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Coagulation Cords are available in disposable and reusable configurations. See your Alcon representative for a complete listing of products and accessories. Figure Single use bipolar brush 2. The type of FMS inserted is automatically identified by the system when it is inserted into the fluidics module. Inserting the FMS into the console fluidics module establishes fluidics system connections, contributing to quick and easy surgical setup.
The aspiration line has a blue stripe. The aspiration line is tinted blue. This solution is emitted in warm high energy pulses from the tip of the handpiece. To remove the bottle, press it in and turn counterclockwise before pulling it out from its receptacle. Please contact your Alcon Sales representative for complete up-to-date listings, and for in-service information prior to initial use of Alcon paks.
It is important to read and understand the DFU's prior to use. The equipment used in conjunction with the Alcon disposables constitutes a complete surgical system. Several tip designs are available. The cover is used to form a pouch in the tray to provide storage for the handpiece and tubing during surgery. Test Chamber - The test chamber is a small elastomeric cap that fits over the handpiece tip to facilitate a functional irrigation and aspiration check of the handpiece and instrument prior to surgery.
The text below describes the Standard IVO. The IVO is powered by an external power supply. Figure VideOverlay Front Panel 2. Ensure electric power to all systems is turned OFF.
Attach the 12 V end of the external power supply to the IVO system. Attach the appropriate wall outlet adapter USA, United Kingdom, Australia, or Europe to the AC end of the external power supply, and plug it into an appropriate wall outlet see Figure Appropriate cables should be used to configure the IVO. Do not use an adapter cable to connect the camera output to the VideOverlay S-Video input or loss of color will occur. The video output selected must be the same configuration as that used for the video input Composite or S-Video.
If the video input and output cables are connected properly, the microscope camera image will appear on the monitor. Observe the monitor video display. If the system does not operate correctly, contact an Alcon Technical Service representative.
For ease of viewing the display panel swivels and rotates, and it folds down into a protected position for storage. Control buttons are located within the active touch screen area. Activation of a valid touchscreen button or remote control button results in a valid key tone; an invalid button results in an invalid key tone, and sometimes its icon symbol is ghosted to indicate an invalid function.
There are three types of display screens: the Setup screen, Surgery screens, and Dialogs. Pressing the touch screen buttons or footswitch or remote control allows the user to adjust the settings for his current step. Dialogs enable the user to view and modify system settings, doctor settings, and some surgical settings. There is another class of dialogs that are displayed when the user needs to be advised or warned of a situation, or to indicate progress on a function in the Setup screen.
The Setup screen is divided into three sections. Main Window The Main Window consists of buttons and readouts that are used to set up the system and then perform surgery see Figure When pressed, and also when system is first turned on, this button displays a drop list of all the doctors entered in the system.
The first doctor at the top of the list is the Alcon Settings doctor, which contains all the Alcon defaults. Listed in the second position from the top is the Add Doctor selection which allows the user to add a new doctor to the list. The remaining doctors will be listed with the most-recently-selected doctor in the third position from the top, or if enabled in the Custom!
System drop list menu, alphabetically. The tip and procedure change to those last used by the doctor for the selected handpiece. The procedure changes to that last used by the doctor for the selected surgical handpiece and tip.
Add Doctor When Add Doctor is selected from the doctor drop list, a dialog window with keyboard appears. When a new doctor is successfully saved, he becomes the current doctor and is entered in the third position from the top, or if enabled in the Custom!
Pressing this button displays a drop list of available surgical handpieces. The current surgical steps in the Surgery Menu are replaced with the steps associated with the newly selected procedure, and the first step is entered.
During setup, the handpiece selection will automatically correspond to the installed handpiece. Automatic selection of the handpiece is disabled when the case is started. There is a third connector for an AquaLn. Remove a handpiece. When pressed, ————— this button displays a drop list of available tips for the selected handpiece.
If the dialog is canceled, the surgical tip is not changed. Each doctor selects the available tips offered at the top of the surgery screen for the selected handpiece. Procedure Type The Procedure Type button displays the currently-selected surgical procedure name.
When pressed, this button displays a drop list of the available procedures for the selected handpiece tip. If the dialog is canceled, the procedure is not changed. When selected, this button displays a drop list of the four cataract grades. Continuous irrigation can also be activated several other ways as described on the next page.
Avoid setting the patient above the FMS. Operating with the patient above the FMS will result in a lower irrigation pressure than indicated on the display, and possible underventing. The adjustment arrows are pressed to adjust the IV pole height, and thus change the irrigation pressure value and readout.
Default bottle height is 95 cm above the center of the round aspiration pressure sensor in the FMS. PEL is measured from the aspiration pressure sensor to the patient's eye.
The console's irrigation valve is normally closed when the fluidic interface device is inserted. In most modes of operation irrigation begins flowing when the footpedal transitions from position 0 to position 1.
Irrigation pressure is increased or decreased by raising or lowering the IV pole that holds the irrigation bottle. Maximum bottle height of cm results in maximum irrigation pressure. In the event of power loss, bottle position is maintained; however, if the unit is turned off using the Standby switch, the IV pole automatically retracts to its storage position.
Continuous Irrigation Continuous irrigation is available in all applicable surgical steps and allows for continuous irrigation of the eye during surgery by opening thearrigation valve. Changing a doctor or handpiece shuts off continuous irrigation, allowing exchange of irrigation and aspiration tubing between handpieces without loss of irrigation solution.
Continuous irrigation is not available in Setup or Coagulation modes. The continuous irrigation feature is normally turned off. Continuous irrigation can be toggled from "Irrigation" to "Continuous Irrigation" and back to "Irrigation" again by using the four methods described below: Press the bottle height readout on the display.
Use the remote control's Parameter Selection button to select the Irrigation window on the display, then press the Enter key on the remote control. Program a footswitch button for the Continuous Irrigation function, then press down on the designated footswitch button. It can be turned off using one of the other three methods. When the Metrics box is pressed, the Metrics dialog is displayed, and the metrics readouts can be reset to 0.
The display will close when Reset is pressed. Phaco Phaco Time: Total time phaco power was active. This records the phaco On-time, displayed in minutes and seconds. Average Phaco Power: Average phaco power over the time when phaco power was applied. Average Phaco Power in Position 3: Average phaco power over the time when phaco power was applied in footpedal position 3. Torsional Torsional Time: Total time torsional power was active. This records the torsional On-time in minutes and seconds.
Average Torsional Amplitude: Average torsional amplitude over the time when torsional power was applied. Average Torsional Amplitude in Position 3: Average torsional amplitude over the time when torsional power was applied in footpedal position 3. Fluidics Aspiration Time: Total time the system was aspirating. Estimated Fluid Used: An estimation of the volume of fluid aspirated based on system settings and time. This takes into account the burst control which sets the duty cycle. Case Time: The timer starts Case Begin when first step is chosen and footpedal is depressed.
The timer pauses when system is placed in Set-up mode Case is Inactive. The current footpedal position 0,1,2, or 3 is displayed in the center of the footswitch. These dialogs allow the user to view and modify the current settings of the footswitch. Switching between the Buttons and Treadle dialogs is performed by pressing the corresponding tab on the viewing screen.
Pressing a button next to a switch activates a drop-down list, as shown in these images, with functions that can be selected for that footswitch button. The buttons on the screen allow you to adjust the treadle settings to your own personal preferences. Button Selection On Vibration active during upward and downward treadle movement. When the first set of arrow keys is used to increase or decrease the span 2 start position, span 1 is increased or decreased By the same amount.
When the first set of arrow keys is used to increase or decrease the span 2 start position, span 2 is decreased or increased by the same amount. When the second set of arrow keys is used to increase or decrease the span 3 start position, span 3 is decreased or increased by the same amount.
When the Custom button is pressed, a drop list menu appears with the following options see Figure When one of the options is selected from the menu, the respective dialog for that option is displayed and the drop list menu disappears. If no selection is made, the drop list menu disappears after about five seconds. The following describes the purpose of each drop list menu item, the function of the controls in its dialog, and how the selections are invoked. Doctor The Doctor Settings dialog is invoked when the user presses Doctor on the Custom drop list menu see Figure The Doctor Settings dialog enables the user to view and modify surgeon preferences for the currently-selected doctor.
The dialog has Save and Cancel buttons. When Save is selected, all settings changed since the dialog was invoked are saved to persistent storage, the doctor dialog closes, and the settings take immediate effect. If the current doctor is the Alcon Settings default, the changes take immediate effect, but they are not saved to persistent storage; the changes are temporary.
If Cancel is selected, the whole doctor dialog closes and the system returns to its prior settings. When Continuous Irrigation is set to On enabled , continuous irrigation will be active following the first footpedal depression.
When transitioning to another step of the same surgical type, continuous irrigation remains activated. When transitioning to a step that is a different surgical type, continuous irrigation is inactivated but then re-activated when the footpedal is depressed except for Coagulation.
Irrigation Off tone will sound when transitioning from footpedal position 1 to 0. This feature is mutually exclusive with Continuous Irrigation, as both cannot be enabled at the same time.
The user can manually change the irrigation pressure using the remote, footswitch buttons, or touchscreen buttons. If the user manually changes the irrigation pressure while in the Surgery mode, the new irrigation pressure value will be maintained until the surgery ends. Manual changes to irrigation pressure will not be savecl to the doctor database. When Surgery mode is re-entered, the irrigation pressure will revert back to the value being maintained for Vitrectomy Irrigation Pressure Maintenance.
The IV pole height will be automatically moved when a Fill step is activated. This automated screen assists the user through the proper set up and test of the selected vitrectomy probe. If the doctor does not want the screen to guide him through the vitrectomy handpiece setup procedure when the Anterior Vitrectomy step is entered, press the Off button.
This feature is illustrated in the Figure The top portion depicts the pulse sequence in which torsional comes before phaco; the bottom portion depicts the sequence in which phaco comes before torsional. There are three settings: 0,1, and 2. Zero is the default which provides unmodified venting performance.
Settings 1 and 2 increase the net pressure experienced at the handpiece tip after a vent. Selecting this tab allows the user to select default settings for the active surgeon, shown in the upper right corner of the screen in this case the active surgeon is Alcon Settings. Enabling the options in this screen will activate the selected Handpiece, Tip, and Procedure each time the associated doctor name is activated. If Defaults are not enabled, the doctor's settings will return to those "last used.
These phaco pulses are applied at 10 pulses per second until either the vacuum level falls below the threshold or the total accumulated pulse time exceeds mS.
This ratio is expressed as a decimal fraction and ranges from 0. If there are no unsaved changes, the Save button is disabled.
If the Save button is pressed, the changes are saved to the current doctor. If Discard Changes is selected, the unsaved changes to the surgical parameters for the current doctor will be discarded and the dialog will be closed. If Cancel is selected, surgical parameters will not be saved to the current doctor and the dialog will close. The Alcon Settings doctor is the factory default and cannot be permanently. If the Save As button is pressed, a keyboard appears allowing the user to add a new doctor.
Once the new doctor is added, the changes are saved to the new doctor. Settings can be saved for up to doctors. If Discard Changes is selected, the unsaved changes will be discarded and the dialog will be closed. If Cancel is selected, changes will not be saved and the dialog will close.
These settings include 1 surgical parameters for handpieces, tips, procedures, and steps; and 2 doctor preferences. The destination pane cannot be similarly manipulated. The Info Window, immediately below each hierarchy, provides additional information about the selected hierarchy level. Backup data from Infinite console to data card. Select Ultrasound Continuous, and set Power Limit to The dialog "Save changes to the surgical step parameters of the current doctor?
Press the Save button to save new doctor settings. The dialog "Delete selected doctor setting? It is currently in use" appears. Press the OK button. The dialog "Delete doctor backup on Data Card" appears. The level under Doctors is the doctor backup name, and all doctors that have been individually backed up are displayed.
When the doctor name is selected, there is a third level which may be a handpiece, step, or preference. When phaco tip is selected, the fifth level is a phaco procedure, and the sixth level is a phaco step. Touching this button hides all lower levels, making the label at that level the selected label. Touching this button opens the node selection drop-down menu for the next lower level. Label Selection Button? Each hierarchy level is a button which displays a drop-down menu of possible labels for that level when touched.
Selecting an item from this list collapses all lower levels, changes to the selected label, and opens the drop-down menu for the next lower level.
The system provides a visual indication in all levels to indicate there are unsaved parameters. When the Copy button is touched the action taken is determined by the source and destination. The button is labeled Copy when the source node is a surgeon, and the destination node is a surgeon. If a Backup doctor node or doctor node is Selected, the Info Pane displays the date and time at which the parameters were archived and the software release.
If the selected node has lower level nodes, the Info Pane provides a preview of the lower level nodes. Source Node Manipulation Buttons? The destination node cannot be similarly manipulated. The sequence, names, icons, and number of steps can be manipulated in this dialog using its Delete, Rename, Add As, and Edit buttons. Typing in a new name will replace the old name. System settings apply to all doctors, and remain in effect until modified; the settings are not lost when the system is powered down.
The System Settings dialog has a Save button and a Cancel button. If Save is selected, the current settings are saved to persistent storage, the dialog closes, and the settings take immediate effect.
If Cancel is selected, the dialog closes and any changes made to the system settings are neglected. To change the remote channel, press the Remote Channel button to bring up the remote control graphic with instructions to change the remote channel; this screen must be displayed while changing the remote channel. The newly-selected remote channel takes effect immediately.
Pressing Cancel on the System Settings dialog returns the system to its previously-saved remote channel. This extender has two hooks. Use of the upper hook extends the upper and lower limits of the IV pole by 32 cm increased from cm to cm, and 13 cm to 45 cm.
The maximum PEL is cm. Use of the IV pole extender applies to all users. Once the extender is physically attached to the system it must be enabled through the System Settings dialog, and the upper hook must be used by all users. There is no need to adjust the PEL setting to account for the extender. When Installed is selected, the Maximum Pole Height setting feature is enabled, allowing the user to adjust the IV pole maximum height.
This feature is used to protect against inadvertent damage to overhead structures. Manually lowering the IV bottle to the lower hook will introduce an error in the displayed height indication and negatively impact the performance of the Infusion Pressure Drop detection feature, causing false indications at low bottle levels.
Alphabetize Doctor Menu When enabled, the doctor names presented in a drop list at the top of the Setup and Surgery screens are alphabetized, starting after Alcon Settings and Add Doctor. If not enabled, the doctor last-used is presented after Alcon Settings and Add Doctor. Irrigation Fill When enabled, irrigation is activated without reflux to fill handpiece. The result is that the Irrigation Fill step replaces the Fill step, in all instances, for all users of the console.
The Sound dialog enables the surgeon to set a volume level for all tones and voice confirmations. The volume levels are set individually. When an individual button is selected, the volume level adjustment will pertain only to the selected tone. Pressing the Play Sound button emits a sample of the volume level selected.
Figure Sound Settings Dialog 1. When enabled, a button in the surgery screen's horizontal Adjust bar indicates whether occlusion watch is off or on, and user is able to press this button to turn it on or off. The About dialog displays the software and hardware revisions for system mechanisms, is for display only, and may not be modified by the user.
Pressing OK closes the About dialog and returns the system to its prior state. Alcon Settinos OZii : : 0. C JJVPale Pressing the Cancel button in the dialog returns the system to its prior state; pressing OK turns standby power off.
Setup Status Window This area of the Setup Screen is used to display current system status during the setup phase of operation, and is for display only see Figure This area is also used for pictures to help the user perform a procedure i. If the test fails, a dialog is displayed and the FMS is rejected. The Test Handpiece button is not available until the system is primed and a valid handpiece is connected to the system. Setup Steps This area of the Setup Window is used for initiating setup functions as well as activating the surgery screen see Figure At power-up the system enters the grayed-out Setup Screen with the Doctor Name dropdown list displayed.
One of the doctor names must be selected to continue with the system setup. Not following the directions could lead to priming failures. Once the prime sequence is initiated it can be aborted by pressing Cancel or by removing the FMS. Setup Steps 3. Pressing the Fill Button activates the fluidics system to fill the handpiece. Also displayed is a dialog with a Cancel button and an Advance To Test button. Note that the Advance to Test button is ghosted if the conditions for testing are not met.
Once the fill sequence is initiated it can be aborted by pressing Cancel or by removing the FMS, whereby the Fill dialog closes and the Fill Button remains highlighted.
If Advance To Test is pressed, or if the system is left to proceed to completion, the Fill dialog closes and the Test Handpiece function is selected. The Fill step activates both irrigation and reflux to clear air bubbles from the fluidics system.
If Irrigation Fill is enabled, irrigation is activated without reflux. When the Test Handpiece button is selected the test handpiece dialog will display progress of the flow check with a vacuum bar as well as the actual vacuum value. A Cancel button also appears. Once the test sequence is initiated, it can be aborted by the user by pressing Cancel or removing the FMS, or it can be left to proceed to completion.
Upon successful completion of the handpiece test sequence, the system exits the Setup Screen and enters the appropriate Surgery Screen. Surgery Irrigation Fill 2. Depending on the handpiece, procedure type, and surgery step selected, the Surgery Screen is updated with the buttons and surgical parameters corresponding to the selections.
Depending on the active surgery step, the buttons available in the Main Window vary; however, the behavior of a button is consistent, regardless of the surgery step from which it is pressed. Main Window 2. Surgery Control Window 3. Other modes of operation look similar to this, but may have more or fewer buttons and surgical parameters corresponding to the surgery step. Their descriptions, except for Metrics, are the same as in the Setup Screen.
Surgical parameters are situated above and below the bar. Parameters related to the fluidics, vacuum, and aspiration flow rate are located below the bar. Parameters related to the chosen mode, for example ultrasound power, are located above the bar. Parameters above the bar are independent of the fluidics parameters.
The content of these areas is determined by the active surgical step. The actual values for certain parameters are shown using Display Bars.
With the exception of the Vacuum parameter, the upper limits of the Display Bars are equal to their maximum settings. Surgery Control Window "S V. Mode Button 2. Depending on the mode of operation, the Adjust Button is used to adjust other settings. During surgery the user may change surgical parameters in any of the steps. Any parameter changes made may be explicitly saved by the user using the Save option in the Custom drop list.
Powering down the system automatically dismisses any unsaved changes. These parameters are always vacuum and aspiration and are independent of the Surgery Controls.
Fluidics Controls are available in all steps but Coagulation. The surgery controls available are dependent on the type of lens removal step and mode selected. The Mode button in the top-center of this area displays the current mode continuous, pulse, custom pulse, burst for the step. The mode can be changed by pressing the Mode Button and selecting another from a drop list.
Listed here are the operating parameters in the surgery controls section for identified surgical modes. This lower limit can be set between 0 and the upper limit. Once a linear footpedal position is entered, the parameter starts at the lower limit and increases to the upper limit at the end of that footpedal position. To adjust the lower limit, touch the active bar graph; an adjustment window appears on top of the value being adjusted see Figure Press the up and down arrows to select the desired lower limit setting, then press OK.
Lower and upper limits can both be adjusted in this window. The upper limit can also be adjusted in the surgery screen without entering this adjustment window. The lower limit setting is shown in the surgery screen below the lower-left corner of the bar graph. Alcon Settings j OZii 0. Adjust Button and Information Bar When the Adjust button is pressed, the Display Bar is depicted with buttons representing the current settings of each of the Adjust parameters.
The Adjust parameters may be changed at this time. If the parameter is a drop down type, when the parameter button is pressed, a drop down list appears and the user can select the option desired. If the parameter is a toggle type, when the parameter button is pressed, the value will be toggled. The Display Bar can be removed manually by pressing the Adjust Button again, or by waiting five seconds and it will be disappear automatically.
The Display Bar is available in all surgery steps except Coagulation. Dynamic Rise - The value in the display bar indicates the current rise time for the aspiration pump rate adjustment at occlusion onset.
The Dynamic Rise setting can vary from -2 to 4, in increments of 1. When Dynamic Rise -2 is displayed in the Adjust Bar, it indicates that the rise time in aspiration pump rate adjustment is 2.
When Dynamic Rise 4 is displayed in the Adjust Bar, it indicates that the rise time in aspiration pump rate adjustment is fastest. The Alcon default setting is 0. This may cause chamber shallowing or collapse which may result in patient injury.
AqL Occlusion menu. When enabled it can be turned on and off in this information bar. When Occlusion Watch On is displayed in the Adjust Bar, it indicates that auto-attenuation of occlusion-based power is active. When Occlusion Watch Off is displayed in the Adjust Bar, it indicates that auto-attenuation of occlusion-based power is inactive. This parameter is displayed in the upper portion of the Surgery Control Window. This window also contains a mode indicator showing Coagulation. Surgery Menu The Surgery Menu consists of the buttons at the very bottom of the surgery display see Figure These buttons represent all the surgery steps for the currently selected surgery mode, plus a Setup button to quickly return to the Setup screen.
The Surgery Menu allows up to 10 visible buttons across the bottom of the surgery display screen. The last two buttons are for the coagulation and anterior vitrectomy steps. The lens removal steps correspond to the selected tip, procedure, and handpiece. When selecting the step that is furthest left e. The buttons in this area allow the surgeon to control the surgical step progression.
To enter the Setup screen the footpedal must be released, and the footswitch buttons must not be activated. In addition, the Surgery Main Window is updated with the buttons that are applicable for the selected step.
A step change into Coag or Vit is allowed with the footpedal depressed, but the footpedal must be released to exit. Each step allows for the adjustment of surgical parameters such as power, aspiration, and vacuum settings according to doctor preferences. These steps are arranged in sequential order from left to right across the bottom of the screen to provide a complete surgical procedure of different settings associated with different aspects of the procedure.
Complete procedures can be saved for future use without having to re-program the instrument. Coag and Ant Vit steps can be added to the procedural sequence by enabling them from the Doctor Settings dialog see 1. Step changes will result in voice confirmation. Preset operating parameters for each step are programmed into the system as " Alcon Settings. Phaco power is defined as being proportional to ultrasound displacement of the phaco tip. Amplitude of the ultrasound displacement of the phaco tip is proportional to the ultrasound power displayed on the console front panel.
The user has the ability to adjust the aspiration rate, vacuum levels, and phaco power at any time during the surgical procedure via their respective adjustment arrows or remote control. The amount of phaco power delivered to the handpiece is controlled by one of two methods: linear or fixed footpedal control.
In footpedal position 3, power starts at the lower limit and increases linearly until power reaches the upper limit at full footpedal depression. To change the lower and upper limits, press the active power bar to bring up the adjustment window, then press the up or down arrows which will increase or decrease the lower and upper limits. To increase or decrease power, the arrow buttons must be pressed. The selected power is fully activated on transition of the footpedal into and throughout position 3.
Depending on the mode selected the timing can be continuous, or can include moments of rest between power pulses. The Smart Pulse text flickers under the Power bar when power is delivered for less than 20 ms. The power is delivered in bursts, separated by off-times. The timing of the burst and off-times occur for an operator-set duration. The user can adjust the minimum off-time Off ms at the bottom of footpedal position 3 from between to 0 ms 0 ms results in continuous phaco power.
When in footpedal position 3 the readout displays the actual off-time. Smart Pulse When in footpedal position 3, and the duration of ultrasound pulse becomes less than 20 ms, a proprietary algorithm becomes active. This is indicated by the Smart Pulse message appearing on the screen below the Power bar see Figure This low-powered pulse contributes a negligible amount of energy to the procedure, but it allows the electronic equipment to determine the optimum operating parameters for the main power pulse, thus making it more efficient, even for the shortest duration of ultrasound.
The minimum duration of the main pulse in ultrasound is 5 ms; the minimum duration of torsional pulse is 20 ms. When not in footpedal position 3 the user setting is displayed; when in position 3 the actual value reported by the subsystem is displayed. In this mode of operation phaco power and sonic oscillations alternately turn On and Off. Power to the handpiece is controlled by one of two methods: linear or fixed footpedal control.
To change the lower and upper limits, press the active power bar to bring up the adjustment window, then press the up or down arrows which will increase or decrease the lower and upper l imits. At that point sonic oscillations are activated at the Amplitude set on the screen. If phaco power control is fixed, and is lower than the Threshold setting, sonic oscillations will not turn On; alternatively, if phaco power control is fixed, and is higher than the Threshold setting, oscillations turn On when the footpedal enters position 3.
Timing Phaco power and sonic oscillations are delivered to the phaco tip through a variety of timing configurations when in footpedal position 3. Sonic oscillations are applied at the limit value specified in the Amplitude box when phaco power meets or exceeds the power value specified in the Threshold box. The user can adjust the minimum off-time Off ms at the bottom of footpedal position 3 from between to 0 ms 0 ms results in continuous power.
When in footpedal position 3 the readout displays the actual off-time reported by the subsystem. In this mode of operation phaco power and ultrasonic oscillations alternately turn On and Off. Amplitude of the ultrasound and torsional displacement of the phaco tip is proportional to the ultrasound power and torsional amplitude displayed on the console front panel. The user has the ability to adjust the aspiration rate, vacuum levels, phaco power, and torsional amplitude ultrasonic oscillations at any time during the surgical procedure via their respective adjustment arrows or remote control.
Timing Phaco power and ultrasonic oscillations are delivered to the phaco tip through a variety of timing configurations when in footpedal position 3. This allows the user to have continuous torsional ultrasonic oscillations if so desired. The user can select between fixed horizontal button display or linear diagonal button display Phaco Power, and fixed or increasing Torsional Amplitude when in footpedal position 3 by pressing their associated buttons.
The remaining pulse time, or percent time Off, is an off-time. For example, in the figure above the entire cycle of phaco, torsional, and off- time is ms duration because of the selected pulse rate of 10 pps.
The remaining 40 ms is an Off period. Note that the Off period follows application of torsional ultrasound, while torsional ultrasound follows application of phaco immediately with no pause. Duration of the phaco burst is determined by the setting on the panel, for example 30 ms in the figure above; duration of the torsional burst is 70 ms.
Duration of the off-time is determined by the footpedal in position 3. At the beginning it is equal to ms, and gradually reduced as the footpedal is depressed. When the footpedal is depressed all the way, the off-time will be equal to that set on the panel - 30 ms in the given example. This feature has been previously described in the "General Tab" section of the manual.
The system repeats this sequence of events: phaco power on then off-time, ultrasonic oscillations on then off-time. The duration of each is set with the On ms - Limit and Off ms - Limit settings.
The on-time can be fixed at the selected setting throughout position 3, set to increase from one-fifth the set limit ms at the beginning of position 3 to the set limit at the end of position 3 rising diagonal button graphic , or set to decrease from five times ms the set limit at the beginning of position 3 down to the set limit at the end of position 3 falling diagonal button graphic.
When not in footpedal position 3 the user setting is displayed; when in position 3 the actual value is displayed. It is used to intelligently deliver energy combinations of phaco longitudinal power of equal or less magnitude when a programmable vacuum threshold is exceeded. These additional longitudinal pulses are applied only as necessary to enhance the delivery of energy, and continue until the vacuum drops below the Trigger or the maximum number of pulses has been reached.
The advisory instructs the user how to turn it On if desired. To increase or decrease magnitude, press the arrow buttons. The selected magnitude is fully activated on transition of the footpedal into position 3. In footpedal position 3, magnitude starts at the lower limit and increases linearly until power reaches the upper limit at full footpedal depression.
To change the lower and upper limits, press the active control bar to bring up the adjustment window, then press the up or down arrows which will increase or decrease the lower and upper limits.
Depending on the mode selected the timing can be in pulses, or can be in bursts of pulses which include off-times between sets of pulses. PPS can be adjusted in increments of 5 from 10 to 50, and then jumps to Upon transition to footpedal position 3, burst starts at the lower limit and increases linearly until power reaches the upper limit at full footpedal depression. Use of low vacuum limits, lowflow rates, low bottle heights, high power settings, extended power usage, power usage during occlusion conditions beeping tones , failure to sufficiently aspirate viscoelastic prior to using power, excessively tight incisions, and combinations of the above actions may result in significant temperature increases at incision site and inside the eye, and lead to severe thermal eye tissue damage.
Irrigation is provided in footpedal positions 1 and 2; Aspiration is provided in footpedal position 2. To change the lower and upper linear limits in footpedal positon 2, press the active power bar to bring up the adjustment window, then press the up or down arrows which will increase or decrease the lower and upper limits. These parameters are displayed in the portion of the Surgery Control Window below the Adjust bar. The Surgery Control Window above the Adjust bar does not contain any surgical parameters, but does contain an indication of the step type i.
Vacuum Control The operator can adjust the vacuum limit using the front display panel or the remote. The upper vacuum limit is the set vacuum limit displayed. Aspiration Control The operator can adjust the aspiration limit using the front display panel or the remote. When transitioned into the Fill step, irrigation and reflux will be enabled simultaneously for up to 10 seconds if Irrigation Fill is enabled in System Settings, this step will be Irrigation Fill, and irrigation will be enabled without reflux.
The Coagulation mode provides approximately 1 MHz frequency bipolar coagulation to drive Alcon brush and forceps up to the preset limit upon travel through footpedal position 2. In Coagulation mode there are only two footpedal positions.
In footpedal position 2 coagulation is displayed and an audible tone is initialized. As in all other steps, settings in Coag are retained in memory so that when re-entering the Coagulation step, the previous settings are displayed. Power begins when entering footpedal position 2 and ends when the footpedal is fully depressed.
The currently-selected vitrectomy probe is displayed in a button at the top of the vitrectomy surgery screen. When pressed, a drop down list of available vitrectomy probes appears. When a probe is selected the drop down list collapses and the selected probe is displayed.
A switch on the footswitch may be assigned to enable and disable the Vit Cutter the left horizontal switch is an exception. The assigned Vit Cutter switch may be pressed in footpedal positions 1,2, or 3, and the function takes effect immediately.
The operator can adjust the preset aspiration and vacuum limits using the adjustment control buttons on the control panel or on the remote control. This setup screen assists the user through the proper set up and test of the selected probe. After performing a procedural step, pressing the Next Step button brings up the screen for the next step. The Fill button allows the user to prime the irrigation and aspiration tubings and fill a test vessel for proper testing of the probe.
Pressing the Test button initiates an automated test sequence which verifies secure pneumatic connections, then applies pneumatic activation at a reduced cut rate for visual verification of probe cutting. Figure Vitrectomy Setup Screen 2. The steps on the following pages cover preparation for cataract lens removal surgery including irrigation and aspiration, coagulation, and vitrectomy using Alcon-supplied paks.
The procedures are divided into two columns and presume a surgical team of three people: Surgeon and Scrub Nurse in the sterile field, and a Circulating Nurse in the non-sterile field. In the left column a directive is given; in the right column the responsible team member is identified. Any problems pertaining to setup and check-out procedures should first be directed to the Troubleshooting section of this manual.
If questions still exist, contact the Alcon Technical Services Department or your local Alcon representative. Many of these are checked during the power up procedure. Upon successful completion of the self-tests, the system enters the Setup screen. Matching the red dot on the footswitch cable connector to the red dot on the footswitch, plug cable into footswitch.
Place footswitch on the floor. Plug main power cord into a suitable wall outlet or receptacle. Turn Power switch ON located at the bottom of the rear panel next to the power cord this switch remains ON in the I position. Turn system power ON using the Standby switch located at the top of the rear panel.
Extend the IV pole hook. Do not extend while IV pole is in motion. The grayed-out Setup screen appears with the Doctor Name dropdown list displayed. Press a Doctor Name button Alcon Settings to select an available doctor, or add a doctor by following the steps presented on the display. If desired, select a Handpiece, Tip, and Procedure Type.
Sterilize the instruments according to hospital procedure. Allow handpiece to air cool after steam autoclave at least 15 minutes. Never immerse in liquid to cool. Extend instrument tray out from the right or left side of console. Pull to extend wire loop on tray. If remote control is to be used during surgery, place it in the instrument tray well. Verify remote control is functional by slightly raising or lowering the IV pole. Drape the tray support cover over the tray, remote control, and support arm.
Push tray support cover downward through open wire loop to form pouch. Hold FMS by handle, angle it toward the lip on bottom of fluidic module, and press top forward to insert into housing, all in one motion.
Ensure that the drain bag hangs freely, and that tubing does not fall out of pouch. Remove band from irrigation drip chamber tubing and aseptically present drip chamber to Circulator.
Accept the drip chamber. Spike the irrigation bottle and hang it from the irrigation pole. To avoid stretching drip chamber tubing, and possibly pulling drip chamber out of bottle, tubing must hang freely with no interference on left side of console. Connect the blue aspiration tubing luer to the white irrigation tubing luer. The setup screen is automatically entered at startup or upon removal of the FMS after completion of a procedure.
If not in setup screen, press the Setup button, or access the setup screen via the remote control. The IV pole automatically goes to the priming position and the system performs three functions: prime, vacuum test, and vent test. NOTE: After completion of priming, the vacuum test is performed. This is immediately followed by a vent test. If the vacuum or vent test is not successful the system will display an t advisory.
Tighten firmly using the tip wrench. Remove tip wrench and retain for future tip removal. Match the proper color coding between the tip and sleeve. Adjust sleeve so it clears bevel on tip by approximately mm, and orient port holes correctly. Remove protective cap from connector by retracting the sheath of Scrub Nurse the connector and releasing cap.
Figure Protective Cap Removal Hold handpiece with tip pointed down into test chamber. Fill test chamber completely and slide it over end of handpiece. Ensure no air bubbles are present in test chamber. Press handpiece into tray pouch with tip pointed up. Ensure tubing is not kinked. If stream of fluid is weak or absent while filling test chamber, good fluidics response will be jeopardized. When using a bimanual procedure, ensure the irrigation handpiece and settings have sufficient flow characteristics.
Use of irrigation handpieces or settings with insufficient flow characteristics may result in a fluidic imbalance and may cause a shallowing or collapsing of the anterior chamber. Press Enter on the remote control or Circulator press Test Handpiece on the setup screen. After a very brief and successful tuning of the handpiece, flow check will follow automatically.
After a successful flow check, the tune status indicator will change from Not Tuned red to Tuned green. The system will then advance to the surgery screen.
The IV pole returns to its last selected height, but if no memory has been selected it returns to its default position. Good clinical practice dictates testing for adequate irrigation, aspiration flow, reflux, and operation as applicable for each handpiece prior to entering eye. Scrub Nurse or Circulating Nurse 3. If remote control is to be used during surgery, place it in the surgical tray well. Push drape downward through open wire loop to form pouch.
Hold FMS by handle, angle it toward the lip on bottom of fluidic interface module, and top press forward to insert into housing, all in one motion. When inserting bottle, etched arrow on bottle must be in alignment with top of receptacle.
Connect the blue aspiration line luer to the white irrigation line luer. If not in setup screen, press the Setup button. After completion of priming, the vacuum test is performed.
If the vacuum or vent test is not successful the system will display an advisory. Circulating Nurse Scrub Nurse 3. Adjust sleeve so it clears bevel on tip by approximately 1 mm, and orient port holes correctly. Remove protective cap from connector by retracting the sheath of the connector and releasing cap.
Press Enter on the remote control or Circulator press Fill on the setup screen. Ensure that tubing is not kinked. The system will advance to the surgery screen. If the handpiece test chamber is collapsed after tuning, there is a potential of low irrigation flow through the handpiece and may?
Orient the t irrigation port holes on the sleeve. Press Fill until fluid streams from both irrigation and aspiration ports if Irrigation Fill is enabled in System Settings, fluid will only stream from irrigation port. Ensure no air bubbles remain in irrigation or aspiration pathways before continuing procedure.
Verity probe type. Step 4. Connect irrigating canmUss, U. Press niHhf. Press Errit. After performing a set up step, pressing the Next Step button brings up the screen for the next step. The Fill button allows the user to prime the probe and to fill a test vessel for proper testing of the probe.
Pressing the Test button initiates an automated test sequence which verifies secure pneumatic connections, then applies pneumatic activation at a reduced cut rate for visual verification of probe actuation. Peel lid and aseptically transfer contents of pak to sterile field. Circulating Nurse 2. Press the Ant Vit step button; the Vitrectomy Setup screen appears.
Press Next Step button. Scrub Nurse 4. Connect aspiration tubing - Disconnect FMS irrigation and aspiration tubing connectors from lens removal handpiece.
Connect FMS blue aspiration tubing connector to probe's blue aspiration tubing connector. Press Fill then press Test - Priming of the vitrectomy probe is required prior to use. With tip of probe and irrigating cannula in a cup of sterile fluid, press the Fill button.
Ensure all air bubbles have been removed from all tubing connected to the probe prior to use. Verify probe actuation - While observing cutting port of probe, held under surface of sterile fluid, press the Test button. The system intitiates an automated test sequence confirming secure connections and facilitates visualization of probe cutter by applying a brief period of reduced cut rater The cutter should fully open and close when actuated.
Press the Exit button. Vitrectomy probe is ready. Afterfilling andtesting, and before surgical use, verify that the probe is properly actuating and aspirating. Peel lid and aseptically transfer contents to sterile field. Press the Ant Vit step button; the vitrectomy surgery screen appears. If desired probe is not displayed in the button at the top of the vitrectomy surgery screen, press the button to select probe being used. Disconnect FMS irrigation and aspiration tubing connectors from lens removal handpiece.
Connect FMS blue aspiration tubing connector to' blue connector of vitrectomy probe. Priming of the vitrectomy probe is required prior to use, and can be performed using one of two methods. Testing of the vitrectomy probe should be performed prior to use. With tip of probe and irrigating cannula in a cup of sterile fluid, depress footpedal to the cut position and observe probe's cutting port to facilitate visualization, reduce cut rate.
The cutter should fully open and close when actuated, and remain open when footpedal is released to position 0. Plug connector into new or sterilized coagulation handpiece.
Coagulation handpiece is ready. Scrub Nurse Scrub Nurse 3. If a problem occurs on the instrument, contact Alcon Technical Support or your local Alcon representative and give details of the breakdown circumstances and effects. If there is an error message, write down the number and message exactly as it appears on the screen. From these elements, a specialized technician will evaluate the problem and determine the maintenance requirements. There are no operator replaceable parts other than the fuse.
Contact Alcon Technical Services for all servicing issues. Remove spike from irrigation bottle and discard tubing. Select OK. IV pole will go down to storage position before unit shuts off. It is located at the bottom of the rear panel above the power cord. Remove any debris see Figure Clean and remove debris from this area under the treadle, and from bottom of footswitch.
Figure Footswitch Cleaning - Clean under rear section of footswitch treadle to remove debris that can interfere with its operation. Apply the cleaner to the towel rather than the touch screen. Call Alco'n Technical Services for assistance. Excessive pressure can result from exceeding drain bag maximum capacity and potentially result in a hazardous condition for the patient. To ensure safe operation of the coagulation function, only approved cables and accessories must be used See your Alcon representative.
Coagulation performance can be guaranteed only when using Alcon components or Alcon-endorsed components. To reduce the risk of accidental burns, caution should always be taken when operating high-frequency surgical equipment. Interference produced by the operation of high-frequency surgical equipment may adversely influence the operation of other electronic equipment.
Accessories should be checked regularly; electrode cables should particularly be checked for possible damage to the insulation. Operation of the coagulation step is limited to extraocular uses only. The lowest power level in coagulation step should always be selected for the. When HF high frequency surgical equipment and physiological monitoring.
Needle monitoring electrodes are not recommended. In all cases, monitoring systems incorporating high frequency current-limiting devices are recommended. The cables to the surgical electrodes should be positioned in such a way that contact with the patient or other leads is avoided.
Temporarily unused active electrodes should be stored so that they are isolated from the patient. The use of flammable anaesthetics or oxidizing gases such as nitrous oxide N2O and oxygen should be avoided if a surgical procedure is carried out in the region of the thorax or the head, unless these agents are sucked away.
Non-flammable agents should be used for cleaning and disinfection wherever possible. Flammable agents used for cleaning or disinfecting, or as solvents of adhesives,. Some materials, for example cotton, wool and gauze, when saturated with oxygen may be ignited by sparks produced in normal use of the HF surgical equipment. Accessories should have a rated voltage equal to or greater than the maximum coagulation output voltage. Do not use the coagulation function on patients with pacemakers or implanted defibrillatory devices.
If electrosurgery is used on patients with implanted cardiac pacemakers or defibrillatory devices or pacemaker electrodes, be aware that irreparable damage to the pacemaker or defibrillatory device and its function may occur and lead to ventricular fibrillation.
Please check with the pacemaker or defibrillatory device manufacturers for their recommendations. Failure of the HF surgical equipment coagulation circuitry could result in an unintended increase of output power.
The Infiniti Vision System uses the word Coagulation in place of Cautery or Diathermy, based on the following definition:. Coagulation - Isolated, bipolar, high frequency current supplied to conductors e.
Current passes between these electrodes, halting bleeding. Abbreviated Coag in some of the text of this operators manual. Do not remove VideOverlay cover; there are no user-serviceable parts inside.
Refer servicing to qualified service personnel. Use only the Alcon-supplied serial cable to connect the Infiniti Vision System. Consumable items used with the Infiniti Vision System during surgery are designed to be used once and then discarded, unless labeled otherwise. It is important to read and under-stand the DFUs prior to use.
Mismatch of consumable components and use of settings not specially adjusted for a particular combination of consumable components may create a patient hazard. Sterile disposable medical devices should not be reused! These components have been designed for one time use only; do not reuse. Potential risk from reuse or reprocessing the following products labeled for single use include: Bipolar Coagulation Instruments - Thermal injury or electrical shock caused by.
Fluid Management Components - Fluid path leaks or obstruction resulting in. Phacoemulsification Tips - Reduced tip cutting performance, presence of tip. Vitreous Cutting Instruments - Reduced vitreous cutting performance, fluid path.
The equipment used in conjunction with the Alcon disposables constitutes a com-plete surgical system. In all cases, the instrument setup instructions contained in the manual should be thoroughly understood prior to using any of the pak configurations.
Do not use the Infiniti Vision System near flammable anesthetics. Avoid spilling BSS solution, or moisture of any kind, around the electrical. Do not push or pull the unit by the display, the tray, or the IV pole. Handles located.
The unit should be pulled and not pushed, especially over elevator and door thresholds. Do not place more than a 20 lb. The USB connector and Infiniti port located on the rear panel are. Route the footswitch cable, power cord and any other cables connected to the Infiniti Vision System to avoid tripping. For product service, please contact Alcons Technical Services Department at the number provided below. Operators experiencing problems with the system should refer to the Operating Instructions and Troubleshooting sections of this manual.
A problem which persists should be referred to the Alcon Technical Services Department or your local authorized service representative. For optimum performance, it is the users responsibility to schedule preventive maintenance service on the system and its accessories a minimum of one time per year.
Additional preventive maintenance may be required based upon system use. Alcons Field Service Engineers are trained and equipped to provide the highest quality of workmanship. Safety performance should be verified by the user e. Ground resistance, leakage current, and dielectric withstand voltage must be checked to appropriate national standard. To avoid unnecessary shipping, please contact your Alcon Technical Services Department prior to return of any system or accessories.
If return of the equipment is deemed necessary, a Return Material Authorization will be issued with appropriate shipping instructions. This warranty applies to the original purchaser of the system, when said system is properly installed, maintained, and operated in accordance with published instructions.
Alcon shall not be obligated to provide services under this warranty for damage to or destruction of systems covered where such damage or destruction is a result of or caused by fire or explosion of any origin, riot, civil commotion, aircraft, war, or any Act of God including, but not limited to lightning, windstorm, hail, flood or an earthquake.
This warranty does not cover damage resulting from service repair or other alteration by any person other than an Alcon-authorized service person, and any warranties provided by Alcon with respect to this equipment shall become void and of no further force and effect if this equipment is serviced by anyone other than Alcon-authorized service personnel.
In particular, Alcon shall have no obligation to replace, repair or credit customers account for the cost of the equipment, which has been subject to service or other alteration by persons other than Alcon-authorized service personnel. The express warranty above is the sole warranty obligation of Alcon, and the remedy provided above is in lieu of any and all other remedies. There are no other agreements, guarantees, or warranties oral or written, expressed or implied including , without limitation, warranties of merchantability or fitness for a particular purpose.
Alcon shall have no liability whatsoever for any incidental or consequential damages arising out of any defect, improper use, or unauthorized service or repair. The consumable products used in conjunction with Alcon instrument products constitute a complete surgical system. Use of consumable products and handpieces other than those manufactured by Alcon may affect system performance and create potential hazards. If it is determined that consumable products or handpieces not manufactured by Alcon have contributed to the malfunction of the equipment during warranty period, service will be provided at prevailing hourly rates.
Resonant Frequency: Use appropriate take-back system see Environmental Considerations in this manual Pb notation, if present, indicates leadcontent greater than 0. The labels on this page are intended for reference only. The system communicates to the user via its Front Panel display, with voice confirmations, and with tones. An automatic self-test is initiated each time system power is turned on. When the system successfully completes the self-test, it automatically goes into the Setup mode.
If the system fails the self-test, an error message is displayed. This section of the manual is broken into two major parts. The first part describes the console and its accessories. All the parts of the system will be described, including the display panel, IV pole, connectors, fluidic interface, footswitch, remote control, and VideOverlay system.
The second part of this section describes the operator interface. This is where the display screens for system setup, surgery, programming, and dialogs are shown. The fluidics module is located at the top of the front panel.
The module allows fast and easy insertion of the Fluidic Management System FMS , and because the module contains all the connections required, surgery can be started without delay. Figure The Console - The console contains all the controls, connectors, and communication devices required by the surgeon to perform cataract lens extraction surgery. Front Display Panel and Touch Screen The front display panel tilts and rotates, allowing easy maneuverability during setup.
For storage and transport the front panel folds down. The front display is the user's main source of system control, allowing fingertip command of system functions. Front Connector Panel The connector panel is located to the right of the fluidics module.
It provides two. Symbols near the connectors facilitate handpiece identification. Figure The Front Connector Panel - The front connector panel allow quick and easy connection of handpieces and consumables. Footswitch Drawer The footswitch drawer is at the bottom of the front panel. When not in use, this. The enhanced Infiniti footswitch, identified by its ribbed rubber footpedal surface and two small holes in its heel, requires that a plastic insert be placed in the bottom of the drawer.
This allows easy insertion and removal of the enhanced footswitch. Two footswitch cable connectors are located behind this drawer. The footswitch cord is also stored in, and exits from, the drawer. Instrument Tray Provides a movable instrument tray within the sterile field. There is a curved metal. The tray is capable of accommodating a variety of positions in the operating room environment: right, left, front and rear of the surgeon as well as the front of the bed.
The tray is height adjustable. The IV pole is used to raise and lower the bottle height, causing irrigation pressure to increase or decrease. The wheels should always be locked when the unit is in use, and unlocked when being moved.
Handles located at the rear and sides of the unit are provided for moving the instrument. The power module is located at the bottom of the rear panel. A standby power switch is located at the top of the rear panel. A hospital grade power cord must be used. Fuse Drawer - Holds fuse. Refer to label on back of system to identify size and type. Failure to comply will void warranty. Data Card Slot A data card e. If system. Inadvertent pressing of Standby switch when system is active will cause unit to shut down.
Figure The Right Side Panel - The right side panel contains the data card slot and one-of-two audio speakers. The left side panel has the other speaker and two accessory drawers.
Audible tones are generated to indicate a change in the operating mode and to alert the operator of certain conditions such as an occluded line. Additionally, a varied pitch tone is generated to audibly indicate vacuum levels; the pitch increases as the vacuum level increases.
Speaker volumes are adjustable via the Custom menus. The Infiniti Vision System can utilize two different Alcon footswitches. The footswitch icon button on the display screen is a graphical representation of the footswitch connected. When connected, the icon's footpedal position 0, 1, 2, or 3 is displayed in the center of the icon, and a triangular arrow appears next to the icon each time a switch is activated.
If a footswitch is not connected, no footpedal position is displayed in the icon. Several functions within the system's operating modes are controlled by the surgeon using the footswitch. The footswitch actions are shown in Figure To program the footswitch, see the Custom feature later on in this section of the operator's manual. Plugging in the Footswitch The footswitch plugs into one-of-two connectors behind the footswitch drawer. To plug in the footswitch follow the directions below. Open the footswitch drawer.
Simultaneously press a metal drawer extension latch on each of two hinges to. Grasping the footswitch cable connector, plug the cable into one of the two. The red dot on the cable connector must be in alignment with the red dot on the console connector, and when the connector is in the correct position it will slide in smoothly.
NOTE: Only one footswitch connector is intended to be used at a time. If both connectors are used at the same time, only the Infiniti footswitch connector is functional. A cable restraint is located on the back of the drawer. Loosen the two screws securing the cable restraint and place the cable through its center.
Replace the cable restraint over the cable and secure it with the two screws. Ensure that a slight amount of excess cable exists between the connector and the restraint.
Loop the cable through the slot in the back of the drawer, then route it through the left or right slot of the cable management system in the front of the drawer. There are high and low slots on each side of the drawer. Footpedal Control Depending on the surgery step, the user may have the option to select linear or. With linear footpedal control, the angle of depression within the pedal range is directly proportional to the parameter output.
The parameter output is 0. Table Table of Footpedal Positions - The footpedal is used by the surgeon to control several surgical fun.
Match case Limit results 1 per page. Author john-weymouth View 1. Tags: surgery controls window surgery screen surgery control window ozil mode of operation infiniti videoverlay surgery modes2 surgery menu neosonix mode of operation. If you have questions, or want additional information, please contact your local Alcon representative or the Alcon Technical Services Department at: Alcon Laboratories, Inc. Federal Law restricts this device to sale by or on the order of a physician.
For Reference Only 1. Following are key features of the Infiniti Vision System: Customized cataract lens removal options: - OZil torsional handpiece with ultrasonic torsional oscillations which can be used exclusively or alternated with traditional phaco.
Several traditional modalities of ultrasonic power control including continuous, pulsed, and burst application of ultrasonic power, as well as duty cycle management. Flat screen, active matrix color LCD with touch screen display that is tiltable and rotatable.
High-tech graphical user interface. Multi-channel wireless remote control. Accessory Equipment Accessory equipment connected to or used with this equipment must be certified according to the respective IEC Standard e. User Information Environmental Considerations The equipment that you have purchased requires the use of natural resources for its production and operation. Pb For Reference Only 1.
The EMC Statement provides guidance on steps to take in case of electromagnetic interference. EMC Statement It is important to install and use the equipment in accordance with the instructions in order to prevent harmful interference with other devices in the vicinity. If this equipment causes harmful interference to other devices determined by turning the equipment off and on , the user is encouraged to try to correct the interference by one or more of the following measures: Reorient or relocate the other device s.
Connect this equipment into an outlet on a circuit different from that to which the other device s is connected. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.
Interference may occur in the vicinity ofequipment marked with following symbol. Ensure that the tubings are not occluded during any phase of operation. Quenching a hot handpiece in water can cause damage and will void warranty. Directing energy toward non-lens material may cause tissue damage. Handpiece Tips Ensure that handpiece tip is fully tightened to the handpiece. Poor clinical performance will result if tip is not secured tightly to the handpiece.
If air bubbles are observed in the aspiration line or exiting the probe tip during priming, replace the probe. If a reduction of cutting capability or vacuum is observed during the surgical procedure, stop immediately and replace the probe. Presurgical Check-out Tests Presurgical check-out tests must be performed as outlined in the Operating Instructions section. Ensure that tubings are not occluded or pinched during any phase of operation. Route the footswitch cable properly to avoid tripping.
High Altitudes Vitrectomy cutting performance may vary at high altitudes. Occlusion Tones Two different occlusion tones intermittent beeping tones during occlusion indicate that the vacuum is near or at its preset limit, and aspiration flow is reduced or stopped to avoid exceeding the limit. Vacuum Tone A vacuum tone is provided. Coagulation Function Listed below are general precautions to be followed when using the Coagulation function: To ensure safe operation of the coagulation function, only approved cables and accessories must be used See your Alcon representative.
The lowest power level in coagulation step should always be selected for the intended purpose. Skin-to-skin contact for example between the arms and body of the patient should be avoided, for example by insertion of dry gauze. When HF high frequency surgical equipment and physiological monitoring equipment are used simultaneously on the same patient, any monitoring electrodes should be placed as far as possible from the surgical electrodes.
Flammable agents used for cleaning or disinfecting, or as solvents of adhesives, should be allowed to evaporate before the application of HF surgery. Cautery, Diathermy, Coagulation Definition The Infiniti Vision System uses the word Coagulation in place of Cautery or Diathermy, based on the following definition: Coagulation - Isolated, bipolar, high frequency current supplied to conductors e.
Do not simultaneously touch the VideOverlay enclosure and the patient. Do not use paks that have exceeded the expiration date.
Potential risk from reuse or reprocessing the following products labeled for single use include: Bipolar Coagulation Instruments - Thermal injury or electrical shock caused by a damaged bipolar instrument, and foreign particle introduction into the eye. Fluid Management Components - Fluid path leaks or obstruction resulting in reduced fluidics performance, and foreign particle introduction into the eye.
Phacoemulsification Tips - Reduced tip cutting performance, presence of tip burrs, fluid path obstruction, and foreign particle introduction into the eye. Vitreous Cutting Instruments - Reduced vitreous cutting performance, fluid path obstruction, and foreign particle introduction into the eye.
Read all package label material printed on the consumable paks prior to their use. Avoid spilling BSS solution, or moisture of any kind, around the electrical handpiece connectors. The USB connector and Infiniti port located on the rear panel are for use by Alcon trained personnel only. Tray support must be set in its stored position when moving instrument. Type BF equipment, providing both theattributes of basic insulation and "floated"isolation. For Reference Only 2. When not in use, this drawer is used to store and protect the footswitch.
There is a curved metal rod on the tray arm that allows for creation of a sterile pouch when used with sterile tray support cover. Accessory Drawers Two drawers allow storage of miscellaneous accessories. The wheels rotate for ease of system mobility, and two wheels have a locking lever to secure the system in place. Handles Handles are located on the sides and back of the instrument, and should always be used to move the unit.
For greater safety and control, the unit should be pulled, not pushed. Equipotential Ground Connector For Service personnel use. Cord Wrap Used to store the power supply cord. Located on the right side of the rear panel. USB Connector - Not used. Serial Connector - Used for VideOverlay.
The error code list will then show up. It will send a very short burst of energy to the tip to test the Handpiece and tightness of the tip. After the HP has been tuned and tested, with the test chamber still attached, Press the foot pedal to the position 3 Fully Depressed and listen for the phaco HP to Hissss. You can squeeze the shaft of the tip between your thumb and index finger and while squeezing very hard, press the foot pedal to position 3.
The tip should get very hot to the touch. If the tip does not get hot or the HP does not Hissss, make sure the system is in phaco mode. Not only do we have parts in stock, this is a little preview of the type of knowledge you gain in our Alcon Training courses. We have IV Poles in stock. Only Alcon can update a system. You will also find out that the Alcon Tech Service will not repair the system in the field. Alcon tech service only will replace the malfunctioning modules.
So if you have a simple problem that can be remedied by replacing a PCB, Alcon will only replace the entire module. Also, not the modules need to be the same software version of the host module for the system to recognize the part.
Please email Araceli for more training information at araceli medisurg. Your email address will not be published.
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WebInfiniti Without OBD II On G20 models, the ECU is located behind the center console. On J30, M30 and Q45 models, the ECU is located behind the RH kick panel. If a malfunction occurs within the ECU/fuel injection system, a diagnostic trouble code may be stored in the ECU and the ‘‘Check Engine’’ lamp will andypickfordmusic.comg: alcon. WebThe Centurion® Vision System is a phacoemulsification device intended to improve surgical control and hit cataract refractive targets. Learn more at MyAlcon today!Missing: infiniti · error codes. WebIf you have questions, or want additional information, please contact your local Alcon representative or the Alcon Technical Services Department at: Alcon Laboratories, Inc. .