Qisda UH100I Diagnostic Ultrasound System User Manual Part II
Qisda Corporation Diagnostic Ultrasound System Part II
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- 1. User manual_Part I
- 2. User manual_Part II
User manual_Part II
No. Function 15 No. Function ROI (region of interest) area Use the zoom function to zoom in and pan across the current image. 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. (High) Resolution: Move the cursor to the right for a clearer yet superficial image. OO (Deep) Penetration: Move the cursor to the left for a deeper yet less clear image. 18 PW Update button Start/stop the PW trace. OO 17 TGC (Time Gain Compensation) Slide any of the 8 TGC sliders Tuning button to adjust the gain for the desired 20 Optimize the image quality section of the 2D image. during a real-time scan. OO M Update button Start/stop the M trace. OO 19 Function key 21 Assign this button as a shortcut to perform a function. Thumbnail list 22 Thumbnails of the scanned images/clips that are saved Touch the left/right arrow to toggle through different sets 23 of image control settings when using duplex or triple modes. 24 Freeze button Freeze the current scan. 26 Image control settings (See page 70) Open the next page of the image 25 control settings (See page 56). 27 Mode selection buttons Basic operations Identify the main screen layout 53 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. The operator can also measure, calculate and add annotations to the frozen images or clips. Control panel Adam, Smith 1234567 Menu 12 Distance Ellipse Trace Calc 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Johnson Medical Center TI MI Probe Measure Del 11 10 Annot Label Arrow Annot Del BDMK Probe Pos Rotate Erase BDMK Print 12 B Function Freeze Save Image Fun.Key Figure 7 Set Start Set End 490 Frozen imaging screen (example) No. Function No. Function 1 This image is added to a report. 2 Cine clip 3 The progress bar 4 frame sequence. 5 Set the end point of the cine clip. 6 clip. Play back the recent image Save Image button Save a frozen image or a clip to the system hard drive. Open the next page of the image 9 control settings. (See page 56) 11 End Exam Add annotations, including arrows, texts and body marks, to the current image using the virtual keyboard . Set the start point of the cine Freeze button (Enabled) Touch this button again to return to the real-time scan. Print out the image from the 10 thermal printer connected to the system via the USB connector. 12 Perform measurements and calculations on the current image. Basic operations Identify the main screen layout 54 System tools Touch anywhere on the system toolbar to open the system tools widget. Touch an item to adjust its setting. System toolbar Menu 14:56 2015. 08. 07 Tuesday LAN on Cast display off Used 85% Connecting Freeze Figure 8 Save Image System tool widget No. Function No. Function Manually set current date and 2 function. Enable/Disable the Bluetooth Cast the system screen to an 4 queues. 6 Adjust the volume. 1 time. Check and manage outgoing 3 external display. 5 Adjust the brightness. Display the percentage of the system storage used. Follow the pop-up message to free up storage space by deleting exams done in the appointed number of weeks. 8 Manage the Ethernet settings Enable/Disable the WLAN 9 function. Virtual keyboard Whenever the operator needs 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 9 Virtual keyboard Basic operations Identify the main screen layout 55 Scan properties display The imaging window includes a text display information about the current scan. Medical Center TI 0.27 MI 1.04 CLA 15 Gn 58 15.0cm 4FPS 1/ 1 M/ 80.0 Gn 45 M/ 80.0 1.0 20.0 1/ 3 -15 Figure 10 Scan properties display (example) No. Function No. Function 1 Thermal index/Mechanical index 2D image control settings: 2 Transducer type Color image control settings: 3 Gain/Depth/FPS/QBeam/PWR 4 Gain/PWR/PRF/Wall Filter/ 5 Color wedge 6 Grayscale wedge Persistence Switch the control panel pages The functions available on the control panel vary, depending on the scan mode and the transducer connected. Page 2 Page 1 Touch to display more functions (page 3). Touch to open the next page (page 2). Page 3 Touch to return to the first page (page 1). Touch to return to the previous page (page 2). Basic operations Identify the main screen layout 56 Add a new patient The system allows skipping entering patient information if the operator needs to start the ultrasound exam immediately. However, the images and cine loops cannot be saved. We recommend that the operator defines the patient within the system before scanning to avoid mix-ups and to generate reports. 1. On the imaging screen, touch Menu > Patient. Menu Patient Patient Information Edit Patient New Patient First name Gender Height GY OB cm Blood Press Current Exam History Weight Accession Referring physician Save Last Name DOB Age: Exam History Cardiology Pause Exam Middle Name ID Abdomen kg mmHg BSA: Small Part HR RA Press Institution Urology Vascular bpm mmHg Operator Interpreting Physician Description Comment Scan Previous End Exam Figure 11 Patient screen 2. Touch New Patient. Enter the patient information as much detail as possible: »» Touch in a text entry field, and use the virtual keyboard below to input contents. »» Touch Next on the keyboard to go to the next field. »» Touch Done on the keyboard. To create a valid patient profile, at least the patient’s First name and ID number should be filled in. 3. Touch Save. To start scanning the patient, touch Scan. To update patient information 1. On the patient screen, touch Edit Patient. 2. Enter the new information in the appropriate fields. Basic operations Add a new patient 57 3. Touch anywhere on the screen, the following system message appears. Touch Save to save changes. Load a work list 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. The operator can load patient information in a work list via the DICOM server. 1. On the imaging screen, touch Menu > Work list. Menu Worklist Start exam Query Worklist ID 234567| Name Worklist: 1 Accession# 2015.08.29 All Name ID Accession# Gender DOB Keane Fox 234567 123456 19991109 Details Scan Previous Figure 12 Work list screen 2. Enter the query criteria in any of the Name/ID/Accession# fields, and touch to start the query. Patients matching the query will be listed on the screen. 3. Select the number of patients to scan on the worklist from the dropdown menu. To start scanning, select a patient, and then touch Start exam. Basic operations Load a work list 58 Select 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 scanning mode. The presets also specify the measurements appropriate for the exams. The operator can directly use the optimized presets, or adjust any of the image control settings as necessary for the specific patient and the specific exam. 1. On the imaging screen, touch Menu > Preset. All the available presets compatible with the connected transducer displays on the preset screen. Menu Preset Select Preset Save current used preset as Management Export Import Liver Obstetric Preset Setup Currently used preset Scan Previous Figure 13 Preset screen 2. Touch the exam/preset to scan, and the operator will be redirected automatically to the real-time imaging screen. To modify current presets 1. On the preset screen, touch Movement. 2. Touch Move, and drag to re-arrange the order of the presets. To hide an unwanted preset, touch Hide & Show Preset, and touch Off on the preset. 3. Touch anywhere on the screen, the following system message appears. Touch Save to save changes. Basic operations Select a preset 59 Set the transducer orientation Upon entering all imaging modes, the orientation marker ( ) displays at the default location (usually at the top left side of the image), and suggests the operator 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 14 Transducer orientation (Example transducer-C52A) The operator can change the left/right orientation of the image (realtime or frozen) in various imaging (single or dual) without rotating the transducer head itself. OO To reverse left and right On the imaging screen (real-time or frozen), touch OO > L/R. To reverse up and down On the imaging screen (real-time or frozen), touch > U/D. Adjust the displayed image On the real-time imaging screen, touch the corresponding mode selection button to select a scan mode. Use the image control settings to further optimize the image. For explanations and usage of these settings on specific modes, please refer to their respective chapters. The operator can also perform the following operations to adjust the contents of the imaging window. Basic operations Set the transducer orientation 60 Enlarge an area of the image To further examine the anatomy by enlarging a region of the image (realtime or frozen), use the zoom function. 1. On the imaging screen, touch > Zoom. The ROI (Region of Interest) box appears on the center of the image. Adam, Smith 1234567 Menu Chroma Map 0 Sector Width 26 GSC 0 Sector Pos Acoustic 1540 TX Power 80.0 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Johnson TI 0.11 MI 0.92 CLA ROI box Zoom Image Reverse Needle Erase BDMK Annot Label Arrow Annot Del BDMK Probe Pos Rotate Close Medical Center Gn 58 15.0cm 15FPS 1/ 1 M/ 80.0 60/ 0 0/ 4 Zoom View: 1.0x B Function Freeze Save Image Fun.Key Tuning TGC Penetration Resolution End Exam Figure 15 Enlarge a 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. 2. Touch anywhere outside the ROI box to enlarge selected area. Adam, Smith 1234567 Menu Chroma Map 0 Sector Width 26 GSC 0 Sector Pos Acoustic 1540 TX Power 80.0 Zoom Image Reverse Needle Erase BDMK Annot Label Arrow Annot Del BDMK Probe Pos Rotate Close 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Johnson Medical Center TI 0.11 MI 0.92 CLA Gn 58 15.0cm 15FPS 1/ 1 M/ 80.0 60/ 0 0/ 4 Zoom View: 2.0x B Function Freeze Save Image Fun.Key Tuning TGC Penetration Resolution End Exam Figure 16 Enlarge a ROI (zoomed image) The operator can still move the enlarged area by touching and dragging anywhere on the image. Basic operations Adjust the displayed image 61 Split the imaging screen The system allows splitting the imaging screen into two sections to view two current scans for a patient. The operator can acquire one scan for the patient, enable split screen, and then acquire another scan from a different angle, location or with a different scan mode. On the imaging screen, touch > Dual. The ultrasound software immediately freezes the current scan, and copies the current settings for the image to the second screen. Adam, Smith 1234567 Menu Color Power 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Smith Medical Center TI 0.27 MI 1.04 CLA PW Color Gain 45 PRF 1.0 Gn 58 15.0cm 4FPS 1/ 1 M/ 80.0 Gn 45 M/ 80.0 1.0 20.0 1/ 3 15 Steering 0 -15 WF 20.0 12 Color Function Freeze Save Image Fun.Key Tuning TGC Penetration End Exam Resolution Figure 17 Dual screen To select a screen, touch Toggle. Only one screen can be active at a time. The operator can then apply any image control settings and use scan modes independently to either screen. For example, the operator can acquire a 2D scan, activate dual screen, and then acquire a Color Doppler scan in the second screen. To leave the dual screen, touch Dual again. Freeze 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. OO To view the saved images frame by frame, touch OO To play back saved images in a continuous cine loop, touch OO OO To re-start a new live scan, touch Freeze again. If no frozen image or cine loop are saved, restart live scanning erases the frame data. Make sure any needed images are saved or printed before acquiring new scan data. Basic operations Freeze an image 62 Add annotations and measurements On the frozen imaging screen, the operator can add annotations and measurements to the ultrasound images in order to explain the anatomy. If you return to the real-time imaging screen without saving the image, all the annotations and measurements added will be cleared. Annotations Adam, Smith 1234567 Menu Left 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Johnson Medical Center TI 0.11 MI 0.92 CLA 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 Bowel Close Gn 58 15.0cm 15FPS 1/ 1 M/ 80.0 60/ 0 0/ 4 Tumor Lower Delete Set Home Go home 490 End Exam Figure 18 Add annotations Arrow Touch Arrow. An arrow appears at the text home position. Drag the arrow to place it to the desired location a . Text 1. Touch Annot. A virtual keyboard and a text cursor (I-beam) appear at the text home position. 2. Type the texts directly. Touch Done on the keyboard to finish inputs. 3. Drag the text cursor to where you want the new texts to be, and release it to place the texts b . Set the text home position The operator can choose a specified position in the image display as the starting location, which is the text home position. 1. Touch Annot. 2. Drag the text cursor to the desired text home position. 3. Touch Set Home. Basic operations Add annotations and measurements 63 Label 1. Touch Label. A predefined text menu and a text cursor (I-beam) appears at the text home position c . 2. Select a text label to place it at the current cursor position, and touch Close. 3. 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. BDMK 1. Touch BDMK to display the body marker menu. Adam, Smith 1234567 Menu Body Mark (12) 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Johnson Medical Center TI 0.11 MI 0.92 CLA Distance Trace Gn 58 15.0cm 15FPS 1/ 1 M/ 80.0 60/ 0 0/ 4 Annot Arrow BDMK Rotate Print Close Freeze Save Image Fun.Key Set Start Set End 490 End Exam Figure 19 Add a body mark 2. Select a body mark. A pictogram of the body mark with a transducer indicator displays on the image. Figure 20 Pictogram of the body mark (example) 3. Touch Probe Pos, Touch anywhere on the image and move to place the body marker to the desired location on the body mark. 4. Touch Rotate. Touch anywhere on the image and move to rotate the transducer indicator. Basic operations Add annotations and measurements 64 5. Touch and hold the pictogram, and drag to move it to the desired location on the image. OO OO To delete annotations added, including texts and arrows, touch Annot Del to delete the last added annotations. To delete the body mark added, touch Erase BDMK. Measurements Measurements accompanying ultrasound images supplement other clinical procedures available to the attending physician. The operator can perform as many measurements as needed. Adam, Smith 1234567 Menu Distance Ellipse Trace Calc Label Arrow Annot Del BDMK Probe Pos Rotate Erase BDMK 09/03/2015 02:56PM Dr. Johnson Medical Center TI 0.11 MI 0.92 CLA 1 D 66.7 mm 2 TA 2641.5 mm2 TB 0.5 mm 3 EA 119.8 mm2 EP 122.6 mm Ea 61.2 mm Eb 2.5 mm Measure Del Annot 27 01/01/1988 Liver Gn 58 15.0cm 15FPS 1/ 1 M/ 80.0 60/ 0 0/ 4 Print B Function Freeze Save Image Fun.Key Set Start Set End 490 End Exam Figure 21 Perform measurements To delete measurements added, touch Measure Del to delete the last added measurements. Distance Used to measure a distance. appears on the image. Move the 1. Touch Distance. A “cross” cursor target cursor to where you want to start measuring and release it. 2. Drag the target cursor to where you want to finish measuring, and then release it a . The measured results (values) appear on the top left corner of the ultrasound image. Trace Used to trace an irregular shape. appears on the image. Move the 1. Touch Trace. A “cross” cursor cursor to where you want to start measuring and release it. Basic operations Add annotations and measurements 65 2. Drag the cursor along the outline of the object to trace. Figure 22 Trace an outline 3. When the tracing is nearly done, release your finger and the system completes the loop by drawing a line from the current cursor position to the starting point b . The measured results (values) appear on the top left corner of the ultrasound image. Ellipse Used to measure a circumference. appears on the image. Move the 1. Touch Ellipse. A “cross” cursor target cursor to one end of the area you want to measure and release it to set the start point of measurement. 2. 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 c . The measured results (values) appear on the top left corner of the ultrasound image. Save and print the image After adding needed annotations/measurements to the image, the operator can save or print the image. Save an image On the frozen imaging screen, touch Save Image to save the current frame as an image. The saved image will be displayed in the thumbnail list. Save a cine clip To save the frames as a cine clip, touch and hold Save Image. Print an image To print out the image, touch Print. Basic operations Save and print the image 66 Review the image On the frozen screen, scroll up and down on the thumbnail list to view the thumbnails of all the saved images/clips. To further examine one or a set of images/clips, touch the thumbnail(s) of the needed image or cine clip to display the review screen. Adam, Smith 1234567 Menu Add to Report Gen Report Export study Delete 27 01/01/1988 Liver 07/08/2015 02:56PM Dr. Johnson Medical Center TI 0.11 MI 0.92 CLA Gn 60 9.0cm 28FPS 0/ 1 M/ 80.0 3/ 1 0/ 4 Multi-Select 1*1 Multi-Image 1*1 Print Study List 3/12 B Function Freeze Save Image Fun.Key Set Start End Exam Set End Figure 23 Review the image Perform multiple selections The operator can perform actions to more than one image/clip at a time. Menu Add to Report Gen Report Export study Delete Multi-Select 3*3 Multi-Image 1*1 Print Study List 12 B Function Freeze Save Image Fun.Key End Exam Select All Deselect All Figure 24 Perform multiple selections 1. Touch the + button under Multi-Select. Scroll up and down on the thumbnail window and touch to select up to 9 images/clips. OO To quickly select all images, touch Select All. OO To cancel all selections, touch Deselect All. Basic operations Review the image 67 2. Touch an action button. For example, touch Delete to delete all selected images/clips. Compare images To compare the scanned images/clips, touch the + button under MultiImage. Menu Add to Report Gen Report Export study Delete Please touch thumbnail to add to review list. Multi-Select 1*1 Multi-Image 2*2 Please touch thumbnail to add to review list. Print Please touch thumbnail to add to review list. Study List 12 B Function Freeze Save Image End Exam Fun.Key Figure 25 Compare images Scroll up and down the thumbnail list, and touch to select up to 4 images/clips to display for comparison. Generate a report 1. On the review screen, touch the thumbnails of the desired images and touch Add to Report. 2. Touch Gen Report to display the following screen. Menu Report Signature: / Study date: 2015/09/03 / Exam type: Cardiology Institution: / Referring: / Interpreting: Print Print Preview Image Layout 1 column Template template_1 Patient information Name DOB Age ID Add Image Rem Image Exam History Export Save as Save Study Specific Information Height cm Blood Press Prompts Weight kg mmHg BSA: RA Press m2 HR bpm mmHg Findings Comments Ultrasound Image Scan Previous End Exam Figure 26 Report screen Basic operations Review the image 68 3. Fill in information about the patient and the study, if not complete, and add comments using the virtual keyboard. 4. Scroll down to review the images added, and add comments to individual images, if needed. The operator can still add/remove images to/from the report without going back to the review screen. Touch Add Image/Rem Image to display the image editing screen. Check the desired images and touch Add to Report or Remove from report. 5. Touch the + button under Image Layout to select the numbers of columns for placing the images on a report. 6. Touch Print Preview to preview the report. 7. To print out the report, touch Print; to save the report, touch Save as, select the file format and directory, and then touch Save. Export the exam The operator 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: OO OO OO On the review screen, touch Export study > Export to DICOM or Export to external storage. On the exam history screen, check the completed exams, and touch Export Exam > Export to DICOM or Export to external storage. On the report screen, touch Export > Export to DICOM or Export to external storage. To set the default export directory, exporting to DICOM automatically after ending the exam and more, please go to Menu > Setting. End the exam An exam is not complete if the operator proceeds 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, please go to Menu > Exam history. Basic operations Export the exam 69 5 Scan modes overview All of the information in this chapter pertains to real-time imaging. Many of the controls and functions change when the operator freeze the scan. For information on using functions when the scan is frozen, please refer to “Annotations” and “Measurements”. On the real-time imaging window: OO Touch the mode selection buttons to select a scan mode (See “Imaging screen (Real-time)”). OO Touch to switch the control panel pages to go through the available functions (See “Switch the control panel pages”). B mode overview The system delivers 2-dimensional digital imaging using 256 digital beam-forming channels. This imaging mode delivers excellent image uniformity, tissue contrast resolution, and steering flexibility in frequencies from 2 MHz to 15 MHz. Adam, Smith 1234567 Menu Color Power 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Smith Medical Center TI 0.11 MI 0.92 CLA PW B Gain 58 Gn 58 15.0cm 15FPS 1/ 1 M/ 80.0 60/ 0 0/ 4 Depth 15.0 Focus 8.0 DYN Range 60 12 B Function Freeze Save Image Fun.Key Tuning TGC Penetration Resolution End Exam Figure 27 B mode real-time scan Scan modes overview B mode overview 70 B mode image controls Use the following 2D image controls during live scanning. Color Power PW Focal Zone 1 QScan 1 Chroma Map 0 Sector Width 256 Focal Span 1 Persist 4 GSC 0 Sector Pos Steering 0 Reject 4 Acoustic 1540 TX Power 80.0 B Gain 58 Depth 15.0 Freq Trap Density THI Zoom Image Reverse Needle Erase BDMK L/R U/D QRange QBeam Annot Label Arrow Annot Del Dual Toggle Full Scr BDMK Probe Pos Rotate Close Focus 8.0 DYN Range 60 12 Figure 28 B mode image controls OO Gain: adjust amplification of the returning echoes, which adjust the amount of echo information displayed in an image. OO Scan depth: adjust the field of view. OO Focus depth: increase the resolution for a specific area. OO Dynamic range: control the range of acoustic levels displayed in the image, which affect the contrast of the image. OO Focal zones: select the focal number which also affect the acoustic power indices. OO Focal span: adjust the distance between the focal zones. OO QScan: allow scanning from different angles, which helps reinforce the real structures of an ultrasound image by eliminating artifacts, such as speckle, noise or refractive shadows. OO Persistence: adjust the amount of averaging (real-time) images. OO Reject: adjust the display priority of the 2D grayscale pixels. OO Frequency: change the scan frequency. As frequency increases, the resolution becomes higher while the penetration becomes lower. OO Trapezoidal imaging: increase the range of view of the ultrasound image. OO Chroma map: adjust the chroma (color tone and saturation) value with different brightness. OO Gray scale curve (GSC): change how the amplitude is converted to brightness. OO Acoustic: set the minimum acoustic output power value while still sufficient for diagnostically acceptable information. OO QBeam: permit electronic steering of the ultrasound beam to acquire scans of an ROI from several directions. Scan modes overview B mode overview 71 OO Sector width and position: adjust the imaging area of both the sector and the transducer to the ROI. A smaller sector width increases the frame rate. OO Image reverse: reverse the image orientation horizontally and vertically. Color/Power Doppler mode overview Color Doppler mode is used to detect the presence, direction, and relative velocity of blood flow by assigning color-coded 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. The mean Doppler shift is then displayed against a grayscale scan of the structures. 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 than flow away from the transducer. Amplitude depends on the amount of moving blood within the volume sampled by the ultrasound beam. The operator can also apply a high frame rate or high resolution to control the quality of the scan. Higher frequencies generated by rapid flow are displayed in lighter colors, and lower frequencies in darker colors. Adam, Smith 1234567 Menu Color Power 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Smith Medical Center TI 0.27 MI 1.04 CLA PW Color Gain 45 15 PRF 1.0 Gn 58 15.0cm 4FPS 1/ 1 M/ 80.0 Gn 45 M/ 80.0 1.0 20.0 1/ 3 Steering 0 -15 WF 20.0 12 Color Function Freeze Save Image Fun.Key Tuning TGC Penetration Resolution End Exam Figure 29 Color Doppler mode real-time scan In Power Doppler 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, offers no directional information. Scan modes overview Color/Power Doppler mode overview 72 Both Color and Power Doppler modes can work with other scan modes to form duplex and triplex modes. Color/Power Doppler mode image controls Use the following Color/Power Doppler mode image controls during live scanning. Color Power PW Depth 15.0 QScan 1 Color Map 1 Sector Width 256 Focus 8.0 Persist 3 Threshold 4 Sector Pos Baseline 15 Reject 255 Color Gain 45 TX Power 80.0 PRF 1.0 Freq Flow Invert L/R U/D Dual Toggle Density Steering 0 THI Zoom Image Reverse Needle Erase BDMK QBeam Annot Label Arrow Annot Del BDMK Probe Pos Rotate Close WF 20.0 Full Scr 12 Figure 30 Color Doppler mode image controls OO Pulse Repetition Frequency (PRF): adjust the velocity range of the display, which manifests as a scale. OO Wall filter (WF): adjust the wall filter setting to reduce or eliminate unwanted low-frequency, high-intensity signals generated by movements of blood vessel walls. Color Power PW Depth 15.0 QScan 1 Color Map 1 Sector Width 256 Focus 8.0 Persist 3 Threshold 4 Sector Pos Steering 0 Reject 255 Baseline 15 TX Power 80.0 Power Gain 50 PRF 0.8 Freq Zoom L/R U/D Dual Toggle Density WF 16.0 Dir Power Flow Invert 12 QBeam Full Scr Image Reverse Needle Erase BDMK Annot Label Arrow Annot Del BDMK Probe Pos Rotate Close THI Figure 31 Power Doppler mode image controls OO Dir Power: activate Directional DPI with the DPI indicator displaying the direction of flow for use in applications where sensitivity and directional information are both required. Scan modes overview Color/Power Doppler mode overview 73 M mode overview M mode imaging is used simultaneously with 2-dimensional (B 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 . Typically, this mode is used for viewing motion patterns of the heart. Adam, Smith 1234567 Menu Color Power 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Johnson Medical Center TI 0.14 MI 0.95 CLA PW Gn 58 15.0cm 13FPS 1/1 M/ 80.0 M Gain 50 Steer M 0 Gn 50 M/ 80.0 PEK M Process PEK Speed 1/2x Video Invert 12 M Function Freeze Save Image Fun.Key Tuning M Update Penetration End Exam Resolution Figure 32 M mode real-time scan M mode image controls Use the following M mode image controls during live scanning. Color Power PW Depth 15.0 DYN Range 1 Focus 8.0 Display V 1/2 Steering 0 Reject 4 Chroma Map 0 M Gain 50 Steer M 0 Freq Zoom L/R U/D Dual Toggle M Process PEK Speed 1/2x Video Invert TX Power 80.0 Line Pos 128 Full Scr ECG Erase BDMK Annot Label Arrow Annot Del BDMK Probe Pos Rotate Close 12 Figure 33 M mode image controls OO M process: select the method for detection processing the M trace display. OO Steer M: adjust the M mode cursor line (M-line) position. OO Sweep speed: adjust how fast the timeline is scanned across the Time Series window. OO Video invert: invert the M trace display in relation to brightness. OO Scan lined position: adjust the scan line position. Scan modes overview M mode overview 74 OO Display format: adjust the layout of the B+M mode ultrasound image. Pulsed-Wave (PW) Doppler mode overview A pulsed-wave Doppler scan produces a series of pulses used to study the motion of blood flow selectively in a small region along a desired ultrasound cursor, called the Doppler Range Gate (RG) located on the spectral Doppler cursor. 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. Adam, Smith 1234567 Menu Color Power 27 01/01/1988 Liver 09/03/2015 02:56PM Dr. Johnson Medical Center TI 0.28 MI 0.4 CLA PW Spectral Doppler Cursor PW Gain 50 Gn 58 15.0cm 7FPS 1/1 M/ 80.0 Flow direction cursor PRF 2.0 Gn 50 M/ 80.0 2.0 40.0 60 degree 8.08 cm 2.49 mm Angle 60 Angle±60 2D Refresh 12 Update PW Function Freeze Save Image Fun.Key Tuning TGC PW Update Penetration Resolution End Exam Figure 34 PW Doppler mode real-time scan PW Doppler mode image controls Use the following PW mode image controls during live scanning. Color Power PW Baseline 8 DYN Range 4 Chroma Map 0 Line Pos 128 WF 40.0 SV Size 2.49 Display V 1/2 SV Pos 8.08 Steering -20 Reject 4 PW Gain 50 TX Power 80.0 PRF 20 Freq Flow Invert Video Invert Output cm/s Zoom L/R U/D Speed 1.2x Sound Annot Dual Toggle Full Scr BDMK ECG Erase BDMK Label Arrow Annot Del Probe Pos Rotate Close Angle 60 Angle±60 2D Refresh 12 Figure 35 PW Doppler mode image controls OO Baseline: adjust the zero baseline up or down in the Time Series window. OO Sample Volume (SV) size: adjust the SV size which controls the size of the Doppler region being examined. Scan modes overview Pulsed-Wave (PW) Doppler mode overview 75 OO Reject: adjust noise rejection which controls rejection of low-level returned signals. OO Sound: adjust the volume of the Doppler signal. OO PW update: select whether or not to continue scanning the anatomy (displayed in the 2D imaging window) while acquiring PW Doppler scan data (displayed in the Time Series window). Scan modes overview Pulsed-Wave (PW) Doppler mode overview 76 6 IT Network 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 cine clips) 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 802.11 a/b/g/n, Gigabit Ethernet Software OO The system is connected to PACS and MWL by DICOM standard. Please refer to the system’s DICOM Conformance Statement for detailed instructions. OO The system connects to the network time server at startup when available. 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. Use the USB port ONLY to export data to a USB memory stick. Computer access to the system through the USB port is blocked. The system allows connection via Bluetooth with limited devices (HID) only. IT Network Introduction 77 Use the following TCP/IP ports for outgoing communication to the WLAN and Gigabit Ethernet. OO Port for DICOM communication (typically port 104, 2762 or 11112; to specify the port, on the system’s imaging screen, touch Menu > Setting > DICOM.) OO Port 80 for HTTP web servers (not supported by the system) OO Anti-virus software is not installed on the system Information flow From\To Worklist server UH100 PACS Worklist server DICOM worklist responses UH100 DICOM worklist queries 1. Study data (DICOM Storage) 2. Ping/Echo request PACS Ping and Echo response Table 8 Information flow Please refer to the system’s DICOM Conformance Statement for detailed instructions. 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. IT Network Information flow 78 IT Network failure Impact on the equipment Hazard Unable to transmit exam data to a PACS Delay of diagnosis Delay of transmission to a PACS IT network becomes unstable Incorrect data transmitted to a PACS System countermeasures Exam data is stored in the system’s internal storage. After the IT network has resumed stability, the operator can re-initiate the data transfer. The system uses the TCP/ IP and DICOM protocols to Misdiagnosis ensure the integrity of the data. Unable to retrieve order data from an MWL server. Delay of Delay of retrieving exam order data from an MWL server. The operator can initiate/ create a new exam from the system Incorrect data from Incorrect a MWL server exam The system uses the TCP/ IP and DICOM protocols to ensure the integrity of the data. Manipulation Attack via network of the exam data The system closes unnecessary network ports. Firewall has broken down Infection by computer virus Exam data leakage The system forbids installation of any software by any user. Table 9 IT network failure recovery measures Any connection of the equipment, this system (UH100) or/and other systems, to the IT network risks the unidentified data leakage of the patients, operators or third parties. Therefore, the operator 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, please refer to IEC 80001-1:2010. 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. OO Changes in the network configuration (IP address, router, proxy, and so on) OO Connection of additional items IT Network IT network failure recovery measures 79 OO Disconnection of items OO Equipment update OO Equipment upgrade IT Network IT network failure recovery measures 80 7 Maintenance System maintenance To maintain the best performance of the system and extend its life, please clean the ventilation slots, all connection ports/sockets and the touchscreen regularly or whenever the operator observes dust or other particles. Before cleaning the system, perform the following operations to avoid the risk of electric shock. 1. Turn off the system power. 2. Unplug the power cord from both the system and the power outlet. Running the system for a period of time may generate excessive heat. Do not clean the system until it completely cools down. Clean the ventilation slots and connection ports/sockets Use a suitable dust blower or a can of compressed air to blow off the dust accumulated in and around the slots/sockets. Clean the touchscreen 1. Gently wipe the screen with a lint-free, non-abrasive and dry cloth. 2. If any smear or spots remain, apply a small amount of monitor specific cleaning solution to the cloth, and gently wipe it across the screen in one direction. Repeat the application and cleaning process several times until the spots are dissolved. Moving the cloth back and forth will damage the screen. 3. Wipe off any excess moisture and then leave the screen completely dry before powering the system back on. Transducer precautions and maintenance The transducers provided with the system are durable and have reliable performance. Inspect these precision instruments daily and handle with care. Please observe the following precautions: Maintenance System maintenance 81 OO Do not drop the transducer on the hard surface, as this will damage the transducer elements and compromise the electrical safety of the transducer. OO Avoid kinking or pinching the transducer cable. OO Use only the approved ultrasound coupling gels. OO Do not immerse the transducer into liquids beyond its binding line, and must not immerse the transducer connector into any liquids at all times. OO Do not use damaged or flawed transducers. OO Use only couplants specifically designed for ultrasound examinations. Do not use mineral-oil or vegetable-based couplants, which can damage transducers. OO Do not expose transducers to direct heat such as strong sunlight or local heat sources. Heat ages the crystal and causes loss of sensitivity. OO OO 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. A recommendation calling the operator’s attention to the need for regular testing and periodic maintenance including inspection of the transducer assembly for cracks that allow the ingress of conductive fluid shall be provided. Inspect the transducer OO 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. OO If the transducer is dropped accidentally, examine it immediately for signs for damage. Perform a sample scan to make sure it operates correctly. Contact the Qisda dealer for service or replacement if any abnormalities are found. To avoid any possibilities of hurting the patient, check if the transducer has a smooth edge and an even surface before each use. Cleaning and disinfection OO Clean the transducer and the transducer handle after use. OO For surface transducers, disinfect the transducer periodically. OO Keep a log of maintenance (inspection, cleaning and disinfection) and malfunction. Maintenance Transducer precautions and maintenance 82 Transducer immersion level When using surface transducers, do not immerse the transducer beyond its immersion line. Cable sheath Transducer handle Immersion line Figure 3 Scan head Surface transducer (Example transducer-C52A) Do not use solutions containing alcohol, mineral oil for cleaning or disinfecting transducers. OO Wear medical sterile gloves to prevent potential disease transmission. Wear protective goggle if necessary. OO Do not apply solutions containing ethyl oxides on the transducer. OO Cleaning instructions 1. Disconnect the transducer from the system. 2. Remove all the coupling gel and clean the transducer with soft cloth and flowing potable water. 3. If the transducer surface carries too much residue, remove all visible residue with wet cloth soaked in mild soap water. Use wet soft cloth to scrub the surface if dried residue exists. Remove all soap water residue with damp cloth soaked in potable water. 4. Air dry or dry with a soft cloth. Take extra care when cleaning the transducer surface. Avoid causing damages to the transducer by excessive and forceful cleaning. Disinfection instructions The level of disinfection is directly related to the duration of contact with the germicide. Legally marketed liquid chemical germicides (e.g. Cidex) are highly recommended. Prepare use the germicides following the manufacturer’s instructions. Maintenance Transducer precautions and maintenance 83 The following statement from AIUM outlines instructions for cleaning the intracavitary transducer: AIUM Guidelines for Cleaning and Preparing Endocavitary Ultrasound Transducers between Patients Approved June 4, 2003 The purpose of this document is to provide guidance regarding the cleaning and disinfection of transvaginal and transrectal ultrasound transducers. All sterilization / disinfection represents a statistical reduction in the number of microbes present on a surface. Meticulous cleaning of the instrument is the essential key to an initial reduction of the microbial / organic load by at least 99%. This cleaning is followed by a disinfecting procedure to ensure a high degree of protection from infectious disease transmission, even if a disposable barrier covers the instrument during use. Medical instruments fall into different categories with respect to potential for infection transmission. The most critical levels of instruments are those that are intended to penetrate skin or mucous membranes. These require sterilization. Less critical instruments (often called “semi-critical” instruments) that simply come into contact with mucous membranes such as fiber optic endoscopes require high-level disinfection rather than sterilization. Although endocavity ultrasound transducers might be considered even less critical instruments because they are routinely protected by single use disposable transducer covers, leakage rates of 0.9 % to 2 % for condoms and 8 % to 81 % for commercial transducer covers have been observed in recent studies. For maximum safety, one should therefore perform high-level disinfection of the transducer between each use and use a transducer cover or condom as an aid in keeping the transducer clean. There are four generally recognized categories of disinfection and sterilization. Sterilization is the complete elimination of all forms or microbial life including spores and viruses. Disinfection, the selective removal of microbial life, is divided into three classes: OO High-level disinfection includes destruction / removal of all microorganisms except bacterial spores. OO Mid-level disinfection includes inactivation of Mycobacterium Tuberculosis, bacteria, most viruses, fungi, and some bacterial spores. Maintenance Transducer precautions and maintenance 84 OO Low-Level Disinfection includes destruction of most bacteria, some viruses and some fungi. Low-level disinfection will not necessarily inactivate Mycobacterium Tuberculosis or bacterial spores. The following specific recommendations are made for the use of endocavity transducers. Operators should also review the Centers for Disease Control and Prevention document on sterilization and disinfection of medical devices to be certain that their procedures conform to the CDC principles for disinfection of patient care equipment. Procedures for cleaning 1. After removing the transducer cover, use running water to remove any residual gel or debris from the transducer. 2. Use a damp gauze pad or other soft cloth and a small amount of mild non-abrasive liquid soap (household dishwashing liquid is ideal) to thoroughly cleanse the transducer. 3. Use a small brush especially for crevices and areas of angulations depending on the design of your particular transducer. 4. Rinse the transducer thoroughly with running water, and then dry the transducer with a soft cloth or paper towel. Procedures for disinfection 1. Follow the above cleaning procedures to clean the transducer first with a detergent/water solution, and ensure all visible residues are removed from the transducer. 2. Use high-level disinfectant to ensure further statistical reduction in microbial load. Because of the potential invisible disruption of the transducer sheath, additional high level disinfection with chemical agents is necessary. Examples of such high level disinfectants include but are not limited to: OO 2.4% to 3.2% Glutaraldehyde products (a variety of available proprietary products including “Cidex”, “Metricide”, or “Procide”) OO Non-glutaraldehyde agents including Cidex OPA (o-phthalaldehyde), Cidex PA (hydrogen peroxide & peroxyacetic acid). OO 7.5% Hydrogen Peroxide solution OO Common household bleach (5.25% sodium hypochlorite) diluted to yield 500 parts per million chlorine (10 cc in one liter of tap water). This agent is effective, but generally not recommended by transducer manufacturers because it can damage metal and plastic parts. Maintenance Transducer precautions and maintenance 85 OO Other agents such as quaternary ammonium compounds are not considered high level disinfectants and should not be used. Isopropanol is not a high level disinfectant when used as a wipe and transducer manufacturers generally do not recommend soaking transducers in the liquid. OO The FDA has published a list of approved sterilant and high level disinfectants for use in processing reusable medical and dental devices. Consult the list to find agents that may be useful for transducer disinfection. 3. Operators should follow the instructions of proprietary products to prepare, store and use the disinfectant. Regarding the compatibility of these agents with transducers, consult the manufacturers. Many of the chemical disinfectants are potentially toxic and many require adequate precautions, such as proper ventilation, personal protective devices (gloves, face/eye protection, etc.) and rinsing before reusing the transducer. Transducer sheath When using E94A endocavity transducers, the transducers must be protected with a transducer sheath. If condoms are used, they should be non-lubricated and non-medicated. Operators should be aware that condoms have been shown to be less prone to leakage than commercial transducer covers, and have a six-fold enhanced AQL (acceptable quality level) when compared to standard examination gloves. They have an AQL equal to that of surgical gloves. Operators should be aware of latex-sensitivity issues and have available nonlatex-containing barriers. Aseptic technique For the protection of the patient and the health care worker, all endocavitary examinations should be performed by the operator wearing gloves properly throughout the ultrasound diagnostic process. Gloves should be used to remove the condom or other barrier from the transducer and to wash the transducer as mentioned above. As the transducer sheath is removed, care should be taken not to contaminate the transducer with secretions from the patient. At the completion of the procedure, hands should be thoroughly washed with soap and water. OO OO Do not use high pressure steam to disinfect the transducer. Do not use thermal disinfection. Temperatures higher than 66°C or 150°F will damage the transducer. Maintenance Transducer precautions and maintenance 86 OO OO OO OO OO OO Obvious disruption in condom integrity does not require modification of this protocol. These guidelines take into account possible transducer contamination due to a disruption in the barrier sheath. In summary, routine high-level disinfection of the endocavity transducer between patients, plus the use of a transducer cover or condom during each examination is required to properly protect patients from infection during endocavitary examinations. Ensure that all visible residues have been removed. Prepare the germicide solutions according to the manufacturer’s instructions. Please also follow the manufacturer’s instructions for storage and disposal of the germicide. Immerse the transducer head into the germicide for time interval specified by the germicide manufacturer. The immersion level should be kept below the binding line. Note that you may need to rotate and shake the transducer in order to remove the air bubbles between the transducer surface and germicide solution. After removing the transducer from the germicide solution, rinse it thoroughly with clean, potable water to remove all visible germicide. Dry the transducer with a soft cloth. Maintenance Transducer precautions and maintenance 87 8 Appendix Acoustic output Reporting for Track 3 Qisda Corporation follows Track 3 of the FDA’s information for manufacturers seeking marketing clearance of diagnostic ultrasound systems and transducers. Track 3 does not require evaluation of acoustic output on an application-specific basis, but the global maximum derated ISPTA must not exceed 720 mW/cm2 and the global maximum MI must not exceed 1.9. Appendix Acoustic output Reporting for Track 3 88 Acoustic output tables for UH100 Transducers Acoustic output reporting table for Track 3 for the C52A transducer UH100 Diagnostic Ultrasound System in B mode TIS Index label MI Scan Global maximum index value 0.0282 0.088 z1 (cm) (cm) Focal length Ipa.3 at MImax (b) 5.9 3.5 X (cm) 2.25 Y (cm) 1.1 (microsec) Other d @PIImax information eq OO 24.4 (cm) (MHz) pr@PIImax OO (cm) 0.053 (cm) PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions TIB 3.5 0.37 (Hz) 5900 (MPa) 0.109 (cm) FLx (cm) FLy (cm) (W/cm2) 0.09 Control 1 Control 2 7 cm 7 cm Control 3 5917 5917 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 89 Acoustic output reporting table for Track 3 for the C52A transducer UH100 Diagnostic Ultrasound System in CFM-B mode TIS Index label MI Scan Global maximum index value 0.132 0.138 z1 (cm) (cm) Focal length Ipa.3 at MImax (b) 4.6 2.5 X (cm) 2.25 Y (cm) 1.1 (microsec) Other d @PIImax information eq OO 58 (cm) (MHz) pr@PIImax OO (cm) 0.209 (cm) PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions TIB 2.5 1.5 (Hz) 5000 (MPa) 0.303 (cm) FLx (cm) FLy (cm) (W/cm2) 2.96 Control 1 CFM CFM Control 2 5 cm 5 cm Control 3 5 KHz 5 KHz 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 90 Acoustic output reporting table for Track 3 for the C52A transducer UH100 Diagnostic Ultrasound System in B/M mode TIS Index label MI Global maximum index value 0.133 (cm) (cm) 2.66 (cm) Ipa.3 at MImax 37 3.4 3.4 3.4 X (cm) 2.25 2.25 Y (cm) 1.1 1.1 (microsec) Focal length (b) 4.5 (cm) (MHz) 0.077 0.246 (cm) Other d @PIImax information eq OO z1 pr@PIImax OO 0.0199 1.23 PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions Scan TIB 3.4 1.2 (Hz) 250 (MPa) 0.47 (cm) 3.2 FLx (cm) FLy (cm) (W/cm2) 3.4 Control 1 Control 2 7 cm 7 cm 7 cm 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 91 Acoustic output reporting table for Track 3 for the C52A transducer UH100 Diagnostic Ultrasound System in PW mode TIS Index label MI Global maximum index value 0.127 (cm) (cm) 2.66 (cm) Focal length Ipa.3 at MImax (b) 165 4.2 (cm) (MHz) 0.52 0.241 (cm) Other d @PIImax information eq OO z1 pr@PIImax OO 0.209 12.1 PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions Scan TIB 2.22 3.6 3.6 3.6 X (cm) 2.25 2.25 Y (cm) 1.1 1.1 (microsec) 1.08 (Hz) 3000 (MPa) 0.43 (cm) 2.1 FLx (cm) FLy (cm) (W/cm2) 2.84 Control 1 PW PW PW Control 2 7 cm 7 cm 7 cm Control 3 3000 3000 3000 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 92 Acoustic output reporting table for Track 3 for the L115A transducer UH100 Diagnostic Ultrasound System in B mode TIS Index label MI Global maximum index value 0.055 Pr.3 (MPa) (cm) z@PII.3max (cm) deq(zsp) (cm) (b) 1.79 (MHz) 6.7 6.7 X (cm) 0.6 Y (cm) 0.6 FLx (cm) 1.5 FLy (cm) 1.9 (microsec) 0.183 Ipa.3 at MImax OO 0.142 (cm) Focal length OO 1.4 (cm) pr@PIImax OO z1 Other d @PIImax information eq OO 0.07 PRF OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) PD OO (mW) Dim of Aaprt OO W0 fc OO TIC Non-scan Min of W.3(z1), ITA.3(z1)] Associated zbp acoustic zsp parameter Operating control conditions Scan TIB (Hz) 9800 (MPa) 0.209 (cm) (W/cm ) Control 1 Control 2 1.13 1.5 cm 1.5 cm Control 3 9804 9804 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 93 Acoustic output reporting table for Track 3 for the L115A transducer UH100 Diagnostic Ultrasound System in CFM-B mode TIS Index label MI Scan Global maximum index value 0.107 0.188 Pr.3 (MPa) (cm) z@PII.3max (cm) (cm) (MHz) Focal length Ipa.3 at MImax OO OO 32 (cm) deq(zsp) (b) 0.237 (cm) pr@PIImax OO z1 Other d @PIImax information eq OO PRF OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) PD OO (mW) Dim of Aaprt OO W0 fc OO TIC Non-scan Min of W.3(z1), ITA.3(z1)] Associated zbp acoustic zsp parameter Operating control conditions TIB 2.57 4.9 4.9 X (cm) 3.8 Y (cm) 0.6 (microsec) 0.81 (Hz) 3000 (MPa) 0.37 (cm) FLx (cm) FLy (cm) (W/cm2) 1.5 1.9 5.6 Control 1 CFM CFM Control 2 3 cm 3 cm Control 3 3 KHz 3 KHz 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 94 Acoustic output reporting table for Track 3 for the L115A transducer UH100 Diagnostic Ultrasound System in B/M mode TIS Index label MI Global maximum index value Pr.3 (MPa) (cm) z@PII.3max (cm) deq(zsp) (cm) (b) 10.7 2.01 2.11 1.85 (MHz) Ipa.3 at MImax OO 10.7 0.047 0.35 (cm) Focal length OO (cm) pr@PIImax OO 0.36 z1 Other d @PIImax information eq OO PRF OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) PD OO (mW) Dim of Aaprt OO W0 fc OO TIC Non-scan Min of W.3(z1), ITA.3(z1)] Associated zbp acoustic zsp parameter Operating control conditions 0.13 Scan TIB 7.1 7.1 X (cm) Y (cm) FLx (cm) FLy (cm) (microsec) 0.68 (Hz) 250 (MPa) 0.58 7.1 0.71 0.71 0.6 0.6 1.5 1.9 (cm) 1.82 (W/cm ) 7.7 Control 1 Control 2 3 cm 3 cm 3 cm 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 95 Acoustic output reporting table for Track 3 for the L115A transducer UH100 Diagnostic Ultrasound System in PW mode TIS Index label MI Global maximum index value Pr.3 (MPa) (cm) z@PII.3max (cm) deq(zsp) (cm) (b) 34 2.06 2.15 0.71 (MHz) Ipa.3 at MImax OO 34 0.38 0.27 (cm) Focal length OO (cm) pr@PIImax OO 1.18 z1 Other d @PIImax information eq OO PRF OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) PD OO (mW) Dim of Aaprt OO W0 fc OO TIC Non-scan Min of W.3(z1), ITA.3(z1)] Associated zbp acoustic zsp parameter Operating control conditions 0.1 Scan TIB 7.3 7.3 X (cm) Y (cm) FLx (cm) FLy (cm) (microsec) 1.03 (Hz) 4000 (MPa) 0.46 7.3 0.41 0.41 0.6 0.6 1.5 1.9 (cm) 0.69 (W/cm ) 6.4 Control 1 PW PW PW Control 2 3 cm 3 cm 3 cm 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 96 Acoustic output reporting table for Track 3 for the P42A transducer UH100 Diagnostic Ultrasound System in B mode TIS Index label MI Global maximum index value 0.149 (cm) (cm) (cm) Focal length Ipa.3 at MImax (b) 5.7 (cm) (MHz) 0.235 (cm) Other d @PIImax information eq OO z1 pr@PIImax OO 44 PRF OO (mW) PD OO 0.39 Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions Scan TIB 2.48 2.48 X (cm) 1.92 Y (cm) 1.4 (microsec) 0.53 (Hz) 5600 (MPa) 0.35 (cm) FLx (cm) FLy (cm) (W/cm2) 2.14 Control 1 Control 2 6 cm 6 cm Control 3 5555 5555 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 97 Acoustic output reporting table for Track 3 for the P42A transducer UH100 Diagnostic Ultrasound System in CFM-B mode TIS Index label MI Global maximum index value 0.205 (cm) (cm) (cm) Focal length Ipa.3 at MImax (b) 5.1 (cm) (MHz) 0.32 (cm) Other d @PIImax information eq OO z1 pr@PIImax OO 207 PRF OO (mW) PD OO 1.74 Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions Scan TIB 2.48 2.48 X (cm) 1.92 Y (cm) 1.4 (microsec) 1.46 (Hz) 2000 (MPa) 0.49 (cm) FLx (cm) FLy (cm) (W/cm2) 5.5 Control 1 CFM CFM Control 2 7 cm 7 cm Control 3 2 KHz 2 KHz 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 98 Acoustic output reporting table for Track 3 for the P42A transducer UH100 Diagnostic Ultrasound System in B/M mode TIS Index label MI Global maximum index value 0.242 (cm) 4.8 (cm) 2.77 (cm) Ipa.3 at MImax 67 4.8 3.2 2.48 2.48 X (cm) 1.92 1.92 Y (cm) 1.4 1.4 (microsec) Focal length (b) 4.6 (cm) (MHz) 0.207 0.38 (cm) Other d @PIImax information eq OO z1 pr@PIImax OO 0.043 3.6 PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions Scan TIB 2.48 1.49 (Hz) 250 (MPa) 0.56 (cm) 3.12 FLx (cm) FLy (cm) (W/cm2) 9.5 Control 1 Control 2 7 cm 7 cm 7 cm 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 99 Acoustic output reporting table for Track 3 for the P42A transducer UH100 Diagnostic Ultrasound System in PW mode TIS Index label MI Global maximum index value 0.248 (cm) 4.8 (cm) 2.77 (cm) Focal length Ipa.3 at MImax (b) 340 4.5 4.8 (cm) (MHz) 0.39 (cm) Other d @PIImax information eq OO z1 pr@PIImax OO 0.77 65 PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions Scan TIB 1.72 2.48 2.48 2.48 X (cm) 1.92 1.92 Y (cm) 1.4 1.4 (microsec) 1.53 (Hz) 4000 (MPa) 0.59 (cm) 1.69 FLx (cm) FLy (cm) (W/cm2) 10.9 Control 1 PW PW PW Control 2 7 cm 7 cm 7 cm 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 100 Acoustic output reporting table for Track 3 for the E94A transducer UH100 Diagnostic Ultrasound System in B mode TIS Index label MI Scan Global maximum index value 0.109 0.069 z1 (cm) (cm) (b) 2.47 X (cm) 1.75 Y (cm) 0.6 (microsec) 0.216 Other d @PIImax information eq Focal length Ipa.3 at MImax OO 4.1 (cm) (MHz) pr@PIImax OO (cm) 0.266 (cm) PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions TIB (Hz) 7000 (MPa) 0.44 (cm) FLx (cm) 3.5 FLy (cm) 2.6 (W/cm2) Control 1 Control 2 3.9 3.5 cm 3.5 cm Control 3 6973 6973 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 101 Acoustic output reporting table for Track 3 for the E94A transducer UH100 Diagnostic Ultrasound System in CFM-B mode TIS Index label MI Scan Global maximum index value 0.113 0.195 z1 (cm) (cm) Other d @PIImax information eq Focal length Ipa.3 at MImax OO 13.2 (b) 2.02 (cm) (MHz) pr@PIImax OO (cm) 0.284 (cm) PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions TIB 6.3 6.3 X (cm) 1.75 Y (cm) 0.6 (microsec) 0.48 (Hz) 3010 (MPa) 0.43 (cm) FLx (cm) 2.5 FLy (cm) 2.6 CFM (W/cm2) Control 1 7.6 CFM Control 2 2.5 cm 2.5 cm Control 3 3 KHz 3 KHz 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 102 Acoustic output reporting table for Track 3 for the E94A transducer UH100 Diagnostic Ultrasound System in B/M mode TIS Index label MI Global maximum index value (cm) 1.96 (cm) 1.73 (cm) Ipa.3 at MImax 1.96 3.4 6.3 6.3 X (cm) 1.75 1.75 Y (cm) 0.6 0.6 (microsec) Focal length (b) 1.82 (cm) (MHz) 0.034 0.37 (cm) Other d @PIImax information eq OO z1 pr@PIImax OO 0.049 1.64 PRF OO (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions 0.15 Scan TIB 6.3 0.62 (Hz) 250 (MPa) 0.55 (cm) 1.14 FLx (cm) 2.5 FLy (cm) 2.6 (W/cm2) 12.3 Control 1 Control 2 2.5 cm 2.5 cm 2.5 cm 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 103 Acoustic output reporting table for Track 3 for the E94A transducer UH100 Diagnostic Ultrasound System in PW mode TIS Index label MI Global maximum index value 0.153 (cm) (cm) (cm) Focal length Ipa.3 at MImax (b) 28.1 1.82 1.93 (cm) (MHz) 0.32 0.38 (cm) Other d @PIImax information eq OO 28.1 z1 pr@PIImax OO PRF OO 0.84 (mW) PD OO Min of W.3(z1), ITA.3(z1)] Dim of Aaprt OO Aaprt ≤ 1 cm Aaprt > 1 cm (mW) fc OO W0 deq(zsp) OO (MPa) z@PII.3max OO TIC Non-scan Pr.3 Associated zbp acoustic zsp parameter Operating control conditions Scan TIB 0.86 6.3 6.3 6.3 X (cm) 1.14 1.14 Y (cm) 0.6 0.6 (microsec) 0.62 (Hz) 3000 (MPa) 0.56 (cm) 0.84 FLx (cm) 2.5 FLy (cm) 2.6 (W/cm2) 11.4 Control 1 PW PW PW Control 2 2.5 cm 2.5 cm 2.5 cm Control 3 3000 3000 3000 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 (f) Control 3: PRF (g) Control 4: Power Appendix Acoustic output Reporting for Track 3 104 Ultrasound validation 1. Set up the phantom for validation. Make sure the notch is filled with some water. 2. Insert the transducer for ultrasound validation. 3. Initiate the ultrasound software. Confirm Ultrasound software has scanned images as below photos. You can see the bright dot on Phantom, and the background should be the same speckle without any particular dark lines or streaks. Appendix Ultrasound validation 105 The actual scan area of the phantom is shown as the image below. 4. Touch Color to switch to Color Doppler mode and keep the transducer stationary. Confirm there is no stationary color image signal in the Green block area as the photo below. Appendix Ultrasound validation 106 5. Touch PW to switch to PW Doppler mode and keep the transducer stationary. Confirm the picture is evenly distributed without any particular waveform signal as the photo below. 6. Remove the transducer. Troubleshooting Item System Power on System Charging Error description Possible root cause Possible swap parts System can’t 1. SOM board damage power on 2. Carrier board damage 3. Screen off / Screen cable damage 4. Battery no power (can charge Battery) / Battery damage (can use adapter to check) 5. Disconnect gauge cable 6. Disconnect bottom cable / bottom board damage System can’t 1. Power supply damage charge 2. Adapter damage 3. Carrier board damage 4. Gauge cable / connector damage 1. 2. 3. 4. 5. SOM board Carrier board LCD / LCD cable Battery Connect gauge cable 6. Bottom cable/ board 1. 2. 3. 4. Power supply Adapter Carrier board Gauge cable / connector Appendix Troubleshooting 107 Item System eMMC System SD card System USB 2.0 System USB 3.0 System mSATA System System fan System Engine fan System Ethernet System OTG System LCD System Touch System Camera System HDMI System MIC Error description Can’t read and write date from eMMC Can’t read and write data from SD card Can’t read and write data from USB 2.0 Can’t read and write data from USB 3.0 Can’t read and write data from mSATA System fan can’t work Engine fan can’t work Ethernet not function OTG not function LCD screen abnormal or no display Touch not function or abnormal Camera not function or display abnormally HDMI not function or abnormal Recording no sound or unclear Possible root cause Possible swap parts SOM board damage SOM board 1. SOM board damage 2. Carrier board damage 1. SOM board 2. Carrier board 1. SOM board damage 2. Carrier board damage 1. SOM board 2. Carrier board 1. SOM board damage 2. Carrier board damage 1. SOM board 2. Carrier board 1. 2. 3. 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. 3. 4. 1. 2. 3. 4. 5. 1. 2. 3. 4. 1. 2. 3. 1. 2. 3. SOM board damage Carrier board damage mSATA module damage System fan damage Carrier board damage Engine fan damage Carrier board damage SOM board damage Carrier board damage SOM board damage Carrier board damage LCD damage LCD cable damage SOM board damage Carrier board damage Touch module damage Touch control board damage Touch cable disconnect or damage SOM board damage Carrier board damage Camera PCBA damage Camera cable disconnect or damage SOM board damage Carrier board damage HDMI cable damage SOM board damage Carrier board damage The received voice hole of Mic is covered by something SOM board damage Carrier board damage 1. 2. 3. 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. 3. 4. 1. 2. 3. 4. 5. 1. 2. 3. 4. SOM board Carrier board mSATA System fan Carrier board Engine fan Carrier board SOM board Carrier board SOM board Carrier board LCD module LCD cable SOM board Carrier board LCD (including touch module) Touch control board Touch cable SOM board Carrier board Camera PCBA Camera cable SOM board Carrier board 1. 2. 3. 1. LCD cable SOM board Carrier board Remove anything that covered the hole of mic 2. SOM board 3. Carrier board Appendix Troubleshooting 108 Item System Speaker Error description Speaker no sound or noise when playing sound System Headset no sound or Headset noise when playing sound System Power button Power button not function Possible root cause Possible swap parts 1. Speaker damage 2. SOM board damage 3. Carrier board damage 1. Speaker 2. SOM board 3. Carrier board 1. Headset damage 2. SOM board damage 3. Carrier board damage 1. Headset 2. SOM board 3. Carrier board 1. 2. 3. System RTC not 1. RTC function 2. 3. System Temperature 1. Temperature does not 2. show or abnormal System LED indicator 1. LED not function 2. System Wireless not 1. Wi-Fi response or no connection 2. 3. System Bluetooth not 1. Bluetooth response or no connection 2. 3. Engine Can’t open 1. 2. ultrasound app 3. Power button damage SOM board damage Carrier board damage Coin cell damage SOM board damage Carrier board damage SOM board damage Carrier board damage SOM board damage Carrier board damage Antenna cable disconnect or damage Antenna board damage SOM board damage Antenna cable disconnect or damage Antenna board damage SOM board damage SOM board damage Carrier board damage USB 3.0 cable (for engine) damage 4. Power cable (for engine) damage 1. 2. 3. 1. 2. 3. 1. 2. Power button SOM board Carrier board Coin cell SOM board Carrier board SOM board Carrier board 1. 2. 1. 2. 3. SOM board Carrier board Antenna cable Antenna board SOM board 1. Antenna cable 2. Antenna board 3. SOM board 1. 2. 3. 4. SOM board Carrier board USB 3.0 cable Power cable FCC statement Federal Communications Commission (FCC) Statement 15.21 You are cautioned that changes or modifications not expressly approved by the part responsible for compliance could void the user’s authority to operate the equipment. 15.105(b) Appendix FCC statement 109 This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: Reorient or relocate the receiving antenna. OO OO OO 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 15 of the FCC Rules. Operation is subject to the following two conditions: 1. This device may not cause interference and 2. This device must accept any interference, including interference that may cause undesired operation of the device. RF Radiation Exposure Statement: 1. This Transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. 2. 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 20 centimeters between the radiator and your body. *CE Statement regarding the disposal of UH100 products containing electronic components: Appendix FCC statement 110 As a company, UH100 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 UH100 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 This device bearing the CE marking is compliance with the essential requirements and other relevant provisions of Directive 2004/108/EC, 2014/53/EU, 2011/65/EU, 2012/19/EU and 93/42/EEC. This device complies with the following harmonized European standards, EMC: EN55022, EN55024 Radio: EN300328,EN301893,EN301489-1,EN301489-17, EN62311 Medical: IEC 60601-1, EN60601-1-2, IEC 60601-1-6, IEC 60601-2-37, IEC 62304, EN ISO10993-1, EN ISO10993-5, EN ISO10993-10, EN ISO 14971 ROHS: EN50581 The following CE marking is valid for EU harmonized telecommunications products. Appendix FCC statement 111
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