ATS 570 - Page 12

ATS Laboratories Incorporated Tel: (800) 617-1177 Webpage: cirsinc.com Email: admin@cirsinc.com
Ultrasound Performance Testing Record Date ________________
__ Routine Testing
__ Baseline
__ Initial Setup
__ Software Upgrade
__ New Phantom
__ New Transducer
Facility: _______________________________ Department: ____________________
Technician / Sonographer: ________________________________
System Identification
System Manufacturer: _______________ Model: ______________ S/N: _____________
Transducer Type: __________________ Model #: _____________ S/N: _____________
ATS Phantom Model: ________________ S/N: ________________
General Inspection
Pass
Fail
Pass
Fail
Power Cord (cracks, plugs, discoloration)
Transducer (Cable, housing, plug, transducer face)
Dust Filters (clean & dust free)
Scanner console (free of damage)
Controls (Clean, broken knobs & switches)
Wheels (rotate freely, locks hold properly)
Display (clean, free scratches, Brightness/
contrast controls)
Comments
Comments
Comments
System Settings
System Settings
System Settings
System Settings
System Settings
System Settings
Power
dB
Gain
dB
Dynamic Range
dB
Pre-Processing
Post-Processing
Programed Presets
Transmit Focus
cm
Image Magnification
Room Temperature:
Room Temperature:
Geometric Accuracy Testing
Phantom
Distance
Baseline
Measured
Distance
Measured
Error/Change
Vertical Distance Measurements
Electronic Calipers
mm
mm
mm
mm
Display Devices used for interpretation
mm
mm
mm
mm
Horizontal Distance Measurements
Electronic Calipers
mm
mm
mm
mm
Display Devices used for interpretation
mm
mm
mm
mm
Dead Zone (Ring-down ramp)
Electronic Calipers
mm
mm
mm
mm
Display Devices used for interpretation
mm
mm
mm
mm
Spatial Resolution
Phantom
Distance
Baseline
Measured
Distance
Measured
Error/Change
Axial Resolution
Electronic Calipers
mm
mm
mm
mm
Display Devices used for interpretation
mm
mm
mm
mm
Lateral Resolution
Electronic Calipers
mm
mm
mm
mm
Display Devices used for interpretation
mm
mm
mm
mm