User Manual
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SO-5000 Ophthalmic Microscope
User Manual
Page 1 of 36
CONTENTS INTRODUCTION ...
3
PARTS LIST
4
...
ASSEMBLY INSTRUCTIONS
5 5 7 10 11 11 12
USING THE MICROSCOPE
13 13 15 16 17 18 19
CARE AND MAINTENANCE
20 20 20 21 22 23 24 24 25
... Floor stand ... Microscope ... Connecting to a power source ... Battery operation, maintenance and safety ... Foot controls ... Binocular assistant microscope ... ... Articulated arm ... Panel controls ... Lamphouse ... Positioning the microscope ... Foot controls ... Sterilisation ... ... Care of the optical head ... Care of the main lamp ... Main lamp replacement ... Auxiliary lamp replacement ... Focus friction ... Power supply ... Power focus and zoom ... Mould pellet replacement ...
INSTALLING CAMERA EQUIPMENT
... ...
27 27
Attaching the camera adapter ... Disassembling the camera adapter ...
29 29
Video camera and monitor
TROUBLESHOOTING
...
31
... Optical head ... Illumination ... Power supply ... Mounting system ... Foot controls ... Case ... SO-1370 Camera ... SO-1380 Monitor ...
33 33 33 34 34 34 34 35 36
SPECIFICATIONS
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LIST OF FIGURES Figure 1
Assembling the floor stand
Figure 2
Fixing the floor stand
Figure 3
Attaching the clamp to a mounting surface
Figure 4
Assembling the microscope
Figure 5
Inserting the eyepieces and sterilisable covers
...
9
Figure 6
Connecting power cables and foot controls
...
10
Figure 7
Binocular assistant microscope ...
12
Figure 8
Adjusting the articulated arm
...
13
Figure 9
Setting the power supply
...
15
Figure 10
Using the foot controls
...
18
Figure 11
Changing the main lamp ...
21
Figure 12
Changing the auxiliary lamp
...
22
Figure 13
Adjusting focus friction
...
23
Figure 14
Mould pellet replacement
...
26
Figure 15
Video system schematic
...
28
Figure 16
Assembling the 35mm camera attachments
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INTRODUCTION Please read the following information carefully before installing and using the Scan Optics Ophthalmic microscope. Scan Optics is responsible for the safety, reliability and performance of the equipment only if it is used in accordance with these instructions. This microscope is designed for use by a certified practitioner, for magnified observation of patients, and for use in an operating theatre as an observation aid during surgery. A sample of this product has tested as compliant to IEC 60601-1 for use at 110V and 200-260V, 10-40°C, and 60-95% relative humidity. Environmental storage and packing conditions of 60-95% relative humidity and 10-40 °C, are recommended for this product. No parts or accessories supplied with this microscope are supplied in a sterile condition. Apart from those instructions within this manual, there are no user-serviceable parts in this microscope. Scan Optics will retain the discretion to advise whether any repairs may be taken out by external qualified technical personnel, or whether part(s) of the microscope must be returned to the manufacturer’s premises for service or repairs to be carried out under warranty or otherwise. Where appropriately qualified technical personnel are identified by a user, and ratified by Scan Optics, then Scan Optics will make available on request any information which will assist in repairing the equipment.
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PARTS LIST MAIN ASSEMBLIES
Clamp Assembly Articulated Arm Assembly Microscope Assembly Foot Control
(includes power supply, clamp/pillar with pillar safety clamp) (includes horizontal arm and adjustable pantograph arm) (includes tilt adjuster, microscope head, guide handle, lamphouse, auxiliary light, universal arm and cable) (includes built-in cable for attachment to the power supply)
CABLES
12V dc Supply (Battery) Cable OTHER
Focus Knob Sterilisable Covers (2) Zoom Knob Sterilisable Covers (2) Guide Handle Sterilisable Covers (2) TOOL KIT
Eyepieces (2) Spare Main Lamp (1) Spare Auxiliary Lamp (1) Socket keys (set 8: 1 x 1.5mm, 1 x 2mm, 1 x 2.5mm, 1 x 3mm, 2 x 4mm, 1 x 5mm, 1 x 6mm) Lens Cloth (OPTIONAL) FLOOR STAND
Base (1) Pillar (1) Clamp mount (1) OPTIONAL ACCESSORIES
SCAN OPTICS PART NUMBER
Binocular Assistant Microscope SO-1420 Table Plate SO-291 Complete Coaxial Video SystemSO-1350 Coaxial Digital Camera and Printer SO-1355 35 mm Coaxial Camera SO-1375
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ASSEMBLY INSTRUCTIONS FLOOR STAND
1.
Remove the pillar, base and clamp mount from the case or carton.
2.
Insert the pillar into the hole. Tighten the two grubscrews using the 5mm socket key found in the tool kit to fix the pillar in place. Refer to figure 1 (A), (B).
3.
Remove the clamp mount from the case or carton and place it on the pillar. Tighten the two grubscrews to fix the clamp mount in place. Refer to figure 1 (C), (D).
A
B
C
D Figure 1
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4.
To fix the floor stand, screw the knobs down until the stops are resting evenly on the floor. Refer to figure 2.
5.
Screw the knurled discs down on to the floor stand base to lock the stops. Refer to figure 2.
6.
To unlock the floor stand, screw the knurled discs back up, then unscrew the knobs until the wheels can move freely.
Figure 2
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MICROSCOPE
1.
Remove the clamp assembly from the case.
2.
Fix the clamp to the operating table about 40 cm from the head of the table. The clamp may be fixed on either side of the table. Make sure that the clamp is pressed firmly against the side of the table before tightening. Refer to figure 3 (A). M
Alternatively, the clamp may be mounted on any horizontal surface that can be positioned within 60 cm of the working position, such as a mobile trolley.
M
The clamp may also be attached to the floor stand. When attaching to the floor stand, first remove the two knobs from the clamp then tilt the clamp backwards slightly to allow it to fit through the hole in the clamp mount. Refer to figure 3 (B).
M
The floor stand is clamped vertically to the main clamp assembly at one point and at two points horizontally. First tighten the vertical clamp firmly then use the two knobs provided to fix the clamp horizontally to the clamp mount. Refer to figure 3 (C).
M
It is important that the mounting surface be free from vibration and movement. Note that in cases where the mounting surface is not rigid, over-tightening of the vertical clamp will not improve microscope stability. In this case, add a stiffening plate (such as Scan Optics Table Plate; Cat No. SO-291) beneath the mounting surface and apply the clamp over the stiffening plate and the original mounting surface..
A
B Figure 3
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Attaching the clamp to a mounting surface
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3. 4.
Tighten the pillar safety clamp at a point midway up the vertical pillar. Refer to figure 4 (A). Remove the articulated arm assembly from the case, and place it on the vertical pillar. Make sure that the arm assembly rests against the pillar safety clamp. Refer to figure 4 (B).
5.
Remove the microscope assembly from the case and locate the microscope assembly in the end of the arm assembly. Tighten the knob underneath the end of the arm to secure the microscope in the collet. Refer to figure 4 (C).
7.
Pass the lamphouse cable through the cable clips ring on the arm assembly and attach the plug to the connector on the top of the pillar. This will ensure the cable does not obstruct the surgeon or come into contact with the sterile area.
A
B
C
D Figure 4
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8.
User Manual
Page 9 of 36
Remove the microscope eyepiece blanks and insert the eyepieces from the tool kit. Refer to figure 5. M
Retain the eyepiece blanks in the tool kit for repacking the microscope. Do not discard the eyepiece blanks.
M
Take care to protect the Lamphouse prism at all times. If placing the Microscope Assembly on a bench, lie carefully on one side.
9.
Connect the zoom power cable to the socket on the side of the zoom drive cover.
10..
Remove the focus control knob cover and (small) zoom control knob cover from the bag inside the case. Refer to figure 5. Push them into position on to the knobs on the left side of the microscope head.
11.
Remove the guide handle cover from the bag inside the case, and slide it over the guide handle located at the front of the microscope. Refer to figure 5. M
The guide handle may be used to manoeuvre the microscope during surgery.
M
All covers are intended to be sterilised before any operating procedures.
Figure 5
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Inserting the eyepieces and sterilisable covers
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CONNECTING TO A POWER SOURCE
The Scan Optics Ophthalmic Microscope may be connected to either an earthed mains (90-260V) ac supply, or a 12V dc supply, or both. The power supply will automatically select the correct mains voltage. If both ac and dc supplies are connected, the dc supply (for example, a 12V battery) will act as an emergency backup for mains power. In this case, the microscope will not run from battery power unless the mains supply fails or falls by more than 20 percent, or is switched off. If mains power is restored, the microscope will resume using mains power automatically. The mains power switch on the microscope does not switch the battery off. Refer to figure 6.
Figure 6
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Connecting power cables and foot controls
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1.
Plug the mains power cable into a mains power socket. International safety standards do not allow the use of an extension cord. M The mains power supply must have a protective earth conductor. If there in no earth conductor, or if the integrity of the earth conductor arrangement is in doubt, the equipment must be operated from a 12Vdc power source.
2.
Switch on the mains power supply at the wall socket. M When the ON/OFF switch is selected to ON, the power supply indicator on the switch will light and an audible 'beep' should be heard.
BATTERY OPERATION, MAINTENANCE AND SAFETY
Scan Optics recommend the use of sealed rechargeable lead-acid 12V batteries such as Scan Optics Cat Nos. SO-251 (small, light, lower (7Ah) capacity) and SO-9210 (large, heavy, higher (35Ah) capacity). These batteries are maintenance-free and can be operated, charged or stored in any position without leakage. 1.
If the power supply is to be connected to a 12-volt dc supply, remove the battery cable from the case and connect the cable to the 12-volt connector on middle of the front panel on the power supply. Refer to figure 6.
2.
Connect the red battery clip to the positive battery terminal, and the black clip to the negative battery terminal. The power supply will not operate if the terminals are reversed M
Earthing is not required when a 12-volt supply is used alone.
M
The 12 volt supply must be direct current. The power supply will not operate with 12 volts alternating current.
M
Do not charge these batteries in a sealed container.
M
Avoid short-circuiting batteries.
M
Old lead-acid batteries of any type must be disposed of correctly. It is recommended that they are recycled by an appropriate establishment who recycle car batteries. Lead acid batteries should not be disposed of with ordinary waste, as lead poisoning or acid trauma may result.
Caution:
Where battery backup is used, Scan Optics recommend a periodical check of the battery to ensure it is charged and functional. FOOT CONTROLS
1.
Remove the foot control from the case and plug the cable into the socket on the right side of the front panel of the power supply. Refer to figure 6.
2.
Check that the cable from the housing in front of the microscope is connected to the socket on the side of the rectangular zoom drive housing on the right side of the microscope head.
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BINOCULAR ASSISTANT MICROSCOPE
The optional assistant microscope allows an observer to view procedures under magnification within close proximity of the operating field. To attach the microscope, insert the mounting arm in to the mounting bracket and then insert the locking pin.
MICROSCOPE HEAD MICROSCOPE LOCK KNOB
LOCKING PIN MOUNTING BRACKET
FOCUS KNOBS ANGLE LOCK KNOB
MOUNTING ARM
MICROSCOPE MOUNT
Figure 7
Binocular assistant microscope
Sterilisable covers are provided to fit over the focus knobs. Pupillary distance adjustment is performed manually, but the eyepieces are not geared together. For the best user comfort, ensure that the eyepieces are equidistant from the central axis of the main optical path. The adjustable eyepiece may be used to compensate for any refractive error difference between the left and right eye of the user. First, rotate the adjustable (left) eyepiece so that there are equal amounts of adjustment on either side. Then focus the microscope while closing the left eye and looking only through the right eyepiece. When the microscope is focussed, close the right eye and look with the left eye through the left eyepiece, and rotate the adjusting ring until the left eye is focussed. When the microscope is fitted to the side of the main microscope head, a tilt angle of approximately 30 degrees will enable the visual field of the assistant microscope to match that of the main microscope head. To adjust this angle, loosen the angle lock knob while holding the microscope head, tilt the head to the appropriate angle and lock it again. Small sideways adjustments of the visual field can be achieved by loosening the microscope lock knob and rotating the microscope head about its mounting axis. When the fields are aligned correctly, tighten the microscope lock knob once again.
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USING THE MICROSCOPE ARTICULATED ARM
The articulated arm includes a number of features which enable the microscope to be adjusted in almost any position. Refer to figure 8.
Figure 8
Adjusting the articulated arm
1.
The horizontal arm may rotate about the vertical pillar by unlocking the pillar lock knob (A). To prevent the arm from rotating, simply lock the knob.
2.
The pantograph (moving) arm may rotate about the end of the horizontal arm by unlocking the elbow lock knob (B). To prevent the arm from rotating, simply lock the knob.
3.
The amount of force required to move the pantograph arm up and down may be adjusted by rotating the screw located at the top of the elbow joint, indicated at point (C). To adjust the screw, first move the pantograph arm down to reveal the screw through the slot in the top of the arm. Use the large hexagonal key located in the toolbox to rotate the screw. To decrease the amount of force required to move the arm, rotate the screw clockwise. To increase the amount of force required to move the arm, rotate the screw anticlockwise. When the screw is adjusted to its limit, rotate the screw half a turn in the opposite direction to ensure the arm continues to operate smoothly
4.
The amount of friction in the pantograph arm may be adjusted by rotating the handle (D) located on the side of the pantograph arm. The arm may thus be locked in any position or alternatively, the amount of friction can be set so that the arm is stable but will move when a force is applied.
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5.
The knob (E) located on the underneath side of the end of the pantograph arm is used to lock the microscope assembly into place. To release the microscope assembly, simply unscrew the knob and lift the assembly carefully out of the collet
6.
The microscope head may be tilted up and down by rotating the knob (F). The microscope may be tilted into position between -45â and +5â. To tilt the head down, rotate the knob in the clockwise direction.. To tilt the head up, rotate the knob anticlockwise.
7.
The optional guide handle (G) may be used to manoeuvre the microscope once the appropriate friction has been set on the other knobs.
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PANEL CONTROLS
The panel on the SO-5000 clamp/power supply unit controls the main (coaxial) and auxiliary lights, the powered focus and zoom speeds, and provides an interface for connections to the foot control and battery. Refer to figure 9.
Figure 9
Setting the power supply
Power Supply - key to symbols A B C D E
Standby button/indicator Auxiliary light button/indicator Main light button/indicator Intensity button/indicator Main switch
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Resettable circuit breaker (mains side) G Battery cable panel plug H Resettable circuit breaker (battery side) I Foot control input socket J Foot control indicator K Power focus/zoom speed control
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1.
The power supply is switched on by depressing the switch (E) on the front panel. When the power supply is switched on, the indicator on the switch and the indicator next to the button (A) on the top panel will light up and an audible 'beep' will be heard. The main switch also activates cooling fans located in the power supply and in the lamphouse.
2.
When the power supply is switched on, the unit automatically starts on 'standby' mode, as indicated by the light next to the button (A) on the front panel. In order to activate the power supply, depress the button (A) a single time. The indicator light will turn off and a single 'beep' will be heard. The power supply is now ready to operate.
3.
To switch on the main (coaxial) light, press the button (C) on the top panel. To switch on the auxiliary light, press the button (B) on the top panel.
4.
The intensity of the main and auxiliary light may be varied by selecting the up or down arrow intensity selection button (D) on the top panel. There are five intensity settings. In the event that the power supply is switched off or placed on standby, the intensity will revert to the previous setting when the power supply is switched back on.
5.
A 12V battery may be connected to the power supply as a backup for mains or as an alternative to the mains supply. To connect a battery, place the crocodile clips on the battery cable to the appropriate terminals on the battery (red positive +, black negative -) and connect the battery cable to the panel plug (G) on the front panel.
6.
The foot control may be connected to the front panel by inserting the plug on the end of the foot control cable into the socket (I) on the front panel. When a pedal on the foot control is depressed, the indicator (J) on the front panel will light up. This indicates that the foot control is connected and working properly. To increase the speed of the power focus and zoom which are activated by the foot controls, turn the speed control (K) on the front panel in the anticlockwise direction. To decrease the speed of the power focus and zoom, turn the knob clockwise.
7.
In the event that the power supply fails due to a supply variation, the power supply can be reactivated with the resettable circuit breakers (F) and (H) on the front panel of the power supply.
LAMPHOUSE
1.
The lamphouse on the SO-5000 ophthalmic microscope produces a coaxial light which provides a red fundus reflex from the back of the eye. The intensity of the light may be controlled from the top panel of the power supply or by using the optional foot controls.
2.
The lamphouse position may be adjusted if the light patch is not exactly centred on the centre of the image viewed through the eyepieces. To centre the light patch, adjust the angle of the lamphouse by turning the socket screws (using the socket key provided in the tool box) in the plate fixed to the microscope holder. When winding the socket screw in on one side, wind the socket screw on the other side an equivalent amount in the opposite direction to ensure that the lamphouse is held firmly in place. A small amount of adjustment of the two screws should be sufficient to adequately centre the light patch.
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POSITIONING THE MICROSCOPE
Note that the equipment must be located more than 25 cm away from any medical gas system or disinfection or degreasing system containing flammable vapour. The power supply must also be protected from liquid splashes and spills. 1.
Set the instrument approximately in position by swinging the elbow as required.
2.
Set the focus adjustment to the midway position by rotating the focus knob appropriately.
3.
Adjust the height of the microscope by moving the arm vertically so that the work area is approximately in focus. Tighten the pillar and elbow lock knobs.
4.
Check the eyepiece setting to ensure clear vision with each eye separately, and set the pupillary distance. Note that the working distance is increased by rotating both eyepieces in a clockwise direction, and reduced by rotating both eyepieces counter-clockwise.
5.
The microscope can now be swung aside ready for use with a patient.
6.
Swing the microscope over the patient
7.
Hold the focus knob to move the microscope to the correct position. The most accurate focusing can be obtained at the highest magnification, as the depth of focus is then minimised.
8.
Tighten the pillar lock knob until the microscope is prevented from moving freely, but is still able to be moved when required. The friction of the arm and elbow knobs should be adjusted so that the movement feels uniform in all directions.
9.
Focus and zoom knobs may be used to manually focus the microscope or manually set the magnification level, even though a foot control is fitted.
10.
To swing the microscope out of the way, unlock the pillar lock knob and swing the microscope about the vertical pillar. It will remain in focus when returned to the work area.
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FOOT CONTROLS
1.
The foot control enables the surgeon to focus the microscope, change the magnification level and change the light intensity by depressing pedals, thus enabling both hands to be kept free for surgery. Refer to figure 10.
Figure 10
Using the foot controls
2.
The magnification level may be increased by depressing the pedal (A), and decreased using the pedal (D). The drive system will stop automatically when the magnification has reached its upper or lower limit.
3.
The light intensity level may be increased by depressing the pedal may be increased by depressing the pedal (B) and decreased using the pedal (E)
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4.
The microscope may be focused in the upward direction by depressing the pedal (C) and focused downwards using the pedal (F). The drive system will stop automatically when the focus has reached its upper or lower limit.
5.
The rate of magnification change and the focus speed may be set by adjusting the knob on the front panel of the power supply. Refer to figure 8. To increase the speed of the power focus and zoom, turn the speed control (K) on the front panel in the clockwise direction. To decrease the speed of the power focus and zoom, turn the knob anticlockwise.
NOTE: Do not attempt to use the foot pedal to focus or zoom the microscope at the same time as using the manual focus or zoom knobs.
STERILISATION
1.
All removeable knobs may be sterilised. However, it may be convenient for the clamp knobs to be set by a non-sterile person.
2.
The removeable knobs and covers may be sterilised by: M M M M
boiling autoclaving chemical sterilisation gas sterilisation.
3.
Before sterilising clamping knobs, first remove the plastic pad from the end of the shaft.
4.
The anodised and plated metal components can be wiped with any of the normal disinfectants.
5.
The plastic parts and the paintwork of the microscope assembly and the power supply may be affected by organic solvents. Do not autoclave or wipe with organic solvents such as ether, xylene or alcohol; to clean use water-based solvents only.
6.
One set of covers can be sterilised while the other is in use.
NOTE: National authorities may require the use of specific sterilisation or disinfection methods.
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CARE AND MAINTENANCE CARE OF THE OPTICAL HEAD
1.
Cleaning the optical components. The eyepieces should be checked for cleanliness each time the instrument is used. Surface dust should be removed with a clean, soft brush. Fingerprints or grease may be removed by lightly wiping with a cotton cloth or lens tissue moistened with a 70:30 mixture of absolute alcohol (either ethanol or methanol) and ether. Do not use acetone as it may damage the surface coating.
2.
Cleaning the plastic parts and paintwork. Use water based cleaners only. Do not use any organic solvent such as alcohol, ether or xylene.
3.
Protection against mould. In hot and humid climates it is common for mould to grow on optical surfaces. Cleaning and repairing the damage can be expensive and inconvenient. To minimise the risk of mould forming, do not leave the instrument without either eyepieces or eyepiece blanks inserted and always store the optical head in a sealed bag containing silica gel desiccant. In tropical climates, routine annual maintenance of the optical head is recommended.
4.
Do not dismantle. No parts inside the optical head of the instrument can be serviced by the user. Attempts to dismantle the optical head or prism cover will make any warranty void.
CARE OF THE MAIN LAMP
1.
The main lamp supplied has a rated average life of 50 hours.
2.
The actual life of the lamp will depend on the intensity setting normally used. The highest setting is an over-run setting which increases light output but will reduce lamp life. Conversely, running the lamp at the lowest setting will produce a lamp life of greater than 50 hours.
3.
It is strongly recommended that the lamp be replaced as a routine maintenance task, to reduce the possibility of failure during surgery.
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