aloka-alpha-5-manual

[Page 1] ULTRASOUND DIAGNOSTIC EQUIPMENT SSD- α 5 Manual Number : MN1-5195 Rev.2 ALOKA CO., LTD.

[Page 2] VS-FlexGrid Pro Copyright(C)1999 Videosoft Corporation

[Page 3] Safety alert symbols Safety alert symbols The four indications [Danger], [Warning], [Caution] and [Note] used on this equipment and in this instruction man- ual have the following meaning. Danger Indicates an imminently hazardous situation which, if not avoided, will result in death or serious injury. A warning message is inserted here. Warning Indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury. A warning message is inserted here. Caution Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury. A caution message is inserted here. Indicates a strong request concerning an item that must be observed in order to prevent damage or deteriora- tion of the equipment and also to ensure that it is used efficiently. An explanatory text is inserted here. Caution Federal law restricts this device to sale by or on the order of physician. The word Physician can be substituted with the word Veterinarian for Vet operator's manuals.

[Page 4] CONTENTS 1. Operation Method 1-1. Operation panel 1-1 1-2. Graphic Display 1-2 1-3. Operating the various switches 1-3 1-3-1. ACOUST POWER (ACOUSTIC POWER) 1-3 1-3-2. ACQUIRE 1-3 1-3-3. ANGLE 1-4 1-3-4. BODY MARK 1-4 1-3-5. CANCEL 1-5 1-3-6. CLEAR 1-5 1-3-7. COMMENT 1-6 1-3-8. CONTRAST 1-10 1-3-9. CURSOR/B.L.S 1-10 1-3-10. DDD 1-11 1-3-11. DEPTH/RANGE 1-12 1-3-12. DOP FILTER 1-12 1-3-13. EXT 1-13 1-3-14. FOCUS 1-13 1-3-15. FRAME RATE 1-14 1-3-16. FREEZE 1-15 1-3-17. GAIN 1-15 1-3-18. HARMONIC ECHO (Option : SOP-a5-12 is necessary.) 1-16 1-3-19. ID 1-16 1-3-20. IMAGE/FREQ 1-17 1-3-21. INVERT 1-18 1-3-22. IP SELECT (Image Processing Select) 1-19 1-3-23. MEASUREMENT 1-19 1-3-24. MENU 1-20 1-3-25. MODE 1-20 1-3-26. PRESET 1-23 1-3-27. PRINT 1-23 1-3-28. PROBE 1-24 1-3-29. REC 1-25 1-3-30. REPORT 1-25 1-3-31. REVIEW 1-25 1-3-32. SAMPLE VOLUME 1-26 1-3-33. SCAN AREA 1-26 1-3-34. SELECT 1-27 1-3-35. SEARCH 1-27 1-3-36. STC 1-28

[Page 5] 1-3-37. STORE 1-28 1-3-38. STEER/ROTAT 1-29 1-3-39. SWEEP SPEED 1-30 1-3-40. VCM ( Video Cine Memory ) 1-30 1-3-41. VEL RANGE 1-31 1-3-42. ZOOM 1-31 1-3-43. Full keyboard 1-34 1-4. Before Starting an Examination 1-35 1-4-1. Explanation of an ID entry screen 1-35 1-4-2. How to register a patient 1-41 1-4-3. Search function 1-42 1-4-4. Find (Option: SOP-a5-10 is necessary.) 1-43 1-4-5. Data Management 1-45 1-5. Examination in the B Mode 1-48 1-5-1. Basic Operation Procedure 1-48 1-6. B/M and M Modes 1-50 1-6-1. Basic operation procedure 1-50 1-7. B/D and D Modes 1-55 1-7-1. Basic operation procedure 1-56 1-8. Flow Display 1-58 1-8-1. Basic operation procedure 1-58 1-9. Power Flow display 1-60 1-9-1. Basic operation 1-60 1-10. Tissue Doppler Imaging display (Option : SOP-a5-9 is necessary.) 1-60 1-10-1. Basic operation procedure 1-60 1-11. Actions to be taken when a defect is detected 1-61 1-11-1. Ensuring patient safety 1-61 1-11-2. Handling the instrument 1-61 2. Cine Memory and Store Image 2-1. Cine Memory 2-1 2-1-1. Basic Operation Procedure 2-4 2-1-2. Cine scale and search mark 2-5 2-1-3. Loop playback function 2-6 2-2. Store/Send 2-8 2-2-1. Basic Operation Procedure 2-11 2-3. Review Function 2-14 2-3-1. Image Browser 2-14 2-4. VCM (Video Cine Memory)(Option: when EU-9083 or EU-9111 is connected) 2-27 2-4-1. Acquiring an image to the VCM 2-28 2-4-2. Image search and loop playback using the VCM 2-32 2-4-3. Storing image data in the VCM 2-34

[Page 6] 2-4-4. Reading image data in the VCM 2-38 2-5. Stress Echo Examination(Option: EU-9083 is necessary) 2-41 2-5-1. Preparations for a stress echo examination 2-41 2-5-2. Starting a stress echo examination 2-44 2-5-3. Interrupting a stress echo examination 2-46 2-5-4. Displaying a stress echo image 2-46 2-5-5. Canceling a stress echo display 2-48 2-6. Stress Echo Examination(Option: EU-9111 is necessary) 2-49 2-6-1. Preparations before Taking in Images 2-51 2-6-2. Operating Examples for taking in Images 2-51 2-6-3. Operating examples of Shuffle (Compare display) 2-58 2-6-4. Operating examples of Store (Stress Echo) 2-63 2-6-5. Load(Stress Echo) 2-64 3. Recording Images 3-1. Recording to a printer 3-1 3-2. Recording and playing back images on a VCR 3-1 3-2-1. When operating it by the main part side of VCR 3-1 3-2-2. Operations using the panel switches on the SSD-a5 side 3-2 3-3. Printing a VCR Image 3-3 4. Physiological Signals(Option: When connected to the PEU-a5) 4-1. Method of Displaying Physiological Signals 4-1 4-2. ECG Sync Display 4-2 5. Menu 5-1. Menu setting operations 5-1 5-2. Setting Procedure 5-2 5-3. Menu Contents 5-5 5-3-1. B mode menu 5-13 5-3-2. M mode menu 5-21 5-3-3. D mode/TDI-D menu 5-24 5-3-4. FLOW/Power Flow/TDI Flow/TDI Power Flow menu 5-28 5-3-5. Other menu 5-36 5-3-6. VCM Menu (The optional EU-9083 or EU-9111 is necessary.) 5-50 5-3-7. FAM Menu (The optional SOP-a5-11 is necessary.) 5-58 6. Preset 6-1. PRESET function 6-1 6-2. Procedure for Changing the Set Contents 6-2 6-3. Common Preset 6-5

[Page 7] 6-3-1. Common Preset1 - 2 6-5 6-3-2. Probe Menu 6-8 6-3-3. Print Select 6-10 6-3-4. VCM ( Option: EU-9083 is necessary ) 6-11 6-3-5. VCM ( Option: EU-9111 is necessary ) 6-13 6-3-6. DICOM Store/Send, Address, Printer 6-16 6-4. Preset Control 6-20 6-4-1. Method of copying preset No. data to a floppy disk 6-21 6-4-2. When copying preset No. data inside the equipment 6-22 6-4-3. When copying Preset No. data from a floppy disk 6-22 6-4-4. When rearranging Preset No. data 6-23 6-4-5. When copying data in Annotation Dictionary to a floppy disk 6-23 6-4-6. When copying data in Annotation Dictionary from a floppy disk 6-23 6-4-7. When copying Body Mark Library from a floppy disk 6-24 6-4-8. When copying Common Preset data to a floppy disk 6-24 6-4-9. When copying Common Preset data from a floppy disk 6-24 6-4-10. When copying Color Map to a floppy disk 6-25 6-4-11. When copying Color Map from a floppy disk 6-25 6-5. Preset Set-up Menu 6-26 6-6. DISP-B, -M,D,-Flow, -ID,Comment, -Graphics 6-27 6-7. Image 1 - 2, Focus, Post Processing 6-33 6-8. Body Mark 6-39 6-9. Menu 6-40 6-10. Custom-Foot SW,-TB,RE,-Function SW 6-41 6-11. Physio Signal 6-43 6-12. Doppler 6-44 6-13. Flow 6-46 6-14. Power Flow 6-49 6-15. Tissue Doppler 6-52 6-16. Tissue Flow 6-54 6-17. Tissue Power Flow 6-56 6-18. Stress Echo(Option: EU-9083 is necessary) 6-58 6-19. eStress Echo ( Option: EU-9111 is necessary ) 6-59

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[Page 9] 1-1.Operation panel 1. OPERATION METHOD 1-1. Operation panel The methods of operating the various switches are described below. Rotary encoder 3 PCG POSI/SENS Contol ECG POSI/SENS Control Rotary encoder 2 POWER DISK CAPS LOCK FUNCTION NEW EXT PRESET FRAME ANGLE ACOUST SWEEP I.P. PROBE ELEMENT PATIENT RATE POWER SPEED SELECT SELECT SAMPLE VOLUME DOP FILTER CONTRAST IMAGE/FREQ PULSE POSI/SENS Menu selecting Control Esc F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 Sys Rq PrtSc Scroll Lock Pause Break STC ! " * $ % ^ & * ( ) _ + 0 switch 1 2 3 4 5 6 7 8 9 0 - = Home MENU 1 ~ 2 Q W E R T Y U I O P { } [ ] # PgUp 3 Caps A S D F G H J K L : @ 5 PgDn Lock ; ' 8 Z X C V B N M < > ? 12 End , . / 14 Com (cm) ID Ctrl ment Alt Gr Ins Del D.D.D. ACQUIRE Arrow key SEARCH USER 1 CURSOR FOCUS BODY SCAN ZOOM INVERT HARMONIC ECHO /B.L.S MARK AREA M/D GAIN DEPTH/RANGE STEER POWER REVIEW USER 2 VEL RANGE /ROTAT FLOW PW STORE CLEAR MEASURE B M D CW MENT FLOW GAIN B B B M B D FLOW VCM REPORT SET CANCEL SELECT MARK REF REC B GAIN Rotary encoder 1 Fig. Operation panel Rotary encoder 1 Used to set the measurement and zoom functions. Rotary encoder 2 Used to set the menu settings. Rotary encoder 3 Used when any of the 5 switches on the left panel is pressed. This section consists of 62 pages. 1-1

[Page 10] 1-2.Graphic Display 1-2. Graphic Display ( 3 ) ALOKA ALOKA : N o I D : Y ' 0 0 / 0 2 / 2 8 H O P S P I TA L : : M 11 : 2 3 : 3 6 ( 1 ) 511/512 1 54Hz ( 4 ) 3.8 R 1 7 G 8 1 C 5 A 2 MI = 1.0 DVA=89% ( 2 ) 1:Abdomen TIS< 0.4 Fig. B mode image (1) Gray scale bar (2) Scale mark (3) Active mark A [ ] mark indicates an active state (An active image is the image on which operations can be performed when two or more images are displayed.) A [ ] mark indicates a non − active state. (4) Focus mark For details, refer to Section 9 of “Safety Instruction”. 1-2

[Page 11] 1-3. Operating the various switches The methods of operating the various switches are described below. 1-3-1. ACOUST POWER (ACOUSTIC POWER) The ACOUST POWER function enables the acoustic power to be manually adjusted from the automatic setting. (1) Press the ACOUST POWER switch. → Possible to set the acoustic output value. (2) Using rotary encoder 3, adjust the output to the optimum value. → Turning rotary encoder 3 clockwise causes the output to increase, and vice − versa. At the same time, the output value on the image changes. (3) Press the ACOUST POWER switch to terminate this function. In order to prevent a malfunction, the lamp in the ACOUST POWER switch goes out automatically after 5 seconds and the function is terminated, even if a function termination operation is not performed. 1-3-2. ACQUIRE This switch enables the VCM( Video Cine Memory ) to acquire an image from the equipment. (1) Display the optimum image, and press the ACQUIRE switch. → The image is acquired to the memory. 1-3

[Page 12] 1-3-3. ANGLE The ANGLE function corrects the flow velocity value according to the angle of incidence of the Doppler beam. Use it when you wish to calculate the correct flow velocity. (1) Press the ANGLE switch. → The switch lights orange. (2) Perform angle correction with rotary encoder 3. → The ANGLE value appears at top right of the B mode screen. Turn rotary encoder to change this value. (3) Press the ANGLE switch. → The polarity of the set angle reverses. (4) Press the ANGLE switch again to terminate the function. → The ANGLE value returns to 0 degrees. You cannot perform angle correction when the angle is 80 degrees or more because the error is too large. 1-3-4. BODY MARK Displays and sets a body mark. (1) Press the BODYMARK switch. → The body mark appears on the screen. (2) Set the position of the probe mark. → Move the probe mark with the trackball, and rotate the probe mark with rotary encoder 1. (3) Press the BODYMARK switch. → The body mark is erased. The fetus mark has a rotation function for examining a reverse fetus. a. Display the fetus mark, then press the MARK REF switch. b. Rotate the fetus mark with the rotary encoder 1. c. Press the MARK REF switch. → The rotary encoder 1 returns to the rotation function facing the probe mark. 1-4

[Page 13] (Changing the body mark) Using a preset, assign Body Mark Menu to a menu. a. Press the MENU switch. → The menu appears on the left side of the screen. b. Select the Body Mark Menu with rotary encoder 2, and press the Menu selecting switch. → The list of the body marks that can be selected appears on the screen. Locate Cancel c. Move the arrow to the body mark to be displayed, and press the SET switch. → The selected body mark appears on the screen. d. Press the MENU switch. → The MENU disappears. 1-3-5. CANCEL Used to interrupt a selected motion or return to the previous step during measurement. 1-3-6. CLEAR Used mainly to end measurement. 1-5

[Page 14] 1-3-7. COMMENT These functions are used to enter characters into the text area. You can use a preset to set whether the annotation function or the comment function is activated when the Comment key is pressed. (1) Press the Comment key on the keyboard. → The arrow appears at top left of the text area. (2) Using the trackball or arrow key, move the arrow to the position of the word that you wish to enter. (3) Enter the first letter of the word that you wish to display. → An underline cursor appears beneath the character to be entered, and keywords whose first letter is the same as the selected letter appear in the annotation window. (Annotation function) Twenty words are displayed for one search. If the target word is not found, enter additional characters in order to narrow the search. Search for words using the dictionaries inside the equipment (DIC1 − 6). When switching over to a dictionary, press the Ctrl and D key simultaneously, then you can change the dictionary to a new one in the word registration window. 1-6

[Page 15] (4) Select a keyword in the annotation window using one of the arrow keys or the Rotary encoder1 on the key- board. → Words corresponding to the selected keyword appear in the automatic display area. (5) Press the SET switch or the return key. → The word is finalized. You can display a word either in abbreviated form or in full spelling using a preset. When you press the Ctrl key and the A key on the keyboard simultaneously, the annotation function goes Off, and the comment function in which the entered character remains unchanged is activated. (6) Press the Comment key. → The comment function is terminated. You can display 4-time normal size characters by using a preset or the menu. 1) Registering keywords and words (1) Press the Comment key. → The arrow appears on the text area. (2) Press the Ctrl key and the D key at the same time. → The word registration window appears. (3) Point to the to DIC 1, and press the SET switch. → The dictionary is changed. (4) Point to Key, and press the SET switch. (5) Enter a keyword. (Max 8 characters) → The same character as the entered character is automatically input to the Word area. 1-7

[Page 16] (6) Press the SET switch or the Return key. → The keyword is finalized. (7) When you wish to change a character registered in the Word area, move the mark to the Word area, and press the SET switch. → Enter the desired word. (Max 54 characters) (8) Press the SET switch or the Return key. → The keyword is finalized. (9) After entering all items, move to the mark to OK , and press the SET switch. → The word is registered in the dictionary. The word is registered in the currently selected dictionary. 2) Moving a word (1) Using the trackball, move the arrow to the place where you wish to move the word. → A character cursor appears alongside the character. (2) Press the MARK REF switch. → The word is displayed with black and white reversed, indicating that it can be moved. (3) Move the word using the trackball. (4) Press the MARK REF switch. → The position of the word is finalized. 1-8

[Page 17] 3) Deleting a word (1) Using the trackball, move the arrow to the word that you wish to delete. → A character cursor appears alongside one of the characters of the word. (2) Press the Del key on the keyboard. → The specified word is deleted. If you press the Del key without specifying a word using the arrow, all of the words on the screen will disappear, and the arrow will return to position in which it was set by the preset. You can delete all of the words on the screen by canceling the freeze condition with a preset. 4) Deleting a character (1) Using the trackball, move the arrow to the right of the character that you wish to delete. → A character cursor appears to the right of the character. (2) Press the ← key (backspace key) at top right of the keyboard. → The character to the left of the character cursor disappears. 1-9

[Page 18] 1-3-8. CONTRAST The CONTRAST function corrects the contrast of the image. The contrast level can be varied through 16 steps. For 1B and 2B modes : B mode image adjustment For B/M and M modes : M mode image adjustment (In the B/M mode, you can also adjust a B mode image with the SELECT switch.) For B/D and D modes : D mode image adjustment (In the B/D mode, you can also adjust a B mode image with the SELECT switch.) : Increases the contrast. : Decreases the contrast. 1-3-9. CURSOR/B.L.S This switch is used to move or set the cursor and the baseline of the Doppler pattern. <CURSOR> (1) Change over from the 1B mode display to the B/M mode display. → The CURSOR/B.L.S switch automatically glows orange, and the cursor appears on the B mode image. (2) Using the trackball, move the cursor to the position where you wish to detect the M mode. (3) Press the CURSOR/B.L.S switch to terminate this function. → The cursor remains displayed, but you can no longer move it with the trackball. The method of operating the cursor in the B/D mode is the same as the description above. The cursor cannot be moved on the frozen image. 1-10

[Page 19] <B.L.S. (BASE LINE SHIFT)> By shifting the baseline, the Doppler pattern can be displayed without the aliasing. (1) Change the display from the 1B mode to the B/D mode. → The CURSOR/B.L.S switch automatically glows orange, and the cursor is displayed on the B mode image. (2) Adjust the position of the baseline with rotary encoder 1. (3) Press the CURSOR/B.L.S switch. → The baseline is reset at the center position. (4) Once again, press the CURSOR/B.L.S switch. → The function is terminated, and the CURSOR/B.L.S switch lights green. 1-3-10. DDD This function enables you to observe a B mode (black and white) image and a Flow mode image side by side in real- time. In this case, the B+Flow mode image is displayed on the right half of the screen, and the B mode image on the left half. If you switch over to the 1B mode after you freeze the image, only a B+Flow image will be displayed, and use the search function to display previous images. This function also operates in the Power mode. You cannot perform a search on the left and right images separately after freezing the images. (1) Display the 1B/Flow mode, and press the DDD switch. → The same images appear in monochrome and color. A color real-time image and a monochrome real-time image can not be displayed at the same time, if the flow is not displayed before the DDD is entered. 1-11

[Page 20] 1-3-11. DEPTH/RANGE The DEPTH/RANGE function switches over the display depth of the image. The display depth is switched over based on the transmission point of the displayed image. The depth is common to both the B and M mode images. The display depth that was last set remains, even if the mode changes. You cannot change the display depth of a frozen image. : Pressing this switch increases the display depth (reduces the image). The greatest depth is obtained by pressing the switch continuously until the depth no longer increases. : Pressing this switch decreases the display depth (enlarges the image). The least depth is obtained by pressing this switch continuously until the depth no longer decreases. Each switch lights green when it can function and goes out when it cannot function. When a switch (that can function) is pressed, it lights orange for 1 second. 1-3-12. DOP FILTER The DOP FILTER function removes high level noise in the low frequency region that occurs due to the motion of the heart wall, etc. Use it when the high frequency components of the bloodstream are suppressed, preventing a clear image from being obtained. : Increases the degree of filter cut. When FILTER CONTROL (D) is AUTO, the degree of filter cut can be changed in 1 → 12. When FILTER CONTROL (D) is Manual, the degree of filter cut can be changed in 50Hz → 100Hz → 200Hz → 400Hz → 800Hz → 1600Hz. : Decreases the degree of filter cut. When FILTER CONTROL (D) is AUTO, the degree of filter cut can be changed in 12 → 1. When FILTER CONTROL (D) is Manual, the degree of filter cut can be changed in 600Hz → 800Hz → 400Hz → 200Hz → 100Hz → 50Hz. 1-12

[Page 21] 1-3-13. EXT This function switches between the normal display of ultrasound images (INT state) and the display of external sig- nals such as VTR images (EXT state). Normally, it is set to the INT state. If you press the FREEZE switch when a video image is displayed on the screen in the EXT condition, the image at that point in time will be stored in the VCR MEMORY. You can enter comments on this screen, or print out the contents of the screen. (1) Press the EXT switch. → The switch lights orange, indicating that the equipment is in an EXT state. (2) Press the EXT switch once again. → The switch lights up in green and the image display returns to the ordinary INT state. 1-3-14. FOCUS The FOCUS function converges the ultrasound beam to make a clearer image. You can change the focal points used when transmitting ultrasound beams. B mode image has sending points F1 to F8 that divide the maximum diagnostic distance in the distance direction into eight parts. You can set the focus at up to any four of these points. In the case of an M mode image, one optimum focal point is set automatically near the center of the display range. (The display range varies with the display depth and the M-WINDOW.) The above also applies when only a M mode image is displayed. In the case of a B/D mode display, one focal point is set according to the sample volume. Also, when an M mode image or a D mode image in a B/* mode display is frozen, you can perform multi-stage focus setting. You cannot set all focal points to OFF. One points is always set as a focal point. Select the auto focus or the manual focus on the menu. For details, refer to “5. Menu”. (1) Press the FOCUS switch. → The transmission focus position can be set. 1-13

[Page 22] (2) Using the trackball, move the transmission focus position. → Rolling the trackball up moves the transmission focus position to the shallow depth point, and rolling the trackball down moves the transmission focus position to the deep depth point. When focusing at two or more points, you can change the distance between the focal points by using rotary encoder 1. The focus position can not go outside the displayed depth in AUTO focus. After changing the focus position to any place in AUTO focus, changing the depth with the DEPTH/RANGE switch changes the focus position to the optimum position according to the changed depth. In Manual focus, the focus position can go to the maximum depth that the probe has. It is also possible to change the setting so that the changing the depth does not change the focus position. If you set multiple focus points, that results in obtaining an image with high resolution, but decreasing the frame rate. Select the optimum setting so as to suit the desired body part while checking the acoustic power index. 1-3-15. FRAME RATE This function enables you to adjust the frame rate by setting the combination of Line Density (scanning line density) for black & white and color images, in the Flow mode or the Power Flow mode. The relation between the Frame Rate value and the Line Density for black and white and color images is shown be- low. Frame Rate − 4 − 3 − 2 − 1 0 +1 +2 +3 +4 Line Density (black or white) High High High MED MED MED Low Low Low Line Density (color) High MED Low High MED Low High MED Low (1) Press the FRAME RATE switch. → The switch glows orange (2) Adjust the frame rate with rotary encoder 3. When the frame rate is changed, the size of the flow area may also change. Increasing the frame rate increases the power index. Select the optimum setting so as to suit the desired body part while checking the acoustic power index. 1-14

[Page 23] 1-3-16. FREEZE The FREEZE function freezes a moving image. When you press the FREEZE switch, the B mode image freezes upon the completion of one ultrasound wave scan, and the M and D mode images freeze immediately, or the M and D mode images freeze just after they are displayed completely. Also, the date and time indication and probe transmission stop. In order to protect the equipment, you can set the equipment so that the freeze condition automatically goes ON when you do not perform a panel operation for a certain period. (You can set this period to between 1 and 20 minutes using a preset. You can also turn this function OFF when you wish to use the monitor for a long period. For details, refer to Section 6. “PRESET”.) By connecting an optional foot switch, you can turn the freeze function ON and OFF using either the FREEZE switch or the foot switch. → The switch lights orange, and the displayed image freezes. (2) Press the FREEZE switch . → The switch lights green, and the frozen image becomes a moving image. 1-3-17. GAIN The GAIN function adjusts the sensitivity of the B, M, D and Flow mode images. (B GAIN) The GAIN knob adjusts the sensitivity of B and M mode images. The sensitivity (gain) can be varied between 30 and 90 dB, and is displayed on the screen. (M/D GAIN) M mode : This control is used to perform auxiliary adjustment of the M mode image sensitivity after the B mode image sensitivity has been adjusted with the B GAIN control. D mode : Used to adjust the intensity of the spectrum display on Doppler images. (FLOW GAIN) The flow gain adjusts the color sensitivity on the color Doppler images. You can set the gain at startup by means of a preset, however depending upon the conditions of the probe, and so on, the gain may not always match the dB value displayed on the screen. (1) Turn the knob counterclockwise or clockwise. → Turning the knob clockwise increases the image sensitivity, and vice-versa, for both B GAIN, M/D GAIN and FLOW GAIN. (2) While observing an image, adjust the sensitivity to a suitable level. 1-15

[Page 24] 1-3-18. HARMONIC ECHO (Option : SOP- α 5-12 is necessary.) By using a probe that can receive a harmonic echo, you can perform image processing using the second harmonic wave reflected from the tissue, resulting in a clear image that has minimal artifacts such as side lobes. While this function is being used, the sending frequency is displayed as a highlighted number, and the received frequency is expressed as H (High Resolution), R (Resolution), S (Standard) and P (Penetration) in that sequence. H gives priority to resolution and P gives priority to sensitivity. Note that it can only be used with certain probes. (1) Press the HARMONIC ECHO switch. → The second harmonic wave is received. (2) Press the IMAGE/FREQ switch. → The received frequency changes. (3) Press the HARMONIC ECHO switch to terminate this function. This function cannot be used for the second harmonic that is obtained when the chemical agents such as con- trast media for ultrasound diagnosis are used. 1-3-19. ID During an examination, the patient data (ID No., name, etc.) is displayed on the screen. You can change the entered data. For details, refer to Section 1-4. “Before Starting an Examination”. 1-16

[Page 25] 1-3-20. IMAGE/FREQ This function switches the transmitting/receiving frequencies of the probe in a maximum of 4 steps. The sensitivity priority and the image quality priority can be selected for each probe. When using a Doppler display or a color dis- play, you can change the Doppler frequency. The transmitting frequencies are displayed on the lower left of the screen automatically. : Raises the transmitting/receiving frequency. : Lowers the transmitting/receiving frequency. If you select the low frequency, that results in making an image with the higher sensitivity and the lower resolution. If you select the high frequency, that results in obtaining an image with high resolution, but reducing the sensitivity. Select the optimum setting so as to suit the desired body part while checking the acoustic power index. 1-17

[Page 26] 1-3-21. INVERT This function displays a B mode laterally reversed. If you reverse an image, the various marks attendant to the image (direction marks, cursor, etc.) are reversed simul- taneously. In addition, this function can operate for images on the cine memory. The center of reversal of the image is the center of the image. When D mode image is displayed, on the basis of the center of a baseline or a image, vertical reversal is carried out and it displays. This makes the data of the blood flowing toward the probe and the data of the blood flowing away from the probe be displayed reversibly. For the B mode (1) Press the INVERT switch. → The B mode image is reversed laterally. CURSOR Fig. Reversed laterally For the D mode (1) Press the INVERT switch. → The D mode image is reversed vertically. (2) Press the INVERT switch. → The vertically reversed D mode image returns to the original image. You cannot reverse the D mode image vertically after freezing it. 1-18

[Page 27] 1-3-22. IP SELECT (Image Processing Select) Simultaneously carry out multiple settings concerned with adjustment of picture quality in the B, M, D, FLOW, POWER FLOW, TDI D, TDI FLOW, TDI POWER FLOW modes to adjust the overall feeling (hard-soft) of the image quality. In the B mode it is possible to adjust Frame Correlation, Contrast, AGC and Relief. In the M mode it is possible to adjust Contrast, AGC and Relief. In the D, TDI D mode it is possible to adjust Contrast, Compression Curve (D), Smoothing, Resolution and Image Select (D). In the FLOW, POWER FLOW, TDI FLOW, TDI POWER FLOW mode it is possible to adjust Frame Correlation, Smoothing and Image Select (Flow). These functions are set on 8 levels and can be preset. For details, refer to Section 6. “PRESET”. (1) Press the IP SELECT switch. → Change the setting value with rotary encoder 3. (2) Press the IP SELECT switch. → This function is terminated. The setting value is displayed in the message area for 5 seconds. It is not possible to change these functions during freeze. 1-3-23. MEASUREMENT Press this switch to activate the measurement function. (1) Press the MEASUREMENT switch. → The measurement menu is displayed on the screen. (2) Perform measurement according to the measurement procedure. For details, refer to the Measurement manual. 1-19

[Page 28] 1-3-24. MENU This switch is used to displays menus. (1) Press the MENU switch. → The menu is displayed on the left side of the screen. (2) Select the item with rotary encoder 2, follow the setting procedure to register it. For details, refer to Section 5. “Menu”. 1-3-25. MODE The MODE function sets the mode of images to be displayed on the screen. The modes that can be displayed are as follows: B B/B B/M M B/D PW CW FLOW POWERFLOW In the case of a compound mode (B/M, B/D), the corresponding mode switch also functions to display both images simultaneously as a real time display. : The equipment enters the B mode (only a B mode image is displayed on the screen). : The equipment enters the 2B mode (two images are displayed on the screen). B B : The equipment enters the B/M mode (one B mode image and one M mode image are displayed B M on the screen). : The equipment enters the M mode (only an M mode image is displayed on the screen). : The equipment enters the D mode (only an D mode image is displayed on the screen). : The equipment enters the B/D mode (Both a B mode image and a D mode image are displayed B D on the screen). PW : Switches the PW/CW mode with some of the electronic sector probes. CW The CW mode can be selected only when the optional UCW- α 5 is connected to the equipment. 1-20

[Page 29] : Displays a B mode image or an M mode image in color. FLOW POWER : Displays a B mode image or an M mode image in Power Flow. FLOW <Request function> This function enables you to call and display one image of a two-image screen display, such as a 2B, B/M or B/D mode display, after performing a freeze operation. If you freeze an image, the switch, of the B/B, B/M or B/D switches, that corresponds to the currently displayed mode lights orange, and the operable switch, of the B, M or D switches, lights green. The transition diagram for each mode is shown in the figure below. *2B mode B B or SELECT ① ② ① ② B B B B B B or SELECT Fig. Transition diagram 1-21

[Page 30] *B/M mode *B/M mode (a) Left-right display (b) Upper-lower display M M B M B M B M B B M B B M B M *B/D mode *B/D mode (a) Left-right dis- (b) Upper-lower display D D B D B D B D B B D B B D B D Fig. Transition diagram 1-22

[Page 31] 1-3-26. PRESET This function enables you to switch over to a preset that is suitable for the area being diagnosed, or to change the set contents. For the method of changing the set contents, refer to Section 6. “PRESET”. (1) Press the PRESET switch. → The preset list is displayed on the screen. (2) Using the trackball, move the arrow to a preset that you desired to set, and press the SET switch. → The set conditions registered in the selected preset are activated. 1-3-27. PRINT The PRINT function records images to recording equipment connected to this equipment. It is necessary to set up the record equipment to be used by PRESET beforehand. When you set a recording device, the optimum gamma correction for that recording device will be applied, enabling you to record images in a reasonably short time. For details, refer to Section 6. “PRESET”. If the recording equipment set with the preset is different to the actual equipment used for recording, correct record- ing will not take place. (1) Display the optimum image, then press the FREEZE switch to freeze the image. (2) Press the switch. → The image is recorded. You cannot record an image while it is displayed in real time. 1-23

[Page 32] 1-3-28. PROBE The probe function selects the probe to be used when several probes are connected to the equipment. If the probe is registered with the probe menu of the Preset beforehand, it may be convenient. For details, refer to 6-3. Common Preset. (1) Press the PROBE switch when the freeze status is Off. → A menu of probe such as the following example is displayed. (2) Using the trackball, move the arrow to the probe that you wish to use, and press the SET switch. → The image of probe selected is displayed. The corresponding button switch for the probe that is operated currently is selected. (3) When selecting the probe which is not registered with the Preset, move arrow to the Next button with trackball and press the SET switch. → A menu of probe such as the following example is displayed. The number of 1 through 3 on the probe menu corresponds to the number of probe connector. (4) Move arrow to the numbered connector connecting to the probe intended to use with the trackball and press the SET switch. → The image of probe selected is displayed. 1-24

[Page 33] 1-3-29. REC This function records images into the VCR that is connected to the system. (1) Press the REC switch. → VCR recording will start. (2) Once again, press the REC switch. → Recording pauses. 1-3-30. REPORT The REPORT function enables the results of each measurement and also the measured values and information related to the patient to be presented in the form of a table. (1) Press the REPORT switch upon completion of measurement. → The measurement report is displayed. The measurements that have report screens are obstetrical measurements, gynecological measurements, cardiac function measurements, peripheral vessel measurements and urethral measurements. For details, refer to “Measurement manual”. 1-3-31. REVIEW This function reviews the stored images. (1) Press the REVIEW switch. → The stored image is displayed. For details, refer to Section 2. “CINE MEMORY AND STORE IMAGE”. 1-25

[Page 34] 1-3-32. SAMPLE VOLUME This function sets the sample volume. The sample volume is the volume of the sample gate that extracts the signals from the B mode image in the PW Doppler mode. : Increases the sample gate. : Decreases the sample gate. The volume of the sample gate can be changed from 0.5mm to 10mm in 0.5mm step. The volume of the sample gate is displayed for 5 seconds on the message area after the SAMPLE VOLUME switch is pressed. 1-3-33. SCAN AREA The SCAN AREA function continuously enlarges or reduces the scanning range or flow area of B mode images. It can raise the frame rate without shortening the display depth, by reducing the scanning area. When the scanning range is less than the maximum scanning range, you can move it left or right with the trackball. (1) Press the SCAN AREA switch. → You can now enlarge, reduce or shift the scanning area. (2) Using the rotary encoder 1, enlarge or reduce the image. → Turning the rotary encoder clockwise or counterclockwise causes the image to increase or decrease. The reference point for enlargement or reduction is the center of the scanning range. (3) Using the trackball, shift the scanning range. → Rolling the trackball to the right or left causes the scanning range to shift to the right or left. (Steering function) You can enlarge or reduce the image about its center even after shifting the scanning range. If the cursor is displayed, the cursor shifts along with the scanning range as the cursor approaches the end of the scanning range. 1-26

[Page 35] 1-3-34. SELECT This function selects an active image when several images are displayed (in the 2B mode, B/M mode, B/D mode display, etc.) (1) Display multiple images. (2) Press the SELECT switch. → When displaying only one of two images in real time in the 2B mode, for example, the real time display will switch over. In the case where two images are displayed in real time, such as in the B/M or the B/D mode, only the M image or the D image will be displayed in real time. (3) Press the SELECT switch. → The real time display of the left and right images switches over. (4) Press the FREEZE switch. → Both the left and right images freeze. (5) Press the SELECT switch. → The active image switches over. (6) Press the FREEZE switch. → The active side image is displayed in real time. 1-3-35. SEARCH This function displays the image stored in the cine memory. (2) Press the SEARCH switch. You can select whether to enter the search function or to enter the scroll function automatically in the Preset. (3) Using the trackball, search for the image to be displayed. When displaying multiple images, use the trackball for the active side, and the rotary encoder for the non-active side. You can perform measurement, for example, on a searched screen, however in this case the trackball will be used for the measurement, preventing you from using it for the search function. If you wish to use the search function again, proceed from step (2). 1-27

[Page 36] 1-3-36. STC The STC function is an 8-step slide variable resistor which adjusts the gain at each display depth. The gain of both B mode and M mode images varies simultaneously. The number (cm) displayed on the side of each STC knob indicates the display depth for which the gain can be ad- justed. Normally, set the STC knobs to the center (reference) position. (1) Move the STC knobs to the left or right. → Moving the knobs to the right or left increases or decreases the gain for the display depth. Adjust the knobs corresponding to the depths where there is a deviation in sensitivity, either left or right, so as to make the sensitivity uniform. The GAIN function also adjusts the gain. 1-3-37. STORE This function stores the image frozen or searched to HDD in system, MO disk, or the network server. (1) Display the image you wish to store. (2) Press the STORE switch. → A image is stored in the store place set up beforehand. For details, refer to Section 2. “CINE MEMORY AND STORE IMAGE”. 1-28

[Page 37] 1-3-38. STEER/ROTAT There are two functions: Steering Invert and Image Rotation. You can select either of them in the Preset. For details, refer to Section 6. “PRESET”. <Steering invert> When you inspect the blood flow in the carotid and others with the electronic linear probe, it is hard to obtain the data on the part in which the blood flow is orthogonal to the ultrasound. The steered beam function steers the ultrasound electronically to obtain the data on the study part. The angle of the ultrasound can be changed in step of 5 degrees (max ± 30 degrees). However, some probes can not reach the range of ± 30 degrees. For details, refer to Section 5. “MENU”. (1) Press the STEER/ROTAT switch. → The ultrasound beam is emitted at the angle set by the preset. (2) Once again, press the STEER/ROTAT switch. → The ultrasonic beam changes to a reverse direction angle. Pressing the STEER/ROTAT switch once again causes the angle of the ultrasonic beam to become 0 ° . In the Preset, you can set the angle of the ultrasound that is transmitted when the STEER/ROTAT switch is pressed. For details, refer to Section 6. “PRESET”. <Image Rotation> This function rotates the displayed B mode image by 90 degrees. If you rotate an image, the various marks attendant to the image (direction marks, cursor, etc.) are rotated simulta- neously. In addition, this function can operate for images on the cine memory. However, the M mode image cannot be rotated. The center of rotation of the image is the center of the image. (1) Press the STEER/ROTAT switch. → The displayed B mode image function is rotated by 90 degrees. 1-29

[Page 38] 1-3-39. SWEEP SPEED This function sets the sweep speed used when the M mode image or D mode image is displayed. You can set the sweep time from the right edge of the screen to the left edge. For the M mode image, M should be 1, 1.5, 2, 3, 4, 6, or 8 (sec/screen). For the D mode image, D should be 1, 1.5, 2, 3, 4, 6, or 8 (sec/screen). In the case of a B/M or B/D mode display, the sweep time becomes about 2/3 that of an M or D mode display. The marks are displayed from the right to the left on M mode or D mode image every 0.5 seconds. However, in the case of a real-time display, this mark appears only at the top and bottom ends of the image. When the image is frozen, the mark appears at fixed intervals from the top end to the bottom end. (1) Press the SWEEP SPEED switch. → The switch glows orange. (2) Set the speed with rotary encoder 3. → Turning the encoder right increases the speed, and turning left decreases the speed. 1-3-40. VCM ( Video Cine Memory ) This switch cannot be used unless the optional EU-9083 or EU-9111 is connected. This function is used to acquire image data for multi frames to a VCM, perform loop playback of the data, store it in a disk, send it to a network, and so on. (1) Press the VCM switch. → The VCM function is activated. Refer to Section 2. “CINE MEMORY AND STORE IMAGE” 1-30

[Page 39] 1-3-41. VEL RANGE This function enlarges and reduces the range of the flow velocity (the display range of the flow velocity). In the case of PW Doppler, the flow velocity range is enlarged or reduced between 0.06 and max 3.19 m/s. In the case of CW Doppler, the flow velocity range is enlarged or reduced between 0.06 and max 7.96 m/s. This function also adjusts the display range of the flow velocity for the color Doppler (0.06 to 1.99 m/s). When you change VEL RANGE in the color Doppler mode, the size of the flow area sometimes changes as well. : Increases the velocity range. The maximum range is reached when the switch is no longer effective. : Decreases the velocity range. The minimum range is reached when the switch is no longer effective. 1-3-42. ZOOM The ZOOM function enlarges or reduces part of a B mode image. The ZOOM has two methods for setting and can be switched over the setting with the preset. If the setting of Zoom Method is made to the Center, you can magnify or contract an image around the center. If the setting of Zoom Method is made to the Box, you can have a ROI displaying a magnified area, in which the image is enlarged or reduced. The magnified image is also movable. The focal points of the enlarged image are automatically set near the center of the display range. Shown below are examples of automatic setting. <Examples> • Automatically setting the focal points uniformly at the center of the display range according to the number of focal points • Shifting the focal points along with the shift of the image • Setting the number of steps for multi-step focusing You can also use this function to shift an image without enlarging it. The number of stages by which zoom is carried out, and magnification change with probe currently used. (When the Preset is at the Center) (1) Press the ZOOM switch. → The switch lights up in orange. (2) Turn the rotary encoder 1 clockwise. → The image is enlarged one step at a time from the center. This switch ceases to function when the image reaches the maximum size. 1-31

[Page 40] (3) Turn the rotary encoder 1 counterclockwise. → The image is reduced one step at a time from the center. This switch ceases to function when the image reaches the minimum size. (4) Using the trackball, move the image. → You can also enlarge or reduce the image after shifting it. (5) Press the ZOOM switch. → The zoom is reset, and the image returns to its original size and position. (ZOOM in the B/D mode) When the “Zoom Lock” is selected on the menu, a B mode image is enlarged with the sample volume position being as a center. For details, refer to Section 5-3-5-39. “Zoom Lock”. (When the Preset is at Box) (1) Press the ZOOM switch. → ROI is displayed on the image. (2) Turn the Rotary encoder 1 from clockwise or counterclockwise. → ROI magnifies or contracts itself. (3) Move the ROI to the part wanted to magnify with the trackball. (4) Press the MARK REF switch. → An image is magnified. Turning the rotary encoder 1 from clockwise or counterclockwise, you can magnify or contract an image. (5) Press the ZOOM switch. → The zoom is reset, and the image returns to its original size and position. The magnification and the position of the zoomed area are memorized in the system until the PRESET, DEPTH/RANGE , or NEW PATIENT switch is pressed. 1-32

[Page 41] 1-3-42-1. Read Zoom Read zoom is a function that displays a frozen B mode image at a magnification of 2 when the ZOOM switch is pressed. You can use this function for the images stored in the Cine memory. It is also possible to operate the Read Zoom during a loop play. The position of the image that is enlarged twice by the Read Zoom can be moved. (1) Press the FREEZE switch to freeze an image. (2) Press the ZOOM switch → The image is enlarged twice. (3) Using the trackball, move the enlarged B mode image. (4) Press the ZOOM switch. → Read Zoom is reset. 1-33

[Page 42] 1-3-43. Full keyboard The full keyboard of this equipment performs the same function as the keyboard of a general purpose computer, the only difference being that some keys also have functions unique to the equipment. esc F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 Print Scroll Pause Screen Lock Break ! " # $ % ^ & * ( ) _ + Pause 1 2 3 4 5 6 7 8 9 0 - = Q W E R T Y U I O P { } PgUp [ ] Caps A S D F G H J K L : @ PgDn Lock ; Z X C V B N M < > ? , . / End Ait Ctrl Fig. Full keyboard <Full keyboard function> (1) Comment and Annotation functions For details, refer to Section 1-3-7. “COMMENT”. (2) ID entry function For details, refer to Section 1-4. “Before Starting an Examination”. (3) The full keyboard function can start up the measurement directly. When you press an alphabet key, you can directly start the measurement items and the control functions that are assigned to the pressed key without going to the measurement menu. For details, refer to the Measurement manual. (4) VCM function When the VCM function is ON, you can directly start the functions assigned to the function keys. 1-34

[Page 43] 1-4. Before Starting an Examination The ID function is used to enter patient data (ID number, name, etc.) and display it on the screen. You can use the entered data for displaying a report, for example. 1-4-1. Explanation of an ID entry screen Pressing the NEW PATIENT switch displays the ID entry screen shown below. Fig. ID entry screen Search Searches patient information from the patient database in the system, and displays it on the ID entry screen. Find Reads patient data from the HIS (Hospital Information System) to the equipment, and displays it in the form of a list. Worklist Displays a list of patient data read from the HIS. You cannot select patient data unless it has been read from the HIS. Data Management Stores the patient information to the external media (MO or FD), reads it from the external media, and deletes it from the system or the external media. 1-35

[Page 44] ID Input You can select one of the following five methods of entering ID data by performing the ID Input operation of the menu. (1) ID Name : Entering ID, name, age and sex (2) ID Obsterics : Entering obstetrical data in addition to (1) (3) ID Gynecology : Entering gynecological data in addition to (1) (4) ID BSA : Entering body surface area in addition to (1) (5) ID Urology : Entering urological data in addition to (1) If you change any of the above items, the selected format will be held until you call the next preset. You can set this selection using a preset as well. The data items that were no longer displayed when you changed the format are memorized. When the format is changed once again to enable the data to be displayed, the previous data is displayed. OK Stores the entered information, and closes the ID entry screen. Cancel Cancels the entered information, and closes the ID entry screen. 1-4-1-1. Patient Information Patient ID Enter the patient ID. When you start up the system or register a new patient and you do not enter the patient ID, the No ID is automatically entered. So, the No ID is attached to all the images and the measurement data that are stored at the situations above. Sex You can select any one of appropriate from M (Male), F (Female), Other and Blank. Gender is able to input to every Application in advance with DISP-ID,Comment of Preset. Date of birth In case of Direct Input. A descriptive example of input: A case of Jan. 0l, 2001 is to be input as 2001/01/01 Inputting this column with date, the system counts the age automatically (Rounded down less than a decimal point) and the age is consequently displayed in Age column. 1-36

[Page 45] When using the calendar: Using the trackball, move Arrow mark to the mark indicates Date of Birth and press the SET switch, then a calendar is displayed. Using the trackball, move the arrow to the Christian year, and by pressing the SET switch, you can change the year by year. Using the trackball, move the arrow to a Month. Pressing the SET s witch, you can display the drop-down menu of the month calendar Jan. through Dec., so that you can select the month you intend to input. Age The age is calculated from the current date and the Date of birth, and displayed with all digits to the right of the decimal point discarded. The unit of the age is “D” for 6 days after birth or younger, “W” for 7 to 29 days after birth, and “M” for 30 to 364 days after birth, and “Y” for 365 or older. When the data is directly entered into the Age after the data is entered into the Date of birth, the data of the Date of birth is erased (blank display). Height You can select the unit of the height from the options below. • Meters • Centimeters • Feet/Inches The units above can be registered in the Preset. Weight You can select the unit of the weight from the options below. • Kilograms • Pounds/Ounces The units above can be registered in the Preset. Occupation Enter the occupation of a patient. 1-37

[Page 46] 1-4-1-2. Study Information 1) Common items for all the ID entry screens Study ID The number of times that the same patient was accepted is input. Accession The number of examinations performed in one day is input. Referring Phys/Reporting Phys/Sonographer Enter the data with the keys. The individual names that are entered with the keys are stored as options in the system. 2) Items varied depending on ID types BSA (ID BSA) This item calculates the BSA (Body surface area) according to the selected equation. The unit is m . It is also possible to enter the BSA directly from the keyboard. There are two equations of BSA shown below. a. DuBois 0.725 0.425 BSA = 0.007184 × H × W BSA: m , H:cm, W: kg b. Boyd 0.3 (0.7285 -0.0188 × logW) BSA = 0.0003207 × H × W BSA: m , H:cm, W: g 1-38

[Page 47] LMP/BBT/EGA/EDC/GA (ID Obstetrics, ID Gynecology) This item appears when a patient is female. You can enter the date of the last menstruation period and others. LMP (Date of the last menstruation period) GA = (Current date − LMP) ÷ 7 EDC = 280 days + LMP BBT (Estimated date of ovulation) GA = (Current date − BBT + 14 days) ÷ 7 EDC = (280 days − 14 day) + BBT EGA (Previous examination date and Gestational age on previous examination date) GA = (Current date − Previous examination date) ÷ 7 + EGA EDC = Previous examination date + (280days − EGA) EDC (Estimated date of confinement) GA = 280 days − (EDC − Current date) ÷ 7 GA (Gestational age) EDC = Current date + (280 days − GA × 7) For the ID Obstetrics, you can select any of the LMP, BBT, EGA, EDC, or GA. For the ID Gynecology, you can select either of the LMP or BBT. GRAV/PARA/AB/ECTO (ID Obstetrics, ID Gynecology) Only the integers (0 to 99) can be entered. GRAV : Number of gravida PARA : Number of para AB : Number of abortions or miscarriages ECTO : Number of ectopic pregnancies Serum PSA (ID Urology) Enter the value of Serum PSA directly from the keyboard. The unit is ng/ml. This item is displayed when a patient is male. 1-39

[Page 48] 1-4-1-3. Series/Image Information Displays the screen for entering the attributes related to images. Body part examined Select the part to be examined from the list. Laterality Enter the laterality of a body part to be examined. Description Enter the description of a image. Image type Select the image type from the list. Patient orientation Enter an anatomical orientation of a patient. Enter A (anterior), P (posterior), H (head), F (foot), R (right), or L (left) for the orientation of a patient used when an image is viewed from the side and when an image is viewed from the side from above, using a backslash. Region calibration Select whether or not to include the measured data of each image into the image data. Select ON or OFF. Combined calibration Select whether or not to include the brightness data into the Region calibration. Select ON or OFF. Full attributes Select whether or not to include all the data of a image when the image is recorded and transferred. Select ON or OFF. Agent Enter the name of contrast media. 1-40

[Page 49] Route Enter the route of contrast media. Start/Stop time Enter the start and stop time at which the contrast media is given. You can enter up to 8 characters in the time format. Volume Enter the volume of the contrast media that is given. Total dose Enter the total dose of the effective components of the media contrast. 1-4-2. How to register a patient Before starting an inspection, you should enter the patient information and the inspection information. The patient Name and ID are displayed above the ultrasound image. (1) Press the New Patient switch. → Display the ID Entry screen. The cursor appears in the field of the ID in the Patient Information. Now you can enter a patient ID from the keyboard. (2) Enter a patient ID and press the Enter key. → The cursor is moved to the field of the Name in the Patient Information. Now you can enter a patient name from the keyboard. When examining the same patient for the second or subsequent time, simply enter the ID and the previously registered patient data is automatically displayed. (3) Enter a patient name. → The last name should come first, and then the first name. Enter a space between the last name and the first name. (4) Press the Enter key. → Enter the information you know in the same steps above. (5) Enter the sex by means of the arrow keys, then press Enter key. (6) Once you have entered the patient information, press the OK button or the ID key. → The patient and examination data input screen closes. The ultrasound slice image screen re-appears, and of the entered data the patient's name and patient's ID appear at the top of the screen. When you click the Cancel button, the changed contents are discarded. At the end of input, the equipment returns to the condition that it was in when the ID function was started. If you re-write patient data that has been registered once, a message asking you whether or not you wish to renew the data will appear. 1-41

[Page 50] 1-4-3. Search function This function searches for the patient data that matches the search conditions from the patient database inside the equipment, and displays the selected patient data on the ID input screen. Fig. Search screen Search Reads the patient information from the patient database in the system according to the search criteria, and displays the information on the patient list display screen. OK Reads the patient information that is selected from the list, and returns the previous screen. Cancel Returns to the previous screen. <How to search> (1) Using the trackball, move the arrow to Search button on the upper left hand corner of the screen, then press the SET switch. → Display the Search screen. (2) Enter the patient ID or Name you wish to search, and using the trackball, move the arrow to Search button, then press the SET switch. → The Patient IDs and Names that match the search criteria are displayed on the list. (3) Using the trackball, move the arrow to the desired patient information in the search result displayed in the list, then press the SET switch. → The selected information is highlighted in blue. 1-42

[Page 51] (4) Using the trackball, move the arrow to the OK button, then press the SET switch. → The screen returns to the ID entry screen and the patient information that was entered in the past is dis- played. It is possible to fuzzy search using either/both Patient ID or/and Patient Name as the search criteria. If you press the Search button without entering the search criteria, all the patient information in the system appears. 1-4-4. Find (Option: SOP- α 5-10 is necessary.) Reads the patient data from the HIS (Hospital Information System) to the equipment, and displays it in the form of a list. When you select the Find button on the ID input screen, the Find screen appears. Fig. Find screen OK Reads the patient data for the patient concerned, and re-displays the ID screen. Cancel Re-displays the original screen. Name Switches the patient display in the list to patient name, and arranges the data in order of patient name. ID Switches the patient display in the list to patient ID, and arranges the data in order of patient ID. 1-43

[Page 52] Find (1) Press the Find button on the ID screen. → The patient data in the HIS is read. (2) Select the patient's name from the list, and press the OK button. → The patient data on the ID screen is input. (3) When you wish to display the list in the sequence of ID number, select the ID radio button. Enter the ID number or name to the ID screen, and press the Find button. Data that includes this number or name is read from the HIS. Worklist You can display a list of the patient data stored in the equipment using the following procedure. (1) Press the Worklist button on the ID screen. → Read the patient data from the equipment. (2) Select the patient's name from the list, and press the OK button. → The patient data is input to the ID screen. (3) If you wish to display a list in the sequence of ID number, select the ID radio button. If you enter an ID number or name using the ID screen then press the Worklist button, only the data that includes that number or name is read from the equipment. 1-44

[Page 53] 1-4-5. Data Management This function reads/writes the patient information from/to the external media, and deletes the patient data. Data Management screen When the Data Management button is selected on the ID entry screen, the patient data management screen is displayed. You can operate the functions shown below on the searched patient information. Fig. Data Management screen Search Searches the data from the medium specified in the Target Medium according to the search criteria. Delete Deletes the patient information selected in the list. Read from FD/MO Reads the patient information that is selected in the list from the external medium into the system. This function can be operated when the FD or MO is specified in the Target Medium. Write to FD/MO Writes the patient information that is selected in the list from the system into the external medium. This function can be operated when the Built in HD is specified in the Target Medium. Optimize database Optimizes the database in the system to reduce the access time to the database. Close Closes the Data Management function, and returns to the ID screen. All Selects all of the data in the list. Pressing this button once again returns all of the data to a non-selected condition. 1-45

[Page 54] 1) When reading the patient information from the external medium into the system: (1) Select FD or MO disk in the Target Medium. → The File List that is in the selected medium appears. (2) Select the desired File in the File List, and press the OK button. → Enter any of or all of the Patient ID, Patient Name, or/and From Until (Date) of which you wish to read the patient information into the system, into the search criteria. (3) Press the Search button. → A list of patient data that matches the search conditions is displayed from the selected file. (4) Select the patient information that you wish to read into the system, and press the Read from FD/MO button. → The selected patient information is read into the HD in the system. 2) When storing the patient information from the system into the external medium: (1) Enter any of or all of the Patient ID, Patient Name, or/and From Until (Date) of which you wish to store the patient information into the search criteria. (2) Select the Built in HD in the Target Medium, and press the Search button. → The list of the patient information that matches the search criteria is displayed, allowing the Write to FD/MO button to be operated. (3) Select the file you wish to store into the external medium, and press the Write to FD/MO button. → The dialogue in which you can select a medium and enter a file name appears. (4) Select a medium, enter a file name, and press the OK button. → The selected patient data is stored into the specified medium. For the situation above, all the data that you selected are stored in one file. If all of the selected patient information cannot be stored into one medium, the message appears. In this case, you should select the data to be stored, and repeat the same procedure. 1-46

[Page 55] 3) When deleting the patient information: (1) Enter any of or all of the Patient ID, Patient Name, or/and From Until (Date) of which you wish to delete the patient information into the search criteria. (2) In the Target Medium, select the medium in which the patient information to be deleted is stored. When you select the floppy disk or MO disk, the File List appears. Select the desired file, and press the OK button. (3) Press the Search button. → A list of patient data that matches the search conditions is displayed from the selected media file. (4) Select the patient information you wish to delete, and press the Delete button. → The selected patient information is deleted. 1-47

[Page 56] 1-5.Examination in the B Mode 1-5. Examination in the B Mode The B mode is used to display an arbitrary cross-section of the body as a slice image. 1-5-1. Basic Operation Procedure <Single screen display> (1) Press the B switch to display a 1B mode image. (2) Apply the probe to the part of the body to be scanned. → B mode image of the part of the body being examined appears on the screen. (3) Adjust the gain and contrast so as to obtain a satisfactory image. (4) Once you have obtained a suitable image, press the FREEZE switch to freeze the image. (5) Perform measurement as necessary. For details, refer to the Measurement manual. (6) Record the image as necessary. → Set the recorder to be used by means of a preset operation. For details, refer to Section 6. “PRESET”. <2-screen display> You can display a B mode image as two images on the left and right of the screen. However, you cannot move both images simultaneously. Select the left or right image using the SELECT switch. In the freeze state of the 2B mode, you can display the respective images one at a time on the screen. (Request function) For details, refer to Section 1-3. “Operating the various switches”. (1) Press the B|B switch. → The B mode image is displayed on the left side of the screen. (2B mode screen) (2) Press the SELECT or B|B switch. → The left image freezes, and the right image is displayed in real time. (3) Once again, press the SELECT or B|B switch. → The right image freezes, and the left image is displayed in real time. (4) To perform a request, press the B switch in the freeze state. (5) When the freeze state is released, the specified image (the image that is indicated by the “ ” active mark) is displayed in real time. 1-48

[Page 57] 1-5.Examination in the B Mode <2B MAPPING> 2B MAPPING is a function that enables you to display a frozen B mode image stored in the cine memory as a 2B mode image on the left and right halves of the screen when 2B MAPPING is set to On using a preset. By using this function, you can display systolic and diastolic images for the same cardiac cycle on the left and right sides of the screen, which is convenient for when measuring cardiac functions. (1) Display a 1B image, then press the FREEZE switch. → The 1B image is displayed as a frozen image. (2) Press the B|B switch. → The B mode image is displayed on the left half of the screen, and nothing is displayed on the right half of the screen. In this state, you can also use the search function. Press the SEARCH switch, select the desired image using the trackball. (3) Press the SELECT or B|B switch. → The same image appears on both the left and right halves of the screen. Using the search function, display an image on the right half on the screen that is in a different phase to the image on the left half. Switch over the active image using the SELECT or B|B switch. (4) Press the B switch. → The 2B MAPPING function is terminated. The image that corresponded to the active side of the 2B mode display is displayed in the 1B mode. When you press the FREEZE switch during 2B MAPPING to cancel the freeze condition, a 1B real time image is displayed. 1-49

[Page 58] 1-6. B/M and M Modes The M mode is a mode in which the ultrasound beam is fixed in a straight line on a B mode image, and the motion of the body that reflects the ultrasound wave on this straight line is displayed on the screen along with the passage of time, enabling it to be observed. The B/M mode is a mode in which a B mode image and an M mode image are displayed simultaneously. You can observe an M mode image which checking the detection position with the B mode image. A dotted line is displayed on a B mode image. This dotted line is called a cursor. You can set the cursor in any di- rection on the B mode image using the trackball on the operation panel. The data that lies along this cursor is dis- played as an M mode image. When the image is not frozen, graduation marks are displayed only at the top and bottom edges of the M mode image. When you freeze the image, the graduation marks are displayed as shown in the following figure. 1cm (0.5cm) 0.5sec The graduation marks are displayed at intervals of 1cm in the depth direction (or 0.5cm when the display depth is 5cm or less), and 0.5 sec in the sweep velocity direction. 1-6-1. Basic operation procedure <B/M,M mode> (1) Press the B/M switch. → The B mode and M mode images are displayed simultaneously in real time. (2) While the CURSOR/B.L.S switch is lit orange, roll the trackball left or right. → The cursor on the B mode image will move left or right, and the part indicated by the cursor is displayed as an M mode image. (3) Adjust the gain and contrast so as to obtain a satisfactory image. (4) Once you have obtained a satisfactory image, press the FREEZE switch. → Both the B and M images freeze. If you wish to freeze only one of the images, press the SELECT switch. Each time you press this switch, the image switches in the sequence B freeze → M freeze → B freeze. 1-50

[Page 59] (5) Once again, press the FREEZE switch. → Unfreeze both the B and M mode images. When only one image is frozen, you can display both images in real time by pressing the B/M switch. When you wish to make only the M mode image a full screen real time display, press the M switch. <M-WINDOW function> This function displays an M mode image in enlarged form. (1) While the CURSOR/B.L.S switch is lit orange, turn rotary encoder 1. → Turning the rotary encoder1 clockwise, reduce the size of the window. Turning the rotary encoder1 counterclockwise, enlarge the size of the window. (2) Using the trackball, move the window. → An M mode image in the range of the window appears. (3) Terminate the M-WINDOW function. → To terminate this function, either press the CURSOR/B.L.S switch or turn the rotary encoder 1 fully left. 1-51

[Page 60] <Free angular M-mode> (The optional SOP- α 5-11 is necessary.) This function is for creating an M mode image from the information obtained from the M mode cursor that has been drawn optionally over a B mode image. You can create an M mode image even on a B mode image saved by the Cine memory. (1) Display a suitable B mode image. → A solid line cursor for a free angular M-mode is displayed central- ly on the B mode image. (3) Moving the free angular M-mode cursor with the trackball from side to side or up and down, you can turn the cursor with the rotary encoder 1. The size of the free angular M-mode cursor is adjustable with the Cur- sor Size on the menu. (4) After adjusting the free angular M-mode cursor, press the B/M switch. → On the B/M mode image, the M mode image on the free angular M-mode cursor is displayed. (5) Once you have obtained a satisfactory image, press the FREEZE In searching for an M mode image, use the trackball and for the B mode im- age, use the rotary encoder 1. A zooming created in the M mode can be changed by the Magnification (FAM) on the menu. (6) Once again, press the CURSOR/B.L.S switch. → The optional M mode is finished. When disposing an image saved by the cine memory, operate it as shown in (2) through (4). After completing creation of the M mode image, operator's requests for the image become possible. 1-52

[Page 61] <Simultaneous display of plural free angular M-mode cursors> This function is for creating multiple Mode images, displaying multiple M mode cursors on optional locations of a B mode image. You can create an image even on a B mode image taken in by the Cine memory. Before starting an operation, specify the number of M cursors in the Multi FAM on the menu. The maximum number of M cursor displayed is three. <Example: When displaying three M cursors> (1) Display a suitable B mode image. → The No.1 cursor (A) is displayed. (3) Move the free angular M-mode cursor with the track ball from side to side or up and down, and turn the cursor with the rotary encoder 1. The size of the free angular M-mode cursor is adjustable with the Cursor Size on the menu. (4) Press the MARK REF switch. → The No. 2 cursor (B) is displayed. Furthermore, by pressing the MARK REF switch, the third cursor (C) is displayed. B C (5) On the state all the cursors are displayed, press the MARK REF switch. → By pressing the MARK REF switch every time, you can change the active state of cursor in the sequence of A → B → C → A. The active state of cursor is deleted by selecting the Active FAM Off on the menu. The solid line of M mode cursor expresses a display range of M mode image. (6) Press the B/M switch. → By the number of displayed M mode cursors, M mode images are displayed up and down separately. [Remark] A B C When disposing an image acquired by the cine memory, operate it as shown B in (2) through (6). 1-53

[Page 62] <Cursor display for a free angular M-mode minor axis cross-section image> In order to display on M mode of left ventricle minor axis simply and easy, you can display three cursors (or two cursors) simultaneously, and able to display a free angular M-mode image. (1) Display a suitable B mode image of left ventricular short-axis. → A free angular M-mode cursor is displayed on the screen. (3) Turn the PSAX on the menu to ON. → Three optional M mode cursors segmenting with 60 degree angle centrally are displayed on the screen. (4) Move the three cursors simultaneously over the left ventricle image A B with the trackball. (5) The size of free angular M-mode cursor is adjustable with the Cursor Size on the menu. (6) Turn the cursor with the rotary encoder 1. (7) Press the B/M switch. → M mode divided into three parts horizontally is displayed. To change the number of cursors to two (90 ° ), turn the Multi FAM on the menu to 2. A B [Remark] C When disposing an image saved by the cine memory, operate it as shown in (2) through (7). 1-54

[Page 63] 1-7. B/D and D Modes The D mode displays the data of the blood flow and the cardiac muscle tissues in the heart and the blood vessels. The blood flow information displayed in this mode is called a D mode image. A D mode image is not an image of a part of the body, but is a graph of blood flow information. For this reason, it is also called a Doppler pattern. The B/D mode is a mode in which a B mode image and a D mode image are displayed simultaneously. It enables you to observe blood flow information on a D mode image while checking the B mode image to see what part of the body the detected blood flow information belongs to. The following two kinds of ultrasound beams are used to display a D mode image. (1) PW Doppler: The ultrasound beam is emitted as discrete pulses, and a D mode image displayed. You can obtain blood flow information concerning any point on a B mode image. (2) CW Doppler: The ultrasound beam is emitted continuously, and a D mode image displayed. CW Doppler is suitable for obtaining high speed flow data for evaluating the severity of mitral stenosis, aortic stenosis, regurgitation, and so on. It is necessary to prepare the optional ST-CW Doppler unit(UCW- α 5) for the performing the CW Doppler. 1-55

[Page 64] 1-7-1. Basic operation procedure <B/D mode> (1) Press the B/D switch. → The B mode image and D mode image are displayed according to the Triplex Mode setting of the preset. (Refer to the following.) Triplex When the mode changes from the B mode to the B/D mode, both of the B mode and D mode images are displayed in real time. B D Real time Real time Real time B-Real When the mode changes from the B mode to the B/D mode, the B mode image is displayed in real time, and the D mode image is blank. B D B D Real time Real time Blank Real time Real time D-Real When a B mode image in a PW Sound On condition changes to the B/D mode, the B mode image freezes, and the D mode image is displayed in real time. If PW Sound On is not in use, the same operation as for the case of B-Real takes place. B D B D Real time Freeze Real time Real time Real time PW sound On 1-56

[Page 65] If you press the SELECT switch while both B and D mode images are displayed in real time, the B image freezes, and the D mode image is displayed in real time. If you then press the SELECT switch again, the images displayed in real time switch over. If you press the B/D switch when only one image is displayed in real time, both images will be displayed in real time. SELECT Real time Real time B D B D Freeze Real time SELECT Real time Freeze SELECT (2) While the CURSOR/B.L.S switch is lit orange, set the velocity detection position using the trackball. → The sample volume on the B mode image moves, and the velocity on the sample volume is displayed on the D mode image. Set the size of the sample volume with the SAMPLE VOLUME switch according to the particular pur- pose. (3) Press the VEL RANGE switch. → Adjust the velocity range. (4) When the incident angle of the ultrasonic wave is not parallel to the blood vessel, press the ANGLE switch and turn rotary encoder 3 to correct the angle. (5) Press the M/D GAIN knob or the CONTRAST switch, and adjust the D mode image. You can move the baseline by using the CURSOR/B.L.S switch and rotary encoder 1. (6) Once you have displayed a satisfactory image, press the FREEZE switch. → Both the B mode and D mode images freeze. When you wish to freeze only one of these images, press the SELECT switch. Each time you press this switch, the image that freezes switches over in the sequence B freeze → D freeze → B freeze, and so on. When you wish to display only the D mode image in real time over the entire screen, press the D switch. 1-57

[Page 66] 1-8.Flow Display 1-8. Flow Display This function displays data concerning flow inside blood vessels and also the velocity of the cardiac muscle tissue by displaying color on a B mode image. Like other Doppler modes, Doppler information is obtained from the change in the approaching and receding blood flow. 1-8-1. Basic operation procedure <Flow display> (1) Display a suitable B mode image. (2) Press the FLOW switch. → The blood flow data is displayed in color on the B mode image. The flow component that approaches the probe is displayed in red, and the component that moves away from the probe is displayed in blue. Red and blue may be reversed depending upon the set conditions such as Color Polarity. (3) Set the SCAN AREA switch so that it lights orange. → You can move the flow area using the trackball. (4) Press the MARK REF switch. → The border of the flow area is indicated by solid lines. You can enlarge or reduce the enclosed area by using the trackball. It expands in the vertical direction Upper rotation It reduces in the It expands in the Track transverse direction ball transverse direction Left rotation Right rotation Lower rotation It reduces in the vertical direction If you turn rotary encoder 1 while the SCAN AREA switch is lit orange, the black and white area is enlarged or reduced in the horizontal direction. The width of the flow area is always displayed smaller than the width of the black and white area. If you performed an operation that results in the width of the flow area becoming greater, the area being changed has priority, and the size of the black and white area is automatically adjusted. 1-58

[Page 67] 1-8.Flow Display (5) Press the MARK REF switch. → The flow area boundary is displayed as a dotted line, and the flow area shift function is re-activated. (6) Rotate the FLOW GAIN knob so as to adjust the flow sensitivity. (7) Press the VEL RANGE switch so as to adjust the flow velocity range. The size of the flow area may sometimes change. (8) Once you have obtained a suitable image, press the FREEZE switch to freeze the image. <Monochrome/Color real-time images simultaneous display> This function can display a color (power flow) real-time image and a monochrome real-time image on the right and left side of the screen at the same time. (1) Press the B switch to display the 1B mode image. (2) Press the FLOW switch. → The color real-time image is displayed on the B mode image. When you press the POWER FLOW switch, the power flow is displayed. (3) Press the DDD switch. → The B mode image on the left side of the screen is displayed in monochrome, and the B mode image on the right side is displayed in color (power flow). Both images are displayed as the real-time image, and they show the same image. (4) Press the DDD switch or another mode switch. → The Monochrome/Color real-time images simultaneous display is closed. 1-59

[Page 68] 1-9.Power Flow display 1-9. Power Flow display This function colors the image according to the intensity (area) of the Doppler signals. This function has the sensitivity about slow blood flows. 1-9-1. Basic operation <Power flow display> (1) Display a suitable B mode image. (2) Press the POWER FLOW switch. (3) Pressing the VEL RANGE switch, adjust the flow velocity range. The size of the flow area sometimes changes. (4) Once you have obtained a suitable image, press the FREEZE switch to freeze the image. 1-10. Tissue Doppler Imaging display (Option : SOP- α 5-9 is necessary.) The Tissue Doppler Imaging (TDI) display is intended to make visible the motion of the cardiac muscle tissue, and so on. It thus differs from the target Doppler display which is intended to show normal blood flow. 1-10-1. Basic operation procedure <TDI display> (1) Set TDI from Display Mode, TDI in the Preset, and perform the selected Preset. (2) Display a suitable B mode image. (3) Press the FLOW switch. → The data concerning the moving tissue (TDI) is displayed in color. (4) Put the flow area in the optimum condition. → Press the SCAN AREA switch, then using the trackball and the MARK REF switch enlarge, reduce and/ or move the flow area. (5) Adjust the sensitivity. → Using FLOW GAIN knob, adjust the flow sensitivity. (6) Pressing the VEL RANGE switch, change the flow velocity range. (7) Once you have obtained a suitable image, press the FREEZE switch to freeze the image. When you change VEL RANGE, the size of the flow area may sometimes change slightly. 1-60

[Page 69] 1-11.Actions to be taken when a defect is detected 1-11. Actions to be taken when a defect is detected 1-11-1. Ensuring patient safety While using the system, monitor both the system and the patient to ensure that there is no abnormality. If an abnormality occurs while the system is being used, immediately take the probe away from the patient and switch off the system. If an abnormality occurs in the patient, carry out appropriate medical treatment. 1-11-2. Handling the instrument If a problem occurs in the system, refer to “14. Troubleshooting” of the Safety Instruction Manual and remedy the problem. If a problem that is not described in “14. Troubleshooting” of the Safety Instruction Manual, stop using the system, put the notice saying “Out of Order” on the system, and consult the office described on the back page of this manual. 1-61

[Page 70] 1-11.Actions to be taken when a defect is detected 1-62

[Page 71] 2. CINE MEMORY AND STORE IMAGE 2-1. Cine Memory A cine memory function is a function that temporarily stores an image in the memory of the equipment before the image is frozen, so that you can observe the image after it has been frozen. Even if you miss the freeze timing, you can search the necessary image from previously displayed images. When used together with ECG waveform, this function displays a scale and a search mark for searching an image in a certain time phase. The cine memory has a search mode that enables B mode images to be observed, and a scroll function that enables M and D mode images to be observed. If two images are displayed, such as in the 2B, B/M or B/D mode, you can store each image separately and observe it. However, when one of the images is displayed in real-time, you cannot perform either a search or a scrolling op- eration. Keep the following points in mind when using the cine memory. The amount of image data that can be held in the memory differs depending upon the probe used, the display mode, display depth and other image display conditions. It is not constant. Keep the following points in mind when using the cine memory. (1) Only images held in the memory can be searched or scrolled. If you freeze an image immediately after releasing the freeze state, you can search or scroll the images held in the memory during this interval, even if the memory is not filled to capacity. If the capacity of the memory is exceeded, images in the memory are erased in the sequence from the oldest image from the point where the image was frozen. You cannot perform a search or scroll operation on an erased image. (2) When you cancel the freeze condition, the images held in the memory up to that point in time are deleted. This section consists of 68 pages. 2-1

[Page 72] 1) Search function and scroll function (Search function) If you perform a forward search until the newest image in the memory is displayed, then continue further, the oldest image re-appears, and a forward search takes place again. Loop is formed in the memory. Screen display image Rolling to the left Rolling to the right Track Frames are fed backward. ball Frames are fed forward. Counterclockwise Clockwise Frames are fed backward. Frames are fed forward. Rotary encoder 1 Fig. Search function (Scroll function) If you perform a forward scroll until the newest image in the memory is displayed, the scroll operation is terminated at that point. (A loop is not created as in the case of a search.) Memory capacity Screen No loop in formed in display the memory. range Rolling to the left Track Rolling to the right ball Frames are scrolled Frames are scrolled backward. forward. Counterclockwise rotation Clockwise rotation images are scrolled backward. images are scrolled forward. Rotary encoder 1 Fig. Scroll function 2-2

[Page 73] 2) Search number If you freeze an image, a search number appears on the screen. The displayed position differs depending upon the mode. (There is no display related to the scroll function.) The frame number of the image displayed on the screen changes along with the progress of a search. 2B mode 1B mode 35/35 : Display position Total number of frames stored in the memory. B/M(D) mode Up and down mode Fig. Search number 2-3

[Page 74] 2-1-1. Basic Operation Procedure <Searching or scrolling B, M or D mode image> → The image freezes. (2) Press the SEARCH switch. → The system goes into a status that permits a Freeze search or scrolling operation to be performed. [Remark] SEARCH Press You can set the system by means of a preset so that a search or a scrolling operation automatically takes place without You can scroll with the trackball. any need to press the SEARCH switch. (3) Using the trackball, perform a search or scrolling operating inside the necessary image range. → Rolling the trackball to the right causes a Searched search or scrolling operation to take place in image the forward direction, and rolling it to the left causes the search or scrolling operation to take place in the reverse direction. <Searching or scrolling B/M or B/D mode images> → The image freezes and the search number is displayed on the B mode image. (2) Press the SEARCH switch. → A search or scroll operation can now be performed. You can set a preset so that a search or scroll operation starts automatically without any need to press the SEARCH (3) When the M or D mode image is active and the B mode image is non-active, scroll the M or D mode images with the trackball, and search the B mode images with rotary encoder1. When the active and non-active images are changed over by pressing the SELECT switch, the trackball searches B mode images, and rotary encoder1 scrolls M or D mode images. If you call one image with the request function, the image can be searched or scrolled. You can perform a search or scrolling operation using the trackball. 2-4

[Page 75] 2-1-2. Cine scale and search mark If you operate the cine memory while an ECG waveform is displayed, the cine scale and the search mark are dis- played on the ECG waveform. This enables you to readily obtain a grasp of the memory capacity, the ratio of one frame to the capacity, and the time phase on the ECG waveform of the currently displayed image. Search mark Cine scale Length of one frame Fig. Cine scale and search mark Cine scale : The cine scale is displayed when the image is frozen. Because it is displayed on the ECG waveform, you can tell what time phase is being searched. A scale is displayed every 10 frames. Search mark : The search mark moves along with the progress of a search. It indicates the location in the memory and the time phase on the ECG waveform of the searched image. (1) Keep the following points in mind when using the cine scale. The cine scale becomes the total length of the number of frames stored in the memory, so it does not nec- essarily have a fixed length. (2) When many images with a slow frame rate are stored in the memory, the entire cine scale cannot always be contained within a frame. 2-5

[Page 76] 2-1-3. Loop playback function This function continuously plays back images stored in the cine memory (loop playback). Loop playback can be performed in the 1B and 2B modes. 2-1-3-1. Method of performing loop playback (1) Press the SEARCH switch, then roll the trackball upward. → Loop playback starts. During loop playback, the search mark does not appear on the cine scale. (2) Set loop production speed. → Rolling the trackball downward reduces the speed. Rolling the trackball upward increases the speed. With reproduction speed lowered, reproduction in slow motion starts. Once again, the frame rate appears at bottom right of the screen for about 5 seconds. (3) Rolling the trackball to the right or left. → Loop playback ends. A search mark appears at the time phase position of the image displayed at this time. 2-1-3-2. Method of setting the loop playback range You can set the loop point to any desired position. By using the preset, you can automatically set the loop point to the R wave position of the last ECG1 heartbeat before the image was frozen. For details, refer to Section 6. “PRESET”. (1) Press the SEARCH switch, then roll the trackball to display the starting frame of the loop. (2) Press the MARK REF switch to finalize the starting point. → The time phase setting mark appears. (3) Using the trackball, display the end frame of the loop. (4) Press the MARK REF switch to finalize the end point. → The time phase setting mark appears, and the search mark moves to the starting point. Pressing the MARK REF switch repeatedly finalizes the starting point/end point alternately. 2-6

[Page 77] Loop playback takes place between the lower frame number whose time phase was set, as the starting point, and the higher frame number, as the end point. (5) Unfreeze the image. → The set time phase is canceled. 2-1-3-3. Simultaneous loop playback of 2B images In the case of the 2B mode, you can perform loop playback of both the left and right images. (1) Display a 2B mode image. While the images are frozen, you can set the loop points for each image using SELECT switch. (2) Roll the trackball upward. → Loop playback starts. (3) Roll the trackball right or left. → Loop playback ends. If there is a difference between the number of left and right playback images, you can set Loop Mode in the menu to either Short, which forms a loop based on the smaller number of images, or Long, which forms a loop based on the larger number of images. 2-7

[Page 78] 2-2. Store/Send Store/Send function enables you to store images using a digital storage function that conforms to the DICOM stan- dard, and also enables you to send data via a digital interface and a network to a personal computer (server). • Image information data are recorded to a MO disk digitally, or retrieved from it. • Image data are output to a disk with converting them to any format of JPG, TIFF, or BMP. • An ultrasonic diagnostic equipment is connected to a network directly, and digital data are transmitted to PCs and/ or Network server. • Recorded images are arranged in the multi-format, and they are printed to DICOM printer. Images stored under the DICOM standard include not only image data, patient data (name, ID, sex, date of birth, etc.) but also comments, a color palette and also the name of the diagnostic equipment and calibration data for per- forming playback measurement. This is convenient for restudying an image or performing playback measurement. The following table shows the file formats in which images can be stored in the SSD- α 5. Moving an image Frozen image (when a VCM is connected) FD MO Network MO Network JPG JPG TIFF DICOM TIFF DICOM DICOM DICOM BMP BMP SSD- α 5 SSD- α 5 +SOP- α 5-10 (DICOM LIBRARY SOFTWARE) SSD- α 5 +SOP- α 5-10 +EU-9083(VCM) or EU-9111 (VCM) SSD- α 5 +EU-9083 or EU-9111 To ensure that the entire system conforms to electrical safety standard IEC606601-1-1, use an MO disk drive that conforms to IEC60950. For details, contact your nearest Aloka office. 2-8

[Page 79] Power to the MO disk drive is controlled by the Power switch of the ultrasound diagnostic equipment. When you set the Power switch of the ultrasound diagnostic equipment to OFF, the power to the MO disk drive also goes OFF. If you turn OFF the Power switch while data is being written to the MO disk, part or all of the data written to the disk may be destroyed. To prevent this, check the following before turning OFF the Power switch of the equipment. (1) Confirm that the message “Please wait...” is not displayed on the monitor. (2) Confirm that the Busy lamp on the MO disk drive is not lit. Although the power to the MO disk drive is controlled by the Power switch of the ultrasound diagnostic equipment, there is also a Power switch that is independent of the MO disk drive. It is recommended that you leave this Power switch ON. Confirm that the Power switch of the MO disk drive is ON, and then turn ON the power to the main equipment. If you switch ON the MO disk drive after switching ON the main equipment, the disk drive will not be recog- nized, and you will be unable to use it. If you apply vibration while the disk is in the drive, you may damage the disk. In order to prevent accidental erasure of data on a disk, this equipment does not have an MO disk formatting function. Use a commercially available formatted 3.5 MO disk. Recommended disk manufacturers are as fol- lows: TDK MO-R128DSN Maxell MA-128.DOS.AIP Kao MORW128DS1PN Sony EDM-128DFB 3M OD3-230DOS All of these MO disks are 3.5 inch disks. They are formatted using physical and logical formats specified by the DICOM standard. The DICOM standard stipulates ISO10090 for the physical format, and MS-DOS (Ver.5.0 or higher) for the logical format. In addition to the above types, you can use 3.5-inch, 128-Megabyte, 230-Megabyte, 540-Megabyte or 640- Megabyte disks marked “MS-DOS Ver.5 formatted”. When saving an image in the DICOM format, do not use a 1.3-Gigabyte disk. The DICOM standard does not support a 1.3-Gigabyte disk. You cannot use an overwrite type disk. 2-9

[Page 80] Once you record data to an MO disk, you cannot subsequently change it or erase it from this equipment (you can read the recorded data and, while leaving the original data on the disk, additionally create data to which a change has been added). Consequently, before recording image data to a disk, check very carefully to ensure that there is no error in the text data (data entered from the keyboard) to be recorded together with it. Particu- larly, if there is an error in an entry such as the patient's name or patient's ID, it will be difficult to subsequent retrieve image data. Caution When connecting an SSD- α 5 fitted with the SOP- α 5-10 to a network that is not used specifically for medical equipment, observe the following precautions to ensure that the entire system, including all connected devices, conforms to the IEC60601-1-1 electrical safety standard. (1) All non-medical equipment (hubs workstations, personal computers, etc.) that are connected to the SSD- α 5 must conform to IEC60950, and in addition must be Class I devices. (2) Non-medical equipment (hubs workstations, personal computers, etc.) must not be installed in the envi- ronment in which the patient is located (within 1.5 m from the patient). (3) If the room in which non-medical equipment is installed is different to the room in which ultrasound diagnostic equipment is installed, be sure to connect the equipment using a separation device (network hub). 2-10

[Page 81] 2-2-1. Basic Operation Procedure Use the STORE switch to store the currently displayed image data in the hard disk (max 999 images) of the equip- ment, CD-R, MO disk or a network server. The storage location of the image differs according to the location allo- cated to the STORE switch. In addition, after selecting a storage location for the image data with menu, you can save them. When you wish to store image data on an external disk in the JPG, TIFF or BMP file format, it is necessary to first store the data on the hard disk of the equipment. Only for JPG format, however, it can be directly saved on an external disk. For details, refer to Section 2-3. “Review Function”. If you allocate a number of storage destinations to different switches in advance, you can easily switch over the stor- age location for each storage operation. For details, refer to Section 6-10. “CUSTOM-FOOT SW,-TB,RE,-FUNC- TION SW”. 2-2-1-1. Saving images with STORE switch <When Store on MO (s) is allocated> When an MO drive is not connected (2) Search for the image to store from the cine memory, and display it. → The image data is stored in the hard disk of the equipment. After the image data is stored, the message “Image stored successfully. #***/999.” appears at the bot- tom of the screen. When an MO drive is connected (2) Search for the image to store from the cine memory, and display it. → The image data is saved in the MO disk in the DICOM format. After the data is stored, the message “Process completed.” appears at the bottom of the screen. When pressing the STORE switch without loading an MO disk, it displays an error message and is unable to save any data image. 2-11

[Page 82] <When Store on HDD (S) is allocated> The image data is stored in the hard disk in the equipment, regardless of whether or not an MO drive is connected. The operation is the same as that which takes place when the MO drive is not connected. <When Store on CD-R BUFFER (S) is assigned> When an CD-R drive is connected (2) Search for the image to store from the cine memory, and display it. → The image data is saved in the CD-R Buffer in the DICOM format. After the data is stored, the message “Process completed.” appears at the bottom of the screen. When Store on CD-R BUFFER (M) is being assigned, moving image data can be saved in the CD-R Buffer by the same operation. When Store on CD-R BUFFER (J) is being assigned, image data in JPEG format can be saved in the CD-R Buffer by the same operation. (4) When writing to the CD-R, press the Review switch and then press the CD-R Writing . → The image saved in the Buffer is written in the CD-R. As for the operation of Review screen, refer to Section 2-3. “Review Function”. <When Store on FD (JPG) is allocated> (2) Search for the image to store from the cine memory, and display it. → An image data is saved on a floppy disk in JPEG format. Then the file name is given as “ID - today's date - Application - Consecutive numbers” automatically. After the saving, a message of “Process completed” is displayed on the bottom of screen. <When Store on MO (JPG) is allocated> (2) Search for the image to store from the cine memory, and display it. → An image data is saved on a MO disk in JPEG format. Then the file name is given as “ID - today's date - Application - Consecutive numbers” automatically. After the saving, a message of “Process completed” is displayed on the bottom of screen. 2-12

[Page 83] <When Send to Storage (S) is allocated> (2) Search for the image to store server from the cine memory, and display it. → The image data is sent to the network server in the DICOM format. 2-2-1-2. Saving images with Menu (1) Press the FREEZE switch and search an image to store from the cine memory and display it. (2) Press the MENU switch. → A menu is displayed on the screen. For details, refer to Section 5. “MENU”. (3) A storage location of image data is selected by the item on the menu with the rotary encoder2. (4) Press the menu select switch. → The image data selected are transmitted to the selected storage location. 2-13

[Page 84] 2-3. Review Function This review function is for playing back, saving and/or transferring those static or loop images saved in the equip- ment internally or externally. Option EU-9083(VCM) or EU-9111 is necessary to reproduction of loop images. 2-3-1. Image Browser 2-3-1-1. Basic operation (1) Freeze an image, then press the REVIEW switch. → The Image Browser screen is displayed, and the image data in the hard disk is displayed as thumbnail images. Patients' images being input with IDs are shown in sequential order of dates either from old or new. It can be set with Common Preset 2. I : Static image I : Loop image (2) Using the trackball, move the arrow to the image that you wish to display over the entire screen, and press the SET switch. → The image is surrounded by a blue border. Pressing the SET switch once again restores the white border. If you wish to display a number of images over the entire screen, repeat step (2). (3) With the arrow on the selected image, press the SET switch twice in rapid succession. → The selection image is displayed over the entire screen, and the Next, Prev and Return buttons are dis- played at the bottom of the screen. If a SEARCH switch is pressed where a loop image is displayed on a full-screen, image data will be loaded to VCM and loop reproduction will be attained. 2-14

[Page 85] If you selected multiple images, then press the SET switch when the arrow is on the Next button, the image selected next will appear. If you select the Prev button, the image selected previously will appear. Using the trackball, move the arrow to the Return button and press the SET switch. The full-screen display will close and return to a thumbnail display. (4) Press the Review switch. → The review function is terminated, and the image freezes again. 2-3-1-2. Description of each button on the Image Browser screen Find (List box) Switches over the read destination of the image that you wish to display. Select HDD (hard disk in the equipment) , MO, Buffer or FD. Search Reads image data from the media which is selected. All Window Selects the thumbnail images of all pages. All of the images are displayed with a blue border, indicating that they are selected. When you press this button once again, all images return to the non-selected state. Send Print DICOM Prints the selected image on a DICOM printer in the network. (SOP- α 5-10 is necessary.) Local Prints the selected image on a PC printer connected to the equipment. Property Sets the format and other parameters necessary for printing an image. Store (List box) Sets the format for storing image data in an MO, Buffer or FD. Select BMP, TIFF, JPEG or DICOM. Store on Disk Stores the selected image data in an external disk. CD-R Writing Writes the image which is saved in the CD-R Buffer to a CD-R . Buffer Erase When OK is selected, the image saved in the CD-R Buffer is erased. When Cancel is selected, the image saved in the CD-R Buffer is not erased. 2-15

[Page 86] Send Image DICOM Storage Chosen image data are transmitted to a server on a network in the DICOM format. (SOP- α 5-10 is necessary.) Delete This Image Deletes the selected image data from the hard disk. When image data in an MO is displayed, the thumbnail images are deleted from the screen. All Deletes the displayed image data for all pages from the hard disk. When image data in an MO is displayed, all of the thumbnail images are deleted from the screen. Layout Sets up a format of thumbnail display. Selectes for 2 × 2, 3 × 2, 3 × 3, 4 × 3, 4 × 4 and 6 × 4. Changes The page number of a Layout. Button : Returns to the previous page. Button : Proceeds to the next page. 2-3-1-3. Reading an image from the hard disk in the equipment (1) Set Find to HDD , using the trackball, move the arrow to Search , then press the SET switch. → The Load (HDD) Patient image is displayed, and the patient list of image data stored in the equipment is displayed. (2) Using the trackball, move the arrow to the patient name whose image you wish to display, and press the SET → The selected patient name and ID are reversed blue and are displayed. (3) Using the trackball, move the arrow to the Load, then press the SET switch. → Thumbnail images of the selected patient are displayed on the Image Browser screen in sequence from the newest date. When you press the Continuous button on the Load (HDD) Patient screen, all of the image data in the equipment is displayed as thumbnail images. 2-16

[Page 87] 2-3-1-4. Reading an image from an CD-R Buffer, MO disk or CD-R disk (1) After setting the Find to a media from which reads in, move the arrow to Search with the trackball, then press the SET switch. → The Search dialog box is displayed. Search Key is used to enter an ID, Name or Date as a key word for searching for patient data. Sort Key is used to arrange the retrieved patient data in the sequence of ID or Name. Ascend or Descend arranges the data in ascending or descending order. (2) Enter the key word, using the trackball, move the arrow to Search , then press the SET switch. → The DICOM Select screen appears, and a list of patients appears under -Patient-. If you press the Search button without entering anything, a list of all patients will be displayed. Palette : The color image recorded in Palette is read in the Palette format. RGB : The color image recorded in Palette is read while being converted into RGB. Studies : Displays the number of patient examinations. Patient Name : Displays the patient’s name. Patient Identification : Displays the patient’s ID. 2-17

[Page 88] (3) Using the trackball, move the arrow to the button below Studies corresponding to the patient whose data you wish to read, then press the SET switch. → A list of examinations appears in -Study ID-. Series : The number of series of images is displayed. Date : Displays the date on which an examination was started. Time : Displays the time at which the examination was started. Study ID : Displays the examination ID. Description : Displays a description on the ID screen. 2-18

[Page 89] (4) Using the trackball, move the arrow to Series of the examination that you wish to read, and press the SET → A list of images corresponding to the examination date appears under -Series-. Images : Displays the number of sets of image data. MDL : Displays the kind of equipment used. Body Part : Displays the part of the body that was examined. Description : Displays a description when an image is stored. Date : Display the date on which image recording was started. Time : Displays the time at which image recording was started. FRM : Display the number of image frames. (5) Using the trackball, move the arrow to Images of the image data that you wish to read, and press the SET → The selected image data items are highlighted in blue. (6) Using the trackball, move the arrow to the Load button, and press the SET switch. → The selected image data appears on the Image Browser. 2-19

[Page 90] 2-3-1-5. Storing an image Using the trackball, move the arrow to the image that you wish to store in Image Browser, and press the SET switch. The selected image is highlighted in blue. Store the selected image either in an external disk or in a file server in a network. Preservation of a loop image serves as only a DICOM format. <Storing an image in the DICOM format> In the case of the DICOM format, the image data can be stored either in an MO disk, CD-R disk or in a server in a network. 1) MO Disk (1) After selecting an image, set the format to DICOM in Store and set the save destination to the MO. (2) Using the trackball, move the arrow to Store on Disk , and press the SET switch. → A storage dialog box appears. Color : Selects whether to store a Flow mode image in the Palette format (black and white, flow velocity, dispersed data), or in the RGB format (R, G, B data). Window : Selects whether the image to be stored is the selected image (blue border) or all images in Image Browser. Series Description : Adds a comment to the image. (3) After entering each item as necessary, selects Store on the dialog box. → The image is stored in the DICOM format in the MO disk. 2-20

[Page 91] 2) CD-R Disk (1) After selecting an image, sets the format to DICOM in the Store box. (2) Sets the save destination to the CD-R. → The image is stored in the CD-R Buffer. The capacity of CD-R Buffer is 640M byte maximum. When an image file is larger than the buffer capacity, adjust the image file capacity to less than 640M byte by dividing. (4) Select CD-R Writing with the trackball and insert a blank media to the CD-R drive. → As writes the images which is saved in the CD-R Buffer to the CD-R, the following popup-menu is displayed. With turning BufferErase On, you can erase the data saved in the buffer after writing the image in the CD-R. When copying two or more disks of CD-R, select Off. As for a usable media, it is limited to a CD-R media; with 32 double speed or more; and with 640M byte or more. Recommended media makers are Ricoh, Maxell, Taiyo Yuden, and Verbatim/Mitsubishi Chemicals. A DVD and a CD-RW are not supported. As for a CD-R Media, a blank one should be used. This function supports a write-once optical disk. (5) Press Start of popup-menu. → Writes the image which is saved in the CD-R Buffer to the CD-R. A progress bar is displayed with the start of writing. A popup-menu which tells the finish is displayed at the time of the writing-in completed. Do not disconnect the power supply of the unit while writing in. There is a case damaging the CD drive in the unit. Moreover, it is not allowed to examine during the writing. Interrupt the examination until the writing is completed. 2-21

[Page 92] 3) Network sending (Option: SOP- α 5-10 is necessary) (1) Using the trackball, move the arrow to the DICOM Storage button, and press the SET switch. → A network transmission dialog box appears. Color : Select whether to store a Flow mode image in the Palette format (black and white, flow velocity, dispersed data), or in the RGB format (R, G, B data). Window : Select whether the image to be stored is the selected image surrounded by a blue border (Active) or all images in Image Browser (All). Series Description : Add a comment to the image. (2) After selecting and entering each item as necessary, select the Send button in the dialog box. → The image is sent to the network server in the DICOM format. 2-22

[Page 93] <Storing an image in the BMP, TIFF or JPEG format> In the case of the BMP, TIFF or JPEG format, you can store image data in an MO disk, a CD-R or a floppy disk. 1) MO or FD disk (1) After selecting an image, set the format to BMP, TIFF or JPEG in the Store box. (2) Sets the save destination to the MO or the floppy-disk. → Display the dialog box for storing the image. Window : Select whether the image to be stored is the selected image surrounded by a blue border (Active) or all images in Image Browser (All). Drive : Specify whether the storage destination is an MO disk or a floppy disk. File Name : Enter the filename of the image to be stored. (4) Set and enter each item as necessary. → When the system is ready to store the image, the Store button in the dialog box can be pressed. Be sure to enter the filename. When the dialog box appears, the filename is automatically displayed in the File Name box. The filename is displayed in the form “Today's date (6 digits) - Number of times the file was stored on that day”. As an example, if you store the third image that was automatically assigned to a filename on August 27, 2001, the filename will become “010827-3”. (5) Select the Store button in the dialog box. → The image data is stored in the specified file format and under the conditions set in the dialog box. 2-23

[Page 94] 2) CD-R Disk (1) After selecting an image, set the format to BMP, TIFF or JPEG in Store . (2) Sets the save destination to the CD-R. → The image is stored in the CD-R Buffer. The capacity of CD-R Buffer is 640M byte maximum. When an image file is larger than the buffer capacity, adjust the image file capacity to less than 640M byte by dividing. (4) Select the CD-R Writing with the trackball and insert a blank media to the CD-R drive. → As writes the images which is saved in the CD-R Buffer to the CD-R, the following popup-menu is displayed. With turning BufferErase On, you can erase the data saved in the buffer after writing the image in the CD-R. When copying two or more disks of CD-R, select Off. As for a usable media, it is limited to a CD-R media; with 32 double speed or more; and with 640M byte or more. Recommended media makers are Ricoh, Maxell, Taiyo Yuden, and Verbatim/Mitsubishi Chemicals. A DVD and a CD-RW are not supported. As for a CD-R Media, a blank one should be used. This function supports a write-once optical disk. (5) Press the Start button of popup-menu. → The image saved in the CD-R Buffer is written to the CD-R. A progress bar is displayed with the start of writing. A popup-menu which tells the finish is displayed at the time of the writing-in completed. Do not disconnect the power supply of the unit while writing in. There is a case damaging the CD drive in the unit. Moreover, it is not allowed to examine during the writing. Interrupt the examination until the writing is completed. 2-24

[Page 95] 2-3-1-6. Printing an image You can print an image displayed on the Image Browser screen, using a DICOM printer or a PC printer specified by Aloka. <Printing data on a DICOM printer> (Option: SOP- α 5-10 is necessary.) (1) Using the trackball, move the arrow to the image to be printed on the Image Browser, and press the SET → The selected image is displayed with a blue border. (2) Using the trackball, move the arrow to the DICOM button, and press the SET switch. → The selected image is printed on the DICOM printer in the network. <Printing on a local printer> (1) Using the trackball, move the arrow to the image to be printed on the Image Browser, and press the SET → The selected image is displayed with a blue border. (2) Using the trackball, move the arrow to the Local button, and press the SET switch. → The selected image is printed on the Local printer. 2-25

[Page 96] <Setting the printing conditions> When you select the Property button on the Image Browser screen, a dialog box for making printing setting appears. Fig. Print Property • Local Printer Printer Name Select the Local printer for printing the image. Num of Copies Set the number of copies (sets of prints) to between 1 and 9. Paper Size Set the size of the paper for making prints. N-up Set the number of images to be printed on one sheet of paper. Orientation Set the orientation of the print to either LANDSCAPE or PORTRAIT. Trim Set whether or not to leave a margin between images when printing multiple images on a single sheet of paper. • DICOM Printer Model Name Select the DICOM printer for printing the image. Appl. Entity Displays the name of the DICOM standard program. Num of Copies Set the number of copies (sets of prints) to be made on the DICOM printer to between 1 and 9. Medium Type Select the type of medium to be used for printing. Film Size Set the size of the paper to be used for printing in the DICOM printer. Orientation Set the orientation of the print to either LANDSCAPE or PORTRAIT. Display Format Set the display format to be used when printing multiple images on one sheet of paper. Magnification Set the type of magnification. Smoothing Set the type of smoothing. Trim Set whether or not to leave a margin between images when printing multiple images on a single sheet of paper. Print priority Set the degree of priority of printing. Destination Set the device at the printing destination. Min Density Enter the minimum brightness for printing, as a numerical value. Max Density Enter the maximum brightness for printing, as a numerical value. Border Density Set the brightness of the border between images. Empty Density Set the brightness of the parts where there are no images to be printed. Image Polarity Set the polarity of the image to be printed. Configuration info Make the settings that are peculiar to each printer. 2-26

[Page 97] 2-4. VCM (Video Cine Memory) (Option: when EU-9083 or EU-9111 is connected) A VCM is a DICOM standard digital storage option that automatically stores a moving image. By adding a VCM, the following functions become available. • A function that automatically acquires moving images at ECG sync intervals of 1, 2, 4 heartbeats. • A function that digitally records or reads moving image data to or from an MO disk or a HDD. • A function that sends digital data (moving images) to a personal computer or a network server when the ultrasound diagnostic equipment is directly connected to a network (Option: when SOP- α 5-10 is necessary) • A function that compares an image previously stored in an MO or a HDD with the image acquired during the present examination. • A function that displays up to four screens, and performs loop playback in synchronism with the number of frames. • A function that stores a moving image obtained by a stress echo, for each stage and each slice surface, and plays back the acquired image in steps of slice surface. Because the data in the ultrasound diagnostic equipment is in digital form, there is no deterioration of the image when it is recorded. Images stored under the DICOM standard include not only image data, patient data (name, ID, sex, date of birth,etc.) but also comments, a color palette and also the name of the diagnostic equipment and calibration data for performing playback measurement. This is convenient for restudying an image or performing playback measurement. 2-27

[Page 98] 2-4-1. Acquiring an image to the VCM 2-4-1-1. Preparations for acquiring a moving image (1) Setting the acquisition period When you press ECG Cycle on the keyboard of the VCM, a window for setting the heart rate at which the image is to be acquired and the acquisition commencement time are displayed. Set these values using rotary encoder2 and the menu select switch. The image to be acquired at each setting corresponds to the period indicated by in the figure. There is no need to perform this setting if an ECG waveform is not displayed. ACQUIRE switch ECG wave Current Next Cycle Cycle Current Next 2Cycles 2Cycles Current Next 4Cycles 4Cycles (2) Setting the number of screens. If you press Format (VCM) on the keyboard of the VCM, a window for setting the format appears on the VCM screen. Set the format by making a selection from Full (one screen), Split (two screens), Quad Small (four screens) and Quad Large (4-screen enlarged display) using rotary encoder2 and the menu select switch. After you make a setting, the screen display changes, and the memory of the VCM is divided according to the selected format. If you set Split or Quad, the mark or appears at top left of the screen in the INT condition. In this case, an image will be acquired to the VCM screen (active window) indicated by the white border. The memory of the VCM is equally divided into the same number of sections as the number of divided screens set by Format. The greater the number of divided screens, the fewer is the number of images that can be acquired to one window. 2-28

[Page 99] Format setting Screen format Memory Full 1 1 Split 1 2 1 2 Quad Small 1 2 or 1 2 3 4 3 4 Quad Large When you change the format after acquiring one or more images to the active window, a message asking you whether you wish to retain or discard the image appears. If you select Clear Image, all of the acquired images are discarded then the format changes. If you select Transfer Image, of the images acquired to the active window, only the number of images corresponding to the memory capacity of one window is transferred to the new format. If you select Cancel, format change is interrupted. It takes a certain amount of time to transfer an image. Check the following points when storing a moving image using the VCM function. (1) Examine it with applying TV synchronization in the Frame setting of TV Sync. When not applying TV synchronization, there may be shortened in fetching time, so that normal reading may not be certain within an anticipated time. (2) Confirm that the MO drive is switched ON. If it is not, it may sometimes be necessary to re-start the equipment. (3) The VCM function supports the B mode and 2B mode used with or without Flow or Power Flow. It does not support sweep modes such as the B/M mode or the M mode. 2-4-1-2. Method of acquiring a moving image There are two methods of acquiring a moving image. Depending upon the combination of the Format and Active Window Shift functions of the VCM it may not always be possible to retain an acquired image. When the FREEZE switch is OFF, the VCM continues to acquire image data. If the memory capacity is exceeded, images are deleted in sequence from the oldest one. 2-29

[Page 100] <Acquiring an image using the FREEZE switch> ( When Format (VCM) is Full or Active Window Shift is Manual ) (1) Press the FREEZE switch to freeze the image. → Image acquisition is interrupted. At this point in time • If you press Store on Disk (M) ,all of the images acquired to the VCM are stored in the MO disk. • If you press the Send to Storage (M) , all of the images acquired to the VCM are transferred to the server. (2) Press the FREEZE switch to cancel the freeze condition. → Old images are deleted and image acquisition resumes. <Image acquisition using the ACQUIRE switch> ( When Format (VCM) is Full or Active Window Shift is Manual ) (1) Press the ACQUIRE switch to acquire an image. → If the ECG waveform is displayed, images corresponding to the number of heartbeats set by ECG Cycle are acquired. If an ECG waveform is not displayed, image acquisition stops automatically when the memory of the active window becomes full. If you press the FREEZE switch during image acquisition, the image at that point in time will be retained, and image acquisition will be interrupted. (2) Press the FREEZE switch twice. → If you perform a freeze or freeze cancel operation after image acquisition, old images will be deleted and image acquisition will resume. ECG CYCLE NEXT NEXT ECG Display CURRENT CURRENT CURRENT NEXT CARDIAC CARDIAC CARDIAC CARDIAC CARDIAC CARDIAC CYCLE 2CYCLE 4CYCLE CYCLE 2CYCLE 4CYCLE As the same as the Acquire, it is taken in dependent on the heart rate that is set. However, The images to a freezing time are taken in up to dependent on the timing for pressing FREEZE the memory capacity. ON switch or the Frame Rate, there are cases not to be taken in to the setting range of heart rate as intended. OFF The images to a freezing time are taken in up to the memory capacity. 2-30

[Page 101] <Method of operation for continuous acquisition> When you wish to temporarily store images and perform continuous image acquisition, you must set Format of VCM to a position other than Full, and also set Active Window Shift to Auto Shift. Under these settings, you can tempo- rarily store up to four screens' worth of moving images. When you press the ACQUIRE switch, image acquisition takes place according to the set conditions, then the VCM automatically stops acquisition. Next, the image data acquired by ACQUIRE is held, and image acquisition starts in the next memory. When you press the FREEZE switch during image acquisition, the images acquired to that point in time are held, and image acquisition stops. If the waveform of a physiological signal (ECG, PCG or PULSE) is displayed in the B mode, the waveform imme- diately after the image is acquired to the VCM may be partially cut depending upon the timing at which the image is frozen. In such a case, you can display the waveform of the physiological signal by using the Search function to display the previous image. 2-31

[Page 102] 2-4-2. Image search and loop playback using the VCM 2-4-2-1. Search box When the slice image is frozen, the frame displayed on the screen lower right of a window is pointed out. The Begin frame No., current frame No. (playback frame rate in the case of loop playback) and End frame No. are displayed in sequence from the left inside this search box. During a search During a loop B1108E108 B130HzE108 During loop playback the playback frame rate is displayed only for images acquired when TV sync is applied using TV Sync (VCM). 2-4-2-2. Basic operation of image search and loop playback After freezing an image, you can return the displayed frame (search function), or play back and display the acquired image (consisting of a number of continuous frames) as a loop. (2) Press the FREEZE switch to freeze the image. → A search box appears at bottom right of the screen. (3) Press the SEARCH switch. → Rolling the trackball to the left returns the displayed frame, while rolling it to the right advances the displayed frame. (4) You can perform loop playback of an image by rolling the trackball upward. By rolling the trackball downward, loop playback takes place in slow motion. You can change the speed of loop playback by rolling the trackball up or down. To stop loop playback, roll the trackball left or right search operation. 2-32

[Page 103] 2-4-2-3. Setting the start and end frames When performing loop playback, you can perform loop playback between any two frames. When storing an image acquired to the VCM, the image frames to be stored are the frames specified within the loop playback range. (1) Perform a search operation using the trackball and display the start frame, then press the MARK REF switch. → B in the search box changes to the specified frame No. (2) Perform a search operation using the trackball and display the end frame, then press the MARK REF switch. → E in the search box changes to the specified frame No. (3) Move the trackball upward. → Loop playback between the specified frames starts. (4) Move the trackball left or right. → Loop playback stops. 2-4-2-4. Motion setting for multi-screen loop playback When Format is set to multi-screen display and you wish to perform loop playback, you can align the playback point with a short moving image, or align the playback speed with a long moving image. After starting MENU, select the Loop Mode from the VCM menu page, and set the motion from Short, Long, Align and Free Run. Short : Playback takes place based on the shortest moving image. In the case of long moving images, the images are scrolled to the end without being displayed, then playback takes place from the first image. Long : Playback takes place based on the longest moving image. In the case of short moving images, the images are played back to the end, then playback pauses, and when a long moving image returns to the first image position, playback resumes. Align : Playback takes place based on the longest moving image. In the case of a short moving image, the playback speed falls so as to align the playback point with that of a long moving image. Free Run: All images are played back at their respective playback speeds. If the lengths of moving images are different to each other, the images will be displayed with phase error. 2-33

[Page 104] 2-4-3. Storing image data in the VCM 2-4-3-1. Storing loop images to an MO disk It saves at an MO disk by making into image data the slice image which consists of two or more frames. The image frames stored in an MO disk are the frames specified within the loop playback range by the VCM. <Storing a loop image using the panel keys> You can store a loop image acquired to the active window directly to an MO disk by pressing the keys on the keyboard. (1) If Format is set to multi-image display, press the SELECT switch, and select the image that you wish to store. → The blue border moves to the selected image. (Active window) (2) Press Store on Disk (M) on the keyboard. → The loop playback image in the active window is stored in the MO disk. If Format is set to Full, or if the Active Window Shift setting is Manual, you can store a pre-frozen image or an image acquired with the ACQUIRE switch to an MO disk while it remains in the INT condition. <Storing a loop image using the menu> (2) Press the MENU switch, and select Store on Disk from the VCM menu page. → A dialog box appears at the center of the monitor screen. (3) Put Multi in the Frame box into a selected status. If the image is a color image, you can select whether to record it in the Palette Color format or in the RGM format in the Color box. 2-34

[Page 105] If the Format setting is Split or Quad, and Active is selected in the Window box, only the image in the active window will be recorded. If All is selected, all of the images in the window will be stored. If necessary, you can input an image description in the Series Description box using text. (4) Using the trackball, move the arrow to Store, and press the SET switch. → A loop playback image is stored in the MO disk. You can assign Store on Disk to a function key on the keyboard by means of a preset. 2-4-3-2. Sending loop images to a network It sent to the file server in network by making into image data the slice image which consists of two or more frames. The image frames that are sent to the network are the frames specified in the loop playback range of the VCM. <Sending to a network using the panel keys (Option : SOP- α 5-10 is necessary.)> By pressing the keys on the keyboard, the loop image acquired to the active window is sent directly to a network. (2) If Format is set to multi-screen display, press the SELECT switch, and select the image that you wish to send to the network. → The blue border moves to the selected screen. (Active window) (3) Press Send to Storage (M) on the keyboard. → The loop playback image data in the active window is sent to the file server. If Format is set to Full, or if the Active Window Shift setting is Manual, you can store a pre-frozen image or an image acquired with the ACQUIRE switch to a network disk while it remains in the INT condition. 2-35

[Page 106] <Sending images to a network using the menu (Option : SOP- α 5-10 is necessary.)> (2) Press the MENU switch, and select Send to Storage from the VCM menu page. → A dialog box appears in the center of the monitor screen. (3) Using the trackball, move the arrow to Multi of the Frame box in the dialog box, and press the SET switch. If the image is a color image, you can select whether to record it in the Palette Color format or in the RGM format in the Color box. If the Format setting is Split or Quad, and Active is selected in the Window box, only the image in the active window will be sent. If All is selected, all of the images in the window will be sent. If necessary, you can input an image description in the Series Description box using text. (4) Using the trackball, move the arrow to Send, and press the SET switch. → The loop playback image data is sent to the file server. You can assign Send to Store to a function key on the keyboard using a preset. 2-36

[Page 107] 2-4-3-3. Saving a loop images to a Hard disk Image data of sliced image comprising of multiple frames are saved in a hard disk of the equipment. Image frames saved to the hard disk are specified frames of a loop playback range in VCM. By selecting a menu, you can save a loop image fetched to the active window to the hard disk of the equipment. (1) When the format is a multi-display, press the SELECT switch and select the image intended to save. → The blue boarder shifts to the image selected. (2) Press the MENU switch and select the Store on HDD (M) on the menu. → The loop image on the active window is stored (saved) to the hard disk in the equipment. 2-37

[Page 108] 2-4-4. Reading image data in the VCM You can read image data stored in an MO disk or a HDD and display it on the screen. The object image is automatically judged to be a still image or a loop image. In the case of a loop image, you can also perform a search and loop playback after reading the data. (2) Press the MENU switch, and select Load the menu. → A Load screen and Search dialog box are displayed on the screen. Load Media : Selects either MO, HDD, Buffer or CD for reading image data. Search Key : Enter ID, Name or Date as the keyword for searching for patient data. Sort Key : Arrange the retrieved patient data in the sequence of ID or Name, in ascending (Ascend) or descending (Descend) order. (3) After entering the keyword, move the Search button using the trackball, and press the SET switch. → The DICOM select screen appears, and a list of patients matching the conditions entered in -Patient- appears. If you select the Search button without entering a keyword, a list of all patients will be displayed. 2-38

[Page 109] Palette The color image recorded in Palette is read in the Palette format. RGB The color image recorded in Palette is read while being converted into RGB. Studies Displays the number of patient examinations. Patient Name Displays the patient’s name. Patient Identification Displays the Patient’s ID. (4) Using the trackball, move the arrow to Studies for the patient whose data you wish to read, and press the SET switch. → A list of examinations appears in -Study ID-. Series The number of series of images is displayed. Date Displays the date on which an examination was started. Time Displays the time at which the examination was started. Study ID Displays the examination ID. Description Displays a description on the ID screen. 2-39

[Page 110] (5) Using the trackball, move the arrow to the Series of the Study ID corresponding to the data that you wish to read, and press the SET switch. → A list of images corresponding to the examination date appears under -Series-. Images Displays the number of sets of image data. MDL Displays the kind of equipment used. Body Part Displays the part of the body that was examined . Description Displays a description when an image is stored . Date Display the date on which image recording was started . Time Displays the time at which imagerecording was started. FRM Display the number of image frames. (6) Using the trackball, move the arrow to Images corresponding to the image data that you wish to read, and press the SET switch. → The selected image data item is highlighted in blue. (7) Using the trackball, move the arrow to the Load button, and press the SET switch. → The selected image data is displayed on the active window. 2-40

[Page 111] 2-5. Stress Echo Examination (Option: EU-9083 is necessary) A stress echo examination is an examination in which the heart is subjected to a load by the use of drugs, for exam- ple, in order to check for abnormalities. It involves acquiring images before and after the application of the load, displaying the images alongside each other, synchronizing the heartbeats and performing loop playback. This permits periodic image evaluation. 2-5-1. Preparations for a stress echo examination 2-5-1-1. Functions for a stress echo examination The main functions used in a stress echo examination are registered in the custom switches on the keyboard. Using Preset Set-up Menu page in the preset, change the Application to Stress Echo, and then set the menu used for a stress echo examination in the VCM menu. Also, as necessary register the User Protocol function. For details, refer to Section 6. “PRESET”. 2-5-1-2. Setting a protocol In the SSD- α 5, four protocols are available for performing a stress echo examination. Also, the user can customize a protocol. You must be sure to select a protocol before starting the examination. Protocol (Stage) View (Cyclically in the sequence Top left → Top right → Bottom left → Bottom right) 1.Exercises,2Phases Pre- Exercises PLAX → PSAX → A4CH → A2CH (Cyclically) Post- Exercises PLAX → PSAX → A4CH → A2CH (Cyclically) 2.Exercises,4Phases Pre- Exercises PLAX → PSAX → A4CH → A2CH (Cyclically) Peak- Exercises PLAX → PSAX → A4CH → A2CH (Cyclically) Post- Exercises PLAX → PSAX → A4CH → A2CH (Cyclically) Recovery PLAX → PSAX → A4CH → A2CH (Cyclically) 3.Pharmacologic,BLPR Baseline PLAX → PSAX → A4CH → A2CH (Cyclically) Low dose PLAX → PSAX → A4CH → A2CH (Cyclically) Peak dose PLAX → PSAX → A4CH → A2CH (Cyclically) Recovery PLAX → PSAX → A4CH → A2CH (Cyclically) 4.Pharmacologic,BLMP Baseline PLAX → PSAX → A4CH → A2CH (Cyclically) Low dose PLAX → PSAX → A4CH → A2CH (Cyclically) Mid dose PLAX → PSAX → A4CH → A2CH (Cyclically) Peak dose PLAX → PSAX → A4CH → A2CH (Cyclically) 5.User (Max 32 characters) Max 4 stages (max 32 characters)Max 4 views (max 16 characters) 2-41

[Page 112] <How to change a protocol> (1) Turn ON the VCM switch, and select Protocol Select from the menu. → Protocol Select is displayed. (2) Using rotary encoder2 and the menu select switch, set the item corresponding to the protocol that you wish to use. You can also set a built-in protocol or change the setting of a User Protocol using a preset. By setting a protocol in advance, you can omit setting work. For details, refer to Section 6. “PRESET”. The four protocols other than User are built into the equipment. You cannot change or add Stage or View items. When you select User, a customized protocol is activated. Note that if you change the protocol while carrying out an examination in the stress mode, the automatically acquired data will be deleted. <How to customize a protocol> The data, name, and so on, set in a user protocol differs for each equipment, so you cannot display a stored image in a time system with the Load (Stress) in the menu. In this case, read each image using Load in the VCM menu. (1) Turn ON the VCM switch, and select User Protocol from the menu. → The User Protocol editing dialog box appears. 2-42

[Page 113] (2) Using the trackball and the SET switch, enter the protocol name, stage name (max 8 stages) and view name (max 4 views) from the keyboard. (3) After creating a protocol, select the Exit button. → A stress echo can be performed by the protocol registered when User was chosen in Protocol Select. 2-5-1-3. Setting for a saving location Before starting an examination, select a saving location either in HDD or Disk from the Store (Stress Echo) item of Common Preset VCM page of the preset. When HDD is selected, data are saved only in the hard disk of the equipment. If Disk is selected, data are saved both in the hard disk and MO. At the time of Disk selection, MO disk with sufficient MO drive and availability is needed. The amount of data contained in an image differs depending upon the adjustment of the VCM and the image storage setting. The recommended setting for acquiring an image that occupies relatively small memory space is set out below. (1) Set ECG Cycle to Next Cycle or Current Cycle. → The smaller the number of heartbeats acquired, the smaller is the amount of data occupied by the image. If you set multiple heartbeats and as a result the memory capacity of the VCM is exceeded, an image consisting of one heartbeat will be automatically retained. (2) Set Color Mode to Always B/W. → If color data is not needed in the image to be acquired, the amount of data that it contains can be reduced. (3) Set Frame Rate (VCM) to Max 30 Hz. → If you limit the maximum number of images that can be simultaneously acquired to the VCM to 30 Hz, the amount of data contained in the images will be reduced. In this case, you can operate the main equipment at max 60 Hz, and limit only the images to be acquired to the VCM to max 30 Hz. (4) Store an image in the RLE compression format. → If you use RLE compression as the storage format for an image, the amount of data that the image contains will be reduced. In this case, a certain amount of time will be required from the end of the examination until the image data is stored. This function can be changed using a preset. 2-43

[Page 114] 2-5-2. Starting a stress echo examination The following is an explanation before saving data in MO after a stress echo check. When saving data to a hard disk, there is no need to have a MO drive and a MO disk. First, attach the ECG leads to the patient, and adjust the ECG so that the R wave is detected satisfactorily. (1) Press the NEW PATIENT switch, and enter patient data such as the ID. Unless you enter an ID, the stress echo examination will not take place. (2) Insert an MO disk that has sufficient capacity to store the observed image in the MO drive. (3) Turn ON the VCM switch. (4) Select Stress Mode in the menu to turn On the stress mode. → The format of the image during the stress echo examination will change to Quad Small, and the first stage name will appear on the VCM screen. Stage name Memory segment mark View name VCM screen B mode screen on the main equipment When the Stress Mode is On, you cannot change the format by using the Format menu. During the examination, do not change the mode to one other than the B mode because this may cause the acquired image to be deleted. (5) Turn OFF the VCM switch to return to the main equipment B mode screen. The description for the subsequent procedure is based on the main equipment B mode screen during the stress mode operation. When checking an acquired image, turn ON the VCM switch and check the VCM image. You can return to the main equipment B mode screen by turning OFF the VCM switch once again. (6) Display the pre-load image necessary for stress examination, and press the ACQUIRE switch for each view. → As a result of ECG sync acquisition, images corresponding to the specified number of heartbeats are acquired. To check the acquisition status, turn ON the VCM switch and switch over the VCM screen, or observe the memory segment marks displayed at top left of the B mode display. 2-44

[Page 115] When all of the views for one stage are acquired, all of the segment marks at top left of the B mode display become blank. Before image acquisition After image acquisition If you wish to re-acquire an image to the VCM, turn ON the VCM switch to switch over to the VCM screen, then using the SELECT switch move the blue border to the image that you wish to re-acquire, and press the FREEZE switch twice. The image that you wish to re-acquire will be deleted from the memory and a real time B mode image will be displayed. Turn OFF the VCM switch to return to the main equipment B mode screen, then re-acquire an image using the ACQUIRE switch. (7) After you have acquired all of the pre-load images, select Store (Stress) from the menu. → The stage ends. When the stage ends, the image is first stored in the hard disk in the equipment, and the image in the VCM is deleted. The stage name on the VCM screen changes to the next stage name. The ACQUIRE switch does not function while image data is being copied to the hard disk. It takes a certain amount of time for image data to be transferred to the hard disk. After the pre-load image is acquired, promptly end the stage. Confirm that when load image for the next stage is acquired, the memory segment marks are as shown below. Memory full Preparations completed (8) Apply a load to the heart and display an image, then press the ACQUIRE switch for each view. → The images when stress is applied are progressively acquired. When the stage ends, select Store (Stress) in the same way as (7). If the 2Stage protocol is selected, the examination completion processing of step (9) will take place. (9) After the end of the final stage, select Store (Stress) from the menu. → The images are first stored in the hard disk, and then the following message is displayed. Stress Echo study completed. It takes time until it is store in the MO disk. Please Wait. Subsequently, the message "Store images to Removable disk" is displayed at bottom left of the screen, and all image data in the hard disk of the main equipment is copied in the MO disk. While image data is being stored in the MO disk, do not remove the MO disk until the message "Store images to Removable disk" disappears. Note that this work takes a certain amount of time. When a hard disk is set for saving data of stress echo in a preset, the saving is complete at the time of data saved to the hard disk. 2-45

[Page 116] 2-5-3. Interrupting a stress echo examination There are four ways of canceling the stress echo operation during an examination. (1) Press the New Patient switch. (2) Select Stress Mode from the menu to turn Off the mode. (3) Change the ID. (4) Start the preset. Performing one of the above will interrupt the stress echo examination. All the images saved before interrupting at the hard disk are deleted. If you wish to end an examination mid-way, you must enter blank data as far as the last stage and view in order to store the images to the point where the examination was interrupted. Note that if you interrupt an examination, there is a possibility that no images will remain. 2-5-4. Displaying a stress echo image You can display images of a cross-section (view) before and after load application (stage) on the same screen, and make observations on a 4-screen display. Images that can be displayed in this way are assigned a name consisting of the study ID on the patient data stored in the followed by "-SE". Regarding images other than these, you cannot observe the time change using a 4-screen display. In this case, you must first carry out normal VCM loading, and read each slice individually. Regarding image data stored in the by User Protocol, the three characters "-SE" are not displayed at the end of the study ID. (1) Turn on the VCM switch and select Load (Stress) from the menu. → A search dialog appears on the screen. Selecting a reading location either in MO or HDD here, then input Identification, Patient name, Date and others. Selecting the Search button after inputting, you can display the patient data list in the media selected as shown in the figure hereafter. 2-46

[Page 117] (2) Pointing the arrow to the study section of the patient on the upper row who is desired to fetch for loading, then press the SET switch. Among the study ID listing in the middle row, you can select the stress examina- tion. Patient name Examination name Load button The blue highlight display indicates the selected condition. Be sure to highlight the examination items in blue. On the condition of selecting the stress data on the Hard disk, and selecting the Store button on the lower left of the screen, you can save the stress data to the MO disk selected. (3) Select the Load button at bottom right of the screen, and load the image data to the VCM. → The screen is automatically divided into a 4-part display, and the image of the first view before and after load is displayed. (4) Set the Search switch to ON, and roll the trackball in the upward direction. → The pre-load and post-load images are synchronized to create a loop. When you wish to check fine motion of the heart, you can play back the images in slow motion by rolling the trackball in the downward direction during loop playback. If you did not acquire a heartbeat, or if an image containing a heartbeat was not input because of an error. The system can not do synchronous playback in accordance with ECG R wave. There are four methods of performing synchronous playback. Long Loop playback is Synchoronized with the image that has the longest image of the four screens. A short image stops at the last frame in the Loop playback. A short image resumes Loop playback when a long image is returned to the first frame. The images are played back in a loop at a same seed. Short Loop playback is Synchoronized with the image that has the shortest image of the four screens. Other long images play the same time as the short image in the Loop playback. The rest of the images don't playback. The images are played back in a loop at a same seed. Align Loop playback is Synchoronized with the image that has the longest image of the four screens. The playback speed is adjusted so as to eliminate the difference between this image and images with a short heartbeat. Free run The data of the four screens is not synchronized, and is played back at different speeds. 2-47

[Page 118] In the case of Align, depending upon the kind of playback speed of the VCM, the playback speed is sometimes not synchronized with the length of the heartbeat. In the case of slow motion Align playback, the playback speed of a short heartbeat is adjusted to conform to the playback speed of a long heartbeat as a reference. Change the method of playback using Loop Mode in the VCM menu. (5) Select Load Next from the menu. → The pre-load and post-load images are displayed in the next view. (6) When re-confirming the previous view, select Load Previous from the menu. → The previous view is displayed once again If the image is small, making it difficult to check, set Zoom (VCM) in the menu to On. When you set Zoom to Off again, the original four screens will be displayed once again. If multiple stress echo data is selected and image data that is not a stress echo is contained in it, you cannot load it as a stress echo. Data, names, and so on, that are set by a user protocol differ with each equipment, so you cannot display a stored image in a time series using Load (Stress) . Read the image using Load of a normal VCM. 2-5-5. Canceling a stress echo display There are two methods of canceling a stress echo image display. (1) Change Format of the menu to Full or Split. (2) Select Load of the menu, and execute the normal (non-stress echo) load. Cancel a stress echo examination using one of the above methods. 2-48

[Page 119] 2-6. Stress Echo Examination (Option: EU-9111 is necessary) A Stress Echo is an examination to check abnormalities of a heart with applying a load by physical exercise or medication. Qualitative image evaluations are enabled by acquiring images at pre-load or post-load, or by doing a Loop-playback with displaying laterally in accordance with heartbeat. The unit is providing two protocols: Template Acquisition which acquires Fixed at all Stages and Continuous Acquisition which takes in images continuously including Multi Stage. <Protocol built in as Default> Protocol Type Protocol Stage View and Taking-in order Template Acquisition Dobutamine BASE PLAX → PSAX → A4CH → A2CH DLow PLAX → PSAX → A4CH → A2CH DPeak PLAX → PSAX → A4CH → A2CH RECO PLAX → PSAX → A4CH → A2CH Continuous Acquisition Exercise BASE PLAX → PSAX → A4CH → A2CH PEAK PLAX → PSAX → A4CH → A2CH The composition and the name of a protocol can be changed in preset. A protocol can customize for Template Acquisition and Continuous Acquisition independently with every preset. 2-49

[Page 120] Systolic Loop Systolic Loop Time Format(Quad) Zoom(VCM) Load(Stress Echo) Store(Stress Echo) POWER DISK CAPS LOCK FUNCTION Shuffle NEW EXT PRESET FRAME ANGLE ACOUST SWEEP I.P. PROBE ELEMENT PATIENT RATE POWER SPEED SELECT SELECT SAMPLE VOLUME DOP FILTER CONTRAST IMAGE/FREQ Stress Echo Esc F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 PrtSc Scroll Pause STC Control Sys Rq Lock Break ! " * $ % ^ & * ( ) _ + 1 2 3 4 5 6 7 8 9 0 - = Home MENU 1 Q W E R T Y U I O P { } ~ [ ] # PgUp 3 A S D F G H J K L : @ 5 Caps PgDn Lock ; ' 8 Timer Protocol Z X C V B N M < > ? 12 End , . / 14 (cm) ID Ctrl ment Com Alt Gr Ins Del VCR REC D.D.D. ACQUIRE Skip View SEARCH USER 1 CURSOR FOCUS BODY SCAN ZOOM INVERT HARMONIC ECHO /B.L.S MARK AREA M/D GAIN DEPTH/RANGE STEER POWER Pause Protocol REVIEW USER 2 VEL RANGE /ROTAT FLOW PW STORE CLEAR MEASURE B M D CW Priority Cycle MENT FLOW GAIN B B B M B D FLOW Select VCM REPORT SET CANCEL SELECT MARK REF REC B GAIN Stress Acquire Label Acquire Data Cancel Rotary Encoder 1 Fig. Operation Panel MENU VCM1 VCM2 Protocol Load (Stress Echo) Stress Acquire Label Pause Protocol Shuffle Skip View Systolic Loop Timer Systolic Loop Time Acquire Data Cancel Format (Quad) Priority Cycle Select Zoom (VCM) Stress Echo Control Store (Stress Echo) 2-50

[Page 121] 2-6-1. Preparations before Taking in Images • Input ECG signal to ECG connecting plug or DC-IN. • As a backup for examination records, recording with a VCR is recommended. 2-6-2. Operating Examples for taking in Images 2-6-2-1. When a Protocol Type is Template Acquisition 1) Input ID (1) Press the NEW PATIENT switch. → Input the patient information such as an ID, etc. Unless inputting an ID, you cannot perform a Stress Echo. 2) Starting for taking in an Image (1) Press the Protocol switch. → It turns to a screen for taking in a Stress Echo image. The remaining number of Study is displayed as an assistant message on the screen lower left. A beginning Stage name (BASE) and View name (PLAX) are displayed and it becomes a pending state for taking in an image. Stage Name View Name Remaining number of pending Study When many image data have been saved in HDD, an error dialog is displayed and the Stress Echo does not operate. Transfer these images from the Image Browser to an external media, and secure a capacity in HDD. When data exist in the VCM, the dialog showing the status is displayed. Then, put a cursor on Store previous data then start Protocol. with the trackball and press the SET switch. Consequently, the Stress Echo Protocol is started automatically after saving the data. (When there is no need to save data, select Start Protocol without saving data. ) 2-51

[Page 122] (2) When the first Stage image (PLAX) is displayed, press the Stress Acquire switch. → It becomes the screen of Priority Cycle Select and Loop images with 4 heartbeats maximum are displayed. Cycle No. 1/4 Cycle No.2/4 Cycle No. 3/4 Cycle No. 4/4 The screen of Priority Cycle Select is a screen used for selecting 1 Cycle for comparison. Even if no setting of Priority Cycle for taking in image is made, it is feasible to change the setting of Priority Cycle in Shuffle as long as the whole data are being saved. The number of heart rates which is taken in at one-time of Stress Acquire is four maximum. There may be cases that the number of heart rates taking in is different every time, depending on the timing of pressing the Stress Acquire switch and the setting of Protocol. When the Acquire Data Cancel switch is pressed, a dialog is displayed. When OK is pressed, the image data carrying out a Loop on Priority Cycle screen are cancelled and the screen be- comes a pending status taking in the same View image again. 2-52

[Page 123] (3) Move a blue frame to the Cycle selected with the trackball, or the Priority Cycle Select switch, and or the rotary encoder1, and then press the Stress Acquire switch again. → The image is saved and it becomes a pending status taking in the View (PSAX) next. At that time, the data has yet to be saved. If the power supply is turned Off before carrying out the Store Stress Echo, the data taken-in get lost. If the Acquire Data Cancel switch is pressed, it returns to a Priority Cycle Select screen. In that case, resetting a Priority Cycle is required. (4) (Repeating the steps (1) through (3), you can acquire all Views which have been set in the Protocol. → An Acquire Complete dialog is displayed. Move the cursor with the trackball to the following respective cases; to Store Stress Echo when going to save the data; to End Protocol when going to finish the operation; and to Go to Shuffle when going to compare display. Then, select the SET switch in these respective cases. 2-53

[Page 124] When Store (Stress Echo) is selected, a Store Stress Echo dialog is displayed. Refer to the operating example Section 2-6-4. “Operating examples of Store (Stress Echo)”. When End Protocol is selected, a message to finish the Stress Echo without saving the image is displayed. When Go to Shuffle is selected, it moves to a compare /display (Shuffle) screen without saving the image. Refer to the operating example Section 2-6-3. “Operating examples of Shuffle (Compare display)”. 2-6-2-2. When Protocol Type is a Continuous Acquisition Taking in Stage 1 is the same operation of Template Acquisition. (1) With taking in the all Views of Stage 1 which were set in the Protocol, press the Stress Acquire switch on the Priority Cycle Select screen at the last view of Stage 1. → Automatically, the taking-in screens of Stage 2 are displayed. Indicator of memory capacity The amount of memory capacity which is able to take in continuously is indicated at the screen lower right. 2-54

[Page 125] (2) After being displayed the image subsequent to the load, press the Stress Acquire switch. → A continuous taking in is started. At the time of continuous taking in, it is carried out of the taking-in on a no-name state. After completing the taking-in, you can identify the View with giving a Label. During a continuous taking in, a Range cannot be changed. When changing the Range, carry out it after pausing the taking-in. (3) Again press the Stress Acquire switch. → The continuous taking-in is suspended. (4) Acquire necessary images with repeating the steps (2) to (3). If the required image acquisition is completed, in order to end the taking-in, press the Priority Cycle Select → When the completion of taking-in is confirmed with displaying a dialog, select OK. 2-55

[Page 126] (5) With displaying the Priority Cycle Select screen, you can read through the images taken in with a Loop play- back. If a memory residual capacity is used up, the taking-in is stopped automatically. If you are going to end the Stress Echo with saving the data without Labeling and Shuffle, you can press the Protocol switch and then an Acquire Complete dialog is displayed. (6) Move a blue framework with the trackball or the rotary encoder1 and select a Cycle which is used for comparison among the Cycles which have been taken in continuously, and then press the Label switch or the SET switch. → Then, a Label dialog is displayed. In a Label dialog, the View selected has a check mark on the View name. (7) Move the cursor to the View name and press the Label switch or the SET switch. → The View name is given to the image being selected with the blue frame and the Label dialog is closed. 2-56

[Page 127] (8) With repeating step (7) and after completing the setting of Label for all Views which are set in the Protocol, press the Stress Acquire switch. → An Acquire Complete dialog is displayed. When saving the data, move the cursor to the Store Stress Echo with the trackball; when finishing the operation, move the cursor to the End Protocol ; and when moving to the compare display, move the cursor to the Go to Shuffle . Then, select the SET switch in the above respective operations. When Store (Stress Echo) is selected, a dialog of Store Stress Echo is displayed (Refer to the operating example Sec- tion 2-6-4. “Operating examples of Store (Stress Echo)”.). When End Protocol is selected, a message indicating the finish of Stress Echo without saving the image is displayed. When Go to Shuffle is selected, it is moved to a comparison display (Shuffle) screen without saving the image . Refer to the operating example Section 2-6-3. “Operating examples of Shuffle (Compare display)”. 2-6-2-3. Other Functions Skip View When skipping a View set by Protocol, press the Skip View switch. It becomes a state which takes in the next View every time pressing the Skip View switch. Since a View skipped cannot be taken in, it becomes a blank display after that. Pause Protocol When using Flow and Doppler functions during an examination, press the Pause Protocol switch. During a Pause Protocol, the functions of Multi Data, Acquire, and Store do not operate. Label When switching the name of View during Shuffle, press the Label switch or the SET switch. Timer Display When required to displaying the Timer during a taking-in of image, press the Timer switch. If the Timer is once started for counting, it continues the counting until Off of the Timer or the end of Protocol regardless of Freeze or Pause Protocol. 2-57

[Page 128] 2-6-3. Operating examples of Shuffle (Compare display) The images taken in can be indicated by comparison with four screens. A Stage Shuffle and a View Shuffle can be indicated by comparison between them. Stage Shuffle : A method indicating the same Views by comparison. View Shuffle : A method indicating the same Stages by comparison. A View Shuffle and a Stage Shuffle can be switched with the Shuffle switch. Shuffle switch Stage Shuffle View Shuffle A blue frame can be moved with the trackball. When a Protocol is 5 Stages or more on a Stage Shuffle, the pages can be moved with the trackball. When a Protocol is 5 Views or more on a View Shuffle, the same operation can be applied. Trackball Stage Shuffle on Stage 4 Stage Shuffle on Stage 5 When changing the View on Stage Shuffle or changing the Stage on View Shuffle, use the rotary encoder1. 2-58

[Page 129] View 1 View 2 Stage Shuffle View 4 View 3 Stage 1 Stage 2 View Shuffle Stage 4 Stage 3 2-59

[Page 130] 1) Changing the Labels for Fixed Cycle during Shuffle (1) Move a blue frame to an image with which switching is required, and press the Label switch or the SET → A Label dialog is displayed on the screen . (2) Move the cursor to the View name with the trackball and press the Label switch or the SET switch . → A message whether switching is requested is displayed. (3) Select OK . → The Label is changed to the selected View name, and a rearrangement of image display is performed. 2-60

[Page 131] 2) Change of a Priority Cycle for Fixed Cycle during Shuffle (1) Move a blue frame to a View with which changing Priority Cycle is required and press the Priority Cycle Select switch. → The Cycle shown in the segment is changed every time when the Priority Cycle Select switch is pressed. The display of Cycle No. is changed. Cycle No. Cycle No. 3/4 2/4 Priority Cycle Select switch 3) Setting and Setting Change of the Label and the Priority Cycle for a Multi Cycle during Shuffle (1) Move a blue frame to the Multi Cycle image with which changing the Label and the Priority Cycle is required and press the Priority Cycle Select switch. → With displaying the data of Multi Cycle in full-screen, you can select a View from the all Multi Cycles with the trackball or the rotary encoder1. When displaying a Shuffle screen without setting a Label, the Stage screen of Multi Cycle is shown only in the seg- ment of View 1 until the Label setting is made. (2) Move a blue frame to the View with which the use for compare display is desired, and press the Label switch or the SET switch. → As a Label dialog is displayed, move the cursor to the View name with the trackball. 2-61

[Page 132] (3) Press the Label switch or the SET switch. → The Label is set on the selected View. When a change is performed for the view which the Label setting has been already made, a message is displayed. When OK is selected, the Label is changed to the View name selected and a rearrangement of image displays is per- formed. (4) When completing the change of the Label and the Priority Cycle, press the Priority Cycle Select switch. → It returns to a Shuffle screen. When moving the trackball up-and-down with pressing the SEARCH switch during Shuffle, you can change the Loop playback rate. When pressing the SEARCH switch, you can assign a Loop playback rate to the trackball. When moving a blue frame after pressing the SEARCH switch, press the Stress Echo Control switch. A trackball is assigned to the movement of the blue frame. 2-62

[Page 133] 2-6-4. Operating examples of Store (Stress Echo) This function enables you to save the Stress Echo image data to HDD or an external media. The saving to an external medium such as a CD-R and MO, etc. is carried out in the format based on the DICOM standard. Does not save the Priority cycle data and the all data of the same Study in the CD-R Buffer simultaneously. (1) Select the Store Stress Echo switch in an Acquire Complete Dialog. (Or press the Store (Stress Echo) switch during Shuffle). → A Store Stress Echo dialog is displayed. (2) Move the cursor to the media button which is required to save in a Store Stress Echo dialog with the trackball, and press the SET switch. → The media is set up. (3) When going to save all data, move the cursor to the Store all data, then to end Protocol. in the Store Stress Echo dialog with the trackball, and press the SET switch. ( Only when saving the data set in Priority Cycle, select the Store Priority cycles only, then end Protocol. in the Store Stress Echo dialog.) → The data storage starts. Store All can carry out only to HDD. The time required for saving data varies depending on the volume of data and the type of media, etc. If the End Protocol of a Store Stress Echo Dialog is selected, you can finish the Stress Echo Protocol without saving the data. If the Cancel of a Store Stress Echo dialog is selected, it is returned to the state before the display of the Store Stress Echo dialog. 2-63

[Page 134] If the Pause Protocol switch (or VCM switch) is pressed during Store, it turns to a state of Pause Protocol and you can use functions except the Acquire on Multi data. (4) The data saving completes. → The Stress Echo Protocol finishes automatically. 2-6-5. Load(Stress Echo) With the Load (Stress Echo) function, the Stress Echo Data saved in HDD or an external media can be displayed in Shuffle. When carrying out Shuffle from Load (Stress Echo), be sure to assign the Protocol switch (or the Store (Stress Echo) switch) on the panel switch (or menu). After carrying out a Load (Stress Echo), you cannot escape from the Shuffle operation until the power supply is turned off. (1) With turning the VCM switch ON, select the Load (Stress Echo) . → A search dialog is displayed on the screen. 2-64

[Page 135] (2) Set the search contents in the search dialog with the trackball, the SET switch, and the Keyboard Input. After the setup, select the Search . → Patient data list is displayed. (3) Put the cursor on the Studies portion of Patient Name Study which is desired to load from the -Patient- on the upper part row of a patient data list, and press the SET switch. Select Series which are desired to Load from the list displayed in the -Study ID - on the middle part row. The display in blue highlighted shows a selective state. Be sure to display in blue highlighted for those items to be examined. 2-65

[Page 136] (4) Put the cursor to the Load in the Dialog with the trackball, and press the SET switch. → Shuffle is displayed. (5) Press the Protocol switch. (or select the Store Stress Echo.) → A Store Stress Echo dialog is displayed. Refer to the operating example Section 2-6-4. “Operating examples of Store (Stress Echo)”. (6) Put the cursor to the End Protocol of the Store Stress Echo dialog with the trackball, and press the SET → Finishes the Stress Echo Protocol. After Loading, it can be stored from the Store Stress Echo dialog. <Meaning of Abbreviation> 1) Protocol Preset Option Meaning Exercise Exercise stress echocardiography Maximal Maximal stress echocardiography Submaximal Submaximal stress echocardiography Treadmill exercise Treadmill exercise stress echocardiography Bruce treadmill Bruce treadmill stress echocardiography Modified Bruce treadmill Modified Bruce treadmill stress echocardiography Naughton treadmill Naughton treadmill stress echocardiography Bicycle exercise Bicycle exercise stress echocardiography Administered drug Echocardiography with administered drug stress Dobutamine Dobutamine stress echocardiography High dose dobutamine High dose dobutamine stress echocardiography Low dose dobutamine Low dose dobutamine stress echocardiography Arbutamine Arbutamine stress echocardiography Dipyridamole Dipyridamole stress echocardiography 2-66

[Page 137] 2) Stage Option of Preset and Label Display Meaning STRESS Image acquisition during stress procedure BASE Image acquisition at baseline PRE Pre-stress image acquisition MID Mid-stress image acquisition PEAK Peak-stress image acquisition RECO Image acquisition during recovery POST Image acquisition after drug administration DUSR Image acquisition at user-defined dobutamine dose DLow Image acquisition at low-dose dobutamine DMid Image acquisition at mid-dose dobutamine DPeak Image acquisition at peak dose dobutamine 05ga Image acquisition at dobutamine 5 mcg/kg/min 10ga Image acquisition at dobutamine 10 mcg/kg/min 20ga Image acquisition at dobutamine 20 mcg/kg/min 30ga Image acquisition at dobutamine 30 mcg/kg/min 40ga Image acquisition at dobutamine 40 mcg/kg/min 50ga Image acquisition at dobutamine 50 mcg/kg/min 40gaA Image at dobutamine 40 mcg/kg/min plus atropine 50gaA Image acquisition at dobutamine 50 mcg/kg/min plus atropine ABPK Image acquisition at peak Arbutamine dose DPPK Image acquisition at peak dipyridamole PNIT Image acquisition after nitroglycerin PAMN Image acquisition after amyl nitrite PADE Image acquisition after adenosine 2-67

[Page 138] 3) View Option of Preset and Label Display Meaning A2CH Apical two chamber A4CH Apical four chamber ALAX Apical long axis PLAX Parasternal long axis PSAX Parasternal short axis PSAV Parasternal short axis at the aoritc valve level PSMC Parasternal short axis at the level of the mitral chords PSMV Parasternal short axis at the Mitral Valve level PSPM Parasternal short axis at the Papillary Muscle level RVIT Right Ventricular Inflow Tract View RVOT Right Ventricular Outflow Tract View SCLX Subcostal long axis SCSX Subcostal short axis SSLX Suprasternal long axis SSSX Suprasternal short axis PSAP Parasternal short axis at the Apex level 2-68

[Page 139] 3-1.Recording to a printer 3. RECORDING IMAGES Follow the procedures in “3. Installation Method” of the Safety Instruction Manual to install a recording device. 3-1. Recording to a printer (1) Specify the recording device using the preset. → For details, refer to Section 6. “PRESET”. (2) Freeze the image, and press the PRINT switch. → Gamma correction is applied, and the image is printed. If the recording device set in the preset is different to the recording device actually connected, the image will not be recorded correctly. You cannot perform a recording operation while an image is being recorded. 3-2. Recording and playing back images on a VCR 3-2-1. When operating it by the main part side of VCR 3-2-1-1. Recording (1) Press the REC switch on the VCR. → Recording starts. (2) Press the STOP switch on the VCR. → Recording stops. This section consists of 4 pages. 3-1

[Page 140] 3-2.Recording and playing back images on a VCR 3-2-1-2. Playback (1) Press the EXT switch on the operation panel. → The screen goes into a status that enables the VCR screen to be displayed. (2) Press the PLAY switch on the VCR. → The recorded images are displayed on the monitor. Pressing the FF switch on the VCR fast-forwards the VCR images. Pressing the REW switch on the VCR rewinds the VCR images. (3) Press the STOP switch of the VCR. → The VCR stops and nothing appears on the screen. (4) Press the EXT switch on the operation panel. → The screen switches over to the image on the SSD- α 5 side. 3-2-2. Operations using the panel switches on the SSD- α 5 side By connecting the SVO-9500MD4 made by Sony using the optional control cable (L-CABLE-296), you can control the VCR remotely from the operation panel. 3-2-2-1. Recording (1) Press the REC switch on the operation panel. → Recording starts. (2) Press the REC switch on the operation panel. → Recording pauses. 3-2-2-2. Playback (1) Press the EXT switch on the operation panel. → The screen goes into a status that enables the VCR images to be displayed. (2) Press the switch ( SCAN AREA ) on the operation panel. → The VCR images appear on the screen. (3) Press the switch ( FOCUS ) on the operation panel. → The VCR images stop. (4) Press the EXT switch on the operation panel. → The screen switches over to the image on the SSD- α 5 side. 3-2

[Page 141] 3-3.Printing a VCR Image 3-2-2-3. Search (1) During VCR playback, roll the trackball to the right. Alternatively, press the switch ( ZOOM ) on the operation panel. → The VCR images are searched in the fast forward direction. You can perform a search in the rewind direction by either rolling the trackball to the left or pressing the switch ( BODY MARK ) on the operation panel during VCR playback. You can change the search speed by turning rotary encoder 1 during the search operation. If you roll the trackball in the downward direction during a search, the VCR will go into a playback condition. (2) When the target image appears, roll the trackball in the upward direction. Alternatively, press the switch (blank) on the operation panel. → The images being searched pause. If you roll the trackball in the downward direction when the VCR is in a paused condition, the search will resume. (3) Press the switch ( SCAN AREA ) on the operation panel. → The pause condition is canceled, and the VCR images are played back. Operation of trackball during a search PAUSE REW search Trackball FF search PLAY 3-3. Printing a VCR Image (1) While the VCR is playing back images, press the FREEZE switch. → Image playback pauses. (2) Press the PRINT switch. → The frozen image is printed. 3-3

[Page 142] 3-3.Printing a VCR Image 3-4

[Page 143] 4-1.Method of Displaying Physiological Signals 4. PHYSIOLOGICAL SIGNALS ( Option: When connected to the PEU- α 5) Follow the procedures in “3. Installation Method” of the Safety Instruction to install a physiological signal unit. Caution Do not use a defibrillator when using a physiological signal unit because this may cause the unit to break down. 4-1. Method of Displaying Physiological Signals (1) Connect ECG electrodes, PCG microphone and PULSE transducer to the patient. The ECG lead method is the second limb lead method, so connect the cords as shown below. ECG cable Red (R) Green (F) Black (RF) Connection point Right hand Left foot Right foot (2) Set ECG Display/ PCG Display / Pulse Display in the menu to On. → An ECG waveform, PCG waveform or PULSE waveform is displayed on the B, M or D mode image. (3) Adjust the display position using the POSITION knob (inner knob) on the operation panel. Each of the ECG, PCG and PULSE control knobs is of a double construction. The inner knob is the POSITION knob, and the outer knob is the SENSITIVITY knob. If the M mode image and ECG image overlap each other, making them difficult to see, you can erase part of the M mode image by using the echo erase function in the menu. For details, refer to Section 5. “MENU”. (4) Adjust the sensitivity using the SENSITIVITY knob (outer knob) . (5) When the ECG wave is displayed, the equipment detects the R wave and computes the heart rate. → The heart rate is displayed as HR*** on the screen. (Display range: HR 30-200) If the heart rate exceeds the display range, it is displayed as HR***. If the R wave is not detected for at least 5 seconds, an assist message appears. DETECTION ERROR R-wave of ECG is not detected Check whether or not the ECG electrodes are connected correctly to the patient. (6) Set ECG Display/ PCG Display / Pulse Display in the menu to Off . → The display of the physiological signal waveform ends. This section consists of 2 pages. 4-1

[Page 144] 4-2.ECG Sync Display 4-2. ECG Sync Display ECG sync display (SYNC function) is a function that displays the part of an image through which the ECG sync mark passes. You can obtain an image of any desired time phase while observing the time phase of the ECG waveform. When you use the SYNC function, please assign ECG SYNC to a menu with the preset function beforehand. (1) When an ECG waveform is displayed and it is in a real-time (unfrozen) condition, select ECG SYNC from the menu to turn ON the ECG sync. → A SYNC mark appears on the ECG waveform, and the DELAY time from the R wave is displayed on the screen. You can set the delay time in 50 ms steps. In order to set the delay time, you must assign R-Delay Time to the menu. DELAY time +0.00 ECG signal SYNC mark Fig. ECG sync display (2) Select R-Delay Time from the menu, and set the sync time. If the sync period exceeds the set limit, the following assistance message will flash at bottom left of the screen. RANGE LIMIT Selection is not available (3) Set ECG SYNC on the menu to Off . → The ECG sync display ends. If the R wave is not detected for at least 5 seconds, the following assistance message will flash at bottom left of the screen. DETECTION ERROR R-wave of ECG is not detected Check to see whether or not the ECG electrodes are connected correctly to the patient. B/SYNC Mode In this mode, a normal B mode image is displayed on the left side of the screen, and a SYNC image is displayed on the right side. In order to use the B/SYNC Mode, it is necessary to assign it to the menu. 4-2

[Page 145] 5-1.Menu setting operations 5. MENU 5-1. Menu setting operations The menu function displays function conditions and image conditions that cannot be used directly from the operation panel, in a menu format on the monitor screen, to enable you to make the necessary condition settings. (Switches used for menu setting operations) PO WER DISK CAPS LO C K FU NCT ION PATIENT NEW EXT PRESET FRAME RATE ANGLE ACOUST POWER SWEEP SPEED SELECT I.P. PROBE ELEMENT SELECT SAMPLE VOLUME DOP FILTER CONTRAST IMAGE/FREQ MENU switch Esc F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12 F13 Sys Rq PrtSc Scroll Lock Pause Break STC ! " $ % ^ & * ( ) _ + 0 1 2 * 3 4 5 6 7 8 9 0 - = Home MENU 1 Q W E R T Y U I O P { [ } ] ~ # PgUp 3 MENU Caps A S D F G H J K L : @ 5 Lock ; ' PgDn 8 Z X C V B N M < > ? End 12 , . / 14 (cm) ID Ctrl ment Com Alt Gr Ins Del Rotary encoder 2 D.D.D. ACQUIRE SEARCH USER 1 CURSOR /B.L.S FOCUS MARK BODY SCAN AREA ZOOM INVERT HARMONIC ECHO M/D GAIN REVIEW USER 2 VEL RANGE DEPTH/RANGE /ROTAT STEER POWER FLOW STORE CLEAR MEASURE MENT B M D PW CW FLOW GAIN B B B M B D FLOW VCM REPORT SET CANCEL SELECT MARK REF REC B GAIN MENU select switch Fig. Panel MENU switch : Displays the main menu. Rotary encoder 2 : Used to select menu items. MENU select switch : Used to select the items to be set. This section consists of 60 pages. 5-1

[Page 146] 5-2. Setting Procedure (1) Press the MENU switch or turn rotary encoder 2. → A menu appears on the screen. You can make a setting with a preset to prevent the menu from being Menu title displayed when rotary encoder 2 is turned. (2) With the menu title selected, press the menu select switch → The menu page switches over, so display the target page. Menu You can move the displayed position of the menu. (3) Select the menu item whose setting you wish to change using rotary encoder 2. → A setting box appears alongside the selected menu item. You cannot select a menu item that cannot be set. (4) Press the menu select switch → The setting changes. (5) Press the MENU switch. → The menu setting process is completed. You can change the displayed positions of the items in the menu, or not display them, using the preset function. Also, you can assign all of the menu items to the custom switches on the panel. For details, refer to Section 6. “PRESET”. 5-2

[Page 147] <Sub-menus> (1) Press the MENU switch, or turn rotary encoder 2. → A menu appears on the screen. (2) Select the menu item indicated by the mark alongside the function name using rotary encoder 2 , and press the menu select switch. → The menu display disappears, and a sub-menu window appears. The selection item that is checked is the currently set item. Some sub-menus display a setting box to enable settings to be made. Carry out setting work in the same way as for an ordinary menu. (3) Select an item using rotary encoder 2, and press the right menu select switch. → The set item is checked. (4) Upon completion of setting work, press the left menu select switch, or select Exit and press the right menu select switch. → The sub-menu is ended, and the menu appears. The sub-menu used to display and set the setting box closes when the right menu select switch is pressed after Exit is selected. <Moving a sub-menu> (1) Select Location in the sub-menu, and press the right menu select switch. → You can move the displayed position of the sub-menu with the trackball. (2) After moving the displayed position, press the SET switch. → The displayed position is finalized. 5-3

[Page 148] The menu is designed so as to display the optimum function in each mode with maximum priority. The table below shows the correspondence between the modes and menu pages. Current mode Priority page Operable page B B B, Other 2B B B, Other B/M M M, B, Other B/M (M when frozen) B B, M, Other M M M, Other B/D D D, B, Other B/D (D when frozen) B B, D, Other D D D, Other BF Flow Flow, B, Other BF/MF Flow Flow, M, B, Other BF/MF (MF when frozen) Flow Flow, B, M, Other MF Flow Flow, M, Other BF/D D D, Flow, B, Other BF/D (D when frozen) Flow Flow, B, D, Other BP Power Power, B, Other BP/MP Power Power, M, B, Other BP/MP (MP when frozen) Power Power, B, M, Other MP Power Power, M, Other BP/D D D, Power, B, Other BP/P (D when frozen) Power Power, B, D, Other B-TDIF TDI-F TDI-F, B, Other B-TDIF/M-TDIF TDI-F TDI-F, M, B, Other B-TDIF/M-TDIF (M-TDIF when frozen) TDI-F TDI-F, B, M, Other M-TDIF TDI-F TDI-F, M, Other M-TDIF/D-TDIF TDI-D TDI-D, TDI-F, B, Other M-TDIF/D-TDIF (D-TDIF when frozen) TDI-F TDI-F, B, TDI-D, Other B-TDIP TDI-P TDI-P, B, Other B-TDIP/M-TDIP TDI-P TDI-P, M, B, Other B-TDIP/M-TDIP (M-TDIP when frozen) TDI-P TDI-P, B, M, Other M-TDIP TDI-P TDI-P, M, Other B-TDIP/D-TDI TDI-D TDI-D, TDI-P, B, Other B-TDIP/D-TDI (D-TDI when frozen) TDI-P TDI-P, B, TDI-D, Other D-TDI TDI-D TDI-D, Other B (FAM Cursor on active) FAM FAM, B, Other B/M (FAM Cursor on active) FAM FAM, B, Other M (FAM Cursor on active, on freeze) FAM FAM, Freeze, Other VCM (when VCM switch ON) VCM VCM, Other 5-4

[Page 149] 5-3. Menu Contents The functions that can be used in each mode are displayed in a menu. Initial values can be registered for almost all of these functions by means of a preset. In addition, it is possible to set functions that are used relatively infrequently so that they are not displayed, and also to move a menu to a position from which it can be used easily. The following table shows all of the functions that are contained in the equipment. B mode menu B-Mode Menu AGC (B) AGC (B) 0 — 15 5-13 Angle Gain Angle Gain 17steps × 8, Reset 5-13 Beam Processing Beam Processing Multi, Single 5-13 Brachytherapy Brachytherapy Mode: Off, Grid, Target Grid 5-14 Display Type: A, B, C Add: No selectable items Del: No selectable items Table Location: No selectable items Focus (B) Focus (B) Auto 1P, 2P (@), 2P, 3P, 5-15 Manual Frame CORRE (B) Frame Correlation (B) 0 — 15 5-15 Frame CORRE LEV Frame Correlation Level Low, Medium1, Medium2, High 5-15 Frame CORRE Type Frame Correlation Type Auto, Manual 5-16 FTC (B) FTC (B) Off, On 5-16 Guide Line Setting Guide Line Setting Measure: Off, On 5-17 Angle Select: No selectable items Harmonic Echo Harmonic Echo Off, On 5-17 Horizontal SMOOTH (B) Horizontal Smoothing (B) Off, Low, High 5-18 Image Rotation (B) Image Rotation (B) 0 — 270 ° (0 ° , 90 ° , 180 ° , 270 ° ) 5-18 Line Density (B) Line Density (B) Low, MED, High 5-18 Loop Mode (2B) Loop Mode (2B) Short, Long 5-18 Manual Focus (B) Manual Focus (B) F1 — F8 5-19 Pixel Smoothing(B) Pixel Smoothing(B) Off, On 5-19 PRF Limit PRF Limit Off, On 5-19 Puncture Guide Line Puncture Guide Line Off, On 5-20 Relief (B) Relief (B) Off, Low, MED, High 5-20 Smoothing (B) Smoothing (B) 1 — 8 5-20 5-5

[Page 150] M mode menu M-Mode Menu AGC (M) AGC (M) 0 — 15 5-21 Echo Erase Echo Erase 0 — 19 5-21 Focus (M) Focus (M) Auto, Manual 5-21 FTC (M) FTC (M) Off, On 5-22 Manual Focus (M) Manual Focus (M) F1 — F8 5-22 Relief (M) Relief (M) Off, Low, MED, High 5-22 Sweep Speed (M) Sweep Speed (M) 1 — 8 (1, 1.5, 2, 3, 4, 6, 8) 5-23 D mode menu/TDI-D menu D-Mode Menu / TDI-D Menu Color Map (D) Color Map (D) Gray, A, B, C, D 5-24 Compression Curve (D) Compression Curve (D) 0 — 7 5-24 Filter Control (D) Filter Control (D) Auto, Manual 5-24 Focus (D) Focus (D) Auto, Manual 5-25 Image Polarity (D) Image Polarity (D) NEGA, POSI 5-25 Image Select (D) Image Select (D) RESO,STD,PENET 5-25 Manual Focus (D) Manual Focus (D) F1 — F8 5-26 Resolution Select (D) Resolution Select (D) Time, Frequency 5-26 Smoothing (D) Smoothing (D) Off, Low, High 5-26 Sweep Speed (D) Sweep Speed (D) 1 — 8 (1, 1.5, 2, 3, 4, 6, 8) 5-27 5-6

[Page 151] Flow menu/Power Flow menu/TDI Flow menu/TDI Power menu Flow Menu / Power Flow Menu / TDI Flow Menu/ TDI Power Menu Average (Flow) Average (Flow) Low, MED, High 5-28 B Refresh B Refresh 1 — 8 (1, 2, 4, 6, 8) 5-28 Baseline Shift (Flow) Baseline Shift (Flow) − 31 — 0 — +31 (in steps of 1) 5-28 Capture Mode Capture Mode Off, On 5-29 Capture Time Capture Time 1sec, 2sec, 3sec, Cont. 5-29 Color Map (Flow) Color Map (Flow) ABDOM, Cardio, PV, Power, 5-29 Other, User A, B, C, D, E Color Polarity Color Polarity Normal, Invert 5-30 DDD Dual Dynamic Display Off, On 5-30 Display Priority (Flow) Display Priority (Flow) Color, Both, Color2, Both2 5-31 DISP Priority Level (Flow) Display Priority Level (Flow) B&W Level: 0 — 63 5-31 Color Level: 0 — 31 Flow Filter Flow Filter 1 — 6 (1 — 2 in the case of 5-31 TDI) Focus (Flow) Focus (Flow) Auto, Manual 5-32 Frame CORRE (Flow) Frame Correlation (Flow) 0 — 7 5-32 Frame Rate (Flow) Frame Rate (Flow) − 4 — 0 — +4 5-32 Frame Rate Accelerator Frame Rate Accelerator Off, On 5-33 Image Select (Flow) Image Select (Flow) RESO,STD,PENET 5-33 Manual Focus (Flow) Manual Focus (Flow) F1 — F8 5-34 Noise REDUC (Flow) Noise Reduction (Flow) Off, Low, MED, High 5-34 PIX SMOOTH (Flow) Pixel Smoothing (Flow) Low, MED, High 5-34 Rejection (Flow) Rejection (Flow) 0 — 15 5-34 Smoothing (Flow) Smoothing (Flow) 0 — 6 5-35 Spatial Smoothing Spatial Smoothing Off, Low, Medium1, Medium2, 5-35 High Wall Motion Reduction Wall Motion Reduction Low, Medium1, Medium2, High 5-35 5-7

[Page 152] Other menu Other Menu Area Lock Area Lock Off, On 5-36 Beam Steering Beam Steering 5 ° steps (max ± 30 ° ) 5-36 Body Mark Location Body Mark Location No selectable items 5-36 Body Mark Menu Body Mark Menu Body mark ( × 24) 5-36 B/SYNC Mode B/SYNC Mode Off, On 5-37 Character Size Character Size Normal, Large 5-37 Coding Editor Color Coding Editor USER1 — 5 5-37 VEL, VEL/VAR, Power, Reference R,G,B: Each 0 — 255 ABDOM, CARDIO, PV, POWER, OTHER A, B, C, D, E Color Map (B,M) Color Map (B,M) Gray, A, B, C, D 5-37 ECG Display ECG Display Off, On 5-38 ECG SYNC ECG SYNC Off, On 5-38 Graphic Color Graphic Color A, B, C, D, E, User 5-38 Graphic Editor Graphic Editor Plane1 — 7, Physio Plane 5-39 R, G, B: Each 0 — 255 Imaging Information Imaging Information Off, On 5-39 Invert Invert Normal, Invert 5-40 Invert Link Invert Link Off, On 5-40 Menu Location Menu Location No selectable items 5-40 PCG Display PCG Display Off, On 5-40 PCG Filter PCG Filter Low, MED1, MED2 5-41 Post Processing Post Processing Linear, Slope1, Slope2, 5-41 Slope3, Reject Post Process. LEV Post Processing Level Low: 0 — 63, High: 0 — 63, 5-43 Shift Pulse Display Pulse Display Off, On 5-44 R Wave Beep R Wave Beep Off, On 5-44 R-Delay Time R-Delay Time 0.00 — 2.55 (in steps of 0.05) 5-44 Send to Storage (S) Send to Storage (Single) No selectable items 5-44 Send to Storage (M) Send to Storage (Multi) No selectable items 5-44 Steering Invert Steering Invert No selectable items 5-45 Steering Link Steering Link Off, On 5-45 Store on CD-R Buffer (S) Store on CD-R Buffer No selectable items 5-46 (Single) Store on CD-R Buffer (M) Store on CD-R Buffer (Multi) No selectable items 5-46 Store on CD-R Buffer (J) Store on CD-R Buffer (J) No selectable items 5-46 5-8

[Page 153] Store on MO (S) Store on MO (Single) No selectable items 5-45 Store on MO (M) Store on MO (Multi) No selectable items 5-45 Store on MO (JPG) Store on MO (JPG) No selectable items 5-45 Store on FD (JPG) Store on FD (JPG) No selectable items 5-46 Store on HDD (S) Store on HDD (Single) No selectable items 5-46 Store on HDD (M) Store on HDD (Multi) No selectable items 5-46 Thermal Index Thermal Index TIS, TIB, TIC 5-47 View Gamma View Gamma Linear, A, B, C, D 5-47 Zoom Lock Zoom Lock Off, On 5-47 PC Printer PC Printer No selectable items 5-47 DICOM Printer(S) DICOM Printer(Single) No selectable items 5-48 Archive Group 1 Archive Group 1 No selectable items 5-48 Archive Group 2 Archive Group 2 No selectable items 5-48 Archive Group 3 Archive Group 3 No selectable items 5-48 ACQUIRE -> Store (HDD) ACQUIRE -> Store (HDD) No selectable items 5-48 ACQUIRE -> Store (MO) ACQUIRE -> Store (MO) No selectable items 5-48 ACQUIRE -> SEND ACQUIRE -> SEND No selectable items 5-49 VCM menu VCM Menu Video Cine Memory Active Window Shift Active Window Shift Auto Shift, Manual 5-50 Color Mode(VCM) Color Mode(VCM) Always B/W,Always Color 5-50 ECG Cycle(VCM) ECG Cycle(VCM) Current Cycle,Current 5-50 2Cycles,Current 4Cycles, Next Cycle,Next 2Cycles, Next 4Cycles Format(VCM) Format(VCM) Full, Sprit, Quad Small, 5-51 Quad Large Frame Rate(VCM) Frame Rate(VCM) Max60Hz, Max30Hz 5-51 Load Load Search,ID,Name,Data 5-51 Load(Stress Echo) Load(Stress Echo) Search,ID,Name,Data 5-51 Load Again Load Again No selectable items 5-52 Load Next Load Next No selectable items 5-52 Load Previous Load Previous No selectable items 5-52 Loop Mode(VCM) Loop Mode(VCM) Short, Long, Align, Free Run 5-52 Protocol Select Protocol Select Exer.2Phases,Exer.4Phases, 5-53 Pharm.BLPR,Pharm.BLMP, User Quad Position Quad Position Active, Position All 5-53 5-9

[Page 154] Quad Pos Setup Quad Position Setup No selectable items 5-53 Send to Storage Send to Storage Send,Frame,Color,Window 5-53 Store(Stress Echo) Store(Stress Echo) No selectable items 5-54 Store on Disk Store on Disk Store,Frame,Color,Window 5-54 Stress Mode Stress Mode Off, On 5-54 TV Sync TV Sync Off, Field, Frame 5-54 User Protocol User Protocol Stage 5-55 View Protocol Name Stage Name View Name Zoom(VCM) Zoom(VCM) Off, On 5-55 Stress Echo Control Stress Echo Control Off, On 5-55 Protocol Protocol Off, On 5-55 Pause Protocol Pause Protocol Off, On 5-55 Stress Acquire Stress Acquire No selectable items 5-56 Priority Cycle Select Priority Cycle Select No selectable items 5-56 Skip View Skip View No selectable items 5-56 Acquire Data Cancel Acquire Data Cancel No selectable items 5-56 Label Label No selectable items 5-56 Timer Timer Off, On 5-56 Shuffle Shuffle View, Stage 5-57 Format(Quad) Format(Quad) Quad Small, Quad Large 5-57 Systolic Loop Systolic Loop Off, On 5-57 Systoloc Loop, Time Systoloc Loop, Time 300ms, 330ms, 360ms 5-57 With the data management system (VCM) which is being connected, the operable menu is different. Use the unit with referring the following corresponding table. Corresponding List Menu Name EU-9083 EU-9111 Active Window Shift ○ ○ Color Mode(VCM) ○ ○ ECG Cycle(VCM) ○ ○ Format(VCM) ○ ○ Frame Rate(VCM) ○ ○ Load ○ ○ Load(Stress Echo) ○ ○ 5-10

[Page 155] Menu Name EU-9083 EU-9111 Load Again ○ ○ Load Next ○ ○ Load Previous ○ ○ Loop Mode(VCM) ○ ○ Protocol Select ○ - Quad Position ○ ○ Quad Pos Setup ○ ○ Send to Storage ○ ○ Store(Stress Echo) ○ ○ Store on MO ○ ○ Stress Mode ○ ○ TV Sync ○ ○ User Protocol ○ - Zoom(VCM) ○ ○ Stress Echo Control - ○ Protocol - ○ Pause Protocol - ○ Stress Acquire - ○ Priority Cycle Select - ○ Skip View - ○ Acquire Data Cancel - ○ Label - ○ Timer - ○ Shuffle - ○ Format(Quad) - ○ Systolic Loop - ○ Systoloc Loop, Time - ○ 5-11

[Page 156] FAM menu FAM Menu Free Angular M Mode Active FAM Off Active Free Angular M Mode No selectable 5-58 Channel Off Contrast (FAM) Contrast (FAM) 1, 2, 3, 4, 5, 6, 7, 8 5-58 Cursor Size Cursor Size 1 — 24 (cm) 0.1cm steps 5-58 FAM Mode FAM Mode Off, On 5-58 Gamma (FAM) Gamma (FAM) 0, 1, 2, 3, 4 5-58 Magnification (FAM) Magnification (FAM) × 0.5, × 0.75, × 1, × 1.5, × 2 5-59 Multi FAM Multi FAM 2,3 5-59 PSAX Parasternal Short Axis View Off, On 5-59 Sweep Speed (FAM) Sweep Speed (FAM) 1, 1.5, 2, 3, 4, 6, 8 5-59 5-12

[Page 157] 5-3-1. B mode menu 5-3-1-1. AGC (B) This item enables you to enhance the boundary between tissues. You can change the AGC in 16 steps from 0 to 15. 5-3-1-2. Angle Gain This function corrects the gain at an arbitrary position in the direction of the scanning lines. This function operates only with an electronic sector probe. The setting will be retained until you either press the NEW PATIENT switch, or change the preset. Turning the rotary encoder 2 in the upward direction increases the gain, and moving it downward reduces the gain. Reset : Displays a straight line at the center. 5-3-1-3. Beam Processing This function switches over the number of beams received in order to improve the frame rate. Multi : Scanning takes place using multiple received beams. Single : Scanning takes place using the standard number of scanning lines. 5-13

[Page 158] 5-3-1-4. Brachytherapy This function displays brachytherapy guide lines, and performs brachytherapy. Mode Off : Turns off the brachytherapy display on the screen. Grid : Displays a coordinate display graphic display and a memory posi- tion list, and registers the coordi- nate position. Target : Displays the coordinate position mark. Grid Display Type Select a coordinate display method from A, B and C. Add Additionally registers a coordinate number. Delete Deletes a registered coordinate number. Table Location Moves the memory position list. This function operates only when the UST-672-5/7.5 trans-rectum probe is connected. This function operates only in the 1B mode when the horizontal width is displayed normally. When performing brachytherapy, it is necessary to obtain a guide and a template. 5-14

[Page 159] 5-3-1-5. Focus (B) This function focuses the ultrasound beam, resulting in a clearer image. It enables you to change the focus points used when the ultrasound beam is emitted. A B mode image has 8 transmission points when an electronic probe is used. You can set the focus at up to 4 of these points. Auto 1P : Sets 1 focus point near the center of the image. Auto 2P (@) : Sets 1 fixed point at the top of the image and 1 movable point at the center of the image. Auto 2P : Sets 2 average focus points for the entire image. Auto 3P : Sets the focus at 3 points on the image. Manual : You can set arbitrary focus points. However, when using Man- ual Focus (B), the focusing will not be corrected automatically if the focus points are outside the display range. 5-3-1-6. Frame CORRE (B) This function correlates adjacent frames in order to obtain a smooth image. When observing fast motion, such as that of the heart, set the correlation on the low side. Frame CORRE can be changed in 16 steps. Set Frame CORRE to one of 16 steps between 0 and 15. 5-3-1-7. Frame CORRE LEV. This function is used to select the processing method for frame correlation. Low : Applies correlation only to parts of the image that are signifi- cantly different to those of the previous frame. This item is suitable for observing images of the circulatory organs, for ex- ample. Medium 1 : Applies low-medium correlation to the previous frame. Medium 2 : Applies high-medium correlation to the previous frame. High : Applies correlation to all parts of the image including parts that are not significantly different to those of the previous frame. This item is suitable for observing the abdominal region. 5-15

[Page 160] 5-3-1-8. Frame CORRE Type Selects the operation mode of the frame correlation function. Auto : The correlation is set according to the frame rate. Manual : Fixes the number of images to which frame correlation is applied. The degree of correlation changes with the frame rate. 5-3-1-9. FTC (B) This function enhances the contours of a B mode image. Off : The contours of the B mode image are not enhanced. On : The contours of the B mode image are enhanced. 5-16

[Page 161] 5-3-1-10. Guide Line Setting This function displays an arrow alongside the needle guide line to enable the depth to the target to be measured, and also changes the angle of the needle guide line. Measure Off : Turns Off the depth display. On : Enables the depth to the target to be measured and displayed with the trackball. Angle Select Selects the needle guide line to be displayed if there are a number of puncture guide lines. You can automatically display needle guide line by activating this function, even if Puncture Guide Line is Off. The needle guide line will not disappear even if the trackball is used for another function (focusing, for example) while the depth is displayed. Also, the position of the arrow indicating the depth display will not change. (This does not apply when the mode is changed, however.) The depth display arrow is retained until you select Guide Line Setting from the menu once again and set Measure to Off. The depth display numbers are rough values for reference. Use them after first checking the error with respect to the distance to the tip of the puncture needle in a water tank, for example. 5-3-1-11. Harmonic Echo (The optional SOP- α 5-12 is necessary.) This function performs image processing using the second harmonic waves reflected from the tissue, which are twice the frequency of the transmitted signal, enabling a clear image that is relatively free from side lobes and other arti- facts to be obtained. Off : The received frequency is not twice the transmission frequency. On : The received frequency is twice the transmission frequency. 5-17

[Page 162] 5-3-1-12. Horizontal SMOOTH (B) Applying correlation between lines of the ultrasound beam is called Horizontal Smoothing. By applying correlation between lines, the image becomes smooth in the horizontal direction. Off : Correlation is not applied. Low : A low degree of correlation between lines is set. High : A high degree of correlation between lines is set. 5-3-1-13. Image Rotation (B) This function rotates a displayed B mode image through 90°. The marks associated with the image (direction marks, cursor, etc.) rotate together with the image. You can rotate an image through 0 ° , 90 ° , 180 ° or 270 ° . 5-3-1-14. Line Density (B) The scanning line density is called Line Density. If the line density is high, good resolution is obtained. Conversely, if the line density is low, the frame rate is im- proved. Low : Sets the line density to a low value. MED : Sets the line density to a medium value. High : Sets the line density to a high value. 5-3-1-15. Loop Mode (2B) This item is used when performing loop playback in the 2B mode to set which of the 2B screens to use as a reference for performing loop playback. Both sides are simultaneously reproduced from a start frame during loop reproduc- tion. Short : Playback takes place to the final frame only in the case of images that consist of a small number of frames. If an image consists of a large number of frames, playback returns to the first frame without going as far as the final frame. Long : Playback takes place to the final frame of images that consist of a large number of frames. If an image consists of only a small number of frames, the final frame (frozen screen) remains displayed after play- back has ended. 5-18

[Page 163] 5-3-1-16. Manual Focus (B) This function enables you to select the position at which to set the focus points (s) when Manual of Focus (B) is selected. You can set the focus to a maximum of four steps between F1 and F8. You can change to Manual by activating this function, even if Focus (B) is in the Auto status. 5-3-1-17. Pixel Smoothing (B) Emphasizes the graininess of the echo, or smoothen it. Off : Emphasizes the grain texture of the echo. (Mainly for cardiac applications) On : Smoothen the grain texture of the echo. (Mainly for the abdominal region) 5-3-1-18. PRF Limit When the examination range is narrow, the frame rate is automatically limited to prevent multiple echoes from ap- pearing. This PRF Limit function removes this limit. It is particularly useful for when examining the circulatory or- gans. Off : The PRF scans at the highest frame rate for the display depth used. On : Maintains the PRF constant even if the display depth is increased, in order to prevent multiple echoes. 5-19

[Page 164] 5-3-1-19. Puncture Guide Line This function enables you to display a needle guide line on the screen, in order to puncture a part of the body while observing a B mode image. The needle guide line is displayed using dots. The dot separation is either 0.5cm or 1.0cm. The 0.5cm or 1.0cm separation also changes depending upon the display depth and the zoom magnification. If the display direction of the image is reversed, the puncture guide line is also reversed. Off : A needle guide line is not displayed. On : A needle guide line is displayed. This function operates regardless of whether the freeze function is ON or OFF. 5-3-1-20. Relief (B) This function enhances the contours of a B mode image. Off : The contours are not enhanced. Low : The contours are enhanced to a low degree. MED : The contours are enhanced to a medium degree. High : The contours are enhanced to a high degree. 5-3-1-21. Smoothing (B) In the same depth, a correlation is established in scanning direction so that images turn out smooth. When strengthening linkages, set the setting rather high. You can change the Smoothing (B) in 8 steps from 1 to 8. 5-20

[Page 165] 5-3-2. M mode menu 5-3-2-1. AGC (M) This item enables you to enhance the boundary between tissues. You can change the AGC in 16 steps from 0 to 15. 5-3-2-2. Echo Erase The M mode image and physiological image are displayed in the same area, so the physiological signal is sometimes difficult to see. The function that progressively erases the M mode image from the bottom so as to make the physiological signal easy to see is called Echo Erase. Echo Erase can be changed through 20 steps, between 0 and 19. 5-3-2-3. Focus (M) This function focuses the ultrasound beam, resulting in a clearer image. It enables you to change the focus points used when the ultrasound beam is emitted. An M mode image has 8 focus points when an electronic probe is used. You can set the focus at only 1 of these points. Auto : Sets 1 focus point near the center of the image. Manual : You can set arbitrary focus point, however, the focus point is not automat- ically corrected if they move outside the display range. 5-21

[Page 166] 5-3-2-4. FTC (M) This function enhances the contours of an M mode image. Off : The contours of the M mode image are not enhanced. On : The contours of the M mode image are enhanced. 5-3-2-5. Manual Focus (M) This function enables you to select the position at which to set the focus point when Manual of Focus (M) is selected. You can set the focus to one step between F1 and F8. You can change to Manual by activating this function, even if Focus (M) is in the Auto status. 5-3-2-6. Relief (M) This function enhances the contours of an M mode image. Off : The contours are not enhanced. Low : The contours are enhanced to a low degree. MED : The contours are enhanced to a medium degree. High : The contours are enhanced to a high degree. You can change the Relief (M) setting in the M mode when FTC is applied to an M mode image, however in this case the image does not change. When FTC is canceled, an image that corresponds to the set level is displayed. 5-22

[Page 167] 5-3-2-7. Sweep Speed (M) This function sets the sweep speed when an M mode image is displayed. You can set the sweep time from the right edge of the screen to the left edge. For the M mode image, M should be 1, 1.5, 2, 3, 4, 6, or 8 sec/screen. In the case of a B/M mode display, the sweep time becomes about 2/3 that of an M mode display. The marks are displayed from the right to the left on M mode image every 0.5 seconds. The number of the displayed marks depends on the sweep speed. However, in the case of a real-time display, this mark appears only at the top and bottom ends of the image. When the image is frozen, the mark appears at fixed intervals from the top end to the bottom end. 5-23

[Page 168] 5-3-3. D mode/TDI-D menu 5-3-3-1. Color Map (D) This function adds color to D mode images in order to obtain an image that is easy to see. Gray : Normal brightness characteristics. A : Blue and orange brightness characteristics. B : Blue brightness characteristics. C : Blue brightness characteristics that are slightly weaker than those of B. D : Orange brightness characteristics. 5-3-3-2. Compression Curve (D) This function switches over the brightness characteristics of the Doppler pattern. Weak signal levels are suppressed, resulting in a clear Doppler pattern. You can set this function to one of 8 steps between 0 and 7. 5-3-3-3. Filter Control (D) This function removes low frequency, high level noise that is generated by the motion of the heart wall, for example. It is used when high frequency components of blood flow are suppressed, preventing a clear image from being displayed. Auto : Controls noise using a filter value that corresponds to the flow velocity range. Manual : Controls noise using a fixed filter value. If “AUTO” is selected using Filter Control, a filter value that is optimum for the flow velocity range is automatically set. In the Auto mode, the filter value is set to one of 12 steps. In the Manual mode, you can set the filter value to one of six steps, 50 Hz, 100 Hz, 200 Hz, 400 Hz, 800 Hz and 1600 Hz. 5-24

[Page 169] 5-3-3-4. Focus (D) This function focuses the ultrasound beam, resulting in a clearer image. It enables you to change the focus points used when the ultrasound beam is emitted. A D mode image has 8 focus points when an electronic probe is used. You can set the focus at only 1 of these points. Auto : Sets the focus at only 1 point near the center of the sample volume. Manual : You can set arbitrary focus point, however, the focus point is not automat- ically corrected if they move outside the display range. 5-3-3-5. Image Polarity (D) This function displays a D mode image with black and white reversed. Even in the case of a B/D display, only the display of the D mode image is reversed. NEGA : Displays a negative image. POSI : Displays a positive image. 5-3-3-6. Image Select (D) This function enables you to select whether to set a Doppler spectrum image with priority on resolution, or with pri- ority on sensitivity. RESO : Displays an image with priority on resolution. STD : Standard setting. PENET : Displays an image with priority on sensitivity. When RESO (resolution priority) is selected, the resolution improves, but the sensitivity is reduced. When PENET (sensitivity priority) is selected, the sensitivity improves but the resolution is reduced. Select the optimum setting for the part to be examined, while observing the acoustic power index. 5-25

[Page 170] 5-3-3-7. Manual Focus (D) This function enables you to select the position at which to set the focus point when Manual of Focus (D) is selected. You can change to Manual by activating this function, even if Focus (D) is in the Auto status. You can set the focus to one step between F1 and F8. 5-3-3-8. Resolution Select (D) This function enables you to set the Doppler spectrum either so that the resolution is improved in the frequency direction, or so that it is improved in the time direction. Time : The time resolution improves. Frequency : The frequency resolution improves. 5-3-3-9. Smoothing (D) Applying correlation in the frequency direction or in the time direction of a Doppler spectrum is called Smoothing (D). When correlation is applied, the image becomes smooth in the vertical and horizontal directions. Off : Correlation is not applied. Low : The spectrum correlation is set to a low value. High : The spectrum correlation is set to a high value. 5-26

[Page 171] 5-3-3-10. Sweep Speed (D) This function sets the sweep speed when a D mode image is displayed. You can set the sweep time from the right edge of the screen to the left edge. For the D mode image, D should be 1, 1.5, 2, 3, 4, 6, or 8 sec/screen. In the case of a B/D mode display, the sweep time becomes about 2/3 that of a D mode display. The marks are displayed from the right to the left on D mode image every 0.5 seconds. However, in the case of a real-time display, this mark appears only at the top and bottom ends of the image. When the image is frozen, the mark appears at fixed intervals from the top end to the bottom end. 5-27

[Page 172] 5-3-4. FLOW/Power Flow/TDI Flow/TDI Power Flow menu 5-3-4-1. Average (Flow) This function sets the number of transmissions used to display blood flow. If the number of transmissions is large, the sensitivity is improved, however the frame rate falls. Low : The number of transmissions is set to a low value. MED : The number of transmissions is set to a medium value. High : The number of transmissions is set to a high value. 5-3-4-2. B Refresh This function sets the time interval for rewriting a B mode image when B Flow and M Flow operate simultaneously. 1 : The B mode image is rewritten every 1 second. 2 : The B mode image is rewritten every 2 seconds. 4 : The B mode image is rewritten every 4 seconds. 6 : The B mode image is rewritten every 6 seconds. 8 : The B mode image is rewritten every 8 seconds. 5-3-4-3. Baseline Shift (Flow) This function shifts the level that constitutes the baseline for forward and reverse flows. When color is displayed in reverse, you can remove the reverse display by shifting the baseline. You can set this function within the range − 31 — 31. This function operates only in the Flow mode. It can also be used after an image is frozen. 5-28

[Page 173] 5-3-4-4. Capture Mode This function continues to display color pixels for a fixed period of time. It enables you to obtain an image in which there is continuity between the color pixels. Off : Capture Mode is not activated. On : The color pixels remain displayed for a fixed period of time. 5-3-4-5. Capture Time This function sets the time during which the color pixels remain displayed. If this time is long, a smooth image is obtained. If it is short, the resolution is improved. 1sec : The color pixels remain displayed for 1 sec. 2sec : The color pixels remain displayed for 2 sec. 3sec : The color pixels remain displayed for 3 sec. Cont : The color pixels remain displayed until the image is frozen. 5-3-4-6. Color Map (Flow) This function is used when displaying flow, to convert the color information (flow velocity, dispersion) in an image into color, or to change the method of enhancement. It also operates after the image is frozen. ABDOM : Changes the color distribution for the abdominal region. Cardio : Changes the color distribution for the cardiac region. PV : Changes the color distribution for the peripheral vessels. POWER : Changes the color distribution to one that is suitable for Power Flow. Other : Changes the color distribution to one intended for another application. User : Changes the color distribution to that set by Color Coding Editor. If you press the right menu select switch after setting the above applications, you can select a color pattern between A and E. 5-29

[Page 174] (ABDOM, PV) A - E : A is a slightly dark color distribution, and E is a slightly bright color dis- tribution. (Cardio) A : This is the basic coding in which an approaching flow is displayed in red, and a receding flow in blue. B : For cardiac applications. Used particularly to enhance dispersion. C : For cardiac applications. High velocity forward flow is displayed in yel- low, and reverse flow in sky blue. D : For cardiac applications. High velocity blood flow and dispersion are en- hanced. E : For cardiac applications. High velocity blood flow and dispersion are en- hanced in green. (Power) A : Power information varies from purple to red. B : Power information varies from pink to yellow. C : Power information varies from light red to red. D : Power information varies from light blue to blue. E : Power information varies from black to white. 5-3-4-7. Color Polarity Reverses the colors for forward /reverse flows (forward flow: Red, Reverse flow: Blow) when flow is displayed. Also, the top and bottom of the color bar is reversed. Operates only in the Flow mode. Also operates after the image is frozen. Normal : Indicates forward direction flow in red. Invert : Indicates forward direction flow in blue. 5-3-4-8. DDD This function enables you to observe a B mode (black and white) image and a Flow mode image side by side in real- time. In this case, the B+Flow mode image is displayed on the right half of the screen, and the B mode image on the left half. After freezing the images, you can switch the display to the 1B mode, and use the search function to display previous images. This function can be used in the Power mode as well. You cannot perform separate search operations on the left and right images after freezing them. Off : The B mode and Flow mode images are not displayed side by side. On : The B mode and Flow mode images are displayed side by side. 5-30

[Page 175] 5-3-4-9. Display Priority (Flow) This function sets the information to be displayed preferentially if a black and white slice image coincides with a color flow display. Color : Displays only color data when both black and white data and color data exist. This function is suitable for displaying fine blood flow such as that in the heart chambers or the abdominal region. Color2 : Displays only color data when both black and white data and color data exist. This function is suitable for the TDI Flow mode used to observe high speed data such as the motion of the cardiac muscle. Both, Both2 : Displays both black and white data and color data when both kinds of data exist. In the case of Both2, if the low velocity components of the color data are large, the color data is cut off and black and white data displayed preferentially. 5-3-4-10. DISP Priority Level (Flow) This function sets the brightness level when either black and white data or color data is to be displayed. B&W Level : Sets the brightness level for displaying black and white data. If the echo is stronger that the specified brightness, the black and white echo is displayed directly. Reducing the set value enables clutter sig- nals to be removed, but also reduces the blood flow signal. You can set the level between 0 and 63. Color Level : Sets the flow velocity level for displaying color data. If the flow velocity is higher than the set value, color is displayed directly. Increasing the set value enables clutter signals to be removed, but also re- duces the blood flow signal. You can set the level between 0 and 31. 5-3-4-11. Flow Filter (Flow) This is a filter than removes low flow velocity components when displaying a signal that contains a lot of clutter (wall motion noise) due to the effect of the heart wall, for example. Select a value from 1, 2, 3, 4, 5 and 6. The higher the set value, the greater is the degree to which wall motion noise is removed. In the case of TDI Flow, you can make a selection from 1 and 2. 5-31

[Page 176] 5-3-4-12. Focus (Flow) This function focuses the ultrasound beam, resulting in a clearer image. It enables you to change the focus points used when the ultrasound beam is emitted. A Flow mode image has 8 focus points when an electronic probe is used. You can set the focus at only 1 of these points. Auto : Sets 1 focus point near the center of the flow area. Manual : You can set arbitrary focus point, however, the focus point is not automat- ically corrected if they move outside the display range. It cannot be possible to set a focus point deeper than the Flow Area. 5-3-4-13. Frame CORRE (Flow) This function correlates adjacent frames. Increase the correlation when the frame rate is low, such as in the case of the blood flow in the abdominal region, or when you wish to smoothen the image. Reduce the correlation when it is necessary to observe the blood flow in real-time, such as in the case of the heart. Set a value between 0 and 7. 5-3-4-14. Frame Rate (Flow) This function adjusts the frame rate between − 4 and 4 by setting a combination of Line Density (scanning density) for both black and white images and color images in the Flow mode and the Power Flow mode. The relation between the Frame Rate value and the Line Density for black and white and color images is shown be- low. Frame Rate − 4 − 3 − 2 − 1 0 +1 +2 +3 +4 Line Density (black & white) High High High MED MED MED Low Low Low Line Density (color) High MED Low High MED Low High MED Low 5-32

[Page 177] 5-3-4-15. Frame Rate Accelerator This function creates an image in which the steps between frames are smoothed. It is suitable for images that have a small frame rate, such as the blood flow in the abdominal region. Set it to Off when time resolution is important, such as in the case of the heart. Off : The flow image does not have continuity between frames. On : An image in which there is continuity between frames is created. 5-3-4-16. Image Select (Flow) This function enables you to select whether to set a color image with priority on resolution, or with priority on sen- sitivity. RESO : Displays an image with priority on resolution. STD : Standard setting. PENET : Displays an image with priority on sensitivity. When RESO (resolution priority) is selected, the resolution improves, but the sensitivity is reduced. When PENET (sensitivity priority) is selected, the sensitivity improves but the resolution is reduced. Select the optimum setting for the part to be examined, while observing the acoustic power index. 5-33

[Page 178] 5-3-4-17. Manual Focus (Flow) This function enables you to select the position at which to set the focus point when Manual of Focus (Flow) is selected. You can set the focus to one step between F1 and F8. You can change to Manual by activating this function, even if Focus (Flow) is in the Auto status. It cannot be possible to set a focus point deeper than the Flow Area. 5-3-4-18. Noise REDUC (Flow) This function unifies the color pixel information in order to eliminate wall motion noise. Off : Wall motion noise is not eliminated. Low : A low degree of noise reduction is set. MED : A medium degree of noise reduction is set. High : A high degree of noise reduction is set. 5-3-4-19. PIX SMOOTH (Flow) This function unifies the color pixel information so as to make the color flow easier to see. Low : A low degree of color pixel unification is set. MED : A medium degree of color pixel unification is set. High : A high degree of color pixel unification is set. 5-3-4-20. Rejection (Flow) This function removes low flow velocity components from the color information. Use it to remove noticeable wall motion noise. (Note that in this case low velocity blood flow will also be removed.) This function can also be used after the image is frozen. Set one of 16 values between 0 and 15. 5-34

[Page 179] 5-3-4-21. Smoothing (Flow) This function applies correlation between adjacent lines of the ultrasound beam in the flow mode, resulting in a smooth color image. Use a high correlation when observing large blood vessels, and use a low correlation when ob- serving small blood vessels. Set one of 7 values between 0 and 6. 5-3-4-22. Spatial Smoothing With filtering the pixel information of the color, it smoothes down the color flow display. It sets on the five steps at Off, Low, Medium1, Medium2, and High. With changing the setting from Off to High, it raises the degree of setting on the Spatial Smoothing. 5-3-4-23. Wall Motion Reduction This function reduces noise when clutter signals (wall motion noise) are prominent. Low : A low degree of wall motion noise reduction is set. Medium1 : A low-medium degree of wall motion noise reduction is set. Medium2 : A high-medium degree of wall motion noise reduction is set. High : A high degree of wall motion noise reduction is set. 5-35

[Page 180] 5-3-5. Other menu 5-3-5-1. Area Lock This function causes the flow area to move up, down, left or right when the Doppler cursor is moved, so that the sample volume remains roughly at the center of the flow area. When a B/M mode flow image is displayed, the flow area moves according to the motion of the M mode cursor. Off : The flow area does not move according to the M mode cursor or the Doppler cursor. On : The flow area moves according to the motion of the M mode cursor or the Doppler cursor. 5-3-5-2. Beam Steering When observing the blood flow in the carotid artery, for example, using an electronic linear probe, it is difficult to obtain blood flow information at a point where the ultrasound beam intersects the blood flow direction at right angles. Beam steering is a function that electronically tilts the ultrasound beam so that it is transmitted and received at an oblique angle with respect to the blood flow direction, thus enabling information concerning the part being examined to be obtained. Set a value in 5 ° steps, between − 30 and +30 ° . The angle through which the beam can be steered differs depending upon the probe. 5-3-5-3. Body Mark Location Use this function to change the display position of the body mark. When you activate this function, you can move the displayed position of the body mark with the trackball. Pressing the SET switch finalizes the set position. 5-3-5-4. Body Mark Menu Using the trackball, move the arrow to the body mark that you wish to display, then press the SET switch. The selected body mark is displayed. 5-36

[Page 181] 5-3-5-5. B/SYNC Mode This function enables you to display a normal B mode image in parallel with a B mode ECG sync image, and to observe both images in real-time. Off : A normal B mode image is not displayed in parallel with an ECG sync B mode image. On : Displays a normal B mode image in parallel with an ECG sync B mode image. 5-3-5-6. Character Size This function 4-time normal size of the characters displayed in the comment area. Normal : Normal size characters are input. Large : 4-time normal size characters are input. 5-3-5-7. Coding Editor This function enables you edit a color map in the Flow mode. The edited color map can be displayed by selecting User of Color Map (Flow) in the menu. 5-3-5-8. Color Map (B,M) This function adds color to B mode and M mode image in order to make it easier to see. Gray : Normal brightness characteristics. A : Blue and orange brightness characteristics. B : Blue brightness characteristics. C : Blue brightness characteristics that are weaker than B. D : Orange brightness characteristics. 5-37

[Page 182] 5-3-5-9. ECG Display (The optional PEU- α 5 is necessary.) This function displays an ECG waveform. Off : An ECG waveform is not displayed on the screen. On : An ECG waveform is displayed on the screen. 5-3-5-10. ECG SYNC (The optional PEU- α 5 is necessary.) This function displays only the part of B mode image indicated by the ECG sync mark on the ECG waveform. You can acquire B mode image of an arbitrary time phase while observing the time phase of the ECG waveform. Off : A normal B mode image without ECG sync is displayed. On : Only the part of the B mode image indicated by the ECG sync mark is displayed. 5-3-5-11. Graphic Color This function sets the display colors for text and graphics on the screen. A - E : Used to select colors from five predetermined display colors. User : The display colors set using Graphic Editor are selected. 5-38

[Page 183] 5-3-5-12. Graphic Editor This function is used to edit, process or store the display colors of characters and graphic displays. The display colors edited here can be displayed by selecting User of Graphic Color. Plane1 — 7, Physio Plane : Selects and displays each plane for setting a color. R,G,B : Processes the display color of each plane. Set values between 0 and 255. 5-3-5-13. Imaging Information This function sets whether or not to display information concerning contrast, cine memory, etc., on an image. Off : Information is not displayed. On : Information is displayed. 5-39

[Page 184] 5-3-5-14. Invert This function reverses the left and right sides of the image when a B mode image is displayed. It inverts the top and bottom of the image about the baseline when a D mode image is displayed. Normal : The image is displayed in the normal orientation. Invert : In the case of a B mode image, the image is displayed with left and right reversed.In the case of a D mode image, the image is displayed with top and bottom inverted. 5-3-5-15. Invert Link This function automatically changes the color polarity when a D mode image is inverted. Off : The color polarity is not changed when a D mode image is inverted. On : The color polarity is changed when a D mode image is inverted. 5-3-5-16. Menu Location This function is used to change the display position of the menu. Pressing this switch enables the display position of the menu to be moved with the trackball. Pressing the SET switch finalizes the display position. 5-3-5-17. PCG Display (The optional PEU- α 5 is necessary.) This function displays a PCG waveform. Off : A PCG waveform is not displayed on the screen. On : A PCG waveform is displayed on the screen. 5-40

[Page 185] 5-3-5-18. PCG Filter (The optional PEU- α 5 is necessary.) This function sets the PCG filter. Low : Sets the PCG filter to Low. MED : Sets the PCG filter to MED. High : Sets the PCG filter is High. 5-3-5-19. Post Processing This function changes the display brightness characteristics of the B mode image to be displayed on the viewing monitor, according to the echo intensity. You can change a black and white image displayed in 64 graduations to an arbitrary gray scale, in order to reduce echo noise, and so on. Four kinds of correction curves are available. It is possible to change the display brightness characteristics by select- ing a curve and setting each level. Linear : The level cannot be changed. Slope1 : Echoes of a lower intensity than the region in which the brightness is ex- panded are displayed at the minimum brightness, and echoes of a higher in- tensity are displayed at the maximum brightness. Slope2 : Echoes of a lower or higher intensity than the region in which the brightness is expanded are displayed at the minimum brightness. Slope3 : Changes in echoes of a lower or higher intensity than the region in which the brightness is expanded are compressed to 1/4 before being displayed. Reject : Echoes that are lower than the set level are displayed at the minimum bright- ness. 5-41

[Page 186] The correction curve characteristics are as follows. Linear This is the condition in which the levels are fully expanded, that is, the condition White in which all 64 gradations are used. All echoes are displayed at a brightness cor- responding their intensity. Brightness Black 0 Low High Echo intensity Max Slope 1 Echoes of a lower intensity than the region in which the brightness is to be ex- White panded are displayed at the minimum brightness, and echoes of a higher intensity are displayed at the maximum brightness. Brightness Black Low High Echo intensity Max Slope 2 Echoes of a lower or higher intensity than the region in which the brightness is to White be expanded are displayed at the minimum brightness. Brightness Black Low High Echo intensity Max Slope 3 Changes in echoes of a lower or higher intensity than the region in which the White brightness is to be expanded are compressed to 1/4 before being displayed. Brightness Black 0 Low High Reject Echo intensity Max Echoes that are lower than the set level are displayed at minimum brightness. White Brightness Black 0 Low High Echo intensity Max 5-42

[Page 187] 5-3-5-20. Post Process.LEV Low : Selects a shift of the lower limit of the zone. High : Selects a shift of the upper limit of the zone. Shift : Selects a position shift. If Slope 1, Slope 2 or Slope 3 is selected Low High In the case Shift In the case of Reject 5-43

[Page 188] 5-3-5-21. Pulse Display (The optional PEU- α 5 is necessary.) This function displays a pulse waveform. Off : A Pulse waveform is not displayed on the screen. On : A pulse waveform is displayed on the screen. 5-3-5-22. R Wave Beep (The optional PEU- α 5 is necessary.) Used to emit a beep tone when the R wave is detected on the ECG waveform display. Off : A beep tone is not emitted when the R wave is detected. On : A beep tone is emitted when the R wave is detected. 5-3-5-23. R-Delay Time (The optional PEU- α 5 is necessary.) This function sets the time phase for performing ECG SYNC, as the delay time from the R wave. Set a time between 0.00 and 2.55 sec in steps of 0.05 sec. 5-3-5-24. Send to Storage (S) (The optional SOP- α 5-10 is necessary.) Sends frozen images via a network to an external storage medium such as a file server. 5-3-5-25. Send to Storage (M) (The optional SOP- α 5-10 is necessary.) Sends loop images acquired to a VCM via a network to an external storage medium such as a file server. 5-44

[Page 189] 5-3-5-26. Steering Invert This function is used to steer the ultrasound beam in the Doppler or flow mode when a probe that enables the beam to be steered is used. Each time you use this function, the beam is deflected in the sequence Forward direction → Reverse direction → 0 → Forward direction. 5-3-5-27. Steering Link This function is used to automatically invert a D mode image when the polarity of the steering angle is changed by beam steering. Off : The D mode image is not inverted when the polarity of the beam steering angle is changed. On : The D mode image is inverted when the polarity of the beam steering angle is changed. 5-3-5-28. Store on MO(S) Stores frozen images in an MO disk. If an MO disk drive is not connected, the images are stored in the hard disk. 5-3-5-29. Store on MO(M) Stores loop images acquired to the VCM in an MO disk. 5-3-5-30. Store on MO(JPG) Stores frozen images in an MO disk. The saving type is JPEG type. 5-45

[Page 190] 5-3-5-31. Store on CD-R BUFFER(S) Stores frozen images in CD-R BUFFER. 5-3-5-32. Store on CD-R BUFFER (M) Stores loop images acquired to the VCM in CD-R BUFFER. 5-3-5-33. Store on CD-R BUFFER(J) Stores frozen images in CD-R BUFFER. The saving type is JPEG type. 5-3-5-34. Store on FD (JPG) Saves static image to a floppy disk. The saving type is JPEG type. 5-3-5-35. Store on HDD (S) Stores frozen images in the hard disk in the equipment. 5-3-5-36. Store on HDD (M) Stores a loop image taking in VCM to a hard disk of the equipment. 5-46

[Page 191] 5-3-5-37. Thermal Index This function switches over the acoustic power index. TIS : Switches to the thermal index for soft tissue. TIB : Switches to the thermal index for bone. TIC : Switches to the thermal index for the cranial bones. 5-3-5-38. View Gamma This function corrects the brightness characteristics of the image, to match the brightness characteristics of the view- ing monitor, or to enable the information for each part of the body being examined to be expressed effectively. View Gamma enables you to select one of five correction curves. Linear : The brightness characteristics do not change. A : For cardiac examination. This curve has slightly weak brightness characteristics. B : For cardiac examination. This curve has slightly strong brightness characteristics. C : For examining the abdominal region. This curve has slightly weak brightness characteristics. D : For examining the abdominal region. This curve has slightly strong brightness characteristics. You can also set a correction curve after freezing the image. 5-3-5-39. Zoom Lock This function is used to enlarge a B mode image centered about a Doppler sample. Off : An enlarged image is displayed regardless of the display position of the Doppler sample. On : An enlarged image is displayed centered on the Doppler sample. 5-3-5-40. PC Printer The frozen image is directly printed to the printer in use. It is requested to use a printer that has been recommended to use in our instruction. 5-47

[Page 192] 5-3-5-41. DICOM Printer(S) (The optional SOP- α 5-10 is necessary) The frozen image is directly printed to the DICOM printer in use. It is requested to use a DICOM printer that has been recommended to use in our instruction. 5-3-5-42. Archive Group1 Printing functions (three functions can be registered maximum) assigned by the Print Select of Preset are carried out. 5-3-5-43. Archive Group2 Printing functions (three functions can be registered maximum) assigned by the Print Select of Preset are carried out. 5-3-5-44. Archive Group3 Printing functions (three functions can be registered maximum) assigned by the Print Select of Preset are carried out. 5-3-5-45. ACQUIRE -> Store (HDD) When the Data management system (VCM) is being connected, a moving image can be saved in HDD after the Acquire is turned On. 5-3-5-46. ACQUIRE -> Store (MO) When the Data management system (VCM) is being connected, a moving image can be saved in the MO disk after the Acquire is turned On. 5-48

[Page 193] 5-3-5-47. ACQUIRE -> SEND When the Data management system (VCM) is being connected, a moving image can be saved in network after the Acquire is turned On. 5-49

[Page 194] 5-3-6. VCM Menu (The optional EU-9083 or EU-9111 is necessary.) 5-3-6-1. ActiveWindow Shift When a split screen is displayed, press the ACQUIRE switch to acquire a loop image to the VCM, then set whether or not to automatically move the active window (enclosed by a rectangular border). Auto Shift : In the case of a divided display, if you press the ACQUIRE switch the active window moves to the next window upon completion of data acquisition. Manual : In the case of a divided display, the active window does not change when you press the ACQUIRE switch. 5-3-6-2. Color Mode (VCM) This function sets the palette type of the data for an acquired image to black and white or color. Always Color : Always acquires an image as a color image regardless of the image display. Always B&W : Always acquires an image as a black and white image regardless of the image display. Set when you wish to increase the number of images to be acquired. 5-3-6-3. ECG Cycle(VCM) This function sets the timing for starting and ending image acquisition by means of Acquire. Current Cycle : Acquires an image from the R wave immediately before Acquire was pressed to the R wave one heartbeat earlier. Current 2 Cycles : Acquires an image from the R wave immediately before Acquire was pressed to the R wave two heartbeats earlier. Current 4 Cycles : Acquires an image from the R wave immediately before Acquire was pressed to the R wave four heartbeats earlier. Next Cycle : Acquires an image from the R wave immediately after Acquire was pressed to the R wave one heartbeat later. Next 2 Cycles : Acquires an image from the R wave immediately after Acquire was pressed to the R wave two heartbeats later. Next 4 Cycles : Acquires an image from the R wave immediately after Acquire was pressed to the R wave four heartbeats later. 5-50

[Page 195] 5-3-6-4. Format (VCM) Selects the acquisition method and screen dividing method. Full : Displays an image over the full screen. Split : Splits the screen into two parts and displays two images simultaneously. Quad Small : Divides the screen into four parts and displays four images simultaneously. The four images are displayed in reduced form. Quad Large : Divides the screen into four parts and displays four images simultaneously. The magnification of the images is unchanged. Instead, only a part of each image is displayed. 5-3-6-5. Frame Rate (VCM) This function sets the method of acquiring image data using the ACQUIRE switch. Max60Hz : Acquires image data at a frame rate that matches the TV sync of the VCM. Set this item when you wish to acquire images at a frame rate of 60 Hz. Max30Hz : Acquires only 60 Hz frame rate images at a rate of 30 Hz by thinning the data. It sets up to lengthen taking-in time. 5-3-6-6. Load This function specifies and reads the patient / examination / image from the disk. 5-3-6-7. Load(Stress Echo) Reads stress echo image data stored in an MO disk to a VCM. When this function is operated, a search dialog box is displayed. 5-51

[Page 196] 5-3-6-8. Load Again This function re-reads the image data that was last read, from the disk. 5-3-6-9. Load Next When multiple images are selected using Load, the image immediately following these images in this range is read from the disk. 5-3-6-10. Load Previous When multiple images are selected using Load, the image immediately preceding these images in this range is read from the disk. 5-3-6-11. Loop Mode (VCM) This function sets the sync method used for loop playback of a divided screen display. Short : The loops of all windows are simultaneously reset to match the window corresponding to the shortest loop playback period. Long : The loops of all windows are simultaneously reset to match the window corresponding to the longest loop playback period. Align : The loop playback period of all windows is lengthened to match the window corresponding to the longest playback period. The loops of all windows are reset simultaneously. Free Run : The data of each window is played back (loop playback) asynchronously. 5-52

[Page 197] 5-3-6-12. Protocol Select Selects the protocol to use prior to performing a stress echo. Exercises,2Phases : Stage(Pre-Exercises,Post-Exercises), View(PLAX,PSAX,A4CH,A2CH) Exercises,4Phases : Stage(Pre-Exercises,Peak-Exercises, Post-ExercisesRecovery),View(PLAX,PSAX,A4CH,A2CH) Pharmacologic,BLPR :Stage(Baseline,Low dose,Peak dose,Recovery), View(PLAX,PSAX,A4CH,A2CH) Pharmacologic,BLMP: Stage(Baseline,Low dose,Mid dose,Peak dose), View(PLAX,PSAX,A4CH,A2CH) User : Protocol set by the user. 5-3-6-13. Quad Position This function sets the actual part of an image that is displayed in the Quad Large divided screen mode when the im- age is not displayed over the full screen. However, only the image in the active window is set. Active : Specifies the position shift of the active segment in the image display area. Position All : The positional shift of the image display area is applied to the entire memory. 5-3-6-14. Quad Position Setup Specifies the image display area when Format is Quad Large. If you use this function when Format is set to Full, a blue border (area) will appear on the screen. Move the area with the trackball then finalize the position with the SET switch. 5-3-6-15. Send to Storage (The optional SOP- α 5 -10 is necessary.) Displays a dialog box for sending image data via a network to an external storage medium such as a file server. 5-53

[Page 198] 5-3-6-16. Store (Stress Echo) Stores stress echo image data. The data is stored one stage at a time, and at the end of the protocol all of the data is stored in an MO disk in a single operation. 5-3-6-17. Store on Disk Displays a dialog box for storing an image in an MO disk. 5-3-6-18. Stress Mode Applies a drug or other load to the heart, and examines (stress echo) the heart for abnormalities. Off : The system does not enter the stress echo examination mode. On : The system enters the stress echo examination mode. This function does not operate unless a patient ID has been entered. In order to perform a stress echo, EU-9083 or EU-9111 of an option is required. 5-3-6-19. TV Sync This function is for setting a display timing of ultrasound image. Off :Displays it without adapting itself to Television synchronization spacing. Field :Displays it to Television synchronization spacing. The frame rate of display screen changes in 1 for the integer number of 120Hz (120,60,40,30,24,.. ...). Frame :Displays it to Television synchronization spacing for VCM taking in. The frame rate of display screen changes in 1 for the integer number of 60Hz (60,30,20,15, .. ...). 5-54

[Page 199] 5-3-6-20. User Protocol Displays a dialog box for editing a stress echo protocol that can be set by the user. For details, refer to Section 2-5. “Stress Echo Examination (Option: EU-9083 is necessary)”. 5-3-6-21. Zoom (VCM) This function is used in the divided screen mode to display the image temporarily displayed in the active window (enclosed by a rectangular border) over the full screen. Off : Returns the display to the condition prior to the full-screen display. On : Zooms in and displays an image over the full screen. 5-3-6-22. Stress Echo Control Switches the common functions which are operable in Stress Echo and Normal operations. Off : Sets for which the trackball and the Rotary encoder 1 are not to be used in a Stress Echo examination. On : Sets for which the trackball and the Rotary encoder 1 are to be used in a Stress Echo examination. 5-3-6-23. Protocol Starts Stress Echo examination. Off : Finishes Stress Echo examination. On : Starts Stress Echo examination. 5-3-6-24. Pause Protocol Returns to a normal B mode screen from a Stress Echo screen. Off : Returns to a Stress Echo screen. On : Escapes from a Stress Echo screen, and returns to a normal B mode screen. 5-55

[Page 200] 5-3-6-25. Stress Acquire Takes in a Stress Echo screen. 5-3-6-26. Priority Cycle Select Selects a View which requires changing a Priority Cycle. 5-3-6-27. Skip View Skips the taking-in of View set in a protocol. 5-3-6-28. Acquire Data Cancel Erases the Stress Echo screen acquired last. 5-3-6-29. Label Switches the View name in Shuffle. Displays a dialog which selects the View name. 5-3-6-30. Timer Displays the Timer at the time of image taking in. Off : Stops the Timer count and does not display the Timer. On : Displays the Timer and starts the Timer count. 5-56

[Page 201] 5-3-6-31. Shuffle Displays the Images taken in for comparison (Shuffle) with 4 screens. View : Performs a shuffle display for each view. Stage : Performs a shuffle display for each stage. 5-3-6-32. Format(Quad) Sets the size of screens on the 4 screen display. Quad Small : Divides the screen into four and displays the 4 screens simultaneously. The four images are displayed in contraction. Quad Large : Displays a part of image as an alternate of without changing the magnifying power. 5-3-6-33. Systolic Loop Makes a Loop playback for image in systole only. Off : Makes a Loop playback for all images on one heartbeat. On : Makes a Loop playback for image in systole only. 5-3-6-34. Systolic Loop,Time Sets the time of Loop playback when setting a Systolic Loop to On. 300ms : Loop playback takes place from the R wave to a point 300 ms after it. 330ms : Loop playback takes place from the R wave to a point 330 ms after it. 360ms : Loop playback takes place from the R wave to a point 360 ms after it. 5-57

[Page 202] 5-3-7. FAM Menu (The optional SOP- α 5-11 is necessary.) 5-3-7-1. Active FAM Off While displaying multiple cursors, delete current active cursors. 5-3-7-2. Contrast (FAM) Sets a contrast of M mode image. Sets it by 17 phases from 0 through 16. 5-3-7-3. Cursor Size Size contraction / magnification is possible at a middle point of an optional M cursor as the center of size adjustment. Within the display range from 1cm through 24cm (0.1cm step), it can change the range. It can change in the range of the display range of an B mode. 5-3-7-4. FAM Mode Creates an optional M mode image. Off : Finishes FAM Mode. On : Operates FAM Mode. 5-3-7-5. Gamma (FAM) This function is for correcting expression of information effectively with changing brightness characteristics of M mode image pertaining to diagnostic part. The setting is made on five steps from 0 through 4. 5-58

[Page 203] 5-3-7-6. Magnification (FAM) With referring to the size of B mode image as a base, the amplification of M mode image is set. The setting values are; × 0.5, × 0.75, × 1, × 1.5, × 2. 5-3-7-7. Multi FAM Sets the number of cursor displayed. It is possible to display two or three cursors maximum. 5-3-7-8. PSAX This function is for displaying plural cursors simultaneously, in order to display M mode image of the left ventricle minor axis (Parasternal Short Axis View) simply and easy. Off : Finishes the display of an M cursor for the left ventricle minor axis. On : Displays an M cursor for the left ventricle minor axis. 5-3-7-9. Sweep Speed (FAM) Sets a time coefficient in displaying an M mode image. The time coefficient from the right end of image to the left end is set from the step of second; 1,1.5,2,3,4,6 and 8. In the case of a B/M mode display, the sweep time becomes about 2/3 that of an M mode display. When changing the set value after freeze, there is no way to change to a higher value than the set value at the time of freeze. 5-59

[Page 204] 5-60

[Page 205] 6-1.PRESET function 6. PRESET 6-1. PRESET function This function can store set conditions, and recall them as necessary. By using a preset, you can adjust and set the system using simple procedures, thus reducing the examination time. The set values can be switched over according to the purpose of use, diagnostic region and differences between individual operators, or conversely can be unified. In addition, by storing settings in the system, you can avoid troublesome condition setting work and eliminate the risk of making incorrect condition settings. This system has a total of 15 user-definable settings for an image quality adjustment and display modes. With Common Preset , users can set common items to each preset by one operation. The system has a standard settings that are suitable for various diagnostic fields. These settings consist of the abdominal region, the obstetrical applications, the gynecological applications, the cardiac region, the peripheral vessels, the superficial organs, the urethral organs, and other regions. The system is set at the factory so that when it is switched ON the ABDOM preset is automatically activated. When the next operation is carried out, equipment returns to the state where it was set up by PRESET. (1) When the PRESET switch is pressed (2) When the PRESET switch is not pressed, and a. NEW PATIENT switch is pressed b. The system is switched ON This section consists of 60 pages. 6-1

[Page 206] 6-2. Procedure for Changing the Set Contents <The following is a description of the procedure for changing the contents of an application using the Preset Set-Up Menu as an example.> (1) Press the PRESET switch. → The preset list is displayed on the screen. Fig. preset list (2) Using the trackball, move the arrow to Set-Up of Preset , and press the SET switch. → The preset selecting list appears. To measurement preset Fig. Preset selecting list 6-2

[Page 207] (3) Using the trackball, move the arrow to the application whose contents you wish to change, and press the SET → The set screen shown below appears. Tree-view: List box: Set screen selection menu Display a list of candidates (pull-down menu), and select a candidate. Text box: Enter a name directly from the keyboard. Fig. Preset Set-Up Menu When you wish to switch over to another setting screen, use the trackball to move the arrow to the screen in the set- ting screen selection menu on the left side of the screen that you wish to display, and press the SET switch. Exit Returns to the preset selecting list after finalizing the changed set conditions. Cancel Returns to the preset selecting list after returning the changed set conditions to the previous conditions. (4) Using the trackball, move the arrow to, and press the SET switch. → The list of selection contents is displayed. (5) Using the trackball, move the arrow to the application whose contents you wish to change, and press the SET → The selection contents is displayed. 6-3

[Page 208] (6) Using the trackball, move the arrow to the probe list, and press the SET switch. → The probe registration screen appears. Switch over the kind of probe. Selectable probes. (7) Using the trackball, move the arrow to the probe name that you wish to register, and press the SET switch. → The probe name is registered in the probe list. When you switch over to a probe registered in the probe list, the corresponding preset is automatically executed. Probe Select On : When you execute a preset, the probe registered in it is automatically activated.If a number of probes are registered in a preset, the probe will be selected preferentially from the probe in the top connection position. Off : The probe is not switched over to another one, even if a preset containing that probe is executed. 6-4

[Page 209] 6-3. Common Preset Register the set items that are common to each preset. 6-3-1. Common Preset1 - 2 (1) Press the PRESET switch, then move the arrow to Set-up of Preset using the trackball, and press the SET → The preset selecting list appears. (2) Using the trackball, move the arrow to Common Preset , and press the SET switch. → The Common 1 screen appears. Fig. Common 1, and Common 2 screens If you wish to switch over to Common2, move the trackball to move the arrow to Common2 in the setting screen selection menu on the left side of the screen, and press the SET switch. All of the setting screens have the following three buttons. Exit Returns to the preset selecting list after finalizing the changed set conditions. Cancel Returns to the preset selecting list after returning the changed set conditions to the previous conditions. Initialize Returns the registered contents of the displayed items to the initial values. 6-5

[Page 210] Common1 Hospital Name Registers hospital names. 20 characters × 2 lines Date Registers dates. Time Registers times. Unit (Height) Registers the unit of height for the ID input screen. cm, m, feet/inch Unit (Weight) Registers the unit of weight for the ID input screen. kg, Pound Date Format Registers the date formats for the ID input screen. YY/MM/DD, MMM.DD,YY, MM.DD,'YY, DD-MMM-YY, DD-MM-'YY Resume Stores the system status just before power-off, and does Off not recall the same status next time the power is turned on. Stores the system status just before power-off, and On recalls the same status next time the power is on. Timer Freeze Does not perform the automatic freeze of safety Off functions. Automatically freezes the system if you do not use On within the set time. Timer Freeze, Time Register the time when Timer Freeze is set to ON. 1 — 20min (1min Step) T.B. Speed Sets the response speed of the trackball. − 5 to 5 (1 Step) Comment Position Sets the position of the character-cursor to be displayed (Sets coordinates.) (X), (Y) in the comment area. X:4—63, Y:3—35 Focus Limit(Flow) Does not impose a depth limit on the focus setting in the Off Flow and Triplex modes. Imposes a depth limit on the focus setting in the Flow On and Triplex modes. 6-6

[Page 211] Common2 Printer Select (B/W) Sets a monochrome printer. 309/895, P91 Printer Select Sets a color printer. 707/21MD, CP700, CP900 (Color) Number of Print Sets the number of continuous prints with a 1,2,3,4,5 monochrome printer. (309/895) Menu Display on Does not erase the menu display in printing. Display Print Erases the menu display in printing. Erase Menu Display A menu is displayed with a MENU switch. MENU SW Method A menu is displayed with a MENU switch or rotary MENU SW or RE encoder. VCR Memory Sets VCR Memory by the field. Field Sets VCR Memory by the frame. Frame Video IN Displays input signals from the Composite of the VCR Composite IN. Displays input signals from the S (Y/C) of the VCR IN. S (Y/C) Video OUT, Does not put the Color Burst on the VCR OUT or the Off Color Burst VIDEO OUT. Puts the Color Burst on the VCR OUT and the VIDEO On OUT. Panel Beep Does not produce a beep sound. Off Produces a beep sound when the panel switches are Panel pressed. Produces a beep sound when the keys on the keyboard Keyboard are pressed. Produces a beep sound when the panel switches or All Keyboard are pressed. Alarm Does not produce a beep sound when a message is Off displayed. Produces a beep sound when a message is displayed. On Image Browser, It displays images from the oldest one on Image OLD TO NEW ORDER Browser. It displays images from the latest one on Image Browser. NEW TO OLD Image Browser, Sets the loading media for Review. HDD, BUFFER, MO, CD Disk Image Browser, Displays by a patient in the Thumb Nail screen for Per Patient Page REVIEW . Displays all of patients sequentially in the Thumb Nail Continuous screen for REVIEW . 6-7

[Page 212] 6-3-2. Probe Menu In Probe Menu, probes to be selected with the PROBE switch are registered. (1) Press the PRESET switch, then move the arrow to Set-up of Preset using the trackball, and press the SET → The preset selecting list appears. (2) Move the arrow to Probe Menu using the trackball, and press the SET switch. → The Probe Menu screen appears. Fig. Probe Menu screen (3) Using the trackball, move the arrow to , and press the SET switch. → The list of probes which can be registered is displayed. 6-8

[Page 213] (4) Using the trackball, move the arrow to the probe name that you wish to register, and press the SET switch. → The probe is registered. The contents which are set in Probe Menu correspond to the following probe menu. 6-9

[Page 214] 6-3-3. Print Select It can assign the PRINT switch on the control panel up to three functions. It can act for saving three images with one switch operation. Where functions are assigned, assign Custom-Foot SW, Custom-TB, and RE on Preset Set-Up Menu to the PRINT 1 through 3 switches. (1) Using the trackball, move the arrow to Print Select , and press the SET switch. Fig. Print Select screen (2) Using the trackball, move the arrow to the function which is intended to assign PRINT 1 switch and press the SET switch. → The function selected is set to the PRINT 1 switch. Only one among B/W Printer, Color Printer, and Auto Printer Select can be selected . It can assign with 3 functions as maximum. (3) With the same operation as in (2), functions can be assigned to PRINT2 and PRINT3 switches respectively. It returns to the default when the Initialize button at the upper left is pressed. 6-10

[Page 215] 6-3-4. VCM(Option: EU-9083 is necessary) VCM makes settings related to the VCM function. (1) Using the trackball, move the arrow to VCM of the screen select menu on the left side of the screen, then press the SET switch. Fig. VCM VCM Color Mode Color images are always acquired regardless of the mode. Always Color When Format is Split or Quad, images are always acquired Always B/W as black and white images. Frame Rate(VCM) Image data is acquired at the frame rate of the main Max60Hz equipment that matches the TV sync of the VCM. Image data is acquired at a frame rate of 30 Hz by Max30Hz thinning, only when the frame rate of the main equipment that matches the TV sync of the VCM is 60 Hz. ECG Cycle The image corresponding to one heartbeat before the Current Cardiac Cycle ACQUIRE switch was pressed is acquired. The image corresponding to two heartbeats before the Current 2Cardiac Cycles ACQUIRE switch was pressed is acquired. The image corresponding to four heartbeats before the Current 4Cardiac Cycles ACQUIRE switch was pressed is acquired. The image corresponding to one heartbeat after the Next Cardiac Cycle ACQUIRE switch was pressed is acquired. The image corresponding to two heartbeats after the Next 2Cardiac Cycles ACQUIRE switch was pressed is acquired. The image corresponding to four heartbeats after the Next 4Cardiac Cycles ACQUIRE switch was pressed is acquired. 6-11

[Page 216] Format Displays an image over the full screen. Full Divides the screen into two parts, and displays two images Split simultaneously. Divides the screen into four parts, and displays four Quad Small images simultaneously. The four images are displayed in reduced form. Divides the screen into four parts, and displays four Quad Large images simultaneously. The magnification of the images is unchanged. Instead, only a part of each image is displayed. Active Window In the case of a divided screen display, the active window Manual Shift does not change when the ACQUIRE switch is pressed In the case of a divided screen display, when the Auto Shift ACQUIRE switch is pressed the active window proceeds to the next window once data acquisition is completed. Loop Mode The loops of all windows are simultaneously reset to Long match the window corresponding to the longest loop playback period, and the loops of all windows are reset simultaneously. The loops of all windows are simultaneously reset to Short match the window corresponding to the shortest loop playback period, and the loops of all windows are reset simultaneously. The loop playback period of all windows is lengthened to Align match the window corresponding to the longest playback period, and the loops of all windows are reset simultaneously. The data of the four screens is played back (loop playback) Free Run asynchronously. Window When the Format setting is made on Split, Quad Small and Active Quad Large, saving and transmission are available only for the active window. When the Format setting is made on Split, Quad Small and All Quad Large, saving and transmission are available for the all windows. Store (Stress Echo) A stress echo data is saved (stored) on HDD only. HDD A stress echo data is transferred to MO disk automatically Disk after saving (storing) on HDD. 6-12

[Page 217] 6-3-5. VCM (Option: EU-9111 is necessary) VCM makes settings related to the VCM function. (1) Using the trackball, move the arrow to VCM of the screen select menu on the left side of the screen, then press the SET switch. Fig. VCM VCM Color Mode Color images are always acquired regardless of the mode. Always Color When Format is Split or Quad, images are always acquired Always B/W as black and white images. Frame Rate(VCM) Image data is acquired at the frame rate of the main Max60Hz equipment that matches the TV sync of the VCM. Image data is acquired at a frame rate of 30 Hz by Max30Hz thinning, only when the frame rate of the main equipment that matches the TV sync of the VCM is 60 Hz. ECG Cycle The image corresponding to one heartbeat before the Current Cardiac Cycle ACQUIRE switch was pressed is acquired. The image corresponding to two heartbeats before the Current 2Cardiac Cycles ACQUIRE switch was pressed is acquired. The image corresponding to four heartbeats before the Current 4Cardiac Cycles ACQUIRE switch was pressed is acquired. The image corresponding to one heartbeat after the Next Cardiac Cycle ACQUIRE switch was pressed is acquired. The image corresponding to two heartbeats after the Next 2Cardiac Cycles ACQUIRE switch was pressed is acquired. The image corresponding to four heartbeats after the Next 4Cardiac Cycles ACQUIRE switch was pressed is acquired. 6-13

[Page 218] Format Displays an image over the full screen. Full Divides the screen into two parts, and displays two images Split simultaneously. Divides the screen into four parts, and displays four Quad Small images simultaneously. The four images are displayed in reduced form. Divides the screen into four parts, and displays four Quad Large images simultaneously. The magnification of the images is unchanged. Instead, only a part of each image is displayed. Active Window In the case of a divided screen display, the active window Manual Shift does not change when the ACQUIRE switch is pressed In the case of a divided screen display, when the Auto Shift ACQUIRE switch is pressed the active window proceeds to the next window once data acquisition is completed. Loop Mode The loops of all windows are simultaneously reset to Long match the window corresponding to the longest loop playback period, and the loops of all windows are reset simultaneously. The loops of all windows are simultaneously reset to Short match the window corresponding to the shortest loop playback period, and the loops of all windows are reset simultaneously. The loop playback period of all windows is lengthened to Align match the window corresponding to the longest playback period, and the loops of all windows are reset simultaneously. The data of the four screens is played back (loop playback) Free Run asynchronously. Window When the Format setting is made on Split, Quad Small and Active Quad Large, saving and transmission are available only for the active window. When the Format setting is made on Split, Quad Small and All Quad Large, saving and transmission are available for the all windows. Stress Echo Format(Quad) Divides the screen into 4 displays and the four images are Quad Small displayed simultaneously. Four images are displayed small in contraction. Divides the screen into 4 displays and four images are Quad Large displayed simultaneously. Displayes a part of image instead of without changing the magnifying power of image. 6-14

[Page 219] Store Saves the Stress Echo data in HDD only. HDD After saving Stress Echo data in HDD, these are MO transferred to a disk automatically. Saves the Stress Echo data to CD-R Buffer. CD-R Buffer Systolic Loop Makes Loop playback in the all screens of one heartbeat. Off Makes Loop playback in the only screen during systole. On Systolic Loop, Time Loop playback takes place from the R wave to a point 300 300ms ms after it. Loop playback takes place from the R wave to a point 330 330ms ms after it. Loop playback takes place from the R wave to a point 360 360ms ms after it. 6-15

[Page 220] 6-3-6. DICOM Store/Send, Address, Printer The DICOM Store/Send, Address, Printer function performs settings related to DICOM NETWORK and DICOM STORAGE. (1) Using the trackball, move the arrow to DICOM Store/Send, Address, Printer of the screen menu at the left side of the screen, and press the SET switch. • DICOM Store/Send conditions for Storing/sending image Communication check Setting the network server • DICOM Address 6-16

[Page 221] • DICOM Printer Communication check Setting a DICOM printer 6-17

[Page 222] DICOM Store/Send Private Tag A private tag is not provided to DICOM data output. None In saving DICOM data to a MO, a private tag is provided. Put into file In saving DICOM data to a server, a private tag is provided. Put into Network In saving DICOM data to a MO or a server, a private tag is Put into Both provided. JPEG Q Factor Sets the % compression of an image when Syntax is set to JPEG. 50 — 99 The smaller the numerical value, the higher is the % compression. Store on Disk Color Stores a color image in a disk in Palette Color. Palette Color Stores a color image in a disk in RGB. RGB B/W Stores a black and white image in a disk in MONOCHROME2. MONOCHROME2 Stores a black and white image in a disk in RGB. RGB Syntax Sets the transfer syntax for storing an image in a disk. Implicit Little, Explicit Little, RLE Lossless, JPEG Send to Storage Color Sends a color image to a network in Palette Color. Palette Color Sends a color image to a network in RGB. RGB B/W Sends a black and white image to a network in MONOCHROME2 MONOCHROME2. Sends a black and white image to a network in RGB. RGB Local Ping This function checks whether or not TCP/IP of the main equipment is operating normally. Remote Ping This function checks whether or not TCP/IP of the network *Remark server selected by Connect is operating normally in the network. Remote C-ECHO This function checks whether or not the function that supports DICOM of the network server selected by Connected exists and is operating. Work List Ping This function checks whether or not TCP/IP of the Worklist server is operating normally in a network. Work List C-ECHO This function checks whether or not the function that supports DICOM of the Worklist server exists and is operating. Connect Switches over the network server at the send destination. Local Local: SSD- α 5 main equipment Remote1 — 5 Remote1 — 5: Network server Worklist Worklist: Worklist server ** If the worklist service and the image storage service are implemented by independent Appli. Entities, the Worklist server can be registered only in Worklist. However, if one Appli. Entity is used for both the Worklist and image storage, register one of Remote1 — 5 to make it active. Appl. Entity Inputs the DICOM standard program name assigned to the main Key input equipment or a network server. Station Name Inputs the name of the computer assigned to the main equipment Key input or a network server. 6-18

[Page 223] IP Address Inputs the network address No. assigned to the main equipment Key input or a network server. Port# Inputs the TCP/IP port No. used by DICOM and assigned to the Key input main equipment or a network server. The standard setting for DICOM is 104. Router1,2 Specifies the address of the TCP/IP router. Key input If a router is not used, this item is left blank. Subnet Mask This is a TCP/IP network mask. Key input Normally, it is set to 255.255.254.0. Time Out Sets the communication time out in second units. 1 — 1000 Ping and C-ECHO can be used only when all settings for “Appl. Entity”, “Station Name” and “IP Address” of No.1 - 5 are input. When you start Ping or C-ECHO, the examination starts, so subsequently follow the instructions in the dialog box. DICOM Address Department Used to enter the name of the department in the hospital. Key input Address Used to enter the address of the hospital. Key input DICOM Printer DICOM Printer Used to make settings related to the DICOM printer. Ping This function checks whether or not TCP/IP of the * Remark DICOM printer of the selected No. is operating normally in the network. C-ECHO This function checks whether or not the function that * Remark supports DICOM of the DICOM printer of the selected No. exists and is operating. Model name Used to enter the printer name. NP-1600/1660 DRYPIX1000/3000 DRYPIX7000 DRYPRO GENERAL Appl. Entity Used to enter the name of the program in the printer Key input server. Station Name Used to enter the printer server name. Key input IP Address Used to enter the address of the network line. Key input Port # Used to enter the port number used for DICOM Key input communication. The standard setting for DICOM is 104. 6-19

[Page 224] 6-4. Preset Control Preset Control is a function that copies, rearranges and copies (to a floppy disk) setting data (settings related to im- ages and measurement) for each preset No. It is also used to copy Annotation Dictionary, Body Mark Library, Common Preset, Color Map data to a floppy disk. (1) Press the PRESET switch. → The preset list appears. (2) Using the trackball, move the arrow to Set-up of Preset , then press the SET switch. → The preset setting select list appears. (3) Using the trackball, move the arrow to Preset Control , and press the SET switch. → The Preset Control screen appears. Kind of data (List box) : Used to select and set the kind of data from Preset No., Annotation Dictionary, Body Mark Library, Common Preset and Color Map. Copy : Copies data. Move : Rearranges data. US to US : Copies data inside the equipment. To Floppy : Copies data in the equipment to a floppy disk. From Floppy : Copies data in a floppy disk into the equipment. : Select when you wish to copy or rearrange data. You cannot select this item unless data has been selected. Exit : Returns to the preset setting selection list. To select each button, move the arrow to a button using the trackball, and press the SET switch. 6-20

[Page 225] 6-4-1. Method of copying preset No. data to a floppy disk The preset name is used as the data filename. If necessary, change the preset name in the Preset Set-up Menu in advance. (1) Insert a formatted floppy disk in the equipment. (2) Set the kind of data in Preset No . (3) Select Copy . (4) Select To Floppy . (5) Select the name of the preset that you wish to copy, from the US column. → The preset name in the US column is highlighted in blue, indicating that you can select . (6) Select . → The message “In progress. Please wait.” appears. NEVER remove the floppy disk while the “In progress. Please wait.” message is displayed. (7) When copying is completed, the name of the copied preset appears in the Floppy box. 6-21

[Page 226] 6-4-2. When copying preset No. data inside the equipment (1) Select Preset No . (2) Select Copy . (3) Select US to US . (4) Select the name of the copy source preset from the left US column. (5) Select the name of copy destination preset from the right US column. (6) Select . (7) When copying is completed, the preset name on the right changes to the copy source preset name. 6-4-3. When copying Preset No. data from a floppy disk (1) Select Preset No . (2) Select Copy . (3) Select From Floppy . (4) Select the copy source preset name from the Floppy column. (5) Select the copy destination preset name from the US column. (6) Select . (7) When copying is completed, the name of the copied preset changes to the preset name in the US column. 6-22

[Page 227] 6-4-4. When rearranging Preset No. data (1) Select Preset No . (2) Select Move . (3) Select a preset name from the left US column. (4) Select a preset name from the right US column. (6) The positions of the preset name selected from the left US column and the preset name selected from the right US column are interchanged. 6-4-5. When copying data in Annotation Dictionary to a floppy disk (1) Select Annotation Dictionary . (3) Select the copy source dictionary from the US col- umn. (5) When copying is completed, the filename called Dic User* is displayed in the Floppy column. A filename is automatically assigned to the data. 6-4-6. When copying data in Annotation Dictionary from a floppy disk (1) Select Annotation Dictionary . (3) Select the copy source Dic User* from the Floppy column. (4) Select the copy destination dictionary name from the US column. (6) When copying is completed, the filename Dictio- nary* is displayed in the US column. 6-23

[Page 228] 6-4-7. When copying Body Mark Library from a floppy disk You can additionally register in the equipment up to 20 special body marks created using Body Mark Editor in a PC. (1) Select Body Mark Library . (2) Select a body mark file from the Floppy column. (3) Select a library No. from the US column. (5) When copying is completed, the filename of the body mark file appears in the US column. 6-4-8. When copying Common Preset data to a floppy disk (1) Select Common Preset . (3) Select a common preset from US . (5) When copying is completed, a filename called Common User appears in the Floppy column. 6-4-9. When copying Common Preset data from a floppy disk (1) Select Common Preset . (3) Select a common User from Floppy . (4) Select a common preset from US . 6-24

[Page 229] 6-4-10. When copying Color Map to a floppy disk (1) Select Color Map . (3) Select a color map from US . (5) When copying is completed, the filename called Color User* appears in the Floppy column. A filename is automatically assigned to the data. 6-4-11. When copying Color Map from a floppy disk (1) Select Color Map . (3) Select a color user* from Floppy . (4) Select a color map from US . 6-25

[Page 230] 6-5.Preset Set-up Menu 6-5. Preset Set-up Menu The Preset Set-Up Menu is used to set the initial values, for example, in all presets of the selected preset No. (1) Using the trackball, move the arrow to the No. corresponding to the preset in the preset setting select list whose registered contents you wish to change, then press the SET switch. → The Preset Set-Up Menu appears. Fig. Preset Set-Up Menu Preset No. : Indicates the registration number of the preset. (Corresponds to the number in the preset menu.) Preset Name : Used to register or change the name of a preset. Enter the name from the keyboard. The registered or changed name appears in the preset menu. Application : Used to select the part of the body to be examined. Study for Measurement : Used to select a measurement study corresponding to the Application to be mea- sured. Probe Select : You can register up to six kinds of probes to be connected. When a probe registered here is connected, the auto calling function calls the preset in which the probe is reg- istered. Probe List : A list of probes that can be registered is displayed. Initialize all presets : All items are initialized together according to the set application. Set the present conditions : The conditions of the currently used equipment are registered together. 6-26

[Page 231] 6-6. D ISP-B, -M,D,-Flow, -ID,Comment, -Graphics DISP-B, -M,D,-Flow, -ID,Comment, -Graphic are used to register the set conditions related to the screen display. (1) Using the trackball, move the arrow to DISP-B, -M,D, -Flow, -ID,Comment, -Graphics in the screen se- lecting menu on the left screen, and press the SET switch. • DISP-B • DISP-M, D 6-27

[Page 232] • DISP-Flow • DISP-ID, Comment • DISP-Graphics 6-28

[Page 233] DISP-B Display Mode Sets the display mode on startup. B,2B,B/M,B/D Harmonic Echo Sets the Harmonic Echo to OFF on startup. Off Sets the Harmonic Echo to ON on startup. On Display Mode, Flow Sets the Flow mode and Power Flow mode to OFF on startup. Off Sets the Flow mode to ON on startup. Flow Sets the Power Flow mode to ON on startup. Power Flow Display Mode, TDI Operates the D, Flow or Power Flow mode in the normal condition. Normal Operates the D, Flow or Power Flow mode in the TDI condition. TDI 1B Format Displays a normal B mode image in 1B mode. Normal Displays a B mode image in the 1B mode at a wide width. Wide 2B Format Displays a normal B mode image in 2B mode. Normal Displays a B mode image in the 2B mode at a wide width. Wide B/* Format Displays a normal B/sweep mode image as a left-right display. L/R, Normal Displays the sweep mode in a left-right display at a wide width. L/R, Wide Displays a normal B/sweep mode image as an upper-lower display. U/L, Normal Displays a B mode image as an upper-lower display at roughly half U/L, Wide size of sweep mode. Spectrum Size Displays the normal vertical direction of a spectrum in B/D and D Normal mode. Displays the vertical direction of a B/D or D mode spectrum at a Wide wide width. 2B Mapping Divides the cine memory in the 2B mode after an image is frozen, Off then displays the B mode image on the left half of the screen and nothing on the right. Enables you to display two B mode images side-by-side without On dividing the cine memory in the 2B mode after freezing the images. Image Direction Sets the initial scanning direction to right. Right Sets the initial scanning direction to left. Left Image Rotation Displays an image without rotating it on startup. 0 ° Displays an image after rotating it 90 ° on startup. 90 ° Displays an image after rotating it 180 ° on startup. 180 ° Displays an image after rotating it 270 ° on startup. 270 ° Triplex Mode When the B/D mode is selected, both the B and D displays are Triplex activated. When the B/D mode is selected, a B real time and D blank display B-Real appear. If the mode is switched over when a B mode image is displayed D-Real with a D cursor, the B image freezes and the D image is displayed in real time. Triplex Mode Type When Triplex Mode is selected, MSE is activated. MSE When Triplex Mode is selected, B-Refresh is activated. Refresh Depth (CV/LN/PA) Sets the display depth on startup. (When the electronic convex, 2,3,4,5,6,8,10,12,15,17, linear, and sector are connected) 19,21,24cm Scan Area (B) Sets the B mode scanning range on startup. 25 — 100% (5% Step) Scan Area (B (Flow)) Sets the B mode scanning range used in the B (Flow) mode. 25 — 100% (5% Step) Scan Area (B (Flow)/D) Sets the B mode scanning range used in the B (Flow)/D mode. 25 — 100% (5% Step) 6-29

[Page 234] DISP-M,D Position Shift Offsets the depth of the B mode image. − 10 to 24cm (0.1cmstep) Color Map (B,M) Displays a B mode or M mode image without adding color. Gray Displays an image after adding a color between blue and orange. A Displays an image after adding blue. B Displays an image after adding lighter blue than that added when B C is selected. Displays an image after adding orange. D Zoom Method When zoom is used, this item enlarges an image with reference to Center the center. Displays a zoom box on the image, then enlarges the image. Box B Shift B does not follow the shift of the cursor in the B/D mode. Off B follows the shift of the cursor in the B/D mode. On Beam Steering Sets the deflection angle of the beam of an electronic linear probe. − 30 — 30 ° (5 ° step) Steering Link The spectrum is not inverted when the polarity is changed by Off changing the deviation angle of the beam of the electronic linear probe. The spectrum is inverted when the polarity is changed by changing ON the deviation angle of the beam of the electronic linear probe. Image Polarity Displays a D mode image as a Posi display. Posi Displays a D mode image as a Nega display. Nega Sweep Speed (M) Sets the sweep speed of a M mode. 1.0,1.5,2.0,3.0,4.0,6.0, 8.0sec/Screen Sweep Speed (D) Sets the sweep speed of a D mode. 1.0,1.5,2.0,3.0,4.0,6.0, 8.0sec/Screen Echo Erase Does not use the Echo Erase function on startup. Off Sets the Echo Erase function to ON on startup. On Echo Erase Area Sets the range of the Erase when the Echo Erase is set to ON. 1 to 19 (1 Step) Cursor Display (M) The cursor is erased when a B/M display reverts to a B image. Erase The cursor remains when a B/M display reverts to a B image. Remain Cursor Display (D) The cursor is erased when a B/D display reverts to a B image. Erase The cursor remains when a B/D display reverts to a B image. Remain Cursor Position Displays the cursor on the left screen. Left Displays the cursor on the center screen. Center Displays the cursor on the right screen. Right PW Sound On Does not produce a PW sound when both the B and D modes are Off activated in the system at the same while the D-cursor is displayed on the B mode image. Produces a PW sound when both the B and D modes are activated On in the system at the same while the D-cursor is displayed on the B mode image. Sweep Method Displays the Scroll sweep method at M mode and D mode images. Scroll Displays the Moving Bar sweep method at M mode and D mode Moving Bar images. 6-30

[Page 235] DISP-Flow Flow Area (W),B (F) Sets the width of the flow area for a B (Flow) mode display. 5 to 100% (5% Step) (B mode: 100%) Flow Area (W), B (F)/* Sets the width of the flow area for a B (Flow)/D mode display. 5 to 100% (5% Step) (B mode: 100%) Flow Area (Height) Sets the height of the flow area for a B (Flow) mode and B (Flow)/D 25 to 100% (5% mode display. (B mode: 100%) Step) Flow Area Line Encloses the four corners of the flow area with a solid line. Brackets Encloses the entire flow area with a dotted line. Dotted Line Triplex VEL Range The velocity range of the D mode is the same as that of the B (Flow) Low mode display in the B (Flow)/D modes simultaneous display. When the velocity range is raised, both ranges rise in a 1: 1 ratio. The velocity range of the D mode is twice as fast as that of the B High (Flow) mode display in the B (Flow)/D modes simultaneous display. When the velocity range is raised, both ranges rise in a 1: 2 ratio. The B (Flow) velocity range is constant, and only the velocity range of B Fix a D mode image rises in the B (Flow)/D modes simultaneous display. Triplex, Frame Rate (B) Sets the interrupt time of the MSE to Low in the B (Flow)/D modes Low simultaneous display. Sets the interrupt time of the MSE to Medium in the B (Flow)/D modes Medium simultaneous display. Sets the interrupt time of the MSE to High in the B (Flow)/D modes High simultaneous display. Area Lock The Flow Area does not follow the sample volume. Off The Flow Area follows the sample volume. On Capture Time Sets the pixel holding time in the capture mode. 1sec, 2sec, 3sec The pixels are held in the capture mode until the image is frozen. Continuous Loop Point Sets the time phase automatically with the interval of R wave. One Beat Sets the time phase on the first and last frames. Manual T.B.Priority After an image is unfrozen, the trackball function that is used before Auto (FRZ Off) the image is frozen is activated again. After an image is unfrozen, the trackball function that is used before Unchanged the image is unfrozen continues to be used. T.B.Priority Activates the Search function automatically when an image is frozen. Search (FRZ On) Activates the Bodymark function automatically when an image is Bodymark frozen. Activates the Comment function automatically when an image is Comment frozen. Activates the Measurement function automatically when an image is Measurement frozen. After an image is frozen, the trackball function that is used before the Unchanged image is frozen continues to be used. Thermal Index Displays the acoustic power index as a soft tissue coefficient. TIS Displays the acoustic power index as a bone coefficient. TIB Displays the acoustic power index as a cranium coefficient. TIC 6-31

[Page 236] DISP-ID,Comment ID Input Displays the ID Name screen on startup. ID Name Displays the ID Obstetrics screen on startup. ID Obstetrics Displays the ID Gynecology screen on startup. ID Gynecology Displays the ID BSA screen on startup. ID BSA Displays the ID Urology screen on startup. ID Urology Sex Sets the sex. Male, Female, Other BSA Equation Uses Du Bois equation to calculate BSA when ID BSA is selected. Du Bois Uses Boyd equation to calculate BSA when ID BSA is selected. Boyd GA/EDC Calculation Sets the calculating methods of the gestational age and estimated date of LMP,BBT,EGA,EDC confinement when ID OB is selected. ,GA Menstrual Date Sets the input methods of the date of menstruation period when ID GYN is LMP,BBT selected. Auto Comment Off When an image is unfrozen, the comment is deleted. Erase When an image is unfrozen, the comment is not deleted. Remain Character Size The characters used in a comment are standard size. Normal The characters used in a comment are 4-time normal size. Large Annotation Library Sets the ANNOTATION function to OFF when a comment is entered. Off Sets the ANNOTATION function to ON when a comment is entered. On Annotation Dictionary Sets the dictionary function when the ANNOTATION function is set to No.1, No.2, No.3, ON. No.4, No.5, No.6 Annotation DIC. Type Annotations are displayed with full spelling. Full Spelling Annotations are displayed in abbreviated form. Abbreviation Annotation System Dic. Ready to use the System dictionary of the ANNOTATION function. Use Not ready to use the System dictionary of the ANNOTATION function. Not use Imaging Information Erases the automatic display in the image display area. Off Displays the automatic display in the image display area. On DISP-Graphic Graphic Color The character on a screen and the color of graphics are set up. A, B, C, D, E, User Puncture Guide Line Does not display puncture guide line on startup. Off Displays puncture guide line on startup. On 6-32

[Page 237] 6-7. Image 1 - 2, Focus, Post Processing Image 1 - 2, Focus, Post Processing are used to register the set conditions related to the image adjustments. (1) Using the trackball, move the arrow to Image 1 - 2, Focus, Post Processing in the screen selecting menu on the left screen, and press the SET switch. • Image 1 • Image 2 6-33

[Page 238] • Focus • Post Processing 6-34

[Page 239] Image 1 DVA (B, B/M, M) Sets the sending output for the B, B/M, and M modes. 0 to 100% (1% Step) DVA (Other) Sets the sending output for the modes other than the above. 0 to 100% (1% Step) DVA (Flow) Sets the sending output for the Flow mode. 0 to 100% (1% Step) DVA (PFlow) Sets the sending output for the Power Flow mode. 0 to 100% (1% Step) DVA (TDI) Sets the sending output for the TDI mode. 0 to 100% (1% Step) Gain (B) Sets the gain for the B mode on startup. 30 to 90dB (1dB Step) Gain (M) Sets the gain for the M mode on startup. − 30 to 30dB Set the correction value of Gain (B). (1dB Step) Gain (PHD) When Harmonic is ON, set the Gain value at your required level. − 30 to 30dB Set the correction value of Gain (B). (1dB Step) Line Density Sets a low scanning line density for the B mode. Low Sets a standard scanning line density for the B mode. Medium Sets a high scanning line density for the B mode. High PRF Limit Does not limit the frame rate for short distances. Off Limits the frame rate for short distances. On Image/FREQ The probe operates at a high frequency. Resolution (Normal) The probe operates at a slightly high frequency. Standard1 The probe operates at a slightly low frequency. Standard2 The probe operates at a low frequency. Penetration Image/FREQ (THE) When Harmonic is On, the probe starts at a high frequency. High When Harmonic is On, the probe starts at a somewhat high frequency. Resolution When Harmonic is On, the probe starts at a somewhat low frequency. Standard When Harmonic is On, the probe starts at a low frequency. Penetration View Gamma Sets the brightness characteristics of the monitor display. Linear Used for cardiac diagnosis. The curve has slightly weak brightness A characteristics. Used for cardiac diagnosis. The curve has slightly strong brightness B characteristics. Used for performing diagnosis in the abdominal region. The curve has C slightly weak brightness characteristics. Used for performing diagnosis in the abdominal region. The curve has D slightly strong brightness characteristics. Horizontal Smoothing Inter-line correlation is not applied. Off Weak inter-line correlation is applied. Low Strong inter-line correlation is applied. High FTC (B) A B mode image is not displayed with edge enhancement. Off A B mode image is displayed with edge enhancement. On FTC (M) An M mode image is not displayed with edge enhancement. Off An M mode image is displayed with edge enhancement. On Smoothing (B) With correlating pixels in a scanning direction at the same depth, it 1, 2, 3, 4, 5, 6, 7, 8 smoothes the image. Beam Processing In the B mode, multiple beams are received simultaneously and used to Multi form an image. In the B mode, the standard number of beams are used to form an image. Single Frame Smoothing Frame smoothing is not applied. Off Frame smoothing is applied. On 6-35

[Page 240] Image 2 TV SYNC Takes in not to TV synchronization intervals. Off Takes in to TV synchronization intervals. Field It takes an image in coordination with the television synchronization Frame interval for taking in to VCM. Ping Pong Does not display Ping Pong. Off Displays Ping Pong. On Frame CORRE Type Sets the frame correlation according to the frame rates of a B mode Auto image. Sets any frame correlation set by the user. Manual Frame CORRE Level Sets the correlation level of the frame to lower than the previous frame. Low Sets the correlation level of the frame to slightly lower (Medium 1) than Medium1 the previous frame. Sets the correlation level of the frame to slightly higher (Medium 2) than Medium2 the previous frame. Sets the correlation level of the frame to higher than the previous frame. High Focus Auto Focus Type When auto focus is used, the position of the focus point is held even if Unchanged the range is changed. When auto focus is used, the position of the focus point is returned to the Reset auto focus point if the range is changed. Focus (B) Displays a B mode image using 1-point auto focus. 1P Displays a B mode image using special 2-point auto focus. 2P (@) Displays a B mode image using 2-point auto focus. 2P Displays a B mode image using 3-point auto focus. 3P Focusing for a B mode image takes place at the position set by the user. Manual Manual Focus (B) Sets the focus points when Manual is selected in Focus (B). 1 to 8 (A maximum of 4 steps can be set.) Focus (M) Displays an M mode image using auto focus. Auto Focusing for an M mode image takes place at the position set by the Manual user. Manual Focus (M) Sets the focus points when Manual is selected in Focus (M). 1 to 8 (Only 1 step can be set.) Focus (D, Flow) Displays a D, Flow mode image using auto focus. Auto Focusing for a D, Flow mode image takes place at the position set by the Manual user. Manual Focus (D, Sets the focus points when Manual is selected in Focus (D, Flow). 1 to 8 (Only 1 step can Flow) be set.) 6-36

[Page 241] Post Processing Post Processing The brightness characteristics of the display are not modified in any Linear way. Echoes that are lower than the zone whose brightness is to be expanded Slope1 (0 to 63) are displayed at minimum brightness, and high echoes are displayed at maximum brightness. Echoes that are lower than the zone whose brightness is to be expanded Slope2 (0 to 63) and also high echoes are displayed at minimum brightness. The change in brightness of echoes that are lower than the zone whose Slope3 (0 to 63) brightness is to be expanded and also high echoes is compressed to 1/4. Echoes that are lower than the set level are displayed at minimum Reject (0 to 63) brightness. 6-37

[Page 242] (1) Using the trackball, move the arrow to the “+” mark shown next to Post Processing on the left screen, and press the SET switch. → IP Select (B) and (M) appear. (2) Using the trackball, move the arrow to the IP Select (B) , and press the SET switch. IP Select (B) IP Select (M) Fig. IP Select screen 6-38

[Page 243] 6-8.Body Mark 6-8. Body Mark Body Mark is used to assign the body mark. (1) Using the trackball, move the arrow to the Body Mark in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Body Mark Fig. Body Mark screen (2) Using the trackball, move the arrow to the square frame, and press the SET switch. Then using the trackball, move the arrow to the edit, and press the SET switch. (3) Using the trackball, move the arrow to the body mark to be registered, and press the SET switch. → The selected body mark is registered. (4) Select the Probe and the Position, move the arrow to Exit using the trackball, and press the SET switch. The screen returns to the Body Mark screen. 6-39

[Page 244] 6-9.Menu 6-9. Menu Menu is used to assign the menus. A maximum of 12 items of menu can be registered with Page 1 and Page 2. (1) Using the trackball, move the arrow to Menu in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Menu Fig. Menu screen <Registering the menu> (1) Using the trackball, move the arrow to the place to be registered in Page 1 or Page 2 , and press the SET (2) When you wish to insert a menu item, move the arrow to Insert with the trackball, and press the SET switch. When you wish to overwrite a menu item, move the arrow to Over Write with the trackball, and press the SET switch. (3) Using the trackball, move the arrow to Select Items and then the menu item to be registered, and press the SET switch. → The menu is registered. <Erasing the menu> (1) Using the trackball, move the arrow to the place to be erased in Page 1 or Page 2 , and press the SET switch. (2) Using the trackball, move the arrow to Delete , and press the SET switch. → The registration of the menu is canceled. 6-40

[Page 245] 6-10.Custom-Foot SW,-TB,RE,-Function SW 6-10. Custom-Foot SW,-TB,RE,-Function SW Custom-Foot SW,-TB,RE,-Function SW are used to assign the custom switches. (1) Using the trackball, move the arrow to the Custom-Foot SW,-TB,RE,-Function SW in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Custom-Foot SW • Custom-TB, RE Fig. Custom Switch screen 6-41

[Page 246] 6-10.Custom-Foot SW,-TB,RE,-Function SW • Custom-Function SW Fig. Custom Switch screen <Registering the switch> (1) Using the trackball, move the arrow to the square frame, and press the SET switch. → The following list of the items that can be registered appears. (2) Using the trackball, move the arrow to the item to be registered, and press the SET switch. → The list of the items are erased, and the selected item is registered with the Custom Switch. 6-42

[Page 247] 6-11.Physio Signal 6-11. Physio Signal Physio Signal is used to register the set conditions related to the physiological signals. (1) Using the trackball, move the arrow to the Physio Signal in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Physio Signal Fig. Physio Signal screen Physio Signal ECG Display (B) Does not display an ECG when a B mode image is displayed. Off Displays an ECG when a B mode image is displayed. On ECG Display (Sweep) Does not display an ECG when a sweep mode image is displayed. Off Displays an ECG when a sweep mode image is displayed. On R-Delay Time Sets the time phase from the R wave when the B mode image is 0.00 to 2.55sec (0.05sec Step) captured while the ECG SYNC is set to ON. R-Wave Beep Does not produce a beep sound when the R wave is detected. Off Produces a beep sound when the R wave is detected. On R-Wave Blink Does not display a mark on the image when the R wave is detected. Off Displays a mark on the image when the R wave is detected. On PCG Display(B) Does not display a PCG when a B mode image is displayed. Off Displays a PCG when a B mode image is displayed. On PCG Display(Sweep) Does not display a PCG when a sweep mode image is displayed. Off Displays a PCG when a sweep mode image is displayed. On PCG Filter Sets the PCG filter to Low. Low Sets the PCG filter to Medium1. Medium1 Sets the PCG filter to Medium2. Medium2 Pulse Display(B) Does not display a pulse when a B mode image is displayed. Off Displays a pulse when a B mode image is displayed. On Pulse Display(Sweep) Does not display a pulse when a sweep mode image is displayed. Off Displays a pulse when a sweep mode image is displayed. On Sweep Speed(B) Sets the sweep speed of phisyo signal display on a B mode image. 1.0, 1.5, 2.0, 3.0, 4.0, 6.0, 8.0sec/screen 6-43

[Page 248] 6-12.Doppler 6-12. Doppler Doppler is used to register the set conditions related to the Doppler mode. (1) Using the trackball, move the arrow to Doppler in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Doppler Fig. Doppler screen (1) Using the trackball, move the arrow to the “+” mark shown next to Doppler on the left screen, and press the SET switch. → IP Select (D) appears. (2) Using the trackball, move the arrow to IP Select (D) , and press the SET switch. • IP Select (D) 6-44

[Page 249] 6-12.Doppler Doppler DOP Gain Sets the value of the D mode gain. 0 to 60dB (1dB Step) DOP Filter (PW) Controls the Doppler filter at the filter value corresponding the Auto range of the velocity of the moving fluid. Controls the Doppler filter at the fixed filter value. Manual DOP Filter Sets the Doppler filter for the PW mode when Auto is selected in 1 to 12 (PW),AUTO DOP Filter (PW). DOP Filter Sets the Doppler filter for the PW mode when Manual is selected 50Hz,100Hz,200Hz,400Hz,800H (PW),MANU in DOP Filter (PW). z,1600Hz DOP Filter (CW) Controls the Doppler filter at the filter value corresponding the Auto range of the velocity of the moving fluid. Controls the Doppler filter at the fixed filter value. Manual DOP Filter Sets the Doppler filter for the CW mode when Auto is selected in 1 to 12 (CW),AUTO DOP Filter(CW). DOP Filter Sets the Doppler filter for the CW mode when Manual is selected 50Hz,100Hz,200Hz,400Hz,800H (CW),MANU in DOP Filter(CW). z,1600Hz Velocity Range (PW) Sets the velocity range used when the PW mode is activated. 6.22 to 318.80cm/s Velocity Range (CW) Sets the velocity range used when the CW mode is activated. 6.22 to 796.20cm/s Sample Volume Sets the sample volume used when the PW mode is activated. 0.5mm to 10.0mm (0.5mm step) High PRF Raises the flow velocity range, High PRF function does not Off operate. If the flow velocity is raised, High PRF function will operate. On Zoom Lock Zoom does not follow the display position of the sample volume. Off Zoom follows the display position of the sample volume. On Base Line Position Sets the position of the baseline used when the D mode is − 16 to 16 (1 Step) activated. Spectrum Invert Displays forward flow in the upward direction when the D mode is Normal activated. Displays forward flow in the downward direction when the D Invert mode is activated. Invert Axis Inverts the spectrum about the baseline. Base Line Inverts the spectrum about the center of the image. Center Color Map (D) Displays a D mode image without adding color. Gray Displays an image after adding a color between blue and orange. A Displays an image after adding blue. B Displays an image after adding lighter blue than that added when C B is selected. Displays an image after adding orange. D B Refresh Sets the refresh interval of a B mode image for a simultaneous B + 1 Flow/M + Flow display. Refresh takes place every 1 second. Refresh takes place every 2 second. 2 Refresh takes place every 4 second. 4 Refresh takes place every 6 second. 6 Refresh takes place every 8 second. 8 Angle Correction Registers in advance the angle correction value used when the D 0 to 80deg (1deg step) mode is activated. IP Select (D) The contrast, compression, smoothing, resolution, and image- 1 to 8 select for the D mode are registered in eight IP Select patterns. 6-45

[Page 250] 6-13. Flow Flow is used to register the set conditions related to Flow mode. (1) Using the trackball, move the arrow to Flow in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Flow Fig. Flow screen (1) Using the trackball, move the arrow to the “+” mark shown next to Flow on the left screen, and press the SET → IP Select (Flow) appears. (2) Using the trackball, move the arrow to IP Select (Flow) , and press the SET switch. • IP Select (Flow) 6-46

[Page 251] Flow Flow Gain Sets the gain for the Flow mode used on startup. 0 to 32 (1 Step) Flow Filter Sets the flow filter. 1 to 6 Image/FREQ (Flow) The probe operates at a high frequency. Resolution The probe operates at a slightly high frequency. Standard1 The probe operates at a slightly low frequency. Standard2 The probe operates at a low frequency. Penetration Line Density (F),B/W Sets a low scanning line density of the B mode when Flow is used. Low Sets a mediate scanning line density of the B mode when Flow is used. Medium Sets a high scanning line density of the B mode when Flow is used. High Line Density (F), Color Sets a low scanning line density of the Flow mode when Flow is used. Low Sets a mediate scanning line density of the Flow mode when Flow is used. Medium Sets a high scanning line density of the Flow mode when Flow is used. High Frame Rate (B+F/D) Sets the combinations of the number of scanning for the Flow mode and the Off, Medium1, Medium2, number of scanning for the B mode in the B (Flow)/D modes simultaneous Fast display. In order to reduce the number of the scanning, change OFF to FAST. Average (Flow) Sets the number of transmissions of the Flow to a low value. Low Sets the number of transmissions of the Flow to a mediate value. Medium Sets the number of transmissions of the Flow to a high value. High Velocity Range (Flow) Sets the velocity range when the Flow is activated. 6.22 to 199.2cm/s Wall Motion Reduction Sets the degree of eliminating the wall motion noise. In order to eliminate the Low,Medium1,Medium2, noise, change Low to High. High Color Map, Group Sets the group of the combinations of the velocity and the distribution of the Abdom, Cardio, PV, color for the Flow. Power, Other, User Color Map, Setting Sets the contents of the group of the combinations of the velocity and the A, B, C, D, E distribution of the color for the Flow. Spatial Smoothing With the color filter processing of color pixel information, it smoothes color Off, Low, Medium1, flow displays. Medium2, High Display Priority When both the monochrome image and the color velocity display exist when Color, Both, Color2, B + Flow mode is used, sets which information and how much information is Both2 displayed. DISP PRIO LEV, B/W Sets the threshold of displaying the monochrome image. 0 to 63 DISP PRIO LEV, Color Sets the threshold of displaying the color image. 0 to 31 Color Polarity Displays the forward direction in red, and the reverse direction in blue when Normal the Flow is used. Displays the forward direction in blue, and the reverse direction in red when Invert the Flow is used. Invert Link The color polarity does not change when the spectrum is inverted. Off The color polarity changes when the spectrum is inverted. On Rejection (Flow) Sets the level of removing the low velocity components of Flow color 0 to 15 information. Frame Rate ACCEL Displays a Flow image by the frame. Off Displays continuous images in the frame. On Pixel Smoothing (Flow) The degree of smoothing of color pixel data is set to Low. Low The degree of smoothing of color pixel data is set to Medium. Medium The degree of smoothing of color pixel data is set to High. High Noise Reduction The smoothing of color pixel data is performed, and the wall motion noise Off removal is set to OFF. The smoothing of color pixel data is performed, and the wall motion noise Low removal is set to Low. The smoothing of color pixel data is performed, and the wall motion noise Medium removal is set to Medium. The smoothing of color pixel data is performed, and the wall motion noise High removal is set to High. 6-47

[Page 252] Gain(B), B(F) Adjusts the brightness of B mode when Flow is used. -30 to +30 Gain(B), B(F)/* Adjusts the brightness of B mode when Flow is used. -30 to +30 IP Select (Flow) The frame correlation, smoothing, and image-select (Flow) for the Flow 1 to 8 mode are registered in eight IP Select patterns. 6-48

[Page 253] 6-14. Power Flow Power Flow is used to register the set conditions related to Power Flow mode. (1) Using the trackball, move the arrow to the Power Flow in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Power Flow Fig. Power Flow screen (1) Using the trackball, move the arrow to the “+” mark shown next to Power Flow on the left screen, and press the SET switch. → IP Select (Power) appears. (2) Using the trackball, move the arrow to IP Select (Power) , and press the SET switch. • IP Select (Power) 6-49

[Page 254] Power Flow Flow Gain Sets the gain for the Power Flow mode used on startup. 0 to 32 (1 Step) Flow Filter Sets the flow filter. 1 to 6 Image/FREQ (Flow) The probe operates at a high frequency. Resolution The probe operates at a slightly high frequency. Standard1 The probe operates at a slightly low frequency. Standard2 The probe operates at a low frequency. Penetration Line Density (F),B/W Sets a low scanning line density of the B mode when Power Flow is used. Low Sets a mediate scanning line density of the B mode when Power Flow is Medium used. Sets a high scanning line density of the B mode when Power Flow is used. High Line Density (F), Color Sets a low scanning line density of the Power Flow mode when Power Low Flow is used. Sets a mediate scanning line density of the Power Flow mode when Power Medium Flow is used. Sets a high scanning line density of the Power Flow mode when Power High Flow is used. Frame Rate (B+F/D) Sets the combinations of the number of scanning for the Power Flow mode Off,Medium1,Medium2,Fast and the number of scanning for the B mode in the B (Flow)/D modes simultaneous display. In order to reduce the number of the scanning, change OFF to FAST. Average (Flow) Sets the number of transmissions of the Power Flow to a low value. Low Sets the number of transmissions of the Power Flow to a mediate value. Medium Sets the number of transmissions of the Power Flow to a high value. High Velocity Range (Flow) Sets the velocity range when the Power Flow is activated. 6.22 to 199.2cm/s Wall Motion Reduction Sets the degree of eliminating the wall motion noise. In order to eliminate Low,Medium1,Medium2, the noise, change Low to High. High Color Map, Group Sets the group of the combinations of the velocity and the distribution of Abdom, Cardio, PV, Power, the color for the Power Flow. Other, User Color Map, Setting Sets the contents of the group of the combinations of the velocity and the A,B,C,D,E distribution of the color for the Power Flow. Spatial Smoothing With the color filter processing of color pixel information, it smoothes Off, Low, Medium1, color flow displays. Medium2, High Display Priority When both the monochrome image and the color velocity display exist Color,Both,Color2,Both2 when B + Power Flow mode is used, sets which information and how much information is displayed. DISP PRIO LEV, Sets the threshold of displaying the monochrome image. 0 to 63 B/W DISP PRIO LEV, Color Sets the threshold of displaying the color image. 0 to 31 Power Flow Display Adds a background color to a Power Flow image. PF A Does not add a background color to a Power Flow image. PF B Frame Rate ACCEL Displays a Flow image by the frame. Off Displays continuous images in the frame. On Pixel Smoothing (Flow) The degree of smoothing of color pixel data is set to Low. Low The degree of smoothing of color pixel data is set to Medium. Medium The degree of smoothing of color pixel data is set to High. High Noise Reduction The smoothing of color pixel data is performed, and the wall motion noise Off removal is set to OFF. The smoothing of color pixel data is performed, and the wall motion noise Low removal is set to Low. The smoothing of color pixel data is performed, and the wall motion noise Medium removal is set to Medium. The smoothing of color pixel data is performed, and the wall motion noise High removal is set to High. Gain(B), B(F) Adjusts the brightness of B mode when Flow is used. -30 to +30 6-50

[Page 255] Gain(B), B(F)/* Adjusts the brightness of B mode when Flow is used. -30 to +30 IP Select (Power) The frame correlation, smoothing, and image-select (Power Flow) for the 1 to 8 Power Flow mode are registered in eight IP Select patterns. 6-51

[Page 256] 6-15.Tissue Doppler 6-15. Tissue Doppler Tissue Doppler is used to register the set conditions related to the Tissue Doppler mode. (1) Using the trackball, move the arrow to the Tissue Doppler in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Tissue Doppler Fig. Tissue Doppler screen (1) Using the trackball, move the arrow to the “+” mark shown next to Tissue Doppler on the left screen, and press the SET switch. → IP Select (D) appears. (2) Using the trackball, move the arrow toe IP Select (D) , and press the SET switch. • IP Select (D) 6-52

[Page 257] 6-15.Tissue Doppler Tissue Doppler DOP Gain Sets the value of the Tissue Doppler mode gain. 0 to 60dB (1dB Step) DOP Filter (PW) Controls the tissue Doppler at the filter value corresponding Auto the range of the velocity of the moving fluid. Controls the tissue Doppler at the fixed filter value. Manual DOP Filter Sets the Doppler filter for the PW mode when Auto is selected 1 to 12 (PW),AUTO in DOP Filter (PW). DOP Filter Sets the Doppler filter for the PW mode when Manual is 50Hz,100Hz,200Hz,400Hz, (PW),MANU selected in DOP Filter (PW). 800Hz,1600Hz Velocity Range (PW) Sets the velocity range used when the PW mode is activated. 6.22 to 318.80cm/s Sample Volume Sets the sample volume used when the PW mode is activated. 0.5mm to 10.0mm (0.5mmstep) Zoom Lock Zoom does not follow the display position of the sample Off volume. Zoom follows the display position of the sample volume. On Base Line Position Sets the position of the baseline used when the Tissue Dop − 16 to 16 (1step) mode is activated. Spectrum Invert Displays forward flow in the upward direction when the D Normal mode is activated. Displays forward flow in the downward direction when the D Invert mode is activated. Invert Axis Inverts the spectrum about the baseline. Base Line Inverts the spectrum about the center of the image. Center Color Map (D) Displays a Tissue Doppler mode image without adding color. Gray Displays an image after adding a color between blue and A orange. Displays an image after adding blue. B Displays an image after adding lighter blue than that added C when B is selected. Displays an image after adding orange. D B Refresh Sets the refresh interval of a B mode image for a simultaneous 1 B + Flow/M + Flow display. Refresh takes place every 1 second. Refresh takes place every 2 seconds. 2 Refresh takes place every 4 seconds. 4 Refresh takes place every 6 seconds. 6 Refresh takes place every 8 seconds. 8 Angle Correction Registers in advance the angle correction value used when the 0 to 80deg (1deg step) D mode is activated. IP Select (D) The contrast, compression, smoothing, resolution, and image- 1 to 8 select (D) for the Tissue Doppler mode are registered in eight IP Select patterns. 6-53

[Page 258] 6-16.Tissue Flow 6-16. Tissue Flow Tissue Flow is used to register the set conditions related to the Tissue Flow mode. (1) Using the trackball, move the arrow to the Tissue Flow in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Tissue Flow Fig. Tissue Flow screen (1) Using the trackball, move the arrow to the “+” mark shown next to Tissue Flow on the left screen, and press the SET switch. → IP Select (Flow) appears. (2) Using the trackball, move the arrow to IP Select (Flow) , and press the SET switch. • IP Select (Flow) 6-54

[Page 259] 6-16.Tissue Flow Tissue Flow Flow Gain Sets the gain for the Tissue Flow mode used on startup. 0 to 32 (1 Step) Flow Filter Sets the flow filter. 1 to 2 Image/FREQ (Flow) The probe operates at a high frequency. Resolution The probe operates at a slightly high frequency. Standard1 The probe operates at a slightly low frequency. Standard2 The probe operates at a low frequency. Penetration Line Density (F), Sets a low scanning line density of the B mode when Tissue Flow is used. Low B/W Sets a mediate scanning line density of the B mode when Tissue Flow is used. Medium Sets a high scanning line density of the B mode when Tissue Flow is used. High Line Density (F), Sets a low scanning line density of the Tissue Flow mode when Tissue Flow is used. Low Color Sets a mediate scanning line density of the Tissue Flow mode when Tissue Flow is used. Medium Sets a high scanning line density of the Tissue Flow mode when Tissue Flow is used. High Frame Rate (B+F/D) Sets the combinations of the number of scanning for the Tissue Flow mode and the Off, Medium1, number of scanning for the B mode in the B (Flow)/D modes simultaneous display. In Medium2, Fast order to reduce the number of the scanning, change OFF to FAST. Average (Flow) Sets the number of transmissions of the Tissue Flow to a low value. Low Sets the number of transmissions of the Tissue Flow to a mediate value. Medium Sets the number of transmissions of the Tissue Flow to a high value. High Velocity Range (Flow) Sets the velocity range when the Tissue Flow is activated. 6.22 to 199.2cm/s Color Map, Group Sets the group of the combinations of the velocity and the distribution of the color for Abdom, Cardio, PV, the Tissue Flow. Power, Other, User Color Map, Setting Sets the contents of the group of the combinations of the velocity and the distribution of A, B, C, D, E the color for the Tissue Flow. Spatial Smoothing With the color filter processing of color pixel information, it smoothes color flow Off, Low, displays. Medium1, Medium2, High Display Priority When both the monochrome image and the color velocity display exist when B + Tissue Color,Both,Color2, Flow mode is used, sets which information and how much information is displayed. Both2 DISP PRIO LEV, Sets the threshold of displaying the monochrome image. 0 to 63 B/W DISP PRIO LEV, Color Sets the threshold of displaying the color image. 0 to 31 Color Polarity Displays the forward direction in red, and the reverse direction in blue when the Tissue Normal Flow is used. Displays the forward direction in blue, and the reverse direction in red when the Tissue Invert Flow is used. Invert Link The color polarity does not change when the spectrum is inverted. Off The color polarity changes when the spectrum is inverted. On Rejection (Flow) Sets the level of removing the low velocity components of Tissue Flow color 0 to 15 information. Frame Rate ACCEL Displays a Flow image by the frame. Off Displays continuous images in the frame. On Pixel Smoothing (Flow) The degree of smoothing of color pixel data is set to Low. Low The degree of smoothing of color pixel data is set to Medium. Medium The degree of smoothing of color pixel data is set to High. High Gain(B), B(F) Adjusts the brightness of B mode when Flow is used. -30 to +30 Gain(B), B(F)/* Adjusts the brightness of B mode when Flow is used. -30 to +30 IP Select (Flow) The frame correlation, smoothing, and image-select (Flow) for the Tissue Flow mode 1 to 8 are registered in eight IP Select patterns. 6-55

[Page 260] 6-17.Tissue Power Flow 6-17. Tissue Power Flow Tissue Power Flow is used to register the set conditions related to Tissue Power Flow mode. (1) Using the trackball, move the arrow to the Tissue Power Flow in the screen selecting menu on the left screen, and press the SET switch. The following screen appears. • Tissue Power Flow Fig. Tissue Power Flow screen (1) Using the trackball, move the arrow to the “+” mark shown next to Tissue Power Flow on the left screen, and press the SET switch. → IP Select (Power) appears. (2) Using the trackball, move the arrow to IP Select (Power) , and press the SET switch. • IP Select (Power) 6-56

[Page 261] 6-17.Tissue Power Flow Tissue Power Flow Flow Gain Sets the gain for the Tissue Power Flow mode used on startup. 0 to 32 (1 Step) Flow Filter Sets the flow filter. 1 to 2 Image/FREQ (Flow) The probe operates at a high frequency. Resolution The probe operates at a slightly high frequency. Standard1 The probe operates at a slightly low frequency. Standard2 The probe operates at a low frequency. Penetration Line Density (F), Sets a low scanning line density of the B mode when Tissue Power Flow Low B/W is used. Sets a mediate scanning line density of the B mode when Tissue Power Medium Flow is used. Sets a high scanning line density of the B mode when Tissue Power Flow High is used. Line Density (F), Color Sets a low scanning line density of the Tissue Power Flow mode when Low Tissue Power Flow is used. Sets a mediate scanning line density of the Tissue Power Flow mode Medium when Tissue Power Flow is used. Sets a high scanning line density of the Tissue Power Flow mode when High Tissue Power Flow is used. Frame Rate (B+F/D) Sets the combinations of the number of scanning for the Tissue Power Off, Medium1, Medium2, Fast Flow mode and the number of scanning for the B mode in the B (Flow)/D modes simultaneous display. In order to reduce the number of the scanning, change OFF to FAST. Average (Flow) Sets the number of transmissions of the Tissue Power Flow to a low Low value. Sets the number of transmissions of the Tissue Power Flow to a mediate Medium value. Sets the number of transmissions of the Tissue Power Flow to a high High value. Velocity Range (Flow) Sets the velocity range when the Tissue Power Flow is activated. 6.22 to 199.2cm/s Color Map, Group Sets the group of the combinations of the velocity and the distribution of Abdom, Cardio, PV, Power, the color for the Tissue Power Flow. Other, User Color Map, Setting Sets the contents of the group of the combinations of the velocity and the A,B,C,D,E distribution of the color for the Tissue Power Flow. Spatial Smoothing With the color filter processing of color pixel information, it smoothes Off, Low, Medium1, color flow displays. Medium2, High Display Priority When both the monochrome image and the color velocity display exist Color,Both,Color2,Both2 when B + Tissue Power Flow mode is used, sets which information and how much information is displayed. DISP PRIO LEV, Sets the threshold of displaying the monochrome image. 0 to 63 B/W DISP PRIO LEV, Color Sets the threshold of displaying the color image. 0 to 31 Power Flow Display Adds a background color to a Tissue Power Flow image. PF A Does not add a background color to a Tissue Power Flow image. PF B Frame Rate ACCEL Displays a Flow image by the frame. Off Displays continuous images in the frame. On Pixel Smoothing (Flow) The degree of smoothing of color pixel data is set to Low. Low The degree of smoothing of color pixel data is set to Medium. Medium The degree of smoothing of color pixel data is set to High. High Gain(B), B(F) Adjusts the brightness of B mode when Flow is used. -30 to +30 Gain(B), B(F)/* Adjusts the brightness of B mode when Flow is used. -30 to +30 IP Select (Power) The frame correlation, smoothing, and image-select (Power) for the 1 to 8 Tissue Power Flow mode are registered in eight IP Select patterns. 6-57

[Page 262] 6-18.Stress Echo(Option: EU-9083 is necessary) 6-18. Stress Echo(Option: EU-9083 is necessary) Stress Echo is a setting related to the Stress Echo mode. (1) Using the trackball, move the arrow to Stress Echo of the screen select menu at the left side of the screen, and press the SET switch. The following screen appears. • Stress Echo Fig. Stress Echo screen Stress Echo Protocol Sets the protocol when performing a stress echo examination. Exercise, 2 phase Exercise, 4 phase Phermacological, BLPR Phermacological, BLMP User Stage 1 — 8 Displays a predetermined stage name when the setting of Protocol is not (Key input, 32 characters) User. When the setting of Protocol is User, you can enter the stage name from the keyboard. View 1 — 4 Displays a predetermined view name when the setting of Protocol is not (Key input, 16 characters) User. When the setting of Protocol is User, you can enter the view name from the keyboard. 6-58

[Page 263] 6-19.eStress Echo (Option: EU-9111 is necessary) 6-19. eStress Echo ( Option: EU-9111 is necessary ) eStress Echo is a setting related to the Stress Echo mode. (1) Using the trackball, move the arrow to eStress Echo of the screen select menu at the left side of the screen, and press the SET switch. The following screen appears. • eStress Echo1 Fig. eStress Echo1 screen • eStress Echo2 Fig. eStress Echo2 screen 6-59

[Page 264] 6-19.eStress Echo (Option: EU-9111 is necessary) eStress Echo1 Protocol Sets the protocol when performing a stress echo examination. Template Acquision, Continuous Acquision Protocol Name Sets the protocol. *Remark Template Acquision ECG Cycle Sets the ECG Cycle. Next Cycles, Previous Cycles Stage(Fixed Sets the Stage name. *Remark Sequence) View Sets the View name. *Remark eStressEcho2 Continuos Acquision Protocol Name Sets the protocol. *Remark ECG Cycle Sets the ECG Cycle. Next Cycles, Previous Cycles Stage Sets the Stage name. *Remark View Sets the View name. *Remark As for the setting items of Protocol Name, Stage, and View, refer to Section 2-6-5. “LOAD(STRESS ECHO)”. 6-60

[Page 265] I N D E X ( H o w t o U s e ) M-WINDOW function 1-51 Numerics Simultaneous display of plural free angular M-mode 1B Format 6-29 cursors 1-53 2B Format 6-29 B/SYNC Mode 4-2,5-8 2B Mapping 6-29 Base Line Position 6-45,6-53 Baseline Shift(Flow) 5-7 A Beam Processing 5-5,6-35 ACOUSTIC POWER 1-3 Beam Steering 5-8,6-30 ACQUIRE 1-3 Before Starting an Examination 1-35 ACQUIRE -> SEND 5-9 BODY MARK 1-4 ACQUIRE -> Store (HDD) 5-9 Body Mark 6-39 ACQUIRE -> Store (MO) 5-9 Body Mark Library 6-20,6-24 Acquiring an image to the VCM 2-28 Body Mark Location 5-8 Acquiring an image using the FREEZE switch 2-30 Body Mark Menu 5-8 Actions to be taken when a defect is detected 1-61 Brachytherapy 5-5 AGC 5-5,5-6 BSA Equation 6-32 Alarm 6-7 ANGLE 1-4 C Angle Correction 6-45,6-53 CANCEL 1-5 Angle Gain 5-5 Capture Mode 5-7 Annotation DIC. Type 6-32 Capture Time 5-7,6-31 Annotation Dictionary 6-20,6-23,6-32 C-ECHO 6-19 Annotation Library 6-32 Character Size 5-8,6-32 Application 6-26 Cine Memory 2-1 Archive Group 1 5-9 Basic Operation Procedure 2-4 Archive Group 2 5-9 Searching or scrolling B, M or D mode image 2-4 Archive Group 3 5-9 Searching or scrolling B/M or B/D mode images 2-4 Area Lock 5-8,6-31 Search number 2-3 Auto Comment Off 6-32 Cine Memory and store image 2-1 Auto Focus Type 6-36 Cine scale and search mark 2-5 Average(Flow) 5-7,6-47,6-50,6-55,6-57 CLEAR 1-5 Color Coding Editor 5-8 B Color Map 6-25 B Mode 1-48 Color Map(B,M) 5-8,6-30 2B MAPPING 1-49 Color Map(D) 5-6,6-45,6-53 2-screen display 1-48 Color Map(Flow) 5-7 Basic Operation Procedure 1-48 Color Map,Group 6-47,6-50,6-55,6-57 Single screen display 1-48 Color Map,Setting 6-47,6-50,6-55,6-57 B Refresh 5-7,6-45,6-53 Color Polarity 5-7,5-40,6-47,6-55 B Shift 6-30 COMMENT 1-6 B.L.S 1-10 Comment Position 6-6 B/* Format 6-29 Common items for all the ID entry screens 1-38 B/D and D Modes 1-55 Common Preset 6-5 Basic operation procedure 1-56 Common Preset1 - 3 6-5 B/M and M Modes 1-50 Compression Curve(D) 5-6 Basic operation procedure 1-50 Connect 6-18 Cursor display for a free angular M-mode minor axis CONTRAST 1-10 cross-section image 1-54 CURSOR 1-10 Example Cursor Display 6-30 When displaying three M cursors 1-53 Cursor Position 6-30 Free angular M-mode 1-52 CURSOR/B.L.S 1-10

[Page 266] Custom Switch Flow Gain 6-47,6-50,6-55,6-57 Registering the switch 6-42 FOCUS 1-13 Focus(B) 5-5,6-36 D Focus(D) 5-6 Focus(D,Flow) 6-36 D Modes 1-55 Focus(Flow) 5-7 Data Management 1-45 Focus(M) 5-6,6-36 Date 6-6 Frame CORRE 5-5,5-7 Date Format 6-6 Frame CORRE LEV. 5-5,6-36 DDD 1-11,5-7 Frame CORRE Type 5-5,6-36 Deleting a character 1-9 FRAME RATE 1-14,5-7 Deleting a word 1-9 Frame Rate 6-47,6-50,6-55,6-57 DEPTH 1-12 Frame Rate Accelerator 5-7,6-47,6-50,6-55,6-57 Depth(CV/LN/PA) 6-29 Frame Smoothing 6-35 DEPTH/RANGE 1-12 FREEZE 1-15 DICOM Printer 2-26,6-19 FTC 5-5,5-6,6-35 DICOM Printer(S) 5-48 Full keyboard 1-34 DICOM Storage 2-16 Full keyboard function 1-34 DICOM Store/Send, Address, Printer 6-16 DISP Priority Level 5-7 Display Mode 6-29 G Display Priority 5-7,6-47,6-50,6-55,6-57 GA/EDC Calculation 6-32 Displaying a stress echo image 2-46 GAIN 1-15 DOP FILTER 1-12 Gain(B) 6-35 DOP Filter 6-45,6-53 Gain(M) 6-35 DOP Gain 6-45,6-53 Gain(PHD) 6-35 Doppler 6-44,6-45 Graphic Color 5-8,6-32 Setting IP Select 6-44 Graphic Display 1-2 DVA 6-35 Graphic Editor 5-8 Guide Line Setting 5-5 ECG Display 5-8,6-43 H ECG Display(Sweep) 6-43 Handling the instrument 1-61 ECG SYNC 5-8 HARMONIC ECHO 1-16 ECG Sync Display 4-2 Harmonic Echo 5-5,5-17,6-29 Echo Erase 5-6,6-30 High PRF 6-45 Echo Erase Area 6-30 Horizontal SMOOTH(B) 5-5,5-18 Ensuring patient safety 1-61 Hospital Name 6-6 eStress Echo 6-59 How to register a patient 1-41 Explanation of an ID entry screen 1-35 EXT 1-13 I ID 1-16,1-35 F ID Input 1-36,6-32 Filter Control(D) 5-6 Image 1 - 3 6-33 Find 1-43 Setting IP Select 6-38 Flow 6-46 Image Browser, Disk 6-7 Setting IP Select 6-46 Image Browser, Page 6-7 Flow Area 6-31 Image Direction 6-29 Flow Area Line 6-31 Image Information 1-40 Flow Display 1-58 Image Polarity 2-26,6-30 Basic operation procedure 1-58 Image Polarity(D) 5-6 Monochrome/Color real-time images simultaneous display Image Rotation 1-29,6-29 1-59 Image Rotation(B) 5-5 Flow Filter 5-7,6-47,6-50,6-55,6-57 Image Select(D) 5-6

[Page 267] Image Select(Flow) 5-7 Focus(B) 5-15 IMAGE/FREQ 1-17 Frame CORRE 5-15 Image/FREQ 6-35,6-47,6-50,6-55,6-57 Frame CORRE LEV. 5-15 Imaging Information 5-8,6-32 Frame CORRE Type 5-16 Interrupting a stress echo examination 2-46 FTC 5-16 INVERT 1-18,5-8 Guide Line Setting 5-17 Invert Axis 6-45,6-53 Image Rotation(B) 5-18 Invert Link 5-8,6-47,6-55 Line Density(B) 5-18 IP Select(B) 6-38 Loop Mode 5-18 IP Select(D) 6-44,6-45,6-53 Manual Focus(B) 5-19 IP Select(Flow) 6-46,6-48,6-55 PRF Limit 5-19 IP SELECT(Image Processing Select) 1-19 Puncture Guide Line 5-20 IP Select(M) 6-38 Relief(B) 5-20 IP Select(Power) 6-49,6-51,6-56,6-57 Smoothing(B) 5-20 Items varied depending on ID types 1-38 Color Mode (VCM) 5-50 D mode menu/TDI-D menu 5-6 J D mode/TDI-D menu 5-24 Color Map(D) 5-24 JPEG Q Factor 6-18 Compression Curve(D) 5-24 Filter Control(D) 5-24 Focus(D) 5-25 Line Density 6-35 Image Polarity(D) 5-25 Line Density(B) 5-5 Image Select(D) 5-25 Line Density(F),B/W 6-47,6-50,6-57 Manual Focus(D) 5-26 Line Density(F),Color 6-47,6-50,6-57 Resolution Select(D) 5-26 Load 2-15 Smoothing(D) 5-26 Loop Mode 2-7,5-5 Sweep Speed(D) 5-27 Loop playback function 2-6 ECG Cycle(VCM) 5-50 Method of performing loop playback 2-6 FAM Menu 5-58 Method of setting the loop playback range 2-6 Active FAM Off 5-58 Simultaneous loop playback of 2B images 2-7 Contrast(FAM) 5-58 Loop Point 6-31 Cursor Size 5-58 FAM Mode 5-58 M Gamma(FAM) 5-58 M Modes 1-50 Magnification(FAM) 5-59 Manual Focus(B) 5-5,6-36 Multi FAM 5-59 Manual Focus(D) 5-6 PSAX 5-59 Manual Focus(D,Flow) 6-36 Sweep Speed(FAM) 5-59 Manual Focus(Flow) 5-7 FAM menu 5-12 Manual Focus(M) 5-6,6-36 Flow menu 5-7 MEASUREMENT 1-19,1-48 FLOW/Power Flow/TDI Flow/TDI Power Flow menu Menstrual Date 6-32 5-28 MENU 1-20 Average(Flow) 5-28 Menu 5-1,6-40 B Refresh 5-28 Erasing the menu 6-40 Baseline Shift(Flow) 5-28 Registering the menu 6-40 Capture Mode 5-29 Menu Contents 5-5 Capture Time 5-29 Acquire Data Cancel 5-56 Color Map(Flow) 5-29 ActiveWindow Shift 5-50 Color Polarity 5-30 B mode menu 5-5,5-13 DDD 5-30 AGC 5-13 DISP Priority Level 5-31 Angle Gain 5-13 Display Priority 5-31 Beam Processing 5-13 Flow Filter 5-31 Brachytherapy 5-14 Focus(Flow) 5-32

[Page 268] Frame CORRE 5-32 R-Delay Time 5-44 Frame Rate 5-32 Send to Storage(S) 5-44 Frame Rate Accelerator 5-33 Steering invert 5-45 Image Select(Flow) 5-33 Steering Link 5-45 Manual Focus(Flow) 5-34 Store on FDD(S) 5-46 Noise Reduction(FLOW) 5-34 Store on HDD(S) 5-46 Pixel Smoothing(Flow) 5-34 Store on MO(S) 5-45 Rejection(Flow) 5-34 Thermal Index 5-47 Smoothing(Flow) 5-35 View Gamma 5-47 Wall Motion Reduction 5-35 Zoom Lock 5-47 Format (VCM) 5-51 Pause Protocol 5-55 Format(Quad) 5-57 PCG Display 5-40 Frame Rate (VCM) 5-51 PCG Filter 5-41 Label 5-56 Pixel Smoothing (B) 5-19 Load 5-51 Power Flow menu 5-7 Load Again 5-52 Priority Cycle Select 5-56 Load Next 5-52 Protocol 5-55 Load Previous 5-52 Protocol Select 5-53 Load(Stress Echo) 5-51 Pulse Display 5-44 Loop Mode (VCM) 5-52 Quad Position 5-53 M mode menu 5-6,5-21 Quad Position Setup 5-53 AGC 5-21 Send to Storage 5-53 Echo Erase 5-21 Shuffle 5-57 Focus(M) 5-21 Skip View 5-56 FTC 5-22 Store (Stress Echo) 5-54 Manual Focus(M) 5-22 Store on Disk 5-54 Relief(M) 5-22 Stress Acquire 5-56 Sweep Speed(M) 5-23 Stress Echo Control 5-55 Other menu 5-8,5-36 Stress Mode 5-54 ACQUIRE -> SEND 5-49 Systolic Loop 5-57 ACQUIRE -> Store (HDD) 5-48 Systolic Loop,Time 5-57 ACQUIRE -> Store (MO) 5-48 TDI Flow menu 5-7 Archive Group1 5-48 TDI Power menu 5-7 Archive Group2 5-48 TDI-D menu 5-6,5-24 Archive Group3 5-48 Timer 5-56 Area Lock 5-36 User Protocol 5-55 B/SYNC Mode 5-37 VCM menu 5-9,5-50 Beam Steering 5-36 Zoom (VCM) 5-55 Body Mark Location 5-36 Menu Display Method 6-7 Body Mark Menu 5-36 Menu Display on Print 6-7 Character Size 5-37 Menu Location 5-8 Coding Editor 5-37 Menu setting operations 5-1 Color Map(B,M) 5-37 Method of copying preset No. data to a floppy disk 6-21 ECG Display 5-38 Method of Displaying Physiological Signals 4-1 ECG SYNC 5-38 MODE 1-20 Graphic Color 5-38 Moving a word 1-8 Graphic Editor 5-39 Imaging Information 5-39 N INVERT 5-40 Noise Reduction 6-47,6-50 Invert Link 5-40 Noise Reduction(FLOW) 5-7 Menu Location 5-40 Number of Print 6-7 Post Processing 5-41 Post Processing Level 5-43 R Wave Beep 5-44

[Page 269] O R Operating the various switches 1-3 RANGE 1-12 Operation Method 1-1 R-Delay Time 4-2,5-8,6-43 Operation panel 1-1 Read Zoom 1-33 Operations using the panel switches on the SSD-a5 side Reading image data in the VCM 2-38 3-2 REC 1-25,3-1 Playback 3-2 Recording and playing back images on a VCR 3-1 Recording 3-2 Recording Images 3-1 Search 3-3 Recording to a printer 3-1 Registering keywords and words 1-7 P Reject 5-41 Rejection(Flow) Panel Beep 6-7 5-7,6-47,6-55 Patient Information 1-36 Relief(B) 5-5 PC Printer 5-47 Relief(M) 5-6 Physiological Signals 4-1 Remote C-ECHO 6-18 Remote Ping Ping 6-19 6-18 REPORT Ping Pong 6-36 1-25 Pixel Smoothing(Flow) 5-7,6-47,6-50,6-55,6-57 Request function 1-21 Position Shift 6-30 Resolution Select(D) 5-6 Post Processing 5-8,6-37 Resume 6-6 Post Processing Level 5-8 REVIEW 1-25 Power Flow 5-28,6-49,6-50 Review Function 2-14 Setting IP Select 6-49 Image Browser 2-14 Power Flow Display 6-50,6-57 Basic operation 2-14 Power Flow display 1-60 Description of each button on the Image Browser screen 2-15 Basic operation 1-60 Reading an image from an CD-R Buffer, MO disk or Preparations for a stress echo examination 2-41 CD-R disk 2-17 PRESET 1-23 Reading an image from the hard disk in the equipment Preset 6-1 2-16 PRESET function 6-1 ROTAT 1-29 Preset Control 6-20 R-Wave Beep 6-43 Preset Name 6-26 R-Wave Blink 6-43 Preset No. 6-21,6-22,6-23,6-26 Preset Set-up Menu 6-26 PRF Limit 5-5,6-35 PRINT 1-23 SAMPLE VOLUME 1-26,6-45,6-53 Print Select 6-10 Saving a loop images to a Hard disk 2-37 Printer Select(B/W) 6-7 SCAN AREA 1-26 Printer Select(Color) 6-7 Scan Area(B(Flow)) 6-29 Printing a VCR Image 3-3 Scan Area(B(Flow)/D) 6-29 Printing an image 2-25 Scan Area(B) 6-29 Printing data on a DICOM printer 2-25 scroll function 2-2 Printing on a local printer 2-25 SEARCH 1-27,1-35 Setting the printing conditions 2-26 Search box 2-32 PROBE 1-24 Search function 1-42 Probe List 6-26 Search function and scroll function 2-2 Probe list 6-4 SELECT 1-27 Probe Menu 6-8 Send to Storage 2-13,6-18 Probe Select 6-4,6-26 Send to Storage(S) 5-8 Procedure for Changing the Set Contents 6-2 Sending loop images to a network 2-35 Puncture Guide Line 5-5,6-32 Series/Image Information 1-40 PW Sound On 6-30 Setting a protocol 2-41 Setting Procedure 5-2

[Page 270] Moving a sub-menu 5-3 Sweep Speed(M) 5-6,6-30 Sub-menus 5-3 Switches used for menu setting operations 5-1 Setting the start and end frames 2-33 Syntax 6-18 Slope 5-41 Smoothing 2-26 T Smoothing(B) 5-5,6-35 T.B. Speed 6-6 Smoothing(D) 5-6 T.B.Priority(FRZ Off) 6-31 Smoothing(Flow) 5-7 T.B.Priority(FRZ On) 6-31 Spectrum Invert 6-45,6-53 TDI Flow 5-28,5-31 Spectrum Size 6-29 TDI POWER FLOW MENU 5-28 Starting a stress echo examination 2-44 Thermal Index 5-9,6-31 STC 1-28 Time 6-6 STEER 1-29 Timer Freeze 6-6 STEER/ROTAT 1-29 Timer Freeze,Time 6-6 Steering invert 1-29,5-8 Tissue Doppler 6-52 Steering Link 5-8,6-30 Setting IP Select 6-52 STORE 1-28 Tissue Doppler Imaging display 1-60 Store on CD-R Buffer(JPG) 5-46 Basic operation procedure 1-60 Store on CD-R Buffer(M) 5-46 TDI display 1-60 Store on CD-R BUFFER(S) 2-12 Tissue Flow 6-54 Store on CD-R Buffer(S) 5-46 Setting IP Select 6-54 Store on Disk 6-18 Tissue Power Flow 6-56 Store on Disk(S) 5-8,5-9 Setting IP Select 6-56 Store on HDD(S) 2-12,5-9 Triplex Mode 6-29 Store on Disk(JPG) 5-45 Triplex Mode Type 6-29 Store on MO(JPG) 2-12 Triplex VEL Range 6-31 Store on MO(S) 2-11 Triplex,Frame Rate(B) 6-31 Store/Send 2-8 TV SYNC 5-54,6-36 Basic Operation Procedure 2-11 Saving images with Menu 2-13 Saving images with STORE switch 2-11 Unit 6-6 Storing an image 2-20 CD-R Disk 2-21,2-24 MO or FD disk 2-23 V Network sending 2-22 VCM(Option : EU-9083 is necessary) 6-11 Storing an image in the BMP, TIFF or JPEG format 2-23 VCM(Option : EU-9111 is necessary) 6-13 Storing an image in the DICOM format 2-20 VEL RANGE 1-31 Storing loop images to an MO disk 2-34 Velocity Range(Flow) 6-47,6-50,6-55,6-57 Stress Echo 6-58 Velocity Range(PW) 6-45,6-53 Load 2-64 Video IN 6-7 Operating Examples for taking in Images 2-51 Video OUT, Color Burst 6-7 Operating examples of Shuffle 2-58 View Gamma 5-9,6-35 Operating examples of Store 2-63 Other Functions 2-57 W Preparations before Taking in Images 2-51 Wall Motion Reduction 6-47,6-50 When a Protocol Type is Template Acquisition 2-51 When copying Body Mark Library from a floppy disk 6-24 When Protocol Type is a Continuous Acquisition 2-54 When copying Color Map from a floppy disk 6-25 Stress Echo Examination 2-41,2-49 When copying Common Preset data from a floppy disk Study for Measurement 6-26 6-24 Study Information 1-38 When copying Common Preset data to a floppy disk 6-24 Sweep Method 6-30 When copying data in Annotation Dictionary from a floppy SWEEP SPEED 1-30 disk 6-23 Sweep Speed(D) 5-6,6-30 Sweep Speed(FAM) 5-12

[Page 271] When copying data in Annotation Dictionary to a floppy disk 6-23 When copying Preset No. data from a floppy disk 6-22 When copying preset No. data inside the equipment 6-22 When deleting the patient information 1-47 When operating it by the main part side of VCR 3-1 Playback 3-2 Recording 3-1 When reading the patient information from the external medium into the system 1-46 When rearranging Preset No. data 6-23 When storing the patient information from the system into the external medium 1-46 Work List C-ECHO 6-18 Work List Ping 6-18 ZOOM 1-31 Zoom Lock 5-9,6-45,6-53 Zoom Method 6-30

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[Page 274] MANUFACTURER ALOKA CO.,LTD. Aloka Co., Ltd. 22-1, Mure 6-chome, Mitaka-Shi, Tokyo, 181-8622 Japan Tel : +81-422-45-6049 URL : http:// www.aloka.com Overseas Offices: Aloka Co., Ltd. America Office 10 Fairfield Boulevard Wallingford, CT 06492 U.S.A. Distributor MN1-5195 Rev.2 '05.06.30