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The instruction manual for ARIETTA Prologue is stored on the supplied CD-ROM.
This manual contains brief descriptions about how to display the stored
instruction manual and how to use the instrument.
Be sure to keep this CD-ROM and the manual for future reference.
MN1-6166 rev.3
Opening the Instruction Manual Stored on the CD-ROM
Adobe Reader version 7.0 or later is required to open the instruction manual stored on the
CD-ROM. If Adobe Reader is not installed on your computer, download it from Adobe Systems
website.
Instructions for Use Provides information on how to safely operate the instrument.
Acoustic Output Data Provides information on acoustic output data.
Detailed Operating Describes methods on how to display, adjust and record ultrasonic
Instructions images.
Measurements Describes methods for measuring ultrasonic images.
Contents
The terms below are used as follows in this manual, to prevent hazards and injuries to operators and
patient.
Indicates a potentially hazardous situation which, if not avoided, could result in
death or serious injury.
Indicates a potentially hazardous situation which, if not avoided, may result in minor
or moderate injury.
2 MN1-6166 rev.3
Precautions for use of the instrument
This instrument is intended to be used by doctors and other qualified persons for performing
tomography and hemodynamics diagnosis of blood flow in the human body. This instrument
cannot be used for performing ultrasound examination of the eyes. The acoustic power from
this instrument exceeds the upper ophthalmologic limit indicated in the U.S. FDA standards.
MN1-6166 rev.3 3
• Install in a flat area with adequate strength and little vibration. Do not install on unstable or
inclined surfaces. Avoid areas where there is water or other fluid, areas with large amounts
of salt or sulfur, and areas in direct sunlight.
• Do not sit or lean on the instrument.
• Allow the instrument to acclimatize when moved to a location with a drastically different
temperature.
• When adjusting the inclination of the back end unit or the positioning, take care to avoid
getting your fingers trapped in unexpected locations.
• Adjust the position and orientation of the back end unit keeping a sufficient distance
between the instrument and surrounding equipment, walls and people.
• Warn doctors, patients, and others in the area before adjusting the position and orientation
of the back end unit.
• Install the instrument in the environment where electromagnetic compatibility can be
maintained in accordance with Precautions for Maintaining Electromagnetic Compatibility
and Guidelines for Electromagnetic Compatibility in the “Instructions for Use”.
NOTE: Electromagnetic compatibility (EMC) means that the instrument can maintain basic
performance and safety within the specified electromagnetic environment, without causing
electromagnetic interference that cannot be tolerated by other devices in that environment.
• After moving the instrument, go through the “Inspections and Verifications Prior to
Powering up” from the “Instructions for Use”.
4 MN1-6166 rev.3
Precautions on combined use of equipment
• Medical electrical equipment must be compliant with IEC60601-1, and must be able to be
used in conjunction with diagnostic ultrasound system. Handle and perform the safety
inspection in accordance with accompanying documents.
Do not place probes, operator’s hands, and puncture adaptors etc. in the path
of high-frequency current.
The probe could be damaged, and the patient, examiner or operator could receive
burns. High frequencies may impair the ability of this instrument to produce images.
Operate this instrument with caution, paying attention to the positions of the
counter electrode plates and the connecting cord relative to the probe.
Do not use the instrument in conjunction with a cardiac defibrillator. Instrument
failure could result.
Position it and the probe cables as far away as possible from other appliances and
their cables.
Note that electromagnetic radiation from this instrument may cause other medical
electrical equipment nearby to function abnormally. In this case, stop combined use
with such an instrument immediately.
MN1-6166 rev.3 5
Precautions concerning power cables and power plugs
Plug the power cable provided directly into a hospital-grade power outlet.
There is a risk of electric shock or fire. Do not connect the instrument to an extension
cable, or to a branched circuit.
Do not damage, modify or break the power cable or the power plug. Do not
place heavy objects on cables, twist them, bundle them, pull them, or bend
them excessively.
A damaged power cable can cause electric shock and short-circuiting. If the power
cable or plug is found to be damaged, unplug the power plug immediately, stop
using the instrument, and contact our office.
Unplug the power cable plug from the hospital-grade power outlet periodically
and clean it.
If the instrument will not be used for a long period, unplug it from the
hospital-grade power outlet and store the power cable gently coiled. Then set
the battery shutdown switch to Disconnect mode.
It could cause short circuiting or electric shock.
6 MN1-6166 rev.3
Part names
Main unit
(1)
(2) (6)
(7)
(19)
(20)
(8) (21)
(22)
(9) (13) (14) (15) (16) (17) (18) (23) (24) (25)
MN1-6166 rev.3 7
With the probe storage tray (option) and probe holder installed
(1)
(4)
(2)
(3)
(1)
(2)
(5)
(4)
(9)
8 MN1-6166 rev.3
Power cable and AC adapter
(1) (4)
(2) (3)
100V
(1) (4)
(2) (3)
200V
Home Screen
(1) (2)
(4)
(3) (5)
(6) (7)
MN1-6166 rev.3 9
Moving the Instrument
b b
a a
10 MN1-6166 rev.3
3. Secure the back end unit.
a If the back end unit is detached, connect it to the front end unit.
b Push the back end unit towards the back and secure it.
NOTE: Use only the handle to hold the instrument when carrying it.
NOTE: If the probe storage tray is used, do not carry the instrument with the lid of the probe storage
tray open. Do not carry the instrument by holding the probe storage tray. Do not strike the probe
storage tray against objects or expose it to strong impact.
6. After moving the instrument, retract the carrying handle and place the instrument on its
side.
NOTE: If the instrument is left in an upright position, it could fall and the display could break. When
the instrument has been moved to a new location, be sure to place the instrument on its side and
install.
MN1-6166 rev.3 11
When Installed on a Cart (Option)
1. Shut down the instrument and prepare it for movement.
Power Cable and AC adapter
Disconnect the power plug from the hospital grade outlet, gently coil the cable and place it in the
storage pocket of the cart.
Probes and Other Peripherals
Detach probes, USB flash drives, peripherals etc. from the instrument and put them away in their own
cases. Alternatively, wrap them in a soft cloth or similar protective materials.
If transvaginal/transrectal probe holders (for horizontal storage) are used, store the probes
horizontally.
Do not store them vertically. Hang the probe cables from the cable hook to make sure they do not
get caught between the casters.
2. Remove the instrument from the cart if necessary.
b 1)
b
a
c c
12 MN1-6166 rev.3
4. Secure the back end unit.
a If the back end unit is detached, connect it to the front end unit.
b Push the back end unit towards the back and secure it.
1)
1) Lock release lever
2) Lock lever
2)
LOCK LOCK release
6. Move the cart by grasping the handle at the back of the instrument.
NOTE: Do not put anything on top of the instrument.
NOTE: When moving the instrument over a bump, hold the front or rear handle to raise the casters
over it. Holding the instrument by any part other than the handles, such as by the probe holders,
could damage the probe holders or the cart.
MN1-6166 rev.3 13
Transporting the Instrument
NOTE: The instrument must be transported as a single unit without the cart. The instrument must
not be installed with the cart during transportation.
4. Transport.
NOTE: The instrument must be stable and secure so it does not move dring transportation.
14 MN1-6166 rev.3
Installing the Instrument
b Align the probe holder ((2) in the figure below) to the probe holder mounting hole ((1) in the
figure below) and press the probe holder in.
(1)
(2)
2)
LOCK LOCK release
NOTE: Place a cloth over the instrument if it is to be in storage for a long period.
MN1-6166 rev.3 15
Probe
Connecting a probe
1. The instrument must be shutdown or frozen.
2. Plug the probe into a probe connector.
3. Hold the probe still while you raise the lock lever.
16 MN1-6166 rev.3
Disconnecting a Probe
1. Shut down the instrument. Or freeze the probe.
2. Hold the probe still while you lower the lock lever.
3. Remove the probe from the probe connector.
(1)
(2)
NOTE: Align the probe holder ((2) in the figure below) to the probe holder mounting hole ((1) in the figure
Refer to the “Instructions for Use” for how to connect to the foot switch, etc.
MN1-6166 rev.3 17
Powering up
Install the back end unit in the front end unit for a wired connection.
Remove the back end unit from the front end unit during a wireless connection.
NOTE: Do not attach or detach the back end unit and front end unit before the instrument has
started up after pressing the power switch (and [Settings] appears in the Home Screen). Otherwise
the instrument may not start up correctly.
Home Screen
Front end unit power switch Back end unit power switch
18 MN1-6166 rev.3
Adjusting the Screen
NOTE: Do not raise the back end unit quickly. The instrument could be damaged, tip over or fall.
2. Hold the back end unit with both hands by its frame when adjusting its tilt.
90°
MN1-6166 rev.3 19
Preparing the instrument - examination steps
1. Perform a visual check and inspection of the instrument, peripherals and probes.
Visual check and inspection items for the instrument and peripherals
Make sure that there are no scratches, cracks, dents or discoloration in the following locations:
Exterior
Power cable, power plug and AC adapter
Checking consumables
Replace or replenish the ultrasound gel.
The probes must be cleaned, disinfected and sterilized, as required for intended use
The puncture adapter and needle must be sterilized
The connectors must be free of holes, dents, cracks and deformation
The cables and connectors must be free of scratches, cracks and deformation
NOTE: If there is anything wrong with the instrument or probes, stop using them immediately and
contact our office.
Operation mode
20 MN1-6166 rev.3
M mode 1 Select [Mode > M] .
2 Swipe a B mode image right or left and move the M cursor to any position.
3 Select [Gain] and adjust the sensitivity balance between B mode image and M
mode image using the [B] slider or [M] slider.
PW mode 1 Select [Mode > PW] .
2 Swipe a B mode image right or left and move the D cursor to any position.
3 Adjust the image.
• To adjust the velocity range, pinch the screen in or out on the PW screen.
• Select [Gain] and adjust the sensitivity using the [D] slider.
CW mode 1 Select [Mode > CW] .
2 Swipe a B mode image right or left and move the D cursor to any position.
3 Adjust the image.
• To adjust the velocity range, pinch the screen in or out on the CW screen.
• Select [Gain] and adjust the sensitivity using the [D] slider.
Color mode 1 Select [Mode > Color] .
(Color Doppler) 2 Adjust the image.
• Adjust the velocity range using the [Vel. Range (Color)] on the function menu.
• Select [Gain] and adjust the sensitivity using the [Color] slider.
Freeze/unfreeze images
• Select or .
Making measurements
1. Select [Tools > Meas.Menu] .
2. Select a measurement item.
3. Measure along the parameters (See the “Measurements”).
Print/Record an image
• Record the still images.
a Select and freeze the image.
b To print, select [Tools > Print] . Select [Store] to record (save) the image.
Depending on the setting, moving images could be saved for a certain period of time or a certain
number of heart beats.
MN1-6166 rev.3 21
After examination - cleaning
22 MN1-6166 rev.3
Cleaning the Dust Filter
The dust filter is located in the front end unit.
a) Secure the back end unit.
b) Set the instrument in an upright position.
c) Pull out the carrying handle.
d) Remove the dust filter.
1) Knob
1)
1) tabs
NOTE: Insert below the tabs. Make sure that the filter does
not protrude when the filter cover is installed.
MN1-6166 rev.3 23
i) Install the filter cover.
Fit the tab at the top of the filter cover into the groove in the front end unit.
Clean the area around the instrument, the connectors, and the power plug
Wipe away dust and moisture.
If you use the instrument in a dusty location, its ventilation may deteriorate, causing the temperature
inside the instrument to become abnormally high. Excessive moisture may cause instrument
malfunction or ground leakage.
Clean the probe
The cleaning, disinfection, and sterilization methods depend on the type of probe. For details, refer to
the instruction manual for the probe.
24 MN1-6166 rev.3
Troubleshooting
If the measures below do not solve the problem, contact our office.
Refer to the “Instructions for Use” for details about messages.
Cause Countermeasure
Software runaway 1 Hold down the power switch on the back end and front end unit for at least 10
seconds.
Fluctuating power
supply The system shuts down. If system does not shut down after 20s or more,
proceed to step 2.
2 Unplug the power plug from the hospital-grade power outlet.
3 Turn off the battery shutdown switch to Disconnect mode.
4 Insert the power plug into the hospital-grade power outlet after a few minutes.
5 Turn on the battery shutdown switch to Connect mode.
6 Turn on the instrument again.
Cause Countermeasure
Incorrect settings Correct date and time in preset.
Internal battery run Please contact our office.
down
Display
Power
LED Graphics Image Cause Countermeasure
Power cable and AC Plug the power cable into a hospital-grade power
Unlit – – adapter not outlet.
connected
Instrument is on Press the power switch.
Orange – – standby If the instrument shuts down during startup,
contact our office.
When the instrument Tap the screen.
White No No has not been used for
some time
Gain is too low Select [Gain] or [Tools > TGC] to make adjustments.
White Yes No The probe is not Reconnect a probe.
properly connected
Acoustic output is Select [A.P.] to make adjustments.
too low
MN1-6166 rev.3 25
Display
Power
LED Graphics Image Cause Countermeasure
Still image display
Select to switch to , and switch to the
(the is On) real-time image.
Instrument classifications
B C A
connector
connector
C A
Probes and scanner diagrams:
The above is an example of probes for surface and intraoperative use. The following is an example of a probe
for use inside body cavities.
Applicable part of
body Applied part Parts treated as applied parts B - C length
Surface of body Ultrasonic irradiation A to B 100 cm
area (D)
Intraoperative Ultrasonic irradiation A to B 20 cm
area (D)
Endocavity A to C A to C –
26 MN1-6166 rev.3
Instrument specifications
Scanning Linear scanning, convex scanning, sector scanning, radial scanning method and
method trapezoidal scanning method
Display mode B/M mode, B/M mode, B/PW mode, B/CW mode, Color mode
Measurement Basic measurements,Abdominal measurements, urological measurements,
function superficial organ measurements, gynecological measurements, obstetrics
measurements, cardiological measurements, vascular measurements
Power 100 V to 120V, 200Vto 240V
supply/power 50/60Hz
consumption
200VA or less
Viewing monitor 11.6 inch LCD flat panel display
External When installed on a cart (option): Width 520 mm x Height 996 mm x Depth 508 mm
dimensions Front end unit: 296 mm (W) x 75 mm (H) x 260 mm (D) (excluding protrusions)
Back end unit: 294 mm (W) x 199 mm (H) x 20 mm (D)
Weight Instrument only: Approx. 4.5 kg, Cart alone (option): Approx. 20 kg
Refer to the “Instructions for Use” for details.
MN1-6166 rev.3 27
Caution in disc handling
• Do not store this disk in direct sunlight or light, or in high temperature and humid area.
• Do not stick paper or tape on a disc.
• Do not write on a disc with a pen.
• Do not touch both sides of the disc.
• Handle the disc carefully so that there will be no finger prints, dirt, dust, scratch, or water etc on it.
• Put the disc back into the case after use.
• Do not throw this disc. This could damage patient's body.
Revision : 3
Revision Date: 2016.07.07
Manufacturer
Hitachi, Ltd.
2-16-1, Higashi-Ueno, Taito-ku, Tokyo, 110-0015, Japan
Contact
+81-3-6284-3668
http://www.hitachi.com/businesses/healthcare/index.html
Overseas Offices:
Hitachi Medical Ultrasound Logistics,
Zweigniederlassung der Hitachi Medical Systems Europe Holding AG
Carl-Zeiss-Strasse 5, D-72555 Metzingen, Germany
EC REP means the name and address of the authorized representative in the
European Community.
Microsoft, Windows, Microsoft Excel, and Windows Media are registered trademarks or trademarks of USA Microsoft Corporation
in the USA and other countries.
Adobe, Acrobat, and Reader are trademarks or registered trademarks of Adobe Systems Incorporated in the United States and
other countries.
The company name, product names, and logo of McAfee, in both English and Japanese, are trademarks or registered trademarks
of McAfee, Inc. or its affiliated companies.
Linux is a registered trademark or trademark of Linus Torvalds in Japan and other countries.
VS-FlexGrid Pro copyright©1999-2000 Videosoft Corporation.
This software is based in part on the work of the Independent JPEG Group.
Real-time Tissue Elastography, HI REZ are registered trademarks of Hitachi, Ltd..
Other company names, product names and system names mentioned in the instruction manual of this instrument may be the
trademarks or registered trademarks of their respective organizations. This document omits symbols such as ™ and ®.
©Hitachi, Ltd. 2016. All rights reserved.
28 MN1-6166 rev.3