B. Braun Aesculap DSM Instructions For Use/Technical Description Download Page 20

18

USA

White Balance

Every DSM is shipped with pre-configured white balance settings. 

Note

These settings may not be optimal for the specific lighting conditions.

To reset the white balance to the factory settings, press “Reset to Fac-
tory WB” button.

For the best image, the DSM should be white-balanced. 

Set the DSM light to the surgeon’s normal working conditions.

Place the white balance card PV030 under the light. Ensure that the
entirety of the live view is filled by the card. Never use gauze, tape,
sheets, or other fabrics which may have been bleached.

Tilt the card and move it either closer or farther from the light as the
software instructs. 

Select White Balance 

 button to perform white balance and follow

the on-screen instructions to complete the white balance process.

Test the colors by viewing your hand under the DSM. Repeat the pro-
cess if the colors look incorrect.

6.8.6

Recording

In the Recording 

 panel the following settings can be modified:

Movie or snapshot file formats

Auto-record

Fullscreen recording

Frame rate

Movie quality

DICOM 3D recording

Note

Recording settings cannot be changed while recording a case.

Basic settings

Note

Fullscreen recording is not recommended due to possible delays in the
image. 

Select the desired recording settings:

– Movie format: Press the radial button of either “AVI” or “MOV”

(default: MOV).

– Auto-Record: check the checkbox to have the software start record-

ing as soon as “Start Case” is selected (default: unchecked).

– Fullscreen: Check the checkbox to record the surgery screen with all

annotations and overlays. If unchecked, the software will only
record the raw DSM input (default: unchecked).

– Snapshot format: Press the radial button of either “JPEG” or “PNG”

(default: JPEG).

Advanced settings

Note

Increases or decreases to frame rate and quality can be expected to have
relative increases or decreases to file size.

Select the desired advanced recording settings:

– Frame rate: frames per second that will be captured during a

recording. Select the desired frame rate by pressing or pressing and
dragging the slider from any value between 30 fps and 58 fps
(default: 45 fps).

– Quality: can be adjusted from 0 to 10, resulting in respective

changes to recording quality. Notably, minimizing the slider can
introduce compression elements such as haloing or blurry frames to
the recording with the benefit of reducing file size. Select the
desired quality setting by pressing or pressing and dragging the
slider from any value between 1 and 10 to change the quality for
recordings (default: 5).

– Squeezed SxS (side by side): checking the checkbox reduces resolu-

tion of saved media to 1920 × 1080 (default: unchecked). Select
this option when smaller file sizes and/or the ability to edit with 3rd
party editing software are required.

– DICOM Record 3D: when a DICOM patient is selected at the start of

a case, all media recordings will be in 2D by default. Check the
checkbox to record all DICOM case media in 3D. Uncheck the check-
box to record in 2D again.

Note

Non-DICOM patient case media are in 3D by default, therefore the “DICOM
Record 3D” feature is disabled when a non-DICOM patient is selected.

6.8.7

Display

In the Display 

 panel certain display settings can be modified, including

the view type, 3D format, and polarity of connected monitors (see
Chapter 3.3.3 for a list of compatible displays).

Identification information (numeric identifier, model number, 3D format,
polarity, resolution, and view type) will automatically appear on the live
image of each connected monitor while the Display settings panel is open.

Note

For displays intended for use (see Chapter 3.3.3), the 3D format and polarity
(“Swap 3D”) are automatically detected and set to their ideal pre-configu-
rations, as long as “Detect” remains enabled with the default panel settings.

To return to the ideal pre-configuration after making changes, select
“return to defaults” button, then ensure “Detect” is enabled.

Detect

Press the “Detect” button to turn this feature on or off. 

Detect is set to “Off” by default to allow the software to automatically
configure the connected displays to their saved settings. 

Display List

To view or manually modify settings for a specific display, select the
corresponding numeric identifier for that display from the “Display”
drop-down list.

View

Press the “View” drop-down list to assign a view type to the selected
display. 

The available view types are:

Control

Surgery

Assistant 180

Assistant 90 CW

Assistant 90 CCW

“Surgery” view is a non-interactive secondary view with the primary func-
tion of displaying the live image. “Surgery” view will display relevant noti-
fications as they appear on the “Control” view.

“Assistant 180", “Assistant 90 CW” (clockwise), and “Assistant 90 CCW”
(counter-clockwise), are “Surgery” views that are rotated as indicated.

Note

At least one display must be assigned a “Control” view type. The touch-
screen display is assigned as the “Control” view by default.

3D Format

When “Detect” is set to “Off”, press the “3D Format” drop-down list to
change the 3D format for the selected display from the following avail-
able options:

– Monoscopic

– Row-Interleaved

– Side-by-Side

– Top-Bottom

– Dimenco

Summary of Contents for Aesculap DSM

Page 1: ...Aesculap Aesculap Power Systems USA Instructions for use Technical description DSM Digital Surgical Microscope ...

Page 2: ......

Page 3: ...1 3 4 5 6 2 ...

Page 4: ...port 9 5 2 System set up 9 5 2 1 3D display and robotic arm workspace 9 5 2 2 Connecting the accessories 10 5 2 3 Connecting the power supply 10 5 3 Function checks 10 5 4 Positioning the 3D display 10 5 5 Turning the system on 11 5 6 Setting up the robotic arm and the DSM head 11 5 6 1 Rotating the DSM using the yaw coupler 11 5 6 2 Moving the robotic arm out of storage position and draping the r...

Page 5: ... this device Symbol Location Description Base of cart Main power switch Press to turn the system ON Press again to turn the system OFF Product label AC input DSM head DC input Product label Warning Product label Risk of electric shock Do not open Robotic arm Take care to avoid injury when in the vicinity of the display arm or robotic arm Support arms Do not exceed load ratings for support arms Pro...

Page 6: ...head with the lens cap covering the main objective when it is not in use Do not cover the air vents of the system touchscreen or 3D display Note When the emergency stop is pressed the DSM head may move up to 3 cm depending on position due to mechanical brakes locking into place This equipment has been tested and found to comply with the limits for a Class A digital device pursuant to Part 15 of th...

Page 7: ...t if the inclination passes 35 Only use footswitch on a firm even horizontal surface When using the backup cable When connecting the backup cable always ensure that connecting ele ments plugs are clean Ensure that the plug connections are not subjected to mechanical loads Do not subject backup cable to excessive pulling pressure or bending Do not drive over cable Always perform function test in co...

Page 8: ...playback due to real time compression of the video stream as it is recorded The compressed video files can easily be transferred to exter nal storage for backup and archival and to free space on the internal stor age drive The cart also holds a second computer controlling the robotic arm 3 3 1 Emergency stop The robotic arm emergency stop is located at the top of the cart The robotic arm movement ...

Page 9: ...cord connection i the DSM system is equipped with a 6 mm potential equalization port j that can be connected to the healthcare facility potential equalization system Connect the display to the potential equalization port j at the front of the cart see Fig 5 Connecting to a PACS RIS server There are two Ethernet ports on the both the front and back panels of the cart Ensure that the Ethernet cable ...

Page 10: ...attery connect the keyboard to a USB port a on the side of the touchscreen mount using the Micro USB cable supplied see Fig 5 The battery indicator blinks green while charging Charge until the indicator light stops blinking Note The keyboard can be used while it charges Note If the battery power is low indicator blinking red the keyboard backlight is disabled 3 10 Polarized 3D glasses Passively ci...

Page 11: ...cially over elevator and door thresholds 5 2 System set up 5 2 1 3D display and robotic arm workspace To help with positioning the DSM in the operating room the cart dimen sions the minimum and maximum extensions of the 3D display arm and the height and maximum extension of the robotic arm are shown below Fig 8 Legend a Max length arm fully extended b Max monitor height c Min monitor height d High...

Page 12: ...rection Connect the main power cable see Chapter 5 2 3 Connect any external input or output video or Ethernet cables see Chapter 3 3 3 Check that there are no unnecessary objects or people within the range of the robotic arm workspace Check that the DSM head optical path is clean and free from dust Ensure that exposed cables for the footswitch any external displays and power supply are laid flat o...

Page 13: ... 22 Under Coupler press the Reconfigure Coupler button Press and hold the Hold or Reconfigure position button until the arm is fully extended Fig 13 Legend a Sliders of the yaw coupler Unlock the sliders a and rotate the DSM manually into the desired posi tion The available coupler positions are illustrated below The geometry lim its of the robotic arm will change based on the coupler position Fig...

Page 14: ... DICOM server if applicable local drives or connected external drives 5 9 Saving case media If snapshots and or images were recorded ending the current case will prompt users to save the media The patient information can also be updated at this time even if the case was started with previously saved information 5 9 1 Save to default location After selecting to end the case Fig 16 Press Yes to cont...

Page 15: ...ically provide further options to Shut Down or press Can cel button return to the application Fig 20 5 12 Changing footswitch batteries Battery type 3 IEC LR14 Type C Baby Shut down DSM see Chapter 5 11 Open battery housing Rotate both lockers near battery housing by 90 While doing so lightly press down the battery cover Lift the empty batteries by the ejector belt and remove them Insert new batte...

Page 16: ...joint limits If this occurs move the robotic arm to a preset position Note If proper rebalancing of the DSM stillresults in unsatisfactory balance con tact Aesculap Technical Service for assistance see Chapter 10 6 2 3 Robot recovery If communication is lost with the force torque sensor or the coupler and the robotic arm becomes difficult or impossible to move the arm joints need to be manually re...

Page 17: ... light level Activate the fluorescence function by selecting the DUV 400 On but ton on the touchscreen or the corresponding handle or footswitch but ton The DSM Control panel will still be available and additionally the DUV Light Level value bar can be adjusted while DUV 400 is on Select Overlay to show an overlay of captured fluorescence in the live view Select FL Off to turn off near ultraviolet...

Page 18: ...zing Ready State Displayed when arm is ready for movement Emergency Stop State Displayed when Emergency Stop button is engaged Protective Stop State Displayed when the robot is in a pro tective stop state after the arm movement is interrupted Soft Stop State Displayed when soft stop state is selected Footswitch Directional Move with No Restric tions Displayed when moving the arm with the footswitc...

Page 19: ...o select or slide the value anywhere between 0 05 smallest diameter and 1 00 largest diameter The default Diameter is 0 75 Opacity Use the Opacity bar to select or slide the value anywhere between 0 05 most transparent mask and 1 00 most opaque mask The default Opacity is 0 50 6 8 4 DUV 400 Fluorescence In the DUV 400 panel the following settings for the DUV 400 s overlay can be modified Hue can b...

Page 20: ...m any value between 1 and 10 to change the quality for recordings default 5 Squeezed SxS side by side checking the checkbox reduces resolu tion of saved media to 1920 1080 default unchecked Select this option when smaller file sizes and or the ability to edit with 3rd party editing software are required DICOM Record 3D when a DICOM patient is selected at the start of a case all media recordings wi...

Page 21: ...ction using the Windows Control Panel 6 8 10 Handles In the Handles panel the layout and functions of the DSM head handles using can be customized Press the Left Right toggle to switch between handles See below for a list and description of each button s function Dual Mode Press the Dual Mode checkbox to enable disable this function When Dual mode is enabled both handles share the same configura t...

Page 22: ...ata saved in a language other than the current language will not be displayed User manual Press User Manual to open the user manual folder found on the desk top Double click on the DSM user manual to open the PDF version Note The DSM application does not need to be closed in order to view the user manual More Press More to open a separate panel with two pages Page 1 contains system information inc...

Page 23: ...s on each of the four casters and move the 3D display into the position illustrated above Twist the arm joint handles to lock the arm in place Lock the cart castors after moving the system 8 Maintenance Preventive maintenance The Digital Surgical Microscope does not consist of any device that requires a regularly maintenance within a defined time frame However in an interval of 12 month a regular ...

Page 24: ...spots remain the dust may be inside the DSM head Contact Aesculap Technical Service see Chapter 10 Robotic arm not working Reboot the system or follow the error messages shown on the display Touchscreen not working Re connect the touchscreen Error message Remedy Already initialized Restart the system If that does not help contact the local Aesculap representative or Aesculap Technical Service see ...

Page 25: ...s not accept able Check DSM head cable connections Contact Aesculap Technical Service see Chapter 10 WARNING Risk of death for patient and operator due to mal function and or failure of safety measures Do not perform any service or maintenance while using the product on the patient Do not modify the product CAUTION Modifications carried out on medical technical equipment may result in loss of guar...

Page 26: ...Aesculap AG Am Aesculap Platz 78532 Tuttlingen Germany Phone 49 0 7461 95 0 Fax 49 0 7461 95 26 00 www aesculap com Aesculap a B Braun brand SOP AIC 5001887 TA015615 2019 02 ...

Reviews: