ALOKA ECHO CAMERA Model SSD-500 OPERATOR’S MANUAL Manual No.: MN1-0346 Effective software version: 5.0 (S/N : 01M7401 onward) Issued on August 27, 1990 ALOKA CO., LTD.‘TABLE OF CONTENTS: PAGE ALOKA SSD-500 FEATURES SAFETY INSTRUCTIONS SPECIFICATIONS NAME AND FUNCTION OF CONTROLS 41 4,1 External View ... 2 41 4.2 Front Side Controls 42 4,3. Operation Panel Controls 44 44 Rear Panel Controls 410 MENU FUNCTIONS . 51 LET’SGETSTARTED . 6.1 Installation 6.2 Turning On Power B-MODEIMAGING . TA Introduction ....... 7.2 Adjustmentoflmage . 78 Useful Functions for B-mode Imaging 7-10 7.4 Displaying Body Mark . 7.5 Dual B-mode Display . 712 M-MODE IMAGING . 81 8.1 Introduction 8-1 8.2 Adjustment ofImage .... : 82 83 Useful Functions for M-mode Imaging 84 BASIC MEASUREMENTS o1 9.1 Distance . OL 9.2 Area/Circumference 93 9.3. Velocity ... 96 94 Heart Rate 98 9.5 Angle 9-10 9.6 Ratio 9-1210. iL. 12, 13. 14. GESTATIONAL AGE CALCULATION 10-1 10.1 Introduction 7 : seve WL 10.2 Indicator Method . i eee - 10-2 10.3 Gestational Age Calculation by Parameter Method .......... 10-6 10.4 Fetal Growth Tables .. 10-12 FETAL WEIGHTESTIMATION ...........00000e¢0000eee000ee) HL 11.1 Introduction Et 11-1 11.2 Shepard Method . 113 11.8 Hadlock Method . - 15 CHARACTER DISPLAY ..... . 12. RECORDING IMAGE - 1d 13-1 13-2 13-4 13-5 18.1 VCR Recording ... 13.2 Thermal Printer (SSZ-300) 13.8 Polaroid Camera Unit (SSZ-108U-P) 13.3 SLR Camera Unit (SSZ-108-35) . ‘TROUBLE SHOOTING 14.1Error Message ... 14.2 How to Cope with Trouble . 14.8 Calling Service Person .. 141 141 14.2 14:3 INDEX itSection 1 FEATURES1. ALOKA SSD-500 FZATUERS 1. ALOKA SSD-500 FEATURES ‘The ALOKA ECHO CAMERA model SSD-500 is a portsble linear/convex sector ultrasound seanner. It is compact in size and light in weight, yet it provides superb image quality as good as more expensive, bulky system. Imaging mode include single B mode, dual B mode, B and M simultaneous display mode and single M mode. Measurements include distance, area, circumference and M-mode slope (velocity, time and dimension). Caleulations for gestational age and fetal weight are built-in features. The basie system ean be used for general abdominal imaging and OB/GYN imaging. A variety of optional probes are available for extending the area of clinical diagnosis to intraoperative, small parts, cardiac, transvaginal and transreetal imaging and biopsy.Section 2 SAFETY INSTRUCTIONS2. SAFETY INSTRUCTIONS 2. SAFETY INSTRUCTIONS * To operate the equipment correetly and safely, observe the cautions listed below. 1. Use this equipment only for the designated purposes. ‘Type of protective method and degree against electrical shock of this equipment is class I type BF. Since the type is not CF, you must not apply this equipment directly to the heart. 2. Only qualified physicians and sonographers may operate the equipment. 3. Choose @ good location for equipment operation as follows: a) @) @) @ (6) @ ‘The place must be dry and free from any water intrusion. Avoid direet sunlight, sudden temperature or humidity change, cust, salt, chemicals, and any other contaminants. Do not tip, shake, or shock the equipment, not even during transportation. Make sure the power supply has the correct voltage and sufficient capacity. Do not locate the equipment near a power generator roon, X-ray equipment, or in any other place where there is electrical noise. Arrange all connecting eables and wires out of the way so that people cannot trip over them. 4. Before operating the equipment, observe the eautions below. a) @ @) Make sure that the power switeh is in the OFF position before conneeting the power plug to a power outlet. Cheek the connecting cables and cords. And check the setting of switches and controls, to assure valid operating status of the equipment. Use with other electronic equipment may hinder the full capabilit'es of this equipment. ‘Take care in advance to avoid such a situation. ©6. 10. During equipment operation, observe the cautions listed below. (1) Be alert to any abnormality in the equipment, or in the patient. (2) If you notice an abnormality, promptly stop equipment operation in a manner safe to the patient and take whatever action is necessary. (8) Don't let the patient touch the equipment main unit. Following equipment operation, observe the cautions listed below. (1) Restore the original setting of the operating switches, knobs and controls and then switch the power off. (2) When disconnecting cables from sockets, hold the plug, not the eable, (3) To make the equipment and accessories ready for the next patient, properly clean them and then store in an orderly manner. For cleaning the equipment, use soft dry cloths. To remove soil, if necessary, use soft cloth moistened with a neutral detergent or aleohol. If you notice a malfunction, immediately post an adequate caution tag (for example, noting "Under repair. Do not use.") on the equipment and contact our distributors for repairs. Never under any circumstances, modify, remodel, or otherwise rework the equipment. Maintenance and Inspection When operating equipment left unused for a long time, be sure to check the equipment to assure normal and safe operation. Charging Battery In the equipment, the clock for date and time display is powered by the incorporated battery. Apply power to the equipment for about eight hours a week, even when the equipment is not being operated for a long period. If date is not displayed, apply power to the unit for about 15 hours continuously.2. SAFETY INSTRUCTIONS CAUTIONS WHEN USING THE PROBE: (1) The probe is easily affected by shock. In particular, the patient contact area is easily damaged by bumping, so use extreme care. (2) Do not immerse the entire probe in water or other liquids. (3) Avoid roughly bending or pulling the cable as this may break it. (4) After using the probe, wipe off the ultrasound gel. To clean the probe, use a neutral detergent or aleohol. Always keep the probe clean. (5) To clean the probe after use, wash the head with water and wipe with a soft material such as gauze or sponge, or wash in running water. Do not use a stiff brush. (6) To sterilize or disinfect the intraoperative probe after use, clean its sean head then disinfeet the probe as shown below. 8) Gas (*1) Formatin gas or ethylene oxide gas *1 Use below 55°C b) Medical liguia (2) HibitaneT™, Isodine™, Detergicide?™ or Pureiox™™ Soak the probe in one of the above liquids for several minutes and completely wash the soaked part. *2 Do not immerse the connector plug. Note 1: Do not autoclave or boil the probe. Avoid decompressing/pressurizing the probe. Note 2 Before performing gas sterilization, seal the connector plug against the gas Note 3: Do not apply liquid to th by using a plastic bag. connector plug for cleaning or other purposes. (The connector is not waterproof.)Section 3 SPECIFICATIONS3. SPECIFICATIONS, 3. SPECIFICATIONS Scanning method: Display mode: Standard probe (model UST-934N-3.5) Scanning method: ‘Ultrasound frequency: Angle of views Radius of curvature: Maximum display depth: sTC: Image magnification In B, dual B, and M modest In B/M mode: Focal points in transmission: M-mode Display method: Sweep speed: Sampling cursor: Characters and graphic display 1D Date & time: Focal point: Probe frequency: Gain valu Comment in image area: Measurement value: Image scrolled position: Others: Image memory capacity: Electronic convex sector Electronic linear (option) B-mode Dual B-mode M-mode B/M mode Electronic convex sector 3.5 MHz 60° 60 mm 22 em NEAR and FAR 0.75, 1.0 and x1.5, three steps changeable x10 Maximum 4 points selectable Moving bar 4 seconds per full sereen Controlled through menu function 10 characters x 2 lines Automatic (3 formats selectable) Automatic (Fl - F4) Automatic Automatic (GAIN, NEAR and FAR) 40 charaeters x 28 lines Automatic when measurement is performed Automatic Distance scale mark, image orientation mark, puneture guide line (on/off, possible), M-mode sampling cursor, M-mode time mark, body mark 512 x 512 x 6 bit 3-13. SPECIFICATIONS Gray shades: Image orientation: Image polarity: B-mode image vertical serolling: Measurement and ealeulation functions Caliper control: Measuring item: Caleulation item: Video system: Viewing monitor: Power requirement: Size of main unit: Weight: 64 levels Laterally (right/left) and longitudinally (up/down) available (B-mode only) White-on-black or black-on-white, selectable Possible for linear image only Joypad (standard) or trackball (option) Distance, area, circumference, M-mode slope (velocity, time and dimension), 2 channels each Gestational age and fetal weight, by built-in calculation expression (USA, Europe, Tokyo University or Osaka University method, predetermined by the internal circuit**) 526 lines/frame, 30 frames/see or 625 lines/frame, 25 frames/see ‘T-ineh diagonal 115/220 Vac +10%, 50/60 Hz, S0VA Approx. 29 em (W) x 25 em (D) x 32 em (H) Approx. 10 kg (Main unit only) * ‘The specifications may be subject to change without notice for improvement. ** Change of the gestational caleulation method may be done only by authorized service personnel, 323. SPECIBICATIONS Standard Components Description Imaging unit (main unit) Probe, model UST-934N-3.5 Probe holder Power Cable Grounding wire Ultrasound gel Operation manual Accessories (Spare fuse, Overlay sheet, PCB list, Installation manval) Quantity 1 bottle Iset 3-3Section 4 NAME AND FUNCTION OF EACH CONTROL Funetion of each control fs briefly described. Actual operating procedures are explained in the later sections.4, NAME AND FUNCTION OF CONTROLS, 4.1 External View 4, NAME AND FUNCTION OF CONTROLS: 4.1 External View Rear panel (Page 4-10) * The page number in the parenthesis indicates the page that starts explanation. ‘Top View Carrying grip Screen of viewing monitor Viewing monitor controls (Brightness, Contrast) Probe Holder /— Operation Panel (4 (Page 4-4)[A Press here Operation i toopen Panel (B) SS f (Page 4.6) A. vont Vi i Power cord FrontView] Gai notte Right Side View Eade ise (Page 4-2) Holder ee Connectorsoqmnyas wnat nape (@) s09p vam amog ona soa aay 10s Ive (@) 9an38 soyuom Sepa, "wont pessop on Surs9ar98 soy wos Suipundsass09 ays a2 “ieaio8 ain Uo paSsydp aout -sopind se soy asaxy Saysn ig 2q ume Opg-¥OY fapOU Pood RraMHD TRIOTED ajo Suunour pooy faaesZoyoua (2) 88010 ronwos geanzaiDrae smayoor9 fos S13 wan SEOUALBIAG OM 2889:001 9, “sofouy opow-3 pu apou-g mroq 70 sSaUTYBII9 STOOD STU gains out Vo pamora aBew punosenyin ax yo (saURHB snow renwos avd @) yun sah 03 patdde sf somod uot etG50T soysoqpu soma) s[oxMOg opis WoAy Sp snueg apg sos @F ‘OugNOD HO NOWONA NY ENVY sjonuog spis ota "> ‘STOEINOD JO NOILONNS GNY SN "F4, NAME AND FUNCTION OF CONTROLS 4.3 Operation Panel Controls 4.3 Operation Panel Controls * Unfold the page 4-9 for the figure of the panel. @ Operation Panel (A) Joypad Moves caliper mark (+ or ) in the direction of the pressing. ‘The ealiper mark ean be moved up/down, right/left or diagonally. ‘The caliper mark moves faster if you keep pressing it. Joypad Function selector switches (8) to (13) @) (9) (a0) POSITION (* ‘This works only when linear probe is used.) Shifts image display range. The lower area that is not shown on the sereen can be displayed by serolling up the image. SEE PAGE 1-6 for the operation. BODY MARK | ce SEE PAGE 1-10 for the operation. Y Probe marke Body mark MEASUREMENT switches Pressing the switeh enables each measurement. Fo]: Area measurement switch, +SEE PAGE 9-3 for the operation. ere : + Distance measurement switen. 7 Distance in B-mode and velocity in M-mode can be measured. +SEE PAGE 9-1 for distance measurement. +SEE PAGE 9-6 for M-mode velocity measurement.4, NAME AND FUNCTION OF CONTROLS 4.3 Operation Panel Controls (21) CALIPER MARK switehes =}-] + + caliper switen. dfeasurement is possible by the + ealiper mark. DZ] «caliper switen. Measurement is possible by the x ealiper mark. ‘The caliper marks are displayed when measurement is performed. Distanee or M-mode velocity measurement can be performed just by pressing the switeh by each caliper mark. (12), MARK REF switen Used for marking points for measurement. (13) Probe mark rotation switches ie) + COW (counterclockwise) switch. Rotates probe mark eounterclockwise. QO + CW (clockwise) switeh. Rotates probe mark clockwise. STC control group (14) to (16) (14) NEAR GAIN switehes Controls gain (brightness) in the near field (close to the skin) of the ultrasound image. {+ Increases gain in the near field. 1 Decreases gain in the near field, (15) FAR GAIN switehes Contvols gain (brightness) in the far field (far fom the skin) of the ultrasound image. 1 Increases gain in the far field. + Decreases gain in the far field,4, NAME AND FUNCTION OF CONTROLS 4.3 Operation Panel Controls (16) an (18) (a9) (20) (21) MAGNIFICATION switches Changes image magnification (B-mode and M-mode images) in three steps: x0.75, x 1.0, and x1.5. ye] + Reduces image. Magnifies image. NOTE: Magnification of B/M mode image cannot be changed. OPERATION PANEL (B) PRINT switen To print image by the optional photography unit (SSZ-300). When optional printer model $8Z-300 is connected with this unit, ultrasound image can be recorded by pressing this switeh. MENU switch The menu is a list of funetions displayed on the screen. +SEE SECTION 5. "Dictionary of Menu Funetions" for the detail. FOCUS switen Displays menu for selecting focal zone. +See PAGE 1-8 for the detailed explanation of the function, OB CAL switett Obstetrical calculation switch. Gestational age, expected date of confinement ean be ealeulated. ->SEE SECTION 19. GESTATIONAL AGE CALCULATION. FETAL WEIGHT switen Estimated fetal weight can be calculated. +SEE SECTION 11. FETAL WEIGHT ESTIMATION.4, NAME AND FUNCTION OF CONTROLS 4.3 Operation Panel Controls (22) BODY MARK menu switen | WY, Pressing the switeh displays the BODY MARK GROUP menu as shown below on the sereen. ‘The desired body mark group ean be selected by the menu. See PAGE 7-10 "7.4 Displaying Body Mark" for the operation. BODY MARK’ GROUP ABDON = «OBST HEAD OTHER (23) MODE selection switches rN 2S DB : B mode Dual B mode ‘B/M mode Mmode : Displays « B-mode image. BIB Displays two B-mode images side by side, B/M: Displays B-mode image and M-mode image side by side. : Displays an M-mode image. (24) IMAGE DIRECTION switeh Changes lateral display direetion of B-mode image. i When the switch is off, the direction is normal (+). ‘The FRONT mark on the probe and the direetion Ree mark (+) of the image points in the same direetion mark When the switeh is on, the direction is reversed (<). on SEE PAGE 7-5. 7 Aloka oN 4 4-7enue9 rue, TOINOD fany sH¥N "> STOULNOD £0 NOMONN aNV INVA ">aoypeuues paso Fonoa (96) wang sence ro) iA ruondo sp eeypest9D weasoiee somes 20m wa \Buimsio0} revondo sep aotoeuwo3 (18) woo youeg seo HF (OwINOD dO NOMONAS GNY ANN “Y ay 198099 sersouues pio soMog “somo aun 30 wars 01 aI Q BU SHEL “somod au uo wand 01 9p | 9 RE ous 29808 ) Touts oopts sayezouas soyoouuo s2Mo7 -Twudyso9pia Cao" sozsoun09 zeddn ssorseuves qoute 09914 srvodéo aouy ou Sux 188s} YORE 4S PUP PEYEEEUED HHA OY YOU — «ALON ys95q0 U9, 0 03 sopaauw099 0 303 zo}990009 owes siamo 40) soyo0u09) Aygestozoya 30} soysnfoy ssouBLE (se) oo «eo ae ao (oo wo e0) un) stoxjuog pug A08U Hy sjonu09 toueg s00u #5 STOXLNOO JO NOWLONA CNY SHVN“PSection 5 MENU FUNCTIONS This seetion contains deseriptions of the functions that are controlled by menu. In this section, the words (abbreviations) that represent the functions are arranged in alphabetical order. You can look up the item you want in the same way as in a dictionary. Page AGC 5-4 CONT (Contrast) 5-4 DATE (DATE & TIME) 5-5 DT-DSP (DATA DISPLAY) 5-7 FRM.-CO (Frame Correlation) 5-8 IMG-DI (Image Direction) 5-9 IMG-PO (IMAGE POLARITY) 5-10 PUNC (Puncture Guide Line) 5-11 NOTEI: H-RATE (Heart Rate measurement) is explained on page 9-8. NOTE2: The FOCUS menu is explained on page 7-8. Menus are also displayed when measurement is in process. for the measuring operation. NOTES: The BODY MARK GROUP menu is explained on page 7-10.5, MENU FUNCTIONS Introduetion 5. MENU FUNCTIONS Introduction a, A menu is displayed when you press the MENU switch on the operation panel B. ‘A menu is displayed at the bottom of the screen. Menu display area Menu selection switches b. Selection of a function is done by the menu selection switches below the screen. MENU-1 Menu t FRMCO PUNC CONT AGC Next = [display Title of the menu Menu selection === ||*—— switches ce. Press the switeh just below the menu item you want to select. NOTE: The menu is erased by pressing the MENU switch again.5. MENU FUNCTIONS Introduetion There are three pages in each mode, The first page is common to all the modes . ‘To turn the page, select NEXT in the menu. E MENU=1 NEXT FRM-CO PUNC CONT AGC NEXT NEXT MENU-2 B IMG-PO DATE DT-DSP IMG-DI NEXT MENU-2 B/M (or M) IMG-PO DATE OT-DSP NEXT NEXT To MENU-3 B ANGLE NEXT MENU-3 B/M H-RATE ANGLE NEXT MENU-3 4 HARATE NEXT Menu item Full spelling Page AGC 5-4 CONT Contrast 54 DATE Date & time 5-5 |DT-DSP- Data display 5-7 FRM-CO Frame correlation 5-8 H-RATE Heart rate 98 IMG-DI Image direction 5-9 IMG-PO. Image polarity 5-10 PUNC Puncture guide line 5-11 * Heart rate measurement is explained in section 9 together with other measurement procedures. 5-25. MENU FUNCTIONS Inteoduetion How to read this section ‘The items of menus are arranged in alphabetical order. On each page, explanation is made in the following format: ee ‘Title (item in the menu) PUNC (Puncture Guide Line) oe mew MENU-1 | ° PUNCTURE iret] unc —~|GUIDEL. nasa x ‘Title of the menu displayed by Switch to press for selecting the item displaying menu ‘The item to be selected For the function, ‘Title ofthe menu FUNCTION: Explains functions possible by the menu. MENU: PUNCTURE GUIDEL, EXIT OFF on SELECT ‘The menu displayed when the steps in the “LOCATION” box are done.5. MENU 7UNCTIONS AGC, CONT AGC a ee nee | acc FUNCTION: Enhances outline of tissue echo, MENU: AGC EXIT + ' RESET EXIT: Returns to MENU-1 display. i Decreases AGC effect. Inereases AGC effect. RESET: — Returns to normal state and no AGC processing is applied. CONT LOCATIONS Ty L.[menus | es CONTRAST FUNCTION: Changes contrast of ultrasound image. It changes contrast of B-mode and M-mode images in common. MENU: CONTRAST EXIT + + RESET EXIT: Returns to MENU-1 display. de Deereases contrast. + Increases contrast. RESET: — Returns to predetermined contrast.5. MENU FUNCTIONS DATE DATE (Date & Time) LOCATION: NEXT pate "| TIME pro] DATE Ee FUNCTION: Setting of date and time is possible. Once the date and time are set, the incorporated clock automatically updates the date and time display. ‘The date is used for gestational age calculation. Confirm that the correct date is displayed before starting the ealculation. MENU: DATE TIME EXIT DATE TIME SET EXIT: Returns to MENU~2 display. DATE: — Correets date. (See next page for the setting procedure.) TIME: Correets time. (See next page for the setting procedure.) FORMAT: It is possible to select date format. ‘The following three formats are set in order by pressing the corresponding menu selection switeh: ‘Year/month/day Day-month-year [Month.day.year | SET: Used to start the clock from the corrected time. (To be continued)5. MENU FUNCTIONS DATE STEP: 8. Select DATE in the menu, Character cursor shifts to DATE area. b. Enter date from the keyboard according to the date format as follows: NOTE: Do not enter separation symbols (-, . and /) as they are automatically entered. DD is for day, MM is for month, YY is for year, (Use two digits each.) Date display format Example Keys to be pressed DD-MM-YY 16 January, 1989 160189 MM.DD.YY January 16,1989 | 011689 Y¥¥/MM/DD 1989, January 16 890116 ce Select SET in the menu. a, Select TIME in the menu. b. Enter time from the keyboard. (Example) When the present time is 6:24 and some second pm, press keys in the order of 172500. ‘The entered time is displayed. At 11:25 exactly, select SET in the menu. The clock starts from the entered time. NOTE: ‘The incorporated clock is powered by rechargeable battery and automatically charged whil power is applied to the unit. If the date and time are not displayed, the battery may have gone flat.5. MENU FUNCTIONS DIDS? DT-DSP (Data Display) Eocene eee ene _Jmenv2 {para 7 Next | or-pse | pisLay FUNCTION: Displays or erases data display (equipment aE parameters) on the sereen. ~/\ “The following data can be erased or displayed. (Equipment parameters) Item Example | Probe frequency: 3.5M 3.5 MHz Gain setting value: G60 Near field gai N-24 Far field gains F0.9 Data display MENU: DATA DISPLAY exit OFF on EXIT: Returns to MENU-2 display. OFF: Erases data display. ON: Displays data display.5. MENU FUNCTIONS FRM-CO FRM-CO (Frame Correlation) MENUS | FRAME FRM-CO | CORRELAT. LOCATION: saenu | —>| ‘Turns on/off the frame correlation*. 1. When the frame correlation i behind it as if persistence of vi on, movement of an image leaves a faint trace ion is provided. 2. When the frame correlation is turned off, no persistence of vision is observed. ‘Therefore, this setting is suited for observing fast moving object such as the heart. XIT OFF on EXIT: Returns to MENU-I display. OFF: Turns off the frame correlation. ON: ‘Turns on the frame correlation. AUTO: Frame correlation is turned on or off automatically according to the probe used. Usually set the menu to AUTO. Setting of on/off of frame correlation is predetermined so as to suit the purpose of Giagrosis of each probe. For example, as optional probe UST-244B-3.5 is for cardiac imaging, the setting is off (in the case of one point focus). If you use the probe for another purpose such as abdominal imaging, turn the frame correlation on. initial setting> AUTO5, MENU FUNCTIONS IMG-DI IMG-DI (Image Direction) LOCATIONS Tow Lo [menus Jmenu-2 IMAGE | po next | ie-01. | oirect FUNCTION: ‘Turns a B-mode image upside down. MENU: IMAGE : DIRECT exiT w v Returns to MENU-2 display. Displays normal direction image. Displays upside down image. NORMAL UPSIDE DOWN NOTE: In dual B (BIB) mode, both left and right images are reversed at the same time. Independent image reverse is impossible.5. MENU FUNCTIONS IMG-PO IMG-PO (Image Polarity) Peer MENU-1] MENU-2 | . IMAGE NEXT POLARITY menu [>| FUNCTION: Reverses the black and white of the display on the screen. MENU: IMAGE POLARITY EXIT POS] =—-NEGA 1 EXIT: Returns to MENU-1 display. POS White-on-black image Is displayed. 3 NEGA: —Black-on-white image is displayed. Photo 5-1 POSI image Photo 5-2 NEGA image INFORMATION: Image polarity of video signal output from video signal connector (33) is also changed by this setting. 5-10PUNC (Puncture Guide Line) 5. MENU FUNCTIONS PUNC LOCATION: menu [>| MENU-1 UNC PUNCTURE "| sure. FUNCTION: Turns on/off a puncture guide line display on a B-mode image. ‘The guide line shows the path of an inserted needle when proper puncture probe or puncture adapter is used. ‘The guide line differs from probe to probe. This unit automatically for scanning. isplays a guide line that suits the probe used Puncture guide line MENU: PUNCTURE GUIDEL, EXIT OFF on SELECT EXIT: Returns to MENU-1 display. OFF: — Erases the puncture guide line. ON: Displays the puncture guide line. SELECT: When the puncture tool can set two different insertion angles, select the guide line whieh is to be used. NOTE: ‘The puncture guide line is displayed only in B mode. B-mode position shift is impos ible while the guide line is displayed. For the detail of handling puncture adapter or puncture probe, see the operation manual of each item, a. Turn on the power switch. A message appears and blinks on the screen for several seconds during system set-up. The message shows the system software. (Example of message) [ssD-500 [SYSTEN ver 1.0] |} Systom software version [STATUS 187654321] ———}——> Shows statusof DIP witches [s¥sTEM SET-UP PROCESS b. When the system set-up is completed, the message disappears and the i image display format appears. The initial display mode is B mode. ee Confirm the date and time display. If they are not correct, set them for local date and time. +See PAGE 5-5 for the procedure. NOTE: The gestational age calculation is based on the displayed date. 4. The character cursor ( Mi ) is in the ID area, Enter patient identification number or name using the keyboard, Up to 20 characters can be entered in the ID area. It is possible to enter characters in the image area. For details of character display see section 12. 6-36. LET'S GET STARTED 6.2 Turning On Power Back-up function: When the power is turned on, various equipment parameters (e.g. display mode, magnification, and menu functions) are automatically set to the last conditions just before the power is turned off. Initilization Function Pressing the NEW PATIENT key resets the conditions to those when the power is ‘turned on. ‘The following conditions are controlled by the back-up function and initialization funeiton: MODE (Display mode) MAGNIFICATION STC (NEAR and FAR) FRAME CORRELATION PUNCTURE GUIDE LINE CONTRAST AGC IMAGE POLARITY DATE DISPLAY FORMAT DATA DISPLAY IMAGE DIRECTION (4,7 FOCUS B, B/M, M BODY MARK GROUP BODY MARK BODY MARK DISPLAY ‘Text at the first line in the image area is retained.6, LET'S GET SPARTED 6.2 Turning On Power e. Apply sufficient amount of ultrasound gel to the patient's skin in the scanning area and to the surface of the probe. NOTE: The gel conducts the ultrasound from and to the probe. Without gel, air gets between probe and the skin and reflects the ultrasound, causing poor image. f. Touch the probe against the skin of the patient in the area to be seanned. For details of imaging, measurement and other operation, see each section. B-mode imaging —Section7 Ad ‘M-mode imaging —Section 8 | LMM umference [Section 9 Distance Area/ci Velocity Heartrate Angle Gestational age calculation | [—Section 10 | Fetal weight calculation | [—Section 11 Character display | Section 12 Recording image by optional equipment || Section 13 6-5Section 7 B-MODE IMAGING7. B-MODE IMAGING 7.1 Introduction 7. B-MODE IMAGING 7.1 Introduction B-mode is a mode in which a tomographic image of a scanning plane is displayed in two dimensional form. B-mode image format: Scale mark Active Direction (Lem intervals) mark mark Date = Moka ‘Time $358.08 i TDarea MOTO: Focal pax Focus:-—~ | oo Gray seale bar EXIT ABBON) oBst HEAD OTHER Equipment Brrormessage parameter data: Menu * See section 14 oy ‘TROUBLESHOOTING B.5M: | Probe frequency Aodhan Gain setting value Near gain setting value Far gain setting value1. B-MODE IMAGING 7.1 Introduetion NEAR GAIN | | 4 ERIN a ‘To adjust brightness in the near field of image. MAGNIFICATION Sain (P73) — — ——— Ts | [sh Kp @ FARGAIN| | 4 |) J, + seamen To adjust magnification To adjust brightness of "To adjust brightness in according ta the size of [the whele image. the far field of image. organ image or area of ‘interest. (P78) (P 7-3) (P74) |. IMAGE |; ye DIRECTION |. ea To set depth at which To reverse lateral ultrasound is focused. h direction. (7-7) (P7-5) BODY MARK [!|{9 aoe Thy FREEZE |! (bi) POSITION |) | To display body mark se ne for reference of probe To stop the movement of | * Linear probe only. position. image. To scroll the image. (F7-9) (P75) (P7-5) Others: [To display two B-mode images side by side. 1-11) (Dual B mode) To display playback Section 13 image from VIR. — (P13-1)7, B-MODE IMAGING 7.2 Adjustment of Image 7.2 Adjustment of Image 7.2.1 To adjust overall brightness of B-mode image. (GAIN) GAIN Adjusts overall brightness of B-mode image ‘To inerease the brightness, turn the GAIN knob clockwise, ‘To decrease the brightness, turn the GAIN knob counterclockwise. As shown in Fig. 1, when the gain is insufficient, necessary echoes cannot be seen. As shown in Fig. 3, when the gain is excessive, echo is masked by noise. Fig. 1 Insufficient gain Fig, 2 Adequate gain Fig.3 Excessive gain [7.2.2 To adjust brightness of a specific depth. (STC) STC (NEAR and FAR) STC (Sensitivity Time Control) is for adjusting the brightness of a specific depth. Generally, at near field the echo is too strong and noise is strongly displayed, so reduce the sensitivity. At far field, the echo is faint, so increase the sensitivity. (See the figures below.) 7-31, B-MODE IMAGING 1.2 Adjustment of Image Fig. 1 STC non-adjusted Fig. 2STC adjusted7, B-MODE IMAGING 1.3 Useful Functions for B-mode Imaging 7.3 Useful Functions for B-mode Imaging 7.3.1 To magnify or reduce the image. (MAGNIFICATION) | MAGNIFICATION Magnify or reduce the image. "To magnify th age, press the |t«| switen. To reduce the image, press the | <> |switen. When the standard probe is used, magnification can be changed in three steps as follows: Fig. 1 Magnification: x0.75 ‘Fig. 2 Magnification: x1.0 Fig. 3 Magnificatia Display range: 22 em Display range: 16 em Display rang Magnification of B/M mode image cannot be changed. 7.3.2 To invert lateral image orientation. (DIRECTION) IMAGE DIRECTION Inverts lateral orientation of image without changing probe position. Press the IMAGE DIRECTION switch. When the lateral direetion is inverted, the — mark is displayed at the upper left of the image. ‘To return the lateral direction to normal, press the IMAGE DIRECTION switeh again.1, B-MODE IMAGING 1.8 Useful Functions for B-mode Imaging Direction mark 7 Koka = Normal Reversed 7.3.3 To freeze the image. (FREEZE) FREEZE or optional footswitch (MP-2345) To still (freeze) the B-mode image. When you want to stop the image, press the FREEZE switch or the footswitch, The image freezes immediately. When the image is frozen, the time display also stops. 7.8.4 To scroll the image vertically. (POSITION) POSITION (panel B) To shift image display range up or down, MODE: B, BIB, and M FREEZE: Off; Magnification: x 1.0 or x 1.5 (impossible at x 0.75) 7-67. B-MODE IMAGING 7.8 Useful Functions for B-moce Imaging a b Press the POSITION switeh. The switeh lights. Use the Joypad of (Trackball) as follows: tt ‘The image is scrolled up. dz The image is scrolled down. When an image is serolled, the distance of scrolling is displayed at the upper right corner of the image. (Image scrolled distance is not displayed when the image is not serolled 4p.) a =) Scrolledup ft _7, B-MODE IMAGING 7.3 Useful Funetions for B-mode Imaging 7.3.5 To Change Focal Point contro: |... FUNCTION: It is possible to select the focal point in transmission. When multiple focal points are set, the system transmits ultrasound beams with varying focal point depth. (See the figure below.) MENU: Band BIB mode FOCUS . 8 Ft oe Fa B/M and M modes Focus 8M.M A FB Fa Fi, F2, FS and Fa: ach sets a foeal point. In B and BIB modes, combination of consecutive focal points is possible, however, selection is impossible at intervals. (or example, F1 and F3 cannot be selected at the same time.) In B/M and M modes, only one of the focal points ean be selected. Tramdueer Probe aa F2 v F3 Y Fa7, BLMODE IMAGING 7.3 Useful Functions for B-mode Imaging INFORMATION: ‘The number of focal points is in inverse proportion to the frame rate. ‘The more focal points, the slower the frame rate. Combination of F2 and F3 focal points provides optimum imaging in general cases. (When the power is applied, F2 and F3 are automatically set.) NOTE: When selecting multiple focal points, no break ean be made between the selected focal points. For example, F1 and F3 cannot be selected at the same time. Fl, F2 and F3 can be seleeted at the same time. When no focal points are set with the above menu, the system automaticaly sets 1- point broad focusing. (See the figure below.) In B/M and M modes, it is possible to set one focal point at the same time. Transducer any FL sf F2 7 Focal points FS : F4 7 Beam orate Broad Focus Multi-point focus 7-97. B-MOD3 IMAGING 74 Displaying Body Mark 7.4. Displaying Body Mark [Selecting body mark group k a. pressthe [9% Jowiten, soov mask GROUP menu is displayed as follows: BODY MARK oon GROUP = ABDOM «=—«OBST-~=—HEAD.-«COTHER, Select the body mark group you want to display. (See below.) ABDOM group Front Left side Right side Back Breast OBST group = (OBST-1) Pregnant Fetus Fetus woman (OBST-2) Fetus Fetus Uterus HEAD group Neck Right side head Left side head Vertex OTHER group “Thyroid Mammary Mammary gland gland gland1. B-MODE IMAGING 7.4 Displaying Body Mark switel displayed. (Example when ABDOM has been selected.) ce. Press the d. Select the body marke you desire in the menu. a Y To position the probe mark 4 a. Use the joypad (or trackball) to move the probe mark to the location that corresponds to the position in which the probe is actually applied. Rotate the probe mark using the PROBE MARK switch as follows: ‘orotate the probe mark clockwise, press the I switch. fw, ee O To rotate the probe mark counterclockwise, press the [o] switch. [Po change the body mark 1. When the body mark you desire is in the menu displayed on the screen: Select the body mark you desire in the menu. 2, When the body mark you desire is not in the menu displayed at present: a. press tne [945 Jawiten. b. Select the group you desire. e Press the | Jj] switeh. Select the body mark you desire. To erase the body mark Reselect the highlighted body mark in the menu.1. B-MODE IMAGING 1.8 Dual E mode Display 7.5 Dual B-Mode Display BiB, It is possible to display two B-mode images at the same time, one is frozen and the other is either frozen or real-time. e f Display a B-mode image. Press the BIB switch. Dual B mode is achieved. The left frame displays real- time image. Press the BIB switch again. The left frame is frozen and the right frame displays real-time image. ‘When the BIB switch is pressed once again, the right frame is frozen and the left frame displays real-time image. Pressing the BIB switch exchanges the frozen frame and the real-time frame. ‘The real-time frame has an active mark (¥) above it. Pressing the B switch restores the display to single B mode. Frozen Real- Real- Frozen time timeSection 8 M-MODE IMAGING8. M-MODE IMAGING 8.1 Introduetion 8.M-MODE IMAGING 8.1 Introduction 8.11 Information M-mode is a mode in which variation of echo depth over time is displayed while the probe is fixed in position, As echo information for M-mode is sampled along a specified line, vertical novement of a heart valve can be imaged on the screen. To show the sampling line, a line called the cursor is displayed on a B-mode image. Therefore, B/M mode which displays both B-mode and M-mode images at the same time is helpful for observing boti the sampling line and a live M-mode image. M-mode cursor Usually the cursor is fixed at the center of the B-mode image,but it ean be moved by menu operation. Once the position of the cursor is determined, M-mode single display offers observation of the M-mode image for a longer time in a frame. On the M-mode image, dotted lines are displayed at regular intervals. Vertical interval between two dots is 1 em. Horizontal interval of dotted lines is 0.5 second. ! ‘i a1 cm c8. M-MODE IMAGING 8.1 Introduction 8.1.2 Procedure of M-mode Imaging Basic Step a. Select B/M mode. b. Display a B-mode appropriate for M-mode display. ‘The M-mode cursor is displayed at the center of the B-mode image. c. When it is desired to move the cursor position, use the joypad (or trackball). NOTE: The M cursor can be moved by the joypad or optional trackball when |{w] or switeh is pressed, When the joypad (or trackball) is used for another function (such as distance measurement), press the [Cejor [[esl|switen again, Then the joypad (or trackball) can be used for M cursor movement again. 4. To display full sereen M-mode image, press the M switch.8. M-MODE IMAGING 8.2 Adjustment of Image 8.2. Adjustment of Image 8.2.1 To adjust overall brightness of M-mode image. (GAIN) ] «Control» GAIN ‘As shown in Fig. 1, when the gain is insufficient, necessary echoes cannot be seen. As shown in Fig. 3, when the gain is excessive, the echo is masked by noise. Fig. 1 Insufficient gain Fig. 2 Adequate gain Fig. 3 Excessive gain 8.2.2 To adjust brightness of a specific depth. (STC) STC (NEAR and FAR) STG (Sensitivity Time Control) is for adjusting brightness of a specific depth. Generally, at near field the echo is too strong and noise is strongly displayed, so reduce the sensitivity. At far field, the echo is faint, so inerease the sensitivity. (See the figures below.)8. M-MODE IMAGING 8.2 Adjustment of Image Fig. 1 STC non-adjusted Fig. 2STC adjusted8, M-MODE IMAGING 8.3 Useful Functions for M-mode Imaging 8.3 Useful Functions for M-mode Imaging To magnify or reduce the image. (MAGNIFICATION) MAGNIFICATION Magnify or reduce the image. ‘To magnify the image, press the |‘<|switeh. Be "Fo reduee the image, press the | > |switeh. Fig. 1 Magnification: x0.75 Fig. 2 Magnification: x1.0 ‘Fig, 3 Magnification: x1.5 Display range: 22 em Display range: 16 em Display range: 11 em ‘The magnification ean be varied in three steps: x0.75, x10, and x1.5. Magnification of B/M mode image cannot be changed.8. M-MOLE IMAGING 8.3 Useful Functions for M-mode Imaging 8.2.4 To make the image still. (FREEZE) FREEZE switeh or optional footswitch (MP-2345) To still (freeze) the B-mode image. When you want to stop the image, press the FREEZE switeh or the footswitch. Image freezes when the renewal of image reaches the right end. When the image is frozen, the time display also stops.Section 9 BASIC MEASUREMENTS9. BASIC MEASUREMENTS 9. Distance 9. BASIC MEASUREMENTS 9.1 Distance Measures a distance between two arbitrary points a on B-mode image. ‘Two different distances can be measured at the same time. a. Display a B-mode image. When a desired image is displayed, freeze the image with the FREEZE switch. A b. Press the switeh. NOTE: Distance measurements may also be engaged merely by displaying 2 B-mode image and pressing either the + or X switch. ¢. Caliper mark (+ or ) is displayed at the center of the image. @. Operate the joypad (or optional trackball) to position ‘the mark to a starting point for distance measurement. . Press the MARK REF switen. |“ Operate the joypad (or trackball) to move the mark to an end point. NOTE: The pressing of the MARK REF switeh and operating of the joypad (or trackball) will split the mark in two, one large and the other small. rz Fig. 9-18. BASIC MEASUREMENTS 9.1 Distance ‘The distance between the two marks will be displayed in the measurement data display area as shown to the right. DISTANCE, +:10.5 em NOTE: Always the large mark may be moved with the joypad (or trackball). The positions of the large and small marks are interchanged by pressing the MARK REF switeh, ‘The x caliper mark can be displayed by pressing the x switch. The x caliper mark DISTANCE serves the same purpose as the + mark, and a can be manipulated in the same manner, Fig, 9-4 § Toterminate the measurement, press the | | switeh. All the measurement marks and results will be erased. NOTE: If you want to erase only one set of calipers and measurement results, turn on the + or x switch corresponding to the mark then press it again to erase. Distance measurement over the boundary of two images is possible only when probe and magnification are the same. In other cases, the caliper markers move only in the image indicated by the active mark ¥.9. BASIC MEASUREMENTS 9.2 Avea/Circumference 9.2 Area/Cireumference Measures the area and cireumference of the area enclosed in an elliptical mark. Two different areas and circumferences ean be measured at the same time. e NOTE: — The ori Display a B-mode image. (B|B or B/M mode is also possible.) When a desired image is displayed, freeze the image with the FREEZE switch. Press the |j._.:| switch. ‘The area measurement mark "+" will appear at the center of the sereen. And the + CALIPER MARK switch lights. Use the joypad (or trackball) to position the mark to one end of the long axis of the target. Press the MARK REF switch. Use the joypad (or trackball) to position the + mark to the other end of the long axis. inal + mark remains on the spot and the other + mark can be moved. Press the MARK REF switeh, and an ellipse mark appears. It is possible to adjust the short axis length of the ellipse mark by the joypad or trackball. Fig. 9-99. BASIC MEASUREMENTS 9.2 Area/Circumference Use the joypad (or trackball) to adjust the short axis length of the mark. Pressing the right .... lengthens the short axis length Pressing the left ...... shortens the short axis length, Ellipse mark —,_.-"* = tt ph st Joypad Sh, : s Fig. 9-10 If the position and shape of the mark are still not the same as those of the target, follow the procedure below. f. Press the MARK REF switch. ‘The apex opposite to the base point can be moved by the joypad (or trackball). = A Fig. 9-11 § Press the MARK REF switch. The base point shifts to the other side. Readjust the position or vertical length. corm tot € ie Fig. 9-129. BASIC MEASUREMENTS 9,2 Ares/Circumference The area, circumference (C), short axis (S), and long axis (L), of the ellipse are computed and displayed. h. By pressing the MARK REF switch again, the short axis iength may be readjusted with the joypad. (Same as step "d.") Steps "d." through "f." may be repeatedly earried out by pressing the MARK REF switeh. 4, Short axis length lengthening/shortening teh e, Moving one apex a f. Moving the other apex aaah 4, Short axis length lengthening/shortening By pressing the "x" switeh, another area measurement is possible by the "x" mark. To terminate the measurement, press the |}... |switch. All the measurement marks and results will be erased. NOTE: If you want to erase only one set of calipers and measurement results, tum on the "+" or "x" switeh corresponding to the mark then press it again to erase, Area Measurement Data Reading: ELLIPSE 4041.2 em2 The area enclosed in a" se in square centimeter. ©:25.7 em The circumference of a "+" mark ellipse in centimeter. §:05.0 em The short axis iength of a "+" mark ellipse in centimeter. 1210.4 em ‘The long axis length of a "+" mark ellipse in centimeter. (The measurement data of "x" mark is displayed under the measurement data of "#" mark.) 9-59. BASIC MEASUREMENTS 9.3 Vel city, 9.8 Velocity ‘The velocity is ealeulated by the following equation; Velocity (m/s) = Dimension (em)/Time interval (see) Dimension ‘Time interval Select M mode (B/M mode is also possible) the MODE switeh, When @ desired image is displayed, freeze the image with the FREEZE switeh. A Press the | ,."" |switeh, NOTE: Velocity measurements may also be possible merely by having an M-mode image displayed and pressing either the "+" or "x" of the CALIPER MARK switen, A"# caliper mark will appear at the center of the sereen and the" [+ ]" CALIPER MARK switeh lights. b. Operate the joypad (or trackball) to position the mark to a starting point for velocity measurement, Press the MARK REF switch. Operate the joypad (or trackball) to move the mark to an end point, 9-6 MIM] Fig. 9-13, Fig. 9-14 J Fig, 9-159. BASIC MEASUREMENTS 9.3 Velocity Non! ‘The pressing of the MARK REF switch and operating of the joypad splits ‘the mark in two, one large and the other small. ‘The velocity, dimension and time interval between the two marks are displayed in the measurement data display area. Nom! One of the two split marks may be moved with the joypad at a time. You can switch two marks by pressing the MARK REF switch, 4. Another velocity may be measured by the "x" mark, Press the" x " switeh and operate the mark in the same manner as the "¥" mark. All the measurement marks and results will be erased. NOTE: If you want to erase only one set of calipers and measurement results, turn on the appropriate "+" or "x" switeh corresponding to the mark, then press it again to erase. To terminate the velocity measurement, press the |," | switch. VEL Measurement Data Reading: VELOCITY 4:02.0 em/s Velocity between the "+" marks in em/s. D:01..em Distance between the "" marks in em. Time interval between the "+" marks in seconds. Velocity between the "x” marks in em/s. Distance between the "x" marks in em. ‘Time interval between "x" marks in seconds.9. BASIC MEASUREMENTS 9.4 Heart Rate 9.4 Heart Rate By measuring the time interval of two cardiac eycles (heartbeats), the heart rate is automatically computed. The computation is based on the time measurement result. The heart rate is ealeulated by the following equatio Heart Rate (beats/min) = 120/T (see) (0: Time duration of two heartbeats) a, Select M mode (B/M mode is also possible) and display an appropriate image. Freeze the image. Press the MENU switch. A measurement menu is displayed. Select "NEXT" twice. The page 3 of the menu is displayed: MENU-3 H-RATE NEXT Select "H-RATE" in the menu. A "4" caliper mark is displayed on the sereen, and rea the" + "caliper mark switch lights. Fig. 9-16 b. Operate the joypad (or trackball) to position the mark to a starting point for the intended heart rate measurement,9. BASIC MEASUREMENTS 9.4 Heart Rate e Press the MARK REP switeh. Operate the joypad (or trackball) to move the mark over an M-mode image portion covering two heartbeats (in mutually corresponding phases). Fig. 9-18 ‘The measured timed interval and the caleulated heart rate are displayed. Each time the MARK REF switeh is pressed, the movable mark under joypad control is switehed from one of the marks to the other. Another heart rate may be measured with the "x" mark. Press the the "+" mark. To terminate the measurement, select "H-RATE". All the measurement marks and results are erased. x" switeh and operate the "x" mark in the same manner as H-RATE Measurement Data Reading: (Example) HEART RATE +2067 b/m Heartbeats per minute. ‘Te. 78s Time interval between the "4" marks.8, BASIC MEASUREMENTS 9.5 Angle 9.5 Angle It is possible to measure two angles from the base line to obtain the bony roof angle and the cartilaginous roof angle of the hip joint. Cartilaginous roof line Bony roof line — Head Base line (* The three lines do Femoral head not always cross.) Put the baby on its side. Place the probe so that the head side comes on the right of the image. Always display the bony roof angle to the right and cartilaginous angle to the left. Angles greater than 90° are not measured. (The indication becomes "**" instead.) 8, Display a B-mode image of the hip joint at the position shown in the above figure. When the desired image is displayed, freeze the image with the FREEZE switch, b. Press the MENU switch. MENU-1 menu is displayed. MENU-1 FRM-CO ING-PO——_PUNC NEXT Select NEXT twice. MENU-3 menu is displayed. NENU-3 ANGLE NEXT Select ANGLE in the menu. ANGLE menu is displayed. ANGLE EXIT 8 LIN a B "B LIN" is automatically selected. (B LINE stands for base line.) 9-109. BASIC MEASUREMENTS 8.5 Angle c. Use the joypad (or trackball) to position the + mark at [mor the starting point of the base line. aS 4. Press the MARK REI switeh, and a horizontal line, that starts from the + mark and ends at the right edge of the image, appears. wg any: 38 When you want to move the starting or ending point of the line, use the joypad (or trackball). ‘The MARK REF switch changes the mark that ean be moved between the two. fe. Select « in the menu. oe A+ mark is displayed. BS f, Use the joypad (or trackball) to position the + mark to the bony acetabular rim. Press the MARK REF switch. A a A left-down oblique line of about 45° is displayed | #1 “9 starting from the mark. Using the joypad (or trackball), move the left end of the : line to the lower iliac margin. fg Select B in the menu. Weta A left-up oblique line of about 45° is displayed starting | Hb! #8 from the mark. h. Use the joypad (or trackball) to position the x mark to lign the line and the acetabular labrum. You can move the intersection point by pressing the MARK REF switeh and using the joypad or trackball. When you want to reposition the end of a line, press | jis.) MARK REF switeh, Select « or @ for the desired mark. eee It Is possible to extend the lines fully in the image area by selecting the item in the menu that is highlighted. ‘To terminate the measurement, seleet EXIT or press the MENU switeh.9. BASIC MEASUREMENTS 9.6 Ratio 9.6 Ratio Ratic of two measurement values ean be calculated. a, Measure the necessary parts. b. Press the OB CAL switch. OB-MEASURE menu is displayed. Select NEXT twice to display PAGE-3 menu. Select RATIO in the menu. c. Input of numerator: Measurement value at the top is highlighted. DISTANCE If the value is appropriate for the numerator, select N in the 2 :07.4cm, x :05.3cm menu. ‘The value is registered as the numerator. | If the hightighted value is not eppropriate for the numerator, press the MARK REF switch until an appropriate value is erence highlighted. Then select N i . 2:07,4cm highlightes n select N in the menu J i0Egee. 4. Input of denominator: Measurement value at the top is highlighted. If the value is appropriate for the denominator, select D in the menu. ‘The value is registered as the denominator. If the highlighted value is not appropriate for the denominator, press the MARK REF switch until an appropriate value is highlighted, Then select D in the menu. ee Ratio) e. Calculated result is displayed. RATIO | N/D: 140%) f, To terminate measurement, select EXIT or press the MENU /N gra switen, : When calculation is impossible because of an inappropriate value (e.g. "0.0" for the denominator), "#*#%5" is displayed. if there is only one measurement value, the error message “Inv. Mode" is displayed.Section 10 GESTATIONAL AGE CALCULATION10. GESTATIONAL AGE CALCULATION 10-1 Introduction 10 GESTATIONAL AGE CALCULATION 10.1 Introduction ‘This equipment ean calculate an estimated gestational age and delivery date by either of the following two methods: Indicator method| (See. 10.2, Page 10-2) The calculation is done by entering a date which can be an indicator for early stages of pregnancy. Indicators include last menstrual period, besie body ‘temperature and manually entered date, See 10.2 Indicator Method. Parameter method} (+See. 10.3, Page 10-6) ‘The calculation is done by measuring a parameter that Is assumed to indicate growth of an fetus. The calculation is automatically done based on one of the fetal growth tables incorporated in the unit. See 10.3 Gestational Age Calculation by Parameter Method. One of the following three indicators ean be selected by the menu for the calculation: LMP (Last Menstrual Period): ‘The first day of the last menstrual period is to be entered. BBT (Basal Body Temperature): ‘The estimated date of ovulation is to be entered. MANU (Manual): Calculation is possible when there is a known gestational age at a known examination date, ‘This caloulation is possible in B and B/M modes, Press the OB-CAL switch. ‘The following menu is displayed. (OB-MEASUR PAGE-1 CLEAR = -CGK/EDC NEXT (OB-MEASUR PAGE-1 CLEAR BPD cRL FL NEXT Select NEXT twice. The following menu is displayed. OB-MEASUR PAGE-3 CLEAR = CGW/EDC NEXT 10-210. GESTATIONAL AGE CALCULATION 10.2 Indicator Method b. Select "CGW/EDC" in the menu, The menu changes as follows: caw/EDC EXIT Lye eat MANU OFF c. Select the desired indicator in the menu. ‘The menu changes as follows: (LMP is used as an example.) Sesser eee eee Lup cGWeEDC EXIT RETURN ser 1 BXIT: Jumps to the OB MEASUR PAGE-1 menu containing table of gestational week calculation. 2RETURN: — Returns to the previous menu (in step "b." above). 5 SET: After the date entry, select this to register the date. d. Using the keyboard, enter the date from the Reeser gle ca getter nance wet Gest. cc. to the method employed. See ‘D to @ below. NOTE: Follow the date display format you have selected. (See PAGE 5-5.) If the number of month or day is less than 10, enter 0 for the tens digit. © Last menstrual period (LMP) Enter the first day of last menstrual period from the keyboard. ‘Then select "SET" in the menu, GEST. CALC LMP = 02/15 |<— ‘The first day of last menstrual period CGW: 15w Id |~— Calculated Gestational Weeks EDC: 89/11/22 |~—— Expected Date of Confinement © Ovulation day (BBT) Enter the estimated ovulation date based on the basal body temperature. ‘Then select "SET" in the menu, [GesT.catc | BBT = 02/27 ~— Estimated ovulation date CGW: 15w 3d |<— Calculated Gestational Weeks EDC : 89/11/20 |~— Expected Date of Confinement 10-310. GESTATIONAL AGE CALCULATION 10.2 Indieator Method, ® Manual input (MANU) Enter known examination day. ‘The date is displayed at the item of "KED". GEST. CALC 04/15 | ——— Known examination day w d| <—— Known gestational week Select "SET" for registration. Enter known gestational weeks from the keyboard. item of "KGW". It is displayed at the GEST. CALC KED = 04/15. | «—— Known examination day KGW : 08w 3d| <—— Known gestational week Select "SEI" for registration, nal weeks, and expected date of Today's date, estimated gestal confinement are automatically ealeulated and displayed. GEST. CALC DATE= 06/01 |~— ‘Today's date CGW: 15w 1d |~— Calculated Gestational Weeks EDC : 89/11/22 |< Expected Date of Confinement f. To operate another menu function, select EXIT. OB-MEASUR PAGE-1 menu is displayed. g. To erase the data display, select RETURN, then select OFF. ‘The displayed data is retained until the following operation is performed. NOTE: © "OFF" in the menu is selected. ® — Power of the equipment is tuned off. 10-410. GESTATIONAL AGE CALCULATION 10.2 Indicator Method CGW and EDC are calculated by the following expressions: When LMP is selected: CGW = (DATE - LMP) + EDC = LMP + PW x 7 CGW: — Caleulated Gestational Week EDC: Estimated Date of Confinement LMP: Date of first day of Last Menstrual Period PW: Pregnaney Week When BBT is selected: (DATE - BBT) + 7] +2 EDC = BBT + (PW - 2) x7 When MANU is selected. CGW = B+(DATE- A) +7 EDC = DATE + (PW - CGW) x7 A = Known examination day B = Gestational weeks at the known examination day 10-510. GESTATIONAL AGE CALCULATION 10.3 Parameter Method 10.3 Gestational Age Calculation by Parameter Method. ‘This equipment has five different versions, each with its own fetal growth tables. One of the versions has been set at the factory. For the tables, see page 10-12 onward. Parameters which can be used for each version are as follows: Version Parameter (* See below) USA BPD, CRL, FL, AC, HC Europe 1 BPD, CRL, FL, HL Europe IL BPD, FL, AC, HC tokyo university BPD, CRL, GS, LV, F NOTE: Osaka university BPD, CRL, FTA, FL, HL Even if the same parameters are used, the contents of the fetal growth tables differ from each other. * The abbreviations are spelt out below: Parameter AC BPD CRL F (or FL) FTA Gs HC HL. Lv Full spelling Abdominal Circumference Biparietal Diameter Crown-Rump Length Femur Length Fetal Trunk Cross-Sectional Area Gestational Sae Head Circumference Humeral length Length of Vertebrae 10-610. GESTATIONAL AGE CALCULATION 10.3 Parameter Method Part to be measured for the calculation. PD (Biparietal Diameter) CRL(Crown-Rump Length) GS {Gestational Sac) ORD rs wy LV (Length of Vertebrae) FL (Femur Length) AC (Abdominal Circumference) pooencieg! —— | HE (Head Circumference) FTA (Fetal Trunk Cross Sectional Area) HL (Humerus Length) oe | B Ill 10-710. GESTATIONAL AGE CALCULATION 10.3 Parameter Method Explanation of deviation 2. Days (Tokyo univ. and USA/Europe method) Deviation is given as the number of days different from the standard curve. b. Standard deviation (Osaka univ. method) The figure to the right is given as an example. ‘The difference is expressed as follows: (Exanple) 5.1 (Measured value) - 4.8 (Standard value) +1.03 0.29(SD: standard deviation) NOTE: The graph is not displayed on the sereen. 10-8 20 wow Gestational weeks10. GESTATIONAL AGE CALCULATION 10.3 Parameter Method Step for Calculating Gestational Age (1) When the parameter is selected before measurement For example when USA version is incorporated and BPD is selected. . Press the OB CAL switen. ‘The following menu is displayed: (OB-MEASUR PAGE-1 CLEAR BPD cRL FL NEXT If you want AC and HC, select NEXT to display the next page of the menu. b. Select BPD in the menu. A "+" caliper mark is displayed on the sereen. And the menu changes as follows: BPD KURTZ EXIT SET ce Using the joypad (or trackball) and the MARK REF d. Select SET in the menu. ‘The measured value and calculated results appear as follows: (Example) Parameter Measurement of the parameter # BPD : 04.7cm__| Gestational age weeks ard days i9W5d Heian £13d <{—— Deviation from 89/10/21 standard value in days Estimated date of confinement AVE: 19WSd 413d — :89/10/21 Average ofall the parameters. SThisappears ever tony ane caleulalion is done ‘The + mark disappears. 10-910. GESTATIONAL AGE CALCULATION 10.3 Parameter Method ‘The menu returns to PAGE-1. (OB-MEASUR Z PAGE-1 CLEAR BPO CRE FL NEXT If you want to measure the BPD again, select BPD again. ‘The data is reset. When you want to measure another parameter, select another parameter in the menu. Up to three parameters ean be measured and their average of them displayed. To terminate the calculation and erase data display, select CLEAR. ‘To erase the menu, press the OB-CAL switeh. 10-1010. GESTATIONAL AGE CALCULATION 10.3 Parameter Method (2) (Example) When the measurement is done before parameter selection a. Measure the parameter you desire. you can measure multiple parameters at this stage. b. Press the OB-CAL switeh. ‘The following menu is displayed: ‘OB-MEASUR PAGE-1 CLEAR BPD cRL FL NEXT If you want AC and HC, select NEXT to display the next page of the menu. ¢, Select a parameter in the menu that corresponds measured. The measurement value displayed at the top is highlighted. Calculated values of the highlighted parameter are X:10.52m displayed. d. If the highlighted value is not the one you want, press the MARK REF switch until the appropriate value is DISTANCE highlighted. Calculated values of the highlighted parameter are displayed. NOTE: —_ Ifnoneof the measurement values are appropriate for to the parameter you have +:09.0cm X:10.5cm the calculation, press the MARK REP switch until the highlighting is placed at the bottom, then press it ence again. Perform measurement with the displayed caliper mark. Then select SET in the menu. e. Touse another parameter for the calculation, repeat steps c and d. f. To terminate the calculation and erase the result display, select CLEAR. Parameter CRE: 04,5cm BPD: 04.5cm rl9w2d rlgW2d #100 10d 3869/12/31 19/12/31, | AVE : I9WedtlOd 3789/12/31 ~_| 10-11 ‘Measurement of the parameter Gestational age in works and days Deviation from standard value in days Estimated date of confinement Average of all the parameters. SThisuppears even ifonly one caleuiaonisdone.10. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table 10.4 Fetal Growth Tables Contents Page USA version BPD (Kurtz) 10-13, GRL (Robinson) 10-13 FL (OBrien) 10-14 AC (Hadlock) 10-14 HG (Hadlock) 10-15 Europe I version (Hansmann) BPD . 10-16 10-16 10-17 10-17 10-19 10-19 10-19 10-20 10-20 Osaka University version Bea 16-21 CRL . 10-21 FTA . 10-22 FL 10-22 eee 10-23, Europe II version (Campbell) BPD . 10-25 10-25 10-26 10-26 10-1210. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table USA Version USA Version Crown-Rump Length : Robinson Biparietal Diameter Kurtz cr | Number ot | Stencere a Standard (em) Weeks eo BPD Number of | Setistion (tdays) (em) Weeks (#days) a 0.9 HE 5 12 15 8 5 1 22 9 5 rr a1 i0 5 15 iH il 5 16 1 5 Ww 13 5 ie 7.8 14 5 19 20 2 aa 22 5.2 2 6.0 24 a3 25 6.6 26 68 2 Te 28 TA 29 76 30 18 a 8.1 32 8.3 33 a5 rr at 35 80 36 rm 3 92 38 = a4 39 6 10 ese Ee ec 10-1310. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table USA Version USA version Abdominal Circumference Femur Length Hadlock hii Ac | Number of | Standard vu | umber of | Stondard oe (eee) (em) oe { tdays) 10.4 16 13 1.3 13 11.6 17 13 it 4 22.8 18 4 20 15 13.9 19 iu 22 16 15.0 20 u 2.6 1 16.2 21 14 30 18 113 22 a a3 19 18. 23 u a8 20 195 2 15 a8 21 20.68 25 15 “a 2 21.6 26 15 44 23 22.7 2 15 46 2 23.8 28 15 48 25 24.8 29 6 a 26 25.9 30 2 £3 27 26.9 31 21 65 28 a8 2 2 7 29 28.9 33 2 59 30 29.9 34 al a 3 30.9 35 21 £3 32 31.9 36 18 £5 33 32.9 37 18 £8 34 33.9 38 18 68 35 34.8 39 18 4.0 36 35.8 40 18 i 37 a a8 iar | aaa 10-14USA Version USA Version Head Circumference Hadlock aa Co et pesto ill is 9 10.5 15 9 Gaia ee : 13.5 iv 9 Fes Eo MMA eae eee Ne 17.5 20 Le tas Oa 19.9 22 11 ~ | aril] Waar | ities = Grieg ase as nen] 26.9 29 16 20.7 30 19 aise) ees Ste sais isesttah ici cate [are | es soa oct ee 31.6 35 19 Sais isa a Sane] Mee ee Sse iat xa | See aoe |S re eee ese 10-15 10. GESTATIONAL AGE CALCULATION 10.4 Fetal Grewth Table10. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table Europe | version (Hansmann) Europe version (Hansmann) Biparietal Diameter Crown-Rump Length Standard cRL | Number of Standard Deviation Bed | Number of | Standard (em) Weeks | “(4éays) | (en) Weeks | (days) i 0.6 8 ? 2.9 a 8 Lo 1 T Fs u 8 = 364 18 2 15. 8 feel BT 16 8 BL a 1 | 4,0 Wi 9 2.8 7 eee = 2 32 u 8 “6 a 9 5.0 20 10 iad = 2 53 2 rn 6.3 13 0 5.6 22 10 18 u u a= zm 9.1 16 a 6.2 24 10 10.3 16 13 65 25 10 3.8 36 an 11.3 Ww ea ta a 2 12.8 18 uM 1 28 2 13.2 19 15 = = 2 4.0 20 16 8.0 30 18 14.8 21 16 82 31 1b Ba 2 W 46 33 w 28 34 19 20 35 19 8.2 36 24 23 a 2, 25 38 at 39 10.3 40 19 10-1610. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table Europe | version (INansmann) st Europe I version (Hansmann) Humerus Length Femur Length we | wumborot | Samed com | ween | DERESH (em) Weeks ( +days) Vd Ta rT 14 14 z 14 pry 19 LT 15 7 17 15 i 2.0 16 8 20 16 20 2.3 1 2.3 1T 19 2.6 18 10 25 18 19 2.9 19 ae fe 28 19 20 a2 | 20 i 3.0 20 areca 3.5 21 12 3.3, 21 19 3.8 22 13 3.5 22 20 4.0 23 13 3.7 23 20 43 24 14 3.9 24 19 4.5 25 14 ae 4 25 20 4.8 26 15 43 26 20 EE 5.3 28 _16 7 28 20 29 it 4.9 iB 29 20 & 30 18 Sal 30 20 5.9 31 19 5.3 31 20 12 37 24 _] 6.5 37 20 ta 38 25 BT 38 20 1.6 39 26 6a | __39 19 10-1710. GESTATIONAL AGH CALCULATION 10.4 Feta. Growth Table 10-18,10. GESTATIONAL AGE CALCULATION 10.4 Fetal Grewth Table Tokyo University Tokyo University Version Crown-Rump Length Biparictal Diameter cri | Number ot | St#ndare BPD — | Number of | Standen (em) Weeks (Adays) (em) Weeks aaa cedays) a ; 2.0 12 7 9 1 2 13 7 Jessie Jeiecent 27 14 7 io a 3.1 15 aH 3.6 aby tte 34 16 8 4.6 12 7 iy 1 38 ae a 5.7 13 7 41 18 8 12 8 4 19 10 ae a7 2 10 8.7 15 4 5.0 2 10 9.8 16 uu 5:8 22 0 10.3 wT 4 5.6 23 ul 5.9 2 nu Gestational Sac 6.2 25 12 6.5 26 13 cs Number of | Standard m Deviation 67 27 13 (em) Weeks (days) 12 28 13 1.0 4 1 12 29 u 15 30 15 a 2 e ee 31 16 2.2 6 iL 19 32 16 21 7 12 8.2 33 18 a A a 34 20 41 9 u 35 25 36 2 48 10 15 3T 25 5.7 ll 16 38 bu 6.7 12 17 39 25 40 25 10-1910, GESTATIONAL AGE CALCULATION 10.4 Tokyo Unizorsity ‘etal Growth Table Tokyo University Version Length of Vertebrae ww | Sumber or | Standard (em) Weens, | Deviation ( #days) a7 2 : cee es ta 23 aaa at 24 1 5.0 7 °F = ae 1" 8.1 27 na a2 28 21 = 28 24 a4 i Be = af 28 ua 33 7 13 3 7 aa 2 38 et =e 40 1.8 37 7 1.9 38 oo £0 33 a a 40 a 10-20 Femur Length vi | sumper ot | Stendard (em) Weeks (teays) tea a 33 - 21 18 oa asa 1 2 a wo | 2 cates 2% ws | 8 4.8 27 fee 25 sa_| aa 25 5.2 29 28 a 3a | 30 a0 a [a 2 so | a 35 a [a 38 oa | @ 6.4 35 46 ea os | 36 0 or [a 4 sa [as a ea | _ a eo aaa “410. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table OsakaUniversity Osaka University Version Crown-Rump Lengta Biparietal Diameter Gestational | ort Standard Gestetions | ppp a Wee) (em) Deviation (weeks) om one 7 0.9 0.16 fesse tae | ee cteeee uy 8 1.3 0.26 i La 0.20 — aa) 2d 0.21 z Bo mee “13 2.5 0.22) 40 3.0 0.48 rs 28 0.28 co 6 3.2 0.24 16 35 0.25 088 Ww 3.9 0.28 a 6.5 0.79 18 42 0.27 9 45 0.28 20 4.8 0.29 a1 5.2 0.29 Fy 55 30 23 5.8 at 24 61 0.92 25 5.4 0.82 26 67 0.98 7 70 0.84 28 12 0.94 29 8 0.35 “30 Tt 0.95 31 8.0 0.38 32 82 0.36 | 33 a 0.37 34 a6 0.37 35 8.8 0.37 agran| eaesg0 0.38 37 2.4 0.38 38 3.2 0.38 39 33 0.39 0 5.4 0.39 10-2110. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table OsakaUniversit Osaka University Version Fetal Trunk Area Gestaional | pra | standare (weeks) | (em2) | Deviation u 5.8 118 = 73 1.37 a 8.2 1.58 We is 1.80 8 13.5 2.03 19 15.8 2.8 2 184 2.58 z 2a 281 a 23.8 3.08 Ea 26.8 339 2 29.9 270 25 Ea io 26 36.5 236 ui 39.9 in 28 iA 507 a9 ad 545 ae 50.8 5.83 31 54.5 2 3 58.3 3.65 ae 62.1 7.08 a 55.8 7.52 38 69.5 7.97 3e 73.2 aaa 37 76.8 8.92 38 80.2 a4 35 88.5 9.92 40 86.6 10.44 10-22 Femur Length coe Ee Standard fee (em) | Deviation 3 a9 oat u 13 0.22 16 16 0.22 16 19 022 iW 22 0.23 18 25 0.23 19 28 0.24 20 30 0.28 ai 3.3 0.24 22 3.8 0.25 25 3.8 0.25 2 4a 0.25 25 43 0.26 28 46 0.26 a7 48 0.27 28 5.0 0.27 29 5.2 0.27 30 aa 0.28 31 5.6 0.28 32 5.8 0.29 33 6.0 0.29 a4 6.2 0.29 | 35 64 0.30 36 65 0.30 37 67 O81 38 oa 0a 38 7 0.5OsukaUniversity Osaka University Version Humeral Length Genasonal a ay (weeks) (em) Deviation 13 10 0.20 it 13 0.21 15 1.6 0.21, 16 1a 0.21 i 2a 18 2d 0.22 19 27 0.22 20 2.9 0.23 24 32 0.23 22 34 0.23 28 36 0.28 2a 3.8 0.24 ee 4.0 0.24 ee 42 0.25 ae 44 0.25 28 46 0.25 29 48 0.26 30 49 0.26 i 5.4 0.26 32 5.3 0.27 ee 54 0.27 ial 5.5 0.27 a 5 0.28 ee 5.8 0.28 37 5.9 0.28 38 6.0 0.29 id 6.1 0.29 fe 6.2 0.29 10-23 10, GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table10. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table Europe I version (Campbell) Europe II version (Campbell) Biparietal Diameter er Bro | Nomber of | Deviation Fi, | Number of | stondard (em) ee ( tdays) (em) Weeks (tdays) 2 8 ¢ ts ia 6 28 14 5 5 $ 32 5 6 : : a 16 7 : ‘i 4.0 17 7 27 18 6 48 1B 7 3.0 19 § aa 19 i as 20 7 al 20 8 - : : Be 2 3 a = : 5.B 22 8 4. 23 8 8.1 23 8 4.5, 24 B 6.4 24 8 AT 25 9 6.7 25 8 49 26 10 7.0 26 9 aa: ar 1 13 21 10 5.4 28 12 15 28 a1 5.8 29 i 18 29 2 58 30 ts 8.0 30 1B 6.0 3 rr aa a1 rr a2 B 16 8.5, 32 uw 6.4 33 18 at 38 15 66 34 20 a a 15 a : 7 8. 35 16 7.0 36 26 a8 36 i ha at 28 a3 | at 18 72 38 30 at 8 19 . : : 2.8 39 20 18 0 2 10.0 0 2 10.2 41 22 10-2510. GESTATIONAL AGE CALCULATION 10.4 Fetal Growth Table Europe version (Campbell Europe II version (Campbell) Abdominal Circumference Head Circumference Ac — | Number of | Standard uc — | Number of | Standard (en) Weeks | Peviation (em) Weeks | Pevietion (days) (days) el “4 Fr 11.6 14 2 1.1 15 16 12.6 16 2 12 18 15 13.7 16 2 123 17 16 14.8 W 12 183 18 16 15.8 18 2 14 19 1" 11.0 19 2 165 20 MW 18.1 20 B 166 21 18 19.2 a 14 qt 22 18 20.4 22 15 16.8 23 19 21.5 23 16 16.9 24 19 22.6 4 Ww 21.0 25 20 23.7 25 18 22.0 26 20 24.8 28 19 23.1 a 21 26.0 2 20 24.2 28 21 ad 28 2 25.3 29 22 28.1 29 22 26.4 30 23 29.0 30 25 215 31 25 29.9 31 28 28.6 32 35 30.7 2 35 29.7 33 35 a4 33 35 30.8 34 35 32.0 4 35 31 35 35 32.5 35 35 324 36 35 33.0 36 35 33.1 37 35 33.5 37 35 33.8 38 35 34.0 38 35 Ere 39 35 342 39 35 35.0 40 35 4.3 40 35 10-26Section 11 FETAL WEIGHT ESTIMATIONLL. FETAL WEIGHT ESTIMATION 11.1 Intraduetion 11. FETAL WEIGHT ESTIMATION 11.1 Introduction ‘The fetal weight is estimated from such measured values as biparietal diameter (BPD), anteroposterior trunk diameter (APTD), and transverse trunk diameter (TTD). For fetal weight estimation, one of the following four expressions is available. Units are em for length and em2 for area. (Shepard method) FW (g) = 10EXP (AC X 0.046) - (BPD x AC x 0.002646) + (BPD x 0.166) + 1.2508] (Hadlock method '85) FW (g) = 10EXP [1.304 + (AC x 0.05281) + (FL x 0.1938) - (AC x FL x 0.004)] FW (g) = 1.25647 x (BPD)S + 3.50665 x FTA X FL + 6.3 List of abbreviations BPD: Biparietal Diameter F (FL): Femur Length APTD: Anteroposterior Trunk Diameter TTD: Transverse Trunk Diameter FTA: Fetal Trunk Cross-Sectional Area AC: Abdominal Circumference | U-111, FETAL WEIGHT ESTIMATION 11,1 Intreduetion Parts to be measured for fetal weight estimation ‘The figures below shows the measurement part necessary for the above expression. PD: Bipariotal Diameter (FL):_Fowur Length CGD = 1 APTD: Anteroposterior Teunk Diameter TTD: ‘Transverse Trunk Diameter |e a) fas rr) aa FTA: Hotel Trunk Gross-Seetionsl Area AC: Abdominal Circumference QB ~&> 11-2TAL WEIGHT ESTIMATION 11.2 Shepard Method 11.2 Shepard Method (Cal selected before me: Jation method a. Press the FETAL WEIGHT switch. ‘The following menu is displayed: (USA version) SHEPRD HADLOC SET Select SHEPRD. A+ caliper mark appears at the center of the sereen. AC is highlighted. 8PD:000.0cm AC: cm FW g b. Measure the BPD with the + caliper mark in the same manner as the distance measurement. e. Select SET. The BPD value is registered. A area measurement mark appears on the sereen. BPD:XXX.Xcm AC:00.0cm FW d. Measure the AC in the same manner as area measurement. | e. Select SET. The AC value is registered. f, Fetal weight is caleulated and the result is [§pp:xxx.Xem AC: KX scm displayed at F-W in grams. FW XXXXg g. When you want to repeat the calculation, seleet HADLOG. The data is reset. h, To terminate the calculation and erase data display, press the FETAL WEIGHT switeh, 11-311. FETAL WEIGHT ESTIMATION 11,2 Sheperd Method (2)Measurement is done before calculation method selection. a, Measure parameters necessary for the ealeulation. b, Press the FETAL WEIGHT switch. The following menu is displayed. SHEPRD HADLOC SET ec, Select SHEPRD. ‘The measured value at the top is highlighted. ‘The highlighted value is put into BPD. g 4. If the value is not suited to BPD, press the MARK REF switeh to lower the highlighting till an appropriate value is highlighted. e. Select SET. The BPD value is registered, ‘The measured value at the top is highlighted. BPD: XXX. Xem AC: XX. Xe ‘The highlighted value is put into AC, Few g f, If the value is not suited to AG, press the MARK REF switch to lower the highlighting till an appropriate value is highlighted. & Select SET. The AC value is registered. h. Fetal weight is caleulated and the result is BPD:KXX. Kem ACeXK. Kem displayed at F-W in grams. XXXXg i, To terminate the calculation and erase data display, press the FETAL WEIGHT switeh, 1-411. FETAL WEIGHT ESTIMATION 11.3 Hadlock Method 11.3 Hadlock Method (USA version) (1} Caleulat n method is selected before measureme db. e Press the FETAL WEIGHT switeh. ‘The following menu is displayed. (USA version) SHEPRD HADLOC SET Select HADLOC. A + caliper mark appears at the center of the sereen. AC is highlighted. Measure the AC in the same manner as area measurement. Select SET. The AC value is registered. A+ caliper mark appears on the sereen. Measure the FL with the + ealiper mark in the same manner as the distance measurement. Select SET. The FL value is registered. Fetal weight is calculated and the result is displayed at F-W in grams. ‘AC :000.0cm: FL: FAW cn g AC :XXX.Xem Fle Feu AC XXX.Xem FLX. Xcm Few HXXKg When you want to repeat the calculation, select HADLOG. The data is reset. To terminate the caleulation and erase data display, press the FETAL WEIGHT switeh. 1-Ll. FETAL WEIGHT ESTIMATION 11.3 Hadlock Method (2)Measurement is done before calculation method selection. e Measure parameters necessary for the calculation. Press the FETAL WEIGHT switeh. ‘The following menu is displayed. SHEPRD HADLOC ser Select the method you want. (When HADLOC is selected.) L Measured value at the top is highlighted. ‘The highlighted value is put into AC. If the value is not suited to AC, press the MARK REF switch to lower the highlighting till an appropriate value is highlighted. Select SET. The AC value is registered. Measured value at the top is highlighted. The highlighted value is put into FL. If the value is not suited to AC, press the MARK REF switch to lower the highlighting till an appropriate value is highlighted. Select SET. The FL value is registered. Fetal weight is calculated and the result is displayed at F-W in grams. To terminate the calculation and erase data display, press the FETAL WEIGHT switch. 11-6 AC =XXX, ¥en FL:00.00n F-H g AC 3XXX.Xem FLERK. Kent F-W 9 AC :XXX.Xom FLXX.Xem FAN XXXXgSection 12 CHARACTER DISPLAY12, CHARACTER. DISPLAY 12.1 Irtroduction 12. CHARACTER DISPLAY The screen is divided into several display areas. (See the figure below.) Characters can be entered in the ID area and the image area. Image Area ae \/ WDarea a Input area selection 1. area a. When the power is applied to the system, the character cursor (Bl) is displayed in the ID area. b. When the cursor is in the image area, press the ID switch on the keyboard, ‘The cursor shifts to the ID area. 2, Image area Press the COMMENT switeh on the keyboard. NOTE: ‘The text in the first line in the image area is retained even after the power is turned off, The retained text is displayed when power is applied to the unit again, 12-112. CHARACTER DISPLAY 12.1 Introduetion Moving the character cursor | a. The cursor (Hl) can be moved by the joypad (or trackball). b. The + and > keys of the keyboard can shift the cursor to the left or right. e. To change line, press the RT'N key. How to use the keyboard While you hold down the SHIPT key, press the key you want. a. Press the BS (back space) key. b. Move the cursor onto the character to be corrected. ‘Then press the correct key. Press the AC (all clear) key. Press the NEW PATIENT key. When the NEW PATIENT key is pressed, the equipment parameters are reset to those wher the power is turned on. For the parameters that are controlled by this switeh, see page 6-4, ‘The text in the first line in the image area is retained even after the power is turned off. 12-2Section 13 RECORDING IMAGES13. RECORDING IMAGES 13.1 VCR (option) Recording 13.1 VCR Recording We recommend model AG-8400 as am optional video cassette recorder. (1) Connection Connect the cables as follow VCR connection 880-500 a $e OOoF B88 8 * The connectors on the SSD-500 side accept BNC type connectors. (2) Step for Recording a e NOTE: ‘Turn on the power of VCR. Press the recording switeh and pause switch. The VCR is in pause condition. Display ultrasound image on the seanner (SSD-500). Start recording of VCR. ‘To observe playback image on the seanner screen, set the Video Source selector to EXT (up position). When you wish to use a VCR and a thermal printer, use Aloka thermal printer 'S8Z-300S. When a thermal printer or another type of printer does not have a VIDEO OUT connector, playback image cannot be seen on the scanner screen. 18-113. RECCRDING IMAGES 13.2 Thermal Printer (SSZ-3008) 13.2 Thermal Printer (SSZ-3008) (2) Connection Connect the cables as follows: ‘S8500 se OOod (2) Step for Recording VIDEO IN 887-2005, a, Turn on the power of the $8Z-3008. b, Display an ultrasound image on the scanner sereen. Freeze the image with the FREEZE switen. c. Press the PRINT button of the printer. When the remote cable is connected, the PRINT switeh on the SSD-500 operation panel performs the same function. Mow our For details of operation of the SSZ-300S, see its operation manual. To use a VCR or external monitor together with the SSZ-300S, make connections as illustrated on the next page. 13 -213. RECORDING IMAGES 13.2 Thermal Printer (882-3008) VCR connection VIDEO IN VIDEO IN Mon our Monitor connection 87-5008 50.500) vipgo our 87-9008 VIDEO IN Mon our 580-500 MONITOR VIDED IN 13-313. RECORDING IMAGES 13.3 Polaroid Camera Unit (S8Z-108U-P) 13.3 Polaroid Camera Unit (SSZ-108U-P) (1) Conneetion Connect the cables as follows: 2 OOoG oo we-7| OO (2) Step for Recording a. Turn on the power of the SSZ-108U-P, Wait for several minutes until the SSZ-108U-P becomes stable. NOTE: Pictures taken before the SSZ-108U-P is stable may be brighter or darker than the set condition. b. Display an ultrasound image on the scanner sereen. Open the side door of the S$Z-108U-P and confirm that the image is displayed. Freeze the image with the FREEZE switen. Press the shutter button of the SSZ-108U-P. Pull the white tab of the Polaroid film, Pull the yellow tab at a constant speed. A few minutes later, peel off the film. (For the development time of the film, see the instruetions of the film.) If the picture is not taken in a good condition, see thie operation manual of SSZ- 108U-P and readjust the conditions, NOTE: VCR or external monitors eannot be connected together with SSZ-108U-P. 13-413. RECORDING IMAGES 13.4 SLR Camera Unit (SSZ~108-35) 13.4 SLR Camera Unit (SSZ-108U-35) (2) Connection Connect the eables as follows: 880.500 88210886 se OO o8 oo — Oo | (2) Step for Recording a, Turn on the power of the $8Z-108U-35. Wait for several minutes until the SSZ-108U-35 becomes stable. NOTE: — Pictures taken before the SSZ-108U-36 is stable may be brighter or darker than the set condition. b. Display an ultrasound image on the seanner sereen. Open the side door of the $SZ-108U-35 and confirm that the image is displayed. Freeze the image with the FREEZE switch. Press the shutter button of the camera, c. If the picture is not taken in a good condition, see the operation manuel of SSZ~ 108U-35 and readjust the condition. NOTE: VCR or external monitors cannot be connected together with S8Z-108U-35. 13-5Section 14 TROUBLE SHOOTING14. TROUBLE SHOOTING 14.1 Error Message 14.1 Error Message When an operation that cannot be accepted by the system is performed, the following messages appear. Take the appropriate countermeasure. aus Meaning Countermeasure message 1|NoProbe [No probeisconnected. | Connect a probe. 2|Inv.Probe [Invalid probe is connected, | Connect an appropriate probe for the system, 3[FRZReq. | Freezing is requested. ‘This appears when you try to take a picture by pressing the PRINT switeh without freezing the image. Freeze the image first. 4] Inv. Mode | Invalid operation. This appears when ID or COMMENT key is pressed during “CGW/EDC’ operation, (See PAGE10-2) 5[Inv. Mode [Invalid operation During a measurement, SET isselected when not required. Gl Over Rag. [No space for measurement This appears when no more spece for result display, displaying measurement resulsis lef. 7[inv. Data [invalid data This appears when inappropriate date is entered for “CGW/EDC’ operation. (See PAGE10-3) Enter correct date. 14-114. TROUBLE SHOOTING 14.2 How to Cope with Troubles 14.2 How to Cope with Troubles eee Cheek point Action Nothing appearsonthe | Is power cord correctly Connect the power cord, screen even ifthe power | connected between the Pees eee eae unit and the outlet? (Power indicator does not eo - — hight.) Does the outlet provide _ | Turn on the circuit power? breaker of the room. Nothing appearson the Is the Video Source Set the Video Source screen. (Power indicator | selector on the rear panel } selector to INT (down lights.) set to INT (down position). position)? Ultrasound image does [Is probe connected Reconnect the probe, not appear. correctly? referring to page 14-214. TROUBLE SHOOTING 14.3 Calling Service Person 14.3 Calling Service Person If your unit still doesn't work properly, cheek the serial number of your unit anc eall our distributor. See the nameplate on the rear panel for the serial number. ‘The number is needed because parts, drawings and tools to be prepared for repair differ from version to version. CAUTIONS Do not try to open the covers. Do not loosen any screws. Ifany cracks are found on the patient contact area or the cable of the probe, do not use the probe. If the unit smells like burning or smoke is seen, immediately turn off the power switch, disconnect the power cord, and call a service person. Stick a paper on the unit saying “Out of order. Donot use.”. 4-3INDEX + switeh 4-9, 9:1 trackball 4-10 X switch 4-9, 91 video signal 4-10 Contrast adjuster 4-10 CONTRAST control 4-2 A CONTROLS AC key 4-8, 12-2 BRIGHTNESS 4.2 Area measurement ata reading 9:5 CONTRAST 4.2 Area 9-3 GAIN 42 B D B mode 4-7, 7-1 Data display 5-7 B/B mode 4-7, 7-12 DATE 5-5 B/M mode 4-7, 81 Dimension 9-6 Back space 4-8, 12-2 Dimensions of units 6-1 Battery 5-6 Dots 8-1 BDY-MK 5-4, 7.10 Dotted tines 8-1 Body mark group 5-4, 7-10 DE-DSP 6-7 BODY MARK menu switch 4-7 Dual B mode 4-7, 7-12 BODY MARK switch 4-4 Brightness adjuster 4-10 BRIGHTNESS control 4-2 E Brightness 7-3 Ellipse 9-5 BS key 4-8, 12.2 Elliptical mark 9-3 vironment 6-1 Equipment parameters 5-7, 7-1 © Brror message 14-1 CALIPER MARK switches 4-5 EXT 410 Caliper mark 9-1 Camera hood 4-2 Camera 13-4, 13-5 F Cardiae eyeles 9-8 PAR GAIN switches 4-5 Cautions 2-1, 14-3 FETAL WEIGHT switch 4.6 Character eursor 12-2 Focal points 7-9 Circumference 9-3 FOCUS control 7-8 Cleaning 23 FOCUS switeh 4.6 Clock 6-6 Footswitch connector 4-10 COMMENT key 4.8 Frame correlation 5-8 CONNECTORS PREBZE switch 4.8, 7-6, 8-6 footswiteh 4-10 PRM-CO 5.8 power cord 4-10 Frozen image 7-12 printer 4.10INDEX G GAIN control 4-2, 7-8, 83 Gel 6-4 H H-RATE measurement data reading 9-9 H-RATE 9.8 Hadlock method 11-5 Heart rate 9-8 Heart 2-1 Humidity 6-1 1 ID area 12-1 ID input 6-3 ID switeh 4-8 Image area 12-1 IMAGE DIRECTION switeh 4-7, 7-5 Image polarity 5-10 IMG-DI 5-9 IMG-PO 5-10 Initial settings 6-5 Input area selection 12-1 Installation 6-1 INT 4:10 Inverted image 5-9 doypad 4-4 K Keyboard 4-8, 12-2 M M mode 4-7, 8-1 M-CURS 6-11 M-mode cursor 5-11 MAGNIFICATION control 7-5, 8-5 MAGNIFICATION switch 4-6 MARK REF switch 4-5, 9-1 MBASUREMENT switches 4-4 ‘Menu selection switches 4-2 MENU switch 4.6 MODE selection switches 4-7 ‘Monitor connection 13-3, N NEAR GAIN switches 4-5 Nogative image 5-10 NEW PATIENT key 4-8, 12.2 NEXT 5.2 ° OB CAL switch 4-6 P Photography hood 4-2 Polaroid camera 19-4 POSITION switch 4-4, 7-6 Power cord connection 6-2 Power cord connector 4-10 Power indicator 4-2 Power on 6-3 Power switch 4-10 PRINT Switeh 4.6 Printer connector 410 Printer 13.2 Probe connection 6-2 Probe mari rotation switches 4-5, 7-11 Pulse 9-8 PUNC 5:12 Puncture guide line 5-12R Real-time image 7-12 Recording 13-1 RIN 48 8 Sampling line 8-1 Scrolling 7-6 Sensitivity time control 7-3, 8-3 Serial number 14.3, Shepard method 11-3 SHIFT key 4-8, 12-2 Size of unit 6-1 SLR camera 13-5 SPACE key 48 STC control 7-3, 8:3 SWITCHES BODY MARK menu 4-7 BODY MARK 4.4 CALIPER MARK 45 FAR GAIN 4-5 FETAL WEIGHT 4.6 FOCUS 4.6 FREEZE 4.8 ID4s IMAGE DIRECTION 4-7 MAGNIFICATION 4.8 MARK REF 4.5 MPASUREMENT 4.4 menu selection 4-2 MENU 4-6 NEAR GAIN 4.5 OB CAL 46 POSITION 4-4 PRINT 4.6 probe mark rotation 4-5 INDEX T Tomperatur 6-1 ‘Thermal printer 13-1 me interval 9-6, 9-9 ime 5-5 ‘Trackball connectar 4-10 ‘Transportation 6-1 ‘Troubleshooting 14-1 u Ultrasound gol 6-4 Uppercase 12.2 Upside-down image 5-9 v VCR connection 13.3 VEL measurement data reading 9-7 Velocity 9.6 Video signal connectors 4-10 Video souree selector 4-10 VIR 4.10