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OPMI® PENTERO® C

1. O wor List Q search mas List Search Mask _ Work List Search Mab Se WORK LIST SEARCH CRITERIA 383 ee 6 an 7 Benninger Ralph Import patient via DICOM 1 Patient has been included in the local patient list OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 384 DICOM option Importing patient data sets from PACS system The abbreviation PACS stands for Picture Archiving and Communication System a system based on digital computers and networks which is used for image archiving and communication in medicine Proceed as follows to download a patient data set from an PACS server e Open the PAT FILES menu e Open the DICOM tab 1 Note Ey The DICOM tab is only active if the DICOM license has been activated Select the server 2 from which you want to import the data PACS e Inthe PACS system the search criteria are defined in a search mask 3 Press START button 4 to activate the search criteria Fill in at least one field of the offered search criteria 5 The search criteria are interpreted as AND conjunction Empty search windows are interpreted as wild card Note Ey To limit the search you can enter the first letter of the patient name for example provided that the system supports this function When you
2. Hold down Stop lt lt or gt gt Video clip is slowly played for ward or backward stops when buttons are released Hold down Play lt lt or gt gt Fast forward or fast rewind of video clip stops when buttons are released 3 PiP in Replay playback mode only zans G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 331 Qn When PiP Picture in Picture has been activated the simulta neously recorded white light video is displayed in a small window at the top right of the touchscreen Off No PiP display Note Ey You can end recording and playback by pressing the fluorescence button once again If FLOW 800 has not been configured the system returns to the white light mode after the PLAYBACK phase with the same settings that existed before the start of INFRARED 800 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 332 FLOW 800 option FLOW 800 processing phase FF G 30 1592 en Note You can stop FLOW 800 processing by pressing the fluorescence button longer than 3 seconds e Press the fluorescence button to start the FLOW 800 processing phase A pop up message Start FLOW 800 processing mode appears for approx 3s to indicate that the processing phase has started Inthe live image the prepa
3. t Caution Always enter the patient ID to ensure that data to be stored in a DICOM archive are not assigned inadvertently to the wrong patient If you change a patient ID imported via DICOM it cannot be guaranteed that the image data is assigned to the correct patient when it is stored in the archive Before deleting the local data check whether this data has been correctly saved to the PACS ess G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 395 30 12 04 17 56 XXXXXXXX Patient enninger Ralph Benninger Ralph 30 12 04 17 56 User Patient Benninger Ralph Recorder Capacity It EXtE eee DICOM Server ian Recorder Capacity Data export Files are being transferred This process may take a few minutes CANCEL G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 em 396 DICOM option G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Index G 30 1592 en Index 397 Numerics 180 tiltable tube 84 3 CCD NTSC video camera mono and stereo 243 3 CCD NTSC video camera mono and stereo Version 2 245 3 CCD PAL video camera mono and stereo 242 3 CCD PAL video camera mono and stereo version 2 244 A Accessoires weight 232 Accessories 231 Accident prevention regulations 16 Adding 370 Additio
4. G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 334 FLOW 800 option DIAGRAM Setting ROI ROI region of interest The selected regions are set in several steps Step A Step B Step C Step D Step E The DIAGRAM menu offers a window with video player func tionality 2 Navigate to the point in the video that contains the most inter esting regions for processing Press the Set ROI button 10 Roughly click on the target region in the displayed video image A magnified image of the selected region is displayed The magnified display permits you to a perform fine positioning b change the size of the ROI 3 small medium large c toggle between the ROI types 4 of rectangle and adaptive Press the CALCULATE button 5 to generate the diagram and to have the line for the new ROI calculated and dis played Steps A E can be repeated for additional ROIs EFT Tips Instead of starting the calculation every time you have set a ROI you can also set all selection points steps A D and finally perform the cal culation in step E A maximum of eight ROIs can be marked The result is displayed as a curve in the result window 1 The STORE function permits you to save the diagram for documentation purpose It is automatically filed in the analysis directory of the relevant patient Adaptive ROIs may lead to jagged curves i
5. The system can be connected to an existing hospital network for the transfer export only or exchange export and import of data images videos and or audio files Option currently not yet available The video images are visualized on the integrated color display and are visible in both eyepieces of the surgical microscope The micro scope image is eclipsed by a shutter system for this purpose At the press of a button using the programmable handgrip button Multivision function or the foot switch the integrated shutter permits rapid switching between the microscope image and the video image This means that the surgeon can observe the endoscope image in the eyepiece and need not look at an external monitor The coobservation and documentation equipment of the surgical mi croscope always provides the image seen by the surgeon The touchscreen or an external monitor also displays the image cur rently seen by the surgeon This is either the microscope image re corded by the integrated camera of the surgical microscope or after switchover the image provided by a connected endoscope camera An additional tiltable tube option can be mounted in a 180 position to the tube for the main surgeon allowing two surgeons to work face to face Important functions such as focusing and zoom have been motorized and can be controlled by the press of a button on the programmable handgrips Warning W
6. Briefly press Stop lt lt or b gt Video moves backward or forward in Play gt Photo steps R stops when buttons are released Hold down Stop lt lt or gt gt Video clip is slowly played forward or lt lt lt D gt gt backward Vv stops when buttons are released Il Hold down Play xj or Fast forward or fast rewind of video Stop clip stops when buttons are released lt a Note Tip for IR800 Replay If an external monitor is connected you can switch to the full screen mode on the touchscreen SETUP RECORD External PiP during O Standard 30 12 04 17 56 Monitor MultiVision Playback User XXXXXXXX Patient O IR800 XXXXXXX Recorder Capacity fo EXt Short AUDIO VIDEO Replay Short Replay Number of Long Duration Replays le 5 7 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 280 INFRARED 800 fluorescence module option Connecting an external monitor recommended option FF n G 30 1592 en Note When using the IR 800 application we recommend that you always con nect an external monitor for viewing the IR 800 sequences Caution Only connect the monitor to a wall outlet which is provided with a properly connected protective ground conductor Please observe the maximum current consumption of the power outlet socket of OPMI Pentero Only connect medical device
7. 1 OPMI Data Display This function permits you to configure which information should be dis played in the MultiVision display in the OPMI These values are then constantly displayed at the lower edge of the current image The fol lowing displays are possible individually or in combination Current zoom value Current focus position Current brightness intensity 2 Navigation interface on off Activating a connected navigation system RS 232 interface Note Activating the navigation interface also enables the Navigation button function of MultiVision 1 3 Focus crosshairs on off Use this function to select whether crosshairs should be displayed or not The crosshairs mark the optical axis Note Is deactivated when a navigation system has been connected 1 4 Data injection brightness Used to set the brightness of data injection variable from 0 to 100 The settings always apply to the current display 5 Data injection contrast Used to set the contrast of data injection variable from 0 to 100 The settings always apply to the current display G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Preparations for use Lams __ ____ OPMI Data Display 30 12 04 17 56 Data Injection Brightness 50 157 Navigation Interface Focus Crosshairs E Qor Data Injection MultiVision Contrast Button Function 50 Qor navigati
8. External automatic circuit breaker for charger If the automatic circuit breaker is activated try to reactivate the func tion by pressing the circuit breaker button Should the automatic circuit breaker be activated again call our service dept Emergency switch standard operation emergency mode selector switch In the emergency setting only the illumination system is operational All other functions are inactive The yellow indicator light in the switch is lit in the emergency setting OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 15 Description OPMI Pentero C al EMERGENCY MODE li Zz O O1a D 3 g OPMI Pentero C O Oia D 3 g G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 76 G 30 1592 en Description 15 Video signal output port BNC VBS 16 Video DV out 17 Video in Y C e g for endoscope camera 18 Progressive scan VGA or RGB output port See Video menu Selecting the video format for an external video port 19 Video signal output port for an external monitor Y C 20 Connector panel with video output ports stereo option Note The stereo video option permits 3D viewing or recording of videos us ing suitable external systems Inthe stereo mode it is important to connect channels L and R of the 3D system to ports of the same vide
9. G 30 1592 en Index Text entry 116 Time 162 Time marks in the FLOW 800 DIAGRAM 318 Time date setting 162 Tissue damage caused by high illumination intensity 132 Total magnification calculation 130 273 Touchscreen 48 Touchscreen display of 174 Travel speed XY 142 Trouble shooting table 220 Tube and eyepieces for main microscope 62 TUBE menu 130 Tube mounting 86 U Uninterruptible power supply 26 214 UPS 26 UPS malfunction 104 USB data port 202 USB memory stick 202 USB port 202 Use of the instrument before 21 Use of the instrument for every 21 Use immediately after 226 Use notes 17 User name entry 116 User profile creating new 118 User profile editing 118 V Version number 162 Vertical resolution 242 243 244 245 Video audio cables 233 Video clip length 250 Video clips 252 Video format for external video port VGA 150 Video image injection 172 Video image injection in the surgical microscope 41 Video images not for diagnostic purposes 18 266 Video images stored 18 266 Video menu 150 Video player time marks 318 Video quality 250 Video recording option 247 Video signal output port BNC VBS 76 Video signal output port for an external monitor Y C 76 280 322 Video DV out 76 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Index 407 Ww What to do in an emergency 210 White balance 151 Widefield eyepieces with mag
10. Leader 30 12 04 17 56 User Patient G 30 1592 en Time Off No automatic FL detection the complete recorded video is x played in the playback mode Sholay Factory setting On Note Ey The played video includes the black leader whether automatic FL de tection has been activated or deactivated 100 lt __ orm SETUP RECORD PLAYBACK External Autom IR Monitor IR Camera Gain Detection O Standard O lt smo O IR800 O Manual AUDIO VIDEO Gain Setting 70 5 Mt OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 276 INFRARED 800 fluorescence module option IR 800 Playback menu The Playback menu is used to configure video playback 1 External monitor Standard The white light camera signal is output on the external monitor during the PLAYBACK mode instead of the white light vid eo recorded synchronously with the IR 800 video IR 800 The IR 800 video is output on the external monitor during the PLAYBACK mode Factory setting IR 800 2 MultiVision Qn The content of the touchscreen monitor is also displayed in the data injection system during the PLAYBACK mode Please switch to the full screen mode for better visualization Off No display in the data injection system Factory setting Off 3 PiP in Replay playback mode only On When PIP Picture in Picture has been activated the simul
11. OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Preparations for use as oa lt Oo Co J S re QUE SAL as amp lt Lg mY nr Yf OPMI Pentero C Software Release 2 20 2 21 89 Issue 4 2 Printed on 14 12 2009 ess 90 Preparations for use Mounting the mouth switch option FF G 30 1592 en Note For a detailed description please see the user manual for the mouth switch Mounting the mouth switch on the 180 tiltable tube e Remove three protective caps 2 Secure mouth switch holder 1 using three screws 3 included in the delivery package Tighten the screws using a 4 mm Allen key Connect contact plug 4 to mouth switch socket 5 on the surgical mi croscope Set the height tilt and distance of the mouth switch via the relevant locking screws and properly tighten these screws Make sure that the surgical microscope and suspension system are properly balanced Autobalance Fine adjustment for mouth switch see page 112 For operation of the mouth switch see page 170 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 91 92 G 30 1592 en Preparations for use Mounting the mouth switch on the straight tube e e e Remove locking screw 5 from toothed shaft 2 Loosen locking screw 4 by a few turns Rem
12. Se ee Patient _ 1 03 08 2003 User XXXXXXXX Patient XXXXXXX Patient _ 2 05 09 2003 Recorder Capacity Patient _ 3 21 10 2003 Patient _ 4 03 11 2003 Patient _ 5 12 08 2004 Patient _ 6 03 10 2004 Patient _ 7 03 08 2005 Alphabetically ee 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity Select an item Select a surgeon G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 182 G 30 1592 en Operation Patient menu search items 10 11 12 Selected items menu When you press the Select an item button menu 1 is opened It permits you to select one or several previously defined items and to add them to the filter criteria for the patient search Selected items text box Selected items buttons are highlighted in blue color to indicate that they are enabled and are also displayed in text form in the Selected items text box Deselection of a button automatically removes the item from the text box A maximum of two lines are displayed in the text box Any additional items included in the text box are indicated by This dialog box only displays items previously defined in the ITEMS tab see Pos 12 ITEMS tab This tab permits you to delete old items add new items or edit existing items The entries of this list are available in the SORT dialog Items for selection OPMI Pentero C Software Release 2 2
13. The heat produced by the activated illumination system may cause the cover to melt leading to irreparable damage to the optical components If you wish to use documentation equipment we can supply an eyepiece with a reticle to aid focusing The retrofitting of a reticle to an eyepiece can only be performed in the factory or by our service staff Always install the eyepiece with the reticle on the same side of the binocular tube where the documentation equipment is located Caution Before starting up the system remove protective cover 11 used for transportation from the objective lens If the system is operated with protective cover 11 in place the heat pro duced by the activated illumination system may cause the cover to melt leading to irreparable damage to the optical components OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 87 Warning e Before every use and after re equipping the instrument make sure that the modules are securely locked in position Make sure that securing screws 8 and 9 have been firmly tight ened Always re balance the surgical microscope after re equipping the sys tem G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 88 Preparations for use Attaching documentation coobservation equipment G 30 1592 en The camera adapter and coobservation module shown
14. 3 CCD NTSC video camera mono and stereo version 1 3 CCD PAL video camera mono and stereo version 2 3 CCD NTSC video camera mono and stereo Version 2 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 194 198 200 204 210 210 212 213 214 214 214 215 216 217 219 220 220 220 221 222 224 226 228 229 231 231 235 237 238 242 243 244 245 G 30 1592 en Ambient requirements Changes to the system Digital video recording option Digital video recording option Description Video clips Editing video clips Merging video clips INFRARED 800 fluorescence module option Integrated INFRARED 800 IR 800 fluorescence module Intended use Description Connecting an external monitor recommended option Configuration of IR 800 user IR 800 settings before every surgical procedure Checklist for the IR 800 function test Procedure FLOW 800 option Normal use Description General configuration Configuring INFRARED 800 Activating FLOW 800 Description of INFRARED 800 Description of FLOW 800 Preparations for use Connecting an external monitor recommended option INFRARED 800 settings before every surgical procedure Checklist for the IR 800 function test Procedure SETUP phase OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 246 246 247 248 248 252 254 26
15. Complying with IEC 60601 1 2 Class A hospital grade CE marking The system meets the essential requirements stipulated in Annex to the 93 42 EEC Directive governing medical devices The device is labeled with C E0297 Weight System incl transport contain approx er 600 kg Basic configuration with ceiling column and ceiling flange excl packaging approx 330kg Max dimensions in standby position Standby positions WxHxD 835 x 930 x 2600 mm 2600 mm G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 241 Technical data 540 1540 mm 2264 mm 650 1650 mm G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 242 Technical data Note Ey For reasons of production and material requirement planning different versions are used for the integrated video camera This does not lead to any differences in quality or application for the user 3 CCD PAL video camera mono and stereo version 1 Video Standard PAL Image sensor Three 1 2 interline transfer progressive scan CCD image sensors Horizontal resolution 800 lines Vertical resolution PAL output 500 lines Progressive Scan output 582 lines Signal to noise ratio 62 dB Scan system Interlace Progressive scan
16. G 30 1592 en BLUE 400 fluorescence module option 353 If the software detects that the OPMI supports a motorized illuminated field diaphragm the illuminated field diameter settings are performed automatically and no dialog is displayed If no motorized illuminated field diaphragm is detected the dialog shown on the left is displayed e Change the illuminated field diameter until the red button is located within the blue area e Using the focusing aid adjust the microscope in such a way that the image on the touchscreen corresponds to the enclosed photo The function test is successful if the image on the touchscreen corre sponds to the enclosed photo Slight deviations in color and brightness are permissible Note The room lighting impairs the visualization of fluorescence both on the monitor and when seen through the eyepieces For surgery using the BLUE 400 option you should therefore make sure that the room is dark ened if possible Note Automatic light field limitation has been activated If the magnification or light intensity is changed in the FL400 mode fluo rescence option the light value may significantly increase above the pre vious level when BL400 is deactivated OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 354 BLUE 400 fluorescence module option G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM op
17. K Key to symbols 2 Keyboard commands 116 L Lamp life 134 Lamp module changing of 224 Language selection 118 Laser class 238 Laser spots 124 Left beamsplitter port 54 Lever for additional illumination 60 Light intensity 328 Light intensity control 132 Light on off 132 Line power failure 26 List of patient files 176 Live Video PiP 148 LOAD button 190 Loading images import 192 208 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Index 403 Logfile export to CZ 160 Logging information copying to USB stick 368 378 Long replay IR 800 278 M Magnetic brakes failure 214 Maintenance Service 219 Make 132 Manual brightness control shutter 150 Manual gain setting IR800 274 304 Manual lamp change 210 Manual log in 367 Mark button 392 Marker 259 Maximum configuration 46 84 Mechanical surfaces cleaning 227 MediLive Video Tools 264 Merging video clips 260 262 Micromanipulator connection 58 Micromanipulator focus stop 124 Micromanipulator MM6 40 Minimum configuration 84 MM6 micromanipulator 40 58 Mobile phones 18 Mounting the mouth switch on the 180 tiltable tube 90 Mouth switch socket 60 Mouth switch mounting on straight tube 92 MPG2 file 152 248 MULTIVISION 156 MultiVision button control 158 N NAV connector 80 Navigation information injection 42 Navigation Interface 156 Navigation interfaces 80 Navigation system activation
18. OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 236 Maintenance Service G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Technical data 237 Technical data OPMI Pentero 238 3 CCD PAL video camera mono and stereo version 1 242 3 CCD NTSC video camera mono and stereo version 1 243 3 CCD PAL video camera mono and stereo version 2 244 3 CCD NTSC video camera mono and stereo Version 2 245 Ambient requirements 246 Changes to the system 246 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 238 Technical data OPMI Pentero Tube Eyepieces Removable tiltable tube Tilt range 180 Focal length f 170 mm for main observer and coobserver option 10x 21B 12 5x 18B magnetic widefield eye pieces with integrated eyecups Varioskop objective Working distance 200 500 mm lens Motorized adjustable speed Manual adjustment possible emergency mode Autofocus functions Sensor for working distance for neuronavigation Magnification Zoom system with 1 6 ratio magnification factor y 0 4x 2 4x Motorized magnification change on microscope Manual adjustment possible emergency mode Sensor for zoom system for neuronavigation Autofocus AF When AF is triggered two laser beams inter Focusing aid secting in the focal plane are visible wavelength 635 nm laser cl
19. Sorting the patient list When you press the SORT button of the LIST tab the sorting menu is opened It permits you to select surgeons names and or items as filter cri teria and search criteria for the patient list 4 SORT Select the sorting and filter criteria for the patient list here 7 Filter criteria display The current settings of the sorting and filter criteria are displayed above the SORT button Only one line is displayed If the output is longer it is cut off automatically and the remainder is symbolized by an asterisk 8 Filter criteria Example Sort alphabetically filter surgeon Prof Dr Harry Hirsch or Sort chronologically filter glioblastoma If data size has been selected as sorting criterion the data volume required in MB is displayed on the right of the patient name 9 Close When you press the Close button the patient list is rearranged in ac cordance with the selected criteria If no items have been defined the Select an item button is disabled and displayed in gray color Factory setting for the creation of a new user Alphabetical sorting selected No selection filter selected Note PFT The filter criteria are linked by AND functions As a result it may happen that no search results are displayed if several criteria have been selected G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 181 PATIENT
20. justment When you press the buttons for mouth switch fine adjustment the weights for the suspension system axes are repositioned depending on the angular position of the suspension system so that a minimal upward downward force effect occurs This permits the user of the mouth switch to ad just the balancing of the microscope to his specific requirements You can adjust the force action by pressing the buttons several times After a button has been pressed five times for one direction the respec tive button is disabled and no further entry is possible Note The additional force effect applied for mouth switch fine adjustment can only be reset to zero by a new autobalance procedure The buttons for fine adjustment of mouth switch balancing can only be used if indicator 4 is in the range between the two horizontal lines If nec essary unlock the brakes and position the microscope accordingly Fine balancing must also not be performed above the patient OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 113 Autobalance Autobalance Complete System Autobalance Microscope Drape Compensation Fine adjustment mouth switch se i a G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 114 Preparations for use G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 P
21. ment Motorized XY movement in three axes over the entire front to back and lateral tilt ranges of the microscope variable speed Depth of field Swing in double iris diaphragm switchable to two levels The brightness of data injection remains unaf fected Coobservation port The OPMI is equipped with an integrated 180 coobservation port standard tube port Simulta neous photography and video recording 2D and 3D are possible Video system Integrated 3 chip 1 2 progressive scan video camera mono option stereo for PAL NTSC Max additional load on the microscope Rated voltage The maximum admissible load accessory equip ment on the microscope must not exceed 6 kg 100 VAC 10 120 VAC 10 230 240 VAC 10 Power consumption Max 900 VA Rated frequency 50 60 Hz Fuse Automatic circuit breaker Electrical AUX port for an external signal of outlets a maximum of 24 V 0 5 A Electrical Complying with IEC 60601 1 EN 60601 1 UL standard 60601 1 OPMI Pentero C Software Release 2 20 2 21 Protection class degree of protection IPXO e Type B equipment A Issue 4 2 Printed on 14 12 2009 240 Technical data Product classifica tion As per Directive 93 42 EEC Annex IX Class With intraoperative fluorescence Class Ila DICOM option IT network connector class A as per EN 60601 1 EMC requirements
22. 1 to select the image to be displayed for comparison with the current image Select the images required by clicking on the thumbnails The images are displayed in the sequence in which they were recorded STORE button 3 permits you to save the comparison image to the im age directory of the corresponding patient The patient s image directory 4 permits you to view edit or save the images see Seite 1 Note When saving data to external data media in particular USB storage media not approved by ZEISS check that the data export was successful OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 341 ZADIAGRAMES Compare 1000 Al 800 Al 600 Al 2008 05 14 17 03 51 O Independent 400 Al 08 05 14 4 BACK NEXT i 200 Al lt Back Q coroar 2 Maximum Intensity 2008 06 10_14 82 08 208 06 10_14 82 55 wel ve 2008 06 10_14 32 08 2008 06 10_14 32 56 90 KS 26 KB SPIT 11 08 3817 1138 39747 03 13717 11 05 WENA ANWO UBIA IOWO HIINAL OONO A1 rhe IN 116 KB E aske 113 2E 41 1711 08 42117 1138 13717 03 EINA OAG A AT pera LUHT KODAM O 45 1306 08 ot ert 1 8Wa ee Mark E Delete G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 sey 342 FLOW 800 option G 30 1592 en OPMI Pentero C Software Release
23. 3 Hold the microscope on its body not on the handgrips page 216 and position it manually by overcoming the braking ef fect OPMI Ps itero C G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 14 Functions at a glance G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Safety 15 Safety Protective measures for IT systems and networks 16 Notes on installation and use 17 Risk of burn injuries caused by high illumination intensity 22 Safety devices of the suspension system 26 Warning labels and notes 28 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 16 Safety The device described in this manual has been designed and tested in ac cordance with Carl Zeiss safety standards as well as German and inter national standards This guarantees a high degree of instrument safety The system described in this user manual has been designed in compli ance with the requirements of EN IEC UL CSA In accordance with Directive 93 42 EEC for medical devices the com plete quality management system of the company Carl Zeiss Surgical GmbH 73446 Oberkochen Germany has been certified by DQS Deut sche Gesellschaft zur Zertifizierung von Managementsystemen GmbH a notified body under registration number 250758 MP23 I
24. C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en FLOW 800 option 295 Warning Reliable visualization of fluorescent areas with IR 800 is not or no longer possible in the following situations Insufficient brightness in deep channels Working distance too large focus threshold recommended working distance less than approx 300 mm Zoom setting too high recommended zoom setting factor equal to smaller than 5 0x Selected illuminated field diameter too large Optimum illumination in the fluorescence mode is achieved if the illu minated field diameter on the OPMI is set to the middle position and the wide OPMI diaphragm is selected i e a small depth of field is set Both adjustments are made automatically when the IR 800 mode is started Caution Infrared light sources e g navigation systems may cause disturbances during the INFRARED 800 FLOW 800 application We recommend the following measures to avoid this effect Perform a function test prior to application in order to check whether any reflections are caused by a source of disturbance and reposition the source of disturbance if necessary If any reflections occur prevent the incidence of light by tilting or cov ering the eyepieces Make sure that no navigation systems are directed at the surgical field during the INFRARED 800 FLOW 800 application OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zans Printed on 14
25. Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 98 Preparations for use Positioning the touchscreen n The control panel can be rotated through approx 90 about its axis and tilted through approx 20 permitting easy viewing and operation by the user or other persons Caution The touchscreen may collide with the carrier arm of the suspension system Use the suspension arm that swivels about the column to position the touchscreen on the left or right of the carrier arm see also page 102 Position the touchscreen in such a way that it cannot injure the patient when it is moved lowered e Pull grasp 1 downward This releases the lock and you can move the touchscreen up or down e Letgo of grasp 1 The lock engages and the touchscreen is secured in position Swiveling the touchscreen over the carrier arm AB FF ess G 30 1592 en Press the brake release button AB on the surgical microscope Move the carrier arm to its lowest position When you let go of the brake re lease button AB all magnetic brakes are locked in the standby posi tion e Pull grasp 1 on the touchscreen downward and push the touch screen all the way up e Swivel the touchscreen over the carrier arm and position it in such a way that it cannot collide with the carrier arm Note Insert the external USB mini hard drive included in the delivery package in bracket 2 on the back of the touchsc
26. Pull once again to make the lamp engage or remove lamp module 3 to install a new lamp e Close flap 4 again If the lamp does not light perform the lamp change once again Contact your Carl Zeiss service partner to have the defect of the auto matic lamp changer repaired gt change lamp Note Ey Only change the lamp if you have replacement at hand as lamp mod ule 3 should never be operated without a lamp Every time you switch on the system it indicates that you are using the backup lamp until the expired lamp is replaced G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 zess 212 Operation Failure of the zoom function Failure of the zoom function while all other functions of the suspen sion system work correctly e Adjust the magnification manually using zoom knob 1 Failure of the zoom drive In the event of a failure of the zoom drive e g Zoom drive moves con stantly into an end position e Set the mode selector switch on the connection panel to emergency operation This ensures that the light source continues to be operative without any restrictions e Adjust the magnification manually using zoom knob 1 e Continue surgery by manually operating the suspension system and the surgical microscope by overcoming the locking effect of the brakes G 30 1592 en OPMI Pentero C Software Release 2
27. and to merge them into a new video clip Path PAT FILES VIDEOCLIPS EDIT MERGE MERGE tab Videos box The Videos box gives an overview of all video clips available of the patient concerned New Clip box The New Clip box permits you to combine individual video clips available in the Videos box to create a new video clip and to save it in the Videos box Video file dd mm yy_hh mm ss_V mpg Clip file dd mm yy_hh mm ss_C mpg Merged file dd mm yy_hh mm ss_M mpg Compiling a new video clip Select the video clips required by clicking on them in the Videos box and transfer them to the New Clip box by pressing the lt INSERT gt or lt AP PEND gt button Editing the new video clip Extending the new video clip Select the video clip required in the Videos box and click on the video clip in the New Clip box before or after which the selected video clip is to be inserted Use lt INSERT gt to place the selected video clip before the relevant video clip in the New Clip box Use lt APPEND gt to place the selected video clip after the relevant video clip in the New Clip box Removing a video clip from the New Clip box Click on the relevant video clip in the New Clip box and press the lt RE MOVE gt button G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Digital video recording option 261 Sar Lise A ma Am N a Videos New Clip G a S a K
28. comes visible instead If no external video signal is present the mes sage No Video Signal is briefly displayed Deactivate the video image display again by briefly lt 2 s pressing the programmed Display button of the handgrip or the foot control unit The video image disappears The microscope image is visible again in both eyepieces Text information on the current mode is superim posed for 15 seconds on the current image OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 173 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 174 G 30 1592 en Operation Displaying the touchscreen The OPMI Pentero has been switched on and the main menu is dis played Press CONFIG button 3 then STAND button 2 Select one of the programmable buttons on the handgrip or foot switch and assign the MultiVision function 7 to it Select MultiVision button 4 in the CONFIG menu see also page 156 Press touchscreen button 6 in the MultiVision field Use data display field 5 to select the information zoom focus light you want to have displayed in the microscope To display the touchscreen press the programmed MultiVision button on the handgrip or foot control unit The microscope image is eclipsed and the touchscreen image is displayed A mouse cursor appears on the touchscreen and in the microscope image you can navigate w
29. mote system for fur inquiry ther information Timeout 246 Server did not answer System does not re Check IP address request Timeout spond within config extend timeout if nec ured timeout interval essary Server connection 247 The attempt to con Computer can be Wrong IP address or failed nect was forcefully reached at IP ad port or server appli rejected dress but no DICOM cation of remote service is executed system is not running on the port Server was unable to 257 Out of Resources Remote system has a Search logfile of re process inquiry unable to calculate processing problem mote system for fur number of matches ther information Server was unable to 258 Out of Resources Remote system has a Search logfile of re process inquiry Unable to perform processing problem mote system for fur sub operations ther information This modality is un 259 Move Destination Un Pentero Mindstream Configure AE title IP address port etc in remote system G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 381 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 382 DICOM option Importing patient data sets from RIS systems The abbreviation RIS stands for Radiology Information System and des ignates IT systems for the documentation and management of medical and administrative dat
30. other The maps of the current video 4 can be compared with those of earlier videos 5 of the same patient The current diagram 6 can also be compared with diagrams of earlier videos 7 The diagrams must be saved for this purpose see notes 1 Search window for comparison video For searching the INFRARED 800 video to be compared scroll through the list of INFRARED 800 videos available for comparison using the BACK and NEXT buttons The video to be used for com parison is selected by clicking on one of the thumbnails displayed above the BACK and NEXT buttons The videos are displayed in the sequence in which they were re corded Mode Select the visualization mode to be used for the comparison of the im ages Maximum Intensity Delay or Diagram Notes on the Diagram mode If no diagram has been saved for the displayed processing data the Diagram button is grayed out Only diagrams previously created with STORE on the Diagram page are offered for comparison However diagrams are offered for all videos of the patient The STORE function files the diagrams and ROI images also un der PAT FILES IMAGES If the images have been deleted or re named there they are not offered for comparison here This also applies after the import of processing data For this rea son the diagram images and ROI images also have to be imported in order to display diagrams for comparison Inthe Diagra
31. when the video was recorded Diagram comparison of diagrams Scaling is disabled in the Diagram mode If no diagram has been saved for the displayed processing data the Diagram button is disabled OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 339 Compare Maximum intensity DIAGRAM COMPARES Maximum Intensity Scaling 08 05 14 16 44 16 2008 05 14 17 O Delay Independent BACK O Diagram C compare Maximum ie s Ge Intensity Scaling 08 05 14_16 44 16 05 14_17 03 4 K Delay O Independent Tsi O Diagram O cone Compare Delay Compare Diagram DIAGRAM COMPAR Maximum Intensity Scaling O Delay O Independent Diagram anne G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 340 G 30 1592 en FLOW 800 option Saving comparisons The COMPARE menu permits you to save the comparisons of images or diagrams Note Only images and diagrams previously created with STORE are offered for comparison e Under Mode 2 select the visualization mode to be used for saving the comparison of the images Maximum Intensity comparison of gray level images Delay comparison of false color images Diagram comparison of diagrams Use the BACK and NEXT buttons in search window
32. you press the Set ROI button the display in the video window auto matically changes to Maximum Intensity When the ROI is set a magnified display appears automatically to facilitate fine positioning of the ROI 3 ROlsize for setting the ROI size 4 ROI type Two ROI types are available rectangular and adaptive Adaptive ROIs may lead to jagged curves in low contrast tissue struc tures We recommend using rectangular ROIs in this case 5 CALCULATE After setting at least one ROI you can start the calculation by pressing the CALCULATE button Note A maximum of eight ROIs can be set and calculated 6 DELETE for deleting the ROI and its calculation First press the relevant rectangular result button 8 Then press DE LETE button 6 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 315 Mw Be ROI Size ROI Type G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 316 1 1 G 30 1592 en FLOW 800 option 7 STORE The STORE button permits you to save the diagram to the analysis di rectory of the corresponding patient By exporting the patient files saving to CD DVD or a USB medium a Diagram csv file is created in Patient Files Analysis The csv file con tains the diagram values which can be exported to spreadsheet pro grams Result buttons for selecting the active ROI
33. 10 Factory setting 5 During the PLAYBACK phase short and long replays you can use the joystick of the right handgrip to control the playback process play stop fast forward fast rewind photo OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 309 Briefly press Stop lt lt or b gt Video moves backward or forward in Play gt Photo steps R stops when buttons are released Hold down Stop lt lt or gt gt Video clip is slowly played forward or lt lt 1 C gt backward Vv stops when buttons are released a Hold down Play lt lt or gt gt Fast forward or fast rewind of video top clip G 30 1592 en stops when buttons are released lt a Note A tip for INFRARED 800 replay If an external monitor is connected you can switch to the full screen mode on the touchscreen SETUP RECORD External PiP during O Standard 30 12 04 17 56 Monitor MultiVision Playback User XXXXXXXX Patient O IR800 XXXXXXX Recorder Capacity fo EXt Short AUDIO VIDEO Replay Short Replay Number of Long Duration Replays le 5 7 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 310 FLOW 800 option Description of FLOW 800 n Note Recorded FLOW 800 processing data not optimal Changes in OPMI settings occurred d
34. 156 Navigation systems connection of 78 Network connection configuration 360 New video clip 262 NEXT 329 NEXT button 287 329 Non Zeiss units connecting 39 Normal use 292 Notes on EMC 19 Notes on use 17 Number of replays IR 800 278 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 404 G 30 1592 en Index O Operating hours display 160 Operation 165 Operation requirements 20 OPMI and micromanipulator adjustment to the same focal plane 40 58 OPMI Data Display 156 Optical surfaces cleaning 226 Optical surfaces fogging 226 Ordering data 229 Overall system configuration 43 P PAL video output ports 242 243 244 245 Password 118 Password for patient data protection 118 Password protection enabling 118 PAT FILES 176 Patient data loading of 206 386 Patient data managing 176 Patient Files menu 176 Patient Groups 184 186 Patient images viewing 190 Patient list 178 Patient list sorting 180 PD adjustment 62 Photo menu 146 PiP in Replay IR800 276 288 306 330 Playback menu 276 306 PLAYBACK phase 330 Porphyrin note 266 345 Potential equalization 18 74 Power failure short term 26 Power switch 74 Preparations for use 83 322 Procedure 169 284 326 Progressive scan VGA or RGB output port 76 Protective measures for IT systems and networks 16 R RECORD phase 328 Re equipping the instrument 21 Release Notes 20 35 Remote Service 160 2
35. 43 46 48 52 54 62 66 68 70 71 72 74 78 34 OPMI Pentero C Intended use zans G 30 1592 en Description The overall system comprises a surgical microscope and a ceiling mount containing the electronics and a graphic touchscreen with video display The OPMI Pentero C is ideally suited for cranial and spinal applications in neurosurgery for ENT applications in the area of the auditory nerve and the base of the skull Further fields of application include R amp P procedures in accident surgery R amp P surgery and oral and maxillo facial surgery The system is also ideally suited for multidisciplinary use in microsurgery It has also been designed for surgical procedures in which an endoscope and a surgical microscope are used simultaneously The system is equipped for the connection of navigation systems and for data commu nication with external network systems The system is intended for use in hospitals clinics or other human medi cine institutions The functions of the surgical microscope and of the suspension system are controlled by the central control unit in the console An interactive graphic touchscreen permits you to configure all settings You can trigger these functions using the buttons on the handgrips or on a foot control panel The system must only be operated by physicians nurses and other med ically trained OR staff who have received appropriate briefing and ob serve the instructions of the us
36. 95 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 96 Preparations for use Attaching sterile drapes G 30 1592 en The system features an integrated drape vacuum system which extracts the air from the drape at the suspension arm and surgical microscope Unpack the drape and pull it over the surgical microscope and the sus pension arm e Pull the drape over marked position 2 of the suspension arm Caution When attaching the drape please ensure that there is sufficient space for the tilt and rotation movement of the surgical microscope e Make the drape airtight at the marked position 2 using one of the straps e The drape vacuum pump is activated by pressing DRAPE button 1 in the main menu Note The vacuum system operates at maximum power during the first 2 minutes approximately Then it automatically switches to a defined maintaining power to keep up the vacuum e The drape vacuum pump is switched off by pressing DRAPE button 1 in the main menu once again OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 97 FOCUS ZOOM LIGHT 359 mm 5 9x 33 PAT FILES Effective range of drape vacuum system Non sterile area Sterile area DRAPE Hier luftdicht abschlie en Make airtight here Fermer herm tiquement ici Cerrar herm licamente aqui G 30 1592 en OPMI
37. C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Preparations for use CE AUDIOVIDEO File Format Serial Capture Number of Images Serial Capture Delay Time in Seconds li OPMI Pentero C Software Release 2 20 2 21 Flash During Capture O On O Off Storage Mode O Field O Full Frame Live Video PiP O on QO Issue 4 2 Printed on 14 12 2009 149 150 G 30 1592 en Preparations for use VIDEO Use this menu to configure the functions of the integrated 3CCD video camera Setting the brightness Automatic brightness control Auto 1 and 4 The brightness can be set by adjusting slider 4 The video system tries to maintain the selected brightness at a constant level by independent control of the exposure time Manual brightness control using shutter 2 and 5 The exposure time of the camera can be varied in discrete steps by pressing the appropriate button The camera does not control image brightness The default setting corresponds approx to 1 50 or 1 100 in PAL systems and to approx 1 60 or 1 120 in NTSC systems Selecting the brightness range 2 You can select between two light metering patterns Spot The exposure is measured in a very small field in the image center This metering pattern is suitable for work in narrow channels with a small illuminated field diameter It is unsuitable however if the image area of interest
38. For thorough cleaning of optical surfaces use the optics cleaning set Cat No 1216 071 or damp optics cleaning wipes available from specialized dealers e Remove minor contaminations such as dust streaks etc using a clean microfiber cleaning cloth available from specialized dealers or under Cat No 1254 655 Fogging of optical surfaces To protect the eyepiece optics from fogging we recommend using an anti fogging agent OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Maintenance Service 227 Note Anti fogging agents provided by eyecare professionals for use with eye glass lenses are also suitable for Zeiss eyepieces e Please observe the instructions for use supplied with each anti fog ging agent Anti fogging agents do not only ensure fog free optics They also clean the eyepiece optics and protect them against dirt grease dust fluff and fingerprints Cleaning the touchscreen Clean the touchscreen with alcohol free glass cleaner e Apply the cleaning agent on a soft clean cloth do not spray or pour it directly on the touchscreen and wipe the touchscreen with the moist cloth e Do not let any cleaning agent seep into the device Cleaning mechanical surfaces All mechanical surfaces of the equipment can be cleaned by wiping them with a damp cloth Do not use any aggressive or abrasive cleaning agents Clean off any residue using a mixture of 50 ethyl al
39. In the long replay mode the recorded video is replayed several times in its full length The number of replays can be selected If you press the FL button during the PLAYBACK phase this visual ization mode is stopped immediately and the white light mode is reactivated If AFD has been activated and fluorescence has been detected the recorded video is played back from the point of FL detection Any black phase is therefore not displayed During the PLAYBACK phase short and long replays you can use the joystick of the right handgrip to control the playback proc ess play stop fast forward fast rewind photo Briefly press Stop lt lt or gt gt Video moves backward or for ward in steps stops when buttons are re leased Hold down Stop lt lt or b gt Video clip is slowly played for ward or backward stops when buttons are re leased Hold down lt lt or p gt Fast forward or fast rewind of video clip stops when buttons are re leased 3 PiP in Replay playback mode only G 30 1592 en Qn When PiP Picture in Picture has been activated the simulta neously recorded white light video is displayed in a small window at the top right of the touchscreen Off No PiP display OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 289 Note Ey You can end recording and playba
40. Note on MediLive Video Tools The MediLive Video Tools software provides improved compatibility be tween your PC Windows or MacOS and the video DVDs created with OPMI Pentero Please install MediLive Video Tools on your PC if you notice the following problems The computer cannot read the DVD content or the DVD is not identi fied because the UDF 2 0 disk format is not recognized The video player or Office software is unable to play MPEG2 videos as the MPEG2 decoder is missing One MediLive Video Tools CD is supplied as part of the digital video re cording option The ZEISS cat no of this CD is 308203 8040 000 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option INFRARED 800 fluorescence module option G 30 1592 en FF Note 265 The system including the IR 800 option has been approved for use in the EU USA and Japan in accordance with the respective national regula tions The fluorescence option is also available in other countries How ever according to 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 infor mation Integrated INFRARED 800 IR 800 fluorescence module Intended use Description Connecting an external monitor recommended option Configuration of
41. Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Procedure Operation 169 Working with the surgical microscope G 30 1592 en All preparations for surgery have been completed Switch on the system The system has been checked using the checklist Set the brightness level of the surgical field illumination as required Press the release button for the magnetic brakes and move the sus pension system and the microscope over the surgical field Bring the suspension system and the surgical microscope into an er gonomic position within the working distance Press the AF button Select the magnification required zoom Look through the eyepieces of the binocular tube Adjust the eyepieces in such a way that you can see both the edge of the field of view and the microscope image sharply Switch off the units when you are not using them OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zans Printed on 14 12 2009 170 Operation Comfortable control via the mouth switch pivoting G 30 1592 en Requirements The foot control panel has been connected The mouth switch has been mounted and connected see page 90 The complete system has been correctly balanced see Warning To check correct balancing of the system unlock the brakes while holding the microscope tightly at both handgrips When the system has been correctly balanced the surgical micro scope can be moved almost
42. Pentero with the current settings To restore the touchscreen function proceed as follows e Switch the suspension system off and back on again after a short time approx 2 minutes After power up the system automatically goes into the standard oper ating mode after it has completed a self test approx 30 seconds e Check all functions of the surgical microscope and suspension sys tem You can continue surgery in the standard operating mode Failure of the line voltage G 30 1592 en In the event of power failure the uninterruptible power supply UPS au tomatically starts to operate It ensures for a short period of time that no data will be lost It does not power the light source and microscope func tions OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 215 If no power is available over a prolonged period of time the system is shut down As soon as line power is back the user is informed accordingly Power OK and all subsystems are re initialized In the event of power failure magnetic brakes are locked you can man ually position the arm of the suspension system with the microscope by overcoming the locking effect of the brakes Error messages in the data injection system Major system errors are displayed in the microscope s integrated data in jection system You can delete these messages by acknowledgement using joystick 1 of the right handgrip pushbutton
43. Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 74 Description Wall mounted control panel gt gt x lt 3 EMERGENCY MODE G 30 1592 en 10 11 12 13 14 Power switch When the ceiling mount is on the green indicator light in the switch is lit Cover for various switches Socket for a foot rocker switch included in delivery package AUX socket for controlling an external unit e g a video recorder Connector for control component Possibility of connecting a foot control panel footswitch or an oper ating chair with appropriate footswitch Spare connector currently without function Connector for cable for connecting a microscope navigation system Potential equalization for connection of the system to the potential equalization system Indicator light for item 10 currently without function Switch for a ceiling track mount currently without function Master switch for electrical power supply Completely separates the system from the electrical power supply When the system is on the green indicator light in the master switch is lit The master switch is only intended for service and repair pur poses External automatic circuit breaker for electrical power supply If the automatic circuit breaker is activated try to reactivate the func tion by pressing the circuit breaker button Should the automatic circuit breaker be activated again call our service dept
44. UD Active patient Benninger Ralph 21 10 2003 Date of birth 11 11 1911 Modality an Instance UID Date Time Study UD G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 zess 392 G 30 1592 en DICOM option Select the required image in the explorer the image information and a thumbnail of the image will be displayed in the viewer No preview will be displayed if the selected file is a video FULL SCREEN button Press the FULL SCREEN button to view the selected image in full size Mark button Press the Mark button to mark the selected image or video for subse quent import In the explorer the selected image can be identified by the Selected icon SELECT ALL button The SELECT ALL button permits you to select all images or videos of a series in one go In the explorer all selected images can be identi fied by the Selected icon IMPORT button Press the IMPORT button to import all images or all selected images to the patient folder The data import process is indicated by progress bar 5 Note Images and videos imported from DICOM and stored locally are marked with D at the bottom right OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 393 PACS Server Study Information 1996 Active patient Benninger Ralph 21 10 2003 Date of birth 11 11 1911 08 09 1996 Modali
45. appropriately configured foot control button A B C D linking it with the brake function i e the autofocus is automatically ac tivated after the magnetic brakes are locked optional voice control For configuring the autofocus function see page 108 and page 124 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 72 Description Drape vacuum system G 30 1592 en To facilitate the draping of the system and intraoperative processes for the OR staff the system features an integrated drape vacuum system which extracts the air from the drape at the suspension arm and surgical microscope e The drape vacuum pump is activated by pressing DRAPE button 1 in the main menu Note The vacuum system operates at maximum power during the first 2 min utes approximately Then it automatically switches to a defined main taining power to keep up the vacuum e The drape vacuum pump is switched off by pressing DRAPE button 1 in the main menu once again Attaching sterile drapes see page 96 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 73 DRAPE AUTOBALANCE MUAABAG NL Effective range of drape vacuum system Non sterile area Sterile area DRAPE Hier luftdicht abschlie en Make airtight here Fermer herm tiquement ici Cerrar herm licamente aqui G 30 1592 en OPMI Pentero C Software
46. below must be observed Only use accessories that have been approved by Carl Zeiss for this system Do not use any portable or mobile high frequency communication devices in the vicinity of the system as this may lead to an impairment of its func tion The system complies with the limits for a Class A device concerning radio frequency emission However the possibility of interference to high fre quency receiving devices e g TV sets or radios being used in the sur roundings cannot be ruled out If interference of this type occurs please inform your Carl Zeiss Service OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 20 G 30 1592 en Safety Requirements for operation Note Please also take note of the latest Release Notes about the installed software version These are part of the delivery package when the system is supplied After a software update you will always receive the latest version e For ceiling mounts only Our service staff or a qualified person ap pointed by us will install the system on ceiling anchors which have been properly mounted by the construction engineers responsible These ceiling anchors must comply with the specifications contained in our planning manual Our service representative or a specialist authorized by us will install the instrument Please make sure that the following requirements for opera tion remain fulfilled in the future All m
47. can also be compared with diagrams of earlier videos on the left The diagrams must be saved in the FLOW 800 dia gram mode for this purpose The image diagram last saved is displayed on the right hand side For searching the images and diagrams to be compared scroll through the list in the search window using the BACK and NEXT buttons Se lect the images required by clicking on the thumbnails The images are displayed in the sequence in which they were recorded The time stamp of the video file is displayed below the images in the search window to facilitate orientation Note If a video has been renamed If the name of the video no longer includes the time stamp format the be ginning of the new file name is displayed according to the space available max 19 characters Longer names are shortened accordingly and three dots are added The following characters are not allowed in the rename dialog dot apos trophe and question mark Select the visualization mode to be used for the comparison of the im ages Maximum Intensity display as gray level image Delay display as false color image over time Note By default the results are visualized with identical scaling You can cancel identical scaling in the Maximum Intensity and Delay modes by pressing the Independent button The images can then be compared at independent scales A comparison of delays only makes sense if AFD was activated
48. diameter of the illuminated area is reduced A long surgical procedure increases the risk of injury in particular if a standard procedure takes considerably longer than usual Injuries in the peripheral area can be prevented by covering this area with wet sterile gauze You should also take into account that some areas of the body may be more sensitive than others Certain preparations of the surgical field local vasoconstrictive medi cations and incision drapes may also result in a higher risk of injury Patient related factors The general condition of a patient s health may contribute to the risk of injury The skin type may also play a major role in this respect Certain medications affect the sensitivity to light Recommendations Due to the large number of different factors involved and the lack of sci entific publications on this topic Carl Zeiss cannot provide guidance on acceptable intensities and exposure durations However the OPMI Pentero has several features that can help the user to reduce the risk of burns The start value of the light intensity can be set to a low value page 134 The spot function permits you to reduce the size of the illuminated field to the area observed during the procedure page 68 Printed on 14 12 2009 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 etss 24 G 30 1592 en Safety You can then set the light intensity to the value required for the proce du
49. effortlessly Position the microscope above the required object point in the surgical field Select the working distance and magnification required Unlock the magnetic brakes by pressing the mouth switch Note Mouth swith fine balancing can be adjusted to the user s specific require ments see Joystick 1 on the foot control panel permits you to move the micro scope in the X and Y directions on a circular arc at the working dis tance above the object point In this process you use the mouth switch to keep the microscope fo cused on the object point in the surgical field Comfortable control via the mouth switch works irrespectively of the se lected front to back or lateral tilt of the microscope s optical axis in the en tire adjustment range of axes 4 5 and 6 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 171 O r Aay G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 172 Operation Working with the data injection system G 30 1592 en Video image injection e e Check the system setup using the checklist Switch on all units of the system Make sure that an external video signal is present see page 76 Trigger image switchover by pressing the programmed MultiVision button of the handgrip or the foot control unit The microscope image is eclipsed and the external video image be
50. gt E max 6 kg G 30 1592 en OPMI Pentero C has been designed for different applications in microsur gery The ceiling mount has been designed for optimum maneuverability For this reason a minimum and a maximum configuration are recom mended to ensure the safe use of the system Minimum configuration 1 comprises e g two tiltable tubes with eye pieces or a straight tube with eyepieces and a stereo coobservation module with tube and eyepieces The maximum admissible load configuration options 2 on the micro scope body must not exceed 6 kg For weight data see Accessories This configuration comprises for example a still camera a face to face adapter with a second tiltable tube a stereo coobservation module with a tiltable tube a micromanipulator etc Assemble the components you want to use as shown in the illustration on the opposite page and check that they are exactly positioned and firmly mounted knurled screws have been tightened Caution Check that the handgrips and accessories coobservation or documenta tion equipment have been correctly mounted that they can be moved without restriction across the full swivel range and that they cannot collide with any other units Warning If the weight of the configuration used is higher lower than that of the rec ommended configuration the mobility or balance of the system may be impaired 1 Minimum configuration N Configuration options The maximum
51. in the illustration are examples of further accessories that can be mounted on the lateral image exit ports The method described below can also be used for other accessories The operating principle of the accessories is described in the relevant user manuals e Loosen knurled ring 1 Note An arrow with the labeling open is located on the shaft next to knurled ring 1 Remove dust cover 2 and store it in a safe place Insert accessory module 3 in the opening of the image exit port The opening of the image exit port is fitted with guide projections The ac cessory module 3 has the corresponding grooves Carefully turn the accessory module until the guide projections fit into the grooves and slide the accessory module in the opening as far as it will go Screw knurled ring 1 onto accessory module 3 Firmly tighten knurled ring 1 The type of coobservation lateral image exit ports left right or oppo site image exit ports face to face can be configured at the touch screen see page 130 The sliding mirror has two positions Left right The light is directed to the lateral image exit ports If an external camera is released and the sliding mirror is in the face to face posi tion the mirror switches to the left right position during image capture Face to face The light is directed to the tube mount at the back Note The position of the sliding mirror can also be switched manually using knob 4
52. in your user profile IR 800 settings before every surgical procedure zans G 30 1592 en e The buttons on the handgrip or foot control unit have been configured and the menu settings made see page 138 and page 140 and checked see page 282 The function test for the IR 800 fluorescence module has been per formed in accordance with the checklist page 283 and the OPMI Pentero is ready for surgery The IR 800 fluorescence module can be used when the target anato my has been exposed during surgery and can be observed through the microscope without visual obstruction OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 283 Checklist for the IR 800 function test G 30 1592 en Warning The IR 800 fluorescence target is not sterile Therefore perform the func tion test before surgery without patient Always check the following points before the use of the integrated fluores cence module without patient e Place the IR 800 fluorescence target on a level surface Set the focus to 300 mm and the zoom to 3 5x on the handgrip the 3 5x zoom value is only used for the function test Refocus the im age by moving the microscope upwards or downwards after unlocking the brakes e Check the function of the external monitor option e Activate the fluorescence function by pressing the configured button of the handgrip or foot control unit The f
53. or light intensity is changed in the IR800 mode fluo rescence option the light value may significantly increase above the pre vious level when IR800 is deactivated G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 286 4 Darker Brighter i G 30 1592 en INFRARED 800 fluorescence module option RECORD phase The RECORD phase is activated when the fluorescence button is pressed for the second time Note The light intensity start value on activation of the recording mode is al ways 50 The RECORD phase takes no longer than 5 minutes Then the program changes automatically to the PLAYBACK mode 1 Light intensity The light intensity can be changed during the RECORD mode via the main menu or the buttons of the left handgrip 2 Automatic camera gain control AGC Depending on whether or not you configured automatic camera gain control and automatic fluorescence detection in the IR 800 Record menu the following options are available AGC activated In the automatic mode camera gain is controlled in such a way that no major overshooting of the video signal oc curs AGC deactivated Camera gain is constantly adjusted to the value manually preset by the user Note When Auto Camera Gain is deactivated end Auto Gain or select manual setting you can manually adjust the gain value on the touch s
54. or the touchscreen G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 216 Operation Failure of all control functions Emergency mode e Check that power switch 1 is on If it is ON the green indicator lamp in the switch is lit Open EMERGENCY MODE cover 2 and check that master switch 3 is on If itis ON the green indicator lamp in the master switch is lit e Set Emergency switch 4 to ON The yellow indicator light in the switch is lit in the emergency mode The microscope and suspension system functions have now been com pletely deactivated The emergency mode ensures that the illumination continues to function with constant and sufficient intensity OPMI Pentero C zm Open Cover FLOP F F2 Oow zZ O O a D g Wall panel G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 217 Blocking of individual magnetic brakes G 30 1592 en The OPMI can not be moved at all or only to a limited extent It may happen that the integrated safety circuits are activated and block some of the magnetic brakes This can considerably restrict maneuvera bility of the microscope Proceed as follows to restore the microscope functions and to allow sur gery to be completed Turn off the system at the power switch e As soon as the blue scree
55. patient mode If an audio signal has been recorded or is available this signal is automatically output when the video clip is played back with the player The sound volume is adjust able in the player during playback Note Ey The loudspeaker in OPMI Pentero has not been designed for optimum audio rendition Note Ey The file size is indicated at the bottom left in the preview of videos and im ages OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zans G 30 1592 en Printed on 14 12 2009 Operation G 30 1592 en 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity 30 12 04 17 56 User AAAAAAAA Patient XXXXXXX Recorder Capacity 115 10 07 2007 10 1 40_I JPG 1 15 10 07 2007 10 1 52_I JPG 2007 10 1 72 LJPG 1 11 10 07 TEE 3 MB 4115 10 07 mpg2 1 15 10 07 2007 10 1 44_ JPG xB 1 15 10 07 2007 10 1 46_I JPG 2007 10 1 78_I JPG 2120 17 07 mpg2 1 15 10 07 2007 10 1 47_I JPG 1 15 10 07 2007 10 1 61_l JPG mey G 3 12 08 07 mpg2 OPMI Pentero C Software Release 2 20 2 21 2007 10 1 49 LJPG 238 KB 1 15 10 07 2007 10 1 64_I JPG 2007 10 1 801 LJPG 4123 06 07 mpg2 Issue 4 2 Printed on 14 12 2009 189 190 Operation Viewing patient images e Select the patient required e Press the active IMAGES button 2 If this button is not active the local database doe
56. permits the depth of field to be set to two levels Filters can be automatically swung into the observation and video beam paths for special applications such as fluorescence option A high grade 3 chip camera is integrated in the surgical microscope An additional camera for the stereo mode can be retrofitted at any time by our service representative The surgical microscope is equipped with a fully integrated digital data injection system for navigation video PC etc Multivision sys tem The system is equipped for the connection of a navigation system Video image injection combines endoscopy with classical microscope technology Video signal output what the surgeon currently sees is visualized on an external monitor Display of operating mode every time you press the handgrip button or the foot control unit the current mode is displayed for 5 seconds in the form of text information superimposed on the current image Use in a navigation system possible via the navigation interface Image superimposition for navigation purposes contours are super imposed on the current microscope image Image injection for navigation purposes OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Description 39 Control of the graphic user interface display of the touchscreen con trol via the joystick mouse Only possible if a navigation system has been connected
57. program that conforms to the standard The format and content of the statement must comply with the DICOM standard The Conformance Statement specifies which DICOM services and options are supported which features and upgrades have been implemented by the manufacturer and how the device communicates with other systems Theoretically the comparison of two Conformance State ments enables you to find out whether two DICOM compatible devic es can communicate with each other Use the Conformance Statement to check that the connection param eters have been correctly defined Carl Zeiss does not assume any re sponsibility for interferences in this respect with other devices Activation The password is a kind of license key assigned by Zeiss This password and the default passwords are activated by our service staff Network and DICOM addresses must be defined by the IT administrator responsible All IT and DICOM parameters PACS RIS name AE title IP address port number must be known to the Zeiss service staff prior to installation Caution Please note that the AE titles are case sensitive OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 357 Warning Do not use imported images and videos for diagnostic purposes A N Perform diagnosis only at approved diagnostic workstations If possible do not enter patient master data locally in order to avoid con fusion Load the patient master data fr
58. screen Zoom zoom rocker switch factory setting for magnification setting The current value is displayed on the screen Note The zoom and focus functions of the two rocker switches 4 and 5 can be interchanged Call up the CONFIG menu STAND HAND GRIPS and briefly press button C The displays and functions are in terchanged Programmable button D factory setting reduce illumination intensity Programmable button E factory setting increase illumination intensity Brake release button AB Brake release button for all suspension system and microscope axes For as long as you press this button all magnetic brakes are released All Brakes and the system can be moved in all directions When you let go of the button the magnetic brakes simultaneously lock all axes in position Brake release button SB OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 67 Brake release button for the microscope axes or suspension system axes factory setting For as long as you press this button only the magnetic brakes of the suspension system or microscope axes are re leased Selected Brakes and the suspension system or micro scope can be moved in all directions When you let go of the button the magnetic brakes simultaneously lock these axes in position The configuring of the handgrips is described on page 106 G 30 1592 en OPMI Pentero C Software Rel
59. second page is displayed NEXT is active when the first page of the dialog is displayed EDIT Press the EDIT button to configure the selected DICOM server DELETE The selected DICOM server is deleted Note Ey The company Carl Zeiss accepts no liability for any loss of patient image and video data as well as system or user specific configuration data If re quired arrange for patient image and video data as well as all system settings to be backed up by your IT administrator on a regular basis In the event of repairs by Carl Zeiss service staff the recovery of patient image video and configuration data is no longer possible G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 371 DICOM server Local DICOM server PACS server G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 372 DICOM option Configuring the DICOM function n zans G 30 1592 en Press the EDIT button to configure the settings for a new or existing DICOM server Caution IT Admin rights are required for all DICOM settings Names and addresses must not be assigned several times They must occur only once in the network To enable communication with a PACS or RIS the PACS or RIS at tributes AE title port number IP address must be entered Note The control elements for the entry of attribute valu
60. selection field 7 Confirm eve ry entry with OK e Enter a password 8 and confirm your entry with OK e Enter the password once again and confirm with OK Note The system provides password protected access to protect the patient data contained in it Password protection is disabled when the system is delivered If desired by the user password protection can be enabled using the master password supplied with the system in a separate closed envelope see page 122 Caution No password is required for adding a new user name For editing or exporting patient data you need IT system rights see page 122 and you have to enter a password Without IT system rights 9 only the default rights for viewing patient files and data records are enabled Data storage archiving or deletion is not possible without IT system rights Note During a session the user has the possibility of entering a new name to include his her personal profile with the current settings in the se lection list All entries which you confirm with OK are saved in your personal user profile OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 31 12 04 23 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity Uinta EXt ose Preparations for use Enter new user name User Management eae CEA User rights G 30 1592 en PATTING O Create delete users O Create edit patients O Delete
61. service call has been scheduled Exporting logfiles to CZ When you press this button the logfiles are saved in encrypted form to USB or CD DVD You can then send this data to the Zeiss service department Activating data protection Yes The system behaves in accordance with the usual data protec tion directives Each user has the system rights assigned by the ad ministrator No The system ignores any data protection measures and allows staightforward operation All patient data can be viewed and used by all users Everyone working with the system can create new users Factory setting No Remote Service See page 222 IT system rights This function permits you to activate the IT system administrator rights to protect the access to patient files with a password Factory setting OFF The password protection can be activated and deactivated using a master password You receive the master password in a closed envelope The system is delivered with deactivated password protection Before you activate password protection every user of the system must define a personal password at least 3 characters For editing saved patient files you need IT system rights and you have to enter a password Without IT system rights only the default rights for viewing patient files and data records are enabled Data storage archiving or deletion is not possible without IT system rights OPMI Pentero C Software Release 2 20 2 21 Issue 4
62. the surgical microscope or on the foot control panel can be programmed for the fluorescence applica tion This configured fluorescence button can then be used to start one of the two optional fluorescence applications depending on which option IR 800 or BL 400 has been selected You can only use BL 400 or IR 800 alternatively OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 299 Fluorescence Modes 30 12 04 17 56 User Patient XXXXXXX_ Recorder Capacity G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 300 FLOW 800 option Configuring INFRARED 800 FF Center button E G 30 1592 en INFRARED 800 Setup menu Note The INFRARED 800 fluorescence application has been optimally config ured through the preconfigured factory setting in the INFRARED 800 mode Manual settings or adjustments are possible but should be checked before application using the fluorescence target The changed settings are saved in your user profile The Setup menu is used to configure the setup procedure in order to achieve optimum quality of the video image Any deviation from the pre configured parameters items 2 3 and 4 may lead to a loss in video image quality 1 Auto Zoom Qn the total magnification is changed automatically to the precon figured value 3 without pop up message Off a settin
63. to control soft ware functions of the connected navigation system if this is supported by the navigation system Connector example for an external microscope navigation system Interface on the surgical microscope for connecting an optional antenna module OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 81 OPMI Pentero C af G G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 82 Description G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 83 Preparations for use Assembling the system 84 Configurations 84 Mounting the tube and the eyepieces 86 Attaching documentation coobservation equipment 88 Mounting the mouth switch option 90 Adjusting the position of the handgrips 94 Attaching sterile drapes 96 Positioning the touchscreen 98 Swiveling the touchscreen over the carrier arm 98 Positioning the ceiling mount 100 OR layout drawings 102 Starting the system 104 Configuring the handgrips 106 Balancing the system 110 Adjusting the surgical microscope 115 USER menu login 116 Activating IT system rights and data protection 120 Configuration menu CONFIG 124 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 84 Preparations for use Assembling the system Configurations
64. to store the expired lamp module in the protective case 1279 403 provided for this purpose Never push the red button 1 to the left in the direction of the arrow unlock while the lamp module is outside the lamp housing The high pressure lamp would be unprotected in this case Warning Before opening the lamp housing make sure that the ceiling mount is moved to a position where neither the patient nor the user is put at risk by falling items Press the Open button in the LIGHT menu Flap 4 opens automati cally Use a stepladder or similar device to reach the illumination system If the device is higher than 1 m make sure to take appropriate fall pro tection measures Remove the protective case from the new lamp module Pull grip 2 on the lamp module to the left Carefully remove the lamp module from the lamp housing Put the expired lamp module in the protective case 1279 403 provid ed for this purpose Carefully slide the new lamp module into the lamp housing Push red button 1 to the left in the direction of the arrow unlock until grip 2 swings back Press the Close button in the LIGHT menu Flap 4 closes automati cally Pack the expired lamp module in the original protective packaging and ship it to the nearest Carl Zeiss service representative OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 225 Maintenance Service Issue 4 2 Printed on 1
65. when CANCEL has been pressed If changes were made but not saved in the dialog a message to this ef fect is displayed when you exit the dialog text You made changes Do you want to save the changes Y N You can exit the test result dialog by pressing the CLOSE button The Repeat button permits you to repeat the connection test in the test results dialog using the configured DICOM server The results of the pre vious test are then deleted from the list The DETAILS button permits you to have the test results displayed in a non editable text field Use the two navigation buttons 4 to navigate in the text field one click jump to the next line in the text The COPY button 3 permits you to copy the test results file to USB OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 379 PACS name 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity AE title Port number IP address Default image timeout Default video timeout DICOM Server ECHO Test Results Connection test SUCCESSFUL DICOM Server PACS 1 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity Logging Information 21 06 2006_11 27 36 0859 SndClient gt CONQUEST OpenConnection z001q0007q gt CONQUEST 10 13 66 42 5678 21 06 2006_11 27 36 0875 RecClient lt CONQUEST Connection Successful 21 06 2006_11 27 36 0875 SndCl
66. 0 265 266 266 270 280 282 282 283 284 291 292 296 296 300 302 304 310 322 322 324 325 326 326 Printed on 14 12 2009 RECORD phase PLAYBACK phase FLOW 800 processing phase BLUE 400 fluorescence module option Integrated BLUE 400 BL 400 fluorescence module Intended use Description BL 400 checklist DICOM option DICOM Intended use Conformance Statement Configuring the network connection Further information on the Ethernet connection Connection test Configuring the DICOM connection Adding editing and deleting a DICOM server Configuring the DICOM function Defining the maximum video export size to network servers Error messages during system configuration Importing patient data sets from RIS systems Importing patient data sets from PACS system Loading patient data Exporting DICOM data to a PACS Index G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 328 330 332 343 344 344 348 352 355 356 356 356 360 366 368 370 370 372 376 380 382 384 386 394 397 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Functions at a glance 9 Functions at a glance OPMI Pentero C 10 What to do in an emergency 12 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 10 OPMI Pentero C G 30 1592 en Functions at a glan
67. 0 1592 en BLUE 400 fluorescence module option FLUORESCENCE 1 Deactivating the fluorescence applications 2 Activating the integrated INFRARED 800 IR 800 fluorescence module Option see page 265 3 Activating the integrated BLUE 400 fluorescence module BL 400 The OPMI Pentero with BL 400 fluorescence module can be used in two different modes In the white light mode the object is illuminated with visible light as usual To switch to the fluorescence mode use the handgrip or foot control panel configurable buttons see page 138 and page 140 Note A button either on the handgrip of the surgical microscope or on the foot control unit can be programmed for the fluorescence application This configured fluorescence button can then be used to start one of the two optional fluorescence applications depending on which option IR 800 or BL 400 has been selected You can only use BL 400 or IR 800 alternatively OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 BLUE 400 fluorescence module option 349 Fluorescence Button Control 30 12 04 17 56 User Patient XXXXXXX_ Recorder Capacity AUDIO VIDEO G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 350 G 30 1592 en BLUE 400 fluorescence module option Integrated BLUE 400 BL 400 fluorescence module Warning Perform a function test before using this module see
68. 0 2 21 Issue 4 2 Printed on 14 12 2009 Operation 183 Selected Items 17 56 Available Items XXXXXXX tem 1 Recorder Capacity Inti EE i Zo item 2 item 3 tem 4 tem 5 item 6 ik 7 3 i V G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 184 G 30 1592 en Operation Patient Groups This menu provides an overview of patients and a fast easy way of de leting or storing several patient files in one go Note The Groups tab displays all patients contained in the local database in accordance with the selected user rights You can select several patient files at a time Deleting several patients The data records highlighted in blue color 4 can be deleted You will be asked to confirm the deletion before the deletion process is started The currently active patient cannot be deleted If selected for deletion he must be excluded from the deletion process An hourglass is displayed while deletion is in progress Please note that deleted data can no longer be restored SORT You can select the sorting and filter criteria 4 for the patient list here See page 180 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation Patient _ 1 03 08 2003 Patient _ 3 21 10 2003 Patient _ 4 03 11 2003 G 30 1592 en ient _ 10 03 08 2005 Patient _ 20 03 04 20
69. 000000 0458 905 BLUE 400 fluorescence target 302581 9052 000 Superlux 330 lamp module 300W 000000 1277 220 Video trolley with isolating transformer 920VA 115 230V 301687 9043 000 VisionGuard replacement lenses sterile box of 20 306001 0000 000 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Maintenance Service 233 Zeiss sterile drapes type 26 pack of 5 306026 0000 000 Video audio cables Description Cat No S VHS connecting cable 2x4 pins Mini DIN 2m 301687 9102 000 Video connecting cable Y C in 10m 000000 04 18 953 Video connecting cable Y C out 10m 000000 0457 982 Video connecting cable RGB VGA out 10m 000000 0458 903 Video connecting cable RGB 5x BNC out 10m 000000 0458 905 BNC BNC cable 1m 301687 9100 000 BNC BNC cable 10m 301687 9101 000 Audio cable 2 channels CINCH CINCH 1 5m 301687 9103 000 BNC cable set 2m 301687 9109 000 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 234 G 30 1592 en Maintenance Service HD camera system Description Cat No TRIO 620 with CCU TRIO 600 according to requirements with system cable 8m or with system cable15m 308203 9730 000 302581 8740 000 302581 8743 000 UC Upgrade Component UC TRIO 620 with CCU TRIO 600 according to requirements with system cable 8m
70. 05 ient _ 11 05 09 2004 Patient _ 21 05 01 2004 ient _ 13 21 10 2004 ient _ 14 03 11 2003 ient _ 15 12 08 2004 ient _ 16 09 10 2004 ient _ 17 03 08 2002 ient _ 18 03 6 2001 ient _ 19 03 07 2005 Sort Alphabetically OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 185 186 Operation Storing several patients Proceed as follows to save the patient files of several local patients to CD DVD or to a USB stick Press Mark button 1 to confirm your selection of patients patient files 2 highlighted in blue color e Open LIST tab 3 e Press SAVE button 4 e Select the CD DVD or USB Stick tab 5 in the SAVE menu Note Ey The display shows the number of images or video clips selected for export e Check whether a new blank data carrier is contained in the CD DVD drive or whether a USB stick has been inserted 6 Export in the DICOM format 7 On Selected images are saved in a DICOM structure on the CD DVD medium Off Image data is saved in the native format TIFF BMP JPG in the predefined patient data structure Save images anonymously 8 Enables anonymous saving of the selected images On Allimage information in the EXIF format without surgeon s and patient s names Off All image information in the EXIF format with surgeon s and patient s names e Press COPY 9 to export the images The data export process is in
71. 12 2009 296 Description FLOW 800 option General configuration 1 1 G 30 1592 en Touchscreen Inthe Config menu select Stand Handgrip or Foot control panel e Assign the Fluorescence function to one of the configurable buttons A B C D see page 106 e Inthe Config menu select Fluorescence General IR 800 e Select the required settings for the Setup Record and Playback phas es in the IR 800 menu Note FLOW 800 can be activated in the IR 800 menu see page 302 Your settings are saved for the current user Note The preconfigured automatic functions ensure that the INFRARED 800 fluorescence application has been optimally configured Manual settings or adjustments are possible but do not always lead to an optimum result Check the settings before application using the fluorescence target The changed settings are saved in your user profile OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 297 Selecting the file format Note PF In the Config menu the Photo tab under AUDIO VIDEO offers the possi bility of choosing between three different file formats JPG TIFF BMP The factory setting is the JPG format JPG is a graphic format involving compression prone to loss The higher the compression the more artifacts and digital noise will appear in the compressed image When a JPG image is decompressed the compres sion losses will remain and
72. 2 Printed on 14 12 2009 Preparations for use 161 tem Note You can also obtain the valid IT Sysadmin password from your local Carl Zeiss representative Caution t After password protection has been activated all users who have not yet defined their own passwords are no longer able to access the sys 7 Deleting patient files All patient data are completely deleted The deleted data can no longer be restored The deletion process may take a while approx 1 to 2 hours t The system cannot be operated during this time Do not power down the system during this time aJI A Next Operating Hours Service Interval 30 12 04 17 56 Activate data protection IT system rights Je AUDIO VIDEO OQ Off Export logfiles to CZ Remote Service Delete patient files G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 162 Preparations for use System information SYSTEM INFO VERSION 1 Version Version number of the software 2 Note Additional information on the specified version is displayed here For example Not for medical use just for demonstration issues TIME DATE The time date setting function is only accessible via the password for IT system rights see page 160 After entry of the password the time date setting function is enabled 3 System date Enter or edit the date in the format day month year The maximum date is t
73. 2 20 2 21 Issue 4 2 Printed on 14 12 2009 BLUE 400 fluorescence module option 343 BLUE 400 fluorescence module option Note Ey The system has been approved in the EU under directive 93 42 EEC However according to national regulations additional authorization may be required in the country in which the system and application will be used The fluorescence option is also available in other countries Please con tact your local Carl Zeiss representative for further information Integrated BLUE 400 BL 400 fluorescence module 344 Intended use 344 Description 348 BL 400 checklist 352 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 344 BLUE 400 fluorescence module option Integrated BLUE 400 BL 400 fluorescence module Intended use 30258i 9050 BLUE 400 G 30 1592 en The integrated BLUE 400 fluorescence module is used to visualize fluo rescent areas The module has been designed for excitation in the wave length range from 400 to 410 nm and for observation in the wavelength range from 620 to 710 nm By pressing a button the surgeon can switch between white light and the blue violet excitation light for fluorescence Intended use under standard conditions The BLUE 400 fluorescence option permits the user to visualize and dig itally record fluorescence light and auto fluorescence light emitted by tissue The OPMI Pentero user manual only specifies th
74. 2 en DICOM option Importing DICOM data Overview of the patient data structure PATIENT Series Series Patient archives are hierarchically structured in study series images videos Proceed as follows to save patient images locally Existing studies on the selected patient are shown at the top level e Activate the required study 3 and press the Import button 4 All series in this study are shown at the second level e Activate the required series 5 and press the Import button 6 All images and videos of the selected series are shown at the third level 1 Explorer Displays the folders of studies series images or videos Two navigation buttons in the Explorer enable you to change to the next level 2 Object viewer For the visualization of the object selected in the Explorer Note Modality GM Images or videos recorded with the microscope camera of OPMI Pentero OT External images or videos OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 391 Suris PACS srver PACS Study Information 08 09 1996 Active patient Benninger Ralph 21 10 2003 Date of birth 11 11 1911 Modality cm Jnsionce UID 109 08 1996 Date a 10 51 43 Study UD 735 as a PACS Server 08 09 1996 Active patient Benninger Ralph 21 10 2003 Date of birth 11 11 1911 08 09 1996 Modality cM Instance UID 1 Date Time Study
75. 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 213 Failure of the focusing function Failure of the focusing function while all other functions of the sus pension system work correctly e Adjust the working distance manually using focusing knob 1 Failure of the focusing drive In the event of a malfunction of the focusing drive e g focusing drive moves constantly into an end position e Set the mode selector switch on the connection panel to emergency operation This ensures that the light source continues to be operative without any restrictions e Adjust the working distance manually using focusing knob 1 e Continue surgery by manually operating the suspension system and the surgical microscope by overcoming the locking effect of the brakes G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 214 Operation Failure of the magnetic brakes Touchscreen failure FF If the magnetic brakes fail magnetic brakes are locked you can manu ally move the axes of the stand by overcoming the locking effect of the brakes Warning Do not under any circumstances touch the touchscreen There is a possi bility that only the illumination of the display has failed In this case you would inadvertently call menus or change settings when touching the screen Note If the touchscreen no longer responds to your entries you can still con tinue to operate the OPMI
76. 21 Remote Service starting 222 Requirements for operation 20 Reset button 107 Result buttons 336 Right beamsplitter port 56 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Index 405 ROI setting of 334 S Safety 15 Safety information 16 Safety standards 16 Save 198 Scan system 242 243 244 245 Securing screw 84 SELECT ALL button 392 Selecting images 192 Serial capture delay time 148 Serial image capture number of images 146 Serial images 146 Service contract 221 Service interval display 160 SETUP phase 326 Short replay IR 800 278 Short replay duration IR 800 278 Signal to noise ratio 242 243 244 245 Single images 146 Sliding mirror manual setting 56 Socket for foot rocker switch 74 Software update 221 Sorting the patient list 180 Spare parts 231 Special properties 38 Spot 150 Standby position 100 Static IP address 362 Static IP address activation 364 Sterile drapes 228 Storage Medium 250 Storage mode 148 Storage space no longer sufficient 35 198 357 Storing images export 192 Storing patient data on a USB stick 204 Storing patient data on CD DVD 200 Summer time 162 Surgical microscope working with 169 System date 162 SYSTEM INFO 160 162 System information 160 162 System time 162 System assembling 84 T Technical data 237 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 406
77. 23 Pos Display IR 800 mode White light mode Recording mode Playback mode 3 Touchscreen Live image of Replays White light image IR 800 camera IR 800 image with text display 4 OR monitor Depending on configu Depending on configu White light image on video out port ration used ration used BNC White light image White light image recommended op Live i f Rel tion for video signal AE tae e j over large distances l gamera g without text display 5 OR monitor on Depending on configu Depending on configu White light image video out port Y C recommended op tion for enhanced video quality ration used White light image Live image of IR 800 camera without text display G 30 1592 en ration used White light image Replays IR 800 image Wall control panel OPMI Pentero C Software Release 2 20 2 21 Printed on 14 12 2009 Issue 4 2 324 FLOW 800 option INFRARED 800 settings before every surgical procedure G 30 1592 en e The button configuration on the handgrip or foot control panel and the menu settings have been performed and checked see page 296 The function test with the INFRARED 800 fluorescence module has been performed in accordance with the checklist page 325 and OPMI Pentero is ready for surgery The INFRARED 800 fluorescence module can be used when the tar get anatomy has been ex
78. 32 Ground leakage currents 39 H Handgrips on surgical microscope 66 Handgrips adjustment 94 Heat protection filter 27 Horizontal resolution 242 243 244 245 Host 362 Host name 367 l Illuminated field diameter setting of 68 Illumination intensity 132 Illumination intensity adjustment 68 Illumination switching on and off 68 Image preview 190 Image sensor 242 243 244 245 Images stored 18 266 IMPORT button 392 Importing DICOM data 390 Importing patient data sets from PACS system 384 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 402 G 30 1592 en Index Importing patient data sets from RIS systems 382 Index 190 INFRARED 800 IR 800 activation 298 INFRARED 800 description 304 INFRARED 800 Playback menu 306 INFRARED 800 Record menu 304 INFRARED 800 Setup menu 300 Installation notes 17 Integrated BLUE 400 fluorescence module 270 348 Integrated BLUE 400 fluorescence module option 344 Integrated INFRARED 800 fluorescence module 266 Interface on microscope mount 80 Interpupillary distance 62 IR 800 checklist 283 IR 800 configuration 282 IR 800 Playback menu 276 IR 800 Record menu 274 IR camera gain IR800 274 304 328 IR800 configuration 300 IR800 fluorescence module option 265 IR800 Setup menu 272 IT system administrator and data protection activation 120 IT system rights 160 J Joystick 106 Joystick with MultiVision function 106 156
79. 4 12 2009 OPMI Pentero C Software Release 2 20 2 21 G 30 1592 en 226 Maintenance Service Recommended cleaning method G 30 1592 en Warning If possible the systems and accessories should be cleaned immediately after use Contaminations should not be allowed to dry on the objects as this would make cleaning and disinfecting more difficult If possible machines should be used for disinfecting and cleaning For details please also see the relevant comments on sterilization equip ment Cleaning optical surfaces The multi layer T coating of the optical components e g eyepieces ob jective lenses ensures optimum image quality Image quality is impaired by even slight contamination To protect the in ternal optics from dust the system should never be left without the objec tive lens binocular tube and eyepieces After use cover the system to protect it from dust Always store optical components and accessories in dust free cases when they are not being used Clean the external surfaces of optical components as required Caution Do not use any chemical detergents or aggressive substances These may damage the optical surfaces e Remove coarse dirt splashes of blood etc using distilled water to which a dash of household dish washing liquid has been added Wipe the surfaces only with a damp under no circumstances with a wet cloth Any remaining marks can be easily removed using the following aids
80. 625 lines 50 full frames second 50 fields second Video output ports analog Video output ports digital VBS 1 0 Vp p 75 Q PAL composite Y C 1 0 Vp p 75 Q luminance 0 3 Vp p 75 Q chroma RGB 0 7 Vp p 75 W for R G B 4 0 Vp p 75 Q synchronization synchronization for green and composite Progressive Scan VGA 75 Hz vertical fre quency resolution 800 H x 600 V 0 7 Vp p 75 Q for R G B 4 0 Vp p 75 Q synchronization H and V synchronization DV Firewire IEEE 1394a unlocked audio compressed digital video signal zans G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Technical data 243 3 CCD NTSC video camera mono and stereo version 1 Video Standard NTSC G 30 1592 en Image sensor Three 1 2 interline transfer progressive scan CCD image sensors Horizontal resolution 800 lines Vertical resolution NTSC output 400 lines Progressive Scan output 494 lines Signal to noise ratio 62 dB Scan system Interlace Progressive scan 525 lines 60 full frames second 60 fields second Video output ports analog Video output ports digital VBS 1 0 Vp p 75 Q PAL composite Y C 1 0 Vp p 75 Q luminance 0 286 Vp p 75 Qchroma RGB 0 7 Vp p 75 W for R G B 4 0 Vp p 75 Q synchronization synchronization for green and composite Progressive Scan VGA 60 Hz vertical fre quency resolu
81. 800 option FLOW 800 MAP The MAP submenu summarizes specific features of the fluorescence pro cedure in a single image 1 Delay When you press the Delay button the time delay is displayed as a false color image The time when fluorescence started can thus be recorded for each image point and visualized in a false color map This provides an over view using different colors for differentiation An intuitive color scale marks early starts of fluorescence in red and late starts in blue Maximum intensity When you press the Maximum Intensity button the maximum inten sity is visualized as a gray level image The maximum of fluorescence attained at each image point is dis played in the form of gray levels The map display gives a summary overview irrespective of the moment in time of the maximum fluo rescence level achieved during the observation period video re cording This provides a clear static means for checking whether the fluorescence distribution in the observed areas meets the expecta tions Note In the FLOW 800 process you can toggle between the two map types using the right and left 4 joystick buttons the visualization changes at each press of a button Automatic For automatic image correction e g AFD movement correction Factory setting On When the function is off no automatic image correction is performed Deactivation only makes sense if the automatic function does not pro vid
82. 800 button on this page is enabled and the processing mode can be started by pressing this button The data is checked before the INFRARED 800 video is displayed in the processing mode The data is not optimal if OPMI settings were changed e g change of focus during recording of the INFRARED 800 data In this case a message box with a note to this effect appears before the data is displayed OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 311 Ta The data is not optimal if single images could not be recorded In Recorded FLOW B00 processing data otop this case a message box with a note to this effect appears before timal the data is displayed RECORD PLAYBACK Auto Zoom me On O O O O Maximum Maximum Magnification Focus 5x 300 mm MultiVision FLOW 800 Note FLOW 800 processing is being prepared Can be stopped by holding down the FL button for three seconds _ Start FLOW 800 processing mode ACTA AD TEMA Pacs lt PATENT PATIENT TAES QDEOCLIP Preparation of FLOW 800 processing completed lt Toan B Please press the FL button to lt SAVE display processing results Mark Delete G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 312 G 30 1592 en FLOW
83. AKES for axes 1 2 3 144 BRAKES for axes 4 5 6 144 Brightness range selection of video 150 Brightness setting of video 150 Browsing 192 Burn injuries caused by high illumination intensity 22 Cc Camera release socket 60 Ceiling anchors 20 Central user interface 48 Changes to the system 246 Checklist 166 checklist 352 Checklist for the IR 800 function test 283 325 Cleaning agents 227 Cleaning mechanical surfaces 227 Cleaning method recommended 226 Cleaning optical surfaces 226 Cleaning the touchscreen 227 Comment box Surgeon Details 122 COMPARE 320 Compensation for drape 111 Computer and touchscreen are inoperative 217 Configuration general 296 Configurations 84 Configuring the Autofocus AF function 108 Configuring the DICOM function 372 Connector for cable to navigation computer 74 Connector for control component 74 Connector panel video output ports stereo 76 Control functions failure 216 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Index 399 Controls displays connections 54 Creating a new video clip 260 D Data injection brightness 156 Data injection contrast 156 Data injection system 172 Data loss 35 198 357 Data protection responsibilities 17 Data protection activation 160 Data size as sorting criterion 180 Data storage on CD DVD 200 Data storage on USB stick 204 Date 162 Date format 162 Default settings 107 138 140 Default
84. ANNA AAAS RRR NANA RRA NASA AAAS RRA DNASE RAR RA A xy A A A A A A A A KKK Sy KS KY KS KY KY Sy Sy Sy Sy Sy Sy Sy Sy SKS SKS SKS KKKA A A A A A A A A A A A A ARRS A ARRS KY KY KY KY KY SS Sy Sy Sy Sy Sy Sy Sy Sy KY KKK SKS KKK KKK KKK KKK KKK KKK SS SKS KY KKK KKKS SKKKKKKS SKKKKKKKKS SKK KKK SKK KKKKRASS SKK KKK Ss 5 aS KS Issue 4 2 Printed on 14 12 2009 OPMI Pentero C Software Release 2 20 2 21 G 30 1592 en Description 71 Autofocus focusing aid G 30 1592 en Operating principle On activation of the function two parallel visible laser beams enter the Varioskop and intersect in the focal plane The Varioskop focusing system is adjusted until the laser beams meet in one point i e until the object plane and the focal plane coincide The system distinguishes between the right and left laser beams permitting targeted movement in a defined di rection When the system is focused in very narrow channels or on glossy strongly reflecting surfaces it may happen that one of the two laser beams does not strike the target plane Laser measurement becomes im possible in this case The system therefore performs automatic focusing using video contrast measurement Activating the autofocus You can start the autofocus by pressing an appropriately configured handgrip button A B D E pressing an
85. Contrc Video Quality Ou O Medium tutomntanual i O High 2 Length of CEAUDIOMIDEO Video Clip 5 Min G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 252 Video clips FF G 30 1592 en Digital video recording option Recorded videos Note The integrated player which is only available in the Patient mode permits you to view video recordings Select the patient required from the patient list Press the active VIDEOCLIPS button If this button is not active the database does not contain any videos for the patient concerned Select the video clip required by clicking on it in the 4 or 12 thumbnail preview The selected video is marked by a blue frame Use the browse function back and next if more than 4 or 12 video clips are available Press the playback button to play the selected video clip in the player Press the stop button to stop the video When playing the video you can subsequently activate or deactivate the sound A loudspeaker button is provided in the lower task bar of the player or editor When you press the loudspeaker button a menu is opened that permits you to adjust the volume and to activate or deactivate the sound File name The file name of a newly created video file resulting from recording merging clip compilation or parallel streaming on USB DVD is generated in the following format Video file dd m
86. Diopter setting ring The eyepieces enable you to set your prescription between 8 D and 5 D 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 An integrated brake holds the setting ring in the posi tion set Diopter scale For reading off the prescription set OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 65 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 66 Handgrips G 30 1592 en Description Programmable button A factory setting trigger photo Programmable button B factory setting autofocus Joystick In the basic setting both joysticks can be used for motorized fine movement in the XY directions If the MultiVision function is active the joystick of the right handgrip is used to control a mouse cursor for the functions of a connected navi gation system depending on the system used or for menu control of the displayed touchscreen Note Major system errors are displayed in the microscope s integrated data injection system You can delete these messages by acknowledge ment using the joystick of the right handgrip pushbutton or the touch screen Focus focus rocker switch factory setting for continuous focusing within the working distance of 200 mm to 500 mm The current value is displayed on the
87. Display buttons for switching the ROI display on and off 10 Set ROI A ROI can only be set after pressing the Set ROI button When the Set ROI button has been pressed video window 2 dis plays the Maximum Intensity view You can now set a ROI Tip You can also use the Set ROI button to display the ROIs already defined in the intensity map in the player When you press the button again the display returns to the video image without the need to set a ROI Note The seconds displayed in the processing mode SI units are rounded values They are only provided for clearer indication not for meas uring purposes OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 317 Mw Be ROI Size ROI Type G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 318 G 30 1592 en FLOW 800 option Time marks in the FLOW 800 DIAGRAM 1 Video player time marks A time mark which marks the current position of the video in the diagram is displayed at the upper edge of the Diagram window and in the time bar of the video player The position of the mark is updated when the single step and stop buttons of the player are pressed and when you touch the video player time bar The mark is not visible during the play function AFD time mark Automatic Fluorescence Detection An ADF time mar
88. INININI NINININI NNSA INNEAN ONONO NO ISISININ NINININI NINININI NSn INNON NO ISISININ NINININI NINININI NSn INNON NONA ISISININ NINININI NINININI NNN INNEAN ONONO NO ISISININ NINININI NINININI NNSA INNEAN ONONO NO ISISININ NINININI NINININI NNSA INNEAN ONONO NO ISISININ NINININI NINININI NNSA INNEAN ONONO NO ISISININ NINININI NINININI NNN DORA AROS INISINI NINININI NINININI NNNSN INNON AROS ISISININ NINININI NINININI NNN DORAN ISISININ NINININI NINININI NSn NANNINANNAN ISISININ NINININI NINININI Nn DOORS ISISININ NINININI NINININI SSN INNANEN ONA ISISININ NINININI NINININI Nn NNNNA ISISININ NINININI NINININI NSn DOORS ISISININ NINININI NINININI NNN INNANEN ONONO ISISININ NINININI NINININI NNN DORAN ISISININ NINININI NINININI NNN DOORS ISISININ NINININI NINININI NNN DOORS SINISI NINININI NINININI AAS ODADAS SASSER S ARRAS DORAN ONNEEN ONONO NSS NORAD SSSSSSKESSAKSS POOR AAI MOSS DONA RRA SKA KARRASARRSS DONORS ODO VWOOODODOOD SERRA DOOD ASS DOOD TASS DOOD ASKS PROD ASKS DOOD ASKS DOOD PAKS 22D SSNS PROD ASKS OOD ASS BOD ASS PROD SASS OOD DODD ASS Pro 4 AIIM SSSR AARAA ARAA ONA SISOS III ORR ORR RRA ERRRRERRRRERRKRKS RRR ORAS RRA NS RRR RRA RRA RRA RRA RRA RRA NS RRR RRA RRR ORR PSN ORR PNAS IS PSA ANS ORR PNAS RRA INSANE RRA PANAMA ORAS PSN AAAS ARERR RRL MANAG IO PEDO OONOS LOIS PNAS RRA PNAS RAR NSN RRR P
89. IR 800 user IR 800 settings before every surgical procedure Checklist for the IR 800 function test Procedure OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 266 266 270 280 282 282 283 284 266 INFRARED 800 fluorescence module option Integrated INFRARED 800 IR 800 fluorescence module Intended use INFRARED 800 PAL Carl Zeiss 302581 9240 Serial No INFRARED 800 NTSC Carl Zeiss 302581 924141 Serial No Ne o FF FF G 30 1592 en The integrated INFRARED 800 IR 800 fluorescence module of OPMI Pentero is used to visualize fluorescent areas in the surgical field and permits the recording of a video of the emitted fluorescent light The IR 800 fluorescence module has been designed for excitation in the wavelength range from 700 to 780 nm and for fluorescence visualization in the wavelength range from 820 to 900 nm Note The fluorescence application generates an image signal in the near in frared This image cannot be observed through the surgical microscope but it is visualized by a special camera on the touchscreen or on an op tionally connected monitor Warning Only use fluorescence media approved for the planned application Contraindications The medical contraindications applicable to the use of OPMI Pentero in combination with a fluorescence medium are those to be taken into account when using suitable brand substances and st
90. Is continuously variable in a range from 5 to 100 user defined set ting OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 143 HANDGRIP 30 12 0417 56 User Patient Recorder Capacity Ext Zoom Link Travel Speed XY Travel Speed eo G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 144 Preparations for use BRAKES Select the axes which you want to be released when you press SB button 1 on the handgrip You have the following options Axes 1 2 3 Suspension system axes 1 SB Axes 4 5 6 Microscope axes G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 0417 56 User XXXXXXXXK Patient XXXXXXX Recorder Capacity Preparations for use 145 E AUDIO VIDEO Brake Mode Handgrip Button SB O Axes 1 2 3 O Axes 4 5 6 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zans Printed on 14 12 2009 146 G 30 1592 en Preparations for use AUDIO VIDEO PHOTO The Photo function permits you to capture single images If no ex ternal still camera has been connected see item 3 the system saves a high resolution freeze image provided by the video signal The indi vidual image which you capture by pressing the Photo button or a con figured button on the handgrip or foot cont
91. MI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Safety 19 e Only use the instrument with the accessories supplied Should you wish to use other accessory equipment make sure that Carl Zeiss or the equipment manufacturer has certified that its use will not impair the safety of instrument e Only personnel who have undergone training and instruction are al lowed to use this instrument It is the responsibility of the customer or institution operating the equipment to train and instruct all staff using the equipment e Keep the user s manuals where they are easily accessible at all times for the persons operating the instrument e Never look at the sun through the binocular tube the objective lens or an eyepiece e Please do not pull at the power cable or any other connecting cables e This system is a high grade technological product To ensure opti mum performance and safe working order we recommend having the system checked by our service representative on a regular basis If a failure occurs which you cannot correct with the help of this user manual attach a sign to the system stating that it is out of order and contact our service representative e Observe the labels showing the symbol Risk of crushing Notes on EMC electromagnetic compatibility The system meets the EMC requirements of IEC 60601 1 2 During use of the system the precautionary measures concerning EMC listed
92. OI button and clicking in the video window STORE 7 The STORE button permits you to save the diagram to the image direc tory of the corresponding patient Only diagrams previously created with STORE on the Diagram page are offered for comparison Only the visible curves and their values are saved hidden curves are not saved The STORE function files the diagrams and ROI images also under PAT FILES IMAGES If the images have been deleted or renamed there they are not offered for comparison The diagrams and ROI images are saved in pairs If one image of an image pair has been deleted or renamed they are not offered for com parison By exporting the patient files saving to CD DVD or a USB medium a Di agram csv file is created in Patient Files Analysis The csv file contains the diagram values which can be exported to spreadsheet programs OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 337 Oo w Be ROI Size ROI Type G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 pan 338 FF G 30 1592 en FLOW 800 option FLOW 800 COMPARE The COMPARE menu is used to compare images or diagrams of a pa tient video The maps of the current video on the right can be compared with those of earlier videos on the left of the same patient The current diagram on the right
93. OPMI PENTERO C Software Release 2 20 2 21 Instructions for use G 30 1592 en Issue 4 2 Printed on 14 12 2009 Key to symbols 5 3 Hl gt FLOW 800 SW 2 21 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 FlexiTrax MultiVision and FLOW 800 are trademarks of Carl Zeiss Surgical GmbH FLOW 800 software release 2 21 is not an update but a software upgrade for the IR800 option of OPMI Pentero for the analysis of infrared video an giography Only systems with software version 2 20 can be upgraded Contents G 30 1592 en Software Release 2 20 2 21 Key to symbols FLOW 800 SW 2 21 Functions at a glance OPMI Pentero C What to do in an emergency Safety Protective measures for IT systems and networks Notes on installation and use Risk of burn injuries caused by high illumination intensit
94. On FLOW 800 data is additionally recorded during INFRARED 800 video recording You can start FLOW 800 at the end of the re play phase by pressing the fluorescence button Off no FLOW 800 data is recorded during INFRARED 800 video recording FLOW 800 processing is not possible for the recorded INFRARED 800 video not even subsequently At the end of the replay phase the INFRARED 800 cycle is ended without FLOW 800 by pressing the fluorescence button For a newly created user the default setting for FLOW 800 is Off You can also activate FLOW 800 processing from the Patient File menu for previously recorded INFRARED 800 data provided that this data is processable i e that it is marked with A see page 310 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 04 17 56 User Patient XXXXXXX Recorder Capacity FLOW 800 option AUDIO VIDEO i Zoom O On Q Maximum MultiVision Oa Maximum Magnification Focus 400 PLAYBACK FLOW 800 Qa Q 5X 300 mm 3 4 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 303 304 FLOW 800 option Description of INFRARED 800 INFRARED 800 Record menu This menu permits you to make the following settings for the recording phase 1 External monitor Standard output of the white light camera signal on the ex
95. Printed on 14 12 2009 Safety 17 It is the user s responsibility to ensure that the media used for data com munication CD DVD USB stick are free from viruses Responsibilities for data protection and information security The user or IT officer must ensure that the national laws and regulations relating to data protection are complied with The operators of IT systems and IT networks are responsible for the def inition of the safety standards required i e for the creation of the neces sary technical and organizational framework Definition of terms Personal data means any information concerning the personal or material circumstances of an identified or identifiable individual All data directly at tributable to a person employee customer supplier e g marital status type of employment religion income etc must be protected Data processing means the storage entry recording or preservation transfer transmission to third parties outside the organization modifica tion alteration of the substance including anonymization and aliasing erasure deletion and blocking labeling so as to restrict further processing or use of data Use means any utilization of data e g in house transmission Recipient means any person or body receiving data Third party means any person or body other than the controller legal entity The transmis sion of data to third parties is deemed to constitute data transfer Not
96. Printed on 14 12 2009 a 46 Description Configuration options G 30 1592 en Nn Oo oO FF WO ND Warning Please note The maximum load accessory equipment on the micro scope body must not exceed 6 kq Surgical microscope with f 170 mm straight tube Tiltable binocular tube f 170 mm Spine adapter Tiltable binocular tube f 170 mm for face to face use Stereo coobservation module with straight or tiltable binocular tube Digital SLR camera with camera adapter Zeiss MM6 micromanipulator or micromanipulators from other manufacturers Antenna navigation system accessory When a navigation system is connected the OPMI Pentero has to be additionally equipped with an antenna supplied by the manufacturer of the navigation system and then calibrated OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 47 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 48 Description Central user interface touchscreen he G 30 1592 en The video capable graphic touchscreen is the user s central communica tion interface with the system connected databases and internet connec tions In the main menu it always displays the image of the 3CCD video camera integrated in the microscope body The touchscreen gives the user access to the settings of the microscope suspension system light source and of the programmable parts of the
97. Recorder Capacity Uti Exton sa Cs Sad 30 12 04 17 56 User Benninger Ralph Export in Archive images Recorder Capacity DICOM format anonymoush Ut a EX O al O Cmm O Q Off Data export B Files are being transferred This process may take a few minutes E G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 202 G 30 1592 en Operation USB data port A USB port is provided on the left hand side of the monitor It is used for fast easy storage of image and video data on the USB storage media in cluded in the delivery package memory stick and USB mini hard drive e Insert USB memory stick 1 for example in USB socket 2 e Check whether the storage space available is sufficient for the data to be saved The system displays the memory capacity required e Press Copy button 3 to copy data to the USB stick Caution It is the user s responsibility to ensure that the media used for data communication CD DVD USB stick are free from viruses External hard drives with an external power supply must not be con nected Note Due to the wide variety of different types available we cannot guaran tee the function of every USB memory stick Only use USB memory sticks of the type contained in the delivery package Due to the wide variety of different types available we cannot
98. User 116 Delete key 116 Deleting images 192 Depth of field 128 Description 33 296 Description of FLOW 800 310 Description of INFRARED 800 304 Device class 16 Diagnostic purposes do not use video images 18 266 DICOM 355 DICOM connection configuration 370 DICOM server echo 378 DICOM server adding editing and deleting 370 Digital video recording option 247 Diopter scale 64 Diopter setting ring 64 Disinfecting and cleaning by machine 226 Display duration and file size 262 Display buttons 336 Disposal 235 Domain name 367 Dovetail for connecting a micromanipulator 58 Drape vacuum system 72 Drapes 228 Drapes attaching 96 Dynamic IP address DHCP 362 Dynamic IP address activation 362 E Editing images 190 194 Editing video clips 254 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 400 G 30 1592 en Index Electrical standard 239 Electromagnetic compatibility 19 Emergency backup line supply 16 Emergency mode 216 Emergency mode selector 74 Emergency switch 74 Emergency what to do 12 Ending operation of the unit 24 Error messages in the data injection system 215 Exporting DICOM data to a PACS 394 External automatic circuit breakers 220 External camera 146 External hard drive connection 202 External monitor connection option 280 322 Extreme discharging of the UPS 26 Eyecup 64 Eyepiece mount 62 Eyepiece optics fog free 226 Eyepieces mounting 86 F Factory sett
99. Warning The illumination intensity has been preconfigured in such a way that a warning is displayed on the touchscreen when the threshold value of 25 is exceeded informing the user of possible tissue damage Activating the setting bar 4 Setting the illuminated field diameter Warning Adjust the illuminated field diameter and illumination intensity to the values required for the procedure See page 22 5 Manually switching the additional illumination on and off Configuring the illumination see page 132 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 69 Description Issue 4 2 OPMI Pentero C Software Release 2 20 2 21 Printed on 14 12 2009 G 30 1592 en Description 70 ion t ina I illum tona le of the addi ing princip Operat 1 Additional illumination 2 Surgical field 3 O 4 Ma Icroscope Im Ica lens of the surg ive bject ion t Ina Ilum IN I Illumination 5 Shadow area of main SOOO RRR ISISININ NINININI NINININI DORAN ISISININ NINININI SINISIN NNSA DORA AROS ISISININ NINININI NINININI NN DORAN ISISININ NINININI NINININI NN NNNNA ISISININ NINININI NINININI NNSA DOORS ISISININ NINININI NINININI NSn DORAN ISISININ NINININI NINININI NSn INNEAN AROS INISINI NINININI NINININI NNNSNN DOOR AROS ISISININ NINININI NINININI NSn INNON AROS ISISININ NINININI NINININI NNSA INNEAN ONONO NO ISISININ N
100. You can also select the type of coobservation position of the sliding mirror All settings 1 2 3 are saved on a user specific basis Note Mount a binocular coobservation tube with the appropriate eyepieces page 86 or a documentation coobservation module page 88 3 Coobservation The sliding mirror has two positions Left right The light is directed to the lateral image exit ports If an external camera is released and the sliding mirror is in the face to face posi tion the mirror switches to the left right position during image capture Face to face The light is directed to the tube mount at the back Note The sliding mirror can also be manually adjusted emergency function see page 56 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 131 LESIN OMA hiara IRE N Eyepiece Tube Magnification Focal Length Coobservation O O 12 5x l 30 12 0417 56 User Patient Recorder Capacity AUDIO VIDEO G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 132 FF G 30 1592 en Preparations for use LIGHT Illumination intensity Continuously variable on the touchscreen from minimum to maximum brightness in a range from 5 to 100 Warning Make sure that no tissue damage is caused by excessive illumination intensity page 22 You can activate deactivate or adjus
101. a 1 28 10 05 0 01 05 APPEND 1 28 10 05 0 01 05 2 28 10 05 0 01 05 l 4128 10 05 0 01 05 15 11 06_V mpg 15 11 06_V mpg 55 19 96_V mpg 171 1 45 11 33_ mpg 2 28 10 05 0 01 05 01 6 28 10 05 0 01 05 7128 10 05 0 01 05 8 28 10 05 0 01 05 55 19 96_V mpg 14 16 33_V mpg 65 16 06_ mpg 10 22 36_ mpg Duration 3 28 10 05 0 01 05 Total file size l Ne ee e G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 262 G 30 1592 en Digital video recording option Creating a new video clip Use lt MERGE gt to combine all selected video clips in the New Clip box into a new video clip The new video clip is then included in the Videos box The virtual keypad is automatically displayed to enable you to enter a name for the new video clip The new clip has the extension M for Merge Display Duration and file size After you have inserted or appended a video clip in the New Clip box the total duration of the video to be created and its total file size are com puted and displayed Note The new video file resulting from the merging process must not exceed a segment size of 1 GB If a larger amount of data is merged the target file is treated like a single video but it actually consists of several video frag ments Only one file is visible for the user A thumbnail is generated for each newly created video The date and time stamp of the newly
102. a in radiology Proceed as follows to download a patient data set from an RIS server e Open the PAT FILES menu e Open the DICOM tab 1 Note Ey The DICOM tab is only active if the DICOM license has been activated Select the server 2 from which you want to import the data RIS e Inthe RIS system the search criteria are defined in work list 3 Press START button 4 to activate the search criteria e Fill in at least one field of the offered search criteria 5 The search criteria are interpreted as AND conjunction Empty search windows are interpreted as wild card Note PF To limit the search you can enter the first letter of the patient name for example provided that the RIS system supports this function e Press DETAILS button 8 to view the relevant patient data e Transfer patient data set 7 to the patient list by pressing ADD button 9 Acknowledge the message Patient has been included in the local pa tient list by pressing OK e Return to the LIST tab 10 The empty imported patient data set 11 has been added to the list Note E The imported patient data set 11 does not yet include any images or videos They must be downloaded to this folder from the relevant server via the LOAD function G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option ICON gt G 30 1592 en __ T
103. able tube two 180 tiltable tubes face to face or with one straight tube only 180 tiltable tube 1 PD adjustment knob The correct position has been reached when the two eyepiece images merge into one 2 180 tiltable binocular tube f 170 mm 3 Eyepiece mount Straight tube 4 Straight tube f 170 mm OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 64 Description Widefield eyepieces with magnetic coupling Note When the eyepiece has been removed from the tube please remember that it is equipped with a magnetic coupling Attached eyepieces feature a very minor magnetic field i e the usual regulations for the handling of magnets must only be observed with non attached eyepieces e e Do not place the eyepiece near instruments which may be magnetic Do not place the eyepiece on sensitive electronic instruments such as infusion pumps heart pacemakers measuring instruments or mag netic data carriers such as disks audio video tapes or credit cards Always store the eyepiece in its original packaging when not using it Eyecup Always adjust the eyecups in such a way that the entire field of view can be seen Viewing with eyeglass Screw in the eyecups all the way es Viewing without eye Adaptthe eyecups to the viewer s field glasses of view by screwing them outward The three white marking rings facili tate the adjustment
104. ade It is not possible to enter PACS names twice This is checked when the name is entered If double entry was made a warning message is dis played when the menu is exited via Save requesting the user to change the name accordingly OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 375 Storage commitment C On O off 30 12 04 17 56 User XXXXXXXX Patient Study Instance UID from WL O On O Off mM oa AUDIO VIDEO Storage provider O On O off Default import preview O On O off G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 376 DICOM option Defining the maximum video export size to network servers FF zans G 30 1592 en Note The maximum video size and the maximum total export size can be set by users with IT administrator rights under Local DICOM Server If this field is left blank during the entry this means almost unlimited ex port size 1 Maximum video size for export in MB of the video file to be exported 2 Maximum total size for export in MB of the files to be exported total size of the study File size 3 of the files to be exported is graphically displayed Caution If one of the video files to be exported exceeds the maximum video size SEND button 5 remains disabled The message At least one video file is too large for DICOM export 4 is displayed It is the user s r
105. admissible load on the microscope must not exceed 6 kg OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 85 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 86 Preparations for use Mounting the tube and the eyepieces G 30 1592 en Warning Change the modules and accessories before surgery without the patient e Loosen securing screw 9 by a few turns e Remove cover 4 and store it in a safe place You have the possibility of mounting tiltable tube 2 or straight tube 5 directly on the microscope body For spinal applications we recommend that you first mount spine adapter 3 on the microscope body followed by binocular tube 2 Attach spine adapter 3 to the microscope body and firmly tighten se curing screw 9 e Attach binocular tube 2 to spine adapter 3 and firmly tighten secur ing screw 8 e Insert widefield eyepieces 1 as far as they will go in the mounts pro vided on the binocular tube The magnetic coupling reliably secures them in position e Attach binocular coobservation tube 6 to the microscope body and firmly tighten securing screw 10 e Insert widefield eyepieces 7 as far as they will go in the mounts pro vided on the binocular tube The magnetic coupling reliably secures them in position Remove protective cover 11 used for transportation from the objective lens
106. al network settings in the CONFIG SYSTEM INFO NETWORK tab Your local network administrator will tell you how to configure the Ethernet connection to ensure that it matches the network configuration at the site of installation Static IP address or Dynamic IP address DHCP Depending on whether you selected Static IP address or Dynamic IP address DHCP different input fields will be displayed Static IP address Dynamic IP address DHCP IP address IP address 127 0 0 1 lt blank gt Subnet mask Subnet mask 255 255 0 0 lt blank gt Gateway Gateway 127 0 0 1 lt blank gt Host name Host name lt blank gt lt XXXXXXXKX gt Domain Domain lt blank gt lt blank gt FQN FQN lt blank gt lt blank gt For the static IP address entry of the gateway is optional Configuration of the static IP address IP address 127 0 0 1 is the default value All systems are delivered with the same IP address The IP address is divided into numeric blocks XXX XXX XXXI XXX Subnet mask 255 255 0 0 is the default value All systems are delivered with the same subnet mask OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en DICOM option 367 Gateway The default gateway address setting on delivery is 127 0 0 1 Configuration of the dynamic IP address XXX XXX XXX XXX Autom
107. an also remove a marker you have set by pressing the trash button OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en p E e Digital video recording option 257 Clip from end marker You can also define a video clip to be cut out without defining a start marker Clip from end marker defines the end of the video clip but does not require a start marker as its counterpart After activating the button you can set a clip from end marker on the progress bar The start of the video clip is defined by the selected length of the video clip Select the length of the clip in the Configuration menu or using Enter length of the video clip You can also remove a marker you have set by pressing the trash button Entering the length of the video clip You can define the length of the video clip to be cut from the sequence After you have activated the button the virtual keypad is opened The length of the video clip must be between 0 1 and 30 minutes Zoom You can magnify the time scale in the progress bar by factor 2 by the press of a button for more detailed viewing of a section of the video se quence which is of particular importance or interest to you The runtime is updated in accordance with the zoom factor You can press this button several times successively Zoom You can demagnify the time scale in the progress bar by factor 2 by the press of a button after you have v
108. an appropriate message If video recording is stopped the file will be closed A restart of recording leads to a new file being created whose name contains the start date and time The file is stored in the patient directory currently selected If you press the photo button on the OPMI handgrip while video recording is in progress a single image is created from the video data stream and a marker is inserted in the video You can select these markers at the press of a button during video editing on the OPMI The corresponding position in the video is then displayed 1 Recording control Clip recording video clips with a pre defined time span Press the Rec Start button to start recording Recording is stopped automatically after the preselected time 4 has elapsed Note The system informs you one minute before the end of the runtime per mitting you to extend the recording time by the preselected period Manual video recording of a non predefined length You can control the recording as required by pressing the Rec Start and Rec Stop but tons OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Digital video recording option 249 Auto Manual video recording of a non defined length and creation of video clips with a predefined length You can control the recording as required by pressing the Rec Start and Rec Stop buttons When you press the photo button a video clip of a predefined length 4 is cr
109. ancing of the system for activating the drape vacuum system and for switching the illumination on and off You can also activate the voice control dictation and telephone functions option 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 page 176 to save edit and manage patient data videos images and audio data USER The USER menu page 116 permits you to save user specific settings for several different users In addition you can select several different lan guages for user guidance here CONFIG The CONFIG menu page 124 permits you to enter the settings for the microscope and suspension system parameters OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 51 PAT FILES CONFIG G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 52 Main menu G 30 1592 en Description PHOTO Press the button to trigger image recording The captured image is dis played for approx 5 seconds in the full screen mode on the touchscreen and is then automatically saved in the preconfigured image format in the previously selected patient directory Press the CLOSE button to return to the main menu It
110. ange OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Safety 27 Warning Therefore when powering up and booting the system or when switching on the illumination make sure that the system is in a position where nei ther the patient nor the user is put at risk by falling items e g parts of the defective lamp Note An intraoperative lamp change required due to lamp failure does not im pair the surgeon in his work In this case the ceiling mount console is po sitioned in such a way that the cover of the lamp housing is on the side of the ceiling mount facing away from the surgical field Heat protection filter The illumination system is equipped with a heat protection filter OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 28 Safety Warning labels and notes Caution Observe all warning labels and notes If any label is missing on your instrument or has become illegible please contact us or one of our authorized representatives We will supply the missing labels A max 6kg 0 e A w 7 N Py lt gt VY MKN LECCE DS AK Laser Austrittso6ffnung Laser Aperture Apertura de Laser Ouverture Laser L G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Safety 29 Optionen Carl Zeiss Surgical GmbH FLOW 800 Pe
111. arations for use Digital video recording option see page 248 Description The video recorded with the integrated video camera is saved as a digital MPG2 file in the relevant patient directory The recorded video clips can be played back using the integrated video player You can also export these files to a CD DVD or USB stick OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 04 17 56 User Patient Recorder Capacity Preparations for use CEAUDIOMIDEO Recording Control tutomanual Length of Video Clip 5 Min Autostart Position OPMI Pentero C Software Release 2 20 2 21 Video Quality Issue 4 2 Printed on 14 12 2009 153 154 Preparations for use AUDIO Setting the microphone sensitivity and playback volume Audio recording during surgery takes place via the microphone integrated in the OPMI Pentero microscope and is stored as an MPEG file The audio signal is automatically output when the MPEG video is played back via a player Note lt x The Audio tab is only active if the video recording license has been acti vated 1 Audio playback On the MPEG video is automatically played with sound Off the MPEG video is played without sound Note Ey When playing the video you can subsequently activate or deactivate the sound A loudspeaker button is provided in the lower task bar of the player or editor When you p
112. ass II Autofocus activated manually via handgrip or footswitch or voice control voice control currently not yet available Autofocus activated automatically in combi nation with the SB AB brake buttons Laser class Aiming beams 2 complying with EN 60825 1 2002 Pmax lt 1mW A 635 645 nm Total 2 2 13 2 at working distance of 200 mm magnification 1 4 8 6 at working distance of 350 mm with 10x eyepiece 1 1 6 5 atworking distance of 500 mm Total 2 7 16 4 at working distance of 200 mm magnification 1 8 10 7 at working distance of 350 mm with 12 5x eyepiece 1 3 8 1 at working distance of 500 mm G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Video Standard PAL or Video Standard NTSC J AUX port View of connector side 2 G 30 1592 en Technical data Illumination 239 Fully integrated coaxial xenon fiber optic illumi nation with an S light guide Manually adjustable illuminated field dia 91 mm to spot illumination dia 16Ymm These speci fications relate to an f 200 mm objective lens Increased illumination intensity in a small illumi nated field Additionally switchable auxiliary illumination for lightening up shadows This illumination comes from a different direction and at a smaller angle of incidence than the main illumination Automatic lamp change Light warning system Motorized XY move
113. ate of the art examination techniques Check whether the fluorescence medium can be excited in the wave length range from 700 to 780 nm and whether it emits fluorescent light of sufficient intensity in the wavelength range from 820 to 900 nm As in almost all diagnostic procedures false positive and false nega tive results can also occur in PDD based recognition PDD photody namic diagnosis Evaluation using other methods is necessary Warning Do not use the video images for diagnostic purposes as the video cam eras and the monitor have not been calibrated The visualized images may therefore include deviations in shape contrast and color Note Autofocus is disabled in the fluorescence mode OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en INFRARED 800 fluorescence module option 267 Optimum illumination in the fluorescence mode is achieved if the illu minated field diameter on the OPMI is set to the middle position and the wide OPMI diaphragm is selected i e a small depth of field is set Both adjustments are made automatically when the IR 800 mode is started The illumination intensity is automatically adjusted to 50 when IR 800 is started For an optimum video signal the illumination intensity may range between 80 and 100 The illumination intensity is influenced by the following factors the selected brightness of the light source the work
114. atic log in The dynamic configuration is performed automatically by the DHCP client integrated in the system The DHCP client of your system receives the following information from the server of the local data network DHCP server IP address Subnet mask Gateway optional e Connect your system to the data network i e make the Ethernet con nection between your system and the local data network Plug and Play As soon as your system has been connected to the local data network it contacts the DHCP server of the data network by transmitting its preset host name XXXXXX to the DHCP server The DHCP server of the data network replies by returning the host name XXXXXX of your system together with its own address i e its domain name e g uni_klinik de to your system Your system has now been properly logged in to the local data network This address composed of the host and domain names is the full quali fied name FQN You need the full qualified name to log in to your system from the internet using for example http imagebox uni_klinik de Note If other systems are already operated within the local data network dif ferent host names must be used In this case you need to change the host name of the system to be newly installed Manual log in For manual configuration of the dynamic IP address you need to enter the host name OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009
115. ative observations based on IR 800 or to study more complex in teractions postoperatively and subject them to more detailed analysis The generated data can be exported for use in publications Warning The system must not be used for ophthalmic procedures OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en FLOW 800 option 293 Warning Only use fluorescent agents approved for the planned application Contraindications The medical contraindications applicable to the use of OPMI Pentero C in combination with a fluorescent agent are those to be taken into account when using suitable brand substances and state of the art examination techniques e Check whether the fluorescent agent can be excited in the wavelength range from 700 to 780 nm and whether it emits fluorescent light of suf ficient intensity in the wavelength range from 820 to 900 nm A fluorescence signal with an appropriate level is required for AFD Auto matic Fluorescence Detection see page 328 and FLOW 800 visualiza tion An inadequate fluorescence signal may lead to inaccurate AFD com putation and FLOW 800 visualization As in almost all procedures false positive and false negative results may occur Evaluation using other methods is necessary Warning Do not use video images for diagnostic purposes as the video cam eras and the monitor have not been calibrated The visualized images may therefore include
116. ault user Change to List tab 2 to create your user profile Press ADD button 3 to activate keyboard 4 for the entry Keyboard commands for text entry ess G 30 1592 en After activation of the keyboard you can either adopt the default text or the old text depending on the situation When you press the delete key the complete text is always de leted Use the cursor keys gt to position the cursor in the text The character under which the cursor is currently positioned is highlighted in blue color The functions of the Insert and Del keys correspond to those of a PC keyboard OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 117 31 12 04 23 56 Default User User Recorder Capacity Utne EXE occ Yo Diopters left Diopters right Language Selection German Password Surgeon Details User rights i User Management JSN d 3 Enter new user name 31 12 04 23 56 E o gt ae BSI User XXXXXXXX Patient XXXXXXX Recorder Capacity Ut EX eI PAT FILES CONFIG Default User G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 118 G 30 1592 en Preparations for use Creating a new user profile editing Enter your user name 5 and your personal user profile 6 Select the language you wish to use in language
117. ayed video image clip time scale magnification on the progress bar depending on the zoom factor Playing back the video sequence The following buttons are available for playing back the video sequence OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Jew Digital video recording option 255 lt Create clip C Play Press this button to play back a video sequence in forward direction at single speed Rewind Press this button to play back a video sequence in reverse direction at single speed Pause Press this button to interrupt the playback of a video sequence The last image played in the sequence is displayed as a freeze image Fast forward You can use the fast forward function to search a video sequence for scenes which are of particular importance or interest to you The se quence is played at double speed OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 256 z f J H Aa G 30 1592 en Digital video recording option Fast rewind You can use the fast rewind function to search a video sequence for scenes which are of particular importance or interest to you The se quence is played in reverse direction at double speed Jumping to the previous next marker If single images were recorded within a video sequence these were stored as markers in the sequence Since single
118. camera adapter has been mounted on one of the lateral ports Note The type of coobservation lateral image exit ports left right or opposite image exit ports face to face can be configured at the touchscreen see page 130 Video Photo Check that the handgrip buttons for triggering video or photographic doc umentation are functioning correctly Balance e Check before balancing that the handgrips and accessories coobser vation or documentation equipment have been correctly mounted that they can be moved without restriction across the full swivel range and that they cannot collide with any other units Check that the suspension system and the overall system have been balanced Warning 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 To check correct balancing of the system unlock the brakes Hold the mi croscope tightly at both handgrips When the system has been correctly balanced the surgical microscope can be moved almost effortlessly Touchscreen Check that the main menu is displa
119. camera can be varied by pressing the appro priate button OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity Hiza M EXE sonst BLUE 400 fluorescence module option 351 5 MultiVision during setup During the setup phase focus zoom light illuminated field dia phragm etc are set to defined values message boxes can be dis played on the touchscreen If Multivision during Setup has been set to ON these messages are also displayed in the microscope s data injection systm DIS if the function is OFF the messages are not displayed in the DIS MultiVision Brightness Control during Setup j C o O 2 Initial Value Manual Light Intensity Shutter Time AUDIO VIDEO 50 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 352 BLUE 400 fluorescence module option BL 400 checklist Warning The BLUE 400 fluorescence target is not sterile Therefore perform the function test before surgery without patient With increasing operating time of the light source the illumination in tensity and as a result the brightness of fluorescence decrease When a specified guaranteed lamp service life is exceeded the user will be warned in a message on the touchscreen that the brightness of the light source is no longer sufficient for correct fluoresce
120. cannot be reversed If you subject a JPG image to several decompression and compression steps and various image processing procedures image quality will deteriorate from one step to the next We recommend using the TIFF or BMP file format for the IR800 processing application Jm Eo N corona uo N Photo File Format Function O Internal O External 30 12 04 17 56 User Patient Serial Capture Serial Capture CE AUDIONIDEO Number of image Delay Time in Seconds Flash during Capture 1 10 O On Q Storage Mode O Field O Full Frame Live Video in PiP Oo O G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zess Printed on 14 12 2009 298 G 30 1592 en FLOW 800 option INFRARED 800 FLUORESCENCE 1 Deactivating the fluorescence applications 2 Activating the integrated INFRARED 800 IR 800 fluorescence module The INFRARED 800 fluorescence application comprises four different phases the preparatory phase SETUP see page 300 the recording phase RECORD see page 304 the playback phase PLAYBACK see page 306 and the FLOW 800 processing phase see page 312 The configuration menu permits you to adjust all setting parameters of the individual phases the Processing phase does not have any spe cific setting parameters which are then saved for the relevant user Activating the integrated BLUE 400 BL 400 fluorescence module Note A button either on the handgrip of
121. ce Illumination system lamp change page 136 page 224 Ceiling mount console Ceiling mount column Handgrip page 106 Surgical microscope page 54 Surgical microscope suspension page 54 Carrier arm Central user interface touchscreen page 48 Grasp on the touchscreen page 98 USB memory stick port page 202 CD DVD drive page 198 Wall mounted control panel with connector panel page 74 Power switch page 74 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Functions at a glance 11 OPMI Pe tero C a T Wall console G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 12 Functions at a glance What to do in an emergency G 30 1592 en Failure of the automatic lamp change e Open cover 1 e Change the xenon lamp by pulling grip 8 page 210 Failure of the zoom function e Manually adjust the magnification using zoom knob 2 If the motorized zoom function becomes active of its own accord e g travels to the stop set emergency switch 7 to the emergency mode position 2 page 212 Failure of the focusing function e Manually adjust the working distance using focusing knob 3 If the motorized focusing function becomes active of its own accord e g travels to the stop set the emergency switch to the emergen
122. ce of the recorded INFRARED 800 video is dis played at the beginning of the PLAYBACK mode You can adjust the length of the sequence using the Short Replay Duration slid er The replays can only be stopped by pressing the FL button They will be stopped automatically after 5 replays If fluorescence detection has been activated the video starts after detection of the fluorescence flow The preceding black leader will not be displayed Off No replay function available The Short Replay Duration slid er is disabled Factory setting On Short replay duration This slider permits you to select the length of the video clip to be played when Short Replay has been activated Long replay Qn The recorded fluorescence video is played repeatedly without limitation of the playback duration You can select the number of playbacks using the Number of Long Replays slider If fluorescence detection has been activated the video sequence starts after detection of the fluorescence flow The preceding black leader will not be displayed Off No long replays available The Number of Replays slider is disabled Factory setting On Number of replays After the end of recording the complete recorded fluorescence video clip can be automatically replayed up to 10 times as an endless loop The process can be stopped any time by pressing the fluorescence button on the handgrip or foot control unit Adjustment range 1 E
123. ck by pressing the fluorescence button once again After the end of the PLAYBACK phase the system returns to the white light mode with the same settings that existed before the start of IR 800 During recording and playback of the fluorescence video no other system action can be executed except brightness zoom and focus adjustment G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 290 INFRARED 800 fluorescence module option G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 291 FLOW 800 option G 30 1592 en Note FLOW 800 software release 2 21 is not an update but a software upgrade for the INFRARED 800 option of OPMI Pentero for the analysis of infrared video angiography Only systems with software version 2 20 can be up graded Note The system including the FLOW 800 option has been approved for use in the EU and Japan in accordance with the respective national regulations and has been provided with the CE mark The fluorescence option is also available in other countries However according to national regulations additional authorization may be required in the country in which the system and application will be used Please contact your local Carl Zeiss representative for further information Normal use 292 Description 296 General configuration 296 Configuring INFRARED 800 300 Activati
124. cohol and 50 dis tilled water plus a dash of household dish washing liquid OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 228 Sterile drapes FF G 30 1592 en Maintenance Service Sterile single use drapes are available for covering the system Cat No 326026 0000 000 Note When draping the system make sure there is enough slack in the drapes to allow for movement of the microscope carrier and surgical microscope It is especially important that the drapes are completely loose around the handgrips The surgeon must be able to operate the buttons through the drape OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Ordering data G 30 1592 en Maintenance Service OPMI Pentero C system Description 229 Cat No Basic configuration comprising OPMI Pentero C with binocular MultiVision system adjustable touchscreen autobalance and auto drape systems Superlux 330 light source with 2x 300W xenon lamp and automatic lamp change MediLive video system one 180 tiltable binocular tube with 10x push in widefield eyepieces spinal adapter for symmetric face to face configuration dust cover 2 video connection cables CD R and USB media for data archiving 302583 9001 000 Option digital video recording Integrated digital video recording system with DVD ar chiving 30258 1 9790 000 Option integrated fluorescence module In
125. completely fill it will lead to significantly longer access read and burn times multisession OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Operation 199 We recommend not to play back the recorded video clip while record ing is in progress as no data can be written to the medium during play back After the end of this time shift function recording is continued which in exceptional cases may lead to extremely long finalization times or to problems during finalization or reading of the media We recommend to archive the data only after surgery has been com pleted Note on MediLive Video Tools The MediLive Video Tools software provides improved compatibility be tween your PC Windows or MacOS and the video DVDs created with OPMI Pentero Please install MediLive Video Tools on your PC if you notice the following problems The computer cannot read the DVD content or the DVD is not identi fied because the UDF 2 0 disk format is not recognized The video player or Office software is unable to play MPEG2 videos as the MPEG2 decoder is missing One MediLive Video Tools CD is supplied as part of the digital video re cording option The ZEISS cat no of this CD is 308203 8040 000 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 200 Operation Storing patient data on CD DVD Proceed as follows to store l
126. created video shows the current date and time dd mm yy_hh mm ss_M mpg Re editing the new video clip The new video clip in the Videos box can be transferred back to the New Clip box using lt INSERT gt or lt APPEND gt and can be re edited Press the lt MERGE gt button to transfer the re edited video clip as a second version of the new video clip to the Videos box Note You can avoid long creation times waiting times if the individual video clips you are merging do not exceed a length of 5 minutes the total length of the new video clip does not exceed 60 minutes A new video clip of approx 60 minutes can be burnt on a DVD without any problems OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Digital video recording option 263 Sar Lise A ma Am N a Videos New Clip G a S a K a 1 28 10 05 0 01 05 APPEND 1 28 10 05 0 01 05 2 28 10 05 0 01 05 l 4128 10 05 0 01 05 15 11 06_V mpg 15 11 06_V mpg 55 19 96_V mpg 171 1 45 11 33_ mpg 2 28 10 05 0 01 05 01 6 28 10 05 0 01 05 7128 10 05 0 01 05 8 28 10 05 0 01 05 55 19 96_V mpg 14 16 33_V mpg 65 16 06_ mpg 10 22 36_ mpg Duration 3 28 10 05 0 01 05 Total file size l Ne ee e G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 264 G 30 1592 en Digital video recording option MediLive Video Tools
127. creen or using the yellow light button on the right handgrip In both cases the Gain button is displayed on the bottom right of the touchscreen for activation of a slider The slider can be displayed or hidden by pressing the Gain button on the touchscreen OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 gt A D Cc g Q Oo fa oO w g fe i Time i _ pi Leader Short replay G 30 1592 en INFRARED 800 fluorescence module option 287 Automatic Fluorescence Detection AFD AFD activated Video recording is started immediately when you have switched to the Record mode The video signal is constantly analyzed for fluorescence flow If fluorescence detection has been activated the PLAYBACK sequence starts after detection of the fluorescence flow The preceding black phase leader see diagram is not dis played during playback of the short and long replays The complete video sequence including the black leader is saved in the patient file AFD deactivated The short and long replays are played completely including any existing black phase The Record mode is stopped either by the user by means of the FL button or after the maximum time span of 5 minutes has elapsed After the end of the RECORD phase the system changes to the PLAYBACK phase Note After the RECORD phase press the fluorescence button for at least 2 seconds to end IR 800 PiP visuali
128. ctors System related factors The wavelength range is limited by filters to the visible range between 400 nm and 700 nm between 400 nm and 780 nm in the IR 800 mode only These filters remain stable over a very long period of time and cannot be exchanged by the user With increasing age of the light source the actual illumination intensity delivered at the respective setting decreases When the light source is finally replaced the illumination intensity increases again to the high original value Surgery related factors The selected intensity of the light source is a major factor for the risk of injury It should always be set to the minimum required for the sur gical procedure to be performed G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Safety 23 The size of the illuminated field influences the risk of injury in two dif ferent ways If the illuminated area has a large diameter skin areas are illumi nated that are not closely monitored by the surgeon and are not sufficiently irrigated These areas are particularly prone to injury Injuries can be prevented by adjusting the diameter of the illumi nated field to the smallest size needed for the respective proce dure Reducing the illuminated field increases the intensity because the light becomes more focused The light intensity should therefore be reduced if possible as soon as the
129. cy mode posi tion 2 page 213 Some of the magnetic brakes are blocked e Switch off power switch 4 As soon as the blue screen appears approx 10 sec switch the system back on The OPMI functions zoom focus light and magnetic brakes are available again after approx 15 seconds The computer and touchscreen however are disa bled If the magnetic brakes are still blocked e Hold the microscope on its body not on the handgrips and position it manually by overcoming the braking ef fect page 217 Failure of the touchscreen e Do not under any circumstances touch the touch screen since this can result in changes to settings and parameters Zoom focus illumination and brakes can still be operated page 214 Error messages in the data injection system e System errors are displayed in the microscope s inte grated data injection system You can delete these messages by acknowledgement using the joystick of the right handgrip pushbutton or the touchscreen OPMI Pentero C Software Release 2 20 2 21 page 214 Issue 4 2 Printed on 14 12 2009 Functions at a glance 13 7 Failure of control functions e Setemergency switch 7 located behind the flap labeled EMERGENCY MODE on the wall panel to the emergen cy mode i e from position 1 to position 2 In the emergency mode the yellow indicator lamp in the emergency switch is lit Zoom and focus must then be operated manually 2
130. d fine fo cusing is activated Focus speed Setting the focusing speed from minimum to maximum in a range from 5 to 100 in steps of 1 Focus start value OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity Preparations for use 125 Enter the working distance at which the focusing system should start to operate after power up of the system user defined setting The working distance can be set and saved in a range from 200 mm to 500 mm in steps of 5 mm 6 Focus zoom link This function permits the focusing speed to be coupled with the cur rent zoom value The preselected focusing speed is automatically reduced when a higher magnification is used This facilitates focusing on the object de tails required Autofocus Micromanipt ator Focusing Aid Automatic Focus Stop Laser Spots O On O On O On Q O off O off Focus Focus Focus AUDIO VIDEO Speed Start Value Zoom Link 50 300 mm OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 126 G 30 1592 en Preparations for use ZOOM You can activate deactivate or adjust the settings for the following func tions in the Zoom menu 1 Speed Continuous setting of the zoom speed from minimum to maximum in a range from 5 to 100 2 Gamma start value Enter the zoom factor 0 4 2 4 at wh
131. data network or data available in the data network risk to be corrupted or transmitted incompletely There fore no liability can be accepted for the correctness of the data The operator of the data network is responsible for compliance with the legal requirements regarding data security and for the protection of per sonal rights Before every use and after re equipping the instrument Make sure that all Requirements for operation are fulfilled e Go through the checklist e Re attach or close any covers panels or caps which have been re moved or opened e Please pay special attention to labels on the unit warning triangle with an exclamation mark warning labels and notes Do not cover any ventilation openings For every use of the instrument e Make sure that nothing obstructs the touch sensitive area of the touchscreen Prevent objects from exerting pressure on the touch sensitive area of the touchscreen e Any kind of radiation has a detrimental effect on biological tissue This also applies to the light illuminating the surgical field Please therefore reduce the brightness and duration of illumination on the surgical field to the absolute minimum required e Never use xenon illumination for ophthalmic procedures e Make sure that no xenon light enters the patient s eyes The illumination intensity required depends on the type of application involved Make sure that no tissue damage is caused by excessive i
132. data on CD DVD 200 Storing patient data on a USB stick 204 What to do in an emergency 210 Manual lamp change if the automatic lamp change fails 210 Failure of the zoom function 212 Failure of the focusing function 213 Failure of the magnetic brakes 214 Touchscreen failure 214 Failure of the line voltage 214 Error messages in the data injection system 215 Failure of all control functions Emergency mode 216 Blocking of individual magnetic brakes 217 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 166 Checklist n G 30 1592 en Operation Always check the following points before surgery without the patient Caution e Before starting the system remove the protective cover used for transportation from the objective lens Check the safe position of the handgrips Make sure that there is enough room between the instrument and the accessories installed Note A lamp check is performed after power up of the system or when the illu mination is switched on If a defective lamp is detected the backup lamp is automatically swung in In this case the cover on the outside of the housing briefly opens for the lamp change Warning e e Therefore when powering up and booting the system or when switch ing on the illumination make sure that the system is in a position where neither the patient nor the user is put at risk by falling items e g parts of the def
133. deviations in shape contrast and color Inthe event of failure of the FLOW 800 processing application the IN FRARED 800 replay videos are still available to the user When saving data to external data media in particular USB storage media not approved by ZEISS check that the data export was successful The export of videos with the associated FLOW 800 processing data is only possible via USB and DVD If DICOM is used for export videos can only be exported without FLOW 800 processing data The readings displayed in the processing mode SI units are rounded values They are only provided for clearer indication not for measur ing purposes Note Like any device used in the OR this system may fail We would therefore recommend to have a suitable surgical microscope at hand as a replace ment during surgery OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 294 FF G 30 1592 en FLOW 800 option Note Autofocus is disabled in the fluorescence mode Optimum illumination in the fluorescence mode is achieved if the illu minated field diameter on the OPMI is set to the mid position and the large OPMI aperture is selected i e a small depth of field is set Both adjustments are made automatically when the INFRARED 800 mode is started The illumination intensity is automatically adjusted to 50 when IN FRARED 800 is started For an optimum video signal the illuminat
134. dicated by a progress bar G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 187 Patient _ 10 03 08 2005 Patient _ 11 05 09 2004 Patient _ 3 21 10 2003 Patient _ 13 21 10 2004 Patient _ 4 03 11 2003 Patient _ 14 03 11 2003 Patient _ 15 12 08 2004 Patient _ 16 09 10 2004 Patient _ 17 03 08 2002 Patient _ 18 03 6 2001 Patient _ 19 03 07 2005 Sort Alphabetically 30 12 04 17 56 User XXXXXXXX Patient Benninger Ralph Recorder Capa 30 12 04 17 56 User XXXXXXXX Patient Benninger Ralph Export in Archive images i DICOM format anonymous O Data export u Files are being transferred CANCEL G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 188 Operation Viewing patient data Overview Patient images Loading page 206 or Saving page 198 f patient videos Viewing page 248 f Patient images Editing page 194 Patient videos Editing Only possible with the option Digital video recording page 248 f Note The Editor is only active if the video recording license has been activated 1 Images The integrated viewer permits you to view patient images The viewer is only available in the patient mode 2 Video clips The integrated player permits you to view patient video clips The player is only available in the
135. ding on configu Depending on configu White light image video out port ration used ration used BNC Tere ee recommended op 7 White light image White light image tion Live image of Replays IR 800 camera IR 800 image without text display 5 OR monitor on Depending on configu Depending on configu White light image video out port Y C recommended tion ration used White light image Live image of IR 800 camera without text display G 30 1592 en ration used White light image Replays IR 800 image Wall panel OPMI Pentero C Software Release 2 20 2 21 Printed on 14 12 2009 Issue 4 2 282 INFRARED 800 fluorescence module option Configuration of IR 800 user Touchscreen e e e In the CONFIG menu select STAND HANDGRIP or Foot Switch Assign the Fluorescence function to one of the configurable buttons A B C D see page 138 and page 140 In the CONFIG menu select FLUORESCENCE GENERAL IR 800 Select the required settings for the Setup Record and Playback phas es in the IR 800 menu and save them under the current user Note The IR 800 fluorescence application has been optimally configured through the preconfigured factory setting in the IR 800 mode Manual set tings or adjustments are possible but should be checked before applica tion using the fluorescence target The changed settings are saved
136. dow at the top right of the touchscreen Off No PiP display Factory setting On Note A video clip is recorded and saved in the white light mode at the same time as the fluorescence video clip prerequisite the Digital Video Re cording option Videos started with REC START are recorded irrespective of this process If IR 800 is selected for the external monitor 1 this video is briefly interrupted by the displayed replay screens OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 307 400 eT SETUP RECORD External PiP during Monitor MultiVision Playback 30 12 04 17 56 O On User XXXXXXXX Patient Recorder Capacity AUDIO VIDEO Short Replay Number of Long Duration Replays il G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 308 Fluorescence intensity Fluorescence intensity Fluorescence intensity Fluorescence intensity Short replay with automatic FL detection AFD Repeti Time 6 Time max 5x tion 30S Short replay without automatic FL detection AFD Repetition Time Long replay with automatic FL detection AFD End of video Repetition 1 10 x Long replay without automatic FL detection AFD End of video Repetition G 30 1592 en FLOW 800 option 4 Short replay Qn A brief sequen
137. e Caution After entry of the license the system must be switched off and on again OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 361 LEO ERIN TIMEDATE P Next Operating Hours Service Interval 41th 589 h Activate data protection IT system rights Ow 0 O Qor Export logfiles Remote Service Delete patient files Password Entry Please enter the IT administrator password XXXXX XXXXX XXXXX OOEHE000600500843 SOSSS0E008005 MEHSGHS0S5080858 Sa HDBOOOOSS00005 i ASC ea IDEOREC OICE CTRL ICTATION ILL SCREEN AAA G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 362 DICOM option Note The NETWORK and DICOM tabs become accessible only after entry of the DICOM license and when the system has been switched off and on again The tabs can only be accessed by the IT administrator You can make the local network settings in the CONFIG SYSTEM INFO NETWORK tab The IT administrator defines the IP address management selection 1 Dynamic IP address DHCP Factory setting Dynamic IP address active Assignment of a dynamic IP address a dynamic IP address is an IP address which is only valid for the duration of one Internet or network session Dynamic means that
138. e User already exists is displayed The menu returns to the list view If the user does not yet exist the program changes automatically to the ACTIVE tab after the entry of the name and confirmation with OK to permit the entry of detailed user data e Enter the new name in the User Management e Enter the user profile and user password 2x in the menu which then appears e Confirm every entry with OK DELETE User 3 e Press DELETE Press the user to be deleted e Answer the safety inquiry with Yes if you really want to delete the se lected user G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 123 Recorder Diopters left pacity Diopters right lt Language Selection German aa E o I I II Iiii Remote Password Surgeon Details User rights SS II User Management Enter new user name DELETE USER l a 31 12 04 23 56 DELETE EDIT ADD User XXXXXXXX Default User Patient XXXXXXX Dr Schneider Recorder Capacity oe Hint EXE ae TOP PAMEN Prof Dr Dr Schenk a D Prof Dr Sauerbruch Se ee G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 124 Preparations for use Configuration menu CONFIG FF G 30 1592 en The CONFIG menu giv
139. e progress of initialization is indicated by horizontal bar 1 During this process the system performs a self test After the self test the system is ready for use and switches to the main menu after approx 90 seconds In the event of an error the user is informed both visually on the display and acoustically by a beep The error messages contain meaningful infor mation with proposals for the user how to solve the problem OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 105 We make it visible G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 106 Preparations for use Configuring the handgrips G 30 1592 en Both handgrips are identical The handgrips are delivered with preconfig ured default settings 10 factory settings You can configure both handgrips with the same functions Config L R 12 or you can configure different functions in the right and left handgrip 8 9 The CONFIG menu STAND HANDGRIPS permits you to select the functions 14 to be assigned to buttons A B D or E 1 Programmable button A factory setting trigger photo 2 Programmable button B factory setting autofocus 3 Joystick Note In the basic setting both joysticks can be used for motorized fine movement in the XY directions If the MultiVision function is active the joystick of the right handgrip is used to control a m
140. e a usable result You can toggle between the two statuses for comparison Store The Store function permits you to save the images for documentation purposes in the image directory of the relevant patient Note During the INFRARED 800 process the Store function can also be op erated via one of the configurable buttons Photo Save on the handgrip or foot control panel Only if FLOW 800 was activated in IN FRARED 800 If it was activated via Patient Files the Photo button on the handgrip does not have this function OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 313 COMPARE Maximum Intensity Eeay Automatic 1000 Al 800 Al 600 Al 400 Al 200 Al OAI Maximum Intensity G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 314 G 30 1592 en FLOW 800 option FLOW 800 DIAGRAM The DIAGRAM submenu permits you to perform a targeted analysis of partial areas by defining ROIs regions of interest The ROls are defined on the touchscreen Two ROI types are available rectangular and adaptive The adaptive ROls follow the structures in the image 1 Result window The result window displays fluorescence over time as a curve 2 Video window Window with video player functionality You can use this window to navigate to a point in the video where the ROIs are clearly visible If
141. e prompted to position the focus in the pre defined range After setting the focus you have to re focus the object by moving the microscope upward or downward Total magnification The system checks whether the total magnification of the system is outside a preconfigured tolerance range If this is the case and Auto Zoom has been activated the zoom value of the OPMI is automati cally set to the preconfigured value If Auto Zoom has been deacti vated you are prompted to manually set the zoom value Note To retain the current settings press Ignore on the touchscreen or the center button of the joystick on the right handgrip After completion of the setup phase the pop up message Live im age OPMI Ready for IR 800 is displayed for 5 minutes in the white light live image To start the subsequent recording phase press the FL button on the handgrip or foot control unit once again If more than 5 minutes elapse between the end of the SETUP phase and the start of the RECORD phase the above setup proc ess is repeated Note The fluorescence medium approved for the application must not be administered to the patient until after the start of the RECORD phase system takes about 3 seconds OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 285 Note Ey Automatic light field limitation has been activated If the magnification
142. e right handgrip Adjustment range 2x 13x Factory setting 5x OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 04 17 56 User Patient Recorder Capacity Int Exts 5x 300 mm CEEUORESCENCH 3 4 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm INFRARED 800 fluorescence module option 273 Note Make sure that the correct settings for the eyepieces and the tube have been selected in the tube menu Config OPMI Tube to permit the system to calculate the correct total magnification The total magnification is dis played in the main menu 4 Focus threshold working distance If the current focus value lies within the limit configured here no mes sage is displayed to the user during the setup phase If the focus value exceeds the set limit the user is prompted in a pop up window to re duce the focus value accordingly see Auto Zoom Off Adjustment range 200 mm 500 mm_ Factory setting 300 mm Caution After adjustment of the focus make sure to refocus the object by moving the microscope upwards or downwards after unlocking the brakes 400 SETUP RECORD PLAYBACK On Oo MultiVision Zoom lt O Maximum Maximum AUDIO VIDEO Magnification Focus 274 INFRARED 800 fluorescence module option IR 800 Record menu This menu permits you to make the following settings fo
143. e slowly clockwise until the ob object The reticle and the object must ject is imaged sharply If necessary be in focus at the same time repeat this procedure three times and take the average of the rea dings Adjust the second eyepiece in the same manner a ee Mount the tube and eyepieces on Adjust the second eyepiece in the same the microscope body and tighten manner until the object is seen sharply the securing screw firmly y Y y 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 A Warning Never use the sun as the distant object G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 116 Preparations for use USER menu login Default User On the first login the system displays a default user and creates a direc tory for an unknown patient In the next logins the system displays the user name last activated You can enter your user profile after the first login and subsequently edit it if required Note Ey The Default User profile can be neither edited nor changed Press USER button 1 The Active tab shows the def
144. e system up and down and for connecting further accessories Digital video recording Integrated digital video recording system with DVD archiving See page 248 Integrated fluorescence module INFRARED 800 IR800 FLOW 800 processing mode for IR 800 see page 291 BLUE 400 BL400 Voice control dictation telephony Integrated system for voice control telephony dictation function OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 44 G 30 1592 en kk RK Description DICOM network interface This option permits the exchange of image and patient data with the hos pital s network in accordance with a defined protocol DICOM Stereo video system The stereo video option permits 3D viewing or recording of videos using suitable external systems Option Option under development currently not yet available The system has been approved in the EU under directive 93 42 EEC However according to national regulations additional authorization may be required in the country in which the system and application will be used The fluorescence option is not available in North America Japan and other markets Please contact your local Carl Zeiss representative for fur ther information OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 45 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2
145. e wavelength region of the light source used for the selection of suitable fluorescence media The filters have been selected and specified on the basis of the technical data of typical fluorescence media The exact specification of the fluorescence medium has not been included however since further influencing factors existing in addition to technical parameters need to be assessed by the user The visualization of the fluorescence signal is influenced by several dif ferent factors the fluorescence medium and its concentration in the tissue the illumination intensity of the light source in the defined wavelength range the transmission of the optical system the total magnification and the aperture setting the working distance and the illuminated field diameter Digital video recording option is required OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en gt amp BLUE 400 fluorescence module option 345 Note The illumination intensity is influenced by the following factors the selected brightness of the light source the illuminated field diameter the working distance the zoom link function Caution The zoom link function increases the illumination intensity when a higher zoom value is set Warning Make sure that no tissue damage is caused by excessive illumination in tensity see Warning Only use fluoresc
146. ease 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 68 Description Superlux 330 illumination system G 30 1592 en The illumination system has been completely integrated in the system The light source generates light whose spectrum resembles that of nat ural daylight Regardless of the brightness setting the color temperature of the light always remains the same The illumination system contains two xenon lamps The second lamp is used as a backup lamp which is automatically swung into the illumination beam path via a quick action changer when the first lamp fails This change takes no longer than a few seconds lamp change see page 224 Warning Never use xenon illumination for ophthalmic procedures Make sure that no xenon light enters the patient s eyes Make sure that no tissue damage is caused by excessive illumination in tensity see page 22 Do not cover the ventilation grid on the stand console This can lead to overheating of the lamp modules and to lamp failure 1 Switching the illumination on and off In the main menu on the touchscreen or in the Config menu Prepara tions for use Light see page 132 factory setting light on 2 Adjusting the illumination intensity Continuously variable from minimum to maximum brightness in a range from 5 to 100 You can adjust the illumination intensity using the programmable but tons on the handgrips or foot control panel or via the main menu on the touchscreen
147. eated Recording Contrc Autostart Positic 1 Video Quality Ou O Medium tutomntanual i O High 2 Length of CEAUDIOMIDEO Video Clip 5 Min AWE G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 250 G 30 1592 en Digital video recording option 2 Autostart position If you have selected Auto Manual in the menu item Recording Con trol this function permits you to select the autostart position within the sequence to be recorded Left the autostart position defines the beginning of the sequence to be recorded Middle the autostart position is exactly in the middle of the sequence to be recorded Right the autostart position defines the end of the sequence to be re corded Video quality This function permits you to select the recording quality and the storage space needed Selection of the highest video quality means that the maximum video length is at its shortest Length of the video clip This slider permits you to set a time period in the range from 1 minute to 10 minutes Storage Medium Select the storage medium to be used for saving the video recording The video is always saved on the hard drive In addition you can op tionally save the video on CD DVD or USB stick by pressing the ap propriate button OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Digital video recording option 251 Recording
148. eceived from further network drives You can also send data by email to selected addresses or copy data to connected network drives Note For safety reasons data import from and data export to network drives e g DICOM are not possible during surgery main menu e Change from the main menu to PAT FILES menu 1 e If password protection has been enabled enter your user password 2 3 List of patient files All patient files are listed here according to the selected sorting and filter criteria The patient name last selected is always highlighted ir respective of its position in the list Note e Press these buttons for browsing These buttons are only active in selection menus if several pages ex ist OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 177 Password Entry Patient _ 1 03 08 2003 Patient _ 2 05 09 2003 Patient _ 3 21 10 2003 Patient _ 4 03 11 2003 Patient _ 5 12 08 2004 Patient _ 6 03 10 2004 Patient _ 7 03 08 2005 Alphabetically SORT i i G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 178 Operation Patient list 1 cx he DELETE The selected patient data record is deleted ADD A new patient name with a consecutive number is created The pro gram changes automatically to the Active mode EDIT The selected patient data reco
149. echanical connections details in the user s manual which are relevant to safety are properly connected and screw connections tight ened All cables and plugs are in good working condition The system is properly connected to the electrical power supply Warning 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 instru ments To check correct balancing of the system loosen the brakes while holding the microscope tightly at both handgrips If the system has been correctly balanced the surgical microscope can be moved almost effortlessly Repeat the autobalance procedure if required Connection to data networks Note Activities in the data network may interfere with the system The modem and DICOM functions are disabled in the main menu surgery mode which means that they cannot be selected No connection exists between LAN modem and the system OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Safety 21 Warning Data transmitted by the system into the
150. ective lamp Turn on the system at the power switch System test After power up of the system the user interface is initialized The progress of initialization is indicated by a horizontal bar During this process the system performs a self test After the self test the sys tem is ready for use and switches to the main menu In the event of an error the user is informed both visually on the display and acoustically by a beep The error messages contain meaningful information with proposals for the user how to solve the problem Evepieces binocular tube Check that the binocular tube has been securely mounted Check that the securing screw has been firmly tightened Check that the surgical microscope and the tube are in a position con venient for you Check that the correct interpupillary distance has been set Check that the eyecups have been adjusted in such a way that you can see the full field of view Check that the correct prescription has been set on the diopter scale OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 V Pos 2 G 30 1592 en Pos 1 Operation 167 Sliding mirror Set the adjusting knob for the sliding mirror to Pos 1 if a second binocular tube has been mounted on the 180 tube port When a camera is re leased the sliding mirror briefly adopts position 2 automatically Set the adjusting knob for the sliding mirror to Pos 2 if a coobservation tube or
151. ed in blue color The message Remote Service Active 5 is displayed in the main menu Note For operations to be performed directly on the system during the Remote Service call it is vital that you remain in constant dialog with the service engineer and follow his instructions Warning Please note that uncontrolled movements of the system may occur during the Remote Service call OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Maintenance Service 223 Next Operating Hours Service Interval 45h 207 h Activate data protection IT system rights Oves O On AUDIOVIDEO Q O Off eae betes Remote Service Delete patient files HERNE c Carl Zeiss Surgical GmbH 2004 2007 ient a Do you authorize access to Service 30 01 04 17 56 User Patient G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 224 Maintenance Service Changing the lamp module gt Ss a unlock lt gt i G 30 1592 en Warning Only change the expired lamp module 3 if replacement Cat No 1277 220 is available on site Only change the lamp module after it has cooled down this takes ap prox 10 min In the event of a malfunction there is a risk of explosion due to the high pressure inside the lamp The hot surface of the xenon lamp may also cause burns Make sure
152. elect the correct PACS Check the connection configuration with the PACS otherwise there is the risk of data being lost Correctly implement the TCP IP configuration Perform a connection test Use the DICOM standard Export to CD DVD or USB stick is only enabled after authentication by the user and password entry In addition there is the possibility of anonymizing DICOM data Warning Data transmitted by the system into the data network or data available in the data network risk to be corrupted or transmitted incompletely There fore no liability can be accepted for the correctness of the data The operator of the data network is responsible for compliance with the legal requirements regarding data security and for the protection of per sonal rights OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 359 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 360 DICOM option Configuring the network connection L G 30 1592 en Activation The password is a license key assigned by Zeiss This password and the default passwords are activated by our service staff The passwords are given to you in a separate envelope Network and DICOM addresses must be defined by the IT administrator responsible Note When the IT system rights have been activated the following note is dis played in the main menu IT SysAdmin activ
153. en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Safety 31 IL HT 3 4 2 1 2 3 mA 4 IE 4 3 D E et tia JE s change lamp I 2 B C 1 2 3 3 D E F Parkposition Standby position Position de stationnement Posici n de respo Hier luftdicht abschlie en Make airtight here Fermer herm tiquement ici Cerrar herm ticamente aqu G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 32 Safety G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description G 30 1592 en Description OPMI Pentero C Intended use Special properties Surgical microscope and laser micromanipulator Injecting video images in the surgical microscope Injecting navigation information in the surgical microscope Overall system configuration Configuration options Central user interface touchscreen Main menu Controls and connections Binocular tubes and eyepieces Handgrips Superlux 330 illumination system Operating principle of the additional illumination Autofocus focusing aid Drape vacuum system Wall mounted control panel Connection of navigation systems OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 33 34 34 38 40 41 42
154. ence media approved for the planned application Check whether the fluorescence medium can be excited in the wave length range from 400 to 410 nm and whether it emits fluorescent light of sufficient intensity in the wavelength range from 620 to 710 nm As in almost all diagnostic procedures false positive and false nega tive results can also occur in the fluorescence based method Evalu ation by the user based on other methods is necessary Contraindications The medical contraindications applicable to the use of OPMI Pentero in combination with a fluorescence medium are those to be taken into ac count when using suitable brand substances OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 346 FF Set the illuminated field diameter it Please enter settings C x gt OK G 30 1592 en BLUE 400 fluorescence module option The surgeon can choose whether the surgical field should be illuminated with blue violet excitation light for fluorescence or with light for normal ob servation For this the surgeon switches to the type of illumination re quired using a preconfigured button either on the microscope handgrip or foot control unit This button on the handgrip or foot control unit permits the surgeon to toggle between the standard white light mode and the fluorescence mode during surgery This mode permits visual observation of the fluorescence th
155. er s manual The installation conditions and the use of the system must meet microsurgical requirements low vibration dust free environment avoidance of extreme mechanical stress Note Like any device used in the OR this system may fail We would therefore recommend to have a suitable surgical microscope at hand as a replace ment during surgery OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Description 35 Warning Inline with its intended use the system must only be used on a patient when it has been correctly balanced With an incorrectly balanced system brake release may lead to un controlled movements of the suspension system For this reason the balancing procedure and the subsequent test must not be performed above the patient and only at a safe distance from other persons and instruments e After every use bring the system into the standby position and switch it off e Always check the following points before surgery without the pa tient e Before every use switch on the system to make sure that it is ready for operation Note A lamp check is performed after power up of the system or when the illu mination is switched on If a defective lamp is detected the backup lamp is automatically swung in In this case the cover on the outside of the housing briefly opens for the lamp change Warning Therefore when powering up and booting
156. erated patient name If the XML file is not available The following dialog box appears Do you want the data to be assigned to the current patient Yes No Yes data is imported to the current patient No an additional message appears after the data has been copied The data has been allocated to newly created patient XYZ XYZ generated patient name Note XML Extensible Markup Language is a standard for creating machine readable and human readable documents in the form of a tree structure XML defines the rules for the structure of such documents The details of the relevant documents must be specified for the concrete application in volved XML application This refers in particular to the definition of the structural elements and their arrangement within the document tree OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 207 1 Explorer 2 Media viewer 3 Browse buttons er These buttons are only active if more than the displayed directories or media are available 4 Select All Press this button to select all files in media viewer 2 DIRECTORIES ae SELECT ALL Memory Required G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 208 FF G 30 1592 en Operation 5 6 7 8 Loading images import To load images from a CD DVD USB stick or hospital s
157. erver DICOM press the LOAD button Media Files display The Media Files display shows 8 thumbnails per page After data selection the following note is displayed You have made the following selection Selected files n n number of files Memory required 347 23 MB FULL SCREEN button When you press this button the system automatically starts the full screen image viewer or full screen video viewer for the media type concerned The BACK and NEXT buttons of the image or video viewer permit you to automatically switch to the next or previous media file When you press the CLOSE button the program automatically returns to the LOAD menu LOAD button Press the LOAD button to start the loading process Pop up message If there is no CD DVD medium in the drive the following note is dis played No formatted medium in the drive If no USB stick has been inserted the following note is displayed No USB stick inserted OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 209 Alphabetically DIRECTORIES Media Files Memory Required G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ee 210 Operation What to do in an emergency Manual lamp change if the automatic lamp change fails change lamp change lamp ess G 30 1592 en In the event of failure of the a
158. es are listed on two pages You can navigate between the two pages using the NEXT and BACK buttons BACK is active when the second page is displayed NEXT is active when the first page of the dialog is displayed When you press the EDIT button the first page appears where you can enter the following DICOM attribute values PACS name DICOM server name freely selectable AE title is made available by the IT administrator Port number is made available by the IT administrator IP address is made available by the IT administrator Default image timeout Valid range 10 600 seconds factory setting 10 seconds The factory setting for default image timeout is 60s Default video timeout Valid range 60 900 seconds factory setting 10 seconds A maximum total length can be set for all files to be exported If this field is left blank during the entry this means almost unlimited time out Note In programming and network technology timeout describes the time that a procedure is allowed to take before being aborted with an error mes sage OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 373 DICOM Server PACS name KIS neurology department KIS 1294 39257 Port number 5000 AUDIO VIDEO IP address 10 4 23 239 30 12 04 17 56 Default image timeout 60s Default video timeout 900s G 30 1592 en OPMI Pentero C Sof
159. es on installation and use G 30 1592 en Safe working order Do not operate the equipment contained in the delivery package in explosion risk areas the presence of inflammable anesthetics or volatile solvents such as alcohol benzine or similar chemicals Do not station or use the instrument in damp rooms Do not expose the instrument to water splashes dripping water or sprayed water e Switch off the unit at the power switch if you notice any smoke sparks or unusual noise Do not use the unit until it has been repaired by our service team OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 18 G 30 1592 en Safety Do not place any fluid filled containers on top of the instrument Make sure that no fluids can seep into the instrument e Do not force cable connections If the male and female parts do not readily connect make sure that they are appropriate for one another If any of the connectors are damaged have our service representative repair them e Potential equalization If requested the instrument can be incorpora ted into potential equalization measures e Do not use a mobile phone in the vicinity of the equipment because the radio interference can cause the equipment to malfunction The ef fects of radio interference on medical equipment depend on a number of various factors and are therefore entirely unforeseeable Warning Do not use the video images fo
160. es you access to all OPMI and stand settings Note All settings and changes made to them are automatically saved for the ac tive user upon exiting the menu OPMI FOCUS Autofocus The Focus menu permits you to activate deactivate or adjust the settings for the following functions 1 Automatic AF on off If Automatic AF on is selected the autofocus will be automatically activated every time the brakes are closed Autofocus is not possible if the endoscope camera has been selected for visualization the shutter in the microscope is closed the focus stop button has been activated due to the use of a non Zeiss micromanipulator Micromanipulator focus stop When using a micromanipulator from another manufacturer you must set the focus position corresponding to the manipulator see page 58 Press the On button to save this focus position Press the OFF button to deactivate Focus Stop again If Focus Stop has been activated no autofocus setting is performed when the brakes are operated even if the autofocus has been switched on In addition the focus rocker switches are disabled The MM6 micromanipulator is automatically identified by the system Focusing is limited to max 400 mm in this case Focusing aid laser spots Activating or deactivating the autofocus focusing aid pilot beam for autofocus If the focusing aid is active the focusing lasers are switched on when the brakes are released and motorize
161. esponsibility to split the relevant video files If the total size for files to be exported is exceeded SEND button 5 re mains disabled The message Memory required is too large for DICOM export 4 is displayed It is the user s responsibility to deselect some of the files until the volume remains below the limit for total export size OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 377 Local DICOM server 512 56 Patient Recorder Capacity Memory Required Gi T565 5GB Benninger Ralph Recorder Capacity Ext 30 12 04 17 56 User Memory Required XXXXXXXX Patient Co D Benninger Ralph Recorder Capacity G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 378 G 30 1592 en DICOM option DICOM server echo e Configure the host DICOM server and save the data by pressing the Save button e Press ECHO button 1 SUCCESSFUL is displayed If FAILED is displayed e Press DETAILS button 2 e The Copy button permits you to copy the file to a connected USB stick Forward this Logging Information to your IT administrator or to the Carl Zeiss service staff to clarify any problems The CANCEL button permits the edit procedure for this PACS configu ration to be cancelled An existing PACS configuration remains un changed A new PACS configuration is not created
162. ess 368 Connection test FF zans G 30 1592 en DICOM option Note The valid IP address with subnet mask gateway and open ports is tested The connection test can be exited using the Close button The user re turns to the CONFIG SYSTEMINFO NETWORk tab The Repeat button permits you to repeat the connection test with the ex isting network configuration The results of the previous test are then de leted from the list The Details button permits you to have the test results displayed in a non editable text field Use the two navigation buttons 9 4 to navigate in the text field jump to the next line in the text with one click Testing the connection e Enter a known IP address e g the address of a PACS installed in the network e Press the START button Display Connection Test SUCCESSFUL If Connection Test FAILED is displayed e Press the DETAILS key e The Copy button permits you to copy the file to a connected USB stick Forward this Logging Information to your IT administrator or to the Carl Zeiss service staff to clarify any problems Copying the Logging Information to the USB stick The valid IP address with subnet mask gateway and open ports is tested The result is output in a dialog as non editable text The dialog shows the test results for the network settings The Copy button permits you to copy the file to a connected USB stick OPMI Pentero C Software Relea
163. ettings will be restored 14 Function selection menu Functions available for programming the buttons HANDGRIP Autofocus A OS B Focus Zoom C Focus N Zoom Light a Light CONFIG Autofocus Videorec Photo Aux MultiVision Fluorescence Light Intensity No function Factory settings E RESET OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 108 G 30 1592 en Preparations for use The brake release buttons are located on the back of the handgrips 1 Brake release button AB Brake release button for all suspension system and microscope axes For as long as you press this button all magnetic brakes are released All Brakes and the system can be moved in all directions When you let go of the button the magnetic brakes simultaneously lock all axes in position 2 Brake release button SB Brake release button for the microscope axes or suspension system axes factory setting For as long as you press this button only the magnetic brakes of the suspension system or microscope axes are re leased Selected Brakes and the microscope can be moved in all directions When you let go of the button the magnetic brakes simul taneously lock these axes in position Configuring the SB break release button The CONFIG menu STAND BRAKES permits you to select whether the SB button should release t
164. for your application Factory setting On MultiVision button control Permits selection of the type of data to be superimposed in the dis play Navigation shutter closes the microscope image only navi gation is displayed Endo shutter closes the microscope image the endo scope image is displayed Touchscreen shutter closes the microscope image the touch screen is displayed OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 04 17 56 Patient XXXXXXXK Recorder Capacity Preparations for use Lams __ ___ OPMI Data Display Data Injection AUDIO VIDEO Brightness 50 IERIE i 159 Navigation Interface Focus Crosshairs On Cor Data Injection MultiVision Contrast Button Function 50 Display for Light Intensity above Threshold Value Warning Warning High light intensity may lead to tissue damage Please consider using the lowest possible light intensity for your application Printed on 14 12 2009 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zess 160 G 30 1592 en Preparations for use System information SYSTEM INFO INFO 1 Operating hours display Indicates the operating time since the installation of the system Due to tests and inspections operating hours may already appear in the display Service interval display Indicates the operating hours after which the next
165. function permits you to compensate for the slight un balancing caused by the subsequent attachment of a drape 4 Balance position indicator This indicator is used for easy visual checking as to whether the arm of the suspension system is correctly positioned for autobalancing 1 and 3 Swing out the arm of the suspension system until indicator 4 is centered in the blue area 7 Then you can start the autobalance procedure Note Ey Autobalancing 1 and 3 is only possible if balance indicator 4 is located in the blue area 7 Autobalance Autobalance Complete System START Autobalance Microscope Drape Compensation Fine adjustment mouth switch Gi E cose gt G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 112 G 30 1592 en Preparations for use Autobalance Fine adjustment mouth switch Caution The autobalance menu provides buttons 1 and 2 to perform fine adjustment for the mouth switch They are always available irrespective of whether a mouth switch has been connected or not Do not press these buttons if you are not using a mouth switch The system balance is changed by the Fine adjustment mouth switch function The additional force effect applied for mouth switch fine adjustment can only be reset to zero by a new autobalance procedure Warning Always perform the autobalance procedure prior to mouth switch fine ad
166. g dialog is displayed for changing the total magnifica tion beyond the preconfigured range 3 Factory setting Off MultiVision Qn if MultiVision is activated during setup setting aids in the form of bars for zoom focus and light intensity will be displayed in the data injection system Off No display in the data injection system Factory setting Off Maximum magnification If the current maximum magnification is within the configurable limit value blue range is our recommendation the zoom is not changed during the setup phase If the magnification value is outside the preset limit the following hap pens With Auto Zoom on the zoom factor setting is automatically changed to the preconfigured value 3 With Auto Zoom off a pop up box with a setting bar appears The setting bar automatically disappears after correction of the value within the setting range To retain the current settings press Ignore on the touchscreen or the center button of the joystick on the right handgrip OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 30 12 04 17 56 User Patient XXXXXXX_ Recorder Capacity Winters HEE s FLOW 800 option 301 Adjustment range 2x 13x Factory setting 5x Note Make sure that the correct settings for the eyepieces and the tube have been selected in the tube menu Config OPMI Tube to permit the system to calculate the cor
167. g information is made available by the IT administrator 1 IP address Opens the keyboard dialog for the entry of the local IP address Only numeric entries with the following syntax are possible lt No gt lt No gt lt No gt lt No gt No ranging between 0 and 255 Factory setting 127 0 0 1 Subnet mask Opens the keyboard dialog for the entry of the local subnet mask Only numeric entries with the following syntax are possible lt No gt lt No gt lt No gt lt No gt No ranging between 0 and 255 Factory setting 255 255 0 0 Gateway Opens the keyboard dialog for the entry of the local gateway Only numeric entries with the following syntax are possible lt No gt lt No gt lt No gt lt No gt No ranging between 0 and 255 Factory setting 127 0 0 1 Note If no gateway is required or available open the keyboard dialog for entry and delete lt the existing entry OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 365 static IP address O dynamic IP address DHCP 30 12 04 17 56 IP address 10 13 66 85 AUDIO VIDEO Subnet mask 255 255 248 0 Gateway 10 13 71 254 Host Connection test Test connection with 10 13 71 254 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 366 DICOM option Further information on the Ethernet connection G 30 1592 en You can make the loc
168. gs are saved in your user profile IR 800 Setup menu The Setup menu is used to configure the setup procedure in order to achieve optimum quality of the video image Any deviation from the pre configured parameters items 2 3 and 4 may lead to a loss in video image quality 1 Auto Zoom Qn the total magnification is changed automatically to the precon figured value 2 without pop up message Off a setting dialog is displayed for changing the total magnifica tion beyond the preconfigured range 2 Factory setting Off 2 MultiVision Qn The content of the touchscreen monitor is also displayed in the data injection system during the PLAYBACK mode Please switch to the full screen mode for better visualization Off No display in the data injection system Factory setting Off 3 Total magnification If the current total magnification is within the configurable limit value blue range is our recommendation the zoom is not changed during the setup phase If the magnification value is outside the preset limit the following hap pens With Auto Zoom on the zoom factor setting is automatically changed to the preconfigured value 2 With Auto Zoom off a pop up box with a setting bar appears The setting bar automatically disappears after correction of the value within the setting range To retain the current settings press Ignore on the touchscreen or the center button of the joystick on th
169. guaran tee the function of every external hard drive Only use the external USB mini hard drive included in the delivery package or available from Carl Zeiss For hardware connected to the USB port for the first time it may take the system a few minutes to find and install the drivers e Insert the external USB mini hard drive included in the delivery pack age in bracket 4 on the back of the touchscreen Remove the external USB mini hard drive after use and keep it in a safe place Note on MediLive Video Tools The MediLive Video Tools software provides improved compatibility be tween your PC Windows or MacOS and the video DVDs created with OPMI Pentero Please install MediLive Video Tools on your PC if you notice the following problems The computer cannot read the DVD content or the DVD is not identi fied because the UDF 2 0 disk format is not recognized The video player or Office software is unable to play MPEG2 videos as the MPEG2 decoder is missing OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 203 One MediLive Video Tools CD is supplied as part of the digital video re cording option The ZEISS cat no of this CD is 308203 8040 000 Memory Required Export in Archive images DICOM format anonymously on on Gers Oot Qor No USB stick inserted G 30 1592 en OPMI Pentero C Softwa
170. handgrips and foot control units It is possible to store settings specific to each user A sufficient number of memory locations are available for dif ferent users A full screen mode permits the touchscreen to be used as a video mon itor Note The touchscreen has not been optimized for displaying video images We recommend a suitable external video monitor for high grade visualization of the video images recorded with the integrated 3CCD MediLive camera The control panel can be rotated through approx 90 about its axis and tilted through approx 20 permitting easy viewing and operation by the user or other persons A long flexible arm permits the touchscreen to be positioned as required relative to the surgeon or the OR team swiveling about the ceiling mount column and vertically adjustable by 550 mm All functions can be interactively controlled using menus The display shows the selected functions and settings The current date and time are displayed at the top left The user interface is largely self explanatory e Press the relevant button to select or activate a function e Press and adjust a slider to change a parameter Selecting images from a thumbnail preview e Press the image required the selected image will be displayed with a blue frame e To select the image for saving press the Select button The storage symbol is displayed in the image You can undo the selection by pressing the selected image and t
171. he Select button once again The storage symbol disappears OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 49 e To delete the image press the Delete button Before the image is deleted a dialog is displayed requesting you to confirm the deletion Note Previously saved images are marked by a storage symbol e Press these buttons for browsing The next or previous image will be displayed These buttons are only active in selection or configuration menus if several pages exist Note The graphic display is provided with a thin pressure sensitive plastic cover For this reason tip the display with your finger only and do not use pointed hard objects which could damage the display Warning Do not use the stored images and videos for diagnostic purposes as the video cameras and the monitor have not been calibrated The visualized images may therefore include deviations in scale color and shape The readings displayed are rounded values and are only provided for dis play and not for measuring purposes G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 50 G 30 1592 en Description Menu overview 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 a still camera and video recording for auto matic bal
172. he fluorescence button to start the SETUP phase and set up your system to provide optimum quality of the video image A pop up message Start IR 800 SETUP appears for approx 3s to in dicate that setup has been started e The following settings are checked 1 Focusing The system checks whether the focus is outside a preconfigured tol erance range If this is the case you are prompted to position the focus in the pre defined range After setting the focus you have to re focus the object by moving the microscope upward or downward 2 Total magnification OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 327 The system checks whether the total magnification of the system is outside a preconfigured tolerance range If this is the case and Auto Zoom has been activated the zoom value of the OPMI is automati cally set to the preconfigured value If Auto Zoom has been deacti vated you are prompted to manually set the zoom value lt a Note To retain the current settings press Ignore on the touchscreen or the center button of the joystick on the right handgrip After completion of the setup phase the pop up message Live im age OPMI Ready for IR 800 is displayed for 5 minutes in the white light live image To start the subsequent recording phase press the FL button on the handgrip or foot control unit once again If more than 5 minutes ela
173. he lamp change takes approx 20 seconds G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 137 Light Intensity Control Brightness Speed Automatic Light Field Limitation 30 12 04 17 56 O Threshold Value Intensity Remaining Light Warning Start Value lamp lifetime 25 24 200h AUDIO VIDEO Lamp 2 in use Yes Lamp Module G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 138 Focus 4 Zoom Focus lt p Zoom G 30 1592 en Preparations for use STAND HANDGRIPS 1 Joystick Note In the basic setting both joysticks can be used for motorized fine movement in the XY directions If the MultiVision function is active the joystick of the right handgrip is used to control a mouse cursor for the functions of a connected navi gation system depending on the system used or for menu control of the displayed touchscreen Zoom Focus rocker switches The functions of the rocker switches can be reconfigured by the user Note The zoom and focus functions of the two rocker switches can be inter changed Briefly press button C The display and functions are now interchanged Configuring the left handgrip Press button 6 to select the left handgrip Buttons 3 and 4 are only visible if button 6 has been pressed Configuring the right handgri
174. he microscope or the suspension system axes Select the axes which you want to be released when you press SB button 2 on the handgrip You have the following options 3 Axes 1 2 3 Suspension system axes 4 Axes 4 5 6 Microscope axes factory setting Configuring the Autofocus AF function You can configure the AF function in such a way that the autofocus is automatically activated after the brakes have been locked the autofocus is not linked with the brake function and can only be ac tivated using a button on the handgrip e Select On button 5 in CONFIG menu OPMI FOCUS for automat ic activation of the autofocus after locking of the brakes If you select Off button 5 the autofocus can only be activated using a button on the handgrip or foot control unit Note When using a micromanipulator from another manufacturer activate the Focus Stop function This ensures that the selected focus setting is not inadvertently changed by the motorized function see page 58 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 31 12 04 23 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity G 30 1592 en Preparations for use Brake Mode Handgrip button SB 31 12 04 23 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity AUDIO VIDEO Autofocus Automatic Co On OPMI Pentero C Software Release 2 20 2 21 Micromanipulator Focus St
175. he set markers is saved under a separate name The original is retained Back Press this button to switch to the previous video sequence If you switch to the previous sequence without saving the markers entered for cutting will be lost Next Press this button to switch to the next video sequence If you switch to the next sequence without saving the markers entered for cutting will be lost Total length Indicates the length of the video sequence Position Indicates the played video time OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Digital video recording option 259 Clip length Indicates the length of the marked video clip Clip The blue bar below the video normally represents the video length If you press one of the zoom buttons a once or multiple times the section of the blue bar changes in accordance with the time scale Marker This tab contains all photos created from the selected video Markers in the video are assigned to the photos If you select a photo the program branches automatically to the corresponding marker in the CUTTING tab The corresponding position of the video is displayed OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 260 Digital video recording option Merging video clips The MERGE function permits you to select video clips from the list of ex isting video clips of a patient
176. he year 2025 4 System Time Enter or edit the time in the format hh mm 5 Date format Conversion of the date display from European to US format 6 Summer time On The system clock is put forward one hour Off The system clock is put backward one hour Factory setting Off Network and DICOM The NETWORK and DICOM tabs are only active after the DICOM option has been enabled see page 362 and page 355 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 163 NM ISiOM ereseescneseseeses INIELEE a a a 30 12 04 17 56 System date Enter edit system date 21 09 2007 CULLA System date 21 09 2007 al J System time 14 56 J Summer time Date format 30 12 04 17 56 AUDIO VIDEO System time Enter edit system time CEUCAN MEERE A G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 164 Preparations for use G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 165 Operation Checklist 166 Procedure 169 Working with the surgical microscope 169 Comfortable control via the mouth switch pivoting 170 Working with the data injection system 172 Patient Files menu PAT FILES 176 Managing patient data 176 Viewing patient data 188 Viewing patient images 190 Editing images 194 Saving 198 Storing patient
177. hen connecting instruments from other manufacturers make sure that safety is guaranteed regarding admissible ground leakage currents The admissible limit value of the ground leakage current present in the sus pension system s power cord is 500 pA in compliance with EN60601 1 IEC 601 1 This value must not be exceeded CSA NRTL certification in compliance with UL 60601 1 only allows a maximum ground leakage cur rent of 300 pA OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 40 Description Surgical microscope and laser micromanipulator G 30 1592 en A Zeiss MM6 micromanipulator can be attached to the surgical micro scope via the dovetail mount on the bottom of the microscope to permit the use of a laser Micromanipulators from other manufacturers can be connected but not electronically controlled Note For the OPMI Pentero only CZ MM6 micromanipulators carrying the label Adjusted for OPMI Neuro may be used Adjusting the surgical microscope and laser micromanipulator to the same focal plane The OPMI Pentero is equipped with a motorized Varioskop zoom system which is operated via the focus rocker switches of the handgrips Pos 4 5 see page 66 or the focus buttons on the foot control panel Pos 5 6 see page 140 The Varioskop is used for the motorized setting of the working distance coarse focus and the motorized adjustment of image definition fine focus The focus rocker s
178. ich the magnification system should start to operate after power up of the system user defined set ting OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use l 30 12 0417 56 User Patient XXXXXXX Recorder Capacity AUDIOVIDEO 127 Aera TUE N Gamma Start Value 1 2 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zans Printed on 14 12 2009 128 Preparations for use DIAPHRAGM You can increase or reduce the depth of field by adjusting the integrated diaphragm The following setting options exist Large depth of field small aperture less light Small depth of field large aperture more light ets G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 129 Select Depth of field G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 130 Preparations for use TUBE Select the tubes and eyepieces to be used in the TUBE menu to permit the system to calculate the correct total magnification The total magnifi cation is displayed in the main menu Options 1 Eyepiece magnification 10x 12 5x Tube focal length 125 mm 170 mm or 200 mm Note When you end the menu a warning message appears asking whether you have actually mounted the eyepieces and tube as indi cated
179. ient gt CONQUEST AssociateRequest 21 06 2006_11 27 36 0890 SndClient gt CONQUEST Type PDU_ASSOCIATE_REQUEST Size 1513 21 06 2006_11 27 37 0015 RecClient lt CONQUEST Type PDU_ASSOCIATE_ACCEPT Size 455 21 06 2006_11 27 37 001 Associate Request Details 21 06 2006_11 27 37 001 Application Context 1 2 840 10008 3 1 1 1 21 06 2006_11 27 37 001 21 06 2006_11 27 37 0015 Output on USB G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 380 DICOM option Error messages during system configuration known to the server known not known to remote system Touchscreen text No DICOM Reply Text Comment Action number is included in logfile Selected server does 209 Abstract syntax not Remote system is un Enable the remote not support this in supported by thej able to handle our system to receive vis quiry server image types visible ible light images light Internal error of 234 Proccesing failure Remote system has a Search logfile of re DICOM component processing problem mote system for fur ther information Internal error of 235 Resource limitation Remote system has a Search logfile of re DICOM component processing problem mote system for fur ther information Server was unable to 243 Server Error Re Remote system has a Search logfile of re correctly process the served processing problem
180. iewed an important section in more de tail The runtime is updated in accordance with the zoom factor You can press this button several times successively Zoom 1 1 You can reset the time scale to 1 1 in the progress bar In this mode no section of the video sequence is shown separately but the complete video sequence is displayed in the same mode Photo Press this button to capture and save a single image from the sequence A marker is set at the same time Caution Always use this button to capture a single image from a recorded video sequence Do not use the configured handgrip or foot control buttons for this purpose OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 258 Dy G 30 1592 en Digital video recording option Trash Press this button to delete all markers entered in a video sequence Renaming files This function permits you to assign specific names to the images to meet your requirements Adding editing a comment This function is used to open the Information dialog for a video which al lows you to add your own comments or edit existing comments Close Press this button to close the editor for editing video sequences and to re turn to the Patient Files menu The markers entered for cutting are de leted unless you have previously saved the edited sequence Create clip Press this button to save the edited sequence The video clip defined by t
181. images often show im portant scenes within a sequence MediLive MindStream permits you to jump between the scenes marked by single images in the sequence Editing the video sequence The following buttons are available for editing the video sequence Setting the start marker You use the start marker to mark the beginning of the video clip which you want to cut from the video sequence After activating the button you can set a start marker on the progress bar If you set a start marker you also have to set a corresponding end marker You can also remove a marker you have set by pressing the trash button Setting the end marker You use the end marker to mark the end of the video clip which you want to cut from the video sequence After activating the button you can set an end marker on the progress bar If you set an end marker you also have to set a corresponding start marker You can also remove a marker you have set by pressing the trash button Clip from start marker You can also define a video clip to be cut out without setting an end marker Clip from start marker defines the beginning of the video clip but does not require an end marker as its counterpart After activating the button you can set a clip from start marker on the progress bar The end of the video clip is defined by the selected length of the video clip Select the length of the clip in the Configuration menu or using Enter length of the video clip You c
182. information not for meas urement purposes OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 53 1 Activating the setting bar 2 Continuous adjustment of settings e g Zoom using the slider 30 12 0417 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity LIGHT INTENSITY G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 54 Description Controls and connections G 30 1592 en Microscope mount Handgrips with programmable buttons Left beamsplitter port for documentation and coobservation devices e g still camera or coobservation tube Microphone Locking screw for clickstop mechanism After opening the locking screw you can turn the tube 7 next page to the left or right to three clickstop positions in steps of 5 Handgrip locking mechanism After opening the locking levers you can adjust the ball jointed hand grips as required OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 55 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 56 y Pos 1 Pos 2 G 30 1592 en Description 7 180 tiltable tube with f 170 mm focal length and 10x eyepieces 8 Spine adapter removable for improved operating convenience in spinal applications 9 Securing screw for tube or spine adapter 10 Z
183. ing External automatic circuit breakers Service Contract Option Starting Remote Service Changing the lamp module Recommended cleaning method Sterile drapes Ordering data Spare parts Accessories Disposal OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 219 220 220 220 221 222 224 226 228 229 231 231 235 220 Maintenance Service Trouble shooting This system is a high grade technological product To ensure optimum performance and safe working order we recommend having the system checked by our service representative on a regular basis If a failure occurs which you cannot correct using the information dis played on the touchscreen attach a sign to the system stating that it is out of order and contract our service representative External automatic circuit breakers 1 External automatic circuit breakers If one of the automatic circuit breakers is activated try to reactivate the function by pressing the circuit breaker button Should the automatic circuit breaker be activated again call our service dept G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Maintenance Service 221 Service Contract Option G 30 1592 en FF A service contract concluded with Carl Zeiss supports the high reliability of your OPMI Pentero in everyday use 24 hour availability to the user in our support center on all issues con ce
184. ing technical development G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Digital video recording option 247 Digital video recording option Digital video recording option 248 Description 248 Video clips 252 Editing video clips 254 Merging video clips 260 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 248 Digital video recording option Digital video recording option Description G 30 1592 en The video recorded with the integrated video camera is saved as a digital MPG2 file in the relevant patient directory The recorded video clips can be played back using the integrated video player You can also export these files to a CD DVD or USB stick During surgery you can save the data on the internal hard drive or record it simultaneously on DVD CD or USB You start and end a video recording by pressing the REC START REC STOP button in the main menu by using voice control option or by pressing a previously configured button on the handgrip or foot control panel A Rec display appears on the touchscreen while video recording is in progress Before starting a video recording the system checks whether sufficient storage space is available and informs the user that old files should be deleted If the storage space available is not sufficient for video recording the system stops the recording after displaying
185. ing distance see SETUP menu page 272 the zoom link function which is automatically deactivated when the IR 800 mode is started The zoom link function changes the illumination intensity when the zoom value is changed With increasing operating time of the light source the illumination intensity and as a result the brightness of fluorescence decrease When a specified guaranteed lamp service life is exceeded the user will be warned in a message on the touchscreen that the brightness of the light source is no longer sufficient for correct flu orescence application At the same time the user is prompted on the touchscreen that a new lamp for fluorescence application needs to be installed This message appears on power up of the system and will only disappear after acknowledgement by the us er Warning Make sure that no tissue damage is caused by excessive illumination intensity see Always perform a function test before using this module see checklist page 283 The system must not be used for ophthalmic procedures Warning Reliable visualization of fluorescent areas with IR 800 is not or no longer possible in the following situations Insufficient brightness in deep channels Working distance too large focus threshold recommended working distance less than approx 300 mm Printed on 14 12 2009 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 etss 268 G 30 1592 en INFRARED 800 fl
186. ings 107 Failure of a function 168 Failure of all control functions 216 Failure of automatic lamp change 210 Failure of magnetic brakes 214 Failure of the focusing function 213 Failure of the graphic touchscreen 214 FDA classification 16 Field 148 File format 146 File format selection 297 File name 252 Filter criteria 180 Filter criteria display 180 Fine adjustment mouth switch 112 Flash during capture 148 FLOW 310 FLOW 800 option 291 FLOW 800 activation 302 FLOW 800 COMPARE 320 FLOW 800 description 310 FLOW 800 DIAGRAM 314 FLUORESCENCE 270 348 Fluorescence applications deactivating 270 348 Fluorescence applications deactivation 298 Fluorescence module BLUE 400 270 344 348 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en Index 401 Fluorescence module IR 800 option 266 Focus Crosshairs 156 Focus rocker switch 140 Focus speed 124 Focus start value 124 Focus stop 124 Focus zoom link 125 Focusing 71 Focusing aid 71 Focusing aid Autofocus 71 Focusing aid laser spots 124 Focusing beam 71 Focusing function failure 213 Fogging of optical surfaces 226 Foot control panel menu 140 Foot rocker switch menu 140 Foot rocker switch control panel or footswitch configuration 140 Footswitch menu 140 Full 150 Full frame 148 FULL SCREEN button 392 Full screen view 190 Function of NEXT button 287 G Gamma start value 126 Gewichte Zubeh r 2
187. ion intensity may range between 80 and 100 The illumination intensity is influenced by the following factors the selected brightness of the light source the working distance see SETUP menu page 300 the zoom link function which is automatically deactivated when the INFRARED 800 mode is started The zoom link function changes the illumination intensity when the zoom value is changed With increasing operating time of the light source the illumination intensity and as a result the brightness of fluorescence decrease When a specified guaranteed lamp service life is exceeded the user will be warned in a message on the touchscreen that the brightness of the light source is no longer sufficient for correct flu orescence application At the same time the user is prompted on the touchscreen that a new lamp for fluorescence application needs to be installed This message appears on power up of the system and will only disappear after acknowledgement by the us er Warning The touchscreen surface is non sterile The touchscreen must only be operated by non sterile personnel Sterile persons must always use sterile medical applicators to operate the touchscreen Use standard sterile medical applicators for this pur pose Make sure that no tissue damage is caused by excessive illumination intensity see page 22 Always perform a function test before using this module see checklist page 325 OPMI Pentero
188. ions for use 133 Note Ey Automatic light field limitation has been activated If the magnification is changed in the BL400 IR800 mode fluores cence option the light value may significantly increase above the pre vious level when BL400 IR800 is deactivated You can deactivate this function A warning is displayed which you have to acknowledge Please note the safety information on page 22 Automatic light field limitation deactivated Warning Warning High light intensity may also lead to tissue damage outside the field of view Do you really want to deactivate automatic adjustment of the light intensity to the magnification level Light Intensity Control Brightness Speed Automatic Light Field Limitation On 30 12 04 17 56 O Threshold Value Intensity Remaining Light Warning Start Value lamp lifetime 25 24 200h Lamp 2 in use i Yes Lamp Module Open el Change G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 134 G 30 1592 en Preparations for use Threshold value for light warning Warning Adjust the illuminated field diameter and illumination intensity to the values required for the procedure See page 22 The illumination intensity is preconfigured factory settings in such a way that a warning is displayed on the touchscreen when the threshold value of 25 is exceeded informing the user of possib
189. is not located at the image center Select the Full mode in this case Full Light metering is performed across the full video image This metering pattern is recommended if the surgical field is fully and evenly illumi nated if pronounced reflections are present or if your working area is not located at the image center Selecting the video format for an external video port VGA 3 RGB Interlaced format analog video Progressive Non interlaced format digital video progressive scan OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 151 Autom white balance 6 Press the White Balance start button 6 to perform the white balance pro cedure for the video image The system adjusts the video signal in such a way that white areas in the surgical field are also white in the video image To achieve this place a suitable white object e g a piece of white paper with a matte surface or white gauze bandage under the microscope and focus the microscope on it using a medium brightness level ORDING 7 AUDIO Brightness Contr RGB Video Output O Auto O Shutter 30 12 0417 56 lt LFUDIONVIDEO Auto Brightness 50 O 1 50 1 60 O 1 100 1 120 O 1 250 O 1 500 O 1 1000 O 1 2000 O 1 4000 White balance Om E G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 152 G 30 1592 en Prep
190. is not possible to exit the main menu during image recording LIVE FREEZE When you press this button a freeze image is created in the full screen mode Press the button again to return to the standard live mode DRAPE Press the DRAPE button to activate or deactivate the drape vacuum system see page 72 AUTOBALANCE For automatic balancing of the system See Preparations for use Bal ancing the system page 110 REC START REC STOP option For starting and ending a digital video recording While video recording is in progress a Rec display with the recording length appears on the monitor and in the data injection system VOICE CTRL option currently not yet available Various system functions can be activated by voice control DICTATION option currently not yet available This option permits the digital recording of an audio file e g a comment on the video TELEPHONE option currently not yet available This function permits you to use the system for phoning integrated micro phone and loudspeaker FULL SCREEN You can switch the video image from the window mode to the full screen mode Note Inthe full screen view in the PAT FILES menu two buttons Back and Next are displayed permitting you to browse through several images Press the CLOSE button to return to the main menu The values displayed by the system for zoom focus and light are rounded values they are only intended for
191. ith this cursor using joystick 1 of the right handgrip To activate a function place the mouse cursor on the relevant button and press the joystick center To adjust a slider place the mouse cursor on the slider grip and shift it upward or downward by pressing the joystick Alternatively place the mouse cursor on the required position of the slider grip and press the joystick center to shift the slider to this posi tion OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 175 Cay 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX seas OPMI Data i A Display Navigation Interface Focus Crosshairs Oon 30 12 04 17 56 User Qor XXXXXXXX Patient XXXXXXX Recorder Capacity PAT FILES C vse Touchscreen Data Injection Data Injection MultiVision Brightness Contrast Button Control 50 50 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 176 Operation Patient Files menu PAT FILES Managing patient data x her gt G 30 1592 en The PAT FILES menu permits you to store patient data images videos etc You can use the dialog windows for filing copying renaming or shifting files The data to be stored is saved in a special directory on the hard drive If the computer has been connected to a network patient data can be transmitted to or r
192. k 7 which marks the calculated moment of fluo rescence flow is displayed at the upper edge of the Diagram window and in the time bar of the video player If the automatic function 4 MAP submenu has been activated the AFD time mark is positioned above the Y axis at the beginning of the diagram Delay value display 3 To enable faster comparison of the delay values of the marked ROls the values of all ROIs shown in the diagram are displayed at the top right next to diagram 3 The values are shown in the color of the associated ROI diagram curve The listis sorted according to the amounts of the delay values The lowest delay value appears in the first position Warning The readings displayed in the processing mode SI units are rounded values They are only provided for clearer indication not for measuring purposes OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 319 w w WD ROI Size ROI Type O Rectangle O Adaptive 1000 AI 800 Al amp Set ROI 600 Al 400 Al 200 Al OAI MAP Maximum Intensity O Delay ey gt o w BP ROI Size ROI Type O Rectangle C Adaptive G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 pan 320 G 30 1592 en FLOW 800 option FLOW 800 COMPARE The COMPARE menu is used to compare maps or diagrams with each
193. l lumination intensity The system features automatic detection of defective lamps A lamp check is performed after power up of the system or when the illumination is switched on If a defective lamp is detected the backup lamp is auto matically swung in In this case the cover on the outside of the housing briefly opens for the lamp change OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 22 Safety Warning e Therefore when powering up and booting the system or when switch A N ing on the illumination make sure that the system is in a position where neither the patient nor the user is put at risk by falling items e g parts of the defective lamp Connection and operation of navigation systems Only systems from authorized manufacturers may be connected and used on the navigation interface of OPMI Pentero C see page 78 Au thorized manufacturers are companies or institutions with which Carl Zeiss Surgical has concluded an Open Interface Contract and for which the use of the integrated navigation interface with data injection system has been licensed Please observe the user manual for the connected system Risk of burn injuries caused by high illumination intensity General The OPMI Pentero is equipped with a powerful xenon illumination system Excessive illumination intensities may lead to third degree burns if used improperly The risk of burns is influenced by several different fa
194. le tissue damage when the light intensity is too high The percentage of light intensity is displayed in red typeface on the touchscreen The light intensity display in the data injection system flashes approx 5 times when the threshold value has been exceeded The display is automatically deactivated when the intensity level is back below the threshold unless OPMI Data Display has been acti vated in the MultiVision menu Intensity start value Enter the illumination intensity in percent The xenon lamp will then light at this brightness level after activation user defined setting The previous brightness zoom link has been activated at the factory This means that the displayed intensity start value has been corrected in accordance with the zoom start value and the position of the illumi nated field diaphragm and may differ from the selected intensity start value Note The intensity start value can only be adjusted up to a level 1 lower than the setting for the light warning threshold value 4 If the light warning threshold value 4 is adjusted downward the intensity start value is automatically set to 1 below the light warning threshold value Remaining lamp life The theoretical remaining service life of the light source is displayed The system automatically monitors the service life of the two lamp modules which is 500h When this period has been exceeded the system prompts you after every restart to change the lamp mod
195. m mode the search window displays the ROI images associated with the diagrams Scaling Independent common scaling is canceled Compare display at a common scale Scaling is disabled in the Diagram mode OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 321 Note TFT A comparison of delays only makes sense if AFD was activated when the video was recorded The times then refer to the moment when fluores cence started to flow as determined by AFD Compare Maximum intensity DIAGRAM COMPAR Maximum Intensity Scaling 08 05 14_16 44 16 2008 05 14_17 O Delay oO Independent O Diagram O Compare Compare Delay DIAGRAN Y COMPARES Maximum Intensity Scaling O Independent Q Compare F Delay 5 O Diagram Compare acra onra Diagram Mode Maximum Intensity Scaling 1 2 08 05 14_16 44 16 2008 05 14_17 03 41 O Delay O Independenj BACK NEXT Diagram O Compare G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 322 FLOW 800 option Preparations for use Connecting an external monitor recommended option FF n G 30 1592 en Note When using the IR 800 application we recommend that you always con nect an external monitor for viewing the IR 800 sequences Cauti
196. m yy_hh mm ss_V mpg Clip file dd mm yy_hh mm ss_C mpg Merged file dd mm yy_hh mm ss_M mpg Image file dd mm yy_hh mm ss_lI jpg OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Digital video recording option 253 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 254 Editing video clips n zans G 30 1592 en Digital video recording option Caution Do not edit video clips while recording is in progress First end the re cording If you press the Edit button under the menu item Videoclips the editor for editing the video sequences is opened Note The term video sequence refers to the complete recorded sequence whereas the section to be cut out is called the video clip The display shows you a progress bar buttons for playback of the video sequence and buttons for editing the sequence Progress bar The progress bar provides the following information the current playback position You can change the current position by adjusting the slider to a new position the current cutting markers which you use to define the video clip to be cut out the markers used to display single images that were stored from the current sequence On the right of the progress bar the system displays the following infor mation total length of the video sequence current playback position of the displ
197. menu 7 for button A OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 141 J Foot switch MOTORS E Ci ITR L PAWEL MultiVision Autofocus 30 12 04 17 56 Videorec Focus No function ARA No function Autofocus MultiVision Videorec Fluorescence Factory settings Photo Light Intensity No function lt RESH AUDIO VIDEO On Onision Oreos O Autofocus O MultiVision Over Cpfucrescence Cy Zoom Q eoe C Fuorescence ae Factory Settings or Oust Intensity Settings O Photo J Or Oe O Aux Q No function G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 142 G 30 1592 en Preparations for use MOTORS XY As long as the joystick on the handgrip or foot control unit is pressed the microscope performs a rotary movement or a lateral or front to back tilt movement at a constant speed in the direction selected with the joystick 1 Zoom link of travel speed XY Permits a specific focusing speed to be coupled with a zoom value This means that the speed is automatically reduced when a high mag nification is used When the function is off no speed adaptation takes place Note In the Navigation mode the right hand joystick can be used to operate major functions of a connected navigation system The left hand joystick continues to be used for controlling the XY movement 2 XY travel speed
198. movement If Focus Stop has been activated no autofocus setting is performed when the brakes are operated even if the autofocus has been switched on OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 59 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 60 Description 17 Lever for additional illumination This lever permits you to switch the additional illumination on and off See Operating principle of the auxiliary illumination on page 70 Note Ey The additional illumination cannot be used when the MM6 micromani pulator has been connected 18 Mouth switch socket You can use the mouth switch option to release or lock the magnetic brakes for the three main axes of the suspension system The mouth switch has the same function as the SB brake control button on the handgrip For mounting the mouth switch see page 90 19 Camera release socket for an external still camera 20 Socket for connecting an optional antenna module navigation G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 61 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 62 Description Binocular tubes and eyepieces G 30 1592 en Depending on the application involved you can equip the surgical micro scope either with one 180 tilt
199. n appears approx 10 sec switch the sys tem back on at the power switch The system is operative again after approx 15 seconds Computer and touchscreen are inoperative The following microscope functions continue to be available Motorized focusing via handgrip or foot control panel Motorized magnification setting via handgrip or foot control panel Focus and zoom speeds correspond to the speeds set before the mal function Brake functions AB All Brakes and SB Selected Brakes on the handgrip Brightness setting of xenon illumination via handgrip or foot control panel It is possible that only a constant illumination level of approx 70 is available depending on the cause of the defect Video image on an external monitor external video signal of micro scope camera System balancing is retained with the same setting that existed before the malfunction A new autobalance procedure is unfortunately not possible Therefore please do not change the OPMI configuration After completion of surgery we recommend you to contact the respon sible Carl Zeiss service team to ensure that no hardware defect is present OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 218 Operation G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Maintenance Service Maintenance Service G 30 1592 en Trouble shoot
200. n compliance with Directive 93 42 EEC the basic configuration of this system is a class device Equipped with the Integrated Fluorescence Module option it is a class lla device For USA FDA classification Class I We would like to provide you with information about safety aspects which must be observed when handling this device This chapter contains a summary of the most important information concerning matters relevant to instrument safety Important safety information has been incorporated in this manual and is marked with a warning triangle accordingly Please give this information your special attention The correct use of the system is absolutely vital for safe operation Please make yourself totally familiar with the contents of this manual prior to start up of the instrument Please also observe the user manuals of any addi tional equipment Further information is available from our service depart ment or from authorized representatives e Please observe all applicable accident prevention regulations The instrument must be connected to a special emergency backup line supply in accordance with the regulations or directives which ap ply in your country Protective measures for IT systems and networks The user or IT officer is responsible for ensuring that no viruses are transferred to the OPMI Pentero system via the network connection G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2
201. n correctly mounted that they can be moved without restriction across the full swivel range and that they cannot collide with any other units After attaching the drape check that that the microscope s freedom of movement is unobstructed in all directions In particular the movement performed by the microscope during the balancing process should be possible without limitations Choose from the functions in the Balancing menu 1 Autobalance complete system balancing all axes If the system has not yet been balanced or if accessories have been mounted on or removed from the microscope the Autobalance Com plete System function allows you to balance the complete system Swing out the arm of the suspension system until indicator 4 is cen tered in the blue area 7 Then you can start the autobalance proce dure The autobalance function first balances the suspension system axes then the microscope OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 111 2 Autobalance microscope balancing the microscope axes The system has already been balanced but the microscope configu ration has been changed the total weight remains unchanged but ac cessories have been repositioned e g from the left to the right or the tilt of the microscope has been changed The Autobalance Micro scope function permits you to balance microscope axes 4 and 5 only 3 Drape Compensation This balancing
202. n low contrast tissue struc tures We recommend using rectangular ROls in this case zans G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 335 Mw Be ROI Size ROI Type G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 336 G 30 1592 en FLOW 800 option Result buttons 8 for selecting the active ROI In the upper row square buttons only one button is active at a time When this result button is pressed the display of the associated diagram curve includes an auxiliary line at 50 of the maximum intensity and the AFD as atime axis An active diagram curve can be deleted by pressing DELETE button 6 Display buttons 9 for switching the ROI display on and off The lower row round buttons is used to display hide the associated curve Hidden curves and their values are not taken into account in the calcula tion and are not saved After calculation of at least one measuring posi tion the display looks as follows in the result window the result is shown both as a curve and in the form of text and one result button is highlighted in color The button below the result button is blue to indicate that the re sults are actually displayed The CALCULATE button 5 is disabled as no further ROIs have been selected You can generate results for further ROls by pressing the Set R
203. nal illumination 70 Additional illumination operating principle 70 Additional illumination switching on and off 68 Adjusted for OPMI Neuro 40 58 Adjusting knob for illuminated field diameter 56 Adjusting knob for Varioskop manual focusing 56 Adjusting the surgical microscope 115 AFD 287 328 AFD time mark 318 AGC 286 Ambient requirements 246 Antenna module socket 60 Anti fogging agent 226 Archiving not for permanent 35 Archiving not permanent 198 357 Assembling system 84 Autobalance 110 Autobalance Fine adjustment mouth switch 112 Autobalance complete system 110 Autobalance drape compensation 111 Autobalance microscope 111 Autofocus operating principle 71 Autom IR detection 305 Autom white balance 151 Automatic AF on off 124 Automatic brightness control Auto 150 Automatic camera gain control AGC 286 Automatic fluorescence detection AFD 287 328 Automatic IR detection IR800 275 305 Automatic light field limitation 132 133 353 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 398 G 30 1592 en Index AUX port 239 AUX socket 74 Axes balancing 110 B Backing up patient data on CD DVD 198 Backup lamp 26 Balance position 111 Balancing 110 Balancing the microscope axes 111 Balancing automatic 110 Beep continuous 26 104 BL 400 270 348 BL 400 checklist 352 Blocking of individual magnetic brakes 217 BLUE 400 fluorescence module option 343 BR
204. nce applica tion At the same time the user is prompted on the touchscreen that a new lamp for fluorescence application needs to be installed This mes sage appears on power up of the system and will only disappear after acknowledgement by the user Always check the following points before the use of the integrated fluores cence module without patient Also note the brief operating instructions enclosed with the BLUE 400 flu orescence target e Place the BLUE 400 fluorescence target on a level surface Touchscreen e In the Config menu select FLUORESCENCE GENERAL BLUE 400 e Inthe BL 400 menu set brightness control to AUTO e Inthe BL 400 menu set the light intensity start value to 100 e In the Config menu OPMI DIAPHRAGM set the function Preselec tion Depth of Field to Small e Inthe Config menu OPMI FOCUS set the function Focusing Aid La ser Spots to On Handgrip e On the focus rocker switch of the handgrip set the working distance to 250 mm display on the touchscreen FOCUS 250 mm e On the zoom rocker switch of the handgrip set the magnification to factor 3 display on the touchscreen ZOOM 3x Microscope e On the microscope set the adjustment knob for the illuminated field diameter to a medium diameter G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Set the illuminated field diameter o Please enter settings C IE
205. ndard file format for the exchange of image files The file consists of the actual image information and the metadata file affix The digital camera uses this affix to store setting data for the exposure including the camera type date and time lens type focal length aperture ISO value etc Close Press the button to close the editor for editing images and to return to the Patient Files menu The markings you have entered are deleted unless you have previously saved the edited image Saving Press the button to save the edited image The copy with the entered markings is saved The original is retained Back Press the button to switch to the previous image If you switch to the pre vious image without saving the entered markings will be lost Next Press the button to switch to the next image If you switch to the next image without saving the entered markings will be lost OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 197 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 198 Saving G 30 1592 en Operation Note The system is not intended for permanent data archiving You can use CDs DVDs a USB stick an external hard drive or a hospital server DICOM option see page 355 for data backup All users are responsible for archiving their own data If sufficient storage space is no longer available the system informs yo
206. netic coupling 64 Working with the surgical microscope 169 Z Zoom adjusting knob emergency operation 56 Zoom factor setting of gamma start value 126 Zoom function failure 212 Zoom link of travel speed XY 142 Zoom menu 126 Zoom rocker switch 140 Zoom speed 126 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 408 Index G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 409 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a G 30 1592 en Carl Zeiss Surgical GmbH A Carl Zeiss Meditec Company Fax 49 0 7364 20 48 23 Email surgical meditec zeiss com 73446 Oberkochen Internet www meditec zeiss com Germany Printed in Germany CG ST
207. ng FLOW 800 302 Description of INFRARED 800 304 Description of FLOW 800 310 Preparations for use 322 Connecting an external monitor recommended option 322 INFRARED 800 settings before every surgical procedure 324 Checklist for the IR 800 function test 325 Procedure 326 SETUP phase 326 RECORD phase 328 PLAYBACK phase 330 FLOW 800 processing phase 332 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 292 Normal use Carl Zeiss Surgical GmbH FLOW 800 Pentero C 302583 9250 000 G 30 1592 en FLOW 800 option The FLOW 800 processing mode provides a convenient user interface for the handling and visualization of the fluorescence videodata recorded via the INFRARED 800 fluorescence option Only one INFRARED 800 patient video at a time can be analyzed using FLOW 800 For this purpose images are stored in addition to the video in the relevant patient file The IR 800 fluorescence module has been de signed for excitation in the wavelength range from 700 to 780 nm and for fluorescence visualization in the wavelength range from 820 to 900 nm Note The fluorescence application generates an image signal in the near in frared This image cannot be observed through the surgical microscope but it is recorded using a special camera and visualized on the touch screen and or on an optionally connected monitor The FLOW 800 processing mode can be used to compare and detail in traoper
208. nsity is preconfigured factory settings in such a way that a warning is displayed on the touchscreen and in the data in jection system when the threshold value of 25 is exceeded inform ing the user of possible tissue damage when the light intensity is too high Please note the warning and safety notes in the Light configuration menu page 134 Reduce the exposure time to a minimum These measures should help the surgeon to reduce the risk of phototoxic injury of the patient After every use of the system e Switch off the system at the power switch after every use OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Safety 25 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 26 Safety Safety devices of the suspension system G 30 1592 en Mechanical end stops protect cables and the light guide against bending and stretching Safety switch The brakes will be locked if a spring or cable breaks You can neverthe less finish surgery as you can still move the surgical microscope by ap plying slight force Uninterruptible power supply UPS A UPS is integrated in the system to ensure correct operation in the event of short power failure It powers the safety relevant electronic system data backup and the touchscreen but it does not power the light source and magnetic brakes Messages Line power failure in the event of line
209. ntero C S REF 302583 9250 000 lt Wik Carl Zeiss Surgical GmbH D E lt INFRARED 800 NTSC lt a 302581 9246 000 ed Carl Zeiss Surgical GmbH INFRARED 600 PAL 302581 9245 000 Carl Zeiss Surgical GmbH BLUE 400 302581 9050 000 Carl Zeiss Deckenstativ Pentero C Mat Nr 305961 0000 000 6125 xxxxxx Laserstrahlung nicht in den Strahl blicken Laser Klasse 2 nach EN 60 825 1 2002 Pmax lt 1mW A 635 645nm Radiacion Laser no mirar en el rayo Laser de classe 2 sequm EN 60 825 1 2002 Pmax lt 1mW 1 635 645nm Laser radiation do not stare into beam Class 2 laser product as per EN 60 825 1 2002 Pmax lt 1mW 635 645nm ne pas regarder dans le faisceau Apparail a laser de classe 2 conforme a EN 60 825 1 2002 Pmax lt imW A 635 645nm Qe ayonement Laser Video Standard PAL Video Standard NTSC FABRIQUE EN R F A PAR Carl Zeiss MANUFACTURED IN GERMANY BY Carl Zeiss Carl Zeiss 2 a OPNI Pentero C SIP Service Identification Program P30010017 Mai Kr 302583 9001 000 100 120 230 240 V AC 50 60 Hz mar 900 VA R C 0297 SIP No G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 30 Safety zans G 30 1592
210. nual gain setting slider 3 is disabled Manual you can set the camera gain to a fixed value Use Manual gain setting slider 3 to select this value Factory setting Auto Manual gain setting Slider for manual adjustment of the camera gain See Pos 2 Camera Gain Adjustment range 4 100 Factory setting 20 Note When Auto Camera Gain is deactivated end Auto Gain or select manual setting you can manually adjust the gain value on the touch screen or using the yellow light button on the right handgrip In both cases the Gain button is displayed on the bottom right of the video image for activation of a slider Automatic Fluorescence Detection AFD AFD activated Video recording is started immediately when you have switched to the Record mode prerequisite the Digital Video Re cording option The video signal is constantly analyzed for fluores cence flow If fluorescence detection has been activated the PLAY OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en FLOW 800 option 329 BACK sequence starts after detection of the fluorescence flow The preceding black phase leader see diagram is not displayed during playback of the short and long replays AFD also has an effect on the display of the processing data in the di agram if AFD is active processing occurs without the leader The stored video always includes the black leader irrespective
211. o standard BNC VBS or Y C OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description TT OPMI Pentero C y EMERGENCY MODE li G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 zess 78 Description Connection of navigation systems G 30 1592 en The OPMI Pentero C is fully prepared for the connection of navigation systems The link up using the navigation interface creates a medical system for which the system supplier manufacturer of the navigation system must meet the stipulated requirements approval qualifications etc All accompanying papers required will be supplied by the manufac turer of the navigation system The navigation interface for OPMI Pentero was developed in cooperation with Carl Zeiss in compliance with the requirements of the communication protocol of the OPMI Pentero navigation interface Further information is available from our service department or from au thorized representatives The use of OPMI Pentero C with a connected navigation system requires calibration of the microscope using a technique to be made available by the manufacturer of the connected navigation system This allows the OPMI Pentero combined with the navigation system to be used like an op tical pointer with a variable length corresponds to the working distance The OPMI Pentero C can manage various connected naviga
212. ocal patient data on a CD or DVD e e 10 e Open PAT FILES menu 1 Open LIST tab 2 Activate the required patient in list 3 Open the image folder of the patient 4 Click on the images you want to export and mark them by pressing Mark button 5 Press SAVE button 6 Select CD DVD tab 7 in the SAVE menu Note The display shows the number of images selected for export Check whether a new blank data carrier is contained in the CD DVD drive 8 Export in the DICOM format On Selected images are saved in a DICOM structure on the CD DVD medium Off Image data is saved in the native format TIFF BMP JPG in the predefined patient data structure Save images anonymously Enables anonymous saving of the selected images Qn All image information in the EXIF format without surgeon s and patient s names Off All image information in the EXIF format with surgeon s and patient s names Press COPY 11 to export the images The data export process is indicated by a progress bar In the local image folder exported images are marked by the storage symbol ess G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 201 30 12 04 17 56 User XXXXXXXX Patient Benninger Ralph Benninger Ralph Recorder Capacity Co lt _ 30 12 04 17 56 User XXXXXXXX Patient Benninger Ralph
213. of whether automatic FL detection has been activated or deactivated AFD deactivated The short and long replays are played completely including any existing black phase The Record mode is stopped either by the user by means of the FL button or after the maximum time span of 5 minutes has elapsed After the end of the RECORD phase the system changes to the PLAYBACK phase Note After the RECORD phase press the fluorescence button for at least 3 seconds to end INFRARED 800 PiP visualization of the current OPMI white light video is not possible during the RECORD phase NEXT button If you activate the full screen mode during the RECORD phase by pressing the full screen button NEXT button 1 appears above CLOSE button 2 e Press NEXT button 1 to activate the PLAYBACK phase first short then long replays If the processing mode has been activated the processing data will now be prepared e If you press the NEXT button again you will return to the standard mode Press CLOSE button 2 to return from the full screen mode to the main menu Note A video clip is recorded and saved in the white light mode at the same time as the fluorescence video clip prerequisite the Digital Video Re cording option Videos started with REC START are recorded irrespective of this process If INFRARED 800 is selected for the external monitor this video is briefly interrupted by the displayed replay screens OPMI Pente
214. om a PACS RIS system The abbreviation RIS stands for RadiologyInformation System PACS stands for Picture Archiving and Communication System Note lt s The system is not intended for permanent data archiving You can use CDs DVDs a USB stick an external hard drive or a hospital server DICOM option see page 355 for data backup All users are responsible for archiving their own data Data can be deleted by every subsequent user Q IOS SS CT MRI ee Digital Imaging and Communication in Medicine OPMI Pentero MediLive MindStream Viewing Station G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 358 G 30 1592 en DICOM option Caution It is the user s responsibility to ensure that the system environment is free from viruses The network connector must be adequately contact protected e g made of plastic material The cable and connector of the network connection must at least com ply with Cat 5e EIA TIA 568A 5 i e the more recent Class D values from ISO IEC 11801 2002 or EN 50173 1 2002 Do not use loaded images and videos for diagnostic purposes Always enter the patient ID to ensure that data to be stored in a DI COM archive are not assigned inadvertently to the wrong patient If you change a patient ID imported via DICOM it cannot be guaran teed that the data is assigned to the correct patient when it is stored in the archive S
215. omprises three different phases the preparatory phase SETUP see page 272 the recording phase RECORD see page 274 and the playback phase PLAYBACK see page 276 The configuration menu permits you to adjust each setting parameter of the individual phases which are then saved for the rele vant user 3 Activating the integrated BLUE 400 BL 400 fluorescence module Option see page 343 Note A button either on the handgrip of the surgical microscope or on the foot control unit can be programmed for the fluorescence application This configured fluorescence button can then be used to start one of the two optional fluorescence applications depending on which program IR 800 or BL 400 has been selected You can only use BL 400 or IR 800 alternatively OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 271 Fluorescence Modes 30 12 04 17 56 User Patient XXXXXXX_ Recorder Capacity G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 272 Center button oy G 30 1592 en INFRARED 800 fluorescence module option Note The IR 800 fluorescence application has been optimally configured through the preconfigured factory setting in the IR 800 mode Manual set tings or adjustments are possible but should be checked before applica tion using the fluorescence target The changed settin
216. on enoo J Touensorsen Display for Light Intensity above Threshold Value O O off OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zans Printed on 14 12 2009 158 G 30 1592 en Preparations for use 6 Display for light intensity above threshold value light warning For activating and deactivating the warning display of the data injec tion system DIS in the eyepiece The illumination intensity is preconfigured factory settings in such a way that a warning is displayed on the touchscreen when the threshold value of 25 is exceeded informing the user of possible tissue damage when the light intensity is too high see page 22 The percentage of light intensity is displayed in red typeface on the touch screen The light intensity display in the data injection system flashes approx 5 times when the threshold value has been exceeded The display is automatically deactivated when the intensity level is back below the threshold unless OPMI Data Display has been activated in the Mul tiVision menu On If the light intensity exceeds the light warning threshold the re spective light intensity value is displayed in the DIS for approx 5 sec Off No display in the DIS if the light intensity exceeds the light warning threshold After activation the following warning is displayed once Warning High light intensity may lead to tissue damage Please consider using the lowest possible light intensity
217. on Only connect the monitor to a wall outlet which is provided with a properly connected protective ground conductor Please observe the maximum current consumption of the power outlet socket of OPMI Pentero Only connect medical devices approved by us to this outlet When using other devices make sure that safety is guaran teed regarding admissible ground leakage currents The admissible limit value of the ground leakage current present in the suspension system s power cord is 500 pA in compliance with EN60601 1 IEC 601 1 CSA NRTL certification only allows a maximum ground leakage current of 300 pA 1 Video signal output port BNC VBS for connecting an external monitor Suitable for devices capable of processing VBS signals or if video sig nals have to be transmitted over relatively long distances e g BNC lines already installed on site The two ports are independent of each other and can be used as required 2 Video signal output port for an external monitor Y C for connecting a further external monitor We recommend using devices suitable for Y C signals if possible This standard provides higher video image quality than VBS The two ports are independent of each other and can be used as required Note Tip for IR800 Replay If an external monitor is connected you can switch to the full screen mode on the touchscreen OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 3
218. oom adjusting knob manual zooming 11 Right beamsplitter port for documentation and coobservation devices e g still camera or coobservation tube 12 Adjusting knob for Varioskop manual focusing 13 Adjusting knob for illuminated field diameter zoom illumination Warning Adjust the illuminated field diameter and illumination intensity to the values required for the procedure See page 22 14 Sliding mirror manual setting emergency function The sliding mirror has two positions Pos 1 The light is directed to the tube mount at the back Pos 2 The light is directed to the lateral image exit ports If an external camera is released and the sliding mirror is in Pos 1 the mirror switches to Pos 2 during image capture Note The type of coobservation lateral image exit ports left right or oppo site image exit ports face to face can be configured at the touch screen see page 130 The sliding mirror is electronically positioned accordingly 15 180 tiltable coobservation tube with f 170 mm focal length and 10x eyepieces OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 57 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 58 G 30 1592 en Description 16 Dovetail for connecting a micromanipulator A Zeiss MM6 micromanipulator can be attached to the surgical micro scope via the do
219. op Oo On Focus Start Value 300 mm Focusing Aid Laser Spots Oo On Focus Zoom Link Issue 4 2 Printed on 14 12 2009 109 110 Preparations for use Balancing the system G 30 1592 en Warning 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 instru ments To check correct balancing of the system loosen the brakes while holding the microscope tightly at both handgrips If the system has been correctly balanced the surgical microscope can be moved almost effortlessly Repeat the autobalance procedure if required Autobalance menu The system features automatic balancing The balancing processes can only be triggered by pressing buttons 1 to 3 and ended by pressing button 5 Progress bar 6 keeps the user informed about the activity The access to other system functions is temporarily blocked during the balancing process which takes no longer than 90 seconds Caution Check before balancing that the handgrips and accessories coobserva tion or documentation equipment have bee
220. ope USER menu login Activating IT system rights and data protection Configuration menu CONFIG Operation Checklist Procedure Working with the surgical microscope Comfortable control via the mouth switch pivoting Working with the data injection system Patient Files menu PAT FILES Managing patient data Viewing patient data Viewing patient images OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 71 72 74 78 83 84 84 86 88 90 94 96 98 98 100 102 104 106 110 115 116 120 124 165 166 169 169 170 172 176 176 188 190 Printed on 14 12 2009 G 30 1592 en Editing images Saving Storing patient data on CD DVD Storing patient data on a USB stick What to do in an emergency Manual lamp change if the automatic lamp change fails Failure of the zoom function Failure of the focusing function Failure of the magnetic brakes Touchscreen failure Failure of the line voltage Error messages in the data injection system Failure of all control functions Emergency mode Blocking of individual magnetic brakes Maintenance Service Trouble shooting External automatic circuit breakers Service Contract Option Starting Remote Service Changing the lamp module Recommended cleaning method Sterile drapes Ordering data Spare parts Accessories Disposal Technical data OPMI Pentero 3 CCD PAL video camera mono and stereo version 1
221. or with system cable15m 302581 9730 500 302581 8740 000 302581 8743 000 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Disposal G 30 1592 en Maintenance Service 235 User information on the disposal of electrical and electronic devices This symbol means that the product must not be disposed of as normal domestic waste The correct disposal of electrical or electronic devices helps to protect the environment and to prevent potential hazards to the environment and or human health which may occur as a result of improper handling of the de vices concerned For detailed information on the disposal of the product please contact your local dealer or the device manufacturer or its legal successor Please also note the manufacturer s topical information on the internet In the event of resale of the product or its components the seller is required to inform the buyer that the product must be disposed of in accordance with the applicable national regulations currently in force For end customers in the European Union Please contact your dealer or supplier if you wish to dispose of electrical or electronic devices Information on disposal in countries outside the European Union This symbol is only applicable in the European Union For the disposal of electrical and electronic devices please observe the relevant national legislation and other regulations applicable in your country
222. oscope with its stereoscopic image provides a good overall view of the entire surgical field It can be securely and reliably positioned and allows convenient operation Coobservation and doc umentation equipment can be attached to the surgical microscope The integrated binocular MultiVision system makes the OPMI Pentero the ideal instrument for video image injection The surgeon can perform the entire surgical procedure without taking his eyes from the surgical microscope At the press of a button using the programmed MultiVision button or programmed button of the foot control unit the surgeon can rapidly switch between the microscope image and the endoscope image The microscope image is eclipsed by a mechanical shutter and the video image provided by the endoscope camera appears in both eyepieces A coobserver on the surgical microscope always sees the same image as the surgeon The touchscreen monitor always displays the image currently seen by the surgeon This is either the microscope image recorded by the camera in the surgical microscope or after switchover the image provided by the endoscope camera You can record a video and save it on the hard drive for documenta tion option The optionally integrated video recorder records exactly what the surgeon sees including the chronological sequence of switchover operations Mode display Every time you press the appropriately programmed MultiVision button of the handgri
223. ouse cursor for the functions of a connected navi gation system depending on the system used or for menu control of the displayed touchscreen Note Major system errors are displayed in the microscope s integrated data injection system You can delete these messages by acknowledge ment using the joystick of the right handgrip pushbutton or the touch screen 4 Focus focus rocker switch factory setting for continuous focusing within the working distance of 200 mm to 500 mm The current value is displayed on the screen 5 Zoom zoom rocker switch factory setting for magnification setting The current value is displayed on the screen Note The zoom and focus functions of the two rocker switches 4 and 5 can be interchanged Briefly press button C 11 The display and functions are now interchanged 6 Programmable button D factory setting increase illumination intensity 7 Programmable button E factory setting reduce illumination intensity 12 L R button OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 31 12 04 23 56 Recorder Capacity G 30 1592 en Int E S a R AUDIO VIDEO Preparations for use 107 Permits the left and right handgrips to be configured differently using buttons 8 and 9 Buttons 8 and 9 only become visible after button 12 has been pressed 13 Reset button When you press the reset button the default settings factory s
224. ove the mouth switch from the toothed shaft of the tiltable tube mount delivery status Align mouth switch 3 and push it onto toothed shaft 2 Lock mouth switch 3 in position using locking screw 4 Reinsert locking screw 5 in toothed shaft 2 and lock it Slide retaining ring 6 onto the front flange of the straight tube Make sure that the two recesses 8 and 9 coincide Attach the straight tube with the complete mouth switch to the micro scope body and firmly tighten securing screw 10 Autobalance Fine adjustment for mouth switch see page 112 For operation of the mouth switch see page 170 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 94 Preparations for use Adjusting the position of the handgrips You can adjust the position of the handgrips to meet your specific needs e Open locking lever 1 and adjust the mounting bar or the handgrip only to the position required e 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 e Firmly re tighten locking lever 1 Note Ey The handgrips including the locking levers can be rotated through approx 180 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use
225. p Press button 6 to select the right handgrip Buttons 3 and 4 are only visible if button 6 has been pressed Function selection menu Functions available for programming the buttons Configuring both handgrips identically Reset button When you press the reset button the default settings factory settings see illustration on the right will be restored Programmable buttons A B D E Configuring the handgrip buttons e Press 6 to configure both handgrips For separate programming of the left or right handgrip press 3 or 4 respectively Buttons 3 and 4 are only visible if button 6 has been pressed Press the button A B D E to which you would like to assign a differ ent function Then press the relevant function in selection menu 5 to assign it to the selected button The labeling of the button is changed and indi cates the new function OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 139 FOOT SWITCH 30 12 04 17 56 User Patient i Fi Recorder Capacity Seus o Ext AUDIO VIDEOJ O Fluorescence Light a O Light Intensity C No function Factory settings CONFIG lt RESET G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 140 Zoom Focus Zoom Focus Focus lt Focus Zoom lt p Zoom ess G 30 1592 en Preparations for u
226. p and booting the system or when switching on the illumination make sure that the system is in a position where nei ther the patient nor the user is put at risk by falling items e g parts of the defective lamp OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 101 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 102 Preparations for use OR layout drawings 1 Possible OR layout for cranial procedures with one assistant on the right side 2 Further possibility of OR layout for cranial procedures with one assistant on the right side 3 Possible OR layout for cranial procedures with one assistant on the left side 4 Possible OR layout for face to face procedures spine 5 Surgeon 6 Assistant 7 Anesthetist 8 ORnurse 9 OPMI Pentero 10 Touchscreen of OPMI Pentero C G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 103 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 ZEISS Printed on 14 12 2009 104 Starting the system FF G 30 1592 en Preparations for use Note In general the system is ready for operation after power up A continuous beep indicates a UPS malfunction Contact your Carl Zeiss service partner in this case After power up of the system the user interface is initialized Th
227. p or the programmed button of the foot control unit the current mode is displayed for approx 10 seconds in the form of text information superimposed on the current image Printed on 14 12 2009 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 etss 42 Description When you select an input port without a valid signal a message is dis played in the selected language for approx 10 seconds stating that no valid signal is available at this input port e g NO VALID VIDEO SIGNAL and the shutter is not activated The shutter is only activated when it makes sense e g only when a video signal is available Injecting navigation information in the surgical microscope G 30 1592 en The OPMI Pentero is fully prepared for the connection of navigation sys tems The fully integrated powerful binocular MultiVision system even permits the display of information in color contours text menus in the superimposition mode A connected navigation system can also inject various correlated or non correlated data while the shutter is closed de pending on the connected navigation system When the navigation interface is activated with the On button in the Mul tiVision menu the MultiVision button is automatically programmed for navigation While the navigation interface is active the information of the navigation system is injected in the MultiVision display If you now press the MultiVision button programmed for navigation the shu
228. page 352 Focus the microscope on the fluorescence target supplied and switch to the flu orescence mode The function test is successful if the image on the touch screen corresponds to the enclosed photo Slight deviations in color and brightness are permissible Brightness control 1 Auto The video system tries to maintain the selected brightness at a con stant level by automatic control of the exposure time 2 Shutter The exposure time of the camera can be varied by pressing the appro priate button 4 The camera does not control image brightness The default setting corresponds approx to 1 50 or 1 100 in PAL sys tems and approx 1 60 or 1 120 in NTSC systems Note If fluorescence intensity is low the quality of the display on the monitor can be improved by selecting longer shutter times To obtain optimum illumination in the fluorescence mode set the adjusting knob for the illuminated field diameter on the OPMI roughly to the center position Your system performs this setting automatically or displays a dia log with a setting bar see Checklist Microscope page 353 3 Light intensity initial value Enter the illumination intensity in percent The xenon lamp will light at this brightness level when you switch to the fluorescence mode When you switch back to the white light mode the light intensity pre viously used in this mode will automatically be set again 4 Manual shutter time The exposure time of the
229. patient files View patient files O All data records O Personal data records only O Load archive patient files Enter your password SETTINGS Diopters Diopters Left Eye Right Eye 1 75 1 75 119 Language Selection Surgery Comment OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 120 Preparations for use Activating IT system rights and data protection n G 30 1592 en Caution User password protected access may be implemented to ensure that only authorized users can view patient related data Always activate the user password in order to prevent unauthorized ac cess It is the IT administrator s responsibility to define which rights are as signed to each user IT system rights You can activate the IT system administrator rights under CONFIG SYSTEM INFO INFO Factory setting OFF On activation of the rights for IT system administration an input window is opened where the password for the IT system rights must be entered Activating data protection You can select Activate data protection under CONFIG SYSTEM INFO INFO Yes The system behaves in accordance with the usual data protec tion directives Each user has the system rights assigned by the ad ministrator No The system ignores any data protection measures and allows staightforward operation All patient data can be viewed and used by all users E
230. ph Benninger Ralph 30 12 04 17 56 User XXXXXXXX Patient Benninger Ralph Recorder Capacity 30 12 04 17 56 User XXXXXXXX Patient Benninger Ralph Recorder Capacity Intz EX 9 Export in Archive images DICOM format anonymously Data export iL Files are being transferred CANCEL G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 206 Operation Loading patient data Note When data is imported the system checks whether the medium con tains the PatientInfo_FamilyName_FirstName_DateofBirth xml file for the active patient When the Load tab is activated for data import the last tab selected by the user is always opened On first access the DVD tab is opened and afterwards always the last tab used If the XML file is recognized A check is made whether the patient data record corresponds to the en tries for the patient currently selected If the patient assignment is not cor rect the user is informed that the data does not correspond to the current patient The following dialog box appears Patient data to be imported do not refer to the current patient Do you want the data to be assigned to the current patient Yes No Yes data is imported to the current patient No an additional message appears after the data has been copied The data has been allocated to newly created patient XYZ XYZ gen
231. posed during surgery and can be observed through the microscope without visual obstruction OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 325 Checklist for the IR 800 function test G 30 1592 en Warning The IR 800 fluorescence target and the touchscreen are not sterile Therefore perform the function test before surgery without patient Always check the following points before the use of the integrated fluores cence module without patient e Place the IR 800 fluorescence target on a level surface e Set the focus to 300 mm and the zoom to 3 5x on the handgrip the 3 5x zoom value is only used for the function test Refocus the im age by moving the microscope upwards or downwards after unlocking the brakes e Check the function of the external monitor option e Activate the fluorescence function by pressing the configured button of the handgrip or foot control unit Comparison The function test is successful if the images on the touchscreen and on the external monitor correspond to the supplied test pattern of the fluores cence target Minor differences in brightness and inhomogeneities are permissible Caution Infrared light sources e g navigation systems may cause disturbances during the INFRARED 800 application We recommend the following measures to avoid this effect Perform a function test prior to application in order to check whether any
232. power failure the system is supplied for a short time If power continues to be not available the system is shut down after approx 2 minutes Line power is back the user is informed when line power is back Power OK and all subsystems are re initialized This process may take a few seconds Note In general the system is ready for operation after power up A continuous beep indicates extreme discharging of the USP Also check whether the master switch for electrical power supply located behind the Emergency Mode flap on the wall panel has been switched off If the continuous beep still sounds after five minutes of charging call the service department The system automatically tries to remedy problems in the control soft ware After several unsuccessful attempts the system executes a PC reset to restart the application This restart runs automatically in the back ground and restores the full functionality of the system within approx 2 minutes All major basic functions of the OPMI Pentero C remain fully available to the user during this time operation of focus zoom light brakes motorized XY movement Backup lamp The system features automatic detection of defective lamps A lamp check is performed after power up of the system or when the illumination is switched on If a defective lamp is detected the backup lamp is auto matically swung in In this case a cover on the outside of the housing briefly opens for the lamp ch
233. press the SORT button the sorting criteria Alphabetically or Date of Birth are offered The relevant data is displayed in the next pop up window Press DETAILS button 8 to view the relevant patient data e Transfer patient data set 7 to the patient list by pressing ADD button 9 Acknowledge the message Patient has been included in the local pa tient list by pressing OK e Return to the LIST tab 10 The empty imported patient data set 11 has been added to the list Note lt 9 The imported patient data set 11 does not yet include any images or videos They must be downloaded to this folder from the relevant server via the LOAD function G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 385 ICON gt __ gt 7 Benninger Ralph Patient has been included in the local patient list G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 386 Loading patient data G 30 1592 en DICOM option Warning Do not use imported images and videos for diagnostic purposes Perform diagnosis only at approved diagnostic workstations If possible do not enter patient master data locally in order to avoid con fusion Load the patient ma
234. pressing the button you can insert an ellipse in the image Click in the image at the relevant position and drag the ellipse open until it has the desired shape and size Inserting a rectangle After pressing the button you can insert a rectangle in the image Click in the image at the relevant position and drag the rectangle open until it has the desired shape and size Inserting a free hand line After pressing the button you can insert a free hand line in the image Click in the image at the desired starting point of the free hand line and draw the line to the desired end point Changes in direction and intersec tions are permissible Undo Press this button to delete the last marking you entered Colors Press this button to change the color in which the lines ellipses rectan gles or polygons to be entered should be displayed Trash Press this button to delete all markings entered in the image OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 zess 196 Dy G 30 1592 en Operation Renaming files This function permits you to assign specific names to the images to meet your requirements Adding editing an image comment This function is used to open the Image Information dialog for an image EXIF data which allows you to add comments or edit existing com ments EXIF stands for Exchangeable Image File and describes a manufac turer and system independent sta
235. pse between the end of the SETUP phase and the start of the RECORD phase the above setup proc ess is repeated Note PF e The fluorescent agent approved for the application must not be admin istered to the patient until after the start of the RECORD phase sys tem takes about 3 seconds Note Ey Automatic light field limitation has been activated If the magnification or light intensity is changed in the IR800 mode fluo rescence option the light value may significantly increase above the pre vious level when INFRARED 800 is deactivated Reset the light value to the previous level after deactivating INFRARED 800 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 328 RECORD phase FF A IL gt Fluorescence intensity Leader Time Replay with automatic FL detection AFD G 30 1592 en FLOW 800 option The RECORD phase is activated when the fluorescence button is pressed for the second time Note The light intensity start value on activation of the recording mode is al ways 50 The RECORD phase takes no longer than 5 minutes Then the program changes automatically to the PLAYBACK mode 1 Light intensity The light intensity can be changed during the RECORD mode via the main menu or the buttons of the left handgrip IR Camera Gain Auto the camera gain is automatically adjusted to the current con ditions Ma
236. r diagnostic purposes as the video cam eras and the monitor have not been calibrated The visualized images may therefore include deviations in shape contrast and color The company Carl Zeiss shall not be liable for any defective CD DVD and any resultant loss of images e Ifyou have burnt important images on a CD DVD we recommend you to create a backup of this CD DVD using a PC Caution The company Carl Zeiss accepts no liability for any loss of patient image and video data as well as system or user specific configuration data If re quired arrange for patient image and video data as well as all system settings to be backed up by your IT administrator on a regular basis In the event of repairs by Carl Zeiss service staff the recovery of patient image video and configuration data is no longer possible e Modifications and repairs on these instruments or instruments used with them may only be performed by our service representative or by other authorized persons e The manufacturer will not accept any liability for damage caused by unauthorized persons tampering with the instrument this will also for feit any rights to claim under warranty e Over longer distances e g removal return for repair etc the instru ment may only be transported in the original packaging or in special return packaging Please contact your dealer or the Carl Zeiss service team e Use this instrument only for the applications described OP
237. r the recording phase 1 External monitor Standard output of the white light camera signal on the external monitor 1R800 output of the IR 800 camera signal on the external monitor No text displays or time data are displayed on the external monitor Factory setting IR800 2 IR camera gain Auto the camera gain is automatically adjusted to the current con ditions Manual Gain Setting slider 3 is disabled Manual you can set the camera gain to a fixed value Use Manual Gain Setting slider 3 to select this value Factory setting Auto 3 Manual gain setting Slider for manual adjustment of the camera gain See Pos 2 Camera Gain Adjustment range 1 100 Factory setting 70 E Note When Auto Camera Gain is deactivated end Auto Gain or select manual setting you can manually adjust the gain value on the touch screen or using the yellow light button on the right handgrip 4 DG 4 In both cases Gain button 5 is displayed on the bottom right of the Darker Brighter video image for activation of slider 6 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 gt Fluorescence intensity INFRARED 800 fluorescence module option 275 4 Autom IR detection Qn The video signal is analyzed for fluorescence flow in the RECORD mode If fluorescence flow is detected the black leader is not displayed in the playback mode a
238. ransfer CCD image sen sors Horizontal resolu tion 850 lines Vertical resolution NTSC output 400 lines Signal to noise ratio 63 dB Scan system 525 lines 60 fields second Video output ports Analog VBS 1 0 Vp p 75 Q PAL composite Y C 1 0 Vp p 75 Q luminance 0 286 Vp p 75 Qchroma Progressive Scan resolution 1024 H x 768 V interpolated 60 Hz vertical frequency 0 7 Vp p 75 Q for R G B 4 0 Vp p 75 Q synchronization H and V synchronization Digital DV Firewire IEEE 1394a YUV 4 1 1 DVI For LC monitor 1024 H x 768 V interpolated 60 Hz vertical frequency OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 etss Printed on 14 12 2009 246 Technical data Ambient requirements For operation Temperature 10 C 35 C Relative humidity 30 75 Air pressure 700 hPa 1060 hPa For transportation and Temperature 20 C 60 C storage Relative humidity 10 92 without condensa tion 500 hPa 1060 hPa Air pressure Magnetic resonance For operation in an MR environment OPMI MR Pentero must be positioned in such a way that all system components Suspension system microscope remain outside the 5 gauss line OPMI Pentero must be powered down during MR image capture Only use OPMI Pentero when no MR image capture is in progress Changes to the system Subject to changes in design and scope of delivery as a result of ongo
239. ration of the processing data is indicated in blue typeface FLOW 800 Processing with the progress displayed in percent When the preparation has been completed a pop up message appears Preparation of FLOW 800 processing completed Please press the FL button to display processing results The message Ready for FLOW 800 processing appears in blue typeface in the live image e Press the fluorescence button After the fluorescence button has been pressed the FLOW 800 processing mode is opened with the MAP submenu and the Delay setting Note The following messages appear only if the data is not optimal i e in the event of missing images or operating errors Note Note Recorded FLOW 800 processing data not op Recorded FLOW 800 processing data not optimal i curred di cording timal o Changes in OPMI settings occu uring rex j Please note instructions in user manual gt FLOW 800 MAP Choose between the two views 1 Delay Display as a false color image visualizing the time differences in the fluorescence flow 2 Maximum intensity Display as a gray level image visualizing maximum intensity at each point during the video OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 333 DIAGRAM COMPARE Maximum Intensity C vetay 1000 Al 800 Al 600 Al 400 Al 200 Al OAI Maximum Intensity
240. rd can be edited The program changes automatically to the Active mode Details of the patient data record are displayed and can be edited SORT You can select the sorting and filter criteria for the patient list Press the SORT button to view the details See next page BACK NEXT For browsing in the patient list Active patient 5 ers G 30 1592 en Editing the patient data record The selected patient data record can be edited here Items This button opens the dialog for viewing adding or deleting items to be used as filter criteria in patient searches The items are visualized as text in the button Note If more items have been selected than can be displayed on the button this is indicated to the user by OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 179 DNI items N Pacs N PA IENT DELETE ADD EDIT 30 12 04 17 56 User Patient _ 1 03 08 2003 XXXXXXXX Patient XXXXXXX Patient _ 2 05 09 2003 Recorder Capacity Patient _ 3 21 10 2003 Patient _ 4 03 11 2003 Patient _ 5 12 08 2004 Patient _ 6 03 10 2004 Patient _ 7 03 08 2005 Alphabetically YO NOMEN EDIT PATIENT Patient ID 0 123 456 789 30 12 04 17 56 Family name First name Date of birth 23 11 1900 Male Female Surgery Comment Edit Comment G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 180 Operation
241. re Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 204 Operation Storing patient data on a USB stick Proceed as follows to save local patient data to a USB stick e e Open PAT FILES menu 1 Open LIST tab 2 Activate the required patient in list 3 Open the image folder of the patient 4 Click on the images you want to export and mark them by pressing Mark button 5 Press SAVE button 6 Select USB STICK tab 7 in the SAVE menu Note The display shows the number of images selected for export Check whether a USB stick is inserted in the USB socket on the touch screen Press COPY 9 to export the images The data export process is indicated by a progress bar In the local image folder exported images are marked by the storage symbol 10 Export in the DICOM format On Selected images are archived in a DICOM structure on the USB stick Off Image data is saved in the native format TIFF BMP JPG in the predefined patient data structure 11 Save images anonymously ess G 30 1592 en Enables anonymous saving of the selected images Qn All image information in the EXIF format without surgeon s and patient s names Off All image information in the EXIF format with surgeon s and patient s names OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 205 30 12 04 17 56 XXXXXXXX Patient enninger Ral
242. re is unable to play MPEG2 videos as the MPEG2 decoder is missing One MediLive Video Tools CD is supplied as part of the digital video re cording option The ZEISS cat no of this CD is 308203 8040 000 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 37 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 38 Special properties G 30 1592 en Description The surgical microscope features an integrated beamsplitter system which can be set on the touchscreen page 130 or on the microscope emergency mode page 56 either as a symmetric optical system for face to face use or for lateral coobservation and documentation An autofocus system can be optionally used to focus the microscope on an object within a working distance of 200 to 500 mm The autofocus system focuses on the object at the press of a button on the handgrip or foot control unit in combination with the brake but tons The point of reference is the center of the field of view If the ob ject is in focus the focus is visualized by two laser spots which meet in the optical axis at the center of the field of view The magnification ratio of the zoom system is 1 6 The system provides an image illuminated with optimum brightness maximum image contrast and additionally switchable special illumi nation for lightening up shadows in narrow channels An integrated di aphragm
243. re using the buttons on the handgrip or foot control panel Please note that the use of the spot illumination system increases the intensi ty as the size of the illuminated field decreases Therefore adjust the light intensity after changing the diameter of the illuminated field If the system features Automatic Light Field Limitation this function has been activated at the factory and should not be deactivated In systems without automatic light field limitation the Light Intensity Control function has been activated at the factory and should not be deactivated The magnification level is usually increased during a procedure lead ing to a darker image and thus necessitating an increase in illumina tion intensity If zoom dependent brightness control has been activated it automatically compensates for this loss in image bright ness page 134 Switch off the light when the microscope is not used and make sure that it is not pointed at unprotected bare skin Please note that most burns affected the skin around the incision The most important measures to prevent burns are the reduction of the area illuminated by spot illumination and covering the peripheral area with wet sterile gauze The area of the incision should be constantly irrigated Final remark Carl Zeiss recommends Reduce the illumination of the surgical field to the extent required for the patient s safety and for clear microscopic visualization The illumination inte
244. rect total magnification The total magnification is dis played in the main menu 400 SETUP RECORD PLAYBACK Anto MultiVision FLOW 800 Zoom z om Maximum Maximum AUDIO VIDEO Magnification Focus i 5x 300 mm OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 302 n Activating FLOW 800 Ey Note ess G 30 1592 en FLOW 800 option 4 Maximum focus working distance If the current focus value lies within the limit configured here no mes sage is displayed to the user during the setup phase If the focus value exceeds the set limit the user is prompted in a pop up window to re duce the focus value accordingly see Auto Zoom Off Adjustment range 200 mm 500mm Factory setting 300 mm Caution After setting of the focus ensure that the object is in focus again The autofocus can still be used at this stage IR800 setup Unlock the brakes move the microscope to a suitable distance and activate the autofocus for focusing The pop up window disappears when the autofocus has been acti vated FLOW 800 mode Comfortable handling and visualization of the fluorescence video data recorded with the INFRARED 800 fluorescence option After activa tion of the mode FLOW 800 data is additionally recorded during IR800 video recording If FLOW 800 is deactivated during IR800 re cording FLOW 800 processing of this IR 800 video will not be pos sible
245. reen OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 99 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 100 Preparations for use Positioning the ceiling mount AB G 30 1592 en 1 Standby position After every use bring the system into the standby position and switch it off 2 Working position one possibility Working position e Press the brake release button AB on the handgrip e Keep the brake release button AB pressed and move the ceiling mount into the working position required using handgrips 3 e When you let go of the brake release button AB all magnetic brakes are locked Standby position e Press the brake release button AB on the surgical microscope Move carrier arm 4 into its top position e When you let go of the brake release button AB all magnetic brakes are locked in standby position 1 e Always check the following points before surgery without the pa tient e Before every use switch on the system to make sure that it is ready for operation Note A lamp check is performed after power up of the system or when the illu mination is switched on If a defective lamp is detected the backup lamp is automatically swung in In this case the cover on the outside of the housing briefly opens for the lamp change Warning Therefore when powering u
246. reflections are caused by a source of disturbance and reposition the source of disturbance if necessary If any reflections occur prevent the incidence of light by tilting or cov ering the eyepieces Make sure that no navigation systems are directed at the surgical field during the INFRARED 800 application OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 326 Procedure SETUP phase FF G 30 1592 en FLOW 800 option Warning The touchscreen surface is non sterile The touchscreen must only be operated by non sterile personnel Sterile persons must always use sterile medical applicators to operate the touchscreen Use standard sterile medical applicators for this purpose Operation of the IR procedure using the handgrip buttons The entire INFRARED 800 procedure incl the display of maps in the processing menu can be operated via the handgrip The joystick permits you to toggle between map displays and to trigger the camera if a button has been appropriately configured Detailed analyses diagram comparison however can only be per formed on the touchscreen Information on the current status is provided through a pop up window at the beginning of every new phase a blue text line displayed at the top left of the video window Note You can stop the Infrared 800 application in any phase by pressing the fluorescence button longer than 3 seconds Press t
247. reparations for use 115 Adjusting the surgical microscope 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 may occur o Ametropes who do not know their prescription and perform surgery without wea ring their glasses Emmetropes adjust the diopter scale to 0 diopter D y Eyeglass wearers Adjust both eyepieces on the main microscope to 8 D who perform surgery wearing their Adjust both eyepieces on the assistant s microscope to 8 D if applicable eyeglasses adjust the diopter scale to 0 diopter D y y i i icle Eyepieces with reticle Ametropes Eyepieces without reticle yep with who know their prescription and perform surgery without wearing y y their glasses adjust the diopter sca i nee Remove the binocular tube and the Turn the diopter scale on the eyepiece le to their prescription B eyepieces from the microscope slowly clockwise until the reticle is body and point them at a distant ob imaged sharply ject i e use them like a pair of bi noculars The image of the object is still unsharp Turn the diopter scale of one eye Focus the surgical microscope on the piec
248. ress the loudspeaker button a menu 5 is opened that permits you to adjust the volume and to acti vate or deactivate the sound 2 Volume Use the slider to adjust the playback volume 3 Microphone recording On the MPEG video is recorded with sound Off the MPEG video is recorded without sound 4 Microphone sensitivity Use the slider to adjust the sensitivity of the microphone Note Ey If audio playback and or microphone recording have been deactivated the relevant sliders are disabled G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 155 eroro A oA cono AA Audio Playback Microphone Recording e 30 12 04 17 56 O Off Qor User XXXXXXXX l Patient XXXXXXX Recorder Capacity eer ENS Ee Microphone Volume Sensitivity 51 50 Volume Volume 26 AUDIO VIDEO Mark E Delete G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 156 Preparations for use MULTIVISION Note In the basic setting both joysticks can be used for motorized fine Ey movement in the XY directions If the MultiVision function is active the joystick of the right handgrip is used to control a mouse cursor for the functions of a connected navigation system depending on the system used or for menu control of the dis played touchscreen
249. ring images export To save images to a network or to a CD DVD or USB stick press SAVE button 2 Note Ey Please note that any patient files stored on or loaded from USB or CD DVD will automatically be assigned the current date and the currently selected patient name Selecting images from a thumbnail preview e Press the image required the selected image will be displayed with a blue frame 14 Selecting images for storin To select the image press MARK button 14 The selection symbol is displayed in the image You can undo the selection by pressing the selected image and the Mark button once again The selection symbol disappears 15 Deleting images To delete the image press the Delete button Before the image is deleted a dialog is displayed requesting you to confirm the deletion 16 Browsing Press these buttons for browsing The next or previous image will be px gt displayed These buttons are only active if more than 1 image or more than 4 or 12 thumbnails are available In the full screen view two buttons Back and Next are displayed permitting you to browse through several images G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 193 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 194 Editing images G 30 1592 en Operation If you press the Edit bu
250. rning application and technology use of remote service and remote diagnosis short response times if a service call is required service specialists on customer s site usually within 24 hours repair within 2 working days after error diagnosis maintenance work can be planned due to annual preventive mainte nance of your system update of your software applications Further information is available from our service department or from au thorized representatives Printed on 14 12 2009 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 zans 222 Maintenance Service Starting Remote Service G 30 1592 en To permit Remote Service to be started online the following requirements must be met The OPMI Pentero must be connected to an analog telephone exten sion modem is integrated in OPMI Pentero The OPMI Pentero must be connected to a wall outlet provided with a properly connected protective ground conductor The OPMI Pentero has been switched on and the main menu is dis played You must have a phone link with the Zeiss Service Dept e Press CONFIG button 1 then SYSTEM INFO button 2 to access the overview e Press the Remote Service start button 3 After a certain dial in time of the Zeiss Service Dept a window for access confirmation is displayed e Confirm the start of Remote Service 4 The service client has been activated when Remote Service start button 3 is display
251. ro C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 zess 330 FLOW 800 option PLAYBACK phase The PLAYBACK phase is activated on the third press of the fluorescence button This phase comprises two successive visualization modes 1 Short replay If short replays have been configured a short sequence of the re corded INFRARED 800 video is replayed during the predefined time until you press the FL button or the maximum number of loops has been reached They will be followed by long replays if appropriately configured 2 Long replay Be Photo A lt lt lt 4 gt V Il Stop In the long replay mode the recorded video is replayed several times without limitation of the playback duration The number of re plays can be selected If you press the FL button during the PLAY BACK phase this visualization mode is stopped immediately and the system returns to the white light mode if the processing mode has not been configured If AFD has been activated and fluorescence has been detected the recorded video is played back from the point of FL detection Any black phase is therefore not displayed During the PLAYBACK phase short and long replays you can use the joystick of the right handgrip to control the playback proc ess play stop fast forward fast rewind photo Briefly press Stop lt lt or gt gt Video moves backward or for ward in steps stops when buttons are re leased
252. rol panel is saved in the pa tient directory in a previously defined format Use the CONFIG menu STAND HANDGRIPS or FOOT SWITCH to program a button for this purpose File format You can save your images in three different formats JPG JPEG format TIFF TIFF format BMP Windows bitmap Photo Function You have the choice between an internal camera live capture and an external SLR camera The internal camera is activated on every system start If you use an external camera you must select it using the External button Serial image capture number of images Select here whether you wish to capture single images or serial im ages number of images is displayed next to the Rec display OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 147 File Format Function O Still Video O External 30 12 04 17 56 User Patient XXXXXXX Recorder Capacity z Serial Capture Serial Capture CE AUDIOVIDEO Number of Images Delay Time in Seconds Flash During Capture 1 10 O On Q Storage Mode O Field O Full Frame Live Video PiP Oo O G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 148 G 30 1592 en Preparations for use 4 Serial capture delay time in seconds for serial images only Set the delay time between two images maximum delay time 60 sec onds Start serial image capture by pre
253. rough the eyepieces Press the fluorescence button again to switch back to the white light mode Note To obtain optimum illumination in the fluorescence mode set the ad justing knob for the illuminated field diameter on the OPMI to the cent er position If the software detects that the OPMI supports a motorized illuminated field diaphragm the illuminated field diameter settings are performed automatically and no dialog is displayed If no motorized illuminated field diaphragm is detected the dialog shown on the left is displayed e Change the illuminated field diameter until the red button is located within the blue area The room lighting impairs the visualization of fluorescence both on the monitor and when seen through the eyepieces For surgery using the BLUE 400 option you should therefore make sure that the room is darkened if possible Warning Perform a function test before using this module see page 352 Focus the microscope on the BLUE 400 fluorescence target supplied and switch to the fluorescence mode The function test is successful if the image on the touchscreen corresponds to the enclosed photo Slight deviations in color and brightness are permissible OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 BLUE 400 fluorescence module option 347 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 348 Description G 3
254. s approved by us to this outlet When using other devices make sure that safety is guaran teed regarding admissible ground leakage currents The admissible limit value of the ground leakage current present in the suspension system s power cord is 500 pA in compliance with EN60601 1 IEC 601 1 CSA NRTL certification only allows a maximum ground leakage current of 300 pA 1 Video signal output port BNC VBS for connecting an external monitor Suitable for devices capable of processing VBS signals or if video sig nals have to be transmitted over relatively long distances e g BNC lines already installed on site The two ports are independent of each other and can be used as required 2 Video signal output port for an external monitor Y C for connecting a further external monitor We recommend using devices suitable for Y C signals if possible This standard provides higher video image quality than VBS The two ports are independent of each other and can be used as required Note Tip for IR800 Replay If an external monitor is connected you can switch to the full screen mode on the touchscreen OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 281 Pos Display IR 800 mode White light mode Recording mode Playback mode 3 Touchscreen Live image of Replays White light image IR 800 camera IR 800 image with text display 4 OR monitor on Depen
255. s not contain any im ages for the patient concerned To load images from the network from a CD DVD or from a USB stick to the current patient directory press LOAD button 7 Image preview Single image 3 in a large window Preview with 4 thumbnails 4 Preview with 12 thumbnails 5 Fullscreen image 9 on the touchscreen lt a Note Use the browse function Back and Next 11 if more than 1 im age or more than 4 or 12 thumbnails are available In the full screen view two buttons Back and Next are dis played permitting you to browse through several images Press Close to return to the main menu Index 6 Select index view 6 if you wish to see an overview of the images you have selected in a thumbnail display using the Mark button 8 Editing images 10 You can edit recorded images if necessary e g by adding text and markings e Select the image to be edited and press EDIT button 10 Details of this function are described on the next pages G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 191 00000000 Mark Q Dete o gt i G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 192 Operation 12 Loading images import To load images from the network from a CD DVD or a USB stick press LOAD button 1 13 Sto
256. se FOOT SWITCH Depending on the type of foot control unit used select for configuration rocker switch menu 1 control panel menu 2 or footswitch menu 3 Joystick The joystick on the foot control panel permits motorized fine move ment of the microscope in the XY directions It can also be used to control a mouse cursor menu control in data injection or the functions of a connected navigation system Focus rocker switch The function of the rocker switch is defined but it can be reconfigured by the user Zoom rocker switch The function of the rocker switch is defined but it can be reconfigured by the user Note The zoom and focus functions of the two rocker switches can be inter changed Briefly press button E the displays and functions are inter changed Function selection menu Reset button When you press the reset button the default settings factory settings will be restored Programmable buttons A B C D Configuring the foot rocker switch control panel or footswitch To configure the foot control unit used select 1 2 or 3 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 7 to assign it to the selected button The labeling of the button is changed and indi cates the new function Note The foot rocker switch and footswitch can only be assigned one func tion at a time from selection
257. se 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 369 Network connection test results Connection test SUCCESSFUL 30 12 04 17 56 tested IP address 10 13 66 85 User XXXXXXXX_ Patient XXXXXXX Recorder Capacity Network connection test results Connection test SUCCESSFUL tested IP address 10 13 66 85 30 12 04 17 56 User XXXXXXXX Patient XXXXXXX Recorder Capacity 25 04 2006_07 49 25 0531 Current NetworkSettings of this machine 25 04 2006_07 49 25 0531 Network Card Description Intel PRO 1000 CT 25 04 2006_07 49 25 0531 IPAddress 10 13 66 85 25 04 2006_07 49 25 0531 SubnetMask 255 255 248 0 25 04 2006_07 49 25 0531 Gateway 10 13 71 254 25 04 2006_07 49 25 0531 Dynamic 1 Static 0 1 25 04 2006_07 49 25 0531 ComputerNames of this machine Output on USB G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 370 DICOM option Configuring the DICOM connection The following information is made available by the IT administrator AEtitle Port number Name of institute Adding editing and deleting a DICOM server ADD A new DICOM server connection is configured The program changes au tomatically to the entry mode The control elements for the entry of attribute values are displayed on two pages You can navigate between the two pages using the NEXT and BACK buttons BACK is active when the
258. setting On EFT Note The stored video always contains the complete data record including the black leader irrespective of whether automatic FL detection has been activated or deactivated 100 lt __ orm SETUP RECORD PLAYBACK External Autom IR Monitor IR Camera Gain Detection O Standard 30 12 04 17 56 XXXXXXXX O IR800 Patient XXXXXXX Manual AUDIO VIDEO Gain Setting 70 5 ATTA G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ses 306 G 30 1592 en FLOW 800 option INFRARED 800 Playback menu The Playback menu is used to configure video playback 1 External monitor Standard The white light camera signal is output on the external monitor during the PLAYBACK mode instead of the white light vid eo recorded synchronously with the INFRARED 800 video IR 800 The INFRARED 800 video is output on the external moni tor during the PLAYBACK mode Factory setting IR 800 MultiVision On The content of the touchscreen monitor is also displayed in the data injection system during the PLAYBACK mode Please switch to the full screen mode for better visualization Off No display in the data injection system Factory setting Off PiP in Replay playback mode only On When PiP Picture in Picture has been activated the simulta neously recorded white light video is displayed in a small win
259. ssing the Photo button in the menu on the touchscreen The program identifies the serial capture function if the number of images in 4 is higher than 1 After the start the number of serial images appears at the bottom left of the touchscreen and is incremented When you press the Photo button again serial image capture is stopped However you can create single photos at any time by pressing the ap propriate handgrip button configuration Photo see page 138 Live Video PiP You can use a picture in picture display for single images While the freeze image is displayed the live image continues to be visible in the upper right corner of the display If you save the single image the dis play returns to the live image mode The saved image is displayed for approx two seconds in the upper right corner The live image is not visible in the saved image 6 Storage mode Field In this mode only one field of the video signal is saved The sec ond field is computed by doubling the lines thus replacing the missing field This mode provides maximum resolution for moving objects as it compensates for the blur caused by movement Full frame This mode saves both fields of the video signal It provides maxi mum resolution for unmoving objects 7 Flash during capture On pulsed mode of the light source flash function factory setting Off illumination intensity of the light source remains as set OPMI Pentero
260. ster data from a PACS RIS system Select patient e Open the PAT DATA menu Open the LIST tab 1 Select the patient folder 2 to which the patient data is to be copied Click on the patient folder 2 and check in display 3 whether the pa tient has really been activated Press LOAD button 4 OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 387 30 12 04 17 56 User Patient Date of birth a7 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ee 388 DICOM option Selecting the data source server e Open the server selection window 2 by pressing button 1 e Select the relevant server from the server selection window e Activate the selected server by pressing button 3 Note Ey If connection to the selected server is not possible check the network connection and the DICOM configuration G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 389 favo fose PACS server Mwl Active patient Benninger Ralph 21 10 2003 Date of Birth 11 11 1911 Modality GM Instance UID l Date This process may a take some time Time Study UD Listener functions PACS server RIS G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 m 390 FF G 30 159
261. t the settings for the following func tions in the Light menu Light on off 2 Speed Setting the speed of the change in intensity Light intensity control or Automatic light field limitation Note The software automatically recognizes which of these functions is in stalled in your system The display above field 3 changes according ly Light intensity control is dependent on the zoom setting and the position of the illuminated field diaphragm When this function is active the illumination is auto matically adjusted in such a way that the user is provided with a sub jectively constant brightness level in the eyepiece regardless of the zoom factor and light intensity The on or off mode of light intensity control is stored in the respective user profile Automatic light field limitation The size of the illuminated field is automatically adapted to the field of view illuminated field field of view This means less exposure of tissue and reduced reflections by too much light in areas outside the field of view thus providing additional protection against potential tissue damage Automatic light field limitation activated Note High light intensity may also lead to tissue damage outside 1 the field of view Do you really want to deactivate automatic adjustment of the light intensity to the magnification level OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparat
262. ta neously recorded white light video is displayed in a small window at the top right of the touchscreen Off No PiP display Factory setting On Note Ey A video clip is recorded and saved in the white light mode at the same time as the fluorescence video clip Videos started with REC START are recorded irrespective of this process If IR 800 is selected for the external monitor 1 this video is briefly interrupted by the displayed replay screens Digital video recording option is required G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 277 lt om a SETUP RECORD External PiP during Monitor MultiVision Playback 30 12 04 17 56 Oo User XXXXXXXX lt smao Patient Recorder Capacity AUDIO VIDEO Short Replay Number of Long Duration Replays 5s 4x G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 278 INFRARED 800 fluorescence module option 4 Short replay Qn Only the initial phase of the recorded IR 800 video is displayed at the beginning of the PLAYBACK mode You can adjust the length of the sequence using the Short Replay Duration slider The replays can only be stopped by pressing the FL button They will be stopped automatically after 25 replays If fluorescence detection has been activated the video starts after detec
263. tegrated INFRARED 800 fluorescence module PAL Integrated INFRARED 800 fluorescence module NTSC including IR 800 fluorescence target 30258 1 9245 000 30258 1 9246 000 30258 1 9247 000 Option integrated fluorescence module Integrated FLOW 800 fluorescence processing module for OPMI Pentero C 302583 9250 000 Option integrated fluorescence module Integrated BLUE 400 fluorescence module including BLUE 400 fluorescence target 30258 1 9050 000 30258 1 9052 000 Option stereo video MediLive PAL stereo camera version 1 MediLive NTSC stereo camera version 1 MediLive PAL stereo camera version 2 MediLive NTSC stereo camera version 2 OPMI Pentero C Software Release 2 20 2 21 30258 1 9713 000 30258 1 9753 000 30258 1 9716 000 30258 1 9756 000 Issue 4 2 etss Printed on 14 12 2009 230 Maintenance Service Option DICOM network DICOM network interface for data communication with a hospital network 302581 9270 000 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Maintenance Service 231 Spare parts Description Cat no New Superlux 330 lamp module 000000 1277 220 Superlux 330 exchange lamp module 000000 1294 658 Accessories Please observe the following Only operate the instrument with the accessories included in the delivery package If you want to use other accessories make sure that Carl Zeiss or the manufac
264. ternal monitor IR800 output of the INFRARED 800 camera signal on the external monitor No text displays or time data are displayed on the external monitor Factory setting IR800 2 IR camera gain Auto the camera gain is automatically adjusted to the current con ditions Manual gain setting slider 3 is disabled Manual you can set the camera gain to a fixed value Use Manual gain setting slider 3 to select this value Factory setting Auto 3 Manual gain setting Slider for manual adjustment of the camera gain See Pos 2 Camera gain Adjustment range 4 100 Factory setting 20 Note When Auto Camera Gain is deactivated end Auto Gain or select manual setting you can manually adjust the gain value on the touch screen or using the yellow light button on the right handgrip In both cases Gain button 5 is displayed on the bottom right of the video image for activation of slider 6 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 FLOW 800 option 305 4 Autom IR detection Automatic fluorescence detection AFD see page 328 2 A On The video signal is analyzed for fluorescence flows in the g RECORD mode 8 If fluorescence flow is detected the black leader is not displayed 5 in the playback mode a ime 7 Off no automatic FL detection the complete recorded video is played in the playback mode a a Factory
265. the network user receives a new public IP address every time he logs onto the network Static IP address Assignment of a fixed IP address fixed IP addresses are addresses constantly assigned to a system Caution Names and addresses must not be assigned several times They must occur only once in the network host to host connection Activating a dynamic IP address 3 Host The host name is made available by the IT administrator On pressing the button the keyboard dialog opens and enables you to enter the host name Only alphanumeric characters are permitted Factory setting Note It may take some time until a connection is found Domain The domain name specifies an authorization area describing the are as with which network communication is possible It cannot be changed by the user FQN Full Qualified Name This is the device address assigned by the DHCP server It cannot be changed by the user OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 DICOM option 363 static IP address dynamic IP address DHCP 30 12 04 17 56 IP address AUDIO VIDEO Subnet mask Gateway Host XXXXXXXXXXX Domain FQN Connection test Test connection with G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 364 G 30 1592 en DICOM option Activating a static IP address The followin
266. the system or when switching on the illumination make sure that the system is in a position where nei ther the patient nor the user is put at risk by falling items e g parts of the defective lamp The system must not be used for ophthalmic procedures Note Ey The system is not intended for permanent data archiving You can use CDs DVDs a USB stick or an external hard drive for data backup All users are responsible for archiving their own data If sufficient storage space is no longer available the system informs you that files no longer required should be archived or deleted Data can be deleted by every subsequent user Note lt s Please also take note of the latest Release Notes about the installed software version These are part of the delivery package when the system is supplied After a software update you will always receive the latest version OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 36 G 30 1592 en Description Note on MediLive Video Tools The MediLive Video Tools software provides improved compatibility be tween your PC Windows or MacOS and the video DVDs created with OPMI Pentero Please install MediLive Video Tools on your PC if you notice the following problems The computer cannot read the DVD content or the DVD is not identi fied because the UDF 2 0 disk format is not recognized The video player or Office softwa
267. tion DICOM option G 30 1592 en DICOM Intended use Conformance Statement Configuring the network connection Further information on the Ethernet connection Connection test Configuring the DICOM connection Adding editing and deleting a DICOM server Configuring the DICOM function Defining the maximum video export size to network servers Error messages during system configuration Importing patient data sets from RIS systems Importing patient data sets from PACS system Loading patient data Exporting DICOM data to a PACS OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 355 356 356 356 360 366 368 370 370 372 376 380 382 384 386 394 356 DICOM Intended use DICOM option DICOM is the abbreviation for Digital Imaging and Communications in Medicine a recommended standard for the exchange of images and videos in medicine In addition to image and video data the DICOM data set also contains meta information such as patient name recording date and system parameters In Conformance Statements manufacturers and implementers describe which DICOM functions are supported by their systems permitting users familiar with DICOM to determine whether the required functions can be implemented with the systems to be purchased Conformance Statement n L G 30 1592 en Caution DICOM stipulates that a Conformance Statement must be created for each device or
268. tion 640 H x 480 V 0 7 Vp p 75 Q for R G B 4 0 Vp p 75 Q synchronization H and V synchronization DV Firewire IEEE 1394a unlocked audio compressed digital video signal OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 etss Printed on 14 12 2009 244 Technical data 3 CCD PAL video camera mono and stereo version 2 Video Standard PAL Image sensor Three 1 2 in interline transfer CCD image sen sors Horizontal tion resolu 850 lines Vertical resolution PAL output 440 lines Signal to noise ratio 63 dB Scan system 625 lines 50 fields second Video output ports Analog zans G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 VBS 1 0 Vp p 75 Q PAL composite Y C 1 0 Vp p 75 Q luminance 0 3 Vp p 75 Q chroma RGB 0 7 Vp p 75 W for R G B 0 3 Vp p 75 Q synchronization synchronization for green and composite Progressive Scan resolution 1024 H x 768 V interpolated 60 Hz vertical frequency 0 7 Vp p 75 Q for R G B 4 0 Vp p 75 Q synchronization H and V synchronization Digital DV Firewire IEEE 1394a compressed digital video signal YUV 4 2 0 DVI For LC monitor 1024 H x 768 V interpolated 60 Hz vertical frequency Issue 4 2 Printed on 14 12 2009 Technical data 245 3 CCD NTSC video camera mono and stereo Version 2 Video Standard NTSC G 30 1592 en Image sensor Three 1 2 in interline t
269. tion of the fluorescence flow The preceding black leader will not be displayed Off No replay function available The Short Replay Duration slid er is disabled Factory setting On 5 Short replay duration This slider permits you to select the length of the video clip to be played when Short Replay has been activated 6 Long replay Qn The complete recorded fluorescence video is played repeat edly You can select the number of playbacks using the Number of Long Replays slider If fluorescence detection has been activated the video sequence starts after detection of the fluorescence flow The preceding black leader will not be displayed Off No long replay function available The Number of Replays slider is disabled Factory setting On 7 Number of replays After the end of recording the complete recorded fluorescence video clip can be automatically replayed up to 10 times as an endless loop The process can be stopped any time by pressing the fluorescence button on the handgrip or foot control unit Adjustment range 1 10 Factory setting 5 During the PLAYBACK phase short and long replays you can use the joystick of the right handgrip to control the playback process play stop fast forward fast rewind photo G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 279
270. tion sys tems and the associated data injection parameters For safety reasons the OPMI Pentero navigation interface is not ena bled unless a connected system authenticates itself Before every surgery using a connected and authenticated navigation system the function and accuracy of this navigation system must be verified including visualization in the data injection mode e g focus ing on a measuring point or comparison of the focus with the instru ment to be navigated Please also observe the information contained in the respective user s manual for the navigation system used Caution For safety and accuracy reasons the integrated rotatable tube dovetail mounts must not be used for the operation of OPMI Pentero with a con nected navigation system They must be carefully locked in the central po sition tighten the knurled screw to prevent rotation e Please follow the instructions given in the user manual for the con nected navigation system regarding the configuration of the surgical microscope for use as a navigation tool This manual is provided by the manufacturer of the navigation system OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 79 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 a 80 G 30 1592 en Description Navigation interfaces 1 Joystick The joystick button on the right handgrip can be used
271. tter is closed and only the injected navigation image is displayed A further press of the button opens the shutter again Note Even with a connected navigation system and the activated navigation interface the Multivision button can be programmed with a different function available off endo touchscreen For operation with a connected navigation system please observe the user manual of the navigation system concerned Only possible if a navigation system has been connected OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 43 Overall system configuration G 30 1592 en The overall system comprises a carrier system and a microscope system The basic configuration can be upgraded by various options to meet the customer s specific requirements All options available must be ordered separately OPMI Pentero C basic system with ceiling mount comprising OPMI Pentero with integrated binocular data injection system and in tegrated 3CCD MediLive video camera ceiling mount with adjustable touchscreen integrated xenon illumination system with 2x 300W lamps autobalance and aut odrape systems 180 tiltable binocular tube with 10x push in widefield eyepieces spi nal adapter for symmetric face to face configuration dust cover 2 video connecting cables CD RW and USB media for data archiving wall mounted control panel for powering the complet
272. tton under the menu item Images the editor for editing images is opened e Proceed as follows to enter markings in the image When using a touchscreen put your finger in the relevant position on the screen and move your finger to a new position while keep ing it on the screen When using the touchpad or a mouse set the cursor to the rele vant position in the image hold down the left mouse button or the touchpad button while moving the cursor to the new position For the description of the individual functions no distinction between these two methods is made in this user manual The procedure is gener ally referred to as clicking in the image You can enter as many markings in the image as required The following functions are available for this purpose ia OJJ wte HS o o a el i i Je OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 G 30 1592 en 3 w W W wb 2 5 Operation 195 Inserting a line After pressing the button you can insert a line in the image Click in the image at the desired starting point of the line and draw the line to the de sired end point Inserting a text field After pressing the button you can insert a text field in the image First enter your text via the virtual keypad then click in the image at the position where the text field is to be inserted Inserting an ellipse After
273. turer of the accessories has proved and confirmed that these accessories meet the respective technical safety standards and can be used without risk G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 232 Maintenance Service Accessories Weight Description Cat No Weight Stereo coobservation module 000000 1063 869 1 0 kg 180 tiltable tube 303791 0000 000 1 1 kg Widefield optics with rotatable dovetail spinal adapter 302581 9200 000 0 52 kg Camera adapter f 340 mm T2 000000 1022 973 0 42 kg Canon D10 digital camera 000000 1229 877 0 92 kg MM6 CO micromanipulator 306953 0000 000 1 14 kg Mouth switch for 180 tiltable tube 000000 1177 805 0 47 kg Mouth switch holder for straight tube 000000 1116 378 0 4 kg 10x 18B eyepieces 2 units 305542 0000 000 0 26 kg 12 5x 21B eyepieces 2 units 305543 9901 000 0 26 kg TRIO 620 adapter 302581 9210 1 0 kg Foot control panel 2 with 14 functions water proof with 6 m cable longitudinal configuration of focus and zoom 304979 9050 000 Foot control panel 2 with 14 functions water proof with 6 m cable transverse configuration of focus and zoom 304979 9055 000 USB memory stick 256 MB 000000 0458 366 External USB hard disk drive 000000 0486 937 Cable for RGB video monitor D Sub 15 pin HD 000000 0458 903 Cable for RGB PC monitor 5x BNC connector
274. tware Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 374 G 30 1592 en DICOM option When you press the NEXT button the second page appears where you can enter the following settings 1 Storage commitment If the Storage commitment function is active successful saving of patient data is confirmed by the PACS system Possible settings On Off factory setting Off Study Instance UID from WL Work List Numeric work list from the RIS system to be copied or not Possible settings On Off factory setting Off Storage provider The list of possible DICOM servers displayed for LOAD and SAVE will only include the servers for which Storage provider ON was select ed Possible settings On Off factory setting On Default import preview A preview thumbnail will always be displayed if the selected file is an image No preview will be displayed if the selected file is a video Possible settings On Off factory setting On If the SOPClassID SOP Service Objekt Pair is unknown a preview will only be displayed if the new selection box Default import preview ON OFF on the second page of the DICOM node settings has been set to ON This may take very long as the display of the preview re quires loading of the complete file The default setting of the new pa rameter is ON otherwise it would be likely that previous users no longer receive a preview display Press the SAVE button to enter the settings m
275. ty GM Instance UID 109 08 1996 58 09 1996 Date 10 51 43 y Time 735 Study UD 5 i 08 09 1996 08 09 1996 08 09 1996 i SELECT ALL IMPORT a i Study Information Active patient Benninger Ralph 21 10 2003 Date of birth 414 14 1911 08 09 1996 Modality GM Instance UID 109 08 1996 Date 10 51 43 08 09 1996 Doe a 08 09 1996 SUURE Images Study Information 08 09 1996 1 21 10 2003 08 09 1996 DATA export 08 09 1996 Files are being transferred i This process may take a few minutes 08 09 1996 l 08 09 1996 08 09 1996 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 394 DICOM option Exporting DICOM data to a PACS Proceed as follows to copy local patient data to a PACS server e e Open PAT FILES menu 1 Open LIST tab 2 Activate the required patient in list 3 Open the image folder of the patient 4 Click on the images or videos you want to export and mark them by pressing Mark button 5 Press SAVE button 6 Select the DICOM tab 7 in the SAVE menu Note The display shows the number of images selected for export Select the DICOM server 8 to which you want to export the data Press COPY 9 to export the files The data export process is indicated by a progress bar In the local image folder exported images and videos are marked by the storage symbol
276. u that files no longer required should be archived or deleted Data can be deleted by every subsequent user Backing up patient data on CD DVD All data available in the system can be archived on CD DVD The data is filed in a UDF format Version 2 in the same structure as used in the system Despite careful selection of the multiformat burner reliable writing to and reading from all commercial media cannot be guaranteed Note For data recording and archiving please use only new high grade undamaged and practice proven media without scratches Although the system features an integrated multiformat burner we recommend the use of DVD R or DVD R media faster loading and finalization cycles and better playback compatibility of the burnt me dia compared with DVD RW media Double layer DVDs are cur rently not yet supported The use of commercial 16x DVD R blanks may lead to problems The integrated burner with the existing firmware status has only been specified for 8x blanks and is therefore unable to write to all types of 16x DVD R disks This is indicated by a write error message at the be ginning of video recording or by a transmission error message at the beginning of data export Therefore use only the ZEISS 16x DVD R disks available under cat no 308203 8080 000 The use of CD RW media is not recommended We recommend using a new medium for every procedure as the mul tiple use of a medium to
277. ule If you continue using the lamp module despite this warning lamp failure during operation or in very rare cases even the explosion of the lamp cannot be ruled out Lamp 2 in use If the service life of the main lamp has expired and the backup lamp has been activated this is indicated by YES Note In this case you should replace the used lamp by a new lamp as soon as possible OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 135 a a Loh tensity Control Brightness Light Speed Automatic Light Field Limitation Or O 30 12 04 17 56 f O off O Threshold Value Intensity Remaining Light Warning Start Value lamp lifetime 25 24 200h Lamp 2 in use i Yes Lamp Module Open el Change G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 136 Preparations for use 8 Open Close button When you press the Open button the cover of the illumination system is opened automatically The text on the button changes to Close You can now change the lamp module manually see page 224 When you press the Close button the cover of the illumination system is closed automatically The text on the button changes to Open 9 Change button When you press the Change button the illumination system changes the lamp automatically Note Ey No illumination is available during the lamp change T
278. unction test is successful if the images on the touchscreen and on the external monitor correspond to the supplied test pattern of the fluores cence target Minor differences in brightness and inhomogeneities are permissible Note Infrared light sources may lead to disturbances in the eyepiece and as a result in the screen display during INFRARED 800 application This also includes navigation systems We recommend the following measures to avoid this effect Perform a function test prior to application in order to check whether any reflections are caused by a source of disturbance and reposition the source of disturbance if necessary If any reflections occur prevent the incidence of light by tilting or cov ering the eyepieces OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 284 INFRARED 800 fluorescence module option Procedure SETUP phase Note FF You can stop the Infrared 800 application in any phase by pressing the fluorescence button for 2 seconds Press the fluorescence button to start the SETUP phase and set up your system to provide optimum quality of the video image A pop up message Start IR 800 SETUP appears for approx 3s to in dicate that setup has been started e 1 FF G 30 1592 en The following settings are checked Focusing The system checks whether the focus is outside a preconfigured tol erance range If this is the case you ar
279. uorescence module option Zoom setting too high recommended zoom setting factor equal to smaller than 5 0x Selected illuminated field diameter too large Optimum illumination in the fluorescence mode is achieved if the illu minated field diameter on the OPMI is set to the middle position and the wide OPMI diaphragm is selected i e a small depth of field is set Both adjustments are made automatically when the IR 800 mode is started Note Infrared light sources may lead to disturbances in the eyepiece and as a result in the screen display during INFRARED 800 application This also includes navigation systems We recommend the following measures to avoid this effect Perform a function test prior to application in order to check whether any reflections are caused by a source of disturbance and reposition the source of disturbance if necessary If any reflections occur prevent the incidence of light by tilting or cov ering the eyepieces OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 INFRARED 800 fluorescence module option 269 G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 270 Description G 30 1592 en INFRARED 800 fluorescence module option FLUORESCENCE 1 Deactivating fluorescence applications 2 Activating the integrated INFRARED 800 IR 800 fluorescence module The IR 800 fluorescence application c
280. uring recording Please note instructions in user manual G 30 1592 en Starting the FLOW 800 processing mode Caution To obtain optimum FLOW 800 data avoid changing the following param eters during data recording Zoom factor Working distance focus Light intensity Position of the OPMI stand i e unlocking of brakes or joystick controlled movement Position of the light field aperture The following influences are corrected automatically Camera gain adjustment via AGC or manually Slight wobbling of the microscope e g during operation of the handgrip buttons In the INFRARED 800 Setup menu The INFRARED 800 Setup menu includes the FLOW 800 processing mode which permits activation and deactivation of FLOW 800 processing This requires a specific license If this license is not available FLOW 800 is disabled The FLOW 800 processing phase can be started at the end of the Re play phase by pressing the fluorescence button if the FLOW 800 pro cessing mode has been activated in the INFRARED 800 SETUP menu In the Patient File menu You can also activate FLOW 800 processing from the Patient File menu for previously recorded IR800 data provided that this data is processable i e that it is marked with A In the VIDEO CLIPS tab select a video from the list of all videos of a patient The thumbnail of the video must be marked with A recorded with analysis data on the bottom right The FLOW
281. utomatic lamp change you have to perform the lamp change manually e Use a stepladder or similar device to reach the illumination system If the device is higher than 1 m make sure to take appropriate fall pro tection measures Warning Before opening the outer cover of the lamp housing make sure that the ceiling mount is moved to a position where neither the patient nor the user is put at risk by falling items e g parts of the defective lamp Open the outer cover using the grip Case A Inner flap 4 is open e Slightly lift flap 4 and unlock lever 2 by disengaging it in an upward direction Perform the lamp change push slider 5 outward and pull out lamp change lever 1 as far as it will go without using too much force If you do not properly pull the lever the lamp is not changed Pull once again to make the lamp engage or remove lamp module 3 to install a new lamp To close flap 4 push slider 5 outward again and closed flap 4 completely If the lamp does not light perform the lamp change once again OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Operation 211 B Case B Case C Inner flap 4 is closed B or partly open C e Push lever 2 upward and unlock it e Open flap 4 Pull out lamp change lever 1 as far as it will go without using too much force If you do not properly pull the lever the lamp is not changed
282. veryone working with the system can create new users Factory setting No Note This entry can only be changed with IT system administrator rights OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Preparations for use 121 LEIS EPSON 4 TIME NZ Next Operating Hours Service Interval 41th 589 h Activate data protection IT system rights XXXXXXX O Yes Recorder Capacity Int Ext O No Backup the system b data Remote Service Delete patient files Password Entry Please enter the IT administrator password XXXXX XXXXX XXXXX MOIDWWOWWWIWIWIDOIE CEA ECA EA EN EA EA A E ES Ea a E CIAA ENEA EN KA EA EA CA CI EA ED EA Ea R ER JTOB 5 IDEOREC OICE CTRL DICTATION ELEPHONE N G 30 1592 en OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 mm 122 Preparations for use Editing adding deleting a USER The user LIST menu permits you to perform the following actions Note Ey The user profile includes a comment box where you can enter surgeon details EDIT User 1 The EDIT menu displays the user profile of the current user When you press one of the buttons an input window is opened e Confirm your entries with OK ADD User 2 The ADD menu permits you to enter a new user Note PF If the user already exists the messag
283. vetail mount on the bottom of the microscope to permit the use of a laser Micromanipulators from other manufacturers can be connected but not electronically controlled Note For the OPMI Pentero only CZ MM6 micromanipulators carrying the label Adjusted for OPMI Neuro may be used Adjusting the surgical microscope and laser micromanipulator to the same focal plane The OPMI Pentero is equipped with a motorized Varioskop zoom system which is operated via the focus rocker switches of the handgrips Pos 4 5 see page 66 or the focus buttons on the foot control panel Pos 5 6 see page 140 The Varioskop is used for the motorized setting of the working distance coarse focus and the motorized adjustment of image definition fine focus The focus rocker switches allow you to continuously adjust the working distance between 200 mm and 500 mm Set the working distance coarse focus to the focus value of the laser micromanipulator The central user interface touchscreen always displays the focus value currently set e Use the previously described recommended procedure to check that the focal planes coincide e If necessary correct the focus by appropriate minor adjustment fine focus The Focus Stop function Pos 2 page 124 permits you to deactivate the electrical drive of the focusing system The focus rocker switches are dis abled This prevents the focal plane setting from being inadvertently changed by motorized
284. witches allow you to continuously adjust the working distance between 200 mm and 500 mm e Set the working distance coarse focus to the focus value of the laser micromanipulator The central user interface touchscreen always displays the focus value currently set e Use the previously described recommended procedure to check that the focal planes coincide e If necessary correct the focus by appropriate minor adjustment fine focus The Focus Stop function Pos 2 page 124 permits you to deactivate the electrical drive of the focusing system The focus rocker switches are dis abled This prevents the focal plane setting from being inadvertently changed by motorized movement If Focus Stop has been activated no autofocus setting is performed when the brakes are operated even if the autofocus has been switched on OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 Description 41 Injecting video images in the surgical microscope G 30 1592 en The system described here is also suitable for surgical procedures in which an endoscope and a surgical microscope are used simultaneously Endoscopy supported microsurgery is a frequently used surgery method permitting minimally invasive procedures in neurosurgery Neuroendoscopy uses special endoscopes and high resolution video cameras to gain visual access to the skull brain or spine Looking around the corner is also possible The surgical micr
285. y Safety devices of the suspension system Warning labels and notes Description OPMI Pentero C Intended use Special properties Surgical microscope and laser micromanipulator Injecting video images in the surgical microscope Injecting navigation information in the surgical microscope Overall system configuration Configuration options Central user interface touchscreen Main menu Controls and connections Binocular tubes and eyepieces Handgrips Superlux 330 illumination system Operating principle of the additional illumination OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 10 12 15 16 17 22 26 28 33 34 34 38 40 41 42 43 46 48 52 54 62 66 68 70 G 30 1592 en Autofocus focusing aid Drape vacuum system Wall mounted control panel Connection of navigation systems Preparations for use Assembling the system Configurations Mounting the tube and the eyepieces Attaching documentation coobservation equipment Mounting the mouth switch option Adjusting the position of the handgrips Attaching sterile drapes Positioning the touchscreen Swiveling the touchscreen over the carrier arm Positioning the ceiling mount OR layout drawings Starting the system Configuring the handgrips Balancing the system Adjusting the surgical microsc
286. yed on the touchscreen Drape vacuum system Check that the drape vacuum system is operative OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 ess 168 G 30 1592 en Operation Illumination e The system features automatic lamp change Defective lamps are rec ognized and changed automatically Make sure that the light source always contains two operational lamps when you start surgery Check that the xenon illumination has been switched on via the touch screen and the surgical field is evenly illuminated Warning Adjust the illuminated field diameter and illumination intensity to the values required for the procedure See page 22 Note The illumination intensity is preconfigured factory settings in such a way that a warning is displayed on the touchscreen when the threshold value of 25 is exceeded informing the user of possible tissue damage when the light intensity is too high The percentage of light intensity is displayed in red typeface on the touch screen and shown in the data injection system Accessories Check that the accessories are functioning correctly Using the relevant user manuals check that the other equipment illu mination system video system etc is working properly Warning If a function fails you must not use this instrument for safety reasons Cor rect the fault see the Troubleshooting table or contact our service dept OPMI
287. zation of the current OPMI white light video is not possible during the RECORD phase Function of NEXT button If you activate the full screen mode during the RECORD phase by pressing the full screen button NEXT button 1 appears above CLOSE button 2 e Press NEXT button 1 to activate the PLAYBACK phase first short then long replays e If you press the NEXT button again you will return to the standard mode Press CLOSE button 2 to return from the full screen mode to the main menu Note A video clip is recorded and saved in the white light mode at the same time as the fluorescence video clip Videos started with RECSTART are recorded irrespective of this process If IR 800 is selected for the external monitor this video is briefly inter rupted by the displayed replay screens Digital video recording option is required OPMI Pentero C Software Release 2 20 2 21 Issue 4 2 Printed on 14 12 2009 zess 288 INFRARED 800 fluorescence module option PLAYBACK phase The PLAYBACK phase is activated on the third press of the fluorescence button This phase comprises two successive visualization modes 1 Short replay If short replays have been configured only the initial phase of the re corded video is replayed during the predefined time until you press the FL button or the maximum number of loops has been reached They will be followed by long replays if appropriately configured 2 Long replay

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