Vivid E80 E90 E95 User Manual Ver 202 Rev 07 April 2017

Regulatory requirement This product complies with regulatory requirements of the following European Directive 93/42/EEC concerning medical devices.

0123 This manual is a reference for the Vivid E95, Vivid E90, and Vivid E80 ultrasound systems and covers the following models: Vivid E95 v202, Vivid E90 v202, and Vivid E80 v202. It applies to all revisions of the 202 software for the Vivid E95, Vivid E90, and Vivid E80 ultrasound systems, which will hereafter be listed as Vivid E95 / E90 / E80. All information in this manual is relevant for the three systems unless otherwise specified.

GE Vingmed Ultrasound AS Strandpromenaden 45 3191 Horten, Norway Tel:(+47) 3302 1100 Fax: (+47) 3302 1350 www.gehealthcare.com

Revision History Reason for change

REV

DATE (YYYY-MM-DD)

REASON FOR CHANGE

Rev. 01

2016-10-28

Initial draft

Rev. 02

2016-11-24

Revised draft

Rev. 03

2016-12-05

Revised draft

Rev. 04

2016-12-16

Revised draft

Rev. 05

2017-02-09

Revised draft

Rev. 06

2017-04-04

Initial release

Rev. 07

2017-04-27

M3 release

List of Effective Pages PAGE NUMBER All pages

REV Rev. 07

Please verify that you are using the latest revision of this document. Information pertaining to this document is maintained on ePDM (GE electronic Product Data Management). If you need to know the latest revision, contact your distributor, local GE Sales Representative or in the USA call the GE Ultrasound Clinical Answer Center at 1 800 682 5327 or 1 262 524 5698.

Vivid E95 / E90 / E80 – User Manual GC092540-100 07

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Regulatory Requirements

Conformance Standards The GE product families are tested to meet all applicable requirements and relevant standards per the countries in which the product will be sold. Any changes to accessories, peripheral units, or any other part of the system must be approved by the manufacturer: GE Vingmed Ultrasound AS. This product complies with the regulatory requirements of the following: Standard/Directive

Scope

93/42/EEC

Medical Devices Directive (MDD)

2006/42/EC

Machinery Directive (MD)

2012/19/EU

Waste Electrical and Electronic Equipment (WEEE)

2011/65/EU

Directive on the restriction of the use of certain hazardous substances in electrical and electronic equipment (ROHS)

IEC/EN 60601-1 ANSI/AAMI ES60601-1 CAN/CSA-C22.2 No. 60601-1

Medical Electrical Equipment - Part 1. General requirements for basic Safety and essential performance

IEC/EN 60601-2-37

Medical electrical equipment - Part 2-37. Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment

IEC/EN 60601-1-2

Medical Electrical Equipment - Part 1-2. General requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility - Requirements and tests

IEC/EN 60601-1-6

Medical Electrical Equipment - Part 1-6. General requirements for basic safety and essential performance - Collateral standard: Usability

NEMA/AIUM UD-3

Standard for real-time display of thermal and mechanical acoustic output indices on diagnostic ultrasound equipment.

IEC/EN 62304

Medical Device Software - Software life-cycle processes

IEC/EN 62366

Medical Devices - Application of usability engineering to medical devices

ISO 10993-1

Biological evaluation of medical devices

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Vivid E95 / E90 / E80 – User Manual GC092540-100 07

Certifications •

GE Vingmed Ultrasound AS is ISO 13485 certified.

Importer Information •

TURKEY ITHALATÇI

PENTA ELEKTRONİK MEDİKAL SİSTEMLER SAN. VE TİC. A.Ş. HOŞDERE CAD. FUAR SOK. 5 / 3 Y. AYRANCI / ANKARA

Classifications According to 93/42/EEC Medical Device Directive, this is a Class IIa Medical Device. The following classifications are in accordance with the IEC/ EN 60601-1: •

According to IEC/EN 60601-1, Equipment is Class I, with BF or CF Applied Parts.

Type of protection against electric shock: •

Class I Equipment

Degree of protection against electric shock: •

Type BF Applied part (for Probes marked with BF symbol)

•

Type CF Applied part (for PCG, ECG, and probes marked with CF symbol)

•

The ECG applied part is protected against defibrillation.

Continuous Operation System is IPX0. Footswitch is IPX8. Transducers are IPX7.

Class I Equipment EQUIPMENT in which protection against electric shock does not rely on BASIC INSULATION only, but also includes an earth ground. This additional safety precaution prevents exposed metal parts from becoming LIVE in the event of an insulation failure.

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Type BF Applied part TYPE BF APPLIED PART providing a specified degree of protection against electric shock with particular regard to allowable LEAKAGE CURRENT. Patient leakage current Normal condition

Single fault condition

d.c.

<10 microA

<50 microA

a.c.

<100 microA

<500 microA

Type CF Applied part TYPE CF APPLIED PART providing a degree of protection higher than that for Type BF Applied Part against electric shock particularly regarding allowable LEAKAGE CURRENT. Patient leakage current Normal condition

Single fault condition

d.c.

<10 microA

<50 microA

a.c.

<10 microA

<50 microA

Original Documentation The original document was written in English.

Software License Acknowledgements WindowBlinds™ OCX © Stardock ®

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Vivid E95 / E90 / E80 – User Manual GC092540-100 07

Table of Contents

Conformance Standards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-2 Certifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Importer Information - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Classifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Class I Equipment- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Type BF Applied part - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-4 Type CF Applied part - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-4 Original Documentation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-4 Software License Acknowledgements- - - - - - - - - - - - - - - - - - - - - - - - - - i-4

Table of Contents Chapter 1 - Introduction Overview Attention - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-2 Documentation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-3 Conventions used in this manual - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-3 Principles of operation- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-4 Indications for use - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-5 Contraindications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-6 Prescription device - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-6 Safety - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-6

Contact Information Contacting GE Ultrasound - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-7 Manufacturer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-13

Chapter 2 - Safety Safety Precautions Precaution Levels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-2

Owner responsibility Notice against user modification- - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-3

Acoustic output Definition of the acoustic output parameters - - - - - - - - - - - - - - - - - - - - 2-4 Acoustic output and display on the Vivid E95 / E90 / E80 - - - - - - - - - - - 2-5 ALARA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-7 Safety statement- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-7 System controls affecting acoustic output - - - - - - - - - - - - - - - - - - - - - - 2-8 OB Exam - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-10

Important safety considerations Patient safety - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-11 Personnel and equipment safety - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-15 Electromagnetic Compatibility (EMC) - - - - - - - - - - - - - - - - - - - - - - - - 2-19

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Environmental protection - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-26

Device labels Symbols- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-27

Chapter 3 - Prepare the System for Use Site requirements Power requirements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-2 Operating Environment - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-3 Environmental requirements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-3 Electromagnetic interferences - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-3 Connecting the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-4

System Overview Getting to know the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-7 Storage areas- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-9 Probe cable hook - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-9 Removable media- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-10 Physiological traces - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-18 Peripheral/accessory connector panel - - - - - - - - - - - - - - - - - - - - - - - 3-25 Wired Footswitch (Option) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-27

Switching On/Off Switch on the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-29 Log In - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-29 Switch off the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-30

Connect and disconnect probes Connect the probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-32 Activate the probe- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-34 Disconnect the probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-36

The Scanning screen The Title bar- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-38 Parameters window - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-39 Clipboard - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-39

Control panel Control Panel overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-40 Trackball area - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-42 Touch panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-43 The alphanumeric keyboard- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-48

Main display adjustment Lock/unlock the main display - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-49

Moving and transporting the system Wheels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-51 Moving the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-52 Transporting the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-54 Reinstalling at a new location- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-55

Chapter 4 - Start an Examination Starting an examination Creating a new patient record - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-2 Selecting an existing patient record - - - - - - - - - - - - - - - - - - - - - - - - - - 4-3 Ending an examination - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-3

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Vivid E95 / E90 / E80 – User Manual GC092540-100 07

Cineloop Cineloop overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-6 Using cineloop - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-7

Zoom Display zoom - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-9 HR zoom - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-9

Annotations To insert an annotation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-10 Editing annotations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-12 To erase annotations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-12 Bodymark - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-13 Annotation and bodymark configuration - - - - - - - - - - - - - - - - - - - - - - 4-13

Chapter 5 - Image Optimization 2D-Mode 2D-Mode overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-3 Using 2D-Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-5 Optimizing 2D- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-5

M-Mode M-Mode overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-7 Using M-Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-9 Optimizing M-Mode- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-10

Color Mode Color 2D Mode overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-11 Color M-Mode overview- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-13 Using Color Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-15 Optimizing Color Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-15

PW and CW Doppler PW and CW Doppler overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-17 Using PW/CW Doppler modes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-19 Optimizing PW/CW Doppler modes - - - - - - - - - - - - - - - - - - - - - - - - - 5-19

Tissue Velocity Imaging (TVI) TVI overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-21 Using TVI- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-23 Optimizing TVI - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-23

Tissue Tracking Tissue Tracking overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-24 Using Tissue Tracking- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-26 Optimizing Tissue Tracking - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-26

Strain rate Strain rate overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-27 Using Strain rate- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-29 Optimizing Strain rate - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-29

Strain Strain overview- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-30 Using Strain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-32 Optimizing Strain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-32

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Tissue Synchronization Imaging (TSI) TSI overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-33 Using TSI- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-35

Contrast Imaging Data acquisition - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-37 Quantification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-46 Contrast Echocardiography Box - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-47

Additional scanning features LogiqView - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-48 Compound - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-49 Virtual Convex - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-49 B-Flow - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-49 Blood Flow Imaging - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-50 Blood Speckle Imaging - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-50 View-X- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-51

Image controls Control panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-55 Touch panel and rotaries - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-55

Scan Assist Pro Scan Assist Pro overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-64 Setting up Scan Assist Pro - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-66 Using Scan Assist Pro- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-68

Chapter 6 - 4D and Multi-plane Modes 4D-Mode Real-time, single beat 4D imaging - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-2 Real-time, multi beat 4D imaging - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-2 4D-Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-3 4D Color Flow mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-13 Flexi-Slice - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-18 Basic operations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-21 4D-Mode controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-34

Multi-plane mode Bi-plane mode screen - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-41 Tri-plane mode screen - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-43 Using Multi-plane mode- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-45 Bi-plane prepare - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-45 Basic operations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-47 Multi-plane mode controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-49

FlexiViews

Chapter 7 - Stress Echo Overview Multi-plane Stress Echo- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-2 4D Stress Echo - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-2

Selection of a stress test protocol template Image acquisition Starting acquisition - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-5 Continuous capture mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-9

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Vivid E95 / E90 / E80 – User Manual GC092540-100 07

Stress Echo analysis Image selection for analysis- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-16 Wall motion scoring- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-18

Multi-plane Stress Echo Multi-plane Stress Echo acquisition - - - - - - - - - - - - - - - - - - - - - - - - - 7-22 Multi-plane Stress Echo analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-26

4D Stress Echo 4D Stress Echo acquisition - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-28 4D Stress Echo analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-31

Quantitative TVI Stress echo analysis Accessing QTVI Stress analysis tools - - - - - - - - - - - - - - - - - - - - - - - - 7-37 Vpeak measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-37 Tissue Tracking - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-40 Quantitative analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-40 References - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-40

AFI Stress AFI Stress analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-41 Reviewing a stored Bull's eye at any stress level - - - - - - - - - - - - - - - - 7-43

Editing/creating a Stress Echo protocol template Entering the Template editor screen - - - - - - - - - - - - - - - - - - - - - - - - - 7-45 Editing/Creating a template - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-46 Multi-plane Stress Echo Template setup - - - - - - - - - - - - - - - - - - - - - - 7-49

Chapter 8 - Measurements and Analysis Introduction General recommendations about measurements - - - - - - - - - - - - - - - - - 8-4 About Measurement results display - - - - - - - - - - - - - - - - - - - - - - - - - - 8-4

Assign and Measure modality Measure and Assign modality Measurements on volume renderings - - - - - - - - - - - - - - - - - - - - - - - - - 8-9

Measurements on protocol images Advanced cardiac measurements and analysis Event timing measurements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-11 TSI Measurements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-12 Automated Function Imaging - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-18 Cardiac AutoDoppler- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-38 Myocardial Work- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-41 AutoEF measurements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-45 Pediatric Z score measurement study - - - - - - - - - - - - - - - - - - - - - - - - 8-51

4D/Multi-plane LV 4D Auto LVQ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-52 Manual left ventricular volume measurements - - - - - - - - - - - - - - - - - - 8-69 TSI surface model- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-74

4D Auto RVQ Requirements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-76 Starting 4D Auto RVQ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-77 Align Views - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-78 Set Landmarks - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-79

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Review - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-79 Results - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-81 Approval - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-81

4D Auto MVQ Requirements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-82 Starting 4D Auto MVQ- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-83 Align Views - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-84 Set Landmarks - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-85 Review - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-87 Results - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-88 Approval - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-89

4D Auto AVQ Requirements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-90 Starting the 4D Auto AVQ tool - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-91 Slice alignment - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-92 LVOT segmentation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-92 Measurements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-94 Approval - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-95

Advanced vascular measurements and analysis Intima-Media Thickness- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-96 Vascular AutoDoppler - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-99

OB measurements OB graphs - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-101

Measurement result table Minimizing the Measurement result table - - - - - - - - - - - - - - - - - - - - 8-107 Moving the Measurement result table - - - - - - - - - - - - - - - - - - - - - - - 8-107 Deleting measurements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-107

Worksheet Overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-108 Using the Worksheet- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-109

Chapter 9 - Quantitative Analysis Introduction Q Analysis overview Starting Q Analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-3 Q Analysis screen- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-4

Using Q Analysis Generation of a trace - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-9 Saving/retrieving Q Analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-13 Frame disabling - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-13 Optimization - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-15 Switching modes or traces- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-19 Curve fitting analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-19 Anatomical M-Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-26

Chapter 10 - Archiving Introduction The dataflow concept Dataflows available - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-3

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Storing images and cineloops Storing an image - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-6 Storing a cineloop - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-7 Saving images and cineloops to a standard format - - - - - - - - - - - - - - 10-8 EZ DICOM CD Viewer- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-10

Retrieving and editing archived information Searching for a patient record - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-13 Editing data in the archive - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-16 Deleting archived information- - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-24 Moving examinations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-26

Review images in archive Review the images from a selected examination - - - - - - - - - - - - - - - 10-28 Review images from a selected patient record- - - - - - - - - - - - - - - - - 10-30

Connectivity The dataflow concept - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-34 Dataflow selection- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-37

Transfer of patient records/examinations Transferring patient records/examinations- - - - - - - - - - - - - - - - - - - - 10-39

Disk management Configuring the Disk management function - - - - - - - - - - - - - - - - - - - 10-47 Running the Disk management function - - - - - - - - - - - - - - - - - - - - - 10-50

Data Backup and restore Backup procedure- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-55 Restore procedure - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-59

Chapter 11 - Report Introduction Creating a report Working with the report function To open a report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-4 To choose another report template - - - - - - - - - - - - - - - - - - - - - - - - - - 11-6 To change patient information - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-6 Images in the report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-6 To print a report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-7 To store a report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-7 Retrieving an archived report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-8 Deleting an archived report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-8

Structured Findings Prerequisite - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-9 Starting Structured Findings- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-10 Using Structured Findings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-12 Structured Findings configuration - - - - - - - - - - - - - - - - - - - - - - - - - - 11-14

Direct report Creating comments- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-25 Creating pre-defined text inputs - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-26

Report designer Accessing the Report designer- - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-27 Report designer overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-28

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Designing a report template - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-30 Saving the report template- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-42 To exit the Report designer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-42

Report templates management Configuration of the Template selection menu - - - - - - - - - - - - - - - - - 11-44 Export/Import of Report templates - - - - - - - - - - - - - - - - - - - - - - - - - 11-45

Chapter 12 - Customize Configuration Customize System Settings About system Configuration - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-2 General system settings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-4

Touch Panel Shortcuts - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-6

Users and Security Local System Users - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-8 User Policies - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-11 LDAP- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-12 System password - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-14 Storage Encryption - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-15

Global imaging settings Measurement Package Basic operations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-19 Measurement package configuration - example - - - - - - - - - - - - - - - - 12-21 User-defined formulas - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-23 Advanced settings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-31 Normal values - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-38

Connectivity configuration System in a network environment- - - - - - - - - - - - - - - - - - - - - - - - - - 12-40 System in a network environment with a DICOM server - - - - - - - - - - 12-42

Archive Configuration of the archiving functions- - - - - - - - - - - - - - - - - - - - - - 12-52 TCP/IP configuration - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-54 Dataflow - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-54 Default remote path setting - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-57 XML Export configuration - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-59 Patient ID- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-60 Other - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-62

Scan Assist Pro Creator Overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-65 Protocol export from Vivid E95 / E90 / E80 and off-system installation of the Scan Assist Pro Creator - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-65 Starting Scan Assist Pro Creator - - - - - - - - - - - - - - - - - - - - - - - - - - 12-67 File handling- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-68 Creating new Protocols - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-69 Saving Protocols- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-70 Views - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-71 Step attributes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-74

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Stress Echo Application Presets List Generating a new preset - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-81 Deleting an application preset - - - - - - - - - - - - - - - - - - - - - - - - - - - - 12-84

6VT-D TEE Probe

Chapter 13 - Probes Probe overview Supported probes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-2 Probe presets- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-5 Maximum probe temperature - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-7 Probe orientation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-8 Probe labeling - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-9

Care and Maintenance Planned maintenance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-10 Inspecting the probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-10 Cleaning and disinfecting probes - - - - - - - - - - - - - - - - - - - - - - - - - - 13-11 Coupling gels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-14

Probe safety Electrical hazards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-16 Mechanical hazards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-16 Biological hazards- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-17

Biopsy Precaution concerning the use of biopsy procedures - - - - - - - - - - - - 13-19 Preparing the Biopsy guide attachment - Convex, Sector and Linear probes 13-20 Preparing the Biopsy guide attachment - endocavity probe - - - - - - - - 13-23 Displaying the Guide zone - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-24 Biopsy needle path verification- - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-25 Starting the biopsy procedure - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-25 Cleaning, disinfection and disposal- - - - - - - - - - - - - - - - - - - - - - - - - 13-25

Chapter 14 - Peripherals Overview Printing To print an image - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 14-4

Printing configuration P1 / P2 / Record button configuration - - - - - - - - - - - - - - - - - - - - - - - - 14-5 Printer setup- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 14-6

Chapter 15 - Maintenance System Care and Maintenance Overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-2 Expected Service Life Description - - - - - - - - - - - - - - - - - - - - - - - - - - 15-2 Inspecting the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-2 Cleaning the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-3 Cleaning the probes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-8 Prevention of static electricity interference- - - - - - - - - - - - - - - - - - - - - 15-9

System self-test System malfunction- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-10

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Software upgrade Software download and installation- - - - - - - - - - - - - - - - - - - - - - - - - 15-12 Create an Insite permanent user - - - - - - - - - - - - - - - - - - - - - - - - - - 15-16 Save TCP/IP settings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-17

Index

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Vivid E95 / E90 / E80 – User Manual GC092540-100 07

Chapter 1 Introduction

The Vivid E95 / E90 / E80 is a high performance digital ultrasound imaging system with total data management. The system provides image generation in 4D (Vivid E95 and Vivid E90 with 4D option only), 2D (B) Mode, Color Doppler, Power Doppler (Angio), M-Mode, Color M-Mode, PW and CW Doppler spectral, Tissue Velocity imaging, advanced Strain and Contrast applications. The fully digital architecture of the Vivid E95 / E90 / E80 system allows optimal usage of all scanning modes and probe types, throughout the full spectrum of operating frequencies. This chapter provides information concerning indications for use/contraindications, contact information, and how this documentation is organized.

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Introduction

Overview

Attention This manual contains necessary and sufficient information to operate the ultrasound system safely. Read and understand all instructions in the User Manual before attempting to use the ultrasound system. Keep this manual with the equipment at all time. Periodically review the procedures for operation and safety precautions. Disregarding information on safety is considered abnormal use. Not all features or products described in this document may be available or cleared for sale in all markets. Please contact your local GE representative to get the latest information.

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NOTE:

Please note that orders are based on the individually agreed upon specifications and may not contain all features listed in this manual.

NOTE:

All references to standards / regulations and their revisions are valid at the time of publication of the user manual.

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Overview Documentation

CAUTION

Safety instructions must be reviewed before operating the system.

Vivid E95 / E90 / E80 documentation consists of various manuals:

NOTE:

•

The User Manual and Onboard Help (TRANSLATED) provides information needed by the user to operate the system safely. It describes the basic functions of the system, safety features, operating modes, measurements/ calculations, probes, and user care and maintenance.

•

The Advanced Reference Manual (ENGLISH ONLY) contains data tables, such as measurements and calculations, OB, and Acoustic Output.

•

The Service Manual (ENGLISH ONLY) supplies block diagrams, lists of spare parts, descriptions, adjustment instructions, or similar information which helps qualified technical personnel in repairing those parts of the system which have been defined as repairable.

•

Medical Ultrasound Safety publication from American Institute of Ultrasound in Medicine (AIUM) (ENGLISH ONLY). Provided as ALARA Educational Program, to comply with US FDA Track 3 - Not available in all countries.

The eDocumentation kit provides instructions on how to read the user documenation via electronic media. All user manuals are provided in electronic format. The eDocumenation media includes English and all other translations. The Vivid E95 / E90 / E80 manuals are written for users who are familiar with basic ultrasound principles and techniques. They do not include sonographic training or detailed clinical procedures.

NOTE:

The screen graphics in this manual are only for illustrational purposes. Actual screen output may differ.

Conventions used in this manual Bold type describes button names on the screen. Italic type describes program windows, screens and dialogue boxes. Icons highlight safety issues as described in ‘Safety’ on page 2-1.

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Introduction Principles of operation Medical ultrasound images are created by computer and digital memory from the transmission and reception of mechanical high-frequency waves applied through a probe. The mechanical ultrasound waves spread through the body, producing an echo where density changes occur. For example, in the case of human tissue, an echo is created where a signal passes from an adipose tissue (fat) region to a muscular tissue region. The echoes return to the probe where they are converted back into electrical signals. These echo signals are highly amplified and processed by several analog and digital circuits that use filters with many frequency and time response options to transform the high-frequency electrical signals into a series of digital image signals which are stored in memory. Once in memory, the image can be displayed in real-time on the image monitor. A probe is an accurate, solid-state device, providing multiple image formats. The digital design and use of solid-state components provides highly stable and consistent imaging performance with minimal required maintenance.

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