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Probe 6
Model:
________________________
Serial Number:
______________________________
Type:
General Purpose
Superficial
Intraoperative
Endorectal
Endovaginal
Other _____________________
Freq:
2-3.5 MHz
3-5 MHz
5-7.5 MHz
7.5 MHz and higher
Scan Format:
Phased Array
Linear Array
Curved Linear Array
Mechanical
Other _____________________
Leakage Current Test Summary:
Choose Pass or Fail and Change or No Change
Probe 6
PASS
FAIL
CHANGE
NO CHANGE
PERFORMANCE EVALUATION
TRANSDUCER LEAKAGE CURRENT TESTS
All readings in micro-amps. Maximum allowable leakage current is 100 uA for general purpose and
endocavitary or 50 uA for surgical probes. QA Reference Manual Section 3-9.
DALE 600
DALE 600
POLARITY
GND SW
PROBE 3
NORM
Closed
NORM
Open
For Probe 3, adjust the system settings to produce the best possible overall image of the phantom. This
scan will be used to assess penetration capabilities, image uniformity, measurement accuracy, axial
resolution, lateral resolution and contrast detectability.
SECURE PAGE PRINT OF PROBE SCAN
For scan repeatability during
the next QA check, place a
check mark in a box to indicate
the relative position of each
TCG control for the scan.
Gain: ________________________ Focus : ________________________
Dynamic Range: ____________________
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