prosound F75 Instruction Manual Safety Instruction rev 10

ProSound logo is a registered trademark or trademark of Hitachi Aloka Medical, Ltd. in the Japan and/or other countries. Microsoft, Windows and Windows Media are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation. Portions of this software are based in part on the work of the Independent JPEG Group. All brand name, product name, and system name are registered trademarks or trademarks of their respective owners. In this manual, ™ and ® are omitted. Real-time Tissue Elastography and HI REZ is registered trademarks of Hitachi Medical Corporation in Japan. Copyright©Hitachi Aloka Medical, Ltd. All rights reserved.

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INTRODUCTION

Introduction This is an instruction manual for model ProSound F75, a diagnostic ultrasound system. Read the manual carefully before using the instrument. Take special note of the items in Chapter 1, "Safety Precautions." Keep this manual securely for future reference.

Symbols Used in this Document The following items are important in preventing harm or injury to the operator of the equipment and the patient. There are 4 levels of harm/damage that can be caused by ignoring instructions/displays and using the equipment incorrectly: "Danger," "Warning," "Caution," and "Note." These types are indicated by the following symbols. Indicates an imminently hazardous situation which, if not avoided, will result in the death or serious injury of the operator of the equipment. Indicates a hazardous situation which, if not avoided, may result in death or serious injury. Indicates a hazardous situation which, if not avoided, may result in slight or moderate injury, or property damage. Indicates a request concerning an item that must be observed in order to prevent damage or deterioration to equipments and also to ensure effective use.

Contents of cautions shows the following graphics.

This mark means the corresponding item is "alerted".

This mark means the corresponding item is "prohibited".

This mark means the corresponding item is "required".

The format of this document shows the following contents. NOTE: shows common notes. IMPORTANT: shows important considerations.

Input items, output from the equipment and messages on screen are described as message. Menu and Switches are described as Menu. Sub-menus under the main menu are described as Menu > sub-menu > sub-menu.

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3

INTRODUCTION

About the ProSound F75 The ProSound F75 is intended to be used by doctors and other qualified personnel in fracture diagnostics and hemodynamic diagnostics. However, this equipment is not designed to be used in ophthalmic ultrasound diagnosis, as its sound intensity is not compliant with ophthalmic restrictions established by the FDA. Only physicians and other qualified personnel should operate this equipment for diagnostic purposes. Read section 1-1 of the Safety Instruction. 1)

PRECAUTIONS Concerning the Use/Management of the ProSound F75 •

Do not disassemble, repair or remodel this equipment or optional features without our consent. NOTE:

Disassemble is removing the parts or options from the equipment using

tools. NOTE:

Remodel is installing or connecting the unspecified parts or equipments, including replacement of power cord. •

Assemble of the equipment or optional accessories shall be performed by a third party certified by us. Please contact one of our offices listed on back cover. NOTE:

Assemble is installing and connecting the parts or optional accessories in the main equipment using tools.

2)

•

Transporting this equipment (via automobile/ship) shall be performed by a third party certified by the manufacturer. Please contact one of our offices listed on back cover.

•

Please conduct routine cleaning and inspection of the equipment. Refer to Chapter 5 of the Safety Instruction for details. .

•

Ensure that the output level of the scan conforms to the required duration of diagnosis.

•

If any malfunction or abnormality is discovered during operation of the equipment, remove the probe from the patient immediately and discontinue use. If any abnormality is observed in the patient, provide proper care as quickly as possible. Refer to Chapter 4 of the Safety Instructions for more information on dealing with the equipment appropriately. If the malfunction is not listed in Chapter 4 of the Safety Instructions, contact one of our offices listed on back cover.

PRECAUTIONS for the ProSound F75 Installation This equipment is a medical electrical equipment that intended for use in hospitals, research facilities. The equipment should be installed in accordance with the following guidelines. •

Install in accordance with Chapter 3 of the Safety Instructions. .

•

Install in an environment that conforms to the operating environments indicated in section 2-2-1 of the Safety Instructions.

•

Install in an environment that ensures electromagnetic compatibility, in accordance with section 1-2-6 of the Safety Instructions, "Precautions Concerning the Maintenance of Electromagnetic Compatibility," and Item 1-3, "Guidelines for Electromagnetic compatibility." NOTE:

The electromagnetic compatibility (EMC) is ability of device to function satisfactorily in its electromagnetic environment without introducing intolerable electromagnetic disturbance to anything in that environment.

4

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INTRODUCTION

Classification of the ProSound F75 • Protection against electric shock (ME equipment): class I • ME equipment • Protection Against Electric Shock (Applied Parts): Type BF Applied Parts –

Probe/scanner applied parts and parts treated as applied parts: Refer to the following diagram (Probe/Scanner Pattern Diagram) and table.

Figure: Probe/Scanner Pattern Diagram Above illustrates a surface/intraoperative probe. Below shows a coelomic probe. B

C

A

connector

D

connector

C

A

Applicable part of body

Applied part

parts treated as applied parts

B - C length

surface of body

Ultrasonic irradiation area (D)

A to B

100 cm

Intraoperative

Ultrasonic irradiation area (D)

A to B

20 cm

Endocavity

A to C

A to C

N/A

–

ECG, PCG, Pulse Applied part can be used up to 2 m from each cable's electrodes (refer to image below) e.g.: ECG 2 meters ECG electrodes

connector ECG patient lead

• Protection against electric shock (Defibrillation-proof applied parts): Not suitable • Protection against harmful ingress of water or particulate matter –

Equipment: IPX0 (Ordinary equipment)

–

Probe applied part: IPX7 (Watertight equipment)

• Suitability for use in an oxygen rich environment: Not suitable • Method(s) of sterilization: Not suitable for sterilization/disinfection with medicinal solution, gas or radiation. • Mode of operation: Continuous operation

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INTRODUCTION

License Agreement Microsoft Software License Terms Notes on Microsoft Software License Terms This ultrasound diagnostic system uses Windows operating system, a product of Microsoft Corporation in the United States. Details regarding Windows license terms are described in the following pages. Please read these terms before using the ultrasound diagnostic system. Terminology that appears in the license terms is defined as follows; • "This device" refers to the ultrasound diagnostic system. • "This software" refers to Windows. • "[OEM]" refers to Hitachi Aloka Medical Corporation. • "Other software" refers to the ultrasound diagnostic system software and other related software. For the Microsoft Software License Terms, the following restrictions are given priority to ensure safe and stable operation of the ultrasound diagnostic system. Confirm all of the following; • Only Windows functions, updates, add-on software, Internet-based services, and support services authorized by Hitachi Aloka Medical Corporation can be used. • Internet-related services cannot be used except for Sentinel customer service. • Terminal services, file services, print services, Internet information services, and Internet connection sharing and telephony services cannot be used. • The remote boot feature cannot be used. • Remote access technologies such as Remote Desktop cannot be used. • Windows Update Agent (Software Update Services) cannot be used. • Backup copies of Windows cannot be made. For inquiries to Hitachi Aloka Medical Corporation regarding these license terms, please contact service support.

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INTRODUCTION

Windows XP Embedded and Windows Embedded Standard Runtime These license terms are an agreement between you and [OEM]. Please read them. They apply to the software included on this device. The software also includes any separate media on which you received the software. The software on this device includes software licensed from Microsoft Corporation or its affiliate. The terms also apply to any Microsoft. • Updates • Supplements • Internet-based services • Support services for this software, unless other terms accompany those items. If so, those terms apply. If you obtain updates or supplements directly from Microsoft, then Microsoft, and not [OEM], licenses those to you. As described below, using some features also operates as your consent to the transmission of certain standard computer information for Internet-based services. By using the software, you accept these terms. If you do not accept them, do not use or copy the software. Instead, contact [OEM] to determine its return policy for a refund or credit. If you comply with these license terms, you have the rights below. 1)

Use Rights. You may use the software on the device with which you acquired the software.

2)

Additional Licensing Requirements and/or Use Rights. a)

Specific Use. [OEM] designed this device for a specific use. You may only use the software for that use.

b)

Other Software. You may use other programs with the software as long as the other programs. –

Directly support the manufacturer’s specific use for the device.

–

Provide system utilities, resource management, or anti-virus or similar protection.

Software that provides consumer or business tasks or processes may not be run on the device. This includes email, word processing, spreadsheet, database, scheduling and personal finance software. The device may use terminal services protocols to access such software running on a server. c)

Device Connections. –

You may use terminal services protocols to connect the device to another device running business task or processes software such as email, word processing, scheduling or spreadsheets.

–

You may allow up to ten other devices to access the software to use. •

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File Services

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INTRODUCTION •

Print Services

•

Internet Information Services

•

Internet Connection Sharing and Telephony Services

The ten connection limit applies to devices that access the software indirectly through “multiplexing” or other software or hardware that pools connections. You may use unlimited inbound connections at any time via TCP/IP.

3)

Scope of License. The software is licensed, not sold. This agreement only gives you some rights to use the software. [OEM] and Microsoft reserve all other rights. Unless applicable law gives you more rights despite this limitation, you may use the software only as expressly permitted in this agreement. In doing so, you must comply with any technical limitations in the software that allow you to use it only in certain ways. For more information, see the software documentation or contact [OEM]. Except and only to the extent permitted by applicable law despite these limitations, you may not; •

Work around any technical limitations in the software.

•

Reverse engineer, decompile or disassemble the software.

•

Make more copies of the software than specified in this agreement.

•

Publish the software for others to copy.

•

Rent, lease or lend the software.

•

Use the software for commercial software hosting services.

Except as expressly provided in this agreement, rights to access the software on this device do not give you any right to implement Microsoft patents or other Microsoft intellectual property in software or devices that access this device. You may use remote access technologies in the software such as Remote Desktop to access the software remotely from another device. You are responsible for obtaining any licenses required for use of these protocols to access other software. •

Remote Boot Feature. If the [OEM] enabled the device Remote Boot feature of the software, you may. i)

use the Remote Boot Installation Service (RBIS) tool only to install one copy of the software on your server and to deploy the software on licensed devices as part of the Remote Boot process.

ii)

use the Remote Boot Installation Service only for deployment of the software to devices as part of the Remote Boot process.

iii) download the software to licensed devices and use it on them. For more information, please refer to the device documentation or contact [OEM]. •

8

Internet-Based Services. Microsoft provides Internet-based services with the software. Microsoft may change or cancel them at any time.

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INTRODUCTION i)

Consent for Internet-Based Services. The software features described below connect to Microsoft or service provider computer systems over the Internet. In some cases, you will not receive a separate notice when they connect. You may switch off these features or not use them. For more information about these features, visit http://www.microsoft.com/windowsxp/downloads/updates/sp2/docs/privacy.mspx. By using these features, you consent to the transmission of this information. Microsoft does not use the information to identify or contact you.

ii)

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Computer Information. The following features use Internet protocols, which send to the appropriate systems computer information, such as your Internet protocol address, the type of operating system, browser and name and version of the software you are using, and the language code of the device where you installed the software. Microsoft uses this information to make the Internet-based services available to you. •

Web Content Features. Features in the software can retrieve related content from Microsoft and provide it to you. To provide the content, these features send to Microsoft the type of operating system, name and version of the software you are using, type of browser and language code of the device where the software was installed. Examples of these features are clip art, templates, online training, online assistance and Appshelp. These features only operate when you activate them. You may choose to switch them off or not use them.

•

Digital Certificates. The software uses digital certificates. These digital certificates confirm the identity of Internet users sending X.509 standard encrypted information. The software retrieves certificates and updates certificate revocation lists. These security features operate only when you use the Internet.

•

Auto Root Update. The Auto Root Update feature updates the list of trusted certificate authorities. You can switch off the Auto Root Update feature.

•

Windows Media Player. When you use Windows Media Player, it checks with Microsoft for •

Compatible online music services in your region

•

New versions of the player

•

Codecs if your device does not have the correct ones for playing content. You can switch off this feature. For more information, go to: http://microsoft.com/windows/windowsmedia/mp10/privacy.aspx.

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INTRODUCTION •

Windows Media Digital Rights Management. Content owners use Windows Media digital rights management technology (WMDRM) to protect their intellectual property, including copyrights. This software and third party software use WMDRM to play and copy WMDRM-protected content. If the software fails to protect the content, content owners may ask Microsoft to revoke the software’s ability to use WMDRM to play or copy protected content. Revocation does not affect other content. When you download licenses for protected content, you agree that Microsoft may include a revocation list with the licenses. Content owners may require you to upgrade WMDRM to access their content. Microsoft software that includes WMDRM will ask for your consent prior to the upgrade. If you decline an upgrade, you will not be able to access content that requires the upgrade. You may switch off WMDRM features that access the Internet. When these features are off, you can still play content for which you have a valid license.

iii) Misuse of Internet-based Services. You may not use these services in any way that could harm them or impair anyone else’s use of them. You may not use the services to try to gain unauthorized access to any service, data, account or network by any means.

10

4)

Windows Update Agent (also known as Software Update Services). The software on the device includes Windows Update Agent (“WUA”) functionality that may enable your device to connect to and access updates (“Windows Updates”) from a server installed with the required server component. Without limiting any other disclaimer in this Micrososoft Software License Terms or any EULA accompanying a Windows Update, you acknowledge and agree that no warranty is provided by MS, Microsoft Corporation or their affiliates with respect to any Windows Update that you install or attempt to install on your device.

5)

Product Support. Contact [OEM] for support options. Refer to the support number provided with the device.

6)

Backup Copy. You may make one backup copy of the software. You may use it only to reinstall the software on the device.

7)

Proof Of License. If you acquired the software on the device, or on a disc or other media, a genuine Certificate of Authenticity label with a genuine copy of the software identifies licensed software. To be valid, this label must be affixed to the device, or included on or in [OEM]’s software packaging. If you receive the label separately, it is not valid. You should keep the label on the device or packaging to prove that you are licensed to use the software. To identify genuine Microsoft software, see http://www.howtotell.com.

8)

Transfer to a Third Party. You may transfer the software only with the device, the Certificate of Authenticity label, and these license terms directly to a third party. Before the transfer, that party must agree that these license terms apply to the transfer and use of the software. You may not retain any copies of the software including the backup copy.

9)

Not Fault Tolerant. The software is not fault tolerant. [OEM] installed the software on the device and is responsible for how it operates on the device.

10)

Restricted Use. The Microsoft software was designed for systems that do not require fail-safe performance. You may not use the Microsoft software in any device or system in which a malfunction of the software would result in foreseeable risk of injury or death to any person. This includes operation of nuclear facilities, aircraft navigation or communication systems and air traffic control.

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INTRODUCTION

11)

No Warranties for the Software. The software is provided “as is”. You bear all risks of using it. Microsoft gives no express warranties, guarantees or conditions. Any warranties you receive regarding the device or the software do not originate from, and are not binding on, Microsoft or its affiliates. When allowed by your local laws, [OEM] and Microsoft exclude implied warranties of merchantability, fitness for a particular purpose and non-infringement.

12)

Liability Limitations. You can recover from Microsoft and its affiliates only direct damages up to two hundred fifty U.S. Dollars (U.S. $250.00). You cannot recover any other damages, including consequential, lost profits, special, indirect or incidental damages. This limitation applies to; •

Anything related to the software, services, content (including code) on third party internet sites, or third party programs.

•

Claims for breach of contract, breach of warranty, guarantee or condition, strict liability, negligence, or other tort to the extent permitted by applicable law. It also applies even if Microsoft should have been aware of the possibility of the damages. The above limitation may not apply to you because your country may not allow the exclusion or limitation of incidental, consequential or other damages.

13)

Export Restrictions. The software is subject to United States export laws and regulations. You must comply with all domestic and international export laws and regulations that apply to the software. These laws include restrictions on destinations, end users and end use. For additional information, see www.microsoft.com/exporting.

Warning regarding the software used for this instrument Regarding the software installed in this instrument, the following is prohibited.

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1)

Reselling, assigning, or transferring the software itself

2)

Reverse engineering, reverse compiling, or reverse assembling

3)

Modification, alteration or translation

4)

Creating copies or duplicates

5)

Leasing to third parties

11

CONTENTS 1 Safety Precautions 1-1

Purpose of Use ... 1-1

1-2

Precautions for Use ... 1-2 1-2-1 1-2-2 1-2-3 1-2-4 1-2-5 1-2-6

1-3

Electromagnetic compatibility ... 1-16 1-3-1 1-3-2 1-3-3 1-3-4 1-3-5

1-4

Warnings and Safety Notice ... 1-3 Labels ... 1-6 Precautions concerning acoustic power ... 1-12 Precautions for Use in Conjunction with Drugs ... 1-13 Precautions for Use in Conjunction with Other Medical Devices... 1-14 Guideline for Electromagnetic Compatibility... 1-15 Guidance and manufacturer’s declaration –electromagnetic emissions ... 1-16 Essential performance... 1-17 Guidance and manufacturer’s declaration – electromagnetic immunity ... 1-18 Guidance and manufacturer’s declaration – electromagnetic immunity ... 1-19 Recommended separation distances between portable and mobile RF communications equipment and the ProSound F75 ...1-20

Electrostatic Discharge (ESD) Guidelines ... 1-21

2 Specifications and Parts Name 2-1

Principle of Operation ... 2-1

2-2

Specifications ... 2-3 2-2-1 2-2-2 2-2-3

2-3

Environmental Conditions ... 2-6 Power Requirements ... 2-6 Classification of the ProSound F75 ... 2-7

Name of Each Parts ... 2-8 2-3-1 2-3-2

Exterior ... 2-8 Operation Panel ... 2-12

3 Preparation for Use 3-1

Installing the equipment ... 3-1

3-2

Connecting the Peripheral Instrument ... 3-3 3-2-1 3-2-2 3-2-3

3-3

Moving the equipment ... 3-11 3-3-1 3-3-2

3-4

12

Connecting a Probe to the Instrument... 3-4 Connect the Physiological Signal Connector ... 3-6 Connecting with Other Instrument ... 3-8 Isolate from the supply main ... 3-11 Moving equipment ... 3-12

Storing the Instrument ... 3-15

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3-5

Inspection Before Using ... 3-16 3-5-1 3-5-2 3-5-3 3-5-4 3-5-5

3-6

Screen Display ... 3-20 3-6-1 3-6-2

3-7

Character Display ... 3-20 Graphic Display ... 3-22

Adjusting the Operation Panel ... 3-24 3-7-1 3-7-2 3-7-3 3-7-4

3-8

External Inspection ... 3-16 Operation Check ... 3-17 Modifying the Date and Time ... 3-18 Specifying the Hospital Name ... 3-19 Volume Control... 3-19

Adjusting the Operation Panel... 3-24 Adjust the Horizontal and Vertical Position and Orientation of the Operation Panel ... 3-25 Changing the Labeling of the Operation Panel Switches ... 3-26 Adjusting the Brightness of the Operation Panel Switch ... 3-27

Adjusting the Monitor ... 3-28 3-8-1 3-8-2

Adjusting the Monitor position ... 3-28 Adjusting the Brightness of the Monitor and the Touch Panel ... 3-30

3-9

Viewing the instruction manual on the CD-ROM ... 3-34

3-10

The Flow of the preparation to the study ... 3-35 3-10-1 3-10-2 3-10-3 3-10-4

Operating Mode... 3-35 Freezing image/Unfreezing image ... 3-36 Measuring on a ultrasound image ... 3-36 Printing images or Storing images ... 3-36

4 Troubleshooting 4-1

Messages ... 4-1

4-2

Dialog messages ... 4-2

4-3

Assistance messages ... 4-9

4-4

Other troubles ... 4-11 4-4-1

Image Display and Image Degradation ... 4-11

5 Maintenances 5-1

After Using the Instrument ... 5-1 5-1-1

5-2

5-3

Cleaning ... 5-3 5-2-1 5-2-2 5-2-3

Clean the Instrument ... 5-4 Cleaning the Air Filter ... 5-5 Cleaning the Endo-cavity Probe Holder (Horizontal)... 5-6

5-2-4

Cleaning the Trackball... 5-8

Maintenance ... 5-9 5-3-1 5-3-2 5-3-3

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State of the Instrument and Accessories... 5-2

Daily check: For Using the Instrument for a Long Period ... 5-10 Checking the Measurement Accuracy... 5-11 Safety Inspection... 5-18

13

6 ACCESSORIES and OPTIONS 6-1

Product composition ... 6-1

6-2

Options ... 6-2 6-2-1 6-2-2

Recording Devices ... 6-2 Functional Expansion Units ... 6-3

6-2-3 6-2-4

Other Accessories ... 6-3 Softwares ... 6-4

7 Probes 7-1

Caution in the Handling of Probes ... 7-1 7-1-1 7-1-2 7-1-3

7-2

Probe specifications ... 7-10 7-2-1 7-2-2 7-2-3 7-2-4 7-2-5 7-2-6

7-3

Caution about Handling of Probes ... 7-1 Caution about handling the Transesophageal Echocardiogram probes ... 7-3 Cautions about Cleaning and Storage ... 7-8 Convex Sector Probes ... 7-11 Linear Probes ... 7-14 Phased Array Sector Probes ... 7-16 3D Scanners... 7-19 Independent Probes ... 7-20 Bi-plane Probes ... 7-21

Clinical Measurement Range ... 7-22

8 Acoustic Output Safety Information 8-1

Acoustic output index ... 8-1

8-2

Interaction between ultrasound and tissues ... 8-3 8-2-1

8-3

Derivation and Meaning of MI / TI ... 8-6 8-3-1 8-3-2

Mechanical Index (MI) ... 8-6 Thermal Index (TI) ... 8-7

8-4

Setting condition influencing device output ... 8-9

8-5

Recommendation on ALARA principle ... 8-10

8-6

Default Setting ... 8-11

8-7

Acoustic output limits ... 8-11

8-8

Measurement uncertainties ... 8-12 8-8-1 8-8-2

8-9

14

Possible Biological Effects ... 8-4

Protocol for calculating the measurement uncertainties... 8-12 Results of measurement uncertainties ... 8-15

References ... 8-22

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1 Safety Precautions 1-1 Purpose of Use

1

Safety Precautions

1-1

Purpose of Use In the diagnostic ultrasound system, ultrasound images are produced as follows; Ultrasound wave pulses released from transducer are reflected at the internal body system. Reflected wave are transmitted the transducer, and ultrasound image are produced with the reflected image on the monitor. You can distinguish internal body system because the acoustic impedances vary among the internal organs. Ultrasound images are used for various diagnoses of the internal body system. This system ProSound F75 is intended to be used by doctors and other qualified persons for performing slice diagnoses and blood circulation diagnoses in the following parts of the human body. • Thorax • Abdomen • Perineum and pelvis • Lower limbs • Back • Upper limbs • Head • Neck Do not use it for any applications other than those stated above.

Do not use this equipment for performing ultrasound diagnosis of the eyes. The acoustic power from this equipment exceeds the upper ophthalmological limit indicated in the U.S. FDA standards.

Do not use it for any application that is not covered in the instruction manual of the probe. There is a risk of injuries or burns of the patient or oprator. There is a risk of electrical shock, breakdown or other accidents.

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1-1

1 Safety Precautions 1-2 Precautions for Use

1-2

Precautions for Use Before using this equipment, please read this manual. Especially be sure to read "1. Safety Precautions". Keep this manual securely for future reference. The following items are important in preventing harm or injury to the operator of the instrument and the patient. There are 4 levels of harm that can be caused by ignoring instructions or displays and using the instrument incorrectly: "Danger," "Warning," "Caution," and "Note." Indicates an imminently hazardous situation which, if not avoided, will result in the death or serious injury of the operator of the equipment. Indicates a hazardous situation which, if not avoided, may result in death or serious injury. Indicates a hazardous situation which, if not avoided, may result in slight or moderate injury, or property damage. Indicates a request concerning an item that must be observed in order to prevent damage or deterioration to instruments and also to ensure effective use.

These types are indicated by the following symbols.

This symbol means the corresponding item is "alerted".

This symbol means the corresponding item is "prohibited".

This symbol means the corresponding item is "required".

1-2

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1 Safety Precautions 1-2 Precautions for Use

1-2-1

Warnings and Safety Notice

• Do not use this instrument in a flammable atmosphere. This equipment is not suitable for use in a flammable environment. It could cause an explosion.

• Do not disassemble, repair or remodel the equipment or optional features without our consent. Electic shock or other accidents could result. Please contact one of our offices listed on back cover. • Clean, disinfect and sterilze the probes as described in their documentation, before using them. • Wear medical gloves during inspection, and wash your hands after inspection. • Destroy the probes used on patients with Creutzfeld-Jacob disease patients. At present, there are no known methods available to properly clean and sterilize probes exposed to Creutzfeld-Jacob disease. There is a risk of infection of the patient and the examiner.

• If anything unusual occurs when this instrument is used, take the probe away from the patient immediately, and stop using the instrument. If the patient’s condition is abnormal, provide appropriate medical treatment. When using this instrument, watch to make sure that it is functioning normally, and that the patient is not abnormally affected. • DO NOT connect any probes or options to the ProSound F75 which is not specified in this manual. There is a risk of injuries or burns of the patient or oprator. There is a risk of electrical shock, breakdown or other accidents. • DO NOT assemble or transport the equipment or its options via automobile or ship. For assemble or transport the equipment and its options, please contact one of our offices listed on back cover. Place instrument in the following location. • Place the instrument on a flat horizontal surface with sufficient stability and minimal vibrations. • DO NOT place the instrument on a precarious or uneven surface. • Avoid locations where the unit will be exposed to water, other liquids, salt or sulfur vapors, and keep out of direct sunlight. These locations may cause injuries such as burns to the patient or examiner.

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1-3

1 Safety Precautions 1-2 Precautions for Use

• Scan for the minimum length of time necessary for the diagnosis, and at the lowest suitable output. There is the possibility that the patient’s internal tissues could be affected. • Hold a probe tightly not to slip, especially when using ultrasound gel or others. Place the unused probe in the probe holder. Otherwise, the probe may slip out of your hands and hit a patient or a examiner. • Coating the probe with an ultrasound medium before using. • When probe is not in use even during an examination, freeze the image. Use of an ultrasonic beam into the air without coating the probe with an ultrasound medium, may cause surface temperature to rise. It could cause burns to the patient or examiner. • DO NOT touch the exposed sockets of the probe’s connector, or USB connector sockets. • DO NOT touch the patient with parts other than the applied probe. Doing so may cause electric shock or short circuits. • Always use the instrument in dried state. Avoid rapid temperature change which may cause condensation. Using the instrument on/in which condensation occurs or is spilled liquid, can cause electric shock or short-circuiting. Let the instrument to stand for a while in the newly installed location to allow it to become acclimated to the environment before switching it ON. • DO NOT cover the vent. If the temperature gets hot, there is a risk of short-circuiting or other accidents. • Adjust the position and orientation of the monitor and operation panel by keeping a sufficient distance between the instrument and the peripheral equipment, walls and people. Contact with the monitor may result in injury or damage to the peripheral equipment, main unit or touch panel. Warn the doctor or patient before adjusting the position and orientation of the monitor. If you adjusted the position or orientation of the monitor after the examination is started, warn the patient and others and reset the position of the monitor to the home position after the examination is completed. • Perform regulary maintenance and inspection in this manual. If components of the equipment deteriorate due to years of use. There is a risk for degrading its performance, breaking down, emitting smoke or ignition. If you notice any problems, please contact one of our offices listed on back cover.

1-4

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1 Safety Precautions 1-2 Precautions for Use

Safety precautions about Power Plug and Cable

Use the power cable provided, and plug it directly into the wall receptacle (hospital grade). Using the cables or adapters to extend or branch the power connection may cause a short circuit, ground leakage or fire. • DO NOT damage, modify or sever the power cable. • DO NOT twist, bundle, forcibly bend, pull or place heavy objects on the cable. Damaging the power cable may cause electric shock or short circuits. Should you discover deformations or abnormalities in the power cable or plug, stop using the equipment immediately. Using the equipment with damaged cable or plug may cause a loose connection or fire. Please contact one of our offices listed on back cover for servicing. Routinely disconnect the power cable plug from the outlet for washing. Use a dry cloth to wipe off any dust or moisture that accumulates on the power cable plug. Faulure to do so may cause electric shock or short-circuits. For extended periods of disuse, disconnect the power plug from the outlet. Turning the power switch OFF does not completely shut off power to the equipment.

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1-5

1 Safety Precautions 1-2 Precautions for Use

1-2-2

Labels Many marks are used in this equipment.

Labels that have a combination

and

(mainly connector sockets) includes following

safety caution;

DO NOT touch to the pins cropping out or nearing to them. There is risk of deterioration and failure of parts sensitive to static electricity. For details, See “Electrostatic Discharge (ESD) Guidelines” on page 1-21.

NOTE: Refer to probe documentation for more information on probe labels.

The following label indicates the risk of pinching in spaces or openings. Symbols are located in various places to indicate the relevant risks at that site. The following label indicates the risk of pinching in spaces or openings. Symbols are located in various places to indicate the relevant risks at that site.

Be careful of catching your fingers. There is a risk of injury of your hands or fingers.

Labels on Connectors and Connection Terminals

(1)

Probe connector and connector number (1 -4) (1)

Foot switch connector IPX8 : Protected against the effects of continuance immersion in water (indicated the optional foot switch).

(2)

Independent probe connecter (option)

(2)

1-6

MN1-5670 rev.10