MicroMaxx® 超声仪用户指南

MicroMaxx 超声仪用户指南

SonoSite, Inc. 21919 30th Drive SE Bothell, WA 98021 USA 电话 :1-888-482-9449 或 1-425-951-1200 传真 : 1-425-951-1201 SonoSite Ltd Alexander House 40A Wilbury Way Hitchin Herts SG4 0AP UK 电话 :+44-1462-444800 传真 : +44-1462-444801 注意 : 美国联邦法律限制本设备只能由医生销售或根据其建议销售 MicroMaxx SonoCalc SonoRES 和 SonoMB 是 SonoSite, Inc. 的注册商标或商标 CompactFlash 是 Symbol Technologies 的注册商标 DICOM 是 National Electrical Manufacturers Association 为其医疗数字通信信息标准出版物注册的商标 非 SonoSite 产品名称可能是其所属公司的商标或注册商标 本产品受以下美国专利保护 : 5,722,412 5,817,024 5,893,363 6,135,961 6,364,839 6,371,918 6,383,139 6,416,475 6,569,101 6,648,826 6,962,566 D456,509 其它申请中的专利 P06459-06 2017 年 5 月版权所有 2017 年 SonoSite 公司 保留所有权利 ii

1... 1... 1... 4... 4... 4... 4... 5... 6... 8 2... 9...11...11 CompactFlash...12 /...13 /...14...15...16...19...20...20...21...21...22...23...24...25...31 Cardiac Calculations...32 Connectivity...33 Date and Time...35 Delta Key Annotation...36 Display Information...38 IMT Calculations IMT...39 OB Calculations OB...40 OB Custom Measurements OB...42 OB Custom Tables OB...43 Presets...45 iii

System Information... 47 Network Status... 48 3... 49... 52... 55... 56... 56... 57 2D... 57 MMode M... 61 Color... 63 PW CW... 66 Clips... 69... 70... 71 CompactFlash... 71... 73... 73... 73... 74 Annotations... 75 ECG... 77... 78... 79... 79 4... 81 2D... 81 MMode M... 84 Doppler... 86... 90... 91... 93... 95... 97... 98...100...108 iv

(IMT)... 110 (TCD)... 114... 118... 135 5... 141 SiteLink... 141 SiteLink... 142 SiteLink... 143 DICOM... 147 DICOM... 147... 148... 154... 157... 161... 164... 165... 166 DICOM... 167 DICOM... 170... 173 DICOM... 174 6... 177... 179... 179 Triple Transducer Connect TTC... 185... 186... 187... 188... 188... 188... 189... 190... 191... 192... 193... 193 ECG... 193 v

7...201...201 2D...201...203...203...203...203...204...211...212...214...215...216 8...219...219...219...220...220...220...220...221...221...221...222...222...222 EMC...223...223 DICOM...223 HIPAA...223 9...225...225...226...228...228...230 (EMC)...230...232 vi

ALARA... 235 ALARA... 235... 235... 236... 236... 236 MI TI... 237... 239... 240... 241... 241... 242... 243... 243... 244... 245... 246... 283... 283... 287... 287... 289... 299 vii

viii

1 SonoSite MicroMaxx MicroMaxx MicroMaxx SonoSite 53 2 2D MMode M Color CPD THI PW 2D MMode M Color THI PW TDI PW CW ECG ECG 1 1

2D MMode M CPD Color THI PW 2D Color CPD THI PW 2D MMode M Color CPD THI PW CPD Color (PUBS) (IVF) CPD Color (IUGR) 2 1

2D MMode M Color CPD PW TDI PW CW 2D MMode M CPD Color PW 2D MMode M Color CPD PW 2D Color CPD PW TCD Orb (Orb) FDA Orb 2D MMode M Color CPD PW 1 3

2 5 287 9 SonoSite SonoSite 1-888-482-9449 SonoSite SonoSite SonoSite comments@sonosite.com 4 1

SonoSite 1-877-657-8118 1-425-951-6700 service@sonosite.com SonoSite www.sonosite.com Support +425-951-1330 +44-(0)1462-444-800 uk.service@sonosite.com 1 5

3 1 4 2 1 1 1 2 3 4 CompactFlash / OB / Medicine (DICOM ) 6 1

1 2 3 4 2 2 1 2 / 3 4 ECG C11e/8-5 MHz C60e/5-2 MHz D2/2 MHz HFL38/13-6 MHz ICT/8-5 MHz LAP/12-5 MHz L25e /13-6 MHz L38e/10-5 MHz P10/8-4 MHz P17/5-1 MHz SLA/13-6 MHz SLT/10-5 MHz TEE/8-3 MHz 1 7

(MDSe) (MDS) (MDS Lite) SonoSite 8 EN60601-1 8 24 SonoSite SonoSite CompactFlash CompactFlash CompactFlash CompactFlash CompactFlash 8 1

2 a,b,c (MSD) MSD MSD MSD MSD d MSD e,f a. Magnavita, N., L. Bevilacqua, P. Mirk, A. Fileni, and N. Castellino. Work-related Musculoskeletal Complaints in Sonologists. Occupational Environmental Medicine. 41:11 (1999), 981-988. b. Craig, M. Sonography: An Occupational Hazard? Journal of Diagnostic Medical Sonography. 3 (1985), 121-125. c. Smith, C.S., G.W. Wolf, G. Y. Xie, and M. D. Smith. Musculoskeletal Pain in Cardiac Ultrasonographers: Results of a Random Survey. Journal of American Society of Echocardiography. (May1997), 357-362. d. Wihlidal, L.M. and S. Kumar. An Injury Profile of Practicing Diagnostic Medical Sonographers in Alberta. International Journal of Industrial Ergonomics. 19 (1997), 205-216. e. Habes, D.J. and S. Baron. Health Hazard Report 99-0093-2749. University of Medicine and Dentistry of New Jersey. (1999). f. Vanderpool, H.E., E.A. Friis, B.S. Smith, and K.L. Harms. Prevalence of Carpal Tunnel Syndrome and Other Work-related Musculoskeletal Problems in Cardiac Sonographers. Journal of Medicine. 35:6 (1993), 605-610. 2 9

/ / / 10 2

MSD 3 MSD 1 2 11

1 2 3 11 1 4 5 1 2 3 CompactFlash CompactFlash USB CompactFlash PC CompactFlash CompactFlash CompactFlash 1 2 CompactFlash 6 1 // DICOM OB CompactFlash CompactFlash CompactFlash CompactFlash CompactFlash / CompactFlash CompactFlash 12 2

CompactFlash 1 2 6 1 3 CompactFlash 4 5 / 2.5 3.5 5 6 24 2 13

/ 240V 222 1 7 2 2 / SonoSite / 1 16 3 2 31 14 2

2 1 2 3 4 5 6 1 2 2 15

1 14 2 Tab Caps Enter 15 Shift 3 4 5 6 Text THI Zoom Picto Depth Freeze Record Delete Update 16 17 18 19 7 Caliper Save M Mode Calcs Print Doppler Color 20 2D 8 9 10 11 12 13 3 1 1 Power 2 3 Annotation Text Picto 4 THI / 16 2

1 5 Depth Depth Up Depth Down 6 Zoom 7 Near Far Gain 8 9 Caliper Calcs 10 11 Select / / 12 Print 13 Save CompactFlash / 14 15 Setup Report Review Patient EMED 16 2 17

1 17 Save Clip Record CompactFlash / DVD/VCR 18 Freeze Cine / / 19 Update MMode M Doppler 20 Modes MMode M Doppler Color 2D MMode M M M Doppler CPD /Color 18 2

1 2 3 4 5 9 10 6 11 7 8 4 2 1 Mode Data Gen Res THI PW 2 3 4 5 6 7 8 9 Patient / 2 19

2 10 CompactFlash 11 0.5 1 5 CPD/Color / 20 2

2D 3 Gen 2D Res Gen Pen Dynamic Range (+3) (-3) / Dual / U/L D/L D/R U/R / / / / Brightness 1-10 / 4 / / 2 21

1 2 3 4 10 11 5 5 6 7 8 9 5 1 Tab 2 Caps 3 Shift 4 Text 5 Picto / 6 7 8 Delete 9 10 Backspace 11 Enter 22 2

(ID) DICOM SiteLink AE 6 / / 1 Symbols 2 / Symbols 3 OK Select Select 2 23

Setup Administration Audio, Battery Cardiac Calculations Connectivity Date and Time Delta Key, Annotations Display Information IMT calculations IMT OB Calculations OB OB Custom Measurements OB Presets System Information Network Status (TDI) CF DICOM SiteLink DICOM SiteLink IMT OB / OB OB OB IP WLAN WLAN SSID MAC MAC 24 2

1996 (Health Insurance Portability and Accountability Act, HIPAA) (European Union Data Protection Directive, 95/46/EC) SonoSite HIPAA SonoSite 7 Setup Administrator Login 1 Setup 2 Administration 3 Administrator Login Name Administrator 4 SonoSite 1-877-657-8118 5 Login 2 25

1 User Information Password 2 Confirm A-Z a-z 0-9 3 Password changes 4 Save User Login 1 User Login On Off On Off 2 Administration 26 2

8 Setup User List 1 New 2 User Information Name Password Confirm A-Z a-z 0-9 3 Sonographer Patient Information 4 Administration Access 5 Save 1 User List 2 3 4 Save 2 27

1 User List 2 Delete 3 Yes No 1 User List 2 3 Save Done Done 1 CompactFlash 12 CompactFlash 2 Setup 3 Administration 4 Export CompactFlash 5 CompactFlash 1 CompactFlash 12 CompactFlash 2 Setup 3 Administration 4 Import Reset Reset 28 2

Event Log CompactFlash CompactFlash 9 Event Log 1 Setup 2 Administration 3 Log Event Log 4 Back DICOM (log.txt) CompactFlash log.txt 1 CompactFlash 2 Log Export 3 CompactFlash Microsoft Word log.txt 1 Clear 2 Yes No 2 29

10 User Login Change Password User Login User Login User Login Name Password OK User Login Guest Guest 1 User Login Password 2 OK A-Z a-z 0-9 30 2

11 Setup Audio, Battery Key Click 1 Setup 2 Audio, Battery 3 Key click On Off Beep Alert 1 Setup 2 Audio, Battery 3 Beep alert On Off Sleep Delay 1 Setup 2 Audio, Battery 3 Sleep delay Off 5 10 Power Delay 1 Setup 2 Audio, Battery 3 Power delay Off 15 30 Reset Reset 2 31

Cardiac Calculations 12 Setup Cardiac Calculations 1 Setup 2 Cardiac Calculations 3 TDI Walls TDI TDI 4 Done Reset Reset 32 2

Connectivity 13 Setup Connectivity DICOM SiteLink Printer 1 Setup 2 Connectivity 3 Printer Video Mode 1 Setup 2 Connectivity 3 Video Mode NTSC PAL 1 Setup 2 Connectivity 3 Serial Port VCR DVD DVD Computer (PC) Bar Code Scanner RS-232 4 5 (RS-232) / (MDS) PC ASCII PC PC SonoSite 2 33

Transfer Mode 1 Setup 2 Connectivity 3 Transfer Mode DICOM SiteLink 4 DICOM Setup DICOM SiteLink Setup SiteLink DICOM SiteLink 5 SiteLink Image Manager SiteLink SiteLink Image Manager Location 1 Setup 2 Connectivity 3 Locations DICOM SiteLink Location DICOM SiteLink 5 CF Capacity Alert CF 1 Setup 2 Connectivity 3 CF Capacity Alert CF CF Capacity Alert CF Compact Flash Reset Reset 34 2

Date and Time 14 Setup Date and Time Date 1 Setup 2 Date and Time 3 Date Time 1 Setup 2 Date and Time 3 Time 24 Reset Reset 2 35

Delta Key Annotation 15 Setup Delta Key, Annotations Delta Key 1 Setup 2 Delta Key, Annotations 3 Delta Key Annotations 1 Setup 2 Delta Key, Annotations 3 Exam 4 Group A A B B C C 5 Text Add 6 Text Rename 7 8 Delete 23 36 2

Unfreeze Import 1 Setup 1 Delta Key, Annotations 2 Unfreeze Keep All Text Keep Home Text Clear All Text 75 Home/Set / Keep All Text CF Export Reset CF Reset 2 37

Display Information 16 Setup Display Information Patient 1 Setup 2 Display Information 3 Mode Data 1 Setup 2 Display Information 3 System Status 1 Setup 2 Display Information 3 Reset Reset 38 2

IMT Calculations IMT 17 Setup IMT Calculations IMT IMT Calculations IMT Reset 1 Setup 2 IMT Calculations IMT 3 IMT Calculations IMT Calculation None 4 Region width Reset 2 39

OB Calculations OB 18 Setup OB Calculations OB Gestational Age Growth Analysis 1 Setup 2 OB Calculations OB 3 Gestational Age Growth Analysis OB None More More Export 1 CompactFlash 2 Setup 3 OB Calculations OB 4 Export CompactFlash 40 2

Import 1 CompactFlash 2 Setup 3 OB Calculations OB 4 Import 5 Yes No 6 Done Tables Reset Tables OB OB 43 OB Custom Tables OB Reset 2 41

OB Custom Measurements OB 19 Setup OB Custom Measurements OB OB Custom Measurements OB 1 Setup 2 OB Custom Meas OB 3 New 4 Name 5 Type 6 Save OB OB 1 Setup 2 OB Custom Meas OB 3 Custom Measurements 4 Delete Last 5 Yes No Tables Tables OB OB Gestational Age 43 OB Custom Tables OB 42 2

OB Custom Tables OB 20 Setup OB Custom Table OB Gestational Age Table Measurements 6 Growth Analysis Table Measurements 6 6 OB Custom Table Measurements OB Gestational Age Table Measurements Growth Analysis Table Measurements GS CRL BPD OFD HC TTD AC FTA FL 5 BPD HC AC FL EFW OB 1 Setup 2 OB Custom Meas. OB OB Calculations OB 3 Tables 4 Age Growth / 2 43

OB 1 Setup 2 OB Custom Meas. OB OB Calculations OB 3 Tables 4 Age Growth 5 6 New 7 Author 8 9 Save OB 40 OB Calculations OB More OB OB 1 Setup 2 OB Custom Meas. OB OB Calculations OB 3 Tables 4 OB 5 Edit Save OB 1 Setup 2 OB Custom Meas. OB OB Calculations OB 3 Tables 4 OB 5 Delete 44 2

Presets 21 Setup Presets Doppler Scale 1 Setup 2 Presets 3 Doppler Scale cm/s / khz Duplex 1 Setup 2 Presets 3 Duplex Full 2D, Full Trace 1/3 2D, 2/3 Trace 1/3 2/3 1/2 1D, 1/2 Trace 1/2 1/2 Live Trace 1 Setup 2 Presets 3 Live Trace Peak Mean Thermal Index 1 Setup 2 Presets 3 Thermal Index TIS TIB TIC Thermal Index OB TIB TCD TIC TIS 2 45

Save Key 1 Setup 2 Presets 3 Save Key Image Only Image/Calcs / Save Key Image Only Save Key CompactFlash Image/Calcs / Save Key CompactFlash Dynamic Range 1 51 Exam 2 Setup 3 Presets 4 Dynamic Range -3-2 -1 0 +1 +2 +3 Units 1 Setup 2 Presets 3 Units in/ft/lbs cm/m/kg Footswitch 1 Setup / 2 Presets 3 Footswitch (L) Footswitch (R) Save Clip Record Freeze Save Image Print Reset Reset 46 2

System Information 22 Setup System Information System Information 1 Setup 2 System Information 187 1 2 14 3 1 Power 2 47

Network Status 23 Setup Network Status Network Status 1 Setup 2 Network Status 48 2

3 Patient Information New Patient End Exam Patient 1 Patient Information 1 Patient 2 New 3 49

3 Patient Patient Last First Middle Names ID Accession Date of birth / / Gender Female Male Indications Symbols 23 More User: Reading Dr. Referring Dr. Institution Patient Name ID Accession Back 50 3

End Exam Cancel Exam Type LMP Estab. DD LMP Estab. DD / / Estab.DD OB LMP Twins Twins Twin A A Twin B B OB Previous Exams OB Twin A/B A B Back BP IMT HR Heart Rate IMT MMode M Height Weight BSA Ethnicity IMT 1 Patient 2 End Exam End Exam New Patient Cancel Cancel 3 51

Done Done Cancel (Orb) FDA Orb 1 Abd Bre Crd Gyn Hep IMT Msk Neo Nrv OB Orb 52 3

1 Pel SmP Sup TCD Vas 2D Res Gen Pen CPD Color PRF 2 2D/ MM THI 2D MB 2D S CPD Color PW TDI PW CW C11e Abd X X X X X Nrv X X X X X C60e OB X X X X X X Gyn X X X X X X Abd X X X X X X D2 Crd X HFL38 Bre X X X X X X SmP X X X X X X Vas X X X X X X IMT X X X X X X Nrv X X X X X X ICTe Gyn X X X X OB X X X X 3 53

2 2D/ MM THI 2D MB 2D S CPD Color PW TDI PW CW L25e Msk X X X X X X Vas X X X X X X Nrv X X X X X X Sup X X X X X X L38e Bre X X X X X SmP X X X X X Vas X X X X X IMT X X X X X Nrv X X X X X LAP Abd X X X X Pel X X X X P10 Crd X X X X X X Neo X X X X X Abd X X X X X Vas X X X X X Nrv X X X X X P17 Abd X X X X X X OB X X X X X X Crd X X X X X X X TCD X X X X X Orb X X X X X 54 3

2 2D/ MM THI 2D MB 2D S CPD Color PW TDI PW CW SLA Msk X X X X X Sup X X X X X Vas X X X X X Nrv X X X X X SLT Abd X X X X Hep X X X X TEE Crd X X X X X 21 CFR 801.437 SonoSite SonoSite SonoSite SonoSite 190 SonoSite Aquasonic 3 55

SonoSite 1 2 3 4 5 6 56 3

2D (LCD) 2D 2D 2D 2 2D Optimize Dynamic Range Res Gen Pen -3-2 -1 0 +1 +2 +3 3 57

Dual Images LVO Orientation Brightness Biopsy Guide SonoRES (S) 1 Dual 2 Update Update 3 Dual 2D 2D LVO LVO (MI) 1 2D 2 LVO On LVO LVO 2 LVO Off LVO Up/Right / Up/Left / Down/Left / Down/Right / 1-10. ECG Biopsy P10 P17 79 Guide 2D SonoRES SonoMB 53 S SonoRES S SonoRES (2D) M (M Mode) 58 3

SonoMB (MB) ECG Clips Gain Auto Gain Depth Tissue Harmonic Imaging 2D SonoRES SonoMB 53 SonoMB SonoMB MB SonoMB 2D SonoMB ECG SonoSite ECG 1 ECG 7 2 2 ECG ECG 77 ECG SonoMB ECG Clips 69 Clips Near Far Gain (TGC) Auto Gain Auto Gain 0.5 1 5 Depth 1 THI THI THI 2 THI THI THI 3 59

Zoom Zoom Pan Freeze 1 Zoom (ROI) 2 ROI 3 Zoom ROI 4 Zoom 1 2D 1 Zoom 2 3 Zoom 4 5 Zoom 1 Freeze 2 Freeze Cine Cine 60 3

MMode M M Mode M 57 2D MMode M-Line M 3 M Mode M-Line M M-line M 1 M-line M MMode M MMode M 2 M MMode M MMode M 3 61

MMode M 4 M Mode M MMode M Sweep Speed Gain Freeze 2D 1 MMode M MMode M 200 1 2 Update M 3 MMode M M 45 Duplex Near Far Gain (TGC) 1 Freeze 2 Freeze MMode M MMode M M Update M Cine 2D 62 3

Color CPD Color CPD Color 5 CPD Color 1 Color CPD Color (ROI) 2 CPD Color Color CPD Color cm/s / ROI 1 (ROI) ROI 2 Select ROI ROI 3 63

Color Suppress Flow Sensitivity PRF Scale Wall Filter Steering 1 Color CPD Color Suppress 2 Hide Show Color Suppress Low Med High Color CPD (PRF) PRF Color CPD low med high PW -15-60 0 0 +15 +60 CPD/ (PW)/ (CW) Select 64 3

Variance Invert Gain 2D Variance Invert Color Invert Gain CPD ROI CPD Near Far 2D Color CPD/ (PW) Select 3 65

PW CW PW Doppler CW Doppler PW CW Doppler D-Line 6 ROI D-line PW/CW Doppler / 1 Doppler 2 3 Select PW CW ROI CW Doppler 1 Doppler 2 PW PW Doppler CW Doppler 66 3

Angle Correction Gate Size Tissue Doppler Imaging (TDI) Doppler Gate Depth Steering PW Doppler PW Doppler Angle Correction 0 +60-60 1 Select 2 2-74 +74 3 Select PW Doppler PW Doppler TDI TDI TDI TDI TCD/Orb 1 2 PW -15-60 0 0 +15 +60 Angle Correction CPD/ (PW)/ (CW) Select 3 67

7 1 Doppler 2 Update / 3 Doppler 200 1 45 Duplex Scale Line Invert Volume Wall Filter Sweep Speed Live Trace / (PRF) Invert (0-10) low med high slow med fast Trace 45 Live Trace 68 3

Gain Freeze 2D Gain 1 Freeze 2 Freeze Cine 2D Clips Time/ECG / Clips Time 2s 2 4s 4 6s 6 ECG 1 2 3 4 6 8 10 / / PrevOn PrevOff Prev/On / Save Clip CompactFlash Prev/On / Prev/Off / Pro Retro Pro Save Clip Retro Save Clip 3 69

Save Clip Trim Clip 1 Clips 2 Prev/On / 3 Save Clip CompactFlash 1 Clips 2 PrevOn 3 Save Clip 4 Left:x x 5 Right:x x 6 Save Delete Patient List Delay Line Gain Save ECG Save Clip Delay ECG ECG 0-20 ECG 70 3

CompactFlash CompactFlash / (_No_Name_) ID ID (_No_ID_) / 73 PC CompactFlash / DICOM Image Transfer DICOM SiteLink Image Manager SiteLink PC 141 SiteLink Image Manager CompactFlash / CompactFlash CompactFlash CF Capacity Alert CF CF 34 CF Capacity Alert CF CompactFlash / CompactFlash CompactFlash CompactFlash CompactFlash CompactFlash CompactFlash 3 71

Save 1 CompactFlash 6 1 2 CompactFlash CompactFlash CompactFlash CompactFlash CompactFlash CompactFlash CompactFlash Save Clip Save CompactFlash CompactFlash CompactFlash 200 Save Clip CompactFlash CompactFlash CompactFlash 72 3

33 Printer SonoSite Print CompactFlash / / / 8 Select All Deselect Archive Review List Select All Deselect Review SiteLink DICOM Archive SiteLink PC DICOM 34 Transfer Mode 3 73

1 33 Printer 2 Review 3 List 4 5 Print Delete Done Delete Done / Play Review Review (1/x) / Play Pause 1x 1/2x 1/4x List 1 33 Printer 2 Print Delete Done Delete / Done / 74 3

Annotations 9 1 Text 2 3 Enter Delete Delete Word Text Home/Set / 1 Text 2 3 Home/Set / 4 Home/Set / 3 75

Home Label Symbols Delete Word Delete 1 Text 2 Home 75 Home/Set / 1 Text 2 3 Label 4 (1/x) 36 Annotations Symbols 23 Delete Word Delete 37 Unfreeze 1 2 3 Select 4 Select 5 Hide 76 3

1 Picto Show/Hide / Number 1/18 U/L D/L D/R U/R Done 2 3 4 Select 5 U/L / D/L / D/R / U/R / 6 Hide ECG ECG SonoSite ECG ECG SonoSite ECG SonoSite ECG SonoSite SonoSite 3 77

ECG Show/Hide / ECG SonoMB ECG 1 ECG ECG ECG ECG ECG ECG 2D ECG 2 ECG Show/Hide / / ECG Gain ECG 0-20. Position Sweep Speed ECG slow med fast SonoSite 1 Y ECG Y 2 46 Footswitch 78 3

1 2 3 33 L25 3 79

80 3

4 SonoSite 2D 2D cm cm 2 cm 1 2D 4 81

1 2D Caliper Ellipse / Manual trace Delete 2 3 Select 4 Caliper / 82 / 83 Manual Trace 5 Switch 6 Calcs Save / 1 2D Caliper 2 Ellipse 3 Select 4 Caliper / Ellipse 82 4

Manual Trace 5 Switch 6 Calcs Save 1 2D Caliper 2 Manual 3 4 Select 5 Set 6 Caliper / Manual 7 Switch 8 Calcs Save 1 Switch 2 2D Doppler 1 Switch 2 Delete 4 83

MMode M MMode M cm (HR) / (bpm) 200 1 2 MMode M 1 MMode M Caliper Heart rate (HR) Delete 2 3 Select Switch 4 Calcs Save 84 4

Heart Rate (HR) Fetal Heart Rate (FHR) 1 MMode M Caliper HR Calcs FHR OB Heart rate (HR) Delete Save 2 HR FHR 3 4 Select 5 6 Save HR / 7 Save Delete HR 4 85

Doppler 3 (cm/s), cm/s / 24 1 Doppler Caliper PHT Manual Auto Delete 2 3 Save 4 Calcs Save 86 4

+/x (RI) 1 Doppler Caliper Manual Auto Delete 2 3 Caliper Select 4 5 Save 6 Calcs Save 1 Doppler Caliper 2 Manual 3 Select 4 Backspace Undo 5 Set 6 Save 7 Calcs Save 4 87

1 Doppler Caliper 2 Auto 3 4 Select 5 6 Set 7 Calcs Save 1 TCD/ Orb OB/Gyn Neo (VTI) X (Vmax) X X X X (PGmean) X (Vmean) X (PGmax) X (CO) X (PSV) X X (TAM)* X X +/x / (S/D) X X X X X (PI) X X X X X (EDV) X X X X X 88 4

1 TCD/ Orb OB/Gyn Neo (AT) X (RI) X X X X X (TAP) X X X X TAM* 4 89

135 1 Select 2 3 Save 1 2 Select Caliper 3 4 Save Enter 1 2 Delete 135 90 4

49 2 C11e C60e HFL38 L25e L38e IMT IMT P17 P10 SLA SLT 4 4 91

1 2D Calcs 2 3 Select 4 Undo 5 Set 6 Save 7 8 9 Set 10 Save 1 2D Calcs 2 3 4 Save Enter 5 6 7 Save 92 4

49 3 C11e C60e HFL38 ICT L25e L38e P17 P10 SLA SLT D 1 D 2 D 3 2D 4 93

5 2D D 1 D 2 D 3 1 2D Calcs 2 3 4 Save Enter Save 5 94 4

49 4 (mm) C11e 1 2 3 C60e 2 3 5 7 10 12 HFL38 1 3 5 7 10 12 L25e 1 3 5 7 10 12 L38e 1 3 5 7 10 12 P17 2 3 5 7 10 12 P10 2 3 5 7 10 12 SLA 1 3 5 7 10 12 SLT 1 2 3 5 7 10 287 5 D TAM VF 2D Doppler 4 95

- 4 Allan, Paul L. et al. Clinical Doppler Ultrasound, 4th Ed., Harcourt Publishers Limited, (2000) 36-38. 2D 1 2D Calcs 2 Volume Flow D 3 4 Save Enter Save Doppler 1 Doppler Calcs 2 Volume Flow TAM 3 Select 4 5 Select 6 7 Set 8 Save Enter 135 Save 96 4

d:d 93 7 d:d 6 HFL38 L38e 1 2D Calcs 2 Right Left 3 Baseline 4 Set A 5 A Save B 6 B Save 7 Save d:d 1 2D Calcs 2 Right Left 3 d:d Ratio d:d Fem Hd 4 Select 5 Set 6 Save 7 Save 4 97

49 7 7 C60e ICT 6 Gyn 1 Gyn 2 2D Calcs 3 Gyn 4 5 Save Enter Save 6 7 98 4

7 Follicle 1 Gyn 2 2D Calcs 3 Follicle 4 5 Save Enter Save 6 7 4 99

EFW EDD OB EFW OB OB OB 102 10 OB OB 49 OB 7 OB 8 C60e ICT P17 9 (OB) AUA EDD by AUA AUA (Average Ultrasound Age) AUA OB EDD by AUA (Estimated Date of Delivery by Average Ultrasound Age) 100 4

9 (OB) EDD by LMP EFW Estab. DD GA by LMP GA by LMPd LMP EDD by AUA (Estimated Date of Delivery by Last Menstrual Period) (LMP) EFW (Estimated Fetal Weight) EFW EFW Estab.DD (Established Due Date) LMP LMPd GA (Gestational Age by Last Menstrual Period) (LMP) GA (Gestational Age by derived Last Menstrual Period) (LMP) LMP (Last Menstrual Period) EDD LMPd LMPd (derived Last Menstrual Period) (Estab.DD) UA UA (Ultrasound Age) 4 101

OB 287 10 OB OB 1 GS CRL BPD OFD HC TTD APTD AC FTA FL Hansmann Nyberg Tokyo U. Hadlock Hansmann Osaka Tokyo U. Chitty Hadlock Hansmann Osaka Tokyo U. Hansmann Chitty Hadlock Hansmann Hansmann Tokyo U.* Tokyo U.* Hadlock Hansmann Tokyo U. Osaka Chitty Hadlock Hansmann Osaka Tokyo U. * Toyko U APTD TTD EFW 102 4

10 OB OB (EFW) 2 3 HC, AC, FL Hadlock 1 BPD, AC, FL Hadlock 2 AC, FL Hadlock 3 BPD, TTD Hansmann BPD, FTA, FL Osaka U. BPD, AC Shepard BPD, TTD, APTD, FL Tokyo U. HC/AC Campbell FL/AC FL/BPD FL/HC Hadlock Hohler Hadlock Q 1, Q 2, Q 3, Q 4 Jeng 4 BPD HC Chitty Hadlock Jeanty Chitty Hadlock Jeanty AC Chitty Hadlock Jeanty FL Chitty Hadlock Jeanty EFW Hadlock Jeanty HC/AC Campbell 4 103

1 OB AUA 2 (Estimated Fetal Weight) OB EFW 40 OB Calculations OB 3 Hadlock EFW 1 2 3 4 (Growth Analysis) (Report Graphs) LMP Estab. DD 8 (OB) 104 4

EFW EDD OB EFW OB 1 OB LMP Estab. DD 2 Twins 3 2D Calcs 4 Twin A A Twin B B 5 6 Save Enter OB AFI Save 7 8 4 105

OB 11 OB S/D RI PI* MCA (Middle Cerebral Artery) X X X Umb A (Umbilical Artery) X X X * 9 OB 106 4

OB Doppler MCA UmbA PI MCA/UmbA 1 OB LMP Estab. DD 2 Doppler Calcs 3 4 Caliper Function S/D RI Select Manual Trace S/D RI PI Select Set 5 Save Enter Save S/D RI S/D RI PI 6 4 107

49 12 HFL38 L25e L38e P10 SLA 287 13 PCCA X X MCCA X X DCCA X X Bulb X X PICA X X MICA X X DICA X X PECA X X MECA X X DECA X X 108 4

13 VArty X X 10 ICA/CCA 1 Doppler Calcs 2 Left Right 3 4 Select 5 6 Save Enter Save 7 4 109

(IMT) IMT IMT (CCA) (ICA) 49 11 IMT IMT 14 IMT L25e L38e HFL38 IMT IMT IMT 110 4

2D IMT IMT IMT IMT 15 2D IMT / /IMT Ant N Ant F Lat N Lat F Post N Post F IMT 1 IMT 2 IMT 3 IMT 4 IMT 5 IMT 6 IMT 7 IMT 8 / Plaq 1 1 Plaq2 2 IMT 1 2D 1 Calcs 2 3 IMT 4 Hide IMT 5 Save Enter 4 111

IMT IMT 1 Move IMT 2 Width IMT 1 mm 1 mm IMT IMT 1 Edit 2 Smooth IMT 3 Adven 4 Lumen IMT 112 4

IMT Trace IMT 1 Edit 2 Manual 3 Sketch Trace 4 Select 5 6 Select Undo Backspace 7 Set 8 4 5 6 9 Set 10 Save Enter 4 113

IMT Sketch IMT 1 Edit 2 Manual Sketch 3 Select 4 5 Select Undo Backspace 6 Set 7 3 4 5 8 Set Width Edit Edit Smooth Lumen Adventitia 9 Save Enter (TCD) (Orb) 49 TCD 16 P17 (TCD) (Orb) 114 4

TCD 287 17 / TT TO MCA Prox Mid Dist Bifur ACA ACoA TICA PCAp1 PCAp2 PCoA OA Siphon TAP PSV EDV PI RI S/D Gate Size TAP PSV EDV PI RI S/D Gate Size SM ECICA TAP PSV EDV PI RI S/D Gate Size FM VA TAP PSV EDV PI RI S/D Gate Size 4 115

17 / BA Dist Mid Prox TAP PSV EDV PI RI S/D Gate Size AL ECVA TAP PSV EDV PI RI S/D Gate Size 12 (TCD) 116 4

(TCD) 1 Doppler Calcs 2 Left Right 3 4 Set 5 Save Enter 6 7 88 (Orb) FDA Orb (TO) 1 Orbital (Orb) 2 Doppler Calcs 3 Left Right TO OA Siphon 4 5 Set 6 Save Enter 7 88 4 117

49 7 TEE TEE TEE 18 D2 P17 TEE P10 118 4

2D MMode M 2D MMode M 287 19 2D LV RVWd RVDd IVSd LVDd LVPWd RVWs RVDs IVSs LVDs LVPWs CO CI HR Ao LA CO EF SV LVESV LVEDV IVSFT LVPWFT LVDFS CI SI Ao LA/Ao LA LA/Ao AAo LVOT D AAo LVOT D LVOT AV AV LV LV MV A4Cd A4Cs A2Cd A2Cs Epi Endo Apical MV LV LV EF CO SV CI SI LV Epi Endo D 4 119

19 2D PISA Qp/Qs Ann D Color Doppler MR/VTI Doppler MV/VTI LVOT D RVOT D Doppler LVOT VTI Doppler RVOT VTI PISA ERO MV D VTI VMax PGmax Vmean PGmean SV Qp/Qs 120 4

20 M Mode M LV RVWd RVDd IVSd LVDd LVPWd RVWs RVDs IVSs LVDs LVPWs MMode M Doppler HR Ao LA ACS CO EF SV LVESV LVEDV IVSFT LVPWFT LVDFS CI SI LV Ao LA/Ao LA LA/Ao ACS LVET EF:SLOPE LVET EF:SLOPE EPSS EPSS 4 121

13 M LV LVd LVs 2D MMode M Ao LA AAo LVOT D 1 2D MMode M Calcs 2 3 4 Select 5 6 Select 7 8 Save Enter Save 1 2D MMode M Calcs 2 3 4 Save Enter Save 122 4

LV 1 2D Calcs 2 3 Select 4 (LV) Undo 5 Set 6 Save Enter Save 7 8 MV/AV 1 2D Calcs 2 Area MV AV 3 Select 4 Undo 5 Set 6 Save Enter Save 4 123

LV 1 2D Calcs 2 LV Mass LV EPI 3 Select 4 Undo 5 Set 6 Save Enter Save 7 Endo 8 Select 9 Set 10 Save 11 Apical 12 13 Save 124 4

Doppler Doppler Backspace Undo PW Doppler CW Doppler 287 21 Doppler MV E A PHT E E PG A A PG E:A PHT MVA Decel time VTI VTI Vmax PGmax Vmean PGmean IVRT IVRT dp:dt PISA 100 cm/ 300 cm/ Color MR/VTI 2D Ann D MV/VTI dp:dt PISA ERO MV 4 125

21 Doppler AV Vmax Vmax PGmax VTI 2D LVOT D LVOT VTI Vmax AV VTI Vmax VTI 2D LVOT D VTI HR 2D LVOT D VTI Vmax PGmax Vmean PGmean AVA SV CO LVOT Vmax Vmax PGmax VTI VTI Vmax PGmax Vmean PGmean AI PHT AI PHT AI TV TRmax TRmax PGmax RA pressure RA RVSP PV Vmax Vmax PGmax VTI VTI Vmax PGmax Vmean PGmean 126 4

21 Doppler Qp/Qs TDI Doppler 2D LVOT D 2D RVOT D LVOT VTI RVOT VTI Wall e e a Wall e e a Wall e e a Wall e e a D VTI VMax SV Qp/Qs Vmax E/e E A Vmax Trmax e a 1 Doppler Calcs 2 MV TV TDI 3 4 Save Enter Save 5 6 7 Save 4 127

(VTI) (RVSP) VTI 21 1 Doppler Calcs 2 MV AV PV LVOT VTI 3 4 Select 5 Set Backspace Undo 6 Save Enter Save 88 1 Doppler Calcs 2 TV TRmax 3 4 Save Enter Save 5 RA Report 6 RA 5 RA RVSP 128 4

MV AV (PHT) PHT 1 Doppler Calcs 2 MV AV PHT 3 Select 4 MV EF AV 5 Save Enter Save (PISA) 2D Color Spectral Doppler Ann D 2D 1 2D Calcs 2 PISA Ann D 3 4 Save Enter Save Color 1 Color Calcs 2 Radius 3 4 Save 4 129

PISA MR VTI MV VTI Doppler 1 Doppler Calcs 2 PISA MRVTI 3 Select 4 Set 5 Save Enter 6 MVVTI 7 Select 8 Set 9 Save 88 (IVRT) 1 Doppler Calcs 2 MV IVRT 3 4 Select 5 6 Save Enter Save dp:dt CW Doppler (dp:dt) 300 cm/s 1 CW Doppler Calcs 2 MV dp:dt 100 cm/s 3 100 cm/s 4 Select 300 cm/s 5 300 cm/s 6 Save Enter Save 130 4

(AVA) 2D Doppler LVOT 2D 1 2D Calcs 2 LVOT D 3 4 Save Enter Save LVOT Doppler 1 Doppler Calcs 2 AV 3 LVOT Vmax VTI 4 127 E A Vmax Trmax e a 128 (VTI) 5 Save Enter Save Doppler 1 Doppler Calcs 2 AV VTI Vmax 3 127 E A Vmax Trmax e a 128 (VTI) 4 Save Enter Save 4 131

Qp/Qs 2D Doppler LVOT D RVOT D 2D 1 2D Calcs 2 Qp/Qs LVOT D 3 4 Save Enter 5 RVOT D 6 7 Save LVOT VTI RVOT VTI Doppler 1 Doppler Calcs 2 Qp/Qs LVOT VTI 3 4 Save Enter 5 RVOT VTI 6 7 Save 88 (SV) 2D Doppler LVOT 2D 1 2D Calcs 2 LVOT D 3 4 Save Enter Save 132 4

(SV) (SI) Doppler 1 Doppler Calcs 2 AV VTI 128 (VTI) 3 4 Set 5 Save Enter Save 88 2D Doppler (BSA) 1 Patient Information BSA 2 (SV) 132 (SV) (HR) Heart Rate ECG 1 Doppler Calcs 2 HR 3 4 Select 5 6 Save / Save (CO) (SV) (HR) 1 SV 132 (SV) 2 HR 133 (HR) 4 133

(CI) (TDI) (SV) (HR) (BSA) 1 Patient Information BSA 2 (CO) 133 (CO) 1 TDI 67 Tissue Doppler Imaging (TDI) 2 Doppler Calcs 3 TDI 4 5 Save Enter Save 6 7 134 4

14 Vascular Cardiac 1 Report (###) 2 1/x (OB) 3 Save 4 Done 4 135

1 Report 2 1/x 3 Details Summary 4 Details Details 5 Delete 6 Ratio ICA/CCA 1 Report 2 1/x 3 Details Summary 4 Details Details 5 Delete 1 Report 2 Next Page (1/x) (1/x) 3 Details Summary TAP 4 Details TAP 5 Delete TAP 136 4

OB 1 OB Report 2 Twin A/B A/B OB 1 OB Report 2 Compare OB 1 OB Report 2 OB 3 Delete Select Delete 1 33 Connectivity 2 Send Rep. 4 137

15 1 OB Report 2 Anatomy Demonstrated Tab 1 OB Report 2 (BPP) 0 1 2 NST 138 4

16 OB OB LMP Estab.DD OB 1 OB Report 2 Graphs 3 Graphs / / 1/x Save 4 Report Done 4 139

17 EMED EMED 1 Report 2 EMED 3 AAA FAST Gallbladder (GB) Kidney 140 4

5 SiteLink Image Manager SiteLink DICOM SiteLink DICOM SiteLink MicroMaxx (PC) SiteLink Image Manager DICOM (LAN) PACS (Worklist) 1 Setup Connectivity 2 Transfer Mode DICOM SiteLink 3 DICOM Setup DICOM SiteLink Setup SiteLink SiteLink DICOM 142 SiteLink 148 DICOM SiteLink SiteLink SiteLink SiteLink USB CompactFlashÆ SiteLink Image Manager 141 SiteLink 143 SiteLink SiteLink Image Manager SiteLink SiteLink Image Manager 5 141

SiteLink (LAN) 1 SonoSite 2 LAN LED 1 SiteLink 1 142 5

SiteLink SiteLink 1 SiteLink 141 SiteLink 2 Setup Connectivity SiteLink Setup SiteLink Transfer Mode 3 New Host Name MicroMaxx Alias MicroMaxx IP Address IP 127.0.0.0 127.0.0.8 Subnet Mask 255.255.0.0 Default Gateway IP 127.0.0.0 127.0.0.8 Alternate Gateway 127.0.0.0 127.0.0.8 4 Network Speed 5 Save Done 1 Setup Connectivity 2 Location 1 2 Delete 3 Yes No 4 Done SiteLink SiteLink 5 143

2 SiteLink 1 SiteLink 1 Symbol LA-4137 802.11b CompactFlash MicroMaxx SonoSite 1 2 Setup Connectivity SiteLink Setup SiteLink 3 New Host Name MicroMaxx Alias IP Address IP IP MicroMaxx Subnet Mask 255.255.0.0 Default Gateway Alternate Gateway Network Speed 4 Wireless 5 Next 2 144 5

3 SiteLink 2 SiteLink 2 1 MicroMaxx Profile Name Network Name SSID SSID Security Policy Auto Shared Key Auto MicroMaxx Open SKA Shared Key MicroMaxx SKA Encryption 64 128 Key Index WEP 1-4 Key WEP 2 Save Done 5 145

SiteLink 1 Setup Connectivity 2 Location 1 SiteLink Image Manager SiteLink Configure 2 Configure TCP/IP Port TCP/IP 3 SiteLink IP IP SiteLink Image Manager 146 5

DICOM DICOM DICOM DICOM PACS Locations Archivers Printers Worklist Procedure Patient Information 141. 147 DICOM. DICOM DICOM DICOM SonoSite DICOM CompactFlash 1 CompactFlash 12 CompactFlash 2 Setup Connectivity DICOM Setup DICOM 3 Config 4 Export 5 CompactFlash 5 147

MicroMaxx 16 DICOM (LAN) 1 SonoSite 2 LAN LED 4 DICOM 1 148 5

DICOM 1 1 DICOM 141 2 Setup Connectivity DICOM Setup DICOM 3 Config 4 New 148 4 5 DHCP DHCP DHCP IP Address IP Subnet Mask Default Gateway Alternate Gateway 6 Host Name MicroMaxx Alias MicroMaxx AE Title AE DICOM Wireless SiteLink Wireless IP Address IP 127.0.0.0 127.0.0.8 Subnet Mask 255.255.0.0 Default Gateway IP 127.0.0.0 127.0.0.8 Alternate Gateway 127.0.0.0 127.0.0.8 7 Next 2 5 149

5 DICOM 2 DICOM 2 1 5 Transfer Images Network Speed Auto full half duplex Device Read Timeout (sec) Device Write Timeout (sec) 152 DICOM 3 2 Save Done 150 5

DICOM DICOM 6 DICOM 3 5 151

DICOM 3 Symbol LA-4137 802.11b CompactFlash MicroMaxx SonoSite 1 2 Setup Connectivity DICOM Setup DICOM Transfer Mode 3 149 DICOM 1 4 Wireless 5 Next 2 150 DICOM 2 6 Next 3 151 6 7 MicroMaxx Profile Name Network Name SSID SSID Security Policy Auto Shared Key Auto MicroMaxx Open SKA Shared Key MicroMaxx SKA Encryption 64 128 Key Index WEP 1-4 Key WEP 8 Save Done DICOM (SCP) 1 DICOM Location DICOM 2 SCP 3 Done 4 Setup Connectivity 5 Select DICOM Setup DICOM 6 Verify Status SCP 152 5

1 2 1 2 Delete 3 Yes No 4 Done 5 153

7 1 Name Alias IP Address IP Port AE Title AE Ping DICOM IP 104 DICOM IP 154 5

8 2 Images Image Type Clips Attempts RGB (uncompressed) Mono (uncompressed) JPEG RGB (uncompressed) Mono (uncompressed) JPEG Interval Send Images Only Image Type Ultrasound 5 155

1 DICOM 147 DICOM 2 Setup Connectivity DICOM Setup DICOM 3 Config 4 Configure Archivers 5 New 6 1 2 Name Alias AE Title AE IP Address IP Port Symbols 23 / Cancel 7 Save 8 Done 1 2 Delete 3 Yes No 4 Done 156 5

9 1 Name Alias Model IP Address IP Port Agfa Codonics Kodak DICOM IP 104 AE Title AE Ping DICOM IP 5 157

10 2 Film Size Film Type Destination Format Orientation Attempts Interval Copies Priority 158 5

11 3 Max. Density Min. Density Border Density Empty Density * * * * Settings Magnification Configure (RGB) * (OD) 5 159

1 DICOM 147 DICOM 2 Setup Connectivity DICOM Setup DICOM 3 Config 4 Configure Printers 5 New 6 1 2 3 Name Alias AE Title AE IP Address IP Port Symbols 23 / Cancel 7 Save 8 Done 1 2 Delete 3 Yes No 4 Done 160 5

12 1 Name Alias AE Title AE IP Address IP Port DICOM IP 104 5 161

13 2 Date Range This MicroMAXX Only MicroMAXX Automatic Query Occurs Every Start Time AE / 24 162 5

1 Patient data X Date Range X X X This MicroMAXX Only MicroMAXX Automatic Query On/Off / Occurs Every Start Time X X X X X 1 DICOM 147 DICOM 2 Setup Connectivity DICOM Setup DICOM 3 Config 4 Configure Worklist Servers 5 New 6 1 2 Name Alias AE Title AE IP Address IP Port Symbols 23 / Cancel 7 Save 8 Done 5 163

1 Setup Connectivity DICOM Setup DICOM 2 Config 3 Configure Worklist Servers 4 Automatic Query 2 On 5 Occurs Every 6 Start Time 7 Done 1 2 Delete 3 Yes No 4 Done 14 164 5

1 DICOM 147 DICOM 2 Setup Connectivity DICOM Setup DICOM 3 Config 4 Configure Procedure List 5 6 Add 7 Done 1 2 Delete 3 Done IP AE DICOM 1 2 CompactFlash 12 CompactFlash 3 Setup Connectivity DICOM Setup DICOM 4 Config 5 Export IP CompactFlash 6 CompactFlash 5 165

1 CompactFlash 12 CompactFlash 2 Setup Connectivity DICOM Setup DICOM 3 Config 4 Import IP AE 5 Done DICOM Network Log CompactFlash CompactFlash 15 Network Log Clear Export Done CompactFlash CompactFlash log.txt 166 5

DICOM (log.txt) CompactFlash log.txt 1 CompactFlash 2 Setup Connectivity DICOM Setup DICOM 3 Log Export 4 CompactFlash Microsoft Word log.txt 1 Setup Connectivity DICOM Setup DICOM 2 Log 3 Clear 4 Yes No 5 Done DICOM (LAN) 16 16 16 2 4 1 DICOM 5 167

16 DICOM Location AE Title AE Type Device Status Verify Log Config Done DICOM AE Application Entity AE DICOM 166 168 5

DICOM 1 Setup Connectivity DICOM Setup DICOM 2 Location 3 Device 2 4 1 4 Done 1 Setup Connectivity DICOM Setup DICOM 2 Device 3 Done 4 Setup Connectivity DICOM Setup DICOM 5 Verify Device Verify 5 169

17 DICOM Failed Success Unknown DICOM DICOM DICOM C-ECHO DICOM PACS 170 5

/ 18 DICOM 1 DICOM 2 148 (LAN) LAN LED 3 49 CompactFlash 71 DICOM CompactFlash DICOM DICOM CompactFlash 5 171

Review Patient List 171 18 Attempts Interval 1 LAN LED DICOM 2 Review List 3 Select All 4 Archive 172 5

49 DICOM 1 Patient 2 New 3 Procedure DICOM Type Procedure ID Query Worklist Query Patient Last First Middle Patient ID Accession Procedure ID LAN 174 1 Patient 2 Worklist 5 173

DICOM DICOM (Hospital Information System) (Radiology Information System) DICOM 147 DICOM LAN 148 (LAN) 1 DICOM Verify 2 Patient 3 New 4 6 Patient Last First Middle Accession Number Patient ID Procedure ID Smith Smith Smithson Smithy 5 Query 6 Select Patient Information 7 Type 8 More 2 9 Done 1 Patient 2 Worklist Update 174 5

1 (LAN) 149 DICOM 1 2 164 3 1 Patient 2 Worklist 3 Name ID Accession Procedure Date 5 175

176 5

6 SonoSite 1-877-657-8118 425-951-1330 1-425-951-6700 SonoSite service@sonosite.com www.sonosite.com Support & Service 1 CPD 10 LCD Color OB OB 6 177

1 DVD/VCR DVD/VCR DVD/VCR SonoSite C: SonoSite SonoSite 178 6

SonoSite SonoSite 186 SonoSite 8 CompactFlash CompactFlash CompactFlash CompactFlash 6 179

1 2 SonoSite 3 CompactFlash 1 4 Yes No 2 180 6

3 1 5 Restart 4 6 181

5 2 6 Restart Cancel 6 186 SonoSite Cancel 182 6

Triple Transducer Connect 1 CompactFlash 2 3 4 10 CompactFlash 7 8 6 183

5 Upgrade Cancel 9 10 6 Restart 184 6

11 SonoSite Cancel Triple Transducer Connect TTC TTC MicroMaxx TTCDo you want to upgrade the Triple Transducer Connect now? Yes No Yes 186 No 6 185

SonoSite, Inc. 1-877-657-8118 425-951-1330 1-425-951-6700 SonoSite service@sonosite.com www.sonosite.com Support & Service 2 ARM PCBA SH 186 6

1 SonoSite 12 2 license number 3 Done SonoSite 6 187

SonoSite 190 MicroMaxx SonoSite 194 3 SonoSite www.sonosite.com SonoSite (Association for Professionals in Infection Control and Epidemiology, APIC) (U.S. Food and Drug Administration, FDA) 21 CFR 801.437 188 6

/ (Association for Professionals in Infection Control and Epidemiology, APIC) (U.S. Food and Drug Administration, FDA) LCD LCD 1 2 / 3 4 5 6 6 189

194 3 SonoSite SonoSite (Association for Professionals in Infection Control and Epidemiology, APIC) (U.S. Food and Drug Administration, FDA) 190 6

1 2 3 4 5 6 7 8 SonoSite 1 2 3 4 5 6 31-46 7 8 SonoSite STERIS SYSTEM 1 STERRAD Surgical Surgical LAP 6 191

1 2 3 4 5 6 7 8 SonoSite 1 2 3 4 5 6 7 8 SonoSite 192 6

1 2 3 Theracide 4 1 Cidex 10:1 5.25% 2 ECG ECG ECG ECG 1 2 3 Cidex Green Theracide 4 SonoSite www.sonosite.com Quick Link Documentation 6 193

194 6 3 C60e/ICT/ L38e/P10/ P17/SLA D2 HFL38 SLT AbcoCide 14 (4) A U A A A A Accel Plus N U N N N N Accel TB N U N N N N Accel Wipes A U A A A A C11e/ L25e Aidal Plus A U A A A N Alkacide A U A A A A Alkazyme A U A A A A Anioxyde 1000 N U N N N N Aquatabs (1000) A U N A A A Aquatabs (2000) A U N A A N Aquatabs (5000) N U N N N N Ascend (4) A U A A A A Asepti-HB A U A A A N Asepti-Steryl A U A A A N Asepti-Wipes A U A A A A Bacillocid rasant / A U A A A N Banicide (4) A U U A A N Betadine N U N N A N

3 C60e/ICT/ L38e/P10/ P17/SLA D2 HFL38 SLT C11e/ L25e Bleach (4) A U A A A N Cavicide (4) A U A A A A Caviwipes A U A A N A Chlor-Clean A U N A A N Cidex 14 (2) (4) (5) A U A A A A Cidex OPA (2) (3) (4) (5) A A A A A A Cidex Plus (2) (4) (5) A U A A A A Clorox Wipes A U A A A N Control III (4) A U A A N A Coverage Spray (4) A U A A N N DentaSept N U N A N N Dentured Alcohol N U N N N N 6 195 DisCide Wipes A U A A A N DisOPA A A A A A N Dispatch (4) A A A A A N End-Bac II A U A A A A Endozime AW Plus A U A A A A Envirocide (4) A U U A N A

196 6 3 C60e/ICT/ L38e/P10/ P17/SLA D2 HFL38 SLT Enzol A U A A A N Expose A U A A A A Gigasept AF (3) A U A A A N Gigasept FF Bersteinsaure N U N A N N Gluteraldehyde SDS A U U A A A C11e/ L25e Hexanios (Polyhexanide)/ A U A A A A Hi Tor Plus A U A A N N Hibiclens A U A A A A Hydrogen Peroxide Isopropanol Alcohol A A A A A N N U N N N N Kodan Tüher A U A A A N Kohrsolin ff A U U A A N Korsolex basic (3) N U N A N A LpHse (4) A U A A A A Lysol N U N N N N Lysol IC (4) A U N A A A Madacide (4) A N A A N N

3 C60e/ICT/ L38e/P10/ P17/SLA D2 HFL38 SLT C11e/ L25e Matar (4) A U U A A N MetriCide 14 (2) (4) (5) A U A A A A MetriCide 28 (2) (4) (5) A U A A A A MetriZyme A U A A A A Mikrobak forte A U A A A A Mikrozid Wipes (3) / A U A A A A Nuclean / (Biguanide) A U A A A N Precise (4) N U N N N N Ruthless A U A A N A Sagrosept Wipe A U A A A N Salvanios ph 7 A U A A A A Sani-Cloth HB A U A A N N 6 197 Sani-Cloth Plus A U A A A N Sklar (4) A U A A N N Sporicidin (2) (4) A N A A A N Sporicidin Wipes (2) (4) A U A A A N Staphene (4) A U N A A N Steranios A U A A A A

198 6 3 C60e/ICT/ L38e/P10/ P17/SLA D2 HFL38 SLT Super Sani-Cloth N U N A N N T-Spray A U A A N N T-Spray II / A U A A A A TASK 105 A U A A A A TBQ (4) A U A A A N C11e/ L25e Theracide Plus A U A A A N Theracide Plus Wipes A U A N A A Tor (4) A U A A N N Transeptic N U N N N N Tristel A A A A A A Tristel Wipes N A N A N A Vesphene II (4) / A U A A A A Virex II 256 A U A A A N Virex TB (4) A U A A N N Wavicide -01 (2) (4) (5) N U N N N N Wavicide -06 (4) A U A A A N Wex-Cide (4) A U A A A A

3 C60e/ICT/ L38e/P10/ P17/SLA D2 HFL38 SLT C11e/ L25e (1) EPA (2) FDA 510(k) (3) CE (4) EPA (5) FDA 510(k) A = / N = U = 6 199

TEE 4 TEE TEE PeraSafe <15 Cidex <50 Cidex OPA <15 Cidex Plus <25 Cidezyme/Enzol <10 Klenzyme <15 Metricide <50 Wavicide-01 <50 STERIS System 1 STERRAD 200 6

7 2D 2D 2D 10 10 10 1 2D 2D a b (cm) < ±2% 1% < ±2% 1% < ±2% 1% 0-26 0-35 0-44 7 201

1 2D 2D a b (cm) c d <±4% + ( 2%/ ) * 100 + 0.5% < ±3% + ( 1.4% / ) * 100 + 0.5% 0.01-720 2 0.01-96 a. b. 0.7 db/cm MHz RMI 413a c. % = ((1 + ) * (1 + ) 1) * 100 + 0.5% d. % = ( 2 (2 ) * 100) + 0.5% 2 M Mode M MMode M < +/- 2% b 0-26 1% a < +/- 2% d 0.01-10 1% c < +/- 2% + ( c * / 100) % d 5-923 bpm a. b. 0.7 db/cm MHz RMI 413a c. d. SonoSite 202 7

3 PW Doppler a < +/- 2% 0.01 / 1% b 550 / < +/- 2% 0.01kHz 20.8 khz 1% b < +/- 2% 0.01-10 1% c a. SonoSite b. c. AIUM 7 203

(ACC) cm/s 2 Zwiebel, W.J. Introduction to Vascular Ultrasonography. 4th ed., W.B. Saunders Company, (2000), 52. ACC = abs ( / ) (AT) msec Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), 219. (AVA) cm 2 Reynolds, Terry. The Echocardiographer's Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 393, 442. A 2 = A 1 * V 1 /V 2 A 2 = Ao A 1 = LVOT V 1 = LVOT V 2 = Ao LVOT = AVA (PV LVOT /PV AO ) * CSA LVOT AVA (VTI LVOT /VTI AO ) * CSA LVOT (BSA) m 2 Grossman, W. Cardiac Catheterization and Angiography.Philadelphia: Lea and Febiger, (1980), 90. BSA = 0.007184 * 0.425 * 0.725 = = (CI) l/min/m 2 Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd Edition, Boston: Little, Brown and Company, (1999), 59. CI = CO/BSA CO = BSA = (CO) l/min Oh, J.K., J.B. Seward, A.J. Tajik The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), 59. CO = (SV * HR)/1000 CO = SV = HR = 204 7

(CSA) cm 2 Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 383. CSA = 0.785 * D 2 D = msec Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 453. a - b (dp:dt) mmhg/s Otto, C.M. Textbook of Clinical Echocardiography. 2nd ed., W.B. Saunders Company, (2000), 117, 118. 32 mmhg/ E:A cm/sec E/Ea E:A = E/ A Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 225. E /Ea E = E Ea = E E (ERO) mm 2 Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 455. ERO = 6.28 (r 2 ) * Va/MR Vel r = Va = (EF) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), 40. EF = ((LVEDV LVESV)/LVEDV) * 100% EF = LVEDV = LVESV = (ET) msec ET = msec 7 205

(HR) bpm HR = M 3 (IVS) Laurenceau, J. L., M.C. Malergue. The Essentials of Echocardiography. Le Hague: Martinus Nijhoff, (1981), 71. IVSFT = ((IVSS IVSD)/IVSD) * 100% IVSS = IVSD = (IVRT) msec Reynolds, Terry. The Echocardiographer s Pocket Reference. School of Cardiac Ultrasound, Arizona Heart Institute, (1993), 146. a - b / (LA/Ao) Feigenbaum, H. Echocardiography.Philadelphia: Lea and Febiger, (1994), 206, Figure 4-49. (Teichholz) ml Teichholz, L.E., T. Kreulen, M.V. Herman, et. al. Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence or absence of asynergy. American Journal of Cardiology, (1976), 37:7. LVESV = (7.0 * LVDS 3 )/(2.4 + LVDS) LVESV = LVDS = LVEDV = (7.0 * LVDD 3 )/(2.4 + LVDD) LVEDV = LVDD = 206 7

gm Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd Edition, Boston: Little, Brown and Company, (1999), 39. LV = 1.04 [(LVID + PWT + IVST) 3 LVID 3 ] * 0.8 + 0.6 LVID = PWT = IVST = 1.04 = 0.8 = ml Schiller, N.B., P.M. Shah, M. Crawford, et.al. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography. Journal of American Society of Echocardiography. September-October 1989, 2:362. V = π -- 4 V = ml a = b = n = (n=20) L = i = ml Schiller, N.B., P.M. Shah, M. Crawford, et.al. Recommendations for Quantitation of the Left Ventricle by Two-Dimensional Echocardiography. Journal of American Society of Echocardiography. September-October 1989, 2:362. π V = -- 4 n i = 1 n i = 1 L a i b i -- n 2 L a i -- n V = a = n = (n=20) L = i = 7 207

(LVD) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. Boston: Little, Brown and Company, (1994), 43-44. LVDFS = ((LVDD LVDS)/LVDD) * 100% LVDD = LVDS = (LVPWFT) Laurenceau, J. L., M.C. Malergue. The Essentials of Echocardiography. Le Hague: Martinus Nijhoff, (1981), 71. LVPWFT = ((LVPWS LVPWD)/LVPWD) * 100% LVPWS = LVPWD = (Vmean) cm/s Vmean = (MVA) cm 2 Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 391, 452. MVA = 220/PHT PHT = 220 MV cc/sec Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 396. = 6.28 (r 2 ) * Va r = Va = 208 7

(PGr) mmhg Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), 64. PGr = 4 * ( ) 2 E (E PG) EPG = 4 * PE 2 A (A PG) APG = 4 * PA 2 (PGmax) PGmax = 4 * PV 2 (PGmean) PGmean = / (PHT) msec Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 391. PHT = DT * 0.29 DT = (PISA) cm 2 Qp/Qs Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Boston: Little, Brown and Company, (1999), 125. PISA = 2π r 2 2 π = 6.28 r = Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 400. Qp/Qs = SV Qp /SV Qs SV (RF) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. Boston: Little, Brown and Company, (1999), 125. RF = RV/ MV SV RV = MV SV = 7 209

(RV) cc Reynolds, Terry. The Echocardiographer s Pocket Reference. School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 396, 455. RV = ERO * MR VTI (RVSP) mmhg Reynolds, Terry. The Echocardiographer s Pocket Reference. School of Cardiac Ultrasound, Arizona Heart Institute, (1993), 152. RVSP = 4 * (Vmax TR) 2 + RAP RAP = (SI) cc/m 2 Mosby s Medical, Nursing, & Allied Health Dictionary, 4th ed., (1994), 1492. SI = SV/BSA SV = BSA = (SV) ml Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), 40, 59, 62. SV = (CSA * VTI) CSA = LVOT VTI = M (SV) ml Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Boston: Little, Brown and Company, (1994), 44. SV = (LVEDV LVESV) SV = LVEDV = LVEDSV = (VTI) cm Reynolds, Terry. The Echocardiographer s Pocket Reference. 2nd ed., School of Cardiac Ultrasound, Arizona Heart Institute, (2000), 383. VTI = abs ( [n]) (cm) 210 7

(AFI) Jeng, C. J., et al. Amniotic Fluid Index Measurement with the Four Quadrant Technique During Pregnancy. The Journal of Reproductive Medicine, 35:7 (July 1990), 674-677. (AUA) AUA (AUA) (EDD) / / EDD = + (280 AUA ) (LMP) (EDD) LMP / / EDD = LMP + 280 (EFW) Hadlock, F., et al. Estimation of Fetal Weight with the Use of Head, Body, and Femur Measurements, A Prospective Study. American Journal of Obstetrics and Gynecology, 151:3 (February 1, 1985), 333-337. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 154. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), 103-105. Shepard M.J., V. A. Richards, R. L. Berkowitz, et al. An Evaluation of Two Equations for Predicting Fetal Weight by Ultrasound. American Journal of Obstetrics and Gynecology, 142:1 (January 1, 1982), 47-54. University of Tokyo, Shinozuka, N. FJSUM, et al. Standard Values of Ultrasonographic Fetal Biometry. Japanese Journal of Medical Ultrasonics, 23:12 (1996), 880, Equation 1. (LMP) (GA) LMP GA(LMP) = LMP (Estab. DD) (LMPd) (GA) (Estab. DD) (GA) LMP GA(LMPd) = LMPd 7 211

(Estab. DD) (LMPd) (AC) / / LMPd(Estab. DD) = Estab. DD 280 Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 431. University of Tokyo, Shinozuka, N. FJSUM, et al. Standard Values of Ultrasonographic Fetal Biometry. Japanese Journal of Medical Ultrasonics, 23:12 (1996), 885. 20.0 cm 30.0 cm (AC) SonoSite AC AC (APTD) (BPD) University of Tokyo, Shinozuka, N. FJSUM, et al. Standard Values of Ultrasonographic Fetal Biometry. Japanese Journal of Medical Ultrasonics, 23:12 (1996), 885. Chitty, L. S. and D.G. Altman. New charts for ultrasound dating of pregnancy. Ultrasound in Obstetrics and Gynecology 10: (1997), 174-179, Table 3. Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 440. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), 98. University of Tokyo, Shinozuka, N. FJSUM, et al. Standard Values of Ultrasonographic Fetal Biometry. Japanese Journal of Medical Ultrasonics, 23:12 (1996), 885. (CRL) Hadlock, F., et al. Fetal Crown-Rump Length: Re-evaluation of Relation to Menstrual Age (5-18 weeks) with High-Resolution, Real-Time Ultrasound. Radiology, 182: (February 1992), 501-505. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 439. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), 20 and 96. Tokyo University. Gestational Weeks and Computation Methods. Ultrasound Imaging Diagnostics, 12:1 (1982-1), 24-25, Table 3. 212 7

(FL) Chitty, L. S. and D.G. Altman. New charts for ultrasound dating of pregnancy. Ultrasound in Obstetrics and Gynecology 10: (1997), 174-179, Table 8, 186. Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 431. Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), 101-102. University of Tokyo, Shinozuka, N. FJSUM, et al. Standard Values of Ultrasonographic Fetal Biometry. Japanese Journal of Medical Ultrasonics, 23:12 (1996), 886. (FTA) (GS) (HC) (OFD) Osaka University. Ultrasound in Obstetrics and Gynecology. (July 20, 1990), 99-100. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986). Nyberg, D.A., et al. Transvaginal Ultrasound. Mosby Yearbook, (1992), 76. Nyberg Tokyo University. Gestational Weeks and Computation Methods. Ultrasound Imaging Diagnostics, 12:1 (1982-1). Chitty, L. S. and D.G. Altman. New charts for ultrasound dating of pregnancy. Ultrasound in Obstetrics and Gynecology 10: (1997), 174-191, Table 5, 182. Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 431. Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 431. (TTD) Hansmann, M., et al. Ultrasound Diagnosis in Obstetrics and Gynecology.New York: Springer-Verlag, (1986), 431. University of Tokyo, Shinozuka, N. FJSUM, et al. Standard Values of Ultrasonographic Fetal Biometry. Japanese Journal of Medical Ultrasonics, 23:12 (1996), 885. 7 213

(AC) (BPD) Chitty, Lyn S. et al. Charts of Fetal Size: 3. Abdominal Measurements. British Journal of Obstetrics and Gynaecology 101: (February 1994), 131, Appendix: AC-Derived. Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Jeanty P., E. Cousaert, and F. Cantraine. Normal Growth of the Abdominal Perimeter. American Journal of Perinatology, 1: (January 1984), 129-135. Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 179, Table 7.13. Chitty, Lyn S. et al. Charts of Fetal Size: 2. Head Measurements. British Journal of Obstetrics and Gynaecology 101: (January 1994), 43, Appendix: BPD-Outer-Inner. Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Jeanty P., E. Cousaert, and F. Cantraine. A Longitudinal Study of Fetal Limb Growth. American Journal of Perinatology, 1: (January 1984), 136-144, Table 5. Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 176, Table 7.8. (EFW) Hadlock F., et al. In Utero Analysis of Fetal Growth: A Sonographic Weight Standard. Radiology, 181: (1991), 129-133. Jeanty, Philippe, F. Cantraine, R. Romero, E. Cousaert, and J. Hobbins. A Longitudinal Study of Fetal Weight Growth. Journal of Ultrasound in Medicine, 3: (July 1984), 321-328, Table 1. Hansmann, Hackeloer, Staudach, and Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 186, Table 7.20. (FL) Chitty, Lyn S. et al. Charts of Fetal Size: 4. Femur Length. British Journal of Obstetrics and Gynaecology 101: (February 1994), 135. Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Jeanty P, E. Cousaert, and F. Cantraine. A Longitudinal Study of Fetal Limb Growth. American Journal of Perinatology, 1: (January 1984), 136-144, Table 5. Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 182, Table 7.17. 214 7

(HC) Chitty, Lyn S., et al. Charts of Fetal Size: 2. Head Measurements. British Journal of Obstetrics and Gynaecology 101: (January 1994), 43, Appendix: HC-Derived. Hadlock, F., et al. Estimating Fetal Age: Computer-Assisted Analysis of Multiple Fetal Growth Parameters. Radiology, 152: (1984), 497-501. Jeanty P, E. Cousaert, and F. Cantraine. A longitudinal study of Fetal Head Biometry. American J of Perinatology, 1: (January 1984), 118-128, Table 3. Hansmann, Hackeloer, Staudach, Wittman. Ultrasound Diagnosis in Obstetrics and Gynecology. Springer-Verlag, New York, (1986), 176, Table 7.8.) (HC) / (AC) FL/AC FL/BPD FL/HC Campbell S., Thoms Alison. Ultrasound Measurements of the Fetal Head to Abdomen Circumference Ratio in the Assessment of Growth Retardation, British Journal of Obstetrics and Gynaecology, 84: (March 1977), 165-174. Hadlock F.P., R. L. Deter, R. B. Harrist, E. Roecker, and S.K. Park. A Date Independent Predictor of Intrauterine Growth Retardation: Femur Length/Abdominal Circumference Ratio, American Journal of Roentgenology, 141: (November 1983), 979-984. Hohler, C.W., and T.A. Quetel. Comparison of Ultrasound Femur Length and Biparietal Diameter in Late Pregnancy, American Journal of Obstetrics and Gynecology, 141:7 (Dec. 1 1981), 759-762. Hadlock F.P., R. B. Harrist, Y. Shah, and S. K. Park. The Femur Length/Head Circumference Relation in Obstetric Sonography. Journal of Ultrasound in Medicine, 3: (October 1984), 439-442. HC/AC Campbell S., Thoms Alison. Ultrasound Measurements of the Fetal Head to Abdomen Circumference Ratio in the Assessment of Growth Retardation, British Journal of Obstetrics and Gynaecology, 84: (March 1977), 165-174. 7 215

+/x S/D +/x = abs ( A/ B) A = + (ACC) (ET) B = x Zwiebel, W.J. Introduction to Vascular Ultrasonography, 4th ed., W.B. Saunders Company, (2000), 52. ACC = abs ( / ) ET = msec /d:d Graf, R. Fundamentals of Sonographic Diagnosis of Infant Hip Dysplasia. Journal of Pediatric Orthopedics, Vol. 4, No. 6: 735-740, 1984. Morin, C., Harcke, H., MacEwen, G. The Infant Hip: Real-Time US Assessment of Acetabular Development. Radiology 177: 673-677, December 1985. (IMT) Howard G, Sharrett AR, Heiss G, Evans GW, Chambless LE, Riley WA, et al. Carotid Artery Intima-Medial Thickness Distribution in General Populations As Evaluated by B-Mode Ultrasound. ARIC Investigators. Atherosclerosis Risk in Communities. Stroke. (1993), 24:1297-1304. O Leary, Daniel H., MD and Polak, Joseph, F., MD, et al. Use of Sonography to Evaluate Carotid Atherosclerosis in the Elderly. The Cardiovascular Health Study. Stroke. (September 1991), 22,1155-1163. Redberg, Rita F., MD and Vogel, Robert A., MD, et al. Task force #3 What is the Spectrum of Current and Emerging Techniques for the Noninvasive Measurement of Atherosclerosis? Journal of the American College of Cardiology. (June 4, 2003), 41:11, 1886-1898. Taylor K.J.W., P.N. Burns, P. Breslau. Clinical Applications of Doppler Ultrasound, Raven Press, N.Y., (1988), 130-136. Zwiebel W.J., J.A. Zagzebski, A.B. Crummy, et al. Correlation of peak Doppler frequency with lumen narrowing in carotid stenosis. Stroke, 3: (1982), 386-391. = (1 - A2(cm 2 )/A1(cm 2 )) * 100 A1 = A2 = 216 7

Handa, Nobuo et al., Echo-Doppler Velocimeter in the Diagnosis of Hypertensive Patients: The Renal Artery Doppler Technique, Ultrasound in Medicine and Biology, 12:12 (1986), 945-952. = (1 - D2(cm)/D1(cm)) * 100 D1 = cm D2 = cm (PGr) mmhg (PI) (RI) Oh, J.K., J.B. Seward, A.J. Tajik. The Echo Manual. 2nd ed., Lippincott, Williams, and Wilkins, (1999), 64. 4 * ( ) 2 E (E PG) EPG = 4 * PE 2 A (A PG) APG = 4 * PA2 (PGmax) PGmax = 4 * PV2 (PGmean) PGmean = 4 * Vmax 2 Kurtz, A.B., W.D. Middleton. Ultrasound-the Requisites. Mosby Year Book, Inc., (1996), 469. PI = (PSV EDV)/V PSV = EDV = V = Kurtz, A.B., W.D. Middleton. Ultrasound-the Requisites. Mosby Year Book, Inc., (1996), 467. RI = abs (( A B)/ A) A = + B = x 7 217

(TAM) cm/s (Vol) TAM = ( ) Beyer, W.H. Standard Mathematical Tables, 28th ed., CRC Press, Boca Raton, FL, (1987), 131. (VF) l/m Allan, Paul L. et al. Clinical Doppler Ultrasound, 4th ed., Harcourt Publishers Limited. (2000), 36-38. VF = CSA * TAM *.06 218 7

8 29.97 27.43 7.87 3.9 C60e 21.34 16 26.4 C11e/8-5 MHz 6ft./1.8 C60e/5-2 MHz 5.5 ft./1.7 D2/2 MHz 5.5 ft./1.7 HFL38/13-6 MHz 5.6 ft./1.7 ICT/8-5 MHz 5.5 ft./1.7 LAP/12-5 MHz 8.2 ft/2.5 L25e/13-6 MHz 7.5ft./2.3 L38e/10-5 MHz 5.5 ft./1.7 P10/8-4 MHz 6 ft./1.8 P17/5-1 MHz 6 ft./1.8 SLA/13-6 MHz 7.5 ft./2.3 SLT/10-5 MHz 8.1 ft./2.5 TEE/8-3 MHz 7.2 ft./2.2 8 219

2D 256 Color power Doppler (CPD) 256 Color Doppler (Color) 256 MMode M Pulsed wave (PW) Doppler Continuous Wave (CW) Doppler Tissue Doppler Imaging (TDI) Tissue Harmonic Imaging (THI) CompactFlash Medical Safety Guidance BS EN 60601-2-37:2001 Annex HH HH (MDS Lite) (MDSe) SiteLink Image Manager SiteLink SonoCalc IMT Triple Transducer Connect 220 8

ECG 1.8 3.1 1-800-686-7669 Sony www.sony.com/professional DVD (VCR) Kensington 10 40 C 15 95% 700 1060hPa.7 1.05 / -35 65 C 15 95% 500 1060hPa 0.5 1.05 10 40 C 15 95% / -20 60 C 0 95% * 500 1060hPa 0.5 1.05 * 30 8 221

10 40 C 15 95% / -35 65 C 15 95% 100-240 V 50/60 Hz 100 VAC 1.2 A (1) 15 V 2.7A (2) 12.6 V 0.8 A (1) 15 V 2.0 A (2) 12.6 V 1.8A 52 W 6 EN 60601-1:1997, European Norm, Medical Electrical Equipment Part 1. General Requirements for Safety - 1 EN 60601-1-1:2001, European Norm, Medical Electrical Equipment Part 1. General Requirements for Safety Section 1-1. Collateral Standard. Safety Requirements for Medical Electrical Systems - 1-1-1 EN 60601-2-37:2001, European Norm, Particular requirements for the safety of ultrasonic medical diagnostic and monitoring equipment CAN/CSA C22.2, No. 601.1-M90:1990, Canadian Standards Association, Medical Electrical Equipment Part 1. General Requirements for Safety - 1 CEI/IEC 61157:1992, International Electrotechnical Commission, Requirements for the Declaration of the Acoustic Output of Medical Diagnostic Ultrasonic Equipment UL 60601-1:2003, Underwriters Laboratories Medical Electrical Equipment-Part 1: General Requirements for Safety UL 60601-1:2003 (UL) 1 222 8

EMC EN 60601-1-2:2001, European Norm, Medical Electrical Equipment. General Requirements for Safety-Collateral Standard. Electromagnetic Compatibility. Requirements and Tests EN 60601-1-2:2001 - CISPR11:2004, International Electrotechnical Commission, International Special Committee on Radio Interference. Industrial, Scientific, and Medical (ISM) Radio-Frequency Equipment Electromagnetic Disturbance Characteristics-Limits and Methods of Measurement - (ISM) SonoSite SiteStand Group 1, Class A 1 A RTCA/DO-160E:2004, Radio Technical Commission for Aeronautics, Environmental Conditions and Test Procedures for Airborne Equipment, Section 21.0 Emission of Radio Frequency Energy, Category B 21.0 - B DICOM NEMA PS 3.15: 2000, Digital Imaging and Communications in Medicine (DICOM)-Part 15:Security Profiles (DICOM) - 15 HIPAA The Health Insurance and Portability and Accountability Act, Pub.L. No. 104-191 (1996) 1996 104-191 45 CFR 160, General Administrative Requirements 45 CFR 164, Security and Privacy 8 223

224 8

9 ALARA 9 Class I I Class II II Type BF BF Type CF CF IPX-7 IPX-8 AP/APG ECG /ECG 9 225

EN60601-1 Class I I / Type BF BF Canadian Standards Association (CSA) European Norm Harmonized Standards Underwriters Laboratories (UL) safety standards (UL) 8 EN60601-1 60 Hospital Only Hospital Grade (MPSO) 6 226 9

SonoSite SonoSite SonoSite SonoSite SonoSite SonoSite / SonoSite SonoSite SonoSite / / SonoSite JACHO / AAMI-ES1 NFPA 99 OR IEC 60601-1-1 IEC 60601-1-2 IEC 60950 (ITE) SonoSite 9 227

6 / 0 40 C 60 C 2 6 228 9

SonoSite -20 C 60 C SonoSite SonoSite SonoSite 9 229

P10/P17 P10 P17 SonoSite 21 CFR 801.437 ALARA MI TI SonoSite 0.3 db/cm/mhz SonoSite (EMC) IEC 60601-1-2:2001 (EMC) 230 9

EMC (RF) (EMI) EMI EMI EMI EMI EMI EMI EMI IEC 60601-1-2 EMC SonoSite SonoSite SonoSite SonoSite SonoSite SonoSite (ESD) ESD ESD 9 231

1 2 EMC 1 - ClSPR 11 ClSPR 11 IEC 61000-3-2 IEC 61000-3-3 Group 1 1 Class A A Class A A SonoSite RF RF SonoSite 2 - IEC 60601 (ESD) IEC 61000-4-2 2.0KV 4.0KV 6.0KV 2.0KV 4.0KV 8.0KV 2.0KV 4.0KV 6.0KV 2.0KV 4.0KV 8.0KV 30% IEC 61000-4-4 2KV 1KV 2KV 1KV IEC 61000-4-5 0.5KV 1.0KV 2.0KV 0.5KV 1.0KV 0.5KV 1.0KV 2.0KV 0.5KV 1.0KV 232 9

2 - IEC 60601 IEC 61000-4-11 IEC 61000-4-8 >5% U T (>95% U T 0.5 40% U T 60% U T 5 70% U T 30% U T 25 >5% U T (>95% U T 5 >5% U T (>95% U T 0.5 40% U T 60% U T 5 70% U T 30% U T 25 >5% U T (>95% U T 5 SonoSite SonoSite 3 A/m 3 A/m SonoSite IEC 61000-4-6 3Vrms 150 khz 80 MHz 3Vrms SonoSite RF d = 1.2 P IEC 61000-4-3 3Vim 80 MHz 2.5 GHz 3 V/m d = 1.2 P 80 MHz 800 MHz d = 2.3 P 800 MHz 2.5 GHz P (W) d (m) 9 233

2 - IEC 60601 IEC 61000-4-3 RF a b IEC 60417 No. 417-IEC-5140 Source of non-ionizing radiation U T 80 MHz 800 MHz a. / AM FM SonoSite RF SonoSite SonoSite b. 150 khz 80 MHz 3V/m 234 9

ALARA ALARA ALARA ALARA ALARA 2D CPD Color THI ALARA EN 60601-2-37 42 242 3 (ISPTA) 720 mw/cm 2 Orb ISPTA 50 mw/cm 2 TI 1.0 MI 0.23 (MI) (TI) 1.0 MI TI 237 MI TI ALARA MI TI MI TI BS EN 60601-2-37:2001 Annex HH HH 9 235

PRF Kremkau, Frederick W. Diagnostic Ultrasound: Principles and Instruments. 7th ed., W.B. Saunders Company, (Oct. 17, 2005). 236 9

MI TI MI TI MI TI MI TI MI TI LCD MI TI MI TI D2/2 (CW) TI MI 3 MI C11e C60e HFL38 ICT LAP L25e L38e P10 P17 SLA SLT TEE 9 237

4 TI TIS TIC TIB PRF PW C11e C60e (PRF) HFL38 ICT (PRF) LAP L25e (PRF) L38e P10 (PRF) P17 (PRF) SLA (PRF) SLT (PRF) TEE Gen 238 9

MI TI AIUM 5 TI MI 1.0 5 1.0 2D / MMode M CPD / Color PW Doppler CW Doppler C11e/8-5 MI TIC TIB TIS C60e/5-2 MI TIC TIB TIS D2/2 MI TIC TIB TIS HFL38/13-6 MI TIC TIB TIS ICT/8-5 MI TIC TIB TIS LAP/12-5 MI TIC TIB TIS L25e/13-6 MI TIC TIB TIS L38e/10-5 MI TIC TIB TIS P10/8-4 MI TIC TIB TIS 9 239

5 1.0 2D / MMode M CPD / Color PW Doppler CW Doppler P17/5-1 MI MI 1.0 2D MI 0.1 TI CPD M PW TI 0.1 ALARA TI SonoSite AIUM TI 241 TIC TIB TIS SLA/13-6 MI TIC TIB TIS SLT/10-5 MI TIC TIB TIS TEE/8-3 MI TIC TIB TIS (MI) 90% 90% MI MI +16% 31% +0.2 (TI) 90% 90% TI TI +26% 50% +0.2 +1dB 3dB MI TI 0.0 0.05 240 9

283 MI TI / / Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers, FDA, 1997 Medical Ultrasound Safety, American Institute of Ultrasound in Medicine (AIUM), 1994 (AIUM) Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment, NEMA UD2-2004 NEMA Acoustic Output Measurement and Labeling Standard for Diagnostic Ultrasound Equipment, American Institute of Ultrasound in Medicine, 1993 (AIUM) Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment, NEMA UD3-2004 NEMA Guidance on the interpretation of TI and MI to be used to inform the operator, Annex HH, BS EN 60601-2-37 reprinted at P05699 TI MI Annex HH BS EN 60601-2-37 P05699 9 241

6 7 MicroMaxx * EN 60601-2-37 42 142.3(a) 1 B IEC 60601-2-37 1 10 C 2 42.3(a) 2 (IEC 60601-2-37, Amendment 1). 27 C 342.3(a) 1 B IEC 60601-2-37 1 6 C * 23 C ± 3 C 6 EN 60601-2-37 C11e C60e D2 HFL38 L25e L38e P10 P17 1 9.2 C 9.0 C 3.1 C 9.5 C 9.5 C 8.7 C 8.0 C 8.5 C 2 19.7 C 20.5 C 9.1 C 24.5 C 18.2 C 21.7 C 19.7 C 25.6 C 7 IEC 60601-2-37 ICT LAP SLA SLT TEE 3 5.5 C 5.4 C 5.4 C 5.5 C 3.5 C 2 23.3 C 11.7 C 20.8 C 16.5 C 17.8 C 242 9

(bioeffects) 1987 10 (AIUM) Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept. 1988:Vol. 7, No. 9 Supplement)J Ultrasound Med. 1988 9 7 9 Stowe 1993 2 28 Bioeffects and Safety of Diagnostic Ultrasound Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment (NEMA UD2-2004) Standard for Real-Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment (NEMA UDe3-2004) = [e -(0.23alf ) ] = = e = 2.7183 a = (db/cm MHz) = 0.53 = 0.66 = 0.79 = 0.43 = 0.55 l = cm f = / / MHz 0.3 = [e -(0.069lf ) ] 9 243

0.3 db/cm MHz 3cm 1dB/cmMHz 1990 MI 0.1 1.0 MI 2.0 M MI 1988 1990 1 C 4 C 1.5 C 7 C I SPTA 500 mw/cm 2 Bioeffects and Safety of Diagnostic Ultrasound (AIUM, 1993) 4.3.2.1-4.3.2.6 244 9

8 I SPTA.3 TI TI MI I pa.3 @MImax milliwatts/cm 2 MI W/cm 2 TIS TIB TIS TIS TIB TIC A aprt P r.3 Wo W.3 (z 1 ) I SPTA.3 (z 1 ) z 1 cm 2 MI TIS scan z 1 z 1 /cm 2 [min(w.3 (z), I TA.3 (z) x 1 cm 2 )] z > zbp cm z bp 1.69 Aaprt cm ( ) z sp MI p r.3 TIB TIB z sp = z b.3 cm 9 245

8 d eq (z) fc A aprt PD PRF p r @PII max d eq @PII max FL z ( 4 ( π) )(( Wo) ( ITA( z) )) I TA (z) z cm MHz (x) (y) MI MI Hz cm (x) (y) cm 9 44 1 246 9

9 C11e/8-5 PW Doppler M.I. TIC A aprt 1 A aprt >1 (a) (a) 1.8 (b) p r.3 (MPa) # W 0 (mw) # 26.29 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # # d eq (z sp ) (cm) # f c (MHz) # # 4.36 # A aprt X (cm) # 0.28 # Y (cm) # 0.5 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.226 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type Any 2 Sample Volume 2mm 3 PRF 3906 4 Sample Volume Position TIS TIB Zone 1 1 (a) <1 (b) # / 9 247

10C60e/5-2 2D M.I. TIC A aprt 1 A aprt >1 1.0 (a) (b) p r.3 (MPa) 1.62 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 4.7 d eq (z sp ) (cm) f c (MHz) 2.858 # # A aprt X (cm) # # Y (cm) # # PD (μsec) 0.577 PRF (Hz) 7168 p r @PII max (MPa) 2.576 d eq @Pll max (cm) FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 184.3 1 Exam Type 2 Optimization 3 Depth 4 THI Any Pen 7.8 cm Off (a) <1 (b) # / TIS TIB 248 9

11C60e/5-2 PW Doppler M.I. TIC A aprt 1 A aprt >1 (a) (a) 3.1 (b) p r.3 (MPa) # W 0 (mw) # 85.64 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.255 d eq (z sp ) (cm) 0.51 f c (MHz) # # 2.233 # A aprt X (cm) # 0.6552 # Y (cm) # 1.3 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.415 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type 2 PRF 3 Sample Volume 4 Sample Volume Position TIS TIB Any Any 12 mm Zone 1 1 (a) <1 (b) # / 9 249

12 D2/2 CW M.I. TIC A aprt 1 A aprt >1 (a) (a) 2.6 (b) p r.3 (MPa) # W 0 (mw) # 90.49 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.1 d eq (z sp ) (cm) 0.66 f c (MHz) # # 2.00 # A aprt X (cm) # 0.80 # Y (cm) # 0.4 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.54 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type 2 Optimization 3 Depth (a) <1 (b) # / TIS TIB Any Any Any 250 9

13HFL38/13-6 CPD/Color / M.I. TIC A aprt 1 A aprt >1 1.1 1.0 (b) p r.3 (MPa) 2.556 W 0 (mw) 53.49 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.2 d eq (z sp ) (cm) f c (MHz) 5.328 5.324 # A aprt X (cm) 0.44 # Y (cm) 0.4 # PD (μsec) 0.525 PRF (Hz) 2032 p r @PII max (MPa) 3.187 d eq @Pll max (cm) FL x (cm) 1.32 # FL y (cm) 2.5 # I PA.3 @MI max (W/cm 2 ) 325.5 1 Mode 2 Exam Type 3 Optimization/Depth/ PRF / /PRF 4 Color Box Position/ Size / Color Any Low / 3.3 cm/401 Color Any Med / 2.7 cm/1938 Any Top/Short / TIS TIB (a) <1 (b) # / 9 251

14HFL38/13-6 PW Doppler M.I. TIC A aprt 1 A aprt >1 (a) 1.2 2.2 (b) p r.3 (MPa) # W 0 (mw) 46.55 46.55 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.1 d eq (z sp ) (cm) 0.33 f c (MHz) # 5.33 5.33 # A aprt X (cm) 1.04 1.04 # Y (cm) 0.4 0.4 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.46 FL x (cm) 3.72 # FL y (cm) 2.5 # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type (a) <1 (b) # / TIS Vas TIB Vas 2 Sample Volume 12 mm 12 mm 3 PRF 10417 10417 4 Sample Volume Position Zone 7 7 Zone 7 7 252 9

15ICT/8-5 CPD/Color / M.I. TIC A aprt 1 A aprt >1 (a) 1.0 (a) (a) 1.5 p r.3 (MPa) # W 0 (mw) 49.66 # # 49.66 [W.3 (z 1 ),I TA.3 (mw) (z 1 )] z 1 (cm) z bp (cm) z sp (cm) # # d eq (z sp ) (cm) # f c (MHz) # 4.36 # # 4.36 A aprt X (cm) 0.28 # # 0.28 Y (cm) 0.5 # # 0.5 PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) # FL x (cm) 1.2 # 1.2 FL y (cm) 2.5 # 2.5 I PA.3 @MI max (W/cm 2 ) # 1 Mode 2 Exam Type 3 Optimization 4 Color Box Position/Size / CPD Any Med TIS Max depth /Max width Min height TIB CPD Any Med Max depth /Max width Min height (a) <1 (b) # / 9 253

16ICT/8-5 PW Doppler M.I. TIC A aprt 1 A aprt >1 (a) 1.0 1.8 2.1 p r.3 (MPa) # W 0 (mw) 49.02 30.07 30.07 [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.1 d eq (z sp ) (cm) 0.31 f c (MHz) # 4.36 4.36 4.36 A aprt X (cm) 1.72 0.2 0.2 Y (cm) 0.5 0.5 0.5 PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.27 FL x (cm) 6.37 0.77 FL y (cm) 2.5 2.5 I PA.3 @MI max (W/ cm 2 ) # 1 Exam Type (a) <1 (b) # / TIS OB Gyn TIB OB Gyn OB Gyn 2 Sample Volume 2mm 2mm 2mm 3 PRF 1563 6250 6250 4 Sample Volume Position Zone 7 (bottom) 7 Zone 0 (top) 0 Zone 0 (top) 0 254 9

17L25e/13-6 PW Doppler M.I. TIC A aprt 1 A aprt >1 (a) (a) 1.6 (b) p r.3 (MPa) # W 0 (mw) # 14.02 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 0.6 d eq (z sp ) (cm) 0.155 f c (MHz) # # 6.00 # A aprt X (cm) # 0.16 # Y (cm) # 0.3 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.1549 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type Vas 2 Sample Volume 12 mm 3 PRF 20833 4 Sample Volume Position TIS TIB Zone 0 0 (a) <1 (b) # / 9 255

18L38e/10-5 2D M.I. TIC A aprt 1 A aprt >1 1.5 (a) (b) p r.3 (MPa) 2.645 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.4 d eq (z sp ) (cm) f c (MHz) 5.14 # # A aprt X (cm) # # Y (cm) # # PD (μsec) 0.322 PRF (Hz) 7523 p r @PII max (MPa) 3.390 d eq @Pll max (cm) FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 427.5 1 Exam Type 2 Optimization 3 Depth Any Pen 3.8 cm (a) <1 (b) # / TIS TIB 256 9

19L38e/10-5 M Mode M M.I. TIC A aprt 1 A aprt >1 1.4 (a) 1.3 (b) p r.3 (MPa) 2.382 W 0 (mw) # 21.29 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.4 1.4 d eq (z sp ) (cm) 0.149 f c (MHz) 5.14 # 5.14 # A aprt X (cm) # 0.66 # Y (cm) # 0.4 # PD (μsec) 0.322 PRF (Hz) 1600 p r @PII max (MPa) 3.05 d eq @Pll max (cm) 0.148 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 385.13 1 Exam Type Any Any 2 Optimization Pen Pen 3 Depth 3.8 cm 3.8 cm TIS TIB (a) <1 (b) # / 9 257

20L38e/10-5 CPD/Color / M.I. TIC A aprt 1 A aprt >1 1.5 1.2 (b) p r.3 (MPa) 3.364 W 0 (mw) 50.35 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.1 d eq (z sp ) (cm) f c (MHz) 5.03 5.03 # A aprt X (cm) 0.42 # Y (cm) 0.4 # PD (μsec) 1.69 PRF (Hz) 4963 p r @PII max (MPa) 3.28 d eq @Pll max (cm) FL x (cm) 1.5 # FL y (cm) 2.5 # I PA.3 @MI max (W/cm 2 ) 473.11 1 Mode CPD Color 2 Exam Type Any Bre/IMT/Vas 3 Optimization/Depth/ PRF / /PRF 4 Color Box Position/ Size / Low/3.1 cm/na Max depth/ Default or max width, Default height Low/2.0 cm/ 1453 (a) <1 (b) # / Any TIS TIB 258 9

21L38e/10-5 PW Doppler M.I. TIC A aprt 1 A aprt >1 1.0 1.9 2.6 (b) p r.3 (MPa) 2.169 W 0 (mw) 80.347 80.347 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.9 1.2 d eq (z sp ) (cm) 0.4518 f c (MHz) 5.02 5.05 5.05 # A aprt X (cm) 1.86 1.86 # Y (cm) 0.4 0.4 # PD (μsec) 1.27 PRF (Hz) 1562.5 p r @PII max (MPa) 2.537 d eq @Pll max (cm) 0.29 FL x (cm) 5.54 # FL y (cm) 2.5 # I PA.3 @MI max (W/cm 2 ) 201.36 1 Exam Type Bre/SmP/Vas/IMT / / / TIS Bre/SmP/Vas/ IMT / / / TIB Bre/SmP/Vas/ IMT / / / 2 Sample Volume 1mm 3mm 3mm 3 PRF 1563 6250 6250 4 Sample Volume Position Zone 0 (top) 0 Zone 7 (bottom) 7 Zone 7 (bottom) 7 (a) <1 (b) # / 9 259

22 P10/8-4 2D M.I. TIC A aprt 1 A aprt >1 1.0 (a) (b) p r.3 (MPa) 2.043 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 2.3 d eq (z sp ) (cm) f c (MHz) 4.297 # # A aprt X (cm) # # Y (cm) # # PD (μsec) 0.390 PRF (Hz) 6400 p r @PII max (MPa) 2.89 d eq @Pll max (cm) FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 244.0 1 Exam Type 2 Optimization 3 Depth 4 THI Card Pen 4.4 cm Off (a) <1 (b) # / TIS TIB 260 9

23 P10/8-4 M Mode M M.I. TIC A aprt 1 A aprt >1 1.1 (a) (a) (a) p r.3 (MPa) 2.26 W 0 (mw) # # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 2.3 # d eq (z sp ) (cm) # f c (MHz) 4.297 # # # A aprt X (cm) # # # Y (cm) # # # PD (μsec) 0.392 PRF (Hz) 800 p r @PII max (MPa) 3.176 d eq @Pll max (cm) # FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 298.6 1 Exam Type 2 Optimization 3 Depth Any Pen 4.4 cm TIS TIB (a) <1 (b) # / 9 261

24 P10/8-4 CPD/Color / M.I. TIC A aprt 1 A aprt >1 (a) 1.3 (b) p r.3 (MPa) # W 0 (mw) 60.98 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # d eq (z sp ) (cm) f c (MHz) # 4.30 # A aprt X (cm) 0.992 # Y (cm) 0.7 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) FL x (cm) 5.06 # FL y (cm) 5.0 # I PA.3 @MI max (W/cm 2 ) # 1 Mode 2 Exam Type 3 Optimization/Depth / 4 Color Box Size Color Any Low /6.8 cm Narrow (a) <1 (b) # / TIS TIB 262 9

25 P10/8-4 PW M.I. TIC A aprt 1 A aprt >1 1.05 1.4 2.7 (b) p r.3 (MPa) 2.196 W 0 (mw) 66.76 47.32 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.8 0.8 d eq (z sp ) (cm) 0.295 f c (MHz) 4.37 4.36 4.36 # A aprt X (cm) 0.992 0.384 # Y (cm) 0.7 0.7 # PD (μsec) 1.31 PRF (Hz) 1562 p r @PII max (MPa) 2.48 d eq @Pll max (cm) 0.267 FL x (cm) 6.77 # FL y (cm) 5.0 # I PA.3 @MI max (W/cm 2 ) 186.99 1 Exam Type Card TIS Vas/Neo/ Abd / / TIB Vas/Neo/ Abd / / 2 Sample Volume 1 mm 10 mm 12 mm 3 PRF 1563 5208 15625 4 Sample Volume Position Zone 1 1 Zone 7 7 Zone 1 1 (a) <1 (b) # / 9 263

26 P10/8-4 CW M.I. TIC A aprt 1 A aprt >1 (a) (a) 2.1 (b) p r.3 (MPa) # W 0 (mw) # 40.82 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 0.7 d eq (z sp ) (cm) 0.34 f c (MHz) # # 4.00 # A aprt X (cm) # 0.32 # Y (cm) # 0.7 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.27 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type (a) <1 (b) # / TIS TIB Card 2 Zone Zone 1 1 264 9

27P17/5-1 2D M.I. TIC A aprt 1 A aprt >1 (a) (a) 1.7 p r.3 (MPa) # W 0 (mw) # 110.43 [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # d eq (z sp ) (cm) f c (MHz) # # 2.09 A aprt X (cm) # 0.5294 Y (cm) # 1.3 PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) FL x (cm) # 1.55 FL y (cm) # 7.0 I PA.3 @MI max (W/cm 2 ) # 1 Exam Type OB 2 Optimization Any 3 Depth 4.7 4 THI TIS TIB (a) <1 (b) # / 9 265

28P17/5-1 M Mode M M.I. (a) <1 (b) # / TIS A aprt 1 A aprt >1 TIB 1.1 (a) (a) p r.3 (MPa) 1.612 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 3.8 # d eq (z sp ) (cm) # f c (MHz) 2.10 # # A aprt X (cm) # # Y (cm) # # PD (μsec) 0.824 PRF (Hz) 800 p r @PII max (MPa) 2.127 d eq @Pll max (cm) # FL x (cm) # I PA.3 @MI max (W/cm 2 ) 126.3 1 Exam Type 2 Optimization 3 Depth 4 THI FL y (cm) # Abd & OB Any 7.5 cm TIC 266 9

29P17/5-1 CPD/Color / TIS TIB M.I. TIC A aprt 1 A aprt >1 1.1 1.0 2.2 p r.3 (MPa) 1.612 W 0 (mw) 100.83 92.91 [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 3.8 d eq (z sp ) (cm) f c (MHz) 2.10 2.21 2.19 A aprt X (cm) 0.9 0.424 Y (cm) 1.3 1.3 PD (μsec) 0.824 PRF (Hz) 1005 p r @PII max (MPa) 2.127 d eq @Pll max (cm) FL x (cm) 3.68 1.55 FL y (cm) 7.0 7.0 I PA.3 @MI max (W/cm 2 ) 126.3 1 Mode 2 Exam Type 3 Optimization/Depth/PRF / /PRF Color Abd & OB Low/7.5 cm/ 300 Color TCD Low/7.5 cm/ Any Color TCD Low/4.7 cm/ Any / 4.7 cm/ 4 THI 5 Color Box Position/Size / Any Top/Narrow Top/Narrow / (a) <1 (b) # / 9 267

30P17/5-1 PW Doppler TIS TIB M.I. TIC A aprt 1 A aprt >1 1.1 1.2 3.5 2.5 p r.3 (MPa) 1.853 W 0 (mw) 83.41 83.41 [W.3 (z 1 ),I TA.3 (z 1 )] (mw) 103.6 z 1 (cm) 1.9 z bp (cm) 1.82 z sp (cm) 4.9 1.7 d eq (z sp ) (cm) 0.6 f c (MHz) 2.20 3.67 2.23 2.23 A aprt X (cm) 0.90 0.424 0.424 Y (cm) 1.3 1.3 1.3 PD (μsec) 1.17 PRF (Hz) 1562.5 p r @PII max (MPa) 2.339 d eq @Pll max (cm) 0.46 FL x (cm) 3.43 1.55 FL y (cm) 7.0 7.0 I PA.3 @MI max (W/cm 2 ) 164.0 1 Exam Type Card Card Abd OB Abd OB 2 Sample Volume 1 mm 3 mm 3 mm 3 mm 3 PRF Any Any 1563 1563 4 Sample Volume Position Zone 3 3 Zone 1 1 Zone 0 0 Zone 0 0 5 TDI (a) <1 (b) # / 268 9

31P17/5-1 CW M.I. TIC A aprt 1 A aprt >1 (a) (a) 1.0 3.6 2.6 p r.3 (MPa) # W 0 (mw) # 120.60 121.23 [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.4 d eq (z sp ) (cm) 0.63 f c (MHz) # 2.00 2.00 2.00 A aprt X (cm) 0.85 0.85 0.85 Y (cm) 1.3 1.3 1.3 PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm).50 FL x (cm) # FL y (cm) 7.0 7.0 I PA.3 @MI max (W/cm 2 ) # 1 Exam Type 2 Depth 3 Zone TIS Card Any Zone 2 2 TIB Card Any Zone 2 2 Card Any Zones 3 & 4 3 4 (a) <1 (b) # / 9 269

32 SLA/13-6 2D M.I. TIC A aprt 1 A aprt >1 1.0 (a) (a) p r.3 (MPa) 2.475 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.85 d eq (z sp ) (cm) f c (MHz) 6.45 # # A aprt X (cm) # # Y (cm) # # PD (μsec) 0.274 PRF (Hz) 14336 p r @PII max (MPa) 2.991 d eq @Pll max (cm) FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 331.4 1 Exam Type 2 Optimization 3 Depth Any Pen 1.9 cm (a) <1 (b) # / TIS TIB 270 9

33 SLA/13-6 M Mode M M.I. TIC A aprt 1 A aprt >1 1.0 (a) (a) p r.3 (MPa) 1.692 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.85 d eq (z sp ) (cm) f c (MHz) 6.45 # # A aprt X (cm) # # Y (cm) # # PD (μsec) 0.274 PRF (Hz) 14336 p r @PII max (MPa) 2.991 d eq @Pll max (cm) FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 331.4 1 Exam Type 2 Optimization 3 Depth Any Pen 1.9 cm TIS TIB (a) <1 (b) # / 9 271

34 SLA/13-6 CPD/Color / M.I. TIC A aprt 1 A aprt >1 1.04 (b) p r.3 (MPa) 2.547 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 0.7 d eq (z sp ) (cm) f c (MHz) 6.0 # A aprt X (cm) # Y (cm) # PD (μsec) 1.89 PRF (Hz) 2340 p r @PII max (MPa) 2.675 d eq @Pll max (cm) FL x (cm) # FL y (cm) # I PA.3 @MI max (W/cm 2 ) 308.1 1 Exam Type 2 Optimization 3 Depth 4 Color Box Position/Size / Mus Sup Low 2.6 cm Bottom/Max width / Max height (a) <1 (b) # / TIS TIB 272 9

35 SLA/13-6 PW Doppler M.I. TIC A aprt 1 A aprt >1 (a) (a) 1.2 (b) p r.3 (MPa) # W 0 (mw) # 16.83 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.4 d eq (z sp ) (cm) 0.25 f c (MHz) # # 6.00 # A aprt X (cm) # 0.52 # Y (cm) # 0.3 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.172 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type Sup Mus 2 Sample Volume 2mm 3 PRF 15625 4 Sample Volume Position TIS TIB Zone 0 through 6 0 6 (a) <1 (b) # / 9 273

36 SLT/10-5 2D M.I. TIC A aprt 1 A aprt >1 1.0 (a) (a) p r.3 (MPa) 2.475 W 0 (mw) # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.8 d eq (z sp ) (cm) f c (MHz) 4.39 # # A aprt X (cm) # # Y (cm) # # PD (μsec) 0.50 PRF (Hz) 6633 p r @PII max (MPa) 2.871 d eq @Pll max (cm) FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 253.3 1 Exam Type 2 Optimization 3 Depth Any Pen 4.5 cm (a) <1 (b) # / TIS TIB 274 9

37 SLT/10-5 M Mode M M.I. TIC A aprt 1 A aprt >1 1.0 (a) 1.4 (a) p r.3 (MPa) 2.475 W 0 (mw) # 24.86 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.8 1.7 d eq (z sp ) (cm) 0.200 f c (MHz) 4.39 # 4.39 # A aprt X (cm) # 0.658 # Y (cm) # 0.55 # PD (μsec) 0.50 PRF (Hz) 1600 p r @PII max (MPa) 2.871 d eq @Pll max (cm) 0.1952 FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 253.3 1 Exam Type Any Any 2 Optimization Pen Pen 3 Depth 4.5 cm 4.5 cm TIS TIB (a) <1 (b) # / 9 275

38 SLT/10-5 CPD/Color / M.I. TIC A aprt 1 A aprt >1 1.2 (b) p r.3 (MPa) 2.386 W 0 (mw) # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 1.7 d eq (z sp ) (cm) f c (MHz) 4.18 # A aprt X (cm) # Y (cm) # PD (μsec) 1.80 PRF (Hz) 2471 p r @PII max (MPa) 3.05 d eq @Pll max (cm) FL x (cm) # FL y (cm) # I PA.3 @MI max (W/cm 2 ) 354.5 1 Exam Type 2 Optimization 3 Depth 4 PRF 5 Color Box Position/Size / Any Any 4.5 cm 401 Hz Default position/ Default width / (a) <1 (b) # / TIS TIB 276 9

39 SLT/10-5 PW M.I. TIC A aprt 1 A aprt >1 (a) 1.2 2.1 (b) p r.3 (MPa) # W 0 (mw) 61.20 38.51 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.4 d eq (z sp ) (cm) 0.24 f c (MHz) # 4.18 4.18 # A aprt X (cm) 1.646 0.329 # Y (cm) 0.55 0.55 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.24 FL x (cm) 6.46 # FL y (cm) 3.0 # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type 2 Sample Volume 3 PRF 4 Sample Volume Position TIS Any TIB Any 3 mm 10 mm 5208 Zone 7 7 15625 & 20833 Zone 0 0 (a) <1 (b) # / 9 277

40TEE/8-3 2D M.I. TIC A aprt 1 A aprt >1 (a) 1.0 (b) p r.3 (MPa) # W 0 (mw) 54.91 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # d eq (z sp ) (cm) f c (MHz) # 3.97 # A aprt X (cm) 0.812 # Y (cm) 0.9 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) FL x (cm) 3.61 # FL y (cm) 4.75 # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type 2 Optimization 3 Depth Card Pen 4.0 cm (a) <1 (b) # / TIS TIB 278 9

41TEE/8-3 CW M.I. TIC A aprt 1 A aprt >1 (a) 1.1 2.3 (b) p r.3 (MPa) # W 0 (mw) 55.67 54.47 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.1 d eq (z sp ) (cm) 0.39 f c (MHz) # 4.00 4.00 # A aprt X (cm) 0.435 0.435 # Y (cm) 0.9 0.9 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.34 FL x (cm) 4.45 # FL y (cm) 4.75 # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type 4 Sample Volume Position TIS Card Zone 3 3 TIB Card Zone 2 2 (a) <1 (b) # / 9 279

42TEE/8-3 M Mode M M.I. TIC A aprt 1 A aprt >1 1.3 (a) (a) (a) p r.3 (MPa) 2.04 W 0 (mw) # # # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) 2.61 # d eq (z sp ) (cm) # f c (MHz) 3.97 # # # A aprt X (cm) # # # Y (cm) # # # PD (μsec) 0.558 PRF (Hz) 800 p r @PII max (MPa) 2.915 d eq @Pll max (cm) # FL x (cm) # # FL y (cm) # # I PA.3 @MI max (W/cm 2 ) 176.61 1 Exam Type 2 Optimization 3 Depth Card Pen 4.0 cm (a) <1 (b) # / TIS TIB 280 9

43TEE/8-3 PW Doppler M.I. TIC A aprt 1 A aprt >1 (a) 1.3 2.8 (b) p r.3 (MPa) # W 0 (mw) 73.15 58.10 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # 1.1 d eq (z sp ) (cm) 0.5321 f c (MHz) # 3.81 3.82 # A aprt X (cm) 0.9 0.9 # Y (cm) 0.9 0.9 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) 0.320 FL x (cm) 8.83 # FL y (cm) 4.75 # I PA.3 @MI max (W/cm 2 ) # 1 Exam Type TIS Card TIB Card 2 Sample Volume 1mm 1mm 3 PRF 1563 1563 4 Sample Volume Position Zone 6 6 Zone 1 1 (a) <1 (b) # / 9 281

44TEE/8-3 Color M.I. TIC A aprt 1 A aprt >1 (a) 1.3 (b) p r.3 (MPa) # W 0 (mw) 72.66 # [W.3 (z 1 ),I TA.3 (z 1 )] (mw) z 1 (cm) z bp (cm) z sp (cm) # d eq (z sp ) (cm) f c (MHz) # 3.82 # A aprt X (cm) 0.9 # Y (cm) 0.9 # PD (μsec) # PRF (Hz) # p r @PII max (MPa) # d eq @Pll max (cm) FL x (cm) 11.78 # FL y (cm) 4.75 # I PA.3 @MI max (W/cm 2 ) # 1 Mode 2 Exam Type 3 Optimization/Depth/ PRF / /PRF 4 Color Box Position/ Size / Color Card Any/ 14cm/ 4386 Hz / 14cm/ 4386 Hz Any (a) <1 (b) # / TIS TIB 282 9

Output Display Standard 6.4 45 % 95% Pr 1.9% +11.2% Pr.3 1.9% +12.2% Wo 3.4% +10% fc 0.1% +4.7% PII 3.2% +12.5-16.8% PII.3 3.2% +13.47-17.5% 46 (AC) Class 1 1 93/42/ EEC Annex VII VII Class 1 1 93/42/EEC Annex IIa IIb III 9 283

46 ½ 93/86/EEC STERILE EO (DC) 2 284 9

46 5 10 FCC GEL STERILE R SN 9 285

46 100-240V ~ 50-60Hz 4-2A BF B = F = (UL) RoHS / SonoSite 286 9

(American Institute of Ultrasound in Medicine, AIUM) 1997 Recommended Ultrasound Terminology, Second Edition 2D (2D (two-dimensional) image) Color (color Doppler (Color) image) M (M Mode) MI/TI CPD Color 2D CPD NTSC (NTSC) PAL (PAL) (National Television Standards Committee) PAL (Phase Alternating Line) NTSC SonoMB SonoRES TIB (bone thermal index) TIC (cranial bone thermal index) 2D 2D 2D 2D 287

TIS (soft tissue thermal index) (CPD) (color power Doppler (CPD) image) (color suppress) (variance) (transducer) (mechanical index, MI) (as low as reasonably achievable, ALARA) (CW) (continuous wave (CW) Doppler mode) (PW) (pulsed wave (PW) Doppler mode) (skinline) (curved array transducer) (thermal index, TI) (depth) 2D Color MI MI 9 / C (60) C15 C60e 1 C TI 9 1538.5 / 288

(linear array transducer) (phased array) (in situ) (Tissue Doppler Imaging, TDI) (Tissue Harmonic Imaging) L (38) L38 1 +/ + / ( + Caliper/ Caliper Ratio) A A PG A ( A Wave Peak Velocity) A ( A Wave Peak Pressure Gradient) A2Cd A2Cs A4Cd A4Cs AAo abs AC ACA ACC ACoA 2 (Apical 4 Chamber diastolic) 2 (Apical 4 Chamber systolic) 4 (Apical 4 Chamber diastolic) 4 (Apical 4 Chamber systolic) (Ascending Aorta) (Absolute value) (Abdominal Circumference) (Anterior Cerebral Artery) (Acceleration Index) (Anterior Communicating Artery) 289

1 ACS AFI AI AI PHT AL Ann D ANT F ANT N Ao AoD Apical APTD AT AUA AV AV Area AVA BA BPD BPM Bifur CCA CO (Aortic Valve Cusp Separation) (Amniotic Fluid Index) (Aortic Insufficiency) (Aortic Insufficiency Pressure Half Time) (Atlas Loop) (Annulus Diameter) (Anterior Far) (Anterior Near) (Aorta) (Aortic Root Diameter) (Apical View) (Anteroposterior Trunk Diameter) (Acceleration (Deceleration) Time) (Average Ultrasound Age) (Aortic Valve) (Aortic Valve Area) (Aortic Valve Area) (Basilar Artery) (Biparietal Diameter) (Beats per Minute) (Bifurcation) (Common Carotid Artery) (Cardiac Output) 290

1 CI CPD CRL CW D D Apical DCCA DECA DICA Dist dp:dt E (Cardiac Index) (Color Power Doppler) (Crown Rump Length) (Continuous Wave Doppler) (Diameter) (Distance Apical) (Distal Common Carotid Artery) (Distal External Carotid Artery) (Distal Internal Carotid Artery) (Distal) (Delta Pressure:Delta Time) E ( E Wave Peak Velocity) E PG E:A E ( E Wave Peak Pressure Gradient) E:A (E:A Ratio) ECA ECG ECICA ECVA EDD EDD by AUA EDD by LMP EDV E/e (External Carotid Artery) (Electrocardiogram) (Extracranial Internal Carotid Artery) (Extracranial Vertebral Artery) (Estimated Date of Delivery) (Average Ultrasound Age) (Estimated Date of Delivery) (Last Menstrual Period) (Estimated Date of Delivery) (End Diastolic Velocity) E = E e 291

1 EF EF:SLOPE EFW Endo Epi EPSS Estab. DD ET FH FHR FL FM FTA GA GA by LMP GA by LMPd Gate GS HC HR ICA IMT IVRT (Ejection Fraction) E-F (E-F Slope) (Estimated Fetal Weight) (Endocardial) (Epicardial) E ( E Point Septal Separation) (Established Due Date) (Elapsed Time) (Femoral Head) (Fetal Heart Rate) (Femur Length) (Foramen Magnum) SO (Fetal Trunk Area) (Gestational Age) (Gestational Age by Last Menstrual Period) (Gestational Age by derived Last Menstrual Period) (Depth of Doppler Gate) (Gestational Sac) (Head Circumference) (Heart Rate) (Internal Carotid Artery) (Intima Media Thickness) (Iso Volumic Relaxation Time) 292

1 IVS IVSd IVSFT IVSs LA LA/Ao LAT F LAT N LMP LMPd LVO LV (Interventricular Septum) (Interventricular Septum Diastolic) (Interventricular Septum Fractional Shortening) (Interventricular Septum Systolic) (Left Atrium) / (Left Atrium/Aorta Ratio) (Lateral Far) (Lateral Near) (Last Menstrual Period) (derived Last Menstrual Period) (Left Ventricular Opacification) (Left Ventricular) LV Area LV mass (Left Ventricular Area) (Left Ventricular mass) LV Volume LVd LVD LVDd LVDFS LVDs LVEDV LVESV LVET LVOT (Left Ventricular Volume) (Left Ventricular diastolic) (Left Ventricular Dimension) (Left Ventricular Dimension Diastolic) (Left Ventricular Dimension Fractional Shortening) (Left Ventricular Dimension Systolic) (Left Ventricular End Diastolic Volume) (Left Ventricular End Systolic Volume) (Left Ventricular Ejection Time) (Left Ventricular Outflow Tract) 293

1 LVOT Area LVOT D LVOT VTI LVPW LVPWd LVPWFT LVPWs LVs MB MCA MCCA MECA MI MICA Mid MM MR PISA MR/VTI MV MV Area MV ERO MV PISA Area (Left Ventricular Outflow Tract Area) (Left Ventricular Outflow Tract Diameter) (Left Ventricular Outflow Tract Velocity Time Integral) (Left Ventricular Posterior Wall) (Left Ventricular Posterior Wall Diastolic) (Left Ventricular Posterior Wall Fractional Thickening) (Left Ventricular Posterior Wall Systolic) (Left Ventricular systolic) SonoMB (Middle Cerebral Artery) (Mid Common Carotid Artery) (Mid External Carotid Artery) (Mechanical Index) (Mid Internal Carotid Artery) (Middle) M (M Mode) (Mitral Regurgitation Proximal Iso Velocity Surface Area) / (Mitral Regurgitation/Velocity Time Integral) (Mitral Valve) (Mitral Valve Area) (Mitral Valve Effective Regurgitant Orifice) (Mitral Valve Proximal Iso Velocity Surface Area) 294

1 MV Rate MV Regurgitant Fraction MV Regurgitant Volume MVA MV/VTI NTSC OA OFD PAL PCAp1 PCAp2 PCCA (Mitral Valve Rate) (Mitral Valve Regurgitant Fraction) (Mitral Valve Regurgitant Volume) (Mitral Valve Area) / (Mitral Valve/Velocity Time Integral) (National Television Standards Committee) (Ophthalmic Artery) (Occipital Frontal Diameter) (Phase Alternating Line) (Posterior Cerebral Artery Peak) (Proximal Common Carotid Artery) PCoA PECA (Posterior Communicating Artery) (Proximal External Carotid Artery) PGr PGmax PGmean PHT PI PICA PISA Plaq 1 Plaq 2 POST F (Pressure Gradient) (Maximum Pressure Gradient) (Mean Pressure Gradient) (Pressure Half Time) (Pulsatility Index) (Proximal Internal Carotid Artery) (Proximal Isovelocity Surface Area) (Plaque) (Posterior Far) 295

1 POST N Prox PSV PV PW Qp/Qs RA RI RVD RVDd RVDs RVOT D RVOT VTI RVSP RVW RVWd RVWs S S/D SI Siphon SM SO (Posterior Near) (Proximal) (Peak Systolic Velocity) (Pulmonic Valve) (Pulsed Wave Doppler) / (Pulmonary blood flow divided by systemic blood flow) ( )(Right Atrial) (Resistive Index) (Right Ventricular Dimension) (Right Ventricular Dimension Diastolic) (Right Ventricular Dimension Systolic) (Right Ventricular Outflow Tract Diameter) (Right Ventricular Outflow Tract Velocity Time Integral) (Right Ventricular Systolic Pressure) (Right Ventricular Free Wall) (Right Ventricular Free Wall Diastolic) (Right Ventricular Free Wall Systolic) SonoRES / (Systolic/Diastolic Ratio) (Stroke Index) (Siphon) (Submandibular) (Suboccipital) 296

1 SV TAM TAP TDI TEE THI TI TICA TO TRmax TT TTD (Stroke Volume) (Time Average Mean) (Time Average Peak) (Tissue Doppler Imaging) (Transesophageal Echocardiogram) (Tissue Harmonic Imaging) (Thermal Index) (Terminal Internal Carotid Artery) (Transorbital) (Tricuspid Regurgitation (peak velocity)) (Transtemporal) (Transverse Trunk Diameter) TV UA (Tricuspid Valve) (Ultrasound Age) Umb A VA VArty Vmax Vmean Vol VF VTI (Umbilical Artery) (Vertebral Artery) (Vertebral Artery) (Peak Velocity) (Mean Velocity) (Volume) (Volume Flow) (Velocity Time Integral) 297

298

+/x 87 2D 81 2D 57, 287 ALARA 235, 288 a 127 B 2D CF 34 CompactFlash 12 13 34 CW 288 CW D-line 66 68 d:d 97 DICOM 147 223 174 173 148 171 174 171 175 147 167 172 34 149 169 169 169 169 169 169 169 172 DICOM 152 D-line PW Doppler 66 Doppler 45 67 DVD 33 178 ECG 77 ECG 59 EMC 223 EMED 140 e 127 e a 127 E A Vmax TRmax 127 IMT 114 111 IMT 110 LCD 219 189 240 LVO 58 M mode M M-line M 61 62 M-line M M Mode M 61 NTSC, 287 OB 43 107 299

100, 105 139 PAL, 287 PC 33 PRF 68 PW D-line 66 68 Qp/Qs 120 ROI 63 SiteLink 141 34 144 SonoMB 59, 287 SonoRES 58, 287 THI / 59 THI 16 A 228 230 226 9 228 230 188 25 B 72 46 17, 72, 135 64, 68 283 DICOM 223 EMC 223 222 223 OB 137 136 136 136 135 19, 38 73 74 73 74 73 74 74 74 74 DICOM 173 49, 2 C 203 63 64 21 211 204 216, 164 82, 84 99 / 82 83, 203 85 108, 125 19 300

2D 201 201 201, 2 211, 287 / 14 221 14 189 8 179 221 219 THI 16 17 17 17 17 16 18 18 17 17 / 17 18 17 17 18 17 17 17 17 16 16 DICOM 148 IMT 39 OB 42 25 46 38 47 38, 48 34 33 33 OB 40 OB 41 31 45 31 46 24 38 45 35 36 40 35 45 33 45 31 32 40 36 31 20, 38, CW 288 2D M Mode M 61 PW CW 66 63 53 17, 20 33 17 227 D DICOM 157 33 178 74 17, 73 301

28 28 25, 26, 30 (IVRT) 125 228 12 12 221, 222 193 221 230 226 222 16 / 60 18 CW 66 PW 66 63 CPD E, 3 / (MV/AV) 123 F CPD 65 Doppler 68 65 19 (Vmax) 127 23, 283, 1 220 (gyn) 98, 2 G 18 140, 161 177 25 68 219, 73 H 33 178 15 53 288 219, 222 53, 91, 93, 95, 98, 100, 108, 110, 114, 118 56 191 15 56 190 288 179 178, 192 289 190 56 222 55 58 J 68 222 (MI) 240, 288 223 IMT 110 OB Doppler 107 302

OB 100 90 97 94 95 90 91 97 118 108 90 102 19 (ACC) 87 53 52 70 71 70 70 69 73 70 69 76 17 46, 78 67 51, 2, 17 (PISA) 120, 283 (ET) 87 (TO) 117, 3 (TCD) 117, 225, 57 2D 82 Mmode M 84 K / 17 191 68 21 236 236 235 179 L 58 2D 87 64 178 99 M (SV) 132, 133 26, 28, 30 / 82 92 87 88 18 19, 38, 47 N (IMT) 110 CPD 56 303

P DICOM 147 SiteLink 141 164 157 154 165 161 166, 288 60 19 19 20 19 19 19 19 20 19 19 19, 21 17 Q 221, 3, 3 ECG 193 LCD 189 189 193 190 192 193 37, 73, 73 R (TI) 45, 240, 288 9 35 68 93, 94 95 DICOM 148 180 179 S (TRmax) 127 36 60 228 1 3 59 288 17 20 73 283 243 243 243 245, 246 282 243 230 179 179 (AAo) 122 221 35 (VTI) 128 45, 68 29 18 304

33 91 83, 87 240 75, 2 58 45 / 60 17 60 289, 52 T (FHR) 85, 178 23 49 27 79 67 CompactFlash 72 73 177 220 W 221 166 188 221 19 75 178 DICOM 152 SiteLink 144 203 203 203 X 192 221 241 19, 77 ECG 193 189 193 190 192 188 194 199 97, 4 123 (SI) 133 (HR) 85, 133 (CO) 133, 1 204 2D MMode M 119 AAo 122 Ao 122 AVA 131 CI 134 CO 133 Doppler 125, 127 dp:dt 130 e a 127 E A VMax 127 HR 133 IVRT 125 LA 122 LV 123 LV 124 LVd 122 LVOT D 122 305

LVs 122 MV/AV 123 PHT 129 PISA 120 Qp/Qs 120 RVSP 128 SI 133 SV 132, 133 TDI 134 TRmax 127 VTI 128 (CI) 134 186, 187 17 108 3 Y (PHT) 129 (dp:dt) 130 117, 27 26 28, 4, 1 3 57 (RVSP) 128 (EDD) 211 (EFW) 211 289, 17 221, 102 Z 59 17 92 (Ao) 122 (AVA) 131, 221 76 76 16 76 36 75 75, 225 CPD 64 Doppler 67 16 (RI) 87 (TDI) 67, 134 244 (LVOT D) 122 LV 123 (LVs) 122 (LVd) 122 LV 124 (LA) 122 97 306

MicroMaxx 1 2 3 4 5 6 7 8 9 10 11 Tab Caps Shift Text THI Zoom Picto Depth Caliper Calcs Freeze Record Delete Save Print Enter Update M Mode Doppler Color 2D 12 13 14 15 16 17 18 19 20 21 1 / / 2 Text / / 3 Picto / 4 THI / 5 Depth / 6 Near /Far /Gain / 7 Zoom 8 Freeze/Cine / / 9 Caliper 10 Calcs / 11 Select Calcs / 12 13 Forms / 14 15 Record / DVD/VCR 16 Save Clip CompactFlash 17 Update / M (M Mode)/ (Doppler) 18 CompactFlash CompactFlash 19 M (M Mode) (Doppler) (Color) (2D) 20 Save CompactFlash 21 Print 1

1 2 3 4 5 7 8 9 1 2 3 4 5 6 / 7 / 8 9 10 6 10 1 2 3 Patient 4 2D M Mode M Color Doppler Doppler 5 2D 1 7 S- 2 8 DVI RGB 3 USB 9 4 10 5 RS -232 11 ECG/ 6 S- ECG 1 2 3 4 5 6 7 8 9 10 11 2 MicroMaxx

MicroMaxx 2D M Mode M 2D 0 MicroMaxx 2D M Mode M 0 1 M-line M MMode M 2 M MMode M 0 Optimize Dynamic Range Dual Clips Biopsy Orientation Brightness SonoRES SonoMB Sweep Speed ECG Gen Res Pen +3 +2 +1 0-1 -2-3 2D 2D / / / / 0-10 S SonoRES SonoMB MB 2D SonoRES SonoMB MMode M slow med fast ECG 3

Color 1 Color (CPD) 2 Color CPD 3 (ROI) 0 Color CPD Flow Sensitivity PRF Scale Wall Filter Steering Variance Invert Color CPD low medium high low med high PW -15 0 +15 L38e HFL38 4 MicroMaxx

MicroMaxx PW CW 1 Doppler 2 PW/CW / PW CW 3 4 Doppler 0 Angle Correction Gate Size TDI Steering Scale Line Invert Volume Wall Filter Sweep Speed Live Trace 0-60 +60 TDI PW PW -15 0 +15 L38e HFL38 / (PRF) 0 10 low med high slow med fast Peak Mean 5

1 Freeze 2 Caliper 3 Distance Area Circumference 1 Freeze 2 Calcs Crd P10 P17 TEE Gyn Gyn C60e ICT IMT HFL38 L38e OB OB C60e ICT P17 Abd Hep IMT Msk SmP Vas C60e HFL38 L38e P10 P17 SLA SLT Orb TCD P17 Vas HFL38 L38e P10 SLA Abd Bre Gyn Hep Msk Neo Nrv SmP Sup Vas C60e HFL38 ICT L38e P10 P17 SLA SLT Abd Hep Vas C60e HFL38 L38e P10 P17 SLA SLT 6 MicroMaxx

P06459-06 *P06459-06*