Color Ultrasonic Diagnostic Apparatus User Manual

Content
Foreword........................................................................................................................................................ 2

Chapter 1 Safety Matters.............................................................................................................................. 3

Chapter 2 System Overview....................................................................................................................... 22

Chapter 3 Probe Introduction.................................................................................................................... 35

Chapter 4 Instrument Installation............................................................................................................. 53

Chapter 5 Using Methods........................................................................................................................... 56

Chapter 6 Display Mode............................................................................................................................. 71

Chapter 7 Optimizing B Mode Image........................................................................................................ 80

Chapter 8 Color Model Image Optimization............................................................................................ 91

Chapter 9 Optimizing Color Doppler Images......................................................................................... 104

Chapter 10 General Measurements and Calculations............................................................................ 111

Chapter 11 Maintenance and Care.......................................................................................................... 180

Appendix A Safety Precautions................................................................................................................ 188

Appendix B Sound Output Announcement............................................................................................. 189

Appendix C Introduction to measurement & calculation methods.......................................................213

Packing List............................................................................................................................................... 219

Foreword
The Color Ultrasonic Diagnostic Apparatus is a professional ultrasound diagnosis system. The color

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 Color Ultrasonic Diagnostic Apparatus User Manual

Doppler ultrasound diagnostic apparatus is a medical diagnostic medical product applied to a patient

s electric shock protection class I, BF type application part.

The date of preparation of this manual is January 2, 2019, specification version: V1.0

Production date: See product label for details.

Factory date: See the host random file for details.

Product host validity period: 6 years

Probe validity period: 3 years

Chapter 1 Safety Matters

Warning

► This instrument should be sold and installed by a professional salesperson.

► This instrument should be operated by or under the direction of a qualified operator.
► This instrument can only be used for the cardiac measurement functions specified in the

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 Color Ultrasonic Diagnostic Apparatus User Manual

instructions.

Statement

The ma nufact urer is onl y res ponsi ble f or t he safe ty, rel i abi li t y and per for mance of t he ins tr ume

only if:
► Assembly operations, expansion, re-tuning, improvement and repair are performed by
personnel approved by the manufacturer;
► The relevant electrical equipment complies with national standards;
► The instrument is used in accordance with the operating instructions.
warning
■ The hospital or institution that purchased this equipment should be repaired with
the assistance of a professional engineer of Medical (Jiangsu) Co., Ltd.,
otherwise it may cause abnormal instrument failure and may endanger personal
health.

Laser product certificate statement

This ultrasonic installation can read and write the optical disc drive. This part belongs to the
laser product. If the user replaces the optical disc drive, it must ensure that it m
requirements of GB7247 for this type of product.

Warning

Before operating the instrument, be sure to read and accurately understand everything in this m
including host installation, peripheral connections, safety features, functio
methods.
Pay special attention to the contents of Warning , Attention and Tips in the manual.
WA R N I N G : A n y d a m a g e t o o r d a m a g e t o a n y i n s t r u m e n t o r p e r s o n n e l c a u s e d b y t h e u s e r s f a i l u r e
follow the instructions in the User s Guide or failure to follow the manufacturer s or agent s instructions is
at your own risk.
WARNING: Before using, please fill in the Product Information Sheet , accurately record the important
information such as the host number, display number, probe number, date of purchase, etc., and tear it off,
and keep it together with the product certificate and warranty card.
WARNING:When cleaning the ultrasound host and probe, try not to damage the device model , host
number , display model and number , probe number , factory date and other important marks on the
chassis and probe.
WARNING: When the Instruction Manual is not used frequently, please keep it in a safe place for future

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 Color Ultrasonic Diagnostic Apparatus User Manual

reference.
WARNING: Interconnection of multiple devices can lead to the accumulation of leakage current, which
may cause electric shock or electric shock.
WA R N I N Gt:h e p r o b e i s f o r b i d d e n t o s c a n t h e e y e s ! T h e r e a s o n a b l e p o s s i b l e r a n g e o f o u t p u t p
should be used. The time to check your body should not be too long, only to the extent necessary to make
a diagnosis. Prolonging the use of time can damage the health of the human body. Ultrasonic probes that
are self-heating can be detected in the air and should not be used for transvaginal exploration; spe
attention should be paid to reducing the output power and irradiation time of the irradiated sound to the
embryo or fetus.
WARNING: This instrument cannot be directly applied to the heart. The probe can only be probed by the
body surface.
WARNING: 6.5MHzC4-9R10 convex array broadband probe, 6.5MHzC5-9R10 convex array broadband
probe must be added with oil-free sterile disinfectant rubber sleeve, rubber sleeve must meet GB 7544-
2009 natural latex rubber condom technical requirements and test Method standard requirements.
WARNING: 6.5MHzC4-9R10 convex array broadband probe, 6.5MHzC5-9R10 convex array broadband
probe must be added with oil-free sterile disinfectant rubber sleeve, rubber sleeve must meet GB 7544-
2009 natural latex rubber condom technical requirements and test Method standard requirements.

Reference to safety standards

GB 9706.1-2007 Medical electrical equipment - Part 1: General

requirements for safety

GB 9706.9-2008 Medical electrical equipment - Part 2-37: Particular

requirements for safety of ultrasound diagnostic and

monitoring equipment

GB/T 14710-2009 Medical electrical environment requirements and test

methods
Medical electrical equipment - Part 1-2: General
YY 0505-2012 requirements for safety. Parallel standard:
Electromagnetic compatibility.

Equivalent to international safety standards

M e d i c a l e l e c t r i c a l e q u i p m e n t -
IEC 60601-1:1988+A1:1991+A2:1995
General requirements for safety

IEC 60601-2-37:2001+A1:2004+A2:2005 Medical electrical equipment - Part 2-37:

P a r t i c u l a r r e q u i r e m e n t s

u l t r a s o u n d d i a g n o s t i c

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 Color Ultrasonic Diagnostic Apparatus User Manual

equipment

Safety classification and logo

Color Doppler ultrasound diagnostic equipment (hereinafter referred to as u

equipment) product function and performance implementation of national and industry s

10152, YY 0767, YY / T 1279, safety standards implementation of national standards GB 9706.1, G

9706.9 and international standard IEC 60601 -1 rule.

Product Categories

Classified according to the Classification of Medical Devices

The equipment belongs to the ultrasonic plasma pulse Doppler imaging equipment of the 6823
medical ultrasonic instrument and related equipment, and the management category is class II.
Classified by type of electric shock
The device is a Class I device that is powered by an external power source.
Classified by the degree of protection against electric shock
The equipment application part is BF type.
Classified by degree of protection against incoming liquid
The host of the device is the ordinary device IPX0, which has no protection against the liquid inlet;
the degree of anti-injection of the probe is IPX7.
Classified by operating mode
The device is a continuous operation device.
According to the safety standards, the color classification of color Doppler ultrasound diagnostic
equipment is classified as Class I BF.
According to the safety classification and markings for medical electrical equipment
established by the National Electrotechnical Commission (IEC), the safety classifications
and signs used in this instrument are as follows:

Ty p e o f e l e c t r i c s h o c k p r e v e n t i o n : C l a s s I : D e g r e e o f p r o t e c t i o n a g a i n s t

shock: Type BF

Special note: no patient contact or operation of the instrument at any time

I and O on the power switch indicate on and off of the power sup

respectively.

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 Color Ultrasonic Diagnostic Apparatus User Manual

note! Check the random file. Before using this function, be sure

expl anator y text of t he funct ion ( such as t he I nst ruct i on M anual , et c. ) and make

sure that the operation of this function is accurately understood.

Probe anti-injection level: IPX7

Protective grounding

The following symbols appear on the product packaging

Symbol Significance Description

up

Fragile, handle with

care

Avoid rain

Avoid sun exposure

Not stackable

Transportation For transportation, the ambient temperature range is

environment -20 ° C to +40 ° C

temperature

For transportation, the relative humidity range is 30%

Transport relative
to 80%
humidity
(no condensation)

Transport For transportation, atmospheric pressure ranges from

atmospheric pressure 500hPa to 1060hPa

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 Color Ultrasonic Diagnostic Apparatus User Manual

Storage ambient For storage, the ambient temperature range is -5 ° C

temperature to +40 ° C

Storage relative For storage, the relative humidity is less than 80%

humidity

Storage atmospheric F o r s t o r a g e , a t m o s p h e r i c p r e s s u r e r

pressure 860hPa to 1060hPa

Description of the symbols used in this User s Guide

■ This symbol is used to indicate user installation, operation, and ma

information that is not dangerous, but is important for proper operation.

Electromagnetic compatibility requirements

Guide and manufacturer s statement - electromagnetic emissions

The color Doppler ultrasound system is expected to be used in the electromagnetic environment specified

below, and the purchaser or user should ensure that it is used in such an electromagnetic environment.

Emission test Compliance Electromagnetic environment - guide

The color Doppler ultrasound system

uses RF energy for its internal functions

Radio frequency emission
Group 1 only. Therefore, its RF emissions are low
GB4824
and there is little chance of interference

with nearby electronic equipment.

Radio frequency emission The color Doppler ultrasound system is

Class A
GB4824 suitable for use in all facilities that are
Harmonic emission not directly connected to the home and to
——
GB17625.1
the public low voltage power supply
Voltage fluctuation / flicker emission
—— network of the home.
GB17625.2

(corresponds to Table 201 in YY0505-2012)

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 Color Ultrasonic Diagnostic Apparatus User Manual

Guide and manufacturer s statement - electromagnetic immunity

The color Doppler ultrasound system is expected to be used in the electromagnetic environment specified

below, and the purchaser or user should ensure that it is used in this electromagnetic environment.

Electromagnetic
Immunity test IEC60601 test level Compliance level
environment - guide

The ground should be

wood, concrete or

Electrostatic ceramic. If the floor is

±6 kV contact discharge ±6 kV contact discharge
discharge covered with synthetic
±8 kV air discharge ±8 kV air discharge
GB/T 17626.2 material, the relative

humidity should be at

least 30%.

The network power

Electrical fast supply should have the

±2 kV to power cord ±2 kV to power cord
transient burst quality used in a
±1kV to input/output line Not applicable
GB/T 17626.4 typical commercial or

hospital environment.

The power supply

should have the quality

surge ±1 kV line to line ±1 kV line to line
used in a typical
GB/T 17626.5 ±2 kV line to ground ±2 kV line to ground
commercial or hospital

environment

Voltage dip, <5% UT for 0.5 cycles <5% UT for 0.5 cycles The power supply

short interruption (on the UT, >95% sag) (on the UT, >95% sag) should have the quality

and voltage 40% UT for 5 cycles 40% UT for 5 cycles used in a typical
(on the UT, 60% sag) (on the UT, 60% sag)
change on the commercial or hospital
70UT for 25 cycles 70UT for 25 cycles
power input line environment. If the
(on the UT, a 30% sag) (on the UT, a 30% sag)
GB/T17626.11 user of the ultrasound
＜5% UT，Lasts 5s <5% UT for 5s
system needs

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 Color Ultrasonic Diagnostic Apparatus User Manual

continuous operation

during a power outage,

it is recommended that

(on the UT, >95% sag) (on the UT, >95% sag) the ultrasound system

be powered by an

uninterruptible power

supply or battery.

The power frequency

magnetic field should

Power frequency have the characteristics

magnetic field of the power frequency

3A/m 3A/m
(50/60Hz) magnetic field in a

  GB/T 17626.8 typical place in a

typical commercial or

hospital environment.

Note: UT refers to the AC network voltage before the test voltage is applied.

(corresponds to Table 202 in YY0505-2012)

Guide and manufacturer s statement - electromagnetic immunity

The color Doppler ultrasound system is expected to be used in the electromagnetic environment specified

below, and the purchaser or user should ensure that it is used in this electromagnetic environment:

Immunity IEC60601 test Compliance Electromagnetic environment - guide

test level level

Portable and mobile RF communications equipment

should not be used closer to any part of the ultrasound

system, including cables, than the recommended isolation

Radio
distance. This distance should be calculated from the
frequency 3V (effective
formula corresponding to the transmitter frequency.
conductio value) 3V (effective
Recommended isolation distance
n 150kHz ~ 80 MHz value)
d = 1.2

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 Color Ultrasonic Diagnostic Apparatus User Manual

GB/ d = 1.2 80 MHz ~ 800MHz

T17626.6 3V/m 3V/m d = 3.5 800 MHz ~ 2.5GHz

80 MHz ~ 2.5GHz In the formula:

Radio P—based on the transmitter s maximum rated output

frequency power, in watts (W);

radiation d - is the recommended isolation distance in meters (m).

GB/      The field strength of a fixed RF transmitter is

T17626.3 determined by measuring the electromagnetic field, and

each frequency range b should be lower than the

compliance level.

     Interference may occur near devices marked with the

following symbols.

Note 1: At the 80 MHz and 800 MHz frequency points, the formula for the higher frequency band is used.

Note 2: These guidelines may not be suitable for all situations. Electromagnetic propagation is affected by

the absorption and reflection of buildings, objects and human bodies.

a Fixed transmitters, such as base stations for wireless (peak/cordless) telephones and terrestrial mobile

radios, amateur radio, AM and FM radio broadcasts, and television broadcasts, whose field strengths are

not theoretically predictable. In order to assess the electromagnetic environment of a fixed RF transmitter,

the survey of the electromagnetic field should be considered. If the measured field strength of the

ultrasonic diagnostic apparatus is higher than the applicable RF compliance level, the ultrasonic

diagnostic apparatus should be observed to verify that it can operate normally. Additional measures may be

necessary if abnormal performance is observed, such as reorienting the position or position of the

ultrasound system.

b The field strength should be less than 3V/m over the entire frequency range from 150kHz to 80 MHz.

(corresponds to Table 204 in YY0505-2012)

Recommended isolation distance between portable and mobile RF communication equipment and the color

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 Color Ultrasonic Diagnostic Apparatus User Manual

Doppler ultrasound system

The color Doppler ultrasound system is expected to be used in an electromagnetic environment where radio

frequency harassment is controlled. Depending on the maximum output power of the communication

device, the purchaser or user of the Color Doppler Ultrasound Scanner can maintain the minimum between

portable and mobile RF communication devices (transmitters) and ultrasound systems. Distance to prevent

electromagnetic interference.

Corresponding distance /m corresponding to different frequencies of the

Maximum rated output power of transmitter

the transmitter W 150kHz～80MHz 80MHz～800MHz 800MHz～2.5GHz

d＝1.2 d＝1.2 d＝2.3

0.01 0.12 0.12 0.23

0.1 0.38 0.38 0.73

1 1.2 1.2 2.3

10 3.8 3.8 7.3

100 12 12 23

For the maximum rated output power of the transmitter not listed in the above table, the reco

isolation distance d, in meters (m), can be determined by the formula in the correspond

frequency column, where P is the transmission provided by the transmitter manufacturer. Maximum rated

output power in watts (W).

Note 1: At the 80 MHz and 800 MHz frequency points, the formula for the higher frequency band should be

used.

Note 2: These guidelines may not be suitable for all situations. Electromagnetic propagation is affected by

the absorption and reflection of buildings, objects and the human body.

(corresponds to Table 206 in YY0505-2012)

Please install and use the product according to the electromagnetic compatibility information in this
manual.
Portable and mobile RF communications equipment may affect the normal use of this
product. For example, mobile wireless communication devices such as mobile phones and
walkie-talkies.

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 Color Ultrasonic Diagnostic Apparatus User Manual

Name cable length（m） model Whether to block

RVVZ-

power cable 1.7 3P227IEC53(RVV)XD- Yes

001

Video cable 1.5 232 Yes

Power adapter 1.0 PH180 Yes

3.5MHZ C2-6R65

Probe 1.8 CONVEX ARRAY BROADBAND

Yes

PROBE

6.5MHZ C4-9R10

Probe 1.8 CONVEX ARRAY BROADBAND

Yes

PROBE

7.5MHZ L5-12L46 LINE

Probe 1.8 ARRAY WIDE FREQUENCYYes

PROBE

3.0MHZ P2-5L19

Probe 1.8 PHASED ARRAY WIDE Yes

FREQUENCY PROBE

6.5MHZ C5-9R10

Probe 1.8 CONVEX ARRAY BROADBAND

Yes

PROBE

4.0MHZR40 CONVEX

Probe 1.8 ARRAY WIDE FREQUENCYYes

VOLUME PROBE

Safety Precautions

1. This equipment is operated by or under the direction of a qualified operator.

2. The patient does not need to touch or operate the device at any time.

3. This unit does not have any waterproof device. Do not use the unit where water may enter the unit.

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 Color Ultrasonic Diagnostic Apparatus User Manual

Never spill liquid on the machine or allow it to flow into the machine, as there is a risk of electric shock.

4. Please follow the correct method in the operation manual to connect the power supply and the ground,

otherwise there is a danger of electric shock. Never connect the ground wire to any gas pipe or water pipe,

as there is a risk of poor grounding or explosion.

5. Use the probe carefully. If the contact surface of the probe is in contact with the human body, stop using

the probe immediately and contact the company or its authorized agent. There is a risk of electric shock if

you use a scratched probe.

6. Do not apply excessive vibration to the unit (such as when handling equipment), otherwise mechanical

parts (such as casters) may be damaged. If the unit needs to move frequently on bumpy ground, please

contact the company or its authorized agent.

7. Do not use any probe that is not supplied by the company, otherwise it will cause damage to the unit and

the probe. In extreme cases, fires and other accidents may occur.

8. Do not open the case or panel. If the case is opened while the power is on, there is a danger of short

circuit or electric shock.

9. Before using the unit, please make sure that all parts are connected correctly and working properly. Any

incorrect connection or use of this unit that is not working properly may cause electric shock.

10. Do not change the built-in parameters of the device. If it is necessary, ask for service with the company

or its authorized agent.

11. The device has been adjusted to the best performance at the factory. Except for the operation specified

in the instruction manual, the user should not turn on the main unit and adjust the preset control or switch

on any circuit board.

12. If the equipment malfunctions, please shut down immediately and contact

authorized agent.

13. The input and output interfaces provided by this device can only be connected to external devices that

meet the safety requirements of GB9706.1, GB9706.9 or equivalent international safety stan

60601-1.

14. If you need to connect other companies electronic or mechanical devices, please contact the company

or its authorized agent before connecting.

15. Avoid the following operations, storage environment:

—— Ambient temperature is lower than -5 °C, higher than 40 °C

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 Color Ultrasonic Diagnostic Apparatus User Manual

(Recommended operating temperature: +5 ° C ~ +40 ° C)

—— Atmospheric pressure is lower than 860hPa, higher than 1060hPa

—— The device is exposed to toxic gases

—— Relatively high humidity, over 80%

—— places where temperature or humidity changes drastically

—— close to the heat source

——near strong electromagnetic fields (such as transformers)

——near high-frequency radiation (such as mobile phones) devices

—— The device is exposed to water vapor

—— The device is exposed to fog or splashing water

—— The device is exposed to dust

—— The equipment is exposed to high density LPG

—— The device is exposed to salt spray

—— The device is exposed to explosive gas or dust

—— The equipment is in a severe shock or vibration environment

—— The inclination of the equipment placement floor is more than 10 degrees

—— AC power supply voltage is lower than 198V

—— The output voltage of the AC power supply voltage fluctuates drastically during operation

—— The device is exposed to direct sunlight

—— poor ventilation of equipment

WARNING

■ Do not use the unit in an environment where flammable gases such as anesthetic

gases, oxygen or hydrogen are present. If used in these environments, it

cause an explosion.

WARNING

■ To avoid fatigue of the operator s hands, wrists or arms, please note the following

two:

■ Avoid long-term repetitive operations, regular breaks or other activities;

■ Av o i d o p e r a t i n g i n a n u n c o m f o r t a b l e p o s i t i o n t h a t c a n c a u s e f

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 Color Ultrasonic Diagnostic Apparatus User Manual

operator s hands, wrists or arms.

WARNING

■ This equipment can not be installed in places with electro

sources. Electromagnetic waves may cause the following faults: noise entering

the equipment may interfere with the image; electromagnetic waves emitted by

other medical equipment may affect the display of the monitor of the equipment,

causing the image to be disordered, so it cannot simultaneously use.

■ If you use it with other equipment, keep the connecting cables at a distance from

the probe cables, ECG cables, I/O cables, etc. of those de

interference from these devices.

■ This instrument cannot be used with defibrillators, pacemakers or high frequency

surgical equipment.

■ This instrument cannot be directly applied to the heart!

■ Equipment such as electric bicycle chargers and oscilloscopes can also interfere

with the instrument.

WARNING

■ Always keep the unit dry and avoid moving the unit from a cold place to a warm

place. Otherwise, condensation or water droplets may occur, which may cause a

short circuit.

■ Normal ultrasound examinations do not present a risk of burns, even if the probe

surface temperature exceeds the patient s temperature due to dif

ambient temperature and inspection mode. To avoid burns, do not leave the probe

in the same part of the patient s body for an extended period of time. Under the

conditions of diagnosis, try to shorten the inspection time.

ATTENTION

■ When doing thyroid examination, superficial examination and early pregnancy

examination, the user should pay attention to controlling the sound power output

a n d s c a n n i n g t i m e i n o r d e r t o r e d u c e t h e e ff e c t o f s o u n d o u t p u t p o w e r o n t h e

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 Color Ultrasonic Diagnostic Apparatus User Manual

organ.

Switching machine precautions

Prepare before starting up

1. Power requirements for the running state of the machine: AC220V

Check the power supply voltage in this area. If the voltage is too high, too low or unstable, you need to

configure an AC voltage regulator to ensure that the power supply voltage meets the requirements of the

operating environment.

2. Check the electrical connection of the device with accessories or equipment (such as probes) to ensure

accurate and reliable connection of each interface.

3. When connecting this unit to external devices (such as color image recorders, ultrasonic workstations,

etc.), it is required that: (1) all external devices must be confirmed according to their respective standards;

(2) the electrical and structural properties of all external devices should comply with r

standards. Requirements; (3) When an external device is connected to ultrasound to form a new medical

system, it should be ensured that the system is also in compliance with the relevant safety standards.

4. To avoid the risk of electric shock, the unit must be connected to an external input power outlet with

protective earthing.

5. Set the switch of the main unit to O (off state) and plug in the power plug.

Boot procedure

1. Check and ensure that the power connection, probe connection and peripheral connectio

peripherals) are accurate and reliable.

2. Turn on the power switch located on the side of the main unit box, the power indicator lights up,

then press the button on the operation panel, the instrument starts self-test and system initialization,

please do not press the operation panel or slide the trackball at this time, because Operation at this time

may cause the operation panel to lock up or the system to be confused. If this happens, you must turn

it off and wait for 3 minutes before restarting the machine.

3. When the ultrasound completes the self-test and initialization, the system automatically enters the

mode freeze state and thaws the image. At this time, the operator can apply the ultrasonic coupling

agent to the subject (please use an ultrasonic coupling agent that meets the national standard). B mode

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 Color Ultrasonic Diagnostic Apparatus User Manual

scan check, or conversion scan mode, for other methods of inspection.

Shutdown procedure

1 . W h e n y o u w a n t t o t u r n o f f t h e m a c h i n e , F i r s t p r e s s t h e b u t t o n t o ttu r n ho f f e m a c

During this shutdown process, the operating system will record the weight.

To t h e i n f o r m a t i o n , d e l e t e t h e t e m p o r a r y f i l e l e f t d u r i n g t h e o p e r a t i o n , t h i s p r o c e s s i s v e r y i m

please be sure to follow.

When the shutdown process of the operating system is completed, the power switch located on the side of

t h e m a i n c h a s s i s m u s t b e t u r n e d o ff . I f t h e d e d i c a t e d f i l t e r p o w e r c a b l e i s u s e d , t h e p o w e r p l u g a t

network power supply must be unplugged after shutdown.

2. Before leaving the ultrasonic chamber, it is recommended to unplug the power plug. When pulling the

power plug, the plug should be held. It is strictly forbidden to pull the cord.

3. Wipe the coupling agent stuck to the probe, cable or other parts of the instrument in time.

4. Place the probe in the probe box of the device.

Safety operation precautions

Host operation precautions

1. Provide a good environment for use and keep the ultrasound equipment clean.

2. After turning off the power, avoid turning it on immediately, wait at least 5 seconds before turning it on

again.

3, pa y at t en t i on t o t h e pr o t ec t i o n of t h e s i l i c on e bu t t on , t he op er a t i o n sh ou l d be g en t l e , t o a vo i d sh

objects scratch the button.

4. Clean the device with the specified cleaning agent (liquid). During the cleaning process, do not spill

liquid into the machine, causing circuit failure or even danger.

5. Do not use a hydrocarbon-based glass cleaner to clean the monitor.

Probe operation precautions

1. Protect the probe, and it is strictly forbidden to collide, drop or scratch, causing damage to the probe

and even causing danger.

2. Use an approved ultrasonic coupling agent.

3. It is strictly forbidden to insert or remove the probe under real-time working conditions.

4. It is strictly forbidden to bend or pull the probe cable and power cord forcibly.

5. Clean and disinfect the probe according to the specified method.

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 Color Ultrasonic Diagnostic Apparatus User Manual

6. Do not touch the probe with paint thinner, ethylene oxide or other organic solvents.

Probe anti-injection degree IPX7

► Probe anti-injection degree: IPX7

Note: The degree of probe anti-immersion liquid meets the requirements of IPX7, namely:

1. 3. 5MHz C 2-6R 65 convex ar ray br oadband probe, 7.5M H z L 5- 12L46 l ine ar ray wi de fr equency pro

3.0MHz P2-5L19 phased array broadband probe, 4.0MHzR40 convex array wide frequency volume probe.

The depth of the probe immersed in water shall not exceed 5 mm from the surface of the lens;

2. The depth of 6.5MHz C4-9R10 convex array broadband probe and 6.5MHz C5-9R10

broadband probe immersed in water should not exceed 10cm from the lens surface.

Waste treatment

The waste generated in the outer packaging and use of this product, such as cleaning paper and empty

bottles after using the coupling agent, should be disposed according to the regulations of the local

environmental protection department.

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 Color Ultrasonic Diagnostic Apparatus User Manual

Chapter 2 System Overview

Product introduction

► Color Doppler ultrasound system consists of a host (including software) and a

structure type is a cart type, including a cart type single screen and a cart type double screen.

► Probe includes: 3.5MHzC2-6R65 convex array broadband probe, 6.5MHz C4-9R10

array broadband probe, 7.5MHz L5-12L46 line array broadband probe, 3.

phased array broadband probe, 4.0MHzR40 convex array broadband frequen

MHzC5-9R10 convex array broadband probe.

► The main unit includes: ultrasonic transmitting/receiving circuit, signal processing and image

display.

► According to structural differences, probe configuration, and extended functi

divided into 10 models: T3, T5, T6, T8, T9, ,F5, F6 , F8, F9.

► Highly integrated digital color Doppler technology

► Strong modular modular software design

► Full digital large-capacity image storage and file archiving management

► Software related information

Software Name: Large color Doppler ultrasound diagnostic application software

The full version number of this software is: V1.0.0.1010, release version: V1.0

Operating environment：
processor Performance is higher than or equal to PM1.8G CPU

Internal memory At least 2G memory

Hardware
External memory At least 32G hard drive
Configuration
External interface At least one RS232 serial port

Peripheral device Optical drive, mouse, keyboard, printer

system software Microsoft Windows® XP

Software
Support software .NET Framework 4.0
Environment
Security software Windows Firewall

Network condition Network no request

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 Color Ultrasonic Diagnostic Apparatus User Manual

Architecture

Network Type No requirements, stand-alone or networked PC

Bandwidth
No request
requirement

Product classification number：3、5、6、8、9。

T represents the appearance of the structure is a

trolley-type dual screen;
F represents the appearance of the structure is a

Abbreviation for company name.

According to the structure difference, probe configuration, and expansion functions, it can be divided into

10 models, and the configuration is as follows:

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 Color Ultrasonic Diagnostic Apparatus User Manual

structu

re
Configure the probe model extensions
differen

ce

7.5
produ 6.5MH 4.0MHzR 6.5MH
structu MHz
ct 3.5MHzC2- z C4- 3.0MHzP2- 40 z C5-
re L5
mode 6R65 9R10 5L19 Convex 9R10
Type -12L46 3D 4D
l touch Convex Convex Phased array Convex
Line Mod Mod
Screen array array array wide wide array
array e e
broadband broadba frequency frequenc broadba
broadba
probe nd probe y volume nd
nd
probe probe probe
probe

√ √ √ √ √ √ √

Trolley F5 √ √ √ √ √ √ √

Single F6 √ √ √ √ √ √ √

screen F8 √ √ √ √ √ √ √

F9 √ √ √ √ √ √ √ √

T3 √ √ √ √ √ √ √ √

Trolley T5 √ √ √ √ √ √ √ √

Double T6 √ √ √ √ √ √ √ √

screen T8 √ √ √ √ √ √ √ √ √

T9 √ √ √ √ √ √ √ √ √

Note: √ in the table indicates that there is a corresponding function, and blank indicates that there is no

such function.

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 Color Ultrasonic Diagnostic Apparatus User Manual

Clinical application

The blood flow of the abdominal organs, the heart, and the superficial tissues and organs is imaged through the body surface, the vagina, and the rectum, and does not

include the application of unconventional and contact with circulating blood. The clinical scope, imaging mode and function of all probes are as follows:

a) System: Color Ultrasonic Diagnostic Apparatus

Probe: 3.5MHzC2-6R65 convex array broadband probe

Intended use: ultrasound diagnostic imaging or human blood flow analysis

Clinical application Working mode, function

Triple
Wide speed, Beam
specific sync / two Local
B 2B 4B B/M M PWD CPWD CFM B/C B/C/D B/D CW scene 3DMode 4Dmode energy, sampling
application sync amplification
imaging variance line
selection

Fetal fetus √ √ √ √ √ √ √ √ √ √ √ √ √ √ √

imaging abdomen √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
and
Pediatrics √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
others

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 Color Ultrasonic Diagnostic Apparatus User Manual

b） System: Color Doppler Ultrasound System

Probe: 6.5MHz C4-9R10 convex array broadband probe

Intended use: ultrasound diagnostic imaging or human blood flow analysis

Clinical application Working mode, function

Triple sync / speed, Beam

specific Wide scene Local
B 2B 4B B/M M PWD CPWD CFM B/C B/C/D B/D CW 3DMode 4Dmode two sync energy, sampling
application imaging amplification
selection variance line

Fetal Transrectal √ √ √ √ √ √ √ √ √ √ √ √ √ √ √

imaging

and Transvaginal √ √ √ √ √ √ √ √ √ √ √ √ √ √ √

others

c） System: Color Doppler Ultrasound System

Probe: 6.5MHz C5-9R10 convex array broadband probe

Intended use: ultrasound diagnostic imaging or human blood flow analysis

Clinical application Working mode, function

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 Color Ultrasonic Diagnostic Apparatus User Manual

Triple sync / speed,

specific Wide scene Local Beam sampling
B 2B 4B B/M M PWD CPWD CFM B/C B/C/D B/D CW 3DMode 4Dmode two sync energy,
application imaging amplification line
selection variance

Fetal

imaging Transvagina
√ √ √ √ √ √ √ √ √ √ √ √ √ √ √
and l

others

d） System: Color Doppler Ultrasound System

Probe: 7.5MHz L5-12L46 line array wide frequency probe

Intended use: ultrasound diagnostic imaging or human blood flow analysis

Clinical application Working mode, function

Triple sync / speed, Beam

specific Wide scene Local
B 2B 4B B/M M PWD CPWD CFM B/C B/C/D B/D CW 3DMode 4Dmode two sync energy, sampling
application imaging amplification
selection variance line

Fetal Pediatrics √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √

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 Color Ultrasonic Diagnostic Apparatus User Manual

Small

organs

(breast, √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
imaging
thyroid,
and
testicles)
others
Musculoske

letal (on the √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √

epidermis)

Blood Peripheral
√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
vessel blood vessel

e) System: Color Doppler Ultrasound System

Probe: 3.0MHz P2-5L19 phased array wide frequency probe

Intended use: ultrasound diagnostic imaging or human blood flow analysis

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 Color Ultrasonic Diagnostic Apparatus User Manual

Clinica

l
Working mode, function
applica

tion

specifi
speed,
c PWCPW B/ Wide scene 4D Triple sync / two Local
B 2B 4BB/MM CFM
B/C B/D CW 3DMode energy, Beam sampling line
applic D D C/D imaging mode sync selection amplification
variance
ation

Adu

lt
√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
hear

t
heart
Pedi

atric
√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
hear

f) System: Color Doppler Ultrasound System

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 Color Ultrasonic Diagnostic Apparatus User Manual

Probe: 4.0MHzR40 convex array wide frequency volume probe

Intended use: ultrasound diagnostic imaging or human blood flow analysis

Clinical
Working mode, function
application

Triple
spec speed,
Wide sync /
ific energy Local
CPW scene 3DM4Dm two Beam
appli B 2B 4B B/M M PWD CFMB/C B/C/D B/D CW , amplifi
D imagiode ode sync sampling line
catio varian cation
ng selectio
n ce
n

fet
√ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √
Fetal us

imaging abd

and others om √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √ √

en

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Color Ultrasonic Diagnostic Apparatus User Manual

■ When the user is doing superficial small organ examination and early

pregnancy examination, attention should be paid to controlling the

ultrasonic power and scanning time to reduce the action time of the

acoustic output power on the organ.

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 Color Ultrasonic Diagnostic Apparatus User Manual

Chapter 3 Probe Introduction

3.5MHzC2- 6.5MHzC4- 7.5MHzL5- 3.0MHzP2- 6.5MHzC5-

Probe model 4.0MHzR40
6R65 9R10 12L46 5L19 9R10

Phased Convex Convex array

Convex array Convex array Line array
array wide array wide
Probe category broadband broadband broadband
frequency broadband frequency
probe probe probe
probe probe volume probe

Frequency Range
2.0～5.5 5.0～9.0 6.0～12.0 2.0～5.0 5.0～9.0 2.0～5.5
Mhz

Nominal
3.5 6.5 7.5 3.0 6.5 4.0
frequency MHz

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 Color Ultrasonic Diagnostic Apparatus User Manual

Grayscale imaging performance index

3.5MHzC2-6R65 convex array broadband probe parameters

2.0MHz（fre
3.0MHz 3.5 MHz 4.0MHz 5.5 MHz
quency
Probe frequency （frequency （frequency （frequency （frequency
conversion
conversion） conversion） conversion） conversion）
）
Probe type 3.5MHzC2-6 R65
Detecting depth
≥160 ≥160 ≥160 ≥100 ≥100
mm
≤3（depth≤80 ≤3（depth≤80
≤3（depth≤80）
Lateral resolution ≤ 2（ d e p t h ≤ 6≤02（ d e p t h ≤ 6 0
） ） ≤4（80＜
mm ≤4（80＜ ≤4（80＜ ） ）
depth≤130)
depth≤130) depth≤130)
≤2（depth≤80 ≤2（depth≤80
≤2（depth≤80）
Axial resolution ） ） ≤1（depth≤80 ≤1（depth≤80
≤3（80＜
mm ≤3（80＜ ≤3（80＜ ） ）
depth≤130)
depth≤130) depth≤130)

Blind zone mm ≤5 ≤5 ≤5 ≤4 ≤4
Slice thickness
≤9 ≤9 ≤9 ≤9 ≤9
mm
Transverse

geometric ≤15 ≤15 ≤15 ≤15 ≤15

positional accuracy

% Longitudinal

geometric ≤10 ≤10 ≤10 ≤10 ≤10

positional accuracy

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 Color Ultrasonic Diagnostic Apparatus User Manual

Perimeter and area

measurement ±20 ±20 ±20 ±20 ±20

deviation%

M mode time
±11 ±11 ±11 ±11 ±11
display error %

M mode distance
±11 ±11 ±11 ±11 ±11
display error %

6.5MHz C4-9R10 convex array broadband probe parameters

5.0 MHz（frequency 9.0MHz（frequency

Probe frequency 6.5 MHz（Nominal）
conversion） conversion）

Probe type 6.5MHzC4-9 R10

Detecting depth mm
≥80 ≥40 ≥40
mm

Lateral resolution mm ≤2（depth≤40） ≤2（depth≤30） ≤1（depth≤30）

Axial resolution mm ≤1（depth≤40） ≤1（depth≤40） ≤0.5（depth≤30）

Blind zone mm ≤5 ≤4 ≤3

Slice thickness mm ≤5 ≤5 ≤5

Transverse geometric
≤20 ≤10 ≤5
positional accuracy %

Longitudinal

geometric positional ≤10 ≤5 ≤5

accuracy %

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 Color Ultrasonic Diagnostic Apparatus User Manual

Perimeter and area

measurement ±20 ±20 ±20

deviation%

M mode time display

±11 ±11 ±11
error %

M m o d e d i s t a n c e
±11 ±11 ±11
display error %

7.5MHz L5-12L46 line array wide frequency probe

6.0 MHz（frequency 12.0 MHz（frequency
Probe frequency 7.5 MHz（Nominal）
conversion） conversion）
Probe type 7.5MHzL5-12 L46
Detecting depth mm
≥50 ≥50 ≥30
mm

Lateral resolution mm ≤2（depth≤40） ≤2（depth≤40） ≤1（depth≤30）

Axial resolution mm ≤1（depth≤50） ≤1（depth≤50） ≤0.5（depth≤30）

Blind zone mm ≤3 ≤3 ≤2
Slice thickness mm ≤5 ≤5 ≤5
Transverse geometric ≤10 ≤10 ≤5
positional accuracy %
Longitudinal
≤5 ≤5 ≤5
geometric positional

accuracy
P e r i m%e t e r and area
±20 ±20 ±20
measurement
M mode time display
±11 ±11 ±11
error %

M m o d e d i s t a n c e
±11 ±11 ±11
display error %

3.0MHzP2-5L19 phased array wide frequency probe parameters

Probe frequency 2.0 MHz（frequency 3.0 MHz（Nominal） 5.0 MHz（frequency

conversion） conversion）
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 Color Ultrasonic Diagnostic Apparatus User Manual

Probe type 3.0MHzP2-5 L19

Detecting depth mm ≥140 ≥140 ≥80

mm ≤3（depth≤80） ≤3（depth≤80）
Lateral resolution mm ≤2（depth≤40）
≤4（80＜depth≤130) ≤4（80＜depth≤130)

Axial resolution mm ≤2（depth≤80） ≤2（depth≤80） ≤1（depth≤40）

Blind zone mm ≤7 ≤7 ≤5

Slice thickness mm ≤9 ≤9 ≤9

Transverse geometric
≤20 ≤20 ≤20
positional accuracy %

Longitudinal ≤10 ≤10 ≤10

geometric positional
Perimeter and area

measurement ±20 ±20 ±20

deviation%
M mode time display
±11 ±11 ±11
error %
M m o d e d i s t a n c e
±11 ±11 ±11
display error %

6.5MHz C5-9R10 convex array broadband probe parameters

5.0 MHz（frequency 9.0MHz（frequency

Probe frequency 6.5 MHz（Nominal）
conversion） conversion）

Probe type 6.5MHzC5-9 R10

Detecting depth mm ≥80 ≥40 ≥40

mm
Lateral resolution mm ≤2（depth≤40） ≤2（depth≤30） ≤1（depth≤30）

Axial resolution mm ≤1（depth≤40） ≤1（depth≤40） ≤0.5（depth≤30）

Blind zone mm ≤5 ≤4 ≤3
Slice thickness mm ≤5 ≤5 ≤5

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 Color Ultrasonic Diagnostic Apparatus User Manual

Transverse geometric
≤20 ≤10 ≤5
positional accuracy %
Longitudinal
≤10 ≤5 ≤5
geometric positional
Perimeter and a r e±20
a ±20 ±20
accuracy %
measurement
M mode time display
±11 ±11 ±11
error %

M m o d e d i s t a n c e
±11 ±11 ±11
display error %
4.0MHzR40 convex array broadband frequency probe parameters

Probe frequency 2.0 MHz（frequency 4.0 MHz（Nominal） 5.5MHz（frequency

Probe type 4.0MHz R40
conversion） conversion）
Detecting depth mm ≥160 ≥100 ≥100

mm ≤3（depth≤80）
Lateral resolution mm ≤2（depth≤60） ≤2（depth≤60）
≤4（80＜depth≤130)

≤2（depth≤80）
Axial resolution mm ≤1（depth≤80） ≤1（depth≤80）
≤3（80＜depth≤130)

Blind zone mm ≤5 ≤4 ≤4

Slice thickness mm ≤9 ≤9 ≤9

Transverse geometric ≤15 ≤15 ≤15

positional accuracy %
Longitudinal
≤10 ≤10 ≤10
geometric positional
Perimeter and area
accuracy %
±20 ±20 ±20
measurement

M mode time display

deviation%
±11 ±11 ±11
error %

M m o d e d i s t a n c e
±11 ±11 ±11
display error %

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 Color Ultrasonic Diagnostic Apparatus User Manual

Color flow imaging mode performance

► In color flow imaging mode, the depth of each probe at its Doppler operating frequency should meet

the requirements in the table below.

Color flow imaging mode performance

Performance Requirements
Serial
Performance unit 3.5MHzC2-6R65 6.5MHzC4-9R10 7.5MHzL5-12L46
Number Convex array broadband Convex array Linear array broadband

probe broadband probe probe

1 Doppler MHz 2.0 3.0 5.0 5.5 6.0 6.5

frequency

2 Depth of mm ≥100 ≥80 ≥40 ≥30 ≥40 ≥30

detection

Maximum
3 mm 300 300 160 160 110 110
display

blood flow

depth

Performance Requirements

Serial Performa 3.0MHzP2-5L19 6.5MHzC5-9R10 4.0MHzR40

unit
Phased array wide Convex array Convex array wide
Number nce
frequency probe broadband probe frequency volume

probe

4 Doppler MHz 2.0 3.0 5.0 5.5 3.0 3.5

frequency

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 Color Ultrasonic Diagnostic Apparatus User Manual

5 Depth of mm ≥100 ≥80 ≥40 ≥30 ≥80 ≥60

detection

Maximum
6 mm 300 300 160 160 300 300
display

blood

Flow

depth

► I n co l or f l ow i m a gi n g mo de , t he m ax i mu m di sp l a y b l o od f l ow de pt h o f ea c h p r ob e at i t s D op pl e

operating frequency should meet the requirements in the above table.

► The color blood flow image should basically coincide with the grayscale image of the pipe in which it

is located.

► The direction of blood flow should be correctly identified without aliasing.

Spectrum Doppler Mode Performance

► In spectral Doppler mode, the Depth of detection of each probe at its Doppler operating frequency

should meet the requirements in the table below.

Spectrum Doppler Mode Performance

Performance Requirements

Serial 3.5MHzC2-6R65 6.5MHzC4-9R10 7.5MHzL5-12L46

Performance unit
Number Convex array broadband Convex array Linear array broadband

probe broadband probe probe

Doppler
1 MHz 2.0 3.0 5.0 5.5 6.0 6.5
frequency

Depth of
2 mm ≥100 ≥80 ≥40 ≥30 ≥40 ≥30
detection

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 Color Ultrasonic Diagnostic Apparatus User Manual

Maximum

display
3 mm 300 300 160 160 110 110
bloodflow

depth

Performance Requirements

3.0MHzP2-5L19 6.5MHzC5-9R10 4.0MHzR40

Serial
Performance unit Phased array wide Convex array Convex array wide
Number
frequency probe broadband probe frequency volume

probe

Doppler 2.0 3.0 5.0 5.5 3.0 3.5

4 MHz
frequency

Depth of ≥100 ≥80 ≥40 ≥30 ≥80 ≥60

5 mm
detection

Maximum 300 300 160 160 300 300

display
6 mm
bloodflow

depth

►In the spectral Doppler mode, the maximum display blood flow depth of each probe at its Dop

operating frequency should meet the requirements in the above table.

Color blood flow velocity measurement display

► In spectral Doppler mode, the minimum resolvable blood flow velocity displayed by the color flow

velocity measurement should meet the requirements in the table below.

Color blood flow velocity measurement display

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 Color Ultrasonic Diagnostic Apparatus User Manual

Performance Requirements
Serial 3.5MHzC2-6R65 6.5MHzC4-9R10 7.5MHzL5-12L46
Performance unit
Number Convex array Convex array Linear array

broadband probe broadband probe broadband probe

Doppler
1 MHz 2.0 3.0 5.0 5.5 6.0 6.5
frequency

Minimum

2 resolvable blood cm/s 0.2 0.2 0.2 0.2 0.2 0.2

flow velocity

Maximum

3 display blood cm/s 1150 800 570 470 480 470

flow velocity

Performance Requirements

3.0MHzP2-5L19 6.5MHzC5-9R10 4.0MHzR40

Serial
Performance unit Phased array Convex array Convex array wide
Number
wide frequency broadband probe frequency volume

probe probe

Doppler
4 MHz 2.0 3.0 5.0 5.5 3.0 3.5
frequency

Minimum

5 resolvable blood cm/s 0.2 0.2 0.2 0.2 0.2 0.2

flow velocity

Maximum

6 display blood cm/s 1000 740 570 470 480 470

flow velocity

► In spectral Doppler mode, the maximum blood flow velocity displayed by the color flow veloc

measurement should meet the requirements in the above table.

► The error of blood flow velocity reading of color ultrasound should not exceed 20%.

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 Color Ultrasonic Diagnostic Apparatus User Manual

► The sampling position of the sampling area in pulse wave Doppler mode should be accurate.

3D imaging mode Performance

4.0MHzR40 Convex array wide frequency volume probe in 3D/real-time 3D imaging mode, Depth

of detection, blind zone, lateral resolution of scanning direction, lateral resolution of pitch direction, axial

resolution, spatial geometric position accuracy of scanning direction, pitch The geometrical p

accuracy of the direction space, the geometrical positional accuracy of the axial space, and the volumetric

measurement error meet the requirements of the following table.

Probe model 4.0MHzR40

2.0 MHz（frequency 5.5MHz（frequency

Probe frequency 4.0 MHz（Nominal）
conversion） conversion）
D e p t h o f d e t e c t i o≥160
n ≥100 ≥100
mm
Blind zone mm ≤5 ≤4 ≤4

Scanning direction ≤3（depth≤80）

≤2（depth≤60） ≤2（depth≤60）
Lateral resolution mm ≤4（80＜depth≤130)

Pitch direction ≤3（depth≤80）

≤2（depth≤60） ≤2（depth≤60）
Lateral resolution mm ≤4（80＜depth≤130)

≤2（depth≤80）
Axial resolution mm ≤1（depth≤80） ≤1（depth≤80）
≤3（80＜depth≤130)

S c a n n i n g d i r e c t i o n

space ≤15 ≤15 ≤15

Geometric positional

accuracy %

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 Color Ultrasonic Diagnostic Apparatus User Manual

Pitch direction space

Geometric positional ≤15 ≤15 ≤15

accuracy %

A x i a l s p a t i a l
≤10 ≤10 ≤10
geometric positional

accuracy %
Volume
±30 ±30 ±30
measurement error %

Linear array probe for peripheral blood vessels when performance

► Ultrasonic working frequency

In the spectral Doppler mode, the Doppler operating frequency of the 7.5MHz L5-12L46 line array probe

should be less than ±10% from the screen display.

► Flow rate measurement range

In t h e sp e c t ra l D o p p l e r m o d e , th e f lo w ra t e m e a su r e m e n t ra n g e

w o r ki n g d i s t a n c e a n d t y p i c a l s a m p l i n g a r e a m e e t s t h e r e q u i r e m e n t s o f t h

following table.

Doppler operating Ultrasonic Doppler frequency Measuring range/

Operating mode
frequency/MHz deviation/% （cm/s）

Not narrower than

6.0MHz ±10
20~200
Pulse wave (PW) mode
Not narrower than
6.5MHz ±10
20~200

► Flow rate measurement error: The maximum error should not exceed ±20%.

► Working distance: In the spectrum Doppler mode, the maximum

distance and the minimum working distance meet the requirement

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 Color Ultrasonic Diagnostic Apparatus User Manual

following table.
Probe model Doppler frequency Working distance Minimum working distance

7.5MHzL5- 6.0MHz 110mm 3mm

12L46Linear probe
6.5MHz 110mm 3mm

► The ultrasonic output power should be adjustable.

► Work status and function settings In the spectrum Doppler mode, the following working status settings

and selection functions should be available:

a) blood vessel selection;

b) adjustable filtering function, the filtering frequency includes 50Hz, 100Hz, 200Hz, 400Hz, etc.;

c) sampling area setting;

d) receiving gain adjustment;

e) baseline movement;

f) ruler setting;

g) Parameter measurement: Velocity, acceleration, vascular pulsation index (PI), and vascular

resistance index (RI) measurements can be performed under image freeze conditions.

Product working principle

The color Doppler ultrasound diagnostic apparatus uses Doppler and autocorrelation techniques to

image blood flow based on ultrasound pulse echo imaging, and superimposes the color coded information

on the B mode grayscale image for real-time display.

Biological effect

During the ultrasound examination, ultrasound enters the body and interacts with

physiological structural zone and surrounding tissue. A small portion of the transmitted u

reflected back to the probe for image acquisition and the rest is consumed in the tissue. A sufficiently high

interaction between ultrasound energy and tissue can produce bio

mechanical or thermal effects. Although the biological effect is due to the applicati

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 Color Ultrasonic Diagnostic Apparatus User Manual

ultrasound, this biological effect is generally not required in the diagnosis, and it may be dangerous under

certain conditions.

So far, although there is no report that diagnostic ultrasound has caused significant biological effects

i n h u m a n s , i t i s g e n e r a l l y b e l i e v e d t h a t t h e f r e q u e n c y, i n t e n s i t y, a n d i r r a d i a t i

ultrasound do not cause harmful biological effects, and people continue to conduct research on biological

effects.

Clinicians should weigh the pros and cons of diagnostic ultrasound.

In March 1993, the American Society of Ultrasound Medicine published a formal statement on the

safety of clinical application of ultrasound: Diagnostic ultrasound has been applied since the late 1950s,

and its advantages and effectiveness as a medical diagnostic tool have been proven, including in pregnant

humans. Application. The American Academy of Ultrasound in Medicine hereby submits a clinical safety

statement for ultrasound applications: there is no known report of biological effects caused by the patient s

or instrument operators due to the conventional intensity of current diagnostic ultrasound instruments. The

possibility of biological effects may be determined in the future, but current data suggest that the use of

diagnostic ultrasound with caution is far more beneficial to patients than if the hazard exists.

The American Society of Ultrasound Medicine (AIUM) has issued the followi

obstetric ultrasound: AIUM promotes responsible ultrasound diagnostic applications. AI

opposes non-medical ultrasound applications for psychological, social or recreational purposes. 2D (2D)

Or three-dimensional (3D) ultrasound to observe only the fetus, to obtain images of th

determine the sex of the fetus in the absence of medical evidence is inappropriate, contrary to medica

professional ethics. Although currently exposed to diagnosis The question of whether biological effects on

patients under ultrasound can still be confirmed has not been confirmed, but this biological effect is likely

to be determined in the future. Therefore, ultrasound should be applied with caution to provide medical

benefits to patients.

Thermal effect

Like other forms of energy, ultrasound energy is attenuated and converted into energy as it passes

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 Color Ultrasonic Diagnostic Apparatus User Manual

through the tissue. If this energy is generated a lot, it will heat up the tissue and may cause harm. The main

factors affecting the thermal effect are mainly the organizational characteristics or control parameters.

The physical properties of the tissue such as acoustic impedance, attenua

permeability determine the generation and transmission of heat.

The time average intensity of the ultrasonic energy is determined by the ultrasound parameters. These

parameters include: output frequency, pulse amplitude, pulse duration, pulse period, beam shape, and beam

motion. These parameters are the operator s choice of device options such as probe type, operating mode,

focus depth, sample volume position, and output control settings. Operators can also have a significant

impact on changing the direction of motion and dwell time of the probe. These paramete

operator the means to minimize thermal effects.

Mechanical effect

Similar to the thermal effect, the interaction between ultrasonic energy and tis

mechanical effects. The most important of these is the cavitation effect caused by the ultrasonic pressure

on the tiny bubbles inside the tissue. In laboratory small animal experiments, cavitation effects cause cell-

level mechanical damage such as minute rupture and bleeding. The main factors affecting mech

effects are organizational characteristics or control parameters:

The physical properties of the tissue, such as the presence and size of tiny bubbles, and the sensitivity

of the tissue to cavitation effects all influence the generation and action of cavitation effects.

Ultrasonic field parameters (eg, ultrasonic output frequency, pulse peak amplitude, and possible pulse

duration) are the main factors affecting cavitation effects. These factors can be controlled by the operator

through appropriate equipment control options.

Operator intervention

Try to optimize the gain and other image enhancement functions before increasing the sound power

output or before changing other device control parameters that will significantly affect the sound power

output.

Develop and practice techniques for determining anatomy and quickly optimizing image quality, and

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 Color Ultrasonic Diagnostic Apparatus User Manual

freeze the image as soon as the required diagnostic information is obtained. It takes time to cause tissue

warming, so reducing the exposure time can greatly reduce the possibility of injury.

Avoid possible tissue damage if possible by changing the probe position, angle of incidence or probe

type.

The penetration depth of the high frequency probe is small. Line array probes have lower ener

intensity.

Avoid focusing on tissues with little bone or blood penetration. Do not let the ultrasound beam pass

through the eye, focus on the eye or near the eye.

ALARA principle

We h a v e a s i m p l e p r i n c i p l e o f u s i n g u l t r a s o n i c e n e r g y, c a l l e d ALARA (as low as

achi evable, ALARA), which is t he pri ncipl e t hat ultrasonic irradiati on should be as l ow as reasonab

possible . Following this principle means that we keep the overall ultrasound exposure as reasonably low

as possible, while at the same time obtaining the most appropriate diagnostic information.

The amount of control that does not significantly affect the image quality should be set to minimize

the sound power output, and the setting that can change the image quality but also increase the amount of

control of the sound power output should be as small as possible while obtaining the diagnostic

image.

■ The sound output limit of this device is lower than the US FDA's
limit when the power is turned on.
■ This device maintains an acoustic output below the appropriate
l i m i t f o r v a r i o u s a p p l i c a t i o n s , a s s h o w n b e l o w. B e c a u s e t h e
difference is significant, it is required to select the correct application
and not to quit the application, so as to ensure that the c
application restrictions are used in the corresponding app
environment.
■ T h e s o u n d o u t p u t l i m i t s o f t h e d i a g n o s t i c
follows:Ispta.3 ＜ 720 mW/cm²； MI ＜ 1.9； TI ＜ 6.0
Product contraindications

This device is not suitable for inspection of organs containing organs such as lungs.
 It is recommended not to detect wounds or areas of acute inflammation to avoid cross-

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infection.
 Va g i n a l & r e c t a l p r o b e s a r e p r o h i b i t e d i n t h e f o l l o w i n g p a t i e n t s : v a g i n a l i n f l a m
s u c h a s t r i c h o m o n a s v a g i n i t i s , f u n g a l v a g i n i t i s , s e x
unmarried; vaginal malformations; menstrual period; postme
vaginal ultrasound difficult; vaginal bleeding Patients with placenta previa.
Puncture is disabled in the following patients:
Hypertension, coronary heart disease, patients with coagulopathy & bleeding tendency.

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Chapter 4 Instrument Installation

4.1 Unpacking inspection

After unpacking, you should carefully check the packing list to confirm that the instrument is
assembled and the instrument has no transport damage. Install the instrument according to the following
requirements and methods. The Allen key can be adjusted/fixed, and the monitor is attached to the power
supply and video cable after the bracket.

17 inch LCD
DIplay

Probe

Operation panel

Power switch

Probe
Connector
s

Trolley complete machine schematic

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Schematic diagram of the rear interface of the trolley

4.2 Probe installation

Place the locking device (rotatable) of the probe plug in the non-locking state, then insert it into the

probe socket of the main unit, and securely lock the plug, and then put the probe into the fixed position of

the operation table.

Note: Only use the probes produced by our company, otherwise the diagnosis will not be
possible.
       The device must be frozen or powered off before connecting or removing the probe.

Probe
Lock knob

Insert the probe plug into the probe connectors Rotate the probe knob 90°clockwise

4.3 Installation of external video equipment

The host video output VGA and PAL sockets can be connected to the video output device
recommended by the company. Please install according to the instructions of the user. When connecting
with the host, simply connect its video plug to the corresponding video output socket on the back of the
host.

Note: When there is no image display on the external display device, please press Ctrl+Alt+F1
on the external USB interface keyboard to display all.

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4.4 Protective ground wire connection

In order to ensure the safe use of the instrument and the normal use of the instrument, the user must
use a metal wire with a cross-sectional area of not less than 1.00 mm2, one end of which is connected to
the protective grounding post of the instrument, and the other end is reliably connected to the earth (the
access site must be a safe ground) ).

4.5 Power connection

According to the power supply requirements of the instrument (AC 220V 50Hz), prepare the power
supply socket board of the network, check the power supply of the instrument, and determine that within
the specified power supply range, when confirming that the power switch of the host is in the
disconnected position, insert the adapter output plug face down into the host. Inside the DC 12.8V power
input hole, insert the output plug of the AC 220V power cord into the input socket of the adapter, and
then plug the input plug of the AC 220V power cord into the power supply socket of the network.
Note: 1. Plug the adapter plug face down into the device power connector
2. Turn off the power of the network after use or charging is completed.

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Chapter 5 Using Methods

5.1 Boot
The power supply of this machine is DC 12.8V. The main power switch is located on the left side of
the fuselage. Just turn on the left switch when starting up. The normal startup time is about 1 minute.

Note: Please confirm that the display is powered on when booting; please do not insert the
USB flash drive before booting.

5.2 Shutdown

Step 1. Press the Power button at the top left of the keyboard;
Step 2. When the display has no display, turn off the display;
Step 3. Turn off the main power switch on the left side of the main unit.
Note: Please shut down strictly in this order when shutting down to avoid damage caused by
instantaneous power loss.

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5.3 The keyboard layout is shown in the following figure:

Trolley operation panel schematic

5.4 Keyboard function description

This group of keys is used to input English letters, numbers, symbols or to implement control

functions. Use the character keys (English letters/number keys) to enter patient data, annotate images, and

make system settings. When the font is input, press the Func button (the light is on), and then press the Z

button to convert the input method.

【On/Off】 Industrial power supply on/off

【Caps】 English letter size switch

【Space】 Space

【Backspace】 Backspace

【Enter】 Enter

【Patient】 Patient registration shortcut

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【Func+Z】 Press the Func button (lights up), then press the Z button to convert the input method.

5.5 Introduction to specific operations

The following operations are performed by pressing the Func button first, and then pressing the
corresponding letter when the light is on. When the relevant interface appears, press the Func button
again, and then continue the operation after the light is off, to avoid some keys cannot be used or errors.
Modify: first press the Func button, then press the letter P after the light is on, the following menu will
appear on the screen:

Use the cursor to click the drop-down menu to set the system language, date, and time. Enter the
hospital name and doctor s name in the hospital name and doctor name field. In the report, select the
number of inserted images, the number is selected between 1-4 frames, and you can select the print size
according to the actual needs of printing. Generally, select Medium . You can also choose different
obstetric tables as needed or edit the obstetrics table according to the doctor s actual experience. At the
same time, the number of movie playback frames can also be set using the drop-down menu. The default

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playback frame number is 200 frames and the maximum is 1200 frames. Click OK when all settings are
complete to save all settings.

Image annotation
In the real-time state, press Func first, then press the letter C to display the comment dialog box,
then press Func to extinguish the input, press Enter to end the comment; place the cursor on the
comment. After clicking the set button on the text to display the green frame, move the trackball to the
specified position and press the set button to complete. In the Func light off state: press the A button
and the set button to form the dotted line with the trackball; press the H button and the set button to
appear the dotted line; press the C button and The set key can appear as an elliptical line dashed line.
After the comment is complete, press the Save button to save the picture and press the Freeze
freeze/unfreeze button to exit the comment.

4B mode
In the real-time state, press Func first, then press the letter Q , then enter the 4B display mode and
press the Q key to display four images in sequence; press Func to turn off the light and press B to
enter the order. B mode.

Puncture
Press Func in the real-time state, and then press the letter X after the light is on, the puncture line
can appear in the realized image. Press the Angle button. After the light is on, adjust the Encoder Adjust
knob to adjust the angle of the puncture line. The trackball can adjust the position of the puncture line.
Press the set button to determine the position of the puncture line. Press the Func button and press the
Clear or Exit button to cancel the puncture line.

Body mark
In the real-time state, press Func first, then press the letter B after the light is on, you can select the
body image. Click to click under the corresponding icon (only click once under the same icon), click
Close to exit. Press the Func button to turn off the other options.

Set check type

Save the current parameter combination, press Func in the real-time state, then press S after the
light is on, select the corresponding inspection type, click Save Settings or automatically exit after 5
seconds. After the end, please press the Func button to turn off the light.

Input method switching

Press Func first, then press Z after the light is on to switch the input method. After the switch is
completed, press the Func button to turn off the light.

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Delete saved image/snippet

Press Freeze in the real-time state to enter the frozen state, then press the Cine loop button, use the
trackball to move the mouse to the × where you need to delete the picture, click the Set button, and
then click Freeze to exit again.

5.6 function keys

Operation panel button function description:

Image loop playback selection button: Press the Freeze button and press
this button to enter the image playback interface; press this button again to
exit the image playback state.

Image save button: save image

Image storage button: movie playback storage

Report generation key: diagnostic report generation

Continuous Doppler button: continuous Doppler switch (preset button)

3D/4D button: Activate 3D/4D mode (if equipped)

Switch to double B mode, 4B mode

Switch to B/M mode, M mode

Print button: for real-time image printing (external printer required)

Scan depth adjustment activation

Focus position adjustment activation

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Wall signal filtering adjustment activation

Blood flow velocity modulation activation

Image magnification adjustment activated

Fan scan range size / sample volume adjustment activated

Switch between probes

Adjust the encoder for depth, focus, wall filtering, blood flow speed, partial
discharge, angle button adjustment knob

Pulse Doppler: Pulse Doppler switching and gain adjustment, real-time

response to black and white pulse Doppler and pulsed Doppler in blood
flow mode

Color Doppler button: color Doppler switch and gain adjustment, enter
color blood flow mode in real time

Gain adjustment button: return to B mode button, black and white total gain
adjustment

Exit key: equivalent to the right mouse button during operation

Clear key to clear measurement data and annotation information on the

screen

Refresh button: refresh function, available in PW state

Measurement direction exchange

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Obstetric measurement callout

Measurement menu callout

Confirmation key, equivalent to the left mouse button

Deflection adjustment button: valid in superficial check color flow mode

Trackball: equivalent to mouse sliding movement

Control the left side of the screen to select the previous parameter

Control the corresponding box on the left side of the screen to reduce the
adjustment

Control the left side of the screen to select the next parameter

Control the left side of the screen to select the next parameter

Freeze/defreeze button, press this button continuously to cycle into the

freeze/thaw state

TGC Adjustment slider：

The TGC real-time state is divided into 8 segments to control the image
region signal compensation, sliding from left to right, the gain is increased;
otherwise, the gain is reduced.

5.7 Introduction to specific operations

After booting normally, the screen displays as follows:

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Blue represents the currently selected probe. The doctor can touch the trackball as needed to move
the cursor to the corresponding probe. Press the Set button to select the probe. You can also press the
Probe button during the use to display the probe selection interface.
Patient information can also be checked when patient information is not entered. To avoid data
confusion, it is recommended to enter patient information prior to the examination; establish a patient s
information base in the system to better manage patient data information.
Press the patient button on the operation panel to pop up the new case interface; register as needed.
Check the type setting, press Func in the real-time state, then press the S button to display the
screen as shown below:

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Users can personalize the settings according to different needs. Each probe can set 13 different sets
of parameters, which is convenient to use in different situations. When you need to save the settings, just
press the Func button after adjusting the parameters, then press the S button after clicking the button,
then click the Save Settings button, then click the current red button to save the settings. If you need to
switch, you can click the blue button to select different settings.
Note, press Func in the frozen state, then press C after lighting, the screen will display as follows
At this time, you can input letters, numbers. After inputting, use the trackball to move the cursor to
the character input box. Press the Set button and the characters will be displayed on the screen. To
delete, press Clear to clear all characters.
The storage function, in the real-time state, press the Save button, the current image is saved
and displayed at the bottom of the screen, the screen is displayed as follows:

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If you need to call up the saved image, press the Cine loop button in the frozen state. At this time,
all saved images will appear at the bottom of the screen. Move the cursor to the desired image and press
the Set button to display it on the screen. For the corresponding image, if you want to delete, just move
the cursor to the × at the top right of the image and press Set to delete the image.
Partially zoom in, press the ZOOM button in real time, the screen will display as follows

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A partial enlargement sampling frame appears in the image, and the local magnification is displayed
in the upper left corner. The default magnification is 2, and the magnification can be changed by rotating
Encoder , which increases clockwise, the maximum is 10, and the counterclockwise decreases. The
minimum is 1. Select the appropriate magnification. Press the encoder screen to display the enlarged
image. Press Encoder again to exit the partial zoom state.
Position mark, press the Func button in the real-time state, then press the B button after the
light is on, the screen displays as follows

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At this point, you can move the trackball cursor to the desired body position mark and press the Set
button to select it, then click the Close button. You can also turn the page through the page up button on
the upper right of the position mark group to select the next set of body position marks.
Movie playback, after the image is frozen, some selection buttons for movie playback will appear
automatically at the bottom of the screen. The screen displays as follows:

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Use the trackball to move the cursor to the first dot on the left. Press the Set button to play back.
Move to the second dot. Press the Set button to play forward. Move to the third dot and press Set . The
button is to stop playback. Press the Set button to select the playback speed. The default speed is 4, and
the range is between 1-5. The bigger the number, the faster the speed. If you want to exit the playback,
just unfreeze.

Report function, press the Report Report button in the frozen state, the screen displays as follows

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Fill in the relevant content and press Print Preview to view the effect. The screen displays as
follows, press Print to print the report, or press Close to exit the report.

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If you choose to print directly, use the trackball to move the cursor to Print and press the Set
button.If you want to exit the report, just click Back .

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Chapter 6 Display Mode

6.1 B mode

Description

Use the keyboard arrow keys to modify the corresponding data on the left side of the screen.

to select the corresponding data column ， to adjustment parameter ； Rotate the

Knob B encoder to modify the total gain, increasing clockwise and decreasing counterclockwise.

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6.2 B/B mode

Description
Press B/B in the function key area to enter 2B mode and display the left B picture.Then press

to display right image ， While freezing the left image 。 Press repeatedly to
switches between the two-frame mode. Press Knob B to exit 2B mode.

Menu function

Use the keyboard arrow keys to modify the corresponding data on the left side of the screen.

to select the corresponding data column，use to adjusts the parameter size; rotating
the Knob B encoder can modify the total gain, increase clockwise, counterclockwise, and modify the
image parameters in real time. Various measurement functions can be performed in a frozen state.
6.3 4B Mode

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Description
Press the B/B key in the function key area to activate it to enter the double B mode, then press the

B/B key to enter the 4B mode and display the first picture on the upper left. Press to show
the second picture, the third picture and the fourth picture. Press Button B to exit 4B mode and enter
single B mode.
Menu function

Use the keyboard arrow keys to modify the corresponding data on the left side of the screen.

to select the corresponding data column ， The key adjusts the parameter size; the
knob B can modify the total gain, clockwise increase, counterclockwise decrease, and image parameter
modification can be performed in real time. Various measurement functions can be performed in a frozen
state.

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6.4 B/M mode

Description
Press the function area B/M button and the B/M image will be displayed. Various types of
measurements can be made in freeze mode. Press the Knob B encoder to exit the B/M mode.

Menu function

Use the arrow keys to modify the corresponding data on the left side of the screen. 、 to

select the corresponding data column, 、 to adjusts the parameter size; adjusting the knob B
encoder can modify the total gain, increasing clockwise and counterclockwise, and modifying the image
parameters in real time. Various measurement functions can be performed in a frozen state.

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6.5 M mode

Description
Press the function area B/M button and the B/M image will be displayed. Press B/M again and the
M working mode is displayed. Press the B/M button to switch between working in B/M and M modes.
Press the Knob B encoder to exit the B/M mode.
Menu Function

Use the keyboard arrow keys to modify the corresponding data on the left side of the screen.

to select the corresponding data column, to adjusts the parameter size; adjusting the
knob B can modify the total gain, increase clockwise, counterclockwise, and modify the image
parameters in real time. Various measurement functions can be performed in a frozen state.
6.6 B+C Mode

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Description
Press the Knob C encoder in B mode to display the B+C image mode, ie the blood flow and black
and white image overlay. The image sampling frame can be moved and changed in real time by the
trackball and the Set button. Various measurement functions can be performed in a frozen state. Press
the Knob C encoder again to exit B+C mode.

Menu Function

Use the keyboard arrow keys to modify the corresponding data on the left side of the screen.

to select the corresponding data column, to adjusts the parameter size; adjusting the
knob B encoder can modify the total gain, increasing clockwise and counterclockwise, and modifying
the image parameters in real time. Various measurement functions can be performed in a frozen state.

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6.7 B+D Mode

Description
Press the Knob PW encoder in B mode to display the B+D image mode. The track line and Set
button can be used to move and change the sample line in real time. Various measurement functions can
be performed in a frozen state. Press the Knob PW encoder again to exit B+D mode.

Menu Function

Use the keyboard arrow keys to modify the corresponding data on the left side of the screen.

Key to select the corresponding data column, The key adjusts the parameter size;
Knob B can modify the total gain, increase clockwise, counterclockwise, and modify the image
parameters in real time. Various measurement functions can be performed in a frozen state.
6.8 B+C+D Mode

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Description
Press Knob C in B mode to display B+C image mode, then press Knob PW to display B+C+D.
Through the trackball and the Set button, the image sampling line, sampling frame movement and
change can be performed in real time; the sampling angle can be adjusted by the angle button and knob
Adjust . In the frozen state, various measurement functions can be performed. Press the Knob PW
encoder again to exit B+C+D mode, return to B+C mode, and then press Knob C to return to B mode.

Menu Function

The keyboard direction key modifies the corresponding data on the left side of the screen.

to select the corresponding data column, to adjusts the parameter size; Knob B can
modify the total gain, increase clockwise, counterclockwise, and modify the image parameters in real
time. Various measurement functions can be performed in a frozen state.

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6.9 PDI Mode

Description
In the B+C+D mode, press the Update button, or change the Sync to Refresh in the Display
Mode column on the left to realize the energy map work. The trackball and the Set button can be used.
Image sampling lines, sampling frame movements and changes are performed in real-time. Various
measurement functions can be performed in a frozen state.
Menu Function

Use the arrow keys to modify the corresponding data on the left side of the screen. to

select the corresponding data column, to adjusts the parameter size; Knob PW can modify
the total gain, increase clockwise, counterclockwise, and modify the image parameters in real time.
Various measurement functions can be performed in a frozen state.

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Chapter 7 Optimizing B Mode Image

7.1 B mode use

The B mode displays a two-dimensional image and provides measurement functions related to soft
tissue anatomy.

Current functional status

B mode display

7.2 Typical B Mode Inspection Scheme

The inspection using the B mode is generally carried out as follows:

1. Record patient information related to the examination. Verify system settings (probes and
presets).
2. Place the patient in the proper position and secure the device, make it easy for the operator to
operate, and consider whether the patient is comfortable; perform a scan.
3. Collect all the data to complete the study.
4. Press the knob B on the keyboard to display the single B mode. Image parameter modification
can be performed in real time by the menu adjustment function at the bottom of the image. Various

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measurement functions can be performed in a frozen state.

7.3 B mode top/secondary menu

Arrow key or Press once, the menu will change color for the encoder position, and the

color will be grayish green.Arrow key or Press once and the corresponding data in the image
changes. As shown above: The selected dynamic range is the current adjustable state.The function of the

arrow keys is: for choice, or for adjustment

7.4 Function interpretation and adjustment in B mode

Sound power

Ultrasonic transmission power, the digital change is 0-15, Press the value will decrease, Press

The key value becomes larger and the real-time ultrasound image changes with the value.

Transmitting frequency

The probe transmission frequency is different depending on the probe configuration. Press

then value will decrease，Press then value will increase，The real-time ultrasound image changes
with the value.

Scanning density

Scan line density, the value changes to high or low options, or can be adjusted. At the
same time, the information display area FPS XHz frame rate display on the right side of the image (X is
the frame frequency change number as the scan density changes).

Dynamic Range
The logarithm of the ratio of the maximum undistorted output power to the static system noise

output power, the digital change is 0dB-160dB, Press the value will decrease ， Press the
value will increase，The dynamic range controls how the echo intensity is converted to a gray gradient,
which increases the adjustable range of contrast. At the same time, the dynamic range can be reduced by
the compensation of the gain adjustment. The system has set a reasonable dynamic range value when it
leaves the factory.

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Smoothing

For the processing of image noise, the digital change is 0-7. Press the value will

decrease，Press the value will increase.

Black and white afterglow

Frame average, the number changes to 0-7, Press the value will decrease ， Press the
value will increase.

Second harmonic

Enhanced penetration, the value changes to OFF or ON two options, or can be

adjusted.At the same time, the information display area Frequency H X MHZ is displayed on the right
side of the image.

Number of focus

The number of focus, the word change is 1-4, Press the foucs will decrease，Press the
foucs will increase. The focus is on the edge of the image scale, and the focus changes as the encoder
rotates. At the same time, the information display area FPSXHz is displayed on the right side of the
image (X is the frame frequency change number as the focus changes).

Scanning range

Fan width, the number changes from 5% to 100%, Press the value will decrease，按 the
value will increase. At the same time, the information display area FPS X Hz frame rate display on the
right side of the image (X is the frame frequency change number as the scan range changes).
Image optimization

For image signal post-processing, the number changes to 0-6. Press the value will decrease，

按 the value will increase.

Edge enhancement

Enhance the edge of the organ, the number changes to 0-7, Press the value will

decrease，press the value will increase.

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Gray scale curve

A gray scale curve refers to an image signal that suppresses below a certain gray level. The number

changes from 1 to 16, Press the value will decrease，Press the value will increase.

Flip adjustment

The image is flipped left and right, and the value changes to OFF or ON . or can
adjust. At the same time in the middle of the image display area (sector) will increase or decrease along

with or .

Vertical adjustment

The image is flipped up and down, and the value changes to OFF or ON . or can
adjust. At the same time in the middle of the image display area (sector) will increase or decrease along

with or .

7.5 Optimizing B mode

7.5.1 Depth Adjustment

Description
The depth controls the distance of the B-mode anatomy imaging. To display a deeper image, increase the
depth. If you need a larger display size, at the bottom and not commonly used, you can reduce the depth.
Adjustment
To increase/decrease the depth, click the button depth to turn it on, turn Knob Adjust clockwise to
increase the depth. Turn Knob Adjust counterclockwise to make the depth lighter. The increase in the
value depth varies with the probe and application. The information area depth on the right side of the
display image is expressed in centimeters. If you change the following, the depth value will be returned
to the factory settings or user presets: probe, exam category or new patient.
Advantage
The depth adjusts the field of view. Increase your horizons, allowing you to see a wider and deeper
structure; shrink your view and make you see the structure close to the skin. Effects on other controls
After adjusting the depth, you also need to adjust the TGC and focus.
Biological effect
Changing the depth changes the heat index and/or the mechanical index. Note the output display that
may be affected.

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7.5.2 Gain
Description
The B mode gain increases or decreases the amount of echo information displayed in the image. If it
produces enough echo information, it has the effect of enhancing and darkening the image. The
adjustment gain values vary depending on the probe; they are independent of the exact position of the
gain knob. Note that the gain adjustment is performed in the real-time state of the image. You are not
allowed to change the gain of the frozen image. The gain of the B-mode is independent of the gain of the
M mode, the Doppler mode, and the color flow mode. Changing the M mode gain in M mode does not
affect the B mode image gain.
Adjustment
To decrease/increase, turn Knob B . Adjust the gain clockwise to change from 0-100%.
Counterclockwise adjustment, gain reduction, 100%-0 change.
Value
The gain is displayed in the information area on the right side of the display image as Knob B is rotated.
The gain value varies depending on the probe, application, and frequency settings. The maximum gain is
the optimum gain preset at the factory, which can eliminate the noise when the image is displayed. If you
change the following, the gain value will be returned to the factory settings or user presets: probe, exam
category / application or new patient.
Advantage
The gain allows you to balance the echo contrast so that the capsule structure does not echo and reflects
its internal organization. After affecting the output of other controls, you need to adjust the gain. In
general, if you increase the output energy, you need to reduce the gain; if you reduce the output energy,
you need to increase the gain. Gain and TGC together will affect each other. The biological effect gain
does not affect the output energy. However, increasing the gain typically reduces the output energy level
to produce the same image quality.
Attention
Always optimize the gain before deciding whether to increase the output energy.

7.5.3 Number of focus

Description
Increasing the number of focal length regions or moving the focus region to make the scanning
harness for a particular region more compact. The › symbol corresponding to the position of the focus
area is displayed on the left side of the image.
Adjustment
To increase/decrease the number of focal lengths, adjust the Number of Focus option on the left
side of the screen. Note that the focus position is controlled by the function keys on the left side of the
keyboard and the knob Adjust. To move the focus area to the near field/far field, press the Focus Position
button, and then turn the knob to adjust. The focus area is automatically adjusted when the depth is

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adjusted.
Value
The number of focus areas and position depends on the frequency settings for depth, zoom, probe,
application, and selection. If you change the following, the number of focus areas will be returned to the
factory settings or user presets: probe, exam type/application or new patient.
Advantage
The best focus is on the focus area. Place the focus area in the area you want to view. Note the
location of the focus area. The focus area must be moved to track the center of the anatomy to be viewed.
Focus optimizes the image by increasing the resolution of a particular area. Effect on other controls
Changing the number of focus affects the frame rate. The more the number of focus areas, the lower the
frame rate.
Biological effect change
The number of focus areas changes the thermal index and/or mechanical index. Note the output
display that may be affected.

7.5.4 Frequency
Description
Multi-frequency mode allows you to switch to the lower frequency or higher frequency of the probe
s current frequency. In the frequency conversion mode, select the low frequency working mode to adapt
to the ultrasound diagnosis of the fat. When choosing a high frequency mode of operation, adapt to the
clinical diagnosis of children below.
Adjustment
1.Select the Transmission Frequency option on the left side of the screen.

2.Use the keyboard 、 button to select the desired frequency.

Attention
When the image is frozen, the frequency change cannot be activated. The selected frequency is
displayed in the upper right corner of the screen information area.
Value
It varies by probe and application. If you change the following, the Frequency Value will return to
the factory settings or user preset Value: probe, exam category, check calculation or new patient.
Advantage
In the current working probe mode, the frequency change scan can be performed according to the
human body characteristics, the fat person can select the frequency to be low, and the thin person can
select the frequency high trend.
Biological effect
Activating the multi-frequency mode changes the thermal index and/or mechanical index. The
output that Attention may affect is displayed.

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7.5.5 Harmonics
Description
Harmonics not only enhance far-field penetration, but also enhance near-field resolution and
improve imaging of small organs.
Adjustment
To activate harmonic imaging: Select the Second Harmonic button on the left side of the screen,

press the and keys on the keyboard to generate the harmonic function, and then press the
normal frequency mode. Selecting harmonics can be switched in turn by pressing the keyboard.
Attention：Harmonics cannot be activated when the image freezes.
Advantage
Harmonics can reduce noise with low frequency and large amplitude, and improve imaging of
patients with technical difficulties. The advantages of harmonics are particularly pronounced when
imaging the echogenic damage of the shallow, anatomical structures in the breast, liver, and difficult-to-
image fetal anatomy. Harmonics can improve the image quality of the B mode without using a contrast
agent.
Impact on other controls
You may need to change the depth of field. Do not use contrast agents when organizing harmonic
imaging.
Biological effect
Activating the multi-frequency mode changes the thermal index and/or mechanical index. The
output that Attention may affect is displayed.

7.5.6 Dynamic Range

Description
The dynamic range controls how the echo intensity is converted to gray steps, which increases the
Adjustable range of contrast.
Adjustment
To increase/decrease, select the Dynamic Range button on the left side of the screen and press the

and keys on the keyboard. The Value setting is increased or decreased by 10dB between
0dB and 160dB. The current Value is displayed on the screen. The dynamic range Value varies depending
on the probe, application, and frequency settings.
Attention
If you change the following, the dynamic range level will return to the factory settings or user preset
Value: probe, exam category, check calculation, new patient or multi-frequency.
Advantage
The dynamic range helps to optimize the texture of the tissue for different anatomical structures.
The dynamic range is the best echo signal absorption when the 0 operating mode is selected. The higher

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the dynamic range value is selected, the smaller the loss of the echo signal is. The adjustment dynamic
range should be appropriate so that the edge with the largest amplitude is displayed in white, while the
structure with the smallest amplitude (such as blood flow) is shown as just visible.
Impact on other controls
The dynamic range is available in real-time mode. It also affects the gain.

7.5.7 Scanning density

Description
Optimize the B mode frame rate or spatial resolution for the best image.
Adjustment
In the B mode state, the default is high line density. Select the Scan Density button on the left side

of the screen, press the or button on the keyboard to change to the high frame rate state, and

then press or to switch to high density. status.

Value：It varies depending on the probe.
Attention
Not valid in timeline mode. Value varies by probe and application. If you change the following, the
Line Density Value will return to the factory settings or user preset Value: probe, exam category, check
calculation or new patient.
Advantage
Lower line densities are helpful in fetal heartbeat, adult heart applications, and clinical radiology
applications that require higher frame rates. Higher linear density is useful for obtaining high resolution,
such as the thyroid gland and testicles.
Impact on other controls
Line density changes the vector density and frame rate.
Biological effect activation
Color blood flow line density changes the thermal index and/or mechanical index. The output that
Attention may affect is displayed.
7.5.8 Gray scale curve
Description
The system provides B, 2B, M and Doppler mode system diagrams.
Adjustment

Select the Grayscale Curve button on the left side of the screen and press or on the
keyboard to get images of different gray levels. The ultrasound image on the screen changes with the

or and the image changes.

Value

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The grayscale map gradually transitions from the minimum or the softest difference to the lightest
and darkest. The grayscale s Value varies depending on the probe, application, and multi-frequency
settings. If you change the following, the grayscale s Value will be returned to the factory settings or user
preset Value: probe, exam category, check calculation or new patient.

7.6 B/M mode Adjustment

Application
The B/M mode is used to provide a display and measurement capability to represent the trajectory
of tissue in a single direction over a period of time.
Introduction
The B/M mode is used to determine the motion pattern of an object under an ultrasonic beam. A
common use is to watch the movement pattern of the heart.
Typical inspection plan
The inspection using the B/M mode is generally carried out as follows:
1. Get a higher quality B/M mode image. Observe the anatomy and place the region of interest near the
center of the B-mode image.
2. Move the cursor to position the B mode sample line on the area to be displayed in the M mode.
3. Press the B/M button again to enter the M mode display image.
4. If necessary, the adjustment scan speed, TGC, gain, sound power and focus position and dynamic
range in B/M mode.
5. Press Freeze to stop the M track and press Freeze to continue imaging.
6.Press the B/M button to return to the B/M mode.

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B/M Display
Description
This mode is generally used more in heart mode. The menu operation of this mode is basically
equivalent to the menu function operation in B mode.
Adjustment
After entering the B/M mode, the trackball moves the sampling line to the location of interest. For

M-scan, you can select M-line speed and press or Adjustment speed on the keyboard. The
speed is selected as: 0-3. Adjustment dynamic range, TGC, gain, sound power and focus position in B/M
mode if required.
Advantage
You can speed up or slow down the timeline to observe events that occur more or less times over
time.
Value
Different scanning speeds are reflected on the M mode scale.
Attention
The scanning speed is related to the observation of the human body part. When several consecutive
peak points need to be observed, the scanning speed can be slowed down.
7.7 M mode Adjustment

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M mode display
Adjustment
Press the function area B/M key and the B/M image is displayed. Image parameter modification can
be performed in real time. Various measurement functions can be performed in a frozen state. Press B/M
again to display the M working mode. Press the M key to switch between working in B/M and M modes.
Image parameter modification can be performed in real time by the menu adjustment function at the
lower part of the image. Various measurement functions can be performed in a frozen state.
Description
Image parameter adjustment in M mode, same as B/M mode.

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Chapter 8 Color Model Image Optimization

8.1 Application
The color Doppler flowmeter is developed using the Doppler effect between red blood cells and
ultrasound. The color Doppler flowmeter includes a two-dimensional ultrasound imaging system, a pulse
Doppler (one-dimensional Doppler) blood flow analysis system, and a color Doppler (two-dimensional
Doppler) blood flow imaging system. Since each sample contains Doppler blood flow information
generated by many red blood cells, a mixed signal of multiple blood flow velocities is obtained after
autocorrelation detection. The autocorrelation detection result is sent to the speed calculator and the
variance calculator to obtain an average speed, and is stored in the digital scan converter together with
the FFT-processed blood flow spectrum information and the two-dimensional image information. Finally,
according to the direction and speed of the blood flow, the blood flow data is encoded as a pseudo color
by the color processor, and sent to the color display for color Doppler blood flow imaging. The color
flow pattern is a Doppler mode for adding color-coded qualitative information related to the relative
velocity and direction of fluid motion in a B-mode image.

8.2 Introduction
The inspection using the color flow mode is generally performed as follows:
1. Locate the designated anatomical region according to the steps described in the B mode.
2. After optimizing the B mode image, add color blood flow.
3. Move the colored blood flow area to be viewed as close as possible to the center of the image.
4. Optimize color flow parameters to achieve a higher frame rate and display appropriate blood flow
velocities.
5. If you need more limited information about blood flow, use the process of Description in Doppler
mode.
6. In the following function Description, the working status is real-time working mode.

8.3 Menu parameters in CFM color mode Adjustment

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Parameter display in CFM color

mode
Sound power

Ultrasonic transmit power, the digital change is 0-15, select the sound power option on the left

side of the display, press the value will decrease, press the value will increase, the real-time
ultrasound image will change with the value.
C frequency

The probe launch frequency, select the C frequency option on the left side of the display, press

the value will decrease, press the value will increase. At this time, the C frequency of the image
information area on the right side of the screen follows the encoder change.
Display mode

In the display according to different brightness, color, contrast and other parameters, select the

display mode option on the left side of the display, press or the number of values can be changed to

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several degrees, variance, turbulence.

Deflection angle

Sampling frame angle, select the C frequency option on the left side of the display, press the

value will decrease, press the value will increase, the value range is between -10 and 10, and the
color sampling frame changes in CF mode. The user can make an adjustment according to the color
blood flow framing size.

Pulse repetition frequency

Repeat the scan pulse speed, select the C frequency option on the left side of the display, press

the value will decrease, press the value will increase, and the FPS: XHz, PRF XKHz in the image
information area on the right side of the screen will follow the encoder change. The speed range/pulse
repetition frequency (PRF) determines the maximum speed that can be observed. If the blood flow
velocity adjustment is too low, the spectrum image will be out of range. If the speed is set too high, the
spectral image will be compressed too much on the longitudinal axis and the accuracy will decrease. In
the high frequency mode, you should choose to reduce the PRF.
Baseline adjustment

Select the baseline adjustment option on the left side of the display, press the value will
decrease, the gray color of the orange color bar changes from +8 to +30, the blue color bar changes from

-30 to -8, press the value will increase, the orange color bar grayscale The change is from +30 to
+8, and the blue color bar changes from -8 to -30. At this time, the colored gray bars in the left area of the
image change with the or key. Baseline Adjustment is used to increase the range of Doppler flow velocity
in one direction. It is mainly used to reduce the confusion of the direction of the spectrum.
Threshold Value
The critical value of the image grayscale and contrast, select the threshold value option on the left

side of the display, press the value will decrease, press the value will increase, the value range
is 0~3, which is mainly used to enhance the image contrast function.
Wall filtering

Select the left wall filter option of the display, press the key to change the value to 3—0, and

press to change the value to 0—3. The real-time ultrasound image changes with or . At
this time, the wall filter of the image information area on the right side of the screen changes with the or
key.
C afterglow

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Select the C afterglow option on the left side of the display, press to change the number to 7—

0, and press to change the number to 0—7. At this time, the C afterglow of the image information
area on the right side of the screen changes with the or key.
Sampling packet size

Select the sample size of the sample on the left side of the display. Press to change the number

to 15-8. Press to change the number to 8-15. At this time, the FPS XHz of the image information

area on the right side of the screen changes with or .

Blood flow line density

Select the blood flow line density option on the left side of the display and press or to
change the blood flow rate in high or low. At this time, the screen color stripe number Value changes at
60 or 30 bright values.
Tip: Appropriately increase or decrease the speed range according to the speed of blood flow. The
speed range/pulse repetition frequency (PRF) determines the maximum speed that can be observed. If the
blood flow velocity adjustment is too low, the spectrum image will be out of range. If the speed is set too
high, the spectral image will be compressed too much on the longitudinal axis and the accuracy will
decrease.
Spatial filtering

Select the spatial filtering option on the left side of the display, press to change the number to

3—0, and press to change the number to 0—3.

Blood flow gain

Select the blood flow gain option on the left side of the display, press to change the number to

127—0, and press to change the number to 0—127. The C gain number Value on the right side of
the real-time screen changes accordingly.
Blood flow reverse

Select the blood flow inversion option on the left side of the display and press or . The
word changes to change between OFF and ON, and the color bars in the screen are converted to each
other.

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8.4 Optimizing color flow

8.4.1 Activating color flow to activate color flow mode

Press the C knob (color flow). The C window will appear in the B mode image. Move the trackball
to move the sampling frame window.

Application
Color blood flow is very useful when watching blood flow in large areas. Color Doppler is two-
dimensional Doppler, which takes the blood flow information obtained by phase detection, frame
correlation processing, color gray-scale coding, and displays the average blood flow velocity data in
color, and combines them to display in B. On a grayscale image. It visually displays blood flow, and the
distribution of blood flow properties and flow rate in the heart and blood vessels is displayed faster and
more intuitively than pulsed Doppler. There is a unique advantage in the display of left-to-right shunt
blood flow and valve-back flow.
Color blood flow is sometimes used as a stepping stone in the Doppler mode. Before you activate
Doppler mode, you can use color flow to locate blood flow and blood vessels.
Exit color flow
To exit the color flow, press knob C or knob B directly.
Tips:
Color flow mode control produces the following results:
Line Density: Sacrifice frame rate for sensitivity and spatial resolution. If the frame rate is too low,
reduce the size of the specified area, reduce the line density, or reduce the size of the package.
Wall Filter: Sensitivity and motion artifacts that affect low-speed blood flow.
Packet Size: affects the color Doppler sensitivity and frame rate, and can be adjusted by the arrow
keys.
Scan Area: Increases/decreases the size of the color window, which can be adjusted according to the
actual clinical image sampling needs.
Focus Position: The best focus is the position in the focus area. Place the focus area in the area of
interest.
8.4.2 Blood flow gain
Description
Increasing the gain adjustment can increase the brightness of the color and facilitate observation.
However, after the gain is increased, the noise signal is also amplified to interfere with the observation of
the color blood flow signal. For low-speed and low-flow blood flow detection, the gain should be
appropriately increased so that these blood flows can be clearly displayed, but Attention should also be
avoided to avoid noise signals due to excessive gain, affecting the observation of blood flow, and even
causing artifacts. The gain amplifies the overall intensity of the echo processed in the color flow window
or the spectral Doppler timeline.

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Adjustment
The gain value varies by probe and application; they are independent of the exact position of the
Gain knob. To decrease/increase the gain, turn the Left/Right Adjustment knob.
Value
Value varies depending on the probe, application, and multi-frequency settings. The gain is
displayed in %. If you change the following, the Gain Value will return to the factory settings or user
preset Value: probe, exam category, check calculation, new patient or multi-frequency.
Advantage
Allows you to control the amount of color in the blood vessels, or to add or remove spectral
information.
Biological effect
The gain does not affect the output energy. However, increasing the gain typically reduces the
output energy level to produce equivalent image quality.
8.4.3 Pulse repetition frequency
Description
The speed range/pulse repetition frequency (PRF) determines the maximum speed that can be
observed. If the blood flow velocity adjustment is too low, the spectrum image will be out of range. If the
speed is set too high, the spectral image will be compressed too much on the longitudinal axis and the
accuracy will decrease. In the high frequency mode, the reduction (PRF) should be selected.
Adjustment

Select the pulse repetition frequency on the left side of the screen and press the or to
adjust the pulse repetition frequency (PRF) Value. The Value change changes from 2KHz to -8KHz. The
value is large, which will affect the blood flow frame rate. The pulse repetition frequency variation can
also occur through the Adjustment image depth.
Value
The PRF is in kHz. If you change the following, PRFValue will return to the factory settings or user
preset Value: probe, exam category, check calculation or new patient. Attention changes in pulse
repetition frequency (PRF) affect output energy, frame rate, and wall filtering.
Biological effect
Changing the pulse repetition frequency (PRF) range changes the thermal index and/or mechanical
index. The output that Attention may affect is displayed.
8.4.4 Wall filtering
Description
Filter out the speed signal of low-speed blood flow. This helps to remove motion artifacts caused by
breathing and other patient activities.
Adjustment

To increase/decrease the wall filter, select the left wall filter on the screen and press or to

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adjust the size of the Value of the Adjustment wall.

Value
It varies by probe, application, and package size. The wall filter is digitally displayed after the

change in the display information area according to the or . Wall Filter Value varies by probe
and application. If you change the following, you will return to the factory settings or user preset Value:
probe, exam category, check calculation or new patient.
Advantage
Excessive, unnecessary low frequency signals caused by motion are removed.
8.4.5 Color scanning area
Description
The color scan area determines the size and position of the color window.
Adjustment
Press Knob B to enter the color flow mode. The blood flow sampling frame will be displayed in the
ultrasound area. The window will grow from the center of the color flow window. To adjust the size,
press the SET button and then move the trackball. The blood flow window size can be selected. After the
selection is completed, press the SET button again to freeze the blood flow window.

Value
It varies by probe and application.
Advantage
Increasing the color window allows you to observe larger areas; reducing the color window
increases frame rate and spatial resolution. Impact on other controls The smaller the color window, the
faster the frame rate and vice versa.
Biological effect
Changing the color window size will change the thermal index and/or mechanical index. The output
that Attention may affect is displayed.
8.4.6 Blood flow reverse
Description
Allows you to observe blood flow from another angle such as red (negative speed) and blue
(positive speed). You can reverse real-time or frozen images. The Attention Reversal feature reverses the
color map, not the color PRF.
Adjustment
To reverse the color flow, select the blood flow reverse color on the left side of the screen, press

or , and the color gray color and color flow color will reverse on the image. In the three-
synchronous mode, both the color flow and the Doppler mode speed scale are reversed.
Value
Reverse and not reverse. Value It varies by probe and application. If you change the following,

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inverting Value will return to factory settings or user preset Value: probe, exam category, check
calculation or new patient.
Advantage
Allow blood flow to be viewed according to individual needs without flipping the probe.
8.4.7 Blood flow line density
Description
Optimize color flow frame rate or spatial resolution for the best color image.
Adjustment
To adjust the linear density, select the blood flow line density on the left side of the screen and press

or .
Value
The current frame rate is displayed on the display color bar. Frame rate/resolution Value varies by
probe, exam category, check calculation, new patient and frequency. If you change any of the above, set
Value to return to the factory default Value or user preset Value.
Advantage
Low linear density is useful for fetal heartbeats, adult cardiac applications, and clinical radiology
applications that require higher frame rates. High resolution is helpful when imaging small organs such
as the thyroid gland and testicles. Impact on other controls Line density changes the vector density and
frame rate.
Biological effect
Modifying the linear density changes the thermal index and/or mechanical index. The output that
Attention may affect is displayed.
8.4.8 Deflection angle
Description
This angle change can only be used in the online array probe mode of operation. You can obtain a
linear image of the color flow by tilting the angle of the color flow sampling frame to the left and right to
obtain more information without moving the probe.
Adjustment
To tilt the linear image angle left/right, please select the angle of the left side of the screen and press

or . Each time you press or , the angle of the sampling frame changes once.
Value
The line array probe can be deflected to the left (10 degrees), to the center or to the right (10
degrees). If you change the following, the Angle Deflection Value will return to the factory settings or
user preset Value: probe, exam category, check calculation or new patient.
Advantage
A Doppler sample line angle is provided which is suitable for line array probe orientation. It is
helpful when imaging carotid arteries in peripheral vascular applications.

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Biological effect
Activating the angular deflection changes the thermal index and/or mechanical index. The output
that Attention may affect is displayed.
8.4.9 Spatial filtering
Description
Smooth colors to make the image look softer.
Adjustment

Please select the spatial filter on the left side of the screen and press or to change the
spatial filter from 0-3 or 3-1.
Value
0-3.
Advantage
Smooth the image.

8.4.10 Sampling packet size

Description
Controls the number of samples for a single color blood flow vector.
Adjustment
To increase/decrease the size of the sample package, select the sample size on the left side of the

screen and press or to change the value from 8-15 or 15-8. In the adjustment of the encoder,
the FPS array in the information area on the right side of the image shows that the Value changes, the nu
mber of packets is small, and the FPSValue is large, and vice versa.
Value
Depending on the probe and application, if you change the probe, check the category, check the
calculation or new patient, Value will revert to the factory or user preset Value.
Advantage
Allows you to increase color sensitivity and color average accuracy (increasing the size of the
sample packet) or frame rate (reducing the size of the sample package) as needed. Effect on other
controls Decreasing the size of the sample packet increases the frame rate while reducing image quality.
Increasing the size of the sample packet will improve image quality while reducing the frame rate.
Biological effect
Changing the size of the sample package will change the thermal index and/or mechanical index.
The output that Attention may affect is displayed.

8.4.11 C afterglow
Description
The application of the present technology can provide continuous blood flow information in a real-

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time state. The maximum flow rate is displayed in real time, showing pulsatile blood flow. After two-
dimensional ultrasound imaging, afterglow refers to the overlapping of frames (images). When used in
color Doppler flow imaging, the blood flow at low speed and low flow can make the display clear and
easy to observe.
Adjustment

Please select C afterglow on the left side of the screen and press or to get the change of C
afterglow from 0-7 or 7-0. At the same time, the information display area on the right side of the image
also corresponds to the corresponding change Value display.

8.5 Energy Doppler imaging PDI mode (B+C+D mode)

Description
The Power Doppler Imaging PDI mode (B+C+D mode) is a color flow imaging technique used to
map the Doppler signal intensity produced by the bloodstream, rather than the frequency shift of the
signal. Using this technique, the ultrasound system plots the color flow based on the number of moving
reflectors, regardless of their speed. Since PDI mode does not image speed, aliasing does not occur.

Adjustment
Press the knob PW and press the knob C again. The color flow window appears in the B mode

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image. Press the Set button to move the trackball to move the CFM window. To exit, press Knob B.
Advantage
Since PDI does not display speed, it does not alias. Effects on Other Controls After activating PDI,
set the following controls: PRF to Low Value. The Color Map is set to the energy map. AdjustmentLine
Density. Wall Filter is set to a low Value. The spatial filtering is 0. AdjustmentPacket Size. After
obtaining a good black and white picture, press the knob C key to enter the blood flow mode.
Attention: When changing the PDI map, you may need to adjust the gain settings.
8.6 Optimized spectrum Doppler
8.6.1 Parameter Adjustment in Color Doppler Mode

Sound power

The ultrasonic transmission power, the digital change is 0-15, according to the value will

decrease, according to the value will increase, the real-time ultrasound image changes with the
number Value.
D frequency
The probe transmission frequency, according to the probe configuration, the transmission frequency

is different, press the value will decrease, press the value will increase, the real-time
ultrasound image changes with the number Value.
Spectral gain

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In spectrum mode, the adjustment spectrum color brightness, spectrum sound size. Press the

value will decrease, press the value will increase, the real-time ultrasound spectrum image,
spectrum sound size changes with the number Value.
Display mode
Select this field in real-time working state and select in the synchronous mode, then activate the
small B working mode. Selecting in refresh mode, the small B image freezes and the spectrum enters the
real-time working mode.
Deflection angle
The angle of the shallow probe sampling frame is adjusted. The number changes to a fixed value of

-10-10, press the value will decrease, press the value will increase. At the same time, the
Steer column on the right side of the screen changes accordingly.
Pulse repetition frequency

Select this field in real-time working state, press the value will decrease, the frequency will

change from 6khz to 2khz. Press the value will increase, the frequency changes from 2khz to 6khz.
Three synchronization

Select the column, or in the real-time working state. At this time, the B mode, C mode,
and D mode can be synchronized.
Doppler volume

Select this field in the real-time state, adjust the Doppler volume, press , the volume changes

255--0%, and the Doppler volume changes from large to small. Press , the volume changes from 0
to 255%, and the Doppler volume increases from small to large. At this time, the Audio number in the

information area on the right side of the image changes with and .
D line speed

Select this field in real-time working state, press , the scanning speed will change from 0-2.

Press and the scanning speed will change from 2 to 0. At this time, the Sweep English letter in the

information area on the right side of the image changes with and .
Edge enhancement

Enhance the edge of the organ, the number changes to 0-7, press the value will decrease, press

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the value will increase.

Wall filtering

Select this field in real-time working state, press , the number changes from 3 to 0, press ,
the number changes from 0 to 3. At this time, the WFD number in the information area on the right side

of the image changes with and .

Baseline adjustment

Select this field in real-time working state, press , the number changes from 6-0, press ,
the number changes from 0-6. Its spectral curve moves as the baseline moves.
Spectrum flip

Select this field, or in real-time working state, and the letters will change between OFF
and ON. The spectrum curve image is flipped with the key or key.

Chapter 9 Optimizing Color Doppler Images

9.1 Application

Doppler provides measurement data on the velocity of moving tissues and fluids. PW (Color)
Doppler allows you to selectively examine blood flow data from a small area (ie, sample volume).

9.2 Typical application - PW (pulse) Doppler

In pulse wave Doppler (PW) mode, energy is emitted from the ultrasound probe into the patient,
which is the same as in B mode. However, the received echo will be processed to find the difference
between the frequency of the transmitted and received signals. The difference between the frequencies
may be caused by moving signals through moving objects in the path, such as the movement of blood
cells. The resulting signal will be audio represented by the system speaker and graphically displayed on
the system display. The X axis in the figure represents time and the Y axis represents frequency shift. The
Y axis can also represent the speed in the forward or reverse direction after calibration. A typical
application of PW Doppler is to display the velocity, direction, and spectral content of blood flow in a
selected anatomical region. PW Doppler can be used in conjunction with the B mode to quickly select
anatomical regions for PW Doppler examination. The portion from which the PW Doppler data is
acquired is graphically displayed in the B mode image (sampling volume gate). The sample volume gate
can be moved freely in the B mode image.

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9.3 Typical inspection plan

Inspection using the PW Doppler mode is generally performed as follows:

1. Connect the appropriate probe and place the probe in the appropriate holder.
2. Have the patient in the proper position for inspection.
3. Press Patient. Enter the appropriate patient data in the appropriate exam category.
4. Select the presets, applications, and probes you want to use.
5. Locate the anatomy to be examined. Get a higher quality B-mode image. Press Knob B to help locate
the blood vessel to be examined.
6. Push the knob PW sample line to display the sample volume line and door. Press Updata again. The
PW Doppler spectrum is displayed on the screen and the system will operate in the B+C+D Doppler
combination mode. Adjustment knob PW or knob C to adjust Doppler audio. The Doppler signal can be
heard through the speaker.
7. Position the sample volume line by moving the trackball left and right. Position the sample volume
gate by moving the trackball up and down. Change the sample volume gate size by pressing the Set key
to select the sample width (sample volume length).
8. Optimize the PW Doppler spectrum if necessary. For more information, see the Doppler Optimization
section of this chapter.
9. Press the Knob PW to toggle between Live B mode and Doppler mode.
10. Sampling along the length of the entire vessel to ensure that the probe is parallel to the direction of
blood flow; when positioning the sample volume line, listen and observe.
11. Press Freeze to freeze the current image for image storage and movie playback.
12. Perform measurements and calculations if necessary. See the Measurements and Calculations section
for more information.
13. Record the results by pressing the appropriate print button, depending on the settings of the recording
device.
14. Press Freeze to resume imaging.
15. Repeat the above steps until all relevant blood flow sites have been checked.
16. Return the probe to the appropriate holder.
Activate triple sync mode
To activate the three sync mode, press knob C. Press the knob PW. Select the three sync bar on the

left side of the screen and press or to turn on the three sync mode. The Doppler spectrum is
displayed along with the color flow and B-mode images. The cursor changes to a Doppler sample line.
You can now determine the position and size of the sample volume door to achieve a certain speed. Use
Doppler audio to determine if the sample volume gate is positioned in the blood flow area. Use the three
sync mode to check blood flow information. To exit PW Doppler mode, press knob PW and then knob B.

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9.4 Spectrum Doppler display

Description
The time zero (the starting point of the trajectory) appears on the left side of the graph. As time
passes, the trajectory moves to the right. The baseline of the graph (representing zero speed, zero shift or
no blood flow detected) is displayed as a solid line across the screen. By convention, the movement in
the direction of the probe is positive and the movement away from the direction of the probe is negative.
A positive frequency or speed appears above the baseline. A negative frequency or speed appears below
the baseline. In general, blood flow is not uniform, but consists of a mixture of blood cells moving at
different speeds and in different directions. Therefore, the displayed content is a combination of spectra
with different grayscale values. A strong signal shows a brighter, while a weaker signal shows a different
degree of gray.
This section includes
• Introduction to PW Doppler.
• Activate pulse wave Doppler.
• Optimize the Doppler spectrum.

9.4.1 Spectrum mode

Description
Switch between sync and update display when viewing the timeline.
Adjustment
To activate, select the Display mode bar to switch between sync and refresh. Doppler mode does not
restart every time the image is updated; however, the screen will display a black bar with a lightning bolt
when it is synchronized and refreshed, indicating that the timeline has switched.
Advantage
Refreshing improves the display quality of the spectral Doppler.
Biological effect
Activating the refresh changes the thermal index and/or mechanical index. The output that
Attention may affect is displayed.

9.4.2 Doppler sampling volume door positioning

Description
The sample volume gate is moved by the Doppler mode sampling line of the CFM mode. The door
is positioned at a specific location within the blood vessel.
Adjustment
To move the position of the Doppler mode sample line, move the trackball left/right until the sample
line is positioned on the vessel. To move the position of the sample volume door, move the trackball until
it is positioned inside the blood vessel. Please press the keyboard Set button to move the trackball so that
the sample volume door can be changed from 0.5mm to 48mm. At the same time, the sampling gate in

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the image small B mode will change the size of the track ball, and the information display area on the
right side of the image will display a number of values.
Value
It can move continuously in the field of view.
Advantage
Position the sample volume gate on the sampled blood flow.
Biological effect
Changing the sampling volume door position changes the thermal index and/or mechanical index.
The output that Attention may affect is displayed.

9.4.3 Pulse repetition frequency

Description
The speed scale is adjusted to accommodate faster/slower blood flow rates. The speed scale
determines the pulse repetition frequency. The pulse repetition frequency (PRF) is shown to the left of
the spectrum and is expressed in units of frames per second.
Attention
Make sure that only one door is covered on the blood vessel at a time. Otherwise, signals from
multiple blood flow regions will overlap.
Adjustment

To increase/decrease the PRF, select the Pulse Repetition Frequency field and press or to
select the pulse repetition frequency to change from 2KHz to 10KHz. The pulse repetition frequency
variation can also occur through the Adjustment image depth. After the encoder is adjusted, the system
will update the speed scale parameter display synchronously.
Value
In the three-synchronous mode, if you change the speed scale of the color flow, the speed scale of
the Doppler mode will also be updated.

9.4.4 Angle correction

Description
The velocity of the blood flow in a direction that is at an angle to the Doppler vector is estimated by
calculating the angle between the Doppler vector and the blood flow to be measured.
Attention
When the Doppler mode sample line and angle correction indicator are aligned (angle 0), you will
not see the angle correction indicator.
Adjustment
The blood flow image towards the probe is above the baseline and vice versa. To adjust the angle of
the adjustment relative to the probe surface, first press the angle button on the keyboard. After the light is
on, turn the knob to adjust the angle. Each time you rotate, the mark in the sample volume door will

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change in the image area. When the Angle is corrected, the speed scale will change.
Value
To optimize speed measurements, for vascular applications, the angle of incidence should be
between 45-60 degrees. Angle Correction Value It varies by probe and application. If you change the
following, the Angle Correction Value will return to the factory settings or user preset Value: probe, exam
category, check calculation or new patient.
Advantage
Optimize the accuracy of blood flow velocity. This is especially useful for vascular applications
where speed measurement is required.

9.4.5 Deflection angle

Description
The angle deflection function in Doppler mode is only available for line array probes.
Adjustment

To tilt the linear image left/right, select the Deflection Angle field and press or . The
Value line array probe can be deflected to the left (10 degrees) and right (10 degrees). If you change the
following, the Angle Deflection Value will return to the factory settings or user preset Value: probe, exam
category, check calculation or new patient.
Advantage
A Doppler sample line angle is provided which is suitable for line array probe orientation. It is
helpful when imaging carotid arteries in peripheral vascular applications.
Biological effect
Angle deflection changes the thermal index and/or mechanical index. The output that Attention may
affect is displayed.

9.4.6 Wall filtering

Description
Excess noise caused by vascular motion is removed from the Doppler signal.
Adjustment

To increase/decrease the wall filter, select the wall filter and press or to make a 0-3 filter
selection.
Value
Value It varies by probe and application. If you change the following, the Wall Filter Value will
return to the factory settings or user preset Value: probe, exam category, check calculation or new patient.
Advantage
Remove redundant, unnecessary information. Remove low levels of noise above and below the
baseline so you can't see or hear them on the spectrum.

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9.4.7 Baseline adjustment

Description
The baseline is adjusted to accommodate faster and slower blood flow to eliminate aliasing.
Adjustment
The point in the baseline adjustment spectrum where the velocity trajectory is zero. The default
baseline is at the midpoint of the spectrum. To move the baseline, select the Baseline Adjustments bar

and press or to make an adjustment. The baseline position changes as the baseline adjustment
column Value changes.
Description
The baseline shows a solid line through the spectrum. The baseline is increased and decreased in
equal increments, depending on the current Doppler scale factor. If the maximum baseline offset (either
direction) is reached, the control will not work.
Value
50% is the center of the screen, +95% is the top edge of the screen, and 5% is the bottom edge of the
screen. The baseline Value varies by probe and application. If you change the following, it will return to
the factory settings or user preset Value: probe, exam category, check calculation or new patient.
Advantage
Eliminate aliasing. Reset the scale range without changing the speed scale. Re-adjust the positive
and negative speed limits without changing the entire speed range.
9.4.8 Spectrum flip
Description
Reverse the spectral curve in the vertical direction without affecting the baseline position.
Adjustment

To reverse the spectrum curve, select the spectrum flip bar and press or . After inverting
the spectrum, the positive (+) and negative (-) signs on the speed scale will be reversed accordingly. The
positive speed is shown below the baseline.
Advantage
If you change the angle of the probe to fit the anatomy, the blood flow will still move in the same
direction, but the Doppler information is reversed. In this case, it is easier to reverse the spectrum than to
change the direction of the probe.

9.4.9 Dual sync / Triple sync

Description
Dual synchronization allows two modes to be activated simultaneously; three synchronizations
allow three modes to be activated simultaneously.
• B+PW or B+CF (double sync)
• B+PW+CF (three sync)

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Adjustment
Press the corresponding knob: Knob PW - B + PW mode; Knob C - B + CF mode; Knob PW +
Knob C - B + PW + CF mode, select synchronization, refresh mode in B + PW and B + PW + CF mode
(Double sync/three sync).
Advantage
Allow users to activate multiple modes simultaneously.
9.4.10 Doppler volume
Description
In the Doppler mode, the Doppler Adjustment to the best image can be achieved through the
Adjustment volume to obtain a good spectral sound effect.
Adjustment

Select the Doppler volume bar and press or to adjust the volume. The corresponding
change number Value is displayed in the information area on the right side of the image.
9.4.11 D line speed
Description
Refers to the horizontal movement distance of the M-mode image per second, which refers to the
time required for an image to sweep from the left to the right. Through the AdjustmentM mode scanning
speed, it is possible to record the longitudinal movement of the tissue organ over time on a fixed
sampling line.
Adjustment

Select the D line speed bar and press or to debug the low speed, medium speed and high
speed of the M mode scanning speed. When the scan speed is adjusted, there is a speed change display in
the information area on the right side of the image. At the same time, the M speed scale also changes.

9.4.12 Spectral gain

Description
By changing the gain Value, you can increase the remote effect in Doppler mode. However, the gain
should not be too large, too much to increase image interference.
Adjustment

Select the Spectrum Gain column and press or to adjust the gain. At the same time,
there is a gain change value display in the information area on the right side of the image.

9.4.13 D frequency
Description
In the Doppler mode, select the D frequency function. By selecting the frequency change, the speed
change is displayed on the color gray scale bar, and the D line graduation speed also changes with the
frequency to meet the actual spectrum measurement needs.

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Adjustment

Select the D frequency field and press or . The frequency change varies from 2.0MHz to
5.0MHz and 6.0 MHz to 12 MHz.

Chapter 10 General Measurements and Calculations

10.1 Description

When performing a clinical diagnosis, obtaining measurements and calculations in the ultrasound
image is a measure and result for the physician to directly analyze the lesion. Its measurement accuracy
depends not only on the accuracy of the system, but also on the user's use of appropriate medical
solutions. If necessary, be sure to indicate the medical plan associated with the measurement and
calculation. Be sure to refer to the original paper related to the protocol as it describes the clinical
practice recommended by the investigator.

10.2 Overview

This section provides information on how to make measurements and describes the calculations
available in each mode.
content include
Check the workflow
Measuring component position Measurement Description
General Measurement List General information on how to make measurements
Mode measurement: step-by-step instructions for special measurements, organized by mode

10.3 Check workflow

For each patient, the system checks the category, studies, and measures tissue information.

10.4 General Survey

10.4.1 B mode routine measurement

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All operations must be performed in a frozen state. The B-mode routine measurement has functions:
distance, tube diameter stenosis rate, angle, perimeter area, area stenosis rate, volume, and the like.

10.4.2 Corresponding keys and menu operation instructions:

Operation Description Application Remarks

Turn off
【Close】 Turn off measurement
measurement

【Report】 Report Report

Select measurement
【Application】 Select measurement package
package
Routine
【Measure】 Routine measurement
measurement
Clear measurement Cooperate with measurement
【Clear】
Value needs
Measuring start and Cooperate with measurement
【Set】
end keys needs

【FREEZE】 freeze Image freezes at this time

Enter the general

Display general measurement
【Distance measurement】 measurement menu
menu
selection

【Routine measurement】 Routine Move the cursor to the desired Attention: When using the

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measurement measurement item by the

Distance trackball and press the SET diameter to calculate the
【Distance】
measurement button. Move the cursor to the stenosis rate, always
【 Tube diameter stenosis Tube diameter measurement start point, press measure from the cross-
rate】 stenosis rate the SET button to move the sectional view of the
cursor to the measurement end vessel. For diameter
【Angle】 Angle
point and press the SET button. calculations, do not
【Volume】 Volume The measurement data is measure distance from a
displayed at the bottom of the longitudinal perspective.
【Area】 Area
screen image. Press the Clear This may result in an
【 Tube diameter stenosis
Area stenosis rate key to clear the measurement inaccurate estimate of the
rate】
Value and press the Freeze key to stenosis rate.
【Trajectory area】 Trajectory area exit this measurement.

10.4.3 Angle measurement

Operation Steps：
1. In the frozen state, use the trackball to move the cursor to the 2D general measurement option
of the measurement menu, press the [Set] key to pop up the 2D general measurement menu, then
use the trackball to move the cursor to the angle option, and press the [Set] key. The + cursor
appears in the ultrasonic area and enters the angle measurement state;
2. Use the trackball to move the cursor to point O, press [Set] to fix the point;
3. Using the trackball, move the cursor to point A and press the [Set] key to fix the point;
4. Using the trackball, move the cursor to point B and press the [Set] key to fix the point;
5. Use the trackball to move the cursor to point C and press the [Set] key to fix the point;
6. The angle between OAB (OA line and OB line) and OAC (OA line and OC line) can be
obtained.
Repeat 1-5 for the next measurement.
Press the [Clear] key to clear the measure.
Press the [Freeze] key during the measurement to exit the measurement.

Angle measurement diagram

10.4.4 Volume measurement

Clinically, the volume (volume) is measured by the triaxial method. The calculation formula is as

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follows: Volume=π/6×Length×Width×Height is the volume (volume)=π/6×length×width×height This

calculation requires a longitudinal section. The ultrasound image and a cross-sectional ultrasound image
measure three parameters of length, width, and height or an area and a distance, and then perform
calculations. Usually in 2B mode, press [B/B] key first, then display the left frame of 2B mode, perform
ultrasonic scan on the patient to obtain an image of cross section (or longitudinal section); then press
[B/B] The key, at this time, the right frame of the 2B mode is in real time, and then the patient is
ultrasonically scanned to obtain an image of a longitudinal section (or cross section), and then the image
is frozen. This algorithm is suitable for the measurement of elliptical tissue organs, measuring an area
and a distance.
Operation Steps：
1. In the frozen state, use the trackball to move the cursor to the 2D general measurement option
of the measurement menu, press the [Set] key to pop up the 2D general measurement menu, then
use the trackball to move the cursor to the volume option, and press the [Set] key. In the
ultrasonic area, the + cursor appears, enter the volume measurement state; use the trackball to
move the cursor to one end of the ellipse axis, press the [Set] key to fix the starting point of the
axis;
2. Using the trackball, move the cursor to the other end of the ellipse axis and press the [Set] key
to fix the end point of the axis;
3. Move the trackball to change the length of the other axis of the ellipse;
4. Using the trackball, move the cursor to the starting point of the distance and press the [Set] key
to fix the point;
5. Use the trackball to move the cursor to the end of the distance and press the [Set] key to fix the
point;
Repeat 1-5 for the next measurement.
Press the [Clear] key to clear the measure.
Press the [Freeze] key during the measurement to exit the measurement.

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10.4.5 B/M, M mode routine measurement

All operations must be performed in a frozen state. The M mode routine measurement has functions:

heart rate, time, distance, and valve speed. Select the blue button and enter the
following menu to operate.

10.4.6 Heart rate measurement

The system adopts a measurement method of measuring the average value of multiple heartbeat
cycles to improve the measurement accuracy. The measurement start point referred to in the
measurement refers to the start point of two heartbeat cycles, and the measurement end point refers to the
end point of two heartbeat cycles.
Operation Steps：
1. In the B|M or M mode freeze state, use the trackball to move the cursor to the M general option of the
measurement menu, press the [Set] key to pop up the M general measurement menu, and then use the
trackball to move the cursor to the heart rate option. Press the [Set] key to enter the measurement state;
2. Use the trackball to move the cursor to the measurement starting point and press the [Set] key to fix
the measurement starting point.
3. Use the trackball to move the cursor to the measurement end point, and press the [Set] key to fix the
measurement end point;
4. Repeat steps 2-3 for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols.
Press the [Freeze] key to exit the measurement.

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10.4.7 Valve velocity measurement

The system uses the tissue depth difference (distance) measured in the B|M mode divided by the time
interval method to calculate the valve motion velocity (slope). The tissue depth difference (distance) is in
millimeters, the time interval is in seconds, and the calculation result is in millimeters per second. When
the time interval is close to zero or the number of SL is too large, the message 0 will be displayed.
Operation Steps：
1. In the B|M or M mode freeze state, use the trackball to move the cursor to the M general
measurement option of the measurement menu, press the [Set] key to pop up the M general
measurement menu, and then use the trackball to move the cursor to the valve speed. Option,
press [Set] to enter the measurement state;
2. Use the trackball to move the cursor to the measurement starting point and press the [Set] key
to fix the measurement starting point.
3. Use the trackball to move the cursor to the measurement end point, and press the [Set] key to
fix the measurement end point;
4. Repeat steps 2-3 for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols.
Press the [Freeze] key to exit the measurement.

10.4.8 Corresponding key and menu operation instructions ：

Operation Description Application Remarks

【Close】 Turn off measurement Turn off measurement

【Report】 Report Report

Select measurement
【Application】 Select measurement package
package

【Measure】 Routine measurement Routine measurement

Cooperate with measurement

【Clear】 Clear measurement Value
needs
Measuring start and end Cooperate with measurement
【Set】
keys needs
Need to enter the Routine
【FREEZE】 measurement, press the Image freezes at this time
button directly
M Routine measurement Display M Routine measurement
【M routine】
menu selection menu
【D routine】 D Routine measurement Display D Routine measurement

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menu selection menu

Move the cursor to the desired
【Time】 Time measurement
measurement item by the
【Heart rate】 Heart rate measurement trackball and press the SET
button.Move the cursor to the
【Distance】 Distance measurement measurement start point, press
the SET button to move the
cursor to the measurement end
point and press the SET button.
The measurement data is
Valve velocity
【Speed】 displayed at the bottom of the
measurement
screen image. Press the Clear key
to clear the measurement Value
and press the Freeze key to exit
this measurement.

10.4.9 PW Routine measurement

Doppler Routine measurement Submenu

Time, heart rate, speed, acceleration, Doppler routine, Doppler trace.

Conventional Doppler Measurement Menu

10.4.10 Time measurement
The time interval between two points on the ultrasound image in the Doppler mode is measured.
Operation Steps：

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1. In the D mode frozen state, use the trackball to move the cursor to the Measure item of the
measurement menu and press the Set key;
2. Move the trackball to the D General option and press the [Set] key to bring up the DRoutine
measurement submenu;
3. Use the trackball to move the cursor to the time option and press the [Set] key to enter the
measurement state.
4. Use the trackball to move the cursor to the measurement starting point and press the [Set] key to fix
the measurement starting point.
5. Use the trackball to move the cursor to the end of the measurement, and press the [Set] key to fix the
measurement end point;
6. The measurement is completed and the result is displayed below the ultrasonic zone. Repeat steps 2-5
for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols. Press the [Freeze] key to
exit the measurement.
    All operations must be done in a frozen state.

10.4.11 Heart rate measurement

The time interval between two heartbeat cycles on the ultrasound image in the Doppler mode is
measured, and the heart rate is calculated.
Operation Steps：
1. In the D mode frozen state, use the trackball to move the cursor to the Measure option of the
measurement menu and press the [Set] key;
2. Move the trackball to the D General option and press the [Set] key to bring up the DRoutine
measurement submenu;
3. Use the trackball to move the cursor to the heart rate option and press the [Set] key to enter the
measurement state.
4. Use the trackball to move the cursor to the measurement starting point and press the [Set] key to
fix the measurement starting point.
5. Use the trackball to move the cursor to the end of the measurement, and press the [Set] key to fix
the measurement end point;
6. The measurement is completed and the result is displayed below the ultrasonic zone. Repeat steps
2-5 for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols. Press the [Freeze]
key to exit the measurement.
10.4.12 Speed measurement
The velocity and pressure difference at a point on the Doppler spectrum waveform are measured on
the ultrasound image in the Doppler mode.
Operation Steps：
1. In the D mode frozen state, use the trackball to move the cursor to the Measure option of the

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measurement menu and press the [Set] key;

2. Move the trackball to the D General option and press the [Set] key to bring up the DRoutine
measurement submenu;
3. Use the trackball to move the cursor to the speed option and press the [Set] key to enter the
measurement state.
4. Use the trackball to move the cursor to the measurement starting point and press the [Set] key to
fix the measurement starting point.
5. Use the trackball to move the cursor to the end of the measurement, and press the [Set] key to fix
the measurement end point;
6. The measurement is completed and the result is displayed below the ultrasonic zone. Repeat steps
2-5 for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols. Press the [Freeze]
key to exit the measurement.

10.4.13 Acceleration measurement

In the Doppler mode, the velocity and time interval of two points are measured on the ultrasonic
image, and the velocity difference and acceleration are calculated.
Operation Steps：
1. In the D mode frozen state, use the trackball to move the cursor to the Measure option of the
measurement menu and press the [Set] key;
2. Move the trackball to the D General option and press the [Set] key to bring up the DRoutine
measurement submenu;
3. Use the trackball to move the cursor to the acceleration option and press the [Set] key to enter the
measurement state.
4. Use the trackball to move the cursor to the measurement starting point and press the [Set] key to
fix the measurement starting point.
5. Use the trackball to move the cursor to the end of the measurement, and press the [Set] key to fix
the measurement end point;
6. The measurement is completed and the result is displayed below the ultrasonic zone. Repeat steps
2-5 for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols. Press the [Freeze]
key to exit the measurement.
10.4.14 Doppler Routine measurement
Measurement item ：
PS: The contraction peak Value speed is the speed of the fastest moving red blood cells in the
sampling volume;
ED: end-diastolic velocity, which is the blood flow velocity at the end of the heartbeat cycle;
TAMAX: the average blood flow velocity of the maximum velocity spectral wave;
RI: resistance index, RI=|(PS(m/s)-ED(m/s))/PS(m/s)|;

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PPG: Peak Value differential pressure, which is the pressure gradient corresponding to the
contraction peak Value speed.
PPG (mmHg) = 4 × PS (m / s).
Operation Steps：
1. In the D mode frozen state, use the trackball to move the cursor to the Measure option of the
measurement menu and press the [Set] key;
2. Move the trackball to the D General option and press the [Set] key to bring up the DRoutine
measurement submenu;
3. Use the trackball to move the cursor to the Doppler General option and press the [Set] key to
enter the measurement state.
4. Use the trackball to move the cursor to the measurement point, press the [Set] key to fix the
measurement point PS;
5. Use the trackball to move the cursor to the measurement point, and press the [Set] key to fix the
measurement point MD;
6. Use the trackball to move the cursor to the measurement point, press the [Set] key to fix the
measurement point ED;
7. The measurement is completed and the result is displayed below the ultrasonic zone. Repeat steps
2-6 for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols. Press the [Freeze]
key to exit the measurement.
10.4.15 Doppler trace
Measurement item ：
PS: The contraction peak Value speed is the speed of the fastest moving red blood cells in the
sampling volume;
ED: end-diastolic velocity, which is the blood flow velocity at the end of the heartbeat cycle;
TAMAX: the average blood flow velocity of the maximum velocity spectral wave;
RI: resistance index, RI=|(PS(m/s)-ED(m/s))/PS(m/s)|;
PPG: Peak Value differential pressure, which is the pressure gradient corresponding to the
contraction peak Value speed.
PPG (mmHg) = 4 × PS (m / s).
Operation Steps：
1. In the D mode frozen state, use the trackball to move the cursor to the Measure option of the
measurement menu and press the [Set] key;
2. Move the trackball to the D General option and press the [Set] key to bring up the DRoutine
measurement submenu;
3. Use the trackball to move the cursor to the Doppler trace option and press the [Set] key to enter
the measurement state.
4. Use the trackball to move the cursor to the measurement starting point and press the [Set] key to

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fix the measurement starting point.

5. Use the trackball to move the cursor to the end of the measurement, and press the [Set] key to fix
the measurement end point;
6. The measurement is completed and the result is displayed below the ultrasonic zone. Repeat steps
2-5 for the next measurement.
Press the [Clear] key to clear the measurement data and measurement symbols. Press the [Freeze]
key to exit the measurement.
10.5 Specialist measurement
This equipment has the following dedicated measurement calculation items：
◆Abdominal measurement ◆Pelvic measurement
◆Early obstetric measurement ◆conventional
◆Urology measurement ◆Cardiac measurement
◆Skeletal muscle measurement ◆Mid-late obstetrical measurement
◆Small organ measurement ◆Peripheral vessels measurement

10.5.1 Abdomen,Routine measurement

Description
The human abdomen is the body part between the pelvis and the chest. Anatomically, the abdomen
is bounded from the diaphragm of the chest floor to the true and false pelvis of the pelvis. The true and
false pelvic boundaries are from the lumbosacral angle (the intervertebral disc between the 5th lumbar
vertebra and the first atlas) to the pubic symphysis, the edge of the pelvic entrance. The cavity between
the pelvic inlet and the chest membrane is called the abdominal cavity. The boundary of the abdominal
cavity is the abdominal wall. Functionally, the abdomen is where most of the digestive tracts are,
meaning that digestion and absorption take place here. The digestive tract in the abdominal cavity
includes the lower esophagus, stomach, duodenum, jejunum, ileum, cecum and appendix, ascending
colon, transverse colon and descending colon, sigmoid colon and rectum. Other important organs are
liver, kidney, pancreas and spleen. The abdominal wall is divided into the posterior, lateral and anterior
abdominal wall.

Abdominal measurements All operations must be performed in a frozen state.

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Abdominal, aortic measurement menu Prostate, bladder measurement menu

10.5.2 Urology Measurement Operation

Operation Description Application Remarks

【Close】 Turn off measurement Turn off measurement

【Report】 Report Report

Select measurement
【Application】 Select measurement package
package

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【Measure】 Routine measurement Routine measurement

Cooperate with measurement

【Clear】 Clear measurement Value
needs

Measuring start and end Cooperate with measurement

【Set】
keys needs

liver Liver measurement In the B mode working state,

after the Adjustment image,

Gallbladder Gallbladder measurement press the Freeze button, then

press the distance measurement
button, move the cursor to the
Gallbladder wall
Gallbladder wall thickness abdomen or regular
thickness measurement
measurement item through the
trackball, and press the SET
Total bile duct
Total bile duct button. Move the cursor to the
measurement
measurement start point, press

Portal vein Portal vein measurement the SET button, move the
cursor to the measurement end
Spleen Spleen measurement point, and press the SET

Prox Ao Ap Cardiac measurement button. At this point the

measurement data is displayed
Mid Ao Ap
at the bottom of the screen
Dist Ao Ap image. If you need to make
multiple measures on an item,
Rt lliac Ap
such as the liver needs to repeat
Lt lliac Ap the measurement multiple
times, then each single
Prox Ao Width
measurement is over, continue
Mid Ao Width to move the cursor to the liver
menu selection, and continue
Dist Ao Width
the liver measurement. Press

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Bladder volume
Bladder volume
measurement

Bladder wall
Bladder wall
measurement

Right ureter
Right ureter
measurement

Left ureter Left ureter measurement the Clear key to clear the

Pre-void Volumn Front void volume measurementValue and press

the Freeze key to exit this
Post-void Volumn Back void volume measurement.

Prostate volume
Prostate volume
measurement

10.5.3 Liver measurement

Description
The liver is an organ mainly characterized by metabolic functions in the body, and plays a role in
deoxidation, storage of glycogen, and synthesis of secreted proteins in the body. The liver also produces
bile in the digestive system. In medical terms, the Latin word Hepato- or Hepatic is often used to
describe the liver or liver (Greek hēpar (ήπαρ)). The liver is the largest organ in the human body, located
in the abdomen of the human body, under the right diaphragm, at the front of the gallbladder and in front
of the right kidney, above the stomach. The liver is the largest digestive gland in the human digestive
system. The average adult liver weighs 1.5 kilograms (about 1-2.5 kilograms; the other says 1-1.6
kilograms). It is a reddish-brown V-shaped organ. The liver is also an important organ of metabolism.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the liver and press the SET button;
4. Move the cursor and combine the SET button to make a measurement;
5. Repeat 3-4 to make multiple measurements;
6. The measurement result is displayed at the bottom of the image.

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10.5.4 Gallbladder measurement

Description
The gallbladder is a pear-shaped capsular bag structure located behind the liver under the right rib,
which is used to concentrate and store bile. The gallbladder is divided into four parts: the body, the neck,
and the tube. The neck is connected to the cystic duct. The gallbladder wall consists of three layers: the
mucosa, the muscular layer and the outer membrane.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the gallbladder and press the SET button;
4. Move the cursor and combine the SET button to make a measurement;
5. Repeat 3-4 to make multiple measurements; the measurement results are displayed at the bottom
of the image.
10.5.5 Gallbladder wall thickness measurement
Description
The normal thickness of the gallbladder wall is 1 to 3 (average 2) mm, and the gallbladder wall is larger
than 3 mm.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the thickness of the gallbladder wall and press the SET button;
4. Move the cursor and combine the SET button to make a measurement;
5. Repeat 3-4 to make multiple measurements; the measurement results are displayed at the bottom
of the image.
10.5.6 Total bile duct measurement
Description
It is formed by confluence of the common hepatic duct and cystic duct in the hepatoduodenal
ligament, and it merges downward with the pancreatic duct. The total length is about 7 to 9 cm, and the
diameter of 0.6 to 0.8 cm is divided into four segments: 1, the upper part of the duodenum, the posterior
segment of the duodenum, the pancreatic segment, and the inner segment of the duodenal wall. The
initial segment of the common bile duct is located above the upper part of the duodenum, in the duodenal
ligament, then in the upper part of the duodenum, and then down, between the head of the pancreas and
the descending part of the duodenum or through the head of the pancreas After that, it obliquely
penetrates into the inner side wall of the descending part of the duodenum, where it merges with the
pancreatic duct to form a slightly enlarged hepatic and pancreatic ampulla, which opens into the
duodenum large nipple. There is a hepatic and pancreatic ampulla around the hepatic and pancreatic

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ampulla. There are also a small amount of smooth muscle wrap around the common bile duct and
pancreatic duct, which are called common bile duct sphincter and pancreatic duct sphincter. The hepatic
and pancreatic ampullary sphincters remain in a contracted state, and the bile secreted by the liver is
collected by the left and right hepatic ducts, the main hepatic duct, the medical education, and the uterus.
The gallbladder tubes are collected into the gallbladder for storage; after eating, especially high-fat foods,
gallbladder contraction, Hepatopancreatic ampullary sphincter relaxation, bile in the gallbladder is
discharged into the duodenum through the cystic duct and common bile duct
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the common bile duct and press the SET button;
4. Move the cursor and combine the SET button to make a measurement;
5. Repeat 3-4 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.7 portal vein measurement

Description
The portal vein includes the hepatic portal vein and the pituitary portal vein.
The hepatic portal vein is composed of a splenic vein (injected into the splenic vein under the
mesenteric vein) and the superior mesenteric vein, and the blood from the abdominal organs is recovered.
There is no valve in the portal vein, so when the portal vein is high, the blood can flow back through the
genus.
The adult portal vein is about 8cm long and about 1.5cm in diameter. It is formed by the splenic
vein and superior mesenteric vein behind the pancreatic neck. It is obliquely to the right and enters the
free margin of the hepatoduodenal ligament. It is located in the common bile duct and the proper hepatic
artery. The posterior, up to the first hepatic hilum, divided into left and right branches into the liver,
repeated branches in the liver, and finally formed interlobular veins, and the branches of the hepatic
artery into the hepatic sinus.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the portal vein and press the SET button;
4. Move the cursor and combine the SET button to make a measurement;
5. Repeat 3-4 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

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10.5.8 Spleen measurement

Description
The spleen is the largest lymphoid organ in the human body and is located in the upper left
abdomen. The main function of the spleen is to filter and store blood. The texture of the spleen is brittle
and blood-rich. Therefore, once it is hit by a strong external force, it is easy to rupture. The rupture of the
spleen can cause severe bleeding, and it is one of the abdominal emergency that can kill.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the spleen and press the SET button;
4. Move the cursor and combine the SET button to make a measurement;
5. Repeat 3-4 to make multiple measurements; measurement results are displayed at the bottom of
the image.
10.5.9 Aorta measurement
Description
Circulatory main artery path: the ascending aorta starts from the left ventricle, and the right second
thoracic rib joint moves to the aortic arch, and the bow goes to the left to the fourth thoracic vertebral
body to move the thoracic aorta; The aortic stenosis of the vertebral body is transmitted through the
abdominal aorta, and the lower iliac artery is divided into the left and right common iliac artery. The
common iliac artery is divided into the internal and external iliac artery.
10.5.10 Prox Ao APmeasurement
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;
4. Move the cursor to the Prox Ao AP and press the SET button
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.11 Mid Ao APmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;

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4. Move the cursor to the Mid Ao AP and press the SET button.
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.12 Dist Ao APmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;
4. Move the cursor to the Dist Ao AP and press the SET button.
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.13 Rt Iliac APmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;
4. Move the cursor to the Rt Iliac AP and press the SET button
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.14 Lt Iliac APmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;
4. Move the cursor to the Lt Iliac AP and press the SET button.
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the
bottom of the image.

10.5.15 Prox Ao Widthmeasurement

Operation

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In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;
4. Move the cursor to Prox Ao Width and press SET
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.16 Mid Ao Widthmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;
4. Move the cursor to Mid Ao Width and press SET
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the
bottom of the image.

10.5.17 Dist Ao Widthmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the aorta and press the SET button;
4. Move the cursor to Dist Ao Width and press SET
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the
bottom of the image.

10.5.18 Bladder measurement

Description
The bladder is a urine storage organ. In mammals, it is a cystic structure composed of smooth
muscles, located in the pelvis, with a posterior opening that communicates with the urethra. There is a
sphincter at the junction of the bladder and the urethra, which can control the discharge of urine.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;

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3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to the bladder volume and press the SET button
5. Move the cursor and combine the SET button to perform L, H, and Wmeasurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.19 Bladder wall measurement

Description
The bladder wall consists of the muscular layer, submucosal tissue, and mucosa. The outer layer is
covered with a thin layer of loose connective tissue. The serosa layer covers only a small portion of the
upper part of the bladder and the upper part of the bladder base. The muscle layer is composed of smooth
muscle fibers, the outer layer and the inner layer are mostly longitudinal, the middle layer is mainly ring-
shaped, and the three layers are interwoven and difficult to separate. The muscular layer of the entire
bladder is called the bladder detrusor and plays an important role in urination.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to the bladder wall and press the SET button
5. Move the cursor, combined with the SET button, measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the
bottom of the image.

10.5.20 Left and right ureteral measurement

Description
The ureter is connected to the renal pelvis and the lower bladder. It is a pair of slender tubes with a
flat cylindrical shape with an average diameter of 0.5 to 0.7 cm. The adult ureter is 25 to 35 cm in length
and is located in the retroperitoneum. It descends straight into the pelvis along the front of the medial
aspect of the psoas muscle. The ureter has three stenosis: one at the renal pelvis and ureteral transition
(the beginning of the ureter); one at the entrance to the small pelvis; the last one is inside the bladder
wall.
Operation
B or B/B mode image freeze state, enter the measurement menu bar
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to the left ureter or right ureter and press the SET button;
5. Move the cursor and combine the SET button to make a measurement;

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6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.

10.5.21 Pre-void Volumn、Post-void Volumnmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to Pre-void Volumn or Post-void Volumn and press SET;
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 4-5 to make multiple measurements; the measurement results are displayed at the bottom
of the image.
10.5.22 Prostate volume measurement
Description
The prostate is a male-specific gonad. The prostate is like a chestnut, with the bottom facing up,
attached to the bladder, pointed downwards, urinary genital warts, pubic symphysis in front, and rectum
in the back, so when there is prostate enlargement, you can do a rectal examination and touch the back of
the prostate. There is a urethra in the middle of the prostate gland. It can be said that the prostate gland
guards the upper urethra. Therefore, the prostate is sick and urination is affected first. The prostate is a
very rare secretory gland with both internal and external secretory functions. As the exocrine gland, the
prostate secretes about 2 ml of prostatic fluid every day, which is the main component of semen. As the
endocrine gland, the hormone secreted by the prostate is called prostaglandin.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the abdomen or regular and press the SET button;
3. Move the cursor to the prostate and press the SET button;
4. Move the cursor to the prostate volume and press the SET button;
5. Move the cursor and combine the SET button to perform LHWVmeasurement;
6. Repeat 4-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.
10.6 Early, middle and late obstetric measurement
10.6.1 Measurement ：

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After selecting the early, middle and late obstetrics menu, enter the measurement function.

10.6.2 Early obstetric menu：

Early obstetric measurement men Left ovary measurement menu

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Uterus measurement menu Right ovarian measurement menu

10.6.3 Mid-term obstetric menu：

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Fetal age measurement menu Fetal long bone measurement menu

Amniotic fluid measurement：

10.6.4 Maternity Description

The measurements and calculations obtained from the ultrasound images are used to supplement the
physician's other clinical measures. The accuracy of the system is not only affected by the accuracy of
the system itself, but also depends on whether the user has adopted the correct medical plan. If necessary,
be sure to indicate the medical plan associated with measurement and calculation. This section covers all
representative B-mode measurements included in the obstetrics study. Other obstetric measurements
follow these representative measures.
Main content

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◆Fixed database version selection

◆Custom database editing
◆Calculate the estimated gestational age
◆Calculating tire weight
◆Estimation of gestational age and expected date function by LMP
◆Estimation of gestational age and expected date function by BBT
◆Fetal physiological score
◆Fetal growth curve

10.6.5 Calculate gestational age and estimate expected date of delivery

Use the obstetrics table to measure the pregnancy cycle and the expected date of delivery.
Among them, fetal sac (GS), biparietal diameter (BPD), head and hip length (CRL), femur length
(FL), tibia length (HL), abdominal transverse diameter (TAD), spinal length (LV), occipital diameter
(OFD), neck transparent layer length (NT) is distance measurement; abdominal circumference (AC),
head circumference (HC) is elliptical circumference | area measurement; amniotic fluid index (AFI)
requires measurement four distances.

10.6.6 Tire weight calculation

The user can also perform the measurement of AC, BPD, AC, FL or AC, FL, HC first. After the
measurement, the data will be automatically stored in the memory. When the obstetric report is called,
the system automatically calculates the result according to the multi-parameter calculation method.

10.6.7 Estimation of gestational age and expected date function by LMP

The commonly used calculation method of the expected date of birth, in the previous chapter has
been based on the automatic measurement of gestational age and expected date of birth according to
obstetric measurement, here to introduce the calculation method based on LMP to calculate gestational
age and expected date. As a manifestation method during pregnancy, from the perspective of genetics, the
fertilization day is taken as the first day, the whole pregnancy is 280 days, and 10 pregnancy months (28
days for each pregnancy month).
Since it is difficult for every pregnant woman to accurately judge the time of conception, in the
clinical application of obstetrics, the date of the last menstrual period is calculated as the zero-week zero
day of pregnancy, and the zero day of the 40th week is the accurate date of the expectation. date.
Pregnant women give birth within 38-42 weeks of gestation, all of which are delivered in full term. This
algorithm uses the 28-day type as a standard. Since each woman's menstrual cycle varies in length, it is
normal to have a 1-2 week difference between the estimated expected date of delivery and the actual
expected date of delivery.
<According to the calculation method of the last menstrual period>
EDC (LMP) = LMP + 280 (days)
(LMP: Abbreviation for Last Menstrual Period, the first day of the last menstrual period.)
(EDC: Estimated Date of Confinement, which is the expected date of delivery.)

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Operation Steps：
Move the trackball to select the basic information page of the obstetric report. Click the drop-down
button in the last menstrual input field, select the date, and then click the input field after the gestational
age. The estimated gestational age will be displayed in the input field.

10.6.8 Estimating the function of gestational age and expected date from BBT
<Calculation method from ovulation day> Pre-production period = ovulation day + 266 (days)
Accurate ovulation date is difficult to infer, so most people regard the date when the basal body
temperature changes from low temperature to high temperature as the ovulation day, ie: EDC (BBT) =
BBT + 266 (days)
(BBT: basal body temperature change day, abbreviation for Basal Body Temperature.)
Operation Steps：
Move the trackball to select the basic information page of the obstetric report. Click the drop-down
button in the basal body temperature (BBT) input field, select the date, and then click the input field after
the gestational age. The estimated gestational age will be displayed in the input field.

10.6.9 Fetal Physiological Score

There are two commonly used scoring methods for the Fetal Biophysical Score:
Mannig scoring method - each physiological variable, 2 points for normal people; 0 points for
abnormal cases. Observation in 30 minutes, fetal respiratory movement; 2, large body movement; 3, fetal
muscle tension; 4, reactive FHR; 5, amniotic fluid quantitative.
Vintzileos scoring method - score each physiological activity as 0, 1, 2, and so on. 1. Observe the
reactive FHR in 20 minutes; observe 2, fetal movement in 30 minutes; 3, fetal respiratory movement; 4,
fetal muscle tension; 5, amniotic fluid volume, 6, placental maturity.
In medical clinics, the Apgar's naming Apgar score is widely used in newborns to judge this,
including the following five items:
1. Skin color: Assess the blood oxygen exchange in the newborn's lungs. The skin of the whole body
was pink for 2 points, the tip of the hands and feet was 1 point for blue-purple, and the whole body was
blue and purple for 0 points.
2. Heart rate: assess the intensity and rhythm of neonatal heart beats. The heart beat is more than
100 beats/min for 2 points, the heart beat is less than 100 beats/min for 1 point, and the heart sound is 0
points.
3. Breathing: Assess the maturity of the neonatal center and lungs. The breathing pattern is 2 points,
the breathing rhythm is not uniform (such as shallow irregularity or rushing effort) is 1 point, and no
breathing is 0 points.
4. Muscle tone and exercise: assessment of neonatal central reflexes and muscle robustness. The
normal muscle tone is 2 points, the abnormal muscle tension is 1 point, and the muscle tension is 0 point.
5. Reflex: Evaluate the ability of a newborn to respond to external stimuli. Cry for the soles of the
feet or other stimuli, crying for 2 points, whispering or frowning for 1 point, no response to 0 points.

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Based on these five signs, those with a score of 10 or more are normal newborns, and those with a
score of 7 or less are considered to have mild asphyxia, and those with a score of 4 or less are considered
to have severe asphyxia. Most newborns score between 7 and 10 points, and doctors will treat them
according to their scores. Newly suffocated neonates usually get better after cleaning the respiratory tract
and inhaling oxygen, and the prognosis is good. Clinical significance: It is generally believed that the
level of fetal score is highly correlated with neonatal Apgra score, fetal distress during childbirth, and
prenatal and perinatal mortality. The lower the score, the higher the correlation between the two. It has
been reported that when all the scoring items are normal and the fetal physiology score is 10, the
perinatal mortality rate is 0. Conversely, if all parameters are abnormal and the fetal physiology score is
0, the fetal mortality rate is 40%.
The system uses the Vintzileos scoring method to score the following items:
Reactive fetal heart rate acceleration fetal movement fetal respiratory activity fetal muscle tension
amniotic fluid volume
Operation Steps：
Move the trackball to select the measurement result page of the obstetric report, select page 3, and
the report bar displays the above various functions, and select the corresponding column separately.

10.6.10 fetal growth curve

The fetal growth curve is shown on the growth curve page of the obstetric report. After entering the
growth curve page of the obstetric report, click on the GS BPD CRL FL HL TAD LV OFD AC HC ten
options, which correspond to the growth curves of the ten formulas.

10.6.11 Pregnancy sac measurement (GS)

Description
The gestational sac is the form of the original embryo of pregnancy. When the embryo is implanted
into the endometrium in the second week and develops into the second germ layer, a large cavity is
formed on the ventral side of the blastoderm called the primary yolk sac. The yolk sac shrinks and
degenerates during embryonic development, but the embryo on the yolk sac wall The outer mesoderm is
the earliest birthplace of blood cells, blood vessels and primordial germ cells - the fetal sac, where the
fetus develops in the future.
Attention
To calculate the gestational sac, three distance measurements can be made in two scan planes. To
display two scan planes, press the L or R button. Get an image in each scan plane and press Freeze.
Operation
1. Select GS; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurement Value is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.

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10.6.12 Early and mid-term obstetrics Operation Steps：

Operation Description Application Remarks

【Close】 Close measurement Close measurement

【Report】 Report Report

Select Select
【Application】
measurement measurement
Routine
【Measure】 Routine measurement
measurement
Wipe measurement Cooperate with
【Clear】
Value measurement needs
measurementStart Cooperate with
【Set】
and end keys measurement needs
Fetal sac
GS In the B mode working
measurement
state, after the Adjustment
Biparietal diameter
BPD image, press the Freeze
measurement
button, then press the
 crown rumlength
CRL distance measurement
measurement
button, move the cursor to
Femur length the early, middle and late
FL
measurement obstetric measurement items
Humerus length through the trackball, and
HL
measurement press the SET button. Move
Transverse belly the cursor to the
TAD
measurement measurement start point,
Spine length press the SET button, move
LV
measurement the cursor to the
Pillow diameter measurement end point, and
OFD
measurement press the SET button. At this
Abdominal point the measurement data
AC circumference is displayed at the bottom of
measurement the screen image. If you
Head need to make multiple
HC circumference measures for an item, if the
measurement GS needs to repeat the
Amniotic fluid measurement multiple
AFI
measurement times, then each single
NT Neck transparent measurement ends, continue

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layer length
measurement
Yolk sac
YS
measurement
CXL

APAD

CEREB

FTA Fetal torso area to move the cursor to the GS

menu selection, and
Trunk lateral
TTD continue the
diameter
GSmeasurement. Otherwise,
Trunk front and
APTD the system will
rear diameter
automatically perform the
Fetal weight
EFW next obstetric measurement
measurement
item calculation and display
UL

10.6.13 Biparietal diameter measurement（BPD）

Description
It refers to the length of the widest part between the left and right sides of the fetal head, also known
as the large transverse diameter of the head. Also known as BPD, it is often used in clinical practice to
observe the development of the child, to determine whether there is a head basin, and to give birth
smoothly.
Operation
To measure the Biparietal diameter, you can make a single distance measurement:
1. Select BPD; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
1. To perform the second and third measures, repeat the steps above.

10.6.14  crown rumlength measurement measurement（CRL）

Description
crown rumlength refers to the height of the fetus. General pregnancy 9-14 weeks, the head and hip
long routine examination. It can be used as an indicator to determine whether the fetus is developing
normally.
Operation
To measure the crown rumlength, you can make a single distance measurement:

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1. Select CRL; an active caliper is displayed on the screen.

a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurement Value is displayed at the bottom of the image.
1. To perform the second and third measures, repeat the steps above.

10.6.15 Femur length measurement（FL）

Description
The femur is the largest long bone in the human body, referring to the thigh bone. The length of the
femur is the length of the thigh bone. Femur length is a fetal biological indicator that predicts fetal body
mass.
Operation
To measure the length of the femur, a single distance measurement can be made:
1. Select FL; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.

10.6.16 humerus length measurement (HL)

Description
The humerus length (HL) is a commonly used indicator for doctors to use B-ultrasound (or color
ultrasound) to check pregnancy during pregnancy. The humerus is a typical long tubular bone in the
human body, which can be divided into two ends. The humerus is located on the upper arm, also called
the upper arm bone. The length of the humerus is the length of the upper arm bone. Fetal tibia length = -
5.4282 + 0.7542 × double top diameter. According to the study, the fetal abdominal area, abdominal
circumference and fetal tibia length are sensitive indicators of fetal body mass. Fetal tibia length is
superior to femur length in predicting fetal body mass.
Operation
To measure the length of the iliac crest, you can make a single distance measurement:
1. Select HL; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.
10.6.17 Horizontal diameter measurement（TAD）
Description
It is the diameter of the abdomen (the navel) when the fetus is lying down.
Operation

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To measure the abdominal diameter, you can make a single distance measurement:
1. Select TAD; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.

10.6.18 Spine length measurement（LV）

Description
The spine, also known as the spine and spine, is made up of special-shaped vertebrae and
intervertebral discs. It is located in the middle of the back, with the skull attached to the upper part, the
middle part connected to the rib, and the lower end and the hip bone forming the pelvis. From top to
bottom, there are 7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae, 1 tibia (synthesized
from 5 atlases) and 1 tail spine (synthesized from 4 tail vertebrae). A total of 24 (adults) independent.
Vertebrae. The inside of the spine forms a longitudinal spinal tube from top to bottom with a spinal cord
inside.
Operation
To measure the length of the spine, you can make a single distance measurement:
1. Select LV; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.
10.6.19 Pillow diameter measurement OFD
Description
The occipital diameter, also known as the anteroposterior diameter, refers to the longest part of the
fetus's head from the front to the back. Usually, the distance from the nasal root of the forehead to the
occipital bulge of the hindbrain is the longest, so it is called the pillow diameter.
Operation
To measure the pillow diameter, you can make a single distance measurement:
1. Select OFD; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.

10.6.20 Abdominal circumference measurement AC

Description
The use of ultrasound measurement fetal abdominal circumference can predict the risk of pregnancy

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caused by giant children. Fetal abdominal circumference measurement, mainly to see the fetal
development of the fetus. To calculate the head circumference, you can make an elliptical measurement.
Operation
Ellipse
1. Select AC; an active caliper will appear on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.

10.6.21 Head circumference measurement（HC）

Description
The head circumference refers to the maximum length of the circumference of the tire. The longest
part of the fetus's head from front to back, usually the longest distance from the nasal root of the forehead
to the occipital bulge of the hindbrain, so the general head circumference is the occipital bulge from the
nasal root of the forehead to the hindbrain. The length of the week.
Operation
Ellipse
1. Select HC; an active caliper will appear on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.

10.6.22 Amniotic fluid measurement AFI

Description
Amniotic fluid refers to the fluid that surrounds the fetus during pregnancy. The development of
human embryos has been immersed in amniotic fluid for a period of time. The head has a bow-like thing
like a fish gill. This is the proof that the human ancestors experienced the fish period. In fact, there is no
oxygen in the amniotic fluid, only nourishment. The fetus's thoughts are not used to breathe, but to
absorb nutrients. The effect of the fish has been completely different. In addition to the provision of
moderate Caoyang in the early stages of pregnancy, amniotic fluid is also provided to the fetus for
movement, growth, respiratory tract, digestive tract circulation, and fetal urine excretion. It can be said
that amniotic fluid is one of the necessary living conditions in the process of fetal growth.
Operation
To measure amniocente, you can make a single distance measurement:
1. Select AFI; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.

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c.measurementValue is displayed at the bottom of the image.

2. To perform the second and third measures, repeat the steps above.

10.6.23 Neck transparent layer length（NT）

Description
The transparent layer of the neck refers to the subcutaneous hydrops after the fetal neck is observed
by ultrasound during early pregnancy. This is an ultrasound sign that can occur in all fetuses during early
pregnancy, especially in the early third trimester. Its thickness is closely related to chromosomes and
other lesions. That is to say, the thickening of the transparent layer of the neck indicates that there may be
some special diseases. In addition to the risk of assessing the trisomy (congenital type), the thickness of
the transparent layer of the neck can also help identify other chromosomal abnormalities and various
structures. Malformations and genetic diseases. Because of the 21% triad, about 75% of the neck
transparent layer will thicken. When the pregnant woman reaches the middle pregnancy, the transparent
layer usually resolves, but in a few cases it will become cervical edema or water cyst This shows the
significance of the thickness detection of the neck transparent layer.
Operation
To measure the neck transparent layer length, you can make a single distance measurement:
1. Select NT; an active caliper is displayed on the screen.
a. Move the cursor to the starting point and press the SET button.
b. Move the cursor to the end point and press the SET button.
c.measurementValue is displayed at the bottom of the image.
2. To perform the second and third measures, repeat the steps above.

10.7 Gynecology measurement（Pelvic menu）

10.7.1 Description
Gynecology is mainly for the uterus measurement. In B mode, ultrasound examination of the uterus
can measure the cervical length (Cervix), endometrial thickness (Endomet), uterine length (UTL), uterine
width (UTW), and uterus height (UTH). The uterine volume can be calculated from the length of the
uterus, the width of the uterus, and the height of the uterus. At the same time, the measurement of the left
and right ovaries and cysts is also carried out

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10.7.2 Pelvic measurement menu

Uterus measurement menu

Left and right ovary measurement menu：

Left and right follicle measurement menu

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10.7.3

Gynecological measurement Operation Steps

Operation Description Application Remarks

【Close】 Close measurement Close measurement

【Report】 Report Report

【Application】 Choose measurement Choose measurement

【Measure】 Routine measurement Routine measurement

Clear measurement Cooperate with

【Clear】
Value measurement needs

Measurement Start and Cooperate with

【Set】
end keys measurement needs

Need to enter the

Image freezes at this
【FREEZE】 Routine measurement,
time
press the button directly

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Uterine volume
Uterine volume
measurement

Endometrium
Endometrium
measurement

Uterine fibroid volume

Uterine fibroids 1
measurement
In the B mode working state, after
Uterine fibroid volume the Adjustment image, press the
Uterine fibroids 2
measurement distance measurement button,
move the cursor through the
Right ovary measurement Right ovarian volume trackball to the measurement item,
and press the SET button. Move
Right ovarian cyst 1 the cursor to the measurement
Right ovarian cyst 1
measurement start point, press the SET button,
move the cursor to the
Right ovarian cyst 2 measurement end point, and press
Right ovarian cyst 2
measurement the SET button. At this point the
measurement data is displayed at
Left ovary measurement Left ovarian volume the bottom of the screen image.
Press the Clear key to clear the
Left ovarian cyst measurement Value and press the
Left ovarian cyst1
1measurement Freeze key to exit this
measurement.
Left ovarian cyst 2
Left ovarian cyst2
measurement

Multiple follicles
Left follicle F1~F8
measurement

Multiple follicles
Right follicle F1~F8
measurement

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10.7.4 Left and right ovarian volume measurement

Description
The ovary is an important reproductive organ of women, which can secrete estrogen and reflect the
physiological characteristics of women. Its health directly affects the health and beauty of women. As the
age increases, the ovarian function gradually declines and causes atrophy, which affects the skin color of
women, and has symptoms such as sagging skin, lack of elasticity and luster, and disordered body
functions. To delay aging and postpone menopause, we must do a good job in ovarian health care and
maintenance when we are young, and escort ourselves to extend our livelihood and vitality.
Description
In the B mode, the left/right ovary is ultrasonically scanned and positioned, and the length, width,
and height can be measured separately. The ovarian volume can be calculated from the three distances of
length, width and height.
Operation
1.B or B/B mode image freeze state, enter the measurement menu bar to move the cursor to the
bonsai item in the Application in the left menu bar, press SET;
2. Go to the measurement menu, then move the cursor to the left and right ovaries and press SET;
3. Move the cursor to the volume and press SET;
4. Move the cursor and combine the SET button to make LHWV length, height, width and volume
measurement.
5. The measurement result is displayed at the bottom of the image.

10.7.5 Ovarian cyst measurement

Description
Ovarian cyst is a kind of ovarian tumor in a broad sense. The ovary is the smaller organ in the
human body, but it is a good site for a variety of tumors. Ovarian tumors can have various properties and
forms - single or mixed type. , one or two sides, cystic or substantial, benign or malignant, and many
ovarian tumors can produce sex hormones in women or men.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the pelvic item in the Application in the left menu bar and press SET;
2. Enter the measurement menu, then move the cursor to the left and right ovaries, press SET;
3 Move the cursor to the cyst again and press SET;
4. Move the cursor and combine the SET button to make LHWV length, height, width and volume
measurement.
5. The measurement result is displayed at the bottom of the image.

10.7.6 Uterine measurement

Description
The uterus is the organ that produces menstruation and gestation of the fetus, located in the center of
the pelvic cavity, between the bladder and the rectum. The size of the uterus is related to age and fertility.

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The unborn is about 7.5cm long, 5cm wide and 3cm thick. The uterus can be divided into three parts: the
bottom, the body and the neck. The uterine cavity is inverted triangle, about 6cm deep, and the upper two
corners are the uterine horn, leading to the fallopian tube. The lower end is narrowed to the isthmus and
is about 1 cm long. The isthmus gradually expands during pregnancy and forms the lower uterus during
labor. The ratio of uterus to cervix varies from age to age, 1:2 in infancy, 1:1 in puberty, and 2:1 in
childbearing period. The uterus is normally bent forward slightly, and the anterior wall is prone to the
bladder, almost at right angles to the vagina, and the position can vary with the degree of filling of the
bladder. The uterine wall is composed of three layers of serosa, muscle layer and mucous membrane (ie
endometrium) from the outside to the inside.

10.7.7 Uterine volume measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the pelvic item in the Application in the left menu bar and press SET;
2. Move the cursor to the upper uterus and press the SET button;
3. Move the cursor to the uterus volume and press SET;
4. Move the cursor and combine the SET button to make LHWV length, height, width and volume
measurement.
5. The measurement result is displayed at the bottom of the image.

10.7.8 Endometrial measurement

Description
Endometrium (uterine endome-trium) refers to a layer that forms the inner wall of a mammalian
uterus. It responds to both eosin and progesterone, so it can change significantly with the sexual cycle
(estrus cycle, menstrual cycle).
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the pelvic item in the Application in the left menu bar and press SET;
2. Move the cursor to the uterus and press the SET button;
3. Move the cursor to the endometrium and press SET;
4. Move the cursor and combine the SET button to measure the endometrial thickness.
5. The measurement result is displayed at the bottom of the image.

10.7.9 Uterine fibroids measurement

Description
Hysteromyoma, also known as uterine leiomyoma, is the most common benign tumor of the female
genitalia. More asymptomatic, a small number of vaginal bleeding, abdominal mass and compression
symptoms. If pedicle torsion or other conditions can cause pain, multiple uterine fibroids are common.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the pelvic item in the Application in the left menu bar and press SET;

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2. Move the cursor to the uterus and press the SET button;
3. Move the cursor to the uterine fibroids and press SET;
4. Move the cursor and combine the SET button to perform the uterine fibroids measurement.
5. The measurement result is displayed at the bottom of the image.

10.7.10 Multiple left and right follicle measurements

Description
The follicular ovarian cortex consists of an oocyte and many small follicular cells surrounding it.
According to the morphology and function changes of follicular development, it can be divided into three
stages: primordial follicle, growing follicle and mature follicle. The primordial follicles of women are
innate. There are 700,000 to 2 million primordial follicles on the ovaries on both sides of the newborn.
There are about 40,000 primordial follicles in puberty. Ultrasound imaging provides an effective method
for detecting follicular development and ovulation, and can make a clear diagnosis of abnormal follicular
development and various ovulation disorders. The most common clinical abnormalities are follicular
dysplasia and no follicular development.
Description
In the B mode, the ultrasound scan of the follicles, etc., the diameter of the measurement follicles, in
the gynecological Report, the volume is calculated according to the diameter of the measurement
(calculated according to the spherical volume calculation formula), and the three diameter data of the left
and right follicles are measured.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the pelvic item in the Application in the left menu bar and press SET;
2. Move the cursor to the left and right follicles and press the SET button.
3. Move the cursor to F1—F8 and press SET;
4. Move the cursor and combine the SET button to make follicle measurement.
5. The measurement result is displayed at the bottom of the image.
10.8 Skeletal muscle

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10.8.1 Description
The skeletal muscle is also called the striated muscle, one of the muscles. There are more than 600
skeletal muscles in the human body.
1: Myeloid muscle is composed of muscle cells with contraction ability (also known as muscle
fibers due to their shape into young and long fibers). Any physical activity and physical activity are the
completion of skeletal muscle contraction, which directly affects the strength and endurance of the
human body.
2: Skeletal muscle is also the main storage place for sugar in the human body. It bears more than
70% of sugar storage and has an extremely important buffering effect on human blood sugar balance.
3: The skeletal muscle can move freely. The muscle has a certain elasticity. After being stretched,
when the tension is released, it can automatically return to the original level. This elasticity can slow
down the impact of external force on the human body.

10.8.2 Skeletal muscle measurement step

Operation Description Application Remarks

【Close】 Close measurement Close measurement

【Report】 Report Report

【Application】 Choose measurement Choose measurement

【Measure】 Routine measurement Routine measurement

Clear Cooperate with measurement

【Clear】
measurementValue needs
Measurement Start and Cooperate with measurement
【Set】
end keys needs
In the B or B/B mode working state, after the
Distance Distance measurement
Adjustment image, press the distance measurement
Area Area measurement button, move the cursor through the trackball to the
measurement item, and press the SET button. Move
the cursor to the measurement start point, press the
SET button, move the cursor to the measurement
end point, and press the SET button. At this point
Hip angle Hip angle measurement
the measurement data is displayed at the bottom of
the screen image. Press the Clear key to clear the
measurementValue and press the Freeze key to exit
this measurement.

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10.8.3 Distance measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the skeletal muscle and press the SET button;
3. Move the cursor to the distance and press the SET button;
4. Move the cursor and combine the SET button to measure the distance of the skeletal muscles.
5. The measurement result is displayed at the bottom of the image.

10.8.4 Area measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the skeletal muscle and press the SET button;
3. Move the cursor to the area and press the SET button;
4. Move the cursor and combine the SET button to measure the area of the skeletal muscle.
5. The measurement result is displayed at the bottom of the image.

10.8.5 Hip angle measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the skeletal muscle and press the SET button;
3. Move the cursor to the hip joint angle and press the SET button;
4. Move the cursor and combine the SET button to measure the hip joint angle of the skeletal
muscle.
5. The measurement result is displayed at the bottom of the image.

10.9 Small organ measurement

10.9.1 Description
Small organ measurement has thyroid, testicular volume measurement, isthology measurement
thyroid is the body's largest endocrine gland, located in the soft tissue under the neck. The shape of the
thyroid gland is H-shaped and consists of two lateral lobes and a relatively narrow isthmus connecting
the two lateral lobes. The weight of the thyroid gland varies greatly, about 1.5 grams for newborns, 10-20
grams for children aged 10 years, and 20-40 grams for adults. The thyroid gland will be significantly
atrophied to a weight of about 10-15 grams. The testes are male internal reproductive organs. Normal
men have two testes, which are located on the left and right sides of the scrotum. The testes are oval and
grayish white. Adult testes are 3.5-4.5 cm long, 2-3 cm wide, and 1-2 cm thick. Each testicle weighs 10-
15 grams.

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10.9.2 Small organ measurement menu

Left and right thyroid measurement menu

Blood vessel measurement menu

Left and right testicular measurement menu

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10.9.3 Small organ measurement Operation Steps

Operation Description Application Remarks

【Application】 Choose measurement Choose measurement

Clear measurement Cooperate with measurement
【Clear】
Value needs
Measurement Start and Cooperate with measurement
【Set】
end keys needs
Right thyroid volume In the B or B/B mode working
Right thyroid volume
measurement state, after the Adjustment image,
Right isthmus press the distance measurement
Right isthmus
measurement button, move the cursor through
Left thyroid volume the trackball to the measurement
Left thyroid volume
measurement item, and press the SET button.
Left isthmus Move the cursor to the
Left isthmus
measurement measurement start point, press the
Right testicular volume SET button, move the cursor to
Right testicular volume
measurement the measurement end point, and
Left testicular volume press the SET button. At this point
Left testicular volume
measurement the measurement data is displayed
Vessel Area Vascular area at the bottom of the screen image.
Press the Clear key to clear the
Stenosis Area Narrow zone
measurementValue and press the
Vessel Diam Vessel diameter Freeze key to exit this
Stenosis Diam Narrow diameter measurement.

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10.9.4 Left and right thyroid volume measurement

Description
In the B mode, the thyroid gland is scanned and positioned to measure its length, width and height.
The thyroid volume can be calculated from the three distances of length, width and height.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the small organ and press the SET button;
3. Move the cursor to the right thyroid or left thyroid and press the SET button;
4. Move the cursor to the volume and press the SET button;
5. Move the cursor and combine the SET button to take the measurement.
6.measurement results are displayed at the bottom of the image

10.9.5 Left and right isthmus measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the small organ and press the SET button;
3. Move the cursor to the right thyroid or left thyroid and press the SET button;
4. Move the cursor to the isthmus and press the SET button;
5. Move the cursor and combine the SET button to take the measurement.
6. The measurement result is displayed at the bottom of the image.

10.9.6 Left and right testicular measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the small organ and press the SET button;
3. Move the cursor to the right testicle or the left testicle and press the SET button;
4. Move the cursor to the volume and press the SET button;
5. Move the cursor and combine the SET button to take the measurement.
6. The measurement result is displayed at the bottom of the image.

10.9.7 Vascular area measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the small organ and press the SET button;
3. Move the cursor to the blood vessel and press the SET button;
4. Move the cursor to the Vessel Area and press the SET button;

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5. Move the cursor and combine the SET button to take the measurement.
6.measurement results are displayed at the bottom of the image
10.9.8 Vascular stenosis area measurement
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the small organ and press the SET button;
3. Move the cursor to the blood vessel and press the SET button;
4. Move the cursor to the Stenosis Area and press the SET button;
5. Move the cursor and combine the SET button to take the measurement.
6.measurement results are displayed at the bottom of the image

10.9.9 Vessel diameter measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the small organ and press the SET button;
3. Move the cursor to the blood vessel and press the SET button;
4. Move the cursor to the Vessel Diam and press the SET button;
5. Move the cursor and combine the SET button to take the measurement.
6.measurement results are displayed at the bottom of the image

10.9.10 Vascular stenosis area diameter measurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the small organ and press the SET button;
3. Move the cursor to the blood vessel and press the SET button;
4. Move the cursor to the Stenosis Diam and press the SET button;
5. Move the cursor and combine the SET button to take the measurement.
6.measurement results are displayed at the bottom of the image

10.10 Urology measurement

Description
The scope of urology mainly covers several aspects: urinary tract stones, tumors, deformities,
infections, trauma, kidney transplantation, and male reproduction. Urology is mainly responsible for the
diagnosis and treatment of kidney disease, nephritis, renal function, uremia and so on.

10.10.1Urology measurement menu

Bladder measurement menu

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Prostate measurement menu

Kidney measurement menu

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10.10.2 Urology measurement Operation

Operation Description Application Remarks

【Close】 Close measurement Close measurement

【Report】 Report Report

【Application】 Choose measurement Choose measurement

【Measure】 Routine measurement Routine measurement

Clear measurement Cooperate with measurement
【Clear】
Value needs
measurementStart and Cooperate with measurement
【Set】
end keys needs
Right kidney volume
Right kidney volume
measurement In the B or B/B mode working
Right renal cortex state, after the Adjustment image,
Right renal cortex
measurement press the distance measurement

Left kidney volume button, move the cursor through

Left kidney volume the trackball to the measurement
measurement
Left renal cortex item, and press the SET button.
Left renal cortex Move the cursor to the
measurement
measurement start point, press the
Bladder volume
Bladder volume SET button, move the cursor to
measurement
the measurement end point, and
Pro-void Volumn Pro-void Volumn
press the SET button. At this point
Post-void Volumn Post-void Volumn the measurement data is displayed
Blad Wall Blad Wall at the bottom of the screen image.
Press the Clear key to clear the
Rt ureter Ureter measurement
measurementValue and press the
Lt ureter Ureter measurement
Freeze key to exit this
Prostate volume measurement.
Prostate volume
measurement

10.10.3 Right kidney volume measurement

Description
The kidney is an important organ of the human body. Its basic function is to generate urine, which is
used to remove metabolites and certain wastes and toxins from the body. At the same time, it retains
water and other useful substances such as glucose, protein, amino acids and sodium ions through
reabsorption. , potassium ion, sodium bicarbonate, etc., with Adjustment water, electrolyte balance and
maintain acid-base balance. The kidney also has endocrine function, which produces renin,

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erythropoietin, active vitamin D3, prostaglandins, kinins, etc. It is also a site for the degradation of
endocrine hormones and target organs of extrarenal hormones. These functions of the kidney ensure the
stability of the internal environment and promote normal metabolism.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the right kidney or left kidney and press the SET button;
4. Move the cursor to the volume and press the SET button;
5. Move the cursor and combine the SET button to perform LHWV volume measurement;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.10.4 Renal cortex measurement

Description
Cortical kidney mainly refers to the outer layer (cortex) of the kidney.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the right kidney or left kidney and press the SET button;
4. Move the cursor to the renal cortex and press the SET button;
5. Move the cursor and combine the SET button to make a measurement;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.10.5 Bladder volume measurement

Description
The bladder is a urine storage organ. In mammals, it is a cystic structure composed of smooth
muscles, located in the pelvis, with a posterior opening that communicates with the urethra. There is a
sphincter at the junction of the bladder and the urethra, which can control the discharge of urine.
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to the volume and press the SET button;
5. Move the cursor and combine the SET button to make LHWV volume measurement.
6. Repeat 4-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

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10.10.6 Pro-void Volumnmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to Pro-void Volumn and press SET;
5. Move the cursor and combine the SET button to make LHWV volume measurement.
6. Repeat 4-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.10.7 Post-void Volumnmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to Post-void Volumn and press SET;
5. Move the cursor and combine the SET button to make LHWV volume measurement.
6. Repeat 4-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.10.8 Blad Wallmeasurement

Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to Blad Wall and press SET;
5. Move the cursor and combine the SET button to make LHWV volume measurement.
6. Repeat 4-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.10.9 Rt Uretermeasurement
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to Rt Ureter and press SET;
5. Move the cursor and combine the SET button to make LHWV volume measurement.

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6. Repeat 4-5 to make multiple measurements;

7. The measurement result is displayed at the bottom of the image.

10.10.10 Lt uretermeasurement
Operation
In the B or B/B mode, the image is frozen and enters the measurement menu bar.
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the urology and press the SET button;
3. Move the cursor to the bladder and press the SET button;
4. Move the cursor to the Lt ureter and press the SET button;
5. Move the cursor and combine the SET button to make LHWV volume measurement.
6. Repeat 4-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.11 Peripheral vascular measurement

10.11.1 Description
Peripheral blood vessels refer to the trunk and limb blood vessels other than the cardiovascular and
cerebrovascular.

10.11.2 Peripheral vascular measurement menu

Endometrial measurement menu

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Stenosis rate - diameter, stenosis rate - area measurement menu

Arterial, venous measurement menu

10.11.3 Peripheral blood vessel Operation Steps

Operation Description Application Remarks

【Close】 Close measurement Close measurement

【Report】 Report Report

【Application】 Choose measurement Choose measurement

【Measure】 Routine measurement Routine measurement

Clear Cooperate with measurement
【Clear】
measurementValue needs
measurementStart and Cooperate with measurement
【Set】
end keys needs
Right common carotid Right common carotid In the B or B/B mode working
artery artery measurement state, after the Adjustment image,

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Right common carotid Right common carotid

bulb bulb measurement
Right internal carotid Right internal carotid
artery artery measurement
Left common carotid Left common carotid
artery artery measurement
Left common carotid Left common carotid
bulb bulb measurement
Left internal carotid Left internal carotid
artery artery measurement
Proximal right carotid Proximal right carotid
artery artery measurement
press the distance measurement
Proximal left carotid Proximal left carotid
button, move the cursor through
artery artery measurement
the trackball to the measurement
Middle right carotid Middle right carotid
item, and press the SET button.
artery artery measurement
Move the cursor to the
Middle left carotid measurement start point, press the
Middle left carotid artery
artery measurement
SET button, move the cursor to
Right carotid artery the measurement end point, and
Right carotid artery
measurement press the SET button. At this point
Distal left carotid artery the measurement data is displayed
Distal left carotid artery
measurement at the bottom of the screen image.
Right carotid Press the Clear key to clear the
Right carotid bulb
bulbmeasurement measurementValue and press the
Left carotid bulb Freeze key to exit this
Left carotid bulb
measurement measurement.
Distance measurement Distance measurement

Area measurement Area measurement

Tube diameter stenosis Tube diameter stenosis
rate rate measurement
Area stenosis rate
Area stenosis rate
measurement
Diameter
Diameter measurement measurementmeasurem
ent
Venous distance
Venous distance
measurement

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10.11.4 Stenosis rate measurement

Description
Stenosis rate-diameter and stenosis rate-area is the stenosis rate measurement function in the blood
vessel. The measurement can perform left and right common carotid stenosis rate measurement in black
and white and blood flow mode.
Description
The common carotid artery is the main artery of the head and neck, one for each of the left and
right. The right common carotid artery starts from the brachiocephalic trunk, and the left common carotid
artery directly from the aortic arch. Both common carotid arteries rise along the lateral side of the
esophagus, trachea and larynx, and are divided into the internal carotid artery and the external carotid
artery to the upper edge of the thyroid cartilage. There is a jugular vein on the outside of the common
carotid artery, and there is a vagus nerve behind the two. The three are enclosed in the fascia sheath.
Operation
In the B, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the peripheral blood vessel and press the SET button;
3. Move the cursor to the stenosis rate - diameter or stenosis rate - area and press the SET button;
4. Move the cursor to the right common carotid artery, the left common carotid artery or the right
carotid artery, the left carotid artery or the right internal carotid artery, the right internal carotid
artery, and then press the SET button;
5. Move the cursor to the measurement start point and press the SET button;
6. Move the cursor to the measurement endpoint and press the SET button;
7. Repeat 4-6 for multiple measurements;
8. The measurement result is displayed at the bottom of the image.

10.11.5 Endovascular measurement

Description
Carotid intima-media thickness (IMT) refers to the vertical distance between the intima of the
carotid artery and the medial membrane. Carotid intima-media thickness (IMT) is a subclinical marker of
atherosclerosis and is associated with the onset of cerebral infarction.
Operation
In the B, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the peripheral blood vessel and press the SET button;
3. Move the cursor to the inner membrane and press the SET button;
4. Move the cursor to the proximal or proximal left carotid artery or the middle of the right carotid
artery or the middle of the left carotid artery or the distal part of the right carotid artery or the distal

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part of the left carotid artery or the right carotid artery or the left carotid artery Press the SET button
after the ball;
5. Move the cursor to the measurement start point and press the SET button;
6. Move the cursor to the measurement endpoint and press the SET button;
7. Repeat 4-6 for multiple measurements;
8. The measurement result is displayed at the bottom of the image.

10.11.6 Arterial measurement

Description
Arterial measurement is the carotid artery measurement function, and the measurement can be
performed under black and white and blood flow pattern images.
Operation
In the B, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the peripheral blood vessel and press the SET button;
3. Move the cursor to the artery and press the SET button;
4. Move the cursor to the distance or area or tube diameter stenosis rate or area stenosis rate or
diameter and press the SET button;
5. Move the cursor to the measurement start point and press the SET button;
6. Move the cursor to the measurement endpoint and press the SET button;
7. Repeat 4-6 for multiple measurements;
8. The measurement result is displayed at the bottom of the image.

10.11.7 Venous distance measurement

Description
The positional relationship with the carotid artery is close to the inside of the upper segment and the
internal carotid artery, and there is a partial overlap and a carotid sinus. Therefore, the puncture site is not
easily performed in the upper segment of the internal jugular vein. The medial aspect of the lower
segment is accompanied by the common carotid artery. After the eccentricity between the vein and the
artery, the vagus nerve passes. There is also a lung tip and a pleural apex at the back.
Operation
In the B, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the peripheral blood vessel and press the SET button;
3. Move the cursor to the vein and press the SET button;
4. Move the cursor to the distance and press the SET button;
5. Move the cursor to the measurement start point and press the SET button;
6. Move the cursor to the measurement endpoint and press the SET button;

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7. Repeat 4-6 for multiple measurements;

8. The measurement result is displayed at the bottom of the image.

10.12 Cardiac measurement

10.12.1Description

The heart is located in the chest, above the diaphragm, between the two lungs, about two-thirds on
the left side of the midline. The heart is like an inverted, slightly flattened cone. The apex of the heart is
obtuse, facing the left front and the lower side, adjacent to the chest wall, and its body surface is
projected 1-2 cm inside the midline of the clavicle of the fifth rib space of the left chest front wall, so the
apex beat can be seen or touched here. The heart is wide, and there are large blood vessels coming in and
out, facing the right rear upper, adjacent to the organ of the posterior mediastinum such as the esophagus.
The heart wall is made up of myocardium and can automatically contract at a rhythm of about 70 beats
per minute, thus continuously transporting blood to tissues throughout the body. The heart is actually
made up of two blood pumps. Each blood pump is composed of two parts: the upper part is called the
atrium; the lower part is called the ventricle. Blood enters the heart from the atria and then flows into the
lower ventricle. The ventricular wall is very thick and helps pump blood out of the heart. When the heart
is working, the right ventricle delivers blood to the lungs. The blood flows through the lungs and returns
to the left atrium, which is then transported throughout the body through the left ventricle.

10.12.2 Heart measurement menu

RV/LV measurement menu

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LV Simps measurement menu LA/Ao measurement menu MV measurement menu

LV Mass A/L measurement menu Qp/Qs measurement menu

10.12.3 Cardiac measurement Operation Steps

Operation Description Application Remarks

【Application】 Choose measurement Choose measurement

【Measure】 Routine measurement Routine measurement

Clear measurement Cooperate with measurement
【Clear】
Value needs
measurementStart and Cooperate with measurement
【Set】
end keys needs
Right ventricle, left In the B, B\B, PW, and CF modes,
【RV\LV】
ventricle adjust the image to be adjusted,
Right ventricular wall the image freezes, and enter the
【RVWd】
measurement measurement menu bar.
Right ventricular end Press the distance measurement
【RVDd】 diastolic diameter button, move the cursor through
measurement the trackball to the measurement
Right ventricular wall item, and press the SET button.
【RVWs】
stress Move the cursor to the

【RVDs】 Right ventricular end measurement start point, press the

systolic diameter SET button, move the cursor to

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Left ventricular the measurement end point, and

【LVDd】
diameter-diastolic press the SET button.
Left ventricular At this point the measurement data
【LVPWd】 posterior wall - diastolic is displayed at the bottom of the
phase screen image.
Left ventricular Press the Clear key to clear the
【LVDs】
diameter - systole measurementValue and press the
Left ventricular Freeze key to exit this
【LVPWs】
posterior wall - systolic measurement.
Left ventricular function
【LV Simps】
calculation
A4C diastolic / A4C
【A4C Dias】
contraction
【A4C Sys】 A4C Systolic

【A2C Dias】 A2C Diastolic phase

【A2C Sys】 A2C Systolic

Interventricular septum
【IVSs】
- Systolic
Interventricular septum
【IVSd】
- Diastolic phase

【LA/AO】 Left ventricle/aorta

Aortic root
【AO Root】
measurement
【ASC AO】 Ascending aorta
Left ventricular outflow
【AVA（Trace）】
tract inner diameter
【LA】 Left atrium
Left ventricular outflow
【LVOT Diam】
tract
【MV】

【Diameter】 Diameter measurement

Mitral valve area
【MVA（Trace）】
measurement
【LV Mass A/L】 Left ventricular
epicardium and
endocardium

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measurement
Left ventricular
【Epi Area】 subepicardial
myocardium area
【Endo Area】 Subendocardial area

【LV Length】 Left ventricular length

Pulmonary circulation
【Qp/Qs】 blood flow / systemic
blood flow ratio
Left ventricular outflow
【LVOT Diam】
tract
Right ventricular
【RVOT Diam】
outflow tract

10.12.4 Right ventricle, left ventricle measurement [RV\LV]

Description
The left ventricular wall of the heart is thicker than the right ventricular wall, which is compatible
with its ejection into the (aorta) and into the (body) circulation. Human venous blood is returned from the
body to the heart of the blood first back to the right atrium of the right ventricle and then into the lungs
through the capillaries in the alveoli into arterial blood back to the left atrium left ventricular flow to the
body.

10.12.5 Right ventricular wall measurement【RVWd】

Description
The thickness of the atrial ventricular wall is related to the distance of blood transport. Compared
with the atrium, the wall of the ventricle is thicker, because the blood in the atria only flows to the
ventricle that communicates with it; the wall of the left ventricle is thicker than the right ventricle, and
the left ventricle transports blood to the whole body, so it requires a large contraction force. The wall is
thicker, and the right ventricle delivers blood to its very close lungs, requiring less contraction and a
thinner wall. Normally, the right ventricular wall thickness is only 1/3 of the left ventricular wall.
Operation
In the B, B\B, PW, and CF modes, adjust the image to be taken, the image is frozen, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [RVWd] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;

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7. The measurement result is displayed at the bottom of the image.

10.12.6 Right ventricular end diastolic diameter measurement [RVDd]

Description
Mainly because of the increase in the heart of the measurement. Regarding the left atrial
enlargement, the ultra-examination of the left atrial inner diameter of 41MM prompted an increase, the
interatrial septum 10MM prompt thickening, the left ventricular end-diastolic internal diameter 53MM
end-systolic inner diameter 33MM prompted left ventricular diastolic dysfunction. Normal left
ventricular Diastolic phase inner diameter: male 45-55mm, female 35-50mm.
Operation
In the B, B\B, M\PW, and CF modes, the measurement image is adjusted and the image is frozen.
Status, enter the measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [RVDd] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.
10.12.7 Right ventricular wall stress 【RVWs】
Description
Ventricular wall stress is an important indicator of cardiac function and myocardial oxygen supply.
It is very important to accurately estimate changes in heart wall stress. The traditional method of
estimating ventricular wall stress is measured by two-dimensional echocardiography or film angiography,
and only the average Value can be estimated. However, ventricular wall stress is a local functional
parameter. Due to the complex geometry of the ventricular wall and its highly nonlinear nature, the
conclusions of isolated myocardial research cannot be directly applied to the living heart. Many
mathematical models for predicting ventricular wall stress in vivo are proposed. The wall stress model
proposed by Arts et al. is comprehensive. Taking the rotation around the long axis and the anisotropy of
myocardial tissue during systole contraction, the formula is as follows: chamber wall
stress=ESP×(3ESV/WV+1)
Tips：ESP is the end-systolic left ventricular pressure, ESV is the end-systolic left ventricular volume,
and WV is the wall volume. The study of the local end-systolic stress of the short-axis of the left
ventricle found that the stress from the apex to the bottom of the heart was gradually increased. The study
also found that the systolic peak Value and left ventricular wall stress in patients with dilated
cardiomyopathy were significantly higher than those in normal people.
Operation
In B, B\B, M\PW, and CF modes, adjust the image to be adjusted, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;

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2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [RVWs] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.8 Right ventricular end-systolic diameter [RVDs]

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [RVDs] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.9 Left ventricular diameter - Diastolic phase [LVDd]

Description
The Diastolic phase refers to the total time of the Diastolic phase and the ventricular filling period,
which is the time between the start of the second heart sound and the beginning of the next first heart
sound.
Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [LVDd] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.10 Left ventricular posterior wall - Diastolic phase [LVPWd]

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;

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3. Move the cursor to [LVPWd] and press the SET button;

4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.11 Left ventricular diameter - Systolic [LVDs]

Description
Normally, the ventricle is rhythmicly contracted and dilated. When contracted, the ventricular wall
retracts inwardly and expands outward when dilated. In patients with dilated cardiomyopathy, the
ventricular wall becomes thinner. If the part is relatively thinner, there will be a reverse movement, that
is, when the heart wall contracts, it protrudes outward, but it recovers when it is dilated. The reverse
movement of the Interventricular septum with the posterior wall of the left ventricle indicates that the
Interventricular septum is relatively thin with the posterior wall of the left ventricle and its function has
been attenuated.
Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [LVDs] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.12 Left ventricular posterior wall - Systolic [LVPWs]

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [LVPWs] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.13 Left ventricular function calculation [LVSimps]

Description
Regardless of diastolic function or systolic function, when ultrasound examination shows that there

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is segmental motor abnormality, it should be expanded in clinical practice; indirect bilirubin protects
cardiomyocytes by anti-atherosclerosis, thereby protecting heart function; The left ventricular end-
systolic diameter is better than the left ventricular end-diastolic inner diameter to better reflect left
ventricular systolic or diastolic function, more accurately representing left ventricular preload.
10.12.14 A4C diastolic / A4C contraction [A4C Dias]
Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [A4C Dias] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.15 A4C Systolic【A4C Sys】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [A4C Sys] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.16 A2C Diastolic phase【A2C Dias】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [A2C Dias] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

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10.12.17 A2C Systolic【A2C Sys】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [A2C Sys] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.18 Interventricular septum - Systolic【IVSs】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [IVSs] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.19 Interventricular septum - Diastolic phase【IVSd】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [IVSd] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.20 Aortic root measurement【AORoot】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the

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measurement menu bar:

1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [AO Root] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.21 Ascending aorta【ASC AO】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [ASC AO] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.22 Left ventricular outflow tract inner diameter【AVA（Trace）】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [AVA (Trace)] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.
10.12.23 Left atrium【LA】
Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [LA] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;

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5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.24 Left ventricular outflow tract【LVOT Diam】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [LVOT Diam] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.25 Diameter measurement【Diameter】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [Diameter] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.26 Mitral valve area measurement【MVA（Trace）】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [MVA (Trace)] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

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10.12.27 Left ventricular subepicardial myocardium area【Epi Area】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [Epi Area] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.28 Subendocardial area【Endo Area】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [Endo Area] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.29 Left ventricular length【LV Length】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:
1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [LV Length] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.30 Left ventricular outflow tract【LVOT Diam】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the
measurement menu bar:

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1. Move the cursor to the Application and press the SET button;
2. Move the cursor to the heart and press the SET button to enter the heart menu;
3. Move the cursor to [LVOT Diam] and press the SET button;
4. Move the cursor to the measurement start point and press the SET button;
5. Move the cursor to the measurement endpoint and press the SET button;
6. Repeat 3-5 to make multiple measurements;
7. The measurement result is displayed at the bottom of the image.

10.12.31 Right ventricular outflow tract【RVOT Diam】

Operation
In the B, B\B, M, PW, and CF modes, adjust the image to be taken, the image freezes, and enter the

measurement menu bar:

1. Move the cursor to the Application and press the SET button;

2. Move the cursor to the heart and press the SET button to enter the heart menu;

3. Move the cursor to [RVOT Diam] and press the SET button;

4. Move the cursor to the measurement start point and press the SET button;

5. Move the cursor to the measurement endpoint and press the SET button;

6. Repeat 3-5 to make multiple measurements;

7. The measurement result is displayed at the bottom of the image.

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Chapter 11 Maintenance and Care

Warranty commitment

The color Doppler ultrasound system is guaranteed for 2 years and the probe is guaranteed f

years. The warranty period begins on the date of purchase. During the warranty period, the user is repaired

for faults and the replacement of damaged parts is free. The fault specified in this warranty refers to the

malfunction of the equipment under Operation under the conditions

Description.

It does not include the following:

► Losses or damage caused by external factors such as lightning strikes

accidents, falls, improper use, etc.

► Damage caused by unauthorized or unauthorized non-professionals attempting to modify, replace

parts or assemble.

► Damage caused by other equipment or unauthorized connection to

unauthorized use of key connection cables such as filter power cords or filter power outlets not supplied

by the company.

► Surface damage.

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Attention

Probe Attention

Anti-influence degree

► Probe anti-injection level: IPX7

Description：probe：

1. 3.5MHzR65 Convex array broadband probe, 3.0MHzL19 Phased array wide

frequency probe, 4.0MHzR40Convex array wide frequency volume probe

and 7.5MHzL46Linear array broadband probe immersed in water from the

lens surface should not exceed 5mm;

  2. The depth of the 6.5MHz R10Convex array broadband probe immersed in water

should not exceed 10cm from the surface of the lens.

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▪ When using 6.5MHz R10Convex array broadband probe, it is strictly forbidden to insert the probe

directly into the human body. It is required to use the probe in a sterile oil-free disinfectant rubber sleeve.

The rubber sleeve must meet the technical requirements and test of GB 7544-2009 natural rubber latex

condom. Method" standard requirements. Add an appropriate amount of ultrasonic coupling agent (also

known as sound-guiding glue) to the sterile oil-free sterilizing rubber sleeve, so that the surface of the

probe and the sterile oil-free sterilizing rubber sleeve are filled with coupling agent to eliminate all air

remaining in the sleeve. And the coupling agent does not have to flow to the outside. At the time of

Operation, pinch the sterile oil-free sterilizing rubber sleeve with your fingers, and then gently send the

probe into the human body for diagnosis.

     ▪ Protect the probe from collision or drop.

     ▪ Use an approved ultrasonic couplant.

     ▪ It is strictly forbidden to insert or remove the probe under real-time working conditions.

     ▪ It is strictly forbidden to bend or pull the probe cable, power cord, etc. forcibly.

     ▪ Clean and disinfect the probe as specified.

     ▪ Do not touch the probe with paint thinner, ethylene oxide or other organic solvents.

Host Attention matters

▪ Provide a good environment to keep the equipment clean.

▪ Wait at least 5 seconds after turning off the power and turn it on again.

▪ Attention Operation panel membrane protection, Operation should be gentle to avoid sharp objects

scratching or scratching the Operation panel film.

▪ Try to clean the device with a soft cloth dampened water. If it is still dirty, use a soft cloth

dampened with detergent to clean it. Never spill liquid into the machine.

▪ Do not use a hydrocarbon-based glass cleaner to clean the monitor.

Maintenance

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1. In use, when cleaning the equipment, try not to damage the B-type model, host number, monitor

model and number, probe number, date of manufacture and other important marks.

If this "Description" is not used frequently, please keep it safe.

2. Require regular inspection of the equipment, the specific methods are as follows:

Daily checklist

▪ After each use, wipe off the couplant on the probe with a soft cloth dampened with water.

▪ Inspect the probe and cable for damage and aging, and if so, stop using it.

▪ Clean the probe.

■ If the probe or cable is found to be damaged, stop using it immediately.

Otherwise, there is a risk of electric shock.

Weekly checklist

▪ Check probe damage.

▪ Check the system power cord for cracks or damage.

▪ Disinfect the used probe.

▪ Turn off the power to the unit, unplug the power cord, and clean it.

■ If the device is not used for a long time, check the system every three

months.

■ If the device is not used for a long time, the motherboard battery must be

taken out by our professional staff, and the user must not disassemble it.

Security check

    At least every 24 months, the following safety checks are carried out by qualified personnel:

    ▪ Inspect the mechanical and functional damage of the equipment and its accessories.

    ▪ Check that the safety-related labels are legible.

    ▪ Check the fuse to verify compliance with rated current and open circuit characteristics.

    ▪ Test protection against ground impedance, no more than 0.1Ω.

    ▪ Test ground leakage current: normal state, no more than 500μA

                        Single fault condition, no more than 1000μA

    ▪ Test case leakage current: normal state, no more than 100μA

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                        Single fault condition, no more than 500μA

    ▪ Test patient leakage current: normal state, no more than 100μA

                        Single fault condition, no more than 500μA

    ▪ Test patient leakage current (application part plus supply voltage test single fault condition): no more

than 5mA

If any of the above safety inspections does not meet the requirements, the

immediately discontinued and contacted by the manufacturer or a

department for repair.

Cleaning and disinfecting the probe

     ▪ Clean the probe gently and thoroughly with 75% medical alcohol cotton balls.

     ▪ Do not sterilize the probe with gas or heat.

Confirmation and elimination of simple faults

Phenomenon Reason Method of exclusion

The power
▪ M a y b e t h e p o w e r c o r d i s o ff
indicator is ▪Reconnect the power cord
the socket
off.
No image after
▪ P o s s i b l em o n i t o r b r i g h t n e s s
turning on the ▪ A d j u s t m e n t m o n i t o r b r
and contrast Improper
power Power contrast
▪ M a y b e t h e u l t r a s o n i c g a i n
indicator is ▪Adjust the ultrasonic gain potentiometer
potentiometer is improperly
on to the appropriate position
adjusted

▪Select Exit Program on the menu, exit to

A f t e r b o o t i n g i n t o
t h e
the Windows desktop, double-click th
u l t r a s o u n d s o f t w a r e , t h e
u l t r a s o u n d s o f t w a r e s h o r
probe cannot be identified
▪Software exception d e s k t o p , a n d r e - e n t e r t h e
a f t e r t h a w i n g ( t h e t h r e e
system.
p r o b e i n t e r f a c e s a r e
▪If the above method does not wo
prompted No Probe)
restart the system.

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▪Maybe the device is frozen

▪Check and unfreeze images
The probe does not produce ▪ P o s s i b l e G a i n C o n t r o l K n o b ,
▪ A p p r o p r i a t e a d j u s t m e n t
a n i m a g e o r t h e i m a gMe oi s n i t o r B r i g h t n e s s , a n d
power, etc.; brightness and contrast of
unclear on the patient. C o n t r a s t A d
the appropriate adjustment monitor
Improper

There are black vertical bars

There may be dirt on the probe Cleaning the probe surface
on the image

▪ A d j u s t t h e w o r k i n g e n v i r o n

a w a y f r o m o t h e r e q u i p

magnetic fields
▪ M a y b e c l o s e t o o t h e r
▪ If possible, replace the environment
e q u i p m e n t a n d m a g n e t i c
a n d g e t g o o d p o w e r. I f y o u c
f i e l d s ( e g c o m p a t i b l
change to a good power grid, you can
computers, etc.)
Interference noise spots or contact the company to buy a dedicated
▪ Connect with other devices
c o r r u g a t e d i filter
n power
t cord.
e r f e r e n c
( s u c h a s u l t r a s o u
patterns on the image ▪ Purchase our company's equipment-
workstations, etc.)
specific power outlets
▪ Power grid interference
▪ The probe box is located next to the
▪ The probe is placed in the
host side, and the real-time image is
probe box
slightly disturbed.

Require images when users are no

using the device

▪ The temperature is too cPo lr de s s C t r l + X t o e x i t t h e u l

Occasional crashes in boot
or too hot system, wait for 5 seconds, then turn it on
or operation
▪ Illegal Operation again.

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O c c a s i o n
a l l y a n i m a g e
▪ U n d e r g r o u n Pd r e os rs Cg t rr al +y Xs ct oa l e ex i t t h e u l
i n t e r f a c e e r r o r o r
w i n d o w system,
O wait p fore 5 seconds,
r a then
t turn
i it oon n i s
c o r r e s p o n d i n g g r a y s c a l e
improper again.
error

T h e ma c hi n e do es n ot s t ar t Use the "Maintenance CD" to bring back

▪System software corruption
properly after booting the system

In the event of equipment failure and cannot be removed by the methods described
above, please contact the manufacturer or an authorized service department and
inform the equipment of the information, ie the fault description and the equipment
number, probe number, date of purchase, etc.

Maintain the use of the U disk

Starting the “Maintenance U disk” and restoring the system The operation of
the ultrasound system will result in the loss of the original case data in the
system. Therefore, the user should try to read the useful data before starting the
function of restoring the ultrasound system.
When the ultrasound system is completely damaged, it is often impossible to
operate the hard disk. Therefore, it is better to back up the useful data to other
memory media (such as mobile hard disk, etc.).
When the ultrasound system cannot be turned on normally, it can be started by random “Maintenance
U disk” to repair the system software damage caused by abnormal operation or abnormal opening/closing.
Use of small operation panel

The included small Operation panel can be used to extend the machine's own Ope

function, making it easier to detect the operation when the system encounters a problem. Its main uses are

as follows:

Used as a standard computer operation panel

When the instrument is not running the ultrasound software environmen

operation panel does not work. In this state, if you need to input relevant information in the Operation

panel, you can use the small Operation panel attached to the Application.

How to use: Connect the small Operation panel and boot into the default ultra

software interface. After exiting the ultrasound software interface, combine the mac

own trackball or external mouse to find the file to be edited. Use th

Operation panel to input relevant character information.

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After completing the related operation of the external small operation panel,
you must disconnect the small Operation panel. And ensure that the machine
is completely powered off once. Otherwise, the normal application of the
related functions of the machine is not guaranteed.

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Appendix A Safety Precautions

● Patient safety

T h e i t e m s l i s t e d b e l o w c a n s e r i o u s l y a f f e c t t h e s a f e t y o f

examinations:

The patient's name must be entered accurately to ensure that all recorded data a

medical record number are provided in the hard copy, otherwise misdiagnosis will result.

● Diagnostic information

A device failure or incorrect setting can result in image measurement errors or no

details. In order to optimize the equipment's Advantage and avoid possible error operation, the equipment

user should be familiar with the equipment's operation after training, a

confidence through the equipment quality assurance program.

● Clinical diagnosis

The display function of the measurement function is only used as a tool. Users should carefully study

and accumulate the measurement data and clinical actual data of the device to impro

diagnosis.

● Mechanical injury

Using a damaged probe or improper use of an intracavity probe can result in injury or increased risk

of infection. The user should carefully manipulate the probe and protect the appearance of the probe.

● Choose the device configuration with the system

T he d ev i c e c o nf i g ur a t i o n w i t h t h e s ys t e m mu s t b e t he m od el su pp l i e d by t he m a nu f ac t ur e r o f t h

ultrasound instrument. It is required that each configuration device and additional ground wire must be

grounded.

● Contagion control

Users who use the device should be responsible for cleaning it to avoid infection between the patient

and the worker. In order to avoid cross-infection, the relevant departments of the hospital should have a

prevention system.

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Appendix B Sound Output Announcement

● Risk of sound power output

Although the ultrasonic power level has not been confirmed to have an adverse effect on the human

b o d y, u n n e c e s s a r y ra d i a t io n t o th e h u m a n b o d y s h o u l d b e a v o i d e d . In c o r re

p o s i t i o n i n g , a n d t i s s u e t y p e s e l e c t i o n c a n c a u s e i n j u r y. R e a s o n a b l e s e l e c t i o n o f t h e f o c u s p o s i

ch an ge t h e pu l s e f r eq ue nc y an d c h an ge t h e e m i s s i on f oc u s ar e a so t h at t h e r a di at i on i s r e ce i ve d t o

lowest limit (the medium focus mode is recommended). When the patient diagnosis is not performed, the

ultrasound should be frozen to reduce acoustic radiation.

According to the requirements of GB 9706.9/ IEC 60601-2-37 "Medical Electrical Equipment

Part 2-37: Special Requirements for Ultrasound Diagnosis and Monitoring Equipment Safety", the

sound output level information of this ultrasound is published as follows:

Acoustic output level technical data

Probe type 3.5MHzC2-6R65 B+M
TIS TIB
Non scanning Non
Index name MI scanni TIC
Aaprt ≤ 1cm 2 Aaprt ≥ 1cm 2 scannin
ng
g
Maximum indexValue 0.69 0.27 0.08 —— 0.08 ——
Relate pra (MPa) 1.23 / / / / /
d
P(mW) / 18.1 5.2 / 5.2 ——
acousti
（ ） &
c
parame （ ） Mi / / / —— / /

ters nimumValue

z s （mm） / / / —— / /

（mm） / / / —— / /

（mm） / / / / 56.7 /

At maximum 56.7 / / / / /
z（mm）

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（cm） / / / / 0.27 /

（MHz） 3.16 3.16 3.16 —— 3.16 ——

Dia X / 41.2 2.38 —— 2.38 ——

meter (mm) Y / 2.92 2.92 —— 2.92 ——

(μs) 1.034 / / / / /

（kHz） 2.34 / / / / /

At maximum
1.74 / / / / /
Other （MPa）
Inform At maximum
ation / / / / 0.27 /
（cm）

At
maximumMI 72.71 / / / / /
（mW/ ）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 3.5MHzC2-6R65 PWD

TIS TIB
Index name MI scanni Non scanning Non TIC
ng Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.61 —— 0.67 —— 0.67 ——

Relate pra (MPa) 1.05 / / / / /
d
P(mW) / —— 47.4 / 47.4 ——
acousti
（ ）&
c
parame （ ） / / / —— / /

ters MinimumValue
/ / / —— / /
z s （mm）

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（mm） / / / —— / /

（mm） / / / / 57.2 /

At maximum
的 57.2 / / / / /
z（mm）

（cm） / / / / 0.22 /

（MHz） 2.96 —— 2.96 —— 2.96 ——

Dia X / —— 2.12 —— 2.12 ——

meter (mm) Y / —— 2.09 —— 2.09 ——
(μs) 4.20 / / / / /

（kHz） 4.36 / / / / /

At

maximum 1.47 / / / / /

Other （MPa）
Inform At
ation
maximum / / / / 0.22 /

（cm）

At
maximumMI 127.41 / / / / /
（mW/ ）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 3.5MHzC2-6R65 CF

TIS TIB
Index name MI scannin Non scanning Non TIC
g Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.78 0.66 —— —— —— ——

Relate pra (MPa) 1.33 / / / / /

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P(mW) / 47.9 —— / —— ——
（ ）&

（ ） / / / —— / /

MinimumValue

z s （mm） / / / —— / /

d （mm） / / / —— / /
acousti
（mm） / / / / —— /
c
parame At maximum
ters 的 61.1 / / / / /
z（mm）

（cm） / / / / —— /

（MHz） 2.91 2.91 —— —— —— ——

Dia X / 24.31 —— —— —— ——
meter (mm) Y / 3.15 —— —— —— ——
(μs) 1.84 / / / / /

（kHz） 2.59 / / / / /

At

maximum 1.81 / / / / /

Other （MPa）
Inform At
ation
maximum / / / / —— /

（cm）

At
maximumMI 11.72 / / / / /
（mW/ ）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

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Probe type 6.5MHzC4-9R10 B+M

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2 Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.98 0.24 0.14 —— 0.14 ——

pra (MPa) 1.96 / / / / /

P(mW) / 8.7 5.2 / 5.2 ——

（ ）&

（ ） / / / —— / /

MinimumValue

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / 41.2 /

parame At maximum
ters 的 41.2 / / / / /
z（mm）

（cm） / / / / 0.23 /

（MHz） 5.72 5.72 5.72 —— 5.72 ——

Dia X / 11.21 2.21 —— 2.21 ——

meter (mm) Y / 2.39 2.39 —— 2.39 ——
(μs) 0.53 / / / / /

（kHz） 2.31 / / / / /

At

maximum 2.92 / / / / /

Other （MPa）
Inform At
ation
maximum / / / / 0.23 /

（cm）

At
maximumMI 39.2 / / / / /
（mW/ ）
Operat Control1 —— —— —— —— —— ——

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ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 6.5MHzC4-9R10 PWD

TIS TIB
Index name MI Non scanning 0.74 TIC
scanning 2 2
Aaprt ≤ 1cm Aaprt ≥ 1cm

Maximum indexValue 1.68 —— 1.05 —— 1.05 ——

pra (MPa) 3.36 / / / / /

P(mW) / —— 37.2 / 37.2 ——

（ ）

& （
/ / / —— / /
） MinimumVa
lue

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / 37.21 /
parame At maximum
ters 的 37.21 / / / / /
z（mm）

（cm） / / / / 0.21 /

（ MHz
5.92 —— 5.92 —— 5.92 ——
）
Dia X / —— 1.92 —— 1.92 ——
meter (mm) Y / —— 1.96 —— 1.96 ——
Other (μs) 1.62 / / / / /
Inform
（kHz） 7.51 / / / / /
ation
At 4.72 / / / / /

maximum

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（MPa）

At

maximum / / / / 0.21 /

（cm）

At
maximumMI
192.71 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 6.5MHzC4-9R10 CF

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 1.44 1.10 —— —— —— ——

Relate pra (MPa) 2.97 / / / / /
d
P(mW) / 38.9 —— / —— ——
acousti
（ ）
c
parame & （
/ / / —— / /
ters ） MinimumVa
lue

z s （mm） / / / —— / /

（mm） / / / —— / /

（mm） / / / / —— /

At maximum 36.72 / / / / /
的
z（mm）

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（cm） / / / / —— /

（ MHz
5.94 5.94 —— —— —— ——
）
Dia X / 14.21 —— —— —— ——
meter (mm) Y / 2.30 —— —— —— ——
(μs) 1.46 / / / / /

（kHz） 2.49 / / / / /

At

maximum 3.98 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / —— /

（cm）

At
maximumMI
117.2 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 6.5MHzC5-9R10 B+M

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2 Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.76 0.23 0.15 —— 0.15 ——

Relate pra (MPa) 1.52 / / / / /
d
P(mW) / 8.7 5.6 / 5.6 ——
acousti
（ ） / / / —— / /
c
parame & （
） MinimumVa

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 Color Doppler Diagnostic System User Manual

lue

z s （mm） / / / —— / /

（mm） / / / —— / /

（mm） / / / / 40.32 /

At maximum
的 40.32 / / / / /
ters
z（mm）

（cm） / / / / 0.31 /

（ MHz
5.66 5.66 5.66 —— 5.66 ——
）
Dia X / 7.68 2.83 —— 2.83 ——
meter (mm) Y / 2.95 2.95 —— 2.95 ——
(μs) 10.6 / / / / /

（kHz） 2.30 / / / / /

At

maximum 2.29 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / 0.31 /

（cm）

At
maximumMI
64.79 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 6.5MHzC5-9R10 PWD

Index name MI TIS TIB TIC

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Non scanning Non

scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 1.39 —— 1.12 —— 1.12 ——

pra (MPa) 2.78 / / / / /

P(mW) / —— 40.2 / 40.5 ——

（ ）

& （
/ / / —— / /
） MinimumVa
lue

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / 37.21 /
parame At maximum
ters 的 37.21 / / / / /
z（mm）

（cm） / / / / 0.24 /

（ MHz
5.86 —— 5.86 —— 5.86 ——
）
Dia X / —— 2.13 —— 2.13 ——
meter (mm) Y / —— 2.13 —— 2.13 ——
(μs) 1.69 / / / / /

（kHz） 9.66 / / / / /

At

maximum 4.03 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / 0.24 /

（cm）

At
maximumMI
96.72 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——

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ion
Contro Control2 —— —— —— —— —— ——
l Control3
conditi —— —— —— —— —— ——
on

Probe type 6.5MHzC5-9R10 CF

TIS TIB

Index name MI Non scanning Non TIC

scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 1.43 0.81 —— —— —— ——

pra (MPa) 2.85 / / / / /

P(mW) / 29.6 —— / —— ——
（ ）

& （
/ / / —— / /
） MinimumVa
lue

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / —— /
parame At maximum
ters 的 39.67 / / / / /
z（mm）

（cm） / / / / —— /

（ MHz
5.77 5.77 —— —— —— ——
）
Dia X / 4.76 —— —— —— ——
meter (mm) Y / 2.98 —— —— —— ——
Other (μs) 1.03 / / / / /
Inform
（kHz） 4.94 / / / / /
ation
At 3.96 / / / / /

maximum
（MPa）

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At

maximum / / / / —— /

（cm）

At
maximumMI
119.21 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 7.5MHz L46 B+M

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.96 0.18 0.13 —— 0.13 ——

Relate pra (MPa) 1.92 / / / / /
d
P(mW) / 5.3 3.8 / 3.8 ——
acousti
（ ）
c
parame & （
/ / / —— / /
ters ） MinimumVa
lue

z s （mm） / / / —— / /

（mm） / / / —— / /

（mm） / / / / 32.51 /

At maximum
的 32.51 / / / / /
z（mm）

（cm） / / / / 0.31 /

（ MHz 7.21 7.21 7.21 —— 7.21 ——

）

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 Color Doppler Diagnostic System User Manual

Dia X / 21.71 2.72 —— 2.72 ——

meter (mm) Y / 2.92 2.92 —— 2.92 ——
(μs) 0.43 / / / / /

（kHz） 2.41 / / / / /

At

maximum 2.92 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / 0.31 /

（cm）

At
maximumMI
74.81 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 7.5MHz L46 PWD

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.87 —— 1.06 —— 1.06 ——

Relate pra (MPa) 1.73 / / / / /
d
P(mW) / —— 30.2 / 30.2 ——
acousti
（ ）
c
parame & （
/ / / —— / /
ters ） MinimumVa
lue

z s （mm） / / / —— / /

（mm） / / / —— / /

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 Color Doppler Diagnostic System User Manual

（mm） / / / / 31.61 /

At maximum
的 31.61 / / / / /
z（mm）

（cm） / / / / 0.26 /

（ MHz
7.40 —— 7.40 —— 7.40 ——
）
Dia X / —— 2.31 —— 2.31 ——
meter (mm) Y / —— 2.61 —— 2.61 ——
(μs) 0.91 / / / / /

（kHz） 10.61 / / / / /

At

maximum 2.69 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / 0.26 /

（cm）

At
maximumMI
117.2 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 7.5MHz L46 CF

TIS TIB

Index name MI Non scanning Non TIC

scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.82 1.04 —— —— —— ——

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 Color Doppler Diagnostic System User Manual

pra (MPa) 1.63 / / / / /

P(mW) / 29.4 —— / —— ——
（ ）

& （
/ / / —— / /
） MinimumVa
lue

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / —— /
parame At maximum
ters 的 29.61 / / / / /
z（mm）

（cm） / / / / —— /

（ MHz
7.40 7.40 —— —— —— ——
）
Dia X / 8.81 —— —— —— ——
meter (mm) Y / 3.61 —— —— —— ——
(μs) 0.75 / / / / /

（kHz） 5.14 / / / / /

At

maximum 2.38 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / —— /

（cm）

At
maximumMI
135.64 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3 —— —— —— —— —— ——
l

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conditi
on

Probe type 3.0MHz L19 B+M

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2 Aaprt ≥ 1cm 2 scanning

Maximum indexValue 0.71 0.41 0.26 —— 0.26 ——

pra (MPa) 1.23 / / / / /

P(mW) / 29.2 18.1 / 18.1 ——

（ ）

& （
/ / / —— / /
） MinimumVa
lue

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / 68.12 /
parame At maximum
ters 的 68.12 / / / / /
z（mm）

（cm） / / / / 0.35 /

（ MHz
2.98 2.98 2.98 —— 2.98 ——
）
Dia X / 7.23 3.41 —— 3.41 ——
meter (mm) Y / 3.16 3.16 —— 316 ——
Other (μs) 1.86 / / / / /
Inform
（kHz） 2.45 / / / / /
ation
At

maximum 1.87 / / / / /

（MPa）

At / / / / 0.35 /

maximum

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 Color Doppler Diagnostic System User Manual

（cm）

At
maximumMI
46.21 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 3.0MHz L19 PWD

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum indexValue 1.16 —— 0.92 —— 0.92 ——

pra (MPa) 1.98 / / / / /

P(mW) / —— 66.7 / 66.7 ——

（ ）

& （
/ / / —— / /
） MinimumVa
lue

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / 63.8 /
parame At maximum
ters 的 63.8 / / / / /
z（mm）

（cm） / / / / 0.31 /

（ MHz
2.89 —— 2.89 —— 2.89 ——
）
Dia X / —— 2.92 —— 2.92 ——
meter (mm) Y / —— 2.72 —— 2.72 ——

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 Color Doppler Diagnostic System User Manual

(μs) 2.17 / / / /

（kHz） 9.17 / / / / /

At

maximum 2.96 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / 0.31 /

（cm）

At
maximumMI
137.61 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 3.0MHz L19 CF

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum index Value 0.99 0.91 —— —— —— ——

Relate pra (MPa) 1.72 / / / / /
d
P(mW) / 66.2 —— / —— ——
acousti
（ ）
c
parame & （
/ / / —— / /
ters ） Minimum
Value

z s （mm） / / / —— / /

（mm） / / / —— / /

（mm） / / / / —— /

At maximum 73.2 / / / / /

196
 Color Doppler Diagnostic System User Manual

的
z（mm）

（cm） / / / / —— /

（ MHz
2.89 2.89 —— —— —— ——
）
Dia X / 3.18 —— —— —— ——
meter (mm) Y / 3.92 —— —— —— ——
(μs) 1.88 / / / /

（kHz） 4.37 / / / / /

At

maximum 2.89 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / —— /

（cm）

At
maximumMI
132.4 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 4.0MHz R40 B+M

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum index Value 0.87 0.62 0.11 —— 0.11 ——

Relate pra (MPa) 1.73 / / / / /
d
P(mW) / 33.6 5.9 / 5.9 ——
acousti
（ ） / / / —— / /
c

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 Color Doppler Diagnostic System User Manual

& （
） Minimum
Value

z s （mm） / / / —— / /

（mm） / / / —— / /

（mm） / / / / 59.21 /

At maximum
parame
的 59.21 / / / / /
ters
z（mm）

（cm） / / / / 0.39 /

（ MHz
3.88 3.88 3.88 —— 3.88 ——
）
Dia X / 14.72 3.63 —— 3.63 ——
meter (mm) Y / 3.69 3.69 —— 3.69 ——

(μs) 0.82 / / / /

（kHz） 3.61 / / / / /

At

maximum 2.41 / / / / /

（MPa）
Other
Inform At

ation maximum / / / / 0.39 /

（cm）

At
maximumMI
72.36 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

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Probe type 4.0MHz R40 PWD

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2 Aaprt ≥ 1cm 2 scanning

Maximum index Value 0.80 —— 0.46 —— 0.46 ——

pra (MPa) 1.26 / / / / /

P(mW) / —— 39.8 / 39.8 ——

（ ）

& （
/ / / —— / /
） Minimum
Value

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / 59.63 /
parame At maximum
ters 的 59.63 / / / / /
z（mm）

（cm） / / / / 0.29 /

（ MHz
2.45 —— 2.45 —— 2.45 ——
）
Dia X / —— 2.76 —— 2.76 ——
meter (mm) Y / —— 2.43 —— 2.43 ——
(μs) 2.08 / / / /

（kHz） 9.21 / / / / /

At

maximum 1.72 / / / / /
Other （MPa）
Inform
At
ation
maximum / / / / 0.29 /

（cm）

At
maximumMI 112.3 / / / / /

（ mW/

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 Color Doppler Diagnostic System User Manual

）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
on

Probe type 4.0MHz R40 CF

TIS TIB
Index name MI Non scanning Non TIC
scanning
Aaprt ≤ 1cm 2
Aaprt ≥ 1cm 2 scanning

Maximum index Value 0.55 0.43 —— —— —— ——

pra (MPa) 0.87 / / / / /

P(mW) / 36.8 —— / —— ——
（ ）

& （
/ / / —— / /
） Minimum
Value

Relate z s （mm） / / / —— / /
d
（mm） / / / —— / /
acousti
c （mm） / / / / —— /
parame At maximum
ters 的 63.81 / / / / /
z（mm）

（cm） / / / / —— /

（ MHz
2.46 2.46 —— —— —— ——
）
Dia X / 4.71 —— —— —— ——
meter (mm) Y / 3.63 —— —— —— ——
Other (μs) 2.29 / / / /
Inform
（kHz） 5.03 / / / / /
ation
At 1.36 / / / / /

200
 Color Doppler Diagnostic System User Manual

maximum
（MPa）

At

maximum / / / / —— /

（cm）

At
maximumMI
88.35 / / / / /
（ mW/
）
Operat Control1 —— —— —— —— —— ——
ion Control2 —— —— —— —— —— ——
Contro Control3
l
—— —— —— —— —— ——
conditi
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Appendix C Introduction to measurement & calculation

methods
B mode measurement of left ventricular volume (Volume) method:

The system provides six different methods for calculating End-Diastolic and End-Systolic Volums and left

ventricular volume for calculating cardiac output (CO) & other cardiac function parameters, specifically:

Modified Simpson, Teichholz, Bullet, Biplane, Single Plane & Cubed.

Modified Simpson

The method uses two different sections, the measurement area, to estimate the volume.

The area measures the level of the heart in the horizont al direct ion of the mitral valve. The end of th

Diastolic phase is measured with the heart between the Systolic ends, as well as the measurement in the

direction of the short axis of the mastoid muscle. This measurement also requires a measure of distance,

taking the standard four-chamber view of the apex, and measuring the distance between the end of the

long-axis heart Diastolic phase and the end of the heart Systolic.

This method estimates the volume using the area measurement in two different views. Area measurements

are made at end diastole and at end systole in the short axis view (sax) at the level of the mitral valve

(MV) and in the short axis view at The Papillary Muscle (PM). It also requires a distance measurement of

the long axis dimension in an apical four-chamber view at end diastole and at end systole.

The following measurement is required:

LVAd_sax_PM

LVAd_sax_MV

LVLd_apical

LVAs_sax_PM

LVAs_sax_MV

LVLs_apical

LVEDV=

 LVLd _ apicle
9  4  LVAd _ sax _ MV   2  LVAd _ sax _ PM   LVAd _ sax _ MV  LVAd _ sax _ PM 
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 Color Doppler Diagnostic System User Manual

LVESV=

 LVLs _ apicle
9
 4  LVAs _ sax _ MV   2  LVAs _ sax _ PM   LVAs _ sax _ MV  LVAs _ sax _ PM 
Teichholz

This method estimates the volume by measuring the left ventricular diameter. Take the long-axis view of

the heart, measure the horizontal left ventricular end-diastolic diameter (LVIDd) & end-systolic diameter

(LVIDs), and then calculate the left ventricular volume according to the formula.This method estimates

the volume from the left ventricular internal diameter (LVID) measurements.

Requested as follows measurement：

LVIDd

LVIDs

 7  LVIDd 3   7  LVIDs 3 
LVEDV=   LVESV=  
 2.4  LVIDd   2.4  LVIDs 

Bullet

This method requires a measurement area between the end of the heart of the mitral valve in

horizontal direction of the Diastolic phase and the end of the Systolic heart. This estimate also requires a

measure of distance, the top of the heart and the long axis of the ventricular long axis of the ventricular.

The distance from the end of the heart Systolic.

The equation used in the method assumes that the left ventricle is a bullet shape, the main segment is

cylindrical, and the tip is tapered.

T hi s me t h od es t i ma t e s t he v ol u m e u s i ng t h e ar e a me as u r em e nt i n t he s ho r t a xi s ( sa x) vi e w a t t h

level of the mitral valve (MV). Measurements are made in diastole and systole. This method also requires

a distance measurement of the long axis dimension in an apical view at end-diastole and end-systole.

This formula assumes that the left ventricle is shaped like a bullet; the base being cylindrical and the

apex cone-like.

Requested as follows measurement：

LVAd_sax_MV

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 Color Doppler Diagnostic System User Manual

LVLd_apical

LVAs_sax_MV

LVAs_apical

 5  
LVEDV=    LVAd _ sax _ MV  LVLd _ apical 
 6  

 5  
LVESV=    LVAs _ sax _ MV  LVLs _ apical 
 6  

Biplane

This method of estimating volume requires a measurement of the area of the heart's Diastolic phase

end and the heart's Systolic end in the short-axis direction of the top view. It also requires measurement of

the left ventricular LVIDd & LVIDs.

The difference between this method (Biplane) and the next Single Plane method to be introduced is:

two areas in the short-axis direction of the measurement top view, and the single top-view Diastolic phase

e n d a n d S y s t o l i c a r e r e p l a c e d b y t h e m e a s u r e m e n t o f t h e l e f t i n n e r d i a m e t e r LV I D d &

distance from the end.This method estimates the volume using the area measurement in two planes at end-

diastole and at end-systole for apical and for short axis views. It also requires distance measurements of

the internal diameter of the left ventrical, LVIDd and LVIDs. The Biplane method is a variation on the

Singl e Plane method. Instead of squaring the Area measured in the apical vi ew, it uses the Area in th

short axis view multiplied by the apical Area. Instead of dividing by the apical leng

dimension of the ventricle is used.

Requested as follows measurement：

LVAd_apical

LVAd_sax_MV

LVIDd

LVAs_apical

LVAd_sax_MV

LVIDs

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 Color Doppler Diagnostic System User Manual

 8  LVAd _ sax _ MV  LVAd _ apical  

LVEDV=  
 3    LVIDd 

 8  LVAs _ sax _ MV  LVAs _ apical  

LVESV=  
 3    LVIDs 

Single Plane

This method of estimating volume uses only the measurement top view Diastolic phase en

Systolic end area to the Application.Single Plane estimates the volume using the area measurement in a

single plane at end-diastole and at end-systole for apical two or four chamber views.

Requested as follows measurement：

LVAd_apical

LVLa_apical

LVAs_apical

LVLs_apical

 8  LVAd _ apical 2 
LVEDV=  
 3    LVLd _ apical 

 8  LVAs _ apical 2 
LVESV= 
 3    LVLs _ apical 
 
Cubed

This method of estimating volume is done by measuring the left ventricular path.

This method estimates the volume from the left ventricular internal diameter LVID using the distance

measurement.

Requested as followsmeasurement:

     LVIDd

     LVIDs

     LVEDV= LVESV

Cardiac output parameter measurement method

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 Color Doppler Diagnostic System User Manual

The measurement of Doppler blood flow is generally used to estimate the change in bloo

pressure according to the continuous equation & estimate the valve area. The equat

calculations used in this system are given below.Doppler flow measurements are used to make pressure

gradient estimates and valve area estimates using the continuity equation. The tabl

formulas used in the system Cardiac Calculation Package.

Blood pressure changes in the aortic valve

Aortic Valve Pressure Gradient

This standard technique relates the pressure gradient to the square of the velocity. See Reference 1 for a

description of the formula and for correct placement of probe and Doppler gate.

Aortic Pressure Half Time

The time interval for the pressure gradient to drop by one half is correlated with the degree of stenosis.

See Reference 1 or other cardiology texts. The slope is measured on the spectrum from the peak velocity

point. Units are in milliseconds. The same formula is used for other half time calculations.

Aortic Valve Area by Continuity

This formula uses the velocity in the left ventricular outflow tract and its diameter to estimate aortic valve

area using the maximum velocity of flow in the aortic valve. See Reference 1, p184, 247.

Cardiac Output

This formula calculates the volume flow through the aortic outflow tract using the time average velocity

measured by tracing the velocity curve. Velocity is in centimeters, output is in cubic centimeters divided

by 1000 for liters/minute. No provisions are allowed for regurgitation. See the references for proper use.

Mitral Valve Parameters

Mitral Valve E & A Points

The E and A points correspond to the mitral flow velocity peaks during diastole (E) and at the end of atrial

systole (A). See Reference 1, p 188 for examples.

The pressure gradient, pressure half time, and area measurements of the mitral
valve use the same formulas as presented here for the aortic valve.

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Packing List

Serial
Name Specification Unit Quantity confirm
Number

1 Host Set 1

2 Display LED Set 1

Standard
3.5MHz C2-6R65 convex
3 Probe Set 1
array broadband probe

4 power cable 250V 10A Set 2

5 Adapter □Host □Display Set 2

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 Color Doppler Diagnostic System User Manual

6 Description Set 1

7 Warranty Card Set 1

Qualification
8 Set 1
certificate

9 Three certificates Set 3

10 Support Set 1

11 Six-angled corner Set 1

6.5MHzC4-9R10Convex
1 probe Set 1
array broadband probe
Option
7.5MHzL5-12L46Linear
2 probe Set 1
array broadband probe

3.0MHzP2-5L19Phased
3 probe Set 1
array wide frequency probe

4.0MHzR40Convex array

4 probe wide frequency volume Set 1

probe

6.5MHzC5-9R10Convex
5 probe Set 1
array broadband probe

208