GE Vivid T8-En-Te7473826433h
GE Vivid T8-En-Te7473826433h
GE Vivid T8-En-Te7473826433h
User Manual
5487003-100 — English
Rev. 04
Operating Documentation
Copyright 2013-2014 By General Electric Co.
Regulatory requirement
This manual is a reference for the Vivid T8/Vivid T8 Pro. It applies to all versions of
the R1.x.x software for the Vivid T8/Vivid T8 Pro ultrasound system.
GE
P.O. Box 414, Milwaukee, Wisconsin 53201 U.S.A.
(Asia, Pacific, Latin America, North America)
Rev. 04 2014/06/12 Update rating plate label and add cTUVus label
Please verify that you are using the latest revision of this document. Information
pertaining to this document is maintained on MyWorkshop/ePDM (GE electronic Product
Data Management). If you need to know the latest revision, contact your distributor, local
GE Sales Representative or in the USA call the GE Ultrasound Clinical Answer Center at
1 800 682 5327 or 1 262 524 5698.
Conformance Standards
The following classifications are in accordance with the IEC/
EN 60601-1:
• According to 93/42/EEC Medical Device Directive, this is
Class IIa Medical Device.
• According to IEC/EN 60601-1,
• Equipment is Class I, Type BF or CF Applied Parts.
• Continuous Operation
• According to CISPR 11,
• Equipment is Group 1, Class A ISM Equipment.
• According to IEC 60529,
• The footswitch rate IPx8 is suitable for use in surgical
rooms.
• Probe head (immersible portion) is IPX7
Probe connector is not waterproof.
System is Ordinary Equipment (IPX0).
This product complies with the regulatory requirement of the
following:
• Council Directive 93/42/EEC concerning medical devices:
the CE label affixed to the product testifies compliance to
the Directive.
The location of the CE marking is shown in the Safety
chapter of this manual.
Authorized EU Representative
Original Documentation
• The original document was written in English.
Importer Information
Turkey
Introduction
Overview
Attention
Read and understand all instructions in the User's Manual
before attempting to use the ultrasound unit. Keep the manual
with the equipment at all time. Periodically review the
procedures for operation and safety precautions.
Safety
All information in Chapter ‘Safety’ on page 14-1, should be
read and understood before operating the ultrasound unit.
Interference caution
CAUTION Use of devices that transmit radio waves near the unit could
cause it to malfunction.
Documentation
Principles of Operation
Medical ultrasound images are created by computer and digital
memory from the transmission and reception of mechanical
high-frequency waves applied through a transducer. The
mechanical ultrasound waves spread through the body,
producing an echo where density changes occur. For example,
in the case of human tissue, an echo is created where a signal
passes from an adipose tissue (fat) region to a muscular tissue
region. The echoes return to the transducer where they are
converted back into electrical signals.
These echo signals are highly amplified and processed by
several analog and digital circuits having filters with many
frequency and time response options, transforming the
high-frequency electrical signals into a series of digital image
signals which are stored in memory. Once in memory, the image
can be displayed in real-time on the image monitor. All signal
transmission, reception and processing characteristics are
controlled by the main computer. By selection from the system
control panel, the operator can alter the characteristics and
features of the system, allowing a wide range of uses, from
obstetrics to peripheral vascular examinations.
Transducers are accurate, solid-state devices, providing multiple
image formats. The digital design and use of solid-state
components provides highly stable and consistent imaging
performance with minimal required maintenance. Sophisticated
design with computer control offers a system with extensive
features and functions which is user-friendly and easy to use.
Operator Profile
• Qualified and trained physicians or sonographers with at
least basic ultrasound knowledge.
• The operator must have read and understood the user
manual.
Contraindications
The ultrasound unit is not intended for ophthalmic use or any
use causing the acoustic beam to pass through the eye.
Prescription Device
CAUTION: United States law restricts this device to sale or use
by, or on the order of a physician.
Manual contents
The User's Manual is organized to provide the information
needed to start scanning immediately.
Finding information
Contact Information
Contacting GE Ultrasound
For additional information or assistance, please contact your
local distributor or the appropriate support resource listed on the
following pages:
INTERNET http://www.gehealthcare.com
http://www.gehealthcare.com/usen/ultrasound/products/
probe_care.html
Clinical Questions For information in the United States, Canada, Mexico and parts
of the Caribbean, call the Customer Answer Center.
TEL: (1) 800-682-5327 or (1) 262-524-5698
In other locations, contact your local Applications, Sales, or
Service Representative.
Service Questions For service in the United States, call GE CARES.
TEL: (1) 800-437-1171
In other locations, contact your local Service Representative.
Information To request technical product information in the United States,
Requests call GE.
TEL: (1) 800-643-6439
In other locations, contact your local Applications, Sales, or
Service Representative.
Placing an Order To order accessories, supplies, or service parts in the United
States, call the GE Technologies Contact Center.
TEL: (1) 800-558-5102
In other locations, contact your local Applications, Sales, or
Service Representative.
AMERICAS
ASIA
SINGAPORE ASEAN
1 Maritime Square #13-01
HarbourFront Center
Singapore 099253
TEL: +65 6291 8528
EUROPE
For all other European countries not listed, please contact your
local GE distributor or the appropriate support resource listed on
www.gehealthcare.com.
AUSTRIA General Electric Austria GmbH
Filiale GE Healthcare Technologies
EURO PLAZA, Gebäude E
Wienerbergstrasse 41
A-1120 Vienna
TEL: (+43) 1 97272 0 FAX: (+43) 1 97272 2222
EUROPE (continued)
GREECE GE Healthcare
8-10 Sorou Str. Marousi
Athens 15125 Hellas
TEL: (+30) 210 8930600 FAX: (+30) 210 9625931
REPUBLIC OF IRELAND
GE Healthcare
Unit F4, Centrepoint Business Park
Oak Drive, Dublin 22
TEL: (+353) 1 4605500
NETHERLANDS GE Healthcare
De Wel 18 B, 3871 MV Hoevelaken
PO Box 22, 3870 CA Hoevelaken
TEL: (+31) 33 254 1290 FAX: (+31) 33 254 1292
EUROPE (continued)
RUSSIA GE Healthcare
Krasnopresnenskaya nab.
18, bld A, 10th floor
123317 Moscow, Russia
TEL: (+7) 4957 396931 FAX: (+7) 4957 396932
EUROPE (continued)
Manufacturer
Getting started
Introduction
Never set liquids on the unit in order to avoid spillage into the
unit or the control panel. Maintain a clean environment. Turn off
the circuit breaker before cleaning the unit. Refer to ‘System
Care and Maintenance’ on page 13-9 for cleaning instructions.
To carry out regular preventative maintenance refer to ‘System
Care and Maintenance’ on page 13-9.
Site requirements
Optimal operation of the unit can be obtained by implementing
the following requirements:
Power requirements
The ultrasound unit uses a separate power outlet for 100– 240
VAC, 50/60 Hz.
Operating Environment
Ensure that there is sufficient air flow around the ultrasound unit
when installed in a fixed location.
Environmental requirements
Electromagnetic interferences
Switching On/Off
Shutdown
NOTE: After switching off the system, wait at least ten seconds before
turning it on again.
1. Press the On/Off button on the top left of the control panel.
The Exit dialogue window is displayed.
NOTE: In case of total lockup of the system, hold the on/off button
down a few seconds to turn the system off.
2. Select Shutdown.
The shutdown process takes a few seconds and is
completed when the control panel illumination is turned off.
To switch off before moving the unit, follow the additional steps
below:
1. Set the circuit breaker to OFF.
2. Remove the plug from the mains power socket.
3. Wind the power cable around the rear handle.
Wheels
All the four wheels have independent brake pedals.
Examine the wheels frequently for defects to avoid breaking or
jamming.
1. Unlocked Wheels
2. Locked Wheels
WARNING Do not move the unit if the LCD Monitor are in free position.
WARNING Do not move/lift the unit if the LCD monitor are in free
(unlocked) position.
Following transport the unit may be very cold or hot. Allow the
unit to acclimate before being switched on. Acclimation will take
one hour for each 2.5 oC increment when the unit’s temperature
is below 3 oC or above 40 oC.
oF 23.9 28.4 32.9 37.4 104 108.5 113 117.5 122 131 140
Hours 3 2 1 0 0 1 2 3 4 6 8
System description
System overview
Control panel
Key illumination
The keys on the control panel are illuminated according to their
availability:
• Illumination in green: the key function is currently active.
• Illumination in white: the key function is available (but not
active) in the current state of the scanner.
• No illumination: The key is not available in the current state
of the scanner.
Alphanumeric Keyboard
Key Description
Config Displays the configuration dialog box, allowing user configuration of various
settings on the scanner. Some settings are configured for each application,
press Application. to access to application-specific settings.
Spooler Displays the DICOM spooler window. The DICOM spooler is used for checking
the current job’s status when a job is saved or when the total spooler status on
the right of the Archive windows displays an error.
WARNING Any devices or cables, other than those sold with the
ultrasound unit, connected to the Peripheral /accessory
connector panel or to an USB port on the unit may result in an
increase of the electromagnetic emission from the unit, or a
decrease of the electromagnetic immunity of the unit.
CAUTION To avoid damage of the cable, keep the cable away from the
wheels. Disconnect the Footswitch before moving the system.
CAUTION When using the Footswitch, DO NOT hold down the footswitch
pedal. Press and release the Footswitch pedal. Pushing and
holding down the pedal behaves the same way as pushing and
holding down a key on the keyboard.
Starting an examination
1. Select archive and other pre-defined services. 4. Press one of the headings to sort the list
2. Change user. accordingly (ascending/descending).
3. Advanced search filters, the system can be 5. Expanded Patient record displaying belonging
configured to display the advanced search examinations
filters as default (see ‘Patient management
presets’ on page 9-77).
The Search/Create patient window may be slightly different depending on the Dataflow selected
1. The date format is configurable (see page 3-27). 3. The Address field is configurable (see
2. The window can be configured to display the Figure 2-14).
expanded patient info as default (see Figure 2-14). 4. Select patient information category.
Ending an examination
1. Press Patient on the Control panel.
2. Press End Exam on the Touch Panel or the Keyboard.
If the images on the clipboard were not previously stored, a
prompt window is displayed where the user can choose to
store all, none or a selection of the images saved to the
clipboard.
3. Select:
• All: to store all images and end the exam
• None: to end the exam without storing any images
• Select: to select the images to store from the Review
screen and end the exam.
Basic operations
Trackball area
1. Trackball
• Adjusts the selected control
• Moves the pointer
• When ROI is active, use the Trackball to adjust the ROI size or position.
2. Left/Right Set Keys:
• Configured to be specific function key. (See ‘Imaging Settings’ on page 4-48 for more information.)
3. Trackball key:
• Toggles between trackball functional groups. In active mode, press Trackball key to switch among Pos/
Size, M&A and Ptr. In frozen mode, press Trackball key to switch between Scroll and Ptr.
Pos/Size: adjust the ROI position/size.
M&A: activate the cursor
Ptr: mouse left key
Scroll: scroll through the progress bar to watch the cine loop frame by frame.
4. Update/Menu key:
• In Freeze: displays a pop-up System menu.
• In Live duplex mode (Doppler or M-mode): toggles Live/Freeze between the 2D image and the
spectrum image.
5. Upper Set key:
• A select key which functions like the mouse left key
• When Pos/Size is selected, press the Set key to switch between Pos and Size.
Touch panel
1. Select a folder. The yellow dot on the tab indicates the active mode.
2. Each folder may have multiple pages.
3. Rotary/Push buttons with mode/function specific controls.
• : rotate the button to adjust the active control
• : press the button to apply the active control
Note: If two controls are adjusted by rotating the same button, press the button to toggle between the two
controls.
Button Function
On
Dual button: combines two controls that exclude each other mutually
(e.g. toggling between Dual and Quad screen display)
Removable media
Intended use
Removable media can be used for the following purposes:
• Long-term image storage: the final destination of the
images, after they are moved out of the system harddisk by
using the Disk Management feature (see page 9-59).
• Backup of patient database and system configuration
presets (see page 9-68)
• Patient archive sneaker-net: copy a set of patient records
between a scanner and EchoPAC PC using the Import/
Export feature (see page 9-49) with a removable media.
• DICOM export to copy a set of patient records to a third
party DICOM review station.
• MPEGVue export: review exported images on a Windows
computer (see page 9-10).
• Excel export: exports demographics, measurements and
reporting data from the unit to a third party reporting
application using a removable media (see page 9-49).
• Copy of system configuration presets between to units using
the Backup/Restore feature (see page 9-68).
• Save images as JPEG, MPEG or AVI for review on a regular
computer.
Media/Purposes compatibility
USB Flash
USB HD CD-R DVD-R card
Long-term image storage +1 + +
DICOM export + + + +
MPEGVue export + + + +
Excel export + + + +
CAUTION The formatting process will erase any data present on the disk.
ECG
The ECG cable is a modular cable consisting of two different
cables parts:
• The Trunk: a single cable connecting to the system at one
end, and providing a cable splitter device at the other end
(see Figure 3-6).
• The triple color-coded electrode cable: to be inserted in
the splitter device. Each electrode cable hooks up to the
appropriate stick-on electrode by a color-coded clip type
connector.
ECG (continued)
The color-coding of the electrodes follows one of two standards
that are common in different parts of the world. The cable splitter
device has a drawing defining the color codes, names and body
location for the two standard color codes (see Figure 3-6).
Figure 3-6. The cable splitter device with electrode placement conventions
Using Physios
Cineloop
Cineloop overview
Using cineloop
Selection of a cineloop
1. Press Freeze.
The left and right markers are displayed on either side of the
last detected heart cycle on the ECG trace.
2. Press Pause.
The selected heart beat is played back.
3. Press Pause to freeze the cineloop.
4. Use the trackball to scroll through the acquisition and find
the sequence of interest.
5. Adjust Cycle select to move from heart beat to heart beat
and select the heart cycle of interest.
6. Adjust Num cycles to increase or decrease the number of
heart beats to be played back.
7. In Freeze, press Set left or Set right to set the
corresponding cineloop boundary to the current frame.
8. Adjust Left marker and Right marker to trim or expand the
cineloop boundaries.
9. Press Store to store the cineloop (see ‘Storing a cineloop’
on page 9-7) or Freeze to return to live scanning.
NOTE: Cineloop storage can be configured to store heart cycles
with additional time before and after the R-wave and to
display a preview before storage (see ‘Global imaging
settings’ on page 4-47).
Storage of a cineloop
See ‘Storing a cineloop’ on page 9-7.
Zoom
Display zoom
1. Rotate the Zoom knob clockwise.
The resulting magnified image appears in the acquisition
window. An un-magnified image is displayed in the right
corner showing the outlined zoomed region.
2. Use the trackball to position the zoom area over the desired
portion of the image.
3. To turn off the Display zoom, rotate the Zoom knob counter
clockwise.
Annotations
To insert an annotation
Free text
Pre-defined text
Layered annotations
To edit annotations
To move annotations
1. Move the text marker over the annotation to move and press
Set.
2. Move the selected annotation with the trackball to a new
location and press Set.
To edit annotations
Replacing text
1. Press Highlight on the Touch panel to browse through the
annotations entered word by word until the word to edit is
selected.
NOTE: To browse backward, press and hold down Shift while
pressing Highlight.
2. To select several words, rotate Grab Word on the Touch
panel.
3. Type a new text to replace the selected text or press Delete
word on the Touch panel (or Backspace) to delete the
selection.
Adding text
1. Move the text marker over the annotation to move and press
Set.
2. The text in the selected annotation can be edited using the
following alphanumeric keys:
• Right arrow: moves the text cursor forward.
• Left arrow: moves the text cursor backward.
• Tab: moves the text cursor by word forward.
• Shift + Tab: moves the text cursor by word backward.
• Enter: move the cursor to the next line.
• Backspace: deletes backward.
• Delete: deletes forward.
• Insert: toggles the text entry state from overwrite to
insert mode.
To erase annotations
To erase all annotations:
1. Press Page erase on the Touch panel.
If using layered annotations, all texts from both layers are
deleted.
Bodymark
Bodymarks are small graphic images that represent the
anatomy being examined. Using bodymarks, the user can
indicate the position that the probe was in during the
examination.
Inserting a bodymark
1. Press Text.
The Text folder is displayed on the Touch panel.
2. Press Bodymark.
The bodymarks specific to the current application are
displayed.
NOTE: To select bodymarks from another application, press
Library and select the desired application library.
3. Press the bodymark to insert.
The selected bodymark with a probe marker is displayed on
the scanning screen.
4. Using the trackball, adjust the position of the probe marker.
5. Adjust Rotate probe marker to set the probe marker
orientation.
6. To move the bodymark:
• Press Move pattern.
• Move the bodymark to a new location with the trackball.
• Press Move pattern to anchor the bodymark to the new
location.
7. Press Set.
To create a library
1. In the User defined library field, type a name for the library
to create, then select Create.
2. Enter pre-defined texts as described in step 2 above.
3. Press Save Library.
General options
Parameter Description
Enable type over mode When selected, the user can place the cursor in an existing annotation
and start typing to insert new text.
Text overlay in multiple images When selected, if in dual mode, hides annotations in both images when
toggling Text 1/Text 2. If unchecked, hides annotations in the active
image only.
Erase text when unfrozen Deletes annotations when unfreezing the image.
Erase Bodymark when unfrozen Deletes bodymark when unfreezing the image.
Delete Bodymark on page The Bodymark inserted is deleted when applying Page erase.
erase
Bodymark as start page on text Sets the Bodymark Touch panel as default page when pressing Text on
button the Control panel.
Text and bookmark library Set availability for up to six libraries for the current application and select
the default library. Reset reloads the factory default setting.
OB Tables All
Text All
Bodymark All
Options All
Comments All
Tools All
Formats All
TCP/IP Admin
HW version All
Probes All
Restore Admin
Users Admin
Location
System users
The ultrasound unit requires operator registration.
Users are divided in groups with different rights. There are two
types of groups:
• User groups: members of these groups are allowed to login
on the system when selected together with the group
Operator. They have group specific rights (see tables
below).
• Referring groups: members of these groups (Diagnosing
physician and Referring doctors) are not allowed to login on
the system. They are registered as references that can be
associated to a patient record.
Store report
Print report
Service
Create
Admin
Group
Sonographer + +
Fellow + +
Sys Admin + + +
Hosp admin +
GE admin + + +
Right Definition
1. Press New.
2. Enter the user’s information.
3. Select the type of user/referring member in Member of
Group(s).
Deleting a user
Auto logon
1. Select the desired logon setup from the pull down menu:
• Disabled: no default user is selected when logging on.
• Last user: the last user is selected automatically when
logging on.
• USR: select one of the users to be the default user
when logging on.
Scanning Modes
2D-Mode
2D-Mode overview
1. Focus marker
2. Probe orientation marker
3. Parameter window
Using 2D-Mode
The 2D-Mode is the system's default mode.
1. Press 2D on the control panel to access 2D mode.
2. Optimize the image by adjusting the image controls (see
below).
If necessary use preset for optimum performance with
minimum adjustment (see ‘Application presets’ on
page 4-49).
Optimizing 2D
The following controls can be adjusted to optimize the 2D Mode
display:
• Press Auto on the Control panel to turn on Automatic
Tissue Optimization. ATO optimizes the 2D image by
adjusting the gray scale curve.
• Use the Active Gain, 2D Gain and TGC controls to
optimize the overall image.
Gain increases or decreases the amount of echo
information displayed. TGC compensates for depth-related
attenuation in the image.
• Use the Depth control to adjust the range to be imaged.
• Use the Focus Pos control to center the focal point around
the region of interest.
• Use the Frequency control (move to higher frequencies) or
the Frame Rate control (move to lower frame rate) to
increase resolution in image.
• Use the Frequency control (move to lower frequency) to
increase penetration.
• Use the Reject control to reduce noise in the image.
• Use the Persistence control to optimize imaging in the
blood flow regions and make a cleaner, less noisy image.
• Use UD Sp. Red (in non Cardiac scanning) or Use UD
Clarity (in Cardiac scanning) to reduce image speckle. Extra
care must be taken to select the optimal Speckle reduction
level, as too much filtering of speckle can mask or obscure
desired image detail.
• Press Color Maps and select a gray map from the menu on
screen.
• Press Octave to toggle between fundemental and Harmonic
mode.
• Press Virtual Convex to enable a larger field of view in the
far field.
M-Mode
M-Mode overview
Using M-Mode
Conventional M-Mode
Optimizing M-Mode
The use of preset gives optimum performance with minimum
adjustment. If necessary, the following controls can be adjusted
to further optimize the M-Mode display:
NOTE: Refer to ‘Application presets’ on page 4-49 about creating
presets.
• Adjust Horizon. Sweep to optimize the display resolution.
• Adjust Active Gain, and TGC controls to adjust the range to
be imaged.
• Use the Frequency (move to higher frequencies) or the
Frame Rate control (move to lower frame rate) to increase
resolution in image.
• Adjust Dynamic Range to optimize the useful range of
incoming echoes to the available grayscale.
• Adjust Compress and Edge Enhance to further optimize
the display.
• Adjust Reject to reduce noise while taking care not to
eliminate significant low-level diagnostic information.
• Press Octave to toggle between fundemental and Harmonic
mode.
• Use the Focus Pos control to center the focal point around
the region of interest.
• Adjust Power to obtain an acceptable image using the
lowest setting possible.
NOTE: The Power setting affects all other operating modes.
Color Mode
Color 2D
Color M-Mode
PW and CW Doppler
Alternative 1
Alternative 2
TVI overview
Using TVI
1. While in 2D mode press TVI on the control panel.
2. Use the trackball (assigned function: Pos) to position the
ROI frame over the area to be examined.
3. Press Set. The instruction Size should be highlighted in the
trackball status bar.
NOTE: If the trackball control Pointer is selected, press Set to be
able to select between Position and Size controls.
4. Use the trackball to adjust the dimension of the ROI.
Optimizing TVI
The use of preset gives optimum performance with minimum
adjustment. If necessary, the following controls can be adjusted
to further optimize the TVI display:
NOTE: Refer to ‘Application presets’ on page 4-49 about creating
presets.
• To reduce quantification noise (variance), the Nyquist limit
should be as low as possible, without creating aliasing. To
reduce the Nyquist limit: Reduce the Scale value.
NOTE: The Scale value also affects the frame rate. There is a trade
off between the frame rate and quantification noise.
• TVI provides velocity information only in the beam direction.
The apical view typically provides the best window since the
beams are then approximately aligned to the longitudinal
direction of the myocardium (except near the apex). To
obtain radial or circumferential tissue velocities, a
parasternal view must be used. However, from this window
the beam cannot be aligned to the muscle for all the parts of
the ventricle.
NOTE: PW will be optimized for Tissue Velocities when activated
from inside TVI.
Strain rate
Strain
Strain overview
Using Strain
1. From TVI Mode, press Strain.
2. Adjust Strain Start close to the R-peak.
3. Adjust Strain End to end systole, typically near the T-wave.
4. Use the trackball to position the ROI frame over the area to
be examined.
5. Press Set. The instruction Size should be highlighted in the
trackball status bar.
NOTE: If the trackball control Pointer is selected, press Set to be
able to select between Position and Size controls.
6. Use the trackball to adjust the dimension of the ROI.
Optimizing Strain
• From an optimized Strain rate display adjust strain tracking
to pick out the systolic phase.
• The main use of Strain is to map negative systolic
deformation. This means that Strain Start and Strain End
should be adjusted to pick out the systolic phase of the
cardiac cycle: Adjust Strain Start close to the R-Peak.
Adjust Strain End to end systole, typically near the T-wave.
• The maximum deformation that is color-coded can be
adjusted using the Strain Scale control. If set too low, most
of the wall will show the color indicating maximum
deformation. If set too high, the maximum deformation color
is never reached.
• Strain provides information only in the beam direction. The
apical view typically provides the best window since the
beams are then approximately aligned to the longitudinal
direction of the myocardium (except near the apex).
• Low strain values may be masked out with a different color
using the SI Reject control.
TSI overview
Using TSI
Optimizing TSI
• Use apical view when imaging and ensure that the LV wall
or opposing wall are in the view.
• Activate TSI from an optimized TVI or Strain rate display.
• Low time to peak values may be masked out with a different
color using the TSI Cutoff control.
• When analyzing TEE images where systolic velocities are
negative, the detection mode may be changed to “Time to
peak negative velocity” using the Invert control.
LOGIQ View
LOGIQ View provides the ability to construct and view a static
2D image which is wider than the field of view of a given
transducer. This feature allows viewing and measurements of
anatomy that is larger than what would fit in a single image.
LOGIQ View constructs the extended image from individual
image frames as the operator slides the transducer along the
surface of the skin in the direction of the scan plane.
LOGIQ View is available with all linear array probes.
NOTE: LOGIQ View is an option for Vivid T8.
NOTE: LOGIQ View is not available for Vivid T8 Pro.
Using compound
1. Press Compound.
A three frames compounded image is produced.
2. To change the number of compounded frames, adjust
Comp. Frames to three or five frames on the Touch panel.
Using B Flow
Image controls
Control panel
Focus
2D, M-Mode Changes the location of the focal point(s). A triangular focus marker indicates the
depth of the focal point. Adjust the Focus around the region of interest.
Dual Focus
2D Activates Dual focus mode. To adjust the Dual focus, rotate the Focus Pos.
2D Gain
2D When rotated clockwise, increases the overall gain applied to the received echo
signals equally for all depth.
Depth
2D Sets the maximum (far field) distance that will be imaged. Decreasing the depth
may allow higher frame rates.
Width/2D width
2D, TVI, TT, SRI, SI Controls the size or angular width of the 2D image sector. A smaller angle
generally produces an image with a higher frame rate.
Frequency
2D, M-Mode Enables the adjustment of the probe's operating frequency. The selected
frequency is displayed in the Parameter window. For some probes/applications the
lowest frequency settings will be Octave imaging settings.
CF, Doppler, TVI, Enables the adjustment of the transmission frequency to control the sensitivity or
SRI the level of penetration. The selected frequency is displayed in the Parameter
window. Adjusting Frequency may affect Sample Volume and LVR settings.
Color Maps
2D, M-Mode Displays the Tissue color menu to optimize the grayscale presentation. The menu
enables the selection of non-linear gray-curves or different 2D-colorized curves to
be selected.
Frame rate
2D, TVI, TT, SR, SRI, Adjusts frame rate (FPS). The relative setting of the frame rate is displayed in the
TSI Parameter window. When adjusting frame rate, there is a trade off between spatial
and temporal resolution.
Cineloop/Cine Exit
Up/Down
Left/Right
Compress
2D, M-Mode Controls the amount of contrast in the 2D image. An index number is displayed in
the Parameter window to indicate the relative level of compression.
Doppler Enables control over the contrast of the Doppler spectrum. When compression is
raised, the spectrum image becomes softer and some low level background noise
may appear. Compress is available in both Live and Freeze.
TVI, SRI Controls the amount of color compression. The color bar is adjusted accordingly.
Reject
2D, M-Mode Adjusts the rejection level. When this control is increased, low-level echoes are
rejected and appear darker in the 2D image. An index number is displayed in the
Parameter window to indicate the relative level of rejection.
Doppler Enables undesirable background noise to be removed from the Doppler spectrum
resulting in a darker background. Reject is available in both Live and Freeze.
TVI Adjusts the cut-off level for the low velocity of TVI to be discarded when generating
the color image.
Dynamic Range
2D, M-Mode Enables control of the dynamic range or contrast of the image. When dynamic
range is set high, the image is softer and more low-level data is visible.
2D Performs a temporal processing which reduces random noise without affecting the
motion of significant tissue structures. An index number is displayed in the
Parameter window to indicate the relative DDP level.
Tilt
2D Enables the axis of the 2D image to be tilted to the left or right. By default the axis
of symmetry of a 2D image is vertical.
UD Clarity
2D (Cardiac) Enables the user to create a personalized appearance of the tissue. A decrease of
UD Clarity creates a smoother image, though keeping boundaries sharp. An
increase of UD Clarity creates a crisper image.
UD Speckle reduce
2D (non-Cardiac) Reduces the unwanted effects of speckle in the ultrasound image. Image speckle
usually appears as a grainy texture in otherwise uniform areas of tissue. Its
appearance is related to image system characteristics, rather than tissue
characteristics, so that changes in system settings, such as probe type, frequency,
depth, and others, can change the appearance of the speckle. Too much speckle
can impair image quality and make it difficult to see the desired detail in the image.
Likewise, too much filtering of speckle can mask or obscure desired image detail.
Extra care must be taken to select the optimal Speckle reduction level.
Edge Enhance
2D, M-Mode Controls image processing related to the extent of edge enhancement applied to
an image.
PRF/Diff
2D Affects the level of reverberations in the image. When turned on, the frame rate (or
the number of focal zones) will decrease, while the reverberations will be
attenuated.
Power
2D, M-Mode, CF, Controls the amount of acoustic power applied in all modes. When power is set to
Doppler, TVI, TT, maximum, it is equal to or less than the maximum acoustic power permitted by the
SRI, SI, TSI FDA. The Thermal Index (TI) and the Mechanical Index (MI) are displayed on the
screen.
When power is reduced, it reduces the signal-to-noise ratio, so that the image may
become noisier.
Horizontal sweep
M-Mode, Doppler Adjusts the horizontal refresh rate of the M-Mode or Doppler area of the display.
Horizontal sweep is available in live and cine replay.
Scale
CF, Doppler, TVI Adjusts the repetition rate of the Doppler pulses transmitted to acquire the data for
color flow mapping. The Scale (Nyquist limit) should be adjusted so that no aliasing
occurs, while still having good resolution of velocities. The Nyquist limit should be
somewhat above the maximum velocity found in the data.
Baseline
CF Adjusts the color map to emphasize flow either toward or away from the probe.
Baseline is available in both Live and Freeze.
Doppler Enables the Doppler baseline to be shifted up and down. The default Doppler
baseline is set at the center of the vertical aspect of the Doppler display, dividing
evenly the flow toward and away from the probe. By adjusting the baseline a larger
portion of the analysis is assigned to the flow direction present. Baseline is
available in live and cine replay.
TVI Adjusts the color map to emphasize tissue motion either toward or away from the
probe. Baseline is available in both Live and Freeze.
Invert
Doppler Enables the Doppler spectrum to be flipped 180 degrees, so that negative
velocities are displayed above the baseline and positive velocities below the
baseline. Invert is available in live and cine replay.
TVI Enables the color scheme assigned to positive and negative tissue velocities to be
inverted. Invert is available in live and cine replay.
SRI Enables the color scheme assigned to strain rate to be inverted. Invert is available
in live and cine replay.
Variance
CF Controls the amount of variance data added to a color display. Variance enables
computer-aided detection of turbulent flow (e.g. jets or regurgitation). Variance is
available in live and cine replay.
Color Maps
CF, TVI Displays the Color menu for selection of different color maps. Each color map is
assigning different color hues to different velocities.
Tissue priority
CF Emphasizes either the color of the color mode or the gray scale tissue detail of the
2D image. Tissue priority is available in both Live and Freeze.
Sample volume
CF Lower setting gives better flow resolution while a higher setting increases
sensitivity and helps to locate turbulent flows.
CF LVR, also called Wall motion filter, enables the extent of low velocity removal to be
adjusted. Color data produced by very low flow may cause interference.
Doppler Enables the low velocity portions of the spectrum to be filtered, since the Doppler
spectrum and audio may contain strong wall-motion signals. The amount of Low
Velocity Reject. is indicated by the green vertical bar at the right end of the
baseline.
Lateral averaging
CF, TVI, TT, SRI, SI Smooths the image by averaging collected data along the same horizontal line. An
increase of the lateral averaging will reduce noise, but this will also reduce the
lateral resolution.
Radial averaging
CF, TVI, TT, SRI, SI Smooths the image by averaging collected data along the same radial line. An
increase of the radial averaging will reduce noise, but this will also reduce the
radial resolution.
LPRF
PW Doppler Sets the Pulse Repetition Frequency (PRF) for the PW Doppler acquisition of flow
data. When the Doppler PRF is raised beyond a certain limit, more than one
Doppler gate is displayed on the screen.
Color maps
Doppler Displays the Doppler Color menu for selection of different Doppler colorization
maps.
PW Doppler Enables correction of the Doppler velocity scale by defining the angle between the
Doppler beam and the investigated blood vessel or blood flow. A thin cross bar on
the Doppler cursor will rotate as the control is adjusted. Angle correction is
available in both Live and Freeze. Angle correction adjusts the angle between zero
and 90 degrees with one degree increment.
Quick angle adjusts the angle by 60 degrees.
Sample volume
PW Doppler In PW mode, set the longitudinal size of the region to be sampled for
measurement. Adjusting Sample volume may affect the PRF (Nyquist limit)
settings. SV does not apply to CW mode, where the volume sampled is the full
length of the area indicated by the cursor line.
TSI
Simultaneous
CF, TVI, TT, SRI, SI, Enables simultaneous display of a 2D image and a 2D image with color coded
TSI mode.
TVI visible
Q Analysis
TVI, TT, SRI, SI, TSI Starts the Quantitative analysis application.
(In Freeze)
Threshold
TVI, TT, SRI, SI, TSI Controls the level of grayscale intensity that is used as a threshold for color.
Transparency
TVI, TT, SRI, SI, TSI Controls the degree of transparency of the color display.
Track start
TT The time after ECG R-peak when the integration should start.
Track end
TT The time after tracking start when the integration should end.
Tracking scale
TT Controls the color cut-off value of max displacement displayed. The chosen values
are shown on the color bar.
SRI scale
SRI Defines the scale for the color coding of the strain rate.
Strain length
SRI reject
SRI Adjust the cut-off level of the low Strain rate to be discarded when generating the
color image. Rejected values are displayed in green.
Strain start
SI The time after ECG R-peak when the strain calculation should start. The strain start
time is displayed on the screen and is represented on the ECG by a red marker.
Strain end
SI The time after strain start when the strain calculation should end. The strain end time
is displayed on the screen and is represented on the ECG by a red marker.
Strain scale
SI Defines the scale for the color coding of the tissue deformation.
Strain reject
SI Adjusts the cut-off level of the low tissue deformation to be discarded when
generating the color image. Rejected values are uncolored.
Cine compound
TT, SRI, SI, TSI Calculates and displays cineloops generated from a temporal averaging of multiple
consecutive heart cycles. The number of cycles averaged is user adjustable. The
number of averaged cycles is displayed on the top left corner.
TSI Cut-off
TSI Controls the cut-off time: using this control it is possible to color all parts of the TSI
image that has a time to peak less than a certain cut-off time.
T1/T2 (Timer)
Introduction
Scan Assist Pro provides an automated exam script that guides
you through an exam step-by-step. The system automatically
invokes the correct mode and imaging parameters, advances to
the next step in an exam, annotates the image, initiates
measurements, and assigns the measurements to the
worksheet/report.
NOTE: Scan Assist Pro is an option for Vivid T8 and Vivid T8 Pro.
1. Protocol name
Completed steps/number of steps
2. Step instruction area
3. Protocol steps
Check mark: completed step
Frame: current step (The frame is
green when the Protocol is active or
yellow when it is paused.)
4. This column indicates the scanning
mode or when a measurement needs
to be made.
5. This column indicates the action to
move the Protocol to the next step.
6. Navigation: Stop, Pause/Continue the
Protocol.
1. Category: the Protocols are grouped according to the exam categories (e.g. Cardiac, Abdominal... etc.)
Config: display Scan Assist Pro config sheet (Figure 4-15 on page 4-43).
2. Protocols available for the selected category.
3. Stop, Pause/Continue and Restart Protocol.
4. Change current step.
Change position and size of the Scan Assist Pro window.
Importing a Protocol
1. Insert the media with the saved Protocol from the Scan
Assist Pro Creator or exported Protocol from another Vivid
T8/Vivid T8 Pro.
Refer to ‘Scan Assist Pro Creator’ on page 15-2 for more
information on how to create a Protocol.
2. Press Utility/Config on the Touch panel and log on if
required.
3. Select Imaging/Scan Assist Pro.
Configuration – Imaging
Parameter Description
Cineloop store • Time before/after heart cycle: sets the total storage time span of
the cineloop in ECG mode.
• Time span (no ECG): sets the total storage time span of the
cineloop with no ECG.
• Preview loop before store: when selected enable review of
cineloops before storage.
Crop images In the Analysis screen, removes top and bottom of the image when
more than two images have been selected.
Doppler • Show KHz scale: when selected, displays the KHz scale on the
left side of the Doppler spectrum (see Figure 4-7 on page 4-13).
Patient Info • Title bar Line 1 & 2: selects from the drop-down menu the patient
information to display on the Title bar.
• Anonymous patient: when checked, no patient information is
displayed on the Title bar.
Image size Show reduced image size: check to show the reduced image size
on the screen.
Scan Info • Select the scan information to be displayed on the video record.
Default Flex Key Functionality • Flexible Key: select a button from the pop-up menu as a flexible
key.
• Functionality: choose the specific function for the selected flexible
key.
Application presets
1. Press Utility/Config on the Touch panel and log on if
required.
2. Select Imaging/Application.
Parameter Description
Footswitch functionality Configure the footswitch pedals. For each pedal, select
the operation to perform from the drop-down menu when
in Live or in Freeze.
Templates and Packages Defines the default stress protocol associated to the
application.
Auto invert on steer In Color flow, the color bar is inverted when steering the
color flow sector angle.
Keep cursor when pressing 2D The PW, CW or M-Mode cursor is kept on the 2D display
when pressing 2D on the Control panel.
Keep cursor when changing mode
Keep cursor when pressing 2D The PW, CW or M-Mode cursor is kept in the 2D display
when turning off these modes (by pressing PW, CW or
Keep cursor when changing mode
M-Mode on the Control panel).
The PW, CW or M-Mode cursor is removed in the 2D
display when pressing 2D on Control panel.
Keep cursor when changing mode If cursor is active while in PW, CW or M-Mode, display
the Cursor Touch panel when switching mode.
Stay in cursor state when cursor is active
Sort application list on exam category Display only the factory application in the Application
menu when pressing Probe on the Control panel.
Enable to change Category from the Application menu
when pressing Probe on the Control panel.
Delete an application
WARNING Please ensure you are qualified operator for TEE probe.
Stress Echo
Introduction
1. Level selection
2. Projection selection
3. Current acquisition
4. Group of views
Image acquisition
Starting acquisition
1. Turn freeze off to initiate scanning.
NOTE: To use the Timer, see page 5-9.
2. Perform a scan that conforms with the view that is
highlighted in the template matrix on the Clipboard window.
If the selected template has the option Smart Stress turned
on (see page 5-31), a subset of the image acquisition
settings for each view in the baseline level will be stored and
automatically reused in the corresponding views in the next
levels.
NOTE: Smart Stress is turned on by default in factory templates.
3. Press Store.
• If the actual stress level is configured to preview
cineloop before storing, use the cineloop controls to
select the most appropriate heart cycle and, if desired
adjust the loop markers (see ‘Cineloop’ on page 3-14 if
desired, for further information). Press Store to save the
selected cineloop.
• If the actual stress level is not configured to preview
cineloop before storing, the system will automatically
store the last cardiac cycle.
NOTE: For further information on stress test configuration, see
page 5-29.
When storage of the cineloop is completed, the actual
highlighted cell in the template matrix is filled with dark blue
color indicating that the view has been acquired. After
storing the loop, the system automatically highlights the next
view in the matrix to be acquired.
Stress levels can be configured for side-by-side display/
comparison of the reference loop from baseline or previous
level and the loop to acquire (see Figure 5-3).
1. Use the arrow keys on the Control panel to highlight the cell
that represents the view that is to be replaced.
The selected cell in the template matrix is blinking red,
indicating non-default position.
2. Scan and save the selected loop as explained in the
previous section.
3. Select in the dialog window if you want to Replace or Keep
the existing loop.
• Replace: the original image is deleted from the
examination and replaced by the acquired image.
• Keep: the original image is replaced by the acquired
image, but it is not deleted from the examination.
NOTE: When selecting Keep, both the new and the old image
will be associated with the current protocol cell and you
may later perform Wall Motion Scoring for this level in
the protocol using either the new or the old image. The
new image may be opened from the protocol, while the
old image may be opened manually from the clipboard.
Procedure 1
1. in the Protocol screen, press Move image.
2. Trackball to the image to move (source cell).
3. Press Set.
4. Trackball to the destination cell.
5. Press Set.
The image is moved from the source cell to the destination
cell.
Procedure 2
1. In the Protocol screen, trackball to the cell containing the
image to move (source cell).
2. Press and hold down Set.
3. With the Set key still depressed, trackball to the destination
cell.
4. Release the Set key.
The image is moved from the source cell to the destination
cell.
If the destination cell already contains an image, the images
from the source and destination cells will be exchanged.
Timers
3 4 5
1. Scanner's state
2. Capture session
3. Pause session
4. Buffer gauge
5. Percentage of filled buffer
1. Assigned loop
2. Highlighted loop
3. Already assigned view
4. Highlighted views
1. Select a Projection
2. Select an image
3. Select and open an Image
group
CAUTION The wall motion scoring result is assigned to the stress level of
the image, but will not be updated if the image is moved to
another stress level in the protocol at a later time. Images
should be correctly placed in the protocol when performing wall
motion scoring.
1. Selected segment
2. Selected score
1. Scored segment
Vpeak measurement
This tool enables the user to generate a tissue velocity profile for
a given wall segment through the entire heart cycle and display
color-coded Vpeak in tissue.
From the velocity trace, the user can determine whether the
systolic Vpeak is over or under a clinically determined velocity
threshold (see reference 1 on page 5-28) to confirm the wall
motion scoring.
CAUTION QTVI Stress can be used only in conjunction with wall motion
scoring analysis, as a guiding tool.
When activating QTVI Stress, the measurement applies only to
the currently highlighted segment for the current level and
projection view.
Tissue Tracking
Tissue Tracking calculates and color-codes the displacement in
tissue over a given time interval. The displacement is found as
the time integral (sum) of the tissue velocities during the given
time interval. The color-coded displacements calculated in the
myocardium are displayed as color overlay in the respective
acquisition window.
By studying the color patterns generated in the different
segments, the user can confirm the standard segmental wall
motion scoring at peak levels.
Quantitative analysis
Quantitative analysis enables further analysis based on multiple
tissue velocity traces. Quantitative analysis is performed using
the Quantitative analysis package described in Chapter
‘Quantitative Analysis’ on page 8-1.
References
1. Application of Tissue Doppler to Interpretation of
Dubotamine Echocardiography and Comparison With
Quantitative Coronary Angiography. Cain P, Baglin T,
Case C, Spicer D, Short L. and Marwick T H. Am. J. Cardiol.
2001; 87: 525-531
Editing/Creating a template
Display timer(s)
Smart stress
Configuring levels
Continuous capture
1. Check Continuous capture if continuous image acquisition
throughout the level is desired.
When Continuous capture is selected, preview of cineloop
and reference display (see below) during acquisition are not
possible.
Preview of store
1. Check Preview of store if review and adjustment of
cineloops before storage is desired.
Show reference
1. Check Show reference if the display of the corresponding
reference loop is desired during acquisition (dual screen
mode).
Adding a group
Deleting a group
Configuration
Contrast Imaging
Introduction
The two basic steps of contrast imaging are data acquisition and
quantification. Data acquisition is described in this chapter.
Quantification is described in ‘Quantitative Analysis’ on
page 8-1.
Data acquisition
Cardiac imaging
Quantification
Quantification enables the user to perform the following
analysis:
• Time-Intensity analysis: allows instant time-intensity
calculation from up to eight regions of interest (Angio power
or tissue intensity display).
• Curve fitting analysis: for research studies of myocardial
perfusion rates using contrast agents.
• Arbitrary Anatomical M-Mode (Curved and Straight):
M-Mode applied to intensity data calculates and color-codes
tissue and Angio intensity along a path drawn by the
operator vs. time.
Data acquisition
1. Parameter window
CAUTION Too high Power setting will destroy the contrast agent in the LV
cavity.
Introduction
Overview
The ultrasound unit provides functionality for two measurement
conventions:
• Assign and Measure (Measure Protocols): the user
selects a study consisting in a set of pre-labeled
measurements related to the active scanning mode and
clinical application. The user is prompted through the
measurements in the order of the measurement labels. This
convention is started from the Measure button on the
control panel. A set of tools is implemented to make the
measurement process as fast and easy as possible for the
user:
• The user is guided through the study: an auto-sequence
functionality automatically selects the next
measurement in a study.
• The selected measurement is highlighted in the
Measurement menu.
• The performed measurement is indicated in the
Measurement menu.
The studies and their parameters are user-configurable. The
user can create its own studies containing the relevant
measurements (see page 7-56).
• Measure and Assign (Free style): the user performs a
measurement and assigns a label. This convention is
started either from Measure or Caliper button on the control
panel.
Overview (continued)
After doing measurements, the system automatically makes the
calculations related to the measurements performed.
Measurements and calculations are displayed in the
Measurements result table (see page 7-79).
Assigned measurements and calculations are automatically
gathered into a Worksheet and used to populate the patient
report.
1. Measurement category for the 6. Access to other studies for the current measurement category.
current application 7. Controls for the current measurement
2. Study 8. General controls for the measurement application
3. Opened study
4. Performed measurement
5. Pre-selected measurement
1. Label menu
Assignment
1. Assigned measurement
TSI Measurements
Each sample in the TSI image represents the time to the
maximum velocity within the chosen TSI search interval from
TSI Start to TSI End. (See page 4-26 on how to set the TSI
search interval.)
There are two automatic TSI time to peak measurement tools:
• Generic TSI Time to peak measurement: displays the TSI
value at the location point set by the user.
• Segmental TSI Time to peak measurement: measures the
time to peak velocity in specific wall segments and gets
automatically calculated TSI indexes based on these
measurements. The measurements may be presented in a
color coded Bull's eye diagram.
Alternatively, time to peak measurement can be done in
Q Analysis by manually measuring the time between the QRS
marker and the peak velocity on the velocity trace.
TSI trace
1. TSI ROI
2. TSI trace
3. TSI Time to peak marker
Acquired views
Defining a ROI
Tracking validation
Acquisition
Starting AFI
3. Select APLAX.
The AFI application is started. A ROI can be defined.
CAUTION When performing AFI on all three apical views, the user is
asked to start with the APLAX view. This allows manual
adjustment of the Aortic Valve Closure (AVC) event timing
that is used in the calculation of the longitudinal systolic
strain in all apical views.
Defining a ROI
When selecting the view to analyze the system automatically
displays a frame where the endocardial border is usually clearly
visible. To use another frame, adjust Select frame. The ROI is
defined by placing two annular points and one at the apex
following the order shown on screen.
To define a ROI, place three points at the endocardial border;
two annular points and one at the apex (see Figure 7-11). Follow
the indications displayed next to the pointer and on the Status
bar when placing the three points.
NOTE: The Yo-yo function is turned on to help find correct location for
the points.
Quick tips
Correct ROI definition is crucial to get good tracking. Refer to
the example displayed in the Tip window for correct point
placements. To display additional guidelines, select Click for
tip. Make sure to follow the recommendations when placing the
three points (see below).
1. Correct ROI.
2. ROI should not be bulging or
follow the papillary muscle.
To edit the ROI, see ‘ROI
adjustment’ on page 7-29.
The ROI is divided into segments. The tracking quality for each
segment is automatically evaluated and summarized in the
Scoring table (see Figure 7-14).
Tracking validation
The tracking for each segment must be visually controlled and
validated. Poor tracking quality could result from a variety of
causes. Select Quick tips (see Figure 7-14) to get tips on the
most common causes for bad tracking. The common causes for
bad tracking are:
• Erroneous placement of the basal points when defining the
ROI. If the basal points are placed too far from the annular
region, the ROI segments at the annular base will not move
together with the underlying 2D image throughout the entire
heart beat (see example cineloops in the Quick tips).
• Erroneous placement of the apex point when defining the
ROI. The point should be placed so that the resulting ROI
covers mainly the myocardium. If the apex point is placed
too high, the ROI will mainly cover the epicardium resulting
in poor tracking (see example cineloops in the Quick tips).
• Too narrow ROI width. Narrowing the ROI too much will
result in poor tracking due to lack of tissue data in the ROI
(see example cineloops in the Quick tips).
• Too much clutter. Images with too much static clutter will
result in poor tracking (see example cineloops in the Quick
tips).
1. Inspect each segment and make sure that the center line is
moving together with the underlying 2D image.
NOTE: To get a better visualization you may press Show/Hide ROI
to show or hide the ROI borders.
The tracking quality is automatically evaluated for each
segment and displayed in the Scoring table.
The tracking in each segment is scored as either Acceptable
( ) or Not acceptable ( ).
If the tracking needs to be improved for some segments, the
user can modify the ROI as described in ‘ROI adjustment’
on page 7-29.
The user may override the tracking quality evaluation done
by the system by clicking on the evaluation result in the
Scoring table.
2. Once the tracking quality has been controlled for all
segments, press Approve in the Scoring table.
The user is asked to confirm or adjust the AVC timing setting
(see ‘Timing validation’ on page 7-29).
ROI adjustment
1. Press Recalc.
2. The following adjustments can be done:
• Adjust ROI Width.
• Press New ROI to re-define the ROI.
• Adjust the shape of the existing ROI: move the cursor
over the inner ROI border, select an anchor point and
move it to a new location. The shape of the ROI is
updated accordingly.
Data processing is started automatically if the cursor is not
moved for a few seconds.
The Tracking validation screen is displayed for tracking
validation.
Timing validation
Timing information may be crucial to accurate diagnosis. The
most important event timing is the aortic valve closure (AVC),
since it is part of the definition of the end systolic strain
parameter.
Determination of the AVC timing by the system is as follows,
depending on the situation:
• If AVC timing has been measured by the operator (through
an event timing measurement, see page 7-10) prior to
running AFI, the system is using this data.
• If event timing is not available, an automatic AVC estimate is
used, determined by the temporal contraction of all LV
segments (Strain curves).
• From the APLAX view, the user can adjust the estimated
AVC timing. The adjusted AVC timing will then be used in
the other apical views when running AFI on these views.
This option is only available from the APLAX view.
NOTE: The Quad screen will not be saved unless Store is pressed.
Results
For the APLAX and apical 4-chamber views the following results
are available:
• Single screen (see Figure 7-15) displaying a 2D image with
strain parametric data.
• Quad screen (see Figure 7-16) displaying:
• 2D image with the ROI
• 2D image with Peak systolic strain parametric data
• M-Mode image with strain data
• Segmental curves
Results (continued)
To save the results, exit AFI and answer yes to the question “Do
you want to store?”. Once the results are saved, the
measurements are available in the Worksheet and can be used
in the report.
If the tracking quality of a segment was scored as Not
acceptable ( ), the colorimetric display on the Bull’s eye
is grayed (see Figure 7-19).
Peak detection
The peak systolic strain detection for each segment can be
verified and eventually manually changed.
To adjust the peak detection:
1. Press BE+Traces.
The Bull's Eye and Traces screen is displayed (see
Figure 7-17) showing:
• Trace plots for all three loops
• Bull's Eye with Peak systolic strain values
2. To change the peak marker position on a curve:
• Press Set on the peak marker (square point) on one of
the curves, move the peak marker to a new position and
press the Set key again to fix the point.
OR
• Place the cursor on a segment in the Bull's Eye. The
corresponding curve is highlighted.
Click on the segment to select the corresponding peak
marker and move it to a new position.
The position of the AVC marker can also be checked in the Bull's
Eye and Traces screen. If needed, the APLAX view should be
reprocessed to change the AVC time.
Reprocessing data
The data from one or several views from a saved AFI analysis
may be reprocessed. When reprocessing an AFI analysis new
result screens are created.
1. Double-click on the Bull’s eye thumbnail.
A quad screen is displayed showing the three apical views
and the Bull’s eye diagram.
2. Select the view to reprocess and perform the analysis as
described on page 7-22.
Acquisition
Starting AutoEF
EF results
The running loop is shown on the left. A green dotted line marks
the inner border of the chamber. In case of poor tracking, the
system automatically displays parts of the border in red.
The frames with the maximal area (ED) and minimal area (ES)
are displayed on the right side.
NOTE: Press EF Dual to only display the ED and ES frames.
The End Diastolic volume (EDV), the End Systolic Volume
(ESV) and the resulting Ejection Fraction (EF) are displayed.
Results for each view are summarized in a table on the right
side.
Tracking Validation
The tracking must be visually controlled and validated. If the
tracking results are visually correct press the red Approve
button on screen. The calculated values are stored and
available in the worksheet and can be used in a report.
The following can be done if tracking needs correction:
• Press EF dual to display ES and ED frames side-by-side.
• Adjust ES frame and ED frame controls if different frames
need to be selected for ES and ED.
• Edit misaligned points on the endocardial border trace on
the ES frame and ED frame as described on page 7-41.
• Press Recalc to display the initial endocardial border trace
and either adjust the trace (see page 7-41) or press New
ROI and create a new endocardial border trace (see
page 7-39).
Possible causes of poor tracking
• Erroneous placement of the basal points when defining the
border. If the basal points are placed too far from the
annular region, the border segments at the annular base will
not move together with the underlying 2D image throughout
the entire heart beat.
• Erroneous placement of the apex point when defining the
border. The point should be placed so that the resulting
border trace covers mainly the endocardium. If the apex
point is placed too high, the border trace will mainly cover
the epicardium resulting in poor tracking.
• Too much clutter. Images with too much static clutter will
result in poor tracking.
Exit AutoEF
Intima-Media Thickness
NOTE: Intima-Media Thickness is an option for Vivid T8.
NOTE: Intima-Media Thickness is not available for Vivid T8 Pro.
The Intima-Media Thickness (IMT) is calculated based on
automatic contour detection of the Intima and Media layers on a
user-defined search region along the vessel wall. Multiple IMT
measurements are made between pairs of intima and adventitia
points along the wall (Figure 7-25). IMT can be measured both
on the posterior and the anterior walls of the vessel. IMT should
be done on 2D mode images, not on Color mode images.
The IMT measurement is available with linear probes only.
NOTE: Due to the physical properties of ultrasound imaging, the
posterior IMT measurement is generally more accurate than the
anterior IMT measurement.
The following parameters are calculated:
• Average IMT
• Maximum IMT
• Minimum IMT
• Standard deviation of IMT measurements
• Number of successful IMT measurements
6. Place the cursor in the artery closer to the posterior wall and
press Set to anchor the start of the search region
(Figure 7-27, left).
7. Move the cursor parallel to the artery to define the end point
of the search region. Make sure the Intima and Media layers
are within the search region (indicated by the lower dotted
line in Figure 7-27, left).
Press Set to anchor the point. For the posterior wall the
contour detector searches for the leading of the edges of the
intima and adventitia layers. The detected contours are
drawn in the image (Figure 7-27, right).
The measurement calculations are displayed in the
Measurement result table.
NOTE: If the Intima and Media layers are not within the search
region, the contour is not drawn. Select (double click) and
move the anchored points closer to the Intima layer.
NOTE: Erroneous contour detection of the Intima and Media layers may
lead to incorrect measurement results. The contour detection
should be visually checked and edited if required.
Since the IMT measurements are done semi-automatically, the
operator has to approve the detection by visual inspection
before storing the results in worksheet and report.
1. If the traces fit both layers of the posterior wall, approve the
measurement by selecting Transfer in the Measurement
menu.
Once transferred, the calculations can be viewed in the
worksheet and report.
NOTE: Measurements that are not approved will not be saved.
NOTE: Any image adjustments (e.g Gain or zoom) on approved
(transferred) measurements will unassign the
measurements. Press Transfer to approve the
measurements again.
OB measurements
OB graphs
OB Graphs allow you to assess fetal growth compared to a
normal growth curve. When a patient has completed two or
more ultrasound exams, you can also use the graphs to look at
fetal trending. For multi-gestational patients you can show
curves for all fetuses and compare the growth on the graphs.
The Vivid T8/Vivid T8 Pro provides the following two basic types
of graphs:
• Fetal Growth Curve graphs – show one measurement per
graph. These graphs show the normal growth curve,
positive and negative standard deviations or applicable
percentiles, and ultrasound age of the fetus using the
current measurement. For multi-gestational pregnancies,
you can show curves for all fetuses. If previous exam data is
available, the graph can show fetal trending.
• Fetal Growth Bar graph – shows the ultrasound age and
the gestational age based on patient data. Plots all
measurements on one graph.
To view OB graphs
1. Press Worksheet.
2. Press Graph.
The Fetal growth curve graph is displayed (Figure 7-28).
The horizontal axis shows the fetal age in weeks. The
system determines this age from the data entered in the
Patient information window. Depending on the
measurement selected the vertical axis displays
measurements (mm or cm), ratios (%) or fetal weight (g).
The Fetal growth curve graph shows the following
information for the selected measurement:
• The normal growth curve
• The standard deviations or relevant percentiles
• The gestational age of the fetus, using patient data
(vertical dotted line)
• Using the current ultrasound measurement data, where
the fetus is on the growth curve
From the OB graphs screen, the user can enter relevant
information in the Fetus position and Placenta fields.
Fetal trending
When you have ultrasound data for more than one exam for a
patient, you can use the data to look at fetal trending on the
Fetal growth curve graphs. Fetal trending requires that a LMP
value is entered in the Patient information screen.
1. Press Worksheet.
2. Press Graph and select the desired measurement to
display.
3. Press Plot Both.
The system automatically finds the data from previous
ultrasound exams, and displays it on the graph with the
present data.
Basic operations
1. Select the scanning mode for the measurement to add to the Measurement menu.
2. Select the folder for the measurement to add.
3. Select the measurement to add.
User-defined formulas
User-defined formulas can be created using existing
measurements or by defining new measurements. The following
example describes the creation of a formula based on existing
measurements.
CAUTION GE does not take any responsibility for the correctness of the
user-defined studies, parameters or functions.
Adding measurements
User-defined measurements
Some user-defined formula may require measurements that do
not exist on the system. The following example based on a
generic distance measurement illustrates how to create
user-defined measurements.
About units
Ratio %
Frequency bpm
Angle rad
Distance m
Velocity m/s
Acceleration m/s2
Area m2
Volume m3
Pressure mm Hg*
Pressure/time mm Hg/s
Mass kg
Other
* The correct SI unit for pressure is Pa, but here mm Hg was used as base unit as it is a standard pressure
unit to use in medicine.
Advanced settings
Table range: 1 SD
Graph range: 1 SD
Min: [#w#d]
Max: [#w#d]
Table range: 1 SD
Graph range: 1 SD
Unit: mm day mm
Table range: 1 SD
Graph range: 1 SD
SD: [(mv-pv)/sd]
Unit: mm weekday mm
GP: [%] Calculated by Fetal growth table. If Fetal growth table is not
edited, GP is not calculated.
Unit: mm weekday mm
Table range: 1 SD
GP: [%] Calculated by Fetal growth table. If Fetal growth table is not
edited, GP is not calculated.
GP: [%] Calculated by Fetal growth table. If Fetal growth table is not
edited, GP is not calculated.
Unit: weekday mm mm mm
Unit: mm weekday mm
Table range: 1 SD
GP: [%] Calculated by Fetal growth table. If Fetal growth table is not
edited, GP is not calculated.
Unit: weekday mm mm
Normal values
Normal values can be defined by the user for all parameters. A
Normal value can be either a range or a threshold. Normal
values entered are grouped by measurement category (e.g.
Cardiac, Pediatrics...etc).
Normal values are displayed in the report if the report template
used is configured to display normal values (see page 10-35).
1. Measurement category
2. Selected measurement
3. Parameters
4. Press to define Normal value
Deleting measurements
1. Select the measurement to delete in the Measurement
result table.
2. Select Delete measurement in the context menu.
Worksheet
Overview
To delete measurements
Quantitative Analysis
Introduction
Q Analysis overview
Starting Q Analysis
1. Press Freeze.
2. Press Q Analysis.
The Quantitative Analysis screen is displayed (see
Figure 8-1).
Q Analysis screen
Overview
Displays 2D data
Sample area (1):
Indicates sampling position of the velocity (TVI),
displacement (Tissue Tracking), percent deformation
(Strain), deformation rate (Strain rate) or intensity
(Contrast) trace. The sample area is color-coded: the first
sample area is yellow, the second blue...etc.
TVI:
Displays velocity trace
1. Y axis: velocity scale (cm/s)
2. X axis: Time (s)
3. ECG
4. Time at cursor position
5. Velocity at cursor position
6. Velocity at frame marker position (color coded)
Tissue Tracking:
Displays tissue displacement trace
1. Y axis: displacement scale (mm)
2. X axis: time (s)
3. ECG with Tracking start and Tracking end markers
4. Time at cursor position
5. Displacement at cursor position
6. Displacement at frame marker position (color coded)
Strain rate:
Displays Strain rate trace (rate of deformation (s-1))
1. Y axis: s-1
2. X axis: time (s)
3. ECG
4. Time at cursor position
5. Strain rate at cursor position
6. Strain rate at frame marker position
Strain:
Displays Strain trace (extent of tissue deformation (%))
1. Y axis: percent displacement
2. X axis: time (s)
3. ECG with Strain start and Strain end markers
4. Time at cursor position
5. % deformation at cursor position
6. % deformation at frame marker position (color
coded)
QA:
Pointing tool in Quantitative analysis mode.
Scroll/Speed:
• When the cineloop is stopped, enables scrolling through
the cineloop.
• When the cineloop is running, enables control of the cine
replay speed.
Press the Trackball key to toggle the trackball assignment
between QA and Scroll/Speed.
Using Q Analysis
Generation of a trace
Up to eight traces can be generated.
To generate a trace
The sample area can be moved within the loop to ensure that
data in the trace is generated from the same anatomical location
during the cyclic motion of the heart.
1. Freeze the image and place a sample area over a region of
interest.
Note the anatomical location of the sample area.
2. Scroll to a new frame.
3. Press Trackball until the QA trackball assignment is
selected.
4. Place the cursor on the sample area.
5. Press Set.
The sample area is unanchored.
6. Drag the sample area to the corresponding anatomical
location in the new frame.
When the sample area is anchored in more than one frame,
linear interpolation is performed, so that the sample area is
smoothly moved between the anchored positions in the
selected frames when running the cineloop.
NOTE: In the original frame and this particular frame the sample
area is marked with an anchor.
7. Press Trackball until the Scroll trackball assignment is
selected.
8. Scroll through the cineloop and control that the sample area
follows the moving anatomical structure.
9. Add anchored sample areas in several frames to obtain a
more accurate displacement of the sample area.
1. In the Analysis window, press and hold down the Set key
while dragging the trackball cursor to define the zooming
area.
2. Release the Set key.
The selected area is displayed in the Analysis window.
To unzoom
1. In the Analysis window, press Update menu.
The System menu is displayed.
2. Select Unzoom.
Deletion of a trace
Saving/retrieving Q Analysis
1. Press Store to save the quantitative analysis session.
2. To recall the Quantitative analysis session, select the icon
on the clipboard, and press Q Analysis.
Optimization
Trace display
Y-axis
Auto-scaling
The system can be configured to display the full unit range or a
range according to the maximum and minimum values of the
displayed trace(s) (auto-scaling function). In addition, the
auto-scaling function can be set to be live update (updates while
the sample area is moved) or delayed (updated when the
sample area is anchored).
1. If necessary, press Trackball until the QA trackball
assignment is selected.
2. With the cursor in the Analysis window, press Update
menu.
The System menu is displayed.
3. Select Vertical auto-scaling.
The Vertical auto-scaling menu is displayed.
Vertical units
When analyzing contrast data, the Y-axis can be set to display
either logarithmic scale (dB) or linear, acoustical units (AU) for
both tissue intensity (2D) or Angio intensity data.
1. If necessary, press Trackball until the QA trackball
assignment is selected.
2. With the cursor in the Analysis window, press Update
menu.
The System menu is displayed.
3. Select Vertical unit.
The Vertical unit menu is displayed.
Trace smoothing
The system can smooth the traces displayed by applying a filter
over a defined time window. The type of filter available is
depending on the analysis signal displayed.
1. If necessary, press Trackball until the QA trackball
assignment is selected.
2. With the cursor in the Analysis window, press Update
menu.
The System menu is displayed.
3. Select Smoothing.
The Smoothing menu is displayed.
4. Select a smoothing filter.
The trace display is updated.
Cine compound
To switch mode
To switch trace
Anatomical M-Mode
Introduction
Archiving
Introduction
Dataflows available
NOTE: DICOM is an option for Vivid T8 and Vivid T8 Pro.
A set of pre-defined dataflows is available on the unit as listed in
the table below.
NOTE: Not all dataflow listed below are visible by default. The list of
dataflow available is configurable (see ‘Dataflow adjustments’
on page 9-79).
Dataflow Description
LocalArchive - Int HD/DICOM Server The local archive is used for patient archiving.
Images are stored to the internal hard drive and to
a DICOM server.
Some of the measurements are stored if
DICOM SR is turned on (see page 9-43).
Dataflow Description
Remote Archive - Remote HD/DICOM Server A remote database is used for patient archiving.
Images are stored to a network image volume and
to a DICOM server.
Some of the measurements are stored if
DICOM SR is turned on (see page 9-43).
Dataflow Description
DICOM USB device read Read DICOM data from an USB device. Read
only dataflow, no data can be stored.
CAUTION Do not use the internal harddrive for long-term image storage.
External storage media or network-based server solution is
recommended for image long-term archive.
Storing an image
Images are displayed chronologically on the clipboard.
1. While scanning in any mode, press Freeze.
2. With the trackball, scroll through the cineloop and select the
required image.
3. Press Store.
The image is stored and a thumbnail is displayed on the
clipboard. The number “1” in the upper right corner of the
image indicates that the image stored is a single frame.
Storing a cineloop
A cineloop is a sequence of images recorded over a certain time
frame. The time frame can be adjusted to cover one or more
heart cycles. The stored cineloops are displayed chronologically
on the clipboard. Cineloops can be stored at any time during the
scanning session. The user can choose to preview the cineloop
before storage or save the cineloop directly as described below.
MPEGVue/eVue
MPEGVue/eVue enables the user to export or save an exam
(images, measurements and reports) into MPEG format
readable from a regular Windows computer together with a
special MPEG viewer. The measurements performed during the
exams are stored as an Excel file, the saved report as Compiled
HTML format.
MPEG exported exams can be created using the Export function
(MPEGVue) or by using the dataflows Local Archive - Int. HD/
eVue (eVue) or Remote Archive - Remote HD/eVue.
The MPEGVue option is used to create MPEG exported exams
on finished exams. The eVue option is used to create MPEG
exported exams when performing the exam, upon saving the
images.
NOTE: MPEGVue/eVue is an option for Vivid T8 and Vivid T8 Pro.
1. Select archive and other pre-defined services. 4. Press one of the headings to sort the list
2. Change user. accordingly (ascending/descending).
3. Advanced search filters, the system can be 5. Expand Patient record to display belonging
configured to display the advanced search examinations
filters as default (see ‘Patient management
presets’ on page 9-77).
The Search/Create patient window may be slightly different depending on the Dataflow selected
Advanced search
Searching filter
Echolab
Diagnostic code
Born between
Current date
Diagnosis Physician
NOTE: The list of searching filters may vary depending on the Dataflow
selected
1. If not visible, press More in the Search/Create Patient
window to display the advanced search filters.
The unit can be configured to display the Advanced search
options as default (see ‘Patient management presets’ on
page 9-77)
2. Select the required searching filters.
3. Type the patient Last Name, and/or ID or another query that
identifies a patient.
The matching data is displayed in the Patient list when the
automatic search function is turned on.
The user can edit the actual text in the Examination List window
using the alphanumeric keyboard and by inserting pre-defined
text input.
Editing text
1. In the Examination list window (Figure 9-6), place the cursor
in the required field.
2. Using the alphanumeric keyboard, edit the information.
2. Enter a title in the Text field and a pre-defined text in the Full
text field.
3. Select OK.
To create a new text input in the second and third level:
1. Select an item in the first column and press New.
The Enter new text window is displayed.
The pre-defined text input to be created in the second and
third column will be related to this selection only.
2. Select the second or third column.
3. Enter a title in the Text field and a pre-defined text in the Full
text field.
4. Press OK.
To edit a pre-defined text input:
1. Select the term to edit in one of the columns.
2. Press Edit.
The Edit text window is displayed.
3. Edit the text in both the Text and Full text fields.
4. Press OK.
Diagnosis code
3. Press either:
• Exam list to display the Examination list window.
• Image list to display the Image browser screen.
To delete an examination
To delete an image
Moving examinations
An examination can be moved from one patient record to
another. This feature should only be used if an examination was
performed and stored to a wrong patient record.
7. Select OK.
An information window is displayed to confirm the operation.
8. Select OK.
Analyze: analyses selected images. Exam list: displays the Examination list window
Image list: displays the Image browser screen. (Figure 9-6 on page 9-17)
Change page: change page in the Review screen.
3. Select between:
• Restore only the selected images: only selected
images that are not available locally are restored.
1. Missing image
Connectivity
Dataflow examples
Stand-alone scanner
Acquisition: Review:
Scanner dataflow: LocalArchive-Int.HD Scanner dataflow: LocalArchive-Int.HD
The local database is used for patient archiving. Images are stored to internal harddrive.
Acquisition: Review:
Scanner dataflow: RemoteArch-Remote HD Workstation dataflow: LocalArchive-Int.HD
In this scenario the data is transferred from the Vivid T8/Vivid T8 Pro to a dedicated EchoPAC PC
workstation over the Ethernet (either in a peer-to-peer connection with a crossover cable, or in a network).
The database from the EchoPAC PC is used as the master and images are stored directly to the EchoPAC
PC internal harddrive. In this configuration the scanner is just an intermediate acquisition unit which after
completion of a study, will not contain any patient information, measurements or images.
Up to three scanners can be connected to one EchoPAC PC if the workstation has the EchoPAC Share
option enabled.
Acquisition: Review:
Scanner dataflow: RemoteArch-Remote HD Workstation dataflow: RemoteArch-Remote HD
In this scenario the Vivid T8/Vivid T8 Pro is configured to work with an ImageVault patient demographics and
image server in a network environment. Images are first saved on the local image buffer on the scanner and
transferred to the server when saving the examination.
DICOM Server
Dataflow selection
Select a dataflow from the Search/Create Patient window (see
Figure 9-5 on page 9-15) or configure the system with a default
dataflow from the Configuration management package as
described below.
1. Select a dataflow
2. Default option for the selected dataflow
DICOM SR
DICOM Structured Reporting (SR) is a standardized format for
medical results. Vivid T8/Vivid T8 Pro supports the specialized
form for Adult Echo Ultrasound (“TID 5200 Echocardiography
Procedure Report”) and Vascular Ultrasound (“TID 5100
Vascular Ultrasound Procedure Report”) for M&A results.
With the DICOM SR support, M&A for an exam can be sent at
the end of the exam or when exported from local archive. The
destination can be either a server on the network (Storage SCP)
or a removable media (DICOM Media) depending on the
DICOM dataflow selected.
“TID 5200 Echocardiography Procedure Report” is sent if the
exam contains M&A from category Cardiac or Pediatric (Heart).
“TID 5100 Vascular Ultrasound Procedure Report” is sent if the
exam contains M&A from category Vascular or Abdominal. If the
exam contains M&A from both Cardiac/Pediatric (Heart) and
Vascular/Abdominal categories, two SR documents are sent.
DICOM SR (continued)
“TID 5200 Echocardiography Procedure Report” and “TID 5100
Vascular Ultrasound Procedure Report” do not support all M&A
results from Vivid T8/Vivid T8 Pro. They are limited to the
following:
• No unassigned measurement.
Refer to the Vivid T8/Vivid T8 Pro Reference manual for a
complete list of supported parameters.
• The following modes: 2D, M-mode, Color Flow, PW Doppler,
CW Doppler, 3D and TDI.
• Not Modified Simpson method or Bullet methods.
Refer to the Vivid T8/Vivid T8 Pro Reference manual for a
complete list of supported methods.
• Basic derivations (Average, Last, Min and Max), no
references between the derived measurements and the
ones they were made from.
• Wall Motion Scoring: individual segment scores only
according to 16-segment model, no graded Hypokinesis
(only Hypokinesis is used).
DICOM SR must be activated for each DICOM device.
1. Press Utility/Config on the Touch panel and log on as
administrator.
2. Select the Connectivity category and Dataflow subgroup.
The Dataflow sheet is displayed (see Figure 9-19 on
page 9-39).
3. Select the DICOM dataflow to configure in the Name
pull-down menu.
DICOM SR (continued)
4. Select a DICOM storage device in the Selected devices
pane and press Properties.
The Properties window for the selected DICOM storage
device is displayed.
DICOM SR (continued)
These settings apply to both “TID 5200 Echocardiography
Procedure Report” and “TID 5100 Vascular Ultrasound
Procedure Report”
6. Select OK.
DICOM spooler
DICOM spooler displays the current DICOM output jobs. The
jobs may be Storage, Print, Modality Performed Procedure Step
or Storage Commitment. The DICOM spooler is used for
checking the current job's status when a job is saved or when
the total spooler status on the right of the Archive window
displays an error.
From the DICOM spooler the user can also:
• Delete non-active jobs
• Resend a job that has failed or is in hold
• Send a job that has failed or is in hold, to a new destination
• Hold a job that is not active.
The job's status displayed in the DICOM spooler window can be:
• Pending: the job is complete, waiting to be active.
• Hold: the job is complete, but suspended, waiting for an
user action.
• Append: the job is incomplete, waiting for more images
(Direct store function).
• Active: the job is complete and connected to the destination
device.
• Failed: the job is complete but one or more images failed to
transmit to the destination device.
• Done: the job is saved to the destination device. The jobs
that are done are removed from the spooler after a few
minutes.
To delete a job:
1. Select the job(s) to delete in the DICOM job spooler window.
NOTE: Only non-active jobs can be deleted.
2. Press Delete.
To resend a job:
1. Select the job(s) to re-send in the DICOM job spooler
window.
NOTE: Only jobs that failed or are in hold can be resent.
2. Press Resend.
Select Yes.
The system is preparing the media to allow addition of
new files.
NOTE: If Eject is selected, the user is prompted to insert
another media. If No is selected, the Export Dialogue
window is displayed (Figure 9-26), where the user can
select another destination.
Disk management
1. Press Patient.
The Search/Create patient window is displayed.
2. Press Disk manag on touch panel.
The Disk management welcome screen is displayed
(Figure 9-35).
CAUTION DO NOT use the local harddrive for long-term image storage.
Backup procedure
1. Press Patient.
2. In the Search/Create patient window, select the dataflow
Local Archive - Int. HD.
Select OK.
The Backup result is displayed on the Backup sheet.
12. Make sure to physically label the media. An identification of
the system should also be noted on the media and a backup
log should be kept.
File the media in a safe place.
Restore procedure
1. Press Utility/Config from the Touch panel.
2. Select the category Admin.
3. Select the Restore sheet.
Configuration – Archiving
Archiving presets
1. Press Utility/Config from the Touch panel and log on as
administrator if required.
2. Select the Connectivity category and Formats subgroup.
The Format sheet is displayed.
Setting Description
Use extended search dialog In the Search/Create Patient window (see Figure 9-5
on page 9-15) and Patient information window,
: All the searching filters are displayed as default.
: The searching criteria are restricted to a minimum.
When unchecked, press More to display all the
searching filters.
Auto search for patient In the Search/Create Patient window (see Figure 9-5
on page 9-15),
: The system searches automatically through the
patient archive selected while entering patient
information.
: The system searches through the patient archive
after pressing Enter on the alphanumeric keyboard.
Examination list on Archive button When a patient is selected, pressing Patient will:
: Open the Examination list window for the selected
patient.
: Open the Patient Information window for the
selected patient.
Automatic generation of patient ID In the Search/Create Patient window (see Figure 9-5
on page 9-15),
: Patient ID is not required when entering a new
patient in the archive. The system generates
automatically an ID number.
: Patient ID is required when entering a new patient
in the archive.
Setting Description
Request acknowledge of End Exam action : The user is asked to confirm action when ending
an examination.
Go directly to scanning from search: : The unit goes directly to the Scanning screen after
creating a patient record.
: The unit displays the Patient information window
after creating a patient record for further information
entry. The user must press Begin Exam to enter the
Scanning screen.
Save all images on end exam : All images on the clipboard are automatically
saved when ending an examination.
: A dialogue window is displayed when ending an
exam where the user can select between:
• Store all images
• Select images to store
• Store no images.
TCP/IP configuration
To be able to use the network functions when connected to a
hospital network, the system must have a proper network
address. See ‘Scanner’s TCP/IP settings’ on page 9-37 for more
information.
Dataflow
Communication between the Vivid T8/Vivid T8 Pro and other
information providers on the network takes the form of
dataflows. Each dataflow defines the transfer of patient
information and images from an input source to the unit, and
from the unit to one or several output sources. Input/output
devices cannot be added/removed to/from the pre-defined
dataflows. However the settings for the devices can be adjusted.
See ‘Dataflows available’ on page 9-3 for a complete list and
description of dataflows available.
Dataflow adjustments
Allow raw data : Save data in both raw and DICOM format.
: Save data in DICOM format only.
Raw Compression Enables compression of raw data images upon storage and export. Raw
compression is active only if the setting Allow raw data is checked.
Max Frame rate Select 25, 30 or Full (original acquisition) from the pop-up menu.
Quality Set picture quality from 1 to 100%. A low picture quality level allows high
data compression, while a high picture quality restrains the
compression.
AE Title The Application Entity Title is set during DICOM configuration. Refer to
the network specifications.
Port No The Port no. is allocated during DICOM configuration. Refer to your
network specifications.
Export configuration
The destination for Export of patient records to Excel and MPEG
must be configured prior to use. See ‘Exporting patient records/
examinations’ on page 9-50 for a description of the Export
function.
To configure the Export function:
1. Press Utility/Config on the Touch panel and log on as
administrator.
2. Select the Connectivity category and Dataflow subgroup.
The Dataflow sheet is displayed (Figure 9-53).
3. Select the dataflow Misc. Export in the Name pull-down
menu.
Additional Outputs
The Additional Outputs sheet deals with configuration of the P1
and P2 buttons on the Control panel. Several outputs (e.g. Video
Print, Laser print, DICOM storage...etc.) can be associated to
the buttons (i.e. pressing P1 can result in printing to a printer
and storage to a DICOM media).
P1 / P2 button configuration
Configuration parameter
Report
Introduction
Creating a report
To print a report
Only members of the user group “Cardiologist” are allowed to
print a report (see ‘System users’ on page 3-29).
1. Press Print.
The report is printed on the default printer. A status window
is displayed showing the printing process.
For printer configuration, see ‘Printer configuration’ on
page 12-5.
To store a report
Only members of the user group “Cardiologist” are allowed to
store a report (see ‘System users’ on page 3-29).
1. Press Store on the touch panel.
The report is stored in the Report archive.
Alternative storage
Structured Findings
Prerequisite
To be able to insert structured diagnostic statements and create
a conclusion in a patient record, the report template used must
have assigned fields for the structured findings, the codes and
the conclusion.
NOTE: Factory templates have Findings and Conclusion fields.
To create the assigned fields in a user-defined report template:
1. Press Report (available from the Patient, Worksheet,
Control Panel or Utility Tab sheet on the Touch panel).
2. Press Template and select the desired report template.
3. Press Designer.
The Report designer screen is displayed.
4. Select the location in the report template where to insert the
Structured findings fields.
5. Select Insert and Archive Information.
The Archive information box is displayed (Figure 10-2).
6. Double-click on Select All under all three parameter fields
in the Archive information box to deselect all parameters.
7. Select Structured findings, Findings conclusion
Indication codes and Billing codes in the Exam
Information field (Figure 10-2).
8. Select OK.
9. Save the Report template and exit the Report designer.
Prerequisite (continued)
1. Configuration window
2. Structured findings window
1. Configuration window
2. Structured findings window
1. Make sure that the tab folder is selected and press Add.
A new entry is created in the tab folder. The new entry is by
default a tab sheet ( ).
2. With the new entry selected, follow the following steps:
• Enter a name in the Label field (tab name).
• Enter a description in the Findings text field.
If required:
• Enter the appropriate codes.
NOTE: To enter several codes separate each code by a space.
1. Configuration window
2. Structured findings window
1. Make sure that the tab sheet is selected and press Add.
A new entry is created in the tab sheet. The new entry is by
default a check box statement ( ).
2. With the new entry selected, follow the following steps:
• Enter a name in the Label field (statement name).
• Enter the full statement in the Findings text field.
• Enter a conclusion in the Conclusion text field (optional).
NOTE: If the Conclusion text field is left empty, the statement
text will be used as conclusion when selected.
1. Configuration window
2. Structured findings window
Statement group
Statement groups are created by changing a combo statement
to a statement group.
1. Create a combo box statement as described above.
2. Make sure the combo box statement is selected and
deselect the option Enable pull-downs.
The combo box statement is changed to a statement group
( ). Each underlaying entries are changed to check box
statements.
Editing a statement
Copy of a statement
Tab folders, tab sheets and statements can be copied from one
location to another. The word “Copied” is added to the copied
item name.
1. In the Structured Findings configuration window
(Figure 10-6), select the item to copy.
2. Select Copy.
3. Select the item to contain the copy.
4. Select Paste.
NOTE: If the item to copy cannot be copied in the selected location,
the operation is ignored.
NOTE: Copy can be done by drag-and-drop, while holding Ctrl
depressed.
Deletion of a statement
Factory reset
1. Select Reset.
The Reset statements window is displayed.
2. Select:
• Yes to reset all statement to the factory default (No
undo).
• No to cancel the operation.
Exporting/Importing statements
Exporting statements
1. In the Structured Findings configuration window
(Figure 10-6), select Export.
A browsing window is displayed.
2. Browse to a destination and select Save.
Importing statements
1. In the Structured Findings configuration window
(Figure 10-6), select Import.
A browsing window is displayed.
2. Browse to a destination and select Open.
3. Select one of the following options
• Insert: the statements are imported in a new top tab
sheet, keeping the current statements in place.
• Replace: the imported statements replace the existing
ones.
• Cancel: cancel the import.
Direct report
Creating comments
1. Press Freeze.
2. Press Utility.
3. Select Direct report.
4. In the Direct report screen, select the comment type.
5. Type your comments in the Text field.
6. To add a measurement in the comment, double-click a
measurement in the Measurement overview field.
Report designer
1. Menu bar
2. Report template design area
Menu Description
File • New: start working on an new template.
• Save: save the template using the same name. Factory report
templates cannot be overwritten.
• Save as: save the template using a new name.
• Page setup: define printing orientation and header/footer for the
printed report.
• Print Preview: display a print preview of the report template.
• Exit: exit the Report designer and returns to the report function. The
user can choose whether to save the updates or restore the original
template.
Menu Description
Edit • Delete: remove the selected object from the report template.
• Undo: restore the previous state of the report template.
Menu Description
Insert • Page Break: insert a new page in the report template.
• Table: configure and insert a table in the report template.
• Logo: select and insert a logo to the report template.
• Archive info: select and insert data from the following categories:
Patient information
Exam information
Site information
• Anatomical graphics: select and insert an anatomical graphic
(cardiac, vascular or TEE).
• Image: create a container for the display of ultrasound images.
• Wall motion analysis: insert a container for the display of Stress
Echo analysis results (cut planes Bull’s eye and scoring table).
• OB/GYN: insert OB graph.
• Measurements: insert a container for the display of measurements
and calculations. When creating a measurement container, the user
is prompted through a configuration procedure enabling the selection
of mode specific measurements and/or calculations.
• Text field: insert a container where the user can write in the report.
• Fixed text: insert a container with static text. The text typed during
the creation of the container will be displayed in the report.
Menu Description
Preferences • Page Color: sets the default background color for the template page.
Inserting a table
Inserting a logo
• Select the location where to insert the fixed text (a table cell
or directly in the report template).
• Select Insert and Image.
The Ultrasound image box is displayed.
3. Enter a heading.
4. From the Display field, select between:
• Referral reasons: displays the information entered in
the Direct report (see page 10-25) or in the Examination
list window.
• Comments: displays the information entered in the
Direct report (see page 10-25) or in the Examination list
window.
• Diagnosis: displays the information entered in the
Direct report (see page 10-25) or in the Examination list
window.
• Free text 1-8: creates an empty free text container.
5. If desired, adjust the font settings for the header and data.
4. Select OK.
To check the display of the header and footer, select File
and Print preview.
Variable Description
{pid} Patient ID
Probes
Probe overview
Supported probes
Doppler probes
Probe Applications
Probe
L6-12-RS
E8C-RS
3Sc-RS
6Tc-RS
4C-RS
8C-RS
6S-RS
P2D
Probe Application
Fetal/OB x x x
Abdominal x x x x x
Pediatric x x x x x
Small Organ x
Neonatal Cephalic x x x
Adult Cephalic x
Cardiac x x x x
Peripheral Vascular x x
Musculoskeletal Conventional x
Musculoskeletal Superficial x
Transcranial x
Transesophageal x
Transrectal x
Transvaginal x
Probe orientation
Some probes are provided with a green light (LED) orientation
marking near their head (see Figure 11-1). Probes which do not
have a LED have an indentation (notch) for orientation on the
probe housing. This LED, or notch, corresponds with the V mark
on the scanning screen. The V mark indicates the orientation of
the probe to the scan.
Probe labelling
Each probe is labelled with the following information:
• Name of manufacturer
• Operating frequency
• Model number
• Probe serial number
• Year of manufacture
The probe name displayed on both the probe housing and the
connector can be read when the probe is connected.
Probe Integration
CAUTION DO NOT allow the probe head to hang free. Impact to the
probe head could result in irreparable damage.
CAUTION Do not allow the probe head to hang freely. Impact to the probe
head may result in irreparable damage.
WARNING DO NOT touch the patient and any of the connectors on the
ultrasound unit simultaneously, including ultrasound probe
connectors.
CAUTION Make sure that the probe and application names displayed on
the screen correspond to the actual probe and application
selection.
Check that the correct TI category is displayed. TIB must be
displayed when a fetal application is selected.
Disconnecting a probe
Probes can be disconnected at any time. However, the probe
should not be active when disconnecting the probe.
1. Deactivate the probe by selecting another probe or pressing
Freeze.
2. Slide the connector lock to the left position to unlock the
probe.
3. Pull the probe connector straight out of the probe port
carefully.
4. Ensure the cable is free.
5. Be sure that the probe head is clean before placing the
probe in its storage box.
Planned maintenance
CAUTION Improper handling can lead to early probe failure and electric
shock hazards.
DO follow the specific cleaning and disinfection procedures
provided in this chapter and the germicide manufacturers
instructions.
Failure to do so will void probe warranty.
CAUTION If any damage is found, DO NOT use the probe until it has
been inspected and released for further use by a GE service
representative.
1. Housing
2. Strain relief
3. Seal
4. Lens
Cleaning probes
Cleaning procedure
1. Disconnect the probe from the unit.
2. Remove the coupling gel by wiping the probe lens with a
soft cloth.
3. Wipe the probe and cable with a soft cloth moisten in a
warm soap and water solution (<80 oF/27 oC).
4. Wipe the probe and cable with a soft cloth moisten in clean
water (<80 oF/27 oC) until all soap is removed.
5. Wipe dry with a soft towel.
Disinfecting probes
Low-level disinfection
1. After cleaning, the probe and cable may be wiped with a
tissue sprayed with a recommended disinfectant.
Use additional precautions (e.g. gloves and gown) when
decontaminating an infected probe.
High-level disinfection
High-level Disinfection destroys vegetative bacteria; lipid &
non-lipid viruses, fungi and, depending highly on time of contact,
is effective on bacterial spores. This is required for endocavity
probes after contact with mucosal membrane.
1. Prepare the germicide solution according to the
manufacturer's instructions.
NOTE: Follow the manufacturer's instructions for storage, use and
disposal of the disinfection solution.
WARNING Use only germicides that are listed in the Probe Care Card
enclosed with the probe. In addition, refer to the local /
national regulations.
Do not steam autoclave or subject the probe to Ethylene
Oxide (ETO).
3. Rinse the part of the probe which was in contact with the
germicide according to the germicide manufacturer's
instructions.
4. Wipe dry with a soft towel or air dry the probe.
Probe safety
Electrical hazards
Probes are driven by electricity, which can injure the patient or
user when exposed to contact with conductive solution.
WARNING Do not immerse the probe into any liquid beyond the level
shown in Figure 11-7. Never immerse the probe connector or
adaptors into any liquid.
Do not subject the probe to mechanical shock or impact, which
may result in cracks or chips in the housing and degrade
performance.
Inspect the probe before and after each use, as described on
page 11-14, for damage or degradation to the housing, strain
relief, lens and seal.
DO NOT apply excessive force to the probe cable, to prevent
insulation failure.
Electrical leakage checks should be performed regularly by a
GE service representative or qualified hospital personnel,
according to the procedures described in EN 60601-1/
IEC 60601-1.
Mechanical hazards
Take precaution to avoid mechanical hazards.
Biological hazards
6Tc-RS Probe
After the probe has been selected, the scan plane positioning
system automatically calibrates. This calibration cycle lasts 10 to
15 seconds. After the calibration is complete, the probe
temperature sensor is activated, and the probe temperature is
displayed.
In case the initialization of the probe fails (no response from the
scan plane button after initialization), re-select the probe to
repeat the initialization routine.
Biopsy
WARNING Do not freeze the image during a biopsy procedure. The image
must be live to avoid a positioning error.
CAUTION The use of biopsy devices and accessories that have not been
evaluated for use with the equipment may not be compatible
and could result in injury.
WARNING Read the following instructions and the user’s guide for the
Ultra-Pro IITM Needle Guide kit before using the biopsy
equipment.
4C-RS
3Sc-RS
L6-12-RS
E8C-RS
1. Biopsy guide zone The first red mark is at 5 cm from the top of the
• 5 cm between the red marks needle guide.
• 1 cm between the large yellow marks
• 0.5 cm between two consecutive marks
Peripherals
Introduction
Peripherals
This chapter provides information on peripherals that can
operate with the ultrasound unit, as follows:
• NetGear WNA1000M wireless card
• Footswitch MKF 2-MED USB GP26 (Option)
• Pediatric ECG (Option)
• Internal ECG
• SanDisk USB Stick 8G
• 1TB mobile USB HDD
• LITEON eUAU108 DVDRW
• SONY UPD25 Color Printer
• SONY UP-D897MD B/W Printer
• SONY UP-D711MD
• HP100 Printer
Peripherals (continued)
WARNING Any devices or cables, other than those sold with the
ultrasound unit, connected to the Peripheral /accessory
connector panel or to an USB port on the unit may result in an
increase of the electromagnetic emission from the unit, or a
decrease of the electromagnetic immunity of the unit.
Printing
To print an image
1. Press P1 or P2 on the Control panel (see Figure 12-1).
The image displayed on the screen is printed on the printer,
depending on the key assignment configuration (see
page 9-86).
NOTE: For details on the Thermal video printers operation, consult
the manufacturer operator manual provided with the printer.
Printer configuration
The following procedure describes how to configure and select a
printer as the default printer.
1. Press Utility/Config on the Touch panel.
2. Select Connectivity and Additional Outputs.
The Additional Outputs screen is displayed.
3. In the Additional Outputs screen select Advanced in the
Printer setup field.
The Printer properties window is displayed.
4. Press Configure.
The Print setup window is displayed.
5. In the Print setup window, select the printer and adjust the
parameters for the printer. Additional settings may be
adjusted by selecting Properties.
6. Select OK to close the Print setup window.
The Standard printer properties window is displayed.
To choose the configured printer as the default printer:
1. Select Open in the Printer properties window.
The Printer status window for the opened printer is
displayed.
2. Select Printer and Set as default printer.
3. Close the Printer status window and select OK in the
Standard printer properties window.
Maintenance
System Data
Features/Specifications
Electrical Power
• Voltage:100-240 Vac
• Frequency: 50/60 Hz
• Power consumption maximum: 400 VA with
peripherals
Scanning Methods
• Electronic Sector
• Electronic Convex
• Electronic Linear
• CW pencil
Transducer Types
• Sector Phased Array
• Linear Array
• Convex Array
• CW Pencil
• Endovaginal
• TEE
Inputs Outputs
• 6 USB 2.0 ports • Composite Color Video Output
• Ethernet • S-Video Output
• VGA output
• Audio Stereo Output
;
Basic Measurements
Limitations
or
Measurement Units Useful Range Accuracy Conditions
Distance:
Circumference:
Area:
Doppler Velocity cm/s Form 0 to 100 cm/s <15% PWD mode, CWD
From 100 to 130 cm/s <10% mode
CAUTION The user must ensure that safety inspections are performed at
least every 12 months according to the requirements of the
patient safety standard IEC 60601-1. Refer to the Service
manual, Chapter 10.
Only trained persons are allowed to perform the safety
inspections mentioned above.
Technical descriptions are available on request.
Probe holder
1. Clean the probe holders with warm water and a damp cloth
to remove all traces of gel.
2. In the event that disinfection is required or any stubborn
stains remain, absorb a small quantity of isopropyl rubbing
alcohol on a soft, dust-free cloth. Wipe the surface of the
probe holder. Make sure no liquid drips into the system.
Allow to dry.
System cabinet
Footswitch
Clean the system's air filters to ensure that a clogged filter does
not cause the system to overheat and reduce system
performance and reliability. It is recommended the filters be
cleaned every two weeks, but the requirements will vary due to
your system use.
CAUTION Be sure to lock the wheels before cleaning the air filters to
avoid injury by any unexpected movement of the system.
DO NOT operate the unit without the air filters in place.
Allow the air filters to dry thoroughly before re-installing them
on the unit.
Cleaning
1. Pull out the air filter.
System self-test
System malfunction
In the event of error or system malfunction the user may save
locally or export a log file to a removable media as described
below and contact authorized service personnel.
In addition, system malfunctions can be bookmarked, enabling
creation of a log file specific to that event.
Extensive Log
Extensive Log enables the creation of a log file containing
additional information for the selected functionality.
Options
Options enables creation of a log file based on a selected
bookmark or for a user configurable time frame. Different type of
information can be selected to be part of the log file.
NOTE: The download step can be paused. While paused, you can
return to normal operation. However, once the software
installation has begun, the system is not usable until the
software installation is done. The installation can take up to
45 minutes to complete. While installing, DO NOT turn off
system power.
NOTE: A typical software update of about 600 Mb may take up to
60 minutes to download, but time may vary depending on
your location and network connection.
• Pause: To pause the software download process. If you
select Pause, you can cancel out of this dialog and
return to normal scanning or you can power off the
system. A paused download can be resumed by logging
in as administrator, pressing the power on/off button and
selecting Resume.
• Resume: Select Resume to continue the software
download.
Safety
Introduction
Owner responsibility
Acoustic output
Thermal Index
Mechanical Index
1. Title bar
2. MI
3. TI
ALARA
Ultrasound procedures should be performed using output levels
and exposure times As Low As Reasonably Achievable
(ALARA) while acquiring clinical information.
Training
Safety statement
Probe selection
Application selection
Power
Patient safety
Patient identification
WARNING The concerns listed in this section can seriously affect the
safety of the patient undergoing a diagnostic ultrasound
examination.
Diagnostic information
Mechanical hazards
Electrical Hazard
DANGER The hazards listed below can seriously affect the safety of
personnel and equipment during a diagnostic ultrasound
examination.
Explosion hazard
Electrical hazard
WARNING The internal circuits of the unit use high voltages, capable of
causing serious injury or death by electrical shock.
To avoid injury
• Do not remove the unit's protective covers. No
user-serviceable parts are inside. If servicing is required,
contact qualified technical personnel.
• Connect the attachment plug to a hospital-grade grounding
outlet to ensure adequate grounding.
• Do not place liquids on or above the unit. Conductive fluids
seeping into the active circuit components may cause short
circuiting, which could result in an electrical fire.
• An electrical hazard may exist if any light, monitor or visual
indicator remains on after the unit is turned off.
Fuses blown within 36 hours of being replaced may indicate a
malfunctioning electrical circuit within the system. In this event,
the unit must be checked by GE Ultrasound service personnel.
No attempt should be made to replace the fuses with others of a
higher rating.
Moving hazard
Biological hazard
Pacemaker hazard
Electrical safety
Electromagnetic emissions
The system is intended for use in the electromagnetic environment specified below. The
user of the system should assure that it is used in such an environment.
RF Emissions Group 1 This system uses RF energy only for its internal function.
CISPR 11 Therefore, its RF emissions are very low and are not likely to
cause any interference in nearby electronic equipment.
RF Emissions Class A This system is suitable for use in all establishments, other than
CISPR 11 domestic establishments and those directly connected to the
public low-voltage power supply network that supplies buildings
Harmonic Class A used for domestic purposes, provided the following warning is
Emissions heeded:
IEC 61000-3-2 WARNING: This system is intended for use by healthcare
professionals only. This system may cause radio interference or
Voltage Complies
may disrupt the operation of nearby equipment. It may be
Fluctuations/Flicker
necessary to take mitigation measures, such as re-orienting or
Emissions relocating the system or shielding the location.
IEC 61000-3-3
Electromagnetic immunity
NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reflection from structures, objects, and people. If noise generated from other electronic equipment is near
the probe’s center frequency, noise may appear on the image. Good power line isolation is required.
Minimum Distance
Frequency Range: 150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
Calculation Method: d=[3.5/V1] square root d = [3.5/E1] square root d = [7/E1] square root of
of P of P P
Where: d= separation distance in meters, P = rated power of the transmitter, V1=compliance value for
conducted RF, E1 = compliance value for radiated RF
Essential performance
Environmental protection
Disposal
Table 14-4: WEEE symbol
Device labels
Identification and Rating Plate Date of manufacture: The date could be a Rating Plate
year, year and month, or year, month and day,
as appropriate. See ISO 8601 for date
formats.
Type BF Applied Part (man in the box) symbol Beside the probe
is in accordance with IEC 60878-02-03. connector
This symbol indicates that waste electrical and Rear Panel and probe
electronic equipment must not be disposed of connector
as unsorted municipal waste and must be
collected separately. Please contact an
authorized representative of the manufacturer
for information concerning the
decommissioning of your equipment.
Do not force the LCD monitor with your hands. Back of LCD
Table 14-7: Table of hazardous substances' name and concentration for Vivid T8/Vivid
T8 Pro
LCD Panel X X O O O O
Keyboard Assemblies X O O O O O
Power Assemblies X O O O O O
Console Cabinet O O O O O O
Ultrasound Probes X O O O O O
Wheels O O O O O O
O: Indicates that this toxic or hazardous substance contained in all of the homogeneous materials for this
part is below the limit requirement in SJ/T11363-2006.
X: Indicates that this toxic or hazardous substance contained in at least one of the homogeneous materials
used for this part is above the limit requirement in SJ/T11363-2006
• Data listed in the table represents best information available at the time of publication.
• Applications of hazardous substances in this medical device are required to achieve its intended clinical
uses, and/or to provide better protection to human beings and/or to environment, due to lack of reasonably
(economically or technically) available substitutes. For example: 1) Lead is could be used in Printed circuit
solder; 2) Mercury could be used in LCD Panel.
Appendix
Overview
The Scan Assist Pro Creator is used to build customized
Protocols that can be imported onto the Vivid T8/Vivid T8 Pro.
These Protocols automate many of the steps normally
performed manually by the user, thereby reducing the number of
user actions and the amount of time to perform an exam.
4. In the Destination field, select the media to store the files on.
5. In the Protocol Directory field, select an existing folder or
enter the name of a new folder. The Protocols will be stored
to that location.
6. Highlight the Protocol(s) to be exported. If a folder is
highlighted, all Protocols in the folder are selected.
Make sure that the option Export Scan Assist Pro Creator
Installation is checked.
The installation file for the Scan Assist Pro Creator will be
stored to a separate folder named
ScanAssistantCreatorSetup (Figure 15-3).
File Extensions
Measurements in Protocols
Saving Protocols
1. Select File/Save (Ctrl+s)
NOTE: Select File/Save as to save the Protocol with a different
name.
If the Protocol was not checked, a dialog is displayed giving
the opportunity to check the Protocol for errors before
saving.
2. Select:
• Yes to check the Protocol before saving it.
• No to bypass the Protocol check.
• Cancel to cancel the save request.
Views
A Protocol is made up of a series of steps. Each step is made up
of various step attributes. The step and step attribute data can
be viewed in many ways using the Scan Assist Pro Creator. The
different ways to look at the data are called Views. The view of
choice is selected from the View Menu or from toolbar.
There are two Single step views: Basic and All. The Basic view
shows the most common attributes of the selected step. The All
view shows all of the attributes of the selected step.
Multi step views show the step attributes for all the steps in a
Protocol. There are six Multi step views: General, Comment,
Scan, Measure, Custom and All.
Step attributes
Scan Assist Pro allows the user to program the steps in an exam
and to program certain attributes for each step. The attributes
are what give the Scan Assist Pro Protocol behavior. The tables
below provide a description of all attributes.
General attributes
Step name Any text Name of the step that appears in the
Scan Assist Pro window.
Comment attributes
Imaging attributes
On Octave is on.
On Compound is on.
On Zoom is on.
1 – 30 cm Adjust Depth.
Measurement attributes
Auto Calc Params Various Auto Calc Specify the Auto Calc parameters to be
parameters used.
Press Specify and select the Auto Calc
parameters from the Auto Calc
parameter selection window.
Press Default to set the Auto Calc
parameter selection to default.
accessories D
ordering, 1-8
requesting a catalog, 1-8 Dataflow, 9-3
accuracy Delete
clinical calculation, 13-8 Examination, 9-24
clinical measurement, 13-6 Image, 9-25
air filter Patient record, 9-24
removing, 13-14 Diagnosis code, 9-21
Archive Diagnosis information, 9-18
Configuration, 9-76 DICOM spooler, 9-46
AutoEF, 7-38 DICOM SR, 9-43
Automated Functional Imaging, 7-18 Direct report, 10-25
AVI, 9-8 Disk space management, 9-59
B E
B Flow, 4-29 ECG
Backup, 9-68 Connecting, 3-11
Biopsy, 11-23 Examination
Blood Flow Imaging, 4-30 Starting, 2-24
Export
C Patient records, 9-50
Cineloop, 3-14 F
Cineloop store, 9-6
Cleaning Footswitch, 2-22
Ultrasound unit, 13-10
Clinical H
calculation accuracy, 13-8
measurement accuracy, 13-6 HDF, 9-8
Color Mode, 4-9
Comments, 9-18 I
Compound, 4-29
Image store, 9-6
Connecting peripherals, 2-20
Import
Connecting the unit, 2-5
Patient records, 9-56
Connectivity
information, requesting, 1-8
Buttons, 9-86
Intima-Media Thickness, 7-45
Dataflow, 9-78
contacts
clinical questions, 1-8
J
Internet, 1-8 JPEG, 9-8
service questions, 1-8
W
Wheels, 2-13
Worksheet, 7-80
XYZ
Zoom, 3-16