Operating Instructions
32 Pages
Preview
Page 1
English
Operating Instructions
ATMOS® i View COLPO
GA1GB.420101.0 2019-08 Index 25
Table of contents
1.0 1.1 1.2 1.3 1.4 1.5 1.6
Introduction...3 Notes on operating instructions...3 Intended use...4 Function...5 Explanation of pictures and symbols...6 Scope of supply... 7 Transport and storage...7
2.0
For your safety...8
3.0 3.1 3.2 3.2.1 3.2.2 3.2.3 3.2.4
Setting up and starting up...9 Overview... 9 Setting up...10 Connection to the mains supply...10 Microscope overview...10 Operating elements at the colposcope...11 Rear view of the control device of the ATMOS® i View 21 COLPO...11 Rear view of the control device of the ATMOS® i View 31 COLPO (not with an integrated HD camera)...11 Rear view of the control device of the ATMOS® i View 31 COLPO with an integrated HD camera..12 Integration possibilities...12 Starting up...13 Operation requirements...13 Starting up at a glance...14
3.2.5 3.2.6 3.3 3.4 3.5 3.6
Further information, accessories, consumables and spare parts are available from:
ATMOS
MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Straße 16 79853 Lenzkirch Germany Phone +49 7653 689-0 Fax: +49 7653 689-190 +49 7653 689-292 (Service Centre) [email protected] www.atmosmed.de
2
4.0 4.1 4.2 4.3 4.3.1 4.3.2 4.4 4.5 4.6 4.7
Operation...15 Colposcope suspension...15 Mechanical arm...15 Hand grips...15 T-hand grip...15 Lateral double hand grip...15 Adjusting the interocular distance...16 Adjusting the eye pieces...16 Exchanging the lenses...17 Exchanging the lenses with manual fine focusing...17 4.8 Exchanging the VarioFocus lens...17 4.9 Adjustment of the 5 fold magnification changer...17 4.10 Focussing...18 4.10.1 Fine focussing...18 4.11 Exchanging the binocular tube...18 4.12 Pivoting green filter...18 4.13 Pivoting H.A.S.I. filter...19 4.14 Shadowless illumination...19 4.15 Colposcope zoom and object field size...19 4.16 Measuring scale...19 4.17 Image and video recording...20 4.17.1 Adjusting the light mode of the integrated HD camera...20 4.18 Endoscope adapter...21 4.19 HD adapter...21 5.0 5.1 5.2 5.3 5.3.1 5.3.2 5.3.3 5.4 5.5
Cleaning and care...22 Basic instructions...22 Cleaning the mechanical microscope surface...22 Cleaning of lenses / eyepieces...22 Cleaning optical surfaces...22 Optical surface of the endoscope port...22 Fogging of optical surfaces...23 Recommended surface disinfectants...23 Hygiene plan...23
6.0 6.1 6.2 6.3
Maintenance and Service...24 Basic instructions...24 Sending in the device...24 Exchange of spare parts...24
7.0
Troubleshooting...25
8.0
Accessories and Options...26
9.0
Technical data...27
10.0
Disposal...28
11.0
Notes on EMC...29
1.0 1.1
Introduction Notes on Operating Instructions These operating instructions contain important notes on how to operate the ATMOS® i View COLPO safely, correctly and effectively. Their reading helps to avoid risks, and also to reduce repair costs and down-times. This increases, amongst other things, the reliability and service-life of the colposcope. These operating instructions serve not only for new operating personnel to be instructed in its use, but also for use as a reference manual. Reprints (also in extracts) only with permission in written form by ATMOS. These operating instructions must always be kept available near the colposcope.
Care and safety inspections in conjunction with professional execution provide for operational safety and readiness for use of your ATMOS® i View COLPO and are therefore a must besides regular cleaning. Repair work and safety inspections may be carried out only by expert personnel authorised by ATMOS. By applying only original spare parts you will have the guarantee that operational safety, readiness for work and the value of your ATMOS® i View COLPO will be preserved.
• The product ATMOS® i View COLPO bears CE marking CE according to the EC Directive of the council for medical products 93/42/EEC and meets the basic requirements of Appendix I of the directive. • The product ATMOS® i View COLPO complies with all applicable requirements of the Directive 2011/65/ EC restricting the use of certain hazardous substances in electrical and electronic equipment (“RoHS”). • The declaration of conformity and our general standard terms and conditions can be obtained on our website at www.atmosmed.com. • The quality management system applied at ATMOS has been certified according to international standards EN ISO 13485. • Prior to start-up please peruse chapter 2.0 „For your safety“, in order to be prepared for any possible dangerous situations.
These operating instructions are valid for the following devices: ATMOS® i View 21 COLPO...REF 605.0000.0 Colposcope with an integrated, fanless, high transmission, high performance LED light in the colposcope head ATMOS® i View 31 COLPO...REF 606.0000.0 Colposcope with an integrated, fanless, high transmission, high performance LED light in the colposcope head
Please keep this document for future consultation!
3
1.0
Introduction
1.2 Intended use
4
Name:
ATMOS® i View 21 COLPO ATMOS® i View 31 COLPO
Main functions:
Visualization of natural body orifices (genital area) for examinatory purposes
Medical indications / application:
Standard gynaecological examinations. Visual control of the genital area.
Specification of the main function:
The application organ is illuminated for examination purposes and can be visualized on a monitor if desired by an integrated, fanless high transmission, high performance LED light source, 5 fold magnification changer, integrated camera module, pivoting green filter and an automatic light control via tilt sensor; the light output is min. 120 kLux (200 mm)with a colour temperature of 5.500 K ± 10%.
User profile:
Examinations and surgical interventions which are carried out using the colposcope may only be performed by doctors with appropriate training. Only qualified personal with a proper hygiene training may prepare the colposcope for surgical interventions. Installation and maintenance may only be carried out by service technicians who were trained and authorised by the manufacturer.
Patient groups:
No restrictions
Application organ:
Natural orifices (portio and vulva)
Application time:
Short-term, under normal conditions for permanent use over a maximum up to 30 days
Application site:
Application sites are hospitals, doctor’s offices, ORs at gynaecologists. The examination with the colposcope may only be executed by medically trained persons. The colposcope may only be used in closed rooms, on firm ground or mounted to the ATMOS® Chair 41 Gyne . In ORs an appropriate protective sleeve must be used.
Contraindications:
• No application in ophthalmology.
The product is:
active
Sterility:
The colposcope is not a sterile product.
Single-use product / reprocessing:
The colposcope is intended for multiple use. The device and parts of the accessories are reusable. For information on reprocessing, cleaning and disinfection please see the operating instructions.
1.0
Introduction
1.3 Function The ATMOS® i View COLPO is a complete colposcope system, consisting of optics and lighting. It produces outstanding pictures for examination purposes with the use of latest LED technology and patent registered optics. The interaction between the integrated fanless, high transmission, high performance LED, the apochromatic optics and the precisely fitting options offer best working quality. The ergonomically assorted buttons, two selectable hand grips and the integrated control panel provides the user with highest level of ergonomic comfort and suitability for daily use as well as an outstanding and intuitive handling. Via the control panel the individual options of the ATMOS® i View COLPO can be activated. Besides the triggering of the camera (freeze frame) and starting / stopping of possible video sequences, the operator is capable of manually switching the LED light source on and off despite the activated automatic light control. Due to the variety of options which the ATMOS® i View COLPO has to offer, the user is in a position to configure a colposcope to suit his requirements. The following functions can be chosen optionally: • 4 lenses with different focal distances (200, 250, 300 and 400 mm) with or without fine focussing or a VarioFocus 200-350 mm (easy exchange of the lenses due to the respective thread on the colposcope head) • 5 fold magnification changer. Exact adjustments due to turning disks on both sides. • Binocular tubes, simple adaption due to the Zeiss dove tail. • Pivoting colour filter • Measuring scale • Shadowless illumination Due to the LED light source and the integrable camera solution (SD integrated respectively as HD or endoscope adapter for the connection of an external camera) the ATMOS® i View COLPO is a guarantor for best image quality. In connection with the mechanical support arm and the numerous connection possibilities to units and stands the ATMOS® i View COLPO offers countless system possibilities, which can be individually adapted to suit the users environment! These operating instructions describe all functions with a maximum configuration of the ATMOS® i View 31 COLPO.
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1.0
Introduction
1.4 Explanation of pictures and symbols Short cuts / symbols contained in these operating instructions Follow the arrows
■
General information
Move, plug... in this direction
Please press where dot indicates
●
Numeration
Turn, shift... in this direction
Check
Please read, important information
Replace
click
Engage, check correct fit
Graphic symbols contained in these operating instructions
!
Warning, special diligent notice
)) Important information
Symbols ATMOS® i View SN Serial number
2
REF
Order number
Manufacturing date
Manufacturer
Observe operating instructions!
Observe operating instructions!
Weight adjustment for the carrier arm
Professional disposal
Alternating current
Fuse
Single use product - not for reuse. Exchange after use.
This product complies with the relevant requirements of EU Directives
Do not look directly into the light source of the ATMOS® i View COLPO.
Sitting is prohibited.
Sitzen verboten gemäß ISO 7010 Nicht in die Optik sehen Farbe RAL1003 signalgelb
Control panel buttons Light on / off (independent of automatic light control)
Freeze frame
Video recording (start / stop)
With an integrated HD camera: Adjusting the light mode of the camera
Alle Maßein mm all dimensions in mm Allgemeintoleranzen / Generaltolerances DIN ISO 2768 - mK über 30 mm ±0,3
Datum
Maßstab (scale) 1:1
Name
Erstellt 19.02.2013 C.Reinhardt Bearb. Gepr.
6
Zust. (index)
Änderung (revision)
Datum (date)
Name (name)
MedizinTechnik
Konstr. - Nr. -
ATMOS-Zeichnungsnr./drawing number
ATMOS Medizin Technik GmbH & Co.KG Ludwig - Kegel - Str.12, 14-16, 18 79853 Lenzkirch / Germany Tel: +497653689-0 Fax: +497653689-190 [email protected] www.atmosmed.de
3M Folie 7876EC + Laminat 7730FL Benennung (designation)
Aufkleber Verbotszeichen + Warnhinweis
Zeichnungs / Artikel-Nr. (partno.) Ers.f.:
Blatt (sheet) 1
060.0618.0 Ers.d.:
1.0
Introduction
Only ATMOS® i View 21 COLPO
Potential equalisation acc. to IEC 604175021
Output of the power supply for the electronics in the colposcope Fuse Only ATMOS® i View 31 COLPO Fuse
Potential equalisation acc. to IEC 604175021
Colposcope
Foot switch
Record function
Freeze
not in use
Output signals of the tilt sensor in the carrier arm system
S-video-output (not with an integrated HD camera) Video In Intern 1
Video In Extern 2
Strobo
Out 1
Input video signal internal / external (Only with an integrated HD camera)
Video In Extern 2
Video In Intern 1
USB port
Out 1
Strobo Video Out Out 2 Out 3
Video Out Out 2
Foot Switch
Out 3
100 - 240V~ 2 x T 3,15A
Output video signal (Only with an integrated HD camera)
Sensor
Foot Switch Record Freeze
PC/USB
Microscope
100 - 240V~ 2 x T 3,15A
Sensor Record Freeze PC/USB
Microscope
1.5 Scope of supply • Prior to dispatch, the ATMOS® i View COLPO was subjected to an extensive functional test and was carefully packed. Nevertheless, please compare the contents of the shipment on completeness immediately upon receipt (see delivery note).
Colposcope
Colposcope arm
Operating Instructions
Protective cover
1.6 Transport and storage • After the transport of the ATMOS® i View in temperatures below 0°C or prior to first start up it should be kept at room temperature for at least six hours. If the ATMOS® i View COLPO is not acclimatized it may not be used as damages to the electronic components may be the result. Only transport the device in a shipping carton, which is padded and offers sufficient protection. If damage occurs during transport: • Document and report the transport damage. • Send the device to ATMOS (Chapter „6.2 Sending in the device“ on page 24).
Ambient conditions: • Transport / storage: -10...+50 °C; 30...95 % humidity without condensing air pressure 500...1060 hPa • Operation: +10...+35 °C; 30...95 % humidity without condensing air pressure 700...1060 hPa
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2.0
For your safety
!
• •
• • •
• •
•
• •
• • • • • • •
•
8
• To disconnect the ATMOS® i View COLPO from the mains supply, first remove the plug from the wall outlet. Disconnect the connection line on the ATMOS® i View COLPO afterwards only. Never touch plug or line with wet For your safety hands. • Please observe the ambient conditions stated in the To safely disconnect the unit from the mains, the power technical data (chapter 9.0). cord must be removed from the IEC connector of the • The ATMOS® i View COLPO meets the immunity to control device! interference requirements of IEC 60601-1-2 / EN 60601The ATMOS® i View COLPO is a device designed in line 1-2 „Electromagnetic Compatibility – Medical Electrical with IEC 60601-1-1/EN60601-1 and it is a device with Devices“. protection class I. In order to avoid the risk of electrical • ATMOS is not liable for personal injury and damage to shock, this unit may only be connected to a mains supply property if with properly installed earth conductor. -- no original ATMOS parts are being used, Power cables, accessories and access cables need to be -- the advice for use in these operating instructions is checked for defects prior to setting up the ATMOS® i View not being observed, COLPO. Damaged cables must be replaced immediately. -- assembly, new settings, alterations, extensions and repairs have been carried out by personnel not The ATMOS® i View COLPO may only be operated by authorised by ATMOS. qualified personnel. ® • Unplug the device immediately if you observe fumes, The ATMOS i View COLPO is not designed to be used sparks or weird noises. in an explosion-hazardous environment. Explosionhazardous areas may be caused by the use of flammable • With every light source a warming of tissue due to anaesthetics, skin cleansing products and skin absorption may occur. Please make sure to reduce disinfectants. duration of use to a minimum, to switch off the light source when not in use and to check heat development If fluids penetrated the ATMOS® i View COLPO it needs to if necessary. be sent in and may only be used after the check up of an ATMOS authorised person. • The ATMOS® i View COLPO may be operated only in rooms used for medical purposes, but not in areas After the transport of the ATMOS® i View in temperatures subject to explosion hazards and in oxygen rich below 0°C or prior to first start up it should be kept at room environments. temperature for at least six hours. If the ATMOS® i View COLPO is not acclimatised it may not be used. • Take into consideration, when setting up the colposcope, that the elastic force of the arm – without colposcope Do not plug in electric connections (plug, socket) under head – is exceedingly strong. Operate the break of the the use of force. If this is not possible check whether the height adjustment carefully. plug fits the socket. If you should ascertain a defect in the connection you should have it repaired by our service. • Risk of injury! Take care not to roll the mobile stand over your feet when moving the stand. Never look straight into the sun with lenses or eye lenses. • Please note that only PCs and monitors with IEC 606010Always make sure that you do not blind patients with the 1/EN 60601-1 approval may be connected to the video light source! Watch out that patients do not look directly into outlet of the ATMOS® i View COLPO supply module! the light source! Never look directly into the light source! • During operation, the user is obliged to regularly check > Damage to the eyes due to the strong glare. the microscope for proper function. In the unlikely event of failure of the microscope, the user must take Please pay attention to the period tests in chapter 6 precautions to continue the treatment of the patient with „Service and maintenance“ on page 24. suitable methods. Prior to every use the colposcope suspension (all joints included) need to be checked for safe connections. Take care that the patient does not touch the device or have any contact with it. Please observe the EMC Directives. Failure to follow this guideline can result in a hazard. Make sure that the unit is positioned so that all the controls and the on/off switch are always accessible. Dispose of wrappings accordingly. Before connecting the ATMOS® i View COLPO it needs to be checked whether the requested mains voltage of the ATMOS® i View COLPO matches the mains voltage of the mains power supply. Only proper and undamaged plugs and extension cables may be used.
3.0
Setting up and starting up
3.1 Overview ATMOS® i View 21 COLPO
ATMOS® i View 31 COLPO
Description
Examination colposcope with an integrated, fanless, high transmission, high performance LED light in the colposcope head
Examination colposcope with an integrated, fanless, high transmission, high performance LED light in the colposcope head
Integrated high performance white light LED
Automatic light control
Optimised stereo effect
Measuring scale
Optional
Optional
Integrated operating panel
Optional
Optional
Colour filter
Optional
Optional green filter or Optional H.A.S.I. filter
Integrated camera
-
Optional SD camera or Optional HD camera
HD adapter for an external camera
-
Optional
Endoscope adapter
-
Optional
Mains voltage
100–240 V
100–240 V
Light output
min. 120 kLux (200 mm) min. 80 kLux (250mm) min. 55 kLux (300 mm) min. 30 kLux (400 mm)
min. 120 kLux (200 mm) min. 80 kLux (250mm) min. 55 kLux (300 mm) min. 30 kLux (400 mm)
Operating life of the LED
50 000 hours
50 000 hours
Colour temperature
5.500 K ± 10 %
5.500 K ± 10 %
Scope of delivery
Dust cover, operating instructions
Dust cover, operating instructions
9
3.0
Setting up and starting up
3.2 Assembly !
Please make sure that the static conditions stated by ATMOS MedizinTechnik are met (for details see the separately enclosed document „Static requirements for installing the ATMOS i View“). The fulfilment of these requirements must be confirmed by an authorized expert. Mains voltage and fuse: Mains voltage: 100-240 V; 50/ 60 Hz, fuse: 2 x T 3.15 A Please note that only PCs and monitors with IEC 606010-1/EN 60601-1 approval may be connected to the video outlet of the ATMOS® i View COLPO supply module!
3.2.1
Connection to the mains supply
Potential equalisation: The ATMOS® i View COLPO supply module has a rear connection for potential equalisation which can be connected to the potential equalisation rail in the room if need be. Hereby user/patient safety can be increased especially in the case of a defective earth conductor. For connecting the device's potential equalisation plug with the potential equalisation rail of the room, use the potential equalisation cord with REF 530.0030.0.
3.2.2
Microscope overview Rotating disk 5 fold magnification changer
Wide field eye piece lenses with binocular tube Lens
Pivoting colour filter (optional) Measuring scale (optional) Brightness control Lateral double hand grip (optional)
Control panel (optional) T-hand grip (optional)
10
HD adapter for SONY digital camera (optional)
3.0 3.2.3
Setting up and starting up
Operating elements at the colposcope
STROBO
LED
*With a long press, you can switch between the still image and the “Send only trigger signal” (for external image recordings).
AFD
MODE
Video recording (start / stop)
Freeze frame*
Rear view of the control device of the ATMOS® i View 21 COLPO
Output of the power supply for the electronics in the colposcope
3.2.5
Connection for potential equalization performance acc. to IEC 60417-5021
Alle Maßein mm Maßstab (scale) 1:1 all dimensions in mm Allgemeintoleranzen /the control device of the ATMOS® Rear view of Werkstoff (material) Generaltolerances DIN ISO 2768 - mK über 30 mm ±0,3
Datum
IEC power plug with fuse inlay for the connection to the mains power supply Schutzvermerk DIN ISO16016
3.2.4
With an integrated HD camera: Adjusting the light mode of the camera
Light on / off (independent of automatic light control)
Konstr. - Nr:Mikolp-200-001.
i View 31 COLPO (not with an integrated HD camera)
Name
(designation) of Output signal of Output signalsBenennung of S-Video-output Erstellt 27.03.3013 C.Reinhardt the „Video record the tilt sensor in the the integrated SD Bearb. function“ carrier arm system camera
Tasterfolie
Gepr.
Datum (date)
Name (name)
MedizinTechnik
Connection for potential equalization performance acc. to IEC 60417-5021
ATMOS Medizin Technik GmbH & Co.KG Ludwig - Kegel - Str.12, 14-16, 18 79853 Lenzkirch / Germany Tel: +497653689-0 Fax: +497653689-190 [email protected] www.atmosmed.de
USB port for the transfer of the key status of the „Freeze frame “- and „Video recording -functions“.
Zeichnungs / Artikel-Nr. (partno.) Ers.f.:
Output signal of the „Freeze frame function“
060.0621.0
IEC power plug with fuse inlay for the connection to the mains power supply
Blatt (sheet) 1
Ers.d.:
not in use
Connection for the supply to the colposcope electronics and control line
Connection to the foot switch for switching between the light channels
11
3.0 3.2.6
Setting up and starting up Rear view of the control device of the ATMOS® i View 31 COLPO with an integrated HD camera
HD video input. Can only be used for the HD camera module
HD video input from an external HD video source
Video In Extern 2
Video In Intern 1
Strobo
HD video outlet from the video source internal 1 or external 2
Out 1
Video Out Out 2
Connection to the foot switch for switching between the light channels
IEC power plug with fuse inlay for the connection to the mains power supply
Foot Switch Out 3
100 - 240V~ 2 x T 3,15A
Sensor Record Freeze PC/USB
Microscope
Connection for the supply to the colposcope electronics and control line
not in use
Output signals of the tilt sensor in the carrier arm system
Output signal of the „Video record function“
Output signal of the „Freeze frame function“
PC connection (optional)
Connection for potential equalization performance acc. to IEC 60417-5021
3.3 Integration options Please note the assembly instructions for the integration options.
ATMOS® Chair 41 Gyne For the integration into ATMOS® Chair 41 Gyne. Please note that a save combination of the ATMOS® i View COLPO can only be guaranteed with the ATMOS® Chair 41 Gyne.
Mobile stand When moving the roller stand please make sure that the colposcope arm is in a retracted position and the screws are tightened.
!
Risk of injury! Take care not to roll the mobile stand over your feet when moving the stand. When the device is placed in the working position the brakes must be locked.
12
3.0
Setting up and starting up
3.4 Starting up • Remove the colposcope from the packaging. Check whether the mains current on the type label corresponds to the mains power supply. • Peruse safety information in part 2.0 prior to starting up the device for the first time. • Check the scope of delivery. • After the transport of the colposcope in temperatures below 0°C it must be kept at room temperature for at least six hours. If the colposcope is not acclimatized it must not be used. • Take into consideration, when setting up the colposcope, that the elastic force of the arm – without colposcope head – is exceedingly strong. Operate the break of the height adjustment carefully. • To activate the ATMOS® i View COLPO please use the power switch on the front side of the control device.
3.5 Operating requirements Please note that the following requirements must be adhered to for further application after the installation of the device:
!
• • • • • •
All joints and connection parts which are responsible for the safety of the device are securely fastened. All electronic connections (cables, plugs, power cables etc.) are in good order and condition. The specified mains voltage and frequency on the colposcope corresponds to the supply network. The colposcope is connected to a safety connection socket with the provided mains cable. Attention, never point or direct the beam into the patients eyes. Do not look directly into the light source. With every light source a warming of tissue due to radiation and absorption could occur. This could result in damage to the biological tissue. Please keep the luminosity and duration of use to a minimum. Switch off the light source when not in use and check the heat development if necessary.
13
3.0
Setting up and starting up
3.6 Starting up at a glance Adjust colposcope to initial position on the colposcope suspension by use of the fixing wheel. Adjust colposcope horizontally and vertically. Adjust all the clamps on the carrier and float arm to secure the movability of the arm in compliance with the requirements. Swing in colposcope into the working space. Adjust the interocular distance by pressing or pulling the lens tubes together or apart. The interocular distance is perfectly adjusted when you look through and a circular picture is perceived! Adjusting the eyepieces. Persons without glasses Eyepieces remain in initial position (eyepieces are pulled out). Dioptre scale adjusted to zero
Persons with glasses People with defective vision and glasses
People with defective vision without glasses (refraction values known)
People with defective vision without glasses (refraction values unknown)
Keep glasses on, push eyepieces in direction of the lens tube until they engage audibly. Adjust dioptre scale to zero.
Remove glasses and adjust dioptre scale to matching number (eyepieces are pulled out).
Remove glasses and adjust both eyepieces to +5 dpt. Remove the lens tube from the colposcope head and focus on an object* in the distance. The object still looks blurred. Turn the dioptre ring of the first eyepiece slowly in clockwise direction until the object is sharp. Keep your other eye closed while adjusting the eyepiece. Repeat this procedure for a couple of times to determine an average value. Adjust the second eyepiece by the same procedure and reattach the lens tubes to the colposcope head with the connective screw (eyepieces are pulled out). * Never use the sun as an object!
Set the 5-fold magnification changer unit to maximum zoom (2.0). Approach the object with the colposcope (according to the chosen focal distance) until the image is sharp. If the zoom level is changed the grade of sharpness is retained. Brightness can be adjusted by the rotary knob on the bottom of the device if necessary.
14
4.0
Operation 4.1 Colposcope suspension Rotating knob
By means of a corresponding suspension the colposcope head is connected laterally to the colposcope arm. The complete range of cables run through the suspension therefore no disturbing cables are visible from the outside (with the exception of the connection to the HD adapter and direct connection to a monitor). Due to a rotating knob, which is situated on the side of the suspension, the colposcope can be adjusted vertically to suit the individual requirements of the user. To fix the colposcope head turn the rotating knob towards you in a clockwise direction. To loosen the colposcope head turn the rotating knob towards you counter-clockwise. Attention: Check the secure connection of the colposcope to the suspension prior to every use!
4.2 Mechanical arm The mechanical colposcope arm can be adjusted via four set screws according to the individual requirements of the user. Choose the strength of the clamping so that the free movement of the arm suits your requirements. Turn the set screw in clockwise direction to fix the arm. To loosen the arm turn counter-clockwise. To align the arm please observe the assembly instructions for the integration possibilities. Attention: Prior to use ensure that the brakes of the support arm are set correctly. Automatic light switching: Once the arm is in the lower position the LED light switches off automatically. Adjusting screws
4.3 Hand grips When purchasing the ATMOS® i View COLPO you may choose between two versions of handles.
4.3.1
T-hand grip
(see figure)
4.3.2
Lateral double hand grip
The position of the lateral double hand grip can be gradually adjusted by simultaneously pulling and turning the handle.
15
4.0
Operation 4.4 Adjusting the interocular distance The interocular distance is adjustable between 50-75 mm. • Swivel the colposcope into the work space. • Look through the eye lenses and push or pull the eye lens tubes together or apart with both hands. The interocular distance is perfectly adjusted when you look through with both eyes and a circular field is visible!
4.5 Adjusting the eye pieces Persons without glasses: • Eyepieces remain in initial position. Initial position = The eye steerings of the eyepieces are pulled out. • Make sure that the zero of the dioptre scale complies with the index on the eyepieces. Persons with glasses: • People with defective vision and glasses keep their glasses on and push the eyepieces in direction of the lens tube until they engage audibly. Adjust dioptre scale to zero. • People with defective vision (with known refraction values) should take their glasses off and adjust the dioptre scale on the eyepieces to the matching number (the eye steerings of the eyepieces are pulled out). The process of focussing is performed as described in Chapter 4.9. • People with defective vision without glasses adjust both eyepieces to +5 dpt. Remove the binocular tube and the eyepiece from the microscope head and focus on a distant object*. The object still looks blurred. Slowly turn the dioptre ring of the first eyepiece in clockwise direction until the object is sharp. The other eye must remain closed. Repeat this procedure for a couple of times in order to determine on an average value. Adjust the second eyepiece by the same procedure. Reattach the lens tubes to the microscope head with the connective screw. The process of focussing is performed as described in Chapter 4.10. * Never use the sun as an object!
16
4.0
Operation 4.6 Exchanging the lenses The designated thread on the colposcope head allows for easy exchange and fixation of the different lenses. Due to the integrated screw mount lenses can be loosened by turning it to the left hand side and fixated by turning it to the right.
Lens
4.7 Exchanging the lenses with manual fine focussing Mount lens as described above and secure it with the intermediate screwed ring.
4.8 Exchanging the VarioFocus lens
Setting dial
To loosen the VarioFocus lens from the colposcope head, turn it to the left. To tighten the VarioFocus lens on the colposcope head, turn it to the right onto the thread. Position the setting dial The dial can be positioned on either side of the VarioFocus lens. Attention! During the process firmly hold the VarioFocus lens just in case it may loosen itself from the colposcope head and fall off. Loosen the three grub screws on the lens. Continue to hold the lens and turn the setting dial in the desired position. Tighten the three grub screws.
Grub screw
4.9 Adjusting the 5-fold magnification changer The 5-fold magnification changer from ATMOS enables free range zoom between 0.5x up to 2.0x. • Select the desired zoom factor by selecting one of the lateral rotating knobs. • Pay attention that the chosen zoom factor engages audibly with the groove. • Freely adjustable zoom factors: 2.0 - 1.4 - 1.0 - 0.7 0.5. • The magnification which points in the direction of the eyepieces is the current magnification.
17
4.0
Operation 4.10 Focussing • Adjust the zoom to maximum (2.0) on the magnification unit. • Approach the object with the colposcope until the image is sharp. • If the zoom level is changed the pre-adjusted degree of sharpness is still maintained.
4.10.1 Fine-focussing
Fine focussing
Binocular straight lens tube
Undo screw
Binocular angled lens tube 45° Undo screw
The optional fine focussing allows for sensitive and precise focussing in a 17 mm range. Fine focussing is necessary in order to focus accurately while zooming in. • Replace the mounted lens with the appropriate lens for fine focussing (simple mounting due to the screw mount at the colposcope head. Secure with the intermediate screwed ring). • Conduct the focussing as described above. • Adjust focus by use of the lateral adjusting disk.
4.11 Exchanging the binocular tube The tubes focal distance of 160 mm allows for a comfortable and fatigue-proof observation of the object with both eyes. Working is made easier due to the exceptionally large exit pupil and an increased stereo base of 24 mm. Please hold the lens tube with one hand while loosening the screw. Otherwise the lens tube could drop. • Loosen the screw on top of the lens tube and remove the tubes from the colposcope head. • Make sure that the gudgeons and grooves of the dove tail fixation engage and the tubes lie flat. • Tighten the screw again. • Check for a secure fit.
4.12 Pivoting green filter The pivoting colour filter enhances contrast of the microscopic picture for better visibility of vessel structures. • Turn the function knob by 90° in clockwise direction to swing in the filter. • By turning the knob by 90° in an anti-clockwise direction the filter is removed from the optical beam path of the colposcope.
Pivoting green filter
18
4.0
Operation 4.13 Pivoting H.A.S.I. filter The pivoting H.A.S.I. filter gives a more contrasting and clearer view of the mucosa. • Turn the function knob by 90° in clockwise direction to swing in the filter. • By turning the knob by 90° in an anti-clockwise direction the filter is removed from the optical beam path of the colposcope.
Pivoting H.A.S.I. filter
4.14 Shadowless illumination The option shadowless illumination prevents instruments from causing shadows in the field of view. This option cannot be retrofitted. • For the shadowless illumination no operating steps are required.
4.15 Colposcope zoom and object field size Lens f in mm equals the approximate working distance
Factor display on the magnification unit 0.5
0.7
1*
1.4
2.0
Eyepieces with lens tubes f = 160 mm
Total zoom / visual field Ø in mm
200
6.4 / 31
9 / 22
12.8 / 16
18 / 11
25.6 / 8
16 x
250
5.1 / 39
7.2 / 28
10.2 / 20
14.3 / 14
20.5 / 10
16 x
300
4.3 / 47
6 / 33
8.5 / 23
12 / 17
17 / 12
16 x
400
3.2 / 62
4.5 / 44
6.4 / 32
9 / 22
12.8 / 16
16 x
* Read off at factor 1 when using the colposcope zoom without the zoom unit.
4.16 Measuring scale
20 mm 10 mm
0.75 mm 2 mm 5 mm 7 mm 10 mm This figure is for guidance only and may not be used for measuring absolute quantities.
Measuring scale
Figure not true to scale
Via a small turning knob beneath the lens a true to scale dimension scale can be faded into the field of the illumination light path. This documentation display enables the measurement of objects regardless of the selected magnification. The scale will be displayed in both the 3D picture and on all camera pictures and if required it can be faded out at any time. • To fade-in the scale turn the knob by 45° in a clockwise direction. • Via a 45° rotation in anti-clockwise direction the scale can be faded out from the path of illumination. The following measures have to be observed: - Distance 2 mm, - Line width 0.75 mm Please note that these specifications are only correct for the following combination: Measuring scale for 300 mm lenses, 300 mm lenses with or without fine focusing or wide angle eyepieces 16 x.
19
4.0
Operation 4.17 Image and video recording Integrated camera: If desired an SD camera or a HD camera can be integrated in the ATMOS® i View 31 COLPO. External video sources: External video sources can be controlled via the panel buttons if they are connected to the jack plugs “Freeze” and “Record”. Control panel buttons: LED
Save image.
AFD
STROBO
Start / stop the recording of a video frequency Adjusting the light mode of the integrated HD camera.
MODE
The data are transmitted to a connected PC (USB interface). The ATMOSoft software can process the data. Only with an integrated HD camera You can change between the integrated HD camera and external video source by switching the LED light on or off. As soon as the LED light goes off the integrated camera is switched off and the data from the external video source is displayed (Video Out 1 - 3). Also observe this within the automatic light switching.
4.17.1 Adjusting the light mode of the integrated HD camera
Alle Maßein mm all dimensions in mm Allgemeintoleranzen / Generaltolerances DIN ISO 2768 - mK über 30 mm ±0,3
Datum
Maßstab (scale) 1:1 Werkstoff (material)
Gepr.
20
Name (name)
MedizinTechnik
Light mode
Display on the monitor
Standard
LED light remains unchanged. When the power is switched on, the default setting is automatically selected.
Center
LED light will be displayed with less reflections. Suitable for recordings through a speculum.
Konstr. - Nr:Mikolp-200-001.
Warm
LED light appears warmer.
Name
Erstellt 27.03.3013 C.Reinhardt Bearb.
Datum (date)
Schutzvermerk DIN ISO16016
By pressing the MODE button once the current light mode of the integrated HD camera is displayed on the monitor. By pressing the MODE button again the light mode can be changed.
ATMOS Medizin Technik GmbH & Co.KG Ludwig - Kegel - Str.12, 14-16, 18 79853 Lenzkirch / Germany Tel: +497653689-0 Fax: +497653689-190 [email protected] www.atmosmed.de
Benennung (designation)
Tasterfolie Zeichnungs / Artikel-Nr. (partno.) Ers.f.:
060.0621.0 Ers.d.:
Blatt (sheet) 1