Carl Zeiss
OPMI PENTERO 800 Quick Guide Sw Rel 1.3 Ver 2.0 Sept 2015
Quick Guide
36 Pages
Preview
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ZEISS
OPMI® PENTERO® 800 Software Release 1.3
Quick Guide G-30-1921-en Version 2.0 2015-09-07
OPMI® PENTERO® 800
The present Quick Guide is just an excerpt of the full User Manual. The present Quick Guide cannot act as a substitute for the User Manual. Therefore, please familiarize yourself first with the explanations and warning notices of the full User Manual G-30-1922.
Key to symbols Carefully read the User Manual (G-30-1922). G-30-1922
Additional information and tips OPMI® and PENTERO® are registered trademarks of ZEISS. AutoDrape™, Superlux, FlexiTrack™ and MultiVision are trademarks of ZEISS.
Subject to change in design and scope of delivery as well as technical development. Printed in Germany Copyright
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© Carl Zeiss Meditec AG 2015 All rights reserved. Reprints and reproductions - including excerpts - are not permissible. However, this user manual may be digitized and archived for internal use. Access to this data by third parties is not permissible and must be prevented.
Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
Contents Overview
Page 4
Preparations for use
Page 6
Switching the device on Positioning the microscope Positioning the system on the OR table Attaching the drapes Balancing the system Central control interface (touchscreen) Adjusting the focus light Setting the illumination Attaching the tube and eyepieces Attaching the documentation/coobservation equipment Setting the handgrip position Adjusting the tubes and eyepieces Adjusting the surgical microscope Configuring the handgrips Configuring the foot switch Pairing with wireless foot control panel (FCP WL) Setting the focus and zoom speed Exporting patient data to USB/DICOM External monitor, connecting Procedure in the event of faults Failure of the illumination - replacing the Xenon lamp Failure of the zoom function Failure of the focus function Failure or blocking of the brakes Failure of the touchscreen Failure of the computer (with mains voltage being present) Error messages in the data injection Failure of the line voltage Failure of all control functions (LIGHT ONLY mode) Blocking individual magnetic brakes
Version 2.0 G-30-1921-en
Page 6 Page 7 Page 8 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 26 Page 27 Page 27 Page 28 Page 29 Page 30 Page 30 Page 31 Page 31 Page 32 Page 33 Page 34
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OPMI® PENTERO® 800
System overview of OPMI PENTERO 800
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
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Movement of the microscope Programmable buttons (default: illumination + ) Programmable buttons (default: Illumination - ) Adjusting the focus +/- (configurable: Set zoom +/-) Adjusting the zoom +/- (configurable: Set focus +/-) Joystick: Adjusting the OPMI in X/Y direction Programmable buttons (default: Autofocus) Programmable buttons (default: take photo) Release/set magnetic brakes for selected axes (SB) Release/set magnetic brakes for all axes (AB) Connect USB storage media (2x USB connectors) Changing the Xenon lamp / Exchanging the lamp container Holder for external mini-HDD USB Connecting the external navigation system Connecting the LAN Connecting a foot control panel, foot button or OR-chair Connecting the foot rocker switch AUX-socket; for control of an external device Connect foot control panel (FCP or FCP WL) Video input (e.g. for connecting endoscope camera) Miniature circuit breaker Switch for LIGHT ONLY operation (remove door) Main voltage display Power output Power connection(115/230V) Power switch; turn on device Connecting device to equipotential bonding Video signal outputs(connect external monitor) Press stop button - lock stand in place Setting for straight forward traveling Indicator light, UPS Suspension arm Support arm (for touchscreen) Console Stand base Suspension arm
Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
11.13
12
33
10
9
8
7
6
5
4
3
2
1
36
1615
14
17 18 19 20
32
21 34
22
35
SD HD
28 23
27 24
31
26
25 STOP 29
Version 2.0 G-30-1921-en
30
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OPMI® PENTERO® 800
Preparations for use Switching the device on Before you power up this device, it is essential to read the chapters on "Safety measures" and "Preparations for use of the device" in the Instructions for Use G-30-1922. Uninterruptible power supply (UPS) During initial start-up or after longer rest periods, we recommend the following: Leave the power cable of the device plugged into the power supply until the UPS is fully charged, i.e., the UPS charge indicator (4) is illuminated in green.
4
On / Off
3 2
1
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Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
Positioning the microscope For safety reasons, the system may be used in a perfectly balanced condition only. Before you use this device, it is essential to read the chapter on "Preparations for use of the device" in the Instructions for Use, G-30-1922! AB
release all magnetic brakes.
Select the axes to be released when you press the SB button (1) on the handgrip. Select from the following: SB
Axis 1-2-3
Stand axes (standard)
SB
Axis 4-5-6
Microscope axes
Axis 6 G-30-1922
Axis 3
1 SB
Axis 5 Axis 2
AB
Axis 4
Axis 3
MENU
OPMI LIGHT
30. 12. 04 17:56 User: XXXXXXXX Patient: XXXXXXX Recorder capacity: Int:...% Ext:...%
FOOT SWITCH HAND Brake mode Hand grip button SB
MOTOR-
BRAKES
Axis 1-2-3 Axis 4-5-6
STAND AUDIO/VIDEO FLUORE-
PAT DATA
MULTIVISION
Axis 1
USER
SYSTEMINFO
CONFI
Version 2.0 G-30-1921-en
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OPMI® PENTERO® 800
Positioning the system at the operating table The stand is equipped with a grip that can be used to easily and safely guide the system when re-positioning or shifting its position. For this purpose, please use this handle exclusively. The stand base features the new FlexiTrak technology which simplifies the shifting and re-positioning of the system in the OR significantly. Two additional control buttons on the stand base allow you to conveniently select the desired moving status:
1
2
–
If no button was pressed: Exact and sensitive positioning in the OR and on the OR table in any direction with little force.
–
If the right button (2) was pressed strongly until it snaps in place: Safe and exact straight-ahead travel even over small doorsteps or elevator entrances. Pressing this button until it snaps in place sets one of the front casters for straight travel. The other casters remain steerable. By lightly pressing button (1), all four casters are rendered steerable again.
–
Pressing the left button (1) to the stop locks the stand base to prevent it from shifting and rolling away inadvertently. You should press this button once the device has been moved to its final position on the OR table.
3 Possible positions for cranial interventions 4 Possible positions for face-to-face (spine) interventions 5 6
Surgeon Assistant
The system is capable of overhead operation and can therefore be positioned freely behind the surgeon or assistant. •
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Position the system such that it can be moved away from the patient at any time.
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OPMI® PENTERO® 800
5
6 3
6 4 5
Version 2.0 G-30-1921-en
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OPMI® PENTERO® 800
Attaching the drapes
G-30-1922
When applying the drapes, please ensure that there is sufficient space for swivel, tilt and rotation movements of the surgical microscope. Observe the instructions for use for the sterile drape and make sure that the drape is attached in such a way that sterility is not impaired (see sterile area in the illustration on the next page). Effective area of the drape suction system
1
Sterile area Non-sterile Division
PHOTO
MENU
FOCUS
ZOOM
359 mm
5.9x
FOCUS SPEED
ZOOM SPEED
LIGHT
33%
FREEZE 30. 01. 04 User:
17:56
2
XXXXXXXX
DRAPE
Patient: XXXXXXX Recorder capacity:
AUTOBALANCE
Int:...% Ext:...%
REC START PAT-Files SPRACH-STRG USER
CONFIG
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FOCUS LIGHT FULL SCREEN MAXIMUM LIGHT
Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
Balancing the system
G-30-1922
It is essential to comply with the procedure described in "Balancing the system" in the Instructions for Use. For safety reasons, the system may be used in a perfectly balanced condition only. Balancing and the subsequent test may not be carried out when the system is positioned over the patient and may be done only at a safe distance from other persons and devices.
SB
AB
•
For this step, hold the microscope by both hand grips.
•
Release the magnetic brakes (AB) and swing out the microscope until the indicator (1) is in the center of the blue field (2). Subsequently, you can "autobalance" the complete system.
PHOTO MENU FREEZE FRAME 30. 01. 04 User:
17:56
Patient: Recorder capacity:
Autobalance Whole System
START
Autobalance microscope
START
Drape compensation
START
DRAPE
XXXXXXXX XXXXXXX
Autobalance
AUTOBALANCE
STOP
Int:...% Ext:...%
REC START PAT-Files
USER
2
FOCUS LIGHT
FULL SCREEN CONFIG
1
SPEECH-CTRL
Mouth switch fine adjustment
0 CLOSE
Mouth switch fine adjustment
G-30-1922
Version 2.0 G-30-1921-en
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OPMI® PENTERO® 800
Central user interface (touchscreen)
Start
MENU
PAT-DATA
USER
CONFIG
For detailed information on the sub-menus and configuration of sub-menus, please refer to the Instructions for Use G-30-1922.
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Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
Focus-light adjustment Safety feature intended to prevent possible tissue damage due to excessive illumination intensity. The focus-light control regulates the illumination intensity as a function of working distance. At the minimal working distance of 200 mm, the illumination intensity is limited to max. 25%. With increasing working distance, increasingly more light is made available to the user. The actual maximal illumination intensity that is available as a function of the working distance is displayed by a blue bar (1) in the light control unit. The illumination intensity can be changed within the blue adjustment range shown, but not beyond.
G-30-1922
The focus-light control is always turned on by default as per factory settings and after each system start.
PHOTO
MENU
FOCUS
ZOOM
359 mm
5.9x
STILL IMAGE
LIGHT ON/OFF
DRAPE
33%
17:56
30. 01. 04 User: XXXXXXXX Patient:
LIGHT
33%
XXXXXXX Recording capacity: Int:...% Ext:...%
AUTOBALANCE
1
REC START PAT-DATA SPEECH-CTRL USER
CONFIG
2
FOCUS-LIGHT
FULL SCREEN FOCUS SPEED
ZOOM SPEED
*
3 4
Caution! High light intensity at small working distances can lead to tissue damage! Do you really want to turn off the focus-light control?
*) LIGHT INTENSITY FOCUS-LIGHT adjustment is inactive
Version 2.0 G-30-1921-en
YES
NO
*) MAXIMUM LIGHT FOCUS-LIGHT adjustment is active
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OPMI® PENTERO® 800
Setting the illumination Please read the section on "Possible burn injury due to high illumination intensity" of the chapter, "Safety measures", in the Instructions for Use G-30-1922. G-30-1922
Setting the illumination on the touchscreen
MENU
PHOT
FOCUS
359 mm
ZOOM
LIGHT ON/OFF
FREEZE 30. 30 June 0417:56 User: XXXXXXXX Patient: XXXXXXX Recorder capacity: Int:...% Ext:...%
LIGHT
5.9x
DRAPE
46%
LIGHT 3 ON/OFF
AUTOBALANCE
REC START PAT DATA SPEACH-STRG USER
CONFIG
2
Focus light FULL FOCUS SPEED
ZOOM SPEED
LIGHT INTENSITY
1 Setting the illumination in the "Light" configuration menu
LIGHT
MENU
OPMI LIGHT
30. 12. 0417:56 User: XXXXXXXX Patient: XXXXXXX Recorder capacity: Int:...% Ext:...%
AUDIO/VIDEO
PAT DATA MULTIVISION USER
Brightness Speed
Automatic Limitation of the illumi-
A
Low
On
Off
Me-
Off
STAND
FLUORES-
G-30-1922
Light
High Threshold value
25%
Intensity Start Value
24%
Remaining Lamp lifetime
200h Lamp 2 in use
Yes
SYSTEMINFO
CONFIG
Page 14
Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
Attaching the tube and eyepieces Exchange assemblies and accessories prior to the operation and with no patient being present!
•
Unscrew the fastening screw (8) rotating it several turns.
•
Remove the cover (4).
•
Place the spine adapter (3) on the microscope body and tighten the fastening screw (8) .
•
Place the binocular tube (2) on the spine adapter (3) and tighten the fastening screw (7) .
•
Insert the widefield eyepieces (1) into the respective mounts on the binocular tube as far as they will go.
•
Place the stereo dual binocular tube (5) on the microscope body and tighten the fastening screw (9) .
•
Insert the widefield eyepieces (6) into the respective mounts on the binocular tube as far as they will go.
•
Before start-up, remove the protective cover (10) from the objective lens.
Check the assemblies for firm seating. Tighten the fastening screws (8) and (9) firmly! Balance the surgical microscope, Page 11. 1
2
3
4
2
5 5
6
max. 6. kg
Maximum admissible load on the microscope body
7
Version 2.0 G-30-1921-en
8
10
9
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OPMI® PENTERO® 800
Attaching the documentation/co-observer facility
G-30-1922
•
Undo the knurled ring (1).
•
Take off the dust cover (2) and keep it for further use.
•
Slide the accessories assembly (3) into the mount of the image exit port and rotate it gently until the guide projections coincide with the grooves. Slide the accessories assembly into the mount to the stop.
•
Screw the knurled ring (1) onto the accessories assembly (3) and tighten it securely.
The type of co-observation (image exit ports on the side: Left/right or opposite image exit ports: face-to-face) can be configured on the touchscreen (CONFIG/OPMI/TUBE). The pivoting mirror has two positions: Left/Right: The light is guided to the lateral image exit ports. Face to Face: The light is guided to the tube mount on the back. The pivoting mirror can also be moved manually on the setting button (4). Check the assemblies for firm seating. Tighten the fastening screws (8) and (9) securely! Balance the surgical microscope, Page 11.
4
max. 6. kg
3
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2
1
2
3
Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
Adjusting the position of the handgrips You can adjust the handgrip positions to suit your preferences. •
Open clamping lever (1) and swivel the bracket or handgrip to the desired position.
•
Select handgrip positions that are suitable for the operation. Maintain a sufficient distance to the accessories installed on the microscope.
•
Firmly tighten the clamping levers (1).
The handgrip including lever can be rotated by approx. 180°.
1
1
Version 2.0 G-30-1921-en
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OPMI® PENTERO® 800
Adjusting the tubes and eyepieces Setting the eye distance on the tube 1 By pushing together or pulling apart the two eyepiece sockets. 2 By rotating the dial The correct position has been reached when the two eyepiece images merge into one. Adjusting the eyepiece 3 Eyecup for adjusting the distance between eyepiece and eye 4 Diopter dial is adjustable from +5 D to -8 D 5 Diopter scale for reading the set refraction value 6 Adjustment wheel for integrated magnification changer 7 Button for manual tube rotation (Cat. No.: 303771-9020-000) The folding tube (Cat. No.: 303771-9110-000) has no locking knob (7) and no rotation function. It has been optimized for the use with the mouth switch. 1 2
1
2
7
G-30-1776
6
G-30-1776
3
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4
5
Version 2.0 G-30-1921-en
OPMI® PENTERO® 800
Adjusting the surgical microscope Eye distance adjustment
Adjusting the eyepieces
•
Move the microscope to a vertical position above a level object, e. g. a sheet of paper with some writing.
•
Move eyepieces and binocular tube to eye distance.
The following procedure must be performed separately for each eyepiece in the order described. •
Set the microscope to minimum magnification. Select a short working distance (shortest working distance + approx. 25 mm).
•
Set the diopter setting ring on the eyepiece to 0 D. (Diopters).
•
Look through the eyepiece and move the microscope body to focus the image.
•
Set the microscope to maximum magnification and adjust the fine focusing system until the image is sharply defined.
•
Then reset the microscope to minimum magnification without changing the working distance.
•
Set the diopter setting ring to the maximum plus value (e.g. +5 D).
•
Look through the eyepiece and turn the diopter setting ring slowly towards the negative values until the image is sharply defined.
•
Repeat the entire procedure for the second eyepiece.
The microscope is now adjusted such that a consistently sharp image is generated over the entire range of magnifications. Adjusting the eyecups
Set the working distance and magnification
Version 2.0 G-30-1921-en
•
Set the eyepieces such that you can view the entire visual field. –
Viewing with eyeglasses: Rotate eyecups in.
–
Viewing without eyeglasses: Rotate eyecups out.
•
Position the microscope above the surgical field.
•
Roughly focus on the object by moving the microscope.
•
Set the microscope to maximum magnification and adjust the fine focusing system until the image is sharply defined.
•
Set the microscope to the required magnification. The focal plane is retained in the process.
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OPMI® PENTERO® 800
Configuring the handgrips
1 G-30-1922
Focus + Focus -
A
Zoom + C
You can trigger the functions of the surgical microscope using the buttons on the handgrips or on a foot control panel. Programmable buttons can be configured for the requirements of each user. Both handgrips are identical. In the basic setting, joystick (1) can be used for motorized fine movement in the XY directions. You can configure both handgrips with the same functions (CONFIG), or you can configure different functions in the right and left handgrip. The CONFIG menu / STAND / HANDGRIPS permits you to select the functions to be assigned to programmable buttons A, B, D or E. The rocker switches for zoom and focus can be reconfigured by the user. Briefly press button (C) on the touchscreen. The display and functions will be swapped.
Zoom HAND GRIPS
B 1 FOCUS
MENU
FOOT SWITCH
LEFT LIGHT
BRAKES
MOTOR-
OPMI
Autofocus
RIGHT
Videorec
Photo
Autofocus
Focus +
Zoom +
Aux
Focus -
Zoom -
FLUORES-
Light +
Light +
Photo STAND
ZOOM D E
FLUORESPAT DATA
Light intensity No function.
MULTIVISION USER
2
MultiVision
AUDIO/VIDEO
SYSTEMINFO
Factory settings
CONFIG CONFIG
RESET
•
For configuration of both hand grips, press CONFIG.
•
For separate configuration of the left or right hand grip, press the LEFT or RIGHT button. The buttons are displayed only if the CONFIG button was pressed.
•
Press the button (A, B, D, E) you wish to reassign to a different function.
•
Press the corresponding function in the selection menu (2) in order to assign it to the button.
The name of the button changes and reflects the new function. • G-30-1922
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Press theRESETbutton in order to restore the factory settings.
The joystick of the right hand grip has specific functions in optional applications.
Version 2.0 G-30-1921-en