Leica M525 OH4 User manual

Leica M525 OH4
User manual
10 714 367 – version -
Leica M525 OH4 / Ref. 10 714 367 / Version -
Thank you for purchasing a Leica surgical microscope system.
In developing our systems, we have placed great emphasis on simple, self-explanatory operation. Nevertheless, we suggest studying this user manual in detail in order to utilize all the ben­efits of your new surgical microscope.
For valuable information about Leica Microsystems products and services, and the address of your nearest Leica represen­tative, please visit our website,
www.leica-microsystems.com
Thank you for choosing our products. We hope that you will enjoy the quality and performance of your Leica Microsystems surgical microscope.
Leica Microsystems (Schweiz) AG Surgical Microscopy Business Unit
Chapter overview
Leica M525 OH4 / Ref. 10 714 367 / Version -
Introduction 3
Controls 6
Preparation for operation 21
Use 37
Safety notes 58
Care and maintenance 68
What to do if...? 73
Technical data 77
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Contents
Leica M525 OH4 / Ref. 10 714 367 / Version -
screen
Introduction
User manual 3 Product identification 3 Symbols in this user manual 3 Design 4
Controls
Leica M525 microscope with swing arm 6 Control unit 7 Terminals 7 Stand 8 CAN handles 9 Mouth switch 9 Footswitch 9 Beam splitter 17 Beam splitter with counterweight 17 180° assistant’s attachment 17 Ultra Observer Leica ULT500 17 Dual Imaging Color Module Leica DI C500 18 Stereoscopic co-observer tube 18 Tubes 18 Video and photo accessories for Leica M525 20
Preparation for operation
Checklist: before the operation 21 Installing optical accessories 22 Setting the tube 23 Setting the eyepiece 24 Installing documentation accessories 24 Selecting documentation accessories 26 Stand settings 27 Changing the weight disk on the D-axis 33 Releasing the brakes 34 Transport, transporting and rest positions 35 Positioning on the operating table 36 Attaching sterile controls 36
Use
Positioning the microscope 37 Adjusting the microscope 38 Control unit with touch panel 43 Leica DI C500 52 Autofocus settings 54 The Maintenance menu 56 Microscope settings 57 The "How to..." menu 57 The Service menu 57
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Safety notes
Intended use 58 Directions for the person responsible for the instrument 58 Directions for the operator of the instrument 59 Dangers of use 60 Manufacturer's declaration of electromagnetic compatibility (EMC) 62 Signs and labels 66
Care and maintenance
Maintenance instructions 68 Cleaning the touch panel 68 Maintenance 68 Changing bulbs 69 Checking the timer for the xenon lamp 69 Changing fuses 70 Notes on reprocessing of resterilizable products 71 Instructions 71
What to do if...?
General faults 73 TV, photography 75 Error messages on the control unit 76
Technical data
Electrical data 77 Leica M525 77 Accessories 77 IGS 78 Fluorescence 78 Floor stand 78 Ambient conditions 79 Standards fulfilled 79 Limitations of use 79 List of weights of balanceable configurations 80 Dimensional drawings 81
Introduction
Leica M525 OH4 / Ref. 10 714 367 / Version -
User manual
In addition to instructions for use, this user manual also provides important safety notes (see the chapter entitled, "Safety notes"). Read the user manual carefully and thoroughly before placing the product in operation.
Product identification
The model code and serial number of your product are provided on the nameplate found on the illumination unit. Write this data into your user manual and always refer to it when you contact us or the service workshop regarding any questions you may have.
Model: Serial No.:
Symbols in this user manual
The symbols used in this user manual have the following meanings:
Warning Warning regarding use hazard or
improper use which can cause serious personal injury or death.
Caution Warning regarding use hazard or
improper use which can cause minor per­sonal injury, but considerable damage to property, assets and the environment.
Useful information that can help the user operate the product correctly and efficiently.
Call to action; here you are asked to do ­something.
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Introduction
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Design
surgical microscope Leica M525 OH4
1 Swing arm 2 Tiebar 3 Video monitor (optional) 4 Control unit with touch panel 5 Suspension device for footswitch 6 Illumination unit 7 Base 8 Optical carrier Leica M525
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Introduction
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Leica M525 OH4 / Ref. 10 714 367 / Version -
1 Vertical arm 2 Terminals 3 Footbrake 4 Handle 5 Articulated arm for monitor 6 Camera control unit (optional) 7 System unit Leica MDRS3 (optional)
The Leica M525 with its open architecture, offers space for accommodating the video control unit and the Leica MDRS3.
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Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Microscope Leica M525 with swing arm
1 Status LED for fluorescence
- LED lights up white = white light mode
- LED lights up blue = blue light mode
- LED lights up yellow = NIR mode
- LED lights up green = Playback mode
2 Status LED for recording LED lights up red = recording in
progress 3 Push-button for intraoperative AC/BC balancing 4 Switch for manual balancing of the C-carriage 5 C-carriage 6 CAN handle 7 Display of set working distance 8 Optical carrier M525 9 Switch for manual balancing of the A-carriage 10 A-carriage 11 CAN handle clamping lever 12 Switch for manual balancing of the B-carriage 13 B-carriage 14 Swing mount
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789106
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15 CAN socket for accessories (DI C500, FL400) 16 CAN socket (not used) 17 Optical fiber
18 Rotary button for zoom adjustment 19 Rotary button for illumination field diameter adjustment 20 Reset button for zoom dependent illumination field diameter
adjustment 21 Status of multifocus LED 22 Multifocus key 23 Rotary button for focus adjustment 24 Working distance display
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Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Control unit
1 Touch panel 2 Push-button with illumination LED (on/off) 3 Push-button with LED for Auto Balance
Terminals
4 AD.F. Additional Function 2 5 AD.F. Additional Function 1 6 Footswitch or handswitch 2 7 Footswitch or handswitch 1 8 Internal CAN 9 External CAN 10 External CAN
AD.F. 1 and 2 are digital relay outputs that can switch 24V/2A.
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11 Storz light source 18 for Sony NIR camera
12 UV camera Hitachi 19 Leica MDRS3
13 BNC IN (2x) 20 SVGA IN 3
14 BNC OUT 21 SVGA IN 2
15 S-Video IN (2x) 22 SVGA IN 1
16 S-Video OUT 23 SVGA OUT to Leica DI C500
17 Storz footswitch
24 S-Video adapter
25 BNC adapter
26 Ethernet adapter
Terminals 24, 25 and 26 are adapters which can be used to lead out the terminals of the optional Leica MDRS3 system unit or a camera control.
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Controls
Leica M525 OH4 / Ref. 10 714 367 / Version -8
Stand
1 Illumination unit 2 Access door 3 Screw knob 4 Master switch for Leica M525 OH4 surgical microscope 5 Selector switch 100V/120V/220V/240V 6 Power supply 7 Potential equalization socket 8 Fuse box flap
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9 Lamp inserts for main illumination or backup illumination 10 Lever for switching to standby illumination
The Leica M525 OH4 surgical microscope has a primary illumination source and an equivalent standby illumination source.
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Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
CAN handles
1 Zoom 2 4-function joystick 3 Focus 4 Release All Brakes 5 Release preselected brakes
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Mouth switch
6 Release preselected brakes
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You can assign switches 1, 2, 3 and 5 of the CAN handles individually for each user in the configuration menu (see page 50).
Footswitch
Here you will find an overview of the footswitches which you can use to control your Leica M525 surgical microscope.
Footswitches can be assigned individually for each user in the configuration menu (see page 48).
Footswitch Footswitch Footswitch Footswitch 12 functions crosswise 16 functions crosswise 12 functions lengthwise 16 functions lengthwise
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Presets "Cranial"/"Spine"/"ENT"
Here you will find an overview of the assignments of the CAN handles and an optionally connected footswitch for the preset user "Cranial"/"Spine"/"ENT".
You can assign CAN handles and footswitches individually for each user in the configuration menu (see pages 48 and 50).
Y+
Focus +
Y-
X+
Zoom +
X-
Zoom -
Focus -
All Brakes
Selected brakes
Y+
X+
Y-
Zoom +
X-
No function
Focus -
Focus +
No function
No function
Zoom -
Y+
X-
Y-
Focus +
Focus -
All Brakes
Selected brakes
X+
Zoom +
Zoom -
No function
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Preset "Image Injection IGS DI C500"
Here you will find an overview of the assignments of the CAN handles and an optionally connected footswitch for the preset user "Image Injection IGS DI C500".
You can assign CAN handles and footswitches individually for each user in the configuration menu (see pages 48 and 50).
IGS 3
Focus +
Zoom +
Zoom -
Focus -
All Brakes
Selected brakes
Y+
X+
Y-
Zoom +
X-
IGS 3
Focus -
Focus +
IGS 2
IGS 1
IGS 4
Zoom -
Y+
X­Y-
Focus +
Focus -
All Brakes
Selected brakes
X+
Zoom +
Zoom -
IGS 4
IGS 2
IGS 1
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Preset "Image Injection ENDO DI C500"
Here you will find an overview of the assignments of the CAN handles and an optionally connected footswitch for the preset user "Image Injection ENDO DI C500".
You can assign CAN handles and footswitches individually for each user in the configuration menu (see pages 48 and 50).
No function
Focus +
DI C500:Shutter control
Zoom +
DI C500: Display on/off
Zoom -
Focus -
All Brakes
Selected brakes
Y+
X+
Y-
Zoom +
X-
DI C500: Display on/off
Focus -
Focus +
No function
No function
Zoom -
Y+
X­Y-
Focus +
Focus -
All Brakes
Selected brakes
X+
Zoom +
Zoom -
No function
DI C500:
Shutter control
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Preset "Fluorescence Vascular FL800"
Here you will find an overview of the assignments of the CAN handles and an optionally connected footswitch for the preset user "Fluorescence Vascular FL800".
You can assign CAN handles and footswitches individually for each user in the configuration menu (see pages 48 and 50).
FL800 NIR Zoom Reset
Focus +
Zoom +
FL800 Mode on/off
Zoom -
Focus -
All Brakes
Selected brakes
Y+
X+
Y-
Zoom +
X-
Focus -
Focus +
Zoom -
MDRS3 FL:Menu&Down
FL800 Mode on/off
FL800 NIR
Zoom Reset
MDRS3 FL:Menu&Down
MDRS3 FL:
Playback&Enter
MDRS3 FL: Playback&Enter
Y+
X­Y-
Focus +
Focus -
All Brakes
Selected brakes
X+
Zoom +
Zoom -
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Preset "Fluorescence Oncology FL400"
Here you will find an overview of the assignments of the CAN handles and an optionally connected footswitch for the preset user "Fluorescence Oncology FL400".
You can assign CAN handles and footswitches individually for each user in the configuration menu (see pages 48 and 50).
No function
Focus +
Zoom +
FL400 Mode on/off
Zoom -
Focus -
All Brakes
Selected brakes
Y+
X+
Y-
Zoom +
X-
Focus -
Focus +
No function
No function
Zoom -
No function
No function
FL400 Mode on/off
No function
Y+
X­Y-
Focus +
Focus -
All Brakes
Selected brakes
X+
Zoom +
Zoom -
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Preset "Fluorescence Oncology FL400 & IGS DI C500"
Here you will find an overview of the assignments of the CAN handles and an optionally connected footswitch for the preset user "Fluorescence Oncology FL400 & IGS DI C500".
You can assign CAN handles and footswitches individually for each user in the configuration menu (see pages 48 and 50).
IGS 3
Focus +
Zoom +
IGS 4
Zoom -
Focus -
All Brakes
IGS 3
Zoom +
Focus -
Focus +
No function
No function
Zoom -
IGS 1
IGS 2
FL400 Mode on/off
No function
IGS 4
IGS 2
IGS 1
Y+
X­Y-
Focus +
Focus -
All Brakes
Selected brakes
X+
Zoom +
Zoom -
FL400 Mode on/off
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Preset "Fluorescence Oncology FL400 & Vascular FL800"
Here you will find an overview of the assignments of the CAN handles and an optionally connected footswitch for the preset user "Fluorescence Oncology FL400 & Vascular FL800".
You can assign CAN handles and footswitches individually for each user in the configuration menu (see pages 48 and 50).
FL800 NIR Zoom Reset
Focus +
Zoom +
FL800 Mode on/off
Zoom -
Focus -
All Brakes
FL400 Mode on/off
Zoom +
Focus -
Focus +
No function
No function
Zoom -
MDRS3 FL: Menu&Down
MDRS3 FL: Playback&Enter
FL400 Mode on/off
No function
FL800 NIR Zoom Reset
MDRS3 FL: Playback&Enter
MDRS3 FL: Menu&Down
FL400 Mode on/off
Y+
X­Y-
Focus +
Focus -
All Brakes
Selected brakes
X+
Zoom +
Zoom -
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
A comprehensive range of accessories enables the Leica M525 OH4 surgical microscope to be matched to the requirements of the task in hand. Your Leica representative will be pleased to help you select the appropriate accessories.
Beam splitter
• Can be used for co-observation or documentation Light distribution: 50% on each side (mono) or 30% / 70%
Beam splitter with counterweight
• Can be used for co-observation or documentation Light distribution: 50% on each side (mono)
180° second observer attachment
• Allows a second observer to view the procedure
Ultra Observer Leica ULT500
• Beam splitter with eight optical ports
• Light distribution: Surgeon (front) 40% (stereo) Assistant (rear) 40% (stereo) or Assistant (side) 40% (mono) Documentation (side) 20%
VIDEO
ULT 500LEICA
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Dual Imaging Color Module Leica DI C500
• Beam splitter with eight optical ports
• Integrated color display shows data or video images.
• Light distribution: Surgeon (front) 40% (stereo) Assistant (rear) 40% (stereo) or Assistant (side) 40% (mono) Documentation (side) 20%
VIDEO
Stereo attachment for second observer
• Is attached to the side outputs of a beam splitter.
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Tubes
Binocular tube variable from 30°–150°
• Variable viewing angles from 30° to 150°
• Adjustable viewing height
• Adjustable interpupillary distance
Binocular tube variable from 0°–180°
• Variable viewing angles from 0° to 180°
Inclined binocular tube
Straight binocular tube
Inclined binocular tube 45°
Controls
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Video and photo accessories for Leica M525
1 Leica 2D Pick up 2 Photo/TV dual attachment 3 Photo camera 4 TV attachment
Leica 2D pick-up
• Video system for recording 2D video sequences.
Leica 2D C-Mount
• Video system for recording 2D video sequences.
• The camera (8) is mounted on the TV attachment or Zoom Video Adapter.
Photo/TV dual attachment
• For using a video camera with C-mount at the same time as an SLR camera. Complete with adapters.
• Position of video camera engageable in 45° increments.
• Video port with incorporated brightness adjustment (3 positions).
5 Zoom Video Adapter 6 Phototube 7 Video camera (such as the Leica D2D V3) 8 Leica 2D C-Mount
TV attachment
• For commercially-available video cameras with C-mount, complete with adapter.
• The TV attachment (4) is installed at the documentation port of the 0° assistant’s attachment.
• Position of video camera engageable in 90° increments.
Zoom Video Adapter
• For commercially-available video cameras with C-mount, complete with adapter.
• The Zoom Video Adapter (5) is installed at the documentation port of the 0° assistant’s attachment.
• Zoom and fine focus function for Leica Zoom Video Adapter
Phototube
• Complete with adapter, for SLR cameras.
• Adapter f = 250mm: for large fields of view and short expo-
sure times.
• Adapter f = 350mm: for high magnifications.
• The phototube (6) is mounted on the documentation port of the 0° assistant’s attachment.
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Preparation for operation
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Checklist: Before the operation
Cleaning the optical accessories
Check the tubes, eyepieces and the documentation
accessories (if used) for cleanliness.
Remove dust and dirt (see page 68).
Installing accessories
Lock the Leica M525 OH4 in place and install all accessories
on the microscope so it is ready for use (see page 22).
Position the CAN handles as required.Connect a mouth switch and/or footswitch (if used).Check the camera image on the monitor and realign if
necessary.
Checking tube settings
Check the tube and eyepiece setting for the selected user
(see page 24).
Treat the eyepieces with an antifogging compound if
necessary.
Balancing
Balancing the Leica M525 OH4 (see page 27).Press the "All Brakes" button on the CAN handle and check
the balancing.
Function check
Warning 1 Danger of fatal electrical shock.
The Leica M525 OH4 surgical microscope may be
connected to a grounded socket only.
Connect the power cable.Switch on the microscope.Switch on the illumination at the control unit.
Leave the illumination on for at least 5 minutes, as otherwise luminosity will decrease rapidly.
Replace defective bulbs before the operation begins.Test all functions on the CAN handles and on the footswitch.Check the user settings on the control unit for the selected
user (see page 45).
Positioning at the OP table
Position the surgical microscope on the OP table as required,
and lock the footbrake (see page 35).
Sterility
Fit sterile components and sterile drape if used (see page 36).
Warning 2 Danger of fatal electric shock
Operate the system only with all equipment in its
proper position (all covers fitted, doors closed).
Preparation for operation
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Installing optical accessories
Warning 3 Risk of injury through surgical microscope moving down!
Complete all preparations and adjustments to the
stand before the operation.
Never balance or re-equip the instrument over the
field of operation.
Always lock the Leica M525 OH4 in position before re-
equipping it.
Balance the Leica M525 OH4 after re-equipping it.Do not release the brakes when the instrument is in an
unbalanced state.
Locking the Leica M525 OH4 in position
The D-axis of the Leica M525 OH4 is locked in position with the locking device. The locking device is principally for installation and re-equipping the Leica M525 OH4.
Pull out the locking buttons (1 and 2) and turn them until the
two points (arrows) are aligned above each another.
Move the swing arm up and down until locking device (1)
engages.
Move the swing arm back and forth until locking device (2)
engages.
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Installing the 90° stereo attachment, binocular tube and beam splitter
Release the clamping screw (3).Insert the accessories into the dovetail ring from above.Tighten the clamping screw (3).
Installing the stereo attachment for second observer
Insert the stereo attachment and check whether the
connection has engaged.
Tighten the locknut (4) by hand.Align the attachment for second observer as required.
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Preparation for operation
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Setting the tube
Set the interpupillary distance
Adjust the interpupillary distance to a value between 55mm and 75mm.
Using the adjusting wheel (1), set the interpupillary distance
such that a circular image field can be seen.
This procedure has to be performed only once for each user. The acquired value (2) can be stored for each user on the "User Settings" menu screen under "Tube Settings" (see page 51).
Adjusting the tilt
Hold the tube with both hands.Tilt the tube up or down.
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Preparation for operation
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Setting the eyepiece
Determine/set the diopters for the user
The individual diopters can be adjusted continuously for each eyepiece from +5 to -5. Only this method will ensure that the image will stay in focus within the entire zoom range = parfocal. The treatment microscope ensures a high degree of fatigue resistance when the diopter setting is correct for both eyes.
A parfocal adjusted microscope ensures that the assis­tant´s view and monitor image will always remain sharp.
Set to the minimum magnification.Place a flat test object with sharp contours under the lens at
working distance.
Focus the microscope.Set to the maximum magnification.Focus the microscope.Set to the minimum magnification
Without looking into the eyepieces, turn both eye lenses to
+5 diopters.
Slowly turn the eyepieces towards -5 individually for each
eye until the test object appears sharp.
Select the highest magnification and check the sharpness.
This procedure has to be performed only once for each user. The acquired values can be stored for each user on the "User Settings" menu screen under "Tube Settings" (see page 51).
Adjusting the pupillary distance
Rotate the eyecups up or down until the desired distance is
set.
Eyecup
Rotary ring for adjusting the diopters
Checking parfocality
Place a flat test object with sharp contours under the lens at
working distance.
Zoom through the whole range, observing the test object. The image sharpness must remain constant at all magnifications. If this is not the case, check diopter settings of the eyepieces.
Installing documentation accessories
Fitting the Leica 2D
See user manual Leica 2D (10708979).
Fitting the photo/TV dual attachment
Install the dual attachment on the beam splitter.Equip the video camera (1) with the TV objective (2) and insert
into the dual attachment.
Tighten the clamping screw.Loosen the clamping screw and engage the video camera
until it engages in one of the 45° increments depending on the available space.
Tighten the clamping screw.
Equip the photo camera (5) with camera adapter (4). Screw the photo lens onto the camera adapter (4). Fit the camera to the dual attachment.Tighten the clamping screw.
1 Video camera 2 TV lens 3 Adapter M600 to M500 interface 4 Camera adapter 5 Photo camera and photo lens
The object image at the camera output is laterally reversed!
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Preparation for operation
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Leica M525 OH4 / Ref. 10 714 367 / Version -
Using the dial, the brightness of the video can be adjusted to 30%, 50% or 100%. One of these filters can be switched with the 8% filter provided. To do so, remove the camera and change the filter in the TV output.
TV attachment / zoom video adapter
Mount the TV attachment on the documentation port of the
beam splitter.
Screw the adapter to the camera using the C-mount.Insert the camera with the adapter into the TV attachment
and tighten the clamping screw.
90° click-stop (TV attachment only):
Loosen the clamping screw.Engage the camera at one of the 90° increments in
accordance with the space available and tighten the clamping screw.
Setting the Zoom Video Adapter parfocal:
Set to the maximum magnification.Place a flat test object with sharp contours under the
objective.
Look through the eyepieces and focus the microscope.Set to the minimum magnification.Set the maximum magnification (f=100) on the Zoom Video
Adapter.
Focus the monitor image on the Zoom Video Adapter.
Set the desired magnification on the Zoom Video Adapter.
Focusing knob
Adjusting the magnification
Video camera
C-mount adapter
TV attachment
Clamping screw
Fitting the phototube
Mount the phototube on the beam splitter.Secure the camera adapter to the SLR camera.Connect the f = 250mm or f = 350mm adapter to the camera
adapter.
Secure the camera, complete with adapter, in the phototube.Tighten the clamping screw.
Camera adapter
Camera
Adapter
Phototube
Clamping screw
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