GE Vivid i User manual

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GE Medical Systems
Technical
Publications
Vivid i
User Manual
Volume 1
GEVU #: 2378958-100
GEVU Rev. 02
Operating Documentation
Copyright © 2005 By General Electric Co.
To Purchase, Visit Avobus.com or call 1-800-674-3655

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GE Medical Systems
MANUAL STATUS
2378958-100
6/7/2005
©GE Medical Systems. All rights reserved. No part of this
manualmaybereproduced,stored in a retrievalsystem,or
transmitted, in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise,
without the prior written permission of GE Medical
Systems.
COMPANY DATA GE Medical Systems Ultrasound Israel Ltd.
Einstein Bldg 7, Etgar st. P.O.Box 2006
Tirat Hacarmel 39120, Israel
Tel: [phone] Fax: [phone]

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Table of Contents
Introduction
Attention......................................................................................... 1
Safety.............................................................................................. 1
Interference caution...................................................................... 1
Indications for use ........................................................................ 2
Contraindications.......................................................................... 2
Manual contents............................................................................ 3
Finding information............................................................... 3
Conventions used in this manual................................................ 4
Contact information ...................................................................... 5
Chapter 1
Getting started
Introduction.................................................................................... 8
Preparing the unit for use............................................................. 9
Site requirements.................................................................. 9
Connecting the unit............................................................. 10
Moving and transporting the unit .............................................. 22
Moving the unit on a Cart.................................................... 22
Transporting the unit........................................................... 23
Unit acclimation time........................................................... 23
System description ..................................................................... 24
System overview................................................................. 24
Connecting and disconnecting probes ............................... 38
Starting an examination.............................................................. 42
Creating a new Patient record or starting an examination from
an existing patient record.................................................... 42
Selecting a Probe and an Application................................. 46
Chapter 2
Basic scanning operations

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Assignable keys and Soft Menu Rocker....................................49
Using the Assignable Keys Soft Menu................................50
Using the Soft Menu Rocker ...............................................53
Trackball operation......................................................................54
Trackball assignment ..........................................................54
The system menu................................................................55
Cineloop operation ......................................................................56
Cineloop overview...............................................................56
Storing images and cineloops....................................................60
To store a single image.......................................................60
To store a cineloop..............................................................60
Using removable media...............................................................61
Recommendation concerning CD and DVD handling.........61
Formatting removable media...............................................61
Ejecting removable media...................................................63
Zoom .............................................................................................63
To Magnify an image...........................................................63
Performing measurements..........................................................63
To perform measurements:.................................................63
Physiological ECG trace..............................................................64
Connecting the ECG ...........................................................64
Physio controls....................................................................65
Displaying the ECG trace....................................................66
Adjusting the display of the ECG trace................................66
Annotations..................................................................................67
To insert an annotation........................................................67
To edit annotation................................................................70
To erase annotation ............................................................70
Configuration of the pre-defined annotation list...................71
Chapter 3
Scanning Modes
Introduction..................................................................................76
2D-Mode........................................................................................77
2D-Mode overview ..............................................................77
2D-Mode controls................................................................79
Optimizing 2D......................................................................82
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M-Mode......................................................................................... 83
M-Mode overview ............................................................... 83
M-Mode controls................................................................. 84
Using M-Mode .................................................................... 85
Optimizing M-Mode............................................................. 87
Color Mode................................................................................... 88
Color Mode overview.......................................................... 88
Color M-Mode overview...................................................... 89
Using Color Mode............................................................... 92
PW and CW Doppler.................................................................... 94
PW and CW Doppler overview........................................... 94
Optimizing PW/CW Doppler modes.................................... 98
Chapter 4
Purposely left empty
For Future purposes ................................................................. 101
Chapter 5
Contrast Imaging
Introduction................................................................................ 104
Left Ventricular Contrast Imaging............................................ 104
LV Contrast overview................................................................ 105
LV Contrast controls......................................................... 105
Optimizing LV Contrast..................................................... 108
Chapter 6
Measurement and Analysis
Introduction................................................................................ 110
The Assign and Measure modality .......................................... 111
Starting the Assign and Measure modality....................... 111
Entering a study and performing measurements.............. 112
Measure and Assign modality.................................................. 114
Starting the Measure and Assign modality....................... 114
Cardiac measurements............................................................. 117
2D Measurements ............................................................ 117

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Vascular measurements............................................................127
B-Mode measurements.....................................................127
M-Mode Measurements ....................................................128
Doppler measurements.....................................................129
Measurement package configuration.......................................134
Measurement package configuration - example ...............134
User-defined formulas...............................................................137
User-defined formula - example........................................137
About units ........................................................................143
Measurement result table..........................................................145
Minimizing the Measurement result table..........................145
Moving the Measurement result table...............................145
Deleting measurements ....................................................146
Worksheet...................................................................................147
Overview ...........................................................................147
Chapter 7
Purposely Left Empty
For Future purposes..................................................................151
Chapter 8
Archiving
Introduction................................................................................155
Storing images and cineloops..................................................156
Storing a cineloop..............................................................157
Saving stored images and cineloops to a standard format158
MPEGVue/eVue................................................................160
Retrieving and editing archived information...........................168
Locating a patient record...................................................168
Selecting a patient record and editing data in the archive.172
Moving examinations.........................................................178
Review images in archive..........................................................181
Review the images from a selected examination..............181
Select images from the Image list screen .........................182
Connectivity................................................................................186
The dataflow concept........................................................186

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Export/Import patient records/examinations.......................... 209
Exporting patient records/examinations............................ 209
Disk Management...................................................................... 220
Configuring the Disk management function...................... 221
Running the Disk management function........................... 223
Data Backup and Restore................................................. 226
DICOM spooler........................................................................... 232
Starting the DICOM spooler.............................................. 232
Chapter 9
Report
Introduction................................................................................ 236
Creating a report........................................................................ 237
Working with the report function....................................... 237
To print a report................................................................ 240
To store a report............................................................... 240
Retrieving an archived report............................................ 241
Deleting an archived report............................................... 241
Direct report............................................................................... 242
Creating comments........................................................... 242
Creating pre-defined text inputs........................................ 243
Report designer......................................................................... 244
Accessing the Report designer......................................... 244
Report designer overview................................................. 244
Saving the report template................................................ 257
To exit the Report designer .............................................. 258
Report templates management................................................ 258
Configuration of the Template selection menu................. 259
Export/Import of Report templates.................................... 260
Chapter 10
Probes
Probe overview.......................................................................... 264
Supported probes............................................................. 264
Probe labelling.................................................................. 267
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8Vivid i User’s Manual
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Probe Integration .......................................................................269
Connecting the probe........................................................269
Activating the probe...........................................................269
Disconnecting the probe....................................................270
Care and Maintenance...............................................................271
Planned maintenance........................................................271
Probe safety................................................................................276
Electrical hazards..............................................................276
Mechanical hazards ..........................................................276
Biological hazards.............................................................277
Chapter 11
Peripherals
Introduction................................................................................280
Printing........................................................................................281
To print an image ..............................................................281
Specifications for peripherals...................................................282
Chapter 12
Presets and System setup
Introduction................................................................................284
Starting the Configuration package.........................................287
To open the Configuration package..................................287
Overview.....................................................................................288
Imaging .......................................................................................289
The Global setup sheet.....................................................289
Application.........................................................................291
Application menu...............................................................294
Measure Text..............................................................................296
The measurement menu sheet .........................................296
The Advanced sheet..................................................................302
Parameter configuration:...................................................302
The Modify Calculations sheet .................................................303
Parameter configuration:...................................................303
Report..........................................................................................304
The Comment texts sheet.................................................306

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Connectivity............................................................................... 309
Tools................................................................................. 320
Formats............................................................................. 321
System........................................................................................ 327
The system settings.......................................................... 327
About.......................................................................................... 329
Administration........................................................................... 330
Chapter 13
User maintenance
System Care and Maintenance................................................. 336
Inspecting the system....................................................... 336
Cleaning the unit............................................................... 337
Prevention of static electricity interference....................... 339
System self-test......................................................................... 341
System malfunction .......................................................... 341
Chapter 14
Safety
Introduction................................................................................ 345
Owner responsibility................................................................. 346
Important safety considerations.............................................. 347
Notice against user modification....................................... 347
Regulatory information............................................................. 348
Standards used................................................................. 348
Device labels.............................................................................. 349
Label Icon Description...................................................... 349
Classifications........................................................................... 352
Acoustic output......................................................................... 353
Definition of the acoustic output parameters .................... 353
Acoustic output and display on the Vivid i........................ 353
ALARA.............................................................................. 354
Safety statement............................................................... 355
System controls affecting acoustic output ........................ 355
Patient safety............................................................................. 357
Patient identification.......................................................... 357

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Diagnostic information.......................................................357
Personnel and equipment safety..............................................359
Explosion hazard...............................................................359
Electrical hazard................................................................359
Biological hazard...............................................................360
Pacemaker hazard............................................................360
Electrical safety..........................................................................361
Device classifications........................................................361
Internally connected peripheral devices............................361
Internally connected battery..............................................361
External Connection of other peripheral devices...............361
Allergic reactions to latex-containing medical devices .........362
Electromagnetic Compatibility (EMC)......................................363
Environmental protection..........................................................365
System disposal................................................................365
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Introduction
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Introduction
The Vivid iultrasound unit is a compact, high performance
portable digital ultrasound imaging system.
The system provides image generation in 2D (B) Mode, Color
Doppler, Power Doppler (Angio), M-Mode, Color M-Mode, PW
and CW Doppler spectra, Tissue-Doppler imaging (TDI) and
LVO Contrast option applications.
The fully digital architecture of the Vivid iunit allows optimal
usage of all scanning modes and probe types, throughout the
full spectrum of operating frequencies.
Attention
Read and understand all instructions in the User's Manual
before attempting to use the Vivid iultrasound unit. Keep the
manual with the equipment at all time. Periodically review the
procedures for operation and safety precautions.
Safety
All information in Chapter 14, "Safety" on page 343, should
be read and understood before operating the Vivid i
ultrasound unit.
Interference caution
Devices not to be used near this equipment:
Devices which intrinsically transmit radio waves such as
cellular phones, radio transceivers, mobile radio transmitters,
CAUTION
For USA only:
United States law restricts this device to sale or use by, or on the
order of a physician.
CAUTION
Use of devices that transmit radio waves near the unit could
cause it to malfunction.

Introduction
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radio-controlled toys, and so on, should not be operated near
the unit.
Medical staff in charge of the unit are required to instruct
technicians, patients, and other people who may be around the
unit, to fully comply with the above recommendations.
Indications for use
The Vivid iultrasound unit is intended for the following
applications:
• Abdominal
• Cardiac
• Small Organ
• Pediatric
• Fetal
• Transesophageal
• Peripheral Vascular
• Neonatal
• Adult Cephalic
Contraindications
The Vivid iultrasound unit is not intended for ophthalmic use or
any use causing the acoustic beam to pass through the eye.

Introduction
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Manual contents
The Vivid iUser's Manual is organized to provide the
information needed to start scanning immediately.
Finding information
Table of Contents, lists the main topics and their location.
Headers and Footers, give the chapter name and page
number.
Index, provides an alphabetical and contextual list of topics.
CAUTION
The safety instruction must be reviewed before operation of the
unit.
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Introduction
4Vivid i User’s Manual
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Conventions used in this manual
2-column layout, the right column contains the main text. The
left column contains notes, hints and warnings texts.
Keys and button, on the control panel are indicated by over
and underlined text (ex. 2D refers to the 2D mode key)
Bold type, describes button names on the screen.
Italic type: describes program windows, screens and dialogue
boxes.
Icons, highlight safety issues as follow:
DANGER
Indicates that a specific hazard exists that, given inappropriate
conditions or actions, will cause:
• Severe or fatal personal injury
• Substantial property damage
WARNING
Indicates that a specific hazard exists that, given inappropriate
conditions or actions, will cause:
• Severe personal injury
• Substantial property damage
CAUTION
Indicates that a potential hazard may exist that, given
inappropriate conditions or actions, can cause:
• Minor injury
• Property damage

Introduction
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Contact information
If additional information or assistance is needed, please
contact the local distributor or the appropriate support resource
listed bellow:
Europe
GE Ultraschall KG
Deutschland GmbH & Co.
Beethovenstraße 239
Postfach 11 05 60
D-42655 Solingen
Tel: [phone]
Tel: [phone]
USA
GE Medical Systems
Ultrasound Service Engineering
4855 W. Electric Avenue
Milwaukee, WI 53219
On-line Applications Support
Tel: [phone]
Fax: [phone]
Tel: [phone]
or [phone]
Canada
GE Medical Systems
Ultrasound Service Engineering
4855 W. Electric Avenue
Milwaukee, WI 53219
On-line Applications Support
Tel: [phone]
Tel: [phone]
or [phone]
Asia
GE Ultrasound Asia
Service Department Ultrasound
298 Tiong Gahru Road # 15-01/06
Central Plaza
Singapore 168730
Tel: [phone]
Fax: [phone]

Introduction
6Vivid i User’s Manual
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Latin and South America
GE Medical Systems
Ultrasound Service Engineering
4855 W. Electric Avenue
Milwaukee, WI 53219
On-line Applications Support
Tel: [phone]
Tel: [phone]
or [phone]
Brazil
GE Ultrasound
Rua Tomas Carvalhal, 711
Paraiso
Cep: 04006-002 - São Paulo, SP
Tel: [phone]
Fax: [phone]
To Purchase, Visit Avobus.com or call 1-800-674-3655

Getting started
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2378958-100 Rev. 02
Chapter 1
Getting started
• Preparing the unit for use ............................................................ ...... 9
• Site requirements ......................................................................... 9
• Connecting the unit .................................................................... 10
• Switching On/Off ........................................................................ 18
• Moving and transporting the unit ................................................ .... 22
• Moving the unit on a Cart ........................................................... 22
• Transporting the unit .................................................................. 23
• Unit acclimation time .................................................................. 23
• System description ....................................................................... .... 24
• System overview ........................................................................ 24
• Control panel .............................................................................. 25
• The Scanning screen ................................................................. 35
• Connecting and disconnecting probes ....................................... 38
• Adjusting the display monitor ..................................................... 41
• Starting an examination ............................................................... .... 42
• Creating a new Patient record or starting an examination from an
existing patient record ................................................................ 42
• Selecting a Probe and an Application ........................................ 46

Getting started
8Vivid i User’s Manual
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Introduction
Only qualified physicians or ultrasound sonographers should
perform scans of patients for medical diagnostic reasons.
Request training, if needed.
An authorized GE representative will unpack and install the
unit. Do not attempt to install the unit alone.
The Vivid idoes not contain any operator serviceable internal
components. Ensure that authorized personnel do not tamper
with the unit.
Perform regular preventive maintenance. See 'System Care
and Maintenance' for more information.
Maintain a clean environment. Turn OFF, and if possible,
disconnect the system before cleaning the unit. See 'Cleaning
the system' for more information.
Never set liquids on the unit to ensure that liquid does not drip
into the control panel or unit.
WARNING
All the warnings in "Important safety considerations" on
page 347, should be read and understood before operating the
unit.

Getting started
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Preparing the unit for use
The Vivid iultrasound unit must operate within the proper
environment and in accordance with the requirements
described in this section. Before using the system, ensure that
the requirements are met.
Site requirements
Optimal operation of the unit can be obtained by implementing
the following requirements:
Power requirements
The Vivid iultrasound unit is powered either by its internal
battery or by a separate power supply adaptor unit connected
to a separate power outlet for any range of 100 – 230 VAC, 50–
60 Hz.
Operating Environment
Ensure that there is sufficient air flow around the Vivid i
ultrasound unit when installed or operated.
Environmental requirements
The Vivid iultrasound unit requires constant maintenance of its
operational environment. Different temperature and humidity
requirements are specified for operation, storage and
transportation.
WARNING
Operating the unit with the wrong voltage range causes
damages, voiding the factory warranty.
Requirement Temperature Humidity Air Pressure
Operational 10–40 °C 30–85% 700–1060 hPa
Storage -10–60 °C 30–95% 700–1060 hPa
Transport -10–60 °C 30–95% 700–1060 hPa
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Getting started
10 Vivid i User’s Manual
2378958-100 Rev. 02
Electromagnetic interferences
The Vivid iultra-
sound unit is ap-
proved for use in
hospitals, clinics
and other environ-
mentally qualified
facilities, in terms of
the prevention of ra-
dio wave interfer-
ence. Operation of
the unit in an inap-
propriate environ-
ment can cause
electronic interfer-
ence to radios and
television sets situ-
ated near the medi-
cal equipment.
Ensure that the unit is protected from electromagnetic
interferences as follows:
• Operate the unit at least 4.5 meters (fifteen feet) away from
equipment that emits strong electromagnetic radiation.
• Shield the unit when operating it in the vicinity of radio
broadcasting equipment, if necessary.
Connecting the unit
A GE-qualified person should perform the initial system
installation.
Connecting the Vivid iultrasound unit involves preliminary
checks of the power adaptor unit and cord, voltage level and
compliance with electrical safety requirements.
Use only power supply cords, cables and plugs provided by or
designated by GE Medical Systems.
Ensure that the power cord and plug are intact and that the
power plug is the proper hospital-grade type (where required).
When using the mains outlets, the unit should be connected to
a fixed power socket which has the protective grounding
connector. Never use an extension cord or adapter plug.
WARNING
Failure to provide an adequate earth circuit can cause electrical
shock, resulting in serious injury.