Zeiss OPMI Lumera T User Manual Download

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OPMI Lumera

with Integrated

Assistant's Microscope

Instructions for use

G-30-1682-en

Issue 4.0

Printed on 02. 02. 2009

Summary of Contents for OPMI Lumera T

Page 1: ...OPMI Lumera T with Integrated Assistant s Microscope Instructions for use G 30 1682 en Issue 4 0 Printed on 02 02 2009...

Page 2: ...The warning triangle indicates potential sources of danger which may constitute a risk of injury for the user or a health hazard Caution The square indicates situations which may lead to malfunction d...

Page 3: ...g BIOM 3 25 Phototoxic retinal injury in eye surgery 25 Safety devices of the suspension systems 32 Warning labels and notes 44 Description 51 Lumera T surgical microscope 54 Intended use 54 Descript...

Page 4: ...witch with connector option 124 S81 ceiling mount 126 Intended use 126 Description of components 127 Design 128 Power switch connector and socket option 130 OPMI Lumera T with integrated assistant s m...

Page 5: ...ng of the suspension arm 164 Adjusting the limit of downward movement 166 Positioning the S8 ceiling mount 168 Settings on the control and display panel 170 Setting up the suspension system 170 Adjust...

Page 6: ...ssistant s microscope 218 Malfunctions in the S8 S81 or S88 suspension system 219 Malfunctions in the video monitor 221 Malfunctions in the halogen light source 223 Malfunctions in Superlux Eye light...

Page 7: ...ue 4 0 Printed on 02 02 2009 Functions at a glance 7 Functions at a glance OPMI Lumera T with integrated assistant s microscope 8 OPMI Lumera T option 9 Light sources 10 S88 floor stand 12 S8 ceiling...

Page 8: ...6 7 Changing the magnification of assistant s microscope page 70 8 Setting the inverter function page 70 9 Focusing the assistant s microscope page 70 10 Tilting the surgical microscope page 174 11 Ar...

Page 9: ...ge 76 4 Setting your prescription page 76 5 Unlocking the magnetic brakes page 66 6 Display of the zoom system s magnification factor page 66 7 Setting the depth of field DeepView page 68 8 Setting th...

Page 10: ...kup lamp is on page 80 2 Selecting a filter page 80 3 Opening the lamp module page 80 4 Manual activation of backup lamp page 80 Superlux Eye light source 5 Selecting a filter page 84 6 Resetting the...

Page 11: ...setting the counter page 38 4 Opening the Superlux Eye lamp module page 80 5 Additional integrated halogen light source Closed flap main lamp is on Open flap backup lamp is on page 94 6 Selecting the...

Page 12: ...rm s downward movement page 166 5 Removing mounting the coupling for the surgical microscope page 98 6 Balancing the suspension arm page 164 7 Locking the stand in position page 106 8 Locking the susp...

Page 13: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Functions at a glance 13 1 2 4 3 5 6 7 4 8 9 10 11 12...

Page 14: ...98 3 Balancing the suspension arm page 164 4 Light source page 78 5 Control unit rotatable through 180 or 70 page 186 6 Connecting the foot control panel connecting the remote control connector page 1...

Page 15: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Functions at a glance 15 10 2 7 9 8 1 5 6 2 3 4...

Page 16: ...164 4 Light source page 78 5 Control unit rotatable through 180 or 70 page 186 6 Connecting the foot control panel if the suspension system is installed on a ceiling track mount option page 130 7 Con...

Page 17: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Functions at a glance 17 10 11 2 9 4 5 6 1 2 3 8 7...

Page 18: ...18 Functions at a glance G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009...

Page 19: ...ted on 02 02 2009 Safety 19 Safety Notes on installation and use 21 When using a wide angle observation system e g BIOM 3 25 Phototoxic retinal injury in eye surgery 25 Safety devices of the suspensio...

Page 20: ...on Class I We would like to provide you with information about safety aspects which must be observed when handling this device This chapter contains a summary of the most important information concern...

Page 21: ...ny of the connectors are damaged have our service representative repair them Potential equalization If requested the instrument can be incorpora ted into potential equalization measures Do not use a m...

Page 22: ...h grade technological product To ensure optimum performance and safe working order we recommend having it checked by our service representative as part of regular scheduled maintenance If a failure oc...

Page 23: ...n The voltage setting on the instrument conforms to the rated voltage of the line supply on site The instrument is plugged into a power outlet which has a properly connected protective ground contact...

Page 24: ...to the light illuminating the surgical field Please therefore reduce the brightness and duration of illumination on the surgical field to the absolute minimum required Phototoxic effect of light beam...

Page 25: ...ope s focus is in the middle of triangle 2 of the marking Select a medium magnification e g 1 0 Lower the surgical microscope toward the surgical field until you see the patient s cornea sharply defin...

Page 26: ...ever is that the use of filters will in evitably change the perceived color of the light For this reason the phy sician may initially have to get used to the changed appearance of the an atomical stru...

Page 27: ...eye is not additionally exposed to the light of surrounding light sources This problem has been solved by Carl Zeiss by the use of a retinal protection device that can be swung into the microscope s...

Page 28: ...0 minutes if the calculated maximum recommended exposure time was 150 seconds However it was also found that at the same brightness setting phototoxic retinal injury could be expected after approximat...

Page 29: ...ent s retina from ophthalmic instruments Applied Optics OT 30 2187 2196 1991 2 American Conference of Governmental Industrial Hygienists Docu mentation of the Threshold Limit Values for physical agent...

Page 30: ...ois DeLori Franz Fankhauser Robert Landry Martin Mainster John Marshall Bernard Rassow Bruce Stuck Stephen Trokel Teresa Motz West and Michael Wolffe Adjust ment of guidelines for exposure of the eye...

Page 31: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 31...

Page 32: ...fore each surgical procedure 3 Locking knob for the horizontal position of the suspension arm Before removing or attaching a module microscope tube etc move the suspension arm into its horizontal posi...

Page 33: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 33 1 1 2 3...

Page 34: ...3 Filter selector knob The filter knob has four positions 4 Yellow indicator lamp Lights when the main lamp has failed In addition open flap 1 on the lamp module indicates that the main lamp has faile...

Page 35: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 35 4 5 3 2 1...

Page 36: ...ms Do not continue using the system if the lamp module is jammed or the illumination is no longer operational due to defective electronics mod ules Inform our service department 1 Switching to the bac...

Page 37: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 37 7 1 3 2 6...

Page 38: ...of the backup bulb the yellow indicator lamp turns off again 5 Manual function When the manual function has been activated all electrical control systems are disabled The bulb brightness is automatica...

Page 39: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 39 4 5 1 2 3...

Page 40: ...using make sure that the system is moved to a position where neither the patient nor the user is put at risk by fall ing items Do not continue using the system if the lamp module is jammed or the illu...

Page 41: ...ual function When the manual function has been activated all electrical control systems are disabled The lamp brightness is automatically adjusted to a fixed setting blue barrier filter retina protect...

Page 42: ...low LED is lit and the blinking text MANUAL appears in the third display field The surgical microscope can no longer be operated via the foot control panel the handgrips or the control and display pan...

Page 43: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 43 1...

Page 44: ...9 Warning labels and notes Caution Observe all warning labels and notes If any label is missing on your instrument or has become illegible please contact us or one of our authorized representatives We...

Page 45: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 45 OPMI Lumera T with integrated assistant s microscope OPMI Lumera T...

Page 46: ...46 Safety G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Light sources 1 Superlux Eye Superlux Eye 2 1 XXXXXX XXXX XXX 1 XXXXXX XXXX XXX...

Page 47: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 47 S88 floor stand 176164...

Page 48: ...48 Safety G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 S88 floor stand with instrument tray option...

Page 49: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Safety 49 S8 ceiling mount 176164...

Page 50: ...50 Safety G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 S81 ceiling mount...

Page 51: ...on 80 Superlux Eye light source 84 Superlux Eye with integrated halogen light source option 92 Identical components of the suspension systems 98 Suspension arm 98 Display field with control keys 100 S...

Page 52: ...ocket option 130 OPMI Lumera T with integrated assistant s microscope on S88 floor stand 132 Intended use 132 Design 132 OPMI Lumera T with integrated assistant s microscope on S8 ceiling mount 134 In...

Page 53: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 53...

Page 54: ...cope contains a UV blocking filter as a standard feature This helps the surgeon to reduce the risk of phototoxic retinal injury in the patient Description of components The Lumera T surgical microscop...

Page 55: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 55 1 2 3...

Page 56: ...f field The bright microscope image is a particular benefit in vitreoretinal surgery A 1 6 ratio zoom system allows the magnification of the overall system to be set as required by the surgical proced...

Page 57: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 57 5 2 4 6 7 8 3...

Page 58: ...gery The assistant s microscope is equipped with a focusing system and a 5 step magnification changer This enables the assistant to adjust his her microscope image independently of the main surgeon Th...

Page 59: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 59 9 10...

Page 60: ...radiation exposure time to be increased by factor 3 It can be swung into the beam path of the light source in the suspension system The light is supplied by a light guide which directs the light from...

Page 61: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 61 1...

Page 62: ...ary blue radia tion and permits the radiation exposure time to be increased by factor 3 Type of illumination Red reflex illumination This is the best setting to generate an optimum red reflex Glare fr...

Page 63: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 63 1...

Page 64: ...art the recentering movement To stop this movement press the button again You can also stop the recentering movement by briefly tipping on one of the buttons on the foot control panel 4 Cable and ligh...

Page 65: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 65 1 2 4 5 6 3 7...

Page 66: ...positioning the surgical microscope With asepsis caps attached the handgrips are used to position the mi croscope and unlock the magnetic brakes 12 Display of the zoom system s magnification factor 13...

Page 67: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 67 12 11 11 8 13 10 9 9 10...

Page 68: ...ide connector Caution Take care not to damage the light guide connector and light guide Always insert the correct end of the light guide into the light guide con nector For correct mounting please see...

Page 69: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 69 15 16 17 14...

Page 70: ...ed when the two eyepiece images merge into one 21 Inverter selection knob The inverter can be turned about 360 and snaps in at the two defined positions 22 Focusing knob for focusing the assistant s m...

Page 71: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 71 19 22 23 24 18 25 21 20...

Page 72: ...iltable tube 1 PD adjustment knob The correct position has been reached when the two eyepiece images merge into one You can read off the interpupillary distance set on the adjustment knob 2 180 tiltab...

Page 73: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 73 4 5 1 2 3 6...

Page 74: ...rter of the tiltable tube again With the inverter deactivated the tiltable tube has the same optical func tion as a normal tiltable tube To ensure sterility the controls can be equipped with steriliza...

Page 75: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 75 1 7 2 3 4 5 6 8...

Page 76: ...ing instruments or mag netic data carriers such as disks audio video tapes or credit cards Always store the eyepiece in its original packaging when not using it 1 Eyecup Always adjust the eyecups in s...

Page 77: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 77 1 2 3...

Page 78: ...into the illumination beam path when the first lamp fails You have to pull out the lamp module all the way before being able to swing in the backup lamp Warning When using the Superlux Eye light sourc...

Page 79: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 79 2 1 3...

Page 80: ...Flap The flap is the mechanical indicator for the operating status of the hal ogen lamps When the flap is closed the main lamp is operative green light 9 is on When the flap is open the main lamp has...

Page 81: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 81 8 9 1 2 3 4 5 6...

Page 82: ...mp 1 by pressing the appropriate button s on the foot control panel 8 Yellow indicator lamp Lights when the main lamp has failed The backup lamp is on Blinks when the backup lamp has failed 9 Green in...

Page 83: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 83 7 9 8 10 0 7...

Page 84: ...s to be used for photographic doc umentation The second xenon lamp is used as a backup lamp which has to be swung into the illumination beam path when the first xenon lamp fails The standard version o...

Page 85: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 85...

Page 86: ...module all the way back into the lamp housing Reset the service hour counter to 0 Use a pointed object and press it into the recess of reset button 6 Note When inserting a new lamp module make sure th...

Page 87: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 87 2 4 3 1 5 6 7...

Page 88: ...ion to avoid any explosion of the xenon lamps Then reset the counter to 0 by pressing reset button 6 6 Reset button The reset button resets the service hour counter to 0 7 Opening the lamp module When...

Page 89: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 89 2 4 3 1 5 6 7...

Page 90: ...aximum radiation expo sure times on page 29 9 Yellow indicator lamp Lights when the lamp has failed or if the lamp module is defective After activation and ignition of the backup lamp the yellow indic...

Page 91: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 91 8 11 9 10...

Page 92: ...s the HaMode filter and the 485 mm fluorescence excitation filter Ventilation grid Do not cover the ventilation grid For example drapes could be covering the grid This can lead to overheating of the l...

Page 93: ...up lamp When the xenon lamp fails open the lamp module as follows Press button 4 The lamp module is slightly ejected Pull out the lamp module as far as it will go Turn knob 5 through 180 until it snap...

Page 94: ...p change 9 Manual activation of the halogen backup lamp If the automatic activation system fails press this button to switch on the backup lamp 10 Indicator Superlux Eye backup lamp is in use When the...

Page 95: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 95 6 7 8 9 10 11 12 13 14 15 Halogen Xenon...

Page 96: ...and and right hand side of the foot control panel or that both light sources can be switched on off on the left hand or right hand side of the foot control panel 17 Brightness control You can adjust t...

Page 97: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 97 17 15 14 16 0 7 Halogen Xenon...

Page 98: ...ing screw After mounting the surgical microscope including all accessories ad just the balance setting of the suspension arm using this screw Bal ance setting is described in detail in chapter Operati...

Page 99: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 99 1 2 5 3 4 6 6...

Page 100: ...comprises three display fields and keys located beside and below them A pair of keys and has been assigned to every display field for making the appropriate settings The control functions have been c...

Page 101: ...ser interface For details please see the chapter Operation STORE key You use the STORE key for example to save the current focus and zoom settings for OPMI Vario on the suspension system MANUAL key Th...

Page 102: ...ful functions include for example magnetic brakes for almost effortless positioning fully automatic lamp change in the halogen light source brightness control via a foot control panel reset of X Y cou...

Page 103: ...iable balancing of the microscope even with heavy accessory equipment The downward movement of the suspension arm can be limited as required A maneuvering handle attached to the stand column is used t...

Page 104: ...104 Description G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Design 1 Control unit 2 Carrier arm 3 Light source see page 78 4 Suspension arm 5 Stand base...

Page 105: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 105 1 3 2 4 5...

Page 106: ...able support 2x for winding up the power cord and the cable of the foot control panel 4 Cable deflector protects the cables lying on the floor from damage caused by rolling over them with the stand ba...

Page 107: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 107 1 2 3 6 4 5...

Page 108: ...s to outlets 5 and 6 When using other devices make sure that safety is guaranteed regarding admissible ground leakage currents The admissible limit value of the ground leakage current present in the s...

Page 109: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 109 connecting cable for foot control panel or operating chair with ap propriate footswitch S2 4 5 6 7 8 2 3 8 1...

Page 110: ...ive Trio or other accessory equipment can be mounted on the instrument tray using the strap provided Please note that the max imum load bearing capacity of the instrument tray is 13 kg Warning Make su...

Page 111: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 111 2 1 4 5 3...

Page 112: ...e TFT monitor to move downward of its own accord Compensate for the loss of gas by readjusting the gas pressure spring as described on page 236 If the TFT monitor continues to move downward the gas pr...

Page 113: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 113 2 1...

Page 114: ...by turning them counter clockwise Remove cable cover 2 by pushing it upward Controls 1 Auto Adjust button The Auto Adjust function permits automatic image adjustment of the TFT monitor to obtain a sha...

Page 115: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 115 3 2 3 1...

Page 116: ...video data transmission between graphics cards and display devices 5 S Video connector S Video also known as separate video or Y C is an analog interface that transmits brightness and color informatio...

Page 117: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 117 2 3 4 5 6 7...

Page 118: ...lization is obtained when you are looking straight at the screen of the TFT monitor Swivel the monitor s carrier arm 1 and suspension arm 2 into the horizontal position required Caution Take care not...

Page 119: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 119 90 360 90 45 2 1 3...

Page 120: ...almost effortless positioning fully automatic lamp change in the halogen light source brightness control via a foot control panel reset of X Y coupling focus and zoom standby position user defined bas...

Page 121: ...ntrol unit is mounted on the carrier arm The control unit is rotatable through 180 70 if the Superlux Eye light source with additional integrated halogen light source is used and contains all electric...

Page 122: ...0 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Design 1 Lift arm 2 Carrier arm 3 Suspension arm 4 Grip for moving the ceiling mount into the standby or working position 5 Light source see pag...

Page 123: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 123 1 3 2 4 6 5...

Page 124: ...to guide the cable of the foot control panel away from the operating table The cable clip can be easily attached to rail 1 either on the left or right side of the arm 2 Power switch When the suspensio...

Page 125: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 125 3 1 2 2 2 4...

Page 126: ...rakes for almost effortless positioning fully automatic lamp change in the halogen light source brightness control via a foot control panel reset of X Y coupling focus and zoom user defined basic sett...

Page 127: ...with additional integrated halogen light source is used and contains all electrical supply systems required for the control of a motorized surgical microscope The motorized functions can be activated...

Page 128: ...128 Description G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Design 1 Column 2 Carrier arm 3 Suspension arm 4 Light source see page 78 5 Control unit...

Page 129: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 129 3 4 5 1 2...

Page 130: ...erating table The cable clip can be easily attached to rail 1 either on the left or right side of the arm 2 Power switch When the suspension system is on the green indicator light in the switch is lit...

Page 131: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 131 1 2 3 4 1 5...

Page 132: ...The installation conditions and the use of the system must meet microsurgical requirements low vibration clean environment avoidance of extreme mechanical stress Design OPMI Lumera T comprises the sur...

Page 133: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 133 3 2 1...

Page 134: ...in structions of the user s manual The installation conditions and the use of the system must meet microsurgical requirements low vibration clean environment avoidance of extreme mechanical stress De...

Page 135: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 135 3 2 1...

Page 136: ...med ical staff who have undergone appropriate training and observe the in structions of the user s manual The installation conditions and the use of the system must meet microsurgical requirements lo...

Page 137: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 137 3 2 1...

Page 138: ...panel is shown on the next page Design The foot control panel is equipped with two rocker switches 1 for con trolling the zoom and focus functions The up down movements of these functions are located...

Page 139: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 139 2 1 3 1...

Page 140: ...nd focus starting position optional control of Stereo Digital Inverter IIe 3e from Oculus and of Visulux fib er slit lamp The button is freely configurable seepage 196 4 ZOOM Reducing magnification op...

Page 141: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Description 141 11 10 9 8 7 2 3 4 5 6 1...

Page 142: ...142 Description G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009...

Page 143: ...the light guide 154 Strain relief device on S88 floor stand 158 Connecting the S88 floor stand 160 Relocating the system 162 Adjusting the supension system 164 Adjusting the balance setting of the sus...

Page 144: ...180 At the same time slightly move the suspension arm up and down until the lock snaps in This prevents the suspension arm from uncontrollably moving upward when insufficient weight is attached Use a...

Page 145: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 145 1 2 3 4 6 8 9 7 5...

Page 146: ...nd tilt the coupling down ward into its vertical position Firmly tighten securing screw 3 using a 5 mm hex key Insert cable clip 10 into opening 13 of the coupling Release the horizontal lock by loose...

Page 147: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 147 4 10 12 11 13 7 3 1...

Page 148: ...assistant s Invertertube 13 or 45 inclined tube 11 on the in tegrated assistant s microscope and firmly tighten securing screw 8 You can install further accessories between assistant s Invertertube 13...

Page 149: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 149 1 6 7 4 12 2 3 9 5 13 10 11 8...

Page 150: ...hat the two mounted tubes 3 and 13 are securely locked in position Make sure that the following components are firmly tightened securing screws 6 and 8 and objective lens 7 When attaching any componen...

Page 151: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 151 6 7 3 8 13 1...

Page 152: ...position convenient for you and firmly tighten locking knob 1 After changing the accessories re adjust the friction as required Warning Before every use and after re equipping the system make sure th...

Page 153: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 153 6 7 3 8 13 1...

Page 154: ...s it will go and lock it with cap 1 Connecting the light guide Warning Risk of phototoxic injury to the patient s eye Only operate the VISULUXTM fiber slit lamp with the Superlux Eye light source if t...

Page 155: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 155 1 2 3 4 5 6 7...

Page 156: ...d for this purpose from injuring the pa tient you must attach it to the cable holder of the suspension system Switch off the illumination system for the unneeded light guide by set ting the illuminati...

Page 157: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 157 2 1 3 4 Halogen Xenon...

Page 158: ...device 1 After you have mounted strain relief device 1 the cable must have the following length 320 mm from the strain relief device up to and including power con nector 9 320 mm from the strain reli...

Page 159: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 159 2 3 4 5 6 7 8 9 10 320 mm...

Page 160: ...g chair into con nector 2 of the suspension system Secure the microscope cable in the cable clip in such a way that it is not stretched or bent when the microscope is turned or tilted Secure the light...

Page 161: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 161 2 3 4 5 6 1...

Page 162: ...oot control panel on one of the cable sup ports and hang the foot control panel on the handle Wind up the power cord on the other cable support Use the maneuvering handle for moving the stand Be caref...

Page 163: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 163...

Page 164: ...wn At the same time turn adjustment screw 2 until you think that the spring force is sufficient to compensate for the weight of the surgical microscope and accessories Note Turning the screw clockwise...

Page 165: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 165 1 2...

Page 166: ...ered Give adjustment screw 1 a few turns to loosen it Press one of the magnetic brake release buttons on the surgical mi croscope and lower the surgical microscope until it can be focused on the surgi...

Page 167: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 167 1...

Page 168: ...ured from the handle to the floor When you release the handle 4 the lift arm 3 is locked in the work ing position 1 Standby position Press the release key of the magnetic brakes on the surgical micro...

Page 169: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 169 1 2 5 3 4 5 3 4...

Page 170: ...l is reached Halogen adjustment range 0 5 10 Xenon adjustment range 0 5 10 Warning Too much light intensity brightness setting is too high or excessive radi ation exposure times may lead to retinal in...

Page 171: ...the eyepieces from the microscope body and point them at a distant ob ject i e use them like a pair of bi noculars The image of the object is still unsharp Turn the diopter scale on the eyepiece slow...

Page 172: ...beam path the microscope is in the correct working position the patient s eye must correspond with the optical axis of the microscope Optimization on the monitor For optimum visualization of the red r...

Page 173: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 173...

Page 174: ...is position The gear drive is self locking Warning To prevent the integrated assistant s microscope from moving down ward of its own accord when the main microscope is being tilted the integrated assi...

Page 175: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 175 1 2...

Page 176: ...and sterilized before each use This also applies to the first use after de livery The following asepsis caps can be fitted on the controls of the surgical mi croscope and tube 1 Sterilizable cap for t...

Page 177: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Preparations 177 2 3 1 3 2 3 3...

Page 178: ...178 Preparations G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009...

Page 179: ...009 Operation 179 Operation Checklist 180 When using a wide angle observation system e g BIOM 3 183 Positioning the S88 floor stand 184 Using the display and key field 186 General functions 186 Operat...

Page 180: ...cking the surgical microscope Check the zoom function Press the appropriate button on the foot control panel Check the focusing function Press the appropriate button on the foot control panel Friction...

Page 181: ...he lamp brightness display shows the minimum level 0 5 after power on of the system Change the lamp brightness across the entire control range and check that brightness variation has an effect on the...

Page 182: ...ed to move the arm up or down must be the same Limitation of downward travel The minimum working distance height from the surgical field has been set using the adjustment screw for limiting downward t...

Page 183: ...rgical microscopes described in this manual Warning With the wide angle observation system swung out of position always position the microscope body in such a way that index dot 1 of the microscope s...

Page 184: ...er Relocating the stand page 162 Unlock brake tab 2 Use maneuvering handle 1 to move the stand to the site of use Make sure that movement is not obstructed by the power cord and the cable of the foot...

Page 185: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Operation 185 1 2...

Page 186: ...E key also brings you back from the speed mode to the basic mode In the configuration modes use the MODE key to return to the basic mode STORE key The function of the STORE key is dependent on the sur...

Page 187: ...MANUAL blinks in the third display The surgical microscope can no longer be operated via the foot control panel the handgrips or the display and key field In the manual mode you can only switch the i...

Page 188: ...soon as you have entered a parameter setting it is saved under the current user ID Note If possible each user should be assigned his own user ID under which he can enter and save his specific paramet...

Page 189: ...can only be operated manually However you can still release the magnetic brakes using the appropriate button on the left and right handgrips of the microscope When you press the MANUAL button the sur...

Page 190: ...C PHOTO FOOT RIGHT D PHOTO MODE STORE MANUAL MODE STORE MANUAL FOCUS SPEED 6 0 ZOOM SPEED 5 0 XY SPEED 6 0 Basic mode Basic mode Speed mode Configuration mode 1 Configuration mode 2 SPEED FUNCT HIGH S...

Page 191: ...een assigned to one of these keys in configuration mode 1 You can also set the stored zoom value using the RESET key on the X Y coupling Caution Be extremely careful when changing these settings You s...

Page 192: ...es Halogen 0 5 10 in steps of 0 5 Xenon 0 5 10 in steps of 0 5 Warning Too much light intensity brightness setting is too high or excessive radi ation exposure times may lead to retinal injury in the...

Page 193: ...e emitted and the xenon lamp is lit when the system is switched on this indicates a malfunction of the Superlux Eye light source Attach a sign to the system stating it is out of order and contact our...

Page 194: ...has to be precisely positioned to ob tain a sharply defined image and the X Y coupling needs to be precisely adjusted within a narrow range to reach the position required A low ad justment speed is t...

Page 195: ...u should change settings only under your own user ID Notify all users of any changes or make sure that each user only works under his own user ID Path To return to the basic mode press the MODE key in...

Page 196: ...the possible functions to key D of the foot control panel Display Function of button C or D of the foot control panel XY RES RESET of XY recentering and focus XYZ RES Recentering of XY reset of focus...

Page 197: ...ID Notify all users of any changes or make sure that each user only works under his own user ID Saving parameter settings As soon as you have entered a parameter setting it is saved under the current...

Page 198: ...ton for more than 2 seconds to save a new focus position A beep sounds when the position has been saved To move to a saved focus position briefly press the appro priately configured button for less th...

Page 199: ...or this purpose It is therefore a useful feature that the adjustment speed of the focus and X Y coupling can be varied in accordance with the zoom setting The instrument has been factory adjusted for...

Page 200: ...y under your own user ID Notify all users of any changes or make sure that each user only works under his own user ID Saving parameter settings As soon as you have entered a parameter setting it is sa...

Page 201: ...ent can be unlocked separately For this purpose you must turn the left handgrip 1 or the right handgrip 2 to the left or right To release the magnetic brakes for X Y movement only Turn the left handgr...

Page 202: ...T Issue 4 0 Printed on 02 02 2009 Path To return to the basic mode press the MODE key in the configu ration mode or do not press any key for 20 seconds To access the next configuration mode 3 simulta...

Page 203: ...the values recom mended by Carl Zeiss in the table Maximum radiation exposure times on page 29 Check the system using the checklist Swing the surgical microscope over the surgical field into an ergon...

Page 204: ...nst unnecessary blue radia tion and permits the radiation exposure time to be increased by factor 3 Select the magnification required zoom Look through the eyepieces of the binocular tube Adjust the e...

Page 205: ...l 212 Failure of the focusing function 212 Failure of magnetic brakes 214 Failure of the X Y coupling 214 Failure of the zoom function 215 Causes of malfunctions and remedies 216 Malfunctions in the s...

Page 206: ...amp fails Open flap 3 and yellow indicator lamp 7 indicate that the backup lamp is being used Manual switching to the backup lamp Press button 4 to manually activate the backup lamp If the backup lamp...

Page 207: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 What to do in the event of malfunctions 207 7 6 1 2 3 4 5...

Page 208: ...patient nor the user is put at risk by fall ing items Do not continue using the system if the lamp module is jammed or the illumination is no longer operational due to defective electronics mod ules...

Page 209: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 What to do in the event of malfunctions 209 2 4 1 5 3...

Page 210: ...pen lamp module 2 as follows Press button 4 The lamp module is slightly ejected Pull out the lamp module as far as it will go Turn knob 1 through 180 until it snaps in This swings the second xenon lam...

Page 211: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 What to do in the event of malfunctions 211 2 4 1 5 3...

Page 212: ...longer possible Note When the manual function has been activated all electrical control sys tems are inoperative The lamp brightness is automatically adjusted to a fixed setting Failure of the focusin...

Page 213: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 What to do in the event of malfunctions 213 1...

Page 214: ...the magnetic brakes Failure of the X Y coupling Failure of the X Y coupling Motorized control of the X Y coupling is not possible Press the Manual button Manually position the surgical microscope usin...

Page 215: ...ible Press the Manual button Use zoom adjustment knob 1 of the microscope to manually set the magnification required if necessary use a tool e g a screwdriver coin etc Malfunction of the zoom function...

Page 216: ...surgical microscope T Problem Possible cause Remedy See No function at all Power plug of suspension system not inserted Plug in the power cord Power switch of suspension system not switched on Press...

Page 217: ...sing an OR illuminator Contact service dept Focusing system inopera tive Focusing system does not work or moves to upper or lower end position Use suspension arm to set correct focal plane Contact ser...

Page 218: ...will go page 154 Failure of suspension system electronics Illuminate surgical field using an OR illuminator Contact service dept Lamp module in suspension system has no contact Insert lamp module as...

Page 219: ...ew button to deactivate the function Problem Possible cause Remedy See Problem Possible cause Remedy See No function at all Line power failure Contact in house electri cian Power switch of suspension...

Page 220: ...ng con trol on suspension system or foot control panel page 170 Switch off light source on suspension system Illuminate surgical field using an OR illuminator Contact service dept Lamp brightness cann...

Page 221: ...emitted when suspension system is switched on Superlux Eye light source is defective Read chapter Malfunction of the Superlux Eye light source If the malfunction cannot be corrected attach a sign to...

Page 222: ...urce is present on the VGA port and no au tomatic image adjustment has been performed Perform automatic image adjustment page 114 Image is too dark or too bright A signal source is present on the VGA...

Page 223: ...amp has failed Change lamp or insert backup lamp module page 232 Ceramic base does not have proper contact with halogen lamp Plug ceramic base firmly onto contacts of halogen lamp page 232 Lamp module...

Page 224: ...t working Thermal cut out activated Remove the cause of over heating For example drapes could be covering the grid When the lamp module has cooled down the illumination switches on again Selector set...

Page 225: ...h off illumination on suspension system Illuminate surgical field using an OR illuminator Contact service dept No surgical field illumina tion Xenon lamp does not ignite Switch off illumination on sus...

Page 226: ...226 What to do in the event of malfunctions G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009...

Page 227: ...d on 02 02 2009 Care and maintenance 227 Care and maintenance Care of the unit 228 Sterilization 229 Disinfecting the control keys 230 Changing the halogen lamp 232 Changing the Superlux Eye xenon lam...

Page 228: ...from dust Always store optical components and accessories in dust free cases when they are not being used Clean the external surfaces of optical components as required Caution Do not use any chemical...

Page 229: ...d by wiping with a moist cloth Do not use any aggressive or abrasive cleaning agents Wipe off any residue with a mixture of 50 ethyl alcohol and 50 distilled water plus a dash of household dish washin...

Page 230: ...Melsungen AG Warning Use MELISEPTOL in accordance with the manufacturer s specifica tions and observe the instructions for use provided with the product Wear disposable plastic gloves to prevent skin...

Page 231: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Care and maintenance 231...

Page 232: ...dule provided ready at hand For this reason always make sure before surgery that the halogen lamps in the backup lamp module are intact Plug ceramic base 8 onto the contact pins of the new halogen lam...

Page 233: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Care and maintenance 233 3 1 2 6 7 5 8 4...

Page 234: ...wing points First switch off the suspension system at the power switch Only change the lamp module after it has cooled down completely In the event of a malfunction there is a risk of explosion due to...

Page 235: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Care and maintenance 235 3 4 5 2 1...

Page 236: ...until the required friction has been obtained Firmly retighten securing screw 4 on the carrier arm by turning it clockwise using an M2 5 hex key Reattach plastic cover 2 Readjusting the gas pressure...

Page 237: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 Care and maintenance 237 1 6 2 3 5 4...

Page 238: ...238 Care and maintenance G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009...

Page 239: ...ssue 4 0 Printed on 02 02 2009 System data 239 System data Technical data 240 Magnifications Fields of view 256 Ordering data 257 Spare parts 259 Disposal 260 Ambient requirements 261 CE conformity 26...

Page 240: ...position of the focusing range Objective lens focal length f 200 mm option f 175 mm Tubes Eyepieces Main microscope 180 tiltable binocular tube f 180 mm 12 5x widefield eyepieces option 10x with mag n...

Page 241: ...locking gear drive manually adjustable using a knob Tilt angle 90 X Y coupling Adjustment range max 40 mm x 40 mm Automatic centering at the press of a button Weight with coobservation tube Approx 13...

Page 242: ...ical data Suspension arm Length 850 mm Swivel angle 320 Vertical lift 360 mm Carrier arm Length 450 mm Swivel angle 320 Stand height 1880 mm Base 805 x 805 mm length x width Admissible max load on sus...

Page 243: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 System data 243...

Page 244: ...let 115 230 VAC max 5 A Power outlet 115 230 VAC max 2 A Via power switch X Y coupling Surgical microscope Remote control socket for an external signal of a maximum of 24 V 0 5 A Electrical standard C...

Page 245: ...ic illumina tion system Xenon short arc reflector lamp Color temperature approx 5000 K Rated power approx 180 W Blue barrier filter retina protection filter HaMode filter or fluorescence excitation fi...

Page 246: ...ode Resolution Refresh rate HZ Description 640 x 480 50 640 x 480 60 NTSC 720 x 576 50 PAL 720 x 576 60 Resolution Refresh rate HZ Description 640 x 480 50 640 x 480 60 720 x 576 50 720 x 576 60 800 x...

Page 247: ...ystem data 247 Monitor arm Mechanical data Suspension arm Length 354 mm Swivel angle 360 Vertical lift 220 mm Carrier arm Length 180 mm Swivel angle 90 Admissible max load on the monitor arm 9 0 kg To...

Page 248: ...ivel angle of control panel 180 90 Superlux Eye light source with integrated hal ogen light source option Swivel angle of control panel 35 Lift and carrier arms Length 1000 mm Swivel angle 270 Recomme...

Page 249: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 System data 249 1000 mm max 930 mm 270 90 360 mm 360 mm ca 1750 mm max 350 max 700 mm 270 35...

Page 250: ...e control socket for an external signal of a maximum of 24 V 0 5 A Electrical standard Complying with IEC 60601 1 EN 60601 1 UL 60601 1 CAN CSA C22 2 No 601 1 M90 Protection class I degree of protecti...

Page 251: ...les for one light guide with blue barrier filter retina protection filter and KK40 filter to increase the color temperature fully automatic lamp change when the first hal ogen lamp fails Fiber optic i...

Page 252: ...360 mm Swivel angle of control panel 180 90 Superlux Eye light source with integrated hal ogen light source option Swivel angle of control panel 35 Carrier arm Length 600 mm Swivel angle 270 Recommen...

Page 253: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 System data 253 600 mm max 930 mm 270 270 90 360 mm 360 mm max 350 35...

Page 254: ...te control socket for an external signal of a maximum of 24 V 0 5 A Electrical standard Complying with IEC 60601 1 EN 60601 1 UL 60601 1 CAN CSA C22 2 No 601 1 M90 Protection class I degree of protect...

Page 255: ...les for one light guide with blue barrier filter retina protection filter and KK40 filter to increase the color temperature fully automatic lamp change when the first hal ogen lamp fails Fiber optic i...

Page 256: ...eye 12 5 x The resulting total magnification is If the total magnification MT of the surgical microscope is known the field of view diameter FoVD can be calculated using the formula The field of view...

Page 257: ...be 303797 9120 000 Invertertube for assistant s microscope 303797 9130 000 45 inclined tube option 303784 0000 000 180 tiltable binocular tube option 303791 0000 000 10x eyepieces 2 units 305542 0000...

Page 258: ...n exchange for a returned xenon lamp module with defective xenon lamps 304977 9036 700 Complete xenon lamp module with 2 xenon lamps for Superlux Eye new component 304977 9036 000 Upgrade kit for retr...

Page 259: ...terilizable caps for knobs internal diameter 22 mm pack of 6 305810 9001 000 Sterilizable caps for handgrips pack of 6 305810 9010 000 Description Cat No For 180 tiltable tube Sterilizable cap for PD...

Page 260: ...local dealer or the device manufacturer or its legal successor Please also note the manufacturer s topical information on the internet In the event of resale of the product or its components the selle...

Page 261: ...lt of ongoing technical development For operation Temperature Rel humidity Air pressure 10 C 40 C 30 75 700 hPa 1 060 hPa For transportation and storage Temperature Rel humidity without condensation A...

Page 262: ...262 System data G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009...

Page 263: ...e lamp brightness 170 Adjustment range motor speed 170 Adjustment screw for limiting downward movement 98 Adjustment speeds setting 194 Ambient requirements 261 Angle of illumination 26 Anti fogging a...

Page 264: ...displays connections 64 Counter 88 Crushing and collision risk of 110 D DeepView 68 Description 51 144 Description of the modules 54 Diagnostic purposes do not use video images 112 Diopter scale 76 Di...

Page 265: ...uspension systems 98 Illumination characteristics 26 Illumination intensity 26 Illumination settings as per DIN EN ISO 15004 2 29 Illumination systems lamp 1 and lamp 2 192 Images stored 112 Indicator...

Page 266: ...nt of the zoom system 68 Manual function 38 42 MANUAL key 101 187 Manual mode 42 187 Mechanical surfaces cleaning 229 MediLive Trio Eye 110 Microscope accessories changing 152 Mobile phones 21 MODE ke...

Page 267: ...t 126 S88 floor stand with instrument tray option 48 S88 floor stand connection 160 Safety 19 Safety information 20 Safety standards 20 SDI switchover 196 Selector 82 90 96 Service display 189 Spare p...

Page 268: ...ld 186 V Ventilation grid 80 84 92 94 VGA connector 116 Video images not for diagnostic purposes 112 Video images stored 112 VISULAS 532s 110 W What to do in an emergency 206 Wide angle observation sy...

Page 269: ...G 30 1682 en OPMI Lumera T Issue 4 0 Printed on 02 02 2009 269...

Page 270: ...rl Zeiss Surgical GmbH A Carl Zeiss Meditec Company 73446 Oberkochen Germany Fax 49 0 7364 20 48 23 Email surgical meditec zeiss com Internet www meditec zeiss com G 30 1682 en Printed in Germany CG S...

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