GE Vivid 7 User Manual
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Safety Vivid7/Vivid7 PRO Users Manual467 FC092326-03 Note: Any rest en- ergy within our scanners or their components will be below 60V DC or 2 mJ. 0470
Safety 468Vivid7/Vivid7 PRO Users Manual FC092326-03 Device labels The following table describes the purpose and location of safety labels and other important information provided on the equipment. Label/Icon Purpose Location Identification PlateManufacturers name and address Model Electrical ratings Device Listing/Certification LabelsRear Equipment Type BF, in which protection against electric shock does not rely on basic insulation only. Provides additional safety precautions such as double insulation or reinforced insulation, because there is no provision for protective earthing or reliance upon installation conditions.Probe connectors. Equipment Type CF, indicates equipment having a floating applied part having a degree of protection suitable for direct cardiac contact.ECG connector Defibrillator-proof Type CF equipment. ECG connector Rear of unit. Alternating current Various Protective earth (ground) Internal 0470
Safety Vivid7/Vivid7 PRO Users Manual469 FC092326-03 Earth (ground) Internal Equipotentiality: indicates terminal to be used for connecting equipotential conductors when interconnecting (grounding) with other equipment.Rear of unit Attention - Consult accompanying documents: alerts the user to refer to the user documentation when complete information cannot be provided on the label.Various CAUTION - Dangerous voltage: used to indicate electric shock hazards.Various ATTENTION - Observe precaution for handling electrostatic sensitive device.Rear of unit (External I/O) The system is not designed for use with flammable anesthetic gases.Rear of unit (Identification plate) The disassembly and parts disposition procedure is located on the card cage front cover. To access to the procedure, remove the right side panel by unscrewing the two screws on the lower part.Rear of unit (Identification plate) Label/Icon Purpose Location AP
Safety 470Vivid7/Vivid7 PRO Users Manual FC092326-03 This precaution is intended to prevent injury that may result if one person attempts to move the unit over considerable distances or on an incline due to the weight of the unit.Rear of unit (Identification plate) CAUTION - Do not move the unit if the keyboard console is in the free positionKeyboard console Apply a short push on the ON/OFF button to shut down the system.Keyboard console Label/Icon Purpose Location 190 kg
Safety Vivid7/Vivid7 PRO Users Manual471 FC092326-03 Acoustic output Definition of the acoustic output parameters Ther mal Index TI is an estimate of the temperature increase of soft tissue or bone. There are three thermal index categories: • TIS: Soft tissue thermal index. The main TI category. Used for applications that do not image bone. • TIB: Bone thermal index (bone located in a focal region). Used for fetal application. • TIC: Cranial bone thermal index (bone located close to the surface). Used for transcranial application. Mechanical Index MI is the estimated likelihood of tissue damage due to cavitation. The absolute maximum limits of the MI is 1.9 as set by the FDA 510(k) guidance of 1997. Ispta The Ispta is the Spatial Peak Temporal Average Intensity. The absolute maximum limit of Ispta is 720 MW/cm 2 as set by the FDA 510(k) guidance of 1997.
Safety 472Vivid7/Vivid7 PRO Users Manual FC092326-03 Acoustic output and display on the Vivid7/Vivid7PRO In the title bar, two fields are allocated for the display of power values as shown in Figure 14-1. Figure 14-1: The display of MI and TI on the screen The Vivid 7/Vivid 7 PRO chooses the correct category based on mode of operation and chosen application, and presents only one TI to the operator. It is therefore important that the operator chooses the right application. The Vivid 7/Vivid 7 PRO has an internal limit of 3.0 on TI. IEC87 has suggested some time dependent thresholds that are partly implemented on the Vivid 7/Vivid 7 PRO as color-coding of the thermal index. The color-coding scheme together with the thermal exposure times in the table below are not meant as limits on TI or exposure time, but as an aid for the operator. Note that the Vivid 7/Vivid 7 PRO does not monitor the thermal exposure time. The displayed TI is coded as follow: 1. Title bar 2. MI 3. TI TI Color Recommended thermal exposure time 0.0 – 0.4 Dimmed - 0.4 – 1.5 White - 1.5 – 2.0 White < 12 h 2.0 – 3.0 White < 1 h 3.0 – 4.0 Red < 15 min.
Safety Vivid7/Vivid7 PRO Users Manual473 FC092326-03 The maximum possible MI and Ispta on the Vivid 7/Vivid 7 PRO is within the limits set in Track 3 in the FDA 510(k) guide of 1997, MI
Safety 474Vivid7/Vivid7 PRO Users Manual FC092326-03 directly related to the exposure time. • Better image quality yields faster clinical results, making it possible to complete the relevant ultrasound examination more rapidly. Therefore, any control that improves the quality of the examination can help to reduce patient exposure, even though it may not directly affect acoustic output. Probe selection As long as the appropriate application is available, any probe can be used with the knowledge that the intensities fall at, or below, those stated in the Acoustic Output Data Tables. The duration of patient exposure is most likely minimized with the use of a probe that is optimized to provide resolution and focal depth, appropriate to the examination. Application selection Selecting the probe and application preset appropriate to a particular ultrasound examination automatically provides acoustic output limits within FDA guidelines for that application. Other parameters which optimize performance for the selected application are also set automatically, and should assist in reducing the patient exposure time. See page 53, for information on selecting probes and application presets. Changing imaging modes Acoustic output depends on the imaging mode selected. The choice of mode (2D, M-Mode, Doppler or Color Flow) determines whether the ultrasound beam is stationary or in motion. This greatly affects the energy absorbed by the tissue. See Chapter 3, ’Scanning Modes’ on page 89, for complete information on changing imaging modes. When operating in a combined mode, such as 2D and M-Mode, the total acoustic output comprises contributions from each individual mode. Depending on the modes in use, either or both output indices may be affected. The user can override the default settings, but care should be taken to observe the displayed MI and TI values.
Safety Vivid7/Vivid7 PRO Users Manual475 FC092326-03 Power It is possible to change the power in all operating modes so that the operator can use the ALARA principle.
Safety 476Vivid7/Vivid7 PRO Users Manual FC092326-03 Patient safety Patient identification Always include proper identification with all patient data and verify the accuracy of the patients name and/or identity number when entering such data. Ensure that the correct patient ID is provided on all recorded data and hard copy prints. Identification errors could result in an incorrect diagnosis. Diagnostic infor mation The images and calculations provided by the system are intended for use by competent users, as a diagnostic tool. They are explicitly not to be regarded as the sole, irrefutable basis for clinical diagnosis. Users are encouraged to study the literature and reach their own professional conclusions regarding the clinical utility of the system. The user should be aware of the product specifications and of the system accuracy and stability limitations. These limitations must be considered before making any decision based on quantitative values. If in doubt, the nearest GE Ultrasound Service Office should be consulted. Equipment malfunction or incorrect settings can result in measurement errors or failure to detect details in the image. The user must become thoroughly familiar with the operation of the unit in order to optimize its performance and to recognize possible malfunctions. Application training is available through the sales representative. Mechanical hazards Damaged probes or improper use and manipulation of the transesophageal probe may result in injury or increased risk of WARNINGThe concerns listed in this section can seriously affect the safety of the patient undergoing a diagnostic ultrasound examination. CAUTIONBe certain to ensure privacy data of patient information.