-
-
About This Manual P/N:01.54.458509 MPN: 01.54.458509012 Release Date: August, 2020 © Copyright EDAN INSTRUMENTS, INC. 2020 This User Manual applies to 1.0X releases for Acclarix LX3 series Diagnostic Ultrasound Systems including Acclarix LX3, Acclarix LX3 Exp, Acclarix LX3 Super, Acclarix LX25 and Acclarix LX28 models. See Appendix A.10 for the difference between these models. This User Manual Basic Volume together with the User Manual Advanced Volume (P/N:01.54.
-
Contents 1 Introduction .................................................................................................................................. 1 1.1 Intended Use/ Indications for Use ....................................................................................................... 1 1.2 Contra-indications ............................................................................................................................... 1 1.3 Device Description ..................................
-
5.3.2. PW Image Optimization .................................................................................................... 45 5.3.3. HPRF ............................................................................................................................... 47 5.4 CW Mode .......................................................................................................................................... 48 5.4.1. Using CW Mode ............................................................
-
7.1 Comment ........................................................................................................................................... 82 7.2 Body Mark ......................................................................................................................................... 84 7.3 Split Display....................................................................................................................................... 85 7.3.1. Dual Imaging .........................
-
10.3.5. Measure Preset ............................................................................................................ 137 11 Utilities ...................................................................................................................................... 139 11.1 System Set-up ............................................................................................................................... 139 11.1.1. General Set-up .................................................
-
A.10 Configuration Difference .............................................................................................................. 164 Appendix B Ultrasound Intensity and Safety ........................................................................... 165 B.1 Ultrasound in Medicine ................................................................................................................ 165 B.2 Ultrasound Safety and the ALARA Principle ................................................
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Introduction 1 Introduction 1.1 Intended Use/ Indications for Use The Acclarix LX3 series Diagnostic Ultrasound System is intended for use by a qualified physician or allied health professional for ultrasound evaluations in hospitals and clinics. General clinical applications include: Abdominal, Gynecology, Obstetric, Cardiac, Small parts, Urology, Musculoskeletal, Peripheral vascular, Intra-operative, Pediatric, Neonatal, Adult Cephalic.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Safety 2 Safety Throughout this document the following terms are used: Warning: Advises against certain actions or situations that could result in personal injury or death. Caution: Advises against actions or situations that could damage equipment, produce inaccurate data, or invalidate a procedure. Note: Provides useful information regarding a function or a procedure. Please read all warnings and cautions prior to using the system.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Safety Contact with natural rubber latex may lead to a severe anaphylactic reaction in persons sensitive to the natural latex protein, Sensitive users and patients must avoid contact with these items. EDAN strongly recommends that health-care professionals identify their latex-sensitive patients, and refer to the March 29, 1991 Medical Alert on Latex products. Be prepared to treat allergic reactions immediately.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Safety Remove the battery from the device when the device is not used for a long time. Transducer Warnings To avoid infection, always use protective gloves when cleaning or disinfecting. Read and follow all manufacturer instructions for disinfection agents. To avoid infection, ensure that expiration date of the disinfecting solution has not passed. Disinfect the transducer after each intra-cavity or intra-operative procedure.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Safety Use only Edan supplied or recommended parts and accessories. Verify measurement results prior to entering them into a report. Contact your local distributor or Edan Service if there is excessive noise from the system speaker or fans. Please read and understand cleaning instructions prior to use. Please read and understand maintenance instructions prior to use.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Safety Do not kink or pull on the transducer cable. Broken or bent connector pins can cause image artifacts. Do not use a transducer with broken or bent pins. Network Security Cautions Keep your ultrasound system safe to protect the patient information and data from being modified, damaged or disclosed caused by unauthorized disassembly.
-
Acclarix LX3 L Series Diagnostic D U Ultrasound System User Manual Safety 2.3 Labeling Symbol S ls The follow wing labels are a used on the system: No.
-
Acclarix LX3 L Series Diagnostic D U Ultrasound System User Manual 15 Probe e for sector-s shaped sound field 16 Locking, general 17 Unloccking 18 Equip potentiality 19 Comp puter networrk 20 Trade emark 21 Video o output 22 USB 2.0 2 port 23 USB 3.0 port 24 H HDMI Safety HDMII port 25 Altern nating Curre ent 26 Battery check 27 Non-ionizing elec ctromagneticc radiation 28 Non-ssterile. Indic cates a mediical that hass not been subjected to a sterilization s process.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual 31 FCC ID:SMQLX3EDAN Federal Communications Commission: FCC ID:SMQLX3EDAN -9- Safety
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual The following labels are used on the packaging: No. Symbol Definition 1 This way up 2 Fragile, handle with care 3 Keep dry 4 Stacking limit by number 5 Do Not Roll. 6 General Symbol for Recovery / Recyclable 7 Tilt Watch Indicator. NOTE: The user manual is printed in black and white.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 3 Getting Started 3.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started For use with the P5-1Q BGK-008 In-plane 12° , 22° BGK-009 In-plane 14°, 20°, 32° BGK-012 In-plane 11°, 20°, 37° Supports: 14G-23G For use with the C5-1Q Supports: 14G-23G For use with the MC8-4Q Supports: 14G-23G Table 3-1 Needle Guide Bracket Kits Footswitch USB disk Batteries Ultrasound gel warmer Supported Peripheral Accesories: The recommended local printers are listed as follows: Printer Type C
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started use these printers. Use of other printers should comply with IEC 60950 or IEC 60601-1. Edan is not responsible for the accuracy of other printers. Recommended DVD drives: LITEON eBAU108.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 3.2 System Overview 3.2.1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Description No. Getting Started Description 1 21.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 5 1 2 6 3 3 7 4 8 9 Figure 3-3 Rear View - 16 -
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Description 1 Endo-cavity Holder 3 System Vents 5 7 9 Transducer Coupling Gel Holder/ Gel Warmer(optional) I/O Ports No. Getting Started Description 2 Cable Holder 4 Power Unit/Battery Compartment 6 Video Printer/DVD Holder(Optional) 8 AC Power Socket Drive Equipotential Terminal Table 3-4 Rear View Description CAUTION 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started I/O Ports on the Rear Panel: 1 2 3 4 5 Figure 3-4 I/O ports No. Description No. Description 1 S-Video output port 2 HDMI port 3 USB 3.0 port 4 USB 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 3.2.2. Control Panel Figure 3-5 Control Panel No. Key Name Description 1. Power Switch Press to power on/off the system. 2. It illuminates in green when the system is connected to AC power AC power supply. supply It is off when the system is disconnected from the AC indicator power supply. It illuminates in green when the batteries are charging. 3.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 7. Print Press to print images via the connected video printer. 8. Report Press to display the report page. 9. F1 User-defined button. See section 11.1.1 for configuring the user-defined button. 10. F2 Steer The Steer knob control is only available for linear transducers. It can steer B-mode image, Color ROI, PW sample line, etc. Specific operations thereof are described throughout the user manual. 12.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual 19. PW Getting Started Press to get the sample line. Use the trackball to adjust the position of the sample line. Press key to display the Doppler strip. Rotate this knob to adjust the gain in PW Mode. In 3D/4D mode, rotating it can rotate the image by the X-axis of the activated window. Press to get the sample line. Use the trackball to adjust the position of the sample line. Press key to display the Doppler strip. 20.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 28. Caliper Invokes generic measurements. See section 8.1 for details. 29. Measure Invokes application measurements. See section 8.2 for details. Trackball Keys Two trackball keys provide a wide variety of functions depending on the system state (e.g., selects a start or end point of a measurement, selects menu items on the screen, etc). For the convenience of introduction, we call them throughout this user manual.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started In B mode, the Auto push button automatically updates the Overall Gain and TGC. 38. Auto In PW mode, the Auto push button automatically updates the PW gain, DR, baseline and scale. Each single press of the button renews the automatic optimization. Whether Gain, DR or Scale/Baseline is optimized when pressing Auto button in PW mode can be configured in Set-up. See section 11.1.7 for detail.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started ② Image Field The ultrasound image appears in the Image field, under the Information field. The Image field also contains information typically associated with the image, such as depth, TGC, maps, image parameters, MI and TI. ③ Measurements Display Field The left side of the screen displays available generic and application measurement items for current exam preset.
-
Acclarix LX3 L Series Diagnostic D Ultrasound System User Manual U Gettin ng Started No. Ic cons Desc cription 1 Uttility icon ss to sysstem Provides acces ectivity, maintenance, etc. e conne 2 mage Store Im ico on mber of static images an nd clips storred in the Displays the num ent exam. curre 3 US SB icon ble. USB disk availab 4 Prrinter icon setup p, screen adjust, Printe er available.. Symb bol is in gree en when prin nting in prog gress.
-
Acclarix LX3 L Series Diagnostic D U Ultrasound System User Manual Gettin ng Started f symbol in red. Hard drive 95% full, Hard drive 95% full f with data a exchange, symbol in red. r ery fully charrged, symbo ol in green. Batte Batte ery more tha an 80% charged. Batte ery 60%-80% % charged. 8 Ba attery icon Batte ery 40%-60% % charged. Batte ery low, symbol in red. Batte ery removed. Batte ery charging. Symb bol in grey: DVD D device iss connected..
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started A. Tabs: Each imaging mode that is active has a tab at the top of the touch screen. Usually, the imaging mode that was most recently activated is the top tab and has priority. Pressing on any other tab will bring it to the top and provide access to the controls available for that imaging mode. B. Paddle: Pressing on the top or bottom of a paddle changes the control setting by one value.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 3.3 System Preparation 3.3.1. Battery Use The system may come with two lithium-ion batteries depending on your order. The fully charged batteries together can run the system for approximately 1.5 hours, depending on use. The batteries are automatically charged when the system is plugged in. CAUTION 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 5. To fix the battery, move the battery holder to the middle position (see the figure below). 6. Close the battery door and secure it. WARNING 1. When the battery capacity is ≤20%, the battery status icon turns red. 2. When the battery capacity is ≤10%, the system displays a prompt “Low Battery. The system will shutdown in 3 mins. Please plug in the power supply immediately." To remove the battery: 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual 5. Getting Started Close the battery door and secure it. 3.3.2. AC Power Use When using AC power, position the system so that it is easy to disconnect it from AC power supply. To connect AC power: 1. Connect the AC power cord to the power socket on the system(see figure 3-3). 2. Connect the AC power cord to a hospital-grade power outlet. 3. Press the Power button on the control panel to start the system. WARNING 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started 3.3.4. Powering on/ off Please review and follow the steps described in the Section 13.1.Daily Checklist prior to powering on the system. To power on 1. Connect the system to a hospital grade power supply, or use the battery as the power supply. 2. Press the Power on/off key on the top left of the control panel. To Login If Password Protection is enabled (see section 11.1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started Pressing the Sleep button on the confirmation dialog box when powering off. Figure 3-8 Confirmation Dialog Box When Power off Pressing any key on the control panel or moving the trackball will exit the sleep mode. 3.4 Monitor Position Adjustment Rotating the monitor The monitor can be rotated leftwards or rightwards along with the support arm, as the figure shown below.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Getting Started CAUTION 1. Ensure enough spaces are available before rotating the monitor. 2. Please mind your hands when adjusting the position of the monitor. 3.5 Control Panel Height Adjustment To move the control panel up, hold the handle of the trolley and lift it with slight force while you are stepping on the pedal.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Operation 4 Exam Operation 4.1 How to Start an Exam 1. Press the key and enter patient information, or select a scheduled patient from the modality worklist. If there is no previous exam, pressing the key will bring you directly to the Patient Information Page (see figure 4-3 below).
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Operation Figure 4-2 Example of Transducer Touch Screen 4.2 How to End an Exam There are two ways to end an exam: Pressing the key, as described above, and then selecting New Exam. This both ends the exam and displays the Patient Information Page for the next exam. Pressing the key, as described above, and then selecting End Exam.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Operation Figure 4-3 Patient Information Page(OB Exam) The top three lines are for entering the patient last name, first name, ID, exam accession number, and DOB (Date-of-Birth) or age. If date of birth is entered, the age is automatically calculated. Note: By default, the patient name has two fields: family name and given name. It can be configured to be one field in the Patient Setup screen (See section 11.1.2 for detail).
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Operation G/P/A: G stands for Gravida, P stands for Para and A stands for Aborta. Enter values for each in the fields separated by slashes. Study Description: enter the study description. Height: Enter the patient’s height. The units can be set in the Patient section of Setup. Weight: Enter the patient’s weight. The units can be set in the Patient section of Setup.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Operation 4.5 Modality Worklist Modality worklist provides a list of scheduled patients derived from a DICOM server. It is available only when a DICOM server is configured and worklist is enabled. The worklist is shown to the left of the Patient Information Page, as shown below. Figure 4-5 Modality Worklist Display The worklist is displayed on the left side of the Patient Information Page in two columns labeled patient name and patient ID.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5 Imaging 5.1 B-mode 5.1.1. Using B-mode 1. Press on the console to enter B mode. 2. Perform the image scanning. 3. Adjust Image parameters to optimize the image. 5.1.2. B-mode Image Optimization The following touch controls can be used to optimize the B-mode image. Name Control Description Dynamic Range The Dynamic Range, or log compression, adjusts how echo intensities are converted to brightness.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Focus Number Focus Number adjusts the number of foci is displayed. As the number of foci increases, image uniformity across depth will increase, but the frame rate will decrease. Focus Position Focus Position adjusts the depth of the focus or foci. Upward presses move the focus shallower, regardless of the U/D invert status of the image. Gray Map Gray Map adjusts the postprocessing map used on the B-mode image.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Image Type B-mode supports presets for Detail, General, Penetration. See section 10.3.2 for more information. Line Density Adjusts the line density to optimize the lateral resolution for the best possible image. The higher the line density, the higher the lateral resolution, but the lower the frame rate. Needle Press to invoke the touch screen for Needle Biopsy Guide function. See section 6.4 for more information.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.2 Color Mode 5.2.1. Color Mode Variants The system supports 3 types of Color Doppler imaging: Color (Color Doppler): This is velocity Color Doppler that shows direction and velocity of flow. Different colors represent different velocities and positive flow has different colors than negative flow. PDI (Power Doppler Imaging): PDI shows the power, or intensity, of the Doppler signal.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Baseline The Baseline control adjusts the Color baseline. Upward presses move the baseline up on the scale and downward presses move the baseline down. Baseline is not available in PDI mode. Invert Normally, signals above the baseline are positive velocities (moving toward the transducer). However, when Invert is pressed then negative velocities are above the baseline. Invert does not affect the baseline position.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Frequency Frequency determines the transmit frequency used by color Doppler. Upward presses increase the frequency. Downward presses decrease the frequency. Image Type Color Doppler supports image presets for Low Flow, Medium Flow, and High Flow. Dual Live To activate split screen with simultaneous live B/Color and live B.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.3 PW Mode 5.3.1. Using PW Mode 1. Perform the image scanning to get a good image in B mode or B+Color(DPI/DPDI) mode; 2. Press on the console to display sample line; 3.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Colorize Switches between grayscale and colorized (pseudo-color) postprocessing maps. Gray Map Tint Adjusts the current postprocessing, either grayscale or tinted. Dynamic Range The Dynamic Range, or log compression, adjusts how signal intensities are converted to brightness. A high dynamic range will display more shades of gray, while a low dynamic range will display fewer shades of gray and a more contrasty Doppler display.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Image Type Spectral Doppler supports image presets for Low Flow, Medium Flow and High Flow. Frequency This determines the Doppler transmit frequency used for imaging. Auto Trace Press to activate the Auto Trace function on a real-time or frozen PW Doppler strip. The Auto Trace function automatically traces the spectral Doppler waveform and records several measurements on selected waveforms.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.4 CW Mode 5.4.1. Using CW Mode CW mode is only available on phased array transducer. 1. Perform the image scanning to get a good image in B mode or B+Color(DPI/DPDI) mode; 2. Press on the console to display sample line; 3. Use the trackball, knob and other controls to adjust the position of the sample line and the size and angle of the sample gate; 4.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Filter The Filter control removes excessive noise from movement of vessel walls. Options of Low, Med. and High are available. Higher wall filter level will suppress more strong single of the vessel walls, but low flow signal will be missing. Colorize Switches between grayscale and tinted (pseudo-color) postprocessing maps. Gray Tint Map Adjusts the current post processing, either grayscale or tinted.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.5 M-mode 5.5.1. Using M-mode 1. Perform image scanning to get a good image in B mode; 2. Press to display M strip and sample line; 3. Move the trackball to adjust the sample line; 4. Adjust image parameters to optimize M strip. 5.5.2. M-mode Image Optimization The following touch controls can be used to optimize the M-mode image.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Strip Size Changes the relative size of the M-mode strip compared to the reference image. Full, large, Med. and small are available. Side-by-side This is an on/off control. When On, the M-Mode strip is displayed side-by-side with the B-mode image.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.6 Anatomic M Mode Anatomic M mode allows you to manipulate the position and angle of M sample line and displays real-time M strip image. Only phased array transducer supports Anatomic M mode. 5.6.1. Using Anatomic M Mode 1. Press Anatomic button on the M-mode touch screen to invoke Anatomic M mode. 2. Press Show one, Show two or Show three button on the touch screen to display single or multiple M sample lines. 3.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.7 TDI Mode Tissue Doppler Imaging (TDI) mode shows information about low-velocity and high-amplitude tissue motion, usually used to evaluate cardiac tissue motion. Only Phased transducer supports TDI mode. There are two types of TDI modes available on this system: TVI(Tissue Velocity Imaging) mode: shows the speed and direction of tissue motion on real-time Color image.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.8 3D/4D Mode 3D/4D mode is only available on a Wobble transducer. There are two ways to activate pre-3D or Pre-4D mode: 1. Press the <3D> or <4D> on the console. 2. Press the 3D or 4D button on the touch screen in B-mode. 5.8.1. Pre-3D/Pre-4D The Pre-3D and Pre-4D mode supports defining the 3D and 4D acquisition location and settings. Figure 5-1 shows an example of the pre-3D image.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Surface/ Skeleton These two radio buttons determine if the acquisition is optimized for looking at Skeleton or Surface. 3D Press to switch to Pre-3D. 4D Press to switch to Pre-4D. Start Start an acquisition. Table 5-7 Pre-3D Touch Screen 5.8.2. 3D Volume Sweeping Select Skeleton or Surface on the Pre-3D touch screen and press Start button or key to start image acquisition.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Figure 5-3 3D Image Review There are two image modes: Volume imaging mode and multi-slice imaging mode. Figure 5-3 shows Volume Imaging Mode in quad screen with a Baby Face volume rendering. Quadrant A shows a slice through the data that mimics the original ultrasound image. Quadrant B is orthogonal to A, as if the transducer had been rotated 90 degrees.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Single, Dual, Quad These three radio buttons switch the display to show 1, 2, or 4 images at once. Single shows the 3D image, dual shows the A slice and 3D image, Quad shows three MPR slices and 3D image. VOI Press to activate the function of adjusting VOI or clip plane. Use the trackball to adjust and press to switch between VOI and clip plane. Cut This is a folder of cut functions with various cut tools inside.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Brightness Adjust the brightness of 3D image Contrast Adjust the contrast of 3D image. 3D Smooth MPR Smooth Adjust smoothness of A\B\C slices and 3D images. Higher filter levels create a smoother image. Upward presses increase the filter. Downward presses decrease the filter. Quick Rotation Four radio buttons used to quickly rotate the image. Available angles are: 0°/90°/180° /270° .
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging MPR Tint Select MPR tint. eFace Press to show the baby face automatically. Only available in Surface render mode. Table 5-8 Volume imaging Mode Touch Screen Image area and touch screen controls in multi-slice imaging mode: Figure 5-4 Multi-slice Imaging Mode In figure 5-4, the first image shows the basis slice, other images are orthogonal to the basis slice and parallel to each other.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Reset Reset the operation of pan, rotate and zoom to the initial condition. Number Select how many slices to use Distance Adjust the distance between slices. Next When there are more slices than can be displayed at once this control cycles through the subset of slices displayed. Tint Select multi-slice tint. Smooth Adjust smoothness of A\B\C slices. Higher filter levels create a smoother image.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging Figure 5-5 4D Volume Sweeping Image 5.8.6. 4D Cine During the process of 4D live volume imaging, press the button on the control panel to enter the 4D cine mode. A cine replay scroll bar appears below the images. Use the trackball to replay the images. For the selected frame, user can execute all operations that are available in 3D review status. Press again to return to the live image.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Imaging 5.8.7. Knobs and Buttons on Control Panel Knobs and buttons on control panel can also be used to make operation more convenient in 3D/4D mode. Name Control Description Rotation X Rotate this knob to rotate the image by the X-axis of the activated window. Rotation Y Rotate this knob to rotate the image by the Y-axis of the activated window. Rotation Z Rotate this knob to rotate the image by the Z-axis of the activated window.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6 Transducers and Biopsy 6.1 Transducers No.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Adult Cardiac Pediatric 9 P7-3Q Phased Array Abdominal Body Surface Pediatric Cardiac Neonatal Cephalic Abdominal Fetal / Obstetrics 10 C7-2XQ Convex Urology Body Surface Gynecology Musculoskeletal Fetal / Obstetrics Trans-vaginal 11 E10-3BQ Micro Convex Trans-rectal Intra-cavity Urology Gynecology Fetal / Obstetrics Trans-vaginal 12 E10-3HQ Micro Convex Trans-rectal Intra-cavity Urology Gynecology Feta
-
Acclarix LX3 L Series Diagnostic D U Ultrasound System User Manual Tra ansducers and Biopsy 6.2 Us sing Tra ansduce ers Understtanding a Transduce er: Figure 6-1 1 takes L12--5Q transduccer to show an example e of a transd ducer. 1 2 3 5 4 6 7 Figure 6--1 Typical transducer No. Nam me Function n 1 nsducer Tran head d Converts electrical signals to sound wavves, and th hen convertts received echoes back to electrical signals. The tip of the t transduccer is the aco oustic lens. 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Image Orientation Mark The image orientation mark on the display screen and on the transducer are shown as below. The side of orientation mark on the transducer corresponds to the side of orientation mark on the display screen. Ensure orientation marks on the display screen and transducer are on the same side prior to scanning.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Use of Transducer sheath CAUTION 1. Always wear gloves to perform the following steps. 2. To minimize disease transmission, legally marketed, sterile transducer sheath is required to use for intra-cavitary and intra-operative procedures. 3. Use a pyrogen-free transducer sheath for intra-operative procedures. 4. DO NOT use an expired transducer sheath.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.3 Transducer Cleaning and Disinfecting Transducers should be cleaned and/or disinfected as necessary or between use with a recommended cleanser or disinfectant. Disconnect the transducer from the system prior to cleaning and disinfecting. 6.3.1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Note: LLD=Low-level Disinfection; HLD=High-level disinfection The validated disinfectants for transducer are: Disinfectants Disinfecting Intensity Disinfecting Method Ethanol (75%) LLD Spraying or wiping Isopropanol (70%) LLD Spraying or wiping Cidex OPA (0.55%) HLD Immersion Cidex Glutaraldehyde(2.4%) HLD, Sterilization Immersion WARNING 1.
-
Acclarix LX3 L Series Diagnostic D U Ultrasound System User Manual Tra ansducers and Biopsy 6. Rinse e the transdu ucer thoroug ghly with ste erile water to o remove alll chemical re esidues. For example, it is re equired to flush the transducer afte er soaking in Cidex Glu utaraldehyde e(2.4%) with h plenty of sterile e water (about 2 gallon ns) at leastt one time. Or, follow the complete rinsing in nstructions provid ded by the disinfectant d m manufacture er to rinse th he transduce er. 7.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.3.3. Sterilization Intra-operative transducers must be sterilized after each exam. Sterilizing the transducers: 1. Disconnect the transducer from the system. 2. Wear protective gloves to prevent infection. 3. Clean and dry the transducer according to the methods in section 6.3.1 Cleaning. 4. Prepare the disinfectant solution (Cidex Glutaraldehyde 2.4%).
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.4 Needle Biopsy Guide NOTE: Use proper sterile technique at all times when performing a biopsy. Always follow these basic precautions: WARNING 1. The needle guide bracket kits are not disinfected or sterilized before delivery. Sterilize the needle guide kit before the first use and after each use. 2. Calibrate the needle guide kit (see section 6.4.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Structures: Locking Knob Clamp Angle Knob Tab Release Adjusting Knob Needle Guide Path Installation and Use Steps: 1. Place an appropriate amount of gel on transducer surface, and insert transducer into the sheath. 2. Loosen the locking knob to open the clamp of bracket. Attach the bracket to the transducer by aligning the locating markers on the bracket and the transducer.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 5. After biopsy, press the tab release to remove the needle, and loosen the locking knob to remove the bracket from the transducer. BGK-CR10UA/BGK-006 The installation steps for these brackets are the same. Here we take one bracket for illustration. Structures: Needle Guide Path Locking Knob Clamp Installation and Use Steps: 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual 3. Transducers and Biopsy Properly secure the clamp of bracket with the locking knob. Ensure the backet is firmly attached, and then place the biopsy needle into the needle guide path. BGK-005 Structures: Needle Guide Path Quick Release Clamp Installation and Use Steps: 1. Place an appropriate amount of gel on transducer surface, and insert transducer into the sheath. 2. Use the quick release to open the clamp of bracket.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 3. Press the left and right side of the clamp as the figure below to attach the bracket to the transducer firmly. 4. Ensure the bracket is firmly attached, and then place the biopsy needle into the needle guide path. BGK-003 The installation steps for these brackets are the same. Here we take one bracket for illustration.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Installation and Use Steps: 1. Place an appropriate amount of gel on transducer surface, and insert transducer into the sheath. 2. Loosen the locking knob to open the clamp bracket. Attach the bracket to the transducer by aligning the locating markers on the bracket and the transducer. Properly secure the clamp of bracket with the locking knob. 3. Install the disposable Needle Guide. a. b.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Figure 6-4 Needle Guide Touch Screen WARNING 1. To avoid patient injury when using a multi-angle bracket, make sure that the same angle(A, B, C or D) is selected on both the bracket and the ultrasound system. 6.4.3. Calibrating the Needle Guide Line WARNING 2. 3. Calibrate the needle guide under any of the following conditions: a) The first time a needle guide is used with a given transducer.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual 3. 4. Transducers and Biopsy Press the Calibration button on the touch screen to display the Angle and Position paddle button. Use the Position paddle to adjust the line horizontally until the origin aligns with the actual needle. Use the Angle paddle to adjust the angle of the line until the entire line aligns with the actual needle. Any changes will be saved as the default value automatically. 6.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.6 Center Line The Center Line is a vertical dotted line displayed at the middle of the image field, representing the middle of ultrasound beam. The Center Line helps to locate the position and depth of a target disease focus for out-of-plane biopsy, lithotripsy and etc.. To use Center Line: 1. Press Center-Line on B-mode touch screen to activate Center Line. 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.7.2. Sterilization 1. Wear sterile protective gloves to prevent infection. 2. Disconnect the bracket from the transducer, and remove all visible residues from the bracket using sterile cloth. 3. Clean and dry the bracket according to the methods in section 6.7.1 Cleaning. 4. Sterilize the bracket assembly by dynamic air removal steam sterilizer for at least four minutes at 132°C.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Features 7 Features 7.1 Comment The Comment function allows you add annotation to an image. The Comment function is invoked by pressing the hard key on the console. Figure 7-1 shows an example touchscreen for the Comment function. The top portion of the screen shows comments that are pre-defined in pre-sets. See section 10 for details on how to configure these.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Features Adding comments You can add either pre-defined comments or use a keyboard. Adding comments using the keyboard 1. Invoke the Comment function. 2. Use the keyboard of the system or press the “Keyboard” touch screen key to display a keyboard on the touch screen. 3. Move the cursor to the desired location and type the desired text. Adding comments using pre-defined comments 1. Invoke the Comment function 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Features 7.2 Body Mark Body Mark allows you add a body mark graphic to an image and indicate the location of the transducer using a transducer icon on that graphic. The Body Mark function is invoked by pressing the
hard key on the console. Figure 7-2 shows an example touch screen for Body Mark. The main portion of the screen shows a grid of body marks that are pre-defined in pre-sets.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Features 7.3 Split Display 7.3.1. Dual Imaging Dual Imaging displays images side by side on the screen. During real-time imaging when Dual imaging is enabled, the active image is displayed in real-time and the other image is frozen. Dual image display is invoked by pressing the Dual hard key on the console. Each single press of Dual key during real-time imaging activates the image on one side and the image on other side becomes frozen.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Features 7.4 Zoom Zoom is available on the live or frozen image in B mode and Color mode. Rotate the physical knob on console to zoom an image. Zoom Knob o Turn the Zoom knob rightwards to make the image bigger. o Turn the Zoom knob leftwards to make the image smaller. When in Zoom mode, use the trackball to pan the position of zoomed image. The B image remains zoomed after entering other imaging modes.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Features The cine can be reviewed manually or automatically. Manual Review: Move the trackball to review the cine frame by frame. As the trackball moves, the current cine number is displayed on the right of the cine bar. Auto Review: 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8 Measurements and Reports The Measurement function lets you perform measurements on a live or frozen image. The Generic Measurement function is invoked by pressing the hard key on the console, and the Application Measurement function is invoked by pressing the hard key on the console. Generic Measurements: These are simple tools like Distance or Area.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports Measurement main screen display is divided into three fields: Field 1: Displays measurement labels and attributes: The first line displays labels of Application Measurements and Generic Measurements. Clicking on each of them displays its associated measurement items.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurements and Reports Name Description A Measurement label Displays application and generic measurement labels. Pressing on any label will display its associated measurements on the touch screen. B Measurement groups Displays available measurement groups. Selecting one measurement group will show its associated measurement items below.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.1 Generic Measurements Generic measurements is invoked by pressing key on the control panel. Each imaging mode supports different types of generic measurements. This chapter describes all the generic measurements supported in each imaging mode. 8.1.1. B-mode Generic Measurements The generic measurements supported in B-mode are listed in the table below. No. 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.1.1.2. Circumference/Area Circumference/Area measurement can measure the circumference and area of a closed region. There are Ellipse, Trace and Spline methods. Ellipse Method: 1. Invoke the generic measurement function. 2. Select Circ/Area-> Area Ellipse. 3. Move the caliper to the start point. 4. Press the key to fix the start point. 5. Move the caliper and press the key to fix the end point.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 6. Press the key to fix the third point and complete the angle measurement. 8.1.1.4. Volume Volume can be measured with 3 Distances or 1 Ellipse+1 distance method. 3-Distance Method: 1. Invoke the generic measurement function. 2. Select Volume-> Volume 3 Dist. 3. Move the caliper to the start point. 4. Press the key to fix the start point. 5. Move the caliper to the end point.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 4. Then the Stenosis measurement result displays. Spline Method: 1. Invoke the generic measurement function. 2. Select Circ/Area-> Stenosis% Spline 3. Perform two spline measurements following the Spline method in section 8.1.1.2 Circumference/Area measurement. 4. Then the Stenosis measurement result displays. 8.1.2. M-mode Generic Measurements The generic measurements supported in M-mode are listed in the table below.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.1.2.3. Time The Time measurement measure the time interval between two points. To measure Time: 1. Invoke the generic measurement function. 2. Select Time. 3. Move the caliper to the start point. 4. Press the key to fix the start point. 5. Move the caliper to the end point. Presses of the key will toggle between active calipers, allowing you to adjust the position of start point and end point. 6.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurements and Reports Measurement Item Remark Velocity Manual Trace Spline Trace 2. Generic Only available for Cardiac exam HR Time PGMax PGMean 3. Vessel 4. Tei index Vol. Flow Distance + Auto Trace COT Only available for Cardiac exam ET 5. dp/dt dp/dt 8.1.3.1. Velocity Multiple types of velocity measurements are supported on Doppler Strip, for example velocity at any point, at PS or ED.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports S/D: measures the velocity at PS and ED points, and calculates S/D result. 1. Invoke the generic measurement function. 2. Select Generic-> PS, ED, RI, S/D. 3. Move the caliper to the PS point. 4. Press the key to fix the PS point. 5. Move the caliper to the ED point. Presses of the key will toggle between active calipers, allowing you to re-position the PS point or ED point. 6.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 3. Move the caliper to the desired location. 4. Press the key to place the first point. 5. Repeat step 3~4 to place other points. A trace will be created after three points are placed. 6. If a point is not placed satisfactorily, press Undo button to remove it. Each press of Undo button removes one point. 7. Double press the key to complete the trace. Auto Trace Method: 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.1.3.7. PG(Pressure Gradient) PGmax and PGmean can be measured in Cardiac exams. The measurement method is manual trace. Please refer to the steps of manual trace method in section 8.1.3.2 trace measurement for details. 8.1.3.8. Tei Index The Tei index measurement is useful for the assessment of ventricular systolic and diastolic function. Higher Tei index indicates decreased ventricular function.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2 Application Measurements Application Measurements have a pre-defined meaning and can be entered into a report.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.1. Abdomen Measurements No. Measurement Group Measurement Item Description Method Section 1: B-mode Measurements 1.1 1.2 1.3 1.4 1.5 1.6 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Description Measurements and Reports Method Spline Trace 2.7 Portal V Portal Vein 2.8 IVC Inferior Vena Cava 2.9 M Portal V Main Portal Vein 2.10 Hepatic V Hepatic Vein 2.11 M Hepatic V Middle Hepatic Vein 2.12 Splenic V Splenic Vein 2.13 SMV Superior Mesenteric Vein 2.14 IMV Inferior Mesenteric Vein Velocity in Doppler generic measurements 8.2.2. Gynecology Measurements No.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Description Measurements and Reports Method Section 2: Doppler Measurements 2.1 2.2 Ovary A Ut. A PS, ED RI PI PS,ED,RI,S/D Time HR Auto Trace Manual Trace Spline Trace Ovary Artery Doppler generic measurements Uterine Artery 8.2.3. Obstetrics Measurements Obstetric measurements are used to calculate the GA (Gestation Age), EDD (Estimated Delivery Date) and EFW (Estimated Fetus Weight).
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. 1.2 1.3 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Desc Ao 1.8 RVOT/PA Description RVOT Diam Right Ventricular Outflow Tract Diameter MPA Diam Main Pulmonary Artery Ductus A Duct Arteriosus Diameter CTAR Method Descending Aorta Diameter Trace in B-mode generic measurements Area 1 1.9 Measurements and Reports Cardio/Thorax area ratio Ellipse in B-mode generic measurements Area 2 Section 2: Doppler Measurements 2.1 MCA 2.2 Umb. A 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.4. Cardiac Measurements No. Measurement Group Measurement Item Description Method Section 1: B-mode Measurements 1.1 A4C Dias. Left Ventricular apical four-chamber views at End-diastole A4C Sys. Left Ventricular apical four-chamber views at End-systole LV Simpson A2C Dias. Left Ventricular apical two-chamber views at End-diastole A2C Sys.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group 1.7 PV 1.8 RVDs 1.9 Measurement Item PV Diam Measurements and Reports Description Method Pulmonary Valve Diameter Right Ventricular end-systole Diameter RA Length Right Atrium Length Diameter RA Width Right Atrium Width Diameter LA Length Left Atrium Length Diameter LA Width Left Atrium Width Diameter at LA/RA Section 2: Doppler Measurements 2.1 2.2 2.3 2.4 2.5 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Measurements and Reports Description Method Section 3: M-mode Measurements 3.1 3.2 3.3 3.4 3.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item (Left Ventricular Mass) Measurements and Reports Description Method End-diastole LVIDd Left Ventricular Internal Diameter at End-diastole LVPWd Left Ventricular Posterior Thickness at End-diastole Wall 8.2.4.1. Simpson’s Method of Disks (MOD) Simpson’s MOD is a method used to calculate LV diastolic and systolic volumes and ejection fraction. Simpson’s MOD is available in the Cardiac presets.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.5. Small Parts Measurements No. Measurement Group Measurement Item Description Method Section 1: B-mode Measurements 1.1 1.2 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.6. Urology Measurements No. Measurement Group Measurement Item Description Method Section 1: B-mode Measurements 1.1 1.2 1.3 1.4 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.7. Vascular Measurements No. Measurement Group Measurement Item Section 1: 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item 2.14 EIA External Iliac Artery 2.15 IIA Internal Iliac Artery 2.16 Pop A Popliteal Artery 2.17 Peron A Peroneal Artery 2.18 PTA Posterior Tibial Artery 2.19 ATA Anterior Tibial Artery 2.20 DPA Dorsalis Pedis Artery 2.21 SUBC V Subclavian Vein 2.22 Axill V Axillary Vein 2.23 Brach V Brachial Vein 2.24 Cepha V Cephalic Vein 2.25 Basilic V Basilic Vein 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual No. Measurement Group 2.43 ACA 2.44 MCA 2.45 PCA 2.46 ACoA 2.47 PCoA 2.48 BA 2.49 VA 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.8. Pediatric Measurements No. Measurement Group Measurement Item Section 1: Description B-mode Measurements 1.1 LLV Left lateral ventricle 1.2 RLV Right lateral ventricle 1.3 LT Tri Left trigone 1.4 RT Tri Right trigone 1.5 Method HIP Angle Hip joint angle HIP d/D Hip joint d/D ratio HIP 2-point distance in B-mode generic measurements Hip Joint(See section 8.2.8.1) 8.2.8.1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports d. Press key and the default angle β and inclination line comes out. e. Use the trackball to place the inclination line and rotate the Angle knob to adjust the angle β. 4. Press key to complete the measurement. 5. If the age of the patient is entered, dislocation type will also be displayed in the result window. Evaluate the type of hip joint according to the Graf method, as shown in the table below.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.3 Worksheet and Report Worksheet is available at any time during an exam, and is displayed as default on the main screen. Report contains the information from a worksheet but it is formatted in a slightly different manner. 8.3.1. Worksheet To view a worksheet: Press key on the console to open worksheet screen. A worksheet includes: Patient Information, Measure/Calculation data and Comments.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports There is a group of radio button that includes: Report, Worksheet and Growth Curve. Note: Radio Buttons are buttons where only one is active at any time. Activating one will de-activate all others. Press Report button on the touch screen to get the report page. Press Worksheet button on the touch screen to switch back to the worksheet page.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports Figure 8-5 OB Worksheet With Expand on. A: LMP: The LMP is displayed on the first page of the report. If the LMP was entered on the Patient page that date is transferred to here. B: GA: Two different versions of the GA are displayed: Clinical GA: Calculated from the LMP.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports Figure 8-6 Growth Curve Graph To view a growth curve graph: Press the hard key to enter the Worksheet, and then press the Growth Curve button on the touch screen to display the Growth Curve Graph. Figure 8-7 Growth Curve Touch Screen Following controls are invoked by Growth Curve button. Single/Quad: press to select the number of the growth curve graph for display.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports Figure 8-8 Quad Growth Curve Graph Fetus Compare: Press to display multiple fetus data in the same graphic for comparing their data directly .It appears only in multiple fetus situations, and the fetus number is determined by which is entered in patient information.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports Print: At the left side of each growth curve graphic a Print checkbox is displayed for you to determine whether to print the growth curve graphic in the report. 8.3.4. Findings The findings user interface allows you to quickly create a paragraph of findings for the current exam. It consists of three interactions: Findings preset. It determines the pre-defined findings displayed.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.3.5. Report Press the hard key to enter the Worksheet, and then press the Report button on the touch screen to display the Report screen. A report includes: Header, Patient Information, Images, Measurement/Calculation data, Comments and Sonographer signature . Figure 8-11 Report Main Screen The middle part of the main screen is the general layout of a report.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Measurements and Reports Save As: Press it to store the report as PDF file to external storage. Preview: Press it to invoke print preview before print. Then switching report pages and zooming in report are supported. Print: Press it to print the report via the connected report printer. 8.4 Measurement Accuracy Parameter Range Accuracy 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Data Management 9 Exam Data Management 9.1 Storing Images The system supports storing static images and cine clips. What is displayed in Information area, Image area and Image parameter area on the main screen will be stored. Storing static images: Pressing the hard key on the console will always capture what is on the image area of the screen. This includes live, frozen, or Cine images.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Data Management 9.2 Reviewing Images To enter image review: If Static or Clip images have been stored for the current exam, then they can be reviewed by pressing the hard key on the console. The review touch screen is shown as the figure below. NOTE: If nothing has been stored in the current exam, then the hard key will invoke the Exam Database function (see the next section).
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Data Management Delete the selected image. Export selected images to a removable media currently available. Plug in a USB disk, select an image, press this button and the following confirmation dialog pop-up: Select the export path from destination drop list menu, select the export format and click OK to export. If there is no USB plugged in, the Export button is unavailable.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Data Management The main part of the display shows a list of studies. Clicking on the header of a field will sort the list by that field. Fields can be displayed or hidden. Filter: The database filter field at the top-left of the screen provides a powerful tool to find the study of interest. It filters the list based on the text that is typed in this field. The filter applies to all fields.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Exam Data Management 9.4 Archiving Studies All Clips and Static images stored on the system are stored internally in Raw Data format. They can be archived to other storage device for long-term storage in .bmp, .avi, .dcm and Raw Data formats as described below. The study can be sent to a DICOM server. In this case the images are in DICOM (.dcm) format. The study can be saved to an USB or DVD drive.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets 10 Presets 10.1 Preset Organization The Presets are divided into two levels: the Exam Presets and Application Presets. Exam Preset: Each transducer has its own set of Exam Presets. Each Exam Preset contains: The image parameters that optimize its transducer for an intended use. Pointers to Application Presets for Comments, Measurements, Body Marks and Patient demographic data.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets 10.2 Selecting a Preset Pressing the key on the console will open the Transducer touch screen. See figure 10-2 for an example Transducer touch screen. The currently active transducer is shown at the top of the touch screen. Below it are all the presets associated with that transducer. Pressing any preset button selects that preset, recalling its parameters for system use. Figure 10-2 Example Preset Screen 10.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets Figure 10-3 Preset Main Screen 10.3.1. Exam Preset Figure 10-4 shows an example of the exam preset page where you can configure which Comment, Measure, Body Mark or Patient info presets are associated with each exam preset, or adjust the display order of exam presets of each transducer. Figure 10-4 Exam Preset Page Configure the exam presets: Transducer: Select one transducer from the list to configure its exam presets.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets Body Mark: Select one of the pre-defined body mark presets to be the default body mark preset for the selected exam preset. Patient Info: Select one of the pre-defined patient information categories for the selected exam preset, which determines the patient information items displayed on the patient information page by default. Set Default: Set the selected exam preset as the default exam preset of the transducer.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets Figure 10-6 Example Set-up Screen for Image Preset Transducer and Exam: There are drop-downs at the top of the screen for selecting the Transducer and Exam Preset you want to edit. Each transducer has its own set of exam presets, and these two drop-downs let you select which exam preset, on which transducer, you want to edit. TI: Select the TIB, TIS or TIC to display on main screen.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets Figure 10-7 Comment Preset Screen Editing Comment Preset: Select a comment preset from the preset list on the left side of the screen, and then you can do the followings to edit the comment texts for the selected preset. Adding a new Comment: 1. Move the cursor to a blank block and press . 2. Enter a new comment through keyboard. Editing an Exist Comment in Comment Preset: 1. Move the cursor to a comment and press .
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets 10.3.4. Body Mark Preset Figure 10-8 shows an example set-up screen for Body Mark Preset, where you can configure which body mark graphics appear with each Body Mark preset. Figure 10-8 Body Mark Preset Screen Editing Body Mark Preset: Select an Body Mark preset from the preset list on the left side of the screen, and then you can do the followings to edit the body mark preset for the selected preset.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets 10.3.5. Measure Preset 10.3.5.1. General Set-up Figure 10-9 shows an example set-up screen for Measure Preset, where you can configure general measurement settings. Figure 10-9 Measure Preset Screen Unit Settings The system supports following unit settings: Distance: Set the default unit of distance measurement. "mm" and "cm" are available. Area: Set the default unit of area measurement. "mm2" and "cm2" are available.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Presets General Settings: 10.3.5.2. Calc. Method: set the calculation method for the finally displayed result in the report when multiple times of measurement operation were done for one measurement item. Available methods include Last, Average, Max. and Min..
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities 11 Utilities To open the Utility screen: 1. Press key to display the cursor; 2. Move the cursor to the Utility icon 3. Press key. displayed at the lower left corner of the screen; The Utility screen provides access to System setup, Presets, Connectivity, Maintenance and Screen adjust. Each of these is described in separate sections. 11.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities Item Options Description Hospital Input freely Set hospital name displayed on the top left of the screen and diagnosis report. Language Chinese, English, etc Set the system language(new language is effective after reboot the system). Date Format YYYY/MM/DD/ MM/DD/YYYY DD/MM/YYYY Set the date format. Set the system date Note: If the license is invalidated because of changing the system date, please contact EDAN serviceman.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities 11.1.2. Patient Set-up Figure 11-2 Patient Set-up Screen Item Options Description Weight Unit kg, lbs Set the weight unit of patients Height Unit cm, ft/in Set the height unit of patients / You can define two additional fields for data entry on the Patient Information screen. The Patient Information screen only displays the data entry when you define the title of the custom field.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities 11.1.3. Store/Print Set-up Figure 11-3 Store/Print Set-up Screen Item Description Duration for prospective Set the cine length for prospective cine storing in live scanning status. Duration for retrospective Set the default cine length for retrospective cine storing in the frozen status. Display Time Length between Start and End Frame Set whether to display the time length between the start frame and end frame on the cine bar.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities 11.1.4. Report Set-up Figure 11-4 Report Set-up Screen Item Description Import Import a bmp format logo from USB disk. Logo Position Set the logo position to locating at the left or right side of report header. Logo Size Set the logo size to Small or Large. Delete Delete the imported logo.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities drop-down list, and then press the Search button to search the network printer. Select the printer from the search result to connect. Print the test page to check whether the printer is connected successfully. Print Test Table 11-4 Report Set-up Description 11.1.5. Image Set-up Figure 11-5 Image Set-up Screen Item Options Description √/× Set whether to hide the hint of “non intra-operative” while using transducer L17-7SQ.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Gain PW Mode DR Scale /Baseline Utilities √/× Optimize Gain or not when press Auto button on the control panel in PW mode. √/× Optimize Dynamic Range or not when press Auto button on the control panel in PW mode. √/× Optimize Scale/Baseline or not when press Auto button on the control panel in PW mode. Table 11-5 Image Set-up Description 11.1.6.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities 11.1.7. User Set-up Figure 11-7 User Set-up Screen Item Options Description Enable Password Protection √/× Show or hide the login dialog when booting up the system. Password is required to enable password protection function. User Login at exiting Sleep mode √/× Set whether to display the User Login dialog for user login when exiting the sleep mode. User List √/× Show all users displaying user name and user type.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Add User: Click it to add user in the user list. Change Password: Click it to change the password of the users. Delete User: Click it to delete the highlighted user in user list. Edit User: Click it to modify the user information. Utilities Caution 1. For security consideration, a password with high secure intensity is suggested for each user account, and the password should be changed periodically. 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities 11.2.1. TCP/IP This screen configures access to a network. Figure 11-8 TCP/IP settings Wired Settings: The following settings apply when connecting a system to a wired network via the network port on the side of the system. Get Local IP: Either Manually entered (Static) or DHCP. The correct setting will depend on how your DICOM network is administrated. If you are unsure, try DHCP first.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities Join: This joins the selected network. If a password is needed a dialog box will be displayed to enter it. Forget Network: This forgets any password of the selected network that had been entered, but the network is still shown in the list. Advanced Settings: This brings up a dialog box with additional settings for the selected wireless network.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities Transfer on demand: Images and clips reports are only sent when you manually send them. When there is no exam in progress the Review hard key will show a list of all exams on the hard drive. Select an exam and press the Send button at the bottom of the screen. Auto-Transfer when Store: Each image is sent automatically when it is captured.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities Modality Worklist: Modality Worklist will query the configured server for a list of all ultrasound exams scheduled within the configured date range. Enable: Turns Modality Worklist on/off. Update Worklist: Determines when the worklist is updated. Choices are: On Demand: Updates only when the Update button is pressed from the patient page. On Start of Exam: Updates when the patient page is displayed at the start of each exam.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities Figure 11-10 System License Screen 11.3.2. Version The Version screen shows the current version of software, firmware, and selected hardware for the system. This information is only needed if requested by an Edan service engineer. This page also includes an Upgrade and Export Logs button. Caution 1. Anti-virus measures such as USB device virus scanning should be carried out prior to using USB flash drive. 2.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities Figure 11-11 Export/Import Screen To export user data: 1. Select an external USB storage device. 2. Check the items to be exported: Presets, Set Up, Findings. 3. Presets includes the preset data about Exam, imaging parameters, Body Mark, Comments, etc . Set Up includes the setting data about system set-up, connectivity, etc. Press Export button to begin the export process. To import user data: 1.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities SlideShow: Shows an imported collection of images slide by slide. Export: Exports the imported images to USB storage device. Delete: Deletes the imported images. Figure 11-11 Demo Screen 11.3.5. Self-Check The Self Check screen provides access to checking the fan status and to testing the LCD screen. 11.3.6. Tool The Tool screen provides access to system maintenance which must be performed by authorized service personnel.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Utilities test. 5. If the transducer element is in malfunction, dark strips will be displayed; if the transducer element functions well, no dark strips will be displayed. 11.4 Screen Adjust Entering Screen Adjust Screen: Open Utility page. Press Set up touch screen button, and then the Screen Adjust touch screen button to access Screen Setup touch screen.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual In Between Exams 12 In Between Exams 12.1 Unpacking Visually examine the package prior to unpacking. If any signs of mishandling or damage are detected, contact the carrier to claim for damage. After unpacking the device, you should follow the packing list to check the product carefully and to make sure that no damage has occurred during transportation.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance 13 Troubleshooting and Maintenance In order to ensure proper system operation and function, a maintenance and inspection plan should be established to periodically check the safety of the system. If any system malfunction is experienced, contact EDAN or authorized representatives. 13.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance 1. Inspect the power supply. 2. Strip-shape or snowflake-shape disturbance occurs on the display screen. 2. Check whether it is disturbed by the ignition action of any other device. 3. Check the disturbance of electric or magnetic field in the surrounding environment. 4. Check whether the plug and socket of power supply and transducer are properly connected. 1. Adjust overall gain (Gain). 3.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance System Surface Cleaning The validated cleaning agents for cleaning the system are: Ethanol (75%) Isopropanol (70%) To clean the system surface: 1. Switch off the system and unplug it. 2. Wear sterile protective gloves to prevent infection. 3. Remove all residual foreign matters from the system surface using sterile cloth or paper towel immediately after examination. 4.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance X idler wheel Y idler wheel Auxiliary idler wheel Figure 13-2 X, Y and the Auxiliary Idler Wheels CAUTION Do not drop or place foreign objects inside the trackball assembly or it may affect the trackball operation and damage the system. NOTE: Be sure to clean the X and Y idler wheels and the auxiliary idler wheel.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Specifications Appendix A Specifications A.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Specifications A.5 Display Specifications Display TFT-LCD Diagonal Size 21.5 inch View Angle Right 178°, Left 178°, Up 178°, Down 178° Pixel Number 1920x1080 Contrast Ratio 1000 (Typical) A.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Specifications A.7 Wi-Fi Specifications Standard Conformance 802.11b, 802.11g ,802.11n Frequency Band 2.412-2.484GHz(@2.4GHz band) OFDM Modulation Technique DSSS CCK 2.4G Transmit 1MbpsDSSS :17.3dBm 2MbpsDSSS :17.3dBm 5.5MbpsCCK :17.3dBm 11MbpsCCK :17.3dBm Typical Transmit Power(±2dBm) 6MbpsOFDM: 17.1dBm 9MbpsOFDM :17.1dBm 12MbpsOFDM: 17.1dBm 18MbpsOFDM :17.1dBm 24MbpsOFDM :16.2dBm 36MbpsOFDM :15.3dBm 48MbpsOFDM :14.6dBm 54MbpsOFDM: 13.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Specifications A.8 Operating, Storage and Transportation Environment A.8.1 Operating Environment Temperature 0 °C ~ +40 °C(+32 °F~+104 °F) Relative humidity range 15% RH ~ 95% RH(non-condensing) Atmospheric pressure range 86kPa ~ 106kPa A.8.2 Storage and Transportation Environment Temperature -20 °C ~ +55 °C(-4 °F~+131 °F) Relative humidity range 15% RH ~ 95% RH(non-condensing) Atmospheric pressure range 70kPa ~ 106kPa A.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Ultrasound Intensity and Safety Appendix B Ultrasound Intensity and Safety B.1 Ultrasound in Medicine The use of diagnostic ultrasound has proved to be a valuable tool in medical practice. Given its known benefits for non-invasive investigations and medical diagnosis, including investigation of the human fetus, the question of clinical safety with regards to ultrasound intensity arises.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Ultrasound Intensity and Safety Line density The acoustic output will be changed with the change of the number of the scanning line (line density). PRF The acoustic power will be changed with the change of PRF. Sample volume The pulsed wave and the power will be changed with the change of the sample volume, and acoustic output will be changed.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Ultrasound Intensity and Safety bones or superficial bones. B.3.3 Display of MI/TI The system provides real-time display of MI/TI values in the upper right part of the screen. The start point of MI/TI value is 0.0. The operator should monitor these values during examinations and keep the exposure time and output level at the minimum amounts needed for effective diagnosis. The display precision is 0.1. MI display error: When measured MI≤0.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Ultrasound Intensity and Safety B.4.4 Acoustic Power Default Settings The ultrasound system allows direct control of acoustic power by the Power paddle key on the touch screen. The range can be adjusted is 10% to 100%. The higher the acoustic power number, the greater the acoustic output. The factory default settings of acoustic power is 100%.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Ultrasound Intensity and Safety B.7 References for Acoustic Output and Safety 1. “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993 2. “Medical Ultrasound Safety” issued by AIUM in 1994 3. IEC 62359:2017, Ultrasonics - Field characterization - Test methods for the determination of thermal and mechanical indices related to medical diagnostic ultrasonic fields. 4.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Order List Appendix C Order List The following accessories are recommended for use on the system. WARNING Only accessories supplied or recommended by EDAN can be used, the battery and transducers of EDAN can be only used on EDAN’s systems. Otherwise, the performance and electric shock protection cannot be guaranteed.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual Order List BGK-004 02.01.215194 BGK-005 02.01.215372 BGK-006 02.01.215373 BGK-007 02.01.215514 BGK-008 02.01.215468 BGK-009 02.01.215834 BGK-012 02.01.216312 Power Cable, European Standard FG-L23X-003-04 01.13.036638 Power Cable, American Standard FG-L23X-20150323-001 01.13.037122 Lithium-Ion battery TWSLB-018 01.21.064404 M-250B 01.57.078008 Aquasonic 100 01.57.078001 USB Disk / 01.18.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual EMC Information Appendix D EMC Information Electromagnetic emissions Guidance and manufacture’s declaration – electromagnetic emission The system is intended for use in the electromagnetic environment specified below; The customer or the user of the system should assure that it is used in such an environment.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual EMC Information Electromagnetic immunity Guidance and manufacture’s declaration – electromagnetic immunity The system is intended for use in the electromagnetic environment specified below. The customer or the user of the system should assure that they are used in such an environment.
-
Acclarix LX3 L Series Diagnostic D U Ultrasound System User Manual EMC In nformation Electrom magnetic im mmunity Guidan nce and man nufacture’s s declaration n – electrom magnetic im mmunity The syste em is intend ded for use in n the electro omagnetic en nvironment specified be elow. The cu ustomer or the user of the system should asssure that th hey are used d in such an environmen nt.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual NOTE 1 EMC Information At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual EMC Information 2450 2400-2570 Bluetooth, WLAN, 802.11 b/g/n, RFID 2450, LTE Band 7 Pulse modulation b) 217 Hz 2 0.3 28 5240 5100-5800 WLAN 802.11 a/n Pulse modulation b) 217 Hz 0.2 0.3 9 5500 5785 NOTE If necessary to achieve the IMMUNITY TEST LEVEL, the distance between the transmitting antenna and the ME EQUIPMENT or ME SYSTEM may be reduced to 1 m. The 1 m test distance is permitted by IEC 61000-4-3.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual EMC Information Appendix E Ultrasound Gel Warmer Ultrasound gel warmer is intended for heating the ultrasound gel. It is installed at the left upper corner of the control panel, as shown in the figure below.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual EMC Information To use gel warmer: After installing the gel warmer, put a bottle of ultrasound gel inside the gel warmer, and press the power switch on the gel warmer to start heating. The gel warmer can heat the gel to about 36±2℃. It will take about 0.5h to heating a bottle of 250ml ultrasound gel from 18℃ to 28℃. The gel warmer supports over-temperature protection and it can work continuously over 12 hours. WARNING 1. 2. 3. 4.
-
Acclarix LX3 Series Diagnostic Ultrasound System User Manual EMC Information To clean gel warmer 1. Switch off the system and disconnect the gel warmer. 2. Rotate to remove the gel warmer bottom cover. 3. Use a sterile cloth dampened with cleaning agent to gently wipe the entire exterior surface(including the bottom cover) and inner surface of the warmer thoroughly until no visible contaminants remain. 4.
-
- 180 -