2002, 1999, 1998, 1997, 1994 Alcon Laboratories, Inc.
SERIES 20000
™*
LEGACY
IMPORTANT NOTICE
Equipment improvement is an on-going process and, as such, changes may be made to the equipment after this
manual is printed. Accordingly, Alcon Surgical makes no warranties, expressed or implied, that the information
contained in this service manual is complete or accurate. It is understood that if this manual is used to perform service
on the equipment by other than trained personnel, the user assumes all risks in the use of this manual.
CAUTION
Federal law restricts this device to sale by or on the order of a physician.
Pay close attention to warnings and cautions in this manual. Warnings are written to protect individuals from bodily
injury. Cautions are written to protect the instrument from damage.
®
UNIVERSAL PRECAUTIONS:
Universal precautions shall be observed by all people who come in contact with the instrument and/or accessories to
help prevent their exposure to blood-borne pathogens and/or other potentially infectious materials. In any circumstance, wherein the exact status of blood or body fluids/tissues encountered are unknown, it shall be uniformly
considered potentially infectious and handled accordingly. This is in accordance with OSHA guidelines.
Comments or corrections concerning this manual should be addressed to:
Alcon Surgical
Technical Services Group
PO BOX 19587
Irvine, CA, USA 92623-9587
All rights reserved. No part of this manual may be reproduced, transmitted, or stored in a retrieval system, in any form
or by any means; photocopying, electronic, mechanical, recording, or otherwise; without prior written permission
from Alcon Surgical.
*Registered in the U.S. Patent and Trademark Office.
**MACKOOL is a trademark of Richard J. Mackool, M.D.,
ii906-2000-501
SERIES 20000
™*
LEGACY
®
SERVICE MANUAL
SERIES 20000
™*
LEGACY
®
906-2000-501
MANUAL REVISION RECORD
DATEREVISIONREVISED PAGE NUMBERS
08/94AInitial release
11/94BChange of binder
12/97CECN 33181 - i, iii
7/98DECN 34142- Removed Service Test Procedure from Section Four. All pages,
except engineering drawings in Sections Six & Seven, changed to update trademarks and area codes.
11/99EECN 99200934
General update and edit to cover all configurations of the STTL:
Section One - updated with information from latest Operator's Manual;
Section Two - added Steerable I/A, and updated remaining theory and block diagrams;
Section Three - added disassembly procedures for various LCD's and new handpiece
connector panel;
Section Five - updated supplies, tools, and spares tables, expanded tables for fault,
warning, and advisory messages, updated troubleshooting table, added system
configuration table;
Sections Six and Seven - updated all drawings and parts lists;
Section Eight - added service information for the VideOverlay Parameters System.
05/2002FECN 20022436
General update and edit to cover all configurations of the STTL:
Section One - updated with information from latest Operator's Manual.
Section Two - added NeoSonix™* information and new phaco block diagram.
Section Three - added notes for upgraded systems.
Section Four - removed this section (Service Test Procedure) and renumbered
subsequent sections.
Section Five - renumbered to Section Four, updated supplies, tools, and spares tables,
added POST codes for new CPU, updated system configuration table.
Sections Six and Seven - renumbered to Sections Five and Six, updated all drawings and
parts lists, added drawings for new configurations.
Section Eight - renumbered to Section Seven.
(STTL) is a sophisticated ophthalmic surgical instrument
manufactured to be durable, reliable, safe and easy to
operate. This state-of-the-art instrument has been
developed to be user friendly; it combines hardware that
is easy to install and maintain along with computer
software that increases the effectivity of the user.
ABOUT THIS MANUAL...
This manual covers all configurations of the Legacy
®
and is divided into eight sections as follows:
Section One-General Information
This section gives a general description of the STTL
features and components. Also included is an unpacking
and installation procedure.
Section Two-Theory of Operation
This section gives a detailed description of how the
STTL operates starting at the system level and working
down to the PCB (Printed Circuit Board) level. Detailed
block diagrams are provided at the end of this section.
Section Three-Parts Location and Disassembly
This section contains parts location diagrams along with
field level disassembly procedures.
Section Four-Maintenance & Troubleshooting
This section contains system maintenace procedures and
troubleshooting information.
Figure 1-1The Series 20000™* Legacy
Section Five-Schematics
This section contains the system interconnect diagram,
PCB assembly drawings, and schematic diagrams.
Section Six-Parts Lists and Drawings
This section contains parts lists, engineering
documentation for each major assembly, and cable
drawings.
Section Seven-Additional Information
This section contains information on accessories or
optional equipment that may require service.
®
906-2000-5011-1
SERIES 20000
™*
LEGACY
®
REFERENCE DOCUMENTS
Although this manual provides the necessary information
for maintaining optimum performance of the STTL, it
does not contain all of the operating procedures or
functional descriptions contained in the Operator's
Manual. In addition, the Warnings and Cautions in the
Operator's Manual also apply for this Service Manual.
The Operator's Manual supplements information
provided in this manual and should be available on-site
with the system.
If you have any questions or require additional
information, please contact your local Service
Representative or the Technical Services Department at:
If you are located outside the United States, please
contact your local authorized Alcon Surgical distributor.
CAUTION
Federal Law restricts this device to sale by or on the
order of a physician.
RECEIVING INSPECTION
The system was inspected mechanically and electrically
prior to shipment. If the shipping container appears
damaged, ask that the carrier’s agent be present when the
system is unpacked. The system should be inspected for
external damage (i.e. scratches, dents, or broken parts).
If damage is discovered or if the system fails any of the
functional tests notify the carrier and an Alcon Surgical
representative. Retain the shipping container and
packing material for the carrier’s inspection. As
necessary, file a claim with the carrier or, if insured
separately, with the insurance company.
UNPACKING AND SETTING UP THE SYSTEM
1Cut and remove the binding straps.
2Remove the outer sleeve and rails from the shipping
carton (see Figure 1-2 for packing configuration).
3Remove the accessory box, foam inserts, and
footswitch. Inspect for signs of damage.
4Carefully tip the shipping carton so as to place the
system in an upright position .
END USER LICENSE AGREEMENT:
This product contains software licensed from Microsoft
Corporation.
5Roll the system out of the container, remove the
antistatic cover, and inspect the system for signs of
shipping damage.
6Unwrap the footswitch and plug it into the
appropriate connector on the rear panel.
7Release the tray arm and pull it out of the storage
position. Remove the instrument tray and remote
control from the accessory box. Open the remote
control back cover and install the batteries.
8Snap the instrument tray into position on the tray
arm. Place the remote control in the recessed area of
the instrument tray.
9Release the 115 VAC power cord from the Rear
Panel and plug into a functioning 115 VAC
receptacle but do not turn on the AC Power Switch
or the Stand-by Switch until instructed to do so.
10 Perform the STTL Service Test Procedure.
1-2906-2000-501
SERIES 20000
™*
LEGACY
®
Figure 1-2STTL Packing Configuration
906-2000-5011-3
SERIES 20000
TABLE 1-1. SERIES 20000™* LEGACY® PERFORMANCE SPECIFICATIONS
™*
LEGACY
®
ELECTRICAL
The system will auto-select between the following
voltage:
100 Vac nominal ( 88-110 Vac), 47-63 Hz, single ø
120 Vac nominal (102-132 Vac), 47-63 Hz, single ø
220 Vac nominal (176-242 Vac), 47-63 Hz, single ø
240 Vac nominal (204-270 Vac), 47-63 Hz, single ø
Maximum power ........................................ ≤ 523 Watts
LEAKAGE CURRENT
< 100 µA @120 VAC, per NFPA99
< 500 µA @264 VAC, per IEC-60601-1,
Edition 2 (includes power cord)
Type B equipment, providing a particular
degree of protection, i.e., basic insulation.
(Phaco/Fragmentation) Protection class I.
Type BF equipment, providing both the
attributes of basic insulation and "floated"
isolation. (Bipolar Coagulation)
Dangerous Voltage
CAUTION: Consult accompanying documents.
!
Equipotential ground connection.
Irrigation/Aspiration
(I/A)
Alternating current.
Stand-by state for a part of equipment.
ON (POWER)
OFF (POWER)
Footswitch.
Irrigation
(Irr)
Ultrasonic
(U/S)
Vitrectomy
(Vit)
Figure 1-3ICONS USED WITH THE STTL - Icons identifying modes, functions, etc., that are used with the
STTL are identified in this chart.
906-2000-5011-5
SERIES 20000
™*
LEGACY
®
CAUTERY, DIATHERMY, COAGULATION
In the past, some of Alcon Surgical’s products have
referred to the feature “Cautery.” The STTL uses the
word “Coagulation” in place of Cautery, based on the
following definitions:
• Cautery - cutting and burning method associated with
two hot wires passing a current between them; cutting
away skin; halting bleeding.
• Diathermy - introducing an electric field into a body
part to produce heat.
• Coagulation - an isolated bipolar current supplied to
conductors (e.g. forceps). Current passes between
these electrodes, halting bleeding. (Abbreviated
“Coag” in some of the text of this operator’s manual.)
25
20
ELECTRONIC SYSTEM
The STTL is a multi microprocessor-controlled system
with associated memory and input/output (I/O) circuitry.
The system communicates via the Front Panel. An
automatic self-test is initiated each time the system is
turned on. This test performs a variety of checks
including the following:
• Tests the Central Processing Unit (CPU)
• Tests the RAM and ROM memory, and the I/O
circuits
• Initializes the system
• Defaults to:
IRR: Footswitch mode (V3.01 and below)
Advantec: Visco mode (V3.12 and above)
When the system successfully completes the self-test, it
automatically goes into the default mode. If the system
fails the self-test, an error message is displayed. Voice
confirmation verifies all mode selections.
15
POWER
THROUGH
75 OHM
LOAD
(WATTS)
10
05
00
00 10 20 30 40 50 60 70 80 90 100
% DISPLAYED VOLTAGE
Figure 1-4COAGULATION POWER THROUGH 75
OHM LOAD
NOTE: Unloaded output voltage is roughly 145V
peak to peak.
100% VOLTAGE
25
20
15
10
POWER (WATTS)
5
75% VOLTAGE
50% VOLTAGE
25% VOLTAGE
SYSTEM DESIGN
Front Panel
The front control panel (see Figure 2-1) has a flat,
non-glare surface located on the front of the main
chassis. It contains a graphics display, a touch screen, up
and down arrows, mode buttons, bottle height, U/S time
displays, and a Test button.
The buttons are located both on the sides and on the
bottom of the screen. There are two basic push-type
buttons on the front panel: (1) Those that control up and
down arrows: press and hold until the adjustment is
complete and (2) Those that are momentary buttons: a
single push-and-release activates the function. The
momentary buttons and the up/down arrows emit an
audible signal to indicate key activation.
1.
Standby Power Switch - This is a two-position,
rocker-type switch used to turn secondary power
(part of equipment) ON and OFF. It is located to the
right of the speaker on the front of the machine. This
switch is used to turn the system ON/OFF
between surgeries.
0
101001000
LOAD (LOG OHMS)
Figure 1-5COAGULATION POWER VS. LOAD
IMPEDANCE
1-6906-2000-501
SERIES 20000
™*
9. GRAPHICS DISPLAY
AND TOUCH SCREEN
8. REMOTE CONTROL SENSOR
7. BOTTLE HEIGHT DISPLAY
AND ADJUSTMENT ARROWS
3. PARAMETER
ADJUSTMENT ARROWS
6. U/S TIME DISPLAY
AND RESET BUTTON
LEGACY
®
Not Tuned
U/S Power
Vac Level
Phaco
AdvanTec
DR. ALCON
StdCas
mmHg
Pulse
U/S
%
BiModal
3
A.P. 0%P.E. L.
375-40 kHz
0
Actual
0
Actual
Burst
Vit
I/A
Panel
0
Surgeon
Asp Rate
20
cc/min
Max Limit
Pulse Rate
pps
15
Max Limit
Memory
Coag
Custom
3. PARAMETER
ADJUSTMENT ARROWS
Not Primed
VentRmt Bat LoReflux Occlusion
U/S: Pulse
65
Max Limit
66
Max Limit
Irr
5. TEST BUTTON
Priming/Tuning/Charging
Status
Status Window
Actual Display Bar
and Actual Value
Primary
Parameter #1
Primary
Parameter #2
Cassette Status
and Cassette Type
Not Primed
VentRmt Bat LoReflux Occlusion
Not Tuned
U/S: Pulse
U/S Power
65
Max Limit
Vac Level
66
Max Limit
StdCas
Doctor Name
and Memory Selected
DR. ALCON
375-40 kHz
%
Actual
mmHg
Actual
0
0
2. PRIMARY MODE
SELECTION BUTTONS
1. STANDBY POWER SWITCH
4. SPEAKER
Handpiece ID
and Handpiece Icon
Footswitch Status
3
A.P. 0%P.E.L.
0
cc/min
pps
Panel
Surgeon
Asp Rate
20
Max Limit
Pulse Rate
15
Max Limit
Control Keys
Secondary
Parameter #1
Secondary
Parameter #2
Submode Keys
Phaco
Pulse
BiModal
Burst
Memory
Memory Key
Touch Keys/Icons
Mode Keys
AdvanTec
Irr
U/S
I/A
Vit
Coag
Custom
Figure 1-6FRONT CONTROL PANEL (Display for software versions 3.12 and above shown)
906-2000-5011-7
SERIES 20000
™*
LEGACY
®
2. Primary Mode Selection Buttons - These seven
push-buttons allow selection of operating modes.
They are single-condition (press to turn on) and also
allow the operator to scroll through the sub modes.
(Access to modes is also available by pressing the
associated symbol on the touch screen, or on the
remote control, or by activating the heel switch on
the footswitch if programmed.)
•IRR - Used to select one of three Irrigation
submodes (footswitch, free flow, and continuous
irrigation). Irrigation: Footswitch is the default
submode.
•HYDRO (V3.01 and below) - Used to activate
the HydroSonics™* mode which allows the
surgeon to use the Auto HydroSonics™*
handpiece.
•AdvanTec (V3.12 and above) – Used to activate
the NeoSonix™* or 375/40 handpiece to perform
a phacoemulsification procedure. There are four
submodes within the mode: Visco, Phaco, Pulse,
and Burst. Phaco is the default submode.
•U/S - Used to activate the 375/40 handpiece
while performing phacoemulsification
procedures. There are four submodes of the U/S
mode: Phaco, Pulse, BiModal, and Burst. US:
Phaco is the default submode.
•I/A - Used to activate the Irrigation/Aspiration
system. There are three submodes of the I/A
mode: Min, Max, and CapVac. I/A Max is the
default submode.
•VIT - Used to activate the Vitrectomy mode,
which operates the ATIOP handpiece. There are
two sub modes: ATIOP and I/A Cutter.
VIT: ATIOP is the default submode.
•COAG - Used to activate the Coagulation mode
which uses bipolar coagulation to drive the
Alcon brush and forceps.
•CUSTOM - Used to program the following
operational settings: program, sound, voice,
language, footswitch and remote.
Parameter Adjustment Arrows - Used to adjust
3.
primary and secondary parameters.
4.
Speaker - Emits audible tones from below the
movable display screen.
5.
Test Button - Used to access various functions such
as Priming, Tuning, Charging, Fill, and Clean. The
TEST key is not available when in the Custom and
Coag modes.
U/S Time Display and Reset Button - Records the
6.
cumulative amount of time U/S power is applied
during surgery. Time is given in minutes, to one
decimal place, to a maximum of 30 minutes. U/S
power elapsed time is retained until the Reset button
is pressed, a new U/S or NeoSonix™* handpiece is
plugged in, or until the system is turned off. The U/S
Time Reset Button resets U/S Time (displayed in the
U/S Time Display) and Average U/S Power
(displayed in the Status window) to zero.
Bottle Height Display and Adjustment Arrows -
7.
Display the height of the irrigation bottle in the
display window; bottle height is measured from the
drip chamber to the level of the patient's eye.
Below the display are up and down arrows which
raise and lower the irrigation bottle, allowing
irrigation pressure to be adjusted. Adjustments can
also be made from the left and right dual pivot
switches on the footswitch, as well as from the
remote control. The irrigation pole is positioned at
65 cm±1 at power up.
NOTE: Bottle height is measured from the center
of drip chamber to the patient's eye level. The
patient's eye level is normally set to be even with
the center of the cassette mechanism. In those
cases where the patient's eye level is required to
be different from that of the cassette mechanism,
a patient eye level adjustment must be registered
in the Custom mode.
Remote Control Sensor - Receives remote control
8.
inputs. It is located at the top left of the unit above
the bottle height display; no operator interface is
required.
9.
Graphics Display and Touch Screen - This display
screen serves as the operator's control center. The
system operating status is displayed here, and its
touch screen is used to input operator commands (see
Figure 2-2).
Mode Keys, Touch Keys/Icons, Submode Keys Displays the active mode and submode (if
applicable). When activated, continuous irrigation
flashes above the Irr key/icon. To select mode/
submode, press the desired icon.
Primary Parameters - Displays up to two primary
parameters for a selected mode (along with the
graphical representation of the data), including
maximum limits. When primary parameters are not
displayed this area is used for user prompts, user
1-8906-2000-501
SERIES 20000
™*
LEGACY
®
display, and user data input. Maximum limits can be
adjusted for each parameter by using the up/down
arrows.
Secondary Parameters - Displays up to four
additional parameters for a selected mode, along with
the maximum limit value. Maximum limits can be
adjusted for each parameter by using the up/down
arrows.
Actual Display Bar and Actual Value - Linear values
in selected modes, controlled with the footpedal, are
represented here with a sliding bar display and
numeric readout.
Status Window - Alerts the operator to the system's
normal operating status:
•Modes and Submodes (if applicable) - Blue
background/white text displayed during normal
operation unless other information needs to be
presented.
•General Messages - Text may be displayed to
signify that a normal operation, or step in a
sequence, is being carried out. For example, the
routine steps in the priming/tuning sequence
(e.g., “Vacuum Check”).
•Faults - Displayed on a red background to signify
the most critical of conditions. The system shuts
down and remains inoperable until the fault is
corrected.
•Errors - These are displayed on a yellow
background to signify a condition which must be
given attention, such as “Vacuum Reading Error”
or other hardware failures. Errors must be
acknowledged by the user by pressing a Continue
key. Operation of the machine may continue in
the presence of and/or after the acknowledgment
of specific error conditions.
•Advisories - These are displayed on a green
background to signify a specific condition which
requires operator intervention, such as “Please
insert cassette.”
•Handpiece Identification - These are displayed to
signify the type of U/S handpiece installed, such
as a "375-40."
®
•Kelman
Steerable I/A Identification - This will
display Steerable I/A if the Steerable I/A system
is installed and selected.
Each word illuminates in the text window in a
specific color:
•Vent - Appears in fuchsia when the venting
system opens and the footpedal goes from
position 2 to position 1.
•Reflux - Appears in red when the footswitch
reflux function is operational.
•Occlusion - Appears in black when the aspiration
line becomes occluded, the system has reached
the preset vacuum limit, and the pump stops.
•Cassette Type - Indicates active cassette ("Std
®
Cas, Max Vac
, Attache") in white on black, as
long as a valid cassette is inserted.
•Bottle Height Offset – Numerical value in
centimeters which takes into account the offset
due to presence of I.V. pole extender and patient
eye level located above or below tray level.
•Rmt Bat Lo - Appears in white on black when
remote control battery is low.
•A.P. % - Average U/S Power is calculated from
the average U/S power that was applied over
time, based on instantaneous power levels. The
average power accounts for varying levels of
stroke as well as the off time between the power
pulses for the Visco, Pulse, and Burst submodes.
Average U/S Power is reset simultaneously with
the U/S Time display.
Priming/Tuning/Charging - “Not Primed” is backlit
in red when the system turns on. Upon successful
completion of priming, “Primed” is backlit in green.
“Not Tuned” is backlit in red when the system is
turned on. Upon successful completion of tuning,
“Tuned” is backlit in green (in AdvanTec and U/S
modes). If the Steerable I/A option is installed and
selected, "Not Charged" is backlit in red when the
system is turned on. Upon successful charging of the
Steerable I/A system, "Charged" is backlit in green.
Cassette Status and Cassette Type - Icon appears
when cassette insertion is not detected. Upon
insertion icon disappears and cassette type is
displayed in the Status Window.
Doctor Name and Memory Selected - Current
doctor’s memory & memory number selected.
Selection made by pressing the Memory Key.
Handpiece ID and Handpiece Icon - The handpiece
ID is displayed in the Status Window to identify the
type of U/S handpiece installed. Its icon appears
when a handpiece is not connected, not connected
properly, or there is a handpiece identification error
(in AdvanTec and U/S modes).
Footswitch Indicator - Displays the footpedal
position (backlit numbers from zero to three) in
different colors; also indicates when the reflux and
other footswitch functions are activated.
906-2000-5011-9
SERIES 20000
™*
LEGACY
®
Control Keys - Indicates the type of control of
Aspiration Flow Rate, Vacuum Limits, U/S Burst
Width and Off Time, and U/S Power Level. The
surgeon can toggle between linear control of
parameters via the footswitch (Surgeon, SrgAsp,
SrgVac, Linear or Fixed) and the presets of the front
panel (Panel).
Memory Key - Used to recall preprogrammed
settings. When the memory key (or heel switch of the
Accurus
®
/Legacy® footswitch, if installed and
programmed to do so) is pressed, a memory menu
temporarily appears over the secondary parameters
window. Four programmed memory selections, plus
a default setting selection, are available. The
currently selected doctor name and memory number
is displayed at the top of the screen.
Cassette Housing
The cassette housing is located on the upper left side of
the system (see Figure 1-7). Two factors contribute to
fast and easy installation of the cassette: the cassette
housing contains all the connections required for the
disposable fluidics Cassette Pak set, and the cassette was
designed with an auto-load feature.
Connector Panel
The Connector Panel is located to the right of the cassette
housing (see Figure 1-7). The following connections are
provided:
•Two self-locking “smart” electrical connections on
systems with software V3.01 and below. On V3.12
and above the lower connection is capped off. The
connector is active and can be used as a troubleshooting tool under service supervision. To gain
access to the connector pry the cap away using a
small screwdriver.
•One pneumatic male luer connector for the Steerable
I/A system (if installed).
•Two receptacles for bipolar coagulation handpieces
to accommodate dual safety banana-type connectors
(Coag)
•One female luer lock pneumatic connection for the
ATIOP (Vit) and the HydroSonics™* (V3.01 and
lower) handpieces.
Additionally, there is one unlabeled connector for future
expansion. Colors and symbols near the connectors
facilitate handpiece identification.
Rear Panel
The rear panel (see Figure 1-8) contains various
connectors and outlets used for interconnections and
power input. A floppy disk drive, located on the
connector panel, allows the system to be upgraded.
Power Supply Panel - located on the bottom right of
1.
the instrument.
•AC power input - connects to electrical outlet in
the wall.
• Main power switch - connects AC power to
power supply. This switch is used for overnight
storage of the system.
• Fuse box - holds two fuses. Refer to label on
back of system to identify size and type.
Rear Connector Panel - located near middle of the
2.
instrument.
•Floppy Disk Slot.
•Parallel - 25-pin D connector port.
•Serial 1 and 2 - 9-pin D connector ports.
•PH1 and 2.
Footswitch Connector - For connecting either the
3.
Series 20000™*, Accurus®/Legacy®, or ATFSLegacy® footswitch to the unit.
4.
Footswitch bracket - Used to hold the footswitch
when not in use. Located on the rear panel, to the left
of the cord wrap.
5.
Cord Wrap - Used to store both the footswitch cord
and the power supply cord. Located on the far right
HUB ROLLER
LATCHING
MECHANISM
CASSETTE
HOUSING
U/S
U/S
Str I/A
Coag
Coag
Vit
CONNECTOR
PANEL
STEERABLE I/A
CONNECTOR
IS OPTIONAL
of the rear panel, directly above the power supply.
Figure 1-7CASSETTE HOUSING AND
CONNECTOR PANEL
1-10906-2000-501
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™*
LEGACY
®
Other Features
6.
Tiltable, Rotatable Front Panel - Allows easy
maneuverability during setup and surgery.
Tray Assembly - Provides a movable instrument tray
7A.
within the sterile field. There is a curved metal rod on
the tray arm for a sterile bag pouch. The tray is
capable of accommodating a variety of positions in
the operating room environment: right, left, front and
rear of the surgeon as well as the front of the bed.
Autoclavable Instrument Tray - Fits over the tray
7B.
assembly. It is slotted in order to hold six handpieces
and the remote control.
Handles (2) - One handle is located on the front and
8.
another is located on the back of the unit. Handles
should always be used to move the unit. For greater
safety and control, the unit should be pulled, not
pushed.
AUTOCLAVABLE
INSTRUMENT TRAY
(7B)
9. Storage Drawer - Located on the right side of the
unit, it can be used to store handpieces and
accessories.
Locking Wheel Mechanism - Locks are located on
10.
the two front wheels only. The wheels should always
be locked when the unit is in use, and unlocked when
being moved.
IV Pole - The bottle of irrigating fluid is hung from
11.
the hook on top of this pole. Used to raise and lower
the bottle height.
Fan Filter - Located underneath unit, the fan filter
12.
removes particles from incoming air used for cooling
components.
Equipotential Ground Connector - For Service
13.
personnel use.
TILTABLE,
ROTATABLE
FRONT PANEL
(6)
I/V POLE
(11)
TRAY ASSEMBLY
(7A)
STORAGE DRAWER
(9)
FOOTSWITCH BRACKET
(4)
LOCKING WHEEL
MECHANISM
(10)
FAN FILTER
(12)
Figure 1-8SERIES 20000™* REAR VIEW
EQUIPOTENTIAL GROUND
CONNECTOR
(13)
REAR HANDLE
(8)
REAR
CONNECTOR
PANEL
(2)
CORD WRAP
(5)
POWER SUPPLY
PANEL
(1)
FOOTSWITCH
CONNECTOR
(3)
906-2000-5011-11
Audible Tones
Ten different and clearly distinguishable audible
frequencies, in conjunction with multiple tones, are
produced by the STTL.
TONETYPE
VACUUM TONECONTINUOUS WHEN ASPIRATION ACTIVE
COAGULATIONCONTINUOUS WHEN COAGULATION ACTIVE
REFLUXCONTINUOUS WHEN REFLUX ACTIVE
ASPIRATION OCCLUSIONINTERMITTENT SINGLE BEEP WHEN OCCLUDE DURING ASPIRATION ONLY
U/S OCCLUSIONINTERMITTENT DOUBLE BEEP WHEN OCCLUDE DURING U/S
FTSW. IRRIGATION TONEINTERMITTENT
FRONT PANEL SWITCH ACTIVATIONINTERMITTENT
CONTINUOUS IRRIGATIONONE BEEP FOR ACTIVATION, TWO FOR DEACTIVATION
FAULTBELL CHIME
CASSETTE NOT DETECTEDSHORT WHISTLE
Table 1-2AUDIBLE TONES
SERIES 20000
™*
LEGACY
®
REMOTE CONTROL
The Series 20000™* remote control (see Figure 1-9) is
wireless and can, therefore, be used in one of three ways:
It can be laid into the articulated arm and tray assembly
and operated through the sterile drape supplied in the
disposable pak. This offers the Scrub Nurse or assistant
access to the controls from the sterile field. A sterile,
sealed pouch (available in the remote control aseptic
transfer packaging) can also be utilized to maintain the
sterile field if the remote is used in a hand-held manner.
The circulator could also operate the remote in a nonsterile manner. Programmability and custom user
setup features are functions which are not accessible
from the remote control.
The error message, “RMT BAT LO” is displayed in the
text window on the front panel when the remote batteries
are low. (The battery compartment on the back holds four
AA batteries; to replace batteries, loosen the captive
screw on the compartment door with a standard
screwdriver.)
The controls on the remote control have been arranged to
approximate the respective controls on the console’s front
panel. The Test button has a raised area around it; this
differentiates it from the other buttons in order to ensure
that the test function is not accidentally actuated. All
controls are backlit by heat actuation; i.e., illumination in
low ambient light is activated when the sensor detects
heat from the hand.
On systems with software V3.01 and below: There are
three inactive keys for future expansion: one marked
SCROLL, one marked ENTER, and one undesignated.
On systems with software V3.12 and above: The Forward
and Reverse buttons functionality can be customized
using the Custom Footswitch screen.
The remote control can be configured to operate on one
of four channels (A, B, C, or D). This feature allows four
remote controls to independently control four systems
operating in the same room or area. Remote controls are
factory preset to channel A. To change channels, access
the switch located in the battery compartment (see Figure
1-10). For proper remote operation, the system must be
set to the same channel as the remote. Once the correct
channel is selected on the system, no other steps are
needed to save it into memory.
To ensure proper operation when two or more remote
controls are being used in the same room or area, adjust
each system including remote control to separate
channels.
NOTE: Label the remote controls and the units, if
necessary.
CAUTION
Do not sterilize the remote control as it will damage
the unit.
1-12906-2000-501
SERIES 20000
™*
LEGACY
®
IR Transmitter
Photo Sensor
®
SURGICAL
Secondary Parameter Adjustment Keys
Custom (Program / Exit / Stop)
Memory
Bottle Height Adjustment Arrows
BO
TTLE HEIG
HT
Forward
Y
R
O
M
E
M
L
O
R
T
N
O
C
Primary Parameter Adjustment Keys
T
S
E
T
Primary Mode Keys
Toggle between secondary parameters
in AdvanTec Mode
Reverse
Heat Sensor
(hand proximity sensor)
Test
Control Mode
(Surgeon / Panel / SrgAsp / SrgVac)
Figure 1-9REMOTE CONTROL (Remote Control for software versions 3.12 and above shown)
S1
O N
S1
1 2
S1
Figure 1-10 REMOTE CONTROL SWITCHES
O N
1
O N
1
2
2
Channel A
Channel B
S1
S1
O N
1
O N
1
Channel C
2
Channel D
2
906-2000-5011-13
SERIES 20000
™*
LEGACY
®
MODES AND FUNCTIONS
The STTL has seven basic operational modes or
functions, some with submodes (see Figure 1.11). Each
allows for the appropriate adjustment of the power,
aspiration, and vacuum settings. These settings can be put
into one of 96 (V3.01 and below) or 384 (V3.12 and
above) memory programs and, consequently, be available
for future use without having to re-program the
instrument.
The operating modes are selectable from the unit’s front
panel controls or from the remote control unit. The
functions within an operating mode are controlled by the
operating position of the footpedal. Mode changes will
result in voice confirmation. (The user has the ability to
turn this feature off via the Custom menus.) An audible
beeper-tone is generated to indicate a change in the
operating mode and to alert the operator of certain
conditions such as an occluded line. Additionally, a
varied pitch tone is generated to audibly indicate vacuum
levels; the pitch increases as the vacuum level increases.
The volume of the audible variable-pitch tone is
adjustable via the Custom menus.
the front panel settings are controlling the system the
word Panel is illuminated; if the footswitch is controlling
the system the word Surgeon, Srg Asp, or Srg Vac is
illuminated.
Coagulation during test states, except for tuning, is
available in Panel control modality.
When a mode button is pressed, the symbol becomes
animated and the selected sub mode is highlighted. The
titles of the selected mode and submode are displayed in
the text window.
The following sections provide an overview of each
mode and, where applicable, the differences between
operating in the various control modes.
Irrigation (Irr) Mode
Irrigation operates on a gravity-feed principle from the
IV bottle, through the cassette irrigation valve to
handpiece. The irrigation valve is normally closed when
cassette is inserted. Bottle height is measured from the
patient's eye to mid-drip chamber.
The operating mode/function is displayed in the mode
display window. The primary modes of operation are
Irrigation (IRR), Advantec (V3.12 and above)
HydroSonics™* (V3.01 and below), Ultrasonics (U/S),
Irrigation/Aspiration (I/A), Vitrectomy (Vit), and
Coagulation (Coag). Preset (default) operating
parameters for the selected mode are programmed into
the system, or new operating parameters can be set by
using the front panel or remote.
Depending on the operating mode, the system can be set
up to automatically operate at the preset limits displayed
on the front panel displays, or to provide linear control of
one of the operating parameters from the footswitch. The
controlling factor is determined by the control mode
switches (Panel/Surgeon/Srg Asp/Srg Vac). In general, if
Legacy
Modes and Submodes
IrrCustomCoagVit
Irrigation
• FootSw
• FreeFlow
• Cont Irr
Figure 1-11 MODES AND SUBMODES
(V3.12 and above)
Ultrasonic and
NeoSoniX®
• Visco
• Phaco
• Pulse
• Burst
Hydro
(V3.01 and above)
Ultrasonic
• Phaco
• Pulse
• BiModal
• Burst
Irrigation and
Aspiration
• Min
• Max
• Cap Vac
Irrigation pressure is increased or decreased by raising or
lowering the irrigation bottle. Default height is 65 cm
above the tray; maximum bottle height of 78 cm (above
the tray) of BSS
®
results in maximum irrigation pressure.
When an IV Pole Extension is installed, the maximum
bottle height is 110 cm above the tray. In the event of
power loss, bottle position is maintained; however, if the
unit is turned off using the Standby switch, the IV Pole is
automatically retracted to its storage position.
The Irrigation mode is automatically entered when the
system is initially turned on, when self-test has been
successfully completed, or when the IRR mode button is
pressed (if the machine has been operating in another
mode). At any time the Irrigation mode is re-entered the
system will default to Irrigation: Footswitch.
I/AU/SAdvanTec
Vitrectomy
• I/A Cut
• ATIOP
CoagulationSee Custom
mode later in
this section of
the manual.
1-14906-2000-501
SERIES 20000
™*
LEGACY
®
In the Irrigation mode, Panel and Surgeon functions are
not available; therefore, they are not illuminated.
Irrigation mode has three sub modes:
• Irrigation: Footswitch - entered when system is turned
on (default) or by pressing the IRR mode button when
operating in another mode. The mode display window
reads Irrigation: FootSwitch. Irrigation is provided in
footpedal positions 1, 2, and 3.
• Irrigation: Free Flow - entered by pressing Free Flow
icon or irrigation button. The mode display window
reads Irrigation: FreeFlow. Free flow irrigation
continues until the IRR button is pressed twice to
change to Irrigation: Footswitch or until another mode
is selected (except when continuous irrigation option
is turned on).
• Continuous Irrigation - Continuous Irrigation is
available as a floating sub mode for U/S, I/A, and Vit
modes to allow for continuous irrigation of the eye
during surgery. It maintains irrigation of the anterior
chamber independent of footpedal position (i.e., even
in position 0). It is described as a floating mode as it
can start from Irrigation and go to any allowable
mode. Exiting from U/S, I/A, or Vit modes shuts
Continuous Irrigation off allowing leak-free exchange
of irrigation and aspiration lines to handpieces.
2. When enabled, toggling the footswitch's right
horizontal switch in footpedal position 0 opens and
closes the irrigation valve to provide continuous
irrigation in a similar manner.
Continuous Irrigation is not available in Test,
HydroSonics™*, or Coagulation modes.
Providing Access to the Continuous Irrigation Footswitch
Feature
The Continuous Irrigation Footswitch feature is normally
disabled. To access this feature, the user must enter the
Custom menu and select the Footswitch menu. The
Enable and Disable switches for Continuous Irrigation
will be found on the left side of the screen. Continuous
Irrigation can be accessed in any of the Custom detent
modes. For convenience, this feature can be programmed
into a doctor’s memory. This provides only the ability for
Continuous Irrigation Footswitch feature to be enabled.
Actual Use of Continuous Irrigation
Continuous irrigation cannot turn on automatically even
though the Custom Continuous Irrigation Footswitch
switch is enabled. It must be invoked by either depressing
the Continuous Irrigation sub mode from the front panel
or by the footswitch's right horizontal switch.
Continuous Irrigation is activated by one of two methods
for U/S, I/A, and Vit modes:
1. Transferring from Continuous Irrigation to another
mode. If the system is in Irrigation: Continuous,
irrigation will be carried over to the next mode
selected unless the new mode does not support it.
Not Primed
Irrigation: FootSwitch
FootSw
Figure 1-12 IRRIGATION MODE (software V3.12
FreeFlow
AdvanTec
IrrU/SI/AVitCoagCustom
shown)
StdCas
DR. ALCON
Cont Irr
A.P. 0%
Def
0
Memory
Entering and exiting the Custom mode or the Pop-up
memory menu will not affect the status of Continuous
Irrigation. The footswitch can toggle the irrigation switch
on and off in the Custom mode, though. Changing
memories will not affect status of Continuous Irrigation.
If a particular memory setting is not footswitch
programmed, switching the Continuous Irrigation on and
off can only be done via the front panel.
An audio beep confirmation is heard each time the
Continuous Irrigation valve is opened, and two beeps
when the valve is closed. The front panel also displays
activation of Continuous Irrigation above the Irrigation
mode symbol.
When exiting from U/S, I/A, or Vit modes the system
automatically shuts off Continuous Irrigation regardless
of how it was turned on. This allows leak-free exchange
of the irrigation and aspiration lines to the handpieces. It
can also be shut off by the footswitch's right horizontal
switch. Before switching handpieces, it is advised to tap
the right horizontal switch or change modes after exiting
the eye to prevent excess BSS® sterile irrigating solution
from flowing out of the handpieces.
906-2000-5011-15
SERIES 20000
AdvanT
ec: V
isco
A.P
. 0%
NeoSoniX
Surgeon
MaxVacac
Lin Flow
AdvanTecec
DR.
ALCON
Def
™*
LEGACY
®
HydroSonics™* (Hydro) Mode (software V3.01 and
below)
Because this mode has only one function, pressing the
Hydro button puts the unit into the HydroSonics™*
mode immediately. The mode display window reads U/S:
Hydro. The HydroSonics™* mode allows use of the auto
HydroSonics™* handpiece, which allows the surgeon to
perform hydrodissection and soften the cataract prior to
phaco-emulsification. No aspiration is provided in the
HydroSonics™* mode.
Injection Rate and U/S Power are the primary parameters
displayed in the HydroSonics™* mode. Pulse Rate is the
secondary parameter. It is displayed in the window
located in the lower right hand portion of the front panel
and is controlled with the arrows to the right of this
window. Following are the allowable injection rates
(pulses/min.) in the HydroSonics™* mode: 60, 70, 80, 90
and 100.
NOTE: When in HydroSonics™* mode the left Reflux
pedal provides pulsed injection only, with no U/S.
• If
Panel Control is selected, pulsed fixed ultrasonic
power is delivered in footpedal position 2 at the preset
or operator set power level maximum limit. The
ultrasonic power maximum limit is initialized to 80%
at power up. In footpedal position 3 fixed ultrasonic
power and pulsed injection are provided. The injection
rate is initialized to 60 pulses/min. at power up.
AdvanTec Mode (software V3.12 and above)
AdvanTec Mode supports the NeoSonix™*, the 375/40,
and the Mackool** 375/40 U/S handpieces. When the
AdvanTec function is operational, irrigation, aspiration,
and ultrasonics are provided by the handpiece. In
addition to these, the NeoSonix™* handpiece provides
mechanical oscillations. The user has the ability to adjust
the aspiration rate, vacuum levels, U/S power and
NeoSonix™* parameters, Amplitude and Threshold (if
applicable) above or below the preset levels at any time
during the surgical procedure via the respective
adjustment buttons or the remote control. The
NeoSonix™* parameters become active when the
NeoSonix™* handpiece is attached, otherwise they are
grayed out.
Not Primed
AdvanT
Max Limit
0
120
Max Limit
Irr
Not Tuned
ec: V
isco
U/S Power
Vac Level
Visco
AdvanT
MaxV
Phaco
DR. ALCON
DR.
U/S
ALCON
mmHg
%
Pulse
Def
A.P
. 0%
NeoSoniX
NeoSoniX
0
Actual
0
Actual
I/A
Burst
Vit
50
Amplitude
NeoSoniX
0
Threshold
Coag
00
%%
%%
Asp Rate
Max Limit
Memory
Custom
Panel
Surgeon
Lin Flow
cc/mincc/min
20
• If
Surgeon Control is selected, ultrasonic power varies
from 0% at the top of footpedal position 2, to the full
preset or operator set power level maximum limit at
the bottom of footpedal position 3. The ultrasonic
power maximum limit is initialized to 80% at power
up. Pulsed injection is added to variable ultrasonic
power in footpedal position 3. The injection rate is
initialized to 60 pulses/min. at power up.
OFF (position 0)
Figure 1-13 FOOTSWITCH FUNCTIONS -
HydroSonics™*
IRRIGATION (position 1)
PULSED U/S (position 2)
PULSED U/S & PULSED INJECTION
(position 3)
Figure 1-14 ADVANTEC VISCO MODE
There are four selectable submodes within AdvanTec
mode: Visco, Phaco, Pulse, and Burst; each reached by
pressing the appropriate area on the display screen or
remote control.
NOTE: If a NeoSonix™*, Mackool**, or 375/40 U/S
handpiece is not connected, or is not connected
properly, a U/S handpiece symbol blinks in the text
window.
U/S power or NeoSonix™* amplitude are increased or
decreased via the front panel in increments of 5% from
minimum of 0% to a maximum of 100%. Ultrasonic
power is controlled by one of two methods: Panel control
or Surgeon control.
All AdvanTec submodes provide irrigation in footpedal
position 1.
1-16906-2000-501
SERIES 20000
IRR / ASP / Ultrasonics
(position 3; U/S power <NeoSoniX threshold)
IRR / ASP / Ultrasonics/NeoSoniX
(position 3; U/S power ≥NeoSoniX threshold)
IRR / Aspiration (position 2)
OFF (position 0)
Irrigation (position 1)
IRR / ASP / Ultrasonics
(position 3; NeoSoniX threshold >U/S power
limit or NeoSonix amplitude = 0)
IRR / Aspiration (position 2)
OFF (position 0)
Irrigation (position 1)
IRR / ASP / NeoSoniX
(position 3; NeoSoniX threshold = 0,
U/S power = 0)
IRR / Aspiration (position 2)
OFF (position 0)
Irrigation (position 1)
™*
LEGACY
®
If the Lin Flow button is not highlighted, footpedal
position 2 provides irrigation and fixed aspiration
according to the flow rate selected. When Lin Flow
button is highlighted, the console will announce "Linear
Flow." When the button is pressed again (Lin Flow not
highlighted), the console will announce "Fixed Flow." If
Lin Flow is highlighted, footpedal position 2 provides
irrigation and aspiration proportional to the displacement
of footpedal throughout position 2. It starts at 0 cc/min at
the top of the position 2 and reaches maximum value as
set on the screen at the bottom of position 2.
Footpedal position 3 provides irrigation, fixed aspiration
flow rate as set on the main screen or on the Custom/
Special Functions/Aspiration screen if defined and
different from the flow rate set on the main screen.
•If U/S Panel Control (including linear or fixed flow
in footpedal position 2) is selected, ultrasound power
will be constant throughout the footpedal position 3
and equal to the power setting as set on the screen.
To increase or decrease power, the arrow buttons are
activated. The default maximum U/S power level
setting is 60% except for AdvanTec Visco submode
where it is 0%.
•If U/S Surgeon Control (including linear or fixed
flow in footpedal position 2) is selected, the
ultrasound power display indicates the maximum
power available. To increase ultrasonic power the
surgeon must further depress the footpedal into
position 3. Power starts at 0% and increases until
power reaches the displayed maximum setting. To
change the maximum available power, activate the
up or down arrow which will raise or lower the
maximum power available. The default maximum
U/S power level setting is 60%, except for AdvanTec
Visco submode where it is 0%.
NeoSonix™* oscillations are activated when the
ultrasound power reaches or exceeds the NeoSonix™*
threshold displayed on the screen. At that point
oscillations are activated according to the NeoSonix™*
amplitude displayed on the screen. There is no
proportional Surgeon control of the NeoSonix™*
amplitude. In footpedal position 1-2 the amplitude
maximum value is displayed. In footpedal position 3 the
actual value of the amplitude is displayed, that is, 0% is
displayed while the ultrasound power is less than the
NeoSonix™* threshold, and the maximum amplitude
value is displayed when the ultrasound power is equal to
or exceeds the threshold.
Figure 1-15 FOOTSWITCH FUNCTIONS - AdvanTec
AdvanTec Visco
The AdvanTec Visco submode is automatically entered
when system power is initially turned ON and the self
test is successfully passed, or when the AdvanTec button
is pressed, “AdvanTec: Visco” is displayed, and the
NeoSonix™* or 375/40 U/S handpiece is activated.
This submode is designed to simplify creation of working
space in the anterior chamber filled with a viscoelastic
material prior to engaging ultrasound. Viscoelastic
material can occlude the aspiration port and/or reduce
wound leakage. Either of the events, and especially a
combination of both, can lead to rapid and significant
increase of temperature in the anterior chamber,
especially at the incision site when ultrasound is
activated. To minimize the possibility of thermal injury
to eye tissues it is therefore recommended to partially
aspirate viscoelastic material from the anterior chamber.
The AdvanTec Visco submode contains default values of
120 mm Hg vacuum limit, and 0% of ultrasound power
and NeoSonix™* amplitude. If a user finds it helpful to
add a small amount of ultrasound or NeoSonix™* action
to facilitate partial removal of viscoelastic, the ultrasound
and/or NeoSonix™* will be available pulsed at 8 pulses
per second, 25% time on, 75% time off. Maximum
ultrasound power is limited to 50% in this submode.
906-2000-5011-17
SERIES 20000
™*
LEGACY
®
U/S Power Level and Vac Level are the primary
parameters displayed; Aspiration Flow Rate is the
secondary parameter displayed. If NeoSonix™*
handpiece is connected, NeoSonix™* parameters,
Amplitude, and Threshold are displayed as an additional
secondary parameters pair.
AdvanTec Phaco
Press the AdvanTec button, then select Phaco submode.
AdvanTec: Phaco is displayed. This submode provides
continuous ultrasound and NeoSonix™* oscillations, if
applicable.
U/S Power Level and Vac Level are the primary
parameters displayed, Aspiration Flow Rate is the
secondary parameter displayed. If NeoSonix™*
handpiece is connected, NeoSonix™* parameters,
Amplitude, and Threshold are displayed as an additional
pair of secondary parameters.
AdvanTec Pulse
Press the AdvanTec button, then select Pulse submode.
AdvanTec: Pulse is displayed. When operating in this
mode, U/S power and NeoSonix™* oscillations are
turned on and off in a 50% duty cycle (50% on time, 50%
off time) with a frequency determined by the pulse rate
setting.
U/S Power Level and Vac Level are the primary
parameters displayed, Aspiration Flow Rate and Pulse
Rate are the secondary parameters displayed. If
NeoSonix™* handpiece is connected, NeoSonix™*
parameters, Amplitude, and Threshold are displayed as
an additional secondary parameters pair.
AdvanTec Burst
Press the AdvanTec button, then select AdvanTec Burst
submode on the screen. AdvanTec Burst is displayed.
The AdvanTec Burst function allows bursts of ultrasound
and/or NeoSonix™* oscillations, of preset or operator set
duration, to occur either singly, or with a linearlycontrolled frequency.
AdvanTec Burst differs from other AdvanTec submodes
in that the U/S power is fixed at the preset or operator set
limit, throughout footpedal position 3. This is true for
both Panel and Surgeon control in AdvanTec Burst.
•AdvanTec Burst Panel Control provides a single
burst of ultrasonic power and/or NeoSonix™*
oscillations upon entrance to footpedal position 3.
NeoSonix™* oscillations will be delivered if the
NeoSonix™* handpiece is used and the ultrasound
power setting is equal to or exceeds the threshold.
-The duration of this burst is determined by the
preset or operator set limit.
-When a single burst is complete, the user must
lift the footpedal and re-enter position 3 to get
each additional burst.
•AdvanTec Burst Surgeon Control provides repeated
bursts of ultrasonic power and/or NeoSonix™*
oscillations in footpedal position 3.
-The duration of each burst is determined by the
preset or operator set limit.
-The time between each burst, during which no U/S
power or NeoSonix™* oscillations are applied,
varies linearly from the 2.5 second maximum at the
top of footpedal position 3, to the 0 second
(continuous) minimum at the bottom of position 3.
U/S Power Level and Vac Level are the primary
parameters displayed, Aspiration Flow Rate and Burst
Width are the secondary parameters displayed. If a
NeoSonix™* handpiece is connected, then NeoSonix™*
parameters, Amplitude, and Threshold are displayed as
an additional secondary parameters pair.
1-18906-2000-501
SERIES 20000
™*
LEGACY
®
Ultrasound (U/S) Mode
There are four selectable sub-modes within U/S Mode:
Phaco, Pulse, BiModal, and Burst; each reached by
pressing the appropriate area on the display screen or
remote control.
NOTE: The NeoSonix™* handpiece is for systems
with software V3.12 and above only. It will not be
recognized on systems with lower versions of
software.
This mode is designed to use either the 375/40 ultrasonic
or NeoSonix™* handpieces. Only ultrasound vibrations
will be produced by the NeoSonix™* handpiece in this
mode, so operation of the NeoSonix™* handpiece is
largely identical to that of the 375/40 ultrasonic
handpiece. Therefore, all statements made regarding
operation of the 375/40 U/S handpiece in the U/S mode
are also applicable to the operation of the NeoSonix™*
handpiece in the U/S mode.
NOTE: If a 375/40 U/S, Mackool**, or NeoSonix™*
handpiece is not connected, or is not connected
properly, a U/S handpiece symbol blinks in the text
window.
OFF (position 0)
IRRIGATION (position 1)
or down arrow which will raise or lower the maximum
power available. The default maximum U/S power
level setting is 60%.
U/S Phaco
This is the default function within the U/S Mode. When
the U/S button is pressed, “U/S:Phaco” is displayed and
the 375/40 U/S handpiece is activated. When the U/S
function is operational, irrigation, aspiration, and
ultrasonics are provided by the 375/40 U/S handpiece.
The user has the ability to adjust the aspiration rate,
vacuum levels, and U/S power above or below the preset
levels at any time during the surgical procedure via the
respective adjustment buttons or the remote control.
• U/S Phaco Panel Control provides irrigation
(footpedal position 1), irrigation/aspiration (footpedal
position 2), and irrigation/aspiration/fixed ultrasonics
simultaneously (footpedal position 3).
•
U/S Phaco Surgeon Control allows the user to linearly
control the ultrasonic power via the footpedal in
position 3 from 0% power up to whatever has been set
as the maximum ultrasonic power on the console.
U/S Power Level and Vac Level are the primary
parameters displayed; Aspiration Flow Rate is the
secondary parameter displayed.
IRR/ASPIRATION (position 2)
IRR/ASP/ULTRASONICS (position 3)
Figure 1-16 FOOTSWITCH FUNCTIONS - U/S
U/S power is increased or decreased via the front panel in
increments of 5% to a maximum of 100%. Ultrasonic
power is controlled by one of two methods: either Panel
control or Surgeon control.
• If Panel Control is selected, the power setting is
displayed on the ultrasonic power display. To increase
or decrease power, the arrow buttons are activated.
Ultrasonic power is initialized to 60% at power up.
The selected power is fully activated in footpedal
position 3.
• If
Surgeon Control (including Srg Asp and Srg Vac) is
selected, the ultrasonic power display indicates the
maximum power available. To increase ultrasonic
power the surgeon must further depress the footpedal
into position 3. Power starts at 0% and increases until
power reaches the displayed maximum setting. To
change the maximum available power, activate the up
U/S Pulse
Press the U/S button, then select Pulse mode. U/S: Pulse
is displayed. When operating in this function, U/S power
is turned on and off on a 50% duty cycle, with a
freequency determined by the pulse rate setting.
• U/S Pulse Panel Control provides irrigation in
footpedal position 1, irrigation and aspiration in
footpedal position 2, and simultaneous irrigation,
aspiration, and fixed pulsed ultrasonics in footpedal
position 3. The aspiration rate, vacuum limit, U/S
power, and pulse rate are all preset at default values,
but can be increased or decreased before or during the
procedure via the up and down arrows adjacent to
their respective windows on the front panel or remote
control.
•
U/S Pulse Surgeon Control performs the same as
Panel control plus it provides pulsed U/S power
linearly via the footswitch from 0% up to the
maximum preset or operator set limit.
U/S Power and Vac Level are the primary parameters
displayed; Aspiration Flow Rate and Pulse Rate are the
secondary parameters displayed.
906-2000-5011-19
SERIES 20000
™*
LEGACY
®
U/S BiModal
Press the U/S button, then select U/S BiModal mode on
the screen. U/S: BiModal is displayed. The U/S BiModal
function allows linear control of aspiration rate or
vacuum limit in footpedal position 2, plus linear control
of U/S power in position 3.
•
U/S BiModal SrgAsp Control provides irrigation in
footpedal position 1, irrigation and linearly controlled
aspiration in footpedal position 2, and simultaneous
irrigation, fixed aspiration, and linearly controlled U/S
power in footpedal position 3.
-In footpedal position 2, the aspiration rate starts
at 1 cc/min at the top of the position, and reaches
the full preset or operator set flow rate at the end
of position 2.
-In footpedal position 3, the full aspiration flow
rate is maintained, while U/S power varies from
0% at the top, to the maximum preset or operator
set limit at the bottom of the position.
U/S BiModal SrgVac Control is functionally identical
•
to U/S BiModal SrgAsp control mode, except that:
-The duration of this burst is determined by the
preset or operator set limit.
-When a single burst is complete, the user must
lift the footpedal and reenter position 3 in order
to get each additional burst.
U/S Burst Surgeon Control provides irrigation
•
(footpedal position 1), irrigation/aspiration (footpedal
position 2), and repeated bursts of ultrasonic power
(footpedal position 3).
-The duration of each burst is determined by the
preset or operator set limit.
-The time between each burst, during which no
U/S power is applied, varies linearly from the 2.5
second maximum at the top of footpedal position
3, to the 0 second (continuous U/S) minimum at
the bottom of position 3.
U/S Power and Vac Level are the primary parameters
displayed; Aspiration Flow Rate and Burst Width are the
secondary parameters displayed.
-In footpedal position 2, the vacuum limit is
varied linearly from 1 mmHg at the top of the
position to the preset or operator set limit at the
bottom of position 2.
-The aspiration flow rate is fixed, at the preset or
operator set limit, in both footpedal position 2
and 3.
U/S Power and Vac Level are the primary parameters
displayed; Aspiration Flow rate is the secondary
parameter displayed.
U/S Burst
Press the U/S button, then select U/S Burst mode on the
screen. U/S: Burst is displayed. The U/S Burst function
allows bursts of U/S power, of preset or operator set
duration, to occur either singly, or with a linearly
controlled frequency.
U/S Burst differs from other U/S submodes in that U/S
power is fixed, at the preset or operator set limit,
throughout footpedal position 3. This is true for both
Panel and Surgeon control in U/S Burst.
• U/S Burst Panel Control provides irrigation (footpedal
position 1), irrigation/aspiration (footpedal position 2),
and a single burst of ultrasonic power upon entrance
to footpedal position 3.
Irrigation/Aspiration (I/A) Mode
There are three selectable sub modes within the
Irrigation/Aspiration mode: Minimum (I/A Min),
Maximum (I/A Max), and Capsule Vacuum (Cap Vac).
Each of the selectable functions is reached by pressing
the appropriate button. The I/A mode provides
gravity-feed irrigation and/or simultaneous peristaltic
aspiration. In any of the sub modes under Panel Control,
the operator can adjust the preset aspiration and vacuum
limits using the adjustment control buttons on the control
panel.
OFF (position 0)
IRRIGATION (position 1)
IRR/ASPIRATION (position 2)
IRR/ASPIRATION (position 3)
Figure 1-17 FOOTSWITCH FUNCTIONS - I/A
I/A Max
Press the I/A button then select I/A Max on the screen or
the remote. I/A: Max is displayed. I/A Max provides
irrigation (footpedal position 1) and simultaneous
irrigation and aspiration (footpedal positions 2 and 3).
The preset vacuum level for I/A Max is 500+ mmHg
(unlimited), and the adjustable range is 0 to 500+mmHg
(unlimited).
1-20906-2000-501
SERIES 20000
™*
LEGACY
®
• I/A Max Panel Control - I/A Max Panel provides
irrigation in footpedal position 1 and simultaneous
irrigation and aspiration in footpedal positions 2 and
3.
•
I/A Max Surgeon Control
-Surgeon (Surg) Asp - identical to Panel control
except footpedal positions 2 and 3 allow linear
control of aspiration flow rate with fixed vacuum
limits.
-Surgeon (Surg) Vac - identical to Panel control
except footpedal positions 2 and 3 allow linear
control of vacuum limits with fixed aspiration
flow rate.
Asp Rate and Vac Level are the primary parameters
displayed.
I/A Min
Press the I/A button then select I/A Min on the screen or
the remote. I/A: Min is displayed.
• I/A Min Panel Control - for a low preset vacuum limit
of 66 mmHg, and an adjustable range of 0 to 500+
mmHg. The levels manually set by the operator can be
easily increased or decreased before or during
operation. I/A Min provides irrigation in footpedal
position 1 and simultaneous irrigation and aspiration
in footpedal positions 2 and 3.
•
I/A Min Surgeon Control
-Surgeon (Surg) Asp - identical to Panel Control
except footpedal positions 2 and 3 allow linear
control of aspiration flow rate with fixed
vacuum limits.
-Surgeon (Surg) Vac - identical to Panel Control
except footpedal positions 2 and 3 allow linear
control of vacuum limits with fixed aspiration
flow rate.
Cap Vac
Press the I/A button, then select the CapVac mode on the
screen or the remote control. I/A CapVac is displayed.
CapVac provides irrigation and low aspiration rate and
vacuum limit, allowing the surgeon to polish the surface
of the posterior capsule following the emulsification and
removal of the cataractous tissue. The preset vacuum
limit is 5mmHg.
Asp Rate and Vac Level are the primary parameters.
Only Panel Control is enabled in the CapVac function.
Kelman®Steerable I/A System Option
The Kelman® Steerable I/A system consists of a flexible,
steerable irrigation/aspiration tip with an accompanying
handpiece and drive mechanism. The Steerable I/A
system is used in I/A mode to remove cortical material
via aspiration while maintaining chamber pressure with
irrigation.
The system is used with the infusion sleeve provided in
the Legacy® pak. This system provides aspiration and
irrigation and the ability to easily, smoothly, and
continually adjust the tip in the eye from a straight
position to a fully bent position. The ability to steer the
tip provides the Surgeon with greater access to all
cortical material in the eye. The operator has the ability
to steer the tip via the footswitch, and the distal end of
the tip will remain in that position until changed by the
operator via the footswitch.
The Kelman® Steerable I/A system is an option and must
be installed in the Legacy® console. The Steerable
I/A system is limited to altitudes up to 6,000 feet (1,828
meters). Once installed, the system must be selected in
the Custom mode (see Custom Mode). All functions of
the Irrigation/Aspiration (I/A) mode are available when
the Steerable I/A system is installed and selected.
Asp Rate and Vac Level are the primary parameters
displayed.
between straight and fully bent by pressing the right and
left vertical switches on the footswitch. The left vertical
switch increases the bend of the tip, while the right
vertical switch reduces the bend.
906-2000-5011-21
The Kelman® Steerable I/A tip is adjusted to any position
SERIES 20000
™*
LEGACY
®
Vitrectomy (Vit) Mode
There are two selectable sub modes within the
Vitrectomy (Vit) mode: ATIOP and I/A Cutter. Each is
reached by pressing the appropriate mode on the screen,
and each utilizes the pneumatically operated ATIOP
handpiece. The cutting rate for both sub modes is
adjustable from 0 to 400 cuts per minute.
ATIOP
This is the default for the VIT mode. Press the VIT mode
on the screen or the remote and Vit: ATIOP is displayed.
•
ATIOP Panel - Irrigation is provided in footpedal
position 1; irrigation and guillotine-motion cutting in
position 2; and irrigation, cutting, and aspiration in
position 3. The operator can adjust the preset
aspiration and vacuum limits using the adjustment
control buttons on the control panel or on the remote
control.
•
ATIOP Surgeon
-Surgeon (Surg) Asp - identical to Panel Control
except footpedal positions 3 allows linear control
of aspiration flow rate with fixed vacuum limits.
-Surgeon (Surg) Vac - identical to Panel Control
except footpedal positions 3 allows linear control
of vacuum limits with fixed aspiration flow rate.
Asp Rate and Vac Level are the primary parameters
displayed. Cutting rate is the secondary parameter.
I/A Cutter
Press VIT mode. Select the I/A Cutter mode on the
screen or remote and “Vit: I/A Cutter” is displayed.
• I/A Cutter Panel - Irrigation is provided in footpedal
position 1; irrigation and aspiration in position 2; and
irrigation, aspiration, and cutting in position 3.
•
I/A Cutter Surgeon
-Surgeon (Surg) Asp - identical to Panel Control
except footpedal positions 2 and 3 allow linear
control of aspiration flow rate with fixed vacuum
limits.
-Surgeon (Surg) Vac - identical to Panel Control
except footpedal positions 2 and 3 allow linear
control of vacuum limits with fixed aspiration
flow rate.
Asp Rate and Vac Level are the primary parameters
displayed. Cutting rate is the secondary parameter.
ATIOP
OFF (position 0)
IRRIGATION (position 1)
IRR/CUTTING (position 2)
IRR/ASP/CUTTING (position 3)
I/A CUTTER
OFF (position 0)
IRRIGATION (position 1)
IRR/ASPIRATION (position 2)
IRR/ASP/CUTTING (position 3)
Figure 1-18 FOOTSWITCH FUNCTIONS - VITRECTOMY
1-22906-2000-501
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