Qisda APOLLO Diagnostic Ultrasound System User Manual
Qisda Corporation Diagnostic Ultrasound System Users Manual
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InnoSight Diagnostic Ultrasound System User Manual InnoSight Ultrasound System Contents Chapter 1 Read This First ................................................................................................ 1 Intended Audience ............................................................................................................................................ 1 Intended Use ..................................................................................................................................................... 1 Warnings ........................................................................................................................................................... 2 Upgrades and Updates ...................................................................................................................................... 2 Supplies and Accessories ................................................................................................................................... 3 Customer Service .............................................................................................................................................. 3 Recycling, Reuse, and Disposal.......................................................................................................................... 3 Passing Your System to Another User ......................................................................................................... 4 Final Disposal of Your System ..................................................................................................................... 4 Perchlorate Material ................................................................................................................................... 4 Discarding the Tablet and Batteries ............................................................................................................ 4 Equipment List................................................................................................................................................... 5 User Information Components.......................................................................................................................... 5 Product Conventions ......................................................................................................................................... 6 User Information Conventions .......................................................................................................................... 7 System Warranty ............................................................................................................................................... 7 Chapter 2 Safety Information.......................................................................................... 9 Symbols ........................................................................................................................................................... 10 System Label Icons .................................................................................................................................... 10 System Button ........................................................................................................................................... 11 Shipping Label Icons .................................................................................................................................. 12 Electrical Safety ............................................................................................................................................... 12 Battery Usage/Disposal ............................................................................................................................. 14 Electrical Fast Transients (EFT) .................................................................................................................. 14 Electromagnetic Interference (EMI) .......................................................................................................... 14 Surges to AC Power Mains ........................................................................................................................ 17 Mechanical Safety ........................................................................................................................................... 17 Equipment Protection ..................................................................................................................................... 18 RF Safety.......................................................................................................................................................... 18 Biological Safety .............................................................................................................................................. 19 Heating ...................................................................................................................................................... 19 Cavitation .................................................................................................................................................. 19 Safe Scanning Guideline ............................................................................................................................ 19 FDA Medical Alert on Latex ....................................................................................................................... 21 Operator Safety ............................................................................................................................................... 21 Repetitive Strain Injury.............................................................................................................................. 22 Philips Transducers ................................................................................................................................... 22 Glutaraldehyde Exposure .......................................................................................................................... 22 Infection Control ....................................................................................................................................... 22 Waterproof and Dustproof Ratings ................................................................................................................. 23 Understanding the MI/TI Display .................................................................................................................... 23 P69792-040, EN, 16/12/06 Contents iii InnoSight Ultrasound System TI ............................................................................................................................................................... 25 MI .............................................................................................................................................................. 25 Display and Report in Different Modes ..................................................................................................... 26 Operator Control Features ........................................................................................................................ 26 Transducer Surface Temperature Rise ............................................................................................................ 26 Chapter 3 Overview .......................................................................................................27 System Capabilities ......................................................................................................................................... 27 Imaging...................................................................................................................................................... 27 Transducer Types ...................................................................................................................................... 27 Measurements .......................................................................................................................................... 27 Calculations ............................................................................................................................................... 28 Image Acquisition and Review .................................................................................................................. 28 Patient Data Protection............................................................................................................................. 28 Connectivity .............................................................................................................................................. 28 Peripherals (optional)................................................................................................................................ 28 Service ....................................................................................................................................................... 28 System Overview ............................................................................................................................................. 29 Front and Side Views ................................................................................................................................. 29 Rear and Top/Bottom Views ..................................................................................................................... 30 Transducer Overview ...................................................................................................................................... 31 Clinical Applications and Transducers ....................................................................................................... 31 System Cart Overview ..................................................................................................................................... 32 Front View ................................................................................................................................................. 32 Rear View .................................................................................................................................................. 33 Indications for Use and Supporting Transducers ............................................................................................ 34 Chapter 4 Preparing the System.....................................................................................39 Inserting a microSD Card ................................................................................................................................. 39 Using the Stand ............................................................................................................................................... 40 Charging the System........................................................................................................................................ 41 Connecting the Transducer ............................................................................................................................. 42 Removing the Transducer ............................................................................................................................... 42 Using the System On The Go ........................................................................................................................... 43 Using the Wheel Brakes .................................................................................................................................. 44 Placing the Transducer Holder ........................................................................................................................ 44 Mounting the System to the System Cart ....................................................................................................... 45 Adjusting the System Cart Height ................................................................................................................... 46 Connecting an External Printer ....................................................................................................................... 47 Tilting the System ............................................................................................................................................ 48 Unmounting the System From the System Cart .............................................................................................. 49 Moving the System.......................................................................................................................................... 49 Outputting the System Display to an HDMI-Enabled TV or Monitor .............................................................. 50 Supported External Printers ............................................................................................................................ 50 Chapter 5 Using the System ...........................................................................................51 iv Contents P69792-040, EN, 16/12/06 InnoSight Ultrasound System Turning On/Off the System ............................................................................................................................. 51 Logging Into the System .................................................................................................................................. 51 Creating a New Administrator Account .................................................................................................... 52 Adding a New User Account...................................................................................................................... 52 Switching Users ......................................................................................................................................... 52 Managing User Settings ............................................................................................................................ 53 Launching the Main Screen ............................................................................................................................. 53 Setting the System Time and Date .................................................................................................................. 54 Controlling the System .................................................................................................................................... 55 Gestures for Controlling the Real-time/Frozen Imaging Screens .............................................................. 55 Gestures for Controlling the Real-time Imaging Screen ............................................................................ 56 Gestures for Controlling the Frozen Imaging Screen ................................................................................ 56 Setting the System Language .......................................................................................................................... 56 Identifying the Main Screen Layout ................................................................................................................ 57 System Menu Screen................................................................................................................................. 57 Imaging Screen (Real-time) ....................................................................................................................... 58 Imaging Screen (Frozen)............................................................................................................................ 60 Switching the Control Panel Pages .................................................................................................................. 62 Managing the System Power........................................................................................................................... 63 Sleep Mode ............................................................................................................................................... 64 Managing Disk Space....................................................................................................................................... 64 Network Configuration.................................................................................................................................... 65 Connecting the System to the Network by Ethernet ................................................................................ 65 Connecting the System to the Wireless Network ..................................................................................... 65 Connecting the System to a Bluetooth Device .......................................................................................... 66 DICOM Configuration ...................................................................................................................................... 66 Modality Interface..................................................................................................................................... 66 Adding Servers .......................................................................................................................................... 66 Local Host .................................................................................................................................................. 67 Managing Outgoing Queue ....................................................................................................................... 67 Chapter 6 Performing an Exam ......................................................................................69 Starting a New Exam ....................................................................................................................................... 69 Adding a New Patient ...................................................................................................................................... 70 Updating Patient Information ................................................................................................................... 70 Loading a Worklist ........................................................................................................................................... 71 Selecting a Preset ............................................................................................................................................ 72 Customizing a Preset ................................................................................................................................. 72 Modifying a Preset .................................................................................................................................... 72 Managing Presets ...................................................................................................................................... 72 Exporting and Importing Customized Presets ........................................................................................... 73 Setting the Transducer Orientation................................................................................................................. 73 Selecting/Switching a Scan Mode ................................................................................................................... 73 Adjusting the Displayed Image ........................................................................................................................ 73 Enlarging an Area of the Image ................................................................................................................. 73 Splitting the Imaging Screen ..................................................................................................................... 74 P69792-040, EN, 16/12/06 Contents v InnoSight Ultrasound System Freezing an Image ........................................................................................................................................... 76 Adding Annotations......................................................................................................................................... 76 Arrow ........................................................................................................................................................ 76 Label .......................................................................................................................................................... 77 Body Mark ................................................................................................................................................. 77 Adding Measurements .................................................................................................................................... 78 Measuring in 2D/Color/CPA Modes .......................................................................................................... 79 Measuring in M-Mode .............................................................................................................................. 80 Measuring in Spectral Doppler Mode ....................................................................................................... 81 Saving and Printing the Image ......................................................................................................................... 82 Saving an Image Loop................................................................................................................................ 83 Saving an Image ........................................................................................................................................ 83 Printing an Image ...................................................................................................................................... 83 Reviewing the Image ....................................................................................................................................... 83 Performing Multiple Selections ................................................................................................................. 84 Comparing Images .................................................................................................................................... 84 Generating a Report .................................................................................................................................. 85 Exporting the Exam ......................................................................................................................................... 85 Managing the Exam List .................................................................................................................................. 86 Ending the Exam .............................................................................................................................................. 87 Chapter 7 Using Image Controls .....................................................................................89 2D Mode Image Controls ................................................................................................................................ 89 Overview ................................................................................................................................................... 89 Adjusting Gain ........................................................................................................................................... 89 Adjusting Frequency.................................................................................................................................. 89 Adjusting Time Gain Compensation (TGC) ................................................................................................ 90 Adjusting the Scan Depth .......................................................................................................................... 90 Adjusting the Focus Depth, Focal Zone and Focal span ............................................................................ 90 Adjusting Dynamic Range.......................................................................................................................... 90 Using Tissue Harmonic Imaging (THI) ........................................................................................................ 90 Adjusting Persistence ................................................................................................................................ 90 Adjusting Sharpness and Smoothing ......................................................................................................... 90 Adjusting Gray Map................................................................................................................................... 90 Adjusting Chroma Map ............................................................................................................................. 91 Adjusting Steer Angle ................................................................................................................................ 91 Adjusting the Sector Width and Position .................................................................................................. 91 Adjusting Power ........................................................................................................................................ 91 Using Trapezoidal Imaging ........................................................................................................................ 91 Adjusting Density ...................................................................................................................................... 91 Using Compound Imaging ......................................................................................................................... 91 Using ENV (Enhanced Needle Visualization) ............................................................................................. 91 Color/CPA Mode Image Controls .................................................................................................................... 92 Overview ................................................................................................................................................... 92 Adjusting Pulse Repetition Frequency (PRF) ............................................................................................. 93 Adjusting Wall Filter (WF) ......................................................................................................................... 93 Applying the Smoothing Filter................................................................................................................... 93 vi Contents P69792-040, EN, 16/12/06 InnoSight Ultrasound System Adjusting the Color Priority ....................................................................................................................... 93 Inverting the Color Display ........................................................................................................................ 94 Using Directional Power ............................................................................................................................ 94 M-Mode Image Controls ................................................................................................................................. 94 Overview ................................................................................................................................................... 94 Using Steer M ............................................................................................................................................ 95 Adjusting Sweep Speed ............................................................................................................................. 95 Selecting M Process .................................................................................................................................. 95 Inverting the M-Mode Trace Display ........................................................................................................ 95 Spectral Doppler Mode Image Controls .......................................................................................................... 95 Overview ................................................................................................................................................... 95 Adjusting Baseline ..................................................................................................................................... 96 Adjusting Sample Volume (SV) Size ........................................................................................................... 96 Adjusting Correction Angle ....................................................................................................................... 97 Updating the 2D Display............................................................................................................................ 97 Chapter 8 System Customization and Service .................................................................99 Customizing Your System ................................................................................................................................ 99 General ...................................................................................................................................................... 99 Preset ........................................................................................................................................................ 99 Patient ....................................................................................................................................................... 99 Exam .......................................................................................................................................................... 99 Workflow................................................................................................................................................... 99 Imaging.................................................................................................................................................... 100 Annotation .............................................................................................................................................. 100 Body Mark ............................................................................................................................................... 101 Measurement.......................................................................................................................................... 101 Report ..................................................................................................................................................... 101 DICOM ..................................................................................................................................................... 101 Networking.............................................................................................................................................. 101 Print ......................................................................................................................................................... 102 Configuring Security Policies ......................................................................................................................... 102 Security Policies....................................................................................................................................... 102 User Management .................................................................................................................................. 102 Servicing your system.................................................................................................................................... 102 Reinstalling Software .............................................................................................................................. 103 Checking the Software Version ............................................................................................................... 103 Checking the System’s Serial Number ..................................................................................................... 103 Checking the Tablet’s Serial Number ...................................................................................................... 103 Checking the License Status .................................................................................................................... 103 Resetting User Settings ........................................................................................................................... 104 Backing Up System Settings and Patient Data ........................................................................................ 104 Restoring System Settings and Patient Data ........................................................................................... 104 Resetting Your System ............................................................................................................................ 104 Testing the System .................................................................................................................................. 104 Exporting System Logs ............................................................................................................................ 105 Reading the User Manual ........................................................................................................................ 105 P69792-040, EN, 16/12/06 Contents vii InnoSight Ultrasound System Chapter 9 Transducers .................................................................................................107 Transducer Maintenance .............................................................................................................................. 107 Acoustic artifacts ........................................................................................................................................... 107 Transducer Covers ......................................................................................................................................... 109 Transducer Storage ....................................................................................................................................... 110 Storage for Transport .............................................................................................................................. 110 Daily and Long-Term Storage .................................................................................................................. 110 Chapter 10 Transducer Care .........................................................................................111 Transducer Care and Operator Safety ........................................................................................................... 111 Latex Product Alert ................................................................................................................................. 113 Inspecting the Transducer ............................................................................................................................. 113 Transducer Care Methods ............................................................................................................................. 113 Transducer and Cable Cleaning ..................................................................................................................... 113 Cleaning Instructions............................................................................................................................... 114 Low-Level Disinfecting of Transducers .......................................................................................................... 114 High-Level Disinfecting of Transducers ......................................................................................................... 115 Ultrasound Transmission Gels ....................................................................................................................... 115 Compatible Disinfectants and Cleaning Solutions ......................................................................................... 116 Chapter 11 System Maintenance .................................................................................121 Cleaning the System ...................................................................................................................................... 121 Cleaning the System/System Cart Surfaces............................................................................................. 121 Cleaning the Power Adapter ................................................................................................................... 123 Troubleshooting ............................................................................................................................................ 123 Chapter 12 Appendix ...................................................................................................127 Appendix A: Specifications ............................................................................................................................ 127 System ..................................................................................................................................................... 127 Battery..................................................................................................................................................... 128 Transducer .............................................................................................................................................. 129 Power Adapter ........................................................................................................................................ 129 Appendix B: Connectivity and Security ......................................................................................................... 130 Introduction ............................................................................................................................................ 130 Specifications .......................................................................................................................................... 130 Security ................................................................................................................................................... 130 Information Flow..................................................................................................................................... 131 IT Network Failure Recovery Measures .................................................................................................. 131 Appendix C: System Acoustic Output Default Tables .................................................................................... 133 C6-2 Transducer ...................................................................................................................................... 133 L12-4 Transducer..................................................................................................................................... 135 S4-2 Transducer ...................................................................................................................................... 137 C9-4v Transducer .................................................................................................................................... 138 Appendix D: Acoustic Output Reporting Tables for Track 3 .......................................................................... 139 Definition of Terms Used in Acoustic Output Tables .............................................................................. 139 Acoustic Output Tables for InnoSight Transducers ................................................................................. 141 Appendix D: FCC Statement .......................................................................................................................... 169 viii Contents P69792-040, EN, 16/12/06 1 Read This First The InnoSight Diagnostic Ultrasound System (hereinafter called system ) is an easy-to-use, portable ultrasound imaging instrument intended for use by a qualified operator for ultrasound evaluation and clinical analysis The User Manual provides important procedures and information on how to operate the system and service the system correctly and safely Before attempting to operate the system, read this manual and strictly observe all warnings and cautions Pay extra attention to the information from Chapter 2 Safety Information This manual aims to provide the most updated and accurate information to customers and thus all contents may be modified from time to time without prior notice No part of this publication may be reproduced, transmitted, transcribed, stored in a retrieval system or translated into any language or computer language, in any form or by any means, electronic, mechanical, magnetic, optical, chemical or manual We make no representations or warranties, either expressed or implied, with respect to the contents hereof and specifically disclaims any warranties, merchantability or fitness for any particular purpose Further, we reserve the right to revise this publication and to make changes from time to time in the contents hereof without obligation to notify any person of such revision or changes Chroma, Color Power Angio, High Q, SonoCT, and RES are trademarks of oninklijke Philips N V Non-Philips product names may be trademarks of their respective owners Distributed by Philips Ultrasound, Inc. 221 Bothell Everett Hwy, Bothell, WA 9 21- 431 USA Manufactured by Qisda Corporation No 1 , Shan-Ying Road, Shan-Ting Li, Gueishan Dist , Taoyuan City, Taiwan, R O C Intended Audience This document is intended for sonographers, physicians, and biomedical engineers who operate and maintain the system and are familiar with ultrasound techniques Intended Use The system is designed for use as a diagnostic ultrasound imaging tool and fluid flow analysis of the human body The system shall provide the ability for gathering clinically acceptable images and ultrasound data for the clinical applications and anatomies The clinical environments where the system can be used include clinics, hospitals, and clinical point-of-care for diagnosis of patients The system is intended to be installed, used, and operated only in accordance with the safety procedures and operating instructions given in the system user information, and only for the purposes for which it was designed The system should only be operated by someone who has received proper training in the use and operation of an ultrasound system This system produces images derived from sound echoes those images must be interpreted by a qualified medical professional This system in no way interprets these images or provides a medical diagnosis of the patient being examined P69 92- 4 , EN, 16/12/ 6 1 e d Intended Audience 1 InnoSight Ultrasound System Do not use the system for purposes other than those intended and expressly stated above Do not misuse the system, and do not use or operate the system incorrectly Installation, use, and operation of the system are subject to the law in the jurisdictions in which it is used Install, use, and operate the system only in such ways that do not conflict with applicable laws or regulations, which have the force of law Use of the system for purposes other than those intended and expressly stated here, as well as incorrect use or operation, may relieve us or our agents from all or some responsibilities for resultant noncompliance, damage, or injury System users are responsible for image quality and diagnosis Inspect the data that is being used for the analysis and diagnosis, and ensure that the data is sufficient both spatially and temporally for the measurement approach being used Warnings Before using the system, read these warnings and Chapter 2 Safety Information Do not attempt to disassemble or modify the system There are no user serviceable parts inside this system Necessary modifications must be made only by the manufacturer or its designated agents Do not allow any liquid to get inside this system Water and moisture may cause short-circuit to the electronic components and lead to malfunctions Do not drop or apply shock/vibration to this system Strong impacts may damage the components inside Do not cut, bend, modify, place heavy objects, or step on the cable of the power adapter Otherwise the external insulation may be damaged and result in short-circuit or fire Do not use this system near strong electromagnetic sources, such as a microwave oven The electromagnetic interference may cause this system to malfunction To avoid electrical shock, use only supplied power cords and connect only to properly grounded wall (wall/mains) outlets The system should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary, the system should be observed to verify normal operation in the configuration in which it will be used Upgrades and Updates Philips is committed to innovation and continued improvement Upgrades may be announced that consist of hardware or software improvements Updated user information will accompany those upgrades 2 Warnings 1 e d P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Supplies and Accessories To order transducer covers and other supplies and accessories, contact CIVCO Medical Solutions: CIVCO Medical Solutions 1 2 First Street South, alona, IA 224 9 Telephone: Fax: 44 6 41 (USA and Canada), 1 319 24 6 (International) 329 24 2 (USA and Canada), 1 319 24 666 (International) E-mail: info civco com Internet: www civco com To order the items listed in the following table, see the referenced information and contact your Philips representative System Accessories Item Additional Information Printers See Supported External Printers on page Transducers See Clinical Applications and Transducers on page 31 Customer Service Customer service representatives are available worldwide to answer questions and to provide maintenance and service Please contact your local Philips representative for assistance You can also contact the following office for referral to a customer service representative, or visit the Philips Contact Us website: www healthcare philips com/main/about/officelocator/index wpd Philips Ultrasound Headquarters 221 Bothell Everett Hwy, Bothell, WA 9 21- 431, USA - 22-93 Recycling, Reuse, and Disposal Philips is concerned with helping protect the natural environment and helping ensure continued safe and effective use of this system through proper support, maintenance, and training Philips designs and manufactures equipment in compliance with relevant guidelines for environmental protection As long as the equipment is properly operated and maintained, it presents no risk to the environment However, the equipment may contain materials that could be harmful to the environment if disposed of incorrectly Use of such materials is essential for the implementation of certain functions and for meeting certain statutory and other requirements The European Union Directive on Waste Electrical and Electronic Equipment (WEEE) requires producers of electrical and electronic equipment to provide reuse and treatment information for each product This product complies with WEEE P69 92- 4 , EN, 16/12/ 6 1 e d Supplies and Accessories 3 InnoSight Ultrasound System Passing Your System to Another User If you pass this system to another user who will use the system for its intended purpose, then pass it on in its complete state Particularly, ensure that all the product-support documentation, including all instructions for use, are passed on to the new user Make the new user aware of the support services that Philips provides for installing, commissioning, and maintaining the system, and for comprehensive operator training Existing users must remember that passing on medical electrical equipment to new users may present serious technical, medical, privacy, and legal risks The original user may remain liable, even if the equipment is given away Philips strongly advises you to seek advice from your local Philips representative before agreeing to pass on any equipment After you pass the system to a new user, you might still receive important safety-related information, such as bulletins and field change orders In many jurisdictions the original owner has a clear duty to communicate such safety-related information to new users If you are unable or unprepared to do this, inform Philips about the new user, so that Philips can provide the new user with safety-related information Final Disposal of Your System Final disposal is when you dispose of the system in such a way that it can no longer be used for its intended purposes Do not dispose of this system (or any parts of it) with industrial or domestic waste The system may contain materials such as lead, tungsten, or oil, or other hazardous substances that can cause serious environmental pollution The system also contains privacy-sensitive information, which should be properly removed (scrubbed) Philips advises you to contact your Philips service organization before disposing of this system Perchlorate Material In this system, perchlorate material is present in lithium coin cells or batteries Special handling may apply to those items For more information, see this website: www dtsc ca gov/hazardous waste/perchlorate Discarding the Tablet and Batteries The tablet and internal batteries should be discarded in an environmentally safe manner Properly dispose of batteries according to local regulations Do not disassemble, puncture, or incinerate batteries Be careful not to short the battery terminals, because that could result in a fire hazard Use caution when handling, using, and testing the batteries Do not short circuit, crush, drop, mutilate, puncture, apply reverse polarity, expose to high temperatures, or disassemble Misuse or abuse could cause physical injury 4 Recycling, Reuse, and Disposal 1 e d P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System If electrolyte leakage occurs, wash your skin with large amounts of water to prevent skin irritation and inflammation Equipment List Check the sales package for the following items If any item is missing or damaged, contact your place of purchase immediately Philips Ultrasound System Medical grade AC/DC power adapter Quick Install Guide Operating Notes Philips System S/N Reference Card User Manual (this document) AC plugs One or more Philips Transducers Two USB flash drives containing the PDF file of the User Manual (this document) and the system software System cart (optional) SONY UP- 9 MD thermal printer (optional) AC plug types vary by country/region The system supports different external printers For a list of supported printers, see Supported External Printers on page Using accessories, transducers, or power supply units other than those specified may cause the warranty to void and result in increased electromagnetic emissions, decreased EMI immunity of the system, or even damages to the system and personal injuries Use of other accessories results in non-compliance User Information Components The user information provided with your product and included also on the USB flash drive contains the following components: User Manual: Introduces you to features and concepts, helps you set up and use your system, includes important safety information and provides reference and descriptions of all controls and display elements This manual also includes acoustic output tables Quick Install Guide: Contains illustrated instructions step-by-step on how to get the system ready for use, including installation of the peripherals Operating Notes: Contains information that clarifies certain product responses that might be misunderstood or cause user difficulty New Product Bulletin: Contains updated information about the features of your system P69 92- 4 , EN, 16/12/ 6 1 e d Equipment List InnoSight Ultrasound System Product Conventions The system uses certain conventions throughout the interface to make it easy for you to learn and use: Refer to the following table to control the system using gestures (See page Touch Touch and Hold Drag Double-Tap Press and Tap Two-Finger Tap Pinch Spread x2 Flick To adjust the parameter value of a function, touch the plus/minus buttons (+/-) 12/5/2016 08:56 AM Menu Abdomen 2D Color CPA PW 2D Gen Gn 43 DR 78 1/ 0/ 1 1/ 0/ 4 Focus 8.0 The plus/minus buttons (+/-) Dyn Range 78 THI Full Screen Dual Toggle C6-2 MI 0.72 TIS 0.03 76 Hz 16.0 cm 2D Freeze Acquire Fn Key Figure 1 iScan TGC Home Pen Res End Exam The plus/minus buttons ( /-) To type texts into a text field, touch the field and use the virtual keyboard Alternatively, you can add pointing or input devices by connecting them to the USB ports on the system To display a list, touch the down arrow 6 Product Conventions 1 e d To display the options, touch the menu icon P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System To select/enable or deselect/disable a function, tap in the checkbox For example, check Registered User uncheck Site Administrator User Information Conventions The User Manual uses certain conventions throughout the book to make it easier to find the information you need Control names and menu items or titles are spelled as they are on the system, and they appear in bold text The on-screen menu steps needed to perform a function are shown in a condensed form For example, touch Menu > Settings > DICOM Refer to the following graphic symbols and numbering styles to alert you to important information: This icon marks NOTES useful tips or additional information that help you get better use of your product This icon marks CAUTIONS notices describing actions or conditions that may damage your product or cause injury, and consequently void your warranty or service contract or lose the patient or system data This icon marks WARNINGS instructions that must be followed Failure to observe can cause damages to your product, or result in personal injuries, or even death This numbering style is used for steps with callouts on graphics This numbering style is used for steps with no callouts on graphics This numbering style is used for callouts not associated with steps System Warranty The warranty is void if unauthorized personnel perform service or maintenance on the system To ensure correct system performance and to obtain warranty service, please contact technical support For more information, see Servicing your system on page 1 2 and Customer Service on page 3 P69 92- 4 , EN, 16/12/ 6 1 e d User Information Conventions 7 InnoSight Ultrasound System P69 92- 4 , EN, 16/12/ 6 2 Safety Information Follow the procedures carefully and ensure that the power/electrical/environmental requirements are satisfied Failure to observe the instructions or disregard the warnings may result in damages to the system, personal injury, or even death of the operator or the patient Observe the following precautions carefully This system complies with Type BF general equipment and the EN6 6 1-1 standard, suitable for continuous operation when connected as a system to a medical grade AC/DC power adapter or operated from the tablet battery Use only medical grade peripherals in the patient environment Do not block or otherwise obstruct access to the AC plug at the wall Operators must be able to quickly unplug the power cable at the wall in case of emergency The system should only be used in a medical facility under the supervision of a trained physician Only an authorized service technician should perform maintenance Be extremely cautious when placing or moving the system Always position the system on a stable surface where it cannot fall on the patient Do not lift the system by the power cable or the transducer If either disconnects, the system could fall on the patient This system has been fully adjusted and tested prior to shipment from the factory Unauthorized modifications will void your warranty If this system or the transducer connected displays any signs of malfunction, turn off the system immediately, disconnect it from the wall outlet, then contact technical support (See Customer Service on page 3) Do not use a power adapter other than the one supplied with the system Connecting the system to an unknown power adapter is very dangerous and may lead to fire or explosion Using cables, transducers, or accessories other than those specified for use with the system may result in increased emissions or decreased immunity of the system The power cable of the system should only be connected to a grounded power socket Do not connect USB peripherals with an extended USB cable Extended connection may cause unexpected usage fault Only devices that comply with the EN6 6 1-1 standard, either electronically or mechanically, can be connected to this system Recheck the leakage current and other safety performance indices of the entire system to avoid potential system damage caused by leakage from a current superposition Using accessories, transducers, peripherals, or cables not supplied with the system or recommended by Philips can affect the system in the form of increased emissions or decreased immunity to external EMI/EMC occurrences Non-specified peripherals, and cables in some cases, can also increase leakage current or compromise the safety of the grounding scheme This system does not incorporate any specialized protective measures in the event it is configured with high-frequency operation devices The operator should use with caution in these types of applications The system is in compliance with the Ingress Protection Marking ratings IP22 P69 92- 4 , EN, 16/12/ 6 i n 9 InnoSight Ultrasound System Do not use this system under direct sunlight, near heat sources or in the presence of flammable substances, otherwise an explosion may occur When using this system for ultrasound examinations, use only the qualified ultrasound gel that complies with system standards Do not continuously scan the same part of a patient or expose the patient to prolonged scanning, otherwise it may harm the patient Do not stay at the same position for too long without taking a break while scanning patients to prevent harm or neck injury Follow the instructions on Chapter 4 Preparing the System in this User Manual for complete instructions on the installation of the transducers, power supply units and all peripheral devices to the system Improper installation of peripherals to the system may cause damage to the system, peripherals , or personal injury to the operator or the patient Do not use the system for any application until you have read, understood, and know all the safety information, safety procedures, and emergency procedures contained in this chapter Operating the system without a proper awareness of safe use could lead to fatal or other serious personal injury The system can contain environmentally hazardous materials such as, but not limited to: heavy metals, general recyclable metals, and plastics This product should be recycled according to local and national guidelines for recycling electronic equipment When using additional peripheral equipment powered from an electrical source other than the ultrasound system, the combination is considered to be a medical system It is your responsibility to comply with IEC 6 6 1-1 and test the system to those requirements Do not use non-medical peripherals, such as report printers, within 1 m ( ft) of a patient, unless the non-medical peripherals receive power from an isolation transformer that meets medical safety standards, as defined by standard IEC 6 6 1-1 Images printed on a report printer are intended only for reference and should not be used for diagnostic purposes For proper disposal of this system, contact your local Philips representative Symbols The following symbols provide information about the system’s labels and regulatory compliance Do not use a brush on the system’s labels System Label Icons Symbols Descriptions Product Model Serial Number Symbols 2 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Symbols Descriptions SVC Philips Service Code UDI Unique Device Identification Manufacturer Mark Manufacturer Qisda Corporation manufactures the system Manufacture Date 201X-XX-XX EU/EC European Authorized Representative 0120 CE Marking Certification with Notified Body Number 0120 Compliance to R&TTE Directive Notify Body Certificate 710435 Final Disposal of Your System Final disposal is when you dispose of the system in such a way that it can no longer be used for its intended purposes For more information, see Recycling, Reuse, and Disposal on page 3 Refer to the User Manual Indicates that the user should read the User Manual for information on using this equipment Operating instructions Indicates that the user should see the instructions for use for safety information Identifies ESD (electrostatic-discharge) sensitivity of a connector that is not tested as specified in IEC 6 6 1-1-2 Do not touch exposed connector pins Touching exposed pins can cause electrostatic discharge, which can damage the product Type BF Equipment Applied Part The Ultrasound System provides protection against electric shock Include RF transmitters, apply RF electromagnetic energy for diagnosis Tablet IP Code, International Protection Marking System Button Symbols Descriptions Power button Press and hold the Power button to turn on/off the system P69 92- 4 , EN, 16/12/ 6 i n Symbols 11 InnoSight Ultrasound System Shipping Label Icons Symbols Descriptions This Side Up Fragile Maximum Stacking Height Sun and Rain Temperature The system must be stored in the original shipping container in environments between -2 C and 6 C (-13 F and 14 F) The temperature while operating the system should be kept between 1 C and 4 C (32 F and 1 4 F) Humidity The system must be stored in the original shipping container in environments with 2 to 9 relative humidity and non-condensing The humidity while operating the system should be kept between 2 to relative humidity and non-condensing Air Pressure The system must be stored in the original shipping container in environments between hPa ( 2 mmHg) and 1 6 hPa ( 9 mmHg) air pressure Electrical Safety Only trained medical personnel should operate this system This system complies with the following standards: 12 Electrical Safety 2 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Electrical: » IEC 6 6 1-1:2 AMD1:2 12, EN 6 6 1-1:2 6 A12:2 14, Medical electrical equipment - Part 1: General requirements for basic safety and essential performance » IEC 6 6 1-1-2:2 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests CISPR 11: 2 1 AMD1:2 16 Industrial, scientific and medical equipment - Radio-frequency disturbance characteristics - Limits and methods of measurement » IEC 6 6 1-2-3 :2 AMD1:2 1 , Medical electrical equipment - Part 2-3 : Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment EMC/EMI: » IEC 6 6 1-1-2:2 /AC:2 1 , CISPR 11 Group I Class B Harmful liquid protection: » » » » For the main system: IP22 For the transducer: IPx For the power adapter: IP21 For maximum safety, observe the following guidelines strictly: The system and patient-applied parts meet the standard IEC 6 6 1-1 Applied voltages exceeding the standard, although unlikely, may result in electrical shock to the patient or operator Shock hazards exist if the power adapter is damaged or is not properly grounded Use only the supplied medical grade power adapter Do not remove or try to circumvent the grounding wire If the protective grounding of the system is questionable, disconnect the system from the power source and run it on its internal battery Plug the system into a hospital-grade, three-hole outlet, and do not circumvent the power cord To avoid the risk of electric shock, connect the system only to properly grounded wall (wall/mains) outlets Only authorized service technicians can make internal replacements of the system Do not operate the system in the presence of flammable gases or anesthetics Explosion can result The system is not compliant in AP/APG environments as defined by IEC 6 6 1-1 Do not use a transducer if the transducer or cable is damaged Contact technical support for replacement of the damaged equipment (See Customer Service on page 3) All peripheral devices connected to the system must comply with IEC 6 6 1 or IEC 6 9 -1 To avoid risk of electrical shock hazards, always inspect the transducer before use Check the face, housing, and cable before use Do not use if the face is cracked, chipped, or torn the housing is damaged or the cable is abraded Transducer cables have strain reliefs at terminations Inspect cables regularly to detect damaged, frayed, or broken cables that might contact a patient C9-4v are invasive transducers The operator should immediately stop using the C9-4v transducer when its surface temperature reaches 43 C P69 92- 4 , EN, 16/12/ 6 i n Electrical Safety 13 InnoSight Ultrasound System Battery Usage/Disposal Do not disassemble the system Use only the supplied battery Using an unapproved battery may cause the system to explode and result in serious damage to your health or property Do not replace, heat, crush, puncture, short external contacts, or incinerate the battery Use only the supplied power adapter to charge the battery Incorrect use of the battery may cause a leak of chemicals or explosion The leak of chemicals may harm the skin If any chemicals leak from the device, use a dry cloth to wipe it clean and contact your local Philips representative for help Dispose of used batteries according to the instructions Electrical Fast Transients (EFT) The system complies with the IEC 6 6 1-1-2 3rd edition standard for susceptibility to electrical fast transients (EFT) on the power line However, if the system experiences EFT on the power line, artifacts (vertical lines, excessive noise in image, etc ) may appear on the ultrasound image To eliminate these artifacts caused by an EFT condition, the operator should either: Disconnect the system from the power source by unplugging the power cord from the tablet, and run the system on its internal battery Or Unplug the power cord from the wall and move to a different power source that is not experiencing this condition Electromagnetic Interference (EMI) Medical electrical equipment such as the system requires special precautions regarding electromagnetic compatibility, and must be installed and put into service according to the following electromagnetic tables All Equipment The system is intended for use in the electromagnetic environment specified below The customer or operator of the InnoSight Diagnostic Ultrasound System should ensure that it is used in such an environment On connectors labeled with the ESD sensitivity symbol , do not touch the connector pins, and always observe the preceding ESD precautions when handling or connecting transducers Guidance and Manufacturer’s Declaration - Electromagnetic Emissions - All Equipment Emissions test Compliance Electromagnetic environment - Guidance RF Emissions CISPR 11 Group 1 The InnoSight Diagnostic Ultrasound System uses RF energy only for its internal function Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment 14 Electrical Safety 2 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Emissions test Compliance Electromagnetic environment - Guidance RF Emissions CISPR 11 Class B The InnoSight Diagnostic Ultrasound System is suitable for use in all establishments, including domestic, and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes Harmonics IEC 61 Flicker IEC 61 -3-2 Class A or B -3-3 Complies RF Emissions CISPR 14-1 Complies The InnoSight Diagnostic Ultrasound System is not suitable for interconnection with other equipment RF Emissions CISPR 1 Complies The InnoSight Diagnostic Ultrasound System is not suitable for interconnection with other equipment Guidance and Manufacturer’s Declaration - Electromagnetic Immunity - All Equipment Immunity test IEC 60601 test level Compliance level Electromagnetic environment - Guidance ESD IEC 61 6 kV Contact kV Air As specified -4-2 Floors should be wood, concrete or ceramic tile If floors are synthetic, the relative humidity should be at least 3 EFT IEC 61 2 kV Mains 1kV I/Os As specified -4-4 Mains power quality should be that of a typical commercial or hospital environment 1 kV Differential 2 kV Common As specified Surge IEC 61 -4- Voltage dips/ Dropout IEC 61 4-11 Power frequency /6 Hz Magnetic field IEC 61 -4- 9 dip for cycle 6 dip for cycles 3 dip for 2 cycles 9 dip for seconds As specified Mains power quality should be that of a typical commercial or hospital environment If the user of the InnoSight Diagnostic Ultrasound System requires continued operation during power mains interruptions, it is recommended that the InnoSight Diagnostic Ultrasound System be powered from an uninterruptible power supply or battery 3 A/m As specified Power frequency magnetic fields should be that of a typical commercial or hospital environment Guidance and Manufacturer’s Declaration - Electromagnetic Immunity - Non-life-supporting Equipment Immunity test Conducted RF IEC 61 -4-6 P69 92- 4 , EN, 16/12/ 6 IEC 60601 test level 3 Vrms Hz to MHz Compliance level V1 3 Vrms Electromagnetic environment - Guidance Portable and mobile RF communications equipment should be used no closer to any part of the InnoSight Diagnostic Ultrasound System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 V1 i n Electrical Safety 1 InnoSight Ultrasound System IEC 60601 test level Immunity test Radiated RF IEC 61 -4-3 3 V/m MHz to 2 GHz Compliance level E1 3 V/m Electromagnetic environment - Guidance E1 E1 MHz to MHz MHz to 2 GHz 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 meters (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 rangeb Interference may occur in the vicinity of equipment marked with the following symbol: 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 InnoSight Diagnostic Ultrasound System is used exceeds the applicable RF compliance level above, the system should be observed to verify normal operation If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the system kHz to MHz, field strengths should be less than 3 V/m b Over the frequency range 1 To limit exposure to electromagnetic interference from nearby equipment that can degrade image quality, you should operate the system under EMI conditions that minimize power supply transients, mechanical interactions, vibration, and thermal, optical, and ionizing radiation Using cables, transducers, and accessories other than those specified for use with the system may result in increased emissions from, or decreased immunity of, the system ME equipment has been tested for radiated RF immunity only at selected frequencies Separation Distances The InnoSight Diagnostic Ultrasound System is intended for use in the electromagnetic environment in which radiated disturbances are controlled The customer or operator of the system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF Communications Equipment and the system as recommended below, according to the maximum output power of the communications equipment Maximum Output Power of Transmitter Watts (W) Separation Distance According to Frequency of Transmitter Meters (m) MHz to 3 P E1 MHz MHz to 2 GHz P D E1 12 m 12 m 24 m 3 m 3 m 4m 11 m 11 m 2 34 m 16 Electrical Safety 2 kHz to MHz 3 P D V1 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Maximum Output Power of Transmitter Watts (W) Separation Distance According to Frequency of Transmitter Meters (m) kHz to MHz 3 P D V1 MHz to 3 P E1 MHz MHz to 2 GHz P D E1 3 69 m 3 69 m 3 m 11 6 m 11 6 m 23 34 m Ta le 1 Separation distances 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 rate of the transmitter in watts (W) according to the transmitter manufacturer At MHz and MHz, the separation distance for the higher frequency range applies These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures, objects and people Operation of the equipment below that value may cause inaccurate results Surges to AC Power Mains If the system is powered from AC mains that could experience surges above 1 kV (for example, from extreme lightning conditions), additional surge suppression is recommended Mechanical Safety Observe the following precautions when using the system for mechanical safety When attempting to overcome an obstacle, do not push the system from either side with excessive force, which could cause the system to tip over Position external peripheral devices away from the system Ensure that they are secure Do not stack them on the system When positioning the system, move it carefully to avoid pinching hands or extremities against other objects, such as a bed rail Be aware of the caster wheels on the system cart, especially when moving the system The system cart could cause injury to you or others if it rolls over feet or into shins Use with caution when going up or down the ramps The brakes are intended as a convenience To increase cart security, use wheel chocks when the system cart is parked P69 92- 4 , EN, 16/12/ 6 i n Mechanical Safety 1 InnoSight Ultrasound System To avoid injury, we recommend against lifting the system cart Never park the system cart on an incline If you park the system on a floor that is tilted 1 degrees or more and set the brakes, one of the braked casters might not be touching the floor, which can cause the system to move When performing a needle biopsy, if the system is not mounted correctly on the system cart, or if the system cart is not parked safely, unintended movement of the system resulting in movement of the needle during use may cause injury to you or others Do not roll the system over transducer cables or power cords Equipment Protection Observe the following precautions to protect your system Excessive bending or twisting of cables on patient-applied parts may cause failure or intermittent operation of the system Do not roll the system over cables, which may damage them Do not submerge the cables of patient-applied parts in solution The cables are not liquid-tight beyond the applied part/cable or cable/connector interfaces Do not submerge the transducer beyond its binding line Do not submerge the transducer connector in any liquid For optimal performance, connect your system to a circuit dedicated solely for the system Do not connect life-support devices to the same circuit as the system Improper cleaning or sterilization of a patient-applied part may cause permanent damage For cleaning and disinfection instructions, see Chapter 1 Transducer Care and Chapter 11 System Maintenance RF Safety The system should be operated in a location that is no closer than listed in Non-Life-Supporting Equipment to any part of RF communications equipment that may disturb its functions If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the equipment The system should be separated by at least the distances specified in the table referenced above The system is intended for use in an electromagnetic environment where radiated RF disturbances are controlled The customer or the user of the system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the system according to the maximum output power of the communications equipment Equipment Protection 2 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Biological Safety This product, as with all ultrasound equipment, should be used only for valid reasons and should be used both for the shortest period of time and at the lowest power settings necessary (ALARA - As Low As Reasonably Achievable) to produce diagnostically acceptable images The AIUM offers the following guidelines: Clinical Safety Quoted from AIUM Approved March 26, 1997 Diagnostic ultrasound has been in use since the late 1950s. Given its known benefits and recognized efficacy for medical diagnosis, including use during human pregnancy, the American Institute of Ultrasound in Medicine herein addresses the clinical safety of such use. There are no confirmed biological effects on patients or instrument operators caused by exposures from present diagnostic ultrasound instruments. Although the possibility exists that such biological effects may be identified in the future, current data indicate that the benefits to patients of the prudent use of diagnostic ultrasound outweigh the risks, if any that may be present. Heating Elevating tissue temperature during obstetrical examinations creates medical concerns At the embryo development stage, the rise in temperature and the length of time exposed to heat combine to determine potential detrimental effects Exercise caution, particularly during Color imaging exams The Thermal Index (TI) provides a statistical estimate of the potential temperature elevation (in centigrade) of tissue temperature Two forms of TI are available: TIS, for soft tissue exposures and TIB, for instances when bone lies near the beam focus Cavitation Cavitation may occur when sound passes through an area that contains a cavity, such as a gas bubble or air pocket (in the lung or intestine, for example) During the process of cavitation, the sound wave may cause the bubble to contract or resonate This oscillation may cause the bubbles to explode and damage the tissue The Mechanical Index (MI) has been created to help operators accurately evaluate the likelihood of cavitation and the related adverse effects Safe Scanning Guideline Ultrasound should only be used for medical diagnosis and only by trained medical personnel Diagnostic ultrasound procedures should be done only by personnel fully trained in the use of the system, in the interpretation of the results and images, and in the safe use of ultrasound (including education as to potential hazards) Operators should understand the likely influence of the machine controls, the operating mode (e g 2D mode, Color or Spectral Doppler) and the transducer frequency on thermal and cavitation hazards Use a low output power default setting for each new patient Output should only be increased during the examination if penetration is still required to achieve a satisfactory result, and after the Gain control has been adjusted to its maximum value Maintain the shortest examination time necessary to produce a useful diagnostic result P69 92- 4 , EN, 16/12/ 6 i n Biological Safety 19 InnoSight Ultrasound System Take particular care to reduce output and minimize exposure time of an embryo or fetus when the temperature of the mother is already elevated Take particular care to reduce the risk of thermal hazard during diagnostic ultrasound when exposing an embryo less than eight weeks after gestation, or the head, brain or spine of any fetus or neonate Although applicable to any transducer, take particular care during trans-vaginal exams during the first eight weeks of gestation During continuous operation, the system temperature may become too high If the following system message displays during a real-time scan, touch OK and the system displays frozen imaging screen To resume scanning, wait until the system engine cools down System temperature is high. Please cease the current scan for a few minutes. OK Operators should continually monitor the on-screen thermal index (TI) and mechanical index (MI) values and use control settings that keep these settings as low as possible while still achieving diagnostically useful results In obstetric examinations, TIS (soft tissue thermal index) should be monitored during scans carried out in the first eight weeks after gestation, and TIB (bone thermal index) thereafter MI MI TI Minor damage is likely to happen to neonatal lung or intestine If such exposure is necessary, reduce the exposure time as much as possible Risk of cavitation exists if an ultrasound contrast agent containing gas microspheres is being used There is a theoretical risk of cavitation without the presence of ultrasound contrast agents The risk increases with MI values above this threshold The overall exposure time of an embryo or fetus should be restricted in accordance with the following table as a reference TI Maximum exposure time (minutes) 60 Ta le 2 Maximum exposure time recommended for an embryo or fetus Diagnostic ultrasound has the potential for both false positive and false negative results Misdiagnosis is far more dangerous than any effect that might result from the ultrasound exposure Therefore, diagnostic ultrasound should be performed only by those with sufficient training and education Non-diagnostic use of ultrasound equipment is not generally recommended Examples of non-diagnostic uses of ultrasound equipment include repeated scans for operator training, equipment demonstration using normal subjects, and the production of souvenir pictures or videos of a fetus For equipment of which the safety indices are displayed over their full range of values, the TI should always be less than and the MI should always be less than 3 Avoid frequent repeated exposure of any subject Scans in the first trimester of pregnancy should not be carried out for the sole purpose of producing souvenir videos or photographs, nor should their production involve increasing the exposure levels or extending the scan times beyond those needed for clinical purposes 20 Biological Safety 2 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System FDA Medical Alert on Latex March 29, 1991, Allergic reactions to latex-containing medical devices Because of reports of severe allergic reactions to medical devices containing latex (natural rubber), the FDA is advising health care professionals to identify their latex sensitive patients and be prepared to treat allergic reactions promptly Patient reactions to latex have ranged from contact urticaria to systemic Latex is a component of many medical devices, including surgical and examination gloves, catheters, intubation tubes, anesthesia masks, and dental dams Reports to the FDA of allergic reactions to latex-containing medical devices have increased lately One brand of latex cuffed enema tips was recently recalled after several patients died as a result of anaphylactoid reactions during barium enema procedures More reports of latex sensitivity have also been found in the medical literature Repeated exposure to latex both in medical devices and in other consumer products may be part of the reason that the prevalence of latex sensitivity appears to be increasing For example, it has been reported that 6 to of surgical personnel and 1 to 4 of spina bifida patients are latex sensitive Proteins in the latex itself appear to be the primary source of the allergic reactions Although it is not now known how much protein is likely to cause severe reactions, the FDA is working with manufacturers of latex-containing medical devices to make protein levels in their products as low as possible FDA’s recommendations to health professionals in regard to this problem are as follows: When taking general histories of patients, include questions about latex sensitivity For surgical and radiology patients, spina bifida patients and health care workers, this recommendation is especially important Questions about itching, rash or wheezing after wearing latex gloves or inflating a toy balloon may be useful Patients with positive histories should have their charts flagged If latex sensitivity is suspected, consider using devices made with alternative materials, such as plastic For example, a health professional could wear a non-latex glove over the latex glove if the patient is sensitive If both the health professional and the patient are sensitive, a latex middle glove could be used (Latex gloves labeled Hypoallergenic may not always prevent adverse reactions ) Whenever latex-containing medical devices are used, especially when the latex comes in contact with mucous membranes, be alert to the possibility of an allergic reaction If an allergic reaction does occur and latex is suspected, advise the patient of a possible latex sensitivity and consider an immunologic evaluation Advise the patient to tell health professionals and emergency personnel about any known latex sensitivity before undergoing medical procedures Consider advising patients with severe latex sensitivity to wear a medical identification bracelet The FDA is asking health professionals to report incidents of adverse reactions to latex or other materials used in medical devices (See the October 199 FDA Drug Bulletin ) To report an incident, contact the FDA Problem Reporting Program, MedWatch, at 1-332-1 , or on the Internet: www fda gov/Safety/MedWatch/ For a single copy of a reference list on latex sensitivity, write to: LATE , FDA, HFZ-22 , Rockville, MD 2 Operator Safety The following issues and situations can affect operator safety when you are using an ultrasound system P69 92- 4 , EN, 16/12/ 6 i n Operator Safety 21 InnoSight Ultrasound System Repetitive Strain Injury Repetitive ultrasound scanning has been associated with carpal tunnel syndrome (CTS) and related musculoskeletal problems Some investigators have looked at a large population of sonographers with different types of equipment An article, with feedback from a smaller geographical area, makes the following recommendations: Maintain your joints in optimum positions with a balanced posture while scanning Allow frequent breaks to give soft tissue a chance to recuperate from awkward positions and repetitive movement Avoid gripping the transducer with excessive force Repetitive Strain References Pike, I , et al Prevalence of Musculoskeletal Disorders and Related Work and Personal Factors Among Diagnostic Medical Sonographers ournal of Diagnostic Medical Sonographers, Vol 13,No : 219-22 , September 199 Necas, M Musculoskeletal Symptomatology and Repetitive Strain Injuries in Diagnostic Medical Sonographer Journal of Diagnostic Medical Sonographers, 266-22 , November/December 1996 Philips Transducers Use only transducers that are approved by Philips for use with your Philips ultrasound system See Clinical Applications and Transducers on page 31 for a list of the transducers that are compatible with your system In the United States, the FDA 1 (k) regulatory clearance for use of the product is applicable only when Philips-manufactured transducers are connected to the system Glutaraldehyde Exposure The United States Occupational Safety and Health Administration (OSHA) has issued a regulation covering levels of acceptable glutaraldehyde exposure in the working environment Philips does not sell glutaraldehyde-based disinfectants with its products, but this type of disinfectant is recommended for the disinfection of transducers used in TEE, intraoperative, endocavity, and biopsy procedures To reduce the presence of glutaraldehyde fumes in the air, be sure to use a covered or ventilated soaking basin Such systems are commercially available The most-current information about disinfection products and Philips transducers can be found on the Philips Transducer Care website: www Philips com/transducercare Infection Control Issues related to infection control affect the operator and the patient Follow the infection-control procedures established in your facility for the protection of both the staff and the patient Removing Blood and Infectious Material from the System It is important to clean and maintain the ultrasound system and peripherals If the equipment has come in contact with blood or infectious material, clean and disinfect the system and peripherals according to the instructions in Chapter 11 System Maintenance Disposable Drape If you believe contamination of the system might occur during an exam, Philips recommends that you take universal precautions and cover the system with a disposable drape Consult your facility’s rules regarding equipment use in the presence of infectious disease 22 Operator Safety 2 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Position the disposable drape so that it does not block the vents on the system, the monitors, or the peripherals Waterproof and Dustproof Ratings The system has a degree of protection from ingress of water and particulate matter, but the tablet is not approved for use where it would be exposed to liquids If it is used in environments where it might be exposed to liquids, the tablet must be covered by a drape, such as a Civco 66 -1 6 These environments include, but are not limited to, outpatient and private office procedures such as biopsies, office visits, and other traditional, non-invasive scanning The following table lists the applied parts and their levels of protection Component Use IP level Ultrasound System Ultrasound system IP22 C6-2 transducer Ultrasound transducer IP (at transducer head) L12-4 transducer Ultrasound transducer IP (at transducer head) S4-2 transducer Ultrasound transducer IP (at transducer head) C9-4v transducer Ultrasound transducer IP (at transducer head) Ta le 3 Waterproof and dustproof ratings Understanding the MI/TI Display The system allows full software control of acoustic output When powering on the system or creating a new exam, scan parameters should be set to default preset All of the default presets are compliant with FDA requirements TI/MI information are displayed in real-time in the scan properties area 12/5/2016 08:56 AM Menu Abdomen 2D Color CPA PW C6-2 MI 0.72 TIS 0.03 16.0 cm 2D Gen Gn 43 DR 78 1/ 0/ 1 1/ 0/ 4 Focus 8.0 Dyn Range 78 THI Full Screen Dual Toggle 2D Fn Key Figure 2 iScan TGC Home Pen End Exam MI/TI on-screen display format In the following table, the MI or TI index is equal or greater than 1 marked V P69 92- 4 , EN, 16/12/ 6 Res for transducer/mode combinations i n Waterproof and Dustproof Ratings 23 InnoSight Ultrasound System Mode / Transducer C6-2 Curved Linear Array 2-6 MHz L12-4 Linear Array 4-12 MHz S4-2 Phased Array 64 elements 2-4 MHz C9-4v Micro Curved Linear Array 4-9 MHz 2D 2D M-Mode THI, 2D THI, 2D M-Mode PW Doppler 2D Color THI Color, 2D Ta le 4 MI/TI generating from applicable transducer/mode combinations Track-3 follows the Output Display Standard for systems which include fetal Doppler applications The acoustic output will not be evaluated on an application-specific basis, but the global maximum de-rated Ispta must be 2 mW/cm2 and either the global maximum MI must be 1 9, or the global maximum derated Isppa must be 19 W/cm2 An exception is for ophthalmic use, in which case the TI max (TIS) is not to exceed 1 Ispta 3 mW/CM2, and MI 23 Track-3 gives the operator the freedom to increase the output acoustic power for a specific exam, and still limit output acoustic power within the global maximum de-rated Ispta 2 mW/cm2 under an Output Display Standard The system design allows full software control of the acoustic output, entry of new patient identification data or change from a non-foetal to a foetal application, and the system may switch to an appropriate default setting upon powering on These default setting levels are established before shipping and may be reconfigured by the operator For any ultrasound systems, Track-3 provides an Output Indices Display Standard The ultrasound system and its User Manual contain the information regarding an ALARA (As Low As Reasonably Achievable) education program from the clinical end-user and the acoustic output indices, MI and TI The MI describes the likelihood of cavitation, and the TI offers the predicted maximum temperature rise in tissue as a result of the diagnostic examination In general, a temperature increase of 2 C must be present consistently at one spot for 2 hours to cause possible fetal abnormalities Avoiding a local temperature rise above 1 C should ensure that no thermally induced biologic effect occurs When referring to the TI for potential thermal effect, a TI equal to 1 does not mean the temperature will rise 1 C It only means an increased potential for thermal effects can be expected as the TI increases A high index does not mean that bioeffects are occurring, but only that the potential exists and there is no consideration in the TI for the scan duration, so minimizing the overall scan time will reduce the potential for effects These operator control and display features move the safety responsibility from the manufacturer to the operator So it is very important to have the ultrasound systems display the acoustic output indices correctly and the well-educated operator to interpret the value appropriately RF: De-rating factor In Situ intensity and pressure cannot currently be measured Therefore, the acoustic power measurement is normally done in the water tank, and when soft tissue replaces water along the ultrasound path, a decrease in intensity is expected The fractional reduction in intensity caused by attenuation is denoted by the derating factor (RF), RF 1 (- 1 a f z) Where a is the attenuation coefficient in dB cm-1 MHz-1, f is the transducer center frequency, and z is the distance along the beam axis between the source and the point of interest 24 Understanding the MI/TI Display 2 i n P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System De-rating factor RF for the various distances and frequencies with attenuation coefficient 3 dB cm-1 MHz1 in homogeneous soft tissue is listed in the following table An example is if the operator uses MHz frequency, the power will be attenuated by at cm, or 3 x -11 2 dB The De-rated Intensity is also referred to as 3’ at the end (e g Ispta 3) Distance (cm) Frequency (MHz) 7.5 9332 66 12 3 4 2113 436 2 12 12 9 3 4 12 12 66 12 9 6166 2344 91 19 3 631 3 4 44 266 Ta le 5 I’ I RF Where I’ is the intensity in soft tissue, I is the time-averaged intensity measured in water TI TI is defined as the ratio of the In Situ acoustic power (W 3) to the acoustic power required to raise tissue temperature by 1 C (Wdeg), TI W 3 / Wdeg Three TIs corresponding to soft tissue (TIS) for abdominal bone (TIB) for fetal and neonatal cephalic and cranial bone (TIC) for pediatric and adult cephalic, have been developed for applications in different exams An estimate of the acoustic power in milliwatts necessary to produce a 1 C temperature elevation in soft tissue is: Wdeg 21 / fc For model 1 to 4, where fc is the center frequency in MHz Wdeg 4 For model interest and 6, where (beam shape factor) is 1 , D is the aperture diameter in cm at the depth of MI Cavitation is more likely to occur at high pressures and low frequencies in pulse ultrasound wave in the tissue, which contains a bubble or air pocket (for instance, the lung, intestine, or scan with gas contrast agents) The threshold under optimum conditions of pulsed ultrasound is predicted by the ratio of the peak pressure to the square root of the frequency MI Pr’ / sqrt(fc) Pr’ is the de-rated ( 3) peak rare-fractional pressure in Mpa at the point where PII is the maximum, and fc is the center frequency in MHz PII is the Pulse Intensity Integral that the total energy per unit area carried by the wave during the time duration of the pulse The peak rare-fractional pressure is measured in hydrophone maximum negative voltage normalized by the hydrophone calibration parameter P69 92- 4 , EN, 16/12/ 6 i n Understanding the MI/TI Display 2 InnoSight Ultrasound System Display Guideline Thermal Index (TI) consists of two indices: soft tissue (TIS) and bone (TIB) TIB is only displayed in nonscanning modes, such as M-mode, PW mode and CW mode TIS is displayed in all scan modes The index is continuously displayed over a range of 1 to 6 in increments of 1 Mechanical Index (MI) is continuously displayed over a range of 1 to 1 9 in increments of 1 Display and Report in Different Modes For 2D Mode Display and report only MI and TIS For Color Mode Display and report only MI and TIS For Doppler Mode Display and report MI, TIS and TIB Below is a simple guideline for the operator when TI exceeds one limit exposure time to 4(6-TI) minutes based on the ‘National Council on Radiation Protection. Exposure Criteria for Medical Diagnostic Ultrasound: I. Criteria Based on Thermal Mechanisms. Report No.113 1992’ Operator Control Features The operator should be aware that certain operator controls may affect the acoustic output It is recommended to use the default (or lowest) output power setting and compensate using Gain control to acquire an image Other than the output power setting in the Soft Menu, which has the most direct impact on the power the PRF (Pulse Repetition Frequency), image sector size, frame rate, depth, and focal position also slightly affect the output power The default setting is normally around , occasionally 9 , of the allowable power, depending on the exam type Transducer Surface Temperature Rise The table below lists the measured surface temperature rise from ambient (23 C 3 C) of transducers used on the system The temperatures were measured in accordance with EN 6 6 1-2-3 cl 2 1 11 and cl 2 1 13 with controls and settings positioned to give maximum temperatures Test External use (°C) Non-external Use (°C) C6-2 S4-2 14 19 36 33 Simulated use Still air L12-4 C9-4v Ta le 6 Transducer surface temperature rise 26 Transducer Surface Temperature Rise 2 i n P69 92- 4 , EN, 16/12/ 6 3 Overview Acquaint yourself with the system and its components in this chapter System Capabilities The InnoSight Diagnostic Ultrasound System is intended for Obstetric imaging, and OB/GYN, Gynecology imaging, Cardiac imaging, Vascular imaging, and general imaging purpose, and related analysis The system cart is ergonomically designed to be both highly mobile and adjustable for a range of users and operating conditions The system can be used for 2D grayscale, M-Mode, Color, Doppler, PW, and CW imaging depending on the transducer The system also supports duplex, and triplex imaging The system provides measurement tools, analysis options, and DICOM network capabilities Refer to the following standard features Imaging The following scan modes and features are available, if supported by the transducer for the application: 2D M-mode Anatomical M-mode Color Doppler Color Power Angio (CPA) Directional CPA Tissue Harmonic Imaging (THI) Pulse Inversion THI RES image processing SonoCT Real-time Compound Imaging High Q Automatic Doppler The system does not support the biopsy guide function Do not use nor assemble any kind of needle guide kits/brackets on the transducer supported to avoid transducer damage or hurting the patient Transducer Types The available transducer types are a curved linear array transducer, a linear array transducer, a phased array transducer, and a micro-curved linear array transducer Applications for specific transducers are listed in Indications for Use and Supporting Transducers on page 34 Measurements The system provides tools and controls for measuring distance, ellipse, angle, area and IMT After you perform measurements, the system makes the pertinent calculations and organizes the measurements, calculations, and patient information, which can be added into a patient report P69 92- 4 , EN, 16/12/ 6 e ie System Capabilities 27 InnoSight Ultrasound System Calculations Calculations are organized in collections for the applications included in the system The system uses measurement values to make calculations and create a patient report Image Acquisition and Review You can acquire and review single images and cineloop sequences Images and cineloop sequences can be stored on USB devices, or sent over a wireless network to an archive server, or printed out from supported external printer Patient Data Protection The data security feature, if enabled on your system, limits access to previously stored patient data and images To gain access to such data, you must first log into the system using a password When you are finished using the system, the system will log you off after a set period of time if automatic logoff is enabled, or you can simply shut down the system, which logs you off automatically For more information on protecting patient data, see Logging Into the System on page 1 and Configuring Security Policies on page 1 2 Connectivity The following network features are standard: Image and waveform export to removable media USB and Bluetooth connectivity to peripheral devices such as eyboard (not supplied with the system) HDMI connectivity to secondary monitors Printing to local/network printers Wireless DICOM transfer DICOM Networking Patient data imported from MWL server Image export to network storage servers Peripherals (optional) Peripheral devices include a system cart on which the system can be mounted and a B W image printer or a color image printer (supported printers) for printing ultrasound images and studies For information on installation of these peripheral devices, see Chapter 4 Preparing the System on page 39 Service The InnoSight Ultrasound System is designed to be a reliable robust system In the event of a failure the system has on board service features and diagnostics which will allow for easy diagnosis Some functionality may require technical assistance See Servicing your system on page 1 2 28 System Capabilities e ie P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System System Overview Front and Side Views 12 11 10 No. Component Function Touch screen Display system information and allow you to perform operations using different gestures Speakers Built-in speakers for playing sounds, which are software-controlled Transducer connection socket Connect a transducer to the system (See page 42) Battery indicator When the system is turned off and connected to power, the battery indicator behaves in the following lighting patterns: Steadily on orange when the battery is charging Steadily on green after the battery is charged When the system is turned on and connected to power, the battery indicator lights off To monitor the battery level, see Battery Status Icons on page 64 Power indicator Blink blue after the system enters Sleep mode (See page 64) MicroSD card slot Insert a microSD card into the microSD card slot to exchange data from/ to the system (See page 39) AU port For use by authorized service personnel only HDMI port Connect the system to an HDMI (High-Definition Multimedia Interface) device (See page ) Ethernet socket Connect the system to an Ethernet-based network (See page 6 ) 10 11 USB 2 port USB 3 port Connect the system to USB 2 /3 devices, such as keyboards, pointing devices, or portable storage devices 12 Headphone jack Connect the system to an audio device, such as headphones or speakers P69 92- 4 , EN, 16/12/ 6 e ie System Overview 29 InnoSight Ultrasound System The system supports access to only one external storage device at a time If you connect more than one external storage device, they function in the following priority order: USB 3 USB 2 microSD card Rear and Top/Bottom Views 13 14 14 15 16 17 No. Component 14 Function 13 Power button Press and hold the Power button to turn on/off the system 14 Ventilation slots Release excessive heat during operation to keep the system in a safe operating temperature Pull the rotating stand out to sustain the system on a flat surface (See Using the Stand on page 4 ) Can be used as a handle to carry the system around (See Using the System On The Go on page 43) 15 Rotating stand 16 Power input socket Used to connect the system to power (See Charging the System on page 41) 17 Anti-theft lock slot Used to lock the system securely to a solid surface to protect it from theft System Overview e ie P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Transducer Overview Figure 3 Transducer overview (Example transducer: C6-2) No. Component No. Component Orientation marker Transducer handle Transducer cable Transducer connector Release latch Connector strain relief Transducer strain relief Transducer lens Use only transducers that are approved by Philips for use with the system Clinical Applications and Transducers A clinical application, available for one or more transducers, optimizes the system for a specific application A clinical application consists of exam-specific presets, and the corresponding measurement and calculation packages The clinical applications for each transducer available for the system are listed in the following table Transducer Clinical Applications C6-2 Abdomen, OB, GYN, Renal, Urology L12-4 Carotid, Arterial, Venous,Thyroid, Breast, Bowel, MS , Nerve S4-2 Cardiac C9-4v OB, GYN, Prostate For more information, see Indications for Use and Supporting Transducers on page 34 P69 92- 4 , EN, 16/12/ 6 e ie Transducer Overview 31 InnoSight Ultrasound System System Cart Overview The system cart is available for purchase as an optional item Front View No. Item No. Item Transducer/gel holder Cart pillar Caster wheel with brake Printer holder Work table 32 System Cart Overview e ie P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Rear View 10 11 10 No. Item nurled thumb knob No. Item Mount plate Height-adjustment button Cable collector 10 Transducer hanger 11 Rear container Observe the precautions and warnings listed in Mechanical Safety on page 1 and Moving the System on page 49 before using the system cart to avoid injury and system failure P69 92- 4 , EN, 16/12/ 6 e ie System Cart Overview 33 InnoSight Ultrasound System Indications for Use and Supporting Transducers InnoSight Diagnostic Ultrasound System is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Abdomen, Cardiac, Small Organ (breast, testes, thyroid), heart soft tissue, Peripheral Vascular, Musculoskeletal, Fetal and OB/GYN The following tables provide Diagnostic Ultrasound Indications for Use Forms for the transducers offered with the InnoSight Diagnostic Ultrasound System DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM System: InnoSight Diagnostic Ultrasound System Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical application General Specific (Track 1 only) (Track 1 and 3) Ophthalmic Fetal imaging and others Cardiac Peripheral vessel Ophthalmic Fetal Abdominal Intra-operative Specify Intra-operative Neuro Laparoscopic Pediatric Small Organ (breast, thyroid, testes) Neonatal Cephalic Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral Trans-esoph (nonCard) Musculoskeletal (Conventional) Musculoskeletal (Superficial) Intravascular Other (OB/GYN) Cardiac Adult Cardiac Pediatric Intravascular (Cardiac) Trans-esoph (Cardiac) Intra-cardiac Other (specify) Peripheral Vessel Other (specify) 34 Indications for Use and Supporting Transducers Mode of operation PW CW Color Doppler Doppler M-Mode Note 1 Note 1 Note 1 Note 1 Note 1 Note 1 Note 1 Note 1 e ie CPA Tissue Other Harmonic Combined Imaging 2D P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System N new indication P previously cleared by FDA E added under this appendix Note 1: Combined modes include: 2D M-Mode 2D PW Doppler 2D Color 2D CPA 2D Color PW Doppler and 2D CPA PW Doppler DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM System: InnoSight Diagnostic Ultrasound System Transducer: C6-2 (Curved Linear Array 2-6 MHz) Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical application Mode of operation General Specific (Track 1 only) (Track 1 and 3) Ophthalmic Fetal imaging and others Cardiac Peripheral vessel Ophthalmic Fetal Abdominal Intra-operative Specify Intra-operative Neuro Laparoscopic Pediatric Small Organ (breast, thyroid, testes) Neonatal Cephalic Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral Trans-esoph (nonCard) Musculoskeletal (Conventional) Musculoskeletal (Superficial) Intravascular Other (OB/GYN) Cardiac Adult Cardiac Pediatric Intravascular (Cardiac) Trans-esoph (Cardiac) Intra-cardiac Other (specify) Peripheral Vessel Other (specify) N new indication PW CW Color Doppler Doppler M-Mode Note 1 Note 1 Note 1 P previously cleared by FDA CPA Tissue Other Harmonic Combined Imaging 2D E added under this appendix Note 1: Combined modes include: 2D M-Mode 2D PW Doppler 2D Color 2D CPA 2D Color PW Doppler and 2D CPA PW Doppler P69 92- 4 , EN, 16/12/ 6 e ie Indications for Use and Supporting Transducers 3 InnoSight Ultrasound System DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM System: InnoSight Diagnostic Ultrasound System Transducer: L12-4 (Linear Array 4-12 MHz) Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical application Mode of operation General Specific (Track 1 only) (Track 1 and 3) Ophthalmic Fetal imaging and others Cardiac Peripheral vessel 2D Ophthalmic Fetal Abdominal Intra-operative Specify Intra-operative Neuro Laparoscopic Pediatric Small Organ (breast, thyroid, testes) Neonatal Cephalic Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral Trans-esoph (nonCard) Musculoskeletal (Conventional) Musculoskeletal (Superficial) Intravascular Other (OB/GYN) Cardiac Adult Cardiac Pediatric Intravascular (Cardiac) Trans-esoph (Cardiac) Intra-cardiac Other (specify) Peripheral Vessel Other (specify) N new indication PW CW M-Mode Color Doppler Doppler Tissue Other CPA Harmonic Combined Imaging Note 1 Note 1 Note 1 Note 1 P previously cleared by FDA E added under this appendix Note 1: Combined modes include: 2D M-Mode 2D PW Doppler 2D Color 2D CPA 2D Color PW Doppler and 2D CPA PW Doppler 36 Indications for Use and Supporting Transducers e ie P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM System: InnoSight Diagnostic Ultrasound System Transducer: S4-2 (Phase Array 64 elements 2-4 MHz) Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical application Mode of operation General Specific (Track 1 only) (Track 1 and 3) Ophthalmic Fetal imaging and others Cardiac Peripheral vessel 2D Ophthalmic Fetal Abdominal Intra-operative Specify Intra-operative Neuro Laparoscopic Pediatric Small Organ (breast, thyroid, testes) Neonatal Cephalic Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral Trans-esoph (nonCard) Musculoskeletal (Conventional) Musculoskeletal (Superficial) Intravascular Other (OB/GYN) Cardiac Adult Cardiac Pediatric Intravascular (Cardiac) Trans-esoph (Cardiac) Intra-cardiac Other (specify) Peripheral Vessel Other (specify) N new indication PW CW M-Mode Color Doppler Doppler P previously cleared by FDA Tissue Other CPA Harmonic Combined Imaging Note 1 E added under this appendix Note 1: Combined modes include: 2D M-Mode 2D PW Doppler 2D Color 2D CPA 2D Color PW Doppler and 2D CPA PW Doppler P69 92- 4 , EN, 16/12/ 6 e ie Indications for Use and Supporting Transducers 3 InnoSight Ultrasound System DIAGNOSTIC ULTRASOUND INDICATIONS FOR USE FORM System: InnoSight Diagnostic Ultrasound System Transducer: C9-4v (Micro-curved Linear Array 4-9 MHz) Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical application Mode of operation General Specific (Track 1 only) (Track 1 and 3) Ophthalmic Fetal imaging and others Cardiac Peripheral vessel 2D Ophthalmic Fetal Abdominal Intra-operative Specify Intra-operative Neuro Laparoscopic Pediatric Small Organ (breast, thyroid, testes) Neonatal Cephalic Adult Cephalic Trans-rectal Trans-vaginal Trans-urethral Trans-esoph (nonCard) Musculoskeletal (Conventional) Musculoskeletal (Superficial) Intravascular Other (OB/GYN) Cardiac Adult Cardiac Pediatric Intravascular (Cardiac) Trans-esoph (Cardiac) Intra-cardiac Other (specify) Peripheral Vessel Other (specify) N new indication PW CW M-Mode Color Doppler Doppler Tissue Other CPA Harmonic Combined Imaging Note 1 Note 1 Note 1 P previously cleared by FDA E added under this appendix Note 1: Combined modes include: 2D M-Mode 2D PW Doppler 2D Color 2D CPA 2D Color PW Doppler and 2D CPA PW Doppler Indications for Use and Supporting Transducers e ie P69 92- 4 , EN, 16/12/ 6 4 Preparing the System Follow the information and procedures in this section to help you prepare the system for use Inserting a microSD Card Use the microSD card to import/export data to/from your system, such as patient information or user settings Supported microSD card format: SD C (up to 12 GB) SDHC Class 1 (up to 32GB) The microSD card is not supplied with the system Flip the port cover open Align the microSD card with the mark next to the microSD card slot Fully insert the microSD card into the card slot until it clicks into place You can use the system’s service tools to back up system settings and patient data when the system is connected to an external storage device For detailed instructions, see Backing Up System Settings and Patient Data on page 1 4 The system supports access to only one external storage device at a time If you connect more than one external storage device, they function in the following priority order: USB 3 USB microSD card P69 92- 4 , EN, 16/12/ 6 ep in Inserting a microSD Card 39 InnoSight Ultrasound System Using the Stand Rotate the rotating stand clockwise by 9 degrees Lay the rotating stand completely flat before rotation Gently pull out the rotating stand to the degree that suits your preferred viewing angle 40 Using the Stand ep in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Charging the System The system is only partially charged when first unpacked Charge the battery fully for the system for the first time hours before using Use only the supplied power adapter and AC plugs for charging AC plug and electric outlet types vary by country/region a Do not try to repair or replace the battery or the power adapter Any attempt to disassemble the system and the supplied accessories may cause damage to the system or result in personal injury Lift the protective rubber cover open Connect the power adapter’s connector into the system’s power input socket Insert the matching AC plug fully into the power adapter Plug the AC plug of your power adapter into an electric outlet to start charging The battery indicator lights up in solid orange eep good ventilation during charging Do not cover the power adapter with paper or objects that will reduce cooling Do not interrupt the connection during charging to avoid possible damage After the battery is fully charged (around 3 hours), the battery indicator turns green P69 92- 4 , EN, 16/12/ 6 ep in Charging the System 41 InnoSight Ultrasound System Connecting the Transducer Flip the transducer cover open a and insert the transducer carefully into the transducer connection socket until it is locked in place Removing the Transducer Press and hold the release latch, and carefully pull out the transducer 42 Connecting the Transducer ep in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Using the System On The Go Rotate the rotating stand counterclockwise by 9 degrees Lay the rotating stand completely flat before rotation Use the rotating stand as a handle to carry the system around P69 92- 4 , EN, 16/12/ 6 ep in Using the System On The Go 43 InnoSight Ultrasound System Using the Wheel Brakes Use the brakes on the system cart wheels to help keep the cart stationary while in use To engage the brakes, press down on the lever with your foot To disengage the brakes, push the levers upward with your foot until they are fixed in place Never park the system cart on an incline If you park the system on a floor that is tilted 1 degrees or more and set the brakes, one of the braked casters might not be touching the floor, which can cause the system to move Observe the precautions and warnings listed in Mechanical Safety on page 1 Placing the Transducer Holder Place the transducer holders evenly onto the slots on the system cart and gently push them in until they are fixed in place 44 Using the Wheel Brakes ep in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Mounting the System to the System Cart The system cart is available by separate purchase Before mounting the system to the system cart, ensure that the caster wheels are locked in place, and the rotating stand is fixed as a handle (See page 43) Hold the system firmly and position it precisely to the front of the mount plate on the cart where the four screws on the back of the system and the hole patterns of the plate meet Attach the system fully onto the plate until you hear a click sound, indicating that it is locked in place P69 92- 4 , EN, 16/12/ 6 ep in Mounting the System to the System Cart 4 InnoSight Ultrasound System Adjusting the System Cart Height Adjust the height of the system cart to suit different operators and operating positions Open the protective cover Press and hold the height adjustment button to loosen the cart pillar Without releasing the button, slide the cart pillar up and down until the desired height is reached Release the button to lock the pillar in place 46 Adjusting the System Cart Height ep in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Connecting an External Printer Before connecting the system to an external printer, turn off the system and disconnect the power adapter from the power outlet External printers are available by separate purchase For a list of supported printers, see Supported External Printers on page Before connection, secure your printer onto the printer holder with the straps Insert one end of an USB cable into your printer’s USB port Insert the other end of the USB cable into the system’s USB port Insert the DC output connector of the power cord into the power socket of the printer Plug the power cord into an power outlet P69 92- 4 , EN, 16/12/ 6 ep in Connecting an External Printer 47 InnoSight Ultrasound System Turn on the printer, then turn on the system The system installs the printer drivers automatically After successful installation of the new printer drivers, on the system imaging screen, go to Menu Settings Print and select the printer name The printer is now ready for use See your printer documentation included in the sales package for detailed information on connections and settings Tilting the System Your system, while mounted on the system cart, can be rotated and tilted to reach various viewing angles Hold the rotating stand as a handle to rotate the system Tilting the System ep in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Unmounting the System From the System Cart Pull out the knurled thumb knob to unlock the system a , and simultaneously lift the system from the mount plate b Moving the System Before moving the system mounted on the system cart, secure all cables, transducers, and accessories so that they do not interfere with the caster wheels Observe the precautions and warnings below and listed in Mechanical Safety on page 1 before moving the system mounted on a cart Ensure that the cables for all patient-applied parts are secure before moving the system Position external peripheral devices away from the system Ensure that they are secure Do not stack them on the system When transporting the system in a vehicle, avoid exposing the monitor to direct sunlight Exposure to direct sunlight can permanently damage the monitor If system operation is abnormal after you move or transport the system, contact your Philips representative immediately System components are installed securely and can withstand considerable shock, but excessive shock can cause a system failure Ensure the system is mounted and locked firmly on the system cart Disengage the wheel brakes Move the cart using the handle at the front of the cart P69 92- 4 , EN, 16/12/ 6 ep in Unmounting the System From the System Cart 49 InnoSight Ultrasound System Outputting the System Display to an HDMI-Enabled TV or Monitor Insert one end of an HDMI cable to the system’s HDMI port Ensure that the arrow side faces up Insert the other end of the HDMI cable to your HDMI-enabled TV’s or monitor’s HDMI port Connect the TV or monitor to power On the TV or monitor, select the proper input source See the documentation of your HDMI-enabled television or monitor for detailed information on connections and settings Supported External Printers You can connect an external printer to your system For thermal printers: Use only the printer listed here with your system Printer type Printer manufacturer and model number Black-and-white (thermal) image printers Sony UP- 9 MD Support USB printing Support network printing Yes No For report printers: To print out ultrasound images through USB ports, select printers equipped with PostScript 3 language emulation To print out ultrasound images through network connection, select printers that support network print protocols of Raw Port/Port 91 /Port 91 Direct Mode Images printed on a report printer are intended only for reference and should not be used for diagnostic purposes Outputting the System Display to an HDMI-Enabled TV or Monitor ep in P69 92- 4 , EN, 16/12/ 6 5 Using the System Before performing an ultrasound exam, understand and learn the features of the system Turning On/Off the System Press and hold the Power button to turn on the system The system enters the user login screen after system startup Press and hold the Power button until the Power off menu appears on the screen, then touch OK to turn off the system If the system is turned off abnormally, powering on the system the next time will take longer than usual for a system hardware check If the system does not respond to any operations, press and hold the Power button to forcefully turn off the system As the number of files saved in the system storage increases, the time it takes to power on the system will take longer than before Consider backing up files and freeing up disk space regularly or when you are informed to do so (See Managing Disk Space on page 64) If an error message occurs after system startup, follow the on-screen instructions to fix the problem If the problem persists, contact technical support (See Customer Service on page 3) Logging Into the System When data security is enabled, you must log into the system before you are able to view or load patient files USER2 Selected User USER3 USER1 USER4 Start as a guest Administrator Figure 4 P69 92- 4 , EN, 16/12/ 6 User login screen in Turning On/Off the System 51 InnoSight Ultrasound System Creating a New Administrator Account After system startup, the default user account with administrative privileges appears on the screen To begin the first-time-logging-in process, touch the account name, enter the default password and touch Login Default User ID: SiteAdmin Default Password: System’s serial number To check your system’s serial number: On the system imaging screen, touch Menu > Settings > About Refer to the system label on the back of the system Each time after a fresh installation or restoring the system to its factory state, the system requires logging in using the default site administrator credentials Enter your personal credentials to create a new site administrator account, and touch OK The default site administrator account will then be deleted automatically Logging into the administrator account enables full access to complete safety settings, but not operations To perform exams and functions, the user logged in needs to be a registered user To enable this role, check Registered User Follow the instructions in each section to set up the security policies (See page 1 2) Touch Save to save the settings If you choose to start the system as a guest, only restricted operations can be performed To return to the user login screen at any time, touch Menu > Security > Go to Login Screen Adding a New User Account Continue logged in as the administrator to have access to adding new users Touch Menu > User Management Touch Add User Enter personal credentials to create a new user account, and touch OK If you wish to enable this user as a second administrator with access to security settings, check Site Administrator The user account is added with default security policies To add more users, repeat step 1-2 To protect user security, the next time the operator logs in as the new user, he or she is required to change the password Switching Users If you are on the user settings screen, touch first to log off current user and enter the user login screen On the user login screen, touch the desired user from the user list on the left, the selected user with its user ID appears on the right Touch 52 Logging Into the System in , enter the password and touch Login P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Managing User Settings The users without administrative privileges can modify personal credentials as well as limited security settings To modify personal credentials, touch Menu > Security > User Edit To set an automated logout after a specified period of inactivity, touch Menu > Security > Security Policies Launching the Main Screen After successfully logging in as a registered user, one of the following main screens appears If no transducer is connected, the system enters the system menu screen No probe is connected. Patient Worklist Exam List Report Preset Review Settings Security If a transducer is connected, the system enters the real-time 2D imaging screen (default) 12/5/2016 08:56 AM Menu Abdomen 2D Color CPA PW C6-2 MI 0.72 TIS 0.02 32 Hz 16.0 cm 2D Gen Gn 44 DR 78 1/ 0/ 1 3/ 0/ 6 Focus 8.0 Dyn Range 78 THI Full Screen Dual Toggle 2D Freeze P69 92- 4 , EN, 16/12/ 6 Acquire Fn Key iScan TGC Home Pen Res in End Exam Launching the Main Screen InnoSight Ultrasound System If a transducer is connected and the system displays the message No probe is connected , remove then re-connect the transducer If the system still cannot detect the transducer, turn off the system Wait for a few seconds and restart the system You can choose the screen to enter after starting and logging in the system (with the transducer connected) Go to Menu > Settings > Workflow > Screen after Enter Ultrasound Setting the System Time and Date Managing pertinent patient data and scanning results require accurate system time and date After logging in the system for the first time, set current time and date based on your location The system then maintains time and date settings even when the system is turned off and disconnected from power System toolbar Menu 2D 12/5/2016 08:56 AM Abdomen Color AM PW 2 8:56 12/6/2016 Monday Touch to set current time and date. Long press button to launch settings page. CPA C6-2 MI 0.72 TIS 0.02 32 Hz 16.0 cm 2D Gen Gn 44 DR 78 1/ 0/ 1 3/ 0/ 6 Focus 8.0 Cast Display Off Dyn Range 78 Lan Connected Storage Usage 85% THI Full Screen DICOM Connected Dual Toggle 2D Freeze Acquire Fn Key Figure 5 iScan TGC Home Pen Res End Exam Setting the system time and date Touch anywhere on the system toolbar to open the system tools menu (See page 61) Touch the time date section Set time/Set date To set the time, scroll to select the hours, minutes, and a m or p m To set the date, scroll to select the date, month and year Touch Done Touch to leave the setting Check and correct current system time and date based on your location every month to ensure the accuracy 54 Setting the System Time and Date in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Controlling the System The system requires operations with multi-touch controls by finger movements called gestures Alternatively, you can add pointing or input devices by connecting them to the USB ports on the system Touch Touch and Hold Drag Double-Tap Press and Tap Two-Finger Tap Pinch Spread x2 Flick Figure 6 Gestures Gestures for Controlling the Real-time/Frozen Imaging Screens Action Toggle between Real-time and frozen imaging screens Gesture Double-tap on the scan area To use this gesture, go to Menu > Settings > General > (Enable freeze gesture) > Yes Save a single image/cine loop (Available in full screen mode only) Touch and hold on the scan area of the real-time/frozen imaging screens to save a cine loop/single image If you play an image loop on the frozen imaging screen, touch and hold on the scan area saves a cine loop Zoom/unzoom Spread two fingers apart/pinch two fingers together Move the zoomed image Touch and hold the zoomed image, and drag to move the image Move and resize ROI Touch inside the ROI and drag to move it Touch on the four corners of the ROI and drag to resize it Move the BDM / annotation/arrow indicators Touch and hold the indicator, and drag to move it Scroll the thumbnail list Flick vertically on the thumbnail area to scroll through the thumbnail list P69 92- 4 , EN, 16/12/ 6 in Controlling the System 55 InnoSight Ultrasound System Action Gesture Display the second control On the control panel area, flick right to display the second page, flick left panel page/Return to the to return to the first page (See Switching the Control Panel Pages on first control panel page page 62) Gestures for Controlling the Real-time Imaging Screen Action Gesture Adjust depth Flick vertically on the scan area to increase (flick down) or decrease (flick up) depth Adjust gain Flick horizontally on the scan area/time series window to increase (flick right) or decrease gain (flick left) Adjust the sample volume size 1 Touch and hold one finger on the scan line 2 Flick another finger up or down Move the scan line/sample Touch the scan line or sample volume, and drag to move it volume Adjust the PW/CW correction angle 1 Touch and hold one finger on the scan line 2 Flick another finger to the left or right Adjust the PW/CW baseline 1 Touch and hold on the baseline 2 Flick vertically to change the baseline position Gestures for Controlling the Frozen Imaging Screen Action Gesture Play/pause image loops (Available in full screen mode only) Two-finger tap on the scan area Scroll frames (Available in full screen mode only) Flick horizontally on the scan area/time series window to scroll through the image frames/waveforms Setting the System Language To set the system language you are using, touch Menu > Settings > General > Language, and the system reboots automatically for the localized language to take effect 12/5/2016 08:56 AM Menu Abdomen 2D Color CPA PW C6-2 MI 0.72 TIS 0.03 76 Hz 16.0 cm 2D Gen Gn 43 DR 78 1/ 0/ 1 1/ 0/ 4 Focus 8.0 Dyn Range 78 THI Full Screen Dual Toggle 2D Freeze 56 Setting the System Language in Acquire Fn Key iScan TGC Home Pen Res End Exam P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System If you are unsure of a function displayed in localized languages, switch the system language back to English, and check again the function you want to use If the problem persists, contact technical support (See Customer Service on page 3) Identifying the Main Screen Layout System Menu Screen Touch Menu to display the following system menu screen Touch an icon to perform its function Patient Worklist Exam List Report Preset Review Settings Security Figure 7 No. Function System menu screen Description Patient Edit current or add new patient information Worklist Load the DICOM Modality Worklist (MWL) that contains patient information as well as the requested procedure electronically via the MWL query Exam List View a list of patients with their exam results You can proceed with unfinished exams/reviews, or export exams according to the selection criteria all at once Report Display exam information including patient data, exam type, study specific data, comments and saved ultrasound images Security Manage users and permissions to control access to ePHI (Electronic Protected Health Information) data on the system and the system features Settings Review View, add annotations and measurements to, and export a saved exam Preset Select the predefined preset compatible with the connected transducer for optimized image control settings P69 92- 4 , EN, 16/12/ 6 Customize the system based on the operator’s habitual needs Use the service tools to update software, backup/restore data or examine the system functionality (See Servicing your system on page 1 2) in Identifying the Main Screen Layout 57 InnoSight Ultrasound System Imaging Screen (Real-time) With the transducer connected correctly, the system enters the real-time imaging screen each time after pressing the Home button 10 11 Menu 2D Color CPA Transducer MI TIS PW 12 Focus 8.0 13 Dyn Range 78 THI Full Screen Dual Toggle 14 2D Freeze Acquire Fn Key Figure 8 iScan TGC Home Pen Res End Exam Real-time imaging screen (example) No. Function No. Function System menu button Enter the system menu screen System toolbar Display information about current battery level, volume, system storage, and network connection status Touch anywhere on the system toolbar to open the system tool menu for system configuration (See page 61) Patient name Patient ID Depth scale Transducer orientation icon (See page 3) Patient age/gender/DOB (date of birth) Application name Current date and time 10 User name 11 Institution name 12 Grayscale/spectrum wedge 14 Ultrasound imaging area Display the 2D imaging window in all scan modes By default, the top area is close to the region located near the transducer surface (near field) When scanning in M-Mode/ PW Doppler/Triplex modes, the Time Series window displays under the 2D imaging window The time increases from left to right and re-starts from the left again The imaging area displays as common usage 13 Scan properties display area Display information about the current scan 58 Identifying the Main Screen Layout in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Menu 28 2D Color CPA Transducer MI TIS PW Focus 8.0 Dyn Range 78 27 THI Full Screen Dual Toggle 26 2D 15 Freeze 25 Acquire 24 23 Fn Key 22 21 Figure 9 iScan TGC Home 20 19 18 17 ROI (region of interest) area Use the Zoom function to zoom in and pan across the current image Res (High Resolution): Drag the cursor to the right for a clearer yet superficial image Pen (Deep Penetration): Drag the cursor to the left for a deeper yet less clear image TGC (Time Gain Compensation) 19 Slide any of the TGC sliders to adjust the gain for the desired section of the 2D image 21 Fn Key button Assign this button as a shortcut to perform a function 23 Acquire button Save a default set of image frames as a loop to the system hard drive 25 27 Res 17 End Exam 16 Real-time imaging screen (example) No. Function 15 Pen Freeze button Freeze the current scan Image control settings (See page 9) No. Function 16 End Exam button Close the current exam for the current patient, and start a new exam for the next patient All the value settings adjusted during this exam will be stored automatically 18 Home button Return to the real-time imaging screen 20 iScan button Optimize the image quality during a real-time scan 22 Thumbnail area Thumbnails of the scanned images/loops that are saved Flick vertically to scroll through the list 24 Scan mode (image control) buttons When using duplex or triplex modes, touch the scan mode (image control) buttons here to display and adjust its corresponding image control settings 27 26 Open the next page of the image control settings (See page 6) 28 Scan mode buttons The system does not allow acquiring images/loops with no patient name and ID A temporary patient name will be added if you proceed with saving P69 92- 4 , EN, 16/12/ 6 in Identifying the Main Screen Layout 59 InnoSight Ultrasound System Imaging Screen (Frozen) During an exam, touch Freeze to review all the ultrasound images stored in the cine buffer frame by frame, or play back these frames in a continuous loop You can also measure, calculate and add annotations to the frozen images or loops Control panel Menu 13 Distance Depth Ellipse Trace Angle Calc IMT Erase Meas Annot Label Arrow Body Mark 12 Transducer MI TIS Erase Annot 11 Report 10 Play 2D Acquire Freeze Fn Key Figure 10 Set Start Set End Home 30 End Exam Frozen imaging screen (example) No. Function No. Function This image is added to a report Image loop The progress bar Used to track the frames (in a continuous image loop) just scanned and the number of the current frame Home button Return to the real-time imaging screen Set End button During playback of the image loop, touch this button to set the end point of the image loop Set Start button During playback of the image loop, touch this button to set the start point of the image loop Acquire button Save a frozen image from an image loop to the system hard drive Play button Review the image loop just scanned Touch repeatedly to start/pause the playback 10 Open the next page of the image control settings (See page 62) 12 Perform measurements and calculations on the current image Freeze button (Enabled) Touch this button again to return to the realtime scan 11 Add annotations, including arrows, texts and body marks, to the current image using the virtual keyboard 13 Report button Generate a report from the current scan 60 Identifying the Main Screen Layout in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System System Tools Touch anywhere on the system toolbar to open the system tools menu Touch an item to adjust its setting System toolbar 12/5/2016 08:56 AM Menu Abdomen 12/5/2016 Monday 2D Color AM PW 8:56 Long press button to launch settings CPA page. Focus 8.0 Lan Connected C6-2 MI 0.72 TIS 0.03 76 Hz 16.0 cm 2D Gen Gn 43 DR 78 1/ 0/ 1 1/ 0/ 4 Cast Display Off Dyn Range 78 Storage Usage 85% THI Full Screen DICOM Connected Dual Toggle 2D Freeze Acquire Fn Key iScan Figure 11 TGC Home Pen Res End Exam System tool menu No. Function No. Function Enable/disable the Bluetooth function (See page 66) Manage the LAN connection (See page 6 ) : LAN Disconnected : LAN Connected Check and manage outgoing queues to the DICOM server (See page 66) : DICOM Disconnected : DICOM Connected Adjust the brightness Adjust the volume Display the percentage of the system storage used (See page 64) : Storage usage empty : Storage usage full Cast the system screen to an external display : Cast Display Off : Cast Display On Enable/disable the WiFi function (See page 6 ) Set current date and time (See page 4) Virtual eyboard Whenever you need to enter text in a text field, simply touch the field, and a virtual keyboard appears on the lower part of the screen Touch a letter to enter text when finishing inputs, touch Done Figure 12 P69 92- 4 , EN, 16/12/ 6 Virtual keyboard in Identifying the Main Screen Layout 61 InnoSight Ultrasound System To switch the keyboard input language, touch on the virtual keyboard and select your target language Scan Properties Display The imaging window includes a text display information about the current scan 15 C6-2 MI 1.04 TIS 0.28 12 Hz 12.0 cm 2D Gen Gn 41 Color Gen Gn 47 1/ 1/ 5 Filter 20.0Hz -15 Figure 14 Scan properties display (example) No. Function No. Function Transducer type Thermal index/Mechanical index Depending on the transducer connected and the scan mode selected, corresponding scan parameters are displayed (See Chapter Using Image Controls on page 9) Color/CPA wedge Grayscale wedge Switching the Control Panel Pages Use the virtual buttons or gestures to switch the control panel pages The functions available on the control panel vary, depending on the scan mode and the transducer connected 62 Switching the Control Panel Pages in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Use buttons: 12/5/2016 08:56 AM Menu Color CPA 12/5/2016 08:56 AM Menu Abdomen 2D PW Abdomen Persist 4 XRES 1 Gray Map 1 Chroma 0 Focal Zone 1 Focal Span 1 Page 1 Focus 8.0 Page 2 Dyn Range 78 Steer Density Trap THI Full Screen Dual L/R U/D High FQBeam SonoCT ENV Angle Toggle ENV 2D 2D Freeze Acquire Freeze Fn Key iScan TGC Home Pen Acquire Res Touch to open the next page (page 2) Fn Key iScan TGC Home Pen Res Touch to display more functions (page 3) 12/5/2016 08:56 AM Menu Abdomen Depth 16.0 Gain 39 Sector Width 256 Sector Pos Page 3 Power 80.0 Annot Touch to return to the first page (page 1) Body Mark Zoom Label Arrow Erase Annol Touch to return to the previous page (page 2) 2D Freeze Acquire Fn Key iScan TGC Home Pen Res Use gestures: 12/5/2016 08:56 AM Menu Abdomen Persist 4 XRES 1 Gray Map 1 Chroma 0 Focal Zone 1 Focal Span 1 Steer Trap L/R U/D 12/5/2016 08:56 AM Menu Abdomen 2D Color CPA Page 2, 3 Density High FQBeam SonoCT ENV Angle ENV PW 2D Page 1 Focus 8.0 Fn Key iScan TGC Home Pen Res Dyn Range 80 THI Full Screen Dual Toggle 12/5/2016 08:56 AM Menu Abdomen Depth 16.0 Gain 39 Sector Width 256 Sector Pos 2D Freeze Acquire Fn Key iScan TGC Home Pen Page 2, 3 Power 80.0 Res Annot Body Mark Zoom Label Arrow Erase Annot 2D Freeze Acquire Fn Key iScan TGC Home Pen Res Managing the System Power The system receives its power from the power adapter whenever it is connected to the system and starts charging the battery, unless the battery is fully charged already Battery remains charging even when the system is turned off, as long as the adapter is connected to the system and to AC power The system can also operate on battery power The battery status icon (See page 64) along with the percentage of battery power remaining are shown on the system toolbar (See page 61) Always monitor the power level of the battery when you operate the system on battery power P69 92- 4 , EN, 16/12/ 6 in Managing the System Power 63 InnoSight Ultrasound System Battery Status Icons The battery level is indicated by icons shown on the system toolbar Battery status icon Meaning The battery is fully charged The battery is to 99 charged The battery is 6 to 9 charged The battery is 4 to 9 charged The battery is 2 to 39 charged The battery is critically low The battery is charging The battery cannot be identified Battery temperature is too high or too low and the battery stops charging When the battery level reaches a critically low state, the system shuts down automatically Sleep Mode Sleep mode is a low-power mode that conserves battery power and allows quick startup of the system It should be used only for short periods of time, such as when you transport the system between exam locations To enter/exit Sleep mode, press the Power button If automatic logoff is enabled, the current user is logged off when the system enters Sleep mode Managing Disk Space Always beware of the amount of free space in the system storage If the disk space on the system drive is full, the system cannot acquire images To check the system storage used, open the system tool menu and watch the number of percentage next to Storage Usage The system sends warning messages when its available disk space reaches any of the following level: Low on disk space: The disk space available for storing images is low Delete some stored exams to ensure that there will be enough room for new images Critically low on disk space: The disk space available for storing images is critically low Immediately delete some stored exams to free up your disk space Disk Full: No disk space is available and no images can be saved You must delete stored exams in order to have space for acquiring new images To free up storage space, go to Menu > Settings > Exam, and delete stored exams in the appointed number of weeks 64 Managing Disk Space in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Network Configuration The system network is configured from the system tool menu (See page 61) The configuration information for the system includes the IP address, port number, and other attributes required for transmitting images and other study data across a network The system network must be configured before you use either the standard network support or the capabilities available through the DICOM networking options Connecting the System to the Network by Ethernet Connect one end of the provided network connection cable to the wall receptacle for your network Connect the other end of the cable to the Ethernet socket on the system On the imaging screen, open the system tools menu (See page 61) Touch to go to its settings Check Ethernet to enable the Ethernet function If your system does not use Dynamic Host Configuration Protocol (DHCP) to specify the addresses of domain name servers, continue to the next step Touch Ethernet configuration Touch Static IP and configure the DNS settings Consult your network administrator about the appropriate settings Touch Save Touch toolbar to leave the setting If the connection is successful, appears on the system Connecting the System to the Wireless Network Wireless connection quality can be affected by many factors The system may experience a connection interruption while a network job is in progress If this occurs, the job remains in the job queue When the connection is restored, the system resumes the job automatically The system supports the following wireless security standard: WEP, WPA/WPA2 and WPS It is your responsibility to configure the wireless network security mechanisms that are compatible with your network Open the system tools menu (See page 61) Touch to enable the wireless network function, then touch and hold this button to go to its settings On the available network list, select an access point on an existing wireless network with your DICOM server, and enter the required settings Consult your network administrator about the appropriate settings Touch to leave the settings If the connection is successful, indicating the network strength P69 92- 4 , EN, 16/12/ 6 appears on the system toolbar in Network Configuration 65 InnoSight Ultrasound System Connecting the System to a Bluetooth Device You can connect the system to another pointing or input device via Bluetooth Using features requiring a Bluetooth connection may consume more battery power To extend battery life between charges, turn off Bluetooth when not using it Maximum distance between two connected Bluetooth devices cannot exceed meters Open the system tools menu (See page 61) Touch The system scans for and displays the IDs of available Bluetooth devices within range to enable the Bluetooth function, then touch and hold this button to go to its settings To make your system visible to nearby devices, touch your system’s name so that it shows Visible to all nearby Bluetooth devices Touch the ID of the Bluetooth device to pair with it Confirm the passkey that appears and touch Pair On the other Bluetooth device, accept the identical passkey for pairing to leave the settings Once your system pairs with the device, Touch toolbar, and they stay paired until you unpair them appears on the system Unpair a Bluetooth Device Touch beside the connected device you want to unpair, and touch Unpair DICOM Configuration The system conforms to the Digital Imaging and Communications in Medicine (DICOM) standard DICOM format is used for patient studies that are transferred among PACS, which make up a hospital information management system, and for studies that are accessed by physicians at remote viewing stations The DICOM networking option settings are usually obtained from a network administrator Before DICOM configuration, ensure that the system is successfully connected to a wireless or wired network To configure DICOM settings, touch Menu > Settings > DICOM Modality Interface DICOM standard DICOM conformance statements for Philips products are available at this website: www healthcare philips com/main/about/connectivity/dicom conformance main wpd Adding Servers Select a storage/worklist SCP and touch Edit Storage SCP: Used to take responsibility for and provide receipt of content sent by the system Worklist SCP: Contain scheduled patient procedure data and is used to import the data into the patient information form 66 DICOM Configuration in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Assign a name to the server and enter it in the Name field Enter the IP Address, Port and AE Title specified by your network administrator in the respective fields To test the server connection, touch Test in the Echo Test section A verification message confirms a successful connection within a few seconds Repeat step 1-4 to add more servers based on your needs If you add a second storage SCP, when you export an exam or an image/video to the DICOM server, two tasks are created in the outgoing queues To start exams by loading patient information in a worklist, you need to configure the worklist SCP first Consult your network administrator about the appropriate settings Local Host In the Local Host section, touch Edit The system’s default Name and IP Address, if connected successfully to the network, display in the respective fields In the AE Title field, enter the application entity title of your system, which identifies you as the sender and must be unique on its network Consult your network administrator about the appropriate settings Managing Outgoing Queue When you export an exam or an image/video to the DICOM server, you can monitor its status in the outgoing queue The system provides three ways of exporting the exam For more information, see Exporting the Exam on page Task status icon* Description Upload is pending Upload is processing Upload is complete Upload failed If you export an exam as a report, the task status icon includes In the Outgoing Queue section, touch Edit To re-send the task to the DICOM server, touch Retry To cancel the ongoing task, touch Stop To clear all tasks from the outgoing queue, touch Clear all P69 92- 4 , EN, 16/12/ 6 in DICOM Configuration 67 InnoSight Ultrasound System 68 P69 92- 4 , EN, 16/12/ 6 6 Performing an Exam To perform an exam, complete the general procedure: Start an exam It can be a new exam, or a previously saved/paused exam To start a new patient exam, add a new patient (Patient screen) To load a work list (Worklist screen) To resume a previously saved/paused exam (Exam List screen) Select an exam type and preset (Preset screen) Start real-time imaging (Imaging screen (Real-time)) Set the transducer orientation (See page 3) Select a scan mode (See page 3) and adjust image controls (See page 9) When the desired anatomy is shown, freeze the image (Imaging screen (Frozen)) Add annotations (See page 6) and measurements (See page Save or print the image (See page 2) (Optional) Review the images (See page 3), generate a report and export the exam (See page End the exam (See page Refer to the following sections for detailed instructions Starting a New Exam The system allows skipping entering patient information if you need to start the ultrasound exam immediately However, the system will add a temporary name/ID automatically if you wish to save the images and cine loops You can enter the patient screen to complete the patient information during or after the exam To avoid confusion and to generate reports, define the patient within the system before scanning P69 92- 4 , EN, 16/12/ 6 in n x Starting a New Exam 69 InnoSight Ultrasound System Adding a New Patient On the imaging screen, touch Menu > Patient Patient Menu Patient information Last Name Middle Name First Name New Patient ID Start Exam Gender DOB Age Exam Information Abdomen Cardiology Height cm Blood Press Accession Referring Physician GYN Weight OB kg BSA Small Part Urology Heart Rate Vascular bpm mmHg Institution Operator Interpreting Physician Description Comment Home Previous End Exam Figure 15 Patient screen Touch New Patient Enter the patient information as much detailed as possible: » Touch in a text entry field, and use the virtual keyboard to input contents » Touch Next on the keyboard to go to the next field » Touch Done on the keyboard The patient information is saved automatically To create a valid patient profile, at least the patient’s Last Name and ID number should be filled in To start scanning the patient, touch Start Exam Updating Patient Information During real-time scanning, touch Menu > Patient Existing information of the current patient displays on the patient screen Enter the new information in the desired fields The patient information is saved automatically Proceed with real-time scanning of this patient by touching Start Exam 70 Adding a New Patient in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Loading a Worklist The system conforms with the Digital Imaging and Communications in Medicine (DICOM) standard, which is the industrial standard for the communication and management of patient data between devices in the hospital You can load patient information in a worklist via the DICOM server For more information on configuring DICOM settings, see DICOM Configuration on page 66 On the imaging screen, touch Menu > Worklist Menu Worklist Query Worklist Start Exam Name ID Name Accession# Worklist: 0 2016.07.06 ID Accession# All Gender DOB Details Home Previous Figure 16 Worklist screen Select the number of patients to scan on the worklist from the drop-down menu Select a patient, then touch Start Exam to start scanning To scan patients following a specific rule, enter the query criteria in any of the Name / ID / Accession# fields, and touch to start the query Patients matching the query criteria will be listed on the screen P69 92- 4 , EN, 16/12/ 6 in n x Loading a Worklist InnoSight Ultrasound System Selecting a Preset The system provides predefined presets for all supported transducers Choosing an exam loads optimized presets for image control settings, based on the anatomy to be scanned, the transducer used, and the scan mode The presets also specify the measurements appropriate for the exams You can directly use the optimized presets, or adjust any of the image control settings as necessary for the specific patient and the specific exam On the imaging screen, touch Menu > Preset All the available presets compatible with the connected transducer display on the preset screen Preset Menu Select Preset Create New C6-2 Management Custom1 Custom2 Abdomen OB Customized presets Export Import Renal Urology Currently used preset Default preset Home Previous Figure 17 Predefined presets GYN Preset screen Touch the preset to scan, and you will be redirected automatically to the real-time imaging screen Customizing a Preset On the preset screen, touch Create New Enter a name for the customized (currently used) preset and touch Save Modifying a Preset If you have modified the parameters of an existing preset, whether default or customized, go to the preset screen and touch Modify Current to save changes Managing Presets On the preset screen, touch Management Touch Move, and drag to re-arrange the order of the presets To set a frequently used preset as default, touch Set default > the desired preset To hide an unwanted predefined preset, touch Hide & Show and touch Off on the preset To further edit customized presets, touch on the preset to edit its name touch on the unwanted preset to delete it Touch Save to save changes 72 Selecting a Preset in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Exporting and Importing Customized Presets On the preset screen, touch Export/Import to export/import customized presets to/from your external storage Setting the Transducer Orientation Upon entering all scan modes, the orientation marker ( ) displays at the default location (usually at the top left side of the image), and suggests you the direction of holding the transducer The orientation marker on the screen corresponds to the position of the orientation marking on the side of the transducer Orientation marker Figure 18 Transducer orientation (Example transducer: C6-2) You can change the left/right orientation of the image (real-time or frozen) in various imaging (single or dual) without rotating the transducer head itself To reverse left and right On the imaging screen (real-time or frozen), touch > L/R To reverse up and down On the imaging screen (real-time or frozen), touch > U/D Selecting/Switching a Scan Mode On the real-time imaging screen, directly touch the scan mode buttons on the control panel to select/switch the scan mode in use To view a list of available scan modes, see Imaging on page 2 Adjusting the Displayed Image On the real-time imaging screen, touch the corresponding scan mode (image control) button to select a scan mode Use the image control settings to further optimize the image (See Chapter Using Image Controls on page 9) You can also perform the following operations to adjust the contents of the imaging window Enlarging an Area of the Image To further examine the anatomy by enlarging a region of the image (real-time or frozen), use the zoom function P69 92- 4 , EN, 16/12/ 6 in n x Setting the Transducer Orientation 73 InnoSight Ultrasound System On the imaging screen, touch image > Zoom The ROI (Region of Interest) box appears on the center of the 12/5/2016 08:56 AM Menu Abdomen Depth Gain 44 Sector Width 256 Sector Pos 2D Gen Gn 44 DR 78 1/ 0/ 1 3/ 0/ 6 ROI box Power 80.0 Annot Body Mark Zoom Label Arrow C6-2 MI 0.72 TIS 0.02 32 Hz 16.0 cm Erase Annot 2D Freeze Acquire Fn Key Figure 19 iScan TGC Home Pen Res End Exam Enlarge an ROI (normal image) Touch and drag inside of the ROI box to move it to the area to enlarge Touch on any of the box’s four corners and drag to resize the ROI box Touch anywhere outside the ROI box to enlarge the selected area 12/5/2016 08:56 AM Menu Abdomen Depth Gain 44 Sector Width 256 Sector Pos 2D Gen Gn 44 DR 78 1/ 0/ 1 3/ 0/ 6 Power 80.0 Annot Body Mark Zoom Label Arrow C6-2 MI 0.72 TIS 0.02 32 Hz 16.0 cm Erase Annot 2D Freeze Acquire Fn Key Figure 20 iScan TGC Home Pen Res End Exam Enlarge an ROI (zoomed image) To move the enlarged area, press and hold anywhere on the image, then drag to move it Splitting the Imaging Screen The system allows splitting the imaging screen into two sections to view two current scans for a patient You can acquire one scan for the patient, enable dual screen, then acquire another scan from a different angle, location or with a different scan mode This function is only available in 2D, 2D Color and 2D CPA modes 74 Adjusting the Displayed Image in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System When in 2D Mode: On the imaging screen, touch Dual The system immediately freezes the current scan, and copies the current settings for the image to the second screen Two yellow bars will be added to the top/bottom of the currently active screen To toggle between screens, touch Toggle Only one screen can be active at a time 12/5/2016 08:56 AM Menu Abdomen 2D Color CPA PW C6-2 MI 0.72 TIS 0.02 32 Hz 16.0 cm 2D Gen Gn 44 DR 78 1/ 0/ 1 3/ 0/ 6 Focus 8.0 Dyn Range 78 THI Full Screen Dual Toggle 2D Freeze Figure 21 Acquire Fn Key iScan TGC Home Pen Res End Exam Dual screen: Frozen 2D mode (left) Real-time 2D mode (right) images You can compare then apply any image control settings and use scan modes independently to either screen For example, you can acquire a 2D scan, activate dual screen, then acquire a Color scan in the second screen When in 2D Color or 2D CPA Mode: On the imaging screen, touch Dual The system copies the current settings for the image to the second screen in 2D mode Both screens are in real-time but you get a clearer view under the ROI in 2D mode 12/5/2016 08:56 AM Menu Renal 2D Color CPA PW C6-2 MI 0.89 TIS 0.16 13 Hz 16.0 cm 2D Gen Gn 44 Scale 15 Steer cm/s Invert Full Screen Dual Toggle Color Gen Gn 45 2/ 1/ 5 Filter 20.0Hz -15 2D Freeze Figure 22 Color Acquire Fn Key iScan TGC Home Pen Res End Exam Dual screen: Real-time 2D mode (left) Real-time 2D Color mode (right) images Touching Dual again freezes the 2D real-time scan and turns it into a frozen 2D Color or 2D CPA mode image To leave the dual screen, touch Dual To enable dual screen when the scan is frozen, touch Compare P69 92- 4 , EN, 16/12/ 6 in n x Adjusting the Displayed Image 75 InnoSight Ultrasound System Freezing an Image During a real-time scan, touch Freeze to freeze live ultrasound images recorded by frame and stored temporarily in the cine buffer Depending on the mode selected, a certain number of frames are recorded To play back saved images in a continuous cine loop, touch Play To adjust the playback speed, touch Loop Speed +/- To view the saved images frame by frame or to find a specific frame, touch indicator or drag the frame horizontally To restart a new real-time scan, touch Freeze again If no frozen image or cine loop are saved, restarting real-time scanning erases the frame data Make sure any needed images are saved or printed before acquiring new scan data To change the screen to enter after you freeze the scan, on the system’s imaging screen, touch Menu > Settings > Workflow > (Status after Freeze) > Select an option Adding Annotations On the frozen imaging screen, you can add annotations to the ultrasound images in order to explain the anatomy 12/5/2016 08:56 AM Menu Abdomen Left Right Upper Lower Medial Lateral Anterior Posterior SAG TRANS PROX MID LT Kidney RT Kidney LT Lobe RT Lobe Aorta Liver CBD IVC Duodenum Fluid Appendix Pancreas Gallbladder Spleen Caudate C6-2 MI 0.72 TIS 0.02 32 Hz 16.0 cm 2D Gen Gn 44 DR 78 1/ 0/ 1 3/ 0/ 6 Tumor Lower Bowel Close Delete Set home Figure 23 Go home Home 56 End Exam Add annotations You can select whether to keep or erase the annotations added after you return to the live scan by touching Menu > Settings > Workflow > Auto-clear Annotation after Unfreeze Arrow Touch Arrow An arrow appears at the text home position Drag the arrow to the desired location, and release it to place the arrow a Text Touch Annot A virtual keyboard and a text cursor (I-beam) appear at the text home position 76 Freezing an Image in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Type the texts directly Touch Done on the keyboard to finish inputs Drag the text cursor to where you want the new texts to be, and release it to place the texts b Setting the Text Home Position You can choose a specified position in the image display as the starting location, which is the text home position Move a set of existing texts to the desired text home position Touch the texts directly, and touch Done to close the keyboard Touch Set home To restore the texts to the default text home position, simply touch the texts, close the keyboard, then touch Go home Label Touch Label A predefined text menu appears at the control panel area c , and a text cursor (I-beam) appears at the text home position Select a text label to place it at the current cursor position, and touch Close Drag the cursor/label to where you want the texts to be The text labels are still editable Touch the label to display the virtual keyboard, and start editing the texts Touch Done on the keyboard to finish editing Body Mark Touch Body Mark to display the body mark menu 12/5/2016 08:56 AM MenuBody Mark (7) Abdomen Distance Ellipse C6-2 MI 0.72 TIS 0.03 33 Hz 16.0 cm 2D Gen Gn 43 DR 78 1/ 0/ 1 3/ 0/ 6 Angle IMT Annot Arrow Report Close Freeze Erase Acquire Fn Key Set start Figure 24 P69 92- 4 , EN, 16/12/ 6 Set end Home 56 End Exam Add a body mark in n x Adding Annotations 77 InnoSight Ultrasound System Select a body mark A pictogram of the body mark with a transducer indicator displays on the image Figure 25 Pictogram of the body mark (example) Touch anywhere on the image, and drag the transducer indicator to the desired location on the body mark Touch anywhere on the image and move to rotate the transducer indicator Touch and hold the pictogram, and drag it to the desired location on the image To delete annotations, including texts and arrows, touch Erase Annot to erase the last annotation added Repeat this action, if needed, to continue erasing annotations To directly erase all annotations, touch and hold Erase Annot To delete the body mark added, touch Body Mark > Erase To set whether to show all or the last annotations, or to hide them all, touch Show Annot +/- Adding Measurements Measurements accompanying ultrasound images supplement other clinical procedures available to the attending physician You can perform as many measurements as needed 12/5/2016 08:56 AM Menu Abdomen Distance Depth Ellipse Trace Angle Calc IMT Erase Meas Annot Label Arrow Body Mark 1 Distance 87.5 mm 2 Ellipse EA 119.8 mm2 EP 122.6 mm Ea 61.2 mm Eb 2.5 mm 3 Trace TA 21.05 cm2 TB 2.78 cm 4 Angle 36.54 5 IMT Max 1.02 mm Min 0.81 mm Avg 0.95 mm Std 0.06 mm Erase Annot Report Play Acquire Fn Key Set start Figure 26 Set end in n x 56 Home End Exam Perform measurements Item Measurement type Adding Measurements 2D Freeze 2D Gen Gn 54 DR 78 1/ 0/ 1 1/ 0/ 4 C6-2 MI 0.72 TIS 0.03 76 Hz 16.0 cm Reference page Distance (See page 9) Ellipse (See page 9) Trace (See page 9) Angle (See page IMT (See page P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System When you are measuring, the indicators/lines display in yellow, allowing you to adjust as many times as needed When you are done with measuring, use any of the following methods to complete the measurement The indicators/lines then turns green, and the measured results (values) appear on the top left side of the imaging screen Two-finger tap on the scan area Proceed with the next measurement Touch Acquire to save the ultrasound image To re-position the measured results, touch Result Pos +/To set whether to show all or the last measured results, or to hide them all, touch Show Result +/To delete measurements, touch Erase Meas to erase the last measurement added Repeat this action, if needed, to continue erasing measurements To directly erase all measurements, touch and hold Erase Meas You can select whether to keep or erase the measurements added after you return to the live scan by touching Menu > Settings > Workflow > Auto-clear Measurement after Unfreeze Measuring in 2D/Color/CPA Modes Distance Measure a distance Touch Distance A crosshair cursor appears on the image Drag the target cursor to where you want to start measuring and release it Drag the target cursor to where you want to finish measuring, then release it to complete measurement Ellipse Measure a circumference Touch Ellipse A crosshair cursor appears on the image Drag the target cursor to one end of the area you want to measure and release it to set the start point of measurement Drag the target cursor to the other end of the desired area, and release it to set the end point of measurement An oval area is then measured b Trace Manually trace an irregular shape Touch Trace A crosshair cursor appears on the image Drag the cursor to where you want to start measuring and release it Drag the cursor along the outline of the object to trace Figure 28 P69 92- 4 , EN, 16/12/ 6 Trace an outline in n x Adding Measurements 79 InnoSight Ultrasound System When the tracing is nearly done, release the cursor and the system completes the loop by drawing a line from the current cursor position to the starting point c Angle Measure an angle Touch Angle A crosshair cursor appears on the image Drag the target cursor to the desired location and release it to set the start point of measurement Drag the first target cursor along one side of the desired area, and release it to draw the first line Drag the second target cursor along the other side of the area, and release it to draw the second line The angle between the two lines is then formed d IMT Measure IMT (Intimal Media Thickness) of the carotid artery, which is useful for detecting early signs of arteriosclerosis Touch IMT A crosshair cursor appears on the image Drag the target cursor to the desired location and release it to set the start point of measurement Drag the target cursor to the other end of the desired area, and release it to set the end point of measurement e Calculation Package Perform a set of predefined measurements based on the scan mode/calculation method you select Touch Calc to open the calculation package menu Touch a desired calculation method The items to measure display in a list of order under the selected method Touch the first item and the screen displays the corresponding cursor Drag it to perform measurement After you have finished with the measurement, touch the second item The first item is checked automatically with the measured result Repeat step 3-4 to perform the rest of the measurements on the list For measurement accuracy and precision in 2D measurement: Linear distance measurement errors will be less than Perimeter, and ellipse circumference measurement errors will be less than Area measurement errors are related to the linear distance measurement and will be less than Measuring in M-Mode Distance Measure the length between two horizontal lines that lean on two cursors The position of the vertical time lines does not affect the distance measurement Touch Distance A crosshair cursor with horizontal and vertical axes appears on the time series window Drag the cursor to a desired start point on the vertical axis and release it A second cursor appears Drag it to the end point on the vertical axis then release it to complete measurement Adding Measurements in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Slope Measure the length between the intersections of two cursors Slope can be positive or negative and measures the rate of change between the two points defined by the intersections of the cursors in cm/sec Touch Slope A crosshair cursor with horizontal and vertical axes appears on the time series window Drag the cursor to a desired start point and release it A second cursor appears Drag it to the end point then release it to complete measurement The slope measurement is not restricted to either the horizontal or the vertical axis of the start marker Time Measure the length between two vertical time lines created by two cursors The position of the horizontal distance lines does not affect time measurements Touch Time A crosshair cursor with horizontal and vertical axes appears on the time series window Drag the cursor to a desired start point on the horizontal axis and release it A second cursor appears Drag it to the end point on the horizontal axis then release it to complete measurement Heart Rate Measure the length between two vertical lines created by two cursors in beat per minute (BPM) The position of the horizontal distance lines does not affect the heart rate Touch Heart Rate A crosshair cursor with horizontal and vertical axes appears on the time series window Drag the cursor to a desired start point on the horizontal axis and release it A second cursor appears Drag it to the end point on the horizontal axis then release it to complete measurement Measuring in Spectral Doppler Mode Auto Trace Trace the spectrum of Doppler waveforms Touch High Q The trace for the Doppler spectrum will be performed automatically with measurements calculated and displayed on the screen Semi-Trace Trace the Doppler spectrum with better accuracy in the measurement calculation Touch Semi Trace A crosshair cursor with vertical axis appears on the time series window Drag the cursor to a desired peak of the graph and release it A second cursor appears Drag it to end diastole on the graph then release it A third cursor appears Drag it to the second peak of the graph and release it Touch anywhere on the screen to complete the trace To obtain an accurate auto-trace and measurement result, a quality Spectral Doppler image with clean noise background is required P69 92- 4 , EN, 16/12/ 6 in n x Adding Measurements InnoSight Ultrasound System Trace Manually trace the Doppler spectrum Touch Semi Trace A crosshair cursor with vertical axis appears on the time series window Drag the cursor to a desired peak of the graph and release it A second cursor appears Drag it to end diastole on the graph then release it A third cursor appears Drag it to the second peak of the graph and release it to complete the trace Velocity Measure the blood flow velocity Display item Contents (units) Flow Velocity (mm/s) PG Pressure gradient (mmHg) Touch Velocity A crosshair cursor with vertical axis appears on the time series window Drag the cursor to the measurement point, and release your finger to place it General Measurement Used to perform a set of basic Spectral Doppler measurements including peak systolic velocity, velocity time integral, end diastolic velocity, pressure gradient and acceleration time Display item Contents (units) V1 Peak systolic velocity (mm/s) V2 End diastole velocity (mm/s) P1/P2 Pressure gradient (mmHg) Accl Acceleration time (mm/s2) Time Time (s) Touch 2-Points A crosshair cursor with vertical axis appears on the time series window Drag the cursor to a desired peak of the graph and release it A second cursor appears Drag it to end diastole on the graph and release it The measured results (values) appear on the screen For measurement accuracy and precision in PW Doppler measurement: Velocity measurement will be less than 12 The measured results of performing Trace, Semi-Trace and Auto Trace vary depending on the transducer connected Saving and Printing the Image After adding annotations/measurements to the image, you can save or print the image 2 Saving and Printing the Image in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Saving an Image Loop On the real-time imaging screen, touch Acquire to save a default set of frames as an image loop The saved image loop will be displayed in the thumbnail list Saving an Image On the frozen imaging screen, touch Acquire to save the current frame as an image The saved image will be displayed in the thumbnail list Printing an Image On the frozen imaging screen, touch Print to print out the current image Reviewing the Image On the frozen imaging screen, flick vertically on the thumbnail list to view the thumbnails of all the saved images/loops To further examine one or a set of images/loops, touch the thumbnail of the desired image or image loop to display the review screen 12/5/2016 08:56 AM Menu Abdomen Add to Report Report Export exam Delete C6-2 MI 0.72 TIS 0.02 32 Hz 16.0 cm 2D Gen Gn 44 DR 78 1/ 0/ 1 3/ 0/ 6 Play Multi-Select 1*1 Multi-Compare 1*1 Print Exam List 2/11 2D Fn Key Set Start Figure 29 P69 92- 4 , EN, 16/12/ 6 Set End 56 Home End Exam Review the image in n x Reviewing the Image InnoSight Ultrasound System Performing Multiple Selections You can perform actions to more than one image/loop at a time 12/5/2016 08:56 AM 12/5/2016 08:56 AM Add to Report Report Export exam Delete 12/5/2016 08:56 AM Abdomen Abdomen Menu Abdomen C6-2 MI 0.72 TIS 0.03 18 Hz 16.0 cm 2D Gen Gn 39 DR 80 1/ 0/ 1 1/ 0/ 4 12/5/2016 08:56 AM C6-2 MI 1.04 TIS 0.34 12 Hz 12.0 cm 12/5/2016 08:56 AM Cardiac Color Gen Gn 47 1/ 1/ 5 Filter 20.0Hz 15 15 C6-2 MI 1.04 TIS 0.34 12 Hz 12.0 cm S4-2 MI 1.31 TIS 1.09 76 Hz 14.0 cm 2D Gen Gn 41 2D Gen Gn 44 Color Gen Gn 47 1/ 1/ 5 Filter 20.0Hz PW Gen Gn 50 Angle 60 6.91 cm Filter 280.0Hz -15 -15 Update 1*1 12/5/2016 08:56 AM 12/5/2016 08:56 AM 12/5/2016 08:56 AM Abdomen Cardiac Print C6-2 MI 0.72 TIS 0.03 18 Hz 16.0 cm 2D Gen Gn 39 DR 80 1/ 0/ 1 1/ 0/ 4 12/5/2016 08:56 AM Liver 2D Gen Gn 41 3*3 2D Gen Gn 39 DR 80 1/ 0/ 1 1/ 0/ 4 Renal Play C6-2 MI 0.72 TIS 0.03 18 Hz 16.0 cm Exam List 2/11 Cardiac S4-2 MI 1.31 TIS 1.09 76 Hz 14.0 cm C6-2 MI 1.04 TIS 0.34 12 Hz 12.0 cm S4-2 MI 1.03 TIS 3.14 76 Hz 14.0 cm 2D Gen Gn 44 2D Gen Gn 41 2D Gen Gn 44 PW Gen Gn 50 Angle 60 6.91 cm Filter 280.0Hz Color Gen Gn 47 1/ 1/ 5 Filter 20.0Hz CW Gen Gn 50 Angle 0 7.0 cm Filter 80.0Hz 15 -15 2D Update Fn Key Figure 30 Update Select All Deselect All Home End Exam Perform multiple selections Touch Multi-Select + Flick vertically on the thumbnail window and touch to select up to 9 images/loops To quickly select all images, touch Select All To cancel all selections, touch Deselect All Touch an action button For example, touch Delete to delete all selected images/loops Comparing Images You can compare the scanned images/loops by displaying selected ones on the screen 12/5/2016 08:56 AM Menu Abdomen Add to Report Gen Report Export exam Delete Please press thumbnail to add to review list Play 1*1 2*2 Please press thumbnail to add to review list Print Please press thumbnail to add to review list Exam List 11 2D Fn Key Home Figure 31 End Exam Compare images Touch the Multi-Compare + Flick vertically on the thumbnail list, and touch to select up to 4 images/loops to display for comparison Touch an action button 4 Reviewing the Image in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Generating a Report On the review screen, touch the thumbnails of the desired images and touch Add to Report Touch Gen Report to display the following screen Menu Study date: 2015/09/03 Report Liver Institution: Print Print Preview Referring: Interpreting: 1 column Signature: Template Cardiac Add Image Exam List Delete Image Export Patient information Last Name M.I. First Name ID DOB Age Study Specific Information One Page Report Height cm Blood Press Weight kg Prompts Home BSA: M2 HR bpm mmHg Findings Previous End Exam Figure 32 Report screen Fill in information about the patient and the study, if not complete, and add comments using the virtual keyboard Flick down to review the images added, and add comments to individual images, if needed You can still add/remove images to/from the report without going back to the review screen Touch Add Image to display the image editing screen Check/uncheck the desired images and touch Add to Report Touch Image Layout + to select the numbers of columns for placing the images on a report To save the report, touch Export, select the file format and directory, enter the file name then touch Save as file To save the report, an external storage device must be connected to the system To print out the entire report with scanned images, first touch Print Preview to preview the report, then touch Print To print out the report in texts only, touch One Page Report > Print On the print review screen, you can choose different ways to preview the report Exporting the Exam You can export exams and images to an external storage or the DICOM server When exporting an exam, an image or a cine loop, the system creates a uniquely named subdirectory for each exam, image or loop The system provides three ways of exporting the exam: On the review screen, touch Export exam On the Exam List screen, check the completed exams, and touch Export Exam P69 92- 4 , EN, 16/12/ 6 in n x Exporting the Exam InnoSight Ultrasound System On the report screen, touch Export Touch Export exam to DICOM, Export exam to external storage or Export media image to external storage To set the default export directory, export to DICOM automatically after ending the exam and more, touch Menu > Settings For more information on configuring DICOM settings, see DICOM Configuration on page 66 Managing the Exam List You can check and update status of all the stored exams from the Exam list screen On the imaging screen, touch Menu > Exam List Refer to the Status column to check the status of each exam To review images/video clips of an exam, touch Search Exam Exam List Menu Name New Exam ID Exam List Name Continue Date ID Type Study date Image Status Complete Pause Complete Processing Delete Exam Export Exam Import Exam Image & Clip Home Previous Figure 33 Exam list screen Alternatively, you can enter the query in any of the Name/ID/Date fields, and touch to start the query Patients matching the query will be listed on the screen Resuming an Exam To resume an exam, check the exam and touch Continue to enter real-time scanning Starting a New Exam To start a new exam from a patient with an existing exam, check the exam and touch New Exam Finishing Exams To update the exam status as Complete , multi-check the exams and touch Complete Deleting Exams Multi-check the exams 6 Managing the Exam List and touch Delete to delete exams in n x P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Exporting Exams To export exams, multi-check the exams , touch Export Exam and select an export method The task status icon (See page 6 ) next to the checkbox indicates the uploaded result of the exam Importing Exams Multi-check the exams and touch Import from an external storage Ending the Exam An exam is not complete if you proceed with a new exam without ending the previous one To end the exam, touch End Exam on the imaging screen To check the exam status, go to Menu > Exam List P69 92- 4 , EN, 16/12/ 6 in n x Ending the Exam InnoSight Ultrasound System P69 92- 4 , EN, 16/12/ 6 7 Using Image Controls All of the information in this chapter pertains to real-time imaging Many of the controls and functions change when you freeze the scan For information on using functions when the scan is frozen, see Adding Annotations on page 6 and Adding Measurements on page On the real-time imaging window: Touch the scan mode (image control) buttons to select the scan mode (See Imaging Screen (Real-time) on page ) Touch > to switch the control panel pages to go through the available functions (See Switching the Control Panel Pages on page 62) 2D Mode Image Controls Overview The system delivers 2-dimensional digital imaging using 2 6-level gray map This scan mode delivers excellent image uniformity, tissue contrast resolution, and steering flexibility in frequencies from 2 MHz to 1 MHz 2D C6-2 PW 2D 8.0 78 THI Zoom 2D TGC Figure 34 2D mode real-time scan Adjusting Gain Adjust amplification of the returning echoes, which adjusts the amount of echo information displayed in an image The overall brightness of the image can be elevated, but the noise may also be added to the image with excessive increase in gain Touch Gain +/- or flick horizontally on the scan area to adjust the gain value Adjusting Frequency Change the scan frequency to obtain higher resolution as frequency increases, or deeper penetration as frequency decreases To increase the frequency, touch Res To decrease the frequency, touch Pen P69 92- 4 , EN, 16/12/ 6 in 2D Mode Image Controls 89 InnoSight Ultrasound System Adjusting Time Gain Compensation (TGC) Adjust the gain which compensates for the attenuation (a reduction in sound amplitude) of the echo signals in proportion to their depth (based on travel time) Touch TGC to display the TGC sliders on the screen To increase/decrease the gain at the desired section (depth) of the image, drag the corresponding slider to the right/left Adjusting the Scan Depth Adjust the field of view To view larger or deeper structures, increase the depth To enlarge the display of structures near the skin line, decrease the depth The system automatically adjusts the frame rate (FPS) and acoustic power indices (TI/MI) based on the scan depth Touch Depth +/- or flick horizontally on the scan area to set the scan depth Adjusting the Focus Depth, Focal Zone and Focal span Focus optimizes the image by increasing the resolution for a specific area and is displayed by a red arrow marker indicated at the depth ruler Depending on the transducer in use and the mode selected, multiple focus depths can be added Increasing the number of focal zones decreases the frame rate If the frame rate is not high enough, try decreasing the number of focal zones Touch Focus +/- to adjust the depth value Touch Focal Zone +/- to select the desired number of focal zones Touch Focal Span +/- to adjust the distance between the focal zones Adjusting Dynamic Range Control the range of acoustic levels displayed in the image, which affects the contrast of the image Touch Dyn Range +/- to adjust the amount of compression Using Tissue Harmonic Imaging (THI) Reduce superficial artifact and provide better gray scale contract by processing an integer multiple of the fundamental frequency, a harmonic wave Touch THI to enable this function Adjusting Persistence Adjust the amount of frame averaging from real-time images or loops Higher persistence produces less speckled and smoother image but reduces the temporal resolution Touch Persist +/- to adjust the value Adjusting Sharpness and Smoothing Improve the sharpness of the image by enhancing the edge contrast and smoothening the tissue speckle Touch XRES +/- to adjust the value Adjusting Gray Map Change how the amplitude is converted to brightness Touch Gray Map +/- to adjust the value 2D Mode Image Controls in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Adjusting Chroma Map Adjust the chroma (color tone and saturation) value with different brightness Touch Chroma +/- to adjust the tone Adjusting Steer Angle Optimize the viewing area by adjusting the steer angle This function works only with linear array transducers Touch Steer +/- to adjust the angle Adjusting the Sector Width and Position Adjust the ROI of the imaging area for image width and image position A smaller sector width increases the frame rate Touch Sector Width +/- to adjust the width Touch Sector Pos +/- to adjust the position Adjusting Power Adjust the acoustic output power value to the expected target Touch Power +/- to adjust the value Using Trapezoidal Imaging Increase the range of view of the ultrasound image when using a linear transducer Touch Trap to enable trapezoidal imaging Adjusting Density Adjust the density of the scan lines Higher density obtains better horizontal resolution with lower frame rate, while lower density obtains higher frame rate Touch Density repeatedly to select a desired line density Using Compound Imaging Reduce speckles and improve contrast resolution Frequency compounding: Combine multiple images acquired from different frequencies Touch FQBeam to enable frequency compounding Spatial compounding: Combine multiple images acquired from different beam angles Touch SonoCT repeatedly to enable and adjust spatial compounding Using ENV (Enhanced Needle Visualization) When performing a biopsy with the supported transducer, the system offers on-screen needle guides to further enhance imaging of the needle Before using the ENV function, make sure the following conditions are met: 2D mode is selected An L12-4 transducer is connected to the system P69 92- 4 , EN, 16/12/ 6 in 2D Mode Image Controls 91 InnoSight Ultrasound System A patient profile is selected Touch ENV to enable this function A diverging dotted green line show in the Imaging window The point of the needle should be close to vertical to the dotted line The part of the needle image that goes beyond the limit will not be brightened and can’t be seen Tap ENV Angle repeatedly, if needed, to toggle between lines angled from upper left to lower right and lines angled from upper right to lower left The system does not support the biopsy guide function Do not use nor assemble any kind of needle guide kits/brackets on the transducer supported to avoid transducer damage or hurting the patient Color/CPA Mode Image Controls Overview Color mode is used to detect the presence, direction, and relative velocity of blood flow by assigning colorcoded information to these parameters The color is depicted in a region of interest (ROI) that is overlaid on the 2D image Non-inverted flow towards the transducer is assigned shades of red, and flow away from the transducer displays in shades of blue All forms of ultrasound-based imaging of red blood cells are derived from the received echo of the transmitted signal The primary characteristics of this echo signal are its frequency and its amplitude (or power) The frequency shift is determined by the movement of the red blood cells relative to the transducer flow towards the transducer produces a higher-frequency signal and flow away from the transducer produces a lower-frequency signal Amplitude depends on the amount of moving blood within the volume sampled by the ultrasound beam Large frequency shift generated by rapid flow is displayed in lighter colors, and smaller frequency shift in darker colors 2D C6-2 PW 2D 15 -15 2D TGC Figure 35 92 Color/CPA Mode Image Controls in Color mode real-time scan P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System In CPA (Color Power Angio) mode, low flow rate in small vessels are clearly observed Colors are carried out only to demonstrate the blood flow, but contain no velocity information, thus, offer no directional information 2D C6-2 PW 2D 2D TGC Figure 36 CPA mode real-time scan Both Color and CPA modes can work with other scan modes to form duplex and triplex modes Adjusting Pulse Repetition Frequency (PRF) Adjust the velocity range of the color flow display The maximum velocity range depends on the transducer in use and the location of the sample volume Set the PRF high enough to prevent aliasing, and low enough to provide adequate detection of slow blood flow Upon adjusting the PRF value, the velocity scale shown on the Color/CPA wedge and the Wall Filter setting are changed accordingly Touch Scale +/- to adjust the value Adjusting Wall Filter (WF) Reduce or eliminate unwanted low-frequency, high-intensity signals generated by movements of blood vessel walls or by rapid movement of the transducer Set the wall filter high enough to ensure that the Color Doppler flash artifacts from tissue or wall motion are not displayed, but low enough to display slow flow The adjustable range of the Wall Filter value is related to the current PRF value Touch Wall Filter +/- to adjust the value Applying the Smoothing Filter Reduce color noise by applying a smoothing filter to the image Touch Smoothing +/- to adjust the value Adjusting the Color Priority Define the amount of color displayed over bright echoes, and help confine color within the vessel walls Touch Priority +/- to adjust the value P69 92- 4 , EN, 16/12/ 6 in Color/CPA Mode Image Controls 93 InnoSight Ultrasound System Inverting the Color Display Invert the color display in relation to the blood flow direction in Color mode Normally, the color red is assigned to positive frequency shifts (flow toward the transducer), and blue is assigned to negative frequency shifts (flow away from the transducer) Use this function to reverse this color assignment and invert the colors on the color wedge Touch Invert to invert the color scale Using Directional Power Activate Directional Power in CPA mode for use in applications where sensitivity and directional information are both required Touch Directional to enable this function M-Mode Image Controls Overview M-Mode imaging is used simultaneously with 2-dimensional (2D mode) imaging to determine patterns of motion for objects within the ultrasound beam M-Mode displays scan data of the anatomy in the 2D Imaging window a , and the motion scan in the Time Series window b The M-Mode cursor line (M-line) appears vertically in the central area of the active 2D image, indicating the position of the M-Mode beam Typically, this mode is used for viewing motion patterns of the heart Drag the M-line to the target position to determine the presence of motion occurred along the singular line 2D PW CW 2D Zoom 2D TGC Figure 37 M-Mode real-time scan Touch Update to initiate the M-Mode trace which produces a scrolling display of movement (along the vertical Y axis), plotted against time (along the horizontal axis) Touch M to enable M-Mode image controls 94 M-Mode Image Controls in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Using Steer M Allow steering the sample volume to any angle you choose by adding multiple M-lines, rather than sampling in a strict vertical position This function is particularly useful in cardiological applications Touch Steer M + A crosshair cursor appears on the image Drag the cursor to where you want to start sampling and release it Drag the cursor to where you want to end sampling and release it Touch Steer M + to add a second line Repeat step 2-3 to place it Up to 3 M-lines can be added Adjusting Sweep Speed Adjust how fast the timeline is scanned across the Time Series window Touch Speed repeatedly to select a desired velocity Selecting M Process Select the detection method processing the M-Mode trace display The system provides retrieving average or peak scan data from the M-Mode trace Touch M Process repeatedly to select a desired method Inverting the M-Mode Trace Display Invert the M-Mode trace display in relation to brightness Touch Video Invert to swap the colors on the M-Mode trace display Spectral Doppler Mode Image Controls Overview Pulsed-Wave Doppler (PW) and Continuous Wave Doppler (CW) are collectively called Spectral Doppler mode A Spectral Doppler scan produces a series of pulses used to study the motion of blood flow selectively in the region of interest PW/CW modes display scan data of the anatomy in the 2D Imaging window for monitoring the exact location of the sample volume, and the PW/CW data acquired in the Time Series window The axis of the graph represents time, and the Y axis represents Doppler frequency shift The shift in frequency between successive ultrasound pulses, caused mainly by moving red blood cells, can be converted into velocity and flow if an appropriate angle between the insonating beam and blood flow is known PW mode examines blood flow data selectively in a small region along a desired ultrasound cursor (the Spectral Doppler cursor), called the sample volume or sample gate A short line across the sample volume is called the Flow Direction cursor This cursor line should be aligned to the blood flow direction when measuring the flow velocity P69 92- 4 , EN, 16/12/ 6 in Spectral Doppler Mode Image Controls 9 InnoSight Ultrasound System Drag the sample gate to the proper location 2D PW CW 2D PW Zoom -60,0,60 2D PW TGC Figure 38 PW Doppler mode real-time scan CW mode examines the flow data along the Spectral Doppler cursor rather than a small region 2D PW CW 2D CW Zoom 2D CW TGC Figure 39 CW Doppler mode real-time scan Adjusting Baseline Adjust the zero baseline up or down in the Time Series window Touch Baseline +/- to adjust the value Touch and hold the baseline in Time Series window, then drag the baseline vertically to move it Adjusting Sample Volume (SV) Size Adjust the SV size which controls the size of the Doppler region being examined in PW mode To adjust the SV size: Touch SV Size +/Touch and hold one finger on the scan line, then flick another finger up or down 96 Spectral Doppler Mode Image Controls in P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Adjusting Correction Angle Adjust the correction angle to obtain accurate velocity At angles greater than calculation is usually too large to use To toggle the angle between -6 , the error in the velocity and 6 , touch Angle -60,0,60 repeatedly To manually adjust the angle, touch and hold one finger on the scan line, then flick another finger to the left or right Updating the 2D Display Select whether or not to continue scanning the anatomy while acquiring PW Doppler scan data Touch Duplex to enable/disable this function P69 92- 4 , EN, 16/12/ 6 in Spectral Doppler Mode Image Controls 97 InnoSight Ultrasound System 98 Spectral Doppler Mode Image Controls in P69 92- 4 , EN, 16/12/ 6 8 System Customization and Service Customizing Your System You can customize your system to streamline your workflow and increase efficiency Use the setup tools to adjust sets of controls for defaults and other settings On the system, touch Menu > Settings The setup tools are categorized into various sections Touch each section to access the settings General Dock Control Panel at: Set the control panel at the left or right side of the screen Enable freeze gesture: Enable double-tapping the screen to freeze the real-time scan Language: Set the system language, and the system restarts automatically Export Settings/Import Settings: Insert an external storage, touch Export/Import and select the storage directory Preset Default preset/Preset list: Touch Edit, set the default preset and re-arrange the preset list on the Preset screen, then touch Save (See Selecting a Preset on page 2) Export preset/Import preset: Export/import customized presets to/from your external storage (See Selecting a Preset on page 2) Patient Auto-create Patient Name and ID: Enable creating a set of patient name and ID every time you start a new exam Show Patient Information: If you want to protect patient privacy, disable this function to conceal patient information during real-time scanning However, the system does not allow acquiring images/ loops without patient name Show Study Information: If you want to protect physician privacy, disable this function to conceal physician and institution information during real-time scanning Patient Information Unit: Set the measurement unit for filling in patient information Exam Add logos and names for the institutions and physicians Delete exams before: Set the number of weeks ago the exams are done, then touch Delete > OK Workflow Screen after Enter Ultrasound: Select the screen to enter after starting/logging in the system Auto-freeze after Minutes: Set the number of minutes of waiting before the scan is frozen automatically Status after Freeze: Assign the first action to perform after freezing the scan P69 92- 4 , EN, 16/12/ 6 i n nd e i e Customizing Your System 99 InnoSight Ultrasound System Body mark Auto-clear Body Mark after Unfreeze: Enable clearing the body mark added automatically after returning to the real-time scan Auto-add Body Mark after Live Scan: Enable adding a body mark each time you start a new scan Annotation Auto-clear Annotation after Unfreeze: Enable clearing all the annotations added automatically after returning to the real-time scan Measurement Auto-clear Measurement after Unfreeze: Enable clearing all the measurements added automatically after returning to the real-time scan Continue Next Measurement: Enable initiating a second measurement automatically after the first one is complete Exam Screen after End Exam: Select the screen to enter after touching End Exam Export DICOM after End Exam: Enable exporting data via DICOM automatically after touching End Exam Print Print while Save: Enable printing out the scanned image automatically after touching Save Function ey The system provides a function (configurable) key for quick access to your frequently used action Function Key Actions: Touch Edit, assign a desired action to the function key, then touch Save Function Key Display Name: Edit the name for the function key Imaging Auto Focus by following CROI/Auto CROI by following SV: Enable re-positioning ROI to the center of the image automatically upon entering Color/CPA/PW/CW modes Auto Zoom-in Image for PW/CW Mode/Auto Zoom-in Ratio: Enable zooming-in images automatically with the assigned ratio upon entering PW/CW modes To change the zoom ratio, select a desired percentage Image format: Select the scanned image format Cine Loop Length in Seconds (Length may vary depending on frame rate): Set the cine loop length for each recording PW Output Unit/CW Output Unit: Set the velocity display unit in PW/CW modes Display Layout M Mode Display Format/PW Mode Display Format/CW Mode Display Format: Set the aspect ratio between the 2D imaging window and the time series window on the imaging screen Annotation Annotation Font Size/Arrow Size: Select a desired size Customizing Your System i n nd e i e P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Label List: Touch Edit, select an application and check/uncheck each label to re-arrange the label list, then touch Save Body Mark Default Body Mark for Application: Touch Edit, select an application and touch a desired body mark to set it as default, then touch Save Body Mark List: Touch Edit, select an application and enable/disable each body mark to re-arrange the body mark list, then touch Save Measurement User Defined Measurement List/User Defined Calculation List: Customize measurements/calculations Touch Edit Select a scan mode to display its available measurements/calculations » To add a new measurement/calculation, touch New, or use existing measurement types/equations by selecting a measurement/calculation and touching Copy Edit the measurement/calculation name and measurement types/equations using the Properties buttons, then touch Apply » To edit or delete a customized measurement/calculation, select the measurement/calculation and touch Edit or Delete Configuration of Calculation List: Touch Edit and check/uncheck each item to re-arrange the calculation list, then touch Save Result Unit: Set the measurement unit Caliper Size/Set Result Font Size: Select options Show Measure Line: Enable showing the measuring lines while performing a measurement Result Position: Set the position of the measured results Show Result: Set whether to show all or the last measured results, or to hide them all Report Default Report Template: Set the default report template based on the application selected Built-in Prompt String/Built-in Finding String/Built-in Comment String: Touch Edit, then edit or add built-in strings used in the report Report Display: Touch Edit, and select the display unit of the Calculation Package in the report DICOM Configure DICOM settings For more information, see DICOM Configuration on page 66 Networking Display the network connection status of the system in the Information window » Current Status: The IP address currently connected » Detailed Status: All the IP addresses and MAC addresses connected Configure the system network » WLAN Configurations: See Connecting the System to the Wireless Network on page 6 » Ethernet Configurations: See Connecting the System to the Network by Ethernet on page 6 P69 92- 4 , EN, 16/12/ 6 i n nd e i e Customizing Your System 1 1 InnoSight Ultrasound System Print Image Printer/Report Printer: Assign the printer for use when printing images/reports Network Printing: Configure printer settings Image Color Invert: Print out the image with colors inverted Configuring Security Policies After creating user accounts, the administrator needs to enable the data security feature in order to protect patient data Before security configuration, log in as the administrator The ID/Name of the administrator are shown in the Current User section Security Policies Applying Restriction Modes Three restriction modes are available for selection No restriction: All the system features are available to the guest users Only Patient data is locked: All the system features except access to ePHI information are available to guest users Complete system is locked: None of the system features are available to guest users Setting the Password Policy Enhance the user login security by applying rules to setting the password, including restricting password length, uniqueness and complexity Setting the Account Lockout Policy Determine the rules of locking a user account after invalid logon attempts Enabling Auto Log Off Set an automated logout after a specified period of inactivity User Management Modify personal credentials and change roles of the users Touch User Management In the User List section, to modify a user, touch to delete a user, touch Servicing your system If you encounter any problem using the system, need to update software, backup and restore data or use the on board diagnostic tools, select the service tools Some functionality may require access keys which are available from technical support 1 2 Configuring Security Policies i n nd e i e P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System On the system, touch Menu > Settings > Service The service tools are categorized into the following sections Managing your system: Touch System Management System information, software update and backing up and restoring data can be found here Testing your system: Touch Test & Utilities Use the diagnostic tools here to test the system functionality Exporting system logs: Touch System Logs Test results of the system functionality can be found here About your system: Touch About The system’s main version, serial number (default password for the first-time-logging-in) and this User Manual can be found here Reinstalling Software This requires further assistance, contact technical support (See Customer Service on page 3) An access key is required Once the access key is provided, the installation will require a USB flash drive with the software ZIP file Please allow five to ten minutes for installation The system will restart after completed All settings and patient data are preserved but it is good practice to ensure recent backups have been performed Touch System Management > (Software Maintenance) > (Reinstall Software) > Update Ensure regular backups of patient data and settings It may be important in the event of a failure to have current configuration data Checking the Software Version This may be required when contacting Technical Support Touch System Management > (Software Maintenance) > (Software Version) Checking the System’s Serial Number The System Serial Number is the unique Philip’s Customer Identifier It may need to be edited with assistance from technical support when a replacement tablet is received and no backup is available to restore from Touch System Management > (System Information) > (System Serial Number) > Edit Checking the Tablet’s Serial Number List the serial number of the tablet This is assigned and cannot be changed Touch System Management > (System Information) > (Tablet Serial Number) Checking the License Status List current licenses and options that are installed It may need to be reinstalled with assistance from technical support when a replacement tablet is received and no licenses are installed Touch System Management > (System Information) > (License Status) P69 92- 4 , EN, 16/12/ 6 i n nd e i e Servicing your system 1 3 InnoSight Ultrasound System Resetting User Settings Performing this action will reset all system settings of the current user and is irreversible Consider backing up your settings to an external storage device first Touch System Management > (System Configuration) > (Reset Configuration) > Reset Backing Up System Settings and Patient Data Before backing up system settings and patient data, ensure that the system is connected to an external storage device It is recommended that you perform regular backups on system settings and patient data to prevent data loss Touch System Management In the System Configuration section, touch Backup in the following fields: Backup System Settings & Patient Data: All the system settings, presets and exams are saved to the external storage device The following file naming convention is applied to the backup file: Backup YYYYMMDD HHMMSS Backup Patient Data: All the exams are saved to the external storage device The following file naming convention is applied to the backup file: Backup PATIENT YYYYMMDD Restoring System Settings and Patient Data Before restoring system settings and patient data, ensure that the system is connected to an external storage device containing stored system settings and patient data Touch System Management In the System Configuration section, touch Restore in the following fields, and select a backup file: Restore System Settings & Patient Data: All the system settings, presets and exams are restored to the system from the external storage device Restore Patient Data: All the exams are restored to the system from the external storage device Resetting Your System This action is irreversible Consider backing up your up system settings and patient data to an external storage device first Performing this action will restore your system to its factory state and erase all your user settings and patient data from the system storage Touch System Management > (System Configuration) > (Factory Reset) > Erase Testing the System The system provides diagnostic tools to examine all the functionality of the system components However, these operations may require assistance from technical support (See Customer Service on page 3) Touch Test & Utilities > (System Test) > (Test mode) 1 4 Servicing your system i n nd e i e P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Exporting System Logs Before exporting system logs, ensure that the system is connected to an external storage device After testing the system, the test results will be logged and available for review You can view all task records concerning DICOM transmission from the System Logs window, or export the log file to an external storage device and send it to your service contact (See Customer Service on page 3) Touch System Logs > Export Reading the User Manual This User Manual is also available in an electronic format Touch About > (User Manual) > Open File P69 92- 4 , EN, 16/12/ 6 i n nd e i e Servicing your system 1 InnoSight Ultrasound System 1 6 P69 92- 4 , EN, 16/12/ 6 9 Transducers The transducer is the most important factor in image quality Optimal imaging cannot be obtained without the correct transducer The system is optimized for use based on your transducer selection Transducer Maintenance Transducers require proper care, cleaning, and handling Reasonable care includes inspection,cleaning, and disinfection or sterilization, as necessary Inspect the transducer, cable, and lens before each use Check for cracks or other damage that jeopardizes the integrity of the transducer Report any transducer damage to your Philips representative, and discontinue use of the transducer For all information on transducer cleaning and disinfection, see Chapter 1 Transducer Care on page 111 For all information about the use of acoustic coupling gels, see Ultrasound Transmission Gels on page 11 If you encounter poor image quality or transducer problems, see Troubleshooting on page 123 Some ultrasound coupling gels, as well as some solutions for pre-cleaning, disinfecting, and sterilizing can damage a transducer Before using a gel or solution on a transducer, see Ultrasound Transmission Gels on page 11 or Chapter 1 Transducer Care on page 111 You can also contact your local Philips representative For contact information, see Customer Service on page 3 Acoustic artifacts The transducer adds its own signature to the echo information in the form of beam width effects, axial resolution limitations, and frequency characteristics The control choices made by the sonographer that affect amplification, signal processing, and echo signal display can lead to significant differences in the displayed appearance of echo data Following is a brief discussion of acoustic artifacts An understanding of the physical basis for the production of signals displayed on ultrasound images is helpful in minimizing artifacts on images and interpreting the results of studies An artifact is an echo displayed in a different position than its corresponding reflector in the body Artifacts can also be caused by intervening tissue properties Artifacts can originate from external noise, reverberations, multi-path reflections, or misadjusted equipment They can also come from the ultrasonic beam geometry and unusual changes in beam intensity Artifacts and their manifestations are listed below, and following are some definitions of various artifacts Added objects displayed as speckle, section thickness, reverberation, mirror image, comet tail, or ring down Missing objects due to poor resolution Incorrect object brightness due to shadowing or enhancement Incorrect object location due to refraction, multi-path reflections, side lobes, grating lobes,speed error, or range ambiguity Incorrect object size due to poor resolution, refraction, or speed error Incorrect object shape due to poor resolution, refraction, or speed error P69 92- 4 , EN, 16/12/ 6 nd e Transducer Maintenance 107 InnoSight Ultrasound System Acoustic saturation occurs when received signals reach a system’s high-amplitude limit At that point the system becomes unable to distinguish or display signal intensities At the point of saturation, increased input will not increase output Aliasing occurs when the detected Doppler frequency exceeds the Nyquist limit It is characterized on the spectral display by the Doppler peaks going off the display, top or bottom, and then continuing on the other side of the baseline On the Color display an immediate change in color from one Nyquist limit to the other is seen Comet tail is a form of reverberation artifact produced when two or more strong reflectors are close together and have a high propagation speed In this case, sound does not travel directly to a reflector and back to the transducer and a strong linear echo appears at the reflector and extends deeper than the reflector Enhancement is an increased relative amplitude of echoes caused by an intervening structure of low attenuation Focal enhancement, also known as focal banding, is the increased intensity in the focal region that appears as a brightening of the echoes on the display Mirror imaging artifact is most commonly seen around the diaphragm this artifact results from sound reflecting off another reflector and back Mirroring is the appearance of artifacts on a spectral display when there is improper separation of forward and reverse signal processing channels Consequently, strong signals from one channel mirror into the other Multi-path positioning and refraction artifacts describe the situation in which the paths to and from a reflector are different The longer the sound takes traveling to or from a reflector, the greater the axial error in reflector positioning (increased range) Refraction and multi-path positioning errors are normally relatively small and contribute to general degradation of the image rather than to gross errors in object location Propagation speed errors occur when the assumed value for propagation speed by the ultrasound system is incorrect If the actual speed is greater than that assumed, the calculated distance to a reflector is too small, and the reflector will be displayed too far from the transducer Speed error can cause a structure to be displayed with incorrect size and shape Range ambiguity can occur when reflections are received after the next pulse is transmitted In ultrasound imaging, it is assumed that for each pulse produced, all reflections are received before the next pulse is sent out The ultrasound system calculates the distance to a reflect or from the echo arrival time assuming that all echoes were generated by the last emitted pulse The maximum depth to be imaged unambiguously by the system determines its maximum pulse repetition frequency Reverberation is the continuing reception of a particular signal because of reverberation rather than reflection from a particular acoustic interface This phenomenon is analogous to the effect created by mirrors positioned on opposite walls when an object, a head for instance, is placed between the mirrors The image of the head is reflected back and forth infinitely between the two mirrors, creating the optical illusion of multiple heads Reverberations are easily identifiable, because they are equally spaced on the display Scattering is the diffuse, low-amplitude sound waves that occur when acoustic energy reflects off tissue interfaces smaller than a wavelength In diagnostic ultrasound, Doppler signals come primarily from acoustic energy back-scattered from red blood cells Shadowing is the reduction in echo amplitude from reflectors that lie behind a strongly reflecting or attenuating structure This phenomenon occurs when scanning a lesion or structure with an attenuation rate higher than that of the surrounding tissue The lesion causes a decrease in beam intensity, which results in decreased echo signals from the structures beyond the lesion Consequently, a dark cloud behind the lesion image forms on the display This cloud, or shadow, is useful as a diagnostic clue Side lobes (from single-element transducers) and grating lobes (from array transducers) cause objects that are not directly in front of the transducer to be displayed incorrectly in lateral position 108 nd e Acoustic artifacts P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Speckle appears as tissue texture close to the transducer but does not correspond to scatterers in tissue It is produced by ultrasound wave interference and results in general image degradation Spectral broadening is a display phenomenon that occurs when the number of energy-bearing Fourier frequency components increases at any given point in time As a consequence, the spectral display is broadened Spectral broadening can indicate the disturbed flow caused by a lesion, and therefore it is important diagnostically However, broadening can also result from interaction between flow and sample volume size, in which case it is an artifact Speed of sound artifacts occur if the sound propagation path to a reflector is partially through bone, and the speed of sound is greater than in the average soft tissue Echo position registration artifacts will be produced Reflectors appear closer to the transducer than their actual distance because of this greater speed of sound, resulting in a shorter echo transit time than for paths not containing bone Transducer Covers To prevent contamination by blood-borne pathogens, sterile transducer covers are required for intraoperative procedures in China, sterile covers are also required for transrectal and intravaginal procedures the protective covers are mandatory in China and apan We recommend the use of qualified covers Latex and talc are commonly used in sheaths marketed to help with infection control in endocavity and intraoperative imaging applications Examine the packaging to confirm latex and talc content Studies have shown that patients can experience allergic reactions with natural rubber latex See the FDA Medical Alert, March 29, 1991, reprinted in FDA Medical Alert on Latex on page 21 In intraoperative applications, sterilized transducers should be used with sterile gel and a sterile transducer cover Sterile transducer covers are disposable and must not be reused Inspect transducer covers before and after use Do not apply the transducer cover until you are ready to perform the procedure If an installed transducer cover is cut or contaminated before use, the transducer should be cleaned and disinfected or sterilized, and a new sterile cover installed When using C9-4v endocavity transducers, the transducers must be protected with a transducer sheath If a sterile transducer cover becomes compromised during an intraoperative application involving a patient with transmissible spongiform encephalopathy, such as Creutzfeldt- akob disease, follow the guidelines of the U S Centers for Disease Control and this document from the World Health Organization: WHO/CDS/ APH/2 /3, WHO Infection Control Guidelines for Transmissible Spongiform Encephalopathies The transducers for your system cannot be decontaminated using a heat process P69 92- 4 , EN, 16/12/ 6 nd e Transducer Covers 109 InnoSight Ultrasound System Transducer Storage Use the appropriate guidelines for storing transducers for transport, and daily and long-term storage For information on temperature and humidity requirements, see Appendix A: Specifications on page 12 Storage for Transport If a carrying case is provided with your transducer, always use the carrying case to transport the transducer from one site to another Follow these guidelines to properly store transducers for transport: Make sure that the transducer is clean and disinfected before placing it in the case to avoid contaminating the foam that lines the carrying case Place the transducer in the case carefully to prevent kinking of the cable Before closing the lid, make sure no part of the transducer is protruding from the case Wrap the case in plastic material containing air-filled pockets (such as Bubble Wrap material), and pack the wrapped case in a cardboard carton Daily and Long-Term Storage Follow these guidelines to protect your transducer: Always store transducers in the transducer holders on your system cart or on a securely mounted wall rack when you are not using them Ensure the transducer holders are clean before storing transducers Avoid storing transducers in areas of temperature extremes or in direct sunlight Store transducers separately from other instruments to avoid inadvertent transducer damage Before storing transducers, make sure they are thoroughly dry 110 nd e Transducer Storage P69 92- 4 , EN, 16/12/ 6 10 10 Transducer Care All Philips transducers require proper care, cleaning, and handling This section contains information and instructions to help you effectively clean, disinfect, and sterilize the transducers that are compatible with your system Additionally, these instructions help avoid damage during cleaning, disinfection, and sterilization, which could void your warranty Reasonable care includes inspection, cleaning, and disinfection or sterilization, as necessary Transducers must be cleaned after each use Inspect all parts of the transducer carefully before each use Check for cracks or other damage that jeopardizes the integrity of the transducer Transducer Care and Operator Safety Observe the following warnings and cautions during all cleaning, disinfection, and sterilization procedures and when using disinfectants More specific warnings and cautions are included within the care and cleaning procedures and on the labels of the cleaning or disinfection solutions Disinfectants are recommended because of their chemical compatibility with product materials, not their biological effectiveness For the biological effectiveness of a disinfectant, see the guidelines and recommendations of the disinfectant manufacturer, the U S Food and Drug Administration, and the U S Centers for Disease Control The level of disinfection required for a device is dictated by the type of tissue it will contact during use Ensure the disinfectant type is appropriate for the type of transducer and the transducer application For information on the levels of disinfection requirements, see Transducer Care Methods on page 113 Also, see the disinfectant label instructions and the recommendations of the Association for Professionals in Infection Control, the U S Food and Drug Administration, and the U S Centers for Disease Control Do not drop the transducer on the hard surface, as this will damage the transducer elements and compromise the electrical safety of the transducer Avoid kinking or pinching the transducer cable Do not allow sharp objects, such as scissors, scalpels, or cauterizing knives, to touch transducers or cables Do not use damaged or flawed transducers Do not expose transducers to direct heat such as strong sunlight or local heat sources Heat ages the crystal and causes loss of sensitivity Transducers are highly-sensitive instruments and are easily damaged due to improper operations Use the transducers with extra care and avoid damages when not in use Perform regular testing and periodic maintenance including inspection of the transducer assembly for cracks that allow the ingress of conductive fluid Do not immerse the transducer into liquids beyond its binding line, and never immerse the transducer connector into any liquids Use only the approved ultrasound coupling gels Use only couplants specifically designed for ultrasound examinations Do not use mineral-oil or vegetable-based couplants, which can damage transducers P69 92- 4 , EN, 16/12/ 6 nd e e Transducer Care and Operator Safety 111 InnoSight Ultrasound System If a pre-mixed solution is used, be sure to observe the solution expiration date Transducers must be cleaned after each use Cleaning the transducer is an essential step before effective disinfection or sterilization Be sure to follow the manufacturer’s instructions when using disinfectants When sterilizing a transducer, ensure that the sterilant solution’s strength and duration of contact are appropriate for sterilization Be sure to follow the manufacturer’s instructions Follow the recommendations of the disinfectant manufacturer Attempting to clean or disinfect a transducer, cable, or connector by using a method other than the procedures provided here can damage the device and voids the warranty Do not use a surgeon’s brush when cleaning transducers Even the use of soft brushes can damage transducers Do not use a brush on the transducer label Do not use paper products or products that are abrasive when cleaning the transducer They damage the soft lens of the acoustic window of the transducer During cleaning, disinfection, and sterilization, orient the connector and cable that must remain dry higher than the wet parts, until all parts are dry This helps keep liquid from entering unsealed areas of the transducer When cleaning and disinfecting transducers, do not allow any fluid to enter electrical connections or metal portions of the connector Damage due to fluids in these areas is not covered by the warranty or your service contract To keep fluids from entering the transducer, do not disconnect the cable from the transducer during cleaning and disinfection When using an enzymatic cleaner, be sure to use the proper concentration and rinse thoroughly Before storing transducers, ensure that they are thoroughly dry If it is necessary to dry the transducer lens or acoustic window after cleaning, use a soft cloth and a blotting motion, instead of a wiping motion Using non-recommended disinfectants, using incorrect solution strengths, or immersing a transducer deeper or longer than recommended can damage or discolor the transducer and void the transducer warranty Use only liquid solutions to sterilize transducers Using autoclave, gas (EtO), or other methods not approved by Philips will damage your transducer and void your warranty Do not soak the transducer for extended periods of time Limit the time and depth that transducers are soaked in disinfectant solution to the minimum time recommended by the disinfectant manufacturer For information on ordering transducer supplies, contact CIVCO Medical Solutions (See Supplies and Accessories on page 3) 112 nd e e Transducer Care and Operator Safety P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Latex Product Alert Transducer covers may contain natural rubber latex Those covers may cause allergic reactions in some individuals For information on allergic reactions to latex-containing medical devices, see FDA Medical Alert on Latex on page 21 Inspecting the Transducer Inspect the transducer’s acoustic lens, outer cover, the cable, and the transducer connector before each use Check the transducer carefully and see if there are cracks, cuts, or any other damages which may admit fluids Do not use the transducer if it is damaged If the transducer is dropped, examine it immediately for signs of damage Perform a sample scan to make sure it operates correctly Contact Philips for service or replacement if any abnormalities are found For more information on transducer care, refer to the Philips Transducer Care website: www Philips com/transducercare To avoid any possibilities of hurting the patient, check if the transducer has a smooth edge and an even surface before each use Transducer Care Methods Transducer care methods are based on the use of the transducer For more information on transducer care, refer to the Philips Transducer Care website: www Philips com/transducercare Care Methods by Transducer Use Transducer Use Example Classification Care Method Contact intact skin Curved, linear, and sector transducers Noncritical Low-level disinfection Contacts mucous membranes Endocavity transducer Semi-critical High-level disinfection The care method for your transducer determines the appropriate disinfectant for your transducer Transducer and Cable Cleaning These general cleaning instructions are indicated for all supported transducers, cables, and connectors It is important that you clean the transducer, cable, and connector according to the following procedures Before cleaning a transducer, read Chapter 2 Safety Information on page 9 and Transducer Care and Operator Safety on page 111 After cleaning, you must disinfect or sterilize transducers by following the appropriate procedures P69 92- 4 , EN, 16/12/ 6 nd e e Inspecting the Transducer 113 InnoSight Ultrasound System Always use protective eyewear and gloves when cleaning and disinfecting any equipment When cleaning and disinfecting transducers, do not allow any fluid to enter electrical connections or metal portions of the connector Damage due to fluids in these areas is not covered by the warranty or your service contract Cleaning Instructions After every patient exam, use a moist cloth to remove the ultrasound transmission gel from the transducer Disconnect the transducer from the system, and remove any accessories attached to or covering the transducer To remove all organic matter and other residue, use a pre-cleaner or detergent to assist in removing protein residuals Enzymatic cleaners must be diluted prior to use per the manufacturer’s instructions for dilution Enzymatic cleaners are generically approved for use When cleaning the lens, use a blotting motion rather than a wiping motion To remove remaining particulate and cleaning residue, use cleaning wipes according to the manufacturer’s instructions You may rinse thoroughly with water up to the immersion point shown in the figure following the procedure The transducer may be immersed up to the immersion point No other part of the transducer, cable, or connector can be soaked or immersed in fluids Immersion point Figure 40 Immersion point for surface transducers (Example transducer-C6-2) Do not immerse beyond this point, cm (2 in) from the strain relief this is the maximum allowable immersion of the cable you are not required to immerse to this point if it is unnecessary Wipe with a dry cloth if necessary To dry the lens, use a soft cloth and a blotting motion instead of a wiping motion Examine the device and cable for damage such as cracks, splitting, sharp edges, or projections If damage is evident, discontinue use of the device and contact your Philips representative If you use cleaning wipes, it may be unnecessary to rinse the transducer with water Always follow the product label recommendations Low-Level Disinfecting of Transducers Low-level disinfection of transducers uses the spray or wipe method, with a low-level or intermediate-level disinfectant 114 Clean the transducer and cable according to the procedures in Transducer and Cable Cleaning on page 113 Observe all warnings and cautions After cleaning, choose the low- or intermediate-level disinfection solutions compatible with your transducer, cable, and connector For a list of disinfectants compatible with your transducer, nd e e Low-Level Disinfecting of Transducers P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System see Ultrasound Transmission Gels on page 11 Follow the label instructions for preparation, temperature, solution strength and duration of contact Ensure that the solution strength and duration of contact are appropriate for the intended clinical use of the device If a pre-mixed solution is used, be sure to observe the solution expiration date Wipe or spray the transducer, cable, strain relief, and connector with the disinfectant, following the disinfectant label instructions for temperature, wipe durations, and duration of disinfectant contact Ensure that the disinfectant solution does not enter the device or the connector Do not allow any type of fluid to enter the connector Ensure that fluid does not enter through the strain relief, through the connector, or through the electrical contacts Fluid in the connector may void the device warranty Air dry or towel dry with a sterile cloth according to the instructions on the disinfectant label Examine the transducer for damage, such as cracks, splitting, fluid leaks, or sharp edges or projections If damage is evident, discontinue use of the transducer and contact your Philips representative High-Level Disinfecting of Transducers High-level disinfection of transducers typically uses an immersion method Clean the transducer and cable according to the procedures in Transducer and Cable Cleaning on page 113 Observe all warnings and cautions After cleaning, choose the high-level disinfection solutions compatible with your transducer, cable, and connector For a list of disinfectants compatible with your transducer, see Ultrasound Transmission Gels on page 11 Follow the label instructions for preparation, temperature, solution strength and duration of contact Ensure that the solution strength and duration of contact are appropriate for the intended clinical use of the device If a pre-mixed solution is used, be sure to observe the solution expiration date Using an appropriate disinfectant for the transducer cable, wipe or spray the cable, strain relief,and connector, following disinfectant label instructions for temperature, wipe durations, solution strengths, and duration of disinfectant contact Ensure that the disinfectant solution does not enter the device or the connector When disinfecting the transducer cable, wipe or spray only the outer surfaces do not allow any type of fluid to enter through the strain relief or electrical contacts Immerse the transducer into the appropriate disinfectant for your transducer as shown in the figure following the procedure Follow the instructions on the disinfectant label for the duration of transducer immersion Do not immerse transducers longer than the minimum time needed for your level of disinfection The transducer may be immersed up to the immersion point shown in the figure following the procedure No other part of the transducer or transducer cable can be soaked or immersed in fluids Using the instructions on the disinfectant label, rinse the transducer up to the point of immersion Do not soak or immerse any other part of the transducer or cable Air dry or towel dry with a sterile cloth according to the instructions on the disinfectant label Examine the transducer for damage, such as cracks, splitting, fluid leaks, or sharp edges or projections If damage is evident, discontinue use of the transducer and contact your Philips representative Ultrasound Transmission Gels For proper transmission of the acoustic beam, use the ultrasound transmission gel supplied by or recommended by Philips, or another glycol-, glycerol-, or water-based acoustic coupling medium For intraoperative applications, use only the Sterile Aquasonic or Sterile Ultraphonic gel provided with the transducer cover P69 92- 4 , EN, 16/12/ 6 nd e e High-Level Disinfecting of Transducers 115 InnoSight Ultrasound System Do not use hand sanitizing gels Do not apply the transducer gel until you are ready to perform the procedure Transducers should not be left soaking in gel Gels listed here are recommended because of their chemical compatibility with product materials Some recommended gels include: Aquasonic 1 Aquasonic Clear Carbogel-ULT ECG Gel (Nicom) Nemidon Gel Scan Compatible Disinfectants and Cleaning Solutions The following table lists the disinfectants and cleaning solutions compatible with the transducers available for the system The only parts of the transducer that may be cleaned with isopropyl alcohol are the transducer housing and lens or acoustic window Ensure that the solution is only alcohol or less Do not wipe any other part of a transducer with isopropyl alcohol (including cables, connectors, or strain reliefs), as it can damage those parts of the transducer This damage is not covered by the warranty or your service contract 116 nd e e Compatible Disinfectants and Cleaning Solutions P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Disinfectants and Cleaning Solutions Table Legend Country of Origin AU CA DE ES FR US Disinfectant Type Australia Canada Germany Spain France apan United ingdom United States Compatibility CL Cleaner HLD High-level disinfectant ILD Intermediate-level disinfectant LLD Low-level disinfectant S Sterilant T (Transducer) C Approved for use on the cable and connector (never immerse or soak a connector) T Approved for use on the transducer N Not approved for use C (Cable, connector and strain reliefs) Figure 41 Transducer parts (Example transducer: C6-2) Disinfectants and Cleaning Solutions Compatibility Solution Isopropyl Alcohol AbcoCide Country of Qualified Use Origin Active Ingredient Disinfectant Compatibility Type All US Spray/Wipe Alcohol LLD, ILD Soak Glutaraldehyde HLD, S Glutaraldehyde HLD, S AbcoCide 2 US Soak Accel Wipes (all types) CA Wipe Acecide JP Hydrogen Peroxide LLD, ILD Soak Peracetic Acid HLD, S Glutaraldehyde HLD, S Aidal Plus AU Soak Alkaspray FR Spray/Wipe Alcohol, Alkylamine LLD, ILD Ampholysine Basique FR Spray/Wipe Aniosept Activ ANIO Y DM FR FR Biguanide/QUAT LLD, ILD Soak Peracetic Acid HLD, S Soak Peracetic Acid HLD, S Peracetic Acid HLD Anioxyde 1 FR Soak Antigermix E1 FR E1 System UV-C HLD Antigermix S1 FR S1 System UV-C HLD Banicide Plus US Soak Glutaraldehyde HLD, S Bleach ( 6 NaOCl Max) All Spray/Wipe Sodium Hypochlorite LLD, ILD CaviWipes US Wipe Alcohol, QUAT LLD, ILD US Soak Glutaraldehyde HLD, S Soak Glutaraldehyde HLD, S Soak Ortho-phthalaldehyde HLD Cidex Cidex Cidex OPA P69 92- 4 , EN, 16/12/ 6 US US nd e e Compatible Disinfectants and Cleaning Solutions 117 InnoSight Ultrasound System Solution Country of Qualified Use Origin Active Ingredient Disinfectant Compatibility Type Cidex PAE 14 FR Soaka Glutaraldehyde HLD, S Cidex Plus US Soak Glutaraldehyde HLD, S Cleanisept Wipes DE Spray/Wipe QUAT LLD, ILD Clorox Healthcare Bleach Germicidal Cleaner US Spray/Wipe Sodium Hypochlorite LLD, ILD Clorox Healthcare Hydrogen Peroxide Cleaner US Disinfectants Spray/Wipe Hydrogen Peroxide LLD, ILD Combi-Instruments-N FR Soaka Glutaraldehydeformacetale blend HLD Descoton Extra DE Soaka Glutaraldehyde HLD, S Dispatch US Spray/Wipe Sodium Hypochlorite LLD, ILD Glutaraldehyde HLD, S Endosporine FR Soak Enzol US Pre-cleaner Enzymes Cleaner Epizyme Rapid AU Pre-Cleaner Gigasept FF (neu) DE Enzymes Cleaner Soak Succinic dialdehyde HLD Peracetic Acid HLD Gigasept PA DE Soak Gigasept PAA Concentrate DE Soaka Peracetic Acid HLD Incidin DE Spray/Wipe Alcohol LLD, ILD Incidur Spray DE Spray/Wipe Alcohol, QUAT, Aldehyde LLD, ILD Instruzyme FR Pre-cleaner Enzymes, QUAT, Biguanide Cleaner lenzyme US Pre-cleaner orsolex Basic orsolex Extra orsolex PAE MaxiCide Plus MedDis FR FR FR US Medistel Medizyme MetriCide MetriCide 2 MetriCide OPA Plus 11 AU US US US Enzymes Cleaner Soak Aldehyde Releasing HLD Soak Aldehydes/QUAT HLD Soak Glutaraldehyde HLD, S Soak Glutaraldehyde HLD, S Soak QUAT, Sulfamic Acid HLD Soak QUAT, Sulfamic Acid HLD Soak Enzymes Cleaner Soak Glutaraldehyde HLD, S Soak Glutaraldehyde HLD, S Soak Ortho-phthalaldehyde HLD Glutaraldehyde HLD, S MetriCide Plus 3 US Soak MetriZyme US Pre-cleaner Enzymes Cleaner mikrozid PAA wipes DE Wipe Peracetic Acid LLD, ILD Mild Soap Solution All Pre-cleaner Surfactants/Soap Cleaner Milton AU Spray/Wipe Sodium Hypochlorite LLD, ILD NDP Med Concentrated Plus ES Soaka N-Duopropenide, Alkylamine HLD neodisher endo CLEAN/ neodisher endo SEPT PAC DE AER Cleaner/Peracetic Acid HLD nd e e Compatible Disinfectants and Cleaning Solutions P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Solution Country of Qualified Use Origin neodisher endo DIS active DE Olympic Peracetic Acid Omnicide 14NS Omnicide 2 US US Active Ingredient Disinfectant Compatibility Type Soaka Peracetic Acid HLD AER Peracetic Acid HLD Soak Glutaraldehyde HLD, S Soak Glutaraldehyde HLD, S Ortho-phthalaldehyde HLD OPAL AU Soak Opticide3 US Spray/Wipe Alcohol, QUAT LLD, ILD Oxivir (all types) US Wipe Hydrogen Peroxide LLD, ILD FR Soak Oxygen Generating HLD Soak Peracetic Acid HLD, S Soak Peracetic Acid HLD Peracetic Acid HLD Hydrogen Peroxide LLD, ILD Glutaraldehyde HLD, S Oxygenon-I PeraSafe Perascope Perastel AER/Soak PerCept (all types) CA Wipe Phagocide D FR Soak Phagozyme ND FR Pre-cleaner Enzymes, QUAT Cleaner PI-Spray (Formerly T-Spray) US Spray/Wipe QUAT LLD, ILD PI-Spray II (Formerly T-Spray II) US Spray/Wipe QUAT LLD, ILD ProCide-D US Soaka Glutaraldehyde HLD, S ProCide-D Plus US Soak Glutaraldehyde HLD, S Prolystica 2 US Pre-cleaner Enzymes Cleaner Protex Disinfectant (All Types) US Spray/Wipe QUAT LLD, ILD Quaternary Ammonium Active Max) All Spray/Wipe QUAT LLD, ILD Rapicide US Soaka Glutaraldehyde HLD, S US Soak Ortho-phthalaldehyde HLD Soak Peracetic Acid HLD Hydrogen Peroxide HLD Rapicide OPA Rapicide PA US Revital-Ox Resert L HLD US Soak Rivascop FR Spray/Wipe QUAT LLD, ILD Salvanios pH 1 FR Spray/Wipe QUAT LLD, ILD Sani-Cloth Active DE Wipe QUAT LLD, ILD Sani-Cloth AF US Wipe QUAT LLD, ILD Sani-Cloth AF3 US Wipe QUAT LLD, ILD Sani-Cloth Bleach US Wipe Sodium Hypochlorite LLD, ILD Sani-Cloth HB US Wipe QUAT LLD, ILD Sanicloth Plus US Wipe Alcohol, QUAT LLD, ILD Sekucid N FR Soak Glutaraldehyde HLD, S Sekusept Aktiv DE Soaka Peracetic Acid HLD DE Soak Peracetic Acid HLD Glucoprotamine HLD Peracetic Acid HLD Glutaraldehyde HLD, S Sekusept Easy Sekusept Plus DE Soak Soluscope P FR AER Steranios 2 P69 92- 4 , EN, 16/12/ 6 FR Soak nd e e Compatible Disinfectants and Cleaning Solutions 119 InnoSight Ultrasound System Solution Country of Qualified Use Origin Active Ingredient Disinfectant Compatibility Type US Reprocessor (S) Hydrogen Peroxide TD- US TD-1 Reprocessor Glutaraldehyde HLD, S Tristel Duo Foam/Wipe Chlorine Dioxide HLD Tristel Fuse for Instruments U Stella System Chlorine Dioxide HLD Tristel Multi-Shot Soaka Chlorine Dioxide HLD Tristel Sporicidal Wipes Wipe Chlorine Dioxide HLD Tristel Trio Trace Pre-clean wipe, sporicidal wipe, rinse wipe Enzymes Chlorine Dioxide HLD Trophon EPR AU Trophopn EPR Reprocessor Hydrogen Peroxide HLD Vaposeptol FR Spray/Wipe Alcohol, Biguanide LLD, ILD Virox RTU CA Wipe Hydrogen Peroxide LLD, ILD Wavicide - 1 US Soak Glutaraldehyde HLD, S Wip’Anios FR Wipe Alcohol, QUAT LLD, ILD Sterrad 1 Never immerse or soak a connector 120 nd e e Compatible Disinfectants and Cleaning Solutions P69 92- 4 , EN, 16/12/ 6 11 11 System Maintenance Maintenance should be performed regularly and as needed Cleaning the System The system and peripherals are medical electrical equipments and require thorough cleaning If exposed to constant and excessive environmental dust and humidity, both performance and reliability of these devices will be suffered Clean the power adapter, ventilation slots, all connection ports/sockets and the touch screen regularly or whenever you observe dust or other particles For information on transducer cleaning and disinfection, see Chapter 1 Transducer Care Before cleaning the system, perform the following operations to avoid the risk of electric shock Turn off the system power Disconnect the power adapter from the system and the power outlet Running the system for a long period of time may generate excessive heat Do not clean the system until it completely cools down Cleaning the System/System Cart Surfaces The system connection ports, external monitor port, power adapter port and other openings in the enclosure are most likely to be affected by liquid spills and other materials such as excessive amounts of gel These materials may seep into electrical components under the enclosure and cause intermittent failures During preventive maintenance, look for potential problems, such as gaps or cracks Gently wipe the system/cart surfaces with a lint-free, non-abrasive and dry cloth Moisten the cloth with soapy water and gently wipe it across the surfaces in one direction Moving the cloth back and forth on the touch screen will damage the screen Remove any solid matter around the ventilation slots, connection ports, and power adapter port with a cotton swab or toothpick to ensure that solids are not pushed into the system If blood or other infectious material comes in contact with the system, cart or any cable, apply a small amount of specific cleaning solutions or disinfectants (See page 122) to the cloth, and gently wipe it across the surfaces in one direction Repeat the application and cleaning process several times until the spots are dissolved Remove any residue with a cloth moistened with sterile water Wipe off any excess moisture then leave the surfaces completely dry before powering the system back on The compatibility of disinfection and cleaning solutions varies depending on the item on which they are used The products in the following table are compatible with the external plastic and painted surfaces of system and cart P69 92- 4 , EN, 16/12/ 6 11 in en n e Cleaning the System 121 InnoSight Ultrasound System Cleaning Cleaning solutions for Disinfectants for system surfaces, Disinfectants for cart surfaces solutions for monitor screens including the touch screen all surfaces Mild soap solution Cleaners designed for touch screens Purified water Mild soap solution isopropyl alcohol (IPA) ethanol alcohol isopropyl alcohol (IPA) ethanol alcohol Ta le 7 Disinfectants and cleaning solutions for system/system cart surfaces If blood or other infectious material comes in contact with a transducer or transducer cable, do not wipe with isopropyl alcohol until you have read the Chapter 1 Transducer Care section for specific cleaning guidelines Isopropyl alcohol should not be used on some parts of the transducer and should never be used on any parts of the transducer cable Additional cleaning agents are also available for transducers Do not use abrasive cleaners, or acetone, ME , paint thinner, or other strong solvents on the system, peripherals, or transducers Do not use Sani-Cloth AF4 or Super Sani-Cloth to disinfect the system On display screens, do not use glass cleaners or products containing bleach Immediately wipe away disinfectants or cleaners to prevent residue buildup On display screens, use microfiber cloth do not use paper towels System surfaces and transducers are resistant to ultrasound gel, alcohol, and disinfectants, but if you use those substances, you must wipe them off to prevent permanent damage Always use protective eyewear and gloves when cleaning and disinfecting any equipment Attempting to disinfect a cable or connector by using a method other than the one included here can damage the device and voids the warranty Orient the parts that must remain dry higher than the wet parts until all parts are dry Do not use strong solvents, common cleaning products, or abrasive cleansers, which will damage the system surfaces When cleaning the system surface with cleaning solutions or disinfectants, take care not to wipe repeatedly or rub heavily on the Philips logo and model name The printing inks may start to appear faded or stained Do not touch the display with sharp objects or use paper towels to clean it, which may damage it When cleaning the system, take care not to get any solution inside the protective enclosure Also take care not to scratch the face of the screen while cleaning it Do not use cleaners containing bleach on the touch screen It may damage the surface 122 Cleaning the System 11 in en n e P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Cleaning the Power Adapter Do not immerse the power adapter eep moisture and liquid away from the power adapter Do not spill or spray liquid on the adapter Wipe the power adapter with a dry cloth If spot cleaning is necessary, wipe with a cloth dampened with soapy water If disinfection is necessary, wipe with an alcohol-moistened cloth Remove any solid matter with a cotton swab or toothpick to ensure that solids are not pushed into the adapter Wipe off any excess moisture then leave the power adapter completely dry before plugging it into the system or power outlet Troubleshooting Frequently asked questions and common problems that may occur while using the system are explained in this section Observe the following table containing a list of symptoms and the actions to take to solve the problems If a problem persists after performing the following actions, contact technical support (See Customer Service on page 3) Symptom The system does not power on The system can’t charge or experience short runtime between charges Possible cause and corrective action Battery fully discharged. Connect the AC power adapter Power adapter does not function correctly. » Check if the power adapter has blue light illuminated » Check if the AC plug is connected firmly and correctly to the power adapter and matches the plug type of your country » Check if the power adapter is connected firmly and correctly to the system (See Charging the System on page 41) Power supply is damaged/battery reaches end of life. » Allow the battery to charge overnight and check again the battery status » Contact technical support Unsure of a function displayed in localized languages » Switch the system language back to English from Menu > Settings > General > Language, and check again the function you want to use » Contact technical support The system can’t read/ write data from the microSD card One or two USB storage devices are connected to the system at the same time.* » Remove all the connected USB storage devices from the system The microSD card is damaged. » Insert the microSD card into a computer for inspection » Use the diagnostic tools to test the functionality of the microSD (See Testing the System on page 1 4) This requires assistance from technical support The microSD card slot is damaged. » Insert another microSD card into the system for inspection P69 92- 4 , EN, 16/12/ 6 11 in en n e Troubleshooting 123 InnoSight Ultrasound System Symptom Possible cause and corrective action The system can’t read/ write data from the USB storage device No image or abnormal display on the system screen Image Artifacts occur on the imaging screen Software installation failed Two USB storage devices are connected to the system at the same time.* » Ensure the USB storage device you wish to read/write data from is connected to the system through the USB 3 port The USB storage device is damaged. » Insert the USB storage device into a computer for inspection The USB ports are damaged. » Insert another USB storage device into the system for inspection The system screen is not functioning. » Output the system display to an external monitor (See page check if images display normally on the external screen » Contact technical support ) and Electrical interference occurs. » Move system away from any electromagnetic sources » Remove the power adapter and other external devices (if any) from the system while keeping the transducer plugged for inspection The transducer connected is damaged. » Replace current transducer with another for inspection » Use the diagnostic tools to test the functionality of the ultrasound engine and the transducer (See Testing the System on page 1 4) This requires assistance from technical support Check if the USB flash drives or the system’s USB ports are damaged The system’s fans are not functioning. » Use the diagnostic tools to test the functionality of the fan and the temperature (See Testing the System on page 1 4) This requires assistance from technical support Ventilation slots are blocked. » Place the system in a well-ventilated area » Remove any dust particles or stains found on or nearby the ventilation slots The system is overheating The Power button does not function The system power reaches a critically low state and is not connected to power. » Connect the system to power » If the power button The system encounters unexpected shutdowns several times A system disk error occurred. » Reinstall the software (See Reinstalling Software on page 1 3) This requires assistance from technical support Touch screen is unresponsive or misconfigured 124 Troubleshooting 11 Touch screen is damaged. » Inspect the panel surface carefully for cracks, cuts or any other damages Software malfunctions. » Connect a pointing device to the system through the USB port, and check if the pointer is displayed correctly on the screen » Use the diagnostic tools to test the functionality of the touch screen (See Testing the System on page 1 4) This requires assistance from technical support in en n e P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Symptom Possible cause and corrective action No audio or noise comes from the system speakers The system is muted. Open the system tool menu and adjust the volume The speakers are damaged. » Contact technical support The HDMI cable/port is damaged. HDMI does not function » Use another HDMI cable for connection » Connect the system to a computer through HDMI connection for inspection Bluetooth connection failed DICOM connection failed The Bluetooth settings are not correct. » Turn off the Bluetooth function, then turn it back on The Bluetooth module is not functioning. » Connect another Bluetooth device to the system for inspection The DICOM server is not responding or the DICOM settings are not correct. » Go to Menu DICOM Storage SCP and touch Edit Test for verification Ethernet does not function The Ethernet settings are not correct. » Contact your network administrator The Ethernet cable/socket is damaged. » Use another Ethernet cable for connection » Connect the system to a computer through Ethernet connection for inspection Wireless connection failed The wireless device is turned off or not functioning. » Check the power of the wireless device » Restart the wireless device » Connect another wireless product to this device for inspection The wireless network settings are not correct. » Open the system tool menu and check if the wireless network function is enabled » Contact your network administrator The system supports access to only one external storage device at a time If you connect more than one external storage device, they function in the following priority order: USB 3 USB 2 microSD card P69 92- 4 , EN, 16/12/ 6 11 in en n e Troubleshooting 125 InnoSight Ultrasound System 126 11 P69 92- 4 , EN, 16/12/ 6 12 12 Appendix Appendix A: Specifications Specifications are subject to change without prior notice System Item Specifications Form factor Tablet Weight 42 lb (2 46 kg): With the rotating stand and 4 locator pins Length 12 Width (319 6 mm) Dimensions Height (Thickness) 9 (223 2 mm) 12 24 (31 mm): Without the rotating stand ( 2 6 mm): With the rotating stand Without 4 locator pins (62 3 mm): With the rotating stand and 4 locator pins Materials Plastic, metal, rubber Color White Speaker 2 built-in speakers Console Touch screen Primary monitor 11 6 1366x 6 Number of transducer connectors 1 transducer Stand 1 stand Wall mount Standard VESA M4 screw when removing 4 locator pins Holes: mm x mm/1 mm x 1 mm Water resistant level IP22 CPU Qualcomm APQ User Interface Languages English, T/S Chinese, French, German, Spanish, Russian Memory 16GB eMMC Storage mSATA 12 GB SSD support up to 12GB Connectivity 4AB HDMI x 1 Audio output x 1 Ethernet R 4 x1 USB 2 x1 USB 3 x1 MicroSD slot x1 Transducer x1 Power Battery power/chargeable with up to 19V AC adapter Battery Non-removable battery with 1 hour run-time P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix A: Specifications 127 InnoSight Ultrasound System Item Specifications Power adapter Input: AC 1 24 V, 6 Hz, Max 1 A Output: 19Vdc, 3 4A Transducer S4-2, L12-4, C6-2, C9-4v System cart Support Tilt and Swivel oints, Height Adjustment, Instant dock and undock function Accessories Storage/transport Temperature: -2 6 C Humidity 2 9 RH Air pressure 1 6 hPa Environmental operating conditions Temperature: 1 Humidity: 2 Air pressure: Product life 4 C RH, no condensation 1 6 hPa years Battery Model: QIC3 Battery type (non-removable): 3S2P Panasonic-3 Item Rate performance Remark Battery Cell Panasonic Typical capacity Above 614 mAh Rate discharge capacity after rate charge Nominal capacity Above Rate discharge capacity after rate charge Nominal voltage Maximum charge voltage 12 6 V CV mode charging voltage Voltage at end discharge 9 V Stop discharge when any cell reaches tc 2 Suggested charge current (Standard) 12A Suggested charge current (maximum) 3 A Suggested continuous discharge current 3 A 33 W Suggested maximum discharge current 12 mAh, compliant with IEC62133 standard mAh 33 mAh END of charge condition Operating temperature 4 C 1 4 C - 6 C Appendix A: Specifications 12 Appendix mA Mean operation voltage during rate discharge after rate charge 2V 1 min Standard charging In max charging Standard discharging P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Item Rate performance Remark Storage temperature and humidity range -2 -2 -2 -2 Within 1 year, 4 to RH Within 6 months, 4 to RH Within 1 month, 4 to RH Within 1 week, 4 to RH Power consumption Normal mode Sleep mode Shutdown mode 3 C 4 C 4 C 62 A 12 A 42 A Transducer Transducer Elements Descriptions Applications S4-2 64 Phased array transducer with a maximum depth of 2 mm and a user-controllable field-of-view Adult abdominal OB/GYN Cardiac Abdominal vascular Fetal heart Renal C6-2 12 Curved array transducer with a maximum depth of 2 mm and a user-controllable field-of-view Adult abdominal OB/GYN Fetal heart Abdominal vascular Renal L12-4 12 Linear array transducer with a maximum depth of 1 mm and a user-controllable field-of-view Dialysis access Small parts Musculoskeletal Peripheral vascular Medium depth arterial and venous studies Breast C9-4v 12 Curved linear array transducer with a maximum depth of 2 mm and a user-controllable field-ofview OB/GYN Fetal birth defects Placenta previa Cysts and fibroids Ectopic pregnancy Pelvic pain Infertility Power Adapter Item Specifications Brand PowerBox Model E M Input Universal AC 1 Output Case Dimension P69 92- 4 , EN, 16/12/ 6 12 - 1 24 V, 6 Hz, Max 1 A 19VDC, 3 4A 11 (L) x (W) x 4 (H) mm without AC plugs 12 Appendix Appendix A: Specifications 129 InnoSight Ultrasound System Item Specifications Water resistant level IP21 Efficiency Eff (av) Safety Approved according to IEC 6 6 1-1 Edition 3 EMC IEC 6 6 1-1-2, IEC 612 4-3, EN Protection OVP (Over Voltage Protection), SCP (Short Circuit Protection), OCP (Over Current Protection) Features 11 Class B Highest output power on the market of wall plug adapters Exchangeable AC-plugs for universal use Suitable to power up medical systems up to BF class Appendix B: Connectivity and Security Introduction To exchange ultrasound images and patient data, the system conforms with the Digital Imaging and Communications in Medicine (DICOM) standard and can therefore be connected to Picture Archiving and Communication System (PACS) and Modality Worklist (MWL) The former allows the system to store the acquired examination data (static images or image loops) in PACS, while the latter allows the system to query examination orders from the MWL server and start the examinations In order to achieve the purposes above, the system offers two ways of connecting to the IT network, hard-wired LAN and wireless LAN connections, for DICOM communication To ensure the data security, use an IT network isolated from the external environment by a firewall Specifications Hardware 2 11 a/b/g/n, Gigabit Ethernet Software The system is connected to PACS and MWL by DICOM standard Read the system’s DICOM Conformance Statement for detailed instructions Security The system has no listening ports open to the WLAN interface So a network entity cannot initiate a connection to the system from the WLAN However, the system can initiate a connection to servers on the WLAN, Gigabit Ethernet and beyond Computer access to the system through the USB port is blocked The system allows connection via Bluetooth with limited devices (HID) only Use the following TCP/IP ports for outgoing communication to the WLAN and Gigabit Ethernet 13 Appendix B: Connectivity and Security 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Port for DICOM communication (typically port 1 4, 2 62 or 11112 to specify the port, on the system’s imaging screen, touch Menu >Settings > DICOM Port for HTTP web servers (not supported by the system) Anti-virus software is not installed on the system Information Flow Worklist query InnoSight Worklist server Worklist response DICOM storage/Echo request PACS server Echo response Figure 43 Information flow Read the system’s DICOM Conformance Statement for detailed instructions DICOM conformance statements for Philips products are available at this website: www healthcare philips com/main/about/connectivity/dicom conformance main wpd IT Network Failure Recovery Measures IT network connection stability depends on many factors Unreliable connection may later lead to failure and cause the following hazardous situations Any connection of the equipment, this system (InnoSight) or/and other systems, to the IT network risks the unidentified data leakage of the patients, operators or third parties It is recommended to set up the device in a secure network and behind the firewall The potential risks and suitable countermeasures are evaluated and identified in the following table before connecting the equipment to an uncontrolled IT network Therefore, you must evaluate and identify all potential risks as well as prepare suitable countermeasures before connecting the equipment to an uncontrolled IT network For guidance addressing these risks, refer to IEC 1-1:2 1 P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix B: Connectivity and Security 131 InnoSight Ultrasound System IT Network failure Impact on the equipment Hazard Unable to transmit exam data to a PACS Delay of Delay of transmission to a diagnosis PACS IT network becomes unstable Incorrect data transmitted to a PACS Unable to retrieve order data from an MWL server Delay of retrieving order data from an MWL server Incorrect data from a MWL server Attack via network Firewall has broken down Infection by computer virus System countermeasures Exam data is stored in the system’s internal storage After the IT network has resumed stability, you can re-initiate the data transfer Mis-diagnosis The system uses the TCP/IP and DICOM protocols to ensure the integrity of the data Delay of exam You can initiate/create a new exam from the system Incorrect exam The system uses the TCP/IP and DICOM protocols to ensure the integrity of the data Manipulation of The system closes unnecessary network the exam data ports Exam data leakage The system forbids installation of any software by any user Ta le 8 IT network failure recovery measures Even when the connection to an IT network is trusted, any change of the network settings requires immediate checkup and possible measures taken Should any of the changes below occur, perform additional evaluation to the IT network Changes in the network configuration (IP address, router, proxy, and so on) Connection of additional items Disconnection of items Equipment update Equipment upgrade 132 Appendix B: Connectivity and Security 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Appendix C: System Acoustic Output Default Tables C6-2 Transducer Exam Type Preset Mode TI Label Default TI Default MI 2D Color CPA Abdominal Abdomen PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 2D Color CPA Fetal OB PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix C: System Acoustic Output Default Tables 133 InnoSight Ultrasound System Exam Type Preset Mode TI Label Default TI Default MI 2D Color CPA Renal PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) Urology 2D Color CPA Urology PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 2D Color CPA GYN GYN PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 134 Appendix C: System Acoustic Output Default Tables 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System L12-4 Transducer Exam Type Preset Mode TI Label Default TI Default MI 2D Color CPA Carotid PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 2D Color CPA Cardiac Vascular Arterial PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 2D Color CPA Venous PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix C: System Acoustic Output Default Tables 13 InnoSight Ultrasound System Exam Type Preset Mode TI Label Default TI Default MI 2D Color CPA Thyroid PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) Small Organ (breast, thyroid) 2D Color CPA Breast PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 2D Color CPA Abdominal Bowel PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 2D Color CPA Muscle MS PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 136 Appendix C: System Acoustic Output Default Tables 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Exam Type Preset Mode TI Label Default TI Default MI TI Label Default TI Default MI 2D Color CPA Nerve Nerve PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) S4-2 Transducer Exam Type Preset Mode 2D Color CPA Cardiac Cardiac PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix C: System Acoustic Output Default Tables 13 InnoSight Ultrasound System C9-4v Transducer Exam Type Preset Mode TI Label Default TI Default MI 2D Color CPA OB PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) Trans-vaginal Cardiac 2D Color CPA GYN PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 2D Color CPA Trans-rectal Prostate PW THI Color THI CPA THI M 2D Color PW (Triplex) 2D CPA PW (Triplex) 13 Appendix C: System Acoustic Output Default Tables 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Appendix D: Acoustic Output Reporting Tables for Track 3 We follow Track 3 of the FDA’s information for manufacturers seeking marketing clearance of diagnostic ultrasound systems and transducers All table entries have been obtained at the same operating conditions that give rise to the maximum index value Due to the complexities of the system user interface, it may be difficult to exactly replicate the declared condition For more information, contact Philips Definition of Terms Used in Acoustic Output Tables Symbols used in the tables are described below: : Acoustic attenuation coefficient is the coefficient intended to account for ultrasonic attenuation of tissue between the source and a specified point Aaprt: -12 dB output beam area is the area of the ultrasonic beam derived from the -12 dB output beam dimensions CMI: Normalizing coefficient 1 MPa MHz-1/2 Deq: Equivalent aperture diameter is the diameter of a circle whose area is the -12dB output beam area and 4A given by D eq aprt d-6: Pulse beam width is the distance between two points, on a specified surface in a specified direction, passing through the point of maximum pulse-pressure-squared integral (pi) in that surface, at which the pulse-pressure-squared integral is a specified fraction of the maximum value in that surface deq: Equivalent beam diameter is the value of the diameter of the acoustic beam at the distance z, in terms 4 A (z) of the equivalent beam area, and given by d (z) eq eq fawf: Acoustic working frequency is the arithmetic mean of the most widely separated frequencies f1 and f2 at which the amplitude of the pressure spectrum of the acoustic signal is 3 dB lower than the peak amplitude Ipa: Pulse-average intensity is the ratio of the pulse-intensity integral Ipi to the pulse duration td I pa, : Attenuated pulse-average intensity is the value of the acoustic pulse-average intensity after attenuation and at a specified point and given by Ipa, Ipa(z)1 ( awf/1 ) Ipi: Pulse-intensity integral is the time integral of the instantaneous intensity at a particular point in an acoustic field integrated over the acoustic pulse waveform Ipi, : Attenuated pulse-intensity integral is the value of the pulse-intensity integral after attenuation, at a specified point, and given by Ipi, Ipi10( awf/1 ) Isppa, : Attenuated spatial-peak pulse-average intensity Ispta: Spatial-peak temporal-average intensity Ispta, : Attenuated spatial-peak temporal-average intensity Ita(z): Temporal-average intensity is the time-average of the instantaneous intensity at a particular point in an acoustic field I ta, (z): Attenuated temporal-average intensity is the value of the temporal-average intensity after attenuation, at a specified point, and given by Ita, (z) Ita(z)1 ( awf/1 ) Izpta(z): Spatial-peak temporal-average intensity is the maximum value of the temporal-average intensity in a specified plane at a specified distance z from the transducer Izpta, (z): Attenuated spatial-peak temporal-average intensity is the value of the spatial-peak temporalaverage intensity after attenuation, at a specified distance z, and given by Izpta, (z) Izpta(z)1 ( awf/1 ) MI: Mechanical index is given by MI Prafawf-1/2 CMI npps: Number of pulses per ultrasonic scan line P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 139 InnoSight Ultrasound System P: Output power is the time-average power radiated by an ultrasonic transducer into an approximately free field under specified conditions in a specified medium, preferably water P : Attenuated output power is the value of the acoustic output power after attenuation, at a specified distance from the transducer, and given by p p10( awf/1 ) pi: Pulse-pressure-squared integral is the time integral of the square of the instantaneous acoustic pressure at a particular point in an acoustic field integrated over the acoustic pulse waveform pii: Pulse-intensity integral pii : Attenuated Pulse-intensity integral pr: Peak-rarefactional acoustic pressure is the maximum of the modulus of the negative instantaneous acoustic pressure in an acoustic field during an acoustic repetition period pr, : Attenuated peak-rarefactional acoustic pressure is the value of the peak-rarefactional acoustic pressure after attenuation, at a specified point, and given by pr, (z) pr(z)1 ( awf/2 ) prr: Pulse repetition rate is the inverse of the time interval between two successive acoustic pulses srr: Scan repetition rate TI: Thermal index is the ratio of attenuated acoustic power at a specified point to the attenuated acoustic power required to raise the temperature at that point in a specific tissue model by 1 C TIB: Bone thermal index is the thermal index for applications, such as fetal (second and third trimester) or neonatal cephalic (through the fontanelle), in which the ultrasound beam passes through soft tissue, and a focal region is in the immediate vicinity of bone TIC: Cranial-bone thermal index is the thermal index for applications, such as pediatric and adult-cranial applications, in which the ultrasound beam passes through bone near the beam entrance into the body TIS: Soft-tissue thermal index is the thermal index related to soft tissues td: Pulse duration is 1 2 times the interval between the time when the time integral of intensity in an acoustic pulse at a point reaches 1 and when it reaches 9 of the pulse-intensity integral X, Y: -12 dB output beam dimensions are dimensions of the ultrasonic beam (-12dB pulse beam width) in specified directions normal to the beam alignment axis and at the transducer output face z: Distance from the source to a specified point zb: Depth for TIB zbp: Break-point depth is the value equal to 1 1 Deq times the equivalent aperture diameter and given by zbp zpii: Depth for peak pulse-intensity integral zMI: Depth for MI zpii, : Depth for peak attenuated pulse-intensity integral zsii: Depth for peak sum of pulse-intensity integrals zsii, : Depth for peak sum of attenuated pulse-intensity integrals zs: Depth for TIS 140 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Tables for InnoSight Transducers Acoustic Output Reporting Table for Track 3 for the C6-2 Transducer InnoSight Diagnostic Ultrasound System in 2D Mode TIS Index label MI Global maximum index value Associated acoustic parameter 119 Non-scan Aaprt 1cm Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (microsec) PRF (Hz) MImax (b) PD Ipa 3 2 1 Y (cm) Focal length 21 (cm) pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions Scan 13 5900 (MPa) 36 (cm) FLx (cm) FLy (cm) (W/cm ) 2 11 Control 1 2D 2D Control 2 Control 3 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 141 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C6-2 Transducer InnoSight Diagnostic Ultrasound System in THI Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 16 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (microsec) PRF (Hz) MImax PD Ipa 3 (b) 29 Y (cm) Focal length 24 (cm) pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 14 Scan 29 13 5900 (MPa) 39 (cm) FLx (cm) FLy (cm) (W/cm ) 32 Control 1 THI THI Control 2 Control 3 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 142 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C6-2 Transducer InnoSight Diagnostic Ultrasound System in 2D+Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 1 3 70 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) 2 49 2 49 (cm) 22 Y (cm) 13 PRF (Hz) 5000 (MPa) MImax 1 42 Ipa 3 (b) (microsec) Focal length PD pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 1 1 Scan (cm) FLx (cm) FLy (cm) (W/cm ) 41 Control 1 Color 2D Color Control 2 Control 3 5000 5000 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 143 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C6-2 Transducer InnoSight Diagnostic Ultrasound System in THI+Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 166 95 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) 2 49 2 49 (cm) 22 Y (cm) 13 PRF (Hz) 5000 MImax 1 42 Ipa 3 (b) (microsec) Focal length 2 2 PD pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 1 2 Scan (MPa) (cm) FLx (cm) FLy (cm) (W/cm ) 44 Control 1 Color THI Color Control 2 Control 3 5000 5000 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 144 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C6-2 Transducer InnoSight Diagnostic Ultrasound System in 2D+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) 2 9 zsp (cm) z PII 3max (cm) deq(zsp) (cm) 3 1 3 1 (cm) 22 22 Y (cm) 13 13 (Hz) MImax PRF Ipa 3 (microsec) Focal length (b) 43 PD pr PIImax Other d PIImax information eq 34 (MHz) Dim of Aaprt TIC 64 Pr 3 fc Operating control conditions 14 Scan 3 1 41 250 (MPa) 46 (cm) 42 FLx (cm) FLy (cm) (W/cm ) 32 Control 1 M-Mode M-Mode M-Mode Control 2 Control 3 250 250 250 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 145 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C6-2 Transducer InnoSight Diagnostic Ultrasound System in THI+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter Pr 3 (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) fc 3 1 64 (b) 54 3 1 3 1 (cm) 22 22 Y (cm) 13 13 (Hz) 250 (MPa) MImax Aaprt > 1cm TIC 69 PRF Ipa 3 TIB (microsec) Focal length Aaprt 1cm 2 2 PD pr PIImax Other d PIImax information eq Non-scan 2 9 (MHz) Dim of Aaprt Operating control conditions 14 Scan 41 (cm) FLx (cm) FLy (cm) (W/cm ) 2 92 Control 1 THI MMode THI MMode THI MMode Control 2 Control 3 250 250 250 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 146 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C6-2 Transducer InnoSight Diagnostic Ultrasound System in PW Doppler Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) 11 1 z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (cm) Y (cm) 13 13 PRF (Hz) 13 MImax 52 16 Ipa 3 (b) (microsec) Focal length 33 33 PD pr PIImax Other d PIImax information eq TIC 43 (MHz) Dim of Aaprt TIB 132 Pr 3 fc Operating control conditions 2 6 Scan (MPa) (cm) 1 63 FLx (cm) FLy (cm) (W/cm ) Control 1 PW PW PW Control 2 Control 3 13 13 13 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 147 InnoSight Ultrasound System Acoustic Output Reporting table for Track 3 for the L12-4 Transducer InnoSight Diagnostic Ultrasound System in 2D Mode TIS Index label MI Global maximum index value Associated acoustic parameter 11 Non-scan Aaprt 1cm Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (cm) Y (cm) (Hz) MImax 299 66 PRF Ipa 3 (b) (microsec) Focal length 1 49 PD pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions Scan 66 194 13 (MPa) (cm) FLx (cm) FLy (cm) 19 (W/cm ) 46 Control 1 2D 2D Control 2 Control 3 13661 13661 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 14 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the L12-4 Transducer InnoSight Diagnostic Ultrasound System in THI Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 13 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (cm) Y (cm) (Hz) MImax PRF Ipa 3 (b) 1 46 (microsec) Focal length PD pr PIImax Other d PIImax information eq TIC 33 (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 121 Scan 34 13 (MPa) 46 (cm) FLx (cm) FLy (cm) 19 (W/cm ) Control 1 THI THI Control 2 Control 3 13661 13661 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 149 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the L12-4 Transducer InnoSight Diagnostic Ultrasound System in 2D+Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter 1 3 Non-scan Aaprt 1cm 22 39 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (microsec) PRF (Hz) MImax PD Ipa 3 (b) 21 Y (cm) Focal length (cm) pr PIImax Other d PIImax information eq TIC 231 (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions Scan (MPa) 33 (cm) FLx (cm) FLy (cm) 19 (W/cm ) Control 1 Color 2D Color Control 2 Control 3 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 150 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the L12-4 Transducer InnoSight Diagnostic Ultrasound System in THI+Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 241 39 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (microsec) PRF (Hz) MImax PD Ipa 3 (b) 21 Y (cm) Focal length 226 (cm) pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 1 1 Scan 2500 (MPa) 33 (cm) FLx (cm) FLy (cm) 19 (W/cm ) Control 1 Color THI Color Control 2 Control 3 2500 2500 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 151 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the L12-4 Transducer InnoSight Diagnostic Ultrasound System in 2D+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 126 41 TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) Y (cm) (Hz) MImax 41 (cm) PRF Ipa 3 42 1 96 (microsec) Focal length (b) 1 44 PD pr PIImax Other d PIImax information eq 2 1 1 36 (MHz) Dim of Aaprt TIC Pr 3 fc Operating control conditions 166 Scan 250 (MPa) (cm) 1 96 FLx (cm) FLy (cm) 19 (W/cm ) 1 4 Control 1 M-Mode M-Mode M-Mode Control 2 Control 3 250 250 250 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 152 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the L12-4 Transducer InnoSight Diagnostic Ultrasound System in THI+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 231 TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) Y (cm) (Hz) MImax (cm) PRF Ipa 3 2 4 (microsec) Focal length (b) 1 46 PD pr PIImax Other d PIImax information eq 312 14 (MHz) Dim of Aaprt TIC Pr 3 fc Operating control conditions 1 6 Scan 199 250 (MPa) (cm) 2 4 FLx (cm) FLy (cm) 19 (W/cm ) 96 Control 1 M-Mode M-Mode M-Mode Control 2 Control 3 250 250 250 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 1 3 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the L12-4 Transducer InnoSight Diagnostic Ultrasound System in PW Doppler Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) 16 (cm) 41 41 Y (cm) (Hz) 5000 (MPa) MImax 16 PRF Ipa 3 (b) 1 33 (microsec) Focal length 36 PD pr PIImax Other d PIImax information eq TIC 12 (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions Scan (cm) FLx (cm) FLy (cm) 19 (W/cm ) Control 1 PW Doppler PW Doppler PW Doppler Control 2 Control 3 5000 5000 5000 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 154 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in 2D Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 33 155 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (cm) 1 63 Y (cm) 12 (Hz) MImax 43 23 PRF Ipa 3 (microsec) Focal length 46 PD pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions Scan 23 7600 (MPa) 61 (cm) FLx (cm) FLy (cm) (W/cm ) Control 1 2D 2D Control 2 Control 3 633 633 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 155 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in THI Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 2 16 269 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (cm) 1 63 Y (cm) 12 (Hz) MImax 44 2 1 PRF Ipa 3 (microsec) Focal length PD pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 26 Scan 2 1 91 63 (MPa) 66 (cm) FLx (cm) FLy (cm) (W/cm ) 93 Control 1 THI THI Control 2 Control 3 6349 6349 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 156 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in 2D+Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) 2 44 2 44 (cm) 1 63 Y (cm) 12 PRF (Hz) 5000 MImax 1 61 Ipa 3 42 (microsec) Focal length PD pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 3 9 Scan (MPa) 69 (cm) FLx (cm) FLy (cm) (W/cm ) 16 3 Control 1 Color Color Control 2 Control 3 5000 5000 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 157 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in THI+Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm 46 63 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) 2 46 2 46 (cm) 1 63 Y (cm) 12 PRF (Hz) 6000 MImax 1 3 Ipa 3 (microsec) Focal length PD pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions 33 Scan (MPa) (cm) FLx (cm) FLy (cm) (W/cm ) 1 4 Control 1 Color THI Color Control 2 Control 3 6000 6000 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in 2D+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) 2 36 zsp (cm) z PII 3max (cm) deq(zsp) (cm) 2 46 2 46 (cm) 1 63 1 63 Y (cm) 12 12 (Hz) MImax PRF Ipa 3 34 29 (microsec) Focal length PD pr PIImax Other d PIImax information eq (MHz) Dim of Aaprt TIC Pr 3 fc Operating control conditions Scan 2 46 250 (MPa) 43 (cm) FLx (cm) FLy (cm) (W/cm ) 41 Control 1 M-Mode M-Mode M-Mode Control 2 Control 3 250 250 250 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 159 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in THI+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) 2 36 zsp (cm) z PII 3max (cm) deq(zsp) (cm) 26 64 2 41 2 41 2 41 (cm) 1 63 1 63 Y (cm) 12 12 PRF (Hz) 250 (MPa) Ipa 3 MImax (microsec) Focal length PD pr PIImax Other d PIImax information eq (MHz) Dim of Aaprt TIC Pr 3 fc Operating control conditions 1 3 Scan (cm) 63 FLx (cm) FLy (cm) (W/cm ) 33 Control 1 M-Mode M-Mode M-Mode Control 2 Control 3 250 250 250 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 160 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in PW Doppler Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) 11 6 z1 (cm) 49 zbp (cm) 2 36 zsp (cm) z PII 3max (cm) deq(zsp) (cm) 2 44 2 44 (cm) 1 63 1 63 Y (cm) 12 12 (Hz) MImax 33 PRF Ipa 3 292 1 26 (microsec) Focal length 49 PD pr PIImax Other d PIImax information eq 26 (MHz) Dim of Aaprt TIC 13 Pr 3 fc Operating control conditions Scan 2 44 4000 (MPa) 43 (cm) 1 24 FLx (cm) FLy (cm) (W/cm ) Control 1 PW Doppler PW Doppler PW Doppler Control 2 Control 3 4000 4000 4000 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 161 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the S4-2 Transducer InnoSight Diagnostic Ultrasound System in CW Doppler Mode TIS Index label MI Global maximum index value Associated acoustic parameter Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) 3 1 z1 (cm) zbp (cm) 2 36 zsp (cm) z PII 3max (cm) deq(zsp) (cm) 22 22 22 (cm) 1 63 1 63 Y (cm) 12 12 (Hz) 4000 (MPa) MImax 1 3 PRF Ipa 3 147 (microsec) Focal length 46 PD pr PIImax Other d PIImax information eq 93 (MHz) Dim of Aaprt TIC 316 Pr 3 fc Operating control conditions Scan (cm) 1 3 FLx (cm) FLy (cm) (W/cm ) 94 Control 1 CW Doppler CW Doppler CW Doppler Control 2 Control 3 4000 4000 4000 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 162 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C9-4v Transducer InnoSight Diagnostic Ultrasound System in 2D Mode TIS Index label MI Scan Global maximum index value Associated acoustic parameter Aaprt 1cm 66 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (microsec) PRF (Hz) MImax PD Ipa 3 (b) Y (cm) Focal length (cm) pr PIImax Other d PIImax information eq TIC 196 (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions Non-scan 23 (MPa) 33 (cm) FLx (cm) FLy (cm) (W/cm ) 2 3 Control 1 2D 2D Control 2 Control 3 44 44 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 163 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C9-4v Transducer InnoSight Diagnostic Ultrasound System in 2D+Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter 99 Non-scan Aaprt 1cm 39 2 1 Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) 66 (microsec) PRF (Hz) 4000 (MPa) MImax PD Ipa 3 (b) 66 Y (cm) Focal length 2 4 (cm) pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc Operating control conditions Scan (cm) FLx (cm) FLy (cm) (W/cm ) 43 Control 1 Color Color Control 2 Control 3 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 164 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C9-4v Transducer InnoSight Diagnostic Ultrasound System in THI-Color Mode TIS Index label MI Global maximum index value Associated acoustic parameter 1 1 Non-scan Aaprt 1cm Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) zsp (cm) z PII 3max (cm) deq(zsp) (cm) (microsec) PRF (Hz) MImax (b) 1 99 PD Ipa 3 66 66 Y (cm) Focal length (cm) pr PIImax Other d PIImax information eq TIC (MHz) Dim of Aaprt TIB Pr 3 fc 4000 (MPa) 39 (cm) FLx (cm) FLy (cm) (W/cm ) Control 1 Operating control conditions Scan THI-Color THI-Color Control 2 Control 3 Control 4 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 165 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C9-4v Transducer InnoSight Diagnostic Ultrasound System in 2D+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter 129 Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) 23 zbp (cm) 1 9 zsp (cm) z PII 3max (cm) deq(zsp) (cm) 32 (cm) 22 22 Y (cm) (Hz) MImax 21 PRF Ipa 3 29 23 (microsec) Focal length (b) 23 PD pr PIImax Other d PIImax information eq 123 3 1 (MHz) Dim of Aaprt TIC Pr 3 fc 229 250 (MPa) 46 (cm) 21 FLx (cm) FLy (cm) M-Mode (W/cm ) Control 1 Operating control conditions Scan M-Mode M-Mode Control 2 Control 3 250 250 231 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 166 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C9-4v Transducer InnoSight Diagnostic Ultrasound System in THI+M-Mode TIS Index label MI Global maximum index value Associated acoustic parameter 12 Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) 33 z1 (cm) 24 zbp (cm) 1 9 zsp (cm) z PII 3max (cm) deq(zsp) (cm) (cm) 22 22 Y (cm) (Hz) MImax 22 PRF Ipa 3 33 24 (microsec) Focal length (b) 2 29 PD pr PIImax Other d PIImax information eq 134 29 (MHz) Dim of Aaprt TIC Pr 3 fc 229 250 (MPa) 46 (cm) 22 FLx (cm) FLy (cm) THI MMode (W/cm ) Control 1 Operating control conditions Scan THI MMode THI MMode Control 2 Control 3 250 250 250 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: Acoustic Output Reporting Tables for Track 3 167 InnoSight Ultrasound System Acoustic Output Reporting Table for Track 3 for the C9-4v Transducer InnoSight Diagnostic Ultrasound System in PW Doppler Mode TIS Index label MI Global maximum index value Associated acoustic parameter 122 Non-scan Aaprt 1cm TIB Aaprt > 1cm (MPa) W0 (mW) Min of W 3(z1), ITA 3(z1) (mW) z1 (cm) zbp (cm) 1 9 zsp (cm) z PII 3max (cm) deq(zsp) (cm) 63 63 (cm) 22 22 Y (cm) (Hz) MImax 11 PRF Ipa 3 3 6 (microsec) Focal length (b) 2 26 PD pr PIImax Other d PIImax information eq (MHz) Dim of Aaprt TIC 134 Pr 3 fc 63 13 (MPa) 49 (cm) 1 3 FLx (cm) FLy (cm) PW Doppler (W/cm ) Control 1 Operating control conditions Scan PW Doppler PW Doppler Control 2 Control 3 13 13 13 Control 4 100 100 100 No data are reported for this operating condition since the global maximum index value is not reported for the reason listed (a) This index is not required for this operating mode (b) This transducer is not intended for transcranial or neonatal cephalic uses (c) This formulation for TIS is less than that for an alternate formulation in this mode (d) Control 1: Mode (e) Control 2: Focal distance (cm) (f) Control 3: PRF ( Hz) (g) Control 4: Power ( ) 16 Appendix D: Acoustic Output Reporting Tables for Track 3 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System Appendix D: FCC Statement Federal Communications Commission (FCC) Statement 1 21 You are cautioned that changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment 1 1 (b) This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 1 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 correct the interference by one or more of the following measures: Reorient or relocate the receiving antenna Increase the separation between the equipment and receiver Connect the equipment into an outlet on a circuit different from that to which the receiver is connected Consult the dealer or an experienced radio/TV technician for help This device complies with part 1 of the FCC Rules Operation is subject to the following two conditions: This device may not cause interference and This device must accept any interference, including interference that may cause undesired operation of the device RF Radiation Exposure Statement This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter This equipment complies with FCC RF radiation exposure limits set forth for an uncontrolled environment This equipment should be installed and operated with a minimum distance of 2 centimeters between the radiator and your body *CE Statement regarding the disposal of InnoSight containing electronic components: As a company, InnoSight is committed to sustainable business practices, which are aimed to preserve, protect and improve the quality of the environment We apply these to product technologies, design and the selection of the materials used in our products Adhering to corresponding environmental laws, directives and guidelines are a core element of our sustainability principles Since the InnoSight concept is equipped with electronic components, we will ensure that it complies with actual or planned directives and laws, which are mandatory for electronic products and may require specific measures regarding labeling, collection and recycling NOTE: If not disposed of properly, batteries can be harmful Protect the environment by taking exhausted batteries to authorized disposal stations European Commission (CE) Statement European Union Regulatory Notice P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: FCC Statement 169 InnoSight Ultrasound System This device bearing the CE marking is in compliance with the essential requirements and other relevant provisions of Directive 2 4/1 /EC, 2 14/ 3/EU, 2 11/6 /EU, 2 12/19/EU and 93/42/EEC This device complies with the following harmonized European standards: EMC: EN 22, EN 24 Radio: EN3 32 , EN3 1 93, EN3 14 9-1, EN3 14 9-1 , EN62311 Medical: IEC 6 6 1-1, EN6 6 1-1-2, IEC 6 6 1-1-6, IEC 6 6 1-2-3 , IEC 623 4, EN ISO1 993-1, EN ISO1 993- , EN ISO1 993-1 , EN ISO 149 1 ROHS: EN The following CE marking is valid for EU harmonized telecommunications products 0120 170 Appendix D: FCC Statement 12 Appendix P69 92- 4 , EN, 16/12/ 6 InnoSight Ultrasound System P69 92- 4 , EN, 16/12/ 6 12 Appendix Appendix D: FCC Statement 171 Distributed by Philips Ultrasound, Inc. 221 Bothell Everett Hwy, Bothell, WA 9 21- 431 USA Manufacturer’s address Qisda Corporation No 1 , Shan-Ying Road Shan-Ting Li, Gueishan Dist Taoyuan City Taiwan, R O C EU Representative Mednet Gmbh Borkstrasse 1 4 163 Muenster Germany 0120 P69 92- 4 , EN, 16/12/ 6 P/N: 4 3AH 1
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