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GE Vivid 7 User Manual

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    							Basic scanning operations
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    Physio over view
     Figure 2-11: The physios controls on the front panel 
    1. Assignable keys:
    • ECG
    • Horizontal sweep
    • Gain
    • Position
    • ECG Lead
    • ECG Trig
    • Timer Trig
    • ECG
    • Beep
    • Phono
    • Horizontal sweep
    • Gain
    • Position
    • Phono
    • ECG Trig
    • Timer Trig
    • Phono filter
    • Respiration
    • Horizontal sweep
    • Gain
    • Position
    • Resp
    • ECG Trig
    • Timer Trig
    • Resp Lead
    • AUX 1and AUX 2
    • Gain
    • Position
    • AUX1
    • AUX2/Press
    2. Soft menu
    • ECG Trig 1
    • ECG Trig 2
    • ECG Trig interval
    • Timer delay
    2
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    Physio controls
    Physio assignable controls
    Common controls
    Horizontal sweep
    Adjust the refresh rate of the physiological trace. This control is 
    active only in 2D and color modes. The sweep speed of the 
    physio traces in M-Mode and Doppler is identical to the M-
    Mode or Doppler horizontal sweep adjusted by the user.
    Gain
    Enables the user to change the amplitude of the physiological 
    trace displayed on the screen.
    Position
    Enables the user to move the physiological trace on the screen.
    ECG specific controls
    ECG Lead
    Enables the user to choose the lead from which the ECG is 
    recorded:
    •  Lead I: ECG recorded between right and left arm.
    •  Lead II: ECG recorded between right arm and left leg.
    •  Lead III: ECG recorded between left arm and left leg.
    ECG Trig
    Enables intermittent imaging based on the ECG.
    Timer Trig
    Enables intermittent imaging based on a timer.
    ECG
    Turns the ECG trace on and off.
    Beep
    Turns beep sound on and off.
    Press MORE to ac-
    cess to the Phono 
    and Respiration 
    controls.Phono specific controls
    Phono
    Turns the phono trace on and off. 
    						
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    Phono filter
    Select a phono filter to apply from a pop-up menu.
    Respiration specific controls
    Respiration
    Turns the respiration trace on and off.
    AUX specific controls
    AUX1
    Turns the AUX1 physiological trace on and off.
    AUX2/Press
    Turns the AUX2 physiological trace on and off.
    Physio Soft menu controls
    ECG Trig 1
    Specifies the delay (ms) from R-wave to triggered frame.
    ECG Trig 2
    Specifies the delay (ms) from R-wave to second frame. Trig 2 
    must be greater than Trig 1 for dual triggering to be active.
    ECG Trig interval
    Number of heart cycles between triggered images.
    Timer Delay
    Controls time between triggers when timer triggering is turned 
    on.
    Displaying the physiological traces
    Display of the ECG
    To turn the ECG 
    display off, press 
    PHYSIO and press 
    the assignable 
    ECG.
    Cardiac applications
    The ECG is turned on by default in all cardiac applications.
    Other applications
    1. Press 
    PHYSIO on the control panel to get access to the ECG 
    controls.
    2. Press the assignable 
    ECG to display the trace. 
    						
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    Display of the phono trace
    1. Press PHYSIO on the control panel.
    2. Press 
    MORE to display the assignables for the phono trace.
    3. Press the assignable 
    PHONO to display the trace.
    Display of the respiration trace
    1. Press PHYSIO on the control panel.
    2. Press 
    MORE twice to display the assignables for the 
    respiration trace.
    3. Press the assignable 
    RESP. to display the trace.
    Display of the pulse pressure trace
    1. Press PHYSIO on the control panel.
    2. Press 
    MORE three times to display the assignables for the 
    auxiliary traces
    3. Press the assignable 
    AUX 2 to display the pulse pressure 
    trace.
    Adjusting the display of physiological 
    traces
    Adjusting the trace sweep speed (ECG, phono 
    and respiration)
    1. Press PHYSIO on the control panel.
    2. Turn the assignable rotary Horizontal Sweep to change 
    the sweep speed.
    Adjusting the trace amplitude (ECG, phono, 
    respiration and pulse pressure)
    The ECG signals 
    amplitude may vary 
    between patients 
    due to different skin 
    moisture and other 
    physiological pa-
    rameters.1. Press PHYSIO on the control panel.
    2. Press 
    MORE to select the actual assignable set.
    3. Turn the assignable rotary Gain to adjust the amplitude of 
    the trace.
    Adjusting the trace position (ECG, phono, res-
    piration and pulse pressure)
    1. Press PHYSIO on the control panel.
    2. Press 
    MORE to select the actual assignable set. 
    						
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    3. Turn the assignable rotary POSITION to move the trace 
    vertically.
    ECG Trigging
    1. Press PHYSIO on the control panel to access to the ECG 
    controls. 
    2. Press the assignable 
    ECG TRIG.
    3. Using the 4-way Rocker, adjust Tri g  1 to position the first 
    trig on the ECG (delay in ms from R-wave to triggered 
    frame).
    For dual triggering 
    Trig 2 must be grat-
    er than Trig 1.4. Using the 4-way Rocker, highlight Tri g  2 if dual triggering 
    is to be used.
    5. Adjust Tri g  2 to position the second trig on the ECG.
    6. Using the 4-way Rocker, highlight Trig Interval.
    7. Using the 4-way Rocker, adjust the number of heart cycles 
    between triggered frame acquisition. 
    						
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    Annotations
    Text annotations may be inserted anywhere on the screen. The 
    annotation can be free text or a pre-selected text from a mode-
    specific annotation pop-up menu. The Annotation menu is 
    user-configurable (see page 84).
     Figure 2-12: The mode-specific annotation menu 
    1. Free text
    2. Draw an arrow
    3. Edit previous annotation
    4. Configure annotation list
    5. Pre-defined mode-specific 
    annotations
    6. Exit annotation mode 
    						
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    To inser t an annotation
    Free text
    While typing, use 
    BACKSPACE to de-
    lete backward.
    1. Press the alphanumeric key TEXT (F10).
    The Annotation menu is displayed (see Figure 2-12).
    2. Press User.
    3. Type the required text.
    4. Trackball the text entered to the insertion position.
    5. Press 
    SELECT to add the annotation.
    6. Press Exit in the Annotation menu.
    Pre-defined annotation
    1. Press the alphanumeric key TEXT (F10).
    A list of mode-specific abbreviations is displayed (see 
    Figure 2-12).
    2. Trackball to the required abbreviation.
    3. Press 
    SELECT.
    4. Trackball to the position at which the annotation is to be 
    inserted.
    5. Press 
    SELECT to add the annotation.
    To draw an arrow
    1. Press Arrow in the Annotation menu.
    2. Trackball to the start position of the arrow to draw.
    3. Press 
    SELECT to anchor the arrow.
    4. Trackball to the end position of the arrow to draw.
    5. Press 
    SELECT to fix the arrow.
    To edit annotation
    1. Press the alphanumeric key TEXT (F10).
    2. Press Edit in the Annotation menu.
    The pointer is changed to a cross marker.
    3. Trackball to the annotation to edit.
    4. Press 
    SELECT.
    Once selected, the annotation can be moved freely. 
    The text can be edited using the following alphanumeric 
    keys:
    • 
    RIGHT ARROW: moves the text cursor forward. 
    						
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    • LEFT ARROW: moves the text cursor backward
    • 
    BACKSPACE: deletes backward.
    • 
    DELETE: deletes the text forward.
    • 
    INSERT: toggles the text entry state from overwrite to 
    insert mode.
    5. Do the appropriate changes to the annotation.
    6. Press 
    SELECT to anchor the edited annotation.
    To erase annotation
    The user can erase all annotations on the screen in one 
    operation or erase annotations one by one.
    To erase all annotations
    1. Press the alphanumeric key PAGE ERASE (F7).
    To erase one annotation
    1. Press the alphanumeric key LINE ERASE (F8).
    The cursor is changed to a cross marker.
    2. Trackball to the annotation to delete.
    3. Press 
    SELECT to erase the annotation.
    Configuration of the pre-defined 
    annotation list
    1. Press config in the Annotation menu.
    A configuration dialogue window is displayed (see 
    Figure 2-13) where the user can add, delete or re-arrange 
    the annotation text.
    To re-arrange the annotation list
    1. Trackball to the actual annotation text.
    2. Press 
    SELECT.
    3. Press the relevant button (i.e Delete, Move up or Move 
    down) to apply change.
    4. Press save to store the new annotation list.
    To add an annotation text
    1. Trackball to the text entry field (see Figure 2-13).
    2. Press 
    SELECT to activate the text cursor. 
    						
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    3. Type the new annotation text.
    4. Press add.
    The new annotation text is added at the end of the list.
    5. Press save to store the new annotation list.
     Figure 2-13: The configuration dialogue box for the annotation menu
    1. Rearrange list
    2. Delete selected text
    3. Reset to factory 
    default
    4. Add new text to the 
    list
    5. Enter new text
    6. Selected text 
    						
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    Bodymarks
    Bodymarks are small graphic images that represent the 
    anatomy being examined. Using bodymarks, the user can 
    indicate the position that the probe was in during the 
    examination.
    Inser ting a bodymark
    1. Press the alphanumeric key BODYMARK (F6).
    The Bodymark menu is displayed showing a selection of 
    bodymarks relative to the selected exam category.
     Figure 2-14: The Bodymark menu
    2. Trackball to the desired bodymark and press SELECT.
    The bodymark with a probe marker is displayed on the 
    scanning screen.
     Figure 2-15: The bodymark with probe marker
    3. Using the trackball, adjust the position of the probe marker 
    and press 
    SELECT.
    1. Select and display 
    bodymark list for 
    other applications
    2. Edit probe marker 
    position and 
    orientation
    3. Erase bodymark
    4. Bodymark list for the 
    current application
    5. Insert an arrow
    6. Insert user-defined 
    text
    1. Probe marker 
    						
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