GE Logiq P5 User Manual

							Preparing for a Biopsy
LOGIQ 5 Basic User Manual 17-29
Direction 2300002-100 Rev. 2
Displaying the Guidezone (continued)
 Figure 17-8. Biopsy Guidezones for the 10L Probe
1.  1 cm increments
2.  5 cm increments
The biopsy guidezone represents a path of the needle. The dots 
which make up the guidezones is the depth readout where: 
•  Yellow represent 1 cm increments. 
•  Red represents 5 cm increments.
The display should be carefully monitored during a biopsy for 
any needle deviation from the center line or guidezone.
NOTE:  To set up biopsy guidezones, refer to Table 16-8 for more 
details. 
						

							Probes and Biopsy
17-30 LOGIQ 5 Basic User Manual
Direction 2300002-100 Rev. 2
Displaying the Guidezone (continued)
The needle may vary from the center line or guidezone for 
various reasons:
•  Needle barrel to needle clearance or strength.
•  Bracket manufacturing tolerance.
•  Needle deflection due to tissue resistance.
•  Needle size chosen. Thinner needles may deflect more.
NOTE:  Although the multi-angle guides are compatible with the Civco 
Ultrapro and Ultrapro II, it is recommended the multi-angle 
guides only be used with the Ultrapro II. Table 17-15: LOGIQ 5 Biopsy Guide Availability
Fixed AngleMulti-Angle
ProbeMBX1MBX2MBX3
3C 4.0 6.0 8.0
3.5C 7.0
5C 7.0 4.0 5.5 7.0
E8C 5.0
7L 4.0 4.0 5.5 7.0
10L 2.0 2.0 4.0 6.0
12L 1.5 2.5 3.5
DANGERFailure to match the guidezone displayed to the guide may 
cause the needle to track a path outside the zone.
It is extremely important that when using the adjustable angle 
biopsy guides, the angle displayed on the screen matches the 
angle set on the guide, otherwise the needle will not follow the 
displayed guidezone which could result in repeated biopsies or 
patient injury. 
						

							Preparing for a Biopsy
LOGIQ 5 Basic User Manual 17-31
Direction 2300002-100 Rev. 2
Preparing the Biopsy Guide Attachment
Convex, Sector and Linear probes have optional biopsy guide 
attachments for each probe.  The guide consists of a non-
disposable bracket to attach to the probe, disposable needle clip 
to attach to the bracket, sheath, gel (sterile gel if necessary) and 
disposable needle barrels.
The disposable needle barrels are available for a variety of 
needle sizes.
CAUTIONPlease refer to the manufacturers instructions included in the 
biopsy kit. 
						

							Probes and Biopsy
17-32 LOGIQ 5 Basic User Manual
Direction 2300002-100 Rev. 2
Fixed Needle Guide Assembly
Identify the appropriate biopsy guide bracket by matching the 
label on the bracket with the probe to be used.
Orient the bracket so that the needle clip attachment will be on 
the same side as the probe orientation mark (ridge).
 Figure 17-9. Probe/Bracket Alignment
1. Probe Orientation Mark
2. Bracket
Attach the biopsy bracket to the probe by sliding the bracket 
over the end of the probe until it clicks or locks in place.
Place an adequate amount of coupling gel on the face of the 
probe.
Place the proper sanitary sheath over the probe and biopsy 
bracket.  Use the rubber bands supplied to hold the sheath in 
place.
 Figure 17-10. Applying Sanitary Sheath
1
2 
						

							Preparing for a Biopsy
LOGIQ 5 Basic User Manual 17-33
Direction 2300002-100 Rev. 2
Fixed Needle Guide Assembly (continued)
Snap the fixed or adjustable needle clip onto the biopsy guide 
bracket.
 Figure 17-11. Fixed Needle Clip Attachment
1. Sheath
Choose the desired gauge (size) needle barrel.  Twist it back 
and forth to remove it from the plastic tree.
 Figure 17-12. Needle Barrels
1 
						

							Probes and Biopsy
17-34 LOGIQ 5 Basic User Manual
Direction 2300002-100 Rev. 2
Fixed Needle Guide Assembly (continued)
Place the needle barrel into the needle clip with the desired 
gauge facing the needle clip and snap into place.
 Figure 17-13. Needle Barrel Installation
CAUTIONEnsure that all guide parts are seated properly prior to 
perfoming a biopsy. 
						

							Preparing for a Biopsy
LOGIQ 5 Basic User Manual 17-35
Direction 2300002-100 Rev. 2
Multi-Angle Biopsy Guide Assembly
Scan the patient and identify the target for biopsy. Move the 
probe to locate the target to the center of the image. Enable  the 
system biopsy guidezone and try guidezone angles A1 to A3 to 
decide the best angle setting for needle path.
Identify the appropriate biopsy guide bracket by matching the 
label on the bracket with the probe to be used.
 Figure 17-14. 3cb Multi-Angle Biopsy Guide Bracket
Orient the bracket so that the needle clip attachment will be on 
the same side as the probe orientation mark (ridge).
 Figure 17-15. Probe/Bracket Alignment
1. Probe Orientation Mark
2. Bracket
Attach the biopsy bracket to the probe by sliding the bracket 
over the end of the probe until it clicks or locks in place.
WARNINGDO NOT attempt to use the multi-angle biopsy bracket and 
needle guide until the manufacturers instructions, provided 
with the biopsy bracket and needle guide in the kit, have been 
read and thoroughly understood.
1 2 
						

							Probes and Biopsy
17-36 LOGIQ 5 Basic User Manual
Direction 2300002-100 Rev. 2
Multi-Angle Biopsy Guide Assembly (continued)
Pull up on the knob to freely move the needle guide attachment. 
Align the knob with the selected position of the needle guide 
attachment from MBX1, MBX2 and MBX3, to match the 
guidezone display on the ultrasound system.
 Figure 17-16. Select the angle position
1. Pull up
Push the knob down into the desired slot to secure the angle 
position of the needle guide attachment.
 Figure 17-17. Fix the angle position
1. Push
1
1
CAUTIONHold the bracket in place on the probe when pushing the knob 
to secure the angle position of the needle guide attachment. 
Excessive force may cause the bracket to release from the 
probe. 
						

							Preparing for a Biopsy
LOGIQ 5 Basic User Manual 17-37
Direction 2300002-100 Rev. 2
Multi-Angle Biopsy Guide Assembly (continued)
Place an adequate amount of coupling gel on the face of the 
probe.
Place the proper sanitary sheath tightly over the probe and 
biopsy bracket.  Use the rubber bands supplied to hold the 
sheath in place.
 Figure 17-18. Applying Sanitary Sheath
Snap the needle clip onto the biopsy guide bracket.
 Figure 17-19. Fixing the Needle Clip Attachment
1. Sheath
Push the locking mechanism towards the bracket to secure the 
lock. Make sure the needle guide is firmly attached to the 
bracket.
 Figure 17-20. Locking the Needle Clip
1
1 
						

							Probes and Biopsy
17-38 LOGIQ 5 Basic User Manual
Direction 2300002-100 Rev. 2
Multi-Angle Biopsy Guide Assembly (continued)
Choose the desired gauge (size) needle barrel.  Twist it back 
and forth to remove it from the plastic tree.
 Figure 17-21. Needle Barrel Selection
Place the needle barrel into the needle clip with the desired 
gauge facing the needle clip and snap into place.
 Figure 17-22. Needle Barrel Installation
CAUTIONEnsure that all guide parts are seated properly prior to 
perfoming a biopsy.