Untitled - Implantec
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1. Y The microscope can be locked on the pivoting axis while the illumination unit can be freely rotated about the common axis The illumination and the microscope can be rotated together or separately with any fixed angle between them if the knobs are loosened If you wish to move the instrument with or without the table it is advisable to lock all movable parts by tightening screws Y The ability to focus each eye piece separately not only enables the examiners refraction to be corrected but also compensates for any asymmetrical course of the two microscope pencils in the examined eye especially during Fundus observation A satisfactory binocular and stereoscopic examination of the slit image on the Fundus is usually possible only when an accurate setting of each eye piece has been made Maintenance The room condition should be maintained as Y Operating condition 10C to 40C Y Storage condition 40C to 70C V Relative air humidity 10 to 90 Y Transportation humidity 10 to 90 V Air pressure 600 1300 mbar Warning Y Use only the type of power source that indicated on label Y Connect the Equipment to properly grounded power outlets Y Unplug the Equipment before servicing cleaning Y Confirm whether the AC power cord meets the relevant local safety standards 23 Don t use the damaged power cord Only trained personal can service handle the equipment Unplug the Equipment before changing the Fuse Check the2. In the event of user error product may be damaged STICKER AND ICONS This icon represents the location of laser energy emission Hot parts symbol This symbol is placed on bulb housing and or other parts to indicate that they may be hot never touch those parts immediately after the equipment has been used This icon represents TYPE CLASS 4 equipment Number following this symbol indicate the serial number of a This icon represents the laser radiation Product Name Appasamy Green Laser Model AMOGH Plus St No the Equipment Input 110V 230V AC 50Hz 60Hz Power in Watts 100W Fuse 2A Slow Blow IP Category IP 2x CLASS 4 Laser Product l APPASAMY J ASSOCIATES Manufactured by Marketed by No 4 First ea No 20 SBI Officer s Colony ni A Arumbakkam Chennai 600 106 Chennai 600 106 MADE IN INDIA It has the content visible and invisible laser radiation avoid direct VISIBLE AND INVISIBLE LASER exposer to beam wear eye protection medical glass amp laser product RADIATION AVOID DIRECT EXPOSER TO BEAM WEAR EYE PROTECTION MEDICAL CLASS 4 LASER PRODUCT a M It has the content calibrated tamperproof label warranty void if VOID if removed removed It has the contents like A Change Tissue Pape Change tissue paper for every patient for every Patient 5 IMPORTANT SAFETY amp MAINTENANCE INSTRUCTIONS N User Maintenance Read the instructions careful
3. by Stimulated Emission of Radiation LASER is very much related with our day to day life Green lasers are used to treat Fundus nerve system when a patient is suffering by vision loss These Lasers are coupled with slit lamp indirect ophthalmoscope and endo probe systems for treatment We must be careful while handling these Lasers Always apply the lowest power needed to obtain the desired surgical effect Always focus the aiming beam as carefully as possible to the tissue to be treated Never release a laser pulse if you cannot see the aiming beam reliably in the target area Switch off the aiming beam when the device is not in use Fiber optics may not be bent strongly may kinked or be fastened incompletely since otherwise the device could be damaged and or the patient or user could be injured All objects within the Laser hazard area including the floor should have diffusely reflecting surfaces or be covered by diffusely reflecting material Only the patient to be treated and instructed personnel may stay in the laser hazard area The persons must wear laser safety goggles when the laser is in operation Persons working in the laser hazard area must be informed about relevant safety regulations and precautions and instructed in operating the device The physician need not wear protective eyewear if he observes the treatment area through an operating microscope equipped with a physician s safety filter a laser slit lamp and the protective
4. eyewear must have been approved for the wavelength of the laser and the type and intensity of the laser radiation IMPORTANT This device is designed for use by a certified practitioner Apart from those by identified in the instructions in the manual there are no user serviceable parts in this device APPASAMY ASSOCIATES will retain the direction to advise whether any repairs may be carried out by external qualified technical personnel or whether part s of the device must be returned to the manufacturer s premises for service or repairs to be carried out under warranty or otherwise where appropriately qualified technical person are identified APPASAMY ASSOCIATES will be available on request for assisting in maintaining or repairing this device 2 PRODUCT USAGE Laser treatment photocoagulation is used to stop the leakage of blood and fluid into the retina A laser beam of light can be used to create small burns in areas of the retina with abnormal blood vessels to try to seal the leaks This is an ophthalmic surgical therapeutic equipment to treat the human eye to stop the blood seepage in the ruptured blood vessels of Retina due to high pressure The principles of these equipments are LASER photocoagulation technique Usages of this equipment are Age related macular degeneration Branch and central retinal vein occlusions CMV retinitis Diabetic retinopathy Epiretinal membranes Macular pucker Floaters flashes and Posterior
5. is used for coaxial Protection Filter Ultra View protection filter is used for to protect eye from treatment beam Laser console Treatment and aiming beam will be delivered and controlled by this unit Working Distance Control lever Lever in lens holder used to change the working distance as well as the spot size of the beam in required size corresponding to the distance 1s an advantage to the doctor Laser mirror adjustment Knob Angular adjustment knob attached with the mirror mount used to maintain the beam in coaxial Beam coaxial Laser beam always maintain at the centre of the projection beam Rigid metal shielded fiber Metal shielded fiber gives long life and durability Accurate power delivery Specially design optics give accurate power output Small pupil Adjustment Able to treat a wide range of patients from pediatric to adults and patients whose pupil cannot be dilated for known reasons Precautions Y Y Y When laser fiber 1s not in use be sure to place the protective cap on the fiber End as debris collected on the fiber face may degrade laser transmission and cause burns Do not bend the laser delivery fiber into loops shorter than 8inches Bending losses will affect the transmission of laser power Keep the laser mirror and treatment aspheric lens free of finger prints Metal object reflect the laser beam to several feet beyond LIO Therefore non reflective instrument should be used whenever possible Pr
6. message STAND BY Step 9 Emergency Halt There is a red color switch in the upper left corner of the front panel which can be used for emergency purposes Step 10 Foot switch Attention A Attention Connect Foot Switch After switched on the machine if the foot switch 1s not connected with the console the below attention symbol will be displayed 19 Step 11 Warning message When the laser is not working the above warning massage will be displayed in the screen C GREEN LASER CONSOLE PACKING METHODS Close one side of green laser console carton box using packing tape and then place the entire green laser console foam in it as follows 1 Place the following equipment and accessories in the green laser console foam as follows Green laser console stabilizer touch screen display mainster prp 165 degree laser lens mainster focal grid laser lens goggle power cord foot switch 2 Place the fiber foam on the top of the green laser console foam and keep the following accessories in it as follows Installation card catalog user manual packing list dust cover fiber optic cable laser on off keys 2 no s 20 3 Place the top foam on the top of fiber foam as follows 4 Close the top side of the green laser console carton box with packing tape 21 INTEGRATED LASER SLIT LAMP WORKING PROCEDURE AND PACKING METHODS also table top amp motorized stand Clear visualization
7. to the required spot size on the retina This Laser adaptor consists of set of lenses with reflecting mirror to deliver high power laser beam on retina Spot size of the beam is controlled by rotating the adaptor and it will be varied from 50 to 1000 micron Y The height of the instrument table and of the examiners chair has to be adjusted so that the surgeon can operate the instrument conveniently The height of the patients chair is adjusted to suit his stature The patient should rest his chin and fore head firmly against the head rest Move the chin rest by turning the control knob until the eyes are level with the black marker at the side of the head rest The sliding plate on the table must always be kept clean to ensure free movement of the slit lamp Y The transformer fixed underneath the tabletop is designed for connection to A C mains supplies of either 110 or 220 volts Its output for operation of the main lamp is 12 volts The joystick lever enables the entire slit lamp to be moved easily in all directions in a horizontal plane The cross slide moves parallel to itself during the adjustments Displace the slit lamp with the joystick lever held firmly and slightly inclined towards the examiner until the image of the slit appears sharply at the depth of the eye which is to be observed The horizontal motion of the cross slide can be locked by tightening the knob Rotate the joystick to adjust the height of the light to the level of the eye
8. 532 nm AMOGH PLUS Q A AIM BEAM LASER STANDBY If the LASER READY was pressed again then the laser will be in laser hold mode it will display the message LASER STANDBY 16 Step 8 Single pulse mode Description Duration p In this mode when foot pedal is pressed only one pulse is fired APPASAMY GREEN LASER sim AMOGH puus GREEN LASER 532 nm AMOGH PLUS 5 POWER Functional Description Single pulse mode will be used only in Repeat pulse mode The duration period can be adjusted from 0 010 10 seconds Power can be adjusted from 10mw 1500mW Now press LASER READY Mode Now the Laser 1s ready to fire APPASAMY GREEN LASER 532 nm AMOGH PLUS O a V POWER DURATION 4 E t INTERVAL O l BEAM amp use STANDBY If the LASER READY was pressed again then the laser will be in laser hold mode it will display the message STAND BY 17 Step 9 continuous mode Description In CONTINUOUS MODE the Laser is fired continuously when the foot pedal is pressed Functional description Power can be adjusted from 10 1500 mW Now press LASER READY Mode Now the laser was ready to fire APPASAMY GREEN LASER 532 nm AMOGH PLus A AIM BEAM LASER STANDBY If the LASER READY was pressed again then the laser will be in laser hold mode it will display the
9. 532nm APPASAMY GREEN LASER AMOGH PLUS MODEL N N A y KRN SS Zid bi ANN Ki SAN gt Lf VIII AN ANNAN wD MUAS gt z V ANI REO n VD DAS arg MVN Sra Oy AT V OOS GRRIST LV NUI SST easy 4 Ny AA N B MANS S N SINI SA NN NS aX SA Y RS NL N N AVAVA VA NSOSSAs Y GREEN LASER PHOTO COAGULATOR FOR RETINAL DISORDERS Y TRUE CONTINUOUS WAVE Y PATENTED SOLID STATE TECHNOLOGY Y TOUCH SCREEN INTERFACE Y EXTENDED LIFE AND EFFICIENCY ASSOCIATES gt 2 lt lt A lt Empowering Vision TABLE OF CONTENTS A o i IA m Te Warning And Caution For Use 7 Environmental Condition For Usage Storage Package Transportation And Others e Integrated Laser Slit Lamp Technical Specifications 1 l 1 1 14 l 1 17 1 LIO Technical Specifications 1 0 1 2 3 5 6 8 2 0 Laser Basic Slit Lamp Technical Specifications 10 11 22 29 34 36 37 38 39 40 2 Trouble Shooting Product Features Warranty 4 Terms And Conditions 43 20 21 1 INTRODUCTION The AMOGH Plus is proudly well designed Please read the following information carefully before operating the APPASAMY GREEN LASER APPASAMY ASSOCIATES is responsible for the safety reliability and performance of the equipment only if it is used in accordance with the prescribed instructions Light Amplification
10. ed from this laser may cause injury Y The treatment beam emitter from this instrument has the potential to ignite flammable materials or explosives Do not use this system in proximity to these materials Y Except for the physician and patient safety glasses are a must for anyone who is present at the time of treatment During some procedures 1t might be advisable to shield the untreated eyes Y Never leave the system ON when it is unattended If you want to leave turn the system OFF and remove the key from it Y When the laser is READY keep it always in Stand By mode unless it is being used to perform treatment Y Contact lens wearers should use anti reflection lenses treated for 532nm wavelength Contact lenses particularly those with Plano surfaces can generate dangerous reflections V Never open the laser enclosure as hazardous levels of visible and invisible optical radiation are present inside Refer to qualified personnel for service problems Y Observe the DANGER WARNING or CAUTION labels Circuitry is provided for the connection of a remote interlock When attached to the laser room door or other actuator the interlock will prevent the laser from firing if the room is entered while the system is in use Y Do not use the laser together with flammable anesthetics Keep materials that might explode away from the laser hazard area Easily flammable materials may start fires The
11. electrical connections periodically if any defects noticed like loose connections damaged to insulation in the electrical wires etc should be rectified immediately GS NANA Because prolonged intense light exposure can damage retina the use of the device for ocular examination should not be unnecessarily prolonged and the brightness setting should not exceed what is needed to provide clear visualization of the target structures This device should be used with filters that eliminate UV radiation lt 400 nm and whenever possible filters that eliminates short wavelength blue light lt 420nm Y The retinal exposure dose for a photochemical hazard is a product of the radiance and the exposure time If the value of radiance were reduced in half twice the time would be needed to reach the maximum exposure limit Y While no acute optical radiation hazards have been identified for slit lamps it is recommended that the intensity of light directed into the patient s eye be limited to the minimum level which is necessary for diagnosis Infants aphakes and persons with diseased eyes will be at greater risk The risk may also be increased if the person being examined has had any exposure with the same instrument or any other ophthalmic instrument using a visible light source during the previous 24 hours This will apply particularly if the eye has been exposed to retinal photography Before using the Equipment Read the following Use prop
12. er methods to clean the optics and equipment Before going to switch off turn off the system Cover the Equipment when not in use Don t touch the Mirror surface or exposed lenses and keep them clean Don t rub the Gliding plate Don t move Base on rails while locking knobs at on Don t spill liquid into the Equipment Don t use any hazardous solvents to clean the optics and parts CNN NNN NNN OF Unplug the Equipment and refer servicing to qualified service personnel INTEGRATED LASER SLIT LAMP PACKING METHODS 1 Place the integrated laser slit lamp unit covered with polythene cover in its base foam as follows 24 2 Cover either side of the unit with its side foam as follows 3 Place the strips on the either side of the foam and keep in the inner carton box as follows 25 4 Close the inner carton box with packing tape Place the inner carton box in its outer carton box by placing the buffer foam on each and every corner of the inner carton box as follows 5 Close the outer carton box with packing tape MOTORIZED STAND amp TABLE TOP PACKING METHODS 1 Close the one side of motorized stand carton box with packing tape and place the base foam in it and place the following accessories in it Base plate amp elbow rest 2 Place pillar foam on the parallel side the table foam and keep motorized stand pillar in it as follows 26 3 Place the middle foam on the top of base foam and place
13. ffice for service If any part is damaged or the Instrument is dropped send the Instrument to our office for repair or replacement of damaged parts OUR PRODUCT FEATURES YN NNN NNNN NN NNN Patented Solid State technology True continuous wave Advance design minimizes routine laser maintenance Extended life and efficiency Touch laser interface Attached with movable stands Swing the laser module to convenient position when using Programmable adjustment to control the laser energy Automatic alarm on during the laser delivery 27 Hours continuous operation High life time laser dropping rods Filters are provided to safe guard the surgeon s eye from laser radiation Easily adjustable focusing system Low attenuation laser delivery fiber optic cable Foot operated laser delivery controls Aberration free optical system for sharp focusing of laser beam WARRANTY Problem Reported Possible Causes 41 Machine not working Power chord Check the power chord Fuse problem Remove the fuse and put another one Laser not coming Fiber problem Change the fiber WARRANTY AND LIMITATION OF LIABILITY APPASAMY ASSOCIATES Warrants that this equipment Operating Microscope is free from manufacturing defects in material or workmanship for a period of ONE YEAR from the date of installation In case of any defect during the warranty period the concerned person Hospital Institution shall immediately c
14. ght with a smaller mirror at a lower position relative to the oculars Standard wide angle and small pupil Cleaning the External Surfaces Unplug the Indirect Ophthalmoscope system and turn OFF the laser system If necessary allow the headpiece illumination lamp and adjacent parts several minutes to cool To clean the external surface of the Indirect Ophthalmoscope wipe using a cloth damped with a non caustic cleaning solution such as soap and water isopropyl alcohol or a hospital grade disinfectant Do not spray or pour cleaning agents directly on the system Dry with a clean dry cloth or allow to air dry LASER INDIRECT OPTHALMASCOPE PACKING METHODS Place the laser indirect ophthalmoscpe power supply box scleral depressor in its foam as follows Place the foam in its case as follows 32 3 Close the case and place in its carton box and then pack it with packing tape ENDO PROBE e 33 1 Endo probes for opthalmic endophotocoagulation 2 Ergonomic design with straight and curved angled tip 3 Available in 20G 23G amp 25G series 4 Can be made compatible for other laser photocoagulators 5 Easy entry through small gauge cannulas 6 Tapered curve for excellent laser engry delivery 7 Reliable spot placement at far periphery FUSE REPLACEMENT The power supply fuses are located at the rear of the power supply assembly First disconnect the mains power from your Laser Equipment Having first discon
15. he equipment ensure that the following conditions are met Air pressure unfair temperature high humidity improper ventilation sunlight dust salty sulfurous air etc will give negative side effect to the equipment Do not store or transport the instrument on a slope uneven surface or in an area where it is subject to vibrations or instability Do not store the instrument where chemicals are stored or gas is generated The instrument should be splashed with water SES Packing Environmental Conditions In Transportation Y T emperature 40 C 70 C Y Humidity 10 90 8 COOLING REQUIREMENTS The APPASAMY GREEN LASER system is air cooled This system requires a six inch clearance on all around the laser to allow the air flow Location Y The instrument should be positioned in such a way so that the laser beam cannot be directed towards an opening Door or Window or towards any reflective material 9 SAFETY PROCEDURES V This section introduces a few elementary steps to follow when using your Laser Photo coagulator Y An understanding of these instructions as well as compliance with them and with the procedures outlined in ANSI standard Z136 3 is required in order to prevent injury to personnel or damage to the instrument Caution Y Never look directly into a laser light source and avoid exposure to reflected or scattered laser light This is a class 4 laser direct reflected or scatter
16. laser beam can set fire to many explosive or combustible gases and liquids including some of the solutions used to prepare surgical procedures Keep flammable drapes surgical gowns gauze and other ignitable materials out of the beam path we recommend using non flammable materials and instruments and wearing gowns and clothing that do not easily catch fire Keep a fire extinguisher near the laser device Only the patient to be treated and the instructed personnel may stay in Laser hazard area These persons must wear laser safety goggles when the laser is in operation The most important parameter in laser treatment is the power density at the treatment area 1 e the applied laser power divided by the area of the laser spot Therefore if a constant physiological effect shall be achieved you must also change the power when readjusting the spot size You can pre select the power GREEN LASER CONSOLE AND ITS DELIVERY SYSTEMS Universal Adaptor Endo Probe as LIO GREEN LASER CONSOLE WORKING PROCEDURE AND PACKING METHODS a Laser console and Display Front amp Rear Panel Console Front Panel Front panel contains control switches to control and select the desired operation Each control switch has its own characteristic according to the operation As soon as the power is ON Control panel screen is seen ae e Y PON GD gt Laser Handle Laser Emergency switch Laser ON OFF switch Laser Outp
17. ly before using the equipment Regular maintenance for the overall equipment is mandatory Handle the equipment carefully Touch the key pad gently Adopt proper methods to clean the optics and equipment Before switching off turn off LIO regulator knob Cover the Equipment when not in use Don t touch the fiber Connector Don t touch the mirror surface in fiber Don t spill any liquid into the equipment Don t use any hazardous solvents to clean the optics and parts Only use soft cum dry cloth to clean the device When using the instrument after a prolonged period of inactivity confirm normal and safe operation beforehand Unplug the equipment and refer servicing to qualified service personnel under the following condition If the product isn t able to use even all the troubleshooting has been done in accordance with the manual If the liquid has been spilled into the optics Equipment SN SN KSK KK KK KK KSK KK If the product has been exposed to rain or water Disposal Y Dispose the instrument according to the local disposal and recycling laws 6 WARNING AND CAUTION FOR USE Warnings are intended to alert you the importance of the following proper operating procedures where risk of injury to the patient or system user exits Y This is a class IV equipment to the avoid risk of electric shock This equipment must only be connected to the supply mains with the protective earth Y No modification
18. nected your indirect ophthalmoscope from the mains power supply remove the fuse holder assembly by pull out the holder or by using external tools Carefully withdraw the holder from the power supply A visual inspection will indicate a blow fuse or a circuit continuity tester may be used Replace the blown fuse Replace the fuse holder KS Re connect the mains power to the Slit Lamp switch ON and check the bulb glow 34 CLEANING AND DISINFECTION INFORMATION AND MAINTANANCE Make sure that the power of the instrument is OFF and then unplug the power cord Push the claws at the both ends of fuse holder with a slotted screwdriver and remove the fuse holder Replace the fuse with a new accessory fuse Push in the fuse holder until click is heard The Condensing Lens Y Clean the lens using hard contact lens cleaner and warm tepid water NOT HOT WATER Then dry by blotting the lens with a soft lint free cloth or paper towel Y Never autoclave or boil a condensing lens Y Place the lens completely in 3 hydrogen peroxide solution Zepherin 1 1000 or Pure 70 Isopropyl Alcohol for 5 10 minutes Maintenance by User Y Y A Y 35 Regularly maintain and check the instrument and its parts When using the instrument after a prolonged period of inactivity confirm normal and safe operation beforehand When the cover glass is stained wipe it with the accessory clean cloth When thi
19. nt result Variable focus options are an added advantage Small pupil adjustment option is available Vertical movement adjustment option for coaxial beam GS 8 Coaxial system of laser aiming beam along with white light illumination gives comfortable treatment Operating procedure LIO is already recognized as a standard of care when treating the peripheral retina for diseases such as retinopathy of prematurity Laser Indirect Ophthalmoscopes offers unmatched treatment flexibility with solid state reliability when combined with 810nm Diode laser Photo coagulator Safety filters for clear view and an exclusive True Focus optical system for consistent treatment results Design has longer depth of focus and brighter white light illumination Coaxial delivery system of laser aiming 29 beam along with white light illumination gives comfortable treatment and illumination facilitates pupillary access and ensures accurate burn placement Laser settings The size intensity and duration of the laser spot are affected by the laser settings and the lens system used Y Spot size In case of slit lamp laser delivery the spot size is determined by the spot size chosen on the machine and the type of contact lens used A Goldman style lens produces a laser burn equal to that set by the machine whereas many wide field laser lenses tends to create a larger spot Refer to the conversion factor of the lens you use to obtain the app
20. of the retina including the periphery and precise laser delivery to the target tissue can be performed either in the PRP in the periphery or a macular grid in the perifoveal area Inbuilt safety filter allows a true to color physician s safety filter guarantees unrestricted visibility during diagnosis and optimum protection against the laser light Electronic display provides good visibility of the spot size selected Helps to arrest the coaxial movement of laser beam amp illumination spot at desired position Permits safe and highly accurate guidance of the laser beam The target beam position is always centered in the treatment beam field Special Features LASER SPOT SIZE Y Electronic micro manipulator Y Inbuilt safety filter Y Electronic display Y Electronic micro manipulator ON OFF switch The fully integrated laser slit lamp delivery system projects both the illumination and laser beam on the same path way The electronic micro manipulator on the joystick ensures the ultimate in controlled safety for fine movement of beam manipulation The precise guidance of the aiming and therapy beams guarantees optimum illumination in the site of therapy at all times regardless of whether it is in the periphery or in the vicinity of the macula Operating Procedure for Green Laser Slit Lamp 22 V 5 step slit lamp 1s used for laser delivery Laser adaptor which 1s connected with slit lamp used to deliver the laser beam
21. of this equipment is allowed Y Use only the type of power source that indicated on label Y Connect the Equipment to the properly grounded power outlets Y Unplug the Equipment before servicing cleaning it Y Confirm the AC power cord meets the relevant local safety standards Y Don t use the damaged power cord Y Only trained personnel have to handle the equipment Y Remove the equipment plug from the wall outlet before changing the fuse Y Check the electrical connections periodically any defects noticed like loose connections damaged to insulation in the electrical wires etc should be rectified immediately Y The equipment shell not use in oxygen rich environment Y The equipment shell not use in wed areas Y Do not operate the laser without connected slit lamp which in operation A Caution for Use Y Cautions are intended to alert you the importance of the following proper operating procedures where risk of injury to the patient or system V In order to avoid the electric shock do not handle the plug with wet hand 7 ENVIRONMENTAL CONDITIONS FOR USE Y Operating Temperature 0 C 50 C 4 Humidity l 35 95 without dew condensation V Air Pressure 700 k Pa 1060 k Pa Storage Usage Period and Others 1 Environmental conditions for installation without package Temperature 40 C 70 C Relative air Humidity 35 0 95 Air Pressure 600 k Pa 1300 k Pa ANN While storing t
22. ontact Appasamy Associates Chennai or nearby regional service center given below Appasamy Associates will rectify the problem and replace any parts if necessary Please read and follow the safety and maintenance instruction given in this User Manual The following terms and conditions apply during the warranty period TERMS AND CONDITIONS The failure of electrical and components are not covered by this warranty Warranty becomes void in the following cases If the equipment s is modified and or serviced by persons not authorized by Appasamy Associates Chennai Y If the equipment s is handled used by persons other than qualified ophthalmologist or technicians Y Incase damages occurred due to accident negligence and power fluctuations Y Incase of improper handling and maintenance of equipments HEAD OFFICE REGIONAL SERVICE CENTER APPASAMY ASSOCIATES APPASAMY ASSOCIATES 20 SBI Officer s Colony First Street No 4 First Street Arumbakkam Chennai 106 Tamil Nadu India Venkatakrishna Nagar Phone 044 3297 8584 3298 0155 Arumbakkam Chennai 600 106 Fax 2363 4721 Phone 044 32475974 Chennai E mail appasamy O vsnl com Mobile 91 9380286224 Pondicherry E mail appaeye md4 vsnl net in E Mail greenlaser O appasamy com 42 43
23. otective goggle is must for observer while treatment is ON in the laser room Small Pupil Feature Y The Indirect Ophthalmoscope has a Small Pupil Feature SPF which is useful in examinations of uncooperative pediatric patients and in cases where the pupillary diameter is less than 4mm Clinical advantages under surgical conditions with a constricted pupil in cases where dilation is not advisable or possible when a glaucoma patient is receiving meiotic therapy Pupillary dilation is not necessary when using the SPF capability of this instrument Brilliant illumination for a clear view through dense ocular media good resolution of fine detail A stereoscopic view allows detection of subtle changes in elevation and depression Lower magnification results in less annoyance by ocular movement The Small Pupil Indirect Ophthalmoscope has plus superior stereopsis through a non dilated pupil For patients who are not dilated the Small Pupil Indirect ophthalmic instrument provides the observer a clear 31 SSS 1 2 stereoscopic view of the peripheral Fundus with pupils as small as 2mm Of course the Small Pupil also may be used on dilated pupils but unlike other general purpose ophthalmoscopes the optical design of the Small Pupil indirect is optimized for the non dilated pupil Structurally the Small Pupil and Standard indirect are virtually the same except on the Small Pupil unit the angle of light 1s made more coaxial to the line of li
24. ropriate spot size The spot size used in the DRS and ETDRS for PRP was 500 microns In contrast in the case of indirect laser delivery the spot size is determined by the hand held lens typically a 20 or 28 D Intensity The laser energy should be adjusted to create at most a moderately intense white retinal burn We often start around 200 mW and titrate to the desired spot intensity Regional differences in absorption occur with more intense uptake in the periphery compared to the posterior retina and we adjust the power accordingly Duration The power density of laser energy applied to the retina is based on the intensity and spot size and is inversely proportional to the duration of the energy pulse This means that a shorter duration of energy leads to a greater power density aL Features Precaution Small Pupil Feature and Cleaning the External Surfaces Features Y Y Illumination Adaptor Retinal image is illuminated by halogen light source having 6v 12W power supply Laser Delivery Adaptor Treatment beam as well as aiming beam both together will be focused by the lens system at 530mm distance from the lens surface to cornea surface It makes the image spot size around 400 microns Fiber optics cable 30 Highly flexible and protected 200micron and 0 22NA fiber optic cable is used for the purpose of to deliver the laser beam through laser delivery adaptor Reflector Specially coated 532nm wavelength reflector
25. s instrument is not in use for a prolonged period put the instrument into the carrying Daily Checkups Y Do not store the instrument where there is much dust Y When not in use turn off the power Cleaning the equipment AN Caution Y To avoid electric shock do not remove the cover V Ask the serviceman to repair the instrument F Note Do not wipe the parts with volatile solvent To prevent the plastic parts from discoloring or deteriorating do not use benzene thinner ether or gasoline GREEN LASER TECHNICAL SPECIFICATIONS 110V 230V AC 50Hz 60Hz 2A Single phase 36 A EST Pulse Duration 0 01 10 Sec Pulse Interval 0 01 10 Sec INTEGRATED LASER SLIT LAMP TECHNICAL SPECIFICATIONS Laser Beam Delivery Coaxial delivery with slit illumination Continuously adjustable par focal system with variable spot size from 50 1000 micron at corneal plane Magnification Ratio 6 10 16 25 amp 40x Standard Slit 0 45 amp 90 Illumination 12V 30W Brightness continuously adjustable Laser Spot Delivery 37 Movement Ranges Y Longitudinal In Out 99mm Y Lateral Left Right 118mm Y Vertical Up Down 30mm Y Chin Rest Range 90mm Y Dimensions 530 L x 380 W x 600 H LASER INDIRCT OPHTHALMOSCOPE TECHNICAL SPECIFICATIONS LIO type Standard type LED Standard Spot Size 400um on retina Variable spot size With working 18lum 300mm O 550um 700mm on retina distance La
26. ser Safety Filter Ultra clear view and permanently fixed Output 3 3V DC 700mA LED Pupillary distance 54 to 74mm Aperture size 3 0mm 4 0mm 1 2mm Image size 80 0mm 60 0mm amp 25 0mm Intensity control Continuously variable 38 Altitude lt 2000m Weight 700 grams 12 MODEL 5 STEP MAGNIFICATION SLIT LAMP WITH UNIVERSAL ADAPTOR Magnification Changer 5 Step drum rotation Eye Pieces Total magnifications 6 10 16 25 amp 40x Movement Ranges Y Longitudinal In Out 99mm Y Lateral Left Right 118mm Y Vertical Up Down 30mm 39 Y Chin Rest Range 90mm Y Dimensions 530 L x 380 W x 500 H Y Weight 24 5Kg UNIVERSAL ADAPTER Compactly designed with inbuilt options for the user such as self focus and can be fitted for any kinds of slit lamps ENDO OCULAR PROBES TECHNICAL SPECIFICATIONS ak STRAIGHT PROBE 20 23 amp 25 Gauges Most Efficient Delivery of Laser Energy Easy Entry Through Small Gauge Cannels SNS ak ANGLED PROBE 20 23 amp 25 Gauges Tapered Curved for Ease of Entry Through Small Cannels Efficient Spot Placement at Far Peripheral Locations 40 TROUBLE SHOOTING This section lists the most common problems users sometimes encounter All possible user solutions are also listed for the problems Y Y If the problem do not remedy the problem contact our service Engineers or send the Instrument to our o
27. stem During this time the machine sets the temperature of laser to have an adequate temperature APPASAMY GREEN LASER 532 nm AMOGH PLus i SELF TEMPERATURE CALIBRATION 14 Step 4 After checking the temperature it displays TEMPERATURE OK APPASAMY GREEN LASER 532 nm AMOGH PLUS i L SELF TEMPERATURE A CALIBRATION OK Step 5 Delivery System and Mode Selection It displays all the delivery systems and modes available in the machine Use DS menu to choose delivery system Totally three mode s are specified Repeat pulse mode Single pulse mode Continuous mode either can be selected by using touch screen display de Repeat Pulse mode Description Duration s p Interval In REPEAT PULSE MODE duration period is the ON time of the Laser and Interval is the OFF time of the Laser By pressing the Foot pedal the Laser is fired in the Duration period and gets OFF in the Interval period During the Interval period the position in the retina can be changed without affecting the other parts of the eye 15 APPASAMY GREEN LASER 532 nm AMOGH PLus The power can be adjusted from 10mW to 1500mW Duration is 0 010 ms to 10 00 s Interval is 0 010 ms to 10 00 sec Number of pulses fired will be counted and it will be displayed on COUNTER The COUNTER can be reset to zero by pressing the key gt n 0 in the front panel Now press LASER READY mode the laser was ready to fire APPASAMY GREEN LASER
28. the following accessories in it Table top power cord 3 no s elbow rest and endo probes packed in carton box face frame and zip lock cover containing slit lamp dust cover fuse spare bulb black bush test rod side cover 2 no s chin rest paper chin rest bush head band head band strip handle 2 no s 4 Place the top foam on the top of middle foam as follows 27 5 Close the pillar foam with its top foam as follows 6 Close the top side of motorized stand carton box with packing tape LASER INDIRECT OPTHALMOSCOPE LIO 28 The LIO is indicated for use in the following ophthalmic treatments diabetic retinopathy pan retinal photocoagulation retinopexysgmental peripheral photocoagulation segmental photocoagulation cloudy vitreous cavities and pediatric retinal repairs under local anesthesia A common optical path through the LIO for laser aiming treatment and illumination facilities Pupillary access and ensures accurate burnt placement Special features INDIRECT OPHTHALMOSCOPE POWER SUPPLY OFF OUTPUT 3 3V 2A S Ideal for patients who are best examined and can be treated in a supine position Including neonates Small children and disabled patients Specially designed lenses for LIO gives satisfied results for the ophthalmologists Ultra view inbuilt eye safety filters provides a crystal clear view of developing lesions True focus optical system for consistent treatme
29. ut 11 Console Rear Panel Rear panel contains Foot switch connector AC output socket AC key and Display connector socket and select the desired operation Each control switch has its own characteristic according to the operation Display connector output F III W LUNN a Foot switch connector Key lock H O AC input socket Display Front Panel This touch interface contains Mode selection and Delivery system selection and operating functional keys such as Power selection Duration selection Interval selection Aiming beam selection and Laser ON OFF selection When the laser is ON the counter starts to count the pulses APPASAMY GREEN LASER 531 om In DOHO CUNTER 12 Display Rear panel This touch interface rear panel connects with consoles rear panel b DISPLAY FUNCTIONS After switch on the machine it displays the following steps Step 1 Machine displays the company logo and the name APPASAMY ASSOCIATES Empowering Vision 13 Step 2 Machine displays the product logo and the name APPASAMY GREEN LASER 532 nm AMOGH PLUS LASER PHOTOCOAGULATOR Step 3 Self temperature Calibration The machine displays the self calibration message Usually laser should run with certain temperature level If it goes beyond or less than the specified limit Laser might get damaged and this temperature level is controlled by Thermo Electric Cooling sy
30. vitreous detachments Diabetic macular edema Macular holes Macular translocation Melanoma Retinal detachment Proliferative vitreoretinopathy Photodynamic therapy Vitrectomy Cystoid macular edema Retinitis pigmentosa Retinopathy of prematurity Retinoschisis Retinoblastoma Leber congenital amaurosis Stargardt s disease Cone dystrophy Cancers in relation to the retina 3 QUALITY RELIABILITY AND SAFETY This equipment has been designed with an emphasis on quality reliability and safety APPASAMY ASSOCIATES can only accept responsibility for these aspects provide the following conditions are Electrical installation of the room or building in which the equipment is to be used must comply with the regulations specified by the country The equipment should be used in accordance with the Instructions for Use mentioned in the operating manual provided by APPASAMY ASSOCIATES All modifications and repairs in the equipment have to be carried out by authorized APPASAMY ASSOCIATES personnel The equipment must comply with regulation specified in warning and caution X OS SK 3 4 SAFETY PRECAUTIONS Safety pointers in the device are depicted and described there in according to the following categories Carefully read these sign codes amp follow them when necessary The following sign codes describe the degree of danger or damage likely to be incurred in the event of user error made in ignorance of these codes ATTENTION
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