FujiFilm SONOSITE X-PORTE Owner's manual

Simultaneous Doppler Imaging
User Guide Supplement

SonoSite, SonoMB, X-Porte, and the SonoSite logo are registered and unregistered trademarks of FUJIFILM SonoSite, Inc. in various
jurisdictions. Value from Innovation is a trademark of FUJIFILM Holdings America Corporation.
All other trademarks are the property of their respective owners.
Part number: P19437-01
Publication date: January 2017
Copyright © 2017 FUJIFILM SonoSite, Inc. All rights reserved.
Manufacturer
FUJIFILM SonoSite, Inc.
21919 30th Drive SE
Bothell, WA 98021 USA
T: 1-888-482-9449 or
1-425-951-1200
F: 1-425-951-1201
EC Authorized Representative
Emergo Europe
Molenstraat 15
2513 BH, The Hague
The Netherlands
Australia Sponsor
FUJIFILM SonoSite Australasia Pty Ltd
114 Old Pittwater Road
BROOKVALE, NSW, 2100
Australia
Caution United States federal law restricts this device to sale by or on the order of a
physician.

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Introduction 1
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SonoSite X-Porte Simultaneous Doppler Imaging
User Guide Supplement
Introduction ..................................................................................................................................................... 1
Document conventions ........................................................................................................................................................................... 1
Getting help ................................................................................................................................................................................................... 2
Simultaneous Doppler imaging .................................................................................................................... 2
Intended uses ............................................................................................................................................................................................... 2
Scanning .......................................................................................................................................................................................................... 3
Acoustic output .............................................................................................................................................. 5
Output display ............................................................................................................................................................................................. 5
Transducer surface temperature rise ............................................................................................................................................... 5
Acoustic output tables ............................................................................................................................................................................. 6
Introduction
Document conventions
The document follows these conventions:
A WARNING describes precautions necessary to prevent injury or loss of life.
A Caution describes precautions necessary to protect the products.
A Note provides supplemental information.
Numbered and lettered steps must be performed in a specific order.
Bulleted lists present information in list format but do not imply a sequence.
Single-step procedures begin with .
For a description of labeling symbols that appear on the product, see "Labeling Symbols" in the ultrasound
system user guide.

2Simultaneous Doppler imaging
Getting help
For technical support, please contact FUJIFILM SonoSite as follows:
Printed in the U.S.
Simultaneous Doppler imaging
This user guide supplement describes the simultaneous Doppler imaging feature on the SonoSite X-Porte
ultrasound system.
Intended uses
Simultaneous Doppler imaging assesses body structures simultaneously in two modes: 2D and PW Doppler,
or three modes: 2D, Color, and PW Doppler.
The system is used with a transducer attached and is powered either by battery or by AC electrical power.
The clinician is positioned beside the patient and places the transducer onto the patient’s body where
needed to obtain the desired ultrasound image.
The system transmits ultrasound energy into the patient's body to obtain ultrasound images as listed in the
following section.
Phone
(U.S. or Canada)
877-657-8118
Phone
(outside U.S. or
Canada)
425-951-1330, or call your local representative
Fax [phone]
Email [e-mail]
Web www.sonosite.com
Europe Service Center Main: [phone]
English support: [phone]
French support: [phone]
German support: [phone]
Italian support: [phone]
Spanish support: [phone]
Asia Service Center [phone]

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Simultaneous Doppler imaging 3
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Arterial and venous imaging applications
You can assess the carotid arteries, deep veins and arteries in the arms and legs, superficial veins in the arms
and legs, great vessels in the abdomen, and various small vessels feeding organs for the presence or
absence of pathology.
Transducers and exam types available
Simultaneous Doppler imaging is available only on the transducers and exam types listed in Tab le 1.
Scanning
Simultaneous Doppler imaging is off by default.
To perform a scan using simultaneous Doppler
1Tap TRANSDUCERS & EXAMS at the top of the touch panel.
Cards for the available transducers appear.
2On the card for the appropriate transducer, do one of the following:
Double-tap the exam type.
Tap the exam type, and then tap SCAN.
Scrolling through the list displays available exam types.
WARNING The PW Doppler sensitivity and waveform appearance in simultaneous Doppler
may be inferior to that in non-simultaneous (update) Doppler imaging modes. You
can turn off simultaneous imaging to confirm Doppler waveform characteristics.
Table 1: Transducers and exam types available with simultaneous Doppler imaging
Transducer Arterial Venous
HFL38xp
HSL25xp
L25xp
L38xp

4Simultaneous Doppler imaging
3Tap Doppler to begin imaging.
Position and adjust the D-line and gate. Refer to the SonoSite X-Porte User Guide.
4Tap Start or Update to display the spectral trace.
5Tap Simultaneous. When Simultaneous is available, the control is highlighted.
If this control is hidden, tapping More Controls displays it.
6The image now scans simultaneously in 2D/PW Doppler, or 2D, Color, and PW Doppler.
7Tap More Controls to display and adjust specific controls for each of the three modes.
To view frames in the cine buffer in simultaneous Doppler
1Freeze the image.
2Do either of the following:
Drag the slider. Right moves forward, and left moves backward.
While the slider bar represents the complete set of collected imaging data, the scrolling display shows
only one cycle of imaging data at a time. The green CINE marker ( ) indicates a single column on the
scrolling display, which corresponds in time to the displayed image.
Drag the slider. Right moves forward, and left moves backward.
Tap or to move forward or backward through frames one at a time.
Tapping these controls moves the green CINE marker ( ), showing a column on the scrolling display
and its corresponding image.
Note Tapping Update toggles the display of 2D, Color, and Doppler controls and
calculations.
Note The Simultaneous control can only be found in the Doppler controls.
Note Full screen display is unavailable in simultaneous Doppler mode.
Note You can customize an exam type to display the Simultaneous control button by
default. Refer to the SonoSite X-Porte User Guide for instructions on how to
customize exams.
Simultaneous

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Acoustic output 5
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Acoustic output
Guidelines for reducing MI and TI
Refer to the tables in this section of the SonoSite X-Porte User Guide.
Output display
Transducer surface temperature rise
Refer to the tables in this section of the SonoSite X-Porte User Guide.
Table 2: TI or MI ≥ 1.0
Transducer Model Index 2D + PW Doppler 2D + Color + PW
Doppler
HFL38xp MI No Yes
TIC, TIB, or TIS Yes Yes
HSL25xp MI Yes Yes
TIC, TIB, or TIS No No
L25xp MI Yes Yes
TIC, TIB, or TIS No No
L38xp MI Yes Yes
TIC, TIB, or TIS Yes Yes
Even if MI is less than 1.0, the system provides a continuous real-time display of MI in all imaging modes, in
increments of 0.1.
The system meets the output display standard for TI and provides a continuous real-time display of TI in all imaging
modes, in increments of 0.1.
The TI consists of three user-selectable indices, and only one of these is displayed at any one time. In order to
display TI properly and meet the ALARA principle, the user selects an appropriate TI based on the specific exam
being performed. FUJIFILM SonoSite provides a copy of AIUM Medical Ultrasound Safety, which contains
guidance on determining which TI is appropriate (see “Related guidance documents” on page 14).

6Acoustic output
Acoustic output tables
Table 3: Transducer Model: HFL38xp, Operating Mode: 2D + PW Doppler
Index Label M.I.
TIS TIB
TIC
Scan Non-scan Non-
scan
Aaprt≤1 Aaprt>1
Global Maximum Index Value (a) 1.0 1.5 (b)
Associated
Acoustic
Parameter
pr.3 (MPa) #
W0(mW) 1.79 32.9 30.0 #
min of [W.3(z1),ITA .3 (z1)] (mW) -
z1(cm) -
Zbp (cm) -
Zsp (cm) 1.63
z@Pll.3max (cm) #
deq(Zsp)(cm) 0.24
Fc(MHz) #8.72 5.97 -5.97 #
Dim of Aaprt X (cm) 0.84 1.20 -0.96 #
Y (cm) 0.40 0.40 -0.40 #
Other
Information
PD (μsec) #
PRF (Hz) #
pr@PIImax (MPa) #
deq@Pllmax (cm) 0.18
Focal Length FLx(cm) 2.79 4.68 - #
FLy(cm) 2.50 2.50 - #
IPA.3@MImax (W/cm2)#
Operating
Control
Conditions
Control 1: Exam Type Venous Venous
Control 2: 2D Optimization Gen Gen
Control 3: Depth 5.6 cm 4.4 cm
Control 4: Sample Volume Size 1 mm 1 mm
Control 5: Sample Volume
Position
Zone 11 Zone 9
Control 6: PW PRF 10417 Hz 5208 Hz
(a) This index is not required for this operating mode; value is <1.
(b) This transducer is not intended for transcranial or neonatal cephalic uses.
# No data are reported for this operating condition since the global maximum index value is not reported for the
reason listed. (Reference Global Maximum Index Value line.)
- Data are not applicable for this transducer/mode.

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Acoustic output 7
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Table 4: Transducer Model: HFL38xp, Operating Mode: 2D + Color + PW Doppler
Index Label M.I.
TIS TIB
TIC
Scan Non-scan Non-
scan
Aaprt≤1 Aaprt>1
Global Maximum Index Value 1.1 1.0 1.3 (b)
Associated
Acoustic
Parameter
pr.3 (MPa) 2.67
W0(mW) 12.0 22.5 12.4 #
min of [W.3(z1),ITA.3(z1)] (mW) -
z1(cm) -
Zbp (cm) -
Zsp (cm) 0.40
z@Pll.3max (cm) 1.1
deq(Zsp)(cm) 0.21
Fc(MHz) 5.90 5.89 5.97 -6.00 #
Dim of Aaprt X (cm) 1.72 1.20 -0.24 #
Y (cm) 0.40 0.40 -0.40 #
Other
Information
PD (μsec) 0.63
PRF (Hz) 4196
pr@PIImax (MPa) 3.32
deq@Pllmax (cm) 0.16
Focal Length FLx(cm) 4.4 4.7 - #
FLy(cm) 2.5 2.5 - #
IPA.3@MImax (W/cm2)415
Operating
Control
Conditions
Control 1: Exam Type Arterial Venous Venous
Control 2: 2D Optimization Gen Gen Gen
Control 3: Depth 5.6 cm 5.6 cm 1.5 cm
Control 4: Colorbox Size/Position Wide/
Default
Narrow/Default Wide/
Default
Control 5: Sample Volume Size 3 mm 1 mm 1 mm
Control 6: Sample Volume
Position
Zone 2 Zone 11 Zone 0
Control 7: PW PRF 10417
Hz
10417 Hz 15625
Hz
(a) This index is not required for this operating mode; value is <1.
(b) This transducer is not intended for transcranial or neonatal cephalic uses.
# No data are reported for this operating condition since the global maximum index value is not reported for the
reason listed. (Reference Global Maximum Index Value line.)
- Data are not applicable for this transducer/mode.

8Acoustic output
Table 5: Transducer Model: HSL25xp, Operating Mode: 2D + PW Doppler
Index Label M.I.
TIS TIB
TIC
Scan Non-scan Non-
scan
Aaprt≤1 Aaprt>1
Global Maximum Index Value 1.1 (a) (a) (b)
Associated
Acoustic
Parameter
pr.3 (MPa) 2.98
W0(mW) # # # #
min of [W.3(z1),ITA.3(z1)] (mW) -
z1(cm) -
Zbp (cm) -
Zsp (cm) #
z@Pll.3max (cm) 1.00
deq(Zsp)(cm) #
Fc(MHz) 6.81 # # - # #
Dim of Aaprt X (cm) # # - # #
Y (cm) # # - # #
Other
Information
PD (μsec) 0.19
PRF (Hz) 7670
pr@PIImax (MPa) 3.77
deq@Pllmax (cm) #
Focal Length FLx(cm) # # - #
FLy(cm) # # - #
IPA.3@MImax (W/
cm2)
374
Operating
Control
Conditions
Control 1: Exam Type Venous
Control 2: 2D Optimization Gen
Control 3: Depth 2.0 cm
Control 4: Sample Volume Size 1 mm
Control 5: Sample Volume
Position
Zone 0
Control 6: PW PRF 1562 Hz
(a) This index is not required for this operating mode; value is <1.
(b) This transducer is not intended for transcranial or neonatal cephalic uses.
# No data are reported for this operating condition since the global maximum index value is not reported for the
reason listed. (Reference Global Maximum Index Value line.)
- Data are not applicable for this transducer/mode.