Office Use: UAP Id No. _____________
Reprinted with permission of the American College of Radiology, Reston, Virginia. No other representation of this material is
authorized without express, written permission from the American College of Radiology.
TRANSDUCER
Transducer #1
Transducer #2
Transducer Type:
q
General Purpose
(check one)
q
Superficial
q
Intraoperative
q
Endorectal
q
Endovaginal
q
Other __________
Frequency:
q
2-3.5 MHz
q
3-5 MHz
q
5-7.5 MHz
q
7.5 MHz and higher
Scan Format:
q
Phased Array
q
Linear Array
q
Curvillinear Array
q
Mechanical
q
Other __________
Transducer Type:
q
General Purpose
(check one)
q
Superficial
q
Intraoperative
q
Endorectal
q
Endovaginal
q
Other __________
Frequency:
q
2-3.5 MHz
q
3-5 MHz
q
5-7.5 MHz
q
7.5 MHz and higher
Scan Format:
q
Phased Array
q
Linear Array
q
Curvillinear Array
q
Mechanical
q
Other __________
ULTRASOUND QC TEST SUMMARY
Transducer #1
Transducer #2
Performance Variation
1) System Sensitivity and/or penetration capability
q
Change
q
No Change
2) Image Uniformity
q
Change
q
No Change
3) Photography and Other hard copy recording
q
Change
q
No Change
4) Electrical safety, cleanliness
q
Change
q
No Change
5) Low contrast object detectability (optional)
q
Change
q
No Change
Recommendations for Corrective Action:
_______________________________________
_______________________________________
_______________________________________
Performance Variation
1) System Sensitivity and/or penetration capability
q
Change
q
No Change
2) Image Uniformity
q
Change
q
No Change
3) Photography and Other hard copy recording
q
Change
q
No Change
4) Electrical safety, cleanliness
q
Change
q
No Change
5) Low contrast object detectability (optional)*
q
Change
q
No Change
Recommendations for Corrective Action:
_______________________________________
_______________________________________
_______________________________________
*The use of a phantom test object is optional at this time, therefore the low contrast detectability portion of
the QC may be omitted.
US Full Application 4/17/98
Summary of Contents for LOGIQ 200
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Page 88: ...LOGIQ 200 PRO ...
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