Zeiss OPMI Pentero User manual

UNIQUE
OPMI®Pentero®
OPMI®surgical microscopes from Carl Zeiss

IQ

With OPMI Pentero, Carl Zeiss has created
something unique:
an ingenious simplification of complexity.

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The Sum of
50 Years of Knowledge
“OPMI Pentero, the new microscope of Carl Zeiss has
exceeded all my expectations. The motorized X/Y move-
ment; increased headroom; single-lever pistol grip
movement; completely internalized video, cameras, and
cables; elimination of the drape bulk with a vacuum
system; single-button autobalance; and unparalleled
binocular vision with superb lighting make this highly
integrated microscope system the most important tool
for the practice of neurosurgery.”
Robert F. Spetzler, M.D., Chairman and Medical
Director Barrow Neurological Institute, Phoenix,
Arizona, USA
For more than 50 years, Carl Zeiss surgical
microscopes have been delivering excellence
to the world’s most challenging professions.
Surgeons’ needs have been the driving force
behind our quest to provide ever more refined,
more multifunctional systems.
An OPMI is no longer just at the center of the
microsurgical procedure, it is now an information
and communication cockpit; not only the window
to the operating field, but also a gateway to the
outside world.
But how can a sophisticated, high-tech surgical
microscope assist in simplifying very complex
surgical procedures?
OPMI Pentero is the answer.

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Trust
The challenge: to develop a new optical design
that once again substantially improves depth of
field, light and working distance.
Bringing it all within reach
State-of-the-art apochromatic optics deliver the
legendary crystal-clear images, sharp details and
natural colors associated with Carl Zeiss. The
innovative optical design, with a new Varioskop™,
provides a larger working range and virtually
ensures comfortable working conditions – even
when using long instruments. The depth of field
has been increased by 17% and can be doubled
by activating the DeepView function.
Bringing Light to the Darkness
Surgeons now have 20% more light to work
with, the assistant even more. Spot illumination
precisely adjusts the light cone – all without
reflections. The patented, two-channel illumination
system delivers light wherever it’s needed – a
distinct advantage, which provides higher-contrast
images in narrow and deep canals.
Focus at the Push of a Button
The high-speed autofocus automatically delivers
razor-sharp images at all times, regardless of
magnification. And when focusing manually?
An intuitive laser-focusing aid assists in selecting
the exact focal point – particularly helpful when
using the mouth switch.
Stress Free
Whether the surgeon remains standing or seated,
the 30% more compact design of OPMI Pentero
allows for freedom of hand and instrument
movement while providing a short distance to the
surgical field.
Thanks to its overhead design, the suspension
system can be placed in any position – even
behind the surgeon.
“I have been using Carl Zeiss microscopes for the last
two and half decades. They have provided the best in
optics and have been constantly upgrading the technol-
ogy. My team and I trust Carl Zeiss optics.”
Dr. A. S. Hegde, Chairman Neurosciences, Sri Sathya
Sai Institute of Higher Medical Sciences, Bangalore,
India
“With the tremendous improvements to the co-obser-
vation tube, the OPMI Pentero really helps the assis-
tant. The tube provides a better view of the operating
field and does not move when the microscope is reposi-
tioned.”
J.J. van Overbeeke M.D., Ph.D., St. Elisabeth Hospital,
Tilburg, The Netherlands
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14-function foot control panel Rocker switch Foot switch
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Maneuvring OPMI Pentero? Child’s play!
Whether using the handgrip or the mouth
switch, the new movement system enables
OPMI Pentero to be effortlessly repositioned.
AutoBalanced at the Touch of a Button
The patented AutoBalance system provides
outstanding balance with a single, simple touch
of a button, regardless of the position of the
microscope.
Robotic X/Y Movements
Fine and precise adjustments of the OPMI body
are possible without even releasing the brakes –
and without the usual limitations. OPMI
Pentero’s X/Y really can move in any direction.
Beauty and Functionality All in One
The new rotatable, easy-to-use video touchscreen
has been perfectly integrated into the system. It
intuitively guides the user through all functions.
Digital patient files allow instantaneous access
to important information – even during surgery.
Various users can quickly retrieve their pre-pro-
grammed, personal settings.
The touchscreen also serves as a display for
the integrated MediLive®digital video camera.
Its full-screen mode eliminates the need for an
additional video monitor.
“OPMI Pentero is an operating microscope designed
by surgeons for surgeons. It incorporates cutting edge
technology in a compact, innovative and brilliant
design. Carl Zeiss has combined efficiency, efficacy and
ergonomics to create a microscope that brings neuro-
surgery and spinal surgery to an exciting new level.”
Daniel L. Barrow M.D., Professor and Chairman,
Neurosurgery Department, Emory University, Atlanta, USA
Effortless
Mouth switch
Touchscreen
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“Carl Zeiss has created a virtual
cockpit which allows me to access my
information at any time. Everything
I need is displayed in the eyepiece at
the push of a button.”
Professor Dr. Yoshiaki Shiokawa, Chairman,
Department of Neurosurgery, Kyorin University
Hospital, Tokyo, Japan
How can a surgeon process the constant
stream of diagnostic, navigation and system
information without having to take his or her
eyes off the operating field?
MultiVisionTM
MultiVision enables the surgeon to superimpose
color data into both eyepieces. Moreover, video
data and the entire touchscreen interface can
be injected into the MultiVision display and
controlled using the joystick.
MultiVision provides a glimpse of where the
OPMI is heading.
Anticipates Your Every Desire
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Onscreen display. Everything at a glance.
Endoscope images. Endoscope towers are a thing of the past.
Navigation overlays. Superimposition of color contours and data.
Image Viewer. Injection of pre-operative data.
Touchscreen. View and control OPMI Pentero in the eyepiece.
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Intraoperative
Fluorescence.
Surgeons can only treat what they can see –
and Carl Zeiss enables them to see more.
OPMI Pentero is the world’s first surgical micro-
scope to offer completely integrated support
for fluorescence-based angiography and tumor
resection.
.
“OPMI Pentero is a considerable advance in
microscope technology. Especially its optional support
for ICG-based angiography, 5ALA fluorescence-based
tumor resection and digital video represent unique
new tools for intraoperative diagnostics and
documentation during microneurosurgical
procedures.”
Prof. Dr. Volker Seifert,
Chairman, Department of Neurosurgery,
Johann Wolfgang Goethe University,
Frankfurt, Germany
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(1)
(2)

.In Europe (EU), intraoperative fluorescence technologies are in com-
pliance with the requirements of the European Medical Device directive
93/42/EEC. In the United States, INFRARED 800 and BLUE 400
fluorescence technologies have been completely integrated into the
OPMI Pentero®and OPMI Pentero®C microscopes and both fluores- 15
“Anatomical (1) and ICG angiographic image (2)
showing a large paraclinoid aneurysm after surgical
clipping. ICG angiography demonstrates complete clip
occlusion of the aneurysm and the patent internal
carotid artery. Note the high spatial image resolution
of the ICG angiography with visibility of flow even in
vessels of sub-millimeter diameter.”
Prof. Dr. Andreas Raabe, Chairman, Department
of Neurosurgery, Bern University Hospital,
Bern, Switzerland
“Images of a resection cavity during an operation
for glioblastoma multiforme as observed through the
surgical microscope. Conventional white light illumi-
nation (3) is insufficient for distinguishing viable
tumor margins. When enhanced using the fluorescence
mode in combination with pre-operatively adminis-
tered 5-ALA (4), the tumor extensions are more clearly
delineated by their strong red fluorescence.”
Prof. Dr. Walter Stummer, Associate Professor and
Vice Chairman, Department of Neurosurgery,
Heinrich-Heine University, Düsseldorf, Germany
(4)
(3)
cence platforms are available for sale. They are also available in other
markets, however, depending on national regulations, additional
authorization may be required in the country in which the instrument
and application will be used. Please contact your local Carl Zeiss
representative for further information.

Riding on rails down the hallway: FlexiTrakTM.
One touch of a button: AutoBalance.
Tango in a cramped room: FlexiTrak.
Air evacuation for an excellent fit: AutoDrape®System.
Changing lamps and modules has never been easier:
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Superlux®330.
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Select a video sequence or application image.Record. The touchscreen intuitively guides
the user.
“It’s really here–a completely integrated digital
video chain in a surgical microscope. I can immediately
produce and process my digital video and take it with
me on a DVD.”
Professor Dr. Yoshiaki Shiokawa, Chairman,
Department of Neurosurgery, Kyorin University
Hospital, Tokyo, Japan
Record several hours of surgery, find and edit the
most important sequences, integrate them into
PowerPoint presentations or save them to DVD
for archival in the patient file – all in a matter of
seconds. All incorporated into one, very easy-to-
use instrument.
Digital Dreams become reality
The integrated 3-chip MediLive®video camera
(also available as a stereo version) enables OPMI
Pentero to digitally record videos and images.
Digitally processed from creation to output, the
entire video image chain delivers outstanding
quality. Data can be digitally streamed directly
onto the internal hard drive and simultaneously
stored on DVD or CD. In addition, the integrated
camera is equipped with both a Progressive Scan
and DV output, providing flicker-free images
with even higher resolution.
The integrated digital video chain is further proof
of OPMI Pentero’s unique design.
Totally Digital
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Edit. Mark, edit and add comments to
selected sequences. Review the edited sequences before archiving or presentation. Archive to the hard drive, DVD, CD-ROM or USB memory stick. Present. Moving pictures enhance your lecture.
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