Pediatric Echo Report Template

How to write pediatric echo report? LOGO How to write Pediatric Echo Report Pediatric Echocardiography Introductory Course Dr. Ahmed AbdElSamad Elhewala Lecturer of Pediatrics – Faculty of Medicine -Zagazig University zagPediatrics@gmail.com • Understanding the Echocardiogram New M-Mode 2D PW CW Echocardiography • 2D Echocardiography • M-Mode Echocardiography The M-mode ( 1-Dimension ) a single beam of ultrasound is transmitted and structure along its path reflect sound back to transducer. It was the first ultrasound modality to record display moving echoes from the heart and thus the motion could be interpreted in terms of myocardial and valvular function even it can help in studying arrhythmias.

Nathan Mick: Common Pediatric Cardiac Complaints in the Emergency Department (Visited 279 times, 6 visits today).

The M-modes were originally recorded without access to 2- dimensional images. • M-Mode Echocardiography • PW & CW Echocardiography Pulsed Wave ( PW ) has the ability to detect the velocity and direction of blood at a certain point; sampled volume. Continuous Wave ( CW ) has the ability to detect velocity and direction of blood detected along line of measuring;multiple sample volume Pulsed wave can only measure low velocities up to 1.5 m/sec, CW has range ambiguity Pressure gradient can be calculated from measured velocity P=4 (V) 2 • PW & CW Echocardiography • Follow ASE Guidlines • How to write Pediatric Echo Report 1.Descritpion of cardiac lesion 2.

Measurement of cardiac chambers & Vessels 3.

• (Empty page) • (Empty page) • SONOACE X8 Diagnostic Ultrasound System Operation Manual Version 2.03.00 English M345-E20300-01. • (Empty page) • Transfer of this product by the Customer shall constitute a transfer of this license that shall not be otherwise transferable. Upon cancellation or termination of this contract or return of the goods for reasons other than repair or modification, the Customer shall return to SAMSUNG MEDISON all such proprietary information. • (Empty page) • Safety Requirements * Classifications: - Type of protection against electrical shock: Class I - Degree of protection against electrical shock (Patient connection): Type BF equipment - Degree of protection against harmful ingress of water: Ordinary equipment - Degree of safety of application in the presence of a flammable anesthetic material with air or with oxygen or nitrous oxide: Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.

• Medical Devices – Application of Risk Management to Medical Devices [ISO ] Medical Electrical Equipment, Part 1: General Requirements for Safety [UL60601-1:2003] Medical Electrical Equipment - Part 1: General Requirements for Safety [CAN/CSA 22.2 No.601.1-M90:1990, with R2003, with R2005] Biological Evaluation of Medical Devices [ISO10993: 2009] Standard Means for the Reporting of the Acoustic Output of Medical Diagnostic Ultrasonic Equipment [IEC] * Declarations. • We are not responsible for errors that occur when the system is run on a user’s PC. Non-SAMSUNG MEDISON product names may be trademarks of their respective owners. Please keep this user guide close to the product as a reference when using the system. • Not related to any hazard. If You Need Assistance If you need any assistance with the equipment, like the service manual, please contact the SAMSUNG MEDISON Customer Service Department or one of their worldwide customer service representatives, immediately.

• 2012-05-15 Initial Release System Upgrades and Manual Set Updates SAMSUNG MEDISON Ultrasound is committed to innovation and continued improvement. Upgrades may be announced that consist of hardware or software improvements. Updated manuals will accompany those system upgrades. Verify that Check if this version of the manual is correct for the system version. If not, please.

• ENVIRONMENTAL PROTECTION..1-31 WASTE ELECTRICAL AND ELECTRONIC EQUIPMENT.1-31 Chapter 2 – Introduction and Installation WHAT IS SONOACE X8?.. 2-2 FEATURES AND ADVANTAGES OF SONOACE X8..2-2 SPECIFICATIONS... 2-3 PRODUCT CONFIGURATION AND INSTALLATION.2-6 MONITOR...2-6 CONTROL PANEL... • SONOACE X8 Operation Manual Chapter 3 – Settings PROBES & APPLICATIONS..3-3 PROBE SELECTION AND APPLICATION..3-4 CHANGING APPLICATION...3-4 EDITING PROBE PRESET VALUES..3-4 PATIENT INFORMATION... 3-6 PATIENT INFORMATION FOR APPLICATION..3-7 FINDING PATIENT INFORMATION..3-13 MANAGING PATIENT EXAMS...

• Table of Contents STORAGE MANAGER... 3-93 USERSET MANAGER...3-95 BODYMARKER EDIT...3-96 STRESS ECHO (OPTIONAL)... 3-98 PROTOCOL SCREEN...3-98 PROTOCOL TEMPLATE EDITOR... 3-102 STRESS ECHO REVIEW...3-105 Chapter 4 – Diagnosis Modes INFORMATION...4-3 DIAGNOSIS MODE TYPE... • SONOACE X8 Operation Manual 3D XI MODE (OPTIONAL)...4-86 XI STIC (OPTIONAL)...4-96 Chapter 5 – Measurements and Calculations MEASUREMENT ACCURACY..5-3 CAUSES OF MEASUREMENT ERRORS..5-3 OPTIMIZATION OF MEASUREMENT ACCURACY.. 5-4 MEASUREMENT ACCURACY TABLE.. 5-6 BASIC MEASUREMENTS...

• Table of Contents VIEWING REPORT...5-98 EDITING REPORT...5-99 ADDING COMMENT...5-100 PRINTING REPORT...5-101 SAVING REPORT...5-101 TRANSFERRING REPORT... 5-101 STRESS ECHO... 5-102 GRAPH FUNCTION...5-103 CLOSING REPORT...5-107 Chapter 6 – Image Management REVIEWING IMAGES (CINE/LOOP).. • CLEANING AND DISINFECTING OF BIOPSY KIT..8-29 ASSEMBLING THE BIOPSY KIT..8-31 ** Reference Manual SAMSUNG MEDISON is providing an additional SONOACE X8 Reference Manual (English).

GA tables and references for each application are included in the Reference Manual. • Chapter 1 Safety Indication for Use...2 Safety Signs...3 Safety Symbols... 3 Labels....6 Electrical Safety...8 Prevention of Electric Shock...

8 ECG-Related Information... 10 ESD....10 EMI....11 EMC....11 Mechanical Safety... • Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-esophageal, Muscular-Skeletal (conventional, superficial), Cardiac Adult, Cardiac Pediatric and Peripheral-vessel. Contraindications The SONOACE X8 system is not intended for ophthalmic use or any use causing the acoustic beam to pass through the eye.  Federal law restricts this device to sale by or on the order of a physician.

• SONOACE X8 is intended for use by, or by the order of, and under the supervision of, a licensed physician who is qualified for direct use of the medical device. • 1 - 4 SONOACE X8 Operation Manual Symbols Description Indicates dangerous voltages over 1000V AC or over 1500V DC. Identifies the point where the system safety ground is fastened to the chassis.

Protective earth connected to conductive parts of Class I equipment for safety purposes. Safety 1 - 5 Symbols Description ESD (Electrostatic discharge) caution symbol Do not sit on control panel Do not push the product Do not lean against the product Follow the operation manual Symbols Symbols Description Authorized Representative In The European Community Manufacturer.

• 1 - 6 SONOACE X8 Operation Manual Labels To protect the system, you may see ‘Warning’ or ‘Caution’ marked on the surface of the product. ID label] [Label 2. Marked on the back sides of the product].

Safety 1 - 7 [Label 3. Marked below OUTLET] [Label 4. Safety note for monitor] [Label 5. Safety note for “TIP-OVER” Precaution] [Label 6. Prohibition of seating on Control panel].

• 1 - 8 SONOACE X8 Operation Manual Electrical Safety This equipment has been verified as a Class I device with Type BF applied parts.  As for US requirement, the LEAKAGE CURRENT might be measured from a center-tapped circuit when the equipment connects in the United CAUTION States to 240V supply system. Safety 1 - 9 systems.

Attention is drawn to the fact that local laws take priority over the above-mentioned requirements. If in doubt, consult your local representative or the technical service department. ■ Electric shock may exist result if this system, including and all of its externally mounted recording and monitoring devices, is not properly grounded. • 1 - 10 SONOACE X8 Operation Manual ECG-Related Information ■ This device is not intended to provide a primary ECG monitoring function, and therefore does not have means of indicating an inoperative electrocardiograph. ■ Do not use ECG electrodes of HF surgical equipment.

Safety 1 - 11 Although this system has been manufactured in compliance with existing EMI (Electromagnetic Interference) requirements, use of this system in the presence of an electromagnetic field can cause momentary degradation of the ultrasound image. If this occurs often, MEDISON suggests a review of the environment in which the system is being used, to identify possible sources of radiated emissions. • 1 - 12 SONOACE X8 Operation Manual ▐ Approved Cables, Transducers and Accessories for EMC  Approved Cable for Electromagnetic Compliance Cables connected to this product may affect its emissions; Use only the cable types and lengths listed below table.

Safety 1 - 13 Electromagnetic Immunity test IEC 60601 Test level Compliance level environment -guidance Floors should be wood, Electrotatic concrete or ceramic tile. ±6KV Contact ±6KV Contact discharge (ESD) If floors are covered with synthetic material, the relat- ±8KV air ±8KV air IEC 61000-4-2. • 1 - 14 SONOACE X8 Operation Manual Immunity IEC 60601 Compliance Electromagnetic Test level level environment - guidance test Conducted RF 3 Vrms 0.01V Portable mobile communications equipment should be used no closer to any part IEC 61000-4-6 150 kHz.

• 1 - 15 ▐ Recommended separation distances between portable and mobile RF communications equipment and the SONOACE X8 This product is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this product can help Prevent. • 1 - 16 SONOACE X8 Operation Manual ▐ Avoiding Electromagnetic Interference Typical interference on Ultrasound Imaging Systems varies depending on Electromagnetic phenomena. Please refer to following table: Imaging Mode Power Line 2D or 3D Change of operating For sector imaging probes. Safety 1 - 17 susceptible to interference generated by RF energy sources. Examples of other source of interference are medical device, information technology products, and radio and television transmission towers. Tracing the source of radiated interference can be a difficult task.

Customers should consider the following in an attempt to locate the source: Is the interference intermittent or constant? Does the interference show up only with one transducers operating at the same. • 1 - 18 SONOACE X8 Operation Manual Mechanical Safety Moving the Equipment The product weighs more than 100kg. Be extra careful when transporting it.

WARNING Careless transportation of the product may result in product damage or personal injury.  Before transporting the product, check that the brakes on the front wheels are unlocked. Safety 1 - 19 Safety Note ■ Do not press the control panel excessively. ■ Never attempt to modify the product in any way. ■ Check the operational safety when using the product after a prolonged break in service. • 1 - 20 SONOACE X8 Operation Manual Biological Safety For more safety information on probes and biopsy, please refer to Chapter 8 'Probes.'

■ Ultrasound waves may have damaging effects on cells and, therefore, may be harmful to the patient. If there is no medical benefit, minimize the exposure time and maintain the ultrasound wave output level at low.

Safety 1 - 21 ▐ Applying ALARA The system-imaging mode used depends upon the information needed. 2D-mode and M-mode imaging provide anatomical information, while Doppler, Power, and Color imaging provide information about blood flow.

Scanned modes, like 2D-mode, Power, or Color, disperse or scatter the ultrasonic energy over an area, while an unscanned mode, like M-mode or Doppler, concentrates ultrasonic energy. • 1 - 22 SONOACE X8 Operation Manual time.

Several controls affect pulse repetition frequency: focal depth, display depth, sample volume depth, color sensitivity, number of focal zones, and sector width controls. Focus of the ultrasound beam affects the image resolution. To maintain or increase resolution at a different focus requires a variation in output over the focal zone. Safety 1 - 23 or a change in application takes place. The decision as to which of the three thermal indices to display should be based on the following criteria: Appropriate index for the application: TIs is used for imaging soft tissue; and TIb for a focus at or near bone. • 1 - 24 SONOACE X8 Operation Manual interpreted as actual physical values investigated tissue or organs.

The initial data that is used to support the output display is derived from laboratory measurements based on the AIUM measurement standard. The measurements are then put into algorithms for calculating the displayed output values.

Safety 1 - 25 and a MI. They change as the system responds to POWER adjustments.

In combined modes, such as simultaneous Color, 2D-mode and pulsed Doppler, the individual modes each add to the total TI. One mode will be the dominant contributor to this total. The displayed MI will be from the mode with the largest peak pressure.

• 1 - 26 SONOACE X8 Operation Manual pulse voltage will decrease the MI. If pulsed Doppler is also enabled then pulsed Doppler will remain the dominant mode and the TI change will be small. Color Sector Depth  Deeper color sector depth may automatically decrease color frame rate or select a new color focal zone or color pulse length. Safety 1 - 27 simultaneous modes, the TI is the sum of the contribution from the modes enabled and MI is the MI for the focal zone and mode with the largest derated intensity. If a mode is turned off and then reselected, the system will return to the previously selected settings.

• 1 - 28 SONOACE X8 Operation Manual the American Institute of Ultrasound in Medicine(AIUM) ratified a report prepared by its Bioeffects Committee (Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1988: Vol.7, No.9 Supplement), sometimes referred to as the Stowe Report, which reviewed available data on possible effects of ultrasound exposure.

Safety 1 - 29 ISPTA.3 The derated spatial-peak temporal-average intensity (milliwatts per square centimeter). ISPPA.3 The derated spatial-peak pulse-average intensity (watts per square centimeter). The value of IPA.3 at the position of global maximum MI (IPA.3@MI) may be reported instead of ISPPA.3 if the global maximum MI is reported. • 1 - 30 SONOACE X8 Operation Manual Hydrophone / Amp frequency response.

Spatial averaging. Alignment errors. Voltage measurement accuracy, including. - Oscilloscope vertical accuracy. - Oscilloscope offset accuracy.

- Oscilloscope clock accuracy. - Oscilloscope Digitization rates.

The systematic uncertainties Acoustic power measurements using a Radiation Force are measured through the use of calibrated NIST acoustic power sources. Safety 1 - 31 ■ The console and peripherals could be sent back to manufacturers for recycling or proper disposal after their useful lives.

CAUTION ■ Disposal of waste shall be disposed in accordance with national laws. ■ The waste sheaths are to be disposed of safely and national regulations must be observed. • Chapter 2 Introduction And Installation What is SONOACE X8?..2 Features and Advantages of SONOACE X8..2 Specifications... 3 Product Configuration and Installation..6 Monitor....6 Control Panel...8 Console.... 17 Peripheral Devices...20 Probe.... • High-end Digital Beam Forming – The SONOACE X8 utilizes the newly developed ■ Digital Beam forming technology.

■ A variety of applications – The SONOACE X8 is optimized for use in a variety of ultrasound departments, including general, abdomen, obstetrics, gynecology, vascular, extremity, pediatric, cardiac, breast, urology, and etc. Introduction And Installation 2 - 3 Specifications Height: 1278mm (with monitor) Width: 510mm Physical Dimensions Depth: 885mm Weight: more than 101kg (with monitor) 2D imaging mode M imaging mode Color Doppler Imaging (CDI) mode Power Doppler Imaging (PDI) mode Directional Power Doppler Imaging (DPDI) mode Power Pulse Inversion Imaging (PPII) mode Pulse Wave (PW) Spectral Doppler imaging mode. • 2 - 4 SONOACE X8 Operation manual Volume Probe 3D2-6ET, 3D4-8EK, 3D4-8ET, 3D4-9ES, 3D5-9EK, 3DC2-6 Probes CW2.0, CW4.0 Probe connections 4 probe connectors (including CW probe connector) Monitor 17 inch LCD monitor Type BF VHS and SVHS VCR left and right audio.

Introduction And Installation 2 - 5 Frame average Edge Enhancement / Blurring Signal processing Gamma-scale windowing Image orientation (left/right and up/down, rotation) (Post-processing) White on black/black on white Zoom Trackball operation of multiple cursors 2D mode: Linear measurements and area measurements using elliptical approximation or trace Measurement M mode: Continuous readout of distance, time, and slope rate. • 2 - 6 SONOACE X8 Operation manual Product Configuration and Installation This Product consists of the monitor, the control panel, the console, the peripheral devices, and the probes. Monitor The monitor of this system is a color VGA monitor, which displays ultrasound images and additional information.

Introduction And Installation 2 - 7 Title Area This section displays the Logo, Patient Name, Hospital Name, Application, Frame Rate & Depth, Probe Information, Acoustic Output Information and Date & Time. Menu The menu is divided into 3 kinds: Image adjustment menu, Measurement menu, and Utility menu. • 2 - 8 SONOACE X8 Operation manual Control Panel The control panel can be used for controlling the system. It consists of the following four sections: – Function keys for mode selection and scanning, located on the right side of the control panel. Introduction And Installation 2 - 9 ▐ Control Panel Map The following are descriptions and instructions for the controls on the control panel.

For more information on the buttons with multiple functions, see Chapter 3 and later of this manual. [Figure 2.3 Control Panel] Power On/Off Powers the product On/Off. • 2 - 10 SONOACE X8 Operation manual The product should be turned on about 10 seconds after the AC power switch at the back of the product is turned During booting the system, do not press any key of the NOTE alphanumeric keyboard. Introduction And Installation 2 - 11 Press this dial-button to turn PW Spectral Doppler Mode on / off. PW / x Turning this dial-button adjusts the Spectral Doppler Gain.

Also, turning this dial-button when in 3D View rotates the image along the X-axis. Press this button to turn CW Spectral Doppler Mode on / off. • 2 - 12 SONOACE X8 Operation manual Press this button to turn Quick Scan function on. The ‘Q’ mark is displayed on the top of the image. QScan This button is activated for specific diagnostic applications with specific probes only. Introduction And Installation 2 - 13 Measurement and Annotation This button is used to measure distance, circumference, area, and Caliper volume.

Press the button repeatedly to cycle through all the available measurement methods. A different measurement menu appears, depending on the examination Calc. • 2 - 14 SONOACE X8 Operation manual When this is pressed in a diagnosis mode. Update Press this button in PW or CW Spectral Doppler Mode to enter D Only Mode. This is used in conjunction with the Trackball to set a specific item or value.

Introduction And Installation 2 - 15 Flexible Softmenu Dial-Button The function corresponding to the number in the Flexible Soft Menu Flexible Softmenu is carried out. Dial-Button 1~6 The Soft Menu varies depending on diagnosis mode. Adjust the item by pressing or turning the dial-button.

• 2 - 16 SONOACE X8 Operation manual This button is used to enter text on the displayed image. However, when the Quick Text checkbox under Setup is checked, you can enter text by using the Alphanumeric keyboards without pressing the.

Introduction And Installation 2 - 17 Console The console consists of two parts – the inner unit and the outer unit. The interior of the console mainly contains devices that produce ultrasound images. On the exterior of the console are various connectors, probe holders, storage compartments, handles, wheels, etc. • 2 - 18 SONOACE X8 Operation manual ▐ Rear Panel A monitor and other peripheral devices like printer, VCR, etc. Are connected via the rear panel at the back of the system. [Figure 2.7 Rear Panel] VGA (Output) The VGA signal is sent to the monitor. Introduction And Installation 2 - 19 VHS (Input/Output) Connect the VCR using the VHS method.

S-VHS (Input/Output) Connect the VCR using the S-VHS method. Printer (Output) Echo printer connection. Print Remote (Output) Remote Echo printer connection. ▐ Main Power On/Off Switch The main power on/off switch locates under the rear panel. • 2 - 20 SONOACE X8 Operation manual Peripheral Devices Refer to the operation manual of peripheral device about its operating. NOTE ▐ Internal Peripheral Devices These are peripheral devices mounted in the system.

DVD-Multi DVD-RW, DVD-RAM, DVD-R, DVD+R, DVD-ROM, CD-R, CD-RW, CD-ROM Hard Disc Drive More than 80Gbytes. Introduction And Installation 2 - 21 USB Video printer - Color: Mitsubish 30DW, Mitsubish 900DW, SONY UP-D21MD, SONY UP- D23MD, SONY UP-D25MD - Black and Whiite: Mitsubishi P93DW, Mitsubishi P95DE, SONY UP-D897 ■ You must install a Microsoft Windows XP or above (English) compatible printer and driver. • 2 - 22 SONOACE X8 Operation manual Probe Probes are devices that generate ultrasound waves and process reflected wave data for the purpose of image formation. For more information, refer to `Chapter 8 Probes’.

NOTE ▐ Connecting probes Be sure to connect or disconnect probes when the power is off to ensure the safety of the system and the probes. Introduction And Installation 2 - 23 Accessories An accessory box containing the items below is supplied with the product. Main cord set, separately certified according to the relevant standards, is to CAUTION be used when supplied to EU and USA/CAN. [Figure 2.10 Accessories] Accessories can be different according to the country. • 2 - 24 SONOACE X8 Operation manual Optional Functions This product has the following optional functions: XI STIC 3D XI Auto IMT CW Function ElastoScan Cardiac Measurement Panoramic Dynamic MR / Dynamic MR+ Stressecho DICOM ■ Strain ■ Spatial Compound For further information about optional functions, please refer to the relevant chapters in this manual. • Chapter 3 Settings PROBES & APPLICATIONS...

3 Probe Selection and Application... 4 Changing Application...4 Editing Probe Preset Values...4 PATIENT INFORMATION...6 Patient Information for Application..7 Finding Patient Information...13 Managing Patient Exams...

15 Changing Measurements... • 3 - 2 SONOACE X8 Operation manual UTILITY... 81 ECG....82 Biopsy.... 84 Histogram...85 Post Curve...87 Setup.... 92 Measure Setup...92 Demo Play...92 Storage Manager...93 Userset Manager...95 Bodymarker Edit... Settings 3 - 3 Probes & Applications Before scanning, select a probe and an application. Please refer to Chapter 8 “Probes” for more information about the probes CAUTION supported by this system.

Press the Probe button on the control panel and then the Probe Selection screen will appear. In this window, you can select or change probes and applications and edit probe presets. • 3 - 4 SONOACE X8 Operation manual Probe Selection and Application 1. Select a probe and an application on the screen by using the Trackball and the Set button. Press the Flexible Soft dial-button [5] OK to make a selection. Press the Flexible Soft dial-button [6] Cancel to cancel a selection. Settings 3 - 5 ※ Tip!

- Changing probe settings with a Flexible Soft button Press the Utility button on the control panel. The current probe settings are shown in the Flexible Soft menu [2] and [3]. Rotate the Flexible Soft dial-button [2] and [3] to select desired settings.

• 3 - 6 SONOACE X8 Operation manual Patient Information Press the Patient button on the control panel and the Patient Information screen will appear on the screen. In this screen, you can enter, search, or change patient information.

Patient information includes basic information such as the patient ID, name, DOB, and gender, together with additional information for applications. Settings 3 - 7  This button appears on the screen only in products that support Asian patient names.  For now, only Japanese names are supported. NOTE  For information on specifying the order or the way in which names are displayed, please refer to “Display Settings”. • 3 - 8 SONOACE X8 Operation manual ▐ General In Category, select General.

Enter additional information. The items in General are also included in the patient information screen for other applications.  Height Enter the patient‟s height in Inches (in.) or Centimetres (cm). Press the unit button to change the unit.

Settings 3 - 9  Indication Enter a brief description of the symptom or disease. [Figure 3.3 Study Information - General] ▐ OB In Category, select OB. Enter additional information for OB. [Figure 3.4 Study Information - OB] . • 3 - 10 SONOACE X8 Operation manual  EDD (LMP) With the LMP or GA entered, EDD (Expected Date of Delivery) is calculated and displayed. Calculating EDD (LMP) EDD can be calculated by entering LMP or GA. When LMP is entered: GA and EDD are automatically calculated and displayed on the screen.

Settings 3 - 11  New Pregnancy Delete previous OB data for this patient. ▐ Gynecology In Category, select Gynecology. Enter additional information for Gyn. This is the same information as for OB. In the GYN information input screen, even if the Ovul.

Date is NOTE entered, LMP and EDD will not be calculated automatically. • 3 - 12 SONOACE X8 Operation manual  RAP (Right Atrium Pressure) Enter blood pressure.

 BP (Body Pressure) Enter maximum/minimum blood pressures. ▐ Urology In Category, select Urology. Enter additional information for Urology.

 PSA (Prostate Specific Antigen) Enter the PSA value. Settings 3 - 13 Finding Patient Information In the Patient Information screen, select the Search tab. ▐ Local Search Search through the information stored in the system. In Search Source, select Local. In Search By, select a search condition. - Select Patient ID to search by ID, or select a patient‟s name under Patient Name to search by name.

• 3 - 14 SONOACE X8 Operation manual ▐ Worklist Search Perform a search by connecting to the DICOM Modality Worklist server in the hospital network. In Search Source, select Worklist. Enter more than one item from among Patient ID, Last Name, Accession # or Procedure ID, and then press Search.

Settings 3 - 15 Managing Patient Exams In the Patient Information screen, select the Exam View tab. The list of exams for the patient ID applied in the previous search will appear.

The exam list appears only when a patient searches is completed and the NOTE related patient information is applied to the system. • 3 - 16 SONOACE X8 Operation manual  Continue Exam In addition to using the Resume Exam function, you can update the current scan with the exam executed previously. The selected exam appears on the screen and scanning is available. The initial execution date for the corresponding exam (Exam Resumed) is displayed in the feedback area. Settings 3 - 17 Select an exam(s) and then press Send on the screen. The DICOM Storage window will appear. - To check the connection between the server and DICOM before sending, press Test.

[Figure 3.11 DICOM Storage] Select an image or report to send. • 3 - 18 SONOACE X8 Operation manual [Figure 3.12 DICOM Printer] ▐ Exporting Exam You can save the selected exams in an external storage device.

Select exam(s) and then press Export on the screen. The Image Export window will be displayed. Settings 3 - 19 [Figure 3.13 Image Export] ▐ Backing up Exam You can back up the selected exams in an external storage device. Connect a storage media for backup. MO, CD-ROM or Flash Memory can be used.

• 3 - 20 SONOACE X8 Operation manual Changing Measurements In the Patient Information screen, press the Measure Data tab. Under the Measure Data tab, you can enter obstetrics measurements for a patient or check the existing measurements. Press the button, and the Insert screen will appear. Settings 3 - 21  View Switch to the View screen. [Figure 3.15 Measure Data - Insert] ▐ The View Screen You can view the measurements entered or save them in an Excel file.

The * symbol next to Exam Date indicates that the data is the current measurement data. • 3 - 22 SONOACE X8 Operation manual [Figure 3.16 Measure Data - View]. Settings 3 - 23 System Settings This mode is used for system settings.

It does not affect image output. The setup may be modified depending on specific needs or preferences. Press the Utility button on the control panel and select Setup in the menu. The Setup screen will appear.

• 3 - 24 SONOACE X8 Operation manual General System Settings Select the General tab in the Setup screen. You can specify general settings such as title settings. ▐ Title You can specify information displayed in the title area on the screen. Settings 3 - 25  Date Format Specify the date format. Select a desired date format by pressing the combo button. The date format that you specify will be applied to various date fields in Patient Information.  Time The current time is displayed.

• 3 - 26 SONOACE X8 Operation manual  Doppler Axis Select the axis scale unit in Spectral Doppler Mode. - Velocity: Specify the Doppler axis scale unit in cm/s (mm/s). - Frequency: Specify the Doppler axis scale unit in KHz.

Settings 3 - 27 Display Settings Select the Display tab in the Setup screen. Specify display-related options. [Figure 3.19 Setup -Display] ▐ Display  Option You can specify more than one item. Use the Trackball and the Set button to select a desired item and check or uncheck it. • 3 - 28 SONOACE X8 Operation manual VCR is connected to a serial port.

When the counter interferes with an image and is turned off, it will appear during recording only. - Image Info: This sets whether to display image information.

When the image information interferes with an image and is turned off, it will not be displayed. Settings 3 - 29  Font Size Select the font size to use.  Font Color Select the font colour to use.  Preview Preview window displays the font you selected.

 Default Go back to the default setting like below. Document Font Measure Result Font Font Name. • 3 - 30 SONOACE X8 Operation manual Peripherals Setup Select the Peripherals tab in the Setup screen. You can configure keys, buttons and the peripheral devices connected to the product. ▐ Peripherals  VCR Model Select the type of VCR Model from Panasonic MD 835, Sony DVO-1000MD, JVC BD- X201 or Sony SVO 9500. Settings 3 - 31 ▐ User Key Setup  User Key Set the function of the User 1 and User 2 buttons on the control panel.

You can select one of the following functions for each button. User Key Functions None APTD M-Line. • 3 - 32 SONOACE X8 Operation manual Even though an Echo printer is selected, measurement reports are NOTE printed in the current report format.  Local Printing Area Set the area that will be printed. - Full Screen (1280 * 1024): Print the full monitor screen.

Settings 3 - 33 System Information Select the Infor tab in the Setup screen. Information about the system S/W version will be displayed. Press Detail to view more detailed information on the product version.

[Figure 3.21 Setup - Information] * The S/W version of your system may be different from that in the figure above. • 3 - 34 SONOACE X8 Operation manual DICOM Setup (Optional) Select the DICOM tab in the Setup screen. You can configure the DICOM (Digital Imaging and Communication in Medicine) operation and the DICOM server. For more information, please refer to the user manual for the server NOTE equipment or the DICOM Conformance Statement. Settings 3 - 35  AE Title Enter the name of the DICOM AE (Application Entity). The title is used to identify devices that use DICOM in a network. US1, US2, etc.)  Station Name Enter the name of the system.

Along with AE Title, it is often used to identify the system in the DICOM network. • 3 - 36 SONOACE X8 Operation manual [Figure 3.23 Display Compensation] ▐ Adding DICOM Service Press Add on the screen. The system is switched to a screen where you can enter a DICOM service to add.

After adding a service, press Save to save the information. Press Cancel to cancel. • Select STORAGE under Services. Configure the Image Storage Service using DICOM.  Include 3D Volume Specify whether to transfer the 3D volume data when transferring a 3D image. Check this checkbox only when a Storage service supporting Samsung NOTE Medison 3D volume data is used.

• 3 - 38 SONOACE X8 Operation manual [Figure 3.24 DICOM Configuration - Storage] Print Server Information Select PRINT under Services. Configure the Print Service using DICOM.  You can configure a printer connected to the DICOM network only.  Depending on the printer, some of the following functions may not be NOTE available.

Settings 3 - 39  Min Density Specify the minimum brightness of an image to print. If this option is not specified, the default value is applied.  Max Density Specify the maximum brightness of an image to print. If this option is not specified, the default value is applied. • 3 - 40 SONOACE X8 Operation manual [Figure 3.25 DICOM Configuration - Storage] Worklist Server Information Select WORKLIST under Services. Configure the Modality Worklist Service using DICOM.

 Update Method Specify the update method for Worklist. - Only on user Request: Update only when asked by the user. Settings 3 - 41  Start Date Specify the range of dates to search.

- Today: Retrieve the patient list for the current date. - Range: Retrieve the patient list for n days before and n days after the current date.

- Past Week: Retrieve the patient list for 7 days before the current date. • 3 - 42 SONOACE X8 Operation manual Service using DICOM. The Storage Commitment Service is used after a diagnosis is finished and all saved images and reports are transferred. [Figure 3.28 DICOM Configuration -Storage]  Associated Storage Server Select an image storage server to connect. Settings 3 - 43 ▐ Testing DICOM Server Select a service and press Test on the screen. The connection with the selected service is tested and the results are shown under the Ping and Verify items. If the result is Normal, it indicates that the connection is normal.

• 3 - 44 SONOACE X8 Operation manual ⑤ Instances: Display the number of instances. What this denotes differs depending on the job type. For „Storage‟ and „Print‟, it means the number of images. For „Storage SR‟, it means the amount of measurement data.

For MPPS Start, it is always displayed as 0. Settings 3 - 45  Delete Delete the selected job. This button is enabled only when the status of the selected job is Fail, Imperfect, Wait Resp, or Not Ready.  Clear Delete all jobs. ▐ DICOM Log Click Log on the DICOM Job Status window to display the DICOM Log window.

• 3 - 46 SONOACE X8 Operation manual file is deleted from the system. - Log File Maximum Size: Specify the maximum size of a log file that can be archived. Enter a number in Kb. A log file that is larger than the specified size is not archived on the system and deleted immediately. Settings 3 - 47 Utilities Setup Select the Utility tab in the Setup screen. You can configure settings for e-mail, text and network status. [Figure 3.32 Utility] ▐ E-mail You can specify a server through which you will send and receive e-mails.

• 3 - 48 SONOACE X8 Operation manual  Enter an ID for the e-mail server.  Password Enter a password for the e-mail server. ▐ Buzzer Control Specify whether a buzzer sound will be generated when a button or dial-button is pressed. Settings 3 - 49 ※ Editing Abbreviation List To enable the abbreviation list stored in the system, press the Autotext Edit button. The system will switch to the Autotext Edit screen.

To save the changes and finish editing, press the Close button. [Figure 3.34 Autotext Edit] - Modify Word 1. • 3 - 50 SONOACE X8 Operation manual and Full Word at the bottom of the screen. Press the Delete button, and the following warning message will appear. To delete the selected word, press Ok.

The selected word will be deleted from the abbreviation list. Settings 3 - 51 (Ex. Smith, Robert L). - Custom: For Item, specify the order last name, first name and middle name. For Separator, specify a symbol such as a comma or space, or just omit it.  Representation Priority Specify how patient names are displayed. •  Options It shows the types of optional software that can be installed on the product.

The following table shows the list of optional software that is available with SONOACE X8: XI STIC 3D XI Auto IMT CW Function. Settings 3 - 53  Status It shows the current status of optional software. Lock_Not Installed: No hardware is connected. Lock_Unregistered: The software is not registered.

Lock_Installed: Hardware is installed but not registered. Unlock_Permanent: Ready for use without any time limitation. Unlock_Restricted: Ready for use for a certain period. • 3 - 54 SONOACE X8 Operation manual Auto Calc Select the AutoCalc tab in the Setup screen. The Auto Calc function calculates specified measurement items automatically with measurement data and is supported in Spectral Doppler Mode.

The specified items will appear on the screen only when the Flexible Soft NOTE dial-button [3] Auto Calc is on in Spectral Doppler Mode. Settings 3 - 55 Measurement Setup Specify various setup options for measurement. The setup may be modified depending on specific needs or preferences. Press the Utility button on the control panel and select Measure Setup in the menu. • 3 - 56 SONOACE X8 Operation manual General Measurement Setup Select the General tab at the Measure Setup screen. You can specify basic measurement options. General Settings Select the sub tab General under the General tab.

You can specify basic measurement options. Settings 3 - 57 ▐ Line Type From the following three options, select the line pattern to use when measuring a distance.  Dotted Line Display with dotted line.  Hidden Dotted Line Display start and end point of the line. • 3 - 58 SONOACE X8 Operation manual To specify the Num of Measure Result Box setting for OB, NOTE cardiac, vascular, urology and fetal echo measurements, use the Setting tab for each application.

 Clear Measure 2D Mode Result On Unfreeze Specify whether to clear measurement results from the screen when switching to Scan mode after performing measurements in 2D mode. Settings 3 - 59 [Figure 3.38 General -Package] ▐ Menu Type Specify the type of menu that will be displayed on the monitor screen.  Full Menu Display the menu that contains all measurement items provided by this product. • 3 - 60 SONOACE X8 Operation manual  Removing a Calculation Package to Use Select a calculation package you don't want to use from the left list and then click on the screen. The selected package will be moved to the right list.

Settings 3 - 61 Probe Application Measure Application Urology Urology Prostate Pediatric Pediatric Hips Breast Breast Thyroid Thyroid Musculoskeletal Musculoskeletal  Menu Customize Click this button to switch to the Custom Menu screen. In the Custom Menu screen, you can set the menu items that appear when performing an application-specific measurement according to your preferences. • 3 - 62 SONOACE X8 Operation manual Package List. The selected tab menu appears outlined in orange.  User Menu List Display the measurement items that belong to the list of tab menus selected in Tab List.  Available Menu List Display all calculation packages supported by this product.

Settings 3 - 63 Setting whether to use a tab menu: Select the checkbox of the tab menu you want to use. You should select at least one Creating a new tab menu: To create a new tab menu, click New. If you want to create a new tab menu by copying an existing tab menu, select it from Tab List and then click Copy. • 3 - 64 SONOACE X8 Operation manual  Patient Info. Shows patient information.  Others Shows other information. ▐ Measure Result  Measure Result Specify the measurement results output format for reports.

- Average: Shows the average of the last three measurement values. Settings 3 - 65 ▐ OB / FH Header Layout Specify item(s) to display under the header of obstetrics or fetal echo measurement reports. You can specify more than one item. ▐ Print Enter additional information for the header, title and footer to display when printing measurements. [Figure 3.40 General -Report] Data Transfer Select the sub tab Transfer under the General tab. • 3 - 66 SONOACE X8 Operation manual format and an XML format.

This product uses an RS-232C USB serial cable to transfer data. Select the XML format to transfer data with reporting tools such as Astraia, Sonoultra and Viewpoint. Before setting, make sure that COM is set to Open Line Transfer NOTE under the Peripherals tab in the Setup screen. Settings 3 - 67 The Cardiac setting can be used only when probe preset is Cardiac or NOTE Pediatric Cardiology. [Figure 3.42 General –Caliper]. • 3 - 68 SONOACE X8 Operation manual Obstetrics Measurement Setup Select the OB tab in the Measure Setup screen. You can specify obstetrics options.

General Settings Select the sub tab General under the OB tab. You can specify basic options for obstetrics measurement. Settings 3 - 69  Rank Info. Method Specify how the growth range information will be displayed. Specify how the growth range information will be displayed.

The growth range information can be used to observe fetal development and abnormality, if any. - Standard Deviation: International standard deviation is used to indicate the fetal development. • 3 - 70 SONOACE X8 Operation manual [Figure 3.44 OB- Tables]  EFW Sequential Measurement These settings are needed when User Key 1 or User Key 2 is set to EFW Measure in Utility >Setup >Peripherals >User NOTE Key Setup. Settings 3 - 71  Add Reference Observe the following directions when adding a table reference. If these conditions are not met, a warning message appears and the reference is not saved. NOTE Input at least three types of data. If there are no Min and Max values, select Value Only for “Table Type.”.

• 3 - 72 SONOACE X8 Operation manual [Figure 3.46 User Table] Table Enter a reference table. You should make over two rows; use [+] or [-] button to add or delete a row. Press the Tab or Enter key on the Alphanumeric keyboard to save the current state and move to next item.

Settings 3 - 73 Misc. - Show In Days: When the checkbox is selected, the table unit is changed from wd (Week- day) to d (day). - Cursor Movement for the Enter key: Specify the direction of cursor movement when the Enter key on the alphanumeric keyboard is pressed while a table is being edited.

• 3 - 74 SONOACE X8 Operation manual  Delete Reference 1. Under Selection, select a preset to delete. A confirmation message appears asking whether to delete it. Press OK to delete. Press Cancel to cancel. Settings 3 - 75 automatic calculation may affect GA and EDD information. ▐ Ratio calculations Specify a measurement item for which a ratio will be calculated.

For example, if the FL/BPD checkbox is selected, when FL and BPD are measured, the ratio between them is calculated and displayed on the screen. • 3 - 76 SONOACE X8 Operation manual Cardiac Measurement Setup Select the Cardiac tab in the Measure Setup screen. You can specify settings for cardiac measurement. ▐ Cursor & Method  Circ.

And Area method Specify how a circumference and area is measured in a 2D cardiac image. Either Ellipse or Trace can be selected. Settings 3 - 77 Vascular Measurement Setup Select the Vascular tab in the Measure Setup screen.

You can specify settings for vascular measurement. ▐ A/B Ratio Specify each individual peak velocity for which a ratio between A and B will be calculated. • 3 - 78 SONOACE X8 Operation manual Urology Measurement Setup Select the Urology tab in the Measure Setup screen. You can specify settings for urology measurement. [Figure 3.52 Urology Setup] ▐ Volume Method Specify an equation that will be used for volume calculation. Settings 3 - 79 ▐ Predicted PSA correction factor Specify the predicted PSA correction factor for measurement of volume of the WG and T- Zone.

The default value is 0.12. ▐ Display  Num of Measure Result Box Specify the number of lines for measurement results that are displayed on the screen. • 3 - 80 SONOACE X8 Operation manual Fetal Echo Measurement Setup Select the Fetal Echo tab in the Measure Setup screen. You can specify settings for fetal echo measurement. ▐ Cursor & Method  Circ. And area method Specify how a circumference and area is measured in a 2D fetal cardiac image.

Either Ellipse or Trace can be selected. Settings 3 - 81 Utility Specify the system settings or use Biopsy or Histogram. Press the Utility button on the control panel. The Utility menu and the Flexible Soft Menu will be displayed on the screen. Use the Menu dial-button to select an item to use. [Figure 3.54 Utility] ▐.

• 3 - 82 SONOACE X8 Operation manual  [3] Usersets / Presets Use the Flexible Soft dial-button [3]. - Usersets: Rotate the dial-button to select a userset for the probe. - Presets: Press the dial-button to apply the selected preset to the system.

Settings 3 - 83 set the value from 50 to 200.  Position Use the Flexible Soft dial-button [5] Position to set the position of ECG. When its number is large, ECG will be displayed in upper side of screen.

In the Loop mode, press the dial-button to move to Loop and its setup. • 3 - 84 SONOACE X8 Operation manual Biopsy Press Biopsy in the Utility menu.

Before performing biopsy, you should specify the Biopsy Guide Line. CAUTION [Figure 3.57 Biopsy] ▐ Editing Biopsy Guide Line  Note that the Biopsy Guide Line cannot be edited when the Trapezoidal function is in use for the Linear Probe. Settings 3 - 85 If you press OK, a screen will appear allowing you to edit the Guide Line. Use the Trackball and the Set button to edit the Biopsy Guide Line.

Press the Flexible Soft dial-button [3] Save to save settings. A confirmation message appears.

• 3 - 86 SONOACE X8 Operation manual  Move Hist. 2 Use the Flexible Soft dial-button [2]. After pressing the dial-button, use the Trackball to move the histogram position. Press the Set button to confirm the position. 3 Use the Flexible Soft dial-button [3].

Settings 3 - 87 Post Curve Press Post Curve in the Utility menu. Specify various post map and Gamma values. [Figure 3.59 Post Curve] ▐ 2D Post Select 2D Post in the Post Curve menu. The 2D Post Menu appears.

[Figure 3.60 2D Post]. Hk P7 Serial Numbers. • 3 - 88 SONOACE X8 Operation manual  Post Curve Use the Menu dial-button to select a post curve. The 9 types of post curve predefined by the system and the 2 user type post curves the user can define are supported. Settings 3 - 89 ▐ Color Map Select Color Map in the Post Curve menu.  Color Map Use the Menu dial-button to select the type of color map. 14 types of post curves are supported.

 Rotate the Menu dial-button to turn it on/off. When turned on, a random color is applied to a certain area in an image. • 3 - 90 SONOACE X8 Operation manual ▐ D Post Select D Post in the Post Curve menu.

The settings can be specified in the same way as for 2D Post. For the post curve of D Post, you can select one from Type 1 to 8 or NOTE User 1 to 2.

Settings 3 - 91 ▐ Monitor Calibration Select Monitor Calibration in the Post Curve menu.  Curve With the Menu dial-button, specify a curve type between Type 1 – Type 5 or User 1– User 3.

If you select User 1– User 3, you can edit the post curve. • 3 - 92 SONOACE X8 Operation manual [Figure 3.65 Monitor Calibration] ▐ Gamma Select Gamma in the Post Curve menu.

Use the Menu dial-button to specify the brightness and contrast. Off, Weak, Medium or Hard can be selected. - Weak: Make the image brighter.

Settings 3 - 93 [Figure 3.66 Demo Play] Storage Manager Press Storage Manager in the Utility menu. All disk drives mounted in the system will be shown. The drive type, available space and total space for each drive are displayed. Storage Manager is a program that lets you manage various storage devices connected to the system. • 3 - 94 SONOACE X8 Operation manual [Figure 3.67 Storage Manager]  Eject / Remove Disconnect the selected drive. Before unplugging a USB Flash memory drive, make sure to NOTE disconnect it by using the Eject / Remove button. Settings 3 - 95 Userset Manager Select Userset Manager in the Utility menu.

The User Export /Import window will be displayed. This option appears in the menu only when flash memory media is NOTE connected to the system and User Preset is not Default. A folder list appears to the left and files appear to the right.

• 3 - 96 SONOACE X8 Operation manual Bodymarker Edit Select Bodymarker Edit in the Utility menu. The Bodymarker Edit window appears. [Figure 3.69 Bodymarker Edit] ① Bodymarker List: This varies by the group selected in „Group‟. The current page/total pages appear below the list.

If there is more than one page, you can change the page by using Prev or Next. Settings 3 - 97  Saving and Canceling Bodymarker List ClickSave to save the list or Cancel to cancel the changes.  Resetting Bodymarker List Click Default. The initial settings of the system are restored. • 3 - 98 SONOACE X8 Operation manual Stress Echo (Optional) Select Stress Echo in the Utility menu. The Protocol Screen will appear. Stress Echo is a function that imposes stress on a patient's heart by making them exercise, or by using medication, and monitors and diagnoses any changes in their heart accordingly.

Settings 3 - 99 ⑤ Icon list: Display the icons for the functions you can use with the Protocol Screen. ⑥ Stress Echo information area: Display the Stress Echo setup information. [Figure 3.70 Protocol Screen] ▐ Icon List [Figure 3.71 Icon List] ①. • 3 - 100 SONOACE X8 Operation manual ③ Select All: Select all images in the Stress Echo Image area.

④ Unselect All: Unselect all images in the Stress Echo Image area. Then you can select a stage you want to use using the trackball and the Set button. Settings 3 - 101 ▐ Protocol Templates This product provides the following five protocol templates by default. View Protocol Stage Two Stage PLAX, PSAX, A4C, A2C Rest, Peak Exercise Stress Three Stage PLAX, PSAX, A4C, A2C Rest, Peak, Post Bicycle Stress Four Stage Pharmacological Stress. • 3 - 102 SONOACE X8 Operation manual again in the Utility menu. Press the Flexible soft dial-button [1], End Protocol, to end acquiring images.

Protocol Template Editor This screen appears when you start Stress Echo mode when the patient ID has not been registered or click the Template Editor icon in the Protocol Screen. Settings 3 - 103 ▐ Protocol Template Editor Screen  Protocol Set a protocol. To select an existing protocol, use the combo button. To add a new protocol, press the Flexible soft dial-button,[1] New Template or [3], Save As, and then enter the protocol name. • 3 - 104 SONOACE X8 Operation manual  Auto Assign When checked, each time an image is acquired, it is automatically assigned to each stage and view.  Auto Next Stage When checked, if an image is assigned to the last view of the current stage, processing automatically proceeds to the next stage. Settings 3 - 105 ▐ Flexible Soft Menu  New Template Press the Flexible soft dial-button [1].

It will make a new template.  Save Press the Flexible soft dial-button [2]. This button is unavailable when a default protocol is selected. • 3 - 106 SONOACE X8 Operation manual ▐ Stress Echo Review Screen ① Stress Echo image area: Display the Stress Echo images selected in the Protocol Screen. The stage and view names, Protocol Timer (T1), and Stage Timer (T2) are displayed at the top of each image. Settings 3 - 107 ▐ WMS Display four WMS diagrams. Each diagram is divided into 16 segments numbered from 1 to 16.

After selecting a stage, enter WMS. PLAX: Parasternal Long Axis PSAX: Parasternal Short Axis A4C: Apical Four Chamber A2C: Apical Two Chamber [Figure 3.77 WMS Diagrams] Left Ventricular Segment. • 3 - 108 SONOACE X8 Operation manual  Entering WMS Select the segment for which you want to enter WMS using the trackball and Set button. The Score menu appears.

Select a value in the menu. The color of the segment changes and WMS is displayed. Settings 3 - 109 Motion Scoring Index. ▐ Flexible Soft Menu  Delete WMS Press the Flexible soft dial-button [1].

All WMS entered at the current stage are deleted.  Run / Stop Press the Flexible soft dial-button [2]. All the cine images in the Stress Echo image area are played or stopped. • Chapter 4 Diagnosis Modes INFORMATION...3.....3 IAGNOSIS.....4 ASIC BASIC MODE...

7 2D M.....7.....28.....31 OLOR OPPLER....36 OWER OPPLER PW S....38 PECTRAL OPPLER CW S....43 PECTRAL OPPLER.....45 LASTO COMBINED MODE... 52 2D/C/PW M.....52 2D/PD/PW M. • 4 - 2 SONOACE X8 Operation Manual 3D / 4D MODE...56 3D/4D M.....56 3D S.....60 TAND 3D V -MPR.....64 VOCAL M.....80 3D XI™ M ).....86 PTIONAL XI STIC (O ).....96 PTIONAL. Diagnosis Mode 4 - 3 Information Diagnosis Mode Type This product supports a variety of diagnosis modes including Basic Mode, Combined Mode, Multi-Image Mode, and 3D Mode.

Basic Mode: Consists of different modes, each of which has a specific usage and function. By default, 2D Mode is applied together with other mode. • 4 - 4 SONOACE X8 Operation Manual Basic Use The items that can be used commonly in each diagnosis mode are shown below: ▐ Using Control Panel The items that can be used in each diagnosis mode are provided as menu items.

You can change the image format or optimize an image to facilitate your diagnosis. Diagnosis Mode 4 - 5 Depth Use the Depth dial-button on the control panel. You can adjust the scanning depth of an image. As you rotate the dial-button clockwise, the depth increases. The allowable range for adjustment varies with the selected probe. Zoom Use the Zoom dial-button on the control panel.

• 4 - 6 SONOACE X8 Operation Manual Use the Quick Scan button on the control panel. The ‘Q Scan’’ mark will appear at the top of an image. In 2D Mode, it is used to optimize the contrast and brightness of an image by adjusting Gain and TGC automatically. Diagnosis Mode 4 - 7 Basic Mode 2D Mode This basic mode, also referred to as B Mode (Brightness mode), provides scan planes of organs. This is used to display two-dimensional anatomy images in the direction of scanning in real time. [Figure 4.1 2D Mode] Entering 2D Mode Because 2D Mode is applied by default for all diagnosis modes, it cannot. • 4 - 8 SONOACE X8 Operation Manual ▐ 2D Mode Menu Power Press the Power button in the menu.

Power is the intensity of the acoustic output. Select a value between 10 ~100. 2D Image Size Press 2D Image Size in the menu. Diagnosis Mode 4 - 9 The frame rate is the number of images generated per second. Use the Menu dial- button to select from Fast, Normal or Slow. It is recommended to set a high frame rate for objects that are highly active or fast- moving. • 4 - 10 SONOACE X8 Operation Manual If it is turned on, the DMR Index appears in the menu.

Use the Menu dial-button to set the index between 1 - 5. Connect a dongle to the console before using DynamicMR (Dongles can be purchased separately from the product.) • Chapter 4. Diagnosis Mode 4 - 11 - Rotation: Turning the dial-button clockwise rotates the image in the same direction.

The rotation angle is 90°. - L/R Flip: Press the dial-button to flip the left and right sides of an image. The M mark above an image indicates the current direction of the image. • 4 - 12 SONOACE X8 Operation Manual [5] Spatial Compound (Optional) & Pulse Inversion Use the Flexible Soft dial-button [5]. - Spatial Compound: Rotate the dial-button to select from Off, Low, Middle or High.

This item appears in the Flexible Soft menu only when a Linear NOTE Probe is used. Diagnosis Mode 4 - 13 This function is used to observe tissues with a contrast agent injected. Click Low MI in the 2D menu to switch to the Low MI screen. The Low MI symbol appears in the upper right corner of the screen and the Low MI timer appears in the upper left corner of the screen. • 4 - 14 SONOACE X8 Operation Manual - Reset: Press Flexible soft dial-button [3] to reset the Low MI timer. - Dynamic Range: Select a value between 50 and 170 by rotating Flexible soft dial- button [3]. This is used to adjust the contrast of the image by changing the minimum and maximum ratios for input signals.

Diagnosis Mode 4 - 15 Acquiring a Panoramic Image Acquiring a Panoramic Image Click Panoramic in the 2D menu to switch to the Panoramic Ready screen. Press Flexible soft button [1], Start/Stop. The system will start acquiring a panoramic image. • 4 - 16 SONOACE X8 Operation Manual panoramic image. - Magnifying: Turn the Flexible soft dial-button [3] to enlarge the panoramic image. - U/D Flip: Turn the Flexible soft dial-button [3] to reverse the top and bottom of the panoramic image.

Diagnosis Mode 4 - 17 ▐ Strain Image (Optional) The Strain Image function is available only if the following conditions are met. - Application: Cardiac or Pediatric Cardiology NOTE - Diagnosis Mode: 2D (frozen state) - ECG: On The Strain Image function quantitatively displays cardiac motion using motion vectors and diagnoses cardiac dysynchrony based on this motion. • 4 - 18 SONOACE X8 Operation Manual [Figure 4.5 Quantification screen] Contouring Draw a cardiac contour line by marking 4 to 12 points using the trackball and Set button. To cancel the most recently marked point, specify another area around the point or press the Exit button.

Diagnosis Mode 4 - 19 Flexible Soft Menu In the Quantification screen, the Flexible soft menu changes as follows. - Close: Press Flexible soft dial-button [1] to close the Quantification screen. - Auto EF: Press Flexible soft dial-button [4] to switch to the Auto EF screen. - Strain: Press Flexible soft dial-button [5] to switch to the Strain screen.

• 4 - 20 SONOACE X8 Operation Manual ② End Systolic: The related information is displayed in yellow. ③ Calculation Results: The Stroke Volume (SV) and Ejection Fraction (EF) are displayed. If you change the location of the cine frame, the calculation results change accordingly. To change the location of a cine frame, use Flexible soft dial-button [4] ES or [5] ED.

Diagnosis Mode 4 - 21 The Strain screen consists of the following items: ※ Resizing Areas To magnify an image or graph that you want to analyze, drag in the lower right corner of the image or graph area. Parametric Image: Display the image using the method selected in the Image Type ①. • 4 - 22 SONOACE X8 Operation Manual Range Bar ※ To resize the width of the range bar, place the cursor at the end of the range bar, hold down the Set button and move the cursor to the left or right.

Diagnosis Mode 4 - 23 Velocity ※ In Apical View, the velocities in the rotational and radial directions are displayed as a graph. In Short Axis View, the velocities in the longitudinal and radial directions are displayed as a graph.

On the graph in the Graph Analysis area, the peak value (maximum value) of each interval is displayed. • 4 - 24 SONOACE X8 Operation Manual the approved results to the measurement data appears. - Speed: Rotate Flexible soft dial-button [1] to select the playback speed of Cine image. - Run / Stop: Press Flexible soft dial-button [2] to play or stop playing Cine image.

Diagnosis Mode 4 - 25 In the Strain screen, press Flexible soft dial-button [6]. The User Layout screen appears. Select the check boxes of the items you want to use and then arrange the elements on the screen. - To adjust the size of an element that will be displayed on the screen, drag it using the trackball and the Set button. • 4 - 26 SONOACE X8 Operation Manual [Figure 4.10 Select Strain Data] Compare / Result The two selected strain images are displayed in the Before and After sections. The comparison results for the EF and strain values are displayed in the Compare / Result section.

Diagnosis Mode 4 - 27 [Figure 4.11 Compare]. • 4 - 28 SONOACE X8 Operation Manual M Mode The M Mode is used to specify an observation area in a 2D image with the M Line, and display changes over time. This mode is appropriate for the observation of organs with a lot of movement such as cardiac valves. Diagnosis Mode 4 - 29 ▐ M Mode Screen M Line Use the trackball on the control panel to move to the right or left.

The M Line indicates the relative position of the M Mode image in the 2D image. Therefore, you can move the M Line to change the observation area. • 4 - 30 SONOACE X8 Operation Manual - Pseudo Color: Rotate the dial-button to set Pseudo Color Type to Type1 – 9. [6] FreeAngle M This item appears in the Flexible Soft menu only when a Phase NOTE Array Probe is used. Diagnosis Mode 4 - 31 Color Doppler Mode This mode displays the colored blood flow pattern of the ROI (Region of Interest) within the 2D image. It is appropriate for examining the presence of the blood flow, its average speed and direction.

The 2D Mode image is also shown allowing the marking and adjustment of the ROI within the entire image. • 4 - 32 SONOACE X8 Operation Manual ▐ C Mode Screen ROI Box ROI stands for Region of Interest. The ROI Box outlines the area of the 2D image where color (blood flow) information is displayed in Color Doppler Mode. Diagnosis Mode 4 - 33 ▐ C Mode Menu Display Mode Press Display Mode in the menu. Color Doppler Mode supports Color + B/W, Color Only and B/W Only displays. Color Mode Press Color Mode in the menu. Select from Velocity, Power, Variance or Vel + Var.

• 4 - 34 SONOACE X8 Operation Manual Capture Frame Select Capture Frame in the menu. You can select a value between 5~100. You can capture an image for 1 second with Capture Frame. Capture Frame allows you to capture an image with a user-defined frame, for better observation of an image. Diagnosis Mode 4 - 35 [5] Balance Use the Flexible Soft dial-button [5].

Adjust the range of color image display by comparing the Gray Level of the 2D image with the Doppler signal values of the color image. As the Balance value increases, the color image appears, even in regions with a high Gray Level in 2D image (bright regions), expanding the range of the color image. • 4 - 36 SONOACE X8 Operation Manual Power Doppler Mode This mode displays the color intensity of blood flow within the ROI in the 2D image. It is appropriate for examining the presence and amount of blood flow. The 2D Mode image is also shown, allowing the marking and adjustment of the ROI within the entire image.

Diagnosis Mode 4 - 37 ▐ PD Mode Screen Color Bar In Power Doppler Mode, the colour bar varies depending on the screen display for Power Doppler Mode that is selected in the PD Mode menu. - PD Mode: The colour bar indicates the presence of blood flow and its amount. The top of the colour bar is the brightest section, where the amount of blood flow is at its highest. • 4 - 38 SONOACE X8 Operation Manual PW Spectral Doppler Mode PW stands for Pulse Wave. PW Spectral Doppler Mode gives information on the speed of blood flow at a specific site in the form of a spectral trace and audio signal.

Distance (depth) information can also be obtained by transmitting pulses over time frames. Diagnosis Mode 4 - 39 ▐ PW Spectral Doppler Mode Screen Sample Volume When Sample Volume is on the blood flow of the 2D image, it represents Doppler Spectrum. The size and depth of Sample volume is displayed in [mm] units. Its position is moved with the Trackball and displayed in the xx.xx@yy.yy mm format. • 4 - 40 SONOACE X8 Operation Manual When Sample Volume is moved in the 2D Only state, the PRF values don’t change.

HPRF is not activated in Simultaneous Mode. It is also not activated if [PRF*2] NOTE exceeds 23KHz. ■ The Phantom Gate position can be located outside the 2D image area in Zoom Mode. Diagnosis Mode 4 - 41 AutoCalc Direction Select AutoCalc Direction in the menu. You can select the part of spectrum to use AutoCalc from Up, Down, or All. Spectrum Enhancement Select Spectrum enh in the menu.

This function controls brightness and sensitivity of Spectral Doppler images. • 4 - 42 SONOACE X8 Operation Manual [4] SV Size Use the Flexible Soft button [4] to set the sample volume size between 0.5 and 15. [6] Sound & TDW Use the Flexible Soft dial-button [6].

- Sound: Rotate the dial-button to select a value between 0 and 100. Diagnosis Mode 4 - 43 CW Spectral Doppler Mode CW stands for Continuous Wave. PW Spectral Doppler Mode gives information on the speed/direction of blood flow at a specific site in the form of a spectral trace and audio signal. Unlike PW Spectral Doppler Mode, it does not provide Sample Volume. • 4 - 44 SONOACE X8 Operation Manual ▐ Entering & Exiting CW Spectral Doppler Mode Press the CW button on the control panel.

Press it again to return to 2D Mode. The information on menu and Flexible Soft menu items for PW NOTE Spectral Doppler Mode also applies to this mode. Diagnosis Mode 4 - 45 ElastoScan Mode The elasticity of ROI in a 2D image is shown in color. A scanned 2D image is also displayed to indicate the relative position of ROI and allow the user to change the position. ElastoScan mode is an optional function. • 4 - 46 SONOACE X8 Operation Manual ▐ E Mode Screen E Dual Mode [Figure 4.17 E Dual Mode] In E Dual Mode, an E image, elastogram, and a 2D image are displayed together in the screen.

Press the Flexible soft dial button [3] Single / Dual to select either Single or Dual Mode. Diagnosis Mode 4 - 47 E Single Mode [Figure 4.18 E Single Mode] In E Single Mode, only an E image is displayed in the screen. Press the Flexible soft dial button [3] to select either Single or Dual Mode.

ROI Mode ROI stands for Region of Interest. • 4 - 48 SONOACE X8 Operation Manual [Figure 4.19 ROI Mode] NOTE ROI Mode is available in E Single Mode as well as in E Dual Mode. ▐ Scanning When using ElastoScan™, place a probe onto the surface of an area to observe and apply periodic compression to it. Diagnosis Mode 4 - 49 The following figure shows a scanned image of a breast tumor. (a) 2D Mode (b) ElastoScan Mode [Figure 4.20 A scanned image of a breast tumor] Prostate The prostate consists of tissues simpler than a breast, and there are relatively less unintended movements. • 4 - 50 SONOACE X8 Operation Manual tissues, and the upper section indicates that the target area is less stiff than the surrounding tissues.

▐ E Mode Flexible Soft menu [1] E Gain Use the Flexible soft dial-button [1]. Adjust the brightness of E image between 1 - 100%. Diagnosis Mode 4 - 51 [5] Blending Level, Alpha Blending Use the Flexible soft dial-button [5].

- Blending Level Select the ratio of Alpha Blending. You can adjust the ratio in 5% steps between 0 - 100%. Setting it to 0% shows an E image only and setting it to 100% shows a 2D image only.

• 4 - 52 SONOACE X8 Operation Manual Combined Mode In Combined Mode, three different modes are combined including the default 2D Mode. Note that, in 2D/C Live Mode, only two modes are combined: 2D and Color Doppler Modes. 2D/C/PW Mode Color Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously. Diagnosis Mode 4 - 53 Color/y dial-button on the control panel. (This button is enabled for specific diagnostic applications with specific probes only.) 2D/C Live Mode 2D Mode and Color Doppler Mode are displayed simultaneously. In 2D Mode, press the Flexible soft dial-button [2] 2D/C Live. • 4 - 54 SONOACE X8 Operation Manual Multi-Image Mode The product supports Dual Mode and Quad Mode.

In Multi-Image Mode, an image can be displayed in different combined modes. Button operations in an active area are the same as in Combined Mode. Diagnosis Mode 4 - 55 Quad Mode Press the Quad button on the control panel. You can compare four different images at the same time. Each time you press the Quad button, one of the four images is selected. The current active image mode is displayed as a yellow line at the top.

• 4 - 56 SONOACE X8 Operation Manual 3D / 4D Mode An observation area is displayed in a 3D image. SONOACE X8 provides 3D and 4D Modes. 3D/4D Mode ▐ 3D Mode In this mode, 3D or standard probes are used to obtain 3D images. Diagnosis Mode 4 - 57 Depending on the probe used and how images are obtained, 3D Mode can be divided into the following: 2D/3D In this mode, 3D or standard probes are used to obtain 3D images. • 4 - 58 SONOACE X8 Operation Manual ▐ 4D Mode In this mode, a 3D probe is used to obtain 3D images in real time. It is also called Live 3D Mode.

4D Mode is not available in Color 3D Mode and Power Doppler 3D Mode. Diagnosis Mode 4 - 59 ▐ 3D/4D Mode Screen ROI Box In 3D/4D Mode, the ROI box is also called the Volume Box, which indicates an area in a 2D image to be converted into a 3D/4D image. The location and size of the ROI box can be adjusted with the Change button on the control panel. • 4 - 60 SONOACE X8 Operation Manual 3D StandBy Mode In this mode, various parameters can be set before 3D or 4D images are obtained. [Figure 4.26 3D StandBy Mode] ▐ 3D StandBy Mode Menu Auto ROI This option appears only when the application for a 3D probe is set NOTE to OB or OB Early. Diagnosis Mode 4 - 61 When Auto ROI is used, the following should be considered: - Images can be obtained over the fetal body only.

- The resulting 3D image is affected by the brightness or contrast of a 2D image. - Once Auto ROI is turned on, the location or size of the Volume Box cannot be changed. • 4 - 62 SONOACE X8 Operation Manual Scan Quality Use the Flexible Soft dial-button [4].

Rotate the dial-button to select the scan speed from Slow, Normal, Fast and Fastest. - Fastest: The image quality is low but the 3D image speed (or rendering speed) is fast. Diagnosis Mode 4 - 63 4. Once done, press the Freeze or Set button. The system will start acquiring 3D images.

Once 3D images are acquired, the 3D View or 3D XI screen appears. - In the Flexible Soft menu [2], if MPR is selected, 3D View is enabled, and if MSV or Oblique View is selected, 3D XI is enabled.

• 4 - 64 SONOACE X8 Operation Manual 3D View-MPR This screen appears after 3D images are acquired when View Mode is set to MPR in 3D StandBy Mode. 3D View is displayed in the upper left corner of the screen.

Diagnosis Mode 4 - 65 as “B plane,” and Coronal Section as “C plane.” Axial plane Sagital plane Coronal plane 3D plane Trackball Mode The current Trackball mode is displayed in the user information area. You can choose Trackball mode from Cursor, Move and ROI. • 4 - 66 SONOACE X8 Operation Manual Zooming Images Use the Zoom dial-button on the control panel to adjust the value. Rotating Images by X-axis Use the PW / X dial-button on the control panel.

Alternatively, when the Trackball mode is set to Cursor, place the cursor on the A Plane image and then move the Trackball while pressing the Set button. Diagnosis Mode 4 - 67 The Autotext and Quick Text features are not available in 3D View. NOTE Entering Indicator Press the Indicator button on the control panel. ▐ Saving and Printing Saving Images Press the Save button on the control panel.

The 3D Data Save window will appear. Select Image under Save Type and then press the Save button to save images [Figure 4.28 3D Data Save] Saving Images with Volume Data. • 4 - 68 SONOACE X8 Operation Manual ▐ MPR Mode Menu Display Format Select Display Format in the menu to specify the desired display format. Axial, Sagital or Coronal plane images and Orientation Help (OH) are displayed on the screen. OH shows the relative position of the selected plane in reference to volume data.

Diagnosis Mode 4 - 69 Tips! ※ The following buttons in the control panel can be used to change Display Format: - Single Button: Switches to the full screen in A3D Mode. - Dual Button: Switches to A3D Mode. - Quad Button: Switches to ROI Mode. • 4 - 70 SONOACE X8 Operation Manual [Figure 4.29 3D Cine] §3D Cine Define Specify settings required for Cine execution. Rotation Angle Use the Flexible Soft dial-button [1] to set all of the rotation angles for an image.

Valid values are 30, 45, 60, 90, 180 and 360˚. Diagnosis Mode 4 - 71 Rotate Axis Use the Flexible Soft dial-button [3] to set the rotation direction to X or Y. Use the Flexible Soft dial-button [4] to set the start point of a Cine image. Valid values are -180 to -1. • 4 - 72 SONOACE X8 Operation Manual New Cine Use the Flexible Soft dial-button [5] to enable New Cine Mode. Return to the 3D Cine Define screen. Clear Cine Use the Flexible Soft dial-button [6] to delete the current Cine image.

Return to the 3D Cine Define screen. Diagnosis Mode 4 - 73 After specifying the playback mode and Cine type, press the Play button to start playing a Cine image. Cine Type In the menu on the screen, use the Menu dial-button to select Cine type. - Image: The standard Cine playback mode. • 4 - 74 SONOACE X8 Operation Manual Play Press the Flexible Soft dial-button [6].

4D Cine will then be played. Preset Use the Menu dial-button to select Preset in the 3D View menu. Set or rename a preset as desired.

Diagnosis Mode 4 - 75 observation of bone structure. - Min: Represents a 3D image in minimum intensity. This option can be useful for observation of vessels or cavities in the human body. - X-Ray: Represents a 3D image in average intensity. An image is shown like an X- ray image. • 4 - 76 SONOACE X8 Operation Manual §See Thru. This mode shows a Gray + Angio or Gray + CFM combination of data as a 3D rendering image.

This mode is available only when a 3D image is acquired in C or PD NOTE Mode. Diagnosis Mode 4 - 77 MagiCut Use the Menu dial-button to select MagiCut in the 3D View menu. MagiCut can be used to eliminate parts in a 3D image that are irrelevant for diagnosis.

NOTE This function is not available in 4D Mode. [Figure 4.31 MagiCut] CutMode Use the Menu dial-button to set Cut Mode.

• 4 - 78 SONOACE X8 Operation Manual - Big Eraser: Cuts with a big eraser. Depth Use the Menu dial-button to set Cut Depth. - Full: Cuts the entire area. - Defined: Cuts the defined area. Define an area to cut as below: Use the Trackball and the Set button to define an area to cut. Diagnosis Mode 4 - 79 restored. Position Use the Flexible Soft button [2] to change the location of a Post Curve that is selected under Select.

Valid values are 0 – 100. Full Press the Flexible Soft dial-button [2]. A 3D image will be displayed in the full screen mode. • 4 - 80 SONOACE X8 Operation Manual VOCAL Mode Select the VOCAL tab in the menu. VOCAL stands for Virtual Organ Computer Aided anaLysis, which is used to measure the volume of internal tissues in the human body. VOCAL Mode proceeds in the order of Contour→ Edit Contour→ Accept Contour→ Shell Histogram. Diagnosis Mode 4 - 81 Solid: Use this option when there are many echoes within an object.

General: Create a contour based on the nature of a general object. This option is faster but less accurate than other automatic contour types. Prostate: Use this option for prostate-related data.

• 4 - 82 SONOACE X8 Operation Manual When Contour Type is set to Manual ※ 1. In the VOCAL menu, set Contour Type to Manual. Press the Flexible Soft dial-button [6] Next. Over an image, press the Set button and then move the Trackball to create a contour. Diagnosis Mode 4 - 83 Edit Contour Screen Flexible Soft Menu Previous Image Press the Flexible Soft dial-button [1] to go to the previous page. Next Image Press the Flexible Soft dial-button [2] to go to the next page. Thickness Use the Flexible Soft dial-button [2] to set the shell thickness to a value between 1 and 20 mm.

• 4 - 84 SONOACE X8 Operation Manual Accept Contour Screen Flexible Soft Menu Ref. Image Use the Flexible Soft dial-button [1] to select a reference image from A, B and C. Init Press the Flexible Soft dial-button [1] to return to the Contour screen Mode Use the Flexible Soft dial-button [1] to select either Surface or Wireframe mode. Diagnosis Mode 4 - 85 ※ A formula used for Shell Histograms - MG: the average value of gray voxel brightness (gray) MG = total brightness (gray) / the total number of voxels - VI: the ratio of color voxels against all voxels within the shell VI = the number of color voxels / the number of all voxels - FI: the average value of brightness (color) for color voxels within the shell FI = total brightness (color) / the number of color voxels. • 4 - 86 SONOACE X8 Operation Manual 3D XI™ Mode (Optional) If View Mode is set to MSV or Oblique View in 3D StandBy Mode, this screen appears when a 3D image is acquired. 3D XI is displayed in the upper left corner of the screen.

Diagnosis Mode 4 - 87 This mode provides a number of functions including Calculator, NOTE Caliper, Text and Indicator. MSV Mode Menu Layout Set the screen layout by selecting one out of the [1x1], [2x1], [3x2], [3x3], [4x3] and [6x4] buttons on the touch screen. • 4 - 88 SONOACE X8 Operation Manual Bias Use the Flexible Soft dial-button [3] to adjust the bias of a Post Curve. Valid values are -100 to 100. Index Change Use the Flexible Soft dial-button [4] to change index. The selected index is shown in a yellow frame.

Diagnosis Mode 4 - 89 Post Processing Use the Menu dial-button to select Post Processing in the 3D XI menu. The Post Processing menu will appear. This function allows you to perform post-processing on multi-slice images, and it is not available in Volume CT. • 4 - 90 SONOACE X8 Operation Manual XI MR Press the Menu dial-button to turn it on or off. XI MR is used to improve the image quality by stressing the contrast and edges of images. When it is turned on, it only affects the index image in a yellow frame.

Diagnosis Mode 4 - 91 While measurement functions such as Calculator and Caliper are not NOTE available, Text and Indicator functions are available. [Figure 4.35 Oblique View] Oblique View Mode Menu Single Static Line This allows you to view a plane that is perpendicular to the default line in an image.

Use the Angle dial-button on the control panel to rotate the default line. • 4 - 92 SONOACE X8 Operation Manual place the line at the desired location and then press the Set button to set the new location. - Use the Angle dial-button on the control panel or the Flexible Soft dial-button [2] Line Rotation to change the angle of the line.

Diagnosis Mode 4 - 93 Oblique View Mode Flexible Soft Menu Select Line Use the Flexible Soft dial-button [1] to select a line. This option is available only when Multi-Line or Multi-Contour is selected in the Oblique View Mode menu.

Line Rotation Use the Flexible Soft dial-button [2] to adjust the location of a line. • 4 - 94 SONOACE X8 Operation Manual §Cube Volume CT Press the Cube in the Volume CT menu. This mode provides information on neighboring external surface images in a cube. [Figure 4.36 Cross Volume CT] Select Surface Use the Menu dial-button to select a reference surface to view. Available options are Front, Back, Left, Right, Up and Down.

Diagnosis Mode 4 - 95 Boundary Press the Flexible Soft button [3] to turn it on or off. This option allows you to show or hide additional boundary lines in Cube Volume CT. Additional boundary lines indicate the external area of the entire volume. Rotation Use the PW/X, Color/Y and M/Z dial-button on the control panel to rotate a Cube Volume CT image by the X-, Y- or Z-axis.

• 4 - 96 SONOACE X8 Operation Manual A Plane Use the Flexible Soft dial-button [1] to set the location of the Front Surface from between -127 and 127. It will be displayed in blue frames on the screen. B Plane Use the Flexible Soft dial-button [2] to set the location of the Upper Surface from between -127 and 127.

Diagnosis Mode 4 - 97 In the 3D StandBy screen, use the Flexible Soft dial-button [1] to select XI STIC. Specify the location and size of the volume box as desired. Specify various parameters with Flexible Soft menu buttons. Flexible Soft dial-button [3] Scan Angle: Set the scan angle to between 15 - 60°. • 4 - 98 SONOACE X8 Operation Manual A good XI STIC data shows a regular and synchronous pumping of the fetal heart.

One or more of the following artifacts in the image indicate a disturbance during acquisition: - Sudden discontinuities during CINE play: Motion of the mother. Diagnosis Mode 4 - 99 ▐ XI STIC Mode Menu STIC Speed Adjust the speed of image playback. Use the Menu dial-button to set it to All Cine, 25%, 33%, 50% or 100%. If it is set to All CINE, all of the Volume CINE saved are reviewed regardless of their speed. • Chapter 5 Measurements and Calculations Measurement Accuracy...3... 3 AUSES OF EASUREMENT RRORS..4 PTIMIZATION OF EASUREMENT CCURACY...6 EASUREMENT CCURACY ABLE Basic Measurements...8...10 ISTANCE EASUREMENT..14 IRCUMFERENCE AND EASUREMENT...16 OLUME EASUREMENT Calculations by Application...19... • 5 - 2 SONOACE X8 Operation Manual...90 HYROID ALCULATION...

91 REAST ALCULATION...93 ESTICLE ALCULATION... 94 UPERFICIAL ALCULATION...95 EDIATRIC ALCULATION... 97 USCULOSKELETAL ALCULATION Report.... 98...98 IEWING EPORT...99. Measurements and Calculations 5 - 3 Measurement Accuracy Measurement values can vary, depending on the nature of the ultrasound, the body’s response to ultrasound, the measurement tools, algorithms, product settings, probe type and user operation.

Before using this product, make sure to read and understand the following information regarding the causes of measurement errors, and measurement optimization. • 5 - 4 SONOACE X8 Operation Manual between the blood flow and the ultrasound beam. - For Doppler velocity measurements, the most accurate results can be ensured when the ultrasound beam is aligned in parallel with the blood flow. - If that is not possible, the angle between them should be adjusted by using the Angle option. Measurements and Calculations 5 - 5 ▐ M Mode - The accuracy of time measurements can be increased when the sweep velocity and the display format are set to high values.

- The accuracy of distance measurements can be increased when the display format is set to higher values. • 5 - 6 SONOACE X8 Operation Manual Measurement Accuracy Table The following tables show the accuracy of the measurements available using the product. Ensure that the results of measurement accuracy checks are kept within the ranges specified in the table. Except for certain applications or probes, the following accuracy ranges should be maintained for measurement of a straight distance. Measurements and Calculations 5 - 7 ▐ M Mode System Tolerance: Test Accuracy Measurements: Range (whichever is greater) Methodology Based on Depth: Measure Setup >Urology. For information on basic measurement methods, see ‘Basic NOTE Measurements’ and ‘Common Measurement Methods’.

Measurements and Calculations 5 - 59 Measurement Item Mode Method Unit Menu Pre Height Distance cm, mm Pre Width Distance cm, mm Calculated after Post Vol. Residual Vol.

Distance measurement Post Length Distance cm, mm Post Height Distance cm, mm Post Width Distance. • 5 - 60 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Calculated after Post All distance measurement Residual Vol. Post Main Dia. Distance cm, mm Post Beside Dia. Distance cm, mm Calculated after distance measurement Rt.

Measurements and Calculations 5 - 61 Fetal Echo Calculation ▐ Before Taking Fetal Echo Measurements Set the related menus for convenient measurement. You can also specify how volume can be calculated. Please refer to the “Setting Measurements” section in Chapter 3 “Setting” for more information on the measurement menus and settings. • 5 - 62 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu A2C Vol.d Dist20 LV Vol.

A2C Vol.s Dist20 (Simpson) A4C Vol.d Dist20 A4C Vol.s Dist20 Asc Ao Distance cm, mm MPA Diam Distance cm, mm Duct Art. Measurements and Calculations 5 - 63 Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Duct Artriosus Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace. • 5 - 64 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu A. Rev Flow Velocity cm/s, m/s Dias Flow Velocity cm/s, m/s Calculated after continuous measurement Tei Index Time Eject T Time M, PW Fetal HR Fetal Heart Rate Heart Rate ■. Measurements and Calculations 5 - 65 LE Artery Calculation ▐ Measurement Menu [Figure 5.9 LE Artery Measurement Menu] The measurement method for each item is the same as for basic measurement.Measured items are automatically recorded in a report. • 5 - 66 SONOACE X8 Operation Manual It is convenient to calculate each measurement value on the Spectral Doppler image For information on basic measurement methods, see ‘Basic NOTE Measurements’ and ‘Common Measurement Methods’.

For references on measurement items, see the Reference Manual –. Measurements and Calculations 5 - 67 Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Rt. CFA Calculated after%StA area measurement Calculated after. • 5 - 68 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Calculated after%StD distance measurement Rt. Area Area, mm Vesl. Dist Distance cm, mm Auto Trace Doppler spectrum trace Limited Trace. Measurements and Calculations 5 - 69 Measurement Item Mode Method Unit Menu Velocity cm/s, m/s Velocity cm/s, m/s Calculated after%StA area measurement Rt.

DPA Calculated after%StD distance measurement Vesl. Area Area, mm Vesl. Dist Distance cm, mm Auto Trace. • 5 - 70 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Rt.

Digital A Calculated after. Measurements and Calculations 5 - 71 UE Artery Calculation ▐ Measurement Menu [Figure 5.10 UE Artery Measurement Menu] The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report.

It is convenient to calculate each measurement value on the Spectral Doppler image. • 5 - 72 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Rt. Calculated after Subclabian A. Measurements and Calculations 5 - 73 Measurement Item Mode Method Unit Menu Vesl. Area Area, mm Rt. Radial A Vesl. Dist Distance cm, mm Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Velocity cm/s, m/s.

• 5 - 74 SONOACE X8 Operation Manual LE Vein Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. It is convenient to calculate each measurement value on the Spectral Doppler image. Measurements and Calculations 5 - 75 Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Rt. Vmax Velocity cm/s, m/s Dur T Time Vesl. Distance cm, mm Auto Trace.

• 5 - 76 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Dur T Time Rt. Metatarsal V Vesl. Distance cm, mm Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Rt. Measurements and Calculations 5 - 77 UE Vein Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. [Figure 5.12 UE Vein Measurement Menu] It is convenient to calculate each measurement value on the Spectral Doppler image. • 5 - 78 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Calculated after Rt.

Measurements and Calculations 5 - 79 Measurement Item Mode Method Unit Menu Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Calculated after%StA area measurement Calculated after Rt. Axillary V%StD distance measurement Vesl. • 5 - 80 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Velocity cm/s, m/s Calculated after%StA area measurement Calculated after%StD distance measurement Rt. Basilic V Vesl.

Area Area, mm Vesl. Dist Distance cm, mm. Measurements and Calculations 5 - 81 Measurement Item Mode Method Unit Menu Calculated after%StD distance measurement Vesl. Area Area, mm General Vesl. Dist Distance cm, mm Vel A Velocity cm/s, m/s Vel B Velocity cm/s, m/s. • 5 - 82 SONOACE X8 Operation Manual Radiology Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement.

Measured items are automatically recorded in a report. [Figure 5.13 Radiology Measurement Menu] It is convenient to calculate each measurement value on the Spectral Doppler image. Measurements and Calculations 5 - 83 Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Aorta Calculated after%StA area measurement Calculated after%StD distance measurement. • 5 - 84 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Velocity cm/s, m/s Velocity cm/s, m/s Calculated after%StA area measurement Hepatic A Calculated after%StD distance measurement Vesl. Area Area, mm Vesl. Dist Distance cm, mm. Measurements and Calculations 5 - 85 Measurement Item Mode Method Unit Menu Calculated after Vol.

Distance measurement Length Distance cm, mm Rt. Height Distance cm, mm Width Distance cm, mm Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace. • 5 - 86 SONOACE X8 Operation Manual TCD Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report.

[Figure 5.14 TCD Measurement Menu] It is convenient to calculate each measurement value on the Spectral Doppler image. Measurements and Calculations 5 - 87 Measurement Item Mode Method Unit Menu Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace Manual Trace Doppler spectrum trace Velocity cm/s, m/s Velocity cm/s, m/s Rt. ACA Calculated after%StA area measurement Calculated after. • 5 - 88 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Calculated after%StD distance measurement Rt. PCA(P2) Vesl. Area Area, mm Vesl.

Dist Distance cm, mm Auto Trace Doppler spectrum trace Limited Trace Doppler spectrum trace. Measurements and Calculations 5 - 89 Measurement Item Mode Method Unit Menu Velocity cm/s, m/s Velocity cm/s, m/s Calculated after%StA area measurement General Calculated after%StD distance measurement Vesl. Area Area, mm Vesl. Cadence Virtuoso Free Download With Crack For Windows. Dist Distance cm, mm Volume ml/m Automatic calculation.

• 5 - 90 SONOACE X8 Operation Manual Thyroid Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. [Figure 5.15 Thyroid Measurement Menu] It is convenient to calculate each measurement value on the Spectral Doppler image. Measurements and Calculations 5 - 91 Breast Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report.

[Figure 5.16 Breast Measurement Menu] For information on basic measurement methods, see ‘Basic NOTE Measurements’. • 5 - 92 SONOACE X8 Operation Manual Measurement Item Mode Method Unit Menu Calculated after Vol. Distance measurement Rt. Mass 1-10 Length Distance cm, mm Depth Distance cm, mm Width Distance cm, mm Auto Trace Doppler spectrum trace.

Measurements and Calculations 5 - 93 Testicle Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. [Figure 5.17 Testicle Measurement Menu] It is convenient to calculate each measurement value on the Spectral Doppler image. • 5 - 94 SONOACE X8 Operation Manual Superficial Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report.

[Figure 5.18 Superficial Measurement Menu] It is convenient to calculate each measurement value on the Spectral Doppler image. Measurements and Calculations 5 - 95 Pediatric Hips Calculation ▐ Measurement Menu Measured items are automatically recorded in a report.

[Figure 5.19 Pediatric Hips Measurement Menu] Measurement Item Method Unit Menu Three Distance Hip Angle Type ° Measurement ▐. • 5 - 96 SONOACE X8 Operation Manual Please refer to the table below for Hip Joint Type information: Type α β 60 ≤ α＜ 90 0 ＜ β＜ 55 60 ≤ α＜ 90 55 ≤ β＜ 90 50 ≤ α＜ 60 0 ＜.

Measurements and Calculations 5 - 97 Musculoskeletal Calculation ▐ Measurement Menu The measurement method for each item is the same as for basic measurement. Measured items are automatically recorded in a report. [Figure 5.20 MSK Measurement Menu] Measurement Item Method Unit. • 5 - 98 SONOACE X8 Operation Manual Report Measurement results are arranged by application and displayed on the screen in the form of a report. [Figure 5.21 The Report Screen – Example] Viewing Report Press the Report button on the control panel. The system switches to the Ultrasound Report screen.

Measurements and Calculations 5 - 99 ※ SonoReport When you set the ‘Use SonoReport’ checkbox at Utility >Measure Setup >General >Report, press the Report button on the control panel to view to the SonoReport screen. To view the Ultrasound Report screen, press the F3 key on the keyboards during measurement. • 5 - 100 SONOACE X8 Operation Manual ▐ Measurement Display Method The product allows you to measure one measurement item several times. However, only the first three measurement results are saved in a report. When taking the same item more than once, measurements can be displayed in four ways as below: On the edit report screen, you can specify or change the measurement display method.

Measurements and Calculations 5 - 101 [Figure 5.23 Comment] Printing Report Press Print in the report screen. If there is no connection with a printer, this button will not be displayed.

You can change the settings for printing measurement reports in Utility >NOTE Setup. • 5 - 102 SONOACE X8 Operation Manual [Figure 5.24 Saving Report] Transferring Report Press Transfer on the report screen. Transfer the report data using an RS232C cable. A button is created when a measurement is completed. To use this button, 1. Measurements and Calculations 5 - 103 [Figure 5.25 Template Report] ■ Cardiac Report Press Flexible soft dial-button [1] to exit the Template Report screen and switch to the general Cardiac Report screen. ■ Scroll Rotate Flexible soft dial-button [2] to scroll the report page up and down.

• 5 - 104 SONOACE X8 Operation Manual ■ Change Template Press Flexible soft dial-button [4] to display a screen where you can change the report template. ■ Change Logo Press Flexible soft dial-button [5]. Change the logo file to insert into the report. You can select the logo image files from an external storage device. Measurements and Calculations 5 - 105 [Figure 5.26 Graph] To display a graph, the LMP or Estab. Due Date should be saved under Patient Information, and the GA table and Fetal Growth table should be NOTE enabled.

A graph is created based on the patient ID, LMP and measurement date. • 5 - 106 SONOACE X8 Operation Manual History ■ The current and past measurements for a fetus are displayed in a concise format. ▐ History Press History in the left menu on the graph screen. The current and past measurements for a fetus are displayed in a tabular format. Measurements and Calculations 5 - 107 Standard Deviation & Percentile ※ Among OB information, the Growth Table and the typical fetal distribution for the same number of weeks are used to determine the following information: - The normal distribution curve. - The measurements for an actual fetus or a position in EFW distribution.

• 5 - 108 SONOACE X8 Operation Manual that the point falls within the range between 16 and 84. Further, if a point is in the range between -2 SD and +2 SD, it falls within 95.5% of the entire range. Thus, the point falls in the range between 3 and 97. • Chapter 6 Image Management REVIEWING IMAGES (CINE / LOOP)..2 ANNOTATING IMAGES...5....5...9 ARKER...11 NDICATOR SAVING, PLAYING AND TRANSFERRING IMAGES.13...13 AVING MAGES...14 LAYING MAGES...14 RANSFERRING MAGES PRINTING AND RECORDING IMAGES.. • 6 - 2 SONOACE X8 Operation Manual Reviewing Images (CINE / LOOP) Images are automatically saved in the memory during scanning. The saved images can be useful when a patient is diagnosed and reviewed. The saved images can be in CINE or LOOP depending on the diagnosis mode.

Image Managements 6 - 3 ▐ How to Review Images Use the Trackball on the control panel. You can search for saved images in chronological order by rotating the Trackball to the left or right. The number of images saved so far and the number of the image currently under review are displayed in the user information area. • 6 - 4 SONOACE X8 Operation Manual ▐ Reviewing Images in Multi-Image Mode Only images in an active area can be reviewed.

To review images in another area, change the active area by using the Dual or Quad button on the control panel. Alternatively, after pressing Pointer on the control panel, place the cursor in the area to activate and press the Set button on the control panel.

Image Managements 6 - 5 Annotating Images Text You can enter comments or text over an image. This function can be useful when the diagnosis area is differentiated or displayed.

▐ Starting Text Input Mode Press the F2 button in the Alphanumeric Keyboard. The system will switch to text input mode.

• 6 - 6 SONOACE X8 Operation Manual ▐ Typing Text Use the Alphanumeric Keyboard. Use the Document menu or the Flexible soft dial-button [3] to enter text automatically. You can move the cursor by using the Trackball or the arrow keys on the keyboard. Image Managements 6 - 7 [Figure 6.3 Text Edit] You can edit predefined Texts 1 – 10. Press OK to finish editing.

Press Cancel to cancel. ■ Change App. Use the Flexible Soft dial-button [5]. Change the application by rotating the dial- button. • 6 - 8 SONOACE X8 Operation Manual ▐ Exiting Text Input Mode Press Exit on the control panel.

Image Managements 6 - 9 Body Marker You can place a Body Marker over an image. This function can be useful when the diagnosis area is differentiated or displayed. ▐ Starting Body Marker Input Mode Press the Body Marker button on the control panel. The system will switch to Body Marker input mode and Body Markers will appear in the user information area. • 6 - 10 SONOACE X8 Operation Manual repeatedly to move to other pages.

Press the Flexible Soft button for the Body Marker that you want. The Body Marker will appear in the image. Position the probe cursor on the Body Marker using the Trackball. Image Managements 6 - 11 Indicator You can place an Indicator over an image.

This function can be useful when the diagnosis area is differentiated or displayed. You can place one or more Indicators on specific positions.

[Figure 6.6 Indicator Mode] ▐. • 6 - 12 SONOACE X8 Operation Manual Move the Indicator to a desired position by using the Trackball. Adjust the Indicator direction by using the Angle or the Menu dial on the control panel. Press the Set button to finish. Press the Exit button to cancel.

Image Managements 6 - 13 Saving, Playing and Transferring Images Saving Images ▐ Saving Still Images Press the Save button on the control panel. Images are stored and managed on a patient basis. Therefore, if you press the Save button without entering patient information, the Patient Information screen will appear first. • Transferring Images SONOACE X8 allows you to transfer images to the PACS system supporting DICOM. You can transfer all saved images automatically, or select a desired image and transfer it manually. For information on the DICOM server settings and DICOM operations, please refer to “Setting DICOM”.

Image Managements 6 - 15 Sending Exam ■ Send all images for an exam. Select an exam in the Exam List 2. Press the Send button at the bottom of the screen. All images for the selected exam will be sent.

• 6 - 16 SONOACE X8 Operation Manual Printing and Recording Images Set the function of Print 1 and Print 2 buttons first. Go to Utility >Setup >NOTE Peripherals >Print Key. Printing Images Press the Print 1 (or Print 2) button on the control panel.

Images are printed via an echo printer. • The image file types used in this product follow the international standard DICOM (Digital Imaging and Communication in Medicine). As a result, the PACS (Picture Archiving Communication System) can be implemented in the SonoAce X8 without any additional costs, and it’s easy to exchange image files with other hospitals or equipment. • 6 - 18 SONOACE X8 Operation Manual ▐ Image Scroll The image of the previous or next page is displayed on the screen. Use the Flexible Soft dial-button [2] Image Scroll or the Menu dial-button. Rotating the dial-button to the left displays the previous page image and rotating it to the right displays the next page image.

Image Managements 6 - 19 Compare Mode Press Compare in the upper left corner of the screen. The button will appear in yellow. In Compare Mode, you can select the images relating to an exam to compare and review them. [Figure 6.8compare Mode] ▐.

• 6 - 20 SONOACE X8 Operation Manual ▐ Selecting Images Use the Trackball and the Set button to select an image from the thumbnail list. The selected image is highlighted in yellow in the list. Select a location on the screen where the image will be displayed, and then the selected image will appear. Image Managements 6 - 21 ▐ Layouts You can adjust the number of images displayed on the screen. Use the Flexible Soft dial- button [1] Layout or the button on the screen. A maximum of 16 images (4 X 4) can be compared at the same time. • 6 - 22 SONOACE X8 Operation Manual ▐ Reviewing 3D Images If the saved image is 3D, the 3D indication ( ) appears at the bottom of the image.

Press 3D and the 3D View screen will appear allowing you to review the image. Image Managements 6 - 23 2.

Measure the circumference and area of the desired area. For information on measurements, please refer to “Basic Measurements” in Chapter 5 “Measurements.” 3. Press the icon again to finish measuring. ▐ Typing Text Press the Text Annotation ( ) icon on the screen. • 6 - 24 SONOACE X8 Operation Manual screen. The DICOM Printer window will appear.

Press the Transfer button to transfer the selected image to the DICOM server and print it. To cancel saving, press Close. ▐ Transferring Images 1. Press the Export Image ( ) icon on the screen.

Image Managements 6 - 25 ▐ Storage Manager Press the Device ( ) icon on the screen. The Storage Manager window will appear. For information on Storage Manager, please refer to Chapter 3 “Setting” in this manual.

▐ Closing SONOVIEW Press the Exit ( ) icon on the screen. • Chapter 7 Maintenance System Maintenance...2 Installation Requirements...2 Cleaning and disinfections...3 Fuse Replacement...5 Cleaning Air Filters...6 Accuracy Check...7 Administration of Information...8 User Setting Back up...8 Patient information Back-up...8 Software...8. • 7 - 2 SONOACE X8 Operation Manual System Maintenance The user must ensure that safety inspections are performed every two years according to the requirements of safety standard EN NOTE 60601-1. Only trained persons are allowed to perform the safety inspections mentioned above. Maintenance 7 - 3 Cleaning and disinfections Using inappropriate detergent or disinfectant may damage the product. Please read the following carefully. Turn off the system and disconnect the system power cord from the wall outlet.

Otherwise, it may result in electric shock or fire. WARNING Always use protective eyewear and gloves when cleaning and disinfecting the equipment. • 7 - 4 SONOACE X8 Operation Manual ▐ Disinfections CAUTION Use only recommended disinfectants on system surfaces. A disinfectant qualified by the FDA 510(k) process is recommended. The following disinfectants are recommended because of both their biological effectiveness (as qualified through the FDA 510(k) process) and their chemical compatibility with MEDISON ultrasound products. Maintenance 7 - 5 Fuse Replacement The power protection fuse protects the product from excess current. If the power monitoring protection circuit detects excess current, it shuts off the current to the equipment in order to prevent overheating and to restrict the ultrasound power output.

If the fuse blows, replace it as shown below. • 7 - 6 SONOACE X8 Operation Manual Cleaning Air Filters The air filters minimize the indraft of dust.

Clean the air filter to ensure that a clogged filter does not cause the system to overheat and reduce the noise and the system performance. Maintenance 7 - 7 Accuracy Check The product’s maintenance status may affect the measurements obtained using the product. The product should be maintained in an optimal state to ensure reliable measurements. To ensure optimal operation of the product, perform an accuracy check every year. The equations and table related to measurement accuracy are included in “Chapter 5 Measurements”. • 7 - 8 SONOACE X8 Operation Manual Administration of Information You may lose information files on user settings or patients, because of CAUTION shock on the product or internal error. Thus, back-up on a regular basis.

User Setting Back up Always keep a backup copy of all information related to the user settings in case of data loss. • Chapter 8 Probes Probes...2 Ultrasound transmission Gel...10 Sheaths...11 Probe Precautions...12 Cleaning and Disinfecting the Probe..13 MPTEE Probe (Optional)...22 Biopsy....26 Biopsy KIT Components...26 Using the Biopsy Kit...27 Cleaning and Disinfecting Biopsy Kit..29 Assembling the Biopsy Kit...31. • 8 - 2 SONOACE X8 Operation Manual Probes The probe is a device that sends and receives ultrasound for acquiring image data. It is also called a Transducer or Scanhead. The system limits patient contact temperature to 43 degrees Celsius, and acoustic output values to their respective U.S.

Probes 8 - 3 Probe Application Preset C3-7EP General, Early, Fetal Heart Pediatric General, Abdomen, Neo head, Hips C4-9/10ED Appendix General, Appendix Vascular General, Arterial, Carotid, Venous Musculoskeletal General, Elbow/Wrist, Hand/Foot, Shoulder/Knee Pediatric General, Abdomen L4-7EL Small Parts General, Breast, Superficial, Testicle, Thyroid Vascular General, Arterial, Carotid, Venous. • 8 - 4 SONOACE X8 Operation Manual Probe Application Preset Cardiac General, Aortic arch P2-4AH Pediatric Cardiology General, Aortic arch General Abdomen General, Aorta, Renal Cardiac General, Aortic arch P2-4AA Pediatric Cardiology General, Aortic arch General Abdomen General, Aorta, Renal. Probes 8 - 5 Probe Application Preset Gynecology General, Adnexa, Endometrium, Uterus 3D2-6ET General, Early, Fetal Heart Abdomen General, Aorta, Appendix, Renal 3D4-8EK Gynecology General, Adnexa, Endometrium, Uterus General, Fetal Heart, Cervix Abdomen General, Aorta, Appendix, Renal Gynecology General, Adnexa, Endometrium, Uterus 3D4-8ET General, Early, Fetal Heart. • 8 - 6 SONOACE X8 Operation Manual ■ Function list Some functions depend on probe and its application. See following table. Probe Application Q Scan Biopsy ● Abdomen C2-5EL ● ● ● ● Gynecology ● ● Abdomen C2-5EP ● ●. Probes 8 - 7 Probe Application Q Scan Biopsy Pediatric L5-12EP Small Parts ● ● ● Vascular Musculoskeletal Pediatric L5-12/50EP ● ● ● Small Parts Vascular ● Musculoskeletal Pediatric LN5-12 ● ● Small Parts ● ● ● Vascular Abdomen ●.

• 8 - 8 SONOACE X8 Operation Manual Probe Application Q Scan Biopsy ● Gynecology EV4-9/10ED ● ● Urology Gynecology ● NER4-9ES ● Urology Gynecology ● NEV4-9ES ● Urology Abdomen ● 3D2-6ET ● ● ● Gynecology ● ● Abdomen 3D4-8EK ●. • ▐ Thermal Index (TI) Tables TI values displayed on the screen title bar can change depending on probes and applications. SONOACE X8 decides automatically which TI value will be displayed out of TIs, TIb, and TIc.

The TI values are as follows. • 8 - 10 SONOACE X8 Operation Manual Application Probe NEV4-9ES 3D2-6ET 3D4-8EK 3D4-8ET 3D4-9ES 3D5-9EK 3DC2-6 CW2.0 CW4.0 Ultrasound transmission Gel Using an inappropriate ultrasound gel may damage the probe. For proper transmission of the acoustic beam, only use ultrasound transmission gel only approved by MEDISON. Probes 8 - 11 Sheaths Sheaths are recommended for clinical applications of an invasive nature, including intraoperative, transrectal, transvaginal, and biopsy procedures. MEDISON does not supply sheaths so that you should purchase appropriate ones on your own. ▐ Installing the Sheath ■. • 8 - 12 SONOACE X8 Operation Manual Probe Precautions ■ Do not apply mechanical shock to the probe.

■ Do not place the probe cable on the floor where the cable can be run over by equipment wheels, etc. Do not apply excessive force to bend or pull the cable. Probes 8 - 13 ▐ Electric Shocks The probe uses electrical energy. If it touches conductive materials, there are risks of electric shocks to the patient or the user. ■ Regularly receive short-circuit examination from the MEDISON Customer Support Department.

• 8 - 14 SONOACE X8 Operation Manual Disinfectants Names Type Active Ingredient C2-5EL ● ● ● C2-5EP C2-8 C3-7EP ● ● C4-9/10ED ● ● L4-7EL ● ● ● HL5-12D L5-12EC ● ● ● L5-12EP L5-12/50EP ● ● LN5-12 ● ●. Probes 8 - 15 Disinfectants Names Type Active Ingredient C2-5EL ● ● ● ● ● ● ● ● C2-5EP C2-8 C3-7EP ● ● ● ● C4-9/10ED ● ● ● ● ● L4-7EL ● ● ● ● ● ● ●. • 8 - 16 SONOACE X8 Operation Manual Disinfectants Cleaner Names Type Active Ingredient C2-5EL ● ● ● ● ● ● ● C2-5EP C2-8 C3-7EP ● ● C4-9/10ED ● ● L4-7EL ● ● ● ● ● HL5-12D L5-12EC ● ● ●. Probes 8 - 17 Cleaner Names Type Active Ingredient C2-5EL ● ● C2-5EP C2-8 C3-7EP ● ● ● C4-9/10ED ● ● L4-7EL ● ● HL5-12D L5-12EC ● ● L5-12EP L5-12/50EP ● ● ● LN5-12 ● ● ● P2-4AH ●. • 8 - 18 SONOACE X8 Operation Manual ※ Symbols Compatible but no EPA Registration FDA 510(k) qualified Has CE mark Discontinued Under Development Spray Wipe Liquid Powder Not compatible(DO NOT USE) ● Compatible Staining may occur on housing parts; however, the acoustic performance ★. Probes 8 - 19 Following is information about manufacturer (or Distributor) of Detergent, Disinfectant, and Ultrasound Gel.

Product Manufacturer or Distributor Telephone number Aquasonics Parker Co. +1-800-631-8888(USA) +1-800-445-6741(USA) Cidex CIVCO Co. +1-319-656-4447(Worldwide) +1-800-445-6741(USA) Enzol CIVCO Co. +1-319-656-4447(Worldwide) GIgasept AF S&M(Schulke&mayr) Co. • 8 - 20 SONOACE X8 Operation Manual Disconnect the probe from the system. Remove any biopsy adapters or biopsy needle guides. (Biopsy adapters are re-usable and can be disinfected).

Discard sheaths. (Sheaths are single-use items).

Use a soft cloth lightly dampened with mild soap or compatible cleaning solution to remove any particulate matter and body fluid that remain on the probe or cable. Probes 8 - 21 is complete. Air dry the probe or towel it dry with a clean cloth. [Figure 8.1 Disinfection]. • 8 - 22 SONOACE X8 Operation Manual MPTEE Probe (Optional) Multi planr transesophageal echocardiography (MPTEE) probe is one of the intracavity probes. You should read the following information before you use the MPTEE probe. ▐ Usage of MPTEE Probe [Figure 8.2 Dials of MPTEE Probe] Angle of lens: Use dial ①.

Probes 8 - 23 [Figure 8.4 Scan Head Tilting] Locked Mode: It makes the action of the Head and lens unnaturally while using the probe. To Lock the probe, turn the silver handle until the red sign is displayed. [Figure 8.5 Lock Status] ▐.

• 8 - 24 SONOACE X8 Operation Manual If the temperature of surface temperature is over 40℃, the warning message will be appeared. 40℃: Estimated surface temperature of 40degrees C 41℃: Estimated surface temperature of 41degrees C 42℃: Estimated surface temperature of 42degrees C 43℃: Approaching thermal limit. Probes 8 - 25 ■ Disinfection Do not use other disinfection methods like ethanol, Iodine, Steam, Heat or WARNING Ethylene Oxide. The probe should never be left in the disinfection solution for more than 1 hour. CAUTION Do not forget to rinse the probe directly after disinfection. When necessary ultrasound probes can be disinfected using liquid chemical germicides. • 8 - 26 SONOACE X8 Operation Manual Biopsy A biopsy is an examination method that surgically extracts tissue from the patient for examination.

The probe and the biopsy kit are used together when conducting a biopsy with the ultrasonographic image scanner. Probes 8 - 27 Using the Biopsy Kit ■ Verify the condition of the biopsy needle before use. Do not use a bent biopsy needle. ■ The biopsy needle may bend during tissue penetration. The precise WARNING location of the needle must be checked by monitoring the echo generated from the needle.

• 8 - 28 SONOACE X8 Operation Manual Begin scanning the patient. Adjust the patient so that the location for examination fits into the needle guideline on the screen. Insert the needle into the needle guide. Perform the puncture by sliding the needle through the groove in the guide until the needle intercepts the target.

Probes 8 - 29 Cleaning and Disinfecting Biopsy Kit Wash and disinfect the biopsy kit to reduce pathogens to the level of 10. Some components of the biopsy kit may be disposable. Please read the biopsy kit user manual carefully before use. Refer to the table of ‘Cleaning and Disinfecting the Probe’. • 8 - 30 SONOACE X8 Operation Manual ▐ Cleaning and Disinfection of plastic biopsy kit Cleaning ■ 1. After use, remove the biopsy kit from the probe.

Disassemble the biopsy kit into its component parts, if applicable. Discard the single-use parts. Probes 8 - 31 Assembling the Biopsy Kit ▐ C5-2EL Biopsy guide ■ Specifications Model name BP-KIT-010 Biopsy Adapter 1 EA Component 1 EA Material Acetal Copolymer Available Gauges 14G, 16G, 18G, 20G, 22G Installation ■ 1.

Mount the Biopsy Adapter onto the probe. • 8 - 32 SONOACE X8 Operation Manual 3. Choose a needle guide of the desired gauge and secure it to the adapter. Secure the Needle Guide Clip.

Insert the needle into the needle guide for use. Probes 8 - 33 ▐ C2-5EP Biopsy Guide ■ Specifications Model name BP-KIT-021 Biopsy Adapter 1 EA Component Needle Guide 8 EA Material Polyurethane Available Gauges 16G, 18G, 22G ■ Installation 1. Mount the Biopsy Adapter onto the probe.

• 8 - 34 SONOACE X8 Operation Manual 4. Choose a needle guide of the desired gauge and secure it to the adapter. Insert the needle into the needle guide for use.

▐ C2-8Biopsy Guide ■ Specification BP-KIT-035 Model name. Probes 8 - 35 2. Fill the sheath with the ultrasound gel and place the sheath all the way down to the Adapter. Secure the Needle Guide Clip. Insert the needle into the needle guide for use.

• 8 - 36 SONOACE X8 Operation Manual ■ Installation 1. Mount the adapter onto the probe. Fill the sheath with the ultrasound gel and place the sheath all the way down to the Adapter.

Secure the Needle Guide Clip. Probes 8 - 37 ▐ L4-7EL Biopsy Guide Specifications ■ Model name BP-KIT-014 Biopsy Adapter 1 EA Component Needle Guide Pack 1 EA Material Polyurethane 14G, 16G, 18G, 20G, 22G, 25G Available Gauges ■ Installation 1.

Mount the adapter onto the probe. • 8 - 38 SONOACE X8 Operation Manual 3. Mount the needle guide onto the adapter. Mount the needle guide clip on the adapter to provide a desired gauge. Insert a needle into the needle guide for use. Probes 8 - 39 ▐ L5-12EP Biopsy Guide Specifications ■ Model name BP-KIT-023 Biopsy Adapter 1 EA Component Needle Guide 8 EA Material Polyurethane Available Gauges 16G, 18G, 22G ■ Installation 1.

Mount the adapter onto the probe. • 8 - 40 SONOACE X8 Operation Manual 4. Choose a needle guide of the desired gauge and secure it to the adapter. Insert the needle into the needle guide for use. ▐ HL5-12ED Biopsy Guide ■ Specifications BP-KIT-022 Model name.

Probes 8 - 41 2. Insert gel into sheath.

And cover it. Choose a needle guide of the desired gauge and secure it to the adapter. Lock the needle guide like following (a), (b). Press the needle guide like (c), and install the needle into the needle guide. • 8 - 42 SONOACE X8 Operation Manual ▐ L5-12EC Biopsy Guide ■ Specifications BPL-75/40-AC Model name Biopsyadapter Component Material Stainless re-usable Available Gauges 8G, 14G, 16G, 18G, 20G, 22G ■ Installation 1.

Mount the adapter onto the probe. Choose a needle guide of the desired gauge and secure it to the adapter. Probes 8 - 43 ▐ L5-12/50EP Biopsy Guide NOTE To purchase this biopsy kit, please contact the local office. ■ Specification BP-KIT-020 Model name Biopsy Adapter Component Needle Guide Polyurethane Material 16G, 18G, 22G Available Gauges Installation ■ 1. • 8 - 44 SONOACE X8 Operation Manual 2. Mount the needle guide for the desired gauge onto the adapter.

Lock the needle guide. Insert the needle into the needle guide for use. ▐ LN5-12 Biopsy Guide Specification BP-KIT-040. Probes 8 - 45 Installation 1. Mount the adapter onto the probe. Fill the sheath with the ultrasound gel and place the sheath all the way down to the Adapter.

Secure the Needle Guide Clip. Insert the needle into the needle guide for use. • 8 - 46 SONOACE X8 Operation Manual EV4-9/10ED, ER4-9/10ED Biopsy guide ▐ Specifications ■ BP-KIT-024 Model name Biopsy Adapter 1 EA Component Sheath 2 EA Stainless Material Available Gauges ■ Installation 1. Fill the sheath with the ultrasound gel and place the sheath all the way down to the Adapter. Probes 8 - 47 ▐ NER4-9ES, NEV4-9ES Biopsy guide (Disposable Type) Specification ■ Model name BP-KIT-018 Package 24 EA Component Biopsy Adapter 1 EA Sheath 2 EA Plastic Material Available Gauges ■ Installation 1.

Fill the sheath with ultrasound gel and insert the probe. • 8 - 48 SONOACE X8 Operation Manual ▐ NER4-9ES, NEV4-9ES Biopsy guide (Reusable Type) Specification ■ Model name BP-KIT-019 Biopsy Adapter 1 EA Component Cleaning Brush 5 EA Material Stainless Available Gauges Installation ■ 1. Fill the sheath with ultrasound gel and insert the probe. Probes 8 - 49 ■ Installation 1. Place the biopsy adapter onto the probe. Fill the sheath with ultrasound gel and insert the probe.

Mount the needle guide on the adapter. Install the needle into the needle guide for use. • 8 - 50 SONOACE X8 Operation Manual ▐ 3D4-9ES Biopsy guide Specifications ■ Model name BP-KIT-027 Component Adapter 1 EA Material Stainless Available Gauges 16~22G ■ Installation 1. Fill the sheath with ultrasound gel and insert the probe. Mount the adapter to the probe and insert the needle. Probes 8 - 51 ▐ 3D4-8EK Biopsy guide Specifications ■ Model name PEC-51 Adapter 1 EA Guide 1 EA Component Case 1 EA User Manual 1 EA Material Stainless Available Gauges 16G, 18G, 22G ■ Installation 1.

Mount the Biopsy adapter onto the probe. • 8 - 52 SONOACE X8 Operation Manual ■ Installation 1. Mount the Biopsy adapter onto the probe. Turn the knob to fix the adapter on the probe. Install the needle into the needle guide for use. ▐ 3DC2-6 Biopsy Guide ■. Probes 8 - 53 Installation ■ 1.

Place the biopsy adapter onto the probe. Fill the sheath with ultrasound gel and insert the probe. Mount the needle guide on the adapter. Install the needle into the needle guide for use.