ADC Proscope 5212 Maintenance manual

Otoscope & Ophthalmoscope
Instrument Set
Use, Care,
& Maintenance

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Thank you for choosing an ADC®Diagnostc nstrument Set. We’re proud of the care
and quality that goes into the manufacture of each and every diagnostic instrument that
bears our name. Every component has been carefully designed to maximize perform-
ance. (For item 5212, also used in 5210, 5215, 5211, 5211V)
Device Description and Intended Use
The ophthalmoscope is a handheld, battery-powered device containing illumination
and viewing optics intended to examine the media (cornea, aqueous, lens, and vitre-
ous) and the retina of the eye. t is intended to be used by a trained healthcare profes-
sional.
Otoscope Attachment (5210 and 5215) - The otoscope is a handheld battery
powered device with magnifying system that provides illumination of the ear canal and
tympanic membrane.
Nasal Speculum Adapter for Otoscope Attachment (5215 only) - When using
the otoscope attachment with a nasal speculum adapter, the device allows for direct
examination of the nares while maintaining a line of sight.
Bent Arm Illuminator (5215 only) - The bent arm illuminator is a handheld light
that can be used to illuminate a patient’s mouth and upper throat during an examina-
tion. The bent arm illuminator is a non-invasive light source designed to facilitate the
examination of the oropharynx area. t can also be used to assist in assessing papil-
lary light response and for transillumination of the sinuses. When used with laryngeal
mirrors, it allows for non invasive, indirect visualization of the hypopharynx.
atex Statement - This device and all accessories are not made with natural rubber
latex.
This device should be used by a trained healthcare professional.

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Contraindications
The use of this device is contraindicated in patients who have already received pro-
longed or intense light exposure, especially if the patients are infants, aphakes, or per-
sons with diseased eyes. Excessive exposure to light may result in patient injury. See
warnings for additional information.
General Warnings
A warning statement in this manual identifies a condition or practice
which, if not corrected or discontinued immediately, could lead to patient
injury, illness, or death.
CAUTION: Because prolonged intense light exposure can damage the retina, the use
of the device for ocular examination should not be unnecessarily prolonged, and the
brightness setting should not exceed what is needed to provide clear visualization of
the target structures.
The retinal exposure dose for a photochemical hazard is a product of the radiance and
the exposure time. f the value of radiance were reduced in half, twice the time would
be needed to reach the maximum exposure limit.
While no acute optical radiation hazards have been identified for direct or indirect oph-
thalmoscopes, it is recommended that the intensity of light directed into the patient's
eye be limited to the minimum level which is necessary for diagnosis. nfants,
aphakes and persons with diseased eyes will be at greater risk. The risk may also be
increased if the person being examined has had any exposure with the same instru-
ment or any other ophthalmic instrument using a visible light source during the previ-
ous 24 hours. This will apply particularly if the eye has been exposed to retinal
photography.
WARNING: The carrying cases provided with these devices are intended for long
term storage or transport between facilities or when shipping devices to and from
ADC’s facility for repair or servicing. Carry cases (including internal liners) can NOT
be cleaned or disinfected and should be safely discarded if contaminated. Do not
carry the case into a contaminated environment.

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WARNING: When replacing lamp, allow lamp to cool for five minutes before han-
dling.
WARNING: When cleaning/disinfecting devices that have been used on patients, be
sure to use appropriate personal protective equipment and follow all safety precau-
tions/warnings.
CAUTION: Consult the cleaning and disinfection instructions for each part for further
information about cleaning and disinfecting this product. Always remove batteries
prior to cleaning or disinfecting any device.
WARNING: No form of sterilization has been validated for this device or its corre-
sponding components and sterilization may compromise the safety and effectiveness
of this device. (This includes steam sterilization.)
WARNING: Use of any accessories or materials not indicated in the user's manual
can degrade the minimum safety of the equipment.
CAUTION: Federal law restricts this device to sale by or on the order of a physician or
licensed health care practitioner.
WARNING: During use metal components near instrument head can become warm.
This is especially true if device is on for extended periods of time. Do not leave device
on when not in use.
Otoscope
This instruction manual is for use with the Complete 2.5v nstrument Set ( tem #5215),
2.5v Diagnostic Set ( tem #5210), 2.5v Otoscope ( tem #5211 or 5211V), and all ac-
cessories and replacement parts.
Battery Handle: ( tem #5211-5) All instrument sets come equipped with a "C" cell
knurled chrome handle with rheostatic power switch.

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Battery Replacement
Requires 2 "C" cell batteries. Remove the knurled cap at the
base of the handle by turning counterclockwise. nsert two
fresh "C" cell batteries (not included) with the positive polarity
towards the instrument head. Replace battery compartment
cap by turning clockwise. (Fig. 1).
Removing and Attaching the Instrument Head
All instrument heads feature a bayonet style mount. To re-
move, push down firmly and rotate counterclockwise. To en-
gage, align slots on base of instrument head with tabs on
bayonet. Push head and twist clockwise until engaged.
(Fig. 2).
Turning the Instrument On
To illuminate, press the white power switch and rotate the
rheostatic bezel clockwise until desired lamp intensity is ob-
tained (0 position is off, red 1 position is full power) Slide
the switch in the opposite direction to turn off. (Fig. 3).
Handle Care and Maintenance
The handle can be cleaned following the guidelines in the
‘Cleaning and Disinfection’ section below. Periodically check
the condition of the batteries, making sure there is no sign of
corrosion or oxidation. Always replace BOTH batteries. Alka-
line batteries are recommended. Remove batteries from han-
dle if instrument will not be used for an extended period of
time.
Instrument heads
Otoscope Head (provided on 5215, 5210, 5211, and 5211V) ( tem #5220). This instru-
ment head is designed for examination of the ear canal – specifically the external
acoustic duct and tympanic membrane. The head comes complete with a 3x removable
viewing lens, insufflator fitting, and 3 reusable specula (standard models with 2.5mm,
3.5mm, and 4.5mm specula; veterinary model with 4mm, 5mm, and 7mm specula).
(Fig. 2)
(Fig. 3)
(Fig. 1)

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Attaching the specula
Push the flanged end of the desired speculum onto the instru-
ment head aligning the slot in the speculum flange with the
rivet at the top of the instrument head and twist clockwise to
engage. Reverse procedure to remove. (Fig.4)
NOTE: Otoscope must be used with specula.
Using Welch Allyn or equivalent disposa le specula:
Attach the disposable specula adaptor, tem #5211-AD in the
same manner as the reusable specula. Attach Welch Allyn or
equivalent disposable speculum by pushing the flanged end of
the desired speculum onto the chrome socket and twist coun-
terclockwise to engage (Fig.4b). Reverse procedure to re-
move and discard after each use.
Removing Viewing lens
To remove the Viewing lens ( tem #5211-L) during an exami-
nation, rotate lens counterclockwise and pull. Reverse proce-
dure to attach. (Fig. 5).
Replacing lamp
Remove speculum. Pull black sleeve off of lamp. Twist lamp
counterclockwise to remove. Replace with ADC tem #5211-4.
Reverse procedure to install new lamp. (Fig. 6).
Insufflator
The unit comes equipped with an insufflator fitting already at-
tached. The insufflator bulb and tubing ( tem #5122N) can be purchased separately.
(Fig. 7).
Ophthalmoscope
(provided on sets #5212, #5215 and #5210)
This instrument head ( tem #5240) is equipped with 24 lenses
from -25 to +40 diopters. (Fig. 8).
(Fig. 5)
(Fig. 6)
(Fig. 7)
(Fig. 4b)
(Fig. 8)
(Fig. 4)

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Corrective lens selection:
Unit is equipped with 24 corrective lenses from +40 to -25
diopters (negative lenses in red). To select, rotate the correc-
tive lens selection wheel at either side of the instrument head.
Selected lenses can be viewed in the illuminated panel on
practitioner’s side of the instrument. (Fig. 9).
Replacing Halogen lamp:
Remove the Ophthalmoscope head by turning counterclock-
wise. Grab end of lamp from inside base of Ophthalmoscope
head and remove. Replace with new lamp ( tem #5210-4),
taking care not to touch the glass, and align lamp metal
guides on side of lamp with grooves in lamp socket. (Fig. 10).
Bent Arm Illuminator Head: ( tem #5215-TH)
This instrument head is designed for examination of the oral
cavity inconjunction with the tongue depressor blade, or laryngeal mirror attachments.
Supplied attachments include a reusable tongue blade ( tem #5215-TD), adapter for
disposable tongue blade ( tem #5215-TO), 3mm laryngeal mirror ( tem #5215-M3),
and 4mm laryngeal mirror ( tem #5215-M4). These attachments are supplied with
complete set ( tem #5215) only or can be purchased separately. (Fig. 11).
Attaching any of the supplied Attachments
Align slot on attachment with pin on top surface of bent arm illuminator and push until se-
cure. (Fig. 11).
Replacing lamp ( tem #5211-4) Remove by turning counterclockwise. Reverse pro-
cedure to replace.
Nasal Specula Attachment: (provided on tem #5215)
This instrument head attachment ( tem #5215-NS) is designed for examination of the
nasal cavity. t is used in conjunction with the Otoscope instrument head.
(Fig. 11)
(Fig. 10)
(Fig. 9)

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Attaching Nasal Specula
Attach Otoscope head to the battery handle. Remove ear
speculum or adapter. Attach Nasal Speculum by pushing the
flanged end of the speculum onto the instrument head aligning
the slot in the speculum flange with the rivet at the top of the
instrument head and twist clockwise to engage. Reverse proce-
dure to remove. (Fig. 12).
Cleaning, Disinfection, and Drying
Note: Prior to performing any cleaning or disinfection of your device, e
sure to remove the atteries from the handles. Do not re-insert the atter-
ies without first consulting the ‘drying’ section elow.
The cleaning and disinfection procedures outlined below are the only methods vali-
dated for this device. ADC does not recommend the use of ultrasonic cleaning equip-
ment, automated washers/disinfectors, autoclave devices, or other cleaning methods
not specified below. These alternate cleaning/disinfecting methods have not been vali-
dated with ADC’s devices and may cause damage or corrosion to your medical device.
All devices and accessories (excluding disposa le specula) should e
thoroughly cleaned and disinfected prior to their first use. Devices and
accessories eing sent for repair or servicing must also e disinfected
prior to shipping.
OUTLINE OF PROPER CLEANING/DISINFECTION:
n order to achieve proper cleaning and high level disinfection of your device, you
must perform the following steps in the following order:
1) Select and perform one cleaning procedure based on the components/acces-
sories you are attempting to clean and disinfect.
2) Select and perform one high level disinfection procedure based on the compo-
nents/accessories you are attempting to disinfect.
3) Allow the components/accessories to dry as per the drying section of these in-
structions. Failure to perform a cleaning process prior to disinfection can result in
contaminated equipment and devices.
(Fig. 12)

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Cleaning Procedure for Battery Handles, Otoscope and
Ophthalmoscope Heads
Prepare a 70% isopropyl alcohol solution and soak a lint-free sterile cloth. Wipe down
the exterior of the battery handle, otoscope head, and ophthalmoscope head. Care
should be taken to prevent excess liquid from seeping into the devices.
sopropyl alcohol may be substituted with commonly used hospital disinfectant wipes
for cleaning purposes if desired. Please refer to the directions provided by the manu-
facturer of the wipes for appropriate contact time to ensure effective cleaning and low-
level disinfection.
Care must be taken during cleaning to avoid contacting the magnifying lenses on the
otoscope or ophthalmoscope head with any cleaning solution. Solution residue may
decrease device performance. The lenses of the instrument heads may be cleaned with
a lint-free cloth or lens paper.
Cleaning Procedure for Bent Arm Illuminator, Otoscope Accessories
( ncluding: Welch Allyn Specula Adapter, Reusable Specula, Nasal Specula), and Bent
Arm lluminator Accessories ( ncluding Laryngeal Mirrors, Tongue blade, and Tongue
blade holder).
Prepare Enzol®, or equivalent enzymatic cleaning solution as per manufacturer’s in-
structions and soak for ten minutes. (Enzol®is typically prepared at one ounce of
product per gallon of water or two ounces of product per gallon of water for cleaning
devices with dried-on matter. Enzol®will not be effective unless the soaking process is
a minimum of one minute long, although ten minutes is recommended. For devices
with dried on matter, manual cleaning may be necessary to fully remove all contami-
nants and material.) Cleaning solution may be substituted for a 70% isopropyl alcohol
solution. Rinse accessories with lukewarm running tap water for one minute to remove
any residual solution after cleaning. Dry with a clean, lint free cloth. Note: Always
allow components to completely dry before disinfection or use. Do not reuse acces-
sories between patients without proceeding with high level disinfection instructions
outlined in this manual.
Note: When cleaning the Bent Arm lluminator, the lamp should not be removed dur-
ing the cleaning process.

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High evel Disinfection for Battery Handles, Otoscope heads, Otoscope
Accessories
( ncluding: Welch Allyn Specula Adapter, Reusable Specula, Nasal Specula); Bent Arm l-
luminator, and Bent Arm lluminator Accessories ( ncluding: Laryngeal Mirrors, Tongue
Blade, and Tongue Blade Holder).
To achieve high level disinfection, a 2.4% glutaraldehyde solution (Cidex Activated Di-
aldehyde Solution®or equivalent) must be prepared at 25°C to the manufacturer’s in-
structions. All accessories must be detached from the otoscope head or bent arm
illuminator and disinfected separately. The lamp should not be removed from the bent
arm illuminator or otoscope head during the disinfection process. Batteries must be
removed from battery handles and the end caps must be removed and disinfected as
separate components along with the main portion of the handle. Lenses must be re-
moved from otoscope heads during high level disinfection and drying. The acces-
sories should be fully immersed in the disinfectant for a minimum of 45 minutes. No
air bubbles should be visible on the immersed accessories during this soak time. The
accessories should then be removed from the disinfectant and immersed in purified
water to rinse off all disinfectant. mmersion should be for a minimum of one minute
and the process should be repeated two additional times using fresh purified water
each time. Once rinsing is complete, the accessories should be thoroughly dried using
a sterile, lint-free cloth. Note: Always allow accessories to completely dry before use.
IMPORTANT NOTE: Before using a Cidex®Activated Dialdehyde Solution®for high
level disinfection, a Cidex®test strip should be used to ensure that the solution con-
centration is minimally effective. Consult with the Cidex®Activated Dialdehyde Solu-
tion®user instructions, as well as the original equipment manufacturer’s instructions
for the Cidex®test strips, for guidance prior to use.
Steris Sterilization Processes
This product has been validated with the V-PRO 1 Standard Cycle; V-PRO 1 Plus
Lumen and Non Lumen Cycles; V-PRO maX Lumen, Non Lumen, and Flexible Cycles;
V-PRO 60 Lumen and Non Lumen Cycles using the V-PRO 60 Low Temperature Steril-
ization System with VAPPROX® HC Sterilant and V-PRO maX Low Temperature Steril-
ization System.