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Tissue Synchronization Imaging (TSI)

Vivid S70 / S60

–

User Manual

5-35

BC092760-1EN

Tissue Synchronization Imaging

(TSI)

TSI overview

TSI calculates and color-codes the time from detected QRS to a
detected event, typically the time to peak systolic velocity.

Figure 5-19. The TSI mode screen

1.  TSI start/end and TSI Cut-off
2.  TSI start and end markers
3.  QRS marker
4.  TSI color bar
5.  Parameter window

Summary of Contents for Vivid S70

Page 2: ...will hereafter be listed as Vivid S70 S60 All information in this manual is relevant for the two systems unless otherwise specified 0459 GE Medical Systems All rights reserved No part of this manual...

Page 3: ...n pertaining to this document is maintained on ePDM GE electronic Product Data Management If you need to know the latest revision contact your distributor local GE Sales Representative or in the USA c...

Page 4: ...1 ANSI AAMI ES60601 1 CAN CSA C22 2 No 60601 1 Medical Electrical Equipment Part 1 General requirements for basic Safety and essential performance IEC EN 60601 2 37 Medical electrical equipment Part 2...

Page 5: ...he CE marking is specified in Device labels on page 2 26 Year of first CE mark 2015 Classifications According to 93 42 EEC Medical Device Directive this is a Class IIa Medical Device The following cla...

Page 6: ...ansducers are IPX7 ICE catheters are IPX8 Class I Equipment EQUIPMENT in which protection against electric shock does not rely on BASIC INSULATION only but also includes an earth ground This additiona...

Page 7: ...for Type BF Applied Part against electric shock particularly regarding allowable LEAKAGE CURRENT Original Documentation The original document was written in English Software License Acknowledgements...

Page 8: ...i 6 Vivid S70 S60 User Manual BC092760 1EN 01...

Page 9: ...s manual 1 3 Indications for use 1 4 Contraindications 1 7 Prescription device 1 7 Safety 1 7 Contact Information Contacting GE Ultrasound 1 8 Manufacturer 1 14 Chapter 2 Safety Safety Precautions Pre...

Page 10: ...n the system 3 23 Log In 3 23 Switch off the system 3 24 Connect and disconnect probes Connect the probe 3 26 Activate the probe 3 28 Deactivate the probe 3 30 Disconnect the probe 3 30 Intra Cardiac...

Page 11: ...e Optimization 2D Mode 2D Mode overview 5 3 Using 2D Mode 5 5 Optimizing 2D 5 5 M Mode M Mode overview 5 7 Using M Mode 5 9 Optimizing M Mode 5 11 Color Mode Color 2D Mode overview 5 12 Color M Mode o...

Page 12: ...9 Scan Assist Pro Scan Assist Pro overview 5 59 Setting up Scan Assist Pro 5 61 Using Scan Assist Pro 5 63 Chapter 6 4D and Multi plane Modes 4D Mode Real time single beat 4D imaging 6 2 Real time mul...

Page 13: ...ssign and Measure modality Measure and Assign modality Measurements on volume renderings 8 9 Measurements on protocol images Example results 8 10 Advanced cardiac measurements and analysis Event timin...

Page 14: ...tarting Q Analysis 9 3 Q Analysis screen 9 4 Using Q Analysis Generation of a trace 9 9 Saving retrieving Q Analysis 9 13 Frame disabling 9 13 Optimization 9 15 Switching modes or traces 9 19 Anatomic...

Page 15: ...tion of Tricefy QR 10 70 Data streaming Streaming in process 10 71 Chapter 11 Report Introduction Creating a report Working with the report function To open a report 11 4 To choose another report temp...

Page 16: ...ed formulas 12 23 Advanced settings 12 31 Normal values 12 38 Transfer of user defined measurements transfer in DICOM SR 12 39 Advanced Quantification 12 40 Connectivity configuration System in a netw...

Page 17: ...l hazards 13 43 Biological hazards 13 44 Biopsy Biopsy capability for probes 13 46 Precaution concerning the use of biopsy procedures 13 47 Preparing the Biopsy guide attachment Convex Sector and Line...

Page 18: ...14 20 Chapter 15 Maintenance System Care and Maintenance Overview 15 2 Expected Service Life Description 15 2 Inspecting the system 15 2 Disinfection 15 3 Cleaning the system 15 3 Cleaning the probes...

Page 19: ...pler Power Doppler Angio M Mode Color M Mode PW and CW Doppler spectral Tissue Velocity imaging advanced Strain and Contrast applications The fully digital architecture of the Vivid S70 S60 system all...

Page 20: ...res for operation and safety precautions Disregarding information on safety is considered abnormal use Not all features or products described in this document may be available or cleared for sale in a...

Page 21: ...y publication from American Institute of Ultrasound in Medicine AIUM ENGLISH ONLY Provided as ALARA Educational Program to comply with US FDA Track 3 Not available in all countries NOTE The eDocumenta...

Page 22: ...ified physician for ultrasound imaging and analysis of Fetal Obstetrics Abdominal Including Renal and GYN Pediatric Small Organ breast testes thyroid Neonatal Cephalic Adult Cephalic Cardiac adult and...

Page 23: ...P6D L8 18i D AcuNav 10F AcuNav 8F SoundStar 3D 10F SoundStar eco 10F SoundStar eco 8F Ophthalmic Fetal Obstetrics Abdominal Renal GYN Pelvic Aorto Iliac Artery Pediatric Small Organ Breast testes thyr...

Page 24: ...the user manual Intraoperative Abdominal Thoracic cardiac Vascular PV Intraoperative Neurological Intravascular Interventional Guidance Intracardiac and Intraluminal Tissue Biopsy Vacular Access IV PI...

Page 25: ...e Prescription device Safety All information in Chapter Safety on page 2 1 should be read and understood before operating the ultrasound system CAUTION Vivid S70 S60 should be used in compliance with...

Page 26: ...ter TEL 1 800 682 5327 or 1 262 524 5698 In other locations contact your local Applications Sales or Service Representative Service Questions For service in the United States call GE CARES TEL 1 800 4...

Page 27: ...2 0001 40 TEL 3004 2525 Capitais e regi es metropolitanas 0800 165 799 Demais regi es GE Healthcare Ultrasound Service Engineering 9900 Innovation Drive Wauwatosa WI 53226 TEL 1 800 668 0732 Customer...

Page 28: ...Parramatta NSW 2150 TEL 1300 722 229 or 612 9846 4000 GE Healthcare China No 1 Yongchang North Road Beijing Economic Technology Development Area Beijing 100176 China TEL 8610 5806 8888 FAX 8610 6787...

Page 29: ...gle Building Kouterveldstraat 20 1831 DIEGEM TEL 32 2 719 7204 FAX 32 2 719 7205 GE Medical Systems Bucharova 14 2641 Explora Business 158 00 Praha GE Medical Systems Ultrasound Park Alle 295 2605 Br...

Page 30: ...1 MV Hoevelaken PO Box 22 3870 CA Hoevelaken TEL 31 33 25 41 222 GE Healthcare Vitaminveien 1A 0485 Oslo TEL 47 23 18 50 50 GE Healthcare Strandpromenaden 45 P O Box 141 3191 Horten TEL 47 33 02 11 16...

Page 31: ...chweiz AG Europastrasse 31 8152 Glattbrugg TEL 41 1 809 92 92 FAX 41 1 809 92 22 GE Healthcare T rkiye Istanbul Office Levent Ofis Esentepe Mah Harman Sok No 8 Sisli Istanbul TEL 90 212 398 07 00 FAKS...

Page 32: ...Introduction 1 14 Vivid S70 S60 User Manual BC092760 1EN 01 Manufacturer GE Medical Systems Israel Ltd Nativ Ha or Street no 1 3508510 Haifa ISRAEL Tel 972 4 8519 555 Fax 972 4 8519 500...

Page 33: ...tory information pertinent to operating this ultrasound system as well as procedures for simple care and maintenance of the system Safety Precautions on page 2 2 Owner responsibility on page 2 3 Acous...

Page 34: ...specifically Maintaining an optimum system environment Using this Manual Notes to emphasize or clarify a point DANGER Indicates that a specific hazard is known to exist which through inappropriate co...

Page 35: ...ized 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 i...

Page 36: ...close to the surface Used for transcranial application The Vivid S70 S60 has an internal limit of 3 0 on TI for the chosen index category Mechanical Index MI is the estimated likelihood of tissue dam...

Page 37: ...resents the relevant TI category to the operator It is therefore important that the operator chooses the right application The system also provides the ability to select the display of any of the TI c...

Page 38: ...presence of contrast agents 1 0 1 5 120 min 1 5 2 0 60 min 2 0 2 5 15 min 2 5 3 0 4 min Adult trans cranial scanning TI time Note 0 0 1 0 Unlimited Monitor TIC MI 0 7 should be used with caution in t...

Page 39: ...ARA while acquiring clinical information Training During each ultrasound examination the user is expected to weigh the medical benefit of the diagnostic information that would be obtained against the...

Page 40: ...ol that improves the quality of the examination can help to reduce patient exposure even though it may not directly affect acoustic output Probe selection As long as the appropriate application is ava...

Page 41: ...Image Optimization on page 5 1 for complete information on changing imaging modes When operating in a combined mode such as 2D and M Mode the total acoustic output comprises contributions from each i...

Page 42: ...these examinations should be conducted in a manner and take place in a setting which ensures patient dignity and privacy Prior material knowledge and approval of the presence of nonessential personne...

Page 43: ...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 conditions that could result in injur...

Page 44: ...correct settings can result in measurement errors or failure to detect details in the image The user must become thoroughly familiar with the operation of the system in order to optimize its performan...

Page 45: ...e tissue DO NOT bend or pull the cable forcefully to avoid mechanical shock or impact to the probe CAUTION Ultrasound transducers are sensitive instruments which can easily be damaged by rough handlin...

Page 46: ...ee the Bioeffects section of the Acoustic Output chapter in the Advanced Reference Manual for more information WARNING This equipment provides no special means of protection from high frequency HF bur...

Page 47: ...must be securely mounted to the Vivid S70 S60 WARNING Never operate the equipment in the presence of flammable or explosive liquids vapors or gases Malfunctions in the system or sparks generated by fa...

Page 48: ...y exist if any light monitor or visual indicator remains on after the system is turned off Fuses blown within 36 hours of being replaced may indicate a malfunctioning electrical circuit within the sys...

Page 49: ...n CAUTION 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 s...

Page 50: ...ge current limits per IEC EN60601 1 and when plugged into separate AC outlets are in violation of patient safety standards Suitable electrical isolation of such external AC outlets or providing the de...

Page 51: ...es with emission limits for a Group 1 Class A Medical Device as stated in EN 60601 1 2 IEC 60601 1 2 NOTE The emissions characteristics of this equipment make it suitable for use in industrial areas a...

Page 52: ...antee that interference will not occur in a particular installation If this equipment is found to cause or respond to interference attempt to correct the problem by one or more of the following measur...

Page 53: ...d system is intended for use in the electromagnetic environment specified in the tables below The user of the ultrasound system should ensure that the device is used in such an environment CAUTION Use...

Page 54: ...ce and manufacturer s declaration electromagnetic emissions Emissions test Compliance Electromagnetic environment guidance RF emission CISPR 11 Group 1 The ultrasound system uses RF energy only for it...

Page 55: ...kV line s to earth 0 90 180 270 phase angles Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply...

Page 56: ...3 V m 80 MHz to 2 7 GHz 80 AM at 1 kHz 385 MHz 18 Hz Pulse Modulation 27 V m 450 MHz FM 5 kHz deviation 1 kHz sine or 18 Hz Pulse Modulation 28 V m 710 MHz 217 Hz PM 9 V m 745 MHz 217 Hz PM 9 V m 780...

Page 57: ...iagnosis by trained physician the ability to display quantified data as input for diagnosis by trained physician the display of ultrasound indexes as aid for safe use of the system the display of prob...

Page 58: ...from mains voltage after system shutdown please set the circuit breaker close to the mains inlet to OFF as described on page 3 23 Control panel IEC 60417 5010 Equipment Type BF in which protection ag...

Page 59: ...w of the Russian Federation No 184 FZ Rear of system N A by certification body Non ionizing electromagnetic radiation Rear of system IEC 60417 5140 Alternating current Various IEC 60417 5032 Protectiv...

Page 60: ...e contact the manufacturer or other authorized disposal company to decommission your equipment The disassembly and parts disposition procedure is located on the card cage front cover To access to the...

Page 61: ...SO 7000 0632 To indicate the acceptable upper and lower limits of relative humidity for transport and storage Package labeling ISO 7000 2620 On transport packaging To indicate that the items are not t...

Page 62: ...Safety 2 30 Vivid S70 S60 User Manual BC092760 1EN 01 For China only...

Page 63: ...Device labels Vivid S70 S60 User Manual 2 31 BC092760 1EN 01...

Page 64: ...Safety 2 32 Vivid S70 S60 User Manual BC092760 1EN 01...

Page 65: ...m positioning transporting operator controls probes and adjusting the main display Site requirements on page 3 2 System Overview on page 3 9 Switching On Off on page 3 23 Connect and disconnect probes...

Page 66: ...clean environment Turn off the circuit breaker before cleaning the system Refer to System Care and Maintenance on page 15 2 for cleaning instructions The ultrasound system must operate within the pro...

Page 67: ...use in hospitals clinics and other environmentally qualified facilities in terms of the prevention of radio wave interference Operation of the system in an inappropriate environment can cause electron...

Page 68: ...to a fixed power socket which has the protective grounding connector Never use an extension cord or adapter plug WARNING Failure to provide an adequate earth circuit can cause electrical shock resulti...

Page 69: ...Figure 3 1 Figure 3 1 The rating label location Check the voltage range indicated on the label 100 240 VAC 50 60 Hz 500 VA At 110 V 6 4 A At 115 V 6 0 A At 230 V 3 0 A WARNING If the mains supply is n...

Page 70: ...plug WARNING POWER OUTAGE MAY OCCUR The ultrasound system requires a dedicated single branch circuit To avoid circuit overload and possible loss of critical care equipment make sure you DO NOT have o...

Page 71: ...em s battery is significantly less hazardous to the environment than the lithium metal technology used in some other batteries such as watch CAUTION Ensure that the retaining clamp for the power plug...

Page 72: ...horized field service engineer Viewing Current Battery Status When the system is running a status icon is displayed in the system Status bar to indicate the current battery status NOTE The values ment...

Page 73: ...control panel 5 Pull out alphanumeric Keyboard option 6 Front handle 7 Up down Flex Fit arm 8 Probe connectors DLP type 9 Probe cable management tray removable 10 Front wheel with foot break 11 Probe...

Page 74: ...uch panel 3 Probe and gel holder on both sides of control panel 4 Rear handle 5 Rear I O connectors panel 6 System labels 7 Swivel rear wheels 8 Circuit breaker power and ground connectors 9 Ventilati...

Page 75: ...ements and reporting data from the system to a third party reporting application using removable media see page 10 40 Copy of system configuration presets between two units using the Backup Restore fe...

Page 76: ...cratches do NOT use the disk Formatting removable media To format removable media 1 Insert the media in the drive 2 Press Utility Config on the Touch panel 3 If required log on to the system 4 Select...

Page 77: ...ting process is completed 10 Select OK 11 Eject the media as described below NOTE Removable media used during Disk space management Backup Export or Save as do not need to be formatted in advance as t...

Page 78: ...onized to that particular mode s sweep Figure 3 8 The patient I O connection panel CAUTION Use only GE Healthcare accessories Conductive parts of electrodes and associated connectors for applied parts...

Page 79: ...n 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...

Page 80: ...te convention see Figure 3 9 Using Physio Display ECG trace Figure 3 10 ECG controls CAUTION The use of respiratory monitoring might interfere with the proper operation of impedance based rate respons...

Page 81: ...s In case of a noisy ECG the system could generate an erroneous QRS marker which produces a heart cycle loop in a wrong location The user can correct this manually by adjusting the actual location of...

Page 82: ...or Use 3 18 Vivid S70 S60 User Manual BC092760 1EN 01 Lead selection Select the one that provides a stronger signal Horiz Sweep Adjusts the sweep speed Gain Adjusts the trace amplitude Position Moves...

Page 83: ...ital interfaces must be certified according to the respective IEC or ISO Safety standards e g IEC EN 60950 for data processing equipment and IEC EN 60601 1 for medical equipment Any person connecting...

Page 84: ...the electromagnetic immunity of the system Socket Signal type Device type Note Insulated USB Universal serial bus supporting USB 1 0 Printer Printers with external power supply will connect here USB...

Page 85: ...his is a 3 pedal Footswitch You can configure its functionality from the Config Imaging Application see page 12 22 The graphic on the bottom of the main screen can be configured to show the functional...

Page 86: ...User Manual BC092760 1EN 01 CAUTION When using the Footswitch DO NOT hold down the footswitch pedal Press and release the Footswitch pedal Pushing and holding down the pedal behaves the same way as p...

Page 87: ...og In During the boot up process the system may require the user to enter a password to operate it Personal IDs and associated passwords can be configured in the Vivid S70 S60 Users and Security on pa...

Page 88: ...be switched off into one of the three states Shutdown the entire system is shut down Full shutdown is recommended if the system is not intended to be used for a whole day or longer Standby mode In St...

Page 89: ...ever the system is fully shut down or put in Standby mode the system automatically performs End Exam to save all data and images of the current patient into the archiving system When switching the sys...

Page 90: ...e Inspect the probe and the probe cable for any damage Do a visual check of the probe pins and system sockets Remove any dust or foam remains from the probe pins 2 Hold the probe connector vertically...

Page 91: ...ocking handle to the right most position 3 Align the connector with the probe port and carefully push into place 4 Push the connector locking handle to the left most position 5 Position the probe cabl...

Page 92: ...tem it is automatically detected Selecting a probe and an application 1 Press Probe on the control panel A list of the connected probes and application presets is displayed CAUTION Handle the probes g...

Page 93: ...h 2D Width Color ROI size and position as adjusted by the user while optimizing imaging parameters for that selected scanning situation The Vivid S70 S60 comes with a set of factory QuickApps presets...

Page 94: ...currently active QuickApps preset or Imaging preset Press New and name the new QuickApps preset as desired 2 Reload Has two different functions If a factory QuickApp is active Reload will restore the...

Page 95: ...its storage case To disconnect a probe Large connector type DLP 1 Rotate the lock handle counter clockwise to the horizontal position to unlock the connector 2 Pull the connector straight out of the p...

Page 96: ...Depth scale 4 Physiological traces ECG Phono Resp 5 Probe orientation marker 6 Measurement 7 Scanplane indicator TEE probe 4D probe 8 Greyscale Color bar 9 Parameter window 10 Clipboard 11 Prompt Stat...

Page 97: ...entered from the configuration package General system settings on page 12 4 Operator ID Identification code of the operator Users and Security on page 12 8 Date and time Displays the current date and...

Page 98: ...archives Parameters window Displays scan mode or application specific parameters In scanning mode the parameters for the active mode are highlighted This window also displays zoom information stress t...

Page 99: ...ge 3 42 2 On Off button see page 3 23 3 Active mode gain 4 TGC Screen activation 5 2D Gain 6 Auto Auto tissue ASO 7 Cursor 8 Scan mode selection 9 Trackball and related buttons see page 3 37 10 4D Mul...

Page 100: ...trol panel can now be freely rotated left or right 2 When reaching the desired swivel angle release the swivel brake handle The control panel will remain at the set angle NOTE The main display will sw...

Page 101: ...The Trackball area The current active state of the trackball is displayed on the bottom of the display Figure 3 23 Figure 3 23 Trackball assignment graphical display 1 Trackball Adjusts the selected c...

Page 102: ...may be accessed by swiping laterally anywhere on the Touch panel At the bottom of the Touch panel there are six rotary push buttons The functionality of these buttons changes based on the active mode...

Page 103: ...ional shortcuts Patient Access the Archive screen Scan Assist Pro Start Scan Assist Pro Measure Start the Measurement package Worksheet Display the measurement worksheet Utility Access system Configur...

Page 104: ...of control buttons Button Description On Off Push button Toggles the control between on and off states Light blue On Dark blue Off Note The button may turn black for a short time while being toggled M...

Page 105: ...Manual 3 41 BC092760 1EN 01 Other feature Description Extended On Display all available controls Extended Off Display only the main controls Page indicator Swipe laterally anywhere on the Touch panel...

Page 106: ...r the control panel in a drawer which can open and close Rotary Push button Description Rotate Push Reset control Rotate the knob to adjust the upper parameter e g Tilt Press the knob reset the upper...

Page 107: ...Control panel Vivid S70 S60 User Manual 3 43 BC092760 1EN 01 Figure 3 29 Extendable physical alphanumeric keyboard optional...

Page 108: ...isplay Figure 3 31 The main display can be moved freely in all directions 2 Grab the bottom of the main display to adjust the position of the display Figure 3 30 Figure 3 30 Positioning the main displ...

Page 109: ...st important factors for proper image quality If these controls are set incorrectly the Gain TGC Dynamic Range and even Power Output may have to be changed more often than necessary to compensate To s...

Page 110: ...tion Click the Bright button on the display to convert the touch panel to white background for different visibility External screen button Activate this button when connecting the system to an externa...

Page 111: ...d S70 S60 User Manual 3 47 BC092760 1EN 01 Test pattern When adjusting an external display or any peripheral hard copy device you may turn this function ON to generate a screen calibration pattern to...

Page 112: ...rea or beyond the sides of the system 4 Pull the left handle and swivel the keyboard so it will lock in its central position Main display adjustment on page 3 44 5 Disconnect all external cables linki...

Page 113: ...Manual 3 49 BC092760 1EN 01 9 Unlock the front and rear brakes and engage the right front wheel lock Once all cables and cords are wrapped and secure out of the lower portion of the system not extendi...

Page 114: ...uding wheels and feet 5 Move the system slowly and carefully Limit the movement to slow careful walk WARNING Ensure that the hands of the patient are away from the console while moving the system or k...

Page 115: ...s are readily available To enter Transportation mode 1 When the Exit dialogue window is displayed select Transportation The main display turns off The Ready for Transportation screen appears on the to...

Page 116: ...orting the system by vehicle In addition to the moving precautions listed under Moving the system on page 3 48 follow the procedure described below 1 Disconnect all probes and secure them in their box...

Page 117: ...o the fully open position Secure the Monitor at full upright position 4 Turn the system on 5 Connect external cables if needed LAN USB etc 6 Probe being used to scan should be ready with cables clear...

Page 118: ...here the wheel rolls over cable or person pushing the system steps on cables it may generate severe force to break the cable or the connector Avoid hanging cables beyond sides of the system When syste...

Page 119: ...Vivid S70 S60 User Manual 4 1 BC092760 1EN 01 Chapter 4 Start an Examination Starting an examination on page 4 2 Cineloop on page 4 6 Zoom on page 4 9 Annotations on page 4 10...

Page 120: ...e system automatically checks whether the patient is already in the archive The result of this search is displayed in the Patient list Verify that the patient to be created is not already in the Patie...

Page 121: ...another query that identifies the patient When default configured the system automatically searches to see if the patient is already in the archive The result of this search is displayed in the Patien...

Page 122: ...en 1 Select archive and other pre defined services 2 Change user 3 Advanced search filters 4 Press one of the headings to sort the list accordingly ascending descending 5 Display either patient or exa...

Page 123: ...nual 4 5 BC092760 1EN 01 Figure 4 3 The Patient info and exam screen 1 Patient information 2 Examination information 3 Clipboard with images for the selected examination 4 List of examinations 5 List...

Page 124: ...plays cineloop boundary markers on either side of the last detected heart cycle The cineloop boundaries can be adjusted using the cineloop controls on the Touch panel to cover one or more heart cycles...

Page 125: ...et left or Set right to set the corresponding cineloop boundary to the current frame 8 Adjust Left marker and Right marker to trim or expand the cineloop boundaries 9 Press 2D Freeze to run the cinelo...

Page 126: ...E For synchronization to work as expected in DICOM images they must fulfill one of the below requirements Images are acquired with ECG on a scanner that supports DICOM with R Wave Time Vector see the...

Page 127: ...knob clockwise on the Control panel The resulting magnified image appears in the acquisition window An un magnified image is displayed in the right corner showing the outlined zoomed region 2 Use the...

Page 128: ...ion 3 Press Select to add the annotation Pre defined text 1 Press Text on the touch panel NOTE You may need to press More first on the Touch panel to have access to the Text button The Text folder wit...

Page 129: ...text on the screen with the trackball 4 Press Select to add the annotation Figure 4 5 Annotation Touch panel Layered annotations Annotations can be entered on two different layers called Text 1 and Te...

Page 130: ...wse backward press and hold down Shift while pressing Highlight 2 To select several words rotate Grab Word on the Touch panel 3 Type a new text to replace the selected text or press Delete word on the...

Page 131: ...mined anatomy Using bodymarks the user can indicate the position that the probe was in during the examination Inserting a bodymark 1 Press Bodymark on the touch panel The bodymarks specific to the cur...

Page 132: ...ies Edit existing application specific text and bodymark libraries Delete user defined libraries A library is a list of up to 30 text inputs accessible from the Touch panel two pages To access to the...

Page 133: ...elect a text from the Copy from existing list Bodymark library Select a bodymark form the Bodymark available field 3 Press Save library NOTE If a factory library is edited the original library can be...

Page 134: ...In the User defined library field type a name for the library to be created then select Create 2 Enter pre defined texts as described in step 2 above 3 Press Save library Automatically enter Bodymark...

Page 135: ...oving by default The left Set key can be used to switch between Probe Mark Move and Body Mark Move The system will stay in Bodymark or text mode after Probe Mark position is adjusted In Freeze Depth c...

Page 136: ...in the active image only Erase text when unfrozen Deletes annotations when unfreezing the image Erase Bodymark when unfrozen Deletes bodymark when unfreezing the image Delete Bodymark on page erase T...

Page 137: ...and scanning features 2D Mode on page 5 3 M Mode on page 5 7 Color Mode on page 5 12 PW and CW Doppler on page 5 19 Tissue Velocity Imaging TVI on page 5 23 Tissue Tracking on page 5 26 Strain rate on...

Page 138: ...Image Optimization 5 2 Vivid S70 S60 User Manual BC092760 1EN 01 Image controls on page 5 49 Scan Assist Pro on page 5 59...

Page 139: ...2D Mode Vivid S70 S60 User Manual 5 3 BC092760 1EN 01 2D Mode 2D Mode overview Figure 5 1 The 2D screen cardiac 1 Focus marker 2 Probe orientation marker 3 Parameter window...

Page 140: ...Image Optimization 5 4 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 5 2 2D Touch panel 4D probe Live page 1 and 2...

Page 141: ...ayed on the upper right corner of the image area Sharp further enhances the image display by optimizing the grayscale curve The mention Sharp is displayed on the upper right corner of the image area T...

Page 142: ...tave to toggle between Fundamental and Harmonic mode Press Color maps and select a gray map from the menu on screen Use HD High Definition to smooth out the speckle and reduce the noise in the image U...

Page 143: ...er window Note The sweep speed information displayed in the bottom right corner of the image represents the user selected sweep speed and should be used only as a reference to confirm that the image w...

Page 144: ...Image Optimization 5 8 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 5 4 M Mode Touch panel page 1 and 2...

Page 145: ...olor Mode Using M Mode Conventional M Mode 1 To access M Mode from any other scan mode press MM on the control panel 2 Use the trackball to position the cursor over the required area of the image 3 Pr...

Page 146: ...time motion curve 4 Use the trackball to position the next point of the time motion curve 5 Press Select to anchor the point of the time motion curve 6 Repeat step 4 and 5 up to draw a complete time...

Page 147: ...o higher frequencies or the Frame rate control move to lower frame rate to increase resolution in image Adjust Dynamic range to optimize the useful range of incoming echoes to the available grayscale...

Page 148: ...Optimization 5 12 Vivid S70 S60 User Manual BC092760 1EN 01 Color Mode Color 2D Mode overview Figure 5 5 The Color Mode screen 1 Probe orientation marker 2 Color bar 3 Color sector marker 4 Parameter...

Page 149: ...Color Mode Vivid S70 S60 User Manual 5 13 BC092760 1EN 01 Figure 5 6 Color 2D Touch panel page 1 and 2...

Page 150: ...Vivid S70 S60 User Manual BC092760 1EN 01 Color M Mode overview Figure 5 7 The Color M Mode screen composite 1 Time motion cursors M Mode AMM and Curved AMM 2 Color bar 3 Flow sector marker 4 Time sc...

Page 151: ...Color Mode Vivid S70 S60 User Manual 5 15 BC092760 1EN 01 Figure 5 8 Color M Mode Touch panel page 1 and 2 Color controls...

Page 152: ...ball assigned function Pos to position the color area in the M Mode display 3 Press Select The instruction Size should be highlighted in the trackball status bar NOTE If the trackball control Pointer...

Page 153: ...ture is enabled the frequency control is no longer available to the user until the AutoFrequency button is released again And while the AutoFrequency feature is active the scale control is controlling...

Page 154: ...e Baseline to emphasize flow either toward or away from the probe NOTE Push the Baseline control button to reset the baseline Use Radial and Lateral Averaging to reduce noise in the color flow area Ra...

Page 155: ...page 12 17 8 Parameter window Note the sweep speed information displayed in the bottom right corner of the image represents the user selected sweep speed and should be used only as a reference to conf...

Page 156: ...Image Optimization 5 20 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 5 10 The PW Doppler Touch panels page 1and 2...

Page 157: ...the trackball adjust the position of the cursor line 4 Press PW or CW Optimizing PW CW Doppler modes The use of preset gives optimum performance with minimum adjustment If necessary the following con...

Page 158: ...petition frequency which is responsible for the setting of the Nyquist limit the ability to detect maximum velocity without aliasing Use Invert to reverse the vertical component of the spectral Dopple...

Page 159: ...and color codes the velocities in tissue The tissue velocity information is acquired by sampling of tissue Doppler velocity values at discrete points The information is stored in a combined format wi...

Page 160: ...Image Optimization 5 24 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 5 12 TVI Touch panel page 1 and 2...

Page 161: ...isplay NOTE Refer to Generating a new preset on page 12 90 about creating presets To reduce quantification noise variance the Nyquist limit should be as low as possible without creating aliasing To re...

Page 162: ...e the tissue moves during this time interval The displacement is found as the time integral sum of the tissue velocities during this interval Only displacements in the beam direction are found Only po...

Page 163: ...Tissue Tracking Vivid S70 S60 User Manual 5 27 BC092760 1EN 01 Figure 5 14 The Tissue Tracking Touch panel page 1 and 2...

Page 164: ...1 The main use of Tissue Tracking is to map positive systolic displacements This means that Tracking start and Tracking end controls should be adjusted to pick out the systolic phase of the cardiac cy...

Page 165: ...e calculates and color codes the deformation per system time i e the speed at which the tissue deformation occurs Strain rate is calculated as the spatial gradient of velocity data Figure 5 15 The Str...

Page 166: ...Image Optimization 5 30 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 5 16 The Strain rate Touch panel page 1 and 2...

Page 167: ...n TVI To check for aliasing freeze the loop and apply velocity trace Press Freeze and Q Analysis see also Quantitative Analysis on page 9 1 Strain rate provides information only in the beam direction...

Page 168: ...or codes the extent of tissue deformation lengthening or shortening relative to the original size over a given time interval typically the systole Figure 5 17 The Strain mode screen 1 Strain color bar...

Page 169: ...Strain Vivid S70 S60 User Manual 5 33 BC092760 1EN 01 Figure 5 18 The Strain Touch panel page 1 and 2...

Page 170: ...he systolic phase The main use of Strain is to map negative systolic deformation This means that Strain start and Strain end should be adjusted to pick out the systolic phase of the cardiac cycle Adju...

Page 171: ...nization Imaging TSI TSI overview TSI calculates and color codes the time from detected QRS to a detected event typically the time to peak systolic velocity Figure 5 19 The TSI mode screen 1 TSI start...

Page 172: ...Image Optimization 5 36 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 5 20 The TSI Touch panel page 1 and 2...

Page 173: ...ve 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 es...

Page 174: ...is available in Q Analysis To store the modified marker settings press Store and choose the configuration setting Manual control to avoid automatic adjustment of the markers To configure TSI markers...

Page 175: ...mercially 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 app...

Page 176: ...optimized to visualize contrast in larger vessels e g carotid artery Requires the Vascular Abdominal Contrast option enabled Abdominal Contrast imaging optimized to visualize contrast agents in abdomi...

Page 177: ...Contrast Imaging Vivid S70 S60 User Manual 5 41 BC092760 1EN 01 Figure 5 21 The LV Contrast acquisition screen 1 Parameter window...

Page 178: ...Tissue Visualization if needed to re orient the probe after the application has been selected 4 Once oriented turn off Tissue Visualization for optimized contrast detection and perform the acquisition...

Page 179: ...zing LV Contrast If a swirling pattern is observed and persists after the LV cavity has been filled with contrast agent the power should be reduced until homogenous opacification is obtained CAUTION T...

Page 180: ...rtery and femoral artery The Vascular Contrast application works with the 9L D probe Abdominal Contrast optimized to visualize contrast agents in abdominal organs The Abdominal Contrast application wo...

Page 181: ...ased on image artifacts Misdiagnosis in ultrasound contrast images may be caused by several artifacts most importantly Motion artifacts gives rise to signals independently of contrast presence This ma...

Page 182: ...View 1 Perform a detailed examination of the anatomy pathology Optimize parameters for tissue texture and visible window prior to activating LogiqView 2 Press LogiqView 3 To start acquiring the image...

Page 183: ...llows a wider FOV in the depth and aims to enhance image quality in particular on linear probes B Flow B Flow provides an intuitive representation of non quantitative hemodynamics in vascular structur...

Page 184: ...or flow mode with added speckle information for vascular use The speckle information visualizes the blood flow direction NOTE When scanning in BFI triplex mode it is normal to have a time delay betwee...

Page 185: ...gnals to correct for the attenuation caused by tissue at increasing depths Auto 2D Turns Auto Tissue setting on off see Auto Tissue on page 5 51 Depth 2D Sets the maximum far field distance that will...

Page 186: ...The left right reference marker V moves to the other side of the image Compress 2D M Mode Controls the amount of contrast in the 2D image An index number is displayed on the control to indicate the re...

Page 187: ...ing With Smart Depth turned ON the system will optimize the Frequency Transmit Pattern setting for the currently selected depth The Frequency control value displayed on screen will be modified to disp...

Page 188: ...extends the field of view for linear probes Enable disable independently for each mode Compound 2D Combines three or five frames from different steering angles into a single frame reducing speckle no...

Page 189: ...the flow direction present Baseline is available in Live and Freeze including CW TVI Adjusts the color map to emphasize tissue motion either toward or away from the probe Baseline is available in both...

Page 190: ...ty portions of the spectrum to be filtered since the Doppler spectrum and audio may contain strong wall motion signals The amount of Low Velocity Reject is indicated by the green vertical bar at the r...

Page 191: ...ng Sample volume may affect the PRF Nyquist limit settings SV does not apply to CW mode where the volume sampled is the full length of the area indicated by the cursor line Tissue Track Strain Rate TV...

Page 192: ...ing of the strain rate Strain length SRI SI Determines the strain sample volume size There is a trade off between noise and spatial resolution controlled by the Strain length To minimize noise the Str...

Page 193: ...t off TSI Controls the cut off time using this control it is possible to color all parts of the TSI image that has a time to peak less than a certain cut off time T1 T2 Timer Stress echo Starts a time...

Page 194: ...ual BC092760 1EN 01 Num Cycle Time span 2D CF TVI TT SRI SI TSI Cineloop storage adjustment Press the rotary to toggle between Num Cycle and Time span Num Cycle adjust number of heart cycles to store...

Page 195: ...measurements and assigns the measurements to the worksheet report Scan Assist Pro overview Figure 5 23 Scan Assist Pro window 1 Protocol name Completed steps number of steps 2 Step instruction area 3...

Page 196: ...e Protocols are grouped according to the exam categories e g Cardiac Abdominal etc Config display Scan Assist Pro config sheet Figure 5 27 on page 5 64 2 Protocols available for the selected category...

Page 197: ...ser defined Protocols you need to Import the user defined Protocol that was created using the Scan Assist Pro Creator NOTE You do not need to import the user defined Protocol if it was created with th...

Page 198: ...eet 4 Select Import from the Scan Assist Pro sheet The Import Protocols window is displayed Figure 5 26 Import Protocols 5 In the Source field select the media that the Protocol is stored on 6 Highlig...

Page 199: ...Press the Right arrow button to add the imported Protocol to the selected exam category NOTE Use the Up and Down arrow buttons to move the Protocol up and down in the list that will be displayed on t...

Page 200: ...ause button either in the Scan Assist Pro window or on the Touch panel You can also press the Left Right arrow key on the keyboard 5 To stop a Protocol press the Stop button either in the Scan Assist...

Page 201: ...Vivid S70 S60 User Manual 6 1 BC092760 1EN 01 Chapter 6 4D and Multi plane Modes 4D Mode on page 6 2 Multi plane mode on page 6 35 FlexiViews on page 6 46...

Page 202: ...sue and color imaging The volume data is displayed in real time with volume rendering techniques for visualization of valves and structures Real time multi beat 4D imaging The 4D transesophageal probe...

Page 203: ...n onto the volume rendering relative to the azimuth plane 3 2D image in the elevation plane The arrow indicates the viewing direction onto the volume rendering relative to the elevation plane The brow...

Page 204: ...4D and Multi plane Modes 6 4 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 6 2 4D Touch panel 4D probe Live page 1 and 2...

Page 205: ...annotated A legend with marker names is always shown if 4D Markers have been used The markers are shown as 3D objects when a rendering is shown In slices the markers are only shown if there is an inte...

Page 206: ...the marker before finally placing it The marker is visualized if the user moves the trackball while keeping the set button pressed Removing a 4D Marker The user can delete the last placed marker using...

Page 207: ...o between the elevation and azimuth widths Changing the volume shape from default will increase the volume rate Frame rate adjust the frame rate There is a trade off between the frame rate and the ima...

Page 208: ...or by selecting a 4D acquisition preset on the Touch panel Medium medium size sector with top down view or Large large sector more suited for acquisition of the complete LV CAUTION The lower the volum...

Page 209: ...d on 6 Press Multi beat on the Touch panel The gated acquisition is started Ask the patient to hold her his breath at end expiration Keep the probe steady and look for stitching artifacts in both the...

Page 210: ...equidistant short axis views The two Apical views displayed on the left are for probe orientation purpose while the short axis views are used to ensure that the entire chamber is included in the volum...

Page 211: ...0 User Manual 6 11 BC092760 1EN 01 Figure 6 6 Multi Slice screen NOTE Press Layout on the touch panel or use the dedicated buttons on the Touch panel to get the following display alternatives 1 Upper...

Page 212: ...middle section of the top or bottom slice intersection line in one of the apical views The cursor is changed to Drag to change the slicing area Alternatively adjust Top and Bottom controls on the Con...

Page 213: ...adjustment of the zoom ROI in biplane mode Acquisition step Acquisition of zoomed 4D data 1 To start 4D Zoom prepare From 4D or 4D Color Flow mode press the Zoom button on the Control panel From 2D C...

Page 214: ...mode Volume rendering screen Figure 6 8 4D Color Flow screen Volume rendering 1 Volume rendering display with Color Flow 2 2D Color Flow image in the azimuth plane The arrow indicates the viewing dire...

Page 215: ...4D Mode Vivid S70 S60 User Manual 6 15 BC092760 1EN 01 Figure 6 9 The 4D Color Flow mode Touch panel...

Page 216: ...I as necessary Alternatively 5 Press 4D on the Control panel NOTE If the color ROI position is not optimal press MultiD on the Control Panel 6 Press Store CAUTION Tissue structures may obscure relevan...

Page 217: ...g and the elevation plane in the lower left window of the screen 8 Press Freeze In 2D Freeze look for stitching artifacts in the color flow data in both the volume rendering and the elevation plane in...

Page 218: ...anes from 4D data sets The Flexi Slice mode displays three perpendicular cut planes and a volume rendering The cut planes can be rotated and translated independently of each other or in combination se...

Page 219: ...6 19 BC092760 1EN 01 Flexi Slice mode screen Color flow Figure 6 11 4D Color Flow screen Flexi Slice mode Figure 6 12 The Flexi Slice mode control panel 1 Volume rendering 2 Cut plane 1 yellow 3 Cut...

Page 220: ...mation about cropping 1 Press Select to toggle between Rotate and Translate Rotation Rotation with View crop selected use the trackball to rotate the active crop plane together with the viewing direct...

Page 221: ...rence plane is also moved inside the volume rendering to the corresponding selected depth If Depth Mode is turned off the reference plane is kept at the current depth 6 Place the cursor at the outer a...

Page 222: ...ll adjust as required Place the cursor outside one of the extremities of the slice intersection lines in the short axis view The cursor is changed to Drag to rotate all views around the main axis Plac...

Page 223: ...xis views The cursor is changed to Drag to pan all slices Place the cursor on the blue intersection lines in one of the long axis views The cursor is changed to Drag to translate the short axis plane...

Page 224: ...lick Crop on the touch panel 2 Place the cursor in one of the 2D views or the volume rendering and press Select to create the first crop plane 3 Move the cursor to a new location The volume rendering...

Page 225: ...Thickness control To remove parallel cropping press Parallel Crop again Crop tool The volume rendering can be cropped to only display the structure of interest There are two crop planes that can be ad...

Page 226: ...on of the red and blue indicators to facilitate cropping in oblique angles 5 Other possible adjustments Press Flip crop to remove the data on the other side of the current crop plane The viewing direc...

Page 227: ...play technique that enhances the perception of depth in the 3D renderings This is achieved by mixing two different volume renderings with slightly separated viewing angle and presenting them separatel...

Page 228: ...lor Enters 4D Zoom prepare acquisition Enables 4D Zoom prepare acquisition displaying a biplane screen with an adjustable zoom ROI in the azimuth and elevation planes After adjustment of the ROI press...

Page 229: ...ive crop plane is also rotated if View crop is selected on the Touch panel Translate translates a crop plane into the volume rendering Group 2 Speed adjusts cine replay speed Scroll scrolls through a...

Page 230: ...Medium Large 4D 4D Color 4D Acquisition presets sets the volume size for the 4D acquisition Medium medium size sector with top down view more suited for mitral valve acquisition Large large sector mo...

Page 231: ...n the touch panel 4D Clarity 4D 4D Clarity is an edge preserving speckle and noise reduction filter that reduces speckle while preserving or even enhancing significant boundaries in the volume data Bo...

Page 232: ...levation tilt Front Back 4D Tilts the volume in the elevation plane and change the viewing direction accordingly Laser Lines 4D 4D Color Enables the visualization of the 2D image locations in the volu...

Page 233: ...e values A higher gamma value produces an overall darker image a lower gamma value a brighter image Tissue Transparency 4D 4D Color Adjusts the display transparency of tissue data An increase of Tissu...

Page 234: ...4D Color In Flexi Slice mode affects the position of the reference plane in the volume rendering Depth Mode on when clicking in the volume rendering the reference plane is moved inside the volume to t...

Page 235: ...his scan plane can be rotated together with scan plane 2 but it cannot be tilted 2 Scan plane 2 white this scan plane is by default perpendicular to scan plane 1 along the scanning axis This scan plan...

Page 236: ...4D and Multi plane Modes 6 36 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 6 19 The Bi plane mode Touch panel page 1 and 2...

Page 237: ...plane This scan plane can be rotated together with scan planes 1 and 2 2 Scan plane 2 white this scan plane can be rotated separately 3 Scan plane 3 green this scan plane can be rotated separately 4 O...

Page 238: ...4D and Multi plane Modes 6 38 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 6 21 The Tri plane mode Touch panel page 1 and 2...

Page 239: ...er TSI Tissue Tracking Strain or Strain rate to activate alternative tissue Doppler modes NOTE To start 4D acquisition select one of the 4D acquisition presets on the Touch panel Medium Large or 4D Zo...

Page 240: ...t planes and a smaller volume rendering with a cross hair defining the position of the cut planes 2 Using the trackball move the cross hair in the volume rendering until the cut planes of interest are...

Page 241: ...nes to pre defined angles Single scan plane rotation Scan plane 2 and 3 can rotated separately The rotation is done around the crossing line between the scan planes Scan plane rotation is not availabl...

Page 242: ...Use the trackball to tilt the scan plane 2 Figure 6 24 Tilting of scan plane 2 Bi plane mode 3 To reset the scan planes to the original default position press Clear Zooming 1 Rotate the Zoom knob clo...

Page 243: ...rtion HR zoom is activated and adjusted by pressing and rotating the Zoom rotary An orientation preview showing the outlined magnified area is displayed in the upper right corner of the screen The pos...

Page 244: ...n plane 1 is fixed Angle 2 adjusts the angle between the scan planes 3 green and scan plane 1 yellow Scan plane 1 is fixed Available in Tri plane only Group 1 Zoom Pos moves the zoom area Size resizes...

Page 245: ...scan plane 1 yellow Scan plane 3 is rotated around the crossing line between the scan planes These controls are identical to the Trackball controls Angle 1 and Angle 2 Rotate Rotates all scan planes...

Page 246: ...id S70 with 4D option come with a set of factory defined views Users can create their own defined views as needed Storing FlexiViews while in zoom is limited to 4D modes and 4D Zoom Prepare FlexiViews...

Page 247: ...ly possible to replace a FlexiView with a new setting working in the same scanning mode as predefined New To create a new user defined FlexiView Press New and name the new FlexiView as desired Reset T...

Page 248: ...ws from the complete available list to the Enabled FlexiViews that show the visible FlexiViews under the FlexiViews tab 2 The arrows allow ordering the FlexiViews according to user preferences The Ena...

Page 249: ...age acquisition review image optimization and wall segment scoring and reporting for a complete efficient stress echo examination Selection of a stress test protocol template on page 7 3 Image acquisi...

Page 250: ...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...

Page 251: ...g the default stress protocol for the current probe and application 2 Turn freeze off to initiate scanning using the current template To use another template press Template and select the desired temp...

Page 252: ...he matrix displayed in the Clipboard window indicates which view is currently being acquired see Figure 7 2 The names of both the view and the level for the current cell is displayed on the top corner...

Page 253: ...cineloop If the actual stress level is not configured to preview cineloop before storing the system will automatically store the last cardiac cycle NOTE For further information on stress test configur...

Page 254: ...l 1 To temporarily exit the protocol mode press Protocol Pause on the Touch panel 2 Acquire the desired images outside the protocol 3 Press Protocol Pause to restart the protocol acquisition mode and...

Page 255: ...hat is to be replaced The selected cell in the template matrix is blinking red indicating non default position 2 Scan and save the selected loop as explained in the previous section 3 Select in the di...

Page 256: ...ress and hold down Select 3 With the Select key still depressed trackball to the destination cell 4 Release the Select key The image is moved from the source cell to the destination cell If the destin...

Page 257: ...rmal Freeze Scan mode The Pause mode enables scanning and live display on the screen without any capture thereby leaving the buffer available To run Continuous capture the user has to select a templat...

Page 258: ...he gauge starts filling and the percentage of filled memory buffer increases Figure 7 4 2 Press Image Store or 2D Freeze again to stop capture Pause is displayed in the buffer bar When 90 of the memor...

Page 259: ...buffer gauge increases Figure 7 4 When memory filling exceeds 90 the percent number turns red 10 Press Freeze to finish 11 Press Select Cycles The Continuous capture selection screen is displayed see...

Page 260: ...assignment to the views The following procedure applies if the Continuous Capture is on the final row 1 Perform Continuous capture as described above steps 1 to 10 2 If the buffer is not filled up pr...

Page 261: ...r of the Protocol screen The Continuous capture selection screen is displayed 6 Assign the cineloops to the views see page 7 13 7 Press Done when finished 8 Perform Analysis and scoring see page 7 16...

Page 262: ...selection screen 1 Rotate Review Page to display other pages 2 Cycle number and total number of cycles 3 Highlighted loop 4 Buffer bar to browse through the acquisition select an area in the buffer b...

Page 263: ...s displayed above the timers in the loop window 5 Repeat steps 1 through 4 to assign loops to the other views of the level 6 Press Done when completed NOTE The continuous capture acquisition was store...

Page 264: ...onized to enable comparison Each loop in the quad screen can be magnified using the zoom control Image selection for analysis Images can be selected manually or from a pre defined group in the Protoco...

Page 265: ...e lower right corner of the screen 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...

Page 266: ...xis 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 scoring diagrams NOTE The number of segments WMS s...

Page 267: ...diagrams and press Select The Score pop up list is displayed see Figure 7 9 2 Trackball to a score 3 Press Select The score is displayed in the relevant segment area in the diagram see Figure 7 9 4 Re...

Page 268: ...nce tool to check this interpretation The current version of QTVI Stress is based on the assessment of peak velocity at peak Dobutamine stress see reference 1 on page 7 25 The normal ranges have been...

Page 269: ...elocity reduced by an adjacent segment with reduced velocity This tethering effect may decrease the sensitivity for single vessel disease but nonetheless the sensitivity and specificity of the cut off...

Page 270: ...wall segment through the entire heart cycle and display color coded Vpeak in tissue From the velocity trace the user can determine whether the systolic Vpeak is over or under a clinically determined v...

Page 271: ...ocity cutoff Figure 7 11 Color coded velocity in tissue The color coding convention is as follow Green Velocities above threshold value 5 Yellow Velocities near threshold 5 interval White Velocities b...

Page 272: ...oded horizontal lines Figure 7 11 These thresholds represent statistical guideline values for peak velocity at peak stress level Dobutamine stress procedure for the three apical views Only threshold v...

Page 273: ...evels To display Tissue Tracking 1 Press T in one of the Wall segment diagram field usually an apical view at peak level The Tissue Tracking color overlay is displayed in the Acquisition window Quanti...

Page 274: ...eds Up to ten projections and fourteen stress levels can be created in a template Templates created may be temporary used only during the current examination or saved as new templates for future use a...

Page 275: ...plate to edit 1 From the Template drop down menu on the upper left corner of the Template editor screen select a base template to edit NOTE Determine the required number of projections and levels you...

Page 276: ...ically 1 Check Auto start analysis to display the Stress Echo Analysis screen when the last acquisition is performed Crop images 1 Check Crop images to enable display cropping of images recorded as pa...

Page 277: ...1 Check Continuous capture if continuous image acquisition throughout the level is desired When Continuous capture is selected preview of cineloop and reference display see below during acquisition a...

Page 278: ...l s to add to the group or deselect an existing cell s to remove from the group 3 Press Update group in the Pre defined group field The display in the Protocol template preview field is updated accord...

Page 279: ...lity on page 8 8 Measurements on protocol images on page 8 10 Advanced cardiac measurements and analysis on page 8 11 4D Multi plane LV on page 8 50 4D Auto MVQ on page 8 67 4D Auto AVQ on page 8 76 A...

Page 280: ...Measurements and Analysis 8 2 Vivid S70 S60 User Manual BC092760 1EN 01 Measurement accuracy on page 8 97...

Page 281: ...studies and their parameters are user configurable The user can create own studies containing the relevant measurements see page 12 19 Measure and Assign the user activates the Measure or Caliper mod...

Page 282: ...eans 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 Con...

Page 283: ...1 Figure 8 1 Measurement result window A and Worksheet B The Measurement result window always displays values from the m1 m2 columns It is therefore recommended to consult the worksheet see page 8 94...

Page 284: ...the heading in the Measurement menu and choose another category NOTE This can also be done from the Touch panel To perform measurements from a study 1 Select the study folder in the Measurement menu N...

Page 285: ...the instructions displayed on screen Make sure to follow the current medical practices when placing the specific points on the image If the folder is configured with auto sequence measurement see pag...

Page 286: ...and select the desired measurement tool in the Generic folder in Measurement menu Figure 8 3 Measurement tools 2 Perform the measurement Follow the instructions displayed on screen Make sure to follo...

Page 287: ...gs from a 4D acquisition 1 Perform a distance or area measurement on a 4D acquisition by selecting either Distance Crop plane or Area Crop plane measurement tool 1 Label menu Assignment 1 Assigned mea...

Page 288: ...asure LVOT Diam for images acquired outside protocol and for images on each level of an Exercise 2x4 protocol leading to the following results in worksheet Example results Parameter Value Method m1 m2...

Page 289: ...the Analysis window and Anatomical M Mode window in Q Analysis The measurements can be used as default start and end times for TSI 1 Generate the spectrum or M Mode image to be measured 2 Press Freeze...

Page 290: ...xes based on these measurements The measurements may be presented in a color coded Bull s eye diagram Alternatively time to peak measurement can be done in Q Analysis by manually measuring the time be...

Page 291: ...mage The Time to peak value for the segment is displayed in the Measurement result window 4 Perform a measurement for all basal and mid level segments in all three apical views In addition to the Time...

Page 292: ...standard deviation of the time to peak measurements in all measured basal and mid level segments Requires at least eight of the twelve segmental measurements The TSI indexes indicate degrees of asynch...

Page 293: ...User Manual 8 15 BC092760 1EN 01 2 Press Select 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 Figure 8 7 TS...

Page 294: ...ric 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 Figure 8 8 Manual TSI Time to peak mea...

Page 295: ...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 ti...

Page 296: ...a TEE probe AFI may be launched from the Cardiac application using TTE images from the probes M5Sc D or 3Sc RS or from the Pediatric application using either the M5Sc D 3Sc RS or 6S D probe If a compl...

Page 297: ...Advanced cardiac measurements and analysis Vivid S70 S60 User Manual 8 19 BC092760 1EN 01 Figure 8 9 AFI workflow...

Page 298: ...will by default be done on the second to last heart cycle The entire myocardium should be visible A depth range that includes the entire left ventricle should be used Starting AFI from sequential acqu...

Page 299: ...ROI stage Figure 8 11 Select View stage CAUTION When performing AFI on all three apical views the user is recommended to start with the APLAX view This allows manual adjustment of the Aortic Valve Clo...

Page 300: ...es are re run If a stage is labeled it means the stage is complete and nothing more needs to be done in that tool stage Beneath the stage menu button a helpstring for the current active state is shown...

Page 301: ...proceeds to the Results stage 5 The AFI tool is now displaying the Results stage in a Quad layout Now the tracking quality must be inspected and verified The tracked ROI is divided into segments The...

Page 302: ...y could result from a variety of causes The most common causes for bad tracking are Erroneous placement of the basal points when defining the ROI If the basal points are placed too far from the annula...

Page 303: ...aim to find the longitudinal deformation along the cardiac muscle from the base to apex These calculations assume the ventricle to have a horse shoe shape To adjust the ROI Enter the Define ROI stage...

Page 304: ...frame while in Define ROI stage pause the playback by pressing Stop Then use the Frame slider to select a different frame for ROI definition To create a new automatic ROI click the Reset stage symbol...

Page 305: ...is generated and can optionally be edited as for the automatic ROI Figure 8 16 NOTE If the ROI needs to be adjusted make sure to make the changes immediately after the ROI is displayed before the auto...

Page 306: ...he ROI is displayed Guidelines when re creating the ROI Correct ROI definition is crucial to get good tracking See use cases below for common pitfalls Tip Make sure to follow the recommendations when...

Page 307: ...8 29 BC092760 1EN 01 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 1 Correct position of the Apex point 2 The u...

Page 308: ...VC since it is part of the definition of the end systolic strain parameter Bulges Correct Wrong 1 Correct ROI 2 ROI should not be bulging or follow the papillary muscle To edit the ROI see ROI adjustm...

Page 309: ...tem enters the Set AVC stage The following options for AVC settings are provided Automatic AVC is set automatically based on the ROI tracking using the time of peak negative strain Event timing AVC is...

Page 310: ...its rejection status See Tracking validation on page 8 24 for more information Strain traces A static display indicating the segmental and global strain traces with time The peak values are indicated...

Page 311: ...red as validated by the user Therefore they will not appear in the result screen nor be transferred to Worksheet CAUTION If the APLAX view was not analyzed first the strain values displayed in the Qua...

Page 312: ...ndard from Config Consult the Vivid S70 S60 Reference Manual for more information regarding Bull s Eye segmentation formats Bull s eye colormaps The tool provides a set of different colormaps for the...

Page 313: ...ntage of maximal contraction over the whole cardiac cycle of the entire myocardial wall relative to its end diastolic length Averaged Global Strain value from all three apical views AVC measurement ei...

Page 314: ...r of views analyzed If all three views have been analyzed the tool will go to the Bull s eye only layout and prompt the operator whether the results should be stored If Yes is selected measurements CA...

Page 315: ...are point on one of the curves move the peak marker to a new position and click again to fix the point Place the cursor on a segment in the Bull s Eye The corresponding curve is highlighted Click on t...

Page 316: ...loops processed in that analysis 2 Launch AFI The tool will proceed to the Results stage of the last analyzed view You may choose to reprocess the views already analyzed or to complete the analysis ad...

Page 317: ...ced Quantification subgroup Select the AFI tab The following parameters may be adjusted Autoprocessing timeout The time the operator has to keep trackball still before automatic start of tracking BE M...

Page 318: ...automatic measurement tool used for measurement of the global EF Ejection fraction The AutoEF tool is used as an optional decision support tool The AutoEF tool is derived from a 2D speckle tracking al...

Page 319: ...t ventricle should be used Starting AutoEF 1 Open any one of the stored apical views and press Measure 2 Select AutoEF in the Measure menu The tool will launch and start up in the Select View stage Se...

Page 320: ...ust be visually controlled and validated as described below EF results The Results stage opens with a multi frame EF result layout The running loop is shown on the left A green dotted line marks the i...

Page 321: ...ment 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 m...

Page 322: ...fail to capture the correct ROI In this case a 3 Point ROI alternative is provided To generate a ROI by this method when in Define ROI stage click on the button 3 Click The AutoEF tool will now promp...

Page 323: ...a screenshot of the dual screen will be generated See also section Reprocessing data on page 8 45 Reprocessing data The data from a saved AutoEF analysis may be reprocessed NOTE When doing reprocessin...

Page 324: ...yzed or even replace the cineloops used in earlier processed views Cardiac AutoDoppler Some cardiac and pediatric doppler measurements are available in the measurements menu with an Auto button enabli...

Page 325: ...played on screen 3 The Sensitivity rotary can be adjusted to align the automated trace as needed Parameters in the list can be toggled on off NOTE The Sensitivity changes apply only for non rejected c...

Page 326: ...isplayed cycles Results 6 After Store is pressed the results for each cycle are split into separate measurements and displayed as seen below CAUTION The Cardiac AutoDoppler measurements use computer a...

Page 327: ...hether the observed value is higher or lower than expected Values above Z0 give positive Z scores values below Z0 give negative Z scores The magnitude of the Z score quantifies how many standard devia...

Page 328: ...volumes and the ejection fraction in 4D data sets based on automatic border detection The tool also enables estimation of left ventricular mass and strain only with transthoracic 4D acquisitions The a...

Page 329: ...abled on the Vivid S70 S60 in order for the images to contain traces bullseye 3D model and measurements as part of the stored DICOM Multiframe Singleframe files CAUTION Do not use the 4D Auto LVQ tool...

Page 330: ...1 Open a Full volume acquisition 2 Press Measure 3 Select Volume 4D Auto LVQ Figure 8 25 Figure 8 25 4D Auto LVQ measurement selection The Measurement menu is displayed with the Alignment tool selecte...

Page 331: ...is performed automatically If necessary the auto alignment can be further adjusted as follows 1 Tilt and or translate the apical views using the controls on the panel or the trackball until the left v...

Page 332: ...lead to incorrect measurement results The contour detection should be visually checked and edited if required The contour detection should be checked in all slices NOTE Press Layout several times on t...

Page 333: ...at the estimated end systolic frame within the same heart cycle 2 If the automatic end systolic frame detection is not optimal use the Move ES control to set the new end systolic frame 3 In one of the...

Page 334: ...es according to the cursor position in the other views To lock the interactive view press Lock view When the interactive view is locked the position can be controlled using the Move view control Adjus...

Page 335: ...that point 1 Place the cursor at the location where to add a point NOTE Attracting points can be added in any slice Make sure to lock the interactive view if adding attractive points in the interacti...

Page 336: ...ess Go to ES on the Touch panel to display the end systolic frame 3 The contour detection may still be adjusted Press 2D Freeze or press Select on any view to stop the cineloops Scroll to correct fram...

Page 337: ...exit without approving press Cancel NOTE Measurements that are not approved will not be saved Calculation formula and measurement accuracy Refer to the Reference manual for calculation formula inform...

Page 338: ...Tri plane mode acquire an Apical 4 chamber view in scan plane 1 yellow 2 Rotate scan plane 2 and 3 to display an Apical 2 chamber view in scan plane 2 white and an Apical long axis view in scan plane...

Page 339: ...d redraw 9 Press Select to complete the contour The cursor is automatically moved to the next scan plane The crossing point of the trace done in the first scan plane is marked in the second scan plane...

Page 340: ...to display an enlarged Geometric model The Volume reconstruction can be rotated in all directions see page 8 63 Multi beat 4D acquisition This procedure describes the calculation and reconstruction o...

Page 341: ...ons of the left ventricular volume from a Bi plane acquisition The volume calculation is based on the Method of disk 1 In Bi plane mode acquire an Apical 4 chamber view in scan plane 1 yellow 2 If req...

Page 342: ...2 chamber view is selected 10 Repeat steps 8 and 9 in the scan plane 2 measurement in the Apical 2 chamber view The trace tool for the Left ventricular end systolic volume for the Apical 4 chamber vie...

Page 343: ...llow 2 If required rotate scan plane 2 and 3 to display an Apical 2 chamber view in scan plane 2 white and an Apical long axis view in scan plane 3 green 3 Press Freeze 4 Press Measure The Measurement...

Page 344: ...A TSI color coded surface model is displayed in the Geometric model 10 To create a dynamic model scroll to another frame in the same heart cycle and create a sampling path in each scan plane 11 Press...

Page 345: ...ption available when 4D is enabled Requirements 4D Auto MVQ is available on 4D trans esophageal echocardiographic TEE tissue data sets in replay mode only CAUTION The results may be inaccurate when th...

Page 346: ...quisition The acquisitions should be made from mid esophagus centered on the mitral valve either from the full view or using 4D Zoom 2 Press Measure 3 Select Valve 4D Auto MVQ Figure 8 34 Figure 8 34...

Page 347: ...es 90 degree rotated with respect to each other and short axis 3D view at the annulus plane Figure 8 36 Figure 8 36 Align Views screen The alignment of the data must be performed in order to identify...

Page 348: ...lignment rotate any of the views and move the annulus plane 1 ED and ES are automatically estimated and Set ED and Set ES buttons can be used to modify and correctly mark ED and ES frames 2 To select...

Page 349: ...4D Auto MVQ Vivid S70 S60 User Manual 8 71 BC092760 1EN 01 Figure 8 37 Set Landmark stage...

Page 350: ...iew dotted lines and observe the segmentation in the interactive view In 3D interactive view the model laser lines update according to slice position in the 3D short axis view The segmentation is corr...

Page 351: ...n along with panel reporting Worksheet Annulus and Leaflets measurements By selecting Dynamic Layout a graph showing selected measurement values during systole is shown By clicking a measurement the c...

Page 352: ...Measurements and Analysis 8 74 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 8 40 The Results screen showing Dynamic Layout Figure 8 41 The Results screen showing Measurement layout...

Page 353: ...rred to the Worksheet To exit without approving press Cancel NOTE Measurements that are not approved will not be saved CAUTION The 4D Auto MVQ tool involves partly automated steps automatic segmentati...

Page 354: ...for the aortic annulus diameter and area The 4D Auto AVQ tool is only available on Vivid S70 Requirements The 4D Auto AVQ tool is available on 4D trans esophageal echocardiographic TEE tissue data se...

Page 355: ...ortic valve using 4D Zoom 2 Press Measure 3 Select Valve 4D Auto AVQ Figure 8 42 Figure 8 42 Selection of the 4D Auto AVQ tool The Measurement menu is displayed with the Alignment tool selected Figure...

Page 356: ...st the Frame control 2 If necessary the auto alignment can be further adjusted by rotating any of the views and by moving the annulus plane LVOT segmentation 1 Select LVOT segmentation The default scr...

Page 357: ...the interactive view updates according to the blue line position in the long axis view 3 The LVOT segmentation may be adjusted by adding attracting points in the interactive view Press Lock view to lo...

Page 358: ...terface on EchoPAC Software Only see Figure 8 46 The user can freeze the loop and navigate the frames A green vertical line will appear at the measurement frame see Figure 8 46 The following measureme...

Page 359: ...ing press Cancel NOTE Measurements that are not approved will not be saved 1 Measurement frame indicator 2 Layout button CAUTION The 4D Auto AVQ tool involves partly automated steps automatic view ali...

Page 360: ...f intima and adventitia points along the wall Figure 8 47 IMT can be measured both on the posterior and the anterior walls of the vessel IMT should be done on 2D mode images not on Color mode images T...

Page 361: ...a longitudinal scan of the carotid artery and optimize the image 2 Press Freeze 3 Scroll to an end diastolic frame where the intima layer is clearly visible 4 Press Measure 5 Select the appropriate I...

Page 362: ...Make sure the Intima and Media layers are within the search region indicated by the lower dotted line in Figure 8 49 left Press Select to anchor the point For the posterior wall the contour detector s...

Page 363: ...ne semi automatically the operator has to approve the detection by visual inspection before storing the results in worksheet and report 1 If the traces fit both layers of the posterior wall approve th...

Page 364: ...tified by the system or select a different cardiac cycle Use the Modify Calculation sheet to select the calculations to be displayed in the M A Result window These calculations are displayed at the to...

Page 365: ...rending For multi gestational patients you can show curves for all fetuses and compare the growth on the graphs The Vivid S70 S60 provides the following two basic types of graphs Fetal Growth Curve gr...

Page 366: ...s 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 e...

Page 367: ...To scroll through all Fetal growth curve graphs adjust Graph change To select the age to use 1 Adjust Select GA The plot displays either gestational age GA from the LMP or the composite ultrasound age...

Page 368: ...new calculated value To view single or quad screen 1 Press Quad to display four graphs simultaneously 2 To select the measurements to display in the quad screen select the drop down button on the lef...

Page 369: ...trending on the Fetal growth curve graphs Fetal trending requires that a LMP value is entered in the Patient info and exam screen 1 Press Worksheet 2 Press Graphs and select the desired measurement t...

Page 370: ...1 Press Worksheet 2 Press Graph 3 Press Bar The fetal growth bar graph is displayed Figure 8 53 Fetal growth bar graph The horizontal axis shows the gestational weeks The red vertical line shows the...

Page 371: ...he Measurement result table is minimized to the heading bar Repeat step 1 to maximize the Measurement result table Moving the Measurement result table 1 Adjust Move Result Win on the Control panel to...

Page 372: ...rint data independently of a report All measurements and calculations taken during the examination can be viewed at any time using the worksheet Overview Figure 8 54 Worksheet screen 1 Measurement typ...

Page 373: ...ayed showing the different options available Figure 8 55 Value options 2 Select the required option The value is updated accordingly To exclude or include measurements One or more measurement values f...

Page 374: ...asurement to delete 2 Press Update Menu 3 Select Delete value to delete the current value Delete set to delete the current set of values Delete all to delete all values from the Worksheet To change a...

Page 375: ...tor variability and patient echogenicity are independent of the ultrasound system Operator variability One of the largest potential sources of error is operator variability A skilled operator can redu...

Page 376: ...the settings of the field of view should be such that the measured distance is significant with respect to the full size of the screen When such scaling is impossible the pixel error may come into pla...

Page 377: ...d drawing traces correctly on the images are important NOTE Avoid placement of the cursor near the top of the image close to the transducer when using convex or linear probes Measurement Uncertainties...

Page 378: ...may give inaccurate 3D models Values reported in the Accuracy column in the table below are based on measurements where the user has if necessary edited the 3D model before approval of the results As...

Page 379: ...points ESV_BiP 20 120 ml 20 ml EDV_BiP 20 120 ml 20 ml AFI Global Longitudinal Strain 5 25 3 percentage points Regional Longitudinal Strain 0 25 9 percentage points 2D Strain endocardial epicardial s...

Page 380: ...9 14 1 mm max 10 3 mm Accuracy w o editing 5 mm Mitral Aortic Angle 120 139 10 Accuracy w o editing 20 Non Planar Angle 126 171 10 Accuracy w o editing 20 Orifice Area 0 0 1 4 cm2 max 10 0 2 cm2 Accu...

Page 381: ...Measurement accuracy Vivid S70 S60 User Manual 8 103 BC092760 1EN 01 IMT Distance 0 49 1 07 mm 0 13 mm Measurement Range Accuracy Comments...

Page 382: ...Measurements and Analysis 8 104 Vivid S70 S60 User Manual BC092760 1EN 01...

Page 383: ...Vivid S70 S60 User Manual 9 1 BC092760 1EN 01 Chapter 9 Quantitative Analysis Q Analysis overview on page 9 3 Using Q Analysis on page 9 9...

Page 384: ...ontrast related raw data The main features of these options are Multiple Time mode specific trace display from selected points in the myocardium Arbitrary Curved anatomical M Mode CAUTION Q Analysis i...

Page 385: ...ysis Starting Q Analysis in replay mode 1 Open an examination and select a TVI or a contrast loop 2 Press Q Analysis The Quantitative Analysis screen is displayed see Figure 9 1 Starting Q Analysis in...

Page 386: ...nual BC092760 1EN 01 Q Analysis screen Overview Figure 9 1 Quantitative analysis window here with TVI data 1 Color cineloop window 2 Tissue cineloop window 3 Analysis window 4 Sample area 5 Time and v...

Page 387: ...e cineloop windows system menu This menu is displayed by pressing Update menu when the cursor is placed over a sample volume in one of the Cineloop windows Delete all Sample areas removes all traces a...

Page 388: ...ed circular elliptic shape configurable see page 9 15 TVI Displays velocity trace 1 Y axis velocity scale cm s 2 X axis Time s 3 ECG 4 Time at cursor position 5 Velocity at cursor position 6 Velocity...

Page 389: ...gnal toggles trace display between velocity displacement strain rate stain or greyscale intensity curves Drift compensation compensates drifting of strain or Tissue Tracking curves by either resetting...

Page 390: ...ents 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 spe...

Page 391: ...es see Manual tracking below In these particular frames the sample area is displayed with an anchor The sample area moves smoothly between the anchored positions when playing scrolling the cineloop To...

Page 392: ...and Strain rate modes the sample area displays a Strain cursor showing the segment along the beam direction that is used for Strain and Strain rate calculations Make sure that the Strain cursor is wit...

Page 393: ...itions in the selected frames when running the cineloop NOTE In the original frame and this particular frame the sample area is marked with an anchor 5 Press Trackball until the Scroll trackball assig...

Page 394: ...enu is displayed 2 Select Unzoom Deletion of a trace The user can delete all traces at once or one at a time To delete all traces 1 If necessary press Trackball until the QA trackball assignment is se...

Page 395: ...Press and hold down Select while dragging the cursor over the frame markers of the frames to disable The frame markers turn red NOTE To re enable successive frames press and hold down Select while dr...

Page 396: ...e marker axis 2 Press Update menu in the trackball area on the control panel The System menu is displayed 3 Select Enable all frames All previously disabled frames are re enabled Figure 9 2 Frame disa...

Page 397: ...e A Dialogue window is displayed where the user can adjust the height the width and the angle of the sample area see Figure 9 3 Figure 9 3 The sample area reshaping window 5 Drag the sliders to adjust...

Page 398: ...ple area 6 Press OK to return to the Quantitative analysis screen Figure 9 4 The sample area labeling window Trace display Y axis Auto scaling The system can be configured to display the full unit ran...

Page 399: ...tical units When analyzing contrast data the Y axis can be set to display either logarithmic scale dB or linear acoustical units AU for both tissue intensity 2D or Angio intensity data 1 If necessary...

Page 400: ...ayed 3 Select Smoothing The Smoothing menu is displayed 4 Select a smoothing filter The trace display is updated Cine compound Cine compound calculates and displays cineloops generated from a temporal...

Page 401: ...ggle between TVI Tissue Tracking Strain rate or Strain modes to access to the mode specific controls or display alternative traces from within a selected mode To switch mode 1 Select the desired mode...

Page 402: ...ng more than two anchor points the user can bend the path and obtain a curved anatomical M Mode profile NOTE To edit a path under construction move the cursor backward and retrace the path 4 To end th...

Page 403: ...cineloops on page 10 7 Retrieving and editing archived information on page 10 14 Review images in archive on page 10 29 Connectivity on page 10 36 Transfer of patient records examinations on page 10 4...

Page 404: ...ator stores data images and cineloops for immediate purposes The Vivid S70 S60 ultrasound system includes an integrated patient archiving system for data and image storage The Vivid S70 S60 ultrasound...

Page 405: ...he system as listed in the table below NOTE Not all dataflow listed below are visible by default NOTE The list of dataflow available is configurable see Dataflow adjustments on page 12 65 Dataflow Des...

Page 406: ...base Images are stored to a DICOM server and to an image network volume Some of the measurements are stored if DICOM SR is turned on see page 12 48 for more information about DICOM SR and supported me...

Page 407: ...form an examination without storing the data to any archive Local Archive Tricefy Store The local archive is used for patient archiving Images are stored to the local archive and to Tricefy If DICOM S...

Page 408: ...R is enabled measurements are also sent to Tricefy Worklist Local Archive C Tricefy Store Search in a DICOM Modality Worklist the patient found is copied into the local archive The patient information...

Page 409: ...a in the standard formats JPEG MPEG AVI HDF and DICOM see page 10 9 Storing an image Images are displayed chronologically on the clipboard 1 While scanning in any mode press Freeze 2 With the trackbal...

Page 410: ...ns below See Global imaging settings on page 12 17 for configuration of cineloop storage Direct storage of a cineloop Depending on whether the system has been configured to enable or disable the Previ...

Page 411: ...layed on the screen but not stored If Prospective storage is selected see page 12 17 the forthcoming defined number of cycles seconds are displayed on the screen but not stored 3 If desired select and...

Page 412: ...Save in archive pull down menu 5 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 6...

Page 413: ...t 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 www hd...

Page 414: ...Inc see www sstgroup inc com The self contained DICOM viewer contains a built in quick help user manual Read this manual to learn more about the different functions of the viewer Translations of the...

Page 415: ...low sheet 5 Select the DICOM Media output an press Properties The DICOM Media Properties window is displayed 6 Check the option Add DICOM Viewer The DICOM Viewer will be exported when transferring exa...

Page 416: ...ataflow 3 Type the patient Last Name and or ID or another query that identifies the patient When default configured the system automatically searches to see if the patient is already in the archive Th...

Page 417: ...ser 3 Advanced search filters 4 Display either patient or examination list 5 Clear current search criteria 6 Create new patient record 7 Open the selected patient record 8 Load patient record and star...

Page 418: ...nt of the dataflow selected Search criteria for DICOM Worklist or Query Retrieve dataflows are set when configuring the DICOM device see Adjusting the Search Criteria on page 12 46 Advanced searching...

Page 419: ...gnosis information for the selected patient From this screen the user can enter or modify the patient information examination results and diagnostic codes using the alphanumeric keyboard and pre defin...

Page 420: ...n information 3 Clipboard with images for the selected examination 4 List of examinations 5 List of available information to display on screen 6 Create a new examination 7 Delete the selected examinat...

Page 421: ...d Figure 10 8 The Patient IDs field 2 To create an additional Patient ID press Add The Add Patient ID window is displayed 3 Enter a Patient ID and your identifier as issuer and press OK The new Patien...

Page 422: ...Figure 10 9 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 t...

Page 423: ...chy Selecting one item in the first column displays pre defined text entries related to the selected text in the second and third column To create a new text input in the first level 1 Select the firs...

Page 424: ...this selection only 2 Enter a title in the Text field and a pre defined text in the Full text field 3 Press OK To edit a pre defined text input 1 Select the term to edit in one of the columns 2 Press...

Page 425: ...reen press next to the Code field The Code list is displayed 2 Uncheck the codes to remove Creating a Diagnosis code 1 In the Patient info and exam screen press next to the Code field The Code list is...

Page 426: ...lete 2 Select Delete Editing patient information Patient information name contact information and patient IDs can be edited from the Patient info and exam screen 1 Select a patient record and press Op...

Page 427: ...n the Touch panel A warning message is displayed asking the user to confirm the action to perform 4 Select OK To delete an examination 1 Press Patient on the Control panel The Archive screen is displa...

Page 428: ...page 10 30 NOTE You may also press Image manager on the Touch panel and select the examination with the image s to delete on the Touch panel 5 Select the image to delete 6 Press Delete A warning mess...

Page 429: ...y the examination list see Figure 10 5 on page 10 15 2 Search for the examination to move 3 Move the trackball marker over the examination to move and press Update Menu on the Control panel 4 Select M...

Page 430: ...the user to confirm the action to perform 9 Select OK When moving an exam from one patient record to another on a remote server the operation may take a long time depending on the amount of data A di...

Page 431: ...analysis of images belonging to different examinations for the selected patient record Review the images from a selected examination 1 In the Patient info and exam screen see Figure 10 7 on page 10 18...

Page 432: ...in raw data format in addition to DICOM multiframe 9 Selected images will not be sent to DICOM server in raw data format in addition to DICOM multiframe 10 Adjust cineloop speed or select a frame 11 S...

Page 433: ...ch panel The Image manager is displayed on the Touch panel showing thumbnails for the stored images sorted by examination for the actual patient record see Figure 10 18 If the images are stored on a r...

Page 434: ...ndow 5 Insert the required media 6 Select between OK the images on the mounted media are restored on the local hard drive If not all the required images are on the inserted media the user is prompted...

Page 435: ...a pencil symbol 2 Image thumbnails for the selected examination Swipe vertically to scroll through images 3 Adjust Layout to change the number of image thumbnails to display on the Touch panel 4 Touc...

Page 436: ...touch panel and press Send to see Figure 10 18 on page 10 33 The Send images to external device window is displayed Figure 10 20 The Send images to external device window 3 Select the Destination and...

Page 437: ...d RawDicom gives a DICOM file that holds the Vivid raw data DICOM gives a DICOM Single frame or Multi frame file JPEG AVI means that still images are converted to JPEG and loops to AVI JPEG MPEG means...

Page 438: ...cept Communication between the Vivid S70 S60 ultrasound system and other information providers on the network takes the form of dataflows Selecting a dataflow will automatically customize the ultrasou...

Page 439: ...es are stored to internal harddrive System and Workstation in a network environment Acquisition System dataflow RemoteArch Remote HD Review Workstation dataflow RemoteArch Remote HD In this scenario t...

Page 440: ...OM server and to an image volume on the local harddrive Worklist Remote Archive DICOM Server Remote HD search in a DICOM Modality Worklist the patient found is copied into a remote database The patien...

Page 441: ...on over the Ethernet either in a peer to peer connection with a crossover cable or in a network The database from the EchoPAC Software Only is used as the master and images are stored directly to the...

Page 442: ...to an ImageVault server a DICOM server or EchoPAC Software Only 4 Remote archive Local archive Transfer data from an ImageVault server a DICOM server or EchoPAC Software Only to the local archive 5 Re...

Page 443: ...user defined formulas must first be exported to the transfer destination before transferring exam data To transfer user defined formulas see Data Backup and restore on page 10 56 1 If transferring da...

Page 444: ...source archives are available Local Archive Int HD Transfer data from the local archive Remote Archive Remote HD Transfer data from the configured remote archive DICOM CD DVD Transfer DICOM data only...

Page 445: ...er DICOM data only to a CD DVD R W Check Anonymize and enter a Prefix if you want to remove all patient related information to the transferred data Patient name and ID are replaced by the prefix follo...

Page 446: ...also sent to Tricefy Tricefy Patient Share Transfer images to Tricefy and share them with the patient If DICOM SR is enabled measurements are also sent to Tricefy 6 The following situations may occur...

Page 447: ...ready for transfer Depending on the source and destination selected the following may be available Delete after copy the item selected will be deleted from the source archive after transfer to the des...

Page 448: ...atching patient exam data window 10 Select between Transfer only exams that are not in the destination Transfer all overwrite the matching patients and exams Go to advanced options Cancel transfer The...

Page 449: ...re 10 27 The Copying patients window Each successfully transferred item is marked with a check mark in the transfer list Figure 10 28 List of transferred items NOTE Press Clear transferred to clear th...

Page 450: ...his 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 s...

Page 451: ...ommended to take a backup of moved copied files which is the responsibility of the customer The system does not offer functionality for taking backup of images and reports saved on long term storage m...

Page 452: ...next to Manage files older than Only files older than the specified setting will be copied moved or deleted If Today all files is selected all files will be copied or moved 2 Next to Operation check C...

Page 453: ...ved from the local hard drive Delete the images from the examinations older than the specified setting defined in step 1 are deleted from the hard drive Destination device setting 1 Next to Destinatio...

Page 454: ...10 50 Manual start of Disk management 1 Press Patient The Archive screen is displayed 2 Press Disk management The Disk management window is displayed Figure 10 30 Figure 10 30 The Disk management wind...

Page 455: ...dentification of the system the Disk management is run from NOTE Disk management is aborted if the destination device contains a database backup or exported patient data The information displayed on t...

Page 456: ...ia Select Print details to print the detailed log 6 Make sure that all media are physically labeled according to the list displayed in the Disk management completed window The media label should also...

Page 457: ...Disk management Vivid S70 S60 User Manual 10 55 BC092760 1EN 01 8 Press OK See page 10 56 to perform a database backup...

Page 458: ...backup of the patient archive stored on the local harddrive 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 rep...

Page 459: ...4 The Backup sheet 6 In the Backup sheet select as needed Patient archive to backup the patient records System configuration to copy system settings and user presets 7 Select a removable media or a sh...

Page 460: ...is displayed prompting the user to enter a media label Figure 10 36 The Enter media label window Type in a label for the media and select OK NOTE Only the following characters and signs can be used wh...

Page 461: ...The Replace current media window Insert a new media and select OK NOTE To reuse a Backup CD DVD when performing a new archive backup the media has to be re formatted first 10 During backup progress wi...

Page 462: ...0 39 The Backup completed window Select OK The Backup result is displayed on the Backup sheet 12 Make sure to physically label the media An identification of the system should also be noted on the med...

Page 463: ...sheet select as needed Patient archive to restore the patient archive System configuration to restore all system settings and user presets OR One or several system configuration items to restore parts...

Page 464: ...d items are copied to the systems 9 If connectivity configuration settings are restored the following information window is displayed Figure 10 42 Information window 10 Select OK The System shutdown w...

Page 465: ...43 The System shutdown window 11 Select OK to shut down the system 12 Restart the system If connectivity configuration settings have been restored make sure to save the TCP IP settings select Config C...

Page 466: ...control panel 2 Select the Connectivity category and the Tricefy subgroup The Tricefy screen is displayed see Figure 10 44 3 Check the button Enable Tricefy A registration text field is displayed 4 Pr...

Page 467: ...ol panel 2 Select the Connectivity category and Additional Outputs subgroup The Additional output sheet is displayed see Figure 10 45 3 In Button field select P1 4 Select TricefyStorage in the Availab...

Page 468: ...7 Open the Tricefy website https tricefy4 com users sign_in Log in with your user credentials to check the exam results in the Studies tab see Figure 10 47 Figure 10 46 The Tricefy website login Figur...

Page 469: ...d 5 Create a patient and check the Contact info box to register a phone number in the Patient info and exam screen see Figure 10 48 NOTE If the exam result is to be shared with more than one recipient...

Page 470: ...og on with the account created above 6 Repeat steps 5 to 7 in the section above Figure 10 49 The Users sheet Storing an exam in Tricefy 1 Press Utility Config on the control panel 2 Select the Connect...

Page 471: ...igure 10 51 The Patients Exams list Transferring patient data to Tricefy 1 Press Transfer The Transfer screen is displayed see Figure 10 52 2 Select Local Archive as From source and select Tricefy Sto...

Page 472: ...the control panel 2 Select the Connectivity category and the Dataflow subgroup 3 Select the dataflow Tricefy QR Tricefy Storage 4 Uncheck the Hidden button and connect with Internet 5 Go to patient p...

Page 473: ...ction to enabled devices The data stream will contain gray scale and color data geometry and physio traces No patient information will be transferred with the streamed data To configure this capabilit...

Page 474: ...Vivid S70 S60 User Manual BC092760 1EN 01 Figure 10 53 Active streaming window example Data streaming can be stopped by pressing More Utility Stop Data Streaming on the control panel Figure 10 54 Stop...

Page 475: ...60 1EN 01 Chapter 11 Report Creating a report on page 11 3 Working with the report function on page 11 4 Structured Findings on page 11 9 Direct report on page 11 25 Report designer on page 11 27 Repo...

Page 476: ...amination The layout of the reports is defined by generic templates delivered with the system Custom templates can also be made Saved reports are read only Therefore it is recommended that the data is...

Page 477: ...examination They can contain data and images Once generated the report can be viewed images can be added wall segment diagrams can be assigned and text can be entered in the free text fields All other...

Page 478: ...Report available from the Patient info and exam screen Worksheet screen or from the Utility Tab sheet on the Touch panel The default template for the current examination is displayed see Figure 11 1 T...

Page 479: ...Working with the report function Vivid S70 S60 User Manual 11 5 BC092760 1EN 01 Figure 11 1 The Report screen...

Page 480: ...e Touch panel To change patient information 1 Select the heading of the information to change The Patient info and exam screen is displayed 2 Change the information as required 3 Press Report when com...

Page 481: ...eport see Users and Security on page 12 8 1 Press Store The report is stored in the Report archive Alternative storage Reports can also be saved in a user defined locations in the following formats Co...

Page 482: ..._ store time 2 Select the report to retrieve NOTE To display the current report select Show active exam Deleting an archived report Only members of the user group Cardiologist are allowed to delete a...

Page 483: ...usion fields To create the assigned fields in a user defined report template 1 Press Report available from the Patient Worksheet or Utility Tab sheet on the Touch panel 2 Press Template and select the...

Page 484: ...Conclusion field defined or select another template if necessary 2 Press Findings or select the header of the Findings box in the report The Structured Findings window is displayed Figure 11 5 Structu...

Page 485: ...ent 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 se...

Page 486: ...s from the current tab sheet see page 11 18 for more information on how to define normal statements NOTE Select Clear to deselect all statements from the current tab sheet To insert a conclusion state...

Page 487: ...EF tag refers to EF measurement These statements require that the actual measurement is done to display correctly in the report Figure 11 5 Structured Findings window 1 Statement inserted in the Concl...

Page 488: ...selected statements 2 To remove all statements at once place the cursor in the Statement field press Update menu and select Clear Structured Findings configuration Structured Findings configuration i...

Page 489: ...nt Statement group 2 Tab or statement label 3 Findings text 4 Conclusion text 5 Codes for the selected statement 6 Create move copy or delete statement 7 Create page Combo box or statement groups 8 En...

Page 490: ...new entry to a tab page 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 display...

Page 491: ...e tab page is selected and press Add A new entry is created in the tab page 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 f...

Page 492: ...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 statem...

Page 493: ...option checked will be included in the report when Normal is selected in the Structured Findings window see Using Structured Findings on page 11 12 Combo box statement The following procedure describ...

Page 494: ...ssary 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 stateme...

Page 495: ...e Findings text field or Conclusion text field 2 Press Insert parameter The Insert parameter window is displayed see Figure 11 11 Figure 11 11 Insert parameter window 3 Browse and select the actual pa...

Page 496: ...a tag e g the EF tag refers to EF measurement Figure 11 12 The parameter list Copy of a statement Tab pages tab sheets and statements can be copied from one location to another The word Copied is add...

Page 497: ...n window Figure 11 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 Reset The Reset statements wi...

Page 498: ...rt A browsing window is displayed 2 Browse to a destination and select Save Importing statements 1 In the Structured Findings configuration window Figure 11 6 select Import A browsing window is displa...

Page 499: ...urements completed Creating comments 1 Press Freeze 2 Press Utility 3 Select Direct Report 4 In the Direct report screen select the comment type 5 Type your comments in the Text field 6 To add a measu...

Page 500: ...n 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 doub...

Page 501: ...n images measurements etc and arrange it in the report viewer The Report designer function is based on the information container concept each type of information is included within a container with pa...

Page 502: ...Report 11 28 Vivid S70 S60 User Manual BC092760 1EN 01 Report designer overview The Report designer screen Figure 11 15 The Report designer screen 1 Report template design area 2 Menu bar...

Page 503: ...mplate Logo select and insert a logo to the report template Archive info select and insert data from the following categories Patient information Exam information Site information Anatomical graphics...

Page 504: ...rinted report This function is described on page 11 40 Inserting an information container in the report template body The different types of information to be included in a report are grouped in infor...

Page 505: ...lect Table The Container properties window is displayed see Figure 11 16 3 Adjust the parameters as desired 4 Press OK The table is displayed in the template NOTE To modify an inserted table double cl...

Page 506: ...nto a removable media 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 11 17 The logo box 4 Sele...

Page 507: ...t 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...

Page 508: ...n 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 11 19 Th...

Page 509: ...box is displayed Figure 11 20 The Ultrasound image box If desired enter a heading set the container size and specify the text appearance Select OK Inserting a measurement container You may display the...

Page 510: ...the report by checking Normal value references from Insert Archive Info see page 11 34 The Measurement list on the left side is updated 6 From the measurement list select the measurement to insert an...

Page 511: ...re 11 22 The Text field box 3 Enter a heading 4 From the Display field select between Referral reasons displays the information entered in the Patient info and exam window Comments displays the inform...

Page 512: ...he 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 motion score box is disp...

Page 513: ...lect 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 1 Double clic...

Page 514: ...File and Page setup The Page setup box is displayed Figure 11 25 The Page setup box 2 Adjust the printing orientation 3 Define the header and footer for the printed report by typing text and entering...

Page 515: ...BC092760 1EN 01 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 Subsequen...

Page 516: ...esigner without saving the report template Save existing template with a new name 1 Press File and select Save as The Save template as window is displayed Figure 11 26 The Save template as window 2 En...

Page 517: ...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 t...

Page 518: ...ppropriate 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 inse...

Page 519: ...f Report templates User defined report templates can be exported to a removable media and imported from the removable media into another system Export of Report templates 1 Insert a removable media in...

Page 520: ...ouch panel and select the media to eject Import of Report templates 1 Insert the removable media with the report template s to import 2 Press Utility Config on the Touch panel and select Report The Re...

Page 521: ...tem Settings on page 12 2 Touch Panel on page 12 6 Users and Security on page 12 8 Global imaging settings on page 12 17 Measurement Package on page 12 19 Connectivity configuration on page 12 42 Arch...

Page 522: ...nly users with administrative rights have access to all the subgroups Setup category Description Subgroup Access Imaging Global imaging Touch panel application TEE probe button assignment and Scan Ass...

Page 523: ...ther Admin System General system settings and system test Settings Admin Test Admin About System information System Version All Firmware Version All HW Version All Probes All Admin Data management and...

Page 524: ...s administrator if required 2 Select the System category and Settings subgroup The Settings sheet is displayed Location 1 Hospital Enter the hospital name This information is displayed on the scanning...

Page 525: ...down menu Manual Language Select the desired language for the Online manual from the drop down menu If not available the English manual will be displayed as default Input Language Select the default...

Page 526: ...t The Shortcut bar on the Touch panel can be configured by the user so that the most used functions are readily available on the top bar of the Touch panel 1 Press Utility Config on the Touch panel an...

Page 527: ...in the Shortcuts menu list Press the Right arrow button 5 To remove a shortcut and create an empty cell in the Shortcut bar Select the shortcut to remove in the Shortcuts menu list Press the Left arr...

Page 528: ...Vivid S70 S60 User Manual BC092760 1EN 01 Users and Security Local System Users Figure 12 3 The Users sheet The ultrasound system requires operator registration The users are divided in groups with di...

Page 529: ...ian Referring doctor Sonographer Sys Admin Right Definition Create Create and update patient record examination user and referring members Transfer patient records and examinations Move examinations D...

Page 530: ...er information 4 Select the type of user referring member in Member of Group s Editing a user configuration 1 Select the actual user in the User list 2 Make the desired changes 3 Press Config or any a...

Page 531: ...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 screen lock 1 Set the time span from 10 min for th...

Page 532: ...the system If enabled it will not be possible to login to the system with users defined as local users on the system except for the ADM user NOTE If LDAP is configured the log in dialog indicates the...

Page 533: ...according to the group mapping and which of these LDAP groups the user is a member of Figure 12 6 The Advanced LDAP configuration screen of the LDAP sheet If the Directory Server does not support anon...

Page 534: ...or the underlying Windows OS user running this application Do not change this password unless you are the system administrator of the device This password is not needed for users of the system It will...

Page 535: ...a storage location for the recovery key NOTE While the system is undergoing encryption it will not be available for use We highly recommend performing disk encryption overnight or when the system is...

Page 536: ...he system at start up or when the Unlock dialog is presented Enter the recovery key manually WARNING Without the Encryption Password or Recovery Key it will not be possible to access the patient infor...

Page 537: ...imaging settings Vivid S70 S60 User Manual 12 17 BC092760 1EN 01 Global imaging settings 1 Press Utility Config on the Touch panel and log on if required 2 Select Imaging Global Figure 12 9 The Global...

Page 538: ...han two images have been selected Doppler Show KHz scale when selected displays the KHz scale on the left side of the Doppler spectrum see Figure 5 9 on page 5 19 PW CW Link baseline and gain controls...

Page 539: ...ement configuration package 1 Press Utility Config on the Touch panel and select the category Measure Text The Measurement menu sheet is displayed Figure 12 10 Display of the Measurement categories 1...

Page 540: ...r measurement in the Folder or Measurement field in the Configuration window To display a hidden folder or measurement 1 Check the actual folder or measurement in the Folder or Measurement field in th...

Page 541: ...V CO in AV Trace gets calculated Configuration of the Measurement menu If the AV diameter measurement is not present in the folder Dimension in the Measurement menu follow the following procedure 1 Pr...

Page 542: ...pler AV Trace measurement in the folder Aortic check Doppler in the Measurement menu sheet and select the folder Aortic A list of all available measurements and calculations for the selected folder is...

Page 543: ...ferring the exam data To transfer user defined formulas see Data Backup and restore on page 10 56 User defined formula example The workflow for user defined formula is If the user defined formula is b...

Page 544: ...t Doppler in the Measurement menu sheet 3 Select Add folder 4 Give the folder a name e g My Folder Adding measurements Figure 12 12 The Measurement menu sheet Add measurement 1 Select the user defined...

Page 545: ...Repeat steps 2 to 4 to add the AV ET measurement Creation of the formula Figure 12 14 The Measurement menu sheet The formula for this example is as follows My LIMP MCO AV ET AV ET 1 In the user define...

Page 546: ...cated 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 AV ET My Folder AVET 9 Select from the Operators drop down menu 10 Sele...

Page 547: ...ess Utility Config on the Touch panel and select the category Measure 2 In the Measurement menu sheet select the appropriate scanning mode for the measurement to be created e g 2D 3 Select the appropr...

Page 548: ...he 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 system and the number...

Page 549: ...is then done automatically Example an 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 s...

Page 550: ...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 mm Hg Pressure time mm Hg s Mass kg Other The correct SI unit for pressu...

Page 551: ...unction The settings are divided into application specific parameters and global parameters Figure 12 19 The Advanced sheet 1 If configuring application specific parameters select an application from...

Page 552: ...ler vascular measurements Figure 12 20 The Modify calculations sheet The following example describes how to configure the Carotid Doppler calculations 1 In the Modify calculations sheet select Vascula...

Page 553: ...select the Measurement menu 2 In the Measurement menu sheet select 2D mode 3 Select the OB table sheet 4 In the Measurement menu select the category Obstetrics and the OB 2 3 measurement study 5 In t...

Page 554: ...showing the table template selected 8 Enter the Min Max and Interval values in the Parameters field The system automatically fills in the MEAS column 9 Enter the input values for the MEAN and SD colu...

Page 555: ...1 SD Measurement result Value cm GA w 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 U...

Page 556: ...at 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...

Page 557: ...60 1EN 01 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...

Page 558: ...rmal value Figure 12 22 Adding Normal value 1 Press Utility Config on the Touch panel and select the Config category Measure Text The Measurement menu sheet is displayed Figure 12 22 2 In the Measurem...

Page 559: ...ent menu sheet To display Normal values and references in the Report the Report template must be configured to show Normal values Inserting a measurement container on page 11 35 Measurements outside t...

Page 560: ...he Advanced Quantification Tab To modify a configuration for a tool listed in the Advanced Quantification Tab 1 Press Utility Config on the control panel and select the Config category Measure Text 2...

Page 561: ...urement Package Vivid S70 S60 User Manual 12 41 BC092760 1EN 01 Figure 12 25 Advanced Quantification Tab with configuration options for AFI AFI is described on page 8 18 Auto EF is described on page 8...

Page 562: ...TCP IP subgroup 3 Select Network settings to configure 1 Section My Computer Computer name not editable IP address press Network Settings to edit the IP address in Windows 2 Section Server Config Add...

Page 563: ...rver port number The DICOM server AE title the server s name NOTE Changing the DICOM server AE title requires a reboot of the system to take effect Typically source for this information is the network...

Page 564: ...ation Depending on the DICOM dataflow selected one or several DICOM devices may have to be configured 1 Press Utility Config on the control panel and log on as administrator 2 Select the Connectivity...

Page 565: ...ties window 5 In the Properties window enter The DICOM server AE title This entry is case sensitive and must match exactly The DICOM server port For some DICOM servers the default Timeout setting may...

Page 566: ...window Systole only for Stress When this setting is active all stress images will be sent to the DICOM server showing only systole The setting is selectable when transferring only multiframe not raw d...

Page 567: ...ice and press Properties The Properties window for the selected DICOM device is displayed Figure 12 32 DICOM Worklist properties window NOTE By reducing Max Result the performance might be improved ho...

Page 568: ...tination can be either a server on the network Storage SCP or a removable media DICOM Media depending on the DICOM dataflow selected TID 5220 Pediatric Cardiac Ultrasound Procedure Report is sent if t...

Page 569: ...is is used DICOM SR must be activated for each DICOM device 1 Press Utility Config on the control panel and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflo...

Page 570: ...version Details about format and content of the SR version can be found in the corresponding user manual of the selected version These settings apply to both TID 5200 Echocardiography Procedure Report...

Page 571: ...ob is saved to the destination device The jobs that are done are removed from the spooler after a few minutes To start the DICOM spooler 1 Do one of the following Press Utility and Spooler on the cont...

Page 572: ...hold can be sent to a new destination 2 Press Send to A dialogue window is displayed 3 Select the new destination from the Destination pull down menu 4 Press Send To hold a job 1 Select the job s to...

Page 573: ...a dataflow with RAW data disabled When Use high DICOM resolution is enabled DICOM images are stored using a higher pixel density Use this setting when exporting to systems accessed by high definition...

Page 574: ...work NOTE Do not use any type of wireless network adaptor other than a GE approved adaptor NOTE If you have questions regarding the configuration please contact your local IT expert Configuring the Wi...

Page 575: ...adapter is not the correct model no wireless networks will be listed in the Wireless Settings page 5 Either double click or select the network you want to connect to and press the Connect button If th...

Page 576: ...Connection 7 Select check boxes according to preference If Connect automatically when this network is in range setting is selected then this network will auto connect when available without needing t...

Page 577: ...1 Network Settings Window Security 9 If the wireless network is to be configured for WPA WPA2 Enterprise and a customer specific certificate is to be installed on the system this can be done by use of...

Page 578: ...b Then click on the Certificates button to open the Certificate dialog Figure 12 43 Certificate dialog 10 After you have finished setting up your connection press OK The ultrasound system will then t...

Page 579: ...network you have connected to All network connections that are configured will also be displayed with a star icon Figure 12 45 Connection Established NOTE The system is now connected to the desired Wi...

Page 580: ...connection to enabled devices To configure this capability perform the following steps Enable data streaming 1 Press More on the control panel then Utility 2 Press Config on the control panel 3 Selec...

Page 581: ...12 61 BC092760 1EN 01 Figure 12 46 User setup for data streaming If LDAP authentication is enabled at least one of the LDAP groups that the user belongs to must be mapped to the group ConsultingPhys...

Page 582: ...the system upon first connected Subsequent connections will use a certificate generated after the first successful connection The client will be asked to enter a PIN code if the client application ha...

Page 583: ...issued client certificates are listed in the Data Streaming Settings dialog See Enable data streaming on page 12 60 To revoke a client certificate 1 Select a client certificate 2 Press Revoke NOTE At...

Page 584: ...01 Archive Configuration of the archiving functions 1 Press Utility Config from the Touch panel and log on as administrator if required 2 Select the Connectivity category and Patient List subgroup The...

Page 585: ...ospital network the system must have a proper network address See System s TCP IP settings on page 12 42 for more information Dataflow Communication between the Vivid S70 S60 and other information pro...

Page 586: ...ile transfer function 3 Option for the search function in the Archive screen select between None no direct search performed while entering data All patients direct search is performed among all patien...

Page 587: ...ssion while a high picture quality restrains the compression Allow Multiframe Allow cineloop storage Systole only for Stress When this setting is active all stress images will be sent to the DICOM ser...

Page 588: ...a compression while a high picture quality restrains the compression Allow Multiframe Allow cineloop storage Systole only for Stress When this setting is active all stress images will be sent to the D...

Page 589: ...ected to be recalled to Vivid S70 S60 or EchoPAC Software Only using DICOM Query Retrieve If the DICOM server does not allow the private data format within DICOM SR files this feature should be disabl...

Page 590: ...file Export of report templates Save as function for images Save as function for reports To define a default remote path 1 Press Utility Config on the Touch panel and log on as administrator if requi...

Page 591: ...tion To configure the Transfer function 1 Press Utility Config on the Touch panel and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed F...

Page 592: ...atient ID In the Archive screen see Figure 10 5 on page 10 15 A Patient ID is automatically generated by the system A Patient ID is required and must be entered by the user when creating a new patient...

Page 593: ...uired and press Search A log is generated showing the activity on the system Figure 12 57 The Audit log viewer 3 Press Save results to save the log file The Save as window is displayed 4 Select the de...

Page 594: ...an examination is not properly finished the patient record is locked and cannot be opened again unless it is unlocked To unlock patient records 1 Press Utility Config on the Touch panel 2 Select the C...

Page 595: ...directly to scanning from search The system goes directly to the Scanning screen after creating a patient record The system displays the Patient info and exam screen after creating a patient record fo...

Page 596: ...avior this user manual uses the term on system to indicate when the tool is running on the system and off system to indicate when the tool is running off the system Protocol export from Vivid S70 S60...

Page 597: ...o Creator Vivid S70 S60 User Manual 12 77 BC092760 1EN 01 Figure 12 59 The Scan Assist Pro sheet 3 Select Export from the Scan Assist Pro sheet The Export Protocols window is displayed Figure 12 60 Ex...

Page 598: ...The installation file for the Scan Assist Pro Creator will be stored to a separate folder named ScanAssistantCreatorSetup Figure 12 61 7 Select Export The Protocols and the Scan Assist Pro Creator ins...

Page 599: ...t the Scan Assist Pro Creator File handling Off system directory structure When using Scan Assist Pro Creator off system it is important to organize the Protocols in a way that will make it easy to im...

Page 600: ...user defined Protocol Creating new Protocols A Protocol is made up of a series of steps Each step has various attributes that need to be defined Protocols can be made from scratch or by modifying an...

Page 601: ...asurement category and optionally a measurement subcategory The measurements available for the attributes Measure 1 to Measure 3 and Vessel are limited to the measurements available in the category or...

Page 602: ...tep attribute data can be viewed in many ways using the Scan Assist Pro Creator The different ways to look at the data are called Views The view of choice is selected from the View Menu or from toolba...

Page 603: ...tep view All The information displayed in each multi step view is configurable 1 Select Customize Views The Customize multi step views window is displayed Each tab represents a different Multi step vi...

Page 604: ...Assist Pro window Advance on Store Advance to the next step after pressing Store on the Control panel Store Unfreeze Advance to the next step after pressing Store and Unfreeze on the Control panel St...

Page 605: ...Right Bottom Right Location of the annotation on screen Name Input Description Initial modes Scanning mode associated with the step Some scanning modes may be combined e g PW Doppler and Color Flow O...

Page 606: ...ult Zoom is not specified Depth Default Depth is not specified 1 30 cm Adjust Depth Color Scale Default Color Scale is not specified 0 25 14 kHz Adjust Color Scale Doppler Scale Default Doppler Scale...

Page 607: ...urement to perform Vessel measurement is available only if Measure trigger is set to None The list of available measurements is dependent of the category selected in the Measurement menu Auto Calcs De...

Page 608: ...60 User Manual BC092760 1EN 01 Fetus A B C or D The fetus measurement qualifier is set to either Fetus A B C od D Double Save with without measurements The image is stored twice once with measurements...

Page 609: ...Manual 12 89 BC092760 1EN 01 Stress Echo Each application can have a default stress protocol defined Select a probe and an application Selecting a probe and an application on page 3 28 Select the desi...

Page 610: ...m the Probe selection screen on the Touch panel 1 Press Probe The Probe selection screen is displayed on the control panel Selecting a probe and an application on page 3 28 2 Press the Preset config b...

Page 611: ...s the GE tab in its top right corner see example in Figure 12 68 is a factory preset which cannot be modified Figure 12 68 Factory preset To generate a new preset based on for example the factory pres...

Page 612: ...appears with the name of the current preset 5 Press Save to update the preset or edit the name and then press Save to generate a new preset To arrange the list of application presets 1 Touch the Pres...

Page 613: ...settings can be configured on this page Parameter Description Image Store settings Single frame live store Store cineloop Store single frame image only Auto freeze Freeze 2D image in Doppler the last...

Page 614: ...the application preset to delete 3 Select the application preset to delete The Preset config menu is displayed see Figure 12 67 on page 12 89 4 Press Delete A Confirmation window is displayed 5 Press...

Page 615: ...el and log on if required 2 Select Imaging TEE probe The TEE probe sheet is displayed Figure 12 71 The TEE probe sheet 3 For each button on the TEE probe handle select the operation to perform from th...

Page 616: ...Customize Configuration 12 96 Vivid S70 S60 User Manual BC092760 1EN 01 Figure 12 72 The TEE probe buttons 1 Button 1 closest to the probe tip 2 Button 2 3 Button 3...

Page 617: ...Vivid S70 S60 User Manual 13 1 BC092760 1EN 01 Chapter 13 Probes Probe overview on page 13 2 Care and Maintenance on page 13 15 Probe safety on page 13 43 Biopsy on page 13 46...

Page 618: ...er Frequency Foot print FOV 1 5 4 6 MHz 18 x 27 mm 120 degrees 3Sc RS 2D Mode M Mode Color Flow CW Doppler PW Doppler Frequency Foot print FOV 1 3 4 5 MHz 18 x 24 mm 120 degrees 6S D 2D Mode M Mode Co...

Page 619: ...int 5 0 15 0 MHz 11 x 35 mm Probe Mode Technical data C1 6 D 2D Mode M Mode Color Flow PW Doppler Frequency Foot print FOV 1 4 6 0 MHz 16 x 70 mm 58 degrees C1 5 D 2D Mode M Mode Color Flow PW Doppler...

Page 620: ...ency Operating temperature Tip LxWxH 3 0 8 0 MHz 8 5 42 7 C 45 x 14 x 12 mm 9T RS 2D Mode M Mode Color Flow CW Doppler PW Doppler Frequency Operating temperature Tip LxWxH 3 0 10 0 MHz 8 5 42 7 C 35 x...

Page 621: ...rench 3 3 mm 90 cm catheter Biosense Webster Inc SoundStarTM eco 10F 2D Mode M Mode Color Flow CW Doppler PW Doppler Frequency Aperture array length Dimension 4 5 11 5 MHz 7 0mm 10 French 3 3 mm 90 cm...

Page 622: ...0 D 6VT D 6Tc RS 9T RS 10T D iC5 9 D 2D P2D 6D P6D AcuNav TM 10F AcuNav TM 8F SoundStar TM 3D 10F SoundStar TM eco 10F SoundStar TM eco 8F Abdominal Aorto Iliac Breast Cardiac Cardiac_A Cardiac_E Card...

Page 623: ...tal Small parts Thyroid UEA UEV Vascular Probe Preset M5Sc D 3Sc RS 6S D 12S D 9L D 11L D L8 18i D C1 6 D C1 5 D C2 9 D C3 10 D 6VT D 6Tc RS 9T RS 10T D iC5 9 D 2D P2D 6D P6D AcuNav TM 10F AcuNav TM 8...

Page 624: ...use Max Temp C Still air M5Sc D Vivid S70 only 42 0 42 2 3Sc RS 41 1 37 1 6S D 41 3 39 9 12S D 41 5 33 1 9L D 41 6 37 6 11L D 41 8 38 0 L8 18i D 41 9 36 5 C1 5 D 41 1 40 5 C1 6 D 41 4 39 5 C2 9 D 38 6...

Page 625: ...hantom made of tissue mimicking material as referenced in IEC60601 2 37 4 Auto freeze capability is disabled 5 Temperature is measured when stable 2a and 2b or for 30 minutes 2c 6 6T series 9T series...

Page 626: ...3 V mark on screen indicates the orientation of the probe to the scan 1 GE Logo 2 Probe Model Name 3 UDI Symbol and Data Matrix 4 UDI Human Readable Information 5 Type BF CF Applied Part 6 Caution Con...

Page 627: ...able ICEcord RS cable connects the catheter to the Vivid S70 S60 system NOTE The reusable ICEcord RS cable is equivalent to the SwiftLink ICE probe catheter connector cable This cable is designed excl...

Page 628: ...aindicated conditions include Sepsis Major coagulation abnormalities Presence of any intracardiac thrombus Presence of a class IV angina or heart failure Deep vein thrombosis Significant peripheral va...

Page 629: ...tlink probe cable AirScan Mode The Vivid S70 S60 automatically detects whether the ICE ultrasound catheter scans in air and enters a lower power mode to avoid probe surface overheating Once the cathet...

Page 630: ...rrect ICE Ultrasound Catheter model Inspect the catheter selected for use to make sure it is the catheter model compatible with Vivid S70 S60 systems CAUTION Only GE marked catheters are supported by...

Page 631: ...ecting 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 clean...

Page 632: ...cable Figure 13 3 2 Look for damage that might allow liquid into the probe Before each use 1 Inspect the lens the probe housing and the cable Figure 13 3 2 Look for damage that might allow liquid int...

Page 633: ...quate cleaning and disinfection between patient cases are necessary to prevent disease transmission All probes must be thoroughly cleaned prior to disinfection The level of disinfection required is ba...

Page 634: ...tric shock hazards IEC 60417 6042 Biohazard Patient user infection due to contaminated equipment Usage Cleaning and care instructions Sheath and glove guidelines ISO 7000 0659 Ultrasound probes are hi...

Page 635: ...lens past the strain relief and approximately fifty 50 centimeters down the cable Wipe the cable with a lint free cloth dampened with potable water to remove chemical residue Dispose of the cloth wipe...

Page 636: ...70 S60 User Manual BC092760 1EN 01 the probe If the probe is damaged do not place it into any liquid e g for disinfection and do not use it until it has been inspected and repaired replaced by a GE Se...

Page 637: ...ared cleaning solution up to the immersion line and ensure no air bubbles are trapped on the surface Do not submerge probe beyond the immersion line shown in Figure 13 5 Figure 13 5 Probe immersion le...

Page 638: ...bel 6 Visually inspect the probe for soil Repeat Steps 3 through 5 until all visible soil has been removed from the surface of the probe 7 Rinse the probe under running warm potable water 30 40 C for...

Page 639: ...can be cleaned with the cleaners or wipes listed in the Probe Care Card NOTE Use of wipes listed in the Probe Care Card may result in discoloration of the cable 2 Wipe the cable with a lint free cloth...

Page 640: ...ampen a second wipe with disinfectant and starting at the probe lens begin wiping the probe in a rotating motion moving down towards the strain relief Spray disinfectant directly on the recessed areas...

Page 641: ...loths when necessary to ensure the probe is completely dry Visually inspect the probe to ensure all surfaces are dry Repeat drying steps if any moisture is visible 9 After each use inspect the lens ca...

Page 642: ...a rotating motion moving down towards the strain relief Wring the wipe above recessed areas seams and ridges to drip disinfectant directly onto these less accessible surfaces Figure 13 10 Disinfecting...

Page 643: ...pes and water 7 Thoroughly dry all surfaces of the probe using a sterile lint free wipe or cloth changing wipes cloths when necessary to ensure the probe is completely dry Visually inspect the probe t...

Page 644: ...um contact time listed in the disinfectant manufacturer s instructions for use WARNING Use only high level disinfectants that are listed in the Probe Care Card enclosed with the probe In addition refe...

Page 645: ...the probe using a sterile lint free wipe or cloth changing wipes cloths when necessary to ensure the probe is completely dry Visually inspect the probe to ensure all surfaces are clean and dry Repeat...

Page 646: ...s Product Type Trade Name Manufacturer Minimum Contact Time Active Ingredient Validated for probe Enzymatic Detergent Soak Enzol Cidezyme Advanced Sterilization Products J J 1 Minute Soak Proteolytic...

Page 647: ...X Endozime The Ruhof Corporation X X X X X X X X X X X X Endozime Sponge The Ruhof Corporation X X X X X X X X X X X X Endozime AW Triple Plus with APA The Ruhof Corporation X X X X X X X X X X X X En...

Page 648: ...Septanios MSD Laboratoires Anios X X X X X X X X X X X X Simple2 Multi Tiered Enzymatic Detergent bottle or sponge kits Cygnus Medical X X X X X X X X X X X X Soft Soap All manufacturer X X X X X X X...

Page 649: ...X X X X X X X X X X Alcohol 70 Isopropanol on a wipe All manufacturer X X X X X X X X X X X X Bacillol AF BODE Chemie GmbH HARTMANN X X X X X X X X X X X X Bacillol plus BODE Chemie GmbH HARTMANN X X...

Page 650: ...X X X X X X X X X X X Surfa Safe Laboratoires Anios X X X X X X X X X X X X Surfa Safe Premium Laboratoires Anios X X X X X X X X X X X X T Spray Pharmaceutical Innovations Inc X X X X X X X X X X X T...

Page 651: ...pt Wipes forte Dr Schumacher GmbH X X X X X X X X X X X X Clinell Clorox Wipes GAMA Healthcare Ltd X X X X X X X X X X X X Clinell Universal Sanitising wipes or Clinell Universal wipes GAMA Healthcare...

Page 652: ...pes SciCan X X X X X X X X X X Oxivir Tb Wipes Diversey Sealed Air X X X X X X X X X X PCS 1000 Oxidizing Disinfectant Disinfectant Cleaner Wipes Process Cleaning Solutions Ltd X X X X X X X X X X X X...

Page 653: ...pes Osaki Medical Corporation X X X X X X X X X X X X Sukitto Cloth wipes refill Osaki Medical Corporation X X X X X X X X X X X X Super Sani Cloth Germicidal Disposable Wipe PDI X X X X X X X X X X X...

Page 654: ...HMB Disinfection Wet Wipe A S X X X X X X X X X X X X Wet Wipe Triamin Disinfection Wet Wipe A S X X X X X X X X X X X X Wet Wipe Universal Wet Wipe A S X X X X X X X X X X X X Wip Anios Excel Laborat...

Page 655: ...ANN X X X X X X X X X X X X Cidex Advanced Sterilization Products X X X X X X X X X X X X Cidex OPA Advanced Sterilization Products X X X X X X X X X X X X X Cidex Plus Advanced Sterilization Products...

Page 656: ...althcare Inc X Steranios 2 use as HLD only Laboratoires Anios X X X X X X X X X X X X X Wavicide 01 Medical Chemical Corporation X X X X X X X X X X X X Sterilizing Powder Gigasept pearls Schulke Mayr...

Page 657: ...lied to the probe in this photo 3 Secure the sheath in place NOTE Failure to use a sheath that fully covers the transducer to the cable strain relief may lead to cross contamination of the transducer...

Page 658: ...ns coupling gels should not contain the following ingredients as they are known to cause probe damage Methanol ethanol isopropanol or any other alcohol based product Mineral oil Iodine Lotions Lanolin...

Page 659: ...ks or chips in the housing and degrade performance Inspect the probe before and after each use as described on page 13 15 for damage or degradation to the housing strain relief lens and seal DO NOT ap...

Page 660: ...o the user documentation enclosed with these probes CAUTION Protective barriers may be required to minimize disease transmission Probe sheaths are available for use with all clinical situations where...

Page 661: ...mation If this happens refer to the disinfectant s instruction manual Disinfectant Exposure from Probe Handle to Patient DO NOT allow the disinfectant to contact the patient Only immerse the probe to...

Page 662: ...in biopsy techniques as dictated by current relevant practices as well as in proper operation of the ultrasound system Probe Civco needle guidance systems Cat C1 6 D Ultra Pro II Needle Guidance Syst...

Page 663: ...TION The use of biopsy devices and accessories that have not been evaluated for use with the equipment may not be compatible and could result in injury CAUTION The invasive nature of biopsy procedures...

Page 664: ...Pro II Needle guide kits can be ordered as replacement kit Bracket attachment procedure 1 Identify the appropriate biopsy guide bracket as shown in Figure 13 14 WARNING Read the following instruction...

Page 665: ...clip attachment is on the same side as the probe orientation mark see Figure 13 15 3 Attach the biopsy bracket to the probe by sliding the bracket over the end of the probe until it clicks or locks i...

Page 666: ...ve examples Placing the probe and bracket into the sterile sheath Refer to the Ultra Pro II Needle Guide user manual Attaching the needle guide to the bracket Refer to the Ultra Pro II Needle Guide us...

Page 667: ...sposable Endocavity Needle Guide In addition disposable sterile endocavity needle guide can be ordered as replacement kit Needle guide attachment Refer to the Disposable Endocavity Needle Guide Refere...

Page 668: ...the needle multi angle is supported select the correct angle from the Biopsy menu Figure 13 16 The Biopsy menu The biopsy guide zone is displayed on the screen Figure 13 17 Biopsy guide zone 1 Biopsy...

Page 669: ...the correct angle from the Biopsy menu 2 Place sterile coupling gel on the scanning surface of the probe sheath 3 Scan to locate the target Center the target in the electronic guidezone path NOTE Ena...

Page 670: ...Probes 13 54 Vivid S70 S60 User Manual BC092760 1EN 01...

Page 671: ...14 1 BC092760 1EN 01 Chapter 14 Peripherals Printing on page 14 4 Printing configuration on page 14 5 External Monitor Configuration on page 14 8 Flexible Video Out on page 14 9 View X on page 14 13...

Page 672: ...patient environment unless it is equipped with additional protective earth and extra isolating device such as a transformer Commercial devices such as laser cameras printers VCRs and external monitors...

Page 673: ...Introduction Vivid S70 S60 User Manual 14 3 BC092760 1EN 01 CAUTION When using peripheral device observe all warnings and cautions given in peripheral operator manuals...

Page 674: ...gured to perform alternative storage i e storage to DICOM media or secondary capture See page 14 5 for configuration of the P1 key To print an image 1 Press P1 on the Control panel The image displayed...

Page 675: ...itional output sheet is displayed Figure 14 1 3 In Button field select P1 4 Select an output device in the Available output field and press the Right arrow button to assign the device to the selected...

Page 676: ...er setup field select a printer 2 Press Properties The Printer Properties window is displayed 3 Adjust the parameters for the printer 4 Select OK to close the Printer Properties window Image frames Se...

Page 677: ...ilable 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...

Page 678: ...ault full HD 1920x1080 resolution and external monitors must support a minimum set of capabilities Some older monitors may not support the required set of capabilities and in these rare cases addition...

Page 679: ...to mains as described in the monitor s user manual Figure 14 2 External monitor connection NOTE It might take some seconds before the external monitor is detected and the flexible video out connectio...

Page 680: ...the external monitor 1 Press More on the touch panel then LCD 2 Select either Full Screen or Image under Video Out Figure 14 3 Touch panel LCD Control screen NOTE It might take some seconds before th...

Page 681: ...deo out region When Full Screen is selected the full system main monitor contents are mirrored onto the external monitor Figure 14 4 Full Screen video out example Image video out region The Image opti...

Page 682: ...aspect ratio of the system monitor is preserved on the external monitor as long as the resolution on the external monitor itself is properly set up without any kind of aspect ratio distortion NOTE Ex...

Page 683: ...documentation for the device itself and the Service Manual Video streaming setup is described in TCP IP Configuration for View X on page 14 14 View X is available from the Imaging screen and toggles...

Page 684: ...Figure 14 7 Figure 14 7 Rotary control for View X size and position TCP IP Configuration for View X Streaming source and client configuration is set through the Video Streaming settings 1 Press Utili...

Page 685: ...S70 S60 User Manual 14 15 BC092760 1EN 01 Figure 14 8 Video Streaming under TCP IP configuration 4 Configure the Video Streaming server and client as necessary Figure 14 9 Figure 14 9 View X Video str...

Page 686: ...network start the exam with Patient name ID in Local Archive Connect to the Epiphan DVI Broadcaster 1 Connect the Epiphan DVI Broadcaster to the ultrasound system with the crossover network cable 2 Op...

Page 687: ...he network cable from the Epiphan DVI Broadcaster is connected to the ultrasound system and that the Epiphan DVI Broadcaster is switched on 2 On the ultrasound system enter Utility Config Connectivity...

Page 688: ...et the ultrasound system to a static IP so it can connect to the factory default static IP on the Epiphan DVI Broadcaster 4 Select OK to exit 5 Log out of the ultrasound system Adjust Cropping of the...

Page 689: ...alues are set to left 0 top 0 and right 50 bottom 50 only the upper left quadrant of the input video will be visible The visualized subpart will be stretched and this visually enlarged to fit dedicate...

Page 690: ...und scaling parameters to the CartoSound system via a peer to peer LAN connection Detailed instructions on interfacing and using the Vivid S70 S60 with the CartoSound and SoundStar Catheter is found i...

Page 691: ...Vivid S70 S60 User Manual 15 1 BC092760 1EN 01 Chapter 15 Maintenance System Care and Maintenance on page 15 2 System self test on page 15 8 Software update on page 15 10...

Page 692: ...g the system To ensure that the system constantly operates at maximum efficiency we recommend that the following procedures be observed as part of the customer s internal routine maintenance program E...

Page 693: ...effects Due to the generally uneven and irregular surface of Ultrasound consoles a comprehensive surface disinfection process cannot be recommended by the manufacturer Cleaning the system The ultrasou...

Page 694: ...ower to the system and disconnect the mains cable CAUTION Do not spray any liquid directly onto the Vivid S70 S60 covers displays or keyboard Do not allow any liquid to drip or seep into the system DO...

Page 695: ...inet Operator controls Mild Non Abrasive Soap and Water X X X X X X Ammonia 2 1 ratio of max 10 Home Ammonia X X X Disinfectants Bleach 10 1 ratio of 5 Home Bleach X X X Hydrogen Peroxide Hydrogen Per...

Page 696: ...e surface of the main display and touch panel 3 Wipe off excess cleaning agent and allow to dry Control panel and keyboard To clean the Control panel and keyboard 1 Apply cleaning agent to a soft non...

Page 697: ...y liquid directly onto the system 3 Wipe off excess cleaning agent and allow to dry Footswitch To clean the footswitch 1 Apply cleaning agent to a soft non abrasive folded cloth The cloth should be da...

Page 698: ...g creation of a log file specific to that event Bookmarking a system malfunction 1 If a system malfunction is observed press Alt B A bookmark will be created when creating a log file Generating a log...

Page 699: ...d logfile_ date _ time zip is created Figure 15 1 The Problem description dialogue window Advanced log options Extensive Log Extensive Log enables the creation of a log file containing additional info...

Page 700: ...n speed NOTE Software update through the GE service platform may not be available in all markets To ensure TCP IP settings are retained after software upgrade save the TCP IP settings as described in...

Page 701: ...NOTE A typical installation may take up to 20 minutes When installation is complete reboot the system Perform TCP IP Save Settings see page 15 13 and reboot After a Note the SW Download section lower...

Page 702: ...u can press to minimize the Software verification window and move it out of the way when testing Select Passed or Failed for each feature If all features are Passed the signature field is enabled Figu...

Page 703: ...ware upgrade 1 Press Utility Config on the Control Panel 2 Select the Connectivity category and TCP IP subgroup The TCP IP settings window is displayed Figure 15 5 Figure 15 5 TCP IP settings 3 Press...

Page 704: ...Maintenance 15 14 Vivid S70 S60 User Manual BC092760 1EN 01...

Page 705: ...20 Compound 5 47 configuration wireless network 12 54 Connecting peripherals 3 19 Connecting the system 3 4 Connectivity Dataflow 12 65 Contacts Clinical questions 1 8 Internet 1 8 Service questions...

Page 706: ...ers 13 9 Safety 13 43 Types 13 2 PW Doppler 5 19 Q Quantitative Analysis 9 1 Anatomical M Mode 9 20 Deletion of a trace 9 12 Frame disabling 9 13 Manual tracking 9 11 Optimizing 9 15 Sample area 9 9 S...

Page 707: ...Selecting a template 7 3 Tissue Tracking 7 25 Structured Findings 11 9 System Controls affecting acoustic output 2 8 Preparing the system for use 3 1 Switching On Off 3 23 T TCP IP 12 65 TCP IP setti...

Page 708: ...Index 4 Vivid S70 S60 User Manual BC092760 1EN 01...

Page 709: ......

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