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___________________________________________________________________________

_______ 

ESIRIS -

- Version 1.0  Date: 22.09.00 

 

 

Controlling 

The system controlling is located inside the device tower besides the patient bed. It 
includes all voltage delivery units, input fuses and the control computer. Monitor and 
using keyboard are located at the front-wall of the 

ESIRIS

 

The controller can easily interact with the 

SCHWIND ESIRIS

 through input keyboard 

and monitor. Inputs into the computer are menu controlled, so that input mistakes 
can be avoided mostly. Release of treatment procedure is done with the footswitch. 

 

Patient Bed 

The patient bed should enable a simple way of exact and stable storing of the patient 
as well as the adjustment of the treated eye at the ablation area.  

 

Foot Switch 

The footswitch is used to release the treatment procedure. This switch has two 
switch points to avoid unintentional release of pulses. The treatment procedure can 
be interrupted any time by releasing the footswitch. The program remains active, so 
the treatment can be continued afterwards by pushing the footswitch again. 

 

Rinsing of Optical Beam Delivery System 

Radiation of ArF Excimer laser is 193 nm, and so it is at the outer limit of spectrum 
area of ultra violet that is air transmitted. Partially absorption through air oxygen 
lowers the radiation noticeably and ozone is produced. This would damage the 
optical components, if it would accumulate inside the delivery system. Based on this, 
it is useable to flood the way of radiation with an oxygen poor gas, which is also good 
transparent at 193 nm. 

 

For rinsing, nitrogen with a quality of 5.0 has been proved as very good. Nitrogen can 
be stored and transported easily in pressure bottles, is in a low price limit and non-
toxic. 

For optimising consumption of rinsing gas, the gas flow is controlled automatically 
inside the containment of optical system. A flow control checks the nitrogen flow. If 
the gas is getting empty inside the pressure bottle, the monitor of the control unit 
displays a message.  

 

Содержание ESIRIS

Страница 1: ...EXCIMERLASER ESIRIS SERVICE MANUAL Schwind GmbH Mainparkstrasse 6 10 D 63801 Kleinostheim...

Страница 2: ...S SE ER RV VI IC CE E M MA AN NU UA AL L 2 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00...

Страница 3: ...OPTICAL BEAM DELIVERY SYSTEM 15 3 INSTALLATION REQUIREMENTS AND PREPARATIONS 17 WORKING ROOM 17 DIMENSIONS ESIRIS 18 INPUT REQUIREMENTS 19 INSTALLATION AND ROOM PREPARATIONS FOR THE INSTALLATION 20 M...

Страница 4: ...NCE DETECTOR 61 DISMANTLING THE PATIENT BED 61 DISMANTLING LASER 62 7 INSTALLATION OF THE ESIRIS LASER 63 ASSEMBLING THE LASER 63 ASSEMBLING OF THE PATIENT BED 63 ELECTRICAL CONNECTION OF PATIENT BED...

Страница 5: ...ers as positioning and fixation device The output of the fixation laser is below 10 W Therefore it belongs to class 1 which allows an undefined exposition time of the eye The positioning lasers are us...

Страница 6: ...Never put your skin into the laser beam Wear protection glasses Make sure that no reflection devices are placed in the area of the laserbeam Follow the instructions of the trade association VBG 93 Pe...

Страница 7: ...ter of 1 0 mm Output and energy density of beam decreases accordingly with increasing distance from treatment area Protection Glasses All persons inside the room except the patient have to wear protec...

Страница 8: ...ns An unintentional output of working gas is very unlikely Fluoride can be recognised through its pungent smell long before the concentration will come to maximum allowed values for working places In...

Страница 9: ...laser devices for medicine purposes and to put them into circulation Conformity with the construction authorisation of the device according to the MPBetreibV is ensured under the precondition that del...

Страница 10: ...pulsed Pulse energy beam output 15 mJ max Pulse frequency 200 Hz max Pulse duration 8 ns Pulse to pulse stability 5 Power density 1 5 x 105 W m2 Energy density 800 mJ cm2 Beam diameter output 7 x 4 mm...

Страница 11: ...B or more Processor Pentium III 500 MHz or higher Memory 64 MB Monitor 12 1 VGA flat monitor Interlock 1 opener external Monitor output VGA socket Cooling Air Cooling Circulation internal fan Electric...

Страница 12: ...ltraviolet beam If the gas is arranged in an optical resonator of two parallel mirrors the laser effect is achieved and light impulses with very high maximum outputs are beamed The laser gas consumes...

Страница 13: ...ctly check criterions are guaranteed Otherwise damages to the system could be coursed This is to fix into a Service and Maintenance Agreement The gas bottle will be changed by a SCHWIND service engine...

Страница 14: ...are used as positioning laser Therefore they are directed punctually at the eye in an angle from left and right so that the points do cross at exact distance of focus A diode laser beams through the...

Страница 15: ...ntional release of pulses The treatment procedure can be interrupted any time by releasing the footswitch The program remains active so the treatment can be continued afterwards by pushing the footswi...

Страница 16: ...re in this case The pressure bottle with nitrogen has to be changed immediately To avoid a slow loss of nitrogen through little leaks at the valve of the bottle it should be closed while the ESIRIS is...

Страница 17: ...ser is in use A switch which interrupts the laser if the door is opened can be connected through the interlock input at the device But this is only recommended when it is guaranteed that the door is n...

Страница 18: ...VI IC CE E M MA AN NU UA AL L 18 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 Dimensions ESIRIS Picture 2 Dimenstions ESI...

Страница 19: ..._ _______ ESIRIS Version 1 0 Date 22 09 00 Picture 3 Dimensions ESIRIS front Picture 4 Dimensions ESIRIS side Input Requirements SCHWIND ESIRIS needs as electrical input Electric connections 1 2 kVA P...

Страница 20: ...dimentions ideally 12 m Requirements for the floor can be seen in above ground plan drawing Floor requirements Laser system and beam delivery system 250 kg Point weight through supporting feet at the...

Страница 21: ...SIRIS adjusted at 8 l min flow Darkening shutter Air conditioning in countries with temperatures of more than 25o C or differences of more than 10 An air drier is absolutely necessary in countries wit...

Страница 22: ...delivered in two parts packed separately the laser with the optical system the patient bed and containment and necessary spare parts control monitor and keyboard Packing consists of two screwed wooden...

Страница 23: ...owing chapter gives you a description of the service software functions in the ESIRIS software By using the service password the service get following main menu with the pull down menu Extra and Servi...

Страница 24: ...0 last old entries in a separate file with the name logfile date bak This is a normal text file which can be read with any text editor program Menu Parameter In the parameter menu the service can chan...

Страница 25: ...igmatism Laser On the bottom of the formular the service can store the laser energy which is responsible for all treatment methodes The laser frequency is only displayed but not changeable The number...

Страница 26: ...S SE ER RV VI IC CE E M MA AN NU UA AL L 26 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 Picture 9 Distributor adress...

Страница 27: ...te 22 09 00 By using the service menu in the menu task bar the service can use several service functions which are necessary for the adjustment of the laser or to test and check the systems in case of...

Страница 28: ...VI IC CE E M MA AN NU UA AL L 28 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 On the next pages all menus will be explaine...

Страница 29: ...p the service can see the laser type the bios version of the laser and the COM interface The TX RX icons are blinking in case of a right connection between the PC and the laser Pressure On the top the...

Страница 30: ...ysiks for detailed information Errorcode 1 Check error occurred statical error Errorcode 2 Time out error operation error laser device is to be switched off Errorcode 3 Laser head chamber open or temp...

Страница 31: ...ternal energy powermeter error occurred Errorcode 12 HV too high error occurred Errorcode 13 CPU error occured Errorcode 14 HV temperture error occurred Status 2 and Status 3 The Status 2 and Status 3...

Страница 32: ...9 00 Rep Repetition mode ext trigger external trigger is activated Quant Quantity burst mode is activated Watchmode Watchmode is activated RegEn Energy Const mode is enabled Eregakt Current energy set...

Страница 33: ...r has to press the Laser On button After this it is possible to activate different laser modes Modus Intern Trigger Start the internal trigger Extern Trigger Laser is waiting for external trigger Quan...

Страница 34: ...the button the user can switch between both modes Above the current energy or the current HV will be displayed In the nominal HV or energy input mask the user can set different values Attention Please...

Страница 35: ...technical security check Picture 12 Scanner menu In this menu the user has the possibility to set the X and Y offset of the scanner The first X and Y offset is responsible for the zero position of th...

Страница 36: ...photopaper After the procedure the user has to check with a lens meter the distance from one point to the other point and to measure if he has a rectangle of 10 X 10 mm In case it is not ok he has to...

Страница 37: ...S SE ER RV VI IC CE E M MA AN NU UA AL L 37 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 Picture 13 Digital input...

Страница 38: ...___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 Picture 14 Digital output The Output window shows the switchable functions By clic...

Страница 39: ...tainment menu allows the user to switch the gas valves and to do a gas bottle change Picture 15 Gascontainment The digital input window shows the current pressure If the pressure is OK the lamp is lig...

Страница 40: ...ing this button the gas bottle change procedure will be activated Please follow the displayed instructions The current bottle pressure will be displayed in the premix bottle pressure window Menu adjus...

Страница 41: ...ser pulses for watch mode Watchmode Shows the number of pulses the user had done Laser energy Shows the current laser energy Scanner X axis set a drift of the scanner for testing Y axis set a drift of...

Страница 42: ...ter and has the same outlook like in the image above Stop show histogram With this function the intensity and contrast has to be checked On the right side the user can see a standard histogram which i...

Страница 43: ...ter this test the user has to check with a lensmeter if he has such profile If not then the adjustment of the optics has to be checked again Pinhole adjustment By selecting the pinhole adjustment func...

Страница 44: ..._______________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 Menu Technical Secutity Check TSC If the user is selecting this menu he will asked if he had done the T...

Страница 45: ...ection Disregard would invalid warranty Device has been packed properly in perfect condition at factory Transportation damages are in the responsibility of transporting agent In case such damages are...

Страница 46: ...mitted installation starting or use of the device invalidates warranty The service technician inspects the room for necessary installations space voltage connection security regulations and ventilatio...

Страница 47: ...delivery note through the customer Warranty time for SCHWIND ESIRIS lasts 12 months Warranty includes all defects of the device caused through defective parts or manufacturing Further malfunctions th...

Страница 48: ...move the patient bed together with the gas containment from the complete laser system Before disconnecting the gas tube from valve plugs of the Optex laser you have to be sure that no more premix gas...

Страница 49: ...S SE ER RV VI IC CE E M MA AN NU UA AL L 49 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00...

Страница 50: ...press the button Abort to interrupt the whole premix bottle exchange procedure 5 Loosen the connection pig tail to premix bottle with open end wrench 6 Mount screw cab onto Premix gas bottle and pig...

Страница 51: ...gas containment 10 Shut down the PC switch off the system by turning the main key and unplug the power line connection Hint in fact of using an uninterruptable power supply UPS switch it off and also...

Страница 52: ...Use plastic yellow screw cabs to prevent the gas tube 16 Connect again the optical trigger cable and the optical RS 232 cable to the Optex laser 6 2 Unplug electrical connections of patient bed CAN B...

Страница 53: ...S SE ER RV VI IC CE E M MA AN NU UA AL L 53 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00...

Страница 54: ...9 00 2 Then bring back these cables to stick them to the patient bed 3 Afterwards loosen the screw 13 mm key of the earthing socket 6 3 Dismantling of optical parts Dismantling of microscope 1 Loosen...

Страница 55: ..._______________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 Dismantling CCD camera tower 1 Remove the 25 pole plug of the CCD camera 2 Loosen the BNC cable...

Страница 56: ..._________________________ _______ ESIRIS Version 1 0 Date 22 09 00 4 Loosen the 4 screws of the CCD camera tower 5 After removal of the CCD camera tower tighten the screws again with the hands to prev...

Страница 57: ...______________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 8 Fixate the cables at the optical arm with tape Dismantling Scanning mirror 1 Open the...

Страница 58: ...IS Version 1 0 Date 22 09 00 3 Loosen the 4 srews allenwrench 4mm of the scanner and hold the scanner with your hands attention do not touch the mirrors mounted on the galvos 4 After removal of scanne...

Страница 59: ..._____________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00 Nitrogen gas cylinder 1 Unplug nitrogen tube at nitrogen management Dismantle Monitor and Keyboard 1 Loos...

Страница 60: ..._______ _______ ESIRIS Version 1 0 Date 22 09 00 2 Unplug the cables for the keyboard and the trackball at the back side of the PC left keyboard right trackball 3 Unplug VGA connector and pull both ca...

Страница 61: ...keyboard holder with allenwrench 8mm Disconnection of the fluence detector 1 Unplug the fluence cable at the fluence detector 2 Fixate the cable with tape at the system Dismantling the Patient Bed 1...

Страница 62: ...____ _______ ESIRIS Version 1 0 Date 22 09 00 Dismantling Laser 1 The 4 feet of the laser must be screwed up step by step and not one after the other otherwise the laser could cant Danger Screw the fe...

Страница 63: ...otate free 2 Unscrew all 4 wheels and put them away 3 Screw down all the 4 feet step by step not one after the other otherwise the laser could cant Danger Screw the feet down to a distance of 8 cm fro...

Страница 64: ...Date 22 09 00 3 Screw down the 4 feet of the bed until the wheels rotate free unscrew them and put them away 4 Screw down all the 4 feet to a distance of 8 cm from floor to the bottom edge of the lass...

Страница 65: ...S SE ER RV VI IC CE E M MA AN NU UA AL L 65 of 79 ___________________________________________________________________________ _______ ESIRIS Version 1 0 Date 22 09 00...

Страница 66: ...1 First put all the cables and light fibers through the laser rack 2 Connect the following cables 24 VDC Gas 9 pin Sub D Connector CAN Gas M Patient bed T RS 232 cable of patient bed controller to CO...

Страница 67: ...Version 1 0 Date 22 09 00 Assembling of Monitor and Keyboard 1 Assemble the metal arm for the table of monitor and keyboard to the laser rack 2 Build in the monitor and keyboard in the table and thre...

Страница 68: ...RIS Version 1 0 Date 22 09 00 3 Connect the keyboard to the according jacks at the back side of the PC left keyboard right mouse Connect the monitor cable to the according jack at the back side of the...

Страница 69: ...era Tower 1 Remove tape of the cable of the camera tower 2 Remove dust cover of radiation exit aperture 3 Remove tape of the camera aperture on the laser arm 4 Remove the four screws for the camrea to...

Страница 70: ...0 Assembling the Scanner 1 Remove the tape of both apertures at laser and scanner 2 Connect scanner with four screws to the laser arm 3 Connect the cables of the scanner to the cables that come out of...

Страница 71: ...as pipe 2 Remove yellow protection cap from the valve block of the Optex laser 3 Connect the gas pipe from the gas containment with the the valve block of the Optex laser and tighten it using the scre...

Страница 72: ...___________________ _______ ESIRIS Version 1 0 Date 22 09 00 10 Connect the ESIRIS to the UPS and switch it on with the main key switch Log in with service authority 11 Choose menu SERVICE gas contain...

Страница 73: ...he center of the tube opening behind the 2nd mirror 3 Insert the 1st lense and check if the beam is still in the center 4 Insert all the other parts into the optical tube integrator pinhole 2nd mirror...

Страница 74: ...the bounding of the corneal surface or to rise it If furthermore an astigmatism should be corrected the bounding of the cornea has to be changed differently in two meridians Picture 17 Schematic draw...

Страница 75: ...ecessary For adaptation of power density which influences an area element to an angle of incidence it is enough to take the norm bending radii of cornea R 7 8 mm A2 Correction of Myopia Geometric rela...

Страница 76: ...d of single ablation zones is pre set through diameter input into the software Appendix B Beam Delivery System B1 Optical System The beam delivery system forms the beam of the excimer laser in the req...

Страница 77: ...and comes then to the 2 bending mirror and is changed to 90 Through a further lens which enlarges the beam the beam comes to a scanning mirror Then the beam is enlarged through two further lenses unti...

Страница 78: ...under control of the operating microscope with two red pilot laser beams one from the left and one from the right which are directed to the cornea in an angle They meet at the cornea at the working d...

Страница 79: ...or room dimsions ideally 12m 20 Picture 6 Truck Dimension 22 Picture 7 Main menu 23 Picture 8 Parameter menu 24 Picture 9 Distributors adress 25 Picture 10 Service Menue 26 Picture 11 Laser menu 27 Pi...

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