Vivid S70 S60 User Manual Ver 202 Rev 3 Nov 2018

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

This manual is a reference for the Vivid S60 and Vivid S70 ultrasound systems (Hereafter listed as Vivid S70 / S60). It applies to all revisions of the 202 software for the Vivid S70 / S60 ultrasound system. All information provided in this manual is relevant for the two systems unless otherwise specified.

© GE Medical Systems. All rights reserved. No part of this manual may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of GE Medical Systems. COMPANY DATA

GE Medical Systems, Israel Ltd. Nativ Ha’or Street no.1 3508510, Haifa ISRAEL Tel: (+972) 4 8519 555 Fax: (+972) 4 8519 500 GE Medical Systems SCS 283 rue de la Minière, 78530 BUC, France

Revision History Reason for change REV

DATE (YYYY-MM-DD)

REASON FOR CHANGE

Rev. 01

2017-05-11

Initial release

Rev. 02

2018-02-01

M4 release

Rev. 03

2018-11-30

Electromagnetic Compatibility (EMC) Contact Information Maximum probe temperature Probe Care and Maintenance System Care and Maintenance

List of Effective Pages PAGE NUMBER All pages

REV Rev. 03

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.

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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. Ignoring this advice may compromise the regulatory approvals obtained for the product. This product complies with the following regulatory requirements: Standard/Directive

Scope

93/42/EEC

Medical Devices Directive (MDD)

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

Medical Electrical Equipment, Part 1; General Requirements for Safety

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 safety and essential performance - Collateral standard: Electromagnetic disturbances Requirements and tests

IEC/EN 60601-1-4

Medical electrical equipment - Part 1-4: General requirements for safety Collateral standard: Programmable electrical medical systems

IEC/EN 60601-1-6

Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral Standard: Usability

IEC/EN 62304

Medical device software - Software life-cycle processes

IEC/EN 62366

Medical devices -Application of usability engineering to medical devices

CAN/CSA-C22.2 No. 60601-1:08

Medical electrical equipment - Part 1: General requirements for basic safety and essential performance.

NEMA Standards Publication UD 2

Acoustic Output Measurement Standard For Diagnostic Ultrasound Equipment

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Vivid S70 / S60 – User Manual BC092521-100 03

Standard/Directive

Scope

NEMA Standards Publication UD 3

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

Certifications •

GE Vingmed Ultrasound AS is ISO 13485 certified.

Importer Information •

TURKEY Türkiye İthalatçısı / Turkish Importer

GE Medical Systems Türkiye Ltd. Şti. Esentepe Mah. Harman Sok. No: 8 34394 Şişli İstanbul Türkiye

Directives The GE ultrasound product families are tested to meet all applicable requirements in relevant EU Directives and European/International standards. •

Council Directive 93/42/EEC concerning MDD (Medical Devices Directive): the CE label affixed to the product testifies compliance to this Directive. The location of the CE marking is specified later in this chapter (‘Device labels’ on page 2-27).

•

First CE Marked in 2014.

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

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Degree of protection against electric shock: •

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

•

Type CF Applied part (for 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. ICE catheters are IPX8.

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.

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 d.c.

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<10 microA

Single fault condition <50 microA

Vivid S70 / S60 – User Manual BC092521-100 03

Patient leakage current Normal condition a.c.

<10 microA

Single fault condition <50 microA

Original Documentation •

The original document was written in English.

Software License Acknowledgements WindowBlinds™ OCX © Stardock ®

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Table of Contents

Conformance Standards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-2 Certifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Importer Information - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Directives- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Classifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3 Class I Equipment- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-4 Type BF Applied part - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-4 Type CF Applied part - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-4 Original Documentation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-5 Software License Acknowledgements- - - - - - - - - - - - - - - - - - - - - - - - - - i-5

Table of Contents Chapter 1 - Introduction Overview

Attention - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-2 Documentation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-2 Conventions used in this manual - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-3 Principles of operation- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-3 Indications for use- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-4 Contraindications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-5 Prescription device - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-5 Safety - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-5

Contact Information

Contacting GE Ultrasound - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-6 Manufacturer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-12

Chapter 2 - Safety

Safety Precautions

Precaution Levels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-2 Hazard symbols - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-3

Owner responsibility

Notice against user modification- - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-4

Acoustic output

Definition of the acoustic output parameters - - - - - - - - - - - - - - - - - - - - 2-5 Acoustic output and display on the Vivid S70 / S60 - - - - - - - - - - - - - - - 2-6 ALARA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-8 Safety statement- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-8 System controls affecting acoustic output - - - - - - - - - - - - - - - - - - - - - - 2-9 OB Exam - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-10

Important safety considerations

Patient safety - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-11

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Probe safety- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-12 Personnel and equipment safety - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-16 Electromagnetic Compatibility (EMC) - - - - - - - - - - - - - - - - - - - - - - - - 2-20 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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-3

System Overview

Getting to know the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-10 Removable media- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-12 Physiological traces - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-15 Peripheral/accessory connector panel - - - - - - - - - - - - - - - - - - - - - - - 3-20 Wired Footswitch (Option) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-22

Switching On/Off

Switch on the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-24

Connect and disconnect probes

Connect the probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-27 Activate the probe- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-29 Deactivate the Probe- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-31 Disconnect the Probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-31 Intra Cardiac Ultrasound Catheters- - - - - - - - - - - - - - - - - - - - - - - - - - 3-32

The Scanning screen

The Title bar- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-34 Parameters window - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-35 Clipboard - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-35

Control panel

Control Panel overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-36 Trackball area - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-38 Touch panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-39 The alphanumeric keyboard (option)- - - - - - - - - - - - - - - - - - - - - - - - - 3-43

Main display adjustment

To unlock/lock the main display - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-44 Image Adjustment- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-45

Moving and transporting the system

Wheels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-48 Moving the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-48 Using Transportation mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-50 Transporting the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-51 Reinstalling at a new location- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-52 Preparing Vivid S70 / S60 for scanning - - - - - - - - - - - - - - - - - - - - - - - 3-52

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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

Cineloop Zoom

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

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

Annotations

To insert an annotation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-10 Editing annotations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-12 To erase text annotations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-13 Bodymark - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-13 Annotation and bodymark configuration - - - - - - - - - - - - - - - - - - - - - - 4-14

Chapter 5 - Image Optimization 2D-Mode

2D-Mode overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-3 Using 2D-Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-4 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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-22 Optimizing TVI - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-23

Tissue Tracking

Tissue Tracking overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-24 Using Tissue Tracking- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-25 Optimizing Tissue Tracking - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-26

Strain rate

Strain rate overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-27 Using Strain rate- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-28 Optimizing Strain rate - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-29

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Strain

Strain overview- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-30 Using Strain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-31 Optimizing Strain - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-32

Tissue Synchronization Imaging (TSI)

TSI overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-33 Using TSI- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-35

Contrast Imaging

Data acquisition - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-37 Quantification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-42 Contrast Echocardiography Box - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-43

Additional scanning features

LogiqView - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-44 Compound - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-45 Virtual Convex - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-45 B-Flow - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-45 Blood Flow Imaging - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-46 View-X- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-46

Image controls

Control panel - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-50 Touch panel and rotaries - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-50

Scan Assist Pro

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-60 Scan Assist Pro overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-60 Setting up Scan Assist Pro - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-62 Using Scan Assist Pro- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 5-64

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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-16 Basic operations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-19 4D-Mode controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-26

Multi-plane mode

Multi-plane mode overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-32 Using Multi-plane mode- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-36 Bi-plane prepare - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-36 Basic operations - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-38 Multi-plane mode controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 6-40

FlexiViews

Chapter 7 - Stress Echo Introduction Selection of a stress test protocol template Image acquisition

Starting acquisition - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-4

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Continuous capture mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-8

Stress Echo analysis

Image selection for analysis- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-15 Wall motion scoring- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-17

Quantitative TVI Stress echo analysis

Accessing QTVI Stress analysis tools - - - - - - - - - - - - - - - - - - - - - - - - 7-21 Vpeak measurement - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-22 Tissue Tracking - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-25 Quantitative analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-25 References - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-25

Editing/creating a Stress Echo protocol template

Entering the Template editor screen - - - - - - - - - - - - - - - - - - - - - - - - - 7-26 Editing/Creating a template - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 7-27

Chapter 8 - Measurements and Analysis Introduction

General recommendations about measurements - - - - - - - - - - - - - - - - - 8-3 About Measurement results display - - - - - - - - - - - - - - - - - - - - - - - - - - 8-3

Assign and Measure modality Measure and Assign modality

Measurements on volume renderings - - - - - - - - - - - - - - - - - - - - - - - - - 8-8

Measurements on protocol images Advanced cardiac measurements and analysis

Event timing measurements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-10 TSI Measurements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-11 Automated Function Imaging - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-17 Cardiac AutoDoppler- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-37 AutoEF measurements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-40 Pediatric Z score measurement study - - - - - - - - - - - - - - - - - - - - - - - - 8-46

4D/Multi-plane LV

4D Auto LVQ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-47 Manual left ventricular volume measurements - - - - - - - - - - - - - - - - - - 8-59 TSI surface model- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-64

4D Auto MVQ

Requirements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-66 Starting 4D Auto MVQ- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-67 Align Views - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-68 Set Landmarks - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-69 Review - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-71 Results - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-72 Approval - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-73

4D Auto AVQ

Requirements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-74 Starting the 4D Auto AVQ tool - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-75 Slice alignment - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-76 LVOT segmentation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-76 Measurements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-78 Approval - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-79

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Advanced vascular measurements and analysis

Intima-Media Thickness- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-80 Vascular AutoDoppler - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-83

OB measurements

OB graphs - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-85

Measurement result table

Minimizing the Measurement result table - - - - - - - - - - - - - - - - - - - - - 8-91 Moving the Measurement result table - - - - - - - - - - - - - - - - - - - - - - - - 8-91 Deleting measurements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-91

Worksheet

Overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-92 Using the Worksheet- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8-93

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 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-10 Saving/retrieving Q Analysis - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-13 Frame disabling - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-13 Optimization - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-15 Switching modes or traces- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-18 Anatomical M-Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 9-18

Chapter 10 - Archiving Introduction The dataflow concept

Dataflows available - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 10-3

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

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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 - - - - - - - - - - - - - - - - - - - - - - - - - - 11-5 To change patient information - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-6 Images in the report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-6 To print a report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-6 To store a report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-7 Retrieving an archived report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-7 Deleting an archived report - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-8

Structured Findings

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-9 Starting Structured Findings- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-10 Using Structured Findings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 11-11 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 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

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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 S70 / S60 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

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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-6 Maximum probe temperature - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-8 Probe orientation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-9 Probe labeling - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-10 Intra Cardiac Ultrasound Catheters- - - - - - - - - - - - - - - - - - - - - - - - - 13-11

Care and Maintenance

Planned maintenance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-14 Inspecting the probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-14 Cleaning and disinfecting probes - - - - - - - - - - - - - - - - - - - - - - - - - - 13-15 Coupling gels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-40

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Probe safety

Electrical hazards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-41 Mechanical hazards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-41 Biological hazards- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-42

Biopsy

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-44 Precaution concerning the use of biopsy procedures - - - - - - - - - - - - 13-45 Preparing the Biopsy guide attachment - Convex, Sector and Linear probes 13-46 Preparing the Biopsy guide attachment - endocavity probe - - - - - - - - 13-49 Displaying the Guide zone - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-50 Biopsy needle path verification- - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-50 Starting the biopsy procedure - - - - - - - - - - - - - - - - - - - - - - - - - - - - 13-51 Cleaning, disinfection and disposal- - - - - - - - - - - - - - - - - - - - - - - - - 13-51

Chapter 14 - Peripherals Introduction Printing

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 14-4 To print an image - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 14-4

Printing configuration

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 14-5 P1 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 Disinfection - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-3 Cleaning the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-3 Cleaning the probes - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-7 Prevention of static electricity interference- - - - - - - - - - - - - - - - - - - - - 15-7

System self-test

System malfunction- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-8

Software upgrade

Index

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-10 Software download and installation- - - - - - - - - - - - - - - - - - - - - - - - - 15-10 Create an Insite permanent user - - - - - - - - - - - - - - - - - - - - - - - - - - 15-14 Save TCP/IP settings - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 15-15

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Chapter 1 Introduction The Vivid S70 / S60 ultrasound system is a high performance digital ultrasound imaging system with total data management. The system provides image generation in 4D (option on Vivid S70), 2D 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 S70 / S60 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. 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.

Documentation CAUTION

The safety instructions must be reviewed prior to operating the system. The Vivid S70 / S60 documentation consists of various manuals: •

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The Basic User Manual and Online Help (TRANSLATED) provides information needed by the user to operate the system safely. It describes the basic functions of the system,

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