SL-D2 , D4 and D4Z Instructions Manual March 2004

INTRODUCTION Thank you for purchasing the Slit Lamp SL-D2/SL-D4/SL-D4Z.

This slit lamp is used for the enlargement observation of eyeballs and the parts. This instrument has the following features: • Smooth operation • Eyeground observation/recording with natural, clear colors • Function of right/left eye automatic detection useful for digital recording • Apochromatic optical system to realize natural color and high resolution • Robustness and durability • Continuous observation by manual zoom microscope is possible with SL-D4Z

This Instruction Manual covers an overview of the basic operation, troubleshooting, checking, maintenance and cleaning of slit lamps SL-D2, SL-D4 and SL-D4Z. To get the best use from the instrument, read "Displays for Safe Use" and "Safety Cautions". Keep this Instruction Manual with the instrument for future reference.

PRECAUTIONS WORKING ENVIRONMENT Temperature: 10°C-40°C Humidity: 30-75% (no dewing) Atmospheric Pressure: 700hPa-1,060hPa

STORAGE METHOD 1. Environmental Conditions Temperature: 10°C-40°C Humidity: 30-75% (no dewing) Atmospheric Pressure:700hPa-1,060hPa 2. Place of Storage (1) Protected from water splashes (2) Protected from adverse effects caused by atmospheric pressure, temperature, moisture, ventilation, sunlight, dust, salt content, sulfur, etc. (3) Stable and free from slopes, vibrations, shocks (including transportation), etc. (4) Free from chemicals and gases PERMISSIBLE ENVIRONMENTAL CONDITIONS FOR TRANSPORT AND STRAGE Temperature:-20°C-50°C Humidity:10-95%

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MAINTENANCE AND CHECKS 1. Regularly maintain and check equipment and parts. 2. When using equipment after not using for a while, be sure to confirm normal and safe operations beforehand. 3. Keep the objective lens free from finger prints and dusts. 4. When not using, protect the instrument with the dust cover. 5. When the objective lens is stained, clean it following “Cleaning Lenses and Prisms” of the Instruction Manual.

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DISPLAYS FOR SAFE USE In order to ensure the safe use of the product and to prevent danger to the operator and others, or damage to property, important warnings are placed on the product and inserted in the instruction manual. It is recommended for all users to take note of the meaning of the following displays and icons before reading the "Safety Cautions" and text.

DISPLAYS DISPLAY

MEANING

WARNING

Ignoring or disregarding this display may lead to death or serious injury.

CAUTION

Ignoring or disregarding this display may lead to personal injury or physical damage.

• Injury refers to cuts, bruises, sprains, fractures, burns, electric shocks, etc. • Physical damage refers to damage to buildings, equipment or furniture.

ICONS ICONS

MEANING This indicates Prohibition. Specific content is expressed with words or an icon either inserted in the icon itself or located next to the icon. This indicates Mandatory Action. Specific content is expressed with words or an icon either inserted in the icon itself or located next to the icon. This icon indicates Hazard Alerting (Warning). Specific content is expressed with words or an icon either inserted in the icon itself or located next to the icon.

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SAFETY CAUTIONS CAUTION Icons

Prevention item “To prevent falling during use and movement, secure each unit.”

14

To avoid injury to the patient's eye and nose, pay particular attention while operating the instrument body.

28

To prevent fingers from being caught in between, beware of the moving parts while operating the main body.

28

To avoid causing pains to the patient and damage on the patient's eye, do not make the illumination too bright.

29

To avoid electric shocks, do not attempt overhauling, rebuilding or repairs. Ask your dealer for repair.

32

When replacing the lamp, switch off the power supply and remove the power cable to avoid electric shocks.

38

To avoid burns, beware of high temperatures when replacing the lamp immediately after switching off.

38

When replacing fuses, switch off the power supply and remove the power cable to avoid electric shocks.

40

Before carringout daily care, remove the power cable (to avoid electric shocks) and wait until the body is cooled (to avoid burns).

41

Do not touch parts inside the lamp house cover during operation and immediately after switching off the power supply : this could cause burns. The base contains strong springs. Do not attempt to disassemble or burn the base, as the springs could cause injury by shooting out of it. To prevent falling during use and movement, secure optional accessories.

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Page

41 42 43

CAUTION Icons

Prevention item

Page

This instrument has been tested (with 120V/230V) and found to comply with IEC60601-1-2: 2001. This instrument radiates radio frequency energy within standard and may affect other devices in vicinity. If you have discovered that turning on/off the instrument affects other devices, we recommend you change its position, keep a proper distance from other devices, or to change the outlet. Please consult the dealer from whom you purchased the equipment for any questions.

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MAINTENANCE USER MAINTENANCE To maintain the safety and performance of the instrument, unless done by an authorized service engineer, never attempt to do maintenance of items other than those specified here in. For details about maintenance, read the discription of this manual.

REPLACING THE ILLUMINATION LAMP The illumination lamp can be replaced if neccesary. For specific instructions, see page 38.

REPLACING THE FUSE Fuses on the primary side can be replaced if neccesary. For specific instructions, see page 40.

ESCAPE CLAUSE • TOPCON shall not take any responsibility for damage due to fire, earthquakes, actions by a third party or other accidents, or the negligence and misuse of the user and use under unusual conditions. • TOPCON shall not take any responsibility for damage derived from the inability to use this equipment, such as a loss of business profit and suspension of business. • TOPCON shall not take any responsibility for damage caused by operations other than those described in this Instruction Manual. • Diagnoses shall be made on the responsibility of pertaining doctors and TOPCON shall not take any responsibility for the results of such diagnoses.

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WARNING INDICATIONS AND POSITIONS To ensure safety, warning labels are provided on the instrument body. Use the instrument following these warning instructions. If any of the following labels are missing, contact your dealer or TOPCON (see the back cover). CAUTION • To prevent electric shocks, switch off the power supply and remove the power cable before replacing the lamp. Afin d’éviter tout choc électrique, coupez le contact et débranchez le câble d’alimentation avant de remplacer l’ampoule. • To avoid burns, beware of high temperatures when replacing the lamp immediately after switching off. Afin d’éviter toute brûlure, prenez garde à la température élevée de l’ampoule lorsque le remplacement de celle-ci se fait immédiatement après avoir coupé l’alimentation électrique.

CAUTION When operating the base unit, note the following: Pendant la manipulation de la base de l’instrument, veuillez prendre les précautions suivantes; • To prevent fingers from being caught in between, be aware of the moving parts. Prenez garde aux pièces mobiles afin d’éviter de coincer les doigts • To avoid hitting the eye and nose, take care of the patient’s face. Gardez une distance de travail appropriée afin d’éviter le contact avec les yeux et le nez du patient.

CAUTION • To prevent electric shocks, turn off the power switch and remove the power cable before replacing fuses. Afin d’éviter tout choc électrique, coupez le contact et débranchez le câble d’alimentation avant de remplacer les fusibles. • Use the specified fuse. Utilisez des fusibles de même type et de même valeur

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CONTENTS INTRODUCTION ...1 DISPLAYS FOR SAFE USE...3 SAFETY CAUTIONS ...4 MAINTENANCE...6 USER MAINTENANCE...6 ESCAPE CLAUSE...6 WARNING INDICATIONS AND POSITIONS ...7

CONFIGURATION NAMES OF MAIN BODY COMPONENTS ...10 STANDARD ACCESSORIES ...11

COMPONENTS COMPONENTS ...13

ASSEMBLY PROCEDURE SECURING THE INSTRUMENT TYPE TABLE TOP...14 SECURING THE UNIT TYPE TABLE TOP ...15 SECURING THE PATIENT GRIP PG-1 (OPTIONAL ACCESSORY) ...15 SECURING THE CHINREST BASE PLATE ...16 SECURING THE BASE UNIT AND RAIL COVER ...16 SECURING THE BINOCULAR TUBES...17 SECURING THE ILLUMINATION UNIT ...17 CONNECTING AND SETTLING CABLES ...19 FITTING THE CHINREST TISSUE ...19 FITTING THE CAP ...20 SECURING THE TONOMETER MOUNT (OPTIONAL ACCESSORY) ..20 COUNTER-BALANCING THE VERTICAL MOVEMENT ...22

PREPARATIONS POWERING ON ...24 ADJUSTING THE DIOPTER AND PUPILLARY DISTANCE(PD) ...24

OPERATION PROCEDURES FIXING THE PATIENT'S FACE AND FIXATION...27 OPERATING THE MICROSCOPE UNIT ...27 OPERATING THE BASE AND FOCUSING ...28 OPERATING THE ILLUMINATION UNIT...29 ENDING PROCEDURE...31

TROUBLESHOOTING TROUBLESHOOTING GUIDE... ... . ...

32

SPECIFICATIONS AND PERFORMANCE SPECIFICATION AND PERFORMANCE...33 ELECTROMAGNETIC COMPATIBILITY ...34

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ELECTRIC RATING ...34 SYSTEM CLASSIFICATION ...34 PURPOSES OF USE ...34 OPERATION PRINCIPLES ...34 SYSTEM CONFIGURATION...35 SHAPE OF PLUG...36 SYMBOL...36

MAINTENANCE AND CHECKUPS PERIODIC MAINTENANCE ...37 DAILY CARE ...37 PLACING ORDER FOR CONSUMABLES...37 REPLACING ILLUMINATION LAMPS...38 REPLACING FUSES ...40 RESTOCKING CHINREST TISSUE...40 MAINTENANCE PROCEDURE...41 CLEANING APPLIED PARTS ...41 CLEANING LENSES AND PRISMS...41 CLEANING THE SLIDING PLATE, RAIL AND WHEEL SHAFT ...42 DISPOSAL OF THE PRODUCT...42

OPTIONAL ACCESSORIES DIGITAL CAMERA UNIT DC-1...43 STILL CAMERA ATTACHMENT SR-53 ...43 BEAM SPLITTER ...44 TV RELAY LENS ...44 TV RELAY LENS TL-54...45 TV RELAY LENS TL-55...45 TV ATTACHMENT TL-56 ...45 TV ATTACHMENT TL-57 ...46 BACKGROUND ILLUMINATION BG2-GN ...46 OBSERVATION TUBE ...46 12.5X MEASURING EYEPIECE...47 20X EYEPIECE ...47 APPLANATION TONOMETER...47 HRUBY LENS...47 PARALLEL BINOCULAR TUBE PB-2 ...48 YELLOW FILTER UNIT ...48 AUXILIARY SPRING SO-AS 0, 1, 2, 3 ...48 PATIENT GRIP PG-1 ...48 ADAPT COVER SO-AC3, 4, 5...48

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CONFIGURATION NAMES OF MAIN BODY COMPONENTS Chinrest

Chinrest Unit

Forehead rest Canthus marker

Chinrest adjuster SL-D2 Microscope Unit

Illumination Unit

Objective lens Magnification selector handle Diopter adjusting ring

Diffusor (2) Prism Slit scanning ring Slit rotation ring Slit width control knob Filter selector wheel Aperture/slit length control knob Lamp house cover

Eyepiece Binocular tubes Magnification index mark Microscope arm Cap Illumination arm Illumination arm locking knob Microscope arm locking knob Base relay cable

Base Unit Photo switch Control lever Base locking knob Brightness adjustment knob Base

Power Supply Unit

Table Unit (3)

Power switch

Table

SL-D4 Microscope Unit Objective lens

Magnification index mark Magnification selector handle

• A model without diffusor (2) is also available. • A model without table unit (3) is also available.

10 CONFIGURATION

SL-D4Z Microscope Unit Objective lens

Magnification index mark Magnification selector handle

STANDARD ACCESSORIES Make sure that all the following standard accessories are included. Figures in parentheses are the quantities. Chinrest tissue (1)

Dustcover (1)

Test rod (1) (This is not always included with the standard specifications.)

Crosshead screwdriver (1)

Spare illumination lamp (1)

Screwdriver (1)

Spare socket (1)

Spare fuse (2) (Depending on specification, quantity may be different or this may not be contained in standard accessories.)

Cap (1)

Spanner (1) (for instrument type table top only)

11 CONFIGURATION

Spare chinrest tissue pin (2)

Cleaning brush (1)

Instruction Manual (1)

Accessory case (1) (This is not always included with the standard specifications.)

For optional accessories, see “Optional Accessories” on page 43.

12 CONFIGURATION

COMPONENTS COMPONENTS (1) Illumination unit

(2) Binocular tubes

(4) Instrument type table top (w/power supply)*

(3) Base unit

* The illustration shows the SL-D2type.

(4)’ Unit type table top* (5) Rail cover

(6) Chinrest base unit* (7) Power cable

(9) Cable cover (8) Setscrew (for chinrest base unit)

(10) Cable cover fixing (11) Rail cover fixing screw screw

(12)Fixation Target (This isan optionalaccessoryin variousm arkets.)

Article name

Qty

Article name

Qty

(1) Illumination unit

1

(7) Power cable

1

(2) Binocular tubes

1

(8) Setscrew (for chinrest base unit)

2

(3) Base unit

1

(9) Cable cover

1

(4) Instrument type table top (w/power supply)* or (4)’ Unit type table top

1

(10) Cable cover fixing screw

2

(11) Rail cover fixing screw

4

(5) Rail cover

2

(12) Fixation Target

1

(6) Chinrest base unit

1

* (4) or (4)’ table top is not included, depending on the specifications. (6) Depending on chinrest might not be include.

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ASSEMBLY PROCEDURE CAUTION

To prevent falling during use and movement, secure each unit.

SECURING THE INSTRUMENT TYPE TABLE TOP SECURING TO AUTOMATIC INSTRUMENT TABLE AIT-20/AIT-15

1 Remove the cover of the instrument table. Remove 3 screws of the cover (AIT-20 only: For details, refer to the instruction manual of AIT-20.)

2 Put the table top on the instrument table, and secure with the 4 bolts attached to the instrument table. To reverse the direction of the instrument table, remove the power supply from the bottom face of the table top and secure to the opposite side.

Connect the power cable to the table outlet and power supply of the instrument table. Place the excess of the cable inside the cover, and secure the cover.

14 ASSEMBLY PROCEDURE

SECURING THE UNIT TYPE TABLE TOP

1 Remove the plastic washer from the unit type table top, which is taped to the shaft assembly.

2 Insert the plastic washer, together with the shaft, into the cavity for the ophthalmic unit arm. Washer

In t he unit type table top, the power supply is fitted so as to attach the ophthalmic unit on the right hand side. When attaching the ophthalmic unit on the left hand side, remove the power supply and move and attach to the right hand side (with 4 screws).

SECURING THE PATIENT GRIP PG-1 (OPTIONAL ACCESSORY)

1 Align the patient grip to the groove in the back of the chinrest base unit. 2 Surely screw the patient grip. Chinrest base plate Patient grip

Grip

15 ASSEMBLY PROCEDURE

SECURING THE CHINREST BASE PLATE

1 Secure the chinrest base plate to the unit type table top with 2 screws (8).

Chinrest base plate

SECURING THE BASE UNIT AND RAIL COVER

1 Align the wheel of the base unit with the rail of the chinrest base plate. 2 Secure the rail covers with 4 screws (11): (2 screws each on the right and left sides).

Rail cover

16 ASSEMBLY PROCEDURE

SECURING THE BINOCULAR TUBES

1 Align the pin of the microscope unit with the groove on the binocular tubes, and fasten the fixing screw.

Be careful not to touch the lens surfaces.

Fixing screw Microscope unit

* The illustration shows the SL-D2 type.

SECURING THE ILLUMINATION UNIT

1 Loosen the microscope arm locking knob of the base unit, manually turn the shaft and tilt the guide rod-shaft index 30-60°, then fasten the microscope arm locking knob. 30° - 60°

17 ASSEMBLY PROCEDURE

2 Loosen the fixing screw on the outside of the fitting cavity of the illumination unit with a screwdriver. Align indices and slowly lower the illumination unit onto the shaft of the base unit. Indices

When fitting the illumination unit, take care not to get your finger caught between the assemblies.

in

3 Firmly tighten the fixing screw with a screwdriver.

To allow smooth rotation of the illumination unit, do not fasten the screw too tight.

18 ASSEMBLY PROCEDURE

CONNECTING AND SETTLING CABLES

1 Connect the cable of the illumination unit and the power cable to the power supply. Illumination cable Fixation cable Power cable

2 Pass the 5 pin connector from the metal plug connected to the power supply through the hole of the chinrest and connect to the base unit.

3 Fit the cable cover with 2 screws (10).

4 Pull the base unit toward the side of the operator, then lock. Attach the cables to the back of the table with the cable clip.

5 Move the base unit and illumination unit, and make sure there is enough cable to allow free movement of the base unit in all directions.

FITTING THE CHINREST TISSUE

1 Remove the chinrest tissue pins. 2 Take approximately 1/5th of the pad of chinrest tissues and secure at each end, with the pins.

19 ASSEMBLY PROCEDURE