SL-D7 and SL-D8Z Instruction Manual ver Feb 2004

INTRODUCTION Thank you for purchasing the Slit Lamp SL-D7, SL-D8Z.

This slit lamp is used for the enlargement observation of eyeballs and the parts. This instrument has the following features: • • • •

Various accessories to extend the system Ergonomic cable layout Clear fluorescent cornea observation and photography of cornea Clear eyeground observation and photography by color conversion filter

This Instruction Manual covers an overview of the basic operation, troubleshooting, checking, maintenance and cleaning of the Slit Lamp SL-D7, SL-D8Z. To get the best usage from the instrument, please 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, without slopes, and protected from vibrations, shocks (including transportation), etc. (4) Free of chemicals and gases PREMISSIBLE ENVIRONMENTAL CONDITIONS FOR TRANSPORT AND STORAGE 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 for the first time in a while, check in advance that everything is operating as it should. 3. Keep the objective lens free of fingerprints and dust. 4. When not is use, protect the instrument with the dust cover. 5. If the objective lens is stained, clean it in accordance with the information under “Cleaning Lenses and Mirrors” in 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 notice could 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.

15

To avoid injury to the eye and nose whilst moving the base unit, make sure that you have a clear view of the slit lamp and the patient's face.

29

For the safety of the operator and the patient, do not place fingers between moving parts.

29

To avoid injury to the patient’s head, incline the illumination unit holding the base unit.

30

To avoid causing discomfort to the patient or any damage to the patient's eye, keep the illumination at its minimum during adjustment.

30

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

36

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

44

Beware of high temperatures when replacing the lamp immediately after switching it off: these could cause burns.

44

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

46

Before carrying out daily care, remove the power cable (to avoid electric shocks) and wait until the lamp house has cooled (to avoid burns). 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

47 47 48 49

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 description of this manual. REPLACING THE ILLUMINATION LAMP The illumination lamp can be replaced if necessary. For specific instructions, see page 44. REPLACING THE FIXATION TARGET BULB (FOR BULB TYPE FIXATION TARGET ONLY) The fixation target bulb can be replaced if necessary, see page 45. REPLACING THE FUSE Fuses on the primary side can be replaced, if necessary. For specific instructions, see page 46.

ESCAPE CLAUSE • TOPCON shall take no 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 take no responsibility for damage derived from the inability to use this equipment, such as a loss of business profit and suspension of business. • TOPCON shall take no responsibility for damage caused by operations other than those described in this Instruction Manual. • Diagnoses made are the responsibility of qualified doctors and TOPCON shall take no 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. • Do not replace the lamp immediately after switching it off: the high temperatures could cause burns. 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 To avoid injury to the patient’s head, incline the illumination unit slowly while holding the base unit. Afin d’éviter toute blessure à la tête du patient, inclinez l’unité d’illumination lentement tout en maintenant la base de l’instrument.

CAUTION When operating the base unit, please note the following: Pendant la manipulation de la base de l’instrument, veuillez prendre les précautions suivantes; • Beware of catching fingers in the moving parts. Prenez garde aux pièces mobiles afin d’éviter de coincer les doigts. • Avoid hitting the patient’s eyes or nose. 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.

* The illustration depicts the SL-D7 type.

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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...15 SECURING THE UNIT TYPE TABLE TOP ...16 SECURING THE PATIENT GRIP PG-1(OPTIONAL ACCESSORY) ...16 SECURING THE CHINREST BASE PLATE ...17 SECURING THE BASE UNIT AND RAIL COVER ...17 SECURING THE BINOCULAR TUBES...18 SECURING THE ILLUMINATION UNIT ...18 REMOVING THE ILLUMINATION UNIT PAD ...19 CONNECTING AND SECURING OF CABLES...20 FITTING THE CHINREST TISSUE ...21 FITTING THE CAP ...21 SECURING THE TONOMETER MOUNT SO-TM1 (OPTIONAL ACCESSORY)21 COUNTER BALANCING THE VERTICAL MOVEMENT...23

PREPARATIONS POWERING ON ...25 ADJUSTING THE DIOPTER AND PUPILLARY DISTANCE (PD) ...25

OPERATION PROCEDURE FIXING THE PATIENT’S FACE AND FIXATION ...27 OPERATING THE MICROSCOPE UNIT ...28 OPERATING THE BASE AND FOCUSING ...29 OPERATING THE ILLUMINATION UNIT...30 ENDING PROCEDURE...35

TROUBLESHOOTING TROUBLESHOOTING GUIDE ...36

SPECIFICATIONS AND PERFORMANCE SPECIFICATIONS AND PERFORMANCE ...37 ELECTROMAGNETIC COMPATIBILITY ...38 ELECTRIC RATING ...38

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SYSTEM CLASSIFICATION ...39 PURPOSES OF USE ...39 OPERATION PRINCIPLES ...39 SYSTEM CONFIGURATION...40 SHAPE OF PLUG...41 SYMBOL...41

MAINTENANCE AND CHECKUPS MAINTAINING THE PRECISION ...42 PERIODIC MAINTENANCE ...43 DAILY CARE ...43 PLACING AN ORDER FOR CONSUMABLES...44 REPLACING ILLUMINATION LAMPS...44 REPLACEING THE FIXATION TARGET BULB...45 REPLACING FUSES ...46 RESTOCKING CHINREST TISSUE...46 DAILY CARE ...47 CLEANING APPLIED PARTS ...47 CLEANING LENSES AND MIRRORS...47 CLEANING THE SLIDING PLATE, RAIL AND WHEEL SHAFT ...48 DISPOSAL OF THE PRODUCT...48

OPTIONAL ACCESSORIES DIGITAL CAMERA UNIT DC-1...49 ELECTRONIC FLASH DEVICE FD-21...50 BEAM SPLITTER ...51 TV RELAY LENS ...51 TV RELAY LENS TL-54/55 (BUILT-IN BEAM SPLITTER TYPE) ...52 TV ATTACHMENT TL-56 ...52 TV ATTACHMENT TL-57 ...53 BACKGROUND ILLUMINATION BG-4 ...53 BACKGROUND ILLUMINATION BG-2GN ...53 PHOTO KERATOSCOPE ATTACHMENT ...53 OBSERVATION TUBE ...54 YELLOW FILTER UNIT ...54 12.5X MEASURING EYEPIECE...54 20X EYEPIECE ...54 APPLANATION TONOMETER...54 HRUBY LENS...55 PARALLEL BINOCULAR TUBE PB-2 ...55 AUXILIARY SPRING SO-AS 1,2,3 ...55 PATIENT HANDLE PG-1...55 ADAPT COVER SO-AC1, 2, 3, 4, 5...55

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CONFIGURATION NAMES OF MAIN BODY COMPONENTS Forehead rest Chinrest

Plug

Objective lens

Lamp house cover

Magnification selector handle

Illumination Unit

Aperture/slit length display window *1 Exciter filter Color conversion filter selector lever Filter selector lever

SL-D7 Microscope Unit *2 Barrier filter selector lever Diopter adjusting ring

Aperture/slitlength control

12.5× eyepiece Binocular tubes Magnification index mark

Chinrest Unit Canthus marker Mirror Centering knob Inclination lever Slit-width control knob Photo switch Control lever

Chinrest adjuster Microscope arm Cap Illumination arm Illumination arm locking knob

Base Unit Base locking knob Brightness adjustment knob Base

Microscope arm locking knob Table Power Supply Power switch Base relay cable *3 Table *1,2) A model without exciter filter for slit lamp/barrier filter for slit lamp is also available. *3) A model without table unit is also available.

SL-D8Z Microscope Unit Objective lens Tonometer mount

Magnification index mark Magnification selector handle

10 CONFIGURATION

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

Dust-cover (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 differ, or this item may not be included in stan-dard accessories.)

Spare fixation target bulb (1) (for bulb type fixation target only)

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

11 CONFIGURATION

Spare chinrest tissue pin (2)

Instruction Manual (1)

Cleaning brush (1)

Hexagon wrench (2)Attached document (1)

Square mirror (1)

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

Cap (1)

For optional accessories, see “Optional Accessories” on page 49.

12 CONFIGURATION

COMPONENTS COMPONENTS (1) Illumination unit

(2) Binocular tubes

(3) Base unit

* The photo shows the SL-D7 type.

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

(4)’ Unit type table top

(5) Rail cover

(6) Chinrest unit

(7) Power cable

(8) Auxiliary spring

(9) Setscrew

(10) Cable cover

(11) Cable cover fixing screw

(12) Rail cover fixing screw

(13) Cable clip

(14) Tonometer maunt SO-TM1

13 COMPONENTS

Article name

Qty

Article name

Qty

(1) Illumination unit

1

(8) Auxiliary spring

2

(2) Eyepiece unit

1

(9) Setscrew

2

(3) Base unit

1

(10) Cable cover

1

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

1

(11) Cable cover fixing screw

2

or (4)’ Unit type table top*

1

(12) Rail cover fixing screw

4

(5) Rail cover

2

(13) Cable clip

1

(6) Chinrest unit*

1

(14) Tonometer maunt SO-TM1*

1

(7) Power cable

1

* (4) or (4)’ table top is not included, depending on the specifications. * (6) Depending on chinrest and (14) Tonometer mount might not be included.

14 COMPONENTS

ASSEMBLY PROCEDURE SECURING THE INSTRUMENT TYPE TABLE TOP

CAUTION

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

FITTING TO AUTOMATIC INSTRUMENT TABLE AIT-20/AIT-15

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

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

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

15 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 the unit type table top, the power supply is fitted 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 reattach it to the right hand side (with 4 screws).

SECURING THE PATIENT GRIP PG-1(OPTIONAL ACCESSORY)

1 Align the patient grip with a groove on the rear of the chinrest base. 2 Fix the patient grip with screws. Chinrest base Patient grip

16 ASSEMBLY PROCEDURE

SECURING THE CHINREST BASE PLATE

1 Secure the chinrest base plate to the unit type table top with 2 screws (9).

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 (12): (2 screws each on the right and left sides).

Rail cover

17 ASSEMBLY PROCEDURE

SECURING THE BINOCULAR TUBES

1 Align the pin of the microscope unit with the groove on the binocular tubes, and fit the screw with a hexagon wrench. In the model without excitor/barrier filter, fit binocular tube with the fixing screw.

Make sure you do not touch the lens surfaces.

Screw Microscope unit

* The illustration depicts the SL-D7

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 refasten the microscope-arm locking-knob. 30° - 60°

Indices

18 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

While assembling the illumination unit, take care not to get your fingers caught.

3 Firmly tighten the fixing screw with a screwdriver.

REMOVING THE ILLUMINATION UNIT PAD

1 Remove the rubber band and slowly withdraw the protection pad from the slit operation mechanism of the illumination unit.

Protection pad (for transportation)

19 ASSEMBLY PROCEDURE