Quality Assurance
Versana Essential – User Guide 3-61
5759238-100 English Rev. 2
Ultrasound Quality Assurance Checklist 
Table 3-10:  Ultrasound Quality Assurance Checklist (Part 1)
Performed By Date
System Serial Number
Probe Type Probe Model Serial Number
Phantom Model Serial Number Room Temperature
Acoustic Output Gain Focal Zone
Gray Map TGC Depth
Monitor Setting
Peripheral Settings
Other Image Processing Control Settings
Table 3-11:  (Part 2)
Test
Baseline
Value
Range
Tested 
Value
Image 
Hardcopy/
Archived
Acceptable? 
Yes/No
Service 
Called 
(Date)
Date
Resolved
Vertical
Measurement
Accuracy
Horizontal
Measurement
Accuracy
Axial
Resolution
Lateral
Resolution
Penetration
Functional
Resolution
Contrast
Resolution
Gray Scale
Photography