System Basics Chapter

QUICK GUIDE 
 for E‐CUBE 9/Diamond Rev. 3 (ENG)

User Manual(E-CUBE 9) UG20100812 Rev.0 1

Chapter System Basics

Copyright and License

Reproduction, adaptation, or translation without prior written permission is prohibited, except as
allowed under the copyright laws.

The information contained herein is subject to change without notice.

The only warranties for ALPINION products and services are set forth in the express warranty
statements accompanying such products and services. Nothing herein should be construed as
constituting an additional warranty. ALPINION shall not be liable for technical or editorial errors or
omissions contained here in.

Prepared by:
ALPINION MEDICAL SYSTEMS Co., LTD.
1FL and 6FL, Verdi Tower,
72, Digital-ro (St) 26-gil (Rd),
Guro-gu, Seoul, Republic of Korea

1316~1320 room, ACE HIGH-END Tower 1st,

5, Digital-ro (St) 26-gil (Rd),
Guro-gu, Seoul, Republic of Korea 152-848

T: +82 2 3282 0907 F: +82 2 851 5591 www.alpinion.com

Copyright © 2011 ALPINION MEDICAL SYSTEMS Co., LTD.

Revision Log
The following is a list of major changes and additions that have been made to this quick guide since it
was first released.
Rev Date Description
Rev. 0 Sep 13, 2010 Quick guide first released
Rev. 1 Mar 18, 2011 Updated for Rev. 1 release
Rev. 2 Nov 4, 2011 Updated for Rev. 2 release
Rev. 3 Nov 21, 2013 Updated for Rev. 3 release

2 User Manual(E-CUBE 9) UG20100812 Rev.0

 E-CUBE 9/Diamond Quick Guide

Table of Contents

System Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Feature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Front / Rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Side view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Footswitch (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Control panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Image screen display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Powering on. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Powering off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Adjusting a monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Connecting / Disconnecting the transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Activating / Deactivating the transducer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Starting a Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Patient registration screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Entering a new patient data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Quick ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Imaging Modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
2D mode / M mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Color flow mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Pulsed wave doppler (PWD) mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Continuous wave doppler (CWD) mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3D and 4D modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Managing Image and Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Clipboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Patient browser. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Measurements and Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Measurement operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Basic measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Report operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
System Preset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Safety and Regulatory Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Safety summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Safety notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Important safety warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Patient safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

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E-CUBE 9/Diamond Quick Guide

Electrical safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Transducer safety information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Safety symbols and labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

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 E-CUBE 9/Diamond Quick Guide

System Basics
Feature
 XpeedTM
 FullSRITM
Image Processing  Spatial Compounding
Technology  Frequency Compounding
 Panoramic
 Live HQ
 Fetal
 Abdominal (renal & GYN/pelvic)
 Pediatric
 Small Organ (breast, testes, thyroid)
 Trans-rectal (TR)
 Trans-vaginal (TV)
Intended Usage
 Musculo-skeletal (conventional)
 Musculo-skeletal (superficial)
 Cardiac Adult
 Cardiac Pediatric
 Peripheral Vessel
 Urology (including prostate)
 Convex array transducer
Linear array transducer
Operable Transducers Phased array transducer
 Endo-vaginal transducer
Endo-cavity transducer
 2D mode
 M mode
 M color mode
Available Imaging  Color flow (CF) mode
Modes  Pulsed wave doppler (PWD) mode
 Continuous wave doppler (CWD) mode
 Tissue doppler imaging (TDI) mode
 3D/4D mode
Table 1. Feature

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E-CUBE 9/Diamond Quick Guide

 Distance
 Ellipse
 Trace
Available  Spline
Measurements  Time
 Slope
 Velocity
 Acceleration
 Verification
 DICOM storage
 DICOM print
 DICOM storage commitment
Connectivity
 DICOM media
 DICOM worklist
 DICOM MPPS
 OB Structured Report (OB SR)
Table 1. Feature

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System Components
Front / Rear view

Figure 1. Front and rear view

1. LED lamp 10.Air filter

2. Gel warmer 11. I/O panel
3. Transducer holder 12. Circuit breaker
4. Rotate lever 13. AC outlet
5. Up/Down lever 14. AC inlet
6. ECG port 15. System On/Off switch
7. USB port 16. Voltage selector- output
8. DVD-RW
9. Transducer port

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E-CUBE 9/Diamond Quick Guide

Side view

Figure 2. Side view

1. Monitor (19-inch wide LCD display)

2. Professional arm (for Professional/Diamond console)
2-1. Standard arm (for Standard console)
3. Rear handle
4. Body cover
5. Body base
6. Wheel and control pedal

When connecting an external monitor to your system, use the monitor

NOTE
with 1366 x 768 or higher resolution.

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 E-CUBE 9/Diamond Quick Guide

Footswitch (Option)

The footswitch is programmable. To configure the footswitch, go to

NOTE
System Preset > User Setting.

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E-CUBE 9/Diamond Quick Guide

Control panel

1 2 3 4 5

Quick Patient Image System DICOM Clear

ESC ID Browse Preset Preset Spool F6 F7 F8 DVR Help Eject Hide All
Biopsy

~ ! @ # % & ( ) +
Patient
1 2 3
$
4 5
^
6 7 *8 9 0 =
`
Q W E R T Y U I O P { }
Tab [ [
Ä A É Þ Ü Ú Í Ó Ö Enter
Transducer
Caps A S D F G H J K L : Symbol
Lock Á § Ð Ø ; º Lock

Z X C V B N M < < ?
Report
Shift
Æ ¢ Ñ , Ç . / Home PgUp End

Alt End Delete

Ctrl Fn Alt Char R Initial Exam Ins PgDn

E - view

User 1 CF
PW 4D
Y
X Z
M 2D
User 2
PD
Update
PW Angle
Text
CW
User 3 Active Mode
Panoramic
Measure Depth Focus Zoom
THI

Arrow r Harmonic
Pr
ea

ior

P1 P2
Cl

ity

Xpeed
Exit
Body Pattern
Cursor

Print
Set

Select

No. Control Description

1 Power on/off  Use this control to turn on and off the system.
2 Soft keys Use these controls to select or adjust the functions in the
soft menu at the bottom of the display.
 Press to select the corresponding soft menu.
 Rotate to adjust the function of the corresponding soft
menu.
3 Patient  Use this control to display the Patient Registration
screen. You can enter patient data.
Transducer  Use this control to select the desired transducer,
application, and preset.
Report  Use this control to create a report based on the exam
result and edit it.
E-view  Use this control to activate image management with
end of study options.

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No. Control Description

4 QWERTY keyboard  Use this control to type numeric values and texts.
5 TGC slides  Use these controls to adjust TGC values on images.
6 User (1~3)  Use these controls to access user-defined functions.
7 Imaging mode  Use these controls to select 2D, PD, M, PW, CF, or 3D/4D.
8 CW  Use this control to activate Continuous Wave (CW)
Doppler mode. This control is optional.
9 Exit  Use this control to exit the current screen (mode) and
return to the previous screen (mode).
10 Select  Use this control to select the desired function from the
context menu on the screen.
11 Body pattern  Use this control to display the body pattern images.
Arrow  Use this control to display an arrow pointer on the
screen.
Text  Use this control to annotate images.
PW angle  Use this control to change a PW angle to -60, 0, 60.
Update  Use this control to update a 2D image in real time
based on the specified time or freeze a 2D image.
Active mode  Use this control to adjust parameters for each mode in
the duplex or triplex mode.
Harmonic  Use this control to turn harmonic imaging on/off.
Xpeed  Use this control to automatically optimize image
parameters on the live screen.
12 Cursor  Use this control to show the cursor on the screen.
Clear  Use this control to delete the arrow, comment, and
measurement.
Measure  Use this control to perform measurement.
Priority  Use this control to adjust the priority of Trackball.
- In 2D mode, press to select the priority between the
width and tilt functions.
- In Duplex or Triplex mode, press to select the priority
between ROIs of the activated imaging modes.
Set  Use this control to set the current function.
13 Image layout keys  Use these controls to view an image in dual, single, or
quad screen.

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E-CUBE 9/Diamond Quick Guide

No. Control Description

14 Depth  Use this control to adjust the scanning depth of an
image.
Focus  Use this control to focus on the area of interest.
Zoom  Use this control to turn Zoom mode on.
- Rotate to activate Read zoom.
- Press to activate Write zoom in Read zoom mode.
15 Print, P1, P2  Use these controls to print out.
16 Freeze  Use this control to stop/start scanning.
17 Panoramic  Use this control to acquire two-dimensional ultrasound
images with a composite, extended field of view.
 The panoramic imaging is an option. If you do not install
this option, this panoramic control is not activated.

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Image screen display

1. Company logo
2. Hospital logo
3. Hospital name, Current date & time
4. Patient ID, Patient name
5. Operator ID, Transducer name
6. Mechanical index, Thermal index
7. Zoom reference window (Zoom mode)
8. Context menu (Submenu for mode control)
9. Depth scale bar
10. Focus mark
11. Image parameter
12. Gray scale bar
13. The location of transducer
14. Soft key menu (main menu for mode control)
15. Clipboard indicator
16. Clipboard area
17. Clipboard icons
(Recycle bin, Single layout format, Dual layout format)
18. Caps lock, symbol lock, USB connection, Network connection)
19. CINE bar

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E-CUBE 9/Diamond Quick Guide

Getting Started
Powering on

To power on the system, follow these steps:

1. Make sure that the power cord is plugged into the power outlet.

Make sure that the system power is supplied from a separate and
CAUTION
properly rated power outlet.

2. Turn on the System On/Off switch on the bottom rear of the system.

3. Press the Power On/Off key on the control panel to turn on the system power.

Do not unplug the power cord when using the system. Otherwise, the
CAUTION
system gets damaged and patient data might be lost.

Powering off

To power off (shutdown) the system, follow these steps:

1. Press the Power On/Off key on the control panel.
2. The Shutdown dialog box appears.

3. Click Shutdown on the Shutdown dialog box using Trackball.

To configure how to power off the system, go to System Preset >

NOTE
General.

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 E-CUBE 9/Diamond Quick Guide

Adjusting a monitor

Contrast
To adjust the contrast, follow these steps:
1. Press the Mode/Select () button at the right side of the monitor once.
2. Adjust the contrast value using the Up () or Down () button. To increase the
contrast, press the Up () button. Press the Down () button to decrease the
contrast. The contrast value appears on the screen.

Brightness
To adjust the brightness, follow these steps:
1. Press the Mode/Select () button at the right side of the monitor twice.
2. Adjust the brightness value using the Up () or Down () button. To increase the
brightness, press the Up () button. Press the Down () button to decrease the
brightness. The brightness value appears on the screen.

Dim brightness
To adjust the dim brightness, follow these steps:
1. Press the Mode/Select () button at the right side of the monitor three times.
2. Adjust the dim brightness value using the Up () or Down () button. To increase
the dim brightness, press the Up () button. Press the Down () button to decrease
the dim brightness. The dim brightness value appears on the screen.

NOTE You can use the dim brightness function in a dim room.

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E-CUBE 9/Diamond Quick Guide

Connecting / Disconnecting the transducer

You can connect or disconnect the transducer to/from the transducer port regardless of when
the system is turned off or on. Make sure that you press the Freeze key on the control panel
before connecting or disconnecting the transducer.

CAUTION Do not touch the patient when connecting or disconnecting a transducer.

Connecting the transducer

To connect the transducer to the system, follow these steps:
1. Make sure that you press the Freeze key on the control panel.
2. Open the transducer connect door.
3. Insert the transducer connector into the transducer port with the connector cable
facing up.

Do not forcibly insert the transducer connecter to the system.

CAUTION Improper connection may cause damage to the system and
transducer.

4. Turn the connector locking handle clockwise.

After connecting the transducer to the system, you need to activate the
NOTE
desired transducer by selecting it from the screen.

Disconnecting the transducer

To disconnect the transducer from the system, follow these steps:

Do not touch the exposed surface of the transducer connector

CAUTION
when the transducer is removed.

1. Make sure that you press the Freeze key on the control panel.
2. Turn the connector locking handle counter-clockwise.
3. Pull out the transducer connector from the transducer port.
4. Close the transducer connect door.

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 E-CUBE 9/Diamond Quick Guide

Activating / Deactivating the transducer

Activating the transducer

To activate the transducer, follow these steps:
1. On the control panel, press the Transducer key. The Transducer and Application
Selection dialog box appears.
2. Move the cursor to select the desired transducer, application, and preset using
Trackball on the control panel. Press the Set key.

Selecting the Automatic Preset selection when changes the Transducer

NOTE check box displays the default application and preset for the selected
transducer.

Deactivating the transducer

Before deactivating the transducer, press the Freeze key on the control
NOTE panel. An error may occur when you deactivate the transducer while it is
running.

To deactivate the transducer, follow these steps:

1. Press the Freeze key on the control panel.
2. Clean the gel from the transducer.
3. Carefully place the transducer in its holder.

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E-CUBE 9/Diamond Quick Guide

Starting a Study
Patient registration screen

1. Menu selection
2. Function selection
3. Patient information
4. Application information
5. Transducer and application selection
6. Patient search (Switch to Study list)
7. Exit
8. Soft key menu selection
9. HDD capacity indicator

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 E-CUBE 9/Diamond Quick Guide

Entering a new patient data

1. Press the Patient key on the control panel to display the Patient Registration screen.
2. The cursor positions the Patient ID field. Enter patient information using the
QWERTY keyboard.

Using the TAB or Enter key on the QWERTY keyboard allows you to
navigate through each field on the Patient Registration screen. You can
NOTE
use Trackball and the Set key on the control panel to move and fix the
cursor.

3. Select the desire transducer, application, and preset from the Transducer,
Application, and Preset drop-down lists. When you select the application and
preset, measurement and application information fields appear. You need to enter
all possible information.

Different application and preset appear depending on which transducer is

NOTE
selected.

4. Enter commonly used application information.

5. Click Register to enter patient and application information into the database prior
to examination.
6. Click Exit to register patient and application information, and then exit from the
Patient Registration screen. You can see the Scan screen.

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Quick ID

You can simply register patient data using the Quick ID screen. Only patient data is
required for registration.
1. Press the Quick ID key on the QWERTY keyboard to display the Quick ID screen.

2. Enter the patient information. Only OB application shows the LMP field.

Using the TAB or Enter key on the QWERTY keyboard allows you to
NOTE navigate through each field on the Quick ID screen. You can use Trackball
and the Set key on the control panel to move and fix the cursor.

When you want to enter more detailed information, press the Patient key
NOTE
on the control panel.

3. Click OK to register patient data.

Do not register a patient ID using Quick ID while scanning an image or

CAUTION performing measurement and calculation with no patient ID. The
current image or measurement data may be lost.

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Imaging Modes
2D mode / M mode

Image optimization controls

Gain
To increase or decrease the amount of echo information displayed in an image. It may
have the effect of brightening or darkening the image if sufficient echo information is
generated. To adjust this function, rotate the Gain soft key.

Depth
Increasing the depth enables the deeper structures to be visualized. You can decrease
the depth if you do not need the bottom portion of the display. To adjust this function,
rotate the Depth key on the control panel.

Focus
You can tighten up the beam for a specific area by either increasing the number of
focal zones or moving the focal zone(s). A graphic caret corresponding to the focal
zone position(s) appears on the depth scale bar. To adjust the focus number, press the
Focus key on the control panel.

Zoom
 Read Zoom: Rotate the Zoom key to activate Read Zoom.
 Write Zoom: Press the Zoom key to activate Write Zoom.

Use the Read Zoom (Rotate the Zoom key) to get to the area of Interest
NOTE
first, and then use Write Zoom (Press the Zoom key).

Time Gain Compensation (TGC)

Move slide pot to the left/right to decrease/increase TGC. Use TGC slides to adjust this
function.

Harmonic
Harmonics enhances near field resolution for improved small parts imaging as well as
far field penetration by Digitally Encoded Ultrasound (DEU). Harmonics reduces low
frequency high amplitude noise. Turning on this feature may be beneficial when
imaging isoechoic lesions in shallow-depth anatomy in the breast, liver, and hard-to-
visualize fetal anatomy. Harmonics may improve 2D mode image quality without
introducing a contrast agent. To activate Harmonic imaging, press the Harmonic key
on the control panel.

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E-CUBE 9/Diamond Quick Guide

Frequency
In multi frequency mode, you can change the frequency to the transducer's next lower
frequency or higher frequency. To adjust this function, press the Frequency soft key.

Dynamic Range
Dynamic Range is useful for optimizing tissue texture for different anatomy. Dynamic
Range should be adjusted so that the highest amplitude edges appear as white while
lowest levels (such as blood) are just visible.

Rejection
The rejection function determines the amplitude level below which echoes are
suppressed (rejected). To adjust the rejection, rotate the Rejection soft key.

Up/Down
To flip the image vertically, press the Up or Down soft key.

Gray Map
Press the Gray Map soft key to select a map. Gray maps gradually change from least
contrasty to most contrasty.

Colorize
Colorize is the colorization of a conventional 2D mode image or Doppler Spectrum to
enhance the user's ability to discern 2D mode, M mode, and Doppler mode intensity
valuations.

Scan Area
You can widen or narrow the size of the sector angle to maximize the image's region of
interest (ROI). Increase the sector angle to see a wide field of view; decrease the sector
angle when you need to have a faster frame rate, as in fetal heart.
To use this function, use the Priority key on the control panel.

SRI
SRI is useful when unnecessary elements interfere with the desired image detail. After
applying SRI, you can view your image more smoothly. To activate or deactivate SRI,
select SRI on the context menu.

Spatial Compound
Spatial compound allows you to combine different steering frames to form a single
frame at real-time frame rates. To adjust the spatial compound, select Spt.Comp on the
context menu.

This function may not be available when the virtual convex or the angle
NOTE
steer function is activated.

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 E-CUBE 9/Diamond Quick Guide

Line Density
A lower line density is useful in fetal heart beat, adult cardiac applications and in
clinical radiology applications requiring significantly higher frame rates. A higher line
density is useful in obtaining very high resolution (e.g. thyroid, testicles). To use this
function, select Line Density on the context menu.

Dual and Quad Imaging

Using dual imaging, you can position two images side-by side on the display. Dual
imaging is available in all 2D live imaging modes, M mode, Color flow mode, and
Doppler mode. Press the Dual or Quad key on the control panel.

Sweep speed (M mode only)

You can change the sweep speed of the display by rotating the Sweep soft key.

M mode zoom (M mode only)

When the system is in M mode, you can magnify a portion of the reference image using
M mode zoom function.

Anatomical M mode (Option)

This M mode allows you to move or rotate an M-line and review an image on the
desired region.

M color mode (M mode only)

This mode allows you to view color flow information on the M-mode timeline. Press the
M key and then the CF key to activate M color mode.

Color flow mode

Color flow and Power doppler

Gain
Gain amplifies the overall strength of echoes processed in the Color flow window or
the PW doppler timeline.

Pulse Repetition Frequency (PRF)

Increases or decreases the PRF. To adjust PRF, rotate the PRF soft key.

Threshold
Threshold assigns the gray scale level at which color information stops. To adjust
threshold, rotate the Threshold soft key.

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E-CUBE 9/Diamond Quick Guide

Baseline
Changes the Color Flow baseline to accommodate higher velocity blood flow. To adjust
the baseline, rotate the Baseline soft key.

Wall Filter
It helps get rid of motion artifacts caused from breathing and other patient motion by
filtering out the low velocity signals. To adjust the wall filter, press the PRF soft key and
rotate the key.

Color Map
To select a specific color map, activate Color Flow first. Press the Color Map soft key
and rotate the key to select a color.

Invert (Color Invert)

To reverse the color flow, press the Invert (Color Invert) soft key.

Smooth
Adjusts the smooth to apply a low-pass filter.

Angle Steer
Tilts the ROI of the color flow image to the left or right. This function is only for linear
transducers.

Panoramic (Option)
Panoramic imaging allows you to view an entire abnormality and its relationship to
adjacent structures on a single, static image. To activate panoramic imaging, press the
Panoramic key on the control panel.

Pulsed wave doppler (PWD) mode

Doppler Sample Volume Length

Adjusts the sample volume gate size by rotating the SV soft key.

PRF
Adjusts the velocity scale to accommodate faster/slower blood flow velocities. Velocity
scale determines pulse repetition frequency.

Baseline
Adjusts the baseline to accommodate faster or slower blood flows to eliminate aliasing.

Wall Filter
Insulates the Doppler signal from excessive noise caused from vessel movement.

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 E-CUBE 9/Diamond Quick Guide

Angle Correct
Estimates the flow velocity in a direction at an angle to the Doppler vector by
computing the angle between the Doppler vector and the flow to be measured.

Invert
Vertically inverts the spectral trace without affecting the baseline position.

Full Doppler
Expands display to full timeline display.

Angle Steer
Tilts the sample volume for the doppler spectrum. This function is only for linear
transducers.

Continuous wave doppler (CWD) mode

PRF
Adjusts the velocity scale to accommodate faster/slower blood flow velocities. Velocity
scale determines pulse repetition frequency.

Baseline
Adjusts the baseline to accommodate faster or slower blood flows to eliminate aliasing.

Wall Filter
Insulates the Doppler signal from excessive noise caused from vessel movement.

Angle Correct
Estimates the flow velocity in a direction at an angle to the Doppler vector by
computing the angle between the Doppler vector and the flow to be measured.

Invert
Vertically inverts the spectral trace without affecting the baseline position.

Full Doppler
Expands display to full timeline display.

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E-CUBE 9/Diamond Quick Guide

3D and 4D modes

Acquiring volume data

The 4D application allows you to acquire volume data through an acquisition interface.
To acquire volume data, follow these steps:
1. Obtain a 2D image and optimize the 2D image for best quality.
2. Press the 4D key on the control panel to enter the 4D mode. The green graphic
Region of Interest (ROI) and the soft menu for 4D appear on the screen.

3. Select the 3D or 4D volume mode using the soft menu keys.

Depending on which mode you select, different context menu appears on

NOTE the screen. When you select the 3D volume mode, Volume movie does
NOT appear on the context menu.

4. Make sure that you configure proper settings.

5. Press the Freeze key to acquire the volume data.
6. After you acquire the volume data, the 4D mode screen appears.

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 E-CUBE 9/Diamond Quick Guide

7. Change the Tile parameter using the Single, Dual, or Quad key on the control panel.

Key Description

Single : Display 3D image only

Dual : Display one reference image and 3D image

Quad : Display three reference images and 3D image

8. Rotate X, Y, and Z axes using the PW (X), CF(Y), and 4D(Z) keys respectively.

Key Description

(Up and Down rotation)

(Left and Right rotation)

(Clockwise and Counter-clockwise rotation)

NOTE You can move an image to the left or right using the M key.

Key Description

(Move to the left, Move to the right)

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E-CUBE 9/Diamond Quick Guide

Render view type

There are three render view type as follows. You can choose a view type after acquiring
volume data by clicking one of icons on the view type menu area.
View Icons Description

When an 3D image is acquired, the 3D view screen

MPR
appears.

Display the image of coronal, sagittal and axial

Cube CT
plane in the volume.

Display parallel cut plane which is aligned along

Multi Slice the x, y, or z axis of volume’s bounding box. Each
texture is shown in an individual view.

Render setting
Render setting allows you to optimize the volume tissue component. To configure the
render setting, follow these steps:
1. Select Render Setting on the context menu.
2. Select the proper value using the Select key.
3. To adjust the image, select the option you want on the context menu.

Scalpel
Scalpel allows you to edit a 3D image.
1. Select Render Setting on the context menu.
2. Select a proper value using the Select key.

3. Use Trackball and the Set key to define the portion you edit.

NOTE For more detailed parameters, see the User Manual.

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 E-CUBE 9/Diamond Quick Guide

Managing Image and Patient Data

Clipboard

The clipboard displays the captured ultrasound images for quick review. Pressing the
Print key captures the active image and displays a preview image on the clipboard.
When reloading the previous study, the images belongs to that study appear on the
clipboard.

Capturing onto the clipboard

Press the Print key to capture images onto the clipboard. You can see thumbnail
images on the clipboard.

The print keys are programmable. To configure the print keys, go to

NOTE
System Preset > User Setting.

You can save many numbers of images onto the clipboard that is only limited by hard
disk capacity. Depending on which layout you select, the number of images that can
appear in one page of the clipboard is limited.

When the maximum number of images that can be displayed in the dual or the single
layout is exceeded, a scroll bar automatically appears.

Reloading images from the clipboard

To reload images from the clipboard, follow these steps:
1. Move to the clipboard using Trackball. The cursor appears.
2. Move the cursor over the image you want to reload.
3. Press the Set key on the control panel to reload the selected image on the full
screen.

NOTE To scroll the page, use the arrow on the scroll bar to move up and down.

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E-CUBE 9/Diamond Quick Guide

Deleting images from the clipboard

To delete images, follow these steps:
1. Move to the clipboard using Trackball. The cursor appears.
2. Move the cursor over the image you want to delete and press the Set key.
3. Press the Cursor key to show the cursor again.
4. Click the Trash Can icon, indicating delete on the left corner.

5. Click Yes on the Confirmation dialog box to delete image.

NOTE You can delete images on the E-view screen as well.

Archiving onto files permanently

Press the E-view key on the control panel to save a study and all unsaved images on
the local archive.

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 E-CUBE 9/Diamond Quick Guide

Patient browser

The E-CUBE 9/Diamond ultrasound system provides Patient Browser that allows you to
manage an image fast and easily. With Patient Browser, you can view the all patients
from the local database or removable media as well as export/ import.

You can save images with PC friendly format and send DICOM images to remote server
over the network.

1. Menu selection
2. Function selection
3. Search area
4. Source drop-down list
5. List view (switch to Image view)
6. Image area
7. Layout selection
8. Select All / Unselect All
9. HDD capacity indicator

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E-CUBE 9/Diamond Quick Guide

List view
List view allows you to search patients and studies for a quick view from Local HDD or
removable media.
1. Select the source from the Source drop-down list.
2. In the search area, you can specify searching filter according to the search key such
as patient ID, patient name, birthdate, exam date, and lock.
3. Select the appropriate patient(s), and then use the menus (e.g. Export, Send, Save
As, Image View) for the selected patient(s).

Image view
Image view allows you to view images for the selected patient(s) from the List view.
You can change the layout of an image by selecting a layout from the Layout selection.

Save as
To save images to removable media, use Save As.

NOTE Before you click Save As, insert your media into the tray properly.

1. Press the Cursor key on the control panel to select images. You can select several
images at the same time.
2. Click Save As on the menu selection. The Save As dialog box appears.
3. Select a media from Device drop-down list.
4. The system automatically creates a file name. You can also enter the name directly if
you want to change the name.

5. Select an image format from Type. To save CINE images as a video file, skip to step 8.

To see a DICOM format image on your PC, you need a dedicated DICOM
NOTE
view program.

6. Select a compression type from Compression.

7. If you selected JPEG in step 6, select an image quality from Quality.
8. Select a video file format.
9. Click Save.

To hide patient information on the screen, select the Hide Patient

NOTE
Information check box.

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 E-CUBE 9/Diamond Quick Guide

Import / Export
To move patient(s) data between compatible systems or to backup and retrieve, use
Import/Export.

Do NOT use USB HDD or USB drive for import and export. Use CD-R or
NOTE
DVD-R only.

To export from local HDD to removable media, follow these steps:

1. Select Local HDD from the Source drop-down list.
2. Select the patient(s) from the List view.
3. Insert a blank media into the tray.
4. Click Export on the screen.
5. When the export dialog box appears, select an exporting option. The progress bar
appears during copying files.

To import from removable media to local HDD, follow these steps:

1. Insert the CD or DVD, which includes exported patient data, into the tray.
2. Select the removable media from the Source drop-down list.
3. Select patient(s) from the List view.
4. Click Import.
5. The progress bar appears during copying files.
6. To eject the removable media, press the Eject key on the QWERTY keyboard.

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E-CUBE 9/Diamond Quick Guide

Send
To transfer patient(s) data to the DICOM device such as DICOM storage or DICOM Print,
use Send.

You can configure the destination device in the System Preset >
NOTE
Connectivity.

To send from local HDD to a DICOM device, follow these steps:

1. Select Local HDD from the Source drop-down list.
2. Select the patient(s) from the List view.
3. Click Send on the menu selection. The Send dialog box appears.
4. Select a destination from the Device drop-down list.
5. Click Send.
6. The progress bar appears during transferring files.

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 E-CUBE 9/Diamond Quick Guide

Measurements and Reports

Measurement operations

To begin the measurement, follow these steps:

1. On the control panel, press the Measure key.
2. Use Trackball to move the point.
3. Press the Set key to fix the point.
To modify measurements, press the Measure or Priority key on the control panel.

To erase measurements, follow these steps:

1. Click the result value that you want to delete from the Result window.
2. Press the Clear key on the control panel to erase measurements.

To exit measurement, use following ways:

- Press the Exit or 2D key on the control panel.

The Result window displays the measurement result.

You can change the background type (e.g. transparent or opaque) of the
Result window by clicking this icon.

You can change the position of the Result window by clicking this icon.

You can show the mini report by clicking this icon.

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E-CUBE 9/Diamond Quick Guide

Basic measurements

Distance
1. Press the Distance soft key. The start point is displayed.
2. Move the marker to the start point using Trackball.
3. To fix the point, press the Set key. The end point, overlapping the start point,
appears.
4. Move the marker to the end point using Trackball, and then press the Set key.
5. The measured value is fixed.

Ellipse
1. Press the Ellipse soft key. The start point is displayed.
2. Move the marker to the start point using Trackball, and then press the Set key.
3. The first point is fixed and the second point appears.
4. Move the marker to the second point using Trackball, and then press the Set key.
The ellipse appears.
5. Use Trackball to adjust the height of the ellipse.
6. The measured value is fixed.

Trace
1. Press the Trace soft key. The start point is displayed.
2. Move the marker to the start point using Trackball, and then press the Set key.
3. The end point appears.
4. Move the end point gradually along the circumference of the target object using
Trackball.

5. When the start point and the end point are connected with a line, press the Set key
to complete the measurement.
6. The measured value is fixed.

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 E-CUBE 9/Diamond Quick Guide

Slope
1. Press the Slope soft key. The vertical line and the horizontal line are displayed
perpendicular to each other.
2. Use Trackball to move the point where they intersection point, and then press the
Set key.

3. The start point is fixed and the end point appears.

4. Use Trackball to move the point, and then press the Set key again.
5. The oblique line is displayed and the slope is calculated.

Time
1. Press the Time soft key. The vertical line and the horizontal line are displayed
perpendicular to each other.
2. Use Trackball to move to the point of intersection and press the Set key.
3. The start point is fixed and the end point appears.
4. Use Trackball to move the point, and then press the Set key again.
5. The time interval between the two points is displayed.

Velocity
1. Press the Velocity soft key. The vertical line and the horizontal line are displayed
perpendicular to each other.
2. Use Trackball to move to the point of intersection and press the Set key.
3. The measured value is fixed.

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E-CUBE 9/Diamond Quick Guide

Report operation

To view a report, use following ways:

- Press the Report key on the control panel.
- Select Report on the context menu.

To edit a report, follow these steps:

1. Move the cursor to the field that you want to change.
2. Press the Set key. The field is highlighted.
3. Enter the new data into the field.
4. The entered data is displayed in green.

To erase measurement results, follow these steps:

1. Move the cursor to the field that you want to erase. The field is highlighted.
2. Select Delete Value to delete data.

To exclude or include measurement results, follow these steps:

1. Move the cursor to the field that you want to exclude. The field is highlighted.
2. Select Exclude Value to exclude the data. The excluded data is displayed in
white.
3. Select Exclude Value again to include a value that you previously excluded.

To exit a report, use following ways:

- Press the Report, 2D, or Exit key on the control panel.
- Select Exit on the context menu.

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 E-CUBE 9/Diamond Quick Guide

System Preset
Pressing the System Preset key on the control panel allows you to enter the System
Preset menu. To exit the System Preset menu, press the System Preset, Exit, or 2D key
on the control panel.

The System Preset provides the following categories:

System preset
View and update the General, Control Panel, Peripheral, Patient Info, and Monitor
calibration.

Annotation preset
View and update general configuration for the comment and body pattern, customize
a comment library, customize a body pattern library.

Measurement preset
View and update customize labeled measurement for each study, create new
measurement, create OB table.

User Setting preset

Assign user defined present for application, annotation, and measurement. The user
defined keys (e.g. print keys and footswitch) can be programmable.

Connectivity
Define a DICOM device and add DICOM service. Set up DICOM service configuration.

Administration
Create User ID, activate service browser, and view option information.

Back up / Restore
Back up and restore data. Perform image data and full backup.

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E-CUBE 9/Diamond Quick Guide

Safety and Regulatory Information

Safety summary

You should make sure the following safety precautions during all phases of operation,
service, and repair of the E-CUBE 9/Diamond ultrasound system. If you fail to comply
with these safety precautions or specific warnings in this manual, you violate safety
standards in terms of design, manufacture, and intended use of this system. ALPINION
MEDICAL SYSTEMS Co., LTD. does not have liability for your failure to comply with these
requirements.

Safety notice

A WARNING notice indicates a hazard. You need to observe an

WARNING
operating procedure, practice, or the like that. If you do not
correctly perform this notice, it could result in personal injury or
death.

A CAUTION notice indicates a hazard. You need to observe an

CAUTION
operating procedure, practice, or the like that. If you do not
correctly perform this notice, it could result in damage to the
system or loss of important data.

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 E-CUBE 9/Diamond Quick Guide

Important safety warnings

 Installing the system yourself may cause damage to the system or

WARNING
electrical shock.
 To avoid damage to the system and avoid electrical shock, only
qualified ALPINION service engineer must install the system.
 Do not remove the covers of a system yourself to avoid damage to
the system and unexpected electrical shock. Only qualified
ALPINION service engineer must repair or replace components.
 Before cleaning up and disinfecting the system, always make sure
you turn off the system power and unplug the power cord from the
power outlet.
 To avoid risk of electric shock, you must connect the system to the
supply mains with the protective earth.
 Do not allow water or liquids on or above the system. Dripping
water or liquids into the system may cause electrical shock and
damage to the system.
 Always use peripherals and accessories approved by ALPINION. You
must securely connect peripherals and accessories to the system.
 Do not modify this system such as system components, or
software. When you modify the system, it may cause safety
hazards. Only qualified ALPINION service engineer must modify the
system.
 Always use the system properly to avoid serious injury. Before
using the system, you must make sure the instructions and hazards
involving ultrasound system. ALPINION provides training
assistance if needed.
 Always use transducers approved or recommended by ALPINION.
 Always use approved ECG cables and recommended electrodes by
ALPINION.
 You must follow safety precautions and avoid any situation that
causes injury or damage.
 The system voltage may cause serious injury or damage to the
system.
 When you observe that the system causes any malfunction, you
must stop operating the system and take proper action for
patients. After that, contact ALPINION service engineer.

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E-CUBE 9/Diamond Quick Guide

 You must make sure grounded integrity of the power outlet and
WARNING
system regularly.
 Always make sure that you do not use the system in an explosive
atmosphere.
 For patient safety, you must locate the system to easily unplug the
power cord from the power outlet when a malfunction or error
occurs.
 Do not operate the system for ophthalmic purpose or any use
affecting the patient’s eye by the acoustic beam.
 Your ultrasound system is not intended for diagnosing and
monitoring ECG. Do not use the system for cardiac operation.
 Never use your system with a high-frequency (HF) surgical
equipment. Any malfunction of the HF surgical equipment may
cause burns to your patient.

Patient safety information

 When you enter patient data, always make sure you enter correct
WARNING
identification with patient data.
 Do not use the system until you become familiar with the system
operation.
 To avoid the transducer from overheating, you must freeze the
system when not imaging.

 Do not allow the system to transmit acoustic output when not

CAUTION
using the transducer. Otherwise, it could result in transducer
overheating.
 When not using the system, you should freeze the image or turn off
acoustic output.
 Do not use the system with defibrillator. The system does not
include a defibrillation-proof applied part for ECG.
 Do not allow the germicide to contact your patient. Contact to the
patient’s skin or mucous membrane may cause an inflammation.

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 E-CUBE 9/Diamond Quick Guide

Electrical safety information

 Do not clean or disinfect a system before turning off and unplug

WARNING
the system from the power outlet. Otherwise, it could result in
electrical shock and damage to the system.
 Do not place water or liquids on the system. Dripping water or
liquids into the system may cause electrical shock and damage to
the system.
 Do not remove the panels or covers of a system to prevent system
damage and electrical shock.
 Do not use extension cords, adaptors or converters, which are a
three-prong-to-two-prong type, to connect with a power plug.
 The system voltage may cause serious injury or damage to the
system. When you observe that the system causes any malfunction,
you must stop operating the system and take proper action for
patients. After that, contact ALPINION service engineer.
 Do not modify the AC power connector plug of the system to
prevent electrical shock.
 You should use the ultrasound system after few hours when
leaving it in humidity place.
 Do not connect, disconnect, or replace any part of a system during
scanning a patient at the same time.
 Do not place a fuse or power cord by yourself. An ALPINION
MEDICAL service engineer or an authorized agent must perform
the replacement. Replacing the fuse or power cord by yourself will
avoid your warranty.
 Using spray cleaners on the system drips cleaning fluid into the
system. It damages components in the system.
 Do not use aerosol spray cleaners on the monitor to prevent
electrical shock and damage to the system.
 While using the ECG function, keep ECG cables or patients away
from any other electrical conductor to prevent electrical shock.
 Different voltage power between your system and other devices
may cause electrical shock. According to the IEC requirements
(Refer to IEC 60601-1-1 and clause 16 of the 3 Ed. of IEC 60601-1,
respectively), you must use the equipotential cable (equipotential
bonding) to connect additional devices to your system. Contact
your ALPINION MEDICAL service engineer.

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E-CUBE 9/Diamond Quick Guide

Transducer safety information

 Do not use damaged or defective transducer to prevent system

WARNING
damage and serious patient injury.
 Make sure you do not bend or pull the transducer cable to prevent
the damage to the transducer.
 Use only approved coupling gels. Using unapproved gels may
damage the transducer and void the warranty.

 Do not drop the transducer. Always keep the transducer secure

CAUTION
when you do not use it.
 Using damaged or defective transducer causes unexpected electric
shock. Make sure the use and care of the transducer.
 Do not allow the system to transmit acoustic output when not
using the transducer. Otherwise, it could result in transducer
overheating.
 When not using the system, you should freeze the image or turn off
acoustic output.
 To avoid serious patient injury, always inspect the transducer that
you use has sharp edges and rough surfaces.
 Proper cleaning and disinfecting the transducer prevent disease
transmission. You must follow infection control procedures.
 Make sure that you do not use an expired transducer sheath.
 Using pre-lubricated condoms as a sheath might damage the
transducer.
 Do not allow your eyes (or patient’s eyes) to contact the coupling
gel. If there is gel contact to the eyes, flush thoroughly with clean
water.
 Do not use endo-vaginal or endo-cavity transducers outside the
patient’s body to prevent possible electromagnetic interference
from other equipments.

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 E-CUBE 9/Diamond Quick Guide

Safety symbols and labels

The following tables show a list of system symbols and labels for safety. Refer to the
manual for specific information to prevent personal injury or damage to the system.

Safety symbols/Labels Location Explanation

On the power button of

System on/off/stand-by
the control panel

On the system rating

Patient applied part meets the
label for overseas,
isolation requirements for type
transducer label, and
BF equipment.
ECG label

On the ECG port ECG triggered display

This symbol indicates that the

transducer meets immersion
On the transducer label requirements. Depending on
the transducer model, the
immersion label may differ.
This symbol indicates that
when the end-user wishes to
discard this product, it must be
sent to separate collection
facilities for recovery and
recycling. By separating this
On the system rating
product from other
label for overseas,
household-type waste, the
transducer label, and volume of waste sent to
gel warmer label incinerators or land-fills will be
reduced and natural resources
will thus be conserved.
Contact your local ALPINION
office when you return
unwanted products.

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E-CUBE 9/Diamond Quick Guide

Safety symbols/Labels Location Explanation

On the system rating This system complies with
label for overseas, regulatory requirements of
transducer label, and European Directive 93/42/EEC
gel warmer label regarding medical device.

Consult instructions for use (or

Various locations
consult operating instructions)

Attention (Caution) – consult

Various locations on accompanying documents if
labels complete information cannot
be provided on the label
On the rating label for
overseas: Alternating current in
Adjacent to the AC accordance with IEC60878-01-
power and the AC 14
power outlet

Adjacent to the AC
Push-push button
power outlet

Adjacent to the AC
Equipotentiality
power

Adjacent to the DVD-

Universal Serial Bus
RW
On the system rating Date of manufacture
label for overseas and
transducer label See ISO 8601 for date format

Symbol for manufacturer

On the system rating This symbol shall be
label for overseas and accompanied by the name and
transducer label the address of the
manufacturer

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 E-CUBE 9/Diamond Quick Guide

Safety symbols/Labels Location Explanation

On the system rating
label for overseas and Serial Number
transducer label
To ensure safety of user,
moving and delivering system
Rear of the system body
shall be performed by at least
2 persons.
• Rear of the LCD
monitor Do not forcibly push the
monitor or the system when
• Rear of the system the casters are locked.
body cover
Do not press or place loads on
the monitor when folded.
Rear of the LCD monitor Otherwise, monitor and (or)
articulating arm could be
damaged.
Do not operate up/down lever
when monitor is removed.
Rear of the professional Otherwise control panel,
arm hinge monitor, and articulating arm
move up rapidly so the user
could be injured.
Do not use mobile transmitter
such as mobile phone, radio
Rear of the system body
receiver, broadband power
line, etc.
Be very careful not to injure
yourself or damage the system
Rear of the LCD monitor
when rotating the articulating
arm.

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E-CUBE 9/Diamond Quick Guide

Safety symbols/Labels Location Explanation

Rear of the LCD monitor Caution label

Care against pinch shall be

Top of the monitor arm taken. (In accordance with
IEC60878)

Rear of the professional

Caution label
arm hinge

Rear of the system body Multi-caution label

Top (or side panel) of

No gender detection label
the system body

System rating label for

Rear of the system base
overseas

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 E-CUBE 9/Diamond Quick Guide

Safety symbols/Labels Location Explanation

System rating label for

Rear of the system base
domestics

On the cable port of the

Gel warmer voltage label
gel warmer

Rear of the gel warmer Gel warmer label

On the AC power to BW Power cable label of the BW

printer power cable printer

Name of transducer
manufacturer,
Authorized EU Representative,
Transducer
Safety, WEEE symbol,
indicating separate collection,
Certification mark

Transducer name, Serial, IPX

Transducer Rating, Manufacturer date,
Caution mark

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E-CUBE 9/Diamond Quick Guide

QUICK GUIDE
Rev. 3 (ENG)

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