GE Vivid S5 User manual

GE Medical Systems
Technical
Publications
Vivid S5/Vivid S6
User Manual
Volume 1
Direction R2424458-100
Rev. 2
Operating Documentation
Copyright © 2010 By General Electric Co.

g
GE Medical Systems
Regulatory Requirements
This product complies with regulatory requirements of the
following European Directive 93/42/EEC concerning medical
devices.
This manual is a reference for the Vivid S5 and Vivid S6. It
applies to all versions of the 10.2.x software for the Vivid S5
and Vivid S6 ultrasound systems.
PRELIMINARY
MANUAL STATUS
R2424458-100
07 February 2010
Doc ID: DOC0600341
GE Medical Systems. All rights reserved. No part of this
manual may be reproduced, stored in a retrieval system, 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, Israel Ltd.
4 Etgar Street
39120 Tirat Carmel
Israel
Tel: [phone] Fax: [phone]
GE Medical Systems Information Technologies GmbH,
Munzinger Strasse 5 D-79111 Freiburg, Germany
Tel: [phone] Fax: [phone]

Table of Contents
Vivid S5/Vivid S6 User Manual i
R2424458-100 Rev. 2
Table of Contents
Revision History
List of effective pages................................................................. xv
Introduction
Attention......................................................................................... 1
Prescription Device ....................................................................... 1
Safety.............................................................................................. 1
Principles of Operation ................................................................. 2
Interference caution ...................................................................... 2
Indications for use ........................................................................ 3
Contraindications .......................................................................... 3
Documentation .............................................................................. 3
Manual contents ................................................................... 4
Conventions used in this manual ................................................ 5
Regulatory requirements .............................................................. 6
Contact information ...................................................................... 7
Chapter 1
Safety
Introduction.................................................................................. 15
Hazard symbols .................................................................. 16
Owner responsibility ................................................................... 17
Important safety considerations ................................................ 18
Notice against user modification......................................... 18
Regulatory information ............................................................... 19
Directives ............................................................................ 19
Product Classifications ....................................................... 19
Conformity to Standards ..................................................... 19
Certifications ....................................................................... 21
Software License Acknowledgements ................................ 21
Device labels................................................................................ 22
Label Locations................................................................... 22

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Label Icon Description.........................................................23
Acoustic output............................................................................26
Definition of the acoustic output parameters .......................26
ALARA.................................................................................26
Safety statement .................................................................27
System controls affecting acoustic output ...........................27
OB Exam .......................................................................................29
Exam Preparation................................................................29
Acoustic Output Considerations ................................................30
Concerns surrounding fetal exposure .................................30
Patient safety................................................................................31
Patient identification ............................................................31
Diagnostic information.........................................................31
Patient guidance..................................................................32
Probe Safety .................................................................................32
Mechanical hazards ............................................................32
Electrical Hazard .................................................................33
Biological hazards ...............................................................34
Personnel and equipment safety................................................35
Explosion hazard.................................................................35
Electrical hazard..................................................................35
Smoke and fire hazard ........................................................36
Biological hazard.................................................................36
Pacemaker hazard ..............................................................36
LCD Monitor ........................................................................37
Electrical safety............................................................................39
Internally connected peripheral devices ..............................39
External Connection of other peripheral devices.................39
Allergic reactions to latex-containing medical devices ...........40
Use of ECG ...................................................................................41
Use of Defibrillator.......................................................................41
Use of Electrosurgical Unit .........................................................41
Electromagnetic Compatibility (EMC) ........................................42
EMC performance ...............................................................43
Declaration of Emissions.....................................................44
Declaration of Immunity.......................................................44
Notice upon Installation of Product......................................44
General notice.....................................................................45

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Peripheral Update for EC countries.................................... 46
Patient Environmental Devices .................................................. 48
Acceptable devices............................................................. 49
Unapproved devices ........................................................... 49
Accessories, options, and supplies..................................... 49
Environmental protection.................................................... 50
Chapter 2
Getting started
Introduction.................................................................................. 52
Preparing the unit for use........................................................... 53
Site requirements................................................................ 53
Connecting the unit............................................................. 54
Switching On/Off................................................................. 61
Moving and transporting the unit .............................................. 64
Wheels................................................................................ 64
Moving the unit ................................................................... 64
Transporting the unit........................................................... 66
Reinstalling at a new location ............................................. 67
Preparing Vivid S5/Vivid S6 for scanning ........................... 67
Unit acclimation time........................................................... 68
System description ..................................................................... 69
System overview................................................................. 69
Control panel ...................................................................... 71
The Scanning screen.......................................................... 84
Three-Pedal Footswitch operation...................................... 87
Connecting and disconnecting probes ............................... 87
Adjusting the Display Monitor ............................................. 90
Starting an examination.............................................................. 95
Creating a new Patient record or starting an examination from
an existing patient record.................................................... 95
Selecting a Probe and an Application............................... 100

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Chapter 3
Basic scanning operations
Assignable keys and Soft Menu Rocker ..................................103
Using the Assignable Keys Soft Menu ..............................104
Using the Soft Menu Rocker .............................................107
Trackball operation ....................................................................108
Trackball assignment ........................................................108
The system menu..............................................................109
Cineloop operation ....................................................................110
Cineloop overview .............................................................110
Cineloop controls...............................................................111
Using cineloop...................................................................112
Storing images and cineloops ..................................................113
To store a single image .....................................................113
To store a cineloop............................................................113
Removable Media.......................................................................114
Intended use......................................................................114
Supported removable media .............................................115
Zoom ...........................................................................................120
To Magnify an image (Display zoom)................................120
To activate the HR zoom...................................................120
Performing measurements........................................................121
To perform measurements ................................................121
Physiological trace ....................................................................122
Connecting the internal ECG.............................................122
Physio controls ..................................................................126
Displaying the ECG trace ..................................................126
Adjusting the display of the ECG trace..............................126
Annotations ................................................................................128
To insert an annotation......................................................128
To edit annotation..............................................................131
To erase annotation ..........................................................131
Configuration of the pre-defined annotation list.................132
Bodymarks ........................................................................134

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Chapter 4
Scanning Modes
Introduction................................................................................ 139
2D-Mode ..................................................................................... 140
2D-Mode overview............................................................ 140
2D-Mode controls ............................................................. 142
Using 2D........................................................................... 148
Optimizing 2D ................................................................... 148
M-Mode ....................................................................................... 150
M-Mode overview ............................................................. 150
M-Mode controls ............................................................... 151
Using M-Mode .................................................................. 153
Optimizing M-Mode........................................................... 155
Color Mode................................................................................. 157
Color Mode overview ........................................................ 157
Color M-Mode overview.................................................... 158
Color Mode controls.......................................................... 159
Using Color Mode ............................................................. 162
Optimizing Color Mode ..................................................... 163
PW and CW Doppler.................................................................. 164
PW and CW Doppler overview ......................................... 164
PW and CW Doppler controls........................................... 165
Using PW/CW Doppler modes ......................................... 167
Optimizing PW/CW Doppler modes.................................. 168
Tissue Velocity Imaging (TVI)........................................... 169
Tissue Tracking ................................................................ 173
Strain rate................................................................................... 178
Strain rate overview.......................................................... 178
Strain rate controls............................................................ 179
Using Strain rate ............................................................... 181
Optimizing Strain rate ....................................................... 181
Strain .......................................................................................... 183
Strain overview ................................................................. 183
Strain controls................................................................... 184
Using Strain ...................................................................... 186
Optimizing Strain .............................................................. 186

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Tissue Synchronization Imaging (TSI) .....................................188
TSI overview......................................................................188
TSI controls .......................................................................189
Using TSI...........................................................................191
Optimizing TSI...................................................................192
Additional scanning features....................................................193
LogiqView..........................................................................193
Compound.........................................................................194
B-Flow ...............................................................................195
Blood flow imaging ............................................................195
Virtual Convex...................................................................196
Chapter 5
Stress Echo
Introduction ................................................................................198
Selection of a stress test protocol template............................199
Image acquisition.......................................................................200
Starting acquisition ............................................................201
Continuous capture mode .................................................205
Analysis.............................................................................213
Quantitative TVI Stress echo analysis .....................................218
Accessing QTVI Stress analysis tools...............................219
Vpeak measurement .........................................................220
Tissue Tracking .................................................................223
Quantitative analysis .........................................................223
References........................................................................224
Editing/creating a template .......................................................225
Entering the Template editor screen .................................225
Template editor screen overview ......................................226
Editing/Creating a template...............................................229
Chapter 6
Contrast Imaging
Introduction ................................................................................234
Cardiac imaging ................................................................234
Non-cardiac imaging .........................................................235

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Data acquisition......................................................................... 235
Left Ventricular Contrast Imaging ..................................... 235
LV Contrast overview................................................................ 236
LV Contrast controls ......................................................... 236
Using LV Contrast............................................................. 238
Optimizing LV Contrast..................................................... 239
Vascular Contrast Imaging ....................................................... 240
Abdominal Contrast Imaging ................................................... 241
Chapter 7
Measurement and Analysis
Introduction................................................................................ 246
About Measurement results display.................................. 247
The Assign and Measure modality .......................................... 248
Starting the Assign and Measure modality ....................... 248
Entering a study and performing measurements.............. 249
Measure and Assign modality.................................................. 251
Starting the Measure and Assign modality ....................... 251
Post-measurement assignment labels.............................. 252
Cardiac measurements ............................................................. 255
2D Measurements ............................................................ 255
M-Mode Measurements.................................................... 259
Doppler Measurements .................................................... 262
TSI Measurements ........................................................... 266
Automated Function Imaging............................................ 273
AutoEF Measurements ..................................................... 292
Vascular measurements ........................................................... 302
B-Mode measurements .................................................... 302
Intima-Media Thickness.................................................... 303
M-Mode Measurements.................................................... 308
Doppler measurements .................................................... 309
Pediatric Calculations ............................................................... 314
Overview........................................................................... 314
Hip Dysplasia Calculation ................................................. 315
Making Hip Dysplasia Measurement ................................ 315
Performing an OB exam............................................................ 317
Patient entry...................................................................... 317

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Selecting probe and OB application ..................................321
OB Measurements and calculations ........................................322
Introduction........................................................................322
B-Mode measurements .....................................................323
M-Mode measurements ....................................................330
Doppler Mode Measurements ...........................................330
OB parameter configuration .....................................................333
Configuring OB M&A according to geographical regions .. 333
Measurement package configuration.......................................338
Measurement package configuration - example ...............338
User-defined formulas ...............................................................343
User-defined formula - example ........................................343
About units ........................................................................349
Measurement result table..........................................................351
Minimizing the Measurement result table..........................351
Moving the Measurement result table ...............................351
Deleting measurements ....................................................352
Worksheet...................................................................................353
Overview ...........................................................................353
Using Worksheet...............................................................354
OB worksheet.............................................................................356
Patient data .......................................................................357
Measurement information..................................................357
Calculation information......................................................358
OB graphs...................................................................................359
Overview ...........................................................................359
Fetal Growth Curve Graph ................................................360
Fetal Trending ...................................................................364
Fetal Growth Bar Graph ....................................................365
OB-Multigestational ...................................................................366
Multiple Fetus ....................................................................366
GYN Measurements ...................................................................370
Introduction........................................................................370
To Start a Gynecology Exam ............................................370
B-Mode Measurements..............................................................371
Uterus length, width, and height........................................371
Ovary length, width, and height.........................................372
Follicle measurements length, width, and height ..............373

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Endometrium thickness (Endo)......................................... 373
M-Mode Measurements............................................................. 374
Doppler Mode Measurements .................................................. 374
Chapter 8
Quantitative Analysis
Introduction................................................................................ 377
Accessing the Quantitative analysis package........................ 378
In replay mode .................................................................. 378
In live ................................................................................ 378
Quantitative Analysis window.................................................. 379
Overview........................................................................... 379
Generation of a trace................................................................. 386
About the sample area...................................................... 386
To generate a trace .......................................................... 386
Manual tracking of the sample area (dynamic anchored
sample area)..................................................................... 387
Zooming in the Analysis window....................................... 388
Deletion of a trace ..................................................................... 389
To delete all traces ........................................................... 389
To delete one specific trace.............................................. 389
Saving/retrieving Quantitative analysis .................................. 389
Frame disabling ......................................................................... 390
Disabling frames ............................................................... 390
Re-enabling all frames...................................................... 390
Optimizing sample area ............................................................ 392
Reshaping a sample area................................................. 392
Labelling a sample area.................................................... 393
Optimizing the trace display..................................................... 394
Optimizing the Y-axis........................................................ 394
Trace smoothing ............................................................... 395
Switching modes or traces....................................................... 397
To switch mode................................................................. 397
To switch trace.................................................................. 397
Cine compound ......................................................................... 398
Anatomical M-Mode................................................................... 399
Introduction ....................................................................... 399

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Using Anatomical M-Mode ................................................399
Optimizing Anatomical M-Mode ........................................401
Chapter 9
Archiving
Introduction ................................................................................405
Storing images and cineloops ..................................................406
Storing an image ...............................................................407
Storing a cineloop..............................................................407
Saving images and cineloops to a standard format ..........408
MPEGVue/eVue ................................................................410
Retrieving and editing archived information...........................413
Locating a patient record...................................................413
Selecting a patient record and editing data in the archive.418
Deleting archived information............................................422
Moving examinations.........................................................424
Review images in archive..........................................................426
Review the images from a selected examination .............. 426
Select images from the Image list screen .........................427
Connectivity................................................................................431
The dataflow concept ........................................................431
Stand-alone scanner scenario...........................................434
A stand-alone scanner and a stand-alone EchoPAC PC
environment.......................................................................435
A scanner and EchoPAC PC in a direct connect
environment.......................................................................437
A scanner and EchoPAC PC in a network environment ...441
A scanner and a DICOM server in a network....................443
Export/Import patient records/examinations...........................452
Exporting patient records/examinations ............................452
Importing patient records/examinations ............................460
Disk Management.......................................................................464
Configuring the Disk management function ......................465
Running the Disk management function ...........................468
Data Backup and Restore .................................................471
DICOM spooler ...........................................................................479
Starting the DICOM spooler ..............................................479

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Database import from Vivid 3 or Vivid 4.................................. 482
Transfer Procedure........................................................... 482
Installing the Vivid 3/4 Data Viewer .................................. 485
Using the Vivid 3/4 Data Viewer ....................................... 488
Chapter 10
Report
Introduction................................................................................ 492
Creating a report........................................................................ 493
Working with the report function ....................................... 493
To print a report ................................................................ 496
To store a report ............................................................... 496
Retrieving an archived report............................................ 497
Deleting an archived report............................................... 497
Structured Findings .................................................................. 498
Prerequisite....................................................................... 498
Starting Structured Findings ............................................. 499
Structured Findings structure............................................ 499
Using Structured Findings ................................................ 501
Structured Findings configuration ..................................... 504
Direct report............................................................................... 514
Creating comments........................................................... 514
Creating pre-defined text inputs........................................ 515
Report designer ......................................................................... 516
Accessing the Report designer......................................... 516
Report designer overview ................................................. 516
Designing a report template.............................................. 519
Saving the report template................................................ 530
To exit the Report designer .............................................. 530
Report templates management ................................................ 531
Configuration of the Template selection menu ................. 532
Export/Import of Report templates.................................... 533

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Chapter 11
Probes
Probe overview...........................................................................537
Supported probes..............................................................537
Vivid S5 Probe/Application Overview ................................542
Vivid S6 Probe/Application Overview ................................543
Maximum probe temperature ............................................544
Probe orientation...............................................................545
Probe labelling...................................................................546
Environmental Requirements ............................................547
Probe Integration .......................................................................548
Selecting probes................................................................548
Connecting the probe........................................................548
Activating the probe...........................................................550
Disconnecting the probe....................................................551
Care and Maintenance ...............................................................552
Planned maintenance........................................................552
Inspecting the probe..........................................................553
Special handling instructions.............................................554
Cleaning and disinfecting probes ......................................556
Probe safety................................................................................562
Biopsy .........................................................................................563
Precaution concerning the use of biopsy procedures .......563
Preparing the Biopsy guide attachment ............................565
Displaying the Guide zone ................................................569
Endocavitary Probe Biopsy Guide Assembly ....................571
Biopsy needle path verification..........................................573
Starting the biopsy procedure ...........................................573
Cleaning, disinfection and disposal ...................................573
Surgery/Intra-operative Use ......................................................574
Preparing for Surgery/Intra-operative Procedures ............574

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Chapter 12
Peripherals
Introduction................................................................................ 576
Printing ....................................................................................... 577
To print an image.............................................................. 577
Specifications for peripherals .................................................. 577
DVR (Digital Video Recorder) ................................................... 578
Overview........................................................................... 578
Using the DVR .................................................................. 578
Configuring the DVR......................................................... 581
Reviewing the DVR Media Externally ............................... 581
Chapter 13
Presets and System setup
Introduction................................................................................ 585
Starting the Configuration package......................................... 588
To open the Configuration package.................................. 588
Overview..................................................................................... 589
Imaging....................................................................................... 590
The Global setup sheet..................................................... 590
Application ........................................................................ 593
Application menu .............................................................. 596
Measure Text.............................................................................. 598
The measurement menu sheet......................................... 598
Configuration of the Measurement menu ......................... 601
The Advanced sheet.................................................................. 603
Parameter configuration ................................................... 603
The Modify Calculations sheet................................................. 604
Parameter configuration ................................................... 604
The OB table sheet........................................................... 605
Report ......................................................................................... 611
The diagnostic codes sheet.............................................. 612
The Comment texts sheet................................................. 613
Connectivity ............................................................................... 616
Dataflow............................................................................ 616

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Additional outputs..............................................................623
Tools..................................................................................625
Formats .............................................................................626
TCP-IP...............................................................................632
System ........................................................................................633
The system settings ..........................................................633
About...........................................................................................635
Administration............................................................................636
Users.................................................................................637
Unlock Patient ...................................................................640
Chapter 14
User maintenance
System Care and Maintenance .................................................642
Inspecting the system........................................................642
Cleaning the unit ...............................................................643
Prevention of static electricity interference........................645
System self-test..........................................................................646
System malfunction ...........................................................646
Using InSite ExC ........................................................................650
InSite ExC Functionalities .................................................650
Initiating a Request for Service (RFS)...............................650
Clinical Lifeline Mode ........................................................653
Exiting InSite ExC..............................................................654
Index

Revision History
Vivid S5/Vivid S6 User Manual xv
R2424458-100 Rev. 2
Revision History
List of effective pages
Please verify that you are using the latest revision of this
document. If you need to know the latest revision, contact your
distributor, local GE Sales Representative or in the USA call the
GE Medical Systems Clinical Answer Center at:
1-800-682-5327 or 1-262-524-5698.
Revision Date Reason for Change
1 19 July 2009 Initial release
2 07 February 2010 Updates and additions
Revision Effective Pages
1All
2All

Revision History
xvi Vivid S5/Vivid S6 User Manual
R2424458-100 Rev. 2

Introduction
Vivid S5/Vivid S6 User Manual 1
R2424458-100 Rev. 2
Introduction
The Vivid S5/Vivid S6 ultrasound systems are light-weight, high
performance innovative ergonomic mobile digital ultrasound
imaging systems.
Both systems provide image generation in 2D (B) Mode, Color
Doppler, Power Doppler (Angio), M-Mode, Color M-Mode, PW
and CW Doppler spectra, LVO Contrast, B-Flow, BFI option
applications.
Vivid S6 offers additional modes, like TVI or Tissue Tracking,
and options like TSI (Tissue Synchronization Imaging) and
SI/SRI (Strain/Strain-rate imaging.
The fully digital architecture of the Vivid S5/Vivid S6 unit allows
optimal usage of all scanning modes and probe types,
throughout the full spectrum of operating frequencies.
Attention
This manual contains necessary and sufficient information to
operate the system safely. Advanced equipment training may
be provided by a factory trained Applications Specialist for the
agreed-upon time period.
Read and understand all instructions in the User's Manual
before attempting to use the Vivid S5/Vivid S6 ultrasound unit.
Keep the manual with the equipment at all time. Periodically
review the procedures for operation and safety precautions.
Prescription Device
Safety
All information in Chapter 1, "Safety" on page 13, should be
read and understood before operating the Vivid S5/Vivid S6
ultrasound unit.
CAUTION
For USA only:
United States law restricts this device to sale or use by, or on the
order of a physician.

Introduction
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Principles of Operation
Medical ultrasound images are created by computer and digital
memory from the transmission and reception of mechanical
high-frequency waves applied through a transducer. The
mechanical ultrasound waves spread through the body,
producing an echo where density changes occur. For example,
in the case of human tissue, an echo is created where a signal
passes from an adipose tissue (fat) region to a muscular tissue
region. The echoes return to the transducer where they are
converted back into electrical signals.
These echo signals are highly amplified and processed by
several analog and digital circuits having filters with many
frequency and time response options, transforming the
high-frequency electrical signals into a series of digital image
signals which are stored in memory. Once in memory, the
image can be displayed in real-time on the image monitor. All
signal transmission, reception and processing characteristics
are controlled by the main computer. By selection from the
system control panel, the user can alter the characteristics and
features of the system, allowing a wide range of uses, from
obstetrics to peripheral vascular examinations.
Transducers are accurate, solid-state devices, providing
multiple image formats. The digital design and use of
solid-state components provides highly stable and consistent
imaging performance with minimal required maintenance. A
sophisticated system design with computer controlled
extensive features and functions make the Vivid S5 and
Vivid S6 easy systems to use and very user friendly.
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,
radio-controlled toys, and so on, should not be operated near
the unit.
CAUTION
Use of devices that transmit radio waves near the unit could
cause it to malfunction.