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Swap 3D

“Swap 3D” switches the left and right eye polarity and can be used to help
determine if the monitor is using the correct 3D polarity setting. 

To check the polarity, close the right and left eye alternatively while
wearing 3D glasses and ensure the on-screen “Left” and “Right” text
matches the eye opened. 

6.8.8

Input Source

In the Input Source 

 panel external display devices, such as an endo-

scope, can be configured to the correct input type.

The available input source types are:

SDI

HDMI

“Viewport 1" is set to the 3D live image from the DSM head.“Viewport 2"
can be configured to display either SDI or HDMI input from connected
external devices. Both SDI and HDMI devices can be connected simultane-
ously, however only one type can be displayed at a time.

Press the corresponding radial button of the desired input type.

The following Aesculap camera systems are supported by the DSM:

6.8.9

DICOM

Fig. 27

In the DICOM 

 panel the networking for uploading and downloading

media to and from a configured server database can be set up.

Note

 The DICOM module requires a license for use with the DSM system.

See DICOM Conformance Statement TA015615-DCS for information
related to the use of DICOM data exchange.

Network and DICOM addresses must be provided by the IT administra-
tor responsible

AE titles are case-sensitive

A connection test is automatically run prior to each DICOM upload to
verify both servers are running and accepting the data type being sent

The information on the “DSM” tab is static. The settings in “HIS/RIS”
and “PACS” tabs are editable and can be updated at any time.

Setting up network connection

To set up the initial connection with the hospital network, consult with
local network administrator. 

Connect an Ethernet cable to the hospital network installation and to
one of the Ethernet ports

b

/

e

 on the cart, see Fig. 5 the system.

Turn the DSM on, see Chapter 5.5.

Exit out of the DSM software onto the Windows Desktop, see
Chapter 5.11.

Configure Ethernet connection 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-
tion. Two Dual mode setups can be configured, A and B, and toggled
between. The A–B toggle is only accessible when “Dual Mode” is
enabled.

Available handle button functions

Art. no.

Supported settings

PV460

60 Hz signal, DVI output on PV460, SDI input on DSM

PV470

50 Hz signal, DVI output on PV470, HDMI input on DSM

PV480

50 Hz or 60 Hz signal, DVI output on PV480, HDMI or SDI 
input on DSM

Button description

Functionality

None

No Function

Autofocus

Microscope will automatically focus on the 
center of the field of view.

Button Layout Map

Displays the current button layout.

Cycle DUV 400

Toggle to a blue-light filter to intraoperatively 
differentiate between diseased and healthy tis-
sue after a 5-ALA injection.

DUV Light Down

Reduce the amount of light while DUV 400 
mode is on.

DUV Light Up

Increase the amount of light while DUV 400 
mode is on.

Digital Aperture Tog-
gle

Toggle digital aperture overlay. Diameter and 
Opacity can be changed in settings.

Focus (+)

Move the objective lens closer.

Focus (-)

Move the objective lens farther away.

Move (Down)

Move the DSM head down.

Move (Up)

Move the DSM head up.

Record

Start/stop video recording.

Waypoint Save/Delete Press button once to save current location and 

configuration as a waypoint. Hold down button 
to delete selected waypoint.

Waypoint 
Select/Move

Press button to toggle through saved way-
points. Hold down button to move to selected 
waypoint.

Snapshot

Take a snapshot.

Swap Sources

Toggle between input sources. Can be config-
ured to either SDI or HDMI.

Lock-on Mode Toggle

Toggle lock to target mode.

Viewport Layout 
Cycle

Cycle through available viewport settings. Can 
be configured to “Source 2”, “Picture in Pic-
ture”, or “Side by Side” view.

White Light (-)

Decrease white light.

White Light (+)

Increase white light.

Zoom (+)

Increase zoom.

Zoom (-)

Decrease zoom.

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 ...

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