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GE Vivid E9 User Manual

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    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 14 
    Power from the wall outlet (100 to 240 VAC, 50/60 Hz) is connected 
    to the Main Power Supply. The MPS delivers the needed voltages to 
    the rest of the Logiq E9/Vivid E9: 
     Internal Peripherals (110-115 VAC) 
     Front End Rack (DC power with several voltages) 
     Front End Rack (TXPSV1 and TXPSV2 for the transmitters) (TSV1 
    and TSV2 for the transmitters) 
     Front End Rack (PMXVOUT for the probe channel multiplexers) 
     Back End Processor (48 VDC) 
     Operator Panel, LCD, XYZ motors (48 VDC) 
    When the system is switched on an inrush current limiter reduces the 
    peak input current. The power supply also contains an EMI filter to 
    reduce EMI to acceptable levels. The power supply contains 15 Amp 
    fast acting ceramic fuses (only to be replaced by the manufacturer). 
    Temperature Control 
    The MPS is equipped with an internal variable speed fan to provide 
    temperature control. The temperature of the air entering the power 
    supply and leaving the power supply are monitored. The fan speed is 
    adjusted according to temperature monitored by sensors. 
    Power Down Sequences 
    There are three possible scenarios for power shut down of the unit: 
     Normal Power Shut Down 
     Forced Power Shut Down 
     Unexpected Power Loss 
    Normal Power Shut Down Sequence 
    Press the ON/OFF button (for a short time) 
    1. BEP detects the contact of Power (ON/OFF) switch. 
    2. PSON_N goes high. This triggers the Main Power Supply to shut 
    down the output voltages. 
    3. Controller ACFAIL_N output signal goes low. 
    4. Controller TS_OK output signal goes low. 
    5. Controller turns OFF the TS (Transmit) voltages. 
    6. Controller turns OFF the PMX (Probe MUX) voltages. 
    7. Controller turns OFF voltages +/-15, +/-6, +11V, +24V. 
    Vivid E9 Shut 
    Down  
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 15 
    8. ACFAIL_N output signal goes high. 
    9. Controller turns OFF +48V. 
     
    1. BEP detects short-term contact of Power Switch. 
    2. BEP OS dialog box prompts user for power down. 
    3. BEP, via PCI express, commands the GFI or MRX to stop scanning, 
    disconnect TX circuits from TS, stop strobe TS_ON_STRB. 
    4. BEP, via USB, commands Power Supply to shutdown TSV1 and TSV2 
    (SetTxPS 0x68). 
    5. Controller turns OFF PMX voltages. 
    6. BEP, via USB, commands Power Supply to shutdown card rack 
    (RackPower 0x6A). 
    7. BEP OS performs shutdown. 
    8. BEP sends PSON_N high to Power Supply. 
    9. Controller turns OFF TS voltages. 
    10. Controller TS_OK output signal goes low. 
    11. Controller turns OFF PMX voltages. 
    12. Controller turns OFF voltages +/-15, +/-6, +11V, +24V. 
    13. Controller turns OFF +48V. 
    14. Controller output 48V_OK goes low. 
     
    Forced Power Shut Down 
    Forced Power Down is initiated by depressing the ON/OFF button on 
    the keyboard for a few seconds, until the power down sequence 
    starts. 
    Unexpected Power Loss 
    A power loss may be due to: 
     The Mains Switch has been switched to OFF 
     The Mains cable has been disconnected 
     Brown-out or power loss (burnout) 
    If a power loss (or error) occurs, all power distribution within the unit 
    is lost. 
    Logiq E9 Shut 
    Down 
    In case of total lockup of 
    the system, hold the 
    ON/OFF button down a 
    few seconds to shut the 
    system down.  
    This shut down sequence 
    will typically be less than 1 
    second from the power 
    failure is detected to all 
    voltages have been shut 
    down.  
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 16 
    Module 3 Operating Modes 
    The following general operating modes are available on E9 systems:  
    B-Mode 
    B-Mode is a two-dimensional image of the amplitude of the echo 
    signal. It is used for location and measurement of anatomical 
    structures and for spatial orientation during operation of other 
    modes. In B mode, a two-dimensional cross-section of a three-
    dimensional soft tissue structure such as the heart is displayed in real 
    time. 
    Ultrasound echoes of different intensities are mapped to different 
    gray scale or color values in the display. The outline of the 2D (B-
    Mode) (B-Mode) cross-section is a sector, depending on the particular 
    transducer used. B-mode can be used in combination with any other 
    mode. 
    Harmonic Imaging 
    Tissue Harmonic Imaging, acoustic aberrations due to tissue, are 
    minimized by receiving and processing the second harmonic signal 
    that is generated within the insonified tissue. Coded Harmonics 
    enhances near field resolution for improved small parts imaging as 
    well as far field penetration. It diminishes low frequency amplitude 
    noise and improves imaging technically difficult patients. 
    It may be especially beneficial when imaging isoechoic lesions in 
    shallow-depth anatomy in the breast, liver and hard-to-visualize fetal 
    anatomy. Coded Harmonics may improve the B-Mode (2D (B-Mode)) 
    image quality without introducing a contrast agent. 
     
     
      
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 17 
    M-Mode 
    In M-mode, soft tissue structure is shown as a scrolling display, with 
    depth on the Y-axis and time on the X-axis. It is mostly used for 
    cardiac measurements. M-mode is also known as T-M mode or Time-
    Motion mode. Ultrasound echoes of different intensities are mapped 
    to different gray scale values in the display. M-mode displays time 
    motion information derived from a stationary beam. M-mode is 
    normally used in conjunction with a 2D (B-Mode) (B-Mode) image for 
    spatial reference. 
    Color Flow Doppler Mode 
    Color Doppler is used to detect motion presented as a two-
    dimensional display. There are three applications of this technique: 
     Color Flow Mode - used to visualize blood flow velocity and 
    direction. 
     Power Doppler (Angio) - used to visualize the spatial distribution 
    of blood. 
     Tissue Velocity Imaging - The Tissue Color Doppler Imaging is 
    used for color encoded evaluation of heart movements. Tissue 
    Velocity Imaging images provide information about tissue motion 
    direction and velocity. 
    Blood flow is displayed as a real-time two-dimensional cross-sectional 
    image. The 2D (B-Mode) (B-Mode) cross-section is presented as a full 
    color display, with various colors being used to represent blood flow 
    (velocity, variance, power and/or direction). 
    To provide spatial orientation, the full color blood flow crosssection is 
    overlaid on top of the gray scale cross-section of soft tissue structure 
    (2D (B-Mode) (B-Mode) echo). Blood velocity is the primary 
    parameter used to determine the display colors, but power and 
    variance may also be used. 
    A high pass filter is used to remove the signals from stationary or 
    slowly moving structures. Tissue motion is discriminated from blood 
    flow by assuming that blood is moving faster than the surrounding 
    tissue. Color flow can be used with 2D (B-Mode) (B-Mode) and 
    Spectral Doppler modes. 
     
      
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 18 
    Power Doppler 
    Power Doppler is the same as Color Doppler except that it uses the 
    amplitude of the signal to detect movement. The power in the 
    remaining signal after wall filtering is then averaged over time to 
    present a steady state image of blood flow distribution. It is 
    independent of velocity and direction of flow, so there is no signal 
    aliasing. It is independent of angle allowing the detection of smaller 
    velocities than Color Doppler, making it easier to detect indistinct 
    ischemic areas as well as evaluate tiny low-flow vessels. Power 
    Doppler can be used in combination with 2D (B-Mode) (B-Mode) and 
    Spectral Doppler modes as well as with 4D mode. 
    Pulsed (PW) Doppler 
    PW Doppler processing is one of two spectral Doppler modes, the 
    other being CW Doppler. In spectral Doppler, blood flow is presented 
    as a scrolling display, with flow velocity on the Y-axis and time on the 
    X-axis. The presence of spectral broadening indicates turbulent flow, 
    while the absence of spectral broadening indicates laminar flow. PW 
    Doppler provides real time spectral analysis of pulsed Doppler signals.  
    PW Doppler can be used alone but is normally used in conjunction 
    with a 2D (B-Mode) (B-Mode) image with an M-line and sample 
    volume marker superimposed on the 2-D image indicating the 
    position of the Doppler sample volume. The sample volume size and 
    location are specified by the operator. Sample volume can be overlaid 
    by a flow direction cursor which is aligned, by the operator, with the 
    direction of flow in the vessel, thus determining the Doppler angle. 
    This allows the spectral display to be calibrated in flow velocity 
    (m/sec.) as well as frequency (Hz). PW PW Doppler can be used in 
    combination with 2D (B-Mode) (B-Mode) and Color Flow modes. 
    Continuous Wave (CW) Doppler 
    Continuous Wave Doppler systems use two crystals, one to send and 
    one to receive the echoes. The transmitter inputs a continuous 
    sinusoidal wave. The receiver detects the shift. An audible sound is 
    created and recorded by either an analog recorder or spectral 
    analyzer. Spectral analysis separates the signal into individual 
    components and assigns a relative importance. 
      
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 19 
    The benefits of CW Doppler include high sensitivity to low velocities 
    and detection of high velocities without aliasing. CW Doppler cannot 
    distinguish between the sending and receiving signals or extraneous 
    echoes, nor does CW Doppler produce a precise image like Pulsed 
    Wave Doppler. 
    Other Modes 
    4D: The E9 Ultrasound System can be used to acquire multiple, 
    sequential 2D (B-Mode) (BMode) images which can be combined to 
    reconstruct a three dimensional image. 4D images are useful in 
    visualizing three-dimensional structures, and in understanding the 
    spatial or temporal relationships between the images in the 2D (B-
    Mode) (B-Mode) sequence. The 4D image is presented using standard 
    techniques, such as surface or volume rendering.  
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 20 
    Module 4 Network Configuration 
    The following sections provide some basic biomedical networking 
    background information along with information and procedures 
    specific to the GE LogiqE9/VividE9 ultrasound systems.  
    DICOM 
    The Digital Imaging and Communications in Medicine (DICOM) is a 
    standard that specifies a consistent file structure for biomedical 
    images and important associated information that must remain 
    associated with the images such as patient name time, date, 
    institution etc. The DICOM specification identifies the elements 
    required to achieve interoperability between medical imaging 
    computer systems. 
    DICOM addresses these five general application areas:  
     Network image management 
     Network image interpretation management 
     Network print management 
     Imaging procedure management 
     Off-line storage media management 
    Prepare for Network Configuration 
    You will need to get the facilities network information from the 
    system administrator. You can print out the information needed to 
    configure the system using the Network Configuration Worksheet 
    appended to the end of this manual.  
    GE Dataflows 
    GE refers to communication between E9 ultrasound systems and 
    other information providers on the network as “dataflows”. A 
    dataflow is a set of configured settings. For the Vivid systems you can  
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 21 
    select a pre-configured dataflow to automatically customize the unit 
    to work according to the settings associated with this dataflow. For 
    the Logiq systems the dataflows must be configured during system 
    set up. 
    Vivid E9 Connectivity 
    Vivid E9 Dataflow Descriptions 
    This section describes the pre-configured dataflows for th Vivid E9 
    systems. 
    LocalArchive-Int.HD  
    No DICOM multi-frame is stored in this configuration. The local 
    database is used for patient archiving. Images are stored to internal 
    harddrive. The image files stored consist of raw data only, together 
    with a single-frame DICOM preview image. 
    LocalArchive - Int HD/DICOM Server The local archive is used for 
    patient archiving. Images are stored to the internal hard drive and to 
    a DICOM server. 
    RemoteArch-RemoteHD  
    A remote database (either on EchoPAC Software Only or a server) is 
    used for patient archiving. Images are stored to a network image 
    volume (either internal HD on EchoPAC Software Only or a server). 
    Remote Archive - Remote HD/DICOM Server  
    A remote database is used for patient archiving. Images are stored to 
    a network image volume and to a DICOM server. 
    Worklist/LocalArchive-DICOMServer/Int.HD Search in the DICOM 
    Modality Worklist, the patient found is copied into local database. 
    The patient information and the examination results are stored to the 
    local the database. Images are stored to a DICOM Server and to an 
    image volume on the local harddrive. 
    Worklist/RemoteArchive-DICOMServer/RemoteHD Search in the 
    DICOM Modality Worklist, the patient found is copied into a remote 
    database. The patient information and examination results are stored 
    to a remote database. Images are stored to a DICOM Server and to an 
    image network volume as pure DICOM in both locations. 
    Input/output devices 
    cannot be added to or 
    removed from these pre-
    defined dataflows.  
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 22 
    Worklist/Local Archive - LocalHD Search in the DICOM Modality 
    Worklist, the patient found is copied into the local database. 
    The patient information and examination results are stored to the 
    local database. Images are stored to the local hard disk. 
    Worklist/Remote Archive - Remote Storage This dataflow is used in a 
    network environment that includes Vivid HL7 Gateway. The patient 
    list in the Search/Create Patient window is coming from Vivid HL7 
    Gateway through DICOM Modality Worklist. All patient data and 
    images are stored to a server. 
    DICOM CD/DVD read Read DICOM Media from the CD/DVD-drive. 
    Read only dataflow, no data can be stored. 
    DICOM Server Store pure DICOM images to a DICOM device. 
    Query Retrieve Retrieve images from a DICOM server 
    LocalArchive-Int.HD/eVue The local database is used for patient 
    archiving. Images are stored to internal harddrive and a MPEG exam 
    is created to the configured destination. 
    RemoteArch-RemoteHD/eVue A remote database (either on 
    EchoPAC Software Only workstation or a server) is used for patient 
    archiving. Images are stored to a network image volume (either 
    internal HD on EchoPAC Software Only workstation or a server) and a 
    MPEG exam is created to the configured destination. 
    Worklist - DICOM Server Search in the DICOM Modality Worklist. 
    Images are stored to a DICOM Server. 
    DICOM USB device read Read only DICOM data from an USB device, 
    no data can be stored. 
    No Archive Perform an exam without storing the data to any archive. 
    Vivid E9 Dataflow Adjustments 
    Press Utility/Config on the Touch panel and log on as administrator. 
    Select the Connectivity -> Dataflow subgroup. The Dataflow sheet is 
    displayed:  
    						
    							 GE Logiq E9/Vivid E9 Training Manual 
    © 2016 Conquest Imaging 23 
     
     
    Adjusting the Assigned Devices 
    Select the device in the Selected devices field. Press Properties to 
    display the Properties window. Adjust the device specific parameters 
    listed below: 
     
    General Settings Definitions: 
    Name: give a descriptive name for the device. 
    IP address: Select from drop-down menu 
    Database Name: Automatically selected according to the IP address 
    File destination: Automatically selected according to the IP address 
    Removable: Check the entry is the media is removable. 
    MPPS: Modality Perform Procedure Step: send information (typically 
    to a HIS) that a scheduled exam has been started, performed or 
    interrupted. 
    Image Settings Definitions: 
    Allow raw data : 
    Save data in both raw and DICOM format. 
    Or: Save data in DICOM format only. 
    1. Select a dataflow to 
    configure. 
    2. Use selected dataflow as 
    default (see page 10-33). 
    3. Store data directly to 
    archive. 
    4. Hide selected dataflow 
    from the list of available 
    dataflow. 
    5. Option for the search 
    function. In the 
    Search/Create patient 
    window. Select between 
    None, All patients and 
    Today’s patient. 
    6. Input/output devices 
    assigned to the current 
    dataflow. 
    7. Adjust the settings for the 
    selected assigned device. 
    Not all the settings listed 
    apply to all devices.  
    						
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