The BIOM® 5 combines an ophthalmoscope with a surgical microscope. It
allows the vitreous cavity to be viewed under stereoscopic conditions, with
optimal image quality, with up to 125° non corneal-contact observation of
the fundus.
The BIOM® 5 has been manufactured and tested according to strict quality
criteria.
To ensure safe operation, it is essential that you use the device correctly. For
this reason, you should thoroughly familiarize yourself with the contents of
this instruction manual before operating the device. In particular, pay
attention to the safety instructions.
This operating manual describes the following BIOM® 5 models:
BIOM® 5c and 5cl (long version)
BIOM® 5m and 5ml (long version)
Except for the difference in length, the respective long version is identical with respect to handling and features.
The long versions should be used at microscope focal lengths of
f=200 mm
Due to ongoing development, the diagrams shown in the instruction manual may depict minor changes to the actual device delivered.
If you have any questions or would like additional information about your
device, please do not hesitate to contact us by mail or fax. Our service team
will gladly assist.
OCULUS Optikgeräte GmbH
OCULUS is certified according to DIN EN ISO 13485, setting high standards
of quality where development, manufacture, quality assurance and service
regarding the entire range of products are concerned.
i / iiiInstruction Manual BIOM® 5 (G/55400/0215/en)
Table of Contents
1Scope of Delivery........................................................................................................................1
1Company logo + manufacturer6Device type
2Serial number of the device7Name of device
3 Matrix8Applied part of the type B (BIOM® 5c and BIOM® 5cl only)
4Heed Instruction Manual9Disposal with household waste is prohibited (BIOM® 5c and
BIOM® 5cl only)
5CE marking10Protection class (BIOM® 5c and BIOM® 5cl only)
Fig. 2–1: Examples: BIOM® 5ml and BIOM® 5 symbols:
The following documents are supplied with the BIOM® 5:
Instruction Manual: The design of the unit is described in detail in
this document. You will also find all safety-related information for use
of the BIOM® 5.
Attention
All safety-related instructions for use of the BIOM® 5 are given in the instruction manual for the unit. It is therefore imperative that you read and
understand the whole instruction manual before you use the BIOM® 5.
Conditioning Instructions: These conditioning instructions explain
how to condition the BIOM® 5. They apply for the various models and
accessories of the BIOM® 5. You will also find an itemized list of the
articles concerned.
4Safety Instructions
4.1About this Manual
Carefully read through the instruction manual.
Keep the instruction manual in good condition, near to the device.
Observe the legal requirements for accident prevention.
Please read the separate operating instructions for the SDI® 4 and
accessories.
Please read the special packing notice included with the adaptor and
accessories.
If you have also selected our company’s Stereoscopic Diagonal Inverter
(SDI® 4), you will find this unit and its accessories in a lined plastic carrying
case.
4.1.1Used Graphic Symbols
Attention
Denotes a potentially hazardous situation which can easily result in minor
physical injury or property damage.
Denotes situations which could result in incorrect findings, denotes user
instructions and useful or other important information.
Denotes important information about the product and its use, which
require special attention.
4.2Safety Instructions for Use
Attention
Risk of personal injury or property damage due to improper operation
Observe the following safety instructions.
Risk of personal injury or property damage due to equipment modifications
that could jeopardize safety
This equipment may not be modified without the permission of the
manufacturer.
Instructions for operating personnel
Ensure that the BIOM® 5 is used only by duly trained physicians and
operating theatre personnel, who, due to their training or their
knowledge and practical experience, can guarantee proper handling of
the device.
Transport and storage instructions
Refer to the notes in sect. 7, page 8.
Instructions for setup and connection
Comply with the legal provisions in force in your country, and with the
hygiene and waste disposal regulations of the hospital or clinic.
Never mount and dismount the BIOM® 5 over the patient.
Installation and instruction in the use of the BIOM® 5 and its accessories
will be undertaken by an OCULUS employee or by a duly authorized OCULUS
representative.
BIOM® 5c and BIOM® 5cl: Do not use excessive force to connect the
electrical connectors to the OCULUS SDI® 4c.
If connection is not possible, check whether the plug fits in the socket.
If you find damage to the plug connector, have the damage corrected
by our service department.
Operation and maintenance information
Before initial operation: Let OCULUS or an authorized dealer train you
in the operation of the BIOM® 5.
Never operate a damaged BIOM® 5.
Only operate the BIOM® 5 using original accessory parts supplied by
us, and when the device is in technically perfect working order.
Only operate the equipment after your have read and understood the
instruction manual.
The BIOM® 5 and all sterilisable BIOM® 5 components must be
sterilised:
Before the first use
After every use
It is imperative that you heed the cleaning, disinfection and
sterilisation instructions given in the conditioning manual.
4.2.1Instructions for Use
Attention
Risk of eye damage if the working distance between the BIOM® 5 and the
patient changes
When the BIOM® 5 is swung into the working position (into the beam path),
the following instructions must be followed:
Do not use the coarse adjustment knob at the microscope stand to
adjust the height.
Do not adjust the height of the stand arm, either by motor or
manually, over the surgical area.
Do not change the patient’s position by adjusting the height of the
operating table.
Pay attention to the focussing instructions, sect. 9.7, page 17.
More information can be found in the Application tips: BIOM® 5 and
can be downloaded from the OCULUS website.
If a fault occurs that you cannot rectify with the help of the trouble-
shooting table (page 21), the unit must not be used! Clearly mark the
unit as non-operational and get in touch with our service personnel.
Instructions for disassembly and disposal
Dispose of the equipment in compliance with the corresponding legal
requirements. Comply with the hygiene and disposal regulations of
the hospital or clinic.
EMC and electrical safety information
The BIOM® 5c, a connected SDI® 4c and a microscope form a medical
electrical system (ME system) according to DIN EN 60601-1. If you connect
additional devices, those devices become part of the ME system.
Make sure that all devices of the ME system meet the requirements of
IEC 60601-1 or IEC 60950-1
5Intended Use
This binocular indirect ophthalmomicroscope (BIOM® 5) is used for noncontact observation of surgeries in the posterior segment of the eye.
The BIOM® 5 is intended for use with compatible surgical microscopes in
hospitals, clinics or other institutions for human medicine
The surgical microscopes must be declared as adaptable by OCULUS Optikgeräte GmbH
Only operate the device using original accessory parts supplied by us, and
when the device is in technically perfect working order.
Make certain that the following connection types are used for the
1Reduction lens (not supplied with the BIOM®)5 Control mark
2Housing with swivel mechanism6 Loupe holder with safety rod
3Lens receptacle7 Ophthalmoscopy magnifying loupe
The BIOM® 5 is used in conjunction with an SDI (Stereoscopic Diagonal
Inverter) to erect the image for non-contact, wide-angle observation of the
fundus and vitreous body. If the matching OCULUS SDI® is used, full
compatibility with the BIOM® 5 models is guaranteed.
The combination of surgical microscope and the optical components of the
BIOM® 5 allows examination of the vitreous chamber under stereoscopic
conditions. The BIOM® 5 works as an indirect ophthalmomicroscope
without corneal contact during the surgery.
The patient’s eye ball can be moved freely during the surgery. Peripheral
fundus portions are thus easy to examine. This combined optical system
achieves a fundus observation of approx. 125° in total.
The optical system of the BIOM® 5 consists of the reduction lens and the
front loupe. The reduction lens provides a virtually constant distance
between the patient’s eye and the surgical microscope when the BIOM® 5
is swung in or swung out. The reduction lens reduces the focal length of the
microscope objective lens.
The position of the reduction lens with respect to the surgical microscope
is preset.
The height adjustment of the front loupe is used for focussing the BIOM
image. The distance between the surgical microscope and the front loupe is
set using the adjusting wheel at the BIOM® 5.
For the BIOM® 5c/cl only:
Press the combination foot switch to focus by means of the electric motor.
This height adjustment of the front loupe brings the fundus image into the
focal point of the microscope objective.
As the image is completely reversed when the BIOM® 5 is used, optimal use
is only guaranteed in conjunction with a stereoscopic diagnonal inverter
(SDI®). The SDI® rights the complete image reversal and can be switched on
and off as required.
7Transport and Storage
Attention
Equipment damage due to improper transport and storage
Transport the BIOM® 5 with care.
Store the BIOM® 5 in accordance with the transport and storage re-
quirements, the applicable national regulations and the regulations of
your hospital. See also sect. 17, page 30
You must insert the drive belt. You can put on a cable duct. The cable duct
is used to keep the connecting cable of the drive unit at the BIOM® 5c/cl
away from unsterile parts of the microscope.
Insert the drive belt Fasten the cable duct at the connector plug first
Then push the semi-open duct part over the cable.
Focussing on the BIOM® 5m is done manually with the adjusting knob, and
on the BIOM® 5c/cl, also by means of a foot pedal.
Fig. 9–9: Focussing with the adjusting knob
Attention
Risk of eye injury due to poor visibility conditions
The use of intraocular instruments in poor visibility conditions for the
surgeon can result in injury to the patient’s eyes.
When focussing with the BIOM® 5, heed the following instructions.
Before you begin to focus the BIOM® 5, check the distance from the
ophthalmoscopy magnifying loupe to the patient’s eye.
When focussing the BIOM® 5, make sure that:
The microscope is left at this position (height) after the surgical
steps have been performed at the anterior section.
The BIOM® 5 has been set to the shortest length before you swing
it into the working position.
The ophthalmoscopy loupe does not touch the eye.
You do not adjust the height of the microscope.
You do not use the microscope’s focussing function.
To dismount the das BIOM® 5, swing it to its standby position.
BIOM® 5m/ml
Pull the BIOM® 5 off the adaptor plate.
Loosen the knurled screw, Fig. 9–5, page 14, Fig. 3.
Pull the adaptor plate off the dovetail mount.
Fig. 9–10: Pull off the adaptor plate
Bring the BIOM® 5 and its components to the conditioning station
immediately.
®
BIOM
Fig. 9–11: BIOM® 5c/cl: Disconnect the plug-in connectors
5c/cl
Pull the plug of the BIOM® 5c/cl out of the coupler at the SDI® 4c housing.
To do so, take hold of the connector at the sleeve to unlock the connector.
Risk of damage to the unit if the plug is pulled incorrectly
If you pull on the cable, you could damage it and the complete drive module
would then have to be exchanged.
Always grip the plug of the BIOM® 5c/cl at the sleeve, in order to
release the lock.
Pull the BIOM® 5 off the adaptor plate
Loosen the knurled screw, Fig. 9–5, page 14, Fig. 3.
Pull the adaptor plate out of the dovetail mount, Fig. 9–10, page 19.
Bring the BIOM® 5 and its components to the conditioning station
immediately.
10 Troubleshooting
Attention
If a fault occurs which you are unable to correct by following the
instructions below, label the device as “out of order” and contact our service
department. (Address: sect. 14.2, page 26).
Never operate a damaged BIOM® 5.
Before returning to OCULUS: Condition the BIOM® 5 and its
components in accordance with the conditioning instructions.
Dispose of the BIOM® 5 in compliance with the corresponding legal
requirements. Comply with the hygiene and disposal regulations of
the hospital or clinic.
®
BIOM
In accordance with Directive 2002/96/EC of the European Parliament and of
the Council dated 27 January 2003, and also the Law of the Federal Republic
of Germany on the Commercialization, Recall and Environmentally
Compatible Disposal of Electrical and Electronic Equipment, old electrical
and electronic equipment must be sent out for recycling and may not be
disposed in household trash.
Prior to and while operating the device, it is important that you heed
the instruction manual and safety instructions.
The BIOM® 5 carries a guarantee to which you are entitled in
accordance with the legal provisions.
If modifications are made to the BIOM® 5 by unauthorized persons, all
guarantee claims shall be voided. Improper modifications and repairs
may result in considerable hazards to users and patients.
Any transport damage must be reported immediately to the shipping
company. Have the transport damage noted on the bill of lading so
that complaint handling and compensation of damages can proceed
in an orderly manner.
In general, our Business and Shipping Terms applicable on the date of
purchase shall apply.
14 Guarantee and Service
14.1Assumption of Liability for Functions and Damage
OCULUS will only accept responsibility for the safety, reliability and
serviceability of the BIOM® 5 if the unit is used in compliance with the
following terms:
Only use the equipment in conformance with this instruction manual.
There are no parts on the BIOM® 5 that require maintenance or repair
by the user. If assembly work, modifications, adjustments, repairs,
changes or service are performed by unauthorized personnel, or if the
BIOM® 5 is improperly maintained or handled, then any liability by
OCULUS is voided.
Exception: Exchange of the BIOM® 5 drive module
If the above-mentioned work is performed by authorized persons, then
a certification of the work shall be requested from the service
technician in which any changes to factory defaults or to operating
ranges shall be stated. This certification must contain the date of
performance and statement of the performing firm, with signature.
If requested, OCULUS will provide to the service technician a list of
spare parts and additional descriptive material for this purpose.
Make certain that only original OCULUS parts are used.