Orientation Marker Provides indication for image orientation. In dual and duplex images, the orientation marker is green on the active screen. Text Text entered using keyboard.
Page General Interaction General interaction Cycle Moves through a list of settings continuously. The upper control key cycles upward. The lower control key cycles downward. Touchpad and cursor Up-Down Moves through a list of settings, Use the touchpad to adjust and move objects stopping at the top or bottom. The touchpad controls caliper key moves upward. The lower control key moves position, CPD or Color box position and size, the downward. By default, a beep sounds when you cursor, and more.
The arrow keys control much reach either end of the range. The cursor appears in the setup pages, the patient On-Off Turns a feature on or off. You can press information form, and patient report. You control either control key. In forms, you can instead select the cursor through the touchpad. You can press either key to activate that field. Additionally, you can control key. Or you can instead select the option use the cursor to select check boxes and items in by using the touchpad and the SELECT key.
Using gels other than the one recommended by SonoSite can damage the transducer and void the warranty. If you have questions about gel compatibility, contact SonoSite or your local representative. Type , and then select Select. Note: Image Gallery is an unsupported feature. To lessen the risk of contamination, 2 Select the video. Page 22 Abdominal Imaging Applications You can assess multiple pregnancy, fetal hydrops, placental the liver, kidneys, pancreas, spleen, gallbladder, abnormalities, as well as maternal hypertension, bile ducts, transplanted organs, abdominal diabetes, and lupus.
The FDA has established lower acoustic energy limits for ophthalmic use. The system will not exceed these limits only if the Orb or Oph exam type is selected. Page 24 Intended uses SETUP footswitch. The footswitch is an optional feature. Page Security Settings 1 Log in as Administrator. Administrator 2 Select New.
Password, and Confirm boxes. Any change to the user name replaces the 5 Restart the system. All user names and passwords on the system are replaced with the imported data. To delete a user 1 Log in as Administrator. Exporting and clearing the Event log 2 Under User List, select the user. The Event log collects errors and events and can 3 Select Delete.
To log in as user The preset labels appear for the selected group. Sleep delay Select Off, or 5 or 10 minutes to Computer PC allows patient report data specify the period of inactivity before the system to be sent as ASCII text from the system to goes into sleep mode. Check the compatibility automatically turns off.
You can The system displays a message if internal specify up to eight measurement names for both storage is near capacity when you end an right side and left side calculations.
The exam. The system then deletes archived measurement names also appear in the patient patient exams if specified in DICOM. The system restarts. The exam ends, and any tables and report 5 In the Author box, type a unique name. Clips export in H.
To view them, SonoSite recommends QuickTime 7. DICOM is an optional feature. Page 34 USB Devices setup Select to display the next This feature depends on transducer page. See the SonoSite Biopsy user guide. M Mode imaging. While you position or resize the ROI box, a 3 Press the key.
M MODE green outline shows the change. The active selection is green. Also, the setting Low, Med, and High. In PW Doppler imaging, you can set the Page Adjusting Depth And Gain box. GAIN mean. Near and far correspond to the time gain compensation TGC controls on other ultrasound systems.
Select to display the next page. You cannot pan in Imaging modes and exams available by Dual. The diagnostic capability differs for — Page Patient Information Form The default home position depends on the 4 Press the key to set the arrow. ARROW imaging screen layout. You can reset the The arrow changes from green to white. The pictograph set available depends on transducer and exam type. Worklist feature is licensed and configured. Page Images And Clips Saving the heart rate using a measurement By default, the key saves only the image.
As SAVE overwrites this entry. To change the units, see preview, and save clips. Automatically calculated after you enter 2 Press the Contact SonoSite Technical Support. Printing, exporting, and deleting images and clips 3 Fill in the form fields, and select OK. Caution: Use only accessories recommended 5 Select Export. Your system can be damaged by The files are finished exporting connecting an accessory not approximately five seconds after the USB recommended by SonoSite. Removing the USB storage Gain Increases or decreases ECG gain.
Settings are Position Sets the position of the ECG trace. Delay Displays Line and Save for clip acquisition delay. Page 50 ECG Monitoring Page Chapter 4: Measurements And Calculations Chapter 4: Measurements and Calculations You can measure for quick reference, or you can Working with calipers measure within a calculation.
You can perform When measuring, you work with calipers, often general calculations as well as calculations in pairs. The results update as you reposition the calipers by using the Measurements are performed on frozen images. Outside a calculation, you can add calipers by Measurements pressing the key. You can have multiple CALIPER sets of calipers and can switch from one set to You can perform basic measurements in any another, repositioning them as needed.
Each set imaging mode and can save the image with the shows the measurement result. The active measurements displayed.
Except for the M Mode HR green. A measurement is complete when you measurement, the results do not automatically finish moving its calipers. If you prefer, you can first begin a calculation and then Within a calculation, calipers appear when you Page 2D Measurements To improve precision of caliper placement You can perform a combination of distance, area, circumference, and manual trace measurements Do any of the following: at one time.
Page M Mode Measurements 4 Press the key. Saving the heart rate measurement to the patient report overwrites The basic measurements that you can perform in any heart rate entered on the patient information M Mode imaging are as follows: form.
A single caliper appears. The measurement results appear. The calculation saves to the patient report, and the image saves to internal storage EMED calculations with the measurements displayed. Displaying, repeating, and deleting All EMED calculations are available for each saved measurements in calculations exam type. Page 57 b Using the touchpad, move the caliper to the trace starting point, and press the Transducer Exam Types key.
L25x Vascular, Muscle Save the calculation. Do the following for each image you need to To avoid misdiagnosis or harming measure: the patient outcome, start a new a On the frozen 2D image, press the Page Exam-Based Calculations c Using the touchpad, position the vertical caliper at the beginning of the waveform. Transducer Exam Type If calipers are not positioned correctly, the calculation result is inaccurate.
P21x Cardiac e Using the touchpad, position the second vertical caliper at the end of the waveform. TEEx Cardiac Press the key to complete the trace and The following table shows the measurements to display the results. Cardiac Menu Calculation Measurements PGmax 3 Position the active green caliper at the E Doppler starting point. Page 64 c Using the touchpad, trace the left 5 Positioning the calipers, measure the ventricular LV cavity. To measure peak velocity Save the calculation.
Page 65 4 Using the touchpad, trace the waveform. The PISA calculation requires a measurement in 2D, a measurement in Color, and two For information on the automatic trace tool, see measurements in Doppler spectral trace.
Page 66 To make a correction, select Undo 4 Press the key. For information on the automatic trace tool, see Save the calculation. After the 1 On a frozen Doppler spectral trace, press the measurements are saved, the result appears in Position the calipers. Save the calculation. To avoid misdiagnosis or harming Calculate HR. Page Imt Calculations To measure follicles To avoid incorrect calculations, You can save up to six follicular measurements, verify that the patient information, one distance measurement for each of up to six date, and time settings are follicles.
A single caliper appears, and Trace appears d If necessary, adjust or edit the next to the measurement. Starting a new patient information form Gestational — Press the 5 Using the touchpad, position the second key, and position the second SELECT vertical caliper at the peak of the next caliper at the end diastole on the heartbeat.
Press the To calculate d:D ratio Verify that the patient information, 1 On a frozen 2D image, press the Page Vascular Calculations 2 On a frozen Doppler spectral trace, press the Vascular calculations key. Starting a new patient information form a From the calculations menu, select the Page Patient Report 3 Do the following for each measurement you want to take: Vascular Calculations a From the calculations menu, select the Menu Vascular Calculation measurement name.
Heading Measurement Results b Using the touchpad, position the caliper at the peak systolic waveform. Prox s systolic , d diastolic c Press the key. Bulb s systolic , Save the calculation. The selected measurement is You can send a patient report to a PC as a text file. Ensure correct configuration. Make sure to use the connection cable supplied by SonoSite. Other connection cables OB patient report may cause audio interference, including an The OB patient report pages have a space for inaudible Doppler signal.
For twins, both measurement sets are plotted on the same graph. You can document reviewed anatomy. Page Chapter 5: Troubleshooting And Maintenance Chapter 5: Troubleshooting and Maintenance This chapter contains information to help correct Ensure that the DVD recorder is turned on and problems with system operation, to enter a set up properly.
External monitor does not work. Troubleshooting Check the monitor connections. If you encounter difficulty with the system, use Check the monitor to ensure that it is turned on the following list to help troubleshoot the and set up properly. See the monitor problem. Technical Support. Disconnect and reconnect the transducer. System does not turn on. Check all power connections. A maintenance icon appears on the system screen. System maintenance may be required. Refer to the To enter a license key disinfectant label instructions for guidance on disinfection efficacy 1 Turn on the system.
Doing so may cause recommended for clinical solution to leak into the system, applications of an invasive or damaging the system and voiding surgical nature. Page Cleaning And Disinfecting Transducers instructions for solution strengths and Using a non-recommended disinfectant contact duration. To clean and disinfect a battery wipe To clean and disinfect a transducer method immersion method 1 Remove the battery from the system.
To clean and disinfect the ECG cable wipe method 1 Remove the cable from the system. Apply the solution to the cloth rather than the surface. Page Recommended Disinfectants Before using a disinfectant, confirm that its regulatory status is appropriate for your jurisdiction and use. Verify expiration dates on chemicals.
When disposing of chemicals, follow manufacturer recommendations and EPA regulations. See www. Page Chapter 6: Safety Chapter 6: Safety This chapter contains information required by regulatory agencies, including information about the ALARA as low as reasonably achievable principle, the output display standard, acoustic power and intensity tables, and other safety information.
The information applies to the ultrasound system, transducer, accessories, and peripherals. Ergonomic safety These healthy scanning guidelines are intended to assist you in the comfort and effective use of your ultrasound system. Use of an ultrasound system may be linked to musculoskeletal disorders MSDs a,b,c Use of an ultrasound system is defined as the physical interaction between the operator, the ultrasound system, and the transducer.
Page Position The System e. Habes, D. Vanderpool, H. Friis, B. Smith, and K. Some ultrasound tasks may require longer or more frequent breaks. However, simply changing tasks can help some muscle groups relax while others remain or become active. Avoid sustaining the same posture by varying your head, neck, body, arm, and leg positions. Targeted exercises can strengthen muscle groups, which may help you avoid MSDs. Contact a qualified health professional to determine stretches and exercises that are right for you.
Electrical safety classification Class I equipment Ultrasound system powered from power supply or part of the Mobile Docking System Internally powered equipment Ultrasound system not connected to the power supply In 2D, a two-dimensional cross-section of a 3-dimensional soft.
Ultrasound echoes of different. The outline of the. It is used primarily for cardiac. Ultrasound echoes of different intensities are mapped to different gray scale values in a. M Mode displays time motion information of the ultrasound data derived. Depth is arranged along the vertical axis with time along the. M Mode can be used alone but is normally used in conjunction with a 2D.
The 2D image has a graphical line M-line superimposed on the. In color Doppler, a real-time, two-dimensional cross-section of blood flow is displayed. The 2D cross-section is presented as a full color display, with various colors being used to. Often, to. For each pixel in the overlay, the. A high pass filter wall filter is used to remove the signals from stationary or slowly moving. Tissue motion is discriminated from blood flow by assuming that blood is moving.
The remaining signal after wall filtering may be averaged over. In CPD, a real-time two-dimensional cross-section of blood flow is displayed. The 2D. Often, to provide spatial orientation, the full color. For each pixel in the overlay, the decision of whether to display CPD, gray.
The power in the remaining signal after wall filtering may be. Velocity or frequency is presented as the vertical. The magnitude of the detected signal is represented. CW Doppler mode provides the clinician with the ability to obtain blood flow velocities.
A continuous transmit waveform of ultrasound. The signal is analyzed by a. These two channels are then analyzed by a fast complex Fourier transform FFT.
The data are displayed. CW can be used alone but is normally used in conjunction with a 2D image for spatial. The 2D image has a graphical line D-line superimposed on the 2D image. Pulsed Wave PW provides a real-time representation of blood flow and is displayed as a.
PW Doppler velocity-versus-time sweeping output. Velocity or frequency is presented as the vertical axis with time along the horizontal axis. The magnitude of the detected signal is represented as different gray scale values. The ultrasound data is derived from a single area, the sample volume, on a stationary beam. PW Doppler mode provides the clinician with the ability to obtain blood flow velocities about a spatial sample volume. A burst of ultrasound with a known spectrum is transmitted by the system; on the receive side, the transducer receive echoes are amplified and range gated at the appropriate depth.
The signal is analyzed by a quadrature phase detector that establishes two receive channels to allow detection of flow direction. These two channels are then analyzed by a fast complex Fourier transform FFT circuit to establish the spectrum of frequencies present in the echoes. The data are displayed as spectrum frequencies with respect to time.
PW can be used alone but is normally used in conjunction with a 2D image for spatial reference. The 2D image has a graphical line D-line superimposed on the 2D image indicating where the M-mode beam is located.
The sample volume position depth and size are also indicated on the D-Line. The receive path can capture and. In addition to transmit pulse control, programmable digital signal processing is used. Digital filters are applied to the digitized received signal to limit and shape the. These parameters include: the. This feature is for ease of use for the operator by automatically setting up. The system can display a pair of biopsy guidelines that represent the anticipated. The image of an anatomical target, biopsy guidelines, a.
The system also provides needle guidance for vascular access. The system offers a variety of measurements and calculations, specific to exam type. A list of them , and author references, are in the system user guide. ECG is provided to measure the electrical signal generated by the heart.
A three lead. The ECG module allows a representation of the heart electrical activity to be displayed in real time with ultrasound images acquired and displayed on the system video display.
The ECG received signal from the ECG electrodes are isolated, amplified, and filtered by the ECG module before it is sent to the system for further processing and display. The ECG module and cable are an integrated assembly. The module receives power from the system. Patient isolation is provided by the ECG module, allowing the connection and signals to the system to be system-ground referenced.
The system features Digital Imaging and Communications DICOM capability to provide the acceptance, transfer, display, storage, and digital processing of single ultrasound images as well as loops of ultrasound images. The intima is that region of the arterial wall from and including the endothelial surface at the lumen to the luminal margin of the media. The media layer extends from the intima to the adventitia of the vessel wall. The adventitia is normally quite echogenic on ultrasound images when compared to the media.
This section contains system and accessory specifications and agency approvals. See the applicable SonoSite accessory user guide for information on the accessories. The number of images and clips you can save varies with imaging mode and file format.
Peripherals include the following medical grade conforming to the requirements of EN and non-medical grade commercial products. Instructions for using peripherals with the system are in the applicable SonoSite accessory user guide. Note: The temperature, pressure, and humidity limits apply only to the ultrasound system and transducers.
General Requirements for Safety. General Requirements for Safety—Section Collateral Standard. Safety Requirements for Medical Electrical Systems. Part 1. General Requirements for Safety-Collateral Standard. Electromagnetic Compatibility. Requirements and Tests. This chapter contains information to help you correct problems with system operation and provides instructions on the proper care of the system, transducer, and accessories.
There is no recommended periodic or preventive maintenance required for the system, transducers, or accessories. There are no internal adjustments or alignments required. There are no functions that require periodic testing or calibration.
Performing maintenance activities not described in this manual may void the product warranty. This section covers basic diagnostic and troubleshooting procedures you may follow if the system does not operate properly.
To diagnose system failures, consult the referenced diagnostic figures that follow or SonoSite Technical Support. Replacement of board level components by unauthorized service facilities voids the SonoSite warranty. Test equipment is not required for this troubleshooting section. Troubleshooting test aids include an external monitor and a spare battery.
If an assert screen appears, note the assert code and contact SonoSite Technical Support to clarify the failure. Figure 3. Hardware asserts typically require main PCBA replacement. Software asserts can be reset and the system may recover. A simple method to identify the cause of the assert is identified here:. Contact SonoSite Technical Support for assistance and to obtain repair parts. If the Power button is not functional, all sources of power must be removed to allow the system to power down.
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Please check your email for further instructions. Enter a new password. Contents Chapter 1: Introduction Audience Chapter 1: Introduction Before servicing the M-Turbo ultrasound system, please read this manual.
Audience The intended audience of this manual is properly trained field and in-house service personnel. Labeling symbols are in the user guide. Contact Information Questions and comments are encouraged. Chapter 1: Introduction 1. Chapter 2: System Overview About the System The SonoSite M-Turbo high-resolution ultrasound system is a portable, full featured, general purpose, software controlled, diagnostic ultrasound system using all digital architecture.
Chapter 2: System Overview 3. Description of Operating Modes 2D Mode 2D mode is a two dimensional image of the amplitude of the echo signal. It is used for location and measurement of anatomical structures and for spatial orientation during operation of other modes. In 2D, a two-dimensional cross-section of a 3-dimensional soft tissue structure such as the heart is displayed in real time. Ultrasound echoes of different intensities are mapped to different gray scale or color values in the display.
The outline of the 2D cross-section may be a rectangle, parallelogram, trapezoid, sector, or a full circle, depending on the particular transducer used. It is used primarily for cardiac measurements such as valve timing and septal wall thickness when accurate timing information is required. Ultrasound echoes of different intensities are mapped to different gray scale values in a scrolling display. M Mode displays time motion information of the ultrasound data derived from a stationary beam.
Depth is arranged along the vertical axis with time along the horizontal axis. M Mode can be used alone but is normally used in conjunction with a 2D image for spatial reference. The 2D image has a graphical line M-line superimposed on the 2D image indicating where the M Mode beam is located.
Chapter 2: System Overview 5. Pulsed Wave PW provides a real-time representation of blood flow and is displayed as a PW Doppler velocity-versus-time sweeping output. Additional System Feature Performances Broadband Imaging This ultrasound acquisition system uses high resolution broadband technology in the transmit pulsers, transducer, and receivers.
The receive path can capture and process signals over a wide spectrum, from below 2. For each application, the transmit pulse is designed to produce an appropriate bandwidth. For example, in 2D grayscale imaging, a wide band pulse is used to support good axial resolution.
For Doppler modes, a narrower band pulse is used, which improves the spectral resolution of the detected Doppler signal. In addition to transmit pulse control, programmable digital signal processing is used in the receive path to further refine the bandwidth used to produce the final image. Digital filters are applied to the digitized received signal to limit and shape the spectral bandwidth used to generate the displayed output.
Tissue Specific In this feature, parameters for signal and image processing are optimized to Imaging maximize the image quality or to obtain the best compromise of resolution and penetration for different specific clinical applications.
These parameters include: the order of received filters, the bandwidth, the dynamic range, the compression curve, the gain setting and parameters for compounding frequency band, etc.
For example, different system parameter setups are used for abdominal or peritoneal scanning. This feature is for ease of use for the operator by automatically setting up system control parameters rather than manually adjusting settings for best performance.
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