DW-PF522 User Manual
DW-PF522 User Manual
DW-PF522 User Manual
CONTENT
CHAPTER 1 OVERVIEW.....................................................................................................................................- 6 -
1.1 FEATURES..........................................................................................................................................................- 8 -
1.2 SCOPE OF APPLICATION.................................................................................................................................... - 8 -
1.3 CONTRAINDICATIONS........................................................................................................................................- 8 -
1.4 SAFETY REQUIREMENT.....................................................................................................................................- 8 -
1.5 ENVIRONMENTAL TESTING REQUIREMENTS..................................................................................................... - 8 -
1.6 SOUND OUTPUT DATA PUBLISHED..................................................................................................................... - 9 -
1.7 SECURITY ID.....................................................................................................................................................- 9 -
CHAPTER 2 FUNCTIONS AND SPECIFICATIONS..................................................................................... - 13 -
2.1 MAIN FUNCTIONS........................................................................................................................................... - 13 -
2.2 MAIN SPECIFICATIONS.................................................................................................................................... - 13 -
CHAPTER 3 ENVIRONMENTAL AND ELECTROMAGNETIC COMPATIBILITY REQUIREMENTS- 15
-
3.1 ENVIRONMENTAL REQUIREMENTS..................................................................................................................- 15 -
3.2 TRANSPORT AND STORAGE ENVIRONMENT REQUIREMENTS...........................................................................- 15 -
3.3 ELECTROMAGNETIC TABLE.............................................................................................................................- 15 -
CHAPTER 4 APPARATUS INSTALLATION...................................................................................................- 19 -
4.1 INSPECTION..................................................................................................................................................... 22
4.2 PROBE INSTALLATION..................................................................................................................................... - 20 -
4.3 INSTALLATION OF EXTERNAL VIDEO DEVICE.................................................................................................. - 20 -
4.4 PROTECTIVE GROUND WIRE CONNECTION......................................................................................................- 20 -
4.5 POWER CONNECTION...................................................................................................................................... - 20 -
CHAPTER 5 OPERATING INSTRUCTIONS..................................................................................................- 22 -
5.1 SWITCH ON......................................................................................................................................................- 22 -
5.2 SWITCH OFF.................................................................................................................................................... - 22 -
5.3 KEYBOARD LAYOUT:.......................................................................................................................................- 22 -
5.4 FUNCTION KEY DESCRIPTION..........................................................................................................................- 22 -
5.5 COMBINATION KEY FUNCTION DESCRIPTION.................................................................................................. - 24 -
5.6 SPECIFIC OPERATION INTRODUCTION.............................................................................................................- 25 -
5.7 SPECIFIC OPERATION INSTRUCTION................................................................................................................ - 27 -
CHAPTER 6 DISPLAY MODE...........................................................................................................................- 36 -
6.1 B MODE(DEFAULT MODE).......................................................................................................................... - 36 -
6.2 B/B MODE....................................................................................................................................................... - 36 -
6.3 4B MODE.........................................................................................................................................................- 37 -
6.4 B/M MODE...................................................................................................................................................... - 38 -
6.5 M MODE.......................................................................................................................................................... - 39 -
6.6 B+C MODE(COLOR DOPPLER MODE)........................................................................................................- 40 -
6.7 PDI MODE....................................................................................................................................................... - 42 -
6.8 B+D MODE......................................................................................................................................................- 43 -
6.9 B+C+D MODE.................................................................................................................................................- 44 -
6.10 PWD MODE...................................................................................................................................................- 45 -
6.11 CWD MODE/ CONTINUOUS WAVE DOPPLER (PRESET)................................................................................ - 46 -
CHAPTER 7 OPTIMIZE B MODE IMAGES.................................................................................................. - 47 -
7.1 USAGE OF B MODE......................................................................................................................................... - 47 -
7.2 CONVENTIONAL B MODE CHECK PROGRAM................................................................................................... - 47 -
7.3 B MODE TOP / SECONDARY MENU................................................................................................................... - 47 -
7.4 B MODE FUNCTION EXPLANATION AND ADJUSTMENT.................................................................................... - 48 -
7.5 OPTIMIZE B MODE.......................................................................................................................................... - 50 -
7.5.1 Depth adjustment............................................................................................................................- 50 -
7.5.2 Gain Control...................................................................................................................................- 50 -
7.5.3 Focus number................................................................................................................................. - 51 -
7.5.4 Frequency....................................................................................................................................... - 51 -
7.5.5 THI................................................................................................................................................. - 52 -
7.5.6 Dynamic range............................................................................................................................... - 52 -
7.5.7 Scan density....................................................................................................................................- 53 -
7.5.8 Grayscale........................................................................................................................................ - 53 -
7.6 B/M MODE ADJUSTMENT................................................................................................................................ - 54 -
7.7 M MODE ADJUSTMENT....................................................................................................................................- 54 -
CHAPTER 8 COLOR MODE IMAGE OPTIMIZATION.............................................................................. - 56 -
8.1 USAGE.............................................................................................................................................................- 56 -
For Love, Image the World -1-
Color Ultrasonic Diagnostic Apparatus User Manual
8.2 INTRODUCTION............................................................................................................................................... - 56 -
8.3 COLOR FLOW MODE (CFM) PARAMETERS ADJUSTMENT.............................................................................. - 56 -
8.4 OPTIMIZE COLOR FLOW................................................................................................................................. - 59 -
8.4.1 Activate color flow mode............................................................................................................... - 59 -
8.4.2 C Gain.............................................................................................................................................- 59 -
8.4.3 PRF................................................................................................................................................. - 60 -
8.4.4 Wall Filter....................................................................................................................................... - 60 -
8.4.5 Color scanning area........................................................................................................................- 60 -
8.4.6 Color invert.................................................................................................................................... - 61 -
8.4.7 C Speed..............................................................................................................................................- 61 -
8.4.8 Steer................................................................................................................................................- 62 -
8.4.9 Spatial Filter................................................................................................................................... - 62 -
8.4.10 Ensemble...................................................................................................................................... - 62 -
8.4.11 C Persist........................................................................................................................................- 63 -
8.5 POWER DOPPLER IMAGING (PDI MODE)................................................................................................. - 63 -
8.6 OPTIMIZE PW MODE...................................................................................................................................... - 64 -
8.6.1 PW mode parameter adjustment.................................................................................................... - 64 -
CHAPTER 9 OPTIMIZE COLOR DOPPLER IMAGES............................................................................... - 67 -
9.1 USAGE.............................................................................................................................................................- 67 -
9.2 TYPICAL APPLICATIONS - PW (PULSE WAVE) DOPPLER.................................................................................- 67 -
9.3 TYPICAL INSPECTION PROGRAM..................................................................................................................... - 67 -
9.4 SPECTRUM DOPPLER DISPLAY........................................................................................................................ - 68 -
9.4.1 Spectrum mode...............................................................................................................................- 68 -
9.4.2 Doppler sampling volume gate positioning................................................................................... - 68 -
9.4.3 PRF................................................................................................................................................. - 69 -
9.4.4 Angle correction............................................................................................................................. - 69 -
9.4.5 Steer................................................................................................................................................- 70 -
9.4.6 Wall Filter....................................................................................................................................... - 70 -
9.4.7 Baseline.......................................................................................................................................... - 70 -
9.4.8 Wave Invert.................................................................................................................................... - 71 -
9.4.9 Dual Synchronous / Triplex Synchronous..................................................................................... - 71 -
9.4.10 Volume..........................................................................................................................................- 72 -
9.4.11 D Velocity..................................................................................................................................... - 72 -
9.4.12 D Gain.......................................................................................................................................... - 72 -
9.4.13 Frequency..................................................................................................................................... - 72 -
CHAPTER 10 GENERAL MEASUREMENT AND VALCULATION.......................................................... - 73 -
10.1 DESCRIPTION................................................................................................................................................ - 73 -
10.2 OVERVIEW.....................................................................................................................................................- 73 -
10.3 CHECK WORKFLOW.......................................................................................................................................- 73 -
10.4 GENERAL MEASUREMENT............................................................................................................................ - 73 -
10.4.1 B mode general measurement...................................................................................................... - 73 -
10.4.2 Corresponding key and menu operating instructions:................................................................. - 73 -
10.4.3 Angle measurement......................................................................................................................- 74 -
10.4.4 Volume measurement................................................................................................................... - 75 -
10.4.5 B/M, M mode general measurement............................................................................................- 75 -
10.4.6 Heart Rate measurement.............................................................................................................. - 76 -
10.4.7 Valve Velocity Measurement........................................................................................................- 76 -
10.4.8 Corresponding key and menu operating instructions:................................................................. - 77 -
10.4.9 Spectrum / D General Measurement............................................................................................- 78 -
10.4.10 Time Measurement.....................................................................................................................- 78 -
10.4.11 HR Measurement........................................................................................................................- 79 -
10.4.12 Velocity Measurement................................................................................................................- 79 -
10.4.13 Acceleration Measurement.........................................................................................................- 79 -
10.4.14 D General Measurement............................................................................................................ - 80 -
10.4.15 Doppler Trace.............................................................................................................................- 80 -
10.4.16 Doppler Automatic Measurement.............................................................................................. - 81 -
10.5 SPECIALIST MEASUREMENT......................................................................................................................... - 81 -
10.5.1 Abdomen, General Measurement.................................................................................................- 82 -
10.5.2 Urology Measurement Operation................................................................................................ - 82 -
10.5.3 Liver Measurement...................................................................................................................... - 83 -
10.5.4 Gallbladder Measurement............................................................................................................ - 84 -
10.5.5 Gallbladder Wall Thickness Measurement.................................................................................. - 84 -
-2- For Love, Image the World
Color Ultrasonic Diagnostic Apparatus User Manual
Foreword statement
This publication, including all photographs and illustrations, is protected by international copying
laws and all copyrights are owned by Dawei Medical (Jiangsu) Co., Ltd.
The comments in this document don’t need to change. The manufacturer makes no representations
or warrants any warranties based on this point and expressly disclaims any implied warranties of
merchantability or interest for a particular purpose.
This document is prohibited to photocopied, reproduced or translated into other languages without
the the manufacturer’s written permission.
The contents of this document are subject to revision by the manufacturer without prior notice.
The device cannot be used with cardiac defibrillators and HF surgery equipment.
Some pictures in this manual are schematic diagrams, for reference only. If the pictures do not
match the actual objects, the actual ones shall prevail.
5. Dawei Medical (Jiangsu) Co., Ltd. is not responsible for damage caused by other equipment or by arbitrarily
connecting other equipment.
6. Dawei Medical (Jiangsu) Co., Ltd. is not responsible for loss, damage or injury caused by delaying service
request.
7. When problems occur of the machine during the warranty period, please contact Dawei Medical (Jiangsu) Co.,
Ltd., and indicate the model, serial number, date of purchase and nature of the problem.
Precautions
1. In order to ensure the safety of operation and long-term stability of equipment performance, please read this
instruction manual carefully before operating the equipment to fully understand the function, operation and
maintenance of the equipment. In particular, you must pay attention to the content of "warning", "caution" and
"attention" in the instruction manual.
2. Improper operation or failure of the user to follow the instructions of the manufacturer or its agent may result
in equipment damage or personal injury.
3. The following conventions are used throughout the instruction manual to indicate information that is
particularly emphasized.
◆“Warning”:Indicate that it would cause serious personal injury,
death,or actual property damage if ignored.
◆“Caution”: Indicate that it will cause minor personal injury or property damage if ignored.
◆“Attention”: This information is important to remind the user to install, operate or maintain information,
but it is not dangerous. Hazard warnings are not included in the attention.
General tips for device operation:
◆ In operation
1. Do not cover the cooling holes of the equipment.
2. Wait at least 2-3 minutes after shutting down before turning it on again.
3. In the scan, if abnormal conditions are found, stop scanning and shut down immediately.
4. It is strictly forbidden for the patient to touch any part of the non-application part of the device.
5. When using, do not press the keyboard panel excessively, otherwise the device may be damaged.
◆ After operation
2. Pull the plug out of the power outlet instead of pulling the cable.
3. Clean the gel on the probe with a soft medical sterile cotton ball.
The following safety precautions must be implemented taking into account the safety of the operator and the
patient and the reliability of the equipment:
1. Equipment is used by or under the direction of a qualified operator.
2.Do not change the equipment parameters. If necessary, please contact Dawei Medical (Jiangsu) Co., Ltd. or its
authorized agents to provide services.
3. The equipment has been adjusted to the best performance at the factory. Do not adjust any preset controls or
switches unless specified in the operating instructions.
4. If the equipment break down, please shut down immediately and contact Dawei Medical (Jiangsu) Co., Ltd. or
its authorized agent.
5. If other companies' electronic or mechanical need to be connected , please contact Dawei Medical (Jiangsu)
Co., Ltd. or its authorized agents before connecting.
Chapter 1 Overview
1.1 Features
The full-digital color Doppler ultrasound diagnostic apparatus is an advanced ultrasound imaging system based
on a combination of computer and ultrasound front-end advanced image processing technologies.
The full-digital color Doppler ultrasound diagnostic apparatus is not only applied to a variety of ultrasonic
diagnosis in conventional black and white images, but also to early high image quality diagnosis of cardiovascular
diseases in color Doppler.
In function, it has not only the general ultrasonic image scanning, measurement, calculation, display, query,
body mark, comment, print, medical records etc., but also can edit the corresponding inspection report and system
settings.Support the DICOM (Digital Imaging and Communication in Medicine) protocol, which is internationally
accepted medical imaging standards, accessible and easy access to data and information exchange, and can be used
as terminal access PACS (Picture Archiving and Communication System) network, PACS is a medical image
archiving and communication system, which greatly facilitates the hospital's modern network management system,
and also provides convenient for the expert to realize the remote diagnosis of the network.
The apparatus is multi-functional, easy to operate, support B, B / B, 4B, B / M, M, B / PWD, CFM, CDE, B /
CFM / D variety of display modes.
In terms of image display, the display adopts medical large-screen liquid crystal color display for image display,
no flicker, high image sensitivity, high resolution, rich gray scale, clear level, and environmental protection without
radiation. At the same time, the display can also be carried out: up and down adjustment, which greatly facilitates the
user.
1.2 Scope of Application
Suitable for ultrasound imaging of heart and abdominal organs and blood flow motion information collection.
1.3 Contraindications
This apparatus does not apply to the gas organs, such as: gastrointestinal, lung and other organs of the
examination. Burning, scalding or human body surface damage, this apparatus can not be used; other precautions see
the product manual.
1.7 Security ID
Apparatus identification instructions:
fragile
Temperature limit
up
Afraid of rain
Afraid of sunlight
to charge the battery. Waste batteries will cause environmental pollution. Please recycle the batteries properly.
12. The power adapter must not be disassembled. The fault should be repaired by a professional. The charging
output can only be used to charge the battery in the standard configuration of the instrument. Charging other
batteries may cause explosion, fire, and other unintended dangers.
13. The adapter output must not be short-circuited. Long-term short-circuiting can damage the adapter.
14. Ultrasound may cause harm to the human body and prolonged exposure should be avoided.
15. To reduce the risk of use, use a randomly configured power cord.
16. Dawei Medical (Jiangsu) Co., LTD. is not responsible for any risks caused by the user's own disassembly
and modification.
Caveat:
Ultrasound is safe under low acoustic power conditions, and its safety is not fully confirmed in the case of
high acoustic power and long-time ultrasound irradiation, so be careful when operating, use the lowest
acoustic power and the shortest time.
User operations affecting the range of ultrasound emission:
1. Focus depth: The user changes the depth of focus and the pulse frequency also changes.
2, select the probe: change the transducer impact ultrasound emission range. A new transducer will have
different acoustic characteristics, emitting different audio signals and different acoustic power.
3. Freeze: start/stop ultrasound images, so start/stop ultrasound irradiation.
4. scanning angle: change the width of the scanning area.
5. Focus: Change the position of the emission focus area.
6. Display modes (B, 2B, 4B, B/M, M, PW, B+C, B+D, B+C+D, PDI, BC+B, or B+BC) change the image
mode.
Caveat:
To avoid harmful interference with other equipment in the environment, keep the probe in a frozen state
when not using the probe in the chamber.
Equipment cannot be used with high-frequency surgical equipment. In order to prevent high-frequency
equipment damage to the application part of the ultrasound scanner.
About Mechanical Index MI and Thermal Index TI
MI represents the potential for mechanical biological effects. The mechanical index is calculated by dividing
the peak sparse pressure (unit: MPa, obtained when the tissue damping coefficient is 0.3 Db/cm/MHz) by the square
root of the center frequency of the transmission field (unit: MHz).
With MI, users can reduce as much as possible the risk of mechanical biological effects when obtaining an
acceptable diagnostic image. The higher the value of MI, the higher the risk. However, it cannot be judged based on
this indicator whether biological effects actually occur.
Changing the mode setting, probe type, or focal position depth affects the MI value.
The thermal index TI is displayed to warn the user about the situation, which causes temperature rise. TI is the
ratio between the power of the acoustic signal and the power that causes a 1°C temperature rise (based on a
temperature model evaluation). There are three thermal indices, each indexed based on a specific temperature model,
for the temperature rise values near and inside the surface of the soft tissue, the ultrasound beam through the soft
10.0MHz
Trans-rectal probe (Option)
4D volume probe (Option) 2.0, 3.0, 3.5, 4.0, 5.5, 6.5MHz
3.5Electromagnetic immunity
All apparatuses should be used in the electromagnetic environment specified in the table below.
For Love, Image the World
Color Ultrasonic Diagnostic Apparatus User Manual
Customers or users should ensure that the apparatus is used in such an environment.
Drop > 60% sustained 5 users need to continue operation during the power
3.7Interval distance
The Full-digital color Doppler ultrasonic diagnostic apparatus is suitable for electromagnetic interference
controlled by radiation interference. The customers or users can help prevent electromagnetic interference by
keeping the minimum distance suggested below between the portable mobile radio communication device and the
Full-digital color Doppler ultrasonic diagnostic apparatus, which is calculated from the maximum output power of
the communication device.
Max output power of According to the transmitter frequency to determine the distance between the
the transmitter is watts meters(m)
3 .5 P 3 .5 P 7 P
=d =d =d
V1 E1 E1
0.01 0.12m 0.12m 0.23m
0.1 0.38m 0.38m 0.73m
1 1.2m 1.2m 2.3m
10 3.8m 3.8m 7.3m
100 12m 12m 23m
For the max rated output power at the transmitter listed above, the recommended interval distance d in meters
(m) can be estimated by the applicable equation for the transmitter frequency, where P is the transmitter's max rated
output power declared by the transmitter manufacturer , Unit watts(W).
Note: In the 80MHz-800MHz band, apply a higher frequency range of the distance.
Note: These guidance are not common in all cases. Electromagnetic propagation is affected by the absorption
and reflection of structures, objects, and the human body.
Note: Adapter (Shanghai Biaojun Electronic Technology Co., Ltd., Model: BJE1M-0150-F301) and power
supply length of 3.8 meters.
Convex probe (F3-1 / R50 / 3.5MHz), Trans-vaginal probe (F3-2 / R10 / 6.5MHz), linear probe (F3-3 / L40 /
7.5MHz), Phased array probe (F3-4 / PA16 / 3.0MHz) , probe plug is metal socket shielded ground processed, probe
cable length is 2.5 meters, the line to do magnetic ring shielding treatment.
Warning: In addition to the components and cables to be sold by the apparatus manufacturer, the use of out of
specified accessories, transducers and cables may result in increased equipment or system emissions or reduced
immunity.
Warning: Apparatus or systems should not be used or stacked with other devices. If you have to be close or
stacked, you should observe that the verification works under normal configuration.
Note: Based on the characteristics of the ultrasonic probe, the conduction immunity level is set to 1V / m.
Probe socket
1. Insert the probe into the probe port 2. Lift the lock knob to fix
Probe installation diagram
4.3 Installation of external video device
The video output device can be connected to the host HDMI port, please install it according to the instructions
of the user. When connecting it, simply connect its video plug to the corresponding video output socket on the
backside port .
4.4 Protective ground wire connection
To ensure the safe use and normal use of the apparatus, a cross-sectional area of not less than 1.00mm2 metal
wire is required, one end of the apparatus' protective grounding column, the other end of the reliable access to the
earth (access must be safe, effective, and reliable earth).
4.5 Power connection
Prepare the net power supply socket board as per requirement of apparatus power supply requirement (AC
220V / 3A 50Hz) , check the power supply of the apparatus, make sure that the adapter output port is facing down
when the host power switch is in the disconnected position within the specified power supply adaptation range.
Insert the DC 12.8V power input hole in the rear of the main machine, insert the output plug of the AC 220V power
cord into the input socket of the adapter, and then insert the AC 220V power cord into the power supply socket
board.
Note: 1. The adapter plug is inserted face down into the power connector
2. The device should be charged when the red light is on
3. Switch off the power when you complete diagnosis or full charged
4. The battery charge time can not less than 8 hours
Save images
Filter adjustment
Probe switch
Obstetric measurement
Measurement menu
Freeze/Unfreeze key
These keys below are used to enter English letters, numbers, symbols or control functions. Use the character
keys (alphanumeric / numeric keys) to enter patient data, annotate images and make system settings.
【Func+Z】 Press "Func" key (lights), then press "Z" key, you can achieve input method
conversion
Click on the drop-down menu to setup the system language, date, and time. Enter the name of the hospital or
doctor in the blank of the hospital and the doctor's name .
Select the number of images to be inserted into the report, select between 1 and 4, and select the print size
according to the actual needs of the print.
Choose a different obstetric table as needed or edit the obstetric table according to your physician's actual
experience.
Also for the cine loop frame number, cine loop speed with the drop-down menu to set the default cine loop
frame number of 200 frames, up to 1200 frames, cine loop speed 5 files optional.
Set automatical freeze time, the apparatus will automatically freeze without operation in a certain period.
Upon completion of the language conversion, the software will end into the desktop, then double-click the
desktop's icon “SCUS” enter into ultrasound system. After all settings completed, click OK to save all settings.
Image Note
Press “Func” key under real time state, then press the letter “C” to display the comment dialog box, press
“Func” again, then input the text, press “Enter” to end the comment; put the cursor on the comment, then click “set”
button on the text to display the green frame, move the trackball to the specified position, and press the “set” button
to finish note.
Angle dotted line
In the "Func" light off state: press “A” key and “SET” key with the cooperation of the trackball, angle dotted
line come out; Press "H" key and the "SET" key to display the rectangle dotted line; press "C" key and the "SET"
key to appear oval dotted line. After commenting, press "Save" to save the picture, press "Freeze" key to exit the
comment.
Input method switch
Press “Func” , then press “Z” after the light is on to switch the input method. After the switch is completed,
press the “Func” button to turn off the light.
4B mode
Press "Func" key and make it light under real time state, press “Q” key, to enter into 4B mode, press “Q”
continuously, four images will show in turn. Press “Func” key again to make the light off, press “B” knob to enter
into B mode.
Puncture guide
Press "Func" key under real time state, and then press the letter "X" to show the puncture guide line. Press
"Angle" key, when light on, rotate the " Adjust" knob, puncture line angle is adjustable , move the trackball to adjust
the puncture line position, press the "SET" key to determine the puncture line position. Press "Func" key to make the
light off and then press "Clear" or "Exit" to cancel the puncture guide line.
Body mark
Press “Func” key under real time state, when the light on, press letter “B”, to realize the selection interface of
the body image, then click the Selected icon , click "close" to exit. Press "Func" key to make the light off and exit.
Applications Setup
Save the current parameter combination, press "Func" in real time state, press "S", select the corresponding
application, click "Save Settings" or 5 seconds to exit automatically. When complete, press the "Func" key to make
the light off.
5.7 Specific operation instruction
After booting, the screen shows as follows:
Doctors can move the trackball to the required item under the display probe. Press the "Set" key to checking
status. Or press "Probe" key to the probe selection interface.
Patient information
The inspection is avaliable to perform without entering patient information. To avoid data confusion, it is
recommended to enter patient information prior to the examination; establish a patient's information base in the
system to better manage patient data information.
Press the "patient" key on the operation panel to bring up the new case interface; register as needed.
Application settings, press "Func" key under real time state, make the light on and then press the "S" key,
screen shows as follow:
It can be set according to different needs personalized, Each probe can set 14 different parameters to facilitate
the use in different situations. After ajustment of parameters, save the settings by pressing "Func" key, press "S" key,
click "Save Settings" button, and then click the current red button to save the settings. Click on the blue button to
For Love, Image the World
Color Ultrasonic Diagnostic Apparatus User Manual
Letters, numbers is available to input now, put the cursor on the front of the text after the comment is
completed , press "Set" key after the characters are displayed on the screen, press "Clear" to delete.
Save function, press "Save" button in real time, the current image is saved and displayed at the bottom of the
screen, the screen displays as follows:
Recall the saved image, move the cursor to the desired image in the frozen state and press the “Set”
button to display the corresponding image on the screen. To delete it, just move the cursor to the “×” at the top
right of the image. Press "Set" to delete the image.
Local zoom, press the "ZOOM" button in real time, the screen is displayed as follows:
When the partial magnification sampling box appears, the upper left corner shows the local magnification, the
default magnification is 2, by rotate the "Adjust" encoder to change the magnification, clockwise increase,
Maximum to 10, Minimum is 1. Select the magnification, press “Zoom” button, the enlarged image displayed on
screen, press "Zoom" again to exit .
Body mark, press the "Func" key in real time, when its light on, press letter "B" key, the screen displays as
follows:
Move the trackball and make the cursor to the desired body mark, press "Set" key to select, and then click
"Close" button. You can also flip through the flip button on the upper right of the body logo group to select the next
page of body markers.
Cine loop, After the image is frozen, the scroll bar for movie playback will appear automatically at the
bottom left of the screen. The screen displays as follows:
Press the "Cine loop" button to automatically playback images, move trackball to playback manually, in the
playback process, you can store the specific images by press "Save" key.
Report function, press "Report" button in the frozen state , select the corresponding report list, the screen
displays as follows:
There is a "Diagnosis Module" option in the bottom right of the report display interface, select it, there are
different diagnostic templates for different parts, as shown below:
Fill in the relevant content and press "Preview" to view, the screen displays as follows, press "Print" to print the
report, or press "Close" to exit the report.
Move the trackball and make the cursor to "Print" and press the "Set" button to print directly.
Press “Back” to exit the report function.
Description
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "Knob B" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
6.2 B/B mode
Description
Press "B / B" to enter 2B mode, display the left frame B, and then press the "B / B" again, display the right
frame, at the same time, left frame froze. Press "knob B" to exit 2B mode.
Menu function
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "Knob B" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
Image parameters can be modified in real time. Do various types of measurement functions in freeze state.
6.3 4B mode
Description
Press the "Func" key to activate it, then press "Q" key to enter 4B mode, display the first picture on the upper
left, press "Q" key to display the upper right image and freeze the left picture. The third four maps the same token,
press the "knob B", exit 4B mode and back into the B mode.
Menu function
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "Knob B" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
Image parameters can be modified in real time. Do various types of measurement functions in freeze state.
6.4 B/M mode
Description
Press “B/M” key, the screen shows B/M image. Do various measurement in freeze state. Press”Knob B”
encoder to exit B/M mode.
Menu function
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "Knob B" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
Image parameters can be modified in real time. Do various types of measurement functions in freeze state.
6.5 M mode
Description
Press B/M key, the screen shows B/M image, press B/M again, enter into M mode. Press “Knob B” encoder,
to exit M mode.
Menu function
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "Knob B" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
Image parameters can be modified in real time. Do various types of measurement functions in freeze state.
Description
Press “Knob C” encoder under B mode, the screen shows B+C image mode, that is, blood flow and B/W
images superimposed. Change the position and size of the sampling box by trackball and “SET” key. Do various
measurement in freeze state. Press “Knob C” encoder again to exit B+C mode.
Menu function
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "Knob C" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
Image parameters can be modified in real time.
Description
Press “Knob C” encoder under B mode, the screen shows B+C image mode, that is, blood flow and B/W
images superimposed. Change the position and size of the sampling box by trackball and “SET” key. Change the
display mode into “POWER” mode by adjust the keyboard arrow keys at the left side of the menu to enter Power
Doppler Image mode. Press “Knob C” encoder again to exit PDI mode.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , rotate the "C"
encoder can modify the blood flow gain, clockwise increase, counterclockwise decrease, modify the image
parameters in real time state.
Description
Press “PW” encoder under B mode, the screen shows B+D mode. Change the position and size of the sampling
box by trackball and “SET” key. Press “PW” encoder again to exit B+D mode.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , rotate the
"PW" encoder can modify the pulse wave gain, clockwise increase, counterclockwise decrease, modify the image
parameters in real time state.
Description
Press “C” encoder under B mode, the screen shows B+C mode, press “PW” encoder, it shows B+C+D
mode. Change the position and size of the sampling line and sampling box by trackball and “SET” key, change the
sampling angle by “Angle” key and “Ajust” knob. Press “PW” encoder to exit B+C+D mode, and back to B+C mode.
Press “C” encoder, to back to B mode.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , modify the
image parameters in real time state.
Description
Press “Update” key under B+C+D mode, Or change the "display mode" column from "synchronization" to
"refresh" through the arrow keys in the left side of the screen, to enter pulse wave. Change the position and size of
the sampling line and sampling box by trackball and “SET” key. Do various measurement in freeze state.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , rotate “PW”
encoder to adjust gain, clockwise increase, counterclockwise decrease. Modify the image parameters in real time
state.
Description
Press “CW” key under B mode, move the sampling volume to the measurement point, press “Update” to show
pulse wave. Change the position and size of the sampling line and sampling box by trackball and “SET” key.
Menu function
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "PW" encoder to modify the total gain, clockwise increase, while counterclockwise decrease. Image
parameters can be modified in real time.
function state
B mode diagram
7.2 General B mode examination scheme
B mode examination is generally carried out as follows:
1. Record and exam related patient information, Verify system settings (probes and presets).
2. Keep the patient in proper place and secure the device to facilitate operator operation.
3. Collect all the data to complete the study.
4. Press “B” encoder o display the B mode. Modify the image parameters in real time By adjusting the
function of the menu at the bottom of the image. Do various measurement in freeze state.
7.3 B mode top / secondary menu
Press arrow key “ ” or “ ”, the menu corresponding to the encoder will change to grayish green for
selected . Press arrow key“ ” or “ ” , the corresponding data changes, as the above picture: The selected
"Dyn Range" is the current adjustable state.
Power
Ultrasonic transmit power, digital change is 0-15, press “ ” key to decrease the value, press “ ” key to
increase , real-time ultrasonic image changes with the value.
Frequency
Probe transmit frequency, different probe with different frequency. Press the “ ” key to decrease the value,
press the “ ” key to increase, the real-time ultrasonic image changes with the value.
3.5MHz frequency range: 2.0MHz, 3.0MHz, 3.5MHz, 4.0MHz, 5.5MHz.
Line density
Line density, the value changes to "256" and "128" two options, press “ ” or “ ” to adjust the value,
"FPS XHz" frame frequency displays in the right side (X is the frame frequency change as the scan density changes).
Dyn Range
The max distortion-free output power and static system noise output power ratio of the logarithmic value, the
digital change is 0dB-270dB, press the “ ” key to decrease the value, press “ ” key to increase , the
dynamic range controls how the echo intensity is converted to the gray scale, thus increasing the adjustable range of
the contrast. Simultaneous dynamic range can be reduced by compensation of gain adjustment. The system was seted
to a reasonable dynamic range value before delivery.
Smooth
For image noise processing, the number changes to 0-7, press “ ” key to decrease the value, press “ ”
key to increase the value.
Persist
Frame average, the number changes to 0-7, press “ ” key to decrease the value, press “ ” key to
increase the value.
THI
Enhanced transmittance, the value changes to "OFF" or "ON" two options, “ ” or “ ” can be adjusted.
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At the same time in the image on the right information display area "frequency H X MHZ" display.
Focus
The number of focus, the figure changes to 1-4, press “ ” key to reduce the number of keys, press “ ”
key to increase the number of points. The focus will appear on the edge of the image scale with the rotation of the
encoder, and the "FPSXHz" frame frequency display in the information display area on the right side of the image (X
is the number of changes in the frame rate as the focus changes).
Sector
Sector width, the figure changes from 5% -100%, press “ ” key to decrease, press “ ” key to increase.
At the same time in the image on the right side of the information display area "FPSXHz" frame frequency display
(X is the scan range changes with the frame rate changes ).
iClear
For the image signal post-processing, the figure changes from 1-6, press “ ” key to decrease, press “ ”
key to increase.
Enhance
Enhance the edge of the organ , the figure changes from 0-7, press “ ” key to decrease, press “ ” key
to increase.
Gray Map
The gray scale map refers to suppressing an image signal below a certain gray scale. The figure changes from
Horizontal
The image turns left and right, the figure changes to "OFF" or "ON" two options, “ ” or “ ”can be
adjusted. At the same time in the center of the image display area (sector) with “ ” or “ ” key to change the
left and right.
Vertical
The image turns up and down, the figure changes to "OFF" or "ON" two options, “ ” or “ ” can be
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adjusted. At the same time, in the center of the image display area "sector" with “ ” or “ ” key to move up
and down.
7.5 Optimize B mode
7.5.1 Depth adjustment
Description
Depth control B mode anatomical structure imaging distance. To display a deeper image, please increase the
depth. If a larger display size required, reduce the depth then.
Adjustment
To increase / decrease the depth, click the button "Depth" to make it light, rotate the "Adjust" knob clockwise to
increase the depth. Counterclockwise to decrease. The increase in value depth varies with the probe and application.
The depth of the information area on the right side of the display image is expressed in centimeters. If you change
the following, the depth value will return to the factory settings or user defaults: probe, check category, or new
patient.
Advantage
Depth enlarge your field of view. Increase your horizons to make you see a broader and deeper structure;
narrow your horizons to make you see the structure close to the skin. Impact on other controls after adjusting the
depth, adjust the TGC and focus.
Biological effects
Changing the depth will change the heat index and / or the mechanical index. Attention, the output display that
may be affected
7.5.2 Gain Control
Description
Under B mode, the number of echo messages displayed in the image when gain increases or decreases . If there
is enough echo information, it has the effect of enhancing and darkening the image. The adjustment gain values vary
according to the probe; they are independent of the exact position of the gain knob. Attention, the gain adjustment is
performed in real time. In frozen state is not working. The gain of the B-mode is independent of the gain of the M
mode, Doppler mode, and color mode. Changing the M mode gain in M mode does not affect B mode image gain.
Adjustment
To decrease / increase, turn the "B" knob. Clockwise adjustment gain increases, from 0-100% change. Counter
clockwise adjustment, gain reduction, from 100% -0 change.
Value
Gain shows at the information area on the right side of the display image, rotates with the "B" knob to display
the value. The gain value varies depending on the probe, application, and frequency settings. It is suggested that the
maximum gain is the optimal gain preset at the factory and can eliminate the noise when the image is displayed. If
you change the settings of probe, check category / application, or new patient, the gain value will return to the
factory settings or user defaults.
Advantages
Gain allows you to balance the echo contrast so that the capsule structure does not appear echoes and reflects its
internal organization. Effects on other controls after you output energy, you need to adjust the gain. In general, if
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increase the output energy, you need to reduce the gain; if reduce the output energy, you need to increase the gain.
Gain and TGC together will affect each other. The biological effect gain does not affect the output energy. But
increasing the gain typically reduces the output energy level to produce the same image quality.
Note
Always optimize the gain before deciding whether to increase the output energy.
7.5.3 Focus
Description
Increase the number of focus or move the focus area so that the scan harness for a particular area is more tight.
The symbol ">" corresponding to the position of the focus area displayed on the left side of the image.
Adjustment
To increase / decrease the number of focus, adjust the "Focus" option on the left side of the screen. Note that the
focus position is controlled by the left side of the keyboard and the knob “Adjust”. To move the focus area to near
field / far field, press the “Focus” button, when the focus turns on, then rotate the "Adjust" knob. When the depth is
adjusted, the system automatically adjusts the focus area.
Value
The number of focus and the position depending on the depth, zoom, probe, application, and frequency settings.
If the parameter changed of probe, check category / application or new patient.
, the number of focus will be returned to the factory settings or user defaults.
Advantages
The best focus is in the focus position. Place the focus in the area to be viewed. Note the focus area location.
The focus must be moved to track the center of the anatomy to be viewed. The focus optimizes the image by
increasing the resolution of the particular region. Impact on other controls, changing the number of focus affects the
frame rate. The more the number of focus, the lower the frame rate.
Biological effects
The number of focus changes the thermal index and/or mechanical index. Attention, the output display that may
be affected.
7.5.4 Frequency
Description
Multi-frequency mode allows you to switch to the lower frequency of the current frequency of the probe or a
higher frequency. In the multi-frequency mode, select the low frequency for fat people diagnosis. While high
frequency for thin or children.
Adjustment
1. Select the "Frequency" option on the left side of the screen.
2. Select the desired frequency through the button “ ” and “ ” on the keyboard.
Attention
When the image is frozen, the frequency change can not be activated.
Value
The frequency changes due to the probe and application. If you change the parameters of probe, check category,
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check calculation, or new patient , the frequency value will return to the factory settings or user defaults
Advantages
In the current working probe , the frequency changes according to the characteristics of the human body, low
frequency for fat patient, high frequency to thin patient.
Biological effects
Activating the multi-frequency mode will change thermal index and / or mechanical index. Attention, the output
display that may be affected.
7.5.5 THI
Description
Harmonics not only enhance far field penetration, but also enhance near-field resolution, improve small organ
imaging.
Adjustment
To activate the harmonic imaging: select the "THI" button on the left side of the screen, press “ ” and “
” button on the keyboard to active harmonic function, press again, return to normal frequency mode. Selecting
harmonics can be switched by pressing the “THI” button on the keyboard.
Attention: When the image is frozen, THI can not be activated.
Advantages
Harmonics can reduce the noise casued low frequency and large amplitude , improve the image resolution. The
advantages of harmonics are particularly significant when imaging the anatomical structures of the shallow
anatomical structures of the breast, the liver and the difficult imaging of the fetal anatomy. Harmonics can improve
the image quality of the B mode without contrast agents.
Impact on other controls
You may need to change the field of view (depth). Do not use contrast agents when organizing harmonic
imaging.
Biological effects
Activating the THI function will change the thermal index and / or mechanical index.
Attention, the output display that may be affected.
7.5.6 Dynamic range
Description
The dynamic range controls how the echo intensity is converted to a grayscale gradient, thereby increasing the
adjustable range of the contrast.
Adjustment
To increase / decrease, select the "Dyn Range" on the left side of the screen and press the “ ” or “ ”
button on the keyboard. The value is set between 0dB and 270dB. The current value is displayed on the screen. The
dynamic range value varies depending on the probe, application, and frequency settings.
Note
If you changed the parameters of probe, check category, check calculation, new patient, or multi frequency. , the
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dynamic range level will return to the factory settings or user defaults.
Advantages
The dynamic range helps to optimize the texture of different anatomical structures. The dynamic range is
selected for the best echo signal in the "0" mode of operation, and the higher the dynamic range value is selected, the
smaller the loss of the echo signal. The dynamic range should be adjusted so that the edges with the largest
amplitude are displayed as white, and the smallest amplitude (eg, blood flow) is shown to be just visible.
Impact on other controls
The dynamic range is available in real-time mode. It affects the gain as well.
7.5.7 Density
Description
Optimize B mode frame rate or spatial resolution to get the best image.
Adjustment
High-line density is the default in the B mode state, select "density" button on the left side of the screen, press
“ ” or “ ” button on the keyboard, it changes to a high frame rate state, then press “ ” or “ ”
again, switch to high density status.
Value
The density value varies as the probe.
Note
Invalid in timeline mode. Values vary by probe and application. If you change the following, the line density
value will return to the factory settings or user defaults: probe, check category, check calculation, or new patient.
Advantages
Lower line densities are helpful in fetal heartbeats, adult cardiac applications, and clinical radiology
applications where higher frame rates are required. Higher line densities are useful for obtaining high resolution, for
example, thyroid, testes.
Impact on other controls
The line density changes the vector density and frame rate.
Biological effect
The color flow line density changes the thermal index and / or the mechanical index.
Attention, the output display that may be affected.
7.5.8 Grayscale
Description
The apparatus provides B, 2B, M and Doppler mode system diagrams.
Adjustment
Select the "Grayscale" on the left side of the screen, press “ ” or “ ” on the keyboard, to get
Value
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Grayscale is different from the smallest or the most gentle transition to the dark and the most intense. The value
of the grayscale varies depending on the probe, application, and multi-frequency settings. If you change the
parameters of probe, check category, check calculation, or new patient, the value of the grayscale will return to the
factory settings or user defaults.
7.6 B/M mode adjustment
Usage
The B / M mode is used to provide a display and measurement capability to show the trajectory of the tissue in
a single direction over a period of time.
Introduction
The B / M mode is used to determine the motion mode of an object under an ultrasonic beam. The general
purpose is to watch the movement of the heart.
Typical inspection program
B / M mode is generally carried out as follows:
1. Get a higher quality B / M mode image. Observe the anatomical structure and place the desired region
near to the center of the B-mode image.
2. Move the cursor, and make the sampling line under B mode located on the area to be displayed in the M
mode.
3. Press B / M button again to enter the M mode.
4. If necessary, adjust the scanning speed, TGC, gain, sound power and focus position and dynamic range
under B / M mode.
5. Press “Freeze” to stop the M trajectory and press Freeze again to continue the image
6. Press B / M again to return to B / M mode.
Description
The B/M mode is generally used in cardiac mode. The menu operation of this mode is basically equivalent to
the menu function in B mode.
Adjustment
After entering the B / M mode, move the trackball and make the sampling line to the desired position, and for
the M-scan, select "M-line speed", press “ ” or “ ” to adjust the speed. The selection of speed is: 0-3. If
necessary, adjust the dynamic range, TGC, gain, sound power and focus position under B / M mode.
Advantages
You can speed up or slow down the timeline to observe events that occur more or less times over a period of
time.
Value
Different scanning speeds are reflected on the M mode scale.
Note
Scanning speed and observation of human parts related to the need to observe a few peaks at a time, the
scanning speed can be slowed down.
7.7 M mode adjustment
Adjustment
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Press the "B / M" button to display the B / M image. The parameters can be modified in real time. The
measurement function can be activated under freeze state. Press "B / M" again to display the M mode. Press “M” key
to switch between B / M and M modes. By adjusting the function of the left side menu , you can modify the image
parameters in real time. You can do the cardiac measurement under freeze state.
Description
Refer to B/M mode operation for the parameter adjustment under M mode.
Ultrasonic transmission power, the value changes from 0-15, select "Power" option, press “ ” key to
decrease, press “ ” key to increase, real-time image changes with the value change.
C frequency
Select "Frequency" option, press “ ” key to decrease, press “ ” key to increase. The "Frequency"
value changes as per the encoder.
Display mode
It displays according to different brightness, color, contrast and other parameters, select "display mode" option
on the left side of the display, press “ ” or “ ” key, the value can be changed to V, T, POW.
Steer
Select "Steer" option , press “ ” key to decrease, press“ ” to increase, the value range between -10 to
10.
PRF
Repeat the scan pulse speed, select “PRF” option , press “ ” key to decrease, press “ ” key to increase.
"FPS: XHz, PRF XKHz" on the image information area changes as per the encoder. The speed range / PRF
determines the maximum speed that can be observed. If the blood flow velocity is too low, the spectral image will be
out of range. If the speed is set too high, the spectral image is compressed too much on the longitudinal axis, and the
accuracy will decrease. In high frequency mode should reduce the PRF.
Baseline
Select "Baseline" option, press “ ” key to decrease, orange color gray scale at the right side of the image
changes from +8 ~ +53, blue color bar changes from -53 ~ -8, press “ ”key to increase. Baseline adjustment is
used to increase the range of Doppler flow velocity in one direction. It is mainly used to reduce the direction of the
spectrum confusion.
Threshold
Image grayscale and contrast threshold, select "Threshold" option on the left side of the display , press “ ”
key to decrease, press “ ” key to increase, the value range 0 ~ 3, it is mainly used to enhance the image contrast
function.
Wall Filter
Select "Wall Filter" option on the left side of the display, press “ ” key to change the number from 3-0,
press “ ” key to change the number from 0-3. The real-time ultrasound image changes as per pressing “ ”
Select "C Persist" option on the left side of the display, press “ ” key to change the number from 7-0, press
“ ” key to change the number from 0-7. The "C Persist" value changes as per pressing “ ” or “ ”.
Ensemble
Select "Ensemble" option on the left side of the display, press “ ” key to change the number from 15-8,
press “ ” key to change the number from 8-15. The "FPS XHz" value changes as per pressing “ ” or
“ ”.
C Speed
Select "C Speed" option on the left side of the display, press “ ” or “ ” key, the blood flow speed
changes from "high" or "low", the color fringe value changes to 60 or 30.
Tip: Increase or decrease the speed range according to the speed of blood flow. The speed range / pulse
repetition rate (PRF) determines the maximum speed that can be observed. If the blood flow velocity is adjusted too
low, the spectral image will be out of range. If the speed is set too high, the spectral image is compressed too much
on the longitudinal axis, and the accuracy will decrease.
Spatial Filter
Select "Spatial Filter" option on the left side of the display, press “ ” key to change the number from 3-0,
Select "C Gain" option on the left side of the display, press “ ” key to change the number from 127-0, press
“ ” key to change the number from 0-127. The "C gain" value on the right side of the live screen changes
accordingly.
Color Invert
Select "Color Invert" option on the left side of the display, press “ ” or “ ” key, the word changes
between OFF and ON, while the color of the screen inverted.
8.4 Optimize Color Flow
8.4.1 Activate color flow mode
Press the “C” knob (color flow). The C mode will appear in the B mode image. Move the trackball to move the
frame window.
Application
Color blood flow is very useful when watching blood flow in large areas. Color Doppler is a 2D Doppler, the
resulting blood flow information by phase detection, frame correlation processing, color gray code, the average
blood flow velocity data in color, and its combination, superimposed on the display in the B mode grayscale image.
It visually displays blood flow, the nature of the blood flow and flow in the heart, the distribution of blood vessels
than pulse Doppler faster and more intuitive display. It shows a unique superiority on the left to right shunt blood
flow and the flow of the valve back flow.
Exit color flow mode
Press “C” knob again or press”B” knob directly to exit the color flow mode.
Tip
Color flow mode control produces the following results:
Line Density: Decrease frame rate to obtain sensitivity and spatial resolution. If the frame rate is too low,
reduce the size of the specified area, decrease the line density or reduce the size of the packet.
Wall Filter: Affect the sensitivity and movement of low speed blood flow artifacts.
Packet Size: Affect the color Doppler sensitivity and frame rate, can be adjusted through the arrow keys.
Scan Area: Increase / decrease the size of the color window, needs to be adjusted according to the actual
clinical image sampling.
Focus Position: The best focus is on the location of the focus area. Place the focus area in the specified
region.
8.4.2 C Gain
Description
Increase the gain adjustment to increase the color brightness, easy to observe, but while the gain increases, the
noise signal is also amplified, interference on the color flow signal observation. For low-speed flow testing, the gain
should be increased appropriately so that these blood flow can be clearly displayed, but at the same time should pay
attention to avoid excessive gain and noise signal, affecting the observation of blood flow, and even cause illusion.
The gain amplifies the overall strength of the echo in the color flow window or the spectral Doppler time line.
Adjustment
The gain values vary depending on the probe and the application; they are independent of the exact position of
the Gain knob. To decrease / increase the gain, adjust the knob to the left / right.
Value
Color gain values vary depending on the probe, application, and multi-frequency settings. The gain is displayed
as %. If you change the parameters of probe, check category, check calculation, new patient, or multi frequency, the
gain value will return to the factory settings or user defaults.
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Advantage
Allows you to control the amount of color in the blood vessels, or to add or remove spectral information.
Biological effects
The gain does not affect the output energy. However, increasing the gain typically reduces the output energy
level to produce the same image quality.
8.4.3 PRF
Description
The speed range / pulse repetition rate (PRF) determines the maximum speed that can be observed. If the blood
flow velocity is adjusted too low, the spectral image will be out of range. If the speed is set too high, the spectral
image is compressed too much on the longitudinal axis, and the accuracy will decrease. In high frequency mode,
select to reduce the value of PRF.
Adjustment
Select ”PRF” on the left side of the screen, press “ ” or “ ” key, to adjust PRF value, the value
changes from 2KHz --- 10KHz, if the value is too large, it will affect the blood flow frame rate. By adjusting the
depth, PRF will be changed accordingly.
Value
PRF in kHz. If you change the parameter of probe, check category, calculation, or new patient , the PRF value
will return to the factory settings or user defaults . Attention, PRF changes will affect the output energy, frame rate
wall filter.
Biological effects
PRF value changes will affect the heat index and / or the mechanical index.
8.4.4 Wall Filter
Description
Filter out the low speed blood flow speed signal. This helps to remove movement artifacts caused by breathing
and other patient activities.
Adjustment
To increase / decrease the wall filter, select the "wall filter" option on the left side of the screen. Press “ ”
per pressing “ ” or “ ” key. The wall filter value varies depending on the probe and application. If you
change the parameters of probe, check category, check calculation, or new patient, the factory settings or user
defaults are returned.
Advantages
Removes unnecessary low frequency signals caused by motion.
8.4.5 Color scanning area
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Description
The color scanning area determines the size and position of the color windows.
Adjustment
Press the "C" knob, enter into the color flow mode, the blood flow sampling box shows , the center of the color
flow window began to grow, press "SET" key to adjust the size. Move the trackball, to select the size of the blood
flow window, after selection, press "SET" key again to freeze the blood flow window.
Value
The color scanning area varies depending on probe and application.
Advantages
Increasing the color window allows you to observe larger areas; reducing the color window can increase the
frame rate and spatial resolution. Effects on other controls, the smaller the color window, the faster the frame rate,
and vice versa.
Biological effects
Changing the color window size will change the heat index and / or the mechanical index.
8.4.6 Color invert
Description
Color invert allows you to observe blood flow from another angle, such as red (negative speed) and blue
(positive speed). You can reverse the live or frozen image. Note that the invert function reverses the color map, not
the color "PRF".
Adjustment
To invert the color flow, select "Color Invert" option on the left side of the screen, press “ ” or “ ” key,
color gray scale and color flow on the image invert changes. In synchronous mode, both the color flow and the
Doppler mode speed scale are reversed.
Value
Reversal and non-reversal. Values vary with probe and application. If you change the parameters of probe,
check category, check calculation, or new patient, the reversal value will return to the factory settings or user
defaults.
Advantages
Watch the bloodstream according to your individual needs without turning the probe.
8.4.7 C Speed
Description
Optimize the color flow frame rate or spatial resolution to get the best color image.
Adjustment
To adjust the line density, select the "C Speed" on the left side of the screen and press the “ ” or “ ”
key.
Value
The current frame rate is displayed on the color bar. The frame rate / resolution value varies depending on the
probe, check category, check calculation, new patient, and frequency. If you change any of the above, the setting
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Select "Spatial Filter" option on the left side of the screen, press “ ” or “ ” to change the spatial
filtering from 0-3 or 3-0.
Value 0-3.
Advantages
Make the image smooth.
8.4.10 Ensemble
Description
Controls the number of samples of a single color flow vector.
Adjustment
To increase / decrease the size of the sample packet size, select the "Ensemble" on the left side of the screen.
Press “ ” or “ ” to change its value from 8-15 or 15-8. During the adjustment of the encoder, the vale of
FPS on the image at the right side of the information area changes, the value of the packet is small, the FPS value is
large, and vice versa.
Value
Sampling packet size varies depending on the probe and application, if you change the probe, check category,
check calculation or new patient, the value will be return to factory settings or user default.
Advantages
It allows you to increase the accuracy of color sensitivity and color averaging (increase the size of the sample
packet) or the frame rate (decrease the size of the sample packet) as needed. Impact on other controls, decrease the
size of the sampling packet size will increase the frame rate while reducing image quality. Increase the size of the
sampling package size will increase image quality while reducing frame rate.
Biological effects
Changing the sampling package size changes the heat index and / or the mechanical index.
8.4.11 C Persist
Description
C persist shows continuous flow information in real-time state. Real-time display maximum flow rate, the
performance of pulsatile blood flow. Persist in the 2D mode is the frame (image) overlap, used in color Doppler flow
imaging, low speed, low flow of blood, can make it clear and easy to observe.
Adjustment
Select "C Persist" on the left side of the screen, press “ ” or “ ” key to obtain C Persist changes from
0-7 or 7-0. Corresponding values at the right side of the information display area changes.
8.5 Power Doppler Imaging (PDI Mode)
Description
Power Doppler Imaging mode (PDI Mode) is a color flow imaging technology used to map the Doppler signal
intensity produced by blood flow rather than the frequency shift of the signal. Using this technology, the ultrasound
system draws color flow based on the number of motion reflectors, regardless of their speed. Since the PDI mode
does not image speed, no aliasing occurs.
Adjustment
Press the "C" knob. The color flow window appears in the B mode image. Press the "Set" button, move the
trackball to move the size of the blood flow frame. Adjust the "Display Mode" on the left side of the screen to the
"T" state. To exit, press the "B" knob.
Advantages
Since PDI does not display speed, it does not appear aliasing. Impact on other controls, after activating PDI, the
following controls are adjusted: PRF is set to low value. Color Map is set to energy diagram. Adjust Line Density.
Wall Filter is set to Low. Spatial Filter to “0”. Adjust Sampling Package Size. After getting a good B/W image, press
“C" knob to enter the blood flow mode.
Note
When changing the PDI image, it may be necessary to adjust the gain setting.
8.6 Optimize PW Mode
8.6.1 PW mode parameter adjustment
Power
Ultrasonic transmit power, digital changes from 0-15, press “ ” key to decrease, press “ ” key to
increase, real-time image changes with the value.
Frequency
Probe transmit frequency, according to the probe configuration, the transmission frequency is different. Press
“ ” key to decrease, press “ ” key to increase, and the real-time ultrasonic image will change with the
numerical value.
D Gain
In PW mode, adjust the spectral color brightness, spectral sound size. Press “ ” key to decrease, press
“ ” key to increase, in real-time image, the spectral sound size changes with the value.
Display mode
In the real-time state, select "Synchro", you will activate "B" mode. Select "Refresh" mode, "B" image freeze,
the spectrum enter into the real-time mode of operation.
Steer
Linear probe frame angle adjustment, the value changes from fixed several values among -20-20, press “ ”
key to decrease, press “ ” key to increase. “Steer” at the right side of the screen changes.
PRF
On real-time state, select “PRF”, press “ ” key to decrease, the frequency changes from 29.43khz-2khz.
In real-time state, select “Volume”, adjust the Doppler volume, press “ ” key, the volume changes from
"255--0%", the Doppler volume decreases. Press “ ” key, the volume changes from "0--255%", the Doppler
volume increases. The audio figures on the right side of the image area changes.
D Velocity
In real-time state, select “D Velocity”, press “ ” key, the scanning speed changes from 0-2. Press “ ”
key to change the scanning speed from 2-0. The "FPS" changes
Triplex
In real-time state, select ”Triplex”, press“ ” or “ ”key, you can achieve B mode, C mode, D mode
triplex synchronous work.
Enhance
Enhance the organ edge of the degree of brightness, the digital changes from 0-7, press “ ” key to decrease,
In real-time state, select “Wall Filter”, press “ ” key, the number changes from 3-0, press “ ” key, the
number changes from 0-3. The “WFD” figure on the right side of the information area changes.
Baseline
In real-time state, select “Baseline”, press “ ” key, the number changes from 6-0, press “ ” key, the
number changes from 0-6. The spectral curve moves correspondingly to the baseline.
Wave Invert
In real-time state, select “Wave Invert”, press “ ” or “ ”key, the letters change between OFF and ON.
11. Press “Freeze” to freeze the current image for image storage and cine loop.
12. If necessary, perform measurements and calculations. For more information, refer to the
"Measurement and Calculation" chapter.
13. The result is recorded by pressing the appropriate print key, depending on the settings of the recording
device.
14. Repeat the above steps until all relevant blood flow parts have been checked.
15. Put the probe back into the corresponding holder.
Activate Triplex mode
To activate the Triplex mode, press "C" knob, then press "PW" knob. Select "Triplex" option on the left side of
the screen and press “ ” or “ ” key to turn on the Triplex mode. The Doppler spectrum is displayed along
with the color flow and B mode images. The cursor changes to a Doppler sampling line. You can now determine the
position and size of the sampling volume gate to get a certain speed. Use Doppler audio to determine whether the
sampling volume gate is located in the blood flow area. Use the Triplex mode to check blood flow information. To
exit the PW Doppler mode, press the “PW” knob, and then press the “B” knob.
9.4 Spectrum Doppler display
Description
Time zero (the starting point of the track) appears on the left side of the graph. As time goes by, the track moves
to the right. The baseline of the graph (representing zero speed, zero frequency shift, or no blood flow detected) is
displayed as a solid line across the screen. By convention, the movement toward the probe direction is positive and
the movement away from the probe direction is negative. Positive frequency or velocity appears above the baseline.
A negative frequency or velocity appears below the baseline. In general, blood flow is not uniform, but by different
speed and movement in different directions of blood cells composed of mixed. Thus, the displayed content is a
combination of spectra with different grayscale values. The strong signal shows brighter, while the weak signals are
displayed in varying degrees of gray.
9.4.1 Spectrum mode
Description
View the timeline to toggle between synchro and refresh display.
Adjustment
To activate, select the "Display mode" option to switch between synchro and refresh. Doppler mode does not
restart every time when the image is refreshed; however, the screen displays a black bar with a lightning bolt when
the screen is synchronized and refreshed, indicating that the timeline has switched.
Advantages
Refresh function improves the display quality of the spectrum Doppler.
Biological effects
Activating the refresh will change the heat index and / or the mechanical index.
9.4.2 Doppler sampling volume gate positioning
Description
The sample volume is moved by the Doppler mode sampling line in the CFM mode. The gate is positioned in a
specific position within the blood vessel.
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Adjustment
To move the Doppler mode sampling line, move the trackball left or right until the sampling line is positioned
on the blood vessel. To move the position of the sampling volume gate, move the trackball up and down until it is
positioned within the blood vessel. Press "Set" key on the keyboard, move the trackball, the sampling volume gate
changes from 0.5mm to 48mm. In the image of B mode, the sampling gate will change as per moving the trackball,
the value at the right side of the information display area will change.
Value
Can be continuously moved in the field of vision.
Advantages
Position the sampling volume gate on the sampled blood stream.
Biological effects
Changing the sampling volume gate position changes the heat index and / or the mechanical index.
9.4.3 PRF
Description
Adjust the speed scale to accommodate faster / slower blood flow rates. The speed scale determines the pulse
repetition frequency. The pulse repetition frequency (PRF) is displayed on the left side of the spectrum, expressed in
units of frames per second.
Note
Make sure that only one gate is covered on the blood vessel at a time. Otherwise, signals from multiple
bloodstream regions will overlap.
Adjustment
To increase / decrease the PRF, select the "PRF" option, press “ ” or “ ” to change the value from
2KHz-14.08KHz. By adjusting the image depth, PRF also changes. When the encoder is adjusted, the system will
update the speed scale parameter display synchronously.
Value
The speed scale value varies depending on the probe and application. In Triplex mode, if you change the speed
scale of the color flow, the speed scale of the Doppler mode will also be refreshed.
9.4.4 Angle correction
Description
The velocity of the blood flow in the direction of the Doppler vector is estimated by calculating the angle
between the Doppler vector and the blood flow to be measured.
Note
When the Doppler mode sampling line and the angle correction indicator are aligned (angle 0), you will not see
the angle correction indicator.
Adjustment
The blood flow toward the probe is above the baseline, and vice versa. To adjust the angle relative to the probe
face, press the "Angle" key on the keyboard. After turning on the lamp, rotate the "Adjust" knob to adjust the angle.
Every time the rotation is made, the mark in the sample area of the image area changes. When the angle correction is
adjusted, the speed scale changes.
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Value
To optimize the speed measurement, for the vascular application, the angle of incidence should be between
45-60 degrees. The angle correction value varies depending on the probe and application. If you change the
following, the angle correction value will return to the factory settings or user defaults: probe, check category, check
calculation, or new patient.
Advantages
Optimize the accuracy of blood flow velocity. This is particularly helpful for vascular applications where
measurement speed is required.
9.4.5 Steer
Description
Under Doppler mode, steer function is only applicable to linear probe
Adjustment
To center the left / right slanted image, select “Steer” option and press “ ” or “ ” key. The linear probe
can be steered to the left (20 degrees) and right (20 degrees). If you change the parameter of probe, check category,
check calculation, or new patient, the steer value will return to the factory settings or user defaults.
Advantages
Provides a Doppler sampling line angle, which is suitable for linear probe orientation. It is helpful in carotid
artery imaging in peripheral vascular applications.
Biological effects
Steer changes the heatl index and / or mechanical index.
To increase / decrease the wall filter, select "Wall Filter" option, press “ ” or “ ” to select 0-3 filter.
Value
Wall Filter values vary with probe and application. If you change the parameters of probe, check category,
check calculation, or new patient, the wall filter value will return to the factory settings or user defaults
Advantages
Remove unnecessary information. Remove the low level noise above and below the baseline so that you can not
see them on the spectrum.
9.4.7 Baseline
Description
Adjust baseline to accommodate faster and slower blood flow to eliminate aliasing.
Adjustment
Baseline adjusts the point where the velocity trajectory is zero in the spectrum. The default baseline is at the
midpoint of the spectrum. To move the baseline, select “Baseline” and press“ ” or “ ” key to adjust it. The
baseline position varies with the baseline adjustment bar.
Note
The baseline shows a solid line passing through the spectrum. Baselines increase and decrease in equal
increments, depending on the current Doppler scale factor. If the maximum baseline offset (either direction) is
reached, the control will not work.
Value
50% is the center of the screen, + 95% is the top edge of the screen, and 5% is the bottom edge of the screen.
Baseline values vary depending on the probe and application. If you change the parameters of probe, check category,
check calculation, or new patient, the factory settings or user defaults are returned.
Advantages
Eliminate aliasing. Raise the ruler range without changing the speed scale. Correct the positive and negative
speed limits without changing the entire speed range.
To invert the spectrum curve, select “Wave Invert” and press “ ” or “ ” key. After inverting the
spectrum, the positive sign (+) and the minus sign (-) on the speed scale will be inverted accordingly. Positive speed
is shown below the baseline.
Advantages
If you change the angle of the probe to adapt to the anatomical structure, the blood flow will still move in the
same direction, but the Doppler information is inverted. In this case, the Wave Invert function is easier than changing
the direction of the probe.
9.4.9 Dual Synchronous / Triplex Synchronous
Description
Dual synchronization allows simultaneous activation of both modes; Triplex synchronization allows
simultaneous activation of three modes.
•B+PW or B+CF(Dual Synchronous)
•B+PW+CF(Triplex Synchronous)
Adjustment
Press the corresponding knob: "PW" knob - B + PW mode; "C" knob - B + CF mode; "PW" knob + "C" knob -
B + PW + CF mode, in B + PW and B + PW + CF mode, you can choose synchro, refresh mode (dual
synchronization / triplex synchronization).
Advantages
Allows the user to activate multiple modes at the same time.
9.4.10 Volume
Description
Under Doppler mode, the Doppler can be adjusted to the best image by adjusting the volume, get a good
spectrum of sound effects.
Adjustment
Select “Volume” and press “ ” or “ ” key to adjust the volume level. The corresponding change value
is displayed in the information area at the right side of the image.
9.4.11 D Velocity
Description
Refers to the horizontal movement of the M-mode image within a second distance, where it refers to the time it
takes an image to sweep from the left to the right. By adjusting the M mode scanning speed, can be recorded in a
fixed sampling line, the tissues and organs with time changes in the longitudinal movement of the method.
Adjustment
Select "D Velocity" option, press “ ” or “ ” key, you can debug M mode scanning speed of low speed,
medium speed, high speed changes. When adjusting the scanning speed, there is a speed change display in the
information area at the right side of the image. At the same time, M speed scale also changes.
9.4.12 D Gain
Description
By changing the gain value, you can increase the Doppler mode to obtain remote effects. But the gain should
not be too large, or which will increase the image interference.
Adjustment
Select "D Gain" option, press “ ” or “ ” key, you can adjust the value of the gain, while value changes
at the right side of the image information area.
9.4.13 Frequency
Description
In Doppler mode, select “Frequency”. By selecting the frequency , the speed change is displayed on the color
gray scale, and the D line scale speed also changes with the frequency to meet the actual spectrum measurement
needs.
Adjustment
Select "Frequency" option, press the “ ” or “ ” key, the frequency changes from 2.0MHz-5.0MHz, 6.0
MHz -12 MHz.
All measure must be carried out in a frozen state. B mode general measurement: distance, diameter narrow rate,
angle, circumference area, area narrow rate, volume and so on.
Close
【Close】 Close measurement
measurement
Select
Select measurement
【Application】 measurement
package
package
General
【Measure】 General measurement
measurement
Clear
【Clear】 With measurement needs
measurement data
Start and End
【Set】 With measurement needs
key of measurement
Enter general
Display general
【DIS】 measurement menu See above diagram
measurement menu
selection
General
【Measure】 Move the cursor to the
Measurement Note: When using the
desired measurement item via
Distance diameter to calculate the
【Distance】 the trackball and press the "SET"
measurement stenosis rate, always
key. Move the cursor to the
【Stenosis Diameter Stenosis measure from the
measurement start point and
Rate】 diameter rate cross-sectional of the
press the "SET" key to move the
vessel. For diameter
【Angle】 Angle cursor to the measurement end
calculations, do not
and press the "SET" key. The
【Volume】 Volume measure distance from a
measurement data shows at the
longitudinal perspective.
【Area】 Area bottom of the image. Press
This may lead to an
Area narrow "Clear" key to clear the
【Area narrow rate】 inaccurate estimate of the
rate measured data, press "Freeze"
stenosis rate.
key to exit this measurement.
【Trajectory area】 Trace area
6. You will obtain the angle of OAB (OA line and OB line) and the angle of OAC (OA line and OC line) ;
Repeat step 1-5 for next measurement.
Press 【Clear】 key to clear the measurement.
Press 【Freeze】 key to exit the measurement.
All operations must be carried out in frozen state. M mode general measurement menu: heart rate, time,
distance, valve speed selection. Choose blue button to enter the following menu
operation.
10.4.6 Heart Rate measurement
It performs a number of heartbeat cycle to measure the average value of the measurement method to improve
the measurement accuracy. The start point of the measurement refers to the start point of the two heartbeat periods,
and the end point refers to the end of the two heartbeat cycles.
Operation steps:
1.Under frozen state of B/M or M mode , move the cursor to the "M General" option of the measurement
menu, press 【Set】 key to enter into the M general measurement menu, move the cursor to the "HR" option,
press 【Set】 key to enter the measurement state ;
2. Move the cursor to the start point of the measurement, press 【 Set 】 key to fix the start point of
measurement;
3. Move the cursor to the end of the measurement and press 【 Set 】 key to fix the end of the
measurement;
4. Repeat step 2-3 for the next measurement.
Press 【Clear】 key to clear the measurement.
Press 【Freeze】 key to exit the measurement.
10.4.7 Valve Velocity Measurement
It calculates the velocity (slope) of the valve by dividing the tissue depth difference (distance) measured by the
time interval method in B/M mode. The tissue depth difference (distance) is in millimeters and the time interval is in
seconds. The result is in millimeters per second. The message "0" is displayed when the time interval is close to zero
or the value of SL is too large.
Operation steps:
1. Under frozen state of B/M or M mode, move the cursor to the " M General" option of the
measurement menu, press 【Set】 key to enter into the M General measurement menu, and then move the
cursor to "Vel "Option, press 【Set】 key to enter the measurement state;
2. Move the cursor to the start point of the measurement, press 【 Set 】 key to fix the start point of
measurement;
3. Move the cursor to the end of the measurement and press 【 Set 】 key to fix the end of the
measurement;
Repeat step 2-3 for the next measurement.
Press 【Clear】 key to clear the measurement.
Press 【Freeze】 key to exit the measurement.
10.4.8 Corresponding key and menu operating instructions:
Remark
Operation Description Function
s
5. Move the cursor to the end of the measurement and press 【Set】 key to fix the end point;
6. The measurement is completed and the results are displayed at the bottom right of the image. Repeat
steps 2-5 to make the next measurement.
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit .
All operations must be carried out in frozen state.
10.4.11 HR Measurement
Measure the time interval between two heartbeat cycles on the ultrasound image in Doppler mode and calculate
the heart rate.
Operation steps:
1. Under frozen state of D mode, move the cursor to the "Measure" option of the measurement menu, press
【Set】 key;
2. Move the cursor to the "D General" option, press 【 Set 】 key, pop up the D general measurement
sub-menu;
3. Move the cursor to the "HR" option, press 【Set】 key to enter the measurement state;
4. Move the cursor to the start point of the measurement, press 【Set】 key to fix the start point ;
5. Move the cursor to the end of the measurement and press 【Set】 key to fix the end point;
6. After measurement completed, the results are displayed at the bottom right of the ultrasound zone.
Repeat steps 2-5 to make the next measurement.
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit .
10.4.12 Velocity Measurement
Under Doppler mode, measure the velocity and differential pressure at a point on the Doppler spectrum.
Operation steps:
1. Under frozen state of D mode , move the cursor to the "Measure" option of the measurement menu,
press 【Set】 key;
2. Move the trackball to the "D General" option, press 【Set】 key, pop up the D normal measurement
sub-menu;
3. Move the cursor to the "Vel" option, press 【Set】 key to enter the measurement state;
4. Move the cursor to the start point of the measurement, press 【Set】 key to fix the start point ;
5. Move the cursor to the end of the measurement and press 【Set】 key to fix the end point;
6. After measurement completed, the results are displayed at the bottom right of the ultrasound zone.
Repeat steps 2-5 to make the next measurement.
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit.
10.4.13 Acceleration Measurement
In Doppler mode , measure the speed of two points, the time interval, the calculation of speed difference,
acceleration.
Operation steps:
1. Under frozen state of D mode , move the cursor to the "Measure" option of the measurement menu,
press 【Set】 key;
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2. Move the trackball to the "D General" option, press 【Set】 key, pop up the D normal measurement
sub-menu;
3. Move the cursor to the "ACC" option, press 【Set】 key to enter the measurement state;
4. Move the cursor to the start point of the measurement, press 【Set】 key to fix the start point ;
5. Move the cursor to the end of the measurement and press 【Set】 key to fix the end point;
6. After measurement completed, the results are displayed at the bottom right of the ultrasound zone.
Repeat steps 2-5 to make the next measurement.
Press 【 Clear 】 key to clear the measurement data and symbol, press 【 Freeze 】 key to exit the
measurement.
10.4.14 D General Measurement
Measurement Items:
PS: The peak speed of contraction is the fastest rate of red blood cells in the sample volume;
ED: End - diastolic velocity is the rate of blood flow at the end of the heartbeat cycle;
TAMAX: The average velocity of the maximum velocity spectrum;
RI: Resistance index, RI=|(PS(m/s)-ED(m/s))/PS(m/s)|;
PPG: Peak pressure gradient, is the peak pressure corresponding to the pressure gradient,
PPG(mmHg)=4×PS(m/s)。
Operation steps:
1. Under frozen state of D mode , move the cursor to the "Measure" option of the measurement menu,
press 【Set】 key;
2. Move the trackball to the "D General" option, press 【Set】 key, pop up the D normal measurement
sub-menu;
3. Move the cursor to the "Common" option, press 【Set】 key to enter the measurement state;
4. Move the cursor to the measuring point, press 【Set】 key to fix the measuring point PS;
5. Move the cursor to the measuring point, press 【Set】 key to fix the measuring point MD;
6. Move the cursor to the measuring point, press 【Set】 key to fix the measuring point ED;
7. After measurement completed, the results are displayed at the bottom right of the ultrasound zone.
Repeat steps 2-6 to make the next measurement.
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit .
10.4.15 Doppler Trace
Measurement Items:
PS: The peak speed of contraction is the fastest rate of red blood cells in the sample volume;
ED: End - diastolic velocity is the rate of blood flow at the end of the heartbeat cycle;
TAMAX: The average velocity of the maximum velocity spectrum;
RI: Resistance index, RI=|(PS(m/s)-ED(m/s))/PS(m/s)|;
PPG: Peak pressure gradient, is the peak pressure corresponding to the pressure gradient,
PPG(mmHg)=4×PS(m/s).
Operation steps:
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1. Under frozen state of D mode , move the cursor to the "Measure" option of the measurement menu,
press 【Set】 key;
2. Move the trackball to the "D General" option, press 【Set】 key, pop up the D normal measurement
sub-menu;
3. Move the cursor to the "Trace" option, press 【Set】 key to enter the measurement state;
4. Move the cursor to the start point of the measurement, press 【 Set 】 key to fix the start point of
measurement;
5. After measurement completed, the results are displayed at the bottom right of the ultrasound zone.
Repeat steps 2-5 to make the next measurement.
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit .
10.4.16 Doppler Auto Measurement
Measurement Items:
PS: The peak speed of contraction is the fastest rate of red blood cells in the sample volume;
ED: End - diastolic velocity is the rate of blood flow at the end of the heartbeat cycle;
TAMAX: The average velocity of the maximum velocity spectrum;
RI: Resistance index, RI=|(PS(m/s)-ED(m/s))/PS(m/s)|;
S/D: The ratio of peak (S) and end - diastolic peak (D) of umbilical artery in late pregnancy.
PPG: Peak pressure gradient, is the peak pressure corresponding to the pressure gradient,
PPG(mmHg)=4×PS(m/s).
Operation steps:
1. Under frozen state of D mode , move the cursor to the "Measure" option of the measurement menu,
press 【Set】 key;
2. Move cursor to the "D General" option, press 【Set】 key, pop up the D general measurement sub-menu;
3. Move the cursor to the "Doppler Auto" option, press 【Set】 key to enter the measurement state;
4. Move the "Start" cursor to the measurement start point and press 【Set】 key to fix the measurement start
point;
5. Move the "End" cursor to the end of the measurement and press 【 Set 】 key to fix the end of the
measurement;
6. After measurement completed, the results are displayed at the bottom right of the ultrasound zone.
Repeat steps 2-5 to make the next measurement.
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit.
10.5 Specialist Measurement
This equipment has the following specialized measurement calculation items:
◆Abdomen ◆Pelvic
◆Early OB ◆General
◆Urology ◆Cardiac
◆MSK ◆Late OB
Portal Vein Portal vein measurement key. Move the cursor to the
measurement start point and press
Spleen Spleen measurement
"SET" key to move the cursor to
Prox Ao Ap Cardiac measurement the measurement end and press
Mid Ao Ap "SET" key. The measurement
Dist Ao Ap data shows at the bottom of the
Rt lliac Ap image. If you need to make
Lt lliac Ap multiple measurements on a
Prox Ao Width particular item, if the liver needs
Prostate volume
Prostate Volume
measurement
(about 1-2.5 kg; the other said 1-1.6 kg), a reddish brown V-shaped organs. The liver is an important organ of
metabolism.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "Measure" and press "SET" key;
2. Move the cursor to "Liver" and press "SET" key;
3. Move the cursor, combined with "SET" key, do the measurement;
4. Repeat steps 2-3 can be measured multiple times; the measurement results are displayed at the bottom
right of the image.
10.5.4 Gallbladder Measurement
Description
Gallbladder, is located in the right side of the ribs under the liver of the pear-shaped capsule structure,
concentrated and stored with bile. Gallbladder at the end of the body, neck, tube four, neck with cystic duct.
Gallbladder wall by the mucosa, muscle and outer membrane composed of three.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General” and press "SET" key;
2. Move the cursor to "GB" and press "SET" key;
3. Move the cursor, combined with "SET" key, do the measurement;
4. Repeat steps 2-3 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
10.5.5 Gallbladder Wall Thickness Measurement
Description
Gallbladder wall normal thickness is 1 to 3 (average 2) mm, gallbladder wall greater than 3mm is regarded as
gallbladder wall thickening
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "Measure" and press "SET" key;
2. Move the cursor to "GBWT" and press "SET" key;
3. Move the cursor, combined with "SET" key, do the measurement;
4. Repeat steps 2-3 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
10.5.6 CBD Measurement
Description
The common bile duct from the hepatic duct and cystic duct in the liver duodenal ligament merged together,
down with the pancreatic duct. The length is about 7 ~ 9cm, diameter 0 .6 ~ 0 .8cm divided into four sections: 1,
duodenal upper 2, duodenum 3, the pancreas 4, duodenal wall within the segment. The beginning of the common
bile duct is located in the upper duodenum above the duodenal ligament in the liver, and then the upper part of the
duodenum, and then down, in the pancreatic head and duodenum between the Department or by the head After the
last oblique duodenal descending posterior medial wall, where the confluence of the pancreatic duct, the formation
of slightly enlarged hepatopancreatic ampulla, opening in the duodenum big nipples. In the liver and pancreas
around the ampulla liver and pancy circumference around the sphincter. In the common bile duct and pancreatic duct
are also a small amount of smooth muscle around, respectively, said the common bile duct sphincter and pancreatic
duct sphincter. Hepatopancreatic ampullary sphincter to maintain contraction of the state, by the liver secretion of
bile, by the left and right liver, right tube, liver catheters, medical education. Nursery network collection of cystic
ducts into the gallbladder storage; After eating, especially into high-fat foods, gallbladder contraction,
hepatopancreatic ampullary sphincter diastolic, gallbladder bile through the cystic duct, common bile duct into the
duodenum.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
2. Move the cursor to the "CBD" and press "SET" key;
3. Move the cursor, combined with "SET" key, do the measurement;
4. Repeat steps 2-3 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
10.5.7 Portal Vein Measurement
Description
The portal vein includes the portal vein and the pituitary portal vein.
The portal vein is made up of the splenic vein (subepithelial vein into the splenic vein), the superior mesenteric
vein is merged, and the blood from the abdominal organ is recovered. There is no valve in the portal vein, so when
the portal vein pressure, the blood can be countercurrent.
Adult portal vein about 8cm, about 1.5 cm in diameter, from the splenic vein and superior mesenteric vein in the
pancreas neck after the convergence, oblique right ascending into the free axis of the liver duodenal ligament, living
in common bile duct and hepatic artery Of the rear, upstream to the first hepatic portal, divided into left and right
into the liver, repeated branches in the liver, and finally the formation of interlobular vein, and the hepatic artery
branch of the interlobular artery common into the liver sinus.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Application" and press "SET" key;
2. Move the cursor to "Abdomen" or "General" and press "SET" key;
3. Move the cursor to the "Portal Vein" and press "SET" key;
4. Move the cursor, combined with "SET" key, do the measurement;
5. Repeat steps 3-4 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
10.5.8 Spleen Measurement
Description
The spleen is the largest lymphoid organ in the body, located in the upper left abdomen. The main function of
the spleen is to filter and store blood. Spleen texture is brittle and rich in blood supply, so once a strong external
force to combat, it is easy to rupture, splenic rupture can lead to severe bleeding, is able to lethal one of the
abdominal emergency.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Application" and press "SET" key
2. Move the cursor to "Abdomen" or "General" and press "SET" key;
3. Move the cursor to "Spleen" and press "SET" key;
4. Move the cursor, combined with "SET" key, do the measurement;
5. Repeat steps 3-4 to measure multiple times; the measurement results are displayed at the bottom of the
image
10.5.9 Aortic Measurement
Description
Circulation of the arterial trunk behavior: ascending aorta from the left ventricle, to the right side of the second
thoracic and thoracic articular height of the transition to the aortic arch, bow to the left after the fourth thoracic
vertebral body to move the lower thoracic aorta; The apex of the vertebral body is divided into the left and right
common iliac arteries. The common iliac arteries are divided into the internal and external arteries of the iliac
arteries.
10.5.10 Prox Ao AP Measurement
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
2. Move the cursor to the "Aorta" and press "SET" key;
3. Move the cursor to "Prox Ao AP" and press "SET"
4. Move the cursor, combined with "SET" key, do the measurement;
5. Repeat steps 3-4 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
10.5.11 Mid Ao AP Measurement
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
2. Move the cursor to the "Aorta" and press "SET" key;
3. Move the cursor to "Mid Ao AP" and press "SET"
4. Move the cursor, combined with "SET" key, do the measurement;
5. Repeat steps 4-5 to make multiple measurements; the measurement results are displayed at the bottom
right of the image.
10.5.12 Dist Ao AP Measurement
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
5. Repeat steps 3-4 to make multiple measurements; the measurement results are displayed at the bottom
right of the image.
10.5.17 Dist Ao Width Measurement
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
2. Move the cursor to the "Aorta" and press "SET" key;
3. Move the cursor to "Dist Ao Width" and press "SET"4. Move the cursor, combined with "SET" key, do
the measurement;
5. Repeat steps 3-4 to make multiple measurements; the measurement results are displayed at the bottom
right of the image.
10.5.18 Bladder Measurement
Description
The bladder is a urine storage organ. In mammals, it is composed of a smooth muscle capsule structure, located
in the pelvis, the rear opening and urethra connected. Bladder and urethra at the junction of a sphincter, can control
the discharge of urine.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
2. Move the cursor to "Bladder" and press "SET" key;
3. Move the cursor to "Volume" and press "SET" key
4. Move the cursor, combined with "SET" key, for L, H, W measurement;
5. Repeat steps 3-4 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
10.5.19 Bladder Wall Measurement
Description
The bladder wall consists of muscular, submucosal and mucous membranes. Covered with thin layers of loose
connective tissue. The serosa is covered only in the upper part of the bladder and a small part of the upper part of the
bladder. Muscle layer composed of smooth muscle fibers, the outer and inner layer for the longitudinal, the middle
of the main ring, three layers are not easy to separate each other. The entire bladder muscle layer called the bladder
detrusor, an important role in the urination.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
2. Move the cursor to "Bladder" and press "SET" key;
3. Move the cursor to the "Blad Wall" and press the "SET" button
4. Move the cursor, combine the "SET" key, do the measurement;
5. Repeat steps 3-4 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
5. Repeat steps 3-4 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
Operation steps:
Move the trackball to select the basic information page of the obstetric report. Click the drop-down button in
the basal body temperature (BBT) input field, select the date, and then click the input field after GA. The GA will be
displayed in the input field.
10.6.9 Fetal Biophysical Score
Fetal Biophysical Score: there are two commonly used scoring methods:
Mannig scoring method——Will each of the physiological variables, the normal assessment of 2 points;
abnormal comment 0 points. To observe the followings in 30 minutes : 1. fetal respiratory movement; 2. large body
movement; 3. fetal muscle tension; 4. reactive FHR; 5. amniotic fluid quantitative.
Vintzileos scoring method——Each physiological activity was scored as "0", "1", "2".
1. To observe the reactive FHR in 20 minutes ; to observed the followings in 30 minutes: 2. fetal movement; 3.
fetal respiratory movement; 4. fetal muscle tension; 5. amniotic fluid; 6. placental maturity.
In medical practice, the newborns are widely used Apgar scoring method named by Apgar to judge this,
including the following five projects:
1.Skin color: assess the situation of neonatal lung oxygen exchange. Body skin was pink for 2 points, hands
and feet were purple purple for 1 minute, the body was purple for 0 points.
2.Heart rate: assess the intensity and rhythm of neonatal heart beats. Heart beat more than 100 times / minute
for 2 points, heart beat less than 100 times / minute for 1 point, can not hear the heart sound for 0 points.
3.Breath: assess the maturity of the neonatal center and lungs. Breathing law for 2 points, breathing rhythm
irregular (such as shallow or irregular or rapid effort) for 1 point, no breathing for 0 points.
4.Muscle tension and exercise: assessment of neonatal central reflex and muscle strength. Muscle tension is
normal for 2 points, abnormal muscle tension or low for 1 point, muscle tension relaxation of 0 points.
5.Reflex: assess the ability of the newborn to respond to external stimuli. On the shell foot or other stimuli loud
cry for 2 points, whispered sobbing or frown for 1 point, no response to 0 points.
According to these five signs as the basis, full of 10 points were normal neonatal, score 7 points below the
neonatal consider suffering from mild asphyxia, score below 4 points to consider suffering from severe asphyxia.
Most of the newborns score among 7-10 points, the doctor will be based on the child's score to be dealt with
accordingly. Mild asphyxia neonates generally cleaned up the respiratory tract, oxygen and other measures will soon
improve, the prognosis is good.
Clinical significance: usually considered the level of fetal score and neonatal Apgra score, fetal distress during
childbirth, prenatal and perinatal mortality are highly correlated. The lower the score, the higher the correlation
between the two. It is reported that when all scoring items are normal, the fetal physiological score is "10", the
perinatal mortality rate is 0; the other hand, if all parameters are abnormal, fetal physiological score of "0", the fetal
mortality rate of 40%.
The system uses the Vintzileos scoring method to rate the following items:
Reactive fetal heart rate accelerate Fetal movement Fetal respiratory activity Fetal muscle tension AFI.
Operation steps:
Move the trackball, select the measurement page of the obstetric report, select page 3, and the report menu
shows the above functions, and the corresponding selection is made.
10.6.11 GS Measurement
Description
Gestational Sac is the form of the initial embryo of pregnancy. The second week of embryos implanted in the
endometrium, developed into the two germ layers, in the ventral bloody out of a large cavity called the primary yolk
sac, yolk sac in the process of embryonic development continue to shrink and degenerate, but the egg yolk wall The
outer mesoderm is the earliest birthplace of blood cells, blood vessels and primordial germ cells - the fetus develops
in the future.
Note
To calculate GS, three distance measurements can be made in two scanning planes. To display two scan planes,
press the L or R key. Get an image in each scan plane and press Freeze.
Operation
1. Select GS; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press SET key.
b. Move the cursor to the end point and press SET key.
c. The measured values are displayed at the bottom of the image.
2. To perform the second and third measurements, repeat the steps above.
10.6.12 Early / Later Obstetric operation steps:
Rema
Operation Description Function
rks
【Close】 Close measurement Close measurement
Choose measurement
【Application】 Choose measurement package
package
【Measure】 General measurement General measurement
Trunk transverse
TTD
diameter
Trunk front and rear
APTD
diameters
Fetal weight
EFW
measurement
UL
10.6.16 HL Measurement
Description
Humerus length (HL) is a commonly used indicator for observing fetal development when doctors use B-mode
ultrasound (or color ultrasound) to check pregnant women during pregnancy. The humerus is a typical long tubular
bone in the human body and can be divided into two ends. Humerus is located in the upper arm, also called the upper
arm bone. The FL refers to the length of the upper arm. Fetal humerus length = -5.4282 + 0.7542 × biparietal
diameter. According to the study, the fetal abdomen area, abdominal circumference and fetal humerus length is a
more sensitive index of fetal body mass, fetal humerus long in predicting the quality of the fetus is better than the
femur length
Operation
To measure single distance to measure the HL:
1. Select HL; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press SET.
10.6.20 AC Measurement
Description
Ultrasound measurement of fetal abdominal circumference can predict the risk of pregnancy caused by the great
children. Fetal abdominal measurement, mainly to see the fetal development of the abdomen. To calculate the
abdomen circumference, you can make an ellipse measurement.
Operation
Ellipse
1. Select AC; an active caliper will appear on the screen.
a. Move the cursor to the starting point and press SET.
b. Move the cursor to the end point and press SET.
c. Move the trackball to confirm the trace of AC
d. The measured data are displayed at the bottom of the image.
2. To perform the second and third measurements, repeat the steps above.
10.6.21 HC Measurement
Description
Head circumference refers to the maximum length of the circle around the fetal head. The head of the fetus
from the front to the back of the longest part, usually from the "forehead of the nose" to "the back of the occipital
bone carina," the longest distance, so the general head circumference is from the "forehead of the nose" to "Back of
the brain occipital protuberance" around the length of the circle.
Operation
Ellipse
1. Select HC; an active caliper will appear on the screen.
a. Move the cursor to the starting point and press SET.
b. Move the cursor to the end point and press SET.
c. Move the trackball to confirm the trace of HC
d. The measured data are displayed at the bottom of the image.
2. To perform the second and third measurements, repeat the steps above.
10.6.22 AFI Measurement
Description
Amniotic fluid is the liquid that surrounds the fetus during pregnancy. The development of human embryos,
there is a period of immersion in the amniotic fluid, the head has a bow like a gill-like things, that is, human
ancestors experienced the fish period of proof. In fact, the amniotic fluid is not oxygen, only nourishment, while the
fetus's thought, nor is it used to breathe, but the absorption of nutrients, and the role of fish gills have been
completely different. Amniotic fluid in addition to early pregnancy to provide appropriate to the fetus outside the
fetus in the middle of pregnancy or to provide fetal movement, growth, respiratory tract, gastrointestinal circulation
and fetal urine excretion of the place. It can be said that amniotic fluid is one of the essential living conditions in
fetal growth.
Operation
To measure single distanceto measure AFI:
Hysteromyoma, also known as uterine leiomyoma, is the most common female genital a benign tumor. More
asymptomatic, a small number of manifestations of vaginal bleeding, abdominal touch and swelling of the symptoms.
If the occurrence of torsion or other circumstances can cause pain, multiple common uterine fibroids are common.
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to the "Pelvic" item in the "Application" of the left menu and press "SET";
2. Move the cursor to the "Uterus", press "SET";
3. Move the cursor to "Fibroid Volume", press "SET";
4. Move the cursor, combined with "SET" button, do the uterine fibroids measured.
The measurement results are displayed at the bottom right of the image.
10.7.10 Multiple follicle Measurements
Description
Follicle, the ovary cortex consists of an oocyte and many small follicular cells around it. According to follicular
development process of morphological and functional changes can be divided into primordial follicles, growth
follicles and mature follicles in three stages. Women's original follicles are innate, neonatal ovaries on both sides
have 700,000 to 200 million original follicles, about 40,000 primitive follicles are kept to puberty . Ultrasonography
provides an effective method for detecting follicular development and ovulation, and can be used to diagnose
follicular dysplasia and various ovulation disorders. The most common clinical abnormalities are follicular dysplasia
and no follicular development.
Note
In the B mode, the follicle and other ultrasound scanning positioning, measuring the diameter of the follicle, in
the gynecological report, according to the measured diameter calculated by the volume calculation method (spherical
volume calculation formula), left and right follicles measured three diameter data.
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to the "Pelvic" item in the "Application" of the left menu and press "SET";
2. Move the cursor to the "Lt / Rt Follicle", press "SET";
3. Move the cursor to "F1-F8" and press "SET";
4. Move the cursor, combined with "SET" key, do the follicle measurement.
5. The measurement results are displayed at the bottom right of the image.
10.8.1 Description
Skeletal muscle, also known as striated muscle, a muscle. Human body has about 600 pieces of skeletal muscle.
1. Bone marrow is a contraction of the muscle cells (due to its shape of long fibrous growth, so also known as
muscle fibers) formed. Any physical activity and physical activity, are the completion of skeletal muscle contraction,
a direct impact on the body's strength and endurance.
2. Skeletal muscle is also the main storage site for human sugar, commitment to more than 70% of sugar storage,
the body's blood sugar balance has an extremely important buffer effect.
3. Skeletal muscle can be free exercise, the muscles have a certain flexibility, is elongated, when the lift force,
can automatically return to the original level, this elasticity can slow down the impact of external forces on the
human body.
10.8.2 Skeletal muscle measurement steps
Close
【Close】 Close measurement
measurement
grams. Testis is male genital organs. Normal men have two testes, located on the left and right sides of the scrotum.
Testicles were ovate, gray color. Adult testis length 3.5-4.5 cm, 2-3 cm wide, 1-2 cm thick, each side of the testes
weight 10-15 grams.
10.9.2 Small Organs Measurement Menu
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Small Organs" and press "SET";
3. Move the cursor to "Rt Thyroid" or "Lt Thyroid" and press "SET";
4. Move the cursor to "Isthmus" and press "SET";
5. Move the cursor and combine the "SET" key to do the measurement.
6. The measurement results are displayed at the bottom of the image.
10.9.6 Left/Right Testis Measurement
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Small Organs" and press "SET";
3. Move the cursor to "Rt Testicle" or "Left Testis" and press "SET";
4. Move the cursor to "Volume" and press "SET";
5. Move the cursor and combine the "SET" key to do the measurement.
6. The measurement results are displayed at the bottom of the image.
10.9.7 Vessel Area Measurement
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Small Organs" and press "SET";
3. Move the cursor to "Vessel" and press "SET";
4. Move the cursor to "Vessel Area" and press "SET";
5. Move the cursor and combine the "SET" key to do the measurement.
6. The measurement results are displayed at the bottom of the image.
10.9.8 Stenosis Area Measurement
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Small Organs" and press "SET";
3. Move the cursor to "Vessel" and press "SET";
4. Move the cursor to "Stenosis Area" and press "SET";
5. Move the cursor and combine the "SET" key to do the measurement.
6. The measurement results are displayed at the bottom of the image.
10.9.9 Vessel Diam Measurement
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to "Application" and press "SET";
Ureter
Lt Ureter
measurement
Prostate volume
Prostate Volume
measurement
10.10.3 Kidney Volume Measurement
Description
Kidney is an important organ of the human body, its basic function is to generate urine, in order to remove the
body of metabolites and certain wastes, toxins, while re-absorption function to retain water and other useful
substances such as glucose, protein, amino acids, , Potassium ions, sodium bicarbonate, etc., to regulate water,
electrolyte balance and maintenance of acid-base balance. Kidney also endocrine function, resulting in renin,
erythropoietin, active vitamin D3, prostaglandins, kinin, etc., but also for the body part of the endocrine hormone
degradation sites and the target organ of extraperitoneal hormones. All these functions of kidney ensures the stability
of the environment within the body, promotes the normal metabolism.
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Urology" and press "SET";
3. Move the cursor to "Rt Kidney" or “Lt Kidney" and press "SET";
4. Move the cursor to "Volume" and press "SET";
5. Move the cursor, combined with "SET" key, do the LHWV measurement;
6. Repeat steps 3-5 to do several measurements.
10.10.4 Kidney Cortex Measurement
Description
Kidney cortex mainly refers to the outer layer of the kidney (cortex).
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Urology" and press "SET";
3. Move the cursor to "Rt Kidney" or “Lt Kidney" and press "SET";
4. Move the cursor to "CORTEX" and press "SET";
5. Move the cursor, combined with "SET" key, do the measurement;
6. Repeat steps 3-5 to do several measurements.
10.10.5 Bladder Volume Measurement
Description
The bladder is a urine storage organ. In mammals, it is composed of a smooth muscle capsule structure, located
in the pelvis, the rear opening and urethra connected. Bladder and urethra at the junction of a sphincter, can control
the discharge of urine.
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
Close
【Close】 Close measurement
measurement
【Report】 Report Report
Choose Choose measurement
【Application】
measurement package package
General
【Measure】 General measurement
measurement
Clear measurement
【Clear】 With measurement needs
data
Measurement start
【Set】 With measurement needs
and end point set
Right common Under B or B / B mode,
Rt CCA carotid artery adjust the image, press "DIS"
measurement button, use the trackball to move
Right common the cursor to the needed point to
Rt Bulb
carotid artery ball measure, press "SET". Move the
Venous distance
Venous distance
measurement
8. The measurement results are displayed at the bottom right of the image.
10.11.6 Arterial Measurement
Description
The arterial measurement is the common carotid artery measurement function, which can be performed in B/W
and blood flow pattern images.
Operation
Under B, PW, CF mode, adjust the image, freeze, press the "DIS" key to enter the measurement menu:
5. Move the cursor to "Application" and press "SET";
6. Move the cursor to "Vascular" and press "SET";
3. Move the cursor to "Arterial" and press "SET";
4. Move the cursor to the "Distance" or "Area" or "Diam Red" or "Area Red" or "Diameter" and press
"SET";
5. Move the cursor to the measurement start point and press "SET";
6. Move the cursor to the end point of the measurement and press "SET";
7. Repeat steps 4-6 to do several measurements;
8. The measurement results are displayed at the bottom right of the image.
10.11.7 Venous Distance Measurement
Description
The location of the relationship between the neck artery and the internal carotid artery adjacent to the distance
between the two, and some overlap, there are carotid sinus, so the puncture site is not easy in the upper part of the
internal jugular vein. The lower part of the medial and carotid artery associated with the line, between the veins and
the arteries after the vagus nerve. There are lung tip and pleural top.
Operation
Under B, PW, CF mode, adjust the image, freeze, press the "DIS" key to enter the measurement menu:
7. Move the cursor to "Application" and press "SET";
8. Move the cursor to "Vascular" and press "SET";
3. Move the cursor to "Venous" and press "SET";
4. Move the cursor to the "Distance" press "SET";
5. Move the cursor to the measurement start point and press "SET";
6. Move the cursor to the end point of the measurement and press "SET";
7. Repeat steps 4-6 to do several measurements;
8. The measurement results are displayed at the bottom right of the image.
10.12 Cardiac Measurement
10.12.1 Description
Heart is in the chest, the top of the diaphragm, between the two lungs, about two-thirds on the left side of the
midline. The heart is like an inverted, front and rear slightly flat cone. Apex obtuse, toward the left front and lower,
and the chest wall adjacent to its surface projection in the left chest anterior wall of the fifth intercostal space clavicle
medial 1-2cm, so here can be seen or touch the apex beat. The bottom of the heart is wide, large blood vessels from
this access, toward the right after the top, and esophageal and other posterior mediastinal organs adjacent. The heart
wall is made of myocardium and can automatically contract at about 70 rhythms per minute, thereby continuously
transporting blood to whole body tissues. The heart is actually made of two blood pumps. Each blood pump is made
up of two parts: the upper part is called the atrium; the lower part is called the ventricle. Blood enters the heart from
the atria and flows into the lower ventricle. The ventricular wall is very hypertrophy and helps to pump the blood out
of the heart. Heart work, the right ventricle to send blood to the lungs, blood flow through the lungs back to the left
atrium, and then transported to the body through the left ventricle.
10.12.2 Cardiac Measurement Menu
Left ventricular
【LV Simps.】
function calculation
A4C Diastolic
【A4C Dias】
/A4C Systolic
【A4C Sys】 A4C Systolic
Interventricular
【IVSs】
septal - systolic
Interventricular
【IVSd】
septal - diastolic
Left ventricle /
【LA/AO】
aorta
Aortic root
【AO Root】
measurement
【ASC AO】 Ascending aorta
Left ventricular
【AVA(Trace)】
outflow tract diameter
【LA】 Left atrium
Left ventricular
【LVOT Diam】
outflow tract
【MV】
Diameter
【Diameter】
measurement
Mitral valve area
【MVA(Trace)】
measurements
Left ventricular
epicardium and
【LV Mass A/L】
endocardial
measurements
Left ventricular
【Epi Area】 epicardial myocardium
area
Subendocardial
【Endo Area】
area
Left ventricular
【LV Length】
length
Pulmonary
circulation blood flow /
【Qp/Qs】
body circulation blood
flow ratio
Left ventricular
【LVOT Diam】
outflow tract
Right ventricular
【RVOT Diam】
outflow tract
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”RVDd” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.7 RVWs Measurement
Description
Ventricular wall stress is an important indicator of cardiac function and myocardial oxygen supply, and it is
important to accurately estimate changes in stress in the wall. The traditional method of estimating ventricular wall
stress is measured by 2D echocardiography or cinematic angiography, and only the mean value can only be
estimated. However, ventricular wall stress is a local functional parameters, due to the complexity of the ventricular
wall geometry and its high degree of non-linear characteristics, in vitro myocardial studies can not be directly
applied to the conclusions of the living heart, people put forward a number of physical prediction of ventricular wall
stress mathematical model, wall stress model proposed by Arts and other people is more comprehensive, the
ventricular contraction around its long axis of rotation and myocardial anisotropy are taken into account, the formula
is as follows: wall stress = ESP × (3ESV / WV +1).
Note: ESP is for the left ventricular end-systolic pressure, ESV is for the end of the left ventricular volume, WV
for the wall volume. The left ventricular systolic end of the local end-systolic stress study found that from the apical
to the bottom of the heart wall stress gradually increased, the study also found that patients with dilated
cardiomyopathy and end-systolic left ventricular wall stress was significantly higher than normal.
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”RVWs” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.8 RVDs Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”RVDs” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.12 LVPWs Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”LVPWs” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.13 LVSimps Measurement
Description
Regardless of diastolic function or systolic function, ultrasound examination found that abnormal performance
of segmental exercise, the clinical should be crown treatment; indirect bilirubin by anti-atherosclerosis on
cardiomyocytes play a protective role in order to protect the heart function; Left ventricular end-diastolic diameter
than the left ventricular end diastolic diameter can better reflect the left ventricular systolic or diastolic function
status, more accurately represent the left ventricular preload.
10.12.14 A4C Dias Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”A4C Dias” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.15 A4C Sys Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”A4C Sys” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.20 AORoot Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”AO Root” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”Epi Area” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.28 Endo Area Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”Endo Area” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.29 LV Length Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”LV Length” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.30 LVOT Diam Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”LVOT Diam” and press "SET";
4. Move the cursor to the measurement start point and press "SET";
5. Move the cursor to the end point of the measurement and press "SET";
6. Repeat steps 3-5 to do several measurements;
7. The measurement results are displayed at the bottom right of the image.
10.12.31 RVOT Diam Measurement
Operation
Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
Press the " " key on the keyboard, there will be ROI sampling box, to enter into the 3D/4D mode of
operation.
It is recommended to adjust the depth to 170mm or less, the sampling frame angle transferred to moderate, to
achieve the best 2D image results.
Use the trackball with " " key to adjust the size of the sampling frame, move the trackball to adjust the
position.
After selecting the area , press the " " freeze button on the keyboard to enter the 3D / 4D image display
interface.
Note: Select the area (regional size should be moderate, too large or too small will prompt to re-select). If the
region is not selected, then the region is the default selection. Click the "Set" key to adjust the size and position of
the frame.
Press the " " key twice to enter the 2D mode of operation.
11.4 2D Image Rotation
11.4.1 Parameter Selection
To enter into the 3D/4D image display interface, use the trackball to move the cursor to select the function of
the parameter selection. Use the "SET" key to adjust the corresponding parameters.
Y axis
X axis B profile
A profile
Z axis
C profile 4D display
Move the trackball to the A profile, move the cursor to the desired position, hold down the "SET" key, the
cursor changes from white to yellow, move the trackball, and the A profile to the rotation on the Z axis.
Move the trackball to the B profile, move the cursor to the desired position, hold down the "SET" key, the
cursor changes from white to yellow, move the trackball, and the B profile to the rotation on the X axis.
Move the trackball to the C profile, move the cursor to the desired position, hold down the "SET" key, the
cursor changes from white to yellow, move the trackball, and the C profile to the rotation on the Y axis.
down in different directions. Select the "<" or ">" option to toggle the A / B / C profile flat and rotate selection.
11.5 3D / 4D Image Rotation
3D/4D images can be rotated through the A, B, C profile and adjust to achieve satisfactory image effects.
3D/4D image changes as follows:
Rotate around the X axis to move the Rotate around the Y axis to move the
trackball to the B profile and rotate trackball to the C profile and rotate
Rotate around the Z axis to move the trackball to A profile and rotate
Function Menu
Press the "3D / 4D" key to enter the 3D/4D preparation mode. After adjusting the sampling frame, press
" " to start the 3D / 4D data acquisition and enter the 3D / 4D operation interface. The left side of the
interface for the 3D/4D function menu, use the trackball to move the cursor and with "SET" button to select the
operation.
4 diaplay mode
Default value
2D mode color
3D mode color
Profile movement
selection
Profile rotate
selection
Image optimization
Auto cine
Image storage
Video storage
Exit measure
Use the trackball to move the cursor to the cursor of the A profile, hold down the "SET" key while moving the
trackball, the green, blue dot of the other three profiles also follow the trackball movement, any points on the other
profiles and the 3D/4D render image display the image effect along the movement trajectory.
Real-time 3D mode allows cine loop. Press the " " key to freeze the image, move the cursor to the
lower left of the interface "Auto Cine", 4 profiles at the same time into the cine loop. You can also use the trackball
with the SET button to stop the cine loop operation.
Exit measure
image; the stored image is displayed and recalled under the 2D image. The image storage path and format are set in
the Image Storage dialog box. The specific operation method is executed according to the "SET" method in the 2D
image operation.
Save as path
Note:
1. A long-term repeated gel contact with the probe may damage the probe.
2. Clean the probe after each use.
3. Do not use a surgical brush to clean the probe, even if you use a soft brush may damage the
probe, use soft cloth only.
4. Probe and the patient's contact time should not be too long, to avoid patient discomfort.
To extend the life of the probe and get the best performance, do the following:
1. Periodically check the probe cable, socket and sound window.
2. Switch off the machine before connecting or removing the probe.
3. Do not drop the probe to the floor or hard objects, it is strictly forbidden to hit the probe sound window, or
the probe is easily to damage.
4. Do not heat the probe.
5. Do not bend or pull the probe cable, otherwise it may cause the internal cable fracture.
6. Use only the gel on the head of the probe and clean the probe after each use.
7. After cleaning the probe, you must carefully check the probe's sound window, shell and cable, do not use the
probe if you find any cracks or damage on the probe.
12.4 About Battery
1. The apparatus is equipped with a rechargeable lithium-ion battery.
2. The new battery must undergo two or three full charge and discharge (normal use, non-forced discharge)
cycle, in order to play the best results.
3. The battery can charge and discharge hundreds of times, but will still wear and tear. When the battery can be
used to significantly reduce the use of time, please replace the battery.
4. Be sure to us designated charger provide by the factory (that is, AC adapter) to charge. Do not connect the
battery to the charger (AC adapter) when not charging. The battery is connected to the charger (AC adapter) for no
more than 10 hours, otherwise it may shorten battery life. If the battery is not used for a long time, the battery will
discharge itself over time.
5. To prevent battery failure, the battery should be charged one time for each 3 months.
6. Extreme temperature (subcooling or overheating) The environment will affect the battery charging effect. Do
not charge the battery in fire or extremely hot conditions! Do not use or store batteries near heat sources (such as fire
or heaters)! If the battery leaks or smells, it should be removed immediately from the open flame.
7. Do not continue using damaged batteries and chargers (AC adapter).
Fragile
Temperature limit
Upper
Stacking limit
Afraid of rain
In the process of using the apparatus, if you encounter difficulties, and have no way to solve, please consult the
company's professional technical personnel or the company after-sales service department. The following is a list of
common troubleshooting methods, for reference only.
Fault Detection
a) Check whether the external power supply is normal, the host power cord is connected, and has been
plugged into the power outlet; host adapter indicator light is on, the adapter output plug is normal, the adapter plug
and the host is connected.
b) Check the probe and the host connection is correct;
c) Check the connection of the monitor is correct and secure.
Troubleshooting
a) Turn on the apparatus power switch, the panel light is off:
Check the power supply is normal; check the power cord and plug connection is reliable; power switch is bad.
b) No signal display:
Check whether the monitor power switch is on, adjust the apparatus brightness and contrast knob; check the
monitor signal input line and the host connection is reliable.
c) The image on the display is not clear:
Adjust the gain, near field, far field button; adjust the brightness, contrast keys;
d) The monitor appears intermittent stripes interference, snow-like interference:
Check whether the power supply is normal, whether the interference by other equipment; equipment around the
space whether there is electricity, magnetic interference; instrument power and probe plug, socket contact is good,
ground column is full and earth connection.