GE Vivid E9 User Manual
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GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 14 Power from the wall outlet (100 to 240 VAC, 50/60 Hz) is connected to the Main Power Supply. The MPS delivers the needed voltages to the rest of the Logiq E9/Vivid E9: Internal Peripherals (110-115 VAC) Front End Rack (DC power with several voltages) Front End Rack (TXPSV1 and TXPSV2 for the transmitters) (TSV1 and TSV2 for the transmitters) Front End Rack (PMXVOUT for the probe channel multiplexers) Back End Processor (48 VDC) Operator Panel, LCD, XYZ motors (48 VDC) When the system is switched on an inrush current limiter reduces the peak input current. The power supply also contains an EMI filter to reduce EMI to acceptable levels. The power supply contains 15 Amp fast acting ceramic fuses (only to be replaced by the manufacturer). Temperature Control The MPS is equipped with an internal variable speed fan to provide temperature control. The temperature of the air entering the power supply and leaving the power supply are monitored. The fan speed is adjusted according to temperature monitored by sensors. Power Down Sequences There are three possible scenarios for power shut down of the unit: Normal Power Shut Down Forced Power Shut Down Unexpected Power Loss Normal Power Shut Down Sequence Press the ON/OFF button (for a short time) 1. BEP detects the contact of Power (ON/OFF) switch. 2. PSON_N goes high. This triggers the Main Power Supply to shut down the output voltages. 3. Controller ACFAIL_N output signal goes low. 4. Controller TS_OK output signal goes low. 5. Controller turns OFF the TS (Transmit) voltages. 6. Controller turns OFF the PMX (Probe MUX) voltages. 7. Controller turns OFF voltages +/-15, +/-6, +11V, +24V. Vivid E9 Shut Down
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 15 8. ACFAIL_N output signal goes high. 9. Controller turns OFF +48V. 1. BEP detects short-term contact of Power Switch. 2. BEP OS dialog box prompts user for power down. 3. BEP, via PCI express, commands the GFI or MRX to stop scanning, disconnect TX circuits from TS, stop strobe TS_ON_STRB. 4. BEP, via USB, commands Power Supply to shutdown TSV1 and TSV2 (SetTxPS 0x68). 5. Controller turns OFF PMX voltages. 6. BEP, via USB, commands Power Supply to shutdown card rack (RackPower 0x6A). 7. BEP OS performs shutdown. 8. BEP sends PSON_N high to Power Supply. 9. Controller turns OFF TS voltages. 10. Controller TS_OK output signal goes low. 11. Controller turns OFF PMX voltages. 12. Controller turns OFF voltages +/-15, +/-6, +11V, +24V. 13. Controller turns OFF +48V. 14. Controller output 48V_OK goes low. Forced Power Shut Down Forced Power Down is initiated by depressing the ON/OFF button on the keyboard for a few seconds, until the power down sequence starts. Unexpected Power Loss A power loss may be due to: The Mains Switch has been switched to OFF The Mains cable has been disconnected Brown-out or power loss (burnout) If a power loss (or error) occurs, all power distribution within the unit is lost. Logiq E9 Shut Down In case of total lockup of the system, hold the ON/OFF button down a few seconds to shut the system down. This shut down sequence will typically be less than 1 second from the power failure is detected to all voltages have been shut down.
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 16 Module 3 Operating Modes The following general operating modes are available on E9 systems: B-Mode B-Mode is a two-dimensional image of the amplitude of the echo signal. It is used for location and measurement of anatomical structures and for spatial orientation during operation of other modes. In B mode, a two-dimensional cross-section of a three- dimensional soft tissue structure such as the heart is displayed in real time. Ultrasound echoes of different intensities are mapped to different gray scale or color values in the display. The outline of the 2D (B- Mode) (B-Mode) cross-section is a sector, depending on the particular transducer used. B-mode can be used in combination with any other mode. Harmonic Imaging Tissue Harmonic Imaging, acoustic aberrations due to tissue, are minimized by receiving and processing the second harmonic signal that is generated within the insonified tissue. Coded Harmonics enhances near field resolution for improved small parts imaging as well as far field penetration. It diminishes low frequency amplitude noise and improves imaging technically difficult patients. It may be especially beneficial when imaging isoechoic lesions in shallow-depth anatomy in the breast, liver and hard-to-visualize fetal anatomy. Coded Harmonics may improve the B-Mode (2D (B-Mode)) image quality without introducing a contrast agent.
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 17 M-Mode In M-mode, soft tissue structure is shown as a scrolling display, with depth on the Y-axis and time on the X-axis. It is mostly used for cardiac measurements. M-mode is also known as T-M mode or Time- Motion mode. Ultrasound echoes of different intensities are mapped to different gray scale values in the display. M-mode displays time motion information derived from a stationary beam. M-mode is normally used in conjunction with a 2D (B-Mode) (B-Mode) image for spatial reference. Color Flow Doppler Mode Color Doppler is used to detect motion presented as a two- dimensional display. There are three applications of this technique: Color Flow Mode - used to visualize blood flow velocity and direction. Power Doppler (Angio) - used to visualize the spatial distribution of blood. Tissue Velocity Imaging - The Tissue Color Doppler Imaging is used for color encoded evaluation of heart movements. Tissue Velocity Imaging images provide information about tissue motion direction and velocity. Blood flow is displayed as a real-time two-dimensional cross-sectional image. The 2D (B-Mode) (B-Mode) cross-section is presented as a full color display, with various colors being used to represent blood flow (velocity, variance, power and/or direction). To provide spatial orientation, the full color blood flow crosssection is overlaid on top of the gray scale cross-section of soft tissue structure (2D (B-Mode) (B-Mode) echo). Blood velocity is the primary parameter used to determine the display colors, but power and variance may also be used. A high pass filter is used to remove the signals from stationary or slowly moving structures. Tissue motion is discriminated from blood flow by assuming that blood is moving faster than the surrounding tissue. Color flow can be used with 2D (B-Mode) (B-Mode) and Spectral Doppler modes.
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 18 Power Doppler Power Doppler is the same as Color Doppler except that it uses the amplitude of the signal to detect movement. The power in the remaining signal after wall filtering is then averaged over time to present a steady state image of blood flow distribution. It is independent of velocity and direction of flow, so there is no signal aliasing. It is independent of angle allowing the detection of smaller velocities than Color Doppler, making it easier to detect indistinct ischemic areas as well as evaluate tiny low-flow vessels. Power Doppler can be used in combination with 2D (B-Mode) (B-Mode) and Spectral Doppler modes as well as with 4D mode. Pulsed (PW) Doppler PW Doppler processing is one of two spectral Doppler modes, the other being CW Doppler. In spectral Doppler, blood flow is presented as a scrolling display, with flow velocity on the Y-axis and time on the X-axis. The presence of spectral broadening indicates turbulent flow, while the absence of spectral broadening indicates laminar flow. PW Doppler provides real time spectral analysis of pulsed Doppler signals. PW Doppler can be used alone but is normally used in conjunction with a 2D (B-Mode) (B-Mode) image with an M-line and sample volume marker superimposed on the 2-D image indicating the position of the Doppler sample volume. The sample volume size and location are specified by the operator. Sample volume can be overlaid by a flow direction cursor which is aligned, by the operator, with the direction of flow in the vessel, thus determining the Doppler angle. This allows the spectral display to be calibrated in flow velocity (m/sec.) as well as frequency (Hz). PW PW Doppler can be used in combination with 2D (B-Mode) (B-Mode) and Color Flow modes. Continuous Wave (CW) Doppler Continuous Wave Doppler systems use two crystals, one to send and one to receive the echoes. The transmitter inputs a continuous sinusoidal wave. The receiver detects the shift. An audible sound is created and recorded by either an analog recorder or spectral analyzer. Spectral analysis separates the signal into individual components and assigns a relative importance.
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 19 The benefits of CW Doppler include high sensitivity to low velocities and detection of high velocities without aliasing. CW Doppler cannot distinguish between the sending and receiving signals or extraneous echoes, nor does CW Doppler produce a precise image like Pulsed Wave Doppler. Other Modes 4D: The E9 Ultrasound System can be used to acquire multiple, sequential 2D (B-Mode) (BMode) images which can be combined to reconstruct a three dimensional image. 4D images are useful in visualizing three-dimensional structures, and in understanding the spatial or temporal relationships between the images in the 2D (B- Mode) (B-Mode) sequence. The 4D image is presented using standard techniques, such as surface or volume rendering.
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 20 Module 4 Network Configuration The following sections provide some basic biomedical networking background information along with information and procedures specific to the GE LogiqE9/VividE9 ultrasound systems. DICOM The Digital Imaging and Communications in Medicine (DICOM) is a standard that specifies a consistent file structure for biomedical images and important associated information that must remain associated with the images such as patient name time, date, institution etc. The DICOM specification identifies the elements required to achieve interoperability between medical imaging computer systems. DICOM addresses these five general application areas: Network image management Network image interpretation management Network print management Imaging procedure management Off-line storage media management Prepare for Network Configuration You will need to get the facilities network information from the system administrator. You can print out the information needed to configure the system using the Network Configuration Worksheet appended to the end of this manual. GE Dataflows GE refers to communication between E9 ultrasound systems and other information providers on the network as “dataflows”. A dataflow is a set of configured settings. For the Vivid systems you can
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 21 select a pre-configured dataflow to automatically customize the unit to work according to the settings associated with this dataflow. For the Logiq systems the dataflows must be configured during system set up. Vivid E9 Connectivity Vivid E9 Dataflow Descriptions This section describes the pre-configured dataflows for th Vivid E9 systems. LocalArchive-Int.HD No DICOM multi-frame is stored in this configuration. The local database is used for patient archiving. Images are stored to internal harddrive. The image files stored consist of raw data only, together with a single-frame DICOM preview image. LocalArchive - Int HD/DICOM Server The local archive is used for patient archiving. Images are stored to the internal hard drive and to a DICOM server. RemoteArch-RemoteHD A remote database (either on EchoPAC Software Only or a server) is used for patient archiving. Images are stored to a network image volume (either internal HD on EchoPAC Software Only or a server). Remote Archive - Remote HD/DICOM Server A remote database is used for patient archiving. Images are stored to a network image volume and to a DICOM server. Worklist/LocalArchive-DICOMServer/Int.HD Search in the DICOM Modality Worklist, the patient found is copied into local database. The patient information and the examination results are stored to the local the database. Images are stored to a DICOM Server and to an image volume on the local harddrive. Worklist/RemoteArchive-DICOMServer/RemoteHD Search in the DICOM Modality Worklist, the patient found is copied into a remote database. The patient information and examination results are stored to a remote database. Images are stored to a DICOM Server and to an image network volume as pure DICOM in both locations. Input/output devices cannot be added to or removed from these pre- defined dataflows.
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 22 Worklist/Local Archive - LocalHD Search in the DICOM Modality Worklist, the patient found is copied into the local database. The patient information and examination results are stored to the local database. Images are stored to the local hard disk. Worklist/Remote Archive - Remote Storage This dataflow is used in a network environment that includes Vivid HL7 Gateway. The patient list in the Search/Create Patient window is coming from Vivid HL7 Gateway through DICOM Modality Worklist. All patient data and images are stored to a server. DICOM CD/DVD read Read DICOM Media from the CD/DVD-drive. Read only dataflow, no data can be stored. DICOM Server Store pure DICOM images to a DICOM device. Query Retrieve Retrieve images from a DICOM server LocalArchive-Int.HD/eVue The local database is used for patient archiving. Images are stored to internal harddrive and a MPEG exam is created to the configured destination. RemoteArch-RemoteHD/eVue A remote database (either on EchoPAC Software Only workstation or a server) is used for patient archiving. Images are stored to a network image volume (either internal HD on EchoPAC Software Only workstation or a server) and a MPEG exam is created to the configured destination. Worklist - DICOM Server Search in the DICOM Modality Worklist. Images are stored to a DICOM Server. DICOM USB device read Read only DICOM data from an USB device, no data can be stored. No Archive Perform an exam without storing the data to any archive. Vivid E9 Dataflow Adjustments Press Utility/Config on the Touch panel and log on as administrator. Select the Connectivity -> Dataflow subgroup. The Dataflow sheet is displayed:
GE Logiq E9/Vivid E9 Training Manual © 2016 Conquest Imaging 23 Adjusting the Assigned Devices Select the device in the Selected devices field. Press Properties to display the Properties window. Adjust the device specific parameters listed below: General Settings Definitions: Name: give a descriptive name for the device. IP address: Select from drop-down menu Database Name: Automatically selected according to the IP address File destination: Automatically selected according to the IP address Removable: Check the entry is the media is removable. MPPS: Modality Perform Procedure Step: send information (typically to a HIS) that a scheduled exam has been started, performed or interrupted. Image Settings Definitions: Allow raw data : Save data in both raw and DICOM format. Or: Save data in DICOM format only. 1. Select a dataflow to configure. 2. Use selected dataflow as default (see page 10-33). 3. Store data directly to archive. 4. Hide selected dataflow from the list of available dataflow. 5. Option for the search function. In the Search/Create patient window. Select between None, All patients and Today’s patient. 6. Input/output devices assigned to the current dataflow. 7. Adjust the settings for the selected assigned device. Not all the settings listed apply to all devices.