Version 11.0
G-30-1435-en
Page 21
S7 / OPMI PROergo
Safety measures
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The size of the luminous field influences the risk of injury in two respects:
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With a large illuminated-field diameter, areas of the skin are
illuminated which are not monitored as strictly by the surgeon and
which are not moistened sufficiently. These areas are particularly
exposed to the risk of injury. Such injuries can be prevented by
adjusting the luminous field size to the smallest size required for that
particular operation.
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If the luminous field is reduced in size, the intensity increases because
the light is more strongly focused. So, if possible, the intensity should
be lowered as soon as the size of the luminous field is reduced.
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A long surgical procedure increases the risk of injury, in particular if
a standard procedure takes considerably longer than usual.
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Injuries in the peripheral area can be prevented by covering this area with
wet, sterile gauze. The risk is increased if dry drapes are used to cover such
areas.
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The interaction of heat and antimicrobial substances in incision foils may
lead to an increase in the patient's reaction to these substances.
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It should also be considered that some areas of the body may be more
sensitive than others.
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Certain preparations of the surgical field, local vasoconstrictive
medications and incision drapes may also result in a higher risk of injury.
Patient-related factors
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The general condition of a patient's health may contribute to the risk of
injury.
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The skin type may also play a major role for the risk of injury.
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Certain medications also affect the sensitivity to light.
Recommendations
Due to the large number of different factors involved and the lack of scientific
publications on this topic, ZEISS cannot provide guidance on acceptable
illumination intensities and exposure durations. However, the surgical
microscope has several features that can help the user to reduce the risk of
burn injuries:
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