Leica Microsystems EnFocus OCT User manual

MEDICAL DIVISION
User Manual
9054-10063_EN - Revision K-00
EnFocus OCT
From Eye to Insight

II EnFocus OCT / 9054-10063_EN / Revision K-00
Thank you for purchasing an EnFocus OCT system.
In developing our systems, we have placed great emphasis on simple, self-
explanatory operation. hte
This user manual contains important information related to the device, safety,
operation, and cleaning. In order to avoid injury to persons or damage to the
system this user manual, including indications, warnings and precautions, must be
read and understood before performing any procedure.
Thank you for choosing our products.We hope that you will enjoy the quality and
performance of your EnFocus OCT system.
For inquiries regarding sales, service, or support contact Leica Microsystems by
either visiting
http://www.leica-microsystems.com/service/
or by calling the One Call support number closest to your facility:
Australia: 1 800 625 286 (Option 2)
Austria: +43 1 486 80 50 27
Belgium: +32 2 790 98 50
China: +86 400 650 6632
Denmark: +45 44 54 01 01
France: +33 156 052 326
Germany: +49 64 41 29 44 44
Hong Kong: +852 800-969-849
India: 1800 313 2339
Italia: +39 02 57486.1
Japan: +81 3 3761 1147
Korea: +82 80 440 4401
Netherlands: +31 70 413 2100
New Zealand: 0800 400 589 (Option 2)
United Kingdom: +44 845 604 9095
United States: 1-800-248-0223
Portugal: +351 21 388 91 12
For issues concerning the manufacturing center please contact:
Leica Microsystems NC, Inc.
4222 Emperor Blvd
Suite 390
Durham, NC 27703
USA
Phone: +1 919 314 5500
Fax: +1 919 314 5501
Rx only
CAUTION
Federal law restricts this device to sale by or on the order of a
physician or practitioner.
(&5(3
Leica Microsystems CMS GmbH
Ernst-Leitz Strasse 17-37
35578Wetzlar
Germany
0123
CE marking
Legal disclaimer
All specifications are subject to change without notice.
The information provided by this manual is directly related to the operation of the
equipment. Medical decision remains the responsibility of the clinician.
Leica Microsystems has made every effort to provide a complete and clear user
manual highlighting the key areas of product use. Should additional information
regarding the use of the product be required, please contact your local Leica
representative.
You should never use a medical product of Leica Microsystems without the full
understanding of the use and the performance of the product.
Liability
For our liability, please see our standard sales terms and conditions. Nothing in this
disclaimer will limit any of our liabilities in any way that is not permitted under
applicable law, or exclude any of our liabilities that may not be excluded under
applicable law.

EnFocus OCT / 9054-10063_EN / Revision K-00 1
Contents
1 Introduction 3
1.1 About this user manual 3
1.2 Symbols in this user manual 3
1.3 Optional product features 3
2 Product Identification 3
3 Safety notes 4
3.1 Intended use 4
3.2 General directions 4
3.3 Directions for the person responsible
for the instrument 4
3.4 Directions for the operator
of the instrument 5
3.5 Expected service life 5
3.6 Dangers of use 5
3.7 Signs and labels 10
4 EnFocus Components 16
4.1 EnFocus Cart Installation 16
4.2 EnFocus Configuration
for Microscope Integration 21
4.3 InVivoVue Software 22
5 Device overview 23
5.1 Anterior segment imaging 23
5.2 Posterior segment imaging 23
6 Installation & removal 24
6.1 Receiving and inspection 24
6.2 Initial set-up 24
6.3 System connections 24
6.4 Installing the scan head 24
6.5 Mounting the EnFocus OCT cable 26
6.6 Glare Mask Install and Remove 27
6.7 Removing the scan head 28
6.8 Removing the EnFocus OCT cable 29
6.9 Accessories Connections 29
7 Operation 31
7.1 Training 31
7.2 Calibration 31
7.3 Draping 31
7.4 Device startup 31
7.5 Standard Workflow 32
7.6 Shutting down the system 32
8 InVivoVue Software 33
8.1 Display Views 33
8.2 Primary Functions 35
8.3 Surgeon Preferences 39
8.4 Patient Management 42
8.5 Data Management 44
8.6 OCT Help Functions 48
8.7 Advanced Functions 49
9 Care and maintenance 53
9.1 Cleaning 53
9.2 EnFocus OCT system maintenance 54
9.3 Periodic safety checks for cart configuration 54
9.4 UPS maintenance for cart configuration 54
9.5 Storage for cart configuration 54
10 Disposal 56
11 Troubleshooting 56
11.1 Hard shutdowns 56
11.2 Hardware malfunctions 57
11.3 Scanning malfunctions 57
11.4 Image malfunctions 58
11.5 Software malfunctions 59
11.6 Software Notifications 60
11.7 Checking the Line Spectrum 65
12 Service and Spares 65
12.1 Issue Escalation 65
12.2 Basic Warranty 65
12.3 Service Contracts and ExtendedWarranty 65
12.4 Replacement Accessories 66
12.5 Service and Repair 66
13 Specifications 67
13.1 Common Technical Specifications 67
13.2 EnFocus Cart Configuration 68
13.3 EnFocus Configuration for Micoscope Integration 68
14 Compliance 69
14.1 EnFocus Cart Configuration 69
14.2 EnFocus Configuration for Micoscope Integration 73
14.3 Common to Configurations 76

2 EnFocus OCT / 9054-10063_EN / Revision K-00
15 Compatibility with third party devices 77
15.1 Surgical microscope compatibility 77
15.2 Fundus viewing system compatibility 77
16 Glare 79
16.1 Glare Management 79
16.2 Glare Mask Selection 84
17 Annex 84
17.1 Abbreviations 84
17.2 Glossary 85
17.3 Principle of operation 86
17.4 Sampling density and resolution 87
17.5 Expected positions of equipment and people 88
18 Quick Reference Guide 88

EnFocus OCT / 9054-10063_EN / Revision K-00 3
Introduction
1 Introduction
1.1 About this user manual
In addition to notes on the use of the instruments this
user manual gives important safety information (see
chapter "Safety notes").
X Read this user manual carefully before operating the
product.
This revision of the EnFocus User Manual includes the EnFocus Cart Installation and
the EnFocus Microscope Installation.
Read manual addendum prior to reading other sections of manual.
1.2 Symbols in this user manual
The symbols used in this user manual have the following meaning:
Symbol Warning
word
Meaning
Warning
Indicates a potentially hazardous situation
or improper use that could result in serious
personal injuries or death.
Caution
Indicates a potentially hazardous situation
or improper use which, if not avoided, may
result in minor or moderate injury.
Notice
Indicates a potentially hazardous situation
or improper use which, if not avoided, may
result in appreciable material, financial
and environmental damage.
Information about use that helps the user
to employ the product in a technically
correct and efficient way.
X Action required; this symbol indicates that
you need to perform a specific action or
series of actions.
1.3 Optional product features
Different product features and accessories are optionally available.
The availability varies from country to country and is subject to
local regulatory requirements. Please contact your local
representative for availability.
2 Product Identification
The model and serial numbers of your product are located on the
identification label on the illumination unit.
X Enter this data in your user manual and always refer to it when
you contact us or the service workshop regarding any questions
you may have.
Type Serial no.
...
...

Safety notes
4 EnFocus OCT / 9054-10063_EN / Revision K-00
3 Safety notes
Always follow the instructions in this user manual, and in particular
the safety notes.
3.1 Intended use
The EnFocus OCT device is intended to acquire, process, display and
save depth-resolved images of ocular tissue microstructure using
Spectral Domain Optical Coherence Tomography (SDOCT).
• The EnFocus OCT system is indicated for use as an aid in the
visualization of physiologic and pathologic conditions of the eye
through non-contact optical imaging.
• The EnFocus OCT system is indicated for use on patient
populations from premature and neonatal infants to adult.
• The EnFocus OCT system is indicated for use in supine imaging,
mounted to a surgical microscope, with cooperative patients or
patients under anesthesia.
Contraindications
The EnFocus device is not for use with the following surgical
microscopes:
• Microscopes contra-indicated for pediatric use or restricted to
adult use only.
• Microscopes with illumination systems that do not
independently conform to ISO 15004-2:2007 Group 2.
WARNING
Risk of injury to the patient.
Images from the EnFocus OCT device are to serve only as
supplementary information.
X Ensure that the images from the EnFocus OCT are not
used as the sole basis for any diagnosis.
CAUTION
Danger of eye injury due to laser radiation.
This device is a Class 1 Laser Product product in accordance
with the IEC60825-1 standard.
X Make sure that exposure to the direct output of this
device is limited to the minimum duration necessary for
images.
3.2 General directions
• The EnFocus OCT system may be used only in enclosed rooms
and must be placed on a solid floor.
• The EnFocus OCT system is subject to special precautionary
measures for electromagnetic compatibility: It must be
installed and commissioned in accordance with the guidelines
and manufacturer's declarations and recommended safety
distances (according to EMC tables based on IEC60601-1-2).
• Portable and mobile as well as stationary radio communications
equipment can have a negative effect on the reliability of the
EnFocus OCT system's functionality.
CAUTION
Risk of EM Compatibility Issues.
X The EnFocus System should not be operated near active
HF SURGICAL EQUIPMENT or near magnetic resonance
imaging, where the intensity of EM DISTURBANCES is
high.
• The EnFocus is intended for operation in the hospital
environment.
3.3 Directions for the person
responsible for the instrument
The intended users of the EnFocus OCT system are physicians or
technicians with professional training or experience in the use of
ophthalmic imaging equipment. Nurses and other clinical staff will
interact with the system by performing setup and shut down
functions, and may also run the software during the procedure.
X Read and understand the entire user manual before operating
this system. If there are any questions concerning the use of this
system, contact your Leica customer service representative.
X Ensure that the EnFocus OCT system is used only by persons
qualified to do so.
X Ensure that this user manual is always available at the place
where the EnFocus OCT system is in use.
X Inform your Leica Microsystems representative or customer
service immediately about any product defect that could
potentially cause injury or harm.
X Service on the EnFocus OCT system may be carried out only by
technicians who are explicitly authorized by Leica Microsystems
to do so.
X Only original Leica Microsystems replacement parts may be
used in servicing the product.
X After service work the device must be readjusted in accordance
with our technical specifications.
X If the instrument is serviced by unauthorized persons, is
improperly maintained (as long as maintenance was not carried
out by us), or is handled improperly, Leica Microsystems will not
accept any liability and any warranty will be void.
X The effect of the system on other instruments has been tested
as specified in IEC60601-1-2. The system passed the emission
and immunity test and complies with the usual precautionary
and safety measures relating to electromagnetic and other
forms of radiation.
X The electric installation in the building must conform to the
applicable national standards, e.g., current-operated ground
leakage protection (fault-current protection).

EnFocus OCT / 9054-10063_EN / Revision K-00 5
Safety notes
3.4 Directions for the operator of the
instrument
X Read and understand the entire user manual before operating
the EnFocus OCT system. If there are any questions concerning
the use of the EnFocus OCT system, contact customer service.
X Follow the instructions described in this user manual.
X Follow the instructions given by your employer regarding the
organization of work and safety at work.
3.5 Expected service life
The expected service life of the EnFocus OCT system is 7 years. After
7 years, please contact Leica customer service to arrange for further
servicing.
3.6 Dangers of use
3.6.1 Overall system
WARNING
Danger of injury for pediatric patients.
X Do not image pediatric patients with devices that are
contraindicated for pediatric use or that are indicated
for use only in adult populations.
WARNING
Danger of fatal electrical shock.
X To reduce risk of electrical shock, do not open
enclosures. There are no serviceable parts inside.
X Ensure that only authorized service personnel performs
installation, assembly, service, and maintenance.
WARNING
Danger of fatal injury and burns.
X Do not operate the EnFocus OCT in potentially explosive
areas.
X Do not operate the EnFocus OCT within 25cm of
flammable anesthetics or volatile solvents, benzene or
similar flammable materials.
WARNING
Risk of Performance Degradation.
X Use of this equipment adjacent to or stacked with other
equipment should be avoided because it could result in
improper operation. If such use is necessary, this
equipment and the other equipment should be
observed to verify that they are operating normally.
CAUTION
Risk of injury to the patient.
X Ensure the EnFocus OCT scan head is securely attached
to the microscope prior to moving it into position above
the patient.
X Do not attempt to remove the scan head while a patient
is underneath the microscope. The scan head could fall
on the patient resulting in injury.
CAUTION
Risk of injury to the patient.
X Do not perform the balancing procedure while a patient
is underneath the microscope.
X To avoid unintentional movement of the microscope
make sure that the arm system is properly balanced
before starting an operation.
CAUTION
Risk of infection.
X Leica recommends that the EnFocus OCT system be
draped during surgical procedures consistent with
draping of the surgical microscope.
CAUTION
Risk of injury to the operator.
X Do not remove glare masks from microscope without
waiting 30 seconds after turning o main illumination
as there is a potential to be burned.
CAUTION
Risk of allergic reactions.
X Individuals that are allergic to system materials with
which they come in contact should limit skin exposure.
CAUTION
Risk of injury due to contact with the device.
X Ensure that the optical working distance of the scanner
is sucient to avoid contact with the patient.
X The operator should take care that the patient does not
come into contact with the device.
CAUTION
Tripping Hazard.
Transporting the system is performed by pushing the
system cart in the forward direction.
X Do not pull the cart as this may cause it to tip over.

Safety notes
6 EnFocus OCT / 9054-10063_EN / Revision K-00
CAUTION
Tripping Hazard.
X Do not create a tripping hazard with the cord of the
EnFocus OCT device.
NOTICE
Risk of System Overheating.
System requires proper ventilation.
X Do not block the front, back or sides of the system during
operation.
NOTICE
Risk of damage to the lens.
X Never use the same lens cleaning tissue twice to avoid
scratching the lens.
NOTICE
Risk of damage to the EnFocus OCT scan head during transportation.
X When carrying the scan head, hold the scan head by the
extension tube and keep the cover on the objective lens.
NOTICE
Risk of damage to the EnFocus OCT system.
X Only connect items that have been specied as part of or
compatible with the EnFocus OCT System.
NOTICE
Risk of damage to the EnFocus OCT system due to a computer virus.
X Use caution when connecting the system to a network, thumb
drive, or other device as the connection could result in the
introduction of a computer virus to the system.
NOTICE
Risk of damage to the EnFocus OCT system.
X Do not expose this equipment to rain or moisture.
NOTICE
Risk of damage to the EnFocus OCT scan head due to immersion in a
liquid.
X Do not immerse the scan head in any liquid. Immersion will
result in damage to the electronics in the scan head.
NOTICE
Risk of damage to the EnFocus OCT system due to use in humid
environments.
This device is not designed for use in damp or high humidity
environments.
X Do not allow condensation to form on any component.
X Do no place uid-lled containers on any surface of the device.
NOTICE
Risk of damage to the EnFocus OCT system due to incorrect
assembling.
X System must be assembled and calibrated by a Leica service
representative prior to initial use.
NOTICE
Obstruction of the view.
X If the objective lens becomes scratched or damaged and
obstructs the view through the scope, remove the OCT scan
head from the scope.
NOTICE
Risk of damage to the system.
X Do not use the system adjacent to or stacked with other
equipment.
X If adjacent or stacked use is necessary, observe the system to
verify normal operation in this conguration.
NOTICE
Risk of damage to the device.
X Do not use the foot pedal if any damage is found.
X Contact Leica customer service to order a replacement foot
pedal.

EnFocus OCT / 9054-10063_EN / Revision K-00 7
Safety notes
3.6.2 Laser Safety
WARNING
Danger of eye injury due to laser radiation.
This device is a Class 1 Laser product.
Use of controls or adjustments or performance of
procedures other than those specied herein and any
companion documents may result in hazardous radiation
exposure.
X Do not operate the system when the ber optic cable is
removed from the optical ber port.
X Do not look directly in to the optical ber port.
X Do not remove the optical ber while the system is
powered on.
X Turn o power before removing the optical ber.
The following Photo toxicity cautions are mandatory text as defined
in the CDRH guidance document #1241, “Ophthalmoscope Guidance
(Direct and Indirect).
CAUTION
Photo toxicity.
Because prolonged intense light exposure can damage the
retina, the use of the device for ocular examination should
not be unnecessarily prolonged, and the brightness setting
should not exceed what is needed to provide clear
visualization of the target structures. This device does not
emit optical radiation outside of the near infrared
wavelength region 770nm – 1100nm.
CAUTION
Photo toxicity.
The retinal exposure dose for a photochemical hazard is a
product of the radiance and the exposure time. If the value
of radiance were reduced in half, twice the time would be
needed to reach the maximum exposure limit.
CAUTION
Photo toxicity.
While no acute optical radiation hazards have been
identied for direct or indirect ophthalmoscopes, it is
recommended that the intensity of light directed into the
patient's eye be limited to the minimum level which is
necessary for diagnosis. Infants, persons with aphakia and
other diseases of the eyes will be at greater risk. The risk
may also be increased if the person being examined has had
any exposure with the same instrument or any other
ophthalmic instrument using a visible light source during
the previous 24 hours. This will apply particularly if the eye
has been exposed to retinal photography.
The following cautionary statement is mandatory text as defined in
ISO15004-2:2007 for Group 2 ophthalmic instruments.
CAUTION
Photo toxicity.
The light emitted from this instrument presents a potential
thermal hazard to the cornea and lens. The longer the
duration of exposure, the greater the risk of ocular damage.
The maximum corneal and lenticular infrared radiation
irradiance emitted from this instrument is 95mW/cm² when
operated at worst case conditions (i.e., no eye movement
and with non-scanning beam). This value is 5% below the
safety guideline (100 mW/cm2) specied in ISO15004-2:
2007.
The EnFocus™ Spectral Domain Ophthalmic Imaging System (SDOIS)
complies with the Group 2 instrument requirements of ISO 15004-
2:2007.
CAUTION
Risk of injury to the retina due to prolonged light exposure.
X Do not unnecessarily prolong the use of the device for
ocular examination.
CAUTION
Thermal hazard to the cornea and lens.
X To limit the risk of ocular damage do not unnecessarily
prolong the duration of exposure.

Safety notes
8 EnFocus OCT / 9054-10063_EN / Revision K-00
3.6.3 Electrical Safety Precautions
WARNING
Danger of fatal electrical shock due to high voltage.
X Do not remove component covers. There are no
serviceable parts inside.
X Only authorized service personnel may perform
installation, assembly, service, and maintenance.
WARNING
Risk of electrical shock.
Not correctly connecting the system may result in injuries to
the patient or operator, or in damage to the equipment.
X Ensure that the system always is connected to a
protective earth when in operation.
WARNING
Danger of fatal electrical shock.
This equipment receives power from more than one source.
The output receptacles may be energized even when the
unit is unplugged. Unplugging the UPS puts it into backup
mode and does not remove the electrical charge.
X To ensure that the UPS is o, turn the power switch
“OFF” before unplugging the UPS from the wall outlet.
WARNING
Risk of electrical shock.
X Do not simultaneously touch the patient and the
computer.
WARNING
Risk of electrical shock due to improper grounding.
X To achieve grounding reliability connect this equipment
to matching receptacle marked "Hospital Only" or
"Hospital Grade".
WARNING
Risk of electrical shock due to interrupted grounding.
X Periodically check grounding continuity.
WARNING
Risk of reduced electrical safety.
Connecting electrical equipment to an extension cable can
result in a reduced level of safety.
X Plug the system directly into the wall outlet.
X Do not connect additional equipment to the UPS of the
system.
X Do not add an additional multiple socket-outlet or
extension cord to the system.
WARNING
Risk of electrical shock.
The rear video input ports are not electrically isolated.
X Only use the rear video input ports with medical grade
microscope cameras.
WARNING
Risk of electrical shock.
The USB ports are not electrically isolated.
X Only use the USB ports with bus-powered devices such
as ash drives.
X Do not use the USB ports with any device that connects
to an external power source.
WARNING
Fire danger.
X Do not use the UPS in the presence of a ammable
anesthetic mixture with air, oxygen, or nitrous oxide.
WARNING
Danger for the patient health due to changes to the
equipment.
X Do not modify or adulterate this equipment.
CAUTION
Electrical or optical hazards.
X Never attempt to repair or disassemble the system
yourself. Only a qualied service representative can
service the system or perform maintenance.
CAUTION
Risk of electrical shock for the patient or the operator, or
damage to the equipment.
X Never use a converter adapter to connect the three-
pronged AC plug into a two-pronged, ungrounded wall
outlet.

EnFocus OCT / 9054-10063_EN / Revision K-00 9
Safety notes
CAUTION
Risk of electrical shock for the patient or the operator, or
damage to the equipment, due to insucient inspection
procedures.
X Routinely inspect all components, including the power
cord, before using the system.
X Never use any component that appears damaged.
CAUTION
Risk of injury due to improper disposal of the UPS battery.
The UPS contains a sealed lead-acid battery.
X Refer to UPS Manufacturer’s Instructions For Use
document for information on battery replacement,
recycling, and disposal.
X Battery replacement should only be performed by
qualied service personnel.
CAUTION
Risk of electrical shock and device damage.
Many important parts of the system are not water resistant.
X Do not use any spray or liquid solution on the system in
a manner that is not specically dened in cleaning and
disinfection procedures of this manual.
X Do not allow any uid to drip or run down surfaces of
optical engine or computer.
X Always shut down the system and unplug the power
cord prior to wiping surfaces.
NOTICE
Risk of damage to the UPS battery.
X To avoid permanent loss of capacity of the UPS battery, do not
unplug a UPS from its AC utility power source for an extended
period of time.
X If equipment is not likely to be used for several months, follow
the instructions included in this manual (see "9.5 Storage for
cart conguration" on page 54).
NOTICE
Special precautions for Medical Electrical Equipment.
Portable and mobile RF communications equipment can aect
Medical Electrical Equipment.
X Only install and put into service this Medical Electrical
Equipment according to the EMC information provided in this
manual.
NOTICE
Risk of damage to the UPS.
X Do not plug the UPS into itself.
NOTICE
Risk of damage.
X Periodically check the UPS to ensure its working condition.
3.6.4 Security and Patient Privacy Precautions
CAUTION
Risk of breach to patient's personal information.
Breach of patient identifying information is a HIPAA violation. Steps
must be taken to ensure its integrity.
X Take precautions to protect patient data and patients
personal information from unauthorized access and/or
use.
X Do not leave the system unattended when patient
identifying information is displayed.
X When exporting patient data to external storage
devices, take steps to ensure the security of the device
X Patient data should be regularly archived to a secure
long-term storage location.
CAUTION
Risk of intended or unintended malware infection of the
system.
A malware infection can corrupt the OCT system and render
it unusable and/or corrupt patient data.
X The system should be protected, at all times, from
unauthorized users. When the system in not in use it
should be shut down.
X This device is only intended for connection to a secure IT
network for the purposes of data transfer and service
support. Do not leave the device permanently connected
to a network.
X The device is not intended for wireless connectivity.

Safety notes
10 EnFocus OCT / 9054-10063_EN / Revision K-00
3.7 Signs and labels
3.7.1 EnFocus Cart Installation
The following labels are affixed to the back panel of the EnFocus
system:
EnFocus Cart Installation Systems with 120V (e.g. for USA)
EnFocus Cart Installation Systems with 230V (e.g. for Europe)

EnFocus OCT / 9054-10063_EN / Revision K-00 11
Safety notes
EnFocus Cart Installation Systems with 100V (e.g. for Japan)
Label Description
1 Manufacturer's information
2 System Serial Number
3 UL certification label (only on 120V systems)
4 European authorized representative (only on 230V systems)
5 Electrical Input Information
6 Service Authorization
7 Patent Information
8 Cautions and Warnings
9 Model Number and Date of Manufacture
10 Product Optical Output Classification
11 CE marking
Engine and Interface box rear panels are not visible with the
system back panel in place.

Safety notes
12 EnFocus OCT / 9054-10063_EN / Revision K-00

EnFocus OCT / 9054-10063_EN / Revision K-00 13
Safety notes
1
2
3
4
RoHS
5Class 1 Equipment
Equipment not suitable for use in the presence
of a ammable Anaesthetic Mixture With Air
Not designed, intended or authorized for use
in systems intended to support or sustain life.
or with Oxygen or Nitrous Oxide.
6
www.powevar.com
POWERVAR
7WARNING:
DANGER:
DANGER:
ATTENTION:
Please contact POWERVAR Service at
North America - 800-369-7179
International (UK): +44(0) 1793 553980
www.powevar.com
CAUTION:
AVERTISSEMENT:
8Model Number:
Manufacture Date:
9
10 P&N 51060-23R
S/N 5106023R - 1540019
11 M/N: M30P10 P/N: M30P1D-7N
ingram MicroInc.
1600 E. 5r. Andrew Place
Santo Ano CA 92705, USA
S/N: VP001N51203072
12

Safety notes
14 EnFocus OCT / 9054-10063_EN / Revision K-00
3.7.2 EnFocus Configuration for Microscope
Integration
EnFocus configuration for microscope integration with 48Volt DC Input
Voltage has
the following labels are located on the EnFocus
subsystems and system label on the integrating microscope.
1
System Serial Number, UDI & Manufurer Information
2
Module Serial Number
5
Module Model Number and Manufacturing Date

EnFocus OCT / 9054-10063_EN / Revision K-00 15
Safety notes
4
System Information
3
Scanner Model Number, Manufacturing Date, and Manufacturer Information
6
Manufacturer Label

EnFocus Components
16 EnFocus OCT / 9054-10063_EN / Revision K-00
4 EnFocus Components
4.1 EnFocus Cart Installation
The EnFocus OCT cart configuration includes the following
components:
1 Screen
2 Keyboard / Mouse
3 Mobile Security Cart
4 Optical Engine
5 Scanner Storage Case
6 Computer
7 Scanner (not shown)
8 Pole for conduit routing (not shown)
Accessories
• Filter mask M844
circle
modified bar
• Filter mask Proveo 8
• Video Cables

EnFocus OCT / 9054-10063_EN / Revision K-00 17
EnFocus Components
4.1.1 Optical Engine
The EnFocus OCT engine contains the optical and electrical
components associated with signal acquisition, detection and
processing. A fail-safe circuit that monitors the scanner is also
included inside the engine. If a scanner fault signal is detected or
the system is not scanning, the fail-safe circuit shuts down power
to the OCT light source, a superluminescent diode (SLD).
The engine contains a power indicator light showing that the
system is on or off.
4.1.2 Scanner
The scan head of the EnFocus OCT system is intended to be
mounted to the optics carrier of compatible surgical microscopes
for imaging during surgical procedures.
The scan head includes an aperture, allowing undisturbed
transmission of visible optical signals during concurrent OCT scans
while viewing through the microscope oculars. The OCT signal is
coupled into the microscope path with a dichroic filter reflective in
the OCT wavelength and transmissive in the visible waveband.
The scan head works with objective lenses that operate with a
working distance approximately equal to the focal length of
common surgical objective lenses.
The scanning OCT beam of the scanner is substantially telecentric,
and may be used with supplementary optics (such as wide angle
viewing systems for vitreoretinal procedures) between the
objective lens and the patient, as long as the supplementary optics
are transparent in the OCT waveband.
1 Microscope
2 Scanner
3 Mounting Interface
4.1.3 Computer
The computer has 1 TB of storage capacity on mirrored disks
(RAID 1), 16 GB RAM and a video card with 2 GB of dedicated RAM.
The computer operates on a Windows platform installed on a
dedicated hard drive that is separate from the data drives, and
supports Computer System recovery, and data integrity in case of
an operating system corruption.
The system includes a computer monitor, keyboard, and mouse.
The monitor is secured to the mobile cart with an adjustable
mounting arm that moves fluidly in X, Y, and Z directions.
The IEC 60601-1 compliant keyboard is sealed in water-proof
silicone which may be disinfected.
4.1.4 Foot Pedal
Microscope Integrated Foot Pedal
If the EnFocuss connected to a microscope with an integrated
communications interface, the microscope's foot pedal can be used
to execute OCT functions. Please refer to the associated microscope
user manual for details.

EnFocus Components
18 EnFocus OCT / 9054-10063_EN / Revision K-00
4.1.5 Cables
WARNING
Risk of Unspecied Accessories/Cables.
X Use of accessories, transducers and cables other than
those specied or provided by the manufacturer of this
equipment could result in increased electromagnetic
emissions or decreased electromagnetic immunity of
this equipment and result in improper operation.
Standard System Cables
The system uses the following cables for operation:
Cable Length Description
Mains 16' [5m] Permanently attached mains input power
cable
EnFocus
2-button
Foot pedal
8.8' [2.7m] Foot pedal USB cable to the system
Scan head 27' [10m] Fiber optic cable, connection between the
scan-head module and cart
Only Leica approved and provided cables are to be used for
these connections. Use of unapproved cables may degrade
the performance of your system displays.
4.1.6 Cart
The EnFocus Cart Configuration has the Optical Engine and Scanner
installed on a mobile cart with lockable casters to prevent
unwanted movement.
The cart provides cable management and contains a UPS that is for
the use of the EnFocus system only. All cables are provided with the
system and are not user interchangeable.
The cart computer has a front panel with a system power switch
and data ports.
4.1.7 USB ports
The computer installed in the cart provides access to bus-powered
memory devices. The panel behind the front of the computer has
two 2.0 USB ports for accessing data on the system and a power
switch. There are two 3.0 USB ports at end of the glove box.
WARNING
Risk of electrical shock.
The USB ports are not electrically isolated.
X Only use the USB ports with bus-powered devices such
as ash drives.
X Do not use the USB ports with any device that connects
to an external power source.
4.1.8 Video input ports
WARNING
Risk of electrical shock.
The rear video input ports are not electrically isolated.
X Only use the rear video input ports with medical grade
microscope cameras.
EnFocus supports the ability to stream microscope video into the
OCT software.
The system provides video input ports for DVI, HDMI, and S-video
formats at the back of the cart to interface to a medical grade
microscope camera only. The incoming video is used to co-register
the OCT scan with the surgical microscope field of view. Note that
only one port may be used at any given time. The appropriate video
cable, as determined at the time of purchase, is provided with the
system.
The following camera controllers are compatible with the Enfocus
system: Leica HDC100, Leica HDC300, Panasonic GP-US932, and
Sony PMW-10MD.
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