Picture in Picture Software

EZU-PP4

INSTRUCTION MANUAL

Special Notes to Operators and Maintenance Managers

★ Before using this system, be sure to thoroughly read this manual and make yourself
familiar with this system.
★ After reading this manual, keep it in an easily accessible place close to the system.

Tokyo, Japan

Q1E-EZ1151-4

Copyright © Hitachi Medical Corporation. 2008 - 2010. All rights reserved.

This manual describes how to operate the EZU-PP4 Picture in Picture Software. It describes the
software configuration and operation procedures, for the safe and correct use of this equipment.

Symbols used in this manual:

This symbol indicates an immediate danger that could result in death or serious
injury of personnel, total destruction of equipment, or fire if the warning is
ignored and the equipment is handled incorrectly.

This symbol indicates a potential (latent) danger that could result in death or
serious injury of personnel, total destruction of equipment, or fire if the warning
is ignored and the equipment is handled incorrectly. The following is an
example of a potential danger:
(Ex.) Failure to observe this warning could result in death if the cover is opened
and a high-voltage terminal is touched.

This symbol indicates possible danger that could result in light or moderate
injury of personnel, partial equipment damage, or deletion of computer data if
the warning is ignored and the equipment is handled incorrectly.

This symbol indicates prohibited conditions or actions. The description

accompanying this symbol indicates conditions or actions that are prohibited.

This symbol indicates precautions to be observed. The description

accompanying this symbol indicates conditions that require careful attention or
that might be dangerous.

This symbol indicates a recommended procedure, condition, or action that

requires careful attention when operating the equipment.

This symbol indicates supplementary information.

Cautions on exportation:
When exporting this equipment, be sure to check the Foreign Exchange and Foreign
Trade Control Law and the regulations related to export control in the United States of
America, and perform the necessary procedures.
Contact Hitachi or an authorized representative if you have further inquiries.

Revision history:
First edition: October 2008
Third edition: February 2009
Fourth edition: April 2010
 Introduction
Thank you for purchasing the Picture in Picture Software EZU-PP4.
To use this software correctly, it is essential to have a full understanding of the contents of this
manual. Therefore, carefully read this Instruction Manual before use.

About the ultrasound diagnostic scanner windows

Note that the ultrasound diagnostic scanner windows referred to in this instruction manual
might differ from the windows actually displayed.

About the separate INSTRUCTION MANUAL HI VISION Preirus

Preparation
The separate INSTRUCTION MANUAL HI VISION Preirus Preparation contains
important notes on safely using the equipment, etc.
Before you use the equipment, make sure that you read the separate INSTRUCTION
MANUAL HI VISION Preirus Preparation.
The separate INSTRUCTION MANUAL HI VISION Preirus Preparation also lists the
principal messages that are displayed in windows. Refer to the separate INSTRUCTION
MANUAL HI VISION Preirus Preparation as necessary for the messages.

About Basic use the equipment

The separate INSTRUCTION MANUAL HI VISION Preirus Operation contains important
notes on safely using the equipment.
Refer to the chapter Configuration of the Examination Window, and the chapter How to
Operate the Ultrasound Diagnostic Scanner in the separate INSTRUCTION MANUAL HI
VISION Preirus Operation before using the equipment.

Q1E-EZ1151 i
ii Q1E-EZ1151
 Contents

Introduction................................................................................................................................................i

Contents .................................................................................................................................................. iii

Chapter 1 - Outline of EZU-PP4 ......................................... 1

1.1 Purpose of use ...................................................................................................................................1

1.2 Features .............................................................................................................................................1

Chapter 2 - Unit Composition and Connection

Methods..................................................................... 3
2.1 Standard components ........................................................................................................................3

2.2 Parts sold separately..........................................................................................................................3

2.3 How to connect a processor...............................................................................................................4

Chapter 3 - How to use the unit .......................................... 5

3.1 Operation conditions ..........................................................................................................................5

3.2 How to display the CCD window ........................................................................................................5

3.3 Activating PinP mode .........................................................................................................................7

3.4 PinP mode..........................................................................................................................................9

3.4.1 PinP menu............................................................................................................................................9

3.4.2 Saving images....................................................................................................................................12

3.5 Parameter setup function .................................................................................................................13

3.5.1 Application Data Setting window ......................................................................................................13

3.5.2 Region Data Setting window .............................................................................................................14

Chapter 4 - Troubleshooting ............................................. 17

4.1 List of error messages......................................................................................................................17

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 4.2 Errors related to the CCD window display....................................................................................... 17

Chapter 5 - Specifications..................................................19
5.1 Compatible probes .......................................................................................................................... 19

5.2 Analog capture board ...................................................................................................................... 19

5.3 Software........................................................................................................................................... 19

5.3.1 CCD display functions...................................................................................................................... 19

INDEX................................................................................21

iv Q1E-EZ1151
 Chapter 1 - Outline of EZU-PP4

Chapter 1 - Outline of EZU-PP4

1.1 Purpose of use
The Picture in Picture Software EZU-PP4 loads optical images from endoscopes and celoscopes
to display both ultrasound and optical images simultaneously.
In this manual, the Picture in Picture function is referred to as PinP.

1.2 Features
(1) PinP mode:
Used to load optical images from endoscopes and celoscopes in order to display both
ultrasound and optical images simultaneously.
Ultrasound and optical images can be displayed on the monitor of the ultrasound
diagnostic scanner at the same time, or the user can switch between two types of images.

(2) Changing display methods:

The method of display for optical images can be changed as necessary.
The user can select from the following display methods: Small Display, Half Display, and
Full Display. Use the image selection key to switch between the displays.

(3) Using the remote controller:

The optional remote controller can be used to show/hide optical images, and to switch
between display sizes.

(4) Using the foot switch:

The optional foot switch can be used to show/hide optical images and start/stop image
capturing.

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Chapter 1 - Outline of EZU-PP4

2 Q1E-EZ1151
 Chapter 2 - Unit Composition and Connection Methods

Chapter 2 - Unit Composition and

Connection Methods
2.1 Standard components
The EZU-PP4 unit includes the following components. Make sure you check all components are
present before using this product.
(1) Instruction Manual 1 set

2.2 Parts sold separately

When using the remote controller unit, you should use model EZU-RH4.
When using the foot switch(for freeze/user define), you should use model EZU-FS2.
When using the biomedical waveform display unit, you should use model EZU-EK28.
When using the real-time tissue elastography function, you should use model EZU-TE5.
When using digital video recording software, Hitachi recommends that you use EZU-DV3.
When using this product, analog capture card unit EZU-ACP1 and peripheral device interface
unit EZU-ViF1 are required.

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Chapter 2 - Unit Composition and Connection Methods

2.3 How to connect a processor

When connecting a processor, use an S-terminal cable to connect the video signal input on the
main device (Y/C IN) to the video signal output on the processor (Y/C OUT), as shown in
Figure 2.3-1. Please note that an S-terminal cable is not included with the Picture in Picture
Software, so you will need to provide your own.

IN Y/C OUT
S-terminal cable

B/W AUDIO
PRINTER
IN OUT
F F
Video signal output
on the processor
R R

OUT

R G B SYNC Y/C OUT

MPIF

Processor
Main unit rear connector panel

Figure 2.3-1 How to connect a processor

4 Q1E-EZ1151
 Chapter 3 - How to use the unit

Chapter 3 - How to use the unit

3.1 Operation conditions
PinP cannot be started in the following modes:
z WideView mode (when wide view display software is installed)
z Stress Echo mode (when stress echo software is installed)
z RVS mode (when a real-time virtual sonography unit is installed)
z Image comparison window display

For more information about the image comparison window, see the section Comparison window
in the chapter Configuration of the Examination Window in the separate INSTRUCTION
MANUAL HI VISION Preirus Operation.
In addition, PinP cannot be started when the initial display setting is set to Half Display in the
following modes:
z While ECG waveform is displayed
z Doppler mode
z M mode
z Biplane mode

y Initial display settings can be checked from the Application Data Setting window
or the Region Data Setting window. For details, see "3.5 Parameter setup
function".
y When PinP has been once started, the display method used most recently is set as
the initial display setting until the application is changed.

3.2 How to display the CCD window

In this manual, the window in which optical images are displayed is called the CCD window.
There are three display methods for the CCD window: Small Display, Full Display, and Half
Display. The display method varies according to the probe that is used.

Half Display can be used only with the ultrasound endoscopic probe or the
laparoscopic probe.

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Chapter 3 - How to use the unit

(1) Small Display

This display method shows the CCD window in the four corners of the screen. (See
Figure 3.2-1.)
The initial location for the CCD window can be set in the Region Data Setting.

Figure 3.2-1 Small Display

(2) Full Display

This display method shows the CCD window in the full screen. (See Figure 3.2-2.)

Figure 3.2-2 Full Display

(3) Half Display

This display method shows the CCD window on the left and right sides. (See Figure
3.2-3.)
The initial location for the CCD window can be set in the Region Data Setting.

Figure 3.2-3 Half Display

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 Chapter 3 - How to use the unit

3.3 Activating PinP mode

When Tool is selected from the tab menu, the menu shown in Figure 3.3-1 is displayed.

Application
Manual
Edit Patient
Mode Adjust
Format
Remove Hardware
Tool

Simplified Transfer
DVD-RAM
USB Memory
USB HDD
Measure

Filing
Cine Memory
Display
Account Menu
Annotation

Physiology
VCR Playback
Video Playback
PinP
Setup

Figure 3.3-1 Tool in the tab menu

Select PinP to activate PinP mode.

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Chapter 3 - How to use the unit

When PinP mode is activated, the screen is displayed as shown in Figure 3.3-2. (For Top-Left
display)

Figure 3.3-2 PinP startup window

When the video signal of optical images are not input, the message shown in Figure 3.3-3 is
displayed in the CCD window.

Figure 3.3-3 No Input Signal message

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 Chapter 3 - How to use the unit

3.4 PinP mode

3.4.1 PinP menu································································································
When PinP starts, the PinP-related screen buttons shown in Figure 3.4-1 are displayed.

Body Mark Freeze Location;LT Size;Small CCD Window User Define

Measurement Menu;PinP

Figure 3.4-1 PinP menu

Freeze
Used to start and freeze the continuous loading of images in the CCD window. This
setting is always set to start image capturing when PinP is first started.
ƒ Freeze : Starts image capturing to the CCD window.
ƒ Freeze : Stops image capturing to the CCD window.

y The Freeze function can be assigned to the foot switch or the REC Key. For more
information about the foot switch or the REC Key, see the subsection REC
Key/Foot SW in the chapter Tab menus in the separate INSTRUCTION MANUAL
HI VISION Preirus Operation.
y The horizontal line (tearing) might seem to appear on the CCD screen, when the
object or the camera of the endoscope is quickly moved at the Start image
capturing.

The horizontal line

might seem to appear
on the CCD screen.

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Chapter 3 - How to use the unit

Location
Used to select the CCD window location.
ƒ LT: The CCD window is shown in the top left of the screen.
ƒ LB: The CCD window is shown in the bottom left of the screen.
ƒ RB: The CCD window is shown in the bottom right of the screen.
ƒ RT: The CCD window is shown in the top right of the screen.
When is selected, the location is changed as shown in Figure 3.4-2.

Location;LT Location;RT

Location;LB Location;RB

Figure 3.4-2 CCD window location

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 Chapter 3 - How to use the unit

Size
Used to select the CCD window display method.
ƒ Small: Used to display the CCD window in LT/LB/RB/RT of the screen.
ƒ Full : Used to display the CCD window in the full screen.
ƒ Half : Used to display a dual screen of the CCD window/US image.
When is selected, the location is changed as shown in Figure 3.4-3.

Size;Small Size;Half

Size;Full

Figure 3.4-3 CCD display method

y When using probes incompatible with Half Display, the CCD window is
switched between Small Display and Full Display.
y If the user switches from Half Display to Small Display when a B-mode image 2
screen or CFM B-mode image 2 screen is displayed, the CCD window is
displayed in the location for single screen.
y The color ROI and the measurement result may hide in the reverse side of the
CCD window during Half Display.

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Chapter 3 - How to use the unit

CCD window
Used to show/hide the CCD window.
When is selected, the CCD window is switched between Show/Hide CCD
Window as shown in Figure 3.4-4.

CCD Window CCD Window

Figure 3.4-4 Show/Hide CCD Window

The show/hide function for the CCD window can be performed with the foot switch.
For more information about the foot switch, see the subsection REC Key/Foot SW in
the chapter Tab menus in the separate INSTRUCTION MANUAL HI VISION Preirus
Operation.

3.4.2 Saving images ··························································································

Still images and videos of the CCD window can be saved in PinP mode. The save settings are
made according to the application that has been selected. Press the REC key to save still images
or live images. For details, see the subsection REC Key/Foot SW in the chapter Tab menus in the
separate INSTRUCTION MANUAL HI VISION Preirus Operation.

y There is no function for saving images in the CCD window to cine-memory.

y Digital video recording software is required to save live images while displaying
full-screen CCD, or when saving the live image in the CCD window that is in
sync with the ultrasonic image.
y Videos of the CCD window cannot be saved if image-capturing to the CCD
window has been frozen.
y The output color settings in image filing are always set to color mode when CCD
images are displayed.
y Please do not measure the retrieve image as which the CCD window (Half
Display, Full Display) is displayed.

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 Chapter 3 - How to use the unit

3.5 Parameter setup function

The various parameter settings for the Picture in Picture software are made on the Application
Data Setting window or the Region Data Setting window.
3.5.1 Application Data Setting window ······························································
Displaying the Application Data Setting window
1 From the tab menu, select Setup and then Application....
The Application Setting window is displayed.

2 Click the Edit button.

The Application Data Setting window is displayed.

3 Select PinP from the Item View.

For details on the application functions, see the chapter Application Function in the
separate INSTRUCTION MANUAL HI VISION Preirus Operation.
Application Data Setting window is shown in Figure 3.5-1.

Figure 3.5-1 Application Data Setting window

Initial Display Size Used to set the initial display size for the CCD window.
Small y Small: Used to display the CCD window in the
Small
Half Top-Left/Bottom-Left/Bottom-Right/Top-Right of the screen.
ALL y Half: Used to display a dual screen of the CCD window/US
image.
y Full: Used to display the CCD window in the full screen.

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Chapter 3 - How to use the unit

3.5.2 Region Data Setting window·····································································

Displaying the Region Data Setting window
1 From the tab menu, select Setup and then Region Data Setting.
The Region Data Setting window is displayed.

2 Select PinP from the Item View.

For details on settings for each diagnosis area, see the subsection Region Data Setting in
the chapter Tab menus in the separate INSTRUCTION MANUAL HI VISION Preirus
Operation.
Region Data Setting window is shown in Figure 3.5-2.

Figure 3.5-2 Region Data Setting window

Initial Location

Small Display

Single Used to set the initial location for the CCD window while single
Top-Left screen is displayed.
Top-Left
Top-Right y Top-Left: The CCD window is displayed in the top left of the
Bottom-Right screen.
Bottom-Left
y Top-Right: The CCD window is displayed in the top right of the
screen.
y Bottom-Right: The CCD window is displayed in the bottom right
of the screen.
y Bottom-Left: The CCD window is displayed in the bottom left of
the screen.

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 Chapter 3 - How to use the unit

Dual Used to set the initial location for the CCD window while the B-mode
Bottom-Right image 2 screen or CFM B-mode image 2 screen is displayed.
Top-Left
Top-Right y Top-Left: The CCD window is displayed in the top left of the
Bottom-Right screen.
Bottom-Left
y Top-Right: The CCD window is displayed in the top right of the
screen.
y Bottom-Right: The CCD window is displayed in the bottom right
of the screen.
y Bottom-Left: The CCD window is displayed in the bottom left of
the screen.

Half Display

Dual Mode Off Used to set the initial location for the CCD window when dual mode
LEFT is off.
LEFT
Right y LEFT: The CCD window is displayed on the left of the screen.
y Right: The CCD window is displayed on the right of the screen.

Dual Mode On Used to set the initial location for the CCD window when dual mode
Right is on.
LEFT
Right y LEFT: The CCD window is displayed on the left of the screen.
y Right: The CCD window is displayed on the right of the screen.

Dual Mode indicates Dual CFM and Dual Elasto.

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Chapter 3 - How to use the unit

Assign REC Key

Assign Foot SW
Show/Hide CCD Window
Capture Start/Stop CCD Window

Used to assign functions to the REC Key and foot switch (Only
when foot switch(for freeze/user define)is installed).
y Show/Hide CCD Window:
Used to show/hide the CCD window.Show/Hide CCD
Window corresponds to CCD window button on
the PinP menu.
y Capture Start/Stop CCD Window:
Used to Start/Stop image-capturing for the CCD window.
Start/Stop image-capturing corresponds to Freeze
button on the PinP menu.

Assign Remote Function Key

Show/Hide CCD Window
Show/Hide & Rotation CCD Window

Used to assign functions to the remote function key(Only when

remote controller unit is installed).
y Show/Hide CCD Window:
Used to show/hide the CCD window.Show/Hide CCD
Window corresponds to CCD window button on
the PinP menu.
y Show/Hide & Rotation CCD window:
Used to show/hide and rotate the CCD window.Rotation
CCD Window corresponds to Size button on the
PinP menu.
For more information about the remote controller, see the
separate INSTUCTION MANUAL Remote Control Unit (HI
VISION Preirus).

If the Remote Function Key is assigned to Show/Hide & Rotation CCD Window, when the
rotation of the CCD window completes one cycle, the CCD window is hidden. If the display is
rotated again, it returns to the status it had prior to being hidden.

16 Q1E-EZ1151
 Chapter 4 - Troubleshooting

Chapter 4 - Troubleshooting
4.1 List of error messages
Message Cause Action

The Capture board error Initialization related to the Please contact our service
occurred. capture board has failed. technician.
The P in P function is aborted.

4.2 Errors related to the CCD window display

Message Cause Action

Optical images are not displayed There is no input signal. Make sure that the processor is
in the CCD window. turned on.
Make sure that the video signal
input on the main device (Y/C
IN) and the video signal output
on the processor (Y/C OUT) are
connected correctly.

The CCD window and optical Misalignment is in the display It is necessary to adjust the
image display are misaligned. position of an input image. display position of an input
image.
Please contact our service
technician.

Q1E-EZ1151 17
Chapter 4 - Troubleshooting

18 Q1E-EZ1151
 Chapter 5 - Specifications

Chapter 5 - Specifications
The following sections describe the specifications for this system.
These specifications are subject to change without prior notice.

5.1 Compatible probes

<Probes compatible with all display mode>
ƒ Ultrasound endoscopic probe
ƒ Sonoprobe System PL Series (by FUJINON®)
ƒ Front Loading Probe PL26-7.5 Series (by FUJINON®)
<Probes compatible with Small Display and Full Display>
ƒ All probes

5.2 Analog capture board

Connection terminal
S-terminal (Y signal) 1.0Vp-p 75Ω
(C signal) 0.286Vp-p 75Ω

5.3 Software
5.3.1 CCD display functions ··············································································
Switch between three display methods: Small Display, Half Display, and Full Display.
<Small Display>
ƒ Used to display CCD images in four corners of the screen.
ƒ Display locations can be preset in the four corners of the screen.
ƒ Display locations can be changed in real-time.
<Half Display>
ƒ Used to display CCD images in the left and right of the screen.
ƒ Display locations can be preset in the left and right of the screen.
<Full Display>
ƒ Used to display CCD images in full screen.

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Chapter 5 - Specifications

20 Q1E-EZ1151
 INDEX

INDEX

Ａ Ｉ
Activating PinP mode .................................................. 7 Initial Display Size .....................................................13
Analog capture board ................................................. 19
Assign Foot SW ......................................................... 16 Ｌ
Assign REC Key ........................................................ 16 List of error messages ................................................17
Assign Remote Function Key .................................... 16
Ｏ
Ｃ
Operation conditions ....................................................5
CCD display functions ............................................... 19
Changing display methods ........................................... 1 Ｐ
Compatible probes ..................................................... 19 Parameter setup function ............................................13
Parts sold separately .....................................................3
Ｄ
PinP menu ....................................................................9
Dual Mode Off ........................................................... 15 PinP mode ................................................................1, 9
Dual Mode On............................................................ 15 Purpose of use ..............................................................1

Ｅ Ｓ
Errors related to the CCD window display ................ 17 Saving images ............................................................12
Small Display ...............................................................6
Ｆ Specifications .............................................................19
Features........................................................................ 1 Standard components ...................................................3
Full Display.................................................................. 6
Ｔ
Ｈ Troubleshooting..........................................................17
Half Display ........................................................... 6, 15
How to connect a processor ......................................... 4 Ｕ
How to display the CCD window ................................ 5 Unit Composition and Connection Methods ................3
How to use the unit ...................................................... 5 Using the foot switch....................................................1
Using the remote controller..........................................1

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