GE Voluson Swift Instructions For Use Manual Download Page 316

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13.9.6 Post-Processing

B-Mode

2D Gain
Dyn. Contr.
Edge Enhancement
Gray Map
Colorized B
SRI

M-Mode

Gray Map
Edge Enhancement
Colorized M
Display Format
Sweep Speed

PW Mode

Gray Map
Baseline Shift
Angle Correction
Colorized D
Scale (KHz, m/s, cm/s)
Trace
Invert
Sweep Speed

Color Flow Imaging Modes

(CFM, PD, HD-Flow TM)

Color Map
Display Threshold
Display Mode: V, V-T, T, P, P-T (CFM only)
Scale (CFM and HD-Flow TM)
Baseline
Gray Map

13.9.7 Image Processing and Presentation

Digital Beamformer

Max. processing channels

probe dependent

Minimum Depth of Field:

1 cm (Zoom, probe dependent)

Max. Depth of Field (System): 36 cm (probe dependent)

Transmission Focus:

1- 5 Focus Points selectable (probe dependent)

Focal Zone position

up to 7 steps

Continuous Dynamic Receive Focus / Continuous Dynamic Receive Aperture

Gray

256

Colors

16.8 Mio, 24 bit

Calculated DR (B + CF)

Up to 265 dB Dynamic Range

Image Reverse

Right/ Left

Rotation

0°, 180°

Technical Data/ Information

13-14

Voluson™ SWIFT / Voluson SWIFT+ Instructions For Use

5831612-100 Revision 4

Summary of Contents for Voluson Swift

Page 1: ...Voluson SWIFT Voluson SWIFT Instructions For Use English English 5831612 100 Revision 4 PC400 2020 21 by General Electric ...

Page 2: ...Revision History Revision Date Revision 1 May 2020 Revision 2 August 2020 Revision 3 September 2020 Revision 4 February 2021 i ii Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 3: ...curity Note 2 28 Service Software Remote Access 2 29 Software Update 2 30 System messages 2 30 Chapter 3 System description Overview 3 2 System Assembly 3 3 The user interface 3 3 Control Panel 3 5 The monitor 3 5 Chapter 4 Getting started Powering the system 4 2 Getting started 4 3 Basic operations 4 6 Chapter 5 Probes and Biopsies Probe safety 5 2 Cleaning and maintenance of probes 5 4 Probes 5 ...

Page 4: ...er 11 System Setup Home Menu 11 2 System setup 11 4 Chapter 12 Peripheral Devices How to Connect Auxiliary Devices Safely 12 2 Peripherals and hardware 12 4 Connection between Internal I O and External I O 12 4 DVR USB 12 5 ECG Preamplifier 12 7 Battery Pack 12 10 Chapter 13 Technical Data Information Safety conformance 13 2 Physical Attributes 13 3 System overview 13 5 Screen Formats 13 6 Display...

Page 5: ...tion concerning indications for use and contact information Contacting GE 1 2 Manufacturer 1 7 Safety Conformance 1 7 About these Instructions for use 1 7 About this system 1 8 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 1 1 ...

Page 6: ...or medical diagnosis is considered safe ultrasound energy has the potential to produce biological effects Ultrasound bioeffects may result from scanning for a prolonged period inappropriate use of color or pulsed Doppler ultrasound without a medical indication or excessive thermal or mechanical index settings American Institute of Ultrasound in Medicine Keepsake Fetal Imaging 2005 Thus ultrasound ...

Page 7: ... Filiale GE Healthcare Technologies EURO PLAZA Gebäude E Wienerbergstrasse 41 A 1120 Vienna Phone 43 1 97272 0 Fax 43 1 97272 2222 BELGIUM LUXENMBURG GE Medical Systems Ultrasound Eagle Building Kouterveldstraat 20 1831 DIEGEM Phone 32 2 719 7204 Fax 32 2 719 7205 BRAZIL GE HEALTHCARE DO BRASIL COMÉRCIO E SERVIÇOS PARA EQUIPAMENTOS MEDICOS HOSPITALARES LTDA Av Magalhães de Castro 4800 Andar 11 Con...

Page 8: ...e Diagnostics F 78457 Velizy Fax 33 13 44 95 202 General Imaging Phone 33 13 449 52 43 Cardiology Phone 33 13 449 52 31 GERMANY GE Healthcare GmbH Beethovenstrasse 239 42655 Solingen Phone 49 212 28 02 0 Fax 49 212 28 02 28 GREECE GE Healthcare 8 10 Sorou Str Marousi Athens 15125 Hellas Phone 30 210 8930600 Fax 30 210 9625931 HUNGARY GE Hungary Zrt Ultrasound Division Akron u 2 Budaors 2040 Hungar...

Page 9: ... P O Box 141 3191 Horten Phone 47 33 02 11 16 POLAND GE Medical Systems Polska Sp z o o ul Wołoska 9 02 583 Warszawa Poland Phone 48 22 330 83 00 Fax 48 22 330 83 83 PORTUGAL General Electric Portuguesa SA Avenida do Forte n 4 Fraccao F 2795 502 Carnaxide Phone 351 21 425 1309 Fax 351 21 425 1343 REPUBLIC OF IRELAND GE Healthcare Unit F4 Centrepoint Business Park Oak Drive Dublin 22 Phone 353 1 46...

Page 10: ... Ukraine Tel 380 44 490 69 87 Fax 380 44 490 69 82 United Arab Emirates U A E GE Healthcare Holding Dubai Internet City Building No 18 P O Box 11549 Dubai U A E Phone 971 4 4296161 Phone 971 4 4296101 Fax 971 4 4296201 UNITED KINGDOM GE Medical Systems Ultrasound 71 Great North Road Hatfield Hertfordshire AL9 5EN Phone 44 1707 263570 Fax 44 1707 260065 USA GE Healthcare Ultrasound Service Engineer...

Page 11: ...ety of ultrasonic medical diagnostic and monitoring equipment IEC EN 62366 Application of usability engineering to medical devices IEC EN 62366 1 Medical devices Part1 Application of usability engineering to medical devices IEC EN 62304 Software Life Cycle Processes IEC EN 62359 Ultrasonic Field characterization Test methods for the determination of thermal and mechanical indices related to medica...

Page 12: ...strations in this Instructions for Use are for illustrative purposes only and may be different from what is displayed on the screen or device 1 5 About this system Intended use This system is intended for use by a qualified physician or sonographer for ultrasound evaluation in the following clinical application Image Acquisition for diagnostic purposes including measurements on acquired image Clin...

Page 13: ... use or any use where the probe is directly applied to the eye intra operative use that is defined as introducing probe into a surgical incision or burr hole Essential performance of the ultrasound system Acquisition of ultrasound images Display of ultrasound images on main display Measurement on ultrasound images System must remain in a safe condition acc IEC60601 General Voluson SWIFT Voluson SW...

Page 14: ...uch as gender determination contrast imaging IVF PUBS or CVS etc Please consider the local laws and regulations The equipment conforms with regulations for electrical safety IEC 60601 and safety class IIa according to the MDD 93 42 EEC regulation for use on human patients The manufacturer assembler importer or installer consider themselves responsible regarding safety reliability and performance o...

Page 15: ...ration safety 2 13 Cleaning the system 2 15 Maintenance 2 17 Disposal 2 18 Bioeffects and Safety of Ultrasound Scans 2 18 Guidance and manufacturer s declaration 2 21 Network disclosure 2 25 CyberSecurity Note 2 28 Service Software Remote Access 2 29 Software Update 2 30 System messages 2 30 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 2 1 ...

Page 16: ...ards IEC 60601 1 ISO 3864 1 Warning Caution Explosion Hazard Indicates the risk of injury from explosion hazards General warning sign adapted to indicate explosion hazards IEC 60601 1 ISO 3864 1 Warning Caution Moving Hazard Indicates the risk of injury from moving or tipping hazards General warning sign adapted to indicate moving or tipping hazards IEC 60601 1 ISO 3864 1 Warning Caution Mechanica...

Page 17: ...s followed by the name and address of the manufacturer of the device ISO 15223 1 P N Refers to the Part number of the system GE crafted symbol This symbol is followed by the serial number of the device ISO 15223 1 Batch or lot number ISO 15223 1 Brand and model reference number ISO 15223 1 This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted ...

Page 18: ...ity can only be achieved when the equipment is connected to an equivalent receptacle marked Hospital only or Hospital grade Applicable depending on local regulatory requirements ANSI UL 498 and CSA CAN C22 2 No 42 99 This indicates the maximum rated power consumption of the system GE crafted symbol Caution consult accompanying documents This symbol advises the reader to consult the accompanying do...

Page 19: ...zed representative in the European Community ISO 15223 1 This symbol indicates that in the United States of America federal law restricts this device to sale by or on the order of a physician FDA 21 CFR 801 The patient cable protects against the effects of the discharge of a cardiac defibrillator Use the patient cables as described in the chapter ECG Preamplifier on page 12 7 IEC 60601 1 2005 A1 2...

Page 20: ...nt Name Hazardous Substances Name Pb Hg Cd Cr VI PBB PBDE Ultrasound Probes X O O O O O LCD Monitor X O O O O O Operator Panel X O O O O O PWAs X O O O O O Cables X O O O O O Power assembly X O O O O O System Covers X O O O O O Frame Assembly O O O O O O Rubber O O O O O O This table is prepared according to SJ T 11364 O Indicates that hazardous substance contained in all of the homogeneous materi...

Page 21: ...ds clear of openings GE crafted symbol based on IEC 60601 1 ISO 7010 P001 and ISO 3864 1 Every system has a unique marking for identification the Unique Device Identification UDI Label The UDI label consists of a series of alpha numeric characters and barcode which uniquely identify the Voluson series system as a medical device manufactured by General Electric The UDI marking is part of the produc...

Page 22: ...in improper operation Warning Portable RF communications equipment including peripherals such as antenna cables and external antennas should be used no closer than 30 cm 12 inches to any part of the Voluson SWIFT Voluson SWIFT including cables specified by the manufacturer Otherwise degradation of the performance of this equipment could result Caution The use of the equipment outside the described...

Page 23: ...device electroless Caution Do not stare into the light beam of the LED Note GE ULTRASOUND KOREA LTD is not responsible for any damage caused by viruses malware and other harmful software Note The emissions characteristics of this equipment make it suitable for use in industrial areas and hospitals e g professional healthcare environment CISPR 11 class A If it is used in a residential environment f...

Page 24: ...TEL Germany AG 11 Color Laser Printer HP M454dw HP 12 Color Laser Printer HP M454nw HP 13 B W Printer UP D898DC Sony Corporation 14 Color Printer UP D25MD Sony Corporation 15 ECG USB Module ECG USB1 EX NORAV Included 1 0m Shield cable 16 Wireless display WDC10 BenQ 17 Ethernet protection cable GES 2203369 01 Prysmian Group Generalcable 18 UPS SMX1200XLHG Tripplite 19 UPS SMART1200XLHG Tripplite 20...

Page 25: ...d by authorized service personnel For safety reasons avoid handling fluids in the vicinity of the system Do not install software on the system that has not been released by GE as this may lead to erroneous function or function transfer and thereby decrease system performance If continuous operation is required even during power interruption it is recommended that the system is powered from an unin...

Page 26: ...ers from 3rd parties or have a non sterile person operate the system Always follow the hygienic guidelines established by the institution where the ultrasound system is used The ultrasound probes cannot be sterilized It is in the responsibility of the user to use sterile probe sheaths is recommended as described in the Instructions for Use If the system has been moved from a cold e g stockroom air...

Page 27: ...akes are engaged Move the system forward or backward when going up or down inclines Do not move the system sideways or diagonally Failure to follow these precautions could result in injury uncontrolled motion and damage For further information on user interface and monitor adjustment read Lifting the system 1 Preparation Disconnect all probes and transport them separately Disconnect the ECG cable ...

Page 28: ...structures may be smeared out For diagnostic purposes the Region of Interest must be checked without filter A smoothed image might lead to false diagnosis Specific modes and features Caution Features that facilitate measurements such as SonoNT 1 must be used with extreme care The measurement results are a suggestion of the system if in doubt verify with manual measurement methods The user is respo...

Page 29: ... resulting from improper use of contrast media Probe orientation Caution Ensure that the actual probe position corresponds to the probe orientation configuration Special accuracy is required in Acquisition Mode 4D Moving the probe can lead to errors in displayed directions with respect to the displayed image 2 7 Cleaning the system Warning Before cleaning the console switch it off and disconnect f...

Page 30: ...X X X X Klercide 70 30 IPA use damp non abrasive cloth X X X X Sani Cloth 70 Wipes ready for use X X X X Table 2 5 List of approved cleaning and disinfection agents X can be used on the component of the ultrasound console do not use on component of the ultrasound console Note For more information visit to https cleaning gehealthcare com Note GE verified that the above listed agents are chemically ...

Page 31: ...vice Manual For probe specific information see Cleaning and maintenance of probes on page 5 4 Safety test Recommended maintenance schedule According to respective national regulations and according to the manufacturer recommendations for the medical electrical system Test Action Visual inspection Checking of housing connections operating elements display facilities labels accessories Instructions ...

Page 32: ...s accidentally Thus ultrasound examinations can be held very safe if certain proceedings are followed It is therefore recommended to read the following sections and study the cited literature 2 10 1 Prudent Use ALARA Principle In spite of the relatively low risk of ultrasound scans compared to other imaging techniques the operator shall choose the exposure level with caution to minimize the risk o...

Page 33: ...effects 2 10 3 Regulated Parameters Relevant parameters having physiological effects are regulated according to FDA and IEC guidelines and standards These parameters are Parameter Meaning Limit Displayed MI Mechanical Index 1 9 Yes TIs TIb TIc Thermal Indices TI one of the following values can be displayed 6 Yes TIs soft tissues TIb bone in focal region TIc bone at surface e g cranial Ispta 3 Aver...

Page 34: ...play of the following lung symbol Once these predefined modes settings are changed the lung symbol disappears and the suitability of the modes settings has to be maintained manually by the user Of greater importance Of less importance MI Mechanical Index With contrast agents In the absence of gas bodies i e most tissue scanning Cardiac scanning lung exposure Abdominal scanning bowel gas TI Thermal...

Page 35: ...used in a residential environment for which CISPR 11 class B is normally required this equipment might not offer adequate protection to radio frequency communication services The user might need to take mitigation measures such as relocating or re orienting the equipment Guidance and manufacturer s declaration electromagnetic immunity The Voluson SWIFT Voluson SWIFT is intended for use in electrom...

Page 36: ...cycle 40 UT 60 dip for 5 cycles 70 UT 30 dip for 25cycles 5 UT 95 dip for 5 sec Edition 4 0 UT 0 5cycle Phase 0 45 90 135 180 225 270 31 5 0 UT 1cycle Phase 0 70 UT 25 30cycle Phase 0 0 UT 250 300 cycle Mains power quality should be that of a typical commercial and or hospital environment If the user of the Model Voluson SWIFT Voluson SWIFT requires continued operation during power mains interrupt...

Page 37: ...quipment should be used no closer to any part of this system including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m F...

Page 38: ... should be used no closer than 30cm 12inches to any part of the this system including cables specified by the manufacturer Otherwise degradation of the performance of this equipment could result Minimum separation distances for higher IMMUNITY TEST LEVELS shall be calculated using the following equation Where P is the maximum power in W d is the minimum separation distance in m and E is the IMMUNI...

Page 39: ... order to facilitate the responsible organization s risk management activities e g pursuant to 80001 1 for their networks incorporating the Voluson SWIFT Voluson SWIFT Purpose of the network connection The connection options USB Ethernet WLAN provide a possibility for data transfers from and to the Voluson SWIFT Voluson SWIFT This allows the customer to use a convenient database system for data ma...

Page 40: ... Only used as log source LDAP Lightweight Directory Access Protocol Only used as client Tricefy Uplink direct upload to Tricefy ACR NEMA Digital Imaging and Communications in Medicine DICOM 3 DICOM Conformance Statement http www gehealthcare com usen interoperabillity dicom products ultrasound_dicom html IHE Integration Statement http www gehealthcare com usen interoperabillity ihe html Network in...

Page 41: ...n the syste Ports open to the Internet or local network depending on the configuration 25 465 or 587 SMTP configurable on the system 123 NTP Client Listening Ports on the ultrasound system only to secure LAN closed to Internet 104 DICOM receive configurable on the system Potential hazardous situations resulting from failures of the IT network The following general hazardous situations have been id...

Page 42: ...ing a web browser and introducing viruses or Trojan horses to the system All operating system services that are not used by the system software are disabled to help ensure that the source of security vulnerabilities is minimized Disable or make inaccessible functionality that is typically used as malware vectors for spreading viruses e g email services web browsers The auto run feature is disabled...

Page 43: ...e attack vectors used by malicious software Voluson ultrasound systems however are single purpose dedicated devices not intended to execute arbitrary programs or applications Hence in Voluson systems the approach of application whitelisting is considered more effective than anti virus software to provide additional protection against malicious software The application whitelisting solution prevent...

Page 44: ...r you may be prompted to restart the system When the installation is complete the New Software Verification window is displayed 5 Perform a check for all features listed Move the cursor over the feature name to get information on how to check each feature If all features are OK the signature field is enabled 6 Enter your signature and press Send The system is ready If one feature gets Failed the u...

Page 45: ...Chapter 3 System description Overview 3 2 System Assembly 3 3 The user interface 3 3 Control Panel 3 5 The monitor 3 5 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 3 1 ...

Page 46: ...pectral Doppler Pulsed and Continuous Wave Color Doppler Velocity Power Tissue imaging and HD Flow Contrast Elastography Operable probes Multi element probes linear array curved array phased array Real Time 4D Volume probes The operation is designed for the specific clinical requirements and ensures simple and efficient handling Vast ranges of measuring and evaluation programs as well as many spec...

Page 47: ...lder 5 Printer 6 Caster 6 1 Swivel lock 1EA 6 2 Total lock 3EA 7 Probe connector 8 Transport handle 3 3 The user interface 3 3 1 Mechanical Console Adjustment The control console can be rotated and adjusted in height System description Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 3 3 ...

Page 48: ...tical Movement of the Control Console Manually move the control console upward or downward by keeping the right button pressed at the user interface Make sure that nothing would be jammed while moving 3 3 1 3 Console Transportlock There is a lever for locking and unlocking the control console mounted at the left side below the control console When preparing the system for transport the lock shall ...

Page 49: ...d Exit Exits a mode Program key Programmable key Freeze Freezes the images Gain Increases or decreases the amount of echo information displayed resulting in an brighter or darker image Pressing Gain button returns you to 2D mode Zoom Allows you to modify the Zoom ROI and choose a Zoom mode Pan Zoom vs HD Zoom Depth Depth controls the distance over which the B Mode images anatomy To visualize deepe...

Page 50: ...itor The monitor can be tilted Figure 3 1 Monitor adjustment Securing the monitor for transport Adjust the LCD monitor to the lowest position And lock the monitor Figure 3 2 Monitor transport position System description 3 6 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 51: ... The button Exam History switches the History Clipboard on and off if one or more previous exams are available Trackball area Trackball functions change according to the active mode Active button assignment is shown in green Figure 3 4 Trackball area sample P Button assignment A P Button is a programmable button which can be configured for individual tasks The corresponding symbol is displayed nex...

Page 52: ...page 12 5 Table 3 1 General icons Message area and Cine window Status messages and the cine bar are displayed below the ultrasound image Miscellaneous Area This area is used for different functionalities like on screen menus listing of done measurements the graphical display of OB graphs with current measurement values and others After power down and reboot the last used page is displayed again Ic...

Page 53: ...iscellaneous icons Bootup Screen The bootup Screen contains the Instructions for Use icon and the boot progress bar on the main screen and a list of the US patents on the main System description Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 3 9 ...

Page 54: ...This page was intentionally left blank System description 3 10 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 55: ...Chapter 4 Getting started Powering the system 4 2 Getting started 4 3 Basic operations 4 6 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 4 1 ...

Page 56: ... and select shutdown in the dialog box 2 After the system is fully powered off you may switch off the circuit breaker located at the rear panel of the console Info In case of no system reaction keep the standby button pressed for 5 seconds After shut down wait for at least 10 seconds before restarting the system again The standby button will cut off the electricity to all your connected peripheral...

Page 57: ...ing that cannot be stopped the user will be informed that shutdown is not possible 4 2 Getting started Connecting a probe 1 Plug the probe connector into a free socket 2 Push the probe lock handle knob to left direction Ensure that the probe sits tight 3 Place the probe cable in the cable holder Selecting a probe 1 Slide up the probe menu on the bottom left 2 The connected probes are appeared on t...

Page 58: ...e 2 Optimize specific structures by using the available presets 3 Adjust the size and position of the ROI Box Region of Interest by pressing Change top trackball key Press Change again or using on screen gestures 4 Adjust the volume acquisition by sliding the Volume Angle control on the left user interface The Volume Angle is displayed on the lower section of the monitor 5 Start the volume acquisi...

Page 59: ...rs on the monitor to assgin a name Close menu to exit Education Video Refer to the education video clips for help 1 Press Home button and select System Setup 2 Select Education tab on General Settings menu 3 Several videos available to help you use the system Electronic Instructions for Use Consult the electronics Instructions for Use for help To change the language of the Instructions for Use See...

Page 60: ...oom is available at any time by simply rotating the Zoom button To use HD or Pan Zoom follow the steps below 1 Press Zoom hardkey to start the zoom function 2 A reference image appears on the monitor screen 3 Modify the size of the zoom window by rotating the Zoom button 4 Press Zoom again to activate HD Zoom 5 Rotate Zoom to enlarge the image 6 Press the left trackball button to select Pan Zoom 7...

Page 61: ... loop via Cine Loop or manually frame by frame via the trackball 1 Press Freeze to activate Cine 2 Press Img or Cine lower trackball button to switch between Image mode and Cine mode 3 The Cine display located at the lower right corner of the monitor display indicates which frame you are viewing of the whole loop 62 123 as well as the time at which this frame occurs within the loop 1 6 3 2 s Getti...

Page 62: ...This page was intentionally left blank Getting started 4 8 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 63: ...es Probe safety 5 2 Cleaning and maintenance of probes 5 4 Probes 5 17 Biopsies 5 20 Overview of all probes and biopsies 5 25 Probe assessment tool 5 31 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 5 1 ...

Page 64: ...merse the probe into any liquid beyond the immersion level Never immerse the probe connector into any liquid Note Keep a log of all probe maintenance along with a picture of any probe malfunction Caution Adequate cleaning and disinfection is necessary to prevent disease transmission The user is responsible to ensure adequate cleaning and disinfection of ultrasound probes Probes are not sterile whe...

Page 65: ... of the console before connecting a probe to the console The following precautions help reduce ESD anti static spray on carpets linoleum and mats a ground wire connection between the console and the patient table or bed Observe ESD precautions when handling or connecting probes Typically an ESD EMC event results in an intermittent ultrasound image degradation for the time the ESD EMC event is pres...

Page 66: ...uipment user Diagnostic ultrasound systems utilize ultrasound energy that must be coupled to the patient by direct physical contact Depending on the type of examination this contact occurs with a variety of tissues The level of risk of infection varies greatly with the type of contact One of the most effective ways to prevent transmission between patients is with single use or disposable devices H...

Page 67: ...ant 5 Allow probe to air dry completely 6 Reconnect the probe to the ultrasound console and place the probe into its holder 7 Inspect the probe prior to use for damage or degeneration to the housing strain relief lens and seal Do not use a damaged or defective probe until it has been inspected and repaired replaced by a GE Service Representative 8 Put a new sterile legally marketed probe sheath ov...

Page 68: ...Inspect the Probes X X Clean the Probes X X Disinfect endocavity probes X X Disinfect all other probe types X Environmental requirements for probes Probes can be used in clinical environment Ensure that the probe face temperature does not exceed the normal operation temperature range Probes must be operated stored or transported within the parameters outlined below Probes and Biopsies 5 6 Voluson ...

Page 69: ... to disinfection The level of disinfection required is based on patient contact To verify probe chemical compatibility a full list of chemicals tested is available at the GE Probe website shown above Probes that contact mucosal or non intact skin require cleaning followed by high level disinfection by either soaking or use of a trophon EPR and trophon2 Probes that contact intact skin require clean...

Page 70: ...E Service Representative Figure 5 3 Inspect the Lens Cable and Probe House After Each Use 1 Cleaning only portion 2 Cleaning only or cleaning and disinfection portion 3 Cleaning followed by appropriate level of disinfection Table 5 2 Cleaning or Disinfection Portions Manual cleaning is required to ensure the probes are cleaned to the extent necessary for further processing Choose the most appropri...

Page 71: ...evel allowing immersion of the probe up to the immersion line shown in the Instructions for Use 2 Prepare the cleaning solution in accordance with the detergent manufacturer s instructions 3 Immerse the probe in the prepared cleaning solution up to the immersion line and ensure no air bubbles are trapped on the surface Caution DO NOT submerge probe beyond the immersion line shown in the Instructio...

Page 72: ...n Use caution when cleaning the connector This cable connector should only be cleaned with a slightly dampened cloth or wipe Exposure to excessive moisture will result in damage to the probe and possibly the ultrasound console DO NOT wet the connector console interface surface or labels 1 The cable and connector surfaces can be cleaned with the cleaners or wipes listed in the Probe Care Card Note ...

Page 73: ... a third wipe with disinfectant and continue wiping the probe as needed to ensure the surface remains wet for the required exposure time Use as many wipes as needed and respray disinfectant on recessed areas and ridges to ensure all surfaces remain wet for the minimum required contact time listed in the disinfectant manufacturer s instructions for use 5 Thoroughly dry all surfaces of the probe usi...

Page 74: ...se as many wipes as needed and drip additional disinfectant on recessed areas and ridges to ensure all surfaces remain wet for the minimum required contact time listed in the disinfectant manufacturer s instructions for use Figure 5 9 Disinfecting the Probe 4 Thoroughly dry all surfaces of the probe using a soft low lint wipe or cloth changing wipes cloths when necessary to ensure the probe is com...

Page 75: ...Level Disinfectant diluted in accordance with the disinfectant manufacturers instructions to a level allowing immersion of the probe up to immersion line shown in the Instructions for Use Caution Ensure no liquid comes into contact with the probe connector pins or labels 2 Immerse probe in the disinfectant up to the immersion line shown in the Ultrasound console s user manual and ensure no air bub...

Page 76: ...ghly dried with a clean low lint soft cloth or wipe Carefully dry the probe by wiping from the distal tip to the strain relief Pat dry lens Caution DO NOT use abrasive paper products when cleaning or wiping a GE Ultrasound Probe The use of abrasive wipes can damage the soft lens acoustic window To extend the life of the probe lens pat dry only 2 Visually inspect the probe to ensure the probe is vi...

Page 77: ... for compatibility is available at the GE Probe Web Site Covering the Transducer using a Sterile Protective Sheath Caution Protective barriers may be required to minimize disease transmission Probe sheaths are available for use with all clinical situations where infection is a concern Use of legally marketed sterile probe sheaths is recommended for intra cavitary and intra operative procedures 1 P...

Page 78: ...ng potable water 30 40 C for not less than 2 minutes 4 Prepare an enzymatic detergent safe for use with metal instruments according to the manufacturer s recommendations using potable water 5 Submerge the biopsy guide in the prepared solution and soak for no less than 2 minutes 6 After the 2 minute soak while the biopsy guide is submerged in the detergent water vigorously scrub the device with a s...

Page 79: ... Level SAL of 10 6 or better 1 Place the cleaned and disinfected biopsy guide in an approved autoclave pouch 2 Autoclave using the following parameters Parameter Cycle Type 1 Cycle Type 2 Sterilizer Pre vacuum Pre vacuum Preconditioning Pulses 3 3 Temperature Minimum 132 degrees C 121 degrees C Exposure Time Minimum 3 Minutes 20 Minutes Drying Time Minimum 15 Minutes 15 Minutes Package Configurati...

Page 80: ...lass and CE marking 5 UDI symbol and Data Matrix 6 REF Catalog model number 7 Manufacturer s site country of origin 8 Type BF CF Applied Part 9 Caution Consult the Manual 10 WEEE Waste Symbol 11 Chinese RoHS Hazardous Substance Symbol 12 Date of Manufacture as YYYY MM Displayed Probe Information 1 Probe Information Location 5 3 3 Clinical application specific settings The manual refers to probes t...

Page 81: ...Symbol Description SW Optional software feature HW Optional hardware feature X Available Not available Probes Imaging Modes 2D M PW CW Color AMMSW norm HI CRI SRI Virtual convex Max Angle BetaView M MC MHD Flow Update Duplex Triplex HPRF Update HW SW Steerable CFM HD Flow PD 12L RS x x x x x x x x x x x x 4C RS Voluson SWIFT only x x x x x x x x x x x x x x x C1 5 RS x x x x x x x x x x x x x x x ...

Page 82: ... x x x x RAB2 6 RS Voluson SWIFT only x x x x x x x 5 4 Biopsies 5 4 1 Biopsies Safety General biopsy safety Caution A biopsy must only be performed by physicians with adequate experience Under all circumstances the necessary safety precautions and sterility measures have to be respected Caution All biopsy equipment depicted and described in has been validated for use with the system and software ...

Page 83: ...gle use components must be disposed as infectious waste Reusable biopsy guides must be sterilized before they are disposed Caution Before starting a biopsy procedure with a 3D 4D probe always perform a volume scan first This is important to ensure proper mechanical alignment and centering of the transducer element before the biopsy is performed Biopsy setup safety Caution The default biopsy lines ...

Page 84: ...cleaning solution and remove any remaining residue with dry wipe Follow cleaning solution manufacturer s instructions for use and recommendations for concentration Sterilization for reusable biopsy needle guides Autoclaving moist heat 121 C for 20 minutes 3 Pre Vacuum cycles or 134 C for 5 minutes Recommended minimum sterilization level SAL 10 6 5 4 2 Biopsy guide mounting All biopsy needle guides...

Page 85: ...into a water bath about 47 C set OTI to Normal and display the exact position of the needle on the active B image 5 Press the Menu on the left upper touch monitor 6 Press System Setup 7 Press Biopsy Setup 8 The Biopsy Setup Menu is displayed Note A water bath alignment verification is also necessary before performing freehand biopsy procedures 5 4 3 1 Biopsy line adjustment for single angle biopsy...

Page 86: ...iopsy line is shown on the monitor screen 4 Adjust the biopsy line by using the Trackball pos and the left Touch panel button Line rotate 5 Press Store MBX 1 to save the MBX 1 line 6 Set the biopsy guide angle to MBX 3 7 Adjust the position of MBX 3 line and press Store MBX 3 8 Press Exit to close the Biopsy Setup 9 Biopsy line MBX 2 will be calculated and stored by the system 5 4 3 3 Biopsy line ...

Page 87: ...he left Touch panel button Line rotate 5 Press Store to save the line 6 Press Exit to close the Biopsy Setup Note Biopsy kits can be deleted Delete Kit or renamed Rename Kit Biopsy lines can be deleted Delete Line or renamed Rename Line 5 5 Overview of all probes and biopsies Note Please note that not all listed probes may be available at the time of release of this Instructions for Use Note Read ...

Page 88: ...terile packaged component Single Use only with latex cover For detailed information plase contact the manufacturer 5 5 1 2 RAB2 6 RS Abdominal transducer RAB2 6 RS Biopsy 442 208 1 Patient applied part 2 Probe handle Clinical application specific settings Features Features Abdomen Gynecology Obstetrics 3D 4D Real Time imaging Wide field of view Biopsy guide available CFM MCFM HD Flow Power and PW ...

Page 89: ...contact the manufacturer 5 5 2 2D Probes Curved Array Convex Probes 5 5 2 1 IC9 RS Curved array transducer IC9 RS Biopsy H48691YW with cover H48691YX Biopsy itself Biopsy H48701MN 1 Patient applied part 2 Probe handle Clinical application specific settings Features Features Features Obstetrics Gynecology Transrectal Wide field of view Small probe tip and shaft Power and PW Doppler Broad bandwidth ...

Page 90: ...s Steel Sterilization with auto clave possible Needle diameters 1 65mm Material Plastic Single use only 5 5 2 3 4C RS Abdominal transducer 4C RS Biopsy 4C 1 Patient applied part 2 Probe handle Clinical application specific settings Features Features Obstetrics Abdomen Gynecology Wide field of view Biopsy guide available CFM MCFM HD Flow Power and PW Doppler Broad bandwidth Multi frequency Only CIV...

Page 91: ...rilization with auto clave possible Needle diameters 1 65 mm Material Plastic Single use only 5 5 2 5 C1 5 RS Abdominal transducer C1 5 RS Biopsy C1 5 1 Patient applied part 2 Probe handle Clinical application specific settings Features Features Abdomen Obstetrics Gynecology Wide field of view CFM MCFM HD Flow Power and PW Doppler AutoScale Broad bandwidth Multi frequency HiPen Biopsy guide availa...

Page 92: ...opsy bracket is reusable For detailed information please contact the manufacturer 5 5 4 2D Probes Phased Array Sector Probes 5 5 4 1 3Sc RS Phased array transducer 3Sc RS Biopsy 3Sc 1 Patient applied part 2 Probe handle Clincial application specific settings Features Features Abdominal Obstetrics Cardiology Pediatrics Cephalic Harmonic Imaging CFM MCFM HD Flow Power and PW Doppler steerable CW Dop...

Page 93: ...ic on and activate it 3 Open the probe menu and select the probe diagnostic test 4 A window will pop up select Start Test to execute the test 5 After completion the result will show as Pass or Fail as below figures Probes and Biopsies Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 5 31 ...

Page 94: ...types are listed that would cause a failed transducer element check test Defects less than the maximum number of defect elements or nearby elements and larget gaps are rated asw passed Probes and Biopsies 5 32 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 95: ...sing curve that relates each echo s intensity to a shade of gray The greater the echo intensity the brighter the shade of gray As each echo is received it is arranged along a line within the ultrasound image display The location along the line that is displayed is related to the depth at which the echo occurs 2D Mode is the system s basic mode It can be combined with various other modes Voluson SW...

Page 96: ...he depth of the echoes or objects displayed in the ultrasound image on sent or printed images Three depth scale markers are available Large marker represents 5cm in depth Medium marker represents 1cm in depth Small marker represents 5mm in depth Focal Zone marker Screen reference 3 A triangular marker next to the depth scale marks the middle of a focal zone of the ultrasound probe The Foc Zones co...

Page 97: ...ntrast Gray map number P6 E4 FF2 E4 Persistence Edge enhancement Frame Filter Edge enhancement S PRI 4 0 Display of Sensitivity and Pulsed Repetition Index in B Flow and Contrast Mode SRI II 3 CRI 3 Compound Resolution Imaging Filter Speckle Reduction Imaging Filter Table 6 1 Image info TGC curve Screen reference 6 The time gain compensation curve TGC located to the right of the image display grap...

Page 98: ... Connect a probe to the system 3 Select the probe and a preset 4 The Main 2D menu appears 5 Perform the scan 6 Press Freeze Hint To change 2D Gain rotate the 2D button or use on screen gestures To change the Frequency use the touch panel Info Also see Button description on page 3 5 Note The availability of some functions or features depends on the probe and ultrasound system used 2D Mode 6 4 Volus...

Page 99: ...al zones or moves the focus zone s so that you can tighten up the beam for a specific area Dyn Contr Dynamic Contrast controls how echo intensities are converted to shades of gray thereby increasing the adjustable range of contrast Har Frq Adjusts the Harmonic Frequencies Cine Select the desired Cine Gray Map The Gray Map determines the displayed brightness of an echo in relationship to its amplit...

Page 100: ...tail in the image Likewise too much filtering of speckle can mask or obscure desired image detail Extra care must be taken to select the optimal SRI level SRI is available in B Mode imaging and may be used with any transducer or clinical application when image speckle appears to interfere with the desired image detail Cine Menu Info Also see Cine Mode on page 7 12 6 2 2 Color Flow Mode Color Flow ...

Page 101: ...tton description on page 3 5 Color Mode Menu 2D 2D CFM Displays 2D and color image side by side Steer Flip Touch Steer Flip to flip the PW cursor position round the vertical axis The steering angle value changes from plus to minus and vice versa XL Changes the monitor from standard mode to wide mode Threshold This function is only available in Read Mode It eliminates small color noise or motion ar...

Page 102: ...cale Adjust PRF button to activate Scale Scale enables the manual adjustment of the PRF by adjusting the PRF button Max angle Double tap Angle or use on screen gestures to display maximum probe angle Quality The higher the color resolution the lower the frame rate Available settings high norm and low Cine Select the desired Cine Flow Profiles Select between 3 different buttons UtA UmA and MCA Only...

Page 103: ...ipe up to select PD Power Doppler Mode a sub mode of Color imaging 3 The Main PD menu appears 4 Press Freeze Using HD Flow 1 Touch 2D on the user interface to start B Mode 2 Touch C on the user interface and swipe up to select HD Flow a sub mode of Color imaging 2D Mode Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 6 9 ...

Page 104: ...ise that is low in velocity but high in intensity Use a wall filter that is high enough to remove motion artifacts but that is sensitive enough to display low velocity flows in small vessels Available settings low1 low2 mid1 mid2 high1 high2 and max Balance Balance establishes the amount of color displayed over bright echoes and helps confine color within the vessel walls Raising this balance disp...

Page 105: ...est 5 Press 2D M run right or left trackball button 6 Press Freeze Hint To change M Gain rotate the 2D button To change the Frequency use the touch panel Info Also see Button description on page 3 5 For the option AMM Anatomical M Mode please see Anatomical M Mode AMM on page 6 12 Note The availability of some functions or features depends on the probe and ultrasound system used M Mode Main Menu D...

Page 106: ...te the cursor accordingly 7 Press the small trackball buttons to select the different cursor lines AMM1 or AMM2 8 Press Freeze AMM Main and Sub Menu General M Mode buttons are described in M Mode on page 6 11 AMM rot AMM rotation Note The AMM angle is determined by the virtual MM cursor line and the AMM cursor line At 0 both lines have the same position The maximum rotation is 180 The max CW CCW r...

Page 107: ...ession of the image is produced SRI Speckle Reduction Imaging SRI is an adaptive algorithm to reduce the unwanted effects of speckle in the ultrasound image Image speckle usually appears as a grainy texture in otherwise uniform areas of tissue Its appearance is related to image system characteristics rather than tissue characteristics so that changes in system settings such as probe type frequency...

Page 108: ...u appears Hint To change PW Gain rotate the 2D button only in run mode Info Also see B Mode on page 6 4 and Button description on page 3 5 PW Menu Display Format Select the desired display format RT Trace Real Time Trace on off Angle Angle correction The blood flow velocity calculation based on the incident angle of the ultrasound onto the axis of the vessel can be determined this way Cine Select ...

Page 109: ...surable velocity causing the displayed flow within the vessel to portray flow in the wrong direction The disadvantage of using a higher PRF is a loss of sensitivity to low flow velocities Flow Presets select between 3 different buttons UtA UmA and MCA Only one button can be active at the same time With pressing the button again it will be deactivated Use Flow Presets for optimizing vessel flow rep...

Page 110: ... based on the incident angle of the ultrasound onto the axis of the vessel can be determined this way Baseline Baseline can be used to prevent aliasing in one flow direction similar to the PW Doppler baseline shift Shifting the baseline enlarges the velocity range in one direction The zero line of the color bar is also shifted WMF The Wall motion filter eliminates vessel wall motion noise that is ...

Page 111: ... scanning 6 3 2 Extended View XTD View XTD View provides the ability to construct and view a static 2D image which is wider than the field of view of a given transducer This feature allows for viewing and measurement of anatomy that is larger than a regular screen XTD View constructs an extended image from individual image frames as the operator slides the transducer along the surface of the skin ...

Page 112: ...speckle appears to interfere with the desired image detail Frqu Frequency Virtual Convex Turn Virtual Convex on Dyn Contr Dynamic Contrast controls how echo intensities are converted to shades of gray thereby increasing the adjustable range of contrast Foc Zones Focal Zones increases the number of focal zones or moves the focal zone s so that you can tighten up the beam for a specific area Cine Se...

Page 113: ...thers can change the appearance of the speckle Too much speckle can impair image quality and make it difficult to see the desired detail in the image Likewise too much filtering of speckle can mask or obscure desired image detail Extra care must be taken to select the optimal SRI level SRI is available in B Mode imaging and may be used with any transducer or clinical application when image speckle...

Page 114: ...orithm to reduce the unwanted effects of speckle in the ultrasound image Image speckle usually appears as a grainy texture in otherwise uniform areas of tissue Its appearance is related to image system characteristics rather than tissue characteristics so that changes in system settings such as probe type frequency depth and others can change the appearance of the speckle Too much speckle can impa...

Page 115: ...t the desired Cine Elasto Map Displays the elasto map selections on the screen Window Length Wnd Len Window length Range 8 25 step size 1 Window Step Wnd Step Window step Range 1 max max 0 8 current Window Length Step size 1 Frame Reject Frm Reject Frame Reject Range 0 255 step size 5 Default 40 Pixel Reject Pxl Reject Pixel Reject Range 0 255 Step size 5 Default 30 Quality Curve On Off switch to ...

Page 116: ...This page was intentionally left blank 2D Mode 6 22 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 117: ...Chapter 7 Image management TGC Slider Controls 7 2 Scan Assistant 7 2 Image Annotation 7 6 Cine Mode 7 12 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 7 1 ...

Page 118: ...urements measurement results are displayed 2 Fetal Anatomy OB Findings GYN fetal anatomy items findings are displayed 3 Description is displayed when a measurement is required for an active item is displayed when the active list contains optional items is displayed when a fetal anatomy item OB finding GYN is required for the active item Also the description text which was can be entered in the des...

Page 119: ...creen showing all not examined categories and items Scan Assistant Menu If an exam in the Scan Assistant list is active it is possible to swipe the Scan Assistant menu Note When an exam is reloaded from the archive no Scan Assistant screen is displayed Figure 7 1 Scan Assistant When a new item is selected confirmed which includes a mode change or a wrong probe connected the system displays a messa...

Page 120: ... labeled accordingly If the filter button is on only items which match the depending image are displayed otherwise all items are displayed It is also possible to switch the Image Analysis plane detection on and off Scan Assistant Measurement Menu As soon as the measurement is started the measurement menu displaying the item name progress bar and description appears on the screen All required measu...

Page 121: ...et marked as found Not found criteria is marked as not found Items All Image Recognition linked with items have a badge Checked item Unchecked item Checked optional item Unchecked optional item Image management Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 7 5 ...

Page 122: ...stetrics Gynecology can be selected Two indendent text layers A and B are available to annotate the ultrasound image The Text layers are not dependent on display format and or scanning modes Figure 7 2 Text Annotation Screen Menu Entering Annotation Mode 1 Annotation mode is activated on the screen 2 The last used cursor position can be remembered to be used again when annotation mode is re entere...

Page 123: ...esent Use the Exit hardkey Annotation controls other functionality New exam When a new exam is started all text annotations are deleted on Layer A and B Unfreeze When an image is unfrozen all text annotations are deleted on the active Layer A or B This depends on the configuration in the system setup 7 3 2 Text Text can be entered in two ways 1 Free text typing using virtual keyboard The virtual k...

Page 124: ...will be selected In fixed mode the text cursor can be positioned over a word of an existing comment and the word can be modified without pressing Set 1 A virtual keyboard will appear on screen when the desired text is seleted and flashing There are several ways to grab a text for editing 1 1 Grab Word hardkey Upper trackball key If Grab Word is pressed then the word nearest to the text cursor is s...

Page 125: ... fixed group yellow font the font color turns to green and the group can be activated for editing positioning with Set or by typing a character on the virtual keyboard Group Move Word Wrapping If no blank is entered automatically Group move is activated If the group position reaches the left border no text entry is possible If a blank is entered automatically Word Wrapping is activated and the nex...

Page 126: ...dicator with the trackball 4 Rotate the indicator if wanted with the rotary encoder 5 Store the indicator with the Set key right or left trackball button The indicator turns white 6 To set a new indicator repeat steps 1 5 When the trackball is moved the next indicator appears 7 To delete an indicator press Delete Last to delete the last fixed pointer or Delete All or Clear to delete all fixed indi...

Page 127: ...icates the scan position This line can be positioned freely on the bodymark symbol Press Bodymark to open the bodymark menu and select the desired bodymark A default bodymark is displayed automatically when Bodymark is activated Figure 7 4 Bodymark Menu sample Controls Folders Switch between available exam application tabs The selected exam application opens the default bodymark menu If no exam is...

Page 128: ...ce The annotations cursor never appears on the saved printed images Annotation mode remains active after an image is printed or saved to disk Risk Mitigations Annotations are always maintained correctly also on all exported image types 7 4 Cine Mode While scanning a certain number of frames 2D images of the last examination sequence this will be stored in the cine memory automatically This is indi...

Page 129: ... 2D Auto Cine on page 7 14 Note The number of stored images depends on the number of scan lines scan depth and magnification In freeze mode the length of the sequence is indicated on the status bar Display Cine xxx Starting the Cine mode erases measuring marks and measuring displays The Cine Function operation and storage is identical in 2D mode and CFM mode 7 4 1 Image Marker When in freeze mode ...

Page 130: ...display mode Using the Format keys you can change to the next part of frozen 2D image sequence to play back the cine memory Note In Dual image mode 2D cine each image takes half of the memory as in Single mode In Quad image mode 2D cine each image takes only one quarter of the memory The Cine Split function multiple format is also possible with 2D Auto Cine Cine Mode on page 7 12 7 4 5 2D Auto Cin...

Page 131: ...is simultaneously displayed on the screen 4 Select the final image of the sequence The image is displayed on the screen 5 Select the review speed 100 corresponds to the recorded speed real time 6 Select the Cine Mode review direction Image management Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 7 15 ...

Page 132: ...This page was intentionally left blank Image management 7 16 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 133: ...r scanning a tissue volume and subsequent analysis of sections of the volume in 3 dimensions The liberal selection of sections within the volume and the simultaneous real time 4D display of three orthogonal planes and a rendered 3D image represents a new dimension for e g the diagnosis of fetal abnormalities The Volume Mode provides access to sections unachievable by the 2D scan technique A parall...

Page 134: ...icator gives information about the position of the B image during the 3D volume scan The sweep time varies and depends on the VOL Box size depth range angle and the quality The probe must be held steady and in place during the 3D volume scan The real time display of the swept B frames allows continual observation of the scan quality During the real time 4D scan it is not necessary to hold the prob...

Page 135: ...on of intersection lines on the screen Section field A B C Intersection line AB V V P V Vertical Intersection line AC H P H H Horizontal Intersection line BC P H V P Perpendicular By this definition the relation of the position of the 3 images A B C is also indicated as made clear by the direction of arrows The presentation of 3 orthogonal sectional planes may lead to non conformance with the conv...

Page 136: ...ng a 3D rotate menu the corresponding axis is shown in the reference image as a line X or Y axis or as a circle Z axis Rotations around any one of the axes X Y and Z can be performed freely Hint Short touch to rotate slightly Double tap controller to reset Rotation should be performed slowly to understand the orientation Do not rotate by large angles except when the orientation left right or up do...

Page 137: ...the volume body relative to the display plane The translation allows a displacement of the center of rotation along the intersection lines of the sectional planes A B and C The displacement of the center of rotation leads to the display of parallel sectional images To perform parellel slicing of images use the Parallel shift touch button 3D and 4D Mode Voluson SWIFT Voluson SWIFT Instructions For ...

Page 138: ...placement of those planes presented by the non reference images The intersection line of the non reference images with the reference image will undergo a parallel X or Y shift accordingly Note Positioning the center of rotation in the reference image marks that point which will not get lost during the rotation It is recommended to use the Parellel shift touch buttontogether with the reference sele...

Page 139: ...m Mode note that the interesting objects vessels cysts should be surrounded by hyper echoic structures Avoid dark areas shadows caused by attenuation dark tissue presentation within the ROI otherwise large parts of 3D images will be displayed dark Maximum Mode avoid bright artefact echoes within the ROI otherwise these artefacts are displayed in the 3D images X Ray Mode note that all gray values w...

Page 140: ...btained Table 8 3 Init condition of an abdominal probe If the VOL start image is a longitudinal section Cr on the left of the screen below the following Init positions are obtained Table 8 4 Init condition of a small parts probe 3D and 4D Mode 8 8 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 141: ...ay The 3D 4D Mode screen display consists of the ultrasound image the Volume Box the VolAngle Indicator the Render Box the x y and z axis the axis center point a Ref Image Icon the Scale Marker Image info and the Light position Icon Figure 8 2 Pre Mode screen display Figure 8 3 Scan Freeze Mode screen display Render 3D and 4D Mode Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revisi...

Page 142: ...adjusted with the render box The render box determines the size of the volume to be rendered Therefore objects that are not inside the box will not be included in the render process and cut out important for the surface mode to cut off objects which obstruct the view of the object The positioning of the box inside the scanned volume is performed by the trackball and selection of a sectional plane ...

Page 143: ...d user program Controls TGC Opens the TGC slider Init Sets all transitions and rotations back to the initial acquisition mode Acoustic Output Adjusts the Acoustic Output Vol Angle Adjusts the Volume Angle Quality This control improves the resolution by reducing the frame rate Respectively it reduces the resolution by increasing the images frame rate 3D CRI Selection of the 3D CRI function independ...

Page 144: ...sound Imaging on page 8 21 OmniView on page 8 18 8 6 3 VCI A Note VCI Volume Contrast Imaging is an option By setting a small volume sweep angle you scan a limited number of slices with a relatively high volume rate The render box is very narrow and so you can visualize the tissue information of a thick slice A mixture of surface texture and transparent maximum or X ray rendering modes 70 30 plus ...

Page 145: ...weep 8 VCI Image Thick Slice rendered Image 8 6 4 VCI OmniView With help of OmniView sectional planes derived from an entered trace can be visualized and so special coronal planes are possible The trace can be entered in the Vol Pre image or if a volume data set is present on image A B or C The trace can be a straight line a curved line or any freeform trace Together with the VCI function images w...

Page 146: ...the center image dotted line VCI slice thickness 3 Calculated result OmniView image including VCI rendering if on 4 Render direction 5 Screen display 6 Ref Image 7 OmniView image 8 7 Volume Visualization Modes 8 7 1 Render Possible Acquisition Modes 4D Real Time 3D Static 3D and 4D Mode 8 14 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 147: ...dimmed Zooming doesn t cut off parts of the image 3D Contr Adjusts the contrast 3D Brightn Adjusts the brightness Mix Adjusts value between the two selected render modes and gray threshold low of 3D images Gray thresh Displays the Gray Threshold and adjusts the value SonoRenderlive Selects SonoRenderlive and adjusts value of the sensitivity Quality This control improves the resolution by reducing ...

Page 148: ...r modes For more information see Render Modes on page 8 27 Gray Tansparency Adjusts the gray transparency Ref Image Ref Image is able to be selected with the left trackball key All image dependent functions like parallel shifts rotations etc are applied to the selected reference image Volume Cine Menu For more information see Cine Mode on page 7 12 8 7 1 1 SonoRenderlive Sono RL SonoRenderlive hel...

Page 149: ... activate Curved Render Start and move the trackball to modify the line 8 7 2 Multiplanar Possible Acquisition Modes 4D Real Time 3D Static Figure 8 10 Multiplanar Render Opens Render Mode Multiplanar Opens Multiplanar Mode TUI Opens TUI Mode OmniView Opens OmniView Mode Multiplanar Menu Controls Render Preset Selects the desired render preset 3D Contr Adjusts the 3D Contrast 3D Brightn Adjusts th...

Page 150: ...Probe Orientation Opens the Probe Orientation menu Background Adjusts the Background Info 2D Param Displays extended image information on the top right corner Orientation Help Shows the planes orientation in the volume VCI Render Mode 1 basic VCI Render Mode 2 mix Select the desired Render Modes For more information see Render Modes on page 8 27 Gray Transparency Adjusts the gray transparency Ref ...

Page 151: ...form line Polyline freeform line from point to point VCI Thickness Select the desired thickness mm FPS Opt On off selection Quality This control improves the resolution by reducing the frame rate Respectively it reduces the resolution by increasing the image frame rate Vol Angle Adjust the Volume Angle 3D and 4D Mode Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 8 19 ...

Page 152: ...rm line from point to point Ref Plane A Ref Plane B Ref Plane C Selection of Ref Plane Calc Cine Displays the Cine Calculations menu Init All existing lines are deleted and a new line entry is started 3D Contr Adjust the contrast 3D Brightn Adjust the brightness Mix Render mix mode combine the two selected render modes and Gray Threshold low for 3D images Gray thresh Displays the Gray Threshold 3D...

Page 153: ...an OmniView line 8 Adjust the line position and or rotation 9 Optional change settings 10 Press Start on the trackball or Freeze on the user interface Volume Cine Menu For more information see Volume Cine on page 8 34 8 7 4 TUI Tomographic Ultrasound Imaging Note TUI is an option TUI is a new Visualization mode for 3D and 4D data sets The data is presented as slices through the data set which are ...

Page 154: ... TUI from 4D Render Opens Render Mode Multiplanar Opens Multiplanar Mode TUI Opens TUI Mode OmniView Opens OmniView Mode 3D and 4D Mode 8 22 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 155: ...he center line Change the amount of slices on the left and right of the center line Slice Number Select the desired Slice number Distance Between Slices Displays the distance Gray Tint Maps Select the desired Gray Tint Map Probe Orientation Open the Probe Orientation menu Info 2D Param Display extended image information in the top right corner VCI Render Mode 1 basic VCI Render Mode 2 mix Select t...

Page 156: ...ct the desired slice thickness XL Changes to wide format TGC Opens the TGC menu Quality This control improves the resolution by reducing the frame rate Respectively it reduces the resolution by increasing the image frame rate AO Adjusts the Acoustic Output 3D and 4D Mode 8 24 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 157: ...hreshold low for 3D images Gray thresh Displays the Gray Threshold Tint VCI Select the desired Tint Map Info 2D Param Display extended image information in the top right corner VCI Render Mode Select the desired Render Mode Transp Adjust the transparency Using VCI A 1 Press 2D on the user interface to start B Mode 2 Select the VCI A quick key on the left user interface or press 4D on the user inte...

Page 158: ... A VolPre Menu appears 6 Change the settings as desired 7 Press Start on the trackball or Freeze on the user interface 3D and 4D Mode 8 26 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 159: ...ulation in real time rendered pictures After an operation step the result is rendered with a lower resolution in order to speed up the interactive feedback and when no further operation takes place the result is rendered in high resolution HDlive Note HDlive is an option Most current surface reconstructions use an illumination frontal to the rendered object This can cause the image to look flat HD...

Page 160: ...in a smoothed texture mode The gray values of the surface are identical with the gray values of the original scan Light A surface will be displayed in light mode Structures close to the viewer are displayed bright structures more distant from the viewer are shaded The surface to be displayed has to be surrounded by hypo echoic structures e g liquids Gradient Light The surface will be displayed as ...

Page 161: ...t Surface Smooth x x x x x Surface Texture x x x x x x Max x x x Min x x x X Ray x x x Table 8 8 Gray render mixed modes 8 8 2 MagiCut This software has the ability to electronically edit the images and makes it possible to cut away structures obstructing the view onto the ROI MagiCut Menu Figure 8 18 MagiCut Menu 3D and 4D Mode Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision...

Page 162: ...ox Inside or Box Outside 2 Use the rotation controls to rotate the rendered 3D image to a position where 3D artifacts or undesired information can be cut 3 Position the left upper point with the trackball and press Set 4 Move the point with the trackball in a diagonal fashion to create a box The red trace of the box is displayed immediately 5 Enter the box by pressing Set Cut Defined Depth Off pro...

Page 163: ... amount of rotation of the whole cine sequence Step Angle Defines the amount of rotation between adjoining 3D images Axis Defines the axis the image is rotated around to create the cine sequence Calculate Start the calculation of the cine sequence 1 Select a Rotation Angle to adjust the Start Image angle and End Image angle 2 Select the Step Angle 3 Select X or Y Axis 4 Select the Calculate button...

Page 164: ...ning 3D images Calculate Start the calculation of the cine sequence 1 Select the Step Size 2 Select the Calculate button 3D Slice Cine 2D images are moved in a translational movement through a volume 3D and 4D Mode 8 32 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 165: ...d in the cine memory After the calculation is finished the cine sequence is displayed on the screen Pressing the Break Cine calculation button stops the cine calculation The images that have been calculated before the calculation has been stopped are displayed as a sequence Cine replay menu Replay mode Replay the sequence from start to end Replay the sequence from start to end and backwards Start ...

Page 166: ...res may be smeared out For diagnostic purposes the Region of Interest must be checked without filters A smoothed image might lead to false diagnosis Activate SRI and change the level of smoothing in the sectional planes using the keys Use of SRI is indicated in the info block 8 8 5 Volume Cine The 4D VolCine function allows the user to save and work with the acquired Volumes Depending on the memor...

Page 167: ...displayed on the monitor indicating that the displayed heart rate is only an estimation Do not diagnose based on this value 8 8 6 VolumeAnalysis 8 8 6 1 VOCAL II Note VOCAL II is an option Note Read Operation safety on page 2 13 before using this feature VOCAL Imaging program opens up completely new possibilities in cancer diagnosis therapy planning and follow up therapy control It offers differen...

Page 168: ...d as voxels and the geometric information of surfaces in a 3D data set The main interest of VOCAL is the volume calculation of tumors or lesions Volume Analysis Menu VOCAL Figure 8 23 Volume Analysis Menu VOCAL Manual Trace This function allows you to manually outline any lesion by means of the trackball Alternatively trace the object on the touch panel with your finger The number of manually gene...

Page 169: ...ation Note Guidance and precautions for using VOCAL Contour Finder The accuracy of the VOCAL volume calculation is dependent on the accuracy of every single VOCAL boundary The resulting VOCAL trace must be reviewed and checked by comparing the actual US image on the monitor to the boundaries displayed in each rotation slice Only the US image on the monitor may be used for diagnostic purposes The U...

Page 170: ... in an organ eg ovary and analyzes their shape and volume From the calculated volume of the object an average diameter will be calculated All objects detected that way will be listed according to size The calculation results are displayed in the right monitor area The objects are listed according to size All different objects are color coded i e the color surrounding the number of the object also ...

Page 171: ...ing the corners the rotary control It is embedded in a rectangular box Follicle Measurement Method Select one of the following methods manual Each follicle has to be selected and measured manually semi auto Each follicle is selected manually with the system cursor but traced measured automatically auto The follicles are detected automatically Start SonoAVC Select Left Ovary or Right Ovary to start...

Page 172: ...position Display None No visible segmentation Contour Segmentation are shown with a contour line Filled Segmentation are filled with color Number Hide or show numbering next to the segmentations according to the index Using SonoAVC follicle Follicle Measurement Method manual 1 Scan and freeze or reload a follicle volume data set 2 Switch sect plane A to full size if not present 3 Adjust the sect p...

Page 173: ... 8 2 6 Position end point of the short diameter with the Trackball and press Set 8 2 7 To start the next measurement move the Trackball and continue with step 1 9 Is the measurement finished no adjust the sect plane A with parallel shift to achieve the next wanted measurement slice position and continue with step 8 yes continue with next step 10 Select Add to Report to save the measurements to the...

Page 174: ...ally switch to 3D Static when SonoAVC antral is pressed Antral means antral follicle count SonoAVC antral2 0 enables to automatically detect and count antral follicles within a ROI box in a 3D volume data set Volume Analysis Menu SonoAVC antral2 0 Figure 8 28 Volume Analysis Menu SonoAVC antral2 0 ROI shape Select the desired ROI shape angular the box has the shape of a rectangle rounded the box h...

Page 175: ...sition Display None No visible segmentation Contour Segmentation are shown with a contour line Filled Segmentation are filled with color 2D Info Parameters Displays extended image information in the top right corner Show 3D Frame Toggle between on and off to show or hide the boarder of the rendered 3D image SonoAVC Opens SonoAVC Mode SonoCNS Opens SonoCNS Mode VOCAL Opens VOCAL Mode Uterine Trace ...

Page 176: ...ce versa The color of the object is bound to its group position on the list By pressing Number the display mode can be changed from standard Fig 1 all defined groups are listed to extended Fig 2 all detected follicles within a group are listed Using SonoAVC antral2 0 1 Scan and freeze or reload a follicle volume data set 2 Touch Volume Analysis and select SonoAVC antral2 0 3 Adjust the ROI shape i...

Page 177: ...t the desired plane TC TT or TV Start Measurements Press Start Measurements to start the SonoCNS measurements Edit Measurement Select the desired measurements CM BPD HC for editing Add to Report Press Add to Report to transfer the measurements to the worksheet Manual Alignment Select Manual Alignment to return to do a new manual alignment All measurements are cleared Init Select Init to return to ...

Page 178: ...and 3D pre mode Note Uterine Trace is only available for GYN probe applications Invoke from 3D pre mode 1 Select any preset with GYN application 2 Press 3D button on UI Volume Analysis and Uterine Trace on the touch screen 3 Follow the instructions of the user Guide 4 3D is automatically activated to display coronal plane based on line drawn Invoke from 3D mode 1 Press Volume Analysis and Uterine ...

Page 179: ...enus Gray 2D Menu Figure 8 31 Gray 2D Menu 1 Select Gray 2D to open the menu 2 Select Exit to return to the previous menu 3D and 4D Mode Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 8 47 ...

Page 180: ...Tint 2D or Tint VCI to open the menu 2 Select one of the tint maps by selecting the map button The activated tint map is highlighted green 3 Select Exit to return to the previous menu 3D and 4D Mode 8 48 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 181: ...sing the rotary encoder The value is set to 0 when the encoder switch is pressed Off Deactivates the current tint map Default Set the value back to its default value Start Default 60 Slope Default 30 1 Select Tint 3D in the 3D Sub Menu 2 Select one of the tint maps by selecting the map button The activated tint map is highlighted green 2 1 In HDlive Mode HUE and Saturation can be modified by turni...

Page 182: ...urned off by the user If the display is activated and the data set is saved the probe orientation settings are stored in the data set If the display is turned off however probe orientation settings are not stored Caution Ensure that the actual probe position corresponds to the probe orientation configuration Special accuracy is required in Acquisition Mode 4D Moving the probe can lead to errors in...

Page 183: ...rotation of the probe like Voluson SWIFT Voluson SWIFT Logo on 2D image Note The Orientation marks appear on the Rotation Axis in the A B and C Plane They change according to the rotation of the slices Following orientation markers are available A Anterior P Posterior L Left R Right Cr Cranial Ca Caudal There are also combinations thereof possible e g AL PRCa etc Note The orientation marks are vis...

Page 184: ...ects HDlive Surface object in run and frozen mode Using Edit Light 1 Press Edit Light 2 Position the light source with the trackball or on screen gestrues 3D and 4D Mode 8 52 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 185: ...Chapter 9 Archive Open Archive 9 2 Data Transfer 9 6 Source 9 12 Patient ID 9 16 Clipboard 9 20 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 9 1 ...

Page 186: ... clean and not scratched When the SSD has reached its maximum capacity a message will be displayed on the screen It is recommended to copy data stored on a USB every three years onto a new disc to avoid data loss 9 1 Open Archive No exam started To open the Archive touch the Menu button and then select the Archive button Exam started To open the Archive touch the Menu button and then select the Ar...

Page 187: ...ria Date Time Images Number Application within a drop down list Display data in alphabetically ascending descending order Trackball buttons Note Touch gesture Tap works same as Set key of the trackball Button Click Patient List Exam List Thumbnail Image Set left key right keyt 1x highlight patient show exam list show thumbnail images of the first exam highlight exam show thumbnail images of the ex...

Page 188: ...nt of what is selected Delete Deletes all the selected patient s exam s images s DICOM send Sends all the selected patient s exam s image s Tricefy Sends all the selected patient s exam s image s to Tricefy PatientControls Use as Current Starts an exam with the selected patient Edit Data Patient ID window opens with data of the selected patient Exam controls Edit Data Patient ID window opens with ...

Page 189: ...ocked icon in the first exam column If the B icon is pressed on top of the column the exams are sorted in the following sequence and vice versa if the button is toggled all backuped exams all backuped and locked exams all locked exams all other exams Deleting Patients Exams Images If patients exams or images are deleted warning messages appear in a popup window when locked exams are involved Patie...

Page 190: ...ressed Only if one image is selected this button is able to be pressed 9 2 Data Transfer The Data Transfer controls do not change when patients exams or images are selected Data Transfer controls Common controls Import Import dialog pops up Export Export dialog pops up Exports all selected patient exam s or image s Tricefy Sends all the selected patient s exam s or image s to Tricefy Print Prints ...

Page 191: ...n be added If no recipient is selected the Cc changes to To Subject Message Enter a message or edit the previously stored one Subject Message A default subject and message configured in the email system setup can be entered by clicking Default Clear deletes the subject and the message input field Sending data 1 Select the data to send The Email Send window appears 2 Select the sending criteria rec...

Page 192: ... format JPG MP4 and Volumes in VOL or RAW to USB an mapped Network drive To save all Patient Data and images use either compressed or uncompressed 4DV After selecting the exam s to be exported using the trackball and the right trackball key Set or touch gesture click the Export button If a 3D Volume image is selected the complete data set can be exported in Volume file format The stored Volume fil...

Page 193: ...re These settings are valid until to the next change and will always pop up in the epxort dialog Save in destination Save as type file type type attributes Size Quality Codec Anonymize Patient Clinic Data Date and Time Exporting data 1 Select the data for export and press Export The export window appears 2 Define the destination the filename and select other desired properties Save as type Create ...

Page 194: ...ow J e g J80 compression factor 80 AVIs using MPEG4 compression cannot be played on a Windows PC without the right codec installed Please download the DivX codec from www divx com and install it on your computer in order to view MPEG4 encoded AVIs Caution A lossy compression can reduce image quality which can lead to a false diagnosis 9 2 3 1 Anonymize function Following data can be made anonymous...

Page 195: ...ser can now select the patients and exams that he wants to import If an encrypted 4DV file is selected a password prompt appears The entering of a wrong password causes an error message Selecting the Import again and copying the data to the hard drive If files are missing corrupted and cannot be imported restored a warning appears Importing from a DICOM Server Query Retrieve Exams patients and ima...

Page 196: ...drive 9 3 2 Anonymize Archive This function allows to anonymize patients exams and or images in an own archive Figure 9 5 Anonymize Using Anonymize Archive 1 Press the upper trackball button Delete Anonymize 2 Select Anonymize A dialog appears If more than one patient is selected from the local archive for copy to the Anonymize Archive the dialog appears that often If more than one exam from diffe...

Page 197: ...ting exams It is possible to add the selected Patient Exam Image to an existing exam or create a new exam Generate Patient ID automatically If checked Generate Patient ID is grayed and a Patient ID prefix must be entered OK This button creates a new exam for the selected patient Clear All Clears all fields Cancel Cancels the procedure 9 3 3 DICOM Server The selection Source DICOM Server is availab...

Page 198: ...one patient is selected exams for these patients are available when switching between patients 8 It is possible to switch between Patients Exams and Exams only view The exams are listed in both views 9 Select one or more exams from the list 10 Press the Retrieve Images button 11 A dialog with a list of images that are retrieved and a status indication is displayed 12 The process of retrieving imag...

Page 199: ...SWIFT system is accepted It is not possible to request from a third system data to be sent to the Voluson SWIFT Voluson SWIFT The port is only open during retrieve During the retrieval the system is locked It is not possible to continue working while retrieving data from a remote server Note Not possible to use DICOM Storage Commit and Query Retrieve with the same DICOM Server It is usual to recei...

Page 200: ...he name can be BSN NHS or 2nd Patient ID First Last Middle Name DOB Age Gender Patient data input fields Following data can be entered ID number 2nd Patient ID First Last Middle Name Day of Birth DOB When the DOB is entered the age is calculated automatically Age When the age is entered the day of birth is cleared Gender Opens a window to enter the email address and phone number of the patient Ope...

Page 201: ...the performing referring physician sonographer or exam type comment Figure 9 10 Editing a list of Sonographer s contact data List Sonographcer Physician Exam type Exam comment New entry Opens a window to edit names or contents in a list Selects deselects all names or contents in a list Delects the selected names or contents Press Save to save the edited list or Cancel to leave the window Search Op...

Page 202: ...rring Performing Physician Password Only available if the Email send mode is Password protected zip archive MMS send mode normal anonymized default selection Only available when Use Email to MMS Service is enabled Send Email MMS Email MMS Only available when Use Email to MMS Service is enabled Send as only for Email JPG Size only for Email Cine SE ES only for email If checked a cine from start to ...

Page 203: ...All received Worklist entries are inserted into the Patient ID menu 5 Press Start Exam to close the Worklist dialog An exam is started with all received Worklist entries without showing in the Patient ID menu Searching for patients To search for single patients define the desired search criteria and press Search Close the Search Results by touching the Cancel button on the screen Close the Patient...

Page 204: ...Fetus A B C Switch between the fetuses 9 5 Clipboard The Clipboard displays stored US data of the current exam as preview images Pressing one of the P buttons stores active image information and displays a preview on the clipboard This implies that the respective button has been configured Images of other patients will not be saved onto clipboard If you reopen and continue an old exam then the ima...

Page 205: ...age Copy to the end of the clipboard saves an additional copy at the of the clipboard Copy after the reloaded Image saves an additional copy after the reloaded image Note Existing dataset information will not be lost independent of the setting Copy after the reloaded Image When a Volume Cine is saved as Singe Volume the Volume Cine will not be overwritten The saved Single Volume will be saved to t...

Page 206: ... the clipboard and press Delete to mark for deletion The deletion mark a red cross apprears across the image Note The image s will be deleted after ending the exam There will be no confirmation dialog 9 5 3 Saving Files to Archive In Standard Configuration the images and cines on the clipboard are automatically saved to Archive upon ending an exam 9 5 4 Image markers The thumbnails at the clipboar...

Page 207: ... and an older exam exists Compare The Compare function is used to show one image from an old exam on the screen together with a current image The Compare image can be resized and positioned freely drag and drop during live scanning It is shown on screen after it was selected from the exam history with the system cursor green frame and by pressing the trackball button Compare The Compare window is ...

Page 208: ...This page was intentionally left blank Archive 9 24 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 209: ...Chapter 10 Measurements and Calculations Measurement Menu 10 3 Generic Measurements 10 4 Calculations 10 13 Worksheet 10 21 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 10 1 ...

Page 210: ... same geometrical area zoom Dual format measurement is not possible in Motion Modes M CW PW 3D 4D Quad format XTD Accuracy of Measurements Caution The results achieved in various application specific modes i e SonoNT always depend on the accuracy of the procedure performed Any clinically relevant decisions based on ultrasound measurements need to be reconsidered and treated carefully The possible ...

Page 211: ...selected sub category Measurement Shows all available measurements depending on the selected measurement group Swipe up Swipe down Shows more Study and Measurements if available Clear Study Clears the group Opens all measurements corresponding to the Study Figure 10 2 Measurement Application Menu Measurements and Calculations Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 212: ...ing the Generic Measurement program Exit on the control Available measurements 2D Distance and Length Measurements 2D Area Measurements 2D Volume Measurements 2D Angle Measurements 3D Volume Measurements Generic M Mode Measurements Generic Doppler Mode Measurements All measurements and calculations are based upon the primitives frequency length and time The measuring points in pixel coordinates ar...

Page 213: ... the trackball and Set along the line 3 To finish the length measurement double press Set at the last point Length Trace This tool measures the length of a non straight line distance along a trace drawn with the measurement cursor The length is displayed with a dotted line start and end point are marked with a cross like in normal distance measurement To measure the length trace 1 Select Length Tr...

Page 214: ...C and the area A is calculated and displayed Area Point This tool measures the area inside a traced boundary The boundary is entered with single points with a linear interpolation in between The boundary is displayed with a dotted line To measure the area point 1 Select Area Point The measurement cursor appears 2 Position point after point to form linear lines that surround the area of measurement...

Page 215: ...xis D2 short axis VOL Volume is displayed Ellipse 1Dist To measure the volume of an ellipse with the help of a distance 1 Select Ellipse 1Dist The measurement cursor appears 2 Position the starting point with the trackball and fix it with Set 3 Position the second point with the trackball and fix it with Set An ellipse defined by these two points appears 4 Adjust the width of the ellipse if necess...

Page 216: ... measurement cursor appears 2 Enter the first line by defining starting and end point of it 3 Enter the second line by defining starting and end point of it The angle is measured 10 2 5 Generic Vessel Measurements Note To re adjust a previously set measure point press the upper trackball key Change before completing a measurement This will alternate the control from one cursor to the other This ap...

Page 217: ... 2 6 Generic M Mode Measurements 10 2 6 1 Generic Measurements in M Mode Note To re adjust a previously set measure point press the upper trackball key Change before completing a measurement This will alternate the control from one cursor to the other This applies to all measurements listed below Dist 2Point To measure the distance between two points on an M Mode image 1 Select Dist 2Point The mea...

Page 218: ... and adjusted heart rate cycles To measure it 1 Select HR The measurement cursor appears 2 Position the first point with the trackball and press Set A second measurement cursor appears It can only be moved horizontally 3 Position the second point with the trackball and fix it with Set to finish the measurement 10 2 6 2 Generic Vessel Measurement in M Mode IMT To measure the IMT 1 Select IMT The me...

Page 219: ...oppler envelope curve is performed with a continuous trace line or by setting points the Doppler measuring results according to the Auto Manual Trace setting are displayed after an Auto or Manual Trace measurement Setting will be ignored in Cardiac calculations measurement items e g BPD will be shown with or without the Author s Name Depending on the setting in the Measure Setup all previously set...

Page 220: ... 1 Select PS ED The measurement cursor appears 2 Move the cursor to the peak systolic velocity and press Set A second cursor appears 3 Position the second cursor at the end diastolic velocity and press Set RI Resistance Index To measure the RI 1 Select RI The measurement cursor appears 2 Move the cursor to the peak systolic velocity and press Set A second cursor appears 3 Move the second cursor to...

Page 221: ...t with the trackball and press Set A second measurement cursor appears It can only be moved horizontally 3 Position the second point with the trackball and fix it with Set to finish the measurement 10 3 Calculations The measurement packages allow measurements calculations in 2D 3D Mode M Mode and Doppler Mode using most commonly used measure items i e Fetal Biometry BPD HC AC FL These factory pres...

Page 222: ...LVOT Lt TEI Ductus ven Umbilical Vein Pulmonary Veins PR Interval TR Calculations 2D 3D Mode Prostate M Mode no factory presets Doppler Mode no factory presets Small Part Calculations 2D 3D Mode Small Parts Thyroid Testice Dor Pen A Vessel Breast Lesion 1 5 M Mode Vessel Dor Pen A Breast Vessel Doppler Mode Vessel Dor Pen A Breast Vessel Cardio Calculations 2D 3D Mode LV Simpson Single Bi Plane Vo...

Page 223: ...D Mode Left Right HIP Left Right Perical Artery M Mode Left Right Perical Artery Doppler Mode Left Right Perical Artery CEPH Calculations 2D 3D Mode Left Right ACA Anterior Cerebral Artery Left Right MCA Middle Cerebral Artery Left Right PCA Posterior Cerebral Artery Basilar Artery A Com A Anterior Common Artery Left Right P Com A Posterior Common Artery Left Right CCA Common Carotid Artery Left R...

Page 224: ...ment cursor appears 2 Select the fetal position Face Up or Face Down 3 Position and fix the first point P1 of the rectangular ROI 4 Position and enter the second point P2 of the rectangular ROI The NT border detection is performed If a valid result is found the borders are shown in red and the NT distance is displayed with two crosses 5 Only if the found measurement is correct according to the gui...

Page 225: ... not correct proceed with manual correction by pressing Change or moving the trackball cursor 5 Press Set to accept the result and to finish the measurement 10 3 1 4 Facial Angle Measurement Two facial angle measurements are available FMF Angle Frontomaxillary Facial Angle The FMF angle is measured between a line along the upper surface of the palate and the upper corner of the anterior aspect of ...

Page 226: ...sured angle are displayed Note To re adjust the start point press the upper trackball key Change Also if editing point is switched press Change key again This alternates the control from one cursor to the other Manual Angle Measurement 1 To measure the angle manually select the Manual item in the menu area A point appears on the screen 2 Set the first point on screen and then move the second point...

Page 227: ...s BPD Type of Measurement GA Gestational Age EDD Estimated Date of Delivery Note GA OOR means that the Gestational Age is Out Of Range no standard curve available for current input Note EDD Estimated Day of Delivery is only displayed if the selection of the field Show EDD calc on screen in the Measure Setup is checked There are 3 possibilities to display 2D Measurement results 1 Measurements and C...

Page 228: ...t of range SD SD Note Selection of the field Growth Dev Display in the Measure Setup is SD 3 Display of the growth percentile e g 71 9 e g Mean 50 Min Max 5 95 out of range 5 95 Note Selection of the field Growth Dev Display in the Measure Setup is Measurements and Calculations 10 20 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 229: ... measurement package and press Return Transferring a Worksheet Press Transfer Data to transfer the patient worksheet data to the selected destination Note If a Structured Report Server exists the data is transferred using DICOM Structured Reporting independent of whether there are other report servers network serial available Note The Transfer Data key can only be selected if a Service REPORT dest...

Page 230: ...splayed on the monitor by pressing the trackball button Set Adding an image from the Archive to the Worksheet 1 Select individual images by checking the icon next to an image or press Select all images and then press Add to Worksheet 10 4 1 Fetal Anatomy The content of the Fetal Anatomy Worksheet depends on the selected measure presets Select and adjust the settings as you prefer i e Head Neck Fac...

Page 231: ...TA models are available IETA Unenhanced ultrasound examination IETA Enhanced ultrasound examination Sonohysterography Figure 10 9 IETA Unenhanced ultrasound examination Figure 10 10 IETA Enhanced ultrasound examination Sonohysterography Select the desired items from the dropdown menus by clicking onto the arrow The selected items are added to the corresponding box A second click on a selected item...

Page 232: ...ual Chapter IOTA GE Healthcare is passing on this IOTA LR2 worksheet for your convenience based on published literature of one group but makes no representation of its effectiveness in your practice This calculation is not to be used as the primary driver in diagnostic decision making on the probability of malignancy It is secondary information for a physician to use based on recent literature Wor...

Page 233: ...conclusions regarding the clinical utility of the tool The IOTA Simple Rules model is stated in literature as described in the Advanced Reference Manual Note For details see Advanced Reference Manual Chapter IOTA GE Healthcare is passing on this IOTA Simple Rules worksheet for your convenience based on published literature of one group but makes no representation of its effectiveness in your pract...

Page 234: ...should not be used without an independent clinical evaluation and is not intended to be a screening test or to determine whether a patient should proceed to surgery Incorrect use of the IOTA Simple Rules model carries the risk of unnecessary testing surgery and or delayed diagnosis The result of the calculation is displayed as the IOTA Simple Rules risk result By pressing the blue info badge more ...

Page 235: ...tage I cancer stage II IV cancer or secondary metastatic cancer i e metastasis of non adnexal cancer to the ovary Caution Users of IOTA ADNEX should have specific experience on how to use the program and be familiar with the IOTA terminology Relevant information on the use of IOTA ADNEX is available at www iotagroup org The IOTA ADNEX model is stated in literature as described in the Advanced Refe...

Page 236: ...esponding range a message with the valid range is displayed 3 Press Calculate as soon as all items are filled Note It is possible to calculate the result without filling in the Serum CA 125 level A message appears asking whether to continue Yes or not No 4 The IOTA ADNEX result is displayed It consists of several parts showing the Baseline Risk Patient specific risk and Relative risk for several v...

Page 237: ... assessment tool when the IDEA Chronic Pain is opened closed A click onto the blue badge opens the IDEA info dialog displaying additional information The dialog is closed by pressing Close Reset resets all selections in the IDEA summary The second page of the IDEA Chronic Pain displays the IDEA measurements It is possible to edit or delete the values displayed An IDEA assessment touch panel based ...

Page 238: ... button to start the measurement A tap onto the desired findings button opens the corresponding dialog displaying additional information Reset resets all selections in the IDEA assessment tool Report opens the Worksheet with the IDEA page selected automatically Measurements and Calculations 10 30 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 239: ...Chapter 11 System Setup Home Menu 11 2 System setup 11 4 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 11 1 ...

Page 240: ...e the brightness of the illumination of the buttons Hardkey Beeper Change the Hardkey Beeper Volume of the system Softkey Beeper Change the Softkey Beeper Volume of the system 11 1 2 Guided Biopsy The Biopsy Kit button holds the name of the selected biopsy kit The name of the biopsy kit is also displayed on the Line Select button A popup window appears displaying all available biopsy kits of a pro...

Page 241: ... General Settings Authentication When On is selected the system is locked after a restart reboot and the System Lock screen appears With the System lock activated the system is configured as follows All scanning activities are stopped All hardkeys are disabled except the trackball left and right trackball buttons and the power knob The hardware is put into power save The screenlock is turned off b...

Page 242: ...o possibilities to enter the system again by typing in the correct password or by pressing the Emergency button to enter Emergency Mode In Emergency Mode full ultrasound functionality is available but no access to the system setup no access to the Archive search function and Worklist view are disabled in the patient archive Message dialogs appear in the restricted areas to inform about the restric...

Page 243: ... sub dialog appears in which date time and time zone can be adjusted Ok saves the changes and closes the window NTP Time Server Settings An On Off selection is available to choose Synchronize with NTP time server There are entry fields for the NTP server as well as for update intervals The Update now button synchronizes with the NTP server Time Format Select the desired time format Clinic Name Sel...

Page 244: ...ftkey Beeper off The acoustic signal for pressing a soft key is turned off Show MI in orange 1 0 The MI at the Info Header must be colored in orange if the MI is greater than 1 0 At reload no colored MI is displayed Limit MI to 1 0 in 3D 4D The MI is not higher than 1 0 if selected Display 2D Overlay Graphics Display 3D 4D Rotation Sliders TI Limitation On Off Selection for Activate TI Limitation ...

Page 245: ...e cleared A dialog appears OK Closes the dialog and remembers changes of image duration Changes are only activated if Save Exit is pressed in the system setup dialog Start Starts Presentation Mode with the configured image duration Cancel Closes the dialog and discards changes Preview window If a picture video is marked in the internal or external register it is shown in the associate preview wind...

Page 246: ...ters 0 9 or Select an already existing user Click Edit User to edit data Select an already existing user Click Delete User to delete the user Confirm with OK or press Cancel if you do not want to delete the user Click Group Management to open the following dialog Select a user group from the Group Name list to display the Permissions i e Archive Export System Setup of the group Click Add Group to ...

Page 247: ...Advanced Configuration to configure the settings in a more detailed way i e enable Two step authentication and further settings Insert User Name as Sonographer Check if you want to insert the user name as sonographer Display Logon Screen after Screensaver Check to display the login screen after the screensaver Activate Audit Trail Check if you want to log the audit trail data Show Disclaimer If ch...

Page 248: ...fine Position and Size of the overview window or turn it off completely Zoom Key While in Zoom Pre Mode select which Zoom Mode Pan Zoom or HD Zoom is activated automatically if the Zoom hardkey is pressed again Auto Select the auto key operation Choose among Auto TGC run Auto Optimize run frozen and Auto TGC run Auto Optimize frozen Auto TGC Brightness Select the brightness of the image area 10 10...

Page 249: ...e stored for each package when in image annotation mode Small List use popup window Popup window to display the small list of words stored within a text button Show Annotation Menu on screen Shows the Annotation Menu on the Screen Display Capitalize Letters When On is selected all the letters will be capitalized automatically Use timeout to switch Abc off Defines the timeout for annotation mode Af...

Page 250: ...xt key can be programmed with 2 or 3 text lines each containing up to 24 characters If only one small list word is entered the key becomes a Text key Small List A new small list word can be entered or an existing word can be edited Delete A selected highlighted word can be deleted Save All changes on pages 1 4 are saved to the library Return Go back to the main setup page without saving any change...

Page 251: ...ms Only last Column If Automatically List Patients is checked all available patients are displayed when the Current Patient Search or the Archive dialog is opened 2nd Patient ID Select On for Activate 2nd Patient ID if desired If On is selected the 2nd Patient ID is displayed at Report Structured Report Worksheet PID and on all exports and prints Delete PID Dropdown Delete List deletes all entries...

Page 252: ...fter the last item of the list If On is selected the Scan Assistant does not return to open unchecked items after the last item on the list Do not cycle back to open unchecked optional items after the last item of the list If On is selected the Scan Assistant does not return to open unchecked optional items after the last item on the list Enter key action Select the desired Enter key action None n...

Page 253: ...d selection Import additional to the existing configuration different items can be imported and added to the existing configuration 4 Press Import to start the importing process or Cancel to close the dialog without importing the selected file Item Configuration Select an item from the Scan Assistant list to configure its settings Figure 11 9 Scan Assistant Item Configuration Enter the desired App...

Page 254: ...the dialog without any changes Depending on the measurement Laterality can also be entered Fetal Anatomy OB All selected Fetal Anatomy items max 5 are displayed Press to add a Fetal Anatomy item A dialog appears Select the desired fetal anatomy item and click OK or Cancel to close the dialog without any changes Depending on the measurement Default can also be entered only available at OB Findings ...

Page 255: ...e patients are added to the internal archive Generate NLS keys Export the NLS setting of the ultrasound device ASI Install additional software from media including Internal HDD Network External USB Drives R Factory Note For further details and explanations refer to the Service Manual of the system 11 2 2 2 System Info Figure 11 10 System Info This tab gives information about the Software and Hardw...

Page 256: ...og by pressing the Cancel button on the screen 4 When the selected license file is valid the file on the USB drive will be replaced by a new file with the same name and the options from the device 5 Close the message box and pop up the Open File dialog again by pressing the OK button on the screen Installing a Demo or Permanent Key 1 Position the cursor inside the input field desired and press Set...

Page 257: ...he ability to undo encryption in the event that the Encryption Password and Recovery Key are lost The security and safety of the Encryption Password and Recovery Key is solely the user s responsibility Note Disk Encryption is an option and might not be available in all countries If the option is not set the tab Disk Encryption is not available in the System Setup Administrator Note A system withou...

Page 258: ...type the password of Set unlock password Create unlock keys If no password is entered this button is disabled Press Create unlock keys to create the USB and recovery keys The system does a password validation If the password does not match with the retype password an error message appears and the password needs to be retyped is too short an error message appears and a password with at least 8 char...

Page 259: ...ssword and retype password The password is not visible and requires a minimum of 8 characters or numbers Save password Press Save password to save the newly entered password If the password does not match with the retype password an error message appears and the password needs to be retyped If the password is too short an error message appears and a password with at least 8 characters has to be en...

Page 260: ... the option is set the tab Whitelisting is visible Whitelisting prevents the system from installing unwanted Software Before Whitelisting can be used the user has to define a password with at least 8 characters When Whitelisting is activated a printer can only be installed after the user confirms it with the Whitelisting password Figure 11 13 Activate Whitelisting left image deactivate Whitelistin...

Page 261: ...g Deactivate is disabled if Password is empty An error message is displayed if the wrong password was entered Activate Whitelisting Workflow 1 Enter Password and Verify Password 2 Press Activate to activate Whitelisting 3 Reboot the system to activate Whitelisting After the device is restarted and the user is installing a printer a message box appears 3 1 Enter your Whitelisting password 3 2 Press...

Page 262: ... list Print Queue Select a printer from the pull down menu and press Clean Print Queue to delete all jobs from the print queue of the selected printer Check Select All Printers and press Clean Print Queue to delete all jobs from all printers installed on the system Foot Switch Select the functionality of the Left Middle Right Foot Switch Choose between Update 2D Freeze P1 P2 P3 USB Settings Check ...

Page 263: ...ase contact your DICOM network administrator Station Name Enter the name of the hospital or institute Retry Count Number of retries to establish a successful DICOM connection Retry Count Seq Retry count for sequential mode only valid if Send sequ checkbox is checked for the selected destination If the end number of Retry Count Seq is reached and sending was not successful then the problem data set...

Page 264: ...list If more than one STORE STORE3D or ST COMMIT service is activated images are sent to all selected STORE or STORE3D destinations and committed with the corresponding ST COMMIT Storage Commit destinations Add Pressing the Add button opens the Device Setup dialog where it is possible to add DICOM destinations For more information see Adding a Service on page 11 26 Edit Selecting a destination fro...

Page 265: ...M network administrator IP Address Enter the host name or IP Address of the DICOM node Port Enter the port number of the DICOM node TLS Transport Layer Security TLS is cryptographic protocol designed to provide communications security over a computer network Settings and activation can be configured with the TLS button Press TLS a window appears which allows to adjust the settings Use TLS encrypte...

Page 266: ...e to this server at a time If one transfer fails all subsequent transfers are stopped until the failed transfer succeeds or is removed from the queue Use for servers that cannot handle multiple associations or do not sort the images by Image Number If Send sequ is not checked up to 5 data sets can be transferred at the same time This means that transfer is faster Images can arrive out of order in ...

Page 267: ...an exam is started or ended ST COMMIT Storage Commit Add a ST COMMIT Server These servers can then be selected in the drop down list of the STORE STORE3D and STR REPORT Service STR REPORT Structured Report With the DICOM Structured Report it is possible to send OB GYN Vascular and Cardio data Combine OB GYN If the checkbox is disabled the system sends the OB and GYN data into one file If disable t...

Page 268: ...k Send the patient report to a PC report station via DICOM network Serial Send the patient report to a PC report station that is connected by serial port The optional PRY USB RS232 Connection kit must be connected to the system When this Transfer Mode is selected different fields are available COM Port Flow control and Bits per second Note The bit rate Bits per second must be the same as on the re...

Page 269: ...gs as needed Network Adapter Configuration Before entering the Network Adapter Configuration a dialog appears asking whether to continue confirm with Yes or not confirm with No Note It is not recommended to change configurations without being familiar with this task Edit the Network Adapter Settings as needed WLAN Configuration Info The WLAN adjustments and hardware may differ in some countries Pl...

Page 270: ...ages appear if no software is preloaded on the SysDVD no WLAN adapter is connected or the WLAN adapter is defect Network Profiles Define and switch between different network settings for all your work environments to further improve Voluson SWIFT Voluson SWIFT s portability Figure 11 18 Network Profiles Standard is the default configuration Use Network Profiles During the Boot Process a window app...

Page 271: ...ettings Px Button configuration Start End Exam settings Hospital name Network Drive mapping System s AE title If the lower ComboBox is activated the user can select another available profile This Profile with all its settings is copied and stored under a user definable name Rename Rename a selected Profile Switch to Switch between the different profiles Delete Delete a selected profile OK Confirm ...

Page 272: ... If a volume is compressed using lossy wavelet compression a yellow sign Wxx xx compression factor e g W9 is added when reloading the image A lossy compression reduces image quality which can lead to a false diagnosis 11 2 3 3 Button Configuration Figure 11 20 Button Configuration The following buttons can be configured for performing specific functions P Start Exam End Exam Freeze 11 2 3 3 1 P bu...

Page 273: ...y available when Tricefy is activated Only then this option also occurs in the Detailed Setup Print Print data on Printer 1 3 The drop down list contains all available printers DICOM and other printers Detailed Setup 2D Save Automatic Saves data that is displayed on the screen Saves a single 2D image in Freeze Mode Saves Cine in Auto Cine Mode as defined in Auto Cine Menu Saves Cine according to t...

Page 274: ...rmal Windows Printer It is not available for the B W video printer Max Cine Length Select the desired Cine length settings for Save and Send A pull down menu is available but the length can also be adjusted with a direct input from the AN keyboard numbers 0 9 Cine Capturing in Run mode Select either Retrospective or Prospective as Cine Capturing Mode 11 2 3 3 2 Start Exam Overview Auto Start Acqui...

Page 275: ...ded to start a new patient Auto start Acquisition New Key If this radio button is on the system automatically starts a new acquisition with the Auto Start Acquisition settings when End Exam is pressed No Action If this radio button is on the system doesn t do any action concerning Start Exam procedure Send Clipboard Content to Destination 1 3 on End Exam Select to send the complete clipboard conte...

Page 276: ...older Name User and Password and choose whether to connect automatically 11 2 3 5 Tricefy Note Tricefy is an option Tricefy functionally is not available in all countries based on the regulatory clearance status in each country Any information about Tricefy or configuration options are only visible when the option is set Tricefy is a cloud based image viewer and a platform to archive collaborate a...

Page 277: ...ress to register and click Activate account If you want to deactivate an active account click Deactivate account 3 Depending on the account status different account information is displayed green badge containing the account info email address account name customer name and account status account activated blue badge information about a disconnected account orange badge connection to Tricefy faile...

Page 278: ...gs Auto Text Setup settings language date format screensaver on off etc Saving a Small Backup 1 Click Save and the Save window is displayed 2 Choose the medium and click Save 3 Select an already existing file or click on New File to create a new Backup 4 Click OK and saving procedure begins Click Cancel to exit without saving Loading a Small Backup 1 Click Load and the Load window is displayed 2 C...

Page 279: ...ings including the computer name Service platform state of the service platform VP additional system data All settings and patient data created since last full system configuration backup are NOT backed up It is highly recommended to create a full system configuration backup of settings and patient data regularly Saving the Full System Configuration 1 Click Save and the Save window is displayed 2 ...

Page 280: ...re data to a different system if and only if the software version on this system is the same as in the backup 5 The user is only allowed to restore data onto the same system if and only if the software version on this system is equal or higher than the version in the backup 6 The user is not allowed to restore the following items to a different system Windows Network Settings Options DICOM AE Titl...

Page 281: ...ent or an exam use the checkbox on the left side of the screen Use Select All or Deselect All below the information screen to select all exams or patients or deselect them Include Selected The selected patients will be saved Exclude Selected The selected patients will no be saved Note It is possible to use the Shift key on the keyboard to select more than one patient 4 4 After selecting the patien...

Page 282: ... reconnect to the network destination on startup Exporting data with a P Button If a P button is configured in the System Setup for export exporting data directly during the exam is possible Configuring a P button 1 Press Home button to enter the System Setup 2 Select Connectivity and then Button Configuration 3 Overview select Exporting images from the Archive To export images from the Archive 1 ...

Page 283: ...r right trackball button Paste If the selected position is used for a different preset a message window appears asking if you really want to overwrite the preset or folder Select No if you don t want to overwrite the preset or folder If you want to overwrite it you can either overwrite the complete preset or only settings relevant for scan geometry Rename Select a folder or preset button Press the...

Page 284: ...is option for 4DView Programming is done automatically when a dongle is connected to the system The Dongle is valid for following options HDlive V SRI HII Conditions defined for the programming process The dongle must be a valid 4DView dongle A common Service dongle cannot be used This programming possibility is only available if the option is active on the device Only 5 4DView dongles can be prog...

Page 285: ...ected parameter TA Mean TA Max for Volume Flow calculation Keep Result Window Keep Result Window on screen HR Cycles Default number of HR cycles for HR measurement Manual Trace Method Method used for Manual Trace caliper Show Author s Name at Measure Menu Display the name of the author of an OB table beneath the measurement in the measurement menu Auto Man Trace Calculate the selected parameters w...

Page 286: ...tails about the EDD Select Add 1 week to EDD and or Show EDD calc on screen Distance Units Select the desired parameters by checking them and define the desired distance units Unit Precision Average for the whole application Rename Users Define the desired user names Report 1 Select the tab Setup 2 Select an Application General Settings Patient Details and the desired number of Images in a row 3 E...

Page 287: ...eters which should be displayed Note If Save is pressed and no column is checked the system automatically checks the column V and a default message appears Graph Configures the two lines displayed in the graph Cut off Follicles Enter cut off values to configure the range of values that are displayed in the result list and graph Data Transfer Select the desired format Voluson Format Default DICOM S...

Page 288: ...ation Select the desired group Enter the group range values min max Select the group color configuration Save Saves all the changes Exit Press Exit to leave the menu Table 11 1 Contorls System Setup 11 50 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 289: ... Auxiliary Devices Safely 12 2 Peripherals and hardware 12 4 Connection between Internal I O and External I O 12 4 DVR USB 12 5 ECG Preamplifier 12 7 Battery Pack 12 10 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 12 1 ...

Page 290: ...ant devices protection class I may be connected with an additional safety measure IEC 60601 compliant devices may be connected as such For all situations 1 and 2 the additional device shall be installed outside the typical patient environment Possible additional safety measures are Additional protective earth connection between the 2 devices or a safety isolation mains transformer for the other de...

Page 291: ...a a AC Mains wall outlet instead of utilizing the isolation transformer There is an increased risk of electric shock due to increased leakage current when connecting devices not explicitly recognized by the system manufacturer GE ULTRASOUND KOREA LTD to the ultrasound system Only use cables delivered with the system or the accessories Only use equipment provided by the system manufacturer GE ULTRA...

Page 292: ...Microsoft Microsoft Surface Do not use a combination of UPS and EMI filer Note Be aware that accessory is not allowed to use other than specified purpose and guidance Digital Expert Digital Expert Remote Training Digital Expert is a purchasable option which enables remote training between users and the GE Clinical Applications team through scheduled and real time sessions Digital Expert is a self ...

Page 293: ...9 Earth Ground Protective earth ground connector 10 AC IN Main AC Power in 12 4 DVR USB Note The SW DVR is an option Note SW DVR has a limitation by using USB up to 4GB as a creating 1title During USB recording if the video size reaches the 4GB SW DVR will stop and start a new title This would be the normal behavior Please use the NFTS format of USB if the video size should be reachable up to 4GB ...

Page 294: ...tops playing and shows the US image on the screen Record Record Mode Volume Adjusts the volume in play mode Messages A progress bar and different messages can appear Possible messages are DVR recorder busy DVR finalizing title DVR formatting DVR preparing to record no space left on USB device DVR Icons Depending on the USB mode different icons can be displayed USB available USB PLAY mode USB PLAY ...

Page 295: ...is not intended for ECG diagnosis It must not be used for an intra operative procedure of the heart Monitor Not for use as a cardiac monitor Only the patient cable supplied by GE ULTRASOUND KOREA LTD and only recommended electrodes must be used Take care that neither bare parts of one of the three electrodes nor the patient comes into contact with conductive parts e g metal parts of the examinatio...

Page 296: ...g to the ECG preamplifier only electrodes for push button connection can be used Depending on requirements commercially available extremity clamp electrodes together with conductive gel or commercially available pre jelled adhesive electrodes can be used preferably the latter should be used With standard setting of the electrodes red right arm yellow left arm black left leg lead I is displayed Oth...

Page 297: ...to Cine 12 5 4 Safety Rules to be followed The ECG preamplifier is an integral part of the ultrasound scanner unit The system may only be operated in places that go conform with the rules for medically used locations The power cable of the ultrasound scanner system must not be connected to a damaged socket The socket must be equipped with a grounded conductor If necessary a potential equilibrium m...

Page 298: ...pairs must be performed by authorized service personnel only 12 6 Battery Pack With Battery Pack the system power is maintained by the battery when there is an AC power failure or the power cable is unplugged Also the one helps to maintain the system power when it needs to be moved to other place This can be used to reduce system startup time for portable exams Battery Mode When in Battery Power M...

Page 299: ...12 6 3 Battery message and alert When the system is running on battery power the following message display on the status area at the bottom Index Battery status Capacity Event Note 01 Capacity High 100 x 51 Green guage 02 Capacity Mid 50 Alert message duration 5 sec Yellow gauge Peripheral Devices Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 12 11 ...

Page 300: ...ycle count If cycle count reaches up to 250 cycles Battery will be expired Capacity 1 770mAh after 250 cycles 60 of the standard capacity RT Charge 1 5A 4 20V CCCV 150mA cut off RT Discharge 15A 2 5V cut off RT Assumption 1cycle day For example user uses function and discharge 1 cycle per day battery lifecycle is 250 days in workding day For example user uses battery function and discharge 0 5 cyc...

Page 301: ...o Power Mode or when program initialized 12 6 5 Recovering System In case of Battery Mode the system does not display a Battery Mode message any more when the system power is recovered 12 6 6 Refresh the battery To maintain the battery life it is recommended to refresh the battery every 6 months Refresh procedure Turn on the system Wait until the battery is fully charged It takes at least 1 hour t...

Page 302: ...This page was intentionally left blank Peripheral Devices 12 14 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 303: ...ats 13 6 Display Modes 13 6 Display Annotation 13 7 System Standard Features 13 10 System Options 13 11 System Parameters 13 11 Scanning Parameters 13 16 Generic Measurements and Measurements Calculations 13 23 External Inputs and Outputs 13 30 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 13 1 ...

Page 304: ...ied parts type CF acc to IEC EN60601 incl national deviations Ambient temperature 18ºC to 30ºC resp 64ºF to 86ºF operation temp of instrument 10ºC to 50ºC resp 14ºF to 122ºF storage and transport temp Barometric pressure 700 to 1060 hPa operation condition 700 to 1060 hPa storage and transport condition Humidity 30 to 80 RH no condensation operation condition 10 to 90 RH no condensation Voluson SW...

Page 305: ...SWIFT 18 5 inch 593mm 23 3 in Voluson SWIFT 21 5 inch 593mm 23 3 in Height Voluson SWIFT 18 5 inch Min 1050mm 41 3 in Max 1250mm 49 2 in Voluson SWIFT 21 5 inch Min 1080mm 42 5 in Max 1280mm 50 4 in Weight Voluson SWIFT 18 5 inch Basic system without accessories approx 56 kg 123 5Ib Max load approx 70 kg 154 3Ib Voluson SWIFT 21 5 inch Basic system without accessories approx 58 kg 127 9Ib Max load...

Page 306: ...is connected to an equipment receptacle marked Hospital Only or Hospital Grade 13 2 4 OPIO OPIO Height adjustable Voluson SWIFT 18 5 inch 830mm 1030mm Voluson SWIFT 21 5 inch 830mm 1030mm Rotation Adjustable 70 from center Hard key buttons Ergonomic layout Interactive back lightning Recording keys Integrated for remote control of up to 3 peripherals or DICOM devices one dedicated DVD recording key...

Page 307: ...m Dark Room Semi Dark Room light Room and Extra light Room 13 3 System overview Clinical applications Obstetrics Gynaecology Small parts Cardiology Abdominal Peripheral Vascular Transrectal Breast Pediatrics MSK Cephalic Scanning methods Electronic Sector Electronic Convex Electronic Linear Mechanic Volume Sweep Technical Data Information Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 10...

Page 308: ...PD B HD Flow TL Imaging B TL Top Bottom 3 format sizes 40 60 50 50 60 40 B TL Side Side 50 50 TL M PW CW M CFM 3D 4D Imaging Render quad A B C 3D dual A 3D single 3D Sect Planes quad A B C dual A B A C Ref Any Plane single Ref TUI 1x1 1x2 2x2 3x2 3x3 3x4 4x4 Segmentation quad A B C Segm Object single Segm Object Image Size Standard format 13 5 Display Modes Real time simultaneous capability in com...

Page 309: ...umber BSN NHS or free letter number Accession max 16 characters Hospital Name max 30 characters Sonographer Gestational age OB or LMP Gyn Birth date selectable Date 3 Types selectable MM DD YYYY DD MM YYYY YYYY MM DD Time 2 types selectable 24 hours 12 hours optional AM PM in front or back Probe Name Clinical Application Specific Preset Gray Scale bar Frame Rate Zoom Factor B Mode User program Rec...

Page 310: ... PRF Color Map Color Scale kHz cm s m s Power and Symmetrical Velocity Imaging Color Velocity Range Spectrum Inversion 3D 4D Mode 3D 4D Sub Program Threshold Quality Volume Box Angle Mix Acquisition Mode Compression Orientation Markers T U I slice distance 0 5 10mm T U I slice position in overview image SonoVCAD Acquisition Time STIC eSTIC only Heart rate STIC eSTIC only Elastography Mode Transpar...

Page 311: ...sue TIC Thermal Index Cranial Bone TIB Thermal Index Bone MI Mechanical Index Power output Biopsy Guide Line ECG Line Trackball function Trackball and Trackball buttons GE Logo Zoom overview image zoom box position Technical Data Information Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 13 9 ...

Page 312: ... Length HL Femur Length FL Ventricle VP Cisterna Magna CM Cerebellum Cereb Pan Zoom Steering Virtual Convex Max Angle Wide Sector Beta View Real time automatic Doppler calculations Patient information database Image Archive on hard drive 3D 4D data compression lossy lossless Measurement Calculation tools Including worksheets reports for OB GYN Vascular Cardio Abdominal Small Parts Transrectal Pedi...

Page 313: ...nese Simplified Chinese Polish Kazakh Indonesian Ukrainian Serbian Latvian Lithuanian Croatian Romanian Bulgarian Turkish Czech Slovakian Hungarian Greek Slovenian Estonian Brazilian Portuguese Euro Portuguese Up to 800 Programmable Annotations organized in 10 anatomical groups Free programmable Scan assistant lists including Add Delete Edit and Reorder of checklist items Save DICOM Send Print Che...

Page 314: ...including Add Delete Edit and Reorder of measure items including several parameters of Measurement Doppler Trace and Calculation presets Global Setup including several parameters of Measurement Cursor and Result window presets 13 9 4 Biopsy Setup User programmable needle guidelines Technical Data Information 13 12 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 315: ... Dynamic Range Acoustic Output Transmission Frequency PRF Wall Motion Filter Sample Volume Gate Length Depth Pos Velocity Scale Sweep Speed Color Flow Imaging Modes CFM PD HD Flow Gain Acoustic Output PRF Wall Motion Filter Line density Ensemble Dynamic Smooth Rise and Fall Frequency Balance Line Filter Quality Artifact Suppression Technical Data Information Voluson SWIFT Voluson SWIFT Instruction...

Page 316: ...aseline Gray Map 13 9 7 Image Processing and Presentation Digital Beamformer Max processing channels probe dependent Minimum Depth of Field 1 cm Zoom probe dependent Max Depth of Field System 36 cm probe dependent Transmission Focus 1 5 Focus Points selectable probe dependent Focal Zone position up to 7 steps Continuous Dynamic Receive Focus Continuous Dynamic Receive Aperture Gray 256 Colors 16 8...

Page 317: ...ssion rates are 50 with lossless compression 15 with lossy compression but maximum quality and 5 with lossy compression and reduced quality approximate values Review Review of current Exam and archived data sets Single Images and Cine Clips View Format Raw data DICOM data Display Formats 1x1 2x2 3x3 Reload Reload of current archived data sets 2D Raw Data incl Color Doppler Spectral Doppler and M M...

Page 318: ...rk mobile storage queue Query Retrieve 13 10 Scanning Parameters 13 10 1 B Mode Acc power range 1 100 Scan angle changed in 5 increments depends on used probe GAIN range 15 to 25 dB Frequency range 1 18 MHz depending on the probe 3 steps high mid low Frame rate 630 fps depending on the probe and application Gray scale values 8 bit 256 gray values SRI 5 steps 1 5 CRI 8 steps 1 8 CRI filter 3 steps ...

Page 319: ... Screen formats window arrangement 2D M and 2D AMM up down horizontal three different sub formats 40 60 50 50 60 40 left right vertical 50 50 2D AMM AMM left rt up rt down 50 25 25 13 10 3 M CFM Mode Acoustic MCFM Power 1 100 MCFM Color Maps 8 maps Frequency range 1 18 MHz depending on the probe 3 steps high mid low CFM Gain 15 dB range 0 1 dB steps CFM Velocity Scale Range PRF 100 Hz to 11 kHz Wa...

Page 320: ...ation max 256 frequencies 256 amplitude levels PW sweep speeds Simplex 26 44 13 22 8 81 6 61 4 40 2 94 cm s Duplex Triplex 8 81 6 61 4 40 2 94 cm s Review memory times 60 s 32MB Measurable flow velocities PW 1cm s 8m s a 0 2 0MHz max zero shift 1cm s 16m s a 60 2 0MHz max zero shift CW 1cm s 15 40m s a 0 2 0MHz max zero shift 1cm s 30 80m s a 60 2 0MHz max zero shift Signal processing Dynamic rang...

Page 321: ...es Wall Motion Filter 8 steps low1 low2 mid1 mid2 high1 high2 max1 max2 Smoothing Filter 12 steps rising time 12 steps falling time Gain control 15dB to 15dB 0 2dB steps Line Density color line density 10 steps Ensemble color shots per line CFM 7 to 31 MCFM 8 to 16 Flow Resolution 4 steps low mid1 mid2 high Pulse repetition frequency CFM 100 Hz to 20 5 kHz MCFM 100 Hz to 20 5 kHz Color Map 8 diffe...

Page 322: ...yes 13 10 7 HD Flow Mode HDF Screen formats 2D HDF single dual quad Display Modes Simultaneous dual mode 2D 2D HDF Triplex mode 2D HDF PW 2D M MHDF HD Flow Coding Steps 256 color steps HD Flow window size lateral maximal to minimal B mode scan angle axial B scan range Display mode H HD Flow Wall Motion Filter 8 steps low1 low2 mid1 mid2 high1 high2 max1 max2 Smoothing Filter 12 steps rising edge 1...

Page 323: ...n adjustable from 0 3 to a factor of 4 00 Acquisition Modes 3D Static 3D 2D incl CRI 4D Real Time 4D RT SingleView VCI OmniView Visualization Modes Render 3D Rendering diverse surface and intensity projection modes SonoRenderlive Sectional Planes Multiplanar OmniView actual and projected view Option Niche SingleView TUI Tomographic Ultrasound Imaging overview image parallel slices TUI Standard Vol...

Page 324: ...mic curves C1 C12 Accumulation Off 0 20 0 35 0 50 0 75 1 00 1 50 Infinite Background 0 1 2 Time delay 0 0 5 1 2 3 10 Screen formats Code PI Single B Dual B B Quad B B B B CIS Dual simultan 2D Coded PI CCIS Single B Dual B B Quad B B B B Display modes Coded PI Coded PI CIS Coded PI CCIS 13 10 10 Elastography Tx Frequency 3 penet norm resol Transparency 256 steps 0 1 2 255 Soft Compress Range 0 9 st...

Page 325: ...1 C12 Accumulation Off 0 20 0 35 0 50 0 75 1 00 1 50 Infinite Background 0 1 2 Frequency range 1 16 MHz depending on the probe 3steps high mid low 13 11 Generic Measurements and Measurements Calculations 13 11 1 Generic Measurements 2D Mode and 3D Distance Distance Point to Point Distance Line to Line 2D Trace Trace Length Point Stenosis Dist Ratio D1 D2 Area Circumferen ce Ellipse Trace Line Poin...

Page 326: ...l Biometry Early Gestation Fetal Long Bones Fetal Cranium AFI Uterus Left Right Ovary Left Right Uterine Umbilical Vein NT method auto manual Placenta Volume M Generic FHR FHR Atrial FHR Doppler Ductus Art Ductus Ven Ao Carotid MCA Celiac Artery Superior Mesenteric Artery Umbilical Art Umbilical Vein Uterine Art FHR Gestational Age Calculation Gestational Growth Calculation Fetal Weight FW Estimat...

Page 327: ...e all included in Summary Reports incl PSAD PPSA 1 PPSA 2 calculation Vascular Carotid CCA ECA ICA Bulb Vertebral Subclav Vessel UEA SUBC A AXILL A BRACH A RADIAL A ULNAR A GRAFT Palm A INNOM A UEV JUGUL INNOM V SUBC V AXILL CEPH BASIL BRACH MCUB RADIAL ULNAR LEA COM ILIAC A EXT ILIAC A INT ILIAC A COM FEM A DEEP FEM A SUP FEM A POPL A ANT TIB A POST TIB A PERON A DORS PED A GRAFT PROF A LEV IVC C...

Page 328: ... Merz Nicolaides OSAKA Persson Rempen Sabbagha Shinozuka Siriraj Tokyo Verburg CEREB Chitty Goldstein Hill Hobbins Nicolaides Verburg CLAV Yarkoni CRL ASUM DAYA Eik Nes Hadlock Hansmann JSUM McLennan Nelson Persson OSAKA Rempen Robinson Robinson_BMUS Sahota Shinozuka Tokyo Verburg FIB Jeanty FL ASUM CFEF Chitty Eik Nes Hadlock_82 Hadlock_84 Hansmann Hobbins Hohler Jeanty Johnsen JSUM Kurmanavicius...

Page 329: ...k Hansmann JSUM McLennan OSAKA Persson Pexsters Robinson Robinson1993 Shinozuka Tokyo MEDVEDEV DV a S JSUM DV PI Baschat JSUM DV PLI Baschat DV PVIV Baschat DV S a Baschat FIB Chitty Jeanty JFFSD Siriraj FL ASUM CFEF Chitty Eik Nes Hadlock Hansmann Jacot Guillarmod Jeanty Johnsen JSUM Kurmanavicius Lai_Yeo Lessoway Leung Persson Merz Nicolaides O Brien OSAKA Shinozuka Siriraj Stork Tokyo Verburg W...

Page 330: ...alinger TAD CFEF JACOT GUILLARMOD Merz TC Chitkara TCD Goldstein HILL JACOT GUILLARMOD Nicolaides Verburg TIB Chitty Jeanty JFFSD Merz Siriraj TTD Hansmann TV E A HARADA TVol Lee ULNA Chitty Jeanty JFFSD Merz Siriraj UmbArt PI Ebbing JSUM Merz UmbArt RI JSUM Merz Kurmanavicius UtArt PI Gomez Merz UtArtRI Merz Vermis A Malinger Vermis C Malinger Fetal Weight Estimation EFW AC Campbell AC BPD Hadloc...

Page 331: ...adlock JSUM 2001 Osaka Shinozuka Tokyo Fetal Weight Growth FWg Alexander Ananth Bourgogne Brenner CFEF Doubilet Eik Nes Hadlock Hansmann Hansmann 86 Hobbins Persutte Johnsen Jsum 2001 Kramer Persson Osaka Shinozuka Tokyo Williams Yarkoni Fetal Ratios CI BPD OFD Hadlock FL AC Hadlock FL BPD Hohler FL HC Hadlock HC AC Campbell Va Hem Nicolaides Hansmann Vp Hem Nicolaides LHR Peralta LTR CVR Perantea...

Page 332: ...B3 0 Gen1 Type C x 1 Monitor USB 3 0 x 2 USB 3 0 Gen1 Type C x1 Bottom side USB 2 0 x 1 Rear Panel Video out Refer to 12 3 2 1 Rear Panel Audio out Refer to 12 3 2 1 Rear Panel 13 12 2 Peripherals Remote BW Printer via USB Footswitch via USB ECG via USB Technical Data Information 13 30 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

Page 333: ...Chapter 14 Glossary Abbreviations Description of abbreviations sorted alphabetically Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 14 1 ...

Page 334: ...ter Aorta Vmax Maximum Flow Velocity Aorta Ao LA Aorta Left Atrium AV Aortic Valve APAD Anterior Posterior Abdominal Diameter APTD Anterior Posterior Thoracic Diameter APTDxTTD APTD x Trunc Transverse Diameter ARC A Arcuate Artery Renal Vascular Measurement ASUM Australian Society for Ultrasound in Medicine AUA Average Ultrasound Age AVA Aortic Valve Area A Vol Arm volume AXILL lat Axilla AXILL A ...

Page 335: ...ry COM FEM common femoral COM ILIAC A Common iliac artery COM ILIAC V Common iliac vein CRL Crown Rump Length CSA Cross sectional area C S P Cavum Septum Pellucidum CUA Composite Ultrasound Age CW Continuous Wave Doppler D Abbreviation Designation d Diastole diastolic DEC Deceleration DEEP FEM A deep femoral artery DEEP FEM V deep femoral vein Din Inner reduced distance Dout Outer original distanc...

Page 336: ...ction EFW Estimated Fetal Weight Endo Area Endocardial Area Epi Area Epicardial Area Epi Length Epicardial Lenght EPSS E Point to Septum Separation ERO Effective Regurgitant Orifice EUM Electronic User Manual Exp Ovul Expected Ovulation EXT ILIAC A External iliac artery EXT ILIAC V External iliac vein F Abbreviation Designation FEM V Femoral Vein FFC Focus and Frequency Composite FHR Fetal Heart R...

Page 337: ...phere Ventricle anterior HSVp Hemisphere Ventricle posterior HL Humerus Length I Abbreviation Designation ICA Internal Carotid Artery INNOM A innominate artery INNOM V innominate vein INT ILIAC A internial iliac artery INTERLO A Interlobular arteries IOD Inner Ocular Distance IVRT Isovolumetric Relaxation Time IVS Inter ventricular Septum J Abbreviation Designation JSUM Japan society of ultrasound...

Page 338: ... MAD Middle Abdominal Diameter MainPA Vmax Main pulmonary artery Vmax MCA Middle Cephalic Artery MCA PI Middle Cephalic Artery Pulsatility Index MCA PV Middle Cephalic Artery PV PS peak systolic MCFM M Mode Color Flow Mode MCUB median cubital MD Mid Diastole minimum velocity see also Vd and Vmin MI Mechanical Index MnG Mean Pressure Gradient M RENAL A main renal artery MPPS Modality Performed Proc...

Page 339: ...roximal Isovelocity Surface Area PPSA Predicted PSA see also PSA POPL A popliteal artery POPLIT V popliteal vein POST TIB A posterior tibial artery POST TIB V posterior tibial vein PRF Pulse Repetition Frequency PROF A profunda femoris artery PROF V profunda femoris vein PS Peak Systole see also Vmax PSA Prostate specific antigen PSV Peak Systolic Velocity PV Pulmonary Valve PVA Pulmonary Valve Ar...

Page 340: ...C A subclavian artery SUBC V subclavian vein Subclav subclavian SUP FEM A superior femoral artery SV Stroke Volume T Abbreviation Designation TAD Transverse Abdominal Diameter TAmax Time Averaged maximum velocity TAmean Time Averaged mean velocity TCD Transverse Cerebellar Diameter TD Tissue Doppler TI Thermal Index TIB Tibia Length TIB Bone Thermal Index TIC Cranial Bone Thermal Index TIS Soft Ti...

Page 341: ...erteb Vertebral VCI Volume Contrast Imaging Vd Velocity diastolic minimum velocity or end diastolic velocity see also ED and MD Vmax maximum Velocity see also PS Vmean mean Velocity Vmin minimum Velocity see also MD Vert A Vertebral Artery Vp Hem posterior horn of lateral ventricle hemisphere VPD Protodiastolic Velocity VTD Telediastolic Velocity VTI Velocity Time Integral X Abbreviation Designati...

Page 342: ...This page was intentionally left blank Glossary Abbreviations 14 10 Voluson SWIFT Voluson SWIFT Instructions For Use 5831612 100 Revision 4 ...

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Page 344: ...GE Ultrasound Korea Ltd 9 Sunhwan ro 214beon gil Jungwon gu Seongnam si Gyeonggi do Republic of Korea www gehealthcare com ...

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