Mindray M5 User manual

M5 Diagnostic Ultrasound
System
Operator’s Manual
[Basic Volume]

i
Table of Contents
Table of Contents ................................................................................................................... i
Intellectual Property Statement .......................................................................................................... I
Warranty ............................................................................................................................................ II
Customer Service Department .................................................................................................... III
Important Information ....................................................................................................................... III
Introduction.......................................................................................................................................IV
Safety Precautions...............................................................................................................VI
1Overview ......................................................................................................................1-1
1.1Intended Use ........................................................................................................................1-1
1.2Contraindication....................................................................................................................1-1
1.3Product and Model Code...................................................................................................... 1-1
2Product Specifications ...............................................................................................2-1
2.1Imaging Modes .....................................................................................................................2-1
2.2Power Supply (Adapter) .......................................................................................................2-1
2.3Environmental Conditions ....................................................................................................2-1
2.4External Dimensions and Weight .........................................................................................2-1
3System Configuration.................................................................................................3-1
3.1Standard Configuration.........................................................................................................3-1
3.2Probes and Needle-guided Brackets Available ....................................................................3-1
3.3Options .................................................................................................................................3-3
3.4Peripherals Supported..........................................................................................................3-4
4System Introduction....................................................................................................4-1
4.1Introduction of Each Unit ......................................................................................................4-1
4.2Extend Modules....................................................................................................................4-3
4.2.1Probe Extend Module ...................................................................................................4-3
4.2.2IO Extend Module .........................................................................................................4-4
4.2.3V/A Extend Module .......................................................................................................4-5
4.2.4ECG Module .................................................................................................................4-5
4.3Control Panel........................................................................................................................4-6
4.4Symbols................................................................................................................................ 4-9
5Set-up & Connections.................................................................................................5-1
5.1System Set-up ......................................................................................................................5-1
5.2Power Supply .......................................................................................................................5-1

ii
5.2.1Connecting the External Power Supply ........................................................................5-1
5.2.2Powered by Batteries....................................................................................................5-1
5.3Connecting / Disconnecting a Transducer ...........................................................................5-2
5.3.1Connecting a Transducer..............................................................................................5-2
5.3.2Disconnecting a Transducer .........................................................................................5-3
5.4Connecting the Probe Extend Module .................................................................................5-3
5.5Connecting IO Extend Module .............................................................................................5-4
5.6Connecting the V/A Extend Module......................................................................................5-4
5.7Connecting the ECG Module................................................................................................ 5-4
5.8Connecting the Footswitch ...................................................................................................5-5
5.9Connecting / Removing a USB Memory Device ..................................................................5-5
5.10Installing a Graph / Text Printer ............................................................................................5-6
5.11Installing a Video Printer.......................................................................................................5-7
5.12Use of M-Pack ......................................................................................................................5-9
5.12.1Introduction of M-Pack..................................................................................................5-9
5.12.2Use of M-Pack ............................................................................................................5-10
6Power ON / OFF ...........................................................................................................6-1
6.1Powering ON the System .....................................................................................................6-1
6.2Powering OFF the System ...................................................................................................6-3
7Basic Screen and Operation ......................................................................................7-1
7.1Basic Screen ........................................................................................................................7-1
7.1.1Information Area............................................................................................................7-1
7.1.2Image Parameter and Menu Area.................................................................................7-3
7.1.3Image-in-Image Thumbnail...........................................................................................7-3
7.1.4Image Area....................................................................................................................7-3
7.1.5Thumbnail Area of Images Saved.................................................................................7-4
7.1.6Body Mark Area ............................................................................................................7-4
7.1.7Area of Help Information and Cursor Icon ....................................................................7-4
7.1.8Soft Menu Area .............................................................................................................7-4
7.1.9System Status Area.......................................................................................................7-5
7.1.10Measurement Result Window....................................................................................... 7-5
7.2Basic Operations of Screens................................................................................................7-5
8Exam Preparation........................................................................................................8-1
8.1To Start an Exam .................................................................................................................. 8-1
8.2Patient Information ...............................................................................................................8-1
8.2.1New Patient Information ...............................................................................................8-1
8.2.2Retrieve Patient Information from iStation ....................................................................8-5
8.2.3Retrieve Patient Information from Worklist ...................................................................8-6

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8.3Pause Exam & Continue Exam ............................................................................................8-8
8.3.1Pause Exam..................................................................................................................8-8
8.3.2Continue Exam .............................................................................................................8-8
8.4End Exam .............................................................................................................................8-8
8.5Activate Exam....................................................................................................................... 8-9
8.6Cancel an Exam ...................................................................................................................8-9
8.7Anonymous Patient Exam ....................................................................................................8-9
9Exam Types..................................................................................................................9-1
9.1Introduction of Exam Types..................................................................................................9-1
9.2Selecting Transducer and Exam Type.................................................................................. 9-2
9.3Setting Exam Types..............................................................................................................9-3
9.3.1Exam Selection ............................................................................................................. 9-3
9.3.2Exam Configuration ......................................................................................................9-4
9.3.3User-defined Exam Types.............................................................................................9-6
10Image Modes..............................................................................................................10-1
10.1Image Modes......................................................................................................................10-1
10.2Switching Between Image Modes ......................................................................................10-2
10.3Image Adjustments ............................................................................................................. 10-3
10.3.1B Mode........................................................................................................................10-3
10.3.2M Mode .......................................................................................................................10-8
10.3.3Color Mode ................................................................................................................. 10-9
10.3.4Power / DirPower Mode............................................................................................10-12
10.3.5PW/CW Doppler Mode .............................................................................................10-12
10.3.6Image Magnification..................................................................................................10-16
10.3.7iZoom (Full-screen Zooming)....................................................................................10-16
10.4Image Parameter Preset ..................................................................................................10-17
11Special Imaging Modes............................................................................................. 11-1
11.1Smart3D ............................................................................................................................. 11-1
11.1.1Note before Use.......................................................................................................... 11-1
11.1.2Smart3D Presetting..................................................................................................... 11-3
11.1.3Enter/ Exit Smart3D .................................................................................................... 11-5
11.1.43D Image Capture....................................................................................................... 11-6
11.1.5Procedures.................................................................................................................. 11-7
11.1.63D Image Browsing .................................................................................................... 11-8
11.1.7Reset ROI ................................................................................................................. 11-17
11.1.83D Image Storage and Review ................................................................................. 11-17
11.2iScape............................................................................................................................... 11-17
11.2.1Enter or Exit iScape .................................................................................................. 11-18

iv
11.2.2Capture Images ........................................................................................................ 11-18
11.2.3Review the Extended Image..................................................................................... 11-19
11.2.4Review the Captured Images Frame by Frame........................................................ 11-20
11.2.5Save and Open Images ............................................................................................ 11-20
11.3Free Xros M Mode............................................................................................................ 11-20
11.3.1Settings for Free Xros M ........................................................................................... 11-21
11.3.2Enter/Exit Free Xros M ............................................................................................. 11-21
11.3.3Imaging ..................................................................................................................... 11-21
11.3.4Free Xros M Image Parameters ............................................................................... 11-22
12Cine Review ...............................................................................................................12-1
12.1Entering / Exiting Cine Review ...........................................................................................12-1
12.2Cine Review in the B or C Mode ........................................................................................12-1
12.2.1Manual Cine Review...................................................................................................12-1
12.2.2Auto Cine Review .......................................................................................................12-2
12.3Cine Review in the M or D Mode........................................................................................12-2
12.4Linked Cine Review............................................................................................................12-2
12.5Setting Region of Auto Review...........................................................................................12-3
12.6Saving Cine ........................................................................................................................12-3
12.7Cine Setup..........................................................................................................................12-4
12.7.1Setting Cine Length ....................................................................................................12-4
12.7.2Setting Cine Memory Split ..........................................................................................12-4
13Measurements ...........................................................................................................13-1
13.1Basic Operations ................................................................................................................13-1
13.1.1Entering Measurement Status ....................................................................................13-1
13.1.2Measurement Result and Help Information ................................................................13-1
13.2General Measurements......................................................................................................13-2
13.2.1General Measurements – 2D...................................................................................... 13-2
13.2.2General Measurements - M Mode ..............................................................................13-2
13.2.3General Measurements - Doppler ..............................................................................13-3
13.3Application Measurements .................................................................................................13-3
14Comments (Annotations)..........................................................................................14-1
14.1Entering / Exiting Comments..............................................................................................14-1
14.2Comment Menu .................................................................................................................. 14-1
14.2.1Comment Text Library Menu.......................................................................................14-1
14.2.2Soft Menu for Comments ............................................................................................14-2
14.3Adding Comments ..............................................................................................................14-3
14.3.1Typing Comment Characters ......................................................................................14-3
14.3.2Adding a Comment Text..............................................................................................14-3

v
14.3.3Adding an Arrow.......................................................................................................... 14-4
14.4Moving Comments..............................................................................................................14-4
14.5Modifying (Editing) Comments ...........................................................................................14-4
14.5.1Modifying (Editing) Characters ...................................................................................14-4
14.5.2Modifying (Editing) Arrows .......................................................................................... 14-5
14.6Deleting Comments ............................................................................................................14-5
14.6.1Deleting Comment Characters, Texts or Arrows.........................................................14-5
14.6.2Deleting a Recently-Added Character, Text or Arrow .................................................14-5
14.6.3Delete Word ................................................................................................................14-5
14.6.4Deleting all Comments (Characters, Texts or Arrows) ................................................14-6
14.7Comment Preset.................................................................................................................14-6
14.7.1Font Size and Arrow Size ...........................................................................................14-6
14.7.2User-defined Comments.............................................................................................14-7
15Body Marks (Pictograms) .........................................................................................15-1
15.1Entering / Exiting Body Mark Mode .................................................................................... 15-1
15.2Categories of Body Marks ..................................................................................................15-1
15.3Soft Menu for Body Marks..................................................................................................15-1
15.4Adding Body Marks ............................................................................................................15-1
15.5Moving Body Marks............................................................................................................15-2
15.6Deleting Body Marks ..........................................................................................................15-3
15.7Body Mark Preset...............................................................................................................15-3
16Patient Data Management.........................................................................................16-1
16.1Patient Information Management ....................................................................................... 16-1
16.1.1Enter Patient Information ............................................................................................16-1
16.1.2Patient Information Setting .........................................................................................16-1
16.2Image File Management..................................................................................................... 16-2
16.2.1Memory Media ............................................................................................................16-2
16.2.2Image File Formats ..................................................................................................... 16-2
16.2.3Image Storage Preset .................................................................................................16-3
16.2.4Saving Images to the System .....................................................................................16-3
16.2.5Quickly Saving Images to USB Flash Drive ...............................................................16-4
16.2.6Quickly Saving Full Screen Image to the System.......................................................16-5
16.2.7Thumbnails .................................................................................................................16-5
16.2.8Image Review and Analysis........................................................................................16-5
16.2.9iVision..........................................................................................................................16-7
16.2.10Sending Image File.....................................................................................................16-9
16.3Report Management.........................................................................................................16-10
16.4Patient Data Management (iStation) ................................................................................ 16-11

vi
16.4.1Viewing Patient Information ......................................................................................16-12
16.4.2Searching a Patient ..................................................................................................16-12
16.4.3Patient Data Management ........................................................................................16-13
16.4.4Examinations ............................................................................................................16-14
16.5Network Storage...............................................................................................................16-14
16.5.1Network Storage Setting ...........................................................................................16-15
16.5.2Network Storage .......................................................................................................16-16
16.6Print Task Management....................................................................................................16-16
16.7Backing Up and Erasing Files through DVD Drive...........................................................16-17
16.8Task manager ...................................................................................................................16-18
16.9Reviewing the AVI Files .................................................................................................... 16-20
16.10Admin ...............................................................................................................................16-20
16.10.1Access Setting ..........................................................................................................16-20
16.10.2Setting Access Control..............................................................................................16-20
16.10.3System Login ............................................................................................................16-20
16.10.4Add/ Delete a User....................................................................................................16-21
16.10.5Modify Password.......................................................................................................16-23
17Parameter Setup........................................................................................................17-1
17.1Entering / Exiting Setup......................................................................................................17-1
17.2System Setup .....................................................................................................................17-2
17.3Exam Mode Preset.............................................................................................................17-4
17.4Image Parameter Preset ....................................................................................................17-5
17.5Comment Preset.................................................................................................................17-5
17.6Body Mark Preset...............................................................................................................17-5
17.7Measurement Preset ..........................................................................................................17-5
17.8Soft-key and Menu Preset..................................................................................................17-5
17.9Peripheral Setup.................................................................................................................17-8
17.10Network Preset .................................................................................................................17-10
17.11Manage Settings...............................................................................................................17-10
17.11.1Exporting Setup Data................................................................................................17-10
17.11.2Importing Setup Data ................................................................................................ 17-11
17.12Maintenance ..................................................................................................................... 17-11
17.13System Information........................................................................................................... 17-11
18Probes and Biopsy....................................................................................................18-1
18.1Probes ................................................................................................................................ 18-1
18.1.1Name and Function of Each Part of the Probe...........................................................18-3
18.1.2Orientation of the Ultrasound Image and the Probe Head .........................................18-7
18.1.3Procedures for Operating ...........................................................................................18-7

vii
18.1.4Wearing the Probe Sheath .......................................................................................18-10
18.1.5When the Immersion Method is used (for 6LB7s and 6LE7s).................................. 18-11
18.1.6Probes Cleaning and Disinfection (or Sterilization) .................................................. 18-15
18.1.7Storage and Transportation ......................................................................................18-19
18.2Biopsy Guide ....................................................................................................................18-19
18.2.1Needle-guided Brackets............................................................................................18-21
18.2.2Names of Parts .........................................................................................................18-21
18.2.3Needle-guided Bracket Inspection and Installation ..................................................18-35
18.2.4Entering or Exiting Biopsy Menu...............................................................................18-43
18.2.5Displaying Biopsy Guide Lines .................................................................................18-44
18.2.6Verifying the Biopsy Guide Line................................................................................18-44
18.2.7Removing the Needle-guided Bracket......................................................................18-45
18.2.8Clean and Sterilize the Needle-guided Bracket ........................................................18-49
18.2.9Storage and Transportation ......................................................................................18-50
18.2.10Disposal ....................................................................................................................18-51
19ECG ............................................................................................................................19-1
19.1ECG Connection.................................................................................................................19-1
19.2Displaying ECG Signal .......................................................................................................19-2
19.3ECG Triggering................................................................................................................... 19-2
19.3.1ECG Triggering ...........................................................................................................19-2
19.3.2Triggering Mode..........................................................................................................19-3
19.3.3Real & Trigger .............................................................................................................19-3
19.4ECG Review .......................................................................................................................19-3
19.5Exiting ECG ........................................................................................................................19-3
19.6Setting ECG........................................................................................................................ 19-3
20Image Recording .......................................................................................................20-1
20.1VCR (Video Cassette Recorder) ........................................................................................20-1
20.1.1Setup...........................................................................................................................20-1
20.1.2Record ........................................................................................................................20-1
20.1.3Replay.........................................................................................................................20-2
20.2DVR (Digital Video Recorder).............................................................................................20-3
20.2.1Setup...........................................................................................................................20-3
20.2.2Entering/Exiting DVR .................................................................................................. 20-4
20.2.3Record ........................................................................................................................20-4
20.2.4Data Management ......................................................................................................20-5
20.2.5Video Replay...............................................................................................................20-7
20.3Non-programmable Record and Replay ............................................................................20-9
21Batteries.....................................................................................................................21-1

viii
21.1Overview.............................................................................................................................21-1
21.2Precautions.........................................................................................................................21-1
21.3Installing and Removing the Batteries................................................................................21-2
21.4Battery Status Indicator ......................................................................................................21-3
21.5One Full Discharge / Charge Cycle....................................................................................21-3
21.6Checking Battery Performance ..........................................................................................21-4
21.7Battery Disposal .................................................................................................................21-4
22System Maintenance.................................................................................................22-1
22.1Daily Maintenance..............................................................................................................22-1
22.1.1Cleaning the System................................................................................................... 22-1
22.1.2Backup of the System Hard Disk ................................................................................22-4
22.2Maintenance Checks by Service Engineer ........................................................................22-5
22.3Consumables and Periodic Part Replacement ..................................................................22-5
22.4Troubleshooting ..................................................................................................................22-5
23Acoustic Output ........................................................................................................23-1
23.1Concerns with Bioeffects .................................................................................................... 23-1
23.2Prudent Use Statement ......................................................................................................23-1
23.3ALARA Principle (As Low As Reasonably Achievable) ...................................................... 23-2
23.4MI/TI Explanation................................................................................................................23-2
23.4.1Basic Knowledge of MI and TI ....................................................................................23-2
23.4.2MI/TI Display ............................................................................................................... 23-3
23.5Acoustic Power Setting ...................................................................................................... 23-3
23.6Acoustic Power Control ......................................................................................................23-4
23.7Acoustic Output ..................................................................................................................23-5
23.7.1Derated Ultrasonic Output Parameters.......................................................................23-5
23.7.2Differences between Actual and Displayed MI and TI ................................................23-5
23.8Measurement Uncertainty ..................................................................................................23-6
23.9References for Acoustic Power and Safety ........................................................................23-6
24Measurement Accuracy ............................................................................................24-1
25Safety Classification .................................................................................................25-1
26Guidance and Manufacturer's Declaration .............................................................26-1
Appendix AWireless LAN.......................................................................................... A-1
Appendix BDICOM..................................................................................................... B-1
Appendix CRemote Control and Net Update .......................................................... C-1
Appendix DElectrical Safety Inspection .................................................................. D-1