Zeiss VISU 200 Page 9 Instructions For Use Manual Download

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G-30-1439-en

OPMI® VISU 200 BrightFlex™ Surgical Microscope

Issue 3.0

Printed on 21. 11. 2002

Safety

Safety

Directives and standards

Notes on installation and use

When using a fundus imaging system (e.g. BIOM II)

Phototoxic retinal injury in eye surgery

Warning labels and notes

Summary of Contents for VISU 200

Page 1: ...OPMI VISU 200 BrightFlex Surgical Microscope Instructions for use G 30 1439 en Issue 3 0 Printed on 21 11 2002...

Page 2: ......

Page 3: ...ription 19 VISU 200 BrightFlex Surgical Microscope 20 Intended use 20 Description of the modules 20 Illumination system 28 Controls displays connections 30 Hand grips option 38 Tube and eyepieces for...

Page 4: ...of zoom system 59 Failure of X Y coupling 60 Failure of focusing system 60 Maintenance Further information 61 Trouble shooting table 62 Magnifications Fields of view 64 Care of the unit 65 Sterilizat...

Page 5: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Functions at a glance 5 Functions at a glance VISU 200 BrightFlex surgical microscope 6 Key to symbols 7...

Page 6: ...the magnification factor of the zoom system Page 32 7 Setting the red reflex illumination 2 and 2 Page 28 8 Releasing the magnetic brakes of the suspension system Page 32 9 Changing the magnification...

Page 7: ...e symbols are explained in the following Warning 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 ind...

Page 8: ...8 Functions at a glance G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002...

Page 9: ...al Microscope Issue 3 0 Printed on 21 11 2002 Safety 9 Safety Directives and standards 10 Notes on installation and use 11 When using a fundus imaging system e g BIOM II 14 Phototoxic retinal injury i...

Page 10: ...erated properly Please read through this manual carefully before turning the instrument on Also read through the user s manuals of the other equipment used with this in strument You may obtain further...

Page 11: ...connectors are damaged have our service representative repair them Potential equalization The instrument can be incorporated into poten tial equalization measures For this purpose contact our service...

Page 12: ...ce work If a failure occurs which you cannot correct using the trouble shooting table attach a sign to the instrument stating it is out of order and con tact our service representative Requirements fo...

Page 13: ...oking directly into the light source e g into the microscope ob jective lens or a light guide Any kind of radiation has a detrimental effect on biological tissue This also applies to the light illumin...

Page 14: ...dy in such a way that index dot 1 of the micro scope s focus is in the middle of triangle 2 of the marking Select a medium magnification e g 1 0 Lower the surgical microscope towards the surgical fiel...

Page 15: ...hanged appearance of anatomical structures Intensity of illumination The majority of researchers suggest that the surgeon should use the lowest light intensity necessary to guarantee good viewing duri...

Page 16: ...ope This device ensures total eclipsing of the pupil preventing light from entering into the patient s eye It can be swung out when a red reflex is required Intensity scale The intensity scale of our...

Page 17: ...he illumination of the surgical area to the extent required for the patient s safety and for microscopic visualization Tilting of the microscope body as required Insertion of the retinal protection de...

Page 18: ...pe Issue 3 0 Printed on 21 11 2002 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...

Page 19: ...02 Description 19 Description VISU 200 BrightFlex Surgical Microscope 20 Intended use 20 Description of the modules 20 Illumination system 28 Controls displays connections 30 Hand grips option 38 Tube...

Page 20: ...e X Y coupling allows fine motorized positioning of the surgical mi croscope in a horizontal plane The range of travel is 40 mm x 40 mm The speed of travel can be set on the display field of the suspe...

Page 21: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 21 1...

Page 22: ...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 procedure Two apochromatic objective lens...

Page 23: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 23 2 3...

Page 24: ...line can be optionally connected to the VISU 200 surgical microscope The light loss for the sur geon is only 20 and cannot be perceived subjectively Caution Avoid looking directly into the light sour...

Page 25: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 25...

Page 26: ...is being tilted the assistant s microscope must be adjusted and locked in position using screw 5 before surgery The assistant s microscope is equipped with a focusing system and a 5 step magnification...

Page 27: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 27 4 5...

Page 28: ...r cataract surgery we recommend opening the 6 illumination system approx 25 2 illumination You can switch the illumination from 2 to 2 This ensures good visi bility of the red reflex even when the pat...

Page 29: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 29 1 2 3...

Page 30: ...ification factor if the XYZ RES function has been activated possible with S8 suspen sion systems only Note Press this button to start the recentering movement To stop this movement press the button ag...

Page 31: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 31 1 3 4 5 6 7 8 2...

Page 32: ...th magnetric brakes A second button with the same function is located on the opposite side in the knob for the additional red reflex illumination 11 Maneuvering grip including release button See 10 12...

Page 33: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 33 11 12 13 10 9...

Page 34: ...ion is located in maneuvering grip 10 17 Securing screw for locking the assistant s tube within its 12 range of movement 18 Binocular tube of the assistant s microscope 19 Focusing knob for adjusting...

Page 35: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 35 14 15 16 17 18 19 20 21...

Page 36: ...positions on the right and left of the main microscope Warning To prevent the assistant s microscope from moving downward of its own accord when the main microscope is being tilted the assistant s mi...

Page 37: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 37 22 23 25 24...

Page 38: ...gical microscope is slightly changed 1 Maneuvering grip with integrated release button By turning one of the two maneuvering grips you will activate the button for magnetic brakes of the suspension sy...

Page 39: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 39 1 2 1...

Page 40: ...ments where there is any risk of magnetization Do not place eyepieces on sensitive electronic instruments such as in fusion pumps cardiac pace makers measuring instruments or mag netic data carriers s...

Page 41: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 41 1 2 4 5 6 3...

Page 42: ...g instruments or mag netic data carriers such as disks audiotapes and videotapes or credit cards Always store the eyepieces in their original packaging when not in use 8 Eyecup Always adjust the eyecu...

Page 43: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Description 43 7 8 9 10 11...

Page 44: ...44 Description G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002...

Page 45: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Preparations for use 45 Preparations for use Mounting the binocular tubes eyepieces and the objective lens 46...

Page 46: ...roscope and tighten securing screw 7 firmly You can install other units between the binocular tube and the micro scope body e g an optical wedge 30 Lock these units in position in the same way using s...

Page 47: ...21 11 2002 Preparations for use 47 Caution Before using and after re equipping the unit make sure that the two bin ocular tubes 2 and 10 are securely locked in position Make sure that securing screws...

Page 48: ...48 Preparations for use G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002...

Page 49: ...s for use 50 Adjusting the tilt angle 50 Setting the microscope tilt to angles greater than 15 52 Adjusting the surgical microscope 53 Checklist 54 When using a fundus imaging system e g BIOM II 56 Pr...

Page 50: ...ownward of its own accord when the main microscope is being tilted the assistant s microscope must be adjusted and locked in position using screw 2 before surgery Check that the assistant s microscope...

Page 51: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Operation 51 2 1...

Page 52: ...right of the main microscope Check that the assistant s microscope is firmly seated Remove the binocular tube and all accessories mounted on the assist ant s microscope Remove all accessories mounted...

Page 53: ...Stop turning the ring If necessary repeat this procedure three times and take the average of the readings found Adjust the second eyepiece in the same manner Focus the surgical microscope on the objec...

Page 54: ...l Friction adjustment of the surgical microscope Check that the friction of the surgical microscope s rotation has been adjusted as required using the friction adjustment knob on the suspen sion syste...

Page 55: ...me throughout the entire magnifica tion range Accessories Using the relevant user s manuals check that the other equipment il lumination system video system etc is working properly Warning If a functi...

Page 56: ...rtified by the manufacturer for combi nation with the surgical microscope described in this manual Caution With the fundus imaging system swung out of position always position the microscope body in s...

Page 57: ...zoom function on the foot control pan el For coarse focusing look through the eyepieces and lower the surgi cal microscope using the suspension arm until the surgical field comes into focus Select th...

Page 58: ...ghtness level for the patient s eye always take care to keep the strain on the patient s eye to a minimum If the red reflex is not necessary move the retinal protection device into the beam path Only...

Page 59: ...urgical Microscope Issue 3 0 Printed on 21 11 2002 Operation 59 What to do in an emergency Failure of zoom system Manually adjust the magnification using zoom control 1 on the micro scope if necessary...

Page 60: ...anually position the surgical micro scope utilizing the possibilities of the suspension system you are us ing Failure of focusing system Disconnect the cable between the surgical microscope and the su...

Page 61: ...ssue 3 0 Printed on 21 11 2002 Maintenance Further information 61 Maintenance Further information Trouble shooting table 62 Magnifications Fields of view 64 Care of the unit 65 Sterilization 66 Orderi...

Page 62: ...htFlex Surgical Microscope Problem Possible cause See No function at all Power cord of suspension system not plugged in Plug in power cord Power switch of suspension system not on Press power switch G...

Page 63: ...Zoom function inoperative Connectors on suspension system not correctly in serted Plug in connectors correctly Zoom system always moves into upper or lower end posi tion Check suspension system Manual...

Page 64: ...mm fobj 200 mm 1 6 and Meye 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 f...

Page 65: ...eaned when required Do not use any chemical cleaning agents Blow off dust on the optical surfaces using a squeeze blower or re move the dust using a clean and grease free brush Fogging of optical surf...

Page 66: ...ommend the following program for sterilization Sterile single use drapes are available to cover the instrument Note When draping the system make sure there is enough slack in the drapes to allow for m...

Page 67: ...ightFlex Surgical Microscope Description Cat No VISU 200 BrightFlex surgical microscope including X Y coupling and assistant s microscope 1179 101 180 tiltable tube 30 37 91 0000 10x eyepiece for assi...

Page 68: ...erate the instrument with the accessories included in the delivery package If you want to use other accessories make sure that Carl Zeiss or the manufacturer of the accessories has proved and confirme...

Page 69: ...Flex Surgical Microscope Description Cat No 1 Objective lens f 200 mm 30 26 52 9903 2 Optical wedge 30 1006 145 3 Sleeve for insertion of eyepiece 4 30 55 42 0107 4 10x eyepiece with magnetic coupling...

Page 70: ...al microscope to different types of suspension system Cat No 1 EMD II Electromechanical Ceiling Mount 30 26 02 9053 1 S3 Ceiling Mount 30 26 02 9053 2 S4 Ceiling Mount 30 26 02 9054 1 S23 Ceiling Moun...

Page 71: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 Technical data 71 Technical data Technical data 72 Ambient requirements 74...

Page 72: ...on f 200 mm Tubes Eyepieces Main microscope 180 tiltable binocular tube f 170 mm 12 5x screw type widefield eyepieces option 10x Assistant s microscope 5 step magnification changer separate fine fo cu...

Page 73: ...No DE 33 39 17 2 C2 Patented field stop for reduced glare Pat No G 91 03 43 3 7 Front to back tilt of microscope With self locking gear drive manually adjustable using a knob Tilt angle 180 Swivel ra...

Page 74: ...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 Air pressure 40 C 70 C 10 100 500 hPa 1...

Page 75: ...50 Ambient requirements 74 Angle of illumination 15 Anti fogging agent 65 Arrows indicating the focusing range 30 Assistant s microscope 0 26 B Binocular tubes eyepieces and objective lens mounting of...

Page 76: ...ion 38 I Illumination characteristics 15 Installation notes 11 Instrument class 10 Instrument connector 30 Intensity of illumination 15 Intensity scale 16 ISO 10936 2 draft for surgical microscopes us...

Page 77: ...38 Re equipping the instrument 12 Release button for magnetic brakes 34 38 Requirements for operation 12 Risk of collision 14 56 S Safety 9 10 Safety check 12 62 Safety standards 10 Spare parts 68 Sp...

Page 78: ...78 Index G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 X X Y coupling 20 30 X Y coupling failure 60...

Page 79: ...G 30 1439 en OPMI VISU 200 BrightFlex Surgical Microscope Issue 3 0 Printed on 21 11 2002 79...

Page 80: ...Carl Zeiss Surgical Products Division 73446 Oberkochen Germany Fax 49 0 7364 20 4823 E mail surgical zeiss de www zeiss com surgical G 30 1439 en Printed in Germany MS TD...

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