Zeiss VISULAS YAG III Скачать руководство пользователя страница 108

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Optional accessories

000000-1272-175-GA-GB-060613

102

Contact lenses

WARNING - RISK OF LASER RADIATION
Always hold the contact lens at right angles to the laser beam. Incorrect

positioning of the contact lens will cause distortion of the laser focus. This

can lead to unwanted side effects.
Never trigger the laser if the aiming beam is not clearly visible in the target

area.
A 90 D contact glass (Volk lens) may not be used together with the laser slit

lamp.

Always use the correct contact lens for the intended application.

Содержание VISULAS YAG III

Страница 1: ...VISULAS YAG III Documentation set...

Страница 2: ...ncorporating any links Carl Zeiss Meditec AG checks their content to ensure that it is not likely to result in civil or criminal liability It does not however continuously check for any changes which...

Страница 3: ...SULAS YAG III 000000 1272 175 GA GB 060613 Appendix VISULAS YAG III stand alone operation Quick instructions 000000 1272 175 KurzGA01 GB 070513 VISULAS YAG III combination mode Quick instructions 0000...

Страница 4: ......

Страница 5: ...VISULAS YAG III User manual...

Страница 6: ...000000 1272 175 GA GB 060613...

Страница 7: ...nd safety instructions 16 General notes 16 Safety officer 17 Laser safety goggles 18 Patient safety 19 Explosion and fire hazards 19 Dangers caused by direct irradiation and reflection 20 Performance...

Страница 8: ...i and VISULAS Trion Combi 53 Data display in the ACCENTO eyepiece 54 ACCENTO foot switch 55 Daily use 56 Switching on 56 Function test 57 Operation of the device 58 Laser treatment using VISULAS YAG I...

Страница 9: ...VISULAS Trion Combi 92 Replacing the fuses 94 Replacing the fuse on the VISULAS YAG III laser console 94 Replacing the halogen bulb in the laser slit lamp 95 Maintenance and care 97 Care and cleaning...

Страница 10: ...d therefore ensure that you are thoroughly familiar with this user manual before setting up and using the VISULAS YAG III the first time The user manuals and other documentation enclosed with the VISU...

Страница 11: ...ation in this user manual and on instrument labels WARNING Indicates a hazardous situation which may result in fatal or serious bodily injury if the appropriate safety precautions are not heeded CAUTI...

Страница 12: ...components VISULAS YAG III laser console LSL YAG III laser slit lamp Straight binocular tube f 140 mm 2 eyepieces 10x Head restrainer for VISULAS laser Armrest height adjustable Dust cover Fixation la...

Страница 13: ...to be found in section Technical data page 104 The device VISULAS YAG III complies with EU Medical Device Directive 93 42 EEC and its national implementation in the form of the German Medical Product...

Страница 14: ...the VISULAS Trion user manual must be observed The user is liable for any use of the device other than intended Side effects contraindications The VISULAS YAG III should not be used in cases of retin...

Страница 15: ...adhere to the national qualification guidelines applicable in your country The VISULAS YAG III may only be operated by physicians who have adequate knowledge of the medical application of the instrum...

Страница 16: ...isposal of the product within the EU In accordance with applicable EU guidelines and national regulations at the time at which the product was brought onto the market the product specified on the cons...

Страница 17: ...Country specific information and labels 000000 1272 175 GA GB 060613 11 Labels Fig 1 Warning and information labels on the VISULAS YAG III...

Страница 18: ...cted against solid foreign bodies of 12 5mm in diameter and larger no protection against penetration of water 2 Identification label VISULAS YAG III REF Catalogue number part number SN Serial number 3...

Страница 19: ...e specifications VISULAS YAG III 10 LSL YAG III type label LSL YAG III Combi type label LSL Trion Combi type label Manufacturer Date of manufacture Application parts type B conforming to IEC 60601 1 C...

Страница 20: ...abel LSL YAG III Combi Identification label LSL Trion Combi 12 Date of manufacture 13 Laser class 4 warning label 14 Laser exit aperture warning label LSL YAG III LSL YAG III Combi LSL Trion Combi 15...

Страница 21: ...switch 1 2 m ACCENTO foot switch 5 m Manufacturer Date of manufacture REF Catalogue number part number SN Serial number CE CE label 0297 Identification number of notified body IPX8 Housing protection...

Страница 22: ...issue to be treated Never trigger the laser if the aiming beam is not clearly visible in the target area Deactivate the treatment beam and always switch the aiming beam off before changing the applica...

Страница 23: ...responsibilities of the safety officer who is appointed in writing by the customer or the institution operating the laser include Implementation of safety measures Instruction of all persons working...

Страница 24: ...lit lamp as described in the user manual in conjunction with VISULINK 532 U or the LIO Trion 532s laser indirect ophthalmoscope The institution operating the device is responsible for providing proper...

Страница 25: ...t lamp the correct applicator must be selected from the main menu Never start treatment if a different applicator is shown in the display to the one required or if no physician s safety filter is fitt...

Страница 26: ...tly avoid irradiation of the eye or skin by direct or scattered radiation Metallic and similar surfaces reflect laser beams All persons present in the laser hazard area must therefore wear laser safet...

Страница 27: ...otentially hazardous The longer the duration of exposure and the greater the number of pulses the greater the risk of ocular damage Exposure to light from these instruments when operated at maximum ou...

Страница 28: ...ration and a maximum energy of approximately 10 mJ at a wavelength of 1 064 nm At the focus of the laser beam a plasma is created which is at a high pressure and temperature but is spatially confined...

Страница 29: ...cified intervals Modifications to the product or failure to follow the manufacturer s instructions may substantially reduce the expected service life and significantly increase the risk associated wit...

Страница 30: ...ation lamp mounting 2 Forehead support application part 3 Height adjustment for chin rest 4 Chin rest application part 5 Clamp screw for fastening the instrument base 6 Connection cable for laser cons...

Страница 31: ...n Lever tilted to the front towards the patient The base is locked Lever tilted to the rear towards the physician The base can be moved freely The index mark for mid position 12 Fig 3 indicates the ce...

Страница 32: ...d a laser console 3 Fig 4 An optional foot switch 4 Fig 4 is available The laser console menu is used to switch between the hand and foot switches The VISULAS YAG III can be mounted to any table with...

Страница 33: ...hanger 8 Halogen lamp cover see page 95 for replacing the lamp 9 Slit length control 10 Slit width control 11 Filter selector 12 Prism head Fig 5 LSL YAG III laser slit lamp The fastening screw 3 Fig...

Страница 34: ...er arm The tonometer itself is attached by a magnet and fitted only when required Beam delivery in the LSL YAG III laser slit lamp An Nd YAG laser 1 Fig 6 mini laser module generates the therapy beam...

Страница 35: ...Energy meter and pulse counter 5 Energy attenuator 6 Four point aiming beam diode laser 7 Aiming beam coupling mirror 8 Beam expander 9 Galilean magnification changer 10 Physician s safety filter 11...

Страница 36: ...ol panel 6 Recessed grip Fig 7 VISULAS YAG III laser console 1 Foot switch connector 2 Door interlock connector 3 Serial port for servicing 4 Connector for combined operation with the VISULAS 532s VIS...

Страница 37: ...of these values are outside the permitted range the system prevents the laser from being fired Laser triggering for example is automatically locked when the metered energy of the therapy beam is outs...

Страница 38: ...13 32 Design of VISULAS YAG III Combi VISULAS Trion Combi VISULAS YAG III Combi VISULAS YAG III Combi is a combination of the VISULAS YAG III and VISULAS 532s devices consisting of the following compo...

Страница 39: ...33 1 VISULAS YAG III laser head 2 LSL YAG III Combi laser slit lamp 3 Control panel of the VISULAS 532s laser console 4 VISULAS 532s laser console 5 VISULAS YAG III laser console Fig 7 6 Instrument ta...

Страница 40: ...evice 000000 1272 175 GA GB 060613 34 VISULAS Trion Combi VISULAS Trion Combi is a combination of the VISULAS YAG III and VISULAS Trion devices consisting of the following components Fig 11 VISULAS Tr...

Страница 41: ...d 2 LSL Trion Combi laser slit lamp 3 Control panel of the VISULAS Trion laser console 4 VISULAS Trion laser console 5 VISULAS YAG III laser console Fig 7 6 Instrument table optional 7 Standard foot s...

Страница 42: ...ee page 95 for replacing the lamp 9 Slit length control 10 Slit width control 11 Filter selector 12 Prism head 13 VISULAS 532s VISULAS Trion laser spot size control Fig 13 LSL YAG III Combi LSL Trion...

Страница 43: ...en required Beam delivery in the LSL YAG III Combi LSL Trion Combi laser slit lamp The laser beam is superimposed upon the slit illumination beam path so that the laser spot is coincident with the sli...

Страница 44: ...er beam expander 4 Energy meter and pulse counter 15 Slit illumination system 5 Energy attenuator 16 Optical system for slit lamp and laser spot visualization 6 Four point aiming beam diode laser 17 C...

Страница 45: ...on control panel and the combined knob button of the corresponding laser console The control knob button is used to adjust the system parameters in the individual operating modes by turning the knob P...

Страница 46: ...udes the existence of a ground fault circuit interrupter GFCI To avert the risk of an electric shock this device may only be connected to a power supply with a protective ground conductor Ensure that...

Страница 47: ...s The laser hazard area must be clearly demarcated and marked as such during laser operation Other safety precautions should be clarified with local authorities or with your laser safety officer Only...

Страница 48: ...the optical fiber by hand only Do not use tools To avoid damage to the instrument remove the key before carrying out the installation Handle with care lift or carry the laser slit lamp by the base pl...

Страница 49: ...the connector Disconnect the binocular tube from the slit lamp Unscrew the screws fixing the slit lamp base to the instrument table Remove the key from the key switch on the control unit Adjust the s...

Страница 50: ...mm x 550 mm x 370 mm 4 Transport case open 5 Foot switch optional 6 Laser slit lamp with head rest 7 Laser console 8 Transport castors 9 Fixation lamp 10 Accessories packed 11 Laser safety goggles opt...

Страница 51: ...e Remove the key from the key switch to prevent the unit from being inadvertently switched on during installation Mount the system in a suitable location close to the physician and the slit lamp To in...

Страница 52: ...r console Fig 16 Instrument table with laser consoles 1 Slit lamp connector 2 Power input connector 3 Connector for combined operation with the VISULAS YAG III 4 Serial port for servicing 5 Door inter...

Страница 53: ...elease the cable grasp the connector by the sleeve and pull it directly backwards Pulling on the sleeve releases the lock mechanism on the connector Install the door interlock on the VISULAS 532s 5 Fi...

Страница 54: ...optical fiber by hand only Do not use tools Observe the user manuals of VISULAS Trion and the instrument table Avoid impact and blows during shipment of the device Mount the system in a suitable loca...

Страница 55: ...ed Foot 2 5 Fig 19 For combined operation the VISULAS YAG III must be connected by a special combi cable to the VISULAS Trion For this purpose insert the end of the cable with the single plug into the...

Страница 56: ...DAMAGE Connect only cables and sockets that are the same color and size Never use force To release the cable grasp the connector by the sleeve and pull it directly backwards Pulling on the sleeve rele...

Страница 57: ...le as required and connect it to the front of the instrument see VISULAS Trion user manual Adjust the foot to the required angle and place the control panel in the location required Installation of ad...

Страница 58: ...oving the VISULAS Trion Combi the cable connection to the VISULAS Trion must be pulled as the latter stands separately next to the instrument table and is not moved together with the table Read the us...

Страница 59: ...splay field of the slit lamp To install proceed as follows Switch off the VISULAS YAG III and disconnect the power cable Carefully remove the desired eyepiece right or left 2 Fig 21 from the tube of t...

Страница 60: ...ctivated in the INFO mode Example 35 4 mJ when the cumulative energy has been activated 28 when the sum of the delivered pulses has been activated When the focus shift display flashes change of focus...

Страница 61: ...ght left hand button as viewed from the rear 1 Button for increasing brightness 2 Button for decreasing brightness Fig 22 ACCENTO eyepiece rear view brightness control buttons Follow the instructions...

Страница 62: ...vice The ventilation slits in the casing should not be covered or otherwise obstructed WARNING RISK OF ELECTRIC SHOCK Please take care that the following operational requirements are met before using...

Страница 63: ...st the following actions tests and initialization routines will be executed Switch on and initialization of the system Start of system monitoring Test and subsequent activation of watch dog circuit Te...

Страница 64: ...his her hands In particular the instrument should not be used as a support or an aid for standing up CAUTION RISK OF PINCHING Various modules of the laser slit lamp can move against one another Take...

Страница 65: ...bject plane of the slit lamp Center the slit projector and binocular tube to the slit lamp base On the slit lamp choose the highest magnification Open the slit Look through the eyepieces Use the joyst...

Страница 66: ...eration of the device 000000 1272 175 GA GB 060613 60 Start up and laser treatment Control of the VISULAS YAG III is menu driven using the control panel Functions and menus are described in detail bel...

Страница 67: ...iptions for the VISULAS YAG III Combi are shown from page 70 and the VISULAS Trion Combi from page 78 Menu navigation The VISULAS YAG III is operated via a menu system with four menu screens via the V...

Страница 68: ...instrument is now in Power up mode Fig 24 Fig 24 Power up mode The system automatically performs a self test The start up screen includes a progress bar which shows the progress of the system test Wh...

Страница 69: ...r slit lamp as a diagnostic slit lamp The VISULAS YAG III is used merely as a power source for the slit lamp The laser remains switched off and the hand switch or foot switch are deactivated Fig 25 Di...

Страница 70: ...laser parameters can be set in this mode energy pulse mode and aiming beam intensity Each time the system is restarted the energy and the aiming beam intensity values most recently selected will be us...

Страница 71: ...election and display of energy levels Energy levels When this field is activated the energy can be set using the control knob There are 22 energy levels In single pulse mode the lowest level correspon...

Страница 72: ...this button switches the system into Treatment READY mode after approximately three seconds This transition time is visually indicated by a blinking button Touching this button again returns the syst...

Страница 73: ...elect either hand switch or foot switch triggering The foot switch is not included as standard but is available as an option Touching this button switches the system into Diagnosis mode see page 63 La...

Страница 74: ...t date and time by turning the rotary knob To save the settings and return to Information mode touch the button Touching the button also returns the system to Information mode but without saving any p...

Страница 75: ...are always on Parameters are set in the same way as for Treatment STANDBY mode see page 64 When the trigger is activated the laser beam will be fired according to the parameters set WARNING RISK OF L...

Страница 76: ...SULAS YAG III are described on page 61 Menu navigation The VISULAS YAG III is operated via a menu system with eight menu screens using the VISULAS 543s laser console Power up mode System information m...

Страница 77: ...sole control panel will be deactivated and combination mode will be selected VISULAS 532s power up mode When the instrument is switched on using the key switch on the VISULAS 532s laser console see VI...

Страница 78: ...slit lamp The VISULAS 532s is used merely as a power source for the slit lamp The laser module and temperature regulator remain switched off meaning that the ventilators are operated at minimum speed...

Страница 79: ...on the YAG console as long as the system remains in combination mode and there are no system errors Fig 34 Should an error occur on the VISULAS YAG III whilst in combination mode the VISULAS 532s log...

Страница 80: ...175 GA GB 060613 74 Fig 34 Combination mode is activated YAG III treatment mode In the main menu select the YAG laser as applicator Fig 35 Main menu after selecting the YAG laser as applicator Select...

Страница 81: ...in Treatment READY mode and the aiming beam is switched on This display lights up in red when the laser is triggered In treatment mode the therapy beam can be applied via the LSL YAG III Combi laser s...

Страница 82: ...of the aiming beam can be adjusted by turning the rotary knob A pulse counter is also displayed This can be reset to zero by touching the Reset button Touching the Arrow button returns you to the mai...

Страница 83: ...r Treatment STANDBY mode When the trigger is activated the laser beam will be triggered according to the parameters set Touching the Standby Ready button returns you to Treatment STANDBY mode Touching...

Страница 84: ...bi is operated via a menu system with five menu screens using the VISULAS Trion laser console Correct operation of VISULAS Trion is imperative for safe functioning Please familiarize yourself thorough...

Страница 85: ...ontrol panel VISULAS Trion power up mode When the instrument is switched on using the key switch on the VISULAS Trion laser console see VISULAS Trion user manual the start up screen is displayed on th...

Страница 86: ...lamp The VISULAS Trion is used merely as a power source for the slit lamp The laser module and temperature regulator remain switched off meaning that the ventilators are operated at minimum speed min...

Страница 87: ...on the YAG console as long as the system remains in combination mode and there are no system errors Fig 42 Should an error occur on the VISULAS YAG III whilst in combination mode the VISULAS Trion lo...

Страница 88: ...000000 1272 175 GA GB 060613 82 Fig 42 Combination mode is activated YAG III treatment mode If you wish to change the YAG trigger hand or foot press the upper blue YAG button in the main menu Fig 43...

Страница 89: ...YAG trigger selection menu Select the YAG trigger hand foot The last selected trigger will be active upon restarting STANDBY Pressing the Arrow button in the YAG trigger selection menu will change to...

Страница 90: ...appropriate parameter button and select the value required by turning the rotary knob Select the pulse mode required Pressing the rotary knob takes you directly to the entry field for the laser energ...

Страница 91: ...reatment STANDBY mode When the trigger is activated the laser beam will be triggered according to the parameters set Touching the STANDBY READY button returns you to Treatment STANDBY mode Touching th...

Страница 92: ...defocusing depending on the individual situation see Focus shift and defocusing page 88 Where there is astigmatic distortion the aiming beam spot pattern will take on a different appearance usually e...

Страница 93: ...reason you should be particularly careful when working with silicone lenses The aiming beam spot pattern may also be distorted if the contact lens is held at too much of an angle You should therefore...

Страница 94: ...the aiming beam focus This setting should only be used for applications in which the area to be treated is posterior to the tissue to be protected see also Fig 2 Anterior Labeled as ant switch to the...

Страница 95: ...LAS YAG III is designed for pulse energies of up to about 1 5 mJ If you wish to work with higher energy levels e g for fibrotic secondary cataracts you must increase the focus shift distance by defocu...

Страница 96: ...user manual Label the instrument clearly as being out of service and report the problem to the Carl Zeiss Meditec service Switching off the instrument WARNING RISK OF ELECTRIC SHOCK Internal componen...

Страница 97: ...o liability for damages resulting from unauthorized tampering with the device or from the use of unapproved accessories Such actions will also render any warranty claims invalid Fault remedy Troublesh...

Страница 98: ...perature Please wait a moment If this fault occurs frequently ensure that the instrument s ventilation slots are not covered and that the ambient temperature falls below 35 C Slit lamp not connected C...

Страница 99: ...10 Fig 5 and Fig 13 Replace halogen bulb page 95 Poor slit illumination Selected lamp voltage too low Halogen bulb not properly inserted Slit length not correctly adjusted Slit width not correctly ad...

Страница 100: ...use assembly of the laser console This assembly is located on the rear side of the laser console see 7 Fig 8 Switch the instrument off at the power switch Disconnect the power cable Open the flap 1 Fi...

Страница 101: ...RISK OF BURNS Before replacing the lamp switch the system off at the key switch and disconnect the power cable Allow the lamp to cool down or wear protective gloves 1 Cover flap 2 Holders 3 Holder not...

Страница 102: ...the socket plug 4 Fig 51 from the bulb 5 Fig 51 Then remove the defective bulb 5 Fig 51 Push a new bulb into the opening paying attention to the locating pins 7 Fig 51 Do not touch the bulb with the b...

Страница 103: ...nst dust when not in use CAUTION PROPERTY DAMAGE The national disinfecting regulations must be observed in the choice of disinfectants and methods Please note that some cleaning agents and disinfectan...

Страница 104: ...inted surfaces All painted surfaces may be cleaned with a damp cloth Do not use aggressive or abrasive cleaning agents Use spray or wipe disinfectants for cleaning and disinfecting the instrument case...

Страница 105: ...y inspections may only be carried out by persons authorized by Carl Zeiss Meditec and solely according to the service instructions issued by Carl Zeiss Meditec For planning and implementing these safe...

Страница 106: ...e for foot switch on IT 1060 or IT 760 Physician s safety filter for surgical microscope Active physician s safety filter simple for Zeiss M ller Wedel surgical microscope Active physician s safety fi...

Страница 107: ...Laser safety goggles 532 561 Laser safety goggles 659 Laser warning lamp see laser warning lamp addendum Transport case for VISULAS YAG III Breathing shield Laser training eye with holder complete ki...

Страница 108: ...beam Incorrect positioning of the contact lens will cause distortion of the laser focus This can lead to unwanted side effects Never trigger the laser if the aiming beam is not clearly visible in the...

Страница 109: ...ns Focus diameter 10 m in air Focus shift between aiming beam and therapy beam Posterior 150 m therapy beam focus behind aiming beam Zero 0 m no focus shift between therapy and aiming beam Anterior 1...

Страница 110: ...0 to 45 0 mJ 0 5 Hz 1 shots 2 s 33 kHz Energy attenuation 22 levels 2 4 6 8 10 12 14 16 20 24 28 32 36 40 42 48 56 60 64 70 80 100 Transmission Focus diameter 10 m in air Angle of exit aperture diver...

Страница 111: ...IP 20 LSL YAG III Combi LSL Trion Combi laser slit lamp Instrument base motion range Lateral 110 mm Horizontal 90 mm Vertical 30 mm Slit lamp 12 V 30 W halogen lamp adjustable Slit length variable in...

Страница 112: ...non condensing Altitude up to 3000 m above sea level Ambient conditions for the storage of all devices without original packaging Temperature 10 C to 55 C Relative humidity 10 to 95 non condensing Am...

Страница 113: ...ended in this section CAUTION RISK OF ELECTROMAGNETIC RADIATION The VISULAS YAG may not be placed next to or stacked together with other equipment with the exception of device configurations described...

Страница 114: ...missions test Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 The VISULAS YAG III uses RF energy only for its internal function Therefore its RF emissions are very low an...

Страница 115: ...5 1 kV line s to line s 2 kV line s to ground 1 kV line s to line s 2 kV line s to ground Mains power quality should be that of typical commercial or hospital environments Voltage dips short interrupt...

Страница 116: ...RF transmitters as determined by an electromagnetic site surveya should be less than the compliance level in each frequency rangeb Interference may occur in the vicinity of equipment marked with the f...

Страница 117: ...imum output power of transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 d 1 2 d 2 3 0 01 0 12 0 12 0 23 0 1 0 37 0 3...

Страница 118: ...titut f r Normung German Institute for Standardization EMC Electromagnetic compatibility EN European Standard Fig Figure IEC International Electrotechnical Commission LSL Laser split lamp MPG Medizinp...

Страница 119: ...18 Instrument table with VISULAS Trion Combi laser console 49 Fig 19 Connections on the VISULAS Trion laser console 50 Fig 20 Binocular tube and eyepieces 51 Fig 21 LSL YAG III laser slit lamp 53 Fig...

Страница 120: ...gures 000000 1272 175 GA GB 060613 114 Fig 47 Focusing the aiming beam 86 Fig 48 Distorted aiming beam 86 Fig 49 Focus shift control 89 Fig 50 Replacing the fuse 94 Fig 51 Replacing the halogen bulb 9...

Страница 121: ...ion 10 D Description of the device 24 Device classification 7 Disposal 10 E Electromagnetic compatibility 107 F Fault remedy 91 Figures 113 Function test 57 Functional description 22 Fuses 94 G Glossa...

Страница 122: ...Index 000000 1272 175 GA GB 060613 116 Switching on 56 Symbols 5 U Useful life 23...

Страница 123: ......

Страница 124: ...Goeschwitzer Str 51 52 07745 Jena Germany Phone 49 3641 220 333 Fax 49 3641 220 112 Email info meditec zeiss com Internet www meditec zeiss com 000000 1272 175 GA GB 060613 VISULAS YAG III Specificati...

Страница 125: ......

Страница 126: ...oeschwitzer Str 51 52 07745 Jena Germany Phone 49 3641 220 333 Fax 49 3641 220 112 Email info meditec zeiss com Internet www meditec zeiss com 000000 1272 175 DokS GB 060613 VISULAS YAG III Specificat...

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