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Safety Signs
Please read this chapter before using the MEDISON ultrasound system. It is relevant to the ultrasound
system, the probes, the recording devices, and any of the optional equipment.SonoAce X4 is intended
for use by, or by the order of, and under the supervision of, a licensed physician who is qualified for
direct use of the medical device.
1-1-1
Safety Symbols
The International Electro Technical Commission (lEG) has established a set of symbols for medical
electronic equipment, which classify a connection or warn of potential hazards. The classifications
and symbols are shown below.
[I]
C:>
o
o
A
V
~
~
tT\.'
'.
>
-t>'
Description
Isolated patient connection (Type SF applied part).
Identifies the point where the system safety ground is fastened to the chassis. Protective
earth connected to conductive parts of Class I equipment for safety purposes.
ECG port.
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Description
Symbols
Left and right Audio / Video input
ECG connector
USB connector
--'=1-1-2
Probe connector
Labels
To protect the system, you may see 'Warning' or 'Caution' marked on the surface of the product.
DANGER
WARNING
It is used to indicate the presence of a hazard that can cause serious personal injury, or
substantial property damage if a WARNING is ignored
CAUTION
It is used to indicate the presence of a hazard that can cause equipment damage if a
CAUTION is ignored.
NOTE
It is a piece of information not related to any hazard, but useful in installing, operating and
maintaining the system.
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Electrical Safety
This equipment has been verified as a Class 1 device with Type SF applied parts.
1-2-1
'<
Additional equipment connected to medical electrical equipment must comply with the respective IEC
or ISO standards (e.g. IEC 60950 for data processing equipment). Furthermore all configurations shall
comply with the requirements for medical electrical systems (see IEC 60601-1-1 or clause 16 of the 3
Ed. of IEC 60601-1, respectively). Anybody connecting additional equipment to medical electrical
equipment configures a medical system and is therefore responsible that the system complies with the
requirements for medical electrical systems. Attention is drawn to the fact that local laws take priority
over the above mentioned requirements. If in doubt, consult your local representative or the technical
service department.
Lt. CAUTION
The system has been designed for 1QQ-12QVAC and 2QQ-24QVAC; you should select the input voltage of
monitor, printer and VCR. Prior to connecting an GEM power cord, verify that the voltage indicated on the
power cord matches the vo~age rating of the GEM device.
An isolation transformer protects the system from power surges. The isolation transformer continues to
operate when the system is in standby.
Do not immerse the cable in liquids. Cables are not waterproof.
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& WARNING
Electric shock may exist result if this system, including and all of its externally mounted recording and
monitoring devices, is not properly grounded.
Do not remove the covers on the system; hazardous voltages are present inside. Cabinet panels must be
in place while the system is in use. All internal adjustments and replacements must be made by a qualified
MEDISON Customer Service Department.
Check the face, housing, and cable before use. Do not use, if the face is cracked, chipped, or torn, the
housing is damaged, or if the cable is abraded.
Always disconnect the system from the wall outlet prior to cleaning the system.
All patient contact devices, such as probes and ECG leads, must be removed from the patient prior to
application of a high voltage defibrillation pulse.
Do not touch the SIP/SOP and patient simultaneously. Doing so may cause a leakage current exceeding
the maximum allowable values.
The use of flammable anesthetic gas or oxidizing gases (N20) should be avoided.
1-2-2
ECG-Related Information
& WARNING
This device is not intended to provide a primary ECG monitoring function, and therefore does not have
means of indicating an inoperative electrocardiograph.
Do not use ECG electrodes of HF surgical equipment. Any malfunctions in the HF surgical equipment may
in bums to the patient.
resu~
Do not use ECG electrodes during cardiac pacemaker procedures or other electrical stimulators.
Do not use ECG leads and electrodes in an operating room.
1-2-3
ESD
Electrostatic discharge (ESD), commonly referred to as a static shock, is a naturally occurring
phenomenon. ESD is most prevalent during conditions of low humidity, which can be caused by
heating or air conditioning. During low humidity conditions, electrical charges naturally build up on
individuals, creating static electricity. An ESD occurs when an individual with an electrical energy
build-up comes in contact with conductive objects such as metal doorknobs, file cabinets, computer
equipment, and even other individuals. The static shock or ESD is a discharge of the electrical
energy build-up from a charged individual to a lesser or non-charged individual or object.
The ESD caution symbol is on the probe connector and the rear panel.
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Lt. CAUTION
The level of electrical energy discharged from a system user or patient to an ultrasound system can be
significant enough to cause damage to the system or probes.
The following precautions can help to reduce ESD :
Anti-static spray on carpets or linoleum
Anti-static mats
A ground wire connection between the system and the patient table or bed.
1-2-4
EMI
Although this system has been manufactured in compliance with existing EMI(Electromagnetic
Interference) requirements, use of this system in the presence of an electromagnetic field can
cause momentary degradation of the ultrasound image.
If this occurs often, MEDISON suggests a review of the environment in which the system is being
used, to identify possible sources of radiated emissions. These emissions could be from other
electrical devices used within the same room or an adjacent room. Communication devices such
as cellular phones and pagers can cause these emissions. The existence of radios, TVs, or
microwave transmission equipment nearby can also cause interference.
Lt. CAUTION
In cases where EMI is causing disturbances, it may be necessary to relocate this system.
1-2-5
EMC
The testing for EMC(Electromagnetic Compatibility) of this system has been performed according to
the intemational standard for EMC with medical devices (IEC60601-1-2). This IEC standard was
adopted in Europe as the European norm (EN60601-1-2).
1) Guidance and manufacturer's declaration - electromagnetic emission
This product is intended for use in the electromagnetic environment specified below. The customer
or the user of this product should assure that it is used in such an environment.
RF Emission
(Radiation)
CISPR 11
Group 1
Class A
RF Emission
(Radiation)
CISPR 11
Group 1
Class A
Harmonic Emission
IEC 61000-3-2
Class A
Ricker Emission
IEC 61000-3-3
Complies
. ..
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..
VGA
Shielded
Normal
Parallel
Shielded
Normal
RS232C
Shielded
Normal
USB
Shielded
Normal
LAN(RJ45)
Twisted pair
Any
S-Video
Shielded
Normal
Foot Switch
Shielded
2.5m
BNJ Printer
Unshielded Coaxial
Normal
MIC
Unshielded
Any
Printer Remote
Unshielded
Any
Audio R.L
Shielded
Normal
VHS
Shielded
Normal
Shielded
<3m
& CAUTION
When connecting other customer-supplied accessories to the system, such as a remote printer or VCR, it
is the user's responsibility to ensure the electromagnetic compatibility of the system. Use only CISPR 11 or
CISPR 22, CLASS B compliant devices.
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Immunity test
IEC 60601
Test level
Electrostatic
discharge (ESD)
6KV Contact
6KV Contact
8KVair
8KV air
IEC 61000-4-2
Electrical fast
transientlburst
IEC 61000-4-4
Surge
IEC 61000-4-5
Electromagnetic
environment -guidance
Compliance level
1KV differential
1KV differential
mode
2KVcommon
mode
<5% Ur
<5%Ur
40% Ur
(60% dip in Ur )
for 5 cycle
40% Ur
(60% dip in Ur )
for 5 cycle
70% Ur
(30% dip in Ur)
for 25 cycle
70% Ur
(30% dip in Ur)
for 25 cycle
<5% Ur
(<95% dip in Ur)
for 5s
<5%Ur
Power frequency
(50/60Hz)
magnetic field
IEC 61000-4-8
3A/m
NOTE Ur is the a.c. mains voltage prior to application of the test level.
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Immunity test
Conducted RF
IEC 61000-4-6
IEC60601
Test level
3Vrms
150 kHz to
80MHz
0.01V
[3,,5~Jr
VI
ril =
3/J .[ji
["ill
d= [
P 80MHz to 800MHZ
Radiated RF
IEC 61000-4-3
3 V/m
80 MHzto
2.5GHz
3V/m
((~))
NOTE 1) At 80MHz and 800MHz, 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.
a 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 Ultrasound System
is used exceeds the applicable RF compliance level above, the Ultrasound System should
be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the Ultrasound System or
using a shielded location with a higher RF shielding effectiveness and filter attenuation.
b Over the frequency range 150kHz to 80MHz, field strengths should be less than [V,] V/m .
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..
... . .. .
...
0.01
35.00
0.11
0.23
0.1
110.68
0.36
0.73
350.00
1.16
2.33
10
1106.80
3.68
7.37
100
3500.00
11.66
23.33
For transmitters rated at a maximum output power not listed above, the recommended separation distanced
in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where pis
the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1) At 80MHz and 800MHz, 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.
4) Electromagnetic environment-guidance
The Ultrasound System must be used only in a shielded location with a minimum RF shielding
effectiveness and, for each cable that enters the shielded location. Field strengths outside the
shielded location from fixed RF transmitters, as determined by an electromagnetic site survey,
should be less than 3V/m.
It is essential that the actual shielding effectiveness and filter attenuation of the shielded location
be verified to assure that they meet the minimum specification.
Lt. CAUTION
If the system is connected to other customer-supplied equipment, such as a local area network (LAN) or a
remote printer, Medison cannot guarantee that the remote equipment will work correctly in the presence of
electromagnetic phenomena.
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Chapter 1Safety 14
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Mechanical Safety
1-3-1
Lt. WARNING
The system can weigh approximately 101 kg (202Ib), depending upon configuration, and could cause injury
should it topple over.
1) The Brakes
The brakes are on the front wheels of the console. Press the brakes with your feet to lock or release them.
You can use the brakes to control the movement of the product such as by preventing its movement
while scanning.
2) Precautions on Ramps
Always make sure that the control panel is facing the direction of movement.
Lt. WARNING
Be aware of the castors, especially when moving the system. MEDISON recommends that you exercise
caution when moving the product up or down ramps.
When moving the product down a ramp or resting it temporarily on a ramp, the product may tilt over
even with the brakes on depending on the direction of the product. Do not rest the product on ramps.
[Good example]
[Bad example]
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1-3-2
Safety Note
& CAUTION
1-3-3
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Biological Safety
Lt. WARNING
Ultrasound waves may have damaging effects on cells and, therefore, may be harmful to the patient. If
there is no medical benefit, minimize the exposure time and maintain the ultrasound wave output level at
low. Please refer to the ALARA principle.
Do not use the system if an error message appears on the video display indicating that a hazardous
condition exists. Note the error code, turn off the power to the system, and call your local MEDISON
Customer Service Department.
Do not use a system that exhibits erratic or inconsistent updating. Discontinuities in the scanning sequence
are indicative of a hardware failure that should be corrected before use.
The system limits the maximum contact temperature to 43 degree Celsius, and the ultrasonic waves output
observes American FDA regulations.
1-4-1
ALARA Principle
Guidance for the use of diagnostic ultrasound is defined by the "as low as reasonably achievable"
(ALARA) principle. The decision as to what is reasonable has been left to the judgment and insight
of qualified personnel. No set of rules can be formulated that would be sufficiently complete to
dictate the correct response for every circumstance. By keeping ultrasound exposure as low as
possible, while obtaining diagnostic images, users can minimize ultrasonic bioeffects.
Since the threshold for diagnostic ultrasound bioeffects is undetermined, it is the sonographer' s
responsibility to control the total energy transmitted into the patient. The sonographer must reconcile
exposure time with diagnostic image quality. To ensure diagnostic image quality and limit exposure
time, the ultrasound system provides controls that can be manipulated during the exam to optimize
the results of the exam.
The ability of the user to abide by the ALARA principle is important. Advances in diagnostic ultrasound not only in the technology but also in the applications of the technology, have resulted in the
need for more and better information to guide the user. The output indices are designed to provide
that important information
There are a number of variables, which affect the way in which the output display indices can be
used to implement the ALARA principle. These variables include mass, body size, location of the
bone relative to the focal point, attenuation in the body, and ultrasound exposure time. Exposure
time is an especially useful variable, because the user controls it. The ability to limit the index
values over time support the ALARA principle.
1) Applying ALARA
The system-imaging mode used depends upon the information needed. 2D-mode and M-mode
imaging provide anatomical information, while Doppler imaging provide information about blood
flow. Scanned modes, like 2D-mode disperse or scatter the ultrasonic energy over an area, while an
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unscanned mode, like M-mode or Doppler, concentrates ultrasonic energy. Understanding the
nature of the imaging mode being used allows the sonographer to apply the ALARA principle
with informed judgment. The probe frequency, system set-up values, scanning techniques, and
operator experience aid the sonographer in meeting the definition of the ALARA principle.
The decision as to the amount of acoustic output is, in the final analysis, up to the system operator.
This decision must be based on the following factors: type of patient, type of exam, patient history,
ease or difficulty of obtaining diagnostically useful information, and the potential localized heating of
the patient due to probe surface temperatures. Prudent use of the system occurs when patient
exposure is limited to the lowest index reading for the shortest amount of time necessary to achieve
acceptable diagnostic results.
Although a high index reading does not mean that a bioeffect is actually occurring, a high index reading
should be taken seriously. Every effort should be made to reduce the possible effects of a high index
reading. Limiting exposure time is an effective way to accomplish this goal.
There are several system controls that the operator can use to adjust the image quality and limit the
acoustic intensity. These controls are related to the techniques that an operator might use to implement
ALARA. These controls can be divided into three categories: direct, indirect, and receiver control.
2) Direct Controls
Application selection and the output intensity control directly affect acoustic intensity. There are different
ranges of allowable intensity or output based on your selection. Selecting the correct range of acoustic
intensity for the application is one of the first things required during any exam. For example, peripheral
vascular intensity levels are not recommended for fetal exams. Some systems automatically select
the proper range for a particular procedure, while others require manual selection. Ultimately, the
user bears the responsibility for proper clinical use. The MEDISON system provides both automatic
and user-definable settings.
Output has direct impact on acoustic intensity. Once the application has been established, the output
control can be used to increase or decrease the intensity output. The output control allows you to
select intensity levels less than the defined maximum. Prudent use dictates that you select the lowest
output intensity consistent with good image quality.
3) Indirect Controls
The indirect controls are those that have an indirect effect on acoustic intensity. These controls affect
imaging mode, pulse repetition frequency, focus depth, pulse length, and probe selection.
The choice of imaging mode determines the nature of the ultrasound beam. 2D-mode is a scanning
mode, Doppler is a stationary or unscanned mode. A stationary u~rasound beam concentrates energy
on a single location. A moving or scanned ultrasound beam disperses the energy over a wide area and
the beam is only concentrated on a given area for afraction of the time necessary in unscanned mode.
Pulse repetition frequency or rate refers to the number of ultrasound bursts of energy over a specific
period of time. The higher the pulse repetition frequency, the more pulses of energy in a given period
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of time. Several controls affect pulse repetition frequency: focal depth, display depth, sample volume
depth, number of focal zones, and sector width controls.
Focus of the ultrasound beam affects the image resolution. To maintain or increase resolution at a
different focus requires a variation in output over the focal zone. This variation of output is a function
of system optimization. Different exams require different focal depths. Setting the focus to the proper
depth improves the resolution of the structure of interest.
Pulse length is the time during which the ultrasonic burst is tumed on. The longer the pulse, the greater
the time-average intensity value. The greater the time-average intensity, the greater the likelihood of
temperature increase and cavitations. Pulse length or burst length or pulse duration is the output
pulse duration in pulsed Doppler. Increasing the Doppler sample volume increases the pulse length.
Probe selection affects intensity indirectly. Tissue attenuation changes with frequency. The higher
the probe operating frequency, the greater the attenuation of the ultrasonic energy. Higher probe
operating frequencies require higher output intensity to scan at a deeper depth. To scan deeper at
the same output intensity, a lower probe frequency is required. Using more gain and output beyond a
point, without corresponding increases in image quality, can mean that a lower frequency probe is needed.
4) Receiver Controls
Receiver controls are used by the operator to improve image quality. These controls have no effect
on output. Receiver controls only affect how the ultrasound echo is received. These controls include
gain, TGC, dynamic range, and image processing. The important thing to remember, relative to output,
is that receiver controls should be optimized before increasing output. For example; before increasing
output, optimize gain to improve image quality.
5) Additional Considerations
Ensure that scanning time is kept to a minimum, and ensure that only medically required scanning is
performed. Never compromise quality by rushing through an exam. A poor exam will require a
follow-up, which ultimately increases the time. Diagnostic ultrasound is an important tool in medicine,
and, like any tool, should be used efficiently and effectively.
6) Output Display Features
The system output display comprises two basic indices: a mechanical index and a thermal index.
The thermal index consists of the following indices: soft tissue (Tls) and bone (Tlb). One of these
three thermal indices will be displayed at all times. Which one depends upon the system preset or
user choice, depending upon the application at hand.
The mechanical index is continuously displayed over the range of 0.0 to 1.9, in increments of 0.1.
The thermal index consists of the three indices, and only one of these is displayed at anyone time.
Each probe application has a default selection that is appropriate for that combination. The Tlb or Tls
is continuously displayed over the range of 0.0 to maximum output, based on the probe and
application, in increments of 0.1.
The application-specific nature of the default setting is also an important factor of index behavior. A
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default setting is a system control state which is preset by the manufacturer or the operator. The
system has default index settings for the probe application. The default settings are invoked automatically
by the ultrasound system when power is tumed on, new patient data is entered into the system database,
or a change in application takes place.
The decision as to which of the three thermal indices to display should be based on the following criteria:
Appropriate index for the application: Tls is used for imaging soft tissue; and Tlb for afocus at or near bone.
Some factors might create artificially high or low thermal index readings e.g. presence of fluid or bone,
or the flow of blood. A highly attenuating tissue path, for example, will cause the potential for local
zone heating to be less than the thermal index displays.
Scanned modes versus unscanned modes of operation affect the thermal index. For scanned modes,
heating tends to be near the surface; for unscanned modes, the potential for heating tends to be
deeper in the focal zone.
Always limit ultrasound exposure time. Do not rush the exam. Ensure that the indices are kept to a
minimum and that exposure time is limited without compromising diagnostic sensitivity.
7) Mechanical Index (Ml) Display
Mechanical bioeffects are threshold phenomena that occur when a certain level of output is exceeded.
The threshold level varies, however, with the type of tissue. The potential for mechanical bioeffects
varies with peak pressure and ultrasound frequency. The MI accounts for these two factors. The higher
the Ml value, the greater the likelihood of mechanical bioeffects occurring but there is no specific MI
value that means that a mechanical effect will actually occur. The MI should be used as a guide for
implementing the ALARA principle.
8) Thermal Index (Tl) Display
The Tl informs the user about the potential for temperature increase occuring at the body surface,
within body tissue, or at the point of focus of the ultrasound beam on bone. The TI is an estimate of
the temperature increase in specific body tissues. The actual amount of any temperature rise is
influenced by factors such as tissue type, vascularity, and mode of operation etc. The TI should be
used as a guide for implementing the ALARA principle.
The bone thermal index (Tlb) informs the user about potential heating at or near the focus after the
ultrasound beam has passed through soft tissue or fluid, for example, at or near second or third
trimester fetal bone.
The cranial bone thermal index (TIc) informs the user about the potential heating of bone at or near
the surface, for example, cranial bone.
The soft tissue thermal index (Tls) informs the user about the potential for heating within soft homogeneous tissue.
You can select either Tls or Tlb using the TlslTlb selection on the Miscellaneous system setups. Tic
is displayed when you select a trans-cranial application.
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The display accuracy estimates take into account the variability ranges of probes and systems, inherent acoustic output modeling errors, and measurement variability. Display accuracy estimates are
not based on errors in, or caused by measuring according to, the AlUM measurement standards.
They are also independent of the effects of non-linear loss on the measured values.
10 ) Control Effects
Control affecting the indices
As various system controls are adjusted, the TI and MI values may change. This will be most apparent
as the power control is adjusted; however, other system controls will affect the on-screen output values.
11) Power
Power controls the system acoustic output. Two real-time output values are on the screen: a TI and
a MI. They change as the system responds to Power adjustments.
In combined modes, such as simultaneous M mode and PW Doppler, the individual modes each
add to the total TI. One mode will be the dominant contributor to this total. The displayed MI will be
from the mode with the largest peak pressure.
12) 2D-mode Controls
CD 2D-mode size
Narrowing the sector angle may increase the frame rate. This action will increase the TI. Pulse
voltage may be automatically adjusted down with software controls to keep the TI below the system
maximums. A decrease in pulse voltage will decrease MI.
Zoom
Increasing the zoom magnification may increase frame rate. This action will increase the TI. The
number of focal zones may also increase automatically to improve resolution. This action may change
MI since the peak intensity can occur at a different depth.
@ Persistence
A lower persistence will decrease the TI. Pulse voltage may be automatically increased. An increase
in pulse voltage will increase MI.
CD Focal no.
More focal zones may change both the TI and MI by changing frame rate or focal depth automatically.
Lower frame rates decrease the TI. MI displayed will correspond to the zone with the largest peak
intensity.
Focus on
Changing the focal depth will change the MI. Generally, higher MI values will occur when the focal
depth is near the natural focus of the transducer.
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CD Speed
M-mode and Doppler sweep speed adjustments will not affect the MI. When M-mode sweep speed
changes, TI changes.
When Doppler sample volume depth is increased the Doppler PRF may automatically decrease.
A decrease in PRF will decrease the TI. The system may also automatically decrease the pulse
voltage to remain below the system maximum. A decrease in pulse voltage will decrease MI.
14) Doppler, M-mode and Imaging Controls
When a new imaging mode is selected, both the TI and the MI will change to default settings. Each
mode has a corresponding pulse repetition frequency and maximum intensity point. In combined or
simultaneous modes, the TI is the sum of the contribution from the modes enabled and MI is the MI
for the focal zone and mode with the largest derated intensity. If a mode is tumed off and then reselected,
the system will retum to the previously selected settings.
CD Probe
Each probe model available has unique specifications for contact area, beam shape, and center
frequency. Defaults are initialized when you select aprobe. MEDISON factory defau~s vary with probe,
application, and selected mode. Defau~s have been chosen below the FDA limits for intended use.
Depth
An increase in 2D-mode depth will automatically decrease the 2D-mode frame rate. This would
decrease the TI. The system may also automatically choose a deeper 2D-mode focal depth. A
change of focal depth may change the MI. The MI displayed is that of the zone with the largest
peak intensity.
@ Application
Acoustic output defaults are set when you select an application. MEDISON factory defaults vary with
probe, application, and mode. Defaults have been chosen below the FDA limits for intended use.
15) Related Guidance Documents
For more information about ultrasonic bioeffects and related topics refer to the following;
AlUM Report, January 28, 1993, "Bioeffects and Safety of Diagnostic Ultrasound"
Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1998:
Vol. 7, No. 9 Supplement
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Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment. (AlUM, NEMA. 1998)
Acoustic Output Labeling Standard for Diagnostic Ultrasound Equipment (AlUM, 1998)
Second Edition of the AlUM Output Display Standard Brochure, Dated March 10, 1994. (A copy of
this document is shipped with each system.)
Information for Manufacturer Seeking Marketing Clearance of Diagnostic Ultrasound Systems and
Transducers. FDA. September 1997. FDA.
Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic
Ultrasound Equipment. (Revision 1, AlUM, NEMA. 1998)
WFUMB. Symposium on Safety of Ultrasound in Medicine: Conclusions and Recommendations on
Thermal and Non-Thermal Mechanisms for Biological Effects of Ultrasound, Ultrasound in Medicine
and Biology, 1998: Vol. 24, Supplement1.
16) Acoustic Output and Measurement
Since the first usage of diagnostic ultrasound, the possible human biological effects (bioeffects) of
uttrasound exposure have been studied by various scientific and medical institutions. In October 1987,
the American Institute of Ultrasound in Medicine(AIUM) ratified a report prepared by its Bioeffects
Committee (Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med.,
Sept. 1988: Vo1.7, No.9 Supplement), sometimes referred to as the Stowe Report, which reviewed
available data on possible effects of ultrasound exposure. Another report "Bioeffects and Safety of
Diagnostic Ultrasound," dated January 28, 1993 provides more up to date information.
The acoustic output for this system has been measured and calculated in accordance with the
December 1985 "510(1<) Guide for Measuring and Reporting Acoustic Output of Diagnostic Uttrasound
Medical Devices," except that the hydrophone meets the requirements of "Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment" (NEMA UD 2-1992)
17) In Situ, Derated, and Water Value Intensities
All intensity parameters are measured in water. Since water does not absorb acoustic energy, these
water measurements represent a worst case value. Biological tissue does absorb acoustic energy.
The true value of the intensity at any point depends on the amount and type of tissue and the frequency
of the ultrasound that passes through the tissue. The intensity value in the tissue, In Situ, has been
estimated using the following formula:
In Situ = Water [ e(023a1f)]
where:
.53
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Heart
.66
Kidney
.79
Liver
.43
Muscle
.55
The Mechanical Index. The value of MI at the position of ISPPA.3, (MI@ISPPA.3) may be
reported instead of MI (global maximum value) if ISPPA.3 is ?190W/cm2
Pr.3
The derated peak rarefactional pressure (megapascals) associated with the transmit pattern
giving rise to the reported MI value.
WO
The ultrasonic power (milliwatts). For the operating condition giving rise to ISPTA.3, WO is
the total time-average power;. For operating conditions subject to reporting under ISPPA.3,
WO is the ultrasonic power associated with the transmit pattern giving rise to the value
reported under ISPPA.3
Fc
The center frequency (MHz). For MI and ISPPA.3, Fc is the center frequency associated
with the transmit pattem giving rise to the global maximum value of the respective parameter.
For ISPTA.3, for combined modes involving beam types of unequal center frequency, Fc
is defined as the overall range of center frequencies of the respective transmit pattems.
ZSP
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,.
MEDISON
PD
The pulse duration (microseconds) associated with the transmit pattern giving rise to the
reported value of the respective parameter.
PRF
The pulse repetition frequency (Hz) associated with the transmit pattern giving rise to the
reported value of the respective parameter.
EBD
The entrance beam dimensions for the azimuth and elevation planes (centimeters).
EDS
The entrance dimensions of the scan for the azimuth and elevation planes (centimeters).
3.2%
Wo (acoustic power)
6.2%
+/-19 %
5.4%
+/-15 %
Fc (center frequency)
<1 %
+/- 4.5 %
Systematic Uncertainties.
For the pulse intensity integral, derated rarefaction pressure Pr.3, center frequency and pulse duration,
the analysis includes considerations of the effects on accuracy of:
Hydrophone calibration drift or errors.
Hydrophone / Amp frequency response.
Spatial averaging.
Alignment errors.
Voltage measurement accuracy, including.
Oscilloscope vertical accuracy.
Oscilloscope offset accuracy.
Oscilloscope clock accuracy.
Oscilloscope Digitization rates.
Noise.
The systematic uncertainties Acoustic power measurements using a Radiation Force are measured
through the use of calibrated NIST acoustic power sources.
We also refer to a September 1993 analysis done by a working group of the IEC technical committee
87 and prepared by K. Beissner, as a first supplement to IEC publication 1161.
The document includes analysis and discussion of the sources of error/measurement effects due to:
Chapter 1 Safety 25
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MEDISON
Chapter 1 Safety 26
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MEDISON
Probe Precautions
The probe can easily be damaged by improper use or by contacting certain chemical substances.
Always follow the instructions in the user manual to inspect the probe cable, case and lens before and
after each use.
Check for cracks, broken parts, leaks and sharp edges. If there is any damage, immediately stop using
the probe and contact the MEDISON Customer Support Department. Using damaged probes may
result in electric shocks and other hazards to the patients and/or users.
& CAUTION
1-5-1
& WARNING
& CAUTION
Sufficient washing and disinfecting must be carried out for preventing infection. This is the responsibility of
the user who manages and maintains the disinfection procedures for the equipment. Always use legally
approved detergents and sheaths.
Chapter 1 Safety 27
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MEDISON
1-5-2
Electric Shocks
The probe uses electrical energy. If it touches conductive materials, there are risks of electric shocks to
the patient or the user.
Lt. WARNING
Regularly receive short-circuit examination from the MEDISON Customer Support Department.Do not
immerse the probe into liquid.
Do not immerse the probe into liquid
Do not drop the probe or apply mechanical shocks.
Inspect the housing, strain relief, lens and seal for damage, and check for any functional problem before
and after each use.
Do not apply excessive force to twist, pull or bend the probe cable. It may result in a short circuit.
The power protection fuse protects the probe and the product from excess current. If the power monitoring
protection circuit detects excess current, it immediately shuts off the current to the probe in order to prevent
the probe surface from overheating and to restrict the ultrasound power output.
The temperature of the product for making contact with patients is limited under 43 C. The ultrasound
power output (AP&I) is in compliance with US FDA standards.
Environmental Protection
Lt. CAUTION
The equipment and accessories are to be disposed of safely after the life span is exceeded and national
regulations must be observed.
The lithium battery in the PC should be replaced by a MEDISON service man or an authorized dealer.
The waste sheaths are to be disposed of safely and national regulations must be observed.
Chapter 1 Safety 28
'
~.~~~~.I~.~~~~~~.~ ,
s
o 2-1 What is SonoAceX4?
30
Q 2-2 Specifications
31
35
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2-1-1
sI!I!itall
MEDISON
Specifications
2-2-1
Specifications
:> Height: 1330mm (with monitor)
:> Width: 450mm
:> Depth: 700mm
:> Weight: More than 63kg
2-2-2
Imaging modes
:> 2D real-time
:> Dual 2D real-time
:> 2DIM-mode
:> Pulsed-wave Doppler
:> 3D-mode
:> Simultaneous
2-2-3
Gray Scale
:> 256 (8 bits)
2-2-4
Focusing
:> Dynamic transmit focusing, maximum of eight points (four points simultaneo-usly selectable)
:> Digital dynamic receive focusing (continuous)
2-2-5 Probes
:> Curved Linear Array
EC4-9ED, EC4-9ES
2-2-7 Monitor
:> 12 inch BM! monitor
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2-2-8
2-2-9
2-3-11 Application
:> General, Gynecology, Abdomen, OB, Renal, Urology, Vascular, Small Part, Fetal Heart, Breast,
Standard Gestational Age tables: GS, CRL, VS, BPD, OFD, HC, APD, TAD, MAD, AC, FTA, FL,
SL, TID, APTD, APTDXTID, HUM, ULNA, TIB, RAD, FIB, CLAV, VERT, CEREB, OOD, 10D,
CM, NF, NT, Lat Vent, FOOT, EAR, MP
Volume Flow, Umbilical Artery, Mid Cereb Artery, Left and Right Uterine Artery, Left and Right
Fetal Carotids, Fetal Aorta, Ductus Venous, Fetal Heart, Placenta Artery
Fetal Weight: Campbell, Hadlock 1-4, Hansmann, Merz, Osaka, Shepard, Tokyo1, Tokyo2,
Shinozuka1, Shinozuka2
Estimated Fetal Weight: Brenner, Doubilet, Osaka, Hadlock, Tokyo, Williams
User-defined tables
:> Gynecology : Uterus, Cervix, Left and Right Ovary, Left and Right Ovarian Artery, Left and Right
sI!I!itall
MEDISON
:> Cardiac: Simpson, VoI.AIL, 2D Measure, LV Mass, Lt. Ventricle(M), Ao.LA(B), AolLA(M), MV(M),
MV inflow, MV Regurg, LVOT Doppler, AoV Systollic, AoV Regurg, TV Inflow, TV Regurg,
PV Systolic, PV Regurg, Pulm. Veins, Hepatic Veins, Tissue Doppler, Qp:Qs, Heart Rate
:> Vascular: Rt./Lt Subclavian, Rt.ILt. Prox CCA, Rt.ILt. Mid CCA, Rt.ILt. Distal CCA, Rt.ILt. Bulb, Rt.ILt.
Prox ICA, Rt.ILt. Mid ICA, Rt./Lt. DistalICA, Rt.ILt. ECA, Rt.ILt. Vertebral, Volume Flow,
Heart Rate, General
:> Urology: Bladder Volume, Prostate Volume, Transitional Zone Prostate Volume, Residual Volume,
Left and Right Kidney Vol.
:> Fetal Echo: 2D Echo, CTAR, Main Pulmonary Artery, Ductus Arteriosus, Inferior Vena Cava, Ductus
Venosus, Ascending Aorta, Descending Aorta, MV Inflow, MV Regurg, TV Inflow, TV
Regurg, Preload Index
2-2-15 Measurement
:> Trackball operation of multiple cursors
:> 2D: Linear measurements and area measurements using elliptical approximation or trace
:> M-mode: Continuous readout of distance, time, and slope rate
:> Doppler: Velocity and trace
2-2-16 Auxiliary
:> Black-and white printer
:> Line printer
:>VCR
- - - - - - - - - - - - - - - - - - - - - - - - - Chapter 2 Product Introduction 33
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:> Monitor
:> Foot switch
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MEDISON
2-3-1
Console
The console consists of two parts the inner unit and the outer unit. The inner section is responsible for
ultrasound image generation. The outer section is designed to support the use of other devices and
includes monitor and probe connection sockets, the probe holder, storage devices like HODs, storage
space for peripheral devices and the system power switch.
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1) Console
Monitor - - - .
2) Console Size
,.....1 - - - - -
6' cm
-----1~~,
+------ 4 cm-----+
cm
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MEDISON
3) Rear Panel
USB
PORT-~
I001 y
..-t+-- VGA (Output)
LAN (In/Out)------1f--...
Printer Remote---+--_ @
D'
+t-+--- ECG Connector
BW Prineter--+-...
VHS (Output)--t--_
Audio (Output)--+--.
~+--++---
Foot Switch
Audio (Output)--+--.
CD VGA (Output)
The VGA signal is sent to the monitor.
cv LAN (Input/Output)
DICOM can be connected via the LAN port. Patient information is transferred to another server
via the DICOM network.
@ Audio (Output)
CD VHS (Output)
Connect the VCR using the VHS method.
BW Printer (Output)
Echo printer connection.
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2-3-2
re]
2-3-3
Monitor
The monitor of this system displays ultrasound images and additional information. This monitor is
connected to the main body through a central pivot, allowing it to be tilted to the optimal viewing angle.
1) Monitor Display
The monitor displays ultrasound images, operation menus and a variety of other information. The
screen is divided into five sections: Title, Image, Menu, Feedback, and Flexible Soft Menu sections.
Title
Menu
""
Image Area
Feedback Area
Flexible Soft Menu
\..
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MEDISON
CD Title
This section displays the Logo, Patient Name, Hospital Name, Application, Frame Rate & Depth,
Probe Information, Acoustic Output Information and Date & Time.
SONOACE
2'151218-010
FPS 250
X4 ....
...... HLS-8ED
2005-12-19
12:58:14 PM
ImageArea
The ultrasound image, image information, annotation, and measurement information are displayed
in the image area.
@Menu
The menu is divided into 3 kinds: Image adjustment menu, Measurement menu, and Utility menu.
Use Menu dial-button to select an item from the menu.
OB
Fetal Biometry
Fetal Long Bones
Fetal Cranium
20
FA
OR
EE
Reject
Frame Rate
View Area
Tissue
Fetal Others
5
90
0
16
AR
Volume Row
Umbo Artery
MCA
Fast
100%
Normal
Plac. Artery
Apex
Up
Trapezoid
Off
Power
100
20 Post
Gamma
Off
Utility
Biopsy
ECG
Fetal Aorta
Gamma
Ductus Venous
Preset
etal HR
Off
Miscellaneous
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CD Feedback Area
This feedback area provides a variety of information necessary for system use e.g. current
system status and Body Markers.
2-3-4
Control Panel
The control panel can be used for controlling the system. It consists of the following four sections:
Up down Switch
Dial-Button
r-------(3
Dial
NOTE
Please refer to Product Installation in the Operation Manual.
- - - - - - - - - - - - - - - - - - - - - - - - - - - Chapter 2 Product Introduction' 40
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2-3-5
Probe
The probe is a device that sends and receives ultrasound for acquiring image data. It is also called a
Transducer or Scanhead. The ultrasonographic image scanner uses the image data received by the
probe to display the images of each organ on the screen. For best quality images, select the appropriate probe for the each application.
The system limits patient contact temperature to 43 degrees Celsius, and acoustic power values to
their respective U.S. FDA limits. A power protection fuse circuit protects against over-current
conditions. If the power monitor protection circuit senses an over-current condition, then the drive
current to the probe is shut off immediately, preventing overheating of the probe surfaces and limiting
acoustic output. Validation of the power protection fuse circuit is performed under normal system
operation. For invasive probes, additional protections are designed to keep patient contact surface
temperature under 43 degrees Celsius in the event of a single fault failure.
The applications for each probe are shown below.
Product
Applications
C3-7ED
C2-5ET
C4-9ED
C2-4ES
EC4-9ED
EC4-9ES
L5-9EC
L5-9EE
HL5-9ED
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1) C3-7ED
Probe type : Curved linear array
Number of elements: 128
Center frequency: 3.5MHz
Radius of curvature: 50mm
Field of view: 70
Applications: Abdomen, OB, Gynecology,
Renal, Fetal Heart
2) C2-5ET
Probe type : Curved linear array
Number of elements: 128
Center frequency: 3.5MHz
Radius of curvature: 40mm
Field of view : 76
Applications: Abdomen, OB, Gynecology,
Renal, Fetal Heart
3) C4-9ED
Probe type : Curved linear array
Number of elements: 128
Center frequency: 6.5MHz
Radius of curvature: 20mm
Field of view : 150
Applications: Neonatal, Pediatric, Vascular
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MEDISON
4) EC4-9ES
Probe type : Curved linear array
Number of elements: 128
Center frequency: 6.5MHz
Radius of curvature: 19.4mm
0
5) EC4-9ED
Probe type : Curved linear array
Number of elements: 128
Center frequency: 6.5MHz
Radius of curvature: 19.4mm
0
6)C2-4ES
Probe type : Curved linear array
Number of elements: 128
Center frequency: 3.0MHz
Radius of curvature : 20mm
0
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7) L5-9EC
Probe type : Linear array
Number of elements: 128
Center frequency: 7.5MHz
Radius of curvature: Flat
Field of view: 38.4mm
Applications: Small Part, Breast, Vascular,
Musculoskeletal
8) L5-9EE
Probe type : Linear array
Number of elements: 128
Center frequency: 7.5MHz
Radius of curvature: Flat
Field of view: 50mm
Applications: Small Part, Breast, Vascular,
Musculoskeletal
9) HL5-9ED
Probe type : Linear array
Number of elements: 128
Center frequency: 7.5MHz
Radius of curvature: Flat
Field of view: 38.4mm
Applications: Small Part, Breast, Vascular,
Musculoskeletal
. '.
~.r~~~.I~.~~I~~~~
46
47
49
52
53
54
Q 3-2 Unpacking
Q 3-3 Product Installation
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MEDISON
Environmental Requirements
When installing:
1) Avoid humidity.
2) Avoid direct sunlight.
3) Avoid places with extreme temperature variations.
4) Optimal conditions for the system are temperatures of 10-35C and humidity of 30-75%.
5) Avoid heat sources.
6) Avoid dusty and unventilated areas.
7) Avoid places where the system is likely to be exposed to vibration or impacts.
8) Avoid places where the system is likely to be exposed to chemical substances or gases.
Lt. CAUTION
Placing the system near generators, X-Ray machines, or broadcast cables may resu~ in screen noise and
abnormal visual images. Using the power source with other electric devices may also induce noise.
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Unpacking
The package contains three boxes for the ultrasound diagnostic equipment, the monitor, and accessories.
3-2-1
3-2-2
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MEDISON
3-2-3
Accessories
This product contains a box of accessories.
1) Cut or remove the package tapes.
2) Take the accessories out and keep them in a safe place.
3) The power cord and ground cable are required for connecting this system.
MANUAL
~~
FUSE
SONO GEL
~
VTRCORD
SET COVER
GROUNG CABLE
POWER CORD
[Figure 3-2 Accessories]
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Product Installation
3-3-1
1) Required items:
1 large screwdriver (+)
1 small screwdriver (+)
,,
,,,
,,
,,,
,
,,,
,,
,,,
,,
,
-,
--
,
,,
IlItII!I
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n/,'I
,
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,,
,,
/11/1111
//1/#//
sI!I!itall
MEDISON
III
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MEDISON
3-3-2
Connecting probes
Be sure to connect or disconnect probes when the power is off to ensure the safety of the system and
the probes.
1) Connect probes to the probe ports on the front panel of the system. A maximum of two probes
(three probes optional) can be connected at one time.
2) Turn the connector-locking handle clockwise after inserting the probe into the probe port.
3) When the system is powered on, the probe last in use is automatically activated.
sI!I!itall
MEDISON
Lt. WARNING
Always disconnect the system from the wall outlet prior to making any changes to the inpuUoutput voltage
of the system.
Lt. CAUTION
The system is designed to use 10Q-120VAC and 200-240VAC. Printer and VCR may be connected to the
system outlet for power source.
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MEDISON
Power On/Off
The power switch of this product is a contact switch.
Press the power switch to initiate the system operation. You may also press the power switch while the
system is in operation to turn the power off.
& CAUTION
Please check that the voltage for peripheral devices matches the voltage of the power outlets prior to
connecting power to peripheral devices.
-----~----,--.:;;;:::::=::::=------,
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MEDISON
Performance Test
3-6-1
CD Adjust brightness and contrast of the monitor from minimum levels to maximum levels to see if
there are any distortions in the display.
Check that the image appears in the centre of the monitor. Also check the vertical and
horizontal resolutions.
@ Check for problems/distortions at each corner.
3-6-2
Functional Tests
1) After successful completion of initialization and monitor test, please check the following:
CD Check that the image appears in the correct coordinates of the monitor.
Check that all lamps on control panel light up properly.
@ Check that toggle switches, slides and trackball work properly.
2) If any of them appears to have problems, perform the "initialization" procedures one more time.
3-6-3
3-6-4
20 Image Tests
1) Tum the power off. Once the system has completely shut off after 10-20 seconds, tum the power on again.
2) Select Curved Array Probe.
3) Apply 2D phantom image.
4) Set the Power level to 100%.
5) Adjust the TGC Gain to produce a 2D image with minimum noise and perform the test. Note:
Attenuation of the image on the far side must not be set to minimum.
Chapter 3 Product Installation' 54
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6) Adjust the vertical and horizontal images and adjust the phantom position appropriately.
7) Once phantom has been placed appropriately, make axial and lateral image adjustments to keep the
image with minimum noise.
8) When phantom image adjustment is complete, adjust the focusing on all holes within all phantom structures.
9) Use various menu keys to produce optimal images for each condition.
CD 2D mode: Direction, Application, M line, Density, Focus +, -, 2D, THI, DEPTH, FOCAL POS, TSI
OPT, ZOOM, POWER, TGC, DUAL
MMode: Direction, Application, Density Format, M, THI, DEPTH, FOCAL POS ZOOM, POWER, TGC
10) You may adjust various menu keys to achieve optimal images for PW Mode as well as 2D images.
CD PW Doppler: PWD, ANGLE, Simultaneous, SV Size +-, VOLUME, FILTER, SWEEP, BASELINE,
SCALE, INVERT
3-6-5
Freehand 3D Test
1) Tum the power off. Once the system has completely shut off after 10-20 seconds, tum the power on again.
2) Select Curved Array Probe.
3) Press the 3D button to produce 3D images.
4) Adjust X, Y, Z, Rect. L, Mag, and Th. L to produce desired images.
5) After building a desired image, press the Freeze button to view the produced 3D image on the
monitor screen.
6) Press the 2D button to return to normal mode.
3-6-6
3-6-7
End of Testing
1) Once all tests have been performed, you may start using the system.
2) If there seems to be any problem during the tests, please restart the system and run the tests again.
3) If problems persist, please contact the Medison Customer Service Centre.
.,.~:~~.~
s
o 4-1 System Setup
Q 4-2 Measurement Settings
57
61
62
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System Setup
This section contains instructions on general system settings that do not affect imaging functions.
Settings may be changed to suit various user's needs and preferences.
1) Press the [F6] SetUp button on the keyboard. The Setup window will appear.
2) Select [System] from the Setup menu.
3) Set the specific system values according to each item on the screen.
4) Press [OK] to save the settings. Press [Cancel] or [X] to close the window.
4-1-1
General
Select the General tab from the System menu.
Insb1Won
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Dol
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YYY'/' M-DO
MM O-YYY'/
OO-M -YYY'/
set
0()ff
1) Institution
Select the language for display. Available languages are English, Deutsch, Francais, Italiano, Espanol,
Russian, and Simplified Chinese. Language selection will take effect only after a system reboot.
Key button input method will automatically change according to the language selection.
3) Date
Chapter 3 Setup' 57
sI!I!itall
MEDISON
le
Mea
GelHnI
OlCO'ol
o,uon
Per\p/loofals
1111""""lIon
DI$oIar
Instl_
v..,
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2CI05.IMI
.. y"yy
MM
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2005
.....1/1
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15
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13
"0.
Oif
OK
Clonc<'
OK
c..e..
Set date and time using the trackball and the [Set] button.
@ Press [OK] to finish. Press [Cancel] or [X] to cancel any changes.
Chapter 3 Setup' S8
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_ r._
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4-1-2
Display
Sets display-related options. Select the Display tab from the [System] menu to make settings for
[display].
le
o.tion
0iC0'0I
Au10 Fr
. . 1TGC Line
.011
Off 11 3
10
min.
1!1
min.
~Is
Inlomoation
2D Imllli SiLe
0.
Chapter 3 Setup' 59
sI!I!itall
MEDISON
1) Auto Freeze
After the preset time span (minutes) of inactivity, the scan mode is automatically frozen.
2) Screen Saver
After the preset time span (minutes) of inactivity, the screen saver starts automatically.
3) Post Map
This sets the display of the Post Map in the Feedback section at the bottom of the screen.
4)TGC Line
This sets the display of TGC Line. Select "Off' to hide TGC Line from the screen. Select "Off after 3 sec."
to have TGC Line appear on the screen for 3 seconds after adjusting the TGC value. Select "On" to
show TGC Line on the screen at all times.
5) 2D Image Size
The size of the image displayed on the screen may be set to 100%, 95% or 90%.
6) TI (Thermal Index) Display
The system sets TI values automatically. However, this menu allows the user to choose manually
from one of the three TI parameters as desired: Default, Tls or Tlb.
7) Simultaneous Mode
This menu determines whether or not simultaneous mode is enabled in PW Spectral Doppler Mode.
Off: Select this option if you do not wish to use simultaneous mode.
Allow 2D/PW: Select this option if you wish to use simultaneous 2DIPW mode.
Chapter 3 Setup' 60
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Measurement Settings
To change measurement settings, follow the instructions below :
1) Press the F6 SetUp button on the keyboard. The Setup window will appear.
2) Select Measure from the Setup menu.
3) Set the specific system values according to each item on the screen.
4) Press OK to save the settings. Press Cancel or X to close the window.
JC
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NOTE
For more information, see "Chapter 3. Settings" in the Operation Manual.
Chapter 3 Setup' 61
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MEDISON
Port r-----~
AE1lIIe
----
Ut
IP_
Port
11.1
4-3-1
Chapter 3 Setup' 62
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4-3-2
Network Settings
Press [System Network Settings] to set the system's IP address on the network. Select "Using Dynamic
IP Configuration" to allow the system to set the IP address automatically. If the user enters an incorrect
IP address manually, the system will not establish connection to the network. Press [Apply] to apply the
network settings. Press [Cancel] to cancel the process.
4-3-3
Connection will terminate if the DICOM server does not respond during the set period. The unit
is in seconds (s).
6) IP Address
Enter server's IP address.
7) Port
4-3-4
4-3-5
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MEDISON
4-3-6
DICOM Log
Press [Log] and the DICOM Log screen will appear. You may delete or copy the current DICOM log file.
A DICOM log file contains records related to DICOM activities.
Press [Close] to close the DICOM Log screen.
1) Log Settings
Chapter 3 Setup' 64
s
o 5-1 Connecting Peripheral Devices
o 5-2 Peripheral Device Settings
o 5-3 Testing Peripheral Devices
66
68
69
See
it all
_.
MEDISON
5-1-1
fA
OUT$ IN
~oH
[00
[ :.
r~
8J
@ c:f
L--..J
L--..J
Echo Printer
er
(!)
IN
@ @
AUDIO
@
@
@ @
VG'
2::-
OUT
-J
- er (f)
er
P'>.
VHS
~I~
1~&
.(!)
~~
.....
,-~
Rear Board
VCR
[Figure 5-1 Echo Printer and VCR Connection Diagram]
5-1-2
USB
You can connect devices such as storage devices and USB printers via the USB connectors located
on the rear panel and the front panel of the product.
Lt. CAUTION
Please connect or disconnect USB devices only when the system is completely tumed off. Connecting or
disconnecting USB devices while the system is turned on may lead to malfunction of the system and/or
USB devices.
See
it all
_.
MEDISON
1) Storage Devices
A variety of storage devices can be connected to the SonoAce X4 via the USB port, enabling
backup & restoring of SonoView or Measure Package data.
Supported storage devices are USB MO Drivers, USB CDRW Drivers, and Flash Memory media.
Lt. CAUTION
The USB MO Driver should not be used with other USB storage devices.
2) Inkjet Printer
SonoAce X4 supports Post script compatible printers. You can connect printers to the USB ports on
the rear panel or the front panel.
Supported printers:
/1
I
I
I
"
I '
,
'\
I,
~~
----------
,
I
I
I
\
~\
,
3) Foot Switch
The footswitch connector is located on the rear panel of the system.
Chapter 5 Installing Peripheral Devices' 67
See
it all
_.
MEDISON
5-2-1
5-2-2
Foot Switch
This assigns functions to the left and right pedals of the foot switch. Four options are available: Dual,
Store, Freeze and Update.
5-2-3
Printer
Setup the printer.
Connect a USB printer to a USB port on the system. Select the printer model from the screen and press
OK to start using the printer immediately.
The USB printer can only be used to print out Report and SonoView screens.
See
it all
_.
MEDISON
5-3-2
VCR Tests
A VCR must be installed in order to perform this test.
1) When the VCR installation is complete, check that a video tape is loaded. If not, insert a blank video tape.
2) Use 20 Mode and PW Mode simultaneously to record VCR.
3) Rewind the recorded tape in order to play the recorded video.
4) When rewinding is complete, select the menu Utility -> VCR -> Play. Then press the Play button on
the VCR to play the recorded video. If there is noise on the video and/or audio, replace the VCR and
rerun the test.
5) Select the menu Utility -> VCR -> STOP to return to the previous screen.
6) The VCR input must be set to external input.
5-3-3
'.~:~~~~.~~:~~.~r~
E-,r,
0
0
0
0
0
0
6-1 Overview
6-2 Internal System Structure
6-3 System Block Diagram
6-4 PSABoard
6-5 Front End Board
6-6 Back End Board
71
72
74
75
78
83
90
92
93
See
it all
_.
MEDISON
Overview
The SA X4 system consists of 8 main parts.
CDPSA
@Monitor
The Main Board comprises two parts and features the following characteristics.
48 TX-based channels are operated by Digital Beamforming and the built-in CD RW Drive facilitates
convenient image backup and speedy software service.
Improved compatibility w~h extemal USB MOD and Flash Memory provides aflexible upgrade environment.
This product features PW (optional) and Quick Scan Mode, which is incorporated in premium class
systems only.
Power and video connections from the monitor are directly wired within the system frame, and the four
casters facilitate easy movement of the system.
See
it all
_.
MEDISON
6-2-1
~---+---CD
~-----+--
.-------t--@
Figure 6-1 shows the Main Board inside the Front Cover.
CD Front-End Board
(2) Back-End Board
See
it all
_.
MEDISON
6-2-2
_ ......- - G )
4---CD
------------------------~
:.-=---0
CD Mother Board
Rear Board
@HDD&CDRW
6-2-3
See
it all
_.
MEDISON
I.~
I.~
~TX Pulser
I :
RF Data
DSP Part
B-mDde Data
'11
r
Control Pannel
Mode Switch
mc Slidepots
Alphanumeric Keyboard
Track Ball
HDD
CD/RW
USB Port
---r-X-
PC Part
~
~ GX-1300Mhz Processor
l1li'"
.......
"""IIIIf
: PW-mode Data
... ...
DSC Part
VM Part
Mid Intertace
Frame Average
Scan Converter
Cl NE : Max 512(Fast Mode),
Max 256(in high density mode)
Frame Interpolation
HDZoom
Quick Scan
Edge Enhancement
Loop Control
Loop: Max 4096
3D DMA Part
ECG control
RTCControl
VIM Intertace
1 -I
PCBus
Data Bus
<l
....
. . . . . .~
....
_......
.1
Post Process
Image Syrch Generation (512'440)
BIW, Loop Dual Display Window Generation
Image Header Mapping (BIW, M, Doppler)
ECG Image mapping
Image Grabber Memory (Gray Bar, B dual,
B/Loop, Sonoview data)
Field Memory (Video Frame Memory)
'VGAOut
NI to I Process
CCIR601
Horizontal Interpolation (Scaling)
Vertical Interpolation (Scaling)
Interlace VGA Out
Interlace CV Out
...
See
it all
_.
MEDISON
(11 PSABoard
6-4-1
6-4-2
6-4-3
128Ch
48Ch
Mother Board
..~
PROBE A
CANNON 156
128Ch
~
PROBE B
CANNON 156
Relay
Switch
...... BUFFER
......
"
,J+
PROBE ID
READER
RELAY
DRIVER
r
DC-DC Power
Module
...... POWER
-
BOARD
VERSION
--+
Control Signal
Signal Flow~
See
it all
_.
MEDISON
6-4-4
49
97
128
128EL
[Figure 6-6 High Voltage Switching Process]
2) Relay Switch
The relay switch is used for selecting either one of the two probes.
This relay switch receives the PROBE_SEL signal from the Front-End Board and makes the switch
select a probe.
FE
HVSNJ
Relay V23079
R
0
N
T
48
CHO-CH47
0-127
128
--------------------~
PROBE_BEL
3) Probe ID
Reads the probe ID and sends the data to the Front End Board.
4) Board Version
Identifies the Board Version
See
it all
_.
MEDISON
6-4-5
See
it all
_.
MEDISON
6-5-2
See
it all
_.
MEDISON
6-5-3
BF Control
PSA Board
<lIIII
Pulser
(48 ch)
HV Power
control
Pulse
signal
buffers
Umiter &
Fdd'
1119
PSA Board ~ Pre-Amp ~
(48ch)
(48)24ch)
Buffers
BFIC
(24ch)
HV, CP
control
TGC
(24ch)
LPF &
ADC
(24ch)
Mother Board
Clock Generator
Mother Board
---+
Control Signal
Signal Flow' ~
[Figure 6-10 Front End board Block Diagram]
See
it all
_.
MEDISON
6-5-4
BFIC
RX Path Block
AD Block
Limiter
Rx signals passing through the high voltage switches contain TX pulses of up to 180 Vpp and
millivolts of echo signals. Thus the TX pulse has to be filtered before the TGC, and the Limiter
is used for this purpose.
@PreAmp
This amplifies the signals by about 20dB.
Ele(n-4)
Ele(n-3)
Ele(n-2)
Ele(n-1)
Ele(n)
CHO
Ele(n+1)
Ele(n+2)
Ele(n+3)
CH1
CH2
CH3
[Figure 6-12 Reordering & Folding when scanline is in between elements]
See
it all
_.
MEDISON
TGC Amp
The TGC (Time Gain Compensation) Amp (AD8332) contains 2 channels in each chip. This
compensates the ultrasound wave signals bouncing off the medium for the loss of power by their
travel time (distance).
Compensation is made within the range of 7.5dB to 55.5dB, which can be achieved by using the
HI Gain Mode.
Low-Pass Filter
The Low-Pass Filter, the final station of the analog receive channel, is an anti-aliasing filter that
only suppresses noise in the stop band, which is not the range of ultrasound signals, but it also
minimizes the aliasing effect that may occur in high-frequency probes such as 7.5MHz probes
due to the sampling clocking limitation of digital beamforming IC in the next station.
(J) ADC
This converts analog signals into digital signals for use in digital beamforming.
3) Digital Beamforming
Echo signals that return from one particular target do not arrive at the transducer at the same time,
but arrive at slightly different times.
beamforming method (shown in Figure 6-13) uses sampling and memory to align echo signals in
time sequence and add an echo to them for beamforming.
000
I signal
Transducer
Sampling
Memory
See
it all
_.
MEDISON
6-5-5
See
it all
_.
MEDISON
6-6-2
See
it all
_.
MEDISON
6-6-3
Produces 2D Image
Produces 1&0 Signals
Loopf3D
Memory
Frame
Memory
Post
Control
Nltol
Control
Converts Image
V-sync, H-sync to
VGA V-sync,H-sync '
DSP
FPGA
SDRAM
SDRAM
DSC
FPGA
JI
Basic
Do~ler
Data process
--=-J
-=J
VM
FPGA
------~~
Field Memory
BWdata
scan conversion
DSP
SDRAM
SDRAM
Doppler
DSP
Soung out
SDRAM
Cine
Memory
Video DAC
Video DAC
. . . .~lnterlaCe
RGB out
Encoder
. . . .~lnterlaCe
P
VHS out
_
Generates
Image
V-sync
~
DSC
H-sync
PC
See
it all
_.
MEDISON
6-6-4
DSP Part
1) DSP Part Block Diagram
This section describes the DSP Part Block Diagram.
Beamfoorer RF III
Synthetic
Aperture
~~
it
Doppler,
DSP
Clutter Rlter
FFTCiraJit
~QdaIa
MCB025
BIWdata
FSI
#0
DSP
FPGA
Pre-Gain Shift
Input Control
Rtters
Output Control
MCB025
BIWdata
FSI
#1
SDRAM
256M
~QdaIa
.
Synthetic
Aperture
SRAM J
#0
SRAMJ
#1
The DSP Part consists of a 2D mode part, a Spectral Doppler Part, and a Calor Doppler Part.
The 2D mode part receives the beamformed output signals, generates BNV signal (2D image) data and
sends it to the DSC Part.
The Spectral doppler mode part separates the RF signals received for Doppler direction separation into
I (Inphase) signals and Q (Quadrature) signals. Then it uses the clutter filter to remove the clutter noise
in which is a kind 0 wall noise from vein wall out of the signals. The signals with wall noise removed are
sent to the PCC Board for the Doppler Sound process, and they are sent to the FFT circuit, where the
basic Doppler elements Power, Velocity, and Variance are analyzed.
See
it all
_.
MEDISON
CD Pre-Gain Shift(Q,..,,5)
B/W Input Controller (B/W) Clock Generation
@ FSI(Full spectrum imaging) Supported
DSC Part
1) DSC Part Block Diagram
This section describes the DSC Part Block Diagram.
Image Storage
LOOP /30
DSP
JL.._ .....
_ __F_ra_m_e_.......
Memory
.,....
~~~
-::M=e=m=Ory=#=1=~~.
CINE
FPGA
I.....
~ ..
CPLD
(Host
Control)
ECG Data
The DSC Part is an image filter circuit that improves image quality. It consists of the scan conversion
part-which writes the received scan line data and reads the monitor by the h-sync cycle, frame memory
part, and zoom and freehand 3D path parts.
The DSC Part sums data from 2D mode and Spectral Doppler mode produced by different paths
together as one set of common data.
It facilitates various functions such as Digital Scan Conversion and Frame Average, 3D (DMA), Cine,
RTC, Read Zoom, and Edge Enhance along with Memory.
- - - - - - - - - - - - - - - - - - - - - - - - - - - Chapter 6 System Structure' 86
See
it all
_.
MEDISON
CD Mid Inter1ace
Frame Average
@ Scan Converter
@QuickScan
Edge Enhancement
@l Loop Control
6-6-6
Post
Controller
I
I
--.:::J
Video DAC
VGA RGBout
Video DAC
Encoder
Field Memory
Interlace CV out
--.:::J
The Video Manager Part converts the image data (512 x 440) received from the DSC Part into RGB
values (640 x 480) for displaying on the monitor and keys it in with the PC's VGA data. The keyed data
is tumed into interlace and non-interlace signals for displaying the final output through a VGA monitor,
interlace monitor, echo printer, etc.
The Video Manager Part has the following features.
2) Video Manager Part Specification
* Post Process
See
it all
_.
MEDISON
(j)VGA Out
* Nltol Process
CDCCIR601
6-6-7
PC Part
This section describes the PC Part.
CD Manufacturer: Advantech
Model: SOM-4450
@ Equipped with an embedded NS GX1-300Mhz processor, the SOM-4450 ETX System-an-Module
is a low-power high-performance core engine used in various applications.
1) PCI / Local BUS Interface
The PCllLocal BUS Interface Part features PLX's PC19054 and XC95144.
The PCI9054 connects to the PCI Bus of the PC, converting it into a Local Bus so that various devices
on the Local Bus can be allocated in absolute address ranges for their direct use.
Depending on each state (read, write) of PCI9054, the XC95144 generates decoded signals for
controlling the peripheral devices connected to the Local Bus.
When in SonoView or 3D Mode, signals are received from VM and DSC to open the DMA channel
and data is obtained in units of lines or frames.
2) Miscellaneous Control Parts
The CPLD generates overall control signals for VGA Path Control, Audio Path Control, etc.
3) Peripheral Port Interface
Peripherals provided by the SOM-4450 PC Module are as follows.
CD 2 IDE (Ultra DMA33) / 1 FDD
1 Parallel / 2 Serial
@Soundout
See
it all
_.
MEDISON
See
it all
_.
MEDISON
6-7-2
PC
nterface
DS
1233
r1
IRESET
COM2_RXD
RXD
MAX232
J.
D[0.. 7]
TXD
SA[0..7)
NlR
IRD
89C51
11.0592
MHz
ALE
SA[0..2)
fTMRINT
-+
I~
SD[0..7)
RESETL
33V_RESET
33V_ADC ClK
ADC ClK
74HC
245
ADCOE
A DC0808
ADC START
3.3V_ADC OE
3.3V ADC START
3.3V_ADC ALE
ADC ALE
..
..
OIl
FOOTSWl
FOOTSW2
PR INTREMOTE
4N25
4N25
RELAY
XC95144XL-TQ144
r
J
J
SR[0..7)
DOT
MATRIX
SC[0..7)
J
ENCODER1
SW
ENCODER2
SW
EDO A
EDO B
J
J
ENCODER3
sw
EDl A
EDl B
ED2 A
ED2 B
:
:
:
See
it all
_.
MEDISON
6-7-3
Power Control
Pressing the POWER ON switch on the system keyboard sends the ON signal from Key Matrix to
POWER, tuming the system on.
Pressing the POWER OFF switch on the system keyboard makes (1) POWER_SW change its signal
from H -> L. If the signal remains the same for about 2 seconds or more (2) the POWER_DOWN signal
changes from H -> L, in which case the Key Matrix sends the (3) "POFF" value to the PC through
RS232 communication. The PC terminates the Main Software and once terminated, it sends to the Key
Matrix the (4) "eSP' value. Finally, the Key Matrix BID sends (5) POWER_DOWN H -> L to
POWER and the system power shuts down.
r
3 "POFF"
Power
2 POWER_DOWN
KM BID
5 POWER_DOWN
..
4 "cSF"
PC
6-7-4
See
it all
_.
MEDISON
LAN
Connector: RJ45 (10BASE-T, 100BASE-T)
Electrical characteristic: 1000hm Impedance
Speed: 10Mbps, 100Mbps
Reference Specification: IEEE 802.3X
6-8-2
USB
Connector: USB Series A Connectors
Electrical characteristics: 3.6V (Low, Full), 480mV (High), each 900hm Impedance
Speed: 1.5Mbps (Low), 12Mbps (Full), 480Mbps (High)
Reference Specification: Universal Serial Bus Specification Revision 2.0
6-8-3
See
it all
_.
MEDISON
Power
6-9-1
6-9-2
2A
3.6W
+3.5V
8A
28W
+5VA, +5VD
8A
40W
-5VA
O.5A
2.5W
+12VD,+12VP
+12VFAN
3A
36W
-12VA,-12VD
O.5A
6W
+15V
2A
30W
+HV
O.2A
16W
-HV
O.2A
16W
+97V, -97V
O.1A
9.7W
SUM
197W
See
it all
_.
MEDISON
6-9-4
6-9-5
See
it all
_.
MEDISON
6-9-6
CD-+----i~
1-4H--t--@
"
Power Cable
2
Fuse Holder
6, 7
Output Voltage
'.~:~e:e.~:~~
97
98
99
105
See
it all
_.
MEDISON
Option Setup
This function displays software serial number information and allows the user to selectldeselect software options.
Details in Option Setup cannot be charged by the user. It is intended to be used by professional technicians only.
The Option Setup screen is illustrated below.
1) Press the F6 SetUp button on the keyboard. The Setup window will appear.
2) Select the Option tab from the Setup menu.
_.
0.-lma
1999-S7n-l2S7-93.t5
Fltlt
0tC0..
1GOll~3ll84-~-
7-1-1
Option Unlock
Follow this instruction to select software options.
1) Press Unlock and the Unlock Code window will appear as shown.
2) Enter the correct password in the Unlock Code window. Options available for use will be displayed.
3) Options cannot be selected for use unless the correct password is entered. Press Cancel if the
password is not correct.
x
0.-Ima",Fltnc
0tC0..
5398
1 - 2401 - 2142
F'_3D
PulSe ..
See
it all
_.
MEDISON
7-1-2
Option Lock
Follow this instruction to lock software options.
1) Press [Lock] and the Lock Code window will appear as shown.
2) Enter the correct password "********,, in the Lock Code window.
3) Options cannot be deselected unless the correct password is entered.
x
I m Key
I.o<kJ
DlCOM
Ft fund 30
OK
Information
This function displays Version information for the system software.
Select the Information tab from the Setup menu and press [Detaillnfo]. to view detailed system information.
See
it all
...
MEDISON
Administration Mode
This section describes Administration mode (hereinafter called ooadmin modeO). This mode facilitates
software upgrades and backup & restore data operations.
7-3-1
I........
OK
Caneel
Help
7-3-2
Admin mode
This section describes Admin Mode.
!\jo
f---"~
@>---_~
I '- eo....-. I
HllOC>ooIoot e-o~
~Seltlnto
...-----<
n... Zone $ o t I q . .
'ort
_ _>
>-----+.
-----<
~
..
CwoOll
_I
@>----
.....
[Figure 7-6 Admin mode]
Chapter 6 Service Setup' 99
See
it all
_.
MEDISON
Exports image setting parameter values regarding all probes in the HTML format. (For R&D only)
@ Lock Manager: Executes the Linux-based application for unlockingAocking software options.
SonoView settings.
@ Controls overall system operation.
7-3-3
Up-grade
Follow these instructions to up-grade the system:
1) Insert the CD or MO, or insert a Flash Memory into the USB port.
2) Press the @ Up-grade button in the Admin window.
3) Select the device.
Ad "n
1
...
~Df
P*Jee Mleat
cnI
U.
e-.l.
bp
. I
See
it all
_.
MEDISON
;1 ::~
ff::::;'.~~)
Oft: IE.dt
bp
1
V... ho.. Hlocto<t 1oS8}W1l (I",/odo
.r.\J
_ooJoot~IlI.'
').
$) P3A
.) .JA
00.002816!lJ''',
.I.oo.0Q.2U9.l1l1 " ,
I.OO'00'2~.Ilp".
.,
8ol...... _ _...
....
[Figure 7-8 Up-grade Version]
"1
Vcu "'" ..loctAd LSll.FU\Sll (I"'/odo
Pflto.. Mid upgra:5e N.;
I)
.rotJ
1'3A,up.l.00.oo,I.96.~zIn.
l) I'3A.OIP.l.00.00.16!8. 'Ill.
a) I'3A,U
f) PU_
1.00.00 22ea.~, In
1.00.00 23 5.tJlln.
!) 1'3A,up.1.00.00 2289.~z In
6) P3A.OIP.1.00.00.2aa6. I III .
Q)e-.l & \
. )6
Yc
8cl..
I. It CCll"T'Ktl CIn) I
...
....
[Figure 7-9 Up-grade File]
See
it all
_.
MEDISON
6) When upgrading is complete, the system will ask whether you would like to up-date the image user
settings with factory settings.
u,,-o
.....
,w.t
_Oon.......-_";;=======::::i====-=CO:-~
...~_ e-o~
'fllt
$tttInc
.N.....'..'".,..,........,
JTIAIJZI!Jle corr.pld.ed,
PIeOCMI.-t.atltM"!I't.n.
IN
'N'H,,,,,,.,U',.,,,,,,,,,,,
~.canpleU,
..
P\eoIMI"Mtcrt~"!Ittn.
........,
"
",
510011
.....
102
See
it all
_.
MEDISON
7-3-4
Sl>oll
.....
bporl Sew.,.
Cwo OIl
""'.--
OoJOOlwonl,._OOdolo1
No
Sl>oll
.....
See
it all
_.
MEDISON
CD CD Destination
The CD Media Check Progress bar will appear, checking the media. When bar reaches 100%,
the PC Write Progress bar will appear and the system will start writing to the CD. When the bar
reaches 100%, the CD Writing Complete window and the OK button will appear. Press the OK
button to close the window.
011
_1Ioor....
_IIoor-.o
... _ -
---
See
it all
_.
MEDISON
7-3-5
Shell
.....
BIOS Settings
NOTE
BIOS setting values do not need to be changed for setting up the system.
The system is designed to operate with the default BIOS setting values.
'.~i~~~~~~~l:.~~~.~~~~~!:
E-,r,
0
0
0
0
0
0
0
8-1
8-2
8-3
8-4
8-5
8-6
8-7
107
107
112
114
120
127
129
See
it all
_.
MEDISON
Lt. WARNING
Internal parts of the system are subject to high voltages. The system must only be disassembled by
professional Medison technicians.
If working on the system with the power on, do not use an anti-static wristband connected to the system
frame.
See
it all
_.
MEDISON
8-2-1
..
CV.
See
it all
_.
MEDISON
..
See
it all
_.
MEDISON
8-2-2
..
110
See
it all
_.
MEDISON
8-2-3
..
FE Board
BE Board
DC-DC Power
---~-liIiit";TI:
----:::I~
--~ ...
111
See
it all
_.
MEDISON
..
..,._ _SJ,o
-::r:'-:-----t...
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
,,
I
,."".../
(.i
It/lUll
I
I
I
112
See
it all
_.
MEDISON
..
See
it all
_.
MEDISON
8-4-1
..
- - Monitor
---:,r-t~
See
it all
_.
MEDISON
11
III
, ~---------------------~---------------------,
,,
,
/,,/
...........
<
............
"
,,
............
,,,/
........
'<
,,
" .
""""""""'"
"'-------J--------.
Bottom side of control
panel upper case
See
it all
_.
MEDISON
See
it all
_.
MEDISON
See
it all
_.
MEDISON
8-4-2
..
Cable
8-4-3
..
Cable
8-4-4
Cable
Cable
..
Screw
Cable
Cable
Screw
See
it all
_.
MEDISON
8-4-5
Cable
8-4-6
..
See
it all
_.
MEDISON
..
Required items:
1 large screwdriver (+)
1small screwdriver (+)
120
See
it all
_.
MEDISON
8-5-1
..
Data Cable
Power Cable
.. ,
.La
I
.-oF-=.
,,-
121
See
it all
_.
MEDISON
..
122
See
it all
_.
MEDISON
8-5-2
IlE.l'
CD
CID
IMS.Z.
123
See
it all
_.
MEDISON
8-5-3
124
See
it all
_.
MEDISON
8-5-4
ilE.sa
125
See
it all
_.
MEDISON
o'------'
o
--
o
o
8-5-5
..
mother module.
126
See
it all
_.
MEDISON
127
See it all
_.
MEDISON
..
See
it all
_.
MEDISON
Cable Layout
This section describes the cabling layout for the control panel and the mother module.
Refer to this section when assembling/disassembling the system.
8-7-1
8-7-2
129
'.:.r~~~l~.~~~~~~~
o 9-1
Q 9- 2
o 9-3
c) 9-4
c) 9-5
o 9-6
o 9-7
Replacing Fuses
131
Cleaning the Dust Filter
133
Monitor Filter Replacement
134
Cleaning the Trackball
135
Things to do when the system does not poweron
137
Things to do when there is no B-Mode Echo
138
Things to do when there is no B-Mode image format
139
o 9-11
142
See
it all
_.
MEDISON
Replacing Fuses
Power protection fuses protect the system from over currents. If the power monitoring protection circuit
detects excess current, it shuts off the current to the equipment in order to prevent overheating and to
restrict the ultrasound power output.
If fuses blow, replace them as shown below.
Lt. DANAGER
To avoid risk of electric shock, always disconnect the plug from the system prior to fuse replacement.
~o
131
See
it all
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MEDISON
Fuse holder
III
--
100-120VAC
85AJ250V
200-240VAC
5A/250V
132
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Lt. CAUTION
Be sure to lock the brakes on the front wheels before cleaning the air filters to avoid injury by any
unexpected movement of the product.
1) Pull the filter under the front of the console to away from the product.
2) Shake the filter to remove the dust and wash in a mild soapy solution.
3) Rinse and air dry or dry with a cloth.
4) Slide the filter back into the product.
NOTE
Allow the wet filter to dry thoroughly before installing. The wet filter can cause the malfunction.
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'~
"-"
~J-'1
~.~ ;:-"
'-
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III
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III
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MEDISON
I
~
YES
NO
......
--------......
YES
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NO
YES
NO
OK
YES
NO
NO
~
Defective FE Board
Defective power
supply unit
YES
NO
YES
Contact Medison
Customer Support Center
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NO
NO
OK
Defective FE Board
Defective PSA
YES
NO
NO
YES
NO
NO
~----+.
YES
Defective BE Board
1
NO
Defective power
supply unit
YES
Contact Medison
Customer Support Center
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NO
NO
~--- ......
~
YES
YES
Defective BE Board
!
NO
~--- .....
~
Defective FE Board
YES
Contact Medison
Customer Support Center
NO
NO
~--- ......
~
Defective BE Board
YES
NO
_ - - -.....
~
Defective FE Board
YES
Contact Medison
Customer Support Center
140
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141
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142
Parts
I 41
s
o 10-1 Ordering Part
144
Part Number
145
10-2
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DJ Ordering Part
This chapter contains information on the SonoAce X4 parts.
Please refer to the SonoAce X4 Compatibility Matrix to check the replacement parts and their
software versions for each system configuration (main PCBs and specific hardware parts).
For installing and verifying system parts, please refer to the figures and part tables in this chapter.
Part numbers are indicated in the corresponding tables.
Prior to ordering parts, please verify whether the existing parts can be replaced according to the
current service policy.
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mE Part Number
10-2-1 Board
Part Name
BD-342-PSA
Part Name
BD-342-FE
Part Description
PSA Board
Part Description
Part Name
BD-342-BE
Part Name
BD-342-MTH
Part Description
Part Description
MOTHER Board
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Part Name
BD-342-KM
Part Name
BD-342-PWRSW
Part Description
Part Description
POWER S/W BD
Part Name
BD-342-USB
Part Name
BD-342-RR
Part Description
USB BD
Part Description
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Part Name
BD-342-RL
Part Description
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PC-MOTH-4450F-01
Part Name
HDD-800G-SEAGATE
Part Description
Part Description
Part Name
PC-CD-RW-GCE8527B
Part Name
AY-342-PWR-DDM
Part Description
CDR-52X, CDRW-32X,
READ-52X-LG
Part Description
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Part Name
AY-342-PWR-ADM
Part Name
Part Description
Power AY AC - DC Module
Part Description
Part Name
A260-126A
Part Name
335-C-010A
Part Description
Part Description
10-2-3 Keyboard
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10-2-4 ETG
Part Name
AY-FAN-342-BACK
Part Name
AY-FAN-342- TOP
Part Description
Part Description
Part Name
AY -SPEAK -342
Part Description