CBS-USB Module Transcranial Doppler System User Manual-1.3

EDAN INSTRUMENTS, INC.
CBS-USB Module
Transcranial Doppler System
Manual Ver：1.3
Release Date：May.2010
Part Number：01.54.105667-13
P/N: 01.54.105667 -13
Copyright
© Copyright EDAN INSTRUMENTS, INC. 2007-2010. All rights reserved.
Statement
This manual will help you understand the operation and maintenance of the product better. It is reminded that
the product shall be used strictly complying with this manual. User’s operation failing to comply with this
manual may result in malfunction or accident for which EDAN INSTRUMENTS, INC. (hereinafter called
EDAN) can not be held liable.
EDAN owns the copyrights of this manual. Without prior written consent of EDAN, any materials contained
in this manual shall not be photocopied, reproduced or translated into other languages.
Materials protected by the copyright law, including but not limited to confidential information such as
technical information and patent information are contained in this manual, the user shall not disclose such
information to any irrelevant third party.
The user shall understand that nothing in this manual grants him, expressly or implicitly, any right or license to
use any of the intellectual properties of EDAN.
EDAN holds the rights to modify, update, and ultimately explain this manual.
Responsibility of the Manufacturer

EDAN only considers itself responsible for any effect on safety, reliability and performance of the equipment
if:
Assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons
authorized by EDAN, and
The electrical installation of the relevant room complies with national standards, and
The instrument is used in accordance with the instructions for use.
Upon request, EDAN may provide, with compensation, necessary circuit diagrams, and other information to
help qualified technician to maintain and repair some parts, which EDAN may define as user serviceable.
Using This Label Guide

This guide is designed to give key concepts on safety precautions.
I
WARNING
A WARNING label advises against certain actions or situations that could result in personal injury or death.
CAUTION
A CAUTION label advises against actions or situations that could damage equipment, produce inaccurate
data, or invalidate a procedure.
NOTE: A NOTE provides useful information regarding a function or a procedure.
II
Table of Contents
Chapter 1 Safety Guidance...............................................................................................................................................................................1
1.1 Safety Precautions.....................................................................................................................................................1

1.2 Symbols......................................................................................................................................................................4
Chapter 2 Introduction......................................................................................................................................................................................6
2.1 System Configuration...............................................................................................................................................6

2.2 Working Modes and Functions...............................................................................................................................8
2.3 Features.......................................................................................................................................................................9
Chapter 3 General Information....................................................................................................................................................................10
3.1 Hardware..................................................................................................................................................................10
3.1.1 Main Unit..........................................................................................................................................................10
3.1.2 USB Cable........................................................................................................................................................12
3.1.3 Audio Cable......................................................................................................................................................12
3.1.4 Trackball / Mouse............................................................................................................................................12
3.1.5 Standard Keyboard & TCD-Specific Keyboard ........................................................................................13
3.1.6 Probes................................................................................................................................................................15
3.1.7 Headpiece.........................................................................................................................................................16
3.2 Software....................................................................................................................................................................19
3.2.1 Main Interface..................................................................................................................................................19
3.2.2 Title Bar.............................................................................................................................................................20
3.2.3 Keys Instruction...............................................................................................................................................21
3.2.4 Spectrum Area .................................................................................................................................................22
3.2.5 Calculation Parameter Display Column ......................................................................................................23
3.2.6 Trend Plot Display Area .................................................................................................................................23
3.2.7 Working Mode.................................................................................................................................................24
3.2.8 Vessel Choose Column...................................................................................................................................24
3.2.9 Vessel Dissection Profiles...............................................................................................................................24
3.2.10 Spectrum Stored Display Region ...............................................................................................................25
3.2.11 Assistant Functions Bar................................................................................................................................25
Chapter 4 Installation and Connections......................................................................................................................................................27
4.1 Hardware Installation & Connections..................................................................................................................27

4.2 Software Installation...............................................................................................................................................28
4.3 Running Software...................................................................................................................................................28
4.4 Switch off .................................................................................................................................................................29
Chapter 5 Operation Instruction..................................................................................................................................................................30
5.1 Patient Login............................................................................................................................................................30

5.2 System Setup ...........................................................................................................................................................32
5.2.1 General Settings...............................................................................................................................................32
III
5.2.2 Display Settings...............................................................................................................................................33
5.2.3 Vessel Preset Settings......................................................................................................................................35
5.2.4 Working Mode Settings..................................................................................................................................37
5.2.5 Calculation Settings.........................................................................................................................................40
5.2.6 Database Settings.............................................................................................................................................42
5.2.7 Service Settings................................................................................................................................................45
5.3 Working Mode Selection.......................................................................................................................................46
5.4 Scan Adjustment .....................................................................................................................................................46
5.4.1 Probe Switch....................................................................................................................................................46
5.4.2 Channel Switch................................................................................................................................................47
5.4.3 Blood Flow Direction Selection....................................................................................................................47
5.4.4 Depth Adjustment............................................................................................................................................47
5.4.5 Power Adjustment...........................................................................................................................................48
5.4.6 Display Gain Adjustment...............................................................................................................................48
5.4.7 Sample Volume Adjustment..........................................................................................................................48
5.4.8 DNR Adjustment.............................................................................................................................................49
5.4.9 Volume Adjustment.........................................................................................................................................49
5.5 Real-Time Spectrum Scan.....................................................................................................................................50
5.5.1 Scan Speed Adjustment..................................................................................................................................50
5.5.2 Spectrum Velocity Adjustment......................................................................................................................50
5.5.3 Baseline Adjustment .......................................................................................................................................51
5.5.4 Envelope On/Off .............................................................................................................................................51
5.6 Spectrum Freezing/Unfreezing, Playback, Measurement, Annotation, and Storing....................................51
5.6.1 Spectrum Freezing and Unfreezing..............................................................................................................51
5.6.2 Spectrum Playback..........................................................................................................................................52
5.6.3 Measurement....................................................................................................................................................52
5.6.4 Annotation ........................................................................................................................................................52
5.6.5 Spectrum Storing.............................................................................................................................................53
5.7 Examining the Next Vessel....................................................................................................................................58
5.8 HITS Indicator.........................................................................................................................................................59
5.9 Report........................................................................................................................................................................61
5.9.1 Report Format..................................................................................................................................................63
5.9.2 Entering Diagnostic Result ............................................................................................................................63
5.9.3 Printer Setting...................................................................................................................................................65
5.9.4 Report Display Adjustment............................................................................................................................65
5.9.5 Page Format .....................................................................................................................................................65
5.9.6 Report Type......................................................................................................................................................66
5.9.7 Report Option...................................................................................................................................................67
5.9.8 Report Printing.................................................................................................................................................67
5.10 Switching Examination Windows .....................................................................................................................67
5.11 Patient Archives Management............................................................................................................................68
Chapter 6 Quick Operation Steps and Tips...............................................................................................................................................71
IV
6.1 Quick Operation Steps ...........................................................................................................................................71
6.2 Operation Tips .........................................................................................................................................................73
Chapter 7 Cleaning and Maintenance ........................................................................................................................................................75
7.1 Cleaning....................................................................................................................................................................75
7.2 Disinfection..............................................................................................................................................................76
7.3 Maintenance.............................................................................................................................................................76
Chapter 8 Accessories and Order.................................................................................................................................................................78
Chapter 9 Warranty and After-Sales Service............................................................................................................................................79
9.1 Warranty ...................................................................................................................................................................79

9.2 Service Policy..........................................................................................................................................................79
Appendix 1 Technical Specifications............................................................................................................................................................81
Appendix 2 Basic Knowledge of TCD Examination...............................................................................................................................83
A2.1 Intracranial Windows..........................................................................................................................................83

A2.2 Characteristics of Normal Spectrum.................................................................................................................83
A2.3 Abnormal Doppler Spectrum.............................................................................................................................83
A2.4 Judgment of Abnormal Doppler Spectrum .....................................................................................................84
A2.5 Normal Transcranial Doppler Velocities..........................................................................................................85
A2.6 Relationship of Normal Calculation Results ...................................................................................................85
Appendix 3 Words, Formulas, Indexes.......................................................................................................................................................86
A3.1 Common Words...................................................................................................................................................86

A3.2 Formulas and Indexes Explanation...................................................................................................................88
Appendix 4 System Startup Status Parameters List................................................................................................................................90
Appendix 5 Ultrasound Intensity and Safety ............................................................................................................................................91
A5.1 Ultrasound in Medicine ......................................................................................................................................91

A5.2 Ultrasound Safety and the ALARA Principle.................................................................................................91
A5.3 Probe Acoustic Output Parameters List............................................................................................................93
Appendix 6 EMC Information- Guidance and Manufacture’s Declaration...................................................................................99
V
CBS-USB Module Transcranial Doppler System User Manual
Chapter 1 Safety Guidance
1.1 Safety Precautions
WARNING and CAUTION messages should be observed. To use the system safely and
effectively, please read the user manual in detail and be sure to be familiar with proper
operation method to avoid the possibility of injury. The following precautions must be paid
more attention to during the operation.
WARNING
1. This equipment is provided for the use of qualified physicians or personnel

professionally trained. And they should be familiar with the contents of this
user manual before using it.
2. The equipment should be installed by a qualified service engineer. Do not try

to access the interior of the main unit. Only authorized service personnel
could remove the unit cover.
3. None of the transducers supplied with the system are intended for fetal use.
4. SHOCK HAZARD-The power receptacle must be a grounded hospital grade

outlet. Never try to adapt the three-prong plug to fit a two-slot outlet. Inspect
the power cord often for fraying or other damage. Do not operate the
apparatus with a damaged power cord or plug. Improper grounding is a safety
hazard.
5. SHOCK HAZARD-Do not attempt to connect or disconnect a power cord with

wet hands. Make certain that your hands are clean and dry before touching a
power cord.
6. EXPLOSION HAZARD-Equipment not suitable for use in the presence of a

flammable anesthetic mixture with air or with oxygen or nitrous oxide.
7. Only accessories supplied or recommended by EDAN can be used. Or else,

the performance and electric shock protection can not be guaranteed.
8. Do not switch on any system power until all cables are properly connected
and verified.
9. Don’t touch signal input/output connector and the patient simultaneously.
10. Use proper lifting techniques when moving or lifting the equipment.
-1-
11. The equipment should never be placed directly on the floor.
12. When more than one medical device is connected to the patient, leakage
currents of the devices are summed together. Use caution.
13. Accessory equipment connected to the analog and digital interfaces must be
certified according to the respective IEC/EN standards (e.g. IEC/EN 60950 for
data processing equipment and IEC/EN 60601-1 for medical equipment).
Furthermore, all configuration shall comply with the valid version of the
standard IEC/EN 60601-1-1. Therefore anybody, who connects additional
equipment to the signal input connector or output connector to configure a
medical system, must make sure that the system complies with the
requirements of the valid version of the system standard IEC/EN 60601-1-1. If
in doubt, consult our technical service department or your local distributor.
14. Doppler emitted energy must be strictly selected. Lower transmission power is
recommended to be used to obtain satisfactory spectrums, avoiding the
unnecessary use of high transmission power.
15. The Doppler energy can not be over 10% while scanning around the orbital
cavity. Do not expose any intracranial area without skull coverage to Doppler
energy, such as burr hole, anterior fontanelle, etc.
16. The integrity of the system ground should be checked periodically by a

qualified service engineer.
17. Please disinfect timely to prevent the cross infection among patients.
18. Improper electrical installation is likely to bring interference among devices

and malfunction to the equipment.
19. Parts of the system (such as computer display and printer) may not be
suitable to be used in the patient environment (within 2.5m vertically above
the floor where physician stands and 1.5m horizontally around the patient).
Such parts are recommended to be used outside the patient environment.
Avoid direct or indirect contact of patient and these parts to prevent shock
hazard.
CAUTION
1. Refer servicing to qualified personnel.
2. The equipment is designed for continuous working and is “ordinary”. Do not

immerse it in any liquid (i.e. not drip or splash-proof).
-2-
3. Keep the environment around the equipment clean and avoid vibration. Keep
it far from corrosive medicine, dust area, high-temperature and humid
environment.
4. Electromagnetic Interference--Ensure that the equipment is not subject to any

sources of strong electromagnetic interference, such as radio transmitters,
mobile telephones, etc.
5. High frequency or large electrical medical equipment such as electrosurgical

equipment, radiological equipment and magnetic resonance imaging
equipment etc. are likely to bring electromagnetic interference. Keep the TCD
far from the equipment.
6. Avoid liquid splash and excessive temperature. The temperature must be kept
between 5℃ and 40℃ while working.
7. Use this equipment in humidity controlled medical use rooms with an

anticipated humidity range of 25 to 80%.
8. Do not operate the equipment if it is damp or wet because of condensation or

spills. Avoid using the equipment immediately after moving it from a cold
environment to a warm, humid location.
9. Before use, you must make sure that there is no visible evidence of damage
on the equipment, cables and probes which may affect patient safety or
monitoring capability. The recommended inspection interval is once per week
or less. If damage is evident, replacement is recommended before use.
10. The following safety checks should be performed once every two years or as
specified in the institution’s test and inspection protocol by a qualified person
who has adequate training, knowledge, and practical experience to perform
these tests.
A Inspect the equipment for mechanical and functional damage.

A Inspect the safety relevant labels for legibility.
A Verify that the device functions properly as described in the instructions
for use.
A Test the patient leakage current according to IEC 60601-1: Limit: 100µA
(B).
The leakage current should never exceed the limit. The data should be
recorded in an equipment log. If the device is not functioning properly or fails
any of the above tests, the device has to be repaired.
11. If you disconnect cables, please be careful to reconnect them in their proper
locations.
-3-
12. Switch off all power before cleaning and disinfecting, and prevent the
detergent from seeping into the equipment.
13. Do not immerse the unit or probes into liquid under any circumstances.
14. Do not clean the unit and accessories with abrasive fabric.
15. Any remainder of detergent should be removed from the unit and probes after
cleaning.
16. Do not use chloric disinfectant such as chloride and sodium hypochlorite etc.
17. The customer is responsible for maintaining all system software in a safe,
secure location.
18. The probes should be put on the probe bracket after use during diagnosing.
19. It is necessary to take the probe out of the probe bracket during moving and
transporting, otherwise, the probe or probe bracket may be broken.
20. The device and accessories are to be disposed of according to local

regulations after their useful lives. Alternatively, they can be returned to the
dealer or the manufacturer for recycling or proper disposal.
1.2 Symbols
This label indicates that the applied part is Type B applied part, complying with the
specified requirements of the Standard IEC/EN 60601-1 to provide protection
against electric shock, particularly regarding allowable LEAKAGE CURRENT.
It indicates that the equipment should be sent to the special agencies according to
local regulation for separate collection after its useful life.
Caution
Consult instructions for use
Authorized representative in the European community
The symbol indicates that the device complies with the European Council Directive
93/42/EEC concerning medical devices.
-4-
Date of Manufacture
Manufacturer
IPX4 Probe is protected against splashing water
SN Serial Number
P/N Part Number
General symbol for recovery/recyclable
Alternating Current
ON (AC power supply)
OFF (AC power supply)
Supported USB version
USB interface
Audio signal output interface
Equipotentiality
Power and working status indicator
-5-
Chapter 2 Introduction
CBS-USB Module is a non-invasive device to diagnose transcranial blood flow. With the
application of Doppler ultrasound transducers it can provide useful data relevant to human
Hemodynamics to assess patients with intracranial stenosis, collaterals, subarachnoid
hemorrhage, and brain death. These data can be displayed on CRT/LCD monitor, and be printed
out as reports through a printer. Moreover the information and diagnosis data of patients can be
saved to the database of the system. It is easy and convenient to operate the Transcranial
Doppler system with the keyboard and mouse.
Intended Use: The CBS-USB Module Transcranial Doppler System is intended to assess the
circulation of cephalic and peripheral vascular vessels. CBS-USB Module is only intended to be
used in hospitals or healthcare facilities by doctors and trained healthcare professionals. It is not
intended for fetal use.
NOTES:
♦ This device is not intended for home use.
♦ The pictures and interfaces in this manual are for reference only.
WARNING : This device is not intended for treatment.
2.1 System Configuration

CBS-USB Module can be connected to a computer (desktop or notebook) through the
general USB port to build a Transcranial Doppler hardware system with other accessories
(Doppler ultrasound transducers etc). Those hardware is associated with special application
software installed on the computer to form a full Transcranial Doppler system.
The computer (desktop or notebook), and printer etc. are not included in CBS-USB Module,
and they should be configured by yourselves to form a full Transcranial Doppler system
together with CBS-USB Module.
The configuration of the CBS-USB Module is listed in the following table.
Configuration Definition
Main Unit USB port: USB 2.0
Standard USB cable
Main Unit USB Cable
(One port is Series A, and the other is Series B)
and
Power Cord AC Power connection of the main unit
Accessories
Grounding Wire Connection of the grounding
Sentinel Key According to the system configuration
-6-
2MHz PW 2 MHz pulse wave Doppler probe

4MHz CW 4 MHz continuous wave Doppler probe
Probes and
8MHz CW 8 MHz continuous wave Doppler probe
Accessories
Probe Bracket Magnetic bases, it is used for placing the probes
Headpiece Monitoring headpiece
Application Software CBS2000
Software
Sentinel Key Driver Sentinel Protection Driver
Notes:
1. This user manual is based on the maximum configuration. Therefore some
functions for the advanced configuration may not be available for basic
configuration. Please refer to the corresponding contents according to the actual
model and configuration.
2. It is recommended that probe bracket is placed on the left of the main unit. To
ensure good ventilation in main unit, proper operation of the device and hearing
of the normal Doppler audio sound, please do not cover or block the airway on
the right of the main unit and the speakers on both sides of the main unit by using
a probe bracket or other objects.
The recommended minimum configuration of your computer system is listed in the
following table.
Configuration Definition
Processor 2.8GHz or above
RAM DDR 512MB or above
Hard Disk Minimum 80GB
Mouse Trackball Mouse or standard mouse
Computer Keyboard TCD-Specific Keyboard or standard Keyboard
and 17" or greater color CRT/LCD monitor with
Display
Accessories resolution 1024*768
Support AC97 Codec, Mic-in / Line-in /
Sound card
Line-out
Input and output ports At least two USB2.0 ports
Printer Color ink-jet printer
Microsoft Windows XP Professional and
Software Operating System
Windows Vista
Notes:
1. If you want to achieve the function of audio playback, the computer must have a
sound card and the sound card driver must be properly installed.
-7-
2. If you want to use the multiple portable socket-outlets to supply power to the
whole Transcranial Doppler system, you are suggested to calculate the system
power consumption when building a Transcranial Doppler system so as to match
the system power consumption with the power sustained by the multiple portable
socket-outlets.
2.2 Working Modes and Functions

Corresponding working modes and functions are listed in the following table.
Working Mode Function Probes
Intracranial Scan one intracranial vessel at a time 2MHz
4MHz
Extracranial Scan one extracranial vessel at a time
8MHz
Scan multiple depths of one vessel or multiple

Multigate 2MHz
vessels on the right or left cerebrum
Scan two vessels simultaneously on the right and
Dual Channel 2MHz
left cerebra
Monitor the identical cerebrum vessels or different
Monitor vessels at one or two sides of the cerebra for a long 2MHz
time.
Also called M-Wave, display blood Doppler Signal
M-Mode (probe direction) information in multiple sampling 2MHz
depths simultaneously.
Notes:
1. The listed working modes & functions above are the properties of a system with
maximum configuration. Different working modes depend on different
configuration.
2. When using 4MHz or 8MHz probe, the TI (thermal index) value doesn’t exceed
1.0 and thus will not be displayed. When using 2MHz probe, the maximum TI
value exceeds 1.0 and will be displayed when it equals or exceeds 0.4. TI is not
displayed in freeze status. The precision of TI is 0.01. TI value could be adjusted
by adjusting Power, Gate or Spectrum Velocity Scale.
3. The higher the thermal index value, the greater the tissue warming. Thermal
Index values less than 1 are displayed to help implement the ALARA principle.
Thermal Index values greater than 1 alert the user to proceed with more caution.
-8-
2.3 Features
Hardware
USB port Standard USB 2.0
2MHz PW
Probes
4MHz CW and 8MHz CW (Optional)
Headpiece Monitoring headpiece
Software
Operating systems Windows XP Professional and Windows Vista
Loading historical records
Database management and statistics
M-Mode examination
Diagnosing options 24-hr trend plot monitoring
Dual Channels examination
Multigate examination
Automatic emboli detection
Parameter Presetting
Spectrum 128/256 Dots FFT
Spectrum Display 256 color scale with 9 medical coding schemes
System Gain 0 dB ~ 40 dB
Transmission Power 10% ~ 700%; 10% ~ 40% (Extracranial)
Dynamic noise restrain

0 ~ 8 levels
(DNR)
PW Depth 20mm ~ 177mm
-9-
Chapter 3 General Information
3.1 Hardware
CBS-USB Module is composed of these parts: main unit; probe bracket; USB cable; audio
cable; monitoring headpiece.
Probes: 4MHz/8MHz continuous wave (CW); 2MHz pulse wave (PW).
3.1.1 Main Unit
Front Panel Real Panel
Figure 3-1 Outline of Main Unit with Probe Bracket
① Probe Socket: 8MHz (for 8MHz CW probe)

4MHz (for 4MHz CW probe)
PW-R (for 2MHz PW probe for the right channel)
PW-L (for 2MHz PW probe for the left channel)
② Probe Bracket ③ Indicator ④ USB Port ⑤ Power Switch
⑥ Fuse ⑦ Power Socket ⑧ Audio Output Port ⑨ Earth Bar
Probe Bracket
The bottom of the probe bracket is a magnetic cushion. You can fix the probe bracket on the
right or left side of the main unit. It is recommended to fix the probe bracket on the left of the
main unit (see figure 3-1). If you need to fix the probe bracket on the right of the main unit,
please note that the probe bracket doesn’t cover the heat dissipation orifice (see figure 3-2).
- 10 -
Indicator
When the indicator light is on in green, the CBS-USB Module is in the stand-by status. When it
is on in orange, the CBS-USB Module is in the read-write status.
Fuse
The main unit has two same fuses. Their specification is：
T1.6AL 250VP Ø5×20.
WARNING
When it needs to replace the fuse, make sure that the new one is the same as the initial
one.
Audio output port

The output of the audio output port is the Doppler signal. The Doppler signal can be transmitted
to the ear phone or the loudspeaker.
Note: There are two high-quality built-in speakers in the equipment. Other
loudspeakers or sound boxes are of no need.
Figure 3-2 Outline of the left and right sides of the main unit
CAUTION
1. To have good aeration performance and be able to operate normally, please don’t
cover or plug the heat dissipation orifice partly or wholly by using any object.
2. For hearing the normal Doppler audio sound, please don’t cover or plug the audio
output port partly or wholly by using any object.
- 11 -
3.1.2 USB Cable
Figure 3-3 View of USB Cable
Connect Series “A” Plug of the USB cable to the computer, and connect Series “B” Plug of
the USB cable to the USB port on the rear panel of the main unit.
3.1.3 Audio Cable
If you want to achieve the function of spectrum playback, CBS-USB Module must be
connected to the computer with the audio cable. Connect one end of the audio cable to audio
output port on the back of CBS-USB Module. And then connect the other end of audio cable
to the audio input port (line input port or microphone port) of the computer.
3.1.4 Trackball / Mouse (Optional)
The trackball is an electronic point device which includes left button, right button, scroll
wheel and a ball. The ball’s movement indicates the cursor movement on the screen. You can
move the ball to control the location of cursor on screen. Clicking on an object acts like
pushing button with your finger.
Trackball / Mouse Pointers
Û This cursor means the system is ready and waiting for your action.
The hour-glass shape cursor indicates that a specific task is running, and you should
wait at this moment.
| This blinking cursor means that the system is waiting for the input of text. It often
appears in text box or dialogue box.
＋ This cursor appears in measurement mode.
- 12 -
Basic Trackball / Mouse Operation
A Move the Pointer: Move cursor on the screen to the object which you intend to operate.
A Click: Move the mouse, when the cursor on the screen moves to the object you want to
operate, click on the left button of the mouse and release it quickly. A “click” sound
could be heard during this operation.
A Double-Click: Click on the left button twice quickly. Two “click” sounds could be heard
during this operation.
A Drag: Put the mouse pointer on an object that can be dragged, hold down the left button,
the mouse pointer changes from Û intoÚ, and the icon beneath the mouse could be
moved with the mouse. When the object is moved to the place, releasing the left button,
the drag operation is finished.
3.1.5 Standard Keyboard & TCD-Specific Keyboard (Optional)
Some keys on the standard keyboard are defined as function keys for the operation system.
The details of TCD-specific keyboard functions are listed in table3-1 which also gives out the
corresponding keys with the same function on standard keyboard.
Figure 3-4 TCD-Specific Keyboard
CONTROL STANDARD CONTROL STANDARD

FUNCTION FUNCTION
PANEL KEYBOARD PANEL KEYBOARD
ESC Cancel operation Esc MENU Activate menu Alt
CALIPER Begin measurement A DELETE Delete spectrum Delete
PROBE Probe switch Z SCALE Adjust spectrum scale V
Adjust sample
VESSEL Choose next vessel X GATE F2
volume
- 13 -
WINDOW Windows switch Q MODE Activate mode E
SAVE Save frozen spectrum S PRINT Open print window W
SWEEP Scan speed adjustment R CHANNEL Switch channel C
DIRECTION Change scan direction D ENTER Confirm Enter
- GAIN + Increase/ decrease gain F5, F6 - ZERO + Baseline fluctuate ↑, ↓
- DEPTH + Change scan depth F7, F8 - VOLUME + Change volume F3, F4
- POWER + Increase/ reduce power F9, F11 FREEZE Freeze or unfreeze F
Table 3-1 Table of Key Function
Roll Rotary Knob to choose items or windows, and press it down to confirm. You can use
Rotary Knob to locate the cross cursor on the frozen spectrum when measuring the spectrum.
The following figure shows the cable of TCD-specific keyboard, to which standard keyboard
with PS/2 interface and footswitch will be connected. And one of the connectors will be
plugged into the corresponding socket of PC.
Connecting to
footswitch
Convex port,
connecting to PS/2
keyboard interface Concave port,
of PC connecting to
standard keyboard
with PS/2
interface
Figure 3-5 Cable of TCD-Specific Keyboard
Figure 3-6 Footswitch
You can tread the footswitch to freeze or unfreeze the spectrum.
- 14 -
3.1.6 Probes
1) PRE-AMP 2MHz PW (Pulsed Wave)
12.01.106035
PRE-AMP
PW 2MHz
SN:00001-V1.1
Figure 3-7 PRE-AMP 2MHz PW Probe
Description of the probe label
12.01.106035： Part number

SN:00001： Serial number, made up of the letter SN and five digits
V1.1： Version number
PW 2MHz： PW-pulsed wave，2MHz-the centre frequency is 2.0MHz
PRE-AMP： The probe has the pre-amplifying function
2) PRE-AMP 4MHz CW (Continuous Wave)
12.01.15853S10001V1.0
PRE-AMP CD4.0 DOPPLER
Figure 3-8 PRE-AMP 4MHz CW Probe
- 15 -

S10001： Serial number, made up of the letter S and five digits
CD4.0 DOPPLER： C- continuous, D- Doppler, 4.0- 4.0MHz
DOPPLER means that the probe is Doppler probe
3) PRE-AMP 8MHz CW (Continuous Wave)
PRE-AMP CD8.0DOPPLER 12.01.15854S1001V1.0
Figure 3-9 PRE-AMP 8MHz CW Probe

S1001： Serial number, made up of the letter S and five digits
CD8.0 DOPPLER： C- continuous, D- Doppler, 8.0- 8.0MHz
DOPPLER means that the probe is Doppler probe
3.1.7 Headpiece (Optional)

Functions: The Transcranial Doppler System (Called TCD) is used to study the blood
dynamics and physiology parameters for main cerebral arteries. This equipment can be
applied to examination in different working modes. In the working modes of Dual Channel
and Monitor, the headpiece is of great benefit for fixing the probes. And it makes the TCD
operation more convenient and effective.
Structure: The headpiece consists of head frame, straps, a probe bracket etc. The design of
the headpiece complies with human anatomy; also it has soft head straps. Therefore, the
patient can be fitted comfortably for a long time.
- 16 -
Top Head Strap
Probe Bracket Knob Rear Strap
Front Tension Knob
Ball Clamp
Figure 3-10 Headpiece Mechanism Sketch Map
The detailed description of the headpiece is presented in figure 3-10.
Operation Steps: Before the following steps, first let the patient sit or lie smoothly. Then, if
possible, locate the optimal temporal window with a hand-held TCD probe, and note the
probe position and orientation. Third, use alcohol to remove excess oil or moisture from the
patient’s forehead and sub-occipital region, and allow a few seconds for the alcohol to
evaporate. This will provide a “non-slip” surface for the head frame pads.
After completing the above mentioned procedures, please

follow the operation steps listed below, taking one probe for
example.
1 Prepare the head frame by applying the front and rear

headband pads. Size the head frame to patient’s head by
first completely loosening the front tension knob.
Adjust the top and rear head strap loosely to make the
headpiece as large as possible.
2 Adjust the rear strap length to position the ends

approximately 1cm behind patient’s ears. The top head
strap should be loose.
3 Now tighten the front tension knob. Patient comfort will dictate the degree of tension.
- 17 -
4 Next, tighten the top head strap until it is snug and firm.
5 Loosen the probe bracket knob and apply a generous amount of acoustic gel over the
temporal window.
6 Attach the cable to the probe; place the probe bracket slot over the probe bracket bolt, and
push the probe face into the gel.
7 Position the probe according to the relative position of probe bracket slot and bolt to obtain
the desired Doppler signal.
8 Adjust the probe to obtain the desired Doppler signal. Now tighten the probe ball clamp until
it is secured in position.
9 Re-tighten the probe bracket knob and ball clamp as much as possible. This will ensure
stability.
Notes:
1. To achieve the most stable fixation, it is important to position the head frame with
the front strap just above the bony ridge of the eyebrows and the rear strap low in
the sub-occipital region.
2. Once properly tightened, it will be difficult to move the head frame from its position.
3. Repeat steps 8 and 9 as necessary to obtain the optimal Doppler signal.
- 18 -
3.2 Software
3.2.1 Main Interface
13 12
1
11
2
10
3
9
4
5 7
6
Figure 3-11 Main Interface A (M-Mode)
14 15
Figure 3-12 Main Interface B (Intracranial)
Different main interfaces depend on different working modes. For example, Figure 3-11 shows
the main interface in M-mode and Figure 3-12 shows the main interface in intracranial mode.
- 19 -
1. Logo
2. Display Region for Calculated Parameters
3. Color Bar
4. Spectrum display Region
5. M-Mode Window
6. Assistant Functions Bar
7. Vessel Selection Region
8. Scan speed Scale
9. Spectrum Velocity Scale
10. Parameter Adjusting Column
11. HITS Display Window
12. Function Key Bar
13. Title Bar
14. Spectrum Stored Display Region
15. Vessel Dissection Profile
Note: Click on the Logo on the top left corner of the main interface, the highlight
window with information of software’s copyright and version will appear. Click on
any part of this window to close it.
3.2.2 Title Bar
It displays the model and the name of the Transcranial Doppler System software. After a patient
logs in to the system, his/her name, ID and exam times will be shown here.
- 20 -
3.2.3 Keys Instruction
1) Function Keys:
Function Keys Descriptions
Patient Key: Record personal information of patients and log

in to the system.
Spectrum Freeze/Unfreeze Key: Freeze or unfreeze

spectrum.
Report Key: Print patient’s report.
Store Key: Save spectrum and calculation parameters or store

them to the database.
Archive Key: Manage patients’ identity and diagnosis

information in the database.
Probe Switch Key: 2MHz PW probe; and switch between

4MHz CW and 8MHz CW probes in extracranial mode.
Channel Switch Key: Switch between left and right channels.
Envelope On/Off Key: switch the display of the envelope

curve between on and off.
Annotation Key: input annotation on the spectrum.
Measurement Key: enter manual measurement mode.
Setup Key: Set parameters for the system.
Help key: Click on the small triangle to present the Help key;
press it to get help information of software.
Working Mode Choosing key: Choose working mode.
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2) Parameter Adjustment Keys:
Keys Adjusting Range
20mm ~ 177mm
10% ~ 700%; extracranial mode: 10% to 40%
0dB ~ 40dB
4mm ~ 20mm adjustable, in increments of 2mm
0 ~ 8, two available modes: automatic mode and manual mode
3.2.4 Spectrum Area
Spectrum Spectrum
Display Area Velocity Scale
Baseline &
Direction Key Scan Scale
Color Bar
1) Spectrum Display Area

Patient spectrum will be shown in the display spectrum area. The amount of the spectrums
may be different in different working modes. And the frame of the spectrum area will turn to
green when it is chosen to do some special operations.
2) Baseline & Direction Key

Press this icon and hold on, then drag it up or down to shift the baseline; Double-click on this
icon to change the blood flow direction.
3) Color Bar
This color bar displays the combination of spectrum colors.
4) Spectrum Velocity Scale

There are five spectrum velocity levels available at most. And the maximal velocity can
- 22 -
reach 632cm/s (i.e.16.000KHz).
5) Scan Speed Scale

The scan speed scale can be adjusted among fast, normal, slow, and very slow. The scale unit
is second.
3.2.5 Calculation Parameter Display Column
As shown in the figures above, current calculated values are displayed in this region.(values can
be represented in velocity or in frequency), such as peak velocity (Peak), mean velocity (Mean),
end diastolic velocity (Dias), pulstility index (PI), resistance index (RI), spectral broadening
index (SBI), and stenosis index (STI), heart rate (HR).
3.2.6 Trend Plot Display Area
There is Trend Plot Display Area in Monitor working mode, which displays the trends of
measurement parameters of a period of time with traces. These traces with different colors
indicate the trends of different parameters in a period of time, such as peak velocity, mean
velocity, PI, RI, HR, S/D, SBI, and STI.
- 23 -
3.2.7 Working Mode
In the working mode option, you can choose the working mode from the pull-down menu.
Different working modes depend on different configuration and settings.
3.2.8 Vessel Choosing Column
2MHz Probe
It displays the vessel names. Double-click on theVessel Not Jump bar on the top of this column,
and vessel scan mode can be switched between Auto Jump and Not Jump.
3.2.9 Vessel Dissection Profiles
Vessel dissection profiles are shown on the right underside of the main interface. Different
profiles may depend on different working modes.
- 24 -
willis ring. vessel whole body
3.2.10 Spectrum Stored Display Region
In Intracranial or Extracranial working mode, the stored spectrum will be shown in spectrum
stored display region below the spectrum display area.
3.2.11 Assistant Functions Bar

1) System Status:
It displays working condition of the system.

2) Thermal Index (TI):
Ratio of attenuated acoustic power at a specified point to the attenuated acoustic power
required to raise the temperature at that point in a specific tissue model by 1 ºC. When using
4MHz or 8MHz probe, TI value doesn’t exceed 1.0 and will not be displayed. When using
2MHz probe, the maximum TI value exceeds 1.0 and TI value will be displayed when it
equals or exceeds 0.4. TI is not displayed in freeze status and TI value could be adjusted by
adjusting Power, Gate, or Spectrum Velocity Scale.
3) Vessel Spectrum Count:
It displays the numbers of scanned vessels and stored spectrums.
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4) Mute Key:
Click on it to enable or disable the audio

5) Volume Adjustment:
Hold on pressing left or right button of the mouse to adjust the blood flow volume of spectrum.
It is adjustable from 0 to100.
6) Date & Time:
It displays current date and time
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Chapter 4 Installation and Connections
4.1 Hardware Installation & Connections
WARNING :
1. Only accessories supplied or recommend by EDAN can be used. Or else,

the performance and electric shock protection can not be guaranteed.
2. Disconnect all related power supply when connecting the main unit of
CBS-USB Module to the main frame of computer.
CAUTION : Before use, make sure that there is no visible evidence of damage
on the equipment, cables and probes which may affect patient
safety or monitoring capability. If damage is evident, replacement is
recommended.
Before unpacking the system, please check the package box. If broken, please contact your
local distributor. Please check the accessories according to the packing list. Unpack the
package, and take out the parts carefully, then connect the system.
The CBS-USB Module can be installed by the following steps (take the desktop computer for
instance):
1) Connect Series “A” Plug of the USB cable to the computer, and connect Series “B” Plug
of the USB cable to the USB port on the rear panel of the main unit;
2) Plug the Sentinel Key into the USB port of the computer; (Only the equipment with
M-Mode function needs the Sentinel Key)
3) Plug the power cord into the power socket of the main unit;
4) Insert probes with different frequencies into respective sockets on the front panel of the
main unit according to colors. Probes can be placed in the probe bracket of the main unit.
5) Connect the audio wire of the sound box to the audio output port on the rear panel of the
main unit.
6) Connect the earth wire between the main unit and the common grounding terminal
firmly;
7) Plug the power cord of the main unit to the 220V AC power separately.
Notes:
1. If any probe is broken and needs to be replaced, plug out the old one and
insert the new one with the same frequency into the socket.
- 27 -
2. Do not switch on the equipment until all probes and cables are properly
connected and verified.
4.2 Software Installation

After connecting the hardware, check if the connections are correct and safe. Switch on the
main frame of the computer and the monitor, and the computer will be initialized to enter
Windows system.
Insert the CBS2000 installation CD to the CD-ROM driver of the computer. First
double-click on “Setup.exe” of the sentinel drive program in Sentinel folder, and then follow
the prompt to install it. Second double-click on “Setup.exe” in CBS2000 folder and follow
the prompt to install it. After the installation, a shortcut of CBS2000 software will appear on
the desktop of the Windows system. For the details about installing, upgrading and
uninstalling, please refer to CBS-USB Module Quick Installation Guide.
Notes:
1. Do not switch on the power switch of CBS-USB Module before installing the
CBS2000 software.
2. To install and run the CBS2000 software successfully, please log in to the
Windows system as an administrator.
4.3 Running Software

For the first time of operating the CBS-USB Module, please install the driver program for
‘Edan USB TCD Device’ under the guidance of ‘Found new hardware wizard’. Different
installing processes depend on different operating systems. For detailed operations please
refer to CBS-USB Module Quick Installation Guide.
Note: Please install the CBS2000 software before the first operation of the CBS-USB
Module.
To run the software, please double-click on the CBS2000 shortcut on the desktop of
Windows system to enter the user interface of CBS-USB Module.
Note: If the USB cable is pulled out or the power supply of CBS-USB Module is cut
off suddenly during operation, the CBS2000 software could not be realized.
The system will give a prompt message to tell you that the USB device can not
be detected or the USB device has been removed. In addition, you should
close the CBS2000 software before inspecting the USB cable and the
CBS-USB Module. Before restarting the CBS2000 software, please make sure
that the USB cable is connected to USB port tightly and the power supply of
- 28 -
CBS-USB Module is normal.
4.4 Switch off
Before switching off the main unit, please click on the icon (at the right top corner of the
window) to exit from the CBS2000 software and return to the desktop of Windows operating
system. After switching off the main unit, please switch off the computer by choosing the
Shut down option on the Start menu of Windows.
Note: Do not turn on and off the main unit again and again in a short time. Turn it on
again at least five minutes after it is turned off.
- 29 -
Chapter 5 Operation Instruction

This chapter provides you with detailed information of operating the software of CBS-USB
Module. It is easy and convenient to operate the Transcranial Doppler system with the specific
keyboard/standard keyboard and trackball/mouse.
5.1 Patient Login
Click on to enter the following patient login window.
1) Click on the New Patient key if it is the first time to examine the patient.
Move cursor to the following items to input patient’s basic information, including Patient
(name), Patient ID (generated by the system), Age and Sex.
If the New Patient key is not pressed first, the following dialogue box will pop up while
clicking on other buttons.
Click on Yes to quit this window and return to the patient login window. A patient ID will
be assigned automatically. Then you can continue to input other patient information. If you
click on No, a prompt will appear to inform you that inputting or selecting a valid ID first
as the following figure shows.
If a wrong name is input, it will be considered as a new patient and the dialogue box of
adding a new patient will pop up. Please click on No to quit it and input the correct name
again in the patient login window.
- 30 -
2) If the patient has logged in to the system before, you can directly select the name or
number from Patient or Patient ID pull-down list by clicking on the arrow on the right.
3) Click on the Details>> key to input patient’s detailed information.
Such as:
A Patient information — Zip Code, Telephone, Bed ID and Address
A Exam information — Exam ID and Exam Date (Generated by system)
A Department & physician--Department, Physician, SendDep. and SendDoc.
A Comments (Other information)
After entering all these information, click on OK to return to the examination window.
Note: The department and physician information can be saved and found in
database, and can be selected from the corresponding pull-down menu
directly next time if these information is input in Physician Name and
Department frame in General setting window of system setup. If you want to
input several terms (for example, several doctor names) at one time, you
should press Enter Key on the keyboard after typing every term. And when
one term or several terms are typed in, click on OK button to save them to the
database.
If you click on Cancel, it will return to examination window without change and the patient
has not logged in to the system yet.
Even after the patient logs in to the system, some of the patient’s information, such as age
and sex, can still be modified by clicking on the Patient key to enter patient login window
again, in which you can update information directly.
Note: All patient information should be entered completely. Otherwise, the

integrality of spectrum information and reports could not be ensured.
- 31 -
Patient login should be done before examination. If it is forgotten and
examination has been done, you can click on the Store key to enter
the patient login interface.
5.2 System Setup
Click on the Setup key to enter the System Setup window, in which the system
settings can be modified. It includes General settings, Display settings, Vessel Preset
settings, Working Mode settings, Calculation settings, Database settings and Service
settings.
5.2.1 General Settings
You can input the hospital information such as Hospital Name, Physician Name,
Department and Examination Report Header in General window. All the information will
be printed out in the examination report later. As Date/ Time are generated by the system
automatically, you can not change it. There are two kinds of system language, English or
Chinese to be chosen. The switching of system language becomes effective immediately
after changing.
Note: Once input, physician name and department name is saved to the database
automatically. If you want to input more physician and department names,
pressing Enter on the keyboard to store the input information in the database.
After that, the contents saved will be listed in the pull-down menu (unfolded
by pressing the right arrow), and can be used repeatedly. The name
- 32 -
information can be deleted by pressing Delete on the keyboard after it is

selected in the pull-down menu.
Click on OK to quit System Setup window after modification. If you click on Cancel, it
will return to the main interface with general settings unchanged.
5.2.2 Display Settings
Spectrum display can be set in this window. Move the cursor to the setting item and tick or
dot the small box to choose this option.
A Spectrum Display
a) Auto Color Matching: Default preferences. When the value of DNR is high and
Auto Color Matching is chosen, the color elements are more abundant than the
ones while Auto Color Matching isn’t chosen.
b) Auto DNR: When this item is chosen, the DNR value will change automatically
according to Gain value during the scanning.
c) Velocity (cm/s): Default preferences. When this item is chosen, the spectrum
velocity is displayed as velocity. The unit is cm/s.
d) Frequency (KHz): When this item is chosen, the spectrum velocity is displayed as
the corresponding frequency. The unit is KHz.
A Vessel Identification: Optional.
A High Pass Frequency Parameter: 50Hz, 100Hz, 200Hz, 400Hz and 800Hz are
available. The main function of the high pass frequency parameter is to control the
field value of the high pass filter. The lower the value is, the more abundant the low
frequency signal is. Then low speed blood flow signal can be detected more easily.
- 33 -
A Audio: If it is selected, audio will be muted while you adjust scan parameters except
DNR.
A Color Map: There are nine kinds of color code (1~9). Click on the arrow to choose
one number, the color scale on the left of the spectrum area will be changed
accordingly, so does the color of spectrum.
A Envelope Type: Select an envelope type of the spectrum: Peak (Default item) or
Moment, or Peak + Moment, and you can also select Lower Envelope (otherwise,
only the upper envelope is displayed in default settings).
A M picture display: There are two kinds of spectrums in the M-Mode display. One is
real time mode, the other is smooth mode. In real time mode, you can observe the
details of the M picture conveniently; Spectrum will become smoother if sooth mode
is selected.
A Spectrum Store: If it is selected, a prompt will be displayed before you store the
spectrum temporarily.
A Save Picture: You can save the spectrum diagram in a BMP file or a JPEG file by
selecting the corresponding item.
Note: If it is unnecessary, do not save the spectrum in BMP or JPG format,
because a lot of pictures will occupy too much hard disk space.
A Spectrum: You can choose between 128 Dots FFT Scan Mode and 256 Dots FFT
Scan Mode.
256 Dots FFT Scan Mode is default preferences. The image is clear and delicate in
this mode.
Click on OK to exit from System Setup window after setting. If you click on Cancel, it
will return to the main interface with display settings unchanged.
- 34 -
5.2.3 Vessel Preset Settings
There are two operational options in the Vessel Preset window. One is Examination
Parameters Preset; the other is Normal Blood Flow Parameters Preset.
1) In this window vessel examination parameters can be initialized and certain operations can
be set as
A Allow doctor sort vessels
A Auto change vessel when unfreezing
If the examination order of the vessels needs to be changed, tick the item Allow doctor sort
vessels, and click on OK to return to the main interface.
Choose the vessel to be rearranged in vessel choose column, hold down the left button, then
drag the vessel box to the desired position. The positions of two vessels are exchanged, as
the following figures show.
The vessels in the new order will be shown in the examination parameters preset frame
correspondingly after they are sorted out.
- 35 -
You can also tick the item Auto change vessel when unfreezing, and then the equipment
will automatically examine the next vessel after you store the spectrum temporarily. This
item corresponds to Auto Jump in the vessel choosing column.
2) Vessel parameters preset by the manufacturer are listed in the Examination Parameters
Preset table, including Vessel name, Symmetric, Probe, Power%, Depth, Direction(+),
Gain(dB), Speed, Scale, Baseline, DNR and Gate. Operators can reset most of these
parameters with the mouse and keyboard according to actual requirements. However,
Symmetric and Probe can not be adjusted.
We can change some parameters as follows:

Click on the grid in which the value needs to be changed, and then input the new value with
keyboard.
Note: After inputting a new value, click on any other grid. The new value will be
saved. If the new value exceeds the range, it will be invalid.
♦ Click on the current Vessel name and input a new one. The vessel name is changed.
Moreover, you can define the reserved extracranial vessels, such as P07~P10
(number 31~34). The user-defined vessel name can be seen in the vessel choosing
column in Extracranial mode for 4MHz probe.
♦ In the Power% column, the power value can be defined. The value range is from
10% to 700%. Note: for extracranial vessel scan, the range is just from 10% to 40%.
♦ In the Depth column, scan depth can be adjusted to a value from 20mm to 177mm.
Depth is affected by Gate. Depth value decreases when gate value increases
♦ in the Direction (+) column, inputting 1 means “Yes” (toward), and inputting 0
means “No” (reverse).
♦ In the Gain (dB) column, the value can be modified to a value from 0 to 40.
♦ In the Speed column, a number from 1 to 4 which means fast, normal, slow and
very slow respectively can be chosen to set the scan speed scale.
♦ In the Scale column, a number among 4, 5, 8, 10 and 16 can be chosen to set the
spectrum velocity scale.
♦ In the Baseline column, a negative number input means declined baseline, while a
positive number means raised baseline. The offset of baseline is based on the value
of the number input. Zero means that the baseline is in the middle of the scale.
However, when the value exceeds the range of the scale, it will be invalid.
♦ Choose one number from 0 to 8 to preset DNR in the column DNR.
♦ Input one number from 4 to 20 (in increments of: 2) to choose the preset parameter
of sample volume in Gate column. These numbers mean 4mm, 6mm, 8mm, 10mm
and so on.
If you click on Default, the system will reload default preset by the manufacturer.
- 36 -
Click on OK to exit from system setup window after adjustment. If you click on Cancel, it
will return to main interface with vessel settings unchanged.
3) The normal blood flow parameters of a human body are preset based on age in the Normal
Blood Flow Parameters Preset frame. You can reset two of these parameters (Peak and Dias).
If you tick the Apply item, the normal blood flow parameters in the table form will be
displayed in the diagnosis report. When you choose Apply item and the Warning of the
Parameter item in the Service window at the same time, the calculation parameters which
exceed the normal range will be shown in red color in the Calculation Parameters Display
Column.
Note: Only when the Apply item is chosen can the Warning of the parameter item
be ticked
If you click on Default, the system will reload default preset by the manufacturer.
5.2.4 Working Mode Settings
The Working Mode, Trend Curve Color in monitor mode and Speed can be set in this
window.
Note: The working mode becomes effective immediately after switching.
- 37 -
A Types of Multigate
In the Multigate working mode, you can choose one of these following types: Single
Channel Dual Spectrums, Single Channel Four Spectrums and Single Channel Eight
Spectrums.
A Types of Dual Channel
In the Dual Channel working mode, you can choose one of these following types: Dual
Channel Dual Spectrums, Dual Channel Four Spectrums and Dual Channel Eight
Spectrums.
A Types of M-Mode
In the M-Mode working mode, you can choose one of these following types: Single
Spectrum & M-Mode, Nine Spectrums & M-Mode and Bilateral Four Spectrums &
M-Mode.
A Types of Monitor
In the monitor working mode, there are three types available: Single Channel Dual
Spectrums, Dual Channel Dual Spectrums and Dual Channel Four Spectrums.
There is Trend Plot Display Area in Monitor working mode, which displays the trend of
calculation parameters in a period of time with traces. These traces with different colors
indicate the trend of different parameters in a period of time, such as peak velocity, mean
velocity, PI, RI, HR, S/D, SBI, and STI.
- 38 -
In Monitor window, the monitor type, speed, trend curves and their colors can be set.
A Speed
The available trend curve speed is 0.5 sec/pixel, 1 sec/pixel, 2 sec/pixel, or 4 sec/pixel.
A Trend Curve Color
In this column you can determine which calculation parameters will be shown in trend plot
by ticking the box before them. Moreover the parameters can be selected from the
pull-down menu (unfolded by clicking on the down arrow).
Click on the color choice frame after parameters and choose the new color in the color
window.
A Bold
The curves can be bold or not by selecting or deselecting Bold.
Click on OK to exit from System Setup window after selection. If you click on Cancel,
the system will return to main interface with monitor settings unchanged.
- 39 -
5.2.5 Calculation Settings
In this calculation setup window, the options in Calculation Method and Result Display
can be chosen. The parameters about HITS can also be modified.
A Calculation Method
If you select Average, the system will take all the cycles of the spectrums to calculate
parameters; if you select Max, the system will take the cycle with the maximal peak to
calculate parameters; if you select Last, and the system will take the last cycle of the
spectrums to calculate parameters.
- 40 -
A Result Display
You can determine which calculation parameters to be displayed in the calculation

parameter display column on the main interface by ticking the small boxes before the
parameters.
For example, the left figure above shows that eight parameters are ticked except S/D, so the
chosen parameters can be seen in the calculation parameter display column as shown in the
right figure above.
A HITS
If HITS Indicator item is not selected, the HITS parameters preset area is gray, which
means these parameters can’t be set. If you want to preset these parameters, please choose
the HITS Indicator item. And the detailed presetting information is introduced as follows:
a) HITS (High-Intensity Transient Signals) Threshold:

The system will recognize an embolus signal when it detects the strong echo of
spectrum exceeding a fixed value, and trigger threshold.
Adjusting Range: 150~200. The decimal input will automatically turn to an integer.
b) HITS Recover Time:

The system will be reset automatically after one emboli detection and prepare to detect
- 41 -
the next emboli. The interval between them can be user-defined. The unit is second.
The decimal input will automatically turn to an integer.
c) Auto Save:
Enable or disable the function of HITS auto saving by selecting or deselecting the box
of Auto Save.
While you are scanning vessels with this function on, the spectrum will be stored
automatically when HITS is detected. And there will be annotation on the spectrum
automatically. For example, the annotation ‘HITS #10’ means it is the tenth HITS
detected. All stored spectrums with HITS can be reviewed in the Report Preview
window by clicking on the Report key .

If you want to save them to the archive, please log the patient information to the system
first, then click on the Store key .
Click on OK to exit from System Setup window after adjustment. If you click on Cancel,
the system will return to the main interface with calculation settings unchanged.
5.2.6 Database Settings
There are three tabs available in the Database window, Search, Statistic, and Operation,
in which you can do searching, statistic, deleting, updating and printing, etc.
Check examination information of the patient selected: If all the examination records of a
patient are needed, you can double-click on the patient’s ID in the Patient Info list, and
then all examination records of the selected patient will be displayed in the Exam Info list.
- 42 -
1) Search
Search: Input or select one or more searching conditions such as pID (patient ID), age, sex,
name, or the latest exam date, then click on the Search icon. The searching results will be
displayed in the Patient Info list and Exam Info list.
2) Statistic
Statistic: Input or select one or more statistic conditions such as age, sex, exam times, or the
latest exam date, then click on the Statistic icon. The system will give a prompt to tell the
statistic result, and the statistic result will be displayed in the Patient Info list and Exam Info
list.
- 43 -
3) Operation
Click on the corresponding box in Right column to make the operation of Update, Delete or
Print available.
a. Update: Move the cursor or press the direction key on the keyboard to the record
needed to be revised in the Patient Info list or the Exam Info list, and then click on the
left button or press the Enter key. The record box becomes writable, inputting new
information and pressing the Enter key to update the record. After changing all records
needed to be revised, click on the icon Update to save new records to the database. If
you don’t click on this icon, the modified records can’t be saved to the database.
b. Delete: If you want to delete one or more patient information or examination
information, click on the information in the Patient Info list or Exam Info list first, and
then click on the icon Delete and the correspondingly record will be deleted. If the
patient record in the Patient Info list is deleted, all examination information of this
patient will be deleted too.
c. Print: If you want to print Patient Info list and Exam Info list, search or statistic
operation should be done first. After that, switch to the Operation frame and click on
Print, the two lists will be printed out.
d. Refresh: Click on the icon Refresh to reload the records of Patient Info and Exam
Info in database.
- 44 -
5.2.7 Service Settings
1) System Configuration
The software version, hardware version and firmware version information of the TCD
system are listed here.
2) DEMO Mode/Working Mode
DEMO Mode is usually used for exhibition and research etc. Please always tick Working
Mode.
3) Operation Setup
• Auto save exam: When this item is ticked, the spectrum saved temporarily will be saved
to database automatically no matter the Store key is pressed or not later. However, the
patient should log in to the system before saving the spectrum.
• Cine Playback: when this item is ticked, the spectrum and sound can be saved as a movie,
which can be replayed later.
• Warning of parameters: After ticking the Apply item in the vessel preset window and
ticking this item, the calculation parameters which exceed the normal range will be shown
in red in the calculation parameters display column.
- 45 -
• Footer of report page: In the pull-down list of Footer of report page, there are two
choices TCD report is only for reference and Transcranial Doppler System. The default
option is TCD report is only for reference. Footer of report page is at the bottom of the
report.
5.3 Working Mode Selection
Illustration of the working modes of advanced configuration

A Intracranial: In this mode intracranial vessels can be examined one by one.
A Extracranial: In this working mode extracranial peripheral vessels can be
examined one by one.
A Multigate: The examination is available for one cerebrum vessel in different depths
or different vessels of one side.
A Dual Channels: Simultaneous examination is available for the identical vessels or
different vessels of two sides, which allows the comparison of real-time spectrum of
the identical vessel at two sides of cerebra.
A Monitor: It is available for long time monitoring for the identical cerebrum vessels
or different vessels at one or two sides.
A M–Mode: It is also called M-Wave, displays blood (probe orientation) information
in multiple sampling depths simultaneously.
One or more working modes can be selected for each patient according to the model and
configuration of the system. Select the desired mode from the pull-down menu, then the
system will enter the corresponding examination status.
5.4 Scan Adjustment
5.4.1 Probe Switch
There are three probes available for clinical application: 2MHz pulsed wave Doppler probe
is for cerebral vascular examinations, 4MHz and 8MHz continuous wave Doppler probes
are for carotid and peripheral vascular examinations.
A In the working modes of Intracranial, Multigate, Dual Channels, M-Mode or Monitor,
2MHz probe is used.
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A In the extracranial working mode, 4MHz or 8MHz probe is used. If 8MHz probe is
available, click on the Probe Switch key to switch the probe between 4MHz
and 8MHz .
5.4.2 Channel Switch
Click on the Channel Switch key to exchange the spectrums displayed on the left
and right channels in the modes of Intracranial, Multigate, M-Mode (Single Spectrum &
M-Mode and Nine Spectrums & M-Mode), or Monitor (Single Channel Dual Spectrums).
The left or the right cerebrovascular spectrum will be displayed in the examination window.
Note: This key does not work in the modes of Extracranial and Dual Channels.
5.4.3 Blood Flow Direction Selection
Normally, if the blood flows toward the probe, the spectrum will be displayed above the
baseline and if the blood flows away from the probe, the spectrum will be displayed below
the baseline (toward mode). If the reverse mode is selected, when the blood flows away
from the probe, the spectrum can be displayed above the baseline; when the blood flows
toward the probe, the spectrum can be displayed below the baseline.
A Double-click on Baseline & Direction key to change the flow direction. is toward
mode; is reverse mode.

A The initial status depends on the probe used and the vessel selected.
5.4.4 Depth Adjustment
Depth adjustment is available only for pulsed wave Doppler probe. The scan depth should
be adjusted according to the depth of vessel examined. The depth adjustment range is from
20mm to 177mm.
A You can move the cursor to the Depth key . Press the left button to
increase sampling depth, while press the right button to decrease sampling depth. The
changed sampling depth will be displayed on the Depth key.
A If there are two or more spectrums on the main interface, the Depth key of every
spectrum must be adjusted independently.
A The initial status depends on the vessel selected.
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5.4.5 Power Adjustment
The transmission power indicates the transmitted acoustic energy. The range of transmission
power of this equipment is from 10% to 700%, while the range is from 10% to 40% in
Extracranial working mode.
A Move the cursor to the Power key . Press the left button to increase
transmission power, while press the right button to decrease transmission power. The
changed transmission power will be displayed on the Power key.
A If the system is working with two probes, adjusting the Power key means changing the
transmission energy of two probes simultaneously.
WARNING : In normal examinations, lower transmission power is

recommended to be used to obtain satisfactory spectrums.
Avoid unnecessary use of high transmission power. In
ophthalmic examination, the transmission power should be
restricted near 10% in order to avoid hazard to human eyes.
5.4.6 Display Gain Adjustment
Adjusting display gain can increase or decrease the brightness of the spectrum. In actual
operation, there is an optimal display gain but it may not be the maximum value. If the
spectrum looks too dim or dark, the display gain should be increased. If there is much noise,
you should adjust the probe direction, depth or other parameters. At the same time, the
display gain should be decreased in order to make the spectrum clearer. The optimal display
gain should make the spectrum background clean and neat.
A During the process of examination, move cursor to the Gain key . Press
the left button to increase display gain, while press the right button to decrease display
gain. The changed display gain will be displayed on the Gain key.
A If there are two or more spectrums on the main interface, adjusting the Gain key will
change the display gain of every spectrum.
5.4.7 Sample Volume Adjustment
The sample volume indicates the range of blood flow signals received. It can be adjusted
according to the thickness of the vessel and spectrum display quality. The adjusting range is
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from 4mm to 20 mm in increments of 2mm (This key does not work when using 4MHz or
8MHz CW probe.)
A Move the cursor to the Sample Volume key . Press the left button to
increase sample volume, while press the right button to decrease sample volume. If
there are two or more spectrums on the main interface, adjusting the Sample Volume
key will change the sample volumes of all spectrums simultaneously.
5.4.8 DNR Adjustment
Some low frequency or fixed frequency interference signals will be enhanced while display
gain increasing. Through the adjustment of DNR key , these interference

signals will be diminished to a certain extent, and display quality of the spectrum will be
improved.
There are two dynamic noise restrain modes available, automatic mode and manual mode.
In the automatic mode, while increasing the gain, the dynamic noise restrain will enhance
correspondingly. In the manual mode, the value can be selected from 0 to 8 by clicking on
the DNR key.
A Move the cursor to the DNR key. Press the left button to increase, while press the right
button to decrease. The DNR level will be displayed on this key.
A If there are two or more spectrums on the main interface, adjusting the DNR key will
change the DNR level of every spectrum.
A The initial DNR level depends on the vessel selected.
5.4.9 Volume Adjustment
Adjust this Volume key to increase or decrease volume of the

speaker.
A During the course of scanning, move the cursor to the Volume key. Press and hold on
the left button to increase the volume, while press and hold on the right button to
decrease the volume. The new volume value will be displayed on this key.
A The initial level depends on the vessel selected.
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5.5 Real-Time Spectrum Scan
Doppler blood flow signals of intracranial or extracranial vessels are collected through
probes and displayed on the screen. During the scanning, you can adjust scan speed,
spectrum velocity, baseline, and choose to envelop the real-time spectrum or not.
5.5.1 Scan Speed Adjustment
Click on the scan speed scale at the bottom of spectrum area to change the scan speed, and
the following four options are available: fast, normal, slow, and very slow.
The current speed will be displayed at the scale. The initial speed depends on the vessel
selected.
5.5.2 Spectrum Velocity Adjustment
(cm/s) (KHz)
Spectrum Velocity Scale has two representations, one is displayed as velocity, and the
other is displayed as frequency.
Click on the Spectrum Velocity Scale at the right border of the spectrum display area to
change the display range of the spectrum velocity. There are five options available, and the
maximal velocity scale can reach 632cm/s (i.e.16.000KHz).
Note: The range of scale is relevant to summation of the values of sample volume
and scanning depth. The range will be reduced when the summation exceeds
definite values.
If the scan speed doesn’t change, increasing the spectrum velocity scale will decrease the
Doppler spectrum peak displayed, while decreasing the spectrum velocity scale will
increase the Doppler spectrum peak displayed.
The new spectrum velocity scale will be displayed after adjustment. The initial spectrum
velocity depends on the vessel selected.
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5.5.3 Baseline Adjustment
If the flow velocity is too fast, the upper part or lower part of the spectrum will exceed the
threshold of the spectrum velocity scale. In that case, the baseline level can be adjusted.
Move the cursor to the Baseline & Direction key or , drag the icon up or down
directly to adjust the baseline.
If the baseline is shifted to the bottom, the spectrum below the baseline will reverse to the
upper part and vice versa.
The initial position of the baseline varies according to the vessel selected.
5.5.4 Envelope On/Off
While scanning, click on the Envelope On/Off key to show envelop or not.
Envelope is the smooth curve tangent to the spectrum.
Adding envelope on the spectrum can make spectrum smooth and reflect velocity trend of
the spectrum clearly. The initial status of the spectrum is Envelope on.
5.6 Spectrum Freezing/Unfreezing, Playback, Measurement,

Annotation, and Storing
5.6.1 Spectrum Freezing and Unfreezing
When the spectrum need to be saved, printed out, measured or annotated, the spectrum
should be frozen first. There are two ways to freeze the spectrum:
a) Click on the Freeze/Unfreeze key to switch between freeze and unfreeze

status
b) Double-click on the spectrum window directly to switch between freeze and unfreeze
status. But in the Nine Spectrums & M-Mode working modes, only double-clicking on
the main spectrum window (the biggest one) can do this operation. It is invalid for other
small spectrums.
Note: The functions of playback, measurement, annotation, storing and reporting
can only be achieved after the spectrum is frozen.
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5.6.2 Spectrum Playback
After freezing the real-time scan spectrum, the playback searching bar will be displayed at
the bottom of calculation parameters column in the examination window. Click on the arrow
on the left or right or drag the scroll bar directly to review the spectrum.
5.6.3 Measurement
Click on the Measurement key , there will be a cross cursor in the spectrum display
area and manual measurement mode is activated.
a) Locate the first green cross cursor on the point of systolic peak and press the left button;
b) Locate the second red cross cursor on the point of diastolic peak and press the left
button;
c) The measurement result will be displayed in the calculation parameter display region;
d) Click on the Measurement key again to exit from the manual measurement mode. The
system returns to automatic measurement mode.
CAUTION : The manual measurement procedure should strictly follow the

instructions mentioned above. Otherwise, the measurement result
would be incorrect.
WARNING : To gain the better accurate parameter, it is recommended to use

the manual measurement mode when the signal is very weak or
there is strong noise.
5.6.4 Annotation
After freezing, you can annotate the spectrum as follows.
a) Click on the Annotation key .The Annotation Column
will pop up.
is the button of deleting current annotated words. Only the latest annotation can be
deleted.
is the button of closing the annotation column.
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b) Input the annotation in the Annotation Column, or choose annotation in the pull-down
menu. Click on the position to be annotated. The annotation will be shown at this
position. And the annotation column is shown as follows:
The icon is changed into icon which can be clicked on to delete the latest
annotation.
c) Press the Enter key on the keyboard to save the words to the system. The saved words
can be used repeatedly from the pull-down menu.
d) If you want to delete the annotation saved, select it from the pull-down menu and press
Delete key on the keyboard. Then this annotation will be deleted from the system and
disappears from the pull-down menu.
5.6.5 Spectrum Storing
When a satisfying spectrum is frozen, it can be saved to the database.
1. Saving Spectrum
1) Press the Store key and click on the Save key in the prompt window
(Spectrum File Info window, as the following figure shows) to store the spectrum.
2) Or right click on spectrum directly to get the Spectrum File Info window and click on
the Save key.
2. Saving Spectrum in Movie Form
When you click on the Save Cine button, the spectrum data from scanning to freezing can
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be saved in movie form. And then it can be played back as a film. Besides, the spectrum
frozen can be stored in the spectrum stored display region at the same time.
To achieve the function of Cine Playback, please set up the hardware and software as
follows:
1）Hardware Connection
Connect the CBS-USB Module to the computer by inserting one end of the audio cable to
the audio output of CBS-USB Module and plugging the other end to the input (microphone
or line-in) port of computer, then insert the audio input wire of the external loudspeaker into
the line-in jack of the computer for hearing the Doppler audio sound.
2）Software Adjustments
After completing the hardware connection, switch on the CBS-USB Module and the
computer, enter the Windows Operation System and double-click on the volume icon
on the taskbar, the Volume Control window will pop up as shown in the following figure.
Click on Options and click on Properties, the Properties window will pop up for adjusting
volume of Playback or Recording. Choose Playback option and tick Line In and
Microphone options in Show the following volume controls list. Then click on OK to
return to the Volume Control window and adjust the volume to an appropriate extent.
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Then choose Recording option and tick Line In and Microphone options in Show the
following volume controls list as shown in the following figure.
Click on OK and the Recording Control window will pop up. Tick the Select box of Line
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In or Microphone option and adjust the volume.
Note: Only tick one Select box at a time. The option to be selected depends on the
input port the audio cable is inserted into. Tick the Select box of Line In if you
connected the audio cable to the Line In port and tick the Select box of
Microphone if you connected the audio cable to the Microphone port.
Note: The Save Cine is an optional function which depends on the system
configuration.
If you want to play back the spectrum, you just need to double-click on one of these
spectrums saved in movie form (The title is "***Movie***") in the spectrum stored
display region. If you want to stop it, simply double-click on the spectrum being played
in the spectrum window. Once the spectrum is considered useless, you can delete it
from the database by pressing the button in the spectrum stored display region.
Note: The volume of the spectrum stored in the movie form is limited which
depends on the scan speed. When the scanning time exceeds the
threshold, these spectrums can't be saved in movie form by clicking on
the Save Cine key.
If you need to review the movie playback in the patient archive, you should load the
spectrum data to the spectrum stored display region first. Please see the chapter of the
Patient Archive Management for the loading operation details. The spectrum loaded
can also be deleted from the database by pressing the button in the spectrum
stored display region.
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Notes:
1. Don't use the Save Cine function unless necessary，because the volume of
the spectrum data in movie form is huge, and it will take up too much of the
disk space. Please delete the worthless spectrums to release the disk
space.
2. When the current scan mode is different from the scan mode of the
spectrum in movie form, the system will suggest you change the current
scan mode. Please see the following contents for relevant details.
In Intracranial or Extracranial working mode, the stored spectrum will be shown in

spectrum stored display region below the spectrum display area.
The color of chart boundary will change when the spectrum stored is clicked on. At the
same time, the calculation parameters of this spectrum will be displayed at the bottom.
When there are more than five stored spectrums, a scroll bar will appear at the right side of
the display region, which can be dragged to display all spectrums stored here.
Click on the icon on the right of the parameter display bar and the selected spectrum
will be deleted.
Clicking on the stored spectrum in the spectrum stored display region can load the spectrum
to the spectrum display window. If the system is set to 256 Dots FFT scan Mode, and the
spectrum selected was stored in 128 Dots FFT Scan Mode, the following dialog box pops
up:
Change the system scan mode to 128 Dots FFT Scan Mode in order to load the spectrum.
If the system is set to 128 Dots FFT Scan Mode, and the spectrum selected was stored in
256 Dots FFT Scan Mode, the following dialog box pops up:
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Change the system scan mode to 256 Dots FFT Scan Mode in order to load the spectrum.
Note: If the patient logs in to the system, click on the Save key to save the spectrum
picture to the database. If the current patient does not log in to the system, clicking
on the Save key can only temporarily save the spectrum to the spectrum stored
display region and these temporarily stored spectrums will be lost when the next
patient is examined. Please save these spectrums which are valuable for further
review to the database. Click on the Save key in the spectrum file info window and
complete the patient login in the prompt box:
5.7 Examining the Next Vessel
(2MHz Probe) (4MHz Probe) (8MHz Probe)

Double-click on Vessel Not Jump bar on the top of this column, and vessel scan mode can
be switched between Auto Jump (Jump to the next vessel in order automatically after one
vessel is scanned) and Not Jump (Not jump to the next vessel automatically).
Click on the vessel to be examined in the column. The color of the vessel name and the
system settings will change according to the selected vessel. When the vessel has been
scanned, the background of vessel name will turn to blue.
Moreover, in Extracranial scan mode, there are four positions P07~P10 reserved for
examination by 4MHz probe, which are user-defined. And there are six positions P15~P20
for 8MHz probe.
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5.8 HITS Indicator
Note: In default settings, the HITS counting window isn't displayed. If you want to
show this window, please choose the HITS Indicator item in the Calculation
Settings window.
The function of HITS (High Intensity Transient Signal) detection is available for CBS-USB
Module. As the above figures show, HITS display region includes three windows, hits
counting (HITS), emboli statistic list (List) and velocity-power profile (Velocity Profile).
Double-click on the HITS Off bar on the upside of the display region, and it will switch
between HITS Off and HITS On to turn on or turn off HITS detection function.
WARNING :
The Multigate mode is recommended while using HITS detection function so as to

obtain a higher detection efficiency and accuracy.
Moreover, before starting HITS detection operation, other examinations should be

completed and parameters should be adjusted. Resupine pose is preferable and it
will make the patient more comfortable for long time examination or monitoring.
Look for the vessel to be examined and get satisfying blood flow spectrum. Fix
probes with monitor headpiece. Then begin HITS detection.
1) HITS Counting:
The HITS is displayed as a histogram. The system will analyze, and count collected
spectrum signals automatically during the course of vessel examination. Y-axis indicates
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HITS number, and the X-axis indicates power status of the detected embolus.
After freezing the spectrum, click on the histogram, and then the HITS View window
appears. It records HITS data of a patient in detail. Click on Reset to recount or monitor a
new patient. Click on OK to quit the window and return to main window.
2) Emboli statistic list:
Click on the List tab on the selection bar and the classified statistic information of emboli
will be shown in the List.
There are six items available.
a) #: HITS series number listed in time order.
b) T: The time when embolus appears
c) Type: embolus type
d) P: Power of the embolus. It can be used to estimate size, thickness, and density of
the embolus.
e) Pavg: Average power distribution of background blood flow when the embolus
appears. It is available for comparison with power of the embolus.
f) DT: The running time difference of the same embolus in Multigate working mode.
It is important for the accuracy of emboli detection and reducing the possibility
false positive of emboli estimation.
3) Velocity-Power Profile
The Y-axis indicates power, and the X-axis indicates velocity. The meaning of the velocity
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profile is explained by the following sketch maps:
(a) (b)
The smooth curve in (a) means there is no emboli measured from the spectrum.
The cragged curve in (b) means there is emboli measured from the spectrum.
The measuring procedure is as follows:
① Freeze the spectrum;
② Turn on the function of HITS (HITS On);
③ Click on the Power Profile;
④ Click on the Measurement key ;

⑤ Drag the cross cursor, and put its intersection at the place to be measured;
⑥ Then the velocity-power curve will appear in the velocity profile window.
Note: It is significant to use velocity-power profile together with emboli type
estimation module.
5.9 Report
Note: Please connect the printer with main unit before printing and make sure that
the printer driver is installed in the operating system.
When getting a satisfying vessel spectrum, you can freeze it first and print it out with the
diagnostic result together.
Click on the Report key and the following window will appear.
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This is a Report Content window which is used to choose the needed contents (Parameters
& Spectrum) in diagnosis report. If you want to show the parameters or spectrum of one
vessel in the report, click on vessel name in Parameters Column or Spectrum Column
and click on OK. The anticipated contents will be displayed in the Report Preview window.
See the picture below.
Note: Tick the box of Parameters to choose all of the vessels in this area at one time.
It is the same to Spectrum.
Printer Info
Patient Info Page Format
Spectrum & Spectrum

Parameters Area Background
Zoom Selection
Diagnosis Area
Report Type
Report Format
Doctor Info
Report Option
Footer of
report page
As the figure shows, on the top of the Report Preview window displays report title and the
information of physician and patient, such as physician name, department, and the name and
ID of the patient.
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In the middle of the preview window displays several spectrums saved and calculation
results etc. Diagnostic result and doctor signature can be printed or written by hand (after
being printed out) at the bottom of the report. There is footer of report page at the bottom of
report, which can be chosen in the Service Settings window.
In the right setting column, you can set the format of the report.
5.9.1 Report Format
There are two kinds of report format available in this window. One is traditional report; the
other is word report that can be edited freely by doctors. After selecting Word Report, the
Generate key will be valid. Click on Generate and the diagnosis report in word format will
appear in the main window:
Note: The version of the word processing system must be Microsoft Office
Word2000 or above.
The word report will be saved in the TCD-WordReport folder which is in the
CBS2000 installation directory.
5.9.2 Entering Diagnostic Result
After selecting Traditional Report, the Diagnosis key will be valid. Click on
Diagnosis and the diagnosis window pops up, in which diagnostic result can be input.
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Glossary and Template are used in diagnosis report conveniently. The pull-down menus of
Glossary and Template are shown in the figures below.
These classifications can't be edited. But the terms of each classification can be modified or
added according to your definition. For Glossary the changes would be saved into database
by pressing Enter on the keyboard after editing. And for Template you need to click on
Save button to save it. All the information saved in database is shown in relevant pull-down
menu and can be used repeatedly in subsequent report editing.
After the selection of diagnoses, press the Add button of Glossary or Template to add
these information in Conclusion area. See the following figure.
After pressing the Exit button the contents above would be displayed in diagnosis area of
Report Preview window. You can also edit in Conclusion area. If you are not satisfied with
the diagnoses in Report Preview window, you can do the above operations again to make
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the new one replace the old one.
5.9.3 Printer Setting
When the printer and its driver are ready, you can click on Printer Setup button on Report
Preview interface to set printer parameters.
Note: If the printer is not connected with main unit or if the printer driver is not
installed in the operating system, or the printer setup is error, the printer
Setup button will be in gray (invalid), and Printer Setup Error! will be
shown .
5.9.4 Report Display Adjustment
Choose from the pull-down menu to adjust the display proportion of the preview report.
5.9.5 Page Format
There are three kinds of display page format available, two spectrums (1×2), eight
spectrums (2×4) and fifteen spectrums (3×5).
When the number of saved spectrums exceeds fifteen, the way of pagination report may be
adopted. The page number will be displayed in the page format box . You can
click on the upward or downward triangle symbol of the page number bar to choose the
page required to be displayed.
And there are some difference between Standard format and Defined format, such as
hospital name, the position of date etc.
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5.9.6 Report Type
There are 4 report types:

A Normal Standard type
A Table Table type, calculation result table of parameters
A Chart Chart type, calculation result table and two spectrums
A Monitor Monitor type (optional)
The three figures above show the preview reports of three different types.
Note: When the report type is table type, no spectrum will be shown in the report.
When the type is chart type, only two selected spectrums can be shown in the
report in 1×2 format.
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5.9.7 Report Option
There are four report options:

• Spectrum: Colorful spectrum will be shown in the report.
• Scale: The spectrum velocity scale and the scan velocity scale will be shown in the
spectrum frame.
• Upper Envelop: The upper envelop curve will be shown in the spectrum.
• Lower Envelop: The lower envelop will be shown in the spectrum.
Note: The lower envelop option is unavailable if the Lower Envelop is not selected
in display setting window.
5.9.8 Report Printing
After entering the diagnosis result, set the report format and type, click on the Print key
, and then the diagnostic report will be printed out.
Click on the Cancel key to return to the examination window without report
printed.
5.10 Switching Examination Windows
There are spectrum activities available in two or more examination windows in Multigate,
Dual Channels, Monitor or M-Mode working mode. And some parameters in different
windows need to be adjusted respectively, such as scan depth.
Before adjusting the vessel depth of one examination window, the window should be
activated by clicking on any place in this window. The rim of the window will turn to green.
And then move cursor to the Depth key in this window, click and hold on the left or right
button to increase or decrease the examined vessel depth continuously.
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5.11 Patient Archives Management
Click on the Archive key , and the following Database window will pop up.
In the archive database window, you can look through archive information, delete patient
records, search the examination records and diagnosis, load historical spectrums and print
out reports etc.
Input the name or ID number of the patient, or select the ID number from the pull down
menu directly, and then the corresponding information of this patient and his/her records
can be shown.
1) Patient Information
In the Patient Info area, the patient’s detailed information input while login will be shown,
These information includes the name, ID number, Age, Sex, Zip Code, Telephone, Address
and Comments.
Note: If the input information is inaccurate, an error prompt dialog box will pop up to
inform you of entering the exact information.
Clicking on the Delete Patient Record key will delete all the information of this patient
including all historical examination records.
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2) Examination Record
It displays all the examination records of the current selected patient.

These records are in the format of ‘examination number @ date time’, and these records in
the database will be shown in the list. You can choose the record according to the
examination number or date and time. Click on one record, and the detailed information of
it will be shown in Exam Info.
3) Examination Information
When one record is chosen, the exam ID, department, physician, vessel list and diagnosis
records will display in Exam Info. You can click on the vessel names which had been
scanned in the Vessel list.
And then the spectrum of the selected vessel will be shown in Spectrum Preview window,
and the parameters of this spectrum appear in Exam Info window as the following figure.
Click on the spectrum, a magnified spectrum window appears, on the bottom of which the
parameters are shown. Click on the magnified spectrum to return to the spectrum preview
window.
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Click on the Load key, the database management window will close and the spectrums in
the selected examination record will be shown in the spectrum stored display region on the
main interface. You can click on the spectrum to show it in the spectrum display area, do
manual measurement again and the results of parameters calculation can also be stored in
the database. The selected spectrum can be deleted by pressing Delete on keyboard.
Note: The system will prompt you to change the scan mode when the system scan
mode and the scan mode of spectrum stored are different.
When the detailed information is shown, click on the Print Report key to enter the Report
Preview window to print out the report.
Even when the spectrum records are loaded, new examination can still be done and the new
spectrum examination records will be saved to the archive too.
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Chapter 6 Quick Operation Steps and Tips
6.1 Quick Operation Steps

Before examination please make sure that all hardware and available probes are connected
well, and the CBS-USB Module is powered safely.
The main operation steps are introduced below:
1) Power on the CBS-USB Module and enter into the main interface of the system;
2) Click on the key to set the system such as general settings, display settings,
and calculation settings etc.;
3) Click on the key to do patient login before examination in order to save the
exam records to database later;
4) Choose working modes according to clinical needs from pull-down menu such as the
following figure shows (the available working modes depend on the model of the
system.)
5) Adopt headpiece and fix probes well if long time examination or monitoring is
needed.
6) Choose the vessel to be scanned in the vessel choose column and adjust scan
parameters such as sample, power and depth etc.
7) Double-click on spectrum display area or click on the icon to begin scanning;

8) When the spectrum is satisfying, freeze it. Then you can do manual measurement and
parameter calculation, store the scanned spectrum and all results to database.
9) After scanning, doctors can input diagnosis result, and print out the diagnosis report
with spectrums by clicking on the Report key.

10) Re-log in if you want to exam another patient.
11) When the examination is finished, click on the icon at the top right corner of the
main interface to exit the system.
Note:
1. Multigate working mode is recommended to be used for HITS detection
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function. By this way, the detection efficiency and accuracy can be improved.
2. For long time monitoring, headpiece may be adopted.
3. Don’t power off the system during the process of saving or other operation. Or
else some data will be lost and the system may crack.
Flow chart of the recommended operation steps:
Power On
Examination Window
Patient Login Select Scan Mode System Setup Archive Management
Input Patient Info Select Probe Preset Parameters
Choose Vessel
Adjust Scan Parameters
Satisfying Spectrum
Freeze Spectrum Spectrum Playback
Calculate & Annotate
Store Spectrum Database
Edit Report Load Patient Spectrum Record
Print Report
End
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6.2 Operation Tips

1) Probe Selection
According to different working modes and penetration depths of acoustic powers in tissue,
the right type of probes should be chosen to finish examination successfully.
A The 2MHz PW probes are used for TCD diagnosis and monitoring. The penetration
depth range is from 20mm to 177mm.
A The 4 MHz and 8MHz CW probes are designed for extracranial and peripheral upper
and lower limbs vessels examinations, the deep arterial and venous examinations in
particular. The penetration depth range is from 15mm to 80mm.
2) Sample Volume
A Pay attention to the space relationship of vessels. Always use the right depth and probe
angle.
A Decide the direction of blood flow: toward probe or away from probe.
A Whether it is in the pressing neck test or not.
3) Finding a Signal
Location of a cranial pathway or “window” is the first important step to obtain a Doppler
signal from an intracranial vessel. There are three main windows to access these vessels:
a) Approach the basal cerebral arteries which include the Circle of Willis through
transtemporal window.
b) Approach the carotid siphon through transorbital window.
c) Approach the basilar artery and vertebral artery intracranial segments through
suboccipital or transforamenal window.
The location of the temporal windows is above the zygomatic arch. There are three
commonly found ultrasonic windows: anterior window (AW), middle window (MW), and
posterior window (PW). The search for these windows is easier with the blood sound from
the speakers of the Transcranial Doppler System.
It is important to firstly ensure that the probe is contacted well with the skin by placing a
sufficient quantity of ultrasonic coupling gel on the interface.
4) Identification of Arteries:
A Once the window is found, a search for Doppler signals of the middle cerebral artery
(MCA), the anterior cerebral artery (ACA), and the posterior cerebral artery (PCA) may
be undertaken. The MCA can be found at the depth of 45 to 55 mm. Depth settings
varies according to head width. The MCA can be followed laterally by using slight
probe movements and stepping the depth from deep to shallow or vice versa. The M1
- 73 -
section of the MCA usually has the highest velocity with flow towards the probe; MCA
branches usually exhibit lower velocities. Vessel identification can be enhanced by
noting: velocity MCA > velocity ACA > velocity PCA. Artery identification is made by
observing the spatial relationship of the Doppler signal with respect to other intracranial
signals and by observing the direction of blood flow (toward or away from the probe).
An important indicator of the spatial relationship between arteries is the branching of
the superclinoid internal carotid artery (ICA) into the anterior cerebral artery (ACA)
and the middle cerebral artery (MCA). Blood flow in the MCA should be toward the
probe (above zero baseline) while the ACA normally demonstrates flow away from the
probe (below zero baseline).
A As the depth increases up to more than 55 mm, the MCA signal may disappear and the
ACA signal becomes stronger. ACoA (anterior communicating artery) will appear at the
depth of about 70-75mm. Now the bi-directional flow may be demonstrated again,
indicating the contralateral ACA flow of the ipsilateral and contralateral with midline.
A The posterior cerebral artery (PCA) can also be detected at the depth of about 65 mm
depth by angling the probe tip backwards and downwards. The velocities are usually
lower than those of ACA. Increase the examination depth to confirm that it is PCA.
Bi-directional flow signal at 70-75 mm represents the top of the basilar artery. Increase
the depth again can see the contralateral PCA flow in reverse direction.
A The ophthalmic artery is often located first and is recognized by its high resistance
characteristic. When using the orbital window, make sure to reduce the power output of
the Doppler ultrasound to the minimal level required to achieve a good signal (5-10%
suggested). The probe is placed over the closed eyelid with sufficient coupling gel on
the probe-skin interface. A depth of 40-69 mm is recommended, with the beam directly
toward the optic canal.
A Intracranial segments of the vertebral arteries and the proximal and middle segments of
the basilar arteries can be observed by detecting through the foramen magnum. This can
be accomplished by having the patient bow their head slightly forward, thus opening the
gap between the cranium and the spinal column and allowing penetration of the
ultrasound beam to the intracranial region. The vertebral arteries may be found at the
depth of 0~70 mm. The basilar artery may be found approximately at the depth of
80-120 mm.
- 74 -
Chapter 7 Cleaning and Maintenance
7.1 Cleaning
CAUTION : Switch off all power before cleaning and disinfecting, and prevent
the detergent from seeping into the equipment.
1) Main Unit
Keep the surface of the equipment clean and free of dust and dirt. The equipment surface
can be cleaned with a soft cloth dampened with clean water or mild detergent, and prevent
the detergent from seeping into the equipment.
2) Probes
To clean the probes:
¾ Switch off all power and disconnect the probes first.
¾ Wipe the probes with a soft cloth.
¾ Clean the probes with a cloth soaked in a solution of soap and water, or a cleaning
solution. Use only the following cleaning solutions:
A BURATON LIQUID
A MIKROZID
A ETHANOL 70%
A SPORACIDIN
A CIDEX
When using a cleaning solution, follow the manufacturer’s directions carefully to avoid
damaging the probes.
¾ Wipe the probes with a cloth damped with water.
¾ Wipe the probes with a clean, dry cloth to remove any remaining moisture.
Note: Do not immerse probes in any liquid. Do not heat or autoclave.
3) TCD-Specific keyboard
¾ The keyboard case and keys may be cleaned by using a damp, soft, and lint free cloth.
¾ Do not use any petroleum-based solvents such as ethanol, as this may damage the
plastic components used in the keyboard construction.
¾ Do not pour or spray cleaning solutions directly onto the keyboard, as this could result
in electrical failure of the keyboard.
4) Headpiece
¾ Wipe the Ultrasound gel off.
- 75 -
¾ Clean the headpiece with a cloth soaked in a solution of soap and water, or a cleaning
solution.
¾ Wipe the headpiece with a cloth damped with water.
¾ Wipe the headpiece with a clean, dry cloth to remove any remaining moisture.
CAUTION :
♦ Don’t use strong solvent, for example, acetone.
♦ Never use an abrasive such as steel wool or metal polish.
♦ Do not allow any liquid to enter the product, and do not immerse any parts of
the device into any liquids.
♦ Avoid pouring liquids on the device while cleaning.
♦ Don’t remain any cleaning solution on the surface of the device.
7.2 Disinfection
To avoid extended damage to the equipment, disinfection is only recommended when

stipulated as necessary in the hospital maintenance schedule. Disinfection facilities should
be cleaned first.
Do not use Povodine®, Sagrotan®, Mucovit® or strong solvent.
Do not use strong oxidant, for example, bleaching powder.
Do not use bleaching powder with sodium hypochlorite.
Many cleaners must be diluted before use. Follow the manufacturer’s directions carefully to
avoid damaging the equipment.
Do not use EtO gas or formaldehyde to disinfect the main unit, probes, and cable.
CAUTION :
♦ Disinfection, if required, can not be done with high temperature, autoclaving or
radiation.
♦ Do not use chloric disinfectant such as chloride and sodium hypochlorite etc.
7.3 Maintenance
The equipment should undergo periodic safety testing by a qualified person who has
adequate training, knowledge, and practical experience. The testing should include:
a) Inspecting the equipment and accessories for mechanical and functional damage.
b) Inspecting the safety related labels for legibility.
c) Inspecting the fuse to verify compliance with the rated current and circuit-breaking
characteristics.
- 76 -
d) Verifying that the device functions properly as described in the instructions for use.
e) leakage current measurement
If the equipment is not functioning properly or fails any of the above tests, the device
has to be repaired. The recommended testing interval is once every two years or as
specified in the institution’s test and inspection protocol.
You must check that the equipment, cables and probes do not have visible evidence of
damage that may affect patient safety or equipment capability before use. If damage is
evident, replacement is recommended before use.
1) Main Unit
♦ The equipment should be placed in the dry and well-ventilated place instead of in the
dusty and humid environment. The air path for cooling the system should be kept well
ventilated.
♦ Do not place the equipment at the sunshiny places or the places beside the stoves.
♦ Keep the equipment away from high frequency electrotome and high power ultrasonic
physical therapy, etc.
2) Probes
♦ Probes are sensitive and should be handled with care. Avoid dropping or knocking
against hard surface.
♦ After examination, clean remains of ultrasound gel on probes with soft paper.
♦ Integrity of the probes and probe cables should be checked regularly. Replacement is
recommended if damage or aging is found.
3) Replacement of Fuse
Unscrew the fuse cap anticlockwise, replace the fuse (protector tube) and screw down the
fuse cap clockwise. Fuse size: Ф5x20 Rated value: T1.6AL/250VP.
Note: Switch off power before examining the fuse.
- 77 -
Chapter 8 Accessories and Order
WARNING : Only accessories supplied or recommend by EDAN can be used.

Or else, the performance and electric shock protection can not be
guaranteed.
Table 8-1 Standard Accessory List
No. Accessory Part Number

1 2MHz PW Probe 12.01.106035
2 4MHz CW Probe 12.01.15853
3 Power cord 01.13.36014
5 Ultrasound gel 11.57.78001
6 Grounding wire 11.13.114214
7 Software installation CD 12.01.37904
8 Probe bracket 11.52.20546
9 Audio cable 11.13.36032
10 Sentinel 12.01.047217
Table 8-2 Optional Accessory List
No. Accessory Part Number

1 8MHz CW Probe 12.01.15854
2 Monitoring Headpiece 02.04.105708
3 PC 03.13.103663
4 Louder speaker 11.18.52138
5 Printer 11.18.52171
6 TCD-Specific Keyboard 12.01.106055
CBS-USB Module Transcranial Doppler System and its accessories are available by
contacting local distributor or manufacturer.
If you have any question, please contact local distributor or the manufacturer to get help.
Note: The accessory lists above are based on the maximum configuration of the
system. Some standard accessories may not be available for the system with
basic configuration. Please refer to the real model bought for detail information
of configuration.
- 78 -
Chapter 9 Warranty and After-Sales Service
9.1 Warranty
EDAN warrants that EDAN’s products meet the labeled specifications of the products and will
be free from defects in materials and workmanship that occur within warranty period. The
warranty period begins on the date the products are shipped to distributors.
The warranty is void in cases of:
a) damage caused by handling during shipping.
b) subsequent damage caused by improper use or maintenance.
c) damage caused by alteration or repair by anyone not authorized by EDAN.
d) damage caused by accidents.
e) replacement or removal of serial number label and manufacture label.
If a product covered by this warranty is determined to be defective because of defective
materials, components, or workmanship, and the warranty claim is made within the warranty
period, EDAN will, at its discretion, repair or replace the defective part(s) free of charge.
EDAN will not provide a substitute product for use when the defective product is being
repaired.
9.2 Service Policy
All repairs on products must be performed or approved by EDAN. Unauthorized repairs will
void the warranty. In addition, whether or not covered under warranty, any product repair shall
be exclusively be performed by EDAN certified service personnel.
If the product fails to function properly or if you need assistance, service, or spare parts, contact
EDAN’s service center. A representative will assist you troubleshooting the problem and will
make every effort to solve it over the phone or Email, avoiding potential unnecessary returns.
In case a return can not be avoided, the representative will record all necessary information and
will provide a Return Material Authorization (RMA) form that includes the appropriate return
address and instructions. An RMA form must be obtained prior to any return.
Freight policy:
Under warranty: the service claimer is responsible for freight & insurance charges when a
return is shipped to EDAN for service including custom charges. EDAN is responsible for
freight, insurance & custom charges from EDAN to service claimer.
Out of warranty: the service claimer is responsible for any freight, insurance & custom charges
for product.
- 79 -
Contact information:
If you have any question about maintenance, technical specifications or malfunctions of devices,
contact your local distributor.
Alternatively, you can send an email to EDAN service department at: support@edan.com.cn
- 80 -
Appendix 1 Technical Specifications
Safety Standards & Classification
1) Safety standards: IEC 60601-1:1988+A1+A2, EN

60601-1:1990+A1+A2, IEC/EN
60601-1-2:2001+A1, IEC/EN 60601-1-4,
IEC/EN 60601-2-37, IEC/EN 61157,
IEC60601-1-1:2000
2) Anti-electric-shock type: Class І
3) Anti-electric-shock Degree Type B
4) Degree of penetration Main Unit IPX0, Ordinary equipment (without liquid
of liquids: proof)
Probe IPX4, prevent spilt water
5) Degree of safety of application in Equipment not suitable for use in the

the presence of flammable gas: presence of flammable gas
6) Working Mode: Continuous operation
7) Cleaning/Disinfection method Refer to chapter 7 for detailed information
8) EMC: Group І, Class A
Mechanical Data & Power Supply
Dimensions: (L,D,H) 318 mm×89 mm×161 mm
Weight: 3.1 kg
Voltage: 100V-240V~
Frequency: 50 Hz /60 Hz
Pmax: 60VA
Environment
Transport & Storage Working

Temperature -40℃ ~ +55℃ +5℃ ~ +40℃
25% ~ 93% 25% ~ 80%
Relative Humidity
(non-condensing) (non-condensing)
Atmospheric Pressure 700hPa ~ 1060hPa 860hPa ~ 1060hPa
- 81 -
Main Accessories & paraneters
A Probes: 2MHz PW, 4MHz CW, 8MHz CW (optional)
A Fuse: T1.6AL/250VP, Ф5x20
A System Gain: 0dB ~ 40dB
A Transmission Power: 10% ~ 700%, 10% ~ 40% (Extracranial)
A PW Depth: 20mm ~ 177mm
A Spectrum: 256-Dots FFT
A Spectrum Display: 256 color scale with 9 medical coding scheme
Range & Accuracy of Clinical Parameters
Transducer Frequency Range Velocity Range Accuracy
2MHz PW 50Hz~16KHz@20mm~177mm Up to 632cm/s ±10%
4MHz CW 50Hz~16KHz Up to 316cm/s ±10%
8MHz CW 50Hz~16KHz Up to 158cm/s ±10%
- 82 -
Appendix 2 Basic Knowledge of TCD Examination
A2.1 Intracranial Windows
1) Transtemporal Window
This window is above the zygomatic arch, from where you can examine the basal cerebral
arteries of the Willis Circle. Such as MCA, ACA, PCoA and PCA. The window can also be
divided to three windows: anterior window (AW), middle window (MW), and posterior
window (PW).
2) Transorbital Window
Through this window you can approach the carotid siphon. Cerebral arteries like OA, ACA,
MCA, PCoA and PCA can be examined here.
3) Transforamenal Window
Through this window you can approach the basilar artery and vertebral artery intracranial
segments. Cerebral arteries like BA and NC can be examined here.
A2.2 Characteristics of Normal Spectrum
A The shape of the spectrum is similar to a right-angled triangle, with two peaks at end
systolic phase called S1 and S2. The peak value of S1 is higher than that of S2. After
the peak S2, there is a sharp decreasing slope down to the diastolic peak called D peak,
which decreases slowly.
A The normal blood vessel is in smooth status. It is clear and easy to find the acoustic
window.
A The Doppler spectrum of intracranial vessels, except OA, has a form of low resistance,
which has a higher diastolic velocity and end diastolic velocity. The values of PI, RI and
S/D are lower. OA is the branch at the end, and the spectrum of OA shows some
characteristics as that of the peripheral vessel which is high resistance spectrum. It has
the lower diastolic and end diastolic velocity. The values of PI, RI and S/D are higher.
A2.3 Abnormal Doppler Spectrum

A High Resistance Spectrum: This type of spectrum is similar to that of peripheral
vascular. It features low diastolic velocity and low end diastolic velocity (sometimes it
- 83 -
is close to zero). The value of PI, RI and S/D are much higher than those in normal
status. This type of spectrum indicates cerebral arteriosclerosis.
A Diffusive Spectrum: The spectrum becomes turbulent. The spectrum has these
characteristics: the spectrum windows disappear, the envelope turns to chaos and the
spectrum is in a diffusive pattern. This type of spectrum indicates low or middle level of
vessel stenosis and vascular malformation of the brain.
A Vortex Spectrum: With the apparently increasing of end systolic velocity and high
energy signals across baseline, this type of spectrum indicates apparently vessel stenosis
cases.
A2.4 Judgment of Abnormal Doppler Spectrum

1) Abnormal Flow Direction
When a certain segment of vessel has severe stenosis or cerebral infarction, the Circle of
Willis has apparent abnormal circulation, and thus results in abnormal flow direction.
A The abnormal MCA flow direction possibly indicates the cerebral infarction at MAC or
ICA.
A The abnormal PCA flow direction indicates the severe cerebral infarction of MCA or
severe cerebral infarction and stenosis of ICA.
A The abnormal VA flow direction indicates the severe stenosis of VA or reverse of VA
caused by intracerebral steal.
2) Abnormal Velocity
A The increase of velocity indicates cerebral vasospasm, stenosis, intracerebral
hemorrhage, subarachnoid hemorrhage or vascular malformation of the brain.
A The decrease of velocity indicates cerebral ischemia, cerebral infarction or cerebral
artery tumor.
A The decrease of end diastolic velocity indicates middle to high level of cerebral
arteriosclerosis.
3) Abnormal PI and RI
A The increase of PI and RI is common in cerebral arteriosclerosis.
A The decrease of PI and RI is common in vascular malformation of the brain
4) Abnormal S/D
Its meaning is the same as increase of PI and RI.
- 84 -
A2.5 Normal Transcranial Doppler Velocities
The following parameter values are for reference only.
Vessel Left Right

Vp 83 ± 27 Vp 83 ± 27
ACA Vm 49.35 ± 16.65 Vm 49.35 ± 16.65
PI 1.025 ± 0.64 PI 1.025 ± 0.64
Vp 95 ± 25 Vp 95 ± 25
MCA Vm 58.3 ± 17 Vm 58.3 ± 17
PI 0.925 ± 0.69 PI 0.925 ± 0.69
Vp 50.5 ± 13.5 Vp 50.5 ± 13.5
PCA Vm 32.2 ± 9.5 Vm 34.35 ± 9.5
PI 0.88 ± 0.55 PI 0.88 ± 0.55
Vp 50 ± 14 Vp 50 ± 14
VA Vm 30.65 ± 9.35 Vm 30.65 ± 9.35
PI 0.93 ± 0.5 PI 0.93 ± 0.5
Vp 41 ± 11 Vp 41 ± 11
OA Vm 20.35 ± 5.65 Vm 20.35 ± 5.65
PI 1.48 ± 0.57 PI 1.48 ± 0.57
Vp 61.5 ± 17.5
BA Vm 32.65 ± 7.65
PI 1.1 ± 0.67
A2.6 Relationship of Normal Calculation Results
A Systolic velocity (Vp) and mean velocity (Vm) decrease in the following order:
MCA ACA PCA BA VA OA
A PI value decreases in the following order:
OA ACA PCA VA MCA BA
A Normally, the blood flow velocity of the male is slower than that of female at the same
age segment.
A If the age segment is divided by 10 years, Vp and Vm decrease with the increase of age.
A PI value increases with the increase of age.
- 85 -
Appendix 3 Words, Formulas, Indexes
A3.1 Common Words
A3.1.1 Blood Vessels
L MCA Left Middle Cerebral Artery R MCA Right Middle Cerebral Artery
L ACA Left Anterior Cerebral Artery R ACA Right Anterior Cerebral Artery
L PCA Left Posterior Cerebral Artery R PCA Right Posterior Cerebral Artery
Left Posterior Communicating Right Posterior Communicating

L PCoA R PCoA
Artery Artery
Left Terminal Internal Carotid Right Terminal Internal Carotid
L TICA R TICA
Artery Artery
L OA Left Ophthalmic Artery R OA Right Ophthalmic Artery
LCS Left Carotid Siphon RCS Right Carotid Siphon
L VA Left Vertebral Artery R VA Right Vertebral Artery
Left Posterior Inferior Cerebellar Right Posterior Inferior Cerebellar

L PICA R PICA
Artery Artery
BA Basilar Artery ACoA Anterior Communicating Artery
L CCA Left Common Carotid Artery R CCA Right Common Carotid Artery
L ICA Left Internal Carotid Artery R ICA Right Internal Carotid Artery
L ECA Left External Carotid Artery R ECA Right External Carotid Artery
TRUNCUS Brachiocephalic Trunk POP Popliteal Artery
FEMM-COM Femoral Artery, Common FEMM-SUP Femoral Artery
TIB-ANT Tibial Artery, Anterior TIB-POST Tibial Artery, Posterior
DOR-PED Dorsalis Pedis Artery SUBCL Subclavian Artery
BRACH Brachial Artery RAD Radial Artery
ULNA Ulnar Artery FIBUL Peroneal Artery
DIGI Digital Arteries, Palmar, Proper DIGPP Digital Arteries, Plantar, Proper
- 86 -
A3.1.2 Windows
TtW Transtemporal Window PW Posterior Window
AW Anterior Window TbW Transorbital Window
MW Middle Window TfW Transforamen Window
A3.1.3 Indexes
SBI Spectral Broadening Index S/D Systolic Velocity/ Diastolic Velocity
STI Stenosis Index DFI Direction of Flow Index
PI Pulsatility Index PVI Perfusion Velocity Index
RI Resistance Index
A3.1.4 Spectrums
SP Systolic Peak Vp Peak Systolic Velocity
DP Diastolic Peak Vd End Diastolic Velocity
SW Spectral Window Vm Mean Velocity
A3.1.5 Common Words
PW Pulsed Wave Doppler VF Vortex Flow
CW Continuous Wave Doppler TF Turbulent Flow
DFS Doppler Frequency Shift SpD Systolic Peak Delay
SV Sample Volume TAF TO-away Flow
DSD Doppler Spectral Display SCT Static Compression Test
CBFV Cerebral Blood Flow Volume DCT Dynamic Compression Test
CPP Cerebral Perfusion Pressure VL Envelope
CVR Cerebral Vascular Resistance
- 87 -
A3.1.6 Diagnoses
Intracerebral Hemorrhage VMB Vascular Malformation of the Brain

ICH
Intracerebral Hematoma SAH Subarachnoid Hemorrhage
Cerebral Arteriosclerosis TIA Transient Ischemic Attack

CAS
Cerebral Arterial Stenosis ICS Intracerebral Steal
Cerebral Infarction CV Cerebral Vasospasm

CI
Cerebral Ischemia CVD Cerebrovascular Dilation
A3.2 Formulas and Indexes Explanation
A3.2.1 SBI
Favpk − Fmean
= SBI
Favpk
SBI: Spectral broadening index

Favpk: Frequency shift of diastolic peak velocity
Fmean: Frequency shift of mean velocity
A3.2.2 STI
STI=0.9 (1-Vm/Vp)
STI: Stenosis index

Vp: Peak velocity in stenosis part
Vm: Mean velocity in non-stenosis part
0.9: Constant
A3.2.3 PI
V p − Vd
= PI
Vm
PI: Pulsatility index (The index used to evaluate compliance and flexibility of the artery is
relevant to resistance of artery blood pressure and cerebrovascular)
Vp: Systolic velocity
Vd: Diastolic velocity
Vm: Mean Velocity
- 88 -
A3.2.4 S/D
Vp
=S D
Vd
S/D: Ratio of systolic velocity and diastolic velocity
A3.2.5 RI
V p − Vd
= RI
VP
RI: Resistance index (the index used for measuring cerebrovascular diastole and systole)
- 89 -
Appendix 4 System Startup Status Parameters List

Take MCA (Middle Cerebral Artery) for example:
Freeze/Unfreeze Freeze
Probe 2MHz
Sample Volume 8mm
Blood Flow Direction
Transmission Power 200%

Sample Depth 50mm
Display Gain 12dB
DNR 0
Volume 50
Scan Speed Scale Default
Spectrum Velocity Scale 100cm/s
Spectrum Color Code 1
Envelope On/Off On
Baseline Middle
Aim Vessel Left Middle Cerebral Artery
- 90 -
Appendix 5 Ultrasound Intensity and Safety
A5.1 Ultrasound in Medicine
The use of diagnostic ultrasound has proved to be a valuable tool in medical practice. Given
its known benefits for non-invasive investigations and medical diagnosis, including
investigation of the human fetus, the question of clinical safety with regards to ultrasound
intensity arises.
There is no easy answer to the question of safety surrounding the use of diagnostic
ultrasound equipment. Application of the ALARA (As Low As Reasonably Achievable)
principle serves as a rule-of-thumb that will help you to get reasonable results with the
lowest possible ultrasonic output.
The American Institute of Ultrasound in Medicine (AIUM) states that given its track record
of over 25 years of use and no confirmed biological effects on patients or instrument
operators, the benefits of the prudent use of diagnostic ultrasound clearly outweigh any
risks.
There are as yet no internationally agreed levels of maximum ultrasound intensity output for
Doppler examinations. The tendency is to take into account the peak intensity as well as the
spatial peak-temporal average (SPTA) and also to consider the calculated in situ value rather
than intensities measured from the transducer surface in a water bath.
A5.2 Ultrasound Safety and the ALARA Principle
With Doppler ultrasound, a transducer sends a pulse of ultrasound into tissue and then waits
for part of the pulse to be reflected back. Ultrasound waves dissipate energy in the form of
heat and can therefore cause tissue warming. Although this effect is extremely low with
Transcranial Doppler, it is important to know how to control and limit patient exposure.
Major governing bodies in ultrasound have issued statements to the effect that there are no
known adverse effects from the use of diagnostic ultrasound, however, exposure levels
should always be limited to As Low As Reasonably Achievable (the ALARA principle). You
can control the ultrasonic power or patient exposure to ultrasound in any of the following
three ways:
z Adjust the pulse strength (amplitude)
z Adjust the duration of the pulse (pulse duration)
z Adjust the pulse rate (pulse repetition frequency or PRF)
- 91 -
To change these settings for your system, use the following controls:
Amplitude
The power setting directly influences the amplitude of the pulse burst. A higher setting
increases the amplitude, resulting in a higher ultrasound output at the transducer.
Spectrum Velocity Scale
The higher the scale setting is, the higher the pulse repetition frequency (number of pulses
per second) is, and consequently the higher the ultrasound output is. More pulses per second
are equivalent to a higher power output.
Proper use of these instrument settings can minimize patient exposure, and optimize the
results and efficiency of the equipment.
Always apply the ALARA principle; use power levels that are: As Low As Reasonably
Achievable.
- 92 -
A5.3 Probe Acoustic Output Parameters List
Probe
2MHz PW 4MHz CW 8MHz CW
Parameters
Max Power (mW)
155.9 11.2 6.7
P− (MPa) 0.827 0.085 0.074
I ob (mW/cm2) 77.56 17.50 23.93
I spta (mW/cm2) 2729.56 221.06 163.78

Spectrum
System Setup Velocity: 8KHz POWER: 40% POWER: 40%
POWER: 700%
Zp (mm) 30.0 15.0 15.0
(‖): 2.11 (‖): 2.80 (‖): 1.81
W pb 6 (mm)
(⊥): 1.98 (⊥): 2.37 (⊥): 2.51
prr (kHz) 16000 / /
srr (Hz) / / /
Output Beam
2.01 0.64 0.28
Dimensions(cm2)
f awf (MHz) 2.00 4.00 8.00
APF 0% 0% 0%
Power-up Mode / / /
AIF 48.3% 100% 100%
Initialization Mode PW-mode CW-mode CW-mode

Acoustic Output
Yes Yes Yes
Freeze
- 93 -
Transducer Model: PRE-AMP PW 2MHz TCD PROBE Operating Mode: PW Doppler Mode
Probe SN: 0803 Working Frequency: 2.0MHz
TIS TIB
Index label MI Non-scan Non- TIC
Scan 2 2
Aaprt < 1 cm Aaprt > 1 cm scan
Maximum index value 0.48 - - - - 2.436
pra (MPa) 0.672
P (mW) - - - 155.9
Min. of [Pα (zs), I ta.α -
Associated (zs)] (mW)
zs (cm) -
acoustic
zbp (cm) -
parameters zb (cm) -
z at max. Ipi,α (cm) 3.00
deq (zb) (cm) -
fawf (MHz) 2.00 - - - - 2.00
Dim of Aaprt X - - - - 1.6
(cm)
Y - - - - 1.6
(cm)
Other td (μsec) 14.49
information prr (Hz) 80000
pr at max. Ipi (MPa) 0.827
deq at max. Ipi (cm) -
Ipa,3 at max.MI 15.56
(W/cm2)
Operating Power Setting 700%
control Software Version 1.1
conditions Sale Region Menu CE
Setting
Note 1: Information need not be provided for any formulation of TIS not yielding the maximum value of TIS for
that mode.
Note 2: Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for
transcranial or neonatal cephalic uses.
Note 3: Information on MI and TI need not be provided if the equipment meets both the exemption clauses given in
51.2 aa) and 51.2 dd).
(a) Intended use does not include cephalic so TIC is not computed
# No data reported.
The maximum index value appears when the power setting is 700% and spectrum velocity setting is 8KHz.
- 94 -
Transducer Model: PRE-AMP CW 4MHz TCD PROBE Operating Mode: CW Doppler Mode
TIS TIB
Scan 2 2
Maximum index value 0.035 - 0.213 - 0.698 (a)
pr.a (MPa) 0.069
P (mW) - 11.2 11.2 #
zs (cm) -
acoustic
zbp (cm) -
parameters zb (cm) 1.50
deq (zb) (cm) 0.259
fawf (MHz) 4.0 - 4.0 - 4.0 #
Dim of Aaprt X - 0.9 - 0.9 #
(cm)
Y - 0.45 - 0.45 #
(cm)
Other td (μsec) CW
information prr (Hz) CW
deq at max. Ipi (cm) 0.259
(W/cm2)
Setting
that mode.
Note 3: Information on MI and TI need not be provided if the equipment meets both the exemption clauses given
in 51.2 aa) and 51.2 dd).
# No data reported.
The maximum index value appears when the power setting is 40%.
- 95 -
Transducer Model: PRE-AMP CW 8MHz TCD PROBE Operating Mode: CW Doppler Mode
TIS TIB
Scan 2 2
Maximum index value 0.017 - 0.253 - 0.453 (a)
pr.a (MPa) 0.049
P (mW) - 6.7 6.7 #
zs (cm) -
acoustic
zbp (cm) -
parameters zb (cm) 1.50
deq (zb) (cm) 0.268
fawf (MHz) 8.00 - 8.00 - 8.00 #
Dim of Aaprt X - 0.60 - 0.60 #
(cm)
Y - 0.30 - 0.30 #
(cm)
Other td (μsec) CW
information prr (Hz) CW
deq at max. Ipi (cm) 0.268
(W/cm2)
Setting
that mode.
Note 3: Information on MI and TI need not be provided if the equipment meets both the exemption clauses given
in 51.2 aa) and 51.2 dd).
# No data reported.
The maximum index value appears when the power setting is 40%.
- 96 -
List of symbols
p- or pr Peak-rarefactional acoustic pressure
I ob Output beam intensity
I spta Spatial-peak temporal-average intensity

Distance from the transducer output face to the
zp
point of maximum pulse-pressure-squared
integral (or maximum mean square acoustic
pressure for continuous wave systems)
W pb 6 -6dB beam width
prr Pulse repetition rate
srr Scan repetition rate
APF Acoustic power-up fraction
AIF Acoustic initialization fraction
α Acoustic attenuation coefficient
Aaprt -12dB output beam area
CMI Normalizing coefficient
Deq Equivalent aperture diameter
d-6 Pulse beam width
deq Equivalent beam diameter
fawf Acoustic working frequency
Ipa Pulse-average intensity
Ipa,α Attenuated pulse-average intensity
Ipi Pulse-intensity integral
Ipi,α Attenuated pulse-intensity integral
Ita (z) Temporal-average intensity
Ita,α (z) Attenuated temporal-average intensity
Izpta (z) Spatial-peak temporal-average intensity
Izpta,α (z) Attenuated spatial-peak temporal-average
intensity
- 97 -
MI Mechanical index
P Output power
Pα Attenuated output power
Pl Bounded output power
pi Pulse pressure squared integral
pra Attenuated peak-rarefactional acoustic pressure
TI Thermal index
TIB Bone thermal index
TIC Cranial-bone thermal index
TIS Soft-tissue thermal index
td Pulse duration
X,Y -12dB output beam dimensions
z Distance from the source to a specified point
zb Depth for TIB
zbp Break-point depth
zs Depth for TIS
- 98 -
Appendix 6 EMC Information- Guidance and

Manufacture’s Declaration
Guidance and manufacture’s declaration – electromagnetic emissions-

for all EQUIPMENT and SYSTEMS
Guidance and manufacture’s declaration – electromagnetic emission

The CBS-USB Module Transcranial Doppler system is intended for use in the electromagnetic environment specified
below. The customer or the user of the CBS-USB Module Transcranial Doppler system should assure that it is used in
such an environment.
Emission test Compliance Electromagnetic environment – guidance
RF emissions The CBS-USB Module Transcranial Doppler
CISPR 11 system uses RF energy only for its internal
Group 1 function. Therefore, its RF emissions are very
low and are not likely to cause any interference
in nearby electronic equipment.
RF emission The CBS-USB Module Transcranial Doppler
Class A
CISPR 11 system is suitable for use in all establishments,
Harmonic emissions other than domestic and those directly
Class A
IEC 61000-3-2 connected to the public low-voltage power
Voltage fluctuations/ supply network that supplies buildings used for
flicker emissions Complies domestic purposes.
IEC 61000-3-3
- 99 -
Guidance and manufacture’s declaration – electromagnetic immunity –

for all EQUIPMENT and SYSTEMS
Guidance and manufacture’s declaration – electromagnetic immunity

below. The customer or the user of CBS-USB Module Transcranial Doppler system should assure that it is used in such
an environment.
Electromagnetic environment
Immunity test IEC 60601 test level Compliance level
- guidance
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete
discharge (ESD) ±8 kV air ±8 kV air or ceramic tile. If floor are
IEC 61000-4-2 covered with synthetic material,
the relative humidity should be at
least 30%.
Electrical fast ±2 kV for power supply ±2 kV for power Mains power quality should be
transient/burst lines supply lines that of a typical commercial or
IEC 61000-4-4 hospital environment.
Surge ±1 kV differential ±1 kV differential Mains power quality should be
IEC 61000-4-5 mode mode that of a typical commercial or
±2 kV common mode ±2 kV common hospital environment.
mode
Power frequency 3A/m 3A/m Power frequency magnetic fields

(50Hz) should be at levels characteristic
magnetic field of a typical location in a typical
IEC61000-4-8 commercial or hospital
environment.
Voltage dips, short <5% UT <5% UT Mains power quality should be
interruptions and (>95% dip in UT) (>95% dip in UT) that of a typical commercial or
voltage variations for 0.5 cycle for 0.5 cycle hospital environment. If the user
on power supply of the CBS-USB Module
input lines 40% UT 40% UT Transcranial Doppler system
IEC 61000-4-11 (60% dip in UT) (60% dip in UT) requires continued operation
for 5 cycles for 5 cycles during power mains
interruptions, it is recommended
70% UT 70% UT that the CBS-USB Module
(30% dip in UT) (30% dip in UT) Transcranial Doppler system be
for 25 cycles for 25 cycles powered from an uninterruptible
power supply or a battery.
<5% UT <5% UT
(>95% dip in UT) (>95% dip in UT)
for 5 sec for 5 sec
NOTE UT is the a.c. mains voltage prior to application of the test level.
- 100 -
Guidance and manufacture’s declaration – electromagnetic immunity –

for EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING
Guidance and manufacture’s declaration – electromagnetic immunity
below. The customer or the user of CBS-USB Module Transcranial Doppler system should assure that it is used in such an
environment.
Compliance
Immunity test IEC 60601 test level Electromagnetic environment - guidance
level
Portable and mobile RF communications
equipment should be used no closer to any
part of the CBS-USB Module Transcranial
Doppler system, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency
of the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3Vrms
IEC 61000-4-6 150 kHz to 80 MHz ⎡ 3 .5 ⎤
d =⎢ ⎥ P
⎣ V1 ⎦
Radiated RF 3 V/m 3 V/m ⎡ 3 .5 ⎤

d =⎢ ⎥ P 80 MHz to 800 MHz
IEC 61000-4-3 80 MHz to 2.5 GHz ⎣ E1 ⎦
⎡7⎤
d =⎢ ⎥ P 800 MHz to 2.5 GHz
⎣ E1 ⎦
Where P is the maximum output power rating
of the transmitter in watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in metres
(m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site
survey,a should be less than the compliance
level in each frequency range.b
Interference may occur in the vicinity of
equipment marked with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the CBS-USB Module Transcranial
Doppler system is used exceeds the applicable RF compliance level above, the CBS-USB Module Transcranial
Doppler system should be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as reorienting or relocating the CBS-USB Module Transcranial Doppler system.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
- 101 -
Recommended separation distances between portable and mobile

RF communications equipment and the EQUIPMENT or SYSTEM –
for EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING
Recommended separation distances between

portable and mobile RF communications equipment and the CBS-USB Module
The CBS-USB Module Transcranial Doppler system is intended for use in an electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of the CBS-USB Module Transcranial Doppler system can help
prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications
equipment (transmitters) and the CBS-USB Module Transcranial Doppler system as recommended below, according to the
maximum output power of the communications equipment.
Separation distance according to frequency of transmitter
Rated maximum (m)
output power of 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
transmitter
⎡ 3 .5 ⎤ ⎡ 3 .5 ⎤ ⎡7⎤
(W) d =⎢ ⎥ P d =⎢ ⎥ P d =⎢ ⎥ P
⎣ V1 ⎦ ⎣ E1 ⎦ ⎣ E1 ⎦
0.01 0.1167 0.1167 0.2334
0.1 0.3689 0.3689 0.7378
1 1.1667 1.1667 2.3334
10 3.6893 3.6893 7.3786
100 11.6667 11.6667 23.3334
For transmitters rated at a maximum output power not listed above, the recommended separation distance
d in metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where
P is the maximum output power rating of the transmitter in watts (W) according to the transmitter
manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
- 102 -
EDAN INSTRUMENTS, INC.
3/F-B, Nanshan Medical Equipment Park, Nanhai Rd 1019#, Shekou,
Nanshan Shenzhen, 518067 P.R. CHINA
TEL: +86-755-2689 8326 FAX: +86-755-2689 8330
Email: info@edan.com.cn
EC REPRESENTATIVE
Shanghai International Holding Corp. GmbH (Europe)
Eiffestrasse 80, D-20537 Hamburg Germany
TEL: +49-40-2513175 FAX: +49-40-255726
E-mail: antonjin@yahoo.com.cn

CBS-USB Module Transcranial Doppler System User Manual-1.3

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EDAN INSTRUMENTS, INC.

Responsibility of the Manufacturer

The instrument is used in accordance with the instructions for use.

Using This Label Guide

NOTE: A NOTE provides useful information regarding a function or a procedure.

Chapter 1 Safety Guidance...............................................................................................................................................................................1

1.1 Safety Precautions.....................................................................................................................................................1

2.1 System Configuration...............................................................................................................................................6

4.1 Hardware Installation & Connections..................................................................................................................27

5.1 Patient Login............................................................................................................................................................30

Chapter 9 Warranty and After-Sales Service............................................................................................................................................79

9.1 Warranty ...................................................................................................................................................................79

Appendix 2 Basic Knowledge of TCD Examination...............................................................................................................................83

A2.1 Intracranial Windows..........................................................................................................................................83

A3.1 Common Words...................................................................................................................................................86

Appendix 5 Ultrasound Intensity and Safety ............................................................................................................................................91

A5.1 Ultrasound in Medicine ......................................................................................................................................91

Chapter 1 Safety Guidance

1.1 Safety Precautions

1. This equipment is provided for the use of qualified physicians or personnel

2. The equipment should be installed by a qualified service engineer. Do not try

4. SHOCK HAZARD-The power receptacle must be a grounded hospital grade

5. SHOCK HAZARD-Do not attempt to connect or disconnect a power cord with

6. EXPLOSION HAZARD-Equipment not suitable for use in the presence of a

7. Only accessories supplied or recommended by EDAN can be used. Or else,

9. Don’t touch signal input/output connector and the patient simultaneously.

11. The equipment should never be placed directly on the floor.

16. The integrity of the system ground should be checked periodically by a

18. Improper electrical installation is likely to bring interference among devices

1. Refer servicing to qualified personnel.

2. The equipment is designed for continuous working and is “ordinary”. Do not

4. Electromagnetic Interference--Ensure that the equipment is not subject to any

5. High frequency or large electrical medical equipment such as electrosurgical

7. Use this equipment in humidity controlled medical use rooms with an

8. Do not operate the equipment if it is damp or wet because of condensation or

A Inspect the equipment for mechanical and functional damage.

20. The device and accessories are to be disposed of according to local

Consult instructions for use

Authorized representative in the European community

IPX4 Probe is protected against splashing water

P/N Part Number

General symbol for recovery/recyclable

ON (AC power supply)

OFF (AC power supply)

Supported USB version

Audio signal output interface

Power and working status indicator

♦ This device is not intended for home use.

WARNING : This device is not intended for treatment.

2.1 System Configuration

2MHz PW 2 MHz pulse wave Doppler probe

2.2 Working Modes and Functions

Working Mode Function Probes

Intracranial Scan one intracranial vessel at a time 2MHz

Scan multiple depths of one vessel or multiple

USB port Standard USB 2.0

Headpiece Monitoring headpiece

Operating systems Windows XP Professional and Windows Vista

Loading historical records

Database management and statistics

Diagnosing options 24-hr trend plot monitoring

Dual Channels examination

Automatic emboli detection

Spectrum 128/256 Dots FFT