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Direction 46-030370
Revision 3
P9893KM
RT 3200 Advantage - I
Operator Manual
Operating Documentation
GE Medical Systems
GE Medical Systems—Europe:
283 rue de la Miniére BP34
78533 BUC Cedex
REVISION HISTORY
REV DATE REASON FOR CHANGE
Please verify that you are using the latest revision of this document. Information pertaining
to this document is maintained on GPC (GE Medical Systems Global Product Configuration).
If you need to know the latest revision, contact the GE Ultrasound Clinical Answer Center at
1-800-682-5327 or 414-524-5255.
SECTION PAGE
Safety ................................................................................................................................................................ ix
Report on Publication
SECTION 1—INTRODUCTION
SECTION PAGE
SECTION PAGE
SECTION PAGE
SECTION 8—ACCESSORIES
SECTION PAGE
SECTION 9—APPENDICES
APPENDIX D—TROUBLESHOOTING
SECTION PAGE
APPENDIX E—MAINTENANCE
SECTION PAGE
Before using the equipment, carefully study this manual. Keep this manual
at hand for quick reference. Review it periodically for warnings, safety
precautions and maintenance requirements.
CAUTION
Indicates that a potential hazard may exist which
through inappropriate conditions or actions will
or can cause:
• Minor injury
• Property damage.
WARNING
Indicates that a specific hazard is known to exist
which through inappropriate conditions or ac-
tions may cause:
DANGER
Indicates that a specific hazard is known to exist
which through inappropriate conditions or ac-
tions will cause:
Symbols may also be used to identify particular hazards associated with the
precautionary statement. The following symbols are used for the purpose
indicated and may be used in combination with the level of concern symbols
as described above:
WARNING The concerns listed below can seriously affect the safety of patient under-
going a diagnostic ultrasound examination.
INTRODUCTION
Overview
Features
Standard Configuration
Available Options
Standard Specifications
Hardware Description
Display Formats
System Set-up
1-1 Overview
The RT 3200 Advantage - I is an ultrasonic diagnostic system equipped for
linear, convex and micro-convex scanning. It may be used in many areas such
as obstetrics, gynecology, urology and radiology. The optional 7 MHz transrec-
tal probe gives the RT 3200 Advantage - I urology scanning capabilities.
The affordable price, advanced features and options, probe selections, size,
weight and portability make the RT 3200 Advantage - I an ideal system for
the office or hospital.
1-2 Features
1. High Resolution Image
Provides high resolution by using continuous dynamic focus, a high-
density probe with multiple matching layers, and hypersensitive elec-
tronic circuitry.
4. Scroll
This function is available for linear and convex probes, which broadens
a diagnostic area.
5. Analog TGC
By using eight slide-type analog TGC pots, the sonographer is able to
optimize the RT 3200 Advantage - I image.
3
46-030370 REV 02 INTRODUCTION 1-3
1-3 Standard Configuration
Unit
• Operation console
• TV monitor (12 inches)
Probe
• Convex electronic probe (CB type)
• Cable hook arm
• Probe holder
Record
• Thermal Printer
Accessories
• Ultrasonic scan gel
• Spare fuse
• Conversion connector
• Operator manual
• Foot switch
Recording Devices
• VCR
• Multi-format camera
1-4 INTRODUCTION 32
46-030370 REV 0
1-5 Standard Specifications
Electrical Requirements : Line: Domestic (115V)—for unit as shipped, 115V~, 48-63 Hz, single-
phase, fused at T2 amps.
Line: International (220/240V)—for unit as shipped, 220/240V~, 48-63
Hz, single-phase, fused at T2 amps.
Allowable Line Noise: Decaying oscillation transients of less than 15%
nominal peak voltage; voltage transients of less
than 25% nominal peak voltage.
System Leakage Current: Enclosure or chassis—less than 100 microamps.
Ordinary Patient Connections—less than 50
microamps.
Illustration 1-1
Front View System Dimensions
▲ ▲
15.9 (405)
▼
▲
*52 (1300)
48 (1200)
* = TALL VERSION
UNITS = INCHES (MM)
*33.8 (859)
31.3 (795)
▼ ▼ ▼
15.7 (400)
31.8 (808)
< 28.3 (720)
>
< >
1. Power switch
Used to turn on/off the main AC power to the system.
2. Probe arm
Used to support the probe cable. Keeps the cable off of the floor.
4. Upper panel
Used to connect a VCR or page printer. (Under top coverplate)
5. Alphanumeric Keyboard
Used to change scan parameters, enter the text, or to select various
function menus.
9. Probe connectors
Connects up to two probes to the system at one time.
12. Handle
Used to aid in the movement of the system and to wrap power cord
around when transporting.
7 4
8
5
2
1
12
3
9
2
RS-232C Ext TV
In
Ext TV
Out In Out
Camera &
TV Printer
Video Out Shutter
12Vdc
for Camera
Caution
Foot Switch
10
See Operating Manual
for connection.
11
Illustration 1-4
Single B-Mode Format
Name of Hospital Scan Direction Indicator Horizontal Range Marker
GE
GE
G 2
MMeE
eddiiccaall 2
2
Date M
004//1d
4 155 i //99l11
Time 110
0::5599::4455
Probe Type Frequency C
B B 3
0.5M5M HHzH z
Scale Size
Cx33
B 1.51
B 35 M
0
xx 11..0..0
MH
zz
1100
D++
D
Distance D
Dxx++
D
xxxx
xxx
x
Cxxx++
C
C x++
Cxx
Circumference
Cxxxx
A
A+ + Vertical
Axxxx Depth
xxxx
x Marker
Area Ax+x+
A
x
xx
xx
ID:
ID:
I1D
234
12:34
1234
NAAMMEE::
N
SM
S MIITTHH
JOHN G46D66T50
JOHN
Scan Direction
Illustration 1-6 ←
B/M-Mode Format GGEE
G
MeE 2
2
M eddiiccaall 2
04
0 4/115 5//9911
11
C003B
:559 :4
B :3 9M
.55:MH55zHz
4M
BC3B..35.M HzHz
C
B 3B 30M
15
xx1..0 z z
5M HH
10
D++
D
xx
x
xx
C
C+ +
Cxx
xx
xx+
A+
Axx+
xx
xx
ID:
ID:
I1D
234
1234
1234
NAAMMEE::
N
SMMIITTHH
S
JOHN G46D66T50
JOHN
1-9-1 Connection of a
Probe to the
System
Illustration 1-7
Probe Connection
2. Lock the probe to the system connector by turning the knob clockwise.
(See Illustration 1-7.)
CAUTION Make sure that the name of the probe is right side up.
Illustration 1-8
Probe Storage
Cable arm
Probe holder
2. Drape the probe cable on to the cable arm support also shown in
Illustration 1-8.
CAUTION The probe element face is fragile. Mechanical shock could destroy
individual probe elements.
Turn on system power by pressing the power switch to the "I" (ON) position.
1. After the power switch is turned on, the system will beep twice.
2. The LEDs on the front panel will flash on and the system performs its
initialization routine.
3. A few seconds later, the single B-Mode display format will appear on the
monitor. The initial parameters at power up are shown in Table 1-1.
Table 1-1
Initial Parameter Selections
1. This control adjusts the brightness. The brightness will increase as the
control is turned counterclockwise.
2. This control adjusts contrast. The picture will become lighter as the
control is turned counterclockwise.
Illustration 1-9
Monitor Display Adjustment
1 2
INTRODUCTION
!
To avoid injury by tipping over, SET THE MONITOR TO THE LOWEST POSITION BEFORE MOVING.
Pour éviter ie basculement accidentel de la machine, BAISSER LE MONITEUR AVANT DÉPLACEMENT. To avoid injury by tipping over, DO NOT PUSH THIS UNIT FROM THE SIDES.
Um bei bewegung des Gerätes Beschädigungen zu vermeiden, STELLEN SIE DEN MONITOR AUF Pour éviter ie basculement accidentel de la machine, NE PAS LA POUSSER PAR LE CÔTÉ.
DIE NIEDRIGSTE POSITION EIN. Um bei bewegung des Gerätes Beschädigungen zu vermeiden, SCHIEBEN SIE DEN
PREDISPORRE IL MONITOR NELLA POSIZIONE PIU BASSA PRIMA DI MUOVERE la macchina per MONITOR NICHT VON DER SEITE.
evitare rischi di rottura. Per evitare rischi di rottura, NON SPINGERE LA MACCHINA DI LATO.
Para evitar daños por voltearse el sistema, POSICIONE EL MONITOR A SU NIVEL MÁS BAJO ANTES Para evitar daños por voltearse el sistema, NO MUEVA EL SISTEMA DESDE LOS LADOS.
DE MOVER EL SISTEMA.
possible before moving the unit.
46-030370 REV 0
Always lower the monitor as much as
Illustration 1-10
Monitor Height Adjustment
Adjustment Button
While depressing the button, firmly raise or lower the display monitor to the
desired height.
Release the adjustment button to lock the monitor to the desired height.
Illustration 1-11
Foot Switch Connection
RS-232C
INTRODUCTION
Ext TV
In Out
a
A remote freeze foot switch is provided as standard equipment.
The foot switch can be placed close to your work in order to quickly and
conveniently capture the images necessary for measurement and record-
ing.
Ext TV
In Out
FREEZE
Camera &
TV Printer
Video Out Shutter
12Vdc
for Camera
Caution
See Operating Manual
for connection.
46-030370 REV 0
Foot Switch
SECTION 2
Illustration 2-1
Front Panel
Function
( ) ? ! " = ~ + %
OB OB
1 2 3 4 5 6 7 8 9 0 - BS Tbl 1 Tbl 2
Q W E R T Y U I O P Calc 1 Calc 2
Shift Z X C V B N M . / Shift
Mode
Image Direction Body Pattern Measurement B B/M M
High Sweep
Speed
Low
Rvs Inv Rotation L R Dist Trace Off
Area
Focus
Center Sel Set Meas 1 2 3 4 Comb
- TGC + Scale
cm Depth
0
Dynamic Range x0.7 x1.0 x1.5 x2.0
20cm 15cm 10cm 7.5cm
2.5
5 Scroll
7.5 Record
10
Gain
12.5
Multi Image
15
Freeze
17.5
New
When this key is depressed the system will be reset to the same conditions
Patient as when the power was turned on. It erases all the data and measurements
of the preceding patients. It will not erase the body pattern.
Used to enter patient ID No. and NAME. Press once to enter ID. Press again
ID
Name to enter NAME. Press a third time to disable the function.
This key must be pressed twice in order to erase the image, comments,
Erase
measurements and calculations. This key will not erase Body Patterns.
Used to select preset scan parameters for the active probe. Parameters are
Preset programmable using the Control, B Function.
Ext This key enables an external video signal (i.e. VCR option) to be processed
Video through the system to the monitor.
Key This key will turn on or off the soft green backlight to the keyboard.
Light
1 Used to select a probe for scanning from the two that may be attached.
Probe
2
Function
OB OB
Tbl 1 Tbl 2
These keys are used to call up preset program menus to select OB
calculation tables, Advanced Calculation packages and Gray Scale Map-
Calc 1 Calc 2 ping selections.
Calc 3 Map
Image Direction
The image display can be reversed (left and right), or inverted (top and
Rvs Inv
bottom) when the appropriate key is pressed.
Body Pattern
Rotation R
A group of body patterns will be enabled for display when these keys are
L
depressed.
Center Sel The rotation knob is used to rotate transducer position on body pattern.
Measurement
These keys will be used when measurement procedures are required.
Dist Trace Off
Area
Set Meas
- TGC +
cm These slide pots adjust the gain at 8 specific depth levels.
0
2.5
7.5
10
12.5
15
17.5
Dynamic Range
These keys are used to adjust dynamic range of the image in B- and M-
Modes.
Gain
This control is used to adjust the receiver gain in B- and M-Modes.
When in Freeze mode, this control is used to step frame by frame through
the optional 32 frame Cine memory found in Version 5 software.
Trackball
This control is used to move a cursor while making comments and to make
measurements.
Mode
High Sweep
Speed This key is used to change the display speed in M-Mode.
Low
Focus
1 2 3 4 Comb These keys are used to assign the optimum transmit focal zone.
Scale
Depth
x0.7 x1.0 x1.5 x2.0 These keys are used to change the depth (magnification) of an image
20cm 15cm 10cm 7.5cm
display.
Scroll
These keys are used to scroll an image. It varies the depth at which the
displayed images start.
Record
This key is used to trigger a camera or page printer.
Multi Image
These keys are used to display and move between multiple image displays.
Selecting a Probe
Measurement Keys
Function Keys
NOTE: If this key is depressed when the image is frozen, the freeze will
be released to return to the real-time mode. Scan parameters
will return to the preset values (See Control Key Functions
CONTROL, B)
When the ID and Name have been input correctly, press the ENTER key.
(The underline cursor and the ID/NAME LED will go off.)
1
Probe Press this key to toggle between the two probes that can be attached to the
2
system simultaneously. An LED will light (1 or 2) to indicate the active probe.
46-030370 REV 1
0 DETAILED CONTROL DESCRIPTION 3-3
3-3 Scan Image Adjustment
In Freeze Mode, with Version 5 software, the GAIN control knob is used to
advance frames forward and backward through the optional 32 frame Cine
memory. Counterclockwise rotation advances back to previous image
frames. After frame 32, the display wraps around to the first frame.
10
12.5
15
17.5
NOTE: The FOCUS function selects the transmit focus depth only.
The receive signal employs continuous dynamic focus.
Table 3-1
Focus Depth
Type H and LP
Focus Transmit Probe Transmit
Selection Focus Depth* Focus Depth
1 20mm 9mm
2 40mm 18mm
3 60mm 27mm
4 100mm 36mm
Comb 40, 60, 100mm 9, 18, 27mm
The top and bottom image orientation can be inverted when the INV key is
depressed. The image orientation will return to the opposite state when the
key is depressed again.
If a SCALE key is pressed when the image is frozen, the image will unfreeze
and become active.
The UP ARROW key scrolls the image in the upward direction. The DOWN
ARROW key scrolls the image in the downward direction.
Illustration 3-1
Scrolled Image Display
The SCROLL key does not function when the image is in freeze
or when the x0.7 scale factor is selected.
Gain 50dB
Dynamic Range 54dB
Focus Level 3
Illustration 3-2
B-Mode Display
GENERAL
ELECTRIC
06 / 20 / 91
11 : 15 : 25
CA 5MHz
1.0
G66D54T60
GE
Illustration 3-3
B/M-Mode Display
Scroll functions are capable in M-Mode only with linear and convex probes.
To switch from B-Mode to M-Mode, you must first select B/M-Mode and
then M-Mode.
When the LEFT ARROW key is pressed, the right image of the CRT is frozen
and the left side image is shown in real-time. When the RIGHT ARROW key
is pressed, the left image is frozen and the right side image is shown in real-
time. To freeze the last image, press the FREEZE key.
The following table (Table 3-2) shows the maximum number of images that
can be displayed. The number depends on the probe type and the scale
factor selected. Use the MULTI IMAGE keys to display more than a single
image on the screen. Two examples of multiple image displays are shown
in Illustrations 3-5 and 3-6.
Table 3-2
Maximum Number of Images
Scale Factor x0.7 x1 x1.5 x2
Probe A 3 3 3 2
Probe B 3 2 1 1
Probe C 2 1 1 1
Probe D 3 2 1 1
Probe E 3 2 1 1
Probe F 3 2 2 2
Probe G 3 3 2 1
Probe H 3 3 2 1
Probe R 2 2 2 2
Probe S 2 2 2 2
Probe CA 2 2 2 2
Probe CB 2 2 2 2
Probe CC 2 2 2 2
Probe CV 2 2 2 2
Probe LP 2 2 2 2
G63D54T60 G68D54T60
GE
Illustration 3-6
Multiple Image Display
Linear E
GENERAL
ELECTRIC
06 / 20 / 91
11 : 14 : 12
E 5MHz
0.7
Press the CENTER key to display the body pattern on the center of the
screen. (This key functions when three images are shown.)
NOTE: The probe mark can be moved when LED of either the L, R, or
CENTER keys is on.
The SEL key is used to select a body pattern from the package enabled. See
Illustrations on the following page.
Use the ROTATION KNOB to rotate the probe mark for orientation.
The rotation of the probe mark corresponds to that of the rotation knob.
NOTE: The probe mark can be moved on the body pattern whose LED
is lighted.
PACKAGE A
Abdominal Patterns
PACKAGE B
OB, GYN Patterns
PACKAGE C
Liver and Head Patterns
Comments will be erased if you press the comment key a second time, the
NEW PATIENT, ERASE or MODE SELECT keys (measurements will be
erased at the same time).
3-3-17 Keyboard
Illumination
The KEY LIGHT key illuminates the keyboard in a dark room.
Key
Light Press this key to enable a soft green background illumination of the
keyboard to facilitate operation in a dark room.
Press this key a second time (LED light out) to view RT 3200 Advantage - I
images.
Measurement
DIST The DIST key is used to enable the cursors to make generic
Dist Trace Off linear distance measurements. It is used in conjunction
Area
with the TRACKBALL, SET and measure functions.
Set Meas
TRACE The TRACE/AREA key is used to enable the trace func-
AREA tion. It is used to trace an object to determine circumfer-
ence and/or area of the object. Used in conjunction with the
TRACKBALL, SET and measure functions.
ERASE Press the ERASE key once and the system will give a
Erase warning beep.
Press this key a second time and the system will erase all
comments, measurements and calculations from the dis-
play screen. The image will also be unfrozen and return to
real-time scanning.
NOTE: Body Patterns will not be erased; they must be turned off with
the CONTROL, J function.
Function
OB TBL 1 Displays the factory preset OB Table selections (BPD,
OB OB CRL, FL, AC and HC).
Tbl 1 Tbl 2
MAP Displays the menu to select the five available gray scale
mapping curves for the selected map package.
Whenever the system is not accepting alphanumeric input from the key-
board (i.e. Control function, Comment key function, ID/Name function,
CALC 1 or EDC modes), a single keystroke shall perform the following
function:
GENERIC MEASUREMENTS
Overview
Distance Measurement
Circumference Measurement
Area Measurement
4-1 Overview
Five measurement keys and the TRACKBALL are used to measure
distance, circumference and volume with four kinds of cursor calipers.
Illustration 4-1
Measurement Display
GENERAL
ELECTRIC
06 / 20 / 91
11 : 18 : 57
CH 5MHz
1.0
D+ 46
X 48
X 41
X 45
G66D54T60 G66D54T60
GE
All measurement data will be erased when MODE, SCALE, and PROBE are
changed. Only four measurements are possible for each type of measure-
ment. If more than four measurements are attempted, the system stops
functioning and will beep.
If more than four measurements are necessary, press the OFF key to erase
the previous measurements.
Press the DIST key. LED goes on and the "+" cursor is displayed.
▼
Dist
▼
Use the TRACKBALL to move the cursor to the measurement starting point.
T. B.
▼ Press the SET key. The initial measurement point will be locked (set) and
the measurement end point cursor appears.
Set
▼ Use the TRACKBALL to move the end point "+" cursor to the opposite end
of the measurement. (A dotted line with 10 mm interval connects two points
T. B. and measured value will appear on the left side of the CRT in mm.)
▼ Press the MEAS key. The second cursor is locked and the measurement
values are displayed.
Meas
▼ Press the OFF key to erase the cursor, dotted line, and measured values.
Off
NOTE: If the DIST key is pressed in the middle of the measurement, the
cursor and measure values will be cleared (LED will go out). To
complete a measurement, repeat the preceding procedure.
G70D54T60
GE
Illustration 4-3
Multiple Distance
Measurements
GENERAL
ELECTRIC
06 / 20 / 91
11 : 21 : 17
CA 5MHz
1.0
D+ 61
X 76
X
X
G70D54T60
GE
Press the TRACE/AREA key. The LED goes on and the "+" is displayed.
▼
Trace
Area
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T. B. point.
▼
Press the SET key. The starting point cursor is locked and the "+" cursor
Set changes to a dot cursor.
▼
Use the TRACKBALL to move the dot cursor, tracing the object to be
T. B. measured. The trace is displayed as a continuous curve and the measured
value in mm is displayed on the left side of the screen.
▼
When the tracing is complete, press the MEAS key. The cursor is locked and
Meas measured values are fixed.
Press the OFF key to erase the cursor, trace, and the measured values.
Off
C+ 139
X
X
X
A+
X
X
X
G70D54T60
GE
Illustration 4-5
Multiple Circumference
Measurements
GENERAL
ELECTRIC
06 / 20 / 91
12 : 04 : 34
CH 5MHz
1.0
C+ 133
X 179
X
X
A+
X
X
X
G70D54T60 G70D54T60
GE
By using the four different cursor patterns, four area measurements can be
made on one display.
Press the TRACE/AREA key. The LED lights and the "+" cursor appear on
▼
Trace
Area the display.
▼
Use the TRACKBALL to move the "+" cursor to the first measurement point.
T. B.
▼ Press the SET key. The starting point "+" cursor is locked and changes to
a dot cursor.
Set
▼ Use the TRACKBALL and the dot cursor to trace the object to be measured.
The trace is displayed as a continuous curve, with the circumference
T. B. continuously updated as you move the TRACKBALL.
▼ Use the TRACKBALL to move the "+" cursor inside the traced area.
T. B.
Press OFF to erase all the display of the cursor, trace, and measured data.
Off
C+ 129
X
X
X
A+ 12.03
X
X
X
G70D54T60
GE
Illustration 4-7
Multiple Area Measurements
GENERAL
ELECTRIC
06 / 20 / 91
12 : 09 : 08
CH 5MHz
1.0
C+ 57
X 96
X
X
A+ 2.38
X 6.65
X
X
G70D54T60 G70D54T60
GE
Table 4-1
Measurement Calculation Error
Messages
B-Mode Presetting
Clock Readjustment
Echo Level
Histogram
Gestational Data
Hospital Name
Inverse
Biopsy Guideline
Map Package
This section describes how to use the CONTROL key to perform the following functions:
Illustration 5-1
Control Function Key
Control
Function
( ) ? ! " = ~ + %
OB OB
1 2 3 4 5 6 7 8 9 0 - BS Tbl 1 Tbl 2
Q W E R T Y U I O P Calc 1 Calc 2
A S D F G H J K L Return Map
Shift Z X C V B N M . / Shift
Mode
Image Direction Body Pattern Measurement High Sweep
B B/M M Speed
Low
Rvs Inv Rotation L R Dist Trace Off
Area
Focus
- TGC + Scale
cm Depth
0 x0.7 x2.0
Dynamic Range x1.0 x1.5
20cm 15cm 10cm 7.5cm
2.5
5 Scroll
7.5 Record
Gain
10
12.5
Multi Image
15
Freeze
17.5
CONTROL, B will allow you to preset scan parameters for each probe in B-
and B/M-Modes. When you press PRESET, NEW PATIENT, change the
PROBE or power on/off, the system will return to the preset state. Param-
eters that can be preset are:
• FOCUS • MAP/WINDOW
• IMAGE REVERSE
DISPLAY
CONTROL : ___
Control
▼
CONTROL : B___
B B-MODE PRESETTING
▼
CONTROL : ___
Enter
When the ENTER key is pressed, the values of Gain, Dynamic Range,
Focus, Scale, Map, Image Reverse and Image Invert will then be saved as
preset values. When the NEW PATIENT, PRESET and PROBE keys are
pressed or when the power switch is turned on, the system will be set to the
B-Mode preset values saved for the selected probe.
NOTE: This function is effective only for the probe type currently
selected
DISPLAY
CONTROL : ___
Control
▼
CONTROL : ___
C CLOCK READJUSTMENT
▼
CONTROL : CD
D CLOCK READJUSTMENT / DATE (MM/DD/YY)
▼
CONTROL : CD
Enter CLOCK READJUSTMENT / DATE (MM/DD/YY)
Press ENTER to set the internal clock for month/day/year
▼
Input CONTROL : CD
Month/Day/Year CLOCK READJUSTMENT / DATE (MMDDYY) = 07/27/91
6 digits After pressing ENTER, use the numeric keys to input the date data.
▼
CONTROL : ___
Enter
Data for the date is set when the ENTER key is pressed the second time.
NOTE: Slashes are required in the input string. If the date or month
is a single digit, it must include a zero to fill out the two-
character field.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : C__
C CLOCK READJUSTMENT
▼
CONTROL : CT
T CLOCK READJUSTMENT / TIME (HM)
▼
CONTROL : CT
Enter CLOCK READJUSTMENT / TIME (HM) =
Press ENTER to set the clock time (24 hour run)
▼
CONTROL : CT
Hour/Min Input
CLOCK READJUSTMENT : TIME (HM) = 1422
4 digits
After pressing ENTER, use the numeric keys to input the time data.
▼
CONTROL : ___
Enter Time data is set when the ENTER key is pressed the second time.
Control D
DISPLAY
CONTROL : ___
Control
▼
CONTROL : D___
D GRAPHICS ON/OFF
▼
CONTROL : ___
Enter
This operation erases the display except for the image and gray scale
pattern. Text/graphics will not be erased until the ENTER key is pressed.
CONTROL : ___
Control
▼
CONTROL : D___
D GRAPHICS ON/OFF
▼
CONTROL : ___
Enter
If the text/graphics have been turned off, no screen display will be present
when the CONTROL and D keys are pressed.
DISPLAY
CONTROL: ___
Control
▼
CONTROL : E1 ___
E ECHO LEVEL
▼
( CONTROL : E1
1 2 3 ECHO LEVEL /3mm
▼
Press the ENTER key to lock the cursor. A box shaped cursor appears on
Enter
the screen. Move the cursor with the TRACKBALL.
▼
For the case of E1, a 3mm x 3mm box appears, whose movement is
T.B. controlled by the TRACKBALL. Move the cursor to the area where mea-
surement is needed.
▼
Then, pressing MEAS the cursor is locked and the average echo level will
Meas be displayed to the left of the cursor.
CONTROL : ___
Control
▼
CONTROL : E ___
E ECHO LEVEL
▼
+ CONTROL : E0
0 ECHO LEVEL /FREE
▼
CONTROL : E0
Enter ECHO LEVEL/FREE
The "+" cursor appears.
▼
“+” cursor is moved to the measurement starting point.
T.B.
▼
“+” cursor is changed into a dot cursor.
Set
▼
Trace the circumference of the area with a dot cursor. The trace is displayed
T.B. by a curve made of a continuum of dots. The length of the circumference is
measured and the value is shown. The unit is in mm; however, mm does not
appear on the screen.
▼
T.B.
IMPORTANT: With the TRACKBALL, move the "+" cursor inside the traced
area.
▼
Meas
Press the MEAS key to display the average echo level in the traced area The
measured value is displayed near the traced area. The circumference and
area are also measured.
Off
To erase the display, press the OFF key.
Illustration 5-3
Echo Level Measurement
(arbitrary area 5-4-2)
Illustration 5-5
Histogram
(arbitrary area 5-5-2)
DISPLAY
CONTROL : ___
Control
▼
CONTROL : E ___
E ECHO LEVEL
▼
CONTROL : EH ___
H ECHO LEVEL/HISTOGRAM
▼
( CONTROL : EH1
1 2 3 ECHO LEVEL/HISTOGRAM/3mm
For EHl, a 3mm x 3mm box cursor appears.
For EH2, a 6mm x 6mm box cursor appears.
For EH3, a 12mm x 12mm box cursor appears.
▼
Press ENTER to lock in cursor choice.
Enter
▼
Move the cursor with the TRACKBALL to the area to be measured.
T.B.
▼
Press the MEAS and the cursor is locked and an echo histogram is
Meas displayed.
DISPLAY
CONTROL : E ___
Control
▼
CONTROL : E ___
E ECHO LEVEL
▼
CONTROL : EH ___
H ECHO LEVEL/HISTOGRAM
▼
+ CONTROL : EH0 ___
0 ECHO LEVEL/HISTOGRAM/FREE
▼
CONTROL : EH0 ___
Enter ECHO LEVEL/HISTOGRAM/FREE
▼
The "+" cursor appears on the screen. Move the cursor to the location where
T.B. measurement is needed using the TRACKBALL.
▼
Press SET, the "+" cursor changes to a dot cursor.
Set
▼
Trace the circumference of the area with the dot cursor. The trace is
T.B. displayed by a curve made of continuous dots. The length of the circumfer-
ence is measured and the value shown. The length is in mm, however, mm
does not appear on the screen.
▼
(continued)
▼
IMPORTANT: With the TRACKBALL move the "+" cursor inside the
T.B. traced area.
▼
Press MEAS, an echo level of the traced area is displayed in histogram. H
Meas
is shown near the area. Histogram is shown in the upper right of the image
area. Measured values will be displayed in the forms of Mean (average
number of the pixels of gray level inside the cursor: 0-255) and Mode
(maximum gray level: 0-255 and percentage.
( )
Control F 1 2 3 4
This is used to sound a two beep audio signal which indicates the completion
of the development of Polaroid film.
If more than one picture is recorded within a set-up time, only the first one
will be effectively timed.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : F ___
F DEVELOPMENT TIME
CONTROL : F1 ___
▼
CONTROL : F2 ___
▼
2 DEVELOPMENT : 30 SEC
The alarm sounds 30 seconds after the RECORD key is pressed.
( CONTROL : F3 ___
▼
) CONTROL : F4 ___
▼
▼
Press the ENTER key to set the Polaroid film development time alarm.
Enter This setting will be saved and stored after the power is turned off.
5-7-1 Programming
Gestational Age +
Data
Control G 0
This Control key function is used to allow user gestational age data to be
inputted into OB TBL 2.
The user may input up to 5 different tables for selection by OB TBL 2. Tables
1 through 3 correspond to distance measurements. Tables 4 and 5
correspond to circumference measurements.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : G ___
G GESTATIONAL DATA
▼
+ CONTROL : G0 ___
0 GESTATIONAL DATA/ INPUT
▼
CONTROL : G0
Enter MENU LEVEL = ___
Press the ENTER key.
▼
1-5
( ) ? CONTROL : G0
1 2 3 4 5 MENU LEVEL = 1/TITLE = ___
Select one of the five available user OB Tables in which you want to input
data.
▼
Input CONTROL : G0
Minimal MENU LEVEL = 1/TITLE = BPD/MIN. = 020mm
Value
▼
CONTROL : G0
Return (01)020mm : __WD ± /MENU LEVEL = 1 (BPD)
At this stage, the list of measurements is shown on the monitor.
▼
Enter Weeks CONTROL : G0
(01)020mm : 12W ___D ± /MENU LEVEL = 1(BPD)
Enter the weeks as a 2 digit number.
▼
CONTROL : G0
▼
Enter Days
(01)020mm : 12W1D ± ___ /MENU LEVEL = 1(BPD)
Enter the days as a 1 digit number.
▼
Enter standard
CONTROL : G0
deviation:
weeks, days (01)020mm : 12W1D ± 06 ___ /MENU LEVEL = 1(BPD)
or x Enter the standard deviation as a 2 digit number. Enter "x" if no standard
deviation is needed.
▼
CONTROL : G0
Return (02)021mm : ___ WD ± /MENULEVEL = 1(BPD)
Press RETURN. Repeat the above steps to enter the remaining values for
the weeks, days and standard deviation in the chart selected.
▼
CONTROL : ___
Enter
When all the menu entries are completed, press ENTER to store the table
in the system memory.
NOTE: When the 96th data entry is put in, the system beeps and
shows a "FILL!" annotation. If this happens, stop entering
data and press the ENTER key.
Data
Control G 1 2 3 4 5
Illustration 5-6
User Programmable OB Tables
GENERAL
ELECTRIC 020mm : 12W1D:06 044mm: 068mm: 092mm:
06/20/91 021mm : 12W4D:06 045mm: 069mm: 093mm:
12 : 17 : 00 022mm : 12W3D:06 046mm: 070mm: 094mm:
CA 5MHz 023mm : 13W1D:06 047mm: 071mm: 095mm:
1.0 024mm : 13W2D:06 048mm: 072mm: 096mm:
025mm : 13W4D:06 049mm: 073mm: 097mm:
026mm : 13W6D:06 050mm: 074mm: 098mm:
027mm : 14W1D:06 051mm: 075mm: 099mm:
028mm : 14W4D:06 052mm: 076mm: 100mm:
029mm : 14W5D:06 053mm: 077mm: 101mm:
030mm : 15W0D:06 054mm: 078mm: 102mm:
031mm : 15W2D:06 055mm: 079mm: 103mm:
032mm : 15W4D:06 056mm: 080mm: 104mm:
033mm : 15W6D:06 057mm: 081mm: 105mm:
034mm : 16W1D:06 058mm: 082mm: 106mm:
035mm: 059mm: 083mm: 107mm:
036mm: 060mm: 084mm: 108mm:
037mm: 061mm: 085mm: 109mm:
038mm: 062mm: 086mm: 110mm:
039mm: 063mm: 087mm: 111mm:
040mm: 064mm: 088mm: 112mm:
041mm: 065mm: 089mm: 113mm:
042mm: 066mm: 090mm: 114mm:
043mm: 067mm: 091mm: 115mm:
G68D54T60
CONTROL : G1 (03) 022mm : 12W6D:06_/ MENU LEVEL = 1 (BPD )
DISPLAY
CONTROL : ___
Control
▼
CONTROL : G ___
G GESTATIONAL DATA/
▼
1-5
1-5
( ) ? CONTROL : G1 ___
1 2 3 4 5 GESTATIONAL DATA/LIST-EDITOR
Select the list from OB TBL 2 to be revised ( 1-5 ).
▼
CONTROL : G1
Enter
_mm : WD ± /MENU LEVEL = 1(BPD)
Press the ENTER key. At this time the list will be displayed on the monitor.
▼
CONTROL : G1
Enter the
distance ( ) 020mm : WD ± /MENU LEVEL = 1(BPD).
value to be Enter the measurement value you wish to revise.
revised
▼
(continued)
▼
CONTROL : G1
Return (02)021mm : ___ WD ±/MENU LEVEL = 1(BPD)
Press RETURN. The measurement value you want to revise is highlighted
on the list.
▼
CONTROL : G1
Enter Weeks (02)011 mm : 12W ___D ± /MENU LEVEL = 1(BPD)
Enter the new value for weeks. Data should be in 2 digits.
▼
CONTROL : G1
Enter Days (02)011mm : 12W4D ± ___ /MENU LEVEL = 1(BPD)
Enter the new value for days as one digit. A value of 7 or less.
▼
CONTROL : G1
Enter standard (02)011mm : 12W4D ± 06 ___/MENU LEVEL = 1(BPD)
deviation, Enter the new value for standard deviation as two digits. "x" can be used if
weeks, days or x
no standard deviation is needed.
▼
CONTROL : G1
Return ( ) ___mm : W D ± /MENU LEVEL = 1(BPD)
▼
CONTROL : ___
Enter
Press ENTER when all corrections have been completed.
Control H
Use the Control function to enter the name of the hospital and department.
They should be entered within two lines (8 characters maximum per line).
DISPLAY
CONTROL : ___
Control
▼
CONTROL : H ___
H HOSPITAL NAME
▼
CONTROL : H ___
Enter HOSPITAL NAME = ___
▼
CONTROL : H
Enter Hospital
HOSPITAL NAME = General/Electric
Name
8 char/
2 lines
▼
CONTROL : ___
Enter Press ENTER to display and store the hospital name information.
The hospital name will be shown on the upper left corner of the screen.
This information will be retained even after the power is turned off.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : I ___
I INVERSE:
▼
CONTROL : I 1
▼
CONTROL : I 2 ___
▼
( CONTROL : I 3 ___
▼
) CONTROL : I 4 ___
▼
▼
CONTROL : ___
Enter
NOTE: When the RECORD key is pressed the display will momentarily
show the image that is being recorded. This setting is retained
even after power is turned off.
This Control function is used to select the body marker package that will be
displayed when using the BODY PATTERN keys.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : J ___
J BODY PATTERN PACKAGE
▼
CONTROL : J1 ___
1 BODY PATTERN PACKAGE/A (Abdominal Patterns)
▼
CONTROL : J2 ___
2 BODY PATTERN PACKAGE/B (OB, GYN Patterns)
▼
( CONTROL : J3 ___
3 BODY PATTERN PACKAGE/C (Liver and Head Patterns)
▼
CONTROL : ___
Enter Press the ENTER key after selecting 1(A), 2(B) or 3(C).
PACKAGE A
Abdominal Patterns
PACKAGE B
OB/GYN Patterns
PACKAGE C
Liver and Head Patterns
The body marker package selection will be retained after power is turned off.
Control K
This Control function is used to enable or disable the "High Frame Rate"
option. The frame rate will double if "High Frame Rate" is turned ON.
DISPLAY
CONTROL :
Control Press the CONTROL key
▼
CONTROL : K __
K HIGH FRAME RATE ON
Press the "K" key to toggle the frame rate function.
▼
CONTROL :
Enter Press ENTER to select your Control K function request
HFR will be displayed in the lower left hand corner of the screen when
high frame rate is selected.
When HFR is selected the frame rate will become twice the usual rate.
Press CONTROL, K, ENTER again to toggle the High Frame Rate function
OFF.
NOTE: This function works only when a linear probe is being used.
Control L 1
This Control function is used to display the biopsy guideline as a dotted line.
The type of guidelines varies depending on the probe type. This function
works only in B-Mode.
Press the OFF key under Measurement to erase the biopsy guideline
display.
Whenever the system is not accepting alphanumeric input from the key-
board (i.e. Control function, Comment key function, ID/Name function,
CALC 1 EDD or CALC 3 IVF modes), simply press L to turn on the Biopsy
Guidelines. Press L a second time to turn off the Biopsy Guidelines.
DISPLAY
▼
L CONTROL : L ___
BIOPSY GUIDELINE
▼
1 CONTROL : L 1___
BIOPSY GUIDELINE
▼
Enter Press the ENTER key and the guidelines appear.
46-030370 REV 02
3 CONTROL KEY FUNCTIONS 5-25
5-12 Biopsy Guideline
(continued)
Probe
Type Guideline Display
CTV* 26.5°
The line crosses the center line at 26 mm deep.
D Biopsy zone
F 30°
NOTE: The type of biopsy guideline displayed for the CA/CB probe is
service selectable by a switch (SW5) on the Master Controller
circuit board (MST board). Contact your GE service represen-
tative for the proper display.
12 / 03 / 92
08 : 59 : 27
ATV 5MHz
x1.0
G50D54T30 GE
Illustration 5-9
CTV Probe Guideline
GE
Medical 5.4mm
04 / 15 / 91
10 : 59 : 45
CTV 5MHz
1.0
26.5°
26.5°
26mm
G46D66T50
CONTROL:__
2
46-030370 REV 0
1 CONTROL KEY FUNCTIONS 5-27
Illustration 5-10
CA/CB Probe Guideline
Ultra Pro™ Guides
GE
Medical
06 / 09 / 93
10 : 59 : 45
CB3.5MHz
1.0
G46D54T60
Illustration 5-11
CA/CB Probe Guideline
MAGGI™ Guides
GE
Medical
04 / 15 / 91
10 : 59 : 45
CA 5MHz
1.0
5.4mm
40mm
60mm
80mm
G46D66T100
CONTROL:__
NOTE: The type of biopsy guideline displayed for the CA/CB probe is
service selectable by a switch (SW5) on the Master Controller
circuit board (MST board). Contact your GE service represen-
tative for the proper display.
Illustration 5-12
D Probe Guideline
GE
Medical
04 / 15 / 91
10 : 59 : 45
D 3.5MHz
1.0
15°
G46D66T100
CONTROL:__
Illustration 5-13
F Probe Guideline
GE
Medical
04 / 15 / 91
10 : 59 : 45
F 5MHz 30° 30°
1.0
G46D66T100
CONTROL:__
Illustration 5-14
H Probe Guideline
GE
Medical
12 / 10 / 92
11 : 14 : 12
H 7.5MHz
2.0
D+
x
x
x
C+
x
x
x
A+
x
x
x
ID:
1234
NAME:
SMITH
JOHN G66D54T27
CONTROL: GE
Illustration 5-15
LP Probe Guideline
GE
Medical
06 / 09 / 93
10 : 59 : 45
LP7.5MHz
1.5
G37D54T27
Illustration 5-16
MZ Probe Guideline
Image Direction "RVS" is
Selected (on)
GE
Medical
06 / 20 / 92
12 : 28 : 59
MF6.5MHz
x1.0
D+
x
x
x
C+
x
x
x
A+
x
x
x
ID:
1234
NAME:
SMITH
JOHN G46D66T50 GE
Illustration 5-17
R Probe Guideline
Image Direction "RVS" is
Selected (on)
GE
Medical
06 / 20 / 92
12 : 28 : 59
R 7MHz
x1.0
D+
x
x
x
C+
x
x
x
A+
x
x
x
ID:
1234
NAME:
SMITH
JOHN G46D66T50 GE
Illustration 5-18
RA Probe
Needle Placement Grid
GENERAL
ELECTRIC
11/ 05 / 92
09 : 40 : 23
RA 7MHz 12 + . + . + . + . + . + . +
x2.0
11 . . . . . . . . . . . . .
10 + . + . + . + . + . + . +
9 . . . . . . . . . . . . .
8 + . + . + . + . + . + . +
7 . . . . . . . . . . . . .
6 + . + . + . + . + . + . +
5 . . . . . . . . . . . . .
4 + . + . + . + . + . + . +
3 . . . . . . . . . . . . .
2 + . + . + . + . + . + . +
1 . . . . . . . . . . . . .
0 + . + . + . + . + . + . +
A B C D E F G H I J K L M
G35D48T40
GE
Illustration 5-19
CK Probe Guideline
GE
Medical
04 / 15 / 91
10 : 59 : 45
CF3.5MHz
1.0
G46D66T100
CONTROL:__
Control N
This Control function is used to select the gray level mapping package menu
that will be displayed when the MAP key is pressed. The operator can
choose between Map Package A or B.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : N ___
N MAP PACKAGE B
▼
CONTROL : ___
Enter
NOTE: The system will toggle between map package A and map
package B each time CONTROL, N, ENTER is pressed.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : Q___
Q DOTTED LINE ON/OFF
▼
Press the ENTER key.
Enter
Control R P V
This Control function will select if a gamma correction curve is used to modify
the output video when the RECORD key is pressed. CONTROL, R, P
selects a gamma curve for Polaroid imaging. CONTROL, R, V disables the
gamma correction curve for video printer recording.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : R ___
R RECORD OUTPUT
CONTROL : RP ___
▼
P RECORD OUTPUT/SELECT
POLAROID
(Gamma correction curve will be used when the RECORD key is pressed.
System beeps after record process has started.)
CONTROL : RV ___
▼
V RECORD OUTPUT/SELECT
VIDEO PRINTER
(Gamma correction curve will not be used when the RECORD key is
pressed. System beeps after record process has started.)
▼
Press the ENTER key.
Enter
This Control function will enable or disable the frame averaging function.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : W
W FRAME AVERAGING ON/OFF
▼
Press the ENTER key
Enter
Each time you press CONTROL, W, ENTER you will toggle the frame
averaging function on/off or off/on.
The image will appear grainy with a faster frame rate while frame averaging
is off.
The image will appear smoother with a slower frame rate while frame
averaging is on.
OB Table 1
OB Table 2
Calc 1
Calc 2
Mapping
Illustration 6-1
Function Key Selections Function
OB OB
Tbl 1 Tbl 2
Calc 1 Calc 2
Calc 3 Map
Function
( ) ? ! " = ~ + %
OB OB
1 2 3 4 5 6 7 8 9 0 - BS Tbl 1 Tbl 2
Q W E R T Y U I O P Calc 1 Calc 2
A S D F G H J K L Return Map
Shift Z X C V B N M . / Shift
Mode
Function Keys
There are 6 function keys (5 enabled, 1 disabled) and two arrow keys.
Arrow keys are used to select an item from each function menu display.
To cancel the function press the LIGHTED function key a second time.
Time Saver
If the proper measurement has already been made (i.e. distance, circumfer-
ence or area) using generic measurements, immediately after making the
measurement, simply:
Mid Line
DISPLAY
OB 1 BPD 2 CRL 3 FL 4 AC 5 HC
Tbl 1
▼
If necessary, use the ARROW keys to select BPD.
1 BPD 2 CRL 3 FL 4 AC 5 HC
▼
Press the DIST key. The cursor "+" is displayed.
Dist
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point "+" cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite point of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value.
Meas
▼ Press the ENTER key. Gestation will be displayed on the left side of the
Enter screen.
Table 6-1 is the factory-stored BPD in mm Gestational Age BPD in mm Gestational Age
table of fetal age values for (User Input) (Displayed Output) (User Input) (Displayed Output)
BPDs from 20 to 100 mm.
20 12W1D ±6D
21 12W4D ±6D 61 25W0D ±9D
22 12W6D ±6D 62 25W2D ±9D
23 13W1D ±6D 63 25W5D ±9D
24 13W2D ±6D 64 26W1D ±9D
25 13W4D ±6D 65 26W3D ±9D
26 13W6D ±6D 66 26W6D ±9D
27 14W1D ±6D 67 27W1D ±9D
28 14W4D ±6D 68 27W4D ±9D
29 14W5D ±6D 69 28W0D ±9D
30 15W0D ±6D 70 28W2D ±9D
31 15W2D ±6D 71 28W5D ±9D
32 15W4D ±6D 72 29W1D ±9D
33 15W6D ±6D 73 29W4D ±9D
34 16W1D ±6D 74 29W6D ±9D
35 16W4D ±6D 75 30W3D ±14D
36 16W6D ±6D 76 30W6D ±14D
37 17W1D ±6D 77 31W1D ±14D
38 17W3D ±6D 78 31W4D ±14D
39 17W5D ±6D 79 32W0D ±14D
40 18W0D ±10D 80 32W4D ±14D
41 18W2D ±10D 81 32W6D ±14D
42 18W4D ±10D 82 33W2D ±14D
43 18W6D ±10D 83 33W6D ±14D
44 19W1D ±10D 84 34W1D ±14D
45 19W4D ±10D 85 34W5D ±14D
46 19W6D ±10D 86 35W1D ±14D
47 20W1D ±10D 87 35W4D ±14D
48 20W4D ±10D 88 36W1D ±25D
49 20W6D ±10D 89 36W4D ±25D
50 21W1D ±10D 90 37W0D ±25D
51 21W4D ±10D 91 37W4D ±25D
52 21W6D ±10D 92 38W0D ±25D
53 22W1D ±10D 93 38W4D ±25D
54 22W4D ±10D 94 38W6D ±25D
55 22W6D ±10D 95 39W3D ±25D
56 23W1D ±10D 96 39W6D ±25D
57 23W2D ±10D 97 40W4D ±25D
58 23W6D ±10D 98 41W0D ±25D
59 24W1D ±9D 99 41W4D ±25D
60 24W4D ±9D 100 42W0D ±25D
DISPLAY
OB 1 BPD 2 CRL 3 FL 4 AC 5 HC
Tbl 1
▼
Use the ARROW keys to select CRL.
1 BPD 2 CRL 3 FL 4 AC 5 HC
▼
Press the DIST key. The cursor "+" is displayed.
Dist
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point "+" cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite point of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value.
Meas
▼
Press the ENTER key. Gestation will be displayed on the left side of the
Enter screen.
Table 6-2 is the factory stored CRL in mm Gestational Age CRL in mm Gestational Age
table of fetal age values for (User Input) (Displayed Output) (User Input) (Displayed Output)
CRLs from 6 to 78mm.
6mm 06W3D±5D 45mm 11W3D±5D
7 06W4D±5D 46 11W3D±6D
8 06W6D±6D 47 11W4D±5D
9 07W0D±5D 48 11W5D±5D
10 07W2D±6D 49 11W5D±6D
11 07W3D±5D 50 11W6D±5D
12 07W4D±5D 51 11W6D±6D
13 07W5D±5D 52 12W0D±5D
14 07W6D±5D 53 12W1D±5D
15 08W0D±5D 54 12W1D±6D
16 08W1D±5D 55 12W2D±5D
17 08W2D±6D 56 12W2D±6D
18 08W3D±6D 57 12W3D±5D
19 08W4D±5D 58 12W3D±6D
20 08W5D±5D 59 12W4D±5D
21 08W6D±5D 60 12W4D±6D
22 09W0D±5D 61 12W5D±6D
23 09W1D±5D 62 12W6D±5D
24 09W2D±5D 63 12W6D±6D
25 09W3D±6D 64 13W0D±5D
26 09W4D±5D 65 13W0D±6D
27 09W4D±6D 66 13W1D±5D
28 09W5D±5D 67 13W1D±6D
29 09W6D±5D 68 13W2D±5D
30 09W6D±6D 69 13W2D±6D
31 10W0D±6D 70 13W3D±5D
32 10W1D±5D 71 13W3D±6D
33 10W2D±5D 72 13W4D±5D
34 10W2D±6D 73 13W4D±6D
35 10W4D±5D 74 13W5D±5D
36 10W4D±5D 75 13W5D±6D
37 10W5D±5D 76 13W6D±5D
38 10W5D±6D 77 13W6D±6D
39 10W6D±5D 78 14W0D±5D
40 11W0D±5D
41 11W0D±6D
42 11W1D±5D
43 11W1D±6D
44 11W2D±6D
Source: Robinson HP, Fleming (10), revised by Yeh and Rabmowitz, Radiology,
Volume 166, Number 1, Pages 97-103, 1988
DISPLAY
OB
1 BPD 2 CRL 3 FL 4 AC 5 HC
Tbl 1
▼
Use the ARROW keys to select FL.
1 BPD 2 CRL 3 FL 4 AC 5 HC
▼
Press the DIST key. The cursor "+" is displayed.
Dist
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point "+" cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite point of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value.
Meas
▼
Press the ENTER key. Gestation will be displayed on the left side of the
Enter screen.
DISPLAY
1 BPD 2 CRL 3 FL 4 AC 5 HC
OB
Tbl 1
▼
Use the ARROW keys to select AC.
1 BPD 2 CRL 3 FL 4 AC 5 HC
▼
Press the TRACE/AREA key to trace the circumference. (Perform two
Trace
Area distance measurements and press ENTER for a two diameter method [see
Section 6-1-6]).
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET. The starting point cursor is locked and the "+" cursor changes
Set to a dot cursor.
▼
Using the TRACKBALL, the dot cursor traces the object to be measured.
T.B. The trace is displayed as a continuous curve and the measured value in mm
is displayed on the left side of the screen.
▼
Press MEAS. The cursor is locked and measured values are fixed.
Meas
▼
Press the ENTER key. Gestation will be displayed on the left side of the
Enter screen.
211-216 25W3D±15D
217-221 26W0D±15D
222-227 26W3D±15D
DISPLAY
OB 1 BPD 2 CRL 3 FL 4 AC 5 HC
Tbl 1
▼
Use the ARROW keys to select HC.
1 BPD 2 CRL 3 FL 4 AC 5 HC
▼
Press the TRACE/AREA key. (Perform two distance measurements and
Trace
Area press ENTER for a two diameter method [see Section 6-1-6]).
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET. The starting point cursor is locked and the "+" cursor changes
Set
to a dot cursor.
▼
Using the TRACKBALL, the dot cursor traces the object to be measured.
T.B. The trace is displayed as a continuous curve and the measured value in mm
is displayed on the left side of the screen.
▼
Press MEAS. The cursor is locked and measured values are fixed.
Meas
▼
Press the ENTER key. Gestation will be displayed on the left side of the
Enter screen.
Freeze
FREEZE the B-Mode image.
▼
T.B. Use the TRACKBALL to position the first cursor.
▼ Press the SET key to fix the first cursor and enables the second cursor.
Set
▼
T.B. Use the TRACKBALL to position the second cursor.
▼
Press the MEAS key to fix the second cursor and record the anterior-
Meas posterior diameter.
▼
Press the DIST key. The measurement cursor appears.
Dist
▼
T.B. Use the TRACKBALL to position the first cursor.
▼
Press the SET key to fix the first cursor and enables the second cursor.
Set
▼
T.B. Use the TRACKBALL to position the second cursor.
▼
Press the MEAS key to fix the second cursor and record the lateral diameter.
Meas
▼
(continued)
▼
OB
Press the OB TBL 1 (Factory Preset Table) or OB TBL 2 (User Program-
OB
Tbl 1 or Tbl 2 mable Table) key.
DISPLAY
▼
Use the Function LEFT/RIGHT ARROW keys to select HC (Head Circum-
ference) or AC (Abdominal Circumference).
▼
Press the ENTER key.
Enter
The system computes the gestational age from the calculated circumfer-
ence, then stores circumference and diameters for display on the report
page.
6-2 OB Tbl 2
Up to five user programmable tables can be put into OB TBL 2 by using the
CONTROL, G, 0 function.
Data
Control G 0
This Control key function is used to allow user gestational age data to be
inputted into OB TBL 2.
The user may input up to five different tables for selection by OB TBL 2.
Tables 1 through 3 correspond to distance measurements. Tables 4 and 5
correspond to circumference measurements.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : G ___
G GESTATIONAL DATA
▼
+ CONTROL : G0 ___
0 GESTATIONAL DATA/ INPUT
▼
Press the ENTER key.
Enter
▼
( ) ? CONTROL : G0
1 2 3 4 5 MENU LEVEL = 1/TITLE = ___
Select one of the five available user OB Tables in which you want to input
data.
▼
Input CONTROL : G0
Minimal MENU LEVEL = 1/TITLE = BPD/MIN. = 020mm
Value
▼
CONTROL : G0
Return (01)020mm : __WO ± /MENU LEVEL = 1 (BPD)
At this stage, the list of measurements is shown on the monitor.
▼
CONTROL : G0
▼
▼
CONTROL : G0
Enter Days (01)020mm : 12W1D ± ___ /MENU LEVEL = 1(BPD)
Enter the days as a 1 digit number.
▼
Enter standard CONTROL : G0
deviation, (01)020mm : 12W1D ± 06 ___ /MENU LEVEL = 1(BPD)
weeks, days Enter the standard deviation as a 2 digit number. Enter "x" if no standard
or x deviation is needed.
▼
CONTROL : G0
Return (02)021mm : ___ WD ± /MENULEVEL = 1(BPD)
Press RETURN. Repeat the above steps to enter the remaining values for
the weeks, days and standard deviation in the chart selected.
▼
CONTROL : ___
Enter When all the menu entries are completed, press ENTER to store the table
in the system memory.
NOTE: When the 96th data entry is put in, the system beeps and
shows a FILL annotation. If this happens, stop entering data
and press the ENTER key.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : G ___
G GESTATIONAL DATA
▼
( ) ? CONTROL : G1 ___
1 2 3 4 5 GESTATIONAL DATA/LIST-EDITOR
Select the list from OB TBL 2 to be revised.
▼
CONTROL : G1
Enter _mm : WD ± /MENU LEVEL = 1(BPD)
Press the ENTER key. At this time the list will be displayed on the monitor.
▼
CONTROL : G1
Enter the
distance ( ) 020mm : WD ± /MENU LEVEL = 1(BPD).
value to be Enter the measurement value you wish to revise.
revised
▼
(continued)
▼
CONTROL : G1
Return (02)021mm : ___ WD ±/MENU LEVEL = 1(BPD)
Press RETURN. The measurement value you want to revise is highlighted
on the list.
▼
CONTROL : G1
▼
▼
CONTROL : G1
Enter Days (02)021mm : 12W1D ± ___ /MENU LEVEL = 1(BPD)
Enter the new value for days as one digit. A value of 7 or less.
▼
Enter standard CONTROL : G1
deviation, (02)021mm : 12W D ± 06 ___/MENU LEVEL = 1(BPD)
weeks, days Enter the new value for standard deviation as two digits. "x" can be used if
or x no standard deviation is needed.
▼
CONTROL : G1
Return ( ) ___mm : W D ± /MENU LEVEL = 1(BPD)
▼
CONTROL : ___
Enter Press ENTER when all corrections have been completed.
Tables 6-6 and 6-7 can be used as a coding worksheet for programming your
personal OB Tables.
Duplicate this worksheet if you intend to program more than two tables.
Keep a written record of your personal tables in this operator manual.
6-20
MENU LEVEL = __ TITLE = __ __ __ __ __ __
46-030370 REV 0
Table 6-7
Coding Sheet
46-030370 REV 0
1 __ __ __ mm __ __ W__ D ± __ __ 25 __ __ __ mm __ __ W__ D ± __ __ 49 __ __ __ mm __ __ W__ D ± __ __ 73 __ __ __ mm __ __ W__ D ± __ __
2 __ __ __ mm __ __ W__ D ± __ __ 26 __ __ __ mm __ __ W__ D ± __ __ 50 __ __ __ mm __ __ W__ D ± __ __ 74 __ __ __ mm __ __ W__ D ± __ __
6-21
6-3 Calc 1
Five types of calculations are available.
Heart Rate (per minute) Heart rate per minute is calculated by measuring
the interval between two beats in M-Mode.
NOTE: When you repeat any of the above CALC 1 calculations, you
must press the OFF key first to clear the calculation register.
b
a
DISPLAY
1 CIRC 2 VOL 3 HR 4 VELO 5 A/B A+Bx
Calc 1
▼
Press the DIST key. The cursor "+" ("x") is displayed. (The second cursor
Dist is an "x" cursor).
▼
Use the TRACKBALL to move the "+" ("x") cursor to the measurement
T.B. starting point.
▼
Press SET to fix the cursor. An end-point "+" ("x") cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite point of
T.B. the measurement.
▼ Press MEAS to fix the cursors and measure the value. Repeat the distance
Meas measurement steps a second time for distance b. (See the diagram above.)
After the two distance measurements have been made, press ENTER.
Enter Circumference will be displayed on the left side of the screen.
See the following page for the procedure to calculate additional circumfer-
ence measurements.
Press the OFF key. The distance measurements and cursors will be erased.
Off
The circumference calculation(s) will remain.
▼
▼
Press the DIST key. The "+" ("x") cursor will be displayed. (The second
Dist cursor is an "x" cursor.)
▼
Use the TRACKBALL to move the "+" ("x") cursor to the measurement
T.B. starting point.
▼
Press SET to fix the cursor. An end-point "+" ("x") cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite point of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value. Repeat the distance
Meas measurements steps a second time for distance b. (See the diagram on the
previous page).
After the two distance measurements have been made, press ENTER. The
Enter additional circumference measurement will be displayed on the screen.
The following details the three diameter method for volume measurement
and calculations using the dual B-Mode format. It is followed by a method
that can be used with the full screen format.
a b c
Multi Image
Press the MULTI-IMAGE LEFT ARROW key. Scan the object in either a
sagittal or axial plane.
▼
Freeze Press FREEZE to freeze the left image.
▼
Multi Image
Press the MULTI-IMAGE RIGHT ARROW key to activate the right image.
Scan the object in the appropriate scan plane.
▼
Freeze Press FREEZE to freeze the right image.
▼
(continued)
▼
Use the ARROW keys to select volume (VOL)
1 CIRC 2 VOL 3 HR 4 VELO 5 A/B A+BxC*
▼
▼
Press the DIST key. The "+" ("x", "x") cursor is displayed. ("x" is the second
Dist cursor, "x" is the third cursor)
▼
Use the TRACKBALL to move the "+" cursor ("x", "x") to the measurement
T.B. starting point.
▼
Press SET to fix the cursor. An end-point cursor "+", ("x", "x") will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the end of the
T.B. measurement.
▼
Press MEAS to fix the cursors and measure the value. Repeat the distance
Meas measurement steps a second time for distance b and a third time for distance
c. (See the diagram on the previous page for distance b and c.)
When all three distance measurements have been made, press ENTER.
Enter The volume will be displayed on the left side of the screen in cubic cm.
See the following page for the procedure to calculate additional volume
measurements.
Press the OFF key. The distance measurements and cursors will be erased.
Off
The volume calculation(s) will remain.
▼
▼
Press the DIST key. The "+" ("x", "x") cursor is displayed. ("x" is the second
Dist cursor, "x" is the third cursor)
▼
Use the TRACKBALL to move the "+" cursor ("x", "x") to the measurement
T.B. starting point.
▼
Press SET to fix the cursor. An end-point cursor "+", ("x", "x") will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the end of the
T.B. measurement.
▼
Press MEAS to fix the cursors and measure the value. Repeat the distance
Meas
measurement steps a second time for distance b and a third time for distance
c. (See the diagram on the previous page for distances b and c.)
When all three distance measurements have been made, press ENTER.
Enter
The volume will be displayed on the left side of the screen in cubic cm.
Scan the patient in the sagittal plane to obtain the necessary image with the
Freeze proper orientation. Freeze the image.
▼
Press the DIST key. The "+" cursor is displayed.
Dist
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point cursor "+" will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite end of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value. If this is the only
Meas distance to be measured, press ENTER.
▼
Unfreeze the image and scan in the axial plane.
Freeze
▼
Freeze the desired image.
Freeze
▼
(continued)
▼
Since it is necessary to have all measurements on the screen before
Dist pressing ENTER, press DIST to make a simulated (dummy) first measure-
ment at the top of the screen or outside of the image area.
▼
Use the TRACKBALL to move the "+" cursor outside the image area.
T.B.
▼
Press SET to fix the cursor. An end-point "+" cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor so that the measure-
T.B. ment is the same as was recorded in the sagittal plane. See Illustration 6-2.
Illustration 6-2
Simulated First Measurement
+--------+
First Measurement
▼
Use the TRACKBALL to move the "x" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point cursor "x" will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite end of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value. If this is the last distance
Meas to be measured, press ENTER.
Illustration 6-3
Three Diameter Method—Full
Screen Mode
+--------+
First Measurement
x Second Measurement
x x
x
Third Measurement
▼
Use the TRACKBALL to move the "x" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point cursor "x" will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite end of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value.
Meas
When all measurements have been taken, press the ENTER key.
Enter
The volume will be displayed on the left side of the screen in cubic cm.
▼
Use the ARROW keys to select heart rate (HR)
1 CIRC 2 VOL 3 HR 4 VELO 5 A/B TIME +
▼
Press the DIST key. The "+" cursor is displayed.
Dist
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point cursor "+" will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the end of the
T.B. measurement.
▼
Press MEAS to fix the cursors and measure the value.
Meas
Press ENTER. The heart rate will be displayed on the left side of the screen
Enter in beats per minute.
See the following page for the procedure to calculate additional heart rate
measurements.
Press the OFF key. The distance measurement and cursors will be erased.
Off The Heart rate calculation will remain.
▼
Press the DIST key. The "+" cursor is displayed.
Dist
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point cursor "+" will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the end of the
T.B. measurement.
▼
Press MEAS to fix the cursors and measure the value.
Meas
Press ENTER. The heart rate will be displayed on the left side of the screen
Enter in beats per minute.
DISPLAY
▼
Use the ARROW keys to select velocity (VELO).
1 CIRC 2 VOL 3 HR 4 VELO 5 A/B VELO+Display
(B/M-Mode or M-
Mode)
▼
Dist Press the DIST key. The "+" cursor is displayed.
▼
T.B. Use the TRACKBALL to move the "+" cursor to the measurement starting
point.
▼
Set Press SET to fix the cursor. An end-point cursor "+" will appear.
▼
T.B. Use the TRACKBALL to move the end-point cursor to the end of the
measurement.
▼
Meas Press MEAS to fix the cursors and measure the value.
Enter Press ENTER. The velocity will be displayed on the left side of the screen
in mm/s (millimeters per second).
Press the OFF key. The distance measurement and cursors will be erased.
Off The velocity calculation will remain.
▼
Press the DIST key. The "+" cursor is displayed.
Dist
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET to fix the cursor. An end-point cursor "+" will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the end of the
T.B. measurement.
▼
Press MEAS to fix the cursors and measure the value.
Meas
Press ENTER. The velocity will be displayed on the left side of the screen
Enter in mm/second.
x
▲
▲
+
Measures FL with "+" cursors.
▲ Measure BPD with "x" cursors.
x
DISPLAY
▼
Use the TRACKBALL to move the "+" ("x") cursor to the measurement
T.B. starting point.
▼
Press SET to fix the cursor. An end-point "+" ("x") cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite point of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value. Repeat the distance
Meas measurement steps a second time for the "x" cursor (B). (See the diagram
above.)
After the two distance measurements have been made, press ENTER. A/B
Enter ratio will be displayed on the left side of the screen.
See the following page for the procedure to calculate additional A/B ratio
measurements.
Press the OFF key. The distance measurements and cursors will be erased.
Off The A/B ratio calculation will remain.
▼
▼
Press the DIST key. The cursor "+" ("x") is displayed. (The second cursor
Dist is an "x" cursor).
▼
Use the TRACKBALL to move the "+" ("x") cursor to the measurement
T.B. starting point.
▼
Press SET to fix the cursor. An end-point "+" ("x") cursor will appear.
Set
▼
Use the TRACKBALL to move the end-point cursor to the opposite point of
T.B. the measurement.
▼
Press MEAS to fix the cursors and measure the value. Repeat the distance
Meas measurement steps a second time for the "x" cursor (B). (See the diagram
on the previous page.)
After the two distance measurements have been made, press ENTER.
Enter A/B ratio will be displayed on the left side of the screen.
Estimated Fetal Body Weight Calculate the fetal body weight based
on either the Shepard/Richards/
Berkowitz model (BPD/AC) or the
Hadlock model (FL/AC).
DISPLAY
▼
If necessary, use the ARROW keys to select EDC.
1 EDC 2 EFBW 3 STVOL 4 AFI
▼
Enter Weeks Enter the number of weeks in 2 digits.
using A/N
key
▼
Enter Days Enter the number of days (0-7).
using A/N
key
▼
Press ENTER.
Enter Estimated date of confinement will be shown on the left side of the screen
as Month/Day/Year.
Three lines will appear in the text scroll area on the left side of the display.
It will be formatted as shown below.
EFBW:
#1 9999
#2 9999
DISPLAY
▼
Use the ARROW keys to select "EFBW".
1 EDC 2 EFBW 3 STVOL 4 AFI
▼
Enter Press ENTER. EFBW calculations will be displayed on the lower left portion
of the display.
#1 Estimated Fetal
Body Weight
(BPD/AC)
The Estimated Fetal Body Weight #1 (EFBW) is computed using a Shephard/
Richards/Berkowitz model. "An evaluation of two equations for predicting
weight by ultrasound." (Shephard et al., Am. J. Obstet. Gynecol., 142:47-54,
1982)
The above formula yields EFBW in grams when the AC and BPD are in
millimeters. (The machine automatically takes the conversion from kilo-
grams to grams and millimeters to centimeters.) (For OB TBL1 only.)
#2 Estimated Fetal
Body Weight
(FL/AC)
The Estimated Fetal Body Weight #2 (EFBW) is computed using the
Hadlock model. (Hadlock, F.P., et al,: "Sonographic Estimation of Fetal
Weight", Radiology, 150:535-40, 1984.)
The above formula yields EFBW in grams when the AC and FL are in
millimeters. (The machine automatically makes the conversion from kilo-
grams to grams and millimeters to centimeters.) (For OB TBL1 only.)
Stepper Volume
Increment Selection
Before the stepper volume calculation can be made, ensure that the
mechanical stepper increment used matches the ultrasound system step-
per spacing selection.
DISPLAY
CONTROL: ____
Control LED on Control key lights.
▼
CONTROL: T ____
T
▼
? Press the "2" or "5" key for the desired step increment spacing registration.
2 5
"2" for 2.5 mm spacing for area measurements.
"5" for 5.0 mm spacing for area measurements.
▼
Press the ENTER key to complete and store the increment spacing
Enter selection.
This selection will remain stored in the system memory until it is changed by
the Control, T function again.
Scan Preparation
Select the Stepper Volume measurement by performing the following steps:
DISPLAY
▼
Use the ARROW keys to select Menu Level 3, STVOL.
It will read :
D = 2.5mm if 2.5 mm increments were selected
D = 5.0mm if 5.0 mm increments were selected
CAUTION Ensure that the system selection matches the mechanical stepper
increments to be used.
04 / 14 / 92
13 : 59 : 27
RA 7MHz
x2.0
G19D54T30 D=5.0mm
GE
Scan Preparation
(continued) Position the patient as required for the study indicated.
Insert the probe to the first scan location and secure it to the mechanical
stepper device.
▼
Use the TRACKBALL to move the cursor to the starting point of the first
T.B. diameter measurement.
▼
Press SET to fix the first cursor position.
Set
▼
Use the TRACKBALL to move the cursor to the end point of the first
T.B. diameter measurement.
▼
Press the MEAS key to record the first diameter measurement.
Meas
▼
(continued)
Illustration 6-5
First Two Diameter Measurements GENERAL
ELECTRIC
11 / 05 / 92
09 : 59 : 27
RA 7MHz
x2.0
D+ 15
x 15 +
x
x x
G47D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
▼
Press the DIST key.
Dist
The LED on the DIST key lights. The second cursor "x" appears on the
display.
▼
Use the TRACKBALL to move the cursor to the starting point of the second
T.B. diameter measurement.
▼
Press SET to fix this cursor position.
Set
▼
Use the TRACKBALL to move a second cursor to the end point of the
T.B. second diameter measurement.
▼
Press the MEAS key to record the second diameter measurement.
Meas
After the MEAS key is pressed for the second diameter, the area and
accumulative volume are calculated and displayed on the lower left side of
the display in the following format:
#XX = XX.X
VOL XXXX (with decimal point)
This represents the slice number that was just measured, the area of that
slice in square centimeters, and the accumulative volume in cubic centime-
ters.
After more than one slice has been measured, the current and previous
slice/areas/volumes will be displayed.
NOTE: If the image or the area measurement for this slice are unac-
ceptable, press OFF now. The slice measurement can be
repeated.
Unfreeze the image. Move the mechanical stepper to the next increment.
Repeat the two diameter area measurement steps for each necessary slice.
46-030370 REV 0
1 FUNCTION KEY SELECTIONS 6-47
Illustration 6-6
Second Two Diameter GENERAL
Measurements ELECTRIC
011/ 05/ 92
09 : 26 : 26
RA 7MHz
x2.0
D+ 18
x 18 +
x
x
x
# 1= 1.8
VOL 0.60
# 2= 2.5
VOL 1.80
G47D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
Trace Method
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET. The starting point cursor is locked and the "+" cursor changes
Set to a dot cursor.
▼
Using the TRACKBALL, move the dot cursor to trace the organ to be
T.B. measured. The trace is displayed as a continuous curve.
▼
When the trace is completed, press SET to fix the trace outline.
Set
▼
Use the TRACKBALL to move the cursor inside the boundary of the area
T.B. being measured.
▼
Press the MEAS key to record the traced area measurement.
Meas
After the MEAS key is pressed, the area is calculated and displayed on the
lower left side of the display in the following format:
#XX = XX.X
VOL XXXX (with decimal point)
This represents the slice number that was just measured, the area of that slice
in square centimeters and the accumulative volume in cubic centimeters.
NOTE: If the image or the area measurement for this slice are unac-
ceptable, press OFF now. The slice measurement can be
repeated.
Unfreeze the image. Move the mechanical stepper to the next increment.
Repeat the trace/area measurement steps for each necessary slice.
46-030370 REV 1
0 FUNCTION KEY SELECTIONS 6-49
Illustration 6-7
First Trace/Area Measurement GENERAL
ELECTRIC
011/ 05/ 92
09 : 28 : 52
RA 7MHz
x2.0
+
C+ 51
x
x
A+ 1.72
x
x
# 1= 1.7
VOL 0.58
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
Illustration 7-8
Second Trace/Area Measurement GENERAL
ELECTRIC
011/ 05/ 92
09 : 29 : 10
RA 7MHz
x2.0
+
C+ 41
x
x
A+ 1.08
x
x
# 1= 1.7
VOL 0.58
# 2= 1.1
VOL 1.17
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
Trace Method
(continued)
When all slice area measurements have been accomplished:
Ellipse Method
Trace
Press the DIST key, then press the TRACE/AREA key. Both the DIST and
Dist
Area TRACE/AREA LEDs will light and the highlighted cursor will
appear on the screen.
NOTE: Pressing the DIST or TRACE/AREA keys at any time before the
completion of this sequence will exit the ellipse mode and
remove any ellipse graphics from the display.
▼
Use the TRACKBALL to position the cursor at one end of the trans-
T. B. verse axis of the ellipse.
▼
Press SET. A second cursor will appear.
Set
▼
Use the TRACKBALL to position the highlighted "+" cursor to the opposite
T. B. end of the transverse axis.
▼ Press SET. The ellipse graphic will appear with a 1:1 Aspect Ratio (a circle).
Set
NOTE: The transverse diameter is between the two "+" cursors. The
AP diameter is between the two "x" cursors. The highlighted
"x" cursor is now active.
▼
Use the TRACKBALL to position the highlighted "x" cursor to the upper end
T. B. of the AP axis.
▼
Press SET. The highlighted "x" cursor is now active.
Set
(continued)
46-030370 REV 0
1 FUNCTION KEY SELECTIONS 6-51
6-4-3 Stepper Volume
Ellipse Method
(continued)
▼
Use the TRACKBALL to position the highlighted "x" cursor to the lower end
T. B. of the AP axis.
▼
Press SET. The original "+" cursor is now active.
Set
▼
When satisfied with the ellipse, press the MEAS key to record the first area
Meas measurement.
After the MEAS key is pressed, the area is calculated and displayed on the
lower left side of the display in the following format:
#XX = XX.X
VOL XXXX (with decimal point)
This represents the slice number that was just measured, the area of that
slice in square centimeters and the accumulative volume in cubic centime-
ters.
NOTE: If the image or the area measurement for this slice are unac-
ceptable, press OFF now. The slice measurement can be
repeated.
Unfreeze the image. Move the mechanical stepper to the next increment.
Repeat the ellipse area measurement steps for each necessary slice.
A+ 1.45
x
x
# 1= 1.6
VOL 0.54
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
Illustration 6-10
Second Ellipse Measurement GENERAL
ELECTRIC
11/ 05/ 92
09 : 35 : 27
RA 7MHz
x2.0
D+ 12
+
x 15 x
x
x
C+ 43
x +
x
A+ 1.45
x
x
# 1= 1.6
VOL 0.54
# 2= 1.5
VOL 1.27
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
Ellipse Method
(continued)
DISPLAY
▼
Use the ARROW keys to select AFI.
1 EDC 2 EFBW 3 STVOL 4 AFI
▼
After freezing the image. Press the DIST key. The "+" ("x", "x", " X ") cursor
Dist
is displayed. ("x" is the second cursor, "x" is the third cursor, " X " is the fourth
cursor.)
▼
Use the TRACKBALL to move the "+" cursor ("x", "x", " X ") to the measure-
T.B. ment starting point.
▼
Press SET to fix the cursor. An end-point cursor "+", ("x", "x", " X ") will appear.
Set
▼ Use the TRACKBALL to move the end-point cursor to the opposite end of
the measurement.
T.B.
▼ Press MEAS to fix the cursors and measure the value. Unfreeze. Scan the
Meas patient. Freeze the image and make the second, third, and fourth quadrant
measurements.
▼ When all four quadrants have been measured and all four calipers appear
Enter on the screen, press ENTER. The AFI will be calculated and displayed on
the left side of the screen.
See the following page for the procedure to calculate additional AFI
measurements.
Press the OFF key. The distance measurements and cursors will be erased.
Off The previous AFI calculation(s) will remain.
▼
After freezing the image. Press the DIST key. The "+" ("x", "x", " X ") cursor
Dist
is displayed. ("x" is the second cursor, "x" is the third cursor, " X " is the fourth
cursor.)
▼
Use the TRACKBALL to move the "+" cursor ("x", "x", " X ") to the measure-
T.B. ment starting point.
▼ Press SET to fix the cursor. An end-point cursor "+", ("x", "x", " X ") will appear.
Set
▼ Use the TRACKBALL to move the end-point cursor to the opposite end of
the measurement.
T.B.
▼ Press MEAS to fix the cursors and measure the value. Unfreeze. Scan the
Meas patient. Freeze the image and make the second, third, and fourth quadrant
measurements.
When all four quadrants have been measured, press ENTER. The AFI will
Enter be calculated and displayed on the left side of the screen.
Dr. Rutherford/Dr. Phelan, Obstetrics & Gynecology, Volume 70, No. 3, Part
1, p. 353-6, Sept. 1987.
36 - 40 weeks
0 - 5 cm = very low
5.1 - 8.0 cm = low
8.1 - 18.0 cm = normal
> 18.0 cm = high
Dr. C. C. Smith, The Female Patient, Volume 15, p. 85-97, March 1990.
28 - 40 weeks
15.0 cm = average
> 20.0 - 24.0 = hydramnios
< 5.0-6.0 = Oligohydramnios
To switch between Map Package A and Map Package B, use the CON-
TROL, N function. By pressing CONTROL, N, ENTER, the system will
switch from the current map package to the alternative package.
DISPLAY
Map N 1 2 3 4
Map
▼
Transformation curve N is selected.
To erase the display press MAP (LED will go out). This setting is kept until
the power is turned off or a probe is changed. Mapping can be automatically
set up by using CONTROL, B function.
Illustration 6-11
Mapping Level N
Package A
LEVEL N
(Out)
(In)
L M H
Illustration 6-12
Mapping Level 1
Package A
LEVEL 1
(H45)
(Out)
45%
(In)
L M H
The echo brightness in higher band is increased. The image becomes softer
and the edges are amplified (ideal for diagnosing soft tissue).
Illustration 6-13
Mapping Level 2
Package A
LEVEL 2
(H50)
(Out)
50%
(In)
L M H
The echo brightness in higher band is further increased. The image becomes
softer and the edges are amplified (ideal for diagnosing soft tissue).
Illustration 6-14
Mapping Level 3
Package A
LEVEL 3
(M50)
(Out)
25%
50%
25%
(In)
L M H
Illustration 6-15
Mapping Level 4
Package A
LEVEL 4
(M70)
(Out)
15%
70%
15%
(In)
L M H
The echo brightness in medium band is further increased and shows higher
contrast.
Illustration 6-16
Mapping Level N
Package B
LEVEL N
(Out)
(In)
L M H
Illustration 6-17
Mapping Level 1
Package B
LEVEL1
50%
L M H
Illustration 6-18
Mapping Level 2
Package B
LEVEL 2
100%
40%
L M H
Illustration 6-19
Mapping Level 3
Package B
LEVEL 3
100%
30%
L M H
Illustration 6-20
Mapping Level 4
Package B
LEVEL 4
100%
25%
L M H
UROLOGY OPTIONS
Overview
7-1 Overview
This section provides information on additional urology capabilities. The
Stepper Volume calculation allows for area measurements to be taken at
fixed increments. The mechanical stepping device is used to hold the probe
in a fixed position; it moves at fixed intervals to ensure that each area
measurement taken is equally spaced. The 7 MHz Transaxial (RA) Probe
complements the mechanical stepper.
7-3-1 Description
The optional 7.0 MHz Transaxial (RA) Probe is a micro-convex probe for
transaxial prostate scanning.
Options:
22
20
18
16
14
12
10
8
6
4
Image Invert ON
Image Reverse OFF
Scale Depth X2.0 (7.5cm)
Gain 47 db
Dynamic Range 48 db
Focus 3
7-3-4 RA Probe
Preparation
1. Remove the probe from the box and carefully examine it for any
damage.
4. Place the sheath tip over the probe aperture and then pull the sheath
end toward the probe handle.
5. Place a rubberband/twist lock over the sheath at the end of the probe
shaft. Ensure the rubberband/twist lock is tight around the sheath. Rub
your finger over the tip of the probe to ensure all air bubbles have been
eliminated.
7. Tilt the probe and withdraw water, forcing the air bubbles out first.
Repeat as necessary to remove all air bubbles.
9. Place the sheath tip over the probe aperture and pull the sheath end
down toward the probe handle.
Illustration 7-2
RA Probe with Volume Stepper
Device Needle Placement Guide Template
RA Probe
22 20 18 16 14 12 10 8 6 4
90 80 70 60 50 40 30 20 10 0 -10
MFG. FOR
GE MEDICAL SYSTEMS
MODEL H4500TB
S. N. 125
RA probe identification shows on the image screen "RA 7.0 MHz" and
the image is displayed.
NOTE: With the image invert key ON, the image direction key (RVS)
should be OFF for proper orientation.
7-3-9 Patient
Preparation for
Transrectal
Imaging
1. Prepare the patient. An enema is recommended one hour before the
exam.
Gel
Sterile
Sheath
Illustration 7-4
Sterile/Sanitary Sheath Placement
4 6 8 10 12 14 16 18 20 22
CAUTION Ensure that the arrow at the bottom center of the Needle Placement
Guide accurately aligns to the center line marked on the probe shaft.
a. Ensuring that the Image Reverse function is OFF and the Image
Invert function is ON.
To turn the needle placement grid display OFF, press the CONTROL,
L, 1, and ENTER keys again. The needle placement grid will be erased
(the image display will not be affected).
CAUTION Before needle insertion, scan the patient to determine the correct
puncture depth and site.
Illustration 7-6
Scan Plane Orientation— Anterior
Sagittal View
Right Left
Posterior
▲
Scan Plane
Anterior
B C
4 6 8 10 12 14 16 18 20 22
Posterior
Illustration 7-8
Transrectal Image Orientation—
Screen Display
Anterior
04 / 14 / 92
13 : 59 : 27
RA 7MHz
x2.0
Right Left
G19D54T30
GE
Posterior
7-3-1 Parts
Identification
The H4500TB Mechanical Stepping Device Kit consists of the following:
The variable position mechanical stepping device is used to hold the 7 MHz
Transaxial (RA) Probe, lock the probe in place and move the probe in small
increments throughout an organ in cross-sectional slice (see Illustra-
tion 7-9). Used with the RT 3200 Advantage - I Stepper Volume Calculation,
a complete 3 dimensional volume calculation can be made of an organ.
Illustration 7-9
Probe Holder and Stepping
Mechanism 46-285614P1
02 22
-10 0 10 20 30 40 50 60 70 80 90
Illustration 7-10
Needle Placement Guide
46-286615P1 A B C D E F G H I J K L M
12 12
11 11
10 10
9 9
8 8
7 7
6 6
5 5
4 4
3 3
2 2
1 1
0 0
A B C D E I J K L M
The universal table mounting system holds the stepper and is compatible
with most radiology and urologic tables (see Illustration 7-11).
Illustration 7-11
Universal Table Mounting System
46-285616P1
Illustration 7-12
Assembled Parts with 7MHz
Transaxial Probe
Right Side View
22 20 18 16 14 12 10 8 6 4
90 80 70 60 50 40 30 20 10 0 -10
MFG. FOR
GE MEDICAL SYSTEMS
MODEL H4500TB
S. N. 125
Mounting Bar Locking Needle Placement
Knob—locks stepper to Guide Locking Knob—
mounting bar locks guide to probe
Mounting Bar
4 6 8 10 21 14 16 18 02 22
-10 0 10 20 30 40 50 60 70 80 90
Stepper
Advance/
Retract
Knob
Needle Placement Probe Cradle
Guide Locking Knob— Tension Adjustment—
locks guide to probe adjusts stepper movement Stepper Angle
tension Adjustment
Knob—locks
stepper angle
position (fine
adjustment)
Universal Table
Mount Clamp
Universal Table Mount Locking Lever—
Adjusting Knobs— course angle adjust-
adjusts distance from ment of mounting bar
stepper unit to table mount and stepper unit
Illustration 7-14
Probe Holder Removal
22 20
90 80 70 60 50 40 30 20 10 0 -10
MFG. FOR
GE MEDICAL SYSTEMS
MODEL H4500TB
S. N. 125
Illustration 7-15
Assembly for 2.5mm Stepping
02 22
-10 0 10 20 30 40 50 60 70 80 90
MFG. FOR
GE MEDICAL SYSTEMS
MODEL H4500TB
S. N. 125
DISPLAY
CONTROL:____
Control LED on Control key lights.
▼
CONTROL: T ____
T
▼
? Press the "2" or "5" key for the desired step increment spacing registration.
2 5
"2" for 2.5 mm spacing for area measurements.
"5" for 5.0 mm spacing for area measurements.
▼
Press ENTER to complete and store the increment spacing selection.
Enter
This selection will remain stored in the system memory until it is changed by
the Control, T function again.
Illustration 7-16
Mounting Bar Repositioning
View 1
22
20
18
90
80 16
70
60 14
50
40 12
30 10
20
10 8
0 -10 6
4
MFG
GE MED. FOR
ICA
MODEL L SYSTEMS
H45
S. N. 125 00TB
View 2
Stepper/Probe Attachment
• Turn the advance/retract knob to place the stepper in its fully retracted
position.
• Set the slide marker towards the rear of the stepper as a reference.
• Advance the stepper. (Use the slide marker as a reference. Each mark
equals 5.0mm.)
• Place the stepper and mounting bar into the universal table mount
clamp. Make a course adjustment to align it with the patient. Tighten
the mounting bar locking knob and universal table mount locking knob.
• Gently insert the properly prepared 7.0 MHz transaxial probe into the
patient. (Refer to the Transaxial Probe (RA) Operator Manual for probe
preparation.)
➔
• Be sure to align the probe center line with the mark on the needle
placement guide as shown in Illustration 7-17.
• Place the probe cradle clamp over the transaxial probe and partially
tighten the clamp locking knob.
NOTE: Ensure that the alignment marks on the probe shaft and needle
placement guide are still in alignment. This ensures that the
needle guide aligns with the system electronic grid. Failure to
align the needle placement guide arrow marker with the probe
shaft center line will cause inaccurate needle placement.
Illustration 7-17
Probe Shaft and Needle Placement
Guide Alignment
A B C D E F G H I J K L M
12 12
11 11
10 10
9 9
8 8
7 7
6 6
5 5
4 4
3 3
2 2
1 1
0 0
A B C D E I J K L M
C D E I J K
12
12
14
14
6
1
• Once the probe is in position and properly aligned, tightly secure the
probe to the stepper with the probe cradle clamp locking knob.
• Set the slide marker to a reference mark near the back of the stepper
mechanism.
7-3-6 Periodic
Maintenance
Inspect the following before each use:
Infection Control
Users of this product have an obligation and responsibility to provide the
highest degree of infection control possible to patients, co-workers and
themselves.
Cleaning
• Wash the stepper, needle placement guide and universal table mount
with warm, mild, non-abrasive strong detergent solution below 26°C
(80°F).
• Once all parts are clean, rinse with clear fresh water and dry all parts
thoroughly.
Disinfection/Sterilization
• Disinfect or sterilize in a suitable glutaraldehyde based solution, without
surfactants using the manufacturer's instructions and recommenda-
tions for concentration and time of contact.
7-3-8 Replacement
Parts
Replacement parts can be obtained through GE Medical Systems Accesso-
ries, by calling 1-800-472-3666 or GE Medical Direct Customer Order
Service at 1-800-558-2040.
For N slices, there are N-1 volumes between the slices plus a small volume
at each end.
It is assumed that the small volumes of the end caps are cones with a base
equal to the measured area of the end slice and height equal to the slice
spacing. The cones will have volumes V=A1d/3 and V=ANd/3 for slices 1 and
N respectively, where d is the spacing between the slices.
Illustration 7-18
Scan Plane Orientation
of the Prostate
10
12
14
16
18
20
22
The volume measurement ends when the ENTER key is pressed while at
CALC 2, Menu Level 3 (STVOL). If ENTER is pressed while in B/M- or
M-Mode, the keystroke is ignored and the system emits a beep.
During the measurement operation, pressing the ENTER key resets the
internal memory to enable a new volume measurement to begin and
displays the completed volume on the lower left side of the image display
under the last accumulated volume calculation.
The OFF key is used to reject a slice area measurement. When the OFF key
is pressed:
Once the image is unfrozen, the slice area is calculated from the measure-
ment and a new measurement for that increment (slice) can NOT be made.
The last four (4) lines of this scrolling area of the image display will then
read:
#1 = XX.X Slice # & Area
VOL XXXX Accumulative Volume
#2 = XX.X Slice # & Area
VOL XXXX Accumulative Volume
DISPLAY
CONTROL: ____
Control LED on Control key lights.
▼
CONTROL: T ____
T
▼
? Press the "2" or "5" key for the desired step increment spacing registration.
2 5
"2" for 2.5 mm spacing for area measurements.
"5" for 5.0 mm spacing for area measurements.
▼
Press the ENTER key to complete and store the increment spacing
Enter selection.
This selection will remain stored in the system memory until it is changed by
the Control, T function again.
DISPLAY
▼
Use the ARROW keys to select Menu Level 3, STVOL.
It will read :
D = 2.5mm if 2.5 mm increments were selected
D = 5.0mm if 5.0 mm increments were selected
CAUTION Ensure that the system selection matches the mechanical stepper
increments to be used.
Illustration 7-19
Stepper Increment Selection
Display
04 / 14 / 92
13 : 59 : 27
RA 7MHz
x2.0
G19D54T30 D=5.0mm
GE
Insert the probe to the first scan location and secure it to the mechanical
stepper device.
▼
Use the TRACKBALL to move the cursor to the starting point of the first
T.B. diameter measurement.
▼
Press SET to fix the first cursor position.
Set
▼
Use the TRACKBALL to move the cursor to the end point of the first
T.B. diameter measurement.
▼
Press the MEAS key to record the first diameter measurement.
Meas
▼
(continued)
Illustration 7-20
First Two Diameter
Measurements GENERAL
ELECTRIC
11 / 05 / 92
09 : 59 : 27
RA 7MHz
x2.0
D+ 15
x 15 +
x
x x
G47D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
▼
Press the DIST key.
Dist
The LED on the DIST key lights. The second cursor "x" appears on the
display.
▼
Use the TRACKBALL to move the cursor to the starting point of the second
T.B. diameter measurement.
▼
Press SET to fix this cursor position.
Set
▼
Use the TRACKBALL to move a second cursor to the end point of the
T.B. second diameter measurement.
▼
Press the MEAS key to record the second diameter measurement.
Meas
After the MEAS key is pressed for the second diameter, the area and
accumulative volume are calculated and displayed on the lower left side of
the display in the following format:
#XX = XX.X
VOL XXXX (with decimal point)
This represents the slice number that was just measured, the area of that
slice in square centimeters, and the accumulative volume in cubic centime-
ters.
After more than one slice has been measured, the current and previous
slice/areas/volumes will be displayed.
NOTE: If the image or the area measurement for this slice are
unacceptable, press OFF now. The slice measurement can be
repeated.
Unfreeze the image. Move the mechanical stepper to the next increment.
Repeat the two diameter area measurement steps for each necessary slice.
# 1= 1.8
VOL 0.60
# 2= 2.5
VOL 1.80
G47D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
7-4-5 Area
Measurements
for Each Slice
Trace Method
Press the TRACE/AREA key. The "+" cursor is displayed.
Trace
Area
▼
Use the TRACKBALL to move the "+" cursor to the measurement starting
T.B. point.
▼
Press SET. The starting point cursor is locked and the "+" cursor changes
Set to a dot cursor.
▼
Using the TRACKBALL, move the dot cursor to trace the organ to be
T.B. measured. The trace is displayed as a continuous curve.
▼
When the trace is completed, press SET to fix the trace outline.
Set
▼
Use the TRACKBALL to move the cursor inside the boundary of the area
T.B. being measured.
▼
Press the MEAS key to record the traced area measurement.
Meas
After the MEAS key is pressed, the area is calculated and displayed on the
lower left side of the display in the following format:
#XX = XX.X
VOL XXXX (with decimal point)
This represents the slice number that was just measured, the area of that
slice in square centimeters and the accumulative volume in cubic centime-
ters.
NOTE: If the image or the area measurement for this slice are
unacceptable, press OFF now. The slice measurement can be
repeated.
Unfreeze the image. Move the mechanical stepper to the next increment.
Repeat the trace/area measurement steps for each necessary slice.
+
C+ 51
x
x
A+ 1.72
x
x
# 1= 1.7
VOL 0.58
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
Illustration 7-23
Second Trace/Area Measurement GENERAL
ELECTRIC
011/ 05/ 92
09 : 29 : 10
RA 7MHz
x2.0
+
C+ 41
x
x
A+ 1.08
x
x
# 1= 1.7
VOL 0.58
# 2= 1.1
VOL 1.17
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
7-4-5 Area
Measurements
for Each Slice
Ellipse Method
Trace
Press the DIST key, then press the TRACE/AREA key. Both the DIST and
Dist
Area TRACE/AREA LEDs will light and the highlighted cursor will appear on
the screen.
NOTE: Pressing the DIST or TRACE/AREA keys at any time before the
completion of this sequence will exit the ellipse mode and
remove any ellipse graphics from the display.
▼
Use the TRACKBALL to position the cursor at one end of the trans-
T. B. verse axis of the ellipse.
▼
Press SET. A second cursor will appear.
Set
▼
Use the TRACKBALL to position the highlighted "+" cursor to the opposite
T. B. end of the transverse axis.
▼ Press SET. The ellipse graphic will appear with a 1:1 Aspect Ratio (a circle).
Set
NOTE: The transverse diameter is between the two "+" cursors. The
AP diameter is between the two "x" cursors. The highlighted
"x" cursor is now active.
▼
Use the TRACKBALL to position the highlighted "x" cursor to the upper end
T. B. of the AP axis.
(continued)
Ellipse Method
(continued)
▼
Use the TRACKBALL to position the highlighted "x" cursor to the lower end
T. B. of the AP axis.
▼
Press SET. The original "+" cursor is now active.
Set
▼
When satisfied with the ellipse, press the MEAS key to record the first area
Meas measurement.
After the MEAS key is pressed, the area is calculated and displayed on the
lower left side of the display in the following format:
#XX = XX.X
VOL XXXX (with decimal point)
This represents the slice number that was just measured, the area of that
slice in square centimeters and the accumulative volume in cubic centime-
ters.
NOTE: If the image or the area measurement for this slice are
unacceptable, press OFF now. The slice measurement can be
repeated.
Unfreeze the image. Move the mechanical stepper to the next increment.
Repeat the ellipse area measurement steps for each necessary slice.
A+ 1.45
x
x
# 1= 1.6
VOL 0.54
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
Illustration 7-25
Second Ellipse Measurement GENERAL
ELECTRIC
11/ 05/ 92
09 : 35 : 27
RA 7MHz
x2.0
D+ 12
+
x 15 x
x
x
C+ 43
x +
x
A+ 1.45
x
x
# 1= 1.6
VOL 0.54
# 2= 1.5
VOL 1.27
G35D48T30
CAL2 1 EDC 2 EFBW 3 STVOL 4 AFI 5 HIP D=5.0mm GE
7-4-5 Area
Measurements
for Each Slice
Ellipse Method
(continued)
When all slice area measurements have been accomplished:
Enter Press the ENTER key to complete the stepper volume function.
ACCESSORIES
Overview
Accessory Panels
8-1 Overview
The RT 3200 Advantage - I provides accessory connections for some
standard and optional accessories. Standard with the system is the foot
switch and Sony UP-890 Video Graphic Printer. Optional is the Panasonic
AG-5200/AG-1260/AG-1270 VHS Video Cassette Recorders, Multi-Image
Camera, External Monitor or Data Management Center Computer.
Illustration 8-1
Lower Accessory Panel Location
1 2 3 4 5 6
4. Camera and Video Printer video output and shutter control (compos-
ite video)
NOTE: The external TV (EXT TV) and VCR video output are the same.
Connection made to both of these simultaneously will cause
the output to be double terminated.
Electrical To avoid injury, the installation of accessories that require the removal
Hazard of system covers to access interior wiring MUST be done by a qualified
service person.
Illustration 8-3
Upper Accessory Panel Layout
1 2 3
TV Printer
12Vdc
In Shutter
8-3-1 System
Disassembly
1. Loosen the four (4) screws mounting the printer shelf to the bottom of
the keyboard. Slide the shelf and remove it from the keyboard.
• Three are located at the top of the front panel that attach it to the
bottom of the keyboard housing.
• The remaining two are located, one on the bottom right side and one
on the bottom left side of the front panel, behind two white rubber
hole plugs.
• Remove the four (4) screws, two on each side of the panel.
• Pull it out as far as the wiring will permit and carefully lay it aside.
• Look toward the back of the system, just below that 12 terminal
block.
• Mounted on the back of the power supply bulkhead is a black six (6)
terminal block with three (3) wires attached to terminals 4, 5 and 6.
THIS IS THE ONE!!!
6. Remove the clear terminal strip shield. Connect AC power cord for the
Sony UP-890 as follows:
1 2 3 4 5 6
AC Terminal Strip
8-3-3 System
Re-assembly
7. Replace the clear terminal strip cover. Route the AC power cord behind
the RF shield, up from the terminal strip to the top of the RF shield and
out the square notch. Remove white cover from across notch.
9. Replace the RF shield and secure it with the eight (8) screws.
10. Replace the front panel cover with the three (3) screws on top and two
behind the white rubber covers.
11. Connect the video cable and remote shutter cable to the front accessory
panel.
13. Push the printer shelf up on to the four screws through the key hole slots.
Slide the shelf back into the key holes and secure the four (4) screws.
15. Slide the printer into the shelf. Connect the remote shutter, video and
power cables to the back of the Sony Printer.
16. Pick the holes in the bottom of the printer shelf that line up with the Sony
Page Printer. Secure the Sony Printer to the printer shelf by using four
screws (M3 x .5 x 10mm) through the shelf into the center of the rubber
feet. These screws are found in the small plastic bag that come with the
plate to cover the accessory well below the monitor.
17. Power up the system and check the operation of the Sony UP-890.
• See the operator manual and use the RECORD button on the
keyboard of the RT 3200 Advantage - I.
• Insure that the proper gamma curve is selected for the record
output. CONTROL, R, V, ENTER.
ON
BT10L ON
VIDEO
DIP SW FUNCTION TABLE
NO FUNCTION SW-ON SW-OFF
1 INTERRUPT ON OFF
2 POSTFEED ON OFF
3 ASPECT 4:3 1:1
4 MEMORY FRAME FIELD
5 IMAGE POSI NEGA AC IN
6 MIRROR NORM REV
To
Hard Wired
Connection
8-4-1 System
Disassembly
1. Remove the front panel by removing five (5) screws.
• Three are located at the top of the front panel that attach it to the
bottom of the keyboard housing.
• The remaining two are located, one on the bottom right side and one
on the bottom left side of the front panel, behind two white rubber
hole plugs.
3. Gain access to the AC power strip by removing the front connector panel.
• Remove the four (4) screws, two on each side of the panel.
• Push in and slide the panel to the left.
• Pull it out as far as the wiring will permit and carefully lay it aside.
5. Remove the clear terminal strip shield. Connect AC pigtail cord for the
Panasonic AG-5200 as follows:
#4—Black Wire #5—Green Wire #6—White Wire
Connect Panasonic AG-5200/AG-1260/AG-1270/Sony SVO-1410 power
cord to pigtail.
8-4-3 System
Re-assembly
6. Replace the clear terminal strip cover. Route the AC power cord behind
the RF shield, up from the terminal strip to the top of the RF shield and
out the square notch.
8. Replace the RF shield and secure it with the eight (8) screws.
9. Replace the front panel cover with the three screws on top and two
behind the white rubber covers.
10. Connect the video cable and remote shutter cable to the front accessory
panel.
Connect the video input/output from the VCR to the lower accessory panel
as shown in Illustration 8-7 (Panasonic AG-5200), Illustration 8-8 (Panasonic
AG-1260/AG-1270) or Illustration 8-9 (Sony SVO-1410).
Illustration 8-7
VCR Connection
Panasonic AG-5200
CAUTION ATTENTION
RISK OF ELECTRIC SHOCK RISQUE DE CHOC ÉLECTRIQUE
DO NOT OPEN NE PAS OUVRIR (VQL3019)
REMOTE AUDIO IN
CH4
IN OUT SERIAL CH1(L) CH2(R)
REAR OUT
CH3
FRONT
SERIES PB
VHF
Model No. AG-5200-P
Serial No. G0TB00219 LI
S TE D
VIDEO
IN
Panasonic
9F
EQ
Matsushita Electric Ind. Co.,Ltd. UIP
M EN T
67
(VGN4989)
(VGH2298-2)
To AC
Pigtail or
Hard Wired
Connection
Panasonic AG-1260/AG-1270
IN FROM
ANT.
VHF/UHF CAUTION
VIDEO AUDIO Panasonic
VIDEO CASSETTE RECORDER
OUT TO TV IN OUT IN OUT B 2 S A 3 4 4 8 5 RISK OF ELECTRIC
SERIAL NO.
2 . 1 9 . 1 9 9 2 SHOCK DO NOT OPEN
MFR’D
3 CH. 4 AG-1260-P
MODEL NO.
120V AC
FCC ID: ACJ927087AI
AVIS
UL 60HZ
19W
MADE IN JAPAN
® RISQUE DE
LISTED 679F CHOC ELECTRIQUE
E72900 (VGNS3239)
NE PAS PUVRIR
To AC
Pigtail or
Hard Wired
Connection
Sony SVO-1410
IN
ED SP
IN IN SONY LABEL
VERT. SYNC. ADJ.
CONTROL S
IN U
L
OUT
OUT
CH - 4
OUT
CH - 3
AUDIO VIDEO TV (OUT) VHF/UHF RF UNIT
To AC
BNC Angle Adapter
Pigtail
(46-233422P1)
TV Printer
12Vdc
In Shutter
The preferred video connection for a multi-image camera is the "EXT TV-
OUT" connection on the lower accessory panel. This is shown in Illustration
8-10.
Illustration 8-10
Camera Video Hook-up
Illustration 8-11
Camera Hook-up
Upper Panel
Upper Accessory Panel
TV Printer
12Vdc
In Shutter
APPENDICES
Control Parameters
Troubleshooting
Maintenance
Focus
Changing the focus to optimize the image over a particular region of the scan
changes the depth at which the maximum intensities may occur. Typically,
the region of maximum intensity is close to the focal distance. Values
reported in Table A-1 represent the maximum intensity at one particular
focal depth. All other focus depths result in lower values.
M-Mode
Placing the machine into M-Mode affects the acoustic output of the system.
In M-Mode, repetitive pulse firings occur on the same scan line (correspond-
ing to the M-Mode vector displayed) which increases the time-average of
SPTA intensity along the scan line chosen. The SPTA intensity is typically
increased by a factor of 30 to 60 times over that in B-Mode. In almost all
cases, the total output power and the pulse average intensities (i.e., SPPA
or Im) are not affected, even along the scan line chosen.
B/M-Mode
In this combination mode, both B- and M-Mode vectors are generated by the
machine. The SPTA intensity will be increased along the M-Mode line
selected, but typically not to the extent as when M-Mode alone is selected.
As with M-Mode, the SPPA, I-m and total power remain unchanged.
The SPPA and I-m intensities remain relatively constant, regardless of mode
selected. The SPPA intensity is strongly affected by mode selection, as a result
of more pulses being directed at the specific site selected. The SPTA intensity
is increased in M-Mode over B-Mode as shown in Table A-1.
PRF* Power l-SPTA (mW/cm2) I-SPPA W/cm2) I-m (W/cm2) 20dB Beam Entrance
Probe Application Mode (kHz) (mW) @Depth z cm @Depth z cm @Depth z cm Area mm2 Beam cm2
Type A Small Parts 2D 3.9 0.7 2.2 @ 3.1 42 @ 3.1 46 @ 3.1 4.4 1.08
46-030370 REV 3
5.0 MHz M 3.9 0.7 42 @ 3.1 42 @ 3.1 46 @ 3.1 4.4 1.08
Focus: 2
Type D Biopsy 2D 3.9 1.1 1.2 @ 5.8 22 @ 5.8 26 @ 5.8 9.3 3.6
3.5 MH M 3.9 1.1 30 @ 5.8 21 @ 5.8 26 @ 5.8 9.3 3.6
Focus: 3
Type E General 2D 3.9 1.3 2.5 @ 6.2 89 @ 6.2 111 @ 6.2 4.7 3.6
5.0 MHz OB & M 3.9 1.3 94 @ 6.2 89 @ 6.2 111 @ 6.2 4.7 3.6
Focus: 3 Abdomen
Type F Intra- 2D 3.9 1.5 3.3 @ 5.8 83 @ 5.8 83 @ 5.8 4.7 3.6
5.0 MHz operative M 3.9 1.5 78 @ 5.8 83 @ 5.8 83 @ 5.8 4.7 3.6
Focus: 3
Type G Rectal 2D 3.9 1.6 2.8 @ 6.1 64 @ 6.1 67 @ 6.1 5.9 2.16
5.0 MHz M 3.9 1.6 67 @ 6.1 64 @ 6.1 67 @ 6.1 5.9 2.16
Focus: 3
Type H Small 2D 3.9 0.6 1.5 @ 2.8 135 @ 2.8 117 @ 2.8 3.1 1.44
7.5 MHz Parts M 3.9 0.6 92 @ 2.8 135 @ 2.8 117 @ 2.8 3.1 1.44
Focus: 3
Type MZ Endo- 2D 3.9 0.3 0.2 @ 4.0 7.3 @ 4.0 7.8 @ 4.0 1.6 0.6
CONTROL PARAMETERS
6.5 MHz cavitary M 3.9 0.3 5.9 @ 4.0 7.3 @ 4.0 7.8 @ 4.0 1.6 0.6
Focus: 2
*PRF is the Pulse Repetition Frequency applicable for SPTA (Spatial Peak Temporal Average) case only.
A-3
** NOTE: Figures shown are: 1) Measured in water 2) Maximum values by application 3) in situ value (Type CF) and 4) 6dB Beam Area mm2 (Type CF)
Table A-1 (continued)
RT3200 Advantage - I Acoustic Levels
A-4
PRF* Power l-SPTA (mW/cm2) I-SPPA W/cm2) I-m (W/cm2) 20dB Beam Entrance
Probe Application Mode (kHz) (mW) @Depth z cm @Depth z cm @Depth z cm Area mm2 Beam cm2
Type S Abdomen 2D 3.9 4.8 2.9 @ 3.6 41.4 @ 3.6 52.3 @ 3.6
3.5 MHz Urology M 3.9 4.8 70 @ 3.6 41.4 @ 3.6 52.3 @ 3.6
Focus: 2
Type CA Abdomen 2D 3.9 5 8.3 @ 4.9 148 @ 4.9 154 @ 4.9 7.8 2.08
5.0 MHz OB/GYN M 3.9 5 30 @ 4.9 148 @ 4.9 154 @ 4.9 7.8 2.08
Focus: 3
CONTROL PARAMETERS
Type CB Abdomen 2D 3.9 3 3.1@ 4.4 31 @ 4.4 41 @ 4.4 18 2.08
3.5 MHz OB/GYN M 3.9 3 48 @ 4.4 31 @ 4.4 41 @ 4.4 18 2.08
Focus: 3
Type CC Abdomen 2D 3.9 1.7 .78@ 5.0 15.3 @ 4.9 20 @ 4.9 53.4 3.6
3.5 MHz OB/GYN M 3.9 1.7 23.6 @ 4.9 15.3 @ 4.9 20 @ 4.9 53.4 3.6
Focus: 2
Type CV OB/GYN 2D 3.9 2.6 2.1 @ 5.0 50.5 @ 5.0 66.8 @ 5.0 137.4 .64
5.0 MHz M 3.9 2.6 9.0 @ 5.0 50.5 @ 5.0 66.8 @ 5.0 137.4 .64
Focus: 2
Type LP Small parts B 3.9 1.6 1.8 @ 4.2 100.1 @ 4.2 110.6 @ 4.2
6.0Mhz Breast M 3.9 2.2 129 @ 4.0 144.8 @ 4.0 117.4 @ 4.0
Focus: 2 B/M 3.9 2.2 18.3 @ 4.0 132.6 @ 4.0 113.7 @ 4.0
*PRF is the Pulse Repetition Frequency applicable for SPTA (Spatial Peak Temporal Average) case only.
** NOTE: Figures shown are: 1) Measured in water 2) Maximum values by application 3) in situ value (Type CF) and 4) 6dB Beam Area mm2 (Type CF)
46-030370 REV 3
Table A-1 (continued)
RT3200 Advantage - I Acoustic Levels
PRF* Power l-SPTA (mW/cm2) I-SPPA W/cm2) I-m (W/cm2) 20dB Beam Entrance
Probe Application Mode (kHz) (mW) @Depth z cm @Depth z cm @Depth z cm Area mm2 Beam cm2
46-030370 REV 3
7.0 MHz M 3.9 3 90.6 @ 2.6 97 @ 2.6 129.2 @ 2.6
Focus: 2
Type ATF/ATV Transvaginal 2D 3.9 1.5 .5 @ 3.0 17.4 @ 3.0 33.9 @ 3.0
5.0 MHz M 3.9 1.5 18.4 @ 3.0 17.4 @ 3.0 33.9 @ 3.0
Focus: 2
*PRF is the Pulse Repetition Frequency applicable for SPTA (Spatial Peak Temporal Average) case only.
** NOTE: Figures shown are: 1) Measured in water 2) Maximum values by application 3) in situ value (Type CF) and 4) 6dB Beam Area mm2 (Type CF)
CONTROL PARAMETERS
A-5
This page intentionally left blank.
It = Iwe-0.23a´fz
where:
It = in-situ intensity
e = appx. 2.7183
5. 20dB Beam Area represents the 2-dB two-way beam area of a single
vector measured at the depth of maximum SPTA intensity.
6. Beam Entrance Area represents the area at the surface of the trans-
ducer emitting one acoustic vector. For sector scanners, this is also the
active acoustic area in contact with the patient.
Acoustic Intensity
(milliwatts/cm2 or watts/cm2)
Probe acoustic intensity levels are determined using a calibrated
(milliwatts/cm2 or watts/cm2) PVDF miniature hydrophone.
C-1 Overview This section explains how to clean and disinfect the probes and how to clean
the console, monitor, video cassette recorder, printer and multi imaging
device surfaces. It also provides a checklist for monthly system inspections.
• After each use, disconnect the probe from the ultrasound console and
remove coupling gel from the transducer by wiping with a soft cloth and
rinse with flowing water.
• Wash the probe surface with mild soap in lukewarm water. Scrub the
probe as needed using a soft sponge, gauze or cloth to remove all visible
residue from the probe surface Prolonged soaking or scrubbing with a
soft bristle brush (such as a toothbrush) may be necessary if material
has dried onto the probe surface.
• Rinse the probe with enough clean, potable water to remove all visible
soap residue.
• Do not immerse the probe into any liquid beyond the level indicated by
the immersion level diagram in Illustration C-1.
46-030370 REV 2
3 CLEANING AND INSPECTING C-1
C-2 Probe Cleaning (cont'd)
• Transducer damage can result from contact with inappropriate coupling
or cleaning agents.
C-3 Disinfection
Cidex is the only germicide that has been tested to be safe and compatible
with the materials used in the construction of the probes.
• To avoid probe damage, do not use process cycles that exceed 60°C or
pressures that vary from normal atmosphere.
46-030370 REV 2
3 CLEANING AND INSPECTING C-3
Illustration C-1
Probe Cleaning
➨
Aperture Aperture
➨
Aperture
Aperture
Aperture
Aperture
➨
Type G Probe
Type CC (Convex) Probe
➨
Aperture
Aperture
➨
➨
➨
Aperture Aperture
Type S Probe
Type LP Probe
➨
Aperture
➨
Aperture
46-030370 REV 2
3 CLEANING AND INSPECTING C-5
Illustration C-1
Probe Cleaning (continued)
Aperture
Aperture
Aperture
Aperture Aperture
Aperture
➨
Aperture
Illustration C-2
Filter Removal
2
1
1
Filter
2 Clamps
Use a soft, folded cloth and a glass cleaner solution. Apply the glass cleaner
to the cloth and then gently wipe the monitor face.
NOTE: Do not use a glass cleaner that has a hydrocarbon base (such as
Benzene, Methyl Alcohol or Methyl Ethyl Ketone) on monitors with an anti-
glare shield. Prolonged use of such cleaners will damage the anti-glare
shield. Hard rubbing will also damage the shield.
After cleaning the monitor face and filter, re-install the filter on the monitor.
Insert the filter clamps and slide them inwards securely. Refer to
Illustration C-2.
NOTE: Make sure that the filter is securely fixed by the filter clamps. It is
important to prevent hte falling hazard of the filter. A click sound will be heard
when the filter clamp is secured by the locking mechanism.
46-030370 REV 2
3 CLEANING AND INSPECTING C-7
C-5-3 Video Cassette
Recorder
Turn off the RT 3200 Advantage - I before cleaning the VCR.
Wipe the external surfaces of the unit with a clean, dry cloth. Do not use a
wet cloth or any cleaning fluid because it may enter and damage the unit.
Clean the record and playback heads with a soft, non-abrasive cleaning
system.
C-5-4 Multi-Imaging
Device
Unplug the RT 3200 Advantage - I before cleaning the Multi-Imaging Device.
Use a mild, general purpose, non-abrasive soap and water solution and
folded cloth. Wipe down the top, front, back, and both sides of the unit.
Electrical To avoid electrical shock hazard, do not remove panels or covers from
Hazard console. This servicing must be performed by qualified service
personnel.
D-1 Overview
This section supplies two tables to help you trace the causes of some
display and printing problems.
When power is switched Power cable may be dis- Connect power cable or
ON, nothing appears on connected from the socket. use different wall
the monitor. receptacle.
Dark vertical stripes ap- Particles may be stuck to Clean the surface of the
pear on the image. the surface of the probe. probe.
Many blinking dots of Other ultrasonic units may Move the ultrasonic units
noise appear on the im- be in use near the RT 3200. away from the RT 3200.
age.
There may be high-fre- Use an alternate wall re-
quency noise sources near ceptacle.
the RT 3200.
Move the RT 3200 away
from the noise sources.
Moisture condensation. A heater was turned on Let the unit dry out for 1-2
OR hours
Room humidity suddenly OR
rose Gradually raise the
OR temperature until
Printer was abruptly moisture evaporates.
moved from a cold place THEN
to a warmer one. Press the Feed button
while gently pulling on
the edge of paper so it
feeds through smoothly.
Printer head is dirty. After printing 2-3 rolls of 1. Following the Paper
paper, dust and grime col- Loading procedure, in-
lected on the head. sert the supplied Head
Cleaning Sheet.
2. Turn the Head Set Le-
ver ON.
3. Pull the cleaning sheet
paper edge strongly.
4. Repeat steps 1-3, if nec-
essary
After printing almost totally The printer has printed 20 Switch the Posi/Nega se-
black pictures, white prints or more almost totally black lector to the opposite posi-
turn black. pictures. tion for a while.
After printing almost totally The printer has printed Stop printing for a while.
black picture, the subse- dozens of almost totally When the temperature of
quent prints became faint. black pictures. A protec- the printing head drops
tive circuit is preventing the back to normal, printing
head from overheating. resumes.
• Clean the ultrasound gel from each probe after each use.
• Clean the display monitor. Use a soft, slightly moistened cloth. If the
monitor is still soiled, use a slightly moistened cloth with detergent.
Then clean with a soft cloth.
• Visually inspect the unit every month. If any damage is found, contact
your GE Service Representative.
MAINTENANCE
!
To avoid injury by tipping over, SET THE MONITOR TO THE LOWEST POSITION BEFORE MOVING.
Pour éviter ie basculement accidentel de la machine, BAISSER LE MONITEUR AVANT DÉPLACEMENT. To avoid injury by tipping over, DO NOT PUSH THIS UNIT FROM THE SIDES.
Um bei bewegung des Gerätes Beschädigungen zu vermeiden, STELLEN SIE DEN MONITOR AUF Pour éviter ie basculement accidentel de la machine, NE PAS LA POUSSER PAR LE CÔTÉ.
DIE NIEDRIGSTE POSITION EIN. Um bei bewegung des Gerätes Beschädigungen zu vermeiden, SCHIEBEN SIE DEN
PREDISPORRE IL MONITOR NELLA POSIZIONE PIU BASSA PRIMA DI MUOVERE la macchina per MONITOR NICHT VON DER SEITE.
evitare rischi di rottura. Per evitare rischi di rottura, NON SPINGERE LA MACCHINA DI LATO.
Para evitar daños por voltearse el sistema, POSICIONE EL MONITOR A SU NIVEL MÁS BAJO ANTES Para evitar daños por voltearse el sistema, NO MUEVA EL SISTEMA DESDE LOS LADOS.
DE MOVER EL SISTEMA.
or camera options are integrated into the system.
46-030370 REV 0
It is easy to move the RT 3200 Advantage - I because the page printer, VTR
E-3 How to Move a Unit
(continued)
Before moving the unit:
• Make sure that the probe holder is fixed and probes are properly stored.
• Securely place the power cord and accessory cables around the rear
handle.
2. On the monitor, remove the one slotted screw on the bottom, center front
of the monitor. Remove the small section of the shell from the bottom
of the monitor housing.
3. On the RT 3200 Advantage - I system monitor neck, pull the small white
rubber plug from the mount on the monitor neck and unscrew the swivel
limit screw enough to mount the monitor.
Route the monitor connector cable out the slot in the monitor.
4. Place the monitor on the monitor neck, aligning the slots and insuring
that no cables are pinched.
5. Screw in the swivel limit screw on the side of the monitor neck to secure
the monitor. Replace the small white rubber cover.
Carefully check the swivel action of the monitor. Insure no cables are
binding.
7. Replace the small shell plate on the bottom of the monitor housing and
secure it with the slotted screw.
CAUTION Without the weight of the monitor in the gas shock, the monitor height
adjustment moves very rapidly.
Do not place any objects or your body in the path of the monitor
pedestal, if the monitor adjustment is activated, without the monitor
attached.
Overview
EFBW—Third Calculation
Calc 3
10-1 Overview
Please take some time to browse through this section. It describes the many
time saving and income generating features available with the RT 3200
Advantage - III upgrade. Contact your GE Ultrasound Sales Representative
concerning how these features can be added to your system.
The "Prostate Body Marker Patterns" have been added to facilitate the
urology exam. Both inverted and non-inverted prostate patterns can
illustrate the exact probe location.
Calc 3 provides GYN and IVF calculations that are entered on the GYN and
IVF Report Pages.
Press the DIST key, then press the TRACE/AREA key. Both the DIST and
Dist Trace TRACE/AREA LEDs will light and the highlighted cursor will appear
Area
on the screen.
▼
Press SET. A second cursor will appear.
Set
▼
Use the TRACKBALL to position the highlighted "+" cursor to the opposite
T. B. end of the transverse axis.
▼
Press SET. The ellipse graphic will appear with a 1:1 Aspect Ratio (a circle).
Set
NOTE: The transverse diameter is between the two "+" cursors. The
sagittal diameter is between the two "x" cursors. The
highlighted "x" cursor is now active.
▼
Use the TRACKBALL to position the highlighted "x" cursor to the upper end
T. B. of the sagittal axis.
▼
Press SET. The highlighted "x" cursor is now active.
Set
▼
Use the TRACKBALL to position the highlighted "x" cursor to the lower end
T. B. of the sagittal axis.
▼
(continued)
▼
Press SET. The original "+" cursor is now active.
Set
NOTE: Each time you press SET, the cursors will become alternately
active. You may make adjustments to the ellipse as you desire.
The highlighted cursor is the active cursor.
▼
When you are satisfied with the ellipse, press MEAS to complete the
Meas measurement.
The two diameters, circumference and the area will be displayed in their
respective fields on the left-hand side of the display screen.
This measurement may be used in OB TBL 1 (AC and HC). It may also be
used in user programmable OB TBL 2 menu levels 4 and 5.
▼ For gestational age estimations after making an ellipse measurement,
OB OB
Tbl 1 or Tbl 2 select the function (OB TBL 1 or 2).
▼
Select the menu level and press ENTER.
Enter
Illustration 10-1
Ellipse Measurement
GENERAL
ELECTRIC
06 / 20 / 91
12 : 10 : 05
CA 5MHz
1.0
D+ 39
X 42
X
X
C+ 127
X
X
X
A+ 12.86
X
X
X
G68D54T60
GE
3. The Acetabulum roof line connects the lower edge of the osileum
to the osseous convexity.
Illustration 10-2
Hip Dysplasia Calculation
∝
3
2 β 1
The Angle ∝ (Alpha) is the supplement of the angle between lines 1 and 3.
It characterizes the osseous convexity. The angle β (Beta) is the angle
between lines 1 and 2. It characterizes the bone supplementing additional
roofing by the cartilaginous convexity.
▼
Use the ARROW key to select HIP.
▼
Press ENTER and line #1 will appear on the screen. Note that the line is
Enter
about 8 cm with a small gap to mark the center of the line. At one end will
be the number "1".
▼Rotation
Position line #1 using the TRACKBALL and the ROTATION knob. Position
T.B. the line as the baseline.
▼
Press SET. Line #2 will appear on the screen. This line looks like #1 but has
Set a "2" labeled at one end of it. The Greek letter β (Beta) will appear halfway
between the labeled ends of lines 1 and 2, and the angle will be 55 degrees.
On the left hand side of the screen the results of angles ∝ and β will appear.
▼Rotation
Use the TRACKBALL and ROTATION KNOB to position Line #2.
T.B.
▼
When you are satisfied with the position of line #2, press SET. Line #3 will
Set
appear. The Greek letter ∝ will appear halfway between lines 1 and 3 and
the angle will be 60˚.
▼Rotation
Use the TRACKBALL and ROTATION KNOB to position line #3 as the
T.B. Acetabulum Roof Line.
▼
(continued)
▼
If you are not satisfied with any of the three line placements, you can
Set reactivate each line by pressing SET.
▼Rotation
Use the TRACKBALL and ROTATION KNOB to readjust the active line.
T.B.
▼
When you are satisfied with the measurement and positions of the lines,
Meas press MEAS.
This ends the hip dysplasia mode calculations and stores the results on the
display for recording.
▼
Press OFF to erase all measurements and measurement graphics.
Off
Four lines will appear in the text scroll area on the left side of the display. It
will be formatted as shown below.
EFBW:
#1 9999
#2 9999
#3 9999
DISPLAY
Calc 2
Press CALC 2.
▼
Enter Press ENTER. EFBW calculations will be displayed on the lower left portion
of the display.
10-5-1 Overview
This section describes how to display, edit, and print a hardcopy of the
Gestational Report Page. It also explains dependent and independent data
fields, gestational age error markers and gestational age estimation.
Illustration 10-3
Gestational Report Page
CONTROL : ___
Control
▼
R CONTROL : GR ___
GESTATIONAL DATA/REPORT PAGE
▼
Displays the report page on the image screen. The keyboard responds
Enter
to editing commands.
▼
Exits the report page. Returns to normal ultrasound display.
Control
The RT 3200 checks numerical and data fields for validity when you move
the cursor to another field. If you enter illegal data, the RT3200 beeps and
the cursor remains in the offending field.
Use the following keyboard keys or the TRACKBALL to move the cursor as
T.B. you edit a report page:
Press Shift, O ( ) to move the cursor to the first character position in the
Shift O preceding field.
Press Shift . (period) ( ) to move the cursor to the first character position
Shift .
in the next field. If the cursor is already in the last field on the page
(Comment Line 3), it will need to be moved with the TRACKBALL or the
Shift, O ( ) key.
Press Shift, L ( ) to move the cursor to the right one character position.
Shift L If the cursor is already at the last character position of the present field, the
cursor will advance to the first position of the next field.
Press Shift, K ( ) to move the cursor to the left one character position.
Shift K If the cursor is already at the first character position of the present field, it will
move to the first position of the prior field.
Press BS (Backspace) to erase the character to the left of the cursor and
BS move the cursor to the left one position. If the cursor is already at the
beginning of the current field, the BS key has no effect
The RETURN key works the same as the Shift . (period) ( ) key.
Return
Press any other alphanumeric keyboard key to enter a character into the
field at the cursor and move the cursor to the right one position. If the cursor
is already at the last character position of the present field, it will advance to
the first position of the next field.
Illustration 10-4
Edit Fields
Referral
Enter the name of the referring physician, up to 16 characters long.
Referred for
Enter the reason for referral, up to 36 characters long.
Patient Age
Enter the age of the patient, using any two-digit integer. The number is used
only for presentation on the summary page. If you enter zero, the field
display is blank.
EGA
Enter the estimated gestational age at the time of the examination. Enter the
weeks (two digits), followed by the letter "W", the days (one digit), followed
by the letter "D", i.e. 14W2D. This data is used to calculate the estimated
delivery date by EGA.
The formula used is: EDD by EGA = current date + (40 weeks - EGA)
Gravida
Enter the number of pregnancies of the patient. This number may be any
integer, and is used only for presentation on the summary page. If you enter
zero, the field display is blank.
Para
Enter the number of deliveries of the patient, using any two-digit integer. The
number is used only for presentation on the summary page. If you enter
zero, the field display is blank.
Comments (line 1)
Comments (line 2)
Comments (line 3)
Three lines of comments can be entered, each containing up to 64
alphanumeric characters.
Illustration 10-5
Independent Data Fields
Hospital Name
The hospital name is the same sixteen characters appearing in the upper left
corner of the B-Mode display. Use the CONTROL, H function to enter the
hospital name.
Patient Name
Use the ID/NAME key to enter the patient name.
Patient ID
Use the ID/NAME key to enter a patient identification number.
Exam Date
The exam date on the report page is the date on the system clock.
BPD, mm
GA by BPD
BPD Table Author
BPD is the biparietal diameter last measured. GA by BPD is the gestational
age computed from the last biparietal diameter or averaged. BPD Table
Author is the author of the table used in the gestational age computation.
The GA by BPD may be estimated using OB TBL 1, menu level 1, or the user
programmed OB TBL 2, menu level 1, 2, or 3.
The author field will show Hadlock for OB TBL 1, or the user programmed
title from OB TBL 2.
OFD
OFD is the occipital-frontal diameter. It is obtained if a head circumference
is measured by the two-diameter method. The OFD is the second distance
measured.
CRL, mm
GA by CRL
CRL Table Author
CRL is the crown-lump length last measured. GA by CRL is the gestational
age computed from the last crown-rump length or averaged. CRL Table
Author is the author of the table used in the gestational age computation.
The author field will show Robinson for OB TBL 1 or the user programmed
title from OB TBL 2.
FL. mm
GA by FL
FL Table Author
FL is the femur length last measured. GA by FL is the gestational age
computed from the last femur length or averaged. FL Table Author is the
author of the table used in the gestational age computation.
The author field will show O'Brien for OB TBL 1 or the user programmed
title from TBL 2.
AC, mm
GA by AC
AC Table Author
AC is the abdominal circumference last measured. GA by AC is the
gestational age computed from the last abdominal circumference or aver-
aged. AC Table Author is the author of the table used in the gestational age
computation.
The author field will show Hadlock for OB TBL 1 or the user programmed
title from OB TBL 2.
HC, mm
GA by HC
HC Table Author
HC is the head circumference last measured. GA by HC is the gestational
age computed from the last head circumference or averaged. HC Table
Author is the author of the table used in the gestational age computation.
The author field will show Hadlock for OB TBL 1 or the user programmed
title from OB TBL 2.
TAD
APD
TAD is the transverse abdominal diameter. APD is the abdominal anterior-
posterior diameter. Both are obtained only when the abdominal circumfer-
ence are measured by the two-diameter method. TAD is the first distance
measured and APD is the second.
Cephalic Index
The cephalic index is the ratio of the two diameters used in the measurement
of the head circumference, according to the formula:
FL/BPD
FL/BPD is the ratio of femur length to biparietal diameter, in percent. The
displayed values are used for the calculation. If either is missing, the field
is blank. (For OB TBL 1 only.) FL/BPD's normal ratio is 79±8% (23 weeks
to term).
FL/AC
FL/AC is the ratio of femur length to abdominal circumference, in percent.
The displayed FL and AC values are used for the calculation. If either is
missing, the field is blank. (For OB TBL 1 only.) FL/AC's normal ratio is
22±2% (21 weeks to term).
HC/AC
HC/AC is the ratio of head circumference to abdominal circumference, in
percent. The displayed HC and AC values are used for the calculation. If
either is missing, the field is blank. (For OB TBL 1 only.) HC/AC's normal
ratio varies throughout the pregnancy.
The above formula yields EFBW in kilograms when the AC and BPD are in
centimeters. (The machine automatically makes the conversion from
kilograms to grams and millimeters to centimeters.) (For OB TBL 1 only)
The above formula yields EFBW in grams when the AC and FL are in
millimeters. (The machine automatically makes the conversion from kilo-
grams to grams and millimeters to centimeters.) (For use with OB Table 1
gestational ages only.)
The above formula yield EFBW in grams when the FL, AC, and HC
measurements are in millimeters. (The machine automatically makes the
conversion from kilograms to grams and millimeters to centimeters) (For OB
TBL 1 only).
When EFBW is selected, this calculation is made only if the FL, AC, and HC
measurement have been made. Otherwise, the EFBW #3 field to the left on
the screen will display U.F. and will be blank on the Report Page.
Heart Rate
This is the fetal heart rate, in beats per minute, computed in the CALC 1
function, menu level 3. If this measurement is not made, the field is blank.
Dr. Rutherford/Dr. Phelan, Obstetrics & Gynecology, Volume 70, No. 3, Part
1, p. 353-6, Sept. 1987.
36 - 40 weeks
0 - 5 cm = very low 5.1 - 8.0 cm = low
8.1 - 18.0 cm = normal > 18.0 cm = high
Dr. C. S. Smith, The Female Patient, Volume 15, p. 85-97, March 1990.
28 - 40 weeks
15.0 cm = average
> 20.0 - 24.0 = Hydramnios
< 5.0 - 6.0 = Oligohydramnios
Table 10-1
Dependent Data Fields
Field Dependent On
Illustration 10-6
Dependent Data Fields
The first two fields are updated whenever you change the LMP date.
The last two fields are updated whenever you change any of the Yes/No
fields determining which gestational ages are included in the Composite
Gestational Age. The fields are computed as defined below:
GA by LMP
GA by LMP is computed from the date of the first day of the Last Men-
strual Period, according to the formula:
EDD by LMP
EDD by LMP is the Estimated Delivery Date computed from the date of
the first day of the Last Menstrual Period according to the formula:
CGA
CGA, the Composite Gestational Age, is the arithmetic mean of gestational
ages computed from the selected measurements. If the [Include XXX in]
CGA? field (labeled CGA? on the report page) contains a Y, the correspond-
ing measurement is included in the CGA. Otherwise, it is not included in the
average.
EDD by CGA
EDD by CGA is the Estimated Delivery Date computed from Composite
Gestational Age according to the formula:
EDD by EGA
EDD by EGA is the estimated delivery date computed from the Estimated
Gestational Age at the time of the exam. The formula is:
When you press RECORD, the system modifies the displayed report page
before starting the recording process. First, it erases the gestational age
error marker (the arrow which may appear to the right of a gestational age).
Then, it draws solid white areas at the bottom of the report page. These bars
provide white space on the hardcopy print for your signature and date. After
the exposure, the system erases the bars and restores and GA error marker.
Illustration 10-8
Report Page Ready to Print
NOTE: Selecting "D" (Delete) will erase the measurement from the
report page. However, as long as the measurements are not
deleted from the averaging page it can be recalled by entering
a "Y".
Illustration 10-9
Gestational Age Estimation
If you selected menu level 5 (HC), the system uses the anterior-posterior
diameter to compute cephalic index. BPD is not shown on the report page
unless you enter a separate BPD estimation. The occipito-frontal diameter
is stored as the OFD, which is shown on the report page and used in the
computation of the cephalic index.
There are three possible sources for the circumference data used to
estimate gestational age by HC or AC. The first is a circumference by using
the TRACE/AREA function. The second is a circumference by computing
two diameters. The third is the ellipse measurement.
10-5-10 Measurement
Averaging Page
The Measurement Averaging Page enables the display and selection of
measurement values that will be included or excluded from the data to be
used in the calculation of results displayed on the main OB Report Page. For
more details, refer to Section 10-7.
Illustration 10-10
Report Page Sequencing
Urology User
Report Comments
Page Library
Function
OB OB
Tbl 1 Tbl 2
Calc 1 Calc 2
Calc 3 Map
To move from page to page, use the LEFT/RIGHT ARROW key at the
bottom of the Function Key group. Page selections wrap around from end
to end by repeatedly pressing an arrow key, right or left.
10-7-1 Overview
The Measurement Averaging Page enables the display and selection of
measurement values that will be included or excluded from the data to be
used in the calculation of results displayed on the main OB Report Page.
Illustration 10-11
Measurement Averaging Page
USE? N N N USE? N N N
CRL
USE? N N N USE? N N N
FL
USE? N N N USE? N N N
HC
USE? N N N USE? N N N
AC
USE? N N N USE? N N N
Only the flag fields can be edited. You can not edit any of the measurements
displayed on this page.
If the AVERAGE ALL field is "N" (no), then the default for the current
measurement is "Y" (yes) and the two prior measurements will be "N" (no).
"No" is the factory and service default setting for the AVERAGE ALL field.
If the measurement Averaging Page is never used, the AVERAGE ALL
selection is likely to be "N" (no).
If the AVERAGE ALL field is set to "Y" (yes), the default for all measurement
fields will be "Y" (yes). It is assumed that all measurements (up to three) will
be averaged as a matter of regular procedure.
Illustration 10-12
Anatomical Survey Summary
ANATOMICAL SURVEY
IMAGED? APPEARANCE
When the Anatomical Survey Page is enabled, the cursor will appear at the
"yes/no" field of the first feature on the checklist.
Both "yes" and "no" will be displayed for each item on the checklist. The
words "normal" and "abnormal" are not initially displayed.
If "yes" is selected, then the "no" will be erased. The words "normal" and
"abnormal" will appear on the line to the right. The cursor will automatically
move to the "normal/abnormal" field.
If the feature appears normal, press "n" on the keyboard and the word
"abnormal" is erased.
In either case, the cursor will move to the "yes/no" field for the next item on
the checklist.
If "no" is selected, then the "yes" will be erased. The cursor will move to the
"yes/no" field for the next item on the checklist.
10-8-3 Comments
The operator can enter comments into the three line comment field at the
bottom of the screen.
This field is identical to the comment field that appears at the bottom of the
main OB Report Page.
If changes are made in either page, they will automatically appear in the
other as well.
Whether the name field is blank or not, the item is included in the list and the
"yes/no" entries appear on the "IMAGED?" column.
10-9-1 Overview
A User Programmable Comments Library is available to assist the operator
in entering frequently used words and phrases. These words or phrases
may be used often in annotating a scan image or commenting on a report
page such as the OB, Urology or Anatomical Survey Reports.
Illustration 10-13
User Programmable Comments
Library
GE MEDICAL SYSTEMS
USER PROGRAMMABLE COMMENTS LIBRARY
CODE TEXT
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Control O
Control M
▼
Select the AVERAGING PAGE, ANATOMICAL SURVEY and USER COM-
MENTS LIBRARY with the ARROW keys. The cursor will be at the first
character position of the first code field.
▼
Alphanumeric Enter the desired code, using up to four letters.
Keyboard
▼
Press RETURN. The cursor then moves to the text string field.
Return
▼
Alphanumeric Enter the desired text string, using up to forty characters.
Keyboard
▼
Press RETURN. The cursor moves to the code field of the second line.
Return
▼
Continue entering your code and text in the above fashion.
Control
If you need to move a specific line in the comments library, using the
TRACKBALL or SHIFT and the ARROW keys on the alphanumeric
keyboard.
To edit the Comments Library, select the OB, GYN/IVF or Urology Summary
Control O Report sequence.
Control U
Control M
▼
Use the function ARROW keys to select the Programmable Comments
Library page.
▼
Directional Use the TRACKBALL or KEYBOARD ARROW keys to select the appropri-
T.B. Keys ate comment line.
▼
Alphanumeric Enter a new four character code word if necessary.
Keyboard
▼
Press RETURN or move the TRACKBALL to store that code word. The
T.B. Return cursor will move to the text field.
▼
Alphanumeric Enter the new forty character maximum text field desired.
Keyboard
▼
Press RETURN or move the TRACKBALL to store the new text words.
T.B. Return
Repeat as necessary to edit the desired comment lines.
Press the CONTROL key to exit the report page function and exit the control
Control function.
To place comments in the Report page, you must display that report page
and move the cursor down to the appropriate spot in the comment field.
Once you have moved the cursor to the appropriate spot in the image or
report page, type in the code word (maximum four characters). Press
ENTER. The comments library will be searched for the code word. If the
code word is found, the code is overwritten by the text string on the image
or report page. The text will wrap at the right margin, just as if you had
entered it from the keyboard.
10-9-6 No Code
If no code is found in the comment library, the system will react in two
different ways.
If you are in the Comment Mode the system assumes that the characters
preceding the ENTER were normal text. It assumes the user pressed
ENTER in order to exit the Comment Mode and make the keyboard entries
permanent. Thus an exit will be performed.
If you are in the comment field of a Report Page, the code search failure is
recognized as an error. The system will beep and the code entered remains
on the comment field.
10-10-1 Overview
The Urology Summary Report Page is provided to improve productivity and
facilitate consistency in Urology procedures.
Illustration 10-14
Urology Summary Page Report
NAME:
ID: AGE:
REFERRAL:
REFERRED FOR:
AP: XXXXXXXXXXXX
PSA: XXXXXXXXXXXX
PPSA: BASED ON VOLUME 1
DRE: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXX: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
The Patient Name and ID can not be edited on this report page. They were
entered prior to the start of the exam by using the ID/NAME key.
There are three fields in which measured volumes are reported. These
volumes are obtained from the volume measurements taken in the CALC
1 and/or CALC 2 menus. The first volume measurement taken is recorded
as Volume #1. The second and third measurements are recorded as
Volume #2 and Volume #3, respectively.
The system will store the three most recent volume measurements. If a
fourth volume measurement is made, Volume #1 is erased. Volume #2
becomes #1. Volume #3 becomes #2 and the forth measurement is Volume
#3. The very first measurement is lost.
In the space to the right of each volume measurement, the user can type in
comments pertinent to that particular volume measurement.
This control function is used to display the Urology Report Page se-
quence.
DISPLAY
CONTROL : ___
Control Press the CONTROL key.
▼
CONTROL : U___
U UROLOGIC REPORT
▼
Press the ENTER key to display the Urology Report Page.
Enter
This Control function selects to modify the output video when the RECORD
key is pressed if a gamma correction curve is used. CONTROL, R, L
disables the gamma correction curve for summary report printing.
DISPLAY
CONTROL : ___
Control
▼
CONTROL : R ___
R RECORD OUTPUT
▼
CONTROL : RL___
L RECORD OUTPUT/SELECT LINE PRINTER
(Gamma correction curve will not be used when RECORD is pressed. System
beeps after record process has started.)
▼
Press the ENTER key.
Enter
Illustration 10-15
Prostate Body Marker Patterns
PACKAGE D
Prostate Patterns-Inverted
PACKAGE E
Prostate Patterns
IVF—Allows for the measurement of up to six follicles in the right ovary and
six follicles in the left ovary. The measurements are recorded on the IVF
Summary Report Page (see Illustration 10-17) where the mean diameter
and volume are calculated for each follicle measured.
Illustration 10-16
GYN Report Page
GYN REPORT
CERVIX
ENDOMETRIUM
UTERUS
RIGHT OVARY
LEFT OVARY
COMMENTS:
Illustration 10-17
IVF Report Page
FERTILITY REPORT
RIGHT OVARY FOLLICLES LEFT OVARY FOLLICLES
DIAMETERS (mm) VOL DIAMETERS (mm) VOL
+ x MEAN (cm 3) + x MEAN (cm 3 )
1
* 1
*
2 2
3 3
4 4
5 5
6 6
FOLLICULAR OBSERVATIONS
VOLUME CHANGES :
BORDER APPEARANCE :
CONTENTS :
OTHER :
COMMENTS:
10-14-1 Overview
Cine Memory is an option to the RT 3200 Advantage-I Version 5 software
system. Cine Memory is free running storage of 32 image frames in B-Mode
operation only. Free running means that during B-Mode operation only, the
system displays the current image and has in memory the 32 previous image
frames.
The only functional difference between a system with or without the Cine
Memory option is apparent after an image is frozen and the GAIN control
knob is rotated.
• Gain, Dynamic Range and Focal Zone numbers are no longer displayed
after the GAIN control knob is rotated for Cine Memory review.
• The Cine Memory position indicator replaces Gain, Dynamic Range and
Focal Zone after the GAIN control knob is rotated.
Illustration 10-18
Cine Memory Position Indicator
GENERAL
ELECTRIC
06 / 20 / 91
11 : 15 : 25
S 3.5MHz
x1.0
GE
Turning the GAIN control knob counterclockwise allows for the review of any
of the previously stored 32 image frames. The arrow pointer moves with
every "click" of the GAIN control knob to show the relative position of the
image in Cine Memory.
Rotating the GAIN control knob clockwise reviews images in the opposite
direction. Once a left or right limit is reached, the review wraps around to the
opposite end and continues displaying images from Cine Memory with
GAIN control knob rotation.
After choosing the desired image, the operator can make measurements
and have them entered on a report page. Annotations can also be added
or pictures taken on the thermal printer or multi-image camera.
If the GAIN control knob is rotated, the measurement cursors will be erased.
They are not stored with the image. It is not possible to rotate back and have
the measurement cursors reappear.
Measurements displayed on the left side of the display will remain when the
GAIN control knob is rotated. Press the OFF key to remove this measure-
ment data from the display.
Cine Memory is not available for both sides (right and left) simultaneously.
It is only available for the side showing the Cine position indicator. When
switching sides, the Cine Memory function switches to the active side.
G66D54T60
GE
Illustration 10-20
Cine Memory Left Side
GENERAL
ELECTRIC
06 / 20 / 91
11 : 15 : 25
CA 5MHz
1.0
GE
D G
Dimensions Generic Measurements 4-1
RT 3200 1-6 Calculation Error Messages 4-10
Display Adjustment. See Monitor: Display Adjustment Gestational Data
Display Formats Editing Gestational Age Data
B/M-Mode Format 1-11 Control, G, 1-2-3-4-5 5-18
Dual B-Mode Format 1-11 Programming Gestational Age Data
Single B-Mode Format 1-10 Control, G, 0 5-16
Display OB Report Page. See Gestational Summary Gestational Report Page
Report Measurement Averaging Page. See Measurement
Display Scale Keys 3-5. See also Front Panel Averaging Page
Distance Measurement 4-4 Gestational Summary Report
Dotted Line On/Off Controlling Cursor Motion 10-11
Control, Q 5-33 Dependent Data Fields 10-20
Dynamic Range 3-4. See also Front Panel Displaying and Exiting 10-11
Displaying the Report Page 10-10
E Edit Fields 10-13
Echo Gain Control 3-4. See also Front Panel Editing the Report Page
Echo Level Measurement Controlling Cursor Motion 10-12
Arbitrary Area Error Markers 10-21
Control, E, 0 5-9 Exiting the Report Page 10-11
Fixed Area Gestational Age Estimation 10-23
Control, E, 1-2-3 5-8 Hardcopy Output 10-22
EDC (Estimated Date of Confinement) 6-40 Independent Data Fields 10-15
EFBW (Estimated Fetal Body Weight) Measurement Averaging 10-24, 10-26
#1 (BPD/AC) 6-41 Overview 10-10
#2 (FL/AC) 6-42 Report Page Sequencing 10-25
#3 (FL/AC/HC) 10-9, 10-19 GYN 10-38
Electrical Requirements 1-5 H
Ellipse Measurements 10-4
Error Messages Hardware Description 1-8
Measurement Calculation 4-10 HC (Head Circumference). See OB TBL 1: HC
(Head Circumference)
F Heart Rate 6-33
Features 1-3 High Frame Rate On/Off
Film Development Time 5-15 Control, K 5-24
Control, F, 1-2-3-4 5-15 HIP (HIP Dysplasia) 10-6
FL (Femur Length). See OB TBL 1: FL (Femur Histogram
Length) Arbitrary Area
Focus Selections 3-5. See also Front Panel Control, E, H, 0 5-13, 5-14
Foot Switch Connection 1-18 Fixed Area
Frame Averaging On/Off Control, E, H, 1-2-3 5-12
Control, W 5-35 Hospital Name
Freeze Key 3-12. See also Front Panel Control, H 5-20
Front Panel 2-3
Function Key Selections 6-1
Function Keys 3-16
I Monitor
Display Adjustment 1-15
ID/Name Key 3-3. See also Front Panel Height Adjustment 1-17
Image Direction Keys 3-5. See also Front Panel Multi-Image Camera Connection 8-14
Image Scroll Keys 3-6. See also Front Panel Multiple Image Display 3-9. See also Front Panel
Inspection Maximum Number of Images 3-10
Monthly C-8
Introduction 1-3 N
Inverse
Control, I, 1-2-3-4 5-21 New Patient Key 3-3. See also Front Panel
IVF 10-38 O
K OB Report. See Gestational Summary Report
Keyboard Illumination 3-14. See also Front Panel OB TBL 1
AC (Abdominal Circumference) 6-10
L AC Factory Stored Table 6-11
AC/HC (Two Diameter Method) 6-14
Lever, Locking 7-15 BPD (Biparietal Diameter) 6-4
BPD Factory Stored Table 6-5
M CRL (Crown Rump Length) 6-6
M-Mode CRL Factory Stored Table 6-7
Sweep Speed 3-9 FL (Femur Length) 6-8
M-Mode Display Selection 3-8. See also Front FL Factory Stored Table 6-9
Panel HC (Head Circumference) 6-12
Maintenance HC Factory Stored Table 6-13
Daily Check List E-1 OB TBL 2 6-15
Monthly Check List E-1 Coding Sheet 6-20, 6-21
Weekly Check List E-1 Editing Gestational Age Data
Map Package. See Mapping Control G, 1-2-3-4-5 6-18. See also Control
Control, N 5-33 Key Functions
Mapping Programming Gestational Age Data
Package A Control G, 0, 1-2-3-4-5 6-16. See also Control
Level 1 6-58 Key Functions
Level 2 6-58 Options
Level 3 6-59 Multi-Image Camera 8-14
Level 4 6-59 Probe Related 1-4
Level N 6-57 Recording Devices 1-4
Package B Sony Page Printer 8-6
Level 1 6-60 VCR 8-10
Level 2 6-61
Level 3 6-61
P
Level 4 6-62 Page Printer. See Sony UP-850/UP-870: Installation
Level N 6-60 Panasonic AG-5200/AG-1260/AG-1270
Measurement Averaging Page Installation 8-10
Average All 10-27 Power-up 1-14
Editing the Page 10-27 Preset Parameters Key 3-7. See also Front Panel
Report Page Sequencing 10-25 Probe
The Report Display 10-26 Cable Arm Support 1-13
Measurement Keys 3-15 Cleaning C-1, C-2
Mechanical Stepper. See Urology Illustrations C-4
Connection 1-12
Storage 1-13
Probe Selection 3-3. See also Front Panel Stepper Volume 6-43, 7-3
Programmable Comments Library Basic Principles of Operation 7-24
Editing the Comments Library 10-32 Calculation Formula 7-23
No Code 10-33 Stepper Volume Formula 7-23
Overview 10-30 Sweep Speed 3-9
Programming Comments 10-31 Symbols. See Warnings and Symbols
Report Page Sequencing 10-25 System
Selecting the Comments Library 10-30 Cleaning
Using the Comments Library 10-33 Console Surfaces C-7
Monitor Face C-7
R Multi Imaging Device C-8
Record Key 3-14 Page Printer C-8
Record Output Video Cassette Recorder C-8
Gamma Curve Selection How to Move the Unit E-2
Control, R, P-V 5-34 How to Store the Unit E-1
Report Page System Dimensions 1-6
Gestational 10-10 System Set-up 1-12. See also Probe: Cable Arm
GYN 10-38 Support
IVF 10-38 T
Urology 10-34
Report Page Sequencing 10-25 Table, Universal 7-15
Temperature/Humidity Requirements 1-5
S Text/Graphics Display On/Off
Safety ix Control, D 5-7
Equipment and Personnel TGC Slide Pots 3-4. See also Front Panel
Calculation Formulas and Databases xiv Troubleshooting
Infection Control xiii RT3200 Advantage - I D-1
Prescription Device xiii Sony Page Printer D-2
Risk of Electrical Shock xiii U
Levels of Concern
Attention x Urology
Caution ix 7.0 MHz Transaxial Probe 7-3
Danger ix Description 7-3
Warning ix Factory Presets 7-4
Patient Infection Control 7-7
Acoustic Hazards xii Parts List 7-3
Diagnostic Information xii Patient Preparation 7-7
Electrical Hazards xii Patient Scan 7-9
Mechanical Hazards xii Probe Preparation 7-4
Patient Identification xii Scanning with Water Path 7-5
Scan Image Adjustment 3-4 System Preparation 7-7
SET 6-46, 7-28 Use with Volume Stepper Device 7-5
Single Keystroke Operation 3-16 Body Patterns 10-37
Sony SVO-1410 Mechanical Stepper 7-3
Installation 8-10 Alternate Assembly 7-17
Sony UP-890 Cleaning and Sterilization 7-22
Installation 8-6 Control/Adjustment Description 7-15
Standard Configuration 1-4 Lithotomy (Stirrup) Table Mounting 7-19
Standard Specifications 1-5 Parts Identification 7-13
Starting the machine. See Power-up Periodic Maintenance 7-21
Replacement Parts 7-22
Typical Use 7-20
V
VCR. See Panasonic AG-5200/AG-1260/AG-1270:
Installation; Sony SVO-1410 Installation
Velocity 6-35
Volume 6-26
W
Warnings and Symbols ix