Keeler Spectra Iris Instructions For Use Manual

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Spectra Iris
Indirect Ophthalmoscope
Instructions for use
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Contents
Page
Page
1. Copyright and trademarks ................................................... 3
2. Introduction ........................................................................... 4
3. Symbols ..................................................................................5
4. Safety ..................................................................................... 6
• Device classification
• Warnings
• Cautions ...........................................................................7
• Safety considerations ...................................................... 8
5. Setting up and using the Spectra Iris .................................. 9
• Description of the product
• Fitting the Spectra Iris to the frame ............................ 10
• Frame adjustments ........................................................ 11
• Aperture Lever .............................................................. 12
• Filter selection control
• Mirror angle control
6. Chargers, battery packs and power supply 14
• Power supply assembly
• Charging the battery pack ........................................... 15
• Charge time / belt clip .................................................. 16
7. Cleaning instructions .......................................................... 17
8. Specifications and electrical ratings .................................. 18
• Electrical specifications
• Transport, storage and operation
9. Annex I – EMC statement and guidelines ......................... 19
10. Spare parts and accessories ................................................ 24
11. Warranty .............................................................................. 25
12. Contact and disposal information ..................................... 26
• Interpupillary distance setting control ........................ 13
Click on the headings above to go directly to that section.
Use the buttons on the right to navigate the document.
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1. Copyright and trademarks
The information contained within this manual must not be reproduced in
whole or in part without the manufacturer’s prior written approval.
As part of our policy for continued product development we reserve the
right to make changes to specifications and other information contained
in this document without prior notice.
Spectra Iris is a registered trademark of Keeler Ltd 2012.
Copyright © Keeler Limited 2012.
Published in the UK 2012.
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2. Introduction
Thank you for purchasing the Keeler Spectra Iris Indirect
Ophthalmoscope.
We have taken the greatest care in the design,
development and manufacture of
this product to ensure that you get
many years of trouble free service.
However, it is important that you read
the descriptions, installation and operating
instructions carefully prior to installing or
using your new indirect ophthalmoscope.
Please read and follow these instructions carefully.
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3. Symbols
Keep dry
Material suitable
for recycling
Read user instructions for warnings, cautions and
additional information
The CE mark on this product indicates it has been
tested to and conforms with the provisions noted
within the 93/42/EEC Medical Device Directive
Consult instructions for use
Double insulated
Manufacturer's name and address
This Symbol on the product or on its packaging
and instructions indicates that it was put on the
market place after August 2005 and that this
Follow instructions for use
High voltage
Trip hazard
Optical radiation hazard
Hot surface
Non-ionizing radiation
This way up
Keep dry
product shall not be treated as Household Waste
Type B protections against shock
Mandatory action sign
Fragile
Material suitable
for recycling
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4. Safety
Device classification
CE Regulation 93/42 EEC: Class I
FDA: Class II
Carefully read this Instruction Section before using your Keeler
product. For your own safety and that of your customers
observe all cautionary information provided in this section. The
following information is intended to highlight potential safety
hazards that can be associated with misuse, or damage.
Warnings and cautions
Warning
• Check your Keeler product for signs of transport / storage
damage prior to use
• Do not use if the product is visibly damaged, and periodically
• Do not dispose of battery in fire, puncture or short circuit
• Do not use a battery that is deformed, leaking, corroded or
visually damaged. Handle a damaged or leaking battery with
care. If you come into contact with electrolyte, wash exposed
area with soap and water. If it contacts the eye, seek medical
attention immediately
• US Federal law restricts this device to sale by or order of a
physician or practitioner
Do not fit mains power adapter into a damaged mains
outlet socket
Route power cords safely to eliminate risk of tripping or
damage to equipment
Bulbs / LED’s can reach high temperatures in use – allow
to cool before handling
inspect for signs of damage
• Do not use in the presence of flammable gases / liquids, or in
an oxygen rich environment
• This product should not be immersed in fluids
• Do not disassemble or modify the battery. There are no
serviceable parts inside
Do not exceed maximum recommended exposure time
After removal of the bulb / LED do not touch the bulb /
LED contacts and the patient
simultaneously
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4. Safety
Caution
• Use only genuine Keeler approved parts and accessories or
device safety and performance may be compromised
• Use only Keeler approved batteries, chargers and power
supplies as per the accessories listed in section 10
• The product has been designed to function safely when at an
ambient temperature between +10°C and +35°C
• Keep out of the reach of children
• To prevent condensation from forming, allow instrument to
come to room temperature before use
• For indoor use only (protect from moisture)
• When replacing lithium battery pack, turn indirect off and
attach new pack
• Remove batteries when device may not be used for prolonged
periods
• Ensure battery orientation is correct, or personal injury /
damage to equipment may occur
• Care should be taken when handling halogen bulbs. Halogen
bulbs can shatter if scratched or damaged
• Ensure device is securely held in docking station to minimise
risk of injury or damage to equipment
• Follow guidance on cleaning / routine maintenance to prevent
personal injury / damage to equipment
Switch off the electrical supply and disconnect from
the mains electrical supply before cleaning and inspection
• Dispose of batteries in line with local environmental
regulations
• At product end of life dispose of in accordance with local
environmental guidelines (WEEE)
• Do not charge battery in any environment where the
temperature may exceed 40˚C or fall below 0˚C
• There are no user serviceable parts inside. Contact authorised
service representative for further information
Note: Lithium Ion batteries contain no toxic heavy metals
such as mercury, cadmium or lead
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4. Safety
Safety considerations
It is well established that exposure of the eye to intense light
sources for extended periods of time poses a risk of retinal
photic injury. Many ophthalmic instruments illuminate the eye
with intense light. The decision about the intensity of the light
level to use in any procedure must be made on a case to case
basis. In each case, the clinician must take a risk benefit
judgement about the intensity of light to be used. Use of
insufficient intensity may result in inadequate visualization and
in adverse effects more serious than retinal photic damage.
Further, despite all efforts taken to minimise the risk of retinal
damage, damage may still occur. Retinal photic injury is a
possible complication of the need to use bright light clearly
visualize ocular structure during delicate ophthalmic surgical
procedure.
While no visible retinal lesions have been identified for
ophthalmic instruments, it is recommended that illumination
levels be set to the minimum level necessary to perform the
diagnostic function. Young children and persons with diseased
eyes may be at a higher risk. The risk may also be increased if
the person being examined has had any exposure with the same
instrument or any other ophthalmic instrument using an intense
visible light source during the previous 24 hours. This will apply
particularly if the eye has been exposed to retinal photography.
The light emitted from this instrument is potentially hazardous.
The longer the duration of exposure, the greater the risk of
ocular damage. Exposure to light from this instrument when
operated at maximum intensity will exceed the safety guidelines
after 27 minutes.
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5. Setting up and using the Spectra Iris
Description of the Product
A Frame
B Hinge
C Aperture Lever
D Filter Selector
E Mirror Angle
F Interpupillary Distance Control
G Mounting Holes
C
A
B
C
D
E
F
G
E
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5. Setting up and using the Spectra Iris
Frame (A)
1. Fit the Spectra Iris head unit into the frame (A)
via the pin mounting system as shown.
2. The prescription lens frame (if required)
is fitted as shown.
Prescription lens frame in correct position
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5. Setting up and using the Spectra Iris
Frame (A)
3. The nose bridge is fitted by sliding into the slot as shown.
4. As the nose bridge slides
into the slot a sprung catch
will engage with the dimples
on the nose bridge. This is to
allow a range of adjustment
to suit the users requirements.
Please note: Care must be taken not to overtighten
the screws during this process, or the equipment
may be damaged.
5. Once the desired position has been
confirmed this can be locked more
securely in position by gently
tightening the screws circled.
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5. Setting up and using the Spectra Iris
Filter selection control (D)
By sliding the lever (D) in direction of the arrows, different filters
D
C
E
may be selected.
Clear – Select the clear with no filter when inspecting a
specific pathology and a brighter, whiter light is desired.
Green – Red-free filter reduces the red light, so blood will
appear black, silhouetted against a dark background.
Blue – Cobalt blue for fluorescein angioscopy.
Mirror angle control (E)
The light is positioned vertically into the field of view
by rotation of the levers (E) located either side of the
binocular block.
Aperture lever (C)
By sliding the lever (C) in direction of the arrows, the size of
the aperture can be adjusted. Slide to the right to increase
aperture size, to the left to decrease. Refer to the white
dots located on the top of the lever, as per image right.
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5. Setting up and using the Spectra Iris
Interpupillary Distance Setting Control (F)
Because the eyes are dissociated, particular care must
be taken to ensure the optics (eyepieces) are set properly
in front of each eye.
Place an object, perhaps the thumb, approximately 40cm
from the face and centre it horizontally in the light patch.
Then, close one eye. Using the thumb and forefinger of
the opposite hand, slide the P.D.Control (F) of the open
eye (located directly under each eyepiece) so that your
object moves into the centre of the field, keeping the object
in the centre of the light patch. Repeat for the other eye.
F
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6. Charger – power supply assembly
Set Plug
Replace the blanking plate with the appropriate mains plug
adaptor if required, or use IEC 60320 TYPE 7 connector
(not supplied).
IEC 60320 TYPE 7 connector
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6. Charger – lithium battery
Charging the battery pack
Connect plug on cable to power input socket on side of Charger.
Turn the battery pack off. The Green LED shows Charging
storage unit is powered.
Place the battery pack into the charging well as shown below.
A yellow LED indicates battery pack’s charge state as below:
Green LED Charging storage unit powered
No yellow LED Battery charged
Flashing yellow LED Top-up charge
Solid yellow LED Rapid charge
The battery pack can be used at any
time during the charging cycle and
will resume charging when battery
pack is placed back in the charger.
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6. Charger – lithium battery
Charge time
The battery will take approximately 3 hours to fully charge.
The battery will last approximately 4 hours on full power.
Turn the illumination on by rotating the dimmer control knob in
an anti-clockwise direction.
A yellow LED indicates battery pack’s charge state as below:
Flashing yellow LED Battery requires charging
Insert connector into
socket as shown.
Belt Clip
The belt clip can be used
for those who prefer to
carry the unit on a belt.
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7. Cleaning
• Only manual non-immersion cleaning as described should be
used for this instrument
• Do not autoclave or immerse in cleaning fluids
Always disconnect power supply from source
before cleaning
a Wipe the external surface with a clean absorbent, non-
shedding cloth dampened with a water / detergent solution
(2% detergent by volume) or water / isopropyl alcohol
solution (70% IPA by volume). Avoid optical surfaces
b Ensure that excess solution does not enter the instrument. Use
caution to ensure cloth is not saturated with solution
c Surfaces must be carefully hand-dried using a clean non-
shedding cloth
d Safely dispose of used cleaning materials
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8. Specifications and electrical ratings
Input mains data: 100-240V – 50/60Hz
Power supply rating: 12V : 2.5amps
Operation: Continuous
Classification: Class II equipment
Type B protection against shock
Transport, storage and operating conditions
Transport Storage Operation
Temperature
range
Relative
humidity
-40°C
to +70°C
10% to 95% 10% to 95% 30% to 75%
-10°C
to +35°C
+10°C
to +35°C
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9. Annex I – EMC statement and guidelines
The Keeler Spectra Iris is a medical electrical instrument. The
instrument requires special care concerning electromagnetic
compatibility (EMC).This Section describes its suitability in terms of
electromagnetic compatibility of this instrument. When installing or
using this instrument, please read carefully and observe what is
described here.
Portable or mobile-type radio frequency communication units may
have an adverse effect on this instrument, resulting in malfunctioning.
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9. Annex I – EMC statement and guidelines
Guidance and manufacturer’s declaration – electromagnetic immunity
The Keeler Spectra Iris is intended for use in the electromagnetic environment specified below. The customer or the user should assure that it is used in such an environment.
Immunity test IEC 60601 Test level Compliance level Electromagnetic environment - guidance
Electrostatic discharge (ESD). IEC 61000-4-2
Electrical fast transient/burst. IEC 61000-4-4
Surge. IEC 61000-4-5
Voltage dips, short interruptions and voltage variations on power supply input lines. IEC 61000-4-11
Power frequency (50/60 Hz) magnetic field. IEC 61000-4-8
± 6 kV contact ± 8 kV air
± 6 kV contact ± 8 kV air
Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
± 2 kV for power supply lines ± 1 kV for input/output lines
± 1 kV line(s) to line(s) ± 2 kV line(s) to earth
<5% U (> 95% dip in U
40% U
T
) for 0.5 cycles
T
T
(60% dip in UT ) for 5 cycles
70% U (30% dip in U
<5% U
T
) for 25 cycles
T
T
(>95% dip in UT) for 5 s
± 2 kV for power supply lines N/A
± 1 kV line(s) to line(s) N/A
<5% U (> 95% dip in U
40% U
T
) for 0.5 cycles
T
T
(60% dip in UT ) for 5 cycles
70% U (30% dip in U
<5% U
T
) for 25 cycles
T
T
(>95% dip in UT) for 5 s
Mains power quality should be that of a typical commercial or hospital environment.
Mains power quality should be that of a typical commercial or hospital environment.
Mains power quality should be that of a typical commercial or hospital environment.
If the user of the Keeler Spectra Iris requires continued operation during power mains interruptions, it is recommended that the charger be powered from an uninterruptible power supply.
3 A/m 3 A/m Power frequency magnetic fields should be at a level
characteristic of a typical location in a typical commercial or hospital environment.
Note UT is the a. c. mains voltage prior to application of the test level.
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9. Annex I – EMC statement and guidelines
Guidance and manufacturer’s declaration – electromagnetic emissions
The Keeler Spectra Iris is intended for use in the electromagnetic environment specified below. The customer or user should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
Charger only
Harmonic emissions IEC 61000-3-2
Voltage fluctuations / flicker emissions IEC 61000-3-3
Indirect Ophthalmoscope only
RF emissions CISPR 11
RF emissions CISPR 11
RF emissions CISPR 15
Group 1 The Keeler Spectra Iris uses RF energy only for its internal function.
Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
Class B The Keeler Spectra Iris is suitable for use in all establishments, including
domestic establishments and those directly connected to the public low-
Class A
Complies
Complies The Keeler Spectra Iris is not suitable for interconnection with other
voltage power supply network that supplies buildings used for domestic purposes.
equipment.
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9. Annex I – EMC statement and guidelines
Guidance and manufacturer’s declaration – electromagnetic immunity
The Keeler Spectra Iris is intended for use in the electromagnetic environment specified below. The customer or user should assure that it is used in such an environment.
Immunity test IEC 60601 Test level Compliance level Electromagnetic environment - guidance
Portable and mobile RF communications equipment should be used no closer to any part of the Keeler Spectra Iris, including cables, than the recommended separation distances calculated from the equation applicable to the frequency of the transmitter.
Conducted RF IEC 61000-4-6
Radiated RF IEC 61000-4-3
Note 1 At 80MHz and 800MHz, the higher frequency range applies. Note 2 These guide lines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,
objects and people. ¹ Field strengths from fixed transmitters, such as base stations ( cellular / cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Keeler Spectra Iris.is used exceeds the applicable RF compliance level above, the Keeler Spectra Iris.should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orientating or relocating the Keeler Spectra Iris. ² Over the frequency range 150kHz to 80 MHz, field strengths should be less than 3 V/m.
3 Vrms 150 kHz to 80 MHz
3 V/m 80MHz to 2.5GHz
3 V
3 V/m
Recommended separation distance
d = 1.2 p
d = 1.2 p 80MHz to 800 MHz d = 2.3 p 800MHz to 2.5GHz
Where p is the maximum output power rating of the transmitter in watts(W) according to the transmitter manufacturer and d is the recommended separation distance in metres(m).
Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey¹, should be less than the compliance level in each frequency range.²
Interference may occur in the vicinity of equipment marked with the following symbol:
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9. Annex I – EMC statement and guidelines
Recommended separation distances between portable and mobile RF communications equipment and the Keeler Spectra Iris
The Keeler Spectra Iris is intended for the use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Keeler Spectra Iris can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the Keeler Spectra Iris as recommended below, according to the maximum output power of the communications equipment.
Rated maximum
output power of
transmitter
W
0.01 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.2 1.2 2.3
10 3.7 3.7 7.4
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be determined using the equation applicable to the frequency of the transmitter, where p is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1 At 80MHz and 800MHz, the higher frequency range applies. Note 2 These guide lines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,
objects and people.
150 kHz to 80MHz d = 1.2 p
Separation distance according to frequency of transmitter
m
80MHz to 800MHz d = 1.2 p
800MHz to 2.5GHz d = 2.3 p
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10. Spare parts and accessories
The following accessories are supplied with the product:
Part Number Description
1919-P-5215 Lithium battery pack
1941-P-5385
2199-P-7136 Lens cloth 2199-P-7582 Neck cord 2415-P-7001 Instructions for Use CD
The following accessories are available from the distributor:
Part Number Description
Single lithium charger (includes EP29-32777 power supply)
1201-P-6067
1201-P-6075
1205-P-7000 Spectra teaching mirror 1941-P-5350 KLED / Spectra double charger 3412-P-7002 Spectra carrying case
Contact Keeler, who can supply a choice of Volk Lenses
depending on magnification and field of view.
Large thimble depressor for Scleral Indentation
Small thimble depressor for Scleral Indentation
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11. Warranty
No user serviceable parts – all preventative maintenance and
servicing must only be performed by authorised Keeler
representatives.
Your Keeler product is guaranteed for 3 years and will be
replaced, or repaired free of charge subject to the following:-
• Any fault due to faulty manufacture
• The instrument and accessories have been used in compliance
with these instructions
• Proof of purchase accompanies any claim
Please note that batteries are covered by this warranty statement
for 1 year only.
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12. Contact and disposal information
Keeler Limited Clewer Hill Road Windsor Berkshire SL4 4AA England
Freephone: 0800 521 251 Tel: +44 (0)1753 857177 Fax: +44 (0)1753 827145
Keeler Instruments Inc 3222 Phoenixville Pike Building #50 Malvern, PA 19355 USA
Toll Free: 1 800 523 5620 Tel: 610 353 4350 Fax: 610 353 7814
Disposal of old Electrical and Electronic Equipment
(Applicable in the European Union and other European Countries with
separate Collection Systems).
This symbol on the product or on its packaging and instructions
indicates that it was put on the market place after August 2005 and
that this product shall not be treated as Household Waste.
To reduce the environmental impact of WEEE (Waste Electrical Electronic
Equipment) and minimise the volume of WEEE entering landfills we
encourage at product end of life that this equipment is recycled and reused.
If you need more information on the collection reuse and recycling then
please contact B2B Compliance on 01691 676124 (+44 1691 676124).
EP59-19156 Issue C
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