DW-PF522 User Manual

Color Ultrasonic Diagnostic Apparatus User Manual
CONTENT
CHAPTER 1 OVERVIEW.....................................................................................................................................- 6 -
1.1 FEATURES..........................................................................................................................................................- 8 -
1.2 SCOPE OF APPLICATION.................................................................................................................................... - 8 -
1.3 CONTRAINDICATIONS........................................................................................................................................- 8 -
1.4 SAFETY REQUIREMENT.....................................................................................................................................- 8 -
1.5 ENVIRONMENTAL TESTING REQUIREMENTS..................................................................................................... - 8 -
1.6 SOUND OUTPUT DATA PUBLISHED..................................................................................................................... - 9 -
1.7 SECURITY ID.....................................................................................................................................................- 9 -
CHAPTER 2 FUNCTIONS AND SPECIFICATIONS..................................................................................... - 13 -
2.1 MAIN FUNCTIONS........................................................................................................................................... - 13 -
2.2 MAIN SPECIFICATIONS.................................................................................................................................... - 13 -
CHAPTER 3 ENVIRONMENTAL AND ELECTROMAGNETIC COMPATIBILITY REQUIREMENTS- 15
-
3.1 ENVIRONMENTAL REQUIREMENTS..................................................................................................................- 15 -
3.2 TRANSPORT AND STORAGE ENVIRONMENT REQUIREMENTS...........................................................................- 15 -
3.3 ELECTROMAGNETIC TABLE.............................................................................................................................- 15 -
CHAPTER 4 APPARATUS INSTALLATION...................................................................................................- 19 -
4.1 INSPECTION..................................................................................................................................................... 22
4.2 PROBE INSTALLATION..................................................................................................................................... - 20 -
4.3 INSTALLATION OF EXTERNAL VIDEO DEVICE.................................................................................................. - 20 -
4.4 PROTECTIVE GROUND WIRE CONNECTION......................................................................................................- 20 -
4.5 POWER CONNECTION...................................................................................................................................... - 20 -
CHAPTER 5 OPERATING INSTRUCTIONS..................................................................................................- 22 -
5.1 SWITCH ON......................................................................................................................................................- 22 -
5.2 SWITCH OFF.................................................................................................................................................... - 22 -
5.3 KEYBOARD LAYOUT:.......................................................................................................................................- 22 -
5.4 FUNCTION KEY DESCRIPTION..........................................................................................................................- 22 -
5.5 COMBINATION KEY FUNCTION DESCRIPTION.................................................................................................. - 24 -
5.6 SPECIFIC OPERATION INTRODUCTION.............................................................................................................- 25 -
5.7 SPECIFIC OPERATION INSTRUCTION................................................................................................................ - 27 -
CHAPTER 6 DISPLAY MODE...........................................................................................................................- 36 -
6.1 B MODE（DEFAULT MODE）.......................................................................................................................... - 36 -
6.2 B/B MODE....................................................................................................................................................... - 36 -
6.3 4B MODE.........................................................................................................................................................- 37 -
6.4 B/M MODE...................................................................................................................................................... - 38 -
6.5 M MODE.......................................................................................................................................................... - 39 -
6.6 B+C MODE（COLOR DOPPLER MODE）........................................................................................................- 40 -
6.7 PDI MODE....................................................................................................................................................... - 42 -
6.8 B+D MODE......................................................................................................................................................- 43 -
6.9 B+C+D MODE.................................................................................................................................................- 44 -
6.10 PWD MODE...................................................................................................................................................- 45 -
6.11 CWD MODE/ CONTINUOUS WAVE DOPPLER (PRESET)................................................................................ - 46 -
CHAPTER 7 OPTIMIZE B MODE IMAGES.................................................................................................. - 47 -
7.1 USAGE OF B MODE......................................................................................................................................... - 47 -
7.2 CONVENTIONAL B MODE CHECK PROGRAM................................................................................................... - 47 -
7.3 B MODE TOP / SECONDARY MENU................................................................................................................... - 47 -
7.4 B MODE FUNCTION EXPLANATION AND ADJUSTMENT.................................................................................... - 48 -
7.5 OPTIMIZE B MODE.......................................................................................................................................... - 50 -
7.5.1 Depth adjustment............................................................................................................................- 50 -
7.5.2 Gain Control...................................................................................................................................- 50 -
7.5.3 Focus number................................................................................................................................. - 51 -
7.5.4 Frequency....................................................................................................................................... - 51 -
7.5.5 THI................................................................................................................................................. - 52 -
7.5.6 Dynamic range............................................................................................................................... - 52 -
7.5.7 Scan density....................................................................................................................................- 53 -
7.5.8 Grayscale........................................................................................................................................ - 53 -
7.6 B/M MODE ADJUSTMENT................................................................................................................................ - 54 -
7.7 M MODE ADJUSTMENT....................................................................................................................................- 54 -
CHAPTER 8 COLOR MODE IMAGE OPTIMIZATION.............................................................................. - 56 -
8.1 USAGE.............................................................................................................................................................- 56 -
For Love, Image the World -1-
8.2 INTRODUCTION............................................................................................................................................... - 56 -
8.3 COLOR FLOW MODE (CFM) PARAMETERS ADJUSTMENT.............................................................................. - 56 -
8.4 OPTIMIZE COLOR FLOW................................................................................................................................. - 59 -
8.4.1 Activate color flow mode............................................................................................................... - 59 -
8.4.2 C Gain.............................................................................................................................................- 59 -
8.4.3 PRF................................................................................................................................................. - 60 -
8.4.4 Wall Filter....................................................................................................................................... - 60 -
8.4.5 Color scanning area........................................................................................................................- 60 -
8.4.6 Color invert.................................................................................................................................... - 61 -
8.4.7 C Speed..............................................................................................................................................- 61 -
8.4.8 Steer................................................................................................................................................- 62 -
8.4.9 Spatial Filter................................................................................................................................... - 62 -
8.4.10 Ensemble...................................................................................................................................... - 62 -
8.4.11 C Persist........................................................................................................................................- 63 -
8.5 POWER DOPPLER IMAGING （PDI MODE）................................................................................................. - 63 -
8.6 OPTIMIZE PW MODE...................................................................................................................................... - 64 -
8.6.1 PW mode parameter adjustment.................................................................................................... - 64 -
CHAPTER 9 OPTIMIZE COLOR DOPPLER IMAGES............................................................................... - 67 -
9.1 USAGE.............................................................................................................................................................- 67 -
9.2 TYPICAL APPLICATIONS - PW (PULSE WAVE) DOPPLER.................................................................................- 67 -
9.3 TYPICAL INSPECTION PROGRAM..................................................................................................................... - 67 -
9.4 SPECTRUM DOPPLER DISPLAY........................................................................................................................ - 68 -
9.4.1 Spectrum mode...............................................................................................................................- 68 -
9.4.2 Doppler sampling volume gate positioning................................................................................... - 68 -
9.4.3 PRF................................................................................................................................................. - 69 -
9.4.4 Angle correction............................................................................................................................. - 69 -
9.4.5 Steer................................................................................................................................................- 70 -
9.4.6 Wall Filter....................................................................................................................................... - 70 -
9.4.7 Baseline.......................................................................................................................................... - 70 -
9.4.8 Wave Invert.................................................................................................................................... - 71 -
9.4.9 Dual Synchronous / Triplex Synchronous..................................................................................... - 71 -
9.4.10 Volume..........................................................................................................................................- 72 -
9.4.11 D Velocity..................................................................................................................................... - 72 -
9.4.12 D Gain.......................................................................................................................................... - 72 -
9.4.13 Frequency..................................................................................................................................... - 72 -
CHAPTER 10 GENERAL MEASUREMENT AND VALCULATION.......................................................... - 73 -
10.1 DESCRIPTION................................................................................................................................................ - 73 -
10.2 OVERVIEW.....................................................................................................................................................- 73 -
10.3 CHECK WORKFLOW.......................................................................................................................................- 73 -
10.4 GENERAL MEASUREMENT............................................................................................................................ - 73 -
10.4.1 B mode general measurement...................................................................................................... - 73 -
10.4.2 Corresponding key and menu operating instructions:................................................................. - 73 -
10.4.3 Angle measurement......................................................................................................................- 74 -
10.4.4 Volume measurement................................................................................................................... - 75 -
10.4.5 B/M, M mode general measurement............................................................................................- 75 -
10.4.6 Heart Rate measurement.............................................................................................................. - 76 -
10.4.7 Valve Velocity Measurement........................................................................................................- 76 -
10.4.8 Corresponding key and menu operating instructions:................................................................. - 77 -
10.4.9 Spectrum / D General Measurement............................................................................................- 78 -
10.4.10 Time Measurement.....................................................................................................................- 78 -
10.4.11 HR Measurement........................................................................................................................- 79 -
10.4.12 Velocity Measurement................................................................................................................- 79 -
10.4.13 Acceleration Measurement.........................................................................................................- 79 -
10.4.14 D General Measurement............................................................................................................ - 80 -
10.4.15 Doppler Trace.............................................................................................................................- 80 -
10.4.16 Doppler Automatic Measurement.............................................................................................. - 81 -
10.5 SPECIALIST MEASUREMENT......................................................................................................................... - 81 -
10.5.1 Abdomen, General Measurement.................................................................................................- 82 -
10.5.2 Urology Measurement Operation................................................................................................ - 82 -
10.5.3 Liver Measurement...................................................................................................................... - 83 -
10.5.4 Gallbladder Measurement............................................................................................................ - 84 -
10.5.5 Gallbladder Wall Thickness Measurement.................................................................................. - 84 -
-2- For Love, Image the World
10.5.6 CBD Measurement.......................................................................................................................- 84 -

10.5.7 Portal Vein Measurement............................................................................................................. - 85 -
10.5.8 Spleen Measurement.................................................................................................................... - 85 -
10.5.9 Aortic Measurement..................................................................................................................... - 86 -
10.5.10 Prox Ao AP Measurement.......................................................................................................... - 86 -
10.5.11 Mid Ao AP Measurement........................................................................................................... - 86 -
10.5.12 Dist Ao AP Measurement...........................................................................................................- 86 -
10.5.13 Rt Iliac AP Measurement........................................................................................................... - 87 -
10.5.14 Lt Iliac AP Measurement............................................................................................................- 87 -
10.5.15 Prox Ao Width Measurement.....................................................................................................- 87 -
10.5.16 Mid Ao Width Measurement......................................................................................................- 87 -
10.5.17 Dist Ao Width Measurement......................................................................................................- 88 -
10.5.18 Bladder Measurement................................................................................................................ - 88 -
10.5.19 Bladder Wall Measurement........................................................................................................- 88 -
10.5.20 Left/Right Ureter Measurement................................................................................................. - 89 -
10.5.21 Pre-void Volume, Post-void Volume Measurement...................................................................- 89 -
10.5.22 Prostate Volume Measurement...................................................................................................- 89 -
10.6 EARLY OBSTETRIC, LATER OBSTETRIC MEASUREMENT.............................................................................. - 90 -
10.6.1 Measurement Items:..................................................................................................................... - 90 -
10.6.2 Early Obstetric Menu:.................................................................................................................. - 90 -
10.6.3 Later Obstetric Menu:.................................................................................................................. - 91 -
10.6.4 Obstetrics Description..................................................................................................................- 92 -
10.6.5 Calculate GA and EDD................................................................................................................ - 93 -
10.6.6 Calculate FW................................................................................................................................- 93 -
10.6.7 Calculate GA and EDC by LMP.................................................................................................. - 93 -
10.6.8 Calculate GA and EDC by BBT.................................................................................................. - 93 -
10.6.9 Fetal Biophysical Score................................................................................................................- 94 -
10.6.10 Fetal Growth Curve....................................................................................................................- 95 -
10.6.11 GS Measurement........................................................................................................................ - 95 -
10.6.12 Early / Later Obstetric operation steps:..................................................................................... - 95 -
10.6.13 BPD Measurement..................................................................................................................... - 96 -
10.6.14 CRL Measurement..................................................................................................................... - 97 -
10.6.15 FL Measurement.........................................................................................................................- 97 -
10.6.16 HL Measurement........................................................................................................................- 97 -
10.6.17 TAD Measurement..................................................................................................................... - 98 -
10.6.18 LV Measurement........................................................................................................................ - 98 -
10.6.19 OFD Measurement..................................................................................................................... - 98 -
10.6.20 AC Measurement........................................................................................................................- 99 -
10.6.21 HC Measurement....................................................................................................................... - 99 -
10.6.22 AFI Measurement.......................................................................................................................- 99 -
10.6.23 NT Measurement......................................................................................................................- 100 -
10.7 GYN MEASUREMENT（PELVIC MENU）.................................................................................................. - 100 -
10.7.1 Description................................................................................................................................. - 100 -
10.7.2 Pelvic Measurement Menu.........................................................................................................- 100 -
10.7.3 GYN Measurement Operation Steps:........................................................................................ - 102 -
10.7.4 Left and Right Ovary Volume Measurements........................................................................... - 103 -
10.7.5 Ovary Cysts Measurement......................................................................................................... - 103 -
10.7.6 Uterus Measurement.................................................................................................................. - 104 -
10.7.7 Uterus volume measurement......................................................................................................- 104 -
10.7.8 Endometrial measurements........................................................................................................ - 104 -
10.7.9 Uterus Fibroid Measurement..................................................................................................... - 104 -
10.7.10 Multiple follicle Measurements............................................................................................... - 105 -
10.8 MSK MEASUREMENT................................................................................................................................. - 105 -
10.8.1 Description................................................................................................................................. - 106 -
10.8.2 Skeletal muscle measurement steps........................................................................................... - 106 -
10.8.3 Distance Measurement............................................................................................................... - 107 -
10.8.4 Area Measurement..................................................................................................................... - 107 -
10.8.5 Hip Angle Measurement............................................................................................................ - 107 -
10.9 SMALL ORGANS MEASUREMENT................................................................................................................- 107 -
10.9.1 Description................................................................................................................................. - 107 -
10.9.2 Small Organs Measurement Menu.............................................................................................- 108 -
10.9.3 Small Organs Measurement Operation Steps............................................................................ - 109 -
10.9.4 Left/Right Thyroid Volume Measurement.................................................................................- 109 -

10.9.5 Left/Right isthmusMeasurement................................................................................................- 109 -
10.9.6 Left/Right Testis Measurement.................................................................................................. - 110 -
10.9.7 Vessel Area Measurement.......................................................................................................... - 110 -
10.9.8 Stenosis Area Measurement....................................................................................................... - 110 -
10.9.9 Vessel Diam Measurement......................................................................................................... - 110 -
10.9.10 Stenosis Diam Measurement.................................................................................................... - 111 -
10.10 UROLOGY MEASUREMENT........................................................................................................................- 111 -
10.10.1 Urology Measurement Menu.......................................................................................................- 111 -
10.10.2 Urology Measurement Operation.............................................................................................- 112 -
10.10.3 Kidney Volume Measurement.................................................................................................. - 113 -
10.10.4 Kidney Cortex Measurement................................................................................................... - 113 -
10.10.5 Bladder Volume Measurement................................................................................................. - 113 -
10.10.6 Pro-void Volumn Measurement............................................................................................... - 114 -
10.10.7 Post-void Volumn Measurement.............................................................................................. - 114 -
10.10.8 Bladder Wall Measurement...................................................................................................... - 114 -
10.10.9 Rt Ureter Measurement............................................................................................................ - 114 -
10.10.10 Lt ureter Measurement........................................................................................................... - 115 -
10.11 VASCULAR (PERIPHERAL BLOOD VESSEL) MEASUREMENT..................................................................... - 115 -
10.11.1 Description................................................................................................................................- 115 -
10.11.2 Vascular Measurement Menu................................................................................................... - 115 -
10.11.3 Peripheral Blood Vessel Operation Steps.................................................................................- 116 -
10.11.4 Stenosis Measurement.............................................................................................................. - 118 -
10.11.5 Intima Measurement.................................................................................................................- 118 -
10.11.6 Arterial Measurement............................................................................................................... - 119 -
10.11.7 Venous Distance Measurement................................................................................................ - 119 -
10.12 CARDIAC MEASUREMENT.........................................................................................................................- 119 -
10.12.1 Description.................................................................................................................................. - 119 -
10.12.2 Cardiac Measurement Menu.................................................................................................... - 120 -
10.12.3 Cardiac Measurement Operation Steps....................................................................................- 121 -
10.12.4 RV/LV Measurement................................................................................................................- 123 -
10.12.5 RVWd Measurement................................................................................................................ - 123 -
10.12.6 RVDd Measurement.................................................................................................................- 123 -
10.12.7 RVWs Measurement................................................................................................................ - 124 -
10.12.8 RVDs Measurement................................................................................................................. - 124 -
10.12.9 LVDd Measurement................................................................................................................. - 125 -
10.12.10 LVPWd Measurement............................................................................................................ - 125 -
10.12.11 LVDs Measurement................................................................................................................- 125 -
10.12.12 LVPWs Measurement............................................................................................................ - 126 -
10.12.13 LVSimps Measurement.......................................................................................................... - 126 -
10.12.14 A4C Dias Measurement......................................................................................................... - 126 -
10.12.15 A4C Sys Measurement...........................................................................................................- 126 -
10.12.16 A2C Dias Measurement......................................................................................................... - 127 -
10.12.17 A2C Sys Measurement...........................................................................................................- 127 -
10.12.18 IVSs Measurement................................................................................................................. - 127 -
10.12.19 IVSd Measurement.................................................................................................................- 127 -
10.12.20 AORoot Measurement............................................................................................................- 128 -
10.12.21 ASC AO Measurement...........................................................................................................- 128 -
10.12.22 AVA（Trace） Measurement............................................................................................... - 128 -
10.12.23 LA Measurement....................................................................................................................- 128 -
10.12.24 LVOT Diam Measurement.....................................................................................................- 129 -
10.12.25 Diameter Measurement.......................................................................................................... - 129 -
10.12.26 MVA（Trace） Measurement.............................................................................................. - 129 -
10.12.27 Epi Area Measurement...........................................................................................................- 129 -
10.12.28 Endo Area Measurement........................................................................................................- 130 -
10.12.29 LV Length Measurement........................................................................................................- 130 -
10.12.30 LVOT Diam Measurement.....................................................................................................- 130 -
10.12.31 RVOT Diam Measurement.................................................................................................... - 130 -
CHAPTER 11 3D/4D USER MANUAL............................................................................................................- 131 -
11.1 OVERVIEW...................................................................................................................................................- 131 -
11.2 SOFTWARE DESCRIPTION............................................................................................................................ - 131 -
11.3 ENTER INTO 3D/4D SOFTWARE.................................................................................................................. - 131 -
11.3.1 Start 3D / 4D Operation................................................................................................................ - 131 -

11.3.2 Exit the 3D /4D Operation............................................................................................................ - 133 -
11.4 2D IMAGE ROTATION.................................................................................................................................. - 133 -
11.4.1 Parameter Selection.......................................................................................................................- 133 -
11.4.2 Adjust the 3D / 4D Image..............................................................................................................- 133 -
11.4.3 2D Image Movement.....................................................................................................................- 134 -
11.4.4 Image movement........................................................................................................................... - 134 -
11.5 3D / 4D IMAGE ROTATION.......................................................................................................................... - 135 -
11.6 3D / 4D FUNCTION MENU.......................................................................................................................... - 135 -
11.6.1 Display mode.................................................................................................................................- 136 -
11.6.2 2D Color Mode..............................................................................................................................- 138 -
11.6.3 3D Color Mode..............................................................................................................................- 138 -
11.6.4 3D Smoothing Adjustment............................................................................................................ - 138 -
11.6.5 4D mode Auto Cine.......................................................................................................................- 138 -
11.6.6 Cine Velocity................................................................................................................................. - 138 -
11.7 MEASUREMENT FUNCTION......................................................................................................................... - 139 -
11.7.1 Distance Measurement.................................................................................................................. - 139 -
11.7.2 Perimeter / Area Measurement......................................................................................................- 139 -
11.7.3 Volume Measurement....................................................................................................................- 140 -
11.8 STORAGE FUNCTION................................................................................................................................... - 140 -
11.8.1 Image Storage Function................................................................................................................ - 140 -
11.8.2 Image Formats...............................................................................................................................- 140 -
11.8.3 Image Storage................................................................................................................................- 140 -
11.8.4 AVI Save........................................................................................................................................ - 141 -
11.8.5 Cine/ Image management..............................................................................................................- 141 -
CHAPTER 12 DAILY MAINTENANCE......................................................................................................... - 142 -
12.1 MAINTENANCE RESPONSIBILITY................................................................................................................ - 142 -
12.2 HOST MAINTENANCE..................................................................................................................................- 142 -
12.3 PROBE MAINTENANCE................................................................................................................................- 142 -
12.4 ABOUT BATTERY........................................................................................................................................... - 143 -
CHAPTER 13 TRANSPORT AND STORAGE.............................................................................................. - 145 -
13.1 TRANSPORT................................................................................................................................................. - 145 -
13.2 STORAGE.....................................................................................................................................................- 145 -
13.3 DESCRIPTION OF PACKAGING AND SHIPPING IDENTIFICATION.................................................................. - 145 -
CHAPTER 14 SIMPLE FAULT DETECTION AND TROUBLESHOOTING.......................................... - 146 -
CHAPTER 15 WARNING AND INSTRUCTIONS........................................................................................ - 147 -
CHAPTER 16 SERVICE GUIDE..................................................................................................................... - 148 -

Foreword statement
 This publication, including all photographs and illustrations, is protected by international copying
laws and all copyrights are owned by Dawei Medical (Jiangsu) Co., Ltd.
 The comments in this document don’t need to change. The manufacturer makes no representations
or warrants any warranties based on this point and expressly disclaims any implied warranties of
merchantability or interest for a particular purpose.
 This document is prohibited to photocopied, reproduced or translated into other languages without
the the manufacturer’s written permission.
 The contents of this document are subject to revision by the manufacturer without prior notice.
 The device cannot be used with cardiac defibrillators and HF surgery equipment.
 Some pictures in this manual are schematic diagrams, for reference only. If the pictures do not
match the actual objects, the actual ones shall prevail.
 As a registered trademark of Dawei Medical (Jiangsu) Co., Ltd., according to

the law, those who use the above trademark without permission will be held liable.
 Date of modification: July 5, 2018. Version number: Version V2.1.
Manufacturer's guarantee
1. The disassembly and repair of the equipment is completed by our company's assigned professionals, and the
use of the equipment is strictly in accordance with the instructions. Dawei Medical (Jiangsu) Co., Ltd. only
responsbile for the equipment safety, reliability and performance.
2. Dawei Medical (Jiangsu) Co., Ltd. assures the warranty period is within twenty-four months from the date of
purchase and delivery, ensuring that the new equipment has no problems in materials and processes. During the
warranty period, Dawei Medical (Jiangsu) Co., Ltd. will repair the faults and replace the non-human damaged parts
for free. If the surface of the equipment is damaged, it will not be repaired or replaced.
3. This warranty applies only to faults that occur in accordance with the conditions specified in the instruction
manual. The equipment guaranteed can only be used in the scope of use specified in the specification.
4. This warranty does not cover loss or damage caused by external causes such as lightning strikes, earthquakes,
theft, improper use or misuse, damage caused by modified equipment.
5. Dawei Medical (Jiangsu) Co., Ltd. is not responsible for damage caused by other equipment or by arbitrarily
connecting other equipment.
6. Dawei Medical (Jiangsu) Co., Ltd. is not responsible for loss, damage or injury caused by delaying service
request.
7. When problems occur of the machine during the warranty period, please contact Dawei Medical (Jiangsu) Co.,
Ltd., and indicate the model, serial number, date of purchase and nature of the problem.
Precautions
1. In order to ensure the safety of operation and long-term stability of equipment performance, please read this

instruction manual carefully before operating the equipment to fully understand the function, operation and
maintenance of the equipment. In particular, you must pay attention to the content of "warning", "caution" and
"attention" in the instruction manual.
2. Improper operation or failure of the user to follow the instructions of the manufacturer or its agent may result
in equipment damage or personal injury.
3. The following conventions are used throughout the instruction manual to indicate information that is
particularly emphasized.
◆“Warning”：Indicate that it would cause serious personal injury,
death,or actual property damage if ignored.
◆“Caution”: Indicate that it will cause minor personal injury or property damage if ignored.
◆“Attention”: This information is important to remind the user to install, operate or maintain information,
but it is not dangerous. Hazard warnings are not included in the attention.
General tips for device operation:
◆ In operation
1. Do not cover the cooling holes of the equipment.
2. Wait at least 2-3 minutes after shutting down before turning it on again.
3. In the scan, if abnormal conditions are found, stop scanning and shut down immediately.
4. It is strictly forbidden for the patient to touch any part of the non-application part of the device.
5. When using, do not press the keyboard panel excessively, otherwise the device may be damaged.
◆ After operation
1. Turn off the power.
2. Pull the plug out of the power outlet instead of pulling the cable.
3. Clean the gel on the probe with a soft medical sterile cotton ball.
4. Place the probe into the probe box.
General safety information
The following safety precautions must be implemented taking into account the safety of the operator and the
patient and the reliability of the equipment:
1. Equipment is used by or under the direction of a qualified operator.
2.Do not change the equipment parameters. If necessary, please contact Dawei Medical (Jiangsu) Co., Ltd. or its
authorized agents to provide services.
3. The equipment has been adjusted to the best performance at the factory. Do not adjust any preset controls or
switches unless specified in the operating instructions.
4. If the equipment break down, please shut down immediately and contact Dawei Medical (Jiangsu) Co., Ltd. or
its authorized agent.
5. If other companies' electronic or mechanical need to be connected , please contact Dawei Medical (Jiangsu)
Co., Ltd. or its authorized agents before connecting.

Chapter 1 Overview
1.1 Features
The full-digital color Doppler ultrasound diagnostic apparatus is an advanced ultrasound imaging system based
on a combination of computer and ultrasound front-end advanced image processing technologies.
The full-digital color Doppler ultrasound diagnostic apparatus is not only applied to a variety of ultrasonic
diagnosis in conventional black and white images, but also to early high image quality diagnosis of cardiovascular
diseases in color Doppler.
In function, it has not only the general ultrasonic image scanning, measurement, calculation, display, query,
body mark, comment, print, medical records etc., but also can edit the corresponding inspection report and system
settings.Support the DICOM (Digital Imaging and Communication in Medicine) protocol, which is internationally
accepted medical imaging standards, accessible and easy access to data and information exchange, and can be used
as terminal access PACS (Picture Archiving and Communication System) network, PACS is a medical image
archiving and communication system, which greatly facilitates the hospital's modern network management system,
and also provides convenient for the expert to realize the remote diagnosis of the network.
The apparatus is multi-functional, easy to operate, support B, B / B, 4B, B / M, M, B / PWD, CFM, CDE, B /
CFM / D variety of display modes.
In terms of image display, the display adopts medical large-screen liquid crystal color display for image display,
no flicker, high image sensitivity, high resolution, rich gray scale, clear level, and environmental protection without
radiation. At the same time, the display can also be carried out: up and down adjustment, which greatly facilitates the
user.
1.2 Scope of Application
Suitable for ultrasound imaging of heart and abdominal organs and blood flow motion information collection.
1.3 Contraindications
This apparatus does not apply to the gas organs, such as: gastrointestinal, lung and other organs of the
examination. Burning, scalding or human body surface damage, this apparatus can not be used; other precautions see
the product manual.
1.4 Safety Requirement

This apparatus is in strict accordance with the national standard GB9706.1-2007 "Medical Electrical Equipment
the first part: Safety General Requirements", GB9706.9-2008 "Medical Electrical Equipment Medical Ultrasonic
Diagnostic and Monitoring Equipment for Security Requirements" and the national industry standard
YY00505-2012 / IEC 60601-1-2: 2001 "Medical Electrical Equipment - Part 1-2: Safety Requirements for General
Requirements: Electromagnetic Compatibility Requirements and Tests" Design and Manufacture. The type of
protection against the hazard of this instrument is Class I BF type.
1.5 Environmental Testing Requirements

The environmental test of the equipment conforms to the requirements of GB / T 14710-2009 "Environmental
Requirements and Experimental Methods for Medical Electrical Equipment", Clusters and Environment Test Group
For Love, Image the World

Ⅱ, Mechanical Environment Test Group II.
1.6 Acoustic Output Information

Probe standard frequency: 3.5MHz
Peak negative pressure: P-＝2.42MPa
Output beam intensity: Iob=4.86mW/c ㎡
Space peak time average sound intensity: Ispta=11.72mW/c ㎡
1.7 Security ID
Apparatus identification instructions:
BF type application part

Note! Check the random file
Connected (main switch)
Disconnected（main switch）
Signal output
Equipotential
IPX7 Anti-flooding
Dangerous voltage
Packaging and shipping instructions:
fragile
Temperature limit
up
Stacking layer limit
Afraid of rain
Afraid of sunlight

General tips for device operation

◆ In operation
1. Do not cover the device cooling holes.
2. Wait at least 2-3 minutes after turning off before boot again.
3. During the scan, if abnormal conditions are found, stop the scan immediately and shut down.
4. It is forbidden for the patient to touch any part of the non-application part of the device.
5. During operation, do not press the keyboard panel too hard, otherwise it may damage the device.
◆ After operation
1. Turn off the power.
2. Pull the plug out of the power outlet instead of pulling the cable.
3. Wipe the gel on the probe with a soft medical sterilized cotton ball
4. Place the probe into probe box.
General safety information
Considering the safety of operators and patients and the reliability of equipment during design and manufacture,
the following safety precautions must be implemented:
1. The equipment is used by or under the guidance of qualified operators.
2. Do not change the device parameters. If it is necessary, please request Dawei Medical (Jiangsu) Co., LTD. or
its authorized agent to provide services.
3. The device has been adjusted to optimum performance at the factory. Do not adjust any of the preset controls
or switches except as specified in the operating instructions.
4. If the equipment fails, immediately shut down and contactDawei Medical (Jiangsu) Co., LTD. or its
authorized agent.
5. If you need to connect other company's electronic or mechanical devices, please contact Dawei Medical
(Jiangsu) Co., LTD. or its authorized agents before connecting.
6. Equipment operation, storage and transportation environment:
7. Avoid severe vibration under normal operating conditions and maintain temperature, humidity, and
atmospheric range as follows:
a) Ambient temperature range: +5°C to +40°C
b) Relative humidity range: 30% to 80%
c) Atmospheric pressure range: 86kPa to 106kPa
8. The diagnostic system can be transported by general vehicles. During transportation, rain and snow showers
and mechanical collisions should be prevented, and they must not be mixed or mixed with corrosive substances.
9. The storage system of the diagnostic system should be dry, ambient temperature: -20 °C ~ +40 °C, relative
humidity: 30% ~ 80% atmospheric pressure range: 86kPa ~ 106kPa, indoor should avoid strong sunlight and other
gases that can cause corrosion, Indoor ventilation should be good.
10. The LCD display is fragile. Do not bump it. If it is found to be broken, prevent the liquid crystal from
overflowing into the eyes or mouth of the person and handle it properly.
11. The lithium ion rechargeable battery inside the instrument should not be bumped or thrown into the fire to
prevent explosion; do not short the battery output electrode to prevent damage to the battery; use the original charger

to charge the battery. Waste batteries will cause environmental pollution. Please recycle the batteries properly.
12. The power adapter must not be disassembled. The fault should be repaired by a professional. The charging
output can only be used to charge the battery in the standard configuration of the instrument. Charging other
batteries may cause explosion, fire, and other unintended dangers.
13. The adapter output must not be short-circuited. Long-term short-circuiting can damage the adapter.
14. Ultrasound may cause harm to the human body and prolonged exposure should be avoided.
15. To reduce the risk of use, use a randomly configured power cord.
16. Dawei Medical (Jiangsu) Co., LTD. is not responsible for any risks caused by the user's own disassembly
and modification.
Caveat:
Ultrasound is safe under low acoustic power conditions, and its safety is not fully confirmed in the case of
high acoustic power and long-time ultrasound irradiation, so be careful when operating, use the lowest
acoustic power and the shortest time.
User operations affecting the range of ultrasound emission:
1. Focus depth: The user changes the depth of focus and the pulse frequency also changes.
2, select the probe: change the transducer impact ultrasound emission range. A new transducer will have
different acoustic characteristics, emitting different audio signals and different acoustic power.
3. Freeze: start/stop ultrasound images, so start/stop ultrasound irradiation.
4. scanning angle: change the width of the scanning area.
5. Focus: Change the position of the emission focus area.
6. Display modes (B, 2B, 4B, B/M, M, PW, B+C, B+D, B+C+D, PDI, BC+B, or B+BC) change the image
mode.
Caveat:
To avoid harmful interference with other equipment in the environment, keep the probe in a frozen state
when not using the probe in the chamber.
Equipment cannot be used with high-frequency surgical equipment. In order to prevent high-frequency
equipment damage to the application part of the ultrasound scanner.
About Mechanical Index MI and Thermal Index TI
MI represents the potential for mechanical biological effects. The mechanical index is calculated by dividing
the peak sparse pressure (unit: MPa, obtained when the tissue damping coefficient is 0.3 Db/cm/MHz) by the square
root of the center frequency of the transmission field (unit: MHz).
With MI, users can reduce as much as possible the risk of mechanical biological effects when obtaining an
acceptable diagnostic image. The higher the value of MI, the higher the risk. However, it cannot be judged based on
this indicator whether biological effects actually occur.
Changing the mode setting, probe type, or focal position depth affects the MI value.
The thermal index TI is displayed to warn the user about the situation, which causes temperature rise. TI is the
ratio between the power of the acoustic signal and the power that causes a 1°C temperature rise (based on a
temperature model evaluation). There are three thermal indices, each indexed based on a specific temperature model,
for the temperature rise values near and inside the surface of the soft tissue, the ultrasound beam through the soft

tissue, and focusing on the proximity of the bone:

--The soft tissue thermal index TIS refers to the potential temperature rise in applications where ultrasound
beams penetrate through and focus on soft tissue.
--The skull calorie index TIC refers to the potential temperature increase in the application of ultrasonic waves
through the bone near the entrance to the body beam.
--The bone thermal index TIB refers to the potential temperature rise in applications where ultrasound travels
through soft tissue and the focal zone is located in the immediate vicinity of the bone.
--Both the mechanical index and the thermal index are merely relative indices of temperature rise: The greater
the index value, the greater the temperature rise. These indices reflect potential temperature rises.
Changing the mode settings, probe type, number of focal points, focal position depth, scan depth, or other
parameters will affect the TI and MI values
Registrant name: Dawei Medical (Jiangsu) Co., LTD

Production company name: Dawei Medical (Jiangsu) Co., LTD
Location: 28 Jinqiao Road, Xuzhou Economic and Technological Development Zone
Production address: Dongshan Road, Dongshan Road, Xuzhou Economic Development Zone No.28 Jinqiao
Road, Xuzhou Economic and Technological Development Zone
Date of manufacture: see product nameplate
Product validity period: 6 years
Date of manufacture: see accompanying documents
After-sales service unit: Dawei Medical (Jiangsu) Co., LTD
Contact Information: Aftermarket Tel: 0516-82388899 Fax: 0516-82388866
Zip Code:221004
Note: This manual is not a maintenance manual. Qualified service personnel can contact our
maintenance department.

Chapter 2 Functions and Specifications

2.1 Main Functions
The color doppler ultrasound system with clear images and rich functions. It can be used for abdominal,
obstetrics, small organs, blood vessels, urology, prostate, intraluminal, surgery, heart and pediatric examinations.
Display mode :
B mode: It is a fan-shaped pattern, mainly used for the clinical examination of liver, gallbladder, pancreas,
spleen, kidney, gynecology,obstetrics and urology.
2B mode: It is a double-sided fan mode that shows two pc charts simultaneously. It is mainly used for the
comparison of two different pictures of the same organ or the comparison between normal organs and diseased
organs.
4B mode: It is a 4-sided fan mode, and similarly to the 2B mode, displays 4 fan-shaped images at the same time.
It is mainly used to compare pictures of different organs in the same organ or contrast between normal organs and
diseased organs. Or four organ images are displayed at the same time.
B/M mode: Photographs of heart beats are presented by ultrasound to detect heart beats. The B mode is used to
locate the sampling line, and the M mode is to present the heart's waveform.
M mode: It mainly displays the waveform of heart motion and is used to measure heart rate, slope, time and
other information.
PW mode: Pulse Doppler mode, which mainly measures blood flow information such as flow rate and heart rate
B+C mode: B/W mode + color mode is used to distinguish between normal and abnormal tissue, such as blood
flow direction display
B+D mode: B/W mode + Pulse Doppler mode to locate sample volume for relatively accurate measurement
data
B+C+D mode: B/W mode + color mode is used to distinguish between normal tissue and non-normal tissue +
pulse Doppler mode.
PDI mode: Power Doppler mode, used to determine whether blood flow signals and blood flow signals are rich,
etc.
BC+B mode or B+BC mode: In the double-image display mode, the B/W mode is displayed on one side and the
blood flow mode is increased on the other side to obtain information on the current organ, such as whether the
carotid artery is filled or whether the vessel wall is hardened.
2.2 Main Specifications

1 Probe:
Convex probe R50 broadband 2.0, 3.0, 3.5, 4.0, 5.5MHz
Linear probe (Option) L40 broadband 6.0, 6.5, 7.5, 10.0, 12.0MHz
Trans-vaginal probe (Option) R10 broadband 5.0, 6.0, 6.5, 7.5, 9.0MHz
Phased array probe (Option) PA16 broadband 2.0, 3.0, 3.5, 4.0, 5.0MHz
Micro-convex probe (Option) R20 5.0, 6.0, 6.5, 7.5, 9.0MHz
Micro-convex probe (Option) R11 2.0, 3.0, 3.5, 4.0, 5.5, 6.5, 7.5,

10.0MHz
Trans-rectal probe (Option)
4D volume probe (Option) 2.0, 3.0, 3.5, 4.0, 5.5, 6.5MHz
2 Power range: AC220V ±10％ 3A

3 Host power supply: DC12.8V 11.5A
4 Continuous working hours: ≥8h
5 Input power: ≤ 300VA
6 Number of signal channels: 64 channels
7 Display: 15/17 inch LCD display
8 DVD burner (optional)
9 USB port
10 PAL output
11 DICOM 3.0 output

Chapter 3 Environmental and Electromagnetic

Compatibility Requirements
3.1 Environmental Requirements
Ambient temperature range: +5℃―+40℃
Relative humidity range: ≤80%
Atmospheric pressure range: 86kPa—106kPa
Power supply: DC 12.8V/11.5A
Use a separate network power supply socket.
Away from strong electric field, strong magnetic field equipment and high voltage equipment.
3.2 Transportation and storage environment requirements
Ambient temperature range: -5℃-- +40℃
Relative humidity range: ≤80%
Atmospheric pressure range: 86kPa—106kPa
3.3 Electromagnetic compatibility
This chapter provides a reference table for radiation and immunity requirements.
The all-digital color Doppler ultrasound system should be used in the electromagnetic environment specified in
the table below. Customers or users should ensure that this system is used in such an environment.
3.4Electromagnetic radiation
All equipment
The all-digital color Doppler ultrasound system should be used in the electromagnetic environment specified in
the table below. Customers or users should ensure that this system is used in such an environment.
Guidelines and Manufacturers' Statement - Electromagnetic Radiation - All Equipment

Emission test Compliance Electromagnetic Environment Guide
Radio frequency emission Group 1 The all-digital color Doppler ultrasound system uses
GB 4824-2004 RF energy only for internal functional purposes.
Therefore, RF emissions are low and there is little
chance of interference with nearby electronic equipment.
Radio frequency emission Class A Full-digital color Doppler ultrasonic diagnostic
GB 4824-2004 apparatus is suitable for use in all equipment that is not
Harmonic emission N/A directly connected to a public low-voltage supply
GB 17625.1 network and a residential home.
Voltage fluctuation / flashing N/A
emission
GB 17625.2
3.5Electromagnetic immunity
All apparatuses should be used in the electromagnetic environment specified in the table below.
Customers or users should ensure that the apparatus is used in such an environment.
Guidance and manufacturer's statement - Electromagnetic immunity - All equipment

Immunity test Compliance Electromagnetic Environment - Guidance
ESD ±6kV Contact Floor should be covered with wooden floors,
GB/T17626.2 ±8kV Atmosphere concrete or tiles. If the floor is laid with synthetic
material, the relative humidity should be at least
30%.
EFT GB/17626.4 ±2kV Power The main power quality meets typical
Surge ±1kV VDiff ±2kV Vcom commercial or hospital environmental quality.
GB/T17626.5
Voltage drop Drop ＞ 95% sustained 0.5 The main power quality meets typical
GB/T17626.11 cycles commercial or hospital environmental quality. If the
Drop ＞ 60% sustained 5 users need to continue operation during the power
cycles interruption, it is recommended to use uninterruptible

power supply or battery power.
Drop ＞ 30% sustained 25
cycles
Drop ＞ 95% sustained 5
seconds
Power frequency 3A/m Power frequency magnetic field should be a
50/60Hz typical commercial or hospital environmental
Magnetic field magnetic field.
GB/T17626.8
3.6Non-life Support Equipment

Full-digital color Doppler ultrasonic diagnostic apparatus should be used in the electromagnetic environment
specified in the table below. The customers or users of Full-digital Color Doppler Ultrasonic Diagnostics Apparatus
should ensure that the system is used in such an environment.
Guidance and manufacturer's statement - Electromagnetic immunity - Non-life support equipment

Immunity test Compliance Electromagnetic Environment - Guidance
The distance between the portable mobile radio
communication equipment and any part of the Full-digital color
Doppler ultrasonic diagnostic apparatus shall not be less than the
recommended separation distance. The recommended separation
distance is calculated from the applicable equation for the
transmitter frequency.

Conduction Probe: [V1] =1Vrms 3 .5

d=[ ] P
radio frequency Power: [V1] V1
GB/T17626.6 =3Vrmd
Radiation [E1]=3V/m 3 .5
d=[ ] P 80MHz-800MHz
frequency E1
GB/T17626.3 7
d=[ ] P 80MHz-2.5GHz
E1
Where P is the maximum rated output power of the
transmitter declared by the transmitter manufacturer in watts (w);
d is the recommended distance, in meters (m).
The field strength a of the fixed RF transmitter is
determined to be below the compliance level of the frequency
range b according to the electromagnetic field survey.
Interference may occur in the vicinity of a
device marked with the right sign.
Fixed transmitter field strength, such as wireless (cellular,
cordless) phones and terrestrial terrestrial mobile stations,
amateur radio, AM / FM radio stations and TV radio stations, can
not be predicted theoretically.
To evaluate the electromagnetic environment due to the
fixed RF transmitter, electromagnetic field survey should be
considered. If the measured field strength of the position is
beyond the applicable RF compliance level, observe that the
operation of the all-digital color Doppler ultrasound diagnostic
apparatus is normal. If abnormal performance is observed,
additional measures may be required, such as adjusting the
orientation and position of the instrument.
B in the frequency range of 150kHz to 80MHz, the field
strength should be less than 3V / m.
3.7Interval distance
The Full-digital color Doppler ultrasonic diagnostic apparatus is suitable for electromagnetic interference
controlled by radiation interference. The customers or users can help prevent electromagnetic interference by
keeping the minimum distance suggested below between the portable mobile radio communication device and the
Full-digital color Doppler ultrasonic diagnostic apparatus, which is calculated from the maximum output power of
the communication device.
Max output power of According to the transmitter frequency to determine the distance between the
the transmitter is watts meters（m）

（W） 150kHz-80MHz 80MHz-800MHz 800MHz-2.5GHz
3 .5 P 3 .5 P 7 P
=d =d =d
V1 E1 E1
0.01 0.12m 0.12m 0.23m
0.1 0.38m 0.38m 0.73m
1 1.2m 1.2m 2.3m
10 3.8m 3.8m 7.3m
100 12m 12m 23m
For the max rated output power at the transmitter listed above, the recommended interval distance d in meters
(m) can be estimated by the applicable equation for the transmitter frequency, where P is the transmitter's max rated
output power declared by the transmitter manufacturer , Unit watts（W).
Note: In the 80MHz-800MHz band, apply a higher frequency range of the distance.
Note: These guidance are not common in all cases. Electromagnetic propagation is affected by the absorption
and reflection of structures, objects, and the human body.
Note: Adapter (Shanghai Biaojun Electronic Technology Co., Ltd., Model: BJE1M-0150-F301) and power
supply length of 3.8 meters.
Convex probe (F3-1 / R50 / 3.5MHz), Trans-vaginal probe (F3-2 / R10 / 6.5MHz), linear probe (F3-3 / L40 /
7.5MHz), Phased array probe (F3-4 / PA16 / 3.0MHz) , probe plug is metal socket shielded ground processed, probe
cable length is 2.5 meters, the line to do magnetic ring shielding treatment.
Warning: In addition to the components and cables to be sold by the apparatus manufacturer, the use of out of
specified accessories, transducers and cables may result in increased equipment or system emissions or reduced
immunity.
Warning: Apparatus or systems should not be used or stacked with other devices. If you have to be close or
stacked, you should observe that the verification works under normal configuration.
Note: Based on the characteristics of the ultrasonic probe, the conduction immunity level is set to 1V / m.

Chapter 4 Apparatus Installation

4.1 Inspection
After Opening the package, check carefully according to the “packing list” to confirm that the machine in good
condition and that the machine has no transportation damage. Install the machine according to the following
requirements and methods.
Portable apparatus diagram

Power Aware Cord
Probe socket
Probe lock knob

Power port
Switch button
backside ports diagram

4.2 Probe Installation
Place the locking device (rotational) of the probe plug in a non-locking state and insert it into the probe socket
of the machine and lock the plug tightly. Then place the probe on the operation panel.
Note: probes only available produced by the manufacturer, or will not be able to carry out diagnostic
operations.
The apparatus must be in a frozen or off state before connecting or removing the probe.
1. Insert the probe into the probe port 2. Lift the lock knob to fix
Probe installation diagram
4.3 Installation of external video device
The video output device can be connected to the host HDMI port, please install it according to the instructions
of the user. When connecting it, simply connect its video plug to the corresponding video output socket on the
backside port .
4.4 Protective ground wire connection
To ensure the safe use and normal use of the apparatus, a cross-sectional area of not less than 1.00mm2 metal
wire is required, one end of the apparatus' protective grounding column, the other end of the reliable access to the
earth (access must be safe, effective, and reliable earth).
4.5 Power connection

Prepare the net power supply socket board as per requirement of apparatus power supply requirement (AC
220V / 3A 50Hz) , check the power supply of the apparatus, make sure that the adapter output port is facing down
when the host power switch is in the disconnected position within the specified power supply adaptation range.
Insert the DC 12.8V power input hole in the rear of the main machine, insert the output plug of the AC 220V power
cord into the input socket of the adapter, and then insert the AC 220V power cord into the power supply socket
board.
Note: 1. The adapter plug is inserted face down into the power connector
2. The device should be charged when the red light is on
3. Switch off the power when you complete diagnosis or full charged
4. The battery charge time can not less than 8 hours

Chapter 5 Operation Instructions

5.1 Switch on
The power supply for is DC 12.8V, the power switch is located on the left side of the fuselage, When starting up,
first turn on the main power switch, then press the ON/OFF button on the panel, the normal booting time is about 1
minute.
Note: Please confirm the display is powered on when booting; do not insert the USB flash disk before
starting.
5.2 Switch off

Step1. Press On/Off key at the up left of the panel.
Step 2. Turn off the power switch of the machine.
Caution: Shut down strictly in this order to avoid damage due to momentary power loss.
5.3 Keyboard layout:
Keyboard layout diagram
5.4 Keyboard Function Instructions

press the Freeze button and then “Cine loop” button to enter the cine
loop playback interface; press “Cine loop” again to exit

Save images
video playback storage
create a diagnosic report
Continuous Wave Doppler（Preset）
Enter into 3D/4D mode
Switch to B/B mode
Switch to B/M mode and M mode
For real-time image printing (need an external printer)
Scanning depth adjustment
Focus position adjustment
Filter adjustment
Blood velocity adjustment
Image zoom adjustment
Sector scanning range size / sampling volume adjustment
Probe switch
for depth, focus, filter, velocity, zoom, angle adjustment

Adjust
Pulse Wave Doppler switch and gain adjustment, on real-time state,
response to B/W pulse wave Doppler and color mode pulse wave Doppler
encoder function
Color Doppler switch and gain adjustment, on real-time status, to enter

into the color flow mode
encoder
Gain adjustment: back to B mode, B/W gain adjustment

encoder
Exit key: equivalent to the right mouse button
Clear key: Clear the measurement data and comment information on

the screen
Update key: update function, available in PW mode
When measuring, exchange measure direction
Obstetric measurement
Measurement menu
Set key, equivalent to the left mouse button
Steer key: available in the superficial check color flow mode
Trackball: Equivalent to the mouse sliding movement
Control menu, select one of the previous parameters
Control menu, decrease the value of the corresponding parameters
Control menu, select one of the next parameters
Control menu, increase the value of the corresponding parameters
Freeze/Unfreeze key
TGC adjustment slider:

TGC real-time state of 8-segment control image area signal
compensation, sliding from left to right, gain increases; otherwise, the
gain decreases.
5.5 Combination key function description

These keys below are used to enter English letters, numbers, symbols or control functions. Use the character
keys (alphanumeric / numeric keys) to enter patient data, annotate images and make system settings.
【ON/OFF】 power on / off
【Caps】 Capital switch key
【Space】 Space key
【Backspace】 Backspace key
【Enter】 Enter key
【Patient】 Patient key
【Func+Z】 Press "Func" key (lights), then press "Z" key, you can achieve input method
conversion
5.6 Specific Operation Introduction

The following operations are all by pressing the "Func" key, when it light and then press the corresponding
letter to achieve, the relevant interface must first press the "Func" key, when light off and then continue to operate, to
avoid some keys can not use or error. Modify system settings: first press the "Func" key, when it light and then press
the letter "P", the following menu will appear on the screen:

Click on the drop-down menu to setup the system language, date, and time. Enter the name of the hospital or
doctor in the blank of the hospital and the doctor's name .
Select the number of images to be inserted into the report, select between 1 and 4, and select the print size
according to the actual needs of the print.
Choose a different obstetric table as needed or edit the obstetric table according to your physician's actual
experience.
Also for the cine loop frame number, cine loop speed with the drop-down menu to set the default cine loop
frame number of 200 frames, up to 1200 frames, cine loop speed 5 files optional.
Set automatical freeze time, the apparatus will automatically freeze without operation in a certain period.
Upon completion of the language conversion, the software will end into the desktop, then double-click the
desktop's icon “SCUS” enter into ultrasound system. After all settings completed, click OK to save all settings.
Image Note
Press “Func” key under real time state, then press the letter “C” to display the comment dialog box, press
“Func” again, then input the text, press “Enter” to end the comment; put the cursor on the comment, then click “set”
button on the text to display the green frame, move the trackball to the specified position, and press the “set” button
to finish note.
Angle dotted line
In the "Func" light off state: press “A” key and “SET” key with the cooperation of the trackball, angle dotted
line come out; Press "H" key and the "SET" key to display the rectangle dotted line; press "C" key and the "SET"
key to appear oval dotted line. After commenting, press "Save" to save the picture, press "Freeze" key to exit the

comment.
Input method switch
Press “Func” , then press “Z” after the light is on to switch the input method. After the switch is completed,
press the “Func” button to turn off the light.
4B mode
Press "Func" key and make it light under real time state, press “Q” key, to enter into 4B mode, press “Q”
continuously, four images will show in turn. Press “Func” key again to make the light off, press “B” knob to enter
into B mode.
Puncture guide
Press "Func" key under real time state, and then press the letter "X" to show the puncture guide line. Press
"Angle" key, when light on, rotate the " Adjust" knob, puncture line angle is adjustable , move the trackball to adjust
the puncture line position, press the "SET" key to determine the puncture line position. Press "Func" key to make the
light off and then press "Clear" or "Exit" to cancel the puncture guide line.
Body mark
Press “Func” key under real time state, when the light on, press letter “B”, to realize the selection interface of
the body image, then click the Selected icon , click "close" to exit. Press "Func" key to make the light off and exit.
Applications Setup
Save the current parameter combination, press "Func" in real time state, press "S", select the corresponding
application, click "Save Settings" or 5 seconds to exit automatically. When complete, press the "Func" key to make
the light off.
5.7 Specific operation instruction
After booting, the screen shows as follows:

Doctors can move the trackball to the required item under the display probe. Press the "Set" key to checking
status. Or press "Probe" key to the probe selection interface.
Patient information
The inspection is avaliable to perform without entering patient information. To avoid data confusion, it is
recommended to enter patient information prior to the examination; establish a patient's information base in the
system to better manage patient data information.
Press the "patient" key on the operation panel to bring up the new case interface; register as needed.

Application settings, press "Func" key under real time state, make the light on and then press the "S" key,
screen shows as follow:
It can be set according to different needs personalized, Each probe can set 14 different parameters to facilitate
the use in different situations. After ajustment of parameters, save the settings by pressing "Func" key, press "S" key,
click "Save Settings" button, and then click the current red button to save the settings. Click on the blue button to
select a different setting if need to switch directly.

Comment, press "Func" in the frozen state, make the light on and then press the "C" key, the screen shows as
follows:
Letters, numbers is available to input now, put the cursor on the front of the text after the comment is
completed , press "Set" key after the characters are displayed on the screen, press "Clear" to delete.
Save function, press "Save" button in real time, the current image is saved and displayed at the bottom of the
screen, the screen displays as follows:

Recall the saved image, move the cursor to the desired image in the frozen state and press the “Set”
button to display the corresponding image on the screen. To delete it, just move the cursor to the “×” at the top
right of the image. Press "Set" to delete the image.
Local zoom, press the "ZOOM" button in real time, the screen is displayed as follows:

When the partial magnification sampling box appears, the upper left corner shows the local magnification, the
default magnification is 2, by rotate the "Adjust" encoder to change the magnification, clockwise increase,
Maximum to 10, Minimum is 1. Select the magnification, press “Zoom” button, the enlarged image displayed on
screen, press "Zoom" again to exit .
Body mark, press the "Func" key in real time, when its light on, press letter "B" key, the screen displays as
follows:

Move the trackball and make the cursor to the desired body mark, press "Set" key to select, and then click
"Close" button. You can also flip through the flip button on the upper right of the body logo group to select the next
page of body markers.
Cine loop, After the image is frozen, the scroll bar for movie playback will appear automatically at the
bottom left of the screen. The screen displays as follows:
Press the "Cine loop" button to automatically playback images, move trackball to playback manually, in the
playback process, you can store the specific images by press "Save" key.
Report function, press "Report" button in the frozen state , select the corresponding report list, the screen
displays as follows:

There is a "Diagnosis Module" option in the bottom right of the report display interface, select it, there are
different diagnostic templates for different parts, as shown below:
Fill in the relevant content and press "Preview" to view, the screen displays as follows, press "Print" to print the
report, or press "Close" to exit the report.

Move the trackball and make the cursor to "Print" and press the "Set" button to print directly.
Press “Back” to exit the report function.

Chapter 6 Display mode

6.1 B mode（default mode）
Description
Modify the corresponding data on the left side of the screen through the keyboard arrow keys,
“ ”“ ” Key to select the corresponding data bar, “ ”“ ” Key to adjust the parameter
data. Rotate the "Knob B" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
6.2 B/B mode

Description
Press "B / B" to enter 2B mode, display the left frame B, and then press the "B / B" again, display the right
frame, at the same time, left frame froze. Press "knob B" to exit 2B mode.
Menu function
Image parameters can be modified in real time. Do various types of measurement functions in freeze state.
6.3 4B mode

Description
Press the "Func" key to activate it, then press "Q" key to enter 4B mode, display the first picture on the upper
left, press "Q" key to display the upper right image and freeze the left picture. The third four maps the same token,
press the "knob B", exit 4B mode and back into the B mode.
Menu function
6.4 B/M mode

Description
Press “B/M” key, the screen shows B/M image. Do various measurement in freeze state. Press”Knob B”
encoder to exit B/M mode.
Menu function
6.5 M mode

Description
Press B/M key, the screen shows B/M image, press B/M again, enter into M mode. Press “Knob B” encoder,
to exit M mode.
Menu function
6.6 B+C mode（Color Doppler mode）

Description
Press “Knob C” encoder under B mode, the screen shows B+C image mode, that is, blood flow and B/W
images superimposed. Change the position and size of the sampling box by trackball and “SET” key. Do various
measurement in freeze state. Press “Knob C” encoder again to exit B+C mode.
Menu function
data. Rotate the "Knob C" encoder to modify the total gain, clockwise increase, while counterclockwise decrease.
Image parameters can be modified in real time.

6.7 PDI mode
Description
Press “Knob C” encoder under B mode, the screen shows B+C image mode, that is, blood flow and B/W
images superimposed. Change the position and size of the sampling box by trackball and “SET” key. Change the
display mode into “POWER” mode by adjust the keyboard arrow keys at the left side of the menu to enter Power
Doppler Image mode. Press “Knob C” encoder again to exit PDI mode.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , rotate the "C"
encoder can modify the blood flow gain, clockwise increase, counterclockwise decrease, modify the image
parameters in real time state.

6.8 B+D mode
Description
Press “PW” encoder under B mode, the screen shows B+D mode. Change the position and size of the sampling
box by trackball and “SET” key. Press “PW” encoder again to exit B+D mode.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , rotate the
"PW" encoder can modify the pulse wave gain, clockwise increase, counterclockwise decrease, modify the image
parameters in real time state.

6.9 B+C+D mode
Description
Press “C” encoder under B mode, the screen shows B+C mode, press “PW” encoder, it shows B+C+D
mode. Change the position and size of the sampling line and sampling box by trackball and “SET” key, change the
sampling angle by “Angle” key and “Ajust” knob. Press “PW” encoder to exit B+C+D mode, and back to B+C mode.
Press “C” encoder, to back to B mode.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , modify the
image parameters in real time state.

6.10 PWD mode
Description
Press “Update” key under B+C+D mode, Or change the "display mode" column from "synchronization" to
"refresh" through the arrow keys in the left side of the screen, to enter pulse wave. Change the position and size of
the sampling line and sampling box by trackball and “SET” key. Do various measurement in freeze state.
Menu function
To modify the corresponding data on the left side of the screen through the keyboard arrow keys , rotate “PW”
encoder to adjust gain, clockwise increase, counterclockwise decrease. Modify the image parameters in real time
state.

6.11 CWD mode/ Continuous Wave Doppler (Preset)
Description
Press “CW” key under B mode, move the sampling volume to the measurement point, press “Update” to show
pulse wave. Change the position and size of the sampling line and sampling box by trackball and “SET” key.
Menu function
data. Rotate the "PW" encoder to modify the total gain, clockwise increase, while counterclockwise decrease. Image
parameters can be modified in real time.

Chapter 7 Optimizing B Mode Images

7.1 B Mode Application
B mode Display two-dimensional images and provide measurement functions related to soft tissue anatomy。
function state
B mode diagram
7.2 General B mode examination scheme
B mode examination is generally carried out as follows:
1. Record and exam related patient information, Verify system settings (probes and presets).
2. Keep the patient in proper place and secure the device to facilitate operator operation.
3. Collect all the data to complete the study.
4. Press “B” encoder o display the B mode. Modify the image parameters in real time By adjusting the
function of the menu at the bottom of the image. Do various measurement in freeze state.
7.3 B mode top / secondary menu
Press arrow key “ ” or “ ”, the menu corresponding to the encoder will change to grayish green for
selected . Press arrow key“ ” or “ ” , the corresponding data changes, as the above picture: The selected
"Dyn Range" is the current adjustable state.
The function of arrow keys are: “ ”“ ” for selection, “ ” or “ ”for adjustment.

7.4 B mode functional interpretation and adjustment
Power
Ultrasonic transmit power, digital change is 0-15, press “ ” key to decrease the value, press “ ” key to
increase , real-time ultrasonic image changes with the value.
Frequency
Probe transmit frequency, different probe with different frequency. Press the “ ” key to decrease the value,
press the “ ” key to increase, the real-time ultrasonic image changes with the value.
3.5MHz frequency range: 2.0MHz, 3.0MHz, 3.5MHz, 4.0MHz, 5.5MHz.
Line density
Line density, the value changes to "256" and "128" two options, press “ ” or “ ” to adjust the value,
"FPS XHz" frame frequency displays in the right side (X is the frame frequency change as the scan density changes).
Dyn Range
The max distortion-free output power and static system noise output power ratio of the logarithmic value, the
digital change is 0dB-270dB, press the “ ” key to decrease the value, press “ ” key to increase , the
dynamic range controls how the echo intensity is converted to the gray scale, thus increasing the adjustable range of
the contrast. Simultaneous dynamic range can be reduced by compensation of gain adjustment. The system was seted
to a reasonable dynamic range value before delivery.
Smooth
For image noise processing, the number changes to 0-7, press “ ” key to decrease the value, press “ ”
key to increase the value.
Persist
Frame average, the number changes to 0-7, press “ ” key to decrease the value, press “ ” key to
increase the value.
THI
Enhanced transmittance, the value changes to "OFF" or "ON" two options, “ ” or “ ” can be adjusted.
At the same time in the image on the right information display area "frequency H X MHZ" display.
Focus
The number of focus, the figure changes to 1-4, press “ ” key to reduce the number of keys, press “ ”
key to increase the number of points. The focus will appear on the edge of the image scale with the rotation of the
encoder, and the "FPSXHz" frame frequency display in the information display area on the right side of the image (X
is the number of changes in the frame rate as the focus changes).
Sector
Sector width, the figure changes from 5% -100%, press “ ” key to decrease, press “ ” key to increase.
At the same time in the image on the right side of the information display area "FPSXHz" frame frequency display
(X is the scan range changes with the frame rate changes ).
iClear
For the image signal post-processing, the figure changes from 1-6, press “ ” key to decrease, press “ ”
key to increase.
Enhance
Enhance the edge of the organ , the figure changes from 0-7, press “ ” key to decrease, press “ ” key
to increase.
Gray Map
The gray scale map refers to suppressing an image signal below a certain gray scale. The figure changes from
1-16, press “ ” key to decrease, press “ ” key to increase.
Horizontal
The image turns left and right, the figure changes to "OFF" or "ON" two options, “ ” or “ ”can be
adjusted. At the same time in the center of the image display area (sector) with “ ” or “ ” key to change the
left and right.
Vertical
The image turns up and down, the figure changes to "OFF" or "ON" two options, “ ” or “ ” can be
adjusted. At the same time, in the center of the image display area "sector" with “ ” or “ ” key to move up
and down.
7.5 Optimize B mode
7.5.1 Depth adjustment
Description
Depth control B mode anatomical structure imaging distance. To display a deeper image, please increase the
depth. If a larger display size required, reduce the depth then.
Adjustment
To increase / decrease the depth, click the button "Depth" to make it light, rotate the "Adjust" knob clockwise to
increase the depth. Counterclockwise to decrease. The increase in value depth varies with the probe and application.
The depth of the information area on the right side of the display image is expressed in centimeters. If you change
the following, the depth value will return to the factory settings or user defaults: probe, check category, or new
patient.
Advantage
Depth enlarge your field of view. Increase your horizons to make you see a broader and deeper structure;
narrow your horizons to make you see the structure close to the skin. Impact on other controls after adjusting the
depth, adjust the TGC and focus.
Biological effects
Changing the depth will change the heat index and / or the mechanical index. Attention, the output display that
may be affected
7.5.2 Gain Control
Description
Under B mode, the number of echo messages displayed in the image when gain increases or decreases . If there
is enough echo information, it has the effect of enhancing and darkening the image. The adjustment gain values vary
according to the probe; they are independent of the exact position of the gain knob. Attention, the gain adjustment is
performed in real time. In frozen state is not working. The gain of the B-mode is independent of the gain of the M
mode, Doppler mode, and color mode. Changing the M mode gain in M mode does not affect B mode image gain.
Adjustment
To decrease / increase, turn the "B" knob. Clockwise adjustment gain increases, from 0-100% change. Counter
clockwise adjustment, gain reduction, from 100% -0 change.
Value
Gain shows at the information area on the right side of the display image, rotates with the "B" knob to display
the value. The gain value varies depending on the probe, application, and frequency settings. It is suggested that the
maximum gain is the optimal gain preset at the factory and can eliminate the noise when the image is displayed. If
you change the settings of probe, check category / application, or new patient, the gain value will return to the
factory settings or user defaults.
Advantages
Gain allows you to balance the echo contrast so that the capsule structure does not appear echoes and reflects its
internal organization. Effects on other controls after you output energy, you need to adjust the gain. In general, if
increase the output energy, you need to reduce the gain; if reduce the output energy, you need to increase the gain.
Gain and TGC together will affect each other. The biological effect gain does not affect the output energy. But
increasing the gain typically reduces the output energy level to produce the same image quality.
Note
Always optimize the gain before deciding whether to increase the output energy.
7.5.3 Focus
Description
Increase the number of focus or move the focus area so that the scan harness for a particular area is more tight.
The symbol ">" corresponding to the position of the focus area displayed on the left side of the image.
Adjustment
To increase / decrease the number of focus, adjust the "Focus" option on the left side of the screen. Note that the
focus position is controlled by the left side of the keyboard and the knob “Adjust”. To move the focus area to near
field / far field, press the “Focus” button, when the focus turns on, then rotate the "Adjust" knob. When the depth is
adjusted, the system automatically adjusts the focus area.
Value
The number of focus and the position depending on the depth, zoom, probe, application, and frequency settings.
If the parameter changed of probe, check category / application or new patient.
, the number of focus will be returned to the factory settings or user defaults.
Advantages
The best focus is in the focus position. Place the focus in the area to be viewed. Note the focus area location.
The focus must be moved to track the center of the anatomy to be viewed. The focus optimizes the image by
increasing the resolution of the particular region. Impact on other controls, changing the number of focus affects the
frame rate. The more the number of focus, the lower the frame rate.
Biological effects
The number of focus changes the thermal index and/or mechanical index. Attention, the output display that may
be affected.
7.5.4 Frequency
Description
Multi-frequency mode allows you to switch to the lower frequency of the current frequency of the probe or a
higher frequency. In the multi-frequency mode, select the low frequency for fat people diagnosis. While high
frequency for thin or children.
Adjustment
1. Select the "Frequency" option on the left side of the screen.
2. Select the desired frequency through the button “ ” and “ ” on the keyboard.
Attention
When the image is frozen, the frequency change can not be activated.
Value
The frequency changes due to the probe and application. If you change the parameters of probe, check category,
check calculation, or new patient , the frequency value will return to the factory settings or user defaults
Advantages
In the current working probe , the frequency changes according to the characteristics of the human body, low
frequency for fat patient, high frequency to thin patient.
Biological effects
Activating the multi-frequency mode will change thermal index and / or mechanical index. Attention, the output
display that may be affected.
7.5.5 THI
Description
Harmonics not only enhance far field penetration, but also enhance near-field resolution, improve small organ
imaging.
Adjustment
To activate the harmonic imaging: select the "THI" button on the left side of the screen, press “ ” and “
” button on the keyboard to active harmonic function, press again, return to normal frequency mode. Selecting
harmonics can be switched by pressing the “THI” button on the keyboard.
Attention: When the image is frozen, THI can not be activated.
Advantages
Harmonics can reduce the noise casued low frequency and large amplitude , improve the image resolution. The
advantages of harmonics are particularly significant when imaging the anatomical structures of the shallow
anatomical structures of the breast, the liver and the difficult imaging of the fetal anatomy. Harmonics can improve
the image quality of the B mode without contrast agents.
Impact on other controls
You may need to change the field of view (depth). Do not use contrast agents when organizing harmonic
imaging.
Biological effects
Activating the THI function will change the thermal index and / or mechanical index.
Attention, the output display that may be affected.
7.5.6 Dynamic range
Description
The dynamic range controls how the echo intensity is converted to a grayscale gradient, thereby increasing the
adjustable range of the contrast.
Adjustment
To increase / decrease, select the "Dyn Range" on the left side of the screen and press the “ ” or “ ”
button on the keyboard. The value is set between 0dB and 270dB. The current value is displayed on the screen. The
dynamic range value varies depending on the probe, application, and frequency settings.
Note
If you changed the parameters of probe, check category, check calculation, new patient, or multi frequency. , the
dynamic range level will return to the factory settings or user defaults.
Advantages
The dynamic range helps to optimize the texture of different anatomical structures. The dynamic range is
selected for the best echo signal in the "0" mode of operation, and the higher the dynamic range value is selected, the
smaller the loss of the echo signal. The dynamic range should be adjusted so that the edges with the largest
amplitude are displayed as white, and the smallest amplitude (eg, blood flow) is shown to be just visible.
The dynamic range is available in real-time mode. It affects the gain as well.
7.5.7 Density
Description
Optimize B mode frame rate or spatial resolution to get the best image.
Adjustment
High-line density is the default in the B mode state, select "density" button on the left side of the screen, press
“ ” or “ ” button on the keyboard, it changes to a high frame rate state, then press “ ” or “ ”
again, switch to high density status.
Value
The density value varies as the probe.
Note
Invalid in timeline mode. Values vary by probe and application. If you change the following, the line density
value will return to the factory settings or user defaults: probe, check category, check calculation, or new patient.
Advantages
Lower line densities are helpful in fetal heartbeats, adult cardiac applications, and clinical radiology
applications where higher frame rates are required. Higher line densities are useful for obtaining high resolution, for
example, thyroid, testes.
The line density changes the vector density and frame rate.
Biological effect
The color flow line density changes the thermal index and / or the mechanical index.
Attention, the output display that may be affected.
7.5.8 Grayscale
Description
The apparatus provides B, 2B, M and Doppler mode system diagrams.
Adjustment
Select the "Grayscale" on the left side of the screen, press “ ” or “ ” on the keyboard, to get
different gray-scale images. The image changes by pressing “ ” or “ ”.
Value
Grayscale is different from the smallest or the most gentle transition to the dark and the most intense. The value
of the grayscale varies depending on the probe, application, and multi-frequency settings. If you change the
parameters of probe, check category, check calculation, or new patient, the value of the grayscale will return to the
factory settings or user defaults.
7.6 B/M mode adjustment
Usage
The B / M mode is used to provide a display and measurement capability to show the trajectory of the tissue in
a single direction over a period of time.
Introduction
The B / M mode is used to determine the motion mode of an object under an ultrasonic beam. The general
purpose is to watch the movement of the heart.
Typical inspection program
B / M mode is generally carried out as follows:
1. Get a higher quality B / M mode image. Observe the anatomical structure and place the desired region
near to the center of the B-mode image.
2. Move the cursor, and make the sampling line under B mode located on the area to be displayed in the M
mode.
3. Press B / M button again to enter the M mode.
4. If necessary, adjust the scanning speed, TGC, gain, sound power and focus position and dynamic range
under B / M mode.
5. Press “Freeze” to stop the M trajectory and press Freeze again to continue the image
6. Press B / M again to return to B / M mode.
Description
The B/M mode is generally used in cardiac mode. The menu operation of this mode is basically equivalent to
the menu function in B mode.
Adjustment
After entering the B / M mode, move the trackball and make the sampling line to the desired position, and for
the M-scan, select "M-line speed", press “ ” or “ ” to adjust the speed. The selection of speed is: 0-3. If
necessary, adjust the dynamic range, TGC, gain, sound power and focus position under B / M mode.
Advantages
You can speed up or slow down the timeline to observe events that occur more or less times over a period of
time.
Value
Different scanning speeds are reflected on the M mode scale.
Note
Scanning speed and observation of human parts related to the need to observe a few peaks at a time, the
scanning speed can be slowed down.
7.7 M mode adjustment
Adjustment
Press the "B / M" button to display the B / M image. The parameters can be modified in real time. The
measurement function can be activated under freeze state. Press "B / M" again to display the M mode. Press “M” key
to switch between B / M and M modes. By adjusting the function of the left side menu , you can modify the image
parameters in real time. You can do the cardiac measurement under freeze state.
Description
Refer to B/M mode operation for the parameter adjustment under M mode.

Chapter 8 Color Mode Image Optimization

8.1 Application
Color Doppler device performs image through red blood cells and ultrasound Doppler effect. Color Doppler
device includes 2D ultrasound imaging system, pulse Doppler (one-dimensional Doppler) blood flow analysis
system and color Doppler (two-dimensional Doppler) blood flow imaging system. Since each sample contains a
number of erythrocytes produced by the Doppler flow information, so after autocorrelation detection is a number of
blood flow velocity mixed signal. The autocorrelation test results are sent to the speed calculator and the variance
calculator to obtain the average velocity, along with the FFT-processed blood flow spectrum information and the 2D
image information stored in the digital scan converter. Finally, according to the direction of the blood flow and the
size of the color processor by the color data as a pseudo-color coding, color display to complete the color Doppler
flow imaging. The color flow pattern is a Doppler mode for adding color coded qualitative information related to the
relative velocity and direction of fluid motion in a B mode image.
8.2 Introduction
The application of color flow is generally carried out as follows:
1. The specified anatomical region located refer to the steps described in the B mode.
2. Add color blood flow after optimizing B mode image.
3. Move the color flow area to be viewed as close as possible to the center of the image.
4. Optimize the color flow parameters to achieve a higher frame rate and display the appropriate blood
flow velocity.
5. If more restrictive information about blood flow requires, refer to the procedure described in Doppler
mode.
6. The following functional description should be under real-time working state.
8.3 Color Flow Mode (CFM) parameters adjustment

Parameters under CFM

Power
Ultrasonic transmission power, the value changes from 0-15, select "Power" option, press “ ” key to
decrease, press “ ” key to increase, real-time image changes with the value change.
C frequency
Select "Frequency" option, press “ ” key to decrease, press “ ” key to increase. The "Frequency"
value changes as per the encoder.
Display mode
It displays according to different brightness, color, contrast and other parameters, select "display mode" option
on the left side of the display, press “ ” or “ ” key, the value can be changed to V, T, POW.
Steer
Select "Steer" option , press “ ” key to decrease, press“ ” to increase, the value range between -10 to
10.
PRF
Repeat the scan pulse speed, select “PRF” option , press “ ” key to decrease, press “ ” key to increase.
"FPS: XHz, PRF XKHz" on the image information area changes as per the encoder. The speed range / PRF
determines the maximum speed that can be observed. If the blood flow velocity is too low, the spectral image will be
out of range. If the speed is set too high, the spectral image is compressed too much on the longitudinal axis, and the
accuracy will decrease. In high frequency mode should reduce the PRF.
Baseline
Select "Baseline" option, press “ ” key to decrease, orange color gray scale at the right side of the image
changes from +8 ~ +53, blue color bar changes from -53 ~ -8, press “ ”key to increase. Baseline adjustment is
used to increase the range of Doppler flow velocity in one direction. It is mainly used to reduce the direction of the
spectrum confusion.
Threshold
Image grayscale and contrast threshold, select "Threshold" option on the left side of the display , press “ ”
key to decrease, press “ ” key to increase, the value range 0 ~ 3, it is mainly used to enhance the image contrast
function.

Wall Filter
Select "Wall Filter" option on the left side of the display, press “ ” key to change the number from 3-0,
press “ ” key to change the number from 0-3. The real-time ultrasound image changes as per pressing “ ”
or “ ”. The "Wall Filter" value changes as per pressing “ ” or “ ”.

C Persist
Select "C Persist" option on the left side of the display, press “ ” key to change the number from 7-0, press
“ ” key to change the number from 0-7. The "C Persist" value changes as per pressing “ ” or “ ”.
Ensemble
Select "Ensemble" option on the left side of the display, press “ ” key to change the number from 15-8,
press “ ” key to change the number from 8-15. The "FPS XHz" value changes as per pressing “ ” or
“ ”.
C Speed
Select "C Speed" option on the left side of the display, press “ ” or “ ” key, the blood flow speed
changes from "high" or "low", the color fringe value changes to 60 or 30.
Tip: Increase or decrease the speed range according to the speed of blood flow. The speed range / pulse
repetition rate (PRF) determines the maximum speed that can be observed. If the blood flow velocity is adjusted too
low, the spectral image will be out of range. If the speed is set too high, the spectral image is compressed too much
on the longitudinal axis, and the accuracy will decrease.
Spatial Filter
Select "Spatial Filter" option on the left side of the display, press “ ” key to change the number from 3-0,
press “ ” key to change the number from 0-3.

C Gain
Select "C Gain" option on the left side of the display, press “ ” key to change the number from 127-0, press
“ ” key to change the number from 0-127. The "C gain" value on the right side of the live screen changes
accordingly.
Color Invert

Select "Color Invert" option on the left side of the display, press “ ” or “ ” key, the word changes
between OFF and ON, while the color of the screen inverted.
8.4 Optimize Color Flow
8.4.1 Activate color flow mode
Press the “C” knob (color flow). The C mode will appear in the B mode image. Move the trackball to move the
frame window.
Application
Color blood flow is very useful when watching blood flow in large areas. Color Doppler is a 2D Doppler, the
resulting blood flow information by phase detection, frame correlation processing, color gray code, the average
blood flow velocity data in color, and its combination, superimposed on the display in the B mode grayscale image.
It visually displays blood flow, the nature of the blood flow and flow in the heart, the distribution of blood vessels
than pulse Doppler faster and more intuitive display. It shows a unique superiority on the left to right shunt blood
flow and the flow of the valve back flow.
Exit color flow mode
Press “C” knob again or press”B” knob directly to exit the color flow mode.
Tip
Color flow mode control produces the following results:
Line Density: Decrease frame rate to obtain sensitivity and spatial resolution. If the frame rate is too low,
reduce the size of the specified area, decrease the line density or reduce the size of the packet.
Wall Filter: Affect the sensitivity and movement of low speed blood flow artifacts.
Packet Size: Affect the color Doppler sensitivity and frame rate, can be adjusted through the arrow keys.
Scan Area: Increase / decrease the size of the color window, needs to be adjusted according to the actual
clinical image sampling.
Focus Position: The best focus is on the location of the focus area. Place the focus area in the specified
region.
8.4.2 C Gain
Description
Increase the gain adjustment to increase the color brightness, easy to observe, but while the gain increases, the
noise signal is also amplified, interference on the color flow signal observation. For low-speed flow testing, the gain
should be increased appropriately so that these blood flow can be clearly displayed, but at the same time should pay
attention to avoid excessive gain and noise signal, affecting the observation of blood flow, and even cause illusion.
The gain amplifies the overall strength of the echo in the color flow window or the spectral Doppler time line.
Adjustment
The gain values vary depending on the probe and the application; they are independent of the exact position of
the Gain knob. To decrease / increase the gain, adjust the knob to the left / right.
Value
Color gain values vary depending on the probe, application, and multi-frequency settings. The gain is displayed
as %. If you change the parameters of probe, check category, check calculation, new patient, or multi frequency, the
gain value will return to the factory settings or user defaults.
Advantage
Allows you to control the amount of color in the blood vessels, or to add or remove spectral information.
Biological effects
The gain does not affect the output energy. However, increasing the gain typically reduces the output energy
level to produce the same image quality.
8.4.3 PRF
Description
The speed range / pulse repetition rate (PRF) determines the maximum speed that can be observed. If the blood
flow velocity is adjusted too low, the spectral image will be out of range. If the speed is set too high, the spectral
image is compressed too much on the longitudinal axis, and the accuracy will decrease. In high frequency mode,
select to reduce the value of PRF.
Adjustment
Select ”PRF” on the left side of the screen, press “ ” or “ ” key, to adjust PRF value, the value
changes from 2KHz --- 10KHz, if the value is too large, it will affect the blood flow frame rate. By adjusting the
depth, PRF will be changed accordingly.
Value
PRF in kHz. If you change the parameter of probe, check category, calculation, or new patient , the PRF value
will return to the factory settings or user defaults . Attention, PRF changes will affect the output energy, frame rate
wall filter.
Biological effects
PRF value changes will affect the heat index and / or the mechanical index.
8.4.4 Wall Filter
Description
Filter out the low speed blood flow speed signal. This helps to remove movement artifacts caused by breathing
and other patient activities.
Adjustment
To increase / decrease the wall filter, select the "wall filter" option on the left side of the screen. Press “ ”
or “ ” to adjust the value of the wall filter.

Value
Wall filter value varies depending on probe, application and package size. Wall filter shows a digital display as
per pressing “ ” or “ ” key. The wall filter value varies depending on the probe and application. If you
change the parameters of probe, check category, check calculation, or new patient, the factory settings or user
defaults are returned.
Advantages
Removes unnecessary low frequency signals caused by motion.
8.4.5 Color scanning area
Description
The color scanning area determines the size and position of the color windows.
Adjustment
Press the "C" knob, enter into the color flow mode, the blood flow sampling box shows , the center of the color
flow window began to grow, press "SET" key to adjust the size. Move the trackball, to select the size of the blood
flow window, after selection, press "SET" key again to freeze the blood flow window.
Value
The color scanning area varies depending on probe and application.
Advantages
Increasing the color window allows you to observe larger areas; reducing the color window can increase the
frame rate and spatial resolution. Effects on other controls, the smaller the color window, the faster the frame rate,
and vice versa.
Biological effects
Changing the color window size will change the heat index and / or the mechanical index.
8.4.6 Color invert
Description
Color invert allows you to observe blood flow from another angle, such as red (negative speed) and blue
(positive speed). You can reverse the live or frozen image. Note that the invert function reverses the color map, not
the color "PRF".
Adjustment
To invert the color flow, select "Color Invert" option on the left side of the screen, press “ ” or “ ” key,
color gray scale and color flow on the image invert changes. In synchronous mode, both the color flow and the
Doppler mode speed scale are reversed.
Value
Reversal and non-reversal. Values vary with probe and application. If you change the parameters of probe,
check category, check calculation, or new patient, the reversal value will return to the factory settings or user
defaults.
Advantages
Watch the bloodstream according to your individual needs without turning the probe.
8.4.7 C Speed
Description
Optimize the color flow frame rate or spatial resolution to get the best color image.
Adjustment
To adjust the line density, select the "C Speed" on the left side of the screen and press the “ ” or “ ”
key.
Value
The current frame rate is displayed on the color bar. The frame rate / resolution value varies depending on the
probe, check category, check calculation, new patient, and frequency. If you change any of the above, the setting
value will return to the factory preset or user default.

Advantages
Low line density is helpful for fetal heartbeats, adult cardiac applications, and clinical radiology applications
requiring higher frame rates. High resolution is helpful in imaging small organs, such as thyroid, testes. Impact on
other controls, line density changes vector density and frame rate.
Biological effects
Modifying the line density changes the heat index and / or the mechanical index.
8.4.8 Steer
Description
The changes of steer can only be used in linear probe. You can adjust the angle of the left / right to change
sampling frame angle to obtain a color flow linear image to get more information without moving the probe.
Adjustment
Select the "Steer" option on the left side of the screen, to adjust the angle of the left / right slanted image. Press
“ ” or “ ” key to change the angle.

Value
The linear probe can be steered to the left (20 degrees), middle or right (20 degrees). If you change the
parameters of probe, check category, check calculation, or new patient , the steer value will return to the factory
settings or user defaults.
Advantages
It provides a Doppler sampling line angle, which is suitable for linear probe orientation. It is helpful in carotid
artery imaging in peripheral vascular applications.
Biological effects
Activating the steer will change the heat index and / or the mechanical index.
8.4.9 Spatial Filter
Description
Smooth colors and make the image look softer.
Adjustment
Select "Spatial Filter" option on the left side of the screen, press “ ” or “ ” to change the spatial
filtering from 0-3 or 3-0.
Value 0-3.
Advantages
Make the image smooth.
8.4.10 Ensemble
Description
Controls the number of samples of a single color flow vector.
Adjustment
To increase / decrease the size of the sample packet size, select the "Ensemble" on the left side of the screen.

Press “ ” or “ ” to change its value from 8-15 or 15-8. During the adjustment of the encoder, the vale of
FPS on the image at the right side of the information area changes, the value of the packet is small, the FPS value is
large, and vice versa.
Value
Sampling packet size varies depending on the probe and application, if you change the probe, check category,
check calculation or new patient, the value will be return to factory settings or user default.
Advantages
It allows you to increase the accuracy of color sensitivity and color averaging (increase the size of the sample
packet) or the frame rate (decrease the size of the sample packet) as needed. Impact on other controls, decrease the
size of the sampling packet size will increase the frame rate while reducing image quality. Increase the size of the
sampling package size will increase image quality while reducing frame rate.
Biological effects
Changing the sampling package size changes the heat index and / or the mechanical index.
8.4.11 C Persist
Description
C persist shows continuous flow information in real-time state. Real-time display maximum flow rate, the
performance of pulsatile blood flow. Persist in the 2D mode is the frame (image) overlap, used in color Doppler flow
imaging, low speed, low flow of blood, can make it clear and easy to observe.
Adjustment
Select "C Persist" on the left side of the screen, press “ ” or “ ” key to obtain C Persist changes from
0-7 or 7-0. Corresponding values at the right side of the information display area changes.
8.5 Power Doppler Imaging （PDI Mode）
Description
Power Doppler Imaging mode (PDI Mode) is a color flow imaging technology used to map the Doppler signal
intensity produced by blood flow rather than the frequency shift of the signal. Using this technology, the ultrasound
system draws color flow based on the number of motion reflectors, regardless of their speed. Since the PDI mode
does not image speed, no aliasing occurs.

Adjustment
Press the "C" knob. The color flow window appears in the B mode image. Press the "Set" button, move the
trackball to move the size of the blood flow frame. Adjust the "Display Mode" on the left side of the screen to the
"T" state. To exit, press the "B" knob.
Advantages
Since PDI does not display speed, it does not appear aliasing. Impact on other controls, after activating PDI, the
following controls are adjusted: PRF is set to low value. Color Map is set to energy diagram. Adjust Line Density.
Wall Filter is set to Low. Spatial Filter to “0”. Adjust Sampling Package Size. After getting a good B/W image, press
“C" knob to enter the blood flow mode.
Note
When changing the PDI image, it may be necessary to adjust the gain setting.
8.6 Optimize PW Mode
8.6.1 PW mode parameter adjustment
Power
Ultrasonic transmit power, digital changes from 0-15, press “ ” key to decrease, press “ ” key to
increase, real-time image changes with the value.
Frequency
Probe transmit frequency, according to the probe configuration, the transmission frequency is different. Press

“ ” key to decrease, press “ ” key to increase, and the real-time ultrasonic image will change with the
numerical value.
D Gain
In PW mode, adjust the spectral color brightness, spectral sound size. Press “ ” key to decrease, press
“ ” key to increase, in real-time image, the spectral sound size changes with the value.
Display mode
In the real-time state, select "Synchro", you will activate "B" mode. Select "Refresh" mode, "B" image freeze,
the spectrum enter into the real-time mode of operation.
Steer
Linear probe frame angle adjustment, the value changes from fixed several values among -20-20, press “ ”
key to decrease, press “ ” key to increase. “Steer” at the right side of the screen changes.
PRF
On real-time state, select “PRF”, press “ ” key to decrease, the frequency changes from 29.43khz-2khz.
Press “ ” key to increase, the frequency changes from 2khz-29.43khz.

Note: different probe adjusted PRF range is different.
Volume
In real-time state, select “Volume”, adjust the Doppler volume, press “ ” key, the volume changes from
"255--0%", the Doppler volume decreases. Press “ ” key, the volume changes from "0--255%", the Doppler
volume increases. The audio figures on the right side of the image area changes.
D Velocity
In real-time state, select “D Velocity”, press “ ” key, the scanning speed changes from 0-2. Press “ ”
key to change the scanning speed from 2-0. The "FPS" changes
Triplex
In real-time state, select ”Triplex”, press“ ” or “ ”key, you can achieve B mode, C mode, D mode
triplex synchronous work.
Enhance
Enhance the organ edge of the degree of brightness, the digital changes from 0-7, press “ ” key to decrease,

press “ ” key to increase.

Wall Filter
In real-time state, select “Wall Filter”, press “ ” key, the number changes from 3-0, press “ ” key, the
number changes from 0-3. The “WFD” figure on the right side of the information area changes.
Baseline
In real-time state, select “Baseline”, press “ ” key, the number changes from 6-0, press “ ” key, the
number changes from 0-6. The spectral curve moves correspondingly to the baseline.
Wave Invert
In real-time state, select “Wave Invert”, press “ ” or “ ”key, the letters change between OFF and ON.
The spectrum curve image is pressed with “ ” or “ ” key.

Chapter 9 Optimize Color Doppler Images

9.1 Application
Doppler provides measurement data on the velocity of the moving tissue and fluid. PW/ Color Doppler allows
you to check blood flow data from a small area selectively (ie, sampling volume).
9.2 Typical applications - PW (Pulse Wave) Doppler
In Pulsed Wave Doppler (PW) mode, energy is emitted from the ultrasound probe into the patient, which is the
same as in B mode. However, the received echo will be processed to find the difference between the transmit and
receive signal frequencies. The difference between frequencies may be caused by the movement of the ultrasound
signal through moving objects in the path, such as blood cells. The resulting signal will be represented by the system
speaker in audio mode and displayed graphically on the system display. The X-axis in the figure represents the time
and the Y-axis represents the frequency shift. The Y axis can also represent the forward or reverse speed after
calibration. A typical application of PW Doppler is to display the velocity, direction, and spectral content of the
blood flow in the selected anatomical region. PW Doppler can be used in conjunction with the B mode to quickly
select the anatomical area for PW Doppler examination. The part from which the PW Doppler data is obtained is
displayed graphically in the B-mode image (sample volume gate). The sampling volume door can be moved freely in
the B mode image.
9.3 Typical inspection program
Inspection under PW Doppler mode is generally carried out as follows:
1. Connect the appropriate probe and fix it.
2. Have the patient in the proper position for inspection.
3. Press “Patient” button to input the appropriate patient data in the appropriate exam category.
4. Select the preset, application and probe which required.
5. Locate the anatomy to be examined. Get a higher quality B-mode image.
6. Press "PW" knob, sample line, sampling volume line and the sampling volume gate shows . Then
press “Update” button, The PW Doppler spectrum is displayed on the screen and the system will operate in the
B + C + D combination mode. Adjust the "PW" knob or the "C" knob to adjust Doppler audio. The Doppler
signal can be heard through the speaker.
7. Position the sampling volume line by moving the trackball to left and right. Position the sampling
volume gate by moving the trackball up and down. Change the sampling volume gate size by pressing the
"Set" key to select the sampling width (sample volume length).
8. If necessary, optimize the PW Doppler spectrum. For more information, refer to the "Doppler
Optimization" section of this chapter.
9. Press "PW" knob to switch between real-time B mode and Doppler mode.
10. Samples along the length of the entire vessel to ensure that the probe is parallel to the direction of the
blood flow; when positioning the sampling volume line, listen again.
11. Press “Freeze” to freeze the current image for image storage and cine loop.
12. If necessary, perform measurements and calculations. For more information, refer to the
"Measurement and Calculation" chapter.
13. The result is recorded by pressing the appropriate print key, depending on the settings of the recording
device.
14. Repeat the above steps until all relevant blood flow parts have been checked.
15. Put the probe back into the corresponding holder.
Activate Triplex mode
To activate the Triplex mode, press "C" knob, then press "PW" knob. Select "Triplex" option on the left side of
the screen and press “ ” or “ ” key to turn on the Triplex mode. The Doppler spectrum is displayed along
with the color flow and B mode images. The cursor changes to a Doppler sampling line. You can now determine the
position and size of the sampling volume gate to get a certain speed. Use Doppler audio to determine whether the
sampling volume gate is located in the blood flow area. Use the Triplex mode to check blood flow information. To
exit the PW Doppler mode, press the “PW” knob, and then press the “B” knob.
9.4 Spectrum Doppler display
Description
Time zero (the starting point of the track) appears on the left side of the graph. As time goes by, the track moves
to the right. The baseline of the graph (representing zero speed, zero frequency shift, or no blood flow detected) is
displayed as a solid line across the screen. By convention, the movement toward the probe direction is positive and
the movement away from the probe direction is negative. Positive frequency or velocity appears above the baseline.
A negative frequency or velocity appears below the baseline. In general, blood flow is not uniform, but by different
speed and movement in different directions of blood cells composed of mixed. Thus, the displayed content is a
combination of spectra with different grayscale values. The strong signal shows brighter, while the weak signals are
displayed in varying degrees of gray.
9.4.1 Spectrum mode
Description
View the timeline to toggle between synchro and refresh display.
Adjustment
To activate, select the "Display mode" option to switch between synchro and refresh. Doppler mode does not
restart every time when the image is refreshed; however, the screen displays a black bar with a lightning bolt when
the screen is synchronized and refreshed, indicating that the timeline has switched.
Advantages
Refresh function improves the display quality of the spectrum Doppler.
Biological effects
Activating the refresh will change the heat index and / or the mechanical index.
9.4.2 Doppler sampling volume gate positioning
Description
The sample volume is moved by the Doppler mode sampling line in the CFM mode. The gate is positioned in a
specific position within the blood vessel.
Adjustment
To move the Doppler mode sampling line, move the trackball left or right until the sampling line is positioned
on the blood vessel. To move the position of the sampling volume gate, move the trackball up and down until it is
positioned within the blood vessel. Press "Set" key on the keyboard, move the trackball, the sampling volume gate
changes from 0.5mm to 48mm. In the image of B mode, the sampling gate will change as per moving the trackball,
the value at the right side of the information display area will change.
Value
Can be continuously moved in the field of vision.
Advantages
Position the sampling volume gate on the sampled blood stream.
Biological effects
Changing the sampling volume gate position changes the heat index and / or the mechanical index.
9.4.3 PRF
Description
Adjust the speed scale to accommodate faster / slower blood flow rates. The speed scale determines the pulse
repetition frequency. The pulse repetition frequency (PRF) is displayed on the left side of the spectrum, expressed in
units of frames per second.
Note
Make sure that only one gate is covered on the blood vessel at a time. Otherwise, signals from multiple
bloodstream regions will overlap.
Adjustment
To increase / decrease the PRF, select the "PRF" option, press “ ” or “ ” to change the value from
2KHz-14.08KHz. By adjusting the image depth, PRF also changes. When the encoder is adjusted, the system will
update the speed scale parameter display synchronously.
Value
The speed scale value varies depending on the probe and application. In Triplex mode, if you change the speed
scale of the color flow, the speed scale of the Doppler mode will also be refreshed.
9.4.4 Angle correction
Description
The velocity of the blood flow in the direction of the Doppler vector is estimated by calculating the angle
between the Doppler vector and the blood flow to be measured.
Note
When the Doppler mode sampling line and the angle correction indicator are aligned (angle 0), you will not see
the angle correction indicator.
Adjustment
The blood flow toward the probe is above the baseline, and vice versa. To adjust the angle relative to the probe
face, press the "Angle" key on the keyboard. After turning on the lamp, rotate the "Adjust" knob to adjust the angle.
Every time the rotation is made, the mark in the sample area of the image area changes. When the angle correction is
adjusted, the speed scale changes.
Value
To optimize the speed measurement, for the vascular application, the angle of incidence should be between
45-60 degrees. The angle correction value varies depending on the probe and application. If you change the
following, the angle correction value will return to the factory settings or user defaults: probe, check category, check
calculation, or new patient.
Advantages
Optimize the accuracy of blood flow velocity. This is particularly helpful for vascular applications where
measurement speed is required.
9.4.5 Steer
Description
Under Doppler mode, steer function is only applicable to linear probe
Adjustment
To center the left / right slanted image, select “Steer” option and press “ ” or “ ” key. The linear probe
can be steered to the left (20 degrees) and right (20 degrees). If you change the parameter of probe, check category,
check calculation, or new patient, the steer value will return to the factory settings or user defaults.
Advantages
Provides a Doppler sampling line angle, which is suitable for linear probe orientation. It is helpful in carotid
artery imaging in peripheral vascular applications.
Biological effects
Steer changes the heatl index and / or mechanical index.
9.4.6 Wall Filter

Description
Removal of excess noise caused by vascular motion from the Doppler signal.
Adjustment
To increase / decrease the wall filter, select "Wall Filter" option, press “ ” or “ ” to select 0-3 filter.
Value
Wall Filter values vary with probe and application. If you change the parameters of probe, check category,
check calculation, or new patient, the wall filter value will return to the factory settings or user defaults
Advantages
Remove unnecessary information. Remove the low level noise above and below the baseline so that you can not
see them on the spectrum.
9.4.7 Baseline
Description
Adjust baseline to accommodate faster and slower blood flow to eliminate aliasing.
Adjustment
Baseline adjusts the point where the velocity trajectory is zero in the spectrum. The default baseline is at the

midpoint of the spectrum. To move the baseline, select “Baseline” and press“ ” or “ ” key to adjust it. The
baseline position varies with the baseline adjustment bar.
Note
The baseline shows a solid line passing through the spectrum. Baselines increase and decrease in equal
increments, depending on the current Doppler scale factor. If the maximum baseline offset (either direction) is
reached, the control will not work.
Value
50% is the center of the screen, + 95% is the top edge of the screen, and 5% is the bottom edge of the screen.
Baseline values vary depending on the probe and application. If you change the parameters of probe, check category,
check calculation, or new patient, the factory settings or user defaults are returned.
Advantages
Eliminate aliasing. Raise the ruler range without changing the speed scale. Correct the positive and negative
speed limits without changing the entire speed range.
9.4.8 Wave Invert

Description
Invert the spectral curve in the vertical direction without affecting the baseline position.
Adjustment
To invert the spectrum curve, select “Wave Invert” and press “ ” or “ ” key. After inverting the
spectrum, the positive sign (+) and the minus sign (-) on the speed scale will be inverted accordingly. Positive speed
is shown below the baseline.
Advantages
If you change the angle of the probe to adapt to the anatomical structure, the blood flow will still move in the
same direction, but the Doppler information is inverted. In this case, the Wave Invert function is easier than changing
the direction of the probe.
9.4.9 Dual Synchronous / Triplex Synchronous
Description
Dual synchronization allows simultaneous activation of both modes; Triplex synchronization allows
simultaneous activation of three modes.
•B+PW or B+CF（Dual Synchronous）
•B+PW+CF（Triplex Synchronous）
Adjustment
Press the corresponding knob: "PW" knob - B + PW mode; "C" knob - B + CF mode; "PW" knob + "C" knob -
B + PW + CF mode, in B + PW and B + PW + CF mode, you can choose synchro, refresh mode (dual
synchronization / triplex synchronization).
Advantages
Allows the user to activate multiple modes at the same time.

9.4.10 Volume
Description
Under Doppler mode, the Doppler can be adjusted to the best image by adjusting the volume, get a good
spectrum of sound effects.
Adjustment
Select “Volume” and press “ ” or “ ” key to adjust the volume level. The corresponding change value
is displayed in the information area at the right side of the image.
9.4.11 D Velocity
Description
Refers to the horizontal movement of the M-mode image within a second distance, where it refers to the time it
takes an image to sweep from the left to the right. By adjusting the M mode scanning speed, can be recorded in a
fixed sampling line, the tissues and organs with time changes in the longitudinal movement of the method.
Adjustment
Select "D Velocity" option, press “ ” or “ ” key, you can debug M mode scanning speed of low speed,
medium speed, high speed changes. When adjusting the scanning speed, there is a speed change display in the
information area at the right side of the image. At the same time, M speed scale also changes.
9.4.12 D Gain
Description
By changing the gain value, you can increase the Doppler mode to obtain remote effects. But the gain should
not be too large, or which will increase the image interference.
Adjustment
Select "D Gain" option, press “ ” or “ ” key, you can adjust the value of the gain, while value changes
at the right side of the image information area.
9.4.13 Frequency
Description
In Doppler mode, select “Frequency”. By selecting the frequency , the speed change is displayed on the color
gray scale, and the D line scale speed also changes with the frequency to meet the actual spectrum measurement
needs.
Adjustment
Select "Frequency" option, press the “ ” or “ ” key, the frequency changes from 2.0MHz-5.0MHz, 6.0
MHz -12 MHz.

Chapter 10 General Measurement and Calculation

10.1 Description
In clinical diagnosis, the acquisition of ultrasound images in the measurement and calculation results for the
doctor is directly on the lesion analysis measures and results. The measurement accuracy depends not only on the
system accuracy, but also on the user's impact on the use of appropriate medical programs. If necessary, be sure to
indicate a medical plan related to measurement and calculation. Refer to the original paper related to the program, as
it explains the clinical practice recommended by the researcher.
10.2 Overview
This chapter explains how to make measurements and describes the calculations available in each mode.
Content includes
Check workflow Operation process
Measure component location Measurement description
General measurement list General information on how to make measurements
Mode Measurements: Step-by-step instructions for special measurements
10.3 Check workflow
For each patient, the system reviews the categories, studies and measures the tissue information. These terms
are defined as follows:
10.4 General Measurement
10.4.1 B mode general measurement
All measure must be carried out in a frozen state. B mode general measurement: distance, diameter narrow rate,
angle, circumference area, area narrow rate, volume and so on.
10.4.2 Corresponding key and menu operating instructions:
Operation Description Function Remarks
Close
【Close】 Close measurement
measurement

【Report】 Report Report
Select
Select measurement
【Application】 measurement
package
package
General
【Measure】 General measurement
measurement
Clear
【Clear】 With measurement needs
measurement data
Start and End
【Set】 With measurement needs
key of measurement
【FREEZE】 Freeze Freeze image
Enter general
Display general
【DIS】 measurement menu See above diagram
measurement menu
selection
General
【Measure】 Move the cursor to the
Measurement Note: When using the
desired measurement item via
Distance diameter to calculate the
【Distance】 the trackball and press the "SET"
measurement stenosis rate, always
key. Move the cursor to the
【Stenosis Diameter Stenosis measure from the
measurement start point and
Rate】 diameter rate cross-sectional of the
press the "SET" key to move the
vessel. For diameter
【Angle】 Angle cursor to the measurement end
calculations, do not
and press the "SET" key. The
【Volume】 Volume measure distance from a
measurement data shows at the
longitudinal perspective.
【Area】 Area bottom of the image. Press
This may lead to an
Area narrow "Clear" key to clear the
【Area narrow rate】 inaccurate estimate of the
rate measured data, press "Freeze"
stenosis rate.
key to exit this measurement.
【Trajectory area】 Trace area
10.4.3 Angle measurement

Operation steps：
1. In freeze state, Press “ DIS” key to measure menu, move the trackball to " General " option , press
【Set】 key, and move trackball to t"angle" option, press 【Set】 key, the cursor "+" appears "+", enter into
angle measure state;
2. Move trackball to the cursor of O point and press【Set】 key to fix the point;
3. Move trackball to the cursor of point A and press 【Set】key to fix the point;
4. Move trackball to the cursor of point B and press 【Set】key to fix the point;
5. Move trackball to the cursor of point C and press 【Set】key to fix the point;
6. You will obtain the angle of OAB (OA line and OB line) and the angle of OAC (OA line and OC line) ;
Repeat step 1-5 for next measurement.
Press 【Clear】 key to clear the measurement.
Press 【Freeze】 key to exit the measurement.
Angle measurement diagram

10.4.4 Volume measurement
Generally, the volume is calculated as follows: Volume = π / 6 × Length × Width × Height, this
calculation requires a longitudinal section Ultrasonic image and a cross-sectional ultrasound image, measured
long, wide, high three parameters or an area and a distance, and then calculated. Usually in the 2B mode, press
the 【B / B】 key, it shows the left image of 2B mode, to obtain a cross-section (or longitudinal section) of the
image; press【B / B】key again, it shows the right image of 2B mode, then to obtain a longitudinal section (or
cross section) image, and then freeze the image. This algorithm is suitable for elliptical tissue organ
measurements, measuring an area and distance.
Operation steps:
1. In freeze state, move the cursor to "General " option through trackball of the measurement menu,
press 【Set】 key enter into General Measurement menu, move the cursor to the "Volume" option with the
trackball, press 【Set】 Key to move the cursor to one end of the elliptical axis, press 【Set】 key to fix the
starting point of the shaft;
2. Move the cursor to the other end of the elliptical axis and press 【Set】 key to fix the end of the axis;
3. Move the trackball to change the length of the other axis of the ellipse;
4. Move the cursor to the start point of the distance and press 【Set】key to fix the point;
5. Move the cursor to the end of the distance and press 【Set】key to fix the point;
Repeat step 1-5 for the next measurement.
10.4.5 B/M, M mode general measurement

All operations must be carried out in frozen state. M mode general measurement menu: heart rate, time,
distance, valve speed selection. Choose blue button to enter the following menu
operation.
10.4.6 Heart Rate measurement
It performs a number of heartbeat cycle to measure the average value of the measurement method to improve
the measurement accuracy. The start point of the measurement refers to the start point of the two heartbeat periods,
and the end point refers to the end of the two heartbeat cycles.
Operation steps:
1.Under frozen state of B/M or M mode , move the cursor to the "M General" option of the measurement
menu, press 【Set】 key to enter into the M general measurement menu, move the cursor to the "HR" option,
press 【Set】 key to enter the measurement state ;
2. Move the cursor to the start point of the measurement, press 【 Set 】 key to fix the start point of
measurement;
3. Move the cursor to the end of the measurement and press 【 Set 】 key to fix the end of the
measurement;
4. Repeat step 2-3 for the next measurement.
10.4.7 Valve Velocity Measurement
It calculates the velocity (slope) of the valve by dividing the tissue depth difference (distance) measured by the
time interval method in B/M mode. The tissue depth difference (distance) is in millimeters and the time interval is in
seconds. The result is in millimeters per second. The message "0" is displayed when the time interval is close to zero
or the value of SL is too large.
Operation steps:
1. Under frozen state of B/M or M mode, move the cursor to the " M General" option of the

measurement menu, press 【Set】 key to enter into the M General measurement menu, and then move the
cursor to "Vel "Option, press 【Set】 key to enter the measurement state;
measurement;
3. Move the cursor to the end of the measurement and press 【 Set 】 key to fix the end of the
measurement;
Repeat step 2-3 for the next measurement.
10.4.8 Corresponding key and menu operating instructions:
Remark
Operation Description Function
s
【Close】 Close measurement Close measurement
Choose Choose measurement

【Application】
measurement package package
General
measurement
Clear measurement
【Clear】 Meet measurement needs
data
Start and End key of
【Set】 meet measurement needs
measurement
Press this key
【Freeze】 directly to enter general Freeze image
measurement
See
M General Display M General
【M General】 above
measurement menu measurement menu
diagram
D General Display D General
【D General】
measurement menu measurement menu
【ET】 Time measurement Move the cursor to the

desired measurement item via the
Heart Rate
【HR】 trackball and press "SET" key.
measurement
Move the cursor to the
Distance
【Distance】 measurement start point and
measurement

press "SET" key to move the

cursor to the measurement end
and press "SET" key. At this
Valvular velocity point the measurement data
【Vel】
measurement shows the bottom of the image.
Press "Clear" key to clear the
measured value, press "Freeze"
key to exit .
10.4.9 Spectrum / D General Measurement

D General Measurement menu
Time, heart rate, velocity, acceleration, Doppler common, Doppler trace.
D General Measurement Menu

10.4.10 Time Measurement
Measure the time interval between two points on the ultrasound image in Doppler mode.
Operation steps:
1. Under frozen state of D mode , move the cursor to the "Measure" option of the measurement menu,
press 【Set】 key;
2. Move the trackball to the "D General" option, press 【Set】 key, pop up the D General Measurement
sub-menu;
3. Move the cursor to "ET" option, press 【Set】 key to enter the measurement state;
4. Move the cursor to the start point of the measurement, press 【Set】 key to fix the start point ;

5. Move the cursor to the end of the measurement and press 【Set】 key to fix the end point;
6. The measurement is completed and the results are displayed at the bottom right of the image. Repeat
steps 2-5 to make the next measurement.
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit .
All operations must be carried out in frozen state.
10.4.11 HR Measurement
Measure the time interval between two heartbeat cycles on the ultrasound image in Doppler mode and calculate
the heart rate.
Operation steps:
1. Under frozen state of D mode, move the cursor to the "Measure" option of the measurement menu, press
【Set】 key;
2. Move the cursor to the "D General" option, press 【 Set 】 key, pop up the D general measurement
sub-menu;
3. Move the cursor to the "HR" option, press 【Set】 key to enter the measurement state;
6. After measurement completed, the results are displayed at the bottom right of the ultrasound zone.
Repeat steps 2-5 to make the next measurement.
10.4.12 Velocity Measurement
Under Doppler mode, measure the velocity and differential pressure at a point on the Doppler spectrum.
Operation steps:
2. Move the trackball to the "D General" option, press 【Set】 key, pop up the D normal measurement
sub-menu;
3. Move the cursor to the "Vel" option, press 【Set】 key to enter the measurement state;
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit.
10.4.13 Acceleration Measurement
In Doppler mode , measure the speed of two points, the time interval, the calculation of speed difference,
acceleration.
Operation steps:
sub-menu;
3. Move the cursor to the "ACC" option, press 【Set】 key to enter the measurement state;
Press 【 Clear 】 key to clear the measurement data and symbol, press 【 Freeze 】 key to exit the
measurement.
10.4.14 D General Measurement
Measurement Items:
PS: The peak speed of contraction is the fastest rate of red blood cells in the sample volume;
ED: End - diastolic velocity is the rate of blood flow at the end of the heartbeat cycle;
TAMAX: The average velocity of the maximum velocity spectrum;
RI: Resistance index, RI=|(PS(m/s)-ED(m/s))/PS(m/s)|;
PPG: Peak pressure gradient, is the peak pressure corresponding to the pressure gradient,
PPG(mmHg)=4×PS(m/s)。
Operation steps:
sub-menu;
3. Move the cursor to the "Common" option, press 【Set】 key to enter the measurement state;
4. Move the cursor to the measuring point, press 【Set】 key to fix the measuring point PS;
5. Move the cursor to the measuring point, press 【Set】 key to fix the measuring point MD;
6. Move the cursor to the measuring point, press 【Set】 key to fix the measuring point ED;
10.4.15 Doppler Trace
Measurement Items:
PPG(mmHg)=4×PS(m/s).
Operation steps:
sub-menu;
3. Move the cursor to the "Trace" option, press 【Set】 key to enter the measurement state;
measurement;
10.4.16 Doppler Auto Measurement
Measurement Items:
S/D: The ratio of peak (S) and end - diastolic peak (D) of umbilical artery in late pregnancy.
PPG(mmHg)=4×PS(m/s).
Operation steps:
2. Move cursor to the "D General" option, press 【Set】 key, pop up the D general measurement sub-menu;
3. Move the cursor to the "Doppler Auto" option, press 【Set】 key to enter the measurement state;
4. Move the "Start" cursor to the measurement start point and press 【Set】 key to fix the measurement start
point;
5. Move the "End" cursor to the end of the measurement and press 【 Set 】 key to fix the end of the
measurement;
Press 【Clear】 key to clear the measurement data and symbol, press 【Freeze】 key to exit.
10.5 Specialist Measurement
This equipment has the following specialized measurement calculation items:
◆Abdomen ◆Pelvic
◆Early OB ◆General
◆Urology ◆Cardiac
◆MSK ◆Late OB

◆Small Organ ◆Peripheral Blood Vessel

10.5.1 Abdomen
Description
Abdomen is the body part between the pelvis and the chest. In the anatomy, the abdomen from the chest to
the diaphragm of the true and false pelvic boundaries. The true and false pelvic boundaries from the lumbosacral
angle (the fifth lumbar vertebrae and the first sacral vertebrae between the discs) to the pubic symphysis, the
edge of the pelvic entrance. The cavity between the pelvic inlet and the diaphragm is called the abdominal cavity.
The peritoneal border is the abdominal wall. In function, the abdomen is where most of the digestive tract, which
means that digestion and absorption are occurring here. The digestive tract in the abdominal cavity includes the
lower esophagus, stomach, duodenum, jejunum, ileum, cecum and appendix, ascending colon, transverse colon
and descending colon, sigmoid colon and rectum. Other important organs are liver, kidney, pancreas and spleen
The abdominal wall is divided into the posterior side and the anterior abdominal wall.
All operations under abdominal measurements must be performed in freeze state.
Abdominal, aortic meas menu Prostate, bladder meas menu
10.5.2 Urology Measurement Operation
Close Close measurement Close Measurement
Report Report Report
Choose measurement Choose measurement

Application
package package
Measure General measurement General measurement
【Clear】 Clear measurement data meet measurement needs
Measurement start and

【Set】 meet measurement needs
end key
Liver Liver measurement In B mode state, adjust the

Gallbladder image, press the "Freeze" key to

GB
measurement freeze the image;
Gallbladder wall Press "DIS" key to move the
GBWT
thickness measurement cursor to the "abdomen" or
Total bile duct "General" measurement item via
CBD
measurement the trackball and press "SET"
Portal Vein Portal vein measurement key. Move the cursor to the
measurement start point and press
Spleen Spleen measurement
"SET" key to move the cursor to
Prox Ao Ap Cardiac measurement the measurement end and press
Mid Ao Ap "SET" key. The measurement
Dist Ao Ap data shows at the bottom of the
Rt lliac Ap image. If you need to make
Lt lliac Ap multiple measurements on a
Prox Ao Width particular item, if the liver needs
Mid Ao Width to be measured multiple times,
Dist Ao Width continue to perform a liver
Bladder volume measurement after each

Volume measurement is continued and the
measurement
Bladder wall cursor is moved to the liver menu
Blad Wall selection. Press "Clear" key to
measurement
clear the measured data, press
Right ureter
Rt Ureter "Freeze" key to exit.
measurement
Lt Ureter Left ureter measurement
Pre-void Volume Pre-void volume
Post-void Volume Post-void volume
Prostate volume
Prostate Volume
measurement
10.5.3 Liver Measurement

Description
Liver is an organ with metabolic function, and in the body which plays a de-oxidation, storage of liver sugar,
secretory protein synthesis and so on. The liver also makes bile in the digestive system.The liver also makes bile in
the digestive system. In medical terms, often in Latin words Hepato- or Hepatic to describe the liver or liver (Greek
hēpar (ήπαρ)). The liver is the largest organ in the viscera of the human body, located in the abdomen position of the
human body, under the right lateral septum, at the front of the gallbladder and in front of the right kidney, above the
stomach. The liver is the largest digestive gland in the human digestive system, the average adult weight of 1.5 kg

(about 1-2.5 kg; the other said 1-1.6 kg), a reddish brown V-shaped organs. The liver is an important organ of
metabolism.
Operation
Under B or B / B mode, press "DIS" key to enter into measurement menu.
1. Move the cursor to "Abdomen" or "Measure" and press "SET" key;
2. Move the cursor to "Liver" and press "SET" key;
3. Move the cursor, combined with "SET" key, do the measurement;
4. Repeat steps 2-3 can be measured multiple times; the measurement results are displayed at the bottom
right of the image.
10.5.4 Gallbladder Measurement
Description
Gallbladder, is located in the right side of the ribs under the liver of the pear-shaped capsule structure,
concentrated and stored with bile. Gallbladder at the end of the body, neck, tube four, neck with cystic duct.
Gallbladder wall by the mucosa, muscle and outer membrane composed of three.
Operation
1. Move the cursor to "Abdomen" or "General” and press "SET" key;
2. Move the cursor to "GB" and press "SET" key;
4. Repeat steps 2-3 to measure multiple times; the measurement results are displayed at the bottom right of
the image.
10.5.5 Gallbladder Wall Thickness Measurement
Description
Gallbladder wall normal thickness is 1 to 3 (average 2) mm, gallbladder wall greater than 3mm is regarded as
gallbladder wall thickening
Operation
1. Move the cursor to "Abdomen" or "Measure" and press "SET" key;
2. Move the cursor to "GBWT" and press "SET" key;
the image.
10.5.6 CBD Measurement
Description
The common bile duct from the hepatic duct and cystic duct in the liver duodenal ligament merged together,
down with the pancreatic duct. The length is about 7 ~ 9cm, diameter 0 .6 ~ 0 .8cm divided into four sections: 1,
duodenal upper 2, duodenum 3, the pancreas 4, duodenal wall within the segment. The beginning of the common
bile duct is located in the upper duodenum above the duodenal ligament in the liver, and then the upper part of the
duodenum, and then down, in the pancreatic head and duodenum between the Department or by the head After the

last oblique duodenal descending posterior medial wall, where the confluence of the pancreatic duct, the formation
of slightly enlarged hepatopancreatic ampulla, opening in the duodenum big nipples. In the liver and pancreas
around the ampulla liver and pancy circumference around the sphincter. In the common bile duct and pancreatic duct
are also a small amount of smooth muscle around, respectively, said the common bile duct sphincter and pancreatic
duct sphincter. Hepatopancreatic ampullary sphincter to maintain contraction of the state, by the liver secretion of
bile, by the left and right liver, right tube, liver catheters, medical education. Nursery network collection of cystic
ducts into the gallbladder storage; After eating, especially into high-fat foods, gallbladder contraction,
hepatopancreatic ampullary sphincter diastolic, gallbladder bile through the cystic duct, common bile duct into the
duodenum.
Operation
1. Move the cursor to "Abdomen" or "General" and press "SET" key;
2. Move the cursor to the "CBD" and press "SET" key;
the image.
10.5.7 Portal Vein Measurement
Description
The portal vein includes the portal vein and the pituitary portal vein.
The portal vein is made up of the splenic vein (subepithelial vein into the splenic vein), the superior mesenteric
vein is merged, and the blood from the abdominal organ is recovered. There is no valve in the portal vein, so when
the portal vein pressure, the blood can be countercurrent.
Adult portal vein about 8cm, about 1.5 cm in diameter, from the splenic vein and superior mesenteric vein in the
pancreas neck after the convergence, oblique right ascending into the free axis of the liver duodenal ligament, living
in common bile duct and hepatic artery Of the rear, upstream to the first hepatic portal, divided into left and right
into the liver, repeated branches in the liver, and finally the formation of interlobular vein, and the hepatic artery
branch of the interlobular artery common into the liver sinus.
Operation
1. Move the cursor to "Application" and press "SET" key;
3. Move the cursor to the "Portal Vein" and press "SET" key;
the image.
10.5.8 Spleen Measurement
Description
The spleen is the largest lymphoid organ in the body, located in the upper left abdomen. The main function of
the spleen is to filter and store blood. Spleen texture is brittle and rich in blood supply, so once a strong external

force to combat, it is easy to rupture, splenic rupture can lead to severe bleeding, is able to lethal one of the
abdominal emergency.
Operation
1. Move the cursor to "Application" and press "SET" key
3. Move the cursor to "Spleen" and press "SET" key;
5. Repeat steps 3-4 to measure multiple times; the measurement results are displayed at the bottom of the
image
10.5.9 Aortic Measurement
Description
Circulation of the arterial trunk behavior: ascending aorta from the left ventricle, to the right side of the second
thoracic and thoracic articular height of the transition to the aortic arch, bow to the left after the fourth thoracic
vertebral body to move the lower thoracic aorta; The apex of the vertebral body is divided into the left and right
common iliac arteries. The common iliac arteries are divided into the internal and external arteries of the iliac
arteries.
10.5.10 Prox Ao AP Measurement
Operation
2. Move the cursor to the "Aorta" and press "SET" key;
3. Move the cursor to "Prox Ao AP" and press "SET"
the image.
10.5.11 Mid Ao AP Measurement
Operation
3. Move the cursor to "Mid Ao AP" and press "SET"
5. Repeat steps 4-5 to make multiple measurements; the measurement results are displayed at the bottom
right of the image.
10.5.12 Dist Ao AP Measurement
Operation


3. Move the cursor to "Dist Ao AP" and press "SET"
right of the image.
10.5.13 Rt Iliac AP Measurement
Operation
3. Move the cursor to "Rt Iliac AP" and press "SET"
right of the image.
10.5.14 Lt Iliac AP Measurement
Operation
3. Move the cursor to "Lt Iliac AP" and press "SET" key;
right of the image.
10.5.15 Prox Ao Width Measurement
Operation
3. Move the cursor to "Prox Ao Width" and press "SET"
right of the image.
10.5.16 Mid Ao Width Measurement
Operation
3. Move the cursor to "Mid Ao Width" and press "SET"

right of the image.
10.5.17 Dist Ao Width Measurement
Operation
3. Move the cursor to "Dist Ao Width" and press "SET"4. Move the cursor, combined with "SET" key, do
the measurement;
right of the image.
10.5.18 Bladder Measurement
Description
The bladder is a urine storage organ. In mammals, it is composed of a smooth muscle capsule structure, located
in the pelvis, the rear opening and urethra connected. Bladder and urethra at the junction of a sphincter, can control
the discharge of urine.
Operation
2. Move the cursor to "Bladder" and press "SET" key;
3. Move the cursor to "Volume" and press "SET" key
4. Move the cursor, combined with "SET" key, for L, H, W measurement;
the image.
10.5.19 Bladder Wall Measurement
Description
The bladder wall consists of muscular, submucosal and mucous membranes. Covered with thin layers of loose
connective tissue. The serosa is covered only in the upper part of the bladder and a small part of the upper part of the
bladder. Muscle layer composed of smooth muscle fibers, the outer and inner layer for the longitudinal, the middle
of the main ring, three layers are not easy to separate each other. The entire bladder muscle layer called the bladder
detrusor, an important role in the urination.
Operation
3. Move the cursor to the "Blad Wall" and press the "SET" button
4. Move the cursor, combine the "SET" key, do the measurement;
the image.

10.5.20 Left/Right Ureter Measurement

Description
Ureter connected to the renal pelvis, the next bladder, is a pair of slender pipes, was flat cylindrical, diameter
average of 0.5 to 0.7 cm. Adult ureteral length of 25 to 35 cm, located in the retroperitoneal, along the medial side of
the psoas tendon straight down into the pelvis. The ureter has three narrow parts: one at the transition of the renal
pelvis and the ureter (at the beginning of the ureter); one at the entrance to the small pelvis; the last one inside the
bladder wall.
Operation
3. Move the cursor to the "Lt Ureter" or "Rt Ureter" and press "SET" key;
the image.
10.5.21 Pre-void Volume, Post-void Volume Measurement
Operation
3. Move the cursor to "Pre-void Volume" or "Post-void Volume" and press "SET"
the image.
10.5.22 Prostate Volume Measurement
Description
The prostate is a male-specific gonadal organ. Prostate, such as chestnuts, bottom up, and the bladder phase
attached, sharp down, urinary urophytic diaphragm, in front of pubic symphysis, followed by rectum, so there is
prostate enlargement, do rectal examination, touch the prostate back. Prostate gland in the middle of the urethra
through, you can say that the prostate guarding the urethra, so the prostate is sick, urination was first affected. The
prostate is very rare in the human body, with both internal and external secretion of sexual secretory glands. As an
exocrine gland, prostate secretion of about 2 ml per day of prostatic fluid, is the main component of semen; as
endocrine glands, prostate secretion of hormones called "prostaglandins."
Operation
2. Move the cursor to "Prostate" and press "SET" key;
3. Move the cursor to "Volume" and press "SET" key;
4. Move the cursor, combined with "SET" key, do the L H W V measurement;

the image.
10.6 Early Obstetric, Later Obstetric Measurement
10.6.1 Measurement Items:
After choosing Early/Later OB menu, enter into measurement function
10.6.2 Early Obstetric Menu:

Early OB measurement menu Left Ovary measurement menu
Uterine measurement menu Right Ovary measurement menu
10.6.3 Later Obstetric Menu:

GA measurement menu Fetal long bone measurement menu

AFI Measurement:
10.6.4 Obstetrics Description

Measurements and calculations obtained from ultrasound images should be used as a supplement to other
clinical measures of the physician. The accuracy of the measurement of the system is not only affected by the
accuracy of the system itself, but also depends on whether the user has adopted the correct medical program. If
necessary, be sure to indicate a medical plan related to measurement and calculation. This section begins with all
representative B-mode measurements included in the obstetric study. Other obstetric measurements follow these
representative measurements.
Main Content
◆ Fixed database version selection
◆ Customize database edit

◆ Calculate GA and EDC

◆ Calculate FW
◆ Calculate GA and EDC by LMP
◆ Calculate GA and EDC by BBT
◆ Fetal physiology score
◆ Fetal growth curve
10.6.5 Calculate GA and EDC
Through obstetric table to estimate GA and EDC.
GS, BPD, CRL, FL, HL, TAD, LV, OFD, NT are distance measurement; AC, HC are Ellipse method
circumference / area measurement; AFI measurement need four distances.
10.6.6 Calculate FW
Calculate of AC/BPD, AC/FL or AC/FL/HC. The data will be automatically stored in memory. When the
obstetric report is called, the system will automatically calculate the result according to the multi-parameter
calculation.
10.6.7 Calculate GA and EDC by LMP
The calculation method of the EDC, in the previous section has been based on obstetric measurement
automatically calculate the GA and EDC, here to introduce to calculate GA and EDC by LMP. As a means of
expression during pregnancy, from the occurrence of the point of view, is the fertilization day as the first day, the
whole pregnancy of 280 days, 10 months of gestation (28 days each pregnent month).
Because every pregnant woman is difficult to accurately determine the time of conception, in the clinical
application of obstetrics, is the date of the last menstrual start as zero weeks of pregnancy to calculate the first 40
weeks of the zero day is the expected date of accurate date. Pregnant women in the 38-42 weeks of pregnancy
delivery, are full-term delivery. This algorithm is the 28-day type as a standard, because each woman's menstrual
cycle length varies, so the expected pre-production period and the actual expected date of 1-2 weeks of access is
normal.
<The calculation method by LMP＞
EDC(LMP)=LMP+280(days)
（LMP：short for Last Menstrual Period, the first day of the last menstruation）
（EDC：Estimated Date of Confinement, i.e. the expected date of delivery）
Operation steps:
Move the trackball to select the basic information page of the obstetric report. Click the drop-down button in
the "LMP" input field, select the date, and then click on the input field after pregnancy. The GA will be displayed in
the input field.
10.6.8 Calculate GA and EDC by BBT
＜The calculation method by BBT＞ EDC＝BBT＋266(days)
Accurate ovulation date is difficult to infer, so we regard the date when basic body temperature changes from
low temperature to high temperature as the date of ovulation, i.e.: EDC(BBT)=BBT+266(days)
（BBT: short for Basal Body Temperature）

Operation steps:
Move the trackball to select the basic information page of the obstetric report. Click the drop-down button in
the basal body temperature (BBT) input field, select the date, and then click the input field after GA. The GA will be
displayed in the input field.
10.6.9 Fetal Biophysical Score
Fetal Biophysical Score: there are two commonly used scoring methods:
Mannig scoring method——Will each of the physiological variables, the normal assessment of 2 points;
abnormal comment 0 points. To observe the followings in 30 minutes : 1. fetal respiratory movement; 2. large body
movement; 3. fetal muscle tension; 4. reactive FHR; 5. amniotic fluid quantitative.
Vintzileos scoring method——Each physiological activity was scored as "0", "1", "2".
1. To observe the reactive FHR in 20 minutes ; to observed the followings in 30 minutes: 2. fetal movement; 3.
fetal respiratory movement; 4. fetal muscle tension; 5. amniotic fluid; 6. placental maturity.
In medical practice, the newborns are widely used Apgar scoring method named by Apgar to judge this,
including the following five projects:
1．Skin color: assess the situation of neonatal lung oxygen exchange. Body skin was pink for 2 points, hands
and feet were purple purple for 1 minute, the body was purple for 0 points.
2．Heart rate: assess the intensity and rhythm of neonatal heart beats. Heart beat more than 100 times / minute
for 2 points, heart beat less than 100 times / minute for 1 point, can not hear the heart sound for 0 points.
3．Breath: assess the maturity of the neonatal center and lungs. Breathing law for 2 points, breathing rhythm
irregular (such as shallow or irregular or rapid effort) for 1 point, no breathing for 0 points.
4．Muscle tension and exercise: assessment of neonatal central reflex and muscle strength. Muscle tension is
normal for 2 points, abnormal muscle tension or low for 1 point, muscle tension relaxation of 0 points.
5．Reflex: assess the ability of the newborn to respond to external stimuli. On the shell foot or other stimuli loud
cry for 2 points, whispered sobbing or frown for 1 point, no response to 0 points.
According to these five signs as the basis, full of 10 points were normal neonatal, score 7 points below the
neonatal consider suffering from mild asphyxia, score below 4 points to consider suffering from severe asphyxia.
Most of the newborns score among 7-10 points, the doctor will be based on the child's score to be dealt with
accordingly. Mild asphyxia neonates generally cleaned up the respiratory tract, oxygen and other measures will soon
improve, the prognosis is good.
Clinical significance: usually considered the level of fetal score and neonatal Apgra score, fetal distress during
childbirth, prenatal and perinatal mortality are highly correlated. The lower the score, the higher the correlation
between the two. It is reported that when all scoring items are normal, the fetal physiological score is "10", the
perinatal mortality rate is 0; the other hand, if all parameters are abnormal, fetal physiological score of "0", the fetal
mortality rate of 40%.
The system uses the Vintzileos scoring method to rate the following items:
Reactive fetal heart rate accelerate Fetal movement Fetal respiratory activity Fetal muscle tension AFI.
Operation steps:
Move the trackball, select the measurement page of the obstetric report, select page 3, and the report menu
shows the above functions, and the corresponding selection is made.

10.6.10 Fetal Growth Curve

The fetal growth curve is shown in the Growth Curve page of the obstetric report. After entering the growth
curve page of the obstetric report, click the GS BPD CRL FL HL TAD LV OFD AC HC options, respectively,
corresponding to the ten formula growth and development curve.
10.6.11 GS Measurement
Description
Gestational Sac is the form of the initial embryo of pregnancy. The second week of embryos implanted in the
endometrium, developed into the two germ layers, in the ventral bloody out of a large cavity called the primary yolk
sac, yolk sac in the process of embryonic development continue to shrink and degenerate, but the egg yolk wall The
outer mesoderm is the earliest birthplace of blood cells, blood vessels and primordial germ cells - the fetus develops
in the future.
Note
To calculate GS, three distance measurements can be made in two scanning planes. To display two scan planes,
press the L or R key. Get an image in each scan plane and press Freeze.
Operation
1. Select GS; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press SET key.
b. Move the cursor to the end point and press SET key.
c. The measured values are displayed at the bottom of the image.
2. To perform the second and third measurements, repeat the steps above.
10.6.12 Early / Later Obstetric operation steps:
Rema
rks
【Close】 Close measurement Close measurement
Choose measurement
【Application】 Choose measurement package
package
【Measure】 General measurement General measurement
Fetal sac In B mode, adjust the image, press

GS
measurement "Freeze", press "DIS" key, use the
Double top diameter trackball to move the cursor to the
BPD
measurement "early/late OB" measurement, press
Head and hip length "SET" key. Move the cursor to the
CRL
measurement measurement start point and press
Femur length "SET" key, then move the cursor to the
FL
measurement measurement end point and press "SET"
HL Humeral length key. The measurement data shows at the

measurement bottom of the image.
Transverse abdomen If you need to make multiple

TAD measurements on an item, if the GS
measurement
needs to be measured multiple times,
Vertebral length
LV continue to measure the GS
measurement
measurement when you move the cursor
Pillow size
OFD to the GS menu selection for each
measurement
measurement. Otherwise the system will
Abdominal
automatically continue to calculate the
AC circumference
next obstetric measurement items and
measurement
display the measured data.
Head circumference
HC Press "Clear" key to clear the
measurement
measured data, press "Freeze" to exit
Amniotic fluid
AFI this measurement.
measurement
Neck transparent layer
NT
length measurement
YS Yolk sac measurement
CxLength
APAD
CEREB
FTA Fetal trunk area
Trunk transverse
TTD
diameter
Trunk front and rear
APTD
diameters
Fetal weight
EFW
measurement
UL
10.6.13 BPD Measurement

Description
Refers to the length of the widest part of the left and right sides of the fetal head, also known as the "big head
diameter." Short for BPD, clinical used to observe the child's development of the situation, to determine whether the
head does not call, smooth delivery.
Operation
To measure single distance to measure BPD:
1. Select BPD; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press SET.

b. Move the cursor to the end point and press SET.

c. The measured data are displayed at the bottom of the image.
10.6.14 CRL Measurement
Description
CRL refers to the height of the fetus. General pregnancy 9-14 weeks, the head and hip long routine examination.
Can be used as a judge whether the fetus is in normal grow up.
Operation
To measure single distance to measure CRL:
1. Select CRL; an active caliper is displayed on the screen.
10.6.15 FL Measurement
Description
The femur is the largest long bone of the human body, referring to the femur, FL is the length of the femur. FL
is a measure of fetal body mass.
Operation
To measure single distance to measure FL:
1. Select FL; an active caliper is displayed on the screen.
10.6.16 HL Measurement
Description
Humerus length (HL) is a commonly used indicator for observing fetal development when doctors use B-mode
ultrasound (or color ultrasound) to check pregnant women during pregnancy. The humerus is a typical long tubular
bone in the human body and can be divided into two ends. Humerus is located in the upper arm, also called the upper
arm bone. The FL refers to the length of the upper arm. Fetal humerus length = -5.4282 + 0.7542 × biparietal
diameter. According to the study, the fetal abdomen area, abdominal circumference and fetal humerus length is a
more sensitive index of fetal body mass, fetal humerus long in predicting the quality of the fetus is better than the
femur length
Operation
To measure single distance to measure the HL:
1. Select HL; an active caliper is displayed on the screen.


10.6.17 TAD Measurement
Description
The abdomen (navel) diameter that when the fetal lie down.
Operation
To measure single distance to measure the TAD:
1. Select TAD; an active caliper is displayed on the screen.
10.6.18 LV Measurement
Description
Spine also known as spine bone, by the shape of the special vertebrae and inter-vertebral discs connected,
located in the back of the middle, with the skull, the middle and the ribs connected to the bottom and hip
composition pelvis. There were 7 cervical spine, 12 thoracic vertebrae, 5 lumbar vertebrae, 1 sacrum (synthesized by
5 sacral vertebrae) and 1 tail spine (composed of 4 caudal vertebrae) 24 (adult) independent Of the vertebrae. Inside
the vertebrae from top to bottom to form a longitudinal ridge, there are spinal cord.
Operation
To measure single distance to measure the LV:
1. Select LV; an active caliper is displayed on the screen.
10.6.19 OFD Measurement
Description
OFD is also known as the "anteroposterior diameter", refers to the fetal head from front to back to the longest
part of the case is usually from the "forehead of the nose" to "the back of the brain occipital longon" So called pillow
diameter.
Operation
To measure single distance to measure the OFD:
1. Select OFD; an active caliper is displayed on the screen.

10.6.20 AC Measurement
Description
Ultrasound measurement of fetal abdominal circumference can predict the risk of pregnancy caused by the great
children. Fetal abdominal measurement, mainly to see the fetal development of the abdomen. To calculate the
abdomen circumference, you can make an ellipse measurement.
Operation
Ellipse
1. Select AC; an active caliper will appear on the screen.
c. Move the trackball to confirm the trace of AC
d. The measured data are displayed at the bottom of the image.
10.6.21 HC Measurement
Description
Head circumference refers to the maximum length of the circle around the fetal head. The head of the fetus
from the front to the back of the longest part, usually from the "forehead of the nose" to "the back of the occipital
bone carina," the longest distance, so the general head circumference is from the "forehead of the nose" to "Back of
the brain occipital protuberance" around the length of the circle.
Operation
Ellipse
1. Select HC; an active caliper will appear on the screen.
c. Move the trackball to confirm the trace of HC
d. The measured data are displayed at the bottom of the image.
10.6.22 AFI Measurement
Description
Amniotic fluid is the liquid that surrounds the fetus during pregnancy. The development of human embryos,
there is a period of immersion in the amniotic fluid, the head has a bow like a gill-like things, that is, human
ancestors experienced the fish period of proof. In fact, the amniotic fluid is not oxygen, only nourishment, while the
fetus's thought, nor is it used to breathe, but the absorption of nutrients, and the role of fish gills have been
completely different. Amniotic fluid in addition to early pregnancy to provide appropriate to the fetus outside the
fetus in the middle of pregnancy or to provide fetal movement, growth, respiratory tract, gastrointestinal circulation
and fetal urine excretion of the place. It can be said that amniotic fluid is one of the essential living conditions in
fetal growth.
Operation
To measure single distanceto measure AFI:

1. Select AFI; an active caliper is displayed on the screen.

10.6.23 NT Measurement
Description
Neck transparent layer refers to the early pregnancy using ultrasound to observe the fetal neck after
subcutaneous water, which is in early pregnancy, especially in early pregnancy all the fetus can appear an ultrasound
phenomenon, its thickness and chromosomes and other lesions are closely related, In other words, the thickness of
the transparent layer of the neck can help identify other chromosomal abnormalities and various structures, in
addition to the risk of assessing the down syndrome, in addition to the thickening of the neck, deformity and genetic
disease. Because about down syndrome, about 75% of the neck transparent layer will appear thicker.Pregnant to the
pregnancy, the transparent layer will usually fade, but in a small number of cases will become cervical edema or
water cysts. The significance of transparent layer thickness detection.
Operation
To measure single distance to measure the NT:
1. Select NT; an active caliper is displayed on the screen.
10.7 GYN Measurement（Pelvic Menu）
10.7.1 Description
Gynecology measurement is mainly for the uterus measurement. Cervix, Endomet, UTL, UWW and UTH were
measured in B mode. From the uterus, uterine width, uterine height of three distance can be calculated to the uterine
volume. But also on the left and right ovaries, cysts were measured.
10.7.2 Pelvic Measurement Menu
Uterus Measurement Menu

Left/Right Ovary measurement menu:
Left/Right follicle measurement menu:

10.7.3 GYN Measurement Operation Steps:

Remar
ks
Close
measurement
【Application】
General
measurement
Uterus volume In B mode, adjust the
Uterus Volume
measurement image, press "DIS" button, use
Endom thick the trackball to move the
Endom Thick
measurement cursor to the needed to
Uterine fibroid 1 measure, press "SET". Move
Fibroid 1 Volume
volume measurement the cursor to the measurement
Uterine fibroid 2 start point and press "SET",
Fibroid 2 Volume
volume measurement move the cursor to the
Right ovary measurement end point and
Rt ovary Volume
volume press "SET". The
Right Ovary cyst measurement data shows at the
Rt Cyst 1 Volume
1 measurement bottom of the image. Press

Right Ovary cyst "Clear" key to clear the

Rt Cyst 2 Volume
2 measurement measured data, press "Freeze"
Left ovary to exit this measurement.
Lt Ovary Volume
volume measurement
Left Ovary cyst 1
Lt Cyst 1 Volume
measurement
Left Ovary cyst 2
Lt Cyst 2 Volume
measurement
Multiple follicle
Lt Follicle F1~F8
measurements
Multiple follicle
Rt Follicle F1~F8
measurements
10.7.4 Left and Right Ovary Volume Measurements

Description
Ovary is an important reproductive organ of women, can secrete estrogen, reflecting the physiological
characteristics of women. With the age increasing , Ovary function gradually decline and the phenomenon of atrophy,
which will affect the female skin color, the emergence of skin relaxation, lack of flexibility and luster, physical
disorders and other symptoms.
Note
In the B mode, the left / right ovary for ultrasound scanning positioning can be measured. The Ovary volume
can be calculated from the three values of length, width and height.
Operation
1. Under B or B / B mode, press the "DIS" key to enter the measurement menu. Move the cursor to the
"Pelvic" item in the "Application" of the left menu and press "SET";
2. Move the cursor to the "Lt / Rt Ovary", press "SET";
3. Move the cursor to "Volume", press "SET";
4. Move the cursor, combined with the "SET" key, do the length, height, width and volume measurements
("LHWV").
5. The measurement results are displayed at the bottom right of the image.
10.7.5 Ovary Cysts Measurement
Description
Ovary cysts are a kind of Ovary tumor in a broad sense. The ovaries are very small organs in the human body.
However, Ovary tumors can have a variety of different properties and morphology - single or mixed type , side or
bilateral, cystic or substantive, benign or malignant, and there are many Ovary tumors can produce female or male
sex hormones.
Operation
Under B or B / B mode, press the "DIS" key to enter the measurement menu.
1. Move the cursor to the "Pelvic" item in the "Application" of the left menu and press "SET";

2. Move the cursor to the "Lt / Rt Ovary", press "SET";

3. Move the cursor to the "Cyst", press "SET";
("LHWV").
10.7.6 Uterus Measurement
Description
The uterus is the organ that produces menstruation and bloody fetus, located in the pelvic cavity, between the
bladder and the rectum. Uterine size and age and fertility, not produced about 7.5cm, width 5cm, thick 3cm, the
uterus can be divided into the bottom, body and neck three parts. Uterus cavity was inverted triangular, about 6cm
deep, the top of the two horns for the "uterine horn", leading to the fallopian tube. The lower end of the narrow
"isthmus", about 1cm. The isthmus gradually expanded during pregnancy, labor formation of the lower uterine
segment. Uterus and cervix ratio varies according to age, infancy is 1: 2, adolescence is 1: 1, growth period is 2: 1.
The uterus is slightly curved forward, the front wall prone to the bladder, and the vagina almost at right angles, the
location can be varying with the degree of bladder rectification and change. The uterine wall is composed of three
layers: serosa, muscular layer, and mucosa (ie endometrium).
10.7.7 Uterus volume measurement
Operation
2. Move the cursor to the "Uterus", press "SET";
3. Move the cursor to the "Uterus Volume", press "SET";
("LHWV").
10.7.8 Endometrial measurements
Description
Endometrium, uterine endome-trium refers to a layer that constitutes the inner wall of the mammalian uterus.
On the estrogen and progesterone are the reaction, it can be with the sexual cycle (estrous cycle, menstrual cycle) a
significant change.
Operation
3. Move the cursor to the "Endom Thick" on the "SET";
4. Move the cursor, combined with "SET" button, do the endometrial thickness measurement.
10.7.9 Uterus Fibroid Measurement
Description

Hysteromyoma, also known as uterine leiomyoma, is the most common female genital a benign tumor. More
asymptomatic, a small number of manifestations of vaginal bleeding, abdominal touch and swelling of the symptoms.
If the occurrence of torsion or other circumstances can cause pain, multiple common uterine fibroids are common.
Operation
3. Move the cursor to "Fibroid Volume", press "SET";
4. Move the cursor, combined with "SET" button, do the uterine fibroids measured.
The measurement results are displayed at the bottom right of the image.
10.7.10 Multiple follicle Measurements
Description
Follicle, the ovary cortex consists of an oocyte and many small follicular cells around it. According to follicular
development process of morphological and functional changes can be divided into primordial follicles, growth
follicles and mature follicles in three stages. Women's original follicles are innate, neonatal ovaries on both sides
have 700,000 to 200 million original follicles, about 40,000 primitive follicles are kept to puberty . Ultrasonography
provides an effective method for detecting follicular development and ovulation, and can be used to diagnose
follicular dysplasia and various ovulation disorders. The most common clinical abnormalities are follicular dysplasia
and no follicular development.
Note
In the B mode, the follicle and other ultrasound scanning positioning, measuring the diameter of the follicle, in
the gynecological report, according to the measured diameter calculated by the volume calculation method (spherical
volume calculation formula), left and right follicles measured three diameter data.
Operation
2. Move the cursor to the "Lt / Rt Follicle", press "SET";
3. Move the cursor to "F1-F8" and press "SET";
4. Move the cursor, combined with "SET" key, do the follicle measurement.
10.8 MSK Measurement

10.8.1 Description
Skeletal muscle, also known as striated muscle, a muscle. Human body has about 600 pieces of skeletal muscle.
1. Bone marrow is a contraction of the muscle cells (due to its shape of long fibrous growth, so also known as
muscle fibers) formed. Any physical activity and physical activity, are the completion of skeletal muscle contraction,
a direct impact on the body's strength and endurance.
2. Skeletal muscle is also the main storage site for human sugar, commitment to more than 70% of sugar storage,
the body's blood sugar balance has an extremely important buffer effect.
3. Skeletal muscle can be free exercise, the muscles have a certain flexibility, is elongated, when the lift force,
can automatically return to the original level, this elasticity can slow down the impact of external forces on the
human body.
10.8.2 Skeletal muscle measurement steps
Close
measurement

【Application】
General
measurement
Clear measurement
data
Measurement start
and end point
Distance Distance Under B or B / B mode, adjust the image, press

measurement "DIS" button, use the trackball to move the cursor to

the needed point to measure, press "SET". Move the
Area Area measurement cursor to the measurement start point and press
"SET", move the cursor to the measurement end and
press "SET". The measurement data shows the at the
Hip angle
Hip Angle bottom of the image. Press "Clear" key to clear the
measurement
measured data, press "Freeze" to exit this
measurement.
10.8.3 Distance Measurement
Operation
1. Move the cursor to "Application" and press "SET";
2. Move the cursor to "MSK" and press "SET";
3. Move the cursor to "Distance" and press "SET";
4. Move the cursor, combined with "SET" button, do the skeletal muscle distance measurement.
10.8.4 Area Measurement
Operation
3. Move the cursor to "Area" and press "SET";
4. Move the cursor, combined with "SET" key, do the skeletal muscle area measurement.
10.8.5 Hip Angle Measurement
Operation
3. Move the cursor to "Hip Angle" and press "SET";
4. Move the cursor, combined with "SET" key, do the hip angle measurement.
10.9 Small Organs Measurement
10.9.1 Description
Small organ measurements with "thyroid, testis" volume measurement, "isthmus" measurement of the thyroid is
the largest human endocrine glands, located in the soft tissue below the neck. The shape of the thyroid is "H" shaped
by the left and right sides of the lateral lobe and connect the two lateral leaves of the more narrow isthmus
composition. Thyroid weight changes greatly, about 1.5 grams of newborns, 10-year-old children about 10-20 grams,
the general adult weight of 20-40 grams. To the elderly thyroid will be significantly atrophy, weighing about 10-15

grams. Testis is male genital organs. Normal men have two testes, located on the left and right sides of the scrotum.
Testicles were ovate, gray color. Adult testis length 3.5-4.5 cm, 2-3 cm wide, 1-2 cm thick, each side of the testes
weight 10-15 grams.
10.9.2 Small Organs Measurement Menu
Left/Right Thyroid Measurement Menu
Bloold Vessel Measurement Menu
Left/Right Testicle Measurement Menu

10.9.3 Small Organs Measurement Operation Steps

Remark
s
【Application】
Clear measurement
data
Measurement start
and end point
Right thyroid
Rt Thyroid Volume
volume measurement
Under B or B / B mode,
Right isthmus
Rt Isthmus adjust the image, press "DIS"
measurement
button, use the trackball to move
Left thyroid
Lt Thyroid Volume the cursor to the needed point to
volume measurement
measure, press "SET". Move the
Left isthmus
Lt Isthmus cursor to the measurement start
measurement
point and press "SET", move the
Right testicle
Rt Testicle Volume cursor to the measurement end
volume measurement
point and press "SET". The
Left testicle
Lt Testicle Volume measurement data shows at the
volume measurement
bottom of the image. Press "Clear"
Vessel Area Vessel area
key to clear the measured data,
Stenosis Area Stenosis area press "Freeze" key to exit this
Vessel Diam Vessel diameter measurement.
Stenosis Diam Stenosis diameter
10.9.4 Left/Right Thyroid Volume Measurement

Description
Under B mode, do the ultrasound scanning positioning for the thyroid. The thyroid volume can be
calculated from the three data of length, width and height.
Operation
1. Move the cursor to "Application" and press "SET”;
2. Move the cursor to "Small Organs" and press "SET";
3. Move the cursor to "Rt Thyroid" or "Lt Thyroid" and press "SET";
4. Move the cursor to "Volume" and press "SET";
5. Move the cursor and combine the "SET" key to do the measurement.
6. The measurement results are displayed at the bottom of the image.
10.9.5 Left/Right isthmus Measurement

Operation
3. Move the cursor to "Rt Thyroid" or "Lt Thyroid" and press "SET";
4. Move the cursor to "Isthmus" and press "SET";
10.9.6 Left/Right Testis Measurement
Operation
3. Move the cursor to "Rt Testicle" or "Left Testis" and press "SET";
10.9.7 Vessel Area Measurement
Operation
3. Move the cursor to "Vessel" and press "SET";
4. Move the cursor to "Vessel Area" and press "SET";
10.9.8 Stenosis Area Measurement
Operation
4. Move the cursor to "Stenosis Area" and press "SET";
10.9.9 Vessel Diam Measurement
Operation


4. Move the cursor to "Vessel Diam" and press "SET";
10.9.10 Stenosis Diam Measurement
Operation
4. Move the cursor to "Stenosis Diam" and press "SET";
10.10 Urology Measurement
Description
Urology is specialized in several aspects: urinary tract stones, cancer, deformity, infection, trauma, kidney
transplantation, male reproduction. Urology is mainly responsible for diagnosis and treatment of nephropathy,
nephritis, renal function will not, uremia and so on.
10.10.1 Urology Measurement Menu
Bladder Measurement Menu
Prostate Measurement Menu
Kidney Measurement Menu

10.10.2 Urology Measurement Operation

Remark
s
Close
measurement

【Application】
measurement pacakge package
General
measurement
Clear measurement
data
Measurement start
and end point set
Right kidney
Rt Kidney Volume
volume measurement Under B or B / B mode,
Kidney cortex adjust the image, press "DIS"
Rt Kidney CORTEX
measurement button, use the trackball to move
Left kidney the cursor to the needed point to
Lt Kidney Volume
volume measurement measure, press "SET". Move the
Kidney cortex cursor to the measurement start
Lt Kidney CORTEX
measurement point and press "SET", move the
Bladder volume cursor to the measurement end
Bladder Volume
measurement point and press "SET". The
Pro-void Volume Pro-void volume measurement data shows at the

bottom of the image. Press
Post-void Volume Post-void volume
"Clear" key to clear the measured
Blad Wall Bladder wall data, press "Freeze" key to exit
Ureter this measurement.
Rt Ureter
measurement

Ureter
Lt Ureter
measurement
Prostate volume
Prostate Volume
measurement
10.10.3 Kidney Volume Measurement
Description
Kidney is an important organ of the human body, its basic function is to generate urine, in order to remove the
body of metabolites and certain wastes, toxins, while re-absorption function to retain water and other useful
substances such as glucose, protein, amino acids, , Potassium ions, sodium bicarbonate, etc., to regulate water,
electrolyte balance and maintenance of acid-base balance. Kidney also endocrine function, resulting in renin,
erythropoietin, active vitamin D3, prostaglandins, kinin, etc., but also for the body part of the endocrine hormone
degradation sites and the target organ of extraperitoneal hormones. All these functions of kidney ensures the stability
of the environment within the body, promotes the normal metabolism.
Operation
2. Move the cursor to "Urology" and press "SET";
3. Move the cursor to "Rt Kidney" or “Lt Kidney" and press "SET";
5. Move the cursor, combined with "SET" key, do the LHWV measurement;
6. Repeat steps 3-5 to do several measurements.
10.10.4 Kidney Cortex Measurement
Description
Kidney cortex mainly refers to the outer layer of the kidney (cortex).
Operation
3. Move the cursor to "Rt Kidney" or “Lt Kidney" and press "SET";
4. Move the cursor to "CORTEX" and press "SET";
10.10.5 Bladder Volume Measurement
Description
The bladder is a urine storage organ. In mammals, it is composed of a smooth muscle capsule structure, located
in the pelvis, the rear opening and urethra connected. Bladder and urethra at the junction of a sphincter, can control
the discharge of urine.
Operation


3. Move the cursor to "Bladder" and press "SET";
10.10.6 Pro-void Volume Measurement
Operation
4. Move the cursor to "Pro-void Volume" and press "SET";
10.10.7 Post-void Volume Measurement
Operation
4. Move the cursor to "Post-void Volume" and press "SET";
10.10.8 Bladder Wall Measurement
Operation
4. Move the cursor to "Blad Wall" and press "SET";
10.10.9 Rt Ureter Measurement
Operation


4. Move the cursor to "Rt Ureter" and press "SET";
10.10.10 Lt ureter Measurement
Operation
4. Move the cursor to "Lt Ureter" and press "SET";
10.11 Vascular (Peripheral Blood Vessel) Measurement
10.11.1 Description
Peripheral blood vessels are blood vessels and limbs other than cardiovascular and cerebrovascular vessels.
10.11.2 Vascular Measurement Menu
Intima Measurement menu
Stenosis - diameter, Stenosis - area measurement menu

Arterial / Venous Measurement Menu
10.11.3 Peripheral Blood Vessel Operation Steps

Close
measurement
【Application】
General
measurement
Clear measurement
data
Measurement start
and end point set
Right common Under B or B / B mode,
Rt CCA carotid artery adjust the image, press "DIS"
measurement button, use the trackball to move
Right common the cursor to the needed point to
Rt Bulb
carotid artery ball measure, press "SET". Move the

measurement cursor to the measurement start
Right internal point and press "SET", move the
Rt ICA carotid artery cursor to the measurement end
measurement point and press "SET". The

measurement data shows at the
Left common
bottom of the image.
Lt CCA carotid artery
Press "Clear" key to clear the
measurement
measured data, press "Freeze" key
Left common
to exit this measurement.
Lt Bulb carotid artery ball
measurement
Left internal
Lt ICA carotid artery
measurement
Right carotid artery
Rt Prox CCA
proximal measurement
Left carotid artery
Lt Prox CCA
proximal measurement
Rt Mid CCA
midway measurement
Left carotid artery
Lt Mid CCA
midway measurement
Rt Dist CCA
distal measurement
Left carotid artery
Lt Dist CCA
distal measurement
Rt Bulb
ball measurement
Left carotid artery
Lt Bulb
ball measurement
Distance
Distance
measurement
Area measurement Area measurement
Stenosis diameter
Stenosis D
measurement
Stenosis area
Stenosis A
measurement
Diameter Diameter
measurement measurement

Venous distance
Venous distance
measurement
10.11.4 Stenosis Measurement

Description
Stenosis - diameter and stenosis - area is the stenosis rate measurement function in the vessel, which can be
measured in the B/W and blood flow patterns for left and right common carotid artery stenosis.
Common carotid artery is the trunk of the head and neck, left and right side each. Right common carotid artery
from the head arm dry, left common carotid artery directly from the autonomic arch. Both sides of the common
carotid artery along the esophagus, trachea and throat outside the rise to the upper edge of the thyroid cartilage into
the internal carotid artery and external carotid artery. Common carotid artery with internal jugular vein, between the
two vagus nerve, the three co-wrapped in the fascia sheath.
Operation
Under B, PW, CF mode, adjust the image, freeze, press the "DIS" key to enter the measurement menu:
2. Move the cursor to "Vascular" and press "SET";
3. Move the cursor to "Stenosis D" or "Stenosis A" and press "SET";
4. Move the cursor to the "Rt CCA", "Lt CCA" or "Rt Bulb", "Lt Bulb" or "Rt ICA", "Rt ICA" and press
“SET”;
5. Move the cursor to the measurement start point and press "SET";
6. Move the cursor to the end point of the measurement and press "SET";
7. Repeat steps 4-6 to do several measurements;
10.11.5 Intima Measurement
Description
Carotid intima - media thickness（IMT） refers to the vertical distance between the carotid artery intima and the
medial membrane. Carotid intima-media thickness (IMT) is a sign of atherosclerosis subclinical, and the incidence
of cerebral infarction.
Operation
3. Move the cursor to "Intima" and press "SET";
4. Move the cursor to the "Rt Prox CCA" or "Lt Prox CCA" or "Rt Mid CCA" or "Lt Mid CCA" or "Rt Dist
CCA" or "Lt Dist CCA" Or "Rt Bulb" or "Lt Bulb, and press "SET";

10.11.6 Arterial Measurement
Description
The arterial measurement is the common carotid artery measurement function, which can be performed in B/W
and blood flow pattern images.
Operation
3. Move the cursor to "Arterial" and press "SET";
4. Move the cursor to the "Distance" or "Area" or "Diam Red" or "Area Red" or "Diameter" and press
"SET";
10.11.7 Venous Distance Measurement
Description
The location of the relationship between the neck artery and the internal carotid artery adjacent to the distance
between the two, and some overlap, there are carotid sinus, so the puncture site is not easy in the upper part of the
internal jugular vein. The lower part of the medial and carotid artery associated with the line, between the veins and
the arteries after the vagus nerve. There are lung tip and pleural top.
Operation
3. Move the cursor to "Venous" and press "SET";
4. Move the cursor to the "Distance" press "SET";
10.12 Cardiac Measurement
10.12.1 Description
Heart is in the chest, the top of the diaphragm, between the two lungs, about two-thirds on the left side of the
midline. The heart is like an inverted, front and rear slightly flat cone. Apex obtuse, toward the left front and lower,
and the chest wall adjacent to its surface projection in the left chest anterior wall of the fifth intercostal space clavicle
medial 1-2cm, so here can be seen or touch the apex beat. The bottom of the heart is wide, large blood vessels from
this access, toward the right after the top, and esophageal and other posterior mediastinal organs adjacent. The heart

wall is made of myocardium and can automatically contract at about 70 rhythms per minute, thereby continuously
transporting blood to whole body tissues. The heart is actually made of two blood pumps. Each blood pump is made
up of two parts: the upper part is called the atrium; the lower part is called the ventricle. Blood enters the heart from
the atria and flows into the lower ventricle. The ventricular wall is very hypertrophy and helps to pump the blood out
of the heart. Heart work, the right ventricle to send blood to the lungs, blood flow through the lungs back to the left
atrium, and then transported to the body through the left ventricle.
10.12.2 Cardiac Measurement Menu
RV/LV measurement menu
LV Simpsmeasurement menu LA/Ao measurement menu MVmeasurement menu

LV Mass A/Lmeasurement menu Qp/Qs measurement menu
10.12.3 Cardiac Measurement Operation Steps

Remark
s
【Application】
measurement pacakge package
General
measurement
Clear measurement
data
Measurement start
and end point set
Right ventricle, left
【RV\LV】
ventricle Under B, B \ B, PW, CF
Right ventricular mode, adjust the image, freeze,
【RVWd】
wall measurement press "DIS" key to enter the
Right ventricular measurement menu,
【RVDd】 end - diastolic diameter use the trackball to move the
measurement cursor to the needed point to
Right ventricular measure, press "SET".
【RVWs】
wall stress Move the cursor to the
Right ventricular measurement start point and press
【RVDs】
end systolic diameter "SET", move the cursor to the
Left ventricular measurement end point and press
【LVDd】
diameters - diastolic "SET".
Left ventricular The measurement data shows
【LVPWd】
posterior wall - diastolic at the bottom of the image.
Left ventricular Press "Clear" key to clear the
【LVDs】
diameter - systolic measured data, press "Freeze" key
Left ventricular to exit this measurement.
【LVPWs】
posterior wall - systolic

Left ventricular
【LV Simps.】
function calculation
A4C Diastolic
【A4C Dias】
/A4C Systolic
【A4C Sys】 A4C Systolic
【A2C Dias】 A2C Diastolic
【A2C Sys】 A2C Systolic
Interventricular
【IVSs】
septal - systolic
Interventricular
【IVSd】
septal - diastolic
Left ventricle /
【LA/AO】
aorta
Aortic root
【AO Root】
measurement
【ASC AO】 Ascending aorta
Left ventricular
【AVA（Trace）】
outflow tract diameter
【LA】 Left atrium
Left ventricular
【LVOT Diam】
outflow tract
【MV】
Diameter
【Diameter】
measurement
Mitral valve area
【MVA（Trace）】
measurements
Left ventricular
epicardium and
【LV Mass A/L】
endocardial
measurements
Left ventricular
【Epi Area】 epicardial myocardium
area
Subendocardial
【Endo Area】
area
Left ventricular
【LV Length】
length

Pulmonary
circulation blood flow /
【Qp/Qs】
body circulation blood
flow ratio
Left ventricular
【LVOT Diam】
outflow tract
Right ventricular
【RVOT Diam】
outflow tract
10.12.4 RV/LV Measurement

Description
The left ventricle wall of the heart is thicker than the right ventricle wall, which is adapted to the iterative
(aorta), into the (body) cycle. Human venous blood is from the body back to the heart of the blood back to the right
atrium right ventricle and then into the lungs through the alveolar capillaries into arterial blood back to the left
atrium left ventricle in the body to the body.
10.12.5 RVWd Measurement

Description
The thickness of the atrial wall is related to the distance between the delivery of blood. Compared with the atria,
the wall of the ventricle is thicker, because the heart of the blood flow only with its ventricle; left ventricular wall
thicker than the right ventricle. The left ventricle blood to the body, so the need for greater contractility, the wall will
be thicker. The right ventricle to the blood delivery to its very close to the lungs, the need for some smaller shrinkage,
the wall is thinner. Normal, the right ventricular wall thickness of only 1/3 of the left ventricular wall.
Operation
Under B, B/B, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
2. Move the cursor to "Cardiac" and press "SET" to enter the cardiac measurement menu;
3. Move the cursor to ”RVWd” and press "SET";
10.12.6 RVDd Measurement
Description
Mainly to measure whether the heart appears to increase the phenomenon. On the left atrial enlargement,
super-examination of the left atrial diameter 41MM prompted increase, atrial septum 10MM prompted thickening,
left ventricular end diastolic diameter 53MM contraction end diameter 33MM suggestive left ventricular diastolic
dysfunction. Normal left ventricular diastolic end of the body diameter: male 45-55mm, female 35-50mm.
Operation

Under B, B/B, M, PW, CF mode, adjust the image, freeze, press "DIS" key to enter the measurement menu:
3. Move the cursor to ”RVDd” and press "SET";
10.12.7 RVWs Measurement
Description
Ventricular wall stress is an important indicator of cardiac function and myocardial oxygen supply, and it is
important to accurately estimate changes in stress in the wall. The traditional method of estimating ventricular wall
stress is measured by 2D echocardiography or cinematic angiography, and only the mean value can only be
estimated. However, ventricular wall stress is a local functional parameters, due to the complexity of the ventricular
wall geometry and its high degree of non-linear characteristics, in vitro myocardial studies can not be directly
applied to the conclusions of the living heart, people put forward a number of physical prediction of ventricular wall
stress mathematical model, wall stress model proposed by Arts and other people is more comprehensive, the
ventricular contraction around its long axis of rotation and myocardial anisotropy are taken into account, the formula
is as follows: wall stress = ESP × (3ESV / WV +1).
Note: ESP is for the left ventricular end-systolic pressure, ESV is for the end of the left ventricular volume, WV
for the wall volume. The left ventricular systolic end of the local end-systolic stress study found that from the apical
to the bottom of the heart wall stress gradually increased, the study also found that patients with dilated
cardiomyopathy and end-systolic left ventricular wall stress was significantly higher than normal.
Operation
3. Move the cursor to ”RVWs” and press "SET";
10.12.8 RVDs Measurement
Operation
3. Move the cursor to ”RVDs” and press "SET";

10.12.9 LVDd Measurement

Description
That is, "cardiac diastolic" refers to the total time of diastolic and ventricular filling, the time between the
beginning of the second heart sound and the beginning of the next first heart sound.
Operation
3. Move the cursor to ”LVDd” and press "SET";
10.12.10 LVPWd Measurement
Operation
3. Move the cursor to ”LVPWd” and press "SET";
10.12.11 LVDs Measurement
Description
In general, the ventricle is a rhythmic contraction and relaxation, when the contraction of the ventricular wall
inward retraction, diastolic outward expansion. Dilated cardiomyopathy patients, ventricular wall thinning, if part of
the relatively thin, there will be reverse movement, that is, this part of the heart wall contraction, outward protruding,
while the diastolic recovery. "Ventricular septum and left ventricular posterior wall was reverse movement" that the
ventricular septum and left ventricular posterior wall is relatively thin, its function has been weakened.
Operation
3. Move the cursor to ”LVDs” and press "SET";

10.12.12 LVPWs Measurement
Operation
3. Move the cursor to ”LVPWs” and press "SET";
10.12.13 LVSimps Measurement
Description
Regardless of diastolic function or systolic function, ultrasound examination found that abnormal performance
of segmental exercise, the clinical should be crown treatment; indirect bilirubin by anti-atherosclerosis on
cardiomyocytes play a protective role in order to protect the heart function; Left ventricular end-diastolic diameter
than the left ventricular end diastolic diameter can better reflect the left ventricular systolic or diastolic function
status, more accurately represent the left ventricular preload.
10.12.14 A4C Dias Measurement
Operation
3. Move the cursor to ”A4C Dias” and press "SET";
10.12.15 A4C Sys Measurement
Operation
3. Move the cursor to ”A4C Sys” and press "SET";


10.12.16 A2C Dias Measurement
Operation
3. Move the cursor to ”A2C Dias” and press "SET";
10.12.17 A2C Sys Measurement
Operation
3. Move the cursor to ”A2C Sys” and press "SET";
10.12.18 IVSs Measurement
Operation
3. Move the cursor to ”IVSs” and press "SET";
10.12.19 IVSd Measurement
Operation
3. Move the cursor to ”IVSd” and press "SET";

10.12.20 AORoot Measurement
Operation
3. Move the cursor to ”AO Root” and press "SET";
10.12.21 ASC AO Measurement

Operation
3. Move the cursor to ”ASC AO” and press "SET";
10.12.22 AVA（Trace） Measurement
Operation
3. Move the cursor to ”AVA（Trace）” and press "SET";
10.12.23 LA Measurement
Operation

3. Move the cursor to ”LA” and press "SET";

10.12.24 LVOT Diam Measurement
Operation
3. Move the cursor to ”LVOT Diam” and press "SET";
10.12.25 Diameter Measurement
Operation
3. Move the cursor to ”Diameter” and press "SET";
10.12.26 MVA（Trace） Measurement
Operation
3. Move the cursor to ”MVA（Trace）” and press "SET";
10.12.27 Epi Area Measurement
Operation

3. Move the cursor to ”Epi Area” and press "SET";
10.12.28 Endo Area Measurement
Operation
3. Move the cursor to ”Endo Area” and press "SET";
10.12.29 LV Length Measurement
Operation
3. Move the cursor to ”LV Length” and press "SET";
10.12.30 LVOT Diam Measurement
Operation
3. Move the cursor to ”LVOT Diam” and press "SET";
10.12.31 RVOT Diam Measurement
Operation


3. Move the cursor to ”RVOT Diam” and press "SET";
Chapter 11 3D/4D User Manual

11.1 Overview
The 3D/4D software as part of full-digital color Doppler software to achieve 4D probe drive, 3D ultrasonic data
acquisition, 3D data, 3D data processing, fetal photo and other functions. The apparatus includes 4D probe control
function, 3D/4D image and display functions.
11.2 Software Description
This software is based on 2D full-digital color Doppler ultrasound diagnostic apparatus 2D imaging software to
achieve 3D/4D image display.
11.3 Enter Into 3D/4D Software
11.3.1 Start 3D / 4D Operation
Press the " " key on the keyboard, there will be ROI sampling box, to enter into the 3D/4D mode of
operation.

It is recommended to adjust the depth to 170mm or less, the sampling frame angle transferred to moderate, to
achieve the best 2D image results.
Use the trackball with " " key to adjust the size of the sampling frame, move the trackball to adjust the
position.
After selecting the area , press the " " freeze button on the keyboard to enter the 3D / 4D image display
interface.
Note: Select the area (regional size should be moderate, too large or too small will prompt to re-select). If the
region is not selected, then the region is the default selection. Click the "Set" key to adjust the size and position of
the frame.

11.3.2 Exit the 3D /4D Operation
Press the " " key twice to enter the 2D mode of operation.
11.4 2D Image Rotation
11.4.1 Parameter Selection
To enter into the 3D/4D image display interface, use the trackball to move the cursor to select the function of
the parameter selection. Use the "SET" key to adjust the corresponding parameters.
11.4.2 Adjust the 3D / 4D Image

Select the left and right arrows of the "X axis Y axis Z axis" of the interface "Move" on the left side of the
interface to adjust the horizontal position of the 4D image.
Select the interface on the left side of the interface "Rotate" under the "X axis Y axis Z axis" corresponding to
the left and right arrows, adjust the 4D images of different profiles.

Y axis
X axis B profile
A profile
Z axis
C profile 4D display
11.4.3 2D Image Movement
Move the trackball to the A profile, move the cursor to the desired position, hold down the "SET" key, the
cursor changes from white to yellow, move the trackball, and the A profile to the rotation on the Z axis.
Move the trackball to the B profile, move the cursor to the desired position, hold down the "SET" key, the
cursor changes from white to yellow, move the trackball, and the B profile to the rotation on the X axis.
Move the trackball to the C profile, move the cursor to the desired position, hold down the "SET" key, the
cursor changes from white to yellow, move the trackball, and the C profile to the rotation on the Y axis.
11.4.4 Image movement

Move the cursor to the "Move" menu adjustment options on the left, to adjust the A / B / C profile to rotate and
move horizontally. Select "<" or ">" option, A / B / C profile can be moved in different directions.
Move the cursor to the "Rotate" menu adjustment options on the left , A / B / C profile can be rotated up and
down in different directions. Select the "<" or ">" option to toggle the A / B / C profile flat and rotate selection.
11.5 3D / 4D Image Rotation
3D/4D images can be rotated through the A, B, C profile and adjust to achieve satisfactory image effects.
3D/4D image changes as follows:
Rotate around the X axis to move the Rotate around the Y axis to move the
trackball to the B profile and rotate trackball to the C profile and rotate
Rotate around the Z axis to move the trackball to A profile and rotate
11.6 3D / 4D Function Menu
Function Menu
Press the "3D / 4D" key to enter the 3D/4D preparation mode. After adjusting the sampling frame, press
" " to start the 3D / 4D data acquisition and enter the 3D / 4D operation interface. The left side of the
interface for the 3D/4D function menu, use the trackball to move the cursor and with "SET" button to select the
operation.

4 diaplay mode
Single diaplay mode 2 display mode
Default value
2D mode color
3D mode color
Profile movement
selection
Profile rotate
selection
Image optimization
Auto cine
Image storage
Video storage
Line measure Area measure Volume meaure
Exit measure
11.6.1 Display mode

Display mode: Adjust the display mode by moving the cursor to the "View Mode" option on the left via the
trackball.
Four display mode (2×2):

Four images corresponding profile:
Use the trackball to move the cursor to the cursor of the A profile, hold down the "SET" key while moving the
trackball, the green, blue dot of the other three profiles also follow the trackball movement, any points on the other
profiles and the 3D/4D render image display the image effect along the movement trajectory.
Two display mode (1×2):

Single display mode (1×1):
11.6.2 2D Color Mode

Move the cursor to the "Gray Map" column on the left side of the interface, select the "2D" drop-down menu,
appear 0-7 eight colors, select the A / B / C profile 2D image color, it is recommended to use "0".
11.6.3 3D Color Mode

Move the cursor to the "Gray Map" column on the left side of the interface, select the "3D" drop-down menu,
appear 0-7 eight colors, select the A / B / C profile 3D image color, it is recommended to use "1"..
11.6.4 3D Smoothing Adjustment

Move the cursor to the "Filter" column on the left side of the interface to select: OFF. IE-1 is 3D/4D profile I
level smoothing; IE-2 is 3D/4D profile II level smoothing; IE-3 is 3D/4D profile III level smoothing. The user can
select the smoothing effect according to the image effect.
11.6.5 4D mode Auto Cine
Real-time 3D mode allows cine loop. Press the " " key to freeze the image, move the cursor to the
lower left of the interface "Auto Cine", 4 profiles at the same time into the cine loop. You can also use the trackball
with the SET button to stop the cine loop operation.
11.6.6 Cine Velocity

Speed (Fps). Click "FUNC" and "P" to enter the setting state. Click "Cine Velocity" in the lower left corner to
select the cine speed as "1" or "5" FPS.
11.7 Measurement Function

Move the cursor to the measurement options below the interface, enter the measurement menu, and measure it
several times.
Line measure Area measure Volume meaure
Exit measure
11.7.1 Distance Measurement

Move the cursor to the "Line" option at the bottom of the interface and press the "SET" key to move the cursor
to the image area. Click the "SET" key to fix the measurement start point and move the cursor to the measurement
end. Press the "SET" key to end the measurement. The distance measurement can be made one time at a time and the
measurement result is displayed below the image. Press the "Exit" key to clear the measurement data.
11.7.2 Perimeter / Area Measurement

Move the cursor to the "Area" option below the interface and press the "SET" key to move the cursor to the
image area. Click the "SET" key to fix the measurement start point, move the cursor to the measurement end point,
the elliptical trajectory appaears, move the trackball to change the size and direction, press the "SET" key to
determine the measurement diameter; at this time move the trackball can still change the measurement trajectory,
when the to be measured trajectory and the measured point is consistent, press the "SET" key to determine the results.
The distance measurement can be made one time at a time and the measurement result is displayed below the image.
Press the "Exit" key to clear the measurement data.

11.7.3 Volume Measurement

Move the cursor to “Volume” option and press “SET” key to fix the start point, move the cursor to the end of
the measurement and press the "SET" key, repeat the measurement after 3 times to end this measurement, the
measurement results is in the lower right corner of the image, press "Exit" key to clear the measurement data.
11.8 Storage Function
11.8.1 Image Storage Function

Image storage is stored in single-frame images and auto cine, the stored files will not be lost even without
electricity.
11.8.2 Image Formats

BMP
BMP image format is the abbreviation of Windows Bit Map, it is one of the most common bitmap format, but
also WINDOWS and OS two operating system standard format.
03D
Store the image format in 3D mode.
04D
Store the image format in real time 4D mode.
11.8.3 Image Storage

After freezing the image, press the "BMP Save" button at the bottom left of the interface to store the current

image; the stored image is displayed and recalled under the 2D image. The image storage path and format are set in
the Image Storage dialog box. The specific operation method is executed according to the "SET" method in the 2D
image operation.
11.8.4 AVI Save

After freezing the image, press the "AVI Save" button at the bottom left of the interface to store the current cine;
the stored cine is displayed and recalled under the 2D image. The image storage path and format are set in the Image
Storage dialog box. The specific operation method is executed according to the "SET" method in the 2D image
operation.
11.8.5 Cine/ Image management

In the 2D state, freeze the image, press the "Cine Loop" button to exit the cine loop state; Move the cursor to
the bottom of the screen of the stored image area. Press the "Exit" button on the image to select the "Move" option to
send the cine / image to the removable disk or destination path. Press the "×" symbol in the upper right corner of
each image to delete it. Delete image
Save as path

Chapter 12 Daily Maintenance

12.1 Maintenance Responsibility
Full-digital color Doppler ultrasonic diagnostic apparatus is a complex electronic system, maintenance
personnel do not have the means of maintenance (systems, components and components). Therefore, in addition to a
simple fault, the company or other authorized company's professional maintenance staff can only use parts
replacement method to repair.
Please contact our company when you need to repair and adjust the equipment. We will not be responsible
for any failure after repair by another person.
Users should always check the equipment power cord and probe cable, if any damage, which will be prohibited
to operation, replace immediately.
12.2 Host Maintenance
12.2.1 The environment of the instrument should meet the requirements of 3.1.
12.2.2 When the apparatus case is to be cleaned, it should be wiped off with a soft cleaning cloth (or with a
little neutral detergent) under OFF state, and it is strictly scrubbed with organic solvents such as alcohol and
gasoline.
12.2.3 The apparatus should not be opened/closed frequently. When you need to re-open, wait for at least 1
minute.
12.2.4 If the apparatus is not frequently operated, at least charge once per week, power up time of about 4
hours.
12.2.5 When the apparatus is parked for a long period of time, the apparatus should be packed into the
packing box according to the original packaging, and the storage should be in accordance with the "storage
environment" requirement in Article 3.2.
12.3 Probe Maintenance
The probe is a valuable and fragile objects, is strictly prohibited collision, fall. When pausing the diagnosis,
place it in the probe box and press "FREEZE" key to make the probe in the "freeze" state.
Medical ultrasonic coupling agent should be used for diagnosis. The probe is waterproof level IPX7. The
immersed position in water of the probe should not exceed the sound head of the probe (the size shown in the figure
below). Check the probe housing for cracks every day to avoid immersing the liquid to damage the internal
components.

Note:
1. A long-term repeated gel contact with the probe may damage the probe.
2. Clean the probe after each use.
3. Do not use a surgical brush to clean the probe, even if you use a soft brush may damage the
probe, use soft cloth only.
4. Probe and the patient's contact time should not be too long, to avoid patient discomfort.
To extend the life of the probe and get the best performance, do the following:
1. Periodically check the probe cable, socket and sound window.
2. Switch off the machine before connecting or removing the probe.
3. Do not drop the probe to the floor or hard objects, it is strictly forbidden to hit the probe sound window, or
the probe is easily to damage.
4. Do not heat the probe.
5. Do not bend or pull the probe cable, otherwise it may cause the internal cable fracture.
6. Use only the gel on the head of the probe and clean the probe after each use.
7. After cleaning the probe, you must carefully check the probe's sound window, shell and cable, do not use the
probe if you find any cracks or damage on the probe.
12.4 About Battery
1. The apparatus is equipped with a rechargeable lithium-ion battery.
2. The new battery must undergo two or three full charge and discharge (normal use, non-forced discharge)
cycle, in order to play the best results.
3. The battery can charge and discharge hundreds of times, but will still wear and tear. When the battery can be
used to significantly reduce the use of time, please replace the battery.
4. Be sure to us designated charger provide by the factory (that is, AC adapter) to charge. Do not connect the
battery to the charger (AC adapter) when not charging. The battery is connected to the charger (AC adapter) for no
more than 10 hours, otherwise it may shorten battery life. If the battery is not used for a long time, the battery will
discharge itself over time.
5. To prevent battery failure, the battery should be charged one time for each 3 months.
6. Extreme temperature (subcooling or overheating) The environment will affect the battery charging effect. Do
not charge the battery in fire or extremely hot conditions! Do not use or store batteries near heat sources (such as fire
or heaters)! If the battery leaks or smells, it should be removed immediately from the open flame.
7. Do not continue using damaged batteries and chargers (AC adapter).

8. Do not try to disassemble the battery.

9. Do not short the battery.
10. Do not throw the battery in the fire or heat the battery, otherwise it will cause an explosion.
11. Do not put the battery into the water or wet it.
12. Do not connect the battery directly to a wall outlet or on-board cigarette lighter outlet.
13. Do not use the wire or other metal objects to shorten the battery positive and negative, prohibit the battery
with the necklace, hairpin or other metal objects with the transport or storage.
14. Do not use a nail or other sharp objects to pierce the battery shell, prohibit hammering or pedaling the
battery.
15. Do not hit, throw or use the battery to be mechanically shocked.
16. It is forbidden to disassemble the battery in any way.
17. Prohibited with a battery (such as dry batteries) or different capacity, model, variety of batteries used in
combination.
18. Stop using it if the battery is exposed to odor, heat, deformation, discoloration, or any other abnormality. If
it is being used or charged, please remove it from the appliance or charger immediately.
19. Dispose of used batteries in accordance with local regulations on proper disposal of waste.

Chapter 13 Transport and Storage

13.1 Transport
The transport and transport conditions shall be determined by the purchase and sale contracts of both parties. To
avoid rain splash and violent collision in the loading and unloading, transport process .
13.2 Storage
Packaging should be stored in the room, the ambient temperature -22 ℃ ~ +55 ℃, relative humidity less than
80%, indoor should avoid strong sunshine, no cause corrosion of the instrument gas, indoor ventilation should be
good. If the storage period is more than 6 months, you should take out of the apparatus from the package, in the
normal working environment conditions, power on 4h and then re-inspection and pack the apparatus into package,
store it in the required room.
13.3 Description of Packaging and Shipping Identification
Fragile
Temperature limit
Upper
Stacking limit
Afraid of rain
Afraid of the sun

Chapter 14 Simple Fault Detection and Troubleshooting
In the process of using the apparatus, if you encounter difficulties, and have no way to solve, please consult the
company's professional technical personnel or the company after-sales service department. The following is a list of
common troubleshooting methods, for reference only.
Fault Detection
a) Check whether the external power supply is normal, the host power cord is connected, and has been
plugged into the power outlet; host adapter indicator light is on, the adapter output plug is normal, the adapter plug
and the host is connected.
b) Check the probe and the host connection is correct;
c) Check the connection of the monitor is correct and secure.
Troubleshooting
a) Turn on the apparatus power switch, the panel light is off:
Check the power supply is normal; check the power cord and plug connection is reliable; power switch is bad.
b) No signal display:
Check whether the monitor power switch is on, adjust the apparatus brightness and contrast knob; check the
monitor signal input line and the host connection is reliable.
c) The image on the display is not clear:
Adjust the gain, near field, far field button; adjust the brightness, contrast keys;
d) The monitor appears intermittent stripes interference, snow-like interference:
Check whether the power supply is normal, whether the interference by other equipment; equipment around the
space whether there is electricity, magnetic interference; instrument power and probe plug, socket contact is good,
ground column is full and earth connection.

Chapter 15 Warning and Instructions

15.1 Before using the apparatus, please read this manual carefully, in strict accordance with the
instructions to install and operate the apparatus.
15.2 When installing the apparatus, the user should be in accordance with the relevant standards or under
the guidance of professional electricians, according to 4.4 protection grounding requirements reliable access to
the earth, the installation staff should have professional equipment installation skills.
15.3 The power supply capacity of the instrument's power supply lines and power supply sockets shall
not be lower than the equipment requirements, i.e. AC 220V / 3A.
15.4 The apparatus operator should be trained in safety, installation and use of skills, with skilled
operating skills and strong safety awareness.
15.5 Do not remove or insert the power plug when the instrument is not turned off.
15.6 Do not remove the probe when the apparatus is on.
15.7 Due to the special construction of the LCD screen, the equipment should be in the process of
transport, storage and use, the temperature should meet the corresponding requirements (see Chapter 3), at the
same time to protect the LCD screen surface, strictly prohibited collision and scratches.
15.8 The probe is a consumable piece, and it is forbidden to strike and scratch the surface of the sound
window. In the long-term use, by the ultrasound gel erosion, may lead to insulation performance and other
indicators decreased, users should be in the use of each apparatus before the inspection, if found leakage and
other phenomena, should stop using immediately.
15.9 Do not turn on the apparatus immediately after the apparatus is turned off and wait for at least 1
minute to prevent damage to the apparatus.
15.10 When it should be used in conjunction with other medical equipment, it should be carried out under
the guidance of the company.
15.11 Avoid strong sunlight direct display. Indoor should be shaded to facilitate image observation, and to
maintain ventilation, dust.
15.12 Maintenance of the apparatus within the warranty period must be carried out by the company's
professional technical personnel, the user shall not be demolished.
15.13 Do not change the apparatus parameters, if necessary, please contact Dawei Medical (Jiangsu) Co.,
LTD or its authorized agents to provide services.
15.14 The apparatus has been tuned to the best performance at the factory and do not adjust any preset
controls or switches unless specified in the operating instructions.
15.15 The apparatus is based on PC platform, please do not arbitrarily insert flash disk, and to ensure that
the device flash disk without external program.
15.16 If the apparatus fails, please immediately shut down the power and contact Dawei Medical (Jiangsu)
Co., LTD or its authorized agents.
15.17 If you need to connect other companies' electronic or mechanical devices, please contact Dawei
Medical (Jiangsu) Co., LTD or its authorized agents before connecting.

Chapter 16 Service Guide

16.1 When your apparatus is malfunctioning, check and troubleshoot method described in Chapter 13,
make sure that the parts of the apparatus are properly connected and that there is no loosening of the
connection.
16.2 If you can not solve the apparatus failure, please contact the company's business executives or maintenance
service department. Please offer information as follows:
a) The model and configuration of the apparatus;
b) SN and the date of manufacture;
c) Detailed breakdown of the phenomenon, accurately reflect all the information on the display;
d) Whether a maintenance service has been carried out recently.
16.3 Under normal circumstances, the apparatus has a life of 6 years, after the expiration of the user to
continue to use, must have our company's professional technical personnel to conduct a comprehensive
inspection of the apparatus before they can continue to use.
Note:
1. The disposal of the product should comply with the user's local regulations.
2. Do not waste it together with your household waste.
WARNING: Manufacturer will not be liable for any risks arising from continued use of the product.
16.4 For the apparatus under warranty period, in the normal use of the process of failure, the company
will provide users with free maintenance services. If there is maintenance on-site service, the user should
provide the warranty card. After the repair of the apparatus, the maintenance personnel will fill in the
maintenance records according to the truth, please sign after approval (stamped with the official seal). When
the apparatus is returned to the company for repair, please attach a warranty card.
Note: normally for international business trade, if there is no service department in your area, we will
need you to firstly do the simple fault detection and troubleshooting, please help us and offer the information
we need. We will guide you how to repair it and if necessary, send spare parts to you for replacement. All
charges will be borne by us.
Service department contact information:
Address: 28 Jinqiao Road, Economic Development Zone, Xuzhou, Jiangsu, China
Tel: 0086-516-82388909 Fax: 0086-516-87893639
Thank you for choosing Dawei brand ultrasound machines!

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Color Ultrasonic Diagnostic Apparatus User Manual

10.5.6 CBD Measurement.......................................................................................................................- 84 -

10.9.4 Left/Right Thyroid Volume Measurement.................................................................................- 109 -

11.3.1 Start 3D / 4D Operation................................................................................................................ - 131 -

For Love, Image the World -5-

 As a registered trademark of Dawei Medical (Jiangsu) Co., Ltd., according to

-6- For Love, Image the World

1. Turn off the power.

4. Place the probe into the probe box.

General safety information

For Love, Image the World -7-

1.4 Safety Requirement

1.5 Environmental Testing Requirements

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Ⅱ, Mechanical Environment Test Group II.

1.6 Acoustic Output Information

BF type application part

Stacking layer limit

For Love, Image the World

General tips for device operation

For Love, Image the World

For Love, Image the World

tissue, and focusing on the proximity of the bone:

Registrant name: Dawei Medical (Jiangsu) Co., LTD

For Love, Image the World

Chapter 2 Functions and Specifications

2.2 Main Specifications

For Love, Image the World

2 Power range: AC220V ±10％ 3A

For Love, Image the World

Chapter 3 Environmental and Electromagnetic

Guidelines and Manufacturers' Statement - Electromagnetic Radiation - All Equipment

Guidance and manufacturer's statement - Electromagnetic immunity - All equipment

cycles interruption, it is recommended to use uninterruptible

3.6Non-life Support Equipment

Guidance and manufacturer's statement - Electromagnetic immunity - Non-life support equipment

For Love, Image the World

Conduction Probe: [V1] =1Vrms 3 .5

For Love, Image the World

（W） 150kHz-80MHz 80MHz-800MHz 800MHz-2.5GHz

For Love, Image the World

Chapter 4 Apparatus Installation

Portable apparatus diagram

For Love, Image the World

Power Aware Cord

Probe lock knob

backside ports diagram

For Love, Image the World

For Love, Image the World

Chapter 5 Operation Instructions

5.2 Switch off

5.3 Keyboard layout:

Keyboard layout diagram

5.4 Keyboard Function Instructions

For Love, Image the World

video playback storage

create a diagnosic report

Continuous Wave Doppler（Preset）

Enter into 3D/4D mode

Switch to B/B mode

Switch to B/M mode and M mode

For real-time image printing (need an external printer)

Scanning depth adjustment

Focus position adjustment