GE Medical Systems

Technical
Publications

Direction 2305203-100
Rev. 004

Vivid 3 User’s Guide

© Copyright General Electric Co. 2005

Operating Documentation
Regulatory Requirements

The Vivid 3 Systems meet the provisions of the European Council Directive 93/42/EEC concerning medical devices which apply to them.
Conformity assessment was performed according to Annex II by KEMA.
Any changes to accessories, peripheral units or any part of the system must be approved by the manufacturer, GE Medical Systems. Ignoring this advice may compromise
the regulatory approvals obtained for the product.
Requirements given by local laws/acts/ordinances must be followed by the user/installer. [For example, German: German Medical Device Act (Medizinproduktegesetz) and
German Medical Device Ordinance (Medizinprodukte-Betreiberverodnung).]

Standard/Directive Scope
0344 89/336/EEC EMC Directive
GE ULTRASOUND ISRAEL PRODUCTS: 93/42/EEC Medical Device Directive
GE ULTRASOUND ISRAEL products are tested to meet all applicable requirements in
relevant EU Directives and European/International standards (See “Standards used IEC 801-2 Electrostatic Discharge
below”.) IEC 801-3 Radiated Electromagnetic Field
Any changes to accessories, peripheral units or any part of the system must be
approved by the manufacturer, GE Ultrasound Israel. Ignoring this advice may IEC 801-4 Electrical Fast Transient/Burst
compromise the regulatory approvals obtained for the product. IEC 805-1 Surge
Please consult your local GE ULTRASOUND ISRAEL representative for further details.
EN 55011/CISPR 11 Electromagnetic Susceptibility
GE ULTRASOUND EUROPE, Regulatory Affairs Dept. Beethoven Str. 239,Solingen
Germany, tel +49-(0)212-2802-243, has been empowered to enter into commitments EN 60601-1/IEC 601-1/UL 2601-1 Medical Electrical Equipment; General
on our behalf in any matter concerning the provisions of the 93/42/EEC directive. Requirements for Safety
Standards used: EN 61157/ IEC 61157 Requirements for the declaration of the acoustic
To fulfill the requirements of relevant EC directives and/or European Harmonized/ output of medical diagnostic ultrasonic equipment
International standards the following documents/standards have been used:
IEC 60601-2-27 Medical electrical equipment - Part 2: Particular
requirements for the safety of electrocardiographic
monitoring equipment.
IEC 60601-1-4 Medical electrical equipment: Part 1-4: General
requirements for collateral standard: Programmable
electrical medical systems
ISO 10993-1 Biological evaluation of medical devices
ISO 13485 Quality management standards for medical devices

GE Medical Systems

GE Medical System: Telex 3797371

P. O. Box 414, Milwaukee, Wisconsin 53201 U.S.A.
(Asia, Pacific, Latin America, North America)
GE Ultraschall TEL: 0130 81 6370 toll free
MEDICAL ELECTRICAL EQUIPMENT Deutschland GmbH & Co. KG TEL: (49)(0) 212.28.02.208
CLASSIFIED BY UNDERWRITERS LABORATORIES INC. Beethovenstraße 239, Postfach 11 05 60, D-42655 Solingen
WITH RESPECT TO ELECTRIC SHOCK, FIRE , MECHANICAL HAZARDS GERMANY
ONLY IN ACCORDANCE WITH UL 2601-1 AND
CAN/CSA C22.2 NO. 601
E178816
Vivid 3 User’s Guide Direction 2305203-100 Rev. 004

Revision History

REV DATE REASON FOR CHANGE

0 January 2002 Initial Document Release
1 August 2002 New Software Version
2 July 2003 New Software Version
3 June 2005 WEEE, Regulatory Requirements
4 December 2005 New Software Version

List of Effective Pages

PAGE REVISION
NUMBER HISTORY
5 – 81 0
All 1
All 2
All 3
All 4

Please verify that you are using the latest revision of this document. Information pertaining to this document is maintained on GPC (GE Medical
Systems Global Product Configuration). If you need to know the latest revision, contact your distributor, local GE Sales Representative or in the
USA, call the GE Ultrasound Clinical Answer Center at 1-800-682-5327 or 262-524-5698.
Quick Guide Direction 2305203-100 Rev. 004 i

Contents Soft Menu Rocker Functions ............................................ 24

3D Option ......................................................................... 25
About this Guide........................................................1 Biopsy Guide Option ........................................................ 27
Safety .................................................................................. 1 Physiological Traces................................................ 32
Prescription Device............................................................. 1 Connecting the Electrodes ................................................ 32
Contraindications ................................................................ 1 Adjusting ECG & Phono Display..................................... 32
Interference Caution............................................................ 1 Stress Echo............................................................... 33
Conventions Used in this Manual ....................................... 2 Acquisition........................................................................ 33
Contact Information ............................................................ 3 Analysis ............................................................................ 34
Getting Started...........................................................4 Editing and/or Creating Stress Templates ........................ 35
Front and Side View ........................................................... 4 Defining New Groups....................................................... 35
Rear View ........................................................................... 4 Cardiac Measurement and Analysis ..................... 37
Warnings ............................................................................. 5 Measure and Assign.......................................................... 37
Preparing the Unit for Use .................................................. 5 Assign and Measure.......................................................... 40
Connecting the Unit ............................................................ 7 Worksheet ......................................................................... 40
Switching On the Unit ........................................................ 8 Vascular Measurement and Analysis.................... 41
Switching Off the Unit........................................................ 8 Measurement Tools........................................................... 41
Connecting and Disconnecting
Real-time Spectral Tracing and Measurement Function .. 42
Probes................................................................................ 9 Automatic IMT Carotid Artery Measurement .................. 42
Transportation and Positioning ........................................... 9
Adjusting the Display Monitor ......................................... 11
Shared Services ....................................................... 44
Control Panel: Button Illumination................................... 12 Operating Room (OR) Package ........................................ 44
Beginning an Examination................................................ 14 Automatic Tissue Optimization ........................................ 44
Scanning Screen Layout ................................................... 15 FlexiView.......................................................................... 44
Basic Scanning Operations ............................................... 16 OB Package....................................................................... 45
Worksheet ......................................................................... 49
Modes........................................................................17
GYN Package ................................................................... 49
2D-Mode Imaging............................................................. 17 Hip Joint Measurement and Analysis ............................... 50
Automatic Tissue Optimization (ATO) ............................ 18
CFM-Mode Imaging ......................................................... 18
Reporting ................................................................. 52
M-Mode Imaging .............................................................. 18 Creating Reports ............................................................... 52
Doppler Mode Imaging..................................................... 19 Retrieving Saved Reports ................................................. 53
LVO Imaging (optional) ................................................... 20 Patient Management and Archiving ..................... 54
AngioTM Mode ................................................................ 21 Archiving Package (option) .............................................. 54
Soft Key and Soft Menu Functions................................... 21 Viewing Stored Images and Cineloops............................. 55

Table of Contents
Quick Guide Direction 2305203-100 Rev. 004 ii

Retrieving and Editing Archived Information .................. 55 Safety of Ultrasound ......................................................... 92

Backup Procedures ........................................................... 58 Electromagnetic Compatibility (EMC)............................. 95
Exporting Images and Reports to External Media............ 59 Index......................................................................... 96
Disk Formatting and Labeling .......................................... 59
Connectivity .............................................................60
Supported Dataflows......................................................... 60
Supported Services ........................................................... 62
Exporting Data to DICOM Image Storage, DICOM Print, Media
Storage, Excel, or MPEGVue ......................................... 62
Peripherals ...............................................................66
Printing.............................................................................. 67
Video Cassette Recorder................................................... 67
Probes .......................................................................70
Environmental Requirements ........................................... 70
Probe Integration............................................................... 71
Care and Maintenance....................................................... 73
Probe Safety ...................................................................... 75
Probe Types ...................................................................... 76
Presets and System Setup .......................................79
Application Presets ........................................................... 79
System Configuration ....................................................... 80
Users ................................................................................. 82
User Maintenance....................................................84
Periodic Maintenance ....................................................... 84
Troubleshooting ................................................................ 86
Safety ........................................................................88
Important Safety Considerations ...................................... 88
Patient Safety .................................................................... 89
Device Labels ................................................................... 91
Electrical Safety ................................................................ 91
Owner Responsibility ....................................................... 92
Possible Biological Effects ............................................... 92
Power Information on Screen ........................................... 92

Table of Contents System Overview

Vivid 3 User Guide Direction 2305203-100 Rev. 004 1

About this Guide Interference Caution

For additional information, see Chapter 1, Introduction in the Vivid 3 User’s Devices not to be used near this equipment
Manual.
Devices which intrinsically transmit radio waves such as cellular phones, radio
transceivers, mobile radio transmitters, radio-controlled toys, and so on, should
Safety not be operated near the GE Vivid 3 ultrasound unit.
Ensure that the appropriate safety precautions are taken before operating the Medical staff in charge of the unit are required to instruct technicians, patients,
Vivid 3 ultrasound unit. and other people who may be around the Vivid 3 ultrasound unit, to fully comply
with the above recommendations.
Important: All information in Chapter 16, Safety, should be read and understood
before operating the Vivid 3 ultrasound unit.

CAUTION Do not use the devices listed in the previous

Prescription Device paragraph near the Vivid 3 ultrasound unit.
Use of these devices near the unit could
For USA Only cause malfunction.

CAUTION United States law restricts this device to sale

or use by, or on the order of, a physician.

Contraindications
The GE Vivid 3 ultrasound unit is not intended for opthalmic use or any use
causing the ultrasound beam to pass through the eye. The acoustic levels at
which this system operates exceed the FDA limits for opthalmic use.

About this Guide

Vivid 3 User Guide Direction 2305203-100 Rev. 004 2

Conventions Used in this Manual Alert Icons

Typographic Conventions The following icons highlight safety issues:

CAUTION WARNING DANGER

The following typographic conventions are used to assist in the identification of
different types of information.

Bold type Denotes buttons, soft keys, soft key rotaries and
field names that are displayed on the screen.
For additional information, see “Safety” on page 88.
Italic type Denotes the names of windows, screens and dialog
boxes, for example, New Patient window.

<key> Indicates the names of function keys on the

alphanumeric keyboard.

NOTE: Notes provide additional important information about

the subject under which they are located, for example,
exceptions to a general rule.

Important: Indicates an important note or a hint.

From here forth:

• The Vivid 3 ultrasound unit will be referred to as the System.
• The Vivid 3 User’s Manual 2300163-100, Rev. 0 will be referred to as the
User’s Manual.
• The Vivid 3 ReferenceManual 2300165-100, Rev.1 will be referred to as
the Reference Manual.

About this Guide

Vivid 3 User Guide Direction 2305203-100 Rev. 004 3

Contact Information Europe

USA GE Ultraschall Deutschland Tel: 49 (0) 212/2802-0

GmbH & Co. KG
GE Medical Systems Tel: (1) 800-437-1171 Beethovenstraße 239 0130-81-6370 Toll Free
Ultrasound Service Engineering Postfach 11 05 60, D-42665
4855 W. Electric Ave. Solingen Fax: 49 (0) 212/2802-28
Milwaukee, WI 53219
Authorized EC Representative:
Customer Answer Center Tel: (1) 800-682-5327
GE ULTRASOUND EUROPE, Tel: 49 (0)212-2802-243
Canada Regulatory Affairs Dept.
GE Medical Systems Tel: (1) 800-664-0732 Beethovenstraße 239
Ultrasound Service Engineering Solingen, Germany
4855 W. Electric Ave.
Milwaukee, WI 53219
Customer Answer Center Tel: (1) 262-524-5698
Asia
Latin America
GE Ultrasound Asia Tel: (65) 277-3512
GE Medical Systems Tel: (1) 305-735-2304 Service Department - Ultrasound
Ultrasound Service Engineering 298 Tiong Bahru Road #15-01/06
4855 W. Electric Ave. Central Plaza Fax: (65) 272-3997
Milwaukee, WI 53219 Singapore 168730
Customer Answer Center Tel: (1) 262-524-5698
Tel: (81) 426-482950
GE Yokogawa Medical Systems
On-Line Center, Asia
Ultrasound Group Fax: (81) 426-482902
67-4 Takakura-cho, Hachiouji-shi
Tokyo, 192-0033, Japan

About this Guide

Vivid 3 User Guide Direction 2305203-100 Rev. 004 4

Getting Started 10. Foot Brake 15. Floppy/MO Disk (optional)/CD-R Drive
Three-position brake. LEFT locks the wheels, 16. Air Filter Vent
For detailed information, see Chapter 2, Getting MIDDLE unlocks the wheels, and RIGHT locks
17. ECG Cable (Internal/External) Phono
Started in the Vivid 3 User’s Manual. the swivel action.
Connections
11. Footswitch (Not Shown)
18. Footswitch Connection
Configurable footswitch that enables certain
Front and Side View keyboard commands to be operated by foot.
1. Display Monitor 12. Side Bay Rear View
Swivels to the left and right, and tilts up and The color printer or JVC VCR is contained in
the upper-left side bay of the unit. 1. Monitor cables, video and power cables
down.
13. Peripherals Storage Area 2. Power cable storage hook
• 15" Monitor
All VCR recorders (excluding JVC VCRs) and 3. Circuit breaker On/Off switch
• 17" Monitor
black & white printer are positioned on the 4. Ground Screw
2. Speakers peripheral storage area under the front panel. 5. Main power cable socket
3. Alphanumeric Keyboard 14. Cable Hook
4. On/Off Switch
5. General Storage Areas
Situated on either side of the front panel on the
top surface, on either side of the monitor. 1

6. Probe Holders and Gel Holders

Situated on either side of the front panel. The 5 2

closest holder to the monitor on each side is for 12

1
6
storing bottles of gel.
4
7. Control Panel 3
7
Contains all the buttons and the alphanumeric 8
keyboard used to operate the ultrasound unit. 14

8. Front Handles with Raise/Lower Grip Lever 13

The grip lever located midway beneath the front 16 2
handles enables the user to raise or lower the 15
front panel and monitor. 17
9
9. Probe Ports 18

Either: 3
• Two active probe ports, one park probe port 10
and one pencil probe port. 4
Or: 5

• Three active probe ports and one pencil

probe port. Figure 1: Front View Figure 2: Rear View

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 5

Warnings Preparing the Unit for Use Environmental Requirements

The System must operate within the proper The operational environment of the System
All the warnings in Chapter 16, Safety
environment and in accordance with the requires constant maintenance. Different
of the Vivid 3 User’s Manual, should
requirements described in this section. Before using temperature and humidity ranges are specified in
be read and understood before
the unit, ensure that all these requirements are met. the table below:
operating the System.

Never set liquids on the unit. Maintain Site Requirements

a clean environment to prevent
spillage into the unit or control panel, The following site requirements are necessary for Requirement Temperature Humidity Air
Pressure
Turn off the circuit breaker before the System to function optimally
cleaning the unit. Refer to Chapter Operational 10 to 50oC 50-70% 700-1060
15, User Maintenance in the Vivid 3 Power Requirements 50 to 122 oF hPa
User’s Manual for cleaning
instructions and regular preventative The System requires a separate power outlet with Storage -20 to 60oC 10-95% 700-1060
maintenance procedures. at least a 12 amp circuit breaker for 100-120 VAC -4 to 140 F o hPa
(Japan/USA) or at least a 6 amp circuit breaker for
Service representatives authorized by 220/230/240 VAC (Australia/Africa/Europe/Latin Transport -20 to 60oC 10-95% 700-1060
o hPa
GE will unpack and install the unit. Do America). -4 to 140 F
not attempt to install the unit without
the service representative. Operating Environment

Ensure that there is sufficient air flow around the

System.
Operating the unit with the wrong
voltage range will cause damage and
DO NOT install the unit in a location
void the factory warranty.
where the display screen is exposed
to direct light. Reflections on the
screen make it difficult to view
Only qualified physicians or images.
ultrasound sonographers should
perform scans of patients for medical
diagnostic reasons. Request training,
if needed. Ensure that unauthorized
personnel do not tamper with the unit.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 6

Electromagnetic Interference

To protect the System from electromagnetic

interference:
• Operate the unit at least 4.6 m (15 feet) away
from equipment that emits strong
electromagnetic radiation.
• Operate the unit in an area enclosed by walls,
floors and ceilings comprised of wood, plaster
or concrete, which help prevent
electromagnetic interference.
• Shield the unit when operating it in the vicinity
of radio broadcast equipment.
NOTE: The System is approved for use in
hospitals, clinics and other environmentally
qualified facilities, in terms of the prevention of radio
wave interference. Operation of the unit in an
inappropriate environment can cause electronic
interference to radios and television sets situated
near the medical equipment.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 7

Connecting the Unit Voltage Level Checks Connecting to the Electrical Outlet
Before connecting the System, perform preliminary
Before connecting the System to the power source, Before connecting the System to the electrical
checks of the power cord, voltage level, and
perform the following voltage level checks: outlet, ensure that the wall outlet is of the
compliance with electrical safety requirements. Use
appropriate type, and that the power switch is
only the power supply cords, cables, and plugs 1. Check the label near the mains input connector.
turned off.
provided by, or designated by, GE Medical A yellow label indicates the input connector is
Systems. Extension cords must not be used. either 100 V, 120 V, 220 – 240 V. NOTE: To assure grounding reliability, connect to a
Ensure that the power cord and plug are intact and 2. Check the voltage indicated on the label: "hospital grade" or "hospital only" grounded power
that the power plug is the proper hospital-grade outlet.
• 100 V 50 – 60 Hz 8A
type.
• 120 V 50 – 60 Hz 18A To connect the unit to the electrical outlet:
NOTE: A GE-qualified person should perform the
• 220 – 240 V 50 – 60 Hz 4A 1. Uncoil the power cable, allowing sufficient slack
initial system installation.
Maximum power requirement = 1.2 KVa so the plug will not pull out of the power socket
Products equipped with a power source plug should if the unit is moved slightly.
be connected to the fixed power socket which has
Maximum allowed voltage deviation = + 10
2. Secure the power plug in the mains power
the protective grounding conductor. Never use any socket.
If the mains supply is not within the
adapter or converter to connect with a power
specified range, DO NOT CONNECT
source plug (for example, three-prong to two-prong The unit’s power must be supplied
THE UNIT TO THE POWER
converter). from a separate, properly rated outlet
SOURCE. Contact the dealer to have
the unit adjusted for the specific to avoid the risk of fire. Refer to the
Failure to provide an adequate Power Requirements section in
ground circuit can cause electrical mains supply.
Chapter 2 of the Vivid 3 User’s
shock, resulting in serious injury. Manual for rating information. The
Electrical Safety Requirements power plug should not, under any
circumstances, be altered to a
Ensure that all equipment connected to the System configuration rated less than that
complies with national safety requirements for specified for the current. DO NOT use
medical equipment. These safety requirements an extension cord or adapter plug.
include: IEC60601-1, CSA22.2, AS3200.1, and UL
2601-1.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 8

Connecting the Peripherals Wheels To release front swivel lock:

• Press the left side of the pedal to return it to the
The peripheral connectors are located under covers middle position.
on the top rear of the unit, beneath the monitor. The
basic peripheral setup is performed by the service Wheel Position Characteristics
representative when the unit is installed. For details Front Swivel, swivel lock, and full Switching On the Unit
regarding connecting peripherals, refer to Chapter lock.
12, Peripherals in the Vivid 3 User’s Manual. 1. Insert the plug into the mains power socket.
Rear Swivel, but do not lock. 2. Set the circuit breaker to ON. The On/Off
NOTE: To access the rear panel connectors,
switch text label and green LED light are lit.
unscrew the two screws on the top of the rear
panel, then lift the cover. Pedal 3. Hold down On/Off for a few seconds. The On/
Off switch text label will switch off, (the green
NOTE: For JVC CVRs, the cable connectors are in LED remains lit) and a click will be heard.
the side bay.

Connecting the Footswitch Switching Off the Unit

Connect the System’s triple footswitch to the Standby Mode
FOOTSWITCH input on the left side of the front
panel. Each of the footswitch pedals may be Standby Mode ensures that the next time the
assigned to correspond with the various control system is switched on, it will be ready for scanning
panel functions. For detailed information, refer to in less than 30 seconds. In order for the system to
Chapter 14, Presets and System Setup in the remain in Standby Mode, it MUST remain
Pedal Position Function
Vivid 3 User’s Manual. connected to the electrical outlet at all times. If the
Left Locks wheels. unit is disconnected from the electrical outlet, it will
undergo complete shutdown and require regular
Middle Wheels completely free.
bootup time, unless the Plug&Scan (UPS) option is
Right Locked front swivel. installed.
To initialize Standby Mode:
To engage in full lock (brake):
1. Simultaneously press <Ctrl> and hold down
• Press the left side of the pedal. On/Off until the Shut Down screen is
To release the brake: displayed.
2. TRACKBALL to Standby and press Select. The
• Press the left or right side of the pedal to return
system enters Standby Mode, indicated by the
it to the middle position.
On/Off button text blinking.
To engage front swivel lock:
• Press the right side of the pedal.

Vascular Measurement Getting Started

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 9
Full Shutdown Connecting and Disconnecting Transportation and Positioning
To initialize Full Shutdown:
Probes To avoid damaging the unit and ensure maximum
safety while moving the unit, follow the precautions
• The Vivid 3 ultrasound unit has the following
1. Simultaneously press <Ctrl> and hold down below.
probe ports:
On/Off for three seconds. The following screen
Either: NOTE: If the Plug&Scan option is being used, the
is displayed:
procedures for temporarily moving the unit short
• Two active probe ports, one park probe port
distances differ from those for preparing the unit
and one pencil probe port.
for long distance transportation and storage.
Or:
• Three active probe ports and one pencil Moving Precautions
probe port.
To connect probes: To prepare the unit to be moved temporarily
(Plug&Scan installed):
1. Inspect the probe socket to verify that it is free
from debris. 1. Initialize Standby Mode. The On/Off button text
2. Hold the rectangular probe connector vertically will blink.
so that the probe’s cable points upwards. NOTE: If battery is fully charged, the System
will remain in Standby Mode for approximately
3. Set the lock to the OPEN (horizontal) position.
one hour.
4. Gently insert the connector into one of the
2. Remove the plug from the mains power socket.
matching sockets on the lower control panel of
the unit. Push the connector in as far as 3. Disconnect all cables linking the unit to any
possible. off-board peripheral devices, such as a
NOTE: This screen is displayed whenever holding down computer network. Note the marks on each
5. Rotate the locking latch 90 degrees clockwise
the On/Off button continuously for more than 3 seconds. cable to reconnect them later.
to lock the connector into place.
4. Secure and loop the power cord
2. TRACKBALL to Full Shutdown and press Select. To display the Select Probe and Application
counterclockwise around the hook on the unit’s
The system performs a complete shutdown. screen:
rear panel.
• Press Probe.
Plug&Scan (UPS) Option The Select Probe and Application screen is
If this option is installed, the unit can be displayed. Refer to Chapter 13, Probes in the DO NOT tuck the power cord under
disconnected from the electrical outlet while in Vivid 3 User’s Manual for further information. the area where it is attached to the
Standby Mode for about one hour without the To disconnect probes: console. This could loosen the
system initializing a Full Shutdown. connection.
1. Rotate the lock 90 degrees counterclockwise,
This enables the user to transport the system and releasing it from its lock position.
be assured that the unit, when switched on, will be 2. Remove the connector from the probe socket.
ready for scanning in less than 30 seconds.
NOTE: When the system is powered by the Plug&Scan Handle the probes gently while
option in Standby Mode, the On/Off button will blink. connecting and disconnecting them.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 10

5. Place all probes in the probe holders and To ensure safety while moving the unit on foot: Transporting the Unit
ensure that the probe cables do not protrude
• Proceed cautiously when crossing door or
from the unit or interfere with the wheels. Store Take extra care when transporting the unit by
elevator thresholds.
all other probes in their original cases, soft cloth vehicle. In addition to following the moving
or foam, to prevent damage. • Grasp the front handle grips or the back handle
precautions listed above, make sure to follow the
bar and push or pull. DO NOT attempt to move
safety precautions below.
Important: Before moving to a new site, remove all the unit using cables or probe connectors. Take
the probes and pack them in their original cases, soft extra care while moving the unit long distances
Important: Save and reuse the original packaging if
cloth or foam, to prevent damage. and on inclines.
moving the unit to other sites. GE service
• Ensure that the unit does not strike walls or representatives or their assignees should perform the
6. Ensure that no loose items are left on the unit. door frames. move. A specially designed van should also be used.
All loose items (such as: gel, ECG cables, CDs • Ensure that the pathway is clear.
and optical disks), should be stored in the unit To ensure safety while transporting the unit by
• Move the unit slowly and carefully.
pockets. vehicle:
• Know where the foot brake is located and learn
7. Unlock the brake by pressing down on the 1. Disconnect all probes and secure them in their
how to use it. The foot brake must be set when
pedal to return it to its middle position. boxes.
moving of the unit stops.
To prepare the unit to be moved 2. Use the control panel release handle, situated
• One adult can usually move the unit along a
(Plug&Scan not installed) or for long term
level surface for short distances. Use two or under the center front of the control panel, to
storage or long distance transportation: lower the control panel to its minimum height.
more persons to move the unit on inclines or
1. Initialize a Full Shutdown, as described in the over long distances. 3. Ensure that all peripherals are secured.
Full Shutdown section in Chapter 2, Getting
4. Ensure that the transporting vehicle is
Started in the Vivid 3 User’s Manual. Avoid inclines that are steeper than
appropriate for the unit’s weight. The
2. Set the circuit breaker to OFF. 10 degrees, or bumps higher than
recommended load capacity is a minimum of
2.5 cm (1 in), to prevent the unit from
3. Remove the plug from the mains power socket. 160 - 168 kg (353 - 370 lbs). The vehicle should
tipping over. After reaching the
4. Follow steps 3 – 7 of the previous procedure. have good shock absorbers and a door large
destination, lock the front wheel
enough for the unit with its monitor and any
brake.
peripherals to clear.
5. Park the vehicle on a level surface for loading
and unloading.
6. Secure the unit while it is on the lift, to prevent
rolling. Do not attempt to hold it in place by
hand. Cushion the unit and strap the lower part
so that it does not break loose.

Ensure that the lift can handle a

minimum of 360 kg (794 lb), although a
capacity of 400 kg (882 lb) is preferable.
DO NOT remain on the lift with the unit.

Vascular Measurement Getting Started

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 11
7. Load the unit into the van very carefully, Unit Acclimation Time Vivid 3 15" Monitor Adjustment
ensuring that it remains over its center of
gravity. Following transport, the unit may be very cold or To adjust the contrast or brightness of the
hot. Allow the unit to acclimate before being display monitor:
8. Ensure that the unit is secured inside the
vehicle, keeping it still and upright, yet not switched on. Acclimation will take one hour for each 1. With the display monitor menu turned off, press
damaging the control panel. Secure it with 2.5oC increment when the unit’s temperature is the button (to adjust contrast) or the
straps to prevent movement while in transit. below 10oC or above 35o C.
button (to adjust brightness) on the front of the
o
C 0 2.5 5 7.5 10 35 40 42.5 45 47.5 50 52.5 monitor.
DO NOT attempt to hold the unit in o
F 32 36.5 41 45.5 50 95 104 108.5 113 117.5 122 126.5 2. Press the + or – buttons on the front of the monitor
place by hand. to decrease or increase the selection value.
Hours 4 3 2 1 0 0 2 3 4 5 6 7
3. Press Exit twice to close the on-screen menu.
9. Drive cautiously to prevent vibration damage.
oC 55 57.5 60
Avoid unpaved roads, excessive speeds, and Vivid 3 Expert Monitor Adjustment
erratic stops and starts. oF 131 135.5 140
NOTE: Applies to older-type monitors only. See
Hours 8 9 10 below for new-type 17" monitors.
Reinstalling at a New Location
To adjust the contrast or brightness of the
Lock the wheel brake when the unit is installed at a display monitor:
new location. Follow the installation procedures Adjusting the Display Monitor 1. Press the JAG control dial found in the
described in Chapter 2, Getting Started in the NOTE: When the monitor is adjusted correctly, a bottom- center of the lower monitor frame
Vivid 3 User’s Manual. faint “Vivid” watermark is displayed in the lower casing. The Main menu is displayed.
portion of the screen. If this is not seen, adjust the 2. Rotate the JAG dial to highlight either the
brightness (as described below) until the watermark or the icon.
is just visible.
3. Press the JAG control dial to select and
activate the required function. A control screen
is displayed.
4. Rotate the JAG control dial to adjust the
settings as required, then press the JAG
control Dial to exit the control screen. The Main
menu is redisplayed.
5. Rotate the JAG control dial to highlight Exit,
then press the JAG control dial to exit the main
menu. The scanning screen is redisplayed.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 12

Vivid 3 17" Monitor Adjustment Control Panel: Button Illumination

To adjust the contrast or brightness of the The flat buttons on the System’s control panel are
display monitor: labeled. Only the buttons that are available for use
in the current mode and/or application are
1. Press the center panel (below the screen); the
illuminated.
panel flap opens exposing the controls:
• Active selections that are toggled on have the
green light on the button lit.
• Enabled selections have the button label
illumination lit.
• Disabled selections have the button label
illumination turned off.

Monitor
Adjustment
Controls

2. Use the Up and Down arrows to adjust the

brightness, as required.
3. Use the Left and Right arrows to adjust the
contrast, as required.
4. Use the button on the Right for advanced
adjustments.
5. When all required adjustments performed,
press the button on the Left to exit.

Vascular Measurement Getting Started

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 13

Basic Mode
Archiving & Scan Mode Parameter
On/Off Reporting TGC Gain Selection Adjustment
Button Buttons Sliders Soft Keys Buttons Rotaries

VCR
Playback
Display
Pre-examination Format
Buttons Buttons

Measurement
Buttons
VCR Control
and Print
Buttons

Function Keys Alphanumeric Keyboard Trackball Freeze

Operation Buttons

Figure 3: Control Panel Layout Diagram NOTE: For details on Soft Keys and Soft Menu
Rocker functions, see “Soft Key and Soft Menu
Functions” on page 21.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 14

Beginning an Examination To enter a new patient: To select a preset from the top of the image screen:
1. Press Patient ID. NOTE: A green triangle is located at the top of the
Entering Patient Details 2. TRACKBALL to Start New Patient in the Select Image screen alongside the name of the
screen and press Select. The Main Details currently-selected preset. Clicking on the triangle
To access patient information: screen is displayed. opens a pull-down menu in which all presets
available for the currently-selected probe are listed.
• Press Patient ID, Date of Birth, or Last Name.
Important: Either an ID Number or Last Name is NOTE: On the image screen, when the cursor is in
Important: The layout of the Patient List screen is mandatory. All other patient details are optional. the area around the preset name or the green
dependent on the screen layout template selected triangle, the cursor changes to a hand-shaped
during system configuration. For details, refer to 3. TRACKBALL to the Patient ID or Last Name field pointer. Clicking Select opens a drop-down menu;
Chapter 14, Presets in the Vivid 3 User’s Manual. and press Select. a checkmark is visible preceding the name of the
4. Enter the patient’s ID number or last name. currently-active preset (Cardiac in the example
NOTE: The screen layout is displayed in accordance 5. Enter additional patient details in the remaining shown below):
with the currently-selected Patient ID Page Type. (For fields, using <Tab> or <Enter>, navigate to
details, refer to Vivid 3 Pro/Expert SW 2.2 Release each field,
Notes). Any one of the following four types may have 6. Use the Select Page soft key rotary to navigate
been be selected: through the data entry pages. Add patient
• Type A:Full details - includes Patient ID, Weight details as required.
and Height 7. Press the Begin Exam soft key.
• Type B:No Patient ID - includes Last Name,
DOB, Weight and Height To select a probe and an application:
• Type C:Patient ID on 2nd line; No Weight or 1. Press Probe. 1. Click the triangle at the top of the image screen (on
Height 2. TRACKBALL to the required application preset in the right of the currently-selected preset name).
• Type D:No Patient ID; No Weight or Height the frame of the appropriate probe and press 2. From the pull-down menu, trackball to the
Select. The name of the currently selected required preset and press Select.
probe and application are displayed in the
The pull-down menu closes and the name of
information bar at the top of the 2D screen. The
the newly-selected preset is displayed at the
examination can now begin.
top of the screen.
NOTE: The names listed in the pull-down menu are
relative to the currently-selected main application.
User-modified preset names are preceeded by an
asterisk (*).

Vascular Measurement Getting Started

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 15

Scanning Screen Layout

The scanning screen is divided into several areas,
as shown in Figure 4:

Preset

Figure 4: Scanning Screen

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 16

Basic Scanning Operations 3. Use the alphanumeric keyboard to type the Zoom
required text. To add additional annotations,
The System enables the user to perform various press Menu. Magnifies the display in both frozen and live 2D,
supplementary operations to improve both the
To move a line of text: M-Mode and combined mode images.
examination process and quality of the data
archived for future use. If required, a line of text may be moved To zoom an image:
(up/down/left/right)
For detailed information regarding scanning mode 1. Rotate the zoom rotary to magnify the image.
functions, refer to Chapter 3, Modes in the Vivid 3 1. Trackball to the line and press Select. 2. Press the Zoom rotary to toggle between the
User’s Manual. 2. While holding down the Select button on the actual-sized image and the magnified image.
control console, drag the selected line of text to
Storing Images and Cineloops the required position, using the trackball. Performing Measurements
3. Release the Select button. The line of text will
Images and cineloops can be stored at any time To perform measurements:
remain fixed in the new position.
during the scanning session, by using the Store
soft key. • Press Caliper or Measurement. See Chapter
Deleting Text Annotations 6, Cardiac Measurement and Analysis and
NOTE: The Store soft key should be pressed twice. Chapter 7, Vascular Measurement and Analysis
The first time to preview the image, the second to To delete a specific text annotation from the in the User’s Manual for details.
accept and store the image. screen:
For further information, refer to Chapter 10, Patient 1. TRACKBALL to the annotation to be deleted and
Management in the Vivid 3 User’s Manual. press Select to highlight.
2. Press <Line Erase>. The selected annotation
Storing Images on VCR is erased.
NOTE: If you did not select the annotation (Step 1),
Images can be recorded on a video tape. Press
the last line typed will be erased.
VCR Record to start recording. For detailed
information regarding the VCR recorder, refer to
Chapter 12, Peripherals in the Vivid 3 User’s To erase all the annotations from the screen:
Manual.
• Press <Page Erase>.
Text Annotations
Depth Adjustment
To insert a text annotation:
To adjust the image depth:
1. Press <Text>. A text cursor (I) is displayed in
the upper-left corner of the display screen, or in • Rotate the Depth rotary.
the user-defined home position.
2. TRACKBALL the text cursor to the position at
which text is to be inserted.

Vascular Measurement Getting Started

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 17

Modes Working with Cineloops Working in Split Screen Mode

For additional information, see Chapter 3, Modes in To manually select a heartbeat: To split the screen:
the Vivid 3 User’s Manual. 1. While in any scanning mode, press Freeze. • Press 1/2/4 once to split the screen into two
The scan mode freezes and the First Marker windows.
and End Marker are displayed on either side of • Press the button again to split the screen into
2D-Mode Imaging the last detected heartbeat on the ECG trace. four windows
2. Press the Cine Scroll soft key rotary to start the • Press the button a third time to revert to a single
Accessing 2D-Mode cineloop playback. image display.
3. Use the Previous/Next soft key rotary to select To toggle between windows:
To access 2D-Mode:
the heart cycle to be played back.
• Press 2D. • Press Window Select. The active window is
4. Use the First Marker and/or End Marker soft
marked with a solid light-blue circle near the top
key rotaries to trim or expand the cineloop
Adjusting the Gain in a 2D Image of the image and a yellow frame. Non-active
boundaries.
windows are marked with a hollow circle near
NOTE: By default, one cycle is stored in one cine. the top of the image and no frame.
Use the 2D Gain rotary to adjust the overall gain on However, up to 8 cycles may be stored. Select the
both live and frozen images, as well as on images To enlarge the display area:
required number of cycles, using the Cycles for
retrieved from the image archive. Store soft key: • Press Image Size. The images will increase in
size, and the parameter display column will not
Using Zoom in 2D-Mode be displayed.

To enlarge the zoom factor:

• Rotate the Zoom rotary clockwise. The ROI
(Region of Interest) border reduces in size,
producing a greater enlargement (zoom factor)
of the reduced area.
To reduce the zoom factor: To adjust the frame rate:

• Rotate the Zoom rotary counterclockwise. The • Rotate the Cine Speed soft key rotary to adjust
ROI border increases in size, producing a the frame-rate of the cineloop.
smaller enlargement (zoom factor) of the larger The default is Nominal speed.
area. Continued counterclockwise rotation To view a cineloop frame by frame:
reaches a point at which the zoom is
automatically switched off and the reference 1. Press Stop Cine.
image is no longer displayed. 2. Use the Cine Scroll soft key rotary.
To exit the zoom function:
• Press the Zoom rotary once after the ROI has
been sized and positioned as required.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 18

Automatic Tissue Optimization CFM-Mode Imaging M-Mode Imaging

(ATO)
Accessing CFM-Mode Accessing M-Mode
When enabled, Automatic Tissue Optimization
(ATO) results in automatic optimization of 2D
To perform a CFM-Mode scan: To perform an M-Mode scan:
imaging. This feature is based on the ability of the
system to "inspect" the actual image on the screen 1. Press CFM. 1. Begin a scan in 2D-Mode.
and - based on image content - make adjustments 2. Adjust the ROI as required: 2. Press M.
in real-time, in order to optimize the 2D image.
• Move the TRACKBALL left or right to adjust the 3. Use the TRACKBALL to position the M cursor
To activate the ATO function: position of the ROI. over the required anatomy.
1. Press the 2D Gain button on the control • To change the size of the ROI, press the ROI 4. Press M again to start the M-Mode sweep.
console. Size soft key,
On the scanning screen, the letters ATO will be • Move the TRACKBALL up and down to lengthen Adjusting Total Gain
displayed, indicating that the ATO option is or shorten the ROI.
operative, as shown below: The Active Gain rotary enables the overall gain of
Adjusting the CFM-Mode Image the M-Mode portion of the image without affecting
the overall gain of the 2D portion of the image.
If the 2D image must be adjusted, and the The 2D rotary enables the overall gain of both the
necessary soft key control is not displayed, press M-Mode image and the 2D-Mode image to be
Active Mode to toggle between the different soft adjusted simultaneously.
key menus.
Adjusting the 2D Image in M-Mode
Color Gain
If the 2D image must be adjusted, and the
While in color, the Active Gain rotary controls the necessary soft key control is not displayed, press
color gain. The 2D Gain rotary remains active to Active Mode to toggle between the different soft
NOTE: When ATO is active, the Reject function is control the gain of the 2D portion of the image. key menus.
disabled.
Using Zoom in CFM-Mode Using Zoom in M-Mode
2. Press the 2D Gain button again at any stage, to
turn the ATO option OFF.
The zoom function is performed the same as that The M scroll portion of the display will expand by
NOTE: The system samples the scanning image for 2D-Mode. However, the TRACKBALL controls the the same zoom factor to correspond with the 2D
only upon the instant of ATO activation. If the scan Color ROI position together with zoom panning. image. When the zoom ROI border is panned with
position or conditions have changed after ATO has
the TRACKBALL, the effect on the M scroll is equal to
been activated, it is advisable to toggle ATO OFF Exiting CFM-Mode that on the 2D image.
and then ON again, in order for the system to
sample the most current image. NOTE: Unlike in 2D-Mode, no zoom reference
To exit CFM-Mode:
image appears in this mode.
• Press CFM. A 2D image is displayed.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 19
Resizing/Repositioning the M-Mode Doppler Mode Imaging 5. While the spectrum is scrolling, use the
Display TRACKBALL to reposition the Doppler cursor
and/or gate position.
Regular Doppler Display
To resize and/or reposition the image display: 6. Press Active Image to toggle between the
To access PW Doppler Mode or CW Doppler active soft key menus.
1. Press the Image Size soft key to toggle
between the M scroll sizes: either half, two Mode: 7. Press Select or 2D to freeze the Doppler
thirds, or full display. spectrum. Then press 2D Update to update the
1. Perform a 2D-Mode scan.
2D image.
2. Press Layout to toggle between a top/bottom 2. Press either PW or CW. The Doppler cursor
or side-by-side split screen display. To access PW Doppler Mode or CW Doppler
(and the Doppler gate, when in PW Doppler
Mode (Triplex Doppler display):
Mode) is displayed on the image.
Enlarging the 2D Image 3. Use the TRACKBALL to position the Doppler 1. Perform a 2D-Mode scan.
cursor (and Doppler gate, when using 2. Press either PW or CW on the control panel.
To display a full-sized 2D image: PW-Mode) over the appropriate anatomy. The Doppler cursor (and the Doppler gate,
1. In M-Mode, press Freeze. The M-Mode display 4. When positioned, press PW or CW to run the when in PW Doppler Mode) is displayed on the
is frozen. PW or CW spectrum. image.
2. Press M. The M scroll will temporarily 5. While the spectrum is scrolling, use the 3. Use the TRACKBALL to position the Doppler
disappear, displaying a full-sized 2D image. TRACKBALL to reposition the Doppler cursor cursor (and Doppler gate when in PW-Mode)
and/or gate position. over the appropriate anatomy.
3. Press M again to re-display the original M-Mode
layout. 6. Press Select or 2D Update to freeze the 4. Once positioned, press PW to run the PW
Doppler spectrum and update the 2D image. spectrum.
Exiting M-Mode NOTE: Only in specific velocities will Interleave
Duplex Doppler Display Triplex be activated automatically.
To exit M-Mode: 5. While the spectrum is scrolling, use the
• Press M. The image reverts to 2D-Mode. The M To access PW Doppler Mode or CW Doppler TRACKBALL to reposition the Doppler cursor
Mode: and/or gate position.
cursor remains on the image; pressing M again
will re-enter M-Mode. 1. Follow steps 1 – 4 above. 6. Press Active Mode to toggle between the
To access Anatomical M-Mode: 2. Press one of the arrows on the Soft Menu active soft key menus.
Rocker. A pop-up menu is displayed on the 7. Press Select or 2D to freeze the Doppler
1. Perform a 2D-Mode scan and press Freeze.
screen. spectrum, then press 2D Update to update the
2. Press M to generate the Anatomical M-Mode 2D image.
3. Use the vertical arrows to highlight the Enable
sweep.
Triplex option from the soft menu. 8. Press 2D Freeze to freeze the 2D display, if
To position the M cursor: required.
4. Use the left or right arrows to change the status
1. Rotate the Line Move soft key rotary clockwise to 1 (enabled). The display changes to Duplex
to move the M Cursor to the right. Doppler, and both the 2D image and Doppler
2. Rotate the Line Rotate soft key rotary Spectrum are active.
clockwise to rotate the M cursor to the right.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 20

Adjusting the Gain in Doppler Mode LVO Imaging (optional) • Tissue harmonics
Tissue harmonics give rise to contrast-like
Use the Left Ventricular Opacification Imaging (LVO signals independent of the presence of the
In both CW Doppler and PW Doppler Modes, the
Imaging) application to help identify LV thrombus contrast agent.
Active Gain rotary enables the overall spectral gain
and evaluate wall motion.
to be adjusted in either active or freeze modes and The LVO Imaging application default settings
on images retrieved from the image archive. Support of LVO Imaging is an optional feature of the minimize the occurrences of artifacts. Nevertheless,
Vivid 3 system. the operator has to take these into account when
The 2D Gain rotary enables the overall gain of the
2D image to be adjusted, without affecting the The LVO Imaging application is preset to: analyzing the data and has to confirm the results
Doppler spectrum. using other techniques.
• optimize resolution and enhance delineation of
endocardial borders, and
Enlarging the 2D Image
• optimize assessment of wall motion and wall
Optimizing LV Contrast
thickening.
To temporarily hide Doppler display:
WARNING: Read and carefully follow Usually, the default settings for the LVO Imaging
1. With PW/CW image frozen, press PW or CW. A
the manufacturer’s instructions on the application are the optimal settings. However,
full-sized 2D image is displayed.
contrast agent’s label. depending on the acoustic window of the patient or
2. Press PW or CW again to re-display original the specific contrast agent being used, there may
Doppler layout. be need for adjustment.

Steering on Vascular Applications Misdiagnosis Based on Image Artifacts C CAUTION: Too high a power setting will
destroy the contrast agent in the LV
To steer the Doppler interrogation beam: Misdiagnosis in ultrasound contrast images might cavity. Destruction of the contrast
be caused by several artifacts. These include: agent is shown as a swirling pattern.
1. Press PW.
2. Use the Steer rocker key to steer the Doppler • Motion artifacts If, before injection of the contrast agent, image
interrogation beam to the right, left or Motion artifacts give rise to contrast-like signals quality is not acceptable, increase the power level.
perpendicular to the probe surface. independent of the presence of contrast. Then, when the contrast agent is observed in the
3. Use the Doppler Angle soft key rotary to align Motion artifacts may be caused by patient left ventricle, reduce the power to a level giving
the Doppler angle cursor with the measured movement, including respiration, or by probe homogenous opacification.
vessel. movement influenced by the operator.
• Regional drop-outs If a swirling pattern—that is, destruction of the
To exit PW Doppler Mode or CW Doppler Mode: contrast agent—is observed and persists after the
Regional drop-outs can be caused by the
1. If the system is in PW-Mode, press PW. unintentional destruction of the contrast agent, LV cavity has been filled with the contrast agent,
OR too low a concentration of the contrast agent, continue to reduce the power until homogenous
If the system is in CW-Mode, press CW. Full poor acoustic penetration due to rib and/or lung opacification is obtained.
2D-Mode or CFM-Mode will be displayed. shadows, or by the system failing to detect the
WARNING: Read and carefully follow
2. Press Cursor on the control panel to hide the contrast agent. The last cause might be the
the manufacturer’s instructions on the
Doppler cursor. result of incorrect settings introduced by the
contrast agent’s label.
operator.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 21

Angio Mode
TM Soft Key and Soft Menu Functions pressed and/or turned. The lit (yellow) label
indicates the currently active function.
AngioTM Mode (Power Doppler) is application The soft keys are unlabeled grey buttons and
dependent and is only used in vascular and shared rotaries located at the top of the control panel. For more detailed information, refer to Chapter 3,
services applications. Modes in the Vivid 3 User’s Manual.
A set of corresponding soft key icons is displayed at
NOTE: AngioTM Mode is only available on selected the bottom of the screen.
probes and applications.
The functions of the soft keys vary according to the
mode in which the user is working.
Accessing AngioTM Mode
In each mode, a label above and/or below each soft
To activate AngioTM Mode (Power Doppler): key icon on the screen indicates the function of the
corresponding soft key on the control panel, when
• Press Mode 2.
As shown in the example below, PDI (Power
Doppler Image) parameters are displayed on
the right of the screen, indicating that Power
Doppler mode is currently activated:
Soft keys on the screen

Soft keys on the control panel

Figure 5: Soft Keys

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 22

The Soft Key functions are as follows: • Compression M – increases the compression level and • Focus – changes the location of the focal zone marker by
reduces the M-Mode image contrast when rotated displaying a triangular focus marker that indicates the depth
• %DR – measures two diameters of one blood vessel clockwise, to soften the image. When rotated counter- of the optimized focal point. In Color Mode, the focus
(minimum and maximum). clockwise, increases the M image contrast. location tracks the ROI position.
• %AR – measures two areas of one blood vessel (minimum • Contour M – controls image processing related to the • Foci Number - enables the user to choose the required
and maximum). extent of edge enhancement applied to an image. number of focal zone markers. The number of markers
• 2D Maps – displays a 2D Map menu. The menu enables an • Curve – activates Curved Anatomical M-Mode, enabling available for selection will depend upon the scanning depth
option from a list of non-linear grey-curves or different 2D- the user to generate a synthetic M-Mode display from a of the scan currently in progress.
colorized curves to be selected. curved line drawn on a 2D image. NOTE:Changing the number of focal zone markers affects the
• 2D Caliper – measures distance on the 2D image. • D Caliper – measures maximum velocity, time, and slope Frame Rate.
• 2D Area – measures area on the 2D image. on the spectral Doppler. • Foci Position - sets the position of the focal zone markers
• 2D Volume - measures volume of 2D area. • Directional - shows direction of the Power Doppler (only in (relative to each other).
• Angle – controls the size or angular width of the 2D image Angio [Power Doppler] Mode). NOTE:Toggles between Foci Number/Foci Position.
sector (in degrees). A smaller angle generally produces a • DDP Persistence - enables adjustment of 2D image in
• Foci Spread - sets the spread of the focal zone markers.
scan with a higher frame rate. time. The current frame retains some 2D information from Turning the rotary to the left sets markers closer together;
• ECG Position – the user can position the ECG according previous frames, to prevent noise. turning it to the right, set them further apart.
to preference. • Doppler Angle – enables the user to correct the Doppler • Frame Rate – adjusts the frame rate (in frames/sec).
• Audio Volume – enables the adjustment of the volume velocity scale by defining the angle between the Doppler
• Frequency 2D – enables adjustment of the transmit and
level in Doppler Mode. beam and the interrogated blood vessel (in degrees).
receive operating frequency (in MHz).
• Auto Update – activates the 2D image for a short time • Doppler Maps – displays a drop-down menu of different
• Horizontal Sweep – enables modification of the horizontal
whenever the gate is moved, allowing it to refresh for a Doppler colorization/grey maps when rotated. Select the
required non-linear grey curves or "colorized Doppler" sweep speed (in m/sec).
short distance before the Doppler process is continued. In PW-Mode: focus tracks the Doppler gate position.
curves.
• Baseline (color) – modifies the color distribution map and In CW-Mode: focus tracks the small horizontal marker
changes the color contents of the image accordingly. • Dual Focus - provides another focal point in near field (only
located on the Doppler cursor.
• Baseline (Doppler) – enables the Doppler spectrum to be in Cardiac Mode). In M Mode: focus tracks time (in msecs)
shifted up and down. • ECG - toggles between ON/OFF to show/hide ECG trace In ECG Mode:focus changes the trace speed.
• B/C - controls the priority of black & white image (B) • ECG Internal/External - enables the user to select the • HR – measures heart rate.
vs. color (C). required signal source (either from the ECG cables
• Invert
connected to the system, or from an external ECG source.
• Cine Scroll – enables manual scrolling of the cineloop, in • Left/Right Invert: Enables a mirror image of the 2D
any of the modes, as an alternative to scrolling with the • ECG/Phono Gain - controls the gain of the ECG/Phono
image to be created.
TRACKBALL. signal.
• Up/Down Invert: Enables the 2D image to be rotated
• Cine Speed – controls the cineloop playback speed. When • End Marker – moves the red vertical line that is displayed 180 degrees.
Nominal is displayed on the rotary on the screen, the loop is over the ECG trace to indicate the end of a cineloop. Move
• Invert Color: Enables the color scheme assigned to
running at its original speed. left or right to define the section of the cineloop that is to be
positive and negative velocities to be inverted.
• CO – acquires two measurements; one on the Doppler displayed.
• Invert (Doppler): Enables the spectrum to be flipped
trace and one on the 2D valve diameter. • Envelope Adjustment – corrects and adjusts the envelope
for the Doppler spectrum image auto trace, assuring better 180 degrees, so that negative velocities are displayed
• Color Maps – displays a menu of color map options. Rotate above the baseline and positive velocities below the
accuracy.
the rotary to select a color map. baseline. If the Doppler Mode is combined with Color
• First Marker – moves the green vertical line that is
• Colorize – enables the user to colorize black and white Mode, the color map will also be inverted.
images. With the use of the 2D Maps soft key, the user displayed over the ECG trace to indicate the beginning of a
cineloop. Move left or right to define the section of the • Layout – enables toggling between side-by-side and top-
selects the color map required. bottom layouts when viewing two modes in parallel.
cineloop that is to be displayed.
• Compression 2D – increases compression when rotated • Line Move – enables the M Cursor displayed over 2D
clockwise, resulting in reduced contrast of the 2D image. images in Anatomical M-Mode to be moved from left to right
• Cycles for Store - enables the user to select the number of across the scanning screen.
cycles to be stored in one cine.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 23
• Line Rotate – enables the M Cursor displayed over 2D • Sample Volume – enables the TRACKBALL to be assigned 3D Option:
images in Anatomical M-mode to be rotated 360 degrees. to control the size of the sample volume gate (in mm), in
• Layout - 3D - enables the user to select the required 3D
• Low PRF – enables toggling between High and Low Pulse PW-Mode.
View Layout. Options available for selection:
Repetition Frequency (PRF) functions, only in PW-Mode. • Scroll Results – enables scrolling within the list of
• 3D + Cube
• Low Vel. Reject (Color) – enables the extent of low measurements taken and displayed in the measurement
result list window. • Render
velocity removal to be adjusted (in cm/s).
• Sensitivity - active in CW, enables the sensitivity of the • Main Plane
• Low Vel. Reject (Doppler) – enables the low velocity
portions of the spectrum to be filtered (in cm/s), since the Doppler signal to be increased/decreased. • Landscape
Doppler spectrum and audio can contain strong, • Simultaneous – synchronizes all the cineloops to run • Volumes - enables the user to select the required 3D
undesirable wall-motion signals. simultaneously on the screen when working in multiple Viewing option. Choose from the following:
• LV – measures left ventricle parameters (IVS, LVID, LVPW). view. When turned off, only the image in the active segment • Gray
of the screen will run. When running cineloops in split • Color
• Manual Trace/Auto Trace – enables Doppler signal
envelope tracing. screen mode, enables cineloops to be run in only one
• Gray + Color
window or in all windows.
• M Caliper – measures distance, time, and slope on the M- NOTE:Volumes selection only available in Color/Angio Mode.
• Stop Cine – stops the continuous playback of a cineloop
Mode display.
when pressed. Active when cineloop is running. • Auto Movie - enables the user to record the rendering of a
• M Height – measures distance on the M-Mode display. 3D image.
• Tilt – enables the sector of the 2D image to be tilted to the
• M Maps - displays a drop-down menu of different M-Mode • 3D Reset - returns the display to the initial default 3D Cube.
left or right. By default, the axis of symmetry of a 2D image
grey or colorized maps.
is vertical. • Scan Distance - in post-processing, enables the user to
• Previous/Next – enables the user to manually move to the manipulate the incremental distance between each
• Triplex Live - simultaneously presents 2D, Color, & PW - all
next or previous heart cycle. Active when cineloop is live. neighboring scan plan.
running. (Toggles between Previous/Next cycles.)
• Variance – enables the velocity variance calculation and • Save As - when enabled, used to save a 3D image to a
• PS + ED – measures two velocity points on the spectral hard drive, removable drive, floppy disk, etc.
display velocity variable as an indication of the amount of
Doppler window.
turbulent flow.
• Reject 2D – enables 2D (grey) reject in CFM-Mode. Setting Hip Joint Measurement:
• Velocity – measures one velocity point on the Doppler
is differential to the value set in 2D only. Returning to 2D- window. • Hip Joint - enables the user to superimpose lines on an
Mode disables Reject 2D. image and align them with anatomical features, for the
• Velocity Scale – controls the PRF (Pulse Repetition
• Reject M – rejects the low-level echoes in the M-Mode calculation of Hip Joint Angles measurement.
Frequency) values. It enables maximal detected velocity to
image when rotated clockwise, producing a clearer image. • Rotate Line - used to rotate any of the three lines
be modified. In CFM, it also controls the distribution of
Turn the rotary counterclockwise to decrease the low-level shades in the color map over the different velocity values in (superimposed on the image) to the required angle.
echo rejection. • 2D Caliper - used to perform calculation of the angle
the flow.
• Resize Results – enables shortening and/or enlarging of between two lines.
• VF – measures velocity time integral (VTI) and heart rate
the measurement result list shown in the window on the • Ellipse - provides an alternative method of measuring two
(HR) on the spectral Doppler window, and blood vessel
display screen. diameter on the 2D window. diameters (within an elliptical shape).
• ROI Size – enables the TRACKBALL to control the • Volumes - • 2 Diameters - assigns a ratio to a hip joint measurement.
dimensions of the color ROI (Region of Interest, when
pressed. Use the TRACKBALL right, left, up, or down to
• Width – controls the sector width in the case of a linear Biopsy Guide Option:
probe, and angular width for all other probes.
control ROI height/width. • Biopsy Marker - used to adjust and rotate the biopsy
• RUN Cine – activates an endless playback of a cineloop “depth marker” to the required position (estimates the
when pressed. The time frame of the played back cineloop penetration depth of the biopsy needle).
is defined by the colored markers displayed on the ECG • Biopsy Setup - used to select one of three angles when
trace. In 2D-Mode, displays a scrolling image. In Doppler changing the angle of the biopsy bracket attachment.
Mode, displays a scrolling ECG pointer. Active when NOTE:Only applicable to variable-angle adjustable bracket
cineloop is stopped. attachments.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 24

Soft Menu Rocker Functions The Soft Menu Rocker functions are as follows: • Frequency – enables the transmission frequency in
Doppler and Color Modes (in MHz) to be modified
The Soft Menu rocker enables access to • Contour 2D – enables the sharpness of images to be to control sensitivity or level of penetration.
increased in the radial direction in 2D or M-Mode.
mode-specific pop-up menus that provide display • Persistence – enables adjustment of color images, so
• Diff (Difficult) – reduces these reverberation artifacts, the current frame retains some color information from
adjustment options. For additional information, refer however frame rate will be reduced as a result. When set to previous frames, to avoid noise.
to Chapter 3, Modes in the Vivid 3 User’s Manual. 0 (zero), this function is active. The factory default for this • Power – controls the amount of acoustic power applied in
function is 1.
all modes (in dB).
• Doppler DR – adjusts the range of color scale used to
• Reject 2D – enables 2D (grey) reject in CFM-Mode. Setting
represent the span of received signal strength from the
is differential to the value set in 2D only. Returning to
blood. It makes the spectrum softer or harder. 2D-Mode disables Reject 2D.
• Doppler Post Processing – controls the amount of • Reject (Doppler) – enables undesirable background noise
contrast of the Doppler display.
to be removed from the Doppler spectrum.
• 2D Dynamic Range – enables control of the dynamic range
• Sample Volume – controls the size of the CFM sample
or contrast of an image in 2D and Doppler Modes (in dB).
volume.
• Flash Removal – enables an algorithm that removes
• Steer Angle – controls the angular direction of the
undesired color flashes due to probe motion or strong
ultrasound beam.
tissue motion. (Note: High values can cause a reduction of
color sensitivity.) • Lateral and Axial Smooth – enables radial and lateral
smoothing of the color pixels.
• Frame Rate – enables the frame rate (in Hz) to be
increased when examining fast moving tissue. When
examining non-moving tissue, the frame rate can be
decreased to increase resolution.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 25

3D Option When completed, the message "Data Loading

Successful" appears and the data is displayed
The 3D package is a system option that enables in the scanning screen, as shown below.
3D reconstruction, presentation, and manipulation
of data acquired from the following:
• Regular Scan (2D, CFM, or Angio)
• Stored Cine (from an archive)
The 3D image is presented in a special window.
Using the tools provided, the user is able to view
and manipulate the image in several ways:
• Select a Region of Interest (ROI)
• Rotate the 3D image (using the trackball)
• Move the clipping planes (using the Figure 6: ROI displayed over the image
trackball)
5. If required, press the Run Cine soft key and
• Change the visualization parameters and trim the temporal scan range as necessary, by
layout (using the keyboard functions on the adjusting the First Marker and End Marker NOTE: The 3D + Cube (shown above) is the
control console). soft rotary keys: default view Layout.
To activate the 3D option:
9. If preferred, use the Layout soft key rotary to
1. Perform a free-hand scan (in 2D, CFM, or change to the required 3D view Layout.
Angio) of a volume, either in parallel or in 10. Use the tools provided to manipulate the 3D
sweep format, as follows: Volume of Interest (VOI), as required. See
To perform a parallel scan, scan evenly in a 6. Press Stop Cine when done. “Manipulating the 3D Volume of Interest” on
single direction 7. Use the 3D Data Type rotary knob to select the page 26.
To perform a sweep (fan) scan, rock the probe sweep type: Parallel or Sweep. (Match the 11. Examine the data and if necessary, use any
once in a single direction selection with what you scanned in Step 1). other 3D option tools or functions as required.
2. Press Freeze. 12. To exit from 3D rendering at any time, press the
3. Press Function 3 on the control console. Function 3 button once again, or simply press
A white-frame ROI will appear over the image Freeze to resume normal scanning.
(in the center of the window), as shown in
Figure 6. The ROI marks the region of the The default is Parallel.
image which will be rendered into 3D. 8. Press 3D View on the soft key menu.
4. If required, use the Trackball and Select button The message: “3D data is loading.
to position/resize the ROI correctly. Please wait.” is displayed.
NOTE: The Function 3 button has a toggle action NOTE: Depending upon the amount of
that hides/displays the 3D ROI. data to be loaded, this may take some time. Please
be patient.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 26

Manipulating the 3D Volume of Interest To move through the 3D VOI:

1. Position the hand over one of the visible planes
The 3D VOI is a tangible anatomical object that you of the cube; the hand turns red.
can see and manipulate easily, using the Trackball
2. Press Select. The selected plane is marked by
and Select key on the Vivid 3 control console.
a red frame and the trackball cursor shape
When performing this manipulation, you are able to changes to a red closed hand.
precisely define the 3D VOI and examine the data 3. Use the Trackball to move the red plane
within it. through the 3D VOI, as shown in Figure 8.
For more detailed information, refer to the Vivid 3
Release Notes SW 3.1. Figure 9: Manipulating the Edge of a 3D VOI (Yellow Hand)

To rotate the 3D VOI: NOTE: The yellow hand appears only when the
pointer is on an edge of the 3D VOI. If the hand is
1. Position the white trackball pointer (in the not visible, trackball closer to the edge. Only the
shape of a pointing finger) outside of the edge of the plane closest to the hand is highlighted
rectangle and press Select. in yellow.
The white hand will close, as shown in Figure 7.
To manipulate the corner of the 3D VOI:
1. Position the green trackball pointer (in the
Figure 8: Moving through the 3D VOI (Red Hand)
shape of a pointing finger) on one of the
NOTE: Any plane in the volume can be made corners of the VOI and press Select.
active (highlighted by a red rectangle) by placing The trackball cursor shape changes to a green
the red hand over it and clicking on it. closed hand and a small green dot appears on
To manipulate the edge of the 3D VOI: the selected corner.
2. Use the Trackball to move the green hand and
1. Position the trackball pointer over any visible pull back the corner of the plane accordingly, as
edge. The hand pointer turns yellow. shown in Figure 8.
Figure 7: Rotating the 3D VOI (White Hand) 2. Position the yellow pointer (in the shape of a
pointing finger) on the required edge and press
2. Trackball to rotate the 3D VOI in any direction,
Select.
as required. You can also tilt it backwards or
The trackball cursor shape changes to a yellow
forwards, if necessary.
closed hand and the edge of the selected plane
3. Press Select again to release the trackball from (closest to the hand) becomes highlighted in
rotating the VOI. The white hand will open in yellow.
the shape of a pointing finger.
3. Use the Trackball to move the yellow hand (and
the edge of the plane) accordingly - to view
specific anatomical portions, as shown in
Figure 9. Figure 10: Manipulating the Corner of a 3D VOI (Green Hand)

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 27

Biopsy Guide Option Precautions for Use of Biopsy Procedures

The Biopsy Guide package is a system option that
supports the use of a Biopsy bracket and an
on-screen Biopsy Guide Zone on the Vivid 3 WARNING: Do not Freeze the image during a biopsy procedure. The image must
ultrasound scanner. be live in order to avoid a positioning error.
Biopsy Guide Zones are intended to assist the user in determining optimal probe
The feature supports two types of brackets: placement and approximate the needle path. However, actual needle movement is likely
• Adjustable multi-angle bracket attachment to deviate from the guide line. During the procedure, always monitor the relative
(Civco model C358/3Cb/3C) for use with the positions of the biopsy needle and the subject mass.
curved C358 probe
C
• Fixed-angle bracket attachment (Civco model CAUTION: The use of biopsy devices and accessories that have not been
LA39) for use with 10L or 12L Linear probes evaluated for use with this equipment may not be compatible and could result in
injury.
The display of an interactive Biopsy Guide Zone
screen facilitates precise control over the angle and
depth of the needle during the biopsy procedure. C CAUTION: The invasive nature of biopsy procedures requires proper preparation
The Biopsy Guide Zone may be activated in 2D or and technique to control infection and disease transmission. Equipment must be
Color mode. cleaned as appropriate for the procedure, prior to use.

NOTE: A bracket attachment is supplied in a • Follow the probe cleaning and disinfection procedures and precautions to properly
"Starter Kit" together with some accessories in a prepare the probe.
separate Biopsy Kit. For details and a list of • Follow the manufacturer's instructions for the cleaning of biopsy devices and accessories.
contents of the kit, refer to theVivid 3 Release • Use protective barriers such as gloves and probe sheaths.
Notes SW 3.1.
• After use, follow proper procedures for decontamination, cleaning, and waste disposal.

C CAUTION: Improper cleaning methods and the use of certain cleaning and
disinfecting agents can cause damage to the plastic components that will degrade
imaging performance, or increase the risk of electric shock.
For more information, refer to the safety instructions supplied with each probe.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 28

Displaying the Biopsy Guide Zone Screen The following message is displayed: "Be sure to
select the proper biopsy kit and set up the
The Biopsy Guide Zone is an interactive display proper bracket angle".
drawn on the screen, and associated with the For details on selecting the proper Biopsy Kit,
currently-selected bracket angle of the probe refer to the information provided in the Vivid 3
attachment. Release Notes SW 3.1.
NOTE: For a full description and detailed For “Bracket Attachment Angle Set-up” see the
explanation of this feature, refer to the Vivid 3 instructions, below.
Release Notes SW 3.1. NOTE: If the current probe does not support
NOTE: The user is able to change the way in which use of a biopsy bracket, the message "Biopsy Figure 12: Bracket Attachment Angle Selection Set-up
the Biopsy Guide Zone is displayed, in accordance Guide is not supported" is displayed.
2. Select the required bracket angle (positions 1,
with individual preferences. For example, change 2. Adjust the Biopsy Marker rotary and rotate it to 2, or 3) by clicking on one of the following:
the distance between dots; hide/display the center move the "depth marker" to the required MBX-1, MBX-2, or MBX-3.
line, outer lines etc. For instructions, refer to the position. Use this tool to estimate the needle’s Once the required bracket angle is selected,
Vivid 3 Release Notes SW 3.1. penetration depth. the pop-up menu closes and the Guide Zone
To activate display of the Biopsy Guide Zone: display accordingly reflects the new selection.
1. While in 2D or Color Mode, press Biopsy on NOTE: If you wish to exit the pop-up menu without
the alphanumeric keyboard. making changes to the bracket angle, simply click
on Exit.
If the current probe supports use of a biopsy The changed position of the depth marker is
bracket, the Biopsy Guide Zone is displayed on reflected on the screen. 3. Check the display at the
the screen, as shown in Figure 11 below. top of the screen to make
Bracket Attachment Angle Set-up sure that the selected
angle is appropriate. If not, repeat Step 2 to
change the selection.
NOTE: This procedure is intended for variable-angle
adjustable bracket attachment only. DANGER: Failure to match the
screen-displayed Guide Zone to the
To change the angle of the bracket attachment:
physical angle of the bracket’s needle
1. Press the Biopsy Setup soft rotary key. guide may cause the needle to track a
path outside the Guide Zone.
A pop-up menu is displayed, showing pictures
It is extremely important that when using the
of the bracket attachment at three different
adjustable angle biopsy guides, the angle
angles, as shown in Figure 12.
displayed on the screen matches the angle
set on the guide, otherwise the needle will
not follow the displayed guide zone. This
could result in repeated biopsies, or even
patient injury. For more details on Biopsy
Figure 11: Biopsy Guide Zone displayed on screen Needle Deviation, see the Vivid 3 Release
Notes SW 3.1

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 29
NOTE: Whenever the system is turned OFF and ON
again, the bracket-hole number - as well as the Needle clip attachment C CAUTION: When pushing the pin to
location of the depth marker - is maintained as before. Orientation mark secure the angle position of the
needle guide attachment, hold the
Preparing the Multi-Angle Guide bracket firmly in place on the probe.
Excessive force may cause the
Attachment bracket to release from the probe.
WARNING: DO NOT attempt to use
9. Apply an adequate amount of coupling gel to
the multi-angle biopsy bracket and
Bracket Probe the face of the probe.
needle guide until the
manufacturer's instructions 10. Place the proper sanitary sheath tightly over the
Figure 14: Aligning the Orientation Mark
(provided with the biopsy bracket probe and biopsy bracket. To hold the sheath
6. Attach the biopsy bracket to the probe by firmly in place, use the rubber bands supplied,
and needle guide in the Biopsy Kit), sliding the bracket over the end of the probe
have been read and thoroughly as shown in Figure 16.
until it clicks or locks in place.
understood.
7. Select the required needle guide attachment
To assemble the multi-angle biopsy guide: angle by pulling the metal locking pin upwards
to freely move the needle guide attachment and
1. Scan the patient and identify the target for the slide it out of the slotted opening on the plastic
biopsy. bracket.
2. Move the probe to locate the target to the
center of the image. Metal
locking Figure 16: Applying the Sanitary Sheath to the Probe
3. Enable the system Biopsy Guide Zone and try
the guide zone angles MBX1, 2 or 3 to decide pin 11. Place the needle clip attachment onto the
the best angle setting for the needle path. See biopsy guide bracket and snap into position, as
“Displaying the Biopsy Guide Zone Screen” on shown in Figure 17.
page 28.
4. Identify the appropriate Biopsy Guide bracket Locking pin in Position 1 Locking pin in new position Needle clip attachment
by matching the label on the bracket with that
Figure 15: Changing Attachment Angle & Locking into Position
on the probe to be used.
8. Align the pin with the currently-selected angle
of the needle guide attachment in order to
match that of the Guide Zone displayed on the
Vivid 3 screen: MBX1, MBX2, or MBX3. For
example, if MBX2 is selected, align the pin with
Figure 13: Multi-Angle Biopsy Guide Bracket position 2 (as shown above) and push it into
5. Orient the bracket so that the needle clip position in the slot. Press the pin downwards to
secure it firmly in place (see picture on right, in Figure 17: Fitting the Needle Clip Attachment onto the
attachment will be on the same side as the Biopsy Guide Bracket
orientation mark (ridge) on the side of the Figure 15 above).
probe, as shown in Figure 14.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 30

12. Push the locking mechanism towards the NOTE: When inserting the needle barrel into the 7. Push the locking mechanism towards the
bracket to secure the lock. Make sure the needle clip, make sure the two embossed arrow bracket to secure the lock. Make sure the
needle guide is firmly attached to the bracket - points are facing each other; in this way correct needle guide is firmly attached to the bracket -
see Figure 18. positioning is assured. The gauge marked on one see Figure 18 on page 30.
side of the needle barrel will be visible, since this 8. Choose a needle barrel of the required gauge
Lock will be facing towards you (as shown in Figure 20). (size) and twist it back and forth to remove it
from the plastic holder (tree) - refer to Figure 19
Preparing the Fixed-Angle Guide on page 30.
Attachment 9. Place the selected needle barrel into the needle
clip (see note below) and push to snap into
WARNING: DO NOT attempt to use place - see Figure 20 on page 30.
the fixed-angle biopsy bracket and
Figure 18: Locking the Needle Clip Attachment into Position NOTE: When inserting the needle barrel into the
needle guide until the
needle clip, make sure the two embossed arrow
13. Choose a needle barrel of the required gauge manufacturer's instructions
points are facing each other; in this way correct
(size) and twist it back and forth to remove it (provided with the biopsy bracket
positioning is assured. The gauge marked on one
from the plastic holder (tree) - see below. and needle guide in the Biopsy Kit),
side of the needle barrel will be visible, since this
have been read and thoroughly
Plastic holder will be facing towards you (as shown in Figure 20).
understood.

To assemble the fixed-angle biopsy guide:

1. Identify the appropriate biopsy guide bracket.
Selected 2. Orient the bracket so that the needle clip
needle barrel attachment will be on the same side as the
orientation mark (ridge) on the side of the
Figure 19: Removing the Needle Barrel from the Plastic Holder probe, as shown in Figure 14 on page 29.
14. Place the selected needle barrel into the needle 3. Attach the biopsy bracket to the probe by
clip (see note below) and push to snap into sliding the bracket over the end of the probe
place - see Figure 20. until it clicks or locks in place.
4. Apply an adequate amount of coupling gel to
Gauge marked the face of the probe.
on needle barrel
5. Place the proper sanitary sheath tightly over the
Arrow probe and biopsy bracket. To hold the sheath
firmly in place, use the rubber bands supplied,
as shown in Figure 16 on page 29.
Arrow 6. Place the needle clip attachment onto the
biopsy guide bracket and snap into position, as
shown in Figure 17 on page 29.
Figure 20: Needle Barrel Installation

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 31
Performing the Biopsy Procedure To complete the Biopsy procedure:
1. When the biopsy is complete, remove the
WARNING: Biopsy procedures must needle barrel, needle clip and probe sheath.
only be performed on live images. 2. Properly dispose of these items in accordance
with current facility guidelines.
NOTE: The biopsy bracket can be sterilized in a
recommended disinfecting agent (refer to the
C CAUTION: Before performing a manufacturer’s instructions - see also the Biopsy
biopsy, ensure that all Biopsy Guide Bracket Cleaning and Sterilization instructions
parts are seated properly. provided in the Vivid 3 Release Notes SW 3.1),
Refer to the following instructions, as after which it may be re-used, as required.
appropriate: “Preparing the Multi-Angle
Guide Attachment” on page 29;
“Preparing the Fixed-Angle Guide
Attachment” on page 30.
To perform the Biopsy procedure:
1. Place coupling gel on the scanning surface of
the probe/sheath/biopsy guide assembly.
2. Activate the Biopsy Guide Zone on the Vivid 3
system by pressing Biopsy on the
alphanumeric keyboard. (Refer to “Displaying
the Biopsy Guide Zone Screen” on page 28).
When using multi-angle guides, ensure that the
proper Guide Zone angle is displayed.
(Refer to “Bracket Attachment Angle Set-up” on
page 28).
3. Scan to locate the target. Center the target in
the electronic Guide Zone path.
4. Carefully place the needle in the guide between
the needle barrel and needle clip. Direct it into
the area of interest for specimen retrieval.

Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 32

Physiological Traces Changing the ECG Trace Amplitude Hiding the ECG Signal Trace

For additional information, see Chapter 4, To change the ECG trace amplitude: To hide the ECG signal trace:
Physiological Traces in the User’s Manual. 1. Press Physio. 1. Press Physio .
2. Turn Gain ECG rotary. 2. Press the ECG soft key to hide the ECG signal
Connecting the Electrodes To change the ECG trace position: trace. The on-screen LED will dim. Press the
ECG soft key again to display the ECG signal
1. Press Physio. trace.
2. Turn ECG position rotary.
Using the Heart Sound Microphone
Selecting an External ECG Input Device
1 3
2 4 To select external ECG signal input: To use the heart sound microphone device:
1. Press Physio. 1. Connect a microphone cable in the Rear
2. Press the ECG Internal/External soft key so Connector Panel.
that External is lit on screen. To return to the 2. Press Physio.
internal ECG unit, press the ECG Internal/ 3. Press the Phono soft key to display the Phono
External soft key again so that Internal is lit on trace.
1. Footswitch (black)
screen.
2. Phono (blue)
NOTE: ECG Internal/External can also be set by Changing the Phono Trace Position
3. Internal ECG (yellow) accessing the System Configuration and changing
4. ECG (green) to the required settings under the ECG/VCR tab. To change the Phono trace position:
NOTE: If any ECG trace problems occur, use the 1. Press Physio.
Reset ECG soft key.
Adjusting ECG & Phono Display 2. Press the ECG position / Phono Position soft
key rotary to activate the Phono position
Changing the Trace Sweep Speed in function.
2D-Mode 3. Turn the Phono position soft key rotary.

To change the trace sweep speed in 2D-Mode: Selecting a Phono Filter

1. Press Physio. The ECG & Phono soft key
To select the Phono filter:
menu is displayed.
2. Turn the Horiz. Sweep rotary to change the 1. Press Physio.
sweep speed. 2. Press the Horiz. Sweep / Phono_Filter soft
key rotary to activate the Phono Filter function.
3. Turn the Phono_Filter soft key rotary to select
the appropriate phono filter.

Physiological Traces Vascular Measurement

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 33

Stress Echo Acquisition Deleting or Replacing Acquired Images

For additional information, see Chapter 5, Stress Selecting an Image To delete an acquired image:
Echo in the User’s Manual. 1. TRACKBALL to the projection/level image cell
To begin acquisition: and press Select.
Accessing Stress Echo Mode 2. Press Menu. The Delete option is displayed.
1. Toggle Freeze to off.
TRACKBALL to the on-screen Delete button and
To access Stress Echo Mode and select a stress 2. Perform a scan in 2D-Mode.
press Select. A pop-up dialog box, requesting
protocol: 3. Press Freeze to stop and replay the last confirmation of the deletion is displayed.
1. Press Protocol. A list of available stress complete heart-loop.
3. TRACKBALL to Yes and press Select.
protocol templates is displayed on the 4. After selecting the preferred loop, press Store.
NOTE: To delete a level, the selected level must
clipboard. 5. Repeat previous steps until all required not contain any images.
NOTE: Stress protocol templates can be edited or projections have been made and completed.
created, as described in Chapter 5,Stress Echo in To replace an acquired image:
NOTE: You may also press Store twice (to accept
the User’s Manual. loops) without performing Steps 1 -3 above. 1. TRACKBALL to the projection/level image cell
2. Use the Select Template soft key rotary to that is to be replaced in the clipboard’s matrix
To select a loop on a Quad View display:
highlight the required template. and press Select.
1. Follow steps 1 – 3 of the previous procedure to 2. Press Store.
3. After selecting the required protocol, press acquire an image.
Freeze to exit Freeze Mode and begin 3. TRACKBALL to Yes and press Select.
2. Press the Quad View soft key so the relevant
acquisition.The name of the selected template
on-screen icon is selected.
is displayed at the top of the clipboard.
3. TRACKBALL to the required quad window and
press Select.
4. Manually select the required image using the
soft keys and soft key rotaries.
5. Press Store.
6. Repeat the previous steps until all required
projections have been acquired and completed.

Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 34

Setting Timers for Projections and Analysis Exercise Stress Examinations

Levels
Scoring Acquired Heart Cycles Exercise stress examinations are similar to
Two timers (T1 and T2) are displayed in the top left previously described examinations, except that
corner of the image area, adjacent to the projection image acquisition is performed continuously for all
To analyze stress echo data:
matrix, beneath the projection and level names. projections of the level. The acquisition procedure
1. Press Freeze. for the Rest level is the same as described in
• TI, which is displayed at all times, displays the Chapter 5, Stress Echo of the User’s Manual.
2. Press the Analyze soft key. The system
elapsed time from the start of the stress
automatically displays a quad view of the first
examination. Important: When continuous capture mode is
group of images to be analyzed and scored on
• T2 is a level timer. It can be used to display the the screen. The current group’s name will selected, the system automatically displays
time lapse between levels when the appear in the prompt bar. Capture Paused at the bottom of the clipboard.
Dobutomine template has been selected; or
the number of seconds captured in the Scoring Stress Echo Data
continuous capture buffer when an Exercise Important: A buffer bar is displayed at the bottom of
template has been selected. To score stress echo data: the clipboard area. The percentage (%) of the buffer
that is filled is displayed on the bar. The green
Important: The user must save the report in order to 1. TRACKBALL to a segment in one of the scoring portion of the bar reflects the available buffer space
be able to view the report at a later time with the diagrams and press Menu. A pop-up menu is and the red portion reflects the filled buffer.
images as placed. Once a report is saved, no data displayed. A yellow vertical line on the buffer bar reflects a gap
or image can be added to the same report. 2. TRACKBALL to a score and press Select. of time in the capturing process (stopping). A blue
3. Repeat steps 1 and 2, until all segments have vertical line on the bar reflects the location of the
To display or remove the T2 timer from the been assessed and scored. image displayed, within the buffer area.
image screen:
To control the capture process:
• TRACKBALL to the on-screen T2 timer icon BullsEye Scoring Diagram
button which is located beneath the projection • Use 2D Update to toggle between Pause and
matrix, and press Select to toggle the button • TRACKBALL to a BullsEye View and press Capture (unpause) modes.
on/off. The T2 timer is displayed under the T1 Select. • Use Freeze to stop capture. In this mode, the
timer display on the image area. NOTE: A checkmark is displayed next to the last heart cycle captured is replayed on the
To start or re-start the T2 timer: selected BullsEye scoring method for the specific screen.
protocol. NOTE: The system enters Freeze Mode
• TRACKBALL to Start, which is located beneath
the projection matrix next to the T2 button, and automatically once the buffer is totally full (99%).
press Select. The Start button changes to
Stop.
To stop the T2 timer:
• TRACKBALL to Stop and press Select.

Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 35
Selecting and Storing Heart Cycles Displaying, Hiding, or Resetting the Assigning New Labels to Levels or
Capture Buffer Projections
After the buffer is filled with continuously captured
cycles, the user can begin to review the contents of To display, hide, or reset the capture buffer: To assign new labels to projections:
the buffer and store images to the scoring matrix.
1. TRACKBALL to the template name and press 1. TRACKBALL to the projection label that is to be
The procedure options available for reviewing the Select. changed and press Menu. A pop-up menu is
contents of the buffer are described below. displayed with a list of available labels.
2. TRACKBALL to the required option and press
To review and select the buffer bar’s captures in Select. 2. TRACKBALL to the required projection label and
Full View: press Select.
NOTE: For details on viewing scoring and
• Use the Previous/Next soft key rotary to scroll measurements during the Stress exam, refer to NOTE: Once a level has an image stored, the label
through the buffer. A blue line indicates the “Reporting” on page 52. of that level can no longer be changed.
location of the heart cycle in the buffer bar, and
the heart cycle is displayed on the screen, Editing and/or Creating Stress Defining New Groups
Templates To assign a name to a group of image cells:
To enter, review, and select the captures in the
1. TRACKBALL to the group name that is to be
buffer bar in quad view: Selecting a Base Template changed in the group list and press Select.
1. Press the Quad View soft key. The first four To select a base template: NOTE: If cells are assigned while the group name
captured heart cycles are displayed. is highlighted, the cells associated with the group
1. Press Protocol.
NOTE: If the Quad View soft key is not available, will be identified by yellow frames.
press Active Mode. Scroll using Active Mode 2. Use the Select Template soft key rotary to
highlight the one to use as the basis of the new NOTE: If the vertical cursor is not displayed in the
through the different soft key menu options, while in
stress template. desired location, move the cursor with the TRACKBALL
Freeze Mode, until the Quad View soft key is
and press Select again to reassign cursor location.
displayed.
Adding/Deleting Levels 2. Use the alphanumeric keyboard to enter a new
2. Use the Previous/Next soft key rotary to scroll
To add levels: name.
through the buffer to display the four previous
or next heart cycles. A blue line indicates the To define cell options:
• Rotate the Set Levels or (Set Peak Level) soft
location of the first window’s heart cycle in the key rotary clockwise until the required number Cell options, such as whether or not the T2 timer is
buffer bar. of levels is reached. displayed, or when scoring is entered, can be
To store heart cycles selected from the buffer To delete levels: configured for each cell.
bar:
• Rotate the Set Levels (or Set Peak Level) soft 1. TRACKBALL to the required image cell and press
1. Press Store. key rotary counter-clockwise to remove the Select.
2. Follow the procedures for analysis, described in unrequired level/s 2. Press Menu.
Chapter 5, Stress Echo of the User’s Manual. NOTE: Be sure not to remove the last and soliday A pop-up menu with cell editing options is
NOTE: Press Exit to return to continuous capture Peak level. Once no Peak level remains in the displayed (e.g., Delete, Enter Quad on Freeze,
acquire mode. template, the user will not be able to add a Peak Unfreeze after Store, Timer 2 Reset or Off,
level to the template. Enter Scoring).

Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 36

Deleting Groups

To delete a group:
1. TRACKBALL to the name of the group that is to
be deleted along the right side of the screen
and press Menu.
2. TRACKBALL to Empty and press Select. The
group is removed.

Saving an Edited Stress Template

To save an edited stress template:

1. Press the Save soft key. A dialog box is
displayed.
2. Use the alphanumeric keyboard to enter a new
name for the template.
3. TRACKBALL to OK and press Select.
4. Press Freeze and begin the stress acquisition
procedure.

To delete an edited stress template:

1. TRACKBALL to the name of the template that is
to be deleted and press Select.
2. Press the Delete soft key.
3. TRACKBALL to Yes and press Select.

NOTE: The Stress application has additional

capabilities. For further information on using the
Echo Stress Package, see the Vivid 3 Pro/Expert
SW 2.2 Release Notes.

Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 37

Cardiac Measurement and Area Measurements Heart Rate (HR) Measurement

1. Generate the image to be measured and press 1. Select an image to be measured and press
Analysis Freeze. Freeze.
For additional information, see Chapter 6, Cardiac 2. Press Caliper. 2. Press Caliper.
Measurements in the User’s Manual. 3. Press the 2D Area soft key. 3. Press the HR soft key.
4. TRACKBALL to the start point of the 4. If the heart rate value is acceptable,
measurement and press Select to anchor the
Measure and Assign caliper. TRACKBALL to the and press Select.
The Caliper button activates the Measure and 5. TRACKBALL along the outline of the area. OR
Assign convention, as well as the basic Measure use the First Marker or End Marker soft
6. Press Select to close the trace.
convention. rotaries to correct the position, or use the
7. Repeat steps 4 – 6 for additional Previous/Next soft rotary to skip to a different
• A maximum of eight measurements can be measurements. heart cycle.
displayed on the screen at once. 8. Assign a label to the measurements. 5. To cancel the measurement, TRACKBALL to
• The last measurement is highlighted. NOTE: To correct a trace after it has been closed,
• The soft key icons indicate the available double-click on the marker located on the trace. the and press Select.
measurement tools. The straight line that closed the trace is removed.
Use the TRACKBALL or <Backspace> to make the
Performing Measurements correction.
M-Mode
Volume Measurements
2D-Mode M Caliper Measurements
1. Select the image to be measured and press
Length Measurements Freeze. 1. Select the image to be measured and press
1. Generate the image to be measured and press 2. Press Caliper. Freeze.
Freeze. 3. Press the 2D Volume soft key. 2. Press Caliper.
2. Press Caliper. 4. TRACKBALL to the starting point at which the 3. Press the M Caliper soft key.
3. Press the 2D Caliper soft key. volume is to be measured and press Select to 4. TRACKBALL to the start point of the
anchor the caliper. measurement and press Select to anchor the
4. TRACKBALL to the start point of the
measurement, and press Select to anchor the 5. TRACKBALL around the area to be used for the caliper.
caliper. volume calculation and press Select to fix the 5. TRACKBALL to the measurement end point.
end point. 6. Press Select to anchor the caliper.
5. TRACKBALL to the measurement end point.
6. TRACKBALL the end point of the axis to the 7. Repeat steps 4 – 6 for additional
6. Press Select to anchor the caliper.
required location and press Select to complete measurements.
7. Repeat steps 4 – 6 for additional the measurement.
measurements. 8. Assign lables to the measurements.
7. Repeat steps 4 – 6 for additional
8. Assign a label to the measurements. measurements.
8. Assign labels to the measurements.

Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 38

Height Measurements Heart Rate Measurements Manual Trace Measurements

1. Select the image to be measured and press See “Heart Rate (HR) Measurement” on page 37. 1. Generate the spectrum to be measured and
Freeze. press Freeze.
2. Press Caliper. Doppler Mode 2. Press Caliper.
3. Press the M Height soft key. Velocity and Pressure Measurements 3. Press the Man Trace/Auto Trace soft key to
4. TRACKBALL along the time axis and press activate the Man Trace tool.
1. Generate the spectrum to be measured and
Select to anchor the caliper. press Freeze. 4. TRACKBALL to the start point of the trace and
5. TRACKBALL to the measurement end point. press Select.
2. Press Caliper.
6. Press Select to anchor the end point. 5. Use the TRACKBALL to trace the Doppler
3. Press the Velocity soft key. envelope from left to right.
7. Repeat steps 4 – 6 for additional 4. TRACKBALL to the required point and press
measurements. 6. Press Select.
Select.
8. Assign labels to the measurements. 7. Repeat steps 4 – 6 for additional
5. Repeat steps 4 –6 for additional measurements.
LV Measurements measurements.
8. Assign labels to the measurements.
1. Select the image to be measured and press 6. Assign labels to the measurements.
Automatic Trace Measurements
Freeze. Doppler Caliper Measurements
2. Press Caliper. 1. Generate the spectrum to be measured and
1. Generate the spectrum to be measured and press Freeze.
3. Press the LV soft key. press Freeze.
2. Press Caliper.
4. TRACKBALL to the required location on the time 2. Press Caliper.
axis and press Select. 3. Press the Man Trace/Auto Trace soft key twice
3. Press the D Caliper soft key. to activate the Auto Trace tool.
5. TRACKBALL to the PW anterior point, and press 4. TRACKBALL to the start point of the
Select. 4. TRACKBALL to any time position over the
measurement and press Select. required heart cycle on the spectrum.
6. TRACKBALL to the septum posterior point and 5. TRACKBALL to the end point of the measurement
press Select. 5. Press Select.
and press Select.
7. TRACKBALL to the PW posterior point and press 6. To correct the measurement, see Chapter 6,
6. Repeat steps 4 – 5 for additional Cardiac Measurement and Analysis in the
Select. measurements. User’s Manual.
8. TRACKBALL to the required location on the time 7. Assign labels to the measurements.
axis and press Select. • To realign the entire envelope, rotate the
Envelope Adj soft key rotary. Rotate
9. TRACKBALL to the septum posterior point and
clockwise to lower the envelope, or
press Select.
counterclockwise to raise the envelope.
10. TRACKBALL to the PW anterior point and press
Select.
11. TRACKBALL to the PW posterior point and press
Select.

Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 39
Cardiac Output Modifying Measurements Deleting Assigned Measurements
1. Measure the LVOT diameter in 2D/M Mode.
To modify a measurement: To delete assigned measurements:
2. Generate the spectrum to be measured and
press Freeze. 1. Highlight the required measurements. 1. Highlight the required measurement.
3. Press Caliper. 2. Press Select twice. 2. Press Menu.
4. Press the CO soft key. 3. TRACKBALL the marker to the required position 3. TRACKBALL to Delete and press Select.
and press Select to anchor the marker.
5. TRACKBALL to the start time point of the trace
4. Perform the required modifications. OR
and press Select.
6. Use the TRACKBALL to trace the Doppler Assigning a Parameter Label After 1. Highlight the required measurement.
envelope from left to right on the required part Measurement
of the spectrum and press Select. 2. Press <Delete>. The highlighted measurement
is deleted from the image and from the
7. TRACKBALL to the bar to indicate the end of the • A measurement can be taken more than once.
database.
heart cycle and press Select. Only the last measurement for a specific
OR
8. To obtain the Cardiac Output (CO) estimation, parameter label can be active and can be
Press <Del Meas>.
assign the result to SystCo (systolic cardiac modified.
To remove/clear all the measurements from the
output), or to one of the heart valves. • The last six measurements for a parameter can
screen:
9. The corresponding cross-sectional diameter of be saved in the database and viewed in the
the valve measured in Step 8 should be Worksheet. • Press Exit.
measured and assigned using a corresponding • A measurement that has not been assigned to OR
2D image. a parameter will not be retained in the Press Caliper.
NOTE: The CO will be calculated, and will be database. NOTE: When measurements are removed using
displayed on the screen and in the Worksheet. To assign a predefined parameter label to the above procedure, measurements that have
a measurement: been assigned are retained in the database.
General Controls 1. Highlight the required measurement. Controlling the Result Table Size
2. Press Menu.
Highlighting Measurements To modify the size of the Result table:
3. TRACKBALL to the required label abbreviation.
To highlight a measurement: 4. Press Select. • Rotate the Resize Results/Scroll Results soft
key rotary.
• TRACKBALL to the required measurement To assign a user-defined parameter label to a
marker on the image, measurement: To scroll through the result table:
OR 1. Highlight the required measurement. 1. Press the Resize Results/Scroll Results soft
TRACKBALL to the required measurement in the key rotary to enable the Scroll Results
result table in the upper-left corner of the 2. Press Menu.
function.
screen. The measurement is highlighted in 3. TRACKBALL to User and press Select.
2. Rotate the Resize Results/Scroll Results soft
green and can be modified. 4. Use the alphanumeric keyboard to enter the key rotary to scroll up or down through the
NOTE: There is an option to jump automatically to required label. results displayed in the Result table.
the next measurement. 5. TRACKBALL to OK and press Select.

Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 40

Assign and Measure Worksheet To scroll within a mode-specific page:

The Measure button activates this convention. All the measurements and calculations taken during • Use the Scroll Content soft key rotary to
the examination can be viewed at any time using navigate.
A list of studies (protocols) is displayed on the
the Worksheet. The Worksheet is the only source To adjust the method by which a calculation is
clipboard area on the left of the screen. Each study
that retains all the measurement information. made:
consists of a list of measurement labels.
Measurements are taken according to the order of The Worksheet enables the user to view, edit, delete 1. TRACKBALL to the relevant cell in the Method
the listed measurement labels for the selected or print data independently of a report. Measurements column and press Select.
study. and values can be changed or deleted. The following options are available:
Worksheet formats provided are: • Min
See the Reference Manual for a full list of all
available studies and parameters. • Normal: Displays the parameters and • Max
calculations for which measurements have
NOTE: The user can reconfigure the individual • Last
been assigned.
studies and their parameters. For further • Aver
• Compact: Displays only the value of the
information, refer to Chapter 14, Presets and 2. TRACKBALL to the required option and press
measurements and calculations, and not the
System Setup in the User’s Manual. Select. The values are recalculated.
measurements themselves.
To select a study (protocol) and • Expanded: Displays all available parameters
perform a measurement: and calculations, regardless of whether Including or Excluding Values in a
1. Press Measure. measurements have been assigned to them. Calculation
2. TRACKBALL to the required study and press Accessing a Worksheet • TRACKBALL to the measurement that is to be
Select. To access a Worksheet: included/excluded from the calculation and
3. Perform the measurement and press Select. • Press Worksheet. toggle Select.
The system will automatically jump to the next On the left side of the screen, the list of mode- NOTE: An excluded measurement changes color
measurement to be performed, unless the specific pages for the Worksheet is displayed in the to signify that its value has not been included in the
Autojump option is enabled. clipboard area. The current page is highlighted (by calculation. The value in the Value field is adjusted
To select a different study: default, this is according to the currently-selected accordingly.
application).
• TRACKBALL to the required study and press
Select. • You are able to scroll through different worksheets, Manually Changing a Value
then highlight the required worksheet and select it
by pressing the Select Worksheet button. The 1. TRACKBALL to the value that is to be changed
selected Worksheet list is displayed in the upper and press Select.
left side of the screen. 2. Use the alphanumeric keyboard to enter the
To scroll through the pages: required value. An asterisk (*) indicates that the
• Use the Scroll Pages soft key rotary to value has been manually altered.
navigate. NOTE: To restore automatic calculation, position
OR the TRACKBALL over the asterisk and press Select.
TRACKBALL to the required page and press The manually entered value is replaced by an
Select. automatically calculated value.

Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 41

Vascular Measurement and Doppler Mode Tools Volume Flow

Analysis Velocity 1. Generate the spectrum to be measured and

press Freeze.
For additional information, see Chapter 7, Vascular 1. Generate the spectrum to be measured and 2. Press Caliper.
Measurement and Analysis in the User’s Manual. press Freeze. 3. Press the VF soft key.
The general operation of the vascular package is 2. Press Caliper. 4. TRACKBALL to any time position over the
similar to that of the cardiac package. Refer to the 3. Press the Velocity soft key. required heart cycle and press Select.
functions described in Chapter 6, Cardiac 4. TRACKBALL to the point of measurement for the 5. To correct the time measurement, place the
Measurement and Analysis in the User’s Manual. velocity on the spectrum. TRACKBALL on any border and double-click
5. To make a measurement, press Select to Select. Reposition and anchor the point in the
anchor the caliper. new location by pressing Select.
Measurement Tools
6. Repeat steps 4 – 5 for any additional 6. TRACKBALL to the 2D image to measure the
measurements. blood vessel diameter.
2D-Mode Tools
7. Assign labels to measurements, if required. 7. TRACKBALL the caliper to the start point of the
Distance (2D Caliper) measurement and press Select to anchor the
PS & ED caliper.
See “2D-Mode” on page 37. 8. TRACKBALL the second caliper to the end point
1. Generate the spectrum to be measured and of the measurement and press Select.
Percentage D Reduction (%DR) press Freeze.
9. TRACKBALL the cursor arrow to the desired
2. Press Caliper. vessel and press Select.
• Press the %DR soft key.
3. Press the PS & ED soft key. 10. Repeat steps 4 – 9 to make additional
Percentage A Reduction (%AR) 4. TRACKBALL to peak systolic point of the measurements.
spectrum and press Select.
• Press the %AR soft key. 5. TRACKBALL the second caliper to the end
diastolic point on the spectrum.
Area (2D Area)
6. Press Select to anchor the caliper.
• Press the 2D Area soft key.
Automatic Trace

See “Automatic Trace Measurements” on page 38.

Manual Trace

See “Manual Trace Measurements” on page 38.

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and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 42

Real-time Spectral Tracing and The IMT measurement is based on automatic General Workflow
tracing of the leading edge of the intima surface and
Measurement Function the leading edge of the adventitia surface. After Scanning
1. Perform a scan in one of the Doppler Modes. tracing the two surfaces, multiple measurements
2. Press Trackball, and position the TRACKBALL are made between pairs of pixels located on both 1. Generate a longitudinal scan of the carotid
over the spectrum. traces, as shown in the following figure: artery using normal scanning methods.
3. Press Menu. NOTE: In order to locate the ED time segment
easily, we recommend using the ECG when doing
4. TRACKBALL to Show and press Select. To
the IMT measurement.
disable the function, press Select again.
5. Select Positive, Negative, or Both. 2. Optimize the posterior wall of the carotid. The
measurement will be made from there.
NOTE: The accuracy of the tracing may be
adjusted by using Envelope Adjustment enabled If some parts of the intima or adventitia are not 3. When the image is optimized, press Freeze.
by pressing the Soft Menu Rocker. Using the sufficiently clear, the tracing algorithm omits them.
vertical arrows, select Envelope Adjustment. Use
Measuring
As a result, the trace may appear discontinuous. To
the horizontal arrows for adjustment. ensure accuracy, measurements are only taken 4. Use TRACKBALL to browse the cine-loop and
from parts of the trace which have been drawn. locate a frame that was acquired during end-
Important: The same functions also can be diastolic (ED). Activate ZOOM to improve
performed on frozen Doppler or archived images. As soon as the trace is drawn and the multiple
measurements are made, the result window (shown accuracy.
in Figure 1:) displays: 5. Press Measure.
Automatic IMT Carotid Artery • The average of all of the measurement points 6. Select IMT.
Measurement for the present trace (RTCCA IMT). 7. Select either Left IMT or Right IMT, as shown in
• The standard deviation calculated for all of the the following figure:
Use this feature to measure the IMT (Intima-Media
measured points from the current trace
Thickness) of the posterior wall of the Carotid
(RTCCA IMT Sd).
artery, as shown in the following figure:
• The maximum value (RTCCA IMT Max).
NOTE:
Due to the physics of ultrasound imaging, the IMT
of the anterior (near) wall of the carotid might be
incorrect. This is due to ultrasound artifacts. We
therefore recommend measuring IMT from the
8. Place a vertical arrow anywhere inside the
posterior wall only. The algorithm in this package is
carotid. This marks the area in the carotid
Measure the IMT using any good-quality 2D image set to measure the IMT from the posterior wall only.
where IMT tracing starts.
of the carotid. Standard scan optimization is NOTE: 9. Press SET. A second vertical arrow appears.
required, such as is required to produce any good- Variations in blood pressure during the heart-cycle
quality image of the vessel. 10. Position the second vertical arrow to mark the
cause the IMT to change. Therefore, we
end of the segment where IMT measurement
recommend measuring the IMT at ED (end-
should take place.
diastolic).

Vascular Measurement Vascular Measurements

and Analysis and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 43
11. Press SET. The system automatically traces 15. If the tracing is not correct, or not close enough
the leading edges of both the intima and to follow the layer-borders correctly:
adventitia layers as shown in Figure 1:. a. Click the red X shown in Figure 2:. Clicking
12. As shown in Figure 1:, view the automatic the red X deletes the results from the
tracing to determine if the tracing closely fits the screen.
two layers. b. Find a different frame—one which is
Figure 1: Tracing viewed in the Results Window sharper or cleaner to view—in close vicinity
to the end-diastolic portion of the ECG.
c. Press Measure.
d. Continue from step 6 above and approve
the measurement.
16. If there is no acceptable frame, un-freeze and
re-scan the carotid. This will produce a better
view of the posterior wall.

Assigning and Viewing the Results

Approval or Rejection of Measurement Result
17. Optionally, press Worksheet to view the results
13. If the tracing correctly fits both layers of the of this measurement and all approved
posterior wall, approve the measurement by measurements made during the current exam.
clicking the green checkmark shown in the It is possible to view the worksheet, or delete a
upper-right corner of Figure 2:. If approved, the measurement, at any time during the exam.
IMT measurement will be added to the 18. Press Unfreeze to repeat the scan and
worksheet and the database. Continue with measurement described above. The scan can
step 17. be repeated on the carotid artery on another
Figure 2: Approve or Reject the Measurement side of the body or on a different segment of the
carotid artery. Alternately, repeat the scan on
the same area of the carotid. This will improve
the measurement by averaging several
measurements together.
14. If the tracing is not perfect, try to improve it by
Retrieving from Archive
adjusting the algorithm-sensitivity using the
Sensitivity soft-menu button. The tracing will As with any other tool on the Vivid-3 it is possible to
adjust in real-time, thereby allowing you to retrieve a frame or a loop from archive and perform
determine the best setting. When the tracing the IMT measurement on the stored image. Begin
correctly fits both layers of the posterior wall, by following step 4 above.
approve the measurement by clicking the green
checkmark shown in Figure 2:.

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and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 44

Shared Services FlexiView Reference (Baseline) Cineloops

FlexiView enables simultaneous viewing of To assign a stored cineloop as a reference
synchronized live scan and stored reference cineloop:
Operating Room (OR) Package cineloops, along with a predetermined time
incremental cineloop storage capability. 1. Press Freeze.
For additional information, see Chapter 8, Shared
Services in the User’s Manual. 2. Press TRACKBALL. A cursor appears.
Important: FlexiView is accessible only from the 3. TRACKBALL to the reference window in which
dedicated OR presets, for the 5T and 6T probes. the stored cineloop from the clipboard is to be
Automatic Tissue Optimization placed and press Select. The window is
NOTE: For detailed information on using the highlighted in a yellow frame.
The system sets acquisition and display parameters FlexiView Split Screen or Quad Screen, refer to the
by applying image-specific optimized compression, 4. TRACKBALL to the desired image icon on the
Vivid 3 Pro/Expert SW 2.2 Release Notes.
frequency, gain, axial, and lateral TGC settings. clipboard and press Select.
FlexiView Quad Screen 5. To unfreeze the live scan, press Freeze again.
For details, refer to Automatic Tissue Optimization
(ATO) on page 18.
• The upper-right window displays the live image Predefined Automatic Time-Triggered
being scanned. Cineloop Storage
• The two left windows display the reference
cineloops, as determined by the user. these NOTE: Refer to the Archive Tab section in Chapter
cineloops are labeled Ref.1 and Ref. 2. 14, Presets and System Setup in the User’s
• When configured by the user, automatic time- Manual.
triggered storage occurs, and the most recently The lower-right window will automatically update as
stored cineloop is displayed in the lower-right each subsequent cineloop is stored at the time
window, below the live image. interval. The cineloop from that window will then be
To activate the FlexiView quad screen display: removed (although still displayed on the clipboard.)
1. Select an OR preset. To manually store an image during a procedure:
NOTE: Use the Active Menu button to toggle • Press Store once if the Preview Cine Before
between this displayed soft key menu and the option is not configured for the system. (Refer
regular 2D-Mode soft key menu. to the Archive Tab section in Chapter 14,
2. Press the LV Monitoring soft key to enable Presets and System Setup in the User’s
FlexiView. Manual)
OR
Press Store twice if the Preview Cine Before
Store option is configured for the System.

Shared Services Vascular Measurement

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 45
“Time from Start” Stamp To re-enter quad FlexiView: Performing an Obstetric Evaluation

The time that has passed since the scan began • While in the single view FlexiView, press the LV 1. Insert the Convex C358 probe into an available
(“Time from Start”) is displayed in the upper-left Monitoring soft key. port.
corner of the live window. All cineloops stored in the To exit FlexiView: 2. Press Probe.
archive retain the “Time from Start” stamp. • Select a preset other than OR in the Select 3. TRACKBALL to the appropriate OB application
NOTE: The timer of the live scan can be reset at Probe and Application screen. preset and press Select.
any time. It is now possible to use either the Caliper
To reset the “Time from Start” timer: (Measure, or Measure and Assign methods) or
OB Package Measure (Assign and Measure method) buttons to
1. TRACKBALL to the timer displayed in the upper- NOTE: The OB applications are only available perform measurements.
left corner of the live image window. when the Convex C358 probe is connected.
Measurements are accumulated in the database.
2. Press Menu.
These measurements can be viewed and edited in
3. TRACKBALL to the Reset Time option and press Operating the OB Package a Worksheet, and displayed in the on-screen Mini-
Select. The next automatically stored loop will Report.
reflect the new “Time from Start”. The general operation is similar to that of the
Cardiac Package. Refer to Chapter 6, Cardiac On-Screen OB Mini-Report
FlexiView for Single Screen Measurement and Analysis in the User’s Manual for
detailed operating instructions. Each measurement made and assigned to a
A full single screen option enables the user to view parameter will appear in a condensed on-screen
full screen, live scanned images in all modes. Patient Details Mini-Report in the upper-right corner of the image.
Automatic storage of cineloops to the clipboard During scanning, this on-screen Mini-Report is not
When an OB application is selected, the Main
according to user configured, predefined time displayed. The Mini-Report is redisplayed when the
Details page of the Patient Details screen is
intervals takes place, without interrupting the Caliper or Measure buttons are pressed.
modified to include:
procedure.
• LMP
To activate full single screen FlexiView:
• EGA
1. Select an OR preset.
NOTE: If the Application Type field in the Patient
2. Press the LV Monitoring soft key. The screen Details screen is not OB, due to a different, prior
automatically changes to a quad screen procedure or application, TRACKBALL to OB in the
display. dropdown list and press Select.
3. Press the LV Monitoring soft key again. The
system will display the live scan.

Shared Services
Vivid 3 User Guide Direction 2305203-100 Rev. 004 46

Measurement Tools Ellipse Tool Heart Rate (HR) Measurement Tool

2D Caliper 1. Generate the image to be measured and press 1. Select an image to be measured and press
Freeze. Freeze, or retrieve a cineloop from the archive.
1. Generate the image to be measured and press 2. Press Caliper. 2. Press Caliper.
Freeze. 3. Press the Ellipse soft key. 3. Press the HR soft key.
2. Press Caliper. 4. TRACKBALL to the start point for the 4. Press the Cine Scroll/Run Cine soft key rotary
3. Press the 2D Caliper soft key. circumference measurement and press Select to activate and highlight the corresponding on-
4. TRACKBALL to the start point of the to anchor the caliper. screen Run Cine soft key icon.
measurement and press Select to anchor the 5. TRACKBALL to adjust the major axis until an 5. Press Active Mode twice to display the Cine
caliper. ellipse of the required shape and size is soft key menu.
5. TRACKBALL to the measurement end point. obtained, then press Select to anchor the 6. Use the First Marker and/or End Marker soft
6. Press Select to anchor the caliper. second caliper. The third and fourth calipers are key rotaries to adjust the markers.
displayed along the minor axis, enabling the
7. Repeat steps 4 – 6 for additional 7. After positioning the markers correctly,
user to further adjust the shape and size of the
measurements. TRACKBALL to the green checkmark next to the
ellipse.
8. Assign labels to the measurements as heart rate in the upper-left corner of the screen
6. To adjust the size of the ellipse, TRACKBALL to and press Select.
described in the Assigning a Parameter Label the appropriate caliper and press Select.
After Measurement on page 39. OR
TRACKBALL the caliper to the required location To reject and cancel the measurement,
and press Select to anchor the position. TRACKBALL to the red “X” and press Select.
7. Repeat steps 4 – 6 for additional
measurements.
8. Assign labels to the measurements.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 47
To perform a heart rate measurement in M-Mode PS & ED Tool Automatic Trace Tool
or Doppler mode:
1. Generate the spectrum to be measured and To perform an automatic spectrum trace to
1. Select an image to be measured and press press Freeze. measure the PI & RI
Freeze, or retrieve an image from the archive
containing an M-Mode scan or Doppler 2. Press Caliper. 1. Generate the spectrum to be measured and
spectrum. 3. Press the PS & ED soft key. press Freeze.
2. Press Caliper. 4. TRACKBALL the cursor to the peak systolic point 2. Press Caliper.
3. Press the HR soft key. of the spectrum and press Select to anchor the 3. Press the Auto Trace/Man Trace soft key so
caliper. that Auto Trace is highlighted.
4. Use the First Marker and/or End Marker soft
rotaries to position the markers to mark a 5. TRACKBALL the second caliper to the end 4. TRACKBALL to any time position over the
single, complete heart cycle. diastolic point on the spectrum. required heart cycle on the spectrum.
5. After positioning the markers correctly, 6. Press Select to anchor the caliper. 5. Press Select.
TRACKBALL to the green checkmark next to the NOTE: The order in which the two velocities are 6. Repeat steps 4 – 5 to make additional
heart rate in the upper-left corner of the screen measured is not important for PS, ED, RI, and S/D. measurements.
and press Select. The larger velocity will always be assigned to Vps
7. Assign labels to the measurements.
OR and the smaller velocity to Ved. The Acc and AT will
To reject and cancel the measurement, be calculated only when the smaller velocity is NOTE: Autotrace may also be used while in
TRACKBALL to the red “X” and press Select. measured first. Doppler Mode.

7. Repeat steps 4 – 6 to make additional Manual Trace Tool

M Caliper Measurement Tool
measurements.
1. Select the image to be measured and press 8. Assign labels to the measurements. To take a manual spectrum trace to measure the
Freeze. PI & RI:
Velocity Tool 1. Generate the spectrum to be measured and
2. Press Caliper.
3. Press the M Caliper soft key. press Freeze.
1. Generate the spectrum to be measured and
4. TRACKBALL to the start point of the press Freeze. 2. Press Caliper.
measurement and press Select. 2. Press Caliper. 3. Press the Auto Trace/Man Trace soft key twice
5. TRACKBALL to the measurement end point and so that Man Trace is highlighted.
3. Press the Velocity soft key.
press Select. 4. TRACKBALL to the start point of the spectrum
4. TRACKBALL to the point of measurement for the
6. Repeat steps 4 – 5 for additional trace. Start on the left and trace to the right.
velocity on the spectrum.
measurements. 5. Press Select to anchor the caliper.
5. To make another measurement, press Select to
7. Assign labels to the measurements. anchor the caliper. 6. Use the TRACKBALL to trace the peak envelope
of the spectrum.
6. Repeat steps 4 – 6 for any additional
measurements. 7. Press Select to anchor the caliper.
7. Assign labels to the measurements. 8. Repeat steps 4 – 7 to make additional
measurements.
9. Assign labels to the measurements.

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OB Twins Measurement Tool 3. From the list of pre-defined Fetal Growth_B OB Graphs Tool
measurements displayed, select the required
The OB Twins Preset enables the measurement of item. For example, BPD_B. The OB Graphs option is used to estimate fetal
twins. When performing an OB examination, all growth and development against pre-defined
parameters for each fetus are clearly identified and standards - according to gestational age. For more
labelled (and saved) as "A" and "B". details, refer to the Vivid 3 Release Notes SW 3.1
For more details, refer to the Vivid 3 Release You may select the appropriate chart against which
Notes SW 3.1 to make a comparison (for example, Hadlock,
To activate the OB Twins measurement option: Jeanty, etc.) from a collection of charts.
To activate the OB graphs option:
1. Select the OB Twins preset (as shown below):
1. Press Worksheet on the control console.
2. Position the cursor on
4. Perform the selected measurement, using the EGA and press Select.
cursor displayed on the screen. A chart is displayed (as
NOTE: In the worksheet, displayed measurements shown below), depicting the fetal measurements
and parameters for Twin A and Twin B are clearly in comparison to standard measurement values
separated by a thick horizontal line, as shown in the at the same gestational age, according to the
example below. selected author (Jeanty in this example).

Twin
A
2. Trackball to the pre-defined list of measurement
options (left side of the screen) and make the
appropriate selection in order to perform the
required measurement. For example, Twin
Fetal_Growth_B (as shown below): B

NOTE: The actual fetal measurement is marked

with an X on a vertical dotted blue line (representing
age in weeks). This can be visually compared with
the blue line on the graph (according Jeanty) which
is bounded on either side by the standard deviation
limits (pink lines). The measurement and name of
the chart is displayed in the top left corner, together
with the gestational age.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 49
NOTE: You may store the graph as an archived Adjusting the Chart by Which a Restoring Automatic Calculation
image and then print it, or implement it in a Calculation is Made
report. To restore automatic calculation:
To adjust the chart by which a calculation is made:
3. Press Freeze or Select to return to the • TRACKBALL to the asterisk, and press Select.
Worksheet. 1. TRACKBALL to the relevant cell in the Chart The manual entered value is replaced by an
NOTE: If a different chart author is selected on column and press Select. automatically calculated value.
the worksheet, the OB graph will update to 2. TRACKBALL to the required chart/author and
show the graph of the newly-selected author. press Select.
NOTE: The selected chart will remain in the system
GYN Package
4. After making all required comparisons, press
until it is manually changed by the user. The GYN Package enables the user to measure
Select on the control console to continue with
various ovarian and uterine dimensions.
the exam in the normal manner.
Including or Excluding Values in a NOTE: The assignment of parameters to
Calculation measurements and the different capabilities
Worksheet To mark a value for inclusion/exclusion in a available when operating the studies are described
• Press Worksheet. calculation: in Chapter 6, Cardiac Measurement and Analysis of
the User’s Manual.
• TRACKBALL to the measurement that is to be
Adjusting the Method by Which a included/excluded from the calculation, and Fetal Heart Evaluation
Calculation is Made press Select to toggle the value to be included
or excluded. The Fetal Heart Package enables the user to
To adjust the method by which a calculation is
NOTE: An excluded measurement changes color measure and calculate fetal heart parameters using
made:
to signify that its value has not been included in the the standard cardiac measurement and analysis
1. TRACKBALL to the relevant cell in the Method calculation. The value in the Value field is adjusted tools, measurements and working procedures.
column and press Select. accordingly.
For additional information, refer to Chapter 6,
The following options are available:
Cardiac Measurement and Analysis of the User’s
• Min Manually Changing a Value Manual.
• Max To manually change a value:
• Last Abdominal Evaluation
1. TRACKBALL to the value that is to be changed
• Aver and press Select.
The Abdominal Package enables the user to
2. TRACKBALL to the required option and press 2. Use the alphanumeric keyboard to enter the perform various abdominal organ parameters.
Select. required value. An asterisk indicates that the
NOTE: The selection of the chart will be retained value has been manually altered. NOTE: The assignment of parameters to
by the system until manually changed. measurements and the different capabilities
3. Press Select again to continue the procedure.
available when operating the studies are described
in Chapter 6, Cardiac Measurement and Analysis of
the User’s Manual.

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Hip Joint Measurement and 4. Move the second line (Labrum Acetabular)
and drag it into the appropriate position, using
Analysis the rotary key to rotate it as necessary. Press
The Hip Joint Measurements package is a useful Select to fix the line in position; the angle
diagnostic aid for assessing the development of the between the two lines (α) is displayed.
infant hip. This provides two measurement tools for 5. Move the third line (Roof Line) and drag it into
performing the following measurements: position, rotating it as necessary. Press Select to
• Hip Joint Angles fix the line in position; the ß (Beta) angle is
displayed.
• Diameter Ratio
NOTE: By default, the line names are displayed. If
Note: All hip joint measurements automatically
preferred the names may be hidden - for details,
appear in the worksheet and in the Hip Joint Report.
see Vivid 3 Release Notes SW 3.1.
For additional information, see the Vivid 3 Release
The measurement of the angles
Notes SW 3.1.
(degrees) between the lines is
automatically calculated and
displayed in a results box at the top of the screen, NOTE: Pressing Cancel on the drop-down menu,
To perform Hip joint measurements: cancels the currently-selected line; Delete removes
together with the measurement number - for
example, 1 as shown here. the entire measurement (all three lines).
1. From the Presets menu (Small Parts), select
Hip Joint. NOTE: Measurements may be assigned to either 8. Repeat Step 3 through Step 7 for any additional
2. Freeze the image and press Caliper on the the Left or Right hip, as described below. measurements, as required. These will be
control console. displayed on the screen accordingly.
6. If you wish to assign the measurements to the
The Hip Joint soft rotary is displayed below the Left or Right hip, trackball to the results box (the
scanning screen:
cursor becomes hand-shaped) and right-click.

A drop-down menu open on

the left of the screen.
7. Choose the required hip and
press Select.
3. Click on the scanning screen to draw the first
The measurements are assigned to the
line (Base Line) - see illustration.
selection and will be displayed accordingly,
Drag the line into the required position, using both on the screen and in the worksheet
the Rotate Line rotary key on the soft menu to (see example below).
rotate it if necessary.
Press Select to fix the line in position; the
second line will automatically appear.

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To assign a ratio to a Hip joint measurement:
1. Freeze the image and press Caliper.
2. Select the 2 Diameter soft key
(“Circumference”).
3. Measure the following distances, in any order:
• Between the baseline and the medial point
on the femoral head
• Between the labrum acetabulare and the
medial point on the femoral head
The two distances will appear as Diam1 and
Diam2, as shown in the example below:

4. Trackball to the Results box (the cursor now

becomes hand-shaped).
5. Press the Menu button on the keyboard.
6. Select Ratio on the drop-down menu on the left
area of the screen.
The ratio will be calculated and displayed (as
seen above). This ratio indicates the
percentage of coverage of the femoral head.
The same ratio will also appear in the worksheet
result page.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 52

Reporting 5. Press the Save soft key. Deleting Images From Reports
6. Use the alphanumeric keyboard to enter a
For additional information, see Chapter 9, name for the new report in the dialog box. The option to erase images from a report and
Reporting in the User’s Manual. NOTE: The system will automatically add the exam "populate" it with new images, is provided.
date (DDMMMYY) as an extension of the saved To delete images from a report:
Creating Reports report name given by the user to assure easy and
To generate a report: improved identification. 1. Trackball to the image area corresponding to
the image you wish to erase from the report.
• Press Report. 7. TRACKBALL to OK and press Select to save the
2. Press Menu on the control console.
report.
Editing Reports 8. Press Report on the control panel to exit the
3. A pop-up menu is displayed, as shown below:
To edit a report: report and return to the current patient’s
scanning screen.
1. Press Report.
2. TRACKBALL to the report on the screen and press Including Images in Reports
Menu. An asterisk is displayed to the left of the
To add/replace images in a report:
presently selected and displayed template.
1. Press Report.
NOTE: Instead of pressing Menu, you may use the
Template soft key, for easy access to the complete 2. TRACKBALL to the report on the screen and
list of report templates available. press Menu.
3. TRACKBALL to an alternative template layout that
NOTE: For details about configuring alternative
includes image fields and press Select to
report templates, refer to the Stress Tab and Report
highlight the template.
Tab sections in Chapter 14, Presets and System
Setup of the User’s Manual. 4. TRACKBALL to the required image in the
clipboard and press Select. A yellow frame
3. TRACKBALL to an alternative template, if required, indicates that the image has been selected. NOTE: The illustration above shows only one
and press Select to highlight the template. image from a collection of images in the Report.
5. Simultaneously press Select and TRACKBALL
4. The report headings, such as Name, ID, Birth the yellow framed image to the required 4. Select Clear Image to erase the
Date, Indications, and Comments are location in the report template. When Select is currently-selected image from the report.
highlighted in green, and hyperlinked to released, the image is placed and displayed in Alternatively, select Clear All Images to
facilitate editing. the selected location. remove all images from the report.
• TRACKBALL to such a heading and press 5. If necessary, use the drag-and-drop method to
Important: The user must save the report in order to
Select. "re-populate" the report with the required
be able to view the report at a later time with the
• Press OK or Cancel to return to the report images as placed. Once a report is saved, no data images.
after editing is complete. or image can be added to the same report.
NOTE: In any reports, all light green fields are
hyperlinked. Double-clicking such a field will take
you to the original source field, where modifications
may be made if necessary.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 53
Printing Reports

To print a report:
NOTE: The report is printed only to an externally
connected printer.
• Press the PC Print soft key.

Installing A New Report Template

NOTE: The CD containing one or more new Report The selected report template is installed on the
templates is your source for installing the new Vivid 3 system.
templates into the Vivid 3 system. NOTE: Whenever a new report template is
To install a report template: installed on the system, it is added to the Users
Report Templates list under the Report tab in the
1. Insert the CD into the CD-ROM drive on the System Configuration window. For details, refer to
Vivid 3 system. the Vivid 3 Release Notes SW 3.1.
2. While in scanning mode, press Freeze and then
press Trackball on the control console until a NOTE: New report templates may not be modified
cursor is displayed. on the Vivid 3 system. Any changes required may
be made using the Report Designer.
3. Press Menu. The following two options are
displayed:
Retrieving Saved Reports
To retrieve and view an archived report:
1. Press Archive.
4. Select Explore.
2. Use the Select Patient soft key rotary to scroll
A Windows Explorer menu opens (by default, through the list and highlight the required
the U-drive is currently selected). patient.
5. Browse to select the compact disk directory 3. Press Report.
(CD-ROM).
4. Press the Archived Reports soft key.
6. Under the Reports files, select the required
5. Use the Select Report soft key rotary to select
report template then double-click on
the required report.
ReportInstall.exe (refer to illustration).
6. Press Report to exit.
NOTE: Saved reports are read-only.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 54

Patient Management and 5. After locating and highlighting the required Annotations or measurements that are marked on
patient, press Select. the screen are also stored with the image. When a
Archiving 6. Edit the patient information as required. split screen image is stored, it is stored exactly as
displayed on the screen.
For additional information, see Chapter 10, Patient 7. Press the OK soft key.
Management and Archiving in the User’s Manual. 8. If the patient record cannot be located The stored images and cineloops are displayed as
(indicating that no previous record exists): thumbnails on the clipboard as shown below.
• Press the Cancel soft key. • A filmstrip icon is displayed in the bottom left
Archiving Package (option) • Press the Begin Exam soft key. corner of each cineloop thumbnail.
The Archiving Package enables the user to • A split screen icon is displayed in the bottom
permanently store images and cineloops, as well as Archiving/Storing Images and left corner of each side-by-side thumbnail.
patient measurements and reports. Cineloops NOTE: To enable measurements to be made on
images recorded on VCR, the M&A on VCR option
Important: Without the Archiving Package, the data When an image is stored, all the additional must be selected in the configuration setup. For
is only stored for the duration of the current information that is displayed, such as the probe further information, refer to Chapter 14, Presets and
examination. application and image settings, is saved with it. System Setup of the User’s Manual. In addition to the
archive, images and cineloops can also be backed up
A system message informs the user if the archived on MOD (Magnetic Optical Disks) or CD-Rs.
patient information is currently in use.
Clipboard area
NOTE: In addition, the Archiving Package provides
the ability to generate and export a list of patients, in
Microsoft Excel format (see page 57). The exported
list provides a summary of demographic details
pertaining to patient exams performed on the system
for a specific period, as selected by the user.
Stored
cine
Beginning an Exam on an Archived Patient loop

To locate a patient record in the archive:

1. Press Patient ID. Selected
image (12)
2. TRACKBALL to Start New Patient and press
Select. Stored single
image
3. Press the Search Patient soft key.
4. Search, scrolling using the Select Patient soft
key rotary. UP/Down
scroll arrows

Figure 21: Stored Images and Cineloops Screen

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 55
Storing an Image Viewing Stored Images and Retrieving and Editing Archived
To store an image in the archive: Cineloops Information
1. While scanning in any mode, press Freeze to To view a stored image: Editing Patient Data in the Archive
freeze the image. • TRACKBALL to the required thumbnail image on
To search for a patient:
2. TRACKBALL through the cineloop to select the the clipboard and press Select.
required image. To view a stored split screen image: 1. Press the Patient ID button on the control
3. Press Store. The image is saved in the archive panel. The Select screen is displayed.
1. TRACKBALL to the required thumbnail image on
and a thumbnail is displayed on the clipboard. 2. TRACKBALL to the on-screen Search button and
the clipboard and press Select. click Search. The Patient List screen is displayed.
Storing a Split Screen Image 2. Press Window Select to highlight the side of
the image that is to be displayed as a full size To retrieve archived patient data/information:
To store a split screen image: image. 1. Press Archive.
1. While scanning in any mode, press 1/2/4 3. Press 1/2/4 until the image is displayed as a full 2. Search the Patient List screen by scrolling
button, once to split the screen into two size image. through the list using the Select Patient soft
windows, or twice to split the screen into four To view a stored cineloop: key rotary.
windows. 3. Press the Edit soft key.
• TRACKBALL to the required thumbnail image with
2. Continue scanning as described in the Working a filmstrip icon on the clipboard and press 4. Use the Select Page soft key rotary to scroll
in Split Screen Mode section in Chapter 3, Select. between patient information.
Modes in the User’s Manual to select the
NOTE: The information is examination-specific. It
required image or cineloop in each of the
may differ between examinations. Therefore, the
windows.
patient information for each examination can be
3. Press Store. edited as required.
Storing a Cineloop To edit archived patient information:
1. Using the alphanumeric keyboard, add and/or
To preview and then store a cineloop:
edit any information.
1. While scanning in any mode, press Freeze to 2. Press the OK soft key to save all editing
freeze the image. changes or press the Cancel soft key to ignore
2. Press the Cine Run soft key rotary. all changes.
3. Determine the best cineloop to store. Use the NOTE: At any time during the procedure:
soft keys (Prev/Next,First, End Marker and so
• Press Exit or Freeze to return to current
on)
patient’s scanning screen.
4. Press Store.
• Press the Edit soft key to redisplay the
selected patient’s Main Details pages.
NOTE: You may also press Store twice (to accept
loops) without performing Steps 1 -3 above. • Press the Patient List soft key to redisplay
the archived Patient List.

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To retrieve and/or edit an archived examination: To retrieve a stress examination: Deleting Archived Information
1. Press Archive. 1. Press Archive.
To delete a patient record:
2. Search the Patient List screen by scrolling 2. Using the Select Patient soft key rotary, select
through the list using the Select Patient soft the required patient record that includes the 1. Press Archive.
key rotary. stored stress examinations. 2. Use the Select Patient soft key rotary to
3. Press the Exam List soft key. NOTE: Protocol is enabled and its label is lit only highlight the patient record to be deleted.
NOTE: The images on the most recent for patient records that include stored stress 3. Press the Delete soft key. A pop-up dialog box
examination are displayed on the clipboard. examinations. is displayed.
4. Scroll through the exam list using the Select 3. Press Protocol. 4. TRACKBALL to Yes and press Select.
Exam soft key rotary. 4. Perform the stress analysis again, as required. NOTE: The current patient record and examination
5. Press the Edit soft key. Refer to Chapter 5, Stress Echo in the User’s cannot be deleted.
Manual for further information. To delete a group of patient records:
6. Edit the test as required, using the Select Page
and Select Field soft key rotaries. 5. Press Protocol again to exit the examination,
saving all scoring and analysis, and to return to 1. Press Archive.
7. Press the OK soft key to save all changes 2. Press the Select Patients soft key rotary to
the current patient’s scanning screen.
OR
To retrieve and/or edit a Worksheet: select the first patient record in the group of
Press Cancel to ignore all changes.
records that is to be deleted, and continue
To retrieve and/or edit an archived image: 1. Press Archive. scrolling with the rotary to highlight the group.
1. Enter the archive and select the required 2. Using the Select Patient soft key rotary, select 3. Press the Select Patients soft key rotary again
patient and examination. the required patient record. to indicate that the group is complete.
2. TRACKBALL to the required image on the 3. Press Worksheet. NOTE: The selection process can be cancelled by
clipboard and press Select. 4. Using the alphanumeric keyboard, edit the centering the TRACKBALL on the list and pressing
values as required. Select.
Important: If the selected image displays 5. Press Worksheet again to return to the current 4. Press the Delete soft key. A pop-up dialog box
measurements and annotations, press the Remove patient screen. is displayed.
Overlay soft key to remove all annotations and
measurements 5. TRACKBALL to Yes and press Select.
Redisplaying the Clipboard
NOTE: The current patient record and examination
3. Press Measure or Caliper and make the cannot be deleted.
To redisplay the clipboard and its images:
required measurements and annotations.
4. Press Store. • TRACKBALL over the clipboard area. The
thumbnail images are redisplayed.

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To delete an image: Exporting the Patient List to Excel Using the scroll arrows provided, select the
required starting date; the selected date is
1. Press Archive.
To export the patient list to Excel: displayed in the From Date field.
2. Select a patient record and examination.
1. Press the Archive button on the control 5. In the To Date field below, repeat Step 4 to
3. Use the TRACKBALL to place the arrow cursor select the required ending date; the selected
over the image that is to be deleted. console. The Patient List window is displayed.
date is displayed in the To Date field.
4. Press Menu. A pop-up menu is displayed. 2. Press the soft rotary key enabling the Utilities
NOTE: By default, the date initially displayed in the
function. A General Status screen with a pie
5. Using the TRACKBALL, select Delete and press To Date field is the current date, and the From Date
chart is displayed.
Select. is one year earlier.
3. Toggle the Summary/Status soft rotary key
To delete an examination: 6. In the File Name field, if required type over the
once. The Export Patient List is displayed, as
1. Press Archive. shown below: default file name to rename the file, as
appropriate.
2. Select a patient record.
Note: The file automatically has an Excel file
3. Press the Exam List soft key.
extension (.xls).
4. Using the TRACKBALL, highlight the examination
7. Trackball to the Execute button below and
that is to be deleted.
press Select.
5. Press the Delete soft key.
The file is exported to the directory that was
6. TRACKBALL to Yes and press Select. defined in System Configuration (Archive Tab)
- refer to the Vivid 3 Release Notes SW 3.1.
Additional Archived Information and The exported demographic data includes the
Data following:
• Patient Last Name
To access additional database information:
• Patient First Name
1. Press Archive.
• Patient ID number
2. Press the Utilities soft key. This displays the
• Exam Date
database inventory, including the number of
patient records, examinations, and images • Many other exam details
4. Trackball to the From Date field and click the
stored. It also indicates the volume of free
arrow (as shown below) to access the calendar:
space still available for archiving.

Other diverse data information includes:

• Personnel List
• Removable Media Utility
• Patient List
• Backup

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Backup Procedures Scheduling a Backup Interrupting the Backup Process

The Backup procedure backs up patient details,
To schedule a backup: To stop the backup process:
M&A data, stress data, images (in raw data format)
and reports (in CHM format) to the local MOD or 1. Press Archive. 1. Perform steps 1 – 3 of the procedure for
CD-R archive. The System archive should be 2. Press the Utilities soft key. scheduling a backup in ‘Scheduling a Backup”
backed up regularly. on page 58.
3. Press the Backup soft key.
NOTE: The smallest entity in the backup procedure 2. TRACKBALL to Stop current action and press
4. TRACKBALL to and Select the desired timing
is a single examination. Select. The Backup process is stopped.
from the dropdown list in the Backup
NOTE: The Patient Archive directory file is backed Frequency text box. (The user can manually
Important: Any exams on the hard disk that were
up on every media that is used for backup. adjust the date displayed in the Next Backup
only partially backed up due to the (previous)
Therefore, the newest media holds the most Date text box.) The system will prompt the user
interrupted Backup process will also be backed up.
updated Patient Archive directory file. to perform the Backup procedure at the
scheduled time.
The system is unavailable for use while images and Performing a Repeat Backup
data are being backed up. The backup procedure Performing a Backup
time depends on the amount of data being backed In the event that the first backup media has become
up. The backup process can be stopped at any time damaged or mislaid, the ability to repeat a backup
To perform a backup:
and continued at any time. is available. This feature (on-screen button) is
1. Perform steps 1 – 3 of the procedure for provided in the Backup screen options.
Important: The patient archive should be backed up scheduling a backup in Chapter 9, Reporting in
To perform a repeat backup:
regularly. A weekly Backup is strongly the User’s Manual.
recommended. 2. TRACKBALL to Incremental Backup and press 1. TRACKBALL to the on-screen Repeat Backup
Select. The system will prompt to insert a button, and press Select. A box will open
Important: An on-screen Repeat Backup button is backup disk. If needed, follow mount, format permitting label name entry of media to be
provided in case the first backup media was and label procedures in ‘Disk Formatting and duplicated.
damaged. The previously backed up exams will be Labeling” on page 59. 2. Using the alphanumeric keyboard, type in the
re-backed up on to the new media. label name of the media to be duplicated - for
3. TRACKBALL to OK and press Select when the
correct disk is mounted and ready. The system example, Disk 20.
will redisplay the Backup screen and begin the IMPORTANT - the identical label name must
Backup process. be typed (i.e. exactly the same label name as
that of the damaged back-up media).
3. When prompted, type a new label name - for
example, Disk 30 (the system will require a
new, unique name).
The system will repeat the backup process to the
new media (in the example above, to Disk 30).

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Purging Backed Up Exams Exporting Images and Reports to Disk Formatting and Labeling
Purging data frees space in the unit’s archive. Only External Media To access the Removable Media Utility screen:
backed up data can be purged.
To export an image or a loop to an external 1. Press Archive.
The purge function will be activated automatically media: 2. Press the Utilities soft key.
by the system when the occupied space on the disk
1. TRACKBALL to the required image or loop icon 3. Press the Removable Media Utility soft key.
increases slightly above 13 GB. The system will
on the clipboard. NOTE: Alternatively, press <Ctrl> and <M> on the
automatically remove the oldest backed up exams
when: 2. Press Menu. alphanumeric keyboard to access this screen.
• The user presses Patient ID. 3. TRACKBALL to Save As and press Select. The media can be ejected at any time during
• The user performs a Backup procedure. 4. TRACKBALL to the required media in the Save In normal workflow by the simplified procedure:
field box and press Select. <Ctrl> and <E> [Eject].
• The user deletes patients from the Patient List.
5. TRACKBALL to one of the available formats in the To mount a disk:
• The system enters standby mode.
Save as type: field and press Select.
NOTE: All patient records remain in the archived 1. Insert the disk in the appropriate drive.
6. Using the alphanumeric keyboard, type the file
Patient List. 2. Perform the above procedure for accessing the
name into the File name field.
NOTE: If the thumbnail images on the clipboard on Removable Media Utility screen.
7. TRACKBALL to Save and press Select.
the left side of the screen appear only as graphic 3. TRACKBALL to Mount and press Select.
To export a report to an external media:
overlays or icons, it means that the exam was If the new disk is not labeled, format it as described
already backed up and purged from the system’s 1. Generate a report using the normal procedures, below:
internal hard disk. as described in Chapter 10, Patient
Management and Archiving in the User’s To format a new disk:
To restore purged images and reports:
Manual. 1. Mount the disk as described above.
1. Press Archive.
2. Press the Save As soft key rotary. 2. Type a label in the Media Label field.
2. Using the Select Patient soft key rotary, scroll
3. TRACKBALL to the required media in the Save In 3. TRACKBALL to Format and press Select.
through the list and highlight the required
field and press Select.
patient record.
4. Verify that CHM files or PDF files format is To rename or recycle a disk:
3. TRACKBALL and highlight the required displayed in the Save as type field.
examination and press Menu. Important: Only MOD can be renamed and recycled.
5. Type the file name into the File name field. CD-R disks can only be formatted once.
4. TRACKBALL to Restore this Exam from Backup
and press Select. The system will display a 6. TRACKBALL to Save and press Select.
NOTE: CHM format can only be read by Windows 1. Mount the disk as described in ‘To mount a
message prompting the user to mount and insert
Explorer Version 4 or higher. disk:” on page 59.
the specific backup media containing the desired
exam and/or image. Once the media is inserted, 2. Type a label in the Media Label field.
the image and all other relevant data of the exam 3. TRACKBALL to Format and press Select. The
from the media will automatically be restored to system will reformat the disk, erasing all of its
the archive, and can be manipulated manually. contents and renaming the disk.
Important: The originally backed up data will remain NOTE: When a CD is ejected, it is automatically
unmodified on the backup media. finalized.

Patient Management
and Archiving
Vivid 3 User Guide Direction 2305203-100 Rev. 004 60

Connectivity Selecting a Dataflow During an

Examination
Dataflow Description
For additional information, see Chapter 11,
Name
Connectivity in the User’s Manual. To select a dataflow during an examination:
Local Archive Both the ultrasound unit’s Internal Hard Drive and
When the user selects a dataflow, the unit’s input 1. Press Archive. - Int.HD + the MO disk are used for archiving patient
and output devices are automatically configured 2. TRACKBALL to the required dataflow in the MOD525
demographic data and image storage. Reports
and Worksheet data are stored to the Int.HD only.
according to the selected dataflow. drop-down list in the bottom-left corner of the (DICOM) Images are stored in DICOM multi frame format
(and as raw data, if configured by administrator)
screen and press Select. on the MOD.
Important: The system’s default dataflow is Local
3. Press Archive.
Archive - Int.HD. Local Archive Both the ultrasound unit’s Internal Hard Drive and
- Int.HD + the CD are used for patient demographic data and
Important: A new patient must be created or image storage. Reports and Worksheet data are
CDR
Dataflow Table Legend: stored to the Int.HD only. Images are stored in
selected in order to activate the newly selected (DICOM) DICOM multi frame format (and as raw data, if
• Local Archive = Ultrasound unit’s Echo dataflow. configured by administrator) on the CD.
Database 3.0 Archive Local Archive Patient demographic data, Worksheet data and
• Int. HD = Ultrasound unit’s Internal Hard Drive - MOD525 reports are stored to both ultrasound unit’s
Internal Hard Drive and to MOD. Images, as raw
• Remote Archive or Storage = EchoPac Supported Dataflows (Raw Data) data, are stored to MOD only.
workstation or EchoServer
• Local Archive - Int. HD: Item/s to the left of the Local Archive Patient demographic data, Worksheet data and
dash in a dataflow (e.g. Local Archive) is the
Basic Dataflows - CDR (Raw reports are stored to both Int. HD and to CD.
Images, as raw data, are stored to CD only.
INPUT SOURCE; item/s to the right of the dash Data)
(e.g., Int. HD) is the DESTINATION (archive). Local Archive Both the ultrasound unit’s Internal HD and MOD
• Local Archive - Int. HD + CDR: When a plus sign - Int.HD + are used for patient demographic data, Worksheet
(+) appears within dataflow: there are more than Dataflow Description MOD525
data, report and image storage. Images are
Name stored as raw data.
1 input source/s or destination archive/s (e.g. 2 (Raw Data)
destinations: Internal Hard Drive and CDR). No Archive An emergency dataflow used when no permanent
Local Archive Both the ultrasound unit’s Internal HD and CD are
storage is required. Current examination data is
NOTE: The user can view and check the dataflow temporarily saved in the system’s buffer. Once the - Int.HD + used for patient demographic data, Worksheet
data, report and image storage. Images are
currently in use in the System Configuration examination has been terminated, no data will be CDR (Raw stored as raw data.
saved. In order to permanently save the Data)
window’s Connectivity tab. information, a different dataflow must be selected
and data transferred using the Patient Transfer
screen before the examination is terminated.
Selecting a Dataflow when Logging On
Local Archive The default dataflow. The Local Archive
- Int. HD (Vivid 3 Pro/Vivid 3 Expert ultrasound unit’s
To select a dataflow when logging on: Echo Database 3.0 archive/Int. HD) is used for
storing all patient information.
1. Simultaneously press <Ctrl> + <U>. The ultrasound unit’s Internal Hard Drive is used
for patient archiving (including demographic data,
2. TRACKBALL to the required dataflow in the M&A data), report, as well as image storage.
Dataflow drop-down list and press Select. With this type of dataflow, all images and patient
information should be periodically stored on
3. TRACKBALL to OK and press Select. removable media for back up to free space in the
local archive. For detailed back up procedures,
refer to Chapter 10, Back Up Procedures, in the
User’s Manual.

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and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 61
EchoNet Dataflows DICOM Network Dataflows Dataflow Description
Name
Dataflow Description Dataflow Description
Modality A dataflow that searches the DICOM Modality
Name Name Worklist + Worklist (input source) for patient information,
which is then copied to the local database. (The
Remote
Remote A Remote Archive database, either a SonoPAC Local Archive Both the ultrasound unit’s Internal Hard Drive and Remote Archive database can also be an input
Archive - Int. workstation or an EchoServer, is used for patient - Int. HD + the DICOM Server are used for archiving Archive - database, but must be selected in Patient List
demographic and Worksheet data, and report patient demographic data and image storage. Remote screen.)
HD storage. Images are only stored on the ultrasound DICOM Reports and Worksheet data are stored to the Storage + The Remote Storage (a SonoPAC workstation or
unit’s Internal Hard Drive. Server Int.HD only. an EchoServer) is used for worksheet data and
DICOM
report storage.
Remote Either a SonoPAC workstation or an EchoServer Remote Either a SonoPAC workstation or an EchoServer Server Images and patient demographic data are stored
Archive - is used as the Remote Archive database; a Archive - Int. is used as the remote archive database. Reports to both the Remote Storage and the DICOM
Remote Storage (SonoPAC workstation or an and Worksheet data are stored in the Int. Hard Server.
Remote EchoServer) is used for patient, report, and image HD + DICOM Drive.
Storage storage. Server The Int. HD and a DICOM Server are used for
patient demographic data and image storage.
Remote Patients (demographic data, M&A data) and
Archive - reports are stored both to a Remote Archive (a Remote Either a SonoPAC workstation or an EchoServer
SonoPAC Workstation or an EchoServer) and to a is used as the Remote Archive database. Reports
MOD525 Archive -
MOD. Images, as raw data, are stored to MOD and Worksheet data are stored in the Remote
(Raw Data) only. Remote Storage (SonoPAC workstation or an
Storage + EchoServer). Demographic data and images are
Remote Patients (demographic data, M&A data) and DICOM stored in both the DICOM Server and in the
Archive - reports are stored both to a Remote Archive (a Server Remote Storage.
SonoPAC Workstation or an EchoServer) and to a
CDR CD. Images, as raw data, are stored to CD only.
(Raw-Data) Modality A dataflow that searches the DICOM Modality
Worklist + Worklist (input source) for patient information,
which is then copied to the local database. (The
Local Archive Local Archive database can also be an input
- Int. HD + database, but must be selected in Patient List
DICOM screen.)
Server The ultrasound unit’s Int. HD is used for report and
worksheet data storage.
Images and patient demographic data are stored
to both the Int. HD and the DICOM Server.

Modality A dataflow that searches the DICOM Modality

Worklist + Worklist (input source) for patient information,
which is then copied to the local database. (The
Remote Remote Archive database can also be an input
Archive - Int. database, but must be selected in Patient List
HD + DICOM screen.)
Server The Remote Storage (SonoPAC workstation or an
EchoServer) is used for patient demographic
data, report and worksheet data storage.
Images and patient demographic data are stored
to both the Int. HD and the DICOM Server.

Connectivity
Vivid 3 User Guide Direction 2305203-100 Rev. 004 62

Supported Services Exporting Data to DICOM Image The default system generated file is:
Last Name_First Name_Birthdate
Services are the prime elements of a dataflow. Storage, DICOM Print, Media (yyyy,mmm,dd)_Patient ID number.xls.
NOTE: The services associated with the System’s Storage, Excel, or MPEGVue To activate the Export Shortcut:
dataflows cannot be configured by the user. A Data may be exported from the System to various
meeting of both the GE Service representative and NOTE: Short-cut keys are assigned through the
configured services, including:
the local IT personnel must be arranged for Archive Links tab in the System Configuration
configuration. • DICOM Image Storage window - for details refer to the Vivid 3 Release
• DICOM Print (see page 63) Notes SW 3.1.
The following services are supported by the
System: • Media Storage 1. When the current exam is finished and you wish
• Excel to export it to another device, press the Patient
• Echo Database 3.0 ID button on the control console.
• MPEGVue (see page 63)
• DICOM Media Creator The Select window is displayed:
NOTE: Multiple patient exams may be exported
• DICOM Storage
simultaneously to DICOM Image Storage or Media
• DICOM Storage Commitment Storage services. However, when exporting to
• DICOM Verification Excel, each exam must be exported individually.
• DICOM Modality Worklist To export one or more patient exams:
• DICOM Modality Perform Procedure Step
(MPPS) 1. Press Archive.
2. Use the Select Patient/Select Patients soft
key rotary and select the patient, or patients
whose images are to be exported.
3. Press Menu.
4. TRACKBALL to the required option: Export to
DICOM Image Storage, Export to Media
Storage, or Export to Excel.
NOTE: Alternatively, if an Export short-cut key has 2. If the required Export function is located on one
been assigned, you may use this key - see the of the soft-menu buttons (for example, Excel
instructions described below. Export as seen above), simply click the button.
5. Press Select. The system will prompt for the next steps,
accordingly.
6. TRACKBALL to OK and press Select.
3. If the requested Export function does not
Important: When exporting to Excel, the destination appear on any soft-key (has not been defined
path to which the data will be sent must be assigned as a short-cut), just press Cancel and proceed
in the Archive Tab. When exporting to Excel, a with the normal export procedure (as explained
dialog box will be displayed enabling the user to on page 62).
enter a name for the Excel file being created.

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and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 63
The following is a list of export functions which Exporting Patient Exam (Images) to Exporting Patient Exam to MPEGvue
may be assigned as short-cuts to any one of DICOM Print
the four assignable soft-menu buttons: The Export to MPEGVue feature provides the user
• DICOM Print NOTE: It is possible to export patient exam images with the ability to export an entire exam in
• DICOM Storage Server (only) directly to a DICOM printer, by selecting MPEGVue format, (together with an embedded
patient files from the Patient List screen. MPEG viewer) direct from the Patient List screen.
• DICOMVueCDR
The exported exam contains files in MPEG or JPG
• DICOMVueMOD525 By choosing Export to DICOM Print from the formats for all of the images in the exam. It also
drop-down menu (or using the export short-cut key, contains the measurements and reports generated
• Excel Export
if assigned), images from the currently-selected during the exam. All of the exam’s measurements
• MPEGVueCDR patient files will be printed on the DICOM printer. are found in an Excel file, while the reports are all
• MPEGVueNET
saved as files in .CHM format.
NOTE: The exported exam may be viewed on any
PC operating on Windows 2000 and upwards.
For details on configuring the system to enable
export of patient data to MPEGVue, refer to the
Vivid 3 Release Notes SW 3.1
To export a Patient Exam to MPEGVue:
1. With the Patient List window displayed (at
Exam/Patient level), select the required patient
record(s).
2. Press the Menu button on the control console, or
activate the short-cut key (if assigned - page 62).
NOTE: Printing will be in accordance with the 3. From the drop-down list displayed, select
layout configured initially by the field service Export to MPEGVue:
representative during system configuration.
NOTE: If required, you may print only one image on
the DICOM printer (the currently-selected image).
This feature (Print A or Print B on DICOM printer) is
configured under the Printers tab in the System
Configuration window.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 64

4. Select the required media - for example, 6. Name the media by typing a suitable name in The system exports the entire exam data from
MPEGvueCDR (or any other available the Media Label window. each of the currently-selected patient records to
destination media type, such as MPEGvueNET, NOTE: You may use a maximum of 8 characters the selected media, together with an embedded
MPEGvueUSB, etc.). and type in upper or lower case letters. MPEG viewer.
The following dialog box opens (if Do not use any special characters (for During this process, the exam review progress
MPEGvueCDR was selected) and the standard example, #, *, etc.) is visible in the displayed sequence of preview
procedure for writing to CDR will commence: screens; the time required for export will
7. Trackball to Format and press Select.
depend upon the amount of data; longer
The following warning message is displayed: examinations will obviously require longer time.
The progress status showing the percentage of
completed exams (for example, done 60%) is
displayed during the export process.
NOTE: While export is in progress, do not
attempt to use the system!
8. Trackball to Yes and press Select. When export is complete, the following
The media is formatted and the following message is displayed:
message is displayed:

5. Insert a blank CD into the CD-ROM drive,

trackball to Mount and press Select.
The message "Please wait" is displayed, then
the following dialog box opens prompting the
user to format the media (including a warning NOTE: The CD finalization procedure is required
that all data will be lost): only for MPEGVueCDR, and is the final part of the
CD preparation operation.
NOTE: If necessary, select any additional exams
required by repeating Step 1 through Step 3 to add
these to the media. A message is displayed
prompting for verification that the same CD will be
9. Trackball to OK and press Select to continue. used for export of the selected exams. Click OK to
confirm.
NOTE: Step 9 is the end of the CD preparation and
the CD is now ready for writing of MPEGVue data to NOTE: MPEGVue format is very compact and up
commence. to 50 exams may be recorded on one CD. However,
this total will vary depending upon the size and
number of stored images and cine loops in each
exam.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 65
To finalize and eject the CD: NOTE: The Format button is currently disabled, in
order to protect the data on the CD.
• Use the shortcut by pressing <Ctrl> E on the
alphanumeric keyboard. 3. Select Eject.
NOTE: If the system has an MOD drive, a drop- The message "Please Wait" is displayed while
down list is displayed as shown below. Select CDR. the CD is being finalized. (This make take a
while, so please be patient).
When complete, the CD is ejected
automatically.
4. Remove the CD from the CD-ROM drive.
The CD is now ready for inserting and
reviewing on any PC, as explained in the Vivid
3 Release Notes SW 3.1. For details, see
Using the MPEG Viewer on an External
NOTE: Alternatively, perform the following steps Computer.
(instead of using the <Ctrl> E shortcut previously NOTE: Whenever a CD has been finalized, the
described): user can only read the data from it - and no further
data may be written to it. Attempting to access a CD
1. Press Archive on the control console.
before eject is completed, will result in removal
2. Trackball to the Utilities soft rotary key and failure.
select Media Utilities.
NOTE: Whenever a CD is ejected (as described
NOTE: If preferred, press <Ctrl> M as a shortcut to
above, or at system shut-down), the CD tray opens
Step 1 and Step 2 above.
automatically to enable removal of the CD.
The following message is displayed, at which After removing the CD, push the CD tray in again to
stage the Eject button is enabled: close it (or click OK).

CAUTION Do not attempt to move the

Vivid 3 system with the CD
tray in the open position!

Connectivity
Vivid 3 User Guide Direction 2305203-100 Rev. 004 66

Peripherals
For additional information, see Chapter 12,
Peripherals in the User’s Manual. Link Type

The following peripherals can operate with the VGA Sockets (2)
System.
Socket Video Out
• Sony Black & White Thermal Video Printer
Composite B&W CCIR or RS-130
• Sony Color Thermal Video Printer
Composite Color PAL or NTSC
• HP InkJet Printer
S-Video Y/C, PAL or NTSC
• Video Cassette Recorder (VCR)
• JVC VCR RGB PAL or NTSC

NOTE: The ultrasound system may also be used Composite color PAL or NTSC Video In
S-Video Y/C, PAL or NTSC
safely while connected to devices other than those
recommended, if the devices and their Audio Stereo Left-Right Out Audio Out (to VCR)
specifications, installation and interconnection with
Audio Stereo Left-Right In Audio In (from VCR)
the system conform to the requirements of IEC/EN
60601-1-1. The added device/s must have External Microphone
appropriate safety standard conformance and CE Remote Print Command Make-Break by Relay
Marking. TTL Levels (+5V to Ground)

Serial Ports (2) RS-232

Specifications for Peripherals
Socket USB Figure 22: Rear Panel Connectors
Please refer to the documentation accompanying Parallel Port PC
the peripherals.
Ethernet Network RJ-9

System Connections for Peripherals Modem RJ-6

Footswitch (on patient trace Vingmed S5, 3 button

On-board peripherals can operate from three power I/O front panel)
outlets:
• 8A @ 120 V or lower.
• 4A @ 220 V or higher.
• 500 VA total.

Peripherals Vascular Measurement

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 67

Printing Video Cassette Recorder The soft keys can be used to perform the following
actions:
The System supports printing for both black & The VCR is connected to the unit and operated
white, and color thermal (on board) printers. using the control panel buttons and soft keys. • Play and Stop: Starts and stops the playback.

These two printers are controlled from the control • Fast Forward: Fast forwards the recording.
Important: Manual calibration and all measurement • Rewind: Rewinds the recording.
panel using the Print A and Print B buttons.
capabilities of the system can be performed on
To print on the Black & White thermal printer: VCR-captured images. • Play speed: Adjusts the speed of all play
modes (regular playback, fast forward and
• Press Print A button. rewind).
VCR Operation
To print on the Color thermal printer: • Freeze: Freezes the playback. The soft key
• Press Print B button. The soft key map and table below describe the controls enable cineloop review.
function of each soft key in the VCR operation. • Search: Searches for a specific counter
HP InkJet Printer Configuration number location while the VCR is in either Play
Normal 1 3 5 7 9 11 or Freeze status.
Pressed 2 4 6 8 10 12 • Search Blank: Searches for the start of a blank
To activate the HP DeskJet Toolbox:
(unrecorded) section. (Operates in forwards
1. While scanning in 2D-Mode, press Freeze to
direction only).
freeze the image.
• Eject: Ejects the VCR tape.
2. TRACKBALL to the image and press Menu.
3. TRACKBALL to the Explorer option on the pop- Soft Key Status/Function Important: Once connected to the unit, only the
up menu and press Select. Eject button is active on the VCR machine.
Play Freeze Stop
4. On drive U:, TRACKBALL to the appropriate
1 Cine Scroll
printer file (For example, HP DeskJet 970c
Series V.2.0 Toolbox, HP DeskJet 990, 2 RUN Cine
HP Deskjet 6122) and press Select.
3 Stop Stop Play
5. Configure the printer settings according to the
4 Search Search Stop
HP instructions.
NOTE: Other printer setting utilities are available 5

using the System Configuration window. For details, 6

refer to the Printers Tab section in Chapter 12,
7
Peripherals in the User’s Manual.
8 Eject Eject Eject

9 Fast Forward Fast Forward Fast Forward

10 Rewind Rewind Rewind

11 Play Speed Play Speed

12 Freeze/Play Freeze/Play

Peripherals
Vivid 3 User Guide Direction 2305203-100 Rev. 004 68

VCR Soft Menu Recording and Reviewing an

Examination
The System enables the following VCR Soft Menu
options:
To record an examination:
VCR on
• Press Soft Menu:
• Press VCR Record. A red dot is displayed on
the screen near the VCR counter, indicating
Fast Forward that recording has begun.
Pop-up Soft Menu • Press VCR Record again to stop recording.
Rewind To playback a recorded exam:
Contrast
1. Press VCR Play B.
Brightness Play
2. View the playback and press Freeze at the
Horizontal Position appropriate point.
Searching 3. If necessary, move the two markers.
Vertical Position
4. Trackball to adjust to the required position.
Pause
VCR Status Information 5. Press Measure or Caliper, to perform
measurements.
VCR status information is displayed in the VCR Stop
Control area, at the bottom-right corner of the
screen. The following three parameters are
displayed: Eject

• Tape name
• Counter number Shuttle - Jog

• VCR status
The following VCR status icons, displayed on the VCR is inactive, although a video
tape is in the VCR.
screen in the VCR Control area, indicate the
current VCR function.
Important: Before starting to record, ensure that the
tape label has been entered into the system, and
that the VCR counter is set correctly.

Important: If the Smart VCR option is selected, a

barcode is displayed in the upper-right corner of the
screen. This option enables M&A measurements
and annotations to be made on played-back images.
For details, refer to the VCR/ECG Tab in Chapter
14, Presets and System Setup of the User’s Manual.

Peripherals Vascular Measurement

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 69
Adjusting the Counter Searching for a Counter Number Searching for the Start of a Blank Section

To adjust the counter: To search for a specific counter number: To search for the start of a blank (unrecorded)
section:
1. TRACKBALL to the counter in the VCR Control 1. Press the Search soft key.
area on the screen. 2. TRACKBALL to the Counter Number field and 1. Press the Search soft key.
2. Enter an identifying name in the Tape name use the alphanumeric keyboard to manually 2. TRACKBALL to Search Blank and press Select:
field, if required. adjust the counter number to the required
3. Enter the counter number in the counter field number.
OR 3. TRACKBALL to the Go To button and press
TRACKBALL to Reset Counter and press Select Select. The VCR will begin the search,
to reset the counter to 0:00:00. displaying a Search icon in the VCR Control
4. TRACKBALL to Done and press Select to save area of the screen. Once the required counter
the changes. number is found, the VCR status icon will
switch to the Play icon, and the VCR will begin
NOTE: Selecting Cancel will undo the current The search commences and the message
playing back the tape from the user-selected
changes to the counter. "Searching blank space, please wait" is
location.
displayed.
On reaching the start of the unrecorded section,
the search process stops and the message
window closes.

Peripherals
Vivid 3 User Guide Direction 2305203-100 Rev. 004 70

Probes Probe Probe Labeling

orientation indicator

For additional detailed information, see Chapter 13, Each probe is labeled with the following
Probes in the User’s Manual. information:
• Name of distributor and manufacturer
Environmental Requirements • Operating frequency
• GE model number
Probes should be operated, stored, and transported
within the parameters outlined below. • Probe serial number
• Month and year of manufacture
The probe name, displayed on the probe housing
and the connector, can be read when the probe is
Property Operational Storage Transport
connected to the unit.
Temp. 10o to 40o C -10o to 60o C - 40o to 60o C
50o to 104o F 14o to 140o F - 40o to 140o F

Humidity 30% to 85% 30% to 90% 30% to 90%

non- non- non-
condensing condensing condensing Figure 24: Probe Orientation Screen

Probe Orientation

Some probes have an indentation (notch) for

CE Mark
orientation on the probe housing. Other probes are 0301

provided with a green orientation LED near their

heads. This notch or LED corresponds with a green
dot on the scanning screen that indicates the
orientation of the probe to the scan.

Probe Name

Figure 23: Orientation Markers on Probe

Figure 25: Probe Labeling Example

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 71
The probe name, together with a picture of the • Vivid 3 Systems with 3 ports: Probe Integration
probes currently connected to the unit, is displayed The Select Probe and Application screen on the
on the Select Probe Application screen. Vivid 3 ultrasound unit will display four possible The transesophageal probes require
• Vivid 3 Systems with 2 ports: probe connections, three active probes and one special handling. Refer to the user
pencil probe, as shown below: documentation enclosed with these
The Select Probe Application screen on the
probes.
Vivid 3 ultrasound unit will display three
possible probe connections, two active probes
and one pencil probe as shown below: Connecting the Probe

Probes can be connected to the Vivid 3 ultrasound

unit at any time, whether the unit is on or off.

DO NOT touch the patient and any of

the connectors on the ultrasound unit
simultaneously, including the
ultrasound probe connectors.

Figure 27: Select Probe & Application Screen (3 Ports)

Figure 26: Select Probe & Application Screen (2 Ports)

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 72

To connect a probe: Activating the Probe Disconnecting the Probe

1. Carefully remove the probe from its storage
case and unwrap the cord. When a probe is connected to the unit, it is Probes can be disconnected at any time from the
automatically detected by the unit. System, regardless of whether the unit is on or off.
Do not allow the probe head to hang To activate a probe while scanning a patient: To disconnect probes:
free. Impact to the probe head can
result in irreparable damage. 1. Press Probe on the control panel. 1. Rotate the probe connector lock
2. TRACKBALL to the required probe and counterclockwise to unlock, as shown below:
application and press Select.
2. Place the probe in one of the probe holders on 3. The probe and application are selected.
the left or right side of the control panel.
3. Rotate the lock on the connector Coupling Gels
counterclockwise to unlock it.
During an ultrasound scan, a conductive gel or
4. Align the connector to the probe port, as shown couplant must be applied liberally to the probe to Lock
below, and carefully push it into place, with the ensure optimal transmission of energy between the
cable pointing upwards. Unlock
patient and the probe.
5. Rotate the lock clockwise to secure the probe
connector. Coupling gels should not contain
ingredients known to cause damage.
2. Ease the connector from the port.
For example:
3. Ensure that the probe head is clean before
• Methanol, ethanol, isopropanol or placing the probe in its storage box.
any other alcohol-based product NOTE: All probes not connected to the unit should
• Mineral oil be stored in their provided storage cases.
Lock
• Iodine
Unlock
• Lotions
• Lanolin
• Aloe vera
• Olive oil
6. Position the probe cord so that it is not resting • Methyl or ethyl parabens (para
on the floor, enabling it to move freely. hydroxybenzoic acid)
NOTE: Take the following precautions with probe • Demethylsilicone
cables:
• Keep free from unit’s wheels.
• Do not bend.
• Do not cross cables between probes.

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 73

Care and Maintenance Inspecting Probes Cleaning Probes

Follow the maintenance schedule below to ensure
Inspect the lens, cable, and housing of a probe Probes should be kept clean in order to maintain
optimal operation and safety.
following each use. Look for damage that might optimal performance and avoid risk of disease
allow liquid to enter the probe. Inspect the probe transmission.
prior to use for damage to, or degeneration of, the
Task After Each Use Daily housing, strain relief, lens, and seal.
IMPORTANT
Inspect the Probes x If any damage is found, do not use
Clean the Probes x
the probe until it has been repaired by When cleaning a probe, ensure that
a GE service representative. the level to which it is immersed in
Disinfect the x cleaning fluid does not exceed the
Probes Keep a maintenance log and note of
recommended maximum probe
all probe malfunctions.
immersion levels shown below.
Improper handling can lead to early
probe failure and electric shock
hazards. Follow the specific cleaning
and disinfection procedures provided Strain relief
in this chapter and the germicide
i13L
manufacturer’s instructions. Failure to i8L
C721
do so will void probe warranty.
Housing Seal

Lens

Figure 28: Probe Parts

Figure 29: Maximum Probe Immersion Levels

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 74

To clean the probe: Disinfecting Probes To disinfect the probe:

1. After each use of a probe, disconnect it from 1. Prepare the germicide solution according to the
the unit and remove all coupling gel, by wiping Ultrasound probes must undergo high-level manufacturer’s instructions. Follow the
the probe with a soft cloth and rinsing with disinfection and be covered by a sterile sheath, manufacturer’s precautions for storage, use,
water. using sterile techniques, when performing scans and disposal.
where the skin surface is compromised (for
2. Wash the probe with mild soap in lukewarm 2. Place the clean dried probe in contact with the
example, during biopsy or intraoperative
water, taking care not to immerse it past the germicide for the time duration specified by the
procedures). High-level disinfection can be
level indicated in its immersion diagram. manufacturer.
achieved using a liquid chemical germicide.
3. Scrub the probe with a soft sponge, gauze, or NOTE: High-level disinfection is recommended for
cloth to remove all residue from its surface. The recommended germicide for this use on all GE surface probes and is required for transesophageal
Prolonged soaking or scrubbing with a soft probes is Cidex (not Cidex 7 nor Cidex Plus). Cidex probes. Follow the germicide manufacturer’s
bristle brush may be necessary if material has has been evaluated and found to be compatible recommended contact time.
dried onto the surface of the probe. with the probe materials. Please refer to the
Reference Manual for alternative germicides that 3. After removing the probe from the germicide,
4. Rinse the probe with clean water to remove all rinse it according to the germicide
can be used.
soap residue. manufacturer’s instructions. Flush all germicide
5. Air dry or dry with a soft cloth. For proper handling and exposure times, always residue from the probe and air dry.
refer to the labeling provided with the germicide for
6. Disinfect the probe, as described in the 4. Reconnect the probe to the unit, or store it in its
high-level disinfection.
following section. container.
All visible residue must be removed during the
cleaning process to ensure effectiveness of the Follow the precautions listed below to
germicide. prevent serious injury or equipment
damage.
• Do not immerse the probe in
liquid beyond the level specified
for that probe. Never immerse the
probe connector or probe
adapters in liquid.
• Do not soak or saturate probes
with solutions containing alcohol,
bleach, ammonium chloride
compounds, or hydrogen
peroxide.
• Avoid contact with solutions or
coupling gels containing mineral
oil or lanolin.

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 75

Probe Safety Mechanical Hazards

Take the following precautions to avoid mechanical • Adequate cleaning and

Electrical Hazards disinfection are essential to
hazards:
prevent disease transmission. It
Electrical • Observe immersion levels, as shown in is the responsibility of the user to
Hazard immersion figure above. verify and maintain the
• DO NOT apply excessive force when inserting effectiveness of the infection
• Probes are driven by electricity, which can or manipulating the transesophageal probe. control procedures in use. Always
injure the patient or user when exposed to use sterile, legally marketed
contact with conductive solution. • Inspect probes for sharp edges or rough
surfaces that could injure sensitive tissue. probe sheaths for
• DO NOT immerse the probe into any liquid transesophageal procedures.
beyond the level shown above. Never immerse • DO NOT bend or pull the cable forcefully, to
avoid mechanical shock or impact to the probe. • Devices containing latex may
the probe connector or adaptors into any liquid. cause severe allergic reactions.
• DO NOT subject the probes to mechanical Refer to Medical Alert on Latex
Biological Hazards
shock or impact, which may result in cracks or Products, FDA, March 29, 1991,
chips in the housing and degraded in the Reference Manual for
Biological
performance. further information.
Hazard
• Inspect the probe before and after each use, for • DO NOT use pre-lubricated
damage or degradation to the housing, strain To minimize disease transmission, legally condoms as a sheath for a probe.
relief, lens, and seal. marketed, sterile, pyrogen-free sheaths should be Lubricants in condoms may not
• DO NOT apply excessive force to the probe used for each probe recommended for biopsy, be compatible with probe
cable, to prevent insulation failure. intracavity, or intraoperative procedures. The construction.
flexible, disposable sheath should cover the probe
• Electrical leakage checks should be performed
and the probe cable.
regularly by a GE service representative or
qualified hospital personnel. Refer to the To reorder sheaths, contact:
Service Manual for leakage check procedures.
CIVCO Medical Instruments Co., Inc.
102 Highway 1
South Kalona, Iowa 52247
U.S.A.

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 76

Probe Types Probe Definitions P6D Probe

The System supports five types of probes.
The designations of the letters in the name of a
• Phased Array Sector Probes: Phased Array probe are defined as follows:
Catalog No. H4830JG
Sector probes are designated by the suffix "S";
the multi-plane TEE probe is designated by the Designation Definition Intended Uses • Carotid
prefix "P" or the suffix "T". • Vascular
B Bipolar Endocavity • Extremities
• Continuous Wave Doppler Probes:
Continuous Wave Doppler probes are E Endo Doppler Frequency 5.0 - 6.7

designated by the prefix "P" and the suffix "D". L Linear

• Curved Array (Convex) Probes: Convex
S Sector
probes are usually designated by the prefix/
suffix "C". C Curved

• Linear Array Probes: Linear Array probes are i or T Intraoperative Phased Array Sector Probes
designated by the prefix/suffix "L".
T or P TEE (Single or Multiplane)
• Intraoperative Probes: Intraoperative probes 3S Probe
P or D CW Doppler
are designated by the prefix "i" or "T".
Catalog No. H4550SZ
Non-Imaging Doppler Pencil Probes
Intended Uses • General Cardiology
• Pediatric Cardiology
P2D Probe • Transcranial
• Vascular

Catalog No. H4830JE Image Frequency 1.5 - 3.6

Intended Uses Cardiology Doppler Frequency 1.8 - 2.5

Doppler Frequency 2.0

5S Probe

Catalog No. H40422LA

Intended Uses • General Cardiology

• Pediatric Cardiology
• Vascular

Image Frequency 2.2 - 5.0

Doppler Frequency 2.5 - 3.6

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 77
7S Probe 9T Probe Linear Array Probes

Catalog No. H40422LB Catalog No. H45521DY 7L (546L) Probe

Intended Uses • General Cardiology Intended Uses • Pediatric Cardiology
• Neonatal head • Transesophageal Catalog No. H40412LF
• Pediatric Cardiology
Image Frequency 4.0 - 8.0 Intended Uses • Carotid
• Vascular
• Lower and upper
Image Frequency 3.3 - 8.0 Doppler Frequency 3.6 - 5.0 extremities
• Superficial
Doppler Frequency 3.6 - 4.0 • Vascular

Curved Array (Convex) Probes Image Frequency 3.6 - 8.0

10S Probe
Doppler 3.6 - 5.0
C358 Probe Frequency
Catalog No. H4901PC
Catalog No. H40212LC
Intended Uses • Pediatric Cardiology 10L (739L) Probe
• Neonatal head Intended Uses • Abdominal
• Vascular • OB/GYN Catalog No. H40412LG
• Vascular
Image Frequency 4.0 - 10.0
Intended Uses • Carotid
Image Frequency 1.8 - 5.0 • Lower and upper
Doppler Frequency 4.0 - 6.7
extremities
Doppler Frequency 2.0 - 3.1
• Superficial
6T Probe • Vascular

C721 Probe Image Frequency 5.7 - 10.0

Catalog No. H45521DX
Doppler Frequency 4.4 - 6.7
Intended Uses • General Cardiology Catalog No. H400602LM
• Transesophageal
Intended Uses • Neonatal 12L Probe
Image Frequency 3.5 - 6.5 • Vascular

Doppler Frequency 4.0 - 5.0 Image Frequency 4.0 - 10.0 Catalog No. H40212LH

Doppler Frequency 4.0 - 6.7 Intended Uses • Carotid

• Lower and upper
extremities
• Small parts
• Intraoperative
• Superficial
• Vascular

Image Frequency 5.7 - 13.3

Doppler 4.4 - 6.7

Frequency

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 78

i739 Probe i13L Probe

Catalog No. H40212LF Catalog No. H45511NT

Intended Uses • General Intended Uses • Vascular

• Intraoperative • Small parts
• Cardiac
Image Frequency 5.7 - 10.0 • Intraoperative

Doppler Frequency 4.4 - 6.7 Image Frequency 5.0 - 13.3

Doppler Frequency 5.0

T739 Probe
E721 Probe
Catalog No. H40212LM
Catalog No. H40206LN
Intended Uses • General
• Intraoperative Intended Uses • Transvaginal-
OB/GYN
Image Frequency 5.7 - 10.0 • Transrectal-
Urology
Doppler Frequency 4.4 - 6.7
Image Frequency 4.0 - 10.0

Doppler Frequency 4.0 - 6.7

i8L Probe
PAMTE Adapter
Catalog No. H45511NW

Intended Uses • Vascular

• Small parts Catalog No. H45001YF
• Cardiac
• Intraoperative Description Adapter that connects the following Vivid
FiVe and System FiVe probes to the
Image Frequency 5.0 - 10.0 Vivid 3 system:
• PAMPTE (H4830KK)
Doppler Frequency 5.0 • 6Tv (H45011AA)

Transesophageal Probe

Refer to the Multiplane TE Probe User Manual,

enclosed with the probe. The manual includes
detailed maintenance and safety issues.

Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 79

Presets and System Setup Selecting an Application Preset User-created Application Presets

For additional information, see Chapter 14, Presets To select a probe application preset: To create a new user-created application preset:
and System Setup in the User’s Manual. 1. Press Probe. 1. Select a probe and application preset.
2. TRACKBALL to the required application preset 2. Adjust the scanning parameters as required.
Application Presets and press Select. 3. While the unit is in scanning mode,
simultaneously press <Ctrl> + <Preset>.
Application presets, which determine the settings a Modifying Factory-defined Presets
probe will use for the study, are configured for each 4. TRACKBALL to the Create new field and use the
probe type. The presets are selected in the Select alphanumeric keyboard to type a name for the
To modify a factory preset: new application preset.
Probe and Application screen. The name of the
current application preset is displayed in the title bar 1. Select the probe and application preset. 5. TRACKBALL to Save with New Name and press
at the top of the screen when in any scanning 2. Adjust the scanning parameters in any of the Select.
mode. scanning modes, as required.
Important: Ensure that the preset is saved under a
There are three different types of presets: 3. While the unit is in scanning mode,
unique name. If a factory-defined or user-modified
simultaneously press <Ctrl> + <Preset>.
• Factory-defined presets: Supplied as part of preset name is used, the previous preset will be
4. TRACKBALL to Save Current and press Select replaced and lost.
the system.
to save the user-modified preset under the
• User-modified presets: Modified by the user factory-defined preset name.
and saved under the factory-defined name. To delete a user-created application preset:
• User-created presets: New presets created Restoring Factory-defined Presets 1. Press Probe.
and defined by the user, and saved under a 2. TRACKBALL to the name of the user-created
unique name. Important: Only user-modified presets can be preset that is to be deleted.
restored to their original settings. 3. Press Menu.
Important: New preset settings are valid only for the
specific combination of probe, application icon, and 4. TRACKBALL to Delete and press Select.
To restore factory presets:
patient type.
1. Press Probe. Important: Only user-created presets can be deleted
2. TRACKBALL to the application preset for which from the system. Factory-defined presets and user-
the factory preset settings are to be restored, modified presets cannot be deleted.
then press Select.
3. Simultaneously press <Ctrl> + <Preset>.
4. TRACKBALL to Restore Factory and press
Select.

Presets and System Setup

Vivid 3 User Guide Direction 2305203-100 Rev. 004 80

System Configuration Keyboard Field MA Options Tab

The System Configuration window enables the user Enables the user to activate support of the Enables the user to select the tools that will be
to customize various settings and preferences international text keyboard and other special available in Measurement and Analysis modes.
related to basic operating parameters, using the characters. These tools include menus, studies, parameters in
tabs listed below.
1. Press Config. each study, OB graphs, etc.
To perform system configurations:
2. TRACKBALL to the System Tab and press
1. Press Config. Select. Archive Tab
2. TRACKBALL to the required tab and press 3. TRACKBALL to International in the Keyboard
Enables the user to set general parameters related
Select. dropdown list and press Select.
to the Archive function, including:
3. Configure the parameters. To type international characters:
• Cineloop viewing
1. Simultaneously press and hold <Ctrl> + <Alt>.
Hospital Tab • Patient information
2. Press the special character required with the
• Confirmation of deletion commands
other hand (press the <Caps Lock> key when
Enables the user to configure basic information • Type of backup device
required).
about the facility, such as its name, address, and
See Chapter 14, Presets and System Setup in the • Ejection of backup media upon shutdown
telephone and fax numbers.
User’s Manual for the International Characters that • Export file paths
System Tab use (or don’t use) the Caps Lock key. • Split screen management
Language Field • Automatic Patient ID (required for EchoPAC
Enables the user to configure display-related connectivity)
settings, such as the System date and time, and to Enables the user to define the required language of • FlexiView automatic storage time intervals
define the footswitch operation; also password both the user interface and on-line help support. • Backup on power down
protection and keyboard and language selection.
Preset Buttons Important: The Archive Tab is displayed even if the
Use Password Checkbox
Archive Package option is not installed.
• Save Presets – enables the user to save
Enables the user to password-protect the archived application presets, measurement and analysis
data in the system, thus ensuring patient configurations, stress templates, and system
confidentiality. If this checkbox is selected presets to diskettes.
(indicated by a checkmark ), the
• Restore Presets – enables the user to restore
User Log On dialog box is displayed automatically
each time the System is started. The System presets from diskettes.
password must be entered in this dialog box before • Restore Factory – removes all user-modified
the user is allowed to retrieve information from, or and user-created presets, and reinstates the
save information to, the Patient Archive. If this factory-defined presets.
checkbox is not selected, no password is needed to NOTE: See Chapter 14, Presets and System
access the archive. Setup in the User’s Manual for save and restore
preset procedures.

Presets and System Setup

Vivid 3 User Guide Direction 2305203-100 Rev. 004 81
Archive Links Tab Stress Tab VCR/ECG Tab

Enables the user to assign short-cut keys for Enables the user to manage stress templates, Enables the user to set parameters for the video
easy archiving of an exam. In this way, the including: recorder and ECG unit connected to the System.
linking of source (From) and destination (To) • Stress template selection. Configures the printer assignment of both Print A
directories saves time, by eliminating the need • Default stress template designation. and Print B control panel buttons.
to scroll through many windows.
• Definition of the order of Quad View stress
Export functions may be assigned as exams during Analyze Mode. Annotation Settings Tab
short-cuts to any one of the four assignable • Templates available in the System, listed in the
Enables the user to define the primary and
soft-menu buttons: left area.
secondary fonts used for annotations. In this tab,
• DICOM Print • Templates activated for the Stress Package, the user can define the fonts, as well as the default
listed in the right area. position (home location) of the text cursor on the
• DICOM Storage Server
screen when the Text key on the alphanumeric
• DICOMVueCDR Important: The Stress tab will only be displayed if the keyboard is pressed.
• DICOMVueMOD525 Stress Package option is installed.
• Excel Export System Options Tab
Report Tab
• MPEGVueCDR Enables the user to install optional features to the
• MPEGVueNET Enables the user to set general parameters related system, such as: Patient Archive, 3D Option,
to reports, including: MPEGvue, and DICOM Print.
1. Press Config. • Report template selection for specific If an incorrect password is entered in the
2. TRACKBALL to the Archive Links tab and applications. Key field and the Apply button is
press Select. • User-defined report template creation. selected, the option, even if it has already
The Archive Links tab is displayed. • Default report template designation. been correctly installed in the System, will
3. TRACKBALL to the left side of the window • Insertion of user-supplied logo into report be removed from the System.
and select the required action; select the template(s). To access the System Options Tab:
required export function to be associated • All available factory-defined templates, any
with the shortcut (refer to the above list). 1. Press Config.
user-created templates for the selected
application, or any user templates designed on 2. Trackball to System Options tab; press Select.
4. Click OK.
the Report Designer, listed in the left area. 3. Trackball to the required option and activate the
• All templates that the user has selected which appropriate radio button:
are currently active, listed in the right area. • Patient Archive
• 3D Option
• MPEGvue
• DICOM Print
4. Click OK.

Presets and System Setup

Vivid 3 User Guide Direction 2305203-100 Rev. 004 82

Vocabulary Tab Miscellaneous Tab Users

Enables the user to select various Doppler and Logging on to the System as a user and part of a
Enables the user to add, modify, remove, and
measurement options, including Smart Doppler 60 default or user-defined group enables user group-
change the placement of vocabulary used in the
and OB Mini Report. In addition, may be used to specific settings and presets to be used.
Annotations Package. Factory presets can also be
enable Automatic Tissue Optimization (AT0).
restored.
Important: Systems without the Archiving option do
To access the Misc Tab:
Configurations are made for each application not support user groups.
preset. The title bar near the top of the tab will 1. Press Config.
always show the Probe/Application/Preset. The 2. Trackball to Misc tab and press Select. Up to five user groups can be configured in the
vocabulary of that specific probe and application System. Unique System presets can be configured
can be added to or modified. To enable ATO: for each user group. Each group’s presets are
independent of the presets of other user groups.
NOTE: Ensure that the user is logged on to the 1. Activate the Display ATO check box (under
correct preset before making any changes. ATO on the left). When a user logs on, the System presets defined
2. Trackball to OK. for that user’s group are loaded.
Printers Tab If a user does not want to belong to a special group,
The Miscellaneous Tab also provides additional they can be assigned to the Default user group,
Enables the user to configure and set the default system option controls, as shown below. which is the main group of users.
printer, calibrate the printer, as well as control the
NOTE: After each change, trackball to OK to NOTE: On Systems without the Archiving option,
speed versus the quality of the printout.
accept the command. all users are members of the Default user group.
Connectivity Tab Hip Joint Meas. - Hide/Display Line Names
Adding a New User
Enables the user to view the dataflow connection To Display/Hide Hip Joint Line Names:
and communication setup of the System with other To add a new user to the system:
• Activate/clear the Hip Joint Names check box
devices in the hospital information system. 1. Press Archive.
(under Measurements on the left).
NOTE: Secure password access to additional 2. Press the Utilities soft key.
configuration tabs are available to service Biopsy Guide Zone 3. Press the Personnel List soft key.
personnel or authorized personnel. For details,
The Biopsy controls are located on the right side of 4. Press the Add soft key.
refer to the Vivid 3 Service Manual.
Miscellaneous Tab window, under Biopsy. 5. Enter the user information in the fields using the
To Display/Hide the Guide Zone Center Line: TRACKBALL or the Tab key to move between
fields.
• Activate/clear the Show Center Line check box.
6. Press the Done soft key to save the
To Change Distance Between Center Line Dots: information.
• Activate/clear the Enable 0.5 cm check box.
To Display/Hide the Guide Zone Outer Lines:
• Activate/clear the Enable 0.5 cm check box.

Presets and System Setup

Vivid 3 User Guide Direction 2305203-100 Rev. 004 83
Editing a User To log on:
1. Simultaneously press <Ctrl> + <U>.
To edit a user:
2. TRACKBALL to the appropriate user name in the
1. Press Archive. Select your name dropdown list and press
2. Press the Utilities soft key. Select.
3. Press the Personnel List soft key. To choose a dataflow, TRACKBALL to the
required dataflow in the Dataflow dropdown list
4. TRACKBALL to the user whose information is to and then press Select.
be edited.
3. TRACKBALL to OK and press Select. The user
5. Press the Edit soft key. group to which the user belongs is displayed in
6. Use the TRACKBALL or Tab key to move the Group field.
between fields. 4. If the System is password protected, a
7. Press the Done soft key to save the changes. password will be requested. TRACKBALL to the
Password field and enter the System
User Logon password.
5. TRACKBALL to OK and press Select.
Logging on as a user and part of a defined group NOTE: The user’s name and user group are
enables the use of user-specific and user-defined displayed in the title bar at the top of the screen.
settings and presets. In addition, the user name is
automatically entered in the Exam Comments page
of the Patient Details screen.
The System can be operated without logging on as
a user. In this case, the System loads the settings
and presets of the last user group to be activated.
NOTE: The first time the System is operated, the
user is defined as a default user belonging to the
Default group, the main group of users.

Presets and System Setup

Vivid 3 User Guide Direction 2305203-100 Rev. 004 84

User Maintenance To activate iLinq: Inspecting the System

1. Advise GE service personnel that iLinq is being
For additional information, see Chapter 15, User activated. The following components of the System should be
Maintenance in the User’s Manual. examined at least once a month:
2. TRACKBALL to the iLinq icon, located in the
bottom-right corner of each of the scanning and • Connectors on cables, for any mechanical
archiving screens, above the soft key menu, as defects.
Periodic Maintenance shown below: • Entire length of electrical and power cables, for
A schedule of periodic maintenance is strongly cuts or abrasions.
recommended. This should be coordinated with the • Equipment, for loose or missing hardware.
local service organization in your country. Regular
maintenance of the System ensures that the • Control panel, for defects.
System operates correctly and remains fully • Brakes.
functional.
To avoid electrical shock hazard, do
As part of periodic maintenance routine safety not remove panels or covers from the
inspections are required at least every two years. console. Qualified service personnel
The safety inspections should verify compliance to must perform this servicing. Failure to
applicable safety standards (e.g., EN 60601-1). do so could cause serious injury.
Safety measurements must be performed after iLinq icon

repairs according to local regulation (e.g., Germany, Electrical

Austria: Safety Standard VDE 0751-1 required by Figure: iLinq icon Hazard
German Medical Device Ordinance, BGV A2). Figure 30: iLinq Icon If any defects are observed or malfunctions occur,
NOTE: As part of a periodic maintenance program, 3. Press Select. The icon changes and GE do not operate the equipment, and inform a
the System’s isolation transformer should be tested service personnel are allowed to remotely qualified service representative.
at least every two years, to facilitate the detection of access the system.
possible short-circuits between the secondary
NOTE: During diagnostic testing by GE service
output and ground.
personnel, the user will be advised of the
diagnostics being done by prompts displayed on the
iLinq screen.
The iLinq feature enables GE service personnel to 4. When GE service personnel advise that the
remotely access the System to perform basic remote service is complete, TRACKBALL to the
system diagnostics and problem identification. iLinq icon and press Select to deactivate the
feature. The standard iLinq icon is displayed.
Important: Always coordinate with GE service
personnel before activating iLinq.

Vascular Measurement User Maintenance

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 85
Cleaning the Unit Important: Do not use any type of solutions Handling Probes
containing alcohol, benzene, or a similar additive, as
The System requires weekly care and maintenance these may damage the anti-reflective coating. To All the probes for the System are designed and
to function safely and properly. avoid scratching the screen surface, do not rub, manufactured to provide trouble-free, reliable
touch or tap the screen surface with sharp or service. To ensure this, correct handling of probes
Important: The ultrasound unit must be shut down abrasive items, such as ballpoint pens. is important and the following points should be
(power off) during the cleaning process. noted:
• System Cabinet: Moisten a soft, non-abrasive
folded cloth with a mild, general purpose, non- • Do not drop a probe or strike it against a hard
The following components should be cleaned, as
abrasive soap and water solution or a general surface, as this may damage the transducer
described below:
purpose disinfectant. Wipe down the top, front, elements and acoustic lens, or may crack the
• Air Filter: Clean the unit’s air filter to ensure back and both sides of the system cabinet. Do housing.
that a clogged filter does not cause the unit to not spray any liquid directly into the unit. • Do not use a cracked or damaged probe. If a
overheat and reduce system performance and probe is cracked or damaged, call the GE field
reliability. It is recommended that the filter be service representative immediately to obtain a
Prevention of Static Electricity
cleaned once a month. The air filter is situated replacement.
in the front of the unit, above the probe Interference
• Avoid pulling, pinching or kinking the probe
connector area.
Interference from static electricity can damage cable, since a damaged cable may compromise
Shake the filter in an area away from the unit.
electronic components in the system. The following the electrical safety of the probe.
Wash the filter with a mild soapy solution, then
rinse and dry with a cloth. measures help reduce the likelihood of electrostatic To avoid the risk of a probe accidentally falling, do
discharge: not allow the probe cables to become entangled or
Important: Allow the filter to dry thoroughly before to be caught by the wheels of the system.
• At least monthly, wipe the alphanumeric
re-installing it in the unit. keyboard and monitor with lint-free tissue or a NOTE: For detailed information on handling
soft cloth dampened with anti-static spray. endocavity probes, refer to the appropriate
• Control Panel: Diligent cleaning of the supplementary instructions for each probe. Also,
• Spray carpets with an anti-static spray because
ultrasound unit’s control panel reduces the risk refer to Chapter 13, Probes in the User’s Manual for
constant walking on carpets in or near the
of spreading infection from person to person, detailed probe handling, cleaning and disinfecting
scanning room may be a source of static
and also helps to maintain a clean working instructions.
electricity.
environment. Prior to cleaning, turn off the
power to the system. Use a soft cloth Securely ground the unit using a power line or
moistened with water or a mild soap solution. ground connector at the back of the system.
For difficult spots or general cleaning, an
all-purpose cleaner may also be used.
• Monitor: Gently wipe the monitor face with a
soft, non-abrasive cloth. If necessary, moisten
the cloth with a mild, non-abrasive detergent
solution diluted with water.

User Maintenance
Vivid 3 User Guide Direction 2305203-100 Rev. 004 86

Troubleshooting Activity Log and Problem Reports 2. Enter a description of the problem or
occurrence.
The system is engineered for reliable operation and
The System automatically logs any error messages 3. Select the Attach screen snapshot checkbox
consistent, high-quality performance. Automatic
that occur during system operation, on a daily to attach the current screen capture, if required.
self-testing facilities are provided to monitor system
basis, for technical support analysis purposes (if
operation and to detect faulty operation as soon as
required). These daily log reports are retained in the
possible, thereby eliminating unnecessary
system and can be recalled for 90 days.
downtime. The detection of any serious malfunction
results in immediate interruption of scanning, and is A reporting tool exists which enables the user or GE
indicated by an error message on the screen. service personnel to download the log report to a
floppy disk.
Monitor Alignment

Upon monitor or unit rotation, the monitor may

display geometric distortion of the image tilt due to
electromagnetic interference.
To correct image tilt distortion:
1. Press the JAGTM control dial found in the
Figure 32: Problem Report Screen
bottom-center of the lower monitor frame
casing. The Main menu is displayed.
2. Rotate the JAG control dial to highlight the 4. TRACKBALL to the on-screen Add To History
MORE option and press the JAG control dial. button and press Select. All comments entered
The Advanced Options menu is displayed. and the current screen are captured and
3. Rotate the JAG control dial to highlight the embedded into the daily log.
Rotation icon, and press the JAG control dial Figure 31: Failure Report Screen To download a daily log:
to activate this option.
4. Rotate the JAG control dial to adjust the image In addition to the automatic error tracing, the 1. Press <Ctrl> and <F> simultaneously. The
display tilt and press the JAG control dial to reporting tool enables the user to create a specific Failure Report screen is displayed, as shown
save the tilt adjustment. problem report, by adding comments and above.
embedding a current screen capture in the daily 2. TRACKBALL to the Store Daily History
5. Rotate the JAG control dial to highlight EXIT report.
and press the JAG control dial to exit the dropdown list and press Select.
Advanced Options menu. To create a problem report: 3. TRACKBALL to the required date and press
6. Rotate the JAG control dial to highlight EXIT Select.
1. Press <Ctrl> and <F> simultaneously on the
and press the JAG control dial to exit the Main alphanumeric keyboard. The Failure Report 4. TRACKBALL to the on-screen Save to Diskette
menu and return to the ultrasound display. window is displayed, as shown below. The button, and follow the system instructions. This
current date is displayed in the Store Daily downloaded report can then be given or sent by
History field, and the current time is displayed e-mail to GE technical support for analysis.
in the Failure Time field.

Vascular Measurement User Maintenance

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 87
System Malfunction Restarting the Unit
Note the following points in the event of error or If the system malfunctions, the scanning is
System malfunction: immediately interrupted and an error message is
• Write down all displayed error messages. displayed. Once the malfunction has been fixed,
restart the unit as described in the following
• Write down the System Serial Number, found
procedure.
on the label at the back of the unit.
• If possible, write down the currently installed To restart the unit after a malfunction has
software version. occurred:
To locate the software version: 1. Verify that the LED label for the On/Off button
is lit or blinking, indicating that the unit is in
1. Press Config. The System Configuration
standby mode.
window is displayed.
2. If the button label is not lit, check that the main
2. TRACKBALL to the System Tab and press
power cable is plugged properly into the wall
Select. The System Tab is displayed, showing
socket.
the software version number in the title bar.
3. Note any displayed error messages.
• Write down the probe, imaging mode,
application icon and application package 4. Turn off all peripherals.
that was in use at the time of the 5. Switch the circuit breaker up to the ON position
malfunction. if it is in the OFF position. The circuit breaker
• If applicable, write down the button or key should remain in the ON position.
sequence that immediately preceded the 6. Wait ten seconds before switching the unit back
malfunction. on.
• Turn the unit off.
Important: If the unit still does not complete its
• Do not use the unit until authorized service
initialization process, disconnect the power cable
personnel have restored it to its fully
and call the service representative.
operational state.

User Maintenance
Vivid 3 User Guide Direction 2305203-100 Rev. 004 88

Safety . Important Safety Considerations

Indicates that a potential hazard may
For additional information, see Chapter 16, Safety Notice Against User
exist that, given inappropriate
in the User’s Manual.
conditions or actions, can cause: Modification
This section describes the important safety
• Minor injury
measures that should be taken before operating the
System. Procedures for simple care and • Property damage
maintenance of the unit are also described. Never modify this product, including system
NOTE: Indicates precautions or prudent-use components, software, cables, and so on. User
Various levels of safety precautions may be found recommendations that should be used in the modification may cause safety hazards and
on the equipment. Different levels of severity are operation of the ultrasound unit, specifically: degradation in system performance. All
identified by one of the following icons that precede modifications must be performed by qualified GE
• Use of the System as a prescription device,
precautionary statements in the text. personnel.
under the order of a physician.
The following icons are used to indicate • Maintaining an optimum unit environment. This section includes considerations for the
precautions: following:
• Reference to the User’s Manual.
• Patient safety
• Personnel and equipment safety
Indicates that a specific hazard exists
that, given inappropriate conditions or The information contained in this section is intended
actions, may cause: to familiarize the user with the hazards associated
with the use of the unit, and to alert them to the
• Severe personal injury extent to which injury and damage may occur if the
• Substantial property damage precautions are not observed.
Users are obligated to familiarize themselves with
these safety considerations and to avoid conditions
Indicates that a specific hazard is that could result in injury or damage.
known to exist that, given
inappropriate conditions or actions,
may cause:
• Severe personal injury
• Substantial property damage

Safety Vascular Measurement

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 89

Patient Safety Diagnostic Information Mechanical Hazards

The concerns listed below can The images and calculations provided by the Damaged probes or improper use and manipulation
seriously affect the safety of System are intended for use by competent users as of the transesophageal probe can result in injury or
patients undergoing a diagnostic a diagnostic tool. They are explicitly not to be increased risk of infection. Inspect probes
ultrasound examination. regarded as the sole, irrefutable basis for clinical frequently for sharp, pointed or rough surface
diagnosis. Users are encouraged to study the damage that could cause injury or tear protective
literature and reach their own professional barriers (gloves and sheaths).
Patient Identification conclusions regarding the clinical utility of the
system. Transesophageal probe safety:
Always include proper identification with all patient Never use excessive force when
data and verify the accuracy of the patient’s name The user should be aware of the product manipulating the transesophageal
and/or identity number when entering such data. specifications and of the system accuracy and probe. The detailed user manual
Ensure that the correct patient ID is provided on all stability limitations. These limitations must be enclosed with the transesophageal
recorded data and hard copy prints. Identification considered before making any decision based on probe should be read carefully.
errors could result in an incorrect diagnosis. quantitative values. If in doubt, consult the nearest
GE Ultrasound Service Office should be consulted. Electrical
Equipment malfunction or incorrect settings can Hazard
result in measurement errors or failure to detect
details in the image. The user must become A damaged probe can increase the risk of electric
thoroughly familiar with the operation of the unit in shock if conductive solutions come in contact with
order to optimize its performance and to recognize internal live pads. Inspect probes often for cracks or
possible malfunctions. Application training is openings in the housing and holes in and around
available through the sales representative. the acoustic lens, or other damage that could allow
moisture to enter. Become familiar with the use and
care precautions described in the Care and
Maintenance section, in Chapter 13 in the User’s
Manual.

Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 90

Personnel and Equipment Safety Implosion Hazard Moving Hazard

Do not subject the unit to serious mechanical Moving

shocks because the cathode ray tube (CRT) can Hazard
The hazards listed below can implode if struck or jarred. This may cause pieces Special care must be used to avoid injury when
seriously affect the safety of of glass and/or phosphor coating to fly into the air moving or transporting the unit.
personnel and equipment during a and result in serious injury
diagnostic ultrasound examination. • Always be sure the pathway is clear.
Electrical Hazard • Limit the speed of movement to a careful walk.
Explosion Hazard • Use at least two people when moving the unit
To avoid injury: on inclines.
Explosion Do not remove the unit’s protective covers. No • Ensure that the unit is well prepared before
Hazard user-serviceable parts are inside. If servicing is transporting. Refer to the Transportation and
required, contact qualified technical personnel. Positioning section, in Chapter 2 in the User’s
Never operate the equipment in the presence of
Manual, for more information.
flammable or explosive liquids, vapors or gases. • Connect the attachment plug to a hospital-
Malfunctions in the unit, or sparks generated by fan grade grounding outlet to ensure adequate
motors, can electrically ignite these substances. grounding. The System weighs between
Users should be aware of the following points to
• Do not place liquids on or above the unit. 160 kg – 190 kg (353 lb – 419 lb).
prevent such explosion hazards:
Conductive fluids seeping into the active circuit
• If flammable substances are detected in the components may cause short circuiting, which
environment, do not plug in or turn on the could result in an electrical fire.
system. • An electrical hazard may exist if any light,
• If flammable substances are detected after the monitor or visual indicator remains on after the
system has been turned on, do not attempt to unit is turned off.
turn off or unplug the unit. • Fuses blown within 36 hours of being replaced
• If flammable substances are detected, may indicate a malfunctioning electrical circuit
evacuate and ventilate the area before turning within the system. In this event, the unit must
off the unit. be checked by GE Ultrasound service
personnel. No attempt should be made to
replace the fuses with others of a higher rating.

The internal circuits of the unit use

high voltages, capable of causing
serious injury or death by electrical
shock.

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and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 91
Biological Hazard Device Labels Electrical Safety
The following table describes the purpose and
Biological Internally Connected Peripheral
location of safety labels and other important
Hazard
information provided on the equipment. Devices
For patient and personnel safety, beware of
biological hazards while performing Label/Icon Purpose Location The system, together with its peripheral devices,
transesophageal procedures. To avoid the risk of such as video tape recorders and printers, meets UL-
Identification • Manufacturer’s name Rear of unit,
disease transmission: and Rating and address near power
2601-1 and EN 60601-1 standards for electrical
Plate • Date of manufacture inlet. isolation and safety. These standards are applicable
• Use protective barriers (gloves and probe • Model and serial only when the specified peripheral devices are
sheaths) whenever necessary. Follow sterile numbers
• Electrical ratings plugged into the AC outlets provided in the unit.
procedures, as required.
• Thoroughly clean probes and reusable Class II Class II Equipment, in which Rear of unit. Limits:
protection against electric shock
accessories after each patient examination and does not rely on basic • Earth leakage current, normal conditions:
disinfect or sterilize, as needed. Refer to insulation only.
0,5 mA (BF).
Provides additional safety
Chapter 13, Probes in the User’s Manual for precautions such • Earth Leakage current, single fault conditions:
probe use and care instructions. as double insulation or
reinforced insulation, because 1,0 mA (BF).
• Follow all in-house infection control policies as there is no provision for
protective
they apply to personnel and equipment. earthing or reliance upon External Connection of Other Peripheral
installation conditions.
Devices
Pacemaker Hazard Type BF Equipment. Equipment Rear of unit,
providing a particular degree of probe Other external devices, such as laser cameras,
protection against electric shock connectors.
The possibility of the system interfering with particularly regarding allowable
printers, VCRs, and external monitors, usually
pacemakers is minimal. However, as this system leakage current and reliability of exceed allowable leakage limits, and when plugged
the protective earth connection.
generates high frequency electrical signals, the into separate AC outlets that are then connected to
user should be aware of the potential hazard this the unit, are in violation of patient safety standards.
could cause. Suitable electrical isolation of such external AC
Device Listing/ Laboratory logos or labels that Rear of unit.
Certification denote conformance with outlets may be required in order to meet UL-2601-1
Labels industry safety standards, for and EN 60601-1 standards for electrical leakage.
example, UL or IEC.

This symbol indicates that the Rear of unit.

UL-2601-1 Standard
waste of electrical and electronic
equipment must not be disposed Interconnection of external equipment must not
as unsorted municipal waste and exceed the total combined leakage current of
must be collected separately.
Please contact an authorized 100µA under no-fault and single-fault conditions.
representative of the
manufacturer for information IEC 60601-1 Standard
concerning the
decommissioning of your
equipment (WEEE). Interconnection of external equipment should not
exceed the total combined leakage current of
300 µA under no-fault and single-fault conditions.

Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 92

Owner Responsibility For information about specific requirements and Safety of Ultrasound
regulations applicable to the use of electronic
It is the responsibility of the owner to ensure that medical equipment, consult the appropriate local,
anyone operating the system reads and state and federal agencies.
ALARA Statement
understands this section of the manual. However,
there is no representation that the act of reading For USA Only: Federal law restricts Ultrasound procedures should be performed using
this manual renders the reader qualified to operate, this device to use by, or on the orders output levels and exposure times As Low As
inspect, test, align, calibrate, troubleshoot, repair, or of, a physician. Reasonably Achievable (ALARA) while acquiring
modify the system. The owner should make certain clinical information.
that only properly trained, fully qualified service
The System employs the principle of ALARA in
personnel undertake the installation, maintenance,
troubleshooting, calibration, and repair of the
Possible Biological Effects configuring factory defaults.This default level takes
effect:
equipment. For a detailed explanation of possible biological
effects, refer to the Reference Manual, which • When the system is first turned on.
The System owners should ensure that only
includes a copy of Medical Ultrasound Safety, • When a new patient is entered.
properly trained, fully qualified personnel are
American Institute of Ultrasound and Medicine,
authorized to operate the system. Before • When changing from one exam category to
1994.
authorizing anyone to operate the system, it should another.
be verified that the person has read, and fully • When changing from one application to
understands, the operating instructions contained in Power Information on Screen another.
this manual. It is advisable to maintain a list of
In the scan parameter area, two fields are allocated Refer to the Reference Manual, which includes a
authorized users.
for the display of power values as follows: copy of Medical Ultrasound Safety, American
Should the system fail to operate correctly, or if the Institute of Ultrasound and Medicine, 1994, for
unit does not respond to the commands described further details.
in this manual, the user should contact the nearest MI =
Field Service Office. TIX = Training

During each ultrasound examination, the user is

expected to weigh the medical benefit of the
diagnostic information that would be obtained
Abbreviation Description
against the risk of potential harmful effects. Once
MI Mechanical Index an optimal image is achieved, the need for
increasing acoustic output or prolonging the
TIB Thermal Index in Bone
exposure cannot be justified.
TIS Thermal Index in Soft Tissue
It is recommended that all users receive proper
TIC Thermal Index in Cranium training in applications before performing them in a
TIX TIB, TIS, or TIC. Selected in accordance clinical setting. Contact the sales representative for
with the mode of operation and the training assistance.
application.

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Vivid 3 User Guide Direction 2305203-100 Rev. 004 93
Allergic Reactions to Latex-Containing The user controls that may affect the acoustic Application Selection
Medical Devices output are:
• Acoustic output control Selecting the probe and application preset
Due to reports of severe allergic reactions to appropriate to a particular ultrasound examination
• Transmit frequency
medical devices containing latex (natural rubber), automatically provides acoustic output limits within
the FDA advises health-care professionals to • Focal depth FDA guidelines for that application. Other
identify latex-sensitive patients, and be prepared to • Sector size parameters that optimize performance for the
treat allergic reactions promptly. Latex is a • Range in 2D-Mode, Velocity in Doppler Mode selected application are also set automatically, and
component of many medical devices, including and CFM-Mode (PRF) should assist in reducing the patient exposure time.
surgical and examination gloves, catheters, Refer to the Selecting a Probe Application section,
• Doppler sample volume (pulse length)
incubation tubes, anesthesia masks and dental in Chapter 2, of the User’s Manual for information
dams. Patient reaction to latex has ranged from • Steering angle on selecting a probe and application preset.
contact urticaria to systemic anaphylaxis.
Probe Selection Changing Imaging Modes
For more details regarding allergic reaction to latex,
refer to Medical Alert on Latex Products, FDA, As long as the appropriate application is available, Acoustic output depends on the imaging mode
March 29, 1991, in the Reference Manual. any probe can be used with the knowledge that the selected. The choice of mode (2D-Mode, M-Mode,
intensities fall at, or below, those stated in the Doppler Mode or CFM-Mode) determines whether
System Controls Affecting Acoustic Acoustic Output Data Tables (see the Reference the ultrasound beam is stationary or in motion. This
Output Manual). greatly affects the energy absorbed by the tissue.
The duration of patient exposure is most likely NOTE: Detailed Acoustic Output Data Tables are
The initial means by which the user can affect
minimized with the use of a probe that is optimized provided in the Reference Manual. Refer to Chapter
acoustic output are by:
to provide resolution and focal depth appropriate to 3, Modes in the User’s Manual, for complete
• Selecting a probe the examination. information on changing imaging modes.
• Selecting an application (category of
examination)
• Selecting the imaging mode or particular
characteristics

Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 94

Transmit Power This default level takes effect: Combined Modes

• When the system is first turned on. When operating in a combined mode, such as 2D
In all operating modes, the system has automatic
• When a new patient is entered. and M-Modes, the total acoustic output is
control over transmit power values, depending on
the system settings. Only the use of the Soft Menu • When changing from one exam category to comprised of contributions from each individual
rocker, to access and adjust the Transmit Power another. mode. Depending on the modes in use, either or
options, can affect acoustic output. • When changing from one application to both output indices may be affected.
another.
The default settings of the System are application-
dependent and do not exceed the following FDA The default output level is set at the factory and is
recommended limits: based on machine settings that yield an optimum
image for the type of patient examination. At the
same time, the output level is set well below the
FDA application specific limits for derated ISPTA
FDA Recommended Guidelines Intensity or MI.
Application ISPTA (mW/cm2) MI The default power is probe and application
dependent, and is between 50% and 80% of the
Fetal and other* 94 1.9
maximum allowed power for the selected probe and
Cardiac 430 1.9 application. The user can override the default
Peripheral 720 1.9
settings, but care should be taken to observe the
vessels displayed MI and TI values.
Power-up and user-programmable levels of
*Abdominal, intra-operative, pediatric, small organ acoustic output and application-specific acoustic
(breast, thyroid, testes, and so on), neonatal outputs can be found in the Reference Manual.
cephalic and adult cephalic.
The Acoustic Output default value is dependent
upon the activation of the following factors:
• Probe
• Probe frequency
• Application
• Mode
• Transmit depth
Each of these factors contributes to the overall
acoustic default value.

Safety Vascular Measurement

and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 95

Electromagnetic Compatibility There is no guarantee that interference will not To comply with the regulations on electromagnetic
occur in a particular installation. If this equipment is interference for a Group 2, Class A Medical Device,
(EMC) found to cause or respond to interference, which all interconnecting cables to peripheral devices
AII types of electronic equipment may may be determined by turning equipment on and must be shielded and properly grounded. Use of
characteristically cause electromagnetic off, qualified service personnel should attempt to cables not properly shielded and grounded may
interference with other equipment, transmitted correct the problem by one or more of the following result in the equipment causing or responding to
either through air or connecting cables. The term measures: radio frequency interference, in violation of the
Electromagnetic Compatibility (EMC) indicates the European Union Medical Device Directive and FCC
• Reorient or relocate the affected device.
capability of the equipment to curb electromagnetic regulations.
influence from other equipment, while at the same • Increase the separation between the unit and
the affected device. Do not use devices which intentionally transmit RF
time not affecting other equipment with similar signals, for example, cellular phones, transceivers
electromagnetic radiation. • Power the equipment from a source other than
or radio controlled products, in the vicinity of this
that of the affected device.
Radiated or conducted EMC can cause distortion, equipment, as they may cause performance outside
degradation or artifacts in the ultrasound image that • Consult the service representative for further the published specifications. Keep the power to
could potentially obscure diagnostic information. suggestions. these types of devices turned off when near this
The manufacturer is not responsible for any equipment.
Important: This unit carries the CE mark. The interference or responses caused by the use of
System complies with regulatory requirements of interconnecting cables other than those
the European Directive, 93/42/EEC, concerning recommended, or by unauthorized changes or
medical devices. It also complies with emission modifications to the unit. Unauthorized changes or
limits for a Group 2, Class A Medical Device as modifications could void the user’s authority to
stated in EN 60601-1-2 (IEC 60101-1). operate the equipment.

Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 96

Index archived image

retrieve/edit 56
2D-Mode 17
reference 44
text annotation 16
device labels 91
archived patient color gain devices not to be used 1
Numerics begin exam 54 CFM-Mode 18 cellular phones 1
edit 55 combined modes 94 mobile radio transmitters 1
2D image
retrieve 55 connect radio transceivers 1
M-Mode 18
archiving package 54 electrical outlet 7 radio-controlled toys 1
2D-Mode 17
assign parameter label 39 electrodes 32 diagnostic information 89
accessing 17
ATO 44 footswitch 8 DICOM Media Creator 62
cineloops 17
ATO function 18 peripherals 8 DICOM modality perform procedure step 62
vascular measurement tools 41
zoom 17 B probes 9 DICOM modality worklist 62
unit 7 DICOM network dataflow 61
3D option backup connect probes 71 DICOM print 63
activating 25 perform 58 connectivity tab 82 DICOM storage 62
features 25 purge 59 contact information DICOM storage commitment 62
manipulating 3D VOI 26 schedule 58 Asia 3 DICOM verification 62
A stop 58 Canada 3 disconnect
backup procedure 58 Europe 3 probe 9, 72
abdominal evaluation 49
basic dataflows 60 Latin America 3 disinfect
access patient information 14
being exam USA 3 probes 74
acclimation time 11
archived patient 54 control panel 4, 12 disk format 59
acoustic output
biological hazards buttons 12 Display adjustment
description of default settings 94
probes 75 soft keys 21 zoom 16
acquired image
biopsy guide soft menu rocker 24 display monitor 4
delete 33
bracket attachment angle set-up 28 conventions doppler display
activate
displaying guide zone screen 28 measure and assign 37 hide 20
probe 72
fixed guide attachment 30 typographic 2 doppler mode
activity log report 86
multi-angle guide attachment 29 coupling gels 72 adjust gain 20
add user 82
option 27 create doppler mode tools
adjust gain
precautions for use 27 application preset 79 vascular measurement 41
doppler mode 20
using during procedure 31
adjust monitor 11 report 52 E
BullsEye scoring 34 curved array (convex) probes 77
ALARA statement 92
buttons ECG & phono display
alert icons 2 D
control panel 12 change ECG trace amplitude 32
allergic reactions
illumination 12 dataflow table 60 external ECG input 32
latex-containing medical devices 93
alphanumeric keyboard 4 C dataflows phono trace 32
basic 60 signal trace 32
analyze capture buffer 35 DICOM network 61 trace sweep speed 2D-Mode 32
stress echo data 34 captures echonet 61 echonet dataflows 61
angio mode 21 enter 35 supported 60 edit report 52
annotation settings tab 81 review 35 define edit user 83
application preset select 35 cell options 35 Editing and/or creating stress templates
create 79 carotid artery measurement 42 new group 35 saving an edited template 37, 41
delete 79 cell options delete electrical hazards
application presets 79 define 35 application preset 79 probes 75
select 79 CFM-Mode 18 groups 36 electrical safety requirements 7
archive color gain 18 image 57 electromagnetic
store image 55 zoom 18 measurements 39 compatibility (EMC) 95
archive tab 80 cineloops patient record 56 interference 6

Index
Vivid 3 User Guide Direction 2305203-100 Rev. 004 97
ellipse tool hide doppler display 20 OB Graphs 48 owner responsibility 92
OB package 46 Hip joint measurement and analysis 50 OB Twins 48 P
enter new patient 14 hospital tab 80 perform 16
environmental requirements 5 HP InkJet printer configuration 67 mechanical hazards packages
archiving 54
probes 70 I probes 75
examination miscellaneous tab 82 GYN 49
begin 14 icons M-Mode 18 OB 45
record 68 alert 2 2D image 18 operating room 44
examinations iLinq 84 resize 19 patient details
exercise stress 34 image total gain 18 OB package 45
export delete 57 zoom 18 patient identification 89
image/loop 59 export 59 modes patient information
shortcuts 62 image acquisition 2D 17 access 14
to DICOM Print 63 stress echo 33 angio 21 patient record
to MPEGvue 63 images and cineloops CFM-Mode 18 delete 56
store 16 patient safety 89
F combined 94
Initialization 8 M-Mode 18 perform
factory presets insert regular doppler 19 backup 58
modify 79 text annotation 16 split screen 17 measurements 16
restore 79 L standby 8 periodic maintenance 84
fetal heart evaluation 49 stress echo 33 peripherals 66
FlexiView 44 label connect 8
probe 70 modify
single screen 45 factory preset 79 external connection 91
foot brake 4 linear array probes 77 internally connected 91
log on measurements 39
footswitch 4 monitor specifications 66
connect 8 users 82 personnel and equipment safety 90
LVO imaging 20 adjust 11
format alignment 86 phased array sector probes 76
disk 59 M phono filter 32
moving unit 9
front and side view MA options tab 80 MPEGvue 63 power
unit 4 maintenance display values 92
N
G periodic 84 printer configuration 67
probes 73 new group printers tab 82
GYN package define 35 probe labeling 70
abdominal evaluation 49 user 84
measure and assign convention 37 new patient probe orientation 70
fetal heart evaluation 49 enter 14 probes
measurement tools
H non-imaging doppler pencil probes 76 biological hazards 75
hip joint 50
handling probes 85 OB package 46 O connect 71
hazards vascular 41 curved array (convex) 77
OB package definitions 76
biological 91 measurements OB Graphs tool 48
electrical 90 2D-Mode 37 disconnect 9, 72
OB Twins measurement tool 48 disinfect 74
explosion 90 assign parameter label 39 patient details 45
implosion 90 carotid artery 42 electrical hazards 75
obstetric evaluation 45 environment requirements 70
mechanical 89 delete 39 operating environment 5
moving 90 doppler mode 38 handling 85
option holders 4
pacemaker 91 highlighting 39 3D 25
heart cycles hip joint 50 linear array 77
biopsy guide 27 maintenance 73
store 35 M-Mode 37 orientation
heart sound microphone device 32 modifying 39 mechanical hazards 75
probe 70 non-imaging doppler pencil 76

Index
Vivid 3 User Guide Direction 2305203-100 Rev. 004 98
phased array sector 76 biological hazard 91 steering VCR/ECG 81
ports 4 changing imaging modes 93 vascular applications 20 vocabulary 82
safety 75 diagnostic information 89 storage 4 templates
select 14 electrical 91 store add/delete levels 35
transesophageal 78 electrical hazard 90 images and cineloops 16 editing 35
problem report 86 explosion hazard 90 images on VCR 16 report 53
purge backup data 59 implosion hazard 90 store heart cycles 35 text annotation 16
R mechanical hazards 89 stress echo delete 16
moving hazard 90 analyze 34 time from start stamp 45
record pacemaker hazard 91 image aquisition 33 timers
examination 68 patient 89 score 34 T1 34
reference cineloop 44 patient identification 89 stress echo mode 33 T2 34
regular doppler mode 19 personnel and equipment 90 stress tab 81 total gain
removable media utility screen 59 probe 75 supported services 62 M-Mode 18
report tab 81 probe selection 93 DICOM media creator 62 traces
reports transmit power 94 DICOM modality perform procedure step ECG signal 32
activity log 86 ultrasound 92 62 ECG trace amplitude 32
create 52 user modification 88 DICOM modality worklist 62 phono 32
edit 52 scanning DICOM print 62 sweep speed 32
images 52 operations 16 DICOM storage 62 training 92
installing a new report template 53 screen 15 DICOM storage commitment 62 transesophageal probe 78
problem 86 schedule backup 58 DICOM verification 62 transporting unit 10
retrieve 53 score stress echo data 34 echo database 3.0 62 troubleshooting 86
view 53 screens switch off 8 monitor alignment 86
requirements removable utility screen 59 switch on 8 twins
electrical safety 7 scanning 15 system graphs 48
environmental 5 select probe and application 9, 79 add user 82 measurement 48
operating environment 5 select edit user 83 typographic conventions 2
power 5 application preset 79 system configuration 80 U
site 5 select probe and application 14 perform 80
resize M-Mode 19 select probe and application screen 9, 79 system malfunction 87 ultrasound safety 92
restarting unit 87 shutdown system options tab 81 unit
restore full 8 system tab 80 cleaning 85
factory preset 79 connect 7
soft keys 21 T
result table functions 22 front and side view 4
size 39 soft menu T1 timer 34 moving 9
retrieve VCR 68 T2 timer 34 rear view 4
report 53 soft menu rocker 24 tabs restart 87
ROI functions 24 annotation settings 81 switch off 8
size 23 sonographers 5 archive 80, 81 switch on 8
S speakers 4 connectivity 82 transporting 10
split screen mode 17 hospital 80 unit acclimation time 11
Safety MA options 80 user groups 82
ALARA 92 standards
IEC 601-1 91 miscellaneous 82 user log on 82
application selection 93 printers 82 user maintenance 84
electromagnetic compatibility (EMC) 95 possible biological effects 92
UL-2601-1 91 report 81 user modification
safety 1, 88 stress 81 safety 88
alert icons 2 standby mode 8
static electricity interference 85 system 80
application selection 93 system options 81

Index
Vivid 3 User Guide Direction 2305203-100 Rev. 004 99
V
vascular applications
steering 20
vascular measurement
2D-Mode tools 41
vascular measurement tools 41
VCR
counter 69
operation 67
search for start of blank section 69
soft menu 68
store images 16
VCR/ECG tab 81
view
report 53
stored image 55
vocabulary tab 82
voltage
checks 7
level 7
W
warnings 5
WEEE 91
worksheets 40, 49
Z
zoom 16
2D-Mode 17
CFM-Mode 18
M-Mode 18

Index