Zeiss VISULAS YAG III User Manual

Manual is about: Therapeutic Laser

Summary of VISULAS YAG III

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    Visulas yag iii documentation set.

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    © 2013, carl zeiss meditec ag, jena all rights reserved in the event of granting of patents or registration as a utility patent. All names of companies and products cited in this documentation set may be trademarks or registered trademarks. References to products of other manufacturers are for infor...

  • Page 3: Contents

    000000-1272-175-inhalt0-gb-060613 contents user manual visulas yag iii [ 000000-1272-175-ga-gb-060613 ] appendix visulas yag iii stand-alone operation - quick instructions [000000-1272-175-kurzga01-gb- 070513 ] visulas yag iii combination mode - quick instructions [000000-1272-175-kurzga02-gb- 06061...

  • Page 5: Visulas Yag Iii

    Visulas yag iii user manual.

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    000000-1272-175-ga-gb-060613.

  • Page 7: Contents

    Contents 000000-1272-175-ga-gb-060613 1 contents contents ..................................................................................... 1 notes on the user manual .......................................................... 4 purpose and availability of documentation .............................

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    Contents 000000-1272-175-ga-gb-060613 2 visulas trion combi ................................................................................................34 design of the lsl yag iii combi/lsl trion combi laser slit lamp .............................36 beam delivery in the lsl yag iii combi/lsl tr...

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    Contents 000000-1272-175-ga-gb-060613 3 yag iii treatment mode............................................................................................ 82 standby .................................................................................................................. 83 ready .............

  • Page 10: Notes On The User Manual

    Notes on the user manual 000000-1272-175-ga-gb-060613 4 notes on the user manual purpose and availability of documentation this user manual explains the safety precautions, functions, usage, performance parameters and measures for care and maintenance of the visulas yag iii. Correct operation of the...

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    Notes on the user manual 000000-1272-175-ga-gb-060613 5 explanation of symbols used the symbols used in this user manual refer to important safety information which warn against possible health risks or fatal injuries and contain useful notes. Whenever you see these symbols, read the accompanying in...

  • Page 12: Package Check List

    Package check list 000000-1272-175-ga-gb-060613 6 package check list the delivery package contains the following components: • visulas yag iii laser console • lsl yag iii laser slit lamp • straight binocular tube f = 140 mm • 2 eyepieces 10x • head restrainer for visulas laser • armrest (height-adju...

  • Page 13: Labels

    Country-specific information and labels 000000-1272-175-ga-gb-060613 7 country-specific information and labels classification/manufacturer's declaration warning - general hazards this device may only be set up, operated and used for the specified purpose and according to national regulations, consis...

  • Page 14: Indication For Use

    Country-specific information and labels 000000-1272-175-ga-gb-060613 8 indication for use the visulas yag iii is designed for ophthalmologic use including posterior capsulotomy and peripheral iridotomy. Note for visulas yag iii combi: the visulas yag iii combi instrument system consists of the visul...

  • Page 15: Intended User Profile

    Country-specific information and labels 000000-1272-175-ga-gb-060613 9 intended user profile caution - risk arising from operating errors this device may only be installed, operated, used and maintained by persons who have been properly trained or who have the required knowledge and experience to do...

  • Page 16: Disposal Of The Product

    Country-specific information and labels 000000-1272-175-ga-gb-060613 10 disposal of the product caution - risk of environmental pollution packaging materials should be retained for future relocation or repair. If you wish to dispose of the packaging material, hand it over to a recognized collection ...

  • Page 17: Labels

    Country-specific information and labels 000000-1272-175-ga-gb-060613 11 labels fig. 1 warning and information labels on the visulas yag iii.

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    Country-specific information and labels 000000-1272-175-ga-gb-060613 12 item label explanation 1 visulas yag iii type label ip20 manufacturer date of manufacture application part type b housing protection class (protected against solid foreign bodies of 12.5mm in diameter and larger, no protection a...

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    Country-specific information and labels 000000-1272-175-ga-gb-060613 13 item label explanation 7 laser class 4 1064/660-680 nm warning label 8 not applicable not applicable 9 label with fuse specifications visulas yag iii 10 lsl yag iii type label lsl yag iii combi type label lsl trion combi type la...

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    Country-specific information and labels 000000-1272-175-ga-gb-060613 14 item label explanation 11 identification label lsl yag iii identification label lsl yag iii combi identification label lsl trion combi 12 date of manufacture 13 laser class 4 warning label 14 "laser exit aperture" warning label ...

  • Page 21: Carl Zeiss Meditec Ag

    Country-specific information and labels 000000-1272-175-ga-gb-060613 15 16 type label foot switch, complete, cable 5m/ foot switch, complete manufacturer date of manufacture application parts type b conforming to iec 60601-1 ref catalogue number/ part number sn serial number ce ce label 0297 identif...

  • Page 22: General Warning and Safety

    General warning and safety instructions 000000-1272-175-ga-gb-060613 16 general warning and safety instructions in this section you can find general warning and safety instructions. Also observe the special warning and safety instructions for the individual work steps in the respective chapters of t...

  • Page 23: Safety Officer

    General warning and safety instructions 000000-1272-175-ga-gb-060613 17 safety officer the operator and safety officer are responsible for carrying out all safety measures to prevent injury to the patient, physician in attendance and other persons present during laser operation. Observe the national...

  • Page 24: Laser Safety Goggles

    General warning and safety instructions 000000-1272-175-ga-gb-060613 18 laser safety goggles warning - risk of laser radiation all persons present in the laser hazard area during laser operation must wear laser safety goggles. The patient's eye which is not being treated must also be properly protec...

  • Page 25: Patient Safety

    General warning and safety instructions 000000-1272-175-ga-gb-060613 19 patient safety the key parameter in laser treatment is the energy density at the target, i.E. Applied laser energy divided by the area of the laser spot. On the visulas yag iii combi, the energy of the laser pulse can be pre-set...

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    General warning and safety instructions 000000-1272-175-ga-gb-060613 20 dangers caused by direct irradiation and reflection warning - risk of laser radiation the instrument and its applicators emit visible laser radiation which is dangerous to the human eye and skin. The lio trion/532s indirect opht...

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    General warning and safety instructions 000000-1272-175-ga-gb-060613 21 warning - risk of optical radiation because prolonged intense light exposure can damage the retina, the use of lsl 532 or lio trion/532s for ocular examination should not be unnecessarily prolonged, and the brightness settings s...

  • Page 28: Performance Specifications

    Performance specifications 000000-1272-175-ga-gb-060613 22 performance specifications functional description principle of nd:yag laser treatment the visulas yag iii is an ophthalmic therapy laser system for non-contact incision of ocular tissue. The radiation is generated by a q-switched nd:yag lase...

  • Page 29: Useful Life

    Performance specifications 000000-1272-175-ga-gb-060613 23 useful life warning - general hazards the development, production and maintenance of this device, together with associated risks, are based on an expected service life of eight years, assuming that the device is serviced at the specified int...

  • Page 30: Description Of The Device

    Description of the device 000000-1272-175-ga-gb-060613 24 description of the device instrument base with head rest for visulas yag iii/ visulas yag iii combi/visulas trion combi 1 fixation lamp mounting 2 forehead support (application part) 3 height adjustment for chin rest 4 chin rest (application ...

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    Description of the device 000000-1272-175-ga-gb-060613 25 the instrument base is mounted to the support using the mounting holes (7, fig. 3) and the appropriate screws. The clamp screw (5, fig. 3) is for adjusting the tightness of the x-y movement of the instrument base. Fine adjustment of the instr...

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    Description of the device 000000-1272-175-ga-gb-060613 26 design of the visulas yag iii the instrument consists of a laser head (1, fig. 4) mounted to a laser slit lamp (2, fig. 4) and a laser console (3, fig. 4). An optional foot switch (4, fig. 4) is available. The laser console menu is used to sw...

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    Description of the device 000000-1272-175-ga-gb-060613 27 design of the lsl yag iii laser slit lamp 1 laser head 2 focus shift control 3 fastening screw 4 interpupillary distance scale 5 binocular tube 6 eyepieces 7 magnification changer 8 halogen lamp cover (see page 95 for replacing the lamp) 9 sl...

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    Description of the device 000000-1272-175-ga-gb-060613 28 settings of filter selector white line pointing up: full aperture combined with a heat- absorbing filter. White line to the patient: blue filter for tonometry and fluorescence observations. White line to the physician: red-free filter for con...

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    Description of the device 000000-1272-175-ga-gb-060613 29 1 nd:yag laser 2 focus shift lens system 3 partially transmitting mirror for energy meter 4 energy meter and pulse counter 5 energy attenuator 6 four-point aiming beam diode laser 7 aiming beam coupling mirror 8 beam expander 9 galilean magni...

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    Description of the device 000000-1272-175-ga-gb-060613 30 visulas yag iii laser console 1 key switch 2 laser console 3 control knob/button 4 laser stop button 5 control panel 6 recessed grip fig. 7 visulas yag iii laser console 1 foot switch connector 2 door interlock connector 3 serial port for ser...

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    Description of the device 000000-1272-175-ga-gb-060613 31 the laser console (2, fig. 7) is the central power supply and control unit for the visulas yag iii and the lsl yag iii laser slit lamp. The control panel (5, fig. 7), the laser stop button (4, fig. 7) and the combined control knob/button (3, ...

  • Page 38: Visulas Trion Combi

    Description of the device 000000-1272-175-ga-gb-060613 32 design of visulas yag iii combi/ visulas trion combi visulas yag iii combi visulas yag iii combi is a combination of the visulas yag iii and visulas 532s devices consisting of the following components: fig. 9 components of the visulas yag iii...

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    Description of the device 000000-1272-175-ga-gb-060613 33 1 visulas yag iii laser head 2 lsl yag iii combi laser slit lamp 3 control panel of the visulas 532s laser console 4 visulas 532s laser console 5 visulas yag iii laser console (fig. 7) 6 instrument table (optional) 7 foot switch fig. 10 visul...

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    Description of the device 000000-1272-175-ga-gb-060613 34 visulas trion combi visulas trion combi is a combination of the visulas yag iii and visulas trion devices consisting of the following components: fig. 11 visulas trion combi components.

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    Description of the device 000000-1272-175-ga-gb-060613 35 1 visulas yag iii laser head 2 lsl trion combi laser slit lamp 3 control panel of the visulas trion laser console 4 visulas trion laser console 5 visulas yag iii laser console (fig. 7) 6 instrument table (optional) 7 standard foot switch or a...

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    Description of the device 000000-1272-175-ga-gb-060613 36 design of the lsl yag iii combi/lsl trion combi laser slit lamp 1 laser head 2 focus shift control 3 fastening screw 4 interpupillary distance scale 5 binocular tube 6 eyepieces 7 magnification changer 8 halogen lamp cover (see page 95 for re...

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    Description of the device 000000-1272-175-ga-gb-060613 37 settings of filter selector white line pointing up: full aperture combined with a heat- absorbing filter. White line to the patient: blue filter for tonometry and fluorescence observations. White line to the physician: red-free filter for con...

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    Description of the device 000000-1272-175-ga-gb-060613 38 yag laser light path coagulation laser light path 1 nd:yag laser 12 optical fiber 2 focus shift lens system 13 coupling lens 3 partially transmitting mirror for energy meter 14 laser beam expander 4 energy meter and pulse counter 15 slit illu...

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    Description of the device 000000-1272-175-ga-gb-060613 39 visulas 532s/visulas trion control panel for visulas yag iii combi/visulas trion combi the visulas yag iii combi/visulas trion combi is menu-operated using the icons on the visulas 532s/visulas trion control panel and the combined knob/button...

  • Page 46: Installation

    Installation 000000-1272-175-ga-gb-060613 40 installation notes for installation and use warning - general hazards do not store or operate the devices in ambient conditions other than those prescribed (see section technical data on page 104 and following). Set up the devices so that the power cables...

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    Installation 000000-1272-175-ga-gb-060613 41 caution - risk of laser radiation the laser hazard area should be as small as possible and demarcated by suitable screens. Unauthorized persons should be prevented from entering the laser hazard area. The number of persons in the laser hazard area must be...

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    Installation 000000-1272-175-ga-gb-060613 42 caution - property damage never touch the end of the optical fiber with your fingers and always protect it from contamination. Because of the laser’s high power output, any dirt may result in damage to the end surface of the fibers. Screw in the optical f...

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    Installation 000000-1272-175-ga-gb-060613 43 installation and transport of the visulas yag iii warning - general hazards this device may only be installed and operated for the first time by persons who have been authorized by carl zeiss meditec. Caution - property damage the visulas yag iii may only...

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    Installation 000000-1272-175-ga-gb-060613 44 1 transport case lid 2 transport case handle 3 transport case (720 mm x 550 mm x 370 mm) 4 transport case, open 5 foot switch (optional) 6 laser slit lamp with head rest 7 laser console 8 transport castors 9 fixation lamp 10 accessories, packed 11 laser s...

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    Installation 000000-1272-175-ga-gb-060613 45 installation of visulas yag iii combi warning - general hazards this device may only be installed and operated for the first time by persons who have been authorized by carl zeiss meditec. Caution - general hazards fiber optics may not be tightly bent, ki...

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    Installation 000000-1272-175-ga-gb-060613 46 1 table mounting 2 visulas yag iii laser console 3 visulas 532s laser console fig. 16 instrument table with laser consoles 1 slit lamp connector 2 power input connector 3 connector for combined operation with the visulas yag iii 4 serial port for servicin...

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    Installation 000000-1272-175-ga-gb-060613 47 • for combined operation the visulas yag iii must be connected by a special combi cable to the visulas 532s. For this purpose insert the end of the cable with the single plug into the 532s socket on the yag iii laser console (4, fig. 8). Insert the larger...

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    Installation 000000-1272-175-ga-gb-060613 48 installation of visulas trion combi warning - general hazards this device may only be installed and operated for the first time by persons who have been authorized by carl zeiss meditec. Caution - general hazards fiber optics may not be tightly bent, kink...

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    Installation 000000-1272-175-ga-gb-060613 49 1 visulas trion laser console 2 visulas yag iii laser console 3 instrument table fig. 18 instrument table with visulas trion combi laser console • place the foot switch (standard or accento foot switch) in a suitable position under the table. The plug of ...

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    Installation 000000-1272-175-ga-gb-060613 50 1 connection socket for slit lamp or physician’s safety filter 2 connector for combined operation with the visulas yag iii 3 door interlock connector 4 "foot 1" - connection for foot switch (standard) 5 "foot 2" - connection for foot switch with power con...

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    Installation 000000-1272-175-ga-gb-060613 51 • insert the optical fiber carefully into the socket for the optical fiber on the visulas trion console (see visulas trion user manual) and screw in firmly. • fold out the control panel foot, unwind as much of the control panel cable as required and conne...

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    Installation 000000-1272-175-ga-gb-060613 52 moving the instrument table with the instrument secure the visulas trion once it is in its final position. Lock the steering castors by applying the brakes. Pushing the instrument table will move the entire visulas yag iii combi system, as all components ...

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    Installation 000000-1272-175-ga-gb-060613 53 installation of accento eyepiece to visulas yag iii/ visulas yag iii combi and visulas trion combi the accento eyepiece can be used alternatively for displaying the treatment parameters in the display field of the slit lamp. To install, proceed as follows...

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    Installation 000000-1272-175-ga-gb-060613 54 • insert the plug of the accento eyepiece from below into the socket on the microscope body of the slit lamp (3, fig. 21). The plug and its lead should be positioned towards the physician. Data display in the accento eyepiece when the accento eyepiece is ...

  • Page 61: Accento Foot Switch

    Installation 000000-1272-175-ga-gb-060613 55 the display brightness can be changed stepwise by pressing the buttons (1, 2, fig. 22) on the rear casing of the accento eyepiece. Brightness is increased/decreased by pressing the right-/left-hand button as viewed from the rear. 1 button for increasing b...

  • Page 62: Daily Use

    Daily use 000000-1272-175-ga-gb-060613 56 daily use warning - general hazards prior to using the device, the user must ensure that it is in a good condition and fully functioning. Furthermore, the user must follow the instructions in the user manual. The following inspections must be carried out eac...

  • Page 63: Function Test

    Daily use 000000-1272-175-ga-gb-060613 57 function test when the instrument is switched on using the key switch (1, fig. 7) on the visulas yag iii laser console, a system test will be automatically performed. During the system test the following actions, tests and initialization routines will be exe...

  • Page 64: Operation Of The Device

    Operation of the device 000000-1272-175-ga-gb-060613 58 operation of the device caution - general hazards the patient should not touch the instrument with his/her hands. In particular, the instrument should not be used as a support or an aid for standing up. Caution - risk of pinching various module...

  • Page 65

    Operation of the device 000000-1272-175-ga-gb-060613 59 laser treatment using visulas yag iii/ visulas yag iii combi/visulas trion combi note for visulas trion combi: when operting the visulas trion combi with the accento eyepiece, both devices (visulas trion and visulas yag iii) should be switched ...

  • Page 66

    Operation of the device 000000-1272-175-ga-gb-060613 60 start-up and laser treatment control of the visulas yag iii is menu-driven using the control panel. Functions and menus are described in detail below..

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    Operation of the device 000000-1272-175-ga-gb-060613 61 visulas yag iii menu description note for visulas yag iii combi and visulas trion combi: the menu descriptions for the visulas yag iii combi are shown from page 70 and the visulas trion combi from page 78. Menu navigation the visulas yag iii is...

  • Page 68

    Operation of the device 000000-1272-175-ga-gb-060613 62 power-up mode when the system is switched on using the key switch (1, fig. 7) on the visulas yag iii laser console, the start-up screen appears on the control panel. The instrument is now in power-up mode (fig. 24). Fig. 24 power-up mode the sy...

  • Page 69

    Operation of the device 000000-1272-175-ga-gb-060613 63 diagnosis mode diagnosis mode (fig. 25) enables the user to use the laser slit lamp as a diagnostic slit lamp. The visulas yag iii is used merely as a power source for the slit lamp. The laser remains switched off and the hand switch or foot sw...

  • Page 70

    Operation of the device 000000-1272-175-ga-gb-060613 64 treatment standby mode after the system has been switched on and the internal system test has been completed, the system enters this mode automatically unless the instrument is switched to diagnosis mode by the user. Fig. 26 treatment standby m...

  • Page 71

    Operation of the device 000000-1272-175-ga-gb-060613 65 the buttons in the treatment mode have the following functions: displays the selected focus shift mode ant - anterior focus shift post - posterior focus shift 0 - zero focus shift refer to section focus shift and defocusing on page 88. Laser em...

  • Page 72

    Operation of the device 000000-1272-175-ga-gb-060613 66 aiming beam switch on the aiming beam. In treatment standby mode, the aiming beam is switched on and off by touching this button. If the aiming beam is on, this button appears in reverse color. Aiming beam intensity after touching this button, ...

  • Page 73

    Operation of the device 000000-1272-175-ga-gb-060613 67 this mode allows you to view system information. You can also set the triggering mode (hand switch or foot switch), the system time (date and time), the user interface language and the control panel lc display contrast. The following system inf...

  • Page 74

    Operation of the device 000000-1272-175-ga-gb-060613 68 fig. 28 setting the system time setting the system time • activate each numerical field in turn by touching it and set the current date and time by turning the rotary knob. • to save the settings and return to information mode, touch the button...

  • Page 75

    Operation of the device 000000-1272-175-ga-gb-060613 69 treatment ready mode touching the button standby/ready in treatment standby mode switches the system, after about three seconds, into treatment ready mode (fig. 29). Fig. 29 treatment ready mode in treatment ready mode, the aiming beam and lase...

  • Page 76

    Operation of the device 000000-1272-175-ga-gb-060613 70 menu description for visulas yag iii combi note for visulas yag iii: the menus for the visulas yag iii are described on page 61. Menu navigation the visulas yag iii is operated via a menu system with eight menu screens using the visulas 543s la...

  • Page 77

    Operation of the device 000000-1272-175-ga-gb-060613 71 correct operation of visulas 532s is imperative for safe functioning. Please familiarize yourself thoroughly with the contents of the user manual for visulas 532s before using the visulas 532s. To operate the visulas yag iii in combination with...

  • Page 78

    Operation of the device 000000-1272-175-ga-gb-060613 72 diagnosis mode this mode enables the user to use the lsl yag iii combi laser slit lamp as a diagnostic slit lamp. The visulas 532s is used merely as a power source for the slit lamp. • the laser module and temperature regulator remain switched ...

  • Page 79

    Operation of the device 000000-1272-175-ga-gb-060613 73 visulas yag iii power-up mode • when the yag system is switched on using the key switch (1, fig. 7), the system automatically performs a self-test (fig. 33). Then the combi mode is active and the message shown in fig. 34 is displayed on the yag...

  • Page 80

    Operation of the device 000000-1272-175-ga-gb-060613 74 fig. 34 combination mode is activated yag iii treatment mode in the main menu, select the yag laser as applicator. Fig. 35 main menu after selecting the yag laser as applicator • select the yag triggering mode (hand/foot). Or.

  • Page 81

    Operation of the device 000000-1272-175-ga-gb-060613 75 standby • touching the arrow button switches the system from the main menu into treatment standby mode. Fig. 36 treatment standby mode • selected focus shift mode display: ant - anterior focus shift post - posterior focus shift 0 - zero focus s...

  • Page 82

    Operation of the device 000000-1272-175-ga-gb-060613 76 • the aiming beam can be turned on and off using the aiming beam button. When the aiming beam is on, this button is highlighted. • upon touching the brightness button, the intensity of the aiming beam can be adjusted by turning the rotary knob....

  • Page 83

    Operation of the device 000000-1272-175-ga-gb-060613 77 ready fig. 37 treatment ready mode • in treatment ready mode, the aiming beam and laser emission indicators are always on. • parameters are set in the same way as for treatment standby mode. • when the trigger is activated, the laser beam will ...

  • Page 84

    Operation of the device 000000-1272-175-ga-gb-060613 78 visulas trion combi menu description note for visulas yag iii: the menus for the visulas yag iii are described on page 61. Menu navigation the visulas trion combi is operated via a menu system with five menu screens using the visulas trion lase...

  • Page 85

    Operation of the device 000000-1272-175-ga-gb-060613 79 to operate the visulas yag iii in combination with the visulas trion, the two laser consoles must be connected by a special interface cable (combi cable). As soon as this cable is connected, the buttons on the yag iii laser console control pane...

  • Page 86

    Operation of the device 000000-1272-175-ga-gb-060613 80 diagnosis mode this mode enables the user to use the lsl yag iii combi laser slit lamp as a diagnostic slit lamp. The visulas trion is used merely as a power source for the slit lamp. • the laser module and temperature regulator remain switched...

  • Page 87

    Operation of the device 000000-1272-175-ga-gb-060613 81 visulas yag iii power-up mode • when the yag system is switched on using the key switch (1, fig. 7), the system automatically performs a self-test (fig. 41). Then the combi mode is active and the message shown in fig. 42 is displayed on the yag...

  • Page 88

    Operation of the device 000000-1272-175-ga-gb-060613 82 fig. 42 combination mode is activated yag iii treatment mode if you wish to change the yag trigger (hand or foot) press the upper blue yag button in the main menu. Fig. 43 visulas trion main menu.

  • Page 89

    Operation of the device 000000-1272-175-ga-gb-060613 83 fig. 44 yag trigger selection menu • select the yag trigger (hand/foot). The last-selected trigger will be active upon restarting. Standby • pressing the arrow button in the yag trigger selection menu will change to the yag treatment standby mo...

  • Page 90

    Operation of the device 000000-1272-175-ga-gb-060613 84 selected focus shift mode display: ant - anterior focus shift post - posterior focus shift 0 - zero focus shift refer to section focus shift and defocusing on page 88. Laser emission display: this field lights up in yellow when the instrument i...

  • Page 91

    Operation of the device 000000-1272-175-ga-gb-060613 85 ready fig. 46 treatment ready mode in treatment ready mode, the aiming beam and laser warning lamp are always on. Parameters are set in the same way as for treatment standby mode. • when the trigger is activated, the laser beam will be triggere...

  • Page 92: Visulas Trion Combi

    Operation of the device 000000-1272-175-ga-gb-060613 86 using the aiming beam system with the visulas yag iii/visulas yag iii combi/ visulas trion combi the visulas yag iii uses a four-point aiming beam system. If the image is free from distortion, the following aiming beam spot patterns can be seen...

  • Page 93

    Operation of the device 000000-1272-175-ga-gb-060613 87 always work with the lowest energy possible. Intraocular lenses made of silicone are considerably more sensitive than intraocular lenses made of pmma. For this reason, you should be particularly careful when working with silicone lenses. The ai...

  • Page 94: Focus Shift And Defocusing

    Operation of the device 000000-1272-175-ga-gb-060613 88 focus shift and defocusing the optimal mechanical effect of the optical breakdown occurs at a specific distance from the focus of the therapy beam. For this reason, the aiming beam and therapy beam of the visulas yag iii are not parfocal, but a...

  • Page 95

    Operation of the device 000000-1272-175-ga-gb-060613 89 the laser is intended for use with the focus in these three positions only. 1 focus shift control 2 magnification changer fig. 49 focus shift control always turn the focus shift control until it clicks into position (an audible click should be ...

  • Page 96: Shutting Down

    Shutting down 000000-1272-175-ga-gb-060613 90 shutting down warning - general hazards if one of the following events should occur, switch the instrument off immediately at the key switch and disconnect the cable from the power supply. – electric shocks – penetration of substances – smoke, sparks or ...

  • Page 97: Maintenance And Care

    Maintenance and care 000000-1272-175-ga-gb-060613 91 maintenance and care warning - general hazards further maintenance procedures above and beyond those specified in this section (maintenance, safety inspections and repairs) may only be carried out by persons authorized by carl zeiss meditec and so...

  • Page 98

    Maintenance and care 000000-1272-175-ga-gb-060613 92 error messages on yag iii error messages on visulas yag iii combi/visulas trion combi if, in yag mode, an error occurs on the visulas yag iii, an error message will be displayed on the control panel. At the same time, an error message with a speci...

  • Page 99

    Maintenance and care 000000-1272-175-ga-gb-060613 93 note: follow the instructions given. Warning message: correct the malfunction as instructed in the troubleshooting tables in the visulas 532s or visulas trion user manual. If a fault occurs, which cannot be remedied by using the troubleshooting ta...

  • Page 100: Replacing The Fuses

    Maintenance and care 000000-1272-175-ga-gb-060613 94 replacing the fuses replacing the fuse on the visulas yag iii laser console the fuses are integrated into the combined power inlet connector/fuse assembly of the laser console. This assembly is located on the rear side of the laser console (see 7,...

  • Page 101

    Maintenance and care 000000-1272-175-ga-gb-060613 95 replacing the halogen bulb in the laser slit lamp caution - risk of burns before replacing the lamp, switch the system off at the key switch and disconnect the power cable. Allow the lamp to cool down or wear protective gloves. 1 cover flap 2 hold...

  • Page 102

    Maintenance and care 000000-1272-175-ga-gb-060613 96 replace the halogen bulb (5, fig. 51) as illustrated in fig. 51. • the lamp housing can be removed by pressing down and simultaneously pulling the lug (1, fig. 51). • to unlock the lamp holder, turn the lever (8, fig. 51). • pull the socket plug (...

  • Page 103: Maintenance And Care

    Maintenance and care 000000-1272-175-ga-gb-060613 97 maintenance and care care and cleaning warning - risk of electric shock prevent moisture from penetrating the instrument or keyboard. Disconnect the power cable from the power supply before cleaning or disinfecting the device. Caution - risk due t...

  • Page 104

    Maintenance and care 000000-1272-175-ga-gb-060613 98 the external surfaces of optical components (eyepieces, objectives), can be cleaned as required: • dust on the optical surfaces can be removed using a squeeze blower or a clean, grease free brush. • thorough cleaning can be performed quickly and e...

  • Page 105: Safety Inspections

    Maintenance and care 000000-1272-175-ga-gb-060613 99 safety inspections warning - risk of electric shock the user is required to have the instrument inspected for safety once a year. Safety inspections may only be carried out by persons authorized by carl zeiss meditec and solely according to the se...

  • Page 106: Optional Accessories

    Optional accessories 000000-1272-175-ga-gb-060613 100 optional accessories warning - risk of optical radiation use only accessories and spare parts approved by carl zeiss meditec. • accento eyepiece for data display, including cable • accento ergo tube • monocular co-observer tube • convergent tube ...

  • Page 107

    Optional accessories 000000-1272-175-ga-gb-060613 101 • contact lenses – mainster standard 90° contact lens (omra-s) – mainster wide field 118° contact lens (omra-wf) – mainster prp 165° contact lens (omra-prp 165) – goldmann three mirror contact lens, small (og3msa) – goldmann three mirror contact ...

  • Page 108: Contact Lenses

    Optional accessories 000000-1272-175-ga-gb-060613 102 contact lenses warning - risk of laser radiation always hold the contact lens at right angles to the laser beam. Incorrect positioning of the contact lens will cause distortion of the laser focus. This can lead to unwanted side effects. Never tri...

  • Page 109: Essential Performance

    Essential performance 000000-1272-175-ga-gb-060613 103 essential performance the essential performance features of the instrument are exclusively limited by the parameters and specifications listed in the following. Any other features not contained in this table are not essential performance feature...

  • Page 110: Technical Data

    Technical data 000000-1272-175-ga-gb-060613 104 technical data visulas yag iii laser system wavelength of therapy beam 1064 nm focus shift between aiming beam and therapy beam posterior: +150 μm zero: 0 μm anterior: -150 μm tolerance: ± 25 μm mode super gaussian pulse length pulse mode energy (typ.)...

  • Page 111

    Technical data 000000-1272-175-ga-gb-060613 105 lsl yag iii laser slit lamp instrument base motion range lateral: 110 mm horizontal: 90 mm vertical: 30 mm slit lamp 12 v, 30 w halogen lamp, adjustable slit length variable in steps of: 1/3/5/9/14 mm special slit: 1 x 5 mm, ± 45°, 90° slit width conti...

  • Page 112

    Technical data 000000-1272-175-ga-gb-060613 106 ambient conditions for intended use of all devices temperature +10 °c to +35 °c relative humidity 30 % to 90 %, non-condensing altitude up to 3000 m above sea level ambient conditions for the storage of all devices without original packaging temperatur...

  • Page 113

    Electromagnetic compatibility 000000-1272-175-ga-gb-060613 107 electromagnetic compatibility special precautionary measures apply to this device with regard to electromagnetic compatibility (emc). To avoid electromagnetic disturbances, the device may only be installed, operated and serviced in accor...

  • Page 114

    Electromagnetic compatibility 000000-1272-175-ga-gb-060613 108 the following guideline applies only to the accessories specified for and delivered with the device from carl zeiss meditec. Guidance and manufacturer’s declaration - electromagnetic emissions the visulas yag iii is intended for use in t...

  • Page 115

    Electromagnetic compatibility 000000-1272-175-ga-gb-060613 109 guidance and manufacturer’s declaration - electromagnetic immunity the visulas yag iii is intended for use in the electromagnetic environment specified below. The user of the visulas yag iii should assure that it is used in such an envir...

  • Page 116

    Electromagnetic compatibility 000000-1272-175-ga-gb-060613 110 guidance and manufacturer’s declaration - electromagnetic immunity the visulas yag iii is intended for use in the electromagnetic environment specified below. The user of the visulas yag iii should assure that it is used in such an envir...

  • Page 117

    Electromagnetic compatibility 000000-1272-175-ga-gb-060613 111 recommended separation distances between portable and mobile rf telecommunications equipment and visulas yag iii the visulas yag iii is intended for use in an electromagnetic environment in which radiated rf disturbances are controlled. ...

  • Page 118: Abbreviations/glossary

    Abbreviations/glossary 000000-1272-175-ga-gb-060613 112 abbreviations/glossary cispr comité international special sur les perturbations radioelectrique (special international committee on radio interference) d diopter din deutsches institut für normung (german institute for standardization) emc elec...

  • Page 119: Figures

    Figures 000000-1272-175-ga-gb-060613 113 figures fig. 1 warning and information labels on the visulas yag iii .............. 11 fig. 2 principle of photodisruption using the nd:yag laser .................... 22 fig. 3 instrument base with head rest ......................................................

  • Page 120

    Figures 000000-1272-175-ga-gb-060613 114 fig. 47 focusing the aiming beam .......................................................... 86 fig. 48 distorted aiming beam ............................................................... 86 fig. 49 focus shift control ..........................................

  • Page 121: Index

    Index 000000-1272-175-ga-gb-060613 115 index a abbreviations .......................................................................................... 112 accento eyepiece .................................................................................... 53 accento foot switch ......................

  • Page 122

    Index 000000-1272-175-ga-gb-060613 116 switching on ............................................................................................. 56 symbols ...................................................................................................... 5 u useful life ...........................

  • Page 124

    Carl zeiss meditec ag goeschwitzer str. 51-52 07745 jena germany phone: +49 3641 220 333 fax: +49 3641 220 112 email: info@meditec.Zeiss.Com internet: www.Meditec.Zeiss.Com 000000-1272-175-ga-gb-060613 visulas yag iii specifications subject to change.

  • Page 126

    Carl zeiss meditec ag goeschwitzer str. 51-52 07745 jena germany phone: +49 3641 220 333 fax: +49 3641 220 112 email: info@meditec.Zeiss.Com internet: www.Meditec.Zeiss.Com 000000-1272-175-doks-gb-060613 visulas yag iii specifications subject to change.