Toshiba Aplio 500 TUS-A500 Operation Manual Download Page 1

Page: 1 / 232

No.

2B771-004EN*M

CAUTION:

In the USA, federal law restricts this device to sale by
or on the order of a physician.

IMPORTANT!

Read and understand this manual before operating
the equipment. After reading, keep this manual in
an easily accessible place.



TOSHIBA MEDICAL SYSTEMS CORPORATION 2010-2014

OPERATION MANUAL

FOR

DIAGNOSTIC ULTRASOUND SYSTEM

MODEL TUS-A500

[FUNDAMENTALS]

(2B771-004EN*M)

Summary of Contents for Aplio 500 TUS-A500

Page 1: ... physician IMPORTANT Read and understand this manual before operating the equipment After reading keep this manual in an easily accessible place TOSHIBA MEDICAL SYSTEMS CORPORATION 2010 2014 ALL RIGHTS RESERVED OPERATION MANUAL FOR DIAGNOSTIC ULTRASOUND SYSTEM MODEL TUS A500 FUNDAMENTALS 2B771 004EN M ...

Page 2: ...r GmbH Java is a registered trademark of Oracle and or its affiliates APLIO Dynamic Flow ApliPure MicroPure and TwinView are trademarks of Toshiba Medical Systems Corporation This manual may include trademarks or registered trademarks of other companies Note that the trademark symbol and the registered trademark symbol may or may not be used in this manual IMPORTANT 1 No part of this manual may be...

Page 3: ...scribes the basic information concerning the system such as preparation for examination operation inspection and functional descriptions of the system Applications volume Describes the exam data manipulation procedures and optional unit operation procedures Measurements volume Describes the registration and measurement procedures Acoustic power and surface temperature data Describes the acoustic p...

Page 4: ...understood before use The layout shapes labels and icons of the switches on the touch panel can be changed All the figures of touch panel and switches in this manual are examples and may differ from the actual display 4 Operation Switches Some operations can be performed using either the switches on the main panel or the corresponding switches on the touch panel The switches displayed on the touch...

Page 5: ... Signal Words 2 1 2 2 Meaning of Safety Symbols 2 1 2 3 Ensuring the Safety of Patients and Operators 2 2 2 4 Preventing Electric Shocks Fires and Power Supply Interruptions 2 3 2 5 Chemical Hazard 2 5 2 6 Electromagnetic Compatibility EMC 2 5 2 7 Acoustic Power 2 6 2 8 Preventing System Malfunctions 2 7 2 9 Handling Patient and Image Data 2 9 2 10 Warning Labels 2 9 2 11 Regulatory Labels 2 12 2 ...

Page 6: ... List of Optional Units 5 1 5 3 Compatible Peripheral Devices 5 2 5 4 External Storage Devices 5 2 5 5 List of Optional Software 5 3 5 6 List of Available Transducers 5 4 6 Names and Functions of Each Section 6 1 6 1 Name of Each Section 6 1 6 2 Main Panel 6 3 6 3 Rear Panel 6 7 6 4 Symbols 6 8 7 Preparation for Examination 7 1 7 1 Moving and Installing the System 7 1 7 2 Handling and Connecting D...

Page 7: ...er Turning ON the Power 8 2 9 Turning the Power ON OFF 9 1 9 1 Connecting the Power Cable and the Protective Grounding 9 2 9 2 Turning ON the Power 9 4 9 3 Turning the Power OFF 9 6 9 4 Standby Mode 9 9 9 4 1 Setting Standby mode 9 9 9 4 2 Recovery from the Standby status 9 11 9 5 Preparation for Use During Surgery or for Emergency Cases 9 12 9 5 1 Preparation of a backup system 9 12 9 5 2 Power O...

Page 8: ...Operation for Each Mode 13 1 13 1 Touch Panel Operation 13 1 13 2 Trackball Functions 13 8 13 2 1 Trackball function area 13 8 13 2 2 Trackball operations 13 9 13 3 Selecting an Imaging Preset During Examination 13 10 13 3 1 DEFAULT PRESET tab 13 12 13 3 2 USER PRESET tab 13 15 13 3 3 Sub Preset menu 13 15 13 4 Selecting an Application Preset During Examination 13 16 13 5 Changing the Transducer D...

Page 9: ...ay layout 14 20 14 3 2 Adjustment using the main panel 14 21 14 3 3 Adjustment using the touch panel 14 23 14 4 Power Angio Mode Power Mode 14 25 14 4 1 Power Angio display layout 14 25 14 4 2 Adjustment using the main panel 14 25 14 4 3 Adjustment using the touch panel 14 26 14 5 Dynamic Flow Mode ADF Mode 14 28 14 5 1 Dynamic Flow display layout 14 28 14 5 2 Adjustment using the main panel 14 28...

Page 10: ...ing and Editing Body Marks 16 2 17 Entering Comments 17 1 17 1 Entering Comment Entry Mode 17 1 17 2 Entering Editing Characters and Arrow Marks 17 1 18 Needle Mark 18 1 18 1 Applicable Transducers and Biopsy Adapters 18 3 18 2 Needle Mark Display and Angle Change Procedures 18 5 18 2 1 Needle mark display 18 6 18 2 2 Needle mark angle change procedures 18 8 19 Storing Image Data 19 1 19 1 Storing...

Page 11: ...f Preventive Maintenance 20 1 20 3 Preventive Maintenance Performed by the User 20 2 20 3 1 Cleaning the system 20 2 20 3 2 Disinfecting the system 20 8 20 3 3 Creating a backup copy of the system hard disk 20 10 20 3 4 Maintenance menu 20 10 20 3 5 Backing up the customer specific data Backup 20 11 20 4 Preventive Maintenance Performed by Service Personnel 20 14 20 5 Periodically Replaced Parts a...

Page 12: ...perating procedures for MI TI 24 5 24 1 5 Output display 24 6 24 1 6 Reminder 24 6 24 1 7 Ultrasonic output power and acoustic output 24 7 24 1 8 References for MI TI 24 8 24 2 Using MI TI in the USA and Canada 24 9 24 2 1 Basic knowledge of MI TI 24 9 24 2 2 MI TI display description 24 11 24 2 3 Parameters affecting the MI TI values 24 12 24 2 4 Operating procedures for MI TI 24 13 24 2 5 Output...

Page 13: ...25 Guidance and Manufacturer s Declaration 25 1 26 Intellectual Property 26 1 26 1 Availability of This Software and Related Documents Is Restricted 26 1 26 2 Agreement for Microsoft Software 26 1 26 3 Others 26 9 27 Indication of Year of Manufacture 27 1 ...

Page 14: ...ons who have received appropriate training Before using this system it must be ensured that the user has received sufficient training 1 4 Operating Principles This system transmits ultrasound signals into the human body from a transducer and receives the reflected echoes from the human body using the same transducer It then processes the received signals and displays them as images on a display sc...

Page 15: ...correlational method in a color Doppler imaging circuit to produce the mean velocity variance and power information of the blood flow These information items are assigned color signals and represented as real time two dimensional color Doppler images In Doppler imaging the signals output from the receive signal processing board are frequency analyzed by fast Fourier transform FFT in a Doppler circ...

Page 16: ...al Signal word Meaning DANGER Indicates an imminently hazardous situation which if not avoided will result in death or serious injury WARNING Indicates a potentially hazardous situation which if not avoided could result in death or serious injury CAUTION Indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury CAUTION Indicates a potentially hazardous...

Page 17: ...is hazardous to the eyes and other parts of the body 5 Prolonged and repeated use of keyboards can result in hand or arm nerve disorders in some individuals Observe the local institutional work safety health regulations on keyboard use 6 Do not use the Fusion function option for patients who use electronic life support devices for example a cardiac pacemaker or defibrillator The magnetic field gen...

Page 18: ...cts on the power cable or plug Do not pinch the power cable or plug Do not subject the power cable or plug to impact Do not pull the power cable to disconnect the plug from the outlet 2 If any abnormalities such as damage or wear are found on the power cable or plug the power cable and plug must be replaced Stop using it immediately and contact your Toshiba service representative Continuing to use...

Page 19: ...quired to prevent an electric shock to the patient 12 A functional ground terminal is used to connect a functional grounding wire between systems or between the system and the ground for functional purposes of the system for example to eliminate potential differences in the signal level between systems or to eliminate potential differences between the system and the ground Do not use the functiona...

Page 20: ...rvice representative for repair 3 Do not spill or spray liquids such as water onto the system or peripheral units 2 5 Chemical Hazard Observe the following instruction in order to protect patients and operators from inflammation or poisoning by chemical substances WARNING Handling the cord on this product will expose you to lead a chemical known to the State of California to cause birth defects or...

Page 21: ...e Such fields may adversely affect the monitor 2 Do not use this system near devices that generate high frequencies such as medical telemeters and cordless telephones Doing so may cause the system to malfunction or to adversely affect such devices 3 Do not use devices that generate high frequencies near other devices or stack such devices on each other If doing so is unavoidable confirm that the s...

Page 22: ...k for which any of the conditions below is true Security control is not established for the network There is a risk of malware invasion in the network A system for which any of the following conditions is true is connected to or can be connected to the network 1 The security of the system is not controlled by the user 2 The system can be accessed by persons not authorized by the user 3 The system ...

Page 23: ...ing down for 5 seconds or more turn OFF the main power on the power panel Do not turn OFF the power in this manner during normal operation Doing so may cause the system to malfunction 4 Do not press or use force on the main panel Doing so may damage the system 5 The service outlets on the main unit provide power for recommended external options only Do not connect other devices to these outlets Do...

Page 24: ...compression function for images Although this function helps to reduce the size of stored images it can cause image deterioration The amount of compression must therefore be limited so that the image quality is maintained at a level that does not adversely affect image reading 2 10 Warning Labels Various warning labels are attached to this system in order to call the user s attention to potential ...

Page 25: ...3 a Cautions that the system must be placed on a horizontal surface b Cautions that the cover must not be removed in order to prevent electric shock c Cautions that the system must not be leaned on nor pushed from the side 4 Cautions regarding handling of the monitor arm 5 a Cautions against sitting on the system b Urges caution related to the switches on the main panel 6 Cautions that the system ...

Page 26: ...as low as reasonably achievable b As in the USA and Canada cautions that displayed MI TI are mean values Refer to subsection 24 2 2 MI TI display description 4 1 Cautions that the system must be placed on a horizontal surface 4 2 Cautions that the cover must not be removed in order to prevent electric shock 5 Cautions regarding handling of the monitor arm 6 a Cautions against sitting or leaning on...

Page 27: ...efibrillator The magnetic field generated in Fusion mode may affect such devices Fusion Pole Cart UZWT A500A Cautions that the operation manual must be referred to Cautions that the Fusion pole cart must not be leaned on or pushed forcefully from the side M TEE hanger kit UAEH 770A Precautions related to handling 1 Place the transducer in the box for transportation 2 Do not allow the transducer to...

Page 28: ...d in the principles and basic techniques of ultrasound 2 This system must be used only by medical personnel fully trained in clinical examination techniques 3 This operation manual does not describe clinical examination techniques Selection of the proper clinical examination technique must be based on specialized training and clinical experience ...

Page 29: ...mage or loss caused by relocation modification or repair performed by personnel other than those designated by TOSHIBA 6 The purpose of this system is to provide physicians with data for clinical diagnosis The responsibility for diagnostic procedures lies with the physicians involved TOSHIBA shall not be liable for the results of diagnostic procedures 7 Important data must be backed up on external...

Page 30: ...uld not be treated as household waste By ensuring that this product is disposed of correctly you will help prevent potential negative consequences for the environment and human health which could otherwise be caused by inappropriate waste handling of this product For more detailed information concerning the return and recycling of this product please consult the supplier from whom you purchased th...

Page 31: ...tablished for the network 17 Expected service life The expected service life is 7 years if the specified maintenance and inspection procedures are performed However the service life depends on usage conditions and individually specified periods if any take precedence 18 This manual provides information on minimizing the environmental impact carbon dioxide emission power consumption etc of this sys...

Page 32: ...er 1 1440 VA Other 2 1500 VA Operating environmental conditions Ambient temperature 10 C to 35 C Relative humidity 35 to 80 no condensation Atmospheric pressure 700 hPa to 1060 hPa Storage and transportation conditions Ambient temperature 10 C to 50 C Relative humidity 30 to 80 no condensation 50 or less if the ambient temperature exceeds 40 C Atmospheric pressure 700 hPa to 1060 hPa Patient envir...

Page 33: ...mental impact to a minimum 1 Turn the system power OFF when the system is not in use 2 When the system is not to be used for an extended period of time turn OFF the main power switch on the power panel and disconnect the power plug from the outlet 3 Freeze the image by pressing whenever examination is not being performed ...

Page 34: ... 5 Mounting kit for peripheral unit UZRI A500A 6 Mounting kit for peripheral unit UZRI A501A 7 Footswitch UZFS A500A 8 Gel warmer UZGW 007A 9 M TEE hanger kit UAEH 770A 10 Motor drive M TEE hanger kit UAEH 002A 11 4D unit UIMV A500A 12 Battery kit UEBT A500A 13 HV power kit UIHV A500A 14 Fusion unit UIFR A500A 15 Fusion Pole Cart UZWT A500A 16 Mounting kit for fusion sensor UAFS 001A 17 Mounting k...

Page 35: ...order DVO 1000MD NTSC PAL SONY BD X201M NTSC PAL JVC for regions other than Europe BD X201ME PAL JVC for Europe It may not be possible to use some of the peripheral devices listed above depending on the power conditions of the country For details contact your TOSHIBA service representative 5 4 External Storage Devices USB flash drives and barcode readers can be connected to this system Contact you...

Page 36: ...500A USPV A500A EL 10 4D STIC Imaging kit USST A500A USST A500A EL 11 Stress Echo kit USSE A500A USSE A500A EL 12 DICOM kit USDI A500A USDI A500A EL 13 1 5D Transducer kit USMS A500A USMS A500A EL 14 Protocol Assistant kit USPA A500A USPA A500A EL 15 Parametric MFI kit USPM A500A USPM A500A EL 16 Vascularity Index kit USVI A500A USVI A500A EL 17 FLR kit USFL A500A USFL A500A EL 18 Elastography FLR...

Page 37: ... Peripheral vascular small organ musculoskeletal PLT 704AT Peripheral vascular small organ musculoskeletal PLT 704SBT Small organs peripheral vascular musculoskeletal PLT 705BTF Abdominal PLT 705BTH Abdominal PLT 805AT Peripheral vascular small organs musculoskeletal PLT 1005BT Peripheral vascular small organs musculoskeletal PLT 1202S Peripheral vascular small organs musculoskeletal intraoperativ...

Page 38: ...BT 1 1 5 PST 30BT 1 1 5 PST 50BT 1 1 5 PST 65AT 1 1 3 3 5 PVT 350BTP 2 3 3 3 3 PVT 375BT 2 PVT 375MV 2 3 3 3 3 PVT 382BT 2 3 3 3 3 PVT 382MV 2 3 3 3 3 PVT 661VT 2 3 3 3 3 PVT 674BT 2 3 3 PVT 675MV 2 PVT 681MV 2 PVT 712BT 2 PVT 745BTF 2 3 3 PVT 745BTH 2 3 3 PVT 745BTV 2 PVT 770RT 2 PVT 781VT 3 3 PLT 308P PLT 604AT 2 3 3 3 3 PLT 704AT 2 3 3 3 PLT 704SBT 2 3 3 3 PLT 705BTF 2 3 3 PLT 705BTH 2 3 3 PLT ...

Page 39: ...T 508MA 5 PET 510MA MB 5 PET 511BTM 5 PET 512MA 5 PET 512MC 5 PC 20M PC 50M Available Not available Transducer name 4D Live mode 4 Single Sweep mode 4 4D CHI 4 STIC 4 STIC color 4 Volume color 4 4D Biopsy 4 FlyThru 4 Fund Pulse Subtract ON Pulse Subtract OFF Fund Pulse Subtract ON Pulse Subtract OFF PVT 375MV 2 3 1 1 PVT 382MV 2 3 PVT 675MV 2 1 1 PVT 681MV 2 3 PLT 1204MV 2 3 Available Not availabl...

Page 40: ...No 2B771 004EN M 6 1 6 Names and Functions of Each Section 6 1 Name of Each Section Systems with the main power switch on the rear ...

Page 41: ...No 2B771 004EN M 6 2 Systems with the main power switch on the side ...

Page 42: ... the default settings described in this manual Confirm the Output Store Freeze and other important settings before using the system It is also possible to change the positions of switches related to measurements modes or printer output user function switches To change the settings contact your TOSHIBA service representative CAUTION Do not press several switches at the same time Doing so may cause ...

Page 43: ...he transducer 6 Touch panel Displays switches specific to the type of examination switches for image control measurements etc The desired switch can be touched with a finger to operate it 7 The functions of these knobs vary depending on the mode or other conditions The functions currently assigned to the knobs are displayed on the touch panel 8 Used to specify the echo reception sensitivity for va...

Page 44: ... the gain in M mode 22 Switches to CW mode 23 Switches to PW mode The dial around the knob is used to adjust the gain in Doppler mode 24 Switches to POWER mode 25 Switches to CDI mode The dial around the knob is used to adjust the gain in Color mode 26 Switches to Dynamic Flow TM mode 27 Switches to 2D display mode The dial around the knob is used to adjust the gain in 2D mode 28 Trackball Used to...

Page 45: ...ions or specify the cursor movement 34 Displays 2D mode and M or Doppler mode images at the same time Freezes unfreezes the 2D mode image 35 Used for automatic adjustment of the image quality Refer to of subsection 14 1 2 Adjustment using the main panel 36 Used to specify the depth and the zoom level Press to switch between depth and zoom modes 37 Used to change the layout format 38 Switches to th...

Page 46: ...r of the hub before turning ON the power of the system Otherwise it may not be possible to establish connection with the network No Name Function 1 S output terminal Output terminal for external imaging device 2 Color composite terminal Output terminal for external imaging device 3 External monitor DVI I output Output terminal for external digital imaging device 4 Ethernet port Port for connection...

Page 47: ...C power supplied to system Power OFF power not supplied to electronic circuits Power ON power supplied to electronic circuits Transducer connector A Transducer connector B Transducer connector C Transducer connector D Pencil transducer connector ECG Electrocardiogram ECG Electrocardiogram PCG Phonocardiogram PULSE External input terminal Footswitch Alternating current AC Manufacturer Date of manuf...

Page 48: ...move unexpectedly injuring the patient or the operator 2 Before moving the system lock all movable sections such as the LCD monitor main panel Otherwise parts may move unexpectedly causing injury 3 Before moving the system confirm that all peripheral devices are secured If a peripheral device is not secured it may fall causing injury or damage 4 When a reference signal cable is used disconnect it ...

Page 49: ...No 2B771 004EN M 7 2 1 Before moving the system be sure to release the caster locks a Releasing all of the locks b Locking the caster for forward motion ...

Page 50: ...No 2B771 004EN M 7 3 2 Move the system to its installation position using the handle 3 Lock the casters ...

Page 51: ...tch or rub the acoustic lens surface of the transducer This may cause the transducer to fail For other precautions concerning handling of the transducer read all instructions provided in this operation manual and the operation manual supplied with the transducer 7 2 2 Connecting Disconnecting the transducer CAUTION 1 Be sure to turn OFF the power or select another transducer connector before conne...

Page 52: ...No 2B771 004EN M 7 5 2 Hang the transducer cable on the cable hanger or cable hook and place the transducer in the transducer holder 3 Disconnect the transducer ...

Page 53: ...el do not subject the cable hanger cable hook or transducer holder to any loads Doing so may damage them Adjusting the height of the main panel Hold the handle and press the vertical adjustment lever upward to raise or lower the height When the lever is released the position is locked ...

Page 54: ...n of the main panel 1 Pull the slide lever toward you to release its lock 2 While pulling the slide lever hold the handle move the main panel to adjust the position and then release the slide lever The nearest position is locked when the lever is released ...

Page 55: ...on of the arm Otherwise the arm may move unexpectedly resulting in an injury 7 4 1 Locking and releasing the monitor Locking and releasing the arm Locking the arm Lower the arm and turn the locking knob in the direction Releasing the arm While pressing the locking knob turn it in the direction Locking the monitor ...

Page 56: ...7 4 2 Adjusting the angle of the monitor CAUTION Do not touch the arm or the bottom of the monitor when adjusting the angle Doing so may result in a hand injury Moving the monitor vertically Moving the monitor horizontally ...

Page 57: ...as required using the buttons of the monitor Displaying the adjustment menu Adjusting setting for the selected function NOTE 1 To restore the factory default settings press the switch while holding down the switch 2 Pressing the switch while holding down of the Menu switches turns the monitor display ON OFF ...

Page 58: ...ing to subsection 20 3 1 Cleaning the system 4 There should not backlash or loose screws in the casters monitor panel etc 5 Caster locks should function correctly 6 There should be no damage to the reference signal cable and no looseness of the connector 7 There should be no abnormalities such as damage wear or bent pins on the power cable or plug 8 There should be no abnormalities or stains of th...

Page 59: ...iously abnormal noise discontinuous display or dark areas for 2D mode images 4 There should be no abnormality in the date and time Refer to the operation manual Applications volume for the procedures for changing the system time 5 The acoustic lens surface of the transducer should not be unusually hot Perform check by hand 6 Switches and knobs on the panel should function normally 7 There should b...

Page 60: ...ality is displayed use the IQ Report feature to save the image and the system information Quick Procedure If it is not possible to perform the operation above the menu pane is not displayed etc perform the following operation After the operation above is completed contact your TOSHIBA service representative ...

Page 61: ...rdiac catheterization room CCU or ICU voltage equalization with the device is required to prevent an electric shock to the patient 3 A functional ground terminal is used to connect a functional grounding wire between systems or between the system and the ground for functional purposes of the system for example to eliminate potential differences in the signal level between systems or to eliminate p...

Page 62: ...the facility to trip fuses to blow or a fire or electric shock to occur 9 1 Connecting the Power Cable and the Protective Grounding 1 Connect the power plug to an outlet for medical equipment By doing this the protective ground line is connected 2 Turn ON the main power switch on the power panel The STANDBY LED lights Systems with the main power switch on the rear ...

Page 63: ...No 2B771 004EN M 9 3 Systems with the main power switch on the side ...

Page 64: ...F the power in this manner during normal operation Doing so may cause the system to malfunction NOTE 1 If the power is turned ON while a USB device such as a flash drive is connected to one of the five external USB connectors the system may not start normally Disconnect any USB device s before turning the power ON 2 When turning ON the power confirm that the STANDBY LED is lit and then press 3 Do ...

Page 65: ...ximately 3 minutes but varies according to the system conditions 2 If the registration screen is closed without registering any patient data the 2D mode screen appears and the system enters Freeze mode 3 Directly after the system power is turned ON the fan noise is initially loud but reduces after a short while ...

Page 66: ...or data saving or retrieval is in progress Doing so may result in printing being terminated prematurely or in data being lost Also if the power is turned OFF during access to media the media may be damaged 3 Do not turn the system power OFF during video recording Doing so may damage the hard disk of the video recording device or the inserted media NOTE If the power is turned OFF while a USB device...

Page 67: ... power has been turned OFF on the power panel wait for at least 15 seconds before turning the power ON again If the main power switch is turned ON immediately after the power has been turned OFF the system may malfunction 4 The following message may be displayed during operation This message indicates that a problem has occurred with the patient data handling functions image storage playback or de...

Page 68: ... If this is selected during CD DVD burning the burn process is canceled the CD DVD will be damaged and the shutdown process is started 2 After procs end The shutdown process is started after the current process is completed 3 Save procs The current process is paused resumed and the shutdown process is started If this is selected during CD DVD burning the burn process is canceled the CD DVD will be...

Page 69: ...le printing or data saving or retrieval is in progress Doing so may result in printing being terminated prematurely or in data being lost Also if the power is turned OFF during access to media the media may be damaged 2 Do not set the system to Standby mode during video recording Doing so may damage the hard disk of the video recording device or the inserted media 9 4 1 Setting Standby mode ...

Page 70: ...The standby function cannot be used in the following cases In such cases the message shown below is displayed When the use of these functions is completed or terminated the Standby function becomes effective again Note that if any settings of the functions have been changed the system power should be turned OFF in standard mode shutdown When using a maintenance function or a preset function Displa...

Page 71: ...en is not displayed after waiting for 30 seconds The patient registration screen is not displayed after waiting for 10 minutes If the power is not turned ON after holding down for 5 seconds or more turn OFF the main power on the power panel Do not turn OFF the power in this manner during normal operation Doing so may cause the system to malfunction NOTE 1 When resuming the system from pause status...

Page 72: ...ergency Cases WARNING Prepare a backup system when an urgent examination is to be performed for example during an operation or for an emergency case If a severe problem should occur with the system the normal operation of the system may not be recovered by turning the power OFF ON and the examination may not be able to continue 9 5 1 Preparation of a backup system Prepare a backup system when an u...

Page 73: ...isplayed at the top of the screen as If there is less than 35 GB of free space the icon is highlighted in yellow The color of the free space indicator changes to red when the free space falls below 20 GB When the free space falls below 1 GB the message HDD is full Please delete some images in Patient Browser and try again is displayed in the information message display area on the screen and no mo...

Page 74: ...next print operation is performed while this icon is lit the next image is not printed Wait until the icon goes out before performing the next print operation 10 2 Displaying the Acoustic Power Data The acoustic power data transferred from the transducer is displayed in the image display area and in the acoustic power display area NOTE Whether or not the acoustic power data is displayed depends on...

Page 75: ...ex Displayed as the value related to the mechanical effectiveness such as cavitation Image display area Only for USA and Canada No Label Description Display location 1 AP Acoustic power The current transmission value is displayed Acoustic power display area 2 TISm Thermal index soft tissue Displayed as the calculated estimated mean value for temperature increase in the soft tissues Acoustic power ...

Page 76: ...ails representing the data for that date are displayed The system recognizes different studies as belonging to the same patient when all of the following items in the studies match Patient ID Patient name Sex If any of these items do not match and the studies are therefore not recognized as belonging to the same patient the patient information edit function refer to subsection 2 2 6 of the operati...

Page 77: ...d in the system may be deleted as a result of an operational error or an accident problems that occur in personal computers can also occur in this system 3 Delete unnecessary data regularly If the available storage space is low new data may not be saved 4 Before deleting data confirm the date and the patient ID patient name etc to ensure that incorrect data is not deleted 5 If patient data or exam...

Page 78: ...ral Thyroid Thyroid glands Neo Hip Neonatal hip joints Breast Breast including mammary glands PV Venous Peripheral blood vessels veins OB Obstetrics PV Arterial Peripheral blood vessels arteries GYN Gynecology Digits Peripheral blood vessels fingers and toes Endo Vaginal Endovaginal MSK Musculoskeletal Fetal Heart Fetus cardiovascular Prostate Prostate gland Adult Heart Cardiovascular Kidney Kidne...

Page 79: ...007184 Height 0 725 Weight 0 425 b Oriental Adult BSA 0 007358 Height 0 725 Weight 0 425 c Oriental 12 14 BSA 0 010265 Height 0 651 Weight 0 423 d Oriental 6 11 BSA 0 008883 Height 0 663 Weight 0 444 e Oriental 1 5 BSA 0 038189 Height 0 362 Weight 0 423 f Oriental 0 BSA 0 009568 Height 0 655 Weight 0 473 4 It is also possible to enter the year of a date of birth using the Japanese calendar combina...

Page 80: ...birth is not displayed in the Comment field in the Patient Info display of Patient Browser History Browser or the patient exam information editing form 7 The start function which is normally assigned to can be assigned to any other function key on the keyboard To change key assignments contact your TOSHIBA service representative ...

Page 81: ... 3 Do not allow the ECG electrode to touch the patient s heart directly Doing so may lead to cardiac arrest The ECG unit is a type BF unit It is not designed for direct contact with the heart 4 Use commercially available ECG electrodes The user is responsible for selection of appropriate ECG electrodes 5 Remove the ECG electrodes from the patient before using devices such as electric scalpels high...

Page 82: ...clip color Application position R Red Right infraclavicular fossa L Yellow Left infraclavicular fossa F Green Lowest rib on the left anterior axillary line Electrode positions lead I To use lead II or lead III connect the lead wires of the reference signal cable to the electrodes as shown below 2 This system is designed to use ECG lead I To use lead II or lead III the lead colors and the connectio...

Page 83: ...Application position RA White Right infraclavicular fossa LA Black Left infraclavicular fossa LL Red Lowest rib on the left anterior axillary line Electrode positions lead I To use lead II or lead III connect the lead wires of the reference signal cable to the electrodes as shown below 2 This system is designed to use ECG lead I To use lead II or lead III the lead colors and the connection destina...

Page 84: ...G DC IN or AUX contact your TOSHIBA service representative The signal input level is restricted No Name Function 1 ECG patient Connector for ECG cord this cord can also be used as an impedance respiratory sensor 2 ECG DC IN Connector for ECG signal input from an external monitor 3 AUX Connector for signal input from an external device 4 PULSE Connector for pulse wave sensor signal input 5 PCG inpu...

Page 85: ...e reference signal sensor cable to the reference signal panel while the system power is OFF 2 Turn ON the power 3 Set the sensor on the patient 12 3 Adjusting Reference Signals 1 PHYSIO menu and reference signal display Up to two reference signals can be displayed simultaneously ...

Page 86: ...M 12 6 2 Adjusting the reference signal display The position of the waveform and the gain can be adjusted using the switches in the PHYSIO menu on the touch panel and the relevant knobs PHYSIO page 1 2 PHYSIO page 2 2 ...

Page 87: ...akenly recognize these R waves as pacing pulses If this is the case set the PACE MAKER switch to OFF No Menu Function 1 Used to turn the ECG waveform display ON OFF 2 Used to turn the PCG waveform display ON OFF 3 Used to turn the display of signals from external devices ON OFF 4 Used to avoid incorrect R wave trigger detection due to the pacing pulses generated by a cardiac pacemaker when examini...

Page 88: ...e sensitivity of the displayed signal This switch is effective only when MANUAL is selected for GAIN MODE 21 Used to change the ECG lead type Note that for the lead type to be changed correctly by this function the electrodes must be applied as follows For regions other than the USA Red Right infraclavicular fossa Yellow Left infraclavicular fossa Green Lowest rib on the left anterior axillary lin...

Page 89: ...nd the knob operating directions It is also possible to add customized menus touch panel customization Customization is performed by service personnel Contact your TOSHIBA service representative NOTE 1 To enter another mode press the corresponding mode switch on the main panel 2 When several modes such as 2D CDI and PW are active at the same time switch the tab to change the parameter as needed 3 ...

Page 90: ...tting as explained below Icon Knob operation direction Left right Up down Rotate Tab functions Tab Function Includes presets which can be selected in order to change their settings Includes menus related to image saving and printing Includes optional functions and menus such those related to screen brightness and sound volume ...

Page 91: ...stem not to display the patient information patient ID name sex age name of the system used to acquire the data date and time hospital name Refer to subsection 22 2 1 of the operation manual Applications volume 5 Turns the display of the Exam Review screen ON OFF 6 Disconnects USB flash drive 7 Displays the video playback menu 8 Used for full screen printing 9 Used to transfer data to the DICOM pr...

Page 92: ...No 2B771 004EN M 13 4 PIMS page 2 2 Refer to section 19 Storing Image Data ...

Page 93: ...s and contrast of the touch panel Press the corresponding knob to toggle the label of this switch between TCS Brightness and TCS Contrast 6 Used to adjust the volume and tone of the beep that is output when a switch on the main panel is pressed Press the corresponding knob to toggle the label of this switch between Panel Beep Volume and Panel Beep Tone 7 Used to adjust the volume and tone of the b...

Page 94: ...ate to the values immediately after Quick Scan was started 3 Displays the angle icon for the M TEE transducer This switch is displayed when an M TEE transducer is connected to the system 4 Displays the Maintenance menu 5 Displays the menu for setting the presets 6 Saves the error messages and abnormal images This switch should be pressed when an error message or an abnormal image is displayed ...

Page 95: ...No 2B771 004EN M 13 7 OTHER page 3 3 No Switch Function 1 Starts up the Report screen 2 Starts up the Worksheet screen ...

Page 96: ...kball Functions Functions corresponding to the system status are assigned to the trackball 13 2 1 Trackball function area The icon indicating the function currently assigned to the trackball function icon is displayed on the monitor ...

Page 97: ... the function to be used To assign a function to the trackball that is not shown in the trackball function area Directly press the switch for the desired function To set the trackball back to the cine control function Press the wheel To perform measurement Directly press the switch for the desired function ...

Page 98: ...No 2B771 004EN M 13 10 13 3 Selecting an Imaging Preset During Examination Imaging preset Preset of the parameters related to image quality To select an imaging preset ...

Page 99: ...No 2B771 004EN M 13 11 To change the image quality conditions for the currently active mode sub preset only Switch displays ...

Page 100: ...RESET page 1 3 No Exam type Description 1 Abdomen Abdomen general 2 OB Obstetrics 3 Prostate Prostate gland 4 PV Arterial Peripheral vessel artery 5 Neo Head Infant head 6 Neo Hip Infant hip joint 7 Endo Vaginal Endovaginal 8 Digits Peripheral vessel of finger 9 Neo General Infant abdomen general 10 Fetal Heart Fetal circulation ...

Page 101: ...ion 1 GYN Gynecology 2 Testes Testis 3 Adult Heart Circulatory system general 4 Coronary Coronary artery 5 Breast Breast 6 Kidney Kidney 7 PV Venous Peripheral vessel Vein 8 Pediatric Heart Pediatric circulatory system 9 TCD Transcranial Doppler 10 Thyroid Thyroid gland ...

Page 102: ...No 2B771 004EN M 13 14 DEFAULT PRESET page 3 3 No Exam type Description 1 Carotid Carotid artery 2 OTHER Other 3 MSK Orthopedics 4 M TEE Transesophageal ...

Page 103: ...registering and deleting user presets refer to the operation manual Applications volume subsection 21 1 Example 13 3 3 Sub Preset menu The registered sub presets can be selected in the Sub Preset menu Only the presets for the currently active mode can be selected For details on registering and deleting sub presets refer to the operation manual Applications volume subsection 21 2 Example ...

Page 104: ...o 2B771 004EN M 13 16 13 4 Selecting an Application Preset During Examination Application preset Preset of conditions for measurement body mark comment entry and report Selection from the Preset tab menu ...

Page 105: ...estes N A user registration is available Testis Testis PV Upper N A user registration is available PV Upper PV Upper PV Lower PV Lower N A user registration is available PV Lower PV Upper PV Lower Carotid 1 Vascular user registration is available Carotid Carotid Carotid 2 N A user registration is available Carotid Carotid Thyroid N A user registration is available Thyroid Neck Mammo TCD N A user r...

Page 106: ... the currently selected transducer connector Connecting a transducer to or disconnecting the transducer from the currently selected transducer connector can cause damage to the system or the transducer 2 Do not connect or disconnect a transducer during system startup or shutdown Doing so may cause a malfunction NOTE The connector lamp goes out when the transducer selection menu is closed when anot...

Page 107: ...isplay layout Display example No Displayed item 1 MI mechanical index value 2 Transducer being used type and frequency band of the transducer Transducer type S Sector transducer C Convex transducer L Linear transducer P Pencil transducer 3 Current frequency T THI Filter PS H CHI diffT differential THI 4 Frame rate 5 2D gain 6 2D dynamic range 7 Index of image quality adjustment A ApliPure P Precis...

Page 108: ...Displaying the dual display mode screen Displays the dual display mode screen This switch toggles the real time display between the two frames The mark is highlighted in the frame in which the real time image is displayed Returns to the single display mode screen ...

Page 109: ...panning movement PAN ZOOM Press this dial to set zoom mode the Zoom LED lights Image zooming and panning becomes possible The image zooming method can be selected using the Zoom Method switch in the OTHER menu refer to subsection 14 1 4 Changing the frequency Use the Freq knob to change the frequency The current frequency is shown on the image Changing the focus Use the Focus knob to change the fo...

Page 110: ...lick to terminate quick scan Refer to subsection 14 1 5 2D mode quick scan for details Displaying the body mark Press this switch to display the body mark refer to section 16 Body Mark for details Displaying previous frames After the image is frozen Cine image operations can be performed The previous frames can be displayed using the trackball refer to section 15 Cine Function for details In Body ...

Page 111: ...noise when Apure is ON Flips the image horizontally Flips the image vertically Displays monochrome and color images simultaneously in real time Turns the M D cursor display ON OFF in single display mode Used to automatically turn OFF ApliPure processing for the 2D image in the background in color mode Displays the time elapsed after this switch is pressed Starts TDI mode Turns ON the automatic rec...

Page 112: ...lter and Diff Used to adjust the scan range for the 2D image Used to adjust the color of the images Used to adjust the gamma curve Used to adjust the dynamic range Used to select the needle mark size 2 Used to adjust the sensitivity for the deeper areas and frame rate Used to adjust the gain in the lateral direction of the image 3 Steers the 2D image left and right For scanning with a convex or se...

Page 113: ...sion Imaging function Used to adjust the image density and the frame rate number of frames Used to adjust the image smoothness Used to adjust the degree of image edge enhancement Used to adjust the image quality using the ApliPure TM function 1 Available when a linear transducer is selected 2 Available when the PLT 704SBT or PVT 674BT is selected 3 Available when a linear transducer is selected an...

Page 114: ...cannot be operated Zooming the image around the center of the image Center Zoom 1 Confirm that Center is displayed on in the OTHER menu the initial setting is Center 2 Zoom the image a Zoom the image Rotate the dial b Pan the image Operate the trackball 3 Pressing the DEPTH ZOOM dial again resets the panning zooming operation and returns the image to the depth size that was set before the image wa...

Page 115: ... to be zoomed a Moving the zoom ROI Use the trackball when the function icon appears b Changing the zoom ROI size Press to change the function icon to Use the trackball to change the ROI size Press to set the ROI size The size of the zoom ROI can also be changed by rotating the DEPTH ZOOM dial 4 Rotate the DEPTH ZOOM dial The zoom guide is displayed at the top right of the screen and the portion o...

Page 116: ...matically adjusted STC gain in the depth direction 2D gain overall gain Lateral gain gain in the scanning direction The change in the 2D gain is temporarily stored as an offset Press again to add this offset When quick scan is exited this offset is reset Automatic updating of image quality set values If either of the following operations is performed during quick scan the image quality set values ...

Page 117: ...e of adjustment range when the sliders are not at the center 2 The changed offset can be saved or reset using the following switch in the OTHER menu on the touch panel Saves the offset Returns the saved offset to the original setting 3 Quick scan is automatically updated when any changes are made to the STC settings Note that the automatic update function can be disabled from the Preset menu refer...

Page 118: ...s between normal display and trapezoid display Note that when this switch is operated the depth and other such settings are reset to their default values When a sector transducer other than the TEE transducer is used Trapezoid scan is automatically activated for the following exams imaging presets Abdomen Pv Art NeoGen NeoHead Kidney TCD ...

Page 119: ... images in 2D M mode 2D display mode can be changed to 2D M display mode by pressing 14 2 1 M display layout Example layout No Displayed item 1 M cursor 2 M depth scale mark 3 Time scale 4 M gain MG M dynamic range MDR M transmission reception frequency ...

Page 120: ...g the main panel Setting the M cursor On the 2D M screen the trackball can be used to move the M cursor In 2D mode pressing displays the 2D M screen Changing the display speed of the waveform Use the M Sweep speed knob to adjust the display speed ...

Page 121: ...splay layouts Each time the switch is pressed the display layout changes to the next one in a predetermined order Pressing on the touch panel allows the display layout to be selected directly from the pull down menu Full available only when the image is frozen Side by side Up Down 2 3 Up Down 1 2 Up Down 1 3 ...

Page 122: ... 2D M display layout selection Refer to of subsection 14 2 2 Adjustment using the main panel Used to adjust the color of the M mode image Used to adjust the gamma curve Used to adjust the sweep speed for the M mode image Used to adjust the degree of image edge enhancement Used to adjust the degree of suppression of trails and noise Used to adjust the dynamic range ...

Page 123: ...auto data display These values reflect the most recent changes to image settings For example when the CDI image is a real time image and the MCDI image is a frozen image if the settings of the CDI image are changed the auto data for the frozen MCDI image is also changed The values differ from the setting values at the time of freezing the MCDI image When saving images pay attention to this ...

Page 124: ...LEX M mode M mode image for any desired plane set on the 2D mode image can be displayed To use FLEX M mode the optional USXM A500A is required Operate as follows to enter FLEX M mode Image display in FLEX M mode Example for Up Down 1 2 display mode ...

Page 125: ...FLEX M mode an M mode image is reconstructed from a 2D mode image Therefore it is not possible to change the gain of the M mode image independently of the 2D mode image 2 Length of the FLEX M cursor The length of the FLEX M cursor can be adjusted The length of the FLEX M cursor corresponds to the vertical axis scale of the M mode image display area 3 The FLEX M cursor length displayed on the switc...

Page 126: ...on can be displayed in CDI mode Press to display images in CDI mode 14 3 1 CDI display layout Example layout No Displayed item 1 Color transmission reception frequency 2 Color gain 3 Color PRF 4 Color filter 5 Color flow velocity range 6 Color bar 7 Color focus mark ...

Page 127: ...No 2B771 004EN M 14 21 14 3 2 Adjustment using the main panel Displaying images in color Color mode Power mode Dynamic flow high resolution Doppler mode ...

Page 128: ... and color images simultaneously Press this switch to start the mode that displays real time monochrome and color images simultaneously in dual display mode Adjusting the flow velocity range To adjust the flow velocity range use the Scale knob NOTE Decreasing the scale control may allow more low velocity signals from moving tissues to be introduced thereby potentially lowering the Color Doppler ve...

Page 129: ...rom CDI mode to PW mode to ON OFF Used to reverse colors Used to select the color mode display type Sets the color display optimization function to ON OFF Used to automatically turn OFF ApliPure processing for the 2D image in the background in color mode Used to adjust the degree of reduction of motion artifacts Used to adjust the sensitivity for low velocity blood flow Used to correct the angle r...

Page 130: ...ed to select the transmission reception frequency Used to adjust the angle for oblique scanning in color mode Used to adjust the frame interpolation Used to adjust the spatial smoothness of the image Used to adjust the motional smoothness of the image Used to adjust the color monochrome balance Used to adjust the color focus position Used to move the baseline 0 Hz line vertically Available when a ...

Page 131: ...ion for the blood flow can be displayed in Power Angio mode Press to display images in Power Angio mode 14 4 1 Power Angio display layout Refer to subsection 14 3 1 CDI display layout 14 4 2 Adjustment using the main panel Refer to subsection 14 3 2 Adjustment using the main panel ...

Page 132: ... OFF within the ROI Used to set simultaneous display of Power and PW images at the time of switching from Power to PW mode to ON OFF Sets the color display optimization function ON OFF Used to reverse colors Used to correct the angle relative to the Doppler beam Used to adjust the degree of reduction of motion artifacts Used to adjust the sensitivity for low velocity blood flow Used to adjust the ...

Page 133: ...ct the type of low cut filter Used to adjust the frame interpolation Used to adjust the smoothness of image motion Used to adjust the spatial smoothness of the image Used to select the transmission reception frequency Used to adjust the color focus position Used to adjust the Power image color Used to adjust the color monochrome balance Available when a linear transducer is selected ...

Page 134: ... resolution in Dynamic Flow mode Press to display images in ADF mode The color transmission reception frequency is displayed as DF 14 5 1 Dynamic Flow display layout Refer to subsection 14 3 1 CDI display layout 14 5 2 Adjustment using the main panel Refer to subsection 14 3 2 Adjustment using the main panel ...

Page 135: ...Used to reverse colors Turns the M D cursor display ON OFF in single display mode Displays monochrome and color images simultaneously in real time Used to correct the angle relative to the Doppler beam Used to adjust the sensitivity for low velocity blood flow Used to change the width of the sampling gate Used to adjust the color of the images Used to adjust the color image quality and number of f...

Page 136: ... of the image Used to adjust the color focal position Used to adjust the velocity scale Used to adjust the angle for oblique scanning in ADF mode Used to adjust the low cut filter Used to select the transmission reception frequency Available when a linear transducer is selected ...

Page 137: ...tissues in living organisms It can be used to detect abnormal wall motion caused by symptoms such as myocardial infarction Perform the following to display the TDI screen 14 6 1 TDI display layout Refer to subsection 14 3 1 CDI display layout 14 6 2 Adjustment using the main panel Refer to subsection 14 3 2 Adjustment using the main panel ...

Page 138: ...rect the angle relative to the Doppler beam Used to change the width of the sampling gate Used to adjust image colors Used to adjust sensitivity for low velocity tissues Used to adjust the degree of reduction of motion artifacts Used to adjust the color image quality and the number of frames Used to adjust velocity scale of tissues Used to select transmission reception frequency Used to adjust the...

Page 139: ...No 2B771 004EN M 14 33 Menu Function Used to adjust the motional smoothness of the image Used to adjust the color monochrome balance Used to adjust the color focus position ...

Page 140: ...ler display layout Example layout No Displayed item 1 MI value 2 Transducer information 3 2D frequency 4 Frame rate 5 2D gain 6 2D dynamic range 7 Doppler angle PW only 8 Doppler gate size 9 Doppler gate position 10 PW CW Doppler velocity scale 11 Time scale 12 PW CW Doppler gain PRF Filter ...

Page 141: ...No 2B771 004EN M 14 35 14 7 2 Adjustment using the main panel Displaying the Doppler mode PW pulsed wave Doppler screen 2D PW display CW continuous wave Doppler screen 2D CW display ...

Page 142: ...e width 2 Sampling marker 2D CW mode Position the marker at the target location using the trackball Adjusting the angle Use the Angle Corr knob to align the angle correction mark with the blood flow direction Note that the velocity scale is calculated automatically In addition this operation can also be performed in Freeze mode Adjusting the baseline Use the D Baseline knob to adjust the baseline ...

Page 143: ... Doppler velocity range DOP Scale Doppler baseline shift D Baseline Changing the display layout This switch can be used to cycle through the available display layouts Each time the switch is pressed the display layout changes to the next one in a predetermined order Pressing on the touch panel allows the display layout to be selected directly from the pull down menu Full available only when the im...

Page 144: ...displayed in Doppler mode Used to select which modes Quick scan is enabled for when Q Scan is pressed B Only Quick scan is enabled only for 2D mode D Only Quick scan is enabled only for Doppler mode Sync BD Quick scan is enabled for both 2D mode and Doppler mode when both 2D mode and Doppler mode real time images are displayed NonSync BD Quick scan is enabled only for Doppler mode when both 2D mod...

Page 145: ...gle settings 0 20 30 OFF PW steering angle settings 0 10 20 30 Used to reverse the velocity direction automatically according to the angle of CDI or Doppler steering Specify whether or not the steering direction relative to the center from right to left or from left to right the color velocity range the Doppler velocity range and the Doppler Angle Corr mark are reversed when steering is performed ...

Page 146: ...hen the baseline is above the center the waveform below the baseline is traced Used to adjust the PW Doppler range gate size Used to adjust the Doppler sound volume ON Turning the dial adjusts the balance OFF Turning the dial adjusts the sound volume Used to correct the angle relative to the Doppler beam Used to adjust the image color Used to adjust the sweep speed of the Doppler image Used to adj...

Page 147: ... M 14 41 Switch Function Used to reduce low velocity noise Used to select the transmission reception frequency Used to adjust the angle for oblique scan in Doppler mode Available when a linear transducer is selected ...

Page 148: ...nabled for both 2D mode and Doppler mode when both 2D mode and Doppler mode real time images are displayed NonSync BD Quick scan is enabled only for Doppler mode when both 2D mode and Doppler mode real time images are displayed Used to specify the length of viewing time used for calculating the velocity range and baseline value for Q Scan Short Middle or Long can be selected Used to specify the wa...

Page 149: ...t the threshold for Doppler tracing The tracing result varies depending on the threshold setting Used to adjust the temporal smoothness of the Doppler auto trace line with respect to the waveform The tracing result varies depending on the setting Used to adjust the image color Used to adjust the sweep speed of the Doppler image Used to move the baseline 0 Hz line vertically Used to adjust the Dopp...

Page 150: ...nd edited This function is called Cine Cine images are cleared by turning OFF the power or unfreezing the frozen image 15 2 Cine Operations Press to freeze the image The icon is displayed in the trackball function area Frame by frame playback mode For M mode or Doppler mode images scroll playback is performed instead of frame by frame playback ...

Page 151: ...ck from the cine memory The auto data displayed on an image played back from the cine memory reflects the values at the time at which the image was frozen Note this when you save an image 3 Images in the cine memory may be lost due to setting changes The necessary data should be recorded on storage media such as an HDD using the Clips function or other means as required 4 Up to 2700 image frames c...

Page 152: ...ion 11 Setting the Presets in the operation manual Measurements volume 1 Whether or not the body mark is copied from the previous mode when dual display mode is entered 2 Whether or not the body mark is deleted at the time of unfreezing 16 1 Body Mark Entry Mode Press to enter Body mark entry mode The body mark menu is displayed on the touch panel To exit from Body mark entry mode press again Disp...

Page 153: ...wo or more tabs press the tab for the desired page Moving and rotating the transducer mark on the body mark 1 Moving the transducer mark Operate 2 Rotating the transducer mark Rotate The palm dial around the trackball can be used while the image is frozen The transducer mark is not displayed depending on Exam Type Moving the body mark 1 Press the knob next to 2 Operate to move the body mark 3 Pres...

Page 154: ...1 004EN M 16 3 Deleting the body mark Press In dual display To delete the body mark only in the active frame indicated by Press To delete the body mark in both frames Press the knob next to Dual image display ...

Page 155: ... the initial position at the time of mode switching 2 Whether or not the comments are deleted at the time of unfreezing 3 Shape of the cursor in annotation input mode I cursor or arrow cursor 17 1 Entering Comment Entry Mode Press or The cursor is displayed on the screen and the annotation menu is displayed on the touch panel Press or a second time to exit Comment entry mode To change the diagnost...

Page 156: ...r entry 1 Entering a comment by selecting an item from the menu registered in the touch panel 2 Entering a comment directly from the keyboard The character size can be adjusted using the knob of the switch before entering characters ...

Page 157: ...Enter the characters from the keyboard Pressing the key on the keyboard toggles between insert mode and overwrite mode 3 When the cursor is moved the changes are set and the new comment is displayed in white Moving a selected comment 1 Place the cursor on the displayed comment The comment turns yellow 2 Press The comment is enclosed in a frame 3 Move the comment using 4 Press to set the position M...

Page 158: ...sing 3 The position is set when is released Move the cursor slightly The comment turns white and is set Deleting a comment or arrow 1 Use to move the cursor onto the text or arrow to be deleted The text or arrow turns yellow 2 Press or press on the keyboard Deleting all comments or all arrows Press or press and on the keyboard at the same time ...

Page 159: ...pter other than that specified is used c The biopsy adapter is mounted incorrectly d A biopsy needle that is unsuitable for biopsy is used e A biopsy needle that does not match the biopsy adapter is used f The operator continues the biopsy procedure when the image is frozen g The operator does not correctly observe the location of the needle tip h The selected needle mark angle does not match the ...

Page 160: ...y procedure may not always be successful due to dispersion of the ultrasound beam especially for a tubule or a very small structure To avoid failure of the biopsy procedure observe the following precautions a Do not rely solely on the echo of the needle tip on the image Pay careful attention to the target which should shift slightly when the biopsy needle comes into contact with it b Perform biops...

Page 161: ...80 106 PLT 604AT PLT 704AT PLT 704SBT Product name TOSIHBA TG 3 Bracket 1 Product No 680 087 Product name Ultra Pro TM Replacement Kit 2 Product No 610 608 TG 3 39 51 Product name Reusable Starter Kits 3 Product No 680 107 PLT 1204BT PLT 1204BX Product name TOSIHBA TG 4 Bracket 1 Product No 680 088 Product name Ultra Pro TM Replacement Kit 2 Product No 610 608 TG 4 37 Product name Reusable Starter...

Page 162: ...roduct No 680 114 PVT 745BTH 10 UAGV 034A UAGV 034A 60 60 PVT 745BTV UAGV 029A UAGV 029A 44 75 PVT 770RT UAGV 023A UAGV 023A 93 Product name Reusable Bracket 8 Product No 680 093 Replacement Kit 9 Product No 680 092 680 093 91 PVT 781VT UAGV 035A UAGV 035A 91 1 2 3 5 6 7 8 9 Manufactured by CIVCO Medical Solutions The following must be used in combination 1 and 2 5 and 6 8 and 9 The kits marked 3 ...

Page 163: ...No 2B771 004EN M 18 5 18 2 Needle Mark Display and Angle Change Procedures ...

Page 164: ...and needle mark angle on the image Pressing the same knob again clears the display Display example NOTE The Biopsy Guide can be displayed only when the scan range is 100 Confirm that the scan range is 100 before pressing the Biopsy Guide knob Changing the needle mark size The thickness of the needle mark can be selected using the knob next to this switch S M L ...

Page 165: ...rk display for the PVT 382BT The PVT 382BT supports two types of biopsy adapters but the same needle mark is displayed for both of them In addition the biopsy adapter name that is displayed at the top of the screen when the needle mark is displayed is UAGV 027A regardless of which biopsy adapter is used Needle mark display for the PVT 745BTH The biopsy adaptor UAGV 034A can be mounted on the right...

Page 166: ...the needle mark is displayed For a transducer with two types of display angles rotating the knob displays the angles that can be selected in the setting value display area The Biopsy Guide knob is disabled while the image is frozen If a transducer other than one supporting biopsy procedures is connected Biopsy Guide is not displayed ...

Page 167: ...he USB USB flash drive Server DICOM server 2 The entire screen not only the image display area is stored When optical media or a server is selected as the destination the same images are also stored in the HDD NOTE 1 is displayed at the bottom of the screen while still images are being stored in the HDD 2 If the system fails while still images are being stored the following error message is displa...

Page 168: ...No 2B771 004EN M 19 2 19 2 Storing a Dynamic Image Press to store a dynamic image There are two methods for storing a dynamic image Snapshot Clips and Cine Clips ...

Page 169: ...ggled between R R number of cardiac cycles and Time seconds 4 This knob is used to specify the number of preceding seconds for an image that is stored when CLIPS STORE is pressed 5 The image acquisition frame rate can be selected Frame rates of 60 Hz 30 Hz and 15 Hz can be selected 6 The specified dynamic image is stored together with the raw data Dynamic images with raw data are used for analysis...

Page 170: ...19 2 2 Snapshot Clips There are two modes for Snapshot Clips Retrospective and Prospective The mode can be selected using Clips Mode on page 2 2 of the PIMS menu Retrospective storage Maximum image storage period 70 seconds ...

Page 171: ...The data for the period shown below is stored even when the depth Color ROI position or other condition is changed during image acquisition Data for the period specified by Range Period from the start of image acquisition to the timing when is pressed for the second time or when is pressed ...

Page 172: ...to Cine Storing image data for which gain depth and or other image quality conditions have been adjusted after freezing After editing the cine image data is automatically played back in a loop and stored If the image quality conditions for the cine image data have not been adjusted the image is stored by Snapshot Clips Storing image data for the specified cine loop range Retrospective mode only ...

Page 173: ...volume of stored data with raw data exceeds approximately 300 MB during retrospective storage one of the following messages is displayed a When the HDD is set as the recording destination Less than 500 MB Large Raw Data Storing will take 20 seconds or more Less than 700 MB Large Raw Data Storing will take 30 seconds or more Less than 1024 MB Large Raw Data Storing will take 40 seconds or more 1024...

Page 174: ...tion manual Applications volume for details 19 4 Displaying Saved Images Use Exam Review to display the saved images Exam Review displays the images that are saved on the HDD provided that the patient information for these images has been entered in the patient information registration screen It also displays the previous images selected using the Patient Browser by pressing the View switch Refer ...

Page 175: ...t to arrange for periodic inspection and cleaning by TOSHIBA service personnel in order to ensure reliable system operation If you have any questions concerning preventive maintenance or preventive maintenance contracts contact your TOSHIBA service representative CAUTION 1 If preventive maintenance is performed by the user special care must be taken to ensure safety 2 If any abnormality of the sys...

Page 176: ... or peripheral units an electric shock may occur CAUTION Do not use solvents such as paint thinner benzine or alcohol or abrasive cleansers to clean the system These substances may cause deterioration or discoloration of the system Cleaning the transducer Clean disinfect and sterilize the transducer referring to the operation manual provided with the transducer Cleaning the transducer holder and g...

Page 177: ...monitor CAUTION 1 Do not hit or apply excessive force to the LCD screen during cleaning Doing so may damage the monitor 2 Never use a stiff or hard cloth to clean the monitor Doing so may damage the monitor cover or LCD screen 3 Do not allow liquid droplets to remain on the LCD screen The droplets may cause small stains when they dry or may enter the LCD screen possibly resulting in failure a Moni...

Page 178: ...oth moistened with water or neutral detergent and then tightly wrung out Cleaning the system main panel and transducer connector a Wipe the system using a soft cloth moistened with mild detergent b Clean around the switches or keys on the main panel using cotton buds c Wipe the transducer connector with a soft dry cloth If it is difficult to remove all the stains with a dry cloth use a soft cloth ...

Page 179: ... be careful when removing the dial b Remove the ball carefully and place it in a cardboard box or other suitable container to prevent it from dropping c Clean the ball and ball bearings being sure to remove all dirt and foreign matter CAUTION Do not touch the encoding rollers If foreign matter has adhered to the encoding rollers contact your TOSHIBA service representative ...

Page 180: ...e trackball assembly and then place the dial over it e The arrows on the dial should be in the position shown below CAUTION Set the dial so that it is properly seated If the ring is locked with the dial not properly seated the palm switch may be damaged ...

Page 181: ...fter the power is turned ON Cleaning the air filters Check and clean the air filters to prevent overheating of the system or a reduction in system performance reliability due to clogging of the filters a Remove the air filters 3 locations b Remove all dust from the filters using a vacuum cleaner at a location away from the system c Remount the air filters CAUTION Do not boot up the system while th...

Page 182: ...ective gloves Wear new sterile protective gloves each time disinfection is performed 2 Do not disinfect the system using a method or chemical other than those specified in this manual The system may not be disinfected properly or the surface of the system may deteriorate or become discolored 3 After chemical disinfection dry the surface of the system fully 4 The efficacy of the disinfectants is no...

Page 183: ...o the documentation provided with the peripheral devices Cables Procedures for disinfecting Perform the disinfection work according to the instructions by someone with a professional knowledge of disinfection a Turn the system power OFF and disconnect the power cable plug from the outlet of the facility b Wear protective gloves to prevent infection Wear new sterile protective gloves each time disi...

Page 184: ...u This system is provided with a Maintenance menu that supports maintenance and management by the user Use this Maintenance menu as required CAUTION Do not use the Maintenance menu during an examination The Maintenance menu must be opened before a patient ID is registered after system power ON or after an examination is terminated by pressing in the Patient Registration menu Submenu name Function ...

Page 185: ...No 2B771 004EN M 20 11 20 3 5 Backing up the customer specific data Backup Displaying the Backup menu CAUTION Do not remove the backup media from the drive while the media is being accessed ...

Page 186: ...2B771 004EN M 20 12 Steps NOTE When backup is completed a new folder named according to the current time is created All the files are backed up in this folder with the folder structure remaining as before ...

Page 187: ...e Special characters in folder name Please Change Special characters have been entered in the folder name BurnDirect operation failed for destination CD There is not enough capacity in the backup media BurnDirect operation failed for destination CD CD R DVD is not inserted in the drive BurnDirect operation failed for destination CD CD R DVD in the drive is in use NOTE The following special charact...

Page 188: ...eral units Appearance of the transducer 1 year Checking recording images Images in each mode Images acquired using a standard transducer 1 year 20 5 Periodically Replaced Parts and Consumable Parts The parts used in this equipment have a long service life However to maintain the safety specifications and performance of the system periodic replacement of some parts batteries for system power backup...

Page 189: ...osal of the system is required contact your TOSHIBA service representative WARNING This system and its parts should be disposed of as industrial waste material When disposing of them all applicable laws and regulations must be observed and a certified waste disposal contractor must handle the disposal work CAUTION Be sure to delete all data stored on disks and other media before disposal to ensure...

Page 190: ...ges are still not displayed confirm that the transducer is connected to the transducer connector correctly or use a different transducer An error dialog error message is displayed and the operation is disabled Turn the power of the system OFF and then ON referring to section 9 Turning the Power ON OFF CAUTION 1 Do not disconnect the power plug while the system is starting up Doing so may cause the...

Page 191: ...r at least 15 seconds before turning the power ON again If the main power switch is turned ON immediately after the power has been turned OFF the system may malfunction 4 If the power of the system is turned OFF suddenly by a power outage etc the LED on the side of the system may flash In this case turn OFF the main power switch on the power panel Before turning ON the power again confirm that the...

Page 192: ...External dimensions not including optional units 580 20 mm width 1390 30 mm to 1790 50 mm height 890 30 mm to 1010 30 mm depth Mass not including optional units Approximately 145 kg 23 2 Essential Performance of This System Functions described in sections 11 14 15 and 18 and measurement function ...

Page 193: ...ents 1 General EN 60601 1 2006 2 Collateral EN 60601 1 2 2007 3 Particular EN 60601 2 37 2008 USA 1 General IEC 60601 1 1988 Amd 1 1991 Amd 2 1995 UL 60601 1 2003 R6 03 2 Collateral IEC 60601 1 1 2000 IEC 60601 1 2 2001 Amd 1 2004 IEC 60601 1 4 1996 Amd 1 1999 3 Particular IEC 60601 2 37 2001 Amd 1 2004 Amd 2 2005 Other Regions 1 General IEC 60601 1 1988 Amd 1 1991 Amd 2 1995 2 Collateral IEC 6060...

Page 194: ...YPE B APPLIED PARTS PCG pulse 3 According to the degree of protection against harmful ingress of water IPX0 enclosed EQUIPMENT without protection against ingress of water However the footswitch is IPX8 4 According to the degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE EQUIPMENT not suitable for use in the presence of a FLAMM...

Page 195: ...cm s2 8 M distance Up to 280 mm 5 or 1 mm if below 20 mm Slope Up to 1000 mm s 8 Range of Applicability of the Accuracy Specifications These measurements will satisfy the accuracies stated above over the entire selected field of view The accuracy stated is either the measured value or the calculated value for worst case conditions It should be noted however that the above values are not guaranteed...

Page 196: ...hese two kinds of effects are represented by indices the MI Mechanical Index and the TI Thermal Index respectively 3 MI TI values The smaller the MI TI values the less the bioeffects 4 Controlling the ultrasound output In 1976 the FDA in the USA established limits to the acoustic output level for diagnostic ultrasound equipment TRACK1 along with the rapid advance in diagnostic ultrasound technolog...

Page 197: ...nergy level is controlled below a low enough level at which bioeffects are not generated while diagnostic information is being accumulated The total energy is controlled by output intensity and total radiation time The output intensity necessary for examinations differs depending on the patient and the clinical case CAUTION It is strictly required that acoustic output be set based on the ALARA As ...

Page 198: ...dex Soft Tissue is related to heating in abdominal cardiac and peripheral vascular applications TIB Thermal Index Bone is related to bone heating which may be of particular importance in fetal applications TIC Thermal Index Cranial is related to heating in adult cephalic applications 3 Displayed MI TI values Accuracy The MI and TI values are determined and displayed based on the measured acoustic ...

Page 199: ...focal position Transmission frequency PRF Frame rate Acoustic power 2 Scan conditions Scan width Number of scanning lines 3 Control switches affecting MI TI a Switches on the main panel 2D ADF CDI POWER PW CW M DEPTH ZOOM ACOUSTIC POWER SET NEXT b Switches displayed in 2D mode 2D Steer ApliPure Freq Focus Focal Type Scan Range THI Type Frame Rate c Switches displayed in CDI POWER and ADF modes Sca...

Page 200: ...st important factor for controlling ultrasound output The permissible level of intensity of ultrasound differs depending on the region of interest For fetal examinations in particular much care must be exercised For this reason the switch must be used to reset the parameters for each new patient and the Preset menu must be used to select the settings appropriate for each new region of interest In ...

Page 201: ... any transducer system combination will remain below the FDA Federal Food and Drug Administration limit of 720 mW cm 2 Ispta and either 1 9 MI or 190 W cm 2 Isppa For additional information on bioeffects beyond that contained in this labeling contact your TOSHIBA service representative As further information becomes available on the potential for bioeffects these displays may change 24 1 6 Reminde...

Page 202: ...d pressure Pwater Pressure measured in a water tank at distance z fc Center frequency of the ultrasound wave as measured in water z Distance from the transducer Since the intensity is proportional to the square of the pressure the above two equations are analogous to each other Although the attenuation coefficient chosen 0 3 dB cm MHz is significantly lower than any specific solid tissue in the bo...

Page 203: ...y the Mechanical Index was derived to indicate the relative possibility of mechanical cavitation effects The MI is based on the derated peak rarefactional pressure and the center frequency of the ultrasound wave refer to subsection 24 2 2 MI TI display description The actual peak rarefactional pressure is affected by the actual attenuation caused by tissue in the path between the transducer and th...

Page 204: ...he other is the effects due to thermal energy generated when tissues absorb ultrasound The levels of these two kinds of effects are represented by indices the MI Mechanical Index and the TI Thermal Index respectively 3 MI TI values The smaller the MI TI values the less the bioeffects 4 Controlling the ultrasound output In 1976 the FDA in the USA established limits to the acoustic output level for ...

Page 205: ...nergy level is controlled below a low enough level at which bioeffects are not generated while diagnostic information is being accumulated The total energy is controlled by output intensity and total radiation time The output intensity necessary for examinations differs depending on the patient and the clinical case CAUTION It is strictly required that acoustic output be set based on the ALARA As ...

Page 206: ... which may be of particular importance in fetal applications TIC Thermal Index Cranial is related to heating in adult cephalic applications 3 Displayed MI TI values Accuracy The MI and TI values are mean values that are determined and displayed based on the measured acoustic power data The displayed label names have m as the last character such as MIm and TISm The system also has other index value...

Page 207: ... focal position Transmission frequency PRF Frame rate Acoustic power 2 Scan conditions Scan width Number of scanning lines 3 Control switches affecting MI TI a Switches on the main panel 2D ADF CDI POWER PW CW M DEPTH ZOOM ACOUSTIC POWER SET NEXT b Switches displayed in 2D mode 2D Steer ApliPure Freq Focus Focal Type Scan Range THI Type Frame Rate c Switches displayed in CDI POWER and ADF modes Sc...

Page 208: ...st important factor for controlling ultrasound output The permissible level of intensity of ultrasound differs depending on the region of interest For fetal examinations in particular much care must be exercised For this reason the switch must be used to reset the parameters for each new patient and the Preset menu must be used to select the settings appropriate for each new region of interest In ...

Page 209: ... should practice ALARA As Low As Reasonably Achievable with respect to these indices The absolute maximum acoustic intensity with any transducer system combination will remain below the FDA Federal Food and Drug Administration limit of 720 mW cm 2 Ispta and either 1 9 MI or 190 W cm 2 Isppa For additional information on bioeffects beyond that contained in this labeling contact your TOSHIBA service...

Page 210: ...e acoustic exposure to the patient These controls should be understood by the user and their effects should be observed prior to the performance of examinations 24 2 7 Measurement uncertainty and precision The total estimated measurement uncertainty where the total uncertainty includes the uncertainties in hydrophone response measurement calculation and positioning are Expanded uncertainty Ispta 1...

Page 211: ...d pressure Pwater Pressure measured in a water tank at distance z fc Center frequency of the ultrasound wave as measured in water z Distance from the transducer Since the intensity is proportional to the square of the pressure the above two equations are analogous to each other Although the attenuation coefficient chosen 0 3 dB cm MHz is significantly lower than any specific solid tissue in the bo...

Page 212: ... formula described above which is much lower that the actual value for most tissues within the body Scanning through muscle or organ tissue for example will produce much higher attenuation than 0 3 dB cm MHz There were also significant simplifications made for the thermal properties of tissue Therefore scanning through highly perfused tissue such as the heart or vasculature will produce significan...

Page 213: ...fety of Diagnostic Ultrasound issued by AIUM in 1993 4 Medical Ultrasound Safety issued by AIUM in 1994 5 Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers issued by FDA in 2008 6 Guide to the expression of uncertainty in measurement issued by ISO in 1995 7 World Federation for Ultrasound in Medicine and Biology WFUMB Conclusions and Recomme...

Page 214: ...system uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class B This system is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for dome...

Page 215: ...e that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 s 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 s ...

Page 216: ...mpliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people NOTE 3 Do not use cables or parts other than those...

Page 217: ... 800 MHz to 2 5 GHz P 3 2 d 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the tr...

Page 218: ...or reassemble the software 5 You must not assign disclose transfer or sublicense the software or documents to a third party 6 The software is subject to the U S and Japanese Export Administration Laws and Regulations and you must not export or re export the software in whole or in part unless properly authorized by the U S or Japanese government 7 The information in the documents or programs in th...

Page 219: ... 1 OVERVIEW a Software The software includes desktop operating system software This software does not include Windows Live services Windows Live services are available from Microsoft under a separate agreement 2 USE RIGHTS a Use The software license is permanently assigned to the device with which you acquired the software That device is the licensed device You may use the software on the licensed...

Page 220: ...While the software is running you may use its fonts to display and print content You may only embed fonts in content as permitted by the embedding restrictions in the fonts and temporarily download them to a printer or other output device to print content f Icons images and sounds While the software is running you may use but not share its icons images sounds and media 4 POTENTIALLY UNWANTED SOFTW...

Page 221: ... your device Your device may not have the drivers needed to communicate with that hardware If so the update feature of the software can obtain the correct driver from Microsoft and install it on your device Web Content Features Features in the software can retrieve related content from Microsoft and provide it to you Examples of these features are clip art templates online training online assistan...

Page 222: ...try to gain unauthorized access to any service data account or network by any means 6 VALIDATION a Validation verifies that the software has been activated and is properly licensed It also verifies that no unauthorized changes have been made to the validation licensing or activation functions of the software Validation may also check for certain malicious or unauthorized software related to such u...

Page 223: ...disclose the results of any benchmark test of those components provided that you comply with the conditions set forth at go microsoft com fwlink LinkID 66406 Notwithstanding any other agreement you may have with Microsoft if you disclose such benchmark test results Microsoft shall have the right to disclose the results of benchmark tests it conducts of your products that compete with the applicabl...

Page 224: ...eeable risk of injury or death to any person This includes operation of nuclear facilities aircraft navigation or communication systems and air traffic control 17 THIRD PARTY PROGRAMS The software contains third party programs The license terms with those programs apply to your use of them 18 NO WARRANTIES FOR THE SOFTWARE The software is provided as is You bear all risks of using it Microsoft giv...

Page 225: ...oftware and support services 22 APPLICABLE LAW a United States If you acquired the software in the United States Washington state law governs the interpretation of this agreement and applies to claims for breach of it regardless of conflict of laws principles The laws of the state where you live govern all other claims including claims under state consumer protection laws unfair competition laws a...

Page 226: ... by the terms of the end user license agreement and prohibit lending leasing sublicensing or pledging of the Integrated Products by end user d Include a statement substantially similar to the following Product s provided under this Agreement contain portions of program code owned and copyrighted by Pegasus Imaging Corporation Tampa Florida support jpg com 2003 ALL RIGHTS RESERVED and provided unde...

Page 227: ... The name of Intel Corporation may not be used to endorse or promote products derived from this software without specific prior written permission This software is provided by the copyright holders and contributors as is and any express or implied warranties including but not limited to the implied warranties of merchantability and fitness for a particular purpose are disclaimed In no event shall ...

Page 228: ...EQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES LOSS OF USE DATA OR PROFITS OR BUSINESS INTERRUPTION HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY WHETHER IN CONTRACT STRICT LIABILITY OR TORT INCLUDING NEGLIGENCE OR OTHERWISE ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE Mesa 3 D graphics library Vers...

Page 229: ...urnished to do so subject to the following conditions The above copyright notice and this permission notice shall be included in all copies or substantial portions of the Materials THE MATERIALS ARE PROVIDED AS IS WITHOUT WARRANTY OF ANY KIND EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT IN NO EVENT SHALL THE ...

Page 230: ...No 2B771 004EN M 27 1 27 Indication of Year of Manufacture The year of manufacture is shown on the label attached on the rear of the system ...

Page 231: ...No 2B771 004EN M A 1 ...

Page 232: ...Directive 93 42 EEC EC REP Zilverstraat 1 2718 RP Zoetermeer The Netherlands TOSHIBA MEDICAL SYSTEMS EUROPE B V Unauthorized modification of the product or configuration invalidates the CE Marking For other countries please contact your local distributor 1385 SHIMOISHIGAMI OTAWARA SHI TOCHIGI KEN 324 8550 JAPAN LEGAL MANUFACTURER E ...

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