User's Manual

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Acclarix LX9 Series

Diagnostic Ultrasound System

Version 1 .0

User Manual

Basic Volume

Summary of content (248 pages)

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Acclarix LX9 Series Diagnostic Ultrasound System Version 1 .
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About This Manual P/N: 01.54.458942 MPN: 01.54.458942010 Release Date: February 2022 © Copyright EDAN INSTRUMENTS, INC. 2022 This User Manual applies to V2.0X releases for Acclarix LX9 series Diagnostic Ultrasound Systems including Acclarix LX9, Acclarix LX9 Exp, Acclarix LX9 Super, Acclarix LX85 and Acclarix LX88. See Appendix A.9 for the difference between these models. This User Manual Basic Volume together with the User Manual Advanced Volume (P/N: 01.54.
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Regulatory Approval Remarks: The following features are not available in the CE region at the time of release of this user manual. Consult your local representatives for the availability of these features.     eHIP Measurement       eHIP Measurement L12-5HQ Transducer L12-5WQ Transducer ECL12-3Q Transducer The following features are not available in the USA and its territories at the time of release of this user manual in FDA territory.
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Contents 1 Introduction .................................................................................................................................... 1 1.1 Intended Use/ Indications for Use ................................................................................................ 1 1.2 Contra-indications ........................................................................................................................ 1 1.3 Device Description ..............................................
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.3.2. PW Image Optimization ..................................................................................................... 52 5.3.3. HPRF ................................................................................................................................. 55 5.4 CW Mode ................................................................................................................................... 56 5.4.1. Using CW Mode .................................................................
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.2 Using Transducers ..................................................................................................................... 93 6.3 Transducer Cleaning and Disinfecting ....................................................................................... 96 6.3.1. Cleaning ............................................................................................................................. 96 6.3.2. Disinfection.........................................................................
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8.2.8. Pediatric Measurements .................................................................................................. 164 8.3 Worksheet and Report ............................................................................................................. 167 8.3.1. Worksheet ........................................................................................................................ 167 8.3.2. Report ....................................................................................
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10.7.4. Demo.............................................................................................................................. 206 10.7.5. Transducer Element Check ........................................................................................... 207 10.8 Screen Adjust ......................................................................................................................... 208 10.9 Stress Echo Set-up .......................................................................
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B.4.5 Limits of Acoustic Output............................................................................................... 226 B.5 Operator Control Features .................................................................................................... 226 B.6 Prudent Use Statement ......................................................................................................... 226 B.7 References for Acoustic Output and Safety .........................................................
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Introduction 1 Introduction 1.1 Intended Use/ Indications for Use The Acclarix LX9 series Diagnostic Ultrasound System is intended for use by a qualified physician or allied health professional for ultrasound evaluations in hospitals and clinics. Clinical applications include Abdominal, Gynecology, Obstetric, Cardiac, Small parts, Urology, Musculoskeletal, Peripheral vascular, Intra-operative, Pediatric, Neonatal and Adult Cephalic.
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Acclarix LX9 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.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Safety World Health Organization: WHO/CDS/APH/2000/3, WHO Infection Control Guidelines for Transmissible Spongiform Encephalopathies. The transducers for your system cannot be decontaminated using a heat process.  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.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Safety electrical equipment.  Always use sterile technique during a biopsy procedure. Sterilize the needle guide assembly between uses.  Use a sterile needle with each use.  The system may be interfered with by other equipment, even if that other equipment complies with CISPR EMISSION requirements.  The system cannot be used together with high-frequency surgical equipment.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Safety  Do not exert excessive vibrations onto the system. Otherwise, it may damage the mechanical components (such as wheels). If the system is required to move on an uneven surface frequently, consult EDAN or authorized representatives for service.  Read and understand the Appendix B.2 Ultrasound Safety and the ALARA Principle before using the system. Do not expose a patient to ultrasound energy longer than clinically reasonable.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Safety regulation.  The system does not need calibration as part of routine maintenance.  The format of U disk should be FAT32.  Do NOT place the device on slopes. It may suddenly slide, resulting in injury and/or equipment damage.  Do NOT stand/sit on or bend over the device. It may move and make you lose your balance and tumble.  To ensure safety, two persons are required to move the device across slopes.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Safety pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Safety 10 Authorized Representative in the European Community 11 Disposal method. Indicates that the equipment should be sent to special agencies according to local regulations for separate collection after its useful life. 12 Caution: Federal (U.S.) law restricts this device to sale by or on the order of a physician. 13 IPX7 Protected against the effects of temporary immersion in water.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 27 Microphone input 28 Headphones 29 Alternating Current 30 Battery check 31 Up/Down button, to move the control panel up or down 32 Non-ionizing electromagnetic radiation. 33 FCC ID:SMQ-LX9EDAN Safety Federal Communications Commission: FCC ID:SMQ-LX9EDAN 34 Defibrillation-proof type CF applied part 35 Non-sterile. Indicates a medical that has not been subjected to a sterilization process.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual The following labels are used on the wooden 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.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 3 Getting Started 3.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual BGK-010 BGK-012 BGK-013 BGK-P5-1X In-plane In-plane In-plane In-plane 44°,53°,64° 11°,20°,37° 0.5cm, 1.5cm, 2.5cm, 3.5cm, 4.5cm, 1.0cm, 2.0cm, 3.0cm, 4.0cm, 5.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started Supported Peripheral Accessories:  The recommended printers are listed as follows: Printer Type Printer Model Interface SONY UP-25MD S-Video SONY UP-D25MD USB SONY UP-X898MD USB HP Officejet Pro 251dw USB HP LaserJet CP1525n Color USB HP Deskjet Ink Advantage 2010 USB HP Deskjet 1510 USB HP LaserJet 400 M401d USB HP DeskJet Ink Advantage Ultra 2029 USB HP DeskJet 1112 USB Canon iP2780 USB HP LaserJet P
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 3.2 System Overview 3.2.1.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Description No. Getting Started Description 1 21.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 1 2 2 3 4 Figure 3-3 Left View No. Description No. Description 1 Monitor support arm 2 USB port 3 Video Printer/DVD Drive(Optional) 4 System vents Table 3-4 Left View Description CAUTION 1. Ensure system vents are clear and unobstructed.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 1 2 3 4 5 6 Figure 3-4 Rear View No. Description No. Description Video Printer/DVD Drive 1 Storage tray 2 3 I/O Ports 4 Equipotential Terminal 5 AC Power Switch/Fuse 6 AC Power Socket (Optional) Table 3-5 Rear View Description CAUTION 1. To facilitate the disconnection from power supply, please do not cover the AC power socket with any object.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started Note: Video printer(SONY UP-X898MD) and DVD drive(LITEON eBAU108) can be mounted to the ultrasound system by attaching to the bottom of the storage tray(as shown in figure 3-4) with the use of an optional metal frame. Equipotential Connection The equipotential terminal is used for balancing the protective earth potentials between the ultrasound system and other electrical devices.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started Caution 1. The resolution of the external display which connects to DVI port or HDMI port should be 1080P, otherwise the display will be abnormal. 2. If one USB WIFI module is used, it should be connected to the USB port on the rear panel of the ultrasound system. This could ensure the stability of wireless network connection. 3.2.2. Control Panel Figure 3-6 Control Panel No.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 5. Print Press to print images via the connected USB video printer. 6. Report Press to display the report page. 7. F1 User-defined button. See section 10.1.2 for configuring the user-defined button. 8. 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. 10.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 16. 17. Color PW Getting Started Press to enter or exit Color Mode and rotate to adjust the gain in Color Mode. 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.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started In measurement, pressing switches the active side of calipers. See section 8.1 for details. In Pre-Doppler mode, pressing invokes Spectral Doppler mode. When Spectral Doppler strip is displayed, pressing allows switching between live acquisition of the Doppler strip or the reference image. 25. Update 26. Caliper Invokes generic measurements. See section 8.1 for details. 27.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started The Time Gain Compensation control (TGC) adjusts the gain of the image at different depths. Each slider can be adjusted separately. 35. TGC Glide the slide controls to adjust the TGC. Glide the upper segments to adjust the near field gain, and the lower segments to adjust the far field gain; glide rightward to increase TGC, and glide leftward to decrease.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual ① Getting Started Information Field The top line of this field contains your hospital/institution name. Please see Section 10.1.1 General Set-up for information on customization. The second line of this field contains the patient name, gender, age and ID, as entered through the Patient Information screen. This field also contains data fields for:  The currently active transducer  The currently active preset  System date and time.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Previous/Next Images 4 Getting Started Views previous or next pages of images. when more than one page of images are displayed. ⑤ User Feedback Field The user feedback filed is displayed below image field and above status bar. This field displays:  The illustration of trackball and trackball keys.  Cine bar when the system is frozen. ⑥ Status Bar The bottom of the screen is used to display icons and texts that provide system status.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Getting Started When a red × appears in the icon, the image fails to be exported or the data fails to be transferred to the network server. Clicking on this icon displays a queue of exam or image transfers and as well as the transfer status of each exam or image including pending, active, success and fail.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 3.2.4. Touch Screen The Touch Screen contains controls that vary depending on the active imaging mode or function. There are several types of controls used by the touch screen, as illustrated below: Figure 3-8 Touch screen of the System 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.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started new location.  Multiple pages: Dragging a control to the side of the screen will move that control to the next page.  Radio Button Cluster: There is no restriction on moving a single radio button. However, we suggest that they are grouped adjacent to each other. 3.2.5. Trackball The trackball operation is easy and convenient. It can achieve the following functions:  Move the measurement cursor during measurement.
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Acclarix LX9 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 hour, depending on use. The batteries are automatically charged when the system is plugged in. CAUTION 1.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 4. To fix the battery, move the battery holder to the middle position (see the figure below). 5. Close the battery door and secure it. WARNING 1. When the battery capacity is ≤20%, the battery status icon turns red, and the system displays a prompt “Low Battery. Please plug in AC to ensure uninterrupted use.". To remove the battery: 1.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 4. 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 3-4). 2. Connect the AC power cord to a hospital-grade power outlet. 3. Toggle the AC power switch beside the power socket to "ON" position. 4.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 4. 5. Getting Started Ensure the transducer is connected firmly and properly. This is to avoid bad contact between the transducer and transducer socket. Ensure that the system is shut down, or the image is frozen, before connecting and disconnecting transducers. 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 AC power supply.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started NOTE: 1. Turn off and unplug the device after use. 2. Please unplug the power cable from the power socket and disconnect the battery prior to storage. Sleep mode The system will enter a sleep mode that maintains exam information while using minimal power. There are two events that can invoke sleep mode:  No user input for a configurable amount of time. Please see System Set-up to configure this time.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Getting Started Adjusting the height Move the upper support arm up or down to adjust the height.  Rotating the monitor The monitor can be rotated leftwards or rightwards along with the support arm. The upper support arm and lower support arm can be rotated leftwards or rightwards separately. Or, the monitor can be rotated alone without rotating the support arm.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Getting Started Tilting the monitor The monitor can be tilted backwards or forwards from the vertical position, as the figure shown below. CAUTION 1. Ensure enough spaces are available before rotating the monitor. 2. Please mind your hands when adjusting the position of the monitor.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Getting Started 3.5 Control Panel Position Adjustment The control panel can be adjusted in height and rotated leftwards or rightwards. Height Adjusting Lever Rotation Lever  Adjusting the Height The height of control panel can be adjusted by the Height Adjusting Lever. Lift up the lever with your finger to move the control panel up. Push down the lever with your finger to move the control panel down. CAUTION 1.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Getting Started Rotating the control panel The control panel can be rotated to the left or right by the Rotation Lever. While you pressing the Rotation Lever with four fingers, move the control panel leftwards or rightwards to the desired position.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Operation 4 Exam Operation 4.1 How to Start an Exam 1. Press the key and enter in 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).
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Operation Figure 4-2 Example of Transducer Touch Screen Saving an exam preset:     Select the exam preset you want to modify or use as the basis for a new preset. Make any changes you want to system settings using the standard imaging UI. Press the key on the console. Press the Save button on the touch screen to update the current exam preset with the new setting.
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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Operation 4.4 The Patient Information Page The Patient Information Page is used to enter or modify patient demographic data. The following figure is an example: Figure 4-3 Patient Information Page The top three lines are for entering the patient last name, first name, ID, exam accession number, and DOB (Date-of-Birth), gender or age. If date of birth is entered, the age is automatically calculated.
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Acclarix LX9 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.
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Acclarix LX9 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 4-4 Modality Worklist Display The worklist is displayed at the left side of the Patient Information Page in two columns labeled patient name and patient ID.
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Acclarix LX9 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. 3. Perform the image scanning. 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Frequency Frequency allows selection of the fundamental or harmonic frequencies used for imaging. The Harmonic option must be invoked to access the harmonic frequencies. Frequency selection is available during live imaging. Harmonic The Harmonic control invokes and exits harmonic imaging. While in harmonic imaging the control is highlighted and an „H‟ is displayed in the B-mode frequency field.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Tint The Tint control changes the color tint being used. If Colorize had been off, changing the Color map control will automatically activate it. Left/Right The Left/Right invert control is indicated by a backward R and is used to toggle the left/right orientation of the image. The Edan E orientation marker at the top of the image switches with the left/right invert to match the orientation marker on the transducer.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Image Type B-mode supports presets for Detail, General, and Penetration. 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. Single Press to display the currently active side of Dual image as a single image. Dual Press to activate dual imaging mode. See section 7.3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Trapezoid eLearn Imaging Press to invoke the trapezoid imaging and adjust the imaging width. Only available for linear transducers. The imaging width is adjustable with three levels. Off is to disable the trapezoid imaging . Press to access the instruction guide for basic scanning and for nerve block.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Scale Scale adjusts the range of velocities that are displayed. Upward presses increase scale and downward presses decrease it. It is available in Velocity, PDI, and DPDI. It is not available in Freeze/Cine. 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Smooth Filter Imaging The smoothness filter determines the spatial filtering that is applied to the Color image. Higher filter levels create a smoother image. Upward presses increase the filter. Downward presses decrease the filter. When the system receives both B-mode and color signals from a region within the Color ROI box, the Threshold determines whether to display overlapping signals as grayscale or color.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Dynamic Range The Dynamic Range, or log compression, adjusts how echo intensities are converted to brightness. A high dynamic range presents a flatter, less contrasty color display, while a low dynamic range presents a more contrasty color display. Only available in PDI/DPDI mode. Line Density Adjusts the line density to optimize the lateral resolution for the best possible image.

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Acclarix LX9 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. Use the trackball and touch controls to adjust the position of the sample line and the size and angle of the sample gate; 4. Press on the console to enter B+PW or B+Color(PDI/DPDI)+PW mode and display Doppler strip. 5.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Quick-Angle Adjusts the angle correct quickly to one of 60/0/-60. 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 colorized (pseudo-color) postprocessing maps.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Strip Size Changes the relative size of the Doppler strip compared to the reference image. Full, Large, Med. and Small are available. Volume Volume adjusts the audio volume of the Doppler strip. This can be adjusted in pre-Doppler to set the initial volume upon invoking Doppler acquisition. Duplex (Triplex) This determines if the strip mode and reference image are imaging simultaneously or not.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Press to activate the Auto Trace function on a real-time or frozen PW Doppler strip. Auto Trace The Auto Trace function automatically traces the spectral Doppler waveform and records several measurements on selected waveforms. Press one of the three options to specify which side of the Doppler baseline to take measurements from: Auto Trace Direction Up: traces positive portion of waveform (above baseline).

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Acclarix LX9 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 and touch controls to adjust the position of the sample line; 4. Press on the console to enter B+CW or B+Color(PDI/DPDI)+CW mode and display Doppler strip. 5.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Image Type Strip Doppler supports image presets for Low Flow, Medium Flow, and High Flow. Angle Correct Adjust the Doppler scale to account for the angle between the Doppler cursor and the blood flow. Upward presses increment the angle. Downward presses decrement the angle. Angles above 80 are not allowed. Quick-Angle Adjusts the angle correct quickly to one of 60°/0°/-60°.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Sweep Speed Sweep adjusts the sweep speed of the Doppler strip. Options of Slow, Low, Med, High and Fast are available. Upward presses increase sweep speed. Downward presses decrease sweep speed. Strip Size Changes the relative size of the Doppler strip compared to the reference image. Full, Large, Med. and Small are available. Volume Volume adjusts the audio volume of the Doppler strip.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 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. The Anatomic M mode supported on this system includes Linear Anatomic M mode and Curved Anatomic M mode. 5.6.1. Linear Anatomic M Mode Using Linear Anatomic M mode: 1. Press Anatomic button on the M-mode touch screen to invoke Anatomic M mode.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.6.2. Curved Anatomic M Mode In curved Anatomic M mode, the distance/time curve is derived from the curved sample line manually drawn on the image. Using Curved Anatomic M mode: 1. Press Curved AMM button on the M-mode touch screen to invoke the Curved Anatomic M mode. 2. Move the cursor to the start point on the B image, and press key to fix it. The digital number "1" is marked beside the point. 3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.7 Color M Mode Color M mode superimposes color encoded information on M mode strip to indicate the direction, velocity and timing of cardiac flow and tissue movements. The direction of cardiac tissue movements can be identified by color changes. The Color M mode includes Color Flow M mode and Color Tissue M mode. 5.7.1. Using Color M Mode 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.8 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 three 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.9 3D/4D Mode 3D/4D mode is only available on a Wobble transducer. There are two ways to activate pre-3D or Pre4D mode: 1. Press the <3D> or <4D> on the console. 2. Press the 3D or 4D button on the touch screen in B-mode. 5.9.1. 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Angle Adjusts the angle of the volume acquisition. Upward presses increment the angle. Downward presses decrement the angle. Surface/ Skeleton These two radio buttons determine if the acquisition is optimized for looking at Skeleton or Surface. 3D 4D Press to switch to Pre-3D or Pre-4D. Start Start an acquisition.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.9.2. 3D Volume Sweeping Select Skeleton or Surface on the Pre-3D touch screen and press Start button or key to start image acquisition. During the process of 3D volume sweeping, the images swept in VOI box are displayed in the image area. Figure 5-2 3D Image Scanning While scanning, the sector in the right bottom is filled gradually, and no buttons on the control panel and touch screen can be activated. 5.9.3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 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.  Quadrant C is orthogonal to A and B, showing a slice that is parallel to the transducer face.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging This is a folder of cut functions with various cut tools inside. See below for details. Cut These are two radio buttons. The region inside or outside the trace will be cut. To draw the trace, move the trackball and press to locate the start point, use trackball to draw trace and second press to locate the end point. These are two radio buttons. The region inside or outside the box will be cut.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging X-ray Displays the average value of all gray values. This is helpful for viewing tissues with different structure inside or tissues with tumor. Depth1/ Depth2 Equals to surface rendering mode/skeleton rendering mode. Displays the distance between body tissue and body surface in the form of color gradient. eLive eLive is a light rendering mode that makes the rendered image closer to the real texture of human skin.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Quick Rotation Four radio buttons used to quickly rotate the image. Available angles are: 0°/90°/180°/270°. MPR Review MPR (multi-planar reconstruction) review function. After this button is activated, the 3D volume is hidden and two perpendicular lines appear on the selected quadrant. These two lines are color matched with the other 2 MPR quadrants and show where the three planes intersect.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Gamma Imaging Adjust the Gamma of 3D image. 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. Lines on the basis slice indicate the locations of the parallel slices.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 3*3, 2*2, 3*2 These three radio buttons determine the layout of the display. 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.9.4. 4D Volume Acquisition In Pre-4D mode, select Skeleton or Surface first, adjust the VOI box and then press Start button on the touch screen or the key to begin sweep. 5.9.5. 4D Live Volume 4D Live volume continuously sweeps and displays successive 3D volumes. As shown in figure below, image in the left is A slice and image in the right is the live 3D volume rendering Figure 5-5 4D Volume Sweeping Image 5.9.6.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.9.7. 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.10 Panorama Panorama constructs an extended field of view image as the user slides the transducer along its long axis. Panorama is available only with Linear and Convex transducers. This system also provides Color Panoramic imaging so that you can get color flow information on the panoramic image. Caution 1. The panoramic image is for reference only. Diagnosis must not be based on results achieved from panoramic image alone.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.11 Elastography Elastography imaging maps the elastic properties of soft tissue with different colors in a region of interest by estimating the strain before and after tissue distortion caused by external or internal forces. Only linear transducers support Elastography. Figure 5-8 Example of Strain Elastography Display 5.11.1. Using Elastography Mode To Use Elastography Mode: 1. Perform the scan in B mode and locate the lesion. 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.11.2. Elastography Image Optimization The following touch controls can be used to optimize the Elastography image. Name Control Description Opacity Adjusts the opacity feature of Elastography image. Four levels are available. Higher level provides more opacity. Smooth Adjusts smoothness of Elastography image. There are 4 options: Off, Low, Med., and High. Higher filter levels provide a smoother image.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exit Imaging Exits Elastography mode. Table 5-12 Elastography Touch Screen Controls 5.12 ECG The ultrasound system can be configured with an optional ECG module. The ECG module obtains ECG signals via ECG patient cable to display ECG waveform synchronously with the ultrasound image. The ECG signals can be used as time reference in cardiac exam for marking the systolic and end diastolic moments. WARNING 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.12.1. ECG Touch Screen Controls The following touchscreen controls impact the ECG function: Name Control Description ECG Displays or hides ECG waveforms and heart rate value on the main screen. Gain Adjusts the gain of ECG waveform. ECG Lead Selects the ECG lead from I, II and III lead as the ECG waveform source. AC Filter Selects the AC filter frequency according to the AC power you use. 50 Hz and 60 Hz are available.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.12.2. ECG Basic Operations 1. Invoke ECG function. Invoke a phased array transducer as the currently active transducer, and select the Cardiac exam preset. Press ECG on the touch screen to invoke the ECG function and display ECG controls on the touch screen. 2. Connect patient cable and electrodes. Connect the patient cable to the ECG connector on the ultrasound system first.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.13 Stress Echo The stress echo function provides the ability to perform image acquisition, review, and wall segment scoring for a complete stress echo examination. The stress echo function provides two types of stress exams: exercise and pharmacological stress. The stress echo function is only available under a Cardiac exam preset of a phased array transducer. 1. 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Imaging Assign the cine loops to the four views The assignment of the cine loops to the view can be done after image acquisition. To assign the cine loops to the view, move the trackball to the desired cine loop, press key to highlight the desired cine loop, and then select the appropriate view on the right top part of the screen.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.14 Contrast Imaging Contrast Imaging is the application of ultrasound contrast agent to 2D Sonography. Injected contrast agents re-emit incident acoustic energy much more efficiently than the surrounding tissue, therefore, bringing enhanced imaging contrast between tissues. The main clinical uses of Contrast imaging include detecting and characterizing tumors and enhancing blood flow signals.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging 5.14.1. Using Contrast Imaging 1. 2. 3. 4. 5. Invoke C5-1Q or C5-2Q transducer as the currently active transducer. Select ABD exam preset. Perform the 2D image scanning, and obtain the target image. Press Contrast on the touch screen and activate Contrast imaging mode. Adjust the acoustic power or optimize the Contrast image, if necessary, to obtain a good image. 6. 7. Press or touch button to enter Tissue and Contrast dual display.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Destroy Power Adjusts the transmit power provided by the transducer for destroying the residual microbubbles. Destroy Time Adjusts the time microbubbles. Frequency Frequency determines the transmit frequency used by Contrast Imaging mode. Upward presses increase the frequency. Downward presses decrease the frequency. Acoustic Power Adjusts the acoustic output power of the activated transducer. It is only available in live imaging.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Dynamic Range The Dynamic Range, or log compression, adjusts how echo 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 image. Tint The Tint control changes the color tint being used on Contrast image. Map The Gray Map adjusts the post processing map used on the Contrast image.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging Figure 5-11 Example of TIC Analysis Display No. Name Description 1. Contrast cineloop window Displays contrast cineloop and ROIs. 2. Tissue cineloop window Displays tissue cineloop and ROIs. 3. ROIs The ROI indicates sampling position of the TIC. ROIs are color-coded, and up to 7 ROIs can be displayed. The TIC Analysis window displays: 4.    Y axis represents intensity scale (dB). X axis represents time (sec).

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Imaging The TIC analysis touch screen displays the following controls: Name Control Description Ellipse tool Ellipse tool for placing ROIs on contrast image. Trace tool Trace tool for placing ROIs on contrast image. TIC Chart Show/hide TIC chart. Only available when at least one ROI is placed on the image. The TIC chart is displayed below the image area. Fit Curving Press to perform fit curving.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6 Transducers and Biopsy 6.1 Transducer Model No. Model Type Application Applied Region Small Parts(Thyroid, Testes, Breast) 1. L17-7HQ Linear Peripheral Vascular Body Surface Musculoskeletal Adult Cardiac 2. P5-1Q Phased array Abdominal Pediatric Cardiac Body Surface Adult Cephalic Fetal / Obstetrics Trans-vaginal 3.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Adult Cardiac 17. P5-1XQ Phased array Abdominal Pediatric Cardiac Body Surface Adult Cephalic Abdominal 18.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.2 Using Transducers Understanding a Transducer: Figure 6-1 takes L12-5Q transducer to show an example of a transducer. 1 2 3 5 4 6 7 Figure 6-1 Typical transducer No. Name Function 1 Transducer head Converts electrical signals to sound waves, and then converts received echoes back to electrical signals. The tip of the transducer is the acoustic lens. 2. Center mark 3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Image Orientation Mark The image orientation marks 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Use of Transducer sheath WARNING 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.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Contact normally sterile tissue Intra-operative Transducers and Biopsy Sterilization Immersion 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 4. Prepare the disinfectant solution (Cidex OPA 0.55% or Cidex Glutaraldehyde 2.4%). Refer to the instructions provided by the disinfectant manufacturer for the concentration of the disinfection solution, method of dilution, method of disinfection, temperature and cautions during use. 5.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6. The immersion time should not exceed the time that is specified by the disinfectant manufacturer. 7. Patient contact area should be immersed into the solution while using the immersion method, but should not exceed the depth shown in figure 6-3. 6.3.3. Sterilization Intra-operative transducers must be sterilized before the first use and after each exam. Sterilizing the transducers: 1.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 5. Transducers and Biopsy 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.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Transducers and Biopsy BGK-013 Structures: Needle guide Structure Adjusting knob Clamp Locking Knob Installation and Use Steps 1. 2. Place an appropriate amount of gel on transducer surface, and insert transducer into the sheath. 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. Properly secure the clamp with the locking knob.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.4.2. Activating Needle Guide Function To enable the needle guide function: 1. In the B mode imaging, press Needle button on touch screen, A needle touch screen UI is displayed, Press Enable button to active the Needle Guide function. 2. Press Double Line button to switch double line and single line as the Needle guide Line graphics. 3. Some needle guide brackets support multiple angles.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.4.3. To Adjust the Needle Guide Line WARNING 1. 2. Calibrate the needle guide under any of the following conditions: a) The first time a needle guide is used with a given transducer. b) Any time the needle guide or transducer has been dropped or struck against a hard surface. c) After repeated use. Do not use the needle guide bracket if the needle does not track with the guide during calibration.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy Angle Line Figure 6-6 Needle Enhancement Visualization Needle Visualization is invoked by pressing the Needle button on B-mode touch screen, and then the Enable button in the Needle Visualization section of the Needle touch screen. The following parameters can be adjusted when it is active.  Enable: Enables or disables Needle Visualization.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 4. Transducers and Biopsy Use distance measurement to obtain the depth of the target. Note: Center Line is not available on Intro-cavity transducers. 6.7 Needle Guide Bracket Cleaning and Sterilization NOTE: 1. Use proper sterilization technique at all times when performing a biopsy. 2. Ensure that protective gloves are worn. WARNING 1. 2. 3. The needle guide bracket kits are not disinfected or sterilized before delivery.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Transducers and Biopsy 6.7.3. Storage WARNING 1. Dry the bracket after sterilization and store it in sterile environment. 2. Do not use the carrying case for storing the bracket, because the carrying case may become a source of infection. 1. Ensure the bracket is cleaned, sterilized and completely dried before storage. 2. Store the bracket in a sterile environment or in a disposable sterile package. 3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Features 7 Features 7.1 Comments The Comments 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 touch screen for the Comment function. The top portion of the screen shows comments that are pre-defined in pre-sets. See section 10.3 for details on how to configure these.

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Acclarix LX9 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.

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Acclarix LX9 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. See section 10.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Features Deleting a body mark: There are two ways of deleting a body mark graphic:  Press Delete on the touch screen to delete the graphics on the image area.  Press the hard key to delete all body marks, comments, and measurements. 7.3 Split Display 7.3.1. Dual Imaging Dual Imaging displays images side by side on the screen.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Features 7.4 Zoom The system supports three types of zoom: Pan Zoom: enlarges a full image and pans the enlarged image to view the desired area. Spot Zoom: focuses on processing the image of the selected area and enlarges the image with higher resolution. Full Screen Zoom: enlarges the image to full screen display. 7.4.1. Pan Zoom Pan Zoom is available on the live or frozen image in B mode and Color mode.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Features 7.4.3. Full Screen Zoom Full screen zoom function can zoom in the image to full screen display. 1. 2. Configure the function of user-defined key or as full screen zoom (See section 10.1.2 for details). Press the user-defined key or to zoom in the image area and image parameter area. 3. 4. Press the user-defined key or again to zoom in the image area only.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Features 3. Adjust the review speed by the Speed paddle key. 4. Press Auto Play button on the touch screen to review the cine within the set region automatically. Or, After freezing the system, rolling the trackball rightwards quickly could play the cine automatically. When the cine is playing, moving the trackball will stop the playing. In dual/quad imaging, freeze the image, and press Dual/Quad button to toggle between each window.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Understanding Measurement Result Window The measurement result window is displayed at the upper left corner of the image area by default. The following figure is an example of measurement result window. 1 2 Figure 8-3 Measurement Result Window In the measurement result window, the following operations are allowed. 1. Show/Hide measurement result window. 2.

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Acclarix LX9 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. Measurement Group Measurement Item Remark Dist.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 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. Press the key to fix the end point and complete the measurement. 2- Line Method: 1. Invoke the generic measurement function. 2. Select Distance-> Dist. 2 Line 3. The system pops up a line.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Spline Method: 1. Invoke the generic measurement function. 2. Select Circ/Area-> Area Spline. 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 closed 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Ellipse+ 1 Distance Method: 1. Invoke the generic measurement function. 2. Select Volume-> Ellipse 1 Dist. 3. Perform one Ellipse measurement following the Ellipse method in section 8.1.1.2 Circumference/Area measurement. 4. Perform one Distance measurement following the 2-point method in section 8.1.1.1 Distance measurement. 5. Then the Volume measurement result displays. 8.1.1.5.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Circumference/Area measurement. 4. Measure the normal tissue (Displayed as B=XX%) following the Ellipse method in section 8.1.1.2 Circumference/Area measurement. 5. The system automatically calculates the strain ratio between lesion (A) and normal tissue (B). It is suggest to measure the lesion and normal tissue at the same depth. Trace Method: 1. Invoke the generic measurement function. 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 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. Press the key to fix the end point and complete the measurement. 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurements and Reports Measurement Item Remark Auto Trace Spline Trace Velocity Manual Trace Spline Trace 2. Generic Only available for Cardiac exam HR Time PGMax PGMean 3. Vessel 4. Tei index Vol. Flow COT Only available for Cardiac exam ET 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.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 1. In Cardiac exams, invoke the generic measurement function on a Doppler strip. 2. Select Tei Index. 3. Measure COT (Mitral Valve Close-Open Duration ) by caliper pairs. 4. Measure ET (Ventricular Ejection Time) by caliper pairs. 5. The system calculates the Tei index automatically. The illustration is shown below: 8.1.3.8.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 3. The system carries out vessel volume flow measurement and will display the relevant measurement result in the measurement result box in real-time according to the refreshing spectrum. 8.2 Application Measurements Application Measurements have a pre-defined meaning and can be entered into a report.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Measurements and Reports Description 2.12 Splenic V Splenic Vein 2.13 SMV Superior Mesenteric Vein 2.14 IMV Inferior Mesenteric Vein Method 8.2.2. Gynecology Measurements No. Measurement Group Measurement Item Description Method Section 1: B-mode Measurements 1.1 1.2 1.3 Uterus Cervix Ovary 1.4 Cyst* 1.5 Follicle* 1.6 Fluid POD 1.7 Fibroid 1.8 Mass 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 2. Measurements and Reports Due to the fact that the section of best view of follicles used for follicle size measurement may not show the best view of the ovary, the result of ovary size measured at the section of the best views of follicles is for reference only. Please select a best view of the ovary and measure the size of the ovary manually to confirm its size. Using eFollicle measurement: 1. Select GYN or IVF exam preset. 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Zone 4: The measurement results displayed in this result window indicate that these measurement results have been entered into the report. To enter the measurement results of a follicle into the report, move the cursor to a follicle and press key.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Description THD Thoracic Diameter APTD Anteroposterior Trunk Diameter TTD Transverse Trunk Diameter Method Fetal Trunk Area Cir/Area in B-mode generic measurements CRL Crown Rump Length 2-point distance in B-mode generic measurements BPD Biparietal Diameter FL Femur Length 2-point distance in B-mode generic measurements; HUM Humerus Length Auto(See 8.2.3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Measurements and Reports Description CER Cerebellum Diameter NF Nuchal Fold CM Cistern Magna LVW Lateral Ventricle Width NB Nasal Bone Method Q1 Q2 1.5 AFI Amniotic Fluid Index Q3 Q4 1.6 1.7 1.8 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Manual Trace Spline Trace Measurements and Reports Description 2.6 Fetal Ao 2.7 Desc Aorta 2.8 Ductus V Ductus Venosus 2.9 FHR Fetal Heart Rate 2.10 MV Mitral Valve 2.11 TV Tricuspid Valve 2.12 MPV Main Pulmonary Vein 2.13 Ductus A Fetal Aorta Method Fetal Aorta Descending Aorta Velocity in Doppler generic measurements Section 3: M-mode Measurements 3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 8. Measurements and Reports Press key to complete measurement. Procedure 2: 1. Select Early OB or OB exam preset and perform image scanning in B mode. 2. Freeze the image when a standard fetal image or a clip of fetal images is obtained. 3. Press the user-defined key on the control panel or on the touch screen, depending on which key has been configured as eOB/eOB+ function(see section 10.1.2 for the configuration). 4.

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Acclarix LX9 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 four-chamber views End-diastole apical at A4C Sys. Left Ventricular four-chamber views End-systole apical at A2C Dias. Left Ventricular two-chamber views End-diastole apical at A2C Sys.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. 1.7 1.8 1.9 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. 1.11 1.12 1.13 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Measurements and Reports Description Method Maximum Velocity PR Rad Pulmonary Valve Stenosis Radius PR Als. Vel Pulmonary Regurgitation Aliasing Maximum Velocity Section 2: Doppler Measurements E/A E-wave Velocity/ A-wave Velocity Mitral Valve Heart Rate MV HR MV PHT Mitral Valve Pressure Half Time MV VTI Mitral Valve Velocity Time Integral IVRT 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Measurements and Reports Description Method Velocity Time Integral 2.8 2.9 2.10 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. 2.12 2.13 2.14 2.15 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Measurements and Reports Description Method Motion Aa Lateral 2.17 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. 3.4 Measurement Group AV 3.5 MV(Mitral Valve) Measurement Item TV 3.7 LA/Ao Right Ventricular Period AV Cusp Sep Aortic Valve Cusp Separation E-F Slope Mitral Valve E-F slope EPSS E point septal separation MV D-E Exc Mitral Valve DE Wave Amplitude MV D-E Slope Mitral Valve D-E Slope MV E-E SEP Mitral Valve E-E Separation MV A-C Interval Mitral Valve A-C Interval time TAPSE 3.9 3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 4. Draw the trace along the endocardium of the left ventricular. 5. Press key to fix the end point B and complete the trace. A new caliper positions automatically at the apex (Point D) of the trace, connecting the Point C (Midpoint of point A and B). This distance between point C and D is the longest detected by the system, as shown below: 6. Pivot the Point D to a new desired position if necessary. 7.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports WARNING 1. 2. 3. The eLV function is intended for use by the clinician who is qualified to use ultrasound for cardiac function evaluations. The measurement result is for reference only. The accuracy of the measurement result can be affected by the image quality, the cardiac image section and procedures performed. The user is responsible for the final decision.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Item Measurements and Reports Description 1 Show the heart beats. You may select a different heart beat to show its EF results. The EDV and ESV images(item 7) and EF results(item 8) change accordingly. 2 Show chamber labels. 3 Edit the EF results manually. 4 You may choose whether to display EDV and ESV images(item 7) and Volume/Time graph(item 9). 5 Press to insert current EF results into report. 6 LV borders.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 4. Measurements and Reports Press Finish to run the EF calculation with your changes, or press Reset to cancel the editing 8.2.4.3.2 Auto Strain/SWMI The Strain/SWMI(Segmental Wall Motion Index) is evaluated using three apical planes, four-chamber (4CH), two-chamber (2CH) and three-chamber(3CH) views, to provide fully automatic analysis of the regional (segmental) left ventricular function. Using Auto Strain/SWMI: 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Understanding the Strain screen: ⑬ ⑧ ① ⑭ ⑥ ② ⑦ ③ ④ ⑩ ⑤ ⑨ ⑫ ⑪ Item Description 1 Show the heart beats. You may select a different heart beat to show its Strain results. The EDV and ESV images(item 7) and Strain results(item 8) change accordingly. 2 Show chamber labels. 3 Edit the Strain results manually. 4 You may choose whether to display EDV and ESV images(item 7) and Strain/Time graph(item 10).

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Understanding the SWMI screen: ⑬ ⑧ ① ⑭ ⑥ ② ⑦ ③ ④ ⑩ ⑤ ⑨ ⑫ ⑪ Item Description 1 Show the heart beats. You may select a different heart beat to show its Strain results. The EDV and ESV images(item 7) and SWMI results(item 8) change accordingly. 2 Show chamber labels. 3 Edit the SWMI results manually. 4 You may choose whether to display EDV and ESV images(item 8) and Velocity/Time graph(item 10).

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Editing the Strain/SWMI Results: The system allows you to manually edit the LV border and re-calculates the Strain and SWMI results. For the methods of editing the LV borders, please see section 8.2.4.3.1 Auto EF for details. 8.2.5. Small Parts Measurements No. Measurement Group Measurement Item Description Method Section 1: B-mode Measurements 1.1 1.2 1.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.7. Vascular Measurements No. Measurement Group Measurement Item Section 1: BIF IMT Far CCA IMT Far IMT Near Diam. Area Stenosis Diam. Stenosis Area VF Diam. ICA ECA Vert A SUBC A LEA Common Carotid Artery Internal Carotid Artery External Carotid Artery Vertebral Artery Subclavian Artery Common Iliac Artery EIA External Iliac Artery IIA Internal Iliac Artery CFA Common Femoral Artery 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Measurements and Reports Description VF Diam. Axillary Artery Axill A Brach A Ulnar A LEV IMT Near Diam. Area Stenosis Diam. Stenosis Area Ulnar Artery Radial A Radial Artery CIV Common Iliac Vein EIV External Iliac Vein IIV Internal Iliac Vein CFV Common Femoral Vein DFV Deep Femoral Vein SFV Superficial Femoral Vein Saph V 1.4 Pop V IMT Far IMT Near Diam. Area Stenosis Diam.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item Basilic V Stenosis Area Measurements and Reports Description Method Basilic Vein Ulnar Vein Ulnar V Radial Vein Radial V Median Cubital Vein M Cubital V Subclavian Vein Section 2: Crotid CCA Doppler Measurements Auto Trace PS ECA ED External Carotid Artery RI ICA 2.1 Common Carotid Artery PI PS,ED,RI,S/D Internal Carotid Artery Vert A Manual trace Vertebral Artery SUBC A HR Vol.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group Measurement Item 2.3 Description Peroneal Artery Peron A LEV Measurements and Reports Dors.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual No. Measurement Group UEV 2.5 Measurement Item Measurements and Reports Description SUBC V Subclavian Vein Axill V Axillary Vein Brach A Brachial Vein Cepha V Cephalic Vein Basilic V Basilic Vein Ulnar V Ulnar Vein Radial V Radial Vein M Cubital V Median Cubital Vein Method 8.2.7.1. Auto IMT Intima-media thickness (IMT) is a measurement of the thickness of tunica intima and tunica media.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.8. Pediatric Measurements No. Measurement Group Measurement Item Description Section 1: B-mode Measurements 1.1 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports NOTE: If needed, you can press the Quick Rotation buttons on the touch screen to rotate the image of the hip joint structure by 90 degrees. 3. Use the trackball to move this horizontal straight line to place the baseline. Rotate the Angle knob on the console to adjust the angle of baseline if necessary. 4. Press key and the default angle α and roof line comes out. 5.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.2.8.2. eHIP Measurement The eHIP Measurement function can automatically measure the physiological parameters of neonatal hip joint on a hip joint image for evaluating the development of the hip joint. The physiological parameters can be measured include HIP Angle, HIP d/D, Femoral head length, Femoral head width, and PFD. The eHIP Measurement is an optional function.

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Acclarix LX9 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 8.3.1.1. Viewing worksheet Press key on the console to open worksheet screen.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports Figure 8-8 OB Worksheet Touch Screen Display No. Name Description 1. VolFlow Curve Press to display Volume Flow Curve graph. It is only available in Vascular exams. 2. IMT Curve Press to display IMT Curve graph. It is only available in Vascular exams. 3. Stenosis Curve Press to display Stenosis Curve graph. It is only available in Vascular exams. 4. Growth Curve Press to access the fetal growth curves.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.3.1.2. Editing Worksheet Move the cursor over an editable field such as a measurement result, and press the key. A touch QWERTY is automatically invoked. Or, you can used the physical keyboard of the system. Type in your changes and press the Enter key to save the changes. After editing a result, an asterisk mark will be displayed as a superscript to indicate this is a manually edited value. 8.3.1.3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.3.1.4. Growth Curve Press the key to enter the Worksheet, and then press the Growth Curve button on the touch screen to display the Growth Curve Graph. Growth Curve is only available in Obstetric exams. Growth Curve indicates predicted fetal growth patterns according to the selected reference for a measurement or calculation. A growth curve graph can display information acquired in the current exam.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.3.1.5. 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. The default findings preset is auto linked to current measure preset.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.3.2. Report A report includes: Header, Patient Information, Images, Measurement/Calculation data, Comments, Findings and Sonographer signature. If images are stored in current exam, selecting images displayed on the right side of main screen will add the selected images into the report.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Measurements and Reports 8.4 Measurement Accuracy Table 1 Measurement Accuracy Parameter Range Error 1.B Mode Measurement Distance Full Screen < ±5% Circumference (Ellipse) Full Screen < ±5% Circumference (Trace) Full Screen < ±5% Area (Ellipse) Full Screen < ±10% Area (Trace) Full Screen < ±10% Angle Full Screen < ±3% 2.

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Acclarix LX9 Super Diagnostic Ultrasound System User Manual Measurements and Reports Table 2 Strain Elastography Imaging Performance and Measurement Accuracy Transducer Model Max. Penetration Depth(cm) Spatial Resolution Error of Geometric Contract ratio of B image and Elastography image Range of Strain Ratio Error of Strain Ratio Repetition Rate of Strain Ratio L12-5Q ≥30mm ≤10.5mm ≤±20% ≤±10% 0.32-4.05 ≤±50% ≤10% L17-7HQ ≥30mm ≤10.5mm ≤±20% ≤±10% 0.32-4.

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Acclarix LX9 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. The control panel has two store keys and one print key, as shown below: Name Default Function 1 Store Image Stores static images. 2 Store Clip Stores cine clips.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Exam Data Management Unfreeze the image NOTE: 1. 2. If the image is frozen or a non-image screen is displayed, a static image is always stored when pressing a store key. In panorama mode, a static image is always stored when pressing a store key. 9.2 Reviewing Images 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Data Management showing the selected images DICOM Print Print the currently displayed images via the DICOM printer that connects to a DICOM server. Refer to Section 10.6.2.5 for details on configuring DICOM print. Export Export selected images to USB disk. Plug in a USB disk, select an image, press this button and a confirmation dialog pops up. Select the export path from destination drop list menu and click OK to confirm.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Data Management 9.3 Exam Database The Exam Database provides a list of recently performed studies. It can be accessed by pressing the hard key on the console when there is no active exam. Figure 9-2 Exam Database Main Screen 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Data Management Export Format: This location displays export format for files. BMP, JEPG and TIF formats are available for static images. AVI and WMV formats are available for clips. All exam data can be exported as DICOM and RawData files. Send/Burn: Pressing this will send/burn the highlighted exam(s) to the destination. This button is available when one or more exams are selected.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Data Management  Exam Date: enter the date range.  Query: press to start the query, and all the queried exams will be displayed in the box below.  Retrieve: select one queried exam and press Retrieve to download it from the DICOM server to the Retrieve result box.  Clear: clear all the queried and retrieved results. 9.4 Archiving Studies All Clips and Static images stored on the system are stored internally in DICOM format.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 4. Click the Exam Data Management shortcut key and the system will start exporting. Note: The image and clip will be exported in JPEG and MP4 format respectively. 5. An instruction dialogue will pop up to guide you to extract the exported image/clip. Use WeChat on your mobile device to scan the QR code step by step. 6. All the images/clips of this exam will be viewed on your mobile device.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Exam Data Management 9.6 Image Compare Image Compare function is comparing images in the same exam of the same patient, in different exams of the same patient and in different exams of different patients. To compare images of the same patient:  There are two ways to compare images from the same patient exam. 1. When there is an exam in progress, enter Review page, and press Compare button on the touch screen to open the image selection page.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10 Utilities Press Utilities key on the touch screen to open Utilities screen. The Utilities screen provides access to System, Preset, Maintenance, Connectivity, Measure Set-up page and etc. Each of these is described in separate sections. Reloading Factory Default Settings: 1. Press Restore Factory Settings on the Set-up screen, you are prompted to confirm whether to restore setting to factory default. 2.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Time Synchronization Set whether to automatically synchronize the system time according to the selected time zone when the system is connected to network. √/× / Select a configured time server. After the server is connected to the network, the system time is updated to the network time.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10.1.2. Button Set-up Item Options F1&F2 Description Needle Button F1 PDI TDI Button F2 Touch Bar Left Button 1 Store Long Clip Full Screen TDI Button 2 PDI Button 3 ECG Button 4 Elastography Button 5 Define the F1/F2 keys, select one of the pull-down options. The options that are available will depend on what functions are enabled on the system.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities Non-Live Cine Time:1-180s Beat:1-300 cycle Set the default duration and cardiac cycle for storing clips in frozen state. 10.1.4. Device Set-up Item Foot Switch Video Left Key Options Description Freeze, Image, Clip, Print Set a function for the left key or right key of Footswitch. If the physical footswitch only has one button then the Left button selection applies. Right Key Video Mode Set the output video mode.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 0/12h/24h/48h/72h/unlimited You can define the time limit for restarting exam. Only exams within the time limit can be restart. If 0 is selected, no exam can be restart. One field/Two fields You can define the patient name display format. The patient information page displays “Patient Name” for one field and displays “Last Name” and “First Name” for two fields. LMP, Select one item as the beginning date of clinical GA.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities Note: Only the administrator has the permission to add users and change passwords of other users. Operators do not have the permission to add users and can only change their own passwords. 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. Please keep your user name and password safe. 3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10.2.1. General Preset Item Global Options Auto zoom image at shallow depth on linear transducer Exits digital zoom when pressing B Hide non intra-operative indicator for L17-7SQ Show point frequency B+ Color Refresh with PW/CW Sampling Line Movement √/× Set whether to zoom in the image automatically when adjusting image depth to shallow depth on linear transducer.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10.2.2. Exam Preset The figure below shows an example of the exam preset page where you can configure which Comment, Measure or Body Mark presets are associated with each transducer‟s exam preset, or adjust the display order of exam presets of each transducer. Exam Preset:         Transducer: Select one transducer from the list to configure its exam presets.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities On the Preset Order page, you can do the following operations;   Add and Remove: Move the exam preset into or out of the touch screen display. Change Order: Press "↑", "↓","←" and "→" arrows to adjust the exam preset sequence. 10.2.3. Image Preset The Figure below shows an example set-up screen for Image Preset, where you can configure the imaging parameters for an exam preset.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 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. Output Power: Set the default acoustic output power of the selected exam preset.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10.3 Comment Preset Entering Comment screen: Press Utilities-> Comment touch screen buttons to access comment preset screen, as the illustration figure shown below. On the Comment Preset page you can add or edit the comment texts of each Comment preset.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities General Settings:  Auto-erase comments when the image is unfrozen: If this option is enabled, the comments will be erased when the image is unfrozen, otherwise the comments will only be erased on demand or at the start of a new exam.  Single arrow in comment: If this option is enabled only one single arrow will be added at a time when adding comments on an image.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Utilities Setting a Default Body Mark for a Preset: Select a Body Mark graphic from pre-defined graphics area and press Set Default, the Body Mark graphic is set as a default Body Mark to the selected preset. The default Body Mark can not be deleted from a preset until another Body Mark is selected as a default one.  Change Order 1.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Utilities  EDV/ESV: set the author of the formula that is used in EDV/ESV calculation. There are three options: Teichholz, Gibson and Cube.  HR Cycle: set the number of heartbeats that are assumed in the HR or FHR measurement calculation. Range: 1-8. Fix Caliper By Select the way for fixing caliper (completing measurements). Available options include Freeze, Store, Comment and Body Mark.  Worksheet   Calc.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10.5.2. Application Parameters On the Application Parameter page, you can configure the default measurement results of Doppler trace measurement for each exam application. Select one clinic application in the Application drop-down list, for example ABD, and then tick the measurement result items in the list below. When you perform Doppler trace measurement, the system will display all the ticked result items by default. 10.5.3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 2. Utilities Adjust the report layout:  Image: Set the image layout in the report as 1*1 or 1*2.  Graph: Set the layout of the graphs in the report as 1*1 or 1*2.  Display Signature: Sets whether the doctor's name is displayed in the report. 10.6 Connectivity Entering Connectivity Set-up: Press Utilities-> Connectivity touchscreen buttons to access the Measure Set-up screen.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10.6.1. TCP/IP This screen configures access to a network. Access can be either wired or wireless. 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 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. The dialog box includes the following:  Password: This is useful when the network password has changed.  Method: Either Manually entered (Static) or DHCP.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual the exact level of software a second click may be needed to edit that field. Utilities The fields are:  Name: The name of the server that appears in the drop-down list of the exam database.  AE Title, IP Address, Port: These are the settings of the destination DICOM server; it‟s how the system finds the DICOM server on your network. The AE title and IP Address are unique to your network; contact your network IT manager for these settings.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities The dialog box includes the following:  Send SR with Images: This will enable the function of sending structured report together with images to a DICOM server.  Report Type: This determines the type of structured report. Select Enhanced report or Comprehensive report according to the report type your PACS system requires.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  Utilities MPPS Server: Selects one configured server from the drop-down list as the default server to receive the exam status. 10.6.2.5. DICOM Print Settings Click Print key on the left side of main screen, and the right half screen switches to DICOM Print setup, where you can configuring DICOM Print.                  DICOM Print Server: Determines which configured DICOM server will do the image printing.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities The system uses the port information of the storage commitment server to receive storage commitment information from the server by default, and also supports the establishment of a new association for receiving storage commitment information, that is, selecting the box As Server and using the local port information of the ultrasound system to receive storage commitment information.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual  TLS: Sets whether to use TLS protocol to encrypt the FTP transfer.  Port: Sets the port number of FTP server. Utilities Testing the server: There are two tests to ensure that the server information is entered correctly.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 1. Caution Anti-virus measures such as USB device virus scanning should be carried out prior to using USB flash drive. 2. Do not connect an USB device with unknown provenance to the ultrasound system. 3. To avoid loss of patient data, please backup the patient data prior to software upgrade. 10.7.3. Export/Import The system supports export/import of user-configured presets and settings to an external storage device.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities Delete: Deletes the imported images. 10.7.5. Transducer Element Check Proper performance of the transducer is the prerequisites for acquiring images or signals that provide the intended information for the users. To ensure the proper performance of a transducer, it is suggested to implement the transducer element check each time a transducer is activated for use or at regular transducer performance check.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual b. No. Utilities the elements are in normal performance. For the linear and convex transducers, the image at the regions under or near the compromised elements may be compromised; for the phased array transducers, the whole image regions may be compromised. Test result text. For each possible message in the test result report, a workaround is provided in the table below: Message in Workaround 1 Transducer is performance.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Utilities 10.9 Stress Echo Set-up Entering Stress Echo Setup Press Utilities-> Stress Echo touchscreen buttons to access Stress Echo setup screen. The following settings can be conducted on the Stress Echo setup screen. General Settings:  Delete unselected clips: Set whether to delete the clips which are not selected for wall segment scoring at ending the exam.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual eVocal 11 eVocal The eVocal function enables the user to operate the system by inputting voice commands through a microphone device. To use eVocal Function: 1. Connect the microphone device to the microphone port on the back of the device. Note: EDAN highly recommends using SENICC SM-008 microphone equipment. 2. Press the Utilities button on the touch screen and then press the eVocal button to display a microphone icon function is invoked.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 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).

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance 13.3.1. Cleaning and Disinfecting the System Surface 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance Rotate clockwise to remove the fixing ring Rotate counterclockwise to mount the fixing ring Figure 13-1 Assembling and Disassembling Trackball 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance 13.3.2. Cleaning and Disinfecting the ECG Cable ECG cable cleaning The validated cleaning agents for cleaning the ECG cable are:  Ethanol (75%)  Isopropanol (70%) To clean the ECG cable: 1. Disconnect ECG cable from the patient and disconnect it from the ultrasound system. 2. Wear sterile protective gloves to prevent infection. 3.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Troubleshooting and Maintenance 13.4 Maintenance The system should be maintained regularly, at least annually, by a qualified technician who has adequate training, knowledge and experience. That person should be familiar with the Service Manual, available from your Edan representative.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Specifications Appendix A Specifications A.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Specifications Abdomen, Obstetrics, Small Parts, Vascular, Cardiac, Gynecology, Urology, Pediatrics Report Packages Wi-Fi Specifications Standard Conformance IEEE802.11a/b/g/n/ac Frequency Band 2.412-2.472GHz(@2.4GHz band), 5.180-5.825GHz(@5GHz band) Modulation Technique OFDM, CCK, DQPSK, BPSK 802.11b: 12.0 dBm 802.11g: 16.5dBm Typical Transmit Power (±2dBm) 802.11n: 16.5dBm 802.11a: 13.0dBm 802.11ac: 12.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Specifications Range: 40 ms~120 ms QRS Detection Amplitude:0.5 mV~5 mV Patient Current Leakage < 10 μA A.7 Operating, Storage and Transportation Environment A.7.1 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.7.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Specifications A. 9 Configuration Difference Configuration Difference Feature 1 Feature 2 Feature 3 Seminal Vesicle Meas. Testis Meas.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Ultrasound Intensity and Safety TIC (Cranial Bone Thermal Index): It provides an estimate of potential temperature rise in the cranial 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.

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Acclarix LX9 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%.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Ultrasound Intensity and Safety B.7 References for Acoustic Output and Safety 1. 2. “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993 “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.

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Acclarix LX9 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 transducers of EDAN can be only used on EDAN‟s systems. Otherwise, the performance and electric shock protection cannot be guaranteed.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Order List BGK-CR10UA 02.01.102963 BGK-002 02.01.215192 BGK-003 02.01.215193 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-010 02.01.215835 BGK-012 02.01.216312 BGK-013 02.01.216659 BGK-P5-1X 02.01.210985 Power Cable, European Standard FG-L23X-003-04 01.13.036638 Power Cable, American Standard FG-L23X-20150323-001 01.13.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual ECG patient cable, 3-lead, AHA, Defib, Snap EC03DAS121 ECG electrodes, disposable H99SG Order List 01.57.471380 01.57.471858 NOTE: The part name may vary depending on context, but the part number is constant.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Ultrasound Gel Warmer 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Ultrasound Gel Warmer 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.

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Acclarix LX9 Series Diagnostic Ultrasound System User Manual Ultrasound Gel Warmer 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.

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P/N: 01.54.458942 MPN: 01.54.458942010 EDAN EDAN INSTRUMENTS, INC. #15 Jinhui Road, Jinsha Community, Kengzi Sub -District Pingshan District, 518122 Shenzhen, P.R.China Email: info@edan.com TEL: +86-755-2689 8326 FAX: +86-755-2689 8330 Website: www.edan.com EC REPRESENTATIVE Shanghai Int ern ational Holding Corp. GmbH E 什 f estrasse 80, 20537 Hamburg Germany TEL: +49 - 40-2513175 E-mail: shholding@hotmail.