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Syntec
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Contents
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System Description
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System Description
Theory of Operation
The Syntec VitMan is a complex microprocessor controlled, electromechanical system for
use in support of ophthalmic surgery. Operationally it can be broken down into surgical
functions or into subsystems that can be grouped together logically because of their function in the system.
The surgical functions are as follows:
Vitrector drive
Aspiration
Irrigation
Illumination
Air exchange
Ultrasound
Operation of the system’s menus is required to access all of the features of the system.
The owner’s manual includes comprehensive information on the operation of the menus.
This document will refer to a specific series of menu selections separated by a back slash
(\). For example Values \ Current A/D Values signifies selecting Values from the Main
menu, then selecting Current A/D Values from the Values menu. When a reference is
made to a specific selection a complete listing of the menu selections will be given from the
main menu, even if a shorter route from the current screen could be taken in the menu
tree.
Vitrector - The vitrector surgical function provides a variable rate pressure pulse used to
drive a guillotine type vitrector.
The vitrector surgical function LED (located on the front panel of the system) will display
the current state of the vitrector surgical function. If the LED is dark, the vitrector surgical
function is off. If the LED is green, the vitrector surgical function is operating within acceptable limits. If the LED is red a problem exists which may effect the operation of the vitrector surgical function. If the LED is red, the front panel display will show a status line message indicating the problem.
The vitrector surgical function will operate in one of two modes. The vitrector on/off button
is used to change the mode of the vitrector surgical function. Each time the vitrector on/off
button is pressed the mode will change. Starting with the vitrector surgical function off, if
the vitrector on/off button is pressed the vitrector surgical function will come on and enter
the posterior vitrectomy mode. If pressed again the vitrector surgical function will enter
anterior vitrectomy mode. The vitrector up and down buttons can be used to change the
vitrector cut rate setting. The vitrector cut rate setting has a range of five cuts-per-minute
to twelve hundred cuts-per-minute, or it can be placed in single cut mode. If the up or
The logically grouped subsystems are as follows:
Light source- see Illumination surgical function
Cassette housing assembly
System Pneumatics- Includes Pneumatic module
Floppy disk drive
LCD display
CPU electronics board
Analog electronics board
Ultrasound electronics board
Power supply
Speaker
System cooling
Foot pedal
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Theory of operation
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System Description
down buttons are pressed and released, the vitrector cut rate setting will change by five
cuts-per-minute. If the up or down buttons are pressed and held, the vitrector cut rate
setting will continue to change (in five cuts-per-minute steps) until the end of the range is
reached or the button is released. If the vitrector cut rate setting is at the minimum setting,
and the down button is pressed, the vitrector surgical function will enter single cut mode.
While in single cut mode, if the up button is pressed, the cut rate will change to the minimum setting.
The foot pedal position is used to control when the vitrector cuts. A foot pedal side switch
(left or right) is selected by the user, to enable cutting functions (ultrasound or vitrector). By
specifying which switch is used to actuate reflux (Current Settings \ Aspiration Values),
the other switch is used to enable cutting functions. The default cut enable switch is the
right switch. Two modes are available for the cut enable switch, toggle or momentary
(Current Settings \ Vitrector Values). If the user selects the toggle mode, actuating the
switch will toggle the cut enable state. If cutting is enabled, it will be disabled. If cutting is
disabled, it will be enabled. If the user selects momentary mode, the switch needs to be
actuated to enable cutting. In addition to enabling cutting (using a side switch), the foot
pedal must be depressed before cutting begins. The user is allowed to specify the foot
pedal movement required before cutting begins (Current Settings \ Pedal Thresholds).
When the foot pedal is depressed far enough that the vitrector threshold is reached, the
vitrector will cut.
Several subsystems are involved in performing the vitrector surgical function (refer to figure
1). The foot pedal is the main tool available to the surgeon for control of how the system
operates the vitrector. Refer to the foot pedal subsystem for details about how it operates.
The foot pedal connects to the system back panel via an integral cable. A connector at the
back panel makes the transition from the external cable to an internal cable.
External Foot Pedal
Foot Pedal
System Front Panel
Output Tubing
Pneumatic Module
Signal Cable
Theory of operation
Drive
Tubing
Analog-Pneumatics
Control Cable
System Pressure
Sensor Tubing
System Back Panel
Internal Foot Pedal
Signal Cable
Foot Pedal Isolation
Electronics Board
CPU Electronics Board
CPU-Analog Board
Signal Cable
Analog Electronics Board
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Figure 1.
Block diagram of subsystems
used for the vitrector drive
surgical function.
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The internal cable terminates at a connector on the foot pedal isolation electronics board.
The board optically isolates the foot pedal signals and passes them through a board to
board connector to the CPU electronics board. The microprocessor on the CPU electronics
board analyzes inputs from the foot pedal to determine what action to take. If the system
pressure is OK and the foot pedal position is correct as defined in the system settings, then
it will send a signal to the analog electronics board to activate the vitrector. A signal cable
connects the CPU electronics board to the analog electronics board. Addresses and data
are passed on this cable. The analog board decodes the command to operate the vitrector
and applies ground to the appropriate pin on the analog-pneumatics cable. This cable
constantly provides 12Vdc to the vitrector valve, which is turned on when the return wire is
grounded. The vitrector valve is located in the pneumatic module. A tube connects the air
output from the vitrector valve to the system front panel. A tube connects the main system
air pressure from the pneumatic module to a sensor on the analog electronics board. The
analog electronics board communicates the system pressure back to the microprocessor
through the CPU-analog signal cable. The system monitors the system air pressure only. It
can’t determine if the vitrector valve is actually operating. Nor does it measure the pressure
pulses sent from the vitrector valve.
Aspiration - The aspiration surgical function is used to provide vacuum to the connected
surgical instrument.
The aspiration surgical function LED will display the current state of the aspiration surgical
function. If the LED is dark, the aspiration surgical function is off. If the LED is green, the
aspiration surgical function is operating within acceptable limits. If the LED is red a problem exists which may effect the operation of the aspiration surgical function. If the LED is
red, the front panel display will show a status line message indicating the problem.
The aspiration on/off button is used to change the state of the aspiration surgical function.
The effect on the aspiration surgical function is dependent upon the state of other surgical
functions as detailed below. With either the vitrector or ultrasound surgical functions on, if
the aspiration surgical function is on and the aspiration on/off button is pressed, the aspiration function will be turned off. If the aspiration surgical function is off and the aspiration
on/off button is pressed, the aspiration function will be turned on. The aspiration mode
used (anterior or posterior) is the mode selected by either the vitrector or ultrasound surgical function (whichever is active). With both the vitrector and ultrasound surgical functions
off; the aspiration on/off button is used to place the aspiration surgical function in one of
three states. Starting with the aspiration surgical function off, when the aspiration on/off
button is pressed the aspiration surgical function will come on and enter posterior mode. If
the aspiration on/off button is pressed again the aspiration surgical function will enter anterior mode. If pressed again the aspiration surgical function will be turned off.
Two types of vacuum control are provided, fixed and linear. While in fixed aspiration, the
user can select the desired vacuum level using the aspiration up and down buttons. The
foot pedal position is monitored and when the activity threshold is reached, the aspiration
valve will open and selected vacuum level is applied to the surgical instrument. The activity
threshold can be specified by the user (Current Settings \ Pedal Thresholds). In linear
aspiration, the vacuum applied to the surgical instrument is proportional to the posi
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tion of the foot pedal. When the activity threshold is reached, the aspiration pinch valve will
open, but initially, no vacuum is applied. As the foot pedal is further depressed, the
vacuum level will increase linearly, until the maximum vacuum setting is reached when the
foot pedal is fully depressed. Reflux is used to apply a small positive pressure to the aspiration tubing. This small pressure is used to release any tissue trapped at the end of the
surgical instrument. With the foot pedal up, the surgeon can activate the reflux function
using a foot pedal side switch. Either the left or right side foot pedal switch can be selected
for reflux function activation (Current Settings \ Aspiration Values).
The aspiration up and down buttons can be used to change the maximum vacuum setting.
The up button will increase the maximum vacuum setting and the down button will decrease the maximum setting. The maximum vacuum setting has a range from zero mmHg
to five hundred mmHg. If the up or down buttons are pressed and released, the maximum
vacuum setting will change by five mmHg. If the up or down buttons are pressed and held,
the maximum vacuum setting will continue to change (in five mmHg steps) until the end of
the range is reached or the button released. While the aspiration surgical function is off,
the aspiration up and down buttons will have no effect, unless a prime is in progress.
The aspiration valve open/close button can be used to open and close the aspiration pinch
valve and, when pressed and held, can be used to initiate a prime cycle. If the foot pedal is
not active, when the aspiration valve open/close button is pressed and released, the aspiration valve will change state. If the valve is open, it will close. If the valve is closed, it will
open. If the aspiration valve is opened, using the aspiration valve open/close button, it will
close after thirty seconds or if any foot pedal activity is sensed..
If the aspiration open/close button is pressed and held for one second, a prime cycle will
start. A prime cycle will apply the specified vacuum level (Current Settings \ Prime Pa-
rameters) to the 50cc chamber of the aspiration cassette, for the duration specified (Current Settings \ Prime Parameters). One of two prime methods can be selected ( Current
Settings \ Prime Parameters \ Prime Mode Select). In timed prime mode, the duration of
the prime cycle is determined by the prime cycle duration for the selected surgical function.
In continuous prime mode, once started the prime cycle will stop when the aspiration valve
button is pressed, foot pedal activity is detected or the cassette over fills. The normal
method to terminate a continuous prime cycle is to press the aspiration valve button.
The aspiration cassette (refer to figure 2) is the connection between the aspiration tubing
and the vacuum system. It also provides for aspirant storage. A dual chamber design is
used. The larger 500cc chamber is used to store vacuum and aspirant. The smaller 50cc
chamber is connected to aspiration tubing that communicates the vacuum to the surgical
instrument. It’s relatively small volume allows for high speed control of it’s vacuum level. A
float valve controls the opening of a channel connecting the two chambers. During use,
approximately 25cc of fluid is allowed to enter the smaller chamber. Any additional fluid
entering the smaller chamber causes the float valve to transfer an equivalent amount into
the larger chamber. Two prisms are used to allow the system to sense the fluid level in
each chamber. A third prism is used to reflect visible light towards the front of the cassette.
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Valve float
Output
connection
Valve
System Description
Vacuum connections
50cc chamber
500cc chamber
Level sense prisms
Illumination
prism
Figure 2.
Aspiration Cassette
External Foot Pedal
Signal Cable
V acuum Tubing
Vacuum Sense Tubing
Analog-Pneumatics
Control Cable
System Back Panel
Internal Foot Pedal
Signal Cable
Foot Pedal Isolation
Electronics Board
CPU Electronics Board
Analog Electronics Board
Aspiration
Tubing
Manifold
Cassette
Pinch V alves
System Front Panel
Foot Pedal
Hydrophobic
Filters
Pneumatic Module
Pinch V alve
Control Tubing
Figure 3.
Block diagram of subsystems used for the aspiration surgical function.
CPU-Analog Board
Signal Cable
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Various subsystems are used to perform the aspiration surgical function (refer to figure 3).
The foot pedal is the primary method for controlling how the system applies vacuum. Refer
to the foot pedal subsystem for details about how it operates. The foot pedal is connected
to the system back panel with a cable that is permanently connected to the foot pedal. A
connector at the back panel makes the transition from the external cable to an internal
cable. The internal cable terminates at a connector on the foot pedal isolation electronics
board. The board optically isolates the foot pedal signals and passes them through a board
to board connector to the CPU electronics board. The microprocessor on the CPU electronics board analyzes inputs from the foot pedal to determine what action to take. If the foot
pedal position is correct as defined in the system settings, then it will send a signal to the
analog electronics board to either deliver a vacuum, change the aspiration pinch valve
state, or change the reflux valve state. A signal cable connects the CPU electronics board
to the analog electronics board. Addresses and data are passed on this cable. The analog
board decodes the commands from the CPU electronics board. If the command is to activate one of the pinch valves (aspiration pinch valve or reflux pinch valve) then the analog
electronics board applies ground to the appropriate pin on the analog-pneumatics cable.
This cable constantly provides 12Vdc to the valves (in the pneumatic module) that control
the pinch valves. The valves turn on when their return wire is grounded. Tubing connects
the control valves in the pneumatic module to the pinch valves on the system front panel. If
the command is to change the vacuum level of the smaller chamber of the cassette then
the gain on a multiplying D/A converter is set and the analog signal from the foot pedal is
passed through the analog-pneumatics cable to a vacuum regulator in the pneumatic
module. The vacuum regulator in the pneumatic module is a closed loop V to P convertor.
It takes vacuum from the larger chamber of the cassette and uses it to control the level of
vacuum in the smaller chamber of the cassette. Tubing connects the cassette to the pneumatic module. The tubing includes two hydrophobic air filters to protect the system from
fluid ingress. The cassette manifold provides the connection between the tubing and the
cassette. Additionally the cassette manifold is connected to pressure sensors on the analog electronics board with two tubes. The sensors monitor the vacuum level of both chambers in the cassette. The analog electronics board communicates the chamber vacuums
back to the microprocessor through the CPU-analog signal cable. The system monitors the
vacuum level in the 50cc chamber and makes command adjustments as necessary to
maintain the vacuum level requested by the foot pedal. The system monitors the 500cc
chamber vacuum level and will give an error if the vacuum level measures too low.
Irrigation - The irrigation pinch valve is used to control irrigation fluid flow. While in any
anterior mode, the irrigation pinch valve will open just prior to the application of aspiration
vacuum and close just after vacuum is removed. The foot pedal position is used to control
when the pinch valve opens. The user is allowed to specify the foot pedal movement required before the pinch valve opens (Current Settings \ Pedal Thresholds). While in
posterior modes, the irrigation pinch valve will open (if closed) just prior to the application of
aspiration vacuum and will remain open, until closed using the irrigation valve button (or by
entering anterior mode). The irrigation pinch valve is to be used only in anterior modes,
however, if used in posterior modes the valve will open and remain open.
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System Description
The irrigation surgical function requires multiple subsystems to operate (refer to figure 4).
The foot pedal is the main means available for control of how the system operates the
irrigation pinch valve. Refer to the foot pedal subsystem for details about how it operates.
The foot pedal connects to the system back panel with a cable integral with the pedal. A
connector at the back panel makes the transition from the external cable to an internal
cable. The internal cable terminates at a connector on the foot pedal isolation electronics
board. The board optically isolates the foot pedal signals and passes them through a board
to board connector to the CPU electronics board. The microprocessor on the CPU electronics board analyzes inputs from the foot pedal to determine what action to take. If the foot
pedal position is correct as defined in the system settings, then it will send a signal to the
analog electronics board to activate the pinch valve. A signal cable connects the CPU
electronics board to the analog electronics board. Addresses and data are passed on this
cable. The analog board decodes the command to operate the pinch valve and applies
External Foot Pedal
Signal Cable
System Back Panel
Internal Foot Pedal
Signal Cable
Foot Pedal Isolation
Electronics Board
CPU Electronics Board
Figure 4.
Block diagram of subsystems
used for the irrigation surgical
function.
Foot Pedal
Pinch V alve
System Front Panel
Pinch V alve
Control Tubing
Pneumatic Module
Analog Electronics Board
Analog-Pneumatics
Control Cable
CPU-Analog Board
Signal Cable
ground to the appropriate pin on the analog-pneumatics cable. This cable constantly provides 12Vdc to the valve (in the pneumatic module) that controls the pinch valve. The valve
is turned on when it’s return wire is grounded. Tubing connects the control valve in the
pneumatic module to the pinch valve on the system front panel.
Illumination - The illumination surgical function is used to provide illumination for surgery
through fiber optic instruments. Three fiber optic connection ports are provided. All three
ports are illuminated using the same bulb. Two bulbs are available, the primary bulb and a
back up bulb. The system monitors the condition of both bulbs and switches to the back
up bulb when required. The system warms each bulb prior to turning it on. The user
changes the intensity of the light output by adjusting the dimming knob on the light source
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tray. The illumination on/off button can be used to turn on and off the illumination surgical
function. When the illumination surgical function is turned on, the system will warm the
bulb, then turn the bulb full on.
The system uses several subsystems to support the illumination surgical function (see
figure 5). The microprocessor on the CPU electronics board analyzes inputs from the front
panel controls and the current bulb status (good or bad) to determine what action to take.
When a request to turn on a bulb is made, a series of commands is sent to the analog
electronics board through the CPU-Analog board signal cable. The analog board decodes
the commands. If the command is to move the bulb position (move a backup bulb into
position) then it applies ground to the appropriate pins (2) on the analog-pneumatics cable.
This cable constantly provides 12Vdc to the valves (in the pneumatic module) that control
the backup mechanism in the light source. The valves are turned on when their return wires
are grounded. Tubing connects the valves in the pneumatic module to the backup mechanism in the light source. The backup mechanism moves to the “A” position when the valves
are off and the “B” position when the valves are on. If the command is to warm a bulb then
ground is applied to the appropriate pin on the appropriate analog-bulb cable. Each bulb
has it’s own power resistor, which is connected in series with the bulb to warm it prior to
applying full current. The power resistors are mounted to the air duct. If the command is to
turn on a bulb then ground is applied to the appropriate pin on the appropriate analog-bulb
cable (different pin than the warm pin). The analog-bulb cables constantly provide 24Vdc to
the bulbs. The bulb is turned on when it’s return wire is grounded. The majority of the light
source components are mounted on the light source tray. This allows the light source to be
opened for bulb replacement. The two analog-bulb cables terminate in a drawer style
connector inside the light source enclosure. The connection is broken whenever the light
source tray is opened.
The light source output connector (see figure 6) contains an integral dimming disk and the
CPU Electronics Board
CPU-Analog Board
Signal Cable
Pneumatic Module
Backup Control Tubing
Light Source
Analog-Pneumatics
Control Cable
Analog Electronics Board
Light Source
Fan Cable
Analog-Bulb Cables
Figure 5.
Block diagram of subsystems
used for the illumination
surgical function.
mechanism for retaining the fiber optic connectors. The light source dimming mechanism is
controlled by the dimming knob located on the front of the light source tray. Rotating the
dimming knob will change the position of the dimming disk relative to the ends of the fiber
optic cables and change the amount of light allowed to enter the fiber optic cable.
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Guide bushings
Figure 6.
Illustration of light source connector
Fiber optic illuminator
Dimming disk
Connector catches
The light source enclosure has a fan to cool the light source optics (refer to figure 7). The
light source fan pulls air from the inside of the system and forces it past the light source
optics and out the air duct. The light source fan will run when the system power is on.
Power for the light source fan is provided by the light source fan cable connected to the
analog electronics board.
Figure 7.
Light source enclosure,
bottom back
Bulb warming power
resistors
Light source
System speaker
fan
Analog-bulb cables
The light source tray contains the optics used to focus the light from the illuminated bulb to
the ends of the fiber optic cables (refer to figure 8). Light passes through a collimating lens
onto a hot mirror. The visible light which passes through the hot mirror then passes through
a focusing lens onto the ends of the fiber optic cables. A spherical mirror reflects light from
behind the bulb towards the front.
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The light source drawer is held in the light source enclosure by the light source lock knob
(refer to figure 9). When the lock knob is in the unlocked position, the light source drawer
may be slid to the open position. The light source drawer stop cable (see figure 8) prevents
the light source drawer from being removed from the system.
Figure 8.
Drawer connector
Spherical mirror
Opened light source tray
Output connector
Dimming knob
Lock knob
Lens
Hot mirror
Stop cable
Backup mechanism
Figure 9
Light source tray bottom
Theory of operation
Tubing connectors
Drawer connector
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Air Exchange - The air exchange surgical function is used to provide a variable flow constant pressure source of air.
The air exchange surgical function LED will display the current state of the air exchange
surgical function. If the LED is dark, the air exchange surgical function is off. If the LED is
green, the air exchange surgical function is operating within acceptable limits. If the LED is
red a problem exists which may effect the operation of the air exchange surgical function. If
the LED is red, the front panel display will show a status line message indicating the problem.
The air exchange on/off button can be used to turn on and off the air exchange surgical
function. The air exchange up and down buttons can be used to change the user specified
pressure setting. The up button will increase the pressure setting and the down button will
decrease the pressure setting. The user specified pressure setting has a range from one
mmHg to one hundred mmHg. If the up or down buttons are pressed and released, the
user specified pressure setting will change by one mmHg. If the up or down buttons are
pressed and held, the user specified pressure setting will continue to change (in one mmHg
steps) until the end of the range is reached or the button is released. While the air exchange surgical function is off, the air exchange up and down buttons will change the user
specified pressure setting.
The system uses several subsystems to support the air exchange surgical function (see
figure 10). The microprocessor on the CPU electronics board analyzes inputs from the front
panel controls and the current function status to determine what action to take. When the
air exchange surgical function is turned on, the current output port pressure is used as the
desired low pressure compressor pressure set point. A command is sent to the analog
electronics board through the CPU-Analog board signal cable to enable the low pressure
compressor. The analog board decodes the commands. It applies ground to the appropriate pin on the analog-pneumatics cable, enabling the low pressure compressor. It also sets
the desired pressure point for the low pressure compressor control circuit which supplies a
positive drive voltage to the appropriate pin on the analog-pneumatics cable. This cable
connects to the low pressure compressor on the pneumatic module. A tube connects the
output of the low pressure compressor to the system front panel (after it passes through a
valve). Two pressure sense tubes (one for measuring pressure at the air exchange output,
called “eye”, and another for measuring the compressor output pressure, called “pump”)
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Figure 10
Block diagram of systems used for Air Exchange surgical function.
VitMan
System Front Panel
Output T ubing
Pneumatic Module
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Analog-Pneumatics
Control Cable
"Eye" pressure sensor tubing
"Pump" pressure sensor tubing
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CPU Electronics Board
CPU-Analog Board
Signal Cable
Analog Electronics Board
Theory of operation
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System Description
connect to sensors on the analog electronics board. The low pressure compressor control
circuit on the analog electronics board uses the pump sensor output as feedback to vary
the low pressure compressor drive voltage. The output of the pressure sensors is communicated back to the CPU electronics board through the CPU-analog board signal cable.
When the current compressor pressure is less than ten mmHg above the initial output port
pressure, the microprocessor will send a command for the air exchange valve to open. It
will also send a command to change the desired low pressure compressor pressure set
point to the user specified air exchange pressure setting. The analog board decodes the
commands. It applies ground to the appropriate pin on the analog-pneumatics cable that
connects to the air exchange valve in the pneumatic module. This cable constantly provides 12Vdc to the air exchange valve, which is turned on when the return wire is
grounded. When the valve is on, output from the low pressure compressor is connected to
the air exchange output on the system front panel. When the valve is off, the output from
the low pressure compressor is disconnected and the air exchange output on the system
front panel is blocked. Once the air exchange valve is open, if the eye sensor pressure
exceeds the user specified value by fifteen mmHg, the microprocessor will command the
air exchange valve to close until the pressure is reduced. If the eye sensor pressure is not
within five mmHg of the user specified air exchange pressure setting, the air exchange
surgical function will be in alarm (system beeps, LED goes red, and a status line message
appears).
The low pressure compressor control circuit monitors the pump pressure sensor. If excessive pressure is detected by the control circuit, it will disable the low pressure compressor.
This event is communicated to the microprocessor through the CPU-analog board signal
cable. If excessive pressure is reported to the microprocessor, the air exchange valve will
be commanded to close. If the excessive pressure condition is removed, the microprocessor will enable the low pressure compressor control circuit. When appropriate the air exchange valve will be opened. Note that this excess pressure control method is separate
from the normal, software dependent, method. This method is built into the control circuit
and cannot be disabled by the system software.
Ultrasound - The ultrasound surgical function is used to apply energy to an attached
ultrasound handpiece. The energy can be delivered in either continuous or pulse mode.
The relative power and pulse rate are specified by the user.
The ultrasound surgical function LED will display the current state of the ultrasound surgical
function. If the LED is dark, the ultrasound surgical function is off. If the LED is green, the
ultrasound surgical function is operating within acceptable limits. If the LED is red a problem exists which may effect the operation of the ultrasound surgical function. If the LED is
red, the front panel display will show a status line message indicating the problem.
The ultrasound surgical function will operate in one of four modes. The ultrasound on/off
button is used to change the mode of the ultrasound surgical function. Each time the ultrasound on/off button is pressed the ultrasound mode will change. Starting with the ultrasound surgical function off, if the ultrasound on/off button is pressed the ultrasound surgical
function will come on and enter posterior fragmentation mode. If pressed again the ultrasound surgical function will enter anterior linear phaco. mode. If pressed again the
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System Description
ultrasound surgical function will enter anterior fixed phaco mode. If pressed again the
ultrasound surgical function will enter anterior fragmentation mode. If pressed again the
ultrasound surgical function will be turned off. When the ultrasound surgical function enters
a new mode, the aspiration surgical function is turned on, the aspiration mode (anterior or
posterior, linear or fixed) is set to be compatible with the ultrasound mode.
The ultrasound up and down buttons can be used to change the ultrasound power setting.
While in fixed power modes the setting will select the power level delivered to the hand
piece, when energized. In linear power mode, the setting will select the power level
reached upon fully depressing the foot pedal. If the ultrasound surgical function is on, the
up button will increase the ultrasound power setting and the down button will decrease the
ultrasound power setting. The ultrasound power setting has a range from one percent to
one hundred percent. If the up or down buttons are pressed and released, the ultrasound
power setting will change by one percent. If the up or down buttons are pressed and held,
the ultrasound power setting will continue to change until the end of the range is reached or
the button released. While the ultrasound surgical function is off, the ultrasound up and
down buttons will have no effect.
The pulse button is used to change the state of the ultrasound pulse mode. This is a toggle
operation and requires that the ultrasound surgical function be on. If pulse mode is off and
the pulse button is pressed, pulse mode will be turned on. If pulse mode is on and the
pulse button is pressed, pulse mode will be turned off. While the ultrasound surgical function is off, the pulse button will have no effect.
The pulse up and down buttons can be used to change the pulse rate setting. If the ultrasound surgical function is on and pulse mode is on, the up button will increase the pulse
rate setting and the down button will decrease the pulse rate setting. The pulse rate setting
has a range from one pulse-per-second to twenty pulses-per-second. If the up or down
buttons are pressed and released, the pulse rate setting will change by one pulse-persecond. If the up or down buttons are pressed and held, the pulse rate setting will continue
to change until the end of the range is reached or the button released. While pulse mode
is off, the pulse up and down buttons will have no effect.
Older versions of the ultrasound electronics require that the electronics be tuned in order to
transfer maximum power to the needle. New versions of the ultrasound electronics constantly tune, so maximum power is delivered to the handpiece at all times. A tune cycle
scans the entire range of frequencies looking for maximum power. The frequency of maximum power is the resonant frequency of the hand piece. The tune button will initiate a tune
cycle. If the ultrasound hand piece is removed from the front panel, then reconnected, a
tune cycle will be required before the hand piece can be used. While the ultrasound surgical function is off, the tune button will have no effect.
The foot pedal position is used to control when the energy is delivered to the ultrasound
hand piece. A foot pedal side switch (left or right) is selected by the user, to enable cutting
functions (ultrasound or vitrector). By specifying which switch is used to actuate reflux
(Current Settings \ Aspiration Values), the other switch is used to enable cutting functions. The default cut enable switch is the right switch. For ultrasound, the side switch is
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Theory of operation
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System Description
only used in anterior frag. and posterior frag. modes. Two modes are available for the cut
enable switch, toggle or momentary (Current Settings \ Ultrasound Values). If the user
selects the toggle mode, actuating the switch will toggle the cut enable state. If cutting is
enabled, it will be disabled. If cutting is disabled, it will be enabled. If the user selects
momentary mode, the switch needs to be actuated to enable cutting. In all ultrasound
modes, the foot pedal must be depressed before energy is delivered to the ultrasound
hand piece. The user is allowed to specify the foot pedal movement required before cutting
begins (Current Settings \ Pedal Thresholds). When the foot pedal is depressed far
enough that the ultrasound threshold is reached, power will be delivered to the handpiece.
When energy is being delivered to the ultrasound hand piece, a tone is be generated. This
will provide audible feedback when energy is being delivered to the hand piece.
Several subsystems are involved in performing the ultrasound surgical function (refer to
figure 11). The foot pedal is the main tool available to the surgeon for control of how the
system delivers ultrasound power. Refer to the foot pedal subsystem for details about how
it operates. The foot pedal connects to the system back panel via an integral cable. A
connector at the back panel makes the transition from the external cable to an internal
cable. The internal cable terminates at a connector on the foot pedal isolation electronics
board. The board optically isolates the foot pedal signals and passes them through a board
to board connector to the CPU electronics board. The microprocessor on the CPU electronics board analyzes inputs from the foot pedal to determine what action to take. If the aspiration surgical function is OK, the ultrasound handpiece is present, and the foot pedal
position is correct as defined in the system settings, then it will send a signal to the analog
electronics board to set the ultrasound power and activate power output. The CPU-analog
signal cable connects the CPU electronics board to the analog electronics board. Ad
Figure 11.
Block diagram of subsystems used for the ultrasound surgical function.
Chassis Ground
Theory of operation
External Foot Pedal
Foot Pedal
System Front Panel
Ultrasound Output Cable
Ultrasound Electronics Board
Signal Cable
Handpiece Present
Analog-Ultrasound Control Cable
page 16
System Back Panel
Internal Foot Pedal
Signal Cable
Foot Pedal Isolation
Electronics Board
CPU Electronics Board
CPU-Analog Board
Signal Cable
Analog Electronics Board
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System Description
dresses and data are passed on this cable. The analog board decodes the command to
operate ultrasound and applies +5Vdc to the appropriate pin on the analog-ultrasound
control cable. It also sets the desired power level by applying a 0.5-5Vdc signal to the
appropriate pin on the analog-ultrasound control cable. The ultrasound electronics board
receives the command and outputs power to the ultrasound output cable. This cable connects to the ultrasound output connector on the system front panel. The ultrasound handpiece connects to the front panel connector. The ultrasound handpiece has a multiple
crystal piezoelectric motor. A single conductor supplies drive voltage to the motor. The
return path is comprised of multiple conductors and is tied to chassis ground at the front
panel. The ultrasound electronics board monitors the ground path for the handpiece. If it
senses a loss of ground, it applies 5Vdc to the appropriate pin of the analog-ultrasound
control cable. The analog electronics board communicates this to the CPU electronics
board over the CPU-analog signal cable. The microprocessor inhibits ultrasound power
output and the surgical function LED goes red. An additional connection for the ultrasound
output cable connects from the ultrasound output connector on the system front panel to
the CPU electronics board. It provides the handpiece present signal to the microprocessor.
The microprocessor inhibits ultrasound power output and the surgical function LED will go
red if the handpiece isn’t connected when the surgical function is on.
Cassette Housing Assembly- Physical alignment of the various components that support
the cassette is provided by the cassette housing assembly (refer to figures 12 and 13).
Located on the bottom front of the housing is the lock knob. It is used to align the cassette
front to back in the housing and to compress the top ports of the cassette to the seals in
the cassette manifold. This is accomplished through a 270 degree rotation of the lock knob.
Stops are provided at both extremes of knob rotation. The cassette manifold is
Figure 12.
Cassette housing
Vacuum connections
Figure 13.
View of cassette manifold seals
Cassette manifold
Sensors
Seals
Analog electronics
board
Lock knob
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Theory of operation
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System Description
located towards the top front of the housing. It provides connections to the cassette,
vacuum tubing, and sensors. The seals to the cassette are accomplished through O-rings
mounted under the manifold. Both the manifold and the lock knob bracket are connected to
the front panel providing it mechanical support. The left wall of the housing is used to
mount the housing to the right side of the light source enclosure. It also contains a leaf
spring that is used to hold the cassette against the right side of the housing. The rear wall
also contains springs. They are used to eject the cassette after it is released by the lock
knob. The right side of the housing holds the analog electronics board. The side has holes
which allow LED’s and optical sensors access to the side of the cassette. A series of optical sensors on the analog electronics board to monitor the prisms on the side of the cassette. Fluid in the cassette causes light to not be reflected back by the prism in the cassette. This allows the system to measure the amount of fluid in the cassette. It also allows
the system to sense when a cassette is installed into the system. The front cross rail of the
system mounts to the right side of the housing.
System Pneumatics - The VitMan air system affects every surgical function of the system.
The Pneumatic Module is designed to be removed from the system as a unit for maintenance or replacement. It contains every the pneumatic component in the system that
doesn’t need to be elsewhere because of it’s function. Refer to figure 14 for a schematic of
the system pneumatics and figures 15 and 16 for a picture of the pneumatic module. Pneumatic components that are not mounted on the pneumatic module are drawn with a red
outline. The various pressure sensors are all mounted on the analog electronics board.
They contain the same references on the schematic as is used on the board. The three
pinch valves and two function outputs (vitrector and air exchange) are mounted on the
system front panel. The air cylinder is part of the light source backup mechanism. The
cassette manifold is part of the cassette housing assembly, and is the connection to the
aspiration cassette for vacuum control. The two filters are located to the rear of the cassette housing assembly. The pressure and vacuum input connections are mounted on the
system back panel. The tubing that connects the different components is shown color
coded for the size and type of tubing used. The schematic is a physical connection style
schematic, the connections on the components are positioned similar to the physical connections used in the system. The bubble encapsulated numbers represent various fittings
used to accomplish connections. Of special note is bubble 6. They are the quick disconnects that must be disconnected to remove the pneumatic module. Beside them is the
reference used to mark the tubes for easy reassembly. If a marker is missing or illegible,
refer to these references to aid assembly.
The pneumatic module contains seven valves, low pressure compressor, and the vacuum
regulator that all require electrical control signals. The signals are provided by the analogpneumatics control cable connected to the analog electronics board. Six of the valves (all
except the vitrector valve) have wire connectors at the valve and an LED to indicate when
the valve is on. The vitrector valve has permanently connected wiring and no indication of
when it is on. All seven valves can be manually activated by pressing the button on their
sides. The low pressure compressor has permanently connected wiring. The vacuum
regulator wiring is connected to screw tightened terminals under the cover of the regulator.
The cover can be removed by removing the two screws securing the cover to the regulator
Theory of operation
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System Description
Light Source Backup
16
Air Cylinder
16
8
Low Pressure
Compressor
P
V
11
25mm 0.3 micron GMF
Filter
Intake
Accumulator
4
12
12
2-Way Normally Closed
8
P
Air Ex
A
8
12
6
Air Exchange Out
7 on for A bulb
0 on for B bulb
"0"
6
Ref. Pinch Valve
8
Irr. Pinch Valve
8
Asp. Pinch Valve
6
"3"
"2"
6
"9"
"7"
6
"6"
6
"5"
6
"1"
6
0.005 Orifice
5
5
Pilot
4
"Pump"
Sensor
X103
0.005 Orifice
Sensor
X102
"Eye"
0.005 Orifice
8
8
8
8
A
8
8
P
1
Out Vac
1
Bleed
8
7
8
8
8
8
15
Vacuum
Regulator
E
9
3-way Normally Open
Light Y
A
E
8
Ref.
Pinch
3-way Normally Closed
Irr.
Pinch
8
Asp.
Pinch
8
Light X
8
60mm
1 micron
Filter
9
9
10
10
Cassette
Manifold
Exhaust
Air flow
Intake
Exhaust
Intake
Air flow
Air Input
Connector
Filter
50mm
1 micron
5
12
0.005 Orifice
Bleed
Open
4
Relief
Valve
13
13
Vacuum
Pump
Red
White
17
"500CC"
Sensor
X101
5
"50CC"
1/8 O.D Tube
1/4 O.D. Tube
3/16 O.D. Tube
1/4 O.D. Silicone Tube
5/32 O.D. Silicone Tube
2
Filter
17
2
5
4
Cylinder
Regulator
13
3
Manifold
4
3
2
3
Vitrector
Regulator
2
13
Vac Input
Connector
Sensor
X100
14
15
16
17
10-32 to 1/8 Barb (Large)
1/4 Quick Disconnect "T"
10-32 to 1/8 Quick Disconnect
1/4 NPT Plug
6
13
13
Vac. Reg.
Regulator
3
4
13
10
11
12
13
1/8 NPT to 1/8 Quick Disconnect
1/8 NPT to 3/16 Barb
1/8 Barb "T"
1/8 NPT Plug
Main Compressor
B
14
1
A
"4"
13
7
P
A
15
"8"
6
7
8
9
1/8 NPT to 1/4 Quick Disconnect
10-32 to 1/4 Barb
10-32 to 1/8 Barb
C
D
1
Sensor
X104
"Drive"
3-way Normally Closed
15
15
PE
E
Vit
Vitrector Out
1
234
5
6
1/8 Union Quick Disconnect
1/8 NPT to 1/4 Barb
1/8 NPT to 1/8 Barb
1/8 Barb to 3/16 Barb
1/8 NPT Nipple
1/4 NPT to 1/4 Barb "L"
Figure 14.
Schematic of system Pneumatics
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Theory of operation
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System Description
body. Power for the main compressor and vacuum pump are provided by the analogpneumatics power cable. Both sets of wires are permanently attached to the compressor
and pump.
System Pressure- The VitMan requires air pressure to operate. Two methods of providing
pressure are provided. A connection for an external air pressure supply is accessible on
the system back panel. The system will error if the system pressure is below 42psi. The
system will vent any pressure above 50psi. Any external air supply should maintain between these two pressures. It should also be clean, dry, and oil vapor free. An internal
pressure compressor is contained in the pneumatic module. The compressor will maintain
the appropriate pressure under all normal operating conditions. The intake of the compressor is connected to a length of tubing, which acts as a muffler. The output of the compressor is connected via a “T” to a coalescing air filter. The other leg of the “T” is connected to
the external air input connector. The external air input connector has a built in shut-off valve
that is opened when a hose is connected to it on the outside of the system. This is of interest if the system is relying on it’s internal compressor and a hose is connected to the external air input connector. If the hose isn’t shut off at the distal end or if it is connected to
something that represents too great of a load, then the internal compressor will be unable
to provide the necessary air to the system. The valves in the compressor do not put an
additional load on the external air supply. The coalescing air filter will remove any water
from the air, but will not remove water vapor. Water collected is plumbed to a spot where it
will not do harm. It is normal for the system in humid environments to “make” water as it
operates. Water that collects as a result of decompressing the air will eventually go to one
of the exhausts and evaporate. If the vitrector is operated without connecting to the output
port a small amount of water may spit from the port. This is normal. The output of the
coalescing air filter is connected to system pressure manifold. The manifold distributes the
air to various regulators that supply the rest of the air system. Also connected to the manifold are the system pressure sensor (X104) and the pressure relief valve. The system
pressure sensor measures the current operating pressure of the system. This measurement is used to ensure that the system doesn’t try to operate certain functions if the supply
pressure is too low i.e. vitrector. The pressure relief valve will vent any pressure above 50
psi. It is adjustable. Operating the relief valve at greater pressure will result in a system
pressure too high message on the front panel display. It also will put excess stress on the
air system components.
Vitrector Drive- The vitrector pressure regulator connects to the system pressure manifold. It is adjusted to 42 psi. This pressure results in the correct pressure pulse being delivered to the vitrector. The vitrector valve is connected to the regulator. It is a 3-way, normally
closed, solenoid operated, air piloted valve. Two exhausts are routed to the valve manifold.
The output pressure pulses are connected to the output connector on the system front
panel. Timing, pressure, and air flow have all been optimized to provide the high speed cut
rate that the VitMan possesses. Kinks in either the pressure or exhaust tubes can cause
performance degradation.
Air Cylinder Control- The cylinder pressure regulator connects to the system pressure
manifold. It is adjusted to 30 psi. The regulated pressure output is connected to the valve
manifold. This manifold directly supplies pressure to four 3-way, normally closed, solenoid
Theory of operation
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Vac. reg. regulator
Cylinder regulator
Relief valve
System Description
Figure 15.
Pneumatic module
Low pressure compressor
intake filter
Main compressor
Vac. reg. zero and
span adjust
Vacuum regulator
Vitrector regulator
Vibration mounts
Filter drain tube
Coalescing filter
Cylinder valves
Low pressure
compressor
Figure 16.
Pneumatic module, bottom
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Hydrophobic filters
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Vacuum pump
Theory of operation
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System Description
operated, air piloted valves. Three of the valves are used to control air cylinders which drive
the pinch valves on the system front panel. The fourth is connected to the air cylinder that
is used in the light source backup mechanism. The exhausts on three of the valves is
plumbed back to the valve manifold (separate from the pressure channel). The exhaust of
the valve manifold is connected to a length of tubing that acts as a muffler. The pressure
from the valve manifold is connected to an additional valve (Light Y). It is a 3-way, normally
open, solenoid operated, air piloted valve. The valve is connected to the air cylinder in the
light source backup mechanism. It works in concert with the normally closed valve (Light
X), mounted on the valve manifold, to control the position of the air cylinder. Connections to
the air cylinder from both valves contain an orifice. The orifices act to slow the cylinder
motion.
Vacuum Regulator Pilot Pressure- The vac. reg. pressure regulator connects to the
system pressure manifold. It is adjusted to 20 psi. The regulated pressure is connected to
the vacuum regulator. The vacuum regulator uses this pressure to drive the internal regulation valve.
System Vacuum- The VitMan requires vacuum to operate. Two methods of providing
vacuum are provided. A connection for an external vacuum supply is accessible on the
system back panel. The system requires an minimum of 550 mmHg vacuum to operate
correctly. An internal vacuum pump is contained in the pneumatic module. The pump will
maintain the appropriate vacuum under all normal operating conditions. The exhaust of the
pump is connected to a length of tubing, which acts as a muffler. The intake of the pump is
connected via a “T” to the cassette manifold. The connection is protected with a hydrophobic filter. The other leg of the “T” is connected to the external vacuum input connector. The
external vacuum input connector has a built in shut-off valve that is opened when a hose is
connected to it on the outside of the system. This is of interest if the system is relying on
it’s internal pump and a hose is connected to the external vacuum input connector. If the
hose isn’t shut off at the distal end or if it is connected to something that represents too
great of a load, then the internal pump will be unable to provide the necessary vacuum to
the system. The valves in the pump do not put an additional load on the external vacuum
supply. The cassette manifold provides the connection to the aspiration cassette (see
aspiration surgical function for explanation on how the cassette operates). The cassette
manifold contains a channel that connects the source vacuum to the 500cc chamber of the
cassette, which acts as an accumulator.
Vacuum Output Control- The vacuum stored in the 500cc chamber of the aspiration
cassette is used to control the vacuum level of the 50cc chamber of the aspiration cassette.
Vacuum is routed from the cassette manifold to the input of the vacuum regulator. The
vacuum regulator responds to a voltage control signal. It uses the pilot pressure to control
the vacuum output. It contains an internal pressure sensor for feedback. The output of the
vacuum regulator is protected with a hydrophobic filter and is then connected to the cassette manifold. The cassette manifold contains a channel that connects the output of the
vacuum regulator to the 50cc chamber of the cassette. Two sensors (X101 and X100) are
connected to the cassette manifold. They monitor the vacuum level in both chambers of
the cassette. The system is able to modify the voltage command to the vacuum regulator to
fine tune the output vacuum. The tubing connecting X100 to the cassette manifold in
Theory of operation
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System Description
cludes a “T” that is connected to an orifice. The orifice ensures that there is always a slight
load on the vacuum system, even when the output of the aspiration cassette is plugged.
This helps stabilize the control loop and improves response time.
Air Exchange- The components that comprise the air exchange portion of the system
pneumatics are separated from the rest of the pneumatics. The air pressure source is a
small rotary vane compressor. The intake of the compressor is protected by a filter. The
output of the compressor is connected to an accumulator. The accumulator dampens
pressure pulses. The other side of the accumulator is connected to a sensor, an orifice and
a valve. The sensor monitors the output pressure of the compressor, regardless of whether
the output of the air exchange surgical function is enabled or not. The orifice ensures that a
slight load is always placed on the compressor. The valve is a 2-way, solenoid operated, air
piloted valve. It is used to isolate the system air exchange output from the pressure source.
It allows the pressure source to start and stabilize before the output is connected. It also
allows the system to disconnect the output in case the pressure source exceeds allowable
limits. The output of the valve is connected to a sensor and to the air exchange output
connector. The sensor monitors the output pressure of the system. It allows the to compare
the output to the pressure source pressure and make decisions accordingly.
Floppy Disk Drive - The floppy disk drive can be used to perform system software updates, load diagnostics, configure the system to user preferences and to record system
function during surgery. Once a minute, the floppy disk drive is checked for the presence
of a diskette. If a disk is present (and not locked) the system function for the past minute
will be recorded. The data will be appended to the PC compatible file VITMAN.LOG. If the
file does not exist, it will be created. If the data cannot be saved, it is discarded.
Several menu mode commands are available to perform actions on a diskette. The directory of a diskette may be displayed. The system software and user preferences may be
saved or loaded. The file VITMAN.LOG may be deleted. A diskette may be formatted.
The event log or system data may also be saved.
The floppy disk drive is mounted to the side of the system. It is controlled by the CPU
electronics board. The CPU-floppy signal cable routes control signals to the floppy disk
drive. The analog-floppy power cable is connected to the analog electronics board. It provides power to the floppy disk drive.
LCD Display - The LCD display is used to display the current settings and operational
state of the surgical functions. Two modes are available, normal and menu mode. While in
normal mode the state of the surgical functions is displayed. The display area is divided
among the various surgical functions. The bottom line of the display area is the status line.
Any problem detected will result in a message being displayed in the status line. If more
than one problem exists a message will display for two seconds before changing to the
next message.
Menu mode allows the user to change all aspects of the system configuration. The
button is used to enter and exit menu mode. While in normal mode, if the
Display
pressed and held for one second, menu mode is entered. While in menu mode, pressing
Display
button is
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Theory of operation
Page 25
System Description
the
Display
active. Only the LCD display is effected, however, values modified may effect the surgical
functions. The entire menu may be traversed and all information can be displayed without
using the
While in normal mode, the user can adjust the contrast and back light intensity. The left
and right arrow buttons can be used to change the LCD display contrast level. The left
arrow will make the contrast darker. The right arrow will make the contrast lighter. The up
and down arrow buttons can be used to change the LCD display back light intensity. The
up arrow will increase the back light intensity. The down arrow will decrease the back light
intensity.
The LCD electronics board is mounted to the CPU electronics board. It receives power and
control signals from the CPU electronics board via a board to board connector.
Power Supply- The VitMan receives electrical power through a detachable cord that connects to the power entry module on the system back panel. The main power switch for the
button will exit menu mode. While in menu mode, all surgical functions remain
Enter
button. The
Enter
button is required to save any change.
Figure 17.
Block diagram of power distribution
GND
A
Power Entry Module
CPU electronics board
Ultrasound electronics board
Floppy disk drive
Power Filter
Chassis
Analog electronics board
Power Supply
L1+24
L2/N
GNDD
+S
-S
+12
+S
-S
-
-
system and the system fuse/s are contained in the power entry module. Care should be
taken that the proper rating and number of fuses are installed. The power entry module is
connected to the power filter, which is mounted on top of the power supply. The filter reduces conducted electrical noise. The output of the filter is connected to the AC inputs of
the power supply. It is a dual output 600W “universal input” switching power supply. The
power supply provides an AC OK indication which is connected to the CPU electronics
board with the AC OK cable. If AC OK is lost a message is displayed in the status line, and
the system attempts to do an emergency shutdown. The power supply is mounted to the
system crossrails under the air duct. It provides +12 and +24 volts DC to the analog
Theory of operation
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System Description
electronics board via the analog-power supply cable. The analog electronics board serves
as a power conditioning and distribution point. Unregulated +12 and +24 volts, regulated
+12 and -12 volts, +5 volts, VCC, -22 volts, and various grounds are distributed from here.
Speaker - The speaker is used to generate warning and error tones at the request of the
surgical functions. If enabled (Audio Services \ Key Click), a key click tone will be generated when a valid keyboard button is depressed. When energy is being delivered to the
ultrasound hand piece, a tone will be generated. The audio volume can be adjusted (AudioServices \ Audio Amplitude). The speaker can be disabled ( Audio Services). Several
other options are available through menu mode.
The speaker is mounted to the bottom of the air duct behind the light source fan (refer to
figure 7). The analog-speaker signal cable is connected to the analog electronics board on
one end and permanently attached to the speaker at the other. A D/A channel on the analog electronics board is used by the system to generate tones. The output of the D/A is
connected to an audio amplifier. The output of the audio amplifier is connected to the
speaker. The gain of the audio amplifier is connected to another D/A channel.
System Cooling- The internal temperature of the system is maintained at an acceptable
level by the flowing room temperature air through the system. The system fan (mounted on
the system back panel) pulls in air from outside the system and forces it past the main
compressor. Air circulates within the system. The light source fan (mounted on the back of
the light source enclosure) draws air from inside the system and blows it into the light
source. Air passes through the light source and exits the back of the system through the air
duct. Directing air flow in this manner protects the rest of the system from the high temperatures developed by the light source. Both fans operate when the system power is on.
The analog-fan power cables provide power to the fans. The system fan’s power cable has
connectors to detach from the fan. The light source fan’s power cable is permanently
attached to the fan. The system fan has a filter on the intake side of the fan. The filter
should be monitored regularly and cleaned when it becomes dirty. A temperature sensor is
located on the analog electronics board. The system will detect and report excesses in the
system temperature. If the system temperature exceeds reasonable limits, the system
attempts to reduce it by turning off high current draw items. If the current system temperature is 55 °C or higher, the message “Device disabled” will be displayed in the status line
and an audible indication will be given. Ten seconds after this error occurs the illumination
bulbs will be turned off and the pressure and vacuum pumps will be shut off.
Keyboard - The keyboard allows the user to communicate with the system. It can be used
to turn on and off the surgical functions, as well as modify their operating characteristics.
The keyboard is an integral portion of the front panel overlay. It is comprised of a matrix of
membrane switches. A ribbon cable exits the keyboard near the top of the system and
connects to the CPU electronics board.
Foot Pedal - The foot pedal allows the surgeon communicate control commands to the
system. This is accomplished through rotation of the foot pedal position. An analog vertical
rotation signal is produced with a linear potentiometer coupled to a gear. Refer to figure 18
for a schematic of the foot pedal wiring and figure 21 for a view inside the foot pedal.
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Theory of operation
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System Description
Horizontal rotation is monitored with two switches. A cam mechanism causes horizontal
rotation to “stop” in three positions. Either left or right rotation causes a switch to activate.
The center position is neutral. The left and right switches are used to request reflux and
enable the vitrector and ultrasound surgical functions. Vertical rotation is used to change
the vacuum level in linear aspiration modes, and specify the power level for linear ultrasound. An additional switch indicates when the foot pedal is all the way up (rest position).
The foot pedal up switch is used as an redundant indication that aspiration, irrigation, and
Top
7
Blue (Position)
6
Green (Up)
5
Yellow (Left)
4
Orange (Right)
3
Red (Present)
2
Brown (+5VDC)
1
Black (Gnd)
9
Drain (Chassis GND)
8
Shield (Chassis GND)
Bottom
NO
C
Left
C
Right
C
Up
NC
NO
NC
NC
NO
Figure 18.
Foot pedal schematic
Left switch is located on
the right side of the pedal
cutting (vitrector or ultrasound) should stop.
The top of the foot pedal includes a pair of adjustable foot guides (refer to figure 19). By
pressing on the lock release, located on the left front of the pedal, the guides are allowed to
move. This feature allows the foot pedal to accommodate a wide range of foot sizes without causing smaller feet to slide around in between the guides. The foot guides pivot near
the back of the foot pedal top. A guide rod, at the front of the foot guides, controls their
position. Underneath the cover for the foot pedal top is the locking mechanism for the guide
rods (refer to figure 20). When the lock release lever is depressed, the guide rods should
move freely in the lock mechanism. The top of the foot pedal may be removed from the
base by depressing the pivot pin located on either side of the pedal.
The status line of the LCD display will show information concerning the current state of the
device. All error and warning conditions will generate a status line message. In addition to
error and warning messages, informational messages are displayed as well. This list
contains all types of status line messages, sorted in alphabetical order. Following each
message is an explanation of, and in some cases a possible solution to, the condition
being reported.
dd-mmm-yy hh:mm:ss
The date and time will display when the date & time is selected for the status line default
and no other messages need to be displayed. The status line default may be selected
using the “Status Line Default” command in the “Display” menu. The date and time can be
modified using the “Date & Time” menu, found in the main menu. The date and time are
used to time stamp any files created.
Dr. Cutright
The user name will display when the user name is selected for the status line default and
no other messages need to be displayed. The status line default may be selected using
the “Status Line Default” command in the “Display” menu. The user name can be modified
using the “Edit User Name” command, found in the “Select User” menu.
+12 volt fuse problem
The +12 volt fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the +12 volt power is not present. In addition to the fuse
opening, this message could be caused by a problem with the DC-DC converter that generates the +12 volt power.
-12 volt fuse problem
The -12 volt fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the -12 volt power is not present. In addition to the fuse opening, this message could be caused by a problem with the DC-DC converter that generates
the -12 volt power.
-22 volt fuse problem
The -22 volt fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the -22 volt power is not present. The -22 volt power is used
to generate the contrast for the LCD display. If the -22 volt power is not present it is unlikely that this message will be legible. In addition to the fuse opening, this message could
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be caused by a problem with the DC-DC converter that generates the -22 volt power or the
absence of the +12Vdc-Main voltage. The +12Vdc-Main voltage is fused and monitored.
500cc sensor problem
The vacuum sensor used to monitor the vacuum pump pressure is indicating a problem. If
the aspiration cassette is present and the vacuum level is zero or if the aspiration cassette
is missing and pressure is present, this message will be displayed in the status line. This
message may appear along with the “Low vacuum level”, “Check cassette tubing” and
“Please lock cassette” messages, when the aspiration cassette is present but not locked.
This message indicates that the 500cc sensors output voltage appears to be low. The
500cc sensors output voltage is read using an A/D converter. This voltage is then reduced
by the voltage present when the sensors port is at atmosphere. The result represents the
vacuum level present on the sensors port. If the voltage read is less than the previously
recorded voltage present at atmosphere, then pressure may be present on the sensor, the
A/D converter may have a problem or the sensor may have a problem. A leak in the
vacuum system may also cause this message.
50cc sensor problem
The vacuum sensor used to monitor the small chamber of the aspiration cassette is indicating a problem. If the aspiration cassette is present and the vacuum level is zero (when
vacuum should be present) or if the aspiration cassette is missing and pressure is present,
this message will be displayed in the status line.
This message indicates that the 50cc sensors output voltage appears to be low. The 50cc
sensors output voltage is read using an A/D converter. This voltage is then reduced by the
voltage present when the sensors port is at atmosphere. The result represents the vacuum
level present on the sensors port. If the voltage read is less than the previously recorded
voltage present at atmosphere, then pressure may be present on the sensor, the A/D
converter may have a problem or the sensor may have a problem. A leak in the aspiration
system may also cause this message.
Air exchange xxx mmHg
While the desired air exchange pressure is modified, the current eye pressure will be displayed in the status line, where “xxx” is the value of the eye pressure.
Air exchange excess
When the air exchange pressure exceeds the warning pressure limit for a time longer than
the warning time limit, this message is displayed in the status line. The warning pressure
limit and the warning time limit may be adjusted using the “Air Exchange Values” menu in
the “Current Settings” menu.
Air exchange problem
If the air exchange valve is open, the pressure difference between the eye pressure sensor
and the air exchange pump pressure sensor should be less than 15 mmHg (for low flow
rate conditions the pressure difference will be close to zero mmHg). If a pressure differ
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ence of 15 mmHg or greater is detected, this message will be displayed. This message will
appear along with the “Service required” message.
Air exchange set: xxx
While the air exchange surgical function is on, the pressure setting is displayed in the
status line, where “xxx” is the pressure setting value in mmHg.
Air pump fuse problem
The air exchange pump fuse on the analog board has opened. This fuse is not resettable
and will need to be replaced in order to clear the problem.
This message indicates that the +24 volt power is not present on the air exchange pump
control circuitry. This fuse also protects the audio circuitry. The speaker will not operate if
the fuse has failed. In addition to the fuse opening, this message could be caused by a
problem with the +24 volt output of the power supply.
Air pump hours excess
The run time on the air exchange pump has exceeded the maximum limit. The pneumatics
module needs to be serviced. The “Display Pump Hours” command, found in the “Service
Pneumatics” menu of the “Service Menu”, can be used to display the current air pump
hours.
If the air exchange pump hours exceed 2000, this message will be displayed. While the air
exchange surgical function is on this message is disabled.
Air pump problem
The test of the air exchange pump indicates that it may not be capable of generating pressure. This message may be accompanied by the “Air pump fuse problem” or the “Service
required” messages.
At power-up, a test is made of the ability of the air exchange pump to generate pressure. If
pressure is not detected at power-up, the test will be run each time the air exchange surgical function is enabled. If the test fails, this message will be displayed.
Air sensor problem
The pressure sensor used to monitor the air pump used in the air exchange surgical function is indicating a problem. If the air exchange surgical function is off and vacuum is
present or if the air exchange surgical function is on and no pressure is present, this message will be displayed in the status line.
This message indicates that the air exchange pump sensors output voltage appears to be
low. The air exchange pump sensors output voltage is read using an A/D converter. This
voltage is then reduced by the voltage present when the sensors port is at atmosphere.
The result represents the pressure level present on the sensors port. If the voltage read is
less than the previously recorded voltage present at atmosphere, then vacuum may be
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present on the sensor, the A/D converter may have a problem or the sensor may have a
problem. A leak in the air exchange system may also cause this message.
Alarm cut off
While not in menu mode, the ENTER button will allow alarm cut off. Pressing and releasing the ENTER button will mute any currently playing alarm or warning tone. This is normally only required when the error or warning tones are in continuous mode. The error and
warning tone modes may be adjusted using the “Audio Services” menu.
Anterior Aspiration
This message indicates that the aspiration surgical function has entered anterior aspiration
mode, using the aspiration on/off button.
Anterior Fixed Phaco
This message indicates that the ultrasound surgical function has entered the anterior fixed
phaco mode, using the ultrasound on/off button.
Anterior Frag
This message indicates that the ultrasound surgical function has entered the anterior frag
mode, using the ultrasound on/off button.
Anterior Linear Phaco
This message indicates that the ultrasound surgical function has entered the anterior linear
phaco mode, using the ultrasound on/off button.
Anterior Linear Rate
This message indicates that the vitrector surgical function has entered anterior linear cut
rate mode, using the vitrector on/off button.
Anterior Vitrectomy
This message indicates that the vitrector surgical function has entered the anterior vitrectomy mode, using the vitrector on/off button.
Bulb “A” FET problem
If bulb “A” is present and enabled but is not illuminated, this message will be displayed in
the status line. A field effect transistor (FET) is used to sink the bulb current and illuminate
the bulb. This message indicates a hardware problem that requires servicing.
A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the status of the bulb.
The voltage across the FET is read using an A/D converter. If the voltage across the FET
is greater than 2.5 volts while the bulb is enabled, this message will be displayed. If the A/
D converter has a problem and reports a high voltage while the bulb is enabled, this message will be displayed.
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Bulb “A” hours xxx
This is the in use time for bulb “A”, where “xxx” is in hours. This message will be displayed
when the illumination surgical function is turned on, and the current bulb is bulb “A”.
Bulb “A” large hours
When the VitMan is powered up or if illumination is turned on while bulb “A” is selected, this
message will be displayed if the bulb “A” hours exceed 40 hours.
Bulb “A” missing
If bulb “A” is not detected when the VitMan is powered up, this message will be displayed.
A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the presence of the bulb.
The voltage across the FET is read using an A/D converter. If the voltage across the FET
is less than 2.5 volts, if the A/D converter has a problem and reports a low voltage, if the
bulb power fuse is open or if the +24 volt output of the power supply is not present, the bulb
will not be detected.
Bulb “A” open
When bulb “A” is not detected, this message will be displayed in the status line. The most
likely solution is to replace the bulb.
A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the presence of the bulb.
The voltage across the FET is read using an A/D converter. If the voltage across the FET
is less than .03 volts, this message will be displayed. If the A/D converter has a problem
and reports a low voltage, this message will be displayed. The power to the bulbs is fused
and if the fuse is open this message will be displayed. In addition to the fuse opening, this
message could be caused by a problem with the +24 volt output of the power supply.
Bulb “A” problem
If the bulb detection logic indicates bulb “A” is on, while the illumination surgical function is
off, this message will be displayed in the status line.
A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the presence of the bulb.
The voltage across the FET is read using an A/D converter. If illumination is off and the
voltage across the FET is greater than .03 volts, but less than 2.5 volts, or if the A/D converter has a problem and reports a voltage within this range, this message will be displayed. If illumination is on this message will not be displayed.
Bulb “B” FET problem
If bulb “B” is present and enabled but is not illuminated, this message will be displayed in
the status line. A field effect transistor (FET) is used to sink the bulb current and illuminate
the bulb. This message indicates a hardware problem that requires servicing.
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A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the status of the bulb.
The voltage across the FET is read using an A/D converter. If the voltage across the FET
is greater than 2.5 volts while the bulb is enabled, this message will be displayed. If the A/
D converter has a problem and reports a high voltage while the bulb is enabled, this message will be displayed.
Bulb “B” hours xxx
This is the in use time for bulb “B”, where “xxx” is in hours. This message will be displayed
when the illumination surgical function is turned on, and the current bulb is bulb “B”.
Bulb “B” large hours
When the VitMan is powered up or if illumination is turned on while bulb “B” is selected, this
message will be displayed if the bulb “B” hours exceed 40 hours.
Bulb “B” missing
If bulb “B” is not detected when the VitMan is powered up, this message will be displayed.
A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the presence of the bulb.
The voltage across the FET is read using an A/D converter. If the voltage across the FET
is less than 2.5 volts, if the A/D converter has a problem and reports a low voltage, if the
bulb power fuse is open or if the +24 volt output of the power supply is not present, the bulb
will not be detected.
Bulb “B” open
When bulb “B” is not detected this message will be displayed in the status line. The most
likely solution is to replace the bulb.
A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the presence of the bulb.
The voltage across the FET is read using an A/D converter. If the voltage across the FET
is less than .03 volts, this message will be displayed. If the A/D converter has a problem
and reports a low voltage, this message will be displayed. The power to the bulbs is fused
and if the fuse is open this message will be displayed. In addition to the fuse opening, this
message could be caused by a problem with the +24 volt output of the power supply.
Bulb “B” problem
If the bulb detection logic indicates bulb “B” is on, while the illumination surgical function is
off, this message will be displayed in the status line.
A field effect transistor (FET) is used to sink the bulb current and illuminate the bulb. The
bulb detection logic uses the voltage across the FET to determine the presence of the bulb.
The voltage across the FET is read using an A/D converter. If illumination is off and
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the voltage across the FET is greater than .03 volts, but less than 2.5 volts, or if the A/D
converter has a problem and reports a voltage within this range, this message will be displayed. If illumination is on this message will not be displayed.
Bulb fuse problem
The illumination fuse on the analog board has opened. This fuse is resettable, powering
the VitMan off and then on may clear the problem.
This message indicates that the bulb power is not present. In addition to the fuse opening,
this message could be caused by a problem with the +24 volt output of the power supply.
Calibrate air pump
If the tables used to regulate the air exchange operation are invalid, this message will be
displayed in the status line. If this message is displayed, it is recommended that the air
exchange be calibrated before use. The air exchange can be calibrated using the “Calibration Routines” found in the “Service Menu”.
Calibrate aspiration
If the tables used to regulate the aspiration operation are invalid, this message will be
displayed in the status line. If this message is displayed, it is recommended that the aspiration surgical function be calibrated before use. Aspiration can be calibrated using the
“Calibration Routines” found in the “Service Menu”.
Calibrate foot pedal
If the values used to regulate the foot pedal operation are invalid, this message will be
displayed in the status line. If this message is displayed, it is recommended that the foot
pedal be calibrated before use. The foot pedal can be calibrated using the “Calibration
Routines” found in the “Service Menu”.
Cassette full
If the cassette level detection logic determines that the aspiration cassette is full, this message will be displayed in the status line. This is the second level of warning and occurs
after about 300 cc of fluid are aspirated.
Cassette over full
If the cassette level detection logic determines that the aspiration cassette is over full, this
message will be displayed in the status line. This is the last level of warning and occurs
after about 325 cc of fluid are aspirated. When this condition is detected the vacuum pump
will stop and aspiration is no longer possible. Replacement the aspiration cassette is
recommended.
Cassette position bad
If the cassette level detection logic determines that the aspiration cassette is not properly
aligned, this message will be displayed in the status line. This generally indicates that the
cassette is pushed into the cassette chamber prior to rotating the knob into the lock position. To correct the problem, rotate the knob to the unlocked position then back to the
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locked position without pressing on the cassette. The “Re-position cassette” and “Use
locking knob only” messages will also be displayed.
Cassette problem
If a high fluid level is detected in the small chamber of the aspiration cassette, this message will be displayed in the status line. This condition will stop the vacuum pump and
prevent the use of aspiration. If this condition is suspected to have been detected in error,
remove the aspiration cassette, wait for one second, and reinsert the aspiration cassette. If
the condition persists, replace the aspiration cassette. The “Replace cassette” message
will also be displayed.
This message could be caused by fluid drops on the 50cc chamber prism. It could also be
caused by a failure of the cassette valve. If the valve doesn’t open, then the fluid level will
eventually cover the prism. Mechanical alignment of the analog electronics board could
cause this message to display when using functional cassettes. The analog electronics
board should be aligned directly against the inside of the front panel of the system enclosure.
Check cassette tubing
If the foot pedal is in the rest position and the vacuum level in the 500cc chamber falls
below 400 mmHg, this message will be displayed in the status line. This may be the result
of using the aspiration surgical function or requesting a prime cycle, with no tubing connected to the aspiration cassette. This message may appear along with the “Low vacuum
level” and “Please lock cassette” messages.
When the aspiration surgical function is on and the foot pedal is in the rest position, an
attempt is made to keep the 50cc chamber vacuum level at 1 mmHg. If tubing is not
present, the vacuum level of the 500cc chamber may be reduced to below an acceptable
value. If trying to keep the 50cc chamber at 1 mmHg causes a reduction in the 500cc
chamber vacuum level, the “Check cassette tubing” status line message will be displayed.
If the vacuum level is reduced during normal use, this status line message should not be
displayed.
Check external source
This message will be displayed if a problem is detected with the system pressure or
vacuum level and the external connections are selected for use. If the pressure compressor mode is set to external pressure or auto select and the “Low system pressure” or “High
system pressure” status line messages are displayed, this message will also be displayed.
If the vacuum pump mode is set to external vacuum or auto select and the “Low vacuum
level” status line message is displayed, this message will also be displayed. The most
likely cause of this message is that the hose(s) are connected to the VitMan, but not to the
external source of pressure (or vacuum). The user should check the external connections,
and if connected, then check the external source pressure levels.
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Contrast adjust
While not in menu mode, the LEFT ARROW and RIGHT ARROW can be used to adjust
the contrast of the LCD display. This message will be displayed as the contrast is adjusted.
Currently in stage 1
When the stage button is pressed and released, the current stage will be displayed. If the
current stage is stage one, this message will be displayed in the status line.
Currently in stage 2
When the stage button is pressed and released, the current stage will be displayed. If the
current stage is stage two, this message will be displayed in the status line.
Currently in stage 3
When the stage button is pressed and released, the current stage will be displayed. If the
current stage is stage three, this message will be displayed in the status line.
Currently in stage 4
When the stage button is pressed and released, the current stage will be displayed. If the
current stage is stage four, this message will be displayed in the status line.
Currently in stage 5
When the stage button is pressed and released, the current stage will be displayed. If the
current stage is stage five, this message will be displayed in the status line.
Currently in stage 6
When the stage button is pressed and released, the current stage will be displayed. If the
current stage is stage six, this message will be displayed in the status line.
Currently in stage 7
When the stage button is pressed and released, the current stage will be displayed. If the
current stage is stage seven, this message will be displayed in the status line.
Device disabled
If the internal device temperature is 55 °C or higher, this message is displayed in the status
line. This message indicates an error condition and after ten seconds the surgical functions
will be affected. The illumination surgical function will be turned off. The system pressure
compressor and vacuum pump will be turned off, effectively disabling aspiration, irrigation,
the vitrector and the ultrasound. The air exchange surgical function will remain unaffected.
The temperature sensor monitors the internal temperature of the system and resides on
the analog board. The temperature sensor is a serial device that provides a properly formatted response to a number of commands. If proper communication is not established,
any values read are not used. If the temperature sensor has a problem and reports a high
temperature condition, this message may be displayed.
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Disk available hh:mm
This is the minimum time remaining to record data on the floppy disk, where “hh” is the
hours and “mm” is the minutes. After the data from the previous minute is saved on the
disk, this message is displayed in the status line.
Disk space warning
If the minimum time remaining is less than 30 minutes, this message will be displayed in
the status line.
Disk write protected
The write protect status of the floppy disk is checked when an attempt is made to save data
on the disk. If the floppy disk is write protected, this message will be displayed in the status
line.
Diskette is full
If no free space remains on the floppy disk, this message is displayed in the status line.
Diskette read problem
If the boot block, file allocation tables or root directory of the floppy disk cannot be read,
this message is displayed in the status line. If this condition persists, the disk may need to
be formatted.
If the data cable between the CPU board and the disk drive is faulty or if power is not
present on the disk drive, this message will be displayed. The disk drive has a jumper on
the drive select signal. If the jumper is missing or selecting drive 0, this message will be
displayed.
Drive fuse problem
The main compressor (vitrector drive pressure) fuse on the analog board has opened. This
fuse is not resettable and will need to be replaced in order to clear the problem.
This message indicates that the main compressor power is not present. In addition to the
fuse opening, this message could be caused by a problem with the +12 volt output of the
power supply.
Drive sensor problem
The pressure sensor used to monitor the main compressor (vitrector drive pressure) is
indicating a problem. The sensor is indicating that the system pressure is zero.
This message indicates that the system pressure sensors output voltage appears to be low.
The system pressure sensors output voltage is read using an A/D converter. This voltage
is then reduced by the voltage present when the sensors port is at atmosphere. The result
represents the pressure level present on the sensors port. If the voltage read is less than
the previously recorded voltage present at atmosphere, then vacuum may be
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present on the sensor, the A/D converter may have a problem or the sensor may have a
problem. A leak in the system pressure may also cause this message.
Eye pressure alarm
If the air exchange surgical function is on and the current eye pressure is not within (5
mmHg of the current set point, this message is displayed in the status line.
Eye sensor problem
The pressure sensor used to monitor the eye pressure, for the air exchange surgical function, is indicating a problem. If the air exchange surgical function is off and vacuum is
present or if the air exchange surgical function is on and no pressure is present, this message will be displayed in the status line.
This message indicates that the eye pressure sensors output voltage appears to be low.
The eye pressure sensors output voltage is read using an A/D converter. This voltage is
then reduced by the voltage present when the sensors port is at atmosphere. The result
represents the pressure level present on the sensors port. If the voltage read is less than
the previously recorded voltage present at atmosphere, then vacuum may be present on
the sensor, the A/D converter may have a problem or the sensor may have a problem. A
leak in the air exchange system may also cause this message.
Fan fuse problem
The fan fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the fan power is not present. In addition to the fuse opening,
this message could be caused by a problem with the +12 volt output of the power supply.
Floppy fuse problem
The disk drive fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the disk drive power is not present. In addition to the fuse
opening, this message could be caused by a problem with the +12 volt output of the power
supply or the disk drives +5 volt regulator.
Foot pedal is active
When the foot pedal is active, several actions are prohibited. The user may not change the
mode of the aspiration, vitrector or ultrasound surgical functions. The ultrasound handpiece may not be tuned. The aspiration valve button may not be used to open or close the
aspiration valve or start a prime cycle. While in anterior mode, the irrigation valve button
may not be used to open or close the irrigation valve. The stage button may not be used to
change mode of the surgical functions.
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Foot pedal problem
If the foot pedal down switch indicates that the foot pedal is up, but the foot pedal position
indicates depression of 10% or more, this message will be displayed in the status line.
This indicates a problem with the foot pedal down switch (internal to the foot pedal), the
foot pedal cable or connector. The hardware that senses the foot pedal down switch may
also have a problem.
The condition of the foot pedal, as measured by the system software, can be viewed using
the “Calibrate Foot Pedal” command under “Calibration Routines” under the “Service
Menu”.
Ground fault detected
If a ground fault is detected by the ultrasound hardware, this message will be displayed in
the status line. The ground fault indicates that the ultrasound handpiece is not properly
grounded. No energy will be delivered to an ungrounded ultrasound handpiece. This
problem may be corrected by disconnecting and reconnecting the ultrasound handpiece.
An interruption of the ground path anywhere can cause this message to display. Check the
ground connections of the ultrasound output cable at both the front and rear panels of the
system. Also, the ultrasound electronics board uses the board mounting hardware to sense
ground. If the mounting hardware isn’t grounded then a ground fault will be sensed. Note
that the entire system chassis is part of the ground path, so the front and rear panels of the
system are ground.
High cassette level
If the cassette level detection logic determines that the aspiration cassette level is high, this
message will be displayed in the status line. This is the first level of warning and occurs
after about 250 cc of fluid are aspirated.
High pump pressure
If the air exchange surgical function is on and the air exchange pump pressure exceeds the
current set point by more than 8 mmHg, this message is displayed in the status line.
High system pressure
If the main pressure pump pressure exceeds the upper limit, this message is displayed in
the status line. This is only a warning, no surgical functions will be disabled.
The nominal value for the main pump pressure is 2585 mmHg (50 psi). This message will
be displayed if the main pump pressure is above 2844 mmHg (55 psi).
High temperature xx (C
If the internal device temperature is 50 °C or higher, this message is displayed in the status
line. The current temperature is “xx”. This message is only a warning and no surgical
functions are effected. The temperature messages may be disabled in the “Display” menu.
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The temperature sensor monitors the internal temperature of the system and resides on
the analog board. The temperature sensor is a serial device that provides a properly formatted response to a number of commands. If proper communication is not established,
any values read are not used. If the temperature sensor has a problem and reports a high
temperature condition, this message will be displayed. Under normal operating conditions,
the internal temperature of the system won’t reach this limit. Check for air flow restrictions
around the system. Especially near the main system fan and the air duct at the rear of the
system.
High vacuum level
If the aspiration surgical function is on and the 50cc vacuum level exceeds the desired level
by more than 20 mmHg, this message is displayed in the status line.
Hold for menu mode
While not in menu mode, holding the DISPLAY button for one second will enter menu
mode. If the button is released before entering menu mode, this message is displayed in
the status line.
Hold to change bulbs
When the illumination surgical function is turned off, this message will be displayed in the
status line. If the illumination surgical function is off, pressing and holding the illumination
on/off button can be used to switch to the backup bulb.
Hold to enter stage 1
When the stage button is pressed and held, if stage one will be entered when the stage
button is released this message will be displayed in the status line.
Hold to enter stage 2
When the stage button is pressed and held, if stage two will be entered when the stage
button is released this message will be displayed in the status line.
Hold to enter stage 3
When the stage button is pressed and held, if stage three will be entered when the stage
button is released this message will be displayed in the status line.
Hold to enter stage 4
When the stage button is pressed and held, if stage four will be entered when the stage
button is released this message will be displayed in the status line.
Hold to enter stage 5
When the stage button is pressed and held, if stage five will be entered when the stage
button is released this message will be displayed in the status line.
Hold to enter stage 6
When the stage button is pressed and held, if stage six will be entered when the stage
button is released this message will be displayed in the status line.
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Hold to enter stage 7
When the stage button is pressed and held, if stage seven will be entered when the stage
button is released this message will be displayed in the status line.
Hold to save stage 1
When the stage button is pressed and held, this message will be displayed in the status
line, prior to saving stage one. If the stage button is continued to be held, the current
system state will be saved.
Hold to save stage 2
When the stage button is pressed and held, this message will be displayed in the status
line, prior to saving stage two. If the stage button is continued to be held, the current system state will be saved.
Hold to save stage 3
When the stage button is pressed and held, this message will be displayed in the status
line, prior to saving stage three. If the stage button is continued to be held, the current
system state will be saved.
Hold to save stage 4
When the stage button is pressed and held, this message will be displayed in the status
line, prior to saving stage four. If the stage button is continued to be held, the current
system state will be saved.
Hold to save stage 5
When the stage button is pressed and held, this message will be displayed in the status
line, prior to saving stage five. If the stage button is continued to be held, the current system state will be saved.
Hold to save stage 6
When the stage button is pressed and held, this message will be displayed in the status
line, prior to saving stage six. If the stage button is continued to be held, the current system state will be saved.
Hold to save stage 7
When the stage button is pressed and held, this message will be displayed in the status
line, prior to saving stage seven. If the stage button is continued to be held, the current
system state will be saved.
Hold to start prime
When the aspiration valve button is pressed and released (and not held long enough to
start the prime cycle), this message will be displayed in the status line.
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Status Line Messages
LED/backlight adjust
While not in menu mode, the UP ARROW and DOWN ARROW can be used to adjust the
intensity of the LCD display backlight and the surgical function LEDs. This message will be
displayed as the intensity is adjusted.
Lift pedal to prime
To start a prime cycle the aspiration pinch valve button must be pressed and held for 1/2
second. If the foot pedal is down when a prime cycle is started, this message will be displayed in the status line.
Lift pedal to reflux
If the foot pedal is depressed to a level that allows aspiration, reflux is disabled. If reflux is
attempted while aspirating, this message will be displayed in the status line.
Low air pump pressure
If the air exchange surgical function is on and the air exchange pump pressure is more
than 8 mmHg below the current set point, this message is displayed in the status line.
Low system pressure
If the main pressure pump pressure is below acceptable levels, this message is displayed
in the status line. When low system pressure is detected the vitrector, ultrasound and
aspiration surgical functions will be disabled.
When the vitrector is used at high cut rates the volume of air consumed may cause this
message to be displayed. The nominal value for the main pump pressure is 2585 mmHg
(50 psi). This message will be displayed if the main pump pressure is below 2172 mmHg
(42 psi). When the system is operating properly, the system pressure won’t drop this low.
Improper adjustment of the vitrector pressure regulator (too high), air leaks, clogged air
filter, and poor compressor performance could all cause this problem.
Low temperature (xx (C
If the internal device temperature is 10 °C or lower, this message is displayed in the status
line. The current temperature is “xx” and when below zero will be preceded by a minus
sign (-). This message is only a warning and no surgical functions are effected. The temperature messages may be disabled in the “Display” menu.
The temperature sensor monitors the internal temperature of the system and resides on
the analog board. The temperature sensor is a serial device that provides a properly formatted response to a number of commands. If proper communication is not established,
any values read are not used. If the temperature sensor has a problem and reports a low
temperature condition, this message may be displayed.
Low vacuum level
If the vacuum pump vacuum is below acceptable levels, this message is displayed in the
status line. When this condition occurs aspiration is not disabled, however, not all levels of
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vacuum may be obtainable. This message may appear along with the “Check cassette
tubing” and “Please lock cassette” messages.
If the 500cc vacuum level is below the aspiration surgical function’s maximum vacuum
setting or is below 400 mmHg, then this message is displayed. This message indicates
that the 500cc sensors output voltage appears to be low. The 500cc sensors output voltage is read using an A/D converter. This voltage is then reduced by the voltage present
when the sensors port is at atmosphere. The result represents the vacuum level present
on the sensors port. If the voltage read indicates a low vacuum level the A/D converter
may have a problem or the sensor may have a problem. A leak in the vacuum system may
also cause this message. When the aspiration surgical function is on and the foot pedal is
in the rest position, an attempt is made to keep the 50cc chamber vacuum level at 1
mmHg. If tubing is not present and connected properly, the vacuum level of the 500cc
chamber may be reduced to below an acceptable value.
Main +12 fuse problem
The Main +12 fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the +12Vdc-Main power is not present. In addition to the fuse
opening, this message could be caused by a problem with the +12 volt output of the power
supply.
Minimum cut rate:xxxx
When the vitrector surgical function enters posterior or anterior linear rate mode this message will display the minimum cut rate, where “xxxx” is the cut rate.
No cassette present
If the aspiration cassette is not detected, this message will be displayed in the status line.
While the aspiration cassette is missing, the vacuum pump is disabled and the aspiration
cassette illumination is reduced.
The system uses the fluid level sensor array on the analog electronics board to detect the
presence of a cassette. The 500cc chamber prism causes light to be reflected back to the
sensor array. If the cassette is extremely full of fluid, the sensor array will fail to “see” the
prism.
No diskette present
Once a minute the trace data is written to the floppy disk. If no floppy disk is detected in
the disk drive, this message is displayed in the status line.
No foot pedal present
If the foot pedal cannot be detected, this message is displayed in the status line. Without
the foot pedal, many surgical functions are inoperable. Only the air exchange and illumination will function without the foot pedal.
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Status Line Messages
The foot pedal presence is sensed through the cable connected to the foot pedal. Pin 1 is
shorted to pin 4 internal to the foot pedal. The condition of the foot pedal, as measured by
the system software, can be viewed using the “Calibrate Foot Pedal” command under
“Calibration Routines” under the “Service Menu”
No handpiece present
If the ultrasound surgical function is on and the handpiece is not present, this message will
be displayed in the status line.
The handpiece presence is sensed through the cable connector. 2 pins are shorted internal
to the cable connector. A connection is made between the ultrasound output connector on
the front panel and the CPU electronics board to enable the system to measure for the
presence of the handpiece.
No keyboard heartbeat
If the keyboard encoder does not answer a heartbeat request, this message will be displayed in the status line. The heartbeat request is made once every second. If the heartbeat request is unanswered, the keyboard encoder is reset.
No stage selected
When the stage button is pressed and released, the current stage will be displayed. If no
stage was selected, this message will be displayed in the status line.
No stages enabled
If no stages (other than the current stage) are enabled, and the stage button is pressed
and held, this message will be displayed in the status line. This indicates that no stage is
available as the next stage
No ultrasound present
If the ultrasound option is not present when the ultrasound on/off button is pressed, this
message will be displayed in the status line.
The ultrasound electronics has a serial EEPROM that holds the serial number and other
parameters associated with the ultrasound surgical function. If the ultrasound data cable is
disconnected, if power is not present on the ultrasound board or if the serial EEPROM has
a problem, the serial EEPROM will not be detected. If the serial EEPROM is not detected
or if the contents are invalid, this message will be displayed.
Now saving stage 1
When the stage button is pressed and held, this message will be displayed in the status
line, when the current machine state is saved in stage one.
Now saving stage 2
When the stage button is pressed and held, this message will be displayed in the status
line, when the current machine state is saved in stage two.
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Now saving stage 3
When the stage button is pressed and held, this message will be displayed in the status
line, when the current machine state is saved in stage three.
Now saving stage 4
When the stage button is pressed and held, this message will be displayed in the status
line, when the current machine state is saved in stage four.
Now saving stage 5
When the stage button is pressed and held, this message will be displayed in the status
line, when the current machine state is saved in stage five.
Now saving stage 6
When the stage button is pressed and held, this message will be displayed in the status
line, when the current machine state is saved in stage six.
Now saving stage 7
When the stage button is pressed and held, this message will be displayed in the status
line, when the current machine state is saved in stage seven.
Over temperature
If the internal device temperature is 53 °C or higher, this message is displayed in the status
line. This message is only a warning and no surgical functions are effected.
The temperature sensor monitors the internal temperature of the system and resides on
the analog board. The temperature sensor is a serial device that provides a properly formatted response to a number of commands. If proper communication is not established,
any values read are not used. If the temperature sensor has a problem and reports a high
temperature condition, this message may be displayed. Under normal operating conditions,
the internal temperature of the system won’t reach this limit. Check for airflow restrictions
around the system. Especially near the main system fan and the air duct at the rear of the
system.
Overpressure detected
If the current eye pressure exceeds the warning pressure limit, this message will be displayed in the status line. The warning pressure level may be adjusted using the “Air Exchange Values” menu in the “Current Settings” menu.
Pedal fuse problem
The foot pedal fuse on the CPU board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the foot pedal power is not present. The foot pedal power is a
fused version the CPU boards +5 volt power.
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Status Line Messages
Please lock cassette
If the aspiration cassette is present and the vacuum level is below acceptable limits, this
message will be displayed in the status line. This message may appear along with the
“Low vacuum level” and “Check cassette tubing” messages.
This message will be displayed if the 500cc vacuum level is below 50 mmHg, while the
cassette is present. A leak in the vacuum system, a problem with the 500cc vacuum sensor or a problem with the A/D converter, may also cause this message.
Please tune handpiece
If the ultrasound surgical function is on and the handpiece is not in tune, this message will
be displayed in the status line. If the handpiece is removed and replaced, it must be tuned.
If the power detection logic determines that the handpiece is out of tune, the probe should
be retuned.
Posterior Aspiration
This message indicates that the aspiration surgical function has entered posterior aspiration mode, using the aspiration on/off button.
Posterior Frag
This message indicates that the ultrasound surgical function has entered posterior frag
mode, using the ultrasound on/off button.
Posterior Linear Rate
This message indicates that the vitrector surgical function has entered posterior linear cut
rate mode, using the vitrector on/off button.
Posterior Vitrectomy
This message indicates that the vitrector surgical function has entered posterior vitrectomy
mode, using the vitrector on/off button.
Power fail detected
If the main power supply detects a problem with the mains input, this message will be
displayed in the status line. When this condition is detected, disk activity is inhibited for five
seconds.
The system power supply provides an AC LOW indication. The AC LOW indication is used
to generate a non-maskable interrupt (NMI) on the CPU.
Pressure pump hours
The run time on the main pressure pump has exceeded the maximum limit. The pneumatics module needs to be serviced. The “Display Pump Hours” command, found in the “Service Pneumatics” menu of the “Service Menu”, can be used to display the current pressure
pump hours.
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If the pressure pump hours exceed 2000, this message will be displayed. While the vitrector surgical function is on this message is disabled.
Prime cycle aborted
This message indicates that the aspiration prime cycle was aborted. Any foot pedal activity, or pressing the aspiration valve button, will abort a prime cycle.
Prime level xxx mmHg
While a prime cycle is in progress, the aspiration up and down buttons can be used to
change the aspiration level. This message will be displayed when a change is made to the
prime aspiration level. The aspiration prime level is “xxx”.
Re-position cassette
If the cassette level detection logic determines that the aspiration cassette is not properly
aligned, this message will be displayed in the status line. This generally indicates that the
cassette is pushed into the cassette chamber prior to rotating the knob into the lock position. To correct the problem, rotate the knob to the unlocked position then back to the
locked position without pressing on the cassette. The “Cassette position bad” and “Use
locking knob only” messages will also be displayed.
Replace cassette
If a high fluid level is detected in the small chamber of the aspiration cassette, this message will be displayed in the status line. If this condition is suspected to have been detected in error, remove the aspiration cassette, wait for one second, and reinsert the aspiration cassette. If the condition persists, replace the aspiration cassette. The “Cassette
problem” message will also be displayed.
Reverse flow detected
If the air exchange surgical function is on and the pressure on the air exchange port exceeds the desired pressure level then this message will be displayed in the status line.
This generally indicates that the three way valve is incorrectly positioned to apply the saline
solution to the air exchange port rather than to the infusion cannula. When this condition is
detected, the air exchange valve is closed in an attempt to reduce fluid flow into the
VitMan.
Service pneumatics
If the time on the pneumatics module has exceeded the maximum limit, when the VitMan is
powered up this message will be displayed in the status line. The “Display Pump Hours”
command, found in the “Service Pneumatics” menu of the “Service Menu”, can be used to
display the current pressure pump hours.
If the pressure pump hours exceed 1000, this message will be displayed.
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Service required
This message indicates that a serious problem was detected and repair of the Syntec
VitMan is required. The message will be accompanied by other status line messages that
will indicate the problem area.
Air exchange problem - If the air exchange valve is open, the pressure difference between
the eye pressure sensor and the air exchange pump pressure sensor should be less than
15 mmHg (for low flow rate conditions the pressure difference will be close to zero mmHg).
If a pressure difference of 15 mmHg or greater is detected, this message will be displayed.
Air pump problem - At power-up, a test is made of the ability of the air exchange pump to
generate pressure. If pressure was not detected, this message will be displayed when the
air exchange surgical function is enabled.
Shutdown at 55°C
If the internal device temperature is 53 °C or higher, but less than 55 °C, this message is
displayed in the status line.
The temperature sensor monitors the internal temperature of the system and resides on
the analog board. The temperature sensor is a serial device that provides a properly formatted response to a number of commands. If proper communication is not established,
any values read are not used. If the temperature sensor has a problem and reports a high
temperature condition, this message may be displayed. Under normal operating conditions,
the internal temperature of the system won’t reach this limit. Check for airflow restrictions
around the system. Especially near the main system fan and the air duct at the rear of the
system.
Stabilizing...
This message indicates that a hardware problem was detected while waiting for the pressure sensors to thermally stabilize. If this message is present, the VitMan will not function.
If this message should appear, power cycle the device.
Stage 1 selected
When the stage button is pressed and held, if stage one will be entered when the stage
button is released the message “Hold to enter stage 1” will be displayed. Releasing the
stage button will cause stage one to be entered and this message to be displayed in the
status line.
Stage 2 selected
When the stage button is pressed and held, if stage two will be entered when the stage
button is released the message “Hold to enter stage 2” will be displayed. Releasing the
stage button will cause stage two to be entered and this message to be displayed in the
status line.
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Stage 3 selected
When the stage button is pressed and held, if stage three will be entered when the stage
button is released the message “Hold to enter stage 3” will be displayed. Releasing the
stage button will cause stage three to be entered and this message to be displayed in the
status line.
Stage 4 selected
When the stage button is pressed and held, if stage four will be entered when the stage
button is released the message “Hold to enter stage 4” will be displayed. Releasing the
stage button will cause stage four to be entered and this message to be displayed in the
status line.
Stage 5 selected
When the stage button is pressed and held, if stage five will be entered when the stage
button is released the message “Hold to enter stage 5” will be displayed. Releasing the
stage button will cause stage five to be entered and this message to be displayed in the
status line.
Stage 6 selected
When the stage button is pressed and held, if stage six will be entered when the stage
button is released the message “Hold to enter stage 6” will be displayed. Releasing the
stage button will cause stage six to be entered and this message to be displayed in the
status line.
Stage 7 selected
When the stage button is pressed and held, if stage seven will be entered when the stage
button is released the message “Hold to enter stage 7” will be displayed. Releasing the
stage button will cause stage seven to be entered and this message to be displayed in the
status line.
Temp sensor problem
If the temperature sensor is undetectable, this message is displayed in the status line.
Powering the VitMan off and then on may clear the problem.
The temperature sensor monitors the internal temperature of the system and resides on
the analog board. The temperature sensor is a serial device that provides a properly formatted response to a number of commands. If proper communication is not established,
any values read are not used. If the temperature sensor has a problem, this message will
be displayed.
Threshold is xx mmHg
The aspiration threshold allows the user to specify the vacuum level required in the 50cc
chamber, before the aspiration valve is opened. If aspiration is prevented by the current
threshold setting, this message is displayed in the status line, where “xx” is the current
threshold value. The aspiration threshold may be adjusted using the “Aspiration Threshold”
command, found in the “Aspiration Values” menu of the “Current Settings” menu.
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Tuning aborted
If the ultrasound handpiece tuning cycle is terminated by turning off the ultrasound surgical
function or by foot pedal activity, this message is displayed in the status line.
Tuning handpiece
While the ultrasound handpiece is being tuned, this message will be displayed in the status
line.
Tuning not allowed
If aspiration is off or in alarm, tuning of the ultrasound handpiece is not allowed. If an
attempt to tune the ultrasound handpiece is made, this message will be displayed in the
status line.
Tuning unsuccessful
If the ultrasound handpiece tuning cycle is unsuccessful, this message will be displayed in
the status line.
Ultrasound fuse open
The ultrasound fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
This message indicates that the +24 volt power is not present on the ultrasound electronics. In addition to the fuse opening, this message could be caused by a problem with the
+24 volt output of the power supply.
Urgent system problem
If a communications problem is detected between the CPU board and the analog board,
this message will be displayed in the status line. This is a serious problem that requires
attention before use. Powering the VitMan off and then on may clear the problem.
The A/D converter, present on the analog board, provides several constant values that are
used to determine the quality of information and integrity of the communications path. If
these values are found to be in error, this message will be displayed. The A/D converter is
the primary source of information on the status of the system. The quality of the information provided is vital to the proper operation of the system.
Use locking knob only
If the cassette level detection logic determines that the aspiration cassette is not properly
aligned, this message will be displayed in the status line. This generally indicates that the
cassette is pushed into the cassette chamber prior to rotating the knob into the lock position. To correct the problem, rotate the knob to the unlocked position then back to the
locked position without pressing on the cassette. The “Cassette position bad” and “Reposition cassette” messages will also be displayed.
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Vacuum fuse problem
The vacuum pump fuse on the analog board has opened. This fuse is resettable, powering
the VitMan off and then on may clear the problem.
This message indicates that the vacuum pump power is not present. In addition to the fuse
opening, this message could be caused by a problem with the +12 volt power.
Vacuum pump hours
The run time on the vacuum pump has exceeded the maximum limit. The pneumatics
module needs to be serviced. The “Display Pump Hours” command, found in the “Service
Pneumatics” menu of the “Service Menu”, can be used to display the current vacuum pump
hours.
Valve fuse problem
The valve fuse on the analog board has opened. This fuse is resettable, powering the
VitMan off and then on may clear the problem.
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System Operation Check
The
Syntec
functions of a vitrectomy system. This procedure confirms that the system is assembled
correctly, and that no major system malfunctions exist. It does not verify calibration of the
internal pressure sensors or of internal operating pressures. Various circumstances require
verification of correct system operation:
In order to evaluate the system, certain items are required:
VitMan includes various subsystems that operate together to provide the
System installation
Complaint that system isn’t operating properly
After maintenance on the system
After upgrade of system hardware or software
VitMan system
Power cord
System foot pedal
System owner’s manual
Aspiration cassette
Vitrector
Air Exchange tubing w/ air exchange filter
Infusion cannula
Endoilluminator
Ultrasound handpiece (if appropriate)
Ultrasound needle (need not be new)
Beaker or bowl of water, at least 350cc
An assumption is made in this procedure that the operator of the system, is familiar with
system operation and setup. Refer to the owner’s manual for information on how to operate
the system. Operation of the system’s menus is required to verify system operation. The
owner’s manual includes comprehensive information on the operation of the menus. This
procedure will refer to a specific series of menu selections separated by a \. For example
Values \ Current A/D Values signifies selecting Values from the Main menu, then selecting
Current A/D Values from the Values menu. A complete listing of the menu selections will be
given from the main menu, even if a shorter route from the current screen could be taken in
the menu tree. This allows the operator to access the correct menu screen without following this procedure step by step. Perform the following steps. If the system does not react
as described, refer to the troubleshooting procedure for a remedy.
1.Connect the power cord and foot pedal to the system. Turn system on.
2.Install the aspiration cassette. Connect the vitrector (both pressure and aspiration
tubes, route the asp. tube correctly), endoilluminator, air exchange tubing, and infusion cannula..
3.Check the system light source.
a.Ensure that all other functions are off.
b.Remove both lamps from the light source. Close the light source drawer. Don’t
touch the lamps with fingers. Use a clean cloth or gloves. Refer to the light
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source lamp replacement procedure for more information.
c.Turn the light source dimming knob fully clockwise. Turn the light source on. The
system display should indicate that both bulbs have failed. Turn the light source
off.
d.Install a lamp in the “B” socket (right socket). Close the light source drawer. Turn
the light source on. Light should radiate from the endoilluminator after a few
seconds for the bulb warm-up. Turn the light source off. The system display
should indicate that the “A” bulb has failed.
e.Wait approximately one minute for the lamp to cool. If the light source was turned
on for more than just a few seconds it will take longer for it to cool. Remove the
lamp from the “B” socket and install it in the “A” socket . (Note that the system
will automatically move the lamp sockets into the “A” position when the light
source drawer is opened. There could be a delay of a couple of seconds for this
to happen after the drawer is opened.) Close the light source drawer. Turn the
light source on. Light should radiate from the endoilluminator after a few seconds
for the bulb warm-up. Turn the light source off. The system display should indicate that the “B” bulb has failed.
f.Wait approximately one minute for the lamp to cool. Install the other lamp into
the “B” socket. Close the light source drawer.
g.Turn the light source on. The system display should indicate that the “A” bulb is
on. It should not indicate that either lamp has failed. Observe the light radiating
from the endoilluminator by projecting onto a surface from approximately 5cm. It
should appear very bright white. Turn the dimming knob counterclockwise. The
endoilluminator output should start to dim after some rotation of the knob. The
output should stay substantially unchanged, except for intensity, through most of
the rotation of the dimmer knob. Repeat this test for the other two connector
outputs. (Don’t forget to turn the dimmer back up.)
h.Turn the light source off. Press and hold the light source on/off button (This will
initiate a change in the illuminated lamp from A to B. Release the button after the
light source output has started to radiate light then has turned off again.). Observe the light radiating from the endoilluminator by projecting onto a surface
from approximately 5cm. It should appear very bright white. Turn the dimming
knob counterclockwise. The endoilluminator output should start to dim after
some rotation of the knob. The output should stay substantially unchanged,
except for intensity, through most of the rotation of the dimmer knob. Repeat this
test for the other two connector outputs.
i.Turn the light source off.
4.Check aspiration function. Note that whenever an aspiration cassette is used to aspirate fluids (especially a cassette that may have been abused, as is usually the case
with test components), it is advisable to ensure that the float valve in the smaller
chamber is operating correctly. Fluid should start transferring from the smaller chamber to the larger chamber when the fluid level reaches approximately half way up the
float. If the fluid goes more than 3/4 up the float, then the cassette should be considered faulty. Use of a faulty cassette could result in aspiration of fluids into the system.
a.Immerse the vitrector tip in water.
b.Turn aspiration function on. Enter anterior aspiration mode. The status LED
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should turn green.
c.Adjust the maximum aspiration to 500 (or the system max).
d.Enter into the system menu, go to Values \ Current A/D Values.
e.The 500cc value should read greater than 550. The 50cc value should read 5
maximum.
f.Depress the foot pedal until the Pedal value is slightly more than the activity
threshold. The activity threshold default is 10%. It can be found under CurrentSettings \ Pedal Thresholds \ Activity Threshold. The irrigation pinch valve
should open. Release the foot pedal. The irrigation pinch valve should close.
g.Depress the foot pedal until the Pedal value is slightly more than the irrigate to
aspirate threshold. The irrigate to aspirate threshold default is 10%. It can be
found under Current Settings \ Pedal Thresholds \ Irrigate To Aspirate. The
aspiration pinch valve should open. Release the foot pedal. The aspiration pinch
valve should close. Note that if the activity threshold is at 10% and the irrigate to
aspirate threshold is at 10% then the aspiration pinch valve should open after
20%. To calculate the position that the aspiration pinch valve opens, the two
thresholds are added together in anterior surgical modes . Note also that the
aspiration threshold setting under Current Settings \ Aspiration Values can
also affect the opening of the aspiration pinch valve. The default is 0 mmHg. The
aspiration pinch valve will not open until the vacuum level in the 50cc (smaller)
chamber of the cassette has reached the aspiration threshold setting, regardless
of threshold adjustments for the foot pedal.
h.Rotate the foot pedal to activate reflux. The direction (left or right) for reflux is
determined under Current Settings \ Aspiration Values. The reflux valve
should respond based on the setting under Current Settings \ AspirationValues. Continuous Reflux mode causes the reflux valve to remain closed for
the entire time that the foot pedal is rotated. Timed Reflux causes the reflux
valve to close (after the foot pedal is rotated) for the time determined under
Current Settings \ Aspiration Values \ Reflux Hold Time.
i.Rapidly depress the foot pedal fully. The 50cc value should quickly (less than 1
second) reach the maximum aspiration adjustment. It is normal for the value to
over shoot up to 10 on very high maximum aspiration settings. The value should
stabilize to within 2 of the maximum aspiration setting in a couple of seconds.
The aspiration function should not go into alarm, as would be indicated by the
status LED turning red.
j.Adjust the maximum aspiration setting to 250 (or 1/2 of system max). Repeat
step 4.i.
k.Adjust the maximum aspiration setting to 50 (or 1/10 of system max). Repeat
step 4.i. The value over shoot should be less than 5.
l.Return to the system operating display (By pushing the display button).
m.Adjust the maximum aspiration setting to 250 (or 1/2 of system max). Aspirate
fluid into the aspiration cassette. If the cassette icon is enabled in the Display
menu, then it should graphically indicate an increase in fluid by “filling up” as the
fluid level raises in the larger chamber of the aspiration cassette. At approxi-
mately 250cc of fluid in the larger chamber of the aspiration cassette an alarm
should sound (If the speaker is enabled under the Audio Services menu.), and
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a status line message should indicate High cassette level . At approximately 300cc of
fluid in the larger chamber of the aspiration cassette an alarm should sound, and
a status line message should indicate Cassette full . At approximately 325cc of
fluid in the larger chamber of the aspiration cassette an alarm should sound, and
a status line message should indicate Cassette over full. Aspiration should fail
to function any further until the over full cassette condition is removed.
n.Remove and empty fluid from the aspiration cassette. Replace the aspiration
cassette.
5.Check vitrector function.
a.Turn the vitrector function on. Turn the aspiration function off.
b.Adjust the cut rate to 1000 cpm
c.Fully depress the foot pedal. Rotate the foot pedal to activate the vitrector. The
direction (left or right) for cutting is determined under Current Settings \ Aspira-tion Values, and is opposite the side reflux is set to. For example if reflux is on
the left then vitrector will be on the right. Refer to the owner’s manual under the
description of the menu item Current Settings \ Vitrector Values for more
information on vitrector function options. The system should be able to drive the
vitrector indefinitely at 1000 cpm without going into alarm (the status LED turns
red if the function goes into alarm). Observation of the cutting port on the vitrector should indicate that the internal needle is fully closing off the port as the
vitrector operates.
d.Turn the vitrector function off.
6.Check ultrasound function (if the ultrasound option is present).
a.Turn the ultrasound function on. The status LED should turn red. The display
status line should indicate No handpiece present.
b.Connect the ultrasound handpiece. Install the ultrasound needle. The status LED
should remain red. The display status line should now indicate Please tune
handpiece.
c.Tune the handpiece. The tune should be successful.
d.Set the ultrasound power to 50%.
e.Fully depress the foot pedal. Rotate the foot pedal to activate ultrasound. The
direction (left or right) for cutting is the same as for the vitrector. Power should be
applied to the ultrasound needle. Apply the ultrasound needle tip to a test sur-
face (raw macaroni is acceptable). Noticeable needle activity should be observed
against the test surface.
f.Turn the ultrasound function off.
7.Check air exchange function.
a.Turn the air exchange function on.
b.Adjust the air exchange output to 100. The function should be able to maintain at
least 80 with the infusion cannula open to atmosphere.
c.Adjust the output to 50. The output should stabilize to 50 quickly. Pinch the tube
connecting the infusion cannula. The output should over shoot the setting momentarily, then settle back to 50. Release the tube. The output should under
shoot the setting momentarily then settle back to 50.
2.Turn the VitMan on. Install a cassette. Plug the aspiration port on the cassette.
3.Enter menu mode by pressing the display button. Select Values from the Main Menu.
Select Current A/D Values from the Values Menu (see figure 1).
Note: The 3 pressure regulators and 1 pressure relied valve all have locking adjustment
knobs. In order to adjust them, it is necessary to pull the knob away from the regulator
body. It is usually necessary to disconnect and reconnect the pressure gage to the
regulator output several times (or cause a change in flow load in some other manner)
in order to receive a true pressure reading after the regulator has been adjusted. The
internal mechanism needs to accommodate to the new adjustment and several readjustments may be needed before the regulator will work at the desired pressure.
4.Adjust the relief valve to obtain a reading of 2585 (2585 mmHg = 50 psi) on the drive
sensor. This reading can be taken from the A/D Values screen on the front panel
display. The adjustment can be checked by disconnecting and reconnecting the drive
sensor tube labeled “4” at the quick disconnect. It should return to approximately the
correct value after the tube has been reconnected.
5.Measure the vacuum regulator pilot pressure. It is most easily accessed at the output
port of the vac. reg. regulator. Adjust the vac. reg. regulator to 20 psi.
6.Measure the cylinder operating pressure. It is most easily accessed at the tube exiting
the pneumatic module labeled “1”. Connect the pressure gage to the tube at the quick
disconnect. By pressing the aspiration pinch valve button, on the system front panel,
pressure will be alternately supplied to this tube. Adjust the cylinder regulator to 30
psi. Simply causing the system to open and close the aspiration pinch valve (causing
pressure to be routed to then vented away from the pressure gage) will change the
load enough on the regulator to allow for a stable adjustment.
7.Measure the vitrector operating pressure. It is most easily accessed at the vitrector
output on the system front panel. By pressing the manual valve actuation button,
located on the side of the vitrector valve, pressure will be supplied to the vitrector
output. Adjust the vitrector regulator to 42 psi. Opening and closing the vitrector valve
(causing pressure to be routed to then vented away from the pressure gage) with the
manual actuation button will change the load enough on the regulator to allow for a
stable adjustment.
8.Replace the top system cover.
cylinder
regulator
vac. reg.
regulator
relief
Valve
Adjust Pressure Regulators
vitrector
regulator
page 98
Figure 1
Syntec
“Drive”
sensor
reading
VitMan
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Page 100
System Adjustment Procedures
Adjust Vacuum Regulator
1.Remove the top system cover.
2.Loosen 2 screws holding the black cover to the vacuum regulator. Remove the
vacuum regulator cover. Note the position of the vibration pad on the cover for later
replacement.
3.Turn the VitMan on. Install a cassette. Plug the aspiration port on the cassette. Turn
the aspiration surgical function on. Adjust maximum aspiration to 500.
4.Enter menu mode by pressing the display button. Select Values from the Main Menu.
Select Current A/D Values from the Values Menu (see figure 1).
5.Measure the vacuum regulator pilot pressure. It is most easily accessed at the output
port of the vac. reg. regulator located on the regulator manifold in the pneumatic
module. The pressure should be set to 20 psi. If the pressure in incorrect, adjust the
regulator by turning the knob. Note it should be necessary to unlock the knob by
pulling away from the regulator body. It is usually necessary to disconnect and reconnect the pressure gage to the regulator output several times in order to receive a true
pressure reading after the regulator has been adjusted. The internal mechanism
needs to accommodate to the new adjustment and several readjustments may be
needed before the regulator will work at the desired pressure.
6.Measure the power voltage to the vacuum regulator. The voltage is most easily accessed at the wire connector on the vacuum regulator. Measure between pins 1 and
3. The voltage should be 12Vdc. The 12Vdc supplied to the vacuum regulator is the
same as that used for a lot of the sensitive analog circuitry on the analog electronics
board. So if the rest of the VitMan seems to be operating, and the 12Vdc is low or
missing, suspect a problem with the wires or the connector pins going to the analog
electronics board.
7.Fully depress the foot pedal (it helps to put a weight on the foot pedal). The vacuum
level in the 50cc chamber will eventually reach 500 (mmHg). Even if the vacuum
regulator adjustment is incorrect the system software will try to compensate. The
software will slowly adjust the command (voltage) given to the vacuum regulator until
the 50cc chamber reads 500. If the system fails to reach 500, first calibrate the foot
pedal. This is accomplished by entering the Service Menu from the Main Menu.
Select Calibration Routines from the Service Menu. Then select Calibrate FootPedal from the Calibration Routines menu. Follow the directions on the screen. If
the system still fails to reach 500 the vacuum regulator may be grossly out of adjustment, the software may not be able to adjust the voltage high enough to reach 500. If
this is the case, adjust the potentiometer marked “S” on the vacuum regulator circuit
board clockwise (as viewed from the end with the adjustment) in 1/4 turn increments
until the system software is able to reach 500.
8.Measure the control voltage to the vacuum regulator between pins 2 and 3 on the wire
connector. The reading should be 3.87Vdc. If the voltage is high, turn the potentiometer on the vacuum regulator circuit board marked “S” clockwise. Wait for the system
software to return the vacuum to 500. Likewise, if the voltage is low then adjust the “S”
pot counter clockwise. After the system has returned to 500, take a new voltage reading and adjust as necessary.
Syntec
VitMan
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page 99
Adjust Vacuum Regulator
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