OPMI pico (SAD) Colposcope Instructions for Use Issue 2.3 Nov 2011

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

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

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

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

OPMI®

OPMI® is a registered trademark of Carl Zeiss.

Definition of terms SAD

SAD = Sexual Assault Documentation

Contents

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– Key to symbols

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– Definition of terms

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Functions at a glance

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– OPMI pico (SAD) colposcope

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Safety

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– Notes on installation and use

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Description

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OPMI pico (SAD) colposcope

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– Intended use

12

– Controls and connections

14

Preparations for use

17

Attaching the equipment

18

– Mounting the tubes, eyepieces and the objective lens

18

– Mounting the coupling

20

– Mounting the handgrip

22

Connections

24

– Mounting the light guide

24

– Connecting the video camera

25

Operation

27

– Adjusting the microscope

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– Checklist

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Procedure

32

Maintenance / Further information

33

– Trouble-shooting

34

– Care of the unit

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– Sterilization

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– Disinfection

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– Ordering data

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– Accessories

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– Technical data

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– Ambient requirements

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Index

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Functions at a glance

Functions at a glance OPMI pico (SAD) colposcope

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Functions at a glance

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Connecting the light guide Selecting a filter Adjusting the interpupillary distance (push or pull) Setting your prescription Adjusting the eyecups Manual magnification adjustment Optional mounting of a handgrip after removal of the cover 8 Optional mounting of an accessory unit or handgrips 9 Connecting the system cable for a video camera 10 Locking / releasing the microscope's tilt motion

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Safety

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Notes on installation and use

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Safety

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Safety

The instrument described in this manual has been developed and tested in accordance with Carl Zeiss safety standards and with national and international regulations. A high degree of instrument safety is thus ensured. We would like to inform you on the safety aspects involved in operating the instrument. This chapter contains a summary of the most important precautions to be observed. Further safety notes are also contained in other parts of this user's manual; they are marked with a warning triangle containing an exclamation mark as shown here. Please pay special attention to these safety notes. Safety is only ensured when this instrument is operated properly. Please read through this manual carefully before turning the instrument on. Also read through the user's manuals of the other equipment used with this instrument. You may obtain further information from our service organization or authorized representatives.

Notes on installation and use Safe working order •

Do not operate the equipment contained in the delivery package in – explosion-risk areas, – the presence of inflammable anesthetics or volatile solvents such as alcohol, benzine or similar chemicals.

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

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

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

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

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Safety

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Potential equalization: The instrument can be incorporated into potential equalization measures. For this purpose, contact our service department.

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

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

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

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Use this instrument only for the applications described.

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

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

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

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

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

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This instrument is a high-grade technological product. To ensure optimum performance and safe working order of the instrument, its safety must be checked once every 12 months. We recommend having this check performed by our service representative as part of regular maintenance work. If a failure occurs which you cannot correct using the trouble-shooting table, attach a sign to the instrument stating it is out of order and contact our service representative.

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Safety

Requirements for operation Our service representative or a specialist authorized by us will install the instrument. Please make sure that the following requirements for operation remain fulfilled in the future: – All mechanical connections (details in the user's manual) which are relevant to safety are properly connected and screw connections tightened. – All cables and plugs are in good working condition. – The voltage setting on the instrument conforms to the rated voltage of the line supply on site. – The instrument is plugged into a power outlet which has a properly connected protective ground contact. – The power cord being used is the one designed for use with this instrument. Before every use and after re-equipping the instrument •

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

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Go through the checklist.

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

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

For every use of the instrument •

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

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

Warning! The OPMI pico (SAD) colposcope must not be used for ophthalmic examinations and surgery.

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Description

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Intended use

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Controls and connections

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Description

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Description

OPMI pico (SAD) colposcope Intended use The OPMI pico (SAD) colposcope is a diagnostic microscope for hospitals and organizations specializing in the treatment of sexual assault victims. SAD = Sexual Assault Documentation Due to its optical quality and slim design the OPMI pico (SAD) colposcope meets the demands made by colposcopy for cervical examination and therapy with the microscope. The OPMI pico (SAD) colposcope is a manual microscope providing a magnification changer, a halogen illumination system, a swing-in green filter and an integrated video camera (option). The OPMI pico (SAD) colposcope can be combined with a wide range of accessories. The OPMI pico (SAD) colposcope provides: – five manually switchable magnification steps; magnifications depending on the focal lengths of the objective lens and eyepieces selected, max. magnification 26x. – a sufficient working distance: objective lens focal lengths selectable between 200 mm and 400 mm. – optimum illumination due to integrated halogen light source. The OPMI pico microscope is a versatile instrument for daily routine work on seated and recumbent patients. You can use it as a – surgical microscope – diagnostic microscope – training and dissecting microscope. The OPMI pico microscope is available – without an integrated video camera – with an integrated PAL video camera – with an integrated NTSC video camera – with an Endoport interface for endoscopes. Warning! The OPMI pico (SAD) colposcope must not be used for ophthalmic examinations and surgery.

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Description

Note: The OPMI pico i surgical microscope is available for the special needs of ophthalmology. OPMI pico and OPMI pico i have a different appearance: – their lettering: OPMI pico or OPMI pico i – their color of the light guide socket: – OPMI pico: black light guide socket – OPMI pico i: light guide socket made of shiny aluminum Note: The system described in this manual represents a common instrument configuration. The following description generally applies for other similar configurations as well. The delivery package is not defined by the combinations shown here, but in the delivery papers.

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Description

Controls and connections 1 Friction adjustment knob for locking the OPMI pico (SAD) colposcope in position on the support arm. 2 Dust cover Remove this cover before mounting the binocular tube or another module. 3 Securing screw Screw in the securing screw as far as it will go after you have inserted the binocular tube or another module in the mount on the OPMI pico (SAD) colposcope. 4 Magnification changer Use this knob to manually set the magnification to one of five clickstop positions (γ = 0.4x, γ = 0.6x, γ = 1.0x, γ = 1.6x, γ = 2.5x). 5 Cover You can remove this cover and mount a handgrip for microscope guidance instead. 6 Objective lens Objective lenses with different focal lengths are available, see ordering data. The focal length approximately corresponds to the working distance. 7 Holes for mounting accessories The underside of the OPMI pico (SAD) colposcope contains two holes for mounting accessories (e.g. handgrip, dovetail mount). 8 Video connection socket for the system cable to the video camera (if integrated, option). 9 Light guide socket This socket is used to direct the light from the illumination system to the OPMI pico colposcope. 10 Filter selector Turn this selector to swing filters into the illumination beam path. The selector has three positions: no filter, green filter, orange filter. The green filter enhances contrast. 11 Support arm This arm is used to mount the OPMI pico (SAD) colposcope on the suspension system.

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Description

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Description

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Preparations for use

Preparations for use

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Attaching the equipment

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Mounting the tubes, eyepieces and the objective lens

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Mounting the coupling

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Mounting the handgrip

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Connections

24

Mounting the light guide

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Connecting the video camera

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Preparations for use

Attaching the equipment Mounting the tubes, eyepieces and the objective lens •

Give securing screw (2) a few turns to loosen it.

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Remove dust cover (3) and store it in a safe place.

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Place binocular tube (4) on the OPMI pico (SAD) colposcope and firmly tighten securing screw (2). The straight binocular tube is shown here as an example.

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You can install further accessories between the binocular tube and the microscope body. Lock these units in position in the same way using securing screw (2).

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Insert eyepieces (5) as far as they will go in the mounts provided on the binocular tube. The magnetic coupling reliably secures them in position.

Note: If you wish to use a camera system, we recommend installing an eyepiece with a reticle to aid focusing (see accessories). The retrofitting of a reticle to an eyepiece can only be performed in the factory or by our service staff. Always install the eyepiece with the reticle in the binocular tube on the same side as the documentation equipment. •

Screw objective lens (1) into the microscope body and tighten it firmly.

Caution: Before every use and after re-equipping the instrument, make sure that binocular tube (4) is securely locked in position. Make sure that securing screw (2) and objective lens (1) have been firmly tightened!

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Preparations for use

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Preparations for use

Mounting the coupling To be able to use the OPMI pico as an OPMI pico (SAD) colposcope we recommend you to move the working range of the OPMI pico on the S100 suspension systems by about 115 mm downward. You can achieve this by using K 0/120 coupling (7). Note: – When mounting the OPMI pico (SAD) colposcope on an S100 suspension system (1), please observe the instructions in the "S100 suspension systems" manual. – Adjustment screw (2) on suspension arm (1) of the S100 suspension system only acts as a brake and not as a lock. For mounting, proceed as follows: •

Tighten adjustment screw (2) on the S100 suspension system.

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Slightly lubricate shafts (6) (e.g. with instrument grease or vaseline).

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Insert shafts (6) in the appropriate mounts. Screw in securing screws (3) and (5). Use a suitable tool (e.g. hex key or screwdriver) to firmly tighten securing screws (3) and (5).

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Securing screw (3) contains a hex socket head screw (4) which is an additional securing screw. Firmly tighten hex socket head screw (4) using a suitable hex key.

Note: After you have mounted the OPMI pico (SAD) colposcope, suspension arm (1) may move downward. Prevent the OPMI pico colposcope from knocking against any objects. Note: To change the OPMI pico colposcope or equipment configuration, proceed in the reverse order. Please observe the following points:

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Move suspension arm (1) into its top position.

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Tighten adjustment screw (2)(braking function).

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Tightly hold the OPMI pico colposcope while loosening securing screws (3) and (5).

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