Optical Colposcope with Tilt Stand Optical Colposcope
Contents
1. UL Recognized Component A A UL Listed General Precautions e For safety the colposcope should only be coupled to a grounded 110 120 VAC hospital grade outlet e The colposcope should not be operated in the pres ence of flammable or explosive gases or chemicals or installed in areas where these materials are com monly used e To avoid overheating the colposcope should not be positioned closer than 6 to any wall e Keep all liquids away from electrical equipment to avoid the possibility of shock and instrument dam age e Occasionally inspect the power cord for signs of cuts abrasions or dents e The colposcope should never be stored or operated in areas where it could get wet or could be exposed to any environmental conditions like extreme tem perature or humidity direct sunlight dust etc e The lamp is extremely bright DO NOT stare directly into illumination lens when the lamp is lit e All service to the video colposcope must be per formed by Welch Allyn or by an authorized repair cen ter e Colposcope user should adhere to the operating con ditions found in this manual Otherwise instrument damage may occur and or operator patient safety may be compromised e There are no user serviceable parts other than the lamp and fuses in this unit or in its accessories Any attempt to disassemble and or repair this unit will result in voiding of the warranty e Colposcope device to patient distance no c2. upright position Tighten the clamping screw E Adjusting the Video Device Adjust the video adapter to ensure that the center of the colposcopic image is also the center of the image on the video Use a simple object with a flat surface and good contrast e g a medicine box to aid in the adjustment Horizontal Adjustment Screw G controls the horizontal adjustment Turning the screw causes the video adapter to move to the left or the right Vertical Adjustment Slightly loosen screw H until the lens barrel J is easily turned by inserting the allen wrench through the hole in the lens barrel Rock the wrench up or down to adjust the vertical setting then tighten screw H again Focusing and Adjusting the Multi Mag Video Adapter Often the image sensor of the video camera is not exactly centered on the C mount connection with the result that when changing the magnification of the video adapter the center of the image may drift a little The physician must decide for himself herself which magnification he she will use when making the fine adjustment of the centers of both the colposcope s image and the video image Video Adapter with Multiple Magnification Prefocus the colpsocope by setting the magnification changer at the middle magnification Verify that the cir cles of the left eyepiece are focused clearly Set the video adapter at its highest magnification this is very important for greater depth p
3. A WelchAllyn Optical Colposcope with Tilt Stand REF 88200 Optical Colposcope with Swing Arm Roller Stand REF 88460 Operating Instruction Manual Table of Contents Warnings and Cautions amicae dota ood reise een 1 General Precauttornis Anuari oso Sager con aae adora dk vt D patie cg Sod a tre fece D t Rat dia 1 Tilt Stand Assembly cas AAA AA AAA EEEE EGNA 2 Swing Arm Universal Mount Assembly 0 000 cece eee enn 3 Height Adjustment of the Swing Arm eese 3 Roller stand Assembly Ha cep A AE ved we PER T E Du da 4 Colposcope Assembly And Operation leen 4 Optical AdjUstMents c esiotsa dan E Re usce e I EI eb 5 Adjustment of Ocular Eye Pieces cler 5 Special EVeDIGCOS Gu cog Sarra ae ee DE dX aut AAA i sad 5 GLeenPIlfels x ese ase tae d ewe hoe he tee ahead tens rM tA M Na Rr t a 5 Adjustment OP TIE casan AE tectae D eee od DD Gd caf dea n aula oe a d da 6 Reversing The Fine Focus Handle 0 0 cece eee hh 6 Resetting The Height Adjustment Handle l l 7 Changing Position Of Transformer bro ri 8 Colposcope Care And Maintenance u ne AAA NOD QUEE TER 8 Lamp Replacement 0 0 cece ee een rn 8 Checking the Lighting System 0 0 cee eee ene hh hs 9 Video Adapter os xs Y Rau EIER AA A a OG 9 Mounting the Video Adapter o ooooococo lh 9 Attaching the Video Camera 0c ccc eh hn 10 Adjusting the Video Device iri sredi nae Aiad rn n
4. ce securely in place and tighten the set screw Green Filters Engage the green filter to enhance the view of blood ves sels by turning the filter knob one quarter turn D Adjustment Of Tilt 4 Remove the screws below the mounting plate next to the Fine Focus Handle 1 Loosen the tilt adjust knob by rotating it counter clockwise F 2 Use the fine focus handle to control the angle of tilt B 3 Use the height adjustment handle to raise or lower the instrument Extension travel is 4 E 4 Secure the tilt adjustment knob when adjustment is complete F 5 Remove the screws which hold the focusing shaft and the tension knob Pull the focusing shaft approxi mately 5 cm 2 inches CAUTION DO NOT REMOVE the grease N from other parts of height adjustments or replace it with any other lubricants Reversing The Fine Focus Handle The fine focusing adjustment handle is preset for left hand use and the height adjustment handle for right hand use To change the fine focusing adjustment for right hand use 1 Unplug the transformer from the outlet 6 Pull the focusing shaft A from adjustment part Remove the tilt axle B by unscrewing the tension 3 Remove the two screws on the under side of the knob mounting plate and remove the optical head from the mounting plate wiggle slightly 2 Unplug the lamp from the optical head 7 Remove the adjustment part from the fork and re inse
5. en 10 Focusing and Adjusting the Multi Mag Video Adapter 0 00 cece eee eee eens 11 Checking the Link Setting of the Video Camera leen 11 Replacement Parts iu toe Aw ed en oe ae Ae XC a on ve Tide Ro od o a aes ead 12 MAMI a timen atu a AE Lp Lr A as adu s da eT seq eet 12 One Year Limited Warranty On New Instruments 0 0000 cece nennen nenn 12 SetVICOu eio ve urs do hs dod redu t mM honda M c EN usata ie ae ue ise OR de 12 Warnings and Cautions WARNING DO NOT use a converter adapter that will convert the three prong AC plug to a two prong line plug The power supply in the colposcope will not be properly grounded and electric shock might result WARNING The lamp operates at a high temperature DO NOT attempt to remove the lamp before allowing it to cool Allow at least five minutes for the lamp to cool before replacing Replace with Welch Allyn lamp 08100 only CAUTION Federal law restricts this device to sale by on the or order of a physi cian or other appropriately licensed medi cal professional CAUTION The device is for OB GYN pur poses only Symbols additional information A AN Warning High temperatures A Risk of fire Replace fuses as Lt LEGO marked A Warning High intensity light Warning Power supply of unit is A energized whenever power cord is plugged in j Caution Consult user s manual for Dangerous Voltage
6. erception at small magnifications Loosen screw K while keeping the knurled screw E tight Gently slide screw K with the round plate back and forth until the object clearly seen on the colposcope also appears clearly focused on the mon itor In addition to the above method a clear focus is obtained on the screen by loosening the knurled screw E and moving the camera assembly in or out to obtain a clear focus on the monitor Once desired focus is achieved re tighten the knurled screw E A Adjust the colposcope s fine focus handle to obtain the greatest clarity on the monitor and compare it with the image seen through the colposcope This entire proce dure should be repeated several times until both images are clear at which point the clamping screw K should be tightened Checking the Link Setting of the Video Camera Multi Magnification Video Adapters Only Perform this procedure only if after following the focus ing procedure the image is not in focus at all three mag nifications of the video adapter It is necessary for an exact link setting of the connection between the C mount and the Video camera in order to obtain a focused image on both the monitor and the col poscope at all 3 magnifications of the video adapter On most video cameras the link setting is adjustable After loosening the clamping screw H unscrew the slotted screw L found on the back surface until the lens barrel J is removed
7. for transposing 3 Cutopen the lamp package at the contact side Pull out the lamp housing containing the halogen bulb Unscrew both screws on the front and take off the front housing Depress the two white leaf springs remove the projector and reverse Colposcope Care And Maintenance When not in use cover the colposcope head with the plastic dust cover provided Clean the lenses with silicon 4 Push the lamp firmly into the socket until you feel treated tissue paper only If Lugol s or any other solution resistance is spilled on the lenses remove IMMEDIATELY using a lens cleaning solution and lens tissue Lugol s solution damages the enamel finish and is very difficult to remove Use alcohol or a weak bleach solution to remove Lugol s from the enamel Lamp Replacement 1 Ld pono einh cosce amp This 5 Push the lamp socket back into place shortens the life span of the lamp 1 Remove the light plug from the transformer light source Checking the Lighting System Turn on the colposcope viewing light Place a thin piece of white paper in front of the viewing lens Verify that a complete white circle is seen If a perfect image is not seen it is necessary to adjust the focus screw for the lamp To do this remove the light plug from the transformer light source A The lamp operates at a high temperature Do not attempt to remove the lamp before allowing it to cool Allow at least five minutes for t
8. from the video adapter HA e TL 4 z Focus the video device on an object at infinity at least 100 meters The image on the monitor is focused by adjusting the link setting knurled screw E of the con nection between the C mount and the video camera After adjusting the link setting of the video camera replace the lens barrel by reversing the procedure described above Recheck the focusing and adjustment of the video device according to the procedure laid out in the sections adjusting and focusing the video adapter If the camera does not allow for the link setting adjust ment then the C mount is already factory adjusted If this is not the case then the video device is only adjust able to fit the camera by Welch Allyn FOR THIS ADJUSTMENT THE COLPOSCOPE IS NOT REQUIRED Replacement Parts Part REF Quantity Lamp 08100 1 Fuse 88427 2 Warranty One Year Limited Warranty On New Instruments Instrumentation purchased new from Welch Allyn Inc Welch Allyn is warranted to be free from original defects in the material and workmanship under normal use and service for a period of one year from the date of first shipment from Welch Allyn This warranty shall be fulfilled by Welch Allyn or its authorized representative repairing or replacing at Welch Allyn s discretion any such defect free of charge for parts and labor Welch Allyn should be notified via telephone of any defective product and
9. he lamp to cool before replacing Replace with Welch Allyn lamp 08100 only Locate the focus screw on the lamp socket If a shadow is seen high or low in the focus area adjust the focus screw as shown Turn screw counter clockwise to correct Turn screw clockwise to correct Video Adapter A The video adapter is factory adjusted when delivered with the colposcope Before mounting check that the video adapter fits to your colposcope Mounting the Video Adapter Standard Colposcope with Multi Mag Video Adapter Remove the three plastic screws A from the Colpo scope head with the allen wrench Attach the mounting plate B onto the front surface of the Standard Colposcope with the 3 M4 Allen screws provided and screw it firmly into the lens socket of the video cam era The video adapter is attached to the mounting plate using the knurled screw C Verify the pilot pins D are in the correct position while tightening Attaching the Video Camera Loosen the top clamping screw E take the C mount barrel F out of the video adapter remove the lens cover To prevent dust from getting into the imager it is sug gested that the camera head is facing down during this procedure Re insert the C mount barrel along with the camera into the video adapter until it goes no further Switch the video on and turn the camera with the C mount until the image on the monitor is in the
10. ing to the desired height until it TT m engages the holes B of the tubular support Then care A rigid connection is required when mounting the swing fully set the Swing Arm down in place stand to an examination table chair For maximum steadi ness mount the clamps as high up and as low down as possible on the vertical support column One ball clamp consists of two halves on which one side is lined with sand paper This side surrounds the leg of the examination chair or clamps onto the table mount provided The other side of the ball clamp attaches to the If the swing stand is mounted to the left side of the black ball examination table chair reverse the light transformer See Changing Position Of Transformer on page 8 NOTE Do not try to protect the chair legs with tape you will not achieve a rigid connection Tighten the bolts of the ball clamps slightly to adjust the tubular support It is important that the tubular support is absolutely vertical Use the bubble level on the top of the tubular support to straighten Now tighten the clamp bolts to get a rigid connection to the examination table chair Finally fix the friction screw in the enameled clamp to avoid torsion The tension screws regulate the tension in the swing joints and are adjustable by using a coin Roller Stand Assembly Use the roller stand with Swing Arm mount for additional mobility of the colposcope Remove the swim arm post A from the sh
11. ipping con tainer Place the adapter B large end first on the post and tighten the set screws with the wrench provided Place the swing arm post A and adapter B into the roller base C Place the two washers on the cap screw Carefully tilt the post assembly and base Secure the cap screw and washers in the bottom of the base assembly C and tighten with the wrench provided Cap Screw Colposcope Assembly And Operation After assembly of the appropriate stand insert the colpo scope head extension tube into the stand Tighten the adjustment knob to adjust the head to a convenient height for colposcopy Verify that the fine height adjust ment handle A is in the middle position On the Swing Arm mount it is possible to change the height of the swing arm see Height Adjustment of the Swing Arm on page 3 IN Use the light transformer with AC 50 60 Hz only Before connecting the unit with the power cord to the wall outlet check that the voltage in the wall outlet is comparable to that written on the name plate of the col poscope Colposcopes in the United States are preset at 125 volts to allow for fluctuations in a 110 volt outlet There are two fuses A located in the power cord input Socket on the transformer These fuses protect against excessive fluctuations in voltage Replacement fuses are included with the replacement bulb Type and rating of fuse are written on the name plate and fuse holder I
12. loser than 19 cm Closer distances have higher irradiance levels and may cause thermal skin injury Short intermittent exposures in and out of the illumination path by the user at closer distances is typical of cervical exami nations Prolonged exposures are not recom mended Tilt Stand Assembly The narrow side of the base plate and transformer must face the operator when in use The operator should place his her feet onto the base plate when using the colpo Lay the Tilt Stand so that as the colposcope head is tilted scope forward and remains stationary without continuing in a forward motion Align the ball joint to base plate with the four bolts and washers Use the socket wrench provided to tighten the four outer bolts securely The adjustment knob A is used for the gross height adjustment of the colposcope Use the red bolt centered on the bottom of the base plate for adjusting the tilt friction of the ball joint Tighten the red bolt to the desired tilt friction so that the colpo Scope head remains stationary or tilts with moderate pressure Clockwise increases tilt friction counter clock wise decreases tilt friction NOTE Do not overtighten the red bolt NOTE The tilting friction of the ball joint may loosen with use Retighten as necessary Swing Arm Universal Height Adjustment of the Swing Arm Lift the Swing Arm up and pull the pin A from the height Mount Assembly fixing ring Place the r
13. ly defined 8 Looking only through the right eye piece adjust by turning the right eye piece ring until the X is sharply defined 9 Look through both eye pieces C to check that the fields converge into a single field Correct slight inter pupillary distance by moving the ocular housings A Once the instrument is focused no additional optical adjustments are needed NOTE When using the instruments for examina tions all further adjustments are made by using the fine focus adjustment handle B Use this handle to tilt the instrument up and down to correspond with the angle of vision through the speculum Adjustment of Ocular Eye Pieces This model has a focusing grid located in the left eye piece housing with one internal double circle and one external single circle for measuring Turn the left eye piece until both circles of the internal double circle are focused Using the fine focusing handle focus on an object Now bring the right eyepiece into focus Located on the outside of the housing is a chart that shows the diameters of the objects within the circles at the differ ent magnifications Special Eyepieces Spectacle users should order flat eye pieces for the ocu lars To replace the ocular eye pieces tilt the colposcope forward With a jewelers screwdriver loosen the set screw located on the knurled eye piece ocular ring and unscrew the eye rest Do not rotate the ocular housings Screw the flat eyepie
14. rt it after reversing so that the shaft is on the right 8 Carefully reset the focusing shaft and axle by follow ing the steps in the reverse order Resetting The Height Adjustment Handle After a period of use the spring tension on the height adjustment may loosen so that the colposcope head falls by itself In this case readjust as follows 1 With the colposcope head extended out of the inser tion tube lift the cap A 2 Under the cap are 2 leaf springs B fixed with 4 screws Tighten these screws evenly so that the small brass wheel C fits on the driving shaft D and does not slide 3 Verify that the wheel and notch in the driving shaft are free of dirt and grease Clean these parts with alcohol CAUTION DO NOT REMOVE the grease from other parts of height adjustments or replace it with any other lubricants Slide the cap A until it snaps back into place Changing Position Of 2 After the lamp has cooled remove the lamp from the lamp socket Transformer The lamp operates at a high temperature Do not attempt to remove the lamp before allowing it to cool Allow at least five minutes for the lamp to cool before replacing Replace with Welch Allyn lamp 08100 only Mount the transformer on the Swing Arm so that the controls are facing the operator Disconnect the power cable and colposcope light cord Unscrew both screws on the reverse side of the trans former and take it out of the frame
15. t is possible to plug the light cable from the colposcope head into the corresponding socket of the transformer The colposcope is now ready to use Turn on the obser vation light A and use the rheostat B to regulate light intensity A e e Optical Adjustments 1 Mark a small X on a piece of paper Place the paper in the patient location area Move the colposcope to roughly 12 from the paper Stand or sit behind the colposcope as if performing an examination If the Tilt Stand is used firmly place the operator s feet on the base of the stand See page 2 4 Setthe 0 on the ocular eye pieces to match the dots on the corresponding housing A NOTE It is better to use the colposcope without glasses making the necessary allowances with the optics of the instrument However in case of a heavy astigmatism special eye pieces can be ordered see Special Eye pieces on page 5 5 Adjust the spacing of the eye pieces C by gently moving the ocular housings A back and forth until the desired interpupillary distance is achieved 6 Turn the instrument on and look through the eye pieces C to make a gross focusing adjustment by moving the entire colposcope forward and backward to locate the prepared X in the 15mm diameter field of light Use the rheostat knob to adjust the light intensity 7 Looking only through the left eye piece rotate the fine focusing handle B until the image of the X is sharp
16. the item should be immediately returned securely packaged and postage prepaid to Welch Allyn Loss or damage in shipment shall be at pur chaser s risk Welch Allyn will not be responsible for loss associated with the use of any Welch Allyn product that 1 has had the serial number defaced 2 has been repaired by any one other than an authorized Welch Allyn Service Repre sentative 3 has been altered or 4 has been used in a manner other than in accordance with instructions THIS WARRANTY IS EXCLUSIVE AND IN LIEU OF ANY IMPLIED WARRANTY OF MERCHANTABILITY FITNESS FOR PARTICULAR PURPOSE OR OTHER WARRANTY OF QUALITY WHETHER EXPRESSED OR IMPLIED WELCH ALLYN WILL NOT BE LIABLE FOR ANY INCI DENTAL OR CONSEQUENTIAL DAMAGES If you have questions regarding any Welch Allyn prod ucts please call Customer Service at 800 535 6663 315 685 4100 or FAX 315 685 4653 Service Customers with instruments requiring service should contact the Welch Allyn Technical Service Department at 800 535 6663 315 685 4100 or FAX 315 685 4653 WelchAltyn 4341 State Street Road Skaneateles Falls NY 13153 U S A Tel 1 315 685 4560 or 1 800 535 6663 Fax 1 315 685 3361 Printed in the USA 882024 Rev C
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