Statement

Thank you for selecting Full Digital Colour Doppler Ultrasonic Diagnostic System.
Prior to use the system, please read this user manual carefully.
In addition, keep this user manual so that you may read it at anytime when necessary.

Responsibility of the manufacturer

The manufacturer is responsible for the effects on safety, reliability, and performance of
the product, only if:

 All installation operations, expansions, adjustments, upgrades and repairs of this

product are conducted by the manufacturer authorized personnel;
 All components for replacement, accessories, consumables are original of the
manufacturer or approved by the manufacturer;
 Electrical installation complies with the applicable national standards and the
requirements of this user manual;
 Use this product only in accordance with this user’s manual.

About This Manual

Version: 2.0 Issue date: 2021.04.02

This manual details all information necessary for safe operation of the system. The
applications, functions, operations and maintenance of the product are described with the
most comprehensive configuration in this manual. If there is any discrepancy between the
description in the manual and the physical one, please prevail in kind. If you have
questions, please contact us.
The manufacturer is committed to continuously improve product performance and
reliability. Contents of this manual are subject to change without prior notice. Figures
showed in this manual may be different from physical one, please prevail in kind.
This manual is intended for users familiar with the basic principles and techniques of
ultrasound. It does not involve ultrasound training or medical procedures.

Conventions used in this manual

Before using the system, read carefully and be sure to completely understand these
conventions in this manual.

I
Symbols and
Description
conventions
DANGER indicates a hazardous situation which, if not avoided, will result in death
or serious injury.
WARNING indicates a potentially hazardous situation, which, if not avoided, may
result in physical injury or death.
CAUTION Indicates a potentially hazardous situation, which, if not avoided, could
result in minor or moderate injury or equipment damage.

Patient /user infection due to contaminated equipment.

NOTE Provide additional Information

Click Press the [Set] button

Double-click Press the [Set] button twice in quick succession

Select Highlight a menu item with the trackball

Physical buttons or knobs on the device, prompts or menu items on the touch
[Bold]
screen

<Keyboard> Keyboard keys

Warranty

The warranty period is subject to the sale contract.

Consumables refer to disposable consumables that need to be replaced after each use or
vulnerable materials that need to be replaced regularly. Consumables are not covered by
warranty.
The warranty period starts from the "installation date" filled in the "Product Warranty Card"
that accompanies the product. The "Product Warranty Card" is the only voucher for
calculating the warranty period and enjoying the warranty service.
To protect your rights and interests, please fill in the warranty card after the system is
installed, and give it to the installer or mail it to the Customer Service Department of the
manufacturer Company.
During the warranty period, the manufacturer will provide you with free warranty service;
beyond the warranty period, the manufacturer will provide maintenance service for
products under the condition of reasonable labor fee, spare parts fee and transportation
fee.
But please note that even during the warranty period, the following condition is not
covered by the free warranty.The manufacturer will charge for repair and accessories:
 Artificial damage.
 Improper use.

II
  The voltage of the power grid is beyond the scope specified by the product.
 Irresistible natural disasters.
 Replace or use of parts, accessories, and consumables not approved by the
manufacturer or maintain the system by unauthorized personnel.
 Failures not arise from the product itself.
 Failure to follow any operation instruction of the user manual.

Disclaimer

The manufacturer dose not assume any responsibility for unintended use, mis-operation
by unqualified medical personnel or failure to follow operation instruction of the user
manual.
The manufacturer does not assume any responsibility for any medical disputes arising
from the rental of equipment to third parties or other institutions.

III
 Contents

1 Safety ..................................................................................................................... 1

1.1 Safety Information ............................................................................................ 1

1.1.1 Precautions ............................................................................................. 1
1.1.2 Labels and Symbols ............................................................................... 5
1.2 Application of Acoustic Power .......................................................................... 7
1.2.1 ALARA .................................................................................................... 7
1.2.2 Bioeffect .................................................................................................. 8
1.2.3 Output Display ........................................................................................ 8
1.2.4 Probe Surface Temperature ................................................................... 8
1.2.5 Acoustic Power Control .......................................................................... 9

2 System Overview .................................................................................................... 10

2.1 Application Range .......................................................................................... 10

2.2 Intended use ................................................................................................... 10
2.3 Applicable human ........................................................................................... 10
2.4 Product Formation .......................................................................................... 10
2.5 Contraindication .............................................................................................. 10
2.6 Packing List .................................................................................................... 10
2.7 System Components ....................................................................................... 11
2.7.1 Console .................................................................................................. 11
2.7.2 Option Module....................................................................................... 12
2.7.3 Option Accessories ............................................................................... 12
2.7.4 Control Panel ........................................................................................ 13
2.7.5 Trackball................................................................................................ 15
2.7.6 I/O Board............................................................................................... 16

3 Preparing the System............................................................................................. 17

3.1 Moving the System ......................................................................................... 17

3.2 Positioning the System ................................................................................... 17
3.3 Connecting the System .................................................................................. 17
3.3.1 External Power Supply ......................................................................... 17
3.3.2 Battery Power Supply ........................................................................... 17
3.4 Power On/ Off the System .............................................................................. 18

V
 3.4.1 Power on ............................................................................................... 18
3.4.2 Shutdown .............................................................................................. 19
3.4.3 Standby ................................................................................................. 19
3.5 Monitor Adjustment ......................................................................................... 20
3.6 Connect / Remove the Probe ......................................................................... 20
3.6.1 Connect the Probe ................................................................................ 21
3.6.2 Remove the Probe ................................................................................ 21
3.7 Foot Switch (Option) ....................................................................................... 21
3.8 Connect the Network ...................................................................................... 22
3.9 Connect Peripheral Device ............................................................................. 22
3.9.1 Connect USB Storage Device .............................................................. 22
3.9.2 Connect Printer ..................................................................................... 23
3.10 Screens ........................................................................................................... 23

4 System Settings...................................................................................................... 25

4.1 Overview ......................................................................................................... 25

4.2 System Preset ................................................................................................ 25
4.2.1 Region ................................................................................................... 25
4.2.2 General ................................................................................................. 27
4.2.3 Image .................................................................................................... 28
4.2.4 Application ............................................................................................ 29
4.2.5 OB ......................................................................................................... 31
4.2.6 Customize ............................................................................................. 32
4.2.7 Admin .................................................................................................... 33
4.3 Exam Preset ................................................................................................... 36
4.3.1 Add Exam Mode ................................................................................... 37
4.3.2 Remove Exam Mode ............................................................................ 37
4.3.3 Create/Delete User-defined Exam Mode ............................................. 37
4.3.4 Adjust Exam Mode Display Position ..................................................... 38
4.4 Measure Preset .............................................................................................. 38
4.4.1 General Measurement Preset .............................................................. 38
4.4.2 Application Measurement Preset.......................................................... 39
4.4.3 Report Template.................................................................................... 41
4.5 Network Preset ............................................................................................... 42
4.6 Print Preset ..................................................................................................... 43

VI
 4.7 Maintenance Preset........................................................................................ 45
4.7.1 System Information ............................................................................... 45
4.7.2 Detailed Information.............................................................................. 45
4.7.3 Option ................................................................................................... 45
4.7.4 Other ..................................................................................................... 45

5 Preparing an Exam ................................................................................................. 47

5.1 Patient Information ......................................................................................... 47

5.1.1 New Patient........................................................................................... 47
5.1.2 Retrieve Patient Information (Station) .................................................. 50
5.1.3 Retrieve Patient Information (DICOM) ................................................. 52
5.2 Select Probe and Exam Mode........................................................................ 52
5.3 Select Imaging Mode ...................................................................................... 53
5.4 Resume/Activate Exam .................................................................................. 53
5.4.1 Resume Exam ...................................................................................... 53
5.4.2 Activate Exam ....................................................................................... 53
5.5 Cancel / End Exam ......................................................................................... 53
5.5.1 Cancel Exam......................................................................................... 53
5.5.2 End Exam ............................................................................................. 54

6 Optimizing the Image ............................................................................................. 55

6.1 Imaging Mode ................................................................................................. 55

6.2 B B-mode ........................................................................................................ 55
6.2.1 Basic Procedure of B-mode .................................................................. 55
6.2.2 Image Optimization (B) ......................................................................... 56
6.3 M-mode ........................................................................................................... 60
6.3.1 Basic Procedure of M-mode ................................................................. 61
6.3.2 Image Optimization (M) ........................................................................ 61
6.4 Color Mode ..................................................................................................... 62
6.4.1 Basic Procedure of Color Mode............................................................ 62
6.4.2 Basic Procedure of PDI mode .............................................................. 63
6.4.3 Image Optimization (Color/PDI)............................................................ 64
6.5 Doppler Imaging Mode ................................................................................... 68
6.5.1 Basic Procedure of PW-mode .............................................................. 68
6.5.2 Basic Procedure of CW mode .............................................................. 69

VII
 6.5.3 Image Optimization (PW/CW) .............................................................. 71
6.6 Color M-mode ................................................................................................. 74

7 Image Review and Management ........................................................................... 76

7.1 Splitting Display .............................................................................................. 76

7.1.1 Dual-Split Display ................................................................................. 76
7.1.2 Quad-Split Display ................................................................................ 76
7.2 Image Magnification ....................................................................................... 77
7.2.1 Global Zoom ......................................................................................... 77
7.2.2 Local Zoom ........................................................................................... 77
7.3 Freeze the Image ........................................................................................... 78
7.4 Cine Replay .................................................................................................... 78
7.4.1 Cine Review Region ............................................................................. 79
7.4.2 Manual Replay ...................................................................................... 80
7.4.3 Auto Replay .......................................................................................... 80
7.5 Annotation....................................................................................................... 80
7.5.1 Comment .............................................................................................. 80
7.5.2 Arrow ..................................................................................................... 82
7.5.3 Body Mark ............................................................................................. 82

8 Measurement........................................................................................................... 84

8.1 Basic Operating Procedure ............................................................................ 84

8.2 General Measurement .................................................................................... 85
8.2.1 2D General Measurement .................................................................... 85
8.2.2 M General Measurement ...................................................................... 90
8.2.3 Doppler General Measurement ............................................................ 92
8.3 Application Measurement ............................................................................... 97
8.3.1 Abdomen............................................................................................... 97
8.3.2 Obstetrics .............................................................................................. 99
8.3.3 Cardiology ........................................................................................... 105
8.3.4 Vascular .............................................................................................. 126
8.3.5 Gynecology ......................................................................................... 129
8.3.6 Urology................................................................................................ 131
8.3.7 Small Parts.......................................................................................... 133
8.3.8 Orthopedics......................................................................................... 134

VIII
 8.3.9 Emergency .......................................................................................... 136

9 Report ................................................................................................................. 137

9.1 View the Report ............................................................................................ 137

9.2 Edit the Report .............................................................................................. 138
9.2.1 Edit the Measurement Data ................................................................ 138
9.2.2 Add Comments ................................................................................... 139
9.2.3 Add Image........................................................................................... 139
9.3 Review the Report ........................................................................................ 139
9.4 Print the Report............................................................................................. 139
9.5 Backup the Report ........................................................................................ 140
9.5.1 Load .................................................................................................... 140
9.5.2 Export .................................................................................................. 140

10 Patient Data Management .................................................................................... 141

10.1 Storage ......................................................................................................... 141

10.1.1 Image Storage .................................................................................... 141
10.1.2 Cine Storage ....................................................................................... 141
10.2 Image Viewing .............................................................................................. 141
10.2.1 Current Patient .................................................................................... 141
10.2.2 Previous Patient .................................................................................. 142
10.3 Delete Image/Data ........................................................................................ 143
10.3.1 Certain Patient .................................................................................... 143
10.3.2 All Patients .......................................................................................... 144
10.4 Image/Data Recovery ................................................................................... 144
10.5 Exporting Image/Data ................................................................................... 144
10.5.1 Exporting to USB Storage Device ...................................................... 145
10.5.2 Exporting to DICOM Server ................................................................ 145

11 DICOM ................................................................................................................ 146

11.1 DICOM Preset .............................................................................................. 146

11.1.1 DICOM Local Preset ........................................................................... 146
11.1.2 Service Preset..................................................................................... 147
11.2 DICOM Service ............................................................................................. 156

IX
 11.2.1 DICOM Storage .................................................................................. 156
11.2.2 DICOM Print........................................................................................ 157
11.2.3 DICOM Worklist .................................................................................. 157
11.2.4 DICOM MPPS ..................................................................................... 158
11.2.5 DICOM Storage Commitment............................................................. 159
11.2.6 DICOM Query / Retrieve..................................................................... 159
11.3 Structured Report ......................................................................................... 160

12 Probe and Biopsy ................................................................................................. 162

12.1 Probe ............................................................................................................ 162

12.1.1 Structure of Probe ............................................................................... 162
12.1.2 Option Probes ..................................................................................... 162
12.1.3 Probe Usage ....................................................................................... 163
12.1.4 Probe Cleaning ................................................................................... 164
12.1.5 Probe Disinfection............................................................................... 165
12.1.6 Probe Maintenance............................................................................. 167
12.2 Biopsy Guidance .......................................................................................... 168

13 System Maintenance ............................................................................................ 170

13.1 External Cleaning ......................................................................................... 170

13.2 Safety Check ................................................................................................ 170
13.3 Troubleshooting ............................................................................................ 171
13.4 Disposal ........................................................................................................ 172
13.5 After Sales Service ....................................................................................... 172

Annex A. Technical Specifications ....................................................................... 173

Annex B. EMC Statement ....................................................................................... 175

Annex C. Toxic and Hazardous Substances or Elements .................................. 182

Annex D. Acoustic Output Report ........................................................................ 183

X
 1 Safety

1 Safety

1.1 Safety Information

Read, understand and strictly follow the instructions before using the system to ensure the
safety of patient and operator.
This system should be used by a professional clinician or under the guidance of a
professional clinician. Unauthorized person or untrained person shall not perform any
operation.
Manufacturer is responsible for the effects on safety, reliability, and performance of the
product, only if following precautions are strictly followed.

1.1.1 Precautions

1.1.1.1 System Safety

 DO NOT operate the system in the presence of flammable

gases or anesthetics or ethyl alcohol. Explosion may result.
-If flammable substances are detected, DO NOT plug the
power cord or power on the system.
-If flammable substances are detected after the system is
powered on, DO NOT attempt to shut down the system or
unplug the power cord.
-If flammable substances are detected, exhaust the air in the
area and make well ventilation before shutting down the
system.

 DO NOT place liquids on or above the console. Spilled liquid

may contact live parts and increase the risk of electric shock.
If liquid is accidentally into the system, stop using the system
immediately and shut down the system, contact the
manufacturer Customer Service Department or sales
representative
 Never allow the patient to contact the live part of the system or
other device, e.g. Signal I/O ports. Electric shock may result.
 DO NOT use the system with high-frequency surgical
equipment, high frequency electrotome, or defibrillator.
 Unauthorized personnel are NOT allowed to remove protective
covers. Short-circuit or electric shock may result. Refer
servicing to authorized service personnel only.
 Before cleaning procedure, shut down the system and unplug
the power cord. Electric shock may result.
 Keep the system dry all the time; avoid fast moving the
system from a cold place to a warm place. Otherwise,
condensation or water droplets may occur, which may lead to
short circuit or shock hazard.
 When the non-medical electrical equipment in the system is

1
1 Safety

powered by a removable, multiperture socket with an isolating

transformer, the plug must be full-plugged into a standard
socket (hospital grade). Professional installer is responsible
to comply with the safety requirements.
 All devices (analog and digital) connected to this ultrasound
system must comply with specified IEC standards (e.g. IEC
60950 information technology equipment safety standard and
IEC 60601-1 medical equipment standard). All configurations
must in accordance with relevant requirements of IEC
standards. When using additional peripheral equipment that is
to be interconnected by functional connection, the
combination is considered to be a medical electrical system. It
is your responsibility to comply with IEC 60601‑1-1 and test
the system to those requirements. If you have questions,
contact your sales representative.

 If any part of the system is known or suspected to be detective

or incorrectly adjusted, DO NOT use the system until it is
repaired.
 Use the system in proper environment, DO NOT use the
system in the cases of direct sunlight, heat source, high
humidity, drastic temperature change, dusty and
vibration-easily situation.
 DO NOT use the system in the vicinity of strong electric field,
magnetic field or mobile radio frequency communication
equipment, such as mobile phones, radio transceivers, mobile
radio transmitters, etc. Otherwise, poor performance or even
malfunction may result.
 When using movable multiperture socket, qualified, safe
products with grounding protection should be selected, and
the maximum allowable load should not exceed the maximum
power of the system.
 DO NOT connect non-system components of electrical
equipment to movable multiperture sockets; otherwise it may
cause interference, overload and other risks.
 DO NOT place movable multiperture sockets on the ground.
 When there is a large temperature difference in the operating
environment of the system, the system should be vacant for 4
hours before the first power-on to keep the temperature and
humidity reach a balance within the system.
 The system must be installed and set up by the
manufacturer’s authorized or trained personnel. Unauthorized
personnel may not disassemble, install or misuse the system
by themselves.
 Shut down the system and unplug the power cord before
moving the system.
 Avoid large vibration during transportation. Mechanical parts
damage may result.
 DO NOT lean or sit on the control panel. Function button
damage may result.
 DO NOT place any object on the control panel to prevent them
from falling and causing damage.
 DO NOT block the air filter or the air outlet. Otherwise, the

2
 1 Safety

internal temperature of the system may rise, causing fire,

personal injury and other potential hazard.
 If the system triggers the shutoff protection, which, indicating
the malfunction of the system or peripheral equipment.
Contact manufacturer’s Customer Service Department or
sales representative.
 Maintenance shall be taken regularly to ensure the
performance of the system, and ensure that the system is well
grounded and meets the safety requirements.

1.1.1.2 Accessories Safety

 Use only approved accessories. E.g. probes, peripheral equipments

or cables.
 The ultrasound probes apply for use by qualified specialist staff
only. Physicians who use this system for biopsy must undergo
professional ultrasound guidance training and strictly observe the
operation requirements of biopsy in order to avoid unnecessary
harm to patients.
 DO NOT immerse any probes beyond the specified cleaning or
disinfection level showed in “12.1.5 Probe Disinfection”.
 Never make conducting solution contacts with probes.
 Be sure the probe and cable are in normal before and after
performing an ultrasound exam.Use the probe with care. Stop use
immediately if the probe appears to be malfunctioning.
 Never attempt to strike or damage the surface of transducer.
Otherwise, electric shock may result when using.
 Sterile probe sheath is required when performing intra-cavitary
ultrasound exam. DO NOT activate intra-cavitary probe in vitro.

 The system and accessories are not disinfected and sterilized when
delivering. Before use probe and biopsy bracket, disinfection or
sterilization is required according to the method provided in their
instructions.
 Always inspect whether the edge of the probe is too sharp or the
surface is too rough before using the probe. If so, replace the probe
to avoid damaging sensitive tissue.
 DO NOT disconnect probe when scanning. Otherwise, system
damage may result.
 Normally, there is no risk of burnt when using this system; however,
if the probe is placed in the same part of the patient’s body for a long
time, burnt may result. Under the condition of obtaining effective
images, shorten the inspection time as possible.
 Shut down the system before plugging or unplugging the system or
other peripheral equipment (such as printers). Otherwise system
damage may result.
 Always use approved, sterile coupling gel. Read the instructions of
the coupling gel carefully before operation.
 Remove the coupling gel from the probe thoroughly after each use.
Otherwise, moisture in the coupling gel may affect the safety and
performance of the probe.

3
1 Safety

 Always use sterile, legally marketed probe sheaths for infection

control in intra-cavitary and biopsy procedure.Before using latex
probe sheaths, check the packaging and determine the composition
of the latex probe sheaths. Studies have shown that natural rubber
latex may cause allergic reactions in latex sensitive individuals. DO
NOT use and change the brand of latex probe sheaths if allergic
reaction occurs.
 After cleaning or disinfecting accessories, the chemical reagents or
odors must be completely removed. After cleaning or disinfecting
accessories, the chemical reagents or odors must be completely
removed.
 Never use foot switch in operating room.

1.1.1.3 Software Safety

 To ensure the security of data, users must backup to external

storage media when recording important data (such as hospitals,
patient data, etc.), for the data stored in the system may be lost due
to abnormal operation or failure.
 DO NOT shut down the system when print, save and load data, or
data will be lost.
 Improper power failure may result in damage to the drive or system.
 Attempt to power the system on again at least 5 minute later after
each shutting down. System malfunction may result.
 DO NOT run non-system software on your system computer.

1.1.1.4 Biological Hazard

 For patient and personnel safety. Never contact with samples, mixtures
and waste liquids by hand directly. Use protective barriers (gloves and
probe sheaths) and follow sterile procedures when appropriate.
 If the sample contacts with skin inadvertently, you must immediately stop
operating and notify your physician.
 Some disinfectants have strong acidity or alkalinity. Please use them
carefully to prevent direct contact with hands and clothes. If hands or
clothes are inadvertently exposed to disinfectants, wash them with soap
and flowing water immediately; if disinfectants enter eyes inadvertently,
wash them with plenty of clean water immediately and consult an
ophthalmologist.
 Disinfectants, intensive cleaning agent and waste liquids must be
disposed as bio-hazardous material in accordance with local standards.
Consult the relevant disinfectant manufacturer or distributor for details.
 Probes used on patients with Creutzfeldt-Jakob disease (CJD) must be
disposed. Otherwise, it may infect the patients and operators. There is no
method to clean, disinfect and sterilize the probes used by
Croytsfelter-Jacob patients currently.
 Follow all internal infection control procedures applicable to personnel
and systems.
 Disposable biopsy bracket must be disposed of as infectious waste.
 Disinfect the reusable biopsy bracket before store it.

4
 1 Safety

1.1.2 Labels and Symbols

The following table describes the important information of labels and symbols used on the
equipment.
Table 1 Labels and symbols

Labels/symbols Description
Tag includes the following information:
 The name and address of the manufacturer
Tag  Date of manufacture
 Model and Serial Number
 Electrical rating

Type BF applied part

Important information concerning the safe operation

Dangerous voltages

Equipotential terminal

On/off(used in only one part of the equipment)

Alternating current

Power on/ off switch

Output port for video

USB port

Ethernet connection

Manufacturer

5
1 Safety

Labels/symbols Description

Date of manufacture

Serial number

See the instructions for use for safety information

Fragile, handle with care

Keep dry

Away from sunlight

Keep facing up

Temperature range (transport and storage)

No rolling

Stacking load limitation

Indoor use only

Waste electrical and electronic equipment

6
 1 Safety

Labels/symbols Description

Relative humidity range (transport and storage)

Atmospheric pressure range (transport and storage)

Nonionizing electromagnetic radiation

Chinese Enviormentally Friendly Use Period symbol

1.2 Application of Acoustic Power

Although it is generally believed that diagnostic ultrasound is safe, there are still studies
confirming that there is a risk of damage when high-intensity ultrasound passes through
human tissues. Therefore, the operator must follow the ALARA principle when using the
ultrasonic diagnostic equipment and use the ultrasound with care.

1.2.1 ALARA
The guiding principle for the use of diagnostic ultrasound is defined by “ALARA principle”
(As Low As Reasonably Achievable). That is, by keeping ultrasound intensity as low as
possible while obtaining diagnostic images.
The ultrasound intensity depends on the intensity and exposure time of irradiation.
The ultrasound intensity required differs among application modes and patients.
Less ultrasonic power can only obtain low-quality images, which affects the reliability of
the diagnosis; and using overdose ultrasonic power increases the risk of bioeffects.
Therefore, it is operator’s responsibility to reconcile ultrasonic power with diagnostic
image quality. That is, to obtain qualified images while minimizing the ultrasonic bioeffects.

Special attention should be paid to the ALARA principle in obstetric

exam, as any potential bioeffect can have a significant impact on the
embryo or fetus.

 Operators should always follow the ALARA principle to ensure the

image quality and keep the referencing index and exposure time at
lowest level.

7
1 Safety

 It is important for operators to master the function of the system and

observe the acoustic output referencing index reading all the time.

1.2.2 Bioeffect
Ultrasound produces two types of bioeffects, thermal and mechanical.

1.2.2.1 Temperature Index (TI)

The TI informs the operator about the potential for temperature rise in body tissue. It is an
estimate of temperature rise in body tissue with specific properties. And temperature rise
is influenced by factors such as tissue type, vascularity, operation mode, and others.
There are three types of TI. The system only displays one index at a time. The operator
should choose the appropriate index to display according to the actual application
location:
 The soft tissue thermal index (TIS) is suitable for abdominal and cardiac
application. It indicates the potential for temperature rise in homogeneous tissue.
 The bone thermal index (TIB) is suitable for obstetric (mid-late pregnancy) or
pediatric (newborn head) applications. It indicates the potential for temperature
rise of bones or at near soft tissue.
 The cranial thermal index (TIC) indicates the potential for temperature rise of
bones or at near soft tissue.

1.2.2.2 Mechanical Index (MI)

The MI informs the operator about the possibility for mechanical bioeffect occurrence. It is
an estimate of damage in body tissue due to cavitation.
The higher the MI value the greater the possibility of mechanical bioeffect result.

NOTE : When gas and soft tissue exist at the same time, special attention
should be paid to setting the MI value to a lower level.

1.2.3 Output Display

The system displays two basic index of Acoustic Output.
TI includes TIS, TIB and TIC. Each probe has a set of appropriate default options.
A TI, TIB or TIC is displayed by probe and application mode chosen, and the increment is
0.1 on the system.
The MI ranged from 0~1.9.
A lower TI/MI index signifies a lower bioeffect. Operators should take TI and MI values as
a reference when applying the ALARA principle.

1.2.4 Probe Surface Temperature

The surface temperature of the transducer should not exceed 43℃ to ensure the safety of

8
 1 Safety

patients.

1.2.5 Acoustic Power Control

The acoustic power can be controlled through three ways:

1.2.5.1 Direct Control

The direct control is to adjust the acoustic power by using [ ][ ] to select [A.Power],
and then rotating the [Value] knob on the control panel.
Refer to “Annex D Acoustic Output Report” for typical values for the acoustic output of
specific application.
The maximum value of acoustic output in any mode should not exceed the limit value of
acoustic output (MI limit value is 1.9, Ispta.3 limit value is 720 mW/cm2).

1.2.5.2 Indirect Control

Indirect control is mainly performed by adjusting image parameters to control the acoustic
power. Parameters that affect acoustic power include: imaging mode, probe and its
frequency, position and number of focus, image depth, and PRF.

1.2.5.3 Receiver Control

The receiver control only affects the receiving mode of the ultrasonic wave, and does not
affect the acoustic output while improving the image quality. The operator can optimize the
image quality by adjusting the gain, TGC, and dynamic range to obtain effective
diagnostic image with the minimum acoustic output.
Receiver control is recommended before direct control and indirect control.

9
2 System Overview

2 System Overview

2.1 Application Range

The device is suitable for clinical ultrasound examination of abdomen, gynecology and
obstetrics, small parts, cardiac and peripheral vessel.

2.2 Intended use

The System is intended for use by a qualified clinicians or health care professionals for
Ultrasound evaluation. Clinical applications include:
 Abdominal

 Gynecology (including endovaginal)

 Obstetric

 Cardiac

 Small parts (Breast, Testes, Thyroid, etc.)

 Urology

 Musculoskeletal

 Peripheral vascular

2.3 Applicable human

Child & Adult

2.4 Product Formation

This device is composed of host, adapter and transducers

2.5 Contraindication
Do not suitable for eye examination

2.6 Packing List

Check the contents of the packing list before installing the system to ensure that the
accessories are complete.
If you have any question, please contact manufacturer or sales representatives.

10
 2 System Overview

The following table shows the standard packing list. The contents of the packing list
should be based on the actual purchased model.
Table 2 Standard Packing List
No. Description

1 Console * 1

2 Power Adapter * 1

3 User Manual * 1

4 Accessory Package * 1

2.7 System Components

2.7.1 Console

Figure 1 Front View

11
2 System Overview

Figure 2 Back View

Table 3 Console
No. Item Function

1 Monitor Display all user interfaces.

2 Handle Used for moving and lifting the system

3 Probe Holder Used for fixing a normal probe.

Provide system human-machine interface to facilitate the

4 Control Panel
operation and control.

5 Front Panel Probe receptacles.

6 Battery Box Used for battery storage.

Used for connecting peripherals and accessories. Refer to

7 I/O board
“2.7.6 I/O Board” for details.

8 USB Port Connects an USB device.

2.7.2 Option Module

Table 4 Option Module
DICOM Service

2.7.3 Option Accessories

Table 5 Option Accessories
External Printer External Optical Disc Drive

Battery

12
 2 System Overview

2.7.4 Control Panel

Figure 3 Control Panel

Table 6 Control Panel
No. Icon Description Function

Power switch
1 Power on/ off the system.
button

2 Preset Preset Press to enter / exit the preset screen.

3 B / Press to enter B mode.

Press to pre-activate M mode, press this button again

4 M /
button to enter B+M mode.
Press to enter Color mode.
5 CFM Color Doppler
Under B+C mode, press to enter Dual Live (B+BC) mode.
Press to enter PDI mode.
6 PDI Power Doppler
Under B+PDI mode, press to enter Dual Live (B+BPDI)

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2 System Overview

No. Icon Description Function

mode.

Pulsed Wave Press to pre-activate PW mode, press this button again

7 PW
Doppler button to enter PW mode.
Continuous Press to pre-activate CW mode, press this button again
8 CW
Wave Doppler button to enter CW mode.

9 3D/4D / Press to enter 3D/4D function (Reserved function).

Value Press to switch parameter item.

10 Value
adjustment Rotate to adjust the parameter value.

11 Gain Gain Rotate to adjust the image gain.

Move up/
12 Switch menu / Select parameter.
Increase
Move left /
13 Switch menu / Select parameter.
Decrease
Move right /
14 Switch menu / Select parameter.
Increase
Move down /
15 Switch menu / Select parameter.
Decrease
Press this button and then rotate the [Value] knob to
16 BaseLine BaseLine
adjust the baseline position.
Press this button and then rotate the [Value] knob to
17 Depth Depth
adjust the display and scan depth.
Press this button and then rotate the [Value] knob to
18 Angle Angle
adjust the SV angle.
Press this button and then rotate the [Value] knob to
19 Focus Focus
adjust the focus position.
Sample Sample Press this button and then rotate the [Value] knob to
20
Volume volume adjust the SV.
Press this button and then rotate the [Value] knob to
21 Scale Scale
adjust the PRF of CFM/PDI/PW.

22 Cursor Press to display/ hide the cursor.

23 Comment Comment Press to activate comment function.

24 Print Print Press to print the current screen.

25 / Set Press to confirm the operation.

Body
26 Body Mark Press to activate body mark function.
Mark

27 Update Update Compound operation keys, used together with other keys;

28 Caliper Measure Press to perform measurement.

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 2 System Overview

No. Icon Description Function

29 Clean Clean Press to clean the comments.

30 / Set Press to confirm the operation.

31 Patient Patient info Press to enter the patient information screen.

32 Report Report Press to enter the report screen.

Save
33 Save Cine Press to save cine to the system quickly.
Cine
Probe/Exam Press to enter the probe/ exam selecting screen and
34 Probe
switch toggles the probe and exam mode.
Image
35 File Press to enter the review screen.
management

36 Save Img Save image Press to save image to the system quickly.

Press this button to freeze the current image and press

37 Freeze Freeze
again to resume real-time status.

38 / Indicator Power indicator.

39 / Indicator Working status indicator.

40 / indicator Battery indicator.

2.7.5 Trackball
Use the trackball and [Set] button to control the screen directly and easily.

Function Description

Move Roll the trackball to move the cursor.

Use the trackball to move the cursor over the select item, image, or annotation
Click/ Select
you want to select and press the [Set] button.
1） Click on the image or annotation you want to move.
Drag 2） Roll the trackball to drag the image or annotation to the desired location.
3） Press the [Set] button and release trackball.
1） Click on the ROI frame you want to adjust.
Adjust ROI 2） Roll the trackball to adjust the size of ROI frame.
3） Press the [Set] button and release trackball.

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2 System Overview

2.7.6 I/O Board

Figure 4 I/O Board

Table 7 I/O Board
No Icon Description

1 Video output.

2 VGA port.

3 Network port.

4 Equipotential terminal.

5 DC input port.

6 Power switch.

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 3 Preparing the System

3 Preparing the System

3.1 Moving the System

Care must be taken when moving the system and the specifications of this section must
be strictly followed.
1. Shut down the system and disconnect the power cord and peripheral equipment
cables.
2. Disconnect all cables, probes and accessories and move the system separately.
3. Pack the system correctly. It is recommended to pack the system in the original
packaging at the factory.
4. Do not invert the system during transportation.

3.2 Positioning the System

To position the system, perform the following steps:
1. Position the system on a level, anti-slip surface. Leave at least 25 cm of space
on the back and left and right sides of the system.
2. Properly place all power cords and cables to prevent tripping hazard.
3. Make sure that the environment is well ventilated.
DO NOT place the system on a slope or a slippery surface to prevent a
tipping hazard which causes possible patient or operator injury and
damage to the system.

3.3 Connecting the System

The system supports external power supply and battery power supply.

3.3.1 External Power Supply

The system power must be supplied from a properly rated outlet as described in Annex A.
To connect the system, perform the following steps:
1. Plug the supplied power cord into the input port on the I/O board.
2. Plug the supplied power cord into a hospital grade grounded power outlet.

3.3.2 Battery Power Supply

 Battery is installed at the back of the console and can only be
disassembled or installed by professionals. Disassembly and
assembly by user will void the warranty. If the battery fails or needs
to be replaced, please contact the manufacturer or your
sale-representative.

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3 Preparing the System

 If you do not use the system for a long time on battery power, please
shut down the system. Frequent charging and discharging will
impact the service life of batteries.

3.3.2.1 Battery Charging and Use

The battery is a rechargeable lithium ion battery.

When an external power source is connected, the battery will be charged automatically
when the battery power is not full. The battery indicator is orange when charging and
green when it is fully charged.
The system switches to battery power supply automatically when external power source is
removed. Fully charged battery will give about 0.5 hours of use.

3.3.2.2 Battery Maintenance

It is recommended to perform a complete discharge/charge cycle when the battery is used

for the first time or not used for more than 3 months.
To perform a complete discharge/charge cycle:
1. Allow the battery to discharge completely until the system turns off.
2. Full charges the battery.
3. Repeat step 1~2 if necessary.

3.3.2.3 Battery Recycling

Replace and properly recycle the battery when it is obviously damaged or exhausted.
Follow the corresponding regulations when disposing the used batteries.

3.4 Power On/ Off the System

3.4.1 Power on
 If an abnormal power interruption occurs during the last system
operation (such as a sudden interruption of AC power), you may
have to wait longer 30~60s than usual to reboot the system.
 System can be rebooted 5 minute later of power off. Otherwise
system failure may result.

NOTE : First power-on is recommended to be done by the authorized personnel.

Make sure that the power cord is connected to the system and fully
plugged into an appropriate grounded power rating outlet.

To power on the system, perform the following steps:

1. Turn on the power switch located on the back of the console.

2. Press the power switch button [ ] located on the upper left section of the
control panel to startup the system and the working status indicator. lights up.
3. A boot screen appears, and the Home screen displays after startup.

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 3 Preparing the System

4. After initialization has been completed, refer to the following items for startup
check. If there is any abnormality, please contact your sales representative or the
customer service department of the manufacturer.
Table 8 Checking List
No. Item

1 Abnormal sound, smell, or overheating.

2 Error massage.

3 Discontinuous display or abnormal dark area on the 2D image.

When the probe is connected to the system, monitor that the surface temperture of the
4
probe all the time to avoid abnormal heat burn the patient.

5 The buttons and knobs of the control panel are fully functional.

6 The system time displays correctly.

3.4.2 Shutdown
To shutdown the system, perform the following steps:

1. Press the power switch button [ ] located on the upper left section of the
control panel. Click [Shutdown] to perform the shutdown procedure.
2. When the power indicator lights out, the shutdown is completed.
3. Turn off the AC power and unplug the cable cord as needed.
 Never attempt to shutdown the system while the system is in an
upgrade or data transfer process.
 End the current exam before shutdown the system.
 DO NOT unplug the power plug or cut the power supply before the
shutdown procedure is completed. Files damaged and patient data
lost may result.

NOTE :  If the system fails to power off normally, cut the power supply or
unplug the power cord to force the system to shut down.
 It is not recommended to cut the power supply or to unplug the
power cord directly for doing this may cause damage or loss of
patient data.
 If the system is not used for a long time, disconnect the external
power supply and all peripheral equipment after shutdown the
system.

3.4.3 Standby
Without any operation for a period of time, the system will enter standby mode. You can
set the waiting time to enter the standby mode.

Setting path: [Preset] (press [Preset]) → [System Preset] → [General] → [Standby],

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3 Preparing the System

refer to “4.2.2 General” for details.

3.5 Monitor Adjustment

Before starting the exam, you can adjust the monito for better viewing.

NOTE : Be careful to prevent crushing your hands when adjusting the monitor.
1. Grab the top and bottom of the monitor with two hands and tilt the monitor up and
down.
2. The tilt range is 0°~90°.
NOTE : When transporting or moving the system, tilt the monitor to the vertical
position and close the console to avoid damage to the screen.

Figure 5 Monitor Adjustment

3.6 Connect / Remove the Probe

 Before connect or remove the probe, freeze the image or shutdown
the system power, otherwise the system and probe damage may
result.
 Use only probes provided by manufacturer. Using other probes may
damage the system and probes and cause unpredictable accidents
or malfunctions.
 Before connecting the probe, make sure that the surface, cable and
socket of the probe are without cracks or any failure. Electrical
shock may result if a defective probe has been used.
 Before connecting or removing the probe, place the probe in the
probe holder and fix the probe cable to prevent the probe from
accidentally falling.

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 3 Preparing the System

3.6.1 Connect the Probe

To connect a probe, perform the following steps:
1. With the cable facing upward, fully insert the probe connector into the probe
receptacle.
2. Rotate the probe lock clockwise to lock the probe.

Figure 6 Connect the Probe

3.6.2 Remove the Probe

To remove a probe, perform the following steps:
1. Rotate the probe lock counterclockwise to unlock the probe
2. Pull the probe connector straight out of the probe receptacle.

Figure 7 Remove the Probe

3.7 Foot Switch (Option)

Foot switch is an option accessory. Preset its function before using.

Setting path: [Preset] → [System Preset] → [Customize], refer to “4.2.6 Customize”

for details.
Operation: connect the foot switch to the system via USB port, and step on the foot switch

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3 Preparing the System

to perform the corresponding operation.

3.8 Connect the Network

To ensure the network security of the system, DO NOT connect to any external
NOTE :
network when using the system normally.

To connect the network, perform the following steps:

1. Connect the network port of the I/O board and the local LAN port with
network cable
2. Preset the local network.

 Setting path: [Preset] → [Network] → [Local TCP/IP], refer to “4.5 Network Preset”

for details.

3. Check the network connection status by the screen status bar.

 means successful network connection.

 means failed network connection, try to connect again.

 Place the cursor on the network icon to automatically display the network information.

3.9 Connect Peripheral Device

3.9.1 Connect USB Storage Device

 To connect a USB storage device:
1. Insert the USB storage device into the USB port.

2. After initialization, displays on the status bar.

 To remove a USB storage device:

1. Move the cursor over the , press the [Set] button.

2. Click on [Remove] in the pop-up menu to remove the USB storage device safely.
 Do not use USB memory with unsafe data, otherwise system
damage may result.
 Remove the USB storage device safely. Direct removal may damage
the USB storage device and the ultrasound system.

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 3 Preparing the System

3.9.2 Connect Printer

3.9.2.1 Connect Digital Printer

For the printer connection, please refer to the printer manual.

The basic connection procedures are as follows:
1. Connect the power supply and the printer with the power cable of the printer.
2. Connect the system and the printer with an USB cable.
3. Add print service to the printer.

Press [Preset] to enter the Preset screen. Click [Print Preset] to enter print
setting screen.

Click [Add Service] to add print service to the printer.

Enter the printer service name, select the printer type, and click [OK].

4. Add printer.
1) The preset print service is displayed in the print service list; select the
service by pressing [Set] button.
2) Click [Add Printer] and a dialog box pops up. Finish setup as needed.
3) Click [OK] to install the driver.
When using multiple peripherals that are not powered by the
auxiliary output of the system, it must be ensured that the total
leakage current of the peripherals and the system meets the
medical equipment electrical safety standards in relevant areas。

3.9.2.2 Connect Video Printer

Please refer to the printer manual for installation details.

Once the printer connected successful, you can use it after relevant settings.

3.9.2.3 Connect DICOM Printer

Once the system is connected to the DICOM server and the DICOM print server has been
set up, patient images and reports can be printed remotely. Refer to “11.2.2 DICOM Print”
for details.

3.10 Screens
The system enters the Home screen by default after power on.

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3 Preparing the System

Figure 8 Home Screen

Table 9 Home Screen
Functional Area Description

The information area is located at the top of the Home screen.

This area displays information including manufacturer logo, hospital name,
operator, patient personal information, exam mode, exam time, and probe
Information Area parameters.
You can set whether to display patient ID, name, gender, age, birthday,
operator and hospital information as needed. Refer to “4.2.2 General” for
details.
The ultrasound image area is located in the center of the Home screen.
This area displays real-time ultrasound images, probe marks, coordinate
axes, focus positions, gray scale bars, and color bars of each exam mode.
The parameters such as acoustic power, mechanical index and thermal
Image Area index are displayed on the upper left of the image area.
The cine replay progress bar is displayed under freeze state.
The corresponding annotation information is displayed when the text/body
mark/arrow annotation functions are activated.
The measuring scale is displayed when the measure function is activated.
The image parameter area is located on the right side of the image area.
Image Parameter
This area displays the real-time parameters of current mode.
The menu is located at the bottom of the Home screen.
Menu
This area displays the options of the current mode.
Displays prompt information, help information, or progress status of the
Hints
current screen.
Displays icons for current system status, including USB, printer, network
Status bar connection status, input method, power status, battery status, storage
status, and recycle bin.

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 4 System Settings

4 System Settings

4.1 Overview
This section details the access to configuration and service functions for the system.
Customize your system to facilitate operation and clinical needs.

Item Description

Enter the Preset

Press [Preset] button on the control panel to enter the Preset screen.
screen
Move the cursor over the tab and press the [Set] button to enter the
Tab
corresponding setting screens.
Move the cursor over a setting item; press the [Set] button to select the
Select a Item
item.

Text box Select the text box, enter text and numbers directly.

Click the drop-down box to display all the sub-options under the current
Drop-down box
option.

Check box Check the check box to activate corresponding option.

Save Click to save current settings and return to the Home screen.

Cancel Click to cancel all modifications and return to the Home screen.

In the Preset screen, press [Preset] button again or click [Cancel] to cancel
Exit the Preset all modification and exit the Preset screen.
screen In the Preset screen, click [Save] to save all modification and exit the Preset
screen.

4.2 System Preset

4.2.1 Region
The Region tab is the default page of the Preset screen.
Open the Region tab via [Preset] (press [Preset]) → [System Preset] → [Region]. This
tab is access to related information settings, such as hospital information, system
language, and system time.

25
4 System Settings

Figure 9 System Preset-Region

Table 10 System Preset-Region
Item Description

Name Hospital Name.

Address Hospital Address.

Telephone Hospital telephone.

Hospital
Fax Hospital Fax.
Info
Click [Upload], a dialog box pops up. Select the picture you want to
Upload
upload, and click [OK]. After the upload is completed, the logo is
Hospital
displayed in the Logo area. This logo will be displayed in the
Logo
hospital information area of the Home screen.
Set the system language.
Languages
Options : Chinese, English
Set the current date and time of the system.
Date & Time Enter the date in the date and time bar, or select the date through
the calendar.
Date Set the date format.
Language Format Options : yyyy-MM-dd、MM-dd-yyyy、dd-MM-yyyy
& Time Time zone Set the time zone of the system.

Current Set the current time of the system.

Time Delete the original value, and enter the new value.
Time Set the time format of the system.
Format Options : 12-hour , 24-hour

Sync Synchronize system time to the system hardware time.

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 4 System Settings

4.2.2 General
Open the General tab via [Preset] → [System Preset] → [General].
This tab is access to patient information display settings of the Home screen, including
general measurement parameters, response after exam the exam and standby mode, etc.

Figure 10 System Preset-General

Table 11 System Preset-General
Item Description

Set whether to display patient ID, name, gender, age, date of

Display item
birth, operator and hospital information in the Home screen.
Height and
Set the Height and Weight units of patients.
Weight
Patient Options: Metric, British
units
Information
Body
surface area Set BSA formula.
formula Options: Eastern. Western
(BSA)
Status after Set the status after exam ends.
Exam exam ends Options: Scan, New patient, Worklist
Settings Send after Set whether to send the patient data automatically to the
exam DICOM server for storage or printing after exam ends.
Screen Enable/disable the screen saver and to set the waiting time
Saver before entering the screen saver state.

Sleep Mode Enable/disable the standby mode and to set the waiting time
Standby
before entering the standby mode.

Preview Preview the screen saver picture.

27
4 System Settings

4.2.3 Image
Open the Image tab via [Preset] → [System Preset] → [Image]. This tab is access to
related settings on save, output, display, and freeze for images and cines.

Figure 11 System Preset-Image

Table 12 System Preset-Image
Item Description

Image Set the save area of the image.

Size Options : Image, Standard (full screen)
Video Set the format of video output.
Image Output Options : PAL、NTSC
Storage Cine
Set the cine length.
Length
Cardiac
Set the cardiac cycle.
Cycle

Default Probe Select default probe.

Center
Set whether to enable the centerline function in B mode.
Line
B
Horizontal
Set whether to enable the horizontal scale function in B mode.
Scale
Auto Set whether to enable the auto invert function in Color/Power
Color/Power
Invert mode.
Auto
Set whether to enable the auto invert function in M/PW/CW mode.
Invert
M/PW/CW
Display
Set the display format of M/PW/CW mode.
Format

28
 4 System Settings

Item Description

Set whether to display the bone thermal index (TIB) and the
TI Type cranial thermal index (TIC) or soft tissue thermal index (TIS) in the
image area.
Set status after freeze.
Image Freeze
Options : Cine, Measure, Caliper
settings
Set whether to steer the sampling frame of the Color mode and
the sampling line of the PW mode together under B+Color+PW
Steer
mode.
Options : C&PW(together),C/PW(separately)

4.2.4 Application
Open the application tab via [Preset] → [System Preset] → [Application].
This tab is access to related setting of measurement and annotation.

Figure 12 System Preset-Application

Table 13 System Preset-Application
Item Description

Set the cursor type.

Type
Options : symbol, number
Set the cursor size.
Size
Options: Large, Medium, Small
Measuring
Color Set the color of cursor and measurement results of activated state.
Cursor
(active) Options : Green, Yellow, Red, White
Set the color of cursor and measurement results of not-activated
Color
state.
(inactive)
Options : Green, Yellow, Red, White

29
4 System Settings

Item Description

Set the font size for measuring result.

Result Size
Options: Large, Medium, Small
Cardiac Set the number of cardiac cycles when taking heart rate
cycle measurement.
Delete
measureme
nt results Set whether to clear the measurement results in the result window
when when deleting the calipers.
deleting
calipers
Set the font size for text annotation or comments.
Font size
Options: Large, Medium, Small
Set the arrow size for arrow annotation.
Arrow size
Options: Large, Medium, Small
Automatica
lly clear
comments
when
Set whether to clear all comments or annotations on the image
unfreeze
automatically when unfreeze the image, or switch the probe, or
the image
Annotation switch the exam mode.
or switch
the probe
or exam
mode
Automatica
lly clear the
body mark Set whether to clear the body mark automatically when unfreeze
when the image.
unfreeze
the image
Calculation Set calculation method for follicle measuring.
Follicle
Methods Options: 1 distance, 2 distances, 3 distances.
Auto
calculation Set the auto calculation period.
period

Auto Calc Trace area Set the trace area.

Auto
parameter Set the auto parameter calculation.
calculation

30
 4 System Settings

4.2.5 OB
Open the OB tab via [Preset] → [System Preset] → [OB]. This tab is access to related
setting for obstetric calculation and measurement display.

Figure 13 System Preset-OB

Table 14 System Preset-OB
Item Description

Measurement
Select measurement item for gestation age.
Item
Fetal GA Author Select calculation formula for obstetric measurements.

Default Set as the default calculation formula for gestational age.

Set whether to display EDD in the result window when

Display EDD
obstetric measurement completes.
Result window
Display GA in
Set whether to display GA in the report.
the report
Measurement
Select measurement item for fetal growth.
Item

Author Select calculation formula for fetal growth.

Fetal Growth
Curve Default Set as the default calculation formula for fetal growth.

Set the display format of the trend chart of fetal growth

OB graph curve.
Options: 1*1、1*2、2*2
Set fetal weight for calculation and select calculation
Fetal weight
Fetal weight formula of fetal weight.

Fetal weight 2 Set fetal weight 2 for calculation and select calculation

31
4 System Settings

Item Description

formula of fetal weight 2.

Select the fetal weight unit.

Weight unit
Options: Metric, British, Metric and British
Select the calculation formula for the fetal weight
Formula
Fetal Weight percentile.
percentile Set fetal weight for calculation and select calculation
Type
formula of fetal weight.

4.2.5.1 Calculation Formula for GA/Fetal Growth Curve

To set calculation formula for GA/Fetal Growth Curve:

1. Select an OB item in the left column, and the available calculation formula author
name displays in the right column.

 Default formula is marked with a “√”.

2. Select a calculation formula in the right column.

3. Click [Default] to set the calculation formula as default for GA or fetal growth
curve.

4.2.5.2 New Calculation Formula

New calculation formula is added by importing.

4.2.6 Customize
Open the Customize tab via [Preset] → [System Preset] → [Customize]. This tab is
access to function definition for foot switch.

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 4 System Settings

Figure 14 System Preset-Customize

Table 15 System Preset-Customize
Item Description

Button Type Select the button type you want to set.

Select the function assigned by the button and the function list displays
Function Type
below.

Trackball Speed Set the speed of trackball.

Button Brightness Set the button brightness level.

Button Volume Turn on/off the button volume function.

To set the foot switch, perform the following steps:

1. Click [Button Type] drop-down box and select foot switch.
2. Click the [Function type] drop-down box to display all definable functions.
3. Select function type to assign the function to the desired button.
4. Click [Save] to save modifications and return to the Home screen.

4.2.7 Admin
The system supports three types of users: the administrator, operater and emergency
user.
Icon User Permission
Access to all patient data in the system and be able to add users,
Administrator delete users, import data, export data, delete data, edit data, store
data, upgrade software / firmware, etc.
Access to all patient data in the system and be able to import data,
Operator
export data, delete data, edit data, and store data.

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4 System Settings

Emergency Access to view and store patient data only. Data exporting, deleting
user and edition are not allowed.

4.2.7.1 Access Setting

Open the Permission tab via [Preset] → [System Preset] → [Admin].

Figure 15 System Preset-Admin

Table 16 System Preset-Admin
Item Description

After enable admin, login is required when exporting data, backing up data,
Enable Admin deleting data, etc.
Admin is not enabled by default.
To add a new user:
1) Click [Add] to pop up the Add New User dialog box.
Add
2) Enter a new user name, enter password, confirm the password, select a
new user type, and click [OK] to complete adding a new user.
To delete an existed user:
Delete
 Select the target user in the user list and click [Delete].
To modify the password of current user:
1) Select the target user in the user list and click on [Change Password],
Change
a dialog box pops up.
Password
2) Enter the new password, confirm the new password and click [OK] to
complete the password modification.

NOTE: Only administrators can add or delete users.

4.2.7.2 System Login

If admin is enabled, you can access the data in the system only after you log on the

34
 4 System Settings

system.
To log on the system:
1. Open the login dialog box.

2. Click [User name] drop-down box to select the user name.

3. Enter correct password and click [Login].

4.2.7.3 Change User

To change user:
1. Click the icon at the lower right corner of the screen to pop up the dialog box as
shown below.

2. Click [Change user], the login dialog box pops up.

3. Select desired user name and enter the password and then click [Login].

4.2.7.4 System Logout

To log out the system:

1. Click the icon at the lower right corner of the screen to pop up the dialog box as
shown below.

35
4 System Settings

2. Click [Logout].

4.3 Exam Preset

Enter the Exam Preset screen via [Preset] → [Exam Preset].
The Exam Preset screen is access to related settings for probe and exam mode.

Figure 16 Exam Preset

Table 17 Exam Preset
Item Description

Probe Select a probe.

Exam Library Display all available exam modes for current probe.

Exam Selected Display all selected exam modes for current probe.

[<] / [>] Add/Remove selected exam modes of current probe.

[<<] / [>>] Add/Remove all exam modes of current probe.

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 4 System Settings

Item Description

To set the selected exam mode as default to the current probe.

Default
Default exam mode is marked with a “√”.

Delete Delete User-defined exam mode.

4.3.1 Add Exam Mode

To add exam mode, perform the following steps:
1. Click the [Probe] drop-down box to select the probe type.
2. Select the desired exam mode list from the Exam Library.
3. Click the blank box of the Exam Selected area to determine the location to add
exam mode.
If you do not assign a location, the system defaults to add an exam mode to the
blank box in the order of top-down, left-to-right.
4. Click the [>] to add selected exam mode to the Exam Selected area.
Or click the [>>] to add all exam mode from the Exam Library to the Exam
Selected area.
5. Click [Save] to complete setting.

4.3.2 Remove Exam Mode

To remove exam mode:
1. Click the [Probe] drop-down box to select the probe type.
2. Select an exam mode to remove from the Exam Selected area.
3. Click [<] to remove the selected exam mode.
Or click [<<] to remove all exam mode listed in the Exam Selected area.
4. Click [Save] to complete setting.

4.3.3 Create/Delete User-defined Exam Mode

To create a user-defined exam mode:
1. Select [Exam Preset] tab in the Preset screen.
2. Click [QSave] to open the QSave dialogue box.
3. Rename and select the data source as required, and then click [Create] to
create a new user-defined inspection mode.
To delete a user-defined exam mode:

1. Select the user-defined exam mode you want to delete in the Exam Preset
screen.
2. Remove the desired exam mode to the Exam library and click [Delete] to delete
a user-defined exam mode.

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4 System Settings

4.3.4 Adjust Exam Mode Display Position

You can adjust the display position of the exam mode to facilitate operation by following
methods:
 Method 1
Select an exam mode to move and click on a blank box.
The selected exam mode will move to the blank box position.
 Method 2
Click two exam modes to exchange the positions of these two exam modes.

4.4 Measure Preset

Enter the Measure Preset screen via [Preset] → [Measurement Preset].
The Measure Preset is access to related settings for general measure items, application
measure items and report templates.

4.4.1 General Measurement Preset

To preset the general measurement:
1. Click [Caliper] tab to enter the general measurement preset page.The left
column lists available measurement items while the right column lists selected
measurement items.
2. Tap [2D], [M], or [Doppler] tab to set measurement items under corresponding
imaging mode.
3. Click [Measurement Pckage] drop-down box to select an exam mode.
4. Set measurement item.
Operation Description

1） Select the item(s) you want to add from the left column.
2） Click [>] to add the selected items of the left column to the
Add Measurement Item right column.
Or Click [>>] to add all the selected items of the left column
to the right column.
1） Select the item(s) you want to remove from the rigjt column.
2） Click [<] to remove the selected items from the right column
Remove measurement Items to the left column.
Or Click [<<] to remove all the selected items from the right
column to the left column.
Adjust measurement item Select a selected measurement item and click [Up] / [Down] to
position adjust the position of the measurement items.
Select a selected measurement item and click [Default] to set
Set default measurement
the measurement item as default.
item
Default measurement item is marked with a “√”.

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 4 System Settings

Operation Description

Select a selected measurement item; click [Properties] to open

Set Measurement Item
the properties dialog box. Check the items to display in the result
Properties
window or set the measurement item properties.
Click [Measurement Sequence] drop-down box to set the status
after completing current measurement.
 None: No measurement item is activated after completing
Status after completing the current measurement.
current measurement.  Repeat: Activate the current measurement item again after
completing the current measurement.
 Next: Activate the next current measurement item after
completing the current measurement.
5. Click [Save] to save current settings and return to the Home screen.

4.4.2 Application Measurement Preset

To preset application measurement item:
1. Click [Measure] tab to enter the application measurement preset page.
The left column lists available measurement items while the right column lists
selected measurement items.
2. Click [2D], [M], or [Doppler] tab to set measurement items under corresponding
imaging mode.
3. Click [Measurement Package] drop-down box to select an exam mode.
4. Set measurement item.
Operation Description

1） Select the item(s) you want to add from the left column.
2） Click [>] to add the selected item of the left column to the
Add Measurement Item right column.
Or click [>>] to add all the selected items of the left column
to the right column.
1） Select the item(s) you want to remove from the right
column.
2） Click [<] to remove the selected item from the right column
Remove measurement Item
to the left column.
Or click [<<] to remove all the selected items from the right
column to the left column.

New Open the Customize Wizard dialog box.

Delete Remove a customize measurement item.

Advanced Open the Advanced Setting dialog box.

Adjust measurement item Select a selected measurement item and click [Up] / [Down] to
position adjust the position of the measurement items.

Set default measurement Select a selected measurement item and click [Default] to set

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4 System Settings

Operation Description

item the measurement item as default.

Default measurement item is marked with a “√”.
Select a selected measurement item; click [Properties] to open
Set Measurement Item
the properties dialog box. Check the items to display in the result
Properties
window or set the measurement item properties.
Click [Measurement Sequence] drop-down box to set the status
after completing current measurement.
 None: No measurement item is activated after completing
Status after completing the current measurement.
current measurement.  Repeat: Activate the current measurement item again after
completing the current measurement.
 Next: Activate the next current measurement item after
completing the current measurement.
5. Click [Save] to save current settings and return to the Home screen.

4.4.2.1 Customize Application Measurement / Calculation Item

To customize application measurement / calculation item:

1. Click [New] to open the Customize Wizard dialog box.
2. Enter an item name, select item type, and click [Next].
3. Set measurement item properties.
Item Description

Select exam modes and check whether it is applied to the

Measuring Area
left/right, near/middle/far area of the target site.

Measurement Tool Type Select the measure or calculate tool.

Item Measurement results are displayed in the result window.
Measurement
Double-click the item name to modify the name.
Result
Double-click the unit to modify the unit.

Measuring Area Select exam modes.

Unit Select unit.

Calculation
Formula Enter a formula or select a formula in the formula text box.
Item
Imaging Mode Select imaging mode.

Item Name Select item name and unit.

4. Click [Finish] to save the customize measurement/calculation item settings and

close the Customize Wizard dialog box. The customize measurement /
calculations items are displayed at the bottom of the list of available
measurement items on the left.

4.4.2.2 New Study

1. Select the measurement package you want to add a new study.

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 4 System Settings

2. Click on [New Study] to open new study dialog box.

3. Enter the name of the new study and click [OK]. The new study is displayed at
the bottom of the list on the right.

4.4.2.3 Edit Measurement Package

To edit measurement package:

1. Click [2D], [M] or [Doppler] tab to set the imaging mode of the measurement
package.
2. Click [Advanced] to enter the New Measurement Package interface. Available
packages are listed in the left column while the selected packages are listed in
the right column.
3. Edit Measurement package. You can add, remove, adjust the measurement
package order, and set the default measurement package.
Operation Description

1） Select the package(s) you want to add from the left column.
2） Click [>] to add the selected package from the left column to the
right column.
Add Measurement Or click [>>] to add all the selected packages from the left
Package column to the right column.
3） The measurement package can be activated by rotating the
corresponding knob under the [Exam] button of the touch
screen.
1） Select the package(s) you want to remove from the right
column.
Remove Measurement 2） Click [<] to remove the selected package from the right column
Package to the left column.
Or click [<<] to remove all the selected packages from the r right
column to the left column.
Adjust Measurement Select a selected measurement package and click [Up] / [Down] to
Package Position adjust the measurement package position.
Select a selected measurement package and click [Default] to set
Set Default
the measurement package as default.
Measurement Package
Default measurement package is marked with a “√”
4. Click [OK] to exit the New Measurement Package interface and the current
measurement package will be replaced by the new default measurement
package.

4.4.3 Report Template

Click [Report] tab to enter the Report Preset screen. This tab is access to relevant
settings of repor template.

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4 System Settings

Figure 17 Measure Preset- Report

4.4.3.1 Default Report Template

Select a report template in the report template list and click [Default] to set the template
as default.
Default report template is marked with a “√”.

4.4.3.2 Edit Report Template

1. Select a report template in the report template list.

2. Click [Edit] to enter the report template edit screen.
3. Complete relevant settings as needed.
4. Click [OK] to save modifications and exit the report template edit screen.

4.5 Network Preset

Network preset includes local and DICOM service-related network settings.
This section only introduces the local network setting. For details about the DICOM
service-related network settings, refer to “11 DICOM”.
Enter the local network setting screen via [Preset] → [Network Preset] → [Local
TCP/IP]. This screen is access to local network and LAN settings.

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 4 System Settings

Figure 18 Network Preset- local TCP/ IP

Table 18 Network Preset- local TCP/ IP
Item Description

Select wired network type.

Network Type
Options : DHCP/ Static
The IP address of system should be in the same network
IP Address
segment as the IP address of the server.
Wired Enter the subnet mask address of the system to set different
Network Subnet Mask
network segments.

Gateway Enter the gateway address of the system.

Click to make the modifications in this network property

Apply
effective.

Wireless ON/OFF Enable /diable the wireless network.

Network Auto
(option) Enable / diabale the auto connection function.
Connection

NOTE : IP address should not be occupied by other device in the LAN.

Malfunction of DICOM will result.

4.6 Print Preset

Enter the print preset screen via [Preset] → [Print Preset]. This screen is access to
printing settings.
To add a printer, please refer to “3.9.2 Connect Printer” for details.

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4 System Settings

Figure 19 Print Preset

Table 19 Print Preset
Item Description

Add Click to open the add service dialog box.

Delete Click to remove the selected service.

Print Service Rename Click to rename the selected service.

Installs the printer driver and performs related

Add Printer
settings.

Default Click to set the selected service as default.

Service Type Set the service type of the printer.

Service Name Set the service name of the printer

Printer Property Printer Set the printer type.

Paper Orientation Set the paper orientation for printing.

Paper Size Set the paper size for printing.

Brightness Set the brightness for printing.

Contrast Set the contrast for printing.

Printing Saturation Set the saturation for printing.

Parameter Rows Set the number of rows for printing.

Columns Set the number of columns for printing.

Restore Restore default parameter setting for printing.

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 4 System Settings

4.7 Maintenance Preset

Enter the maintenance preset screen via [Preset] → [About & Maintenance].
This screen is access to system information, detailed information option settings and other
settings. You can view important information regarding the system information, submenus
for option and other settings.

4.7.1 System Information

Enter the screen via [Preset] → [About & Maintenance] → [System Info]. This screen
displays the issue version of the system.

4.7.2 Detailed Information

Enter the screen via [Preset] → [About & Maintenance] → [Detailed Information]. This
screen displays the detailed information of the system. The displayed information varies
depending on the configuration and version of the system.

4.7.3 Option
Enter the screen via [Preset] → [About & Maintenance] → [Option]. This screen lists all
the supported options and their installation status in the system.

Figure 20 About & Maintenance- Option

4.7.4 Other
Enter the screen via [Preset] → [About & Maintenance] → [Other].
This screen is access to import / export for preset data and exam mode, restore factory

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4 System Settings

defaults and upgrade.

Figure 21 About & Maintenance- Other

Table 20 About & Maintenance- Other
Item Description

All preset Set all management preset data to all preset.

Image preset Set all management preset data to image preset.

Preset Set all management preset data to customize

Customize
Management measurement preset.

Export Export current preset data.

Import Import preset data to the system.

Export Export selected exam mode.

Exam Mode
Import Import exam mode to the system.

Restore To return all settings to factory defaults.

Upgrade To upgrade system software.

To enter the engineer mode. Only avialble to authorized

Enter background
personnel.

Show Machine Code Display the machine code.

Export Log To export the log. Only avialble to authorized personnel.

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 5 Preparing an Exam

5 Preparing an Exam

5.1 Patient Information

Although the system supports exam without entering patient information, to avoid data
chaos, it is recommended to enter patient information before performing an exam for
better patient data management.
For archived patients, you can obtain patient information via the local and DICOM servers.

5.1.1 New Patient

Enter the patient information prior to the exam for the first time.
To start a new patient, perform the following steps:
1. Press the [Patient] button on the control panel to enter the patient information
screen.

Figure 22 Patient Information Screen

Table 21 Patient Information Screen
Item Description

Worklist Click to open the Worklist screen.

Click to erase all patient data and create a new patient record by entering new
New Patient
patient information.

New Exam Click to end current exam and create a new exam for current patient.

End Exam Click to end the current exam.

Cancel Exam Click to cancel the current exam. Canceled exam cannot be restored.

Save Click to save patient information and back to the home screen.

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5 Preparing an Exam

Item Description

Cancel Click to cancel patient information input and back to the home screen.

2. Move the cursor to the desired text box and enter the patient basic information.
Exam
Description
Information

Name Enter patient name.

The system generates the patient ID automatically. To enter the patient ID

Patient ID
manually, please delete the default patient ID first and then enter the new ID.

Gender Click [Gender] drop-down box to select patient gender.

DOB (Date of Enter directly in the text box, or click on the calendar icon to select the patient’s
Birth) date of birth in the calendar.
Enter the date of birth; the system will automatically calculate the patient’s age.
Age
Otherwise, manual input is required.
The system auto-synchronizes the serial number of the same patient in the
Accession
worklist.

Use keyboard for information entry. Press < Ctrl > + < Space > to switch
NOTE :
input method between Chinese and English.
3. Click the corresponding tab to select the appropriate exam type, and enter the
patient’s exam information.

 Available exam types are: ABD (Abdomen), OB (Obstetrics), GYN (Gynecology),

CARD (Cardiac), VAS (Vascular), URO (Urology), SMP (Small part), PED (Pediatrics)

and BREAST (Breast).

 Exam-specific information is required for different exam types.

Exam
Exam Type Description
Information

Height Enter patient height.

Weight Enter patient weight.

Abdomen After entering the height and weight, the system calculates the
BSA (Body BSA according to the formula selected by the user in [System
Surface Area) Preset].To set the BSA formula, refer to “4.2.2 General” for
details.
When perform obstetrical exam, the system calculates the GA
and the EDD based on the entered calculation index; or
calculates the GA and the LMP based on the entered EDD and
Calculation uses this as a basis assessment for fetal physiology scores.
Obstetrics
Index Calculation index:
LMP: Enter the last menstrual period.
DOC: Enter the date of conception.
IVF: Enter the in vitro fertilization date.

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 5 Preparing an Exam

Exam
Exam Type Description
Information
PRV: Enter the previous exam date and GA obtained from the
previous exam.
EDD: Enter the excepted date of delivery.
Select fetus number.
Gestations
The system supports up to 4 fetal measurements.

Gravida Enter times of pregnancy.

Para Enter times of delivery.

Ectopic Enter times of abnormal pregnancy. (E.g. Ectopic pregnancy)

Abortion Enter times of abortion.

LMP Enter the date of last menstrual period.

Gravida Enter times of pregnancy.

Gynecology Para Enter times of delivery.

Ectopic Enter times of abnormal pregnancy. (E.g. Ectopic pregnancy)

Abortion Enter times of abortion.

Height Enter patient height.

Weight Enter patient weight.

After entering the height and weight, the system calculates the
BSA (Body BSA according to the formula selected by the user in [System

Cardiology Surface Area) Preset]. To set the BSA formula, refer to “4.2.2 General” for
details.

HR Enter the heart rate of the patient.

RA Press Enter the right atrium pressure of the patient.

BP Enter the blood pressure of the patient.

Height Enter patient height.

Weight Enter patient weight.

Vascular
BP (L) Enter the left blood pressure of the patient.

BP (R) Enter the right blood pressure of the patient.

Height Enter patient height.

Weight Enter patient weight.

Urology
Serum PSA Enter the serum PSA of the patient.

PPSA
Enter the PPSA coefficient, the default coefficient is 0.12.
coefficients

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5 Preparing an Exam

Exam
Exam Type Description
Information

Small Parts / /

Pediatrics / /

Height Enter patient height.

Breast
Weight Enter patient weight.

4. Enter operation information.

Operation
Description
Information
Exam
Briefly describe the exam.
Description

Clinician Enter the name of the clinician.

Symptom Explain the reasons for performing ultrasound exam.

Diagnostician Enter the name of the diagnostician who is responsible for the exam.

Past History Enter the previous medical history of the patient.

Operator Enter the name of the operator.

Charge Code Enter the charge code.

Charge
Enter the charge information.
Information
Charge
Briefly describe the charge information.
Description
5. Click [Save] to save the patient information and return to the Home screen.
NOTE:  In case of emergency, you can perform an exam directly without patient
information entry.
 When an image or cine is frozen, the system automatically generates a
patient ID.

5.1.2 Retrieve Patient Information (Station)

For patient information stored in the local hard disk, you can obtain patient information
through the Station screen.
To retrieve patient information, perform the following steps:
1. Press [File] button on the control panel to enter the Review screen, and then
click [Station] to enter the Station screen.

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 5 Preparing an Exam

Figure 23 Station Screen

2. Click [Source] drop-down box to select the storage location of the target patient
information
3. Search the target patient.
Item Description

Click [Search Item] drop-down box to select a search item.

Search Item
Options : Name , ID, Date of Birth, Exam Date
Enter the keyword for the research item. The patient list shows the patients
who meet the requirements, the exam list shows all the exams under the
Keyword
selected patients, and the system defaults to select the first patient in the
patient list.
4. Select the target patient and press the [Set] button to open the operation menu.
Item Description

Patient Click to enter the Patient Information screen, and view the selected patient
Information information.
Click to enter the Review screen, and review the images of the selected
Review Image
exam.

Review Report Click to enter the Report screen and review the selected report.

New Exam Click to create a new exam for the selected patient.

Activate Exam Click to continue an exam that ends within 24 hours.

Resume Exam Click to continue an exam that was interrupted within 24 hours.

Delete Exam Click to delete the selected exam.

Click to export the selected exam to the storage media supported by the
Export Exam
system.

Import Exam Click to import patient information from other media to the system.

Click to send the selected exam to the external storage media, DICOM
Send Exam
server or printer.

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5 Preparing an Exam

Item Description

Query / Retrieve Click to view patient information stored on the DICOM server.

Select All Exams Click to select all patients and exams for batch operations.

Exit Click to exit Station screen and back to the Home screen.

︿ Turn page up to view the thumbnails on the clipboard.

﹀ Turn page down to view the thumbnails on the clipboard.

5.1.3 Retrieve Patient Information (DICOM)

After the system is connected to the DICOM server and the worklist server is preset (refer
to “11.1.2.3 Worklist” for more information). You can remotely query or import patient
information via the worklist server. Refer to “11.2.3 DICOM Worklist” for details.

5.2 Select Probe and Exam Mode

NOTE :  If the exam mode is switched during the measurement, all general
measurement data will be cleared while the application measurement data
will be saved in the report.
 Freeze the image or shutdown the system power before connect or
remove the probe. Otherwise, system and probe damage may result.

To select probe / exam mode, perform the following steps:

1. Connect the probes to the probe receptacle. (Refer to “3.6 Connect / Remove the
Probe” for details).
2. Press [Probe] button on the control panel to enter the Probe / Exam mode
screen. The screen displays connected probe icon and exam mode supported by
corresponding probe.

Figure 24 Probe/Exam Mode Screen

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 5 Preparing an Exam

3. Click the probe icon to select an appropriate probe.

4. Select an exam mode under the probe icon and the system enters the
corresponding exam mode environment.

5.3 Select Imaging Mode

Select an appropriate imaging mode. Refer to“6 Optimizing the Image”for more
informations of each imaging mode

5.4 Resume/Activate Exam

5.4.1 Resume Exam

To resume an interrupted exam, perform the following steps:
1. Press [File] button on the control panel to enter the Review screen, and then
click [Station] to enter the Station screen.
2. Select the target patient and press the [Set] button to open the operation menu.
3. Click [Resume Exam] to load the patient basic information and measurement
data to resume the previously interrupted exam.
NOTE : Only exams interrupted within 24 hours can be resumed.

5.4.2 Activate Exam

For patients who have completed the exam but need to be re-examined, perform the
following steps:
1. Press [File] button on the control panel to enter the Review screen, and then
click [Station] to enter the Station screen.
2. Select the target patient and press the [Set] button to open the operation menu.
3. Click [Activate Exam] to load the patient basic information and measurement
data to resume the previously completed exam.
NOTE : Only exams completed within 24 hours can be reactivated.

5.5 Cancel / End Exam

5.5.1 Cancel Exam

To cancel an exam, perform the following steps:
1. Press the [Patient] button on the control panel to enter the Patient Information
screen.
2. Click [Cancel Exam] to pop up the Cancel exam dialog box.

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5 Preparing an Exam

3. Click [OK] to cancel the exam or [Cancel] to resume the current exam.

5.5.2 End Exam

To avoid data chaos between different patients and measurement items, end the current
exam before proceeding to the next exam.
1. Press the [Patient] button on the control panel to enter the Patient Information
screen. Click on [New Patient] or [New Exam] or [End Exam].
2. The end exam dialog box pops up. Click [OK] to save the current patient data
and exit the current exam.

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 6 Optimizing the Image

6 Optimizing the Image

6.1 Imaging Mode

The ultrasound system offers a set of imaging modes to accommodate a variety of
imaging applications. Some modes display a live gray image. Others are Doppler modes
to evaluate the amplitude or the direction of the blood flow and the spectral information.
The system supports following imaging modes:

Imaging Type Imaging Mode

B B-mode

M M-mode, Color M-mode

Color Color mode, PDI mode

Doppler CW mode, PW mode

6.2 B B-mode
The B-mode imaging uses a multi-beam scanning method to form each scanning line into
a 2D grayscale image, and displays the strength of the tissue echo signal by the intensity
of the brightness.
B-mode imaging is the most basic imaging mode by displaying the anatomical structure of
tissues and organs in real time.
B-mode can also be used together with other modes.

6.2.1 Basic Procedure of B-mode

To perform B-mode imaging:

1. Start a new exam.

2. Select appropriate probe and exam mode, the system enters B-mode by default
or press the [B] button on the control panel to enter B-mode.
3. Optimize the image.( Refer to “6.2.2 Image Optimization (B)” for details)
The parameter area on the right side of the screen provides real-time parameter
information of the B-mode. The meanings of each parameter are as follows
Parameter B (2D) Mode

F Working Frequency (MHz)

D Depth

G Gain (dB)

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6 Optimizing the Image

FR Frame Frequency

DR Dynamic Range

ZClear Image Enhancement

4. Perform measurement and calculation as needed.

6.2.2 Image Optimization (B)

6.2.2.1 Gain

The gain is used to adjust the brightness of the B image. You can brighten the image and
observe more echo signals by increasing the gain. However, with increased gain, more
noise has been introduced.this also introduces more noise.
Operation:
Rotate the [Gain] knob on the control panel to adjust the gain value.

6.2.2.2 TGC

The TGC controls compensation for echo attenuation as depth increases by varying the
gain of the received echoes at a specific depth.
The TGC curve is displayed on the left side of the image area when adjusting.
Operation:
Move the TGC slider on the control panel to adjust the brightness of the segmented image
of the corresponding depth.

6.2.2.3 Depth

Depth controls the flied of view. Increase the depth to look at a deeper or larger tissue
structure, decrease the depth to look at tissue structures near the skin line. Increase the
depth tends to decrease the frame rate.
Operation:
Press the [Depth] button on the control panel and then rotate the [Value] knob to adjust
the image depth. Press the [Depth] button again to exit this function.

NOTE : Adjustable range depends on the current probe. The actual depth is
shown in mm in the image parameter area.

6.2.2.4 Steer

Steer control is used to deflect the direction of beam without moving the probe.
Operation:
Press the [Angle] button on the control panel and then rotate the [Value] knob to adjust
the direction of the ultrasonic beam. Press the [Angle] button again to exit this function.

NOTE : Applicable to linear probe only.

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 6 Optimizing the Image

6.2.2.5 Acoustic Power

Adjust the acoustic power of current selected probe in B-mode.

The actual acoustic power value is displayed at the upper left corner of the image.
Operation:

Select [A.Power] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the acoustic power.

6.2.2.6 Auto-optimization

The system automatically optimizes image parameters based on the tissue characteristics
of the current scan area.
When auto-optimization function is enabled, an “Auto” mark is displayed in the image
parameter area.
Operation:
Press the [Gain] knob on the control panel to enable/ disable the auto optimization
function.

6.2.2.7 Focus Position/Number

Adjust the focus of the ultrasonic beam to increase the resolution of the particular area
and focus the optimized image.

The focus symbol “ ” is displayed on the image depth scale.

 Adjust the Focus Position

Press the [Focus] button on the control panel and then rotate the [Value] knob to adjust
the focus position. Press the [Focus] button again to exit this function.
 Adjust the Focus Number
Press the [Focus] button on the control panel and then adjust focus number by pressing
[ ] or [ ] button.

NOTE:  Disable the SCI function before adjusting the focus number.
 The phased array probe does not support adjusting the focus
number.

6.2.2.8 Image Quality

Adjust image quality by controlling the frequency. User selects the appropriate frequency
type and frequency value based on the depth of scanning and tissue characteristics to
achieve optimal imaging results.
The fundamental wave is marked with an “F” while the harmonic wave is marked with an“F
H”.
Operation:

1. Select [Image Quality] by pressing [ ] or [ ] button and then press the [Value]

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6 Optimizing the Image

knob to switch between [Fundamental Frequency] and [Harmonic

Frequency].
2. Rotate the [Value] knob to select the frequency.

 Fundamental frequency options: Pen (Penetration priority), Gen (General imaging),

Res (Resolution priority)

 Harmonic frequency options: HPen (Penetration priority), HGen (General imaging),

HRes (Resolution priority), HPen-Gen (between Penetration and General)

NOTE : Adjustable range depends on the current probely.

6.2.2.9 Dynamic Range

Change the display range of the grayscale to adjust the contrast of the image.
Operation:

Select [Dyn Ra.] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the dynamic range.

6.2.2.10 ZClear

Used to enhance image contrast, smooth images and reduce noise.

Operation:

Select [ZClear] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the ZClear level.

6.2.2.11 Persistence

Superimpose and average the images of adjacent frames to remove the noise and
enhance the details.
Operation:

Select [Persistence] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the persistence value.

6.2.2.12 Gray Map

Optimize the images by adjusting the black-white contrast of the image.

Operation:

Select [Graymap] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the effect of the grayscale map.

6.2.2.13 TSI

Select the acoustic velocity according to the scanning site to highlight the tissue texture.
Operation:

Select [TSI] by pressing [ ] or [ ] button and then rotate the [Value] knob to select the

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tissue texture.

6.2.2.14 Chrome

Replace grayscale distinction with color distinction to intuitively show grayscale level of
the images.
Operation:

Select [Chrome] by pressing [ ] or [ ] button and then rotate the [Value] knob to
change the color.

6.2.2.15 Field of View

Change the scan range without moving the probe or ROI box.
You can get a wider FOV (field of view) by a larger scan range. A larger FOV trends to
decrease the frame rate.
Operation:

Select [Field of View] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the FOV.

6.2.2.16 Compound Imaging

Compound imaging is the process of merging frames of different steering angles into a
single frame. This function is used to improve the spatial resolution and signal-to-noise
ratio of the image, making the image subtle and clean.
There are two types of compound imaging: SCI (Spatial Compound Imaging) and FCI
(Frequency Compound Imaging).
 SCI (Spatial Compound Imaging)
Operation:

Select [SCI] by pressing [ ] or [ ] button and then press the [Value] knob to to enable /
disable SCI function. Rotate the [Value] knob to adjust the SCI level.
 FCI (Frequency Compound Imaging)
FCI is only available for the fundamental frequency.
Operation:

Select [SCI] by pressing [ ] or [ ] button and then press the [Value] knob to to enable /
disable FCI function.

6.2.2.17 Line Density

Line density determines the number of the ultrasonic scanning lines of a certain width or
angle.
Operation:

Select [Line Density] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust line density level.

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6.2.2.18 Image Rotation

Change the orientation of the image display.

Operation:

Select [Rotation] by pressing [ ] or [ ] button and then rotate the [Value] knob to
change the orientation of the image display.
Rotation Options: 0°, 90°, 180°, and 270°.

NOTE : “ ” of the image is consistence with the orientation mark of the probe.

6.2.2.19 Image Reverse

Reverse the image orientation horizontally or vertically for better observation.

Operation:

Select [UD Reverse] or [LR Reverse] by pressing [ ] or [ ] button and then press the
[Value] knob to enable / disable image reverse function.

6.2.2.20 EFOV (Extended filed-of-view)

When the extended imaging function is enabled, trapezoidal imaging (for linear array
probes) or extended scanning angle (for convex array and phased array probes) will be
displayed.
Operation:

Select [EFOV] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the EFOV level.

6.2.2.21 Center Line

Display or hide a centerline which is used for needle guidance.

Operation:
[System Preset] → [Image] → [B], check [Center line] to display the center line.

NOTE : Center Line is only available for convex probes.

6.2.2.22 Horizontal Scale

Display or hide the horizontal scale.

Operation:
[System Preset] → [Image] → [B], check [H Scale] to turn on the horizontal scale.

6.3 M-mode
M-Mode is used to determine patterns of motion for objects along the M-line. The most
common use is for viewing motion patterns of the heart.

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6.3.1 Basic Procedure of M-mode

In M-mode, the M-line can only be set within 90 degrees of sector angle, so it is more
suitable for organs with regular shape and normal position.
To perform an M-mode imaging:
1. Optimize the B-mode image to make the image sharper.
2. Press the [M] button on the control panel to enter the pre-active M-mode, and an
M-line is displayed on the B-mode image.
3. Roll the trackball to adjust the position of the M-line.
4. Press the [M] button on the control panel again to enter the M-mode. The image
is divided into two parts: B-mode image at the top and M-mode image at the
bottom.

 The X axis indicates time.

 The Y axis indicates the tissue interface position or depth.

5. Move the M-line on B-mode image with the trackball and you can learn the
movement of the anatomy along the M-line in the M-mode image.
6. Optimize the M-mode image. (Refer to “6.3.2 Image Optimization (M)” for
details.)
The parameter area on the right side of the screen provides real-time parameter
information of the M-mode. The meanings of each parameter are as follows:
Parameter M-mode

F Working Frequency (MHz)

D Depth

G Gain (dB)

V Velocity

DR Dynamic Range

7. Perform measurement and calculation items as needed.

6.3.2 Image Optimization (M)

6.3.2.1 Gain

The gain is used to adjust the brightness of the M-mode image.You can brighten the
image and observe more echo signals by increasing the gain. However, with increased
gain, more noise has been introduced.this also introduces more noise.
Operation:
In M-mode, rotate the [Gain] knob on the control panel to adjust the gain value.

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6.3.2.2 Dynamic Range

Change the display range of the grayscale to adjust the contrast of the image.
Operation:

Select [Dyn Ra.] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the dynamic range.

6.3.2.3 Gray Map

Optimize the images by adjusting the black-white contrast of the image.

Operation:

Select [Gray Map] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the gray map.

6.3.2.4 Speed

Control the imaging speed.The speed is displayed in the image menu area.
Operation:

Select [Speed] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the M speed.

6.3.2.5 Chrome

Replace grayscale distinction with color distinction to intuitively show grayscale level of
the images.
Operation:

Select [Chrome] by pressing [ ] or [ ] button and then rotate the [Value] knob to
change the selection color.

6.3.2.6 Display Format

Change the display format of B image and M image for easy comparison of images.
Operation:
[System Preset] → [Image] → [M/PW/CW] to set the display format.

6.4 Color Mode

Color mode is also a Doppler mode to provide blood flow information in colors. Color
mode includes basic color mode and PDI mode.

NOTE : Acoustic power in color mode is synchronous with that of B-mode.

6.4.1 Basic Procedure of Color Mode

Typically, the color above the color bar baseline indicates the flow towards the probe;

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while color below the color bar baseline indicates the flow away from the probe.
The brighter the color, the faster the blood flows; the darker the color, the slower the blood
flows.
To perform a color mode imaging:
1. Observe the anatomical structure, adjust the B-mode image and probe to make
the target area at the center of the B-mode image.
2. Press the [CFM] button on the control panel to enter Color-mode.
3. Adjust the position and size of the ROI box.

 When the ROI box displayed a solid line frame, roll the trackball to adjust the position

of the ROI box, press the [Set] button to confirm

 When the ROI box displayed a dotted line frame, roll the trackball to adjust the size of

the ROI box, press the [Set] button to confirm.

 Press the [Set] button to toggle between position and size adjustment.

4. Optimize the image. (Refer to “6.4.3 Image Optimization (Color/PDI)” for details )
The parameter area on the right side of the screen provides real-time parameter
information of the Color-mode. The meanings of each parameter are as follows:
Parameter Color-mode

F Working Frequency (MHz)

G Gain (dB)

WF Wall Filter

PRF Pulse Repetition Frequency

5. Perform measurement and calculation items as needed.

6.4.2 Basic Procedure of PDI mode

Power Doppler Imaging (PDI) is used to show the presence or absence of blood flow and
to reflect the density of red blood cells.

NOTE : PDI mode only provides perfusion information of blood flow, but
cannot indicate the direction and speed of blood flow.

To perform a PDI-mode imaging:

1. Observe the anatomical structure, adjust the B-mode image and probe to make
the target area at the center of the B-mode image.
2. Press the [PDI] button on the control panel to enter PDI mode.
3. Adjust the position and size of the ROI box.

 When the ROI box displayed a solid line frame, roll the trackball to adjust the position

of the ROI box, press the [Set] button to confirm.

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 When the ROI box displayed a dotted line frame, roll the trackball to adjust the size of

the ROI box, press the [Set] button to confirm.

 Press the [Set] button to toggle between position and size adjustment.

4. Optimize the image. (Refer to “6.4.3 Image Optimization (Color/PDI)”)

The parameter area on the right side of the screen provides real-time parameter
information of the PDI mode. The meanings of each parameter are as follows:
Parameter PDI-mode

F Working Frequency (MHz)

G Gain (dB)

WF Wall Filter

PRF Pulse Repetition Frequency

5. Perform measurement and calculation items as needed.

6.4.3 Image Optimization (Color/PDI)

6.4.3.1 Gain

Adjust the overall sensitivity of flow signals.

Operation:

In Color/PDI mode，Rotate the [Gain] knob on the control panel to adjust the Color/PDI

gain value.

6.4.3.2 Baseline (Color)

Calibrate the 0 position of the scale for the best blood flow speed display.
Operation:
Press the [Base Line] button on the control panel and then rotate the [Value] knob to
adjust the image depth. Press the [Base Line] button again to exit this function.

NOTE : Baseline function is unavailable for PDI mode.

6.4.3.3 Image Quality

Adjust the frequency of current selected probe in Doppler mode.

Operation:

 Select [Image Quality] by pressing [ ] or [ ] button and then rotate the

[Value] knob to select the frequency.
 Options: Pen (Penetration priority), Gen (General imaging), Res (Resolution
priority

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6.4.3.4 PRF

Adjust the speed range of color flow. The real-time PRF value is displayed in the image
parameter area.
Operation:
Press the [Scale] button on the control panel and then rotate the [Value] knob to adjust
the image depth. Press the [Scale] button again to exit this function.

NOTE : Select appropriate PRF to match the flow velocity. Aliasing may resulted if low
PRF is used for high flow velocity or small signal lost may resulted if high PRF
is used for low flow velocity.

6.4.3.5 Wall Filter

Filter low frequency noise to reduce the impacts of breathing and other activities.
The filtering value is displayed in the image parameter area.
Operation:

Select [Wall Filter] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the filtering value.

6.4.3.6 Smooth

Suppress noise and smooth the image.

Operation:

Select [Smooth] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the smooth level.

6.4.3.7 Persistence

Superimpose and average the images of adjacent frames to remove the noise and
enhance the details.
Operation:

Select [Persistence] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the persistence level.

6.4.3.8 Priority

Set the priority to displays blood flow information by color signals or gray signals.
The larger the value, color signals are prior to display; while the smaller the value, gray
signals are prior to display.
Operation:

Select [Priority] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the color priority value.

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6.4.3.9 Color Map

 Color
Multiple sets of color maps are provided to optimize color flow display. This system
provides 21 different maps for users to choose. The ordinary map is marked with “V” while
2D map is marked with “VV”.
Operation:

Select [Color Map] by pressing [ ] or [ ] button and then rotate the [Value] knob to
choose the color map.

 PDI
Provide color image display effect parameters, including energy spectrum and directional
energy spectrum. This system provides 8 different effect maps for users to choose. The
energy maps are P0-3 while the direction energy maps are dP0-3. Directional energy
spectrum also shows the direction information of blood flow.
Operation:

Select [Color Map] by pressing [ ] or [ ] button and then rotate the [Value] knob to
choose the color map.

6.4.3.10 Sensitivity

Reflect the ability to reflect minimal detectable blood flow which is used to adjust the
accuracy of color flow display. The higher the sensitivity, the more sensitive the response
to low-speed blood flow and small blood vessel signals, and the better the image quality.
Operation:

Select [Sensitivity] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the sensitivity.

6.4.3.11 Flow State

Optimize images of different blood flow states.

Operation:

Select [Flow State] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the flow state.

6.4.3.12 Dynamic Range (PDI)

Change the display range of the grayscale to adjust the contrast of the image.
Operation:

Select [Dyn Ra.] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the dynamic range.

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6.4.3.13 Line Density

Line density determines the number of the ultrasonic scanning lines of a certain width or
angle.
Operation:

Select [Line Density] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust line density level.

6.4.3.14 Invert

Invert the color scale for blood flow direction.

By default, red color indicates the blood flow towards the probe; while blue color indicates
the blood flow away from the probe. When the invert function is enabled, blue color
indicates the blood flow towards the probe; while red color indicates the blood flow away
from the probe.
Operation:

 Select [Line Density] by pressing [ ] or [ ] button and then press the [Value]
knob to enable or disable the invert function.
 [System Preset] → [Image] → [Color/Power], check [Auto Invert] to enable or
disable the auto-invert function.

6.4.3.15 Dual Live

Display B and C images of one probe at the same time.

Operation:
Press the [CFM] or [PDI] button on the control panel to enable or disable the dual live
function.

6.4.3.16 B/C Align

Set the maximum width of the B images the same width as the ROI box.
Operation:

Select [Line Density] by pressing [ ] or [ ] button and then press the [Value] knob to
enable / disable the function.

6.4.3.17 High Resolution Flow

Enhance the resolution of flow Image.

Operation:

Select [HR Flow] by pressing [ ] or [ ] button and then press the [Value] knob to
enable / disable the function.

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6.5 Doppler Imaging Mode

Doppler imaging is primarily used to provide blood flow velocity information and to indicate
blood flow direction, type (e.g, arterial blood flow, venous blood flow) and properties.
Doppler imaging includes PW (Pulsed Wave Doppler) mode and CW (Continuous Wave
Doppler) mode. PW mode displays regional blood flow velocity, direction and properties at
a certain depth; CW mode is often used to display high-speed blood flow frequency. The
combination of the two modes improves the accuracy of the diagnosis.

6.5.1 Basic Procedure of PW-mode

PW-mode (Pulsed Wave Doppler) is used to learn the movement information of blood flow
along a scanning line in a certain area. PW-mode includes common pulse mode and high
pulse repetition frequency (HPRF) mode.
To perform a PW-mode imaging:
1. Observe the anatomical structure, adjust the B-mode image and probe to make
the target area at the center of the B-mode image.
2. Press the [PW] button on the control panel to enter the pre-activated PW-mode.

Figure 25 Pre-activated PW-mode

3. Adjust the sampling line and sampling depth to determine the sample volume in
the target area.

 Roll the trackball left and right to adjust the position of the sampling line.

 Roll the trackball up and down to adjust the sample volume.

4. Adjust the sample volume and the cursor angle of blood flow direction.

 Press the [Sample Volume] button on the control panel and then rotate the [Value] to

adjust the sample volume. Press the [Sample Volume] button again to exit this

function.

 Select [Angle] by pressing [ ] or [ ] button and then press the [Value] knob to

adjust the blood flow direction cursor angle so as to parallel to the blood flow direction.

5. Press the [PW] button on the control panel again to enter the PW-mode.
After entering PW-mode, the image area is divided into two parts: B-mode image
at the top and PW-mode image at the bottom.

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 The X axis indicates time.

 The Y-axis indicates frequency change, and can also indicate the speed of forward or

reverse direction after calibration.

 Press the [Update] button on the control panel to toggle between B-mode and

pre-activated PW-mode.

 You can adjust the size and depth of sample volume and the cursor angle of the blood

flow during exam.

 Select [Volume] by pressing [ ] or [ ] button and then rotate the [Value] knob to

adjust the volume of the Doppler.

6. Optimize the image. (Refer to “6.5.3 Image Optimization (PW/CW)” for details)
The parameter area on the right side of the screen provides real-time parameter
information of PW-mode. The meanings of each parameter are as follows:
Parameter PW-Mode

F Working Frequency (MHz)

G Gain (dB)

WF Wall Filter

SVD Sample Volume Depth

SV Sample Volume

PRF Pulse Repetition Frequency

Angle Correction Angle

7. Perform measurement and calculation items as needed to obtain valid

information.

6.5.2 Basic Procedure of CW mode

The CW (Continuous Wave Doppler) mode collects blood flow signals and data along the
spectral sampling line and is used to detect high-speed blood flow.

NOTE: CW mode is only available for phased array probes.

To perform a CW mode imaging:

1. Observe the anatomical structure, adjust the B-mode image and probe to make
the target area at the center of the B-mode image.
2. Press the [CW] button on the control panel to enter the pre-activated CW mode

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Figure 26 CW Pre-activated Mode

3. Adjust the sampling line and sampling depth to determine the sample volume in
the target area.

 Roll the trackball left and right to adjust the position of the sampling line.

 Roll the trackball up and down to adjust the sample volume.

4. Adjust the cursor angle of blood flow direction.

 Select [Angle] by pressing [ ] or [ ] button and then rotate the [Value] knob to

adjust the blood flow direction cursor angle so as to parallel to the blood flow direction;

5. Press the [CW] button on the control panel to enter the CW mode.
After entering CW mode, the image area is divided into two parts: B-mode image
at the top and CW mode image at the bottom

 The X axis indicates time.

 The Y-axis indicates frequency change, and can also indicate the speed of forward or

reverse direction after calibration.

 Press the [Update] button on the control panel to toggle between B-mode and

CW-mode.

 You can adjust the size and depth of sample volume and the cursor angle of the blood

flow during exam.

 Select [Volume] by pressing [ ] or [ ] button and then rotate the [Value] knob to

adjust the volume of the Doppler.

6. Optimize the image. (Refer to “6.5.3 Image Optimization (PW/CW)” for details)
The parameter area on the right side of the screen provides real-time parameter
information of CW mode. The meanings of each parameter are as follows:
Parameter CW Mode

F Working Frequency (MHz)

G Gain (dB)

WF Wall Filter

SVD Sample Volume Depth

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Parameter CW Mode

PRF Pulse Repetition Frequency

Angle Correction Angle

7. Perform measurement and calculation items as needed.

6.5.3 Image Optimization (PW/CW)

6.5.3.1 Gain

Increase or decrease the echo signal strength displayed in the image.

Operation:
In PW/CW mode, rotate the [Gain] knob on the control panel to adjust the gain value.

6.5.3.2 Baseline

Calibrate the 0 position of the scale for the best blood flow speed display.
Operation:
Press the [Base Line] button on the control panel and then rotate the [Value] knob to
adjust the image depth. Press the [Base Line] button again to exit this function.

6.5.3.3 Image Quality

Adjust the transmission frequency of the probe in Doppler mode. The higher the frequency,
the higher the resolution and sensitivity, but the penetrating power is reduced. Select
appropriate probe frequency based on the detection depth and tissue texture.
Operation:

 Select [Image Quality] by pressing [ ] or [ ] button and then rotate the

[Value] knob to select the frequency.
 Options: Pen (Penetration priority), Gen (General imaging), Res (Resolution
priority

6.5.3.4 PRF

Adjust the speed range of color flow.

Operation:
Press the [Scale] button on the control panel and then rotate the [Value] knob to adjust
the PRF. Press the [Scale] button again to exit this function.

NOTE : Select appropriate PRF to match the flow velocity. Aliasing may result if low
PRF is used for high flow velocity or small signal lost may result if high PRF is
used for low flow velocity.

6.5.3.5 SV(PW)

Adjust the width of sampling volume.

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Operation:
Press the [Sample Volume] button on the control panel and then rotate the [Value] knob
to adjust the SV. Press the [Sample Volume] button again to exit this function.

6.5.3.6 Dynamic Range

Change the display range of the grayscale to adjust the contrast of the image.
Operation:

Select [Dyn Ra.] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the dynamic range.

6.5.3.7 Gray Map

Optimize the images by adjusting the black-white contrast of the image

Operation:

Select [Gray Map] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the gray map.

6.5.3.8 Speed

Control the imaging speed. The smaller the value, the faster the speed is.
Operation:

Select [Speed] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the imaging speed.

6.5.3.9 Chrome

Replace grayscale distinction with color distinction to intuitively show grayscale level of
the images.
Operation:

Select [Chrome] by pressing [ ] or [ ] button and then rotate the [Value] knob to
select the chrome color.

6.5.3.10 Angle

Change the direction of the flow cursor angle.

Operation:

Select [Angle] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the flow cursor angle.

6.5.3.11 Trace Area

Set the trace area of the Doppler wave in the spectrum map.
Operation:

[System preset] → [Application] → [Auto Calculation] → [Tracing Area], set the

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tracing area.

6.5.3.12 Wall Filter

Filter low frequency noise to reduce the impacts of breathing and other activities.
Operation:

Select [Wall Filter] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the filtering value.

6.5.3.13 T/F Resolution

Obtain quality images by adjusting time resolution and spatial resolution.

Operation:

Select [T/F Resolution] by pressing [ ] or [ ] button and then rotate the [Value] knob
to adjust the T/F res level.

6.5.3.14 Auto Calculation

Trace the spectral Doppler wave and perform parameter calculations. The results of the
automatic calculation will be displayed in the measurement results window.
In the real-time state, the automatic spectrum results obtained from the latest or more
cardiac cycles are always displayed; in the frozen and cine replay status, the
corresponding measurement results of the traced area are displayed.
Operation:

 Select [Auto Calc] by pressing [ ] or [ ] button and then press the [Value]
knob to enable the auto calculation function.
 [System Preset] → [Application] → [Auto Calc] → [Auto Calcu Cycle], set
the cardiac cycles for calculation.
 [System Preset] → [Application] → [Auto Calc] → [Auto Calc Para], set the
parameter items for automatic calculation.

6.5.3.15 Invert

Flip the directions of the spectrum display.

Operation:

 Select [Invert] by pressing [ ] or [ ] button and then press the [Value] knob to
enable / disable the invert function.
 [System Preset] → [Image] → [M/PW/CW], check [Auto Invert] to enable the
auto-invert function.(Only applicable for linear probe)

6.5.3.16 Display Format

Change the display format of B image and PW/CW image to facilitate comparison of
images.
Operation:

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[System Preset] → [Image] → [M/PW/CW], select the appropriate display format.

6.5.3.17 Volume

Control and adjust the audio volume produced by the spectral Doppler which helps to
determine the blood flow state and properties more effectively.
Operation:

Select [Volume] by pressing [ ] or [ ] button and then rotate the [Value] knob to adjust
the volume.

6.5.3.18 High Pulse Repetition Frequency (HPRF)

Filter out the redundant low frequency signals produced by non-blood flow movement,
e.g.breathing, heartbeat and probe movement.
Operation:

Select [HPRF] by pressing [ ] or [ ] button and then rotate the [Value] knob to to
enable / disable HPRF function.

NOTE : Applicable to PW mode only.

6.5.3.19 Steer

Steer control is used to deflect the direction of beam without moving the probe.
Operation:
Press the [Angle] button on the control panel and then rotate the [Value] knob to adjust
adjust the direction of the ultrasonic beam. Press the [Angle] button again to exit this
function.

NOTE : Applicable to linear probe only.

6.5.3.20 Multi Sync

Display the PW image together with B image or with B+Color image at the same time.
Operation:

Select [Multi Sync] by pressing [ ] or [ ] button and then rotate the [Value] knob to to
enable / disable multi sync function.

6.6 Color M-mode

Color M-mode provides information of flow or tissue on the M-mode to indicate cardiac
motion state.
For its sensitivities for motion signal changes, this mode provides more detailed diagnostic
information.
To perform a Color M-mode imaging:
1. To enter Color M-mode:

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 In B+M mode, press the [CFM] button to enter the pre-activated CFM mode and then

press the [M] button on the control panel.

 In B+Color mode, B+Color+PW mode or B+Color+CW mode, double press the [M]

button on the control panel.

2. Adjust the color ROI box size and position.

 Move the trackball left and right to adjust the position of sampling line, the color ROI

box moves together with the sampling line.

 When the ROI box displayed a solid line frame, roll the trackball to adjust the position

of the ROI box, press the [Set] button to confirm.

 When the ROI box displayed a dotted line frame, roll the trackball to adjust the size of

the ROI box, press the [Set] button to confirm.

 Press the [Set] button to toggle between position and size adjustment.

3. Optimize the Image.(Refer to “6.3.2 Image Optimization (M)” for details)

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7 Image Review and Management

After the image acquisition is complete, you can view and compare the image by splitting
display, image zooming, cine replay, etc., or you can perform other operations on the
image, such as adding comments and body marks to the image

7.1 Splitting Display

Dual-split display or Quad-split is used for ultrasound images comparison obtained at
different timing.

7.1.1 Dual-Split Display

1. In B-mode, short press the [Update] button on the control panel to enter the
dual-split mode. The image on the left displays the real-time B-image.
2. Short press the [Update] button again，the image on the left will be frozen while
the image on the right displays the rea-time B image.

Figure 27 Dual-Split Display

3. Short press the [Update] button on the control panel to switch the
real-time/frozen status of the left and right images.
4. Press the [B] knob on the control panel to exit dual-split display.

7.1.2 Quad-Split Display

1. In the current mode, long press the [Update] button on the control panel to enter
the Quad-Split display status which divides the image area into four equal areas.

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Figure 28 Quad-Split Display

2. Short press the [Update] button again to freeze the current image and make the
next image into the real-time status.
3. Press the [B] knob on the control panel to exit Quad-Split display.

7.2 Image Magnification

Magnify the image to show more details. The system supports global or local
magnification of the image.

NOTE :  Local zooming is only applicable to real-time images.

 Image zooming changes the frame rate which tends to changes the
thermal index and position of the focus area and possibly results in
different positions of the peak intensity in the acoustic field. As a result,
the MI may change.
 Adjust the position of the scale or focus as needed.

7.2.1 Global Zoom

Select [Zoom] by pressing [ ] or [ ] button and then rotate the [Value] knob to select
the magnification level.

7.2.2 Local Zoom

1. Select [Zoom] by pressing [ ] or [ ] button and then press the [Value] knob to
enable the local magnification function. A ROI box displays.
2. Roll the trackball to adjust the position and size of ROI.

 When the ROI box displayed a solid line frame, roll the trackball to adjust the position

of the ROI box, press the [Set] button to confirm.

 When the ROI box displayed a dotted line frame, roll the trackball to adjust the size of

the ROI box, press the [Set] button to confirm.

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 Press the [Set] button to toggle between position and size adjustment.

3. After ROI adjustment, press the [Value] knbo again on the control panel to zoom
in the image.
4. Press the [Value] knob again to exit image magnification function.
NOTE : Local zooming is only applicable to real-time images.

7.3 Freeze the Image

You can freeze the image for next operation during the scanning at anytime.
1. Press the [Freeze] on the control panel to freeze the image. Image zooming,
measurement, annotation and optimization of some imaging parameters can be
performed in the freeze status.
2. After freezing an image, the system may enter cine review, caliper measurement
or application measurement which depends on user’s preset. For details, refer to
“4.2.3 Image”.
3. Press the [Freeze] button on the control panel again to unfreeze the image.
NOTE:  After freezing an image in Dual-Split display or Quad-Split display mode,
the real-time image before freezing is displayed in the activated window
by default, while the image saved in the replay area is displayed in other
image windows (if there is no replay data, no image is displayed).
 In Dual-Split display or Quad-Split display mode, only image of the
currently activated window can be unfrozen, the other images remain
frozen.

7.4 Cine Replay

In the real-time status, press the [Freeze] button on the control panel to freeze the current
image and enter the cine replay tab by default, and the cine progress bar is displayed on
the screen. You can reveiw the cine repeatly by automatically by default or manually by
rolling the trackball frame by frame.

Figure 29 Cine Progress Bar (2D)

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Figure 30 Cine Progress Bar(M/PW/CW/TVD)

Table 22 Cine Review Operation
Item Description

Save Click to save cine region.

Reset Click to reset the first frame and last frame.

Jump to First Jump to the first frame.

Jump to Last Jump to the last frame.

Start Frame Set the start frame.

End Frame Set the end frame.

Start Time Set the start time.

End Time Set the end time.

Replay Speed Set the replay speed.

NOTE : System defaults to replay cine manually.

7.4.1 Cine Review Region

To set the cine review region, please perform the following steps:
 2D Mode:
1. Select [Start Frame] by pressing [ ] or [ ] button and then rotate the [Value]
knob to set the start frame of the cine replay region.
2. Select [End Frame] by pressing [ ] or [ ] button and then rotate the [Value]
knob to set the end frame of the cine replay region.
 M/PW/CW/TVD Mode:

1. Select [Start Time] by pressing [ ] or [ ] button and then rotate the [Value]
knob to set the start time of the cine replay region.
2. Select [End Time] by pressing [ ] or [ ] button and then rotate the [Value]
knob to set the end time of the cine replay region.
NOTE :  The system plays the cine replay region automatically after replay region
setting.
 Press the [Save Cine] button on the control panel to save the cine replay
region to the system.

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7.4.2 Manual Replay

After enter the cine tab, roll the trackball to review the cine frame by frame. The progress
bar shows the position of the current frame.

NOTE : When reviewing the cine, image parameters can be adjust for better
observation.

7.4.3 Auto Replay

 Method 1

Select [Replay Speed] by pressing [ ] or [ ] button and then rotate the [Value] knob to
adjust the review speed and enable / disable the auto replay.
 Method 2
Roll the trackball quickly to activate the automatic replay function. Cines are played
backwards by rolling the trackball to the left quickly and are played forwards by rolling the
trackball to the right quickly.

NOTE : The system plays the cine review region automatically after review region has
been set.

7.5 Annotation
Annotation function provides comment, arrow and body mark functions to the image.
Comment and arrows are available to the ultrasound images in freeze and real-time
status.

NOTE : Users can preset annotation via [System Preset] → [Application]. Refer to
“4.2.4 Application” for details.

7.5.1 Comment
Users can enter text content directly or add preseted comment item to images.

7.5.1.1 Add Comment

To add a comment, please perform the following steps:

1. Press the [Comment] button on the control panel in any modes to activate
comment function.
2. Set comment language, comment library and comment size.

 Select [English] by pressing [ ] or [ ] button and then rotate the [Value] knob to
switch text language between Chinese and English.

 Select [Exam] by pressing [ ] or [ ] button and then rotate the [Value] knob to set

comment item library.

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 Select [Font Size] by pressing [ ] or [ ] button and then rotate the [Value] knob to

set text size.

3. Click comment item you want to add on the right, roll the trackball to move the
comment item to the desired position, press the [Set] button.
4. If there is no applicable comment item, roll the trackball to move the comment
item to the desired position and enter the comment through keyboard, and press
the [Set] button.
5. To add more comments, repeat Step 3 or 4.
6. Press the [Comment] button on the control panel again to exit comment
function.

7.5.1.2 Edit Comment

1. Move the cursor over the comment item to activate the item. Activated comment
item or text is highlight in green.
2. Press the <←> key to delete undesirable characters and enter new comments
directly. After the modification, move the cursor away from the text comment to
complete the modification.

7.5.1.3 Move Comment

1. Move the cursor to the text comment to be moved, press the [Set] button, the
text comment is highlighted with green box.
2. Roll the trackball to move the text comment to the desire position, press the [Set]
button.

7.5.1.4 Change Font Size

Select [Font Size] by pressing [ ] or [ ] button and then rotate the [Value] knob to set
text size. Or you can change the font size through Preset screen (press [Preset]). Refer to
“4.2.4 Application” for details.

7.5.1.5 Hide/Display Comment

Select [Text Hide] by pressing [ ] or [ ] button and then press the [Value] knob to hide
or display comments.

7.5.1.6 Delete Comment

 Delete Selected Comment

1. Move the cursor over the comment to be deleted, press the [Set] button.
2. Press the [Clean] button on the control panel to delete the selected comment.
 Delete Recently-added Comment
Press the [Clean] button on the control panel to delete recently-added comment in
reverse order.
 Delete All Comments
Long press the [Clean] button on the control panel to delete all comments.

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7.5.2 Arrow

7.5.2.1 Add Arrow

To add an arrow, please perform the following steps:

1. Press the [Comment] button on the control panel in any modes to activate
comment function, click the arrow icon on the right to activate the arrow
annotation function, and then rotate the [Value] knob to adjust the direction of
the arrow.
2. Select [Arrow Size] by pressing [ ] or [ ] button and then rotate the [Value]
knob to change the arrow size.
3. Move the cursor to the desire position; press the [Set] button.

7.5.2.2 Hide/Display Arrow

Select [Text Hide] by pressing [ ] or [ ] button and then press the [Value] knob to hide
or display arrows.

7.5.2.3 Delete Arrow

 Delete Recently-added Arrow

Press the [Clean] button on the control panel to delete the recently-added arrow in
reverse order.
 Delete All Arrows
Long press the [Clean] button on the control panel to delete all arrows.

7.5.3 Body Mark

7.5.3.1 Add Body Mark

To add a body mark, please perform the following steps:

1. Press the [Body Mark] button on the control panel to activate body mark
function.
2. Click the body mark you want to add on the right to display the body mark.
3. Select [Angle] by pressing [ ] or [ ] button and then rotate the [Value] knob
to adjust the direction of the body mark, press the [Set] button.
4. Select [Exam] by pressing [ ] or [ ] button and then rotate the [Value] knob
to select body mark libray.
5. Press the [Body Mark] on the control panel again to exit body mark function.
NOTE : Click new body mark on right to replace current body mark.

7.5.3.2 Move Body Mark

1. Move the cursor over the body mark to be moved, press the [Set] button.
2. Move the trackball to the desire position and press the [Set] button to place the
body mark.

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7.5.3.3 Delete Body Mark

Press the [Clean] button on the control panel to delete the body mark.

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page : 94 - 146 8 Measurement

Measurement includes general measurement and application measurement. The system
supports measurement in real-time, freeze, Dual-Split display, Quad-Split display, zoom
in/out and cine review status.

 Before making a measurement of the target area, make sure that the
target area and image to be measured are correct and qualified to
avoid misdiagnosis.
 Before performing Doppler color flow image measurement, do not let
the probe emit direction perpendicular to the direction of blood flow,
otherwise incorrect blood flow information may be displayed.

NOTE : During the measurement, if the system has been powered off, all unsaved
data will lose.

8.1 Basic Operating Procedure

To perform a measurement, please perform the following steps:
1. Activate measurement function.

 Caliper measurement: in the real-time or frozen status, press the [Caliper] button on

the control panel to activate the general measurement funciton.

 Application measurement: in the real-time or frozen status, click [Meas] after the

general measurement function has been activated.

2. Select measurement item.

 Roll the trackball to select the measurement item and press the [Set] button.

3. Perform a measurement:

 Move the cursor to the target area, press the [Set] button, a measurement cursor

appears. At the same time, the result window displays measurement results and

calculation data.

4. Adjust the position of result window (if needed).

 After measurement, place the cursor on the title bar of the result window to change the

cursor into a hand cursor. Press the [Set] button and roll the trackball at the same time

to move the result window.

5. After the measurement is completed, press the [Caliper] button on the control
panel to exit the general / application measurement function.

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8.2 General Measurement

8.2.1 2D General Measurement

2D mode general measurement is applicable for general measurement of 2D mode such
as B-mode, Color mode, PDI mode.

8.2.1.1 Distance

Measure the distance between two points.

Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Distance] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point and press the [Set] button.
4. Move the cursor to the end point and press the [Set] button.
5. Results are displayed in the result window.

8.2.1.2 Depth

Measure the distance from the center of sector to the cursor (for surface probe) or the
distance from probe surface to the cursor in the direction of ultrasonic beam (for linear and
convex array probe).
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Depth] in the measurement menu, and the cursor appears.
3. Move the cursor to the desired position and press the [Set] button.
4. Results are displayed in the result window.

8.2.1.3 Curve Length

Measure the length of a curve. Available measurement method includes Trace and Spline.
 Trace Len
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Trace Len] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point of the trace line and press the [Set] button.
4. Roll the trackball to trace the outline of the target and press the [Set] button to fix
the end point of the trace line.
5. Results are displayed in the result window.
 Trace Len (Spline)
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Trace Len (Spline)] in the measurement menu, and the cursor appears.

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3. Move the cursor to the start point of the target area and press the [Set] button.
4. Move the cursor along the target area to fix the second point and press the [Set]
button.
5. Repeat step 4. A maximum of 12 points can be fixed.
6. Press the [Set] button twice to set the end point of the spline.
7. Results are displayed in the result window.

8.2.1.4 Angle

Measure the angle between two intersecting lines. Range 0~180°.

Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Angle] in the measurement menu, and the cursor appears.
3. Set two line segments as described in “8.2.1.1 Distance”.
4. The system automatically calculates the angle between the two line segments.
5. Results are displayed in the result window.

8.2.1.5 Area & Circumference

Measure the area and circumference of an enclosed area. Available measurement

method includes Trace, Ellipse, Cross and Spline.
 Trace
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Trace] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point of the target area and press the [Set] button.
4. Roll the trackball to trace the outline of the target and press the [Set] button to fix
the end point of the trace line.
5. Results are displayed in the result window.
 Ellipse
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Ellipse] in the measurement menu, and the cursor appears.
3. Move the cursor to set the start point of the first axis of the ellipse and press the
[Set] button.
4. Move the cursor to set the end point of the first axis of the ellipse and press the
[Set] button.
5. Roll the trackball to size the measured axis as needed and press the [Set]
button.
6. Results are displayed in the result window.
 Spline
Perform the following steps:

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1. Press the [Caliper] button on the control panel to start measurement.

2. Click [Spline] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point of the target area and press the [Set] button.
4. Move the cursor along the target area to fix the second point and press the [Set]
button.
5. Repeat step 4. A maximum of 12 points can be fixed.
6. Press the [Set] button twice to complete the measurement.
7. Results are displayed in the result window.
 Cross
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Cross] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point of the target area and press the [Set] button.
4. Move the cursor to the end position of the fixed axis and press the [Set] button.
An irregular circle appears on the screen.
5. Roll the trackball to set the start point of the second axis of the circle and press
the [Set] button.
6. Roll the trackball to set the end point of the second axis of the circle and press
the [Set] button.
7. Results are displayed in the result window.

8.2.1.6 Volume

Measure the volume of the target object. Available measurement method includes 3 Dist,
Ellipse and Ellipse Dist.
 3 Dist
To obtain the volume by measuring the vertical section area of the target object.
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Volume] in the measurement menu, and the cursor appears.
3. Measures the length (D1), width (D2), and height (D3) of the target object.
4. The system automatically calculates the volume. The length, width, height, and
volume of the target object are displayed in the result window.

 Formula: Volume (cm3) = π / 6 × D1 (cm) × D2 (cm) × D3 (cm)

 D1, D2, and D3 correspond to the length, width, and height of the target object.

 Volume (Ellipse)
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Volume (Ellipse)] in the measurement menu, and the cursor appears.
3. Move the cursor to set the start point of the first axis of the ellipse and press the
[Set] button.
4. Roll the trackball to set the end point of the first axis of the circle and press the

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[Set] button.
5. Move the cursor to adjust the second axis of the ellipse, and press the [Set]
button to complete the volume ellipse measurement.
6. The system automatically calculates the volume. Results are displayed in the
result window.

 Formula: Volume (cm3 )＝π/6×a(cm)×b2(cm)

 Where, “a” corresponds to the first axis of the ellipse, and “b” corresponds to the

second axis of the ellipse.

 Volume (E+Dist)
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Volume (E+Dist)] in the measurement menu, and the cursor appears.
3. Measure the area of the vertical section as described in “8.2.1.5 Area &
Circumference”.
4. Move the cursor to set the start point of the third axis of the ellipse and press the
[Set] button.
5. Move the cursor to set the end point of the third axis of the ellipse and press the
[Set] button.
6. The system automatically calculates the volume. The area, height, and volume of
the target object are displayed in the result window.

 Formula: Volume (cm3 )＝π/6×a(cm)×b(cm)×m(cm)

 Where, “a” corresponds to the first axis of the ellipse, and “b” corresponds to the

second axis of the ellipse, “m” corresponds to the third axis of the ellipse.

8.2.1.7 Double Dist

Measure the distance between two mutually perpendicular lines.

Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Double Dist] in the measurement menu, and the cursor appears.
3. Move the cursor to set the start point of the first line segment and press the [Set]
button.
4. Move the cursor to the end point of the line segment and press the [Set] button.
A line perpendicular to the line segment is displayed on the screen.
5. Move the trackball to adjust the start point of the vertical line segment and press
the [Set] button.
6. Move the trackball to adjust the end point of the vertical line segment and press
the [Set] button.
7. Results are displayed in the result window.

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8.2.1.8 Parallel

Measure the distance between five parallel lines on the ultrasound image.
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Parallel] in the measurement menu, and the cursor and two lines
perpendicular to each other appear.
3. Move the cursor to set the start point of the first parallel and press the [Set]
button.
4. Move the cursor along the vertical line and press the [Set] button to set the
second parallel.
5. Repeat step 4 to set the third, fourth, fifth parallel as needed.
6. Results are displayed in the result window.

8.2.1.9 Ratio (D)

Measure the lengths of any two lines and calculates their ratio.
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Ratio (D)] in the measurement menu, and the cursor appears.
3. Set two line segments as described in “8.2.1.1 Distance”.
4. The system automatically calculates the ratio, and the results are displayed in
the result window.

8.2.1.10 Ratio (Area)

Measure the areas of any two enclosed areas and calculates their ratio.
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Ratio (Trace)], [Ratio (Ellipse)], [Ratio (Spline)] or [Ratio (Cross)] in the
measurement menu, and the cursor appears.
3. Use the area measurement method (choose one of trace, ellipse, spline, cross)
to set two closed areas.
4. The system automatically calculates the ratio, and the results are displayed in
the result window.

8.2.1.11 B Hist

Measures and calculates the gray scale distribution of the ultrasonic echo signals in an
enclosed region.
Available measurement method includes B Hist (Trace), B Hist (Ellipse), B Hist (Spline)
and B Hist (Rectangle).
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.

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2. Click [Hist (Trace)], [Hist (Ellipse)], [Hist (Spline)] or [Hist (Rectangle)] in the
measurement menu, and the cursor appears.
3. Set up an enclosed area with the area measurement method as described in
“8.2.1.5 Area & Circumference”.
4. The system automatically calculates the gray distribution of the ultrasonic echo
signal in this area and displays it at the top of the screen.

8.2.1.12 B Profile

Measure and calculates the gray distribution of the ultrasonic echo signals across a line.
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [B Profile] in the measurement menu, and the cursor appears.
3. Set a line with the distance measurement method as described in “8.2.1.1
Distance”.
4. The system automatically calculates the gray distribution of the ultrasonic echo
signal on the line and displays it at the top of the screen.

8.2.1.13 Color Vel

Measure the color flow velocity in Color mode.

Perform the following steps:
Perform the following steps:
1. Press the [Caliper] button on the control panel to start measurement.
2. Click [Color Vel] in the measurement menu, and the cursor appears.
3. Move the cursor to the desired point for blood flow velocity measurement and
press the [Set] button.
4. Select [Angle] by pressing [ ] or [ ] button and then rotate the [Value] knob
to align the floating line to make it consistent with the direction of blood flow.
5. Results are displayed in the result window.

8.2.1.14 Volume Flow

Measure the blood flow through a blood cross section per unit time. Refer to “8.2.3.7 Vol
Flow” for details.

8.2.1.15 IMT

Measure the intima-media thickness of the carotid artery. Refer to “8.3.4.3 Vascular Study
and Calculation” for details.

8.2.2 M General Measurement

M-mode general measurement is applicable for general measurement of M-mode.

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8.2.2.1 Distance (M)

Measure the distance between two points on the sampling line at a certain time.
Perform the following steps:
1. In M-mode, press the [Caliper] button on the control panel to start measurement.
2. Click [Distance (M)] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point and press the [Set] button.
4. Move the cursor to the end point and press the [Set] button.
5. Results are displayed in the result window.

8.2.2.2 Time (M)

Measure the time interval between two points.

Perform the following steps:
1. In M-mode, press the [Caliper] button on the control panel to start measurement.
2. Click [Time (M)] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point and press the [Set] button.
4. Move the cursor to set the end point in horizontal direction and press the [Set]
button.
5. Results are displayed in the result window.

8.2.2.3 Slope

Measures the depth and time between two points and calculates the slope.
Perform the following steps:
1. In M-mode, press the [Caliper] button on the control panel to start measurement.
2. Click [Slope] in the measurement menu, and the cursor appears.
3. Move the cursor to set the first point and press the [Set] button.
4. Move the cursor to set the second point and press the [Set] button.
5. Results are displayed in the result window.

8.2.2.4 HR (M)

Measures the time of N (N≤7) cardiac cycles and calculates the heart rate in M-mode
image.
Perform the following steps:
1. Set the cardiac cycle.

 Enter the Preset screen, select [Preset]→[System Preset] →[Application]

 Select the number of cardiac cycles from the [Cardiac Cycle] drop-down list.

 Click [Save] to save current setting and return to the Home screen.

2. In M-mode, press the [Caliper] button on the control panel to start measurement.
3. Click [HR (M)] in the measurement menu, and the cursor appears.

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4. Move the cursor to the start point and press the [Set] button.
5. Move the cursor to set the end point in horizontal direction and press the [Set]
button.
6. Results are displayed in the result window.

Figure 31 HR Result
NOTE : During the HR measurement, the number of cardiac cycles between the
start and end points must be consistent with the preset. Otherwise,
misdiagnosis may occur.

8.2.2.5 Velocity

Calculate the average velocity by measuring the distance and time between two points.
1. In M-mode, press the [Caliper] button on the control panel to start measurement.
2. Click [Velocity] in the measurement menu, and the cursor appears.
3. Move the cursor to the desired position and press the [Set] button.
4. Results are displayed in the result window.

8.2.3 Doppler General Measurement

Doppler mode general measurement is applicable for general measurement of PW, CW
mode.

8.2.3.1 Time (D)

Measure the time interval between two points.

Perform the following steps:
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [Time (D)] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point and press the [Set] button.
4. Move the cursor to set the end point in horizontal direction and press the [Set]
button.
5. Results are displayed in the result window.

8.2.3.2 HR (D)

Measures the time of N (N≤7) cardiac cycles and calculates the heart rate in Doppler
mode image. The measurement procedure is the same as that of HR (M). Refer to
“8.2.2.4 HR (M)” for details.

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8.2.3.3 Vel

Measure the velocity at a certain point on the Doppler image.

Perform the following steps:
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [Vel] in the measurement menu, and the cursor appears.
3. Move the cursor, the real time velocity of the position is displayed in the result
window. Move the cursor to the desired position and press the [Set] button.
4. Results are displayed in the result window.

8.2.3.4 Acceleration

Measure the velocity and time interval between two points on the Doppler image to
calculate the acceleration, differential pressure, speed difference, and spectrum correction
angle.
Perform the following steps:
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [Acceleration] in the measurement menu, and the cursor appears.
3. Move the cursor to the first point and press the [Set] button.
4. Move the cursor to the second point and press the [Set] button.
5. The acceleration, differential pressure, speed difference, and spectrum
correction angle between the two points are displayed in the result window.

8.2.3.5 D Trace

Trace one or several Doppler waveform on the PW mode image to obtain speed and
pressure gradient.
The Doppler spectrum diagram is shown below:

Figure 32 Doppler Spectrum

Perform the following steps:
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [D Trace] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point and press the [Set] button.
4. Roll the trackball to draw a trace line along the spectrum Doppler waveform to

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the end position, and press the [Set] button to complete the trace. The
measurement result is displayed in the result window.
The parameters displayed in the result window are described as follows:

Parameter Description

Peak Systolic The maximum velocity of red blood cells passing through the
PS
Velocity sampling volume
End-diastolic
ED The blood flow velocity at the end of the cardiac cycle
velocity
Min-diastolic
MD The minimum velocity of the cardiac cycle
velocity

Vel / Blood flow velocity

Tb
TAMAX （cm/ s） T V (t )dt /(Tb
a
 Ta )

Average Where V is the maximum velocity

/
velocity Tb
TAMEAN （cm/ s） T V (t )dt /(Tb
a
 Ta )

Where V is the average velocity

Peak Pressure
PPG PPG(mmHg)=4×PS(m/s)2
Gradient
Tb
MPG（mmHg ） T dt /(Tb  Ta )
2
4 V (t )）
（
a
Average Average
Where V is the peak systolic velocity
Pressure Pressure
Tb
MMPG （mmHg ） T dt /(Tb  Ta )
2
Gradient Gradient 4 V (t )）
（
a

Where V is the average systolic velocity

Velocity-Time Tb
VTI
Integral
VTI(m )  T V (t )dt
a

Acceleration Acceleration time from end-diastolic velocity to peak systolic

AT
Time velocity
Deceleration
DT Deceleration Time
Time

HR Heart rate Beats per minute in a cardiac cycle

S/D / S/D=PS(m/s) /ED(m/s)

D/S / D/S = ED(m/s) /PS(m/s)

Pulsatility
PI PI = |( PS(m/s)-ED(m/s)) /TAMAX(m/s) |
Index
Resistive
RI RI = |( PS(m/s)-ED(m/s)) /PS(m/s) |
Index

θ / Correction Angle

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 8 Measurement

Parameter Description

The maximum velocity of red blood cells passing through the

PV Peak Velocity
sampling volume and it also applicable to venous vessels

8.2.3.6 PS/ED

Measures the velocity of peak systolic point (PS) and end diastolic (ED) on the Doppler
spectrum.
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [PS/ED] in the measurement menu, and the cursor appears.
3. Move the cursor to the peak systolic velocity on the Doppler spectrum and press
the [Set] button.
4. Move the cursor to the end diastolic velocity on the Doppler spectrum and press
the [Set] button.
5. The RI, S/D and correction between the two points are displayed in the result
window.

8.2.3.7 Vol Flow

Measure the blood flow through a blood cross section per unit time.
Perform the following steps:
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [Vol Flow] in the measurement menu to display the sub-menu of volume
flow.
3. Click [Vas Area] in the measurement menu, and the cursor appears.
4. Move the cursor to the start point of the target area on B-image and press the
[Set] button.
5. Move the cursor to the end point of the target area on B-image and press the
[Set] button.
6. The flow area is displayed in the result window.
NOTE : Steps 4 to 5 can also be performed in B-mode.
7. Click [TAMEAN] or [TAMAX] in the measurement menu, and the cursor
appears.
8. Move the cursor to the start point of the target area on Doppler Spectrum and
press the [Set] button.
9. Move the cursor to the end point of the target area on Doppler Spectrum and
press the [Set] button.
10. The system automatically generates trace lines. Results are displayed in the
result window.
The parameters displayed in the result window are described as follows:

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8 Measurement

Parameter Description Formula

Dist Vas Area=π × Vas Diam (cm)2/ 4

Vas Area
Trace See “8.2.1.5 Area & Circumference”

Vol Flow(A) (ml/min) = |Vas TAMEAN (cm/s)| ×

Vas Area (cm2) × 60 (s)
TAMEAN Vol Flow(Area)-TAMEAN
Vas TAMEAN - Time Averaged Mean Velocity,
obtained from Vas Trace measurement
Vol Flow(A) (ml/min) = |Vas TAMAX (cm/s)| × Vas
Area (cm2) × 60 (s)
TAMAX Vol Flow(Area)-TAMAX
Vas TAMAX - Time Averaged Maximum
Velocity, obtained from Vas Trace measurement

8.2.3.8 Ratio (Vel)

Measures two D velocity and calculates their ratio for blood analysis.
Perform the following steps
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [Ratio (Vel)] in the measurement menu, and the cursor appears.
3. Move the cursor to fix the two points for velocity measurement and press the [Set]
button.
4. Move the cursor, the real time velocity of the position is displayed in the result
window.
5. The velocity ratio of the two points is displayed in the result window.

 Formula: Vel Ratio (No unit) =∣Vel 1(cm/s)/Vel 2 (cm/s)∣

8.2.3.9 Ratio (VTI)

Measure two VTI values and calculates their ratio.

Perform the following steps:
1. In PW/CW mode, press the [Caliper] button on the control panel to start
measurement.
2. Click [Ratio (VTl)] in the measurement menu, and the cursor appears.
3. Move the cursor to the start point of VTI1 and press the [Set] button.
4. Move the cursor to the end point of VTI1 and press the [Set] button.
5. Repeat step 3~4 to fix the VTI2.
6. The VTI1, VTI2, and VTI ratio of the two points are displayed in the result window

 Formula: VTI Ratio (No unit) =∣VTI 1(cm)/VTI 2 (cm)∣

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8.3 Application Measurement

Application measurement package includes the following measurement item.
Table 23 Application Measurement Package
Application
Measurement Item
Measurement
ABD Applicable for measurements of abdominal organs (liver, spleen, gallbladder,
(Abdomen) pancreas, kidney) and abdominal vessels in adults, children and newborns.

Gynecology Applicable for measurement of uterus, ovaries and follicles.

Applicable for measurement of fetal development indicators, GA and EDD

OB estimation. And to evaluate the fetal development through fetal growth curve
and fetal biophysical profile.
CARD Applicable for measurement of heart and other parameters of adults, children,
(Cardiology) newborns.
Applicable for measurement of prostate, seminal vesicle, kidney, residual urine
Urology
volume and testis.
SMP (Small Applicable for measurement of small organs such as thyroid and parathyroid
Parts) gland, testis, prostate, breast, parotid gland and lymph.

Orthopedics Applicable for measurement of hip joint.

VAS Applicable for measurement of carotid, cerebral, upper and lower extremities
(Vascular) vessels, etc.
EM
Applicable for measurement of EM general practice.
(Emergency)

8.3.1 Abdomen

8.3.1.1 2D Abdomen Measurement

The measurement items, calculation items and measurement method for 2D abdomen
measurement are shown in the table below.
Table 24 2D Abdomen Measurement
Items Description Methods or Formula

Liver / /

CHD / See “8.2.1.1 Distance”

CBD / See “8.2.1.1 Distance”

GB L Gallbladder Length See “8.2.1.1 Distance”

GB H Gallbladder Height See “8.2.1.1 Distance”

GB wall th Gallbladder wall thickness See “8.2.1.1 Distance”

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8 Measurement

Items Description Methods or Formula

Renal L Renal Length See “8.2.1.1 Distance”

Renal H Renal Height See “8.2.1.1 Distance”

Renal W Renal Width See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Renal Vol Renel Volumn
Calculation”

Cortex Renal Cortical Thickness See “8.2.1.1 Distance”

Adrenal L Adrenal Length See “8.2.1.1 Distance”

Adrenal H Adrenal Height See “8.2.1.1 Distance”

Adrenal W Adrenal Width See “8.2.1.1 Distance”

Portal V Diam Portal Vein Diameter See “8.2.1.1 Distance”

Panc duct Pancreatic duct See “8.2.1.1 Distance”

Panc head Pancreatic head See “8.2.1.1 Distance”

Panc body Pancreatic body See “8.2.1.1 Distance”

Panc tail Pancreatic tail See “8.2.1.1 Distance”

Aorta Diam Aorta Diameter See “8.2.1.1 Distance”

Pre-BL L Pre-void Bladder Length See “8.2.1.1 Distance”

Pre-BL H Pre-void Bladder Height See “8.2.1.1 Distance”

Pre-BL W Pre-void Bladder Width See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Pre-BL Vol Pre-void Bladder Volume
Calculation”

Post-BL L Post-void Bladder Length See “8.2.1.1 Distance”

Post-BL H Post-void Bladder Height See “8.2.1.1 Distance”

Post-BL W Post-void Bladder Width See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Post-BL Vol Post-void Bladder Volume
Calculation”

Ureter / See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Voided volume /
Calculation”

8.3.1.2 Doppler Abdomen Measurement

The measurement items, calculation items and measurement method for Doppler
abdomen measurement are shown in the table below.

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 8 Measurement

Table 25 Doppler Abdomen Measurement

Items Description Methods or Formula

M Renal A Main Renal Artery See “8.2.3.5 D Trace”

Segment A Segmental Artery See “8.2.3.5 D Trace”

Interlobar A Interlobar Artery See “8.2.3.5 D Trace”

Arcuate A Arcuate Artery See “8.2.3.5 D Trace”

Renal A Renal Artery See “8.2.3.5 D Trace”

Aorta / See “8.2.3.5 D Trace”

Celiac Axis / See “8.2.3.5 D Trace”

SMA Superior Mesenteric Artery See “8.2.3.5 D Trace”

Hepatic A Hepatic Artery See “8.2.3.5 D Trace”

C Hepatic A Common Hepatic Artery See “8.2.3.5 D Trace”

Splenic A Splenic Artery See “8.2.3.5 D Trace”

IVC Inferior Vena Cava See “8.2.3.5 D Trace”

Portal V Portal Vein See “8.2.3.5 D Trace”

Lt Hepatic V Left Hepatic Vein See “8.2.3.5 D Trace”

M Hepatic V Middle Hepatic Vein See “8.2.3.5 D Trace”

Rt Hepatic V Right Hepatic Vein See “8.2.3.5 D Trace”

Splenic V Splenic Vein See “8.2.3.5 D Trace”

SMV Superior Mesenteric Vein See “8.2.3.5 D Trace”

8.3.2 Obstetrics
Note: Before performing obstetric measurements, please make sure that the system
date is accurate, otherwise, the GA and EDD will be calculated incorrectly.

8.3.2.1 2D Obstetrics Measurement

The measurement items, calculation items and measurement method for 2D obstetrics
measurement are shown in the table below.
Table 26 2D Obstetrics Measurement
Item Description Methods or Formula

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8 Measurement

Item Description Methods or Formula

BPD Biparietal Diameter See “8.2.1.1 Distance”

OFD Occipital Frontal Diameter See “8.2.1.1 Distance”

See “8.2.1.5 Area &

HC Head Circumference
Circumference”
See “8.2.1.5 Area &
AC Abdominal Circumference
Circumference”

FL Femur Length See “8.2.1.1 Distance”

HUM Humerus Length See “8.2.1.1 Distance”

PL Thickness Placental Thickness See “8.2.1.1 Distance”

NT Nuchal Translucency See “8.2.1.1 Distance”

TCD Cerebellum Diameter See “8.2.1.1 Distance”

Cist Magna / See “8.2.1.1 Distance”

AF1 Amniotic Fluid See “8.2.1.1 Distance”

AF2 Amniotic Fluid See “8.2.1.1 Distance”

AF3 Amniotic Fluid See “8.2.1.1 Distance”

AF4 Amniotic Fluid See “8.2.1.1 Distance”

AFI Amniotic Fluid Index AF1+AF2+AF3+AF4

CLAV Clavicle Length See “8.2.1.1 Distance”

HUM Humerus Length See “8.2.1.1 Distance”

RAD Radius Length See “8.2.1.1 Distance”

Ulna Ulna Length See “8.2.1.1 Distance”

Tibia Tibia Length See “8.2.1.1 Distance”

FIB Fibula Length See “8.2.1.1 Distance”

BPD Biparietal Diameter See “8.2.1.1 Distance”

OFD Occipital Frontal Diameter See “8.2.1.1 Distance”

See “8.2.1.5 Area &

HC Head Circumference
Circumference”
See “8.2.1.5 Area &
AC Abdominal Circumference
Circumference”

GS Gestational Sac Diameter See “8.2.1.1 Distance”

YS Yolk Sac See “8.2.1.1 Distance”

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 8 Measurement

Item Description Methods or Formula

CRL Crown Rump Length See “8.2.1.1 Distance”

BPD Biparietal Diameter See “8.2.1.1 Distance”

Facial Angle / See “8.2.1.1 Distance”

Anteroposterior Abdominal Anteroposterior Abdominal

See “8.2.1.1 Distance”
Diameter Diameter
Abdominal Transversal
TAD See “8.2.1.1 Distance”
Diameter

TTD Transverse trunk diameter See “8.2.1.1 Distance”

Fetal Trunk Cross-sectional See “8.2.1.5 Area &

FTA
Area Circumference”

THD Thoracic Diameter See “8.2.1.1 Distance”

See “8.2.1.5 Area &

HrtC Heart Circumference
Circumference”

HrtA Heart area See “8.2.3.5 D Trace”

TC Thoracic circumference See “8.2.3.5 D Trace”

Vertebrae Length of Vertebrae See “8.2.1.1 Distance”

HW Hemisphere Width See “8.2.1.1 Distance”

OOD Outer Orbital Diameter See “8.2.1.1 Distance”

IOD Inter Orbital Diameter See “8.2.1.1 Distance”

Orbit Orbit See “8.2.1.1 Distance”

Ear Ear Length See “8.2.1.1 Distance”

Facial Angle / See “8.2.1.4 Angle”

MP Middle Phalanx Length See “8.2.1.1 Distance”

Foot Foot Length See “8.2.1.1 Distance”

Umb VD Umbilical Vein Diameter See “8.2.1.1 Distance”

F-kidney Fetal kidney Length See “8.2.1.1 Distance”

Fetal heart / See “8.3.3 Cardiology”

LV Long AV Diam Aorta Valve Diameter See “8.2.1.1 Distance”

Axis Ao Asc Diam Ascending Aorta Diameter See “8.2.1.1 Distance”

Aortic AV Diam Aorta Valve Diameter See “8.2.1.1 Distance”

Arch Ao Asc Diam Ascending Aorta Diameter See “8.2.1.1 Distance”

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8 Measurement

Item Description Methods or Formula

Ao Desc Diam Descending Aorta Diameter See “8.2.1.1 Distance”

IVC Diam Inferior vena cava Diameter See “8.2.1.1 Distance”

PV Diam Pulmonary valve Diameter See “8.2.1.1 Distance”

Right pulmonary Artery

RPA Diam See “8.2.1.1 Distance”
Diameter
Ao Short
Axis Left pulmonary Artery
LPA Diam See “8.2.1.1 Distance”
Diameter
Main Pulmonary Artery
MPA Diam See “8.2.1.1 Distance”
Diameter
Ao
ObI,Short Duct Art Diam Ductus Arteriosus Diameter See “8.2.1.1 Distance”
Axis

TV Diam Tricuspid valve Diameter See “8.2.1.1 Distance”

Right Ventricular Internal

RVIDd See “8.2.1.1 Distance”
Diameter at End-diastole

RV Diam Right Ventricular Diameter See “8.2.1.1 Distance”

4C RV Area Right Ventricular Area See “8.2.3.5 D Trace”

MV Diam Mitral Valve diameter See “8.2.1.1 Distance”

Left Ventricular Internal

LVIDd See “8.2.1.1 Distance”
Diameter at End-diastole

LV Diam Left Ventricular Diameter See “8.2.1.1 Distance”

8.3.2.2 M Obstetrics Measurement

The measurement items, calculation items and measurement method for M obstetrics
measurement are shown in the table below.
Table 27 M Obstetrics Measurement
Item Sub-items Methods or Formula

FHR Fetal Heart Rate See “8.2.2.4 HR (M)”

Left ventricular short-axis diameter

LVIDd See “8.2.2.1 Distance (M)”
at end diastole
Left ventricular short-axis diameter
LVIDs See “8.2.2.1 Distance (M)”
at end systole
Right ventricular short-axis diameter
RVIDd See “8.2.2.1 Distance (M)”
at end diastole
Right ventricular short-axis diameter
RVIDs See “8.2.2.1 Distance (M)”
at end systole

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 8 Measurement

Item Sub-items Methods or Formula

Interventricular septal thickness at

IVSd See “8.2.2.1 Distance (M)”
en diastole
Interventricular septal thickness at
IVSs See “8.2.2.1 Distance (M)”
en systole

8.3.2.3 Doppler Obstetrics Measurement

The measurement items, calculation items and measurement method for Doppler
obstetrics measurement are shown in the table below.
Table 28 Doppler Obstetrics Measurement
Item Sub-items Methods or Formula

FHR Fetal Heart Rate See “8.2.3.2 HR (D)”

Umb A Umbilical Artery See “8.2.3.5 D Trace”

Duct Veno Ductus Veno See “8.2.3.5 D Trace”

Placenta A Placenta Artery See “8.2.3.5 D Trace”

MCA Middle Cerebral Artery See “8.2.3.5 D Trace”

Fetal Ao Fetal Aorta See “8.2.3.5 D Trace”

Asc Aorta Ascending Aorta See “8.2.3.5 D Trace”

Desc Aorta Descending Aorta See “8.2.3.5 D Trace”

Ut A Uterine Artery See “8.2.3.5 D Trace”

Ovarian A Ovarian Artery See “8.2.3.5 D Trace”

8.3.2.4 Multi-fetus Exam

This system supports multi-fetus (up to 4) exam.

NOTE:  Set the number of fetuses before multi-fetus exam.

 Confirm that the fetal you want to measure is displayed on the image.
Select [Fetus] by pressing [ ] or [ ] button and then rotate the [Value]
knob to select the target fetus.

Perform the following steps:

1. Press the [Patient] button on the control panel to enter the Patient screen.
2. Select the [OB] tab and set the fetus number.
3. Perform measurement to the fetus respectively. The measurement results in the
result window are marked with fetus label [A], [B] or [C].
4. In the Obstetric report, select [Fetus A], [Fetus B], or [Fetus C] to switch among
results of different fetuses.

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8 Measurement

8.3.2.5 Obstetrics Report

This section mainly introduces the Fetal Growth Curve and Fetal Biophysical Profile of OB
reports. For details about report reviewing, printing and exporting etc., please refer to“9
Report”
 Fetal Growth Curve
The fetal growth curve is to compare the fetal measurement data with the standard growth
curve to determine whether the fetal development is normal.
Perform the following steps:
1. Press the [Patient] button on the control panel to enter the Patient screen.
2. Click the [Obstetrics] tab, and enter the relevant information as needed.
3. Measure one or more fetal growth parameters.
4. Press the [Report] button on the control panel to enter the obstetric report, and
click [Fetal Growth Curve].
 Fetal Biophysical Profile
The fetal biophysical profile is obtained by experiment and measuring the fetal growth
indicators of the fetus to evaluate state of the fetus. Click [Analyze] on the obstetric report
page to display the fetal scores.
The scoring criteria are based on Vintzileos formula, as shown in table below.
Table 29 Fetal Scores

Fetal growth Observation

0 score 2 score Remarks
index time

Reactive FHR
<2, or Reactive FHR
FHR ≥15bpm, duration≥15s, 30 minutes
≤15bpm
≥2 times

FM ≥3 times The score(s) can

FM ≥2 fetal movements 30 minutes be manually
(Continuous
movement is deemed input into the
FBM≥1 times;
FBM No FBM or duration≤30s to 1 time) 30 minutes system.
duration≥30s

Limbs stretch, no bend, Limbs and spine

FT /
fingers loose stretch-bend ≥1 times

No AF, or AF volume One or more AF

AF / /
<2×2cm volume > 2×2cm

Table 30 Fetal Scoring Results Criteria

Total scores Growth condition

8-10 scores Normal, chronic asphyxia risk low

4-6 scores Chronic asphyxia risk suspicious

0-2 scores Chronic asphyxia risk high

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8.3.3 Cardiology

8.3.3.1 2D Cardiology Measurement

The measurement items, calculation items and measurement method for 2D cardiology
measurement are shown in the table below.
Table 31 2D Cardiology Measurement
Items Description Methods or Formula

Left Ventricular major

LV Major See “8.2.1.1 Distance”
Diameter
Left Ventricular minor
LV Minor See “8.2.1.1 Distance”
Diameter

LA Major Left Atrium major Diameter See “8.2.1.1 Distance”

LA Minor Left Atrium minor Diameter See “8.2.1.1 Distance”

LA Diam Left Atrium Diameter See “8.2.1.1 Distance”

Right Ventricular major

RV Major See “8.2.1.1 Distance”
Diameter
Right Ventricular minor
RV Minor See “8.2.1.1 Distance”
Diameter

RA Major Right Atrium major Diameter See “8.2.1.1 Distance”

RA Minor Right Atrium minor Diameter See “8.2.1.1 Distance”

Right Ventricular Diameter at

RVDd(2D) See “8.2.1.1 Distance”
end-diastole
Right Ventricular Anterior wall
RVAWd(2D) See “8.2.1.1 Distance”
thickness at end-diastole

Ao Diam (2D) Aorta Diameter See “8.2.1.1 Distance”

Ao Arch Diam(2D) Aorta arch Diameter See “8.2.1.1 Distance”

Ao Asc Diam (2D) Ascending Aorta Diameter See “8.2.1.1 Distance”

Ao Desc Diam (2D) Descending Aorta Diameter See “8.2.1.1 Distance”

Left Ventricular Outflow Tract

LVOT Diam See “8.2.1.1 Distance”
Diameter
Main pulmonary Artery
MPA Diam See “8.2.1.1 Distance”
Diameter
Right Ventricular Outflow Tract
RVOT Diam See “8.2.1.1 Distance”
Diameter
Inferior vena cava expiration
IVC Diam (Expir) See “8.2.1.1 Distance”
Diameter

IVC Diam (Insp) Inferior vena cava inspiration See “8.2.1.1 Distance”

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8 Measurement

Items Description Methods or Formula

Diameter

See “8.3.3.4 Cardiology Study

Simp SP (A4C) /
and Calculation”
See “8.3.3.4 Cardiology Study
Simp SP (A2C) /
and Calculation”
See “8.3.3.4 Cardiology Study
Simpson BP /
and Calculation”
See “8.3.3.4 Cardiology Study
Teichholz (2D) /
and Calculation”
See “8.3.3.4 Cardiology Study
LV Mass (Cube 2D) /
and Calculation”
See “8.3.3.4 Cardiology Study
LV Mass (T-E) /
and Calculation”
See “8.3.3.4 Cardiology Study
LV Mass (A-L) /
and Calculation”
See “8.3.3.4 Cardiology Study
LV Vol (A-L) /
and Calculation”
See “8.3.3.4 Cardiology Study
LV Vol (Simp) /
and Calculation”
See “8.3.3.4 Cardiology Study
RA Vol (Simp) /
and Calculation”

AV Diam Aorta Valve Diameter See “8.2.1.1 Distance”

ACS (2D) Aortic Valve Cusp Separation See “8.2.1.1 Distance”

See “8.2.1.5 Area &

AVA Aortic Valve Area
Circumference”
See “8.3.3.4 Cardiology Study
AVA VTI /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA AR /
and Calculation”

MV Diam Mitral Valve diameter See “8.2.1.1 Distance”

See “8.2.1.5 Area &

MVA Mitral Valve area
Circumference”

MCS (2D) Mitral Valve Cusp Separation See “8.2.1.1 Distance”

Distance between point E and

MV EPSS (2D) Interventricular Septum when See “8.2.1.1 Distance”
mitral valve is fully open
See “8.3.3.4 Cardiology Study
MVA (VTI) /
and Calculation”

PISA MR / See “8.3.3.4 Cardiology Study

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 8 Measurement

Items Description Methods or Formula

and Calculation”

PV Diam Pulmonary valve Diameter See “8.2.1.1 Distance”

See “8.3.3.4 Cardiology Study

PISA PR /
and Calculation”

TV Diam Tricuspid valve Diameter See “8.2.1.1 Distance”

See “8.2.1.5 Area &

TVA Tricuspid Valve Area
Circumference”
See “8.3.3.4 Cardiology Study
PISA TR /
and Calculation”
See “8.3.3.4 Cardiology Study
RVSP /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA MR /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA AR /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA TR /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA PR /
and Calculation”
Ventricular Septal defect
VSD Diam See “8.2.1.1 Distance”
Diameter

ASD Diam Atrial Septal defect Diameter See “8.2.1.1 Distance”

Patent ductus Arteriosus

PDA Diam See “8.2.1.1 Distance”
Diameter
Patent Oval Foramen
PFO Diam See “8.2.1.1 Distance”
Diameter

8.3.3.2 M Cardiology Measurement

The measurement items, calculation items and measurement method for M cardiology
measurement are shown in the table below.
Table 32 M Cardiology Measurement
Items Description Methods or Formula

LA/AO(M) / /

End-diastolic Left Ventricular See “8.3.3.4 Cardiology

Diastole (Teich M)
Measurement Study and Calculation”
End-systolic Left Ventricular See “8.3.3.4 Cardiology
Systole (Teich M)
Measurement Study and Calculation”

HR (Teich M) Heart Rate See “8.3.3.4 Cardiology

107
8 Measurement

Items Description Methods or Formula

Study and Calculation”

ACS(M) Aortic valve Cusp Separation See “8.2.2.1 Distance (M)”

Right Ventricular outflow tract

RVOT Diam See “8.2.2.1 Distance (M)”
Diameter
Right Ventricular Diameter at
RVDd (M) See “8.2.2.1 Distance (M)”
end- diastole
Left Ventricular pre-ejection
LVPEP (M) See “8.2.2.2 Time (M)”
period

LVET (M) Left Ventricular ejection time See “8.2.2.2 Time (M)”

Right Ventricular pre-ejection

RVPEP (M) See “8.2.2.2 Time (M)”
period

RVET (M) Right Ventricular ejection time See “8.2.2.2 Time (M)”

/ See “8.3.3.4 Cardiology

Teichholz (M)
Study and Calculation”
/ See “8.3.3.4 Cardiology
Cube (M)
Study and Calculation”
/ See “8.3.3.4 Cardiology
Gibson (M)
Study and Calculation”
/ See “8.3.3.4 Cardiology
LV Mass (cube-M)
Study and Calculation”

ACS (M) Aortic valve Cusp Separation See “8.2.2.1 Distance (M)”

Left Ventricular pre-ejection

LVPEP (M) See “8.2.2.2 Time (M)”
period

LVET (M) Left Ventricular ejection time See “8.2.2.2 Time (M)”

Amplitude of the Mitral Valve

MV DE See “8.2.2.1 Distance (M)”
DE wave

MV E-F Slope Mitral Valve E-F slope See “8.2.2.3 Slope”

Distance between point E and

MV EPSS (M) See “8.2.2.1 Distance (M)”
the interventricular septum
Amplitude of the Mitral Valve E
MV E Amp See “8.2.2.1 Distance (M)”
wave
Amplitude of the Mitral Valve A
MV A Amp See “8.2.2.1 Distance (M)”
wave

MV C-O dur / See “8.2.2.2 Time (M)”

/ See “8.3.3.4 Cardiology

LV Tei Index (M)
Study and Calculation”
Right Ventricular pre-ejection
RVPEP (M) See “8.2.2.2 Time (M)”
period

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Items Description Methods or Formula

RVET (M) Right Ventricular ejection time See “8.2.2.2 Time (M)”

Right Ventricular outflow tract

RVOT Diam See “8.2.2.1 Distance (M)”
Diameter

8.3.3.3 Doppler Cardiology Measurement

The measurement items, calculation items and measurement method for Doppler
cardiology measurement are shown in the table below.
Table 33 Doppler Cardiology Measurement
Items Description Methods or Formula

AV Vmax Aorta Valve Maximum Velocity See “8.2.3.3 Vel”

Aorta Valve Velocity-Time

AV VTI See “8.2.3.5 D Trace”
Integral
See “8.3.3.4 Cardiology Study
AVA (VTI ) /
and Calculation”

AV AccT Aorta Valve Acceleration Time See “8.2.3.1 Time (D)”

Left Ventricular Outflow Tract

LVOT Vmax See “8.2.3.3 Vel”
Velocity
Left Ventricular Outflow Tract
LVOT VTI See “8.2.3.5 D Trace”
Velocity-Time Integral

LVET (Doppler) Left Ventricular Ejection Time See “8.2.3.1 Time (D)”

Left Ventricular Pre-ejection

LVPEP (Doppler) See “8.2.3.1 Time (D)”
Period

AR Vmax Aorta Valve Maximum Velocity See “8.2.3.3 Vel”

Aortic Valve Regurgitation

AR VTI See “8.2.3.5 D Trace”
Velocity-Time Integral
Aortic Valve Regurgitation
AR DecT See “8.2.3.4 Acceleration”
Deceleration Time
Aortic Valve Regurgitation See “8.2.3 Doppler General
AR PHT
Pressure Half Time Measurement”
See “8.3.3.4 Cardiology Study
PISA AR /
and Calculation”

MV E Vel Mitral Valve E-Vel See “8.2.3.5 D Trace”

MV A Vel Mitral Valve A-Vel See “8.2.3.5 D Trace”

MV E Dur Mitral Valve E-wave Duration See “8.2.3.1 Time (D)”

MV A Dur Mitral Valve A-wave Duration See “8.2.3.1 Time (D)”

See “8.3.3.4 Cardiology Study

MVA (VTI) /
and Calculation”

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Items Description Methods or Formula

Mitral Valve Velocity-Time

MV (VTI) See “8.2.3.5 D Trace”
Integral

MV AccT Mitral Valve Acceleration Time See “8.2.3.4 Acceleration”

MV DecT Mitral Valve Deceleration Time See “8.2.3.4 Acceleration”

IVRT Isovelocity Relaxation Time See “8.2.3.1 Time (D)”

IVCT Isovelocity Compression Time See “8.2.3.1 Time (D)”

See “8.3.3.4 Cardiology Study

LV Tei Index (Doppler) /
and Calculation”
Mitral Valve Regurgitation
MR Vmax See “8.2.3.3 Vel”
Maximum Velocity
Mitral Valve Regurgitation
MR VTI See “8.2.3.5 D Trace”
Velocity-Time Integral

dP/dt / /

See “8.3.3.4 Cardiology Study

PISA /
and Calculation”
Right Ventricular Outflow Tract
RVOT Vmax See “8.2.3.3 Vel”
Maximum Velocity
Right Ventricular Outflow Tract
RVOT VTI See “8.2.3.5 D Trace”
Velocity-Time Integral
Pulmonary Valve Maximum
PV Vmax See “8.2.3.3 Vel”
Velocity
Pulmonary Valve Velocity- Time
PV VTI See “8.2.3.5 D Trace”
Integral
Pulmonary Valve Acceleration
PV AccT See “8.2.3.4 Acceleration”
Time
Main Pulmonary Artery
MPA Vmax See “8.2.3.3 Vel”
Maximum Velocity
Left Pulmonary Artery Maximum
LPA Vmax See “8.2.3.3 Vel”
Velocity
Right Pulmonary Artery
RPA Vmax See “8.2.3.3 Vel”
Maximum Velocity

RVET (Doppler) Right Ventricular Ejection Time See “8.2.3.1 Time (D)”

Right Ventricular Pre-ejection

RVPEP (Doppler) See “8.2.3.1 Time (D)”
Period
See “8.3.3.4 Cardiology Study
PAEDP /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA PR /
and Calculation”

TV Vmax Tricuspid Valve Maximum See “8.2.3.3 Vel”

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 8 Measurement

Items Description Methods or Formula

Velocity

Tricuspid Valve E-wave Flow

TV E Vel See “8.2.3.3 Vel”
Velocity
Tricuspid Valve A-wave Flow
TV A Vel See “8.2.3.3 Vel”
Velocity
Tricuspid Valve Velocity-Time
TV VTI See “8.2.3.5 D Trace”
Integral
See “8.3.3.4 Cardiology Study
RVSP /
and Calculation”
See “8.3.3.4 Cardiology Study
RV Tei Index /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA TR /
and Calculation”
Pulmonary Vein S-wave Flow
PVein S Vel See “8.2.3.3 Vel”
Velocity
Pulmonary Vein D-wave Flow
PVein D Vel See “8.2.3.3 Vel”
Velocity
Pulmonary Vein A-wave Flow
PVein A Vel See “8.2.3.3 Vel”
Velocity
Pulmonary Vein A-wave
PVein A Dur See “8.2.3.1 Time (D)”
Duration
Pulmonary Vein Deceleration
PVein DecT See “8.2.3.1 Time (D)”
Time
See “8.3.3.4 Cardiology Study
PISA AR /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA MR /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA PR /
and Calculation”
See “8.3.3.4 Cardiology Study
PISA TR /
and Calculation”
Atrial Septal Defect Maximum
ASD Vmax See “8.2.3.3 Vel”
Velocity
Ventricular Septal Defect
VSD Vmax See “8.2.3.3 Vel”
Maximum Velocity
Patent Ductus Arteriosus
PDA Vel (d) See “8.2.3.3 Vel”
Velocity at End-diastole
Patent Ductus Arteriosus
PDA Vel (s) See “8.2.3.3 Vel”
Velocity at End-systole
Mitral Valve lateral Systolic
MV Sa (lateral) See “8.2.3.3 Vel”
motion

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Items Description Methods or Formula

Mitral Valve medial Systolic

MV Sa (medial) See “8.2.3.3 Vel”
motion
Mitral Valve lateral Late diastolic
MV Aa (lateral) See “8.2.3.3 Vel”
motion
Mitral Valve medial Late
MV Aa (medial) See “8.2.3.3 Vel”
diastolic motion
Mitral Valve lateral Acceleration
MV ARa (lateral) See “8.2.3.3 Vel”
Rate
Mitral Valve medial Acceleration
MV ARa (medial) See “8.2.3.3 Vel”
Rate
Mitral Valve lateral Deceleration
MV DRa (lateral) See “8.2.3.3 Vel”
Rate
Mitral Valve medial Deceleration
MV DRa (medial) See “8.2.3.3 Vel”
Rate
Mitral Valve lateral Early
MV Ea (lateral) See “8.2.3.3 Vel”
diastolic motion
Mitral Valve medial Early
MV Ea (medial) See “8.2.3.3 Vel”
diastolic motion

8.3.3.4 Cardiology Study and Calculation

 Simpson SP
Table 34 Simpson SP

Measurement and
Description Method and Formula
study

𝐿𝑉𝐿𝑑 𝑎𝑝𝑖𝑐𝑎𝑙(𝑐𝑚)
𝐸𝐷𝑉(𝑚𝑙) = 𝜋 ×
20
20

× ∑ 𝑟𝑖2 (𝑐𝑚)
End-diastolic Left Ventricular
EDV(Simp SP) 𝑖=1
Volume
LVLd apical: left Ventricular Long-axis
Length at End-diastole in apical view

𝑟𝑖 : radius measured during diastole

𝐿𝑉𝐿𝑠 𝑎𝑝𝑖𝑐𝑎𝑙(𝑐𝑚)
𝐸𝑆𝑉(𝑚𝑙) = 𝜋 ×
20
20

× ∑ 𝑟𝑖2 (𝑐𝑚)
End-systolic Left Ventricular
ESV(Simp SP) 𝑖=1
Volume
LVLs apical: left Ventricular Long-axis
Length at End-systole in apical view

𝑟𝑖 : radius measured during systole

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Measurement and
Description Method and Formula
study

EDV Index (Simp SP) / EDV Index=EDV/BSA

ESV Index (Simp SP) / ESV Index=ESV/BSA

SV Stroke Volume SV(ml) = EDV(ml)-ESV(ml)

CO Cardiac Output CO(l/min) = SV(ml)×HR(bpm)/ 1000

EF Ejection Fraction EF(No unit) = SV(ml)/ EDV(ml)

SI(No unit) = SV(ml)/ Body Surface

SI SV Index
Area (m2)

CI(No unit) = CO(l/min)/Body Surface

CI CO Index
Area (m2)

 Simpson BP
Table 35 Simpson BP
Measurement and
Description Method and Formula
study
End-diastolic Left Ventricular
EDV(Simpson BP) *1
Volume
End-systolic Left Ventricular
ESV(Simpson BP) *2
Volume
EDV Index (Simpson
/ EDV Index=EDV/BSA
BP)
ESV Index (Simpson
/ ESV Index=ESV/BSA
BP)

SV(Simpson BP) Stroke Volume SV(ml) = EDV(ml)-ESV(ml)

CO(Simpson BP) Cardiac Output CO(l/min) = SV(ml)×HR(bpm)/ 1000

EF(Simpson BP) Ejection Fraction EF(No unit) = SV(ml)/ EDV(ml)

SI(No unit) = SV(ml)/ Body Surface

SI(Simpson BP) SV Index 2
Area (m )
CI(No unit) = CO(l/min)/Body Surface
CI(Simpson BP) CO Index 2
Area (m )

 *1 Means:
20
𝑀𝐴𝑋{𝐿𝑉𝐿𝑑2𝑖 (𝑐𝑚), 𝐿𝑉𝐿𝑑4𝑖 (𝑐𝑚)}⁄
𝐸𝐷𝑉(𝑚𝑙) = 𝜋 × 20 × ∑(𝑟2𝑖 (𝑐𝑚) × 𝑟4𝑖 (𝑐𝑚))
𝑖=1

 *2 Means:

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8 Measurement

20
𝑀𝐴𝑋{𝐿𝑉𝐿𝑠2𝑖 (𝑐𝑚), 𝐿𝑉𝐿𝑠4𝑖 (𝑐𝑚)}⁄
𝐸𝑆𝑉(𝑚𝑙) = 𝜋 × 20 × ∑(𝑟2𝑖 (𝑐𝑚) × 𝑟4𝑖 (𝑐𝑚))
𝑖=1

 LV volume (A2C):
20
𝐿𝑉𝐿𝑑2𝑖 (𝑐𝑚) 2
𝐸𝐷𝑉 (2𝑚𝑙) = 𝜋 × × ∑ 𝑟2𝑖 (𝑐𝑚)
20
𝑖=1

20
𝐿𝑉𝐿𝑠2𝑖 (𝑐𝑚) 2
𝐸𝑆𝑉 (2𝑚𝑙) = 𝜋 × × ∑ 𝑟2𝑖 (𝑐𝑚)
20
𝑖=1

 LV volume (A4C):
20
𝐿𝑉𝐿𝑑4𝑖 (𝑐𝑚)
𝐸𝐷𝑉 (4𝑚𝑙) = 𝜋 × × ∑ 𝑟4𝑖2 (𝑐𝑚)
20
𝑖=1

20
𝐿𝑉𝐿𝑠4𝑖 (𝑐𝑚)
𝐸𝑆𝑉 (4𝑚𝑙) = 𝜋 × × ∑ 𝑟4𝑖2 (𝑐𝑚)
20
𝑖=1

Note: When using Simpson BP to measure LV function, be sure to keep the apical
four-chamber view and apical two-chamber view perpendicular. Otherwise the
measure result will be incorrect.

 Cube
Measurement and
Description Method and Formula
study
End-diastolic Left FoldLine in 2D mode or Parallel method
Diastole
Ventricular Measurement in M mode
End-systolic Left FoldLine in 2D mode or Parallel method
Systole
Ventricular Measurement in M mode
Left Ventricular Internal Distance in 2D/M General
LVIDd
Diameter at End-diastole Measurements
Left Ventricular Internal Distance in 2D/M General
LVIDs
Diameter at End-systole Measurements
Obtained by ECG, input directly or
HR Heart Rate
measure manually
Interventricular Septal Distance in 2D/M General
IVSd
Thickness at End- diastole Measurements
Left Ventricular Posterior
Distance in 2D/M General
LVPWd Wall Thickness at
Measurements
End-diastole
End-diastolic Left 3
EDV(Cube) EDV(ml)= LVIDd(cm)
Ventricular Volume

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 8 Measurement

Measurement and
Description Method and Formula
study
End-systolic Left
ESV(Cube) ESV(ml)= LVIDs(cm)3
Ventricular Volume

EDV Index (Cube) / EDV Index=EDV/BSA

ESV Index (Cube) / ESV Index=ESV/BSA

SV (Cube) Stroke Volume SV(ml) = EDV(ml)-ESV(ml)

CO (Cube) Cardiac Output CO(l/min) = SV(ml)×HR(bpm)/ 1000

EF (Cube) Ejection Fraction EF(No unit) = SV(ml)/ EDV(ml)

SI(No unit) = SV(ml)/ Body Surface Area

SI (Cube) SV Index 2
(m )
CI(No unit) = CO(l/min)/Body Surface
CI (Cube) CO Index 2
Area (m )

 Teichholz
Measurement and
Description Method and Formula
study
End-diastolic Left Ventricular FoldLine in 2D mode or Parallel
Diastole
Measurement method in M mode
End-systolic Left Ventricular FoldLine in 2D mode or Parallel
Systole
Measurement method in M mode
Left Ventricular Internal Distance in 2D/M General
LVIDd
Diameter at End-diastole Measurements
Left Ventricular Internal Distance in 2D/M General
LVIDs
Diameter at End-systole Measurements
Obtained by ECG, input directly or
HR Heart Rate
measure manually
Interventricular Septal Distance in 2D/M General
IVSd
Thickness at End-diastole Measurements
Left Ventricular Posterior Wall Distance in 2D/M General
LVPWd
Thickness at End-diastole Measurements
Interventricular Septal Distance in 2D/M General
IVSs
Thickness at End-systole Measurements
Left Ventricular Posterior Wall Distance in 2D/M General
LVPWs
Thickness at End-systole Measurements
End-diastolic Left Ventricular 3
EDV(ml)=(7×(LVIDd(cm)) )/(2.4+LVID
EDV(Teichholz)
Volume d (cm))
End-systolic Left Ventricular 3
ESV(ml)=(7×(LVIDs(cm)) )/(2.4+LVIDs
ESV(Teichholz)
Volume (cm))

SV (Teichholz) Stroke Volume SV(ml) = EDV(ml)-ESV(ml)

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8 Measurement

Measurement and
Description Method and Formula
study

CO (Teichholz) Cardiac Output CO(l/min) = SV(ml)×HR(bpm)/ 1000

EF (Teichholz) Ejection Fraction EF(No unit) = SV(ml)/ EDV(ml)

FS(No unit) = (LVIDd(cm) – LVIDs

FS (Teichholz) Fractional Shortening
[cm]/LVIDd(cm))
Mean Velocity of
MVCF=(LVId(cm)-LVIDs(cm))/(LVIDd(
MVCF (Teichholz) Circumferential Fiber
cm) × EF(s) )
Shortening
SI(No unit) = SV(ml)/ Body Surface
SI (Teichholz) SV Index 2
Area (m )
CI(No unit) = CO(l/min)/Body Surface
CI (Teichholz) CO Index 2
Area (m )

 Gibson
Measurement and
Description Method and Formula
study
End-diastolic Left Ventricular FoldLine in 2D mode or Parallel
Diastole
Measurement method in M mode
End-systolic Left Ventricular FoldLine in 2D mode or Parallel
Systole
Measurement method in M mode
Left Ventricular Internal Distance in 2D/M General
LVIDd
Diameter at End-diastole Measurements
Left Ventricular Internal Distance in 2D/M General
LVIDs
Diameter at End-systole Measurements
Heart Rate Obtained by ECG, input directly or
HR
measure manually
Interventricular Septal Distance in 2D/M General
IVSd
Thickness at End-diastole Measurements
Left Ventricular Posterior Wall Distance in 2D/M General
LVPWd
Thickness at End-diastole Measurements
Interventricular Septal Distance in 2D/M General
IVSs
Thickness at End-systole Measurements
Left Ventricular Posterior Wall Distance in 2D/M General
LVPWs
Thickness at End-systole Measurements
End-diastolic Left Ventricular EDV(ml)=π/6(098×LVIDd(cm)+5.90)×L
EDV(Gibson)
Volume VIDd(cm)²
End-systolic Left Ventricular ESV(ml)=π/6(1.14×LVIDs(cm)+4.18)×
ESV(Gibson)
Volume LVIDs(cm)²

EDV Index (Gibson) / EDV Index=EDV/BSA

ESV Index (Gibson) / ESV Index=ESV/BSA

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 8 Measurement

Measurement and
Description Method and Formula
study

SV (Gibson) Stroke Volume SV(ml) = EDV(ml)-ESV(ml)

CO (Gibson) Cardiac Output CO(l/min) = SV(ml)×HR(bpm)/ 1000

EF (Gibson) Ejection Fraction EF(No unit) = SV(ml)/ EDV(ml)

FS(No unit) = (LVIDd(cm) – LVIDs

FS (Gibson) Fractional Shortening
[cm]/LVIDd(cm))
Mean Velocity of
MVCF=(LVId(cm)-LVIDs(cm))/(LVIDd(
MVCF (Gibson) Circumferential Fiber
cm) × EF(s) )
Shortening
SI(No unit) = SV(ml)/ Body Surface
SI (Gibson) SV Index 2
Area (m )
CI(No unit) = CO(l/min)/Body Surface
CI (Gibson) CO Index 2
Area (m )

 LV Mass
Estimate the Index of Left Ventricular Mass (LV Mass-I) by calculating the LV Mass.
LV Mass (Cube)

Measurement and
Description Method and Formula
study
Interventricular Septal Distance in 2D/M General
IVSd
Thickness at End-diastole Measurements
Left Ventricular Internal Distance in 2D/M General
LVIDd
Diameter at End-diastole Measurements
Left Ventricular Posterior
Distance in 2D/M General
LVPWd Wall Thickness at
Measurements
End-diastole

LV Mass (Cube) Left Ventricular Mass *1

LV MASS-I (Cube) Index of Left Ventricular Mass *2

*1 Means:
𝐿𝑉 𝑀𝑎𝑠𝑠(𝑔) = 1.04 × ((𝐿𝑉𝑃𝑊𝑑(𝑐𝑚) + 𝐼𝑉𝑆𝑑(𝑐𝑚) + 𝐿𝑉𝐼𝐷𝑑(𝑐𝑚))3 − 𝐿𝑉𝐼𝑑(𝑐𝑚)3 ) − 13.6
*2 Means:
LV Mass-I (No unit) = LV Mass (g) / Body Surface Area (m2)
LV Mass (A-L)

Measurement and
Description Method and Formula
study
Left Ventricular Epicardial
Distance in 2D/M General
LVAd sax Epi Area at Papillary Muscle level
Measurements
at end-diastole in Short-axis

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view

Left Ventricular Endocardial

Area at Papillary Muscle level Distance in 2D/M General
LVAd sax Endo
at end-diastole in Short-axis Measurements
view
Left Ventricular Long-axis
Distance in 2D/M General
LVLd apical Length at End- diastole in
Measurements
apical view

LV Mass (A-L) Left Ventricular Mass *1

LV MASS-I (A-L) Index of Left Ventricular Mass *2

*1 Means:
LV Mass(g) 1.055/6 ( LVAd sax Epi(cm2 ) (LVLd apical(cm) t(cm))- LVAd sax Endo
(cm2 ) LVL(cm));

𝐿𝑉𝐴𝑑𝑠𝑎𝑥𝐸𝑝𝑖(𝑐𝑚2 ) (𝐿𝑉𝐴𝑑𝑠𝑎𝑥𝐸𝑛𝑑𝑜(𝑐𝑚2 )
𝑡(𝑐𝑚) = √( ) − √( )
𝜋 𝜋

*2 Means:
LV Mass-I (No unit) = LV Mass (g) / Body Surface Area (m2)
LV Mass (T-E)

Measurement and
Description Method and Formula
study
Left Ventricular Epicardial Area
LVAd sax Epi at Papillary Muscle level at Area in 2D General Measurements
end-diastole in Short-axis view
Left Ventricular Endocardial
LVAd sax Endo Area at Papillary Muscle level at Area in 2D General Measurements
end-diastole in Short-axis view
Semi-major axis from widest Distance in 2D General
a
minor axis radius to apex Measurements
Truncated semi-major axis
Distance in 2D General
b from widest minor axis radius to
Measurements
mitral annulus plane

LV Mass (T-E) Left Ventricular Mass *1

LV MASS-I (T-E) Index of Left Ventricular Mass *2

*1 Means:
2(𝑎 + 𝑡) 𝑑3 2𝑎 𝑑3
𝐿𝑉 𝑀𝑎𝑠𝑠(𝑔) = 1.05𝜋 × {(𝑏 + 𝑡)2 × [ +𝑑− ] − 𝑏 2
× ( + 𝑑 − )}
3 3(𝑎 + 𝑡)2 3 3𝑎2

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 8 Measurement

𝐿𝑉𝐴𝑑𝑠𝑎𝑥𝐸𝑝𝑖(𝑐𝑚2 ) (𝐿𝑉𝐴𝑑𝑠𝑎𝑥𝐸𝑛𝑑𝑜(𝑐𝑚2 )
𝑡(𝑐𝑚) = √( ) − √( )
𝜋 𝜋

𝐿𝑉𝐴𝑑𝑠𝑎𝑥𝐸𝑛𝑑𝑜(𝑐𝑚2 )
b(cm) = √
𝜋

*2 Means:
LV Mass-I (No unit) = LV Mass (g) / Body Surface Area (m2)
 Mitral Valve Area (MVA)
Mitral Valve Area (MVA) can be calculated by two methods: pressure half time (PHT) or
velocity- time integral (VTI).
MVA (VTI)

Measurement and
Description Method and Formula
study
Left Ventricular Outflow Tract Distance in 2D General
LVOT Diam
Diameter Measurements
Left Ventricular Outflow Tract D trace in Doppler General
LVOT VTI
Velocity-Time Integral Measurement
Mitral Valve Velocity-Time D trace in Doppler General
MV VTI
Integral Measurement

MVA(VTI) Mitral Valve Area *1

*1 Means:
𝜋 × |𝐿𝑉𝑂𝑇 𝑉𝑇𝐼(𝑐𝑚)| × 𝐿𝑉𝑂𝑇 𝐷𝑖𝑎𝑚(𝑐𝑚2 )2
𝑀𝑉𝐴(𝑉𝑇𝐼)(𝑐𝑚2 ) =
4 × |𝑀𝑉 𝑉𝑇𝐼(𝑐𝑚)|
 AVA (VTI)
Aortic Valve Area (AVA) can be calculated by velocity-time integral (VTI).

Measurement and
Description Method and Formula
study
Left Ventricular Outflow Tract Distance in 2D General
LVOT Diam
Diameter Measurements
Left Ventricular Outflow Tract D trace in Doppler General
LVOT VTI
Velocity-Time Integral measurements
Aortic Valve Velocity-Time D trace in Doppler General
AV VTI
Integral measurements

AVA(VTI) Aortic Valve Area *1

*1 Means:
𝜋 × |𝐿𝑉𝑂𝑇 𝑉𝑇𝐼(𝑐𝑚)| × 𝐿𝑉𝑂𝑇 𝐷𝑖𝑎𝑚(𝑐𝑚2 )2
𝐴𝑉𝐴(𝑉𝑇𝐼)(𝑐𝑚2 ) =
4 × |𝐴𝑉 𝑉𝑇𝐼(𝑐𝑚)|
 LA Vol
LA Vol (A-L)

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Measurement and
Description Method and Formula
study

LA Diam Left Atrium Diameter Distance in 2D General Measurements

Left Atrium Area at apical

LAA(A2C) Area in 2D General Measurements
2-chamber view
Left Atrium Area at apical
LAA(A4C) Area in 2D General Measurements
4-chamber view

LA Vol(A-L) Left Atrium Area *1

*1 Means:
8𝜋
𝐿𝐴 𝑉𝑜𝑙(𝐴 − 𝐿)(𝑚𝑙) = 𝐿𝐴𝐴(𝐴4𝐶)(𝑐𝑚2 ) × 𝐿𝐴𝐴(𝐴2𝐶)(𝑐𝑚2 )/𝐿𝐴 𝐷𝑖𝑎𝑚(𝑐𝑚)
3
LA Vol (Simp)

Measurement and
Description Method and Formula
study
Left Atrium Volume at apical
LA Vol(A2C) Same as Simpson SP measurement
2-chamber view
Left Atrium Volume at apical
LA Vol(A4C) Same as Simpson SP measurement
4-chamber view

 RA Vol (Simp)
Measurement and
Description Method and Formula
study
Right Atrium Volume at apical
RA Vol(A4C) Same as Simpson SP measurement
4-chamber view

 LVIMP
Measurement and
Description Method and Formula
study
Time in M/Doppler General
MV C-O dur Mitral Valve close-open Duration
Measurements
Time in M/Doppler General
LVET Left Ventricular Ejection Time
Measurements
Left Ventricular Index of
LVIMP *1
Myocardial Performance

*1 Means:
𝑀𝑉 𝐶 − 𝑂 𝑑𝑢𝑟(𝑠) − 𝐿𝑉𝐸𝑇(𝑠)
𝐿𝑉𝐼𝑀𝑃(𝑛𝑜 𝑢𝑛𝑖𝑡) =
𝐿𝑉𝐸𝑇(𝑠)
 RVSP
Measurement and
Description Method and Formula
study

TR Vmax Tricuspid Valve Regurgitation D Vel in Doppler General

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 8 Measurement

Measurement and
Description Method and Formula
study
Maximum Velocity Measurements

RAP Right Atrium Pressure Enter manually

Tricuspid Valve Regurgitation

TR PGmax *1
Pressure Gradient
Right Ventricular Systolic
RVSP *2
Pressure

*1 Means:
𝑇𝑅 𝑃𝐺𝑚𝑎𝑥(𝑚𝑚𝐻𝑔) = 4 × 𝑇𝑅 𝑉𝑚𝑎𝑥 (𝑚/𝑠)2
*2 Means:
𝑇𝑉 𝐶 − 𝑂 𝑑𝑢𝑟(𝑠) − 𝑅𝑉𝐸𝑇(𝑠)
𝑅𝑉𝐼𝑀𝑃(𝑛𝑜 𝑢𝑛𝑖𝑡) =
𝑅𝑉𝐸𝑇(𝑠)
 PAEDP
Measurement and
Description Method and Formula
study
Pulmonary Valve Regurgitation D Vel in Doppler General
PR Ved
Velocity at end-Diastole Measurements

RAP Right Atrium Pressure Enter manually

Pulmonary Valve Regurgitation

PR PGed Pressure Gradient at end- /
Diastole
Pulmonary Pressure at end-
PAEDP *1
Diastole

*1 Means:
RVSP(mmHg) RAP(mmHg ) 4 (TR V max(m / s))2
 RV Tei index(RVIMP)

Measurement and
Description Method and Formula
study

Tricuspid Valve close-open Time in Doppler General

TV C-O dur
Duration Measurements
Time in Doppler General
RVET Right Ventricular Ejection Time
Measurements
Right Ventricular Index of
RVIMP *1
Myocardial Performance

*1 Means:
𝑇𝑉 𝐶 − 𝑂 𝑑𝑢𝑟(𝑠) − 𝑅𝑉𝐸𝑇(𝑠)
𝑅𝑉𝐼𝑀𝑃(𝑛𝑜 𝑢𝑛𝑖𝑡) =
𝑅𝑉𝐸𝑇(𝑠)

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 LV Tei index(LVIMP)
Measurement and
Description Method and Formula
study
Time in Doppler General
MV C-O dur Mitral Valve close-open Duration
Measurements
Time in Doppler General
LVET Left Ventricular Ejection Time
Measurements
Left Ventricular Index of
LVIMP *1
Myocardial Performance

*1 Means:
𝑀𝑉 𝐶 − 𝑂 𝑑𝑢𝑟(𝑠) − 𝐿𝑉𝐸𝑇(𝑠)
𝐿𝑉𝐼𝑀𝑃(𝑛𝑜 𝑢𝑛𝑖𝑡) =
𝐿𝑉𝐸𝑇(𝑠)
 PISA
PISA (Proximal Isovelocity Surface Area) is used in quantitative analysis of the mitral valve
regurgitation (PISA MR), aortic valve regurgitation (PISA AR), tricuspid valve regurgitation
(PISA TR), and pulmonary valve regurgitation (PISA PR) in color mode.
PISA MR

NOTE : Only applicable for Color and Doppler modes.

Measurement and
Description Method and Formula
study

MR Rad Mitral Valve Stenosis Radius PISA measurement

Mitral Valve Regurgitation D Trace in Doppler General

MR VTI
Velocity-Time Integral Measurements
You can select to use top aliasing
Mitral Valve Regurgitation
MR Als.Vel velocity or bottom aliasing velocity
Aliasing Maximum Velocity
or input the value directly.
Mitral Regurgitation Maximum Obtained from MR VTI
MR Vmax
Velocity measurement

MR Flow Mitral Regurgitation Flow *1

MR Flow Rate Mitral Regurgitation Flow Rate *2

Mitral Valve Regurgitation

MR Fraction *3
Fraction
Mitral Valve Effective Regurgitant
MR EROA *4
Orifice Area

*1 Means:
2𝜋𝑀𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑀𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
𝑀𝑅 𝐹𝑙𝑜𝑤(𝑚𝑙) = × |𝑀𝑅 𝑉𝑇𝐼(𝑐𝑚)|
|𝑀𝑅𝑉 𝑚𝑎𝑥(𝑐𝑚/𝑠)|
*2 Means:

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 8 Measurement

𝑀𝑅 𝐹𝑙o𝑤 𝑅𝑎𝑡𝑒(𝑚𝑙/𝑠) = 2𝜋 𝑀𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑀𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)

*3 Means:
𝑀𝑅 𝐹𝑙𝑜𝑤(𝑚𝑙)
𝑀𝑅 𝐹𝑟𝑎𝑐𝑡𝑖𝑜𝑛 (𝑛𝑜 𝑢𝑛𝑖𝑡) = × 100%
𝑀𝑉 𝑆𝑉(𝑚𝑙)
*4 Means:
2𝜋𝑀𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑀𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
𝑀𝑅 𝐸𝑅𝑂𝐴(𝑐𝑚)2 =
|𝑀𝑅 𝑉𝑚𝑎𝑥(𝑐𝑚/𝑠)|
PISA AR

NOTE : Only applicable for Color and Doppler modes.

Measurement and
Description Method and Formula
study

AR Rad Aortic Valve Stenosis Radius PISA measurement

Aortic Valve Regurgitation D Trace in Doppler General

AR VTI
Velocity-Time Integral Measurements
You can select to use top aliasing
Aortic Valve Regurgitation
AR Als.Vel velocity or bottom aliasing velocity or
Aliasing Maximum Velocity
input the value directly.
Aortic Regurgitation
AR Vmax Obtained from AR VTI measurement
Maximum Velocity

AR Flow Aortic Regurgitation Flow *1

Aortic Regurgitation Flow

AR Flow Rate *2
Rate
Aortic Valve Regurgitation
AR Fraction *3
Fraction
Aortic Valve Effective
AR EROA *4
Regurgitant Orifice Area

*1 Means:
2𝜋𝐴𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝐴𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
AR Flow(ml) = × |𝐴𝑅 𝑉𝑇𝐼(𝑐𝑚)|
|𝐴𝑅𝑉 max(𝑐𝑚/𝑠)|
*2 Means:
AR Flow Rate(ml/s) = 2π AR Rad(𝑐𝑚)2 × 𝐴𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
*3 Means:
𝐴𝑅 𝐹𝑙𝑜𝑤(𝑚𝑙)
AR Fraction (no unit) = × 100%
𝐴𝑉 𝑆𝑉(𝑚𝑙)
*4 Means:
2𝜋𝐴𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝐴𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
AR EROA(cm)2 =
|𝐴𝑅 𝑉𝑚𝑎𝑥(𝑐𝑚/𝑠)|

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8 Measurement

PISA TR

NOTE : Only applicable for Color and Doppler modes.

Measurement and
Description Method and Formula
study
Tricuspid Valve Stenosis
TR Rad PISA measurement
Radius
Tricuspid Valve Regurgitation D Trace in Doppler General
TR VTI
Velocity-Time Integral Measurements
You can select to use top aliasing
Tricuspid Valve Regurgitation
TR Als.Vel velocity or bottom aliasing velocity or
Aliasing Maximum Velocity
input the value directly.
Tricuspid Regurgitation
TR Vmax Obtained from TR VTI measurement
Maximum Velocity

TR Flow Tricuspid Regurgitation Flow *1

Tricuspid Regurgitation Flow

TR Flow Rate *2
Rate
Tricuspid Valve Regurgitation
TR Fraction *3
Fraction
Tricuspid Valve Effective
TR EROA *4
Regurgitant Orifice Area

*1 Means:
2𝜋𝑇𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑇𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
𝑇𝑅 𝐹𝑙𝑜𝑤(𝑚𝑙) = × |𝑇𝑅 𝑉𝑇𝐼(𝑐𝑚)|
|𝑇𝑅𝑉 𝑚𝑎𝑥(𝑐𝑚/𝑠)|
*2 Means:
𝑇𝑅 𝐹𝑙𝑜𝑤 𝑅𝑎𝑡𝑒(𝑚𝑙/𝑠) = 2𝜋 𝑇𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑇𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
*3 Means:
𝑇𝑅 𝐹𝑙𝑜𝑤(𝑚𝑙)
𝑇𝑅 𝐹𝑟𝑎𝑐𝑡𝑖𝑜𝑛 (𝑛𝑜 𝑢𝑛𝑖𝑡) = × 100%
𝑇𝑉 𝑆𝑉(𝑚𝑙)
*4 Means:
2𝜋𝑇𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑇𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
𝑇𝑅 𝐸𝑅𝑂𝐴(𝑐𝑚)2 =
|𝑇𝑅 𝑉𝑚𝑎𝑥(𝑐𝑚/𝑠)|
PISA PR

NOTE : Only applicable for Color and Doppler modes.

Measurement and
Description Method and Formula
study

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Measurement and
Description Method and Formula
study
Pulmonary Valve Stenosis
PR Rad PISA measurement
Radius
Pulmonary Valve Regurgitation D Trace in Doppler General
PR VTI
Velocity-Time Integral Measurements
You can select to use top aliasing
Pulmonary Valve Regurgitation
PR Als.Vel velocity or bottom aliasing velocity
Aliasing Maximum Velocity
or input the value directly.
Pulmonary Regurgitation Obtained from PR VTI
PR Vmax
Maximum Velocity measurement

PR Flow Pulmonary Regurgitation Flow *1

Pulmonary Regurgitation Flow

PR Flow Rate *2
Rate
Pulmonary Valve Regurgitation
PR Fraction *3
Fraction
Pulmonary Valve Effective
PR EROA *4
Regurgitant Orifice Area

*1 Means:
2𝜋𝑃𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑃𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
𝑃𝑅 𝐹𝑙𝑜𝑤(𝑚𝑙) = × |𝑃𝑅 𝑉𝑇𝐼(𝑐𝑚)|
|𝑃𝑅𝑉 𝑚𝑎𝑥(𝑐𝑚/𝑠)|
*2 Means:
𝑃𝑅 𝐹𝑙𝑜𝑤 𝑅𝑎𝑡𝑒(𝑚𝑙/𝑠) = 2𝜋 𝑃𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑃𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
*3 Means:
𝑃𝑅 𝐹𝑙𝑜𝑤(𝑚𝑙)
𝑃𝑅 𝐹𝑟𝑎𝑐𝑡𝑖𝑜𝑛 (𝑛𝑜 𝑢𝑛𝑖𝑡) = × 100%
𝑃𝑉 𝑆𝑉(𝑚𝑙)
*4 Means:
2𝜋𝑃𝑅 𝑅𝑎𝑑(𝑐𝑚)2 × 𝑃𝑅 𝐴𝑙𝑠. 𝑉𝑒𝑙(𝑐𝑚/𝑠)
𝑃𝑅 𝐸𝑅𝑂𝐴(𝑐𝑚)2 =
|𝑃𝑅 𝑉𝑚𝑎𝑥(𝑐𝑚/𝑠)|
 TDI
Measurement and
Description Method and Formula
study

𝐸𝑎(𝑚𝑒𝑑𝑖𝑎𝑙)
Ea/Aa(medial) MV medial E-Vel/ A-Vel 𝐸𝑎 ⁄𝐴𝑎(𝑚𝑒𝑑𝑖𝑎𝑙)(𝑛𝑜 𝑢𝑛𝑖𝑡) =
𝐴𝑎(𝑚𝑒𝑑𝑖𝑎𝑙)

MV medial E-wave
ATa(medial) Obtained from ARa(medial) measurements
Acceleration Time
MV medial E-wave
DTa(medial) Obtained from DRa(medial) measurements
Deceleration Time

𝐸𝑎(𝑙𝑎𝑡𝑒𝑟𝑎𝑙)
Ea/Aa(lateral) MV lateral E-Vel/ A-Vel 𝐸𝑎 ⁄𝐴𝑎(𝑙𝑎𝑡𝑒𝑟𝑎𝑙)(𝑛𝑜 𝑢𝑛𝑖𝑡) =
𝐴𝑎(𝑙𝑎𝑡𝑒𝑟𝑎𝑙)

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8 Measurement

Measurement and
Description Method and Formula
study
MV lateral E-wave
ATa(lateral) Obtained from ARa(lateral) measurement
Acceleration Time
MV lateral E-wave
DTa(lateral) Obtained from DRa(lateral) measurement
Deceleration Time

8.3.4 Vascular

8.3.4.1 2D Vascular Measurement

Table 36 2D Vascular Measurement

Items Description Methods or Formula

See “8.3.4.3 Vascular Study and

IMT Intima-Media Thickness
Calculation”
See “8.3.4.3 Vascular Study and
Stenosis D Stenosis Diameter
Calculation”
See “8.3.4.3 Vascular Study and
Stenosis A Stenosis Area
Calculation””

8.3.4.2 Doppler Vascular Measurement

Table 37 Doppler Vascular Measurement

Items Description Methods or Formula

CCA Common Carotid Artery See “8.2.3.5 D Trace”

ICA Internal Carotid Artery See “8.2.3.5 D Trace”

ECA External Carotid Artery See “8.2.3.5 D Trace”

Vert A Vertebral Artery See “8.2.3.5 D Trace”

Subclav A Subclavian Artery See “8.2.3.5 D Trace”

ICA/ CCA / See “8.2.3.5 D Trace”

Subclav A Subclavian Artery See “8.2.3.5 D Trace”

Axill A Axillary Artery See “8.2.3.5 D Trace”

Brachial A Brachial Artery See “8.2.3.5 D Trace”

Ulnar A Ulnar Artery See “8.2.3.5 D Trace”

Radial A Radial Artery See “8.2.3.5 D Trace”

Innom A Innominate Artery See “8.2.3.5 D Trace”

Subclav V Subclavian Vein See “8.2.3.5 D Trace”

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 8 Measurement

Items Description Methods or Formula

Axill V Axillary Vein See “8.2.3.5 D Trace”

Cephalic V Cephalic Vein See “8.2.3.5 D Trace”

Basilic V Basilic Vein See “8.2.3.5 D Trace”

Ulnar V Ulnar Vein See “8.2.3.5 D Trace”

Radial V Radial Vein See “8.2.3.5 D Trace”

Abdominal Aorta / See “8.2.3.5 D Trace”

C.Iliac A Common Iliac Artery See “8.2.3.5 D Trace”

IIA Internal Iliac Artery See “8.2.3.5 D Trace”

Ex.Iliac A External Iliac Artery See “8.2.3.5 D Trace”

CFA Common Femoral Artery See “8.2.3.5 D Trace”

SFA Superficial Femoral Artery See “8.2.3.5 D Trace”

DFA Deep Femoral Artery See “8.2.3.5 D Trace”

Pop A Popliteal Artery See “8.2.3.5 D Trace”

TP Trunk A Tibial Peroneal Trunk Artery See “8.2.3.5 D Trace”

P.Tib A Posterior TibialArtery See “8.2.3.5 D Trace”

Dors.Ped A Dorsalis Pedis Artery See “8.2.3.5 D Trace”

Peroneal A Peroneal Artery See “8.2.3.5 D Trace”

A.Tib A Anterior TibialArtery See “8.2.3.5 D Trace”

IVC Inferior Vena Cava See “8.2.3.5 D Trace”

C.Iliac V Common Iliac Vein See “8.2.3.5 D Trace”

IIV Internal Iliac Vein See “8.2.3.5 D Trace”

Ex.Iliac V External Iliac Vein See “8.2.3.5 D Trace”

CFV Common Femoral Vein See “8.2.3.5 D Trace”

SFV Superficial Femoral Vein See “8.2.3.5 D Trace”

DFV Deep Femoral Vein See “8.2.3.5 D Trace”

Saph V Great Saphenous Vein See “8.2.3.5 D Trace”

Pop V Popliteal Vein See “8.2.3.5 D Trace”

TP Trunk V Tibial Peroneal Trunk Vein See “8.2.3.5 D Trace”

127
8 Measurement

Items Description Methods or Formula

P.Tib V Posterior Tibial Vein See “8.2.3.5 D Trace”

Peroneal V Peroneal Vein See “8.2.3.5 D Trace”

A.Tib V Anterior Tibial Vein See “8.2.3.5 D Trace”

Sural V Sural Vein See “8.2.3.5 D Trace”

Soleal V Soleal Vein See “8.2.3.5 D Trace”

MCA Middle Cerebral Artery See “8.2.3.5 D Trace”

ACA Anterior Cerebral Artery See “8.2.3.5 D Trace”

PCA Posterior Cerebral Artery See “8.2.3.5 D Trace”

AComA Ant.communicating br. See “8.2.3.5 D Trace”

PComA Post.communicating br. See “8.2.3.5 D Trace”

BA Basilar Artery See “8.2.3.5 D Trace”

8.3.4.3 Vascular Study and Calculation

 IMT
IMT (Intima-Media Thickness) refers to the vertical dimension between LI (Lumen-Intima)
and MA (Media-Adventia).
Perform the following steps:
1. In 2D mode ， press the [Caliper] button on the control panel to start
measurement.
2. Click [IMT] in the measurement menu and the ROI box appears.
3. Press the [Set] button and move the trackball together to adjust the vertex
position of the ROI box.
4. Roll the trackball to adjust the ROI area and then press the [Set] button. Two
auto trace lines appear in the ROI box. Results are displayed in the result
window.
NOTE:  Please freeze the image before starting IMT measurement.
 MT measurement is available for linear array image only.
 Make sure that you select the right vessel wall (Near/ Far) before
IMT measurement; otherwise wrong calculation may result.

 Stenosis D
Measure Normal Diam and Resid Diam, calculates Stenosis D.
𝑆𝑡𝑒𝑛𝑜𝑠𝑖𝑠 𝐷 = (𝐷1 − 𝐷2 )⁄𝐷1 × 100%
Where D1 is Normal Diam and D2 is Resid Diam.

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 Stenosis A
Measure Normal Area and Resid Area, calculates Stenosis A.
𝑆𝑡𝑒𝑛𝑜𝑠𝑖𝑠 𝐴 = (𝐴1 − 𝐴2 )/𝐴1 × 100%
Where A1 is Normal Area and A2 is Resid Area.
 ICA/CCA(PS)
Measure the flow velocity ratio between ICA and CCA to calculate the stenosis.
Measure PS value of ICA and CCA distal by D trace method of Doppler general
measurement, and the system automatically calculates the stenosis.
 ABI
Measure the Ankle Systolic Pressure (ASP) and Brachial Systolic Pressure (BSP) on
Doppler image to calculate Ankle Brachial Index (ABI)
Formula: ABI = ASP/BSP

8.3.5 Gynecology

8.3.5.1 2D Gynecology Measurement

The measurement items, calculation items and measurement method for 2D gynecology
measurement are shown in the table below.
Table 38 2D Gynecology Measurement
Items Description Methods or Formula

UT L Uterine Length See “8.2.1.1 Distance”

UT H Uterine Height See “8.2.1.1 Distance”

UT W Uterine Width See “8.2.1.1 Distance”

Endo Endometrium Thickness See “8.2.1.1 Distance”

UT Vol UT Volume
See “8.3.5.2 Gynecology Study
and Calculation”
Uterus Body /

Cervix L Uterine Cervix Length

Cervix H Uterine Cervix Height See “8.2.1.1 Distance”

Cervix W Uterine Cervix Width

UT-L/ CX-L Uterine Length /Cervix See “8.3.5.2 Gynecology Study

Length and Calculation”

Ovary L Ovary Length

See “8.2.1.1 Distance”
Ovary H Ovary Height

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8 Measurement

Items Description Methods or Formula

Ovary W Ovary Width

Ovary Vol Ovary Volume See “8.3.5.2 Gynecology Study

and Calculation”

Follicle1~16 L Follicle 1~16 Length

Follicle1~16 W Follicle 1~16 Width See “8.2.1.1 Distance”

Follicle1~16 H Follicle1~16 Height

Follicle Volume /
See “8.3.5.2 Gynecology Study
and Calculation”
Follicle Average Diameter /

AF Amnionic Fluid See “8.2.1.1 Distance”

AFI Amnionic Fluid Index See “8.3.5.2 Gynecology Study

and Calculation”

8.3.5.2 Gynecology Study and Calculation

Table 39 Gynecology Study and Calculation

Description Methods or Formula

UT Vol Measures the UT L, UT H and UT W, calculates UT Vol and Uterus

Body.
Uterus Body Uterus Body (cm) = UT L (cm) + UT H (cm) + UT W (cm)

UT-L/ CX-L UT-L/CX-L (No unit) = UT L (cm) / Cervix L (cm)

Ovary Vol Measure the Ovary L, Ovary H and Ovary W, calculates Ovary Vol

Follicle Volume See “Table 27 Follicle Study and Calculation” below.

Average Diameter See “Table 27 Follicle Study and Calculation” below.

AFI AFI= AF1+AF2+AF3+AF4

Table 40 Follicle Study and Calculation

Item Method Formula

2-distance 𝐴𝑣𝑒𝑟𝑎𝑔𝑒 𝐷𝑖𝑎𝑚 = (𝐿𝑒𝑛𝑔𝑡ℎ + 𝑊𝑖𝑑𝑡ℎ)⁄2

Average Diameter
𝐴𝑣𝑒𝑟𝑎𝑔𝑒 𝐷𝑖𝑎𝑚 = (𝐿𝑒𝑛𝑔𝑡ℎ + 𝑊𝑖𝑑𝑡ℎ + 𝐻𝑒𝑖𝑔ℎ𝑡)
3-distance
⁄3

1-distance 𝑉𝑜𝑙 = 𝜋/6(𝐿𝑒𝑛𝑔𝑡ℎ)3

Follicle Volume
2-distance 𝑉𝑜𝑙 = 𝜋/6(𝐿𝑒𝑛𝑔𝑡ℎ)2 × 𝑊𝑖𝑑𝑡ℎ

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3-distance 𝑉𝑜𝑙 = 𝜋/6 𝐿𝑒𝑛𝑔𝑡ℎ × 𝑊𝑖𝑑𝑡ℎ × 𝐻𝑒𝑖𝑔ℎ𝑡

 Preset the formula for follicle calculation, refer to “4.2.4 Application” for details.

8.3.6 Urology

8.3.6.1 2D Urology Measurements

The measurement items, calculation items and measurement method for 2D Urology
measurement are shown in the table below.
Table 41 2D Urology Measurements
Items Description Methods or Formula

Renal L Renal Length See “8.2.1.1 Distance”

Renal H Renal Height See “8.2.1.1 Distance”

Renal W Renal Width See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Renal Vol Renal Volume
Calculation”

Cortex Renal Cortical Thickness See “8.2.1.1 Distance”

Prostate L Prostate Length See “8.2.1.1 Distance”

Prostate H Prostate Height See “8.2.1.1 Distance”

Prostate W Prostate Width See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Prostate Vol Prostate Volume
Calculation”

Seminal L Seminal Vesicle Length See “8.2.1.1 Distance”

Seminal H Seminal Vesicle Height See “8.2.1.1 Distance”

Seminal W Seminal Vesicle Width See “8.2.1.1 Distance”

Pre-BL L Pre-void Bladder Length See “8.2.1.1 Distance”

Pre-BL H Pre-void Bladder Height See “8.2.1.1 Distance”

Pre-BL W Pre-void Bladder Width See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Pre-BL Vol Pre-void Bladder Volume
Calculation”

Post-BL L Post-void Bladder Length See “8.2.1.1 Distance”

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Items Description Methods or Formula

Post-BL H Post-void Bladder Height See “8.2.1.1 Distance”

Post-BL W Post-void Bladder Width See “8.2.1.1 Distance”

See “8.3.6.3 Urology Study and

Post-BL Vol Post-void Bladder Volume
Calculation”

See “8.3.6.3 Urology Study and

Mictur.Vol Micturated Volume
Calculation”

8.3.6.2 Doppler Urology Measurement

The measurement items, calculation items and measurement method for Doppler Urology
measurement are shown in the table below.
Table 42 Doppler Urology Measurement
Items Description Methods or Formula

Testis A Testis Aorta See “8.2.3.5 D Trace”

Testis V Testis Vein See “8.2.3.5 D Trace”

Epididymis A Epididymis Aorta See “8.2.3.5 D Trace”

Epididymis V Epididymis Vein See “8.2.3.5 D Trace”

8.3.6.3 Urology Study and Calculation

Table 43 Urology Study and Calculation

Items Description Methods or Formula

Measure the Renal L, Renal H and

Renal Vol Renal Volume
Renal W, calculates Renal Vol
Measure the Prostate L, Prostate H
Prostate Vol Prostate Volume and Prostate W, calculates Prostate
Vol
Measure the Pre-BL L, Pre-BL H and
Pre-BL Vol Pre-void Bladder Volume
Pre-BL W, calculates the Pre-BL Vol
Measure the Post-BL L, Post-BL H and
Post-BL Vol Post-void Bladder Volume
Post-BL W, calculates the Post-BL Vol
Measure the Pre-BL Vol and Post-BL
Mictur.Vol Micturated Volume
Vol, calculates the Mictur.Vol

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8.3.7 Small Parts

8.3.7.1 2D Small Parts Measurement

The measurement items, calculation items and measurement method for 2D small parts
measurement are shown in the table below.
Table 44 2D Small Parts Measurement
Items Description Methods or Formula

Thyroid L Thyroid Length See “8.2.1.1 Distance”

Thyroid H Thyroid Height See “8.2.1.1 Distance”

Thyroid W Thyroid Width See “8.2.1.1 Distance”

See “8.3.7.3 SMP Study and

Thyroid Vol Thyroid Volume
Calculation”

Isthmus H Isthmus height See “8.2.1.1 Distance”

Thyroid Mass 1~3 d1 / See “8.2.1.1 Distance”

Thyroid Mass 1~3 d2 / See “8.2.1.1 Distance”

Thyroid Mass 1~3 d3 / See “8.2.1.1 Distance”

Testis L Testicular Length See “8.2.1.1 Distance”

Testis H Testicular Height See “8.2.1.1 Distance”

Testis W Testicular Width See “8.2.1.1 Distance”

See “8.3.7.3 SMP Study and

Testis Vol Testicular Volume
Calculation”

Testis Mass1 d1-3 / See “8.2.1.1 Distance”

Testis Mass2 d1-3 / See “8.2.1.1 Distance”

Testis Mass3 d1-3 / See “8.2.1.1 Distance”

Epididymis L Epididymis Length See “8.2.1.1 Distance”

Epididymis W Epididymis Width See “8.2.1.1 Distance”

Epididymis H Epididymis Height See “8.2.1.1 Distance”

Scrotal Wall Thickness / See “8.2.1.1 Distance”

Mass1~10 L Mass Length See “8.2.1.1 Distance”

Mass1~10 W Mass Width See “8.2.1.1 Distance”

Mass1~10 H Mass Height See “8.2.1.1 Distance”

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Items Description Methods or Formula

Distance between nipple

Nip.-Mass 1~10 Dist. See “8.2.1.1 Distance”
and mass
Distance between skin and
Skin-Mass 1~10 Dist. See “8.2.1.1 Distance”
mass

8.3.7.2 Doppler Small Parts Measurement

The measurement items, calculation items and measurement method for Doppler small
parts measurement are shown in the table below.

Items Description Methods or Formula

STA Superior Thyroid Artery See “8.2.3.5 D Trace”

ITA Inferior Thyroid Artery See “8.2.3.5 D Trace”

8.3.7.3 SMP Study and Calculation

Table 45 Small Parts Study and Calculation

Items Description Methods or Formula

Thyroid Vol (cm3) = k × Thyroid L(cm)

Thyroid Vol Thyroid Volume × Thyroid H (cm) × Thyroid W(cm)
Where，k= 0.479 or 0.523
Measure the Testis L, Testis H and
Testis Vol Testicular Volume
Testis W, calculates Testis Vol

8.3.8 Orthopedics

8.3.8.1 2D Orthopedics Measurement

Table 46 2D Orthopedics Measurement

Item Sub-items Methods or Formula

See “8.3.8.2 Orthopedics Study

HIP
and Calculation”

See “8.3.8.2 Orthopedics Study

HIPα
and Calculation”
HIP(Hip Joint Angle)
See “8.3.8.2 Orthopedics Study
HIPβ
and Calculation”

See “8.3.8.2 Orthopedics Study

HIP-Graf
and Calculation”

d/D / See “8.3.8.2 Orthopedics Study

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Item Sub-items Methods or Formula

and Calculation”

8.3.8.2 Orthopedics Study and Calculation

 HIP
HIP (Hip Joint Angle) measurement is used in pediatric orthopedics to provide early
diagnosis for infant hip joint dislocation. In this measurement, three straight lines need to
be set in turn, which are the baseline (BL), roof line (RL), and inclination line (IL). As well
as two angles, which are α (the angle between BL and RL) and β (the angle between BL
and IL)
Perform the following steps:
1. Start application measurement.
2. Select [Side] by pressing [ ] or [ ] button and then rotate the [Value] knob to
set the HIP orientation.
3. Click [HIP] from the measurement menu.
4. The baseline (BL) appears. Use the trackball to move the line to the position of
the hip joint. Select [Angle] by pressing [ ] or [ ] button and then rotate the
[Value] knob to adjust the baseline angle and then press the [Set] button to fix
the baseline. The roof line (RL) appears.
5. Repeat step 4 to adjust the roof line (RL) and inclination line (IL). The system
automatically calculates the hip joint α and hip joint β and displays them in the
result window.
6. Enter patient age and dislocation type will be displayed together.
7. Select [Hip (α)] or [Hip (β)] to measure the angles of α and β respectively.
 HIP-Graf
The measure method is the same as “HIP”.
Dislocation type can be determined through Graf method, as shown in the following table.
Table 47 Graf Method
Dislocation Criteria
Result
Type α β Patient

I α≥60 β＜77 All ages I

Younger than three months of

50≤α≤59 IIa
age
Three months of age or older
II 50≤α≤59 β＜55 IIb
than three months
43≤α≤49 β≤77 All ages IIc

43≤α≤49 β＞77 All ages IId

III α＜43 β＞77 All ages III

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Quantitative angle measurement

IV All
cannot be performed. All ages

Others Others All ages ?????

 d/D
Measure the distance between baseline and bottom line of the osseous acetabular and
maximum width of hip to estimate the hip osseous acetabular coverage.
Perform the following steps:
1. Start application measurement.
2. Select [Side] by pressing [ ] or [ ] button and then rotate the [Value] knob to
select the HIP orientation.
3. Click [d/D] from the measurement menu and the cursor appears.
4. Move the trackball to measure the maximum width of HIP (D) and the distance
between the baseline and bottom line of the osseous acetabular (d). The system
automatically calculates d / D and displays the result in the result window.

8.3.9 Emergency
The emergency measurement package contains commonly used measurement items
under the corresponding mode.
For the measurement method, please refer to the measurement section of each part.

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9 Report
After the measurement is completed, the relevant measurement data will be displayed in
the report.

9.1 View the Report

Press the [Report] button on the control panel to enter the Report screen of current
patient. The default template of the current exam is displayed by default.

Figure 33 Report Screen

NOTE :  The report shows the three latest values and a final value for the
measurement.
 The report only displays the measurement data displayed by default for
the corresponding template.
Table 48 Button Functions
Item Description

Print Click to print the current report

Preview Click to preview the current report

Setting Click to open the print Setting Dialog box

Load Report Click to preview, export or print a saved report

Save Report Click to save the current report in PDF

Add Image Click to open the image gallery

Previous/ Click [Previous] or [Next] to flip the pages if the report has more than one
Next page

Export Click to open the Export Wizard

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Item Description

Clear Click to delete comments

Save Click to save current setting and return to the Home screen

Cancel Click to cancel all modifications and return to the Home screen

9.2 Edit the Report

9.2.1 Edit the Measurement Data

Incorrect data may cause misdiagnosis. Please modify the

measurement data carefully.

Note:  Only measurement results can be edited; calculation results

cannot be edited.
 Once the measurement result is modified, the average value
and the corresponding calculated value will automatically
update.

Perform the following steps:

1. After the measurement is completed, press [Report] on the control panel to
enter the Report screen. The corresponding report of current exam displays.
2. To view other patient reports, click the [Report Type] drop-down box to select
the corresponding report.
3. Click the [Method] drop-down box to set the method for calculating the final
value. The value is updated and displayed according to the calculation formula
selected.
Item Description

Last Display the latest value of the measurement

Avg Display the average value of the measurement

Max Display the maximum value of the measurement

Min Display the minimum value of the measurement

Note: The calculation formula of GA and standard deviation should be

preset for obstetric Report
4. Move the cursor to the value you want to edit and press the [Set] button.
5. Delete the value via <←> key on the keyboard and enter the new value.
6. After editing, click [Save] to save the current report and return to the Home
screen.

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9.2.2 Add Comments

Perform the following steps:
1. Move the cursor over the comment box and press the [Set] button.
Note: The comment box is at the bottom of the report page. For reports
with more than one page, please click [Next] to view the
comments.
2. Enter comments in the comment box.

9.2.3 Add Image

Images saved in the current exam can be added to the report.
Perform the following steps:
1. Click [Add Image] to open the Image gallery. The column on the left displays the
saved ultrasonic images and the list on the right displays the selected ultrasonic
images.
2. Add or remove Images.
Operation Description

Add 1） Select an image from the left column.

Image 2） Click [>] to add the selected image of the left column to the right column.

Remove 1） Select an image from the right column.

Image 2） Click [<] to remove the selected image of the right column to the left column.

3. Click [Save] to complete image adding or removal.

9.3 Review the Report

Click [Review Report] to view the report.

Note: When reviewing, reports cannot be edited.

9.4 Print the Report

Click [Print] to print current report.

Note: Add the printer service prior to printing the report.

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9.5 Backup the Report

9.5.1 Load
Click [Load Report] to download existed report.

9.5.2 Export
Click [Export] to open the Export Wizard and set relevant parameters, click [OK] to export
the current report.

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10 Patient Data Management

After the patient image is acquired and processed, you can store and review the patient
image and can backup the patient data to a USB storage device or DICOM server for
future viewing.

10.1 Storage
Image and cine are saved to the system by default. You can also choose to save the
image and cine to a USB storage device.
Export your data to a removable device or DICOM server is available if needed. Refer to
“10.5 Exporting Image/Data” for details.

10.1.1Image Storage
In freeze or real-time status, press the [Save Img] button on the control panel, the system
will automatically save the current image to the current patient database. You can also
enter the review screen to view the image and cine by pressing the [File] button on the
control panel.
The system saves the full-screen image by default (including parameters, comments,
measurement items, etc.), and you can also set to save only the image area. For details,
refer to “4.2.3 Image”.

10.1.2Cine Storage
In the freeze or real-time status, press the [Save Cine] button on the control panel, the
system will automatically save the cine to the current patient database.

10.2 Image Viewing

Previous patient images/data can be viewed through the Station screen, and current
patient images and data can also be viewed through other screens.

10.2.1Current Patient
Image and cine of current patient can be viewed through the Review screen and Station
screen.

10.2.1.1 Through Review Screen

1. Press the [File] button on the control panel to enter the Review screen of current
patient.

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Figure 34 Review Screen

2. Roll the trackball, move the cursor to the desire thumbnail, double-click the [Set]
button, and the screen displays the image in original size.

10.2.1.2 Though Station Screen

1. Press the [File] button on the control panel to enter the Review screen and then
click [Station] to enter the Station screen. The current patient is selected by
default in the patient information list, and the clipboard displays the thumbnail
image of the patient.

Figure 35 Station Screen

2. Move the cursor to the desired thumbnail image and double-click the [Set] button
to enter the Home screen to view the image in original size.

10.2.2Previous Patient
To view data of previous patient through Station screen:

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1. Press the [File] button on the control panel to enter the Review screen and then
click [Station] to enter the Station screen.
2. Search the target patient.

 Select the data source and search item, enter the keyword to search the target patient.

 Drop down the scroll bar on the right side of the patient information list to locate the

target patient.

3. Select the target patient and press the [Set] button to open the operation menu
and perform operations as needed.

10.2.2.1 Patient Information

Open the operation menu and click [Patient Info] to enter the Patient screen to check
basic information and exam information of current patient.

10.2.2.2 Image

 The clipboard displays the thumbnail image of the patient. Click / to

scroll through the thumbnail images, move the cursor to the desired image, and
double-click the [Set] button to view the image.
 Or open the operation menu and click [Review Image] to enter the Review
screen, move the cursor to the desired image and double-click the [Set] button to
view the image.

10.2.2.3 Report

Open the operation menu and click [Review Report] to view the report.

10.3 Delete Image/Data

10.3.1Certain Patient
To delete certain patient image/data, please perform the following steps:
1. Press the [File] button on the control panel to enter the Review screen and then
click [Station] to enter the Station screen.
2. Search desired patient

 Select the data source and search item, enter the keyword to search the desired

patient.

 Search the desired patient in the patient list.

3. Select desired patient.

 Roll the trackball over the desired patient, press the [Set] button.

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4. Delete patient image/data.

 Delete image: move the cursor to the image to be deleted, click the delete icon

to delete the image; or open the operation menu and then select [Review

Image] to enter the Patient screen and delete image.

 Delete patient data: open the operation menu and select [Delete Exam], and then click

[OK] in the pop-up dialog box to delete the patient data.

10.3.2All Patients
To delete all patients’ image/data, please perform the following steps:
1. Press the [File] button on the control panel to enter the Review screen and then
click [Station] to enter the Station screen.
2. Click [Select All] to select all patients.
3. Open the operation menu, select [Delete Exam], and then click [OK] in the
pop-up dialog box to delete the patient data.

10.4 Image/Data Recovery

The deleted patient data will be cached in the recycle bin. Due to the space limitations of
the hard disk, the recycle bin can only cache the most recently deleted patient data.
To recovery image/data, please perform the following steps:

1. Click on the status bar to enter the recycle bin screen.

2. Scroll the right slider bar to select desire patient image or data.

 Click [Restore] to restore the selected image/data.

 Click [Restore All] to restore all images and data.

 Click [Delete] to delete the selected image/data.

 Click [Delete All] to delete all images and data.

10.5 Exporting Image/Data

The system supports exporting patient information, image and report to a USB storage
device or DICOM server.

NOTE :  The data in this system is exported to USB storage devices in image
format with different resolution, so the exported image is not the same as

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the image displayed on the monitor.

 When connecting the external media, please check if the status bar
displays the corresponding icon. If the icon is not displayed, re-connect
the external media.

10.5.1Exporting to USB Storage Device

10.5.1.1 Export Patient Data to USB Storage Device

Perform the following steps:

1. Connect the USB storage device to the system via the USB port and the status

bar displays the icon.

2. Enter the Station screen.
3. Select the patient information you want to export.

 Select the desired patient: search the patient information via the search items in the

patient list.

 Select all patients: click [Select All].

4. Click [Export Exam] to open the Export Exam dialog box.

5. Set the export parameter.

Click [Destination] drop-down box to select export destination.

Check [Original Format] or [DICOM Format] to select the export format.

Select the cine zoom mode, cine compression mode, and cine compression
ratio.

Set whether to delete local patient exam information after export.

 Select [Delete after Exporting], and then click [Delete Exams] to delete patient data.

 Select [Delete after Exporting], and then click [Delete Images] to delete patient

image.

6. Click [Export] to export exam.

10.5.1.2 Remove the USB Storage Device

Move the cursor over the status bar icon , press the [Set] button, and click [Remove]
in the pop-up menu to safely remove the USB storage device.

10.5.2Exporting to DICOM Server

The DICOM Server is purchasable. Please confirm the function is purchased and installed
before use. Export patient images to the DICOM server, refer to “11.2.1 DICOM Storage”
for details.

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11 DICOM
Digital Imaging and Communications in Medicine (DICOM) Standard is an international
normative protocol for communication of medical digital images. DICOM service enables
you to:

 Search for patient information archived on the DICOM server (working list) and
copy the patient information to the device for reviewing.
 Send patient information and images on the system to the DICOM storage
server.
 Send the image saved on the ultrasound system to the DICOM print server for
image printing.
NOTE : The DICOM Server is purchasable. Please confirm the function is purchased
and installed before use.

11.1 DICOM Preset

11.1.1DICOM Local Preset

Preset the network properties for DICOM server connection.
Enter the DICOM local preset screen via [Preset] → [Network Preset] → [DICOM
Local].

Figure 36 DICOM Local Preset

Table 49 DICOM Local Preset
Item Description

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 11 DICOM

Item Description

Application Entity title which is used for device identification. The AE

AE TITLE title should be consistent with that of the acceptable SCU preset in
the server.

Port Always the same as the server port.

PDU The maximum PDU data package size.

Device Name of the device supporting DICOM services.

IP IP address of the DICOM Server.

Add Add the server to the server list.

Ping Check network connectivity between the system and DICOM server.

Device List Display the added devices.

DICOM Service Set the DICOM servers. For details, refer to “11.1.2 Service Preset”.

Delete Remove the selected server from the device list.

To connect DICOM server, perform the following steps:

1. Use a network cable to connect the device to the LAN where the DICOM server
is located.
2. Set the local network. ( Refer to “4.5 Network Preset” for details)
3. Set DICOM server properties.

 Enter the AE title, port, PDU, device name and IP address.

4. Click [Add] to add the server to the device list.

5. Click [Ping] to check the connection, the prompt information is displayed in the
status bar at the bottom of the screen.
6. Click [Save] to save current setting and return to the Home screen.
NOTE : The AE Title should be consistent with the SCU AE Title preset in the server
(PACS/RIS/HIS), for example, if the AE Title preset of the printer server is
“Printer”, and the SCU AE Title is “Machine”, then the AE Title of local should
be “Machine” in the figure above, while the AE Title of the printer server
should be “Printer”.

11.1.2Service Preset
The service preset is mainly used to add or delete DICOM services in a DICOM server, set
the service name, port address, and so on.
DICOM service consists of Storage, Print, Worklist, MPPS, Storage Commitment, and
Query/Retrieve.

11.1.2.1 Storage

Storage server connection properties and image storage format settings can be found in

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the Storage Service Preset screen.

Enter the Storage Service Preset screen via [Preset] → [Network Preset] → [DICOM
Service] → [Storage].

Figure 37 DICOM Service-Storage

Table 50 DICOM Service-Storage
Item Description

Device Click the drop-down box to select an added device.

Service Name Enter a service name.Default is storage-default.

Enter the AE title. The AE Title here should be consistent with that of
AE Title
the storage server.

Port Enter the port number for the storage server.

Maximum Retries Set the maximum retries.

Interval Time (Sec) Set the interval time for connection retry.

Refers to the amount of time after which the system will stop trying to
Timeout (Sec)
establish a connection to the service.

Cine Zoom Mode Select the cine zoom mode.

Compression Mode Select the compression mode.

Compression Ratio Select the compression ratio.

Color Mode Select the color mode.

Allow Multiframe Select if support multiframe saving.

Max Frame Rate Set the frame range of transferring cin file into DCM multiframe file.

Storage Options Enable or disable structured reporting sending.

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Item Description

Select whether to encapsulate PDF reports in DICOM standard

Encapsulated PDF
format.

Add Add a server to the server list.

Cancel Cancel parameter preset.

Select a server in the service list, change the parameters and click
Update
[Update] to update the parameters of the server.

Service list Display the connected storage server list.

Delete Remove the selected server from the device list

Select an item in the server list as the default server, and the default
Default
server is marked with a “Y”.
Verify the network connectivity between the system and storage
Verify
server.

 Preset Storage Server

To preset a storage server, please perform the following steps:
1. Click [Device] drop-down box to select an added device.
2. Enter AE Title which is consistent with that of the storage server, port and other
properties.
3. Select certain service in the service list; click [Verify] to verify the network
connectivity.
4. Click [Save], the system saves the settings and returns to the Home screen.
NOTE : Not all SCP support verification. Please confirm whether the SCP
supports the verification before verification.

 Change Server Parameters

1. Double click the server you want to change parameter to display parameter
dialog.
2. Change the parameters as needed, and click [Update] to update and save the
current parameters.
 Set Default Server
Select a server in the service list, click [Default] and the default server is marked with a
“Y”.

11.1.2.2 Print

Service and print attributes, and print server connection can be found in print service
screen. Print server setting is similar to storage server setting, refer to “11.1.2.1 Storage”
for details.
Enter the print service preset screen via [Preset] → [Network Preset] → [DICOM
Service] → [Print].

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11 DICOM

Figure 38 DICOM Service-Print

Table 51 DICOM Service-Print
Item Description

Device Click the drop-down box to select an added device.

Service name Enter a service name. Default is print-default.

Enter the AE title. The AE Title here should be consistent with that of
AE Title
the worklist server.

Port Enter the port number for the print server.

Maximum Retries Set the maximum retries.

Interval Time (Sec) Set the interval time for connection retry.

Refers to the amount of time after which the system will stop trying to
Timeout (Sec)
establish a connection to the service.

Copies Copies of each page.

Settings Set the printer type of the printer.

Film Orientation Set the film orientation.

Priority Set the priority of color printing.

Film Size Set the film size.

Specify the quantity of images per page to print.

Display Format
E.g. STANDARD\2, 3 means 6 images are printed for each page.

Medium Type Set the medium type of the printer.

Trim Set whether to print the trim box around each image of the film.

Min Density Enter the minimum density of the film.

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Item Description

Max Density Enter the maximum density of the film.

Configuration Info Enter configuration information.

Print Target Set where the file is exposed.

Magnification Type Set the magnification type for image printing.

Add Add a server to the server list.

Cancel Cancel parameter preset.

Select a server in the service list, change the parameters and click
Update
[Update] to update the parameters of the server.

Service list Display the connected print server list.

Delete Remove the selected server from the device list

Select an item in the server list as the default server, and the default
Default
server is marked with a“Y”.
Verify the network connectivity between the system and the print
Verify
server.

Set the print attribute related parameters based on the actual printer requirements, for
example:

 If the printer does not support [Film Size] as 8N*10N, do not set this size to the
printer film size.
 As to [Medium Type], Blue Film or Clear Film is usually used for black and white
printing, and Paper is usually used for color printing. For details, please refer to
the printer conformance statement.
 Other parameters can be reminded as default. If the printer has special
requirements, please change the parameters according to the requirements of
the printer.

11.1.2.3 Worklist

Worklist server connection properties and relevant settings can be found in the worklist
service preset screen.Worklist server setting is similar to storage server setting, refer to
“11.1.2.1 Storage” for details.
Enter the worklist service preset screen via [Preset] → [Network Preset] → [DICOM
Service] → [Worklist].

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Figure 39 DICOM Service-Worklist

Table 52 DICOM Service-Worklist
Item Description

Device Click the drop-down box to select an added device.

Service name Enter a service name. Default is worklist-default.

Enter the AE title. The AE Title here should be consistent with that of
AE Title
the worklist server.

Port Enter the port number for the worklist server.

Maximum Retries Set the maximum retries.

Interval Time (Sec) Set the interval time for connection retry.

Refers to the amount of time after which the system will stop trying to
Timeout (Sec)
establish a connection to the service.

Add Add a server to the server list.

Cancel Cancel parameter preset.

Select a server in the service list, change the parameters and click
Update
[Update] to update the parameters of the server.

Service list Display the connected worklist server list.

Delete Remove the selected server from the device list

Select an item in the server list as the default server, and the default
Default
server is marked with a “Y”.
Verify the network connectivity between the system and the worklist
Verify
server.

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11.1.2.4 MPPS

MPPS server connection properties and relevant settings can be found in the MPPS
service preset screen. MPPS server setting is similar to storage server setting, refer to
“11.1.2.1 Storage” for details.
Enter the MPPS service preset screen via [Preset] → [Network Preset] → [DICOM
Service] → [MPPS].

NOTE : When using MPPS, you need to set the MPPS server as the default server.

Figure 40 DICOM Service-MPPS

Table 53 DICOM Service-MPPS
Item Description

Device Click the drop-down box to select an added device.

Service name Enter a service name. Default is mpps-default.

Enter the AE title. The AE Title here should be consistent with that of
AE Title
the mpps server.

Port Enter the port number for the mpps server.

Maximum Retries Set the maximum retries.

Interval Time (Sec) Set the interval time for connection retry.

Refers to the amount of time after which the system will stop trying to
Timeout (Sec)
establish a connection to the service.

Add Add a server to the server list.

Cancel Cancel parameter preset.

Select a server in the service list, change the parameters and click
Update
[Update] to update the parameters of the server.

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Item Description

Service list Display the connected mpps server list.

Verify the network connectivity between the system and the mpps
Verify
server.

11.1.2.5 Storage Commitment Preset

Storage Commitment server connection properties and relevant settings can be found in
the storage commitment service preset screen. Storage commitment server setting is
similar to storage server setting, refer to “11.1.2.1 Storage” for details.
Enter the MPPS service preset screen via [Preset] → [Network Preset] → [DICOM
Service] → [Storage Commitment].

Figure 41 DICOM Service-Storage Commitment

Table 54 DICOM Service-Storage Commitment
Item Description

Device Click the drop-down box to select an added device.

Service Name Enter a service name. Default is sc -default.

Enter the AE title. The AE Title here should be consistent with that of
AE Title
the storage commitment server.

Port Enter the port number for the storage commitment server.

Maximum Retries Set the maximum retries.

Interval Time (Sec) Set the interval time for connection retry.

Refers to the amount of time after which the system will stop trying to
Timeout (Sec)
establish a connection to the service.
Associated Storage The associated storage server should be preset before storage
Service commitment, only after the exam is sent out, can storage

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Item Description

commitment be created.

Cancel Cancel parameter preset.

Add Add a server to the server list.

Select a server in the service list, change the parameters and click
Update
[Update] to update the parameters of the server.

Service list Display the connected storage commitment server list.

Delete Remove the selected server from the device list

Select an item in the server list as the default server, and the default
Default
server is marked with a “Y”.
Verify the network connectivity between the system and storage
Verify
commitment server.

11.1.2.6 Query / Retrieve Preset

Query/Retrieve server connection properties and relevant settings can be found in the
Query/Retrieve service preset screen. Query/Retrieve server setting is similar to storage
server setting, refer to “11.1.2.1 Storage” for details.
Enter the Query/Retrieve service preset screen via [Preset] → [Network Preset] →
[DICOM Service] → [Query/Retrieve].

Figure 42 DICOM Service-Query/Retrieve

Table 55 DICOM Service-Query/Retrieve
Item Description

Device Click the drop-down box to select an added device.

Service Name Enter the service name. Default is qr -default.

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Item Description

Enter the AE title. The AE Title here should be consistent with that of
AE Title
the query/retrieve server.

Port Enter the port number for the query/retrieve server.

Maximum Retries Set the maximum retries.

Interval Time (Sec) Set the interval time for connection retry.

Refers to the amount of time after which the system will stop trying to
Timeout (Sec)
establish a connection to the service.

Add Add a server to the server list.

Cancel Cancel parameter preset.

Select a server in the service list, change the parameters and click
Update
[Update] to update the parameters of the server.

Service List Display the connected query/retrieve server list.

Delete Remove the selected server from the device list

Select an item in the server list as the default server, and the default
Default
server is marked with a“Y”.
Verify the network connectivity between the system and
Verify
query/retrieve server.

11.2 DICOM Service

After completed all DICOM presets, you are ready for DICOM image storage, DICOM
image printing, work list, MPPS, storage delegation and query/acquisition services.

NOTE : Before using DICOM services, please perform verification to ensure that the
system is properly connected to the DICOM server.

11.2.1DICOM Storage
DICOM storage service sends patient image or data to storage server for remote storage.
Perform the following steps:
1. Save images. Refer to “10.1 Storage” for details.
2. Send images/data to the DICOM storage server via following screens:

 Press [File] button on the control panel to enter the Review screen. Move the cursor

over the thumbnail you wan to send, click icon on the image or click [Send] to

send the selected images.

 Press [File] button on the control panel to enter the Review screen, and then click

[Station] to enter the Station screen. Select desire patient, open the operation menu

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and click [Send Exam] or move the cursor over the thumbnail you wan to send, click

icon on the image.

3. A sending dialog box pops up. Select DICOM and storage server as needed.
4. Click [OK] to send the image/ data to the storage server.

11.2.2DICOM Print
DICOM Print service sends patient image to print server for remote printing. Preset the
print server before using DICOM Print service.
Perform the following steps:
1. Save images. Refer to “10.1 Storage” for details.
2. Send image to DICOM Print Server via following screens

 Press [File] button on the control panel to enter the Review screen. Move the cursor

over the thumbnail you wan to send, click icon on the image or click [Send] to
send the selected images.

 Press [File] button on the control panel to enter the Review screen, and then click

[Station] to enter the Station screen. Select desire patient, open the operation menu

and click [Send Exam] or move the cursor over the thumbnail you wan to send, click

icon on the image.

3. A sending dialog box pops up. Select DICOM and print server as needed.
4. Click [OK] to send the image/ data to the print server.

11.2.3DICOM Worklist
The DICOM Worklist Service is used to query or retrieve patient information stored in the
server, which can be imported into the ultrasound system for viewing and performing new
exam. Preset the DICOM Worklist server before using DICOM Worklist service.
To retrieve Patient information (DICOM), perform the following steps:
1. Press the [Patient] button on the control panel to enter the patient information
screen. Click [Worklist] to display Worklist screen.

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Figure 43 Worklist Screen

2. Query patient information:

Set search condition among patient ID, patient name, accession number,
keyword, scheduled station AE Title, device type, exam date, worklist server
and other information to search for patients.

Click [Query] to display patient information which meets the search conditions
in the lower part of the screen.

3. Select desired patient record in the displayed patient list:

 [Start Exam]: click to return to the Home screen and start a new exam for the selected

patient.

 [Transfer]: click to import the selected patient information into the [Patient

Information] screen for editing. After editing, click [Save] to start a new exam.

 [Show Detail]: click to view the detailed patient information.

 [Cancel]: click to exit worklist screen and return to the Patient Information screen.

11.2.4DICOM MPPS
MPPS is used to send patient exam status to the MPPS server, which facilitates the other
systems to obtain the exam progress in time. Preset the DICOM MPPS server before
using DICOM MPPS service.
When MPPS preset is done, the patient exam status will be sent to the MPPS server as
follows:
 When start a new exam, the ultrasound system sends an “N-CREATE” message
to the MPPS server.
 After the normal image acquisition completes, the ultrasound system sends an
“N-SET COMPLETED” message to the MPPS server.
 When the image acquisition is abnormally terminated, the ultrasound system
sends “N-SET DISCONTINUED” to the MPPS server.

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11.2.5DICOM Storage Commitment

After the patient exam information or the structured report on the ultrasound system is
sent to the storage server, the ultrasound system can detect whether the information
transmission is successful through the storage commitment server. Preset the DICOM
Storage Commitment server before using DICOM Storage Commitment service.

11.2.5.1 Send Patient Exam to DICOM Storage Server

Perform the following steps:

1. After completing the exam, press the [Patient] button on the control panel to
enter the Patient Information screen and click [EndExam].
2. Press the [File] button on the control panel to enter the Station screen.
3. Select the desired patient in the patient list and open the operation menu, click
[Send Exam].
4. A sending dialog box pops up. Select DICOM and storage server as needed.
5. Click [OK], the image and data will be sent to the DICOM storage server, and the
storage commitment server will prompt sending status in the prompt bar.

11.2.5.2 Auto Send Patient Exam to DICOM Storage Server

Send images automatically to the DICOM storage server and perform storage
commitment when the exam is done.
Set the auto function via [Preset] → [System Preset] → [General] → [Send after
Exam].
When the exam completes, the system prompts whether the exam information was
successfully sent to the DICOM storage server.

11.2.6DICOM Query / Retrieve

The query/retrieve server is used to query and retrieve the patient exam information from
the designated server, so as to remotely obtain other exam information of the patient.
Preset the query/retrieve server before using DICOM query/retrieve service.
To query / retrieve patient information, please perform the following steps:
1. Press [File] button on the control panel to enter the Review screen, and then
click [Station] to enter the Station screen.
2. Click [Query/Retrieve] to enter query/retrieve screen.
3. Select the source server for patient information, and the destination server
(retrieve location) in [Server&Service].
4. Enter query information, such as a patient ID, patient name, serial number,
keyword, or the time period to screen the patient.

 Click [Clear] to clear the entered query conditions.

5. Click [Query] and the qualified patients are displayed in the patient list.

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 If the list is more than one page, roll the right slider bar of the list to find the patient

information.

 Move the trackball and press the <Ctrl> + [Set] button to select more than one

patients.

 Click [Select All] to select all patients.

 Click [Cancel All] to cancel several selected or all patients selected in the list.

6. Click [Retrieve], the system will retrieve the selected patient record to the target
server or local, a progress bar displays and the patient information displays in the
patient list after completion. Or click [Exit] to stop retrieving the patient record.
7. After completing retrieve, click [Exit] to see the retrieved patient records in the
Station screen.

11.3 Structured Report

The system provides a common structured report that supports DICOM storage, DICOM
storage commitment, and export to external storage devices in DCM format.

11.3.1.1 Send Structured Report to DICOM

NOTE : Structured reports cannot be sent separately and can only

be sent with DICOM images.

Perform the following steps:

1. Select “Send images and data together to the DICOM storage server” option.

 Setting path: [Preset] → [Network Preset] → [DICOM Service] → [Storage] →

[Storage Option] → [Send DICOM SR].

2. After the setting is done, when the image is sent to the DICOM storage server,
the structured report is also sent together.

11.3.1.2 Send Structured Report to DICOM via Station Screen

Perform the following steps:

1. Select “Send images and data together to the DICOM storage server” option.

 Setting path: [Preset] → [Network Preset] → [DICOM Service] → [Storage] →

[Storage Option] → [Send DICOM SR].

2. After completing the exam, press the [Patient ] button on the control panel to
enther the Patient Information screen, click [End the Exam].
3. Press [File] button on the control panel to enter the Review screen, and then
click [Station] to enter the Station screen. Select target patient in the patient list.
4. Click [Send Exam] to pop up the sending exam dialog box.

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5. Select DICOM and storage server as needed and click [OK] to confirm.

11.3.1.3 Export Structured Report to External Storage

Structured reports cannot be exported separately and can only be exported with patient
data. When export patient data, if there is a structured report, the structured report will be
exported to the external storage device as well.
Perform the following steps:
1. After completing the exam, press the [Patient] button on the control panel to
enther the Patient Information screen, click [End the Exam].
2. Press [File] button on the control panel to enter the Review screen, and then
click [Station] to enter the Station screen.
3. Select target patient and open the operation menu, click [Send Exam] to pop up
the sending exam dialog box.
4. Select [Disk], check [Export Report] as needed and click [OK] to start
exporting.

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12 Probe and Biopsy

Prior to the exam, the user must fully understand the function of the probe and biopsy
bracket.

To ensure the performance and safety of the probe and the biopsy bracket, regular
cleaning, disinfection, and maintenance shall be taken.

12.1 Probe
This section mainly introduces the general operation of the probe. For details, please refer
to the instruction manual of each probe.

12.1.1Structure of Probe

The ultrasonic probes suitable for this system are all electronic scanning probes, which
generates high-resolution images by transmitting ultrasonic waves into the human body
and receiving echoes. The system also supports surface probes and intracavitary probe.

The basic structure of the probe is shown in the figure below. The orientation mark on the
probe is consistent with the direction indicated by the probe mark “ ” on the ultrasonic
image.

Figure 44 Structure of Probe

12.1.2Option Probes
Imaging probes used for exam may affect the amount of radiation in the system.

The following probes have been tested in accordance with the requirements of the CISPR
11 and confirmed to meet the radiation standards of Group 1 Class A products.

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Table 56 Option Probes

Nominal/
Probe Applicab Scope of clinical
No. Testing Probe Type
Model le Site Application
Frequency
Abdomen,
Abdominal convex
1 TC50 3.5MHz Surface Gynecology and
array probe (R=50)
Obsterics
Cavity convex array Transvag Gynecology and
2 TC10 6.5MHz
probe (R=10) inal Obsterics
High-frequency
3 TL40 7.5MHz linear array probe Surface Superficial organ
(L=40)

4 TP16 3.0MHz Phased array probe Surface Cardiology

TC50, TC10, TL40 probes all support B-mode, B + B-mode, 4B-mode, B / M mode, M
mode, Color mode, PD mode, PW mode and B + Color + PW mode; TP16 supports CW
mode in addition to the above modes.

12.1.3Probe Usage
 DO NOT use any probe not provided by the manufacturer, otherwise
the host and probe will be damaged. In serious cases, fire and other
accidents may result.
 Use the probe with care. Stop use immediately if the probe appears
to be malfunctioning. Otherwise, electric shock and burns may
result.
 Carefully inspect the probe sheath for damage or breakage before
using. Do not use a protective cover with holes or cracks to prevent
infection.
 DO NOT use mineral oils, oily coupling agents, gels with any type of
detergent or softener, and other unapproved materials to replace
coupling agent supplied or recommended by the manufacturer.
Otherwise, probe damage may result.

Perform the following steps:

1. Check the probe. The probe may have potential damage during use and cleaning.
Therefore, the following checks should be performed on the probe before use to
ensure:

 No cracks on the probe

 No cracks on the front part of the probe

 No scratch on the lens surface

 No expansion on the lens surface

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 No cracks or any other damage on the cable sheath

 No cracks or any other damage on the connector

 No bent or broken pins

 No cable damage

2. Connect the probe to the ultrasound system. Refer to “3.6.1 Connect the Probe”
for details.
3. A protective probe sheath should be selected when using an intracavity probe
and the proper sterility method should be used throughout the operating
procedure.

Remove the package, take out and unfold the probe sheath.

Add an appropriate amount of coupling gel to the probe sheath.

Insert the probe into the sheath.

Fit the sheath by hand and ensure the cover is free from creases and bubbles.

Secure the sheath with an elastic band.

Check the probe sheath to ensure there is no hole or crack.

Figure 45 Add Coupling Gel into the Probe Sheath

4. Recognize the direction of probe and perform the exam.
5. After completing each exam, clean and disinfect the probe as required. Remove
the probe sheath and dispose the sheath in accordance with the medical
specifications for biohazardous waste.

12.1.4Probe Cleaning
After completing each exam, the probe and reusable parts should be thoroughly
disinfected or sterilized as required.

 Prior to clean the probe, disconnect the probe from the ultrasonic
system to avoid electric shock.
 When clean the probe, avoid impacting the probe with sharp or hard
objects.
 Always wear sterile gloves and to prevent infection.

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After each exam, the probe should be cleaned as required:

1. Disconnect the probe from the ultrasound system (refer to “3.6.2 Remove the
Probe” for details) and remove the probe sheath and bracket.
2. Rinse the probe with running water and remove all foreign matters. A soft cotton
ball or gauze is also preferred to wipe the surface of the probe. If the stain is dry
on the surface of the probe, extend the rinse time or scrub with a gauze. Avoid
using a brush, for it may damage the probe.
3. Wipe off the water on the probe with a sterile cloth after washing and naturally
dry for later use.

12.1.5Probe Disinfection
After each exam, the probe and reusable parts should be thoroughly disinfected or
sterilized as required.

 It is recommended to use the disinfectant listed in this manual and

ensure that its concentration and probe immersion time meet the
recommended requirements. Fail to do so may damage the probe
and void the probe warranty; if the user has special purpose and
requirements, ensure that the formulated solution concentration and
probe immersion time are appropriate for the intended clinical use.
 The probe must be disinfected with a liquid chemical disinfectant
that complies with local regulations.
 DO NOT use high pressure steam or ethylene oxide to contact with
the probe.
 DO NOT sterilize the probe by heating under any circumstances. If
the temperature exceeds 66 ℃, the probe will be damaged.
 DO NOT allow any disinfectant to air dry on the probe.
 Before disinfecting the probe, please pay attention to the expiration
date of the disinfectant and never use expired disinfectant.
 Always wear sterile gloves and to prevent infection.

12.1.5.1 Disinfection Level Definition

The disinfection category can be divided into the following two categories based on the
application of the probe.
Table 57 Disinfection Category

Disinfection level Application scope Application probe

High Level Contact with mucous membranes or

Intraoperative probe
Disinfection damaged skin

low level disinfection Only contact with intact skin Surface probe

12.1.5.2 Immersion Disinfection Limit

Never immerse the probe deeper than the line shows below for sterilization.

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Figure 46 Immersion limitation for Different Probe Type

12.1.5.3 Disinfection for Surface Probe

After each exam, the surface probe should be disinfected as required.

Perform the following steps:
1. Rinse the probe. Refer to “12.1.4 Probe Cleaning” for details.
2. Disinfect the probe according to the low-level disinfection method recommended
in the table below.
Table 58 Low-level Disinfection
Active Manner of Contact
Disinfectant Manufacturer Concentration
ingredient contact time

Cidex J&J Glutaraldehyde 2.4% Wipe/soak <20min

Hydrogen
ResertXLHLD STERIS 2.0% Wipe/soak <8min
Peroxide

Glutaraldehyde HUANKAI Inc. Glutaraldehyde 2.0-2.2% Wipe/soak <20min

Quaternary
T-spray Ⅱ Pharm. Inc. / Spray / wipe <10min
ammonium salt

Quaternary
T-spray Pharm. Inc. / Spray / wipe <10min
ammonium salt

3. When reach the recommended disinfection time, remove the probe from the
solution or stop spraying or wiping the probe.
4. Rinse the disinfectant on the probe with running water and dry the probe with a
sterile cloth.
NOTE :  The recommended disinfectants listed in this manual are recommended
because they are chemically compatible with the materials of the
products to be sterilized, not because of their biological effects. For the
biological effects of disinfectants, please refer to the guidance and
recommendations provided by the disinfectant manufacturer, the US
Food and Drug Administration, and the US Centers for Disease Control.

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 If the disinfectant recommended in this manual is not selected, prepare

the solution according to the disinfectant manufacturer’s instructions.

12.1.5.4 Disinfection for Intracavitary Probe

Before and after each exam, the intracavitary probe should be disinfected as required.
Perform the following steps:
1. Rinse the probe. Refer to “12.1.4 Probe Cleaning” for details.
2. Disinfect the probe according to the high-level disinfection method
recommended in the table below.
Table 59 High-level Disinfection
Manner Contact
Disinfectant Manufacturer Active Ingredient Concentration
of time

Cidex J&J Glutaraldehyde 2.4% contact

Soak 45-50min

ResertXLHLD STERIS Hydrogen Peroxide 2.0% Soak 8min

Glutaraldehyde HUANKAI Inc. Glutaraldehyde 2.0-2.2% Soak 45-50min

3. When reach the recommended disinfection time, remove the probe from the
solution or stop spraying or wiping the probe.
4. Rinse the disinfectant on the probe with running water and dry the probe with a
sterile cloth.
NOTE :  The recommended disinfectants listed in this manual are recommended
because they are chemically compatible with the materials of the
products to be sterilized, not because of their biological effects. For the
biological effects of disinfectants, please refer to the guidance and
recommendations provided by the disinfectant manufacturer, the US
Food and Drug Administration, and the US Centers for Disease Control.
 If the disinfectant recommended in this manual is not selected, prepare
the solution according to the disinfectant manufacturer’s instructions.

12.1.6Probe Maintenance
The probe should be used, stored or transported under the conditions of “Appendix A
Technical Specifications”.

12.1.6.1 Probe Transportation

To properly store the probe for transportation, please perform the following steps:
1. Prior to place the probe in the shipping container, make sure the probe is cleaned
and sanitized to avoid contaminating the liner foam of the shipping container.
2. Carefully place the probe in the probe box.
3. Ensure the probe is totally in the box before covering the probe box.
4. Wrap the probe box in a plastic material with air bag (such as foam) and place
the wrapped probe box into the cardboard box.

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12.1.6.2 Probe Storage

To protect the probe, follow the guidelines below:

 Place the probe in the probe holder when the probe is temporarily idle.
 If the probe is not used for a long time, clean and disinfect the probe to ensure
that the probe is completely dry before storing in the probe box.
 Prior to place the probe, make sure the probe holder is clean and dry.
 Separately store the probe from other medical devices.

12.2 Biopsy Guidance

 Physicians who use this system for biopsy must undergo
professional ultrasound guidance training and strictly observe the
operation requirements of biopsy to avoid unnecessary harm to
patients.
 Before a biopsy procedure is performed, confirm that the
needle-guided bracket is in good condition, and the biopsy guide
line and the bracket must be calibrated.
 The biopsy guide line displayed on the ultrasound image is for
reference only. During biopsy procedure, the operator should always
monitor the position of the needle and confirm the correct needle
position.
 DO NOT freeze the image during the biopsy procedure to avoid
positioning errors.
 The operator should maintain a high concentration of attention
during the biopsy procedure to avoid medical accidents.
 Sterile gloves should be worn when performing biopsy procedure.
 Never reuse the biopsy needle.
 A sterilized probe with sheath must be used during the biopsy
procedure.

Calibrate the guide line is necessary before each biopsy procedure or changing biopsy
angle.
Perform the following steps:
1. Install the needle-guided bracket.
2. Place the head of the probe in a liquid tank with sterile water.
3. Insert the puncture needle along the needle-guided bracket until the tip of the
puncture needle is at the maximum depth of the water.

4. In B-mode, select [Biopsy] by pressing the [ ] or [ ] button on the control

panel and then press the [Value] knob to enter the Biopsy screen. Use [ ] or
[ ] button to switch between B mode menu and biopsy menu.
5. Select desired item in the biopsy menu by by pressing the [ ] or [ ] button on
the control panel and then press the [Value] knob to activate the item.

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Item Description

Biopsy Kit Select bracket kit and angle

Calibrate Click to enter the biopsy calibration screen

Double Line Click to enable / disable double guide line function

Line Type Select the biopsy guide line type

Exit Exit the biopsy screen

6. Select [Biopsy Kit] by pressing the [ ] or [ ] button on the control panel and
then rotate the [Value] knob to select appropriate kit and angle.
7. Select [Calibrate] by pressing the [ ] or [ ] button on the control panel and
then press the [Value] knob to enter the Biopsy Calibration screen.
8. Verify that the needle displayed on the ultrasound image matches the guide line.
If not, adjust the guide line angle and position.

 Select [Pos] by pressing the [ ] or [ ] button on the control panel and then rotate

the [Value] knob to adjust the guide line position.

 Select [Angle] by pressing the [ ] or [ ] button on the control panel and then rotate

the [Value] knob to adjust the guide line angle.

9. After calibration, select [Save] by pressing the [ ] or [ ] button on the control

panel and then press the [Value] knob to to save the adjustment.

 To restore the factory settings, select [Restore] by pressing the [ ] or [ ] button on

the control panel and then press the [Value] knob.

 In the Biopsy screen, select [Restore] by pressing the [ ] or [ ] button on the

control panel and then press the [Value] knob to return to B-mode.

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13 System Maintenance

13 System Maintenance
To avoid the long-term exposure to dust and moisture which may result in poor
performance and safety of the system, routine system maintenance should be performed
by the user.

When cleaning the system, pay special attention not to let liquid enter
any part of the system. Otherwise, electric shock may result. If liquid is
accidentally into the system, stop cleaning the system immediately and
shut down the system, contact the manufacturer Customer Service
Department or sales representative.

NOTE :  Before cleaning procedure, shut down the system and unplug the
power cord. Otherwise, electric shock may result.
 Maintenance shall be taken regularly to ensure the performance of
the system, and ensure that the system is well grounded and meets
the safety requirements.
 Except for the basic cleaning and maintenance described in this
section, only personnel authorized by the manufacturer may perform
other maintenance.

13.1 External Cleaning

Perform the following steps:

1. Shutdown and unplug the system.

2. Apply a few drops of 75% alcohol to moist a piece of lint-free cloth.
3. Gently wipe the console with the lint-free cloth.
NOTE : Do not use cleaners or other cleaning fluids to clean the
surface of the monitor.
4. Use a cotton swab to remove dirt from the control panel buttons to ensure that
solid material does not fall into the console.
5. If blood or other infectious materials contact with the buttons or other parts of the
system, wipe them with a 70% isopropyl alcohol solution.

13.2 Safety Check

To guarantee a high degree of operational reliability, regular inspection of the system by
the maintenance and operating personnel is necessary for the following:
Table 60 Safety Checklist
No. Item Check item

Inspect the cables for being broken or cracked.

1 Electrical safety
Check the grounding impedance.

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 13 System Maintenance

No. Item Check item

Check the leakage current.

Check the patient leakage current.

Check the patient auxiliary leakage current.

Check the appearance.

Check the control panel and keyboard.

2 Mechanical Safety
Check the knob and button.

Check the ports.

Check display of each mode.

3 Image Recording Check parameter of each mode.

Check image and record.

NOTE : Liquid or other substances penetrating into the electronic components under
the panel may result intermittent failure of the control panel and keyboard.
Visually inspect for potential problems.

13.3 Troubleshooting
Table 61 Troubleshooting
No. Failure Measure

 Check if the power cord is properly plugged into the power

1 Power-on failure connector.
 Check if the AC power is turned on.
No display on the
2  Check if the monitor is getting power.
monitor
The buzzer alarms  Check if there is any button stuck on the control panel. If so,
3 and the button do press the button to release the stuck button, and check if
not function there is dirt under the stuck button and clean it promptly.
 Check if the appropriate probe and mode are selected.
Abnormal image  Check if the relevant parameters are adjusted. For details,
4
quality please refer to“6 Optimizing the Image”.
 Check the related settings. For details, see “4.2.2 General”.
Missing of
 Check if the selected probe is applicable for current exam.
5 application
 Check if the application item is added.
measurement item

When the above failures occur, and the corresponding measures still cannot solve, please
contact the manufacturer or authorized personnel for further support. In the case of more
difficult problems with individual functions, please contact the manufacturer or authorized

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13 System Maintenance

personnel.

13.4 Disposal
When the system, probe, needle-guide bracket and other accessories reach the end of
their service period, they shall be disposed according to the regulations on waste
electrical and electronic equipment (WEEE) or local regulations.
Refer to manufacturer or supplier for information on disposal or recycle.
The manufacturer does not assume liability for any damage caused by unauthorized
handling of the system without consulting.

13.5 After Sales Service

Service should only be performed by a qualified technical personnel authorized by the
manufacturer.

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 Annex

Annex A. Technical Specifications

Medical electrical equipment - Part 1: General
IEC 60601-1:2005/A1:2012 requirements for basic safety and essential
performance
General requirements for basic safety and essential
IEC 60601-1-2:2014 performance-Collateral standard: Electromagnetic
compatibility-Requirements and tests
Medical device software - Software life-cycle
EN 62304:2006/AC:2008
processes
Medical electrical equipment-Part 2-37: Particular
IEC requirements for the basic safety and essential
60601-2-37:2007+AMD1:2015 performance of ultrasonic medical diagnostic and
monitoring equipment
Biological evaluation of medical devices –part
ISO10993-1:2009/AC:2010
1:Guidance on Selection of Tests
Standard
Medical devices - Quality management systems -
Reference EN ISO 13485:2016
Requirements for regulatory purposes
Medical devices-Application of risk management to
EN ISO14971:2012
medical devices
Information supplied by the manufacturer with
EN1041:2008
medical devices
Medical devices - Symbols to be used with medical
EN ISO 15223-1:2016
device labels, labelling and information to be supplied
Medical devices - Application of usability engineering
EN 62366:2008
to medical devices
Medical electrical equipment - Part 1-6: General
EN 60601-1-6:2010 requirements for basic safety and essential
performance - Collateral standard: Usability
Provisions on the Management of Instructions and
/
Labels of Medical Devices (CFDA Notice No.6)

Electrical shock Class I equipment with internal power supply

Degree of shock Type BF Equipment

Operating mode Continuous

Safety EMC CISPR 11 Class A

Classification
Installation and usage Mobile equipment

Degree of protection, Console : IPX0

ingress Probe : IPX7
Not for use in presence of flammable anesthetic
Flammable mixtures
mixture with oxygen or nitrous oxide.

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Annex

Store the product in a dry and well-ventilated room.

External grounding protection must be used to reduce
possible external AC interference.

/ Operating Transport and storage

Environment Relative humidity 25%~80% 10%~95%, Non-condensing

Requirements Ambient temperature 5℃~+40℃ -20℃~+55℃

Atmospheric pressure 70kPa~106kPa 50kPa~106kPa

1) CPU: Intel Atom E3845

2) Graphics card: Intel integrated graphics support
Hardware Configuration 3) Chip: Intel Atom(Bay Trail)

Hardware/ 4) Memory: 8G DDR3L

Software 5) Hard disk: 500GB mechanical hard disk

Operating system: Xubuntu 16.04.2 LTS 64 bit
Software Configuration
Kernel version: 4.8.0

Software version Issue version: V2

Data type Healthy data Device data

Electronic data
Electronic data interchange
Function interchange
(unidirectional)
(bidirectional)
Clinical images and
Network Used for Software upgrade
patient information
Wired network (10M /
Exchange method 100M / 1000M USB
adaptive), USB

Safety software / /

Monitor 12.1''LCD

Specification Dimension 470*370*380mm

Weight About 7.5kgs

Power supply AC 100V-240V

Power
Power supply frequency 50Hz/60Hz
Requirement
Output Voltage 19V

174
 Annex

Annex B. EMC Statement

WARNING:

Use of this equipment adjacent to or stacked with other equipment should be avoided

because it could result in improper operation. If such use is necessary, this equipment

and the other equipment should be observed to verify that they are operating

normally.

Use of accessories, transducers and cables other than those specified or provided by

the manufacturer of this the Ultrasound machine could result in increased

electromagnetic emissions or decreased electromagnetic immunity of this equipment

and result in improper operation

Portable RF communications equipment (including peripherals such as antenna

cables and external antennas) should be used no closer than 30 cm (12 inches) to

any part of the Ultrasound machine, including cables specified by the manufacturer.

Otherwise, degradation of the performance of this equipment could result

NOTE

The EMISSIONS characteristics of this equipment make it suitable for use in industrial

areas and hospitals (CISPR 11 class A). If it is used in a residential environment (for

which CISPR 11 class B is normally required) this equipment might not offer adequate

protection to radio-frequency communication services. The user might need to take

mitigation measures, such as relocating or re-orienting the equipment.

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Annex

Guidance and manufacturer´s declaration – electromagnetic

emission –for all EQUIPMENT AND SYSTEMS

1 Guidance and manufacturer´s declaration – electromagnetic emission

The ulyrasound machine is intended for use in the electromagnetic environment specified below. The
2
customer or the user of ultrasound machine should assure that it is used in such an environment.

3 Emissions test Compliance Electromagnetic environment - guidance

RF emissions The ultrasound machine uses RF energy only for its

internal function. There for, its RF emissions are very low
4 Group 1
and are not likely to cause any interference in nearby
CISPR 11
electronic equipment.

RF emissions
5 Class A
CISPR 11
The ultrasound machine is suitable for use in all

Harmonic emissions establishments other than domestic and those directly

6 Class A
IEC 61000-3-2 connected to the public low-voltage power supply
network that supplies buildings used for domestic
purposes.
Voltage fluctuations

7 flicker emissions Complies

IEC 61000-3-3

The approved annex which meets the electromagnetic standard:

Accessories for Ultrasound System may affect their radiation levels. The accessories
listed in this section have been tested in accordance with international standards for use in
Ultrasound System and have been verified to meet radiation standards. Please use only
the attachments listed in this section.

The user should ensure the electromagnetic compatibility of the Ultrasound System
when attaching accessories to Ultrasound System. Unless otherwise specified, use only
EMC compliant equipment.

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 Annex

No. Item Cable length Shield or not

1 Power cable 2m No

2 Probe cable <3 m Yes

Warning

 This equipment is only used by professional medical staff. The equipment/system may cause radio interference
or disrupt the operation of nearby equipment. Mitigation measures may be necessary, such as recalibrating the
direction, resetting the device or shielding the appropriate site.

Guidance and manufacturer's declaration – electromagnetic

immunity –for all EQUIPMENT and SYSTEMS

Guidance and manufacturer´s declaration – electromagnetic immunity

The ultrasound machine is intended for use in the electromagnetic environment specified below. The customer or
the user of the ultrasound machine should assure that it is used in such an environment.

IEC 60601 Electromagnetic environment -

Immunity test Compliance level
test level guidance

Floors should be wood, concrete or

± 8 kV contact
Electrostatic ceramic tile. If floors are covered
± 8air kV contact
discharge (ESD) with
± 2 kV, ± 4 kV, ± 8 kV,
± 2 kV, ± 4 kV, ± 8 kV, synthetic material, the relative
± 15 kV
IEC 61000-4-2 humidity
± 15 kV air
should be at least 30 %.

Electrostatic ± 2 kV for power

Mains power quality should be that
transient / burst supply lines ± 2 kV for power of a
typical commercial or hospital
± 1 kV for input/output supply lines
IEC 61000-4-4 environment.
lines

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 Annex

Mains power quality should be that

Surge ± 1 kV differential ± 1 kV differential mode
of a
mode
typical commercial or hospital
IEC 61000-4-5 ± 2 kV common mode
environment.

Mains power quality should be that

0 % UT; 0,5 cycle g) At 0 % UT; 0,5 cycle g) At 0°, of a

Voltage dips, short 0°, 45°, 90°, 135°, 180°, 45°, 90°, 135°, 180°, 225°, typical commercial or hospital
interruptions and 225°, 270°and 315° 270°and 315° environment. If the user of the
voltage variations ultrasound machine requires
on power supply 0 % UT; 1 cycle and 0 % UT; 1 cycle and 70 % continued operation during power
input lines 70 % UT; 25/30 cycles UT; 25/30 cycles Single mains interruptions, it is

Single phase: at 0° phase: at 0° recommended that the ultrasound

IEC 61000-4-11 machine be powered from an

0 % UT; 250/300 cycle 0 % UT; 250/300 cycle uninterruptible power supply or a

battery.

Power frequency magnetic fields

Power frequency
should be at levels characteristic of
(50/60 Hz)
30 A/m 30 A/m a typical location in a typical
magnetic field
commercial or hospital
IEC 61000-4-8
environment.

NOTE UT is the a. c. mains voltage prior to application of the test level.

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 Annex

Guidance and manufacturer´s declaration –

electromagnetic immunity –for EQUIPMENT and SYSTEM

Guidance and manufacturer´s declaration – electromagnetic immunity

The ultrasound machine is intended for use in the electromagnetic environment specified below. The customer or
the user of the ultrasound machine should assure that it is used in such an environment.

Electromagnetic environment -
Immunity test IEC 60601 test level Compliance level
guidance

Portable and mobile RF communications

equipment should be used no closer to any
part of the ultrasound machine, including
cables, than the recommended separation
distance calculated from the equation
applicable to the frequency of the
transmitter.

Recommended separation distance

3.5
d [ ] P
Conducted RF 3 Vrms 3V V1

150 kHz to 80 MHz

IEC 61000-4-6 150 kHz to 80 MHz
12
d [ ] P
6 V in ISM and V2
6 V in ISM and
amateur radio bands
amateur radio bands
between 0,15 MHz
between 0,15 MHz
and 80 MHz 3.5
and 80 MHz d [ ] P 80 MHz to 800 MHz
E1

10 V/m 7
10 V/m d [ ] P 800 MHz to 2.7 GHz
Radiated RF E1
80 MHz to 2.7 GHz
80 MHz to 2.7 GHz
IEC 61000-4-3 where p is the maximum output power
rating of the transmitter in watts (W)
according to the transmitter manufacturer
385MHz-5785MHz and d is the recommended separation
385MHz-5785MHz
Test specifications distance in metres (m).b
Test specifications
for ENCLOSURE
for ENCLOSURE
PORT IMMUNITY to
PORT IMMUNITY to

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 Annex

RF wireless RF wireless Field strengths from fixed RF transmitters,

communication communication as determined by an electromagnetic site
equipment (Refer to equipment (Refer to survey,a should be less than the
table 9 of IEC table 9 of IEC compliance level in each frequency
60601-1-2:2014) 60601-1-2:2014) range.b

Interference may occur in the vicinity of

equipment marked with the following
symbol:

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic is affected by absorption and reflection
from structures, objects and people.

a The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6,765 MHz to 6,795
MHz; 13,553 MHz to 13,567 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz. The amateur radio
bands between 0,15 MHz and 80 MHz are 1,8 MHz to 2,0 MHz, 3,5 MHz to 4,0 MHz, 5,3 MHz to 5,4 MHz, 7 MHz
to 7,3 MHz, 10,1 MHz to 10,15 MHz, 14 MHz to 14,2 MHz, 18,07 MHz to 18,17 MHz, 21,0 MHz to 21,4 MHz, 24,89
MHz to 24,99 MHz, 28,0 MHz to 29,7 MHz and 50,0 MHz to 54,0 MHz.

b Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically
with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength in the location in which the ultrasond machine is used
exceeds the applicable RF compliance level above, the ultrasound machine should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or
relocating the ultrasound machine.

c Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m.

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 Annex

Recommended separation distances between portable and

mobile
RF communications equipment and the EQUIPMENT or
SYSTEM -
for EQUIPMENT and SYSTEMS
Recommended separation distances between

portable and mobile RF communications equipment and the ultrasound machine

The ultrasound machine is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the ultrasound machine can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the ultrasound machine as recommended below,
according to the maximum output power of the communications equipment

Separation distance according to frequency of transmitter m

150 kHz to 80 MHz 150 kHz to 80 MHz

Rated 800 MHz to 2.7
outside ISM and in ISM and amateur 80 MHz to 800 MHz
maximum GHz
amateur radio bands radio bands 3.5
output of d [ ] P 7
3.5 E1 d [ ] P
transmitter d [ ] P 12 E1
V1 d [ ] P
V2
W

0.01 0.12 0.20 0.035 0.07

0.1 0.38 0.63 0.11 0.22

1 1.2 2.00 0.35 0.70

10 3.8 6.32 1.10 2.21

100 12 20.00 35 70

For transmitters rated at a maximum output power not listed above the recommended separation
distance d in metres (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the
transmitter manufacturer.

NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

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Annex

Annex C. Toxic and Hazardous

Substances or Elements
Toxic and harmful substances or elements
Parts Plumbum Mercury Cadmium Chromium
PBB PBDE
(Pb) (Hg) (Cd) 6(Cr6+)

Plastic case ○ ○ ○ ○ ○ ○

Metal bracket ○ ○ × × ○ ○

Keyboard silicone ○ ○ ○ ○ ○ ○

Trackball × ○ ○ ○ ○ ○

Cables × ○ ○ ○ ○ ○

PCBA × ○ ○ ○ ○ ○

Hard disk ○ ○ ○ ○ ○ ○
○：Means that the content of the toxic and harmful substance in all homogeneous materials of the part
is below the limit specified in local standard.
×：It means that the content of the toxic and harmful substance in at least one homogeneous material
of the part exceeds the limit requirement specified in local standard.
For products sold since the date of sale, this table shows that products in our supply chain may contain
these substances. Note: all listed components may or may not be included in the products sold.

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 Annex

Annex D. Acoustic Output Report

 TC50(IEC60601-2-37:2007)
B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.48 0.15 0.17
Associated pra 2.35
acoustic P 7.34 7.34
parameter min [Pα(zs), Ita,α(zs)]
s zs
zbp
zb
z@max. Ipi,α 2.72
deq (zb)
fawf 2.50 4.00 2.50
Dim of X 3.46 3.46
Aaprt Y 0.90 0.90
Other td 0.812
informatio prr 990
n pr @ max. Ipi 3.21
deq @ max. Ipi
Ipa,α @max. MI 193

Focal X cm 13.0 13.0

Length Y cm 5.0 5.0
Operating Focus position 3cm 13cm 13cm 13cm
control Display depth 6cm 21cm 21cm 21cm
conditions Acoustic power 100% 100% 100% 100%
Focus number one 1 1 1
Working frequency Pen Res Res Pen
Scan Line Mode Lower-density line and minimum scan angle

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Annex

PW mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.22 0.42 3.66 2.27
Associated pra 1.93
acoustic P 72.9 72.9
parameters min [Pα(zs), Ita,α(zs)] 22.3
zs 1.10
zbp 2.22
zb 2.35
z@max. Ipi,α 1.47
deq (zb) 0.26
fawf 2.5 2.5 3.5 3.1
Dim of X 13.5 0.77 0.38
Aaprt Y 8.76 0.90 0.90
Other td 1.86
information prr 697
pr @ max. Ipi 2.57
deq @ max. Ipi 0.25
Ipa,α @max. MI 219
Focal X cm 13.0
Length Y cm 5.00
Operating Focus position 2cm 3cm 13cm 2cm
control Display depth 6cm 6cm 21cm 6cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 697 5699 697 5699
Working Pen Pen Res Gen
frequency
SV 0.5mm 0.5mm 0.5mm 0.5mm

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 Annex

B+M mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.27 0.26 1.22 0.91
Associated pra 2.01
acoustic P 25.9 25.9
parameters min [Pα(zs), Ita,α(zs)] 17.1
zs 1.48
zbp 2.98
zb 2.01
z@max. Ipi,α 2.76
deq (zb) 0.31
fawf 2.5 2.0 2.0
Dim of X 10.6 0.58
Aaprt Y 22.5 0.90
Other td 0.76
information prr 1000
pr @ max. Ipi 2.17
deq @ max. Ipi 0.29
Ipa,α @max. MI 201
Focal X 17.0 17.0
Length Y 5.0 5.0
Operating Focus position 3cm 2cm 17cm 2cm
control Display depth 6cm 6cm 21cm 6cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 1000 2000 1000 2000
Working Pen HPen HPen HPen
frequency
Scan Line Mode Lower-density line and minimum scan angle

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Annex

Color+B/PDI+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.04 0.36 0.47
Associated pra 2.07
acoustic P 20.1 20.1
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb
z@max. Ipi,α 1.91
deq (zb)
fawf 4.0
Dim of X
Aaprt Y
Other td 0.68
information prr 2380
pr @ max. Ipi 2.74
deq @ max. Ipi
Ipa,α @max. MI 287
Focal X cm
Length Y cm
Operating B Focus/Color
control Sampling Gate 2cm 11cm 11cm 11cm
conditions position
Display depth 6cm 21cm 21cm 21cm
Acoustic power 100% 100% 100% 100%
Color PRF(Hz) 2380 2270 2270 3060
B Working
Res Res Gen Gen
frequency
C Working
Res Res Gen Gen
frequency
Color Sampling minimum minimum
Gate Width
Scan Line Mode Lower-density line and minimum scan angle for B-mode and Color
Sensitivity:2 for Color-mode

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 Annex

PW+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.25 0.74 2.84 0.83
Associated pra 1.97
acoustic P 63.0 63.0
parameters min [Pα(zs), Ita,α(zs)] 39.1
zs 1.10
zbp 2.22
zb 3.12
z@max. Ipi,α 1.89
deq (zb) 0.22
fawf 2.5 3.1 3.5
Dim of X 9.29 0.96
Aaprt Y 9.18 0.90
Other td 0.67
information prr 9100
pr @ max. Ipi 2.23
deq @ max. Ipi 0.22
Ipa,α @max. MI 183
Focal X cm 13.0 13.0
Length Y cm 5.00 5.00
Operating B Focus/SV 2cm 4cm 13cm 17cm
control position
conditions Display depth 6cm 21cm 21cm 21cm
Acoustic power 100% 100% 100% 100%
PW PRF(Hz) 690 4476 3756 690
B Working Pen Gen Res Gen
frequency
PW Working Pen Gen Res Gen
frequency
PW SV 0.5mm 0.5mm
Scan Line Mode Lower-density line and minimum scan angle

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Annex

Color+PW+B mode

TIS TIB
Non-scan
Index label MI MI
Scan Aaprt ≤ Aaprt > 1 Non-scan
1 cm2 cm2
Maximum index value 1.32 0.77 3.00 2.28
Associated pra 2.09
acoustic P 60.6 60.6 16.2
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb 2.35
z@max. Ipi,α 1.45
deq (zb) 0.26
fawf 2.5 2.5 3.5
Dim of X 2.99 0.77
Aaprt Y 6.89 0.90
Other td 1.85
information prr 698
pr @ max. Ipi 2.23
deq @ max. Ipi 0.25
Ipa,α @max. MI 197
Focal X cm 3.00
Length Y cm 5.00
Operating B Focus /PW SV
2cm 3cm 3cm 2cm
control /Color SG position
conditions Display depth 6cm 6cm 6cm 6cm
Acoustic power 100% 100% 100% 100%
PRF(Hz) PW:698 PW:12660 PW:698 PW:15830
C:14370 C:476 C:11020 C:476
B Working
Pen Res Res Res
frequency
PW Working
Pen Pen Res Gen
frequency
Color Working
Pen Res Res Res
frequency
PW SV/Color SG SV=0.5mm SG minimum
Scan Line Mode Lower-density line and minimum scan angle

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 Annex

 TC50(IEC61157:2007)
Mode B M B+M PW
Parameter
System settings AP:100% AP:100% AP:100% AP:100%
Focus:13cm Focus:9cm Focus:17cm Focus:13cm
Display:21cm Display:21cm Display:21cm Display:21cm

pr (MPa) 2.38±0.40 2.30±0.38 2.31±0.39 2.23±0.37

Ispta (mW/cm2) 35.85±11.83 132.93±43.87 152.98±50.48 176.19±58.35

Iob (mW/cm2) 1.86±0.62 12.08±4.02 6.86±2.28 34.76±11.56

Power output (mW) 5.80±0.47 25.05±1.79 21.33±1.52 60.07±4.29

Output beam 19.90 16.25 19.90 14.83

dimentions(ø)(mm)
Zp (mm) 2.70±0.25 2.70±0.25 2.70±0.25 1.45±0.25
W12 (//)(mm) 3.46±0.13 7.79±0.13 3.46±0.13 13.52±0.13

W12 (⊥) (mm) 0.90±0.13 10.45±0.13 0.90±0.13 8.76±0.13

fawf (MHz) 2.50±0.13 2.50±0.13 2.50±0.13 2.50±0.13

prr (Hz) - 2000.00±1.00 1000.00±1.00 700.00±1.00

srr (Hz) 30.00±1.00 - 50.00±1.00 -

Ztt (mm) 1.13 1.13 1.13 1.13

Zts (mm) contact contact contact contact

Acoustic output Yes Yes Yes Yes

freeze

Inclusive modes - - - B+PW/Color+PW+B

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 TP16(IEC60601-2-37:2007)
B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.36 0.41 0.68
Associated pra 1.83
acoustic P 32.9 32.9
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb
z@max. Ipi,α 1.36
deq (zb)
fawf 1.8 2.0 3.0
Dim of X 1.74 1.26
Aaprt Y 1.16 1.16
Other td 1.26
information prr 2590
pr @ max. Ipi 2.03
deq @ max. Ipi
Ipa,α @max. MI 101
Focal X cm 14.0 9.00
Length Y cm 5.00 5.00
Operating Focus position 2cm 14cm 14cm 9cm
control Display depth 20cm 20cm 20cm 20cm
conditions Acoustic power 100% 100% 100% 100%
Focus number 1 1 1 1
Working frequency HPen Pen Pen HRes
Scan Line Mode Lower-density line and minimum scan angle

190
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PW mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.36 1.29 2.97 2.54
Associated pra 2.15
acoustic P 114 114
parameters min [Pα(zs), Ita,α(zs)] 90.9
zs 1.10
zbp 2.04
zb 4.10
z@max. Ipi,α 3.12
deq (zb) 0.37
fawf 2.5 2.5 2.5 2.5
Dim of X 5.89 1.08 1.38
Aaprt Y 9.77 1.16 1.16
Other td 1.38
information prr 699
pr @ max. Ipi 2.86
deq @ max. Ipi 0.34
Ipa,α @max. MI 277
Focal X cm 9.00
Length Y cm 5.00
Operating Focus position 3cm 7cm 9cm 11cm
control Display depth 5cm 20cm 20cm 20cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 699 5699 5699 5699
Working frequency Res Res Res Res
SV 0.5mm 0.5mm 0.5mm 0.5mm

191
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B+M mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.58 0.46 0.79 1.08
Associated pra 2.13
acoustic P 28.6 28.6
parameters min [Pα(zs), Ita,α(zs)] 24.7
zs 1.10
zbp 2.04
zb 3.97
z@max. Ipi,α 1.36
deq (zb) 0.47
fawf 1.8 2.0 3.0
Dim of X 8.85 1.20
Aaprt Y 10.4 1.16
Other td 1.22
information prr 500
pr @ max. Ipi 2.34
deq @ max. Ipi 0.45
Ipa,α @max. MI 135
Focal X cm 9.00 9.00
Length Y cm 5.00 5.00
Operating Focus position 2cm 8cm 9cm 9cm
control Display depth 20cm 20cm 20cm 20cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 500 1000 500 500
Working frequency HPen HPen-Gen HRes HRes
Scan Line Mode Lower-density line and minimum scan angle

192
 Annex

Color+B /PDI+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.23 0.61 0.94
Associated pra 2.13
acoustic P 53.3 53.3
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb
z@max. Ipi,α 3.10
deq (zb)
fawf 3.0
Dim of X
Aaprt Y
Other td 1.52
information prr 1190
pr @ max. Ipi 2.78
deq @ max. Ipi
Ipa,α @max. MI 261
Focal X cm
Length Y cm
Operating B Focus/ Color 3cm 10cm 10cm 5cm
control Sampling Gate
conditions position
Display depth 5cm 20cm 20cm 20cm
Acoustic power 100% 100% 100% 100%
Color PRF(Hz) 1190 1200 1200 1133
B Working Gen Res Res Gen
frequency
C Working Gen Res Res Gen
frequency
Color Sampling minimum minimum
Gate Width
Scan Line Mode Lower-density line and minimum scan angle for B-mode and Color
Sensitivity:2 for Color-mode

193
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PW+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.05 1.22 2.75 2.72
Associated pra 1.81
acoustic P 120 120
parameters min [Pα(zs), Ita,α(zs)] 96.8
zs 1.19
zbp 2.04
zb 4.70
z@max. Ipi,α 4.23
deq (zb) 0.42
fawf 3.0 2.5 2.5
Dim of X 8.57 1.26
Aaprt Y 10.3 1.16
Other td 1.41
information prr 699
pr @ max. Ipi 2.67
deq @ max. Ipi 0.40
Ipa,α @max. MI 231
Focal X cm 9.00 9.00
Length Y cm 5.00 5.00
Operating B Focus/SV 7cm 9cm 9cm 9cm
control position
conditions Display depth 20cm 20cm 20cm 20cm
Acoustic power 100% 100% 100% 100%
PW PRF(Hz) 699 2305 2305 2305
B Working Gen Gen Gen Gen
frequency
PW Working Res Res Res Res
frequency
PW SV 0.5mm 0.5mm
Scan Line Mode Lower-density line and minimum scan angle

194
 Annex

Color+PW+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ Aaprt > 1 Non-scan
1 cm2 cm2
Maximum index value 1.37 1.40 2.58 2.11
Associated pra 2.74
acoustic P 81.2 81.2 59.4
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb 3.28
z@max. Ipi,α 1.51
deq (zb) 0.44
fawf 4.0 2.5 2.5
Dim of X 4.78 0.84
Aaprt Y 11.0 1.16
Other td 0.47
information prr 7010
pr @ max. Ipi 3.16
deq @ max. Ipi 0.39
Ipa,α @max. MI 409
Focal X cm 3.00
Length Y cm 5.00
Operating B Focus/PW 3cm 3cm 3cm 3cm
control SV/Color SG
conditions position
Display depth 20cm 5cm 5cm 5cm
Acoustic power 100% 100% 100% 100%
PRF(Hz) PW: 699 PW: 8713 PW: 699 PW: 699
C:7077 C:365 C:11454 C:10817
B Working Res Gen Res Gen
frequency
PW Working Gen Res Res Res
frequency
Color Working Res Gen Res Gen
frequency
PW SV/Color SG SV=0.5mm SG minimum
Scan Line Mode Lower-density line and minimum scan angle

195
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CW mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 0.092 0.92 3.23 2.16
Associated pra 0.13
acoustic P 103 103
parameters min [Pα(zs), Ita,α(zs)] 85.3
zs 1.20
zbp 1.78
zb 3.50
z@max. Ipi,α 3.08
deq (zb) 0.49
fawf 2.0 2.0 2.0 2.0
Dim of X 0.96 0.96 6.15
Aaprt Y 1.16 1.16 10.2
Other td
information prr 200000
pr @ max. Ipi 0.16
deq @ max. Ipi 0.44
Ipa,α @max. MI 0.41
Focal X cm 5.00
Length Y cm 5.00
Operating Focus position 5cm 5cm 5cm 5cm
control Display depth 0cm 0cm 0cm 0cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 200000 200000 200000 200000
Working 3.3MHz 3.3MHz 3.3MHz 3.3MHz
frequency

196
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 TP16(IEC61157:2007)
Mode B M B+M PW CW
Parameter

System settings AP:100% AP:100% AP:100% AP:100% AP:100%

Focus:14cm Focus:9cm Focus:9cm Focus:9cm Focus:5cm
Display:20cm Display:20cm Display:20cm Display:20cm Display:0cm

pr (MPa) 1.60±0.27 2.43±0.41 1.77±0.30 1.95±0.32 0.11±0.02

Ispta (mW/cm2) 80.12±26.58 149.32±49.46 117.40±38.95 274.08±90.56 354.25±117.14

Iob (mW/cm2) 14.78±4.87 52.38±17.42 18.23±6.74 64.27±21.37 76.14±25.32

Power output (mW) 29.83±1.68 76.55±5.47 26.64±4.72 93.93±6.71 84.79±6.06

Output beam 16.03 13.64 13.64 13.64 11.91

dimentions(ø)(mm)

Zp (mm) 1.35±0.25 1.66±0.25 1.38±0.25 3.12±0.25 3.08±0.25

W12 (//)(mm) 1.74±0.13 9.26±0.13 1.26±0.13 5.89±0.13 5.00±0.13

W12 (⊥) (mm) 1.16±0.13 10.63±0.13 1.16±0.13 9.77±0.13 1.16±0.13

fawf (MHz) 2.00±0.08 1.99±0.08 1.98±0.08 2.59±0.10 1.99±0.07

prr (Hz) - 1000.00±1.00 500.00±1.00 5700.00±1.00 200000.00±1.
00
srr (Hz) 305.00±1.00 - 125.00±1.00 - -

Ztt (mm) 2.15 2.15 2.15 2.15 2.15

Zts (mm) contact contact contact contact contact
Acoustic output freeze Yes Yes Yes Yes Yes
Inclusive modes - - - B+PW/Color+
PW+B

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 TL40(IEC60601-2-37:2007)
B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.29 1.65 0.94
Associated pra 2.88
acoustic P 59.3 59.3
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb
z@max. Ipi,α 1.63
deq (zb)
fawf 5.0 7.5 7.5
Dim of X 2.76 2.76
Aaprt Y 0.70 0.70
Other td 0.258
information prr 4100
pr @ max. Ipi 3.91
deq @ max. Ipi
Ipa,α @max. MI 566
Focal X cm 12.0 12.0
Length Y cm 3.0 3.0
Operating Focus position 1.5cm 12cm 12cm 12cm
control Display depth 15cm 15cm 15cm 15cm
conditions Acoustic power 100% 100% 100% 100%
Focus number 1 1 1 1
Working frequency Pen Gen Pen Gen
Scan Line Mode Lower-density line and minimum scan angle

198
 Annex

PW mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.52 0.656 2.55 1.06
Associated pra 3.23
acoustic P 27.9 27.9
parameters min [Pα(zs), Ita,α(zs)] 25.2
zs 1.00
zbp 1.90
zb 0.954
z@max. Ipi,α 0.347
deq (zb) 0.171
fawf 4.5 5.0 5.0 5.0
Dim of X 17.1 0.72 0.36
Aaprt Y 4.30 0.70 0.70
Other td 0.901
information prr 698
pr @ max. Ipi 3.40
deq @ max. Ipi 0.171
Ipa,α @max. MI 358
Focal X cm 12.0
Length Y cm 3.0
Operating Focus position 0.5cm 1cm 12cm 0.5cm
control Display depth 3cm 3cm 15cm 3cm
conditions Acoustic power 100% 100% 100% 100%
Focus number 698 5699 698 5699
Working frequency Pen Res Res Pen
Scan Line Mode 0.5mm 0.5mm 0.5mm 0.5mm

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B+M mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.18 1.08 1.08 0.702
Associated pra 2.73
acoustic P 4.68 4.68
parameters min [Pα(zs), Ita,α(zs)] 7.15
zs 1.00
zbp 2.35
zb 1.59
z@max. Ipi,α 1.62
deq (zb) 0.152
fawf 5.3 5.0 6.0
Dim of X 16.0 0.72
Aaprt Y 3.88 0.70
Other td 0.496
information prr 2400
pr @ max. Ipi 3.57
deq @ max. Ipi 0.152
Ipa,α @max. MI 271
Focal X cm 12.0 12.0
Length Y cm 3.00 3.00
Operating Focus position 1.5cm 1.5cm 12cm 12cm
control Display depth 16cm 16cm 16cm 16cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 500 1000 1000 1000
Working frequency HGen Pen Gen Gen
Scan Line Mode Lower-density line and minimum scan angle

200
 Annex

Color+B/PDI+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.64 1.58 1.62
Associated pra 3.67
acoustic P 59.8 59.8
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb
z@max. Ipi,α 1.09
deq (zb)
fawf 5.0
Dim of X
Aaprt Y
Other td 0.352
information prr 2700
pr @ max. Ipi 4.41
deq @ max. Ipi
Ipa,α @max. MI 683
Focal X cm
Length Y cm
Operating B Focus/Color 1cm 12cm 12cm 12cm
control Sampling Gate
conditions position
Display depth 3cm 15cm 15cm 15cm
Acoustic power 100% 100% 100% 100%
Color PRF(Hz) 2700 2040 2040 2040
B Working Res Pen Pen Pen
frequency
C Working Res Pen Pen Pen
frequency
Color Sampling minimum minimum
Gate Width
Scan Line Mode Lower-density line and minimum scan angle for B-mode and Color
Sensitivity:2 for Color-mode

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PW+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.43 0.348 2.69 0.97
Associated pra 3.19
acoustic P 27.5 27.5
parameters min [Pα(zs), Ita,α(zs)] 12.5
zs 1.00
zbp 1.90
zb 0.954
z@max. Ipi,α 0.345
deq (zb) 0.16
fawf 5.0 6.2 4.5
Dim of X 16.5 0.72
Aaprt Y 2.93 0.70
Other td 0.907
information prr 699
pr @ max. Ipi 3.34
deq @ max. Ipi 0.16
Ipa,α @max. MI 354
Focal X cm 12.0 12.0
Length Y cm 3.00 3.00
Operating B Focus/SV 0.5cm 1cm 12cm 12cm
control position
conditions Display depth 3cm 15cm 15cm 15cm
Acoustic power 100% 100% 100% 100%
PW PRF(Hz) 699 5070 699 699
B Working Pen Res Pen Res
frequency
PW Working Pen Res Pen Res
frequency
PW SV 0.5mm 0.5mm
Scan Line Mode Lower-density line and minimum scan angle

202
 Annex

Color+PW+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ Aaprt > 1 Non-scan
1 cm2 cm2
Maximum index value 1.46 1.74 1.97 2.35
Associated pra 3.27
acoustic P 16.2 16.2 58.1
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb 0.954
z@max. Ipi,α 0.341
deq (zb) 0.129
fawf 5.0 5.0 5.0
Dim of X 1.2 0.72
Aaprt Y 6.44 0.70
Other td 0.902
information prr 699
pr @ max. Ipi 3.40
deq @ max. Ipi 0.129
Ipa,α @max. MI 353
Focal X cm 1.00
Length Y cm 3.00
Operating B Focus/ PW SV/ 0.5cm 1cm 1cm 0.5cm
control Color SG
conditions position
Display depth 3cm 3cm 3cm 3cm
Acoustic power 100% 100% 100% 100%
PRF(Hz) PW:699 PW:22995 PW:699 PW:699
C:12470 C:249 C:16799 C:8799
B Working Pen Res Gen Gen
frequency
PW Working Pen Res Res Res
frequency
Color Working Pen Res Gen Gen
frequency
PW SV/Color SG SV=0.5mm SG minimum
Scan Line Mode Lower-density line and minimum scan angle

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 TL40 (IEC61157:2007)
Mode B M B+M PW
Parameter
System settings AP:100% AP:100% AP:100% AP:100%
Focus:12cm Focus:12cm Focus:12cm Focus:12cm
Display:16cm Display:16cm Display:16cm Display:16cm

pr (MPa) 2.60±0.43 2.72±0.45 2.50±0.42 2.79±0.47

Ispta (mW/cm2) 13.11±4.33 107.88±35.57 61.79±20.43 187.83±62.38
Iob (mW/cm2) 30.52±10.04 5.08±1.69 12.03±4.75 18.24±6.07

Power output (mW) 58.97±3.01 9.81±0.70 23.23±5.22 22.98±1.64

Output beam 15.68 15.68 15.68 12.67

dimentions(ø)(mm)

Zp (mm) 1.65±0.25 2.04±0.25 1.67±0.25 0.35±0.25

W12 (//)(mm) 2.76±0.13 16.84±0.13 2.76±0.13 17.13±0.13

W12 (⊥) (mm) 0.70±0.13 3.28±0.13 0.70±0.13 4.30±0.13

fawf (MHz) 5.00±0.19 5.00±0.21 5.00±0.15 4.50±0.16
prr (Hz) - 2000.00±1.00 1000.00±1.00 700.00±1.00

srr (Hz) 34.00±1.00 - 16.00±1.00 -

Ztt (mm) 0.87 0.87 0.87 0.87

Zts (mm) contact contact contact contact

Acoustic output Yes Yes Yes Yes

freeze

Inclusive modes - - - B+PW/Color+PW+B

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 TC10(IEC60601-2-37:2007)
B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.30 0.068 0.14
Associated pra 3.19
acoustic P 3.18 3.18
parameters
min [Pα(zs), Ita,α(zs)]
zs
zbp
zb
z@max. Ipi,α 1.12
deq (zb)
fawf 6.0 4.7 4.5
Dim of X 1.30 0.78
Aaprt Y 0.50 0.50
Other td 0.29
information prr 4000
pr @ max. Ipi 3.67
deq @ max. Ipi
Ipa,α @max. MI 276
Focal X cm 12.0 4.5
Length Y cm 3.0 3.0
Operating Focus position 1cm 12cm 12cm 4.5cm
control Display depth 3cm 15cm 15cm 15cm
conditions Acoustic power 100% 100% 100% 100%
Focus number 1 1 1 1
Working frequency Gen HRes HRes Pen
Scan Line Mode Lower-density line and minimum scan angle

205
Annex

PW mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 0.99 1.80 0.61 2.11
Associated pra 2.48
acoustic P 7.83 7.83 7.83
parameters
min [Pα(zs), Ita,α(zs)]
zs
zbp
zb 1.0
z@max. Ipi,α 1.53
deq (zb) 0.207
fawf 6.2 4.6 4.6 4.6
Dim of X 13.4 0.25 0.17
Aaprt Y 4.36 0.50 0.50
Other td 0.69
information prr 679
pr @ max. Ipi 3.53
deq @ max. Ipi 0.198
Ipa,α @max. MI 179
Focal X cm 12.0
Length Y cm 3.0
Operating Focus position 2cm 1cm 12cm 1cm
control Display depth 15cm 3cm 15cm 3cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 679 5699 5300 23990
Working frequency HRes Pen Pen Pen
SV 0.5mm 0.5mm 0.5mm 0.5mm

206
 Annex

B+M mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.30 0.475 0.842 1.10
Associated pra 3.07
acoustic P 10.8 10.9 10.9
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb 1.02
z@max. Ipi,α 1.21
deq (zb) 0.218
fawf 5.6 6.2 6.2
Dim of X 13.5 0.25
Aaprt Y 4.77 0.50
Other td 0.339
information prr 1000
pr @ max. Ipi 3.66
deq @ max. Ipi 0.218
Ipa,α @max. MI 220
Focal X cm 12.0 12.0
Length Y cm 3.0 3.0
Operating Focus position 1cm 1cm 12cm 0.5cm
control Display depth 3cm 3cm 15cm 3cm
conditions Acoustic power 100% 100% 100% 100%
PRF(Hz) 1000 2000 500 2000
Working frequency Gen HPen HRes HPen
Scan Line Mode Lower-density line and minimum scan angle

207
Annex

Color+B/PDI+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.45 0.141 0.23
Associated pra 3.08
acoustic P 7.39 7.39
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb
z@max. Ipi,α 1.09
deq (zb)
fawf 4.5
Dim of X
Aaprt Y
Other td 0.933
information prr 1680
pr @ max. Ipi 3.79
deq @ max. Ipi
Ipa,α @max. MI 356
Focal X cm
Length Y cm
Operating B Focus/Color
control Sampling Gate 1cm 12cm 12cm 12cm
conditions position
Display depth 15cm 15cm 15cm 15cm
Acoustic power 100% 100% 100% 100%
Color PRF(Hz) 1680 2290 2290 2290
B Working
Pen Pen Pen Pen
frequency
C Working
Pen Pen Pen Pen
frequency
Color Sampling minimum minimum
Gate Width
Scan Line Mode Lower-density line and minimum scan angle for B-mode and Color
Sensitivity:2 for Color-mode

208
 Annex

PW+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ 1 Aaprt > 1 Non-scan
cm2 cm2
Maximum index value 1.36 1.07 1.69 1.64
Associated pra 2.89
acoustic P 22.2 22.2 22.2
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb 1.47
z@max. Ipi,α 1.02
deq (zb) 0.214
fawf 4.5 4.6 4.6
Dim of X 13.4 0.25
Aaprt Y 4.34 0.50
Other td 0.42
information prr 983
pr @ max. Ipi 3.25
deq @ max. Ipi 0.193
Ipa,α @max. MI 311
Focal X cm 12.0 12.0
Length Y cm 3.0 3.0
Operating B Focus/SV 1cm 1cm 12cm 0.5cm
control position
conditions Display depth 15cm 3cm 15cm 3cm
Acoustic power 100% 100% 100% 100%
PW PRF(Hz) 2936 15610 2939 16510
B Working Pen Pen Pen Pen
frequency
PW Working Pen Pen Pen Pen
frequency
PW SV 0.5mm 0.5mm
Scan Line Mode Lower-density line and minimum scan angle

209
Annex

Color+PW+B mode

TIS TIB
Non-scan
Index label MI TIC
Scan Aaprt ≤ Aaprt > 1 Non-scan
1 cm2 cm2
Maximum index value 1.21 0.28 1.52 1.58
Associated pra 2.85
acoustic P 20.7 20.7 11.6
parameters min [Pα(zs), Ita,α(zs)]
zs
zbp
zb 1.38
z@max. Ipi,α 1.04
deq (zb) 0.226
fawf 5.5 4.6 5.6
Dim of X 2.88 0.25
Aaprt Y 4.53 0.50
Other td 0.423
information prr 589
pr @ max. Ipi 3.51
deq @ max. Ipi 0.206
Ipa,α @max. MI 319
Focal X cm 1.00
Length Y cm 3.00
Operating B Focus/PW
control SV/Color SG 1cm 1cm 1cm 0.5cm
conditions position
Display depth 3cm 3cm 3cm 3cm
Acoustic power 100% 100% 100% 100%
PRF(Hz) PW:589 PW:14230 PW:699 PW:14240
C:20557 C:527 C:17957 C:528
B Working
Pen Pen Pen Pen
frequency
PW Working
Pen Pen Res Pen
frequency
Color Working
Pen Pen Pen Pen
frequency
PW SV/Color SG SV=0.5mm SG minimum
Scan Line Mode Lower-density line and minimum scan angle

210
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 TC10(IEC61157:2007)
Mode B M B+M PW
Parameter
System settings AP:100% AP:100% AP:100% AP:100%
Focus:12cm Focus:12cm Focus:12cm Focus:12cm
Display:16cm Display:16cm Display:16cm Display:16cm

pr (MPa) 2.67±0.45 2.79±0.47 2.65±0.44 2.24±0.37

Ispta (mW/cm2) 2.55±0.84 67.62±22.38 71.36±23.61 77.37±25.54
Iob (mW/cm2) 2.91±1.06 28.60±9.51 13.83±4.60 9.89±3.29

Power output (mW) 1.90±0.32 18.65±1.33 9.02±0.64 6.45±0.46

Output beam 9.11 9.11 9.11 9.11

dimentions(ø)(mm)

Zp (mm) 1.00±0.25 1.00±0.25 1.12±0.25 1.55±0.25

W12 (//)(mm) 1.30±0.13 13.63±0.13 1.30±0.13 13.44±0.13

W12 (⊥) (mm) 0.50±0.13 4.81±0.13 0.50±0.13 4.36±0.13

fawf (MHz) 4.50±0.21 4.50±0.21 4.50±0.21 4.60±0.22
prr (Hz) - 1000.00±1.00 500.00±1.00 5300.00±1.00

srr (Hz) 6.00±1.00 - 22.00±1.00 -

Ztt (mm) 0.97 0.97 0.97 0.97

Zts (mm) contact contact contact contact

Acoustic output Yes Yes Yes Yes

freeze

Inclusive modes - - - B+PW/Color+PW+B

No. 3510000723

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