OPMI Lumera® T with Integrated Assistant's Microscope Instructions for use G-30-1682-en Issue 4.0 Printed on 02. 02.
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 system. Note: The hand indicates hints on the use of the system or other tips for the user.
Contents – G-30-1682-en Key to symbols 2 Functions at a glance 7 – OPMI Lumera T with integrated assistant's microscope 8 – OPMI Lumera T (option) 9 – Light sources 10 – S88 floor stand 12 – S8 ceiling mount 14 – S81 ceiling mount 16 Safety 19 – Notes on installation and use 21 – When using a wide-angle observation system (e.g.
G-30-1682-en S88 floor stand 102 – Intended use 102 – Description of components 103 – Design 104 – Stand base with column 106 – Connection panel 108 – Instrument tray (option) 110 – Video monitor (option) 112 S8 ceiling mount 120 – Intended use 120 – Description of components 121 – Design 122 – Power switch with connector (option) 124 S81 ceiling mount 126 – Intended use 126 – Description of components 127 – Design 128 – Power switch, connector and socket (o
G-30-1682-en Preparations 143 Attaching the equipment 144 – Mounting the surgical microscope 144 – Mounting the tube, the eyepieces and the objective lens 148 – Changing the microscope accessories 152 Connections 154 – Connecting the surgical microscope 154 – Connecting the light guide 154 – Strain relief device on S88 floor stand 158 – Connecting the S88 floor stand 160 – Relocating the system 162 Adjusting the supension system 164 – Adjusting the balance setting of the su
– Lamp failure in the Superlux Eye light source 208 – Failure of lamp control 212 – Failure of the focusing function 212 – Failure of magnetic brakes 214 – Failure of the X-Y coupling 214 – Failure of the zoom function 215 Causes of malfunctions and remedies 216 – 216 Malfunctions in the surgical microscope – Malfunctions in the surgical microscope with integrated assistant's microscope 218 – Malfunctions in the S8, S81 or S88 suspension system 219 – Malfunctions in the video mo
Functions at a glance Functions at a glance G-30-1682-en OPMI Lumera T with integrated assistant's microscope 8 OPMI Lumera T (option) 9 Light sources 10 S88 floor stand 12 S8 ceiling mount 14 S81 ceiling mount 16 OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Functions at a glance OPMI Lumera T with integrated assistant's microscope 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Resetting X-Y coupling and focus to their initial positions Adjusting the interpupillary distance Adjusting the eyecups Setting your prescription Unlocking the magnetic brakes Display of the zoom system's magnification factor Changing the magnification of assistant's microscope Setting the inverter function Focusing the assistant's microscope Tilting the surgical microscope Arrows indica
Functions at a glance OPMI Lumera T (option) 1 2 3 4 5 6 7 8 9 10 11 12 Resetting X-Y coupling and focus to their initial positions Tilting the surgical microscope Adjusting the eyecups Setting your prescription Unlocking the magnetic brakes Display of the zoom system's magnification factor Setting the depth of field (DeepView) Setting the illumination Arrows indicating the focusing range Adjusting the interpupillary distance Zoom adjustment (manual emergency operation) Connecting the light guide page
Functions at a glance Light sources 2 3 4 Halogen light source - Closed flap: main lamp is on - Open flap: backup lamp is on Selecting a filter Opening the lamp module Manual activation of backup lamp page 80 page 80 page 80 5 6 7 8 9 Superlux Eye light source Selecting a filter Resetting the counter Opening the lamp module Manual activation of backup lamp Red segment is lit - backup lamp is in use page 84 page 88 page 84 page 84 page 84 1 1 G-30-1682-en 2 3 4 OPMI® Lumera® T page 80 5 6
Functions at a glance 1 2 3 4 5 6 7 8 9 Superlux Eye light source with integrated halogen light source (option) Selecting the filter for Superlux Eye light source Switching manually to the backup lamp of Superlux Eye light source Resetting the counter Opening the Superlux Eye lamp module Additional integrated halogen light source: - Closed flap: main lamp is on - Open flap: backup lamp is on Selecting the filter for additional integrated halogen light source Opening the lamp module of integrated halo
Functions at a glance S88 floor stand 1 2 3 Control unit Light source Unlocking the magnetic brakes of the suspension system 4 Limiting the suspension arm's downward movement 5 Removing/mounting the coupling for the surgical microscope 6 Balancing the suspension arm 7 Locking the stand in position 8 Locking the suspension arm in its horizontal position 9 Connecting the foot control panel, connecting the remote control connector 10 Rated voltage display 11 Connector panel 12 Switching on the suspension
Functions at a glance 1 2 7 G-30-1682-en 3 4 OPMI® Lumera® T 4 5 6 8 9 10, 11, 12 Issue 4.0 Printed on 02. 02.
Functions at a glance S8 ceiling mount 1 2 Locking the suspension arm in its horizontal position Unlocking the magnetic brakes of the suspension system 3 Balancing the suspension arm 4 Light source 5 Control unit (rotatable through 180° or 70°) 6 Connecting the foot control panel, connecting the remote control connector 7 Switching on the suspension system 8 Releasing - moving - locking the lift arm 9 Removing/mounting the coupling for the surgical microscope 10 Limiting the suspension arm's downward
Functions at a glance 2 1 7 G-30-1682-en 3 8 OPMI® Lumera® T 4 2 5 9 6 10 Issue 4.0 Printed on 02. 02.
Functions at a glance S81 ceiling mount 1 2 Locking the suspension arm in its horizontal position Unlocking the magnetic brakes of the suspension system 3 Balancing the suspension arm 4 Light source 5 Control unit (rotatable through 180° or 70°) 6 Connecting the foot control panel if the suspension system is installed on a ceiling track mount (option) 7 Connecting the remote control connector 8 Connecting the foot control panel 9 Switching on the suspension system 10 Removing/mounting the coupling for
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Functions at a glance G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety 19 Notes on installation and use 21 When using a wide-angle observation system (e.g. BIOM 3) 25 Phototoxic retinal injury in eye surgery 25 Safety devices of the suspension systems 32 Warning labels and notes 44 Safety G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety The device described in this manual has been designed and tested in accordance with Carl Zeiss safety standards as well as German and international standards. This guarantees a high degree of instrument safety.
Safety Notes on installation and use Safe working order • G-30-1682-en 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. • Do not station or use the instrument in damp rooms. Do not expose the instrument to water splashes, dripping water or sprayed water. • Switch off the unit at the power switch if you notice any smoke, sparks or unusual noise.
Safety • 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. • When mounting accessory equipment, please make sure that the admissible total weight of the surgical microscope is not exceeded. (See label or chapter "Technical data").
Safety Requirements for operation • For ceiling mounts only: Our service staff or a qualified person appointed by us will install the system on ceiling anchors which have been properly mounted by the construction engineers responsible. These ceiling anchors must comply with the specifications contained in our planning manual. • Our service representative or an expert authorized by us will install the system.
Safety • Avoid looking directly into the light source, e.g. into the microscope objective lens or a light guide. • When the illumination is on, the light guide must be connected at both ends. Otherwise there is a risk of fire or burn injuries. • Make sure that the instrument has been switched off before you change the xenon lamp module. When switched on, the ignition system generates high voltage. Xenon lamps feature high luminance and a spectrum resembling that of natural daylight.
Safety When using a wide-angle observation system (e.g. BIOM 3) When using a wide-angle observation system (e.g. BIOM 3 from Oculus) which is usually installed between the surgical microscope and the patient, make sure that the patient is neither put at risk nor injured by the motorized focusing system or the movement of the suspension system arm. Only use accessories expressly certified by the manufacturer for combination with the surgical microscopes described in this manual.
Safety In the following, comments on these aspects are given and a description of how Carl Zeiss, as a manufacturer, makes allowance for them in its systems. Illumination characteristics (spectral composition) Studies on the exposure of the eye to light of varying spectral composition date back to the early 1950s. These studies suggest that the potential hazard of phototoxic injury to the patient's retina can be reduced by blocking out the blue and ultraviolet light below a wavelength of 475 nm.
Safety Focus of the light source Studies show that injuries are likely to occur if the filament of the light source is imaged on the patient's retina. The peak intensity of a filament is considerably higher than that of an even and extended light source such as a light guide. This is the reason why Carl Zeiss uses fiber optic illumination in its surgical microscope systems.
Safety – Phakic status of the eye (aphakic and pseudo-aphakic eyes without UV and blue filtering IOLs are at a higher risk). – Previous exposure to bright light such as retinal photography, especially within the last 24 hrs. The following table is intended to provide the surgeon with a guideline in determining the potential hazard. The data has been calculated for a worst-case scenario of direct, uninterrupted exposure of an aphakic eye with an 8 mm dilated pupil.
Safety Maximum radiation exposure times The use of the blue barrier filter (retina protection filter) increases the recommended exposure time by a factor of 3 compared with the values specified below. Red reflex illumination (stereo coaxial illumination) Scale display of Illumination Max. exposure time in minutes Halogen Xenon Xenon with HaMode filter 2.5 50 8.2 28 5 21 4.2 16.5 7.5 13 2.9 10.3 10 9 2.2 8.5 Surrounding field illumination Scale display of Illumination Max.
Safety 4) G. Kleinmann, P. Hoffman, E. Schechtman, and A. Pollack, "Microscope-induced retinal phototoxicity in cataract surgery of short duration," Ophthalmology 109, 334-338 (2002).
Safety G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety Safety devices of the suspension systems G-30-1682-en 1 Release bar Allows non-sterile persons to release the magnetic brakes of the suspension system. 2 Adjustment screw for limiting downward movement Use this knob to set the minimum vertical working distance from the surgical field. Check this setting before each surgical procedure. 3 Locking knob for the horizontal position of the suspension arm Before removing or attaching a module (microscope, tube, etc.
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Safety Halogen light source 1 Flap The flap is the mechanical indicator for the operating status of the halogen lamps. – When the flap is closed, the main lamp is operative. – When the flap is open, the main lamp has failed. The backup lamp is on. 2 Switching to the backup lamp The lamp housing contains a backup lamp which is automatically swung into the illumination beam path when the first lamp fails. If this automatic function fails, you can switch on the backup lamp by pressing this button.
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Safety Superlux Eye light source Warning! The xenon lamp has a limited service life of 500 h. If used beyond its maximum service life, the xenon lamp may explode. • Replace the xenon lamp in good time. • Reset the service hour counter to "0" after replacing the lamp. Warning! Lamp rupture (audible as a loud bang) may lead to jamming of the lamp module and/or failure of the electronics modules.
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Safety 2 Filter selector knob The filter selector knob has the following positions, depending on the light source used: No filter Blue barrier filter (retina protection filter) HaMode filter (standard) 485 nm fluorescence excitation filter (option) 3 Indicator: backup lamp is in use When the red segment in the knob (1) lights up, the backup bulb is in use. Note: If the first lamp has failed and the backup lamp is in use, make sure to have a backup lamp module ready at hand as a precaution.
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Safety Superlux Eye light source with integrated halogen light source (option) Warning! The xenon lamp has a limited service life of 500 h. If used beyond its maximum service life, the xenon lamp may explode. • Replace the xenon lamp in good time. • Reset the service hour counter to "0" after replacing the lamp. • For the lamp change procedure and how to reset the service hour counter, see "Switching to the backup lamp" on page 38.
Safety blue barrier filter (retina protection filter): use the blue barrier filter when operating on the eye. It protects the patient's retina against unnecessary (blue) radiation and permits the radiation exposure time to be increased by factor 3. KK 40 filter: to increase the color temperature empty filter position 4 5 Yellow indicator lamp – Lights when the main lamp has failed. In addition, open flap (1) on the lamp module indicates that the main lamp has failed. The backup lamp is on.
Safety Manual function 1 Manual button The Manual button permits you to switch to manual operation. The motorized functions of the surgical microscope are deactivated. The lamp brightness is automatically adjusted to a default setting. This lamp brightness value is displayed in the first display field.
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Safety Warning labels and notes Caution: Observe all warning labels and notes! If any label is missing on your instrument or has become illegible, please contact us or one of our authorized representatives. We will supply the missing labels. OPMI Lumera T (option) OPMI Lumera T G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety OPMI Lumera T with integrated assistant's microscope OPMI Lumera T G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety Light sources Superlux Eye XXXXXX-XXXX-XXX 1 1 Superlux Eye XXXXXX-XXXX-XXX 2 1 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety S88 floor stand 176164 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety S88 floor stand with instrument tray option G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety S8 ceiling mount 176164 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Safety S81 ceiling mount G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description 51 Lumera T surgical microscope 54 Intended use 54 Description of components 54 Illumination system 60 Controls, displays, connections 64 Binocular tubes and eyepieces 72 Light sources 78 Halogen light source (option) 80 Superlux Eye light source 84 Superlux Eye with integrated halogen light source (option) 92 Identical components of the suspension systems 98 Suspension arm 98 Description G-30-1682-en Display field with control keys 100 S88 floor stand 102 Intende
Description G-30-1682-en S81 ceiling mount 126 Intended use 126 Description of components 127 Design 128 Power switch, connector and socket (option) 130 OPMI Lumera T with integrated assistant's microscope on S88 floor stand 132 Intended use 132 Design 132 OPMI Lumera T with integrated assistant's microscope on S8 ceiling mount 134 Intended use 134 Design 134 OPMI Lumera T with integrated assistant's microscope on S81 ceiling mount 136 Intended use 136 Design 136 Foot contr
Description G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description Lumera T surgical microscope Intended use The Lumera T surgical microscope has been designed for the magnified visualization of the field of view during surgical procedures in ophthalmology. The illumination system of the surgical microscope features red reflex illumination and surrounding field illumination, providing very effective illumination of the field of view and optimum visualization of the red reflex.
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Description 2 Support arm for the surgical microscope The support arm incorporates a tilt device (3). This allows the viewing direction of the surgical microscope to be adapted to the requirements of the surgical field. Using the knob for fine tilt, you can position the surgical microscope in a range from +90° to -90° (+ in the direction of the surgeon and - in the opposite direction). The +90° setting is ideal for surgery on patients in a seated position or lying on their side.
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Description 9 Integrated assistant's microscope The integrated assistant's microscope in its standard version comes as an integral part of OPMI Lumera T. The assistant sees the same image as the main surgeon in the same image quality. The assistant's microscope has two working positions. They are located on the right and left of the main surgeon at an angle of 90° to the main surgeon's viewing direction.
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Description Illumination system With red reflex illumination (stereo coaxial illumination) and surrounding field illumination, the illumination system of the surgical microscope has been specially tailored to the requirements of ophthalmic applications. The illumination options provide very effective illumination of the field of view and optimum visualization of the red reflex.
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Description Illumination settings The type of illumination required can be selected using knob (1) on the surgical microscope. Type of illumination Red reflex illumination This is the best setting to generate an optimum red reflex. Glare from the sclera is effectively reduced as only the central field of view is illuminated. Red reflex with surrounding field illumination This setting permits clear visualization of the red reflex combined with illumination of the surrounding field of view.
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Description Controls, displays, connections 1 Securing screw – Prevents the coupling on the suspension arm from coming loose. 2 X-Y coupling 3 Reset button – Recenters the X-Y coupling. – Resets the focus to its initial position in the focusing range Note: Press this button to start the recentering movement. To stop this movement, press the button again. You can also stop the recentering movement by briefly tipping on one of the buttons on the foot control panel.
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Description 8 Dust cover 9 Switch for unlocking the magnetic brakes of the suspension system 10 Clamp for asepsis caps 11 Handgrips for positioning the surgical microscope With asepsis caps attached, the handgrips are used to position the microscope and unlock the magnetic brakes. – Handgrip turned Magnetic brakes are unlocked, the device can be moved as required. – Handgrip not turned Magnetic brakes are locked, the device cannot be moved.
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Description 14 DeepView button (depth of field (DoF) management system) Allows you to optimize the light transmission or depth of field, depending on the application involved. When this function is deactivated (LED not lit), the microscope is optimized for light transmission. When this function is activated (green LED is lit), the microscope is automatically set to optimized depth of field in accordance with the selected magnification.
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Description The integrated assistant's microscope comprises the following components: 18 Clamping screw for locking the coobservation tube in position within the 12° range of rotation. After adjusting the assistant's microscope as required, secure it in position using this screw. Firmly tighten the clamping screw by hand.
Description 18 19 20 21 22 G-30-1682-en OPMI® Lumera® T 23 24 25 Issue 4.0 Printed on 02. 02.
Description Binocular tubes and eyepieces You can mount a 180° tiltable tube, an Invertertube or a 45° inclined tube on the Lumera T surgical microscope as required (see the following pages). 180° tiltable tube 1 PD adjustment knob The correct position has been reached when the two eyepiece images merge into one. You can read off the interpupillary distance set on the adjustment knob.
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Description Invertertube™ The tiltable tube has an inverter function and has been designed for ophthalmic use. Many wide-angle observation systems for the posterior segment of the eye provide an inverted intermediate image which is viewed through the surgical microscope. The inverter is used to erect an inverted image. When activating the wide-angle observation system, you must also activate the inverter of the tiltable tube.
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Description Widefield eyepieces with magnetic coupling Note: When the eyepiece has been removed from the tube, please remember that it is equipped with a magnetic coupling. Attached eyepieces produce a very minor magnetic field, i.e. the usual regulations for the handling of magnets must only be observed with non-attached eyepieces. G-30-1682-en • Do not place the eyepiece near instruments which may be magnetizable.
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Description Light sources The suspension system is equipped either with a halogen light source, a Superlux Eye light source or with a Superlux Eye light source with an additional, integrated halogen light source (option). 1 Superlux Eye light source This illumination system comprises a xenon lamp featuring fiber illumination. The xenon lamp generates light whose spectrum resembles that of natural daylight.
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Description Halogen light source (option) The suspension system is equipped with a light source for fiber illumination. The lamp housing contains a backup lamp which is automatically swung into the illumination beam path when the first lamp fails. If required, the light source can be equipped with a second lamp housing so that two separate light sources are available for fiber illumination.
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Description 7 Brightness control Brightness can be adjusted using the two keys (7) on the control panel. Warning! Too much light intensity (brightness setting is too high) or excessive radiation exposure times may lead to retinal injury in the patient's eye. • Adjust the illumination intensity as required for the light source used and the radiation exposure time. You will find the values recommended by Carl Zeiss in the table "Maximum radiation exposure times" on page 29.
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Description Superlux Eye light source Warning! The xenon lamp has a limited service life of 500 h. If used beyond its maximum service life, the xenon lamp may explode. • Replace the xenon lamp in good time. • Reset the service hour counter to "0" after replacing the lamp. The Superlux Eye light source is equipped with a xenon lamp, a blue barrier filter (retina protection filter) and an optionally selectable filter. The xenon lamp generates light whose spectrum resembles that of natural daylight.
Description G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description 1 Lamp module 2 • Manual activation of the backup lamp When the xenon lamp fails, open the lamp module as follows: • Press button (7). The lamp module is slightly ejected. • Pull out the lamp module as far as it will go. • Turn knob (2) through 180° until it snaps in. This moves the backup lamp into the illumination beam path. • Push the lamp module all the way back into the lamp housing. • Reset the service hour counter to "0".
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Description G-30-1682-en 5 Counter The counter records the service hours of the xenon lamp in the Superlux Eye light source. • Change the xenon lamps after about 500 hours of operation to avoid any explosion of the xenon lamps. Then reset the counter to "0" by pressing reset button (6). 6 Reset button The reset button resets the service hour counter to "0". 7 Opening the lamp module When you press this button, the lamp module is slightly ejected.
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Description 8 Brightness control You can adjust the brightness using the two control keys on the control panel. The brightness of the xenon lamp can also be adjusted by pressing the appropriate buttons on the foot control panel. Warning! Too much light intensity (brightness setting is too high) or excessive radiation exposure times may lead to retinal injury in the patient's eye. • Adjust the illumination intensity as required for the selected type of illumination and the radiation exposure time.
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Description Superlux Eye with integrated halogen light source (option) Warning! The xenon lamp has a limited service life of 500 h. If used beyond its maximum service life, the xenon lamp may explode. • Replace the xenon lamp in good time. • Reset the service hour counter to "0" after replacing the lamp. Please observe the procedure described on page 80. Superlux Eye with an integrated halogen light source is a combination of the two light sources described above.
Description When you press this button, the lamp module is slightly ejected. For changing the lamp, pull out the lamp module as far as it will go. Turn knob (5) through 180° until it snaps in. This moves the backup lamp into the illumination beam path. 5 Manual activation of the Superlux Eye backup lamp When the xenon lamp fails, open the lamp module as follows: Press button (4). The lamp module is slightly ejected. Pull out the lamp module as far as it will go.
Description 6 Flap The flap is the mechanical indicator for the operating status of the halogen lamps. – When the flap is closed, the main lamp is operative (green light (15) is on). – When the flap is open, the main lamp has failed. The backup lamp is used (yellow light (14) is on).
Description 13 12 11 6 7 8 9 10 14 Xenon Halogen 15 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description 14 Yellow indicator lamp – Lights when the main lamp has failed. The backup lamp is on. – Blinks when the backup lamp has failed. 15 Green indicator lamp Lights when the respective light source has been switched on. 16 Selector: The light source is off. The light source is on. The light source can be switched on/off on the left-hand side of the foot control panel. The light source can be switched on/off on the right-hand side of the foot control panel.
Description 17 Xenon 14 Halogen 0,7 15 16 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description Identical components of the suspension systems Suspension arm 1 Lock of the cable duct – For opening, turn a quarter turn clockwise or counterclockwise. – For closing, press down and turn a quarter turn clockwise or counterclockwise. 2 Adjustment screw for limiting downward movement Use this screw to set the minimum vertical working distance from the surgical field. Bring the surgical microscope into its working position.
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Description Display field with control keys Basic mode Halogen 1 1,5 2 The display and control panel is integrated in the control unit. The surgical microscope on the suspension system can be controlled either manually or electronically. The control software required for electronic control is installed in the electronics box of the suspension system. You operate the software via the control and display panel, where you can read off and reconfigure the current settings.
Description Keys Three keys and an LED are provided below the displays. Use the "MODE", "STORE" and "MANUAL" keys to select the different control functions (modes). "MODE" key and "STORE" key The "MODE" and "STORE" keys permit you to access the different modes of the user interface. For details, please see the chapter "Operation". "STORE" key You use the "STORE" key, for example, to save the current focus and zoom settings for OPMI® Vario on the suspension system.
Description S88 floor stand Intended use The floor stand is a suspension system for Zeiss surgical microscopes. It is used to power and control the motorized functions of the surgical microscope. The hallmarks of the floor stand are its superb mobility and easy operation. Four steerable casters on the stand base permit easy positioning in the OR. The motorized functions of the surgical microscope can be activated using a foot control panel.
Description Description of components The floor stand comprises an articulated arm, a stand column and a stand base. The articulated arm comprises a carrier arm and a suspension arm. The carrier arm contains the control unit with all electrical supply systems required for the control of a motorized surgical microscope. These motorized functions can be activated using a foot control panel. The suspension arm permits almost effortless positioning of the surgical microscope.
Description Design G-30-1682-en 1 Control unit 2 Carrier arm 3 Light source, see page 78 4 Suspension arm 5 Stand base OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
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Description Stand base with column G-30-1682-en 1 Maneuvering handle for moving the stand. 2 Support for hanging up the foot control panel during transport. 3 Cable support (2x) for winding up the power cord and the cable of the foot control panel. 4 Cable deflector protects the cables lying on the floor from damage caused by rolling over them with the stand base. 5 Locking pedal Press once to lock the stand in position. Press a second time to release the locking pedal.
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Description Connection panel 1 Remote socket for triggering an AUX signal, e.g. to switch on/off an external device operating at max. 24V/0.5A. 2 Connector for switching component Possibility of connecting a foot control panel or operating chair with an appropriate footswitch. 3 Potential equalization connector 4 Indicator window for rated voltage The voltage shown here must correspond to the rated line voltage provided on the site of installation.
Description – connecting cable for foot control panel or operating chair with appropriate footswitch. 3 4 1 5 6 7 2 8 S2 8 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description Instrument tray (option) The S88 floor stand can be equipped or retrofitted with an instrument tray (1). In the case of retrofitting, our service staff or an authorized person will install the instrument tray on your suspension system. The instrument tray (1) can carry a maximum of 13 kg. It is designed for mounting the Zeiss instruments VISULAS 532s or MediLive™ Trio Eye: – The four receptacles (2) on the instrument tray are intended for VISULAS 532s.
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Description Video monitor (option) The S88 floor stand can be equipped or retrofitted with a TFT monitor (1). In the case of retrofitting, our service staff or an authorized person will install the TFT monitor on your suspension system. The TFT monitor features a 15" screen and permits the scrub nurse and other OR staff to follow the surgical procedure. For optimum viewing, the TFT monitor can be precisely positioned using flexible arm (2).
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Description Components The principal component of the TFT monitor is the 15" screen which delivers flawless, sharp images even at low frame rates of 50 Hz. The connectors and controls are located under cable cover (2) on the back of the TFT monitor. To access the connectors and controls, proceed as follows: • Remove two screws (3) from cable cover (2) by turning them counterclockwise. • Remove cable cover (2) by pushing it upward.
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Description Connector panel 2 Power supply for power and voltage supply of the device. Caution: Only operate the device with the power cable included in the delivery package. 3 DVI connector DVI stands for Digital Video Interface and is the latest technology for digital data transmission. The cable length for this connector must not exceed 4.5 m. Note: We recommend the DVI connector for the connection of a camera, as it delivers optimum image quality with minimum flicker.
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Description Powering on the TFT monitor To facilitate the operation of the TFT monitor, it is automatically activated when the suspension system is switched on. During the power-on process, the TFT monitor executes a power-on sequence in which the signals on the connectors (DVI, VGA, S-Video, Composite and Component) are checked. After detection of the signal available, the correct screen resolution and frame rate are set automatically.
Description 360° 90° ±90° 45° 1 G-30-1682-en 2 OPMI® Lumera® T 3 Issue 4.0 Printed on 02. 02.
Description S8 ceiling mount Intended use The S8 ceiling mount is a suspension system for Zeiss surgical microscopes. It is used to power and control the motorized functions of the surgical microscope. The hallmarks of the S8 ceiling mount are its superb mobility and easy operation. The motorized functions can be activated using a foot control panel.
Description Description of components The S8 ceiling mount comprises an articulated arm, a suspension arm with the lamp housing and a control unit. The articulated arm consists of a lift arm and a carrier arm. The lifting function permits the ceiling mount to be moved to a standby position. A grip is provided for height adjustment of the ceiling mount. The suspension arm with the lamp housing and the control unit is mounted on the carrier arm.
Description Design G-30-1682-en 1 Lift arm 2 Carrier arm 3 Suspension arm 4 Grip for moving the ceiling mount into the standby or working position. 5 Light source, see page 78 6 Control unit OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
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Description Power switch with connector (option) The power switch and the connector can be either installed in the OR, or they can be integrated in the ceiling mount, at the back of the carrier arm (see illustration). G-30-1682-en 1 Rail The delivery package contains a cable clip which is used to guide the cable of the foot control panel away from the operating table. The cable clip can be easily attached to rail (1) either on the left or right side of the arm.
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Description S81 ceiling mount Intended use The S81 ceiling mount is a suspension system for Zeiss surgical microscopes. It is used to power and control the motorized functions of the surgical microscope. The hallmarks of the S81 ceiling mount are its superb mobility and easy operation. The motorized functions can be activated using a foot control panel.
Description Description of components The S81 ceiling mount comprises a column, a carrier arm and a suspension arm. The suspension arm with the lamp housing and the control unit is mounted on the carrier arm. The control unit is rotatable through 180° (70° if the Superlux Eye light source with additional, integrated halogen light source is used) and contains all electrical supply systems required for the control of a motorized surgical microscope.
Description Design G-30-1682-en 1 Column 2 Carrier arm 3 Suspension arm 4 Light source, see page 78 5 Control unit OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description 1 2 3 4 G-30-1682-en OPMI® Lumera® T 5 Issue 4.0 Printed on 02. 02.
Description Power switch, connector and socket (option) The connector and socket can be either installed in the OR, or they can be integrated in the ceiling mount, at the back of the carrier arm (see illustration). G-30-1682-en 1 Rail The delivery package contains a cable clip which is used to guide the cable of the foot control panel away from the operating table. The cable clip can be easily attached to rail (1) either on the left or right side of the arm.
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Description OPMI Lumera T with integrated assistant's microscope on S88 floor stand Intended use OPMI Lumera T has been designed for the magnified visualization of the field of view during surgical procedures in ophthalmology. The system is intended for use in offices, hospitals or other human medicine institutions. The system must only be operated by physicians, nurses and other medical staff who have undergone appropriate training and observe the instructions of the user's manual.
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Description OPMI Lumera T with integrated assistant's microscope on S8 ceiling mount Intended use OPMI Lumera T has been designed for the magnified visualization of the field of view during surgical procedures in ophthalmology. The system is intended for use in offices, hospitals or other human medicine institutions. The system must only be operated by physicians, nurses and other medical staff who have undergone appropriate training and observe the instructions of the user's manual.
Description 3 2 1 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Description OPMI Lumera T with integrated assistant's microscope on S81 ceiling mount Intended use OPMI Lumera T has been designed for the magnified visualization of the field of view during surgical procedures in ophthalmology. The system is intended for use in offices, hospitals or other human medicine institutions. The system must only be operated by physicians, nurses and other medical staff who have undergone appropriate training and observe the instructions of the user's manual.
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Description Foot control panel Intended use The foot control panel permits you to control 14 different functions of a suspension system or surgical microscope, provided these functions are part of your configuration (suspension system, surgical microscope). The assignment of the functions to the controls of the foot control panel is shown on the next page. Design The foot control panel is equipped with two rocker switches (1) for controlling the ”zoom” and ”focus” functions.
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Description The illustration shows the standard assignment of functions to the foot control panel. On request, our service staff can change the assignment of the focus/zoom functions and that of buttons 3 and 10 (also labeled C and D in the menu). 1 Joystick for X-Y coupling 2 Reducing the lamp brightness 3 Recentering of the X-Y coupling and focus starting position (optional: control of Stereo Digital Inverter IIe / 3e from Oculus and of Visulux fiber slit lamp).
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Description G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Preparations Preparations G-30-1682-en Attaching the equipment 144 Mounting the surgical microscope 144 Mounting the tube, the eyepieces and the objective lens 148 Changing the microscope accessories 152 Connections 154 Connecting the surgical microscope 154 Connecting the light guide 154 Strain relief device on S88 floor stand 158 Connecting the S88 floor stand 160 Relocating the system 162 Adjusting the supension system 164 Adjusting the balance setting of the suspension arm
Preparations Attaching the equipment Mounting the surgical microscope Warning! The maximum weight of the microscope including accessories must not exceed 20 kg! • Leave the suspension arm locked in its horizontal position until you – have mounted and secured the complete equipment, – and made the electrical connections. G-30-1682-en • Then perform the balance setting procedure. • Turn off the system at the power switch.
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Preparations • Hook coupling (12) with the attached surgical microscope from above into receptacle (11) on the suspension arm, and tilt the coupling downward into its vertical position. • Firmly tighten securing screw (3) using a 5 mm hex key. • Insert cable clip (10) into opening (13) of the coupling. • Release the horizontal lock by loosening locking knob (1). • Then perform the balance setting procedure.
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Preparations Mounting the tube, the eyepieces and the objective lens Note: The main microscope comes with Invertertube (3), the integrated assistant's microscope with assistant's Invertertube (13). Alternatively, the binocular coobservation tube (10) and the 45° inclined tube (11) can be attached. • Bring the suspension arm in a position convenient for you and firmly tighten locking knob (1). • Give securing screw (6) a few turns to loosen it. • Remove dust cover (2) and store it in a safe place.
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Preparations Warning! • Before every use and after re-equipping the system, make sure that the two mounted tubes (3 and 13) are securely locked in position. • Make sure that the following components are firmly tightened: – securing screws (6 and 8) and – objective lens (7) G-30-1682-en • When attaching any components, take care not to damage the DeepView system. • Loosen locking knob (1). • Re-adjust the balance of the suspension arm after every change of equipment. OPMI® Lumera® T Issue 4.
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Preparations Changing the microscope accessories You can change the microscope accessories in reverse order to that described before. Please observe the following: • Turn off the unit at the power switch before changing any accessories. • Bring the suspension arm in a position convenient for you and firmly tighten locking knob (1). • After changing the accessories, re-adjust the friction as required.
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Preparations Connections Connecting the surgical microscope • Turn locking cap (1) by a quarter turn to the right or left and pull up cover (2). • Plug microscope connector (3) into connector (4) and tighten the securing screws on the microscope connector. • Press the microscope cable into cable clip (5). Install the cable in such a way that it is neither stretched nor kinked when the microscope is turned or tilted. • Press down cover (2) as far as it will go and lock it with cap (1).
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Preparations Warning! It may happen that no second lamp module such as the VISULUX™ fiber slit lamp is used on the microscope. To prevent light guide (3) provided for this purpose from injuring the patient, you must attach it to the cable holder of the suspension system. G-30-1682-en • Switch off the illumination system for the unneeded light guide by setting the illumination selector switch (4) to the left. • Press the light guide into an empty position of cable holder (2).
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Preparations Strain relief device on S88 floor stand Note: You can secure the power plug and the multipoint connector of the switching component against inadvertent loosening by installing the two cables in strain relief device (1). After you have mounted strain relief device (1), the cable must have the following length: – 320 mm from the strain relief device up to and including power connector (9).
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Preparations Connecting the S88 floor stand • Check the voltage indicated at (3). Caution: The suspension system is set at the factory to the rated voltage used in the country of destination. The rated voltage indicated at window (3) must correspond to the rated voltage available on the site of installation. If this is not the case, you must re-adjust the sliding switch using a suitable tool. Note: Insert or remove connectors at (2), (4) and (5) only if power switch (6) is off.
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Preparations Relocating the system Note: As the stand is very easy to maneuver, there is a tendency to underestimate its considerable weight. Therefore, move the stand slowly and carefully! Please observe the following points when relocating the stand: • Fold the suspension arm to its moving position (see illustration on the opposite page). • Switch off the illumination system using the knobs, and the system at its power switch. • Unplug the power cord from the wall outlet.
Preparations G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Preparations Adjusting the supension system Adjusting the balance setting of the suspension arm • Only perform the balance setting procedure with the complete microscope equipment attached! Note: We recommend that you perform coarse balancing of the suspension arm before starting with precise balance setting of the suspension arm. The suspension arm must be locked in the horizontal position for this procedure. • For coarse balancing, move the suspension arm slightly up and down.
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Preparations Adjusting the limit of downward movement The downward travel of the suspension arm must be limited in such a way that no hazard is caused to the patient's safety even if the surgical microscope is inadvertently lowered. G-30-1682-en • Give adjustment screw (1) a few turns to loosen it.
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Preparations Positioning the S8 ceiling mount 1 Working position 2 Standby position Working position • Pull the ceiling mount into the working position using the handle (4). The recommended height is approx. 1750 mm measured from the handle to the floor. • When you release the handle (4), the lift arm (3) is locked in the working position (1). Standby position G-30-1682-en • Press the release key of the magnetic brakes on the surgical microscope.
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Preparations Settings on the control and display panel Setting up the suspension system • Turn on the suspension system at its power switch. • Successively select the following functions on the suspension system: – lamp brightness, – motor speeds for zoom, – focus and – X-Y coupling. • Set the lamp brightness as follows: Slowly increase the brightness until the necessary and still admissible level is reached. – Halogen: adjustment range: 0.5 ... 10 – Xenon: adjustment range: 0.5 ...
Preparations Adjusting the surgical microscope Bring the surgical microscope into its starting position within the focusing range. Adjust the minimum magnification on the surgical microscope. Bring the surgical microscope into the position required. Adjust your interpupillary distance on the binocular tube. Adjust your prescription on the eyepieces. Please note that instrument myopia can occur. Emmetropes adjust the diopter scale to 0 diopter (D).
Preparations Optimizing the red reflex Optimization on the OPMI For optimum visualization of the red reflex on the OPMI, please check that: • the objective lenses are free from contamination, • the light guide is undamaged and correctly connected, • the lamp is properly seated in the lamp socket, • all protection filters have been correctly swung into the beam path, • the microscope is in the correct working position (the patient's eye must correspond with the optical axis of the microscope).
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Preparations Adjusting the tilt angle Using knob (1), you can position the surgical microscope in a range from +90° to -90° (+ in the direction of the surgeon and - in the opposite direction). The +90° setting is ideal for surgery on patients in a seated position or lying on their side. Caution: Do not tilt the main microscope beyond + / -90°, as this could damage the microscope cable or the light guide. • Turn knob (1) until the surgical microscope is in the viewing position required.
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Preparations Preparing the system for sterile use Asepsis sets For sterile use, the system can be equipped with resterilizable products. The asepsis sets available from Carl Zeiss contain caps and handgrips which can be sterilized in autoclaves. For detailed information on sterilization please see the enclosed instructions "Preparation of resterilizable products". Warning! The products contained in the asepsis sets must be cleaned, disinfected and sterilized before each use.
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Preparations G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Operation 179 Checklist 180 When using a wide-angle observation system (e.g. BIOM 3) 183 Positioning the S88 floor stand 184 Using the display and key field 186 General functions 186 Operating the OPMI® on the suspension system 190 Procedure 203 Operation G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Operation Checklist Warning! If a function fails, you must not use this instrument for safety reasons. Correct the fault (see the "Troubleshooting table“) or contact our service dept. Always check the function of the system before surgery (without patient!) using the following checklist: Requirements: – Check that the correct rated voltage has been set on the suspension system. – Check that all cables have been connected. – Check that the light guide has been connected.
Operation – Check that image quality is the same throughout the entire magnification range. Check the accessories Using the manuals provided, check that the other equipment (illumination system, video system, etc.) is functioning properly. Checking the suspension system Note: After switching on, the suspension system automatically performs a selftest which takes approx. five seconds.
Operation Warning! The xenon lamp has a limited service life of 500 h. If used beyond its maximum service life, the xenon lamp may explode. • Replace the xenon lamp in good time. • Reset the service hour counter to "0" after replacing the lamp. • For the lamp change procedure and how to reset the service hour counter, see "Switching to the backup lamp" on page 38. Balance setting – Check that the suspension arm has been properly balanced.
Operation When using a wide-angle observation system (e.g. BIOM 3) When using a wide-angle observation system (e.g. BIOM 3 from Oculus) which is usually installed between the surgical microscope and the patient, make sure that the patient is neither put at risk nor injured by the motorized focusing system or the movement of the suspension system arm. Only use accessories expressly certified by the manufacturer for combination with the surgical microscopes described in this manual.
Operation Positioning the S88 floor stand Note: Please also read the chapter: "Relocating the stand", page 162. • Unlock brake tab (2). • Use maneuvering handle (1) to move the stand to the site of use. Make sure that movement is not obstructed by the power cord and the cable of the foot control panel. Caution: Press down brake tab (2) and make sure that the stand is securely locked in position and cannot roll away by itself. G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
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Operation Using the display and key field General functions Basic mode Halogen 1 1,5 1,5 Every time you press the "Δ" key, the displayed value is incremented in predefined steps up to a certain maximum. USER 1 STORE MANUAL Xenon "MODE" key Press the "MODE" key to switch from the basic mode to the speed mode. The "MODE" key also brings you back from the speed mode to the basic mode. 1 Xe USER In the configuration modes, use the "MODE" key to return to the basic mode.
Operation "MANUAL" key The "MANUAL" key permits you to switch to manual operation. The motorized control functions of the surgical microscope are deactivated. The lamp brightness is automatically adjusted to a fixed setting, the value being shown in the first display. When the manual mode is activated, the yellow LED is lit and the word "MANUAL" blinks in the third display. The surgical microscope can no longer be operated via the foot control panel, the handgrips or the display and key field.
Operation Basic mode Halogen The basic mode is always displayed in the normal operating status. In the basic mode, the following settings are displayed, depending on the installed surgical microscope: 1 1,5 2 1.
Operation Lamp 1: xenon Lamp 2: halogen Acoustic signals Three succes- – sive beeps – Error message during the software check after power-on of the suspension system. Error message for an internal system error. One beep When the focus or zoom position is saved. One beep After power-on of the suspension system. Intermittent beep Light source failure. Service display In the event of an error, e.g.
Operation Operating the OPMI® on the suspension system Overview: user interface for the OPMI® Basic mode 1 Speed mode 1.5 2 1.5 FOCUS SPEED: USER 6.0 1 Configuration mode 1 ZOOM SPEED: 5.0 MODE STORE MANUAL XY SPEED: FOOT LEFT C: 6.
Operation Control functions for the OPMI® The control functions for the OPMI® have been combined in 4 modes: Basic mode – Setting the lamp brightness Speed mode – Setting the speed for focusing – – Setting the speed for the zoom function Setting the user ID – Setting the speed for the X-Y coupling Configuration mode 1 – Assigning a function to button C of the foot control panel C D – Assigning a function to button D of the foot control panel – Setting the focus speed depending on the zoom se
Operation OPMI®: setting the lamp brightness Basic mode 1 1.5 2 This function permits you to set the lamp brightness. In the basic mode, the lamp brightness currently set is shown in the upper display field. The middle display field remains empty and the associated keys "∇" and "Δ" have no function. 1 If the suspension system is equipped with a second halogen lamp housing, the brightness currently set for the second lamp is displayed in the middle display field.
Operation Warning! Software and hardware failure may increase the brightness of the Superlux Eye light source, leading to retinal injury in the patient's eye. If several successive beeps are emitted and the xenon lamp is lit when the system is switched on, this indicates a malfunction of the Superlux Eye light source. • Attach a sign to the system stating it is out of order and contact our service representative.
Operation Speed mode OPMI: Setting the adjustment speeds You can set the adjustment speeds for the following microscope functions: – Focusing 6.0 – Zoom function ZOOM SPEED: – Adjustment of the X-Y coupling FOCUS SPEED: 5.0 Path: The basic mode is automatically displayed after the instrument has been switched on. Press the "MODE" key to access the speed mode. XY SPEED: 6.
Operation Caution: Be extremely careful when changing these settings. You should change settings only under your own user ID. Notify all users of any changes, or make sure that each user only works under his own user ID. Path: To return to the basic mode, press the "MODE" key in the speed mode or do not press any key for 20 seconds. To switch to configuration mode 1, simultaneously press the "MODE" and "STORE" keys. G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Operation OPMI: Assigning a function to buttons C and D of the foot control panel Buttons C and D of the foot control panel can be configured as required.
Operation Roll-over procedure Use the "Roll-over procedure" to select the required function in the default sequence of the above table. Every time you press the relevant button "∇" you advance clockwise. Every time you press the relevant button "Δ" you advance counterclockwise.
Operation G-30-1682-en SDI The optical system of the Stereo Diagonal Inverter (SDI) 2E from Oculus is moved into and out of the beam path of the surgical microscope. Movement control of the VISULUX(tm) fiber slit illuminator. FOC-MEM Press the appropriately configured button for more than 2 seconds to save a new focus position. A beep sounds when the position has been saved. To move to a saved focus position, briefly press the appropriately configured button (for less than 2 seconds).
Operation Configuration mode 1 OPMI: Setting the adjustment speeds of focus and X-Y coupling as a function of the zoom setting In this mode, you can select dynamic speed control for focusing and the X-Y coupling. The depth of field of the optical system changes as a function of the zoom setting: FOOT LEFT C: PHOTO – If a large field of view (low zoom value) is used, this results in a large depth of field, and the focus must be adjusted over a wide range to obtain a sharp image.
Operation Path: After you have switched on the instrument, the basic mode is automatically displayed. To access configuration mode 1 from the basic mode, simultaneously press the "MODE" and "STORE" keys. Rollover Select the function required using a rollover run in the sequence defined in the above table. At each press of the "∇" key, you advance in clockwise direction.
Operation OPMI®: Selecting the magnetic brakes to be unlocked You can define which magnetic brakes of the suspension system are to be unlocked by turning the left and/or right handgrips (1) and (2) (turning function). In configuration mode 2, the upper display and key field (SELECT BRAKES) permits you to select the following: 1 2 XY - Z The magnetic brakes of the suspension system for X-Y movement and Z movement can be unlocked separately.
Operation Path: To return to the basic mode, press the "MODE" key in the configuration mode or do not press any key for 20 seconds. To access the next configuration mode 3, simultaneously press the "MODE" and "STORE" keys. G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Operation Procedure • Switch on the power switch of the suspension system. Warning! Looking directly into the light source, e.g. into the microscope objective lens or light guide, may result in damage to the eye. Avoid looking directly into the light source! • Start with the lowest brightness setting on the suspension system and gradually increase brightness up to the necessary and still admissible level.
Operation G-30-1682-en – When operating on the eye, use the blue barrier filter (retina protection filter). It protects the patient's retina against unnecessary (blue) radiation and permits the radiation exposure time to be increased by factor 3. • Select the magnification required (zoom). Look through the eyepieces of the binocular tube. Adjust the eyepieces in such a way that you can see both the edge of the field of view and the microscope image sharply.
What to do in the event of malfunctions What to do in the event of malfunctions G-30-1682-en What to do in an emergency 206 Lamp failure of the halogen light source 206 Lamp failure in the Superlux Eye light source 208 Failure of lamp control 212 Failure of the focusing function 212 Failure of magnetic brakes 214 Failure of the X-Y coupling 214 Failure of the zoom function 215 Causes of malfunctions and remedies 216 Malfunctions in the surgical microscope 216 Malfunctions in the
What to do in the event of malfunctions What to do in an emergency Lamp failure of the halogen light source Caution: Do not cover ventilation grid (2)! For example, drapes could be covering the grid. This can lead to overheating of the lamp modules and to lamp failure. Note: The lamp housing contains a backup lamp which is automatically swung into the illumination beam path when the first lamp fails. Open flap (3) and yellow indicator lamp (7) indicate that the backup lamp is being used.
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What to do in the event of malfunctions Lamp failure in the Superlux Eye light source Warning! Lamp rupture (audible as a loud bang) may lead to jamming of the lamp module and/or failure of the electronics modules. • Before opening the lamp housing, make sure that the system is moved to a position where neither the patient nor the user is put at risk by falling items.
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What to do in the event of malfunctions Switching to the backup lamp • Turn off the suspension system at the power switch before switching to the backup lamp. The lamp module contains two xenon lamps. The second lamp is used as a backup lamp which can be swung into the illumination beam path when the first lamp fails. If the first xenon lamp fails, you can open lamp module (2) as follows: • Press button (4). The lamp module is slightly ejected. • Pull out the lamp module as far as it will go.
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What to do in the event of malfunctions Failure of lamp control • Press Manual button (1) if brightness control is no longer possible. Note: When the manual function has been activated, all electrical control systems are inoperative. The lamp brightness is automatically adjusted to a fixed setting. Failure of the focusing function G-30-1682-en • Press Manual button (1) if, for example, the focusing system keeps moving to the upper or lower end position.
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What to do in the event of malfunctions Failure of magnetic brakes If the magnetic brakes fail (magnetic brakes are locked), you can manually position the articulated arm including the microscope by overcoming the locking effect of the magnetic brakes. Failure of the X-Y coupling Failure of the X-Y coupling Motorized control of the X-Y coupling is not possible. • Press the Manual button. • Manually position the surgical microscope using the movement options provided by the suspension system.
What to do in the event of malfunctions Failure of the zoom function Failure of the zoom function Motorized magnification adjustment is not possible. • Press the Manual button. • Use zoom adjustment knob (1) of the microscope to manually set the magnification required (if necessary, use a tool, e.g. a screwdriver, coin, etc.) Malfunction of the zoom function The zoom function performs uncontrollable settings. • Disconnect the surgical microscope from the suspension system.
What to do in the event of malfunctions Causes of malfunctions and remedies For your safety • This system is a high-grade technological product. To ensure optimum performance and safe working order, we recommend having it checked by our service representative as part of regular scheduled maintenance.
What to do in the event of malfunctions Problem Possible cause Remedy See Insufficient surgical field illu- Brightness level set too low. Adjust brightness using con- -mination. trol on suspension system or foot control panel. Defective light guide (illumi- Contact service dept. -nation not uniform). Light guide probably needs to be changed. Surgical field illumination Brightness level set too Adjust brightness using con- -too bright. high. trol on suspension system or foot control panel.
What to do in the event of malfunctions Malfunctions in the surgical microscope with integrated assistant's microscope Problem Possible cause Remedy See No function at all. Power plug of suspension Plug in the power cord. system not inserted. -- Power switch of suspension Press power switch. page 108 system not switched on. Green indicator light in power switch must be on. Automatic circuit breaker in Press power switch again. power switch of suspension system has been activated.
What to do in the event of malfunctions Problem Possible cause Remedy See Zoom system inoperative. Zoom system does not Manually adjust magnifica- page 215 work, or moves to upper or tion using zoom knob. lower end position. Contact service dept. Zoom and focusing systems Functions not correctly set Contact service dept. inoperative. on suspension system. -- Microscope motion too stiff. Friction adjusting knob on Slightly loosen friction ad- page 144 suspension system tight- justing knob.
What to do in the event of malfunctions Problem Possible cause Remedy See Yellow indicator lamp in dis- Defective main and backup Change lamp or insert play field blinks. lamps. backup lamp module. Defective lamp module. Illuminate surgical field using an OR illuminator. Contact service dept. Insufficient surgical field illu- Brightness level set too low. Adjust brightness on sus- mination. pension system's display field or using foot control panel.
What to do in the event of malfunctions Problem Possible cause Remedy See – Error message during Manual operation is pos- the software check after sible. power-on of the suspenContact service dept. sion system. XXX specify error code and serial In combination with three – Error message for an in- no. ternal system error. successive beeps and display of the error code (XXX). S88 floor stand only: stand Floor not level. Stand base Slightly turn stand base. Ar- wobbles.
What to do in the event of malfunctions Problem Possible cause Remedy See Image is not centered. A signal source is present Perform automatic image page 114 on the VGA port, and no au- adjustment. tomatic image adjustment has been performed. Image is too dark or too A signal source is present Perform automatic image page 114 bright. on the VGA port, and no au- adjustment. tomatic image adjustment has been performed. G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
What to do in the event of malfunctions Malfunctions in the halogen light source Problem Possible cause Surgical field illumination on Thermal cut-out activated. microscope not working. Remedy See Remove the cause of over- heating. For example, drapes could be covering the grid. When the lamp module has cooled down, the light source switches on again. Selector set in such a way Switch on illumination using that illumination can be foot control panel (button A switched on using foot con- or B).
What to do in the event of malfunctions Problem Possible cause Remedy See Surgical field illumination Brightness level set too Adjust brightness using con- page 170 too bright. high. trol on suspension system or foot control panel. Switch off light source on suspension system. Illuminate surgical field using an OR illuminator. Contact service dept. Malfunctions in Superlux Eye light source Problem Possible cause Surgical field illumination on Thermal cut-out activated. microscope not working.
What to do in the event of malfunctions Problem Possible cause Remedy See Insufficient surgical field illu- Brightness level set too low. Adjust brightness on susmination. pension system's display field or using foot control panel. Aged xenon lamp. Switch off illumination on suspension system. Illuminate surgical field using an OR illuminator. Change xenon lamp. Surgical field illumination Brightness level set too Adjust brightness using con- page 170 too bright. high.
What to do in the event of malfunctions G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Care and maintenance Care and maintenance G-30-1682-en Care of the unit 228 Sterilization 229 Disinfecting the control keys 230 Changing the halogen lamp 232 Changing the Superlux Eye xenon lamp module 234 Balancing the monitor arm 236 OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Care and maintenance Care of the unit Warning! If possible, the systems and accessories should be cleaned immediately after use. Contaminations should not be allowed to dry on the objects, as this would make cleaning and disinfecting more difficult. If possible, machines should be used for disinfecting and cleaning. For details, please also see the relevant notes on sterilization equipment. Cleaning optical surfaces The multi-layer T* coating of the optical components (e.g.
Care and maintenance Fogging of optical surfaces To protect the eyepiece optics from fogging, we recommend using an anti-fogging agent. Note: Anti-fogging agents provided by eyecare professionals for use with eyeglass lenses are also suitable for Zeiss eyepieces. • Please observe the instructions for use supplied with each anti-fogging agent. Anti-fogging agents do not only ensure fog-free optics.
Care and maintenance Disinfecting the control keys To be able to use the system in the OR, for example, it may be necessary to disinfect the control keys. We recommend using MELISEPTOL disinfectant from B. Braun, Melsungen AG. MELISEPTOL is available from Carl Zeiss, and you can also obtain it locally in many countries from representatives of B. Braun, Melsungen AG.
Care and maintenance G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Care and maintenance Changing the halogen lamp Warning! If you change the lamp shortly after it has failed, the lamp will still be very hot. Wear heat-protection gloves to avoid burns! To change the lamp, proceed as follows: • Switch off the light source via knob (3) and the system at its power switch. • Press button (2), the lamp module is slightly ejected. Pull out lamp module (1). • Remove the defective halogen lamp from the spring-loaded mount.
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Care and maintenance Changing the Superlux Eye xenon lamp module Warning! Lamp rupture (audible as a loud bang) may lead to jamming of the lamp module and/or failure of the electronics modules. • Before opening the lamp housing, make sure that the system is moved to a position where neither the patient nor the user is put at risk by falling items. • Do not continue using the system if the lamp module is jammed or the illumination is no longer operational due to defective electronics modules.
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Care and maintenance Balancing the monitor arm If the TFT monitor does not remain in place in every position required, the following readjustments can be performed. Increasing the friction of left/right movement of the carrier arm • Slightly tighten screw (1) of the monitor carrier arm by turning it clockwise using an M5 hex key. Increasing the friction of left/right movement of the suspension arm • Remove plastic cover (2) on the suspension arm joint.
Care and maintenance 1 2 3 4 5 6 G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Care and maintenance G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
System data System data G-30-1682-en Technical data 240 Magnifications / Fields of view 256 Ordering data 257 Spare parts 259 Disposal 260 Ambient requirements 261 CE conformity 261 Changes to the system 261 OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
System data Technical data Lumera T surgical microscope with integrated assistant's microscope Optics Magnification Main microscope 3.5x - 21.0x at working distance of 200 mm and with 10x eyepieces Motorized zoom system with apochromatic optics, 1:6 zoom ratio, Magnification factor γ = 0.4x - 2.4x Focusing Motorized, focusing range 50 mm At the press of a button, the focusing drive moves to the starting position of the focusing range.
System data Mechanical data Front-to-back tilt of With self-locking gear drive, manually adjustable microscope using a knob. Tilt angle ± 90° X-Y coupling Adjustment range: max. 40 mm x 40 mm Automatic centering at the press of a button G-30-1682-en Weight with coobservation tube Approx. 13.7 kg (with tube, objective lens and eyepieces) Weight without coobservation tube Approx. 10.2 kg (with tube, objective lens and eyepieces) OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
System data S88 floor stand Mechanical data Suspension arm Length...850 mm Swivel angle...320° Vertical lift...± 360 mm Carrier arm Length...450 mm Swivel angle...320° Stand height 1880 mm Base 805 x 805 mm (length x width) Admissible max. 20 kg (complete microscope equipment, inload on suspension cluding accessories) arm Total weight G-30-1682-en OPMI® Lumera® T approx. 215 kg Issue 4.0 Printed on 02. 02.
System data G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
System data Electrical data of S88 floor stand Power requirements Only connect the suspension system to wall outlets which are provided with a properly connected protective ground conductor. Rated voltage 115 VAC (100...125 VAC± 10%) 230 VAC (220...240 VAC± 10%) Current tion Remote socket View of connector side consump- 115 VAC max.10 A Rated frequency 50...60 Hz Fuses Automatic circuit breaker Electrical outlets Power outlet 115/230 VAC, max. 5 A 2 3 230 VAC max.
System data Halogen light source Fiber-optic illumina- Lamp housing with 2 halogen reflector lamps tion system (1 backup lamp) with 12 V 100 W in quick-change modules for one light guide, with blue barrier filter (retina protection filter) and KK40 filter (to increase the color temperature), fully automatic lamp change when the first halogen lamp fails. Superlux Eye light source Fiber-optic illumina- Xenon short-arc reflector lamp, tion system Color temperature: approx. 5000 K Rated power: approx.
System data S-Video mode, Composite mode Resolution Refresh rate (HZ) 640 x 480 50 - 640 x 480 60 NTSC 720 x 576 50 PAL 720 x 576 60 - DVI mode,VGA mode, Component mode Resolution Refresh rate (HZ) G-30-1682-en Description Description 640 x 480 50 - 640 x 480 60 - 720 x 576 50 - 720 x 576 60 - 800 x 600 50 - 800 x 600 60 VESA 800 x 600 70 VESA 800 x 600 75 VESA 1024 x 768 50 - 1024 x 768 60 VESA 1024 x 768 70 VESA 1024 x 768 75 VESA OPMI® Lumera® T
System data Monitor arm Mechanical data Suspension arm: Length...354 mm Swivel angle...360° Vertical lift...± 220 mm Carrier arm Length...180 mm Swivel angle...± 90° Admissible max. 9.0 kg load on the monitor arm Total weight Approx. 4.13 kg 360° 90° 180 mm 354 mm ±90° 45° G-30-1682-en OPMI® Lumera® T 440 mm Issue 4.0 Printed on 02. 02.
System data S8 ceiling mount Mechanical data Suspension arm Length...930 mm Swivel angle...270° Vertical lift...± 360 mm Swivel angle of control panel...180° (± 90°) * Superlux Eye light source with integrated halogen light source (option) Swivel angle of control panel...± 35° Lift and carrier arms Length...1000 mm Swivel angle...270° Recommended working height Approx. 1750 mm (on grip) Admissible max.
System data 1000 mm max. 930 mm max. 700 mm max. 350° 270° ±90° (* ±35°) 360 mm ca. 1750 mm 270° G-30-1682-en OPMI® Lumera® T 360 mm Issue 4.0 Printed on 02. 02.
System data Electrical data of S8 ceiling mount Rated voltage 230 VAC (220...240 VAC± 10%) 115 VAC (100...125 VAC± 10%) Current consumption 230 VAC 3 A 120 VAC 5 A 100 VAC 6 A Remote socket View of connector side 2 3 Rated frequency 50...60 Hz Fuses Automatic circuit breaker Electrical outlets – X-Y coupling – Surgical microscope – Remote control socket for an external signal of a maximum of 24 V / 0.5 A.
System data Halogen light source Fiber-optic illumina- Lamp housing with 2 halogen reflector lamps tion system (1 backup lamp) with 12 V 100 W in quick-change modules for one light guide, with blue barrier filter (retina protection filter) and KK40 filter (to increase the color temperature), fully automatic lamp change when the first halogen lamp fails. Superlux Eye light source Fiber-optic illumina- Xenon short-arc reflector lamp, tion system Color temperature: approx. 5000 K Rated power: approx.
System data S81 ceiling mount Mechanical data Suspension arm Length...930 mm Swivel angle...270° Vertical lift...± 360 mm Swivel angle of control panel...180° (± 90°) * Superlux Eye light source with integrated halogen light source (option) Swivel angle of control panel...± 35° Carrier arm Length...600 mm Swivel angle...270° Recommended working height Approx. 1750 mm Admissible max.
System data 600 mm max. 930 mm max. 350° 270° 360 mm 270° ±90° (* ±35°) G-30-1682-en 360 mm OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
System data Electrical data of S81 ceiling mount Rated voltage 230 VAC (220...240 VAC± 10%) 115 VAC (100...125 VAC± 10%) Current tion consump- 230 VAC 3 A 120 VAC 5 A 100 VAC 6 A Remote socket View of connector side 2 3 Rated frequency 50...60 Hz Fuses Automatic circuit breaker Electrical outlets – X-Y coupling – Surgical microscope – Remote control socket for an external signal of a maximum of 24 V / 0.5 A.
System data Halogen light source Fiber-optic illumina- Lamp housing with 2 halogen reflector lamps tion system (1 backup lamp) with 12 V 100 W in quick-change modules for one light guide, with blue barrier filter (retina protection filter) and KK40 filter (to increase the color temperature), fully automatic lamp change when the first halogen lamp fails. Superlux Eye light source Fiber-optic illumina- Xenon short-arc reflector lamp, tion system Color temperature: approx. 5000 K Rated power: approx.
System data Magnifications / Fields of view Using the magnification factor γ of the zoom system, you can calculate the total magnification of the surgical microscope according to the following formula: f tube M T = ----------- ⋅ γ ⋅ M eye f obj where: ftube is the focal length of the binocular tube fobj is the focal length of the main objective lens γ is the magnification factor set on the zoom system Meye is the magnification of the eyepiece Example: ftube= 170 mm, fobj = 200 mm, γ = 1.
System data Ordering data Please observe the following: Only operate the instrument with the accessories included in the delivery package. If you want to use other accessories, make sure that Carl Zeiss or the manufacturer of the accessories has proved and confirmed that these accessories meet the respective technical safety standards and can be used without risk. Accessories for Lumera T surgical microscope Description Cat. No.
System data Superlux Eye light source and accessories Description Cat. No.
System data Spare parts Asepsis sets for Lumera T surgical microscope Description Cat. No. Sterilizable caps for knobs, internal diameter 22 mm (pack of 6) 305810-9001-000 Sterilizable caps for handgrips, (pack of 6) 305810-9010-000 Asepsis sets for tubes Description G-30-1682-en Cat. No.
System data Disposal User information on the disposal of electrical and electronic devices This symbol means that the product must not be disposed of as normal domestic waste. The correct disposal of electrical or electronic devices helps to protect the environment and to prevent potential hazards to the environment and/or human health which may occur as a result of improper handling of the devices concerned.
System data Ambient requirements For operation Temperature Rel. humidity Air pressure For transportation and Temperature storage Rel. humidity (without condensation) Air pressure +10 °C...+40 °C 30%...75% 700 hPa...1,060 hPa - 40 °C...+70 °C 10%...100% 500 hPa...1,060 hPa CE conformity The system meets the essential requirements stipulated in Annex I to the 93/42/EEC Directive governing Medial Devices.
System data G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Index Index Symbols + 90° position 174 Numerics 180° tiltable tube 72 A Accessory equipment 110 Accident prevention regulations 20 Additional integrated halogen light source 92 Adjusting the balance of the tilt motion 174 Adjusting the balance setting of the suspension arm 164, 166 Adjusting the limit of downward movement 166 Adjusting the surgical microscope 171 Adjustment range, lamp brightness 170 Adjustment range, motor speed 170 Adjustment screw for limiting downward movement 98 Adjustment speed
Index Checklist 180 Cleaning method, recommended 228 Cleaning optical surfaces 228 Cleaning, mechanical surfaces 228 Collision and crushing, risk of 110 Component connector 116 Composite Video connector 116 Composition, spectral 26 Connecting the light guide 154 Connecting the surgical microscope 154 Connection panel 108 Connections 154 Connector panel 116, 124, 130 Control functions for the OPMI(r) 191 Control keys, disinfecting 230 Controls, displays, connections 64 Counter 88 Crushing and collision
Index Fields of view 256 Filter selector knob 38, 86, 92 Filter selector knobs 80, 94 FOC-MEM 198 Focus memory 196 Focus of the light source 27 Focus speed 194 Focusing function, failure of 212 Fogging of optical surfaces 229 Foot control panel 138 Foot control panel, buttons C and D 196 G Green indicator lamp 82, 90, 96 Ground leakage currents 108 H Halogen light source 80 Handgrip 201 Handgrips for unlocking magnetic brakes 66 I Identical components of the suspension systems 98 Illumination characte
Index Lamp module 80, 86, 92 LCD display 100 LCD display field 186 Light guide connector 68 Light source, focus 27 Light sources 78 Light stop selector 68 Lock of the cable duct 98 Locking and adjustment screws 98 M Magnetic brake failure 214 Magnetic brakes, selection of 201 Magnifications 256 Main microscope 56 Manual activation of the backup lamp 80, 86, 93, 94 Manual adjustment of the zoom system 68 Manual function 38, 42 MANUAL key 101, 187 Manual mode 42, 187 Mechanical surfaces, cleaning 229 Me
Index Photo 196 Phototoxic retinal injury in eye surgery 25 Potential equalization 21 Power outlet 108 Power supply 116 Power switch 108, 124, 130 Preparations 143 Procedure 203 Protective ground contact 23 R Receptacles 110 Re-equipping the instrument 23 Release bar 98 Relocating the system 162 Remote socket 108, 130 Repeat function 186 Requirements for operation 23 Reset button 64, 88 Risk of fire 24 Row of keys, operation 186 S S81 ceiling mount 126 S88 floor stand with instrument tray option 48 S8
Index Switching to the backup lamp 36, 210 T Technical data 240 TFT monitor 114 Tube and eyepieces for main microscope 72 Tube, eyepieces and objective lens, mounting 148 U Use of the instrument, before 23 Use of the instrument, for every 23 Use, immediately after 228 Use, notes 21 User interface 190 Using the display and key field 186 V Ventilation grid 80, 84, 92, 94 VGA connector 116 Video images not for diagnostic purposes 112 Video images, stored 112 VISULAS 532s 110 W What to do in an emergency
G-30-1682-en OPMI® Lumera® T Issue 4.0 Printed on 02. 02.
Carl Zeiss Surgical GmbH A Carl Zeiss Meditec Company 73446 Oberkochen Germany G-30-1682-en Fax: ++49 (0) 7364-20 48 23 Email: surgical@meditec.zeiss.com Internet: www.meditec.zeiss.
