B. Braun True Digital Surgery Aesculap Aeos PV010 Manual

USA Instructions for use/Technical description
Aesculap Aeos®– Digital Surgical Microscope
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AESCULAP®
Aesculap Aeos®– Digital Surgical Microscope
Legend
13D surgical screen
2Control screen
3Robotic arm
4Camera
5Base
6Footswitch
7Warranty seal
The illustrations in these instructions for use (especially illustrations of
the software) may deviate from the actual device.
Contents
1 About this document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
1.1 Scope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
1.2 Safety messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2 Clinical use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.1 Product description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.1.1 Robotic arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.1.2 Camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.1.3 Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.1.4 3D display (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.1.5 3D display stand (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.1.6 Footswitch PV014. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.1.7 Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.1.8 Polarized 3D glasses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.1.9 Additional components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.2 Areas of use and limitations of use. . . . . . . . . . . . . . . . . . . . . . 8
2.2.1 Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.2.2 Indications for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.2.3 Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.2.4 Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.2.5 Essential performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.3 Safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.3.1 Clinical user. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.3.2 Product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.3.3 Sterility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.4 System set-up. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.4.1 3D display and robotic arm workspace. . . . . . . . . . . . . . . . . . . 10
2.4.2 Connecting the power supply . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.5 Functional test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.6 Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.6.1 Positioning the 3D display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.6.2 Turning the system on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.6.3 Enable footswitch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2.6.4 Setting up the robotic arm and the camera. . . . . . . . . . . . . . . 12
2.6.5 Starting a case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.6.6 Taking videos and snapshots of live view. . . . . . . . . . . . . . . . . 15
2.6.7 Ending a case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.6.8 Saving case media . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.6.9 Case Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
2.6.10 Removing the drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
2.6.11 Shutdown procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2.6.12 Putting out of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2.6.13 Changing footswitch batteries . . . . . . . . . . . . . . . . . . . . . . . . . . 18
3 Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
3.1 Home screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
3.2 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
3.2.1 Preset positions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
3.2.2 Rebalance scope. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
3.2.3 Robot Recovery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
3.3 Live screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
3.4 Control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
3.4.1 Camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
3.4.2 Robot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
3.4.3 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
3.4.4 Waypoints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
3.4.5 Surgical Displays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
3.4.6 Screen Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3.4.7 Digital Aperture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3.5 Quick Access Bar (QAB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.5.1 Autofocus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.5.2 Image modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.6 Software settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
3.6.1 Color . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3.6.2 Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3.6.3 Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3.6.4 DICOM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3.6.5 Handles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
3.6.6 Footswitch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
3.6.7 About. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
3.6.8 DUV 400 (Fluorescence). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
3.7 Robotic arm state indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
3.8 Robot malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
4 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
4.1 Malfunctions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
4.2 Error messages in the software. . . . . . . . . . . . . . . . . . . . . . . . . . 31
4.3 Password Reset. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
5 Reprocessing procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
5.1 Single-use products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
5.2 Reusable products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
5.3 Preparation before cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
5.4 Product-specific safety instructions for the reprocessing
procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
5.5 Wipe disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
5.6 Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
5.6.1 Visual inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
5.6.2 Functional test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
5.7 Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
5.8 Storage and transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
6 Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

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7 Maintenance and service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
7.1 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
7.2 Technical Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
8 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
9 Technical data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
9.1 Classification acc. to Directive 93/42/EEC and Regulation (EU)
2017/745. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
9.2 Performance data, information about standards . . . . . . . . . . . 36
9.3 Voltage selector setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
9.4 Safe working load. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
10 Symbols on product and packaging . . . . . . . . . . . . . . . . . . . . . 36
11 Distributor in the US/Contact in Canada for product
information and complaints . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
1 About this document
Note
General risk factors associated with surgical procedures are not described
in these instructions for use.
1.1 Scope
These instructions for use apply for the following products:
Note
The applicable CE mark for the product can be seen on the label or pack-
aging of the product.
1.2 Safety messages
Safety messages make clear the dangers to patient, user and/or product
that could arise during the use of the product. Safety messages are la-
beled as follows:
DANGER
Indicates a possible threat of danger. If not avoided, death or serious
injury may result.
WARNING
Indicates a possible threat of danger. If not avoided, minor or mod-
erate injury may result.
CAUTION
Indicates a possible threat of material damage. If not avoided, the
product may be damaged.
2 Clinical use
2.1 Product description
The Aesculap Aeos®is a freestanding, digital surgical microscope in a
look-over configuration. The Aesculap Aeos®does not utilize traditional
microscope binoculars within the field of use and is intended to be an al-
ternative to traditional optical microscopes. The Aesculap Aeos®soft-
ware is a component of the medical device.
The main components of the Aesculap Aeos®system are:
■3D surgical screen 1– live surgical view
■Control screen 2– control interface
■Robotic arm 3
■Camera 4– 3D camera, illumination, and handle controls
■Base 5with embedded computers
■Footswitch 6
■Visualization software
■Sterile drape
Note
The essential performance feature is defined by the “robotic arm” specifi-
cations.
2.1.1 Robotic arm
The robotic arm is a six-jointed arm that supports the camera. Its touch-
guided movement allows the user to manipulate it through the work-
space. The robotic arm may be controlled via the handles, footswitch, or
control screen. On the 3D display, the robot state indicator shows the
current state of the robotic arm. The robotic arm workspace is illustrated
below.
Fig. 1
Legend
aMax. radius
Art. no. Designation
PV008 26” Full HD 3D Monitor
PV010 Aesculap Aeos®(Digital Surgical Microscope)
PV011 Upgrade kit for the integration of a 3D monitor
PV014 Aesculap Aeos®foot switch wireless (including batte-
ries)
PV022 Software module DUV 400
PV023 Software module DIR 800
PV024 Software module DICOM
PV030 White balance card
PV031 Keyboard
PV032SU DUV 400 reference card
PV033SU DIR 800 reference card
PV012SU Aesculap Aeos®sterile drape
425 mm
390 mm
a = 1,24 m
Effective Date: 2024-02-02 (CET)

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2.1.2 Camera
The camera contains two sets of optics and two high-resolution sensors
to convert the analog signal to a digital video stream.
Fig. 2
Legend
aBottom of camera
bMin. working distance
cMax. working distance
Camera LED indicator
The camera has an LED indicator on the back panel. The indicator colors
are explained below.
Handle buttons (default setting)
The Aesculap Aeos®is designed to be controlled primarily through the
buttons on the handles of the sides of the camera. The default layout of
the handles is shown below. In the software Handles settings, the handle
button commands can be customized.
Fig. 3
Legend
2.1.3 Base
Emergency stop
The robotic arm emergency stop is located at the top of the base. The ro-
botic arm movement is always under the control of the operator.
►If there is a malfunction and the robotic arm moves in an unintended
way, first attempt to press the soft stop button on the control
screen.
►If the control screen does not respond, use the emergency stop to re-
move power from the arm and cease all movement.
Note
When the emergency stop is pressed, the camera may move up to 3 cm
(depending on position) due to mechanical brakes locking into place.
Indicator Description
Blinking blue The camera is starting up
Solid green The camera is ready for use
Solid yellow A minor error has occurred. See software mes-
sage for details.
Solid red A major error has occurred. User should
switch to a backup system immediately
425 mm
390 mm
a
b = 200 mm
c = 450 mm
425 mm
390 mm
b = 2
0
0
m
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c = 45
0
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Assisted drive
Zoom +
White light +
Focus -
Autofocus/Toggle Focus Mode
White light -
Zoom -
Assisted drive
Image Mode (Next)
Focus +
Image Mode (Previous)
l
m
n
o
p
q
r
s
t
u
v
Move up
Move left
Move down
Assisted drive
Move forward
Way point save/delete
Move right
Lock-on mode
Waypoint select/move
Move backward
Assisted drive
a
b
c
d
e
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Base LED indicators
There are three LED indicators near the bottom of the base that display
the status of the camera, system computer (EPU), and robotic arm com-
ponents. The indicator colors are explained below.
Control screen
The system can be controlled by using the control screen. The control
screen is 2D only and not sterile.
►Position the control screen for quick and convenient access.
Isolation transformer
The system contains a medical-grade isolation transformer to ensure pa-
tient and product safety. The transformer is configured by a service tech-
nician to accept the required voltage from the alternating current supply
mains.
Uninterruptible Power Supply (UPS)
The system contains an uninterruptible power supply (UPS) which is con-
nected to the isolation transformer. By that means, components such as
the Aesculap Aeos®computers, robotic arm, 3D display and control
screen are safely powered.
The UPS is able to buffer the Aesculap Aeos®system for at least 5 sec-
onds in the case of an external power interruption.
If no case is started, the system will shut down after 2 minutes without
mains power. If a case is started the system will be provided with power
until the batteries are empty, which depends on factors like the charging
state of the batteries.
The UPS is not designed to be used as a replacement for a mains power
connection.
►While in use, do not deliberately disconnect system from mains power.
Base connections
Fig. 4
On the control screen arm, there are the following connections:
Note
Depending on the system configuration it could be that only one of the DP
Ports (c/h) can be used and the other one is covered by a blind cover.
The service technician will check with the operator during system instal-
lation to determine which one to use.
DANGER
Risk of injury due to unapproved configuration using additional
components!
►Make sure that all configurations comply with basic standard IEC/
DIN EN 60601-1 requirements for ME-systems. Any individual
connecting devices with one another is responsible for such con-
figuration and must ensure compliance with basic standard IEC/
DIN EN 60601-1 or applicable national standards.
Combinations of accessories that are not mentioned in the present in-
structions for use may only be employed if they are specifically intended
for the respective application, and if they do not compromise the perfor-
mance and safety characteristics of the products.
Indicator Description
Camera:
Green The camera is powered on.
Red The camera is powered off / power failure.
Off The system is powered off.
System computer (EPU):
Green The EPU is powered on.
Red The EPU is powered off / power failure.
Off The system is powered off.
Robotic arm:
Green The robotic arm is functional.
Orange The robotic arm is booting.
Red The robotic arm is powered off / power failure.
Off The system is powered off.
Reference Port Connect to
aUSB 3.0 Keyboard, storage device
b, fEthernet Clinical network
c, hDisplay Port External monitor
dHDMI (output) External monitor
eUSB 2.0 Storage device
gHDMI (input) (not used)
iSDI Video source
j6 mm potential equa-
lization pin Potential equalization system
kMains power cord
connection Mains socket outlet
a
b
f
c
h
d e
g i j k

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Also note that any equipment connected at the connections must de-
monstrably meet the respective IEC standards (e.g. IEC 60950 for data
processing equipment, IEC/DIN EN 60601-1 for electromedical devices).
►Please address the B. Braun/Aesculap partner or Aesculap Technical
Service with any inquiries in this respect; for a contact
address, see Disposal
►Every time a new piece of equipment is added and cables are connect-
ed to the Aesculap Aeos®system, power down the system prior to
connecting cables, then power it back up once the cables are connect-
ed.
Connecting a video stream from another device (input)
Video streams from other devices may be connected to facilitate display
in conjunction with the 3D image from the camera.
The following device is approved for providing video input:
►Connect the device to the SDI input port iat the front of the base,
see Fig. 4.
►Configure the video input in the Aesculap Aeos®software “Input
Source” settings panel.
Connecting to a potential equalization system
Directly above the main power cord connection j, the Aesculap Aeos®
system is equipped with a 6 mm potential equalization pin jthat can be
connected to the healthcare facility potential equalization system.
►Connect the healthcare facility potential equalization system to the
potential equalization pin jat the front of the base, see Fig. 4.
Connecting to a PACS/RIS server
There are two Ethernet ports on the both the front and back panels of
the base.
►Ensure that the Ethernet cable and connector comply with at least
Cat-5e EIA/TIA-568A-5, preferably Class D values from ISO/IEC
11801:2002 or EN 50173-I:2002.
Note
Power over Ethernet (PoE) is not allowed.
►Connect an Ethernet cable to one of the Ethernet ports bor eto link
the system with the facility PACS server, see Fig. 4.
►Configure the connection in the software DICOM settings. See
TA015615-DCS for the complete DICOM Conformance Statement.
2.1.4 3D display (optional)
The 3D display has a circularly-polarized, micro-polarizing filter that dis-
plays the right and left image alternately. Circularly-polarized glasses
are worn to ensure that the left eye only sees the left image and the
right eye only sees the right image. The display is set up by your Aesculap
representative for optimal visualization.
►If the display settings are causing inadequate visualization, please
contact customer support for assistance.
Connecting a secondary display (output)
The system can support simultaneously displaying the live view on multi-
ple displays.
The following 3D displays are recommended for use with the
Aesculap Aeos®:
►Connect the display to the DisplayPort output port crespectively to
HDMI dat the back of the base or hat the front of the base, see Fig. 4.
►Configure the additional displays in the Aesculap Aeos®software
“Display” settings panel, see Display.
The individual display settings are specially configured at the factory.
When this function is activated, the power indicator flashes in amber. It
is not recommended to drape the displays.
►If two external displays in addition to the central 3D monitor PV008
should be connected, contact Aesculap Technical Service, see Disposal.
2.1.5 3D display stand (optional)
The system can support remote 3D displays on a display stand approved
by Aesculap. If the default 26” 3D display does not come with the sys-
tem, an optional display can be the primary display.
The following display stands are approved for use with the
Aesculap Aeos®:
2.1.6 Footswitch PV014
The system can be controlled by using the wireless footswitch. The
footswitch is uniquely paired with the Aesculap Aeos®system in the
Aesculap Aeos®software “Footswitch” settings panel, see Handles.
Default footswitch button functionality
Fig. 5
Legend
Art. no. Designation Connection Cable
PV480 2D camera platform BNC Cable
Art. no. Designation Connection cable
PV008 26” display DisplayPort to DVI
PV644 31” 4K display HDMI / DP-HDMI
PV648 32” display DisplayPort to DVI
PV015 55” 4K display HDMI / DP-HDMI
Art. no. Designation
PV016 Mobile monitor stand for 55" monitor
PV061 Height adjustable monitor stand for 55" monitor
PV818 Mobile monitor stand for 26" to 32" monitors
a
b
c
d
e
Waypoint save/delete
Autofocus/Toggle Focus Mode
Focus -
Zoom -
White light -
f
g
h
i
j
Waypoint select/move
Lock-on mode toggle
Focus +
Zoom +
White light +
a
b
c
d
e
f
g
h
i
j

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The footswitch button commands can be customized in the
Aesculap Aeos®software “Footswitch” settings panel, see Handles.
Footswitch status LEDs
2.1.7 Keyboard
The system includes a keyboard with an integrated touchpad.
The keyboard is intended to be connected to the system via an USB in-
terface.
►Preferably connect the keyboard via the mast USB interface.
►Only use the enclosed keyboard PV031 (US english layout), as the input
of country-specific character sets is not supported by the software.
2.1.8 Polarized 3D glasses
Passively, circularly-polarized glasses are needed to see the display in 3D.
The glasses may be worn over prescription glasses. Keep the glasses
clean and free of scratches. To ensure optimal image quality, the system
should only be used with Aesculap-supplied 3D glasses. Polarized pre-
scription glasses will distort the 3D effect and should not be used.
►Contact Aesculap if additional pairs are required.
The following 3D glasses are approved for use with the Aesculap Aeos®:
2.1.9 Additional components
The Aesculap Aeos®system comes with additional components to help
configure the system to work best in the operating room.
Aesculap doesn’t provide a sterile drape for the base. If required, the
sterile drape should meet the following recommendations:
Symbol State Designation
Connection Solid
green Radio connection established, footswitch engaged
Blinking
green No radio connection, e.g. radio range error or receiver not online
Blinking
red Warning: possible loss of connectivity Pairing mode active for ≈ 30 s; user action
required
Follow pairing instructions, see Handles.
Off Footswitch in power save mode
Battery Solid
orange Warning 1: “Battery low” Battery voltage = 3.3 V to 3.2 V (± 10 %)
Blinking
orange Warning 2: “Battery low” Battery voltage ≤ 3.2 V (± 10 %)
Fast blin-
king
orange
Battery is empty: No further operation is
possible.
Battery voltage < 3.0 V (± 10 %)
Off Depending on Connect LED:
Connect LED ON: Battery voltage > 3.55 V
Connect LED OFF: Footswitch in sleep
mode
Art. no. Designation
PV621 3D polarization glasses
PV622 3D anti-fog glasses
PV623 3D polarization glasses with clip
PV624 3D eye shield glasses kit
Art. no. Designation Function
FS095 Mains cord
orange angled
Switzerland
FS096 Europe
FS097 Great Britain and Ireland
FS098 Mains cord black
angled Japan, USA, Canada
GK537 Equipotential
bonding lead 5 m Connecting the device to the poten- tial equalization system of the room
PV030 White balance
card White-balancing the camera image sensors. The reverse side of the card
is used by the technical service.
PV032SU DUV 400 refe-
rence card For checking the functionality of the DUV 400 imaging module (optional).
Single use only for accuracy check
PV033SU DIR 800 refe-
rence card For checking the functionality of the DIR 800 imaging module (optional).
Single use only for accuracy check
PV034 HDMI cable 5 m Cable for connecting an external
monitor
PV035 HDMI cable 10m Cable for connecting an external
monitor
PV053 DP-HDMI cable
10m Cable for connecting an external monitor
PV057 BNC cable 5 m Cable for connecting an endoscope
video input device
PV056 DisplayPort - DVI
cable 5 m Cable for connecting an external monitor
TA015635 Lens cap Protecting the lens of the camera
when it is being stored
Minimum height 30 cm
Maximum height 75 cm
Minimum width 70 cm
Maximum width 115 cm
Additional recommenda-
tions
■Must not hang over the castors
■Must not cover the base vents

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2.2 Areas of use and limitations of use
2.2.1 Intended use
This device is for use with patients undergoing microsurgery within its
indications for use. The fluorescence functions of the Aesculap Aeos®
are intended only for patients undergoing a procedure where the appro-
priate fluorescent dyes and treatments are being used.
There is no patient contact intended with this device.
The intended use of the sterile cover PV012SU is to provide a physical
barrier between the Aesculap Aeos®(camera & robotic arm) and the
surgical staff/field during a procedure to prevent cross-contamination.
2.2.2 Indications for use
Note
The manufacturer is not responsible for any use of the product against the
specified indications and/or the described applications.
The Aesculap Aeos®(Digital Surgical Microscope) generates a magnified
3D view of the surgical field.
Software module DUV 400 PV022
The DUV 400 is an accessory for the Aesculap Aeos®and is used for
viewing fluorescence of fluorophores, comprising:
■An excitation filter for blue spectral range between 390 nm and
420 nm
■An observation filter for visible light with spectral range greater than
510 nm
Software module DIR 800 PV023
The DIR 800 is an accessory for the Aesculap Aeos®and is used in view-
ing intra-operative blood flow in the cerebral vascular area including,
but not limited to, assessing cerebral aneurysm and vessel branch occlu-
sion, as well as patency in neurosurgery. It also aids in the visual assess-
ment of intraoperative blood flow and vessel patency in bypass surgical
procedures in neurosurgery.
2.2.3 Contraindications
The Aesculap Aeos®system must not be used for ophthalmology.
2.2.4 Warnings
Warnings include, but are not limited to, medical and/or surgical condi-
tions that could prevent the success of the procedure.
In the presence of relative contraindications, the user decides individual-
ly regarding the use of the product.
2.2.5 Essential performance
Prevent unintended and unprecise movement of robot arm while robot is
in movement.
2.3 Safety information
2.3.1 Clinical user
General safety information
To prevent damage caused by improper setup or operation, and to not
compromise the manufacturer warranty and liability:
►Use the product only according to these instructions for use.
►Follow the safety and maintenance instructions.
►Ensure that the product and its accessories are operated and used only
by persons with the requisite training, knowledge and experience.
►Store any new or unused products in a dry, clean, and safe place.
►Prior to use, check that the product is in good working order.
►Keep the instructions for use accessible for the user.
Note
The user is obligated to report all severe events in connection with the
product to the manufacturer and the responsible authorities of the state
in which the user is located.
Notes on surgical procedures
It is the user's responsibility to ensure that the surgical procedure is per-
formed correctly.
Appropriate clinical training as well as a theoretical and practical profi-
ciency of all the required operating techniques, including the use of this
product, are prerequisites for the successful use of this product.
The user is required to obtain information from the manufacturer if there
is an unclear preoperative situation regarding the use of the product.
2.3.2 Product
Product-specific safety information
Risk of fatal injury from electric shock!
►Do not open the product.
►To avoid the risk of electric shock, only connect this equipment to a
supply mains with protective earth.
►Never connect the product using a multiple socket-outlet.
►Observe “Notes on electromagnetic compatibility (EMC) for the
Aesculap Aeos®(Digital Surgical Microscope) PV010” TA015615-
EMV, see B.BrauneIFU at eifu.bbraun.com.
►To prevent damage caused by improper setup or operation, and in or-
der not to compromise warranty and manufacturer liability:
– Use the product only according to these instructions for use.
– Follow the safety and maintenance instructions.
– Only combine Aesculap products with each other.
►Always adhere to applicable standards.
►Set up and connect any external video input or output before the sys-
tem is turned on.
►Ensure that exposed cables for the footswitch, camera, any external
displays, and power supply are laid flat on the ground and out of high-
traffic areas to minimize potential tripping hazards.
►Do not use the robotic arm as an armrest or cart (specially onto the E-
stop) to support any unapproved accessories. Do not place other
equipment on the system.
►Do not place objects around or on top of the E-stop or on the camera
and arm.
►Prior to starting a case, unplug any USB devices (i. e. keyboard, exter-
nal hard drives) from external USB ports.
►Ensure the E-stop is not locked prior to surgery.
►Use the soft stop on the control screen if there is unintended robot
arm movement.
►Use the E-Stop only if the soft stop malfunctions.
►Check fluorescence functionality prior to surgery using the provided
reference card.
►Ensure that the camera working distance is between 20 cm and 45 cm.
►The fluorescence reference card and the control screen are not sterile.
Perform fluorescence functional tests before surgery.
►Take precautions to avoid touching any system components and the
patient at the same time.
►Do not push or pull the product by the display, camera, or power cable.
►To ensure optimal image quality, only use product with 3D glasses
supplied by Aesculap. Contact Aesculap if additional pairs are re-
quired.
►Do not use polarized prescription glasses as they will distort the 3D ef-
fect.
►Always return the robot to storage position before shutdown.
►Store the camera with the lens cap covering the main objective when
it is not in use.

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►Do not cover the air vents of the system, control screen, or 3D display.
►Make sure that in case of a system failure or other malfunctions that
prevents further use of the system, the user is able to finish the pro-
cedure using a reserve system (e.g. traditional optical microscope).
Note
When the emergency stop is pressed, the camera may move up to 3 cm
(depending on position) due to mechanical brakes locking into place.
Light emission risks
Retinal blue light and Near-UV emission risk.
►Do not stare at the lamp emission area during operation.
►Minimize exposure to eyes and skin.
►Use appropriate shielding.
►Make sure that no light from the Aesculap Aeos®enters the patient’s
eyes.
Fluorescent surgery
►Only use fluorescent agents that are approved for the planned appli-
cation.
►Danger of injury to the eyes due to possibly hazardous infrared and UV
light. Do not look at the Aesculap Aeos®illumination, minimize expo-
sure to eyes or skin, and use appropriate shielding.
►Use the lowest comfortable light intensity.
►Ensure that no tissue damage is caused by excessive illumination in-
tensity.
►The room lighting impairs the visualization of fluorescence. For sur-
geries using the Aesculap Aeos®fluorescence modules, operate in a
darkened room, if possible.
►Always perform a functional test before using the fluorescence mod-
ules, see Robot. Use the reference cards to check whether the fluores-
cence medium can be excited for the Aesculap Aeos®wavelength
range and whether it emits fluorescent light of sufficient intensity.
Note
As in almost all diagnostic procedures, false-positive and false-negative
results can occur in the fluorescence-based digital overlay. Evaluation by
the user based on other methods may be necessary.
Place of use
This system is not suitable for use in the presence of flammable anes-
thetics mixture with air or with oxygen.
►Do not use system in explosive atmospheres.
►To prevent fire or shock hazard, do not expose system to rain or mois-
ture.
Footswitch PV014
►Always carry and lift the footswitch using the carrying handle.
►Place footswitch on hanger at the base of the Aesculap Aeos®when
not in use.
►Switch off Aesculap Aeos®before cleaning or maintenance work on
the footswitch.
►Keep footswitch within a range of max. 10 m to the receiver.
►Do not place the footswitch in or near strong magnetic fields.
►Do not use more than four wireless systems in the same area.
The footswitch is regularly powered by three alkaline batteries of type C
“Baby” (IEC-LR 14; included in delivery), which are placed behind the
backside battery cover.
►If they need changing, the terminal must be switched off first in order
to rule out any unintended triggering of functionality.
►Only use footswitch with the specified batteries.
►To prevent the footswitch from battery leakage, remove battery from
the case during long periods of non-use.
►Never touch the battery contacts and the patient at the same time.
The maximum mechanical load which the operating elements may be
subjected to is max. 1350 N.
The integrated accelerometer prevents an accidental actuation of
switching element if the inclination passes 35°.
►Only use footswitch on a firm, even (horizontal) surface.
►During use, do not tilt (> 35°) or move the footswitch because this can
lead to immediate cancellation of signals and functionality.
Ambient conditions
The following environmental conditions apply to the use of the product:
2.3.3 Sterility
Non-sterile packaged products
The product is supplied non-sterile and must be used under non-sterile
conditions.
►Inspect the new product after removing its transport packaging and
prior to first use to ensure it is in good working order.
Sterile products
The product is the only sterile component of the system.
►Place an Aesculap Aeos®sterile drape prior to surgery.
►Do not use the product if it is damaged or defective.
►In case of intraoperative damage of the drape: remove the system
from the operating table and replace the drape.
The product has been EO-sterilized and is supplied in sterile packaging.
►Do not use products from open or damaged sterile packaging.
►Do not use the product after its use-by date.
►Do not reuse the product.
The reprocessing of the product affects its functionality. Risk of injury,
illness or death due to soiling and/or impaired functionality of the prod-
uct.
►Do not reprocess the product.
Aesculap Aeos®(Digital Surgical Microscope) PV010
Temperature 10 °C to 30 °C
Relative humidity 30 % to 90 %; non-condensing
Atmospheric pressure 700 hPa to 1 060 hPa
Aesculap Aeos®foot switch wireless PV014
Temperature 10 °C to 40 °C
Relative humidity 30 % to 90 %; non-condensing
Atmospheric pressure 800 hPa to 1 060 hPa
Art. no. Designation
PV008 26” Full HD 3D Monitor
PV010 Aesculap Aeos®(Digital Surgical Microscope)
PV011 Upgrade kit for the integration of a 3D monitor
PV014 Aesculap Aeos®foot switch wireless
PV022 Software module DUV 400
PV023 Software module DIR 800
PV024 Software module DICOM
PV030 White balance card
Art. no. Designation
PV012SU Aesculap Aeos®sterile drape

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2.4 System set-up
Non-compliance with the following instructions will preclude all respon-
sibility and liability in this respect on the part of Aesculap.
►When setting up and operating the product, adhere to
– national regulations for installation and operation,
– national regulations on fire and explosion protection.
►Make certain that the control elements, mains power switch and pow-
er socket are freely accessible for the user.
►Set up the product in such a way that it can be easily disconnected
from the mains.
►Lay non-system cables and cords separately. RF cables in particular
can cause strong interference.
►If interference from external devices is suspected, immediately deac-
tivate those devices, if possible, until the source of interference is
found. If necessary, consult a specialist in medical electrical devices to
remedy the interference.
►Make certain that the ventilation slots at the back of the housing are
not covered, e.g. by an OR cloth.
Note
For the safety of patients and users it is essential that the mains power
cord and, especially, the protective earth connection are intact. In many
cases defective or missing protective earth connections are not registered
immediately.
►Connect the device via the potential equalization pin jat the front of
the base to the potential equalization system of the room used for
medical purposes, see Fig. 4.
Note
Installation and initial commissioning may only be performed by Aesculap
representatives.
2.4.1 3D display and robotic arm workspace
To help with positioning the Aesculap Aeos®in the operating room, the
base dimensions, the minimum and maximum extensions of the 3D dis-
play arm, and the height and maximum extension of the robotic arm are
shown below.
Fig. 6
Legend
aMax. length (arm fully extended)
bMax. monitor height
cMin. monitor height
dHighest point (roll through doors)
eRadius
fMinimum width to roll through doors
There are three recommended layouts for the operating room.
Note
For additional operating room layout examples, please contact your local
B.Braun/Aesculap representative
f = 668 mm
763 mm
a = 2,34 m
e = 1,24 m
390 mm
515 mm
350 mm
400 mm
425 mm
d = 1,86 m
c = 1,47 m
b = 2,03 m

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Neurosurgery operating room layout (example)
Fig. 7
Legend
aSurgeon
bAssistant
cScrub nurse
Spinal surgery operating room layout (example)
Fig. 8
Legend
aSurgeon
bAssistant
cScrub nurse
Semi-sitting operating room layout
Fig. 9
Legend
aSurgeon
bAssistant
cScrub nurse
2.4.2 Connecting the power supply
DANGER
Risk of fatal injury from electric shock!
►Connect this equipment only to a supply mains with protective
earth.
►Connect the main power cable directly to a power outlet. Do not use
un-approved extension cords or multiple socket-outlets. Use uninter-
ruptible power source when loss of power would result in an unac-
ceptable risk.
►Lay the power cable in areas with minimal foot traffic.
►Place power cable on hanger at the base of the Aesculap Aeos®when
not in use.
2.5 Functional test
Before turning the Aesculap Aeos®system on
►Check that the castors are locked once the base is in the desired loca-
tion. Make sure the base is stable and cannot roll in any direction.
►Connect the main power cable, see Connecting the power supply.
►Connect any external input or output video or Ethernet cables,
see Base.
►Check that there are no unnecessary objects or people within the
range of the robotic arm workspace.
►Check that the camera optical path is clean and free from dust.
►Ensure that exposed cables for the footswitch, any external displays,
and power supply are laid flat on the ground and out of high-traffic
areas to minimize potential tripping hazards.
a
b
c
a
b
c
45°
20 cm
<5 cm
80°
a
b
c
a
b
c
c
80°
b

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After turning the system on and before starting the surgery
►Position the universal coupler as desired, see Rebalance scope.
►Move the robotic arm from “Storage” to “Drape” position,
see Rebalance scope.
►Follow the instructions printed on the drape packaging to correctly
apply the drape to the camera and robotic arm.
►Position Aesculap Aeos®at the OR table.
►Position the 3D display for the surgeon’s viewing preference.
►Check that the “Zoom”, “Focus”, and “White Light Level” handle but-
tons are functioning properly.
►Check that the 3D image colors, focus, and alignment look correct.
►Check that the robotic arm assisted drive is moving smoothly and pre-
dictably.
►Check that the footswitch is paired with the system and the buttons
are working properly.
►If using fluorescence visualization (DIR 800 or DUV 400), check the
fluorescence module using a reference card PV032SU/PV033SU to en-
sure proper working order.
2.6 Application
2.6.1 Positioning the 3D display
►For ideal viewing, position the 3D display next to the patient table, be-
tween 4 and 6 feet (1 to 2 meters) away from the surgeon.
►Position the screen perpendicular to and at the same height as the sur-
geon’s eyes when he or she is seated or standing at the operating ta-
ble.
The 3D display arm’s maximum extension and height are shown below:
Fig. 10
Legend
aTop of the screen
bMax. monitor height (top of the screen)
cMin. monitor height (top of the screen)
2.6.2 Turning the system on
►Perform the relevant items of the function checks, see Functional test.
Fig. 11
Legend
aMain power button
►Make sure that no bootable USB stick is inserted at system startup.
►Press the main power button alocated on the front panel of the base,
next to the power cable connection and LED indicators.
The LED ring around the main power button lights up green.
The displays, camera, computers, robotic arm, and software are set to
automatically start when the system is turned on.
►Wait for the system to initialize (about 90 seconds).
The system will be ready for use once the Aesculap Aeos®software
has opened and the notification “Aesculap Aeos®initializing, please
wait…” is no longer displayed.
2.6.3 Enable footswitch
After every restart of the Aesculap Aeos®software, the first time a
button on a paired footswitch is pressed a message will appear on the
screen to confirm footswitch usage.
Fig. 12
►Press “Confirm” button to confirm the usage of the footswitch.
►Press “Cancel” button if the footswitch is not needed and confirm the
second message with “Yes” button.
The footswitch is deactivated until the next start of the
Aesculap Aeos®software.
2.6.4 Setting up the robotic arm and the camera
Rotating the Aesculap Aeos®using the universal coupler
Depending on the surgical approach and operating room layout, it may
be advantageous to rotate the camera 90° to the left or right.
Note
For semi-sitting approaches it may be necessary to flip down the universal
coupler (camera NOT rotated).
►Only flip down the universal coupler before draping, using the proper
“Reconfigure Coupler” workflow. Do not flip down the universal cou-
pler during surgery.
515 mm
350 mm
400 mm
a
b = 2,03 m
c = 1,47 m
a

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CAUTION
When the coupler is set to the semi-sitting position, there are 3
known possible contact points.
►Use caution to avoid the following positions:
When set to Semi Sitting Elbow Down, it is possible to contact the
elbow joint with the arm base of the cart. Observe patient and avoid
contact.
When moving from positions Semi Sitting Left Elbow Up to Semi
Sitting Right Elbow Up, move to the drape position first instead of
moving directly from one position to the next. This will prevent the
camera from contacting the elbow to wrist joint.
When moving from positions Semi Sitting Right Elbow Up to Semi
Sitting Left Elbow Up, move to the drape position first instead of
moving directly from one position to the next. This will prevent the
camera from contacting the elbow to wrist joint
Note
To flip down the universal coupler it is recommended to slightly lift the
camera to avoid potential sticking of the slider.
►Once the system has fully started up, go to the “Robot” tab in the
Aesculap Aeos®home screen, see Fig. 38.
►Under “Coupler”, press the “Reconfigure Coupler” button.
►Press and hold the “Hold or Reconfigure position” button until the arm
is fully extended.
Fig. 13
Legend
aSliders to rotate camera
bSliders to flip down camera
►Unlock the sliders a/band rotate the Aesculap Aeos®manually into
the desired position.
For available coupler positions, see Fig. 14. The geometry limits of the
robotic arm will change based on the coupler position.
Fig. 14
►Press the “Hold for Drape position” button in the Aesculap Aeos®soft-
ware until the movement is finished.
Moving the robotic arm out of storage position and draping the
robotic arm
The camera and distal portion of the robotic arm must be draped using
the provided Aesculap Aeos®sterile drape PV012SU prior to surgery.
►Only use sterile drape PV012SU, as sterile covers from other manufac-
turers can impair system performance as well as image quality.
Note
Additionally, the base may be draped at the user’s discretion (base drape
not provided by Aesculap). For drape dimensions, see Additional compo-
nents.
Fig. 15
►Once the system has fully started up, move the robotic arm into the
“Drape” position, see Fig. 15.
a
b
-90° 0°
90° 90°

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►Move the universal coupler into the position used during the proce-
dure.
Fig. 16
►Remove drape from sterile packaging and unfold, see Fig. 16.
Fig. 17
►Notice the correct position of the drape lens, see Fig. 17.
Fig. 18
►Put the drape over the camera, align the lens using the locking pin and
attach the lens housing to the ocular ring using snap elements on the
side, see Fig. 18.
Fig. 19
►Pull the drape bag completely over the robot arm, see Fig. 19.
Fig. 20
►Attach the adhesive tape as follows, see Fig. 20:
– Attach tape 1.
– Attach tape 2. Ensure that it fits loosely and that the cables are
not squeezed (force on sensor between camera and universal cou-
pler).
– Attach tapes 3and 4.
Fig. 21
►Remove the protective lens film, see Fig. 21.
Note
It is recommended to rebalance the Aesculap Aeos
® after draping,
see Robot Recovery.
►Perform all the remaining items of the function checks before starting
the surgery, see Functional test.
Note
If the universal coupler has to be rotated during the procedure, the adhe-
sive tapes must be loosened beforehand in order to avoid tension on the
sensor.
Tension on the sensor may cause the balancing process to fail.
1
21
3
4

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2.6.5 Starting a case
Once the Aesculap Aeos®arm has been draped and all pre-operative
checks are complete, a new case can be started.
Fig. 22
►Select a surgeon profile and a patient in the “Case” tab.
– or –
►Add a new Surgeon profile or Patient by using the Add button.
Aesculap Aeos®settings and preferences are saved for each Surgeon
profile.
The Delete button is disabled when the “Default Surgeon” or “De-
fault Patient” is selected, but it can be used to delete custom profiles.
►When the DICOM settings are configured to a networked database, se-
lect the “DICOM” toggle and search for a patient. To search all listed
patients in the database, enter an asterisk (*) in the first and last name
search fields.
►Once the desired surgeon and patient have been chosen, press “Start
Case” to advance to the live screen, see Control panel.
2.6.6 Taking videos and snapshots of live view
Snapshots and videos of the current live image can be taken with the
two buttons in the upper left corner.
2.6.7 Ending a case
►Select the End Case button to end the current case.
If settings have been changed during the case, a message window will
appear with options to discard changes, overwrite current profile or
create a new surgeon profile.
Fig. 23
►Press the corresponding option and confirm selection.
If recordings or snapshots were taken during the case, there will be
options to save and/or upload the case media for both DICOM and
non-DICOM patients to the DICOM server (if applicable), local drives,
or connected external drives.
2.6.8 Saving case media
If snapshots and/or images were recorded, ending the current case will
prompt users to save the media. The patient information can also be up-
dated at this time, even if the case was started with previously saved in-
formation.
Save to default location
After selecting to end the case:
Fig. 24
►Press “Yes” to continue saving the media information.
– or –
►Press “No” to permanently delete all case media (this will require con-
firmation).
– or –
►Press “Cancel” to return to the case.
Selecting “Yes” will allow the patient’s information to be added or up-
dated. Patient information saved prior to starting the case will be re-
tained at the end of the case.
Fig. 25
►Enter a first and last name, then press Next button to continue, or
Cancel button to return to the “Save Recorded Media?” message.
►Press the pencil button to add or update “Optional Patient Data”.
This option is enabled once a first and last name have been entered.
Button Description
Start/stop video recording of current live view.
Take image snapshot of current live view.

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►Press OK button when done editing to proceed.
Fig. 26
From the “Media Information” screen, optionally keyword(s) can be
entered or the folder name changed.
►Press Back button to return to the previous screen or press OK
button to proceed.
Copy media to drive
Fig. 27
►To copy case media to an available local or externally connected drive,
select the drive letter from the drop-down list, then press “Yes”
– or –
►Press “No” to save to the default location only.
The save media screens will close and the application returns to the
home screen.
There will be progress messages for the copy in progress, as well as
confirmation once it completes.
Note
The location where case media will be saved is F:\TVS\TrueVision\Sur-
geons\<SurgeonName>. Selecting an additional drive to copy to will be in
addition to the default location.
2.6.9 Case Management
Case Management allows a user to view all the completed cases and
copy/upload multiple case data (snapshots and videos) to an external
drive/DICOM server.
►Click the Case Management Icon on the Home screen to access the
Case Management page, see Fig. 28.
Fig. 28
Two panels will be displayed. The one on the left allows for case selec-
tion to be sorted via the following columns: Date, Surgeon, Patient Last
Name, Patient First Name, Patient ID, and Patient type (DICOM or Local).
By default, cases are sorted by the ‘Date’ column for this panel.
The panel on the right allows cases to be filtered by date.
Also, the top-right corner of the Case Management page will have the
TrueMedia symbol and the Eject drive symbol.
The TrueMedia symbol provides access to the TrueMedia application. Se-
lect the TrueMedia application button to view or edit surgical content.
The Aesculap Aeos®software will need to close in order to open TrueMe-
dia.
To copy current and previous snapshots and video to an external
drive:
Fig. 29
Make sure the “DICOM Queue” toggle is “Off” to display all local and DI-
COM cases if required.
►Select single or multiple case(s) by clicking on each case, which will
highlight it green. Once the case(s) has been selected, click on “Copy
Selected” in the panel on the right.
Another screen will appear. Confirm the snapshot(s) and/or record-
ing(s) you want to copy by checking the box next to each selection.
Make sure that at least one drive is connected and select the drive
you want to copy the case data to.
Note
The copy process may take some time so it may be best to move the robot
to storage position by clicking on “Press and hold to move to storage posi-
tion” before you select “Copy”.
►Select “Copy” to start the copy process.
Fig. 30

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Once “Copy” has been selected, a progress bar will appear showing the
progress percentage, the number of cases successfully uploaded, the to-
tal number of cases, and estimated time remaining. Select the “Cancel”
button to abort the upload process.
Fig. 31
Once the copy of all cases is completed successfully, a screen will show
confirming cases were copied successfully. Select “Close” to be taken
back to the Case Management page. Click on “Delete Selected” on the
right panel to delete highlighted cases in the left panel. Confirm or can-
cel the “Delete” action in the next screen.
To upload to a DICOM server:
Fig. 32
Toggle “on” the “DICOM Queue” in the upper right hand corner in the left
panel to show only the DICOM queued cases. This is set to “off” by de-
fault.
►Select single or multiple case(s) by clicking on each case, which will
highlight it green. Once the case(s) has been selected, click on “Upload
Selected” in the panel on the right.
Another screen will appear. Confirm the snapshot(s) and/or record-
ing(s) you want uploaded by checking the box next to each selection.
Select the drive you want to upload the case data to.
Note
The upload process may take some time so it may be best to move the
robot to storage position by clicking on “Press and hold to move to storage
position” before you select “Upload”.
►Select “Upload” to start the upload process.
Fig. 33
Once “Upload” has been selected, a progress bar will appear showing the
progress percentage, the number of cases successfully uploaded, the to-
tal number of cases, and estimated time remaining. Select the “Cancel”
button to abort the upload process.
Fig. 34
Once the upload of all cases is completed successfully, a screen will
show confirming cases were uploaded successfully. Select “Close” to be
taken back to the Case Management page. Click on “Delete Selected” on
the right panel to delete highlighted cases from local storage. Confirm or
cancel the “Delete” action in the next screen.
2.6.10 Removing the drape
At the end of the case or when the robotic arm drape needs to be re-
moved:
►Ensure the area is clear of objects or people and move the robotic arm
into the “Drape” position, see Rebalance scope.
►Release the adhesive tape on the drape bag.
►Remove the lens housing of the sterile cover from the camera using
the buttons on the side.
►Invert and remove the drape along the robotic arm.
►Dispose the sterile drape in compliance with medical waste regula-
tions.
Effective Date: 2024-02-02 (CET)

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2.6.11 Shutdown procedure
For safety, it is important to follow proper shutdown procedure when the
Aesculap Aeos®system is not in use.
►After the drape has been removed from the robotic arm, press the Exit
button.
►Once the 3D display is cleared from the robotic arm movement path,
move the robotic arm to “Storage” position, see Rebalance scope or
press “Cancel” button (return to the application).
Once the robotic arm is fully in “Storage” position, the software will
automatically provide further options to “Shut Down”, or press “Can-
cel” button (return to the application).
Fig. 35
►Press “Shut Down” button.
The system shut down sequence starts.
After the EPU shuts down, the LED at the front panel (Camera, Robot,
EPU) and also the system fans will turn off.
Fig. 36
Legend
aMain power button
►Once the system is shut down turn off the system power with the main
power button a.
2.6.12 Putting out of operation
Note
The safe and all-pole disconnection of the Aesculap Aeos
® system from
the supply mains is only guaranteed when the power supply cord is
unplugged.
►Shut down the Aesculap Aeos®system, see Putting out of operation.
►Unplug the power supply cord from the supply mains.
2.6.13 Changing footswitch batteries
►Shut down Aesculap Aeos®, see Putting out of operation.
►Open battery housing: Rotate both lockers near battery housing by
90°. While doing so, lightly press down the battery cover.
►Lift the empty batteries by the ejector belt and remove them.
►Insert new batteries. Keep attention to the right polarity (see marking
on battery compartment bottom).
►Only use alkaline batteries. The use of rechargeable batteries is not al-
lowed.
►Never mix used and new batteries.
►Close battery housing: rotate both lockers back to original position.
►To protect the footswitch from battery leakage during long periods of
non-use, remove the batteries from the battery compartment.
3Software
3.1 Home screen
The Aesculap Aeos®software starts on the home screen on the control
screen.
Fig. 37
Symbols
a
Soft stop
As a risk control, the software has a soft stop button in the
unlikely scenario that the robotic arm moves in an unpredic-
table way. The soft stop button halts all robotic arm move-
ment when pressed. The button is available in both the home
and live screens.
The button will change color from red to gray when engaged.
Press the button again to remove the soft stop and allow the
robotic arm to move again. The button will change back to
red.
Eject drive
When an external USB drive is connected to the system, select
the Eject button to properly eject the drive. The software will
confirm the drive has been ejected and can be physically
removed.
Media Upload Queue
Here the queued DICOM uploads can be seen and the upload
process can be started.
Software settings
see DUV 400 (Fluorescence)
Case Management
Allows a user to view all completed cases and copy/upload
multiple case data (snapshots and videos) to an external
drive/DICOM.
Fullscreen view
Select the fullscreen button to enter fullscreen mode, which
displays the surgery view and contains active status messages
and the buttons for emergency stop, settings, and exit full-
screen mode. The fullscreen view button is available in both
the home and live screens.
Select the close fullscreen button to exit fullscreen mode.
System shutdown
see Putting out of operation