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Chapter 2:

 System Overview 

ECG Module

The ECG module allows a representation of the heart electrical activity to be displayed in real time with ultrasound 
images acquired and displayed on the system video display.

The ECG module interfaces to the patient through three (3) ECG leads: Right Arm ECG lead (RA), Left Arm ECG lead 
(LA), and Left Leg ECG lead (LL). The ECG received signal from the ECG electrodes are isolated, amplified, and 
filtered by the ECG module before it is sent to the system for further processing and display. 

The ECG module and cable are an integrated assembly. The module receives power from the system. Patient 
isolation is provided by the ECG module, allowing the connection and signals to the system to be system-ground 
referenced. The isolation between the patient and the system meets the requirements of IEC 601-1 for Type BF 
equipment.

DICOM

The system features Digital Imaging and Communications (DICOM) capability to provide the acceptance, transfer, 
display, storage, and digital processing of single ultrasound images as well as loops of ultrasound images.

IMT

The system includes the ability to measure the intima-media thickness (IMT) of the carotid artery using digital 
ultrasound images.   The intima is that region of the arterial wall from and including the endothelial surface at the 
lumen to the luminal margin of the media. The media layer extends from the intima to the adventitia of the vessel 
wall. The adventitia is normally quite echogenic on ultrasound images when compared to the media. The IMT 
measurement of the carotid artery may be used adjunctively with other medical data obtained by a physician to 
help assess the cardiovascular health of a patient.

System Specifications

This section contains system and accessory specifications and agency approvals. The specifications for 
recommended peripherals can be found in the manufacturers’ instructions. See the applicable SonoSite accessory 
user guide for information on the accessories.

Continuous Wave 
Doppler Audio 
Output

The system provides for audio output of the CW velocity information. This can be 
presented as stereo information, with flow moving towards the transducer on one 
channel and flow away on the other, or as a mono output with the single audio 
output representing the summation of the flow directions.

Pulsed Wave Doppler 
Audio Output

The system provides for audio output of the PW velocity information. This can be 
presented as stereo information, with flow moving towards the transducer on one 
channel and flow away on the other, or as a mono output with the single audio 
output representing the summation of the flow directions.

Electrocardiograph 
(ECG) Display

ECG is provided to measure the electrical signal generated by the heart. A three lead 
interface: Right Arm (RA), Left Arm (LA) and Left Leg (LL), is provided on the system. 

The ECG signal is displayed as an amplitude-versus-time sweeping output. 
Amplitude is presented on the vertical axis with time along the horizontal axis.

Summary of Contents for M-Turbo

Page 1: ...M Turbo Ultrasound System Service Manual TM...

Page 2: ...k of the National Electrical Manufacturers Association for its standards publications relating to digital communications of medical information Non SonoSite product names may be trademarks or register...

Page 3: ...mechanical Safety Standards 12 EMC Standards Classification 12 Airborne Equipment Standards 12 DICOM Standard 12 HIPAA Standard 12 Chapter 3 Troubleshooting Periodic Maintenance 13 System and Subsyste...

Page 4: ...lor 36 Color Power Doppler CPD 36 M Mode Imaging 37 Tissue Harmonic Imaging 37 Pulsed Wave PW Doppler Imaging 37 Continuous Wave CW Doppler Imaging 38 Image Quality Verification Test Livescan 38 Print...

Page 5: ...precautions necessary to prevent injury or loss of life A Caution describes precautions necessary to protect the products Numbered steps must be performed in a specific order Bulleted lists present in...

Page 6: ...2 Chapter 1 Introduction...

Page 7: ...y measurements and calculations image storage and review printing and recording capabilities The system includes the ability to measure the intima media thickness IMT of the carotid artery using digit...

Page 8: ...system transducers have 64 to 192 elements The Acquisition Subsystem consists of the beamformer and interface to the transducer The beamformer controls the timing of the transmit pulses to focus the a...

Page 9: ...of a fault results in disabling of the pulser supply and signaling of an error to the Control Group The power subsystem includes the battery pack and battery charging electronics Description of Operat...

Page 10: ...s section is overlaid on top of the gray scale cross section of soft tissue structure 2D echo For each pixel in the overlay the decision of whether to display CPD gray scale echo information or a blen...

Page 11: ...signed to produce an appropriate bandwidth For example in 2D grayscale imaging a wide band pulse is used to support good axial resolution For Doppler modes a narrower band pulse is used which improves...

Page 12: ...to the adventitia of the vessel wall The adventitia is normally quite echogenic on ultrasound images when compared to the media The IMT measurement of the carotid artery may be used adjunctively with...

Page 13: ...t 1 7 m ICTx 8 5 MHz 11 mm intracavitary array 5 5 ft 1 7 m L25x 13 6 MHz 25 mm linear array 7 5 ft 2 3 m L38x 10 5 MHz 38 mm linear array 5 5 ft 1 7 m P21x 5 1 MHz 21 mm phased array 6 ft 1 8 m Imagi...

Page 14: ...ser Guide for information on cables Peripherals Peripherals include the following medical grade conforming to the requirements of EN60601 1 and non medical grade commercial products Manufacturer s ins...

Page 15: ...5 C 31 149 F 15 95 R H 500 to 1060hPa 0 5 to 1 05 ATM Shipping Storage Limits Battery 20 60 C 4 140 F 0 95 R H 500 to 1060hPa 0 5 to 1 05 ATM For storage longer than 30 days store at or below room tem...

Page 16: ...ment Part 1 General Requirements for Safety EMC Standards Classification EN 60601 1 2 2001 European Norm Medical Electrical Equipment General Requirements for Safety Collateral Standard Electromagneti...

Page 17: ...uestions System and Subsystem Diagnosis This section covers basic diagnostic and troubleshooting procedures you may follow if the system does not operate properly To diagnose system failures consult t...

Page 18: ...ly require main PCBA replacement Software asserts can be reset and the system may recover A simple method to identify the cause of the assert is identified here Assert code Assert Cause 1 Record the a...

Page 19: ...chiver transaction failed TDICARCH_OPEN_FAILURE Wrong Capture Type selected Verify that the Archiver supports the selected Capture Type setting e g US Image SC Image or US Ret Image Printer transactio...

Page 20: ...16 Chapter 3 Troubleshooting...

Page 21: ...tatic mat A wrist grounding strap Display Removal Caution Always use correct ESD procedures ESD damage is cumulative and may not be noticeable at first Initial ESD symptoms may be slightly degraded pe...

Page 22: ...ystem on the top and remove the two screws from the bottom of the system per Figure 4 2 Figure 4 2 System Bottom 4 Turn the system over fully open the display and lift off the Control Panel per Figure...

Page 23: ...replacement Display Assembly does not include the Display Rear Enclosure Remove the Display Rear Enclosure by removing the two screw caps two screws and then sliding the rear enclosure up and away fro...

Page 24: ...in place Torque the screws to 5 5 inch pounds 3 Reinstall the Display Rear Enclosure screws 2 and screw caps 4 Connect the two connectors that connect the Display to the Main PCBA 5 Place the Control...

Page 25: ...0 23 1 1 newton meter An anti static mat A wrist grounding strap Control Panel Removal Control Panel Replacement Caution Always use correct ESD procedures ESD damage is cumulative and may not be noti...

Page 26: ...hield Perimeter Long Qty 2 P03833 Shield Perimeter Short Qty 2 P08200 M2 5 45x10 Socket Head Cap Screw Qty 4 Required Tools 1 Phillips screwdriver Torque screwdriver 2 0 10 0 inch pounds 0 23 1 1 newt...

Page 27: ...tion Use caution when removing the left speaker connector to prevent damage to the Main PCBA components around the connector Speaker Replacement 1 Press on the connector release and pull the connector...

Page 28: ...used in reassembly Note that the shield fits only one way See Figure 4 9 Figure 4 9 Power Supply Shield 2 Remove the 7 screws that hold down the power supply PCB per Figure 4 10 3 Gently lift the powe...

Page 29: ...4 11 SD Card Daughter card copper tape 2 Remove the 4 screws that hold down the SD Card Daughter card per Figure 4 12 Note the location of the one longer screw for reassembly 3 Gently lift the SD Car...

Page 30: ...Supply frame back onto the Main PCBA 5 Place the Power Supply PCBA in the frame and secure with the 7 screws 6 Install the SD Card Daughter card onto the Main PCBA frame using the alignment holes pins...

Page 31: ...er the SD Card Daughter card on the edge closest to the Power Supply frame as show in Figure 4 15 Figure 4 15 Copper Tape Installation 10 Install a third strip of 1 x 5 self adhesive copper tape over...

Page 32: ...e 4 17 Activating Copper Tape Adhesive Note Rub the entire surface of the copper tape to ensure proper adhesion TGC PCBA Removal 1 Remove the Control Panel if not already removed 2 Remove the TGC knob...

Page 33: ...tab 5 Remove the two screws holding the TGC PCBA in place 6 Reverse steps 1 5 to reinstall the TGC PCB Figure 4 19 TGC PCBA Removal Release tabs Screws 2 Main PCBA Removal 1 Remove the Power Supply P...

Page 34: ...igure 4 21 This releases the Nest Frame and will allow the Main PCBA to be removed 5 As you remove the nest frame assembly from the PCBA tilt the PCBA and enclosure to almost vertical to avoid spillin...

Page 35: ...ll the Nest Frame Assembly The Nest Frame Socket Head Cap Screws should be torqued to 4 5 inch pounds 3 Reconnect the speaker wires 4 Reinstall the Power Supply PCBA 5 Reinstall the SD Card Daughter c...

Page 36: ...32 Chapter 4 Replacement Procedures...

Page 37: ...ltipurpose Phantom or equivalent A referenced 7db cm phantom is required for performing penetration measurements Video Printer External Monitor Acoustic gel Setting Up Performance Tests WARNING Critic...

Page 38: ...ensity 7 Capture a Cineloop buffer Exercise the Cineloop controls and verify proper operation 8 Close the lid and verify the unit goes into sleep mode Open the lid and verify the unit returns to norma...

Page 39: ...d in Table 5 1 Set Up Lateral Measurement Accuracy Perform Set Up Axial Measurement Accuracy on page 35 Test Lateral Measurement Accuracy 1 Measure the distance center to center of any two pins that a...

Page 40: ...on on the display 4 Adjust the Depth control for minimum depth in the image 5 Adjust the Gain control so that color speckles just appear inside the ROI box 6 Gently tap the face of the transducer and...

Page 41: ...formation is lost 3 Press the THI key on the control panel so it displays THI on the display Tissue Harmonic Imaging in now active 4 Observe a decrease in dot size and a significant loss in penetratio...

Page 42: ...e P21x transducer 2 Press the Patient key 3 Select the Cardiac exam type 4 Press the Done softkey 5 Press the Doppler key for the Doppler sample gate 6 Press the PW softkey to switch to CW Mode 7 Pres...

Page 43: ...eattach the system to the Docking System and attach the AC power cord to the power connector 4 Note that the battery indicator indicates that the battery is charging The sections of the battery indica...

Page 44: ...40 Chapter 5 Performance Testing...

Page 45: ...Assembly Display M Turbo Note The Display Assembly does not include the rear Display Enclosure item 3 This should be retained from the unit being replaced 2 P08060 Hinge 3 P08855 Service Assy Display...

Page 46: ...e Assembly Control Panel M Turbo English P08878 Service Assembly Control Panel M Turbo French P08879 Service Assembly Control Panel M Turbo German P08880 Service Assembly Control Panel M Turbo Italian...

Page 47: ...ferenced is per inch of copper tape Approximately 15 inches of 1 wide tape is required per system 3 P08850 Service Assembly Power Supply M Turbo 4 P03872 Service Assembly Speaker 5 P08939 Service Asse...

Page 48: ...44 Appendix A Replacement Parts List Figure A 1 Power Supply P08850 Figure A 2 Speaker Assembly P03872...

Page 49: ...Parts List 45 Figure A 3 TGC Assembly P05470 Figure A 4 Main PCB Assembly P08939 1 2 3 Table A 4 TGC Assembly Find Number Part Number Description 1 P02317 Assembly PCB TGC 2 P06287 Knob TGC 3 P02308...

Page 50: ...act Information on page 1 2 6 1 7 5 4 3 Table A 5 Nest Frame Assembly Find Number Part Number Description 1 P07750 Nest Frame Assembly 2 P00364 Connector Interposer 8x 3 P03833 Shield Perimeter Short...

Page 51: ...turer and to authorized service facilities which provide approved warranty services for SonoSite products For all repairs completed complete the form and return a copy of it to the following address S...

Page 52: ...48 Appendix B Service Event Report Service Event Report Form...

Page 53: ...Description x Name the description of the failed product x Ref Number the reference number from the part number label of the failed product x Serial Number the serial number from the part number label...

Page 54: ...oduct name Serial number Description of the problem Shipping Instructions Please contact SonoSite to get a return material authorization number RMA Contact SonoSite before returning any product The sh...

Page 55: ...nter 38 PW 37 THI 37 Velocity Color 36 video output 39 periodic maintenance 13 peripherals 10 power supply replacement procedure 24 printer test 38 product failures reporting 47 products returning 50...

Page 56: ...52 Index...

Page 57: ......

Page 58: ...P08144 01 P08144 01...

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