Instructions
70 Pages
Preview
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1. Important information read prior to start-up You have purchased a high quality RIESTER wall instrument, which has been manufactured according to the Directive 93/42 EEC and is subject to the strictest quality controls at all times. Read these instructions for use carefully before putting the unit into operation and keep them in a safe place. If you should have any questions, we are available to answer queries at all times. Our address can be found in these instructions for use. The address of our sales partner will be given upon request. Please note that all instruments described in these instructions for use are only to be used by suitably trained personnel. The perfect and safe functioning of this instrument is only guaranteed when original parts and accessories from Riester are used.
2. Safety information and electromagnetic compatibility Meaning of the symbol on the model identification plate Attention, read accompanying papers! Instruments of protective class II Application part type B Funktion earth Protective grounding connection
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Medical Equipment+ with respect to electrical shock, fire and mechanical hazards only in accordance with UL 60601-1/CAN/CSA C22.2 No. 601.1 3TCH Direct curren Alternating current
ON OFF 9
The instrument satisfies the requirements for electromagnetic compatibility. Please note that under the influence of unfavourable field strengths, e.g. during the operation of wireless telephones or radiological instruments, adverse effects on function cannot be excluded. Attention! There is a possible danger of inflammation of gases, if the instrument is operated in the presence of inflammatory mixtures or mixtures of pharmaceuticals and air or oxygen or laughing gas! Never attempt to take the instrument apart! There is a danger of life-threatening electrical shock. Unplug the instrument before cleaning or when disinfecting.
3. Intended use The wall instrument ri-former® described in these instructions for use was manufactured for use with various instrument heads and modular components for non-invasive diagnostics.
4. Attachment a.) Drilling instructions/drilling plan The drilling instructions and the drilling plan are enclosed separately. Follow the drilling instructions in order to drill the holes in the wall. b.) Attaching the wall mounting plates After you have drilled the holes, take the plugs supplied and push them into the holes as far they will go. Take the wall mounting plate and hold it onto the wall so that the screws can be pushed through the holes of the mounting plate into the plugs. Now screw in the screws with a screw driver, as far as they will go. c.) Attachment of the diagnostic station When all screws have been screwed in tightly, take the diagnostic station and guide the screw heads through the openings (1). Then press the diagnostic station downwards until it snaps into place. d.) Attachment of the extension module Connect the diagnostic station and the extension module with the help of the connecting cable. In order to plug in the connecting cable, remove the sliding cover (2) of the diagnostic station. Close the casing opening of the extension module, which is not needed, with the sliding cover (2). Take the extension module and guide the screw heads through the openings (1). Then press the extension module downwards. Attention: Take care that the connecting cable does not get caught behind the extension module. Push the connecting cable into the groove provided on the reverse side of the extension module.
5. Operation and function Putting the diagnostic station into service with or without extension module: Put the plug into the electrical socket. The optional clock starts to blink. You can adjust it to local time by repeatedly pressing the keys; with the 10
left key marked HR and the right key marked MIN. Move the handle (5) upwards out of the handle holder (7) and attach the desired instrument head by placing it with the two projecting guide cams onto the handle. Press the instrument head lightly onto the handle and turn the handle in a clockwise direction until it stops. Removal of the instrument head is carried out by turning in a counter-clockwise direction.
6. Switching on and off Switch on the instrument by using the rocker switch (3). The green control lamp (4) in the rocker switch (3) indicates that the instrument is ready to use. Each handle (5) is automatically ready to operate at 100% light intensity as soon as it is taken out of the handle holders (7). The handle is switched off automatically by putting back into the handle holder The handle (5) is automatically switched off when replaced back into the handle holder (7). 6.1 rheotronic® for light intensity modulation the modulation of light intensity can be done with the handle; you only have to tip the switching ring clockwise direction or against clockwise direction and the light gets stronger or weaker. Attention! The handle gets off automatically after abt. 2 minutes. Make sure that no more than 3 handles (5) are used at the same time! If more than 3 handles are used at the same time, the transformer in the instrument may become overloaded and switch itself off.
7. Cleaning and disinfection
The diagnostic station ri-former(r) with extension module can be cleaned externally with a moist cloth. Furthermore, it can also be disinfected from the outside, with the exception of the clock glass cover (8), using the following disinfectants: Aldehyde (formaldehyde, glutaraldeyhde, aldehyde derivatives), surfactants or alcohols. When using these substances, the manufacturer’s instructions must be strictly complied with. Means for cleaning or disinfection may be a soft, possibly lint-free cloth or Q-tips. Attention! We recommend unplugging the instrument before cleaning or disinfection. Take care while cleaning and disinfecting that no liquid enters inside the instrument! Sterilisation According to the current school of thought (Test Centre for Medical Devices in Tübingen), sterilisation is only prescribed in the case of operative procedures.
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8. Technical data Model: Voltage: Input: Output: Output current: Fuse: Classification: Working temperature: Storage location: Dimensions Diagnostic station: Extension module: WeightDiagnostic station: WeightExtension module: Swith-on time:
Voltage supply Diagnostic station ri-former®
120V~/50-60 Hz* 230V~/50-60 Hz 240V~/50-60 Hz 22 VA 1 x 3,5V--- / 2 x 12V 1 x 700mA / 2 x 1000mA 2 x T 160 mA Application part type B 0° C to + 40° C -5° C to + 50° C, up to 85 % relative humidity 200 x 180,5 x 75 mm 200 x 100 x 75 mm 1450 g 490 g ON: 1 Min OFF: 5 Min
* only UL 60601-1 CAN/CSA C 22.2 No.601.01
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ri-scope® instrumen heads ri-scope® L otoscope 1. Purpose The RIESTER otoscope described in these Operating Instructions is produced for illumination and examination of the auditory canal in combination with RIESTER ear specula. 2 Fitting and removing ear specula Either RIESTER disposable ear specula (blue colour) or reusable RIESTER ear specula (black colour) can be fitted to the otoscope head. The size of the ear specula is marked at the back of the speculum. L1 and L2 otoscopes Screw the speculum clockwise until noticeable resistance is felt. To remove the speculum, screw the speculum counter clockwise. L3 otoscope Fit the chosen speculum on the chrome-plated metal fixture of the otoscope until it locks into place. To remove the speculum, press the blue ejection button. The speculum is automatically ejected. 3. Swivel lens for magnification The swivel lens is fixed to the device and can be swivelled 360°. 4. Insertion of external instruments into the ear If you wish to insert external instruments into the ear (e.g. tweezers), you have to rotate the swivel lens (approx. 3-fold magnification) located on the otoscope head by 180°. Now you can use the operation lens. 5. Pneumatic test To perform the pneumatic test (= examination of the eardrum), you require a ball, which is not included in the normal delivery package, but can be ordered separately. The tube for the ball is attached to the connector. Now you can carefully insert the necessary volume of air into the ear canal.
ri-scope® L ophthalmoscope 1. Purpose The RIESTER ophthalmoscope described in these Operating Instructions is produced for the examination of the eye and the eyeground. 2. Lens wheel with correction lens The correction lens can be adjusted on the lens wheel. The following correction lenses are available: L1 and L2 ophthalmoscopes Plus: 1-10, 12, 15, 20, 40. Minus: 1-10, 15, 20, 25, 30, 35. L3 ophthalmoscope Plus: 1-45 in single steps Minus: 1-44 in single steps The values can be read off in the illuminated field of view. Plus values are displayed in green numbers, minus values with red numbers. 38
3. Apertures The following apertures can be selected with the aperture hand-wheel: L1 ophthalmoscope Semi-circle, small/medium/large circular aperture, fixation star, slit and red-free filter. L2 ophthalmoscope Semi-circle, small/medium/large circular aperture, fixation star and slit. L3 ophthalmoscope Semi-circle, small/medium/large circular aperture, fixation star, slit and grid. Aperture function Small circle:
to reduce reflection for small Medium circle: pupils Semi-circle:
Large circle:
for normal examination results
Grid:
for topographic determination of retina changes
Fixation star:
to ascertain central or eccentric fixation
Light slit:
to determine differences in level
4 Filters Using the filter wheel, the following filters can be switched for each aperture: L1 ophthalmoscope The L1 instrument head is supplied without a filter wheel. (the red filter is contained in the aperture wheel) L2 ophthalmoscope Red-free filter, blue filter and polarisation filter. L3 ophthalmoscope Red-free filter, blue filter and polarisation filter. Filter Red-free filter:
Polarisation filter: Blue filter:
function contrast enhancing to assess fine vascular changes, e.g. retinal bleeding for precise assessment of tissue colours and to avoid retinal reflections for improved recognition of vascular abnormalities or bleeding, for fluorescence ophthalmology
For L2 + L3, every filter can be switched to every aperture.
5. Focussing device (only with L3) Fast fine adjustment of the examination area to be observed is achieved from various distances by turning the focussing wheel.
ri-scope® retinoscope (skiascope) XL 3,5 V 1. Intended use The ri-scope® retinoscope Slit and ri-scope® retinoscope Spot described 39
in these operating instructions (also called skiascopes) have been manufactured for examining the refraction of the eye (refractive error). 2. Function Rotation and focusing of the slit and/or spot image may now be effected by the knurled screw. 3. Rotation The slit or spot image may be rotated by 360° by the control. Each angle may be directly read from the scale on the retinoscope. 4. Fixation cards Fixation cards are suspended and fixed on the object side of the retinoscope into the bracket for the dynamic skiascope. 5. Slit/Spot design The slit retinoscope may be converted to a spot retinoscope by exchanging the slit lamp against a spot lamp.
ri-derma® Dermatoskop XL 3,5 V 1. Intended use The ri-derma® dermatoscope described in these operating instructions has been produced for early recognition of melanotic skin changes (malign melanoma). 2. Focusing Focus the magnifying glass by rotating the eyepiece ring. 3. Skin adapters Two skin adapters are supplied:
1) Including a scale of 0 - 10 mm for measuring melanotic skin changes, such as malign melanoma. article number 10969 2) without scale
article number 10968 Both skin attachments can be removed easily and exchanged.
ri-scope® F.O. bent arm illuminator XL 3,5 V 1. Intended use The bent arm illuminator described in these instructions for use was manufactured for illuminating the mouth and pharynx.
ri-scope® F.O. nasal speculum XL 3,5 V 1. Intended use The nasal speculum described in these instructions for use was manu40
factured for illumination and examination of the inside of the nose. 2. Function Two types of operation are possible: a) Quick retraction Press down the adjusting screw on the instrument head with the thumb. In this adjustment, the position of the shank of the speculum cannot be changed. b) Individual retraction Turn the adjusting screw in a clockwise direction until you obtain the desired speculum opening. The shanks close again when the screw is turned in a counter-clockwise direction 3. Swivel lens A swivel lens with an approx. 2.5-fold magnification is to be found on the nasal speculum, which can be simply removed or replaced again in the opening provided in the nasal speculum.
ri-scope® F.O. tougue blade holder XL 3,5 V 1. Intended use The tongue blade holder described in these instructions for use was manufactured for the examination of the mouth and throat in combination with commercially available wooden and plastic blades. 2. Function Insert a commercially available wooden or plastic tongue blade through the opening below the light outlet until it stops. After the examination, the blade can be easily removed by pushing the ejector.
ri-scope® Human operations otoscope XL 3,5 V without speculum 1. Intended use The RIESTER operation otoscope described in these instructions for use was manufactured for the illumination and examination of the auditory canal as well as for small operations in the auditory canal. 2. Attachment and removal of ear specula for human medicine Place the desired speculum onto the black holder of the operation otoscope so that the recess on the speculum fits into the guide of the holder. Fix the speculum by turning it in a counter-clockwise direction. 3. Swivel lens for magnification There is a small magnification lens which can be swivelled 360° on the operation otoscope with approx. 2.5-fold magnification.
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4. Insertion of external insruments into the ear The operation otoscope has been designed so that external instruments can be inserted into the ear without a problem.
ri-scope® Veterinary operation otoscope XL 3,5 V without speculum 1. Intended use The RIESTER operation otoscope described in these instructions for use was manufactured solely for use in animals and thus for veterinary medicine. It can be used for illumination and examination of the auditory canal as well as for small operations in the auditory canal. 2. Attachment and removal of ear specula for veterinary medicine Place the desired speculum onto the black holder of the operation otoscope so that the recess on the speculum fits into the guide of the holder. Fix the speculum by turning it in a counter-clockwise direction. 3. Swivel lens for magnification There is a small magnification lens which can be swivelled by 360° on the operation otoscope with approx. 2.5-fold magnification.
13.
Replacing the lamp
L1 otoscope Remove the specula fitting from the otoscope. Screw out the lamp counter clockwise. Screw in the new lamp clockwise and replace the specula fitting. L2, L3 otoscopes, ri-derma®, bent-arm illuminator, nasal speculum and blade holder Screw the instrument head off the battery holder. The lamp is located at the base of the instrument head. Pull the lamp out of the instrument head with thumb and forefinger or a suitable tool. Insert a new lamp. Ophthalmoscopes Remove the instrument head from the battery holder. The lamp is located at the base of the instrument head. Remove the lamp from the instrument head with thumb and forefinger or a suitable tool. Insert a new lamp. Caution: The pin on the lamp must be inserted into the guide groove on the instrument head. Veterinary/human operation otoscope Screw the lamp out of the fixture in the operation otoscope and screw in a new lamp. Instrument heads: Retinoscope slit and spot Remove the instrument head from the battery handle. The lamp is located in a sleeve at the base of the instrument head. Remove the lamp from the sleeve using the thumb and index finger or a suitable tool. Insert the new lamp firmly into the sleeve and replace the sleeve back into the instrument head so that the base of the lamp fits into the slot on the instrument head. 42
Information on care, cleaning and disinfection All RIESTER ri-scope® instrument heads can be cleaned on the outside with a moist cloth. Furthermore, the following disinfectants can be used: Aldehydes (formaldehyde, glutaraldehyde, aldehyde fission products) or tensides. All parts of instruments with the exception of the swivel lens, magnifying glass and the cover glass can also be disinfected with alcohols. When using these substances it is absolutely essential to follow the instructions of the manufacturer. A soft and, as far as possible, lint-free cloth or cotton bud can be used as an auxiliary aid for cleaning or disinfection. Attention Never place the instrument heads in liquid. Take care that no liquid enters inside the casing. a) Sterilisation According to the current school of thought (Test Centre for Medical Devices in Tübingen), sterilisation is only prescribed in the case of operative procedures. b) Reusable ear specula Although sterilisation is not necessary as described in a), it is nevertheless possible. The reusable ear specula can be sterilised at 134°C and 10 minutes retention time in a steam sterilizer.
Putting the instruments heads into operation Place the desired instrument head onto the attachment on the handle so that the two recesses on the lower part of the instrument head sit on top of the two projecting guide cams of the battery handle. Press the instrument head lightly onto the handle and turn the handle in a clockwise direction until it stops. To remove the head turn it in a counter-clockwise direction.
Putting the anti-theft security into operation Place the desired instrument head onto the attachment on the handle so that the two recesses on the lower part of the instrument head sit on top of the two prob jecting guide cams of the battery handle. Press the instrument head lightly onto the handle and turn the handle in a clockwise direction until it stops. In order to activate the anti-theft security, turn the Allen screw (b) using the Allen key (a) (included with the instrument head) until it stops. The instrument head can now no longer be removed from the handle. In order to deactivate the anti-theft security, the Allen screw (b) has to be unscrewed again using the Allen key (a). 1 Function a
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l Instrumente für H.N.O., Blutdruckmessgeräte Ophthalmologische Instrumente l Dermatologische Instrumente l Thermometer l Stethoskope l Stirnspiegel, Stirnlampen, Untersuchungslampen l Laryngoskope l Gynäkologische Instrumente l Perkussionshämmer l Stimmgabeln l Produkte zur Blutstauung I Lungendruckmessgeräte l Dynamometer lDruckinfusionsgeräte l Veterinärmedizinische Instrumente l Arztkoffer/ -taschen
Die detaillierten Beschreibungen der Produkte finden Sie unter der jeweiligen Rubrik im Gesamtkatalog (Best. Nr. 51231-50). Oder gehen Sie online unter www.riester.de.
Riester offers a large selection of products in the areas of Blood pressure measuring devices I Instruments for ENT, Ophthalmological instruments I Dermatological instruments I Thermometers I Stethoscopes I Head mirrors, Head lights, Examination lights I Laryngoscopes I Gynaecological instruments I Percussion hammers I Tuning forks I Products for blood stasis I Pulmonary pressure measuring devices I Dynamometers I Pressure infusion instruments I Veterinary instruments I Doctor’s cases and bags
Detailed descriptions of the products can be found in the respective sections of the omnibus edition catalogue (Order No. 51232-50). Or online under www.riester.de.
Rudolf Riester GmbH Postfach 35 • DE-72417 Jungingen Deutschland Tel.: +49 (0)74 77/92 70-0 Fax: +49 (0)74 77/92 70 70 [email protected] • www.riester.de
ri-former®
99203 Rev. D 2009-06 · Änderungen vorbehalten · Subject to alterations · Sous réserve de modifications · Sujeto a modificaciones · 5озможны изменения · Con riserva di apportare modifiche
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