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©
1998
Medical
Instrument
Development
No
part
of
this
mechanical,
form
of a phonographic
retrieval
or
private
Instrument
photographic,
system,
use,
Development
Laboratories,
publication
transmitted,
without
may
or
recording,
written
Laboratories,
Inc. — All
be
reproduced
electronic
or
otherwise
permission
nor
process,
may
Inc.
rights
by
it
be
copied
from
Medical
reserved.
any
or in
the
stored
for
in
public
a
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Contents
Contents
SupraVit
VRS
2000
User's
Manual
Section
Section
1
Introduction
1.3
14
1.5
2
SupraVit
IAS
2.2
23
24
AS
2.6
Introduction
Introduction
14.1
14.2
1.4.3.
Introduction
1.5.1
1.5.2
1.5.3
A
2.1.2.
2.1.3
2.1.4
2.1.5
AspiratO
2.2.1
2.2.2
2.2.3
Vitreous
2.3.1
2.3.2
Intraocular
24.1
2.4.2
2.5.1
2.5.2.
Controlof
2.6.1
2.6.2
SupraVit
SupraVit
SupraVit
VitMate
VitMateRearPanel.....................................
VitMate
Setup
E
Connecting
ConnectingtokFlectricalPower..................
Connecting
Connecting
Introduction...
Installing
Testing
Cutter...
Introduction...
ConnectingtheVitreousClutter.....................
SCISSOrs..........
Introduction...
ConnectingthelntraocularScissors................................................
Introduction...
Connecting
AspirationAudio,CauteryandRefluk......................................
Introduction...
Selecting
To
The
SupraVit
To
The
SupraVit
Front Panel
Rear
Panel
Footpedal.............................
To
VitMate”
Front Panel
Cautery
the
SupraVit
to
Pneumatic
to
the
sise
the
SupraBag®
the
Aspiration
iii
een
sise
sise
the
Fiber
sise
Control
VRS
2000
eee
iene
eee
Footpedal
Footpedal..............
POWeT....mcociconccconanonnoconncanaonnconaone
VitMate"M
0000000000000
System...
Optic
Options...
Fragmentation
96 e onen P KKK
Collection
Light
sn
Vitrectomy
ини
Guide
нинилнининанизиянилинни
KROK P KEE
Set...
System........................
System......................
i
eee
nn
eee
iii
ii
in
наниненнинини
cono
ranaonnnnns
EK
AKKO
iene
eee
Ren
n
1-2
1-3
1-3
1-8
1-10
1-13
1-13
1-16
1-18
2-1
2-1
2-1
2-2
2-2
2-2
2-2
2-2
2-2
2-4
2-5
2-5
2-5
2-6
2-6
2-6
2-7
2-7
2-7
2-8
2-8
2-8
Section
Document
L01050
3
VitMate
3.1 General...
3.1.1
3.1.2
3.1.3
3.1.4
3.2
Setting
3.3
Settingup
3.4
Setting
Rey. C ©
Medical
Setup
Placement...
Connecting
Connecting
Connecting
Up
the
Cautery
the
UltrasoundSystem....................
up
the
Low
Instrument
Development
ANO
3-1
iii
the
VitMateCauteryFootpedal...................................
to
Electrical
to
the
SUPraVit
System...
Pressure
Laboratories
Power...
Air
System...
May
ss
ss
ss
eee
1998
3-1
3-1
3-2
3-2
3-2
erne
3-2.
3-4
i
![](/html/de/dec9/dec9db622df3b46d42bbf5f6392a51c42644c8647ca384eff4e9a5c6183f50be/bg6.png)
SupraVit
VRS
2000
User’s
Manual
Contents
Section
Section
Section
4
Adjustment
4,1.
General
42
Aspiration.....................
4.3
Cutting
4.5
111000100480.90909
4.6
CAUtery.....
4.7
Ultrasound
4.8
Low
5
Troubleshooting
5.1
SupraVit
5.2
VitMate
6
Cleaning
6.1
General
6.2
Ultrasound
6.3
Fuse
64
Illuminator
6.55
llluminatorlampReplacement..............................
6.6
AspirationDrawerSealCleaning.........................
During
O
erener
Pressure
Troubleshooting
Troubleshooting
and
Maintenance
Cleaning
Replacement.….............
Operation
iene
이
아 아 아
SySteTa
Air
65960
.es
HandpieceCleaningandsterilization..................................
Cleaning...
rene
nere
아 이 아 아 마 아 마 아 아 아 아 이
issus
,201000
Guide...................
Guide
iii
이 니 아 이 아 다 아 이 이 아 라 아 아 이 이
ss
р
ni
eine
아 이 마 아 아 아 마 아 아 아 사 아 아 아 이 아 이 아 아 아 아 아 아 아 아 아 이 이 이
REEKS
REE
LES E SELER
sense
MNO
SEEREN
ER
아 아 아
마 아 라 아 아 이 아 라 아 아 이 이 이 이 아
erer
erener
NÆR
PON
MESSER
eee e renen
cnrs
eee
rener
ie
.
이의
이니
5-1
5-5
6-1
6-1
6-2
6-2
6-3
6-3
Section
Section 8 |
Section9
7
Figures
SupraVit
VitMate
Limited
9,1
Limited
9.2
How
9.3
Return
Figure
Figure
Figure
Figure
Figure
Figure
Figure
Figure
1-1
1-2 o SupraVit
1-3
1-4
1-5
2-1
3-1
6-1
Specifications
Specifications
Warranty
Warranty
to
obtain
POlicy
SupraVit
SupraVit
VitMate
VitMate
oSupraVit
Aspiration
Aspiration
Terms
Watranty
.....
io
Front
Rear
Footpedal
Front
Rear
AspirationDrawer............................
Tubing
Drawer
SEIVICS
Panel
Panel
Panel
Panel
Connection
Rear
su
..oococonoconnconncnonoonanonanoaono
Controls,
Controls
eee
Controls,
ControlsandReceptacles
Seal
Indicators,
and
Receptacles
Indicators,
nono nora rana rare
and
Connectors
.............................
and
Connectors
..............................
r
eee
narco
9-1
nora
recono
9-2
9-2
...........
............
ss
ss
1-4
1-9
1-10
1-12
1-17
2-3
3-3
6-4
ii
Document
L01050
Rev. C ©
Medical
Instrument
Development
Laboratories
May
1998
![](/html/de/dec9/dec9db622df3b46d42bbf5f6392a51c42644c8647ca384eff4e9a5c6183f50be/bg7.png)
Section
One
Introduction
|
SupraVit.
VRS
2000
User's
Manual
Section
1
1.1
Introduction
This
document
Laboratories
comprised
Fragmentation
(MID
of
the
Read
is
the
SupraVit
System.
Introduction
This
manual
The
first
introduction
SupraVit
VitMate
The
second
adjustment
Cutting,
is
divided
section,
VRS
controls.
Scissors,
Introduction,
to
this
2000
section,
of
the
SupraVit.
User's
Labs)
manual
to
manual
Vitrectomy
SupraVit
Illumination
Manual
SupraVit
Vitrectomy
before
the
into
nine
and
It
for
the
VRS
200%
System
CAUTION
connecting
instruments.
Manual
sections.
is
divided
the
conventions
System
Setup,
includes
and
and
describes
information
the
Footpedal.
ELE,
ME
and
the
or
using
into
subsections,
used
in
descriptions
the
pre-operative
regarding
VitMate™
these
including
it,
an
overview
of
the
Aspiration,
an
of
SupraVit
setup
and
the
and
The
third
section,
adjustment
and
Low
Pressure
The
fourth
adjustment
The
fifth
section,
user
in
diagnosing
VRS
2000
The
sixth
section,
to
the
maintenance
ultrasound
The
seventh
parameters
The
eighth
parameters
The
final
section,
the
procedures
VitMate
of
the
VitMate,
Air.
section,
of
Vitrectomy
handpiece,
section,
that
section,
that
Adjustment
both
instruments
Troubleshooting,
and
Cleaning
of
SupraVit
the
SupraVit
VitMate
the
VitMate
Warranty,
that
you
Setup,
including
resolving
System.
and
the
instruments,
and
fuse
replacement.
Specifications,
will
Specifications,
will
describes
must
follow
describes
information
During
during
performance
Maintenance,
meet
meet
Operation,
surgery.
contains
cleaning
under
under
the
warranty
to
obtain
the
pre-operative
about
describes
charts
normal
describes
normal
of
problems
contains
and
sterilization
describes
operating
operating
for
service
under
information
the
setup
Cautery,
with
information
the
performance
the
Ultrasound
the
use
the
SupraVit
of
performance
conditions.
conditions.
instruments
that
warranty.
and
and
to
aid the
relating
the
and
Document
L01057
Rev. C ©
Medical
Instrument
Development
Laboratories
May
1998
1-1
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SupraVit
VRS
2000
Users
Manual
Section
One
Introduction
1.2
Conventions
ALL
describe a switch,
similarly
Initial
reference
referring
Initial
status
[
]-—
Messages
this
Whenever a safety
operation
the
action
will
example:
Used
CAPITALS — This
labelled
Capitals - When a control
is
to
capitals
or
operating
Brackets
shown
typeface
of
which
be
printed
in
this
manual
control,
on
the
instrument
not
clear,
this
that
control
are
[ ]
are
on
the
controls, a warning
can/will
in
BOLD
(e.g.,
also
used
modes
used
to
the
SupraVit
to
distinguish
hazard
create
type
Manual.
of
manual
when
(e.g.,
reference
exists,
WARNING
Es
h
(e.g.,
is
not
labelled,
will
use
Illuminator
referring
On,
Off,
details
Status
them
from
or
can
be
notice
the
hazard.
and
enclosed
u
p
thatli
the
VIT
button).
or
the
initial
Connector
or
Screen
will
capitals
to
instrument
Pulsed).
in
illustrations.
are
surrounding
created
Such
in a box.
through
appear
warnings
№
when
Bezels).
shown
text.
before
For
Tİ
©
in
the
1.3
Remove
Introduction
Vitrectomy
MID
Labs
believes
applications
Primary Use
The
SupraVit
vitrectomy
ophthalmic
VRS
2000
of
Federal
VRS
procedures.
procedures
provides
To
System
the
technology
(USA)
sale
2000
comprehensive
power
before
The
SupraVit
in
ophthalmic
law
by
or
is
intended
The
SupraVit
as
lensectomy
cord
from
replacing
SupraVit
VRS
2000
surgical
CAUTION
restricts
on
order
primarily
is
also
and
functional
power
represents
this
of a physician.
designed
membranectomy.
entry
fuse.
VRS
instrumentation.
device
for
use
capabilities
2000
one
to
in
pars
for
use
module
of
the
finest
use
or
plana
in
such
The
SupraVit
for
vitrectomy,
other
Cutting
Aspiration
Intraocular
Document
Scissors
L01057
Rev. C ©
Medical
Instrument
Development
Laboratories
May
1998
![](/html/de/dec9/dec9db622df3b46d42bbf5f6392a51c42644c8647ca384eff4e9a5c6183f50be/bg9.png)
Section
One
Introduction
9
o
。
9
Fragmentation
Illumination
Fluid/gas
Cautery
Exchange
SupraVit”
VRS
2000
User's
Manual
1.4
Introduction
The
SupraVit
alone
instrument.
VitMate™
capabilities.
of
vitreous
scissors
capabilities
VitMate
The
SupraVit
control
frequently
1.4.1
is
Fragmentation
As a stand-alone
cutting,
drive.
are
also
provides a low-pressure
features a memory
when
the
used
SupraVit
[1]
To
intended
It is
aspiration,
With
the
added
power
instrument
MAINPOWER
Pressing
instrument.
power
the
switch
Immediately
electronics
checking
the
audio
the
self-test
settings
error
message
required).
The
to
provide
also
intended
System
instrument,
fiber
VitMate
and
controlled
is
turned
Front
the
from
and
perform a series
the
tone
that
attached,
which
off.
settings.
Panel
switch
upper
Pressing
the
instrument.
the
upon
functionality
generator.
sequence,
were
used
may
SupraVit
basic
vitrectomy
to
operate
to
provide
optic
through
air
remembers
This
portion
the
lower
“1”
indicates
application
When
the
before
be
displayed
in
complete
the
SupraVit
illumination,
fragmentation
the
supply
allows
of
this
portion
The
“0”
the
of
of
self-tests.
of
each
the
Status
Screen
the
if
capabilities
conjunction
vitreoretinal
provides
and
and
SupraVit
for
fluid/gas
the
for
switch
indicates
on
power,
subsystem,
instrument
power
corrective
last
rapid
applies
of
this
side
the
These
[13]
was
system.
of
as a stand-
with
the
surgical
the
functions
intraocular
cautery
The
exchange.
setting
return
internal
shows
turned
action
of
to
power
switch
the
off
the
switch.
tests
the
displays,
has
completed
the
is
each
removes
side
include
Off
to
the
of
last
(or
and
an
Document
L01057
Rev. C ©
Medical
[2]
[3]
[4]
Instrument
Primary
Rotation
source,
Illuminator
Pressing
open,
is
On
when
automatically
information
Secondary
Rotation
source.
Development
Laboratories
Uluminator
of
the
EJECT
this
button
allowing
the
turn
about
Illuminator
of
the
May
bezel
controls
button
causes
access
EJECT
Off.
lamp
bezel
controls
1998
Connector
On/Off
the
illuminator
for
bulb
replacement.
button
Refer
replacement.
is
pushed,
to
Section
Connector
On/Off
Bezel
and
Bezel
and
intensity
drawer
If
the
the
light
6.5
for
more
intensity
of
light
to
spring
illuminator
source
of
light
1-3
will
![](/html/de/dec9/dec9db622df3b46d42bbf5f6392a51c42644c8647ca384eff4e9a5c6183f50be/bgb.png)
Section
One
Introduction
[5]
VIT
button
Pressing
[12],
and
cutter
or
drive
Screen
[13]
VIT
READY
VIT
READY
and
this
button
enables
is
On,
displays
CUTTER
CUTTER
SupraVit
indicator
enables
the
Aspiration
the
indicator
air
ON
VRS
2000
flow
to
system.
is
illuminated
vac
mmHg
the
When
User’s
VIT
connector
the
and
0
Manual
vitreous
the
Status
i]
depending
Depressing
vacuum
SCIS
[6]
Pressing
[11].
illuminated
or
depending
Swiveling
(toggle
SupraVit
the
U/S
[7]
Pressing
Fragmentation
illuminated
on
the
at
the
button
this
When
Scissors
button
the
and
SCIS
READY
SCIS
READY
upon
the
right)
Footpedal
this
and
the
position
SupraVit
vitreous
and
indicator
button
scissors
the
the
SupraVit
sets
the
mode
and
to
indicator
button
System.
the
of
the
footpedal.
Footpedal
cutter,
enables
Status
PROPORTIONAL
PULSED
position
Scissors
to
the
Proportional.
enables
When
Status
and
air
flow
drive
is
On,
Screen
of
the
Footpedal
mode
left
and
ultrasound
ultrasound
Screen
controls
activates
to
the
SCIS
the
indicator
[13]
displays
foot
plate
to
the
right
to
Pulsed.
releasing
at
the
is
[13]
displays
the
aspiration
the
cutter.
connector
is
toggle.
and
releasing
Swiveling
it
(toggle
VitMate
on,
the
it
the
left)
sets
TM
indicator
is
Document
L01057
Rev. C ©
Medical
[8]
Instrument
If
U/S
not
connected,
and
AUX
The
functions:
.
e
Development
U/S
READY
is
turned
the
Status
VITMATE
Connect
button
AUX
Aspiration
Cautery
Laboratories
and
button
On
and
the
instrument
Screen
IS
VitMate
indicator
gives
Audio
Control
May
1998
vac
mmHg.
the
VitMate
emits
[13]
displays
NOT
CONNECTED
for
the
user
signal
enable/disable
enable/disable
Fragmentation
five
U/S
access
0
System
high-frequency
to
various
setup
is
beeps,
1-5
![](/html/de/dec9/dec9db622df3b46d42bbf5f6392a51c42644c8647ca384eff4e9a5c6183f50be/bgc.png)
SupraVit”
VRS
2000
Users
[9]
Manual
。
Reflux
Each
time
selected,
changing
U/S
button
PRIME
Pressing
connector
PRIME
Put
Press
Control
the
AUX
and
the
the
setting
to
exit
button
this
button
[14].
probe
enable/disable
button
Status
for
from
activates
The
Status
tip
PRIME
is
Screen
that
function.
Setup
Screen
in
to
begin
Section
pres
d
mode.
priming
sterile
through
[13]
displays
One
soln
Introduction
the
, ,
ASP
OT
[10]
[11]
[12]
[13]
VIT
This
for
Status
The
and
and
display
Pressing
The
Priming
until
TEST
Pressing
selected
seguences,
SCIS
This
for
the
Status
PRIMING
Press
continues
60
seconds
button
this
subsystem.
connector
male
luer-lock
the
intraocular
connector
male
luer-lock
the
vitreous
Screen
Status
shows
Ultrasound
error
PRIME
Screen
PRIME
has
button
please
Screen
actual
refer
scissors.
cutter.
display
displays
values
modes.
messages.
button
[13]
until
elapsed.
activates a self-test
For
connector
connector
again
displays
to
end
the
PRIME
more
information
to
Section
is
is
the
status
of
aspiration
The
status
causes
button
2,
Setup.
the
pneumatic
the
pneumatic
of
vacuum
screen
priming
is
pressed
of
the
about
the
selected
is
also
to
begin.
again,
currently
the
self-test
drive
output
drive
output
subsystem
in
Vitrectomy
used
to
or
1-6
[14]
[15]
Aspiration
These
used
[16]
Aspiration
Pulling
allowing
frequency
Aspiration
This
is
the
once
the
collection
studs
to
hang
this
it
Document
L01057
connector
slot
where
Collection
(the
one
the
collection
Drawer
handle
to
beeps,
slide
and
Rev. C O
will
open.
the
female
set
is
installed.
Bag
indicated,
bag
handle
release
The
the
Status
Medical
Instrument
luer-lock
hanging
instrument
and
the
on
the
the
Aspiration
Screen
Development
studs
connector
one
to
its
right)
aspiration
emits
[13]
drawer.
Drawer,
five
displays
Laboratories
is
located
are
high-
May
1998
![](/html/de/dec9/dec9db622df3b46d42bbf5f6392a51c42644c8647ca384eff4e9a5c6183f50be/bgd.png)
Section
One
Introduction
ASPIRATION
Load
SupraVit
DRAWER
tube
set
and
VRS
IS
close
2000
OPEN
drawer
Users
Manual
whenever
Status
until
MAXIMUM
[17]
When
display
system
MAXIMUM
instrument
the
percentage
MAXIMUM
[18]
When
the
between 0 and
maximum
mode,
(in
5%
the
Screen
Aspiration
Please
the
Aspiration
the
instrument
shows
in
mmHg.
maximum
the
instrument
maximum
of
this
control
increments
drawer
displays
wait
VACUUM
the
maximum
Aspiration
VACUUM
is
in
Scissors
pressure
of
40
p.s.i.
VACUUM
aspiration
100
mmHg,
500
mmHg).
sets
between 0 and
is
open. [ pon
test
Test
is
/
is
in
/
mode,
setting
/
is
in
Vitrectomy
vacuum
the
losing
に し に
completed.
PRESSURE
Vitrectomy
vacuum
vacuum
PRESSURE
this
three
for
the
PRESSURE
(in 5 mmHg
then
in
10
When
maximum
the
instrument
scissors
100%).
the
っ
display
mode,
setting
is
scissors
mode,
mmHg
this
for
adjusted
control
digit
control
this
increments
increments
drive
dra
ег,
EDİ
three
the
aspiration
with
[18].
When
display
drive
as
control
is
in
pressure
“the,
digit
the
the
shows
a
sets
to
a
Scissors
The
CUT
[19]
When
display
minute
When
shows
cpm,
CUT
[20]
When
adjusts
10,
In
rate
60
The
Intensity
[21]
This
the
direction
small
control
control
RATE
the
shows
(cpm),
the
the
as
adjusted
RATE
the
the
between
Pulsed
of
the
and
200
control
symbol
control
side
to
rotates
display
instrument
instrument
maximum
instrument
cut
60
Scissors
intraocular
cpm).
rotates
Symbol
shows
settings.
to
rotate
of
the
decrease
freely
the cut
as
adjusted
by
the
control
rate
of
and
800
mode,
freely
the
The
the
symbol
the
beyond
is
in
Vitrectomy
rate
of
the
by
is
in
Pulsed
cut
rate
CUT
is
in
Vitrectomy
the
vitrectomy
cpm).
this
scissors
beyond
direction
large
control
indicates
setting.
the
vitrectomy
the
CUT
Scissors
of
the
intraocular
RATE
control
side
to
control
(in
increments
the
for
increasing
of
increase
the
indicated
mode,
RATE
mode,
cutter
adjusts
indicated
the
direction
this
cutter
control
mode,
[20].
this
(in
the
of
symbol
the
setting,
limits.
three
digit
in
cuts
per
[20].
this
display
scissors
increments
maximum
10,
limits.
or
to
in
control
between
decreasing
indicates
and
the
rotate
the
of
cut
the
Document
L01057
Rev. C ©
Medical
Instrument
Development
Laboratories
May
1998
1-7
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SupraVit
VRS
2000
User’s
Manual
|
Section
One
Introduction
1.4.2
SupraVit
Numbers
Power
[1]
The
the
AC
assured
receptacle
Air
[2]
The
and
dry
Fuse
[3]
Refer
FOOTPEDAL
[4]
The
red
dots
the
plug
straight
Rear
in
brackets
Entry
supplied
supply
when
marked
Input
supplied
the
air
supply
air,
or
nitrogen,
to
Section
SupraVit
on
the
“clicks”
out.
Panel
[ ]
refer
to
Module
power
pneumatic
Footpedal
cord
receptacle.
the
instrument
“Hospital
connector.
at a pressure
6.3 for
receptacle
plug
into
fuse
and
place.
RE
F
connects
Grounding
is
connected
Grade.”
hose
connects
The
between
replacement
connects
the
receptacle.
To
disconnect,
LEASE
ei
between
instrument
to
this
this
reliability
to
an
between
60-120
information.
receptacle.
Push
grasp
TO
connector
can
only
equivalent
this
connector
requires
psi.
Align
straight
in
plug
and
be
clean
the
until
and
pull
"|
VITMATE
[5]
The
receptacle
panel
receptacle.
To
VOLUME
[6]
This
the
are
increase
Console
17]
This
number,
listing
receptacle
supplied
of
disconnect,
control
SupraVit.
not
individually
label
mark
cable
marked
the
VitMate™.
Push
grasp
CONTROL
adjusts
The
the
volume.
Identification
identifies
date
of
and
connects
“VITRECTOMY
Align
straight
control
manufacture
number.
in
plug
and
the
volume
adjusts
adjustable.
Label
product
between
the
red
until
the
pull
of
the
Turn
name,
and
Underwriters
this
receptacle
SYSTEM”
dots
on
plug
“clicks”
straight
the
audio
volume
the
control
model
number,
on
the
plug and
into
out.
tones
emitted
of
all
clockwise
serial
Laboratories
and
the
the
rear
place.
tones;
the
by
they
to
Document
L01057
Rev. C ©
Medical
Instrument
Development
Laboratories
May
1998
![](/html/de/dec9/dec9db622df3b46d42bbf5f6392a51c42644c8647ca384eff4e9a5c6183f50be/bg10.png)
SupraVit
VRS
2000
User’s
Manual
Section
One
Introduction
1.4.3
SupraVit
The
SupraVit
motions
the
current
Footpedal
of the
treadle
mode
Control
Swivel
vitrectomy
release
Depress
will
increase
maximum
display.
Footpedal
responds
Footpedal.
[2],
and
lateral
dictates
in
VIT
the
footplate
probe
it
to
disable
the
treadle
linearly
on
the
to
verticali@$
Vertical
motion
how
the
SupraVit
Mode
to
the
cutter;
MAXIMUM
swivel
the
cutter.
to
activate
with
motion
through
right
aspiration.
the
treadle
VACUUM/PRESSURE
is
the
responds
and
release
the
footplate
position
accomplished
footplate
Aspiration
to
it
to
to
up
[1].
these
enable
the
left
to
motions.
the
through
The
the
and
vacuum
preset
Figure
SupraVit
1-10
1-3
Footpedal
Document
L01057
Rev. C ©
Medical
Instrument
Development
Laboratories
May
1998