VRmagic Eyesi Installation guide

Platform 2.11
Eyesi Surgical Simulator
Installation and Operating Guide

Eyesi Surgical Simulator – Installation and Operating Guide
Original instructions
Document version: 3.7
Date of issue: March 20, 2020
Applicable to: Eyesi Surgical Simulator platform 2.11
Subject to change without notice. Errors excepted.
This document is protected by copyright. All rights reserved. No part of this
document may be reproduced or transmitted for any purpose in any form or by
any means, electronically or mechanically, without express written permission by
VRmagic.
Eyesi®is a registered trademark of VRmagic GmbH. BIOM®and SDI®are registered
trademarks of OCULUS Optikgeräte GmbH.
If you have any questions regarding the use of the device that are not answered in
the product documentation, please contact
VRmagic GmbH
Turley-Str. 20
68167 Mannheim
Germany
Tel. [phone]
Fax [phone]
[e-mail]
www.vrmagic.com
In case of a service request please visit service.vrmagic.com
or send an e-mail to [e-mail].

Table of Contents
1 General Information .......................................................................... 6
1.1 Further Documentation ................................................................................... 6
1.2 Symbols........................................................................................................... 6
1.3 Transfer of Ownership..................................................................................... 7
2 Safety .................................................................................................. 8
2.1 Intended Use and Improper Use ..................................................................... 8
2.2 Conformity ...................................................................................................... 8
2.3 Identification.................................................................................................... 8
2.4 Emissions ........................................................................................................ 8
2.5 General Product Safety ................................................................................... 9
2.6 Transport and Unpacking................................................................................. 9
2.7 Installation Location and Ventilation ................................................................ 9
2.8 Assembly and Connection to a Power Supply .............................................. 10
2.9 Operation....................................................................................................... 11
2.10 Disassembly, Transport, and Storage............................................................ 12
2.11 Care, Maintenance, and Disposal.................................................................. 13
3 Unpacking and Product Overview................................................. 15
3.1 Transport and Unpacking............................................................................... 15
3.2 Scope of Delivery .......................................................................................... 16
3.3 Simulator Components.................................................................................. 17
4 Installation........................................................................................ 18
4.1 Installation Location....................................................................................... 18
4.2 Assembling the Support Feet and Lifting Column ........................................ 19
4.3 Installing the Operating Table........................................................................ 19
4.4 Installing the Simulator PC ............................................................................ 21
4.5 Attaching the Monitor Arm ........................................................................... 23
4.6 Attaching and Connecting the Touch Screen ................................................ 24
4.7 Installing the Stereo Microscope................................................................... 26
4.8 Attaching the Microscope Eyepieces............................................................ 27
4.9 Installing the Optional BIOM ......................................................................... 28
4.10 Checking the Voltage Settings
(applies only to lifting columns of type TES2) ............................................... 30
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Eyesi Surgical Simulator – Installation and Operating Guide

4.11 Adjusting the Voltage Settings
(applies only to lifting columns of type TES2) ............................................... 31
4.12 Placing the Simulator in its Final Location ..................................................... 32
4.13 Connecting to Power..................................................................................... 33
4.14 Connecting the Foot Pedals .......................................................................... 33
4.15 Connecting the Surgical Interface Head........................................................ 34
4.16 Connecting and Disconnecting the Handpieces ........................................... 35
4.17 Connecting an Additional Monitor or Projector ............................................. 37
5 Operation.......................................................................................... 38
5.1 Connections and Interfaces........................................................................... 38
5.2 Switching the Simulator On........................................................................... 38
5.3 Switching the Simulator Off .......................................................................... 39
5.4 Adjusting the Height of the Operating Table ................................................. 41
5.5 Adjusting the Stereo Microscope.................................................................. 42
5.6 Activating the BIOM for Vitreoretinal Training ...............................................43
5.7 Deactivating the BIOM for Cataract Training................................................. 45
5.8 Working with the Touch Screen .................................................................... 45
5.9 Using the Handpieces and the Surgical Interface Heads .............................. 47
5.10 Using the Foot Pedals ................................................................................... 48
6 Disassembly, Storage, and Transport ........................................... 49
6.1 Disassembly .................................................................................................. 49
6.1.1 Handpieces and Foot Pedals ...........................................................................50
6.1.2 BIOM ...............................................................................................................50
6.1.3 Microscope Eyepieces.....................................................................................50
6.1.4 Stereo Microscope .......................................................................................... 51
6.1.5 Touch Screen ................................................................................................... 51
6.1.6 Monitor Arm .................................................................................................... 51
6.1.7 Power Connection ...........................................................................................52
6.1.8 Simulator PC ....................................................................................................53
6.1.9 Operating Table................................................................................................53
6.1.10 Lifting Column and Support Feet ....................................................................53
6.2 Storage .......................................................................................................... 54
6.3 Transport ....................................................................................................... 54
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Eyesi Surgical Simulator – Installation and Operating Guide

7 Cleaning, Maintenance, and Disposal ........................................... 55
7.1 Cleaning Instructions..................................................................................... 55
7.2 Maintenance.................................................................................................. 55
7.3 Spare Parts.................................................................................................... 56
7.4 Replacing Fuses ............................................................................................ 56
7.5 Disposal......................................................................................................... 58
8 Troubleshooting and Service ......................................................... 59
8.1 System Checklist........................................................................................... 59
8.2 Troubleshooting............................................................................................. 62
8.3 Service and Support......................................................................................64
8.4 Repairs .......................................................................................................... 65
9 Technical Data.................................................................................. 66
10 Appendix – Packing Guide.............................................................. 67
10.1 Cardboard Boxes ........................................................................................... 67
10.2 Plastic Transport Containers.......................................................................... 73
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Eyesi Surgical Simulator – Installation and Operating Guide

1 General Information
This guide describes the assembly, disassembly, and basic operation of the Eyesi
Surgical Simulator, as far as relevant for the safe and error-free operation of the
product. This guide does not describe the simulator software or any issues related
to the software.
1.1 Further Documentation
Â For information on the administrator interface, please refer to the separate
administrator guide.
Â For information on training on the simulator as a regular trainee, please refer to
the separate user guide.
Â For a description of the pre-installed Eyesi Courseware, please refer to the
separate courseware guide for educators.
1.2 Symbols
DANGER
Indicates a hazardous situation which, if not avoided, will result in death or seri-
ous injury.
WARNING
Indicates a hazardous situation which, if not avoided, could result in death or
serious injury.
CAUTION
Indicates a hazardous situation which, if not avoided, could result in minor or
moderate injury.
NOTICE
Indicates practices not related to personal injury, but possibly related to prop-
erty damage, malfunction, or data loss.
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General Information

Info
Provides helpful information related to the current topic.
1. This number indicates the first step of a certain procedure you are expected to
follow. Following steps are numbered accordingly.
▷This arrow indicates an expected result of your action.
Â This symbol indicates a cross reference to related information.
1.3 Transfer of Ownership
Always keep this operating guide in the vicinity of the simulator.
When the simulator is transferred to another party, make sure that this operat-
ing guide is transferred with it. Never transfer single components or parts of the
simulator.
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General Information
Eyesi Surgical Simulator – Installation and Operating Guide

2 Safety
2.1 Intended Use and Improper Use
The Eyesi Surgical Simulator is a virtual reality training simulator for eye surgery.
Eyesi Surgical can be used to train vitreoretinal and cataract surgery. Eyesi Surgical
is designed to train techniques, procedures and manual capabilities in preparation
for surgery on the human eye. Training with the surgery simulator supplements the
educational process. It is not a substitute for comprehensive training under medi-
cal guidance, and without further training does not qualify users to perform actual
surgery or to medically treat humans.
Medical or any other application than specified in the product documentation is
prohibited. Application of any of the simulator parts on humans or animals and ap-
plication of the device in an operating room are prohibited. If the equipment is used
in a manner not specified by VRmagic, the protection provided by the equipment
may be impaired.
No patient data is used or stored on the device. No part of the device has contact
with patients. The device does not make use of disposable pieces which have to be
replaced. There are no infection control issues related to this device.
2.2 Conformity
The device has been tested and complies with applicable directives and standards.
The corresponding declarations of conformity and test reports are available on
request.
2.3 Identification
The model identifier, serial number, and, if applicable, CE/FCC markings can be
found on the identification plate at the back of the simulator PC. Have model identi-
fier and serial number at hand when contacting a service provider or when ordering
replacement parts.
2.4 Emissions
Electromagnetic Interference
If this equipment does cause harmful interference to radio or television reception,
which can be determined by turning the equipment off and on, the user is encour-
aged to try to correct the interference by one or more of the following measures:
Eyesi Surgical Simulator – Installation and Operating Guide
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Safety

• Reorient or relocate the receiving antenna.
• Increase the separation between the equipment and receiver.
• Connect the equipment into an outlet on a circuit different from that to which
the receiver is connected.
2.5 General Product Safety
Use and handle the simulator only in accordance with the instructions and informa-
tion in the provided guides. Any other use can lead to personal injury, material dam-
age or damage to the simulator. Only use the simulator if all components are in a
faultless condition.
Assembly, commissioning, maintenance and operation may only be carried out by
personnel who have read and understood this manual.
2.6 Transport and Unpacking
The shipping boxes are heavy. Trying to move or to lift the shipping boxes on your
own could cause injury or damage to the simulator. The shipping boxes should be
carried by two people only.
After transport, do not throw away the original packaging (shipping boxes and pack-
aging material). The original packaging is the safest way to transport the simulator.
After unpacking everything, place all packing materials back into their respective
transport boxes for future use.
2.7 Installation Location and Ventilation
The simulator is designed for indoor use only. Select a setup location that complies
with the ambient conditions specified in the technical data. Make sure that the simu-
lator is not exposed to extreme temperatures or humidity. Never set up and operate
the simulator close to highly inflammable gases.
The simulator PC generates heat during operation. Overheating can cause tempo-
rary malfunction or permanent damage to the simulator. To avoid overheating:
• Make sure that the operating environment is well ventilated.
• Do not block the air vents of the simulator PC.
• Do not allow dust to build up on the air vents.
• Set up the simulator PC at least 10 cm (4”) away from walls or other objects
which may block ventilation.
• Do not place the simulator PC on a carpet or rug with long fibers.
• Do not place the simulator PC in a narrow or cramped space.
• Do not cover the simulator PC during operation.
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Safety
Eyesi Surgical Simulator – Installation and Operating Guide

2.8 Assembly and Connection to a Power Supply
The simulator must be set up according to relevant electrical regulations. Assemble
and connect the device in accordance to the electrical and mechanical requirements
specified in the provided guides. Assemble the device in the way and order de-
scribed in the provided guides.
Assembly
The simulator is heavy. Trying to move or to lift the simulator on your own could
cause injury or damage to the simulator. The simulator should be carried by two
people only.
Condensed moisture from the air might cause damage to the simulator. If the simu-
lator components are very cold from transporting, let them warm up at room tem-
perature before assembly and operation. Only switch on the simulator if the simula-
tor and room temperature are between 10–30 °C (50–86 °F).
The weight of the lifting column cannot be carried by the support feet alone; it must
not be „floating“ over the floor. After adjusting the leveling feet, verify that the lifting
column is in complete contact with the floor.
The touch screen is not screwed onto the monitor arm and is not secured against
removal. This may cause it to fall down, e.g. when connecting the cables. Make sure
to hold the touch screen whenever necessary during the remaining assembly steps
so that it cannot fall down or otherwise become damaged. Make sure that the moni-
tor arm has been securely mounted to the mounting receptacle before attaching the
touch screen (Âsection4.5 on page23).
Assembly of the optional BIOM®
The BIOM has movable parts that could lead to contusions, especially when pivot-
ing the BIOM into the optical axis of the microscope. When adjusting the BIOM, be
careful not to pinch your fingers between moving parts.
Connection to a power supply
When setting up the simulator, follow the instructions of other devices you are con-
necting to it (e.g. storage devices). Those instructions may contain important safety
measures and information regarding permitted application of the devices.
The device can be connected to different power supply voltages. If the device’s
voltage setting does not match the power supply voltage in your country, this may
cause damage to the device. Only connect the simulator to a grounded power outlet
that delivers the required voltage. Normally, the device is delivered with the cor-
rect voltage setting of your country. Before connecting the simulator to a power
source, check if the voltage setting matches the power supply voltage in your coun-
try (Âsection4.10 on page30).
Trying to change the voltage setting while the simulator is connected to a power
source, may lead to injury or death through electrical shock. Always disconnect the
simulator from the power source before changing the voltage setting.
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Safety

This product must be connected to a 15 A branch circuit only. Only use the supplied
power cable to connect the simulator to the mains power supply. If the supplied
power cable is damaged, contact VRmagic to order a new one.
2.9 Operation
Simulator
Only switch on the simulator if the simulator temperature and the room temperature
range between 10–30 °C (50–86 °F).
The power inlet of the simulator is located at the base of the lifting column near the
floor. Make sure that water never comes into contact with the power inlet. Advise
cleaning personnel to be especially careful while wet mopping the floor near the
simulator. It has to be made sure that the floor is not left even slightly wet near the
power inlet. Otherwise electric shock hazard or device damage may occur.
Remove the power plug immediately if liquid enters any part of the enclosure. In
this case, the equipment needs to be checked by VRmagic or an authorized service
technician.
When opening the housing of any of the simulator components while the system
is connected to power, there is the risk of death or serious injury through electrical
shock. Further, the simulator might get damaged and the warranty will be voided.
Never attempt to open the housing of any of the components.
Do not place objects on the simulator PC.
In the event of failure, or if safe operation of the simulator or any device connected
to it cannot be assured, the simulator must be taken out of operation and must be
secured against unintentional activation or use. Disconnect the power plug from
the power source immediately. Ask VRmagic or an authorized service technician to
check the device.
Safe operation is not assured
• if the voltage requirements of the simulator do not match the power supply
voltage.
• if any part of the simulator or a cable is visibly damaged.
• if the simulator is not operating properly.
• if the simulator has been exposed to rain or other wet conditions.
• if liquid or objects have entered any part of the simulator.
• after storage under adverse conditions.
• after heavy strain in transporting the device.
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Eyesi Surgical Simulator – Installation and Operating Guide

Handpieces
Always handle the handpieces with great care. Never use them on humans and
never introduce them into orifices. Never use the handpieces as tools. Never intro-
duce them into openings of the simulator enclosure or into other devices.
The handpieces are delicate and may break if they fall down. Use the handpieces
with care and always store the handpieces in the provided box when they are not
in use.
Operating table
Contusions or other injuries may occur if body parts get caught between the moving
parts of the simulator table and neighboring objects while adjusting the table height.
As far as possible, keep hands, fingers, and other body parts away from the lifting
column, simulator PC, and other moving parts while adjusting the table height. Keep
a safety distance of the simulator to neighboring objects of minimum 15 cm (6”).
Do not place any objects on the operating table apart from the surgical interface
heads and the supplied handpieces. Especially heavy objects may exceed the op-
erating table’s load bearing capacity. Never lean against or sit on any part of the
simulator.
Touch screen
The screen’s touch-sensitive surface might be damaged by wrong handling. Never
touch the screen with hard or sharp-edged objects (e.g. a ball-point pen). Do not
press hard on the screen. Only tap the screen with your fingers using slight pressure.
Surgical interface head
Highly sensitive electronics are located under the mechanical eye that may get se-
verely damaged if touched. Never touch the internal parts of the surgical interface
head. Under no circumstances allow objects or liquids to enter the surgical interface
heads.
2.10 Disassembly, Transport, and Storage
Disassembly
Before starting to disassemble the simulator, switch off the simulator. Also discon-
nect the simulator from power.
The four screws underneath the mounting receptacle of the monitor arm cannot be
fully unscrewed. This secures the mounting receptacle against full disassembly so
that the monitor arm cannot fall down. Trying to fully unscrew the four screws un-
derneath the mounting receptacle will damage the receptacle. Only slightly loosen
the screws (approx. one full revolution). This should be sufficient to pull out the
monitor arm.
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Safety

The power plug of the touch screen, which is connected to the simulator PC, has a
locking mechanism that prevents the plug from being unplugged accidentally. With-
out unlocking the plug, you may cause damage to the plug or the connector of the
simulator PC. When unplugging the power plug, hold the power plug on the rippled
part of the plug housing.
If the bayonet lock of the microscope is opened, the eyepieces can fall off and
cause injury or get damaged. When opening the bayonet lock make sure to hold
the eyepieces firmly so they cannot fall down.
Transport
Transport the simulator in the original transport boxes in which it was delivered.
The packaged simulator is heavy. Trying to move or to lift the simulator on your own
could cause injury or damage to the simulator. The shipping boxes should be trans-
ported with a pallet truck only. Always place the transport boxes on a level, stable
surface that can securely bear the total weight. Make sure that the transport boxes
cannot fall.
Storage
Observe the storage conditions for the simulator (Â section 9 on page 66). We
recommend storing the simulator in its original transport boxes.
Make sure that the storage location is dust-protected and dry. If the simulator is not
in use for a longer time, we recommend covering the simulator hardware to protect
it from dust. Do not store other objects on top of the simulator and ensure that no
other objects can fall onto the simulator.
2.11 Care, Maintenance, and Disposal
Care
If water enters any of the simulator components, there is the risk of death or serious
injury through electrical shock. Further, the simulator might get damaged through
short circuits and resulting heat. Make sure that water does not enter any of the
simulator components. Disconnect all simulator components from power before
attempting to clean them with a damp cloth. Make sure that the simulator does not
get wet while cleaning surrounding areas (e.g. while wet mopping the floor).
Maintenance
Never attempt to make any repairs, manipulations or alterations of any nature to the
simulator. Never open the housings of the simulator components. Doing otherwise
may lead to personal injury and voids the warranty.
If you attempt to change the fuses while the simulator is connected to power, there
is the risk of death or serious injury through electrical shock. Always disconnect the
simulator from power before changing the fuses.
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Safety
Eyesi Surgical Simulator – Installation and Operating Guide

Using the wrong type of fuse may cause damage through high currents. Only use
slow-acting micro-fuses of the type T 6.3 A L 250 V as replacement.
Do not use replacements or spare parts not approved by VRmagic. The use of in-
compatible components may involve considerable danger for the user and may
damage your system. In any case, the warranty gets void. Only use VRmagic spare
parts to ensure safe operation of your simulator.
Disposal
All components must be disposed of in compliance with the applicable laws and
guidelines of the corresponding country.
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Safety

3 Unpacking and Product Overview
3.1 Transport and Unpacking
Transport
The simulator is delivered in one shipping box, which contains the simulator parts in
several smaller boxes. Always handle the shipping box with care. Place the shipping
box on the floor or on a level, stable surface. Make sure that the box cannot fall.
Caution Risk of injury
The shipping boxes are heavy. Trying to move or to lift the shipping boxes on
your own could cause injury or damage to the simulator.
fThe shipping boxes should be carried by two people only.
Unpacking
If you identify any damage or missing parts, please contact VRmagic immediately.
On receipt of the goods, check the following:
• Check the packaging for damage. Completely unpack the shipping boxes and
their contents. Carefully lay all parts on a table or on the floor.
• Check all parts for damage.
• Verify that no parts are missing. Compare the parts with the list provided in the
following section.
Info Keep original packaging
After transport, do not throw away the original packaging (shipping boxes and
packaging material). The original packaging is the safest way to store and trans-
port the simulator. After unpacking everything, place all packing materials back
into their respective transport boxes for future use.
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Unpacking and Product Overview
Eyesi Surgical Simulator – Installation and Operating Guide

3.2 Scope of Delivery
Simulator Main Components
1 lifting column
2 angled support feet
1 operating table
1 simulator PC
1 stereo microscope with arm
1 touch screen
1 monitor arm
1 microscope foot pedal
1 instrument foot pedal
1 wrist rest (optional)
Supplied screws and tools
1 USB service key
5 hexagon socket screws (4 x M6 x 25 mm; 1 x M5 x 15 mm)
2 hexagon keys (sizes 4 and 5)
Documentation
1 operating guide (hardware documentation)
1 user guide (software documentation)
1 administrator guide (software documentation)
1 courseware guide for educators (software documentation)
1 release history
Cataract Parts (if ordered)
1 cataract surgical interface head
1 set of cataract handpieces provided in an instrument box consisting of:
1 angled handpiece, 1 straight handpiece, 1 forceps
Vitreoretinal Parts (if ordered)
1 vitreoretinal surgical interface head
1 set of vitreoretinal handpieces provided in an instrument box consisting of:
1 light source, 1 straight handpiece, 1 forceps
1 Oculus BIOM®/SDI®including 2 screws, 2 washers, and spare round belts (optional)
Eyesi Surgical Simulator – Installation and Operating Guide
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Unpacking and Product Overview

3.3 Simulator Components
Fig. 1: Overview of the Eyesi Surgical simulator
1 Stereo microscope
2 Touch screen
3 Surgical interface head
4 Optional wrist rest
5 Height adjustable operating table
6 Instrument foot pedal
7 Microscope foot pedal
8 Lifting column
9 Simulator PC
10 Instruments
11 Front panel with power button and ports for interface head and instruments
12 Optional widefield optics for vitreoretinal surgery (Oculus BIOM®/SDI®)
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Unpacking and Product Overview
Eyesi Surgical Simulator – Installation and Operating Guide

4 Installation
Info Set up simulator with two people
We recommend that assembly be carried out by two persons. Many steps will
be easier and safer this way.
4.1 Installation Location
The simulator is designed for indoor use only. Choose a setup location that com-
plies with the ambient conditions specified in Âsection9 on page66.
NOTICE Possible damage to simulator due to low
temperature
Condensed moisture from the air might cause damage to the simulator.
fIf the simulator components are very cold from transporting, let them
warm up at room temperature before assembly and operation.
fOnly switch on the simulator if the simulator and room temperature are
between 10–30 °C (50–86 °F).
NOTICE Risk of overheating due to poor ventilation
The simulator PC generates heat during operation. Overheating can cause
temporary malfunction or permanent damage to the simulator. To avoid
overheating:
fMake sure that the operating environment is well ventilated.
fDo not block the air vents of the simulator PC.
fDo not allow dust to build up on the air vents.
fSet up the simulator PC at least 10 cm (4”) away from walls or other ob-
jects which may block ventilation.
fDo not place the simulator PC on a carpet or rug with long fibers.
fDo not place the simulator PC in a narrow or cramped space.
fDo not cover the simulator PC during operation.
• Do not assemble the simulator in the immediate vicinity of a radiator, heating
vent, or other heat source.
• Position the cables so that they cannot be damaged (e.g. rolling chairs, kinking)
and so that accidents (e.g. tripping) cannot occur.
• If multiple devices are used in the same space, ensure that the temperature and
humidity constraints of all devices conform to the requirements.
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Installation

4.2 Assembling the Support Feet and Lifting Column
Fig. 2: Pushing the support feet into the receptacles and tightening the screws
Assembling the support feet and lifting column:
1. Place the lifting column upright on the floor (Âsee figure above).
2. Push the angled support feet into the corresponding receptacles as far as they
will go (Âsee figure above).
3. Using a 5 mm hexagon key, tighten the four screws on the receptacles.
4. Make sure that the support feet are secured and cannot be moved.
5. Make sure the unit is appropriately aligned. If necessary, adjust the leveling
feet under the support feet until the unit is leveled and does not wobble.
NOTICE Possible damage to the device if not leveled properly
The weight of the lifting column cannot be carried by the support feet alone; it
must not be „floating“ over the floor.
fAfter adjusting the leveling feet, verify that the lifting column is in complete
contact with the floor.
4.3 Installing the Operating Table
Installing the operating table:
1. Turn around the operating table so that the mounting plate faces upwards.
2. Take two supplied M6 x 25 mm screws and screw them into the two holes
of the mounting plate closer to the large rectangular notch in the table. Leave
them standing out about 15 mm (Âsee following figure).
3. Place the operating table’s mounting plate on top of the matching plate on the
lifting column. Make sure the M6 x 25mm screws are placed in front of the
two slots in the lifting columns mounting plate.
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Installation
Eyesi Surgical Simulator – Installation and Operating Guide

4. Move the operating table so that the two screws are pushed into the matching
slots of the lifting column (Âsee following figure).
Fig. 3: Place the table on the lifting column and push the two screws into the matching slots of the
lifting column
5. Verify that no cables have become kinked or otherwise damaged.
6. Insert two M6 x 25 mm screws into the remaining holes of the lifting column’s
mounting plate and tighten them slightly. You might need to gently shift the
operating table around to align the holes of the two mounting plates properly
(Âsee following figure).
Fig. 4: Inserting the remaining screws into the
mounting plate
7. Tighten all four M6 x 25 mm screws by hand with the 5 mm hexagon key until
they are firm.
Electrically connecting the lifting column to the operating table:
There is a connection cable with a round plug located at the top of the lifting column.
The cable is used for height adjustment of the operating table.
1. Connect the cable with the round plug to the matching jack located underneath
the operating table.
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Installation