Mode Display/Operation

2D(B)
DIAGNOSTIC ULTRASOUND SYSTEM
Quick guide
7 Change
&
2B771-072EN
TUS-X200
TUS-X200S
conditions/
TUS-X200
transducer
Startup/Shutdown
Startup/
8 Change
transducer
M
Shutdown
Startup 1 6 Frequency
STANDBY

9 M mode
BATTERY

Start
examination ACOUSTIC POWER

display
The patient registration screen is displayed. 5 Depth/Zoom
TWIN
VIEW
WIDE
VIEW

Body Mark 4 Single ⇔ Dual

PAT. EXAM POWER
CDI

1
BROWSER REVIEW

display
PW DEPTH

ADF ZOOM

REPORT
Z
CALC1
CW Y

Shutdown
2D
NE
TRACE

T
SE XT

Set
M

Image
B/W PRINT

1
LAYOUT

Focus
/QUAD

3
X
CLIPS
STORE

T
DUAL SINGLE

2 SE
2D

→
CALIPER

Shutdown
UPDATE

optimization
STILL
STORE

ABC Q.SCAN
MEAS EDIT
FRZ

Gain
GAIN

2
2D

The shutdown process starts. Do not disconnect the power

Panel functions can be adjusted optionally.
plug until the system has shut down completely.
Text entry Therefore, actual panel functions may
* Push to use the keyboard. differ from those indicated below.

1 3 4
Entering Patient Information

Gain

Focus

Single display
2
Adjust 2D gain automatically. Shallow ⇔ Switch between left
Automatic adjustment (update) is
DUAL
Q.SCAN
and right image.

Dual display
1. Before starting an examination for a new patient, confirm that the patient ID matches the patient to be examined. If images are performed each time is pressed. ( Ｔ is displayed at the top of
Q.SCAN

recorded with an incorrect patient ID, the data may be mixed up with that for another patient, resulting in incorrect diagnosis.
CAUTION Deep the active image.)
2. Enter the height and the weight correctly. Otherwise, the BSA may be calculated incorrectly. <In M mode display>

 
3. Check the date format before entering the date of birth. Otherwise, the age may be calculated incorrectly. B gain and M gain are interlocked. To adjust M * For 2D image Return to single
mode display only, rotate the M dial. display SINGLE

display.

1 Emergency
Startup

The patient registration screen is displayed. 5 5

Field depth

Zoom
Press the dial to switch between Depth and Zoom. DEPTH
Use the trackball to move to the
T
Emergency ID SE
ZOOM

desired position.
2 Depth Depth
DEPTH
ZOOM

Deep Shallow Press the dial to switch between

Select examination region

Reduce Magnify
T ⇒ An ID/Name is automatically issued. (Image: small) (Image: large) Depth and Zoom.
   SE
→      → Display list →  image image

Examination region →  SE
T 2 6 7
Frequency

Image
Frequency Frequency

conditions
Freq.
3 T14.0
Low High 8 The transducer
Examination region is changed at
The frequency is displayed on the image. the same time.
Abdomen, Breast, Thyroid, Adult Heart,
Carotid, PV-Arterial, PV-Venous

9
3

Restoring the frame

1
M mode display

* Use the keyboard to enter the ID (entry is mandatory). M+B mode display When the icon on the lower right of the screen
4
Enter

To examine several regions for

(Except in emergency scanning)
Start is not highlighted unless a patient ID is entered.
Copy the same patient
is ,
M
Display [M mode + B mode] images.

4 T (When the icon is , this procedure is not required.)

SE
Display M mode only.
LAYOUT
Start

/QUAD
T
Start (F3) → SE 2 Adjust the frame.
⇒ The most recently entered information
is displayed.

This quick guide describes only the basic operating procedures. Precautions and detailed operating procedures are described in the operation manuals provided with the system. Before operating the system, carefully read the operation manuals.
Refer to the following pages for Displaying Body Marks, Entering Characters and Arrow Marks, Displaying the Biopsy Guide, and Measurement.
 Displaying Body Marks Measurement
Measurement corresponding

Starting measurement
Measurement switch →

Basic procedure
1 Measurement switch (Starting measurement) to the mode starts.
The default marks are displayed.
B mode Doppler
2 Move the cursor to the measurement start point, and
T
SE

CALIPER Distance Velocity (pressure)

Moving a transducer mark 3 Move the cursor to the measurement end point, and SE
T

(Heart) VTI,
Area
4 NE
(Vessels) PI, RI
TRACE
XT Start the next measurement.
For frozen images,
the operation can also * For some measurements, the next measurement starts when the trackball Measurement corresponding to the mode
Rotating a transducer mark CALC1

be performed using is rolled.

MEAS EDIT
the gain dial.

Changing body marks Desired body mark 1

M mode measurement
CALC1 Display the measurement item on the touch panel. Measurement region
2 Select the measurement region (tab) and the measurement item (switch).
Deleting body marks Delete Example: For LV measurement
Measurement region ⇒ LV Teich. Measurement item ⇒ Diastole

3 Move the cursor to the T →

The measurement start Measurement item
SE
measurement start point, and point is set.
Entering Characters and Arrow Marks 4 Move the cursor to the The measurement end
SE
T
→
measurement end point, and point is set.

ABC Set the mode for entering characters on ultrasound images 5 To perform the next measurement, NE
XT (Or select the next measurement
from the touch panel.)

Entering Characters and Arrow Marks

Velocity
1 → The measurement cursor is displayed.
Characters 2 Select from the touch panel or enter using the keyboard. CALIPER

1 Move the cursor to the desired 2 Move the cursor to the measurement start point, and SE
T
→ Velocity [cm/s] and pressure [mmHg] are displayed.
position.

Trace
◆ When the Auto Trace function is ON ◆ When the Auto Trace function is OFF

1 TRACE Perform auto trace 1        

TRACE

・Change the ・Change the 2 Move the cursor to the The measurement
SE
T
→
trace range: heart rate: measurement start point, and start point is set.
MEAS EDIT

Arrow mark 2 Change the arrow mark orientation. → SE

T 3 Move the cursor to the SE
T
→
The measurement
2 Check the trace result, and if it is OK, SE
T
measurement end point, and end point is set.
→ Set the trace data. The measurement is set and the result is displayed.
MEAS EDIT

Changing the character size Deleting Characters and Arrow Marks

1 Display a stored image on the screen.

Re-measuring stored images

Change the character size before entering characters. ● To delete specific characters ● To delete all characters entered
(The entered characters cannot be changed) Move the cursor to the desired 2 Press the desired measurement switch (   ,    or    ) CALIPER TRACE CALC1

characters.
Text Size Characters Characters
Delete All
*One of the following messages may be displayed. Confirm the message.
Medium
Small Large On the touch panel, Delete
Message Description
This message is displayed if an attempt is made to start measurement for the
stored image from an examination which is not the current examination when
Displaying the Biopsy Guide data for an incomplete application measurement exists.
To clear the application measurement data and perform ER measurement, press
[Confirm]. In this case, the application measurement data is cleared when
Biopsy Guide re-measurement for the stored image is terminated.
Displaying the Biopsy Guide On the touch panel 2D page,          (The
deg Biopsy Guide is cleared if it is pressed again.)
This message is displayed if an attempt is made to start measurement for images
If the displayed angle is more than 2 degrees, the angle can be for which measurement is not permitted (for example, an ER image for which
Biopsy Guide Angle Angle changed. measurements have been performed and the results have been stored, etc).
Changing the angle deg
Small Large In this case, measurement cannot be performed.
The number of displayed angles depends on the transducer. For details, refer to
subsection 18.1 of the operation manual (fundamentals volume).
3 Perform measurement. The measurement results are displayed on the screen.
・When the Biopsy Guide is displayed, the scan range is set to 100% automatically.
CAUTION ・When the Biopsy Guide is displayed, the functions for changing the transducer, changing the presets, and zooming cannot be used.
4 Press the measurement switch or EXAM
REVIEW to terminate measurement.
To perform these functions, clear the Biopsy Guide.
 Set Memory Writing to External Media

Cache
1 BROWSER
     → Select*1 (or search for*2) the data to write.
PAT.

Start measurement
*1: To make multiple selections
[Select a range of examinations]
Top
Select the first examination in the desired range,
hold down [Shift] on the keyboard, and select the Bottom
last examination in the range.
Storage of [Select a number of individual exams]
Select the desired examinations individually while
Body dynamic images holding down [Ctrl] on the keyboard.
mark
*2: To search for a specific examination
[Search by examination date] [Search by ID or Name]
Body mark:
Rotating the
This is convenient for displaying examinations
transducer mark
→
performed some days previously. T
Enter the ID or name and move the cursor to SE

Character entry: Storage of To specify the date: The calendar is displayed.

Trace correction, etc. Character entry still images

Storage as DICOM data Storage as Windows data
Panel functions can be adjusted optionally. Therefore, actual panel functions may differ from those indicated below.
2        → 2        →
T T
Copy SE Convert SE

Storage of Images 3 Select the storage destination. →      

OK 3 Select the storage media, format, and compression ratio. →
SE
T *If a check mark is placed for Mask
→        →
T
OK SE
Banner, patient information is hidden
Still images Dynamic images
Storage of
images

STILL
STORE
CLIPS
STORE
at the time of output.
   
Storage range
* Before storage, freezing is * When this switch is pressed, storage is Storage destination Storage destination
for dynamic CLIPS
recommended. performed for the specified preceding period. images STORE
Changing

No. Functions
conditions

On the touch panel, PIMS → Adjust using the corresponding dial Still image conditions
on the touch panel. R-R Range
Used to specify the number of preceding
1 1cycle cardiac cycles for an image that is stored
when [CLIPS STORE] is pressed.
Used to specify the number of preceding
Time Range
2 20.0sec
seconds for an image that is stored when
[CLIPS STORE] is pressed. Dynamic image conditions

Displaying Stored Images If USB is selected, → The data is written to a USB storage device.
If CD/DVD is selected → The data is written to the cache memory of
the system main unit.
Displaying during

Image feed

★Data written to the cache is not deleted when the power is turned OFF.
examination

The cache capacity is displayed at the lower right of

To display images stored EXAM
The data is deleted if it is written to a CD or DVD. the examination history.
during the examination
REVIEW
or Writing to CD/DVD
* This is convenient for checking images that 4 Select the DICOM
cache
or Win
cache
tab.
have been stored during the current
examination. 5 Load a disk, and Burn → SE
T

Return to examination history.

6 When writing is completed, the disk is ejected automatically.
To display images stored from previous
Displaying after
examination

examinations ★ Checking status Job Status Check progress.

1 PAT.
BROWSER Display the examination list. Active Writing Completed Writing completed
Waiting Waiting to write Failed Writing failed
2 Select the examination to display, and
→ In this case, perform the procedure again.
double-click it or press [View] on the
lower right of the screen.
 System Maintenance

Color
In the interests of safety, it is the user's responsibility to carry out the following daily checks, preventive maintenance, and replacement of
consumable parts/periodically replaced parts. If any abnormality of the system is found as a result of inspection, stop using the system and
contact your TOSHIBA representative for repair.

Sampling width
&
【Daily checks】
(PW) ● Checks Before Turning ON the Power ● Checks After Turning ON the Power
No. Check item No. Check item

PW 4 Angle correction
Doppler slant
1

2
3
The temperature, humidity, and atmospheric pressure should meet the
conditions of use.
There should be no condensation.
There should be no deformation, damage, or stains to the system and
1
2
3
There should be no abnormal sound, unusual smells, or overheating.
No error message is displayed.
There should be no obviously abnormal noise, discontinuous display, or
dark areas for 2D-mode images.
peripheral units.*1 4 There should be no abnormality in the date and time.*3
Change conditions/ (for linear scan) 4 There should be no backlash or loose screws in the casters, monitor, 5 The acoustic lens surface of the transducer should not be unusually hot.
panel, etc. (Perform check by hand.)
transducer Color display 5 Caster locks should function correctly. 6 Switches and knobs on the panel should function normally.
6 There should be no damage to the reference signal cable and 7 There should be no abnormality in the color or display position of images
no looseness of the connector. output on a printer or recorded on a video recording unit.
1 Velocity range 2 ROI size 7 There should be no abnormalities such as damage, wear, or bent
pins on the power cable or plug.
8 There should be no abnormalities or stains of the transducer surface,
Waveform display cable sheath, or connector, such as peeling, cracks, protruding parts, or ＊
1 If any stains are present, perform cleaning referring to subsection 20.3.1 "Cleaning the
Doppler display loss of firmness of the acoustic lens.*2
＊
system" of the operation manual (fundamentals volume).
2 If any stains are present, perform cleaning, disinfection, or sterilization referring to the
9 No clips etc. are placed on the main panel or keyboard.
operation manual provided with the transducer.
3 Doppler 10 There should be no obstacles near the movable sections and air ＊
3 Refer to the operation manual (applications volume) for the procedures for changing the
filter of the system.
optimization system date and time.

Panel functions can be adjusted optionally.

Therefore, actual panel functions may
differ from those indicated below. 【Preventive maintenance】
Some preventive maintenance procedures can be performed by the user, and others may require a service engineer.
For details, refer to section 20 "Maintenance" of the operation manual (fundamentals volume).
There are 3 types of color Doppler. PW mode ON/OFF
Color display

Doppler display

PW
Checks to perform before judging the system to be defective
Display blood flow waveforms through the
CDI
Display color Doppler (directional) sample gate. If no images are displayed while the power is ON, characters are displayed but no images are displayed, or other abnormalities are
observed, check the items listed below before determining that the system is defective.
CW mode ON/OFF
POWER
Display power Doppler (non-directional) CW
Display maximum blood flow velocity Problems What to do
waveforms through the cursor line.
The system cannot be turned ON. • Confirm that the power cable is connected to the outlet correctly.
ADF
Display dynamic flow (high resolution) (Cardiovascular/sector only)
• Check the main power switch.

1 The system can be turned ON, but no images are • Adjust the contrast and brightness controls on the monitor.
Velocity
observation
Velocity

1 displayed. • Check whether the equipment is in external video signal input mode.
range

Scale CW
or     →
PW

Move the cursor. The system goes OFF spontaneously while in use. • Check whether a power outage has occurred.
Low velocity High velocity
The system reboots spontaneously while in use. • Check whether the power plug is connected properly.
2 2D

UPDATE Display waveform.

Characters are displayed, but no images are • Confirm that the [ACOUSTIC POWER] dial, [GAIN] dial, and STC slide controls are
2 displayed. set to their maximum positions. If images are still not displayed, confirm that the
ROI size

1 3
NE
XT
Display ● at each corner of the ROI. transducer is connected to the transducer connector correctly or use a different
Doppler
optimization

When Doppler waveform is displayed, Q.SCAN

transducer.
2 Change the size. The Doppler velocity range and baseline are
adjusted automatically. Update is performed An error dialog (error message) is displayed and • Turn the power of the system OFF and then ON referring to section 9 "Turning the
each time   is pressed.
Q.SCAN the operation is disabled. Power ON/OFF" of the operation manual (fundamentals volume).
3 SE
T
Set the size.

Trackball functions can be switched to ROI movement. 4 【Replacement of consumable parts/periodically replaced parts】
Angle correction

Angle Corr
0deg
Press the dial to change the angle to
60 degrees right, 60 degrees left, or 0 degrees
The parts used in this equipment have a long service life. However, to maintain the safety, specifications, and performance of the system,
NOTE: Rotate the dial to change the angle in periodic replacement of some parts (batteries for system power backup etc.) is required (replacement interval: 1 year). Special techniques
Trackball functions are 1-degree increments. are required for replacement of periodically replaced parts. Contact your TOSHIBA service representative.
displayed on the lower ↑  ↑
Move ROI  Resize ROI    * Correct the angle within the
Note that the power cable and casters are consumable parts.
right part of the screen.
(Yellow indicates the T NE
±60-degree range.
SE XT
The value is displayed on the screen.
current function.) Switching
©TOSHIBA MEDICAL SYSTEMS CORPORATION 2013 ALL RIGHTS RESERVED.
Xario is a trademark of Toshiba Medical Systems Corporation. This manual may contain trademarks of companies other than Toshiba. ™ and ® symbols are omitted in this manual.
Refer to the following pages for Storage of Images, Displaying Stored Images, and Writing to External Media.