ATMOS iView PRO Operating Instructions Index 18 July 2019

Table of contents 1.0 1.1 1.2 1.3 1.4 1.5 1.6

Introduction...3 Notes on operating instructions...3 Intended use...4 Function...5 Explanation of pictures and symbols...6 Scope of supply... 7 Transport and storage...7

2.0

For your safety...8

3.0 3.1 3.2 3.2.1 3.2.2 3.2.3 3.2.4

3.3 3.4 3.5 3.6

Setting up and starting up...9 Overview... 9 Setting up...10 Connection to the mains supply...10 Microscope overview...10 Operating elements at the microscope...11 Rear view of the control device ATMOS i View 21 PRO...11 Rear view of the control device of the ATMOS i View 31 PRO (not with an integrated HD camera)...11 Rear view of the control device of the ATMOS i View 31 PRO with an integrated HD camera...12 Integration possibilities...12 Starting up...13 Operation requirements...13 Starting up at a glance...14

4.0 4.1 4.2 4.3 4.3.1 4.3.2 4.4

Operation...15 Microscope suspension...15 Mechanical arm...15 Hand grips...15 T-hand grip...15 Lateral double hand grip...15 Adjusting the interocular distance...16

3.2.5 3.2.6

Further information, accessories, consumables and spare parts are available from:

ATMOS

MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Straße 16 79853 Lenzkirch Germany Phone: +49 7653 689-0 Fax: +49 7653 689-190 +49 7653 689-292 (Service Centre) [email protected] www.atmosmed.com

2

4.5 4.6 4.7

Adjusting the eye pieces...16 Exchanging the lenses...17 Exchanging the lenses with manual fine focusing...17 4.8 Exchanging the VarioFocus lens...17 4.9 Adjustment of the 5 fold magnification changer...17 4.10 Focussing...18 4.10.1 Fine focussing...18 4.11 Exchanging the binocular tube...18 4.12 Binocular rotary disk with detent...18 4.13 Pivoting colour filter...18 4.14 Shadowless illumination...19 4.15 Microscope zoom and object field size...19 4.16 Measuring scale...19 4.17 Image and video recording...20 4.17.1 Adjusting the light mode of the integrated HD camera...20 4.18 Endoscope adapter...21 4.19 HD adapter...21 5.0 5.1 5.2 5.3 5.3.1 5.3.2 5.3.3 5.4 5.5

Cleaning and care...22 General information on cleaning and disinfection...22 Cleaning the mechanical microscope surface...22 Cleaning of lenses / eyepieces...22 Cleaning optical surfaces...22 Optical surface of the endoscope port...22 Fogging of optical surfaces...23 Recommended surface disinfectants...23 Hygiene plan...23

6.0 6.1 6.2 6.3

Maintenance and Service...24 Basic instructions...24 Sending in the device...24 Exchange of spare parts...24

7.0

Troubleshooting...25

8.0

Accessories and Options...26

9.0

Technical data...27

10.0

Disposal...28

11.0

Notes on EMC...29

1.0

Introduction

1.1 Notes on Operating Instructions These operating instructions contain important notes on how to operate the ATMOS i View PRO safely, correctly and effectively. Their reading helps to avoid risks, and also to reduce repair costs and downtimes. This increases, amongst other things, the reliability and service-life of the microscope. These operating instructions serve not only for new operating personnel to be instructed in its use, but also for use as a reference manual. Reprints (also in extracts) only with permission in written form by ATMOS. These operating instructions must always be kept available near the device. Care and safety inspections in conjunction with professional execution provide for operational safety and readiness for use of your ATMOS i View PRO and are therefore a must besides regular cleaning. Repair work and safety inspections may be carried out only by expert personnel authorised by ATMOS. By applying only original spare parts you will have the guarantee that operational safety, readiness for work and the value of your ATMOS i View PRO will be preserved.

• The product ATMOS i View PRO bears CE marking CE according to the EC Directive of the council for medical products 93/42/EEC and meets the basic requirements of Appendix 1 of this directive. • The product ATMOS i View PRO complies with all applicable requirements of the Directive 2011/65/ EU restricting the use of certain hazardous substances in electrical and electronic equipment („RoHS“). • The declaration of conformity and our general standard terms and conditions can be obtained on our website at www.atmosmed.com. • The quality management system applied at ATMOS has been certified according to international standards EN ISO 13485. • Prior to start-up please peruse chapter 2.0 „For your safety“, in order to be prepared for any possible dangerous situations.

These operating instructions are valid for the following devices: ATMOS i View 21 PRO... REF 538.9000.0 Examination microscope with an integrated, fanless, high transmission, high performance LED light source integrated in the microscope head, 30° coupling included ATMOS i View 31 PRO... REF 539.9000.0 Examination microscope with an integrated, fanless, high transmission, high performance LED light source integrated in the microscope head, 30° coupling included

Please keep this document for future consultation!

3

1.0

Introduction

1.2 Intended use Name: ATMOS i View 21 PRO ATMOS i View 31 PRO Main functions: Optical instrument for magnification and illumination of the mouth to the pharynx, the auditory canal to the ear drum, the middle ear and the nasal cavities. It can be used for observation and documentation as well as for the treatment of humans. Medical indications / application: Standard ENT examination for visual inspection in the field of ENT and surgical interventions Specification of the main function: The application organ is illuminated for examination purposes and can be visualized on a monitor if desired by an integrated, fanless high transmission, high performance LED light source, 5-step magnification changer, integrated camera module, pivoting colour filter and an automatic light control via tilt sensor; the light output is min. 120 kLux (200 mm), min. 80 kLux (250 mm), min. 55 kLux (300 mm), min. 30 kLux (400 mm) with a colour temperature of 5.500 K ± 10 %. User profile: Examinations and surgical interventions which are carried out using the microscope may only be performed by doctors with appropriate training. Only qualified personal with a proper hygiene training may prepare the microscope for surgical interventions. Installation and maintenance may only be carried out by service technicians who were trained and authorised by the manufacturer. Patient groups: No restrictions Application organ: Mouth to pharynx, auditory canal to the ear drum the middle ear and the nasal cavities Application time: Short term use on the patient (up to 30 days) Application site: Application sites are clinics, practices and operating rooms for ENT doctors and phoniatrists as well as temporal bone laboratories. The examination with the microscope may only be executed by medically trained persons. The microscope may only be used in closed rooms, on firm ground, wall-mounted, ceiling-mounted or mounted to ATMOS ENT units. In ORs an appropriate protective sleeve must be used. Contraindications: • No application in ophthalmology. • Do not use the ATMOS i View PRO on seated patients in combination with an objective (focal length of 200 mm to 300 mm). The product is: active Sterility: The microscope is not a sterile product. Single-use product / reprocessing: The microscope is intended for multiple use. The device and part of the accessories are reusable. For information on reprocessing and disinfection, please see the operating instructions.

4

1.0

Introduction

1.3 Function The ATMOS i View PRO is a complete microscope system, consisting of optics and lighting. It produces outstanding pictures for examination purposes with the use of latest LED technology and patent registered optics. The interaction between the integrated fanless, high transmission, high performance LED, the apochromatic optics and the precisely fitting options offer best working quality. The ergonomically assorted buttons, two selectable hand grips and the integrated control panel provides the user with highest level of ergonomic comfort and suitability for daily use as well as an outstanding and intuitive handling. Via the control panel the individual options of the ATMOS i View PRO can be activated. Besides the triggering of the camera (freeze frame) and starting / stopping of possible video sequences, the operator is capable of manually switching the LED light source on and off despite the activated automatic light control. Due to the variety of options which the ATMOS i View PRO has to offer, the user is in a position to configure a microscope to suit his requirements. The following functions can be chosen optionally: • 4 lenses with different focal distances (200, 250, 300 and 400 mm) with or without fine focussing or a VarioFocus 200-350 mm (easy exchange of the lenses due to the respective thread on the microscope head) • Binocular straight lens tube, binocular angled lens tube and binocular swivel tube, simple adaption due to the dove tail fixation (0° or 45° angled) • Pivoting colour filter • Measuring scale • Shadowless illumination Due to the LED light source and the integrable camera solution (SD or HD integrated respectively as HD or endoscope adapter for the connection of an external camera) the ATMOS i View PRO is a guarantor for best image quality. In connection with the mechanical support arm and the numerous connection possibilities to units and stands the ATMOS i View PRO offers countless system possibilities, which can be individually adapted to suit the users environment! These operating instructions describe all functions at maximum configuration of the ATMOS i View 31 PRO.

5

1.0

Introduction

1.4 Explanation of pictures and symbols

Short cuts / symbols contained in these operating instructions

Follow the arrows

■

General information

Move, plug... in this direction

Please press where dot indicates

●

Numeration

Turn, shift... in this direction

Check

Replace

Please read, important information

click

Engage, check correct fit

Graphic symbols contained in these operating instructions

!

Warning, special diligent notice

Important information



Symbols ATMOS i View PRO SN

2

REF

Serial number

Order number

Manufacturing date

Manufacturer

Observe operating instructions!

Observe operating instructions!

Weight adjustment for the carrier arm

Professional disposal

Alternating current

Fuse

Single use product - not for reuse. Exchange after use.

This product complies with the relevant requirements of EU Directives

Do not look directly into the light source of the ATMOS i View

The carrier arm of the mobile stand must be brought into a position suitable for transport. Do not lean against the device.

Control panel ATMOS i View 31 PRO Change between stroboscope - permanent light With an integrated HD camera: Adjusting the light mode of the camera

Schutzvermerk (Copyright notice) DIN ISO16016

Light on / off (independent of automatic light control) weiß transparent RAL 5005 Signalblau RAL 3001 Signalrot schwarz

Video recording (start / stop)

Freeze frame

nicht bemaßte Radien R5 A4

Alle Maße in mm/ all dimensions in mm Allgemeintoleranzen/ Generaltolerances DIN ISO 2768 - mK

Datum

6

02

9576/13

22.11.13

01

9463/13

15.07.13

OEI

Datum (date)

Name (name)

Zust.

(index)

Änderung (revision)

Name

Erstellt 24.07.13

O.Eirich

Bearb.

09.01.14

C.Reinhardt

Gepr.

09.01.14 C.Reinhardt

OEI

MedizinTechnik

Maßstab (scale) 1:1

Konstr. Nr.

3M Folie7876EC+Laminat 7730FL

ATMOS Medizin Technik GmbH & Co.KG Ludwig - Kegel - Str. 16 79853 Lenzkirch / Germany Tel: +497653689-0 Fax: +497653689-190 [email protected] www.atmosmed.de

Benennung (description)

Schild Transportst. Mikolp

Label transport position Mikolp Zeichnungs / Artikel-Nr. (part no.) Ers.f.:

060.0604.0 Ers.d.:

Blatt (sheet) 1

Bl.1/1

1.0

Introduction

Control device ATMOS i View 21 PRO Potential equalisation acc. to IEC 604175021

Output of the power supply for the electronics in the microscope Fuse Control device ATMOS i View 31 PRO Fuse

Potential equalisation acc. to IEC 604175021

Microscope

Foot switch

Record function

Freeze

Triggering signal from ATMOS Strobo 21 LED HD camera: not in use

Output signals of the tilt sensor in the carrier arm system Video In Extern 2

Video In Intern 1

USB port S-video-output (not with an integrated HD camera) Video In Intern 1

Video In Extern 2

Strobo

Out 1

Input video signal Internal / External (only with an integrated HD camera) Output video signal (only with an integrated HD camera) Out 1

Strobo Video Out Out 2 Out 3

Sensor

Video Out Out 2

Foot Switch

Out 3

100 - 240V~ 2 x T 3,15A

Foot Switch Record Freeze

PC/USB

Microscope

100 - 240V~ 2 x T 3,15A

Sensor Record Freeze PC/USB

1.5 Scope of supply

Microscope

• Prior to dispatch, the ATMOS i View PRO was subjected to an extensive functional test and was carefully packed. Nevertheless, please compare the contents of the shipment on completeness immediately upon receipt (see delivery note).

Microscope

Microscope arm

Operating Instructions

Protective cover

1.6 Transport and storage • After the transport of the ATMOS i View PRO in temperatures below 0°C or prior to first start up it should be kept at room temperature for at least six hours. If the ATMOS i View is not acclimatized it may not be used as damages to the electronic components could occur. Only transport the device in a shipping carton, which is padded and offers sufficient protection. If damage occurs during transport: • Document and report the transport damage. • Send the device to ATMOS (Chapter „6.2 Sending in the device“ on page 24).

Ambient conditions: • Transport / storage: -- -10...+50 °C; -- 30...95 % humidity no condensation -- at an air pressure of 500...1060 hPa • Operation: -- +10...+35 °C; -- 30...95 % humidity no condensation -- at an air pressure of 700...1060 hPa

7

2.0

For your safety

!

For your safety • To safely disconnect the unit from the mains, the power cord must be removed from the IEC connector of the control device! • The ATMOS i View PRO is a device designed in line with IEC 60601-1-1/EN60601-1 and it is a device with protection class I. In order to avoid the RISK of electrical shock, this unit may only be connected to a mains supply with properly installed earth conductor. • Power cables, accessories and access cables need to be checked for defects prior to setting up the ATMOS i View PRO. Defect cables must be replaced immediately. • The ATMOS i View PRO may only be operated by qualified personnel. • The ATMOS i View PRO is not designed to be used in an explosion-hazardous environment. Explosionhazardous areas may be caused by the use of flammable anaesthetics, skin cleansing products and skin disinfectants. • The ATMOS i View PRO may be operated only in rooms used for medical purposes, but not in areas subject to explosion hazards and in oxygen rich environments. • If fluids penetrated the ATMOS i View PRO it needs to be sent in and may only be used after the check up of an ATMOS authorised person. • After the transport of the ATMOS i View PRO in temperatures below 0°C or prior to first start up it should be kept at room temperature for at least six hours. If the ATMOS i View PRO is not acclimatised it may not be used. • Do not plug in electric connections (plug, socket) under the use of force. If this is not possible check whether the plug fits the socket. If you should ascertain a defect in the connection you should have it repaired by our service. • Never look straight into the sun with lenses or eye lenses. • Always make sure that you do not blind patients with the light source! Watch out that patients do not look directly into the light source! Never look directly into the light source! > Damage to the eyes due to the strong glare. • Please pay attention to the period tests in chapter 6 „Service and maintenance“ on page 24. • Prior to every use the microscope suspension (all joints included) need to be checked for safe connections. • Take care that the patient does not touch the device or have any contact with it. • Please note that only the ATMOS Strobo 21 LED may be connected to the strobe port of the ATMOS i View PRO! • Please observe the EMC Directives. Failure to follow this guideline can result in a hazard. • Dispose of wrappings accordingly. • Before connecting the ATMOS i View PRO it needs to be checked whether the requested mains voltage of the ATMOS i View PRO matches the mains voltage of the

8

mains power supply. • Only proper and undamaged plugs and extension cables may be used. • To disconnect the ATMOS i View PRO from the power supply, the power cable must be removed from the wall outlet. Only then can the connection cable from the ATMOS i View PRO be disconnected. Never touch plug or line with wet hands. • Please observe the ambient conditions stated in the technical data (chapter 9.0). • The ATMOS i View PRO complies with the electromagnetic immunity requirements of standard IEC 60601-1-2 / EN 60601-1-2 „Electromagnetic Compatibility Medical Electrical Devices“. • ATMOS is not liable for personal injury and damage to property if -- no original ATMOS parts are being used, -- the advice for use in these operating instructions is not being observed, -- assembly, new settings, alterations, extensions and repairs have been carried out by personnel not authorised by ATMOS. • Unplug the device immediately if you observe fumes, sparks or weird noises. • After a longer use of the ATMOS i View PRO in connection with an ear speculum the patient may feel dizzy! • With every light source a warming of tissue due to absorption may occur. Please make sure to reduce duration of use to a minimum, to switch off the light source when not in use and to check heat development if necessary. • Take into consideration, when setting up the microscope, that the elastic force of the arm – without microscope head – is exceedingly strong. Operate the break of the height adjustment carefully. • Risk of injury! Take care not to roll the mobile stand over your feet when moving the stand. • Please note that only PCs and monitors with IEC 6060101/EN 60601-1 approval may be connected to the video outlet of the ATMOS i View PRO supply module! • During operation, the user is obliged to regularly check the microscope for proper function. In the unlikely event of failure the user must take precautions to continue the treatment of the patient with suitable methods. • Make sure that the unit is positioned so that all the controls and the on/off switch are always accessible.

3.0

Setting up and starting up

3.1 Overview ATMOS i View 21 PRO

ATMOS i View 31 PRO

Examination microscope with an integrated, fanless, high transmission, high performance LED light in the microscope head

Examination microscope with an integrated, fanless, high transmission, high performance LED light in the microscope head













Measuring scale

optional

optional

Integrated operating panel

optional

optional

Stroboscope mode

-

optional

Colour filter

optional

optional

Integrated camera

-

optional SD camera or optional HD camera

45° angled tube

optional

optional

Swivel tube 0-220°

optional

optional

Binocular rotary disk

optional

optional

HD adapter for an external camera

-

optional

Endoscope adapter

-

optional

Mains voltage

100–240 V

100–240 V

Light output

min. 120 kLux (200 mm) min. 80 kLux (250mm) min. 55 kLux (300 mm) min. 30 kLux (400 mm)

min. 120 kLux (200 mm) min. 80 kLux (250mm) min. 55 kLux (300 mm) min. 30 kLux (400 mm)

50,000 hours

50,000 hours

Colour temperature

5.500 K ± 10 %

5.500 K ± 10 %

Scope of delivery

Dust cover, operating instructions

Dust cover, operating instructions

Description Integrated high performance white light LED Automatic light control Optimised stereo effect

Operating life of the LED

9

3.0

Setting up and starting up

3.2 Assembly !

Please make sure that the static conditions stated by ATMOS MedizinTechnik are met (for details see the separately enclosed document „Static requirements for installing the ATMOS i View“). The fulfilment of these requirements must be confirmed by an authorized expert. Mains voltage and fuse: Mains voltage: 100-240 V; 50/ 60 Hz, fuse: 2 x T 3.15 A Please note that only PCs and monitors with IEC 606010-1/EN 60601-1 approval may be connected to the video outlet of the ATMOS i View PRO supply module! Please note that only the ATMOS Strobo 21 LED may be connected to the strobe port of the ATMOS i View PRO!

3.2.1 Connection to the mains supply Potential equalisation: The ATMOS i View supply module has a rear connection for potential equalisation which can be connected to the potential equalisation rail in the room if need be. Hereby user/patient safety can be increased especially in the case of a defective earth conductor. For connecting the device's potential equalisation plug with the potential equalisation rail of the room, use the potential equalisation cord with REF 530.0030.0.

3.2.2 Microscope overview Binocular tube with wide field eyepiece lenses HD adapter for SONY digital camera (optional)

Brake of the coupling Lateral double hand grip (optional)

Lens with fine focussing (optional)

5-fold magnification changer Pivoting colour filter (optional)

Control panel (optional)

T-hand grip (optional) Brightness control

10

Measuring scale (optional) Endoscope adapter (optional)

3.0

Setting up and starting up

3.2.3 Operating elements at the microscope Mode display “permanent light“

LED LED

STROBO STROBO

Video recording (start / stop)

Display of the „stroboscope“ mode - by pressing the MODE button again, the mode switches from „permanent light“ to „stroboscopy“. In this mode the integrated LED is controlled by the connected ATMOS Strobo 21 LED.

AFD AFD

Light on / off (independent of automatic light control)

MODE

Freeze frame

Display of the „permanent light“ mode - by pressing the MODE button a single time, the „permanent light“ mode can be switched on.

Mode display “stroboscope“

Switch stroboscope - permanent light With an integrated HD camera: Adjusting the light mode of the camera

3.2.4 Rear view of the control device of the ATMOS i View 21 PRO

Alle Maßein mm all dimensions in mm Allgemeintoleranzen / Generaltolerances DIN ISO 2768 - mK über 30 mm ±0,3

Connection for potential equalization performance acc. to IEC 60417-5021

Maßstab (scale) 1:1

IEC power plug with fuse inlay for the connection to the mains power supply Schutzvermerk DIN ISO16016

Output of the power supply for the electronics in the microscope

Konstr. - Nr:Mikolp-200-001.

Werkstoff (material) -

3.2.5 Rear view of theName control device of the ATMOS i View 31 PRO (not with an integrated HD camera) Datum Benennung (designation)

S-Video-output of Tasterfolie the integrated SD

Erstellt 27.03.3013 C.Reinhardt OutputBearb. signal of Output signals of

the „video Gepr.record function“

Datum (date)

Name (name)

MedizinTechnik

the tilt sensor in the carrier arm system

ATMOS Medizin Technik GmbH & Co.KG Ludwig - Kegel - Str.12, 14-16, 18 79853 Lenzkirch / Germany Tel: +497653689-0 Fax: +497653689-190 [email protected] www.atmosmed.de

Connection for potential equalization performance acc. to IEC 60417-5021

camera

Zeichnungs / Artikel-Nr. (partno.) Ers.f.:

USB port for the transfer Output signal of of the key status of the „Freeze frame the „Freeze frame “- function“ and „Video recording -functions“.

060.0621.0

IEC power plug with fuse inlay for the connection to the mains power supply

Blatt (sheet) 1

Ers.d.:

Output of the triggering signal of the ATMOS Strobo 21 LED

Connection for the supply to the microscope electronics and control performance.

Connection to the foot switch for switching between the light channels

11

3.0

Setting up and starting up

3.2.6 Rear view of the control device of the ATMOS i View 31 PRO with an integrated HD camera HD video input. Can only be used for the HD camera module

HD video input from an external HD video source

Video In Extern 2

Video In Intern 1

Strobo

HD video outlet from the video source internal 1 or external 2

Out 1

Video Out Out 2

Connection to the foot switch for switching between the light channels

IEC power plug with fuse inlay for the connection to the mains power supply

Foot Switch Out 3

100 - 240V~ 2 x T 3,15A

Sensor Record Freeze PC/USB

Microscope

Connection for the supply of the microscope electronics and the control performance.

not in use

Output signal of Output signal of Output signals of the tilt sensor in the the „Video record the „Freeze frame function“ carrier arm system function“

PC connection (optional)

Connection for potential equalization performance acc. to IEC 60417-5021

3.3 Integration options Please note the assembly instructions for the integration options.

!

Mobile stand PRO When moving the roller stand please make sure that the microscope arm is in a retracted position and the screws are tightened. Risk of injury! Take care not to roll the mobile stand over your feet when moving the stand. When the device is placed in the working position the brakes must be locked. Only monitors which do not exceed the following specifications can be adapted to the mobile stand. Maximum dimensions H x W x D: 60 x 40 x 10 cm, weight: 9.8 kg The stability of the mobile stand cannot be guaranteed for monitors which do not match these specifications. Wall stand Affix to wall by use of a guide rail. The mounting of the microscope head is height adjustable. Recommendation: Please use a water level to align the wall stand!

!

Ceiling mount Mounting with mounting plate and pipe system on the ceiling. The structural requirements must be met. The ceiling mount is suitable for receiving the ATMOS i View PRO and a monitor up to 10.5 kg. Only the supply module of the ATMOS i View PRO and the monitor may be connected to the power supply of the ceiling mount. Risk of injury! Do not burden the ceiling support with additional weight. Do not lean against the carrier arm or microscope and do not hang any objects on it. The ceiling mount can otherwise crash and you or patients can be seriously injured!

12

3.0

Setting up and starting up

3.4 Starting up • Remove the microscope from the packaging. Check whether the mains current on the type label corresponds to the mains power supply. • Check the scope of delivery. • Peruse safety information in part 2.0 prior to starting up the device for the first time. • After the transport of the microscope in temperatures below 0°C it must be kept at room temperature for at least six hours. If the microscope is not acclimatized it must not be used. • Consider, when setting up the microscope, that the elastic force of the arm – without microscope head – is exceedingly strong. Operate the break of the height adjustment carefully. • To activate the ATMOS i View PRO please use the power switch on the front side of the control device.

3.5 Operating requirements Please note that following the installation of the device, the following requirements are met for further operation of the device:

!

• All joints and connection parts which are responsible for the safety of the device are securely fastened. • All electronic connections (cables, plugs, power cables etc.) are in good order and condition. • The specified mains voltage and frequency on the microscope corresponds to the supply network. • The microscope is connected to a safety connection socket with the provided mains cable. Attention, never point or direct the beam into the patients eyes. Do not look directly into the light source. • With every light source a warming of tissue due to radiation and absorption could occur. This could result in damage to the biological tissue. Please keep the luminosity and duration of use to a minimum. Switch off the light source when not in use and check the heat development if necessary.

13

3.0

Setting up and starting up

3.6 Starting up at a glance Adjust microscope to initial position on the microscope suspension by use of the fixing wheel. Adjust microscope horizontally and vertically. Adjust all the clamps on the carrier and float arm to secure the movability of the arm in compliance with the requirements. Swing in microscope into the working space. Adjust the interocular distance by pressing or pulling the lens tubes together or apart. The interocular distance is perfectly adjusted when you look through and a circular picture is perceived! Adjusting the eyepieces. Persons without glasses Eyepieces remain in initial position (eyepieces are pulled out). Dioptre scale adjusted to zero

Persons with glasses People with defective vision and glasses

People with defective vision without glasses (refraction values known)

People with defective vision without glasses (refraction values unknown)

Keep glasses on, push eyepieces in direction of the lens tube until they engage audibly. Adjust dioptre scale to zero.

Remove glasses and adjust dioptre scale to matching number (eyepieces are pulled out).

Remove glasses and adjust both eyepieces to +5 dpt. Remove the lens tube from the microscope head and focus on an object* in the distance. The object still looks blurred. Turn the dioptre ring of the first eyepiece slowly in clockwise direction until the object is sharp. Keep your other eye closed while adjusting the eyepiece. Repeat this procedure for a couple of times to determine an average value. Adjust the second eyepiece by the same procedure and reattach the lens tubes to the microscope head with the connective screw (eyepieces are pulled out). * Never use the sun as an object!

Set the 5-fold magnification changer unit to maximum zoom (2.0). Approach the object with the microscope (according to the chosen focal distance) until the image is sharp. If the zoom level is changed the grade of sharpness is retained. Brightness can be adjusted by the rotary knob on the bottom of the device if necessary.

14

4.0

Operation 4.1 Microscope suspension

Rotating knob Adjusting screws

By means of a corresponding suspension the microscope head is connected laterally to the microscope arm. The complete range of cables run through the suspension therefore no disturbing cables are visible from the outside (with the exception of the connection to the HD adapter and direct connection to a monitor). Due to a rotating knob, which is situated on the side of the suspension, the microscope can be adjusted vertically to suit the individual requirements of the user. The 30° swivel unit allows to rotate the microscope head around its own axis and sway it to the side. The „weightless motion brake“ included into the 30° swivel unit provides a sensitive, individual adjustment of the motion strength, so that the microscope head remains in every position, even with installed accessories and thus enables you to continue with the examination. To fix the microscope head turn the rotating knob towards you in a clockwise direction. To loosen the microscope head turn the rotating knob towards you counter-clockwise. Attention: Check the secure connection of the microscope to the suspension prior to every use!

4.2 Mechanical arm The mechanical microscope arm can be adjusted via four set screws according to the individual requirements of the user. Choose the strength of the clamping so that the free movement of the arm suits your requirements. Turn the set screw in clockwise direction to fix the arm. To loosen the arm turn counter-clockwise. To align the arm please observe the assembly instructions for the integration possibilities. Attention: Prior to use ensure that the brakes of the support arm are set correctly. Automatic light switching: Once the arm is in the upper position the LED light switches off automatically.

4.3 Hand grips When purchasing the ATMOS i View PRO you may choose between two versions of handles.

4.3.1 T-hand grip (see figure)

4.3.2 Lateral double hand grip The position of the lateral double hand grip can be gradually adjusted by simultaneously pulling and turning the handle (see figure).

15

4.0

Operation 4.4 Adjusting the interocular distance The interocular distance is adjustable between 50-75 mm. • Swivel the microscope into the work space. • Look through the eye lenses and push or pull the eye lens tubes together or apart with both hands. The interocular distance is perfectly adjusted when you look through with both eyes and a circular field is visible!

4.5 Adjusting the eye pieces Persons without glasses: • Eyepieces remain in initial position. Initial position = The eye steering of the eyepieces are pulled out. • Make sure that the zero of the dioptre scale complies with the index on the eyepieces. Persons with glasses: • People with defective vision and glasses keep their glasses on and push the eyepieces in direction of the lens tube until they engage audibly. Adjust dioptre scale to zero. • People with defective vision (with known refraction values)should take their glasses off and adjust the dioptre scale on the eyepieces to the matching number (the eye steering of the eyepieces are pulled out). The process of focussing is performed as described in Chapter 4.9. • People with defective vision without glasses adjust both eyepieces to +5 dpt. Remove the binocular tube and the eyepiece from the microscope head and focus on a distant object*. The object still looks blurred. Slowly turn the dioptre ring of the first eyepiece in clockwise direction until the object is sharp. The other eye must remain closed. Repeat this procedure for a couple of times in order to determine on an average value. Adjust the second eyepiece by the same procedure. Reattach the lens tubes to the microscope head with the connective screw. The process of focussing is performed as described in Chapter 4.10. * Never use the sun as an object!

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Operation 4.6 Exchanging the lenses The designated thread on the microscope head allows for easy exchange and fixation of the different lenses. Due to the integrated screw mount lenses can be loosened by turning it to the left hand side and fixated by turning it to the right.

4.7 Exchanging the lenses with manual fine focussing Mount lens as described above and secure it with the intermediate screwed ring. Lens

4.8 Exchanging the VarioFocus lens To loosen the VarioFocus lens from the microscope head, turn it to the left. To tighten the VarioFocus lens on the microscope head, turn it to the right onto the thread.

Setting dial

Position the setting dial The dial can be positioned on either side of the VarioFocus lens. Attention! During the process firmly hold the VarioFocus lens just in case it may loosen itself from the microscope head and fall off. Loosen the three grub screws on the lens. Continue to hold the lens and turn the setting dial in the desired position. Tighten the three grub screws.

Grub screw

4.9 Adjustment of the 5-fold magnification changer

5 fold magnification changer

The 5-fold magnification changer from ATMOS enables free range zoom between 0.5x up to 2.0x. • Select the desired zoom factor by selecting one of the lateral rotating knobs. • Pay attention that the chosen zoom factor engages audibly with the groove. • Freely adjustable zoom factors: 2.0 - 1.4 - 1.0 - 0.7 0.5. • The magnification which points in the direction of the eyepieces is the current magnification.

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Operation 4.10 Focussing • Adjust the zoom to maximum (2.0) on the magnification unit. • Approach the object with the microscope until the image is sharp. • If the zoom level is changed the pre-adjusted degree of sharpness is still maintained.

4.10.1 Fine-focussing The optional fine focussing allows for sensitive and precise focussing in a 17 mm range. Fine focussing is necessary in order to focus accurately while zooming in. • Replace the mounted lens with the appropriate lens for fine focussing (simple mounting due to the screw mount at the microscope head. Secure with the intermediate screwed ring). • Conduct the focussing as described above. • Adjust focus by use of the lateral adjusting disk.

Fine focussing

Binocular straight lens tube

Binocular angled lens tube 45°

Undo screw

Undo screw

4.11 Exchanging the binocular tube The tubes focal distance of 200 mm allows for a comfortable and fatigue-proof observation of the object with both eyes. Working is made easier due to the exceptionally large exit pupil and an increased stereo base of 24 mm. Please hold the lens tube with one hand while loosening the screw. Otherwise the lens tube could drop. • Loosen the screw on top of the lens tube and remove the tubes from the microscope head. • Make sure that the gudgeons and grooves of the dove tail fixation engage and the tubes lie flat. • Tighten the screw again. • Check for a secure fit.

4.12 Binocular rotary disk with detent The rotary disk allows to raise the swivel tube at an angled position of the microscope head and should therefore simplify to look through the tubes. If the tubes are rotated over the detent a loss of light or vignetting could occur.

4.13 Pivoting colour filter The pivoting colour filter enhances contrast of the microscopic picture for better visibility of vessel structures. • Turn the function knob by 90° in clockwise direction to swing in the colour filter. • By turning the knob by 90° in an anti-clockwise direction the filter is removed from the optical beam path of the microscope.

Pivoting colour filter

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Operation

4.14 Shadowless illumination The option shadowless illumination prevents instruments from causing shadows in the field of view. This option cannot be retrofitted. • For the shadowless illumination no operating steps are required.

4.15 Microscope zoom and object field size Lens f in mm equals the approximate working distance

Factor display on the magnification unit 0.5

0.7

1*

1.4

2.0

Eyepieces with lens tubes f = 160 mm

Total zoom / visual field Ø in mm

200

4 / 50

5.6 / 35

8 / 25

11.2 / 18

16 / 12.5

10 x

250

3.2 / 63

4.5 / 45

6.4 / 31

9 / 22

12.8 / 16

10 x

300

2.7 / 75

3.7 / 54

5.3 / 38

7.5 / 27

10.7 / 19

10 x

400

2 / 100

2.8 / 70

4 / 50

5.6 / 36

8 / 25

10 x

* Read off at factor 1 when using the microscope zoom without the zoom unit.

4.16 Measuring scale

20 mm 10 mm

0.5 mm

2 mm 2 mm 5 mm This figure is for guidance only and may not be used for measuring absolute quantities.

Measuring scale

Figure not true to scale

Via a small turning knob beneath the lens a true to scale dimension scale can be faded into the field of the illumination light path. This documentation display enables the measurement of objects regardless of the selected magnification. The scale will be displayed in both the 3D picture and on all camera pictures and if required it can be faded out at any time. • To fade-in the scale turn the knob by 45° in a clockwise direction. • Via a 45° rotation in anti-clockwise direction the scale can be faded out from the path of illumination. The following measures have to be observed: - Distance 2 mm, - Line width 0.5 mm Please note that these specifications are only correct for the following combinations: Measuring scale for 200 mm lenses, 200 mm lenses with or without fine focusing or wide angle eyepieces 10x

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Operation 4.17 Image and video recording Integrated camera: If desired an SD camera or a HD camera can be integrated in the ATMOS i View 31 PRO. External video sources: External video sources can be controlled via the panel buttons if they are connected to the jack plugs “Freeze” and “Record”. Control panel buttons: LED LED

STROBO STROBO

AFD AFD

Save image. Start / stop the recording of a video frequency Adjusting the light mode of the integrated HD camera.

MODE

The data are transmitted to a connected PC (USB interface). The ATMOSoft software can process the data. Only with an integrated HD camera: You can change between the integrated HD camera and external video source by switching the LED light on or off. As soon as the LED light goes off the integrated camera is switched off and the data from the external video source is displayed (Video Out 1 - 3). Also observe this within the automatic light switching.

Schutzvermerk DIN ISO16016

4.17.1 Adjusting the light mode of the integrated HD camera By pressing the MODE button once the current light mode of the integrated HD camera is displayed on the monitor. By pressing the MODE button again the light mode can be changed. Light mode

Display on the monitor

Standard

LED light remains unchanged. When the power is switched on, the default setting is automatically selected.

Center

Alle Maßein mm all dimensions in mm Allgemeintoleranzen / Generaltolerances DIN ISO 2768 - mK über 30 mm ±0,3

Datum

Maßstab (scale) 1:1 Werkstoff (material) Name

Erstellt 27.03.3013 C.Reinhardt Bearb. Gepr.

Datum (date)

Name (name)

20

MedizinTechnik

ATMOS Medizin Technik GmbH & Co.KG Ludwig - Kegel - Str.12, 14-16, 18 79853 Lenzkirch / Germany Tel: +497653689-0 Fax: +497653689-190 [email protected] www.atmosmed.de

LED light will be displayed with less reflections. Konstr. - Nr:Mikolp-200-001. Suitable for recordings through an ear speculum. Warm

LED light appears warmer.

Benennung (designation)

Tasterfolie Zeichnungs / Artikel-Nr. (partno.) Ers.f.:

060.0621.0 Ers.d.:

Blatt (sheet) 1