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

4-16Operation 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.

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

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

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

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

Revision HistoryVERSION DATE NOTEv1.02.00-00 2013-04-19Initial Releasev1.02.00-01 2013-11-28Add State of California Proposition 65 Warning (US Only)

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

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

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

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

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

14Operation ManualChapter3 Starting DiagnosisPower Supply ...

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

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

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

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

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

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

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).

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

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

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 SystemMI68-02772A

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. [Figure 2.2 Control Panel]The user can manipulate t

2-8Operation ManualOn/OTurns the system on/o.PatientDisplays the Patient Information screen for patient selection and information entry.End ExamFini

2-9Chapter 2 Introduction BodyMarkerThis is used to start or nish the BodyMarker Mode.IndicatorThis is used to start or nish the indicator Mode.Tr

2-10Operation ManualCAUTION: Too large a difference in the gain value settings of adjacent TGC slides may lead to the generation of stripes in an image

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 ...

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

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

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

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

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

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

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

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

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