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ZS3 User Manual English 9.x
ZS3 User Manual English 9.x
ZS3 User Manual English 9.x
ZONARE, the ZONARE logo, ZS3 and z.onepro are all trademarks of Shenzhen Mindray Bio-Medical Electronics Co.,
Ltd.. All other trademarks are the property of their respective holders.
The ZS3 Ultrasound Platform and products derived there from (for example, but not limited to, the ZS3 and the
z.onepro with and without the SP UI option) is covered by one or more of the following patents:
6,251,073; 6,569,102; 6,618,206; 6,663,567; 6,685,645; 6,733,455; 6,773,399; 6,866,631; 6,866,632; 6,896,658;
6,936,008; 6,980,419; 6,997,876; 7,022,075; 7,087,020; 7,226,416; 7,238,157; 7,352,570; 7,361,145; 7,510,529;
7,627,386; 7,382,309; 7,699,781; 8,002,705; 8,226,561; D461,814; D462,446; D467,002; D469,539; D469,877
CAUTION: United States Federal Law restricts this device to sale by or on the order of a licensed physician or
licensed veterinarian.
The ZS3 Ultrasound System consists of two major components: 1) Cart; and, 2)
Transducer(s). The Cart contains the software driven imaging electronics and user
interfaces (keyboard, monitor, handles, etc.). It houses the microprocessor, memory,
amplifiers and power supplies for the microprocessor. It sends electrical currents to and
receives electrical pulses from the compatible transducers. The Cart performs the
calculations involved in processing the data to produce the displayed ultrasound
images. The ZS3 Cart is available in two options: with or without Echocardiography. The
Echocardiography option allows users to perform advanced cardiac and intracardiac
imaging and related functions beyond what is available without the echocardiography
option.
Included with the system are one or more Mindray/Zonare Curvilinear, Endocavity,
Linear, or Phased array transducers allowing for many clinical applications. Accessories
include, but are not limited to the Mindray/Zonare ZPAK Battery and off-the-shelf
components: bar code reader, foot pedal, printers, biopsy guides, ECG cables and a
wireless Ethernet interface. Case studies can be stored to USB memory stick, and other
industry standard archiving devices.
Note: The availability of options may be limited based on country or region of use.
Definitions/Acronyms
2D: Two dimensional (B-Mode, Color mode)
BMP: Bit MaP
C-Mode: Color Flow Mode (Doppler)
D-Mode: Doppler (Pulsed Wave) Mode
DICOM: Digital Imaging and COmmunication in Medicine
Symbols
The following symbols may be used in this manual or elsewhere in product labeling.
Symbol Description
Information that may relate to safety of the patient, the operator, or the equipment
Date of manufacture
Manufacturer
Recyclable material
V Voltage
Hz Cycles per second
Waste Electrical & Electronic Equipment Standard
Applies to EU Member States only: this system should not be treated as household waste.
Mindray meets the WEEE Standard. For more information on returning or recycling this system, please
contact Shenzhen Mindray Bio-Medical Electronics Co. or the distributor from whom you purchased
the system.
Consult the Instructions for Use
Serial number
Catalog number
Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner (USA).
This product is provided with a CE marking in accordance with the regulations stated in Council
Directive 93 / 42 / EEC concerning Medical Devices. The number adjacent to the CE marking (0123) is
the number of the EU-notified body certified for meeting the requirements of the Directive.
MR Unsafe – the system is not intended to be used within magnetic resonance (MR) environment.
Facility Needs
Users should prepare for the materials needed in the site, so as to avoid confusion and complete the task
in time without any waste of manpower. Follow the checklist in pre-installation to ensure that the required
steps are performed.
Action Yes No
Schedule enough time for installation
Ensure that the operating environment meets the requirements
Ensure that you have adjusted the lighting environment to adapt to the
condition of the system
Ensure that the electrical supply conforms to the standard
requirements
Ensure that the EMI precautions are performed and all the sources
that might possibly cause unwanted interference are removed
The system is put in a site according to the requirements
Ensure that the network, if required, is ready for the system
Note:
This equipment must be operated by skilled/trained clinical professionals.
Before delivering the system, ensure that the operating site is clean. Do not put the
system on a carpet that might attract dust and create static. In addition, the EMI
should also be taken into account during investigation.
It is important for the hospital or organization that employs this equipment to carry
out a reasonable service/maintenance plan. Neglect of this may result in machine
breakdown or personal injury.
Mindray's obligation or liability under this warranty does not include any
transportation or other charges or liability for direct, indirect or consequential
damages or delay resulting from the improper use or application of the product or
the use of parts or accessories not approved by Mindray or repairs by people other
than Mindray authorized personnel.
The US Department of Transportation (DOT) has ruled that “items that were saturated
and/or dripping with human blood that are now caked with dried blood; or which were
used or intended for use in patient care” are “regulated medical waste” for transportation
purpose and must be transported as a hazardous material.
It is not possible to anticipate every condition and situation in which ultrasound system
will be used. The following warnings and cautions represent typical situations that
require special attention. User knowledge and experience with a specific application and
environment must also be taken into consideration in order to help ensure the safety of
personnel and equipment.
Safety Standards
All Mindray instruments, cables, and diagnostic ultrasound imaging transducers have
been designed to meet the essential requirements contained in 93/42/EEC (Medical
Device Directive), and all appropriate requirements contained within IEC 60601 -1,
AAMI STD ES 60601-1, CSA STD C22.2 NO. 60601-1 (Medical electrical equipment -
Part 1: General requirements for basic safety and essential performance), IEC 60601-2-
37 (Medical electrical equipment - Part 2-37: Particular requirements for the safety of
ultrasonic medical diagnostic and monitoring equipment), IEC 60601-1-2 (Medical
electrical equipment - Part 1-2: General requirements for basic safety and essential
performance Collateral Standard: Electromagnetic Compatibility), including limits for
Warnings
• Do not use an aftermarket probe other than those specified by Mindray. The
probes may damage the system causing a profound failure, e.g. a fire in the
worst case.
• Accessory equipment (analog or digital) connected to the ultrasound system
must comply with the relevant IEC standards (e.g., IEC 60950 information
technology equipment safety standard and IEC 60601-1 medical equipment
standard). Furthermore, all configurations must comply with the standard IEC
60601-1. It is the responsibility of the person, who connects additional
equipment to the signal input or output ports and configures a medical
system, to verify that the system complies with the requirements of IEC
60601-1. If you have any questions regarding these requirements, please
consult your sales representative.
• When the wireless LAN function is turned on, the ultrasound system may
suffer interference from other equipment, even if that other equipment
complies with CISPR EMISSION requirements.
• Keep at least 20 cm away from the ultrasound system when the wireless LAN
function is in use.
• Do not connect or disconnect the system’s power cord or its accessories
(e.g., a printer or a recorder) without turning OFF the system power first. This
may damage the system and its accessories or cause electric shock.
• If the system is powered off improperly during operation, it may result in data
damage of the system hard disk or system failure.
• Please use the ultrasound gel compliant with the relevant local regulations.
• The cover contains natural rubber that can cause allergic reactions in some
individuals.
• In normal diagnostic ultrasound mode, there is no danger of a normal-
temperature burn; however, keeping the probe on the same region of the
patient for a long time may cause such a burn.
• Do not use the system to examine a fetus for a long period of time.
• When using intra-cavity probes, do not activate the probe outside the patient’s
body.
• Power off the system if you will not use the system for a long period of time
(including storage/ transportation condition), and you should not allow the
system in standby status, otherwise the batteries will be out of power and
permanently damaged.
• If you will not use the system for a long period of time, please periodically
check the battery and ensure that the battery power is sufficient. Otherwise,
the battery may permanently be damaged. If any fault is find during checking,
please contact Mindray Customer Service Department or sales
representative.
Warnings – Battery
• To avoid electrical shock, do not touch the battery contact.
• To avoid risk of fire, explosion, or burns:
− Do not disassemble or alter the battery.
− Do not short-circuit the battery by directly connecting the positive and
negative terminals with metal objects.
− Do not heat or discard the battery in a fire.
− Do not expose the battery to temperatures above 60° C (150° F).
− Do not charge the battery near a heat source.
− Do not leave the battery in direct sunlight.
− Do not use a damaged battery.
− Charge the battery at room temperature.
− Inspect the battery for damage before charging or placing the battery in the
ZS3 System.
− Do not connect battery to an electrical power outlet.
Warnings – ECG
• The ECG and the Respirometer functionality are not intended for ECG
diagnosis. It must not be used for intraoperative applications of the heart. Use
only the recommended patient cable supplied by Mindray/Zonare. Make sure
Precautions
• Transducers are individually licensed according to system configuration. Only
the following transducers are available without an advanced feature
configuration: L30-8, P7-3c, C12-4lp, C4-1, C6-2, C6-1, C9-3, C9-3sp, C8-3
3D, C10-3, C18-85, E9-3 3D, E9-3, E9-4, L8-3, L10-5, L14-5w, L14-5sp, L20-
5, P4-1c, P8-3TEE and P8-3mTEE. The A2CW and A5CW transducers are
enabled if the system is configured with "CW Enabled", and can be used
under either the Echocardiology (optional) or the Advanced Vascular Imaging
(mandate) mode. Attempting to use any other transducers will result in an
error message.
• Be aware of the potential hazards associated with the environment where the
ultrasound systems will be used. The systems and/or the external equipment
can be damaged if signal levels are not appropriate. If peripheral equipment
not specifically authorized by Mindray/Zonare is to be connected to the
system, it must meet all applicable electrical safety standards that apply to the
system in order to maintain Mindray/Zonare’s safety integrity. Any equipment
not supplied by Mindray/Zonare must be approved by Mindray/Zonare. Use of
non-Mindray/Zonare-approved equipment may result in an unsafe condition,
impair operation of the ultrasound system, impair diagnostic capabilities, and
void your warranty or service contract coverage.
• Mindray/Zonare transducers have a specific range of acceptable application
use. Users are advised to restrict each transducer’s use to those applications.
Excessive bending, twisting, pulling, dragging, or compression of transducer
cables may cause failure or intermittent operation of the system. Avoid rolling
the cart wheels over cables. Use of cable hooks is recommended to minimize
chance of damage to cables.
• If a transducer that has not been approved and licensed for use with the
ultrasound system to which it is connected, or if a licensed transducer is not
properly connected, the corresponding transducer identification data will not
display on the LCD Display. Imaging will be disabled. Resolve this issue
before continuing use.
Precautions - WIRELESS
• WIRELESS: The Mindray/Zonare Wireless option device is an RF Receiver and
Transmitter, operating using industry standard 802.11 b/g protocols. Use of the
wireless option, in the presence of other high energy RF radiating devices may
interfere with the transmission of data to the network interfaces.
• WIRELESS: The Mindray/Zonare Wireless option device supports several
industry standard security protocols and should be enabled to reduce the chance
of patient data, transmitted over the wireless interface from the possible
undesired interception of the data.
• WIRELESS: Data transmission and reception rates are limited to by the
bandwidth of the user’s network infrastructure. A Quality of Service (QOS) level
is determined by the number of users on the network, the data being transferred
by the users, and distance of the Mindray/Zonare system to the wireless access
point and other factors.
Electrical Safety
Contrast Imaging
Cardiac rhythm disturbances during perfusion studies using gas ultrasound contrast
agents have been observed in the diagnostic range of MI values. See the Instructions
For Use that came with contrast agent being used for details.
Medical Ultrasound Safety - General
Anyone using Mindray/Zonare ultrasound systems for human exams of any kind should
thoroughly understand the implications of such use. The American Institute of
Ultrasound in Medicine (AIUM) has published a document titled Medical Ultrasound
Safety (AIUM 1994). ALARA is an abbreviation for the principle of prudent use of
diagnostic ultrasound by obtaining the diagnostic information at a power output that is
as low as reasonably achievable.
Diagnostic ultrasound is a technique-dependent imaging modality. To obtain the best
possible patient care from any ultrasound equipment, the system must be operated by
personnel trained in ultrasound image acquisition and interpretation. Users must
become familiar with each of their imaging systems.
• Always make sure appropriate transducer is used for study being performed
• Always make sure active preset is appropriate for study being performed
• Know how to recognize acoustic artifacts in image
• Consult AIUM recommended protocols & equipment specifications
Display
Parameter Value
Specification Compliance
CISPR 11 – RF emissions Group 1, Class A
The ZS3 system is suitable for use in all establishments
other than domestic and those directly connected to the
public low-voltage power supply network that supplies
buildings used for domestic purposes.
IEC 61000-3-2 harmonic emissions Class A
Keyboard Functions
Figure 4.5-ZS3
• Software installer and user preset; system backup
• Patient image archive
NOTE: You can insert a USB memory stick while the ZS3 system is powered on or
off.
To Insert USB Memory Stick
1. Plug the USB memory stick into any available USB port.
2. Make sure the stick is correctly oriented for the port.
When a USB memory stick is plugged in to a USB port, a status icon is displayed on
the bottom left of the imaging screen.
To Remove USB Memory Stick
1. Make sure the ZS3 system has fully completed downloading upgrades,
importing/exporting, or collecting log data to the USB memory stick before
removing it. Failure to do so results in loss of data.
2. Firmly grasp the USB memory stick and pull it out all the way.
WARNING: The USB memory sticks supplied by Mindray/Zonare are the
recommended brand, type, and size for use in ZS3 systems. They have
been verified for optimum reliability and performance. If you purchase your
own USB memory stick, Mindray/Zonare is not responsible for any errors
associated with file corruption or file-transfer time increases.
Product Shipment
Shipping containers should be inspected for damages, and the "shock watch" and "tilt
watch" indicators for signs of mishandling during shipment. If any problems are found,
make notes of any discrepancies and immediately report to the shipping carrier and to
Mindray/Zonare’s shipping department representative.
All installation and set-up of equipment should be done following this official
Mindray/Zonare product installation procedure.
Electrical Requirements
Medical Grade Receptacles grounded (3-Prong) 110-120 VAC, 15 amp, 60Hz. wall
outlets (or proper 220-240 VAC outlets for systems configured for these power
requirements) are required for the ZS3 ultrasound system.
Uncrating
1. Prior to opening any packaging, inspect the "shock watch" and "tilt watch"
indicators (attached to the outside of the main shipping box) for signs that the
system has been subjected to shock or tilt conditions during shipment.
2. Also inspect the shipping container for any visual signs of rough handling or abuse
during shipment.
3. If any discrepancies from shipment are noted, follow the instructions listed in the
“Product Shipment” section above.
4. Remove all banding straps surrounding the cardboard main shipping container.
Figure 5.1-ZS3
5. Lift off the top cover portion of the main cardboard shipping container, and set
aside.
Figure 5.2-ZS3
6. Remove the small boxes containing the transducers (a maximum number of 4)
and the small box containing accessories from the inner storage box area
(resting atop the ZS3 System).
Figure 5.3-ZS3
Figure 5.4-ZS3
9. Remove the protective foam in the back of the display, and pull forward the upper
foam of the display
Figure 5.5-ZS3
10. Use Velcro to stick the wooden ramp and the front support board, and put one
side of the wooden ramp downward to the ground.
Figure 5.6-ZS3
11. Remove the accessory box, containing front cover and left/right storage box,
upon the front support board.
Accessory
box
Figure 5.7-ZS3
12. Remove the puller strap around the front support board according to the puller
strap indicator label, and remove the front support board.
Puller
strap
Figure 5.8-ZS3
13. Inspect the entire ZS3 system for damage, paying close attention to the LCD
display on the Cart.
14. Move the ZS3 system to the installation area.
Figure 5.9-ZS3
System Installation
1. Check to ensure all peripherals, software level, and serial numbers correspond
with sales order. Make note of any missing items or discrepancies, and
immediately report to Mindray/Zonare.
WARNING
To prevent possible damage to the electronics of the system from
condensation, the following warning must be observed:
If the system has been subjected to an environment during
shipping/transport that differs greatly in temperature and/or humidity, from
the environment where it has been moved for installation/intended
Figure 5.11-ZS3
LED#3 will flash indicating the Cart Power microcontroller is operating.
2. Verify the socket of the AC power cord is fully inserted into the inlet in the back of
the cart.
3. Connect the plug of the AC power cord into a Hospital Grade receptacle.
4. Make sure the AC Main Circuit Breaker on the ZS3 System is in the “1” (ON,
pushed in on the LEFT) position (see illustration below).
Figure 5.12-ZS3
Figure 5.13-ZS3
6. Verify that the System is functioning correctly by performing a basic test. This
test is comprised of the following:
• Attach a transducer (if not already connected)
• Verify LCD display is functioning correctly by watching the boot and verifying
that normal imaging is displayed after fully booted.
• Verify Audio from the Display assembly – Enter PW, turn up the PW Gain and
increase volume
• Verify that the User Interface keys are functioning correctly
• Test USB ports on front of system
• Test and Verify Network Connectivity (if applicable)
To enter Setup:
Press the <Setup> key on the keyboard. The following tabs are available for
customization.
To exit Setup:
Select [Save] in the Setup menu. The parameter settings are saved.
Select [Cancel] in the Setup menu or press <ESC> to close the Setup menu.
When you change the system language and click [OK] in the Setup menu, the system
automatically shuts down to make the modification effective.
Basic operations
The commonly-used setting types are:
Text box: position the cursor over the corresponding field box. Enter the desired
value using the keyboard or soft keyboard on the soft menu.
Radio button: click the button to select an item.
Check box: click the checkbox to select one or more options.
Drop-down list: click the arrow beside the list to select an item.
System
The system automatically enters the [System] screen after you enter Setup.
Region Enter the hospital name, language, time zone, time format, and system
date/time.
General Enter patient information, exam setup, patient management, storage,
system dormancy, auxiliary output settings etc.
Image Enter general parameters in imaging modes (power up, dual, TEE, cine
flush, probe change, Doppler, Optimize, cine play, target offset etc.)
Application Enter the measurement settings (by exam type) and preferences
including AutoTrace.
OB Formula Enter relevant information regarding fetal gestational age, fetal growth
formula and fetal weight.
Audio/Video Enter monitor, audio and external video settings
Security Enable/Disable Location Management.
Once enabled, users may Verify current location; or
Change/Configure Locations by pointing to or clicking on
the onscreen Location Management System ICON and
following the onscreen prompts.
Customize User Account access (Security)
• add/delete users
• control passwords
• edit privileges
• LDAP configuration
Enable/Disable and set passwords for Exam Data Encryption.
Preset Mgmt
Page Description of Control
Calc
Page Description of Control
Annotation
Page Description of Control
Preset Assign pre-defined annotations lists to softkey (OLEDs) by category and
Configuration preset.
Select arrow and annotation default color.
Define Define the name, contents and order of pre-defined annotation lists that will
Lists be available for assignment to softkeys (OLED).
Body Pattern
Page Description of Control
Stress Echo
Page Description of Control
Protocol Create, edit, import, load, and delete SE protocols
Maintenan Select and configure onscreen labels, ROI type, and default WMS type.
ce Customize or reset clip triggers.
DICOM
Page Description of Control
Storage Configure a DICOM destination including AE Title, port, transfer
specifics and options, and image/clip specifics and options.
Print Configure a DICOM printer destination including AE Title, port, transfer
specifics and options, image/clip specifics and options, and print
specifics and options.
Worklist Configure a MWL source including AE Title, port, and data transfer
specifics.
MPPS Configure Modality Performed Procedure Step which is used to send
exam state information to the configured server. This facilitates the other
systems in obtaining the exam progress in time.
Storage Configure storage commitment parameters including AE Title, port,
Commitment transfer specifics and options.
Query / Retrieve Configure parameters of querying and retrieving patient exam records in
a designated server, including AE Title, port, transfer specifics and
HL7 Query ti
Configure network specifics relating to HL7
HL7 refers to the medical information exchange protocol on the seventh
layer (application layer) of the Model of the Open System
Interconnection published by ISO. It is established by Health Level
Seven International in 1987.
HL7 is mainly used for standardizing the communication between
HIS/RIS system and the other devices, reducing the information
interconnection costs among hospitals, and improving the data usability
for hospital information system.
Keys
Keys Description of Control
Peripherals
Peripherals Description of Control
Backup/Restore
Backup / Description of Control
Restore
To initiate a Backup or Restore of Presets and System data to and from a
Backup/Resto USB device.
re To restore factory defaults of Preset and System files.
Access Control
The system supports two user types: system administrator and operator.
Administrator
The system administrator can access all function modules, and view all patient data,
such as patient information, images and reports, etc. Only one administrator is
configured by default. The administrator can add or delete operators.
Operator
The operator can only access the function modules with assigned privileges (for
details about privilege assignment, please refer to "Local Privilege Management"
and "LDAP Privilege Management"). Each operator’s access is limited to exams
created by him/her and the associated exam information, e.g. patient information,
images and reports, etc. The operator does not have access to exam data created
by other operators..
5. Enter the desired user-defined name to be used for the new "Location", and click
[OK].
System Login
If access control has been set by the system administrator, you can access data in the
system only after logging onto the system.
You must log in again after system restart or dormancy.
Logging onto the system:
1. The following dialog box appears:
2. Select the logon type (Local or LDAP), and user name in the drop-down list.
3. Enter the password and click [Logon].
To change users:
1. To log out the current user and change to another user, click in the bottom-left
corner of the screen to bring up the following dialog box:
1. Click the in the bottom-left corner of the screen to bring up the dialog box.
2. Select [Lock Machine] and the system is locked. You must log on before using the
system.
3. Enter the user name and password, confirm password, and select or deselect the
check box from the privilege list. Users can only access the function module with
assigned privilege.
4. Click [OK] to confirm the setting and exit the dialog box. The new user and the privilege
will appear in the User List.
3. Click [OK] to confirm the editing and exit the dialog box. The edited privileges will
appear in the User List.
Modify Passwords
The system administrator can modify all user passwords. The administrator password is
empty by factory default. You can set this password.
An operator can only modify his/her own password. There are two ways to modify
passwords: on the “Security” page or in the “Manage Session” dialog box.
“Security” page (administrators can modify the password)
1. Open the “Security”” page using the path: [Setup] → [System] → [Security].
2. Select the user name to be modified in User List. Click [Change Password] to open
the dialog box.
Enable strong
/
password
2. Enter the server address in the field box after accessing the network.
3. Click [Test LDAP server] to test whether the LDAP server is accessible. If the LDAP
is accessible, the system prompts the following message "Server test succeeded."
Parameter Description
It is automatically displayed after the
Root DN
server is successfully tested.
The default domain is the DC name
in the Root DN. For example, if
Default Domain DC=security1, then input "security1"
in the field box of the "Default
Domain"
Adding a user
1. Enter [Setup] → [System] → [Security] → [LDAP Config].
2. Enter the member name, and select or deselect privileges from the drop-down list of
"Privilege".
3. Click [Add], and the new members and privileges will appear in the Member of filter
list.
Deleting a user
1. Enter [Setup] → [System] → [Security] → [LDAP Config].
2. Select a member to be deleted, and click [Delete].
Logon test
1. Enter [Setup] → [System] → [Security] → [LDAP Config].
2. Enter the User name and password in the field boxes of the Authentication test area.
3. Click [Logon Test] to test whether the user is authenticated. After successful
authentication, the system prompt the following message:
Enable Encryption
This function enables users to encrypt data that is stored in the hard disk.
Note: the remaining space of the cartHD should be greater than 103G; otherwise,
encryption is not supported.
1. Enter [Setup] → [System] → [Security];
2. Enter the password and confirm the password in the field box of the "Exam Data
Encryption" area;
3. Click [Enable Encryption], and the following message is displayed "System needs to
be restarted after enabling encryption. Are you sure you want to proceed"
If there are exam data in the "Archive" menu, the following message is displayed
"Please delete all patient exams to enable encryption." Click [OK] to return to the
Security screen. Clear the exam data in the "Archive" menu, and repeat steps 1-
3 again.
If there are exam data in the recycle bin, the following message is displayed
"The recycle bin is not empty. Please clear it first." Click [OK] to return to the
Security screen. Clear the exam data in the recycle bin, and repeat steps 1-3
again.
4. Click [OK], the system prompts the following message "Encrypting exam data may
take about 3 minutes or more. Please wait…"
5. After successful encryption, the system prompts the following message "Encryption
succeeded!", click [OK], and an automatic reboot is required.
Patient Information
To start a new patient exam, it is better to type the detailed patient information. The
system will set up a unique information database for each patient based on the patient
information entered, so that the information of one patient will not be confused with that
of another patient.
Before examining a new patient, tap the [End Exam] key on the
CAUTION: keyboard to end the exam of the previous patient, update the
patient ID and information, to avoid mixing data of the next new
patient.
To enter the "Patient Info" screen
Press [New Patient] on the keyboard to enter the patient information page.
To exit the Patient Info screen
Exit and save the settings: tap [OK], or Press [New Patient] on the keyboard.
Exit without saving the information: click [Cancel] on patient information page.
Press <B> or <Freeze> to return to the current exam mode.
Place the cursor onto the targeted box. The field box is highlighted and a flashing cursor
appears. Information can be entered or selected from the options.
You can also change the cursor position by the key on the keyboard.
Information includes:
You can select a desired probe, exam, and preset types from the drop-down list.
1. General information
ID
ID is generated automatically by the system after starting a new patient, and
can be modified manually. The characters “\”, “\”, “*”, “?” are not permitted.
The ID can be obtained by the bar code reader as well.
Name
2. Exam Type
Exam Application Type
You can select among: ABD (Abdomen), OB (Obstetrics), GYN (Gynecology),
CARD (Cardiac), VAS (Vascular), URO (Urology), SMP (Small Part), PED
(Pediatrics) and BREAST (Breast).
Select the exam type tab to enter the exam-specific information.
General information:
Study to enter description for each exam.
description:
Primary to enter the primary indications (reason to perform
indications: the exam.)
Secondary to enter the secondary indications.
indications:
CPT4 code: to enter the CPT4 code.
CPT4 to enter the CPT4 description.
description:
Comment Exam-specific explanation or remarks.
Exam specified information:
Exam Type Information Description
Height /
Weight /
Abdomen
BSA body After the height and weight are inputted, the system will
surface automatically calculate the BSA and BMI (Body Mass
area Index) based on the formula.
Cardiology BP (blood
/
pressure)
HR /
RA Press
(Right
/
Atrium
Pressure)
Height /
Weight /
VAS
(Vascular) BP(L)
(blood Input left blood pressure.
pressure)
3. Operating Information
Accession: refers to exam number used in DICOM.
Attd. Phys: Diagnostician: people who is responsible for the exam.
Operator: people who is responsible for images collection and scanning.
Ref. Phys: the people who requires the operator to do the ultrasound operation.
Tip: if the name has been entered before, then it can be memorized by the system,
you can select it in the drop-down list.
4. Functional key
[Pause Exam]: to pause the current exam due to some special causes or system
power off.
[Cancel Exam]: to cancel the current exam.
NOTE: The cancelled exam can’t be restored.
[New Patient]: click to clear the current patient information in the patient
information screen in order to input new patient information.
[New Exam]: click to clear the current exam information in order to create a new
exam for the current patient.
[OK]: click to save the patient data entered and exit the screen.
[Cancel]: click to cancel the patient data entered and exit the screen.
Patient data includes basic patient information, exam information, image files and
reports. Functions within “Archive” include: search, view, backup, send, restore, delete
and export of patient data.
1. To enter Archive screen (the screen is shown as follows):
Press < Archive > on the control panel;
Click [Archive] in the "Patient Info" screen;
Click [Archive] in the Review screen.
The system supports sending data to external memory devices, print, or DICOM. You
can use this function to export the exam data to external devices and then import to
PC or restore to the ultrasound system to review the data.
Select the patient record, click [Send Exam] in the menu to send exam data or images
of the selected record. And then select a destination.
1) Select a destination.
2) Select whether to remove from local HD after Backup: if "Remove Exams" is
selected, the patient information and images are removed; if "Remove Images" is
selected, only the patient images are removed.
3) Select whether to encrypt selected exam data: input the password and confirm
password in the field box, and then click [Backup]. A "Patient.7z" compressed
package is backed up to the USB device, and you need to input the password to
open the package.
Other buttons:
[Restart Exam], [Delete], [Send Exam] are the same as those in the above table.
[New Exam]: Click to enter Patient Info screen, meanwhile, the corresponding
patient information is also imported to the new exam. After you edit the patient
information in the Patient Info screen, select [OK] to start a new exam.
B. WORKLIST/HL7 ENQUIRY
Tips: worklist is an optional function. Configure DICOM Basic and DICOM WorkList first.
When the DICOM basic package is configured and the Worklist server has been set,
click [Worklist] in the "Patient Info" screen to query or import the patient data (For details
about Worklist server setting, please refer to the DICOM chapter.)
The system supports: DICOM and HL7.
Basic Operations:
1. Press [New Patient] on the keyboard to enter the patient information page.
2. Click [WorkList] to enter the WorkList page.
3. Guarantee the data source: after select the service type, select the worklist server
from the corresponding server (DICOM and HL7 server).
4. Input the searching condition:
a) Input the search condition:
• Select “DICOM server”. You can search via patient ID, accession, key words,
worklist server or exam date.
Name Description
Modality Select a modality from the drop down list.
Station
DICOM station name, which is set to "ZS3" by default.
Name
DICOM
Select the log level:
Local
Off: not to export logs.
Log Level
Summary: export only cached logs.
Detail: export all logs.
Service Preset
The DICOM Service screen is used to set attributes of Storage, Print, WorkList, MPPS,
Storage Commitment, and Query/Retrieve, and HL7 Query.
When the system is configured with DICOM basic function module, and installed with
DICOM WorkList, MPPS, DICOM structured report, and DICOM query/retrieve modules,
the corresponding preset can be found in DICOM Service screen.
WORKLIST SETTING
1. Select [Setup][DICOM][Set DICOM Service][Worklist] to enter the “Worklist”
page.
2. Select device in the drop-down list, the available devices are DICOM services
already set in the system, enter the information about AE, Title and the port.
Click [Add] to add the service to the Service list;
Select an item in the service list, change the parameters in the above area, and
click [Update] to update the item in the service list; click [Cancel] to cancel
changing.
Select an item in the service list, and click [Delete] to delete the service.
Select an item in the service list, and click [Default] to set the server to be the
default service.
3. Select an item in the service list, and click [Verify] to verify the connection.
MPPS PRESET
1. Select [Setup][DICOM][DICOM Service Setting][MPPS] to enter the MPPS
page.
2. Select the device name, and type the information about the AE title, the port.
3. Click [Add]. The entry will be added in the service list.
NOTE:
Set the MPPS service as the default when using the MPPS.
NOTE:
Set the MPPS service as the default when using the MPPS.
NOTE:
Set the related server before performing the storage commitment service.
Save SCP port and the IP on SCP corresponds to the port and the IP on DICOM
preset page.
OTHERS
You can configure different type of DICOM services in different scenarios.
DICOM Verifying
To verify connectivity (not essential), click the [Verify] button on the Storage, Print,
Worklist, MPPS, Storage Commitment and Query/Retrievepages respectively.
If the verification is successful, the system displays “xxx Verification Succeed.”
Otherwise, it displays “xxx Verification Failed.”
If verification failed, possible causes may be: wrong IP address; not able to access IP
address; remote DICOM server is not running; wrong port; incorrect application (AE)
Title.
Tip:
Not all SCPs can support verification. See the SCP properties to confirm whether the
SCP can support this service. If not, the verification will not be successful.
DICOM STORAGE
DICOM Storage is used to send images (single-frame or multi-frame) or structured
report to the DICOM storage server for storage.
Follow the procedures below when setting DICOM storage.
7. Select DICOM in the storage server list, select a server in the “Storage Server”
list.
8. Click [OK], the status of sending task can be viewed in DICOM task
management. After successful storage of both image and structured report; you
can see the storage commitment mark “√” in the list below in the Archive
screen.
Encapsulate PDF
Encapsulate PDF refers to the PDF file is encapsulated in DICOM IOD.
Encapsulated PDF is sent by following the procedures below:
Send in the unit of single exam;
The exam with the state of End, Cancel or Stop cannot be sent as
encapsulated PDF.
Check “Encapsulate PDF” in the storage service preset;
DICOM PRINT
DICOM Print is used to send images to the DICOM print server for printing.
Perform the following procedures after configuring DICOM print.
Print images on Archive/Review/main screens (Thumbnail area)
1. Select the image, the cine and the exam and send them. Operations are the same
as for DICOM storage.
2. In the Send To dialog box, select a DICOM print server. (For the dialog box, see
DICOM Storage).
3. Click [OK] to send the image and begin printing.
MPPS
MPPS is used to send exam state information to the configured server. This facilitates
the other systems in obtaining the exam progress in time.
After you preset the Worklist server and MPPS server, if the system obtains the patient
information from Worklist server to begin the exam, it will send exam status information
to MPPS server of when the exam is undergoing or ended. If the sending fails, the
system resend automatically.
STORAGE COMMITMENT
Storage commitment is used to confirm whether the images or structured reports are
successfully stored on the DICOM storage server.
Before using storage commitment, set the associated storage service.
Storage commitment after sending images on the Archive screen.
1. Select the image, the cine or the data, and send it.
2. Click to select “DICOM” in the Target box on the left side, and then select the
DICOM storage server in the Storage Server box on the right side.
QUERY/RETRIEVE
The query/retrieve function is used to query and retrieve patient exam records in a
designated server.
After setting the DICOM query/retrieve server, you can perform the query/retrieve
function in the Archive screen.
a) Open the Archive screen: press <Archive> on the control panel.
b) Click [Query/Retrieve] to open the screen.
c) Select the server in the “Server and Service” area (both the source and the
destination).
d) Enter the query information, such as Patient ID, Patient Name, Accession #, Exam
Date or key words.
Click [Clear] to empty the entered query information.
e) Click [Query]. The system performs the query and lists the results in the patient
(source) list.
You can perform further queries based on the results by entering new query
information.
f) Select one or more patient records according to the actual situation.
Data Restore
After the DICOM format data are saved to external media, restore the data to the
ultrasound system.
1. Connect the external media containing DCM files to the system.
2. In Archive, review the data stored on the external media.
3. Select the data to be restored in Archive.
Print Service
This screen is used to set up the printer and image printing.
Enter [Setup]->[Peripheral]->[Print Service] in the preset menu to enter.
Printer setting
The printer settings include print service and print driver.
Power Save
Enter [Setup]->[Peripheral]->[Power Save]
For each of the power configurations, select the desired power saving option, and enter
the desired time interval, from the menu.
NOTE: Unchecking the “Enabled” box, for either option, disables that time-out function.
Network Setup
The “NETWORK” configuration menu allows for configuring the TCP/IP networking
parameters that will be assigned to define the identity of the system on the hospital’s
network.
1. Enters [Setup]-> [Network] -> [TCP/IP].
Move the cursor using the trackball to highlight SAVE and press one of the SET keys to
save the Network configuration setup, and exit.
The configuration of the Wireless Bridge is done on the Network configuration screen.
The source information required for wireless device configuration on the ZS3, is the
static IP Address assigned (by the IT Administrator at the install site) to the Quatech
AirborneDirect device and the Username and Password for the CLI interface (default
is dpac for both).
For assistance with the configuration of the local network settings on the ZS3, to
support that aspect of a wireless network installation, contact Mindray/Zonare Technical
Support.
9. Wait for a few minutes until the "Configure Wireless" and "Reset Password"
buttons are highlighted.
10. Click [Configure Wireless] to enter the "Wireless Login Configuration" page.
11. Enter dpac to the field of both the User Name and Password again, and click
[OK] to enter the "Wireless Configuration" page, as shown in the following figure:
Indicator illustration
QPath/QView
You can use the ultrasound system to check data on browser directly. After you have
ordered storage service of a network website service, you can check data using the
website, authorized account and password (provided by the service vendor).You can
open the browser to review previously sent DICOM data.
1. Enters [Setup] [Network] [QPath/QView].
Parameter Description
Sets the sub URLs of "QView full" and "QView lite".
Advanced The sub URL is set by default. Users can modify the sub
URL and click [Save] to exit the "QView sub URL setting"
window.
Initial connecting
Sets to 30 by default.
time out (secs)
VPN
1. Enter [Setup] [Network] [VPN].
3. Select a group from the drop-down list of "Select Group", enter the user name and
password, and click [LogOn]. After successful connection, the system prompt the
following message "Successfully connected VPN server", and the VPN Status
becomes "Connected".
System Capabilities
• 64-hardware - 128/192-synthetic channel system
• Supports B-Mode, M-Mode, Color, Power Doppler, PW, ARFI
• 19” full-screen, 1280 x 1024 resolution, Display
• Full-sized alpha-numeric user keyboard
• Discrete function user controls
• Software mode assignable user controls
• User programmable keys
• Integrated stereo speakers (located in display)
• External I/O device connectivity
o Ethernet 10/100Base-T
o eSata/USB Connector
o USB port
o HDMI Connector
• Internal solid-state drive (image archive)
• On-board Z-Pack Battery Module (Option)
Major FRUs
MODULE
• P/N 115-051402-00 ZS3 Module Kit(ARFI,Without ECG/9.x)
• P/N 115-051400-00 ZS3 Module Kit(ARFI,Aux-ECG/9.x)
Figure 12.1-ZS3
Figure 12.3-ZS3
Figure 12.4-ZS3
Figure 12.5-ZS3
Figure 12.7-ZS3
Figure 12.8-ZS3
Figure 14.1-ZS3
Cable of the
ultrasound gel
Figure 14.2-ZS3
4. NOTE: The printer comes out of the box with M3 Phillips head screws installed
in its threaded mounting holes, as placeholders or thread protectors. These
screws need to be removed before sliding the printer into the bracket. Place
printer into bracket and slide back toward cart column leaving the power and
USB connections on right side exposed. Connect USB cable to
printer. Connect power cable to printer.
Figure 14.4-ZS3
6. Using a Philips screwdriver, install the four (4) 33215-00 flat head screws
(provided in the kit), through the holes in the mounting bracket and into the four
threaded holes in the printer, as shown below.
Figure 14.5-ZS3
7. Place the printer cables inside the printer bracket and secure with the cable-tie
(30133), as shown below
1. Connect the USB cable with the symbol facing up into the back of the
printer.
2. Connect the DC power cable in to the back of the printer.
3. Secure the cables to the printer bracket with the zip tie PN: 30133 (as shown)
Figure 14.8-ZS3
4. Power-On the system.
8. Make sure the paper is set straight. High gloss paper is recommended for
optimum quality print.
Setup Procedure
For details about printer settings, please refer to "Print Service".
Print verification:
1. Power on the system, the printer, and connect a transducer.
2. FREEZE the image. Verify a printed image is produced when the “Print”
key is depressed.
Color Printer
INSTALLATION NOTES:
SPECIAL NOTE
SETUP PROCEDURE:
1. Identify the dedicated work area, within reach of the system, for placement of
the Sony UP-D25MD printer and setup the printer in that location.
“Print” button for triggering a print to the Sony UP-D25MD printer. Check
the “Network/USB Printer” box in the Print section then select Sony UP-D25MD
from the drop down menu.
10. Connect a transducer to the system. Wait for startup to complete and image to
be shown.
11. Press the “FREEZE” key to capture an ultrasound image.
12. Verify a printed image is produced on the UP-D25MD when the “Print” key
on the user interface is depressed.
o Print
o Freeze
Figure 14.9-ZS3
2. Use a screwdriver to install the 1 Pan head screw M4X12 that attaches the Gel
warmer cable to the Stem weldment
Figure 14.10-ZS3
3. Remove the eight(8) screws underneath the UI and disconnect and remove the
UI, thread the Gel warmer cable through the punch hole of UI interface base and
connect 4-pin connector side into the rightmost port of the power distribution strip
Figure 14.11-ZS3
Figure 14.12-ZS3
Figure 14.13-ZS3
Notes: Screw tightening torque: M4: 6-7 kgf.cm
Figure 14.14-ZS3
2. Paste 70-80mm length of PVC electric insulation tape on the edge of the Stem
weldment
Paste PVC tape
Figure 14.15-ZS3
3. Use a screwdriver to install the 1 Pan head screw M4X12 that attach the Gel warmer
Figure 14.16-ZS3
Figure 14.17-ZS3
4. Connect Gel power cable to printer power cable. Push them back to the inside of UI
interface base. wind a circle and Tie the tail of the Gel Warmer cable and printer
USB cable (If there’s no printer installed)
Figure 14.18-ZS3
Figure 14.19-ZS3
2. Aligning with the rib of the upper bracket, assemble the bracket cushion onto the
upper bracket.
Bracket
cushion
Figure 14.20-ZS3
3. Screw the lower bracket into the upper bracket till the marks aligned. (Fig.5C, 5D)
Lower bracket
Figure 14.21-ZS3
Marks aligned
Figure 14.22-ZS3
4. Thread the Gel warmer cable through the punch hole of the lower bracket, buckle
the Gel warmer downward. (Fig.5E, 5F)
Gel warmer
Figure 14.23-ZS3
Figure 14.25-ZS3
2. Thread Gel warmer cable through UI hole and connect it to Gel warmer. Use cable
tie to fix the Gel warmer cable to cable hanger. Notes: cable tie needs to thread
through the mounting hole in connector of Gel warmer cable.
Gel warmer cable Cable tie needs to thread
through the mounting hole in
connector of Gel warmer
cable
Cable tie
Figure 14.26-ZS3
OVERVIEW
Figure 14.27-ZS3. Diagram of the installation position of the intracavity probe holder
As shown, the intracavity probe holder is mounted on the upper right side of the
control panel base.
The side view of the intracavity probe holder is shown in Figure 14.28. In the figure, 1
is the intracavity probe cup holder part 1, and 2 is the intracavity probe cup holder part
2.
The front view of the intracavity probe holder is shown in Figure 14.29. In the figure, 1
is the intracavity probe holder part 1, and 2 is the intracavity probe holder part 2.
The top view of the intracavity probe holder is shown in Figure 14.30. In the figure, 1 is
the intracavity probe holder part 1, and 2 is the intracavity probe holder part 2.
Figure 14.31-ZS3. Diagram of the assembly of the intracavity probe holder part 1 and
part 2
2. Align the slot 1 and the slot 2 on the intracavity probe holder with the control
panel base hook 1 and hook 2, respectively.
Slot 1
Slot 2
Hook
2
Hook
1
Figure 14.32-ZS3. Alignment of the intracavity probe holder bracket and hook
3. Install the probe holder in the direction of the arrow from top to bottom shown
in Figure 14.33, so that the clip on the bracket snaps into the base flange of
the control panel.
Buckle
4. For machine that has been configured with a storage basket, the storage
basket pad needs to be first mounted to the basket flange and the basket is
secured to the hook of the intracavity probe holder.
Basket
pad
Flange
Backup Operations
Backing up imaging presets and system configuration:
1. If there are customized imaging presets and system configuration that are
desired to be backed up, insert a target USB stick for backup into the USB port
on the front or rear of the system.
2. Enter [Setup] → [Back/Restore] to perform "Imaging presets" and "System
Configuration" backup operation.
• Imaging Presets:
• System Configuration:
The backup SYSTEM operation provides capability for selecting the granularity for
the specific parameters that will (or will not) be used during the Backup operation.
The selectable options, and a description of what parameters are included in each
item, are listed below:
Annotation/Body Patterns (User Annotation and customer Body Markers)
Programmable Keys (Program keys; Image Store/Print button; Store)
Protocols (Including Stress Echo)
Calculation Setup (User Calculation setup parameters)
Location Manager (preset information, including DICOM, FTP, Print etc.)
Network/DICOM (Network, Storage, Print, Worklist, MPPS, Storage
Commitment, Query/Retrieve/ HL7Query)
Other System Settings (Region, General, Audio/Video, Security, Print Service
etc.)
Custom Worksheets & Linkages (QPath/QView)
After selecting the desired items, click [System Configuration: Select items to backup]
to backup the selected data. Or you can click [System Configuration All] to backup all
the system configuration data. Select the desired destination from the drop-down list
of Drive. File name may be changed as desired. Click OK to begin the backup
process.
Restore Operations
1. Insert the same USB stick stored with the backed up data.
2. Enter [Setup] → [Back/Restore] to perform "Imaging presets" and "System
Configuration" restore operation.
• Restore Imaging Presets
1. Restore all:
Select [All] in the "Restore Imaging Presets" region to enter the "Load Data"
screen, select the data to be restored, and then the system enters the following
page:
Select [Exam Type] in the "Restore Imaging Presets" region to enter the "Load
Data" screen, select the data to be restored, and then the system enters the
following page:
Select a desired transducer and exam types (you can select 1 or more exam
types), and then click [Restore] to begin the restoration. (This operation requires an
automatic reboot)
3. Restore according to single preset
Select [Single Preset] in the "Restore Imaging Presets" region to enter the "Load
Data" screen, select the data to be restored, and then the system enters the
following page:
Select a desired transducer, exam type, and preset items (you can select 1 or
more user-defined preset items under only 1 exam type), and then click [Restore]
to begin the restoration. (This operation requires an automatic reboot)
• Restore System
The selectable options for the “RESTORE SYSTEM” operation, and a description
of what parameters are included in each item, are listed below:
After selecting the desired items, click [System Configuration: Select items to
restore] to restore the selected data. Or you can click [System Configuration All] to
restore all the system configuration data.
• FACTORY Restore
Click [All] to restore the imaging presets and system configuration to the
factory default preset.
Click [FACTORY Presets] to restore the imaging presets to the factory default
preset.
Click [FACTORY System Configuration] to restore the system configuration to
the factory default preset.
Note: Restoring Factory defaults will cause the system to lose custom presets and
settings. A backup should be performed before attempting to restore to Factory
defaults.
Note: Patient data converted to DCM file is compatible with 9.0 system only for
review, not measurement.
For information on the latest software revision level, contact Mindray/Zonare Technical
Support.
To verify current software revision, press the Service key, and the software revision is
displayed in the top left corner of the User Diagnostics Panel.
1. Plug a USB stick in one of the four USB slots on the ZS3 system.
NOTE: Make sure the imaging presets and system configurations are backed up to
a USB stick. The software factory clean installation will erase all system and
imaging presets.
4. Press and hold the UNDO key and then turn on the system. Do not let go of
the UNDO key until system is at white bootup screen. This will force the
system into a RECOVERY mode.
5. If this method does not work and the system boots all the way to imaging
screen, go to Service Maintenance Service Reboot. Respond “Yes” to
reboot. Immediately after pressing Service Reboot, press UNDO key and hold it
until the white software boot screen appears.
6. Plug the USB stick with 9.x.xxxx software and DAT file into one of the USB
ports.
9. Press Optimize, then press the Caliper/Measure button to get the “Factory
Clean Install” option.
13. Remove the USB Memory Stick, and press the “ENTER” key on cart
again to finalize the software installation. The system should perform an
automatic reboot, powering back up in a fully operational condition.
14. Perform Restore operation to restore your system settings and imaging
presets.
NOTE: For system running 7.6.1257D software, upgrade to the latest 7.6
revision first before performing 9.x upgrade.
NOTE: This upgrade requires formatting of the SSD which stores patient data.
Be sure to backup all patient studies prior to the upgrade.
1. Disconnect Wireless bridge/Ethernet cable from the system. Do not plug in the
wireless bridge until the very last step of this procedure.
4. Export log files under Service Store current logs Export logs Export all.
7. If applicable, turn off the system and follow instructions on this service manual
to upgrade the hardware.
8. Press and hold the UNDO key and then turn on the system. Do not let go of
the UNDO key until system is at white bootup screen. This will force the
system into a ‘RECOVERY’ mode.
9. If this method does not work and the system boots all the way to imaging
screen, go to Service Maintenance Service Reboot. Respond “Yes” to
reboot. Immediately after pressing Service Reboot, press UNDO key and hold it
until the white software boot screen appears.
10. Plug the USB stick with 9.x software and DAT file into one of the USB ports.
12. When system prompt “Select Reboot to perform an install’, press F4 or select
it using the GUI interface. System will reboot back to the white screen.
13. Press Optimize, then press the Caliper/Measure button to get the “Factory
Clean Install” option.
14. Select the option for Factory Clean Install or press the F1 key to complete the
install.
NOTE: If the upgrade is not successful, downgrade the system to the original
software and restore the presets and settings.
21. Plug in transducer and make sure you get an image. Switch transducers and
test all ports.
Export Logs Export all logs or export logs by date (this button is active
only after an USB disk is inserted to the ultrasound system)
Parameter Description
Software Upgrade Options FTP Address 12.40.200.87, user name ZS3 and
password support are supplied by Mindray/Zonare.
Click Ping button to test connectivity to software folder
on FTP site.
Select the Auto notify of software updates to check FTP
server for the latest software revisions and then select
the number of days until next check.
FTP Data Transfer Mode In active mode FTP, the server initiates the data
transfer; and in the passive mode FTP, the client
initiates the data transfer.
Parameter Description
Enable Debug Console Allows (if checked) or disables (if unchecked) access to
the System Console window (ALT-GR / Shift / Z keys) for
entering low-level commands for service. Lock-out
offered due to same key combination used for
international character text entry during normal use.
Overview
This section describes the maintenance, care and service recommended to maintain
the ZS3 system in proper operation.
WARNING: Shock hazards exist if the AC power connection for the ZS3 system or
AC adapter are not properly grounded. Equipment must be connected to a hospital
grade receptacle. Do not remove the grounding wire.
The enclosures contain no operator-serviceable components other than the
scanner module.
• To avoid electrical shock, do not remove covers other than the scanner module
cover.
• For servicing, contact Mindray/Zonare Technical Support only. Failure to do so
may void your warranty or service contract coverage.
To safely use and maintain the system:
• To avoid electrical shock, always disconnect the AC power before cleaning
any part of the ZS3 system.
• Do not immerse the transducer past the cleaning/disinfection level depth
specified in “Cleaning and Disinfecting Transducers.” Do not immerse the
transducer for longer than specified cleaning/disinfecting time. Do not use
any transducer that has been immersed beyond the specified level.
Improper cleaning or disinfection of any part of the ZS3 system can cause
permanent damage. Follow the cleaning and disinfection instructions.
CAUTION: Do not excessively twist or bend the cables; this can cause failure
• Improper cleaning or disinfection of any part of the ZS3 system can cause
permanent damage. Follow the cleaning and disinfection instructions.
WARNING: Do not expose the exterior surface of the LCD display to any of the
following agents:
• Cidex
• Betadine
WARNING:
• Do not use disinfectants (such as gluteraldahyde or hydrogen peroxide) or
acetone to clean any surfaces on the ZS3 system or its accessories.
• Before cleaning, turn off the AC circuit breaker and pull out the battery
plunger on the ZS3 system to remove all power from the unit.
• Do not autoclave, immerse, or attempt to sterilize the LCD display or
transducers.
• Do not spill or spray liquid directly on the control panel, LCD display, battery
charger, AC power adapter, or transducer connector.
WARNING: To avoid electrical shock, turn off the AC circuit breaker at the rear
of the system before cleaning the ZS3 system. Always use protective eyewear
and clothing when cleaning or disinfecting the ZS3 system.
• The level of disinfection required for cleaning the ZS3 system is dictated by
the type of contaminants the system came in contact with.
the filter until fully inserted. Use a plastic card to push the filter flap down
behind the module handle.
• Put the module cover back into place.
Figure 16.1-ZS3
System Check
Follow the procedures below to verify the correct operation of the system.
5. Verifying Probes
1.4. Verify there is no pin-holes or damage on the probe lenses.
1.5. Check the probe head, cable and connector for damage or excessive wear.
1.6. Verify the lock on the probe connector is working properly.
1.7. Visually assess images for vertical shadows and streaks caused by dead
elements in the transducer.
NOTE: The next step involves activating Doppler which may cause the system to
emit a loud sound. Be prepared to turn down the volume using the rotary knob
beneath the OLED that says “Volume”.
1.8. Press the Doppler (D-mode) button to turn on Doppler mode. The image should
reduce its size and a horizontal strip will appear below the ultrasound image. A
cursor with a gate will appear in the image. The horizontal strip should be moving
from left to right. If the strip is not moving from left to right, then locate the OLED
that says “B-Update” and press the button associated with the OLED to activate
the horizontal strip.
1.9. Use the trackball to move the cursor from lower right to upper left and visa-versa
several times. Each time you move the cursor, the horizontal strip should stop
and re-start. Please verify that the strip restarts each time.
1.10. Verify the cart outputs white noise via the display monitor speakers. You
may have to adjust the volume located in the right side of the OLED display.
1.11. Press the M-Mode button. Verify that a different but similar horizontal strip
appears beneath the ultrasound image.
1.12. Move the cursor from bottom right to top left several times. Ensure that
the strip movement is interrupted and restarts each time.
5. Verify Battery
1.1. Go to Service Maintenance Battery Status.
1.2. Check if the battery voltage is read.
1.3. Connect the machine to AC power to check if the machine is charging the battery.
Test Requirements:
1. Display: set the contrast and brightness at the clinical application value (or the
default status)
2. Operation environment: to enable proper on-screen image evaluation on the LCD
display of the ultrasound system, ambient lighting should be maintained at a
moderate level during the performance of this procedure. The lighting level should
be compatible with traditional ultrasound lab environments..
3. Electrical requirement: the transducer imaging and imaging performance testing
shall be performed in an environment that is free of significant interference noise
sources for the ultrasound product. The environment includes avoiding use of AC
power outlets on lines shared by other electronic equipment in the vicinity.
4. Scanning techniques: put the probe on the acoustic window of the phantom, without
spacing or pressing.
NOTE: 1. The phantom images here are for reference only.
2. Refer to "Appendix A Phantom Usage Illustration". Phantom
KS107BD is a low frequency phantom and used when probe focus
frequency is less than 4MHZ; Phantom KS107BG is a high
frequency phantom and used when probe focus frequency is more
than 5MHZ.
3. Other quality phantom, such as Gammex 403 GS LE Precision
Multi-Purpose Phantom can also be used. Refer to the phantom’s
user manual for details.
Method of Testing
The phantom contains pin targets and objects in different shapes. While scanning
the phantom, those objects should be displaced clearly on a black background in
the ultrasound image. There should not be any speckles, axial or lateral streaks.
Procedure:
1.1. Select a transducer for verification.
1.2. Select an Exam Type and Preset type.
1.3. Turn off Compounding (“Compounding Off”).
Method of Testing
The maximum sensitivity or depth of penetration is determined by measuring the
depth in the phantom at which the usable echo information in the far field first
disappears.
Procedure:
1.1. Select a transducer for verification.
Method of Testing
The phantom contains pin targets with fixed spacing on horizontal and vertical lines.
The distance between 2 pin targets can be measured by the ultrasound machine
and compared to the actual value to determine the geometric accuracy.
Procedure:
2.1. Select a transducer for verification.
2.2. Select an Exam Type and Preset type.
2.3. Turn off Compounding (“Compounding Off”).
2.4. Turn off Harmonics (“TH”).
2.5. Using the Frequency paddle switch, select the highest frequency available.
2.6. Scan the phantom and adjust the depth by using the Depth control to position
the vertical and horizontal pin targets in the center of the image.
2.7. Press the Freeze key to stop imaging.
2.8. Press the Optimize key to optimize tissue gain levels.
2.9. Press the Measure/Caliper key to display the cursor and measure the distance
between 2 target pins on the horizontal and lateral target lines respectively.
2.10. Use the formula below to calculate the axial and lateral accuracy. The
acceptable accuracy tolerance is +/- 3%.
Additional Comments
Dat
Name Signature
e
Additional Comments:
Figure 18.1-ZS3
When the system is fully booted up.
Figure 18.2-ZS3
Figure 18.3-ZS3
Troubleshooting
TRANSDUCER PROBLEMS
Caution: Bent, broken, or missing pins on the transducer connector may cause
poor image quality, including possible mirror image artifact. Be sure to check
pins before connecting transducer to the Mindray/Zonare ultrasound system. If
pins are bent, broken, or missing, do not use the transducer and call
Mindray/Zonare Technical Support.
2. Ensure the AC power cord is fully seated in the socket on the rear of the cart.
3. Ensure that the circuit breaker (located in the lower-left of the rear panel) is
pressed down in the “1” (On) position.
4. With active AC power applied, verify that the LEDs located at bottom/rear of ZS3
system are in the following condition:
Check:
Check AC LED (#1) 1. Power cable is properly
N
lights normally? connected
2. breaker is switched on.
Figure 18.5-ZS3
Power button LED blinks when the power button is pressed. When the
system has booted to imaging, it turns solid green.
Figure 18.6-ZS3
PERIPHERAL PROBLEMS
19” Display monitor, no video
• Power down the system, then switch off circuit breaker (at rear of system) to
remove power to system electronics.
• Temporarily connect the power cord of the peripheral to a local receptacle, and
test for operation of the peripheral.
• If the peripheral fails to power on after these steps, contact Mindray/Zonare Tech
Support.
• Ensure that the USB cable is properly connected on the peripheral device, and
connected internally to the USB Hub under the user interface and consult
following table.
TRANSDUCER PROBLEMS
Transducer not recognized by system (no B-mode imaging)
• To ensure a positive connection, disconnect the transducer and reconnect it.
• Inspect the metal contact pins on the transducer connector for any residue or
damage.
• Inspect the scan module port for any residue or damage.
• Insert the transducer into a different port on the system.
• To determine a problem with the transducer or system, attach a different
transducer.
• Disconnect the transducer. Power off the system. Power the system back on
and reattach the transducer to test for functionality.
• If system still fails to operate any transducers, contact Mindray/Zonare Tech
Support.
IMAGING PROBLEMS
Poor B-mode image
• Switch to a different transducer or probe port to see if the problem is with a
particular transducer or system port.
• Ensure that there is an adequate supply of acoustic coupling gel and good
patient/transducer contact.
• In the on-screen menu, under the Preset tab, select one of the factory default
settings (General, etc.) to determine possible maladjustment of user presets.
• Adjust the various Doppler controls (gain, depth, frequency, etc.) to attempt to
resolve the problem.
• Make sure the brightness and contrast settings of the LCD display have not been
altered from proper settings. For information about LCD display settings, see
LCD Display.
• To ensure the quality of the gray scale resolution of the LCD display, use the
gray scale test pattern (via the Diagnostic menu) that is available. Ensure that all
shades can be visualized, making small adjustments to brightness and contrast
from factory defaults, as required, to see all intensities.
• To ensure the quality of the gray scale resolution of the LCD display, use the
gray scale test pattern (via the Diagnostic menu) that is available. Ensure that all
shades can be visualized, making small adjustments to brightness and contrast
from factory defaults, as required, to see all intensities.
• Make adjustments to the various Doppler controls (gain, filter, scale) to attempt
to resolve the problem.
• Ensure that the scanning angle between the transducer face and the direction of
blood flow is optimized.
• In the on-screen menu, under the Preset tab, select one of the factory default
settings (General, etc.) to determine possible maladjustment of user presets.
• Ensure that there is an adequate supply of acoustic coupling gel and good
patient/transducer contact.
• Press the DICOM Queue key, and inspect for any pending jobs in the Queue. If
any jobs pending, delete them and then power cycle System, and then re-test
network state.
• Select the Device List for the destination and hit “Ping”. If it fails, check IP address
and make sure DICOM server is setup and active on the network. If it still fails,
check with IT to confirm information entered is correct.
• Under “Setup | DICOM | DICOM Service | Storage” verify DICOM AE Title and
port number are correct. Select the Service list and hit “Verify”. If it fails, check
with IT to confirm information entered is correct.
• Under “Setup | DICOM | DICOM Service | Print” verify AE Title and port number
are correct. Select the Service list and hit “Verify”. If it fails, check with IT to
confirm information entered is correct.
• Using another device (PC, etc.) on same domain on hospital network, perform a
“PING” operation to the IP address assigned to the system in the “Network”
configuration page, to test for TCP/IP connectivity.
Figure 18.7-ZS3
Trickle-Charge Rate (i.e., hot battery state) .................................... 16.0 Hours (worst-
case)
Recondition & Full Charge State:
Optimum (battery in cool state, and initial charge level near full) .... 8.0 Hours (total)
Worst-case (battery in hot state, and initial charge level near zero) 14.0 Hours
Implementation:
1. Obtaining the MAC address from system logs Export Log Files
2. Find and open the “PMLogHistory.txt” file in the Log folder
3. The system MAC Address can be found a few lines underneath the
“Postmortem” section of the logs (see image below).
The wireless bridge product lists an “ETH” and “WIFI” mac address, see
image below. The “WIFI” MAC address is the one used when configuring
the bridge on the customer’s network.
The procedures described in this section of the Service Manual should be performed
ONLY by a Mindray/Zonare trained service personnel (Service Engineer, Biomed,
etc.).
Recommended Tools
Tool Description Size Qty Where used
Screwdriver, flat blade, medium tip, std. 3mm blade, 1 General use
length 6” shaft, std.
thick
Screwdriver, Phillips, large tip, std #3, 6” shaft 1 Power supply module
length
Screwdriver, Phillips, med. tip std #2, 6” shaft 1 General Assembly
length
Screwdriver or Allen Wrench 4mm, 6” shaft 1 Power supply module, Dock,
ZPAK
Pliers, Diagonal Cutters, small Small jaws 1 General cutting of tie wraps, etc.
Figure 19.1-ZS3
3. Disconnect the main AC power cord from the rear of the cart or unplug from the
wall source. Ensure all USB and RJ45 connections removed from back of cart.
4. Ensure the cart wheels are in the locked position.
5. Wrap fingers under both bottom corners of plastic covering and pull until the
covering is removed.
Figure 19.2-ZS3
Remove ZS3 Module:
1. Flip open metal flaps on either side of the chassis.
Figure 19.4-ZS3
Reassemble Cosmetics:
1. Align plastic covering so that transducer slots are aligned with transducer ports.
The concave portion of the plastic covering should be partially covering the
convex plastic tab on the cart.
2. Push plastic covering until it clicks into place.
Figure 19.5-ZS3
3. Ensure the system is docked.
4. Turn the system on.
5. Attach a transducer (if not already connected)
6. Verify that the system is functioning correctly by performing a basic test. This
test is comprised of the following:
7. Verify LCD display is functioning correctly by watching the boot and verifying
that normal imaging is displayed after unit has fully booted.
8. Verify audio from the Display Assy – Enter PW, turn up the PW Gain and
increase Volume.
9. Verify that the User Interface keys are functioning correctly.
10. Test USB ports on Main Board panel.
11. Test and Verify Network Connectivity (if applicable).
12. Test and Verify USB Peripheral Connectivity and Functionality (if applicable).
13. Once verification is complete, return system to normal operation.
Required Tools/Equipment
• Medium-tip flat blade screwdriver
Overview of Procedure
• Remove Caster
• Set Brake and/or Swivel Lock position
• Install Caster
Removal of the Caster
1. Ensure the system is powered “OFF”.
2. Place AC circuit breaker, located at the rear of the system, in the “0” (Off) position.
Figure 19.6-ZS3
3. Disconnect the main AC power cord from the rear of the system.
4. Fold the LCD display screen down to a horizontal position, for protection from
moving during tilting of Cart.
5. Lock the brake mechanism (front wheels) to keep the Cart from rolling.
6. While supporting the display/display arm from swinging to the side, on a soft surface
(carpet, etc.) tilt the Cart forward, until it is horizontal, resting on the two front push
handles for support
Caution: The Cart may be heavy and care should be taken while tilting
forward, use two people if necessary to avoid injury.
7. Use the wrench in the accessory package to loosen and then remove the total
locking caster. Unscrew the two M5 screws to remove the direction locking caster.
Figure 19.7-ZS3
Total locking caster removal and replacement
Figure 19.8-ZS3
Direction locking caster removal and replacement
8. Once installation is complete, Tilt the Cart back up onto its wheels, and release the
brake mechanism.
9. Verify smooth operation and pivoting of the Cart through all movements.
10. Verify that the brake functions correctly and that each caster locks and the brake
functions when it is set.
Required Tools/Equipment
Cable retention
screw
Figure 19.10-ZS3: Display Cover
Figure 19.11-ZS3
6. Remove the cover.
7. Disconnect the two cables on the upper right hand side (as shown below).
Figure 19.12-ZS3
8. Remove the four (4) 9/32” Nuts with captive washers that attach the display to
the metal hinge assembly. Support the Display Assembly while loosening the
last bolt.
9. Tilt the top of the display towards the rear of the cart to support the LCD
Display while removing the last screw.
Installation:
1. Reconnect the display cables to the connector on the display.
2. Slide the excess cable under the plastics and route in the same fashion prior to
removal.
3. Align the display (4 threaded shafts) with the metal hinge.
4. Reinstall the 9/32” nuts and tighten. Ensure that the display cable is not
pinched.
5. Reinstall the larger display cover by tightening the six (6) Phillips-head screws.
6. Reinsert the smaller display hinge plastic cover –
• Insert the bottom piece first, aligning the screw holes and secure the cable.
7. Tighten the four (4) Phillips-head screws that are retaining the plastic display
hinge back cover.
System Verification:
1. Reconnect the main AC power cord from the rear of the system or plug into the
wall source.
2. Place AC circuit breaker, located at the rear of the system, in the “1” (On)
position.
Figure 19.13-ZS3
3. Ensure the system is docked in the cart.
4. Turn the system on.
5. Verify that the LCD display is functioning correctly by watching the boot
sequence and verifying that normal imaging is displayed after system has fully
booted.
6. Attach a transducer (if not already connected) and enable PW mode.
Overview of Procedure
• 19” Display - Removal/Replacement
• Removal of the Display ARM
• Installation of Display ARM
• Verification of LCD Display, Speakers, and Microphone
Required Tools/Equipment
• Long handled flat-blade screwdriver (3mm width blade, 12” shaft, thin blade)
• #2 Phillips Screwdriver – Stubby
• #1 Phillips Screwdriver
• 9/32” Nut Driver or wrench
• 7/64” Allen Wrench
• Wire Cutters
Procedure
Opening Chassis Cosmetics:
1. Ensure the system is powered “OFF”.
Figure 19.14-ZS3
Figure 19.15-ZS3
2. Remove the (6) Phillips-head screws that are retaining the plastic display hinge
back cover, and remove cover and insert.
3. Remove the tape securing the video cable to the display.
4. Grasp the connector housing and slide back to unlatch the cable from the video
board.
Figure 19.16-ZS3
Figure 19.17-ZS3
6. Tilt the top of the display towards the rear of the cart to support the LCD
Display while removing the last screw.
7. Slowly lift the Display off the metal hinge assy – while supporting it, gently
remove the display cable from the display (this may need to be gently pried
away with a screwdriver)
8. Once the cable is free, set the display aside and prepare for installation
Figure 19.19-ZS3
Figure 19.20-ZS3
5. Reassemble the Scanner Deck area, by reversing the removal procedure.
6. Slide the chassis cosmetic sleeve and insert panel back into place on their
respective spring clips.
Verification of Display, Speakers, and Microphone:
1. Reconnect the main AC power cord from the rear of the system or plug into the
wall source.
2. Place AC circuit breaker, located at the rear of the system, in the “ON” position.
Figure 19.21-ZS3
Required Tools/Equipment
• #2 Phillips Screwdriver
• 4mm Hex Key
Overview of Procedure
Figure 19.22-ZS3
2. Disconnect the main AC power cord from the rear of the system.
3. Put the User Interface in the highest position.
4. Set the front caster brakes to prevent system from rolling.
5. The Battery Pack is located under the system. Ensure that the display is in
horizontal position. For the easiest access, tilt the entire system forward
until is in horizontal position, resting on the front-side handles. Rest the
front-side handles on foam or cardboard if available.
6. Remove the four (4) Phillips-head screws that are retaining the Battery Pack
to the bottom of the system.
Remove First
Loosen
Figure 19.22-ZS3
7. Remove the larger screw, located on the right side of the mounting of the
Battery Pack to the bottom of the system (leaving the last two (2) screws, on
the left side of the battery pack, still in place).
8. Slightly loosen (but DO NOT REMOVE) the remaining two (2) large screws
(on the left side of the battery pack), while supporting the weight of the
battery pack with your hand.
9. While still supporting the weight of the battery pack, slide it to the right to
enable the slotted holes in the cover to come free from the last two
mounting screws,
Figure 19.23-ZS3
10. Lower the battery pack slightly to enable access to the connector at the end
of the battery pack power cable, and unplug the connector from the power
supply on the system.
11. Remove the battery pack.
1. Insure the main AC power cord to the rear of the system is NOT connected to
wall source.
2. While holding the battery pack in position, plug the power connector into the
receptacle on the bottom of the power supply.
3. While still supporting the weight of the battery pack attach the power cable to
the mating connector on the bottom side of the power supply module on the
system.
Figure 19.25-ZS3
Warning: Be very careful to have the proper connector to socket orientation (note the
rounded humps on one side, as shown below) when installing this cable. DO NOT
FORCE connection, as this will damage connector and internal electronics.
4. While still supporting the weight of the battery pack, slide the slotted holes in
the left side of the cover onto the two (2) loosened mounting screws on the left
side of the power supply module.
5. Reinstall all mounting hardware to complete the installation.
Figure 19.26-ZS3
System Verification:
1. Power on the system and perform a series of basic user operations, to verify
normal system functionality.
2. Verify that the battery status ICON, on the upper-left corner of the display of the
system, shows a current status.
3. Once verification is complete, return system to normal operation.
Z-PAK “RECONDITION”:
NOTE
Overview of Procedure
Figure19.27-ZS3
8. Partially remove the lower two (2) mounting screws retaining the power module
to the bottom of the system and allow them to help support supply while the
cables are being disconnected.
Figure 19.28-ZS3
9. Gradually tilt the Power Supply Module approximately 3” to provide access for
disconnecting the cabling.
Figure 19.30-ZS3
Figure 19.31-ZS3
NOTE: The cables marked above have a locking connector. You need to grasp
the hood and slide towards you before pulling connector to disconnect.
Overview of Procedure
Required Tools/Equipment
#1 Phillips Screwdriver
Procedure
UI Removal/Replacement:
1. Ensure the system is powered “OFF”.
2. Place AC circuit breaker, located at the rear of the system, in the “0” (OFF)
position.
Figure 19.34-ZS3
3. Disconnect the main AC power cord from the rear of the system or unplug from
the wall source.
4. Remove the eight (8) Phillips screws that secure the UI to the cast UI base. This
will need to be accomplished from below using a Phillips screwdriver.
5. While lifting the front of the User Interface up and exposing the underside of the UI,
disconnect the USB and power cable from the UI assy.
Power Cable
Figure 19.36-ZS3
6. Reverse the steps above to install the replacement User Interface.
If replacement of the trackball is required, proceed to Trackball
Replacement steps prior to re-installing the User Interface (Refer to
section below).
If replacement of the QWERTY keyboard is required, proceed to
QWERTY Replacement steps prior to re-installing the User Interface
(Refer to section below).
Trackball Removal/Replacement: (if changed separately)
1. Ensure the User Interface is removed per steps 1 thru 5 of User Interface
Removal Procedure above.
2. Push the 4 hooks inward in the square hole of the metal plate, pick up the
trackball, unscrew the screws used for fixing the grounding cable, and then
remove the trackball.
Two hooks
Figure 19.37-ZS3
3. When installing the trackball, lead the grounding cables through the bottom gap
of the metal plate, align the socket interface with the side opening of the metal
plate, push down the trackball until it clasps into the square holes of the metal
plate, and use screws to fix the grounding cable to the metal plate.
Figure 19.38-ZS3
4. Reinstall the User Interface assembly in reverse order of the removal steps
listed above and proceed to System Verification.
Screws
QWERTY
Keyboard
Back light
Backplane
Figure 19.39-ZS3
4. Reinstall in the QWERTY in reverse order.
5. Reinstall the User Interface Assy in reverse order of the removal steps listed
above and proceed to System Verification.
System Verification:
1. Reconnect the main AC power cord from the rear of the system or plug into the
wall source.
2. Place AC circuit breaker, located at the rear of the system, in the “1” (ON)
position.
Required Tools/Equipment
Overview of Procedure
Remove Module
Open Cosmetics (for chassis access)
Remove / Replace Dock Board/SSD
System Verification
General Disassembly:
1. Ensure the system is powered “OFF”.
2. Place AC circuit breaker, located at the rear of the system, in the “0” (OFF)
position.
Figure 19.46-ZS3
Hook
Figure 19.47-ZS3
6. Locate the two screws on each bottom corner of the Dock Board. Unscrew the
higher one on each side.
7. Unscrew each of the screws in the top corners of the Dock Board. The Dock
Board is now free.
8. Disconnect all wires where they connect to the Dock Board. There are five
wires in total. Take note of where each wire connects for reassembly
SSD Removal/Replacement
10. Remove the three Torx 10 screws to open the SSD enclusure.
11. Remove the 4 Torx 10/8 screws that hold the SSD in place.
Figure 19.51-ZS3
System Verification:
1. Reconnect the main AC power cord from the rear of the system or plug into the
wall source.
2. Place AC circuit breaker, located at the rear of the system, in the “1” (ON)
position.
Figure 19.52-ZS3
3. Ensure the module is docked and the cosmetic cover is on. LED #1 will blink
quickly and LED #5 will remain on.
4. Turn the system on.
5. Attach a transducer (if not already connected)
6. Verify that the System is functioning correctly by performing a basic test. This
test is comprised of the following:
• Verify LCD display is functioning correctly by watching the boot and
verifying that normal imaging is displayed after fully booted.
• Verify Audio from the Display Assy – Enter PW, turn up the PW Gain
and increase Volume
• Verify that the User Interface keys are functioning correctly
• Test USB ports on Main Board panel
• Test and Verify Network Connectivity (if applicable)
• Test and Verify USB Peripheral Connectivity and Functionality (if
applicable)
7. Once verification is complete, return system to normal operation.
Required Tools/Equipment
• #2 Phillips Screwdriver
• 5mm Allen Hex wrench
• 13mm socket, used on a ratcheting wrench
• 9/32” Nut Driver or wrench
Overview of Procedure
Figure 19.53-ZS3
2. Slide the plastic cosmetic sleeve downward as far as it will go, letting it slide
over the bottom panel insert.
3. Screw upward the stud bolt and screws, skip down the fixed column from the
gas spring, remove the two retainer rings from the upper bolt, and remove the
upper bolt. In this case, all the upper fixing parts of the gas spring are removed.
Stud bolt
Upper bolt
Fixed
column
Stud bolt
and screws
Figure 19.54-ZS3
Figure 19.55-ZS3
5. Reinstall the gas spring in the reverse steps as shown above. During
installation, adjust down the stud bolt of the gas spring and tighten the screws,
to realize that the gas spring handle can normally control the up and down
function of the system.
Screw
Stud bolt
Figure 19.56-ZS3
Gas spring & Power Supply Module Re-Installation:
1. Reverse all of the previous steps for installing the replacement gas spring, and
re-installing the power supply module.
System Verification:
1 Display
UI keyboard
Accessories cover
Transducers
User Interface
Power
System Cart Misc
Display
3 4
Figure 20.1-ZS3
Number Part Number Description
6 5
7
8
9
11
10
13
12
Figure 20.2-ZS3
Number Part Number Description
5. 043-004338-00 Tray
P8-3 TEE -
26. 85888-30 TransEsophageal
33
37
36
35
Figure 20.3-ZS3
Number Part number Description
38. 115-066353-00 UI-ZS3 New-Port (FRU/9.x)
39. 115-066352-00 UI ZS3-SP New-Port (FRU)
40. 115-031747-00 Assy, Trackball Only, ZS3
41. 115-029536-00 Assy, Power Distribution (under UI)
115-025081-00 or USB HUB USB Hub, ZS3 (under UI)
42. 023-000817-00
38
46
44
Figure 20.4-ZS3
Number Part number Description
43. 115-058353-00 ZS3 Module Kit(ARFI,Without ECG/9.x)
44. 115-058354-00 ZS3 Module Kit(ARFI,Aux-ECG/9.x)
45. 115-066366-00 Scan Module No U-Disk (FRU)
46. 115-066365-00 Scan Module ECG No U-Disk (FRU)
47. 115-029534-00 Assy, Dock Board, ZS3
48. 115-029537-00 Assy, On/Off Board, ZS3
49. 115-029544-00 ON/OFF Button Board (FRU)
Module Cover Assembly (FRU, Without
50. 115-045637-00 ECG)
Module Cover Assembly (FRU, With
51. 115-045638-00 ECG)
52. 115-025083-00 Cover, Column, ZS3
52
49
47
51
55 56
54 53
48
50
57
Figure 20.5-ZS3
Number Part number Description
61
60
63
Figure 20.6-ZS3
Number Part number Description
63. 115-031572-00 Straight Line Castor Assembly(ZS3)
64. 115-031746-00 ZS3 Total Locking Castor(FRU)
65. 033-000543-00 Gas Spring
Peripherals
Number Part number Description Pictures
All tests can be performed using commercially available safety analyzer test
equipment. These procedures assume the use of a 601PROXL International Safety
Analyzer or equivalent safety analyzer. Other popular testers complying with IEC
60601-1 used in Europe such as Fluke, Metron, or Gerb may require modifications to
the procedure. Follow the instructions of the analyzer manufacturer.
The consistent use of a safety analyzer as a routine step in closing a repair or upgrade
is emphasized as a mandatory step if an approved agency status is to be maintained.
The safety analyzer also proves to be an excellent troubleshooting tool to detect
abnormalities of line voltage and grounding, as well as total current loads.
TEST PROCEDURE
No loose connections.
The Power Plug
TEST PROCEDURE
Visual Inspection
No physical damage to the
enclosure and accessories.
Contextual Inspection
TEST PROCEDURE
Check the labels provided by the manufacturer or the healthcare facility is
present and legible.
Main Unit Label
Integrated Warning Labels
Slope and High Voltage Caution Label
Don’t Stress Label
VOERVIEW
Protective Earth Resistance is measured using the RED test lead attached to
the DUT Protective Earth terminal or Protective Earth Metal enclosure or
equipotential terminal. Select the test current by pressing SOFT KEY 3 to
toggle between 1AMP, 10AMP, and 25AMP. The front panel outlet power is
turned off for this test.
The following conditions apply: L1 and L2 Open.
TEST PROCEDURE
Prepare
1) First select the test current that will be used for performing the Protective Earth
Resistance test by pressing AMPERES (SOFT KEY 3).
2) Connect the test lead(s) between the RED input jack and the GREEN input jack.
3) Press CAL LEADS. The 601PRO will measure the lead resistance, and if less
than 0.150 Ohms, it will store the reading and subtract it from all earth resistance
readings taken at the calibrated current.
4) If the calibration fails, the previously stored readings will be used until a passing
calibration has occurred.
Warning
During Earth Resistance testing, the DUT must be plugged into the
601PRO front outlet. If the DUT fails Earth Resistance, discontinue tests and
label the device defective.
5) Press START TEST to start the test. The test current is applied while resistance
and current readings are taken. This takes approximately 5 seconds.
6) Press the print data key at any time to generate a printout of the latest
measurement(s).
NOTE
When "Over" is displayed for Ohms, this signifies that a valid measurement
was not obtained because either an open connection was detected or that the
measurement was not within range. Readings greater than 9.999 Ohms will be
displayed as Over.
Failure
Once it reaches the limitation, stop using equipment. Check the protective
earth connection between Protective Earth terminal and Protective Earth Metal
enclosure and equipotential terminal; Retest and inform the Customer Service
Engineer for analysis and disposal if still fail.
LIMITS
OVERVIEW
Run an Earth Leakage test on the device being tested before performing any
other leakage tests.
Leakage current is measured the following ways:
♦ Earth Leakage Current, leakage current measured through DUT outlet Earth
♦ Earth Leakage Current AP-EARTH (ALL Applied Parts connected to Earth),
leakage current measured through DUT outlet Earth
There is no need to attach a test lead; the 601PRO automatically connects the
measuring device internally.
TEST PROCEDURE
SOFT KEY 1 toggles the DUT outlet Polarity from Normal to Off to Reverse.
SOFT KEY 2 toggles the DUT outlet from Earth to No Earth.
SOFT KEY 3 toggles the DUT outlet from L2 to No L2.
SOFT KEY 4 toggles the AP to Earth to No AP to Earth.
4) Press the print data key at any time to generate a printout of the latest
measurement.
Failure
Check any short-circuits of the Y capacitor on power unit. Replace a new
one if any portion defective.
Check any broken of the Power Unit. Replace a new one if any portion
defective.
Inspect mains wiring for bad crimps, poor connections, or damage.
Test the wall outlet; verify it is grounded and is free of other wiring
abnormalities. Notify the user or owner to correct any deviations. As a work
around, check the other outlets to see if they could be used instead.
Change another probe to confirm if the fail is caused by console.
Inspect mains wiring for bad crimps, poor connections, or damage.
If the leakage current measurement tests fail on a new unit and if situation
cannot be corrected, submit a Safety Failure Report to document the system
problem. Remove unit from operation.
If all else fails, stop using and inform the Customer Service Engineer for
analysis and disposal.
LIMITS
OVERVIEW
Patient leakage currents are measured between a selected applied part and
mains earth. All measurements may have either a true RMS or a DC-only
response.
TEST PROCEDURE
Prepare
Warning
If all of the applied parts correspond to the instrument type, the applied
parts will be tied together and one reading will be taken. If any of the applied
parts differ from the instrument type, all applied parts will be tested
individually, based on the type of applied part. This applies to Auto and Step
modes only.
4) Press APPLIED PART (SOFT KEY 4) at any time to select the desired applied
part leakage current.
5) Modify the configuration of the front panel outlet by pressing the appropriate
SOFT KEY on the 601PRO.
NOTE
1, In addition to Probes ,Patient leakage current test should be perform if ECG
or PCG parts used;
2, If the current test standard being used does not include Patient Leakage DC
readings, or the DC option is not enabled, then DC readings will not be available
through the APPLIED PART SOFT KEY selections.
Failure
Check any broken of the Applied parts. Replace any defective one.
Check any broken of the ECG/PCG module if used, Replace any defective
one.
Check any broken of the Power Unit. Replace a new one if any portion
defective.
Inspect wiring for bad crimps, poor connections, or damage.
Test the wall outlet; verify it is grounded and is free of other wiring
abnormalities. Notify the user or owner to correct any deviations. As a work
around, check the other outlets to see if they could be used instead.
Change another probe to confirm if the fail is caused by console.
Inspect wiring for bad crimps, poor connections, or damage.
If the leakage current measurement tests fail on a new unit and if situation
cannot be corrected, submit a Safety Failure Report to document the system
problem. Remove unit from operation.
If all else fails, stop using and inform the Customer Service Engineer for
analysis and disposal.
LIMITS
All countries
For BF ECG input and transducer
OVERVIEW
The Mains on Applied Part test applies a test voltage, which is 110% of the
mains voltage, through a limiting resistance, to selected applied part
terminals. Current measurements are then taken between the selected
applied part and earth. Measurements are taken with the test voltage (110%
of mains) to applied parts in the normal and reverse polarity conditions as
indicated on the display.
The following outlet conditions apply when performing the Mains on Applied
Part test.
Normal Polarity;
Reversed Polarity
TEST PROCEDURE
Prepare
To perform a calibration from the Mains on Applied Part test, press CAL (SOFT
KEY 2).
1) Disconnect ALL patient leads, test leads, and DUT outlet connections.
2) Press CAL to begin calibration, as shown:
If the calibration fails, the previously stored readings will be used until a passing
calibration has occurred. Also, the esc/stop key has no effect during calibration.
3) When the calibration is finished, the Mains on Applied Part test will reappear.
Warning
1) A 2-beep-per-second signal indicates high voltage present at the applied part
terminals while a calibration is being performed.
2) High voltage is present at applied part terminals while measurements are being
taken.
Performance
1) From the MAIN MENU, or with the outlet unpowered, plug the DUT into the 601
2) Attach the applied parts to the 601PRO applied part terminals.
3) Attach the red terminal lead to a conductive part on the DUT enclosure.
5) Select the desired outlet configuration and applied part to test using the
appropriate SOFT KEYS:
6) Press START TEST (SOFT KEY 1) to begin the test.
7) Press the print data key to generate a printout of the latest measurement.
NOTE
1, In addition to Probes ,Patient leakage current test should be perform if ECG
or PCG parts used;
2, If all of the applied parts correspond to the instrument type, the applied parts
will be tied together and one reading will be taken. If any of the applied parts differ
from the instrument type, all applied parts will be tested individually, based on the
type of applied part. This applies to Auto and Step modes only.
Failure
Check any broken of the Applied part. Replace any defective one.
Check any broken of the ECG/PCG module if used, Replace any defective
one.
Check any broken of the Power Unit. Replace a new one if any portion
defective.
Inspect wiring for bad crimps, poor connections, or damage.
Test the wall outlet; verify it is grounded and is free of other wiring
abnormalities. Notify the user or owner to correct any deviations. As a work
around, check the other outlets to see if they could be used instead.
Change another probe to confirm if the fail is caused by console.
LIMITS
All countries:
For BF ECG input and transducer:
5000μA
overview
Patient Auxiliary currents are measured between any selected ECG jack
and the remaining selected ECG jacks. All measurements may have either a
true RMS or a DC-only response.
TEST PROCEDURE
Prepare
1) From the MAIN MENU, or with the outlet unpowered, plug the DUT into the
601PRO front panel outlet, and turn on the device.
2) Attach the patient leads to the 601PRO ECG jacks.
3) Define the Lead Types from the View Settings Option.
4) Press shortcut key 8. The Patient Auxiliary Current test is displayed, and the test
begins immediately. Display values are continuously updated until another test is
selected.
NOTE
If the current test standard being used does not include Patient Auxiliary
Current DC readings, or the DC option is not enabled, then DC readings will not be
available through the APPLIED PART SOFT KEY selections.
Failure
Check any broken of the AC cable. Replace a new one if any portion
defective.
Check any broken of the enclosure. Replace any defective part.
Inspect wiring for bad crimps, poor connections, or damage.
Test the wall outlet; verify it is grounded and is free of other wiring
abnormalities. Notify the user or owner to correct any deviations. As a work
around, check the other outlets to see if they could be used instead.
Change another probe to confirm if the fail is caused by console.
Inspect wiring for bad crimps, poor connections, or damage.
If the leakage current measurement tests fail on a new unit and if
situation cannot be corrected, submit a Safety Failure Report to document
the system problem. Remove unit from operation.
If all else fails, stop using and inform the Customer Service Engineer for
analysis and disposal.
LIMITS
All countries
For BF ECG input and transducer
100μA Normal Condition
500μA Single Fault Condition
____μA Max:
Normal condition(NC)
NC: 300μA(refer to
Earth UL60601-1) *
5
Leakage NC: 500μA(refer to
____μA IEC60601-1) *
Single Fault condition(SFC) SFC: 1000μA
NOTE:
The equipment which sell to America shall comply with the requirement of
UL60601-1, others shall comply with the requirement of IEC60601-1.
Name/ Signature: ____________________
Date:_____________________________