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  5. Instructions For Use Manual

Zeiss VISU 200 Instructions For Use Manual

Other manuals for VISU 200: Instructions For Use Manual
Manual is about: Surgical Microscope

Summary of VISU 200

  • Page 1

    Visu 200 surgical microscope instructions for use g30-1298-en issue 2.0 printed on 09. 11. 2006.

  • Page 2

    2 g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 key to symbols 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 malfunctio...

  • Page 3: Contents

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 contents functions at a glance 5 safety 7 description 17 visu 200 surgical microscope 18 attaching the equipment 43 operation 47 preparations for use 48 procedure 53 what to do in an emergency 55 maintenance / further informa...

  • Page 4

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006.

  • Page 5: Functions At A Glance

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 functions at a glance 5 functions at a glance visu 200 surgical microscope 6.

  • Page 6

    6 functions at a glance g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 visu 200 surgical microscope 1 resetting the x-y coupling, focus and zoom to their initial positions 2 locking the front-to-back tilt of the surgical microscope 3 adjusting the pd 4 adjustable eyecup 5...

  • Page 7: Safety

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 safety 7 safety directives and standards 8 notes on installation and use 9 when using a fundus imaging system (e.G. Biom ii) 12 phototoxic retinal injury in eye surgery 12 warning labels and notes 15.

  • Page 8

    8 safety g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 the instrument described in this manual has been developed and tested in accordance with carl zeiss safety standards and with national and in- ternational regulations. A high degree of instrument safety is thus en- s...

  • Page 9

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 safety 9 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 alco...

  • Page 10

    10 safety g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 • only personnel who have undergone training and instruction are al- lowed to use this instrument. It is the responsibility of the customer or institution operating the equipment to train and instruct all staff usin...

  • Page 11

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 safety 11 • 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. For every use of the instrument • avoid lo...

  • Page 12

    12 safety g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 when using a fundus imaging system (e.G. Biom ii) when using a fundus imaging system (e.G. Biom ii from the company oc- ulus) which is usually installed between the surgical microscope and the patient, make sure tha...

  • Page 13

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 safety 13 in the following, comments on these aspects are given and a description of how carl zeiss, as a manufacturer, makes allowance for them in its in- struments. Illumination characteristics (spectral composition) studie...

  • Page 14

    14 safety g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 this is the reason why fiber optic illumination is used in surgical micro- scopes from carl zeiss. Exposure time to light according to some publications, the phakic or aphakic eye should not be exposed to the light ...

  • Page 15

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 safety 15 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 ...

  • Page 16

    16 safety g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006.

  • Page 17: Description

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 17 description visu 200 surgical microscope 18 intended use 18 description of the modules 18 illumination system 26 controls, displays, connections 28 hand grips (option) 36 tube and eyepieces for main microscope ...

  • Page 18

    18 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 visu 200 surgical microscope intended use the visu 200 surgical microscope has been designed for surgical proce- dures in the field of ophthalmology, i.E. The microscope meets the special requirements of this d...

  • Page 19

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 19.

  • Page 20

    20 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 2 support arm for the surgical microscope the support arm contains a tilt device, allowing the viewing direction of the surgical microscope to be adapted to the surgical field as re- quired. Use the fine tilt k...

  • Page 21

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 21 2 3.

  • Page 22

    22 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 to protect the patient's eye against photo-retinitis, a retinal protection de- vice is provided. This device can be swung into the illumination beam path, if no red reflex is required. At the light source integ...

  • Page 23

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 23.

  • Page 24

    24 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 4 0° assistant's microscope the assistant's microscope is an integral part of the visu 200 surgical microscope, i.E. It cannot be separated from the main microscope. The assistant sees the same image as the mai...

  • Page 25

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 25 4 5.

  • Page 26

    26 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 illumination system 6° illumination you can continuously fade out the 6° illumination. This results in markedly reduced reflection from the cornea, while providing nevertheless a high- contrast, informative mic...

  • Page 27

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 27 1 2 3.

  • Page 28

    28 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 controls, displays, connections 1 instrument connector 2 microscope pivot 3 x-y coupling 4 activator button – recenters the x-y coupling. – resets the focus to its initial position in the focusing range. – rese...

  • Page 29

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 29 1 3 4 5 6 7 8 2.

  • Page 30

    30 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 9 dust cover 10 release buttons for the magnetic brakes of the stand only in connection with suspension systems with magnetric brakes. A second button with the same function is located on the opposite side in t...

  • Page 31

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 31 11 12 13 10 9.

  • Page 32

    32 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 14 manual adjustment of zoom system 15 knob for adjusting the red reflex illumination the angle of illumination can be switched between + 2° and - 2°. 16 release button for magnetic brakes (a second button with...

  • Page 33

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 33 14 15 16 17 18 19 20 21.

  • Page 34

    34 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 22 light stop knob 23 adjusting lever for the 6° illumination for gradual fading in/out of the coaxial illumination. Fading out the 6° illumination improves the visualization of structures in retro-illumina- ti...

  • Page 35

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 35 22 23 25 24.

  • Page 36

    36 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 hand grips (option) in addition to the maneuvering grips provided, larger hand grips can be mounted. The mounting procedure is described in the instructions en- closed. This does not affect the functioning of t...

  • Page 37

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 37 1 2 1.

  • Page 38

    38 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 tube and eyepieces for main microscope 1 180° tiltable tube 2 pd adjustment knob the correct interpupillary distance has been set when both eyepiece images merge into one. 3 push-in widefield eyepiece note: whe...

  • Page 39

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 39 1 2 4 5 6 3.

  • Page 40

    40 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 tube and eyepieces for assistant's microscope 7 push-in widefield eyepiece note: when you remove the eyepiece from the tube, please note that this eyepiece is fitted with a magnetic coupling. When mounted, the ...

  • Page 41

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 description 41 7 8 9 10 11.

  • Page 42

    42 description g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006.

  • Page 43: Attaching The Equipment

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 attaching the equipment 43 attaching the equipment mounting the binocular tubes, eyepieces and the objective lens 44.

  • Page 44

    44 attaching the equipment g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 mounting the binocular tubes, eyepieces and the objective lens note: always use the assistant's microscope with the appropriate binocular as- sistant's tube (shown). If you use a different tube, you...

  • Page 45

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 attaching the equipment 45 caution: before using and after re-equipping the unit, make sure that the two bin- ocular tubes (2 and 10) are securely locked in position. Make sure that – securing screws (5 and 7) and – objective...

  • Page 46

    46 attaching the equipment g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006.

  • Page 47: Operation

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 operation 47 operation preparations for use 48 adjusting the tilt angle 48 adjusting the surgical microscope 49 checklist 50 when using a fundus imaging system (e.G. Biom ii) 52 procedure 53 what to do in an emergency 55 fail...

  • Page 48: Preparations For Use

    48 operation g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 preparations for use adjusting the tilt angle using knob (1), you can position the surgical microscope in a range from + 15° to - 90° (+ 15° in the direction of the surgeon and - 90° in the oppo- site direction)....

  • Page 49

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 operation 49 adjusting the surgical microscope bring the surgical microscope into starting position within the focusing range. Set the minimum magnification on the surgical micros- cope. Bring the surgical microscope into wor...

  • Page 50

    50 operation g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 checklist always check the following points before surgery (without the patient!): visu 200 surgical microscope – check that the correct rated voltage has been set for the suspension system. – check that all cabl...

  • Page 51

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 operation 51 – check that image quality is the same throughout the entire magnifica- tion range. Accessories – using the relevant user's manuals, check that the other equipment (il- lumination system, video system, etc.) is w...

  • Page 52

    52 operation g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 when using a fundus imaging system (e.G. Biom ii) when using a fundus imaging system (e.G. Biom ii from the company oc- ulus) which is usually installed between the surgical microscope and the patient, make sure ...

  • Page 53: Procedure

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 operation 53 procedure • turn on the power switch of the suspension system. • adjust the brightness of the surgical field illumination as required on the stand. • check the unit using the checklist. • move the surgical micros...

  • Page 54

    54 operation g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 caution! – avoid looking directly into the light source, e.G. Into the microscope ob- jective lens or into a fiber light guide! – when selecting the brightness level for the patient's eye, always take care to kee...

  • Page 55

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 operation 55 what to do in an emergency failure of zoom system • manually adjust the magnification using zoom control (1) on the micro- scope (if necessary, use a tool, e.G. Screwdriver, coin, etc.). 1.

  • Page 56

    56 operation g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 failure of x-y coupling • if the x-y coupling fails, you can manually position the surgical micro- scope utilizing the possibilities of the suspension system you are us- ing. Failure of focusing system • disconne...

  • Page 57

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 maintenance / further information 57 maintenance / further information trouble-shooting 58 magnifications / fields of view 60 care of the unit 61 sterilization 62 ordering data 63 spare parts 64 accessories 64 adapter cables ...

  • Page 58

    58 maintenance / further information g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 trouble-shooting • this instrument is a high-grade technological product. To ensure opti- mum performance and safe working order of the instrument, its safety must be checked once every 12...

  • Page 59

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 maintenance / further information 59 insufficient surgical field illu- mination. Brightness level set too low. Adjust brightness on sus- pension system or using foot control panel. - defective s light guide (no homogeneous il...

  • Page 60

    60 maintenance / further information g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 magnifications / fields of view using the magnification factor γ of the zoom system, you can calculate the total magnification of the surgical microscope according to the following formula...

  • Page 61

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 maintenance / further information 61 care of the unit cleaning optical surfaces the multilayer t* (t-star) coating of our optical components (e.G. Eye- pieces, objective lenses) results in optimum image quality. Image quality...

  • Page 62

    62 maintenance / further information g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 sterilization the asepsis sets supplied by carl zeiss contain rubber caps, sleeves and hand grips which can be sterilized in autoclaves. We recommend the fol- lowing program for sterilizat...

  • Page 63

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 maintenance / further information 63 ordering data visu 200 surgical microscope description cat. No. Visu 200 surgical microscope including x-y coupling and assistant's microscope 1050-462 180° tiltable tube 30 37 91-0000 10x...

  • Page 64

    64 maintenance / further information g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 spare parts visu 200 surgical microscope accessories please observe the following: only operate the instrument with the accessories included in the delivery package. If you want to use oth...

  • Page 65

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 maintenance / further information 65 visu 200 surgical microscope description cat. No. 1 objective lens, f = 200 mm 30 26 52-9903 2 optical wedge, 30° 1006-145 3 sleeve (for insertion of eyepiece (4)) 30 55 42-0107 4 10x eyep...

  • Page 66

    66 maintenance / further information g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 adapter cables for the electrical connection of the surgical microscope to different types of suspension system. Cat. No. 1 emd ii electromechanical ceiling mount 30 26 02- 9053 1 s3 ceili...

  • Page 67

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 maintenance / further information 67 technical data visu 200 surgical microscope optical data magnification main microscope: 4.9x - 29x motorized zoom system with apochromatic op- tics, 1:6 zoom ratio, magnification factor γ ...

  • Page 68

    68 maintenance / further information g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 mechanical data swing-in stops patented retinal protection device, pat. No. De 33 39 17 2 c2 patented field stop for reduced glare, pat. No. G 91 03 43 3.7 microscope tilt with torque comp...

  • Page 69

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 maintenance / further information 69 ambient requirements subject to change. For operation temperature rel. Humidity air pressure +10 °c...+40 °c 30%...75% 700 hpa...1,060 hpa for transportation and storage temperature rel. H...

  • Page 70

    70 maintenance / further information g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006.

  • Page 71: Index

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 index 71 index numerics 0° assistant's microscope 24 2° illumination 26 90° position 48 a accessories 64 accident prevention regulations 8 activator button 28 adapter cables 66 adjusting lever for 6° illumination 34 adjusting...

  • Page 72

    72 index g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 failure of zoom system 55 fields of view 60 focus of the light source 13 focusing knob 32 focusing system failure 56 fogging, prevention 61 fundus imaging system 12, 52 g gg 475 eye protection filter 14 gg 475 protec...

  • Page 73

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 index 73 p pd adjustment knob 38 phototoxic retinal injury in eye surgery 12 potential equalization 9 prevention of fogging 61 procedure 53 protective ground contact 10 q quality management system 8 r red reflex illumination ...

  • Page 74

    74 index g30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006.

  • Page 75

    G30-1298-en visu 200 surgical microscope issue 2.0 printed on 09. 11. 2006 75.

  • Page 76

    Carl zeiss surgical products division 73446 oberkochen germany fax: +49 (0) 7364/20-4823 email: surgical@zeiss.De www.Zeiss.De g30-1298-en printed in germany ms-td.