EDAN INSTRUMENTS SD1MEDAN Ultrasonic Pocket Doppler User Manual
EDAN INSTRUMENTS, INC. Ultrasonic Pocket Doppler
Contents
- 1. User manual
- 2. User Manual
User manual
SD1 Ultrasonic Pocket Doppler User Manual About this Manual P/N: 01.54.457985 MPN: 01.54.457985012 Release Date:Apr. 2018 © Copyright EDAN INSTRUMENTS, INC. 2017-2018. All rights reserved. Statement This manualwill help you understand the operation and maintenance of the product better. It is reminded that the product shall be used strictly complying with this manual. User’s operation failing to comply with this manual may result in malfunction or accident for which Edan Instruments, Inc. (hereinafter called EDAN)cannot be held liable. EDAN owns the copyrights of this manual. Without prior written consent of EDAN, any materials contained inthis manual shall not be photocopied, reproduced or translated intoother languages. Materialsprotected by the copyright law, including but not limited to confidential information such as technical information and patent informationare contained in this manual, the user shall not disclose such information to any irrelevant third party. The user shall understand that nothing in this manual grants him, expressly or implicitly, any right or license to use any of the intellectualproperties of EDAN. EDAN holds the rights to modify, update, and ultimately explain this manual. Responsibility of the Manufacturer EDAN only considers itself responsible for any effect on safety, reliability and performance of the equipment if: Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by EDAN, and The electrical installation of the relevant room complies with national standards, and The instrument is used in accordance with the instructions for use. EDAN will make available on request circuit diagrams, component part lists, descriptions, calibration instructions, or other information that will assist service personnel to repair those parts of the equipment that are designated by EDAN as repairable by service personnel. Product Information Product Name:Ultrasonic Pocket Doppler Model:SD1 Terms Used in this Manual This guide is designed to give key concepts on safety precautions. WARNING AWARNING label advises against certain actions or situations that could result in personal injury or death. CAUTION A CAUTIONlabel advises against actions or situations that could damage equipment, produce inaccurate data, or invalidate a procedure. NOTE A NOTE provides useful information regarding a function or a procedure. Safety Precautions CAUTION Federal (U.S.) Law restricts this device to sale by or on the order of a physician. NOTE: This user manual is written to cover the maximum configuration. Therefore, your model may or may not have some of the parameters and functions described, depending on what you have ordered. This unit is internally powered equipment, and it is an IEC/EN 60601-1 Type BF applied part. Type BF protection means that the connection between the equipment and personnel complies with permitted leakage currents and dielectric strength of IEC/EN 60601-1. WARNING and CAUTION messages must be observed. To avoid the possibility of injury, observe the following precautions during the operation of the device. WARNING 1 It is to be used by health care professionals on the order of a physician. 2 The Doppler is a tool to aid the healthcare professional and should not be used in place of normal fetal monitoring. It is not intended for treatment. 3 Placement of the ultrasound transducer on the abdomen is critical to obtaining the fetal heart beat as opposed to maternal heart beat or other abdominal noise. The user should be trained in proper placement techniques either through acceptable Ob/Gyn training and individual state accreditation, or as being prescribed by such a trained clinician and trained in device placement. 4 This device is not explosion-proof and cannot be used in the presence of flammable anesthetics. 5 Magnetic and electrical fields are capable of interfering with the proper performance of the device. For this reason, make sure that all external devices operated in the vicinity of this device comply with the relevant EMC requirements. X-ray equipment and magnetic resonance imaging (MRI) devices can emit high levels of electromagnetic radiation. 6 We recommend that exposure to ultrasound should be kept as low as reasonably achievable. This is considered to be good practice and should be observed at all time. 7 Do not use the device with HF surgical equipmentand do not use it in an MRI environment. 8 The device is not protected against defibrillation. 9 SHOCK HAZARD - Do not attempt to replace batteries with wet hands. 10 Do not connect any equipment or accessories that are not approved by the manufacturer or that are not IEC 60601-1 approved to the device. The operation or use of non-approved equipment or accessories with the device is not tested or supported, and device operation and safety are not guaranteed. 11 Using accessories other than those specified by the manufacturer may result in increased electromagnetic emissions or decreased electromagnetic immunity of the device. 12 The device should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary, the device should be observed to verify normal operation in the configuration in which it will be used. 13 The medical electrical equipment needs to be installed and put into service according to the EMC Information provided in this user manual. 14 Portable and mobile RF communications equipment can affect medical electrical equipment; refer to section Recommended Separation Distances. 15 Do not service or maintain the device or any accessory which is in use with a patient. CAUTION 1 Refer servicing to qualified personnel. 2 Keep the device in a clean environment and avoid vibration during storage. 3 Do not sterilize the Doppler. 4 Electromagnetic Interference - Ensure that the environment in which the device is operated is not subject to any source of strong electromagnetic emissions, such as radio transmitters, mobile telephones, etc. 5 Prior to examination using the Doppler, check for visible damages of the main unit and the probe that may endanger the patient/operator or machine performance. If the damage is found, replace them with good ones at once. 6 The following safety checks should be performed once every two years or as specified in the institution’s test and inspection protocol by a qualified person who has adequate training, knowledge, and practical experience to perform these tests. Inspect the equipment for mechanical and functional damage. Inspect the safety relevant labels for legibility. Inspect the equipment for mechanical and functional damage. Inspect the safety relevant labels for legibility. The leakage current should never exceed the limit. The data should be recorded in an equipment log. If the device is not functioning properly or fails any of the above tests, the device has to be repaired. 7 The device and accessories are to be disposed of according to local regulations after their useful lives. Alternatively, they can be returned to the dealer or the manufacturer for recycling or proper disposal. Batteries are hazardous waste. Do NOT dispose them together with house-hold garbage. . Introduction Appearance(Above pictures are just for reference) Loudspeaker LCD Screen Screw Touch Keys Battery Compartment Cover LCD Display& Touch Keys Description Fetal heart icon Fetal heart signal intensity indicator Indicates fetal heart beat and flickers to the fetal heart beat. This indicator displays on the left side of the screen and has three status: empty, half empty and full, which respectively represents low, medium and high fetal heart signal intensity. Displays fetal heart rate within the range from 50 bpm to 240 bpm. When fetal heart rate is out of the range, it displays “---”. Sound volume numeric is displayed in the center of the screen, the same area as the FHR numeric. When you adjust sound volume, the sound volume numeric will display for 0.5 second before switching back to display FHR numeric. Sound volume ranges from level 0 to 7. Battery indicatordisplays on the right side of the screen. There are 5 battery levels, represented by 0 to 4 panes in the icon. When battery is empty, battery FHR numeric Sound volume numeric Battery indicator empty icon will be displayed and flickering, and the battery needs replacing. Intended Use/Indications for Use The SD1 is a “pocket Doppler” device, meaning a hand-held, battery powered audio Doppler device integrated with 3 MHz probe, used for detecting fetal heart beats. It is intended to be used by medical professionals. Features FHR monitoring and display FH signal intensity indicator FH sound FH icon Switching off when no signal received Battery indicator for 2 Min Sound volume adjustment Low battery warning Bluetooth connection (Optional) Sound volume levels Ultrasonic Transducer Head Item Sound volume increase touch key Sound volume decrease touch key Touch the keyfor a little while to increase sound volume. Touch the key for a little while to decrease sound volume. On/Off touch key When the Doppler is off, touch this key for a little while to switch it on; When the Doppler is on, touch this key for a little while to switch it off. Battery SD1 is powered by two AA alkaline batteries. Battery specification: LR6, AA, 1.5 V; Note: You can use AA alkaline batteries of the same specification purchased locally. Basic Operation NOTE: To ensure that the Doppler works properly, please read this chapter and ChapterSafety Safety Precautions before operation; follow the steps when connecting all the components. Opening the Package and Checking Open the package; take out the Doppler and accessories carefully. Keep Ke the package for possible future transportation or storage. Check the components according to the packing list. Check for any mechanical damage. Check all the cables and accessories. If there is any problem, contact us or your local distributor immediately. immediate Installing the Battery a) Unscrew nscrew the screw with a cross screwdriver and remove the battery compartment cover. b) Insert the battery into the compartment carefully. Ensure its anode and cathode terminals are aligned with the anode and cathode marks on the compartment. c) Install the compartment cover cov and secure it with the screw. Removing/ Replacing the Battery a) Unscrew the screw with a cross screwdriver and remove the battery compartment cover. cover b) Take out the used battery. You can also replace it with a new one. Ensure the new battery’s terminals are placed in the right direction as indicated by the anode and cathode marks. c) Install the compartment cover and secure it with the screw. WARNING Turn off the Doppler before removing or replacing the battery. Replace alkaline batteries with those of identical specifications provided by the manufacturer or purchased locally. SeeChapter Product Specificationsfor Specifications details about battery specifications. If the batteries have been inserted incorrectly, the Doppler will not 4 10 11 12 13 14 function or it will be damaged. Do not disassemble or short-circuit batteries. Do not recharge batteries. Do not dispose of batteries in fire or water. Do not allow metal objects to contact the battery terminals. Do not mix with used or other battery type (such as alkaline with carbon zinc). Do not solder the batteries directly. If soldering or welding connection to the battery is required, consult our engineer for proper methods. Do not over-discharge batteries. To install or remove batteries, follow the equipment manufacturer’s instructions. Keep battery away from small children. If swallowed, consult a physician at once. Store the battery in cool, dry place before use.Do not keep batteries at temperature of 45°C or above, or at humidity of 75% or above. Dispose the battery according to the local regulations. Refer to IEC61429 for standard disposal when necessary. Switching On Touch the On/Off touch key for about 1second when the Doppler is off, and the Doppler will display the switching on interface before switching to display the test interface Switching Off Touch the On/Off touch key for about 1second when the Doppler is on, and the Doppler will be switched off. If the Doppler is not in operation or no signal is received for 2 minutes, the Doppler will switch off automatically. FHR Monitoring Before applying the Doppler to inspect FHR, you should always check whether the Doppler is in good condition and whether there is evident damage that might affect patient’s safety and the device’s function.If evident damage is found, stop using it at once and replace it with a good one. Procedures to Monitor FHR: a) Have the patient lie on her back. b) Apply appropriate amount of coupling gel to the ultrasonic transducer head of the Doppler and switch on the Doppler. c) Palpate the patient’s abdomen gently to confirm the fetus’s The coupling gel position. should not exceed d) Place the Doppler on this limit. the patient’s abdomen, and move it around the This area can fetus’s position or tilt it be immerged in until a clear and coupling gel rhythmic heart sound is heard and FHR numeric is stably displayed. Note: 1 Do not mistake the maternal heart rate for fetal heart rate.Do not mistake the maternal heart rate for fetal heart rate. The fetal pulse should be different from the maternal pulse, which can be measured at the wrist or neck. 2 Do not wear gloves to touch the keys. If there's water and coupling gel on the fingers, please clean them first or the touching effect will be influenced. How to Find the Best FH Signal: 1) The easiest way: take the position the doctor last monitored for FHR as a reference and move the Doppler around the position slowly until the best FH signal is found. 2) The fetal heart position may change as the fetus moves inside the uterus. You can confirm the fetal position first according to the position of the uterus fundus in different gestational weeks. The clearest and loudest fetal heart sound is generally obtained when the Doppler is placed on the fetus’s back. Fetal movement is usually the movement of fetal limbs. So, if frequent fetal movement occurs at the right side of the abdomen, the fetus’s back is probablyat the left sideand vice versa.You can find the fetus’s back according to fetal movement’s position. If the fetus is in cephalic delivery position, the fetal heart is either on the right side or on the left side below the navel; if the fetus is in breech delivery position, the fetal heart is either on the right side or on the left side above the navel. Steps to Find Fetal Heart: Have the patient lie on back and relax >> confirm fetal position by hand >> apply coupling gel to the Doppler>> place the Doppler on patient’s abdomen and start looking for the fetal heart >> the fetal heart is found when the Doppler gives out a continuing thumping sound “boom-boom-boom”. CAUTION The Doppler’s degree of protection against harmful ingress of water is IP22. Do not immerse it in water. The Doppler is delicate and sensitive. Please handle it with care and try to avoid dropping on to the ground or any hard surfaces. Any damage caused by dropping is not covered by the warranty. Keep the coupling gel away from children. If swallowed, consult a physician at once. Note: 1 The best quality of fetal heart signal is obtained only when the Doppler is placed in the best monitoring position. 2 Do not place the Doppler near positions where placental sound or umbilical blood flow sound is loud. 3 If the fetus is in the cephalic position and the mother is supine, the clearest heart sound will normally be found on the midline below the navel. During monitoring, the pregnant woman’s prolonged lying in the supine position should be avoided to reduce the possibility of supine hypotension. Putting a pillow or cushion under the patient’s head or feet can be of help. 4 It is not possible to obtain accurate FHR unless a clear fetal heart signal is detected. If the calculated FHR is not in accordance with the beat of the fetal heart sound, the fetal heart sound auscultation result shall prevail. 5 When applied to the patient, the Doppler may warm slightly (less than 2°C (35.6°F) above ambient temperature). When NOT applied, the Doppler may slightly (less than 5°C (41°F) above ambient temperature). After Monitoring 1) Switch off the Doppler. 2) Wipe the remaining gel off the patient and the probe with a clean soft cloth or tissue. Mobile Application Software (APP) SD1 can connect to mobile phones with its Bluetooth function (optional). The SD1 APP has both Android and iOS versions. iOS APP operating environment: Android APP operating environment: A) hardware environment A) hardware environment Processor: dual-core Apple A6 CPU: frequency≥1.0GHz RAM: ≥1GB RAM: ≥1GB B) software environment: iOS B)software environment: Android 8.0 and above operating system 4.3 and above operating system C)network environment: support C)network environment: support Bluetooth Bluetooth How to use SD1 Medical APP 1.Download and install software Scan either of the following QR codes to download the SD1Medical APP, and install and run it as prompted. Note: 1 Your mobile phone may prohibit the installation of “applications from unknown sources”. Enter Settings to allow the installation first. 2 For normal functioning of the APP, TBC TBC please give the APP function-related permissions. 3 For how to use the APP, read the instructions in the About sub-interface under the Settings interface of the APP. 2.Activate the device Open the APP and go to Settings>Activation and input SD1 activation code (14 numbers after 01). 3.Pair device Open Bluetooth function of the mobile to automatically pair the SD1. 4.Start detection Put the coupling gel on SD1 and position the probe to the optimal place of maternity's abdomen. And click the "start" key. After pressing start, confirm that the data on the APP and the SD1 probe match. As with any Bluetooth communication, it is important to make sure the connection is not compromised. 5.Adjust the fetal heart beat sound volume When using mobile phone to play the fetal heart beat sound, you can adjust the volume with the volume keys of the mobile phone. When using SD1 to play the heart beat sound, touch ‘volume+’ or ‘volume -’ to adjust the volume. 6.Finish the monitoring When the monitoring is finished, click ‘Stop’ touch key and the detection data will be saved automatically. Note:Please make sure your mobile phone has enough battery power,and avoid killing the process directly or switching to other applications during the fetal heart monitoring. 7.Real time detection mode and DEMO mode We provide DEMO mode for users' reference. You can turn on DEMO key in Setup and enter fetal heart monitoring interface to watch the DEMO. The word ‘DEMO’ is displayed in the interface to distinguish from real time detection. WARNING SD1 complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: 1)this device may not cause harmful interference, and 2)this device must accept any interference received, including interference that may cause undesired operation. NOTE: 1.This equipment (SD1) has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correctthe interference by one or more of the following measures: measu -Reorient Reorient or relocate the receiving antenna. -Increase Increase the separation between betw the equipment and receiver. -Connect Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. -Consult Consult the dealer or an experienced radio/TV technician for help. 2.Any Any changes or modifications to this unit not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment. Maintenance and Cleaning Maintenance Before each use, check if the equipment has visible evidence of damage that may affect the patient and the operator’s safety or the Doppler’s functioning. If the damage is evident, contact the manufacturer for service or replace it. The overall check of the Doppler, including safety sa check and function check, should be performed by qualified personnel every 12 months, and each time after service. And safety check must include current leakage test and insulation test. Besides the above requirements, comply with local regulations on maintenance and measurement. The accuracy of FHR is determined by the Doppler and cannot be adjusted by user. If you have doubt concerning the accuracy of FHR, verify it with other methods such as using a stethoscope, or contact local distributor or the manufacturer for help. The Doppler is frangible and must be handled with care.Wipe the remaining gel off the Dopplerafter each use. These measures can help prolong the Doppler’s life. Replace the accessories such as the battery according to use. If any of the accessories are damaged, refer to chapter Ordering Information for details and order new ones. Please check the label for the date of manufacture, the service life is 5 years ( The service life is limited to the Doppler, not including the replaceable accessories. The only replaceable accessory of SD1 is battery. The frequency of usage is 8 hours/day). Cleaning Before cleaning, switch off the Doppler. Keep the exterior surface of the device clean and free of dust and dirt. Clean the exterior surface of the Doppler with a dry, soft cloth. If necessary, clean it using a soft cloth dampened with mild near neutral detergent, ethanol (75%) or isopropanol (70%), and then wipe it dry with a dry cloth immediately. CAUTION 1 Do not use strong solvent, such as acetone. 2 Never use an abrasive such as steel wool or metal polish. 3 The Doppler’s degree of protection against harmful ingress of water is IP22. Do not immerse it in water. 4 Do not remain any solution on the surface after cleaning. Disinfection In normal use theDoppler does not need disinfection. In case of being soiled, clean the main unit case and then disinfect it by wiping it with a soft cloth dampened with ethanol (75%) or isopropanol (70%). Then wipe it dry with a dry cloth. CAUTION Do not immerse the Doppler into the disinfector. Sterilization Do not sterilize the Doppler. Doppler NOTE: After cleaning or disinfection, check if the opDpler op functions well. If any problem is detected, please contact the manufacturer for service before reusing it. Checking Item Method Visual Check Inspect the Doppler for any damage. Functional Check Check if the Doppler can be switched on and off normally (see Switching On and Switching Off).When the Doppler is switched on, check if the display panel works as described in LCD Display&Touch Keys; touch the ultrasonic transducer head gently with your hand and check if the Doppler gives out sound normally. Product Specifications Product Information Product Name Ultrasonic Pocket Doppler Model SD1 Complied Standards IEC 60601-1:2005/A1:2012, 60601 EN 60601-1:2006/A1:2013, 60601-1-2:2014, IEC 60601-2-37:2015,IEC 61266:1994 Classification IEC Anti-electric electric Shock Type: Internally powered equipment Anti-electric electric Shock Degree: Degree of Protection against Harmful Ingress of Water: Degree of Safety in Presenceof Flammable Gases: Type BF equipment Working System: Continuous running equipment EMC: CISPR 11 Group 1 Class B IP22. Do not immerse it in water. Equipment not suitable for use in presence of flammable gases Physical Specifications Size: Length*Width* Height: (48±2) mm× (39±2) mm× (147±3) mm Weight: LCD: Coupling Gel: < 180g Size: (24±2) mm× (13±2) mm Display: ◆FHR ◆Battery level ◆Signal intensity ◆Sound level ◆FH icon volume pH: 5.5~8.0 Acoustic Impedance: 1.5x106 Pa.s/m ~1.7x106Pa.s/m (35°C/95ºF) Environment Temperature:+5°C ~ +40°C ( +41ºF ~ +104ºF) Humidity:15% RH ~ 95% RH(non-condensing) Atmospheric Pressure:70kPa ~ 106 kPa Working: Transport Storage: and Temperature:-25°C ~ +70°C (-13ºF ~ +158ºF) Humidity:15% RH ~ 95% RH (non-condensing) Atmospheric Pressure:70 kPa ~106 kPa Performance Specifications FHR Measuring Range: 50 bpm ~ 240 bpm Accuracy: ±2 bpm FHR (Essential Note: FHR measurement result may not be Performance): accurate if the equipment is measuring beyond its measuring range. FHR Resolution: 1bpm Output Power: 2w Audio Output: Background noise: <45dBA Overall Sensitivity: >110dB Power off when the Doppler receives no signal or Auto Power-off: operation for 2 minutes. TransmissionRange (Without Obstacles) :>5m Bluetooth: (Indoor range depends on the building’s structure and material.) Nominal Frequency: 3MHz Working Frequency: 3MHz p_<1 MPa Iob<10 mW/cm2 Ispta<100 mW/cm2 Ultrasound: Isata<10 mW/cm2 Isppa.3<190 W/cm2 Ispta.3<94 mW/cm2 Effective Radiating Area: 490mm2 ± 15% Working Mode: pulse wave Battery Specifications Specification: Two AA 1.5V alkaline batteries (AA, LR6, 1.5V) Working Duration: ◆≥6h Bluetooth Specifications FCC ID SMQSD1MEDAN Modulation: GFSK π /4-DQPSK 8DPSK Frequency: 2400-2483.5MHz Tolerance Frequency: ≤ 20ppm RF output power: ≤ 20dBm (EIRP) Occupied Channel Bandwidth: ≤ 2MHz Transmitter Unwanted Emissions: ≤﹣30dBm Low OutputSummary Table (For systems whose global maximum valuedoes not exceed 1.0) System: SD1 Ultrasonic Pocket Doppler Model Ispta.3 TI TI Isppa.3 MI (MHz) (mW/cm2) Type Value (W/cm2) TIS 0.05 SD1 5.69 0.01 0.02 CD3.0 TIB 0.01 Ordering Information CAUTION Only the parts supplied by the manufacturershould be used with the Doppler. Parts Main Unit SD1 Doppler(Non-Bluetooth version) SD1 Doppler(Bluetooth version) Accessories AA Alkaline Battery Normal Carry Case Coupling Gel Part Number 02.06.262535 02.06.262639 01.21.064086 01.56.465616 01.57.078170 Ultrasound Intensity and Safety Ultrasound in Medicine The use of diagnostic ultrasound has proved to be a valuable tool in medical practice. Given its known benefits for non-invasive investigations and medical diagnosis, including investigation of the human fetus, the question of clinical safety with regards to ultrasound intensity arises. There is no easy answer to the question of safety surrounding the use of diagnostic ultrasound equipment. Application of the ALARA (As Low As Reasonably Achievable) principle serves as a rule-of-thumb that will help you to get reasonable results with the lowest possible ultrasonic output. The American Institute of Ultrasound in Medicine (AIUM) states that given its track record of over 25 years of use and no confirmed biological effects on patients or instrument operators, the benefits of the prudent use of diagnostic ultrasound clearly outweigh any risks. Ultrasound Safety and the ALARA Principle Ultrasound waves dissipate energy in the form of heat and can therefore cause tissue warming. Although this effect is extremely low with Doppler, it is important to know how to control and limit patient exposure. Major governing bodies in ultrasound have issued statements to the effect that there are no known adverse effects from the use of diagnostic ultrasound,however, exposure levels should always be limited to As Low As Reasonably Achievable (the ALARA principle). Explanation of MI/TI MI (Mechanical Index) Cavitations will be generated when ultrasound wave passes through and contacts tissues, resulting in instantaneous local overheating. This phenomenon is determined by acoustic pressure, spectrum, focus, transmission mode, and factors such as states and properties of the tissue and boundary. This mechanical bioeffect is a threshold phenomenon that occurs when a certain level of ultrasound output is exceeded. The threshold is related to the type of tissue. Although no confirmed adverse mechanical effects on patients or mammals caused by exposure at intensities typical of present diagnostic ultrasound instruments have ever been reported, the threshold for cavitation is still undetermined. Generally speaking, the higher the acoustic pressure, the greater the potential for mechanical bioeffects; the lower the acoustic frequency, the greater the potential for mechanical bioeffects. The AIUM and NEMA formulate mechanical index (MI) in order to indicate the potential for mechanical effects. The MI is defined as the ratio of the peak-rarefactional acoustic pressure (should be calculated by tissue acoustic attenuation coefficient 0.3 dB/cm/MHz) to the acoustic frequency. MI = Pr, α fawf ×CMI CMI = 1 (MPa / MHz ) TI (Thermal Index) Heating of tissues is caused by absorption of ultrasound when the ultrasound energy is applied. The temperature rise is determined by the acoustic intensity, exposed area and thermo physical properties of the tissue. In order to indicate the potential for temperature rise caused by thermal effects, the AIUM and NEMA formulate thermal index (TI). It is defined as the ratio of the total acoustic power to the acoustic power required to raise the tissue temperature by 1ºC (1.8°F). According to different thermo physical properties of the tissue, TI is divided into three kinds: TIS, TIB and TIC. TIS (Soft Tissue Thermal Index): It provides an estimate of potential temperature rise in soft or similar tissues. TIB (Bone Thermal Index): It provides an estimate of potential temperature rise when the ultrasound beam passes through soft tissue and a focal region is in the immediate vicinity of bone. TIC (Cranial Bone Thermal Index): It provides an estimate of potential temperature rise in the cranial bones or superficial bones. Measurement Uncertainties The uncertainties in the measurements were predominantly systematic in origin; the random uncertainties were negligible in comparison. The overall systematic uncertainties were determined as follows: 1. Hydrophone Sensitivity: ± 12percent for intensity, ± 6 percent for pressure. Based on the hydrophone calibration report by ONDA. The uncertainty was determined within ±1 dB in frequency range 1-15 MHz. 2. Digitizer: ±0.3 percent for intensity. ± 0.15 percent for pressure. Based on the stated accuracy of the 8-bit resolution of the Agilent DSO6012 Digital Oscilloscope and the signal-to-noise ratio of the measurement. 3. Temperature:±2.4 percent for intensity uncertainty, ±1.2 percent for pressure uncertainty. Based on the temperature variation of the water bath of ± 1ºC (1.8°F). 4. Spatial Averaging: ± 3.5 percent for intensity, ± 1.75percent for pressure. 5. Non-linear Distortion: N/A. No effects of nonlinear propagation were observed. Since all the above error sources are independent, they may be added on an RMS basis, giving a total uncertainty of ± 12.73 percent for all intensity values reported, ± 6.37 percent for all the pressure values,,± 12.6 percent for the Mechanical Index, uncertainty of ±12.73% percent for power,±0.15 percent for center frequency, ±6.87%for the MI. Prudent Use Statement Although no confirmed bioeffects on patients caused by exposure from present diagnostic ultrasound equipment have ever been reported, the potential exists that such bioeffects may be identified in the future. Therefore, the ultrasound should be used prudently. High levels of acoustic output and long exposure time should be avoided while acquiring necessary clinical information. Reference for Acoustic Output and Safety 1. “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993 2. “Medical Ultrasound Safety” issued by AIUM in 1994 3. "Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment, Revision 3" issued by AIUM/NEMA in 2004 4. "Standard for real-time display of thermal and mechanical acoustic output indices on diagnostic ultrasound equipment, Revision 2" issued by AIUM/NEMA in 2004 5. "Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers" issued in 2008. 6. “Medical electrical equipment—Part 2-37: Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment" issued by IEC in 2007. Acoustic Output Reporting Table for Track 1 Acoustic output reporting table for IEC60601-2-37(IEC60601-2-37, Edition 2.1, 2015-0, table 201.103) Transducer Model: SD1, Operating Mode: PW mode MI TIS TIB Bel Bel TI At At Index label ow ow Surf surf Surf Surf ace ace ace ace Maximum index 0.0 N/ 0.05 0.01 value Index component N/A 0.05 NA 0.01 value pr.αat 0.0 zMI (MPa) N/ 7.35 7.35 (mW) P1x1 N/A N/A Acoust (mW) ic zs(cm) 3.50 Param zb(cm) 3.70 eters 3.7 zMI(cm) zPII.α 3.7 (cm).α fawf 3.0 N/ 3.00 3.00 (MHz) prr 50 (Hz) 00 N/ srr(Hz) npps Ipa.α at 0.0 zPII.α (W/cm2) Ispta.α at Other zPII.α or 5.6 inform zSII.α(m ation W/cm2) Ispta at zPII or 12. zSII 26 (mW/cm2 pr. at 0.0 zPII (MPa) Operating conditions control Fixed Acoustic Output Reporting Table for Track1(Non-autoscanning Mode) Transducer Model: SD1 ,Operating Model: PW ISPTA.3 ISPPA.3 Acoustic Output MI (mW/cm^ (W/cm^2 2) Global Maximum Value 0.01 5.69 0.02 Pr.3 (MPa) 0.02 W0 (mW) 7.35 8.97 fc (MHz) 3.00 3.00 3.00 Zsp (cm) 3.70 3.70 3.70 X-6 (cm Associate Beam 2.50 2.50 dimension Y-6 Acoustic (cm Paramete 2.50 2.50 PD 72.2 (usec) 72.25 PRF (Hz) 5000 5000 Az. (cm 2.50 EBD Ele. (cm 2.50 Operating Control Fixed Condition Standard Parameter Equal Contrast List IEC60601-2-37 Standard Parameters Note Paramete Note Paramete Center Attenuated Frequency, Peak-rare-factiona fawf Acoustic pr.α Acoustic Working Pressure Frequency Peak-rare-factiona -12dB Output Acoustic pr Beam Pressure Dimensions Output Power Depth for Soft Pulse Tissue Thermal td zs Duration Index Pulse Attenuated Output Repetition prr Pα(Zs) Power Frequency (Pulse Ita.α(Zs) zbp zb Ipi.α Ipi deq(Zb) Attenuated Temporal-average Intensity Break-point Depth Depth for Bone Thermal Index Attenuated Pulse-intensity Integral Pulse-intensity Integral Equivalent Beam Diameter at the point of Zsp deq Ipi.α at max MI Aaprt MI TIS TIB TIC Repetition Rate) Equivalent Beam Diameter Attenuated Pulse-averag e Intensity at the point of Maximum MI -12dB Output Beam Area Conducted RF IEC61000-46 Mechanical Index Soft Tissue Thermal Index Bone Thermal Index Cranial-bone Thermal Index EMC Information Electromagnetic Emissions Guidance and manufacturer’s declaration – electromagnetic emission The SD1 Ultrasonic Pocket Doppler is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Electromagnetic Emission test Compliance environment - guidance The SD1Ultrasonic Pocket Doppler uses RF energy only for its internal function. RF emissions Therefore, its RF emissions Group 1 CISPR 11 are very low and are not likely to cause any interference in nearby electronic equipment. RF emission Class B The SD1 Ultrasonic Pocket CISPR 11 Doppler is suitable for use in Harmonic all establishments, including Not emissions domestic establishments and applicable IEC/EN61000-3-2 those directly connected to the public low-voltage power Voltage supply network that supplies fluctuations Not buildings used for domestic /flicker emissions applicable purposes. IEC/EN61000-3-3 Electromagnetic Immunity Guidance and manufacture’s declaration–electromagnetic immunity The SD1 Ultrasonic Pocket Doppler is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Electromagnetic IEC 60601 test Complia Immunity test environment-gui level nce level dance Floors should be wood, concrete or ceramic tile. If Electrostatic 8kV floor are covered discharge 8kV contact contact with synthetic (ESD) 15kV air 15kV air material, the IEC 61000-4-2 relative humidity should be at least 30%. ±2kV forpower Electrical Fast supplylines Not Transient/Burst ±1kV applicabl Not applicable IEC/EN61000forinput/output 4-4 lines ± 1 kV line(s) Surge Not toline(s) IEC/EN61000applicabl Not applicable ± 2 kV line(s) 4-5 to earth <5%UT(>95% Voltage dips, dip inUT) short for 0.5cycle interruptions, 40%UT(60%di and p in UT) voltage Not for5 cycles variations applicabl Not applicable 70%UT(30%di on power p in UT) supply for25 cycles input lines <5%UT(>95% IEC/EN61000dip inUT) 4-11 for 5s Power frequency magnetic fields Power should be at levels frequency characteristic of a (50Hz/60Hz) 30 A/m 30 A/m typical location in magnetic field typical IEC61000-4-8 commercial or hospital environment. Electromagnetic Immunity Guidance and manufacture’s declaration – electromagnetic immunity The SD1 Ultrasonic Pocket Doppler is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. IEC Electromagnetic Immunity Complianc 60601 environment-guidanc test e level test level Radiated RF IEC61000-43 3 Vrms 150 kHz ~ 80 MHz 6Vrmsc)i ISM bands between 0,15 MHz and80 MHz 3 Vrms 150 kHz to 80 MHz 6Vrmsc)in ISM bands between 0,15 MHz and 80 MHz 10V/m 80 MHz ~ 2.7 GHz 10 V/m 80 MHz to 2.7 GHz Portable and mobile RF communications equipment should be used no closer to any part of the SD1 Ultrasonic Pocket Doppler, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance: d 1.2 P 150 kHz to 80 MHz 80 d 1.2 P MHz to 800 MHz 800 d 2.3 P MHz to 2.7 GHz d=6 /E at RF wireless communications equipment bands (Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the SD1 Ultrasonic Pocket Doppler, including cables specified by the manufacturer). Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,a should be less than the compliance level in each frequency range.b Interference may occur in the vicinity of equipment marked with the following symbol: NOTE1:At 80 MHz and 800 MHz, the higher frequency range applies. NOTE2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the SD1 Ultrasonic Pocket Doppler is used exceeds the applicable RF compliance level above, the SD1Ultrasonic Pocket Doppler should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the SD1 Ultrasonic Pocket Doppler. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. The ISM (industrial, scientific and medical) bands between 0,15 MHz and 80 MHz are 6,765 MHz to6,795 MHz; 13,553 MHz to 13,567 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz. The amateur radio bands between 0,15 MHz and 80 MHz are 1,8 MHz to 2,0 MHz, 3,5 MHz to 4,0 MHz, 5,3 MHz to 5,4 MHz, 7 MHz to 7,3 MHz, 10,1 MHz to 10,15 MHz, 14 MHz to 14,2 MHz, 18,07 MHz to 18,17 MHz,21,0 MHz to 21,4 MHz, 24,89 MHz to 24,99 MHz, 28,0 MHz to 29,7 MHz and 50,0 MHz to 54,0 MHz. Table-Test specifications for ENCLOSURE PORT IMMUNITY to RF wireless communications equipment IMM Test UNIT Freq Bran Maxi Modu Dist uenc d a) Service mum lation ance TEST a) (MH Powe b) (m) LEVE (MH z) r(W) z) (V/m) 380TETRA Pulse 385 1.8 0.3 27 390 400 modul 450 710 745 780 430470 GMRS 460, FRS 460 704787 LTE Brand 13, 17 810 870 GSM 800/900, TETRA 800,iDE N 820, CDMA 850, LTE Band 5 GSM 1800; CDMA 1900; GSM 1900; DECT; LTE Band 1, 3, 4,25;U MTS Bluetoot h, WLAN, 802.11 b/g/n, RFID 2450, LTE Brand 7 800960 930 1720 1845 1700 -199 1970 2400 -257 2450 5240 5500 ationb) 18Hz FM C) ±5 kHz deviati on 1kHz sine Pulse modul ationb) 217 Hz 0.3 28 0.2 0.3 Pulse modul ationb) 18 Hz 0.3 28 Pulse modul ationb) 217 Hz 0.3 28 Pulse modul ationb) 217 Hz 0.3 28 Pulse modul ationb) 0.2 0.3 217 5785 Hz Note: If necessary to achieve the IMMUNITY TEST LEVEL, the distance between the transmitting antenna and the ME EQUIPMENT or ME SYSTEM maybe reduce to 1m. The 1 m test distance is permitted by IEC 61000-4-3. a) For some services, only the uplink frequencies are included. b) The carrier shall be modulated using a 50% duty cycle square wave signal. c) As an alternative FM modulation, 50% pulse modulation at 18 Hz may be used because while it does not represent actual modulation, it would be worst case Recommended Separation Distances 5100 -580 WLAN 802.11 a/n Recommended separation distances between portable and mobile RF communications equipment and the SD1 Ultrasonic Pocket Doppler The SD1 Ultrasonic Pocket Doppleris intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of theSD1 Ultrasonic Pocket Doppler can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the SD1 Ultrasonic Pocket Doppleras recommended below, according to the maximum output power of the communications equipment. Rated Separation distance according to frequency of maximum transmitter (m) output 150 kHz to 80 MHz to 800 MHz to power of 80 MHz 800 MHz 2.7GHz transmitter d 1.2 P d 1.2 P d 2 .3 P (W) 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Overall Sensitivity 1.58 3MHz 2.38 0. 4. 6. 2. ∑Ba 7. 8. 9. 5. 7. 8. 9. 8. 5. 6. 6. 5. 5. 12 3. 32 11 8. 82 12 2. 52 12 7. 22 12 3MHz 9. 04 2. 5. 1. Doppler Frequency (Hz) ot 7. #7 7. #6 8. #7 5. 505 7. 07 01 7. 8. 7. D: Diameter ofTarget Reflector(mm) A: Attenuation A(dB)) d: Distance (d)(mm) VS: Signal RMS (mV) B:Two-wayAttenuat ion(dB) B=∑Ba+Bw Vn: Noise RMS (mV) 6. 6. 5. 1. 50 12 5. 91 11 9. 42 13 3. 17 10 CE marking 10 Disposal method 11 Operatin instructio ns 12 Caution 13 Type BF applied part 14 Part Number 15 Serial Number (Start with H on battery compart ment cover) 16 Use the Doppler away from strong interference sources. Date of Manufact ure 17 Relocate the Doppler to the best fetal heart rate monitoring position. Manufact urer Velocity of Target (cm/s) S:Overall Sensitivity (S=A+B+C)dB C:Signal to Ratio (dB) Fail to power on, or shut down shortly after switching on Loudspeaker does not work. FHR cannot be displayed stably. Sensitivity is low and noise is too much. Doppler cannot be connected to mobile phone. Noise V r.m.s. C 20log10 s Vn r.m.s. Possible Cause Solution Battery level is very low. Replace the battery. Battery is not installed properly. Re-install the battery. Fail to switch on the Doppler as instructed. The Doppler has malfunctions. Sound volume has been turned down to the lowest level. If the Doppler is configured with Bluetooth, fetal heart sound can be played by mobile phone. The Doppler has malfunctions. There is strong interference source such as high frequency machines and mobile phones nearby. The fetal heart position has changed because of fetal movement. Friction between the Doppler and patient’s abdomen causes false displaying. There is strong interference source such as high frequency machines and mobile phones nearby. The Doppler is not applied with coupling gel. The Doppler is not placed at the best monitoring position. The Doppler has malfunctions. The Bluetooth of mobile is not open. The Doppler used is not configured with Bluetooth function. The Doppler has malfunctions. Touch the On/Off touch key for a while to power on the Doppler. Contact service personnel. Adjust sound volume to appropriate level. Set to play fetal heart sound by mobile phone or the Doppler on the APP. Contact service personnel. Find the best fetal heart rate monitoring position. Use the Doppler away from strong interference sources. Apply coupling gel to the Doppler. Relocate the Doppler to the best fetal heart rate monitoring position. Contact service personnel. Open the Bluetooth of mobile. Use the Doppler with Bluetooth function. Contact service personnel. Warranty and Service Warranty EDAN warrants that EDAN’s products meet the labeled specifications of the products and will be free from defects in materials and workmanship that occur within warranty period. The warranty is void in cases of: A. damage caused by mishandling during shipping. B. subsequent damage caused by improper use or maintenance. C. damage caused by alteration or repair by anyone not authorized by EDAN. D. damage caused by accidents. E. replacement or removal of serial number label and manufacture label. If a product covered by this warranty is determined to be defective because of defective materials, components, or workmanship, and the warranty claim is made within the warranty period, EDAN will, at its discretion, repair or replace the defective part(s) free of charge. EDAN will not provide a substitute product for use when the defective product is being repaired. Contact Information If you have any question about maintenance, technical specifications or malfunctions of devices, contact your local distributor. Alternatively, you can send an email to EDAN service department at: support@edan.com.cn. EDAN INSTRUMENTS, INC. Address: #15 Jinhui Road, Jinsha Community, Kengzi Sub-District, PingshanDistric, 518122 Shenzhen, P.R. China Email: info@edan.com.cn Tel: +86-755-2689 8326 Fax: +86-755-2689 8330 www.edan.com.cn o. Authorized Representativ in the European Community General symbol for recovery/recy clable Refer to User Manual (Background: Blue; Symbol: White) MR Unsafe–Keep away from magnetic resonance imaging (MRI) equipment Non-ionizing electromagnet ic radiation Dustproof and waterproof degree is IP22(rainproo f) Troubleshooting Problem Definition of Symbols Symbo Definitio o. Symbol Definition FCC ID: SMQSD1ME DAN Federal (U.S.) law restricts this device to sale by or on the order of a physician. Federal Communicati ons Commission: FCC ID: SMQSD1ME DAN
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