Mindray ZS3 Service Manual English User manual

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ZS3 Diagnostic Ultrasound System
Service Manual (9.x)
ZS3 Service Manual Page 2 of 296
©2021 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
ZONARE, the ZONARE logo,
ZS3 and z.one
pro are all trademarks of Shenzhen Mindray Bio-Medical Electronics Co.,
Ltd.. All other trademarks are the property of their respective holders.
The ZS3 Ultrasound Platform and products derived there from (for example, but not limited to, the ZS3 and the
z.one
pro
with and without the SP UI option)
is covered by one or more of the following patents:
6,251,073; 6,569,102; 6,618,206; 6,663,567; 6,685,645; 6,733,455; 6,773,399; 6,866,631; 6,866,632; 6,896,658;
6,936,008; 6,980,419; 6,997,876; 7,022,075; 7,087,020; 7,226,416; 7,238,157; 7,352,570; 7,361,145; 7,510,529;
7,627,386; 7,382,309; 7,699,781; 8,002,705; 8,226,561; D461,814; D462,446; D467,002; D469,539; D469,877
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD.
Mindray Building, Keji 12th Road South, High-Tech Industrial Park, Nanshan,
Shenzhen, 518057, P.R.China
Shanghai international Holding Corp. GmbH(Europe)
Eiffestraβe 80, 20537 Hamburg, Germany
CAUTION: United States Federal Law restricts this device to sale by or on the order of a licensed physician or
licensed veterinarian.
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TABLE OF CONTENTS
1 Introduction ................................................................................................................................... 7
Purpose .............................................................................................................................................. 8
Definitions/Acronyms ........................................................................................................................ 8
Documentation Conventions .......................................................................................................... 10
Symbols ........................................................................................................................................... 10
2 Safety ............................................................................................................................................ 12
Facility Needs .................................................................................................................................. 12
Notes When Returning or Transporting the System, Probes, and Repair Parts ....................... 13
Warning & Cautions ........................................................................................................................ 13
3 System Specifications ............................................................................................................... 25
General System Specifications ...................................................................................................... 25
Display.............................................................................................................................................. 27
Battery Pack Specifications ............................................................................................................ 28
Standards and Compliance ............................................................................................................ 33
4 System Overview ........................................................................................................................ 35
Major System Assemblies .............................................................................................................. 35
User Interface Overview ................................................................................................................. 36
Keyboard Functions ........................................................................................................................ 39
On-Screen “Dashboard” System Status ICONs ........................................................................... 42
Accessory Components .................................................................................................................. 44
Rear I/O Panel ................................................................................................................................. 45
5 System Uncrating & Installation Procedures ........................................................................ 46
Product Shipment ............................................................................................................................ 46
Electrical Requirements .................................................................................................................. 46
Environmental and Space Requirements ..................................................................................... 46
Uncrating .......................................................................................................................................... 46
Mechanical Inspection .................................................................................................................... 50
System Installation .......................................................................................................................... 50
ZS3 System Verification ................................................................................................................. 52
6 Setup ............................................................................................................................................. 55
System ............................................................................................................................................. 55
Preset Mgmt .................................................................................................................................... 56
Calc .................................................................................................................................................. 57
Annotation ........................................................................................................................................ 57
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Body Pattern .................................................................................................................................... 57
Protocols .......................................................................................................................................... 58
Stress Echo ..................................................................................................................................... 58
DICOM ............................................................................................................................................. 58
Network ............................................................................................................................................ 59
Keys.................................................................................................................................................. 59
Peripherals ....................................................................................................................................... 59
Backup/Restore ............................................................................................................................... 60
7 Security ........................................................................................................................................ 61
Access Control ................................................................................................................................ 61
Enabling Location Access Control ................................................................................................. 62
Enabling Account Access Control.................................................................................................. 63
System Login ................................................................................................................................... 63
Local Privilege Management .......................................................................................................... 64
LDAP Privilege Management ......................................................................................................... 70
User Field Name ............................................................................................................................. 72
Enable Barcode Login .................................................................................................................... 72
Enable Encryption ........................................................................................................................... 73
8 Patient Information Management ............................................................................................ 74
Patient Information .......................................................................................................................... 74
New Patient Information ................................................................................................................. 75
Retrieve Patient Information ........................................................................................................... 80
9 DICOM/HL7 .................................................................................................................................. 86
DICOM Preset ................................................................................................................................. 87
Service Preset ................................................................................................................................. 89
DICOM Verifying ........................................................................................................................... 103
DICOM Services ............................................................................................................................ 104
DICOM Media Storage ................................................................................................................. 110
10 Peripheral ................................................................................................................................... 112
Print Service .................................................................................................................................. 112
Barcode Reader Configuration .................................................................................................... 113
Power Save ................................................................................................................................... 115
11 Network ...................................................................................................................................... 117
Network Setup ............................................................................................................................... 117
FTP Setup ...................................................................................................................................... 122
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QPath/QView ................................................................................................................................. 123
VPN ................................................................................................................................................ 125
12 Functional Descriptions .......................................................................................................... 128
System Capabilities....................................................................................................................... 128
Major FRUs .................................................................................................................................... 128
13 System Diagrams ..................................................................................................................... 133
Power Block Diagram ................................................................................................................... 134
Cabling Diagram ............................................................................................................................ 135
System Block Diagram ................................................................................................................. 136
14 Peripherals & Accessories ..................................................................................................... 137
Black & White Printer .................................................................................................................... 137
Color Printer ................................................................................................................................... 144
Pedal Footswitch ........................................................................................................................... 146
Ultrasound Gel Warmer ................................................................................................................ 146
ZS3 Intracavity probe holder ........................................................................................................ 153
15 Software Procedures ............................................................................................................... 158
Backup Operations........................................................................................................................ 158
Restore Operations ....................................................................................................................... 159
Software Upgrade & Installation .............................................................................................. 162
Diagnostic Panel Operations ........................................................................................................ 168
16 Care and Maintenance ............................................................................................................. 177
Overview ........................................................................................................................................ 177
Basic System Care........................................................................................................................ 178
Transducer Maintenance .............................................................................................................. 181
System Check ............................................................................................................................... 181
17 Preventative Maintenance Forms .......................................................................................... 189
18 System Troubleshooting......................................................................................................... 193
Diagnostics .................................................................................................................................... 194
Troubleshooting ............................................................................................................................. 197
System Status LED & Error Code Definitions ............................................................................. 207
Battery Performance Charge Times - Reconditioning ............................................................ 217
How to Obtain MAC Address ....................................................................................................... 218
19 Replacement Procedures ....................................................................................................... 222
Recommended Tools .................................................................................................................... 222
ZS3 Module – Removal/Replacement......................................................................................... 223
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Casters – Removal/Replacement ................................................................................................ 227
19” Display Removal/Replacement .......................................................................................... 228
Display Arm Removal/Replacement......................................................................................... 233
Cart Battery Removal/Replacement ......................................................................................... 239
Power Module Removal/Replacement ..................................................................................... 243
User Interface Removal/Replacement ..................................................................................... 248
Dock Board/SSD - Removal/Replacement ................................................................................. 254
Gas Spring Removal/Replacement .......................................................................................... 259
20 Parts Catalog ............................................................................................................................. 263
System ........................................................................................................................................... 264
Display............................................................................................................................................ 264
Accessories ................................................................................................................................... 266
User Interface ................................................................................................................................ 270
Module & Cart Electronics ............................................................................................................ 271
Internal Cabling ............................................................................................................................. 272
Power Module ................................................................................................................................ 273
Miscellaneous Cart Items ............................................................................................................. 274
Peripherals ..................................................................................................................................... 274
Options and Upgrading Package ................................................................................................. 275
Revision History ............................................................................................................................ 295
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1 Introduction
Mindray Contact Information
Asia, Europe and ROW
Address
Mindray Building, Keji 12th Road South, High-tech
industrial park, Nanshan, Shenzhen 518057, P.R.China
E-mail
service@mindray.com
Website
www.mindray.com
Telephone
+86 755 81888998
Fax
+86 755 26582680
United States and Canada
Address
Telephone
800 MacArthur Boulevard,
Mahwah, NJ 07430
1-800-288-2121, 1-201-995-8000
Technical Support
1-877-913-9663, 1-650-316-3199
Technical Support Email
Website
techsupport@mindray.com
www.mindraynorthamerica.com
ZS3 Service Manual Page 8 of 296
Purpose
This manual provides information to assist service personnel in performing
maintenance, and repair procedures that may be required to support ZS3 Ultrasound
System (9.x).
The Mindray/Zonare ZS3 Ultrasound System is used for ultrasound evaluation of the
following applications: Opthalmic; Fetal; Abdominal (renal, GYN/Pelvic); Intra-operative
(abdominal, thoracic(cardiac), and vascular); Intraoperative (Neuro); Pediatric; Small
organ (thyroid, breast, testes, etc); Neonatal cephalic; Adult Cephalic/Transcranial; Trans-
rectal; Trans-vaginal; Trans-esoph.(non-Card); Musculoskeletal (Conventional);
Musculoskeletal (Superficial); Cardiac Adult; Cardiac Pediatric; Trans-esoph. (Cardiac);
Intra-cardiac; Peripheral vessel. Users include ultrasound imaging technicians
(sonographers) and physicians. Mindray/Zonare Ultrasound Imaging Systems may be
used in a hospital (e.g., imaging laboratory, emergency room, patient bedside, and
operating room), medical clinic, physician’s office or a mobile imaging center. Please
refer to the ZS3 Instructions For Use for more information.
The ZS3 Ultrasound System consists of two major components: 1) Cart; and, 2)
Transducer(s). The Cart contains the software driven imaging electronics and user
interfaces (keyboard, monitor, handles, etc.). It houses the microprocessor, memory,
amplifiers and power supplies for the microprocessor. It sends electrical currents to and
receives electrical pulses from the compatible transducers. The Cart performs the
calculations involved in processing the data to produce the displayed ultrasound
images. The ZS3 Cart is available in two options: with or without Echocardiography. The
Echocardiography option allows users to perform advanced cardiac and intracardiac
imaging and related functions beyond what is available without the echocardiography
option.
Included with the system are one or more Mindray/Zonare Curvilinear, Endocavity,
Linear, or Phased array transducers allowing for many clinical applications. Accessories
include, but are not limited to the Mindray/Zonare ZPAK Battery and off-the-shelf
components: bar code reader, foot pedal, printers, biopsy guides, ECG cables and a
wireless Ethernet interface. Case studies can be stored to USB memory stick, and other
industry standard archiving devices.
Note: The availability of options may be limited based on country or region of use.
Definitions/Acronyms
2D: Two dimensional (B-Mode, Color mode)
BMP: Bit MaP
C-Mode: Color Flow Mode (Doppler)
D-Mode: Doppler (Pulsed Wave) Mode
DICOM: Digital Imaging and COmmunication in Medicine
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DSP: Digital Signal Processing
ESD: Electro Static Discharge
EV: Endo Vaginal
FPGA: Field Programmable Gate Array
FRU: Field Replaceable Unit
LCD: Liquid Crystal Display
LED: Light Emitting Diode
M: M-Mode (Motion Mode - Tissue)
NTSC: National Television Standards Committee (video standard)
PAL: Phase Alternation by Line (video standard)
PRF: Pulse Repetition Frequency
PW: Pulsed Wave Mode (Doppler)
Retrospective: Post-processing performed on frozen images from memory
DGC: Depth Gain Compensation
USB: Universal Serial Bus
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Documentation Conventions
The following alert conventions are used in this manual:
Symbols
The following symbols may be used in this manual or elsewhere in product labeling.
Symbol
Description
Information that may relate to safety of the patient, the operator, or the equipment
A type BF patient-applied part (B= body, F= floating applied part)
A type CF patient-applied part (C= cardiac, F= floating applied part)
Alternating current (AC)
Direct current (DC)
Date of manufacture
Manufacturer
Caution: ESD sensitive
Recyclable material
V
Voltage
Hz
Cycles per second
Waste Electrical & Electronic Equipment Standard
Applies to EU Member States only: this system should not be treated as household waste.
Mindray meets the WEEE Standard. For more information on returning or recycling this system, please
contact Shenzhen Mindray Bio-Medical Electronics Co.
or the distributor from whom you purchased
the system.
Consult the Instructions for Use
Serial number
ZS3 Service Manual Page 11 of 296
Symbol
Description
Authorized representative in the European Community
Catalog number
Shipping & Storage: Fragile
Shipping & Storage: Keep dry
Shipping & Storage: Temperature limits
Shipping & Storage: This side UP
Shipping& Storage: Do not stack above this container
Shipping & Storage: Humidity limits
Shipping & Storage: Pressure limits
Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner (USA).
Protected against water immersion - Immersion for 30 minutes at a depth of 1 meter.
This product is provided with a CE marking in accordance with the regulations stated in Council
Directive 93 / 42 / EEC concerning Medical Devices. The number adjacent to the CE marking (0123) is
the number of the EU-notified body certified for meeting the requirements of the Directive.
MR Unsafe the system is not intended to be used within magnetic resonance (MR) environment.
ZS3 Service Manual Page 12 of 296
2 Safety
Facility Needs
Users should prepare for the materials needed in the site, so as to avoid confusion and complete the task
in time without any waste of manpower. Follow the checklist in pre-installation to ensure that the required
steps are performed.
Action
Yes
Schedule enough time for installation
Ensure that the operating environment meets the requirements
Ensure that you have adjusted the lighting environment to adapt to the
condition of the system
Ensure that the electrical supply conforms to the standard
requirements
Ensure that the EMI precautions are performed and all the sources
that might possibly cause unwanted interference are removed
The system is put in a site according to the requirements
Ensure that the network, if required, is ready for the system
Before installation, the users should:
Have the required material ready.
Prepare the site for the delivery of the system.
Note:
This equipment must be operated by skilled/trained clinical professionals.
Before delivering the system, ensure that the operating site is clean. Do not put the
system on a carpet that might attract dust and create static. In addition, the EMI
should also be taken into account during investigation.
It is important for the hospital or organization that employs this equipment to carry
out a reasonable service/maintenance plan. Neglect of this may result in machine
breakdown or personal injury.
Mindray's obligation or liability under this warranty does not include any
transportation or other charges or liability for direct, indirect or consequential
damages or delay resulting from the improper use or application of the product or
the use of parts or accessories not approved by Mindray or repairs by people other
than Mindray authorized personnel.
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Notes When Returning or Transporting the
System, Probes, and Repair Parts
When returning or transporting the ultrasound system in the original packaging, ensure
that:
The ultrasound system should be adjusted to its lowest height and the monitor
should be folded in the down position.
The control panel should be placed in the center and locked.
Note:
When you return the system, ensure that the system is fully decontaminated, and
human fluids or blood are removed from the system, parts or probes. This is to protect
those who transports, receives or opens this package.
The US Department of Transportation (DOT) has ruled that “items that were saturated
and/or dripping with human blood that are now caked with dried blood; or which were
used or intended for use in patient care” are “regulated medical waste” for transportation
purpose and must be transported as a hazardous material.
Warning & Cautions
It is extremely important to read the following definitions of WARNING information, prior
to beginning any service on any sub-system within the system. As you see applicability
of each of these noted WARNINGs, during the course of the servicing process, be
prepared to avoid harm to persons and equipment by proper adherence.
It is not possible to anticipate every condition and situation in which ultrasound system
will be used. The following warnings and cautions represent typical situations that
require special attention. User knowledge and experience with a specific application and
environment must also be taken into consideration in order to help ensure the safety of
personnel and equipment.
Safety Standards
All Mindray instruments, cables, and diagnostic ultrasound imaging transducers have
been designed to meet the essential requirements contained in 93/42/EEC (Medical
Device Directive), and all appropriate requirements contained within IEC 60601 -1,
AAMI STD ES 60601-1, CSA STD C22.2 NO. 60601-1 (Medical electrical equipment -
Part 1: General requirements for basic safety and essential performance), IEC 60601-2-
37 (Medical electrical equipment - Part 2-37: Particular requirements for the safety of
ultrasonic medical diagnostic and monitoring equipment), IEC 60601-1-2 (Medical
electrical equipment - Part 1-2: General requirements for basic safety and essential
performance Collateral Standard: Electromagnetic Compatibility), including limits for
ZS3 Service Manual Page 14 of 296
current leakage and isolation from a primary power line. Testing for compliance with the
essential requirements of the Medical Device Directive has been performed.
Warnings
Do not use an aftermarket probe other than those specified by Mindray. The
probes may damage the system causing a profound failure, e.g. a fire in the
worst case.
Accessory equipment (analog or digital) connected to the ultrasound system
must comply with the relevant IEC standards (e.g., IEC 60950 information
technology equipment safety standard and IEC 60601-1 medical equipment
standard). Furthermore, all configurations must comply with the standard IEC
60601-1. It is the responsibility of the person, who connects additional
equipment to the signal input or output ports and configures a medical
system, to verify that the system complies with the requirements of IEC
60601-1. If you have any questions regarding these requirements, please
consult your sales representative.
When the wireless LAN function is turned on, the ultrasound system may
suffer interference from other equipment, even if that other equipment
complies with CISPR EMISSION requirements.
Keep at least 20 cm away from the ultrasound system when the wireless LAN
function is in use.
Do not connect or disconnect the system’s power cord or its accessories
(e.g., a printer or a recorder) without turning OFF the system power first. This
may damage the system and its accessories or cause electric shock.
If the system is powered off improperly during operation, it may result in data
damage of the system hard disk or system failure.
Please use the ultrasound gel compliant with the relevant local regulations.
The cover contains natural rubber that can cause allergic reactions in some
individuals.
In normal diagnostic ultrasound mode, there is no danger of a normal-
temperature burn; however, keeping the probe on the same region of the
patient for a long time may cause such a burn.
Do not use the system to examine a fetus for a long period of time.
When using intra-cavity probes, do not activate the probe outside the patient’s
body.
Power off the system if you will not use the system for a long period of time
(including storage/ transportation condition), and you should not allow the
system in standby status, otherwise the batteries will be out of power and
permanently damaged.
If you will not use the system for a long period of time, please periodically
check the battery and ensure that the battery power is sufficient. Otherwise,
the battery may permanently be damaged. If any fault is find during checking,
please contact Mindray Customer Service Department or sales
representative.
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To dispose of the system or any part, contact Mindray Customer Service
Department or sales representative. Mindray is not responsible for any
system content or accessories that have been discarded improperly.
DO NOT touch the Signal I/O ports if in contact with the patient; otherwise
patient injury may result.
Do not allow the patient to contact the live parts of the ultrasound system or
other devices, e.g. signal I / O ports. Electric shock may occur.
When faults occur during installing or leading the outside protective wire, the
ultrasound system should be powered by the internal power supply.
Do not remove any of the System covers other than the module cover. Other
than the scan module there are no user-serviceable parts internal to the
system. Only trained Mindray/Zonare service personnel should access the
system’s internal electronics.
The ultrasound systems contain no operator-serviceable components within
the enclosures. To avoid electrical shock, do not remove covers. As with any
other electrical equipment, always observe care when operating this
instrument. For service issues, contact Mindray/Zonare Technical Support.
Failure to follow these restrictions may void your warranty or service contract
coverage.
To reduce the risk of electric shock, DO NOT connect the ZS3 system input
or output connections to equipment that is not properly connected to an Earth
ground.
To achieve proper grounding reliability, the ultrasound system power plug
must be fully inserted into a receptacle marked “hospital grade.” Do not
remove the grounding wire. If there is any question of power outlet or power
cord integrity, do not proceed. Obtain qualified assistance
To maintain proper grounding reliability, use only Mindray/Zonare-
recommended peripherals and accessories. Use of non-specified peripherals
and accessories could result in risk of electrical shock or injury.
The ultrasound systems represent a potential explosion hazard if used in the
presence of flammable anesthetics.
The system does not contain a user-serviceable lithium ion battery.
The optional ZPAK cart battery is not a user serviceable item. Contact
Mindray/Zonares Technical Support group for assistance with the ZPAK
battery.
Follow guidelines provided by relevant IEC standards) when connecting
peripherals.
The USB Memory Sticks supplied by Mindray/Zonare are the recommended
brand, type, and sizes for use in ZS3 Systems. They have been verified for
optimum reliability and performance.
No modification of the system is permitted. Modifying the system may subject
the operator or patient to hazardous conditions.
The ZS3 ultrasound system represents a potential explosion hazard if used in
the presence of flammable gases or oxygen rich environment.
Use only transducers that are specifically approved for the ultrasound system.
If the proper identification of a connected transducer is not displayed on
screen, do not proceed with its use.
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Transducers covers may be contaminated and must be handled accordingly.
Inspect the transducer and ZS3 System before each use. Inspect the
transducer face, housing, cable, connectors, and cases. Do not use the unit if
damage is detected.
Bent, broken, or missing pins on the transducer connector may cause poor
image quality, including possible mirror image artifact. Be sure to check pins
before connecting transducer to the Mindray/Zonare ultrasound system. If
pins are bent, broken, or missing, do not use the transducer and call
Mindray/Zonare Technical Support.
To avoid electrical shock, always unplug the ultrasound system AC power
cord from wall outlet before cleaning any part. Do not immerse the transducer
past the specified cleaning/disinfection level, as specified in Transducer
Cleaning and Disinfection. Do not immerse the transducer for longer than the
specified cleaning/disinfecting time. Do not use any transducer that has been
immersed beyond the maximum limit or has been soaked longer than the
maximum specified time.
Do not allow disinfectant to contact metal surfaces. Always use protective
eyewear and clothing when cleaning or disinfecting device.
Disinfectant wipes and topical spray products are not FDA cleared high-level
disinfectants and do not provide adequate protection should the transducer
become cross-contaminated.
The transducer must be removed from patient contact before application of a
high-voltage defibrillation.
The system is not intended for use in conjunction with high frequency (HF)
surgical equipment (tissue ablation devices). Do not use transducers
connected to the ultrasound system on patients while HF surgical devices are
in use.
If using relevant standards compliant equipment that was not provided by
Mindray/Zonare, it is required that total leakage currents be tested and
validated to be below the IEC 60601-1 chapter 16 limits.
This equipment must only be connected to a supply main with protective
earth.
Validate that measured and calculated results shown in Calc Package reports
reflect the clinical observations.
Auto-Dop Trace is intended to serve as an adjunct to the diagnostic process
in evaluating blood flow during PW Doppler examinations. When using the
Auto-Dop Trace feature, please evaluate the results to verify that you are in
agreement before committing the values to the Calc Report Package.
Always examine transducers for damage, such as cracks, splitting, holes, or
fluid leaks. If damage is evident, discontinue use of the transducer and
contact Mindray/Zonare.
Prior to initiating any disinfection process, disconnect the transducer from the
ultrasound system.
Ensure that any connected external equipment, such as external monitors,
printers and peripherals, comply with relevant standards such as IEC60601-1
and IEC60601-1-2.
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If an external video monitor is connected to the ZS3 system, it is necessary to
ensure that an RF ferrite is clamped to the cable as close to the ZS3 system
as possible. Use a ferrite such as Fair-Rite Products Corp.
The potential equalization terminal, located by the AC Mains connection, is
connected to the system chassis. It can be connected to corresponding
terminals on other equipment to eliminate potential differences. Do NOT use it
for additional protective grounding.
Damage to the system may cause poor image quality, including possible
imaging artifacts sometimes referred to as ‘halo’ or ‘headlight’
artifacts. Regularly inspect the system for damage and know how to
recognize imaging artifacts.
There are many types of system use and system error messages that might
be displayed during the use of the ZS3 Ultrasound System. If a message is
encountered that is not self-explanatory, contact Mindray/Zonare service for
assistance.
Do not touch any of the connector contacts while performing a patient
examination to prevent the possibility of a hazardous current path.
Do not expose the device to a magnetic resonance (MR) environment.
Warnings - Ocular Imaging
To avoid injury to the patient, use only the Ocular Preset when imaging
through the eye. The FDA has established lower acoustic energy limits for
ophthalmic use. The system will not exceed these limits only if the Ocular
Preset is selected
Warnings Battery
To avoid electrical shock, do not touch the battery contact.
To avoid risk of fire, explosion, or burns:
Do not disassemble or alter the battery.
Do not short-circuit the battery by directly connecting the positive and
negative terminals with metal objects.
Do not heat or discard the battery in a fire.
Do not expose the battery to temperatures above 60° C (150° F).
Do not charge the battery near a heat source.
Do not leave the battery in direct sunlight.
Do not use a damaged battery.
Charge the battery at room temperature.
Inspect the battery for damage before charging or placing the battery in the
ZS3 System.
Do not connect battery to an electrical power outlet.
Warnings ECG
The ECG and the Respirometer functionality are not intended for ECG
diagnosis. It must not be used for intraoperative applications of the heart. Use
only the recommended patient cable supplied by Mindray/Zonare. Make sure
ZS3 Service Manual Page 18 of 296
that bare parts of the electrodes and the patient do not come in contact with
conductive parts, such as metal examination beds, trolleys, and similar items.
Before defibrillation, always disconnect the ECG cable connector from the
system and make sure the connector does not come in contact with other
persons or conductive surfaces, such as metal examination beds, trolleys,
and similar items.
Operating your system with ECG signals below 0.25 mV may cause
inaccurate results.
Warnings TEE Transducer
The multiplane TEE transducer should be used only by a qualified physician
who has received appropriate training in proper operation of the probe and in
endoscopic techniques as dictated by current relevant medical practices.
Electrical Hazard: Any evidence of damage indicates the probe cannot be
used and should be returned to Mindray/Zonare for evaluation and repair.
Biological Hazard: Adequate cleaning and, if necessary, disinfection are
carried out to prevent disease transmission. It is the responsibility of the user
to verify and maintain the effectiveness of the procedure used. A single-use,
sterile disposable sheath for TEE purposes can be used.
Inspect the transducer connector pins for contamination or damaged pins that
might interrupt signal flow through the connection. Be sure to check pins
before connecting transducer to the Mindray/Zonare ultrasound system. If
pins are bent, broken, or missing, do not use the transducer and call
Mindray/Zonare Technical Support.
Immediately replace a transducer that exhibits any damage symptoms.
Before introducing the probe, do not rub or spray the tip of the probe with an
anesthetic agent.
Avoid forceful manipulations and excessive force in using the probe that could
result in patient injury.
Withdraw the probe only with the deflection control in the unlock mode and
with the distal end of the probe straight.
The use of a bite guard is mandatory. Failure to use the bite guard may result
in damage to the probe, which could result in a safety hazard. Damage to the
probe due to biting is not covered by the probe's warranty.
Check if the maximum deflection of the tip is 90° to 120° upward, 60° to 90°
downwards and 30° to 45° left/right. If the deflection shows an unwanted
amount of free play or exceeds the maximal deflection angles given above,
do not use the probe. Contact the service organization to re-adjust the
steering of the probe. In this way, the risk of "buckling" or "U-turning" of the
probe in the esophagus is minimized.
Avoid damage to the probe by allowing nothing to protrude beyond the case
when closing the lid.
Prior to cleaning any device, turn off the system and disconnect power cord
from AC power source to avoid electrical shock.
Always use protective eyewear and clothing when cleaning or disinfecting the
transducers.
ZS3 Service Manual Page 19 of 296
Do not allow the disinfectant to come in contact with metal surfaces
(transducer connector). Use a soft cloth and warm soapy water to remove any
disinfectant that remains on metal surfaces.
Keep the control handle and transducer connector out of any cleaning or
disinfection solutions. The control handle and cable may be cleaned with a
damp cloth, but only the distal end of the probe up to the 100cm marker on
the P8-3 TEE and 70cm marker on the P8-3m TEE shaft may be placed into
a disinfection solution.
Do not use other disinfection methods like Iodine, Steam, Heat or Ethylene
Oxide.
When servicing the ZS3 System, always be sure to turn the circuit breaker to
the OFF position.
Precautions
Transducers are individually licensed according to system configuration. Only
the following transducers are available without an advanced feature
configuration: L30-8, P7-3c, C12-4lp, C4-1, C6-2, C6-1, C9-3, C9-3sp, C8-3
3D, C10-3, C18-85, E9-3 3D, E9-3, E9-4, L8-3, L10-5, L14-5w, L14-5sp, L20-
5, P4-1c, P8-3TEE and P8-3mTEE. The A2CW and A5CW transducers are
enabled if the system is configured with "CW Enabled", and can be used
under either the Echocardiology (optional) or the Advanced Vascular Imaging
(mandate) mode. Attempting to use any other transducers will result in an
error message.
Be aware of the potential hazards associated with the environment where the
ultrasound systems will be used. The systems and/or the external equipment
can be damaged if signal levels are not appropriate. If peripheral equipment
not specifically authorized by Mindray/Zonare is to be connected to the
system, it must meet all applicable electrical safety standards that apply to the
system in order to maintain Mindray/Zonare’s safety integrity. Any equipment
not supplied by Mindray/Zonare must be approved by Mindray/Zonare. Use of
non-Mindray/Zonare-approved equipment may result in an unsafe condition,
impair operation of the ultrasound system, impair diagnostic capabilities, and
void your warranty or service contract coverage.
Mindray/Zonare transducers have a specific range of acceptable application
use. Users are advised to restrict each transducer’s use to those applications.
Excessive bending, twisting, pulling, dragging, or compression of transducer
cables may cause failure or intermittent operation of the system. Avoid rolling
the cart wheels over cables. Use of cable hooks is recommended to minimize
chance of damage to cables.
If a transducer that has not been approved and licensed for use with the
ultrasound system to which it is connected, or if a licensed transducer is not
properly connected, the corresponding transducer identification data will not
display on the LCD Display. Imaging will be disabled. Resolve this issue
before continuing use.
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Mindray ZS3 Service Manual English User manual

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User manual
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