GE Logiq P5 User Manual
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Preparing for a Biopsy LOGIQ 5 Basic User Manual 17-39 Direction 2300002-100 Rev. 2 Biopsy Need Path Verification To verify that the path of the needle is accurately indicated within the guidezone on the system monitor, perform the following: • Properly install the bracket and biopsy guide. • Scan in a container filled with water. • Display the biopsy guidezone on the monitor. • Ensure that the needle echo falls within the guidezone markers.
Probes and Biopsy 17-40 LOGIQ 5 Basic User Manual Direction 2300002-100 Rev. 2 The Biopsy Procedure 1. Place coupling gel on the scanning surface of the probe/ sheath/biopsy guide assembly. 2. Activate the biopsy guidezone on the system through the B-Mode Touch Panel. When using multi-angle guides, ensure that the proper guidezone angle is displayed. Figure 17-23. B-Mode Touch Panel 3. Scan to locate the target. Center the target in the electronic guidezone path. NOTE: Enabling color flow would allow for visualization of the vascular structure around the area to be biopsied. 4. Place the needle in the guide between the needle barrel and needle clip. Direct it into the area of interest for specimen retrieval. WARNINGBiopsy procedures must only be performed on live images.
Preparing for a Biopsy LOGIQ 5 Basic User Manual 17-41 Direction 2300002-100 Rev. 2 Post Biopsy When the biopsy is complete, remove the needle barrel, needle clip and probe sheath. Properly dispose of these items in accordance with current facility guidelines. The biopsy bracket can be sterilized in a recommended disinfecting agent and reused. E8C Probe Biopsy Guide When the E8C probe is attached and active, the needle guide type is the TR5° (Civco disposable guide with a 5° offset angle). Figure 17-24. TR5° Biopsy Guide Preparation To prepare the E8C for use: 1. Remove the probe from the box and carefully examine it for any damage. 2. If the biopsy guide is to be attached, use the filling removal tool to clean out the attachment area on the probe head. Figure 17-25. Attachment Filling Removal a. Probe Head b. Attachment c. Filling Removal Tool 3. Clean, then disinfect the probe. NOTE: Ensure that protective gloves are worn. a bc
Probes and Biopsy 17-42 LOGIQ 5 Basic User Manual Direction 2300002-100 Rev. 2 Preparation (continued) To install the sheath: 1. Remove the sheath from its package. Do not unroll the sheath. NOTE: Remember to rinse all sanitary probe sheaths of powder before placing on the probe. Powder can degrade the displayed image. 2. Place an adequate amount of ultrasound gel inside the sheath tip (the gel is between the sheath inner surface and the probe aperture). NOTE: Ensure that only acoustic coupling gel is used for this purpose. 3. Place the sheath tip over the probe aperture and then pull the sheath end toward the probe handle. 4. Inspect the sheath for nicks, cuts or tears. Figure 17-26. Probe with Sheath a. Probe Handle b. Sanitary Sheath c. Probe Body 5. Rub a finger over the tip of the probe to ensure all air bubbles have been removed. 6. If a biopsy is to be performed, snap the metal or plastic biopsy guide on to the probe over the sheath. a bc
Preparing for a Biopsy LOGIQ 5 Basic User Manual 17-43 Direction 2300002-100 Rev. 2 Preparation (continued) 7. Place an adequate amount of ultrasound gel on the gel-filled sheath tip’s outer surface. Figure 17-27. Civco Disposable Biopsy Guide 5° Angle 8. Ensure the guide is properly seated and secure by pushing forward on the needle insertion end of the guide until the attachment node is firmly in place in it’s hole.
Probes and Biopsy 17-44 LOGIQ 5 Basic User Manual Direction 2300002-100 Rev. 2
LOGIQ 5 Basic User Manual 18-1 Direction 2300002-100 Rev. 2 Chapter 18 User Maintenance This chapter supplies system data, assistance information, and system care and maintenance instructions.
User Maintenance 18-2 LOGIQ 5 Basic User Manual Direction 2300002-100 Rev. 2 System Data LOGIQ 5 Features/Specifications Table 18-1: Physical Attributes Physical Attributes Dimensions and Weight • Height: Minimum 1350 mm (53 in). Maximum 1450 mm (56 in) • Width: 520 mm (20 in) • Depth: 990 mm (39 in) • Weight: approx. 180 kg (397 lb.) Keyboard • Keyboard width: 520 mm • Keyboard Height: 900 mm, adjustable • Full alphanumeric keyboard • Ergonomic hard key operations • Interactive Back-Lighting • Task lighting • 6.4” LCD touch panel • Integrated recording keys for remote control • User Define, User Programmable Keys Electrical Power • Voltage:100-120 Vac or 220-240 Vac • Frequency: 50/60 Hz • Power: Max. 1250 VA with built-in and on-board peripheralsConsole Design • 3 Active Probe Ports • Probe connection area designed to allow free movement of legs • KBD/Monitor up-down mechanism (100mm adjustable in height) • On-board storage for peripherals: Black/white printer, color printer, VCR. • Rear Storage Cover for Peripheral Connectors and Cables • Probe Holder, removable for cleaning and washing • Gel Holder, removable for cleaning and washing • Wheels. Wheel diameter: 150 mm. Rotating flexible wheels with protective cover. Locking Mechanism for wheels. Monitor • Single 17 High-Resolution monitor Non Interlace Scan • SVGA Formats (800x600) • Tilt/Rotate Adjustable Monitor: Tilt Angle: Up 15°, Down 10°. Rotate Angle: + 90°.
System Data LOGIQ 5 Basic User Manual 18-3 Direction 2300002-100 Rev. 2 LOGIQ 5 Features/Specifications (continued) Table 18-2: System Overview Applications• Abdominal • Obstetrical • Gynecological • Cardiac • Musculoskeletal • Vascular • Urological • Small parts and Superficial • Breast • Pediatric and Neonatal • Orthopedic • Intraoperative • Transcranial Scanning Methods • Electronic Sector • Electronic Convex • Electronic Linear • Steered Linear Operating Modes • B-Mode • M-Mode • M Color Flow Mode • PW Doppler • High PRF Doppler • Color Flow Doppler (CFM) • Power Doppler Imaging (PDI) Display Modes • Simultaneous Capability [B/D; B/CFM (PDI); B/M; B + CFM/M; Realtime Triplex Mode (B + CFM (PDI)/D); Dual B (B/B); B(b/w)/B + CFM (PDI)] • Selectable alternating Modes [B/M; B/D; B + CFM (PDI)/M; B + CFM (PDI)/D; 3D-Mode (optional); 3D-Color Mode (optional) • Colorized Image - Colorized B - Colorized M - Colorized D • Time line Display [Independent Dual B/D Display; 2 Display Formats; Top/Bottom or Side/Side selectable Format; Size: Vertical 1/3, 1/2, 2/3 Horizontal 1/4, /12 after freeze; 2 Time line Methods: Scrolling or Moving Bar • Virtual Convex • Quad Screen Display Transducer Types • Sector Phased Array • Convex Array • Linear Array • Pencil probe • Active Matrix Array Standard Features • Standard CINE Memory • Realtime Triplex Mode at any depth and any PRF • Automatic Optimization (Auto Tissue Optimization, Auto Spectrum Optimization, Auto Color Optimization) • ACE • Virtual Convex • Built-in patient archive with images, patient information • Auto Doppler Calculation • Vascular Calcs • Cardiac Calcs • OB Calcs • Fetal Trending • Multi gestational Calcs • Gynecological Calcs • Urological Calcs • Renal Calcs • Task Lamp Options • Additional probe port • DICOM • Physio Input Panel for ECG, PCG, Aux • Footswitch • Insite capability Peripheral Standard • CD-RW Peripheral Options • B/W Printer • Color Printer • S-VHS Video Cassette Recorder • MO Drive
User Maintenance 18-4 LOGIQ 5 Basic User Manual Direction 2300002-100 Rev. 2 LOGIQ 5 Features/Specifications (continued) Table 18-3: System Parameters Post-Processing• B/M-Mode (Grey Map; Rejection; Colorized B and M; Frame Averaging) • D-Mode (Grey Map; Rejection; Colorized D) • Color Flow (Color Map; CFM Display Threshold) Pre-Processing • B/M-Mode (Gain; TGC; Dynamic Range; Transmission Focus Position; Transmission Focus Number; Transmission Frequency; Edge Enhancement; Frame Rate Control; Image Softener Level; Sweep Speed for M-Mode) • D-Mode (Gain; Dynamic Range; Transmission Frequency; Velocity Scale/PRF; Wall Filter; Baseline Shift; Sweep Speed) • Color Flow (CFM Gain; CFM Velocity Range; MTI Filter; Pulse Packet Size; Frame Rate Control; CFM Spatial Filter; CFM Frame Averaging; Diagnostic Color Display Mode; Baseline Shift; CFM ACE-Filter) Image Processing and Presentation • Image Reverse: Right/ Left • Image Rotation: 4 steps, Rotation: 0°, 180° • Imaging Depth: 0-30cm [Minimum: 0-1 cm (Zoom); Maximum: 0-30 cm] • Transmission Focus [1-8 Focus Points selectable; Focus Position: 8 steps • Receiving Focus [CDA/CDF (Continuous Dynamic Focus/Continuous Dynamic Aperture)] • 256 Shades of GreyZoom • Smart Zoom (Acoustic Write Zoom): • Reference Image for Smart Zoom • Read Zoom (available in B/ M and CFM) Physiological Input Panel (Option) • Physiological Input (ECG, 1 channel; PCG, 1 channel; AUX, 2 channel) • Dual R-Trigger • Reference Scan: Simultaneous Display of Active Image and Trigger Update Image • Presetable ECG R Delay Time • Presetable ECG Position • Adjustable ECG Gain Control • Presetable PCG Position • Adjustable PCG Gain Control • Presetable AUX Gain Control • Adjustable AUX Gain Control • Automatic Heart Rate Display Image Archive • Archiving Format: DICOM • Possibly exported to other format CINE Memory/Image Memory • Dual Image CINE Display • CINE Gauge and CINE Image number display • CINE Review Loop • Selectable CINE Sequence for CINE Review (by Start Frame and End Frame) • Side Change in dual CINE Mode • Measurements/Calculations & Annotations on CINE & VCR Playback Images