Reichert XCEL 455 User manual

XCEL®455
Slit Lamp
User’s Guide

©2014 AMETEK, Inc.
Reichert, Reichert Technologies, and Xcel are registered trademarks of Reichert, Inc.
AMETEK is a registered trademark of AMETEK, Inc.
All other trademarks are property of their respective owners.
The information contained in this document was accurate at time of publication. Specifications subject to change without notice. Reichert, Inc.
reserves the right to make changes in the product described in this manual without notice and without incorporating those changes in any products
already sold.
ISO 9001/13485 Certified – Reichert products are designed and manufactured under quality processes meeting ISO 9001/13485 requirements.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical,
recording, or otherwise, without the prior written permission of Reichert, Inc.
Caution: Federal law restricts this device to sale by or on the order of a Physician or Practitioner.

3
15140-101 Rev. C
Warnings and Cautions ................................................................................... 4
Symbol Information.......................................................................................... 6
Introduction...................................................................................................... 7
Indications for Use..................................................................................... 7
Contraindications....................................................................................... 7
Features & Functions ...................................................................................... 8
Parts Identication ..................................................................................... 8
Xcel 455 Package Contents ...................................................................... 8
Accessories ............................................................................................... 8
Setup ............................................................................................................ 9
Unpacking & Installation ............................................................................ 9
Application of Input Power....................................................................... 11
Disconnection of Input Power.................................................................. 11
Instructions for Use........................................................................................ 12
Operation................................................................................................. 12
Adjusting Slit Length ........................................................................... 13
Filters.................................................................................................. 13
Slit Rotation ........................................................................................ 14
Illumination Inclination ........................................................................ 14
Slit Centration ..................................................................................... 14
Cleaning & Maintenance ............................................................................... 15
Cleaning................................................................................................... 15
External Cleaning ............................................................................... 15
Forehead/Chinrest Cleaning & Disinfection........................................ 15
Cleaning the Glide Plate..................................................................... 15
Mirror Cleaning / Replacement........................................................... 15
Changing the Halogen Lamp................................................................... 16
Fuse Replacement................................................................................... 17
Troubleshooting ............................................................................................. 18
Chart of Common Errors.......................................................................... 18
Specications ................................................................................................ 19
Physical Dimensions................................................................................ 19
Electrical .................................................................................................. 19
Operational Conditions ............................................................................ 19
Optics....................................................................................................... 19
Movement Ranges................................................................................... 20
Compliance.............................................................................................. 20
Device Classication................................................................................ 20
Disposal................................................................................................... 20
Software Revision.................................................................................... 20
Guidance Tables............................................................................................ 21
Warranty ........................................................................................................ 25
Table of Contents

4 15140-101 Rev. C
Warnings & Cautions
Reichert Technologies®(Reichert) is not responsible for the safety and reliability of this instrument when:
• Assembly, disassembly, repair, or modication is made by unauthorized dealers or persons.
• Instrument is not used in accordance with this User’s Guide.
WARNING: AN INSTRUCTION THAT DRAWS ATTENTION TO RISK OF INJURY OR DEATH.
WARNING: UNITED STATES FEDERAL LAW AND EUROPEAN REGULATIONS REQUIRE THAT THIS
DEVICE BE PURCHASED ONLY BY A PHYSICIAN OR A PERSON ACTING ON BEHALF OF A PHYSICIAN.
WARNING: THIS INSTRUMENT SHOULD BE USED IN STRICT ACCORDANCE WITH THE
INSTRUCTIONS OUTLINED IN THIS USER’S GUIDE. THE SAFETY OF THE OPERATOR AND THE
PERFORMANCE OF THE INSTRUMENT CANNOT BE GUARANTEED IF USED IN A MANNER NOT
SPECIFIED BY REICHERT TECHNOLOGIES.
WARNING: DO NOT REPAIR OR SERVICE THIS INSTRUMENT WITHOUT AUTHORIZATION FROM
THE MANUFACTURER. ANY REPAIR OR SERVICE TO THIS INSTRUMENT MUST BE PERFORMED BY
EXPERIENCED PERSONNEL OR DEALERS WHO ARE TRAINED BY REICHERT OR SERIOUS INJURY
TO THE OPERATOR OR PATIENT MAY OCCUR.
WARNING: MODIFICATIONS TO THIS INSTRUMENT ARE NOT ALLOWED. ANY MODIFICATION TO
THIS UNIT MUST BE AUTHORIZED BY REICHERT OR SERIOUS INJURY TO THE OPERATOR OR
PATIENT MAY OCCUR.
WARNING: IF THIS INSTRUMENT IS MODIFIED, APPROPRIATE INSPECTION AND TESTING MUST BE
CONDUCTED TO ENSURE CONTINUED SAFE USE OF THIS INSTRUMENT.
WARNING: TO AVOID RISK OF ELECTRIC SHOCK, THIS EQUIPMENT MUST ONLY BE CONNECTED TO
A SUPPLY MAINS WITH PROTECTIVE EARTH OR DAMAGE TO THIS INSTRUMENT AND/OR INJURY TO
THE OPERATOR OR PATIENT MAY OCCUR.
WARNING: ENSURE THAT THE VOLTAGE APPLIED TO THE UNIT IS THE SAME AS THE VOLTAGE THAT
IS INDICATED ON THE DATA PLATE OR DAMAGE TO THE UNIT MAY OCCUR.
WARNING: THIS INSTRUMENT MUST BE PLUGGED INTO AN OUTLET WITH AN EARTH GROUND. DO
NOT REMOVE OR DEFEAT THE EARTH GROUND CONNECTION ON POWER INPUT CONNECTOR
OR THE UNIT’S POWER CORD OF THIS INSTRUMENT OR DAMAGE TO IT AND/OR INJURY TO THE
OPERATOR OR PATIENT MAY OCCUR.
WARNING: THE EQUIPMENT OR SYSTEM SHOULD NOT BE USED ADJACENT TO OR STACKED WITH
OTHER EQUIPMENT AND THAT IF ADJACENT OR STACKED USE IS NECESSARY, THE EQUIPMENT
OR SYSTEM SHOULD BE OBSERVED TO VERIFY NORMAL OPERATION IN THE CONFIGURATION IN
WHICH IT WILL BE USED.
WARNING: THIS INSTRUMENT IS NOT SUITABLE FOR USE IN THE PRESENCE OF FLAMMABLE
ANESTHETIC MIXTURES, SUCH AS OXYGEN OR NITROUS OXIDE.
WARNING: 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 SHOULD BE USED WITH THE
INTEGRATED FILTERS WHICH PROTECT AGAINST UV RADIATION.
WARNING: THE USE OF ACCESSORIES OR CABLES OTHER THAN THOSE SPECIFIED, WITH THE
EXCEPTION OF THOSE SOLD BY THE MANUFACTURER AS REPLACEMENT PARTS FOR THE
INTERNAL COMPONENTS, MAY RESULT IN INCREASED EMISSIONS OR DECREASED IMMUNITY OF
THE EQUIPMENT OR SYSTEM.

5
15140-101 Rev. C
CAUTION: AN INSTRUCTION THAT DRAWS ATTENTION TO THE RISK OF DAMAGE TO THE PRODUCT.
CAUTION: THE INTERNAL CIRCUITRY OF THE INSTRUMENT CONTAINS ELECTROSTATIC DISCHARGE
SENSITIVE DEVICES (ESD) THAT MAY BE SENSITIVE TO STATIC CHARGES PRODUCED BY THE HUMAN
BODY. DO NOT REMOVE THE COVERS WITHOUT TAKING PROPER ESD PRECAUTIONS.
CAUTION: DO NOT USE SOLVENTS OR STRONG CLEANING SOLUTIONS ON ANY PART OF THIS
INSTRUMENT AS DAMAGE TO THE UNIT MAY OCCUR. SEE MAINTENANCE SECTION FOR DETAILED
CLEANING INSTRUCTION.
CAUTION: MEDICAL ELECTRONIC EQUIPMENT NEEDS SPECIAL PRECAUTIONS REGARDING EMC AND
NEEDS TO BE INSTALLED AND PUT INTO SERVICE ACCORDING TO THE EMC INFORMATION PROVIDED
IN THE ACCOMPANYING DOCUMENTS.
CAUTION: PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT CAN AFFECT MEDICAL
ELECTRICAL EQUIPMENT.
CAUTION: THIS INSTRUMENT IS NOT TO BE USED NEAR HIGH-FREQUENCY EMITTING SURGICAL
EQUIPMENT.
CAUTION: THIS INSTRUMENT IS NOT INTENDED TO BE CONNECTED TO EQUIPMENT OUTSIDE THE
CONTROL OF REICHERT TECHNOLOGIES OR MUST BE TESTED TO AN APPLICABLE IEC OR ISO
STANDARDS.
CAUTION: THE LIGHT EMITTED FROM THIS INSTRUMENT IS POTENTIALLY HAZARDOUS. THE LONGER
THE DURATION OF EXPOSURE, THE GREATER THE RISK OF OCULAR DAMAGE. EXPOSURE TO LIGHT
FROM THIS INSTRUMENT WHEN OPERATED AT MAXIMUM INTENSITY WILL EXCEED THE SAFETY
GUIDELINE AFTER 9.5 MINUTES.
Warnings & Cautions (continued)

6 15140-101 Rev. C
Symbol Information
Symbol Information
The following symbols appear on the instrument:
Caution symbol indicating important operating and maintenance
instructions that are included in this User’s Guide
Type B Applied Part
Accompanying Documents must be consulted
Alternating Current Power
Protective Earth Connection
ON / OFF
2014
Date of Manufacture
REF Catalog Number
S/N Serial Number
Waste of Electrical and Electronic Equipment
Compliance to Medical Device Directive 93/42/EEC
36FS
Underwriter's Laboratories has independently evaluated this device
using selected tests from US and Canadian versions of IEC 60601-1
standard, and assigned a control number
Authorized Representative in European Community
Fragile Contents in Shipping Container - handle with care
Keep Dry - Package shall be kept away from rain
This Way Up - Indicates correct upright position of package

7
15140-101 Rev. C
Introduction
Congratulations on the purchase of your new Xcel®455 Slit Lamp from Reichert Technologies®.
This user’s guide is designed as a training and reference manual for the operation and maintenance
of the instrument. We recommend that you read it carefully prior to use and follow the instructions to
ensure optimum performance of your new instrument. Properly trained eyecare professionals such as
ophthalmologists, optometrists, opticians and eye care technicians should operate this instrument.
Please retain this manual for future reference and to share with other users. Additional copies can be
obtained from your authorized Reichert®distributor or from the Reichert customer service department at:
Tel: [phone]
Fax: [phone]
Email: [email protected]
Indications for use
The Xcel 455 Slit Lamp is an AC-powered slit lamp biomicroscope that is intended for use in examining the
anterior eye segment, from the corneal epithelium to the posterior capsule. It is used to aid in the diagnosis
of diseases or trauma, which affect the structural properties of the anterior segment of the eye.
Contraindications
None.
Phototoxicity Information
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 should be used with filters that eliminate UV
radiation (< 400 nm) and, whenever possible, filters that eliminate short-wavelength blue light (< 420 nm).
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.
While no acute optical radiation hazards have been identified for slit lamps, 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,
aphakes and persons with diseased eyes will be at greater risk. The risk may also be increased if the person
being examined has had any exposure with the same 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.

8 15140-101 Rev. C
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7
Features and Functions
Parts Identication
1. On/Off Switch
2. Illumination Level Control
3. Glide Plate
4. Joystick for horizontal and vertical adjustment
5. Microscope Arm Lock-Knob
6. Slit Width Knob
7. Inclination Latch Release
8. Centering Knob
9. Breath Shield Mount
10. Eyepieces
11. Focusing Rings
12. Magnification Dial
13. Lamp Housing Cover
14. Fixation Light
15. Filter Lever
16. Slit Rotation/Length Knob
17. Slit Rotation Scale
18. Microscope Lock Knob
19. Illumination Arm Lock Knob
20. Instrument Base Lock Knob
21. Guide Rail Covers
Xcel 455 Package Contents
• Xcel 455 Slit Lamp (15140)
• User's Guide (15140-101)
Accessories
• Focusing Rod (P/N 15120-226)
• Hex Wrench (3mm) (P/N X54264)
• Hex Wrench (4mm) (P/N X54248)
• Hex Wrench (5mm) (P/N X54398)
• Dust Cover (P/N 15140-004)
• Halogen Lamp, Main (P/N 15121)
• Guide Rail Covers (P/N 15120-031)
• Replacement Fuses (P/N RFAG20063)
• Chin Rest Paper - 1 pack (P/N 15120-051)
• Power Cord (P/N 15120-036)

9
15140-101 Rev. C
Setup
Unpacking and Installation
1. Open the outside shipping box and remove the
four (4) inner boxes.
2. Remove the User's Guide and read it.
3. Open the box with the Table Top and Electronics
in it. Refer to Figure SU-1.
4. Remove the Table Top from the box and install
the Table Top onto the instrument stand and
secure it into place as indicated in the user guide
for the stand.
5. Open the box with the Chin Rest Assembly and
remove it. Refer to Figure SU-2.
6. Open the box with the Microscope Assembly.
Remove the Microscope Assembly, Base
Assembly, and Accessories. Refer to Figure SU-3.
7. Remove the accessories and store them in an
appropriate place so that when they are needed
they will be available. Refer to Figure SU-4.
8. Using the 3mm Hex Wrench, connect the
Ground Wire from the Power Supply to the Chin
Rest Assembly using the Ground Screw provided
(torque to 7.8 N•m). Refer to Figure SU-5.
9. Using the 5mm Hex Wrench, remove the two
Screws from the bottom of the Table Top and
attach the Chin Rest Assembly to the Table Top
using these Screws. Refer to Figure SU-6.
Figure SU-3 Microscope, Base, Accessories
Base
Microscope
Accessories
Figure SU-5 Chin Rest Ground
Ground
Screw
Ground Wire
Figure SU-1 Table Top and Electronics
Figure SU-2 Chin Rest Assembly
Figure SU-4 Accessories
Wrenches
Power
Cord
Guide Rails Replacement
Lamp
Chin Paper
Dust
Cover
Focusing
Rod
Figure SU-6 Table Top Screws
Screws

10 15140-101 Rev. C
Setup (continued)
Unpacking and Installation (continued)
10. Using the 4mm Hex Wrench, adjust the Patient
Handles by loosening the Screws that are
securing them to the Chinrest Posts. Slide
the Patient Handles up or down to the desired
height, and secure them in place by tightening
the Allen Cap Screws. Refer to Figure SU-7.
11. Attach the Fixation Light Wire from the Chin Rest
Assembly into the connector on the back of the
Power Supply Assembly. Refer to Figure SU-8.
12. Open the box with the Illumination Assembly and
remove it. Refer to Figure SU-9.
13. Using the 5mm Hex Wrench, remove the Screw on
the bottom of the Illumination Assembly and Arm.
Note: The Illumination Assembly and Arm are con-
nected as one piece.
14. Mount the Illumination Assembly and Arm onto the
Base Assembly and secure it with the Screw using
the 5mm Hex Wrench. Refer to Figure SU-10.
Note: There is a Notch in the Base Assembly, and
a Slot in the Illumination Assembly. Align the
Illumination Assembly and Arm so the Notch
goes into the Slot. If the Notch is not aligned
properly, the Slit Lamp will not sit ush, and
won’t be aligned properly. Refer to Figure
SU-11.
-continued-
Figure SU-10 Screw
Screw
Base
Assembly
Arm Illumination
Assembly
Figure SU-7 Adjusting Patient Handle Height
Screws
Move
Handles Up
or Down
Figure SU-8 Connections
Fixation
Light Wire
Base
Lamp
Wire
Figure SU-9 Illumination Assembly
Figure SU-11 Line Up Notch
Illumination
Assembly
and
Arm
Base
Slot
Notch