GE Venue 50 User Manual
GE Venue 50 User Manual
GE Venue 50 User Manual
R4.x.x
Operating Documentation
Copyright 2013-2014 By General Electric Co.
Regulatory Requirement
This manual is a reference for the Venue 50. It applies to all versions of the R4.x.x
software for the Venue 50 ultrasound system.
GE
P.O. Box 414, Milwaukee, Wisconsin 53201 U.S.A.
(Asia, Pacific, Latin America, North America)
DATE
REV (YYYY/MM/DD) REASON FOR CHANGE
REVISION REVISION
SECTION NUMBER NUMBER SECTION NUMBER NUMBER
Chapter 2 Rev. 7
Please verify that you are using the latest revision of this document. Information
pertaining to this document is maintained on MyWorkshop (GE electronic Product Data
Management). If you need to know the latest revision, contact your distributor, local GE
Sales Representative or in the USA call the GE Ultrasound Clinical Answer Center at
1 800 682 5327 or 1 262 524 5698.
Conformance Standards
The following classifications are in accordance with the IEC/
EN 60601-1:
• According to 93/42/EEC Medical Device Directive, this is
Class IIa Medical Device.
• According to IEC/EN 60601-1,
• Equipment is Class I, Type B with BF Applied Parts.
• Docking Station/Cart is Class 1.
• Continuous Operation.
• According to CISPR 11,
• Equipment is Group 1, Class A ISM Equipment.
• Docking Station/Cart is Group 1, Class A ISM
Equipment.
• According to IEC 60529,
• The footswitch rate is IP X8 (MKF 2 1S/1S-MED HID
GP 26).
• Probe head (immersible portion) and cable are IPX7.
Probe connector is not waterproof.
This product complies with the regulatory requirement of the
following:
• Council Directive 93/42/EEC concerning medical devices:
the CE label affixed to the product testifies compliance to
the Directive.
The location of the CE marking is shown in the Safety
chapter of this manual.
Authorized EU Representative
European registered place of business:
GE Medical Systems Information Technologies GmbH
(GEMS IT GmbH)
Munzinger Strasse 5, D-79111 Freiburg, GERMANY
Tel: +49 761 45 43 -0; Fax: +49 761 45 43 -233
Original Documentation
• The original document was written in English.
Importer Information
• Turkey
Introduction/Safety
System Overview
Attention
This manual contains necessary and sufficient information to
operate the system safely.
Read and understand all instructions in this manual before
attempting to use the Venue 50 system.
Keep this manual with the equipment at all times. Periodically
review the procedures for operation and safety precautions.
Disregarding information on safety is considered abnormal use.
Not all features or products described in this document may be
available or cleared for sale in all markets. Please contact your
local GE Ultrasound representative to get the latest information.
NOTE: Please note that orders are based on the individually agreed
upon specifications and may not contain all features listed in this
manual.
NOTE: All references to standards/regulations and their revisions are
valid at the time of publication of the user manual.
Documentation
Principles of Operation
Medical ultrasound images are created by computer and digital
memory from the transmission and reception of mechanical
high-frequency waves applied through a transducer. The
mechanical ultrasound waves spread through the body,
producing an echo where density changes occur. For example,
in the case of human tissue, an echo is created where a signal
passes from an adipose tissue (fat) region to a muscular tissue
region. The echoes return to the transducer where they are
converted back into electrical signals.
These echo signals are highly amplified and processed by
several analog and digital circuits having filters with many
frequency and time response options, transforming the
high-frequency electrical signals into a series of digital image
signals which are stored in memory. Once in memory, the image
can be displayed in real-time on the image monitor. All signal
transmission, reception and processing characteristics are
controlled by the main computer. By selection from the system
control panel, the operator can alter the characteristics and
features of the system, allowing a wide range of uses, from
obstetrics to peripheral vascular examinations.
Transducers are accurate, solid-state devices, providing multiple
image formats. The digital design and use of solid-state
components provides highly stable and consistent imaging
performance with minimal required maintenance. Sophisticated
design with computer control offers a system with extensive
features and functions which is user-friendly and easy to use.
Frequency of Use
Daily (Typically 8 hours)
Operator Profile
• Qualified and trained physicians or sonographers with at
least basic ultrasound knowledge.
• The operator must have read and understood the user
manual.
Prescription Device
CAUTION: United States law restricts this device to sale or use
by, or on the order of a physician.
Owner Responsibility
Owner requirements
It is the responsibility of the owner to ensure that anyone
operating the system reads and understands this section of the
manual. However, there is no representation that the act of
reading this manual renders the reader qualified to operate,
inspect, test, align, calibrate, troubleshoot, repair or modify the
system. The owner should make certain that only properly
trained, fully-qualified service personnel undertake the
installation, maintenance, troubleshooting, calibration and repair
of the equipment.
The owner of the ultrasound unit should ensure that only
properly trained, fully qualified personnel are authorized to
operate the system. Before authorizing anyone to operate the
system, it should be verified that the person has read, and fully
understands the operating instructions contained in this manual.
It is advisable to maintain a list of authorized operators.
Should the system fail to operate correctly, or if the unit does not
respond to the commands described in this manual, the
operator should contact the nearest field GE Ultrasound Service
Office.
For information about specific requirements and regulations
applicable to the use of electronic medical equipment, consult
the local, state and federal agencies.
Safety Precautions
Precaution Levels
Icon description
Hazard Symbols
Icon Description
CAUTION Improper use can result in serious injury. The use of the system
outside the described conditions or intended use, and
disregarding safety related information is considered abnormal
use. The manufacturer is not liable for damage caused by
abnormal use of the device.
The operator must be thoroughly familiar with the instructions
and potential hazards involving ultrasound examination before
attempting to use the device. Training assistance is available
from GE if needed.
Patient Safety
Related Hazards
WARNING The concerns listed can seriously affect the safety of patients
undergoing a diagnostic ultrasound examination.
Patient identification
Always include proper identification with all patient data and
verify the accuracy of the patient's name and ID numbers when
entering such data. Make sure correct patient ID is provided on
all recorded data and hard copy prints. Identification errors could
result in an incorrect diagnosis.
The ultrasound system is not meant for long term storage of
patient data or images. Customers are responsible for the
system data and a regular backup is highly recommended.
It is advisable to back up system data prior to any service
repairs to the hard drive. It is always possible during system
failure and repair to lose patient data. GE will not be held
responsible for the loss of this data.
Diagnostic information
The images and calculations provided by the system are
intended for use by competent operators, as a diagnostic tool.
They are explicitly not to be regarded as the sole, irrefutable
basis for clinical diagnosis. Operators are encouraged to study
the literature and reach their own professional conclusions
regarding the clinical utility of the system.
The operator 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, consult the nearest GE
Ultrasound Service Office.
Equipment malfunction or incorrect settings can result in
measurement errors or failure to detect details within the image.
The equipment operator must become thoroughly familiar with
the equipment operation in order to optimize its performance
and recognize possible malfunctions. Applications training is
available through a local GE representative. Added confidence
in the equipment operation can be gained by establishing a
quality assurance program.
CAUTION Allowing the machine to transmit acoustic output with the probe
not in use (or in its holder) can cause the transducer to build up
heat.
Mechanical hazards
The use of damaged probes or improper use and manipulation
of intracavity probes can result in injury or increased risk of
infection. Inspect probes often for sharp, pointed, or rough
surface damage that could cause injury or tear protective
barriers. Become familiar with all instructions and precautions
provided with special purpose probes.
Electrical A damaged probe can also increase the risk of electric shock if
Hazard conductive solutions come in contact with internal live parts.
Inspect probes often for cracks or openings in the housing and
holes in and around the acoustic lens or other damage that
could allow liquid entry. Become familiar with the probes use
and care precautions outlined in Probes and Biopsy.
ALARA
Training
It is recommended that all operators receive proper training in
applications before performing them in a clinical setting. Please
contact a local GE representative for training assistance.
Related Hazards
CAUTION Make sure to verify the media after writing of data, including
Save, Backup and Restore.
Before deleting a patient or image from the patient screen,
make sure you have saved the data and verify that the media
transfer of data was successful.
CAUTION DO NOT touch the patient and any of the connectors on the
ultrasound unit simultaneously, including ultrasound probe
connectors.
DO NOT touch the conducting parts of the USB, ethernet,
video, audio cables when connecting equipment to the unit.
General Caution
CAUTION The maximum capacity load is 8kg (17.6lbs) for the Printer
Shelf (1) and 2kg (4.4lbs) for the Accessories Shelf (2). Please
refer to the figure below.
EMC Performance
Frequency Range: 150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
Calculation Method: d=[3.5/V1] square root d = [3.5/E1] square root d = [7/E1] square root of
of P of P P
Where: d= separation distance in meters, P = rated power of the transmitter, V1=compliance value for
conducted RF, E1 = compliance value for radiated RF
General Notice
Declaration of Emissions
The system is intended for use in the electromagnetic environment specified below. The
operator of the system should assure that it is used in such an environment.
RF Emissions Group 1 This system uses RF energy only for its internal function.
CISPR 11 Therefore, its RF emissions are very low and are not likely to
cause any interference in nearby electronic equipment.
RF Emissions Class A This system is suitable for use in all establishments, other than
CISPR 11 domestic establishments and those directly connected to the
public low-voltage power supply network that supplies buildings
Harmonic Class A used for domestic purposes, provided the following warning is
Emissions heeded:
IEC 61000-3-2 WARNING: This system is intended for use by healthcare
professionals only. This system may cause radio interference or
Voltage Complies
may disrupt the operation of nearby equipment. It may be
Fluctuations/Flicker
necessary to take mitigation measures, such as re-orienting or
Emissions relocating the system or shielding the location.
IEC 61000-3-3
Declaration of Immunity
NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects, and people. If noise generated from other electronic
equipment is near the probe’s center frequency, noise may appear on the image. Good power line isolation
is required.
Acceptable Devices
Unapproved Devices
Acoustic Output
Located on the upper right section of the system display monitor,
the acoustic output display provides the operator with real-time
indication of acoustic levels being generated by the system. See
the Acoustic Output chapter in the Advanced Reference Manual
for more information. This display is based on NEMA/AIUM
standards for real-time display of thermal and mechanic
acoustic output indices on diagnostic ultrasound equipment.
Thermal Index
Depending on the examination and type of tissue involved, the
TI parameter will be one of three types:
• Soft Tissue Thermal Index (TIS). Used when imaging soft
tissue only, it provides an estimate of potential temperature
increase in soft tissue.
• Bone Thermal Index (TIB). Used when bone is near the
focus of the image as in the third trimester OB examination,
it provides an estimate of potential temperature increase in
the bone or adjacent soft tissue.
• Cranial Bone Thermal Index (TIC). Used when bone is
near the skin surface as in transcranial examination, it
provides an estimate of potential temperature increase in
the bone or adjacent soft tissue.
Mechanical Index
MI recognizes the importance of non-thermal processes,
cavitation in particular, and the Index is an attempt to indicate
the probability that they might occur within the tissue.
Acoustic Use the minimum necessary acoustic output to get the best
Output diagnostic image or measurement during an examination.
Hazard Begin the exam with the probe that provides an optimum focal
depth and penetration.
Device Labels
Icon Description
The following table describes the purpose and location of safety
labels and other important information provided on the
equipment.
Identification and Rating Plate • Manufacture’s name and address Rating Plate Label.
• Date of manufacture ‘Warning label locations’ on
• Model and serial numbers page 1-33
• Electrical ratings (Volts, Amps,
phase, and frequency)
Type/Class Label Used to indicate the degree of safety Rating Plate Label
or protection.
Type BF Applied Part (man in the box) Probe connector and rating
symbol is in accordance with IEC plate
60878-02-03.
Do not put anything weighed over 5kg Printer shelf of Docking Cart
(11 lbs) on the shelf.
1. The CE Mark of Conformity indicates this 4. Prescription Device (For U.S.A. Only)
equipment conforms with the Council Directive 5. Warning of Gender Determination
93/42/EEC. 6. CISPR CAUTION: The Venue 50 conforms to
2. Possible shock hazard. Do not remove covers the CISPR11, Group 1, Class A of the
or panels. No operator serviceable parts are international standard for Electromagnetic
inside. Refer servicing to qualified service disturbance characteristics.
personnel.
3. “Consult accompanying documents” is intended
to alert the operator to refer to the operator
manual or other instructions when complete
information cannot be provided on the label.
REF
Serial number
SN
Direct Current: For products to be powered from a DC
supply
Description
Model
Input
Output
Made in China
Made by Coretronic
Keep the battery away from fire and other heat sources.
Site Requirements
Introduction
NOTE: Only qualified physicians or sonographers should perform
ultrasound scanning on human subjects for medical diagnostic
reasons. Request training, if needed.
The Venue 50 does not contain any operator serviceable
internal components. Ensure that unauthorized personnel do not
tamper with the unit.
Perform regular preventive maintenance. See ‘System Care and
Maintenance’ on page 6-13 for more information.
Maintain a clean environment. Turn off, and if possible,
disconnect the system before cleaning the unit. See ‘Cleaning
the system’ on page 6-16 for more information.
Environmental Requirements
The system should be operated, stored, or transported within
the parameters outlined below. Either its operational
environment must be constantly maintained or the unit must be
turned off.
Table 2-1: System Environmental Requirements
Acclimation Time
After being transported, the unit requires one hour for each 2.5
degree increment when its temperature is below 10°C or above
40°C.
Table 2-2: System Acclimation Time Chart
°C 60 55 50 45 40 35 30 25 20 15 10
hours 8 6 4 2 0 0 0 0 0 0 0
hours 2 4 6 8 10 12 14 16 18 20
Console Overview
Console graphics
The following are illustrations of the console:
1. Venue 50
2. Docking Station
CAUTION DO NOT push objects into air vents of system. Doing so can
cause fire or electric shock by shorting out interior components.
Docking Cart
1. Docking
2. Plastic shelf - for accessories and disposals
3. Pedal
4. Wheels brake pedal - for Cart brakes
5. Cart Handle
6. Printer shelf (option)
7. 3-probe port box (option)
8. Multi-probe holder (option)
9. Basket - for accessories and disposals (option)
Battery
Battery (continued)
CAUTION To avoid the battery bursting, igniting, or fumes from the battery
causing equipment damage, observe the following precautions:
• DO NOT immerse the battery in water or allow it to get wet.
• DO NOT put the battery into a microwave oven or
pressurized container.
• If the battery leaks or emits an odor, remove it from all
possible flammable sources.
• If the battery emits an odor or heat, is deformed or
discolored, or in a way appears abnormal during use,
recharging or storage, immediately remove it and stop
using it. If you have any questions about the battery,
consult GE or your local representative.
• Short term (less than one month) storage of battery pack:
• Store the battery in a temperature range between -5°C
(23°F) and 50°C (122°F).
Battery (continued)
Battery (continued)
Battery (continued)
Battery Replacement
1. Lay the Venue 50 face down on a stable, smooth surface to
avoid scratching the LCD.
2. Pull off the battery cover and remove the battery pack.
Peripheral/Accessory Connection
Peripherals Connection
2. Connect the USB cable from the printer to the USB port of
Docking Station/Cart. Connect the printer’s power cord and
power on the printer.
WARNING Please make sure to turn off the Venue 50 before releasing it
from the Docking Station/Cart.
System Positioning/Transporting
NOTE: When moving the Docking Cart, be sure the path is clear. Limit
movement to a slow careful walk.
NOTE: Make sure the console is locked in place to avoid damaging the
system due to a fall.
NOTE: Utilize additional care when moving on a steep incline (>5
degrees) or loading the system into vehicle for transport.
Cable management
CAUTION Use caution to ensure that the power cable does not
disconnect during system use.
If the system is accidentally unplugged, data may be lost.
WARNING To avoid risk of fire, the system power must be supplied from a
separate, properly rated outlet. See ‘Before the system arrives’
on page 2-3 for more information.
Under no circumstances should the AC power plug be altered,
changed, or adapted to a configuration rated less than
specified. Never use additional multiple portable socket-outlets,
an extension cord or an adapter plug.
To help assure grounding reliability, connect to a “hospital
grade” or “hospital only” grounded power outlet.
Power On
Press the Power On/Off switch on top of the system to turn on/
off the system.
Press the Power On/Off, then press Lock Screen to lock the
screen.
LED
CAUTION Be sure to lock the wheels before adjusting the Docking Cart
height.
CAUTION When the cart handles are used for power cable management,
the sudden raising of the cart to a higher position may cause
the AC plug to break.
CAUTION When adjusting the cart while scanning, the power cord and
wheels may become entangled, which may result in cable
damage.
CAUTION Damage to the probe cable may result if the brake pedal
catches the cable and pulls it tightly against the base leg. This
puts stress on the probe and connector while the probe in the
probe holder.
Brightness
Adjusting the LCD monitor's brightness is one of the most
important factors for proper image quality.
To adjust the brightness:
1. Select Utility -> Settings -> Common, then choose the
desired brightness in the Brightness select box.
Probes
Introduction
Only use approved probes.
All imaging probes can be connected into the probe port of the
Venue 50.
See ‘Probe Applications’ on page 5-20 for more information.
Selecting probes
• Always start out with a probe that provides optimum focal
depths and penetration for the patient size and exam.
• Begin the scan session using the default Power Output
setting for the probe and exam.
Cable Handling
Take the following precautions with probe cables:
• If the system in on the docking cart, please keep the probe
cable free from wheels and use the cable hooks on the
docking cart.
• DO NOT bend the cable acutely.
• Avoid crossing cables between probes.
2. Pull the probe and connector straight out of the probe port.
Transporting Probes
Secure the probe in its holder for moving a short distance.
When transporting a probe for a long distance, store it in its
carrying case.
Touch Panel
1. Home: Enter home page 9. Split: Split the screen into two
2. Scan, Review: Perform various functions 10. Zoom: Magnify a region of interest
3. : eSmart Trainer (option) 11. Guide: Display the biopsy guidelines
4. Utility: Activate system configuration menus 12. End Exam: Press to end an exam
5. TGC, Gain, Depth: Adjust the image information 13. Dataflow Button: Store the patient information
6. B, Color, PDI, M: Switch to different modes or print the scanning images.
7. : configurable parameters 14. Freeze: Stop the acquisition of ultrasound
data and freeze the image in system memory.
8. Needle: Enhance visualization of the needle
Monitor Display
Monitor Display
Performing an Exam
Performing an Exam
Overview
A typical exam includes the following:
• Begin a new exam
• Image scanning
• Measurements
• Annotations
• Image management
Introduction
Begin an exam by entering new patient information.
The operator should enter as much information as possible,
such as:
1. Patient Name
2. Patient ID
3. Study Description
4. Date of Birth (DOB)
5. LMP (if applicable)
6. Performing Physician
7. Patient Gender
The patient's name and ID number is retained with each
patient's image and transferred with each image during
archiving or hard copy printing.
Home Screen
1. Scan
2. Review
3. Utility
4. Patient Information
5. Preset Information
6. Clear
7. Soft Keyboard
Image Scanning
B Mode
Intended Use
B Mode Controls
TGC Adjust TGC to balance the image so that the density of echoes is the same
throughout the image.
B/Color/PDI/M Switch to PDI/Color Flow/M mode, different option for different packages.
Needle
Press to activate the Needle mode. Gain, Angle and Tilt can be activated.
The needle function only applies to linear probes.
Caution: Before activating the Needle, please make sure to select Interventional
related preset first.
Configurable • LiveGain: To balance echo contrast so that cystic structures appear echo-free and
Parameters reflecting tissue fills in.
• Frequency: This optimizes the probe’s wide band imaging capabilities at multiple
frequencies to image at greater depths.
• CrossXBeam: Improve contrast resolution with increased conspicuity of low
contrast lesions, better detection of calcifications, biopsy needle visualization, and
cystic boundary definition.
• Gray Map: Affects the presentation of B Mode information.
• Focus Pos: Focus optimizes the image by increasing the resolution for a specific
area.
• Reverse: Used for anatomical correctness.
• ATO Level: Select the Auto Tissue Optimize Level to pick a preference for the
contrast enhancement in the resulting image.
• Dynamic Range: It is useful for optimizing tissue texture for different anatomy.
• Compression: Suppress the noise in the image.
• Rejection: Allow for the elimination from the display of low level echoes caused by
noise.
• Frame Aver: Smooth the image.
• SRI HD: Smooth the image when image speckle interferes with the desired image
detail
• Edge Enhance: Make the image edge clearer/sharper.
• FOV: Adjust field of view
• AO: Adjust acoustic output
Note: The configurable parameters can be configured in Utility -> Settings -> ScanConfig.
Intended Use
ROI Use two fingers to adjust the size of the ROI. Or press the ROI and move it to the
desired position.
Hold the pointer and move left or right to adjust the angle of the ROI.
Note: The justification pointers are available only when the scanning depth is equal
to or less than 1cm.
Note: The justification pointers are only available for linear probes.
Configurable • Scale: Imaging of higher velocity flow requires increased scale values to avoid
Parameters aliasing.
• Threshold: Limit color flow overlay to low level echoes inside vessel walls. Help to
minimize color ‘bleeding’ outside vessel walls.
• Sample Vol: Place the sample volume gate to sample blood flow.
• Steer: Provide a doppler cursor angle suitable for linear probe orientation.
• Wall Filter: Decrease, unnecessary low frequency signals caused by motion.
• Color Map: Show the direction of the flow and highlight the higher velocity flows.
• Invert: Allow to view blood flow according to personal preference, without flipping
the probe.
Intended Use
Configurable • PDI Map: Show the power of the flow and highlight the stronger power flows.
Parameters
M Mode
Intended Use
M Mode Controls
Measurements
Introduction
Measurements derived from ultrasound images are intended to
supplement other clinical procedures available to the attending
physician. The accuracy of measurements is not only
determined by system accuracy, but also by the use of proper
medical protocols by the operator. When appropriate, be sure to
note any protocols associated with a particular measurement or
calculation. Formulas and databases used within the system
software that are associated with specific investigators are so
noted. Be sure to refer to the original article describing the
investigator's recommended clinical procedures.
B Mode Measurements
Below measurements can be made in B-Mode.
• Distance
• Ellipse
• Volume
• Trace
• Open Trace
• Angle
NOTE: The following instructions assume that you first scan the patient
and then press Freeze.
Distance Measurement
2. Select Distance.
5. Press Set.
The system displays the value in the Results Window.
NOTE: If you touch the very edge of the scanning screen, the
calipers will display at the center of the screen. You may
move the calipers to the desired position to do the
measurement.
Ellipse Measurement
Volume Measurement
Trace Measurement
Angle Measurement
M Mode Measurements
Basic measurements that can be taken in the M Mode portion of
the display are:
• Depth
• Heart Rate
NOTE: The following instructions assume that you do the following:
1. In B Mode, scan the desired anatomy you wish to measure.
2. Go to the M Mode part of the display.
3. Press Freeze.
Depth
Heart Rate
Measurement Controls
Undo Undo the trace measurement bit by bit. (It is only applied for Trace and Open Trace
measurement.)
Note: Press Select for one time to select the first measurement; Press Select for the second time to select
the second measurement, and so on.
Obstetrics Measurements
The following pages describe how to make OB measurements.
Out of Range - If the system indicates that a measurement is out
of range (OOR), it means one of the following:
• The measurement is out of the normal range based on the
gestational age that is calculated from the LMP. The system
determines OOR from the ultrasound age compared to the
gestational age. The gestational age is calculated from the
last menstrual period.
• The measurement is outside of the range for the data used
in the calculation. That means that the measurement is
either less than or more than the range of measurements
used to determine fetal age based on the measurement.
NOTE: Calculation formulas are listed in the Advanced Reference
Manual.
NOTE: The Obstetrics measurements can be configured in Utility ->
Measure -> Measure.
NOTE: Operators may choose different measurement types based on
their regional preferences.
NOTE: The following instructions assume that you first go to Home ->
Preset Information -> OB1/OB2/3, press Scan and then
Freeze.
NOTE: Only 5 measurements are allowed at the same time.
GS(1 Caliper)
GS(3 Calipers)
AFI(1 Caliper)
AFI(4 Calipers)
Annotations
Introduction
Select Comment to activate comment mode.
The comment function provides the capability to type the
comments of free text and/or add the comments from the
comment library. It also provides the operator with bodymark
and arrow pointers.
NOTE: Annotations are only available in frozen mode.
NOTE: The following instructions assume that you first scan the patient
and then press Freeze.
Comment Retention
Comments will be retained and carried over when switching to
multi-image mode.
The position of the comments is adjusted so that it is at the
same relative position with respect to the display window in the
new format as it was in the single image format.
Bodymark
1. Press Bodymark.
2. Select the desired bodymark and move it to the desired
position on the screen.
3. Press anywhere on the scanning screen to set the
bodymark or press to delete it.
Arrow Pointers
1. Press Comment, then select Arrow.
2. Select the desired arrow pointer and move it to the target
position on the screen.
NOTE: You may change the size of the arrow pointers by selecting
Small, Medium or Large.
3. Press anywhere on the scanning screen to set the arrow
pointer or press to delete it.
1. Press Freeze.
2. Select Comment.
3. Select the desired comment and press to delete it.
4. To delete all the comments, select Delete All.
NOTE: If you select Delete All, all comments, including arrow pointers,
bodymarks and text, will be deleted.
1. Press Freeze.
2. Select Comment.
3. Select the desired comment and move it to the target
position.
Annotation Controls
OB Worksheet
OB Worksheet Controls
Clear Press to clear the all the information in OB Worksheet except Patient ID, Name and
Age.
OB Worksheet information
OB Worksheet information:
1. Patient information
Field Description
ID, Name, Age Patient ID, Patient name and patient age.
LMP Last Menstrual Period; the LMP can be entered and edited in the patient screen.
EDD(LMP) Estimated Delivery Date by LMP; the system fills in the date after you enter the LMP.
GA(LMP) Gestational Age by LMP; the system fills in the age after you enter the LMP.
Field Description
2. 2D Measurements information
Field Description
CUA/AUA If this field is checked, the system uses the measurement to calculate the ultrasound
age.
Value The measured value. If more than one measurement was made for an item, the
system uses the specified method (average, last) to determine this value. Average for
USA and Europe; Last for Osaka, Tokyo and ASUM.
m1, m2 Up to two measurement values for each item. If you make more than two
measurements, the system uses the last two.
Method When there is more than one measurement for an item, this specifies the method
used to calculate the measurement value listed in the Value column. Average for USA
and Europe; Last for Osaka, Tokyo and ASUM.
GA Gestational Age.
GA Range/GP/SD The typical range of gestational age/growth percentile/standard deviation for this
measurement.
3. OB Calculation
Field Description
EFW Estimated fetal weight; lists the parameters used to calculate EFW. This is followed by
the calculation result.
NOTE: EFW can be configured in Utility->Measure->Obstetrics.
EFW-GP Lists the source used to calculate EFW-GP (growth percentile). This is followed by the
growth percentile.
CI Cephalic Index.
Field Description
Value The measured value. If more than one measurement was made for an item, the
system uses the specified method (average, last) to determine this value. AVG for
USA and Europe; LAST for Osaka, Tokyo and ASUM.
m1, m2 Up to two measurement values for each item. If you make more than two
measurements, the system uses the last two.
Method When there is more than one measurement for an item, this specifies the method
used to calculate the measurement value listed in the Value column. Choices are
AVG, MAX, MIN or LAST.
5. Measurement Type
NOTE: You may choose the measurement type from the pull-down
list and the screen will show the corresponding figure.
6. Report Image
7. Patient Image
NOTE: The Patient Image here does not include worksheet images.
8. BIO-PHYSICAL PROFILE
Field Description
BIO-PHYSICAL The score is _ of 10 possible total points, depending upon the number of parameters
PROFILE entered. Enter the following information to assess the fetus’s biophysical well-being.
Movement Type 0, 2 or *
Tone Type 0, 2 or *
Breathing Type 0, 2 or *
Fluid Type 0, 2 or *
Field Description
Physician Physician
Editing OB Worksheet
Editing measurements
Editing calculation
Double click the desired image in the patient image area to copy
the image to the report image area.
Double click the image again to delete the image from the report
image area.
OB Report
Select Report on the OB worksheet page, then the report will be
shown on the screen.
OB Report controls
Worksheet
Press to exit the OB report page and return to the OB worksheet
page.
Store To
Press to set the store destination.
Store
Press to store the OB Report.
Save Text
Press to save the OB report in text format to the patient folder.
Save PDF
Press to save the OB report in PDF format to the patient folder.
Print
Press to print the OB report. Only the information above the
images will be printed.
Multi gestational
Venue 50 allows you to measure and report multiple fetus
development. The system can report a maximum of three
fetuses.
If more than one fetus is imaged during the exam, enter the
number of fetuses in the OB worksheet page.
When you start OB exam, the system automatically defaults to
Fetus #1, it can be changed to Fetus #2 or Fetus #3.
To select a fetus
Storing an OB Report
The OB Report can be stored in JPEG, Text or PDF format.
To Store an OB Report:
1. Select Report on the OB worksheet page to enter into OB
report page.
2. Press Store To to set the store destination.
Image Management
Zooming an Image
Introduction
Bioeffect
Split Screen
Overview
Using Cine
Introduction
Activating Cine
To activate Cine,
1. Press Freeze
Cine controls
NOTE: Use the fingers to select the processing bar to view frames.
Image Storage
Storing an image
CAUTION Do not cut off system power supply during image/video storing
process.
View images/videos on PC
Connectivity
Overview
You can set up the connection and communication protocols for
the ultrasound system. This page gives an overview of each of
the connectivity functions.
To set up your institution’s connectivity, you must login with
administrative privileges.
1. DICOM Worklist: Search and Retrieve Patient Information
2. DICOM Image Store: Transfer DICOM images or videos to
DICOM image server.
3. Network QuickSave: Transfer images and CINE loops to
network shared folder.
Network Status
DICOM Worklist
1. Select Home, then select Worklist. The patient list used
last time displays.
Network QuickSave
Network QuickSave allows the system to send ultrasound
images in JPEG format and CINE loops in MPEG format.
NOTE: The network shared folders can be configured in Utility, refer to
Chapter 4.
1. Select Review. The patient gallery displays on the screen.
2. Select the desired image or Cine loop, select in the
lower right corner. The image or Cine loop will be sent to the
network shared folder.
Spool
To monitor/control DICOM jobs, select Review -> Spool. You
can view, refresh, resend, and delete images from DICOM spool
by selecting a job, then specifying the action to be performed on
this job.
NOTE: If you find a failed job(s) in the Spool, please remove the failed
job(s) from the Spool.
Status Description
Failed Unsuccessful job attempt. Job stays in spool. Select Resend or Delete to
complete the job.
Utility
Overview
Utility Menus provide the following functionality:
• General - Configure general system settings
• Settings - Configure system settings
• Image - Configure image settings
• Measure - Configure measurement settings
• System - View product information, software option and
configure log export storage device
• Connectivity - Configure system connectivity settings
• About - Software/hardware version and system patents
General
The General screen allows you to specify Facility Name, System
Language, Region, Package, Screen Lock Passcode, Data
Privacy Passcode, Date Format, Time Format, System Date and
System Time.
General (continued)
Table 4-1: General setting parameters
System Language Select the appropriate language from the drop-down list.
Data Privacy Passcode Press to create data privacy passcode (4 figures). When you press Review,
you need to input the passcode.
Date Format Select the appropriate date format from the drop-down list.
Time Format Select the appropriate time format from the drop-down list.
Settings
Common
Worklist Page First Select Yes to enable worklist page to show immediately when pressing
Home.
Live Text Enable Select Yes to enable text to be shown in live scanning mode.
Image Store Area Select Image Area or Full Screen for the image store area in the
drop-down menu.
Live Scan Save Select Image to store single frame image after pressing save during live
scanning; select Video to store cine loop after pressing save during live
scanning.
Lock Scanner After (minutes) Select the time options to lock the scanner.
Note: You may also lock the screen by pressing Power button, then press
Lock Screen. To unlock the system, please slide to unlock.
Configure Page
USB Accessories
Left key Configure the left footswitch pedal for the selected application. Select the
functionality from the drop down menu.
Middle key Configure the middle footswitch pedal for the selected application. Select the
functionality from the drop down menu.
Right key Configure the right footswitch pedal for the selected application. Select the
functionality from the drop down menu.
Miscellaneous
Venue 50 Speaker Select Mute, Low, Medium or High for Venue 50 speaker volume.
Scan Configuration
Target Parameters The selected image parameters shown on the scanning screen. (Maximum of
3 parameters)
Image
Common
Auto Zoom Select Yes or No to automatically zoom the images or not. It is only available
for image depth < 2cm.
LCD Tint Select Natural Tint, Yellow Tint or Blue Tint from the drop-down list to show
the preferred image display tint.
User Define
NOTE: When performing an exam with the factory default preset, you
may modify and save the scanning parameter values. If you
switch to another preset and switch back to the modified one,
the parameter values will be restored to the factory default.
Create New/Overwrite
Create New/Overwrite allows you to configure your favorite
presets.
1. Configure the parameters.
2. Press Save.
3. Press Create New/Overwrite.
4. Press the blank box and name your favorite preset with the
soft keyboard.
Application
Default Choose the desired application as the default one for the probe.
Measure
The Measure screen lists measurement configurations.
Obstetrics
EFW Format Select the source used to calculate EFW (Estimated Fetal Weight): Hadlock,
Tokyo or Osaka.
CUA/AUA Select the ultrasound age calculation method in this field. CUA: Composite
Ultrasound Age, regression calculation; AUA: Average Ultrasound Age, an
arithmetic average.
Measure
System
The System screen lists system information.
New key Add new software option keys when installing software options.
Connectivity
The Connectivity screen lists connectivity configurations.
TCP/IP
Wired
Wireless
Preset
Parameter Description
SSID Select Scan, the list of the available wireless network displays. Select the wireless
network that needs to be connected.
Data Encryption Select WEP or NONE for Data Encryption type if the Network Authentication is
OPEN.
Select AES or TKIP if the Network Authentication is WPA2-PSK or WPA-PSK.
Key Index Select 1 to 4 from the drop-down menu for Key Index.
NOTE: It is available only when the Network Authentication is OPEN and the Data
Encryption is WEP.
DICOM
Note: Only one or two bytes can be input in the modality cell. Note: The default value of date range is 0, and
the maximum value is 60. Set date range to 0, the Scheduled Procedure Step Start Date will include today
only. Set the date range to X (an integer number between 0 and 60), the Scheduled Procedure Step Start
Date will include X days prior and from today.
QuickSave
DataFlow
Backup/Restore
Backup/Restore (continued)
Table 4-24: Image - Backup/Restore settings
Backup remind interval Choose One day, One week or One month from the menu.
NOTE: If you have set the data privacy passcode, you need to input the
passcode to backup, restore or delete the information.
About
The About screen allows you to view software version,
hardware versions and the system patents.
SSD Store View the SSD available and used storage capacity.
Probe Overview
Ergonomics
Probes have been ergonomically designed to:
• Handle and manipulate with ease
• Connect to the system with one hand
• Be lightweight and balanced
• Have rounded edges and smooth surfaces
• Stand up to typical wear by cleaning and disinfectant
agents, contact with approved gel, etc.
Cables have been designed to:
• Connect to system with appropriate cable length
Cable handling
Take the following precautions with probe cables:
• Keep free from wheels
• Do not bend the cable acutely
• Avoid crossing cables between probes
Probe orientation
Each probe is provided with an orientation marking. This mark is
used to identify the end of the probe corresponding to the side of
the image having the orientation mark on the display.
1. Orientation Mark
Labeling
Each probe is labeled with the following information:
• Seller's name and manufacturer
• GE part number
• Probe serial number
• Month and year of manufacture
• Probe designation-provided on the probe grip and the top of
the connector housing, so it is easily read when mounted on
the system and is also automatically displayed on the
screen when the probe is selected.
Probe Usage
For details on connecting, activating, deactivating,
disconnecting, transporting and storing the probes, See ‘Probes’
on page 2-36 for more information.
Inspecting Probes
Environmental Requirements
CAUTION Ensure that the probe face temperature does not exceed the
normal operation temperature range.
Probe Safety
Handling precautions
Electrical The probe is driven with electrical energy that can injure the
Hazard patient or operator if live internal parts are contacted by
conductive solution:
• DO NOT immerse the probe into any liquid beyond the
level indicated by the immersion level diagram. Refer to
the immersion illustration in the Probe Cleaning Process
section. Never immerse the probe connector or probe
adaptors into any liquid.
• DO NOT drop the probes or subject them to other types of
mechanical shock or impact. Degraded performance or
damage such as cracks or chips in the housing may result.
• Prior to each use, visually inspect the probe lens and case
area for cracks, cuts, tears, and other signs of physical
damage. DO NOT use a probe which appears to be
damaged until you verify functional and safe performance.
You must perform a more thorough inspection, including
the cable, strain relief, and connector, each time you clean
the probe.
• Before inserting the connector into the probe port, inspect
the probe connector pins. If a pin is bent, do not use the
probe until it has been inspected and repaired/replaced by
a GE Service Representative.
• DO NOT kink, tightly coil, or apply excessive force on the
probe cable. Insulation failure may result.
• Electrical leakage checks should be performed on a routine
basis by GE Service or qualified hospital personnel. Refer
to the service manual for leakage check procedures.
Mechanical hazards
Cleaning Probes
CAUTION Take extra care when handling the lens face of the
ultrasound transducer. The lens face is especially sensitive
and can easily be damaged by rough handling. NEVER
use excessive force when cleaning the lens face.
1. Fluid Level
Disinfecting probes
Pictogram Description
Ultrasound probes are highly sensitive medical instruments that can easily be
damaged by improper handling. Use care when handling and protect from
damage when not in use.
Do not immerse the probe into any liquid beyond the level specified for that
probe. Refer to the user manual of the ultrasound system.
CAUTION Review the probe care card that is packed with each probe. For
the GE approved probe disinfectants, please refer to the probe
care card.
http://www3.gehealthcare.com/Products/Categories/
Ultrasound/Ultrasound_Probes#cleaning
Biological
Hazard
Coupling gels
CAUTION Do not apply gel to the eyes. If there is gel contact to the eye,
flush eye thoroughly with water.
Planned Maintenance
Disinfect Probes X X
Probe Discussion
Introduction
The Venue 50 supports the following types of probes:
• Curved Array (Convex). Curved Array (Convex) probes,
including `micro' convex, are usually designated by the
prefix/suffix "C"; the endocavitary probe is designated by the
prefix/suffix "E".
• Linear Array. Linear Array probes are designated by the
prefix/suffix "L".
• Phased Array Sector. Phased Array Sector probes are
designated by the prefix/suffix "S".
Probe Applications
Table 5-5: Probe Indications for Use
Peripheral Vascular x x
Fetal/OB x x x
Pediatric x x x x x
Neonatal Cephalic x x x x
Adult Cephalic x
Conventional x x x x
Musculoskeletal
Superficial x x x
Musculoskeletal
Thoracic/Pleural x x x x x
Intraoperative (abdominal, x x x x x
thoracic and peripheral)
Transvaginal x
Ophthalmic x x x
Vascular Access x x
Nonvascular x x x
Probe Specifications
Table 5-6: System Probe Definitions
3S-SC <=10mm
12L-SC <=8mm
4C-SC <=8mm
L8-18i-SC <=8mm
E8CS-SC <=13mm
10C-SC <=13mm
Probe Illustration
Table 5-8: Sector Probes
Probe Illustration
3S-SC
12L-SC L8-18i-SC
4C-SC 10C-SC
E8CS-SC
WARNING Do not freeze the image during a biopsy procedure. The image
must be live to avoid a positioning error.
Biopsy guidezones are intended to assist the operator in
determining optimal probe placement and approximate the
needle path. However, actual needle movement is likely to
deviate from the guideline. Always monitor the relative
positions of the biopsy needle and the subject mass during the
procedure.
CAUTION The use of biopsy devices and accessories that have not been
evaluated for use with this equipment may not be compatible
and could result in injury.
CAUTION Improper cleaning methods and the use of certain cleaning and
disinfecting agents can cause damage to the plastic
components that will degrade imaging performance or increase
the risk of electric shock.
See ‘Probe Safety’ on page 5-6 for more information.
Multi-Angle
Probe Fixed Angle
MBX1 MBX2 MBX3
WARNING DO NOT use the needle with the catheter (soft tube). There is a
possibility of breaking the catheter in the body.
CAUTION Before inserting the needle, scan the patient to determine the
correct puncture depth and site. Only the sterile/sanitary
sheath, sterile gel and rubber band are on the probe during the
pre-needle placement scanning.
Preparation
To prepare the endocavitary probe for use:
1. Remove the probe from the box and carefully examine it for
any damage.
2. Clean, then disinfect the probe.
NOTE: Ensure that protective gloves are worn.
a b
a. Sanitary Sheath
b. Probe Body
c. Probe Handle
5. Rub a finger over the tip of the probe to ensure all air
bubbles have been removed.
a
Figure 5-7. Reusable Biopsy Guide
WARNING DO NOT attempt to use the biopsy bracket and needle guide
until the manufacturer's instructions, provided with the biopsy
bracket and needle guide in the kit, have been read and
thoroughly understood.
1. Scan the patient and identify the target for biopsy. Move the
probe to locate the target to the center of the image. Enable
the system biopsy guidezone and try guidezone angles
MBX1 to MBX3 to decide the best angle setting for needle
path.
Hold the side (a) and tuck down the needle guide side (b)
until it clicks or locks in place.
5. Place the proper sanitary sheath tightly over the probe and
biopsy bracket. Use the rubber bands supplied to hold the
sheath in place.
9. Place the needle barrel into the needle clip with the desired
gauge facing the needle clip and snap into place.
CAUTION Avoid finger nail contact with the probe lens to prevent
damage.
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.
Clean and disinfect the probe. See ‘Probe Cleaning Process’ on
page 5-11 for more information.
The biopsy bracket can be cleaned and disinfected in a
recommended disinfecting agent and reused.
CAUTION When the biopsy needle guide kit is opened, all parts must be
discarded after the procedure whether they have been used or
not.
Surgery/Intra-operative Use
User Maintenance
System Data
Features/Specifications
NOTE: Some feature(s)/probe(s) may not be available in some
country(ies)/region(s), please contact your sales representative
for detailed information.
Table 6-1: General Specification
12L-SC Wide Band Linear Probe L8-18i-SC: Wide Band Linear Probe
• Applications: Peripheral Vascular, Abdominal • Applications: Peripheral Vascular, Abdominal
(GYN & Urology), Pediatric, Small Organ (breast, (GYN & Urology), Pediatric, Small Organ (breast,
testes, thyroid), Neonatal Cephalic, Conventional testes, thyroid), Neonatal Cephalic, Conventional
Musculoskeletal, Superficial Musculoskeletal, Musculoskeletal, Superficial Musculoskeletal,
Thoracic/Pleural, Intraoperative (abdominal, Thoracic/Pleural, Intraoperative (abdominal,
thoracic and peripheral), Ophthalmic, Tissue thoracic and peripheral), Tissue Biopsy/Fluid
Biopsy/Fluid Drainage, Vascular Access, Drainage, Vascular Access, Nonvascular
Nonvascular • FOV (max): 25.2mm
• FOV (max): 38.4mm • B-mode Imaging Frequency: 9.0-16.0 MHz
• B-mode Imaging Frequency: 8.0-13.0 MHz • CFM Imaging Frequency: 5.0-8.7 MHz
• CFM Imaging Frequency: 5.0-6.67 MHz • Steered Angle: +/-20
• Steered Angle: +/-20
• Biopsy Guide Available: Multi-angle, Transverse E8CS-SC: Wide Band Phased Array Convex Probe
bracket, Infinite biopsy kit • Applications: Fetal/OB, Abdominal (GYN &
Urology), Transvaginal, Tissue Biopsy/Fluid
3S-SC Wide Band Phased Array Probe Drainage
• Applications: Fetal/OB, Abdominal (GYN & • Convex Radius: 8.7 mmR
Urology), Pediatric, Neonatal Cephalic, Adult • FOV: 145°
Cephalic, Cardiac (adult & pediatric), Conventional • B-mode Imaging Frequency: 5.0-9.0 MHz
Musculoskeletal, Thoracic/Pleural, Intraoperative • CFM Imaging Frequency: 4.0-5.0 MHz
(abdominal, thoracic and peripheral), Ophthalmic, • Biopsy Guide Available: Multi-angle
Tissue Biopsy/Fluid Drainage
• FOV (max): 60°-90° 10C-SC: Wide Band Phased Array Convex Probe
• B-mode Imaging Frequency: 2.0-3.4 MHz • Applications: Abdominal (GYN & Urology),
• CFM Imaging Frequency: 1.82-3.08 MHz Pediatric, Small Organ (breast, testes, thyroid),
• Biopsy Guide Available: Multi-angle Neonatal Cephalic, Superficial Musculoskeletal,
Thoracic/Pleural, Intraoperative (abdominal,
4C-SC: Wide Band Phased Array Convex Probe thoracic and peripheral), Ophthalmic
• Applications: Fetal/OB, Abdominal (GYN & • Convex Radius: 10.0 mmR
Urology), Pediatric, Conventional Musculoskeletal, • FOV: 75°-102°
Thoracic/Pleural, Intraoperative (abdominal, • B-mode Imaging Frequency: 6.0-10.0 MHz
thoracic and peripheral), Tissue Biopsy/Fluid • CFM Imaging Frequency: 4.0-5.0 MHz
Drainage, Nonvascular
• Convex Radius: 60 mmR
• FOV (max): 35°-55°, application dependent
• B-mode Imaging Frequency: 2.5-5.0 MHz
• CFM Imaging Frequency: 2.22-3.08 MHz
• Biopsy Guide Available: Multi-angle
• 3 USB interface on Docking Station/Cart • Wireless LAN 802.11 b/g/n by wireless card
• 1 USB interface on console • Wired LAN 10/100/1000 BaseT
• 1 SD interface on console • HDMI interface on Docking Station/Cart: resolution
• Docking Connector 1280x1024@60Hz
Basic Measurements
Limitations
or
Measurement Units Useful Range Accuracy Conditions
Distance:
Circumference:
Area:
Doppler Sensitivity
Velocity
Probe Range (cm/s) Max Depth (cm) Frequency (MHz) Sensitivity (dB)
12L-SC L 15 7 5.00 35
M 63 7 5.00 35
H 110 7 5.00 35
E8CS-SC L 15 7 4.00 28
M 63 7 4.00 28
H 110 7 4.00 28
Venue 50 Security
At GE we’re committed to providing technologies to help you
excel every day. The Venue 50 Ultrasound system is designed
with you, your specialty and your patients in mind offering
extraordinary image quality, easy workflow and expert tools to
help you provide the best patient care.
Since the Venue 50 is integrated into your data network, GE
wants to ensure that you are comfortable with the proactive
measures we are taking to secure the product. Below are some
activities and measures that we have performed and
implemented to help secure the Venue 50.
1. Only communication ports that are needed for the Venue 50
to operate are enabled. All other operating system
communication ports are disabled.
2. Ports remaining opened are:
• Port 104 is used for DICOM communication only.
• Ports 137, 138, 139 and 445 are used for QuickSave
communication only.
• Port 2501 is used for Gateway only.
All operating system services that are not used by the
system application software are disabled to help ensure that
the source of security vulnerabilities is minimized.
3. The operating system is locked down to prevent an operator
from loading software, opening email, or using a web
browser and introducing viruses or Trojan horses to the
system.
4. The “auto run” feature is disabled on the system. For
instance, when a SD card or USB memory stick that has a
program that runs automatically is inserted, the system will
not open or run the program.
5. Our Engineering team performs a security scan on the
Venue 50 system using the same tools that major
organizations and hospital IT organizations use to check for
vulnerabilities on their networks. Failures that are detected
during this test process are corrected as expediently as
possible and are deployed to our installed base customers.
Overview
Refer to Chapter 10 of the Venue 50 Service Manual for any
additional maintenance guidance.
The operator must ensure that safety inspections are performed
at least every 12 months according to the requirements of the
patient safety standard IEC 60601-1. Refer to the Service
manual, Chapter 10.
Only trained persons are allowed to perform the safety
inspections mentioned above.
Technical descriptions are available on request.
To ensure that the unit constantly operates at maximum
efficiency we recommend that the following procedures be
observed as part of the customer’s internal routine maintenance
program.
Contact the local Service Representative for parts or periodic
maintenance inspections.
Weekly Maintenance
The system requires weekly care and maintenance to function
safely and properly. Clean the following:
• Console
• Docking Station/Cart
• Printer
• Footswitch
Failure to perform required maintenance may result in
unnecessary service calls.
Footswitch
Docking Station/Cart
Printer
Other Maintenance
Quality Assurance
Introduction
A good Quality Assurance Evaluation program consists of
periodic systematic actions that provide the operator with
adequate confidence that their diagnostic ultrasound system will
produce consistently high quality images and quantitative
information.
Therefore, it is in the best interest of every ultrasound operator
to routinely monitor equipment performance.
The frequency of Quality Assurance Evaluations should be
based on operator's specific needs and clinical practice.
Periodic monitoring is essential in order to detect the
performance changes that occur through normal aging of
system components. Routine equipment evaluations may also
reduce the duration of exams, number of repeat exams, and
maintenance time required.
For details on system and peripheral routine preventive
maintenance instructions, See ‘System Care and Maintenance’
on page 6-13 for more information.
Frequency of tests
Phantoms
1. Penetration
2. Axial Distance Measurement
3. Functional Resolution
4. Lateral Resolution
5. Lateral Distance Measurement
6. Axial Resolution
7. Contrast Resolution
8. Gray Scale Plane Targets
Baselines
An absolute necessity for a quality assurance program is
establishing baselines for each test or check. Baselines are
established after the system has been verified to be working
properly at installation or after a repair. If a probe or major
assembly is replaced, new baselines should be generated.
Baselines can be made by adjusting system parameters to
prescribed levels or to the best possible image. The key factor to
remember is reproducibility. The same conditions must be
reproduced for each periodic check.
All system parameters not displayed on the monitor should be
recorded for the permanent record.
Periodic Checks
Periodic checks should be performed in accordance with your
facility’s quality assurance requirements. For the data to be
valid, periodic checks should mimic the baseline setup
parameters.
The resulting image, when scanning the phantom exactly as
before, should be recorded and compared to the baseline.
When a matching image is obtained, it can be assumed that the
system performance has not degraded from the baseline.
If a significant difference between the baseline and periodic
check is noted, double check the system setup and repeat the
test. If the difference between the baseline and periodic check
persists, contact a local Service Representative.
Failing to reproduce the control settings as in the baselines will
introduce errors in the data and potentially invalidate the results.
Results
Lack of standardization among test instruments, the wide range
of acceptance criteria, and incomplete knowledge regarding the
significance of certain performance parameters prohibit the
establishment of absolute performance criteria for these tests.
Quality Assurance Evaluation results should be compared to
previously-recorded results.
Performance trends can then be detected. Unacceptable
performance or diminishing trends should be identified for
maintenance or repair before a malfunction or inappropriate
diagnosis occurs.
The operator should determine the best method for recording
and archiving the baseline and periodic checks. In most cases
the choice is hard copy.
It is important to maintain good consistent records for
inspections that may arise, as well as to detect system
performance trends.
System Setup
The operator should tailor the tests to their particular needs. It is
certainly not necessary to make all checks with all probes. A
representative example, with the probes used most often by the
customer, should be adequate in judging system performance
trends.
Use a gray scale phantom as the scan object for the tests.
Commercial phantoms are supplied with its own operator
manual. Be familiar with proper phantom operating procedures
prior to use for quality assurance evaluations.
1. Adjust image monitor. Brightness and contrast should be set
to the normal viewing of a good gray scale image.
2. Check all recording devices for proper duplication of image
monitor. Ensure that what is seen is what is recorded.
3. Annotate non-displayed image processing controls.
4. Set TGC to center position.
5. Place focal zone marker(s) in area of interest for an
optimum image.
Test Procedures
The following are recommended Quality Assurance tests. A brief
description of the test, the benefit it provides and steps to
accomplish the test are supplied.
The importance of recording scan parameters and consistent
record keeping cannot be stressed enough. Reproducibility to
monitor system trends is the key to quality assurance
evaluations.
Description
Axial measurements are the distance measurements obtained
along the sound beam. See Figure 6-1 for more information.
Benefit
The accurate measurement of a structure is a critical factor in
determining a proper diagnosis. Most imaging systems use
depth markers and/or electronic calipers for this purpose.
Method
Axial distance should be measured in the near, mid and far fields
as well as in zoom. If necessary, different depths or fields of
view can be tested.
Procedure
To measure axial distance:
1. Scan a test phantom with precisely-spaced vertical pin
targets. Adjust all scan controls, as necessary, for the best
image of the pin targets to typical depths for the probe being
used.
2. Press Freeze to stop image acquisition and perform a
standard distance measurement between the pins at
different points in the image. Record all images for
archiving.
3. Scan the vertical pins in zoom or at different depth/scale
factors.
4. Press Freeze to stop image acquisition; repeat the distance
measurements between pins and record the images for
archiving.
5. Document the measurements for reference and future
comparison.
Contact a Service Engineer if vertical measurements differ by
more than 5% of the actual distance.
Description
Lateral measurements are distance measurements obtained
perpendicular to the axis of the sound beam. See Figure 6-1 for
more information.
Benefit
The purpose is the same as vertical measurements.
Precisely-spaced horizontal pin targets are scanned and results
compared to the known distance in the phantom.
Method
Lateral distance should be measured in the near, mid and far
fields as well as in zoom. If necessary, different depths of fields
of view can be tested.
Procedure
To measure lateral distance:
1. Scan a test phantom with precisely-spaced horizontal pin
targets. Adjust all scan controls, as necessary, for the best
image of the pin targets from side to side.
2. Press Freeze to stop image acquisition and perform a
standard distance measurement between the pins at
different points in the image. Record all images for
archiving.
3. Scan the horizontal pins in zoom or at different depth/scale
factors.
4. Press Freeze to stop image acquisition; repeat the distance
measurements between pins and record the images for
archiving.
5. Document the measurements for reference and future
comparison.
Contact a Service Engineer if horizontal measurements differ by
more than 5% of that depth, whichever is greater.
Axial resolution
Description
Axial resolution is the minimum reflector separation between two
closely-spaced objects to produce discrete reflections along the
axis of the sound beam. It can also be monitored by checking
the vertical size of known pin targets. See Figure 6-1 for more
information.
Axial resolution is affected by the transmitting section of the
system and the probe.
Benefit
In clinical imaging, poor axial resolution displays small
structures lying close together as a single dot. This may lead to
improper interpretation of the ultrasound image.
Procedure
To measure Axial resolution:
1. Scan a test phantom with precisely-spaced vertical pin
targets.
2. Adjust all scan controls, as necessary, for the best image of
the pin targets to typical depths for the probe being used.
3. Press Freeze to stop image acquisition.
4. Perform a standard distance measurement of the pin
vertical thickness at different points in the image. Record all
images for archiving.
5. Scan the vertical pins in zoom or at different depth/scale
factors.
6. Press Freeze to stop image acquisition; repeat the vertical
thickness measurements of the pins and record the images
for archiving.
7. Document the measurements for reference and future
comparison.
Axial resolution should remain stable over time. Contact a
Service Engineer if any changes are observed.
Lateral resolution
Description
Lateral resolution is the minimum reflector separation between
two closely spaced objects to produce discrete reflections
perpendicular to the axis of the sound beam. It can also be
monitored by checking the horizontal size of known pin targets.
See Figure 6-1 for more information.
Lateral resolution is dependent upon the beam width produced
by the probe. The narrower the beam, the better the lateral
resolution.
The beam width is affected by the frequency, degree of focusing,
and distance of the object from the face of the probe.
Benefit
Clinically, poor lateral resolution will display small structures
lying close together as a single dot. This may lead to improper
interpretation of the ultrasound image.
Procedure
To measure lateral resolution:
1. Scan a test phantom with precisely-spaced horizontal pin
targets.
2. Adjust all scan controls, as necessary, for the best image of
the pin targets from side to side.
3. Press Freeze to stop image acquisition and perform a
standard distance measurement of the horizontal thickness
of a pin at different points in the image. Record all images
for archiving.
4. Scan the horizontal pins in zoom or at different depth/scale
factors.
5. Press Freeze to stop image acquisition; repeat the
horizontal thickness measurements of the pins and record
the images for archiving.
6. Document the measurements for reference and future
comparison.
Pin width should remain relatively constant over time ("1mm).
Dramatic changes in pin width may indicate beamforming
problems. Contact a Service Engineer if beam width changes
consistently over 2 to 3 periodic tests.
Penetration
Description
Penetration is the ability of an imaging system to detect and
display weak echoes from small objects at large depths. See
Figure 6-1 for more information.
Penetration can be affected by the system's:
• Transmitter/receiver
• Degree of probe focusing
• Attenuation of the medium
• Depth and shape of reflecting object
• Electromagnetic interference from local surroundings.
Benefit
Weak reflecting echoes are commonly produced from the
internal structure of organs. Definition of this tissue texture is
important in the interpretation of the ultrasound findings.
Method
Scan a phantom to see how echoes begin to fade as depth is
increased. The maximum depth of penetration is the point at
which homogeneous material in the phantom begins to lose
brightness.
Procedure
To measure penetration:
1. Set TGC to center position.
2. Gain and acoustic output can be adjusted, as necessary,
since these values are displayed on the monitor.
3. Scan a test phantom along the vertical pin targets to typical
depths for the probe being used.
4. Perform a standard distance measurement from the top of
the image displayed to the point at which homogeneous
material in the phantom begins to lose brightness.
5. Document the depth measurement for reference and future
comparison.
Contact a Service Engineer if the depth of penetration shifts
more than one centimeter (1cm) when using the same probe
and same system settings.
Functional resolution
Description
Functional resolution is an imaging system's ability to detect and
display the size, shape, and depth of an anechoic structure, as
opposed to a pin target. See Figure 6-1 for more information.
The very best possible image is somewhat less important than
reproducibility and stability over time. Routine tests at the same
settings should produce the same results.
Benefit
The data obtained will give a relative indication of the smallest
structure the system is capable of resolving at a given depth.
Procedure
To measure functional resolution:
1. Set TGC to center position.
2. Gain and acoustic output can be adjusted as necessary,
since these values are displayed on the monitor.
3. Scan a test phantom with a vertical row of anechoic cyst
targets to typical depths for the probe being used.
4. Evaluate the cysts at various depths for a good (round)
shape, well-defined borders and no fill in.
5. Document all results for future reference and comparison.
Contact a Service Engineer if a greatly distorted image is
obtained.
Contrast resolution
Description
Contrast resolution is the ability of an imaging system to detect
and display the shape and echogenic characteristics of a
structure. See Figure 6-1 for more information.
Specific values measured are less important than stability over
time. Routine tests at the same settings should produce the
same results.
Benefit
A correct diagnosis is dependent upon an imaging system's
ability to differentiate between a cystic or solid structure versus
echo patterns from normal surrounding tissue.
Method
A phantom with echogenic targets of different sizes and depths
should be used.
Procedure
To measure contrast resolution:
1. Set TGC to center position.
2. Gain and acoustic output can be adjusted, as necessary,
since these values are displayed on the monitor.
3. Scan a test phantom with echogenic targets at the depths
available.
4. Evaluate the echogenic targets for contrast between each
other and between the surrounding phantom material.
5. Document all results for future reference and comparison.
Contact a Service Engineer if the echogenic characteristics or
shapes of the targets appear distorted.
Description
Poor photography will cause loss of low level echoes and the
lack of contrast between large amplitude echoes. See
Figure 6-1 for more information.
Benefit
When photographic controls and film processors are properly
adjusted, weak echoes, as well as strong echoes, are accurately
recorded on film.
Procedure
1. Adjust the camera according to the manufacturer's
instructions until the hard copy and video display are equal.
2. Scan the phantom and it's echogenic contrast targets.
3. Make a hard copy photograph of the display and compare it
to the image on the video monitor for contrast and weak
echo display.
4. Document all results for future reference and comparison.
Contact a Service Engineer if camera cannot duplicate what is
on the image monitor.
NOTE: Optimization of brightness/contrast controls on the display
monitor is imperative in order to make sure that the hardcopy
and monitor look alike.
The display monitor is adjusted first. The hardcopy camera or
printer is adjusted to match the display monitor.
Preparation
Record Keeping
Performed By Date
Monitor Setting
Peripheral Settings
Vertical
Measurement
Accuracy
Horizontal
Measurement
Accuracy
Axial
Resolution
Lateral
Resolution
Penetration
Functional
Resolution
Contrast
Resolution
Gray Scale
Photography
NOTE: This is an example checklist, not all the items are available for
Venue 50.
Supplies/Accessories
Peripherals
Table 6-14: Peripherals and Accessories
Accessory Unit
USB Memory Stick (SanDisk Cruzer Micro 4GB Flash Drive) Each
Console
Table 6-15: Console Accessories
Accessory Units
Probes
Table 6-16: Probes and Accessories
Accessory Units
3S-SC Each
12L-SC Each
4C-SC Each
L8-18i-SC Each
E8CS-SC Each
10C-SC Each
Gel
Table 6-17: Gel
Accessory Units
Contact Information
Contacting GE Ultrasound
For additional information or assistance, please contact your
local distributor or the appropriate support resource listed on the
following pages:
INTERNET http://www.gehealthcare.com
http://www.gehealthcare.com/usen/ultrasound/products/
probe_care.html
Clinical Questions For information in the United States, Canada, Mexico and parts
of the Caribbean, call the Customer Answer Center.
TEL: (1) 800-682-5327 or (1) 262-524-5698
In other locations, contact your local Applications, Sales, or
Service Representative.
Service Questions For service in the United States, call GE CARES.
TEL: (1) 800-437-1171
In other locations, contact your local Service Representative.
Information To request technical product information in the United States,
Requests call GE.
TEL: (1) 800-643-6439
In other locations, contact your local Applications, Sales, or
Service Representative.
Placing an Order To order accessories, supplies, or service parts in the United
States, call the GE Technologies Contact Center.
TEL: (1) 800-558-5102
In other locations, contact your local Applications, Sales, or
Service Representative.
AMERICAS
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EUROPE
For all other European countries not listed, please contact your
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EURO PLAZA, Gebäude E
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TEL: (+43) 1 97272 0 FAX: (+43) 1 97272 2222
EUROPE (continued)
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GE Healthcare
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EUROPE (continued)
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EUROPE (continued)
Manufacturer
A D
accessories Danger icon, defined, 1-8
ordering, 6-38 devices
requesting a catalog, 6-38 acceptable, 1-29
accessory unapproved, 1-29
connector panel, 2-13 DICOM Image Store, 3-92
Acclimation time, 2-4 DICOM Worklist, 3-92
accuracy disinfecting probes, 5-13
clinical measurement, 6-8 disinfecting solutions, probes, 5-13
acoustic output distance measurement
default levels, 1-32 general, 3-20, 3-28
ALARA (as low as reasonably achievable), bioeffects,
1-9 E
B electrical
configurations, 2-3
biological hazards, 1-18 electrical hazard, 1-15
B-Mode measurements, mode electromagnetic compatiblity (EMC), 1-21
distance, 3-20, 3-28 EMC (electromagnetic compatiblity), 1-21
brightness, video, 2-35 Environmental requirements
probes, 5-5
C environmental requirements, 2-4
equipment safety, 1-15
Care and maintenance exam
cleaning the system, 6-16 deleting, 3-86
monitor, 6-16, 6-17
printer, 6-18 F
inspecting the system, 6-14
maintenance schedule, 6-15 Federal law (USA), requirements, 1-5
Caution icon, defined, 1-8
cleaning probes, 5-11 G
Clinical
measurement accuracy, 6-8 Gels, coupling, 5-16
console
moving, 2-22 H
transporting, 2-24
contacts hazards
biological, 5-8
clinical questions, 6-38
electrical, 5-6
Internet, 6-38
service questions, 6-38 mechanical, 5-7
hazards, safety symbols, 1-9
Control Panel
hazards, types
description, 2-41
controls biological, 1-18
electrical, 1-13, 1-15
operator, 2-41
mechanical, 1-13
heart rate, M-Mode measurements, 3-29