Samsung SONOACE R5 Instrukcja Użytkownika

SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEMSONOACE R5User ManualVolume 1

Precautions For UseHow to Use Your ManualThis manual addresses the reader who is familiar with ultrasound techniques. Only medical doctors or person

4-14User Manual M Mode Screen M Line Use the trackball on the control panel to move left or right. The M line indicates the relative position of the

4-15Chapter 4 Diagnosis Modes M Mode SoftmenuFollowing items are displayed on Softmenu in M mode. Select the item and adjust the value with the Softm

4-16User ManualColor Doppler ModeThis mode displays the colored blood ow pattern of the ROI (Region of Interest) within the 2D image. It is appropria

4-17Chapter 4 Diagnosis Modes C Mode Screen ROI BoxROI stands for Region Of Interest. In Color Doppler Mode, the ROI box outlines the area of the 2D

4-18User Manual InvertInverts the color bar in the opposite direction. Inverting the color bar also inverts the colors displayed on the image. Color

4-19Chapter 4 Diagnosis ModesXTag Pos: It is available when Color Tag is on. Use the Menu dial-button to select the position of tags, from between 0

4-20User ManualPower Doppler ModeThis mode displays the color intensity of blood ow within the ROI in the 2D image. It is appropriate for examining t

4-21Chapter 4 Diagnosis Modes ROI BoxROI stands for Region Of Interest. In Power Doppler Mode, ROI indicates the area of the 2D image where color (b

4-22User ManualPW Spectral Doppler ModePW stands for Pulse Wave. PW Spectral Doppler Mode gives information on the speed of blood ow at a specic sit

4-23Chapter 4 Diagnosis Modes PW Spectral Doppler Mode ScreenOn the Spectral Doppler Mode image, the horizontal axis represents time, and the vertica

DANGER: Describes precautions necessary to prevent user hazards of great urgency. Ignoring a DANGER warning will risk life-threatening injury.WARNING:

4-24User ManualXMoving Sample Volume If you move the Sample Volume in the D Only state, the system will calculate the PRF value and the Phantom Gate

4-25Chapter 4 Diagnosis Modes PW Spectral Doppler Mode MenuFollowing items are displayed on menu when you press the Menu dial-button in PW Spectral D

4-26User ManualXEdit: Adjust a post map.XReturn: Return to the previous step of the menu.NOTE: For information on other menu items, please refer to

4-27Chapter 4 Diagnosis Modes Combined Modes2D/C/PW ModeColor Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.Press the PW bu

4-28User ManualAs each active image mode has its own set of menu items and buttons, you should press the Set button to change the active image mode.

4-29Chapter 4 Diagnosis Modes Dual ModeThe multi-image viewing function is only available when the images and conditions on both sides are identical

4-30User Manual 3D Mode3DThe 3D Mode displays tissues or objects in the human body as three-dimensional images instead of two-dimensional images.The

4-31Chapter 4 Diagnosis ModesAcquiring a 3D Image The following explains how to acquire a 3D image. 1. Press the 3D key on the keyboard.2. The ROI

4-32User Manual3D View3D images can be seen through the 3D View application.[Figure 4.9 3D View] Viewing a 3D Image XSelect the menus using the Track

4-33Chapter 4 Diagnosis Modes 3D Image Optimization Threshold (Low, High) AdjustmentAdjust the slide bar of the threshold using the Trackball and th

Revision HistoryVERSION DATE NOTEv1.02.02-00 2014.10.15 Initial ReleaseSystem Upgrades and Manual Set UpdatesSamsung Medison Ultrasound is committed

4-34User Manual[Figure 4.10 Softmenu - Rotation Mode]Tips!Other ways to rotate the image1. The ROT slide bar at the bottom of the screen can be adjus

4-35Chapter 4 Diagnosis Modes MagnicationTo magnify or reduce the image size, enter Magnication mode by pressing the Magnication button, and move

4-36User Manual Multi planar Press Multi planar, and 3D multiplanar screen appears. Shows volume data in cross-section images of Coronal Section, Sag

4-37Chapter 4 Diagnosis ModesUse X/Y/Z slide on the screen to rotate reference plane.AYYZXXYZZXCB[Figure 4.17 The standard coordinates systems of Mul

Chapter 5Measurements And CalculationsUser ManualMeasurement Accuracy ... 5-3Causes of Measurement Errors ...

5-3Chapter 5 Measurements And Calculations Measurement AccuracyMeasurement values can vary, depending on the nature of the ultrasound, the body’s re

5-4User Manual Ultrasound VelocityXThe velocity of ultrasound used during measurement is usually 1,540 m/s on average.XThe velocity of ultrasound ma

5-5Chapter 5 Measurements And CalculationsOptimization of Measurement Accuracy 2D ModeXResolution is in proportion to the frequency of the probe.XP

13Table of Contents Table of Contents – Volume 1Chapter 1 SafetyPurpose of Use ...

5-6User Manual Color/Power Doppler ModeXA protocol is not specied for images in Color Doppler Mode or Power Doppler Mode. Therefore, the same limit

5-7Chapter 5 Measurements And Calculations 2D ModeMeasurementsSystem Tolerance:(Whichever is greater)TestMethodologyAccuracy(1)Based onRange(2)Axial

5-8User Manual Basic MeasurementsPress the Caliper button on the control panel. NOTE: Take basic measurements of distance and area regardless of the

5-9Chapter 5 Measurements And Calculations Basic Measurement OperationsThe following is the information on common button operations for basic measure

5-10User Manual2. Use the trackball and the Set button on the control panel to specify both end points of the measurement area. XPlace the cursor a

5-11Chapter 5 Measurements And Calculations 2D Hip Joint This is a basic measurement that is available in all diagnosis modes. You can measure the an

5-12User Manual M DistanceThis is a basic measurement that is available in M Mode only. You can specify two points in an M image and measure the dista

5-13Chapter 5 Measurements And CalculationsThe equations used for D Velocity measurement are as follows: Doppler Velocity (A/B)This is a basic measur

5-14User Manual3. When the measurement is nished, its result is shown on the screen.XdT: Change in TimeXVTI: Velocity Time IntegralXMean V: Mean

5-15Chapter 5 Measurements And Calculations4. When the measurement is nished, its result is shown on the screen. XCirc.: Circumference of ObjectX

14User ManualChapter 3 Starting DiagnosisPower Supply ...

5-16User ManualThe equations used for Trace measurement are as follows:, (N = 1,2… last point) , (N = 1,2… last point)Volume Measurement 3 DistanceThi

5-17Chapter 5 Measurements And Calculations2. Specify two points and measure the straight distance between them. The method for measuring a line is

5-18User Manual Calculations by Application Press the Calc button on the control panel.Things to note Before Taking Measurements Register PatientMak

5-19Chapter 5 Measurements And Calculations Select Measurement ItemUse the Menu dial-button on the control panel. Return to Previous MenuAfter plac

5-20User ManualIn case of measuring distance, choose a measurement method from Line or Trace. When circumference and area are measured, choose a measu

5-21Chapter 5 Measurements And Calculations Limited TraceIf you specify a measurement range, a spectrum is traced automatically. It is enabled in th

5-22User ManualTips!Things to consider for Doppler Spectrum Auto TraceThe state of a Doppler spectrum may affect measurement results. Please see the fo

5-23Chapter 5 Measurements And Calculations Vesl. Dist. (Vessel Distance)Measure the width of a blood vessel and calculate TAMV and Volume Flow. Ste

5-24User Manual Heart Rate Measurement HR (Heart Rate)You can calculate heart rates for a certain period of time.1. Select HR in the Measurement men

5-25Chapter 5 Measurements And Calculations Measurement MenuWhen the measurements for the selected items are complete, the measurements and gestation

15Table of Contents Chapter 5 Measurements And CalculationsMeasurement Accuracy ...

5-26User ManualMeasurement Menu Item Mode Method UnitFetal BiometryGS All Distance cm, mmCRL All Distance cm, mmYS All Distance cm, mmBPD All Distance

5-27Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitFetal OthersFoot All Distance cm, mmEar All Distance cm, mmMP All Di

5-28User Manual Automatic Calculation Some items in the measurement menu are automatically calculated based on measurements of other items.  HC This

5-29Chapter 5 Measurements And Calculations Calculating Estimated Fetal Weight (EFW)Estimated fetal weight is calculated automatically when the follo

5-30User ManualNOTE:XFor information on basic measurements, please refer to “Basic Measurements” and “Common Measurement Methods” in this chapter.XF

5-31Chapter 5 Measurements And CalculationsCardiac CalculationsNOTE:XCardiac measurement is an optional item for SONOACE R5. XSince the cardiac blo

5-32User ManualMeasurement Menu Item Mode Method Unit2D MeasureAll All Continuouscm, mmIVSd All Distancecm, mmIVSs All Distancecm, mmLVDd All Distanc

5-33Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitMV (M)All Points M ContinuousD-E M Distancecm, mmE-F Slope M Veloc

5-34User ManualMeasurement Menu Item Mode Method UnitAoV SystolicAuto Trace PW Doppler Spectrum TraceLimited Trace PW Doppler Spectrum TraceManual Tra

5-35Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitTV RegurgAuto Trace PW Doppler Spectrum TraceLimited Trace PW Dopple

5-36User ManualMeasurement Menu Item Mode Method UnitTissue DopplerE-DT-A PW Time-Velocity-Timems & m/sPeak E’ PW Velocitym/sPeak A’ PW Velocitym/

5-37Chapter 5 Measurements And CalculationsNOTE:XFor information on basic measurements, please refer to “Basic Measurements” and “Common Measurement

5-38User ManualMeasurement Menu Item Mode Method UnitRt./Lt. Mid CCA Same as aboveRt./Lt. Distal CCA Same as aboveRt./Lt. Bulb Same as aboveRt./Lt. Pr

5-39Chapter 5 Measurements And CalculationsUrology CalculationsThe measurement methods of each menu vary with the Volume Method set at Setup > Mea

5-40User Manual 3 Distance Volume is calculated using three distance measurement results.Measurement Menu Item Mode Method UnitVolume FlowAuto Trace

5-41Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitResidual Vol.Pre All AllCalculated after distance measurementmlPre 1

5-42User ManualMeasurement Menu Item Mode Method UnitT-Z Prostate Vol. Same as aboveBladder Vol. Same as aboveRt./Lt. Kidney Vol.All AllCalculated aft

5-43Chapter 5 Measurements And Calculations Sum of 20 DisksMeasure the prostate circumference and then use the trackball and the Set button to measu

5-44User ManualFetal Echo CalculationsThe measurement method for each item is the same as for basic measurement. In addition, measurement items are si

5-45Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method Unit2D Echo Asc. Aorta All Distance cm, mmMPA All Distance cm, mmDuct.

Chapter 1SafetyPurpose of Use ... 1-3Contraindications ...

5-46User ManualMeasurement Menu Item Mode Method UnitIVCSame as aboveDuct. VenSame as aboveAsc. AortaSame as aboveDesc. AortaSame as above Same as abo

5-47Chapter 5 Measurements And Calculations ReportCheck the measurement and calculation results in the report of each application. XPress the Repor

5-48User ManualViewing ReportXThe measurement and calculation items and their values are displayed. XWhen the report screen has more than two pages,

5-49Chapter 5 Measurements And Calculations Open Line TransferTransfer the report to another computer or printer. Press the Open Line Transfer on the

5-50User Manual Viewing Graph XThe graph of the recently measured values is drawn according to the gestation period (week) and fetal size (mm).XThe

SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEMSONOACE R5User ManualVolume 2

SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEMVersion 1.02EnglishSONOACE R5User Manual

5Table of Contents Table of Contents – Volume 2Chapter 6 Image ManagementsCINE / LOOP ...

6User ManualSetting DICOM (Optional) ...7-23Setting

7Table of Contents Chapter 9 ProbesProbes ...

Chapter 6Image ManagementsCINE / LOOP ... 6-3Annotating Images ...

6-3Chapter 6 Image Managements CINE / LOOPImages are automatically saved in the memory during scanning. The saved images can be useful when a patien

6-4User Manual How to Review ImagesUse the trackball on the control panel. You can search for saved images in chronological order by rotating the Trac

6-5Chapter 6 Image ManagementsNOTE:XWhen saving a Cine image, the current time at the top right of the screen stops displaying. When the image is sa

6-6User Manual Annotating Images TextYou can enter comments or text over an image. This function can be useful when the diagnosis area is dierentiat

6-7Chapter 6 Image Managements AutotextThis function allows you to enter text automatically by using an abbreviation. In this way, you can enter text

1-3Chapter 1 Safety Purpose of UseThe SONOACE R5 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging and 

6-8User ManualBodyMarker You can place a BodyMarker over an image. This function can be useful when the diagnosis area is dierentiated or displayed.[

6-9Chapter 6 Image Managements Entering BodyMarker 1. Press the BodyMarker key on the control panel, BodyMarkers will appear on the user information

6-10User ManualIndicatorYou can place an Indicator over an image. This function can be useful when the diagnosis area is dierentiated or displayed.

6-11Chapter 6 Image Managements Deleting Indicator Press the Clear button on the control panel and all Indicators displayed on the screen will be del

6-12User Manual Saving and Transferring ImagesSaving ImagesWARNING: You must enter the patient ID because all images are saved according to patient I

6-13Chapter 6 Image Managements Transferring Images in SONOVIEWSelect an exam in the Exam View screen to transfer all images in the exam, or select a

6-14User Manual Printing and Recording ImagesPrinting ImagesPress the Print button on the control panel to print out a scanned image using a printer.

6-15Chapter 6 Image Managements SONOVIEWSONOVIEW is an integrated image management program in SONOACE R5. It allows you to save, view and delete imag

6-16User ManualExam ViewNOTE: If you select an icon on the Exam View screen, the name of icon will be displayed. Starting Exam ViewPress Exam Search

6-17Chapter 6 Image Managements Selecting ExamUse the trackball and the Set button to select an examination. To cancel the exam selection, press the

1-4User Manual Safety SignsPlease read this chapter before using the Samsung Medison ultrasound system. It is relevant to the ultrasound system, the

6-18User Manual1. Select exam(s) and press Export to bring up the Export window. 2. Select MO drive, Flash Memory, or ODD as the destination drive f

6-19Chapter 6 Image ManagementsTips!When selecting 2D Cine, an image and a video are saved together. The saved AVI file (*.avi) can be played by a vi

6-20User ManualWhen you have nished using the drive, you must use the Eject function from Storage Manager to remove the MO disk or disconnect the dri

6-21Chapter 6 Image Managements Sending Exam This function uses the DICOM network. The DICOM Send button will not work if the DICOM function is not

6-22User Manual Printing ExamThis function uses printer(s) on the DICOM network. DICOM Print will not work if the DICOM function is not congured.1.

6-23Chapter 6 Image Managements Exam InformationPatient names, IDs, and exam dates are displayed in the left-hand center of the Exam Review screen.

6-24User Manual Selecting imaages and Full Screen Image View  Selecting ImagesUse the trackball on the control panel to move the cursor over an imag

6-25Chapter 6 Image ManagementsXImages and Report : prints both images and reportXCopies: sets the number of copies3. Press Ok and Print screen wi

6-26User Manual E-mailThis function sends e-mails with image attachments.1. Select image(s) and press E-mail on the Exam Review screen.2. Enter the

6-27Chapter 6 Image Managements ExportThis function saves the images in BMP, JPEG, TIFF or DICOM le formats.1. Press Export on the Exam Review scre

1-5Chapter 1 Safety Symbols Description Symbols DescriptionPower on Microphone PortPower o Probe portPower ON for part of the productProtected agai

6-28User Manual4. Use the trackball to move the cursor to another location and press the Set button to set the end point. XPress the Change button b

6-29Chapter 6 Image Managements LayoutUse this function to congure the number of images to show on the Exam Review screen. On the Exam Review screen

Chapter 7UtilitiesSetting System ... 7-3General ...

Chapter 7Information ...7-35Utility ...

7-3Chapter 7 Utilities Setting System This mode is used for system settings. It does not aect image output. The setup may be modied depending on s

7-4User Manual InstitutionEnter the name of the hospital/institution. LanguageThis sets the language to be used. English, Deutsch, Français, Italian

7-5Chapter 7 Utilities Boot up caps lock statusThis menu sets the initial status of Caps Lock after system boot-up. Its default value is ‘O’. This

7-6User ManualDisplay To set the information about images and related data, select the Display tab in the System menu. Auto FreezeAfter the preset ti

7-7Chapter 7 Utilities Simultaneous ModeThis menu determines whether or not simultaneous mode is enabled in PW Spectral Doppler Mode. X‘O’: Select

1-6User ManualLabels Phrases containing the words ‘warning’ and/or ‘caution’ are displayed on the product's surface in order to protect it.

7-8User ManualMisc.Select the Misc. tab in the System menu.[Figure 7.5 System – Misc.] OB Measure Shortcut KeySelect On to start a desired obstetrics

7-9Chapter 7 Utilities ThumbnailTo use thumbnail list, set this item as ‘On’. Thumbnails of saved images are showed up on the right side of the scre

7-10User Manual Setting Measurements Select Measure in the Setup menu to set up measurement functions.1. Press the Setup key on the keyboard. Setup

7-11Chapter 7 Utilities GeneralSelect General tab. Measure Item Display CountSelect the number of measurement items to be between 1 and 4. If you se

7-12User Manual Doppler Select the Doppler tab in the General tab. [Figure 7.7 Measure - Doppler] Y-Axis UnitThis sets the vertical (Y) axis unit in

7-13Chapter 7 UtilitiesTips!How to change Doppler setting during measurementPress the space bar after pressing the Calc button to bring up the Settin

7-14User Manual ReportSelect the Report tab in the General tab.Select items to mark the header on the report. The header will be shown only the item h

7-15Chapter 7 UtilitiesOBSelect the OB tab in the Measure menu.[Figure 7.10 Measure – OB] Display SD ValueThis menu sets whether SD (Standard Deviat

7-16User ManualXAuxiliary Unit: This sets the auxiliary unit of fetal weight measurement. Unit sets the available auxiliary unit. For instance, set t

7-17Chapter 7 Utilities GraphThe user can select graphs to mark on the OB report or print. Press Graph button and select items. After selecting/dese

1-7Chapter 1 Safety Electrical SafetyThis equipment is categorized as a Class I device with Type BF applied parts.CAUTION: As for US requirement,

7-18User Manual Backup / RestoreXBackupIf you want to back up a new user preset to MO Media, Flash Memory, HDD, or CD, press Backup/Restore on the s

7-19Chapter 7 UtilitiesFetal Echo Select the Fetal Echo tab in the Measure menu.[Figure 7.14 Measurement Setting– Fetal Echo]During obstetric measure

7-20User ManualCardiac Select the Cardiac tab in the Measure menu.  2D Circumference and Area MethodSelect either the ‘Ellipse’ or ‘Trace’ caliper to

7-21Chapter 7 UtilitiesUrology Select the Urology tab in the Measure menu. [Figure 7.16 Measure– Urology] Volume MethodX3 Distance: The volume valu

7-22User Manual Predicted PSA Correction Factor The Predicted PSA Correction Factor can be changed. The default value is 0.12.Vascular Select the Vas

7-23Chapter 7 Utilities Setting DICOM (Optional)Select the DICOM tab in the Setup menu. This function is used to set up the DICOM server and other D

7-24User ManualSetting DICOM InformationEnter the DICOM information for the product in use. For automatic DICOM transmission, select ‘Acquisition in P

7-25Chapter 7 Utilities AliasEnter the name of the DICOM server being used. AE TitleEnter the AE title of the DICOM server being used. Consult your

7-26User Manual[Figure 7.19 DICOM Configuration-Store] Print Server InformationSelect PRINT under Services. Congure the Print Service using DICOM. NO

7-27Chapter 7 Utilities Empty DensitySpecify the background color of an image to print. Select Black or White. Min DensitySpecify the minimum brigh

1-8User ManualCAUTION:XThe system has been designed for 100-120VAC and 200-240VAC; you should select the input voltage of printer and VCR. Prior to c

7-28User Manual[Figure 7.20 DICOM Configuration - Print] Worklist Server SettingsSelect WORKLIST under Services. Congure the Modality Worklist Servic

7-29Chapter 7 Utilities Scheduled Station AE TitleSets the range of AE Title to fetch from the hospital’s Worklist server.XAll: Obtains the list of

7-30User ManualEditing the DICOM Server Information Click Edit in the setting DICOM window to edit the server information already entered.Deleting DIC

7-31Chapter 7 Utilities DICOM LogView, copy, or delete the DICOM log les.XView Selected File: Select the log le from ‘Select log les to copy’ an

7-32User Manual Setting OptionThe S/W serial No information of the system is shown in this window. You can select/cancel S/W options. A user cannot m

7-33Chapter 7 Utilities Setting Peripheral DevicesThe following describes how to set up the video output type, video input type, printer, foot switc

7-34User ManualXHP Color LaserJet 3600XHP DeskJet 5940 XHP DeskJet 6540 XHP DeskJet 6940XHP OceJet J5780XHP LaserJet 1320XHP LaserJetP2015XHP

7-35Chapter 7 Utilities InformationThe information menu displays information about the system S/W version. Select the Information tab in the Setup me

7-36User Manual Utility Press Utility key on the keyboard. The Utility menu appears at the left side of the screen. You can select a menu with the Men

7-37Chapter 7 Utilities Editing Biopsy guide lineNOTE:XNote that the Biopsy Guide Line cannot be edited when the Trapezoidal function is in use for

1-9Chapter 1 Safety ESDElectrostatic discharge (ESD), commonly referred to as a static shock, is a naturally occurring phenomenon. ESD is most preva

7-38User Manual Starting and Finishing BiopsyNOTE: The biopsy guideline must be adjusted before a biopsy can be performed.1. Select On in the Biopsy

7-39Chapter 7 UtilitiesMonitor CalibrationSelect Monitor Calibration in Utility menu. Set the color or brightness of the image. [Figure 7.28 Monitor

7-40User ManualPresetPreset allows the user to adjust Image Settings and select a Setting to apply to the system.Select Preset in the utility menu.[Fi

7-41Chapter 7 UtilitiesMiscellaneousSelect Miscellaneous in the utility menu.[Figure 7.30 Miscellaneous] HistogramShows the brightness level of the s

7-42User Manual[Figure 7.31 Histogram]

Chapter 8MaintenanceOperating Environment ...8-3System Maintenance ... 8-4Cleaning

8-3Chapter 8 Maintenance Operating EnvironmentWhen installing the console, please consider the following:CAUTION: Too large a difference in the gain

8-4User Manual System MaintenanceNOTE: The expected service life of this equipment is 7 years.Cleaning and disinfections Using inappropriate detergen

8-5Chapter 8 Maintenance DisinfectionsCAUTION: Use only recommended disinfectants on system surfaces.A disinfectant qualied by the FDA 510(k) proces

1-10User ManualEMC The testing for EMC(ElectroMagnetic Compatibility) of this system has been performed according to the international standard for EM

8-6User ManualFuse ReplacementThe power protection fuse protects the product from excess current. If the power monitoring protection circuit detects e

8-7Chapter 8 MaintenanceCleaning The Air FiltersThe air lters minimize the indraft of dust. Clean the air lter to ensure that a clogged lter does

8-8User ManualAccuracy CheckNOTE: The user must ensure that safety inspections are performed every 2 years according to the requirements of safety sta

8-9Chapter 8 Maintenance Data MaintenanceCAUTION: You may lose information files on user settings or patients, because of shock on the product or int

8-10User ManualSoftwareChanges can be made to the product software to make it suitable for a particular user’s environment. However, these software ch

Chapter 9ProbesProbes ... 9-3Ultrasound transmission Gel ...

Chapter 9 Probes9-3 ProbesThe probe is a device that sends and receives ultrasound for acquiring image data. It is also called a Transducer or Scanhe

9-4User ManualProbe Application Biopsy HarmonicPulse InversionQ ScanCN2-8OBO O X OGynecologyAbdomenFetal HeartRenalCN4-9NeonatalX X X OPediatricVascul

Chapter 9 Probes9-5 TI TableTI (Thermal Index) is displayed on the title of the screen and shows the estimate of the temperature increase in specic

1-11Chapter 1 Safety Approved Cables, Probes and Peripherals for EMC CablesCables connected to this product may aect its emissions; Use only the

9-6User ManualUltrasound transmission GelUsing an inappropriate ultrasound gel may damage the probe. For proper transmission of the acoustic beam, onl

Chapter 9 Probes9-7 Installing the Sheath1. Use sterile gloves.2. Unpack the sheath and ll it with acoustic coupling gel.3. Insert the probe into

9-8User Manual Use and Infection Control of the ProbeWARNING: No neurosurgical treatments or examinations should be carried out on a patient with Creu

Chapter 9 Probes9-9Cleaning and Disinfecting the ProbeUsing an inappropriate detergent or disinfectant may damage the probe.WARNING: XAlways use pro

9-10User ManualNamesDisinfectantsT-Spray IIT-SpraySani-Cloth HBSani-Cloth PlusSani-Cloth ActiveSeptiwipesClieanisept WipesSter-Bac BluTranseptic Spray

Chapter 9 Probes9-11NamesDisinfectantsCidex OPA 2), 3), 6), 7)Cidex Plus 2), 7)Metricide 2), 7)Omnicide (28)Omnicide 14NSOmnicide - FG2NucleanWavicid

9-12User ManualNamesDisinfectants CleanerVirkonSporoxSporox II GigaseptGigasept AF 3)Gigasept FFHibitanePeraSaveEnzolAlkazymeCidezymeKlenzymeIsopropyl

Chapter 9 Probes9-13NamesCleaner GelEthanol 75%MetrizymeMcKessonNatural ImageAquasonics 100 3)GE Ultrasound Contact GelClear ImageKendallScanWaveleng

9-14User ManualTips!Symbols (1) Compatible but no EPA Registration (2) FDA 510(k) cleared (3) Has CE mark (4) Discontinued (5) Under Developm

Chapter 9 Probes9-15Following is information about manufacturer (or Distributor) of Detergent, Disinfectant, and Ultrasound Gel. Product Manufacture

1-12User ManualImmunity test IEC 60601 Test level Compliance levelElectromagnetic environment -guidanceElectrostatic discharge (ESD)IEC 61000-4-2±6KV

9-16User Manual CleaningCleaning is an important procedure that is carried out before disinfecting the probe. The probe must be cleaned after each use

Chapter 9 Probes9-17 DisinfectionOnly disinfect vaginal and rectal probes. A 10-6 reduction in pathogens should be reached following the disinfection

9-18User Manual BiopsyA biopsy is an examination method that surgically extracts tissue from the patient for examination. The probe and the biopsy kit

Chapter 9 Probes9-19Using the Biopsy KitWARNING: XVerify the condition of the biopsy needle before use. Do not use a bent biopsy needle.XThe biopsy

9-20User Manual5. Insert the needle into the needle guide. Perform the puncture by sliding the needle through the groove in the guide until the needl

Chapter 9 Probes9-21Cleaning and Disinfecting Biopsy KitWash and disinfect the biopsy kit to reduce pathogens to the level of 10-6. Some components o

9-22User Manual Cleaning and Disinfection of plastic biopsy kit Cleaning 1. After use, remove the biopsy kit from the probe.2. Disassemble the biop

Chapter 9 Probes9-23Assembling the Biopsy Kit C2-5Biopsy Guide (Plastic)  SpecicationModel nameBP-KIT-045ComponentBiopsy Bracket 1 EANeedle Guide(

9-24User Manual3. Secure the Needle Guide Clip.4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-25 C2-5Biopsy Guide (Metal)  SpecicationModel nameBP-KIT-042ComponentBiopsy Bracket 1 EANeedle Guide(16G) 6 EANeedle Guide(18G)

1-13Chapter 1 Safety Immunity testIEC 60601Test levelCompliance levelElectromagneticenvironment - guidanceConducted RFIEC 61000-4-63 Vrms150 kHzto 8

9-26User Manual3. Secure the Needle Guide Clip.4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-27 C2-8Biopsy Guide  SpecicationModel nameBP-KIT-035ComponentBiopsy Bracket Needle Guide 1 EA 24 EAMaterialAcetal CopolymerAvail

9-28User Manual3. Secure the Needle Guide Clip.4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-29 CN2-8 Biopsy Guide  SpecicationModel nameBP-KIT-038ComponentAdapter 1EANeedle Guide(16G) 8 EANeedle Guide(18G) 8 EANeedle Gu

9-30User Manual3. Secure the Needle Guide Clip. 4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-31 L5-12/60 Biopsy Guide  SpecicationModel nameBP-KIT-039ComponentAdapter 1 EANeedle Guide(16G) 8 EANeedle Guide(18G) 8 EANeed

9-32User Manual3. Secure the Needle Guide Clip. 4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-33 LE5-12 Biopsy Guide  SpecicationModel nameBP-KIT-040ComponentBiopsy Adapter 1 EAMaterialAcetal CopolymerAvailable Gauges16G,

9-34User Manual3. Secure the Needle Guide Clip. 4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-35 LN5-12/40 Biopsy Guide  SpecicationModel nameBP-KIT-036ComponentAdapter 1 EANeedle Guide 24 EAMaterialAcetal CopolymerAvaila

1-14User Manual Recommended separation distances between portable and mobile RF communications equipment and the SONOACE R5This product is intended f

9-36User Manual3. Secure the Needle Guide Clip.4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-37 LN5-12 Biopsy Guide  Specication Model nameBP-KIT-040ComponentBiopsy Adapter 1 EA 16Ga disposable needle guide/probe cover K

9-38User Manual3. Secure the Needle Guide Clip. 4. Insert the needle into the needle guide for use.

Chapter 9 Probes9-39 EC4-9, EVN4-9 Biopsy guide SpecicationsModel nameBP-KIT-024ComponentBiopsy Adapter 1 EASheath 2 EA MaterialStainlessAvailab

SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEMSONOACE R5Reference Manual

SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEMVersion 1.02EnglishSONOACE R5Reference Manual

PART 1. OB REFERENCEOB REFERENCE 6Gestational aGe Formula and table list 6ABDOMINAL CIRCUMFERENCE (AC)KOREAN 6HADLOCK 6HANSMANN 7MERZ 8JEANTY 11SHIN

1-15Chapter 1 Safety Avoiding Electromagnetic InterferenceTypical interference on Ultrasound Imaging Systems varies depending on Electromagnetic p

Reference Manual 2 THORAX TRANSVERSE DIAMETER (TTD)HANSMANN 52GESTATIONAL SAC (GS)KOREAN 53HANSMANN 53HELLMAN 54NYBERG 54TOKYO 54OCCIPITAL FRONTAL D

Reference Manual 3 UMBILICAL ARTERY (UMA)-RESISTANCE INDEX (RI)SHINOZUKA 84UMBILICAL ARTERY (UMA)- PULSATILITY INDEX (PI)SHINOZUKA 85ANTERIOR POSTER

Reference Manual 4 cardioloGy m mode 98Left Ventricle 98LV Vol. d (LV Volume Diastolic) 98LV Vol. s (LV Volume Systolic) 99Stroke Volume (SV) 9

Reference Manual 5 PART 3. ACOUSTIC POWER TABLESACOUSTIC POWER TABLES 109iec tables 109Symbols and Denitions 109Explanatory Notes 110C2-4/20 11

Reference Manual 6 OB ReferenceGestational Age Formula and Table List Abdominal Circumference (AC) : KOREANGA TableY.G Park.“ The Standardization

Reference Manual 7 Fetal Growth TableHadlock, F., Deter, R.L., Harrist, R.B., Park, S.K. “Estimating Fetal Age: Computer-Assisted Analysis of Multip

Reference Manual 8 Fetal Growth TableHansmann, Hackeloer, Staudach, Wittman “Ultrasound Diagnosis in Obstetrics and Gynecology” Springer- Verlag, Ne

Reference Manual 9 Age (w) GA (wd) Min (wd) Max (wd) Age (w) GA (wd) Min (wd) Max (wd)9.40 15w5d 14w3d 17w1d 24.20 29w6d 27w6d 31w5d9.60 15w6d 14w4d

Reference Manual 10 Age (w) GA (wd) Min (wd) Max (wd) Age (w) GA (wd) Min (wd) Max (wd)18.60 24w4d 22w6d 26w1d 33.40 38w4d 36w2d 40w6d18.80 24w5d 23

Reference Manual 11 Abdominal Circumference (AC) : JEANTYFetal Growth TableHansmann, Hackeloer, Staudach, Wittman. “Ultrasound Diagnosis in Obstet

1-16User Manual Is the interference intermittent or constant? Does the interference show up only with one transducers operating at the same frequenc

Reference Manual 12 AC (cm) GA (wd) ±SD (wd) AC (cm) GA (wd) ±SD (wd)19.5 24w6d 1w4d 31.5 39w0d 2w1d20.0 25w3d 1w4d 32.0 39w6d 2w1d20.5 25w6d 1w4d 3

Reference Manual 13 Age (W)Growth (cm)Min (cm)Max (cm)Age (W)Growth (cm)Min (cm)Max (cm)24 18.93 17.48 20.39 40 34.04 31.35 36.7325 19.98 18.4

Reference Manual 14 AC (cm) GA (wd) ±SD (wd) AC (cm) GA (wd) ±SD (wd)18.80 23w0d 02w3d 33.10 37w0d 04w2d19.90 24w0d 02w4d 33.80 38w0d 04w2d21.00 25w

Reference Manual 15 Abdominal Circumference (AC) : CFEFFetal Growth TableJ.Créquat, M. Duyme, G. BrodatyBiométrie 2000. Tables de croissance foeta

Reference Manual 16 Biparietal Diameter (BPD) : HANSMANNGA TableHansmann, Hackeloer, Stauch, Wittman “Ultrasound Diagnosis in Obsterics and Gyneco

Reference Manual 17 Fetal Growth TableHansmann, Hackeloer, Stauch, Wittman “Ultrasound Diagnosis in Obsterics and Gynecology” Springer-Verlag, New Y

Reference Manual 18 Min Range : 12 wMax Range : 40 wStandard Deviation : 2SD = 0.6 cmMin Range (cm) Max Range (cm) SD (cm)0 100 0.6 Biparietal Diam

Reference Manual 19 BPD (cm) GA (wd) Min (wd) Max (wd) BPD (cm) GA (wd) Min (wd) Max (wd)5.40 21w4d 19w5d 23w4d 9.50 36w6d 34w4d 39w2d5.50 21w6d 20w

Reference Manual 20 BPD (cm) GA (wd) Min (wd) Max (wd) BPD (cm) GA (wd) Min (wd) Max (wd)1.70 11w1d 08w3d 13w5d 6.00 23w4d 20w6d 26w1d1.80 11w2d 08w

Reference Manual 21 Biparietal Diameter (BPD) : SABBAGHAGA TableSabbagha, R.E., et. al. “Standardization of Sonar Cephalometry and Gestational Age

1-17Chapter 1 Safety Mechanical SafetyMoving the EquipmentWARNING: Be extra careful when transporting it. Careless transportation of the product m

Reference Manual 22 BPD (cm) GA (wd) Min (wd) Max (wd) BPD (cm) GA (wd) Min (wd) Max (wd)3.00 15w1d 14w3d 15w6d 6.90 27w4d 26w1d 29w0d3.10 15w3d 14w

Reference Manual 23 Biparietal Diameter (BPD) : OSAKAGA TableOsaka University Method 1989, 3 by Univ. Of OsakaBPD (cm)G.A (wd)BPD (cm)G.A (wd)BPD

Reference Manual 24 GA (wd) Growth (cm) ±SD (cm) GA (wd) Growth (cm) ±SD (cm)11w6d 2.04 0.21 27w0d 6.95 0.3412w0d 2.09 0.21 27w1d 6.99 0.3412w1d 2.1

Reference Manual 25 GA (wd) Growth (cm) ±SD (cm) GA (wd) Growth (cm) ±SD (cm)17w6d 4.15 0.27 33w0d 8.43 0.3718w0d 4.20 0.27 33w1d 8.46 0.3718w1d 4.2

Reference Manual 26 GA (wd) Growth (cm) ±SD (cm) GA (wd) Growth (cm) ±SD (cm)23w6d 6.05 0.32 39w0d 9.30 0.3924w0d 6.09 0.32 39w1d 9.31 0.3924w1d 6.1

Reference Manual 27 BPD (cm) G.A (wd) Min (wd) Max (wd) BPD (cm) G.A (wd) Min (wd) Max (wd)4.70 20w2d 18w5d 22w0d 8.20 32w5d 29w4d 36w1d4.80 20w4d 1

Reference Manual 28 BPD (cm) G.A (wd) Min (wd) Max (wd) BPD (cm) G.A (wd) Min (wd) Max (wd)2.70 13w6d 12w6d 15w0d 6.20 24w2d 22w1d 26w5d2.80 14w1d 1

Reference Manual 29 Age (W)Growth (cm)Min (cm)Max (cm)Age (W)Growth (cm)Min (cm)Max (cm)18 4.19 3.86 4.52 34 8.76 8.31 9.2119 4.54 4.20 4.88 35

Reference Manual 30 Biparietal Diameter (BPD) : ASUM (SCW)Fetal Growth TableAustralasian Society for Ultrasound in MedicinePolicies and Statements

Reference Manual 31 Age (W)Growth (cm)Min (cm)Max (cm)Age (W)Growth (cm)Min (cm)Max (cm)14 2.71 2.44 2.99 30 7.58 7.12 8.0415 3.09 2.79 3.38

1-18User ManualSafety NoteCAUTION:XDo not press the control panel excessively.XNever attempt to modify the product in any way. XCheck the operatio

Reference Manual 32 Crown-Rump Length (CRL) : HANSMANNGA TableHansmann, Hackeloer, Staudach, Wittman. “Ultrasound Diagnosis in Obsterics and Gynec

Reference Manual 33 Fetal Growth TableHansmann, Hackeloer, Staudach, Wittmann. “Ultrasound Diagnosis in Obstetrics and Gynecology.” Springer-Verlag,

Reference Manual 34 Fetal Growth TableN.Shinozuka. “Fetal biometry standard values” http://www.shinozuka.com, 1996Age (wd)Growth (cm)Min (cm)Max

Reference Manual 35 CRL (cm) GA (wd)-2SD (wd)+2SD (wd)CRL (cm) GA (wd)-2SD (wd)+2SD (wd)0.2 5w5d 5w2d 6w1d 6.2 12w4d 11w4d 13w4d0.3 5w6d 5w3d 6w3d 6

Reference Manual 36 CRL (cm) GA (wd)-2SD (wd)+2SD (wd)CRL (cm) GA (wd)-2SD (wd)+2SD (wd)4.4 11w1d 10w2d 12w1d 10.4 16w2d 14w7d 17w4d4.5 11w2d 10w3d

Reference Manual 37 Fetal Growth TableOsaka University Method 1989, 3 by Univ. Of OsakaAge (w) Growth (cm) Min (cm) Age (w) Growth (cm) Min (cm)6 0.

Reference Manual 38 CRL (cm) GA (wd) CRL (cm) GA (wd) CRL (cm) GA (wd) CRL (cm) GA (wd)0.80 6w6d 2.30 8w5d 3.80 10w3d 5.30 12w0d0.90 7w0d 2.40 8w6d

Reference Manual 39 Max Range : 8.20 cmStandard Deviation :Min Range (w) Max Range (w) ±2SD (w)12 18 1.3818 24 1.8024 30 2.0830 36 2.9636 42 3.12Fet

Reference Manual 40 FL (cm)GA (wd)±SD (wd)FL (cm)GA (wd)±SD (wd)FL (cm)GA (wd)±SD (wd)2.60 17w6d 01w3d 5.00 26w6d 01w5d 7.40 37w2d 02w1d2.70 18w2d 0

Reference Manual 41 FL (cm) GA (wd) ±SD (wd) FL (cm) GA (wd) ±SD (wd)2.80 19w0d 1w3d 6.30 33w0d 2w6d3.10 20w0d 1w4d 6.50 34w0d 3w0d3.40 21w0d 1w4d 6

1-19Chapter 1 Safety Safety Note for MonitorWhen adjusting the height or position of the monitor, be careful of the space in the middle of the mon

Reference Manual 42 Femur Length (FL) : JEANTYGA TableJeanty, P., Rodesch, F., Delbeke, D., Dumont, J. “Estimation of Gestational Age from Measure

Reference Manual 43 FL (cm) GA (wd) Min (wd) Max (wd) FL (cm) GA (wd) Min (wd) Max (wd)2.80 18w6d 17w6d 19w6d 5.40 30w2d 28w5d 31w6d2.90 19w1d 18w1d

Reference Manual 44 Femur Length (FL) : OSAKAGA TableOsaka University Method 1989, 3 by Univ. Of OsakaFL (cm) GA (wd) FL (cm) GA (wd) FL (cm) GA (

Reference Manual 45 Age (wd) Growth (cm) ±SD (cm) Age (wd) Growth (cm) ±SD (cm)15w5d 1.79 0.22 29w2d 5.28 0.2815w6d 1.83 0.22 29w3d 5.31 0.2816w0d 1

Reference Manual 46 Age (wd) Growth (cm) ±SD (cm) Age (wd) Growth (cm) ±SD (cm)21w5d 3.49 0.25 35w2d 6.41 0.3021w6d 3.53 0.25 35w3d 6.43 0.3022w0d 3

Reference Manual 47 Femur Length (FL) : CHITTYGA TableAltman DG, Chitty LS: New Charts for ultrasound dating of pregnancy. Ultrasound in Obstetric

Reference Manual 48 Age (W)Growth (cm)Min (cm) Max (cm) Age (W)Growth (cm)Min (cm) Max (cm)16 2.03 1.77 2.28 32 6.12 5.74 6.4917 2.33 2.07 2.59 33 6

Reference Manual 49 Age (wd) Growth (cm) Age (wd) Growth (cm) Age (wd) Growth (cm)18w0d 2.69 29w0d 5.63 40w0d 7.4719w0d 2.98 30w0d 5.80 41w0d 7.4820

Reference Manual 50 Femur Length (FL) : CFEFFetal Growth TableJ.Créquat, M. Duyme, G. BrodatyBiométrie 2000. Tables de croissance foetale par le C

Reference Manual 51 Age (W)Growth (cm)Min (cm) Max (cm) Age (W)Growth (cm)Min (cm) Max (cm)17 3.11 2.61 3.61 32 7.62 6.52 8.7218 3.46 3.02 3.90 33 7

1-20User Manual Biological SafetyFor more safety information on probes and biopsy, please refer to Chapter 9 ‘Probes.’WARNING:XUltrasound waves may

Reference Manual 52 Fetal Growth TableNorio Shinozuka, Haruo Masuda, Hideyuki Kagawa, and Yuji Taketani. Department of Obstetrics and Gynecoogy, Fac

Reference Manual 53 Fetal Growth TableHansmann, Hackeloer, Staudach, Wittman “Ultrasound Diagnosis in Obstetrics and Gynecology” Springer-Verlag, Ne

Reference Manual 54 Gestational Sac (GS) : HELLMANGA TableHellman LM, Kobayashi M, Fillisti l, et al. Growth and development of the human fetus pr

Reference Manual 55 Occipital Frontal Diameter (OFD) : HANSMANNGA TableOFD (cm) G.A (wd) ±SD (wd) OFD (cm) G.A (wd) ±SD (wd)3.10 14w0d 01w3d 9.10

Reference Manual 56 Occipital Frontal Diameter (OFD) : ASUM (SCW)Fetal Growth TableAustralasian Society for Ultrasound in MedicinePolicies and Sta

Reference Manual 57 Occipital Frontal Diameter (OFD) : MERZGA TableOFD (cm)GA (wd)OFD (cm)GA (wd)OFD (cm)GA (wd)OFD (cm)GA (wd)3.00 12w5d 5.60 19w

Reference Manual 58 Outer Ocular Distance (OOD) : JENATYGA TableJeanty, P., Rodesch, F., Delbeke, D., Dumont, J. “Estimation of Gestational Agefro

Reference Manual 59 Humerus (cm) GA (wd) ±SD (wd) Humerus (cm) GA (wd) ±SD (wd)1.30 13w4d 02w5d 4.30 25w5d 02w6d1.40 13w6d 02w5d 4.40 26w1d 02w6d1.5

Reference Manual 60 Age (W)Growth (cm)Min (cm) Max (cm) Age (W)Growth (cm)Min (cm) Max (cm)23 3.80 3.30 4.20 37 6.20 5.70 6.7024 4.00 3.50 4.50 38 6

Reference Manual 61 Fetal Growth TableMerz, Eberband, “Ultrasonic Mensuration of Fetal Limb Bones in the Second and Third Trimesters.” J Clin Ultras

1-21Chapter 1 Safety to the focal point, attenuation in the body, and ultrasound exposure time. Exposure time is an especially useful variable, beca

Reference Manual 62 Fetal Growth TableOsaka University Method 1989, 3 by Univ. Of OsakaAge (W) Growth (cm) ±SD (cm) Age (W) Growth (cm) ±SD (cm)13 1

Reference Manual 63 Tibia (TIB) : JENATYGA TableJeanty P, Rodesch F, Delbeke D, Mumont J, “Estimation of Gestational Age from Measurements of Feta

Reference Manual 64 Fetal Growth TableJeanty, P., Romero, R. “Obstetrical Ultrasound.” New York, McGraw-hill, 1983, p.192Age (W)Growth (cm)Min (cm)

Reference Manual 65 Age (W)Growth (cm)Min (cm) Max (cm) Age (W)Growth (cm)Min (cm) Max (cm)15 1.50 1.20 1.90 30 5.00 4.60 5.5016 1.80 1.40 2.10 31 5

Reference Manual 66 Cerebellum : CHITTYGA TableChitty LS, Altman DG, et al. : Charts of fetal size:2. Head Measurements Bri. J Obstet & Gyn. V

Reference Manual 67 Ulna : JEANTYGA TableJeanty P, Rodesch F, Delbeke D, Mumont J, “Estimation of Gestational Age from Measurements of Fetal Long

Reference Manual 68 Fetal Growth TableJeanty P, Rodesch F, Delbeke D, Mumont J, “Estimation of Gestational Age from Measurements of Fetal Long Bones

Reference Manual 69 Head Circumference (HC) : KOREANGA TableY.G Park.“ The Standardization of Fetal body parts according to the normal Korean Gest

Reference Manual 70 Fetal Growth TableHansmann, Hackeloer, Staudach, Wittman “Ultrasound Diagnosis in Obstetrics and Gynecology” Springer- Verlag, N

Reference Manual 71 Fetal Growth TableHadlock, F., Deter, R.L., Harrist, R.B., Park, S.K. “Estimating Fetal Age: Computer-Assisted Analysis of Multi

1-22User ManualOutput has direct impact on acoustic intensity. Once the application has been established, the output control can be used to increase o

Reference Manual 72 HC (cm) GA (wd) Min (wd) Max (wd) HC (cm) GA (wd) Min (wd) Max (wd)12.60 15w6d 14w3d 17w1d 27.40 28w4d 26w4d 30w3d12.80 16w0d 14

Reference Manual 73 HC (cm) GA (wd) Min (wd) Max (wd) HC (cm) GA (wd) Min (wd) Max (wd)21.00 22w3d 20w5d 24w1d 35.80 39w4d 37w1d 41w6d21.20 22w4d 20

Reference Manual 74 HC (cm) GA (wd) Min (wd) Max (wd) HC (cm) GA (wd) Min (wd) Max (wd)12.50 16w2d 15w1d 17w3d 25.00 26w5d 24w6d 28w6d13.00 16w4d 15

Reference Manual 75 Head Circumference (HC) : CHITTY (M)GA TableChitty LS, Altman DG, et al.: Charts of fetal size: 2. Head measurements. Brit. J.

Reference Manual 76 Age (W)Growth (cm)Min (cm) Max (cm) Age (W)Growth (cm)Min (cm) Max (cm)19 16.43 15.40 17.46 35 32.33 30.83 33.8320 17.69 16.63 1

Reference Manual 77 Age (W) Growth (mm) ±SD (mm) Age (W) Growth (mm) ±SD (mm)17 141.00 15.00 33 300.00 25.0018 151.00 20.00 34 305.00 25.0019 160.00

Reference Manual 78 Fetal (cm2)GA (wd)Fetal (cm2)GA (wd)Fetal (cm2)GA (wd)Fetal (cm2)GA (wd)9.00 16w1d 30.00 24w0d 51.00 30w1d 72.00 35w5d10.00

Reference Manual 79 Age (wd)Growth (cm2)±SD (cm2) Age (wd)Growth (cm2)±SD (cm2) 16w5d 10.70 1.70 29w6d 50.20 5.8016w6d 11.00 1.80 30w0d 50.80 5.801

Reference Manual 80 Age (wd)Growth (cm2)±SD (cm2) Age (wd)Growth (cm2)±SD (cm2) 22w5d 25.90 3.30 35w6d 72.70 8.4022w6d 26.40 3.30 36w0d 73.20 8.402

Reference Manual 81 Fetal Growth TableYarkoni, S., Schmidt, W., Jeanty, P. et. al. (1985) Clavicle measurement: A new biometric parameter for fetal

1-23Chapter 1 Safety Receiver ControlsReceiver controls are used by the operator to improve image quality. These controls have no eect on output.

Reference Manual 82 Radius Length (RAD) : MERZFetal Growth Table[Fetal Limb Biometry] (Raiology 1083:147:602)Table Data : 95 percentile data form

Reference Manual 83 MAD (cm)G.A (wd)MAD (cm)G.A (wd)MAD (cm)G.A (wd)MAD (cm)G.A (wd)5.20 22w0d 7.00 27w2d 8.80 32w2d 10.60 38w5d5.30 22w2d 7.10 27w3

Reference Manual 84 Age (wd) 10% 90% Age (wd) 10% 90%28w3d 0.80 0.95 39w3d 0.68 0.8529w3d 0.80 0.94 40w3d 0.66 0.8430w3d 0.79 0.94 41w3d 0.64 0.8331

Reference Manual 85 Umbilical Artery (UmA)- Pulsatility Index (PI) : SHINOZUKAFetal Growth TableN.Shinozuka & H.Kagawa 1996. http://www.shinoz

Reference Manual 86 Anterior Posterior Abdominal Diameter (APD): BESSISGA TableThe data are those provided by Dr. Bessis to M. Le Bel. (Same as SI

Reference Manual 87 Head Circumference (HC) / Abdominal Circumference (AC): CampbellFetal Growth TableCampbell HC/AC Fetal Growth Tabel for Uranus

Reference Manual 88 Method using (BPD, FL, FTA)Osaka university [grams]FW (BPD,FL,FTA) = 1.256*BPD³+3.5065*FTA*FL+6.3 Method using (BPD, APTD, TT

Reference Manual 89 Method using (BPD, AC, FL)Hadlock 2 Method [grams][Equation]Log10 (EFW) = (0.0316 x BPD) + (0.0457 x AC) + (0.1623 x FL) - (0.

Reference Manual 90 Method using (BPD, APTD, TTD)Tokyo 1 university Method [grams][Equation]1.73 x BPD3 + 28 x APTD x TTD - 217[Reference]Jpn J Me

Reference Manual 91 Estimate Fetal Weight (EFW) : DOUBILETFetal Growth TableImproved Birth Weight Table for Neonates Developed from Gestations Dat

1-24User ManualSome factors might create articially high or low thermal index readings e.g. presence of uid or bone, or the ow of blood. A highly a

Reference Manual 92 Age (W) Growth (g) ±SD (g) Age (W) Growth (g) ±SD (g)18w4d 254 39 30w5d 1687 20018w5d 263 40 30w6d 1711 20218w6d 271 41 31w0d 17

Reference Manual 93 Age (W) Growth (g) ±SD (g) Age (W) Growth (g) ±SD (g)24w6d 822 108 37w0d 2767 31725w0d 839 110 37w1d 2791 32025w1d 857 112 37w2d

Reference Manual 94 Age (W)Growth (g)Min (g) Max (g) Age (W)Growth (g)Min (g) Max (g)22 478 398 559 38 3236 2686 378623 568 471 665 39 3435 2851 401

Reference Manual 95 Cardiology ReferenceCardiology 2D BSA (Body Surface Area)BSA can be calculated by entering patient’s weight and height in New

Reference Manual 96 Ejection Fraction (EF)where, EDV : End Diastolic Volume, ESV : End Systolic Volume Reference : Harvey Feigenbaum, “Echocardi

Reference Manual 97 LV Masswhere, A1 : short axis area, Epicardinal (cm2), A2 : short axis area, Endocardinal (cm2), L1 : long axis Epicardinal le

Reference Manual 98 Cardiology M mode Left VentricleReference : Harvey Feigenbaum, “ Echocardiography”, 1995 fth editionReference : Harvey Feigenb

Reference Manual 99 LV Vol. s (LV Volume Systolic)TeichholzReference : Teichholz, L.E., Kreulen, T., Herman, M.V., et. al. “Problems in echocardio

Reference Manual 100 MV (Mitral Valve)Definition for the Mitral ValveD : end of systolic, immediately before the opening of the Mitral ValveE :

Reference Manual 101 Cardiology C mode AoV Regurg, MV Regurg, TV Regurg, PV RegurgPISA (Proximal Isovelocity Surface Area)-Radius<Figure - Regur

1-25Chapter 1 Safety  Mechanical and Thermal indices Display Precision and AccuracyThe Mechanical and Thermal Indices on the system are precise to

Reference Manual 102 Eective Regurgitant Orice (ERO)Reference: Oh, J.K., Seward, J.B., Tajik, A.J. The Echo Manual. Boston:Little, Brown and Compa

Reference Manual 103 VTI (Velocity Time Integral)ACC (Acceleration), DEC (Deceleration)AT :Acceleration Time, DT : Deceleration Time, E point : Ear

Reference Manual 104 Diastolic VelocityVelocity measured at diastole.Systolic VelocityVelocity measured at systole.Artrial Reversal Velocity (A. Rev

Reference Manual 105 %STAReference : Jacob, Normaan M et, al., “ Duplex Carotid Sonography : Crieteria for Stenosis, Accuracy, and Pitfalls,” Radio

Reference Manual 106 Volume Flow (Area) Volume Flow (Dist.) Prostate Vloume (3 Distances) Prostate Vloume (3 Distances x Factor) Prostate Vlo

Reference Manual 107 Fetal Echo Reference Stroke Volume (SV)where, EDV : End Diastolic Volume, ESV : End Systolic Volume Cardiac Output (CO) E

Reference Manual 108 Cubed Reference : Pombo, J.F., et. al. “Left Ventricular Volumes and Ejection Fractioin by Echocardiography.” Circulation, Vol.

Reference Manual 109 Acoustic Power TablesIEC Tables Symbols and DenitionsStandard 60601-2-37 published by the International Electrotechnical Co

Reference Manual 110 Pr at max. Ipi the PEAK-RAREFACTIONAL ACOUSTIC PRESSURE at the point where the free -eld (non-attenuated), PULSE INTENSITY IN

Reference Manual 111 C2-4/20C2-4/20: 2D & 2D+M modeIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value0.862 0.8

1-26User Manualdierent tissues and organs have dissimilar attenuation characteristics. In water, there is almost no attenuation. In the body, and par

Reference Manual 112 C2-4/20: Pulsed Doppler & 2D+Pulsed DopplerIndex LabelM.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Val

Reference Manual 113 C2-5: 2D+Color, Triple, CPA & Triple CPAIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value

Reference Manual 114 C2-8C2-8: 2D & 2D+M modeIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value 1.200 1.080 0.

Reference Manual 115 C2-8: Pulsed Doppler & 2D+Pulsed DopplerIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value

Reference Manual 116 CN2-8: 2D+Color, Triple, CPA & Triple CPAIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Valu

Reference Manual 117 CN4-9CN4-9: 2D & 2D+M modeIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value 1.110 0.767

Reference Manual 118 CN4-9: Pulsed Doppler & 2D+Pulsed DopplerIndex LabelM.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value

Reference Manual 119 L5-12/60: 2D+Color, Triple, CPA & Triple CPAIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index V

Reference Manual 120 LE5-12LE5-12: 2D & 2D+M modeIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value 1.30 0.695

Reference Manual 121 LE5-12: Pulsed Doppler & 2D+Pulsed DopplerIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Val

1-27Chapter 1 Safety  Focal no.More focal zones may change both the TI and MI by changing frame rate or focal depth automatically. Lower frame rate

Reference Manual 122 LN5-12/40: 2D+Color, Triple, CPA & Triple CPAIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index

Reference Manual 123 LN5-12LN5-12: 2D & 2D+M modeIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value 1.500 0.70

Reference Manual 124 LN5-12: Pulsed Doppler & 2D+Pulsed DopplerIndex Label M.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Val

Reference Manual 125 EC4-9: 2D+Color, Triple, CPA & Triple CPAIndex LabelM.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value

Reference Manual 126 EVN4-9EVN4-9: 2D & 2D+M modeIndex LabelM.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Value 1.360 0.581

Reference Manual 127 EVN4-9: Pulsed Doppler & 2D+Pulsed DopplerIndex LabelM.I.TIS TIBTICscannon-scannon-scanAaprt≤1 Aaprt>1Maximum Index Valu

Reference Manual 128 Wo1x1 : For non–scanning modes and/or non–scanning components of combi-national modes: time average acoustic power at the s

Reference Manual 129 C2-4/20C2-4/20: 2D & 2D+M modeIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maximum index

Reference Manual 130 C2-4/20: Pulsed Doppler & 2D+Pulsed DopplerIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Ma

Reference Manual 131 C2-5: 2D+Color, Triple, CPA & Triple CPAIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maxim

1-28User Manual M-mode and Doppler Controls SpeedM-mode and Doppler sweep speed adjustments will not aect the MI. When M-mode sweep speed changes,

Reference Manual 132 C2-8C2-8: 2D & 2D+M modeIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maximum index value

Reference Manual 133 C2-8: Pulsed Doppler & 2D+Pulsed DopplerIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maxim

Reference Manual 134 CN2-8: 2D+Color, Triple, CPA & Triple CPAIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maxi

Reference Manual 135 CN4-9CN4-9: 2D & 2D+M modeIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maximum index val

Reference Manual 136 CN4-9: Pulsed Doppler & 2D+Pulsed DopplerIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maxi

Reference Manual 137 L5-12/60: 2D+Color, Triple, CPA & Triple CPAIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²M

Reference Manual 138 LE5-12LE5-12: 2D & 2D+M modeIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maximum index va

Reference Manual 139 LE5-12: Pulsed Doppler & 2D+Pulsed DopplerIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Max

Reference Manual 140 LN5-12/40: 2D+Color, Triple, CPA & Triple CPAIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²

Reference Manual 141 LN5-12LN5-12: 2D & 2D+M modeIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maximum index va

1-29Chapter 1 Safety  ApplicationAcoustic output defaults are set when you select an application. Samsung Medison factory defaults vary with probe,

Reference Manual 142 LN5-12: Pulsed Doppler & 2D+Pulsed DopplerIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Max

Reference Manual 143 EC4-9: 2D+Color, Triple, CPA & Triple CPAIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maxi

Reference Manual 144 EVN4-9EVN4-9: 2D & 2D+M modeIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Maximum index va

Reference Manual 145 EVN4-9: Pulsed Doppler & 2D+Pulsed DopplerIndex Label MI ScanTIS TIBTICNon-scan Non-scanNon-scanAaprt≤1cm² Aaprt>1cm²Max

1-30User ManualThe acoustic output for this system has been measured and calculated in accordance with the December 1985 “510(K) Guide for Measuring a

1-31Chapter 1 Safety Acoustic Output and MeasurementThe terms and symbols used in the acoustic output tables are dened in the following paragraph

1-32User Manual Acoustic Measurement Precision and UncertaintyThe Acoustic Measurement Precision and Acoustic Measurement Uncertainty are described b

1-33Chapter 1 Safety The document includes analysis and discussion of the sources of error / measurement eects due to:XBalance system calibration.

SAMSUNG MEDISON DIAGNOSTIC ULTRASOUND SYSTEMVersion 1.02EnglishSONOACE R5User Manual

1-34User Manual Environmental ProtectionCAUTION:XThe console and peripherals could be sent back to manufacturers for recycling or proper disposal af

Chapter 2IntroductionSpecications ... 2-3Product Conguration ... 2

2-3Chapter 2 Introduction SpecicationsPhysical DimensionsHeight: 1,370mm (with handle)Width: 450mm (with probe holder)Depth: 700mm (with control

2-4User ManualApplicationObstetrics, Fetal Heart, Abdomen, Gynecology, Renal, Urology, Breast, Vascular, Small Part, Musculoskeletal, Neonatal, Pediat

2-5Chapter 2 Introduction Product CongurationThe SONOACE R5 consists of the monitor, the control panel, the console, the peripheral devices, and

2-6User Manual Title AreaThis section displays the Logo, Patient Name, Hospital Name, Application, Frame Rate & Depth, Probe Information and Date

2-7Chapter 2 Introduction Control PanelThe control panel can be used for controlling the system. [Figure 2.2 Control Panel]The user can manipulate t

2-8User ManualOn/OTurns the system on/o.PatientDisplays the Patient Information screen for patient selection and information entry.End ExamFinishes

2-9Chapter 2 Introduction BodyMarkerThis is used to start or nish the BodyMarker Mode.IndicatorThis is used to start or nish the indicator Mode.Tr

2-10User ManualCAUTION: Too large a difference in the gain value settings of adjacent TGC slides may lead to the generation of stripes in an image. Sof

2-11Chapter 2 Introduction F3BiopsyThis is used to start the biopsy.F4Data on / oThis button is used to display information of image on the screen

2-12User ManualConsoleWhilst the inside of the console consists of devices enabling the implementation of ultrasound images, the outside of the consol

2-13Chapter 2 Introduction Rear PanelA monitor, printer, VCR, etc. are connected via the rear panel at the back of the system. [Figure 2.6 Rear Pa

2-14User Manual Power Connection PartThe power connection part is located at the back of the system.162354[Figure 2.7 Power Connection Part]Item Desc

2-15Chapter 2 Introduction NOTE: Cover the power inlet area with a plug bracket and secure it with screws. Probe HolderA probe holder is mounted at

2-16User ManualThe following products are recommended:  DVDDVD-RW, DVD-RAM, DVD-R, DVD+R, DVD-ROM, CD-R, CD-RW, CD-ROM Video Page printer − Black a

2-17Chapter 2 Introduction  OthersFlash Memory mediaNOTE:XIf you use the USB 1.1 flash memory, the system cannot recognize it. In the case of this

2-18User ManualProbeProbes are devices that generate ultrasound waves and process reected wave data for the purpose of image formation.NOTE: For more

2-19Chapter 2 Introduction Accessory This system provides a box including accessories.CAUTION: Main cord set, separately certified according to the r

PROPRIETRAY INFORMATION AND SOFTWARE LICENSEThe Customer shall keep condential all proprietary information furnished or disclosed to the Customer by

2-20User ManualOptionsThe SONOACE R5 has the following optional functions:XImage ling-SONOVIEW XPulse wave DopplerXDICOMXColor DopplerXFreehand

Chapter 3Starting DiagnosisPower Supply ... 3-3Powering On ...

3-3Chapter 3 Starting Diagnosis Power SupplyBoot the system for use.CAUTION: Make sure to connect the probe and peripheral devices that will be u

3-4User Manual Probes & ApplicationsBefore scanning, select a probe and an application. CAUTION: Please refer to “Chapter 9. Probes” for more inf

3-5Chapter 3 Starting Diagnosis Probe and Application SelectionSet a probe and an application in the Applications screen.1. Select a probe and an

3-6User ManualEditing BodyMarker Select some BodyMarkers to use in the system or change the order of BodyMarkers. Click Edit BodyMarker in the Applica

3-7Chapter 3 Starting Diagnosis Add BodyMarkers Select a BodyMarker on ‘Group’ using the trackball. Press Set button to add to the ‘User dened Bo

3-8User ManualCalc Sequence[Figure 3.3 Calc Package Sequence Change]To change the order and content of the Calculation Package of each application, cl

3-9Chapter 3 Starting Diagnosis Patient InformationPress the Patient button on the control panel and then the Patient Information screen will be

Safety Requirements Classications: XType of protection against electrical shock: Class I XDegree of protection against electrical shock (Patient

3-10User ManualRegistering a New Patient1. After clicking the New in the Patient Information screen, enter the patient name, ID and other information

3-11Chapter 3 Starting Diagnosis  GAIt indicates the gestational age of a patient. You can enter it manually in the specied format, or have it au

3-12User Manual BSA If height and weight are entered, the body surface area (BSA) is automatically calculated and shown. HR Enter the patient’s hear

3-13Chapter 3 Starting Diagnosis Searching for Patient InformationYou can search the patient information with following three methods. Finding Pat

3-14User Manual Finding Patient Information using WorklistThe system connects to the hospital’s DICOM Modality Worklist server and obtains information

3-15Chapter 3 Starting Diagnosis Modifying Patient InformationTo modify information in the Patient Information screen:1. Modify the information us

Chapter 4Diagnosis ModesInformation ... 4-3Diagnosis Mode Types ...

4-3Chapter 4 Diagnosis Modes InformationDiagnosis Mode TypesThis product supports a variety of diagnosis modes including Basic Mode, Combined Mode,

XMedical Electrical Equipment, Part 2-37: Particular Requirements for Safety - Ultrasonic Medical Diagnostic and Monitoring Equipment [IEC 60601-2-37

4-4User ManualBasic UseThe items that can be used commonly in each diagnosis mode are shown below: QuickScan / Gain XQuickScan: The ‘Q Scan’ mark wi

4-5Chapter 4 Diagnosis Modes ZoomPress the Zoom button on the control panel to start Read Zoom mode. This function allows you to zoom an image saved

4-6User Manual Harmonic Press the HAR button on the control panel to select On or O. ‘HGen’, ‘HRes’. ‘HPen’ mark is displayed in the image informati

4-7Chapter 4 Diagnosis Modes Basic Modes2D ModeThis basic mode, also referred to as B Mode (Brightness mode), provides scan planes of organs. This i

4-8User Manual Starting 2D ModeNOTE: As 2D Mode is included in all diagnosis modes, it cannot be closed. Press the 2D button on the control panel. Pre

4-9Chapter 4 Diagnosis Modes FSI FSI stands for Full Spectrum Imaging. Select a value between 1 - 3 with the Menu dial-button.This function synthesi

4-10User Manual Trapezoid NOTE: This item appears in the Softmenu only when a Linear Probe is used.In general, the rectangular frame provided by a Li

4-11Chapter 4 Diagnosis ModesTips!Editing a post mapYou can edit the user post map with following two methods. 1. Select the each point of the map w

4-12User Manual 2D Mode SoftmenuFollowing items are displayed on Softmenu in 2D mode. Select the item and adjust the value with the Softmenu button [1

4-13Chapter 4 Diagnosis ModesM ModeBy drawing the M line across a desired area within the 2D image, you can view changes over time.This is useful for