Chison ECO VET1 3
Chison ECO VET1 3
Chison ECO VET1 3
Model
ECO1 VET
ECO3 VET
V1.8
Jan 19, 2015
OPERATION MANUAL
Regulatory Requirement
This manual is a reference for the ECO 1 VET/ECO 3 VET. Please verify that you are
using the latest revision of this document. If you need the latest revision, contact your
distributor.
NOTE:
Important
1.No part of this manual may be reduced, modified, copied or reprinted, in whole or
in part, without written permission from CHISON.
2.The contents of this manual are subject to change without prior notice and without
our legal obligation.
3.Before operating the system, please read and understand this manual. After reading,
keep this manual in an easily accessible place. If you have any question or doubt,
please contact CHISON's authorized service engineer.
4.CHISON’s Warranty only cover material and parts costs for repair, but do not cover
any labor cost or onsite service cost at end user's side.
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ECO 1/3 VET Ultrasound Diagnostic System
NOTE:
Important information
1.It is the customer’s responsibility to maintain and manage the system after delivery.
2.The warranty does not cover the following items, even during the warranty period:
a)Damage or loss due to misuse or abuse with system and probes, for example, drop
the probe, the liquid or the metal part fall into the system.
b)Damage or loss caused by Acts of God such as fires, earthquakes, floods, lightning,
etc.
c)Damage or loss caused by failure to meet the specified conditions for this system,
such as inadequate power supply, improper installation or environmental conditions.
d)Damage or loss caused by non approved transportation by CHISON.
e)Damage or loss due to use the system outside the region where the system was
originally sold.
f)Damage or loss involving the system purchased from a source other than CHISON
or its authorized agents.
3.Do not make changes or modifications to the software or hardware of this system
and probes.
4.During operate the system, if user has any doubt, difficulty or any unclear, please
contact CHISON's authorized service engineer immediately. Please describe the
situation clearly to solve the question in time. Before solve the question, please don’t
operate the system.
5.This system shall not be used by persons other than fully qualified and certified
medical personnel.
6.The System modified or repaired by people other than CHISON’s qualified service
engineers, CHISON shall not be liable for the system.
7.The purpose of this system is to provide physicians with data for clinical diagnosis.
It is the physician’s responsibility for diagnostic procedures. CHISON shall not be
liable for the results of diagnostic procedures
8.This manual contains warnings regarding foreseeable potential dangers, but user
shall always be alert to dangers other than those indicated as well. CHISON shall not
be liable for damage or loss that results from negligence or from ignoring the
precautions and operating instructions described in this operation manual.
9.Due to negligence not following operation manual, CHISON shall not be liable for
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ECO 1/3 VET Ultrasound Diagnostic System
the results.
10.Each time before and after ultrasound examination, please check the probe surface,
probe cable and sheath whether they are abnormal, such as cracking, peeling and
deformation. Also check whether the lens is strongly fixed. Abnormal probes may
cause electric shock and injure the patient. Once any abnormal, user must stop using
and contact CHISON's authorized service engineer.
11.If the probe is dropped or scratched by hard part, please stop using the probe
immediately. And contact CHISON's authorized service engineer to make sure the
safety and effectiveness is in good condition before use.
12.If there is any liquid or metal to enter to the system, please power off the system
and stop using it immediately. Please first contact CHISON’s authorized service
engineer to make sure it’s safe before restart using it.
13.Please don't use solvents (such as paint thinner, benzine, or alcohol) or abrasive
cleansers for cleaning the system (including monitor and probes, etc). It may corrode
the system and probes.
14.While the system or probe is over life time, please refer to operation manual
section 9.4
15.Important data must be backed up on external memory media. CHISON shall not
be liable for loss of data stored in the memory of this system caused by operator error
or accidents.
16.Please put this operation manual with the system to ensure operator and manager
can reach it at any time.
17.LCD display screen may have some dark or light dots, it is normal for the LCD. It
does not mean that LCD screen is defective.
Caution: The users should read the operation manual carefully before operating the
devices. Turning on the device means the users have read the operation manual and accept the
listed cautions, warnings, and notes in the manuals. If the users disagree and cannot accept the
cautions, the users can ask for returning the device.
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ECO 1/3 VET Ultrasound Diagnostic System
Content
Chapter 1 Introduction .............................................................................................................................. 1
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ECO 1/3 VET Ultrasound Diagnostic System
5.8 Full Screen Show (need to activate this function in setup) ................................................. 36
5.15 Report.................................................................................................................................... 44
Chapter 7 Preset...................................................................................................................................... 57
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7.6 Keyboard................................................................................................................................. 72
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ECO 1/3 VET Ultrasound Diagnostic System
Chapter 1 Introduction
This manual contains necessary information for safe system operation.
Read and understand all instructions in this manual before operating the system. Always keep this
manual with the equipment, and periodically review the procedures for operation and safety
precautions.
Contraindication
The system is NOT intended for Ophthalmic use or any use that causes the acoustic beam to pass
Fax: 0086-0510-85310726
E-mail: service@chison.com.cn
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ECO 1/3 VET Ultrasound Diagnostic System
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NOTE
*To dispose of this product properly, please call your local service department.
NOTE: The mains supply shall be cut off after disconnecting the power line and the net
power.
Safety level when used in the presence of FLAMMABLE ANAESTHETIC MIXED WITH
AIR (or WITH OXYGEN or WITH NITROUS OXIDE):
The Equipment is not suitable for use in the environment with FLAMMABLE ANAESTHETIC
MIXED WITH AIR (or WITH OXYGEN or WITH NITROUS OXIDE)
Mode of operation
Continuous Operation
For maximum safety, always follow these guidelines:
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ECO 1/3 VET Ultrasound Diagnostic System
Proper grounding of the system is critical to avoid electrical shock. For protection, ground
the chassis with a three-wire cable and plug, and plug the system into a hospital-grade,
three-hole outlet.
Do not remove or circumvent the grounding wire.
Do not remove the protective covers on the system. These covers protect users from
hazardous voltages. Cabinet panels must remain in place while the system is in use. A
qualified electronic technician must make all internal replacements.
Do not operate this system in the presence of flammable gases or anesthetics.
All peripheral devices (unless certified as medical grade) that are connected to the system
must be powered through the electrical outlet through an optional isolation transformer.
Use either power supply cords provided by or designated by CHISON. Products equipped
with a power source plug should be plugged into the fixed power socket which has the
protective grounding conductor. Never use any adaptor or converter to connect with a
power source plug (e.g. three-prong-to-two-prong converter).
Locate the equipment as far away as possible from other electronic equipment.
Be sure to use only the cables provided by or designated by CHISON. Connect these cables
following the installation procedures (e.g. wire power cables separately from signal
cables).
Lay out the main equipment and other peripherals following the installation procedures
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ECO 1/3 VET Ultrasound Diagnostic System
System configuration/components
User modifications may cause degradation in EMC performance. Modification of the product
includes changes in:
Cables (length, material, wiring, etc.)
System installation/layout
System configuration/components
2.3 Labels
Caution, consult accompanying documents. Dangerous electric voltage. Unplug the main
This symbol advises the reader to consult the plug before opening the system!
accompanying documents for important safety related
information such as warnings and pre-cautions that
can not be presented on the device itself.
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Power On/off.
This symbol signifies that the user manual
CAUTION: This Power Switch cannot isolate Mains
Supply completely. must be read.
The “Alternating current” symbol indicates The CE mark of Conformity indicates this
that the equipment is suitable for alternating current equipment conforms with the Council Directive
only. 93/42/EEC
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ECO 1/3 VET Ultrasound Diagnostic System
Acceptable Devices
The Patient Environmental devices shown above are specified to be suitable for use within the
PATIENT ENVIRONMENT.
CAUTION:
DO NOT connect any probes or accessories without approval by CHISON within the
PATIENT ENVIRONMENT.
DO NOT touch patient and devices without IEC/EN 60601-1 approval to avoid the leakage
current risk within the PATIENT ENVIRONMENT.
Unapproved Devices
CAUTION:
DO NOT use unapproved devices.
If devices are connected without the approval of CHISON, the warranty will be INVALID.
The system can’t be used with HF surgical equipment, otherwise the burns to patient may
occur.
Any device connected to this system must conform to one or more of the requirements listed
below:
CAUTION:
Unsafe operation or malfunction may result. Use only the accessories, options and supplies
approved or recommended in these instructions for use.
The system has been verified for overall safety, compatibility and compliance with the following
on-board image recording devices:
B/W video printer: Sony UP-D711MD
The system may also be used safely while connected to devices other than those recommended
above if the devices and their specifications, installation, and interconnection with the system
conform to the requirements of IEC/EN60601-1-1.
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ECO 1/3 VET Ultrasound Diagnostic System
There must be adequate mechanical mounting of the device and stability of the
combination.
Risk and leakage current of the combination must comply with IEC/EN 60601-1.
60601-1-2.
Peripheral used in the non-patient environment
The system has been verified for compatibility, and compliance for connection to a local area
network (LAN) via a wire LAN, provided the LAN components are IEC/EN 60950 compliant.
General precautions for installing an alternate off-board, remote device or a network would
include:
The added device(s) must have appropriate safety standard conformance and CE Marking.
The added device(s) must be used for their intended purpose having a compatible interface.
and should be used both for the shortest period of time and at the lowest power settings
Diagnostic ultrasound has been in use since the late 1950s. Given its known
benefits and recognized efficacy for medical diagnosis, including use during
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ECO 1/3 VET Ultrasound Diagnostic System
the possibility exists that such biological effects may be identified in the future,
current data indicate that the benefits to patients of the prudent use of
Ultrasound should only be used for medical diagnosis and only by trained medical
personnel.
Diagnostic ultrasound procedures should be done only by personnel fully trained in the
use of the equipment, in the interpretation of the results and images, and in the safe use
of ultrasound (including education as to potential hazards).
Operators should understand the likely influence of the machine controls, the operating
mode (e.g. B-mode) and probe frequency on thermal and cavitation hazards.
Select a low setting for each new patient. Output should only be increased during the
examination if penetration is still required to achieve a satisfactory result, and after the
Gain control has been moved to its maximum value.
Maintain the shortest examination time necessary to produce a useful diagnostic result.
Do not hold the probe in a fixed position for any longer than is necessary. The frozen
frame and Cine loop capabilities allow images to be reviewed and discussed without
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ECO 1/3 VET Ultrasound Diagnostic System
Do not use endo-cavitary probes if there is noticeable self heating of the probe when
operating in the air. Although applicable to any probe, take particular care during trans-
vaginal exams during the first eight weeks of gestation.
Take particular care to reduce output and minimize exposure time of an embryo or
fetus when the temperature of the mother is already elevated.
Take particular care to reduce the risk of thermal hazard during diagnostic ultrasound
when exposing: an embryo less than eight weeks after gestation; or the head, brain or
spine of any fetus or neonate.
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Console Overview
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Console Overview
1.Probe Holder 2.Probe 3.Keyboard
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2B mode
4B mode
3.4.2 Accessories
Transducers:
L7V-A Linear Array, 5.3-10.0MHz Linear Array MC5V-A, 4.0-7.0MHz Micro-convex Array
Indications for Use: Big Animal, Reproduction Indications for Use: Canine Abdomen, Feline
Abdomen,
Peripherals
VGA output for external monitor
VIDEO output for B&W video printer
LAN port output
LAN for DICOM and image review station
USB 2.0 for flash drive
Foot switch
AC/DC adapter: MDS-060AAS19 B
Input: 100-250V~1.5-0.75A, 50-60Hz
Output: 19V 3.15A
DELTA ELECTRONICS, INC.
Battery Pack: BT-2500, 4400mAh, DONGGUAN POWER INC
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ECO 1/3 VET Ultrasound Diagnostic System
Note: Please do not turn on the power switch until finishing all the installation and necessary
preparation.
The following environmental transport and storage conditions are within system tolerances:
Temperature: -5º C ~ 40º C
Relative Humidity:≤ 80% non-condensing
Atmosphere Pressure:700hPa ~ 1060hPa
Maintain a fluctuation range of less than ±10% of voltage labeling on rear panel of the
system, otherwise the system may be damaged.
Grounding
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ECO 1/3 VET Ultrasound Diagnostic System
Before connecting the power cable, connect the attached ground protection cable from
Equipotentiality terminal on system rear panel to a specialized grounding device.
NOTE
Please follow the outlined power requirements. Only use power cables that
meet the system guidelines—failure to follow these procedures may produce
system damage.
Line power may vary in different geographic locations. Refer to the detailed
ratings on the rear panel of the system for detailed information.
Battery
To avoid the battery bursting, igniting, or fumes from the battery;causing
equipment damage, observe the following precautions:Do not immerse the
battery in water or allow it to get wet. Do not put the battery into a
microwave oven or pressurized container. If the battery leaks or emits an
odor, remove it from all possible flammable sources. If the battery emits an
odor or heat, is deformed or discolored, or in a way appears abnormal
during use,recharging or storage, immediately remove it and stop
using it. If you have any questions about the battery,Short term (less than
one month) storage of battery pack: Store the battery in a temperature range
between 0 degrees C (32 degrees F) and 50 degrees C(122 degrees F).
Long term (3 months or more) storage of battery pack: Store the battery in a
temperature range between-20 degrees C (-4 degrees F) and 45 degrees
C(113 degrees F); Upon receipt of the ECO VET and before first time usage,
it is highly recommended that the customer performs one full
discharge/charge cycle. If the battery has not been used for >2 months, the
customer is recommended to perform one full discharge/charge cycle. It is
also recommended to store the battery in a shady and cool area with FCC
(full current capacity).• One Full Discharge/Charge Cycle Process:1. Full
discharge of battery to let the ECO VET automatically shut down.2. Charge
the ECO VET to 100% FCC (full current capacity).3. Discharge of Venue 40
for complete shut down(takes one hour for discharge).• When storing packs
for more than 6 months, charge the pack at least once during the 6 month
timeframe to prevent leakage and deterioration in performance.
Please leave enough free space from the back of the system to ensure well ventilation.
Caution: Leave enough free space from the back of the system, Otherwise, with the increasing
of the temperature inside the unit, malfunction may occur.
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ECO 1/3 VET Ultrasound Diagnostic System
Press 3 s, system will forced shut down and completely switch off the system.
Disconnect all cables from off-board peripheral devices (external printer, etc.) from the
console.
NOTE
To prevent damage to the power cord, DO NOT pull excessively on the cord or
sharply bend the cord while wrapping it.
Store all probes in their original cases or wrap them in soft cloth or foam to prevent
damage.
Replace gel and other essential accessories in the appropriate storage case.
Ensure that no loose items are left on the console.
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ECO 1/3 VET Ultrasound Diagnostic System
After being transported, the unit requires one hour for each 2.5 º increment if its
temperature is below 10 ºC or above 40 ºC.
NOTE
Please keep at least 20 to 30 cm spare space away from the back of the system
to ensure well ventilation. Otherwise, with the increasing of the temperature
inside the unit, malfunction may occur.
After making sure that the AC power supply in hospital is in normal status, and this AC
voltage type matches to the power requirements indicated on the label of system, then
please connect the plug of power cord to the POWER IN socket at the rear panel of the
system,and connect the other end of power cord to the AC power supply socket in
hospital.
Please use the power cable provided by the manufacturer, other type of power cable is not
allowed.
press and pop up dialog for shut down. Click the enter key then power off.
CAUTION
Connecting the system to the wrong AC power supply may cause damage to the system and
danger to the operators and animals.
Caution:Please only use the probes provided by manufacturer for this model, other types of
probes are not allowed to use with this system! Otherwise it may cause the damage to the
system and the probe.
CAUTION
Before connecting the probe, please carefully check the probe lens, probe cable and probe
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ECO 1/3 VET Ultrasound Diagnostic System
connector to see whether there is anything abnormal, such as cracks, falls off. Abnormal
probe is not allowed to connect to the system; otherwise there is possibility of electricity
shock.
Hold the probe connector lock switch, and insert the connector socket vertically.
Release the probe lock switch.
Check the locked probe with one hand to make sure that it’s not loose, and it’s
securely connected
CAUTION
Only power supply at “turn off” state, can install / take-down the probe, otherwise it will
damage the machine or the probe.
When installing and disassembling probe, please put the probe head inside the probe holder,
it can prevent the probe falling down to the ground.
Turn the dead lock switch 90degree in counterclockwise direction, extract probe connector plug
vertically.
Caution: Do not use any other power cable to replace 3-wire power cable
manufacturer provides, otherwise there is danger of electric shock.
Video printer sign introduction
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Put graphic printer stably, connect printer cable to USB port in the left side of the unit.
Connect the power cable of graphic printer to power system.
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Alphanumeric Keyboard
The alphanumeric keys are used for inputting patient number, name, character and figure etc.
4.2.1 SWITCH
4.2.2 PATIENT
4.2.3 PROBE
Press this button for selecting probe. It can only select the connected probe.
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4.2.4 SETUP
4.2.5 END
4.2.6 BODYMARK
Press this key to enter into body mark working status, select the body mark and confirm the probe
scanning position on the screen. It is only available in frozen status.
4.2.7 COMMENT
Press this key to enter into comment status, and add comments in the image area on the screen.
4.2.8 ARROWS
4.2.9 DEL
Press this key to clear the measurement lines, body mark, and comments.
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4.2.10 Print
PRINT1: Print the screen image by video printer connected to the system.
PRINT2: Print the report by printer connected to the system (Only report page works). Or print the
image in the scanning page; Or print the image in the review page.
4.2.11 Archive
File management of system, you can view and edit the patient data.
4.2.12 Report
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5
4.3 Central Control
4
6
3
7
2 8
9
1
10
4.3.1 ENTER
This multifunction key is work with trackball. The function switches with the unit status. Such
as, set the cursor position, body mark position, comment position, toggle trackball function,
selected the menu, and confirm the input.
4.3.2 UPDATE
This multifunction key is work with trackball. The function switches with the unit status. Such as,
call the annotation and back in measuring.
4.3.3 Exit
Press this key can exit measurement, dialog, and menu.
4.3.4 Cursor
Press this key to show or hide the cursor.
4.3.5 Change
Press this key to change the menu.
4.3.6 Dist
Press this key to enter into distance measurement.
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4.3.7 Trace
Press this key to enter into trace or ellipse measurement, and press UPDATE to change between
trace and ellipse.
4.3.8 Calc
Press this key to enter into measurement software package.
4.3.9 MENU
Press MENU-knob for second time to select the item and adjust the parameters. Press
MENU-knob for third time to exit from current item. Rotate the MENU- knob to select the item
4.3.10 Trackball
Trackball is the main operation tool on screen. Position calipers in measurement, the function of
the trackball is different under diverse working status.
4.4.1 B
Display B mode
4.4.2 B/B
4.4.3 4B
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4.4.4 M
4.5.1 THI
4.5.2 AIO
4.5.3 CINE
4.5.4 SAVE
Press this key to invert the image from left and right.
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4.5.7 STC
STC can be used for adjusting gain compensation in different image depth.
4.5.8 GAIN
Rotate the knob to adjust the gain of B mode and M mode.
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ECO 1/3 VET Ultrasound Diagnostic System
current system
Cable network: show the present situation of cable network; press this icon to show the IP
address of current system.
USB: show whether this system connects USB flash disk or not, press this icon to show USB
safely remove interface.
Left-to-Right of the down row: input method, DICOM Task Sequence, battery gauge
Input method: press this icon to switch Chinese and English input method.
Task manager: press this icon to show DICOM Task Sequence and its situation ,To terminate the
DICOM task, delete, and so on(Need to activate DICOM)
Battery gauge: show the connecting situation of the battery, just press this icon to show the
present State of charge and discharge, remaining electric quantity and available time.
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5.1.2 Power On
Long press 1 second to start the machine, wait for the system to enter the user interface,
activate the probe slot into the B-mode.
CAUTION: Please connect or disconnect the probe only after the system is freezing, in
order to ensure stability and extend the service life of the probe.
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CAUTION: Creating a diagnostic record, you should check the accuracy of the patient
information before saving measurement or image; otherwise, it will be stored in the wrong patient
records. After checking the patient, press the [END] key to save the patient information in the
system.
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8 6
7
2
10
3 5
5.5.1 B Mode
Press [B] Mode key, and display the single B Mode image, B Mode is the basic mode for
two-dimensional scanning and diagnosis.
5.5.3 4B Mode
Press [4B] button to enter into 4B mode, the screen will display four B mode images side by side,
but only one image is in real-time status. Pressing it again can switch the real-time status among
four images.
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5.5.5 M Mode
Press [M] button again, B mode image will disappear; M mode image is still active on the whole
screen. M mode image stands for the tissue movement status at the sampling line. The M mode
image varies with time, so it is mainly used for cardiac applications.
5.6.1 Frequency
In real status, press the first line button of [frequency] to increase the frequency, and press the
second line button of [frequency] to decrease the frequency.
5.6.2 Dynamic
Dynamic range is used for adjusting the contrast resolution of B mode image and mode image,
compressing or enlarging the display range of gray scale.
At the real-time status, press the first line button of [Dynamic] to increase the Dynamic, and press
the second line button of [Dynamic] to decrease the Dynamic. The range is 30 to 90.
5.6.3 i-Image
In real status, press the corresponding button of [i-Image] to adjust, the range is 0~3.
5.6.4 Compound
In real status, press the corresponding button of [compound] to adjust, and the range is 0~3.
The SRA can’t be edited after opening the compound.
5.6.5 SRA
In real status, press the corresponding button of [SRA] to turn on or off.
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5.6.7 Gain
In real status, rotate [Gain] button to adjust the Gain, and the range is 0~255, the step is 5.
5.6.8 STC
STC curves can be used for adjusting gain compensation in different image depth.
Drag the slide of STC to adjust the value.
STC curve will disappear automatically 1 second later after stopping adjustment.
5.6.9 Depth
Press [DEPTH/FOCUS] selection knob until the indicator of [DEPTH] is lit, then rotate the knob
to change the depth of image.
5.6.11 ANGLE/ZOOM
Press [ANGLE/ZOOM]button until the indicator of [ANGLE] is lit, and the angle of sample gate
will rotate with the rotation direction.
Press [ANGLE/ZOOM]button to confirm the ZOOM button is lit, and it will appear the zoom
box, rotate the button to select the zoom steps.
5.6.12 INVERT
B mode image and B/M mode image can be reversed horizontally and vertically.
Press the key, the displayed image is reversed in the right-left horizontal direction.
Press the key, the displayed image is reversed in the up-down direction.
The horizontal flip status indicators of the upper-left corner of the image window have the
following meanings:
The meaning of the symbol “ ” indicating the probe initiative scanning position “ ” situated in
the left indicates that the first scanning line in the left of the screen is corresponding to the
initiative scanning position of the probe,
“ ” situated in the right indicates that the first scanning line in the right of the screen is
corresponding to the initiative scanning position of the probe.
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5.6.14 AIO
Only press this key to optimize image.
5.7.3 Persistence
In real status, adjust the contrast and resolution.
In real status, press the first line button of [Persistence] to adjust. The range is 0~7.
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5.7.5 Smooth
Smoothness function is used for restraining the image noise and performing axial smooth
processing to make the image smoother.
Move the cursor to [Smoothness] selection to adjust, and the range is 0~7.
5.7.8 Utility
This function includes post processing, slide show and other items. Press [MENU] button, then
choose Utility selection, it will appear Utility options.
5.7.8.1.1 Chroma
Adjust the type of the chroma.
Update [Chroma], and rotate [MENU] button to select the Chroma type, the range is 0~31.
5.7.8.1.2 2D Map
Select the type of the scale curve.
Update [2D Map], and rotate [MENU] button to select the scale curve type, the range is 0~4.
5.7.8.1.3 B Gamma
Adjust image gray value parameters.
Update [B Gamma], and rotate [MENU] button to select the B Gamma parameters, the range is
0~8.
5.7.8.1.4 B Rejection
Adjust image gray scale inhibition parameters
Update [B Rejection], and rotate [MENU] button to adjust B Rejection parameters, the range is
0~256.
5.7.9 Advance
In B Mode, select Advance, after pressing [MENU] button, it will appear Advance options.
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5.7.9.2 MB
5.7.9.4 Biopsy
5.9.1 Overview
The comment is to enter text or symbols on the image, the device is Chinese and English
annotation system.
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NOTE: If you need to custom the default comments, refer to the pre-set section.
Operation:
3. Input characters at cursor position by keyboard then press [ENTER] key to confirm.
4. Press COMMENT-key again to exit. The COMMENT-key will light off and the
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ECO 1/3 VET Ultrasound Diagnostic System
In comment status, activate the comment that need to be deleted, then press the ENTER key, it
will display "|" on the screen, press[BACKSPACE]key to delete the character.
Don’t activate the single comment, press[DEL]to delete all characters that has input;
Caution: Press[DEL]key, but it will delete the measurement and body mark at the same time;
Bovine Mark
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Canine Mark
Equine Mark
Feline Mark
Ovine Mark
3、 Move trackball after adding the body mark image and then adjust the position of probe.
Rotate [MENU] or [ANGLE] knob can adjust the probe direction. Press Enter- key to
5、 If you want to exit from the body mark function, press again;
6、 Press [EXIT]to exit body status and the body mark is fastened to the screen.
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ECO 1/3 VET Ultrasound Diagnostic System
2、Press [Change] button to select cursor type: arrow or cross. And change the size of the
cursor.
3、Adjust the position of probe. Rotate [MENU] or [ANGLE] knob can adjust the probe
direction.
1.Press to save current image, the image will be displayed below the screen;
2.If you need to recall images that has been stored, move cursor to needed image, press
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ECO 1/3 VET Ultrasound Diagnostic System
[ENTER]to recall it; Or you can recall archived patient’s information to recall image, please refer
to archive chapter.
In freeze status, press to save cine, then it will be displayed below the screen, move cursor
to needed cine, press [ENTER]to recall cine.
Press to enter image information browsing interface. Press [ENTER]to any function in the
image.
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Review interface
ID: ID of Current patient.
Name: Current patient’s name.
Information: Enter into current patient’s information interface.
Report: Enter into current patient’s report interface;
Send images: Send image to USB flash disk , DICOM storage and print;
Print the image:print the image which be chosen, it will be printed as the arrangement set;
Delete images: Delete selected image;
Row*Column: Select image’s format;
Pre page: Page up;
Next page: Page back;
New Exam: Exit current examination and open a new dialog box.
Continue Exam: Exit image browsing interface and go on checking current patient;
Archive: Open up archive management interface;
Cancel: Turn off image browsing interface;
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Archive interface
Item: Type selection, select Patient’s ID or Name;
Keyword: Search for key words;
Period: Time filter, select today、one week、one month、 three months、six months, recent one
year and all
Multiple Choice: Multiple choice;
Dada Source: Path choice, select hard disk or U disk;
Patient info: Enter into patient’s information interface;
Review Report: Enter into report interface;
Backup Exam: Select examination information to USB flash disk;
Restore Exam: Recover examination information from USB flash disk;
Send Exam: Send selected examination information to USB flash disk or DICOM Storage/Print
(Need to activate the DICOM);
Delete Exam: Delete selected examination information;
Patient View: Change display mode of information;
Expand All: Select Patient View, it will display sub-directory;
Collapse All: Exit sub-directory;
Select All: Select all examination information;
New Exam: Exit current patient’s examination;
Continue Exam: Exit archive management interface and go on checking current patient;
Easy View: Exit archive management interface and open up image browsing interface;
Cancel: Exit archive management interface and go on checking current patient;
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5.15 Report
Press[ENTER]on the image to add the image into the report page. The report can be saved and
printed. It is convenient for the doctor to view and edit the patients’ information.
Reports contain normal report, abdominal report, cardiac report, small part report etc. Move the
cursor to the required report page and press[ENTER] to choose.
Click the “Report” button and the page pop up the report page of the current exam mode. Change
the other exam mode report by the drop-down box.
Report Interface
ReportTitle: Report options, different kinds of report can choose, such as Normal, OB/GYN etc.
Hosp: Display the hospital name.
Abdomen Report: Display the kind of report.
Patient Name: Display the patient name.
Age: Display the patient age.
Gender: Display the patient sex.
Patient ID: Display the patient ID.
Diagnostic: Input the diagnostic instructions.
Description: Input the description of symptom.
Tips: Input note information.
Send DICOM SR: After activating DICOM , send DICOM structural report to server.
Print: Print the report with image.
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5.16 DICOM
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5.16.4 DICOM SR
Press Send DICOM SR button in report interface , this task is added into DICOM Tash Sequence.
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6.1.1 Trackball
1、Before starting a measurement, use the trackball to choose the menu options;
2、After starting a measurement, move the trackball to move the cursor, during the measurement,
3、During the Ellipse method measurement, use trackball to change the length of short axis.
4、Update the moving of the measurement result, move the traceball to change the position of the
measurement result.
6.1.2 [ENTER]
1、When cursor is on the menu, press the key to choose the options and start the measurement.
2、During the measurement, press the key to anchor the start point and end point.
6.1.3 [UPDATE]
1、Before the measurement, press[UPDATE]to change the measurement method, such as ellipse,
2、During the measurement, UPDATE-KEY is used to switch the start point and end point, long
3、During the distance measurement, press the[ENTER]to fix the start point, when the end point is
not fixed, press the UPDATE-KEY to switch the start point and end point.
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4、During the Ellipse measurement, when fix the long axis, but the short axis is not fixed, press the
6.1.4 [DEL]
In frozen status, press the[DEL], delete all the measurement results, comments and traces.
6.1.5 [Change]
Press[Change]to switch other menu;
Press[Exit]to exit;
6.1.6 [Exit]
Press[Exit]to exit the measurement menu.
6.2.1 Distance
Measurement steps:
1: Press the [Calc] button to enter into measurement. Update the [distance] item in the menu or
press the quick measure button [Dist], it will display a segment “+”icon.
2: Move the “+”icon by cursor to fit the one point of the line. Press [ENTER] key to fix the start
point and the cursor can be moved to the next position.
3: Press [UPDATE] key can change the activated point, and fit the other point of the line.
4: Move the cursor to the end-point, press [ENTER] again to complete the measurement.
5: After the measurement, the result will display in the measurement results area.
6: Repeat the steps from 1 to 4 to start next “distance” measurement. Press [DEL] key to delete all
the measurements.
Note:
Each group of measurement is limited, if the measurement results beyond, it will begin a new
group of measurement automatically.
6.2.2 Ellipse
Measurement steps:
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1: Press the [Calc] button to enter into measurement. Update the [Ellipse] item in the menu or
press the quick measure button [Ellipse], it will display a segment “+”icon.
2: Move the “+”icon by cursor, Press [ENTER] key to fix the point and the cursor can be moved
to form a round.
3: Press [UPDATE] key can exchange the activated point and the fixed point.
4: Move the cursor to the end-point of the ellipse, press [ENTER] to fix the axis, at the same time,
the next axis be updated, and can change the size of the axis by the cursor.
5: Now press [UPDATE] key can exit to the step 4.
6: After fixing the next axis, can press [ENTER] key to complete the measurement.
7: After the measurement, the result will display in the measurement results area.
8: Repeat the steps from 1 to 6 to start next “ellipse” measurement. Press [DEL] key to delete all
the measurements.
Note:
Each group of measurement is limited, if the measurement results beyond, it will begin a new
group of measurement automatically.
6.2.3 Trace
Measurement steps:
1: Press the [Calc] button to enter into measurement. Update the [Trace] item in the menu or press
the quick measure button [Trace], it will display a segment “+”icon.
2: Move the “+”icon by cursor, Press [ENTER] key to fix the point and the cursor can be moved
to the next position.
3: Make the cursor tracing along the edge of required area, the traced line can be not closed..
4: Now press [UPDATE] key to cancel the tracing.
5: Press [ENTER] key again in the endpoint, the start point and end point of trace line will be
closed by a straight line.
6: After the measurement, the result will display in the measurement results area.
7: Repeat the steps from 1 to 5 to start next “trace” measurement. Press [DEL] key to delete all the
measurements.
Note:
Each group of measurement is limited, if the measurement results beyond, it will begin a new
group of measurement automatically.
6.2.4 Histogram
Histogram is used to calculate the gray distribution of the ultrasound echo signals within a
specified area. Use the rectangle, ellipse or trace method to draw along the desired measurement
area. The result is shown in the form of histogram.
Histogram can be measured only on the frozen image.
◆ Measurement steps by rectangular method:
① Click [FREEZE]key to freeze the image.
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Meas. Method/
Meas. Menu Submenu Unit Comment
Meas. Formula
Refer to distance
Volume Meas.
ml D means: Depth
(1straight line) Formula: V =
(π/6)×D3
Refer to ellipse
Volume meas. A: Long Axis
ml
(1ellipse) Formula: V = B: Short Axis
(π/6)×A×B2
Refer to distance
Volume Meas. D1: the longer distance
ml
(2 straight line) Formula: V = D2: the shorter distance
(π/6)×D1×D22
Refer to distance
Meas.
Volume
ml Formula: V = D1, D2, D3: Distance
(3 straight line)
( π/6 )
×D1×D2×D3
Refer to distance
A: Long Axis
Volume ( 1 straight and ellipse Meas.
ml B: Short Axis
line 1 ellipse) Formula: V =
M: Distance
(π/6)×A×B×M
Refer to distance
Meas. D1: First Distance
Ratio(distance)
Formula: D2: Second Distance
R=D1/D2
Ratio
Refer to ellipse
Meas. A1: First Area
Ratio(area)
Formula: A2: Second Area
R=A1/A2
Refer to distance Angle Range:
Angle deg
Meas. 0°~ 180°
Refer to
Histogram
histogram
Cross-section Refer to
diagram Cross-section
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Meas. Method/
Meas. Menu Submenu Unit Comment
Meas. Formula
Refer to distance
GS cm
Meas.
Refer to distance
CRL cm
Meas.
Refer to distance
HC Diameter cm
Meas.
Refer to distance
Body Length cm
Meas.
Refer to distance
L: Length
Meas.
Volume ml W: Width
Formula: V =
H: Height
(π/6)×L×W×H
Length cm Refer to distance L: Thyroid Length
Thyroid Width Meas. W: Thyroid Width
Height H: Thyroid Height
Refer to distance
L: Bladder Length
Bladder Meas.
ml W: Bladder Width
Volume Formula: V =
H: Bladder Height
(π/6)×L×H×W
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Meas. Method/
Meas. Menu Submenu Unit Comment
Meas. Formula
Volume Meas. W: Bladder Width
Formula: V = H: Bladder Height
(π/6)×L×H×W
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Meas. Method/
Meas. Menu Submenu Unit Comment
Meas. Formula
Height H: Thyroid Height
Refer to distance
L: Bladder Length
Bladder Meas.
ml W: Bladder Width
Volume Formula: V =
H: Bladder Height
(π/6)×L×H×W
6.9.1 Distance
Measurement steps:
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6.9.2 Time
Measurement steps:
①Select menu item[Time] to enter into measurement.
②Click on the M image area, it will display two blue straight dotted line. The blue dotted line
with one yellow short line on it represents it is in active status. The distance between the two
straight lines stands for time you want to measure. You can drag the active straight line to
anywhere you want to change the measured time.
③Click [UPDATE] button to active the two straight lines in turns and dragon them to change the
distance between them. The measurement result will be displayed on the result area .
6.9.4 Velocity
Measurement step:
①Choose[Velocity]menu item to enter into measurement.
②Select the start point of the measurement and click on the screen. The yellow “+” cursor is
active. Drag the cursor to the peak systolic wave.
③Click on the Switch key to active another point. Drag the active point to the end diastolic wave.
④Repeat 1-3 to do another measurement.
Note: The maximum number of the measurement result on the image area is one. The second
measurement result will cover the first one. The measurement result area will list all the
measurement values.
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Chapter 7 Preset
This chapter introduces the operation to make settings of the system through preset menu at preset
mode.
Preset function is used to set up working environment and status, parameters of each examination
mode. The setting will be stored in the memory of system and not be lost even after the system is
switched off. When the system is switched on, it will work automatically with the status which is
required by the operator.
In preset interface, all operation relies on moving trackball to required Function button position.
Press [ENTER] button to start operation.
Press the [SETUP] key to enter system setting interface. User can do user-defined setting.
Click [X] in the title bar or the exit key on the button can exit the system setting interface.
Form 1 General setting
Function name Setting method Function description
Set up the hospital name which is shown at top left
Hospital 、
Input freely corner of “General Setting” dialog box, 20 characters
Department
Max. can be input
Set up the system date (calendar format), select current
Date and Time Input freely
date directly. Date format can be changed by format
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setting.
Set up date format: Year/Month/Date,
Date Format Set up freely
Month/Date/Year, Date/Month/Year
Time zone Set up freely Set up the working clock of the system.
Select the language of operation interface(Simplified
Language Select language
Chinese English and so on)
Screen shot Set the content which screen picture contain: only
Select the need type
Type picture, image area and patient information, full screen
Frame number
Set up freely Set the default frame when save the film
choice
Options for Click the button to Set the TGC curve, including always show, always hide
image area open the setting box and hide for 1 to 8 seconds.
Options for
Click the button to Adjust the parameters of transmitted images:
Transmitted
open the setting box brightness, contrast, gamma.
Images
Click the mode you
need and open the
Options for PC Including print area and arrangement condition in the
setting box to choose
print image image foresee interface
the different
parameter
default Press button Recover all preset to factory setting
7.2 Measurement
Measurement includes general measurement setting and measurement formula setting
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Var Name The name of built-in selected measurement menu, user don’t
need modify while display order according to the names
Unique Name Built-in code, user don’t need modify
Measurement None: Disable rule , Repeat: Repeat this item , Sequential:
rule measure by sequence
Default item After choosing the Repeat and Sequential , choose one
measurement or calculation to activate the measurement rule
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slant)
Display In Check the required item and it will display on the measurement
Menu menu. The item without checking will not display on the
measurement menu.
On Line Press[UPDATE]to change the measurement method by
Select checking it.
Name Needed measurement operation of specific measurement and
calculation
Unit Data unit which measurement operation produces
Display In Whether display in the report or not.
Report
Up Press this button to move measurement operation up
Down Press this button to move measurement operation down
Average The average rule of data
Method
Add Press this button to pop up interface to add add measurement
operation
Modify Press this button to pop up interface to modify measurement
operation
Remove Press this button to delete selected measurement operation
Press [Add] in measurement operation interface, pop up the following dialog box
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It is necessary to enter into the following interface when creating measurement operation except
OB
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Formula: edit formula in input box via keyboard and built-in formula.
Validate: press this button to check whether the formula is right or not after editing formula.
Clear: clear the content in the input box
Unit: select the unit of calculation consequence
Measurement Items: display all available measurement operation in the measurement menu.
Function: built-in formula, number input and some parameters that system needs such as BSA,
SPSA.etc
Cancel: cancel editing formula and close the interface
OK: save edited operation and close the interface
It is necessary to call built-in OB formula sheet when creating OB measurement operation the
following function interface is required.
Caution: the results of GA and EDD don’t require unit, the unit of this class has been built-in.
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7.3 Annotation
Operation:
1.At the annotation status, Move the cursor to the [Edit Comment Type]button then press
[ENTER] key, the annotation will be updated, and can be edited.
2.Input name into the new created annotation status box, Move the cursor to the [Create]button
then press [ENTER] key, then create new annotation status and appear in selected annotation
status list
3.Move the cursor to the [Delete] button, press [ENTER] key, then delete current annotation
status in the selected annotation list.
4.Alter name of current annotation status list in [Current Type Name]input box, press[ENTER]
on the[Rename]button, then rename the selected annotation status name.
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Operation:
1.Select needed source annotation status via Trackball and [ENTER]
2.Select needed annotation at [CommentLib]column then press the[ENTER]button to activate
this annotation.
3.press[ENTER] on[>]button to import selected annotation into user-selected annotation status;
press[ENTER] on[>]button to move selected annotation in[Comment Selected]column into
source annotation.
4.press[ENTER]on[>>]button to import all annotation in source into user-selected annotation
status; press[ENTER]on[>>] button to move all annotation in[Comment Selected]column into
source annotation.
Operation:
1.Activate [Edit Comment]input box via Trackball and [ENTER] button, then input needed
abbreviation and full name of annotation.
2.press[ENTER]on[Add]button, meanwhile this handout will be added into source and
user-selected annotation status.
Operation:
1.Alter annotation in user-selected status, the abbreviation and full name of annotation will be
displayed in [Edit Comment] box.
2.Activate needed abbreviation and full name via [ENTER] and alter via keyboard.
3.Press [ENTER]on[Modify]button, modify the annotation in both source and user-selected
status.
Operation:
Select needed annotation in source status, press [ENTER] on [Delete From Lib] button then the
annotation deleted.
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Operation:
1.Press [ENTER]on [Edit BodyMark Type], pop edit box.
2.Input name into the new created body marks box, Move the cursor to the [Create]button then
press [ENTER] key, then the new body marks will be created and appear in selected body
marks list
3.Move the cursor to the [Delete] button then press [ENTER] key, then delete current body marks
in the selected list.
4.alter current annotation status list name in [Current Type Name]input box, press [ENTER] on
the [Rename] button, then rename the selected body marks.
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7.6 Keyboard
Users can set the number buttons and the store button on the keyboard, easy to use.
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7.7 DICOM
DICOM includes DICOM Storage , DICOM Worklist , DICOM Print and DICOM SR . If DICOM
is to be applied , please make sure DICOM has been activated . In the system page of setting
interface , you can check whether DICOM is open or not . If you want to activate DICOM ,
please contact with Chison.
There must be DICOM SCP server which has been installed with PACS or other relative DICOM
server software
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Local AE Title:input local DICOM Title to sepearte the DICOM equippments in local network.
Service:display the local DICOM function worklist ,
AE Title: display the name of local DICOM AE title ,
IP: display the IP of DICOM server,
Port: display the port of DICOM server
Timeout(s): display the delay tim
Available: display whether DICOM is default or not ,
Verify: Press verify button and display whether DICOM setting is correct or not
Add: add DICOM function and pop up setting dialog,
Delete: delete the existed DICOM function
Set as default: set one DICOM service as default ,
Send while saving: check this item and enable DICOM storage while saving image or cine , send
clip or image according to activated function.
Send in archive: send DICOM storage in archive or review , send clip or image according to
activated function.
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7.9 System
7.9.2 Upgrade
Software and Hardware can be updated by USB flash drives.
Software upgrade File Path: X:\update\XXX or X:\update_SN\XXX.
Hardware update File Path: “X:\fpga_update\XXX”,
Keyboard upgrade File Parth: “X:\ keyboard_update \XXX”.
X means USB flash drives.XXX means upgrade content .It should restart manually after hardware
update, and after software update, machine can be restarted automatically.
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Caution: do turn off the power before cleaning and pull out the cable from socket. There is
possibility of electric shock if the device is on
Clean methods:
Use the soft dry cloth to wrap the machine. If the device is quite dirty, use wet soft cloth. After
wiping the blot, use soft dry cloth to wipe dry
Caution:
1. Don’t use organic solvent such s alcohol ,otherwise surface may be ruined
2. When cleaning the machine, don’t let the liquid inflow the machine, otherwise it may
malfunction and there is danger of electric shock.
3. When it is necessary to clean the probe connector and peripheral instrument, please contact
Sales office contact customer service or agent of Chison. Any self-cleaning may result in
malfunction or degrading the function of device.
Caution:
Only person Received professional training can use the probes.
Probes can’t receive pressure sterilizer, when operation in sterile area, disposable sterile probe
hood should be applied.
Make sure not to drop the transducer on hard surface. This can damage the transducer elements
and compromise the electrical safety of the transducer.
Be careful when operation, make sure not to scratch the probe surface.
Avoid kinking or pinching the transducer cable.
Make sure not to connect the probe to plug or put adjacent cable into any kind of liquid.
Keep the probe clean and dry. Power off or freeze when fixing or dismantling the probe.
Make sure not to use or deposit the probe in the environment above 50 degree.
If any abnormal phenomena of probe is found, immediately stop operation and contact with Sale
Office, Customer Service department or Agents of manufacturer.
Cleaning
The cleaning procedure is fit for all probes. After operation every probe should do cleaning
according to stated procedure of this passage. Inspection should be done for intracavity probe
depends on condition of use
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Cleaning procedure:
1. Wipe the remaining coupling gel and blot with flowing clear water. Avoid the joint part
between cable and probe touching the water or others
2. Use wet gauze or other soft cloth with a little liquid soap to clean the probe totally. Don’t use
cleaning agent and cleaner with abrasiveness
3. Use flowing water to rinse fully. Use soft cloth which has been soaked by the concentration of
70% isopropyl alcohol to scrub. Then check the probe to make sure there is no blot.
4. Use clean cloth to dry the probe
caution: Don’t put the body surface probe into liquid below acoustical lens. Intracavity probe
can’t exceed insertion region. Prohibit putting connector of probe into any liquid.
Infection
Infection procedure id fit for intracavity probe
If it is necessary to use in surgery, please abide with instruction of professional infection person
infection procedure:
1. Obey the cleaning procedure to clean the probe totally
2. Prepare and retreat The concentration of 2% glutaraldehyde solution as the infection
solution according to the instruction of manufacturer
3. Put the insertion region of probe into infection solution, the inserting depth can’t exceed
insertion region. Don’t let the probe connector touch any liquid.
4. Soak the probe for 3 h
5. Pull out the probe, immediately rinse totally with sterile water and saline. To make sure of no
any solution remaining. Please obey the rule to do right rinsing procedure including enough
rinsing water and times
6. When probe is used in sterile area ,make sure to use disposable sterile probe hood
caution:
Don’t soak probe connector into any liquid
Don’t let the soaking depth of intracavity probe exceed insertion region
Prohibit soaking the probe in the liquid for more than 12 h
Only use qualified inspection resolution
Deposit:
Please replace the probe in clean and dry environment, avoid direct sunshine
Keep the environment to deposit the probe during -10-50℃, Do not put it in high pressure and
vacuum environment.
When accessing probe be careful and avoid ruin.
During transportation or leisure, the probe should be deposited in probe box.
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If no image or menu but image, please check following malfunction table. If the malfunction can’t
be solved, please contact with Sale Office, Customer Service department or Agents of
manufacturer.
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Chapter 9 Probes
Cable
Stress Relief
Handle
Binding line
Transducer
Scanhead (Lens)
The probes provide high spatial and contrast ultrasound imaging of frequencies from 2.0MHz to
11.0MHz. These probes operate by pulsing sound waves into the body and listening to the
returning echoes to produce high-resolution brightness mode, and a real time display.
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not use the probe until it has been inspected and repaired/replaced by an authorized Service
Representative.
NOTE
Keep a log of all probe maintenance, along with a picture of any probe malfunction.
WARNING
The probes are designed to be used only with this ultrasound system. Use of these probes on any
other system or a non-qualified probe may cause electrical shock or damage on the
system/transducer.
CAUTION
These transducers are not designed to withstand heat sterilization methods. Exposure
to temperatures in excess of 60 º C will cause permanent damage. The transducers are
not designed to be totally submerged in fluid, as permanent damage will result if the
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Probe Safety
Handling precautions
Ultrasound probes are highly sensitive medical instruments that can easily be damaged by
improper handling. Use care when handling and protect from damage when not in use. DO NOT
use a damaged or defective probe. Failure to follow these precautions can result in serious injury
and equipment damage.
Mechanical hazard:
A defective probe or excess force can cause patient injury or probe damage:
Observe depth markings and do not apply excessive force when inserting or manipulating
endocavitary probe.
Inspect probes for sharp edges or rough surfaces that may injure sensitive tissue.
DO NOT apply excessive force to the probe connector when inserting into the probe port. The
pin of a probe connector may bend.
The use of market cleared probe sheaths is recommended for clinical applications. Reference FDA
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Protective sheaths may be required to minimize disease transmission. Probe sheaths are available
for use with all clinical situations where infection is a concern. Use of legally marketed, sterile
probe sheaths is strongly recommended for endo-cavitary procedures.
DO NOT use pre-lubricated condoms as a sheath. In some cases, they can damage the probe.
Lubricants in these condoms may not be compatible with probe construction.
Devices containing latex may cause severe allergic reaction in latex sensitive individuals. Refer to
FDA’s March 29, 1991 Medical Alert on latex products.
DO NOT use an expired probe sheath. Before using a sheath, verify if it has expired.
Diagnostic ultrasound systems utilize ultrasound energy that must be coupled to the patient by
direct physical contact.
Depending on the type of examination, this contact occurs with a variety of tissues ranging from
intact skin in a routine exam to recirculating blood in a surgical procedure. The level of risk of
infection varies greatly with the type of contact.
One of the most effective ways to prevent transmission between patients is with single use or
disposable devices. However, ultrasound transducers are complex and expensive devices that
must be reused between patients. It is very important, therefore, to minimize the risk of disease
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Risk of Infection
ALWAYS clean and disinfect the probe between patients to the level appropriate for the
type of examination and use FDA-cleared probe sheaths where appropriate.
Adequate cleaning and disinfection are necessary to prevent disease transmission. It is the
responsibility of the equipment user to verify and maintain the effectiveness of the infection
control procedures in use. Always use sterile, legally marketed probe sheaths for intra-cavitary
procedures.
WARNING
To avoid electrical shock, always turn off the system and disconnect the probe before cleaning the
probe.
CAUTION
Take extra care when handling the lens face of the Ultrasound transducer. The lens
face is especially sensitive and can easily be damaged by rough handling. NEVER use
excessive force when cleaning the lens face.
Rinse the probe with enough clean potable water to remove all visible soap residue.
Air dry or dry with a soft cloth.
CAUTION
To minimize the risk of infection from blood-borne pathogens, you must handle the
probe and all disposables that have contacted blood, other potentially infectious
materials, mucous membranes, and non-intact skin in accordance with infection
control procedures. You must wear protective gloves when handling potentially
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infectious material. Use a face shield and gown if there is a risk of splashing or
splatter.
In order for liquid chemical germicides to be effective, all visible residue must be removed during
the cleaning process. Thoroughly clean the probe, as described earlier before attempting
disinfection.
You MUST disconnect the probe from the system prior to cleaning/disinfecting the probe. Failure
to do so could damage the system.
DO NOT soak probes in liquid chemical germicide for longer than is stated by the germicide
instructions for use. Extended soaking may cause probe damage and early failure of the enclosure,
resulting in possible electric shock hazard.
Prepare the germicide solution according to the manufacturer's instructions. Be sure to follow all
precautions for storage, use and disposal. The transducer is not designed to be totally submerged
in fluid. Permanent damage will result if the entire transducer is submerged. The immersed part
shall not exceed the transducer binding line.
Place the cleaned and dried probe in contact with the germicide for the time specified by the
germicide manufacturer. High-level disinfection is recommended for surface probes and is
required for endocavitary probes (follow the germicide manufacturer's recommended time).
After removing from the germicide, rinse the probe following the germicide manufacturer's
rinsing instructions. Flush all visible germicide residue from the probe and allow to air dry.
Ultrasound transducers can easily be damaged by improper handling and by contact with certain
chemicals. Failure to follow these precautions can result in serious injury and equipment damage
Do not immerse the probe into any liquid beyond the level specified for that probe. Never
immerse the transducer connector or probe adapters into any liquid.
Avoid mechanical shock or impact to the transducer and do not apply excessive bending or
pulling force to the cable.
Transducer damage can result from contact with inappropriate coupling or cleaning agents:
Do not soak or saturate transducers with solutions containing alcohol, bleach, ammonium
chloride compounds or hydrogen peroxide
Avoid contact with solutions or coupling gels containing mineral oil or lanolin
Avoid temperatures above 60°C. Under no circumstances should the transducer be subjected to
heat sterilization method. Exposure to temperatures above 60º C will cause permanent damage to
the transducer.
Inspect the probe prior to use for damage or degeneration to the housing, strain relief, lens and
seal. Do not use a damaged or defective probe.
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Coupling gels
DO NOT use unrecommended gels (lubricants). They may damage the probe and void the
warranty. AQUASONIC Gel made by R. P. Kincheloe Company in USA is recommended.
In order to assure optimal transmission of energy between the patient and probe, a conductive gel
must be applied liberally to the patient where scanning will be performed.
DO NOT apply gel to the eyes. If there is gel contact to the eye, flush eye thoroughly with water.
Coupling gels should not contain the following ingredients as they are known to cause probe
damage:
Methanol, ethanol, isopropanol, or any other alcohol-based product.
Mineral oil
Iodine
Lotions
Lanolin
Aloe Vera
Olive Oil
Methyl or Ethyl Parabens (para hydroxybenzoic acid)
Dimethylsilicone
Planned maintenance
The following maintenance plan is suggested for the system and probes to ensure optimum
operation and safety.
Daily: inspect the probes
After each use: clean the probes, disinfect the probes.
As necessary: inspect the probes, clean the probes, disinfect the probes.
Transportation dept. and our policy require that equipment returned for service MUST be clean
and free of blood and other infectious substances.
When you return a probe or part for service, you need to clean and disinfect the probe or part prior
to packing and shipping the equipment.
Ensure that you follow probe cleaning and disinfection instructions provided in this Manual.
This ensures that employees in the transportation industry as well as the people who receive the
package are protected from any risk.
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The purpose of this document is to provide guidance regarding the cleaning and
disinfection of transvaginal and transrectal ultrasound probes.
Medical instruments fall into different categories with respect to potential for infection
transmission. The most critical level of instruments are those that are intended to penetrate skin or
mucous membranes. These require sterilization. Less critical instruments (often called
"semi-critical" instruments) that simply come into contact with mucous membranes such as fiber
optic endoscopes require high-level disinfection rather than sterilization.
Although endocavitary ultrasound probes might be considered even less critical instruments
because they are routinely protected by single use disposable probe covers, leakage rates of 0.9% -
2% for condoms and 8%-81% for commercial probe covers have been observed in recent studies.
For maximum safety, one should therefore perform high-level disinfection of the probe between
each use and use a probe cover or condom as an aid in keeping the probe clean.
There are four generally recognized categories of disinfection and sterilization. Sterilization
is the complete elimination of all forms or microbial life including spores and viruses.
Disinfection, the selective removal of microbial life, is divided into three classes:
The following specific recommendations are made for the use of Endocavitary ultrasound
transducers. Users should also review the Centers for Disease Control and Prevention document on
sterilization and disinfection of medical devices to be certain that their procedures conform to the
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1. CLEANING
After removal of the probe cover, use running water to remove any residual gel or debris from the
probe. Use a damp gauze pad or other soft cloth and a small amount of mild non-abrasive liquid
soap (household dishwashing liquid is ideal) to thoroughly cleanse the transducer. Consider the use
of a small brush especially for crevices and areas of angulation depending on the design of your
particular transducer. Rinse the transducer thoroughly with running water, and then dry the
transducer with a soft cloth or paper towel.
2. DISINFECTION
Cleaning with a detergent/water solution as described above is important as the first step in proper
disinfection since chemical disinfectants act more rapidly on clean surfaces. However, the
additional use of a high level liquid disinfectant will ensure further statistical reduction in
microbial load. Because of the potential disruption of the barrier sheath, additional high level
disinfection with chemical agents is necessary. Examples of such high level disinfectants include
but are not limited to:
2.4-3.2% glutaraldehyde products (a variety of available proprietary products including "Cidex,"
"Metricide," or "Procide").
Non-glutaraldehyde agents including Cidex OPA (o-phthalaldehyde), Cidex PA (hydrogen
peroxide & peroxyacetic acid).
7.5% Hydrogen Peroxide solution.
Common household bleach (5.25% sodium hypochlorite) diluted to yield 500 parts per million
chlorine (10 cc in one liter of tap water). This agent is effective, but generally not recommended
by probe manufacturers because it can damage metal and plastic parts.
Other agents such as quaternary ammonium compounds are not considered high level disinfectants
and should not be used. Isopropanol is not a high level disinfectant when used as a wipe and probe
manufacturers generally do not recommend soaking probes in the liquid.
The FDA has published a list of approved sterilants and high level disinfectants for use in
processing reusable medical and dental devices. That list can be consulted to find agents that may
be useful for probe disinfection.
Practitioners should consult the labels of proprietary products for specific instructions. They
should also consult instrument manufacturers regarding compatibility of these agents with probes.
Many of the chemical disinfectants are potentially toxic and many require adequate precautions
such as proper ventilation, personal protective devices (gloves, face/eye protection, etc.) and
thorough rinsing before reuse of the probe.
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3. PROBE COVERS
The transducer should be covered with a barrier. If the barriers used are condoms, these should be
nonlubricated and nonmedicated. Practitioners should be aware that condoms have been shown to
be less prone to leakage than commercial probe covers, and have a six-fold enhanced AQL
(acceptable quality level) when compared to standard examination gloves. They have an AQL
equal to that of surgical gloves. Users should be aware of latex-sensitivity issues and have
available nonlatex-containing barriers.
4. ASEPTIC TECHNIQUE
For the protection of the patient and the health care worker, all endocavitary examinations should
be performed with the operator properly gloved throughout the procedure. Gloves should be used
to remove the condom or other barrier from the transducer and to wash the transducer as outlined
above. As the barrier (condom) is removed, care should be taken not to contaminate the probe with
secretions from the patient. At the completion of the procedure, hands should be thoroughly
washed with soap and water.
Note: Obvious disruption in condom integrity does NOT require modification of this protocol.
These guidelines take into account possible probe contamination due to a disruption in the barrier
sheath.
In summary, routine high-level disinfection of the endocavitary probe between patients, plus the
use of a probe cover or condom during each examination is required to properly protect patients
from infection during endocavitary examinations. For all chemical disinfectants, precautions must
be taken to protect workers and patients from the toxicity of the disinfectant.
Amis S, Ruddy M, Kibbler CC, Economides DL, MacLean AB. Assessment of condoms as probe
covers for
transvaginal sonography. J Clin Ultrasound 2000;28:295-8.
Rooks VJ, Yancey MK, Elg SA, Brueske L. Comparison of probe sheaths for endovaginal
sonography. Obstet. Gynecol 1996;87:27-9.
Milki AA, Fisch JD. Vaginal ultrasound probe cover leakage: implications for patient care. Fertil
Steril
1998;69:409-11.
Hignett M, Claman P. High rates of perforation are found in endovaginal ultrasound probe covers
before and after oocyte retrieval for in vitro fertilization-embryo transfer. J Assist Reprod Genet
1995;12:606-9.
Sterilization and Disinfection of Medical Devices: General Principles. Centers for Disease Control,
Division of Healthcare Quality Promotion. http://www.cdc.gov/ncidod/hip/sterile/sterilgp.htm
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(5-2003).
ODE Device Evaluation Information--FDA Cleared Sterilants and High Level Disinfectants with
General Claims for Processing Reusable Medical and Dental Devices, March 2003.
http://www.fda.gov/cdrh/ode/germlab.html (5-2003).
After the examination is complete, follow the cleaning and disinfecting, or sterilizing procedures
as appropriate.
The system is a precise electronic system. Only the CHISON’s authorized service engineer could
replace the defective parts. Any assembly, disassembly, handling, repair, or replacement by any
other people may have adverse impact on the safety and effectiveness of the systems and probes,
and thus will reduce the life time of the system and probes, and such systems and probes will not
be covered by CHISON warranty after the above improper handling. Standard maintenance must
be performed by CHISON’s authorized service engineer during the life time of the product.
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and safety of system and probes maybe greatly affected, so it’s NOT
suggested to continue using the system and probes even the system and
probes seem work properly. But if user still wants to continue using the
system and probes, user should first contact CHISON service center at
CHISON headquarter to arrange the necessary safety check and calibration
by CHISON’s authorized service engineer. If CHISON headquarter service
center provides the calibration certificate for the related system or probe, then
user could continue use the system or probes according to the calibration
certificate. However, if CHISON headquarter service center concludes that
the system or probe is no longer complied to the safety and effectiveness
standard, then user should immediately stop using the system or probe. User
understands that such check and calibration cost will be born by the user.
Systems and probes keep on using after the life time may also be difficult to
repair and maintain, so it’s suggested to renew the product after the life time.
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The ECO 1/3 VET is intended for use in the electromagnetic environment specified below. The
customer or the user of the ECO 1/3 VET should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment –
guidance
RF emissions Group 1 The ECO 1/3 VET uses RF energy
CISPR 11 only for its internal function.
Therefore, its RF emissions are
very low and are not likely to cause
any interference in nearby
electronic
equipment.
RF emissions Class A The ECO 1/3 VET is suitable for
CISPR 11 use in all establishments, including
domestic stablishments and those
Harmonic emissions Class A directly connected to the public
IEC 61000-3-2 low-voltage power supply network
Voltage fluctuations/ Complies that supplies buildings used for
flicker emissions domestic purposes.
IEC 61000-3-3
The ECO 1/3 VET is intended for use in the electromagnetic environment the ECO 1/3 VET should
assure that it is used in such an environment.
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NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption
and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radios,amateur radio, AM and FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the measured field strength in the
location in which the ECO 1/3 VET is used exceeds the applicable RF compliance level above, the
ECO 1/3 VET should be observed to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as reorienting or relocating the ECO 1/3 VET.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
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Measurement Uncertainty
Item
(Percentage, 95% Confidence Value
Center Frequency ±15%
Acoustic Power ±30%
Acoustic Intensity ±30%
Peak Rarefactional Pressure ±15%
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