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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
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    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
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    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 
    						
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    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. 
    						
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    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
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    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
    						
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    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. 
    						
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    Power
    It is possible to change the power in all operating modes so that 
    the operator can use the ALARA principle. 
    						
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    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. 
    						
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