Zeiss OPMI Pentero Reference guide

OPMI®Pentero®
Software Release 2.2
Brief instructions
G-30-1702-en
Issue2.0
Printed on 17. 03. 2008

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G-30-1702-en OPMI® Pentero® Software Release 2.2 Issue 2.0
Printed on 17. 03. 2008
Contents
Key to symbols Page 3
Powering up and positioning the system Page 4
Positioning the microscope Page 5
Attaching sterile drapes Page 6
Balancing the system Page 7
Central user interface (touchscreen) Page 8
Menu structure Page 9
Illumination Page 10
Lamp change
Changing the lamp module
Page 11
Page 11
Adjusting the position of the handgrips Page 12
Configuring the handgrips Page 13
Configuring the foot control panel Page 14
Mounting the tube and eyepieces Page 15
Attaching documentation / coobservation equipment Page 16
Adjusting the tubes and eyepieces Page 17
Setting the eyepieces (compensation for ametropia) Page 18
Setting the adjustment speeds of focus and zoom Page 19
OR layout drawings Page 20
Exporting patient data to CD/DVD/USB/DICOM Page 22
Connecting an external monitor Page 24
What to do in an emergency - brief instructions Page 26
Lamp change during power failure
Failure of the zoom function
Failure of the focusing function
Failure of the magnetic brakes
Failure of the touchscreen
Failure of the line voltage
Error messages in the data injection system and on the touchscreen
Failure of all control functions (Emergency mode)
Blocking of individual magnetic brakes
Page 28
Page 30
Page 31
Page 32
Page 32
Page 32
Page 33
Page 34
Page 35

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Caution:
These brief instructions are only an excerpt from the complete user
manual. They cannot replace the detailed description provided in
the user manual.
Therefore, make yourself thoroughly familiar with the comments
and warning notes included in the complete user manual G-30-1458.
Key to symbols
Different symbols used in this manual draw your attention to safety as-
pects and useful tips. These symbols are explained in the following.
Warning!
The warning triangle indicates potential sources of danger which may
constitute a risk of injury for the user or a health hazard.
Caution:
The square indicates situations which may lead to malfunction, defects,
collision or damage of the system.
Note:
The hand indicates hints on the use of the system or other tips for the
user.
Read the user manual!
OPMI®and Pentero®are registered trademarks of Carl Zeiss Surgical
GmbH.
AutoDrape™, Superlux, FlexiTrack™ and MultiVision™ are trade-
marks of Carl Zeiss Surgical GmbH.

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Switching on the system
Warning!
– The correct use of the system is absolutely vital for safe operation.
Therefore, please thoroughly familiarize yourself with the content of
user manual G-30-1458 before starting up the system.
– Before starting, make sure to read the chapters "Safety" and "Prepa-
rations for use" of the user manual!
OPMIPentero
On / Off
2
1
3

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Positioning the microscope
Warning!
For safety reasons, the system must only be used when correctly bal-
anced.
Before starting, make sure to read the chapter "Preparations for use" of
the user manual!
• Press the brake release buttons (AB) to unlock all magnetic brakes.
Keep the brake release buttons (AB) pressed and move the ceiling
mount into the working position required using the handgrips. When
you let go of the brake release buttons (AB), all magnetic brakes are
locked.
G-30-1458
AB
G-30-1458

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Positioning the system at the operating table
The stand is provided with a handle which allows the reliable and easy
guidance of the system during relocation. Please only use this handle for
this purpose.
The stand base is equipped with the new FlexiTrak technology which
makes it considerably easier for you to move and position the system in
the OR. Two additional pedals on the base allow you to conveniently se-
lect the required condition of the stand:
– None of the pedals has been pressed:
Exact and sensitive positioning in the OR and at the operating table in
all directions with a minimum of effort.
– Right-hand pedal (2) is pressed down hard until it snaps in:
Reliable and precise straight-ahead movement, also over low thresh-
olds (elevator). Press this pedal until it snaps in to set the two front
casters for straight-ahead travel. The other casters remain steerable.
When you slightly press pedal (1), all four casters will be steerable
again.
– Pressing left-hand pedal (1) to the stop will lock the stand base in po-
sition, preventing it from inadvertently rolling away. After the system
has been finally positioned at the operating table, you should step on
this pedal.
3Possible positions for cranial procedures
4Possible positions for face-to-face procedures (spine)
5 Surgeon
6 Assistant
Note:
The system allows overhead positioning and can therefore be placed in
any position behind the surgeon or assistant.
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3
4
5
6
56

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Attaching sterile drapes
Caution:
When attaching the drape, please ensure that there is sufficient space for
the tilt and rotation movements of the surgical microscope.
DRAPE
Hier luftdicht abschließen
Make airtight here
Fermer hermétiquement ici
Cerrar hermélicamente aqui
Effective range
of drape vacuum system
Sterile area
Non-sterile
area
PHOTO
AUTOBALANCE
PAT-FILES
USER
REC START
VOICE CTRL
DICTATION
TELEPHONE
FREEZE
FULL SCREEN
FOCUS
359 mm
LIGHT
33%
ZOOM
5.9x
FOCUS
SPEED
ZOOM
SPEED
LIGHT
INTENSITY
DRAPE
CONFIG
MENU
2
1

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Balancing the system
Warning!
Make sure to observe the instructions in the chapter "Balancing the
system" of user manual G-30-1458.
For safety reasons, the system must only be used when correctly bal-
anced. Despite the autobalance function, it may happen in exceptional
cases that the surgical microscope is not correctly balanced.
With an incorrectly balanced system, brake release may lead to uncon-
trolled movements of the suspension system. For this reason, the bal-
ancing procedure and the subsequent test must not be performed above
the patient and only at a safe distance from other persons and devices.
• Hold the microscope tightly at both handgrips.
• Unlock the magnetic brakes (AB) and swing out the microscope until
indicator (1) is centered in the blue area (2). Then you can perform the
"Autobalance Complete System" procedure.
SB
AB
Fine adjustment for mouth switch
G-30-1458
PHOTO
DRAPE
FREEZE
Autobalance Complete System
MENU START
START
START
Autobalance Microscope
Drape Compensation
Autobalance
30. 01. 04 17:56
User:
XXXXXXXX
Patient:
XXXXXXX
Recorder Capacity:
Int:.......% Ext:.........%
USER
VOICE CTRL
DICTATION
TELEPHONE
FULL SCREEN
CLOSE
1
2
CONFIG
PAT-FILES
Fine adjustment mouth switch
-3
-+
REC START
STOP
AUTOBALANCE

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Central user interface (touchscreen)
Note:
For detailed information on the submenus and their configuration, please
see user manual G-30-1458.
MENU
USER CONFIG
Start
PAT-FILES

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Menu structure
The menu is structured as follows:
MENU
The main menu is constantly displayed after the system has been started.
You can use it for triggering still camera and video recording, for auto-
matic balancing of the system, for activating the drape vacuum system
and for switching the illumination on and off. The full-screen mode permits
you to view images or the live video signal in full display size.
PAT-FILES
Use the Patient Files menu to save, edit and manage patient data, videos
and images.
USER
The USER menu permits you to save user-specific settings for several dif-
ferent users. In addition, you can select several different languages for
user guidance here.
CONFIG
The CONFIG menu permits you to enter the settings for the microscope
and suspension system parameters.
PHOTO
PAT-FILES
USER
CONFIG
VOICE CTRL
TELEPHONE
FREEZE
FULL SCREEN
FOCUS
359 mm
LIGHT
33%
ZOOM
5.9x
45%
ZOOM
SPEED
LIGHT
INTENSITY
MENU
30. 01. 04 17:56
User:
XXXXXXXX
Patient:
XXXXXXX
Recorder Capacity:
Int:.......% Ext:.........%
FOCUS
359 mm
DRAPE
AUTOBALANCE
REC START
DICTATION

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Illumination
Warning!
Before starting, make sure to read the notes on "Risk of phototoxic injuries
caused by high illumination intensity" in chapter "Safety"!
Setting the illumination on the touchscreen
Setting the illumination in the "Light" configuration menu
30. 01. 04 17:56
User:
XXXXXXXX
Patient:
XXXXXXX
Recorder Capacity:
Int:.......% Ext:.........%
G-30-1458
STAND
MENU
Intensity
Start Value
Light
On
Off
OPMI
LIGHT
Light Intensity
Control
On
Off
Low
Medium
AUDIO/VIDEO
High
Remaining
lamp lifetime
LIGHT
Brightness
Speed
30. 12. 04 17:56
User:
XXXXXXXX
Patient:
XXXXXXX
Recorder Capacity:
Int:.......% Ext:.........% Threshold Value
Light Warning
SYSTEM INFO
CONFIG
USER
PAT-FILES
25% 24%
Lamp 2
in use
200h
Yes
MULTIVISION
TELEPHONE
FLUORESCENCE
PHOTO
AUTOBALANCE
PAT-FILES
USER
REC START
VOICE CRTL
DICTATION
TELEPHONE
FREEZE
FULL SCREEN
FOCUS
359 mm
LIGHT
ON
ZOOM
5.9x
LIGHT
ON/OFF
FOCUS
SPEED
ZOOM
SPEED
LIGHT
INTENSITY
DRAPE
CONFIG
MENU
33%
3
2
1

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Lamp change
Open the cover. The lever for changing the lamp moves out.
Pull out the lever as far as it will go without using force.
If the lever has not been properly pulled, the lamp will not be changed. Pull
the lever again to make the lamp snap into position.
Close the cover again.
4
3
5
2
1
6
G-30-1458
2
3
1
defective
lamp
Changing the lamp module

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Adjusting the position of the handgrips
You can adjust the position of the handgrips to meet your specific needs.
• Open locking lever (1) and adjust the mounting bar or the handgrip
only to the position required.
• Choose a position of the handgrips which is most convenient for the
surgical procedure to be performed. Make sure that there is enough
room between the handgrips and the accessories mounted on the mi-
croscope.
• Firmly re-tighten locking lever (1).
Note:
The handgrips including the locking levers can be rotated through approx.
180°.
1
1

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Configuring the handgrips
You can trigger the functions of the surgical microscope using the buttons
on the handgrips or on a foot control panel. Programmable buttons can be
configured for the requirements of each user.
Both handgrips are identical. In the basic setting, joystick (1) can be used
for motorized fine movement in the XY directions.
You can configure both handgrips with the same functions (CONFIG), or
you can configure different functions in the right and left handgrip.
The CONFIG menu / STAND / HANDGRIPS permits you to select the
functions to be assigned to programmable buttons A, B, D or E. The
rocker switches for Zoom and Focus can be reconfigured by the user.
Briefly press button (C) on the touchscreen.
The display and functions will be swapped.
Configuring the handgrip buttons
Press CONFIG to configure both handgrips. For separate programming
of the left or right handgrip, press the LEFT or RIGHT button respectively.
The buttons are only displayed if the CONFIG button has been pressed.
Press the button (A, B, D, E) to which you would like to assign a different
function.Then press the relevant function in selection menu (2) to assign
it to the selected button. The labeling of the button is changed and indi-
cates the new function.
Press the RESET button to restore the factory settings.
Note:The joystick on the right handgrip is used for special functions in op-
tional applications.
1
Focus + Zoom +
Focus - Zoom -
C
USER
AUDIO/VIDEO
LIGHT
LEFT
MENU
PAT-FILES
FOOT
SWITCH MOTORS XY BRAKES
Photo
Autofocus
OPMI
CONFIG
Photo
Videorec
Light Intensity
Fluorescence
MultiVision
Aux
RESET
Focus +
Focus -
Light +
Autofocus
Zoom +
Zoom -
Light -
STAND
A
2
HANDGRIP
No function
Factory settings
RIGHT
31.12.
04 23:56
User:
XXXXXXXX
Patient:
: Ext:.........%
MULTIVISION
SYSTEM INFO
TELEPHONE
FLUORESCENCE
CONFIG
B
1
FOCUS
ZOOM
D
E
G-30-1458

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Configuring the foot control panel
You can trigger the functions of the surgical microscope using the but-
tons on the handgrips or on a foot control panel. Programmable but-
tons can be configured for the requirements of each user.
The joystick on the foot control panel permits motorized fine move-
ment of the microscope in the XY directions.
The rocker switches for Zoom and Focus can be reconfigured by the
user. Briefly press button (E) on the touchscreen. The display and
functions will be swapped.
Configuring the programmable buttons A, B, C, D
• Press the button (A, B, C, D) to which you would like to assign a dif-
ferent function.
• Then press the relevant function in selection menu (1) to assign it to
the selected button. The labeling of the button is changed and indi-
cates the new function.
• Press the RESET button to restore the factory settings.
Zoom - Fokus -
Zoom + Fokus +
Fokus + Fokus -
Zoom + Zoom -
E
USER
AUDIO/VIDEO
LIGHT
MENU
PAT-FILES
Autofocus
HANDGRIPS
OPMI
CONFIG
FOOT SWITCH MOTORS XY
RESET
STAND
BRAKES
ROCKER
SWITCH
A
C
B
D
E
Videorec
Photo
Aux
MultiVision
Fluorescence
Light Intensity
CONTROL
PANEL
1
Factory settings
No function
MULTIVISION
SYSTEM INFO
TELEPHONE
FLUORESCENCE
30. 12. 17:56
User:
XXXXXXXX
Patient:
XXXXXXX
Focus
Focus -
Photo
Autofocus
Zoom +
Zoom -
Videorec
MultiVision
Light - Light +
FOOT
SWITCH

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Mounting the tube and eyepieces
Warning!
Change the modules and accessories before surgery and without the pa-
tient!
• Loosen securing screw (8) by a few turns.
• Remove cover (4).
• Attach spine adapter (3) to the microscope body and firmly tighten se-
curing screw (8).
• Attach binocular tube (2) to spine adapter (3) and firmly tighten secur-
ing screw (7).
• Insert widefield eyepieces (1) as far as they will go in the mounts pro-
vided on the binocular tube.
• Attach binocular coobservation tube (5) to the microscope body and
firmly tighten securing screw (9).
• Insert widefield eyepieces (6) as far as they will go in the mounts pro-
vided on the binocular tube.
• Before starting up the system, remove protective cap (10) from the ob-
jective.
Warning! Check that all modules are securely seated. Firmly tighten se-
curing screws (8) and (9)! Balance the surgical microscope, page 9.
G-30-1458
978
155 63224
10

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Attaching documentation / coobservation equipment
• Loosen knurled ring (1).
• Remove dust cover (2) and keep it in a safe place.
• Insert accessory module (3) in the mount of the image exit port and
carefully turn it until the guide projections fit into the grooves. Push the
accessory module into the mount as far as it will go.
• Screw knurled ring (1) onto accessory module (3) and firmly tighten it.
The type of coobservation (lateral image exit ports: left/right, or opposite
image exit ports: face to face) can be configured at the touchscreen
(CONFIG/OPMI/TUBE).
The sliding mirror has two positions:
Left/Right: The light is directed to the lateral image exit ports.
Face to Face: The light is directed to the tube mount at the back.
The position of the sliding mirror can also be switched manually using
knob (4).
Warning! Check that all modules are securely seated. Firmly tighten se-
curing screws (8) and (9)! Balance the surgical microscope, page 9.
G-30-1458
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Adjusting the tubes and eyepieces
1Adjusting the interpupillary distance
This is done by pressing the two eyepieces together or pulling them
apart. The correct position has been reached when the two eyepiece
images merge into one.
2PD adjustment knob
The correct position has been reached when the two eyepiece images
merge into one.
3Eyecup
Adjust the eyecups in such a way that the entire field of view can be
seen.
4Diopter setting ring
The eyepieces provide compensation for ametropia. Eyeglass
wearers using their glasses during work should set the diopter setting
ring to 0. Turn the ring until the optimum setting has been achieved
(see following page).
5Diopter scale
For reading off the prescription set.
– Viewing with eyeglasses: Screw in the eyecups all the way.
– Viewing without eyeglass-
es:
Adapt the eyecups to the viewer's
field of view by screwing them out-
ward. The three white marking rings
facilitate the adjustment.
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Setting the eyepieces (compensation for ametropia)
Bring the surgical microscope into its starting position within the focusing range. Adjust the minimum magnification on the surgical
microscope. Bring the surgical microscope into the position required. Adjust your interpupillary distance on the binocular tube. Adjust
your prescription on the eyepieces. Please note that instrument myopia can occur.
Emmetropes
adjust the diopter scale to 0 diopter
(D).
Eyeglass wearers
(who perform surgery wearing their
eyeglasses) adjust the diopter scale
to 0 diopter (D).
Ametropes
(who know their prescription and
perform surgery without wearing
their glasses) adjust the diopter sca-
le to their prescription.
Ametropes (who do not know their prescription and perform surgery without wea-
ring their glasses)
Adjust both eyepieces on the main microscope to +8 D.
Adjust both eyepieces on the assistant's microscope to +8 D (if applicable).
Eyepieces without reticle: Eyepieces with reticle:
Remove the binocular tube and the
eyepieces from the microscope
body and point them at a distant ob-
ject*), i.e. use them like a pair of bi-
noculars. The image of the object is
still unsharp.
Turn the diopter scale on the eyepiece
slowly clockwise until the reticle is
imaged sharply.
Turn the diopter scale of one eye-
piece slowly clockwise until the ob-
ject is imaged sharply. If necessary,
repeat this procedure three times
and take the average of the rea-
dings. Adjust the second eyepiece
in the same manner.
Focus the surgical microscope on the
object. The reticle and the object must
be in focus at the same time.
Mount the tube and eyepieces on
the microscope body and tighten
the securing screw firmly.
Adjust the second eyepiece in the same
manner until the object is seen sharply.
Adjust the eyecups in such a way that you can see the full field of view. Adjust maximum magnification on the surgical microscope
and focus on the object. Adjust the working magnification required. When the magnification is changed, the focal plane is retained,
but the depth of field changes.
Note: Enter the prescription values in the relevant user profile.
*) Warning! Never use the sun as the distant object!