Haag-Streit BX 900 User manual

1
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
INSTRUCTION FOR USE
Photo slit lamp
BX 900®
5. Edition / 2015 – 06
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
INSTRUCTION FOR USE
Photo slit lamp
BX 900®
5. Edition / 2015 – 06
Introduction
Thank you for choosing a HAAG-STREIT device. Provided you comply carefully
with the regulations in this instructions for use, we can guarantee the reliable and
unproblematic use of our product.
Purpose of use
AnAC-powered slit lamp biomicroscope is intended for use in eye examination of
the anterior eye segment, from the cornea epithelium to the posterior capsule. It is
used to aid in the diagnosis of diseases or trauma which affect the structural proper-
ties of the anterior eye segment.
Contraindications
There are no absolute contraindications known for examinations with this device.
Appropriate professional assessment and caution are necessary.
WARNING!
Read the instruction manual carefully before commissioning this pro-
duct. It contains important information regarding the safety of the user
and patient.
NOTE!
Federal law restricts this device to sale by or on the order of a physician
or licensed practitioner.
NOTE!
The Slit Lamp Imaging Guide brochure contains many useful tips on
taking photographs with the BX 900 photo slip lamp. Contact your
HAAG-STREIT representative or obtain a copy on our homepage at
www.haag-streit.com.
Contents
1. Safety .....................................................................................4
1.1 Areas of application of the device..............................................................................4
1.2 Ambient conditions ....................................................................................................4
1.3 Shipment and unpacking...........................................................................................4
1.4 Installation warnings .................................................................................................4
1.5 Operation, environment.............................................................................................4
1.6 Light toxicity...............................................................................................................5
1.8 Warranty and product liability.....................................................................................5
1.9 Symbols.....................................................................................................................5
2. Introduction............................................................................6
2.1 Overview....................................................................................................................6
2.2 Photo components.....................................................................................................6
2.3 Lens barrel.................................................................................................................8
2.4 Camera housing ........................................................................................................8
2.5 Flash unit FU 01 ........................................................................................................8
2.6 LED illumination.........................................................................................................8
2.7 Overview of the LED illumination unit upper part.......................................................8
2.8 Bluelter....................................................................................................................8
2.9 Shutter ......................................................................................................................8
2.10 Periphery or background illumination.........................................................................9
2.11 Power supply PS-LED...............................................................................................9
2.11.1 Models.......................................................................................................................9
2.11.2 Description.................................................................................................................9
3. Device assembly / installation..............................................9
3.1 Power supply for instrument table HSM 901..............................................................9
3.2 Power supply on third-party tables...........................................................................10
3.3 Instrument base with weight compensation facility..................................................10
3.4 Setting the weight compensation facility..................................................................10
3.5 Switching on the compensation facility....................................................................10
3.6 Switching off the compensation facility....................................................................10
3.7 Regulating the clearance of the slit width control.....................................................10
3.8 Attaching/removing a camera..................................................................................10
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© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
4. Commissioning....................................................................10
4.1 Switching on the device...........................................................................................10
5 Operation...............................................................................11
5.1 Setting the eyepieces ..............................................................................................11
5.2 Preparing the patient ..............................................................................................11
5.3 Operating the instrument.........................................................................................11
5.4 Peripheryorbackgroundillumination(ash)............................................................12
5.5 Photo diaphragm pre-selection................................................................................12
5.6 Settingthelters&diaphragms..............................................................................12
5.7 Fixation star.............................................................................................................12
5.8 Microscope and eyepiece .......................................................................................13
5.9 Flash unit FU 01 ......................................................................................................13
5.9.1 ErrormessagesforashunitFU01 ........................................................................13
5.10 Upper part of the illumination unit............................................................................13
5.10.1 Reduced operation ..................................................................................................14
5.10.2 LED display Illumination head .................................................................................14
5.10.3LEDdisplay(PS-LEDpowersupply) .......................................................................14
5.10.4 Errormessages(illuminationhead) .........................................................................15
5.10.5 Errormessages(PS-LEDpowersupply).................................................................15
6. Decommissioning................................................................16
7. Technical data .....................................................................16
7.1 Slit illumination ........................................................................................................16
7.2 Stereo microscope ..................................................................................................16
7.3 Instrument base ......................................................................................................16
7.4 Net weight................................................................................................................16
7.5 Flash illumination.....................................................................................................16
7.6 Flash unit FU 01 ......................................................................................................16
7.7 Mirror and diaphragm component............................................................................16
7.8 Lens barrel...............................................................................................................17
7.9 Illumination...............................................................................................................17
7.10 Power supply PS-LED / PS-LED HSM 901.............................................................17
7.11 Dimensions..............................................................................................................17
7.12 Camera....................................................................................................................17
8 Maintenance.........................................................................18
8.1 Device Check...........................................................................................................18
8.2 Changingtheashtube...........................................................................................18
8.3 Servicing..................................................................................................................18
8.4 Replacing the fuses.................................................................................................18
8.4.1 Mains fuses:.............................................................................................................18
8.4.2 Flash unit fuse: ........................................................................................................18
8.4 Cleaning...................................................................................................................19
8.6 Cleaning the slide plate and the rack rails...............................................................19
8.7 Cleaning the axle.....................................................................................................19
8.8 Replacing the illumination mirror..............................................................................19
8.9 Dust cover................................................................................................................19
A. Appendix..............................................................................19
A.1 Accessories / spare parts ........................................................................................19
B. Legal regulations ................................................................20
C. Classication ......................................................................20
D. Disposal ...............................................................................20
E. Observed standards............................................................20
F. Information and manufacturer's declaration
concerning electromagnetic compatibility
(EMC)....................................................................................21
F.1 General....................................................................................................................21
F.2 Emittedinterference(standardtable1)....................................................................21
F.3 Interferenceimmunity(standardtable2) .................................................................22
F.4 Interferenceimmunityfornon-life-supportingdevices(standardtable4)................23
F.5 Safedistancesfornon-life-supportingdevices(standardtable6)...........................24
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© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
1. Safety
DANGER!
Failure to comply with these instructions may result in material damage
or pose a danger to patients or users.
WARNING!
These warnings must absolutely be complied with to guarantee
safe operation of the device and to avoid any danger to users and
to patients.
NOTE!
Important information: please read carefully.
1.1 Areas of application of the device
The device is intended for use in doctor's practices, hospitals and optometrists' and
opticians' premises.
1.2 Ambient conditions
Transport: Temperature
Air pressure
Relative humidity
from
from
from
−40°C
500 hPa
10%
to
to
to
+70°C
1060 hPa
95%
Storage:
Temperature
Air pressure
Relative humidity
from
from
from
−10°C
700 hPa
10%
to
to
to
+55°C
1060 hPa
95%
Use:
Temperature
Air pressure
Relative humidity
from
from
from
+10°C
800 hPa
30%
to
to
to
+35°C
1060 hPa
90%
1.3 Shipment and unpacking
• Before you unpack the device, check whether the packaging shows traces of in-
correct handling or damage. If this is the case, notify the transport company that
has delivered the goods to you. Unpack the device together with a representative
of the transport company. Prepare a report for any possibly damaged parts. This
report must be signed by you and by the representative of the transport company.
• Leave the device in the packaging for a few hours before unpacking it (conden-
sation).
• Check the device for damage after it is unpacked. Return defective devices in the
appropriate packaging.
• Store packaging material carefully, so that it can be used for possible returns or
when moving.
• Theslitlampandheadrestmustbeinstalledonanelectricallyinsulated,re-
proof table top.
• Therailcovers(a)preventtheslitlampfromtilting.
• Check:Are the connection parts of the accessories in the correct position (screw
connections,quick-releasefasteners)?
(a)
1.4 Installation warnings
WARNING!
•
Do not modify this equipment without authorization of the manufacturer
.
Installation and repairs may only be performed by trained specialists.
Any third-party device must be connected in compliance with the
EN 60601-1 standard.
The device must not be stacked or placed in close proximity to other
electronic devices.
•
•
1.5 Operation, environment
DANGER!
Never use the device in potentially explosive environments where vola-
tile solvents (alcohol, petrol, etc.) and flammable anaesthetics are in
use.
WARNING!
• The image in the ocular is critical for diagnosing a patient; the images
taken here are only for documentation purposes!
• To avoid the risk of an electric shock, this device must be connected
up to the mains with a ground connection when using power supplies
assigned to protection class I.
• The device must be switched off after every use. Otherwise there is a
risk of overheating when a protective dust cover is employed.
NOTE!
Thisdevicemustonlybeoperatedbyqualiedandtrainedpersonnel.
The user is responsible for such training.
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© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
1.6 Light toxicity
WARNING!
• The light from this instrument may be dangerous. The risk of eye
damage increases with the radiation period and number of pulses.
Exposure at maximum output of longer than 90 seconds with the LED
illuminationand90pulseswiththeashsourcewillexceedthehaz-
ard guideline value.
• Using a 90 D lens reduces the exposure time to 9 seconds and the
number of pulses to 10.
NOTE!
• The radiation times and number of total pulses of all light sources are
cumulative.
• If the intensity of any of the light sources is reduced to 50% of the
maximum intensity, the illumination time or number of pulses to reach
the guideline value for radiation for the light source in question is dou-
bled. This linear relationship can be used to determine the illumina-
tion time to reach the guideline value for radiation for the combination
of slight sources at various brightness settings.
• The guideline value for the evaluated irradiation of the retina is 10 J/
cm2.
• Nevertheless, we recommend keeping the intensity of the light reach-
ing the patient's retina to the minimum possible for the respective di-
agnosis. Children, aphakes and people suffering from eye conditions
are most at risk.
• An increased risk may also occur if the retina is exposed to the same
or a similar device with a visible light source within 24 hours. This
speciallyappliesiftheretinahasbeenphotographedwithaashbulb
in advance.
1.7 Disinfection
NOTE!
The device does not require disinfection. For more information on
cleaning, please refer to the 'Maintenance' section.
1.8 Warranty and product liability
Haag-Streit products must be used only for the purposes and in the manner des-
cribed in the documents distributed with the product.
The product must be treated as described in the ‘Safety’ chapter. Improper hand-
ling can damage the product. This would void all guarantee claims.
Continued use of a product damaged by incorrect handling may lead to personal
injury. In such a case, the manufacturer will not accept any liability.
Haag-Streit does not grant any warranties, either expressed or implied, including
implied warranties of merchantability or fitness for a particular use.
Haag-Streit expressly disclaims liability for incidental or consequential damage
resulting from the use of the product.
This product is covered by a limited warranty granted by your seller.
This product is covered by a limited warranty, which may be reviewed at
www.haag-streit-usa.com.
•
•
•
•
•
•
For US
A only:
•
1.9 Symbols
Read the instructions for use
attentively
General warning: Read the ac-
companying documentation
Warning: dangerous voltage
Notes on disposal, see the
'Disposal' chapter
Disconnect the plug before
opening the device
Test symbol of CSA with ap-
proval for USA
European certificate of
conformity
This appliance fulfills the Euro-
pean Directive 2011/65/EU (RoHS)
Year of production Manufacturer
Direct current Alternating current
Earth (ground) Protective earth (ground)
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© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
Not protected from foreign
bodies HS reference number
Serial number On (Power)
Off (Power) Background illumination
Slit lamp illumination
Protection from penetration
of water & foreign bodies
N1N2
Illumination control from
another manufacturer
AfterturningofftheFU01ash
unit, wait at least 15 seconds
beforetheashcableisre-
moved.
AfterturningofftheFU01ash
unit, wait at least 15 seconds
before the slide is opened
2. Introduction
The slit lamp comprises an illumination part and a binocular microscope. The entire
device can be moved in front of the eyes using the instrument base. The illumination
offers a range of setting possibilities for making the practically invisible areas of the
eye visible. There is also a range of accessories available for the slit lamp to allow
special diagnosis possibilities in addition to the general examinations.
2.1 Overview
1. LED illumination unit upper part
2. Leverforgreylterandredremov-
allter
3. Scale for angled position of the slit
image(5°increments)
4. Illumination mirror
5. Magnicationchanger
6. Mounting screw for the stereo mi-
croscope
7. LED periphery or background illumi-
nation with swivel bracket
8. Illumination unit / microscope an-
gle scale
9. Illumination arm locking screw
10. Microscope arm locking screw
11. Slit width setting screw
12. Weight compensation screw
13. Trade mark BX 900®
14. Slit length / diaphragm scale
15. Slitlength,slitrotation,bluelter
andxationstarcontrol,knobfor
rotating the slit
16. Cover screw for accessories pin
17. Bayonet connector for accessories
18. Stereo microscope with eyepieces
19. Breath shield
20. Fastening pin for breath shield
21. Threadforxingthetonometer
22. Centering screw
23. Inclination angle latch 0°-20°
24. Joy stick base locking screw
25. Axle
26. Rail cover
27. Control lever
28. Slide plate
2.2 Photo components
29. Flashcable(withtubeandash
tubeconnection)
30. Filter wheel for periphery or back-
groundillumination(ash)
31. Optical light guide, branched
32. Pivoting mirror
33. Rotating knob for diaphragm
pre-selection
34. Rotating knob for diaphragm ac-
tuation
35. Flash unit FU 01
36. Flash tube housing
37. Flash tube
38. Lens barrel
39. Camera housing
40. Camera cable
41. Ocular with double cross hairs
42. Mirror and diaphragm component
43. Cable trigger key for mirror/dia-
phragm component
44. Trigger key with cable
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© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
1
2
3
4
5
6
7
8
9
10
11
12
Diffusor
1007085
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
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© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
2.3 Lens barrel
Lensbarrelfor35mmphotography(38).Imagetakenbytherightbeampathofthe
microscope.Objectimagesize:seeTableb,Chapter7.8,pg17.
2.4 Camera housing
Noteverycamerahousing(39)canbeconnected.HAAG-STREITselectssuitable
camera models and makes the necessary adjustments. The photo slit lamp is only
guaranteed to function properly if cameras recommended by HAAG-STREIT are
used. Please consult your local partner for information on the supported cameras.
2.5 Flash unit FU 01
WARNING!
Thisdevicemustonlybeoperatedbyqualiedandtrainedpersonnel.
Face plate
45. Flash intensity high with LED
46. SymbolswithLED(Seechapter“Errormessagesashunit”)
47. Flash test
48. Flash intensity
49. Flash intensity normal
50. MainswitchON(lightsup)/OFF
45
46
47
48
49
50
2.6 LED illumination
• The LED illumination head is made up of an LED illumination unit, a power sup-
ply, an optical light guide set for periphery or background lighting and an illumina-
tion control.
• The two-core connection cable between the power supply and illumination head
transmits both the supply current for the LED as well as signals for communica-
tion between the power supply and illumination.
• The light intensity of the slit and periphery/background illumination can be regulat-
edcontinuously(withoutincrements)usingtheilluminationcontrollers.Thesecan
be connected using a longer connection cable on the PS-LED power supply.
2.7 Overview of the LED illumination unit upper part
51. LED illumination LI 01-plus with periphery or background lighting
52. Flash tube connection
53. Flash tube
54. Filterwheelforconstantillumination(LED)bluelter
55. Optical light guide connection for slit and periphery/background illumination
56. Filter/diaphragmwheelforperiphery/backgroundillumination(ash)Thiswheel
isusedtocontroltheintensityoftheashperiphery/backgroundillumination
andbluelter;see5.4
51
52
53
54
55
56
57
2.8 Bluelter
Therotatingwheel(54/56)isusedtopivotthebluelter.Markingpointsatthesame
height=bluelterison.
2.9 Shutter
57. The shutter cable must be connected to the illumination head. This ensures that
ashuttercloseswhentheashistriggered,inordertoprotecttheLEDfromthe
intenseradiationoftheash.
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2.10 Periphery or background illumination
58. Periphery/backgroundillumination(swiveling):Thisperiphery/
background illumination may only be used in conjunction with an
LI 01-plus LED illumination. 5 8
2.11 Power supply PS-LED
2.11.1 Models
59. Power supply PS-LED, for installation on third-party tables and units
60. Power supply PS-LED HSM 901 insert, for the HSM 901 instrument table
5 9 6 0
2.11.2 Description
61. Rocker switch
Switch in position 0 = ’OFF’, the power supply is discon-
nected from the mains, and the control lamp is unlit. Switch
in position I = ’ON’, the control lamp lights green. 6 1
O
I
O
a. Mainandxationlampconnection
b. Connecting an illumination control from another
manufacturer(PowerJack2.1mm)
c. HAAG-STREITconnection for illumination control
IC01(USBminiB)
d. Typeplate(onhousing)
e. S1, pushbutton
f. L1,LEDdisplay(green/red)
g. Functionalearthconnection(M3)
h. 3-core mains connection
a b c d e f g h
3. Device assembly / installation
WARNING!
Thisdevicemustnotbemodiedwithoutthemanufacturer'sapproval.
Installation and repairs may only be performed by trained specialists.
Contact your HAAG-STREIT representative for the installation, repair
andmodicationofthesystem.Youcanndthecontactinformationat
www.haag-streit.com.
Theinitialinstallationofthedeviceisconductedbyanauthorizedservicetechni-
cian. The following adjustments can be conducted by the end user:
• Regulating the clearance of the slit width control
• Attaching/removingatonometer(seeseparateinstructionforuse)
• Attaching/removing a camera
• Adjusting the weight compensation
3.1 Power supply for instrument table HSM 901
NOTE!
HAAG-STREIT recommends connecting the aluminium tray to the
ground conductor connection on the power supply.
a. Connector orientation
b. Mainandxationlampconnec-
tion
c. Type plate on housing
d. Mains connection
a
b
c
d
NOTE!
The 'Instrument table HSM 901' instruction for use must be followed.
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3.2 Power supply on third-party tables
• Connect all cables; if necessary, use a cable tie to relieve the tension on the pow-
er cable.
• Fasten the PS-LED power supply with 4 screws.
• Connect the multi-core plug connection between the head rest and the instrument
table.
• Connect the main lamp cable to the upper part of the illumination unit.
WARNING!
• Care must be taken when mounting the guide rail and head rest to
ensure that there is no electrical connection to any metal part of the
table. Otherwise, it will be necessary to attach a ground conductor to
the head rest.
• The power supply must be connected with a ground conductor in any
case!
• Cables must not be trapped as this can cause a short circuit!
• Work on cables or device parts which are in connection with the
mainsmayonlybeconductedbyqualiedpersonnel.
3.3 Instrument base with weight compensation facility
The weight of additional accessories mounted on the microscope can be compen-
sated using counterbalance springs. This keeps the height adjustment of the slit
lamp easy.
3.4 Setting the weight compensation facility
Turnthecontrollever(27)toitslowestpositionandthenslackenitslightlybya
quarter turn. Swivel the microscope and illumination to the side.Apply 1-3 springs
depending on the accessory.
3.5 Switching on the compensation facility
Turnanticlockwiseuntilthescrews(12)arecompletelyreleased.
3.6 Switching off the compensation facility
Turnthescrews(12)clockwiseuntilyoumeetresistance.Verifywhetherthemicro-
scope arm springs back downwards if you push it upwards with your hand. This will
only happen if the load is already at maximum. Generally, as many counterbalance
springs should be deactivated as necessary until this spring action occurs. The
weight compensation facility is set correctly once the illumination and microscope
with the mounted accessories weigh slightly more than the counterbalance springs.
3.7 Regulating the clearance of the slit width control
Thesmallscrewinthecenteroftherightcontrolknob(A)
allows you to regulate the friction of the turning movement
oftheseadjustingknobs.Turningitslightlytotheright(in)
makesitharder,turningitleft(out)makesiteasier.Itshould
at least be set so hard that the slit cannot close on its own. A
3.8 Attaching/removing a camera
62. Lens barrel
63. Mirror and diaphragm component
64. Camera
65. Eyepiece
62
63
64
65
Remove the camera cover, attach the spacer ring to the camera and place the cam-
era on the lens barrel. If the camera is removed, the connection to the lens barrel
should be closed off with the cap intended for this purpose.
NOTE!
Consult your Haag-Streit representative for information on the support-
ed cameras and their connection rings.
4. Commissioning
ConnectthePS-LEDpowersupplyandFU01ashunittothemains.
4.1 Switching on the device
• Throw the rocker switch on the PS-LED power supply and the main switch on the
FU01ashunit01I=’ON’.Thegreenlightsontherockerswitcheswilllightup
when the device is switched on.
• Turn the rotating knob on the illumination control to a position between '1' and '10'.
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5 Operation
5.1 Setting the eyepieces
NOTE!
Theeyepiecesmustbeindividuallysetpriortotherstexaminationin
accordance with the refraction of the examiner. Insert the provided fo-
custestrod(66)inplaceoftheprotectivecover(67)andturnitsblack
projection surface at a right angle to the microscope axis. Return the
illuminationandmicroscopetothecentralposition(0°).
Insert the 12.5x eyepiece with double crosshair into the right eyepiece mounting in
the binocular tube. The depth of the double crosshair on the reticle corresponds to
thelm/chiplevel.Thesettingisperformedfromthe(+)sideatlowmagnication
until the double crosshair appears sharp.
66. Test rod
67. Protective cover
68. Sliding occluders
66
67
68
• Each eyepiece should be set individually by turning the knurled ocular refraction
ring with dioptre scale until the projected slit can be seen in focus. The setting is
performedfromthe(+)tothe(-)sideatlowmagnication.
• Theslidingoccluders(68)areusedtosetthecorrectworkingdistancefortheex-
aminer from the eyepiece.
• Examiners who do not wear glasses: Pull the occluders out as far as they will go.
• Examiners who do wear glasses: Push the occluders in as far as they will go.
5.2 Preparing the patient
• In order to attain a solid basis for the forehead and chin to rest on, the table height
should be selected such that the patient sits bent over forward.
• To ensure that only the part of the eye being examined is illuminated, the slit
height should be set accordingly in order to avoid objectionable radiation.
• The lamp must be switched off after every examination.
5.3 Operating the instrument
WARNING!
The device must be switched off after every use. Otherwise there is a
risk of overheating when a protective dust cover is employed.
NOTE!
Head rest See separate instructions for use.
• Use the turn screw to set the chin rest in such a way that the patient’s eyes are at
the same height as the black mark on the sides of the head rest.
• Adjusttheeyepieces(41)inaccordancewiththeexaminer’srefractionbyturning
the knurled rings and set the eye distance.
• Switch on the illumination by pressing the switch on the power supply.
• Regulating the brightness of the slit illumination / multi-level mains switch on pow-
ersupply/10%greylter(Sect.3.4).
• Adjusttheheightoftheslitlampbyturningthecontrollever(27)untilthelumi-
nous aigrette is at eye level.
• Themagnicationofthestereomicroscopeischangedusingtherotaryknobon
themagnicationchanger(5).
• Therigidlyheldcontrollever(27)gentlyinclinedtowardstheexaminercanbe
used to push the entire device until the slit appears approximately focused on the
cornea.Thisinitialsettingisveriedwiththenakedeye.Finetuningisperformed
bytiltingthecontrolleverwhileobservingviathestereomicroscope(18).
• Theslitwidthissetleftorrightwiththerotatingknob(11),asistheanglebetween
the stereo microscope and illumination.
• Theslitimagecanbesetvertically,horizontallyorasdiagonalasrequiredby
turningtheilluminationfacilityonthehandle(15)(lockingpointsat45°,90°and
135°;stopsat0°and180°;scalein5°increments).
• To ensure that unimpeded binocular fundus examination is also possible at lateral
angles of between 3° and 10°, a short mirror is used, the illumination turned 90°
usingthelockingscrew(15)andtiltedin5°stepsusingthelatch(23),andtheillu-
minationandmicroscopeturnedtothecentralposition(0°).
• Front-lens glasses and contact glasses are used to examine the ocular fundus.
Diffused illumination:
• Connectingthediffusorupstreamcreatesdiffusedillumination(14).Thisallows
monitoring of the overview and can be used to capture the overview.
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
Indirect illumination:
• Forobservationinregredientlight(indirectillumination),thecenteringscrew(22)
isloosenedinordertomovetheslitimageoutofthecenterofthevisualeld.
Tightening the screw centers the slit image again.
Tilting the slit:
• Thelatch(23)canbeusedtotilttheilluminationin5°steps.Inthisway,adiago-
nalrayoflightfrombelowisgeneratedwhentheslitisorientedhorizontally.The
slitorientationallowsareection-freeexaminationwithcontactglasses(fundus
andgonioscopy)andmagnifyingglasses.
5.4 Peripheryorbackgroundillumination(ash)
Theashtubeintheupperpartoftheilluminationunitsuppliestheperipheryor
backgroundilluminationviaanopticalbrecablewhentheashistriggered.
100% open
50% open
25% open
10% open
5% open
0%open(closed)
Bluelter
5.5 Photo diaphragm pre-selection
69. Rotating knob for diaphragm
pre-selection
Youmayselectbetweenlevels1through5,
each with an increasingly smaller aperture. The
sizeoftheintervalisequivalenttoonef-stop.
Level 1 = largest aperture
(smallestdepthofeld)
Level 5 = smallest aperture
(largestofeld)
69
70
70. Rotating knob for diaphragm actuation
Turning one of the two knobs on the right and left allows you to close the dia-
phragms to the pre-set aperture during observation.
5.6 Settingthelters&diaphragms
a. Open
b. Greylter(10%)
c. Redremovallter
d. Reserveopeningforlteroptionallyø15mm(0/–0.2),thickness2.5mm
e. Fixation star
f. Aperturesof8,5,3,2,1and0.2mmø
g. Display of slit length in mm
h. Bluelter
(a)
(e) (f) (g) (h)
(b) (c) (d)
5.7 Fixation star
• Turning the diaphragm disc as far as it will go to the left switches on
thexationstarandthesymbol"S"appearsinthewindow.Thisstaris
projected onto the fundus at the back of the eye in certain examinations
and is visible to the patient at the same time, who is asked to focus on
the hole in the center of the star. This allows the examiner to see where
the patient's vision is most focused.
• Atypicalapplicationofthexationstarisduringlasertreatmentsclose
to the macula. Similarly, it is also possible to identify microstrabismus
withtheprojectionofthexationstar.Thexationstarisusuallyused
witharedremovallter.
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
NOTE!
Apause of 210 seconds will follow.
5.9.1 ErrormessagesforashunitFU01
Symbols LED Sound
Wait
• Lettheashtubecooloff
–
Folding mirror inoperative
• Connect cable
• Make sure that the plug is seated properly
Red Long
beep
Camera not ready
• Switch on camera
• Empty image memory
• Take camera out of sleep mode
• Connect cable
• Make sure that the plug is seated properly
Red Long
beep
Flash inoperative
• Closeashslider
• Changeashtube
• Connect cable
Red Long
beep
NOTE!
Oncetheerrorinquestionhasbeenrectied,thevisualwarningsignal
is deleted by pressing the release button. The device will then be back
in operation.
GENERALALARM!
AllredLEDsareashing(electronicdefect)
• Contact customer service!
5.10 Upper part of the illumination unit
The light sources are set when the rotating knob on the illumination control is set to
a position between '1' and '10'.
Thelightsourcesareshutoffinthe0-position.(Standby).
• Slit and periphery/background illumination can be set independently of one anoth-
er on the rotary potentiometers.
• The blue rotating wheel on the illumination head can be used to switch the periph-
ery/background illumination between white and blue light.
5.8 Microscope and eyepiece
71. Front lens
72. Rotaryknobdisplayingthesetmagnication
73. 5-levelmagnicationchanger(Galileisystem)
74. Knurled ring for bayonet connector
75. Binocular tube with convergent view, pupil dis-
tance can be set from 52 to 78 mm
76. Eyepiece12.5x/eldofvisionø16mm
77. Index(whitepoint)
78. Knurled ring with dioptre scale for setting the
refractionoftheexaminer(±7D)
79. Slidingoccluder(forpeoplewhowearglasses)
71 72 73 74 75 76 77 78 79
5.9 Flash unit FU 01
Capture frequency ‘normal’
Captures 1 to 10 in a 1-second cycle
Captures 11 to 20 in a 2-second cycle
Captures 21 to 30 in a 3-second cycle
NOTE!
Apause of 210 seconds will follow.
Capture frequency ‘high’
Captures 1 to 10 in a 1-second cycle
Captures 11 to 15 in a 2-second cycle
Captures 16 to 20 in a 3-second cycle
Captures 21 to 30 in a 5-second cycle
WARNING!
AfterturningofftheFU01ashunit,waitatleast2minutesbefore
turning it back on!
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
80. Rotating knob, periphery or background illumination
81. Rotating knob, slit illumination
8 0
8 1
WARNING!
Pot cables may only be used in conjunction with an IC 01 illumination
module and a PS-LED power supply. Only connect the illumination
control to devices intended for this purpose!
5.10.1 Reduced operation
In order to ensure that the light sources will have a long service life, the power of
the periphery/background illumination is reduced somewhat once the maximum op-
erating temperature has been reached. Full power can be used again after a short
period of time for it to cool down. This operating state is only reached if both light
sources are switched on together for a long period of time.
NOTE!
The LED illumination can be switched off with the illumination control.
The device power supply remains switched on and the switch illumi-
nates green. To switch the system off completely, the rocker switch
must be set to the 0 = 'OFF' position. This results in double-pole dis-
connection from the mains.
5.10.2 LED display
Illumination head a) b) c)
Periphery or background
illumination
Polarity
Slit illumination
a) b) c)
Operating status
Standby mode Green, short
ashes XGreen, short
ashes
Normal operation
Slit and periphery/background illu-
mination on
Green XGreen
Only slit illumination on Green, short
ashes XGreen
Only periphery/background illumi-
nation on Green XGreen, short
ashes
Reduced periphery/background illu-
mination operation
High LED temperature, thus reduc-
ing periphery/background illumina-
tion operation
Green,ashing XGreen,ashing
5.10.3 LED display (PS-LED power supply)
Normal operation green
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
5.10.4 Error messages (illumination head)
ERROR
a) b) c)
a) b) c)
Periphery or back-
ground illumination
Polarity
Slit illumination
Error messages Measures
E1 Incorrectsupplypolarization Contact your HAAG-STREIT representative. XRed X
E2 Illuminationcontrolnotrecognized Connect illumination control or replace, if necessary. Red XRed
E3 Temperature is too high The light sources’ power will be reduced. Normal operation is ensured
once the permissible temperature has been reached. Red,ashing XRed,ashing
E4 No communication between
power supply and illumination Contact your HAAG-STREIT representative. Red,ashing2x XRed,ashing2x
E6 General error Send PS-LED to the appropriate service branch. Red,ashing4x XRed,ashing4x
5.10.5 Error messages (PS-LED power supply)
ERROR
Error messages Measures LED display
L1 (29)
E12 Illuminationcontrollernotrecognized Connect illumination control or replace, if necessary. Red
E14 No communication with LED illumination LI 01-plus Contact your HAAG-STREIT representative. Red,ashing2x
E16 General error Send device to the appropriate service branch. Red,ashing4x
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
7.3 Instrument base
Operation: Single-handed operation of control lever in three dimen-
sions
Adjustment of instru-
ment base: 100mm(length)
100mm(side)
30mm(height)
7.4 Net weight
12.76kg(withoutpowersupply,headrestandoptions)
7.5 Flash illumination
Slitashillumination 400 to 750nm
Backgroundashillumination 400 to 750nm
NOTE!
Detailed information regarding the radiation can be provided
on request.
7.6 Flash unit FU 01
Flash capacitor capacity 'normal' 200 Ws
'high' 400 Ws
Flash frequency See Chapter 5.9 'Flash Unit FU 01'
Mains connection a) 115V,60Hz
b) 230V,50Hz
Mains fuses a) 2xT10AL,250V
b) 2xT6,3AL,250V
Flash unit fuse 1xT5AL,250V
Power consumption 25VA,peak2.6kVA
7.7 Mirror and diaphragm component
Pre-set diaphragms 5 different diaphragms
Max. depth of focus on object seeTable(a)
6. Decommissioning
Throw the rocker switch on the PS-LED power supply and the main switch on the
FU01ashunit01I=’OFF’.Thegreenlightsontherockerswitcheswillstopillu-
minating when the device is switched off.
NOTE!
Disconnect the power supply from the mains if you do not intend to use
it for an extended period of time.
7. Technical data
7.1 Slit illumination
Slit image width 0-8 mm continuous
Slit image length 1-8 mm continuous
Illuminationeldcircle 8/5/3/2/1/0.2mminø
Test mark withxationstar
Slit image rotatability ±90°
Inclination of slit illumination to mi-
croscope axis Horizontal±90°,vertical0-20°
Filters Blue,redremoval(green),grey(10%).
UVandthermal-protectionltersareinstalled.
7.2 Stereo microscope
Stereo angle: 13°
Magnicationchanger: 6.3x / 10x / 16x / 25x / 40x
Eyepiecemagnication: 12.5x
Range of adjusting eye-pieces: +7to−7diopters
Pupil distance: 52-78 mm
Totalmagnication: 6.3x / 10x / 16x / 25x / 40x
Objecteldøinmm: 32.0 / 20.0 / 12.7 / 8.0 / 5.1
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
Depth of focus in air
Thisdependsonthediaphragmandmagnicationsettings.Inthetransparentme-
dia of the eye, the values increase by approx. 35% (refractive index of the eye me-
dia).
(Table a)
Fieldofdepthofeld(+/-inmm)withdiaphragm
12356
6.3x 1.3 1.8 2.6 3.6 5.2
10x 0.5 0.7 1 1.4 2
16x 0.2 0.3 0.4 0.5 0.8
25x 0.1 0.1 0.15 0.2 0.3
40x 0.05 0.05 0.05 0.1 0.15
(Table b)
Magnicationatchiplevel Lens sizes
6.3 x 0.63 x 23.8 x 35.7 mm
10 x 1 x 15 x 22.5 mm
16 x 1.6 x 9.4 x 14.1 mm
25 x 2.5 x 6 x 9 mm
40 x 4 x 3.88 x 5.6 mm
Field of view of the object
Circle: Theeldofviewoftheobjectobservedthroughthemicroscope's
eyepiece.
Rectangle:Areaofphotograph.Fieldofviewspecicationsrelatetochipsize
15 mm x 22.5 mm.
7.8 Lens barrel
Focal length: f 170 mm
7.9 Illumination
Slit illumination 400 to 750nm
Background illumination 400 to 750nm
NOTE!
Detailed information regarding the radiation can be provided
on request.
7.10 Power supply PS-LED / PS-LED HSM 901
Mains voltage: 100-240V
Power consumption: 60VA
Operating frequency: 50-60Hz
WARNING!
This voltage source may only be used with PS-LED or PS-LED
HSM 901.
7.11 Dimensions
PS-LED PS-LED HSM 901
Length: 164 mm Length: 316 mm
Width: 140 mm Width: 146 mm
Height: 60 mm Height: 69 mm
Weight: 450 g Weight: 750 g
Illumination control IC 01 Illumination control IC 01 T
Length: 75 mm Length: 90 mm
Width: 35 mm Width: 51 mm
Height: 33 mm Height: 33 mm
Weight: 32 Weight: 32 g
7.12 Camera
NOTE!
The camera is to be set to a shutter time of 1/60 s in MANUAL operat-
ing mode. The instruction for use for the camera must be followed for
this purpose.
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
8 Maintenance
WARNING!
Thisdevicemustnotbemodiedwithoutthemanufacturer'sapproval.
Installation and repairs may only be performed by trained specialists.
The LED illumination can be operated without any maintenance throughout its en-
tire service life.
8.1 Device Check
In order to correctly check the slit lamp, proceed as follows:
•
Insert test rod into the radial movement bearing, whilst at the same time aligning
the surface to the microscope at a right angle
•
Set slit length to 8 mm
•
Set llumination strength to 50%
•
Set magnification to max. in the microscope.
•
Set the eyepieces in such a way that the test rod is in sharp focus. Turn the
eyepiece from the (+) to the (-) side.
•
The structure of the test rod must be in sharp focus in all magnifications.
•
Close slit edges to approx. 0.5 mm. The borders must be in sharp focus here.
•
Completely open slit edges and turn the test rod by 45°, the sharp area must
be in the centre of the test rod.
8.2 Changingtheashtube
HIGH VOLTAGE!
AfterturningofftheFU01ash
unit, wait at least 15 seconds be-
fore opening the slide!
WARNING!
Do not touch the glass body of the
ashtube.
82
83
84
82. Coupling slide
83. Protective plug
84. Flash tube
• Slide the coupling slide upwards.
• If the split lamp is new, remove the protective
plugfromtheashtubehousing.
• Removethedefectiveashtube.
• Insert the tube without touching the glass.
• Slide the coupling slide back downward until it
stops in place.
82
83
84
NOTE!
OnlyuseanHSashtube,asspeciedinthereplacementpartslist.
8.3 Servicing
To ensure a long service life, the device should be cleaned weekly as described in
the 'Cleaning' chapter and covered with a dust cover when not in use. We recom-
mendhavingthedeviceinspectedbyanauthorizedservicetechnicianannually.
8.4 Replacing the fuses
WARNING – RISK OF FIRE!
Only fuses of the type indicated in the technical data may be used.
WARNING!
The mains cable must be disconnected from the mains before the co-
ver is screwed on.
• Removethecover(85)bylooseningthetwoscrews(86).
8.4.1 Mains fuses:
• Removethemainsplug(88),removethefuseholder(89)andreplacethefuses
(fusetypeaccordingtothetechnicaldata).
• Insertfuseholder(89)andattachmainsplug(88).
8.4.2 Flash unit fuse:
• Removethemainsplug(88),removethefuseholder(87)andreplacethefuses
(fusetypeaccordingtothetechnicaldata).
• Insertfuseholder(87)andattachmainsplug(88).
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
86
85
87
88
89
• Closethecover(85)byapplyingthetwoscrews(86)andplugthemainscable
into the mains.
8.4 Cleaning
• Clean the housing with a dry cloth only.
• Do not employ any liquids, aggressive agents or alcohol.
• The exposed glass surfaces can be dusted with a dusting brush. Lens
brush HAAG-STREIT number 1001398
8.6 Cleaning the slide plate and the rack rails
• Iftheslideplate(93)isdirtyandthegeneral
movement of the slit lamp is impaired, rubbing
theplatewithalightlyoiledclothisusuallysuf-
cient remedy.
• Afterremovingtherailcovers(92)therackrails
(91)shouldbedustedfromtimetotimewitha
brush.
9 0
9 1
9 2 9 3
8.7 Cleaning the axle
Theaxle(90)shouldonlybecleanedwithaclean,lint-freecloth.
8.8 Replacing the illumination mirror
WARNING!
Only use mirrors with a LOT number.
The mirror can be most easily accessed if the microscope is swiveled away from the
illumination and the illumination inclined two points. The mirror can then be pulled
out along its guide by its thin end. Push the mirror until it stops.
8.9 Dust cover
We recommend protecting the slit lamp with a dust cover
when not in use.
Dustcover,small(forslitlamp) HS item no. 1001395
Dustcover,large(forseveralinstruments) HS item no.
1001434
A. Appendix
A.1 Accessories / spare parts
WARNING!
Thisdevicemustnotbemodiedwithoutthemanufacturer'sapproval.
Installation and repairs may only be performed by trained specialists.
Connecting third-party systems to the same mains socket may compro-
mise the system's safety.
NOTE!
Anasterisk(*)indicatesthatyoushouldcontactyourHAAG-STREIT
representative for further information.
Twoasterisks(**)indicateaneedtorefertotheseparateinstructions
for use.
Components HS item
no.
Connectionring(camera-specic) *
Applanation tonometerAT 900 model BQ/BP 7200034
Applanation tonometerAT 900 modelT 7200032
Pin 3000332
Trigger key with cable *
Illumination control, double slit and background 'in table'** 1021022
Illumination control, double slit and background 'on table'** 1020883
Flash tube, complete 1021972
Block of paper slips for chin rest 1001309
Cover T-0 for recess in table** 1021085
Short mirror 1001591
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DEUTSCHENGLISH FRANÇAIS ITALIANO ESPAÑOL NEDERLANDS
PORTUGUÊS SVENSKA
DEUTSCHENGLISHFRANÇAISITALIANOESPAÑOLNEDERLANDS PORTUGUÊS
SVENSKA
© HAAG-STREIT AG, 3098 Koeniz, Switzerland – HS Doc. No. 1500.7220449.04050 – 2015 – 06
Long mirror 1001590
Flash unit FU 01 *
Guideplate(900-415) 1001219
Power supply for LED illumination, HSM 801 and tables from other
manufacturers** 1020882
Power supply for LED illumination, HSM 901** 1020881
Instrument table HSM 901 Imaging *
Instrument table HSM 901 Workstation *
Cable guide *
Cameracable(model-specic) *
Contrast-boostinglter(yellow) 1400306
Headrestwithxationlamp *
Lens barrel 1400313
Eyepiece 12.5x with dioptre ring 1400303
Eyepiece with double crosshair reticle 12.5x 3000470
Test rod 1001051
Mirror and diaphragm component 1007302
Dustcover,large(forseveralinstruments) 1001434
Dustcover,small(forslitlamp) 1001395
Pin for chin rest 900-1359 1200713
5 mmAllen key 1001602
Diffusor 1007085
Background illumination with swivel bracket** 1021960
USB illumination cable 2000 mm** 1020940
USB illumination cable 5000 mm** 1020956
Movable Hruby preset lens, -58.6 diopters 1400223
Carriageforpresetlenseswithrail(guideplateincluded) 1001219
Spacer for angled eyepiece 20° 1400305
B. Legal regulations
• The BX 900 photo slit lamp has been developed and designed in accordance with
the EN 60601-1 standard.
• The EN 60601-1 standard must be observed when using different medical and/or
non-medical electrical devices in combination.
• Compliance of the BX 900 photo slit lamp with the Directive 93/42/EEC is con-
rmedbytheCEmark.
• TheBX900photoslitlampsatisestheelectromagneticcompatibilityrequire-
ments of EN 60601-1-2. The device has been designed to maintain the emissions
of electromagnetic interference at a level which does not exceed the statutory
guidelines and which does not affect other devices in its vicinity.
• The instrument also boasts the immunity stipulated by the standard.
• Statutory accident regulations are to be observed.
C. Classication
Standard EN 60601-1 Photo slit lamp BX 900 acc. to protection class I
Water resistance IPX0
Operating mode: Continuous operation
CE Directive 93/42/EEC Class I
FDA Class II
D. Disposal
Electrical and electronic devices must be disposed of separately from
household waste!
This appliance was made available for sale after the
13th
August 2005. For correct disposal, please contact your
HAAG-STREIT
representative. This will guarantee that no hazardous
substances enter the environment and that valuable raw materials are
recycled.
E. Observed standards
EN 60601-1 EN 60601-1-2
ISO 10939 EN ISO 15004-2
01-IFU_BX900-7220449-04050_eng.indd 20 29.06.2015 10:30:22
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