aplio-mx

[Page 1] AplioXG/AplioMX/XarioXG/Xario Vol. 1

[Page 2] Table of contents Service Note System overview 3 General service work (Optional software) 121 System appearance 4 General service work <Preset backup> 123 General block diagram 10 General service work <IQ report> 125 Signal path for each mode 11 General service work <Log file collection> 126 Main panel 14 General service work <Task manager> 129 Hardware turning point 15 General service work <Screen Capture> 130 Cable connection (SSA-790A: AplioXG) 17 Environment Variables 132 Cable connection (SSA-780A: AplioMX) 25 TCS calibration 135 Cable connection (SSA-680A: XarioXG) 31 Main panel test 137 Cable connection (SSA-660A: Xario) 40 Mandatory work for HW replacement 139 Option (Software: AplioXG and AplioMX ） 55 Databases 141 Option (Software: XarioXG and Xario ） 59 Network installation 151 DICOM option specification 62 DICOM configuration 153 Optional software installation 63 DICOM software composition 161 Option (Hardware: AplioXG and AplioMX ） 66 DICOM configuration (Advanced) 165 Option (Hardware: XarioXG and Xario ） 70 DICOM SR 209 UIMV option 74 Basic operation <Getting Start and shutdown> 233 UIVS-001A (DVD-VSR) 91 Basic operation <Security Mode> 237 Option （ Peripherals ） 99 Basic operation <New Patient> 238 Applicable media 100 Basic operation <New Patient: DICOM tag linkage> 240 Version up record <AplioXG> 102 Basic operation <Examination screen> 243 Version up record <AplioMX> 105 Basic operation <De - Identify> 246 Version up record <XarioXG> 107 Basic operation <Store / Print image> 247 Version up record <Xario V6 and later> 110 Basic operation <Review Stored Image> 252 Version up record <Xario V5.5 and before> 113 Basic operation <Archive Stored image> 253 General service work 116 Basic operation <Delete Archived> 257 General service work <Service Menu> 117 General service work <Password list> 118

[Page 3] System overview

[Page 4] System overview Service Note SSA-790A SSA-780A SSA-680A SSA-660A External dimensions: mm Model name LCD Size Mass: kg (approx.) Width Height Depth SSA-790A 19 inch 580 1,428 to 1,805 1,132 to 1,217 190 SSA-780A 19 inch 533 1,425 to 1,782 898 130 SSA-680A 19 inch 540 1,427 to 1,784 898 143 15 inch 540 1,402 to 1,638 814 133 SSA-660A 17 inch 540 1,375 to 1,610 814 136

[Page 5] System appearance (SSA-790A: AplioXG) Service Note

[Page 6] System appearance (SSA-780A: AplioMX) Service Note

[Page 7] System appearance (XarioXG: SSA-680A) Service Note

[Page 8] System appearance (Xario: SSA-660A LCD model) Service Note

[Page 9] System appearance (Xario: SSA-660A CRT model) Service Note

[Page 10] Block diagram

[Page 11] General block diagram Service Note CRT: Xario (17 ” ) 2 LCD: AplioXG (19 ” ) When Pencil or Pencil Option: or

[Page 12] Signal path for each mode Signal path for each mode Service Note 2D/CDI/PW CRT: Xario (17 ” ) or

[Page 13] Signal path for each mode Service Note CW(Sector) CRT: Xario (17 ” ) 32 IP PWB Control IQDAS SVGA (TX:64 64 Transmit 32 2 x TX RX:64) TX1 PWB Stored RAW data (800x600) 192 64 or

[Page 14] Signal path for each mode Service Note CW(Pencil) CRT: Xario (17 ” ) or

[Page 15] Main panel Service Note Common design for all system System Unit USB HUB(4Port) Full Trackball Touch Panel Keyboard LCD LCD Control A/D Board USB ASSP Panel CPU Power/ SW Rotary encoder Buzzer Set/ Standby/ /STC VR Next/ Power SW LED Battery LED Wheel SW SW

[Page 16] Hardware turning point Service Note We have several turning point based on hardware point of view. SSA-790A SSA-780A SSA-680A SSA-660A Totally different V6.0 and later N/A N/A N/A hard ware UIUG-660A V3.0 and later V2.0 and later V7.0 and later CPU change *1 N/A UIUG-793A UIUG-682A UIUG-667A IO changed *2 N/A V2.0 and later V4.0 and later V9.0 and later AplioMX N/A V2.0 and later V4.0 and later V9.0 and later BP integration CPU change V5.21*R404 V2.21*R404 V4.21*R404 V9.21*R404 nd 2 phase *3 and later and later and later and later Note: *1: HDD I/F also changed E-IDE to SATA. *2: UIIO-780A for support analog out put for external monitor. For china model UIIO-780A is standard configuration. *3: Graphic board changed. Standard graphic card is not support 4D function.

[Page 17] Cable connections <SSA-790A>

[Page 18] Cable connection (SSA-790A: AplioXG) Service Note No. Drawing number Connection points No. Drawing number Connection points CM30-35353 PSA cooling fan cable CM30-35476 DVD/CD power cable 1 27 CM30-35624 DVD/CD signal cable 2 CM30-35483 Front OEM cooling fan cable 28 CM30-35474 Footswitch cable 3 CM30-35354 Front OEM cooling fan connection cable 29 30 CM30-35357 PHYSIO to IO cable 4 CM30-35683 PSA DC power cable 31 CM30-35480 Mecha 4D transducer/pencil transducer cable 5 CM30-35462 PSA control cable CM30-35359 IO rear panel USB cable (V2.20 or earlier) 6 CM30-35453 PSD DC power cable 32 CM30-36600 IO rear panel USB cable (V3.00 or later) 7 CM30-35463 PSD control cable 33 CM30-35498 Composite video cable 8 CM30-35680 PSD output cable 34 CM30-35499 Y/C cable for connecting the SVHS VCR 9 CM30-35455 PSA output cable 35 CM30-35497 Ethernet cable 10 CM30-33022 PSA DC power cable (VTX) 36 CM30-35398 Speaker cable 11 CM30-35456 PSA DC power cable (P3.3AQ) CM30-32988 MA_LAN cable (V2.20 or earlier) 12 CM30-35457 PSA DC power cable (P5AQ) CM30-35520 MA_LAN cable (V3.00 or later) 13 CM30-35684 HV power cable CM30-35289 USB cable for header (V2.20 or earlier) 14 CM30-35399 HV DC cable CM30-36368 USB cable for header (V3.00 or later) 15 CM30-35661 PSH control output cable CM30-35356 USB hookup cable 16 CM30-35662 PSH control cable 40 CM30-33062 B&W printer data cable (USB-USB) 17 CM30-35344 System cooling fan cable 41 CM30-33063 Color printer data cable (USB-USB) 18 CM30-35454 PSI control cable 42 CM30-33052 Audio IO to VCR cable 19 CM30-35346 LCD AC power cable 43 CM30-33053 Audio VCR to IO cable 20 CM30-35461 Panel power cable 44 CM30-33054 Y/C OUT: IO to VCR IN cable CM30-33055 Y/C playback: VCR OUT to IO cable 21 CM30-35348 LCD cable 45 CM30-33058 VCR remote control: Panasonic: RS232C cable 22 CM30-35484 Control panel IO power D-sub cable 46 CM30-33076 VCR remote control: Mitsubishi: RS232C cable 23 CM30-35489 Control panel IO RGB cable 47 48 CM30-33081 VCR remote control: Sony: RS232C cable 24 CM30-35351 Control panel IO USB data cable BSM31-2587 AC power cable (100 V) CM30-35471 HDD data cable (V2.20 or earlier) 49 25 BSM31-2588 AC power cable (200 V) CM30-36645 HDD data cable (V3.00 or later) 50 51 CM30-36580 Front panel USB cable CM30-35472 HDD power cable (V2.20 or earlier) 26 CM30-36367 USB cable for header CM30-36691 HDD power cable (V3.00 or later)

[Page 19]

[Page 20] IO PWB J8: Y/C IN J7: Y/C OUT J9: Main Panel J50: Main panel J51: Rear Panel J22: External monitor (From VCR) (To VCR) (Display TCS image) (Control signal) (USB2) J17 ： DVD VSR (Video) J21: Y/C Video (to Rear Panel) S3: Video format select for J22 (Left: SVGA,Right: NTSC/PAL) J1: LCD J18: B/W printer J20: Composite Video J15: Color printer (to Rear Panel) J11: COM1 J12: COM2 Control VCR J2: Main panel J25: To rear panel (iAssist dongle) J23: Speaker J13 ： DVD VSR J10: UJUR J28: Front USB panel J19: Rear Panel (LAN) J5/J6: Audio IN L/R J4/J3: Audio OUT L/R (From VSR/VCR) (To VSR/VCR)

[Page 21] RP J171: LAN (Ethernet) J175: Composite Video J175: Y/C Video USB1: iAssist USB2

[Page 22]

[Page 23] IO PWB J8: Y/C IN J7: Y/C OUT J9: Main Panel J22: External monitor J50: Main panel (From VCR) (To VCR) (Display TCS image) (Control signal) J17 ： DVD VSR (Video) J21: Y/C Video (to Rear Panel) S3: Video format select for J22 (Left: SVGA,Right: NTSC/PAL) J1: LCD J18: B/W printer J20: Composite Video J15: Color printer (to Rear Panel) J11: COM1 J12: COM2 Control VCR J2: Main panel J25: To rear panel (iAssist dongle) J23: Speaker J13 ： DVD VSR J10: UJUR J16: Rear Panel USB J19: Rear Panel (LAN) J5/J6: Audio IN L/R J4/J3: Audio OUT L/R (From VSR/VCR) (To VSR/VCR)

[Page 24] RP J172: USB upper USB Lower (iAssist) J171: LAN (Ethernet) J175: Composite Video J175: Y/C Video

[Page 25] Cable connections <SSA-780A>

[Page 26] Cable connection (SSA-780A: AplioMX) Service Note 1 CM30-33052 GR1 Audio IO to VCR 28 CM30-33020 GR1 PSU Control 2 CM30-33053 GR1 Audio VCR to IO 29 CM30-37879 GR1 SYSTEM Cooling Fan 3 CM30-33054 GR1 Y/C OUT: IO to VCRin 30 BSM31-2587 GR1 AC POWER CABLE (100 V) 4 CM30-33055 GR1 Y/C PlayBack: VCRout to IO 31 BSM31-2588 GR1 AC POWER CABLE (200 V) VCR RemoteControl: MITSUBISHI: 32 BSM31-5917 GR1 AC POWER CABLE (200 V CHINA) 5 CM30-33076 GR1 9pin-25pin Cross 33 CM30-33026 GR1 Status LED VCR RemoteControl: SONY: 34 BSM31-4617 JELLY WARMER (AC100V) 6 CM30-33081 GR2 9pin-9pin Cross 35 BSM31-5903 JELLY WARMER (AC200V) VCR RemoteControl: JVC: 36 BSM31-6195 JELLY WARMER (AC100V JAPAN) 7 CM30-33081 GR3 9pin-9pin Cross 37 PM30-32700 GR1 Pencil Probe Panel - TI Board 8 CM30-38184 GR1 OEM AC Triple Cable (B/W,OEM) 38 CM30-38249 GR1 OEM Twin AC CABLE 9 CM30-38006 GR1 B&W Printer Data (USB-USB) 39 CM30-36581 GR1 Front USB 10 CM30-38007 GR1 ColorPrinter Data (USB-USB) 11 CM30-35966 GR1 MonitorVideo 12 CM30-35967 GR1 Monitor AC Power 13 CM30-33051 GR1 ControlPanel-IO Power D-Sub CABLE 14 CM30-35976 GR1 ControlPanel-IO USB DATA CABLE 15 CM30-33056 GR1 ControlPanel-IO RGB CABLE 16 CM30-33028 GR1 ControlPanel DC POWER CABLE 17 PM30-37900 GR1 FOOT-SW CABLE 18 CM30-37003 GR1 HDD Power Cable 19 CM30-36645 GR1 HDD Data Cable 20 CM30-35924 GR1 DVD Power Cable 21 CM30-36100 GR1 DVD USB Data Cable 22 CM30-33057 GR1 PHYSIO to IO 23 CM30-33021 GR1 PSA DC POWER CABLE 24 CM30-33024 GR1 PSA DC POWER CABLE (P5AQ) 25 CM30-33023 GR1 PSA DC POWER CABLE (P3.3AQ) 26 CM30-33022 GR1 PSA DC POWER CABLE (VTX0, 1) 27 CM30-33025 GR1 PSD DC POWER CABLE

[Page 27] Cable connection (SSA-780A: AplioMX on and later V2.00) Service Note

[Page 28] Cable connection (SSA-780A: AplioMX on and later V2.00) Service Note J4/J3: Audio OUT L/R IO PWB (To VSR/VCR) J5/J6: Audio IN L/R J19: LAN J17: Digital video (From VSR/VCR) J2: Main panel Control VCR J12: COM2 J28: Front J21: Y/C Video USB panel J15: Color J20: Composite J1: LCD printer Video J51: Card / Barcode : No to use reader (Only Japanese market) : UIIO required. Note: UIIO is standard configuration for China model (/P1 and /P2).

[Page 29] Cable connection (SSA-780A: AplioMX on and before V1.20) Service Note

[Page 30] Cable connection (SSA-780A: AplioMX on and before V1.20) Service Note J4/J3: Audio OUT L/R (To VSR/VCR) IO PWB J5/J6: Audio IN L/R J17: Digital video (From VSR/VCR) J19: LAN J2: Main panel Control VCR J12: COM2 J28: Front USB panel J15: Color J1: LCD J9: Main Panel J50: Main panel J22: External monitor J7: Y/C OUT J8: Y/C IN (Display TCS image) (Control signal) J51: Rear Panel (Card / Barcode reader, only Japanese market)

[Page 31] Cable connections <SSA-680A>

[Page 32] Cable connection (SSA-680A: XarioXG from V2.00 to V4.00 system) SSA-680A from V2.00 to V4.00 system 12 CM30-35966 GR1 MonitorVideo 13 CM30-35967 GR1 Monitor AC Power 15 CM30-35976 GR1 ControlPanel-IO USB Data Cable 19 CM30-37003 GR1 HDD Power Cable 20 CM30-36645 GR1 HDD Data Cable

[Page 33] Cable connection (SSA-680A: XarioXG on and later V4.00)

[Page 34] Cable connection (SSA-680A: XarioXG on and later V4.00) J4/J3: Audio OUT L/R IO PWB (To VSR/VCR) J5/J6: Audio IN L/R J17: Digital video J19: LAN (From VSR/VCR) for VSR (UIVS-001A) J2: Main panel Control VCR J12: COM2 J28: Front J21: Y/C Video USB panel J15: Color J20: Composite J1: LCD printer Video J51: Card / Barcode reader (Only Japanese market) : UIIO required. : These connecters could be access without disassembling the system. Note: UIIO is standard configuration for China model (/P1 and /P2). Open small cover on right side of the system.

[Page 35] Cable connection (SSA-680A: XarioXG from V2.00 till V3.20)

[Page 36] Cable connection (SSA-680A: XarioXG from V2.00 till V3.20) IO PWB J4/J3: Audio OUT L/R (To VSR/VCR) J17: Digital video for VSR (UIVS-001A) J5/J6: Audio IN L/R (From VSR/VCR) J19: LAN Control VCR J2: Main panel J12: COM2 J21: Y/C Video J1: LCD J15: Color Monitor printer J20: Composite Video J51: Card / Barcode reader (Only Japanese market) : These connecters could be access without disassembling the system. Open small cover on right side of the system.

[Page 37] On and before V1.20 system 12 CM30-35966 GR1 MonitorVideo 13 CM30-35967 GR1 Monitor AC Power 15 CM30-35976 GR1 ControlPanel-IO USB Data Cable

[Page 38]

[Page 39] IO PWB J4/J3: Audio OUT L/R (To VSR/VCR) J17: Digital video for VSR (UIVS-001A) J5/J6: Audio IN L/R J16: Card / Barcode reader (From VSR/VCR) (Only Japanese market) J19: LAN Control VCR J2: Main panel J12: COM2 J21: Y/C Video J1: LCD J15: Color Monitor printer J20: Composite Video : These connecters could be access without disassembling the system. Open small cover on right side of the system.

[Page 40] Cable connections <SSA-660A>

[Page 41] Cable connection (SSA-660A CRT: Xario CRT from V7.00 till V9.00) From V7.00 till V9.00 system 12 CM30-33050 GR1 MonitorVideo 13 CM30-33027 GR1 Monitor AC Power 15 CM30-35976 GR1 ControlPanel-IO USB Data Cable Note: 16 CM30-33056 GR1 ControlPanel-IO RGB Cable The CRT model SSA-660A has been discontinued since Apr 2008 production. But one of China model still using CRT model. 19 CM30-37003 GR1 HDD Power Cable 20 CM30-36645 GR1 HDD Data Cable

[Page 42] Cable connection (SSA-660A LCD: Xario LCD from V7.00 till V9.00) From V7.00 till V9.00 system 12 CM30-33082 GR1 MonitorVideo 13 CM30-34332 GR1 Monitor AC Power 15 CM30-35976 GR1 ControlPanel-IO USB Data Cable 19 CM30-37003 GR1 HDD Power Cable 20 CM30-36645 GR1 HDD Data Cable

[Page 43] Cable connection (SSA-660A: Xario, on and later V9.00)

[Page 44] Cable connection (SSA-660A: Xario, on and later V9.00) J4/J3: Audio OUT L/R IO PWB (To VSR/VCR) J5/J6: Audio IN L/R J19: LAN J17: Digital video (From VSR/VCR) J2: Main panel Control VCR J12: COM2 J28: Front J21: Y/C Video USB panel J15: Color J20: Composite J1: LCD printer Video J51: Card / Barcode reader (Only Japanese market) : UIIO required. : These connecters could be access without disassembling the system. Note: UIIO is standard configuration for China model (/P1 and /P2). Open small cover on right side of the system.

[Page 45] Cable connection (SSA-660A: Xario, From V7.00 till V8.20)

[Page 46] Cable connection (SSA-660A: Xario, From V7.00 till V8.20) IO PWB J4/J3: Audio OUT L/R (To VSR/VCR) J17: Digital video J5/J6: Audio IN L/R (From VSR/VCR) J19: LAN Control VCR J2: Main panel J12: COM2 J21: Y/C Video J1: LCD J15: Color Monitor printer J20: Composite Video J51: Card / Barcode reader (Only Japanese market) : These connecters could be access without disassembling the system. Open small cover on right side of the system.

[Page 47] Cable connection (SSA-660A CRT: Xario CRT from V6.00 till V6.20) From V6.00 till V6.20 system 12 CM30-33050 GR1 MonitorVideo 13 CM30-33027 GR1 Monitor AC Power 15 CM30-35976 GR1 ControlPanel-IO USB Data Cable

[Page 48] Cable connection (SSA-660A LCD: Xario LCD from V6.00 till V6.20) From V6.00 till V6.20 system 12 CM30-33082 GR1 MonitorVideo 13 CM30-34332 GR1 Monitor AC Power 15 CM30-35976 GR1 ControlPanel-IO USB Data Cable

[Page 49] Cable connection (SSA-660A: Xario, From V6.00 till V6.20)

[Page 50] Cable connection (SSA-660A: Xario, From V6.00 till V6.20) IO PWB J4/J3: Audio OUT L/R (To VSR/VCR) J17: Digital video J5/J6: Audio IN L/R J16: Card / Barcode reader (From VSR/VCR) (Only Japanese market) J19: LAN Control VCR J2: Main panel J12: COM2 J21: Y/C Video J1: LCD J15: Color Monitor printer J20: Composite Video : These connecters could be access without disassembling the system. Open small cover on right side of the system.

[Page 51] Cable connection (SSA-660A CRT: Xario CRT on and before V5.50) On and before V5.50 system 1 CM30-33052 GR1 Audio IO to VCR 25 CM30-33023 GR1 PSA DC Power Cable (P3.3AQ) 2 CM30-33053 GR1 Audio VCR to IO 26 CM30-33022 GR1 PSA DC Power Cable (VTX0, 1) 3 CM30-33054 GR1 Y/C OUT: IO to VCRin 27 CM30-33025 GR1 PSD DC Power Cable 4 CM30-33055 GR1 Y/C PlayBack: VCRout to IO 28 CM30-33020 GR1 PSU Control 5 CM30-33058 GR1 VCR RemoteControl: 29 CM30-33031 GR1 System Cooling Fan Panasonic: 9 pin - 9 pin Straight BM31-2587 GR1 AC Power Cable (100 V) 6 CM30-33076 GR1 VCR RemoteControl: 31 BM31-2588 GR1 AC Power Cable (200 V) 32 CM30-33026 GR1 Status LED 33 BSM31-3234E Battery Pack 34 BSM31-4617 Gel Warmer (AC 100 V) 35 BSM31-5903 Gel Warmer (AC 200 V) 9 CM30-33062 GR1 B&W Printer Data (USB-USB) 36 CM30-33029 GR1 OEM Outlet 10 CM30-33063 GR1 ColorPrinter Data (USB-USB) 37 CM30-33046 GR1 Pencil Probe Panel - TI Board 38 CM30-33079 GR1 USB HOOKUP CABLE 12 CM30-33050 GR1 MonitorVideo 39 CM30-33079 GR2 USB HOOKUP CABLE 13 CM30-33027 GR1 Monitor AC Power 15 CM30-33061 GR1 ControlPanel-IO USB Data Cable 21 CM30-33040 GR1 DVD Power Cable 22 CM30-33057 GR1 PHYSIO to IO 23 CM30-33021 GR1 PSA DC Power Cable 24 CM30-33024 GR1 PSA DC Power Cable (P5AQ)

[Page 52]

[Page 53] IO PWB J4/J3: Audio OUT L/R J16: Card / Barcode reader (To VSR/VCR) (Only Japanese market) J17: Digital video J5/J6: Audio IN L/R (From VSR/VCR) J19: LAN J12: COM2 J2: Main panel Control VCR J27: To UP PWB J14: Main panel (J32A) (Control signal) J1: CRT J20: Composite Video J18: To UP PWB (J33A) J21: Y/C Video (Left: SVGA, Right: NTSC/PAL) J9: Main Panel (Display TCS image) J7: Y/C OUT J8: Y/C IN : These connecters could be access without disassembling the system. Open small cover on right side of the system.

[Page 54] UP PWB J33A: To IO PWB (J18) J33A J32B: To IO PWB (J27) J32B J32A J31B: Color J31A: B/W J31B J31A printer printer

[Page 55] Optional software list for AplioXG and AplioMX

[Page 56] Option (Software: AplioXG and AplioMX 1 ） Service Note Eliminates noise components and improves the 1 Precision Imaging USPI-790A V4.0- V1.0- visualization of tissues. 2 IASSIST kit USIA-790A V1.1- V1.0- Protocol assistant system. Radiology contrast 3 USHR-790A V1.1- N/A CHI for radiology. VRI and MFI are included. Harmonic Imaging Cardiology contrast CHI for cardiology. 4 USHC-790A V1.1- N/A Harmonic Imaging RSI is included. UJUR-790B is needed. Contrast Harmonic Imaging USHI- 5 N/A V1.0- Kit for Radiology and cardiology. (CHI) 770A/XA Contrast Micro Flow 6 USCM-780A N/A V1.0- The USHI-770A/XA is required. Imaging (MFI) This kit corrects images in MFI mode to compensate for 7 MFI Image Stabilizer USIS-790A V4.0- V1.0- the effects of respiratory motion or unsteady application of the transducer, providing stable images. 8 CHI-Q USCQ-790A V1.1- V1.0- UIIP-790A and USHI-770A/XA are required. 9 TDI-Q USTQ-790A V1.1- V1.0- UIIP-790A is required. 10 Stress Echo USSE-790A V1.1- V1.0- For Stress Echo. UJUR-790B / 780B is needed. 11 Fusion 3D USFR-790A V1.1- V1.0- Freehand Fusion 3D. B/W images can be obtained with a wider field of view 12 Panoramic View USPV-790A V1.1- V1.0- by moving the transducer in the lateral direction. 13 Dynamic Micro Slice USMS-790A V1.1- N/A For BX/AX transducers. UIHV-790A is required./A

[Page 57] Option (Software: AplioXG and AplioMX 2 ） Service Note Automated contour Tracking for LV measurement. USAT-790A V1.1- N/A UJUR-790B is needed. 14 ACT ACT automatically traces USAT-780A N/A V2.1- the inner membrane of the left ventricle and measures the area, volume, ejection fraction, etc. 4D transducer and UIMV-791A or UIMV-780A is 15 STIC USST-790A V2.2- V1.0- required Enables color vascular display in Volume Imaging. 16 Volume color USMC-780A N/A V1.0- 4D transducer and UIMV-791A or UIMV-780A is required. 17 MicroPure USMP-790A V2.01- V1.0- 18 Elastography USEL-790A V3.0- V1.0- UIIP-790A is required. 19 Measurement Registration USMR-790A V1.1- V1.0- Software for external PCs. SCU: Verification, Storage and Print 20 DICOM USDI-790A V1.1- V1.0- SCP: Verification SCU: Verification, Storage, Print, MWM, MPPS, Q/ R 21 DICOM Advanced USDI-792C V1.1- V1.0- SCP: Verification, Storage Storage SCU supports SR (Structured Report) object.

[Page 58] Option (Software: AplioXG and AplioMX 2 ） Service Note The time required for contrast medium to reach the 22 Parametric MFI USPM-790A V5.0- N/A target region is indicated by color-coded display. USHR-790A is required. The border between the lumen and intima and the border between the media and external are then traced 23 Auto-IMT USAI-790A V5.2- V2.2- automatically, and the thickness of the intima-media complex is displayed.

[Page 59] Optional software list for XarioXG and Xario

[Page 60] Option (Software: XarioXG and Xario 1 ） Service Note This kit enables Automated Contour Tracking 1 ACT USAT-770A/XA V1.0- V6.0- V1.0- for LV measurement. 2 Stress Echo USSE-770A/XA V1.0- V6.0- V1.0- This kit enables Stress Echo examination. Differential THI to realize superior resolution 3 D-THI USDT-680A V1.0- N/A N/A even in deeper region. Speckle reduction and wide field of view for 4 ApliPure Plus USPP-680A V1.0- N/A N/A convex and linear transducers in ApliPure mode. This kit eliminates noise components and *1 5 Precision Imaging USPI-680A V3.0- V9.0- N/A improves the visualization of tissues. B/w images can be obtained with a wider field 6 Panoramic View USPV-770A/XA V1.0- V6.0- V1.0- of view by moving the transducer in the lateral direction. 7 IASSIST software USIA-770A/XA V1.0- V6.0- V1.0- Protocol assistant system "IASSIST". Contrast Harmonic features for radiology and 8 CHI USHI-770A/XA V1.0- V6.0- V1.0- cardiology. permits small blood vessels flowing into a tumor or the area around the tumor to be 9 Micro Flow Imaging USCM-680A V1.0- N/A N/A observed in examinations employing contrast medium. The USHI-770A/XA is required separately. *1: Precision Imaging option supported on and later V9.0 Xario which producing on and later Sep. 2010. Also V7 through V9 (producing on and before Aug. 2010) also supports the option but we need apply USUG-670A which producing on and later Sep. 2010.

[Page 61] Option (Software: XarioXG and Xario 2 ） Service Note This kit corrects images in MFI mode to compensate for the effects of respiratory 10 Image Stabilizer USIS-680A V3.0- N/A N/A motion or unsteady application of the transducer, providing stable images. MicroPure Software for PLT-1204AT, PLT- 11 MicroPure USMP-680A V3.0- N/A N/A 1204BT, and PLT-805AT. ApliPure Plus (USPP-680A) is needed. A 3D image combining B/w image and color 12 Fusion 3D USFR-770A/XA V1.0- V6.0- V1.0- image can be reconstructed using a standard transducer. 13 Basic DICOM USDI-770A/XA V1.0- V6.0- V1.0- 14 Advanced DICOM USDI-772B/XA V1.0- V6.0- V1.0- This software is used to program calculation User measurement 15 USMR-680A V1.0- N/A N/A formulas on an external PC and install them registration into the Xario XG. This kit enables Spatio-Temporal Imaging 16 STIC USST-680A V1.2- V6.2- N/A correlation (STIC). UIMV-661A and PVT- 575MV are required. Advanced 17 USDF-770A/XA STD V6.0- V1.0- Advanced DYNAMIC FLOW imaging. DYNAMIC FLOW

[Page 62] Option (Software: XarioXG and Xario 3 ） Service Note ApliPure Migration 18 USMG-660A N/A V6.0- V1.0- This kit enables the use of ApliPure on Xario. kit This kit enables speckle noise on B/W images to be reduced and contrast resolution and 19 ApliPure USAP-770A/XA STD V6.0- V1.0- uniformity to be increased. USMG-660A is required. Automatically adjusts STC/GAIN and/or 20 QuickScan USQI-770A/XA STD V6.0- V1.0- Doppler zero shift/V.range through one-touch operation. Supports Trapezoid Scan for sector and linear 21 Trapezoid Scan USTS-770A/XA STD V6.0- V1.0- transducers (with some exceptions). User measurement Software for programming user measurement 22 USMR-770A/XA N/A V6.0- V1.0- registration formulas on a PC and registering them in Xario The border between the lumen and intima and the border between the media and external are 23 Auto-IMT USAI-790A V4.2- V9.2- N/A then traced automatically, and the thickness of the intima-media complex is displayed.

[Page 63] DICOM option specification Service Note DICOM option functionality list USDI-790A USDI-792C Remarks No option USDI-770A/XA USDI-772B/XA 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 Transfer Still/Cine/Toshiba private data to storage server N N N N N Y Y Y Y Y Y Y Y Y Y Transfer DICOM SR data to storage server N N N N N N N N N N Y Y Y Y Y (Basic Text, Private) Transfer DICOM SR data to storage server N N N N N N N N N N Y Y Y Y N (Enhanced) Transfer DICOM SR data to storage server On and later V5.2 AplioXG, (Comprehensive) N N N N N N N N N N Y Y Y Y N V2.2 AplioMX, V4.2 XarioXG and V9.2 Xario Store Still/Cine/Toshiba private data to CD-R by DICOM Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Store Still/Cine/Toshiba private data to DVD+R by DICOM On and before V5.5 Xario Y Y Y Y N Y Y Y Y N Y Y Y Y N support only CD-R. Query /Retrieve (Q/R SCU) N N N N N N N N N N Y Y Y Y Y Storage Commitment (Storage Commitment SCU) N N N N N N N N N N Y Y Y Y Y Print DICOM images (Print SCU) N N N N N Y Y Y Y Y Y Y Y Y Y Get worklist (MWM SCU) N N N N N N N N N N Y Y Y Y Y Send PPS (MPPS SCU) N N N N N N N N N N Y Y Y Y Y Note!: 1: AplioXG (SSA-790A) 2: AplioMX (SSA-780A) 3: XarioXG (SSA-680A) 4: Xario V6 and later (SSA-660A) 5: Xario V5.5 and before (SSA-660A)

[Page 64] Optional software installation Service Note Install procedure Advanced DICOM option should install after Basic DICOM install. Step Operation 1 [Menu] > [Maintenance] > Press [Ctrl], [Shift] and [Next]. Enter password 2 Click [HW/SW] > [Option Install] 3 Insert optional CD to CD / DVD drive 4 Click [Install] 5 Enter optional software by 8 digits (Incase if you have 10 digits serial number, please convert into 8 digit with encoding rule) 6 If you have several option return step 3 and do step 4 and 5. 7 Click [Home] > [Exit], system ask you to system shutting down. Click [OK]. 8 Restart the system then confirm the option working or not. Uninstall procedure If you click [Uninstall], system uninstall it without confirmation. Please carefully. Step Operation 1 [Menu] > [Maintenance] > Press [Ctrl], [Shift] and [Next]. Enter password 2 Click [HW/SW] > [Option Install] 3 Select option which you want to uninstall 4 Click [Uninstall] 5 If you have several option return step 3 and do step 4. 6 Click [Home] > [Exit], system ask you to system shutting down. Click [OK]. 7 Restart the system then confirm the option working or not.

[Page 65] Optional software installation Service Note Option serial number encoding In case if you have 10 digits option software serial number, please cnvert the serial number into 8 digits. For example if option serial number is “”99B0542001”. <1> <2> <3> <4> 99B 05 4 2001 V V V V B 5 54 2001 <1>: First 3digits of serial number (99B) only leave alphabet. (Leave B) <2>: Next 2 digits of serial number (05) only leave last digit. (Leave 5) <3>: Next 1 digit of serial number (4) add 50 incase of the digit is number (0-9) Incase the digit is alphabet (X, Y, Z), convert it; X for 60 Y for 61 Z for 62 <4>: last 4 digits leave it no conversion.

[Page 66] Optional hardware list for AplioXG and AplioMX

[Page 67] UICW-790A V1.1- N/A Continuous-Wave Doppler Unit for AplioXG 1 CW Unit UICW-780A N/A V1.0- Continuous-Wave Doppler Unit for AplioMX UJUR-790A V1.1- N/A For General country,. Including ECG cable. AplioXG UJUR-791A V1.1- N/A For USA, Including ECG cable. AplioXG UJUR-790B V2.2- N/A For General country,. Including ECG cable. AplioXG 2 Reference signal unit UJUR-791B V2.2- N/A For USA, Including ECG cable. AplioXG UJUR-780B N/A V1.0- For General country,. Including ECG cable. AplioMX UJUR-781B N/A V1.0- For USA, Including ECG cable. AplioMX PCG and Pulse transducer. A respiration sensor is included in 3 Sensor kit for UJUR UJUR-772A V1.1- V1.0- the UJUR-772A but cannot be used with AplioXG, AplioMX. UZGW-001A V1.1- V1.0- For 100V – 120V region. UZGW-002A V1.1- V1.0- For 220V – 240V region. 4 Gel warmer UZGW-005A V1.1- V1.0- For Japan. Oct. Oct. AXG: xxI10X5964 and later UZGW-007A 2010 - 2010 - AMX: xxE10X3034 and later UZFS002A V1.1- N/A 5 Foot switch UZFS-003A V5.0- V1.0- UAEH-002A V2.0- V2.21- For PET-511BTM and PET-512MC 6 TEE hangar kit UAEH-770A V1.1- V1.0- For PET-510MA/MB

[Page 68] Required for TDI-Q, CHI-Q, and Elastography. 7 IP board kit UIIP-790A V1.1- V1.0- Elastography supported on and later V3.0 AplioXG and all of version AplioMX Same function as UIMV-792A. V5.21 UIMV-793A N/A This kit including graphic card which necessary V5.21*R404 *R404 and later system Same function as UIMV-792A. UIMV-792A V3.0- N/A This kit excluding graphic card which is unnecessary on and later V3 AplioXG. 4D kit for PVT-575MV, PVT-382MV, PLT-1204MV, PVT- UIMV-791A V2.0- N/A 681MV, and PVT-375MV. 8 4D kit This kit is also required to use the PET-511BTM. UIMV-790A V1.1- N/A 4D kit for PVT-575MV. Same function as UIMV-780A. V2.21 UIMV-781A N/A This kit including graphic card which necessary V2.21*R404 *R404 and later system 4D kit for PVT-575MV, PVT-382MV, PLT-1204MV, PVT- UIMV-780A N/A V1.0- 681MV, and PVT-375MV. 9 HV power kit UIHV-790A V1.1- N/A For BX/AX transducers. USMS-790A is required. 10 IASSIST controller kit UIIA-791A V1.1- N/A Consists of the IASSIST controller and mounting kit.

[Page 69] DVD Video Streaming Recorder. Software for viewing and 11 DVD VSR UIVS-001A V2.0- N/A editing recorded dynamic images on an external PC. 12 DVD VSR mounting kit UZRI-790A V2.0- N/A Kit for mounting UIVS-001A. 13 Peripheral mounting kit UZRI-780A N/A V1.0- Mounting VCR, DVD recorder AND Color printer. B/W printer mounting 14 UZRI-781A N/A V1.0- Install B/W printer at 90 degrees. kit 15 Peripheral mounting kit UZRI-782A N/A V2.0- Mounting VCR, DVD recorder OR Color printer. Add Y/C, composite and RGB analog output terminals. (IO 16 IO Panel kit UIIO-780A N/A V2.0- PWB) 17 17-inch LCD UILM-001A V1.0- V1.0- LCD replacement kit to 17 inch When the system is shut down in Standby mode and then moved with the power cable disconnected, Standby status Oct. 2010 18 Battery support kit UEBT-780A N/A can be maintained. production SSA-780A systems manufactured in October 2010 or later. (S/N 99E*******, 17B******* or later) Note: UIIO is standard configuration for Chinese market (model name /P1 and /P2).

[Page 70] Optional hardware list for XarioXG and Xario

[Page 71] 1 CW Unit UICW-660A V1.0- V6.0- V1.0- Standard configuration UJUR-660A V1.0- V6.0- V1.0- For General country,. Including ECG cable. UJUR-661A N/A N/A V2.0- For USA, Including ECG cable. Reference signal unit UJUR-660B V1.2- V6.2- N/A For General country, Including ECG cable. UJUR-661B V1.0- V6.0- N/A For USA, Including ECG cable. PCG and Pulse transducer. A respiration Sensor kit for 3 UJUR-772A V1.0- V6.0- V1.0- sensor is included in the UJUR-772A but UJUR cannot be used with XarioXG, Xaio. UZGW-001A V1.0- V6.0- V1.0- For 100V – 120V region. UZGW-002A V1.0- V6.0- V1.0- For 220V – 240V region. 4 Gel warmer UZGW-005A V1.0- V6.0- V1.0- For Japan. Oct. Oct. XXG: xxH10X4202 and later UZGW-007A N/A 2010 - 2010 - Xario: xxE10X2753 and later UZFS002A V1.0- V6.0- V1.0- 5 Foot switch Including foot SW connector which mounting UZFS-003A V4.0- V9.0- N/A on front of system. Cannot used simultaneously with color 6 MO Drive UIMO-660A N/A N/A V1.0- printer P900D, CP900DW Video Required when a VCR is connected. UZRI- 7 UIVP-660A STD V6.0- V1.0- Processor Kit 660A required.

[Page 72] For PET-510MA/MB (PET-510MB available UAEH-770A V1.0- V6.0- V1.0- on and later V2.0 SSA-660A) 8 TEE hanger UAEH002A V4.21- V9.21- N/A For PET-511BTM and PET-512MC Same function as UIMV-662A. V4.21 V9.21 This kit including graphic card which UIMV-663A N/A *R404 *R404 necessary V4.21*R404 XarioXG or V9.21*R404 Xario and later system Same function as UIMV-662A. This kit excluding graphic card which is UIMV-662A V2.0- V7.0- N/A unnecessary on and later V 2 XarioXG (V7 Xario). 9 4D kit 4D kit for PVT-575MV, PVT-375MV and PVT-681MV. This kit is also required to use the PET- 511BTM. UIMV-661A V1.0- V6.0- N/A (PET-511BTM support on and later V1.1 XarioXG and V6.1 Xario) For XarioXG also enable to connect PVT- 382MV, PLT-1204MV. UIMV-660A N/A N/A V3.0- 4D kit for PVT-575MV. Incase system want to install 4D for on and 10 CPU kit UIRM-660A N/A N/A - V2.0 before V2.0 Xario. (Original version)

[Page 73] IASSIST Consists of the IASSIST controller and 11 UIIA-661A V1.0- V6.0- V1.0- controller kit mounting kit. VCR mounting 12 UZRI-660A V1.0- V6.0- V1.0- Kit for mounting a VCR unit kit This kit permits a B/W printer to be mounted on the system at 90 º away from B/W printer the front. (With the printer mounting kit 13 UZRI-661A V1.0- V6.0- V1.0- mounting kit included in the standard configuration, the printer is mounted facing toward the front of the system.) Dynamic images can be recorded on a DVD 14 DVD VSR UIVS-001A V1.0- N/A N/A at high quality for up to four hours. This kit is used to mount the DVD VSR on UZRI-680A V1.0- N/A N/A the system. DVD VSR mounting kit This kit is used to mount the DVD VSR UZRI-681A V1.0- N/A N/A inside the system main unit. 17 inch LCD monitor kit for CRT model. 16 LCD kit UILM-660A N/A V6.0- V1.0- This kit released on and later V5.0. -V6.1 17 inch LCD monitor for old type LCD. 17 LCD kit UILM-661A N/A LCD model V1.0- This kit include 17 inch IPS type LCD. - 0833421 Add Y/C, composite and RGB analog output 18 IO Panel kit UIIO-780A V4.0- V9.0- N/A terminals. (IO PWB) Note: UIIO required. Note: UIIO is standard configuration for Chinese market (model name /P1 and /P2). 72

[Page 74] UIMV option installation

[Page 75] FAQ: UIMV-790A, UIMV-791A and UIMV-792A Service Note What is difference between UIMV-790A, UIMV-791A, UIMV-792A and UIMV-793A?? SSA-790A UIMV-790A UIMV-791A UIMV-792A UIMV-793A V1.0 – V1.1 OK N/A N/A N/A V2.0 – V2.2 N/A OK N/A N/A V3.0 – V5.21*R403 N/A Not recommend OK Not recommend V5.21*R404 N/A N/A N/A OK Kit composition of UIMV-790A, UIMV-791A , UIMV-792A and UIMV-793A. UIMV-790A PM30-32736 Gr1 BSM31-6584 (ELSA GLADIAC FX 534 128MB) UIMV-791A PM30-35066 Gr1 BSM31-6584 (ELSA GLADIAC FX 534 128MB) New MC PWB (MC2) UIMV-792A PM30-35066 Gr1 N/A New MC PWB (MC2) UIMV-793A PM30-35066 Gr1 BSM31-9362 (ELSA GLADIAC 785GT V2.0 ) New MC PWB (MC2) * UIMV-790A (MC: PM30-32736 Gr1) is only support PVT-575MV, other 4D probes are NOT supported.

[Page 76] UIMV-79xA and UIMV-780A applicable serial number information Regarding UIMV-790A, 791A, 792A System UIMV-790A UIMV-791A UIMV-792A UIMV-793A Version V1.1 V2.0 – V2.2 V3.0 - V5.21*R404 - SSA-790A Serial number 06Z2001 - 0782792 0782793 - 0873725 0873726 - 99L1166355 - UIMV-791A can be use on and later version 3 system. But we will be waste a graphic board which unnecessary for V3 afterward.

[Page 77] FAQ: UIMV-780A and UIMV-781A Service Note What is difference between UIMV-780A and UIMV-781A?? SSA-780A UIMV-780A UIMV-781A V1.0 – V2.21*R403 OK Not recommend V2.21*R404 N/A OK Kit composition of UIMV-780A and UIMV-781A. UIMV-780A PM30-35066 Gr1 N/A New MC PWB (MC2) UIMV-781A PM30-35066 Gr1 BSM31-9362 (ELSA GLADIAC 785GT V2.0 ) New MC PWB (MC2)

[Page 78] UIMV-79xA and UIMV-780A applicable serial number information Regarding UIMV-780A System UIMV-780A UIMV-781A Version V1.0 – V2.21*R404 - SSA-780A Serial number 0992001 - 1164026 -

[Page 79] FAQ: UIMV-660A, UIMV-661A and UIMV-662A Service Note What is difference between UIMV-660A, UIMV-661A and UIMV-662A?? SSA-680A UIMV-660A UIMV-661A UIMV-662A UIMV-663A V1.0 – V1.2 N/A OK N/A N/A V2.0 – V4.21*R403 N/A Not recommend OK Not recommend V4.21*R404 - N/A N/A N/A OK Kit composition of UIMV-660A, UIMV-661A and UIMV-662A. UIMV-660A PM30-32736 Gr1 BSM31-6584 (ELSA GLADIAC FX 534 128MB) UIMV-661A PM30-35066 Gr1 BSM31-6584 (ELSA GLADIAC FX 534 128MB) New MC PWB (MC2) UIMV-662A PM30-35066 Gr1 N/A New MC PWB (MC2) UIMV-663A PM30-35066 Gr1 BSM31-9362 (ELSA GLADIAC 785GT V2.0 ) New MC PWB (MC2) * UIMV-790A (MC: PM30-32736 Gr1) is only support PVT-575MV, other 4D probes are NOT supported.

[Page 80] UIMV-66xA applicable serial number information Service Note Regarding UIMV-660A, 661A, 662A System UIMV-660A UIMV-661A UIMV-662A UIMV-663A Version N/A V1.0 – V1.2 V2.0 - V4.21*R404 SSA-680A Serial number N/A 0792001 - 0882623 0892624 - 1164720 - UIMV-661A can be use on and later V2 XarioXG and V7 Xario system. But we will be waste a graphic board which unnecessary for V2 XarioXG and V7 Xario afterward.

[Page 81] FAQ: UIMV-660A, UIMV-661A and UIMV-662A Service Note What is difference between UIMV-660A, UIMV-661A and UIMV-662A?? SSA-660A UIMV-660A UIMV-661A UIMV-662A UIMV-663A V3.0 – V5.0 OK N/A N/A N/A V6.0 – V6.2 N/A OK N/A N/A V7.0 – V9.21*R403 N/A Not recommend OK Not recommend V9.21*R404 - N/A N/A N/A OK Kit composition of UIMV-660A, UIMV-661A and UIMV-662A. UIMV-660A PM30-32736 Gr1 BSM31-6584 (ELSA GLADIAC FX 534 128MB) UIMV-661A PM30-35066 Gr1 BSM31-6584 (ELSA GLADIAC FX 534 128MB) New MC PWB (MC2) UIMV-662A PM30-35066 Gr1 N/A New MC PWB (MC2) UIMV-663A PM30-35066 Gr1 BSM31-9362 (ELSA GLADIAC 785GT V2.0 ) New MC PWB (MC2) * UIMV-790A (MC: PM30-32736 Gr1) is only support PVT-575MV, other 4D probes are NOT supported.

[Page 82] UIMV-66xA applicable serial number information Service Note Regarding UIMV-660A, 661A, 662A System UIMV-660A UIMV-661A UIMV-662A UIMV-663A Version V3.0 - V5.5 V6.0 - V6.2 V7.0 - V9.21*R404 SSA-660A Serial number 05X3417 - 07Y2740 07Y2741 - 0894473 08X4474 - 1164104 - UIMV-661A can be use on and later V2 XarioXG and V7 Xario system. But we will be waste a graphic board which unnecessary for V2 XarioXG and V7 Xario afterward.

[Page 83] UIMV option installation Service Note UIMV installation differences (Except AplioMX!) Here check point of UIMV installation. System serial number and software version If the system on and later V3.0 AplioXG, V2.0 XarioXG and V7.0 Xario. We don’t need replace graphic board. CPU part number (Xario V5.5 and before) Confirm CPU part number which shown back side of the CPU Part number Action for CPU board Remarks PM30-32945 UIRM-660A required On and before 99C05X3416 PM30-34538 Replace graphic board which including UIMV On and later 99C05X3417 No need to replace CPU it self. But graphic board need to be replace. PM30-34564 No action This CPU should replaced by UIRM-660A. Graphic board model name or part number (This information is not always present.) On the graphic board, if there is G55xxxx. We need replace graphic board.

[Page 84] UIMV option installation <UIMV-790A> Service Note This option can be installed in SSA-790A systems with system software V1.10 system. V2.0 and later, please install UIMV-791A. Due to UIMV-790A only supports PVT-575MV and UIMV-790A installation many 4D function which are supported on and later V2.0 system. Basically video card needs to replace.

[Page 85] UIMV option installation <UIMV-791A> Service Note SSA-790A systems with V3.00 or later, if you have stock of UIMV-791A (Basically recommend you to use UIMV-792A for V3 and later SSA-790A) UIMV-791A installation SSA-790A systems with V2.00 to V2.20 Video card needs to replace. On this procedure we don’t need to change video card due to the CPU ASSY has been changed on and later V3.0 SSA-790A.

[Page 86] UIMV option installation <UIMV-792A> Service Note UIMV-792A installation SSA-790A systems with V3.00 till V5.21*R403

[Page 87] UIMV option installation <UIMV-780A> Service Note SSA-780A V1.0 or later UIMV-780A installation

[Page 88] UIMV option installation <UIMV-660A> Service Note SSA-660A systems with versions on and before V5.50. UIMV-660A installation CPU need to replace by UIRM-660A, if the system originally V2.0 and before Video card needs to replace.

[Page 89] UIMV option installation <UIMV-661A> Service Note SSA-680A systems with V2.00 or later SSA-660A systems with V7.00 or later UIMV-661A installation Video card needs to replace. On this procedure we don’t need to change video card due to the CPU ASSY has been changed on and later V3.0 SSA-790A. SSA-660A V7.00 or later and SSA-680A V2.00 or later system. SSA-680A systems with versions from 1.00 to 1.20 (if you have stock of UIMV-661A, basically recommend you to use SSA-660A systems with versions from 6.00 to 6.20 UIMV-662A for V7 and later 660A and V2 and later 680A)

[Page 90] UIMV option installation <UIMV-662A> Service Note SSA-680A systems with V2.00 or later SSA-660A systems with V7.00 or later UIMV-662A installation

[Page 91] What is UIVS-001A (DVD-VSR)?

[Page 92] UIVS-001A block diagram USB network adapter Local Area Connection 3 Main unit (AplioXG, XarioXG) UIVS-001A Communicated by OS TCP/IP OS Windows2000 (E) Windows XP (J) USB I/F Thumbnail image USB I/F (Connected IO PWB) Control Signal *: 192.168.1.1 *: 192.168.1.254 VSR applications VSR applications Communication Recorded image Communication Control Control, Recording Display image Writing DVD Drive DVI-D I/F DVI-D I/F OUTPUT Digital image signal INPUT (Connected IO PWB) (Backup for Recorded image before writing to media) *The IP address setting is factory default. It may change depends on customer network configuration

[Page 93] Brief Description of the DVD VSR. The DVD-VSR is used to record high-quality ultrasound images on DVDs in digital format. In addition, the unit allows recorded dynamic images to be played back and edited at the diagnostic ultrasound system. It is also possible to convert images to Windows files using a PC in which the dedicated software (MIV-Organizer) is installed. CAUTION: 1. When recording diagnostic images, confirm that the displayed patient ID and patient name are correct. Recording diagnostic images with an incorrect patient ID may result in incorrect diagnosis. Before performing measurements on a freeze image on the video recording unit, confirm that the patient ID on the image is correct. 2. In this system, recording is stopped when one of the following operations is performed. [PIMS] > [VIDEO] > [CONFIRM Start] (If recording is required, press .) > [Shutdown], [Standby], or [Log Off]

[Page 94] Recommended Media Writing to DVD-RAM and DVD+R is supported. Some DVDs may not be suitable for writing, depending on the manufacturer. Toshiba has confirmed that the DVD-VSR unit can write data correctly on the DVDs listed below. Media Manufacturer Remarks DVD-RAM Panasonic (3x or 5x speed) With and W/O cartridge DVD+R RICOH (4x, 8x, or 16x speed) *:If a media that is not supported by the system is inserted, the message "Not supported media" is displayed and the media is ejected.

[Page 95] Name and Function of Each Section Emergency eject hole Power supply button Power supply (for emergency use only) indicator Disk tray CAUTION: Emergency shutdown using the power supply button R A M DVD+R Do not press this button except in an emergency. The internal software may be damaged, possibly resulting in failure during start-up. Disk/Busy indicator Eject button 2 Eject button 1 Name Function Disk tray A disk is placed on this tray. Use this hole to eject the disk tray if the tray cannot be ejected by pressing the eject Emergency eject hole button.Please try to use Emergency eject hole after shutting down main system. Used to turn ON the main power of the unit and to turn OFF the unit in the case of an Power supply button emergency.The unit is shut down by holding down this button for more than 5 seconds. Do not use this button under normal conditions. Power supply indicator This indicator lights when the power of the unit is ON and blinks after the unit is shut down. Disk/Busy indicator This indicator blinks when the media is being accessed. Eject button 1 Used to open and close the disk tray when it does not contain a DVD.This button is for maintenance only. Pressing this button has no effect. Eject button 2

[Page 96] Power indicator Emergency eject hole Power supply button Power supply (for emergency use only) indicator Disk tray CAUTION: Emergency shutdown using the power supply button R A M DVD+R Do not press this button except in an emergency. The internal software may be damaged, possibly resulting in failure during start-up. Disk/Busy indicator Eject button 2 Eject button 1 Status Mean Lit ON UIVS-001A boot-up completed and made connection between main system. UIVS-001A boot-up completed but still not made connection between main system. Flashing (Early) UIVS-001A under standby condition. Flashing (Slow) * While main system goes to Standby or shutdown. System will be command to go standby for UIVS-001A unit. (This process also executed while STOPZ.JS command)

[Page 97] V1.37 before and 1 firmware medium VSR Installation V1.37 Confirm VSR include in this option software version Remove Network cable Reconfigure VSR settings V1.37 before but no firmware medium Ask firmware CD Install VSR based on Functionality check UIVS-001A installation manual System belongs System will not hospital network See belongs hospital and IP address as VSR firmware network Next slide like 192.168.x.x update Confirm system Confirm IP address of LAN1 software version (Required to connect Network?) See Next slide System belongs hospital Confirm IP address 192.168.1.x network and IP address NOT Other than of LAN1 Apply FMI-MU995 like 192.168.x.x 192.168.20.x (Replace XML file) 192.168.1.x 192.168.20.x No There are Gateway VSR IP address change for LAN1? VSR IP address based on installation manual VSR IP address Memorize VSR settings change based on But the IP address should change based on Yes installation manual define other than installation manual the hospital use *1 Confirm XML file exist under N D:¥Aplio¥Useer Delete gateway Is the hospital using setting for LAN 3 192.168.1.x ? Delete the XML file N Connect Network cable Installation complete and check it *1: Confirm that the segment of IP address 96

[Page 98] Criteria of this section SSA-790A: V2.00*R1xx or higher V2.01*R1xx or higher SSA-790A: V2.20*R1xx or higher V2.00*R000, to *R004 V3.00*R102 or higher V2.01*R000, *R001 Or V4.00 and later V2.20*R000 to *R002 V3.00*R002 SSA-680A: V1.00*R1xx or higher SSA-680A: V1.10*R1xx or higher V1.00*R000, to *R002 V1.20*R1xx or higher V1.10*R001, *R002 Or V2.00 and later V1.20*R000 to *R002

[Page 99] Peripheral devices list

[Page 100] Option （ Peripherals ） Service Note No Device Model name Remarks Aplio Aplio XarioX Xario V6 Xario V5 XG MX G and later and before UP-D895(SONY) N/A N/A N/A N/A V1.0- UP-D897(SONY) V1.1- V1.0- V1.0- V6.0- V5.0- *3 1 B/W printer P93D(Mitsubishi) V1.1- N/A V1.0- V6.0- V5.0- P95D(Mitsubishi) V4.0- V1.0- V4.0- V9.0- N/A CP900D(Mitsubishi) V1.1- N/A V1.0- V6.0- V1.0- *2 CP30D(Mitsubishi) V2.01- V1.0- V1.0- V6.0- N/A Color UP-D23MD(Sony) V1.1- V1.0- V1.0- V6.0- V1.0- UP-D25MD(Sony) V5.0- V2.0- V4.0- V9.0- N/A V6.0- V1.0- 3 VCR HS-MD3000-T V1.1- V1.0- V1.0- *1 *1 V6.0- V1.0- Input Signal: S-Video LQ-MD800 (Panasonic) V1.1- N/A V1.0- *1 *1 DVD-RAM DVD Video Input Signal: S-Video 4 DVO-1000MD (Sony) N/A V1.0- N/A N/A N/A recorder DVD+RW V9.0- Input Signal: S-Video BD-X201M (JVC) N/A V1.0- V4.0- N/A *1 DVD-RW *1 UIVP-660A required *2 Not possible install with UIMO-660A *3 UP-D897MD possible to install for Xario V3 and V4 with installation kit (PM30-35477).

[Page 101] Applicable media （ Main system / Peripherals ） Service Note No Device Model name Recommend media Aplio Xario V6 Xario V5 AplioMX XarioXG XG and later and before V6.0- V1.0- Input Signal: S-Video LQ-MD800 (Panasonic) V1.1- N/A V1.0- *1 *1 DVD-RAM DVD Video Input Signal: S-Video 1 DVO-1000MD (Sony) N/A V1.0- N/A N/A N/A recorder DVD+RW V9.0- Input Signal: S-Video BD-X201M (JVC) N/A V1.0- V4.0- N/A *1 DVD-RW 2 DVD-VSR UIVS-001 V2.0- N/A V1.0- N/A N/A DVD-RAM, DVD+R Main CD/DVD CD/DVD CD/DVD CD/DVD CD 3 --- CD-R, DVD+R system V1.1- V1.0- V1.0- V6.0- V1.0- *1 UIVP-660A required

[Page 102] Version up records

[Page 103] 06Y2001 1 Initial release V1.10 Refer MPIUS0360EA for more detail. Release at Nov. 2006. 06Y2001 2 USUG-790A V1.10 > V2.00 to Refer MPIUS0370EA for more detail. Release at end of Aug. 2007. 0782792 06Z2001 V1.10, V2.00 > 3 USUG-791A to Refer MPIUS0383EA for more detail. Release at Dec. 2007. V2.01 07Z3097 0782793 V2.00, V2.01 > 4 USUS-792A to Refer MPIUS0391EA for more detail. Release at Apr. 2008. V2.20 0833456 Refer MPIUS0395EA for more detail. Release at Jul. 2008. 07Z3098 V2.01, V2.20 > Hardware upgrade. 5 UIUG-793A to V3.00 Include CPU-ASSY and front USB port. 0873725 And replace RP (Rear Panel unit). Change USB connector. 0873726 Refer MPIUS0415EA for more detail. Release at May. 2009. 6 USUG-794A V3.00 > V4.00 to 0944622 0873726 V3.00, V4.00 > Refer MPIUS0446EA for more detail. Release at end of May. 2010. 7 USUG-795A to V5.00 1055705 0873726 V3.00 – V5.00 > 8 USUG-796A to Refer MPIUS0461EA for more detail. Release at Dec. 2010. V5.20 10Y6078

[Page 104] 0873726 V3.00 – V5.20 > 9 USUG-797A to Refer MPIUS0466EA for more detail. Release at Jan. 2011. V5.21 10Z6101

[Page 105] Table of upgrade path USUG USUG USUG UIUG- USUG USUG USUG USUG -790A -791A -792A 793A -794A -795A -796A -797A V1.10 --- OK OK N/A N/A N/A N/A N/A N/A xxB06Y2001 till xxB0782792 V2.00 V2.00 OK OK N/A N/A N/A N/A N/A xxC0782793 till xxC07Z3097 V2.01 N/A V2.01 OK OK N/A N/A N/A N/A xxD07Z3098 till xxD0833456 V2.20 N/A N/A V2.20 OK N/A N/A N/A N/A xxE0843457 till xxE0873725 V3.00 N/A N/A N/A V3.00 OK OK OK OK xxF0873726 till xxF0944622 V4.00 N/A N/A N/A N/A V4.00 OK OK OK xxG0954623 till xxG1055705 V5.00 N/A N/A N/A N/A N/A V5.00 OK OK xxH1055706 till xxI10Y6078 V5.20 N/A N/A N/A N/A N/A N/A V5.20 OK xxJ10Z6079 till xxJ10Z6101 V5.21 N/A N/A N/A N/A N/A N/A N/A V5.21 xxK1116102 till Up to Up to Up to Up to Up to Up to Up to Up to V2.00 V2.01 V2.20 V3.00 V4.00 V5.00 V5.20 V5.21 H/W upgrade -CPU / HDD upgrading S/W upgrade -So that this kit only support V3.00 system Required new CPU / HDD

[Page 106] Version up record <AplioMX> Service Note 0992001 1 Initial release V1.00 Refer MPIUS0425EA for more detail. Release at Sep. 2009. 0992001 2 USUG-780A V1.00 > V1.20 to Refer MPIUS0431EA for more detail. Release at Nov. 2009. 09Y2124 0992001 V1.00, V1.20 > 3 USUG-781A to Refer MPIUS0446EA for more detail. Release at end of May. 2010. V2.00 1052543 0992001 V1.00 – V2.00 > 4 USUG-782A to Refer MPIUS0449EA for more detail. Release at Jul. 2010. V2.10 1072754 0992001 V1.00 – V2.10 > 5 USUG-783A to Refer MPIUS0461EA for more detail. Release at Dec. 2010 V2.20 10Y3244 0992001 V1.00 – V2.20 > 6 USUG-784A to Refer MPIUS0466EA for more detail. Release at Jan. 2011 V2.21 10Z3373

[Page 107] Version up record <AplioMX> Service Note Table of upgrade path USUG USUG USUG USUG USUG -780A -781A -782A -783A -784A V1.00 --- OK OK OK OK OK xxx0992001 till xxx09Y2123 V1.20 V1.20 OK OK OK OK xxx09Y2125 till xxx1052543 V2.00 N/A V2.00 OK OK OK xxx1052544 till xxx1072753 We cannot trace V2.10 N/A N/A V2.10 OK OK xxx1072754 till xxx10Y3244 S/N as 2124... V2.20 N/A N/A N/A V2.20 OK xxx10Z3245 till xxx10Z3373 V2.21 N/A N/A N/A N/A V2.21 xxx1113374 till Up to Up to Up to Up to Up to V1.20 V2.00 V2.10 V2.20 V2.21

[Page 108] Version up record <XarioXG> Service Note Applicable serial number 0792001 1 Initial release V1.00 Refer MPIUS0373EA for more detail. Release at Oct. 2007. 0792001 2 USUG-680A V1.00 > V1.10 to Refer MPIUS0381EA for more detail. Release at Dec. 2007. 07Y2192 0792001 V1.00, V1.10 > 3 USUG-681A to Refer MPIUS0391EA for more detail. Release at Apr. 2008. V1.20 0832397 Refer MPIUS0399EA for more detail. Release at Sep. 2008. 07Z2193 V1.10, V1.20 > Hardware upgrade. 4 UIUG-682A to V2.00 Include CPU-ASSY and front USB port. 0882623 Change USB connection. 0892624 5 USUG-683A V2.00 > V3.00 to Refer MPIUS0422EA for more detail. Release at Jun. 2009. 0953132 0892624 V2.00, V3.00 > 6 USUG-684A to Refer MPIUS0431EA for more detail. Release at Nov. 2009. V3.20 09Y3593 0892624 V2.00 – V3.20 7 USUG-685A to Refer MPIUS0446EA for more detail. Release at end of May. 2010. > V4.00 1053940

[Page 109] Version up record <XarioXG> Service Note Applicable serial number 0892624 V2.00 – V4.00 8 USUG-686A to Refer MPIUS0461EA for more detail. Release at Dec. 2010 > V4.20 10Y4342 0892624 V2.00 – V4.20 9 USUG-687A to Refer MPIUS0466EA for more detail. Release at Jan. 2011 > V4.21 10Z4396

[Page 110] Version up record <XaioXG> Service Note We cannot trace Table of upgrade path S/N as 2192... USUG USUG UIUG- USUG USUG USUG USUG USUG -680A -681A 682A -683A -684A -685A -686A -687A V1.00 --- OK OK N/A N/A N/A N/A N/A N/A xxx0792001 till xxx07Y2191 V1.10 V1.10 OK OK N/A N/A N/A N/A N/A xxx07Z2193 till xxx0832397 V1.20 N/A V1.20 OK N/A N/A N/A N/A N/A xxx0842398 till xxx0882623 V2.00 N/A N/A V2.00 OK OK OK OK OK xxx0892624 till xxx0953132 V3.00 N/A N/A N/A V3.00 OK OK OK OK xxx0963133 till xxx09Y3593 V3.20 N/A N/A N/A N/A V3.20 OK OK OK xxx09Y3594 till xxx1053940 V4.00 N/A N/A N/A N/A N/A V4.00 OK OK xxx1053941 till xxx10Y4342 V4.20 N/A N/A N/A N/A N/A N/A V4.20 OK xxx10Z4343 till xxx10Z4396 V4.21 N/A N/A N/A N/A N/A N/A N/A V4.21 xxx1114397 till Up to Up to Up to Up to Up to Up to Up to Up to V1.10 V1.20 V2.00 V3.00 V3.20 V4.00 V4.20 V4.21 H/W upgrade -CPU / HDD upgrading S/W upgrade -So that this kit only support V2.00 system Required new CPU / HDD

[Page 111] Version up record <Xario V6 and later> Service Note Refer MPIUS0374EA for more detail. Release at end of Oct. 2007. Initial 07Y2741 1 V6.00 Technical point of view Xario V6 system is NOT same as V5.5 and release (Started ) before Xario system. 07Y2741 Refer MPIUS0381EA for more detail. Release at end of Dec. 2007. to But following serial number has shipped with V6.10 software. 2 USUG-665A V6.00 > V6.10 07Y3012 So that these serial number system is NOT necessary this upgrade kit *Some exception 07Z2956 - 07Z2957, 07Z2965 - 07Z2967, 07Z2982 - 07Z2990, mentioned on remarks. 07Z2993 - 07Z3001, 07Z3004 - 07Z3007 07Y2741 V6.00, V6.10 3 USUG-666A to Refer MPIUS0391EA for more detail. Release at end of Apr. 2008. > V6.20 0843642 Refer MPIUS0401EA for more detail. Release at end of Oct. 2008. 07Z3013 Hardware upgrade.Include CPU-ASSY and front USB port. to Change USB connection. V6.10, V6.20 4 UIUG-667A 0894473 And following serial number has shipped with V6.10 software. > V7.00 *Some exception So that these serial number system could be apply this upgrade kit mentioned on remarks. 07Z2956 - 07Z2957, 07Z2965 - 07Z2967, 07Z2982 - 07Z2990, 07Z2993 - 07Z3001, 07Z3004 - 07Z3007, 08X4474 5 USUG-668A V7.00 > V8.00 to Refer MPIUS0423EA for more detail. Release at end of Jun. 2009. 0965604 08X4474 V7.00, V8.00 Refer MPIUS0431EA for more detail. Release at Nov. 2009. 6 USUG-669A to > V8.20 LGH09Y6364(15C09Y6362) - 09Y6361

[Page 112] Version up record <Xario V6 and later> Service Note 08X4474 V7.00 – V8.20 7 USUG-670A to Refer MPIUS0446EA for more detail. Release at end of May. 2010. > V9.00 1052054 V7.00 - V9.00 08X4474 8 USUG-671A > to Refer MPIUS0461EA for more detail. Release at Dec. 2010 V9.20 10Y3203 V7.00 - V9.20 08X4474 9 USUG-672A > to Refer MPIUS0466EA for more detail. Release at Jan. 2011 V9.21 1113357

[Page 113] Version up record < Xario V6 and later > Service Note Table of upgrade path USUG USUG UIUG- USUG USUG USUG USUG USUG V6 Remarks -665A -666A 667A -668A -669A -670A -671A -672A V6.00 --- OK OK N/A N/A N/A N/A N/A N/A xxx07Y2741 till xxx07Y3012 *1 V6.10 V6.10 OK OK N/A N/A N/A N/A N/A xxx07Z3013 till xxx0843642 V6.20 N/A V6.20 OK N/A N/A N/A N/A N/A xxx0843643 till xxx0894473 V7.00 N/A N/A V7.00 OK OK OK OK OK xxx08X4474 till xxx0965604 V8.00 N/A N/A N/A V8.00 OK OK OK OK xxx0965605 till xxx09Y6361 V8.20 N/A N/A N/A N/A V8.20 OK OK OK xxx09Y6362 till xxx1052054 V9.00 N/A N/A N/A N/A N/A V9.00 OK OK xxx1052055 till xxx10Y3203 V9.20 N/A N/A N/A N/A N/A N/A V9.20 OK xxx10Z3204 till xxx1113357 V9.21 N/A N/A N/A N/A N/A N/A N/A V9.21 xxx1113358 till Up to Up to Up to Up to Up to Up to Up to Up to V6.10 V6.20 V7.00 V8.00 V8.20 V9.00 V9.20 V9.21 *1: But following serial number has shipped with V6.10 software. So that these serial number system is NOT necessary this upgrade kit H/W upgrade 07Z2956 - 07Z2957, 07Z2965 - 07Z2967, 07Z2982 - 07Z2990, -CPU / HDD upgrading 07Z2993 - 07Z3001, 07Z3004 - 07Z3007 S/W upgrade -So that this kit only support V7.00 system Required new CPU / HDD

[Page 114] Version up record <Xario V5.5 and before> Service Note Applicable serial number 4602001 1 Initial release V1.00 Refer MPIUS0300EA for more detail. Release at Oct. 2004. 4602001 to 2 USUG-660A V1.00 > V2.00 Refer MPIUS0319EA for more detail. Release at Mar. 2005. xxx0522400 4602001 to 3 USUG-661A V1.00 > V3.00 Refer MPIUS0337EA for more detail. Release at Oct. 2005. 99B05X3416 5532401 to 4 USUG-662A V2.00 > V4.00 Refer MPIUS0345EA for more detail. Release at Feb. 2006. 99C0624043 05X3417 to 5 USUG-663A V3.00 > V5.00 Refer MPIUS0352EA for more detail. Release at Jun. 2006. 0654766 This version is not longer available for production, only upgrade. 0654766 to 6 USUG-664A V4.00 > V5.50 Refer MPIUS0396EA for more detail. 07Y2740 This upgrade kit has released at Jul. 2008. Refer MPIUS0388EA for more detail. This upgrade kit has released at Mar. 2008. Hardware upgrade. V2.00 to V5.50 5522401 to This kit will be replace whole PWB rack include all PWBs and DVD/CD > V6.10 07Y2740 drive. At this time we couldn ’ t convert original user presets. 7 UIUG-660A (Means needs create user presets manually otherwise customer lost presets,) Refer MPIUS0404E for more detail. V2.00 to V5.50 5522401 to Upgrade kit specification changed. (But installation as same as above.) > V7.00 07Y2740 This change applied UIUG-660A production is on and later Nov. 2008.

[Page 115] Version up record <Xario V5.5 and before> Service Note *1: Upgrade path different depends on Table of upgrade path production of UIUG-660A UIUG-660A *1 USUG USUG UIUG- USUG USUG Ini Oct. Nov. Remarks -660A -661A 662A -663A -664A 2008 and 2008 and before *1 later *1 V1.00 --- OK OK N/A N/A N/A N/A N/A x4603001 till xxx0522400 V2.00 V2.00 OK OK N/A N/A OK OK x5532401 till xxx05X3416 V3.00 N/A V3.00 OK OK N/A OK OK xxx05X3417 till xxx0624043 V4.00 N/A N/A V4.00 OK OK OK OK xxx0624044 till xxx0654766 V5.00 N/A N/A N/A V5.00 OK OK OK xxx0664767 till xxx07X2739 No production version, this version V5.50 N/A N/A N/A N/A V5.50 OK OK only available with upgrade. Upgrade from V6.1 to V7.0, use UIUG-667A V6.10 N/A N/A N/A N/A N/A V6.10 N/A V7.00 N/A N/A N/A N/A N/A N/A V7.00 Remark Up to Up to Up to Up to Up to Up to Up to s V2.00 V3.00 V4.00 V5.00 V5.50 V6.10 V7.00 S/W upgrade H/W upgrade - V5.5 is only available by upgrade. - Replace Rack ASSY including CD/DVD drive No production. - Preset data will not converting (not support)

[Page 116] General service work

[Page 117] General service work Service Note General service work Service menu Access key for service menu Security mode [Shift] with [<] Optional software installation IQ report Taking log files Screen Capture Environment Var. TCS calibration Main panel test Mandatory work for H/W replacement

[Page 118] General service work <Service Menu> Service Note Service Menu How to access service menu Press [Menu] Select “ Maintenance ” Press [Ctrl] and [Shift] and [Next] key Enter the password. (Password will be change every year Jan. 1st.) Pass word for 2012 : 3E90D0A1E8A500 AA1D61 Select the check box for "Set as Default" to keep the license entered in the Note: 0 means Zero, left field. From next time, the service menu can be accessed by entering the O means Oman right side password (8 digits) only. The screen below is displayed. When the version information below is displayed, the menu items can be accessed.

[Page 119] Access key for service menu <from 2001 to 2013.> Year Left side password Right side password 2001 8CAADAEC397AAB 69C3E7 2002 FCBCD091543BD4 E84661 2003 CCCED09175530A FB8A61 2004 3D90D021E83E62 040E61 2005 3DD2D021C85E64 BB0261 2006 BD94D021E9136A FA8661 2007 BDD6D021C9F24C 454B61 2008 3DB8D0213C9646 14CE61 2009 4DCAD021747E60 058261 2010 FDBCD02154B24E 444761 2011 CDCED02175C908 DB9961 2012 3E90D0A1E8A500 AA1D61 2013 3ED2D0A1C8C50E 9B1161 Note: 0 means Zero, O means Oman

[Page 120] Security mode (Called HIPPA.) Security mode will be activate set Enable for Security mode at; [Menu] > [System setting] > [Other Setting] > Page 2/2 > Press [Shift] and [<] If Security Mode set to enable, since then system will ask you ID and PASSWORD when system boot up completed. Here is factory default passwords. You can add user accounts when log in with administrator role. Role ID Password Remarks Operator SERVICE SERVICE& Administrator TOSHIBA TOSHIBA& You can add, edit and delete user accounts.

[Page 121] [Shift] with [<] Some of setting menu has hidden menu. The hidden menu will be displayed with [Shift] and [<].

[Page 122] General service work (Optional software) Service Note Install procedure Advanced DICOM option should install after Basic DICOM install. Step Operation 1 [Menu] > [Maintenance] > Press [Ctrl], [Shift] and [Next]. Enter password 2 Click [HW/SW] > [Option Install] 3 Insert optional CD to CD / DVD drive 4 Click [Install] 5 Enter optional software by 8 digits (Incase if you have 10 digits serial number, please convert into 8 digit with encoding rule) 6 If you have several option return step 3 and do step 4 and 5. 7 Click [Home] > [Exit], system ask you to system shutting down. Click [OK]. 8 Restart the system then confirm the option working or not. Uninstall procedure If you click [Uninstall], system uninstall it without confirmation. Please carefully. Step Operation 1 [Menu] > [Maintenance] > Press [Ctrl], [Shift] and [Next]. Enter password 2 Click [HW/SW] > [Option Install] 3 Select option which you want to uninstall 4 Click [Uninstall] 5 If you have several option return step 3 and do step 4. 6 Click [Home] > [Exit], system ask you to system shutting down. Click [OK]. 7 Restart the system then confirm the option working or not.

[Page 123] General service work (Optional software) Service Note Option serial number encoding In case if you have 10 digits option software serial number, please cnvert the serial number into 8 digits. For example if option serial number is “”99B0542001”. <1> <2> <3> <4> 99B 05 4 2001 V V V V B 5 54 2001 <1>: First 3digits of serial number (99B) only leave alphabet. (Leave B) <2>: Next 2 digits of serial number (05) only leave last digit. (Leave 5) <3>: Next 1 digit of serial number (4) add 50 incase of the digit is number (0-9) Incase the digit is alphabet (X, Y, Z), convert it; X for 60 Y for 61 Z for 62 <4>: last 4 digits leave it with no conversion.

[Page 124] General service work <Preset backup: for CD/DVD> Service Note Preset Backup for CD/DVD 1. Go to Service Menu. 2. Click [File Maintenance] > [User Data Backup]. 3. Set blank CD or DVD media to CD/DVD drive. a. When upgrading system, please follow the instruction of upgrade kit installation manual. 4. Select “ Backup to DVD/CD ” for [Backup/Restore]. 5. We don ’ t need select any value for [Drive & Dir]. 6. Confirm that all of backup item ware selected for “ Select Backup Category ” . 7. Click [Go] then system starting Preset backup process. 8. Wait a moment until “ Backup and 4. Write to Media is Succeeded ” displayed. 5. 6. 7.

[Page 125] General service work <Preset backup: for USB memory stick> Service Note Preset Backup for USB memory stick We can use USB memory stick instead of CD/DVD on and later V3 AplioXG, V1 AplioMX, V2 XarioXG and V7 Xario. In this time we should check the USB memory stick with virus scanning software before connecting the USB memory to system. 1. Go to Service Menu. Click [File Maintenance] > [User Data Backup]. 2. Set USB memory stick. 3. Select “ Backup ” for [Backup/Restore]. 4. Select USB memory stick drive letter for [Drive & Dir]. 5. Confirm that all of backup item ware selected for “ Select Backup Category ” . 6. Click [Go] then system starting 4. Preset backup process. 7. Wait a moment until “ Backup is 5. Succeeded ” displayed. 6. 7.

[Page 126] General service work <IQ report> Service Note IQ report In case if customer has problem, please ask to customer to take IQ report. IQ report will be record, Problem image System status including system settings, operation log etc. These record very helpful trouble investigation for us also designer investigation. IQ report will be taking, Press IQ report on TCS, [Other] menu. D:¥Aplio¥TUSService¥Data¥IQReport Shutdown / Standby system. D:¥Aplio¥TUSLog¥TusshutdownLog¥yyyymmdd¥IQReport

[Page 127] Taking log files (AplioXG: V3.0, AplioMX: Initial, XarioXG: V2.0, Xario: V7.0 and later ) Press [Menu] then pop-up menu displayed. (If you skip this procedure, you cannot use Set/Next in log collecting menu.) This procedure will be collect all necessary log files to CD / DVD or USB including IQ reports. Set USB stick memory or blank CD-R media to CD/DVD drive. Press IQ report which on [Other] menu, TCS. Press [Ctrl] and [Alt] and [W] on full keyboard. Enter tsborca (Case sensitive, so recommended press with [Shift].) Check for “Write to USB” or “ Write to CD ” , then click [Collect Start]. *: If you get “ IQ Report Error ” , please take IQ Report first. Wait 15 to 30 minutes, CD will be automatically eject when log collection completed. Click [Ok] for message then click [Quit]. Confirm result of log collection before leaving from hospital. Under TEMP folder we can find 6 files as below.

[Page 128] Taking log files (AplioXG: V3.0, AplioMX: Initial, XarioXG: V2.0, Xario: V7.0 and later ) Select whether you will store the log files to CD/DVD or USB memory stick. You can split log files as split file size. If you know problem occurred day, please check hear and define problem occurred date. System only collect day after specified date as a result log collection time shorter than normal. Start log collection

[Page 129] Taking log files Press [Menu] then pop-up menu displayed. (If you skip this procedure, you cannot use Set/Next in log collecting menu.) This procedure will be collect all necessary log files to CD / DVD including IQ reports. Set blank CD-R media to CD/DVD drive. Press IQ report which on [Other] menu, TCS. Press [Ctrl] and [Alt] and [W] on full keyboard. Enter tsborca (Case sensitive, so recommended press with [Shift].) Check for “ Write to CD ” , then click [Collect Start]. *: If you get “ IQ Report Error ” , please take IQ Report first. Wait 15 to 30 minutes, CD will be automatically eject when log collection completed. Click [Ok] for message then click [Quit]. Confirm result of log collection before leaving from hospital. Under TEMP folder we can find 6 files as below.

[Page 130] General service work <Task manager> Service Note Task manager This procedure is only for service purpose. From task manager, we can launch windows explorer, mspaint and etc … Also we can execute STOPZ command which means we can shutting down the system in case we cannot do proper shut down procedure. After using task manager, please shutdown and reboot the system. Otherwise, we may get strange problem like echo image is not display etc. Press [Ctrl] and [Alt] and [Del] key, then screen changed. Press [ ] (Backslash) then [Task Manager] button will be appeared. Click [Task Manager] button, then “ Task Manager ” window will be displayed. Click “ Application ” tab. Click [New Task], this function same as “ Run ” in start menu. Enter command as what do you want to get. Command Result explorer Launch windows explorer. cmd Launch command prompt. stopz.js Execute “ STOPZ ” command. mspaint Launch PAINT application.

[Page 131] General service work <Screen Capture> Service Note Screen Capture We can make screen shot with [Print Screen] key. After capture the screen, then you can past to MSPAINT application. * For launching MSPAINT, please refer to Task Manager. Screen capture result 2nd monitor 1st monitor We can recognize that system using dual monitor for TCS and main monitor. So that graphic board has 2 monitor connectors. Also dual monitor setting very important for this system.

[Page 132] General service work <Screen Capture> Service Note Screen Capture If you take screen capture with echo image, we cannot get echo image correctly. Due to screen capture function will getting the screen which generates on CPU board. CPU board will be create banner (top and bottom of screen), overlay characters and gray (color) scale bar. Difference between IQ report and Screen Capture CPU LCD monitor Screen Capture Overlay graphics with chroma key color BE 2D CDI Processing Front End echo signal + PW/CW Image IQ Report combining

[Page 133] While upgrading installation manual ask you delete environment variables what is that? Environment variables is that sharing a value for other tasks application . On Aplio / Xario system using many environment variables. One of the variable that Z_DEV_MACHINE controls designer’s mode. If set Z_DEV_MACHINE, we can see system information such as build version etc and we can use several windows short cuts.

[Page 134] How to set? Press [Menu] > Select “ Maintenance ” Press [Ctrl] and [Shift] and [Next] key and Enter the password. Click [Command Line] > Execute STOPZ.JS > Wait several minutes Right click [Start] > Select Windows explorer Right click [My Computer] > Properties > Click [Advanced] tab Click bottom of [New...] which belongs “System variables”. Enter variable name and variable value as below and click [OK] Variable Name: Z_DEV_MACHINE Variable Value: 1 Click [OK] twice then close all windows Restart system System getting designer’s mode

[Page 135] How to delete? Press [Menu] > Select “ Maintenance ” Press [Ctrl] and [Shift] and [Next] key and Enter the password. Click [Command Line] > Execute STOPZ.JS > Wait several minutes Right click [Start] > Select Windows explorer Right click [My Computer] > Properties > Click [Advanced] tab Find Z_DEV_MACHINE on list of System Variables. Please carefully that should NOT select other variable. Click [Delete], delete the variable without any confirmation. Click [OK] twice then close all windows Restart system System getting normal mode

[Page 136] TCS calibration Service Note Sometime TCS switch location will not corresponds touch screen censer on TCS, in this time please try to calibration for TCS. Go to service menu > Go to [Command Line] > Execute STOPZ.JS Right click [Start] > Select Windows explorer and execute Calwin.exe AplioXG C:¥Drivers¥ControlPanel(USB)¥V1¥V10L10¥Calwin.exe AplioMX, XarioXG, Xario V6 and later C:¥Drivers¥ControlPanel(USB)¥V1¥ControlPanelDriverV10L16¥Calwin.exe Xario V5 and before C:¥Drivers¥ControlPanel(USB)¥V1-R4¥ControlPanelDriverV10L16¥Calwin.exe A cross mark (+) appears on TCS. Press 9 times the cross mark. Each time the position of cross mark move as next page. Press to move the mark to the last position and then press [Enter]. Calibration is completed and the paddle switch setting screen is displayed. Adjust direction of puddle switches then press [Enter]. Shutting down and reboot the system. Confirm TCS funciton.

[Page 137] TCS calibration Service Note TCS calibration screen Puddle switch direction setting screen

[Page 138] Main panel test Service Note AplioXG Press and hold down 3 x rotary encoder below for 4 seconds Individual panel test mode running. 1. Press each switches. Once all LEDs are lit off. 2. In this time color of LED for the switch will be change if the switch works fine. (Sequence of LED color: Unlit > Green > Orange > Unlit again) 3. This individual test could be use except Set / Next, System Power switch, and wheel switch

[Page 139] Main panel test Service Note AplioMX, XarioXG and Xario (Any version) Press and hold down 3 x rotary encoder below for 4 seconds Individual panel test mode running. 1. Press each switches. Once all LEDs are lit off. 2. In this time color of LED for the switch will be change if the switch works fine. (Sequence of LED color: Unlit > Green > Orange > Unlit again) 3. This individual test could be use except Set / Next, System Power switch, and wheel switch

[Page 140] Mandatory work for HW replacement Service Note Here is the mandatory work for H/W replacement Step Command Remarks 1 C:¥SetAplio¥10_StopAplio.bat Execute on Windows explorer from Command Line 2 Shutdown system 3 Replace H/W, reboot the system 4 <Only CPU replacement> Check BIOS timer setting Check CPU replacement work too. (See installation manual of CPU replacement which including service parts) 5 <Only CPU replacement> Check drive letter setting 6 D:¥aplio¥bin¥DrvInstall.bat Start > Windows Explorer 7 C:¥SetAplio¥11_UpdateAplio.bat Start > Windows Explorer 8 C:¥zdt¥Load_FW.bat Start > Windows Explorer 9 C:¥SetAplio¥11_UpdateAplio.bat Start > Windows Explorer 10 Add “ Z_DEV_MACHINE ” for Environment Variables Start > Settings > Control Panel > System > Advanced 11 Shutdown system and reboot system Also remove all probe from system before reboot 12 C:¥SetAplio¥11_UpdateAplio.bat Start > Windows Explorer 13 C:¥zdt¥rxbf_adc_cal.bat Start > Windows Explorer 14 C:¥zdt¥Scw_Power_Cal.bat Start > Windows Explorer 15 Delete “ Z_DEV_MACHINE ” from Environment Variables Start > Settings > Control Panel > System > Advanced 16 C:¥SetAplio¥11_UpdateAplio.bat Start > Windows Explorer 17 C:¥SetAplio¥12_RestartAplio.bat Start > Windows Explorer Shutdown system and reboot system. Connecting probe(s) Then confirm system performance

[Page 141] Databases

[Page 142] On this system has 5 databases as below ArchiveStore Display of media contents DICOM MO/CD-R/DVD. Local This database administrating patient information for patient list. This database records link to patient images called “Image LOID” also. SchedulerStore This database administrating patient information for new patient screen which listed on bottom of the new patient screen means handling worklist information. PimsExamArch This database administrating exporting record such as archive to CD/DVD. Also administrate OB study related information and History browser information. Exchangeboard Administrate Job status information. When archive image, printing image data object should be through this DB and merge data object and DICOM header on this DB.

[Page 143] Exchangeboard PimsExamArchive Local History Patient image Worklist SchedulerStore Exchangeboard ArchiveStore

[Page 144] Failure case caused database Service Note Failed in starting new Exam when press Exam Start. ArchNet error after sending image No image display on [Print to...] screen System automatically shutting down while reboot from “Standby”

[Page 145] Incase you suggest Database problem... Cause of the problem in general Too many job remaining on Job status DICOM setup mistake (Based on system internal communication) Delete DICOM setting without deleting remaining jobs for the server Shutting down the system by force while system processing image object Please confirm that the system is not processing image object Make sure DICOM image transfer, archive to CD/DVD cache, converting Please confirm that the system is not processing print object Please confirm Queue on [Print to...]

[Page 146] Incase you suggest Database problem... Try Confirm Job status If there is so many failed, stopped job delete them Also confirm why the job status is failed. If images are reached image server, please confirm DICOM setting on the system Clean-up Exchange DB Patient images are remain even after clean-up. Recreating Exchange DB Patient images are remain even after recreating Exchange DB. Recreate all 5 databases Required to delete all patient images

[Page 147] Job status How to confirm? Go Patient Browser > Tools > Job status Basically there is 5 successful job Delete unnecessary job. If there is so many failed or Stopped job, we suggest; If all images are stored on server > DICOM setting is not correct. If all images are not stored on server > server problem. Or job which remaining on CD/DVD DICOM cache for waiting burning to media. Burn DICOM cache to CD/DVD media

[Page 148] Clean-up Exchange DB How to do it? Reboot system And delete all remaining jobs from job status on patient browser. Go to service menu Go to “Command Line” then apply STOPZ.JS. Wait until windows desktop appeared. Right click [Start] > [Windows Explorer] Go to C:¥1-APLI¥BackupRestoreTool. Then execute ExchangeBoardCleaner.bat Reboot the system

[Page 149] Recreating Exchange DB How to do it? Reboot system And delete all remaining jobs from job status on patient browser. Go to service menu Go to “Command Line” then apply STOPZ.JS. Wait until windows desktop appeared. Click [Start] > [Run] > Enter CMD then click [OK] A command prompt window appear. Enter a command below then press [Enter]. ExchBRemove After display “Database Entry 5 removed from ID file” display on command prompt, enter a command below then press [Enter]. ExchBCreate Finally enter command below then confirm DBList there is Exchangeboard@”hostname”. Reboot the system 148

[Page 150] Recreate 5 databases <Similar operation as changing computer name> Service Note Recreate all 5 databases. Before doing the operation, we have to make patient image and information backup otherwise lost image or patient information. Step Command 1 Go to service menu > Command Line > Execute STOPZ.JS 2 Start > Run > Enter CMD and OK > Execute tus_rmdb.js. Wait 3 minuets. (It is depends on number of images.) 3 Delete all of folder and files under D:¥Database and E:¥Images. (We must keep D:¥Database and E:¥Images folder.) 4 Shutdown. Then reboot the system. 5 Start > Run > Enter CMD and OK > Execute tus_mkdb.js 6 Shutdown. Then reboot the system. 7 Go to service menu > Configuration > Local AEs > Click [Save] 8 Network nodes > Host > Select original computer name then click [Delete] 9 Check “ Local Host ” . System automatically set new computer name and 192.168.0.2. Then Click [Save]. 10 If you have DICOM connection, set new computer name for all of server setting in Network nodes > Remote. 11 Go to [Command line]. Execute tus_ddgw_hostset.bat. * If the bat file is not there, you can skip this step. 12 Go to Advanced DICOM. Confirm new computer name is set for “ Basic DICOM Host Name ” . set new computer name for system AE title and DVD drive (Like aplio, F and U) in Advanced DICOM > DICOM Destination. 14 Shutdown. Then reboot the system.

[Page 151] System installation <Network and DICOM>

[Page 152] Network installation Service Note Setting for network What is LAC, LAC2 and LAC3 Local Area Connection is for external network connection. Like DICOM network, measurement result transfer by XML for sheared folder. Local Area Connection 2 is for internal network connection. This system database mounted on network. If system doesn ’ t have network connection, system cannot recognize the database correctly. So that system required this connection, we should NOT set disable this setting in any case. Local Area Connection 3 is communicating with DVD-VSR (UIVS-001A) option. This connection only displayed when you install DVD-VSR. DVD-VSR unit controlled by TCP/IP.

[Page 153] Network installation <Change computer name> Service Note Here is procedure of changing computer name. Step Command 1 Go to service menu > Command Line > Execute STOPZ.JS 2 Start > Run > Enter CMD and OK > Execute tus_rmdb.js. Wait 3 minuets. (It is depends on number of images.) 3 Delete all of folder and files under D:¥Database and E:¥Images. (We must keep D:¥Database and E:¥Images folder.) Change computer name, Right click My computer > Property > Network Identification > Properties. In this procedure system ask you to system restart, it must click [NO]. Start > Run > Enter CMD and OK > Execute tus_chnm.js[] ” computer name ” *[] means space. “ computer name ” is defined at step 4. 6 Shutdown. Then reboot the system. 7 Start > Run > Enter CMD and OK > Execute tus_mkdb.js 8 Shutdown. Then reboot the system. 9 Go to service menu > Configuration > Local AEs > Click [Save] 10 Network nodes > Host > Select original computer name then click [Delete] 11 Check “ Local Host ” . System automatically set new computer name and 192.168.0.2. Then Click [Save]. 12 If you have DICOM connection, set new computer name for all of server setting in Network nodes > Remote. 13 Go to [Command line]. Execute tus_ddgw_hostset.bat. * If the bat file is not there, you can skip this step. 14 Go to Advanced DICOM. Confirm new computer name is set for “ Basic DICOM Host Name ” . set new computer name for system AE title and DVD drive (Like aplio, F and U) in Advanced DICOM > DICOM Destination. 16 Shutdown. Then reboot the system.

[Page 154] Make DICOM configuration with DICOM setup assistant tool.

[Page 155] How to use setup assistant 1/6 Click “New” for new configuration Click “Exit” to close this tool Click “Load” to loading previous setting

[Page 156] How to use setup assistant 2/6 1. Select one of them depends on system configuration 2. Click “Next” after select system configuration

[Page 157] How to use setup assistant 3/6 Note: You don’t required change the IP setting due to system use internal network address automatically. 1. Set computer name of ultrasound system 2. Select the system Note: If the system AplioMX or software version. Xario V6 and later system, select V2.00, V2.01 (AplioXG) 3. Set ultrasound system Local AE Title 4. If you required IHE Application, select YES. Click “i” icon, Note: This option can be select if you can see reference system has Advanced DICOM option information of IHE Application Note: Click “!” icon, you can see reference information regarding port number for external devvice. 5. Click “Next” after define the above items

[Page 158] 7. Click “Add to list” after define the server information As a result AE title of the server listed on Entry list. How to use setup assistant 4/6 1. Set host name of server. It is you can define as you like 2. Set the server’s IP address. 3. Set the server’s AE Title Note: “Remove from list”: 4. Set the server Delete setting name on the system. parameter from Entry This is just the list. ultrasound system internal use, so you “Update”: can set as you like. Click it after modify 8. Click Next when 5. Set the server’s any parameter of you complete defining Port number selected server. all server parameter. Note: See next slide also 6. Tick service class(s) which you want to use with the server. Note: Click “Save” for parameter storage service. This function is not works with Windows7 OS.

[Page 159] How to use setup assistant (Detail of service class(s)) Only Basic DICOM Installed Note: Note: If a server support several service If a server support several service classes with same classes with same IP address IP address AE Title AE Title Note: Selectable item of Note: Selectable item of Port number Port number service class is depends service class is depends Advanced DICOM Installed We should tick both of service We should tick both of service on system configuration. on system configuration. classes like this. classes like this. (On this case, server supports Storage and MWM)

[Page 160] How to use setup assistant 5/6 (Guide setting procedure 1/2) 3. If complete all items and click [Save] on the system. 2. Confirm setting. Click “Next” for another If there are any difference, setting screen. change it on system. Note: If there are no change, but recommend you to click [Save] anyway on system. 1. Confirm where should you go!

[Page 161] How to use setup assistant 6/6 (Guide setting procedure 2/2) 3. If complete all items and click [Save] on the system. Click “Next” for another 2. Confirm setting. setting screen. If there are any difference, change it on system. Note: Confirm this kind additional explanation also Note: Check all of items if there is the Device List Note: If there are no change, available and there are but recommend you to click several item listed. [Save] anyway on system. 1. Confirm where should you go!

[Page 162] In case, only USDI-xx0A (Basic DICOM) Installed Storage SCP Storage SCU Storage SCP Storage SCU MWM SCP MWM SCU MWM SCP MWM SCU MWM SCU MWM SCP

[Page 163] In case, only USDI-xx2A (Basic DICOM) Installed Storage SCP Storage SCU Storage SCP MWM SCP MWM SCU MWM SCP MWM SCU MWM SCU MWM SCP

[Page 164] In case, MWM Gateway enabled Storage SCP Storage SCU Storage SCP MWM SCP MWM SCU MWM SCU MWM SCP MWM SCU MWM SCP

[Page 165] In case, IHE application enabled. (Of course MWM enabled) Storage SCP Storage SCU Storage SCP Storage SCU Storage SCP MWM SCU MWM SCP MWM SCU MWM SCP MWM SCU MWM SCP MPPS SCU MPPS SCP MPPS SCU MPPS SCP Storage SCU Storage SCP Storage SCU Storage SCP Storage SCU Storage SCP Commitment Commitment Commitment Commitment SCU SCP SCU SCP

[Page 166] Additional Script US => Retired US MONOCHROME2 Conversion MWM Gateway MWM Query – Advanced Modality Exam type selection (Comprehensive) IHE Application Support IHE Multiframe Decompression DICOM Format Conversion for Toshiba Private data MWM Option MWM Query - IHE DICOM SR What is DICOM SR object DICOM SR Setting

[Page 167] Function overview (Supported version) SSA-790A SSA-780A SSA-680A SSA-660A (AplioXG) (AplioMX) (XarioXG) (Xario) Additional Script V2.0 V1.0 V1.0 V6.0 General Retired US V1.1 V1.0 V1.0 V1.0 Monochrome2 Conversion V1.1 V1.0 V1.0 V3.0 GW V1.1 V1.0 V1.0 V5.0 MWM Query (Advanced) V1.1 V1.0 V1.0 V5.0 Modality V1.1 V1.0 V1.0 V5.0 Exam Type Selection (Comprehensive) V1.1 V1.0 V1.0 V5.0 IHE support V1.1 V1.0 V1.0 V6.0 Multiframe Decompression V2.0 V1.0 V1.0 V6.0 IHE Private data Convert V2.0 V1.0 V1.0 V6.0 MWM Query (IHE) V2.0 V1.0 V1.0 V6.0 Private V1.1 V1.0 V1.0 V1.0 Basic text V1.1 V1.0 V1.0 V1.0 SR Enhanced V1.1 V1.0 V1.0 V6.0 Comprehensive V5.0 V2.0 V4.0 V9.0 DICOM Code set V4.0 V1.0 V3.0 V8.0 Note: If there is any color on the cell, means required specific software version.

[Page 168] Function overview (Functionality 1/3) Additional Script On and later specific software version on previous page, the system usually set Advanced DICOM – “USTras.scr” for remote servers. Archives If the setting if “USTrans.scr” system won’t send Pixel Spacing on stored exam images. If customer wish to receive the data, set “Blank.scr” for this setting Retired US If storage server only accept Retired US DICOM SOP class, set enable for this Advanced DICOM – setting (Or customer requested so... ) Archives Monochrome2 If storage server only accept Monochrome2 (8bit B/W) DICOM image, set enable Advanced DICOM – Conversion for this setting (Or customer requested so... ) Archives GW If customer would like to use advanced function for querying worklist (Listed Configuration – DICOM below on category of MWM GW), or if system required to use IHE function should - HIS/RIS Node – set to “ON” for this setting HIS/RIS MWM Query If customer wish to set detail query condition when try to get worklist, use this 1. Required MWM GW. (Advanced) option. 2. New Patient – Option Modality If customer wish to set blank for Modality query condition use this option 1. Required MWM GW. (Or IHE) 2.New Patient – Option Exam Type Selection If customer wish to automatically select exam type depends on worklist 1. New Patient – Option (Comprehensive) information, use this option and define Work order setting. 2. Menu – System Setting - Work Order

[Page 169] Function overview (Functionality 2/3) IHE support If customer wish to use work flow based on IHE. 1. Enable MWM Gateway Set enable for this function. (Configuration – DICOM - HIS/RIS Also if customer wish to use function below. Node – HIS/RIS) 2. Set “On” for IHE Application (Configuration – DICOM - Local AEs) Multiframe Cine (multi frame) image basically JPEG lossy (JPEG baseline) data. 1. Enable IHE Decompression Sometime server won’t accept the type of data, in this time we can 2. Advanced DICOM – Archives decompressed cine image when sending cine image to server, system internally stored by JPEG lossy. IHE Private data Convert System has TOSHIBA ultrasound specific data such as 3D, TDI-Q / 1. Enable IHE CHI-Q etc. 2. Configuration – DICOM - Basically sever doesn’t accept them due to TOSHIBA private Network nodes – Remote format. But we can insert dummy (Ultrasound image) data on the private data, as a result server may accept the image. Unfortunately the private data cannot review on the server. Only dummy data can be review on the server. MWM Query (IHE) If customer wish to add, edit worklist. It should set enable. 1. Enable IHE 2. New Patient – Option

[Page 170] Function overview (Functionality 3/3) Private Send measurement result by Toshiba Private 1. Configuration – DICOM - Network nodes – formatted SR. (Actually XML) Remote 2. Menu – System Setting - Report Basic text Send measurement result by Basic Text SR object. 1. Configuration – DICOM - Network nodes – (Actually XML format data) Remote 2. Menu – System Setting - Report Enhanced Send measurement result by Enhanced SR object. 1. Enable IHE Required IHE Application. 2. Configuration – DICOM - Network nodes – SR (Based on template which defined on DICOM) Remote 3. Menu – System Setting - Report Comprehensive Send measurement result by Comprehensive SR object. 1. Enable IHE Required IHE Application. 2. Configuration – DICOM - Network nodes – (Based on template which defined on DICOM) Remote 3. Menu – System Setting - Report DICOM Code set We can adjust format of the SR object (Enhanced and 1. Set SR setting Comprehensive) by this function 2. Menu – Exam Type – [Shift ] and [<]

[Page 171] 1. Additional Script 2. Retired US 3. Monochrome 2 Conversion

[Page 172] 1. Additional Script Service Note If customer requests that they need a tag information. The TAG is (0028,0030) Pixel Spacing. Old Aplio/Xario system DICOM image including (0028,0030) Pixel Spacing. On and later Vx.xx system, the tag is TAG including by factory default. Due to the TAG is not state in DICOM standard for Ultrasound image. What is the (0028,0030) Pixel Spacing?? sometimes use for referring how much distance between pixel by pixel on DICOM viewer when doing re-measurement. For more detail, also see next slide. Depends on customer Trouble shooting. Incase if customer has very old SSA-770A system and they doing re-measurement on DICOM viewer referring for Pixel Spacing. But the customer couldn’t do re-measurement on latest version AplioXG DICOM image.

[Page 173] 1. Additional Script Service Note What is the Pixel spacing??? (0028,0030) Pixel Spacing sometimes use for referring how much distance between pixel by pixel on DICOM viewer when doing re-measurement. But the TAG only define one distance information, so that sometime we could NOT get correct result of re-measurement. As you can imagine, Ultrasound system may have different distance of image in a DICOM image. For instance In dual mode. Depth of image left side is 10 cm and right side is 15 cm. Pixel spacing could NOT present correct value for both image... In 2D + PW mode 2D and PW mode should have different information such as distance, time and velocity, pixel spacing couldn’t handle them! Based on the above problems... Ultrasound image re-measurement should refer to “US Region Calibration Module”.

[Page 174] 1. Additional Script - Setting Service Note Define additional script in Archives – Advanced DICOM 1. Select the server which you wan to send Pixel Spacing tag. 2. Then select “Blank.sct” for “Additional Script”. Default is “USTrans.scr”.

[Page 175] 2. Retired US Service Note System stored still image converting into Retired Ultrasound Image object when sending still image to storage server, if the server only accepts Retired US image.(Ultrasound Image Storage (retired) SOP Class UID: 1.2.840.10008.5.1.4.1.1.6 ) Server specification Verify on server DICOM conformance statement, if the server only support 1.2.840.10008.5.1.4.1.1.6 , we should use this option. Usually our system still image SOP Class UID is 1.2.840.10008.5.1.4.1.1.6.1.

[Page 176] 2. Retired US - Setting Service Note Enable conversion function in Archives – Advanced DICOM 1. Select the server which you want to send still image by monochrome. 2. Put check mark here.

[Page 177] 3. Monochrome2 Conversion Service Note System stored still image converting into 8 bit monochrome (B/W) image when sending still image to storage server. (Usually system sending 24 bit RGB image to server.) Customer request If customer would like review a image on image viewer by 8 bit monochrome image. If server only accept 8 bit monochrome image. Notice One of the limitation is that we cannot retrieve monochrome converted image from server if server support Query and Retrieve function. This is limitation of this function. This function only effect still sending image, no effects for stored image on system HDD and cine image.

[Page 178] 3. Monochrome2 Conversion Service Note Enable conversion function in Archives – Advanced DICOM 1. Select the server which you want to send still image by monochrome. 2. Put check mark here.

[Page 179] 1. MWM Gateway 1-1. MWM Query (Advanced) 1-2. Modality 2. Exam Type Selection (Comprehensive)

[Page 180] 1. MWM Gateway Service Note This function add several functions for MWM operation. Also MWM Gateway is foundation of IHE application. So that if we want to use IHE function MWM must turn ON. Customer request If customer would like to define query items to getting worklist from MWM server. Basically Aplio/Xario system state Modality as US and Study date as today. But sometime customer request that they would like to get tomorrow or yesterday patient etc. Enable MWM Gateway then select Advanced Query at [Option] in New Patient screen. We can define detail query items such as Patient ID, Patient name and range of the examination date when getting patient information from MWM server with Advanced Query setting. This function also required to enable IHE application. Detail of IHE Application will be explain.

[Page 181] 1. MWM Gateway - Setting Service Note Enable MWM Gateway in HIS/RIS – HIS/RIS Node - DICOM MWM Gateway set to “ ON ” We don ’ t needs MWM setting, but set “ ON ” for MWM Gateway

[Page 182] 1. MWM Gateway – 1-1. MWM Query (Advanced) Service Note MWM Option New Patient > [Option] This item will be selectable if MWM Gateway set to ON

[Page 183] 1. MWM Gateway – 1-1. MWM Query (Advanced) Service Note New Patient > Click [Refresh] in new patient. (or just go to New Patient, depends on Option setting) We can define following query condition for MWM server: (0010,0020) Patient ID (0010,0010) Patient Name (0008,0050) Accession No. (0040,0002) Scheduled Procedure Step Start Date (0040,1001) Requested Procedure ID (0040,0001) Scheduled Station AE Title

[Page 184] 1. MWM Gateway – 1-2. Modality Service Note MWM Option New Patient > [Option] This item will be selectable We can define “US” or blank on query condition This item will be selectable if MWM Query setting defined The value set below when system request work list if MWM Query setting defined “Advanced” or “IHE”. (0008,0060) Modality “Advanced” or “IHE”. “US” means request for Ultrasound system exam list Blank means request all of exam list

[Page 185] MWM (Meaning of Query condition) Service Note DICOM communication overview in MWM (Example) Server database Associate negotiation request May I ask you? Patient ID Patient Name Study date 1 A^A 20110330 (Today) Associate negotiation acknowledge 2 B^B 20110331 YES! (Tomorrow) 3 C^C 20110329 State query condition 4 D^D 20110328 I need... Study starting: Today and tomorrow Reply to system (Patient name, ID etc) Result I have several patient information. Patient ID Patient Name Study date (Depends on how many patients matched based on query condition) 1 A^A 20110330 (Today) Reply to system (Patient name, ID etc) 2 B^B 20110331 (Tomorrow) Association release request Thanks a lot!! Association release acknowledge See you!!

[Page 186] 2. Exam Type Selection (Comprehensive) 1/4 Service Note System automatically select exam type based on translation table between customer’s exam type description and system’s internal exam type which called Work Order on our system. Customer request If customer defined typical exam description and customer wish to automatically set system’s exam type based on the worklist information

[Page 187] 2. Exam Type Selection (Comprehensive) 2/4 Service Note This is a example of if the system set to condition as below. Item Condition Procedure DICOM / MWM Exam Type Linkage Scheduled Procedure Step Description Work Order setting Work Order Description Exam Type (Customer’s description) (System interenal) A-Heart Adult Heart P-Heart Pediatric Heart Carotid-R Carotid Carotid-L Carotid System (Result of MWM) Server database Scheduled Exam Type Scheduled Patient Patient Study Patient Patient Study Procedure Step (Automatically Procedure Step ID Name date ID Name date Description select) Description 20110330 20110330 1 A^A A-Heart Adult Heart 1 A^A A-Heart (Today) (Today) 20110330 20110330 2 B^B Carotid-R Carotid 2 B^B Carotid-R (Today) MWM (Today) 20110330 20110330 3 C^C Liver Set blank 3 C^C Liver (Today) (Today) 20110330 20110330 4 D^D Kidney Set blank 4 D^D Kidney (Today) (Today)

[Page 188] 2. Exam Type Selection (Comprehensive) 3/4 Service Note MWM Option New Patient > [Option] Select this one

[Page 189] 2. Exam Type Selection (Comprehensive) 4/4 Service Note Choose one of the tag which is key information for exam type automatic selection. Work order (System Setting > Work Order > Press [Shift] and [<]) (0008,1030) Study description (0040,0007) Scheduled Procedure Step Description (0032,1060) Requested Procedure Description Select system’s exam type. Define customer’s exam description.

[Page 190] IHE Application 1. Support IHE 2. Multiframe Decompression 3. DICOM Format Conversion for Toshiba Private data 4. MWM Option (MWM Query - IHE)

[Page 191] IHE Application Service Note If this function enabled, many additional function will be available. Support IHE DICOM format conversion for Toshiba Private data. Multiframe Decompression Additional MWM query condition, called “IHE” Usually based on customer request if customer has IHE applicable facility. Multiframe decompression function sometime use for DICOM trouble shooting.

[Page 192] 1. Support IHE Service Note IHE is not standard, kind of state general workflow in hospital. In the workflow define requirement information based on DICOM and HL7. And modality vendor state that which workflow (functionality) supported on the system by “IHE Integration Statement” based on IHE connection test result (Called Connectathon). You can down load the statement from; http://www.toshiba-medical.co.jp/tmd/english/ihe/index.html As a result if hospital has IHE applicable system and its state same workflow with our system. Basically DICOM connection successfully without any problems. For more detail of IHE visit; http://www.ihe.net/ (For North America) http://www.ihe-europe.net/ (For Europe)

[Page 193] 1. Support IHE – Setting (1/2) Service Note Enable MWM Gateway in HIS/RIS – HIS/RIS Node - DICOM MWM Gateway set to “ ON ” We don ’ t needs MWM setting, but set “ ON ” for MWM Gateway

[Page 194] 1. Support IHE – Setting (2/2 new version) Service Note Enable IHE Application setting (New setup screen) in Local AEs IHE Application set to “ ON ” This function will be selectable after MWM Gateway set to “ ON ” . Mobile Mode and TCE This function is one of the key function of IHE workflow. This screen will be shown on following system and version. SSA-790A: V5.00 and later SSA-780A: V2.00 and later SSA-680A: V4.00 and later SSA-660A: V9,00 and later

[Page 195] 1. Support IHE – Setting (2/2 old version) Service Note Enable IHE Application setting (New setup screen) in Local AEs IHE Application set to “ ON ” This function will be selectable after MWM Gateway set to “ ON ” . This screen will be shown on following system and version. SSA-790A: V2.00-V4.00 SSA-780A: V1.00-V1.20 SSA-680A: V1.00-V3.20 SSA-660A: V6.00-V8.20

[Page 196] 2. Multiframe Decompression Service Note If this function enabled, system converting multiframe (Clip) image into uncompressed (RGB: 24bit color,8bit for each color) format when sending multiframe image to storage (PACS) server. Depends on customer (PACS server engineer request) Trouble shooting. Incase if you can send still image to server with “Success” status, but we cannot send multiframe (Clip) image to server. Always system show “Network job failed” when transfer clip image.

[Page 197] 2. Multi-frame decompression setting Service Note The multiframe decompression setting requireds, USDI-792A or USDI-772A/XA (Mean, needs Advanced DICOM) Install Basic DICOM and Advanced DICOM MWM Gateway Service menu > Configuration > HIS/RIS nodes > HIS/RIS IHE Application Service menu > Configuration > Local AEs Multiframe Decompression Service menu > Configuration > Advanced DICOM > Archives > Select server which you want to send uncompressed cine image Limitation This function support 360 frames multiframe cine image. If Data exceed 360 frames (60fps x 6sec), it is not decompressed. (Error is displayed in JOB STATUS)

[Page 198] 2. Multiframe decompression - Frame work Service Note In case, IHE application enabled. (Of course MWM enabled) Storage SCP Storage SCU Storage SCP Storage SCU Storage SCP Storage SCU MWM SCU MWM SCP MWM SCU MWM SCP MWM SCU MWM SCP MPPS SCU MPPS SCP MPPS SCU MPPS SCP Storage SCU Storage SCP Storage SCU Storage SCP Storage SCU Storage SCP *1 Multiframe decompression Commitment Commitment Commitment Commitment SCU SCP SCU SCP *1: If Multiframe decompression activated in Local AEs and Archives in Advanced DICOM

[Page 199] 2. Multiframe decompression – Setting (Required enable IHE as well) Enable Multiframe Decompression in Archives – Advanced DICOM 1. Select the server which you wan to send cine image by uncompressed format. 2. Set check mark for “ Multiframe Decompression ” .

[Page 200] 2. Multiframe decompression – Setting (Required enable IHE as well) Enable IHE Application setting (New setup screen) in Local AEs IHE Application set to “ ON ” This function will be selectable after MWM Gateway set to “ ON ” . Cine Image Decompression If the system has this option, should be put check mark. This screen will be shown on following system and version. SSA-790A: V5.00 and later SSA-780A: V2.00 and later SSA-680A: V4.00 and later SSA-660A: V9,00 and later

[Page 201] 3. DICOM Format Conversion Service Note System has TOSHIBA ultrasound specific data such as 4D, 3D, TDI-Q and CHI-Q etc. Basically sever doesn’t accept them due to TOSHIBA private format. If enabled the function system insert a dummy (Based on Ultrasound image object) data on the private data, as a result server may accept the image. Unfortunately the private data cannot review on the server. Only dummy data can be review on the server. Depends on customer Customer would like to store image on the server If the system connecting with Ultra Extend (USWS-900A and USWP-100A option) Incase we should use the private format conversion for 4D data to reviewing on the Ultra Extend system.

[Page 202] 3. DICOM Format Conversion – Setting (Required enable IHE as well) Enable Format Conversion in Remote – Network node Select a server from drop down list of “Logical Name” then scroll down. 1. Select a server which you want to send converted private image from Logical name 3. Define which private data required to convert. 2. Scroll down the window. You can find the setting. Setting parameters Parameter Functionality System won’t convert the private data when Don’t Convert sending the private data to the server. System insert dummy US still image between header and private data while sending the Convert private image to server. As a result the private (or Translate) image handling as Ultrasound still image. Converted image could NOT retrieving even using DICOM Q/R service. System will be skip to send the private image Don’t send object to the server

[Page 203] We have several thumbnails for 4D volume data in image list of Ultra Extend (USWS-900A). What is different between them?? Type1 Type2 This thumbnail will shown. This thumbnail will shown. The image stored: The image stored: AplioXG V3.0 and before. AplioXG V3.0 and before. Image received via: Image received via: DICOM Storage service. CD / DVD (Media Storage) Type3 This thumbnail will shown. The image stored: AplioXG V4.0 and later Image received via: DICOM Storage service.

[Page 204] What kind of the function about “ Convert ” (or “ Translate ” ) as DICOM Format setting. (Network nodes > Remote) We have several types of private formatted data such as Fusion 3D, Stress Echo, RAW(TDI-Q/CHI-Q) and 4D on AplioXG, XarioXG system. Private Usually those kind data couldn’t receive general DICOM storage SCP due to modality (AplioXG) sending with private SOP class. So we should use “DICOM Format” function. If we set to “Convert” (or “Translate” depends on system software version), system will append dummy pixel data between DICOM header and private data then send it Ultrasound image storage SOP class. As a Translate result general DICOM server could be receive Toshiba private data. (If US Image you open the data, viewer will show dummy pixel data, we cannot see private data itself without ACP, 4DV anyway.) Append dummy pixel data. 4D data stored by 4D data stored by Note!: You cannot retrieve V3.0 and before AplioXG V4.0 and later AplioXG Dummy pixel Data Translated private data correctly to Ultrasound system from server.

[Page 205] Normal PACS or Transfer via DICOM US Image Ultra Extend receive as Ultrasound image SOP class data. Append dummy Header US Image pixel data. 4D data stored by V3.0 and before AplioXG Dummy pixel Data Private Data Dummy pixel Data 4D data stored by V4.0 and later AplioXG

[Page 206] Burning Only Private data Ultra Extend create a thumbnail. Only Private data

[Page 207] 4. MWM Option (MWM Query - IHE) Service Note If this function enabled, operator enable editing worklist data such as add series (study based on same study instance UID) or study as operator like. For instance; Provides worklist A. And this study is for cardiac. But this patient required carotid study also, in this time operator add series based on same Study instance UID. Depends on customer request If customer frequently has above case studies.

[Page 208] 4. MWM Option (MWM Query - IHE) - Setting (Required enable IHE as well) MWM Option New Patient > [Option] This item will be selectable if IHE Application set to ON. (MWM G/W set to ON as well.)

[Page 209] DICOM SR 1. What is DICOM SR object 2. DICOM SR setting 2-1 Job routing 2-2 DICOM setting 2-3 Define report server 2-4 Transfer Method 2-5 DICOM Code set

[Page 210] The DICOM SR object is an object which transferred by DICOM Storage service. So there is not special DICOM setting even SR transfer. But server side must support following SOP by Storage SCP. Presentation context Abstract syntax Transfer syntax AXG AMX XXG Xario Name UID Name UID Implicit VR Little Endian 1.2.840.10008.1.2 Enhanced SR 1.2.840.10008.5.1.4.1.1.88.22 V1.1- V1.0- V1.0- V6.0- Explicit VR Little Endian 1.2.840.10008.1.2.1 Implicit VR Little Endian 1.2.840.10008.1.2 Comprehensive SR 1.2.840.10008.5.1.4.1.1.88.33 V5.0- V2.0- V4.0- V9.0- Explicit VR Little Endian 1.2.840.10008.1.2.1 Implicit VR Little Endian 1.2.840.10008.1.2 Basic Text SR 1.2.840.10008.5.1.4.1.1.88.11 V1.1- V1.0- V1.0- V1.0- Explicit VR Little Endian 1.2.840.10008.1.2.1 Private SR Implicit VR Little Endian 1.2.840.10008.1.2 (Toshiba US Private 1.2.392.200036.9116.7.8.1.1.1 V1.1- V1.0- V1.0- V1.0- Explicit VR Little Endian 1.2.840.10008.1.2.1 Data Storage )

[Page 211] DICOM SR object composition. DICOM SR object Like patient name, ID, Study instance UID etc... DICOM header info Like measurement method, value and unit. SR information. Also image mode (2D, M, doppler etc...), view (4ch, 2ch etc) cardiac cycle point (Measurement result) information (Diastole / Systole).

[Page 212] DICOM SR using templates which defined on DICOM part 16. But the specification does NOT concrete explanation due to future upgrade or some reason. (This is DICOM!!) This means, even DICOM SR object we called but there are may some differences between we and server. NOT same for other manufacturer etc... PLEASE CAREFULLY!! We can send SR object to report server but sometime report viewer may not display the result or some of the measurement item may corrupt on the report viewer due to above reason. This is NOT problem, just each system technical specification differences.

[Page 213] Define DICOM setting Storage (report) server setup Activate MWM Gateway Activate IHE Application Define type of DICOM SR object Define Report server Define measurement data transfer method Define DICOM code set

[Page 214] DICOM SR connection is NOT like usual DICOM installation. We need some discussion with customer and server engineer. Next page describes idea of general work flow.

[Page 215] SR installation request Confirm test data XML Decide report DICOM SR transfer method Discuss with server engineer Create shearing holder Choose type of SR object Enhanced SR Account setup Server or or DICOM code set Confirm role etc... Comprehensive SR configuration OK Connection check (2nd Level) Server supported OK (Based on CS) NG Confirm on NG report viewer Required Server NG Connection check Customer wants to correct supports SR object (1st Level) measurement item OK Customer want correct and / or report format measurement procedure OK Confirm by customer Decide measurement items with customer (Including method and procedure) OK Customer want correct report format Running test Do measurement for selected items Customer wants to correct (Create test data, measurement item OK also collect report screen) and / or measurement procedure Installation complete

[Page 216] Define DICOM storage server setting DICOM SR is an object on Storage service class. Please put check mark on “Structured Report” in Remote Device Information screen of DICOM setup assistant tool as well as Storage service. DICOM SR connection is NOT like usual DICOM network installation. We need following information from the next page to SR connection.

[Page 217] Define DICOM storage server setting Incase if you wish to use Comprehensive SR or Enhanced SR, we have to enable IHE Application. Set “ON” for MWM Gateway in HIS/RIS – HIS/RIS nodes. Set “ON” for IHE Application in Local AEs. Recommend you to check “YES” on DICOM setup assistant. Also put check mark for “SR conversion” incase the system as below. SSA-790A: V5.00 and later SSA-780A: V2.00 and later SSA-680A: V4.00 and later SSA-660A: V9,00 and later Choose type of SR object in Remote – Network nodes.

[Page 218] Enable MWM Gateway in HIS/RIS – HIS/RIS Node - DICOM MWM Gateway set to “ ON ” We don ’ t needs MWM setting, but set “ ON ” for MWM Gateway

[Page 219] Enable IHE Application setting (New setup screen) in Local AEs IHE Application set to “ ON ” This function will be selectable after MWM Gateway set to “ ON ” . SR Conversion set to check mark This function will be selectable after IHE Application set to “ ON ” . This screen will be shown on following system and version. SSA-790A: V5.00 and later SSA-780A: V2.00 and later SSA-680A: V4.00 and later SSA-660A: V9,00 and later

[Page 220] Enable IHE Application setting (New setup screen) in Local AEs IHE Application set to “ ON ” This function will be selectable after MWM Gateway set to “ ON ” . This screen will be shown on following system and version. SSA-790A: V2.00-V4.00 SSA-780A: V1.00-V1.20 SSA-680A: V1.00-V3.20 SSA-660A: V6.00-V8.20

[Page 221] Choose type of DICOM SR object in Remote – Network node Select a server from drop down list of “Logical Name” then scroll down. Setting parameters Parameter Functionality Comprehensive System send measurement result using DICOM template. Enhanced System send measurement result using DICOM template. Server may accept, if server accept Basic text SR. Basic Text But measurement result states by Toshiba format. So server may not understand the data. Toshiba private formatted SR, usually server is not Toshiba Private support. Note: Comprehensive SR and Enhanced SR required IHE application. And confirm supported software version. 2. Scroll down the window. You can find the setting. 1. Select a server which you 3. Define which private data want to send converted required to convert. private image from Logical name

[Page 222] Define Report server. Press [Menu] > System Setting > Output > Press [Shift] and [<] > Select the Report server

[Page 223] Define measurement data transfer method Press [Menu] > System Setting > Report > Press [Shift] and [<] > Select the Report server Show [Send as DICOM] switch in Report screen Send DICOM SR object to report server which defined in “Output” – System setting when click [Send as DICOM] switch in Report screen. System store DICOM SR object on HDD then send it to Report server. If there is no selection, system only store DICOM SR object to data HDD.

[Page 224] Couldn ’ t see the Storage and SR on the same study Problem : You can ’ t see the same study of Storage and SR by the Server. Cause : The Series Instance UID of the SR and Storage was same on the system. You can change it by you change the following file. Countermeasure: 1) Go to Maintenance menu > [Command Line] 2) Please open the following folder. “ D;¥aplio¥config¥TUSIHEApp¥IHEApplicationConfig.ini ” 3) Please change the FALSE of "SR_UNIQUE_ID" to TRUE. [SR_UNIQUE_ID] SR_UNIQUE_SERIES_INSTANCE_UID=FALSE SR_UNIQUE_SERIES_INSTANCE_UID=TRUE

[Page 225] Define DICOM code set (Version depends function) What is DICOM code set / Mapping file?? Like SR structure converter. Storage (Report) Server DICOM Code Set Original data Mapping file DICOM SR object DICOM header info Artida internal SR information. report format (Measurement result) DICOM Code Set converts internal SR structure to Converted SR data transfer by DICOM. DICOM SR object

[Page 226] This function will be shown on following system and version. SSA-790A: V5.00 and later SSA-780A: V2.00 and later SSA-680A: V4.00 and later SSA-660A: V9,00 and later

[Page 227]

[Page 228] Echo tab Mapping File Remarks ECHO_Mapping.xml Default parser ECHO_Mapping.xmlAplioXGV4-AplioMXV1-V1.2 AXG V4.00/V4.20, AMX V1.00/V1.20, XXG V3.00/V3.20, Xario V8.00/V8.20 compatible ECHO_Mapping.xmlAplioXGV5-AplioMXV2 AXG V5.00, AMX V2.00, XXG V4.00, Xario V9.00 compatible Vascular tab Mapping File Remarks VASCULAR_Mapping.xml Default parser VASCULAR_Mapping.xmlAplioXGV4-AplioMXV1-V1.2 AXG V4.00/V4.20, AMX V1.00/V1.20, XXG V3.00/V3.20, Xario V8.00/V8.20 compatible VASCULAR_Mapping.xmlAplioXGV5-AplioMXV2 AXG V5.00, AMX V2.00, XXG V4.00, Xario V9.00 compatible

[Page 229] Radiology tab Mapping File Remarks RADIOLOGY_Mapping.xml Default parser RADIOLOGY_Mapping.xmlAplioXGV4-AplioMXV1-V1.2 AXG V4.00/V4.20, AMX V1.00/V1.20, XXG V3.00/V3.20, Xario V8.00/V8.20 compatible RADIOLOGY_Mapping.xmlAplioXGV5-AplioMXV2 AXG V5.00, AMX V2.00, XXG V4.00, Xario V9.00 compatible OB tab Mapping File Remarks OB_Mapping.xml Default parser OB_Mapping.xmlAplioXGV4-AplioMXV1-V1.2 AXG V4.00/V4.20, AMX V1.00/V1.20, XXG V3.00/V3.20, Xario V8.00/V8.20 compatible OB_Mapping.xmlAplioXGV5-AplioMXV2 AXG V5.00, AMX V2.00, XXG V4.00, Xario V9.00 compatible

[Page 230] Why we need change mapping file for SR?? DICOM SR mapping file is define conversion structure between Artida native SR data and DICOM SR object. Conversion structure slightly different depends on software version. Due to some of connectivity problem, data compatibility etc. If SR connection works fine on certain version of system, we may have some problem if we upgrade the system due to DICOM SR object structure is NOT same based on above reason. In this case, we should change the mapping file as same as original version. Report server may NOT handle the difference. SR Server side needs to reconfigure the SR DICOM Code Set structure etc... Mapping file (V4) A B C Original data C-1 C-2 C-2-1 SR DICOM Code Set V4 SR Object Mapping file (Default) Artida internal A B C D report format D-1 D-2 DICOM Code Set converts D-2-1 internal SR structure to Default SR Object DICOM SR object

[Page 231] Define DICOM code set – Modify DICOM code set > Click [DICOM Code Set] > Select a measurement item which you need to edit > Edit the value of the code. This operation should be extra care, otherwise we are going to more difficult problems!!

[Page 232] Why we need modify DICOM code set?? In case server accepts specific DICOM SR structure which is not supported any DICOM mapping file in this system. In this case we may try to modify the DICOM mapping file by our self This operation should be extra care, otherwise we are going to more difficult problems!! Server side requirements Also even try this function some case we cannot solve the problem. SR A B C D D-a D-b D-b-a ’ SR DICOM Code Set A B C D Mapping file (Modified) Report server may NOT handle the difference. Original data D-a D-b D-b-a ’ SR Modified structure Artida internal A B C D report format D-1 D-2 DICOM Code Set converts DICOM Code Set internal SR structure to Mapping file (Default) D-2-1 Default SR Object DICOM SR object

[Page 233] Basic Operation

[Page 234] Getting start Power On 1. Connect AC cable to wall socket. 2. Turn on the system breaker which located on the trans unit. 3. Confirm Standby LED lit on. 4. Press then system start up. Wait 4 minutes to system complete boot up. Power Off 1. Press . 2. System show “ Power Control ” dialog. 3. Select “ Shutdown ” or “ Standby ” . 4. System going to shutdown process. Wait 3 minutes to complete shutting down.

[Page 235] Press Power switch system show dialog below. Do not turn OFF the power supply of the system during printing, data saving, or invoking. Doing so may result in failure of saving or printing or damage to the data. In addition, doing so during access to media may damage the media.

[Page 236] Standby switch is not shown depends on system condition as below. Standby Message Meaning switch Shutdown is recommended. After starting, it has System is working more than 48 hours with out shutting down. Appear passed for a long time. Or system is NOT shutting down more than 20 days. Shutdown is recommended. There is too much More than 15 times using Standby mode without shutting down. Appear number of times of standby. Disappear Standby is halted. Select Shutdown or Cancel. System is working more than 96 hours with out shutting down. (Required After starting, it has passed for a long time. Or system is NOT shutting down more than 30 days. shutdown) Disappear Standby is halted. Select Shutdown or Cancel. More than 20 times using Standby mode without shutting down. (Required There is too much number of times of standby. shutdown)

[Page 237] Standby switch is not shown depends on system condition as below. Customer using TEE probe. System show following message in Power Control dialog box. “ A MTEE transducer is being used. Standby cannot be selected. ” During system setting operation "Standby cannot be selected in the current system mode." During the data registration process "Data registration is in progress. Standby cannot be selected." During use of an MTEE transducer "A MTEE transducer is being used. Standby cannot be selected." When a caution message is displayed

[Page 238] Basic operation <Security Mode> Service Note Security mode (Called HIPPA.) Security mode will be activate set Enable for Security mode at; [Menu] > [System setting] > [Other Setting] If Security Mode set to enable, since then system will ask you ID and PASSWORD when system boot up completed. Here is factory default passwords. You can add user accounts when log in with administrator role. Role ID Password Remarks Operator SERVICE SERVICE& Administrator TOSHIBA TOSHIBA& You can add, edit and delete user accounts.

[Page 239] Basic operation <New Patient> Service Note When you want to start the examination, we need register patient information. Other wise we cannot store any image to system. Press [New Patient] . Then “ Patient Registration ” screen display. Enter patient name, ID and so on. (In case of emergency, click [Emergency] button.) Select Exam Type, then click [Confirm Start].

[Page 240] Basic operation <New Patient: Limitations> Service Note The following items cannot be changed once the patient information has been registered. Confirm that these items are set correctly before starting the examination. Exam Type Patient information when "OB", "Fetal Heart", or "Endo-Vaginal" is selected for Exam Type However, when one of these Exam Types is selected, the OB date information can be entered or edited during OB measurement using the GA Input function. It is not possible to enter a patient ID consisting of spaces only. Also, note that a patient ID with a space at the end is deleted automatically. The following characters cannot be used for patient IDs or patient names. "*", "?", "^", "=", "¥" The maximum number of characters is limited to 64 for the patient ID and patient name due to DICOM restrictions. Each of the last name, first name, and MI of a patient name can contain up to 64 characters. The allowable maximum entry for the patient height is 299.9 cm (9'10"). If an attempt is made to enter a higher value, "#" is displayed in the field. The allowable maximum entry for the patient weight is 499.9 kg (1102.0 lb). If an attempt is made to enter a higher value, "#" is displayed in the field. If "#" is displayed for any patient information or exam information item, the examination cannot be started even when [CONFIRM Start] is pressed. Check and correct the entry for that information item.

[Page 241] Green: System can be shown the information based on worklist information which from MWM server Yellow: If we enter the information by manually, the information will includes in the TAG. Red: System will set Exam Type name to (0008, 1030). If system use DICOM MWM Information (Conventional) or (Comprehensive) in [Option], New patient. System will set exam type information based on one of the worklist information listed as below. (0008,1030) Study Description (0040,0007)Scheduled Procedure Step Description (0032,1060)Requested Procedure Description

[Page 242] Tag Name in DICOM Standard Location in the system Remarks (0008,0050) Accession Number Accession No. Institution Name System Preset > General Preset Customer name will be include. (0008,0080) > Organization Name (0008,0090) Referring Physician's Name Ref. Physician (0008,1030) Study Description Exam Type (0008,1040) Institutional Department Name Department (0008,1050) Performing Physician ’ s Name Physician (0008,1070) Operator ’ s Name Operator (0010,0010) Patient ’ s Name Last Name^First Name^MI Three parameter combined by ^. (0010,0020) Patient ID ID (0010,0030) Patient ’ s Birth Date Date of Birth Patient ’ s Sex Sex M = male (0010,0040) F = female O = other (0010,1020) Patient ’ s Size Height Unit is m (Meter) (0010,1030) Patient ’ s Weight Weight Unit is kg (0010,4000) Patient Comments Insurance, Comment Combined these 2 parameter (0032,4000) Study Comments Additional Info Also BSA included here

[Page 243] Green: System can be shown the information based on worklist information which from MWM server Tag Name in DICOM Standard Location in the system Remarks (0040,0001) Scheduled Station AE Title Scheduled Station AE Title (0040,0002) Scheduled Procedure Step Start Date Scheduled Procedure Step Start Date (0040,0003) Scheduled Procedure Step Start Time Scheduled Procedure Step Start Time (0040,0007) Scheduled Procedure Step Description Scheduled Procedure Step Description (0032,1060) Requested Procedure Description Requested Procedure Description (0040,1001) Requested Procedure ID Requested Procedure ID (0008,0060) Modality Modality

[Page 244] Examination screen Patient name and ID Sex of the patient. System date and time. Hospital name Operator name Preset name Probe direction indicator * We can change the Gray scale position at Transducer in Horizontal scale * Depends on version, we can hide the maker. Other setting of Gain and Dynamic Range Probe information. System settings information. Upper: Probe model Lower: Current frequency Frame rate of current image IP number and Aplipure parameter * Depends on version Vertical scale Store / Print Free area of Raw memory availability if Track ball function indicator image data system has UIIP (IP PWB option) indicator

[Page 245] Related setting (Probe direction icon) Probe direction indicator * We can change the position at Transducer in System Settings > Transducer > Press [Shift] and [<] Anti-Projection Projection

[Page 246] Related setting (Horizontal scale display) Note: AplioXG: V4.0 AplioMX: Initial Horizontal scale XarioXG: V3.0 * Depends on version, we can hide the maker. Other setting of Xario: V8.0 System Settings > Other Setting > Page 2/2 > Press [Shift] and [<]

[Page 247] Basic operation <De - Identify> Service Note De identification function System will not shown patient identical information on top of screen If the function enable, system will show patient information as a number. It increase each examination. But if once disable, the number will be initialize. Note: AplioXG: Initial AplioMX: Initial XarioXG: Initial Xario: V6.0

[Page 248] Storing image Required patient registration Storing still image Press “Still Store” in PIMS on TCS. Press switch which assigned Still store function on main panel. (It is depends on user function.) Storing cine image Enable “Clip start” also define Quality and Capture rate etc. Press “Clip store” in PIMS on TCS. Press switch which assigned Still store function on main panel. (It is depends on user function.)

[Page 249] Storing image If customer wish to send image to DICOM image server when press still / clip store switch. Define printer device in Output, System settings Press [Menu] > Select “System Settings” > Output > Press [Shift] and [<] Define DICOM image server for DICOM Server. In case if DICOM image server connected, and if customer wish to send image while examination. Set the printer here and define a switch for DICOM storing function or set “SERVER” for [Still Destination] and / or [Clip Destination]. System send store image depends on these setting.

[Page 250] Printing image Press switch which assigned print (B/W or Color print) function on main panel. (It is depends on user function.) Define printer device in Output, System settings Press [Menu] > Select “System Settings” > Output > Press [Shift] and [<] Define printer device for Sono Printer [B/W] and Sono Printer [Color] In case if DICOM printer connected, and if customer wish to send image while examination. Set the printer here and define a switch for DICOM printing function

[Page 251] Printing image (This screen may different depends on version.) Printing stored image Go to PIMS on TCS > Patient Browser. Select the study and choose image which want to print. Click [Print] in case printer defined as default printer of the system In case if you wish use another printer device, click [Print to...]. Select the printer and select proper format then click [Print]. Printer device list Number of copy Film division Select “ALL”!! Execute printing Delete this job Confirm print queue and result. Change printer default setting

[Page 252] Confirm user function Press [Menu] > System Setting > Exam Type Press [Shift] and [<] > Click the drop down list as Application Preset Editor. In this list, you can find “User Function” menu .

[Page 253] Basic operation <Review Stored Image> Service Note Review stored image Stored image reviewing with Exam Review. We have 2 ways to get the Exam Review. Go to Patient Browser > Select Image > Click [Apply] Press [ER] (Exam Review) if the switch available on main panel. This function will be change depends on user function. If there is no patient information or Press Patient Browser on PIMS, TCS. Exam Review If patient registered and study gas image.

[Page 254] For DVD/CD (By DICOM format) Go to Patient Browser (PB on main panel or PIMS > Patient Browser on TCS) Select study or image which you want to archive, Click [Copy to...] Select DVD/CD then click [OK] For DICOM Server Go to Patient Browser (PB on main panel or PIMS > Patient Browser on TCS) Select study or image which you want to archive, Click [Copy to...] Select Server then click [OK], in this time system allow to send image 3 different server by one operation. * Selectable server should set on Option in Tools, Patient browser.

[Page 255] Data archive destination when execute [Copy] in Patient Browser. Define servers which shown a destination list when execute [Copy to] in Patient Browser Define clip image format as DICOM or AVI (Windows converted ). Usually set as DICOM.

[Page 256] Define writing speed for DVD+R and CD-R Depends on system version, it might not display on latest system Define you required Media test before burning And / or Verify data after burning Volume label when burning media Define column items in Patient Browser.

[Page 257] Define study list display method. Auto: If no patient information > All study will be listed If patient information > Only today’s study will be listed Today: Only today’s study will be listed Last one: Depends on last patient list display method “Today” or “All List”

[Page 258] Basic operation <Delete Archived: 1/2> Service Note Note: Delete Archived <Setting> AplioXG: V5.0 System will list up studies which matched this setting. AplioMX: V2.0 Then if operator wish to delete, just execute delete XarioXG: V4.0 Xario: V9.0 operation on the list. Menu > System settings > Other Settings > 2/2 > [Shift] and [,] Delete Archived Studies: Enable: Use this function Disable: Not to use this function Period of keeping date: Define how long system keeps the study This case, system Target data type: If there are study which matched setting of “Period of keeping date” system detect study which matched on this condition. All: Any study will be target of this function Archived: Study which has been archived will be target of this function.

[Page 259] Basic operation <Delete Archived: 2/2> Service Note Note: Delete Archived <Operation> AplioXG: V5.0 System will list up studies which matched this setting. AplioMX: V2.0 Then if operator wish to delete, just execute delete XarioXG: V4.0 Xario: V9.0 operation on the list. PIMS on TCS > Patient Browser > Tools > Delete Archived Select all of the study. System will make the list of If “Delete Archived Studies” study which matched on the is set to ON, Delete Archived setting. This switch will be appeared Execute deleting for selected study.