Samsung SONOACE R5 User Manual

Volume 1

Read This FirstHow to Use Your ManualThis manual addresses the reader who is familiar with ultrasound techniques. Only medical doctors or persons su

4-19Chapter 4 Diagnosis ModesXTag Pos: It is available when Color Tag is on. Use the Menu dial-button to select the position of tags, from between 0

4-20Operation ManualPower Doppler ModeThis mode displays the color intensity of blood ow within the ROI in the 2D image. It is appropriate for examin

4-21Chapter 4 Diagnosis Modes ROI BoxROI stands for Region Of Interest. In Power Doppler Mode, ROI indicates the area of the 2D image where color (b

4-22Operation ManualPW Spectral Doppler ModePW stands for Pulse Wave. PW Spectral Doppler Mode gives information on the speed of blood ow at a speci

4-23Chapter 4 Diagnosis Modes PW Spectral Doppler Mode ScreenOn the Spectral Doppler Mode image, the horizontal axis represents time, and the vertica

4-24Operation ManualXMoving Sample Volume If you move the Sample Volume in the D Only state, the system will calculate the PRF value and the Phantom

4-25Chapter 4 Diagnosis Modes PW Spectral Doppler Mode MenuFollowing items are displayed on menu when you press the Menu dial-button in PW Spectral D

4-26Operation ManualXEdit: Adjust a post map.XReturn: Return to the previous step of the menu.NOTE: For information on other menu items, please refe

4-27Chapter 4 Diagnosis Modes Combined Modes2D/C/PW ModeColor Doppler Mode and PW Spectral Doppler Mode are displayed simultaneously.Press the PW bu

4-28Operation ManualAs each active image mode has its own set of menu items and buttons, you should press the Set button to change the active image mo

Conventions Used in This ManualDANGER: Describes precautions necessary to prevent user hazards of great urgency. Ignoring a DANGER warning will risk l

4-29Chapter 4 Diagnosis Modes Dual ModeThe multi-image viewing function is only available when the images and conditions on both sides are identical

4-30Operation Manual 3D Mode3DThe 3D Mode displays tissues or objects in the human body as three-dimensional images instead of two-dimensional images

4-31Chapter 4 Diagnosis ModesAcquiring a 3D Image The following explains how to acquire a 3D image. 1. Press the 3D key on the keyboard.2. The ROI

4-32Operation Manual3D View3D images can be seen through the 3D View application.[Figure 4.9 3D View] Viewing a 3D Image XSelect the menus using the

4-33Chapter 4 Diagnosis Modes 3D Image Optimization Threshold (Low, High) AdjustmentAdjust the slide bar of the threshold using the Trackball and th

4-34Operation Manual[Figure 4.10 Softmenu - Rotation Mode]Tips!Other ways to rotate the image1. The ROT slide bar at the bottom of the screen can be

4-35Chapter 4 Diagnosis Modes MagnicationTo magnify or reduce the image size, enter Magnication mode by pressing the Magnication button, and move

4-36Operation Manual Multi planar Press Multi planar, and 3D multiplanar screen appears. Shows volume data in cross-section images of Coronal Section

4-37Chapter 4 Diagnosis ModesUse X/Y/Z slide on the screen to rotate reference plane.AYYZXXYZZXCB[Figure 4.17 The standard coordinates systems of Mul

Revision HistoryVERSION DATE NOTEv1.02.00-00 2013-04-19 Initial ReleaseSystem Upgrades and Manual Set UpdatesSamsung Medison Ultrasound is committed

Chapter 5Measurements And CalculationsMeasurement Accuracy ... 5-3Causes of Measurement Errors ...

5-3Chapter 5 Measurements And Calculations Measurement AccuracyMeasurement values can vary, depending on the nature of the ultrasound, the body’s re

5-4Operation Manual Ultrasound VelocityXThe velocity of ultrasound used during measurement is usually 1,540 m/s on average.XThe velocity of ultrasou

5-5Chapter 5 Measurements And CalculationsOptimization of Measurement Accuracy 2D ModeXResolution is in proportion to the frequency of the probe.XP

5-6Operation Manual Color/Power Doppler ModeXA protocol is not specied for images in Color Doppler Mode or Power Doppler Mode. Therefore, the same

5-7Chapter 5 Measurements And Calculations 2D ModeMeasurementsSystem Tolerance:(Whichever is greater)TestMethodologyAccuracy(1)Based onRange(2)Axial

5-8Operation Manual Basic MeasurementsPress the Caliper button on the control panel. NOTE: Take basic measurements of distance and area regardless of

5-9Chapter 5 Measurements And Calculations Basic Measurement OperationsThe following is the information on common button operations for basic measure

5-10Operation Manual2. Use the trackball and the Set button on the control panel to specify both end points of the measurement area. XPlace the cur

13Table of Contents Table of Contents – Volume 1Chapter 1 SafetyIndication for Use ...

5-11Chapter 5 Measurements And Calculations 2D Hip Joint This is a basic measurement that is available in all diagnosis modes. You can measure the an

5-12Operation Manual M DistanceThis is a basic measurement that is available in M Mode only. You can specify two points in an M image and measure the

5-13Chapter 5 Measurements And CalculationsThe equations used for D Velocity measurement are as follows: Doppler Velocity (A/B)This is a basic measur

5-14Operation Manual3. When the measurement is nished, its result is shown on the screen.XdT: Change in TimeXVTI: Velocity Time IntegralXMean V:

5-15Chapter 5 Measurements And Calculations4. When the measurement is nished, its result is shown on the screen. XCirc.: Circumference of ObjectX

5-16Operation ManualThe equations used for Trace measurement are as follows:, (N = 1,2… last point) , (N = 1,2… last point)Volume Measurement 3 Distan

5-17Chapter 5 Measurements And Calculations2. Specify two points and measure the straight distance between them. The method for measuring a line is

5-18Operation Manual Calculations by Application Press the Calc button on the control panel.Things to note Before Taking Measurements Register Patie

5-19Chapter 5 Measurements And Calculations Select Measurement ItemUse the Menu dial-button on the control panel. Return to Previous MenuAfter plac

5-20Operation ManualIn case of measuring distance, choose a measurement method from Line or Trace. When circumference and area are measured, choose a

14Operation ManualChapter3 Starting DiagnosisPower Supply ...

5-21Chapter 5 Measurements And Calculations Limited TraceIf you specify a measurement range, a spectrum is traced automatically. It is enabled in th

5-22Operation ManualTips!Things to consider for Doppler Spectrum Auto TraceThe state of a Doppler spectrum may affect measurement results. Please see t

5-23Chapter 5 Measurements And Calculations Vesl. Dist. (Vessel Distance)Measure the width of a blood vessel and calculate TAMV and Volume Flow. Ste

5-24Operation Manual Heart Rate Measurement HR (Heart Rate)You can calculate heart rates for a certain period of time.1. Select HR in the Measuremen

5-25Chapter 5 Measurements And Calculations Measurement MenuWhen the measurements for the selected items are complete, the measurements and gestation

5-26Operation ManualMeasurement Menu Item Mode Method UnitFetal BiometryGS All Distance cm, mmCRL All Distance cm, mmYS All Distance cm, mmBPD All Dis

5-27Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitFetal OthersFoot All Distance cm, mmEar All Distance cm, mmMP All Di

5-28Operation Manual Automatic Calculation Some items in the measurement menu are automatically calculated based on measurements of other items.  HC

5-29Chapter 5 Measurements And Calculations Calculating Estimated Fetal Weight (EFW)Estimated fetal weight is calculated automatically when the follo

5-30Operation ManualNOTE:XFor information on basic measurements, please refer to “Basic Measurements” and “Common Measurement Methods” in this chapte

15Table of Contents Chapter 5 Measurements And CalculationsMeasurement Accuracy ...

5-31Chapter 5 Measurements And CalculationsCardiac CalculationsNOTE:XCardiac measurement is an optional item for SONOACE R5. XSince the cardiac blo

5-32Operation ManualMeasurement Menu Item Mode Method Unit2D MeasureAll All Continuouscm, mmIVSd All Distancecm, mmIVSs All Distancecm, mmLVDd All Di

5-33Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitMV (M)All Points M ContinuousD-E M Distancecm, mmE-F Slope M Veloc

5-34Operation ManualMeasurement Menu Item Mode Method UnitAoV SystolicAuto Trace PW Doppler Spectrum TraceLimited Trace PW Doppler Spectrum TraceManua

5-35Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitTV RegurgAuto Trace PW Doppler Spectrum TraceLimited Trace PW Dopple

5-36Operation ManualMeasurement Menu Item Mode Method UnitTissue DopplerE-DT-A PW Time-Velocity-Timems & m/sPeak E’ PW Velocitym/sPeak A’ PW Veloc

5-37Chapter 5 Measurements And CalculationsNOTE:XFor information on basic measurements, please refer to “Basic Measurements” and “Common Measurement

5-38Operation ManualMeasurement Menu Item Mode Method UnitRt./Lt. Mid CCA Same as aboveRt./Lt. Distal CCA Same as aboveRt./Lt. Bulb Same as aboveRt./L

5-39Chapter 5 Measurements And CalculationsUrology CalculationsThe measurement methods of each menu vary with the Volume Method set at Setup > Mea

5-40Operation Manual 3 Distance Volume is calculated using three distance measurement results.Measurement Menu Item Mode Method UnitVolume FlowAuto T

5-41Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method UnitResidual Vol.Pre All AllCalculated after distance measurementmlPre 1

5-42Operation ManualMeasurement Menu Item Mode Method UnitT-Z Prostate Vol. Same as aboveBladder Vol. Same as aboveRt./Lt. Kidney Vol.All AllCalculate

5-43Chapter 5 Measurements And Calculations Sum of 20 DisksMeasure the prostate circumference and then use the trackball and the Set button to measu

5-44Operation ManualFetal Echo CalculationsThe measurement method for each item is the same as for basic measurement. In addition, measurement items a

5-45Chapter 5 Measurements And CalculationsMeasurement Menu Item Mode Method Unit2D Echo Asc. Aorta All Distance cm, mmMPA All Distance cm, mmDuct.

5-46Operation ManualMeasurement Menu Item Mode Method UnitIVCSame as aboveDuct. VenSame as aboveAsc. AortaSame as aboveDesc. AortaSame as above Same a

5-47Chapter 5 Measurements And Calculations ReportCheck the measurement and calculation results in the report of each application. XPress the Repor

5-48Operation ManualViewing ReportXThe measurement and calculation items and their values are displayed. XWhen the report screen has more than two p

5-49Chapter 5 Measurements And Calculations Open Line TransferTransfer the report to another computer or printer. Press the Open Line Transfer on the

5-50Operation Manual Viewing Graph XThe graph of the recently measured values is drawn according to the gestation period (week) and fetal size (mm).

Chapter 1SafetyIndication for Use ... 1-3Contraindications ...

1-3Chapter 1 Safety Indication for UseThe SONOACE R5 Diagnostic Ultrasound System and transducers are intended for diagnostic ultrasound imaging a

Samsung Medison provides the following warranty to the purchaser of this unit. This warranty is valid for a period of one year from the date of instal

1-4Operation Manual Safety SignsPlease read this chapter before using the Samsung Medison ultrasound system. It is relevant to the ultrasound system,

1-5Chapter 1 Safety Symbols Description Symbols DescriptionDo not sit on control panel Do not push the product Do not lean against the product Follo

1-6Operation ManualLabels Warning and Caution labels are attached to the surface for protecting the product.[Label 1. ID label][Label 2. Marked below

1-7Chapter 1 Safety [Label 3. Safety note for “TIP-OVER” Precaution][Label 4. Prohibition of seating on Control panel]

1-8Operation Manual Electrical SafetyThis equipment has been veried as a Class I device.CAUTION: As for US requirement, the LEAKAGE CURRENT might be

1-9Chapter 1 Safety CAUTION:XThe system has been designed for 100-120VAC and 200-240VAC; you should select the input voltage of printer and VCR. Pr

1-10Operation ManualEMIAlthough this system has been manufactured in compliance with existing EMI(Electromagnetic Interference) requirements, use of t

1-11Chapter 1 Safety Approved Cables, Transducers and Accessories for EMC Approved Cable for Electromagnetic ComplianceCables connected to this pr

1-12Operation Manual Approved Accessories for Electromagnetic ComplianceAccessories used with this product may eect its emissions.CAUTION: When conn

1-13Chapter 1 Safety Immunity testIEC 60601Test levelCompliance levelElectromagneticenvironment - guidanceConducted RFIEC 61000-4-63 Vrms150 kHzto 8

Samsung Medison provides the following warranty to the purchaser of this unit. This warranty is valid for a period of one year from the date of instal

1-14Operation Manual Recommended separation distances between portable and mobile RF communications equipment and the SONOACE R5This product is inten

1-15Chapter 1 Safety CAUTION: If the system is connected to other customer-supplied equipment, such as a local area network (LAN) or a remote printe

1-16Operation ManualAn Ultrasound System is designed to receive signals at radio frequency and is therefore susceptible to interference generated by R

1-17Chapter 1 Safety Mechanical SafetyMoving the EquipmentWARNING: Be extra careful when transporting it. Careless transportation of the product m

1-18Operation ManualSafety NoteCAUTION:XDo not press the control panel excessively.XNever attempt to modify the product in any way. XCheck the ope

1-19Chapter 1 Safety Biological SafetyFor more safety information on probes and biopsy, please refer to Chapter 9 ‘Probes.’WARNING:XUltrasound wa

1-20Operation Manual Applying ALARAThe system-imaging mode used depends upon the information needed. 2D-mode and M-mode imaging provide anatomical in

1-21Chapter 1 Safety Indirect ControlsThe indirect controls are those that have an indirect eect on acoustic intensity. These controls aect imag

1-22Operation Manual Additional ConsiderationsEnsure that scanning time is kept to a minimum, and ensure that only medically required scanning is per

1-23Chapter 1 Safety  Mechanical Index (MI) DisplayMechanical bioeects are threshold phenomena that occur when a certain level of output is exceed

1-24Operation ManualMany of the assumptions used in the process of measurement and calculation are conservative in nature. Over-estimation of actual i

1-25Chapter 1 Safety Control aecting the indicesAs various system controls are adjusted, the TI and MI values may change. This will be most appar

1-26Operation Manual Color and Power Controls Color SensitivityIncreasing the color sensitivity may increase the TI. More time is spent scanning for

1-27Chapter 1 Safety  Simultaneous and Update MethodsUse of combination modes aects both the TI and MI through the combination of pulse types. Dur

1-28Operation Manual Related Guidance DocumentsFor more information about ultrasonic bioeects and related topics refer to the following;XAIUM Repor

1-29Chapter 1 Safety In Situ, Derated, and Water Value IntensitiesAll intensity parameters are measured in water. Since water does not absorb acou

1-30Operation Manual Acoustic Output and MeasurementThe terms and symbols used in the acoustic output tables are dened in the following paragraphs.I

1-31Chapter 1 Safety Acoustic Measurement Precision and UncertaintyThe Acoustic Measurement Precision and Acoustic Measurement Uncertainty are des

1-32Operation ManualThe document includes analysis and discussion of the sources of error / measurement eects due to:XBalance system calibration.XA

1-33Chapter 1 Safety Environmental ProtectionCAUTION:XThe console and peripherals could be sent back to manufacturers for recycling or proper dis

Operation ManualVERSION 1.02.00EnglishDiagnostic Ultrasound SystemMI68-01722B

Chapter2IntroductionSpecications ... 2-3Product Conguration ... 2-

2-3Chapter 2 Introduction SpecicationsPhysical DimensionsHeight: 1370mm (with handle)Width: 450mm (with probe holder)Depth: 700mm (with control p

2-4Operation ManualElectrical Parameters500VA, 100-120/200-240Vac, 50/60HzAutomatic Calculation andQuanticationObstetricsGynecologyCardiologyFetal Ec

2-5Chapter 2 Introduction Product CongurationThe SONOACE R5 consists of the monitor, the control panel, the console, the peripheral devices, and

2-6Operation Manual Title AreaThis section displays the Logo, Patient Name, Hospital Name, Application, Frame Rate & Depth, Probe Information and

2-7Chapter 2 Introduction Control PanelThe control panel can be used for controlling the system.

2-11Chapter 2 Introduction F3BiopsyThis is used to start the biopsy.F4Data on / oThis button is used to display information of image on the screen

2-12Operation ManualConsoleWhilst the inside of the console consists of devices enabling the implementation of ultrasound images, the outside of the c

2-13Chapter 2 Introduction Rear PanelA monitor, printer, VCR, etc. are connected via the rear panel at the back of the system. [Figure 2.6 Rear Pa

2-14Operation Manual Power Connection PartThe power connection part is located at the back of the system.162354[Figure 2.7 Power Connection Part]Item

2-15Chapter 2 Introduction Probe HolderA probe holder is mounted at both sides of the control panel.Peripheral DevicesBased on needs, various perip

2-16Operation ManualNNN N[Figure 2.8 The patient environment]CAUTION: Contact Samsung Medison Customer Service Center for inquiries about

2-17Chapter 2 Introduction ProbeProbes are devices that generate ultrasound waves and process reected wave data for the purpose of image formation.

2-18Operation ManualAccessory This system provides a box including accessories.CAUTION: Main cord set, separately certified according to the relevant s

Chapter3Starting DiagnosisPower Supply ... 3-3Powering On ...

3-3Chapter 3 Starting Diagnosis Power SupplyBoot the system for use.CAUTION: Make sure to connect the probe and peripheral devices that will be u

3-4Operation Manual Probes & ApplicationsBefore scanning, select a probe and an application. CAUTION: Please refer to “Chapter 9. Probes” for mor

PROPRIETRAY INFORMATION AND SOFTWARE LICENSEThe Customer shall keep condential all proprietary information furnished or disclosed to the Customer by

3-5Chapter 3 Starting Diagnosis Probe and Application SelectionSet a probe and an application in the Applications screen.1. Select a probe and an

3-6Operation ManualEditing BodyMarker Select some BodyMarkers to use in the system or change the order of BodyMarkers. Click Edit BodyMarker in the Ap

3-7Chapter 3 Starting Diagnosis Add BodyMarkers Select a BodyMarker on ‘Group’ using the trackball. Press Set button to add to the ‘User dened Bo

3-8Operation ManualCalc Sequence[Figure 3.3 Calc Package Sequence Change]To change the order and content of the Calculation Package of each applicatio

3-9Chapter 3 Starting Diagnosis Patient InformationPress the Patient button on the control panel and then the Patient Information screen will be

3-10Operation ManualRegistering a New Patient1. After clicking the New in the Patient Information screen, enter the patient name, ID and other inform

3-11Chapter 3 Starting Diagnosis  GAIt indicates the gestational age of a patient. You can enter it manually in the specied format, or have it au

3-12Operation Manual BSA If height and weight are entered, the body surface area (BSA) is automatically calculated and shown. HR Enter the patient’s

3-13Chapter 3 Starting Diagnosis Finding Patient Information using the Search Function1. Click Search in the Patient Information screen, and the

3-14Operation Manual Finding Patient Information using WorklistThe system connects to the hospital’s DICOM Modality Worklist server and obtains inform

Safety Requirements Classications: XType of protection against electrical shock: Class I XDegree of protection against electrical shock (Patient

3-15Chapter 3 Starting Diagnosis Modifying Patient InformationTo modify information in the Patient Information screen:1. Modify the information us

Chapter 4Diagnosis ModesInformation ... 4-3Diagnosis Mode Types ...

4-3Chapter 4 Diagnosis Modes InformationDiagnosis Mode TypesThis product supports a variety of diagnosis modes including Basic Mode, Combined Mode,

4-4Operation ManualBasic UseThe items that can be used commonly in each diagnosis mode are shown below: QuickScan / Gain XQuickScan: The ‘Q Scan’ ma

4-5Chapter 4 Diagnosis Modes ZoomPress the Zoom button on the control panel to start Read Zoom mode. This function allows you to zoom an image saved

4-6Operation Manual Harmonic Press the HAR button on the control panel to select On or O. ‘HGen’, ‘HRes’. ‘HPen’ mark is displayed in the image info

4-7Chapter 4 Diagnosis Modes Basic Modes2D ModeThis basic mode, also referred to as B Mode (Brightness mode), provides scan planes of organs. This i

4-8Operation Manual Starting 2D ModeNOTE: As 2D Mode is included in all diagnosis modes, it cannot be closed. Press the 2D button on the control panel

XMedical Electrical Equipment, Part 2-37: Particular Requirements for Safety - Ultrasonic Medical Diagnostic and Monitoring Equipment [IEC 60601-2-37

4-9Chapter 4 Diagnosis Modes FSI FSI stands for Full Spectrum Imaging. Select a value between 1 - 3 with the Menu dial-button.This function synthesi

4-10Operation Manual Trapezoid NOTE: This item appears in the Softmenu only when a Linear Probe is used.In general, the rectangular frame provided by

4-11Chapter 4 Diagnosis ModesTips!Editing a post mapYou can edit the user post map with following two methods. 1. Select the each point of the map w

4-12Operation Manual 2D Mode SoftmenuFollowing items are displayed on Softmenu in 2D mode. Select the item and adjust the value with the Softmenu butt

4-13Chapter 4 Diagnosis ModesM ModeBy drawing the M line across a desired area within the 2D image, you can view changes over time.This is useful for

4-14Operation Manual M Mode Screen M Line Use the trackball on the control panel to move left or right. The M line indicates the relative position of

4-15Chapter 4 Diagnosis Modes M Mode SoftmenuFollowing items are displayed on Softmenu in M mode. Select the item and adjust the value with the Softm

4-16Operation ManualColor Doppler ModeThis mode displays the colored blood ow pattern of the ROI (Region of Interest) within the 2D image. It is appr

4-17Chapter 4 Diagnosis Modes C Mode Screen ROI BoxROI stands for Region Of Interest. In Color Doppler Mode, the ROI box outlines the area of the 2D

4-18Operation Manual InvertInverts the color bar in the opposite direction. Inverting the color bar also inverts the colors displayed on the image.