Siemens SONOLINE G50 User manual

Siemens Medical Solutions USA, Inc. 10011770 REV 01
SONOLINE G50 Ultrasound Imaging System
[1] Instructions for Use

[ 1 ] I N S T R U C T I O N S F O R U S E i
SONOLINE G50
Ultrasound Imaging System
[1] Instructions for Use
Software Versions 1 and 2
Siemens Medical Solutions USA, Inc.
Ultrasound Division
P.O. Box 7002
22010 S.E. 51st Street
Issaquah, WA 98029-7298
U.S.A.
[phone]
CE Declaration
The 115V and 230V versions of this product are provided with a CE marking
in accordance with the regulations stated in Council Directive 93/42/EEC of
June 14, 1993 concerning Medical Devices. Siemens Medical Solutions
USA, Inc., is certified by notified body 0123 to Annex II.3 – Full Quality
System.
Authorized EC Representative:
Siemens Aktiengesellschaft
Medical Solutions
Henkestraße 127
D-91052 Erlangen
Germany
©2002-2004 Siemens Medical Solutions USA, Inc.
All Rights Reserved.
April 2004
Manuals distributed from the Federal Republic of Germany or Japan are printed in the
Federal Republic of Germany.
Manuals distributed from the United States of America are printed in the
United States of America.
SONOLINE G50, SONOLINE G60 S, Axius, DTI, fourSight, 3-Scape, SieScape, MultiHertz,
DIMAQ, microCase, ErgoDynamic, SynAps, QuickSet, SuppleFlex, Crescendo, and Evolve
Package are trademarks of Siemens Medical Solutions USA, Inc.
Windows, CIDEX, CIDEX Plus, CIDEX OPA, Milton, Virkon, and Gigasept FF are registered
trademarks of their respective owners.
Siemens reserves the right to change system specifications at any time.

ii [ 1 ] I N S T R U C T I O N S F O R U S E
About This Manual
The Instructions for Use consists of two volumes:
 [1] Instructions for Use
The [1] Instructions for Use includes both a general overview and a
technical description of the ultrasound imaging system. This manual
contains detailed information on the safety and care of the ultrasound
system and its transducers. A chapter is dedicated to the description of
all system controls. The [1] Instructions for Use also includes the
procedures for system setup and beginning an exam.
 [2] Instructions for Use
The [2] Instructions for Use includes procedures for acquiring and
optimizing images. This manual provides procedures for general and
exam-specific measurements and calculations.
The System Reference provides reference information for the ultrasound
imaging system.

[ 1 ] I N S T R U C T I O N S F O R U S E iii
Conventions
Conventions used throughout this manual are listed below. Take a moment
to familiarize yourself with these conventions.
Cross-References
This manual provides you information by topic. When additional information
exists within this or other manuals, a reference graphic and the name of the
book is provided in the right column. If the information exists within the
chapter, a cross-reference to the page number is listed. Otherwise,
information is referenced by chapter number.
System Presets
You can use the options and settings available in the system presets menu
to set up the ultrasound system with your preferences. Presets define the
configuration of the system software whenever you power on the system.
A complete listing of system presets is located in the System Reference.
Whenever a system preset is discussed in other chapters or in the User and
Reference Manuals, a graphic is provided in the right column.
The graphic identifies a preset option or setting in the system presets menu
that is available for you to customize your ultrasound system. The name of
the category on the menu containing the system preset is listed for your
convenience.
[1] Instructions for Use
Screen Saver Ch 1
Intended Use Ch 1
[2] Instructions for Use
Imaging Options Ch A1
System Reference
Accessories
and Options Ch 2

F4
Default Settings
ŹAutomatic Freeze
Response

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Warnings, Cautions, and Notes
WARNING: Warnings are intended to alert you to the importance of following
the correct operating procedures where risk of injury to the patient or system
user exists.
Caution: Cautions are intended to alert you to the importance of following
correct operating procedures to prevent the risk of damage to the system.
Note: Notes contain information concerning the proper use of the system and/or correct
execution of a procedure.
Control Panel Keys, Controls, and LCD Selections
Keys and controls located on the control panel are identified by uppercase,
boldface type.
Example: Rotate the ZOOM control.
Function keys located on the keyboard are identified by the number of the
function key.
Example: Press the F4 key.
LCD keys are indicated by a (|)symbol with the name of the selection in
boldface type.
Example: Press |Next to access the second page of LCD selections.

[ 1 ] I N S T R U C T I O N S F O R U S E v
Selection of On-Screen Objects
The SET key on the control panel functions as a point-and-select device
(similar to a computer mouse) when used with the trackball. To select an
on-screen object such as a button or a Tsymbol, roll the trackball to
position the pointer (cursor) on the object and then press the SET key on
the control panel.
In this manual, the term "select" or "click" describe the trackball and SET key
action required to select an on-screen object. In the example below, phrases
A, B, C, and D are equivalent actions.
A. Roll the trackball to the Search button and then press the SET key.
B. Select the Search button.
C. Click the Search button.
D. Click Search.
Special Terms and Menu Options
Special terms are indicated in boldface italics and are accompanied by a brief
description on their first use in the manual.
Example: Provides on-screen anatomical graphics of
pictograms that
indicate the anatomy under evaluation.
Within a procedure, options in the system presets are identified in text as
boldface type.
Example: Highlight the Keyboard – Annotation option.

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Table of Contents
[1] Instructions for Use
Chapter Title Chapter Description
Chapter 1
Introduction
General overview of the diagnostic ultrasound imaging system,
including system options, features, and design.
Chapter 2
Safety and Care
Detailed information on system safety and how to care for and
maintain the system, transducers, and transducer accessories.
Chapter 3
System Controls
Explanation of all controls and keys on the control panel, including
the LCD, alphanumeric keyboard, and optional footswitch.
Chapter 4
System Setup
Detailed descriptions of how to transport, set up, and prepare the
system for use, including transducer connection and system
startup procedures.
Chapter 5
Beginning an Examination
Information on starting an examination, including instructions for
entering and editing patient data and selecting an exam type, imaging
mode, and transducer.
Chapter 6
Technical Description
Technical description of the ultrasound system.
Note: Not all features and options described in this publication are available to all users.
Please check with your Siemens representative to determine the current availability of
features and options.

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1 Introduction
System Overview ............................................................................................... 3
Configurations ............................................................................................... 4
Language Formats.................................................................................. 4
Transducers............................................................................................ 4
Intended Use....................................................................................................... 5
Operating Modes................................................................................................ 6
Image Screen Layout ......................................................................................... 7
Screen Saver ................................................................................................. 7
Documentation and Storage Devices............................................................... 9
Measurements and Reports ............................................................................ 10
User-Defined System Settings........................................................................ 11
QuickSets .................................................................................................... 11

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System Overview
The SONOLINE G60 S™ system and the SONOLINE G50™ system are
portable, all-digital, diagnostic ultrasound imaging systems for multi-specialty
and a variety of specialty and general applications. In addition to 2D-mode
and M-mode imaging, the systems provide pulsed wave spectral Doppler,
steerable continuous wave spectral Doppler1, auxiliary CW spectral
Doppler2, Color Doppler, Power Doppler, and directional Power Doppler
imaging.
The system utilizes advanced imaging processing and transducer
technology. The operating system is based on Windows® technology.
Portable system design and the user interface with its home base control
panel design maximize user comfort and productivity. The operation
functions of the system are packaged in a compact, mobile platform.
7
Example of the ultrasound system, overview.
1 User-adjustable monitor
with two forward-facing
audio speakers
2 Back-lit, adjustable control
panel with LCD panel
3 Power (partial) on/off (
/
)
switch
4 Retractable alphanumeric
keyboard
5 Video and color printer bay
6 Transducer ports
7 Swivel wheel with brake
8 Transducer holders
9 Compact disk (CD) drive
10 Magneto-optical (MO)
disk drive
1 Available with the SONOLINE G60 S system; requires the Cardiac Imaging option for the
SONOLINE G50 system
2Available for the SONOLINE G60 S system only
[1] Instructions for Use
Technical
Description Ch 6
Software/Hardware
Options Ch 6

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Configurations
The SONOLINE G60 S system is available in 100V~, 115V~, and
230V~ mains voltage.
 Supports curved array, linear array, phased array, and
CW pencil transducers.
 Includes ECG and Steerable Continuous Wave Doppler hardware for
adult cardiac applications.
 Includes the DIMAQ-IP integrated ultrasound workstation.
The SONOLINE G50 system is available in 100V~, 115V~, and 230V~
mains voltage.
 Supports curved array, linear array, phased array (optional), and
mechanical sector transducers (optional).
Language Formats
Operating system software and control panel overlays support English,
German, French, Spanish, and Italian languages.
Transducers
Wideband transducer technology supports MultiHertz™ multiple frequency
imaging. Multi-frequency capability is available for all imaging transducers.
You can connect multiple transducers to the imaging system, with one
transducer being the active transducer.

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Intended Use
Caution: In the United States of America, federal law restricts this device to
sale or use by, or on the order of, a physician.
The SONOLINE G60 S ultrasound system and the SONOLINE G50
ultrasound system support the following applications:
 Abdominal
 Obstetrical
 Gynecological
 Endovaginal
 Urological
 Small Parts (Breast, Testicular,
Thyroid)
 Cerebrovascular
 Musculoskeletal
 Orthopedic
 Cardiac1
 Peripheral vascular
 Cranial1
 Endorectal
 Venous
1Available with the SONOLINE G60 S system; requires the Cardiac Imaging option for the
SONOLINE G50 system
System Reference
Listing of
Transducers
and Intended
Application Ch 1

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Operating Modes
Important: At the time of publication, A-mode was not cleared for use by the U.S. Food
and Drug Administration. Before using A-mode, check the current regulations for the
country in which you are using this system to determine if A-mode is cleared for use.
 A-mode: A-mode is the amplitude mode. It can be displayed in a
2D-mode image.
 2D-mode: 2D-mode is the default setting. When the system is powered
on, the image screen displays in 2D-mode.
 Split (B+B) mode: Split mode creates side-by-side images from one
2D-mode image. The two images are simultaneously real-time or frozen.
 Dual-mode: Dual-mode displays two acquired 2D-mode images.
Because the images are obtained separately, only one image at a time
displays in real-time.
 4B-mode: Requires software version 1.2 or higher: 4B-mode displays
four acquired 2D-mode images. One image at a time displays in
real-time.
 2D/M-mode: 2D/M-mode displays a 2D image and an M-mode sweep.
 Split 2D/M-mode: Split 2D/M-mode displays simultaneous 2D-mode
images with an M-mode sweep.
 M-mode: Full screen M-mode display is available.
 Pulsed Doppler: Pulsed Doppler can display a spectrum simultaneously
with a 2D image. An update function is available to toggle a frozen 2D
image with a real-time spectrum, or a real-time 2D image with a frozen
spectrum. During 2D/M-mode with Doppler, the M-mode sweep is
synchronized with the Doppler spectrum.
 Steerable Continuous Wave Doppler1: Steerable Continuous Wave
Doppler is available when a phased array transducer is connected to an
array port and the CW key is pressed.
 Auxiliary Continuous Wave Doppler2: Auxiliary Continuous Wave
Doppler is available when a continuous wave (pencil) transducer is
connected to the CW port and the CW key is pressed.
 Color: Color Flow displays in a 2D-mode image or M-mode sweep.
 Power: Power mode detects and assigns color to the energy generated
by the reflections of blood flow.
 Directional Power: Directional power mode detects and assigns color
to the energy and direction generated by the reflections of blood flow.
1Available with the SONOLINE G60 S system; requires the Cardiac Imaging option for the
SONOLINE G50 system
2Available for the SONOLINE G60 S system only

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Image Screen Layout
The monitor on the ultrasound system displays clinical images together with
important operating parameters and patient data. There is a variety of
on-screen overlays and graphical objects to aid in image evaluation.
Many
fields or areas of data displayed on the screen are multi-functional.
The image field can display a 2D-mode image, M-mode sweep, Doppler
spectrum, and their combinations, sets of calipers, pictograms and
annotation text, biopsy guidelines, and CINE icons. An image can be
inverted on a vertical axis and reversed on a horizontal axis to facilitate
viewing and measurements.
EMC Note: Operating the ultrasound imaging system in close proximity to sources of
strong electromagnetic fields, such as radio transmitter stations or similar installations
may lead to interference visible on the monitor screen. However, the device has been
designed and tested to withstand such interference and will not be permanently
damaged.
Screen Saver
The screen saver feature automatically replaces the display with a blank
screen after the system has been inactive for a specified number of
minutes. Restore the screen display by pressing any key or adjusting any
control. The first key that you press will restore the view without performing
a function. Press the key again to execute the command.
System Reference
System Presets Ch 3

F4
Display
ŹScreen Saver
Display
ŹScreen Saver Type
Display
ŹScreen Saver Time

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Sample Image Screen
130
++ - - - - -- - - +- - - - - - - -
. . . . . . . . .. . .
Example of a typical image screen.
1Time and Date, including an
abbreviation for the day of the week.
2 Color bar.
3 Gray bar and gray map.
4 Color window region of interest
(ROI).
5 Trackball status icons. Indicate the
functions selectable by the trackball
with green icons. Inactive icons
are gray.
6 Measured Results. Displays values
from measurements and calculations
when the Measurement function
is active.
7Transmit power for 2D- and M-mode
and the MI and TI values.
8 Imaging Parameters. Displays
parameters for 2D-mode, Color Flow or
Power, M-mode, and Doppler.
9 Measurement Menu. Access by
pressing the CALIPER key. Indicates
active measurement and for exams
with a patient report, lists available
labels.
10 Active exam type, transducer, and
frequency, as well as the current
frame rate of the transducer and
line density.
11 Information for identifying the patient,
operator, and the hospital or clinic.

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Documentation and Storage Devices
Caution: Peripheral devices specified for use with the ultrasound system are
listed in the System Reference. Any use of other devices with the system is at
the user's risk.
The system is configured with an MO (magneto-optical) disk drive for
storage of system software, patient data, and images. For systems with
DIMAQ-IP, a CD drive, and an internal hard drive provide additional
storage capacity.
You can connect a maximum of three image/report documentation devices
to the system.
 Black and white video printer (standard equipment)
 Color video printer
 Videocassette recorder (VCR)
Note: Refer to the manufacturer’s instructions for specific information concerning the
operation of these devices.
WARNING: Accessory equipment connected to the analog and digital interfaces
must be certified according to the respective EN and IEC standards (for example,
EN 60950 and IEC 60950 for data processing equipment and EN 60601-1 and
IEC 60601-1 for medical equipment). Furthermore, all configurations shall comply
with the system standards EN 60601-1-1 and IEC 60601-1-1. Anyone who
connects additional equipment to any of the signal input or signal output ports
configures a medical system and is therefore responsible that the system
complies with the requirements of the system standards EN 60601-1-1 and
IEC 60601-1-1. Siemens can only guarantee the performance and safety of the
devices listed in the System Reference. If in doubt, consult Siemens service
department or your local Siemens representative.
System Reference
Accessories
and Options Ch 2
MO drive Ch 4
DIMAQ-IP Ch 5

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Measurements and Reports
The measurement function is arranged by exam type and is available for use
with all exam types. The ultrasound system has measurement and report
packages for the following exam types:
 Cardiac1
 Obstetrics
 Early Obstetrics
 Gynecology
 Orthopedics
 Urology
 Cerebrovascular
 Peripheral vascular
 Venous
Additional specialty measurements include Hip Dysplasia, Residual Volume,
and Thyroid Volume.
1Available with the SONOLINE G60 S system; requires the Cardiac Imaging option for the
SONOLINE G50 system
[2] Instructions for Use
Measurements
and Reports:
General Ch B1
Obstetrical Ch B2
Urology Ch B4
Vascular Ch B5
Cardiac Ch B6
QuickSets Ch A1

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User-Defined System Settings
You can customize many features of the ultrasound system by using the
system presets to designate default settings, or
presets . The values are
stored in non-volatile memory and will remain intact when the system is
powered off.
Each user of the system can determine settings for imaging preferences
and default settings, then store them on a disk. Those user-defined settings
can then be loaded along with new system software. The disk also serves
as a backup.
QuickSets
The QuickSet¥ feature allows you to capture an optimized configuration
of imaging parameter settings for a combination of a specific transducer
and exam.
[2] Instructions for Use
QuickSets Ch A1

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2 Safety and Care
Operating Safety and Environment .................................................................. 3
System Symbols............................................................................................ 3
Labels ............................................................................................................ 6
Biohazard Considerations .............................................................................. 8
Acoustic Output Mechanical and Thermal Indices ...................................... 9
Mechanical and Thermal Indices ............................................................ 9
Transmit Power Control ....................................................................... 10
Transmit Power Display ....................................................................... 11
Imaging Functions that Change Acoustic Output ................................. 12
Transducer Surface Temperature Limits ..................................................... 13
Electrical Safety ........................................................................................... 14
Level of Protection Against Electrical Shock Transducers ................. 15
Defibrillators ......................................................................................... 15
Pacemakers.......................................................................................... 16
Electrical Safety MPT7-4.................................................................... 16
Possible Combinations with Other Equipment..................................... 16
Ultrasound System Care ............................................................................... 17
Daily Checklist ............................................................................................. 17
Maintenance................................................................................................ 18
Repair ................................................................................................... 18
Siemens Authorized Care..................................................................... 18
Cleaning and Disinfecting ............................................................................ 20
Cleaning and Disinfecting the System.................................................. 20
Cleaning an Air Filter ............................................................................ 23