Neitz Spot Illuminator NSI-III User manual

Spot Illuminator NSI-III
Instruction Manual
Thank you for purchasing the NEITZ Spot Illuminator NSI-III. This is a battery-powered lamp designed to
be worn on the operator's head to provide a light direct into the field of vision during surgical, diagnostic,
or therapeutic procedures. This device has been designed for use with the NEITZ Binocular Loupe
series and/or NEITZ Frame series. When necessary, please refer to the NEITZ Loupe instruction manual
as needed.
Please read this instruction manual carefully before use to avoid unexpected accidents, and store it in a
safe place for future reference.
TD11-12690001E-4

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Table of Contents
1. Important Information ............................................................................................................................ 1
1-1Intended Use.................................................................................................................................. 1
1-2Symbols.......................................................................................................................................... 1
1-3Safety Information.......................................................................................................................... 2
1-3-1Common Precautions to All Devices ...................................................................................... 2
1-3-2Precautions for Battery Charger and Battery ......................................................................... 4
1-4Labeling on Outer Package ........................................................................................................... 5
2. Checking Package Contents................................................................................................................. 6
3. Nomenclature and Function .................................................................................................................. 7
3-1Spot Illuminator .............................................................................................................................. 7
3-2Battery Pack................................................................................................................................... 8
3-3 Battery Charger.............................................................................................................................. 9
4. Preparation and Inspection ................................................................................................................. 10
4-1Preparation....................................................................................................................................11
4-2Inspection of Illuminator ................................................................................................................11
4-3Inspection of Battery .....................................................................................................................11
4-4Inspection of Battery Charger .......................................................................................................11
5. Operation............................................................................................................................................. 12
5-1 Charging Batteries ....................................................................................................................... 12
5-2 Mounting Illuminator on Frame .................................................................................................... 13
5-2-1Mounting Illuminator on Titanium Frame.............................................................................. 13
5-2-2 Mounting Illuminator on BETA Frame................................................................................... 15
5-2-3 Mounting Illuminator on NEO Frame.................................................................................... 16
5-3 Wearing Frame with Illuminator ................................................................................................. 18
5-3-1 Positioning Titanium Frame with Illuminator......................................................................... 18
5-3-2Placing BETA Frame with Illuminator ................................................................................... 19
5-4 Connecting Illuminator to Battery Pack........................................................................................ 20
5-4-1Inserting Batteries in Battery Pack ....................................................................................... 20
5-4-2Connecting Illuminator to Battery Pack ................................................................................ 20
5-5 Setup of Illuminator ...................................................................................................................... 21
5-5-1Turning Illuminator ON/OFF ................................................................................................. 21
5-5-2Setting Illumination Brightness ............................................................................................. 21
5-5-3 Adjusting Illumination Field................................................................................................... 22
6. Troubleshooting................................................................................................................................... 23
7. Maintenance ........................................................................................................................................ 24
7-1Cleaning ....................................................................................................................................... 24
7-2Tightening Screws........................................................................................................................ 24
7-3 Storage and Transportation ......................................................................................................... 24

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7-3-1Storage and Operation Conditions....................................................................................... 24
7-3-2 Safekeeping and Transportation........................................................................................... 24
7-4 Disposal...................................................................................................................................... 25
7-4-1 Illuminator and Accessories (except Rechargeable Battery) ............................................... 25
7-4-2 Rechargeable Battery........................................................................................................... 25
8. Specifications ...................................................................................................................................... 26
9. Contact Information ............................................................................................................................. 27
Annex A .................................................................................................................................................... 28
Alarm System for Spot Illuminator NSI-III............................................................................................. 28
ANNEX B.................................................................................................................................................. 29
EMC Guidance for Spot Illuminator NSI-III .......................................................................................... 29
(1)Guidance and Manufacturer’s Declaration - Electromagnetic Emissions................................. 29
(2) Guidance and Manufacturer’s Declaration - Electromagnetic Immunity................................... 30
(3) Recommended Separation Distances between Portable and Mobile RF Communications
Equipment and the NSI-III ......................................................................................................... 32
(4) Essential Performance of Equipment........................................................................................ 32

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1. Important Information
For the U.S. Market;
CAUTION: Federal law restricts this device to sale by or on the order of a medical or dental
professional; associated healthcare professionals; medical, dental and associated healthcare
students.
1-1Intended Use
The Spot Illuminator NSI-III is a battery-powered device intended to be worn on the user's head to
provide a light source to aid visualization during surgical, diagnostic, or therapeutic procedures.
Do not use this device for any purpose other than its intended use.
1-2Symbols
The following symbols are used on this manual and/or package to assist you in proper handling
and using this device, and to warn and caution you of potential hazards to yourself and others.
Indicates a potentially hazardous situation which, if not avoided, could result
in death or serious injury.
Used with the safety alert symbol, indicates a potentially hazardous situation
which, if not avoided, may result in minor or moderate injury. It may also be
used to alert against unsafe practices that may cause property damage.
Prohibited action (must not be performed).
Required actions (that must be performed) based on the instructions.
Serial number. This symbol should be accompanied by the serial number of
the device.
Manufacturer. This symbol should be accompanied by the name and
address of the manufacturer.
This symbol shows that this device may not be disposed of together with
general household waste and can be recycled separately from other
household waste under the WEEE directive.
This symbol instructs to consult the instructions of the device for information
on how to properly use it.
This symbol shows the lower and upper temperature limits for storage and
transport.

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This symbol shows the lower and upper relative humidity limits for storage
and transport
This symbol shows the lower and upper atmospheric pressure limits for
storage and transport
This symbol shows the device is fragile and must be handled with care.
This symbol instructs to keep the device dry.
Symbol of Nickel-Metal Hydride Secondary Battery to be recycled.
Symbol showing that the device emits potentially hazardous levels of
non-ionizing radiation or RF transmitters (not applicable to the NSI-III)
Barcode for traceability purposes. The figure to the left is an example.
1-3Safety Information
1-3-1Common Precautions to All Devices
Do not apply a strongly impact nor throw it. It may cause injury or device
failure.
Do not place on an unstable nor sloped surface. It may result in rollover,
malfunction, or damage.
Do not use in extremely humid place or come in contact with salt water, or
allow water to come in contact with the device. It may cause an electric shock
or severe damage.
Do not use at the place where the cord and the strap are rolled up and might
fall. It may cause injury or device failure.
Do not illuminate when the plastic cover is over the Illuminator. It may cause
the inside of the illuminator to become extremely hot and may cause injury,
damage or a fire.
Do not intentionally illuminate into the retina. It may cause injuryor damage.

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Do not peel off or damage the outer battery casing. This may cause an
explosion or a fire by the electrolyte contained inside the battery.
Do not attempt to disassemble or modify the device. Electrical shock, a fire or
serious injury may result.
Do not wear the illuminator before mounting to the frame through a hinge. This
may cause serious damage or cause a fire.
Be sure to turn on the light after mounting on the frame or the like through a
hinge without fail. It may cause injury, device failure or fire.
Do not use together with parts other than standard accessories including in
this package. Problems or damage may occur.
Do not operate in direct sunlight or harmful light. Doing so may create high
heat or damage of the device.
Do not sterilize the device. It may cause deformation or device failure.
Do not use thinner, cleaning agents, or boiled water to clean the device. It
may cause deformation or device failure.
Be sure to tighten all screws firmly. Not doing so may cause breakage or
injury.
Remove the battery when the device will not be used for long periods of time
to prevent from electrolyte leakage.
Be sure to use original Carrying case during movement or transportation. Not
doing so may cause deformation or device failure.

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1-3-2Precautions for Battery Charger and Battery
Do not allow liquid leaked from battery to come in contact with eyes. If this
occurs, flush eyes with clean water and consult a physician immediately. If
leaked liquid gets on the skin or clothing, wash off with clean water
immediately. Not doing so may cause personal injury.
Do not peel off or damage the outer battery casing. This may cause an
explosion or a fire by the electrolyte contained inside the battery.
Do not use near flammable materials such as propane gas or the gasoline
and where the air contains chemicals, fumes or particles from grain, dust or
metal powders. This may cause a fire and explosion.
Do not connect to electrical current outlet exceeding specifications. This may
cause extreme heat, start a fire, electric shock, or bodily injury.
Do not install the device in a place where difficult to plug in/out to/from the
wall outlet since the plug-out from the outlet is one of the separation methods
between the device and the battery charger.
Do not use the charger or standard accessories other than attached to this
package. It may cause fire or device failure.
Do not use the power plug with dust or foreign matter. It may cause fire.
Do not use the damaged cord. It may cause electric shock or fire.
Do not connect the cords in the starburst connection. The cords must be
surely put orderly. It may cause the destruction of the device, tumble or injury.
Do not insert any foreign materials into the gaps of device. It may cause fire
or device failure. Otherwise, it may cause the destruction of the device and/or
injury.
Do not touch the cord, outlet and the device with wet hands. It may cause
electric shock.
Unplug the power plug from outlet when the device will not be used for long
periods of time or will be cleaned. Not doing so may cause electric shock, fire
or device failure.

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Unplug the power plug from outlet immediately when water or liquid entered,
and stop using. Not doing so may result in electric shock, fire, or device
failure.
Do not touch the metal parts of the plug with any metal when plug is inserted
into an electrical outlet. This may cause an electric shock or fire.
Disconnect the power plug of Illuminator from the battery case when the
device will not be used for long periods of time to prevent from electrolyte
leakage.
1-4Labeling on Outer Package
The following label has been adhered to the packaging to assist you in proper handling of the device.
Serial Number of
Illuminator Unit
Serial Number of
Battery Pack
Environmental Conditions
for Transport and Storage
Product Name
Manufacturer’s Name
and Address
Consult Instructions
for Use
Country of Origin
WEEE Directive

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2. Checking Package Contents
Make sure to match all items in the package with the components shown below. Inspect each item
for damage. If any items are missing or damaged, do not use the device and immediately contact
your local dealer.
The Spot Illuminator NSI-III consists of the Spot Illuminator (including the Hinge, hereinafter, called
as “Illuminator”) and Battery Pack.
Before using this device for the first time, clean it according to the instructions given in this manual.
Note 1: Two types of hinge are available, one is for Titanium Frame and another is for BETA Frame
or NEO Frame. Either type of hinge has been mounted on the Illuminator as per your order.
Note 2: Provided with the NEITZ Binocular Loupe with Titanium Frame.
Note 3: Provided with the NEITZ Binocular Loupe with BETA Frame or NEO Frame.
Rechargeable
Battery Charger (1)
Spot Illuminator NSI-III (1)
Middle Switch
Clip (1)
Battery Pack (1)
Rechargeable
Battery (4)
Wiring Band (2)
Instruction Manual (1)
Hinge for Titanium
Frame (1) Note 1
Hinge for  or NEO
Frame (1) Note 1
Long type
Screw (1)Note 2
Phillips Head
Screwdriver (2) Note 3

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3. Nomenclature and Function
3-1Spot Illuminator
A SN Label: Serial Number of Illuminator
B Switch Label: Indicates the Push-Push switch
①Light Plug: Connects to the Light jack on Battery pack
②Middle Switch: Performs the same function as the Power switch of Battery pack. Press to
turn on and off (see 5-5-1 Turning Illuminator ON/OFF and 5-5-2 Setting
Illumination Brightness)
③Wiring Ring: Used to fix the Cord on the Temple
④Diaphragm Ring: Changes the illumination field diameter by turning (see 5-5-3 Adjusting
Illumination Field.
⑤Lens Barrel: Holds the LED bulb
⑥Lens: Used to converge transmitted light
⑦Hinge: Used to affix on the Loupe. Either type of hinge has been mounted to the
Illuminator as per your order.
⑧Wiring Band: Used to fix the Cord.
⑨Middle Switch Clip: Used to attach the Middle Switch on the Cord to clothing.

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3-2Battery Pack
A Manufacturer’s Logo
B Model Logo
C Battery compartment “OPEN” mark
D Serial Number of Battery pack
E WEEE Directive mark
F Consult User’s Manual
①Light Jack:
Connects to the Light plug of Illuminator.
Indicated as “OUTPUT” (see 5-4 Connecting
Illuminator to Battery Pack).
②Power Switch:
Press to turn Illuminator ON/OFF (see 5-5-1
Turning Illuminator ON/OFF).
③Light Adjustment Switch:
Selects light intensity of “High”, “Middle” or “Low” (see 5-5-2 Setting Illumination Brightness).
④Indicator for Residual Quantity Light:
Lights while illumination is ON. The color of indicator changes to demonstrate residual quantity
of light (see 5-5-2 Setting Illumination Brightness).
⑤Belt Clip:
Used to attach Battery pack to belt.
⑥Battery Compartment Lid:
Lid for battery compartment. Remove it to replace batteries.
⑦Lid Holder:
Holder of Battery compartment lid. Pull while depressing to remove.

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3-3 Battery Charger
①AA (+) Contact Surface: Contacts the + terminal of the battery.
②AA (-) Contact Surface: Contacts the - terminal of the battery.
③Charge Indicator: Lightens when charging and turns off when charging is complete.
Note: The number of Indicator lights varies with the model of the
charger provided.
④Plug: To use, swing the Plug out on the rear side of charger and plug into
AC100-240V outlet.

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4. Preparation and Inspection
This device has been designed for use with the NEITZ Binocular Loupe and NEITZ Frame.
Combinations with various Loupes and various Frames are available. If necessary, refer to the
instruction manual for the specific Loupe with Frame purchased.
Examples of Combinations with Loupe BLS-3 and Various Frames
(1) NEITZ Binocular Loupe BSL-3 with Titanium Frame
(2) NEITZ Binocular Loupe BLS-3 with BETA Frame
(3) NEITZ Binocular Loupe BLS-3 with NEO Frame
NEITZ Binocular
Loupe BSL-3
NEO Frame
Illuminator
Illuminator
NEITZ Binocular
Loupe BSL-3
BETA Frame
NEITZ Binocular
Loupe BSL-3
Illuminator
Titanium Frame

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4-1Preparation
To prepare, start with NEITZ Binocular Loupe with Frame, dry lint-free cloth, lint-free soft cloth
slightly moistened with diluted neutral detergent, and cotton swabs for cleaning.
4-2Inspection of Illuminator
Clean the surface of Illuminator in accordance with the Section "6.1 Cleaning" before inspection. If
necessary, disinfect it as well.
Confirm that there is no damage on the Illuminator including Lens, Cord, Light plug, Middle switch,
including other parts as well as the Battery pack. If any items are damaged, do not use the
Illuminator and immediately contact to your local dealer.
4-3Inspection of Battery
Confirm that the battery does not leak organic electrolyte which is contained in the battery. If
electrolyte leakage occurs, do not make contact with leakage and clean up with absorbent cloth and
move the battery away from any fire. Actions described below are required if contacted.
Eye contact: Flush the eyes with plenty of clean water for at least 15 minutes immediately,
without rubbing. Obtain medical treatment. If appropriate procedures are not
taken, eye irritation may develop.
Skin contact: Wash the contact areas off immediately with plenty of water and soap. If
appropriate procedures are not taken, injury and sever irritation to skin may
develop.
Inhalation: Move to fresh air immediately. Obtain medical treatment.
4-4Inspection of Battery Charger
Confirm that the body of the charger is not damaged and that batteries can be inserted firmly in
place without becoming loose.

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5. Operation
5-1 Charging Batteries
Note: 1) The accessory Battery Charger is able to quick charge the supplied rechargeable
battery. To achieve 2x quick charge, put 2 rechargeable batteries into both sides of
charger compartments as indicated on the front face of the charger. For a 3x quick
charge, put 1 rechargeable battery into either side of charger compartments under
“QUICK”.
2) Refer to the Product Safety Data Sheet of battery manufacturer, if necessary.
(1) Notice the + and – terminal of the rechargeable battery with the charger’s + and – contact
surface.
(2) Insert from the + terminal of battery and push in on the – terminal of it as shown in Fig.
5-1-1.
(3) Put all of batteries into the charger compartments, taking care to observe polarity (+/-) as
indicated inside the charger.
(4) Swing out the Plug on the rear side of charger and plug into AC100-240V outlet as shown
in Fig. 5-1-2.
(5) Confirm that the indication lights flash for a moment and are continuously on. Do not plug
the charging unit in upside down. If plugged in upside down, charger will finish charging
before batteries are fully charged.
(6) When charging is complete, the indicator lights will turn off.
Note: Fully charge time for 4 pcs. is approx. 4 hours.
(7) After charging is done, unplug the charger from the outlet and swing the plug back into
place.
(8) Take the batteries out from the charger compartments to be used in the Battery pack.
Fig. 5-1-1
Fig. 5-1-2
Plug
AC Outlet

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5-2 Mounting Illuminator on Frame
Since mounting methods vary by frame types, make sure of the type to be used and follow the
procedure as described below as well as referring to the instruction manual of the Binocular Loupe
used.
5-2-1Mounting Illuminator on Titanium Frame
(1) Remove the large screw and the washer that fix the Loupe to the Frame in the center
(shown in Fig. 5-2-1).
Note: The removed washer shall be reused when the Illuminator will be mounted onto the
Frame, do not throw away.
(2) Affix the hinge on the Illuminator to both the Frame and Loupe together by using the Long
type screw provided with the Frame and the washer removed in the above step (1). In case
of using the Illuminator closer to the Loupe (underneath of the Loupe), tighten the screw
with the washer as shown in Fig. 5-2-2.
Fig. 5-2-2
Long type Screw
Washer
Large Screw Large Screw
Washer
Fig. 5-2-1

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(3) You may mount the illuminator above the Loupe if the Illuminator obstructs user’s view
or if user adjusts the Pupillary Distance to a narrow distance. In this case, affix the
hinge on the Illuminator to the both Frame and Loupe together as shown in Fig. 5-2-3.
(4) Loosely attach the Cord of Illuminator along the left temple (bow) not so as to become stiff
by using the supplied Wiring band as shown in Fig. 5-2-4 in order to allow the Illuminator to
move up and down (vertically) and right and left (horizontally). Handle the Cord with care.
Never pull it hard nor bend it sharply.
(5) After mounting the Illuminator and adjusting the Loupe, adjust the positions of Illuminator
and Loupe, by changing the angle of the Illuminator up and down and/or right and left
when the Illuminator is turned on.
Fig. 5-2-4
Cord
Wiring Band
Fig. 5-2-3
Long type Screw
Washer

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5-2-2 Mounting Illuminator on BETA Frame
(1) Loosen two screws mounted on the hinge of Illuminator, shown in Fig. 5-2-5,
approximately 3mm. Do not remove them from the hinge.
(2) Put the hinge of Illuminator onto the hinge of the Loupe and firmly tighten the loosened two
screws.
(3) For wiring the Cord of Illuminator, if a frame strap is previously attached, remove it
temporarily.
(4) Insert the Wiring ring from end of the left temple (bow) and fix it as shown in Fig. 5-2-6.
Loosely attach the Cord along the left temple (bow) so as to allow the Illuminator to move
up and down (vertically) and right and left (horizontally). If necessary to fix the Cord more,
add the Wiring ring or the Wring band(s) onto the strap as shown in Fig. 5-2-6. Handle the
Cord with care. Never pull it hard nor bend it sharply.
(5) Be sure that the Illuminator can move up and down (vertically) and right and left
(horizontally) freely and smoothly without any tension.
(6) Replace the removed strap to the frame.
(7) After mounting the Illuminator and adjusting the Loupe, adjust the positions of Illuminator
and Loupe, by changing the angle of the Illuminator up and down and/or right and left while
turning the Illuminator on.
Cord
Wiring Band
Fig. 5-2-5
Hinge on
Loupe
Illuminator
Loupe
Two Screws on Hinge
of Illuminator
Fig. 5-2-6
Wiring Ring

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5-2-3 Mounting Illuminator on NEO Frame
(1) Loosen two screws mounted on the hinge of Illuminator, shown in Fig. 5-2-7,
approximately 3mm. Do not remove them from the hinge.
(2) Put the hinge of Illuminator onto the hinge of the Loupe and firmly tighten the loosened two
screws.
(3) For wiring the Cord of Illuminator, if a frame strap is previously attached, remove it
temporarily.
(4) Pull the Forehead Cushion out of the center as shown in Fig. 5-2-8 to remove it. Set the
Cord inside of the Forehead cushion as shown in Fig. 5-2-9, then put back the cushion
again. Loosely set the Cord, so that the Illuminator can move up and down (vertically) and
right and left (horizontally) freely and smoothly without any tension.
Hinge on
Loupe
Illuminator
Two Screws on Hinge
of Illuminator
Loupe
Fig. 5-2-7
Set Cord inside of
Forehead Cushion
Pull the Forehead
Cushion out of the center.
Fig. 5-2-8
Fig. 5-2-9
Forehead Cushion
Cord

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(5) Pass the Cord through the Cord guide in two places and fix with the Wiring ring at the
position shown in Fig. 5-2-10. Handle the Cord with care. Never pull it hard or bend it
sharply. If necessary to fix the Cord more, add the Wiring ring or the Wring band(s).
(6) Be sure that the Illuminator can move up and down (vertically) and right and left
(horizontally) freely and smoothly without any tension.
(7) Replace the removed strap to the frame.
(8) After mounting the Illuminator and adjusting the Loupe, adjust the positions of Illuminator
and Loupe, by changing the angle of the Illuminator up and down and/or right and left while
turning the Illuminator on.
Cord Guide
Wiring Ring
Fig. 5-2-10