAMEAN or Volume Flow 2 Position the caliper at the start point and press SET to anchor the caliper 3 Position the second caliper at the end point and press SET to anchor the caliper and complete the measurement A trace...

Page 332: ...lations study is common to all applications See Starting the Assign and Measure modality on page 248 for more information Pediatric Hip PedHip This section describes Pediatrics 2D Mode measurements Figure 7 38 Pediatrics B Mode Measurement Top Sub Menu The following generic measurements are common to other exam applications Stenosis Volume Angle A B Ratio See 2D Measurements on page 255 for more i...

Page 333: ... angle between 1 and 3 It characterizes the osseous convexity The ß Beta angle is the angle between lines 1 and 2 It characterizes the bone supplementing additional roofing by the cartilaginous convexity Making Hip Dysplasia Measurement To make a Hip Dysplasia measurement 1 From the Top Sub Menu select either the right or left side orientation and then select HIP A horizontal dotted line displays ...

Page 334: ...ion the crosshairs edge at the osseous convexity of the ilium 3 To rotate or change inclination adjust the Ellipse control or Hip Rotate 4 To fix the baseline press SET The system displays a second dotted line at an angle 5 To place the caliper along the acetabular roof line move the Trackball 6 To rotate or change inclination adjust the Ellipse control or Hip Rotate 7 To fix the second measuremen...

Page 335: ...ting patient by following the procedure Starting an examination on page 95 Note Use Other ID if relevant For further information see Using other ID on page 99 2 When the Search Create Patient screen appears the Category field should be preset to Obstetrics Change it if required 3 Enter or validate the patient s Last name First name ID and birth date or age 4 Click the Create Patient softkey 5 To a...

Page 336: ...lash and the digits 20 as the first digits of the year EDD by LMP Estimated Delivery Date by LMP the system fills in the date after you enter the LMP GA by LMP Gestational Age by LMP the system fills in the age after you enter the LMP EDD If you click on the EDD by LMP button it will change into EDD When you fill in the EDD Estimated Delivery Date the system calculates and fills in the LMP and the...

Page 337: ...ated GA instead of LMP click on the GA button just to the left of the GA field and type in Fetus number Number of fetuses default is 1 possible values are 1 4 Gravida Number of pregnancies Para Number of births AB Number of abortions Ectopic Number of ectopic pregnancies Accession Exam number used with hospital information system DICOM This is a tracking number from the worklist Ref Doc The physic...

Page 338: ...he keyboard Select PATIENT or FREEZE on the control panel Select 2D MODE on the control panel The Scan screen appears Setting patient information on the image Title bar In case you wish to display some OB data on the image header such as LMP or GA the system can be configured to display this information 1 Select CONFIG Imaging Global 2 Select Title Bar Line 1 or Line 2 to select the relevant infor...

Page 339: ...tal Heart OB GYN Vessel Note The selection of the OB preset will not only optimize the imaging but will also bring up the proper M A package for that particular application The parameter contents of each of the applications are configurable by the operator Following are the factory presets for each of the applications OB1 application The measurements available by default for OB1 are OB2 3 applicat...

Page 340: ...alculations Introduction Comment Measurements and calculations derived from ultrasound images are intended to supplement other clinical procedures available to the attending physician The accuracy of measurements is not only determined by the system accuracy but also by use of proper medical protocols by the user When appropriate be sure to note any protocols AC Hadlock HC Hadlock BPD Hadlock FL H...

Page 341: ...efore you make the measurement The following pages describe how to make OB measurements and calculations The measurements are organized by mode and within mode are listed in alphabetical order Out of range If the system indicates that a measurement is out of range OOR it means one of the following The measurement is out of the normal range based on the gestational age that is calculated from the L...

Page 342: ...d active caliper at the end point move the Trackball A dotted line connects the measurement points 4 When the second caliper is moved the measurement box displays the current value of the measured parameter and the corresponding age in weeks days 5 To complete the measurement press SET A checkmark will appear by the measured parameter The second caliper is anchored and a third caliper is available...

Page 343: ...yboard Single Length parameter measurement To measure one of the Single length parameters shown in Table 7 3 above follow the procedure Single diameter parameter measurement on page 324 Circumference parameter measurement When selecting one of the Circumference parameters shown in Table 7 4 above the system will automatically provide an Ellipse tool to perform the measurement Table 7 3 Single leng...

Page 344: ...en ready press SET A third caliper will appear along the second axis of the ellipse 7 Use the trackball to control the length of the minor axis of the ellipse 8 Press SET to anchor the third caliper The system displays the parameter s circumference and estimated age in the Results Window Editing Ellipse measurements 1 While the measurement is on the screen trackball the cursor to one of the anchor...

Page 345: ...nd press FREEZE 1 Activate M A and select GS Hellman An active caliper appears To position the active caliper at the start point move the Trackball To fix the start point press SET The system fixes the first caliper and displays a second active caliper To position the second active caliper at the end point move the Trackball A dotted line connects the measurement points To complete the measurement...

Page 346: ...estational sac measurement in the Results Window It displays the three diameters d1 d2 and d3 In addition it shows the average diameter GS and the corresponding estimated age Amniotic Fluid Index AFI To calculate the amniotic fluid index you make measurements of the four quadrants of the uterine cavity The system adds these four measurements together to calculate the Amniotic Fluid Index Note The ...

Page 347: ...surement of the first quadrant is completed unfreeze and move to the second quadrant 4 After you obtain the image press FREEZE and then MEASURE The system prompts you to continue with the AFI measurements Make sure that the next quadrant has been selected 5 Perform a standard distance measurement for the second third and fourth quadrants see step 2 above 6 When all four quadrants have been measure...

Page 348: ...s have been made Note For a description of any of the required measurements refer to that measurement M Mode measurements There are no special tools for OB other than the general M Mode measurement tools found under all applications Doppler Mode Measurements You can use Doppler mode to study fetal blood flow in the heart umbilical cord placenta and middle cerebral arteries OB GYN Doppler mode also...

Page 349: ...io Acceleration AT TAMAX Pulsatility Index PI Heart Rate Volume Flow TAMEAN PV Figure 7 45 Doppler Mode Measurements To select OB GYN vessel measurements OB GYN Vessel measurements use the auto sequence feature With this feature when you select a folder for the vessel you want to measure the system automatically starts ...

Page 350: ...he last measurement is complete the system returns to the first measurement Your system is set up to show the measurements that you usually make for each vessel To make a measurement that is not shown for the selected vessel 1 Select the folder for the vessel you want to measure 2 Select Show All The system displays all possible vessel measurements 3 Select the desired measurement Detailed explana...

Page 351: ...countries use different sets of OB charts The system supports OB charts from USA Europe Osaka Tokyo and ASUM 1 Press CONFIG 2 Select MEAS TEXT 3 Select the Advanced tab 4 Set the M A category to Obstetrics 5 Locate the parameter OB Type in the upper pane and click on the region A menu opens listing the region names Figure 7 46 Region name menu USA OB 1 Folder contents ...

Page 352: ...Measurement and Analysis 334 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 OB 2 3 Folder contents OB General Folder contents Europe OB 1 Folder contents ...

Page 353: ...Measurement and Analysis Vivid S5 Vivid S6 User Manual 335 R2424458 100 Rev 2 OB 2 3 Folder contents Osaka Osaka Folder contents ...

Page 354: ...asurement and Analysis 336 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Tokyo Shinozuka Folder contents JSUM Folder contents EFW Osaka Folder contents EFW Tokyo Folder contents EFW1 S Folder contents ...

Page 355: ...Measurement and Analysis Vivid S5 Vivid S6 User Manual 337 R2424458 100 Rev 2 EFW2 S Folder contents EFW3 S Folder contents EFW JSUM Folder contents ASUM ASUM 2001 Folder contents ASUM Folder contents ...

Page 356: ...ions are displayed on screen Measurement package configuration example Calculation of Cardiac Output by Aortic Flow requires measurement of AV diameter located in the folder Dimension 2D mode AV VTI located in the folder Aortic Doppler AV Trace Heart rate If a calculated parameter e g AV CO in AV Trace measurement requires another parameter to be calculated e g AV Diam the user must first measure ...

Page 357: ...n 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 box in front of AV Trace The AV Trace measurement is displayed in the folder Aortic in the Measurement menu Figure 7 47 Configuration of the Measurement menu 1 Select the scanning mode for the measurement to add to the Measurement menu ...

Page 358: ...asurements and calculations for the selected folder is displayed in the Measurement menu sheet Note Entries in green are calculated measurements 3 In the Measurement menu sheet double click on the AV Trace measurement A list of all available measurements and calculations for the AV Trace measurement is displayed in the Measurement menu sheet 4 Check the box in front of AV CO The AV CO calculation ...

Page 359: ...e 7 48 2 In the Measurement menu browse to the measurement of interest The parameters for the selected measurements are displayed in the Measurement menu sheet Note to change Measurement category press the Heading in the Measurement menu and select another Measurement category 3 Select in the Normal value column The Normal value window is displayed 1 Measurement category 2 Selected measurement 3 P...

Page 360: ...type Range Above or Below Type in the Normal value Optionally enter a reference for the Normal value 5 Select OK The Normal value is displayed in the Measurement menu sheet To display Normal values and references in the Report the Report template must be configured to show Normal values see page 340 Measurements outside the Normal value are highlighted in the Report ...

Page 361: ...veral 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 you may select an existing appropriate folder Add the measurement s needed for the formula to the user defined or existing folder Create the formula based on the added measurements The following proc...

Page 362: ...ext 2 MCO and AVET are Doppler measurements select Doppler in the Measurement menu sheet 3 Select Add folder 4 Give the folder a name e g My Folder Adding measurements Figure 7 51 The Measurement menu sheet 1 Select the user defined folder e g My Folder in the 1 Select the appropriate scanning mode 2 Create a folder in the Measurement menu 1 Select the user defined folder 2 Press Add measurement ...

Page 363: ...The Add measure window 3 MCO and AVET 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 to add the AVET measurement Creation of the formula Figure 7 53 The Measurement menu sheet 1 Select the last measurement 2 Double click and enter the formula name 3 Select to create the formula ...

Page 364: ...indow 5 Select from the Operators drop down menu 6 In the Doppler drop down list select MCO My Folder MCO Make sure to select the measurement located in the user defined folder e g My Folder 7 Select from the Operators drop down menu 8 In the Doppler drop down list select AVET My Folder AVET 9 Select from the Operators drop down menu 10 Select from the Operators drop down menu 11 In the Doppler dr...

Page 365: ...rements Figure 7 55 The Measurement menu sheet 1 Press CONFIG and select the category Meas Text 2 In the Measurement menu sheet select the appropriate scanning mode for the measurement to be created e g 2D 3 Select the appropriate folder in the Measurement menu e g Dimension 4 Press Add Measurement in the Measurement menu sheet The Add measure window is displayed Figure 7 56 The Add measure window...

Page 366: ... 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 Length If desired change the unit and the number of decimals for the measurement by double clicking the values under Unit and Precision see also About units on page 349 1 Enter a name for the measurement 2 Select...

Page 367: ...one automatically Example a user wants to add a regression formula for estimating a length B from a measured length A both in cm The formula is B 2 4 1 1 A As A is a measurement value the system will enter the formula in the SI unit for length m The formula expects A in cm and to get that A must be multiplied by 100 B 2 4 1 1 A 100 The formula now gives B in cm Converting the output from cm to the...

Page 368: ...tive unit Time s Ratio Frequency bpm Angle rad Distance m Velocity m s Acceleration m s2 Area m2 Volume m3 Volume flow m3 s Pressure mmHg Pressure time mmHg s Mass kg Other The correct SI unit for pressure is Pa but here mm Hg was used as base unit as it is a standard pressure unit to use in medicine ...

Page 369: ...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 Use the Move Calc Win softkey located under More to move the Measure ment result table from corner to cor ner on the Acquisi tion window 1 Trackball to the symbol on the heading of the Measurement result table see Figure 7 58 2 Press SET to grab t...

Page 370: ...Analysis 352 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Deleting measurements 1 Trackball to the measurement to delete in the Measurement result table and press SET A menu is displayed 2 Select Delete Measurement ...

Page 371: ...te or print data independently of a report All measurements and calculations taken during the examination can be viewed at any time using the worksheet Overview Figure 7 59 The Worksheet screen Cardiac 1 Measurement type 2 Measurement parameter 3 Value Averaging Max Min or Last 4 Measured calculated values 5 Value type 6 Measurement type selection ...

Page 372: ...re 7 60 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 of measurements for a parameter can be excluded when doing average calculation To exclude a measurement 1 Trackball to the measurement value to exclude 2 Press UPDATE MENU The Worksheet menu is disp...

Page 373: ...e changed 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 automatic calculation 1 Trackball to the relevant cell in the Method column 2 Press SET A pop up menu is displayed showing the different calculation options available Figure 7 60 3 Press SET The value i...

Page 374: ...ual R2424458 100 Rev 2 OB worksheet The OB Worksheet lists patient information and all measurement and calculation data To view the OB Worksheet press Worksheet Figure 7 61 The OB worksheet 1 Patient data 2 Measurement information 3 Calculation information ...

Page 375: ...sPos type information about the fetus position PLAC type information about the placenta Measurement information This section lists the results of all measurements CUA or AUA If this field is checked the system uses the measurement to calculate the ultrasound age Value The measured value If more than one measurement was made for an item the system uses the specified method average maximum minimum o...

Page 376: ...r press Select GP Select the desired source The remaining calculation information shows ratios for several measurements and the Cephalic Index CI The worksheet shows if any of the ratios are out of range OOR Out of range indicates one of the following The measurement is out of the normal range based on the gestational age that is calculated from the LMP The system determines OOR from the ultrasoun...

Page 377: ... of graphs Fetal Growth Curve graphs show one measurement per graph These graphs show the normal growth curve positive and negative standard deviations or applicable percentiles and ultrasound age of the fetus using the current measurement For multi gestational pregnancies you can show curves for all fetuses If previous exam data is available the graph can show fetal trending Fetal Growth Bar grap...

Page 378: ...ght g The Fetal Growth Curve Graph shows the following information for the selected measurement The normal growth curve The standard deviations or relevant percentiles The gestational age of the fetus using patient data vertical dotted line Using the current ultrasound measurement data where the fetus is on the growth curve From the OB graphs screen the user can enter relevant information in the F...

Page 379: ...ts see Figure 7 63 Move the Trackball to select the desired measurement and press SET The system displays the Fetal Growth Curve Graph for the selected measurement To scroll through all Fetal Growth Curve Graphs adjust the Graph Change control Figure 7 63 Fetal growth measurement type To select the age to use To plot the fetus age the system allows you to use the gestational age GA from the LMP or...

Page 380: ...showing the new value entered This information is also updated in the Patient information window In addition the EDD LMP is updated to EDD GA with new calculated value To view a single or four graphs You can view either a single Fetal Growth Curve Graph or you can view four graphs at the same time To select each view press Single or Quad on softkey button Figure 7 64 Fetal Growth Curve Graph Quad ...

Page 381: ...ays the Fetal Growth Curve Graph for the selected measurement To scroll through all Fetal Growth Curve Graphs adjust the Graph Change control Figure 7 65 Changing a chart in quad view To edit patient data When you are working with graphs you can change or enter the following patient data GA LMP this field is computed using the LMP date on the Patient Data Entry screen To change this field Note You...

Page 382: ... position PLAC type information about the placenta Note To return from a graph to the scan display press Worksheet or Freeze Fetal Trending When you have ultrasound data for more than one exam for a patient you can use the data to look at fetal trending on the Fetal growth curve graphs Fetal trending requires that a LMP value is entered in the Patient information screen 1 Press Worksheet 2 Press G...

Page 383: ...Growth Bar Graph Graph description The horizontal axis shows the gestational weeks The red vertical line shows the gestational age using the patient data The blue dotted vertical line shows the ultrasound age using the current measurements The yellow x shows the ultrasound age for each measurement The green rectangle shows the normal age range for the measurement You cannot do fetal trending or vi...

Page 384: ... Press the Begin Exam softkey to continue with the exam and get a scanning screen Note You may also press the 2D mode button to continue with the scanning To identify each fetus For measurements calculations and worksheet displays the system labels each fetus A B C or D Each fetus is identified by a letter and the total number of fetuses For example fetus A 3 is fetus A from a total of 3 When scan...

Page 385: ...ses at any time during the exam Note After you change to the next fetus any measurements you make are recorded and reported to that fetus If you have any active measurement or calculation that is not completed when you change the fetus the system cancels the measurement or calculation To compare multiple fetus data on a worksheet With multiple fetuses you can list and compare measurements of the f...

Page 386: ...rowth curve graphs After you have made measurements for each fetus select Graph Display To view the graph for each fetus do one of the following Adjust the Fetus selection In the Patient Data section move the Trackball to highlight the FetusNo field Then in the list of fetuses move the Trackball to select the fetus you want and press SET To display data for multiple fetuses on the same graph selec...

Page 387: ...t and Analysis Vivid S5 Vivid S6 User Manual 369 R2424458 100 Rev 2 Figure 7 71 Fetal Growth Curve Graph Fetus Compare The legend at the bottom of the graph shows the symbols and colors that represent each fetus ...

Page 388: ...ta placenta and descending aorta Note The calculation formulas are listed in the Advanced Reference Manual To Start a Gynecology Exam To begin a gynecology exam you enter patient data or if the patient data from a previous exam is saved in the system find the patient information For details about how to start an exam see Performing an OB exam on page 317 After you complete the patient information ...

Page 389: ...UV L UV H or UV W An active caliper displays 3 Perform a standard distance measurement To position the active caliper at the start point move the Trackball To fix the start point press SET The system fixes the first caliper and displays a second active caliper To position the second active caliper at the end point move the Trackball A dotted line connects the measurement points To complete the mea...

Page 390: ...d distance measurement To position the active caliper at the start point move the Trackball To fix the start point press SET The system fixes the first caliper and displays a second active caliper To position the second active caliper at the end point move the Trackball A dotted line connects the measurement points To complete the measurement press SET The system displays the distance value in the...

Page 391: ... position the second active caliper at the end point move the Trackball A dotted line connects the measurement points To complete the measurement press SET The system displays the distance value in the Results Window After the first and second measurement the system displays an active caliper 5 To make the second and third distance measurements repeat step 4 above The three distances will display ...

Page 392: ...rics exam These measurements include stenosis A B ratio and heart rate For details regarding these measurements see M Mode Measurements on page 308 Doppler Mode Measurements Doppler measurements for the Gynecology exam are identical to Doppler measurements for the Obstetrics exam These measurements include the following vessels uterine ovarian umbilical middle cerebral artery aorta placenta and de...

Page 393: ...mple area dynamic anchored sample area 387 Zooming in the Analysis window 388 Deletion of a trace 389 To delete all traces 389 To delete one specific trace 389 Saving retrieving Quantitative analysis 389 Frame disabling 390 Disabling frames 390 Re enabling all frames 390 Optimizing sample area 392 Reshaping a sample area 392 Labelling a sample area 393 Optimizing the trace display 394 Optimizing t...

Page 394: ...Quantitative Analysis 376 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Anatomical M Mode 399 Introduction 399 Using Anatomical M Mode 399 ...

Page 395: ...rbitrary Curved anatomical M Mode For Tissue Tracking Multiple tissue displacement trace display from selected segments in the myocardium Arbitrary Curved anatomical M Mode For Strain Rate Multiple Strain rate Rate of deformation s 1 trace display from selected segments in the myocardium Arbitrary Curved anatomical M Mode For Strain Multiple Strain extend of tissue deformation trace display from s...

Page 396: ... an examination and recall a TVI or contrast loop 2 Press the assignable Q ANALYSIS The Quantitative Analysis screen is displayed see Figure 8 1 In live 1 Press FREEZE Note if in 2D mode outside a contrast application press ALT and MORE assignable 2 Press the assignable Q ANALYSIS The Quantitative Analysis screen is displayed see Figure 8 1 ...

Page 397: ...titative Analysis window Overview Figure 8 1 The Quantitative analysis window here with TVI data 1 Color cineloop window 2 Tissue cineloop window 3 Analysis window 4 Sample Area 5 Time at cursor position and velocity at cursor position 6 Trackball Assignments 7 Sample area tools 7 ...

Page 398: ... by pressing UPDATE MENU when the QA trackball cursor is within one of the Cineloop windows Delete all Sample areas removes all traces at once Disable frameb the current frame is excluded from the cineloop display Set Sample area Shapea enables resizing of a selected sample area by setting height width and tilt angle The trackball marker must be pointed at an anchored sample area Label Sample area...

Page 399: ... velocity TVI displacement Tissue Tracking percent deformation Strain deformation rate Strain rate or intensity Contrast trace The sample area is color coded the first sample area is yellow the second green etc Sample area tools creates a sample area based on freehand drawing creates a sample area with a pre defined circular elliptic shape configurable see page 392 1 ...

Page 400: ...ded Tissue Tracking Displays tissue displacement trace 1 Y axis displacement scale mm 2 X axis time s 3 ECG with Tracking start and Tracking end markers 4 Time at cursor position 5 Displacement at cursor position 6 Displacement at frame marker position color coded Strain rate Displays Strain rate trace rate of deformation s 1 1 Y axis s 1 2 X axis time s 3 ECG 4 Time at cursor position 5 Strain ra...

Page 401: ...Strain Displays Strain trace extent of tissue deformation 1 Y axis percent displacement 2 X axis time s 3 ECG with Strain start and Strain end markers 4 Time at cursor position 5 deformation at cursor position 6 deformation at frame marker position color coded 1 2 3 4 5 2 3 6 ...

Page 402: ...tion Horizontal scale set horizontal unit as time s or time interval dt between frames Vertical auto scaling selects between full unit range or a range according to the maximum and minimum values of the displayed trace s Vertical unita toggles between logarithmic dB and linear acoustical units AU Line style selects between solid line only or solid line with square markers at each data point Smooth...

Page 403: ...ual 385 R2424458 100 Rev 2 The Trackball assignments QA Pointing tool in Quantitative analysis mode Scroll Speed When the cineloop is stopped enables scrolling through the cineloop When the cineloop is running enables control of the cine replay speed ...

Page 404: ...e defined sample area The shape of the pre defined sample area is configurable see page 392 1 If the Trackball assignment is not on QA press TRACKBALL until QA is highlighted The trace and sam ple area are col or coded First generated trace is yellow second green etc 2 If necessary select the sample area Shape button 3 Trackball to one of the Cineloop windows The trackball cursor is changed to a s...

Page 405: ...sample area over a region of interest Note the anatomical location of the sample area 2 Using the trackball scroll to a new frame 3 Press TRACKBALL until the QA trackball assignment is selected 4 Trackball to the sample area 5 Press SET The sample area is unanchored 6 Drag the sample area to the corresponding anatomical location in the new frame In the original frame and this par ticular frame the...

Page 406: ...assignment is selected 4 Trackball to the sample area to move in one of the Cineloop windows 5 Press SET The sample area is unanchored 6 Drag the sample area to a new location 7 Press SET to anchor the sample area to the new location Zooming in the Analysis window 1 In the Analysis window press and hold down the SET key while dragging the trackball cursor to define the zooming area 2 Release the S...

Page 407: ...l to Delete all traces 4 Press SET To delete one specific trace 1 If necessary press TRACKBALL until the QA trackball assignment is selected 2 Trackball to the sample area to delete 3 Press UPDATE MENU in the trackball area on the control panel The System menu is displayed 4 Trackball to Delete trace 5 Press SET to perform deletion Saving retrieving Quantitative analysis 1 Press IMAGE STORE to sav...

Page 408: ... to disable The frame markers turn red ECG triggered frame disabling In a multi cycle acquisition the user may deselect all frames in all heart cycles but a selected one This function can be used for example to select a particular systolic frame for each heart cycle 1 Scroll through the cineloop to identify the cardiac phase to analyze or identify the cardiac phase on the ECG trace 2 Trackball to ...

Page 409: ...Vivid S6 User Manual 391 R2424458 100 Rev 2 All previously disabled frames are re enabled Figure 8 2 Frame disabling 1 Analysis window 2 Frame marker axis 3 Enabled frame green marker 4 Disabled frame red marker 5 ECG 6 Current frame ...

Page 410: ...to the sample area to reshape 3 Press UPDATE MENU in the trackball area on the control panel The System menu is displayed 4 Trackball to Set Sample area shape 5 Press SET A Dialogue window is displayed where the user can adjust the height the width and the angle of the sample area see Figure 8 3 Figure 8 3 The sample area reshaping window 6 Drag the sliders to adjust the shape of the sample area a...

Page 411: ...e assignable SET DEFAULT to keep the settings as default Labelling a sample area The sample area label is used to identify data associated to the sample area when exporting to a spreadsheet program 1 If necessary press TRACKBALL until the QA trackball assignment is selected 2 Trackball to the sample area to label 3 Press UPDATE MENU in the trackball area on the control panel The System menu is dis...

Page 412: ...ved or delayed updated when the sample area is anchored Setting the auto scaling function 1 If necessary press TRACKBALL until the QA trackball assignment is selected 2 Trackball to the Analysis window 3 Press UPDATE MENU in the trackball area on the control panel The System menu is displayed 4 Trackball to Vertical auto scaling 5 Press SET The Vertical autoscaling menu is displayed Figure 8 5 The...

Page 413: ... UPDATE MENU in the trackball area on the control panel The System menu is displayed 4 Trackball to Vertical unit 5 Press SET The Vertical unit menu is displayed Figure 8 6 The Vertical unit menu 6 Trackball to the desired option 7 Press SET Trace smoothing The system can smooth the traces displayed by applying a filter over a defined time window The type of filter available is depending on the an...

Page 414: ...Quantitative Analysis 396 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 4 Select Smoothing The Smoothing menu is displayed 5 Select a smoothing filter The trace display is updated ...

Page 415: ...esired mode TVI Tissue Tracking Strain rate or Strain The Soft menu and assignables are updated accordingly To switch trace 1 If necessary press TRACKBALL until the QA trackball assignment is selected 2 Trackball to the Analysis window 3 Press UPDATE MENU in the trackball area on the control panel The System menu is displayed 4 Trackball to Analysis signal 5 Press SET The Analysis signal menu is d...

Page 416: ...heart cycles The number of averaged cycles is displayed on the top left corner To apply cine compound 1 Using the Soft menu rocker adjust the number of heart cycles to average The traces are updated showing averaged data The number of heart cycles averaged is displayed on the top left corner 2 Press the assigned key CC Zoom to display the last recorded heart cycle 3 Press CC Zoom again to unzoom ...

Page 417: ... of the path 4 Trackball to the location for the next anchoring point of the path To edit a path under construction trackball back ward and retrace the path 5 Press SET to anchor the point A path with two anchor points will give a straight anatomical M Mode profile By creating more than two anchor points the user can bend the path and obtain a curved anatomical M Mode profile 6 To end the trace pr...

Page 418: ...ntitative Analysis 400 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Figure 8 8 The anatomical M Mode display here TVI data 1 Cineloop window 2 Analysis window 3 Path anchor point 4 Time scale 2 3 4 1 3 ...

Page 419: ...g Anatomical M Mode Edition of the curve The drawn Anatomical M Mode path can be edited by moving the anchor points To move an anchor point 1 Trackball to anchor point to move 2 Press SET 3 Trackball the anchor point to a new position 4 Press SET to anchor the point to its new location ...

Page 420: ...Quantitative Analysis 402 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 421: ...ved information 422 Moving examinations 424 Review images in archive 426 Review the images from a selected examination 426 Select images from the Image list screen 427 Connectivity 431 The dataflow concept 431 Stand alone scanner scenario 434 A stand alone scanner and a stand alone EchoPAC PC environment 435 A scanner and EchoPAC PC in a direct connect environment 437 A scanner and EchoPAC PC in a...

Page 422: ... the Disk management function 465 Running the Disk management function 468 Data Backup and Restore 471 DICOM spooler 479 Starting the DICOM spooler 479 Database import from Vivid 3 or Vivid 4 482 Transfer Procedure 482 Installing the Vivid 3 4 Data Viewer 485 Using the Vivid 3 4 Data Viewer 488 ...

Page 423: ... integrated patient archiving system for data and image storage The Vivid S5 Vivid S6 ultrasound unit enables also storing of data and images to external databases Image Vault Magneto Optical MO disk CD R or DVD R The patient and image archives are set by the selected dataflow see page 616 about available dataflows and default dataflow selection CAUTION Do not use the internal hard drive for long ...

Page 424: ... 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 408 Figure 9 1 The Clipboard on the scanning screen CAUTION Do not use the internal hard drive for long term image storage External storage media or network based server solution is recommended for image archive CAUTION If working o...

Page 425: ...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 any mode press FREEZE 2 Press the Assignable CINELOOP 3 Determine the best cineloop to store using the assignables see page 110 for further information on cineloop operation 4 Press STORE The cineloop is stored and a thumbnail is ...

Page 426: ...n the screen but not stored 2 If desired press CINELOOP and adjust the cineloop to be stored using the assignables see page 110 3 Press STORE to save the cineloop A thumbnail is displayed on the clipboard Saving images and cineloops to a standard format Images and cineloops can be saved to a removable media or a shared network folder in the following standard formats Still images JPEG MPEG DICOM a...

Page 427: ...lect the desired removable media from the Save in archive pull down menu 6 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 follow the DICOM standard 7 Select between Store image only saves the image or cineloop only Store secondary capture creates a still image of the image area and the Title bar ...

Page 428: ...ge in JPEG format MPEG saves the still image or cineloop in MPEG format AVI saves the cineloop in AVI format HDF saves the image or cineloop in HDF Hierarchical Data Format HDF is a portable data format for exchange of scientific numerical and graphical data More information about HDF format at http hdf ncsa uiuc edu A tool for viewing HDF files can be downloaded from http hdf ncsa uiuc edu hdf ja...

Page 429: ...ing the images Creating an MPEG exam using the Export function MPEGVue Refer to Exporting patient records examinations on page 452 Creating a MPEGVue exam usingan eVue dataflow The dataflow must be configured before first 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 Loca...

Page 430: ...the options as required 7 Select OK and press CONFIG To create an MPEG exam using an eVue dataflow 1 Press ARCHIVE The Search Create patient window is displayed 2 Select the dataflow Local Archive Int HD eVue or Remote Archive Remote 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 the destination set during the conf...

Page 431: ... user ID and password Figure 9 6 The Operator login window The unit can be con figured to automati cally generate a patient ID see page 626 2 Press Log on when completed The Archive entry screen is displayed Figure 9 7 Figure 9 7 Archive entry screen 3 Click the Create New Patient button The Search Create patient window is displayed Figure 9 8 4 Type the patient Last Name and or ID Note Use Other ...

Page 432: ...e database The result of this search is displayed in the Patient list field 5 Trackball to the actual patient and press the Trackball SET key The patient record is highlighted 6 Press SELECT PATIENT Or 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 9 10 CAUTION Do NOT use or in patient i...

Page 433: ... headings to sort the list accordingly 2 Select new archive and other pre defined services 3 Extended menu 4 Select the column heading border and drag to adjust column width 5 Expended Patient record displaying belonging examinations The Search Create patient window may be slightly different depending on the Dataflow selected ...

Page 434: ...filters see Figure 9 9 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 Patient list when the automatic search function is turned on Note Use Other ID if relevant For further information see Using other ID on page 99 Sorting data The search result can be sorted according to the fields displayed in the patient...

Page 435: ...ist is sorted in descending order according to the field selected Figure 9 9 The extended Search Create Patient window 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 display the Advanced search tool as default see page 626 4 Select the column heading border and drag to adjust column width 5 Expended Pat...

Page 436: ... archived data Selecting a patient record from the patient list 1 In the Search Create patient window 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 diagnosis information related to the selected patient see Figure 9 10 Figure 9 10 The Examination list...

Page 437: ...Insert Text over the actual field 2 Press SET The Insert text window is displayed see Figure 9 11 The pre defined text list is organized in a three level hierarchy Selecting one item in the first column displays 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 ...

Page 438: ...d 3 Double click the code to enter The selected code is displayed in the Examination list window Figure 9 12 Entering Diagnosis codes Deleting an entered Diagnosis code 1 In the Examination list window select Code see Figure 9 10 The Entered Code window is displayed 2 In the Entered Code window select the code to delete and press Delete Creating a Diagnosis code 1 In the Examination list window se...

Page 439: ...ify 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 images for that patient is not updated If the images are still in the buffer and not yet archived the image files are updated if you modify any patient information but not if the images are archived So if any of these images are later on exported to DICOM media or DICOM s...

Page 440: ...lete in the Search Create Patient window A dialogue box is displayed asking for confirmation of the deletion Figure 9 13 7 Trackball to OK and press SET on the control panel Figure 9 13 Delete patient record confirmation prompt To delete an examination 1 Press PATIENT on the Front panel 2 Select Patient List The Search Create Patient window is displayed Figure 9 8 page 415 3 Type the patient Last ...

Page 441: ... Search Create Patient window is displayed 3 Type the patient Last Name and or ID 4 Trackball to the required patient to highlight the record 5 Press the trackball SET button The Examination list window is displayed 6 Trackball to the actual examination in the Examination list window 7 Press the trackball SET button 8 Press REVIEW The images for the selected examination are displayed on the Review...

Page 442: ...n the control panel The image is deleted Moving examinations An examination can be moved from one patient record to another This feature should only be used if an examination was performed and stored to a wrong patient record 1 In the Search Create Patient window press in front of the patient record containing the examination s to move see Figure 9 8 page 415 2 Select the examination to move 3 Pre...

Page 443: ...atient record 6 Press Move Exam A warning message is displayed asking the user to confirm the action to perform see Figure 9 16 Figure 9 16 Moving examination prompt 7 Trackball to OK and press SET An information window is displayed to confirm the operation 8 Press OK CAUTION Make sure that the patient record selected is correct ...

Page 444: ...d by examination sessions for the actual patient Review the images from a selected examination 1 In the Examination list window see Figure 9 10 page 418 trackball to the actual examination 2 Press SET on the control panel to highlight the examination 3 Press REVIEW on the control panel The stored images for the selected examination are displayed in the Review screen see Figure 9 17 To analyze imag...

Page 445: ...s for a selected patient record If images are stored on multiple removable media they have to be restored to the local hard drive prior to review as described below 1 In the Examination list window see Figure 9 10 page 418 press Image list The Image list screen is displayed see Figure 9 20 showing thumbnails of stored images for the actual patient sorted by examination 1 Page number 2 Selected ima...

Page 446: ...d for review If some of the images are not available locally the Restore images window is displayed Figure 9 18 The Restore images window 3 Select between Restore only the selected images only selected images that are not available locally are restored Restore all images of the selected exam all images that are not available locally in the exams where an image was selected are restored Restore cur...

Page 447: ...ed 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 required are not restored If not all 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 Cancel no images are restored The s...

Page 448: ...ving 430 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Figure 9 20 The Image list screen 1 Examination 2 Examination date and archive location 3 Selected image 4 Preview of selected image 5 Defined groups ...

Page 449: ...pt Communication between the Vivid S5 Vivid S6 ultrasound unit and other 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 Each dataflow defines the location and format of patient information Patient information can include demographic data and images...

Page 450: ...lArchive Int HD dataflow The local database is used for patient archiving Images are stored to internal hard drive B RemoteArch Remote HD dataflow A remote database here EchoPAC PC is used for patient archiving Images are stored to a remote archive here EchoPAC PC C Worklist LocalArchive DICOM Server Int HD dataflow Search in the DICOM Modality Worklist the patient found is copied into the local d...

Page 451: ...ent package 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 Figure 9 23 3 Select the desired dataflow in the Name pull down menu and check the option Default 4 Press CONFIG to exit the Configuration management package Figure 9 23 Default dataflow setting...

Page 452: ...s are stored they should be stored on the scanner s internal hard drive Figure 9 24 Stand alone scanner with LocalArchive Int HD dataflow Data management Data acquisition Select the LocalArchive Int HD dataflow as default dataflow In this configuration the local database is used for patient archiving Images are stored to internal hard drive Image review The same dataflow is used for review on the ...

Page 453: ... images stored on the scanner s hard drive In this configuration images are first stored on the scanner s hard drive and then exported from the scanner s hard drive to a MOD and finally imported from the MOD to the EchoPAC PC s internal hard drive Data management Scanner s dataflow configuration Select the LocalArchive Int HD dataflow as default dataflow The local database is used for patient arch...

Page 454: ...tion user manual Import from Removable MOD Archive or CD DVD Archive to LocalArchive Int HD Make sure that the option Copy images is checked 3 Press Archive and select the patient to be reviewed Stand alone scanner and a stand alone DICOM workstation In this scenario a DICOM workstation is used for review of studies acquired on one a Vivid S5 Vivid S6 without being connected via a private or a loc...

Page 455: ...tion of a study will not contain 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 9 27 A scanner and EchoPAC PC in a direct connect environment peer to peer or network The acquisition can be done online or offline Both situations are described below Scanner s connectivity configurat...

Page 456: ...y and TCP IP subgroup The TCP IP subgroup is displayed Figure 9 28 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 Default Gateway 1 Computer name device s name of type VIVID7 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 Remot...

Page 457: ...dataflow When saving the study on the scanner the images are transferred from the scanner s image buffer to the hard drive of the EchoPAC PC Patient demographics measurements and reports are transferred on the fly when entering the information on the Vivid S5 Vivid S6 Review on the EchoPAC PC workstation 1 Select the LocalArchive Int HD dataflow on the EchoPAC PC can be configured as default dataf...

Page 458: ...nal hard drive Export examinations done offline from the scanner to EchoPAC PC When reconnected export the data images demographics measurements and report for the examination s done offline to EchoPAC PC as describes in Export Import patient records examinations on page 452 Press Today to dis play today s exams to ease the search Export from LocalArchive Int HD to RemoteArch RemoteHD Make sure th...

Page 459: ...Scanner s dataflow configuration Select the RemoteArch RemoteHD dataflow as default dataflow in the sublevel Dataflow in the subgroup Connectivity of the Configuration management package see page 616 and following pages When saving the study on the scanner the images are transferred from the scanner s image buffer to the server Patient demographics measurements and reports are transferred on the f...

Page 460: ...ternal hard drive Export examinations done offline from the scanner to the server When 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 452 Press Today to dis play today s exams to ease the search Export from LocalArchive Int HD to RemoteArch RemoteHD Make sure...

Page 461: ...ent archiving Images are stored to a network image volume and to a DICOM server Worklist Local Archive DICOM Server Int HD search in a DICOM Modality Worklist the patient found is copied into local database The 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 hard drive Worklist Remote Archive D...

Page 462: ... DICOM server IP address The DICOM server port number The DICOM server AE title the server s name Typically source for this information in the network administrator Setup of the DICOM server in the scanner s configuration management package DICOM dataflow selection 1 Press CONFIG and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed 3 ...

Page 463: ...cted one or several DICOM devices may have to be configured 1 Select a DICOM device in the Selected devices pane and press Properties see Figure 9 30 Figure 9 30 Display of the DICOM device Properties window The Properties window for the selected DICOM device is displayed Figure 9 31 1 Select the DICOM device 2 Press Properties ...

Page 464: ...if the IP address settings for 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 creating a new IP address The Enter name and IP window is displayed Enter the name and or IP address of the server and press OK to return to the Properties window ...

Page 465: ...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 Quality to 95 Check Allow multiframe DICOM SR DICOM Structured Reporting SR is a standardized format for medical results Vivid S5 Vivid S6 and EchoPAC PC support the specialized form for Adult Echo Ult...

Page 466: ...r Bullet Refer to the Vivid S5 Vivid S6 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 Scoring individual segment scores only according to 16 segment model no graded Hypokinesis only Hypokinesis is used Activating DICOM SR DICOM SR must be activated for each DICOM d...

Page 467: ... the database 1 Press CONFIG and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed see Figure 9 34 3 Select a DICOM Worklist dataflow or the Query Retrieve dataflow 4 Select the Worklist or Query Retrieve device in the Selected devices pane and press Properties The Properties window for the selected DICOM device is displayed 5 Press Se...

Page 468: ... or leave blank if not to be used This entry is case sensitive and must match exactly 8 Press Add to list 9 Press OK to close the Search criteria window Figure 9 34 Adjusting the Search criteria 1 The dataflow sheet 2 The Properties window for the Worklist device 3 The Search criteria window ...

Page 469: ...re temporarily stored in the local buffer on the system 4 At the end of the study press END EXAM on the Control panel The save images dialogue window is displayed 5 Press ALL to save all images on the DICOM server or press SELECT to display the Image review screen where to select specific images to be saved The images are transferred to the server via the DICOM spooler 6 Press F4 or ALT S to displ...

Page 470: ...the Export patient window see Figure 9 36 page 454 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 Database information can be imported with or without images No data is deleted from the source archive when importing data In addition patient records from a removable archive can be imported to a...

Page 471: ...a to a CD DVD Memstick Archive exports raw and DICOM if present data to a USB flash drive device DICOM CD DVD export DICOM data only to a CD DVD R W DICOM Memstick export DICOM data only to a USB flash drive device Remote Import Export Archive exports raw and DICOM if present data to an Echo server network or EchoPAC PC direct connect or network DICOM Server exports DICOM data only to a DICOM serv...

Page 472: ...ed see page 458 6 Press OK Figure 9 36 The Export patient window The following situations may occur The system is checking that the removable media is inserted If not a dialogue window is displayed prompting the user to insert a media Insert media and select Retry Figure 9 37 Insert media window The system is checking if the destination media is empty ...

Page 473: ...characters and signs can be used when labelling a media A Z a z 0 9 _ and Do not use more than 11 characters or signs Do not use space If the media is not empty the Add files window is displayed Figure 9 39 Add files window Select Yes The system is preparing the media to allow addition of new files Note If Eject is selected the user is prompted to insert another media If No is selected the Export ...

Page 474: ...the extended Export patient window if neces sary Press Today to display today s examinations and select the actual examinations Fill in the Exam between field to display the patient records done during a specific time period and select the actual records Fill in the Born between field to display the patient records of patients born during a specific time period and select the actual records 8 Adju...

Page 475: ...n the Copied field in the Export patient window for each item exported A status message is displayed for each item exported Make sure that the operation was successful for each item exported 11 Press Done in the Export patient window to complete the process Do not eject the CD using the button on the CD drive 12 If exporting to a removable media press Eject or ALT E to eject the disk The Eject dev...

Page 476: ...onfiguration package To display the Dataflow sheet 1 Press CONFIG and log on as administrator 2 Select Connectivity category and Dataflow subgroup The Dataflow sheet is displayed Figure 9 4 page 411 3 Select the dataflow Misc Export in the Name pull down menu Figure 9 42 The Dataflow Sheet Configuring an Excel Export 1 Select the Excel storage device in the Selected devices pane and press Properti...

Page 477: ...tination pull down menu 3 Select OK and press CONFIG Export to an eVue Configuration 1 Select the eVue device in the Selected devices pane and press Properties The eVue properties window is displayed Figure 9 5 page 412 Remote paths of network volumes must be entered once in the Remote Path field before they can be selected from the Destina tion pull down menu 2 Select a removable media or a netwo...

Page 478: ...rk or an EchoPAC PC direct connect 4 Press Import in the Search Create Patient window The Import dialogue window is displayed see Figure 9 44 Figure 9 44 The Import Dialogue window 5 Select one of the following source archive from the Source drop down menu MOD Archive imports raw and DICOM data if present from a MOD DICOM MOD525 imports DICOM data only from a MOD CD DVD Archive imports raw and DIC...

Page 479: ...ient records to import The following 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 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 I...

Page 480: ...rt Import conflict window is displayed see Figure 9 40 For each conflicting item select Keep to keep the existing examination in the destination archive Replace to replace the existing examination with the corresponding item in the source archive Figure 9 46 The Export Import conflict window Press OK to resume import A progress indicator is displayed When done a status window is displayed showing ...

Page 481: ... S6 User Manual 463 R2424458 100 Rev 2 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 Import patient window to complete the process ...

Page 482: ...copied to the specified destination This scenario prevents the local disk to fill up and keeps images and reports from the most recent patient records on the local disk Using this scenario the user can control what should remain on the system while keeping the disk free space at an operational level Disk management is set to copy files the user runs the Disk management function on a regular basis ...

Page 483: ...he removable media used when running Disk management by keeping a log and by creating a media filing system A person should be in charge of performing the process The Disk management system can be set up so that a reminder is displayed at a regular time span Configuring the Disk management function Configuration of the Disk management system can only be done by user with administration rights 1 Pr...

Page 484: ...s you want the system to prompt you to perform disk management This setting should be set based on the activity of your office institution If None is selected no reminder is displayed 1 Sets the reminder time interval for running Disk management 2 Sets the files to be managed based on the examination dates 3 Sets the Disk management to copy move or delete images 4 Sets the destination device ...

Page 485: ...defined in step 1 are copied to the specified destination verified and then deleted from 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 examinations older than the specified setting defined in step 1 are deleted from the hard drive Destination device ...

Page 486: ...l panel then select Patient list The Search Create patient window is displayed 2 Press More in the Search Create patient window to display additional menu options and select Disk management The Disk management welcome screen is displayed Figure 9 48 The Disk management operation will either copy remove or delete files from the local archives depending on the Disk management configuration see page ...

Page 487: ...her the necessary number of disks Figure 9 49 The Storage size information window The media does not need to be format ted 4 Insert a removable media into the specified drive The disk does not need to be formatted 5 Press Next The Copying files window is displayed Figure 9 50 Figure 9 50 The copying files window ...

Page 488: ...nd the Disk management process is resumed This choice is not available if the disk contains backup data The information displayed on the Copying files window is updated while the files are being copied 7 If more than one media is necessary the filled media is ejected and a dialogue window is displayed asking the user to label the ejected disk and insert a new media Press OK after the new media is ...

Page 489: ...enables the user to configure several units with identical presets providing that the units have the same software version To minimize accidental loss of data perform backup of the patient archive stored on the local hard drive at least once 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 removabl...

Page 490: ...tore function Backup procedure 1 Press PATIENT on the control panel then select Patient list The Operator login window is displayed 2 Select the operator with administration rights enter the password and press Log on The Search Create patient window is displayed 3 In the Search Create patient select the dataflow Local Archive Int HD Figure 9 52 Figure 9 52 Dataflow selection for backup 4 Press CON...

Page 491: ...elect a shared network folder the path of type serv er name share na me must be entered once in the Remote Path field 8 Select a removable media or a shared network folder as destination 9 If the backup is done to a removable media insert a dedicated media in the drive 10 Select Start backup The following situations may occur The system is checking that the removable media is inserted If not a dia...

Page 492: ... media and select OK Note Only the following characters and signs can be used when labeling a media A Z a z 0 9 _ and Do not use more than 11 characters or signs Do not use space Note If you select Eject you can perform the backup using another removable media If you select Cancel the backup operation is stopped The system is checking if there is already a backup or a Disk management copy on the m...

Page 493: ...performing a new archive backup the media has to be re formatted first 11 During backup Progress windows are displayed Figure 9 57 showing the current operation being performed Figure 9 57 Backup progress windows 12 At the end of the process the media is ejected and the Backup completed window Figure 9 58 is displayed Figure 9 58 Backup completed window Select OK ...

Page 494: ...et Figure 9 59 Figure 9 59 Backup result 13 Make sure to physically label the media An identification 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 sheet Figure 9 60 ...

Page 495: ... user presets OR One or several System configuration items to restore parts of the system settings and user presets see Figure 9 60 5 Make sure that Restore from Source Device is selected 6 Select the appropriate Source device 7 If restore is done from a backup on a removable media insert the media in the drive 8 Select Restore now CAUTION The Restore procedure OVERWRITES the existing data on the ...

Page 496: ...elect OK The selected items are copied to the systems If items from the system configuration are restored the system needs to be rebooted The Reboot system window is displayed Figure 9 62 Figure 9 62 Reboot system prompt 10 Select OK to reboot the system If connectivity configuration settings have been restored make sure to save the TCP IP settings select Config Connectivity TCPIP and select Save ...

Page 497: ...d in the DICOM spooler window can be Pending the job is complete waiting to be active Hold the job is complete but suspended waiting for a user action the job is incomplete waiting for more images Append the job is incomplete waiting for more images Direct store function Active the job is complete and connected to the destination device Failed the job is complete but one or more images failed to t...

Page 498: ...1 Trackball to the job to delete in the DICOM job spooler window Note Several jobs can be selected 2 Press SET 3 Trackball to Delete 4 Press SET Resending a job Only jobs that failed or are in hold can be resent 1 Trackball to the job to re send in the DICOM job spooler window Note Several jobs can be selected 2 Press SET 3 Trackball to Resend 4 Press SET ...

Page 499: ...OM job spooler window 2 Press SET 3 Trackball to Send to 4 Press SET A dialogue window is displayed 5 Select the new destination from the Destination popup menu 6 Trackball to Send 7 Press SET Holding a job 1 Trackball to the job to hold in the DICOM job spooler window Note several jobs can be selected Only inactive jobs can be set on hold 2 Press SET 3 Trackball to Hold 4 Press SET To undo hold p...

Page 500: ...formed by your GE representative during the system s installation 1 While in regular scanning mode press PATIENT 2 Log in as an Administrator 3 Press Create New Patient New Exam The Search Create patient window is displayed 4 Verify that the Patient list is empty 5 From the Dataflow drop down menu select No Archive see Figure 9 64 CAUTION The database imported from the Vivid 3 4 into Vivid S5 Vivi...

Page 501: ... R2424458 100 Rev 2 Figure 9 64 Dataflow selection 6 Press ESC to close the window 7 Press Config then select Admin The Admin dialog window is displayed see Figure 9 65 Figure 9 65 Config menu Vivid 3 4 DB Import 8 Select the V3 V4 DB Import tab ...

Page 502: ...the Vivid 3 Vivid 4 Database Import option is no longer available 12 Repeat steps 3 and 5 above for the Local Archive Int HD dataflow Note The user is now able to review the imported data on the Vivid S5 Vivid S6 system The images may be loaded at a later stage in the normal review process as described in this manual Exporting the Excel database It is possible to convert all of the patients demogr...

Page 503: ...a created in the section above Exporting the Excel database on page 484 2 Browse to the media location copy the database file Patients zip from the media and paste it to a dedicated path on the PC hard disk 3 Right click the Patients zip file on the hard disk and select Extract All from the context menu The Extraction Wizard appears 4 Click Next twice During the extraction process a password promp...

Page 504: ... 69 Patients folder contents While the Excel file opens a macro prompt appears see Figure 9 70 Figure 9 70 Excel macro prompt 2 Click Enable Macros The Start formatting V3 4 Data Viewer window appears see Figure 9 71 3 Select a language 4 Type any password you wish to use into the password field This later provides privacy protection to your Vivid 3 4 Data Viewer database ...

Page 505: ...iewer window 5 Click Run Automatic formatting begins When finished the Progress field on the bottom right shows 100 and the Stop button is grayed out see Figure 9 72 Figure 9 72 Formatting complete Note Depending on the database size formatting may take several hours In case you need to stop the process ...

Page 506: ... save Master xls 6 Press Exit All files including Master xls are closed Using the Vivid 3 4 Data Viewer Opening the Data Viewer 1 Locate the file Vivid 3_4 Data Viewer xls under the Patients folder and double click it 2 When prompted for a password type in the password you defined in step 4 of the previous procedure see Formatting on page 486 The Data Viewer database opens in Excel see Figure 9 73...

Page 507: ...al index numbers each unique to an exam To browse exam results 1 Use the Last name Patient ID or Exam date tab to identify the patient or exam of interest 2 Click records in blue font to jump to the corresponding exam in the Index_patient tab 3 Identify and locate the exam of interest in the Index_patient tab 4 Click the corresponding Patient Index number to see all of the relevant measurements fo...

Page 508: ...Archiving 490 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 509: ...tarting Structured Findings 499 Structured Findings structure 499 Using Structured Findings 501 Structured Findings configuration 504 Direct report 514 Creating comments 514 Creating pre defined text inputs 515 Report designer 516 Accessing the Report designer 516 Report designer overview 516 Designing a report template 519 Saving the report template 530 To exit the Report designer 530 Report temp...

Page 510: ...ing the examination 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 carefully reviewed before the report is saved Use the worksheet see page 353 to facilitate the review and adjustment of data before generating a report The final report can be printed on a ...

Page 511: ...ormation must be changed from the Patient information window and the Worksheet screen Note Other ID does not appear as a separate item in the system s Report templates The user should generate a custom report sheet if Other ID data is required to be recorded Working with the report function Press REPORT The default template for the current examination or the template last used is displayed see Fig...

Page 512: ...Report 494 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Figure 10 1 The Report screen and assigned keys 1 Assigned keys Print Store Retrieve Template MORE menu Insert Text Save as Delete Designer ...

Page 513: ... the selected template becomes the default template which 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 Trackball area The original location of the data is displayed 3 Change the information entered if required 4 Press REPORT when completed Images in the ...

Page 514: ...take longer to print The report may be configured In order to eliminate these large areas of black background while printing To configure the Ink saving feature 1 Press CONFIG and select the Report Template tab see Figure 10 26 2 Set the Ink Save checkmark All reports generated from now on will be printed with images containing white background To store a report Only members of the user group Card...

Page 515: ... Press SAVE Retrieving an archived report 1 Press RETRIEVE A list of the available reports for the actual examination is displayed The default name for a report is of type template type _ store date _ store time To display the current 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 ...

Page 516: ...s and the conclusion To create the assigned fields in a report template 1 Press REPORT 2 Press TEMPLATE and select the desired report template 3 Press MORE and DESIGNER The Report designer screen is displayed 4 Select the location in the report template where to insert the Structured findings fields 5 Select Insert and Archive Information The Archive information box is displayed Figure 10 2 6 Doub...

Page 517: ...d Findings field and a Conclusion field defined or select another template if necessary 2 Press MORE and FINDINGS The Structured Findings window is displayed Figure 10 5 Structured Findings structure The diagnostic statements are organized in tab folders see Figure 10 3 Each tab folder may contain Underlying tab folders that contain Tab sheets Tab sheets that contain diagnostic statements ...

Page 518: ...tic statements see Figure 10 4 Check box statement when selected the statement is included in the report Combo box statement create a statement by selecting one alternative text among several choices Statement group create several statements by selecting multiple check box statements 1 Tab folder with underlying tab sheets 2 Tab sheet ...

Page 519: ...next to the statement Statement group select the statements of interest within the group A preview of the selected statement s is displayed in the Findings preview field see Figure 10 5 The statement text in the preview field can be edited This will apply only for the current report Once a statement is selected an asterisk is displayed on the tab of the current sheet and folder Note select Normal ...

Page 520: ... statement up or down The conclusion statements can be reordered using drag and drop procedure in the Conclusion preview field The conclusion text in the preview field can be edited This will apply only for the current report Note pressing the Conclusion button in front of a statement that was not previously selected results in simultaneously inserting the finding statement and create the conclusi...

Page 521: ...e 10 5 Structured Findings window 1 Statement inserted in the Conclusion and Findings field 2 Statement inserted in the Findings field only 3 Findings preview field 4 Conclusion preview field 5 Remove all selections 6 Insert normal findings for the current tab sheet ...

Page 522: ...elected statements 2 To remove all statements at once place the cursor in the Statement field press UPDATE MENU and select Clear all Structured Findings configuration Structured Findings configuration is used to Create edit or delete finding statements conclusion statements and codes Organize the diagnostic statements in the Structured Findings screen Define the normal diagnostic statements Access...

Page 523: ...heck box statement 2 Tab or statement label 3 Findings text 4 Conclusion text 5 Codes for the selected statement 6 Move create or delete statement 7 Create folder Combo box or statement groups 8 Enter a variable in statement or conclusion text 9 Hide selected tab or statement from the Structured Finding window 10 Set the selected statement as normal 11 Rest factory default findings 12 Export impor...

Page 524: ...sheet 3 Select Enable one more tab level to change the new entry to a tab folder A warning message is displayed Select OK 4 With the new entry selected follow the following steps Enter a name in the Label field tab name Enter a description in the Findings text field The description will be displayed in the report as a heading when selecting a statement from the underlying tab sheets The system is ...

Page 525: ...et in a tab folder Figure 10 8 New tab sheet 1 Make sure that the tab folder is selected and press Add A new entry is created in the tab folder The new entry is by default a tab sheet 2 With the new entry selected follow the following steps Enter a name in the Label field tab name Enter a description in the Findings text field If required Enter the appropriate codes Note to enter several codes sep...

Page 526: ... is created in the tab sheet The new entry is by default a check box statement 2 With the new entry selected follow the following steps Enter a name in the Label field statement name Enter the full statement in the Findings text field Enter a conclusion in the Conclusion text field optional Note if the Conclusion text field is left empty the statement text will be used as conclusion when selected ...

Page 527: ...sheet that have this option checked will be included in the report when Normal is selected in the Structured Findings window see Using Structured Findings on page 501 Combo box statement The following procedure describes how to create a combo box statement Figure 10 10 New combo box statement 1 Create a new statement as described above A check box statement is created by default 1 Configuration wi...

Page 528: ...rlying statements as necessary Each underlying statement will be a selectable entry in the combo box Statement group Statement groups are created by changing a combo statement to a statement group 1 Create a combo box statement as described above 2 Make sure the combo box statement is selected and deselect the option Enable pull downs The combo box statement is changed to a statement group Each un...

Page 529: ...s Insert parameter The Insert parameter window is displayed see Figure 10 11 3 Browse and select the actual parameter to insert Note for measurement values select first the scanning mode 4 Press OK The selected parameter is inserted in the statement as a tag e g the EF tag refers to EF measurement Note to display correctly in the report the actual parameter value must exist e g if a measurement va...

Page 530: ...selected location the operation is ignored Note copy can be done by drag and drop while holding CTRL depressed Deletion of a statement Tab folders tab sheets and statements can be deleted 1 In the Structured Findings configuration window Figure 10 6 select the item to delete 2 Select Delete The selected item is deleted Factory reset All statements can be reset back to the factory default 1 Select ...

Page 531: ...uration window Figure 10 6 select Export A browsing window is displayed 2 Browse to a destination and select Save Importing statements 1 In the Structured Findings configuration window Figure 10 6 select Import A browsing window is displayed 2 Browse to a destination and select Open CAUTION Importing statements will replace the current statements If necessary backup the current statements by expor...

Page 532: ...leted Creating comments 1 Press UPDATE MENU 2 Select Direct report see Figure 10 12 3 In the Direct report screen select the comment type 4 Type your comments in the Text field 5 To add a measurement in the comment double click a measurement in the Measurement overview field Figure 10 12 The Direct report 1 Open Direct report 2 Select the type of information 3 Create insert pre defined text 4 Text...

Page 533: ...ng one item in the first column displays 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 desired pre defined text to be inserted If an entry in the third column is inserted the selected text in the second column is also inserted Press More to display the full ...

Page 534: ...viewer 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 information to display etc Accessing the Report designer 1 Press REPORT on the Control panel The Report screen is displayed 2 Press DESIGNER The Report designer screen is displayed with the select...

Page 535: ...late 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 designer and returns to the report function The user can choose whether to save the updates or restore the original template Menu Description Edit Delete remove the selected object from the report template Undo resto...

Page 536: ...nd images Wall motion analysis insert a container for the display of Stress Echo analysis results cut planes Bull s eye and scoring table OB GYN insert OB graph Measurements insert a container for the display of measurements and calculations When creating a measurement container the user is prompted through a configuration procedure enabling the selection of mode specific measurements and or calcu...

Page 537: ...rmation 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 ordered manner Information containers can be inserted either Directly into the report template body this procedure does not allow side by side insertion the information container will normally cove...

Page 538: ...user can add delete a row or a column or open the Table properties window Figure 10 15 The Table properties window Inserting a logo 1 Provide the hospital logo in JPEG or Bitmap format onto a CD or MO disk 2 Select the location where to insert the logo a table cell or directly in the report template 3 Select Insert and Logo The Logo box is displayed Figure 10 16 The Logo box ...

Page 539: ...arance 6 Select OK Inserting fixed 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 Select Insert and Fixed text The Fixed text box is displayed Figure 10 17 The Fixed text box 3 Enter the text and specify the appearance 4 Select OK ...

Page 540: ...tion 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 10 18 The Archive information box 4 If desired enter a heading and select a heading link from the pull down menu 5 Select the Information parameters to be displayed in the first cell Select Box properties ...

Page 541: ...box is displayed Figure 10 19 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 measurements over several columns using a table container as described below 1 Insert a table for the measurements to the desired location 2 Select the first table cell 3 Select Insert and Measure...

Page 542: ...ts in the Report see page 340 for more information Note References for the normal values can be displayed in the report by checking Normal value references from Insert Archive Info see page 522 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 measurements is displayed in the Selected measurement ...

Page 543: ...rt the 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 10 21 The Text field box 3 Enter a heading 4 From the Display field select one of the following options Referral reasons displays the information entered in the Direct report see page 514 or in the Examination list window Comments displays the informatio...

Page 544: ...d for 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 where to insert the free text container a table cell or directly in the report template 2 Select Insert Wall motion analysis and select between Cut planes and Bull s eye The corresponding Wall mo...

Page 545: ...ort template Editing 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 once The container is displayed with anchor squares on the sides and at the corners 3 Resize the container by dragging from the anchor points Editing the information container properties...

Page 546: ...he 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 visible in the on screen report To insert header and footer in the printed report 1 Select File and Page setup The Page setup box is displayed Figure 10 24 The Page setup box 2 Adjust the printing orientation 3 De...

Page 547: ...elect OK To check the display of the header and footer select File and Print preview Variable Description pid Patient ID pnm Patient name pdb Patient date of birth exd Examination date prd Current date printing date prt Current time printing time cp Current page tp Page count c Subsequent entries are centered r Subsequent entries are right aligned ...

Page 548: ... without saving the report template Save existing template with a new name 1 Press File and select Save as The Save as template window is displayed Figure 10 25 The Save as template window 2 Enter a name for the template 3 Press OK The template is saved To exit the Report designer 1 Select File and Exit The Exit window is displayed 2 In the Exit window select one of the following Yes to save the r...

Page 549: ...eletion of user defined report templates Export import of user defined report templates The report templates management is done from the Report templates sheet in the system configuration package To access to the Report templates sheet 1 Press CONFIG and select the Report category The Report category sheet is displayed Figure 10 26 The Report template sheet ...

Page 550: ...te application 4 Press the Right arrow button The selected template is inserted in the Template selection menu Note Double clicking on a template in the Available template field will also insert the template in the Template menu Removing a template from the Template selection menu 1 In the Report template menu field right field select the template to remove 2 Press the Left arrow button The select...

Page 551: ...e report template Export Import of Report templates User defined report templates can be exported to a removable media and imported from the removable media into another system Vivid S5 Vivid S6 EchoPAC PC Export of Report templates 1 Insert a removable media into the drive 2 Press CONFIG and select Report The Report template sheet is displayed Figure 10 26 page 531 3 Select Export Templates The a...

Page 552: ...8 Press ALT E and select the media to eject Import of Report templates 1 Insert the removable media with the report template s to import 2 Press CONFIG and select Report The Report template sheet is displayed Figure 10 26 page 531 3 Select Import Templates The Import template window is displayed Figure 10 28 The Import template window 4 Select the source device from the pull down menu 5 Press OK A...

Page 553: ...es 548 Connecting the probe 548 Activating the probe 550 Disconnecting the probe 551 Care and Maintenance 552 Planned maintenance 552 Inspecting the probe 553 Special handling instructions 554 Cleaning and disinfecting probes 556 Probe safety 562 Biopsy 563 Precaution concerning the use of biopsy procedures 563 Preparing the Biopsy guide attachment 565 Displaying the Guide zone 569 Endocavitary Pr...

Page 554: ...Probes 536 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Surgery Intra operative Use 574 Preparing for Surgery Intra operative Procedures 574 ...

Page 555: ...e Technical data Image 3S RS 2D mode M Mode Color Flow CW Doppler PW Doppler Cardiology Coronary Transcranial Renal OB Abdomen Fetal Heart Frequency Foot print 1 5 3 6 MHz 18 x 24 mm M4S RS Vivid S6 only 2D mode M Mode Color Flow CW Doppler PW Doppler Cardiology Pediatric heart Adult Cephalic Abdomen Renal Fetal Heart Frequency 1 5 3 6 MHz 5S RS 2D mode M Mode Color Flow CW Doppler PW Doppler Card...

Page 556: ...equency Foot print 3 5 8 0 MHz 15 x 21 mm 10S RS 2D mode M Mode Color Flow CW Doppler PW Doppler Cardiology Pediatric heart Coronary Neonatal head Frequency Foot print 4 5 11 5 MHz 10 x 14 mm Probe Mode Intended use Technical data Image Probe Mode Intended use Technical data Image 8L RS 2D mode M Mode Color Flow PW Doppler Peripheral vascular Small parts Frequency Foot print 4 0 13 0 MHz 14 x 48 m...

Page 557: ...de M Mode Color Flow PW Doppler Abdomen Fetal Heart Renal OB Frequency Foot print FOV 1 8 6 0 MHz 17 x 65 mm 58 degrees 8C RS 2D mode M Mode Color Flow PW Doppler Pediatrics Abdomen Neonatal Head Cartoid Small parts Cardiac Frequency Foot print FOV 4 0 11 0 MHz 26 x 10 mm 133 degrees e8C RS 2D mode M Mode Color Flow PW Doppler Endocavity Fetal Heart Obstetrics Pelvic Frequency Foot print FOV 4 0 1...

Page 558: ...Intended use Technical data Image Probe Mode Intended use Technical data Image 6T RS 6T 2D mode M Mode Color Flow CW Doppler PW Doppler Transesophageal Cardiology Frequency 2 9 8 0 MHz 6Tc RS 2D mode M Mode Color Flow CW Doppler PW Doppler Transesophageal Cardiology Frequency 2 9 8 0 MHz 9T RS 9T 2D mode M Mode Color Flow CW Doppler PW Doppler Transesophageal Cardiology Frequency 4 0 10 0 MHz ...

Page 559: ...rect contact with the heart Probe Mode Intended use Technical data Image i12L RS 2D mode M Mode Color Flow PW Doppler Intraoperative Thoracic Vascular and abdominal Pediatric Small parts Musculo skeletal Musculo skeletal Superficial Peripheral vascular Frequency 5 0 13 0 MHz Foot print 14 x 33 mm ...

Page 560: ...6Tc RS 9T RS P2D P6D Abdominal Aorto Iliac Breast Cardiac Carotid Contrast Coronary Excercise Fetal Heart HFR High Frame Rate LEA LEV LV Contrast LVO Stress Musculoskeletal Neo Head Nerves Obstetrics Pediatric Pelvic Pharm Stress Renal Small Parts Small Organs Superficial Transcranial Thyroid UEA UEV Vertebral Note Some of the above applications depend on the availability of certain options ...

Page 561: ...S 6T RS 6T 6Tc RS 9T RS 9T P2D P6D Abdominal Aorto Iliac Breast Cardiac Carotid Contrast Coronary Excercise Fetal Heart HFR LEA LEV LV Contrast LVO Stress Musculoskeletal Neo Head Nerves Obstetrics Pediatric Pelvic Pharm Stress Renal Small Parts Small Organs Superficial Transcranial Thyroid UEA UEV Vertebral Note Some of the above applications depend on the availability of certain options ...

Page 562: ...al as referenced in IEC60601 2 37 Amd 2 Annex BB 2 a Thermal phantom at 23 3 C for all probes b Temperature rise is measured and added to 33 for External Use probes or 37 C for Non External Use probes 3 Probe placed upright in contact with above thermal phantom Probe Max Temp 3S RS 40 5 M4S RS 42 8 5S RS 40 8 6S RS 39 5 7S RS 37 7 10S RS 36 1 8L RS 41 0 9L RS 40 4 12L RS 36 6 i12L RS 40 5 4C RS 37...

Page 563: ...be variation for other probes 1 6 C Probe orientation Some probes are provided with a green light LED orientation marking near their head see Figure 11 1 Probes which do not have a LED have an indentation notch for orientation on the probe housing This LED or notch corresponds with the V mark on the scanning screen The V mark indicates the orientation of the probe to the scan Figure 11 1 Orientati...

Page 564: ...ng Each probe is labelled with the following information Name of distributor and manufacturer Operating frequency Model number Probe serial number Year of manufacture The probe name is displayed on the probe housing Figure 11 2 Probe labelling examples 1 CE mark 2 Probe name ...

Page 565: ...458 100 Rev 2 Environmental Requirements Probes should be operated stored or transported within parameters outlined in Table 2 1 page 53 Ensure that the probe face temperature does not exceed normal operation temperature range see table on page 544 ...

Page 566: ...es optimum focal depths and penetration for the patient size and exam Begin the scanning session by choosing the correct application and preset for the examination by selecting Preset Begin the scan session using the default Power Output setting for the probe and exam Connecting the probe Probes can be connected at any time whether the unit is on or off Figure 11 3 Probe ports Vivid S5 3 type RS p...

Page 567: ...r vertically with the cable pointing upwards 2 Turn the connector locking handle horizontically 3 Align the connector with the probe port and carefully push into place 4 Rotate the locking handle to the full vertical position to lock in place CAUTION Fault conditions can result in electric shock hazard Do not touch the surface of probe connectors which are exposed when the probe is removed WARNING...

Page 568: ... will pop up 2 Trackball to the desired probe An application menu for the desired probe is then listed 3 Trackball to the desired application 4 Press SET to launch the application CAUTION Make sure that the probe and application names displayed on the screen correspond to the actual probe and application selection Check that the correct TI category is displayed see Thermal Index on page 26 TIB mus...

Page 569: ...r 3 Pull the probe and connector straight out of the probe port 4 Carefully slide the probe and connector away form the probe port and around the right side of the keyboard 5 Ensure that the cable is free 6 Verify that the probe head is clean before placing the probe in its storage case To disconnect a probe large connector type OR 1 Rotate the lock handle counter clockwise to the horizontal posit...

Page 570: ...peration 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 shock hazards DO follow the specific cleaning and disinfection procedures provided in this chapter and the germicide manufacturers instructions Failure to do so will void probe warranty CAUTION ...

Page 571: ...quid into the probe Before each use 1 Inspect the lens the probe housing and the cable Figure 11 4 2 Look for damage that might allow liquid into the probe 3 Test the functionality of the probe Figure 11 4 Probe parts CAUTION If any damage is found DO NOT use the probe until it has been inspected and released for further use by a GE service representative 1 Housing 2 Strain relief 3 Seal 4 Lens ...

Page 572: ...e contact your local distributor or the appropriate support resource CAUTION Protective barriers may be required to minimize disease transmission Probe sheaths are available for use with all clinical situations where infection is a concern Use of legally marketed sterile probe sheaths is strongly recommended for intra cavitary and intra operative procedures Use of legally marketed sterile pyrogen ...

Page 573: ...se or disposable devices However ultrasound transducers are complex and expensive devices that must be reused between patients It is very important therefore to minimize the risk of disease CAUTION Sterilant Exposure to Patient e g Cidex Contact with a sterilant to the patient s skin or mucous membrane may cause an inflammation If this happens refer to the sterilant s instruction manual Sterilant ...

Page 574: ...e sheaths where appropriate CAUTION Adequate cleaning and disinfection are necessary to prevent disease transmission It is the responsibility of the equipment user to verify and maintain the effectiveness of the infection control procedures in use Always use sterile legally marketed probe sheaths for intra cavitary and intra operative procedures For neurological intra operative procedures use of a...

Page 575: ...thcare com usen ultrasound products probe_ care html for the latest list of compatible cleaning solutions and disinfectants Low level disinfection After cleaning the probe and cable may be wiped with a tissue sprayed with a recommended disinfectant Use additional precautions e g gloves and gown when decontaminating an infected probe CAUTION To minimize the risk of infection from blood borne pathog...

Page 576: ...cording 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 refer to the local national regulations Do not steam autoclave or subject the probe to Ethylene Oxide ETO WARNING Do not immerse the probe in liquid beyond the level specified for that probe see...

Page 577: ...ion ATTENTION Consult accompanying documents is intended to alert the user to refer to the operator manual or other instructions when complete information cannot be provided on the label CAUTION Dangerous voltage the lightning flash with arrowhead is used to indicate electric shock hazards Biohazard Patient user infection due to contaminated equipment Usage Cleaning and care instructions Sheath an...

Page 578: ...e all visible residue must be removed during the cleaning process Thoroughly clean the probe as described earlier before attempting disinfection You MUST disconnect the probe from the Vivid S5 Vivid S6 prior to cleaning disinfecting the probe Failure to do so could damage the system DO NOT soak probes in liquid chemical germicide for longer than is stated by the germicide instructions for use Exte...

Page 579: ...d GE Medical Systems policy requires that equipment returned for service MUST be clean and free of blood and other infectious substances CAUTION Probes for neuro surgical intra operative use must NOT be sterilized with liquid chemical sterilants because of the possibility of neuro toxic residues remaining on the probe Neurological procedures must be done with the use of legally marketed sterile py...

Page 580: ...This ensures that employees in the transportation industry as well as the people who receive the package are protected from any risk Probe safety WARNING Ultrasound probes are highly sensitive medical instruments that can easily be damaged by improper handling Use care when handling and protect from damage when not in use DO NOT use a damaged or defective probe Failure to follow these precautions ...

Page 581: ...asound unit Precaution concerning the use of biopsy procedures WARNING Do not freeze the image during a biopsy procedure The image must be live to avoid a positioning error CAUTION Biopsy guidezones are intended to assist the user in determining optimal probe placement and approximate the needle path However actual needle movement is likely to deviate from the guideline Always monitor the relative...

Page 582: ...disinfection procedures and precautions to properly prepare the probe Follow the manufacturer s instructions for the cleaning of biopsy devices and accessories Use protective barriers such as gloves and probe sheaths After use follow proper procedures for decontamination cleaning and waste disposal Improper cleaning methods and the use of certain cleaning and disinfecting agents can cause damage t...

Page 583: ...f a reusable biopsy bracket and a disposable snap on needle guide The disposable needle guides snap onto the biopsy bracket providing a fixed path for visualizing ultrasound guided instrument placement procedures Applications include tissue biopsy fluid aspirations and catheter placement Single angle brackets offer imaging professionals a fixed angle needle path during puncture procedures Multi an...

Page 584: ... to 23 gauge instruments 8 5 French gauge inserts also available Replacement kits include sterile needle guide transducer cover gel packet and colored elastic bands Biopsy depth is indicated in centimeters Bracket attachment procedure 1 Identify the appropriate biopsy guide bracket as shown in Figure 11 6 WARNING Read the following instructions and the user s guide for the Ultra Pro IITM Needle Gu...

Page 585: ...Probes Vivid S5 Vivid S6 User Manual 567 R2424458 100 Rev 2 Figure 11 6 Biopsy Guide Brackets Probe Bracket Probe with Bracket 3S RS 4C RS 8L RS 9L RS 12L RS E8c RS ...

Page 586: ...1 7 Probe bracket alignment 3 Attach the biopsy bracket to the probe by sliding the bracket over the end of the probe until it clicks or lock into place Make sure the bracket is firmly attached to the probe 4 3S probe tighten the biopsy bracket to the probe by locking the lever lock 1 Needle clip attachment on the bracket 2 Bracket label 3 Probe label 4 Probe orientation mark notch or LED 5 Lever ...

Page 587: ...biopsy support 2 Press BIOPSY on the alphanumeric keyboard 3 If the needle multi angle is supported select the correct angle from the Biopsy menu Figure 11 8 The Biopsy menu The biopsy guide zone is displayed on the screen The biopsy guidezone represents a path of the needle The dots which make up the guidezones is the depth readout where Yellow represent 1 cm increments Red represents 5 cm increm...

Page 588: ...de zone 5 cm between the red marks 1 cm between the large yellow marks 0 5 cm between two consecutive marks The first red mark is at 5 cm from the top of the needle guide DANGER Failure to match the guidezone displayed to the guide may cause the needle to track a path outside the zone It is extremely important that when using the adjustable angle biopsy guides the angle displayed on the screen mat...

Page 589: ...igure 11 10 Attachment Filling Removal 3 Clean then disinfect the probe Note Ensure that protective gloves are worn Installing the sheath To install the sheath 1 Remove the sheath from its package Do not unroll the sheath Note Remember to rinse all sanitary probe sheaths of powder before placing on the probe Powder can degrade the displayed image 2 Place an adequate amount of ultrasound gel inside...

Page 590: ...r bubbles have been removed E8C Biopsy Guide Preparation 1 If a biopsy is to be performed snap the plastic biopsy guide on to the probe over the sheath Figure 11 12 Civco Disposable Biopsy Guide approx 5 Angle 2 Place an adequate amount of ultrasound gel on the gel filled sheath tip s outer surface a Probe Handle b Sanitary Sheath c Probe Body CAUTION Patient injury or repeated biopsies may result...

Page 591: ... in a container filled with a glycerol solution 6 in water 3 Display the biopsy guide zone on the monitor see page 569 4 Ensure that the needle echo falls within the guide zone markers Starting the biopsy procedure 1 Press BIOPSY Enabling color flow would allow for vi sualization of the vascular structure around the area to be biopsied 2 Place sterile coupling gel on the scanning surface of the pr...

Page 592: ...ion and disease transmission Equipment must be cleaned as appropriate for the procedure prior to use To ensure a sterile environment during the procedure it is recommended that this be a two person job Follow your insti tutions guidelines on post surgery in traoperative proce dures for probe cleaning and disin fection 1 Perform a high level disinfection of the probe 2 The scanner surgeon sonograph...

Page 593: ...24458 100 Rev 2 Chapter 12 Peripherals Introduction 576 Printing 577 To print an image 577 Specifications for peripherals 577 DVR Digital Video Recorder 578 Overview 578 Using the DVR 578 Configuring the DVR 581 Reviewing the DVR Media Externally 581 ...

Page 594: ...verified All devices meeting 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 transformer Commercial devices such as laser cameras printers VCRs and external monitors usually exceed allowable leakage current limits and when plugged into separate AC outlet...

Page 595: ...ative storage i e storage to DICOM media or secondary capture See page 623 for configuration of the PRINT key To print an image For details on the Thermal video printers operation consult the manu facturer operator manual provided with the printer Press PRINT on the Control panel The image displayed on the screen is printed on B W or Color printer depending on the key assignment configuration see ...

Page 596: ... DVR status area on the Title bar Using the DVR Inserting the DVR media Insert a media type DVD RW into the drive 1 If the media is empty the system will take time to identify the media and within about 50 seconds will prompt the user to enter a media label or approve the automatically generated label 2 About 20 seconds after entering the media label the DVR status icon will display a Stop icon an...

Page 597: ...e up to 99 chapters within each title Every continuous recording segment generates a chapter Whenever recording is paused the current chapter is closed and when recording is continued a new chapter begins Recording Time The total recording time which is the sum of all chapters on all titles may be as long as 70 minutes on one DVR media Recording 1 When DVR media is inserted and the Stop icon appea...

Page 598: ...le select rotary Rotate the rotary to advance to any desired chapter The selected chapter will begin to play as soon as the rotary is held still Play Pause button Press this button to toggle between Play Pause Next Previous Title Chapter Four buttons allowing to skip chapter or title Cineloop Press this button to capture the last few seconds of playback into frame memory and run them in cineloop m...

Page 599: ...ble DVD player to playback the DVD Select the desired title and then select the desired chapter from the displayed list DVR playback on a separate PC The DVR media can be played back on any PC containing the following components Windows XP OS or higher Installed with any commercially available DVD player software Configured with a high quality display Be sure to adjust your screen to display the f...

Page 600: ...Peripherals 582 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 ...

Page 601: ...590 Application 593 Application menu 596 Measure Text 598 The measurement menu sheet 598 Configuration of the Measurement menu 601 The Advanced sheet 603 Parameter configuration 603 The Modify Calculations sheet 604 Parameter configuration 604 The OB table sheet 605 Report 611 The diagnostic codes sheet 612 The Comment texts sheet 613 Connectivity 616 Dataflow 616 Additional outputs 623 Tools 625 ...

Page 602: ...Presets and System setup 584 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 About 635 Administration 636 Users 637 Unlock Patient 640 ...

Page 603: ... default factory password for the ADM user is ulsadm case sensitive The configuration management package consists of a Setup dialogue window divided in different setup categories with sublevels The table below summarizes the contents and access rights of the different categories and sublevels of the Vivid S5 Vivid S6 configuration package Category and sublevel Description access Refer to Imaging p...

Page 604: ...selecting and ordering the templates to show in the menu All Diagnostic codes Create or delete pre defined text input for the referral reasons and diagnosis All Comment texts Create or delete pre defined text input for the comments All Structured findings Enables the insertion of pre configured structured diagnosis statements in the patient report All page 498 Connectivity page 616 Dataflow Create...

Page 605: ...nt of the hard disk space while maintaining the patient database on the system All page 464 Backup Local archive and system configuration backup Admin Restore Restore local archive and system configuration from a backup Admin Users Operator and referring staff registration operator s rights settings Admin System administration Keeps track of all the options implemented in the unit Admin Unlock pat...

Page 606: ...d settings and presets to be used The access to the entire configuration package is user configuration dependent see page 637 To open the Configuration package 1 Press CONFIG on the alphanumeric keyboard The Log In window is displayed asking for operator ID and password see Figure 13 1 2 Select Log on when completed The Setup dialogue window is displayed see Figure 13 2 Figure 13 1 The Operator lo...

Page 607: ... The functionality of each configuration category and associated sublevels are described on the following pages Note Whenever making any modifications of settings through the different configuration screens and tabs it is always required to re boot the system for the modifications to become valid Figure 13 2 The Setup dialogue window structure 1 Sublevel tabs for the selected Setup category 2 Setu...

Page 608: ...ation enables configuration of the probe and application specific settings Application menu enables configuration of the Measurement menu The Global setup sheet Figure 13 3 The Global setup sheet Flex Button configuration The Flex button can be configured to function as any button on the keyboard with the exception of alphanumeric and soft menu sections ...

Page 609: ...ed function only for the selected preset application Cineloop store Crop images Doppler Parameter Description Cineloop store Time before after heart cycle sets the total storage time span of the cineloop in ECG mode Time span no ECG sets the total storage time span of the cineloop with no ECG Preview loop before store when selected enable review of cineloops before storage Parameter Description Cr...

Page 610: ...n Patient Info Title bar Line 1 2 selects from the pop up menu the patient information to display on the scanning screen s Title bar see page 98 Anonymous patient when checked no patient information is displayed on the scanning screen s Title bar Parameter Description Scan Info selects scan information on the video record ...

Page 611: ...4458 100 Rev 2 Application The Application category enables the configuration of probe application specific settings presets The application specific settings can be stored and used as default presets with this probe Figure 13 4 The Application setup sheet example ...

Page 612: ... 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 freeze when not in use Templates and Packages Defines the default stress protocol associated to the application Select the default Protocol to be associated to the selected application from the pop up menu M A Category Study Selects particular M A ...

Page 613: ...st the imaging parameters as desired 3 Press APPLICATION 4 Highlight the probe and press SET 5 Trackball to Presets A pop up window Enter new name appears displaying the current preset name 6 Press Save to store the changes Applicable only on user defined applications Create new application Press New to create a new Application A dialogue window is displayed where the operator is asked to give a n...

Page 614: ...isplays the most frequently used applications in any desired order The second level called More displays the less frequently used applications Figure 13 5 The Application menu setup sheet example Configuration of the Application menu The Application menu can be configured by moving the applications up and down inside the pop up menu and from one level to the other To move an application inside one...

Page 615: ... move an application from one level to the other 1 Trackball to the application to move 2 Press SET 3 Press as many times as necessary if the application to move is in the More menu if the application to move is in the Applications menu till the application has moved to the other menu To delete an application 1 Trackball to the application to delete 2 Press SET 3 Press Delete Applicable only to us...

Page 616: ...of Measurement tools see page 603 Configuration of the vascular Doppler calculation see page 604 Configuration of the Annotation function see page 132 The measurement menu sheet The Measurement sheet enables the organization of the Factory default Measurement menu and the creation of user defined Measurements Figure 13 6 The Measurement menu setup sheet 1 Configuration window see next pages for de...

Page 617: ... to display in the Measurement menu Only checked items will be displayed Create 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 display 2D MM and Dop radio buttons Enables the display of mode related Measurement menu in the configuration window Confi...

Page 618: ... is hidden 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 Measurement menu The item is hidden from the Measurement menu Only checked parameters will be displayed in the Measurement result window the worksheet and the report Auto sequence Prompts the nex...

Page 619: ...e displayed Uncheck the categories 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 599 2 Move the trackball marker over the M A category name 3 Press SET to highlight the category 4 Press Create copy A copy of the selected measurement category is displayed in the Measurement menu Factory Measure ...

Page 620: ...ay only the entries folders and measurements of interest To hide a folder or a measurement Uncheck the actual folder or measurement in the Folder or Measurement field in the Configuration window To display a hidden folder or measurement Check the actual folder or measurement in the Folder or Measurement field in the Configuration window Creating a user defined folder 1 If the folder is to be insid...

Page 621: ...fic parameters and global parameters Figure 13 7 The Advanced sheet Parameter configuration 1 If configuring application specific parameters select an application from the M A category pull down menu When pointing at a parameter an expla nation label is dis played 2 Select the configuration value next to the parameter to configure A pull down menu is displayed see Figure 13 7 3 Select a new value ...

Page 622: ...r vascular measurements Figure 13 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 M A Categories The Vascular measurement category is displayed 2 Select Carotid The available calculations are displayed 3 Check the desired calculations to be performed ...

Page 623: ... Diameter measurements 1 In the Measure Text category select the Measurement menu sheet 2 In the Measurement menu sheet select 2D mode 3 Select the OB table sheet 4 In the Measurement menu select the category Obstetrics Measurement menu heading and the OB 2 3 measurement study 5 In the OB table sheet check New table 6 Enter or select the following OB Table Template when creating a new OB table sel...

Page 624: ...My BPD Measure Author Name Type the author s name e g My Name Table Type If necessary select the table type e g Fetal Age Measure type select the desired measurement e g BPD 7 Select Edit table The OB Table spreadsheet is displayed showing the table template selected Figure 13 10 The Edit table spreadsheet 8 Enter the Min Max and Interval values in the Parameters field The system automatically fil...

Page 625: ...able range 1 SD Graph range 1 SD Measurement result Value cm GA w d Min w d Max w d Fetal growth Format AGE MEAN SD Unit week mm week Others are same as above Template 2 based on Tokyo Fetal age Format MEAS MEAN SD Unit mm day day Table range 1 SD Graph range 1 SD Measurement result Value cm GA w d SD day Fetal growth Format AGE MEAN SD Unit day mm day Others are same as above ...

Page 626: ...d SD mv pv sd Fetal growth Format AGE MEAN SD Unit day mm day Others are same as above Template 4 based on several European tables Fetal age Format MEAS MEAN SD Unit mm weekday mm Table range 5 95 Graph range 5 95 Measurement result Value cm GA w d GP Calculated by Fetal growth table If Fetal growth table is not edited GP is not calculated Fetal growth Format AGE MEAN SD Unit weekday mm day Others...

Page 627: ...al growth table is not edited GP is not calculated Fetal growth Format AGE MEAN SD Unit weekday mm day Others are same as above Template 6 based on several European tables Fetal age Format MEAS MIN MEAN SD Unit mm weekday weekday weekday Table range 10 90 Graph range 10 90 Measurement result Value cm GA w d GP Calculated by Fetal growth table If Fetal growth table is not edited GP is not calculate...

Page 628: ...l European tables Fetal age Format MEAS MEAN SD Unit mm weekday mm Table range 1 SD Graph range 10 90 Measurement result Value cm GA w d GP Calculated by Fetal growth table If Fetal growth table is not edited GP is not calculated Fetal growth Format AGE MEAN SD Unit weekday mm mm Others are same as above ...

Page 629: ...ormation Diagnostic codes enables the creation of pre defined text inputs to be used in the Diagnosis information field in the Examination list window see Figure 9 10 page 418 Comment texts enables the creation of pre defines text inputs to be used in the Comment information field in the Examination list window see Figure 9 10 page 418 Structured findings enables the insertion of pre configured st...

Page 630: ... 10 page 418 Figure 13 11 The Diagnostic codes sheet Creating a diagnostic codes 1 Select New text to create a new diagnostic code see Figure 13 11 2 In the Code field enter a name for the diagnostic code 3 Trackball to the Text input display area 4 Press SET 5 Enter the text To add a diagnostic code to an examination refer to Diagnosis code on page 420 1 List of text inputs 2 Text input name 3 Te...

Page 631: ...he Comment texts sheet This sheet enables the creation and deletion of text inputs that can be used when entering comments in the Examination list window see Figure 9 10 page 418 or in the Direct report Figure 13 12 The Comment texts sheet The pre defined text list is organized in a three level hierarchy Selecting one item in the first column displays pre defined text entries related to the select...

Page 632: ...itle in the Text field Enter the pre defined text in the Full text field 4 Press OK Second and third level 1 Select an item in the first column The pre defined text input to be created in the second and third column will be related to this selection only 2 Select the second or third column 3 Press New The Enter new text window is displayed Figure 13 13 4 Enter a title in the Text field Enter the p...

Page 633: ...ress Edit 3 The Edit text window is displayed Figure 13 14 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 delete in one of the columns 2 Press Delete 3 A Confirmation window is displayed 4 Press Yes The selected text input is deleted including the belonging text inputs ...

Page 634: ...asound unit and other information providers on the network takes the form of dataflows Each dataflow defines the transfer of patient information and images from an input source to the unit and from the unit to one or several output sources Input output devices cannot be added removed to from the pre defined dataflows However the settings for the devices can be adjusted A dataflow is a set of pre c...

Page 635: ...annot be edited 2 Use selected dataflow as default 3 Store data directly to archive 4 Hide selected dataflow 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 Input output devices assigned to the current dataflow 7 Adjust the settings for the selected assigned device ...

Page 636: ...s will consist of raw data only together with a single frame DICOM preview image no DICOM multi frame is stored Local Archive Int HD DICOM Server The local archive is used for patient archiving Images are stored to the internal hard drive and to a DICOM server Some of the measurements are stored if DICOM SR is turned on see page 447 RemoteArch RemoteHD Remote archive remote hard drive A remote dat...

Page 637: ...ed on see page 447 Worklist RemoteArchive DICOMServer RemoteHD Modality Worklist remote archive DICOM server and remote hard drive Search in the DICOM Modality Worklist the patient found is copied into a remote database The patient information and examination results are stored to a remote database Images are stored to a DICOM Server and to an image network volume as pure DICOM in both locations S...

Page 638: ...device Some of the measurements are stored if DICOM SR is turned on see page 447 DICOM Print DICOM Print Send images to a DICOM printer Query Retrieve Query Retrieve Retrieve images from a DICOM server LocalArchive Int HD eVue The local database is used for patient archiving Images are stored to internal hard drive and a MPEG exam is created to the configured destination RemoteArch RemoteHD eVue A...

Page 639: ...s Definition Name Free text give a descriptive name for the device IP address Select from drop down menu 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 MPPS Modality Perform Procedure Step send information typically to a HIS that a scheduled exam has been starte...

Page 640: ...etween tentatives and time out DICOM settings Definition AE Title The Application Entity Title is set during DICOM configuration Refer to the network specifications 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 request to a PACS asking it to permanently archive ...

Page 641: ...PRINT can result in printing a Color video print and storage to a DICOM media Figure 13 16 The sublevel Additional outputs example 1 Select between P1 and P2 keys 2 Available output devices that can be assigned to the current button 3 Output devices assigned to the current button 4 Add or remove selected device to from the current button 5 Adjust the device settings for the selected assigned devic...

Page 642: ...nal outputs 4 Adjust the image specific parameters see the table below To remove a device select the device in the Selected devices field and press the Left arrow button Configuration parameter Format Select between Raw DICOM DICOM Image compression Select compression mode from the pop up menu Quality When JPEG compression is selected adjust the picture quality between 1 and 100 A low picture qual...

Page 643: ... remote path of a network shared folder server name share name for Export traces function in Q Analysis Export of system error log file Save as function for images Figure 13 17 The sublevel Tools Remote path setting The user can define a default remote path for a network shared folder server name share name The remote path can then be selected as a destination archive for the following operations ...

Page 644: ...category and Tools subgroup The Tool sheet is displayed 3 Enter a remote path of a shared folder on the network To check the connection press Check Creation of a DICOM directory 1 Insert the media in the drive 2 Select Repair DICOM DIR Wait for the display of the Information window indicating that the process is completed Formats The Formats sublevel enables configuration of the Examination list w...

Page 645: ...re 9 10 page 418 by deleting adding columns and change the information type displayed in each column Column configuration 1 Trackball to the column to edit To adjust column width select and drag column head ing border 2 Press the SET key in the trackball area A sub menu is displayed see Figure 13 19 3 Select the action to perform Insert creates a new column Delete removes selected column select th...

Page 646: ...setup 628 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Figure 13 19 Configuration of the Examination list window 1 Insert new column to the left of the selected column 2 Delete selected column 3 Select column heading ...

Page 647: ... birth 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 98 The entire patient information data is displayed Patient information data displayed is restricted to a minimum e g name and Patient ID When unchecked press More to display the entire patient information data Use extended search ...

Page 648: ...ned text input the Insert text 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 Information window for the selected patient Automatic generation of patient ID In the Search Create Patient window page 97 Patient ID is not required when entering a new patient...

Page 649: ...ve all images on end exam All images on the clipboard are automatically saved when ending an examination A dialogue window is displayed when ending an exam where the user can select between Store all images Select images to store Store no images Exam screen Report headings Enter user defined headings for Comments Diagnosis and Referral reasons fields DICOM images Select between No extra info Add v...

Page 650: ...evice s name of type VIVID_S5 00nnnn or VIVID_S6 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 archive IP address and name EchoPAC PC or Image Vault 4 Save TCP IP settings The changes will be effective after the system is rebooted 5 Advanced DICOM log creates a detailed DICOM related...

Page 651: ...user to set the date and time choose 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 unit This sheet is accessible to users with administration rights only The system settings Figure 13 21 The System settings setup sheet ...

Page 652: ...ebooting 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 desired format 24 or 12 AM PM from the pop up menu Date Format select the desired format EU or US from the pop up menu Default Century select the desired format 1900 2000 or None from the pop up menu ...

Page 653: ...d unit 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 If not available the English manual will be displayed as default Parameter Description Units Select the desired units Metric or US from the pop up menu ...

Page 654: ...cedures for local patient and report archives as well as system and user defined configuration see page 472 Restore enables data retrieving of patient and report archives as well as system and user defined configuration presets from a backup see page 476 Users deals with operators registration operator s rights setting and registration of staff related to an examination e g referral doctors sonogr...

Page 655: ...3 22 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 selected together with the group Operator They have group specific rights Referring groups members of these groups Diagnosing physician and Referring doctor are not allowed to login on the system They ...

Page 656: ...st 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 Create update and delete an examination Create update and delete an user or a referring member Import Export patient records examinations Move examinations Print report Print a report Store report Store a report Admin System administrati...

Page 657: ...e User list 2 Press Delete The user is removed from the User list Auto logon and auto Screenlock Auto logon Select the desired logon setup from the pull down menu Disabled no default user is selected when logging on Last user the last user is selected automatically when logging on A specific user select one of the users to be the default user when logging on Auto logoff Set the time span from 10 m...

Page 658: ...ient 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 You can search for a specific patient record or a group of patient record using the searching filters 5 Select Unlock to unlock the selected patient record s or select Unlock All to unlock all pati...

Page 659: ...are and Maintenance 642 Inspecting the system 642 Cleaning the unit 643 Prevention of static electricity interference 645 System self test 646 System malfunction 646 Using InSite ExC 650 InSite ExC Functionalities 650 Initiating a Request for Service RFS 650 Clinical Lifeline Mode 653 Exiting InSite ExC 654 ...

Page 660: ...e maintenance program Inspecting the 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 electrical and power cables for cuts or abrasions Equipment for loose or missing hardware Control panel for defects Brakes CAUTION The user must ensure that safety inspe...

Page 661: ...e risk of spreading infection from person to person and also helps to maintain a clean working environment System Cabinet 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 any solution containing abrasive powder or strong chemicals such as acid or alkaline Squeeze excess liquid from the cloth sponge them...

Page 662: ...oft dry cloth If the stain remains 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 again Do not let any liquid drip into the computer Be sure to dry the LCD Display before closing the cover Control Panel and Keyboard Control Panel On a weekly basis mois...

Page 663: ...ne to clean the MOD cartridge DVD CD RW 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 Do not use alcohol or benzene to clean the CD drive Peripherals Clean the peripherals in accordance with the respective manufacturer s directions Prevention of static ...

Page 664: ...egular use of the system press ALT B This inserts a bookmark into the system failure logs and a confirmation message appears on a prompt line see Figure 14 1 Bookmarks serve as time stamps indicating where particular problems have occurred while allowing the user to continue working with minimum interruption The bookmark logfile assists service engineers in troubleshooting Figure 14 1 Bookmark mes...

Page 665: ...xtensive Logging feature This allows the system to record logging data in a more detailed format To activate click Extensive Logging see Figure 14 2 and select the categories which require detailed analysis see Figure 14 3 This generates a larger more detailed log file Note extensive logfiles can grow considerably over time When the feature is not needed turn it off in order to conserve the size o...

Page 666: ...files Specify some optional attachments to be added to the logfiles Setting Logfile ranges By default the logfiles may be very large as they are not limited by time In case you wish to limit the logfiles 1 Select Export Logs Using see Figure 14 4 2 Select Time Range 3 Define the time range using the From and To fields Alternatively select Bookmarks This generates logfiles which are limited to one ...

Page 667: ...g see Figure 14 4 you can select different items that you wish to attach to logfiles Exporting the 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 Save and Export A Zip file named logfile_ date _ time zip is copied on to the selected removable media ...

Page 668: ...creen InSite ExC Functionalities Service Desktop Utilities intended for service personnel Request for Service Opens a service call with GE Service Connect to GE Sets up a quick link with GE Technical Support Connect Clinical Lifeline Gives GE service full access to your system and enables Technical Support to establish a remote control link with your system Cancel Initiating a Request for Service ...

Page 669: ...er Manual 651 R2424458 100 Rev 2 The items marked with a red asterisk are required fields and the requested information must be typed in the relevant fields Figure 14 6 Contact Information dialog box Figure 14 7 Contact Problem Description ...

Page 670: ...s active 3 After you have completed filling in all the required information press Send to initiate the Request for Service The following request confirmation appears Figure 14 8 Figure 14 8 Request confirmation 4 Select the Queue tab see Figure 14 9 to check the status of your request Figure 14 9 Screen showing status of requests in queue 5 To identify which users have sent service requests click ...

Page 671: ...ect Connect Clinical Lifeline After a few moments the InSite ExC icon changes to a red icon indicating that you have authorized Service to establish a remote control link with your system Note In addition to contacting a technical clinical support person selecting this mode also changes the service response time from 10 minutes to 15 seconds so that your call can be answered as quickly as possible...

Page 672: ... maintenance 654 Vivid S5 Vivid S6 User Manual R2424458 100 Rev 2 Exiting InSite ExC 1 Click at top right corner of the screen to exit InSite ExC 2 After you have finished using InSite ExC reboot the system ...

Page 673: ...izing CW Doppler 168 Optimizing PW Doppler 168 adding malfunction description 646 Advanced sheet 603 604 AFI 328 Alpha HIP 316 Amniotic Fluid Index 328 Angle correction CW Doppler 166 Optimizing CW Doppler 168 Optimizing PW Doppler 168 PW Doppler 166 Annotations 128 135 Configure 132 Editing 131 Erasing 131 Inserting 128 Application selecting 100 Assignable keys 103 Audio Volume PW CW Doppler 165 ...

Page 674: ...Flow 195 Biopsy 563 needle path 573 Blood flow imaging 195 B Mode measurements 323 371 Bodymark 134 bookmark 646 C Care and Maintenance 642 645 Cine Compound Strain 186 Strain rate 181 Tissue Tracking 176 190 Cineloop 110 113 Controls 111 Overview 110 Saving as AVI 408 Using 112 Circumference parameter 325 CIVCO 565 Cleaning Ultrasound unit 643 Color 2D Using 162 Color maps Color Mode 160 CW Doppl...

Page 675: ...view 157 using 162 Comments 419 Compound 143 194 Compress 2D 145 CW Doppler 166 LV Contrast 237 M Mode 152 Optimizing CW Doppler 168 Optimizing M Mode 155 Optimizing PW Doppler 168 PW Doppler 166 Strain rate 180 TVI 171 Compund 143 194 Configurable Remote Path 118 Configuration see System setup Connecting peripherals 58 Connecting the unit 54 Connectivity Buttons 623 Dataflow 616 Overview 616 Cont...

Page 676: ...g gels 561 CW Doppler 164 168 Controls 165 Optimizing 168 Overview 164 Using 167 D D Color maps PW Doppler 166 d D Ratio 316 DDP 2D 146 LV Contrast 238 Optimizing 2D 149 Delete Examination 422 Image 423 Patient record 422 Depth 2D 144 Optimizing 2D 148 Diagnosis code 420 Diagnosis information 419 DICOM spooler 479 DICOM verification 625 Diff On Off 2D 146 Diff on off LV Contrast 238 Digital Video ...

Page 677: ...330 Doppler see PW or CW Doppler Dual focus 2D 143 DVR 578 playback controls 580 Titles and Chapters 579 Dynamic Range LV Contrast 238 Dynamic range 2D 145 M Mode 153 Optimizing M Mode 155 Dysplasia 315 E ECG Adjusting trace 126 Connecting 122 Controls 126 Edge Enhance M Mode 153 EFW 330 Ejection Fraction automated 292 Emission declaration 44 Estimated Fetal Weight 330 Event timing 265 eVue 410 Ex...

Page 678: ... Mode 155 Follicle measurements 373 footswitch 87 Formatting Removable media 625 Frame rate 2D 142 Optimizing CW Doppler 168 Optimizing M Mode 155 Optimizing PW Doppler 168 Strain 184 Strain rate 179 Tissue Synchronization Imaging 189 Tissue Tracking 174 TVI 170 Frequency 2D 143 Color Mode 160 CW Doppler 167 LV Contrast 236 M Mode 151 Optimizing Color Mode 163 Optimizing CW Doppler 168 Optimizing ...

Page 679: ... 155 Gel 561 Gestational Sac 327 GS 327 GYN measurements 370 H Hazard symbols 16 Hip Dysplasia 315 Horizontal sweep Color M Mode 159 CW Doppler 165 M Mode 151 Optimizing CW Doppler 168 Optimizing M Mode 155 Optimizing PW Doppler 168 PW Doppler 165 I Images Saving as JPEG 408 Import Patient records 460 Intima Media Thickness 303 Invert 2D 143 Color Mode 159 CW Doppler 165 Optimizing Color Mode 163 ...

Page 680: ...nual 635 System 635 Lateral Averaging Color Mode 161 Optimizing Color Mode 163 Strain 186 Strain rate 180 Tissue Tracking 175 TVI 172 LCD monitor safety 37 logfile 648 exporting 649 LogiqView 193 Low Velocity Reject see LVR LPRF 166 LVR Color Mode 159 CW Doppler 165 Optimizing Color Mode 163 Optimizing CW Doppler 168 Optimizing PW Doppler 168 M M A 333 Magneto Optical Disk Formatting 625 Measureme...

Page 681: ...56 Anatomical M Mode 154 Controls 151 Conventional M Mode 153 154 Curved Anatomical M Mode 155 Optimizing 155 Overview 150 Using 153 Monitor adjusting image 90 adjusting position 92 Moving the unit 64 moving the unit 64 MPEG exams 410 MPEGVue eVue 410 multiple fetus 366 N Needle Guidance Systems 565 normal values 340 O OB application 321 OB exam 317 OB graphs 359 OB measurements 322 OB Multigestat...

Page 682: ...al traces 122 127 Power 2D 146 Color Mode 161 CW Doppler 167 LV Contrast 237 M Mode 153 Optimizing Color Mode 163 PW Doppler 167 Strain rate 181 Tissue Synchronization Imaging 186 190 Tissue Tracking 176 Probe Application Overview Vivid S5 542 Vivid S6 543 Probes Activating 550 Care and Maintenance 552 Cleaning 556 Connecting 87 548 Disconnecting 551 Disconnecting and connecting 87 Disinfecting 55...

Page 683: ...ntrols 126 PW Doppler 164 168 Controls 165 Optimizing 168 Overview 164 Using 167 Q Quantitative Analysis 375 Anatomical M Mode 399 Deletion of a trace 389 Frame disabling 390 Labelling a sample area 393 Manual tracking 387 Optimizing Anatomical M Mode 401 Optimizing sample area 392 Optimizing the trace display 394 Overview 379 Sample area 386 Strain cursor 386 To generate a trace 386 Trace smoothi...

Page 684: ...Strain 185 Strain rate 180 Remote Path 118 Removable media Ejecting 119 Flash Card 115 Formatting 625 Report 491 534 Configuration of the Template selection menu 532 Creating 493 Deleting 497 Direct report 514 Export Import templates 533 managing report images 495 Print 496 Retrieving 497 Save 496 Report designer 516 Designing a template 519 ROI size Color Mode 161 S Safety 13 50 Biological hazard...

Page 685: ...zing PW Doppler 168 PW Doppler 166 save as PDF to network 118 Scale Color Mode 159 CW Doppler 165 PW Doppler 165 Strain 184 TVI 170 Scanning Screen layout 84 starting 100 Simultaneous Strain 184 Strain rate 179 Tissue Synchronization Imaging 189 Tissue tracking 174 TVI 170 Single length parameter 325 Site requirements 53 Soft Menu Rocker 103 using 107 Strain 183 Controls 184 Optimizing 186 Overvie...

Page 686: ...rojection 230 Scoring 216 Selecting a template 199 Timers 204 230 System Controls affecting acoustic output 27 Switching On Off 61 System documentation 3 System setup 583 640 Application 593 Connectivity 616 632 Examination list window 626 Examination signoff 626 Imaging setup 590 Language 633 M A 598 Patient ID 626 Patient information 592 Scan information 592 Starting system setup 588 Units 633 U...

Page 687: ...riority Color Mode 160 Optimizing Color Mode 163 Tissue Synchronization Imaging 188 Controls 189 Optimizing 192 Overview 188 Using 191 Tissue Tracking 173 Controls 174 Optimizing 176 Overview 173 Using 176 Tissue Velocity Imaging see TVI Trackball Operation 108 Transparency Strain 185 Strain rate 180 Tissue Synchronization Imaging 190 Tissue Tracking 175 TVI 171 TSI 170 174 TSI see Tissue Synchron...

Page 688: ...172 U UD 146 237 Ultra Definition Clarity 146 237 Uterus measurements 371 V Variance Color Mode 159 Optimizing Color Mode 163 Velocity range Optimizing CW Doppler 168 Optimizing PW Doppler 168 Virtual Convex 196 W wheels 64 Width 2D 142 LV Contrast 236 Worksheet 353 ...

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