Zeiss OPMI® Sensera User Manual

5 (4)

OPMI® Sensera

on S7 Suspension Systems

Instructions for use

G-30-1434-en

Issue 10.0

Printed on 30. 01. 2009

Key to symbols

Different symbols used in this manual draw your attention to safety aspects and useful tips. These symbols are explained in the following.

Warning!

The warning triangle indicates potential sources of danger which may constitute a risk of injury for the user or a health hazard.

Caution:

The square indicates situations which may lead to malfunction, defects, collision or damage of the instrument.

Note:

The hand indicates hints on the use of the instruments or other tips for the user.

OPMI® is a registered trademark of Carl Zeiss.

Contents

Key to symbols

2

Functions at a glance

7

– OPMI Sensera surgical microscope

8

Illumination systems

10

S7 floor stand

11

– S7 ceiling mount with rigid column

12

– S7 ceiling mount with lifting column

13

Safety

15

– Notes on installation and use

17

– Safety devices of the suspension system

22

– Warning labels and notes

26

Description

31

Sensera surgical microscope on S7 suspension systems

34

Intended use

34

– Description of the system

34

System components

36

OPMI Sensera surgical microscope

38

Design

38

Controls, displays, connections

40

– Tiltable binocular tube and eyepieces

46

S7 floor stand

50

Design

50

Controls, displays, connections

52

Suspension arm

52

– Carrier arm, stand column, stand base

54

– Connector panel of S7 floor stand

56

Instrument tray (option)

58

S7 ceiling mount

60

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OPMI® Sensera on S7 Suspension Systems

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Design

60

Controls, displays, connections

62

– Carrier and suspension arms

62

– Connector panel of S7 ceiling mount

64

S7 ceiling mount with lifting column

66

Design

66

Controls, displays, connections

68

– Ceiling flange with lifting column

68

– Carrier and suspension arms

70

– Connector panel of S7 ceiling mount with lifting column

72

Illumination system

74

Halogen illumination system

76

Xenon illumination system

78

Control panel and menu overview

82

– Structure of the menus

84

Foot control panel (option)

104

Intended use

104

Design

104

– Foot control panel with 14 functions

106

– Foot control panel with 8 functions

107

Preparations for use

109

Attaching the equipment

112

– Mounting the tube and eyepieces

112

Connections

114

– Connecting the strain relief device

114

– Connecting the suspension system - S7 floor stand

116

Connecting the suspension system - S7 ceiling mount with

rigid column

118

Connecting the suspension system - S7 ceiling mount with

lifting column

120

– Connecting video monitor and MediLive ImageBox (option)

122

Adjusting the system - S7 floor stand

124

Balancing the suspension arm

124

Setting the limit of downward travel of the suspension arm

124

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OPMI® Sensera on S7 Suspension Systems

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Adjusting the system - S7 ceiling mount with rigid column

126

– Balancing the suspension arm

126

Setting the limit of downward travel of the suspension arm

126

Adjusting the system - S7 ceiling mount with lifting column

128

Setting an ergonomic working height

128

Balancing the suspension arm (ceiling mount with lifting column) 130

– Setting the limit of downward travel of the suspension arm

130

Balancing the surgical microscope

132

Surgical microscope with a laser micromanipulator

136

Adjusting the surgical microscope

138

Configuring the camera settings (config)

139

Configuring Image Capture

144

Relocating the S7 floor stand

152

Operation

155

Checklist for S7 floor stand

156

Checklist for S7 ceiling mount with rigid column

160

Checklist for S7 ceiling mount with lifting column

164

Procedure

168

– Working with the SpeedFokus autofocus option

169

– Display and deletion of images (USB option)

170

What to do in an emergency

172

– Failure of the focusing function

172

– Failure of the zoom function

174

– Failure of the halogen lamp

176

– Lamp failure of the xenon illumination

178

– Failure of the SpeedFokus autofocus option

182

Maintenance / Further information

183

Trouble-shooting

184

– Replacing the halogen lamp

190

– Changing the xenon lamp module

194

– Magnifications / Fields of view

198

– Care of the unit

200

Cleaning optical surfaces

200

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Auxiliaries from Zeiss

201

Cleaning mechanical surfaces

201

Sterilization

201

– Disinfecting the control keys

203

Ordering data

204

Spare parts

207

Accessories

209

Disposal

210

Technical data

211

Technical data

212

– Integrated 1 CCD PAL video camera (option)

219

– Integrated 1 CCD NTSC video camera (option)

219

Ambient requirements

220

– Changes to the system

220

Index

221

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Functions at a glance

7

Functions at a glance

OPMI Sensera surgical microscope

8

Illumination systems

10

S7 floor stand

11

S7 ceiling mount with rigid column

12

S7 ceiling mount with lifting column

13

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8

Functions at a glance

OPMI Sensera surgical microscope

1

Adjusting the eyecup and the prescription

Pages 36/87

2

Adjusting the interpupillary distance

Page 34

3

Manually adjusting the friction of the front-to-back tilt

Page 84

4

Motorized adjustment of tilt axis B

 

 

(microscope tilts downward)

Page 84

5

Motorized adjustment of tilt axis B

 

 

(microscope tilts upward)

Page 84

6

Manually adjusting the friction of lateral tilt axis A

Page 82

7

Manually adjusting the balance of lateral tilt axis A

Page 82

8

Manually adjusting the friction of the microscope's

Page 82

 

axis of rotation

 

9

Locking the handgrip in a convenient position

Page 32

10

Manually adjusting zoom (emergency mode)

Pages 30/98

11

Manual focusing

Pages 30/96

12

Adjusting the spot illumination

Page 30

13

Triggering motorized microscope functions

Page 32

14

External focus (option)

Page 30

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Functions at a glance

9

1

2

3

4

5

6

7

8

A

B

9

10

11

12

13

14

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Functions at a glance

Illumination systems

 

Halogen illumination system

 

1

Closed flap: main lamp is on - Open flap: backup lamp

page 76

 

is on

 

2

Selecting a filter

page 76

3

Opening the lamp module

page 76

4

Manual activation of the backup lamp

page 76

 

Xenon illumination system

 

5

Selecting a filter

page 78

6

Resetting the counter

page 80

7

Manual activation of the backup lamp

page 78

8

Opening the lamp module

page 78

9

Red segment is lit - backup lamp is in use

page 78

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6 7

8

9

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Functions at a glance

11

S7 floor stand

9

Lamp housing with halogen or xenon illumination

Page 40

10

 

 

Control panel

Page 54

11

Maneuvering handle with hooks on which to hang the

Page 88

12

foot control panel

 

Connector panel

Page 46

13

 

 

Casters with locking tabs (4 x)

Page 44

14

 

 

Adjusting the friction of the carrier arm's swivel

Page 44

15

movement

 

Adjusting the friction of the suspension arm's

Page 44

16

swivel movement

 

Balancing the suspension arm

Page 80

17

Adjusting the limit of downward travel

Page 80

18

 

 

Adjusting the friction of upward/downward movement

Page 42

9

 

18

 

 

17

 

 

16

10

 

15

 

 

 

 

14

11

 

 

12

 

 

13

 

 

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Functions at a glance

S7 ceiling mount with rigid column

9

Control panel

Page 50

10

Power switch

Page 50

11

Connector panel

Page 44

12

Lamp housing with halogen or xenon illumination

Page 46

13

Balancing the suspension arm

Page 78

14

Adjusting the limit of downward travel

Page 78

15

Adjusting the friction of upward/downward movement

Page 42

16

Adjusting the friction of the suspension arm's

Page 42

 

swivel movement

 

17

Adjusting the friction of the carrier arm's swivel

Page 42

 

movement

 

16 17

9

10

11

12

13 14 15

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Functions at a glance

13

S7 ceiling mount with lifting column

9

Control panel

page 82

10

Power switch

page 82

11

Connector panel

page 72

12

Lamp housing with halogen or xenon illumination

page 74

13

Balancing the suspension arm

page 130

14

Adjusting the limit of downward travel

page 130

15

Adjusting the friction of upward/downward movement

page 62

16

Lifting/lowering the lifting column

page 68

17

Adjusting the friction of the carrier arm's swivel

page 62

 

movement

 

18

Adjusting the friction of the suspension arm's

page 62

 

swivel movement

 

18

17

9

10

11

16

12

13

14

15

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Functions at a glance

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Safety

15

Safety

Notes on installation and use

17

Safety devices of the suspension system

22

Warning labels and notes

26

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16

Safety

The device described in this manual has been designed and tested in accordance with Carl Zeiss safety standards as well as German and international standards. This guarantees a high degree of instrument safety.

The system described in this user manual has been designed in compliance with the requirements of:

– EN

– IEC

– UL

– CSA

In accordance with Directive 93/42/EEC for medical devices, the complete quality management system of the company Carl Zeiss Surgical GmbH, 73446 Oberkochen, Germany, has been certified by DQS Deutsche Gesellschaft zur Zertifizierung von Managementsystemen GmbH, a notified body, under registration number 250758 MP23.

As per Directive 93/42/EEC, the unit is a Class I instrument.

For USA: FDA classification Class I.

We would like to provide you with information about safety aspects which must be observed when handling this device. This chapter contains a summary of the most important information concerning matters relevant to instrument safety.

Important safety information has been incorporated in this manual and is marked with a warning triangle accordingly. Please give this information your special attention.

The correct use of the system is absolutely vital for safe operation. Please make yourself totally familiar with the contents of this manual prior to startup of the instrument. Please also observe the user manuals of any additional equipment. Further information is available from our service department or from authorized representatives.

Please observe all applicable accident prevention regulations.

The instrument must be connected to a special emergency backup line supply in accordance with the regulations or directives which apply in your country.

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Safety

17

Notes on installation and use

Safe working order

Do not operate the equipment contained in the delivery package in

explosion-risk areas,

the presence of inflammable anesthetics or volatile solvents such as alcohol, benzine or similar chemicals.

Do not station or use the instrument in damp rooms. Do not expose the instrument to water splashes, dripping water or sprayed water.

Immediately unplug any equipment that gives off smoke, sparks or strange noises. Do not use the instrument until our service representative has repaired it.

Do not place any fluid-filled containers on top of the instrument. Make sure that no fluids can seep into the instrument.

Do not force cable connections. If the male and female parts do not readily connect, make sure that they are appropriate for one another. If any of the connectors are damaged, have our service representative repair them.

Potential equalization: If requested, the instrument can be incorporated into potential equalization measures.

Do not use a mobile phone in the vicinity of the equipment because the radio interference can cause the equipment to malfunction. The effects of radio interference on medical equipment depend on a number of various factors and are therefore entirely unforeseeable.

Modifications and repairs on these instruments or instruments used with them may only be performed by our service representative or by other authorized persons.

The manufacturer will not accept any liability for damage caused by unauthorized persons tampering with the instrument; this will also forfeit any rights to claim under warranty.

Over longer distances (e.g. removal, return for repair, etc), the instrument may only be transported in the original packaging or in special return packaging. Please contact your dealer or the Carl Zeiss service team.

Use this instrument only for the applications described.

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18

Safety

Only use the instrument with the accessories supplied. Should you wish to use other accessory equipment, make sure that Carl Zeiss or the equipment manufacturer has certified that its use will not impair the safety of instrument.

Only personnel who have undergone training and instruction are allowed to use this instrument. It is the responsibility of the customer or institution operating the equipment to train and instruct all staff using the equipment.

Keep the user's manuals where they are easily accessible at all times for the persons operating the instrument.

Never look at the sun through the binocular tube, the objective lens or an eyepiece.

Do not pull at the light guide cable, at the power cord or at other cable connections.

This instrument is a high-grade technological product. To ensure optimum performance and safe working order of the instrument, its safety must be checked once every 12 months. We recommend having this check performed by our service representative as part of regular maintenance work.

If a failure occurs which you cannot correct using the trouble-shooting table, attach a sign to the instrument stating it is out of order and contact our service representative.

Warning!

Do not use the video images for diagnostic purposes, as the video cameras and the monitor have not been calibrated. The visualized images may therefore include deviations in shape, contrast and color.

Observe the labels showing the symbol "Risk of crushing“!

Notes on EMC (Electromagnetic Compatibility)

The device complies with the EMC requirements of IEC 60601-1-2. For operating the device, observe the EMC precautions specified below.

Only use spare parts approved by Carl Zeiss for this device.

Do not use any portable or mobile HF communication equipment in the vicinity of the device, as it cannot be ruled out that the function of the device will be impaired.

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Safety

19

Requirements for operation

For ceiling mounts only: Our service staff or a qualified person appointed by us will install the system on ceiling anchors which have been properly mounted by the construction engineers responsible. These ceiling anchors must comply with the specifications contained in our planning manual.

Our service representative or a specialist authorized by us will install the instrument. Please make sure that the following requirements for operation remain fulfilled in the future:

All mechanical connections (details in the user's manual) which are relevant to safety are properly connected and screw connections tightened.

All cables and plugs are in good working condition.

The voltage setting on the instrument conforms to the rated voltage of the line supply on site.

The instrument is plugged into a power outlet which has a properly connected protective ground contact.

The power cord being used is the one designed for use with this instrument.

Before every use and after re-equipping the instrument

Make sure that all ”Requirements for operation” are fulfilled.

Go through the checklist.

Re-attach or close any covers, panels or caps which have been removed or opened.

Pay special attention to warning symbols on the instrument (triangular warning signs with exclamation marks), labels and any parts such as screws or surfaces painted red.

Do not cover any ventilation openings.

For every use of the instrument

General

Never operate the system unattended.

Avoid looking directly into the light source, e.g. into the microscope objective lens or a light guide.

When the illumination is on, the light guide must be connected at both ends. Otherwise there is a risk of fire or burn injuries.

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Safety

Make sure that the instrument has been switched off before you change the xenon lamp module. When switched on, the ignition system generates high voltage.

The xenon illumination system is a high-intensity light source which - if used improperly - can cause thermal injury to skin or tissue. Keep the exposed tissue moist and provide sufficient irrigation. Carefully monitor the effects of the illumination on the tissue, in particular in the following cases:

during prolonged procedures on skin and tissue using objective lenses with a short focal length (short working distance),

during procedures on tissue with a low blood supply,

with high brightness settings of the xenon lamp.

Since the xenon lamp provides high light intensity and generates light with a spectrum similar to daylight, it must not be used for ophthalmic applications.

Any kind of radiation has a detrimental effect on biological tissue.This also applies to the light illuminating the surgical field. Please therefore reduce the brightness and duration of illumination on the surgical field to the absolute minimum required.

S7 floor stand

Using the brake tabs on the base, secure the stand in position. Make sure that the stand is stable and cannot roll away.

S7 ceiling mount with lifting column

The lifting column is used to move the microscope into position for sur-

gery prior to the surgical procedure.

Do not constantly move the lifting column up and down, since a thermal cut-out will then automatically switch off the drive motor. If this occurs, the lifting column cannot be moved again until the motor has cooled down.

After every use of the instrument

Always use the main power switch of the instrument to turn it off.

The main power switch must always be turned off when the instrument is not in use.

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Safety

Safety devices of the suspension system

 

 

 

 

 

 

 

 

 

 

 

 

 

Lifting column

1

 

 

 

 

 

 

 

 

 

 

 

2

Selector switch

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

for setting the optimum viewing height of the surgical microscope or for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

downward movement into the working position.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

As long as you keep the selector switch in the turned position, the lifting

 

 

 

 

 

 

 

 

 

 

 

 

 

column moves upward (2) or downward (1), depending on the switch po-

 

 

 

 

 

 

 

 

 

 

 

 

 

sition. When you release the selector switch, the lifting column stops im-

 

 

 

 

 

 

 

 

 

 

 

 

 

mediately.

 

 

 

 

 

 

 

 

 

 

 

 

 

The switching technology causes a delay of approx. 2 seconds at the

 

 

 

 

 

 

 

 

 

 

 

 

 

upper and lower end positions of the lifting column. After this time, you

 

 

 

 

 

 

 

 

 

 

 

 

 

can move the column in the opposite direction again by activating the se-

 

 

 

 

 

 

 

 

 

 

 

 

 

lector switch.

Before raising or lowering the suspension system, make sure that there is sufficient clearance from other objects so that any collision is avoided.

Warning!

Do not activate the lifting column during surgery!

Do not use the lifting column for focusing.

Make sure that the patient is not put at risk or injured by the motorized adjustment of the lifting column.

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Safety

23

Halogen illumination system

1Manual switching to the backup lamp

The lamp housing contains a backup lamp which is automatically swung into the illumination beam path when the first lamp fails. If this automatic function fails, you can switch on the backup lamp by pressing this button.

2GG 475 retina protection filter

The filter selector knob has four positions:

0no filter

1GG 475 filter: to protect the patient's eye during treatment against unnecessary (blue) radiation (retinal injury).

2KK 40 filter: to increase color temperature

3no filter

1

2

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Safety

Xenon illumination system

Warning!

The xenon lamp has a limited service life of 500 h.

If used beyond its maximum service life, the xenon lamp may explode.

Change the xenon lamp in good time.

Warning!

Lamp rupture (audible as a loud bang) may lead to jamming of the lamp module and/or failure of the electronics modules.

Before opening the lamp housing, make sure that the system is moved to a position where neither the patient nor the user is put at risk by falling items.

Do not continue using the system if the lamp module is jammed or the illumination is no longer operational due to defective electronics modules. Inform our service department.

1Switching to the backup lamp

The lamp module contains two xenon lamps. The second lamp is used as a backup lamp which has to be swung into the illumination beam path when the first lamp fails.

If the xenon lamp fails, open the lamp module as follows:

Press button (3). The lamp module is slightly ejected. Pull out the lamp module as far as it will go. Turn knob (1) through 180° until it snaps in. This moves the backup lamp into the illumination beam path. Push the lamp module all the way back into the lamp housing.

2Indicator: backup lamp is in use

When the red segment in knob (1) lights up, the backup lamp is in use.

Note:

If the first lamp has failed and the backup lamp is in use, make sure to have a backup lamp module ready at hand as a precaution.

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1

3

2

2

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Safety

Warning labels and notes

Caution:

Observe all warning labels and notes!

If any label is missing on your instrument or has become illegible, please contact us or one of our authorized representatives. We will supply the missing labels.

2 1

OPMI® Sensera

000000-0000-000

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Safety

S7 floor stand with instrument tray option

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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