User Manual Prima Ent: Operating Surgical Micros

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PRIMA ENT
User Manual
Operating Surgical Microscopy

To ensure proper use of this instrument as well as to avoid injury while operating instrument,
understanding this manual completely before use is highly recommended.
Prima ENT
CONTENTS

1 INTRODUCTION 1

2 SAFETY INSTRUCTIONS 2

3 SPECIAL INSTRUCTIONS 3

4 UNPACKING 4

5 DESCRIPTION OF PARTS 5

6 SYSTEM DIAGRAM 6

7 INSTALLATION 7-8

8 ELECTRICAL CONNECTIONS 9

9 CONTROLS 9

10 INSTRUCTIONS FOR USING THE MICROSCOPE 10

10.1 SETTING UP MICROSCOPE 10

10.2 SETTING UP MAGNIFICATION 10

11 HOW TO FOCUS THE OBJECT 11

12 CHANGING THE OBJECTIVE/EYEPIECE 11

13 REPLACING THE ILLUMINATION SOURCE 11

14 FUSE REPLACEMENT 12

15 ADJUSTMENT OF TENSION WHILE USING ACCESSORIES 12

16 DISINFECTION AND STERILIZATION 12

17 CLEANING AND SERVICING 13

18 TROUBLE SHOOTING TABLE 14-15

19 SPECIFICATION 16-17
Prima ENT
1 INTRODUCTION

The LABOMED Prima ENT is a surgical and diagnostic microscope, which is adaptable for different
surgical needs without compromise to performance.

The microscope provides extremely high optical image quality, good depth of focus and wide field
of view for precise surgery. Illumination control, inbuilt tilt, adjustment of the observation head help
to reduce the surgeon’s work fatigue and allow comfortable use over long period.

Salient features of this Microscope are:

1. The observation head can easily be positioned with the help of suspension arm .

2. An advanced 5-step magnification changer allows an optimal magnification for a particular


surgery from five different magnifications.

3. Cold light illumination with a high intensity 50W LED lamp is provided using a fiber optic guide
for proper illumination. The illumination is further adjustable up to its most suitable brightness
using intensity control knob suitably located at the suspension arm, and is easily approachable
to the surgeon.

4. When the microscope is not in use, the suspension arm can be folded over the main body to
store it compactly.

5. Rigid H-form base with castor wheels provides greater stability as well as mobility to the
instrument.

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Prima ENT
2 SAFETY INSTRUCTIONS

1. This microscope is manufactured according to the safety norms as per CE regulation and
FDA approved .

2 This microscope is intended for use only as prescribed in this manual.

3. Servicing and repairs are allowed through authorized persons only.

4. Replace burnt out fuses by live fuses of the same type only (rated voltage, rated current,
switch – off characteristics.)

5. Use mains plug and mains socket both with protective earth conductors only.

6. Do not use force while fixing cable connections. If the male and female parts do not readily
connect, make sure that they are appropriate for one another. If any of the connectors are
damaged. Please contact the representative.

7. Make sure that inlets and outlets of ventilation system for cooling the housing are open (not
covered).

8. The microscope is built for use in dry rooms only. Take care that no fluids enter the
microscope components. Do not place any fluid-filled container on top of instrument.

9. Microscope is protected against overheating through a thermal cut-off.

10. The manufacturer will not accept any liability for damage caused by unauthorized persons
tampering with the instrument; this will also forfeit any rights to claim warranty.

11. It is recommended to use the instrument only with the accessories supplied. In case you
wish to use other accessory, make sure that LABOMED has certified that its use will not
impair the safety of instrument.

Very important: For identification, service people must know the serial number of the
microscope.

2
Prima ENT
3 SPECIAL INSTRUCTIONS

3.1 Before every use and after re-equipping the instrument

1. Check all Electrical connections.

2. Attach sterilized covers, panels or caps which have been re-moved or opened.

3. Pay special attention to labels on the instrument, such as caution label, warning triangles
with exclamation marks or notes.

4. Do not cover any ventilation openings.

3.2 When instrument is in use

1. Avoid looking directly into the light source, microscope objectives lens or light guide.

2. When the illumination is on, the light guide must be connected at both ends. Otherwise
there is a risk of fire or burn injuries.

3. Any kind of radiations has a detrimental effect on biological tissue. This also applies to
illuminating the surgical field, therefore adjust the brightness and duration of illumination
on the surgical field to the absolute minimum required.

4. Adjust tension of suspension arm as per convenience.

3.3 After every use of the instrument

1. Switch off the Mains supply to the instrument.

2. When the microscope is not in use, the suspension arm can be folded over the main body
for compact storage.

3
Prima ENT
4 UNPACKING
The appliance is delivered in sub-assembled groups along with one set of Installation Kit
and one instruction / service manual.

Please check following at the time of unpacking:

1. Mobile supporting base with brakes on castor wheels, or the type of mounting
system

2. Column, depending on the type of mount ordered

3. Swivel arm and Suspension arm assembly with fibre optic cable and illumination
assembly

4. Cover for swivel arm (pre-fitted to the microscope)

5. Inclined arm with magni-changer assembly and objective (as ordered)

6. Observation Head, as ordered

7. Paired Eye Pieces, as ordered

8. Power Cord

9. Set of sterilizable caps

10. Installation Kit

a) Allen Wrench 5.00mm

b) Allen Wrench 8.00mm

11. Operating Manual

4
Prima ENT
5 DESCRIPTION OF PARTS

13
4
5 11

7 9
8
12 10
14
18
15

3 16

17

Fig. 1

1. Wheel with brake 2. Metal base


3. Column 4. Swivel arm
5. Suspension arm 6. Swivel arm locking knob
7. Suspension arm movement locking knob 8. Coupling movement locking knob
9. Inclined coupling 10. Inclined coupling movement knob
11. Suspension arm hydraulic movement lock 12. Suspension arm spring tension
adjustment
13. Swivel arm covers 14. Binocular head with eyepieces
15. Magni-changer 16. Handles
17. Common main objective 18. Magnichanger inclination movement
lock
5
Prima ENT
6 SYSTEM DIAGRAM

A616500-811

613800-815
613400-820

612086-600

1271094 6122012 6122016 6122020

A6137000-000 6122015-800
613200-800

A6137000-100 6134105-102 6134105 6134100-800

6133250-801 6133300-801 6133400-801


6135000-809

6137300

6137200 6165000-817
6137500

6137100

6
7 INSTALLATION
Prima ENT

7.1 The base is installed by fixing the column on the


base. Engage the column to the indexing screw
(A), see Fig. 2. Align the tapped hole of the
coloum in the screw seat, hold the upright firmly
A
and tight the allen screws from the bottom of the
base. See Fig.3.

7.2 After fixing the upright to the H shape base, make


sure the parts are fitted to each other properly. Fig. 2

7.3 Retrieve the swivel arm and suspension arm


assembly from the packing box.

Install the swivel arm assembly on the upright


holding shaft (1). See figure 4.

Lock the swivel arm with threaded plug from the


top.

Loosen the swivel arm lock knob A and


suspension arm locking arm B knobs so that it
Fig. 3
can be rotated.

Fig. 4

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Prima ENT

7.4 Retrieve the inclined coupling assembly from the 3


packing. Install the coupling to the suspension
arm by sliding the guiding shaft (1) to the
suspension arm. Make sure to loosen the locking 2 1
screw (2) before sliding in the guiding shaft. Lock
the inclined coupling with the threaded plug (3).
See figure 5. Install all locking knobs to the
suspension arm, inclined coupling and
magnichanger locking knob.
Fig. 5

7.5 Install the binocular head and eyepieces on the


magni-changer. Secure the binocular head with
head locking screw. See figure 6.

7.6 Remove the caution label from the suspension


arm. Remove the protection screw (1) from
suspension arm by using allen screw 5.0.
Replace the protection screw with the locking
knob, riser washer and sterlizable cover (2). Tight Fig. 6
it fully.

Caution
Caution
Cautio
Cautionn

Fig. 7

8
Prima ENT

8 Electrical Connections

Connect the power cable to the AC inlet socket


(2) provided on the illumination box.

Switch on the power from on/off switch (2).

Note: The line voltage of the electrical system


is set in the factory the rated line voltage of
the country of destination which must be
either 110V or 220V AC. The line voltage at the 12
sight of installation must lie within the
admissible voltage range. If this is not the
case you must not operate the system.

Fig. 8

9 Controls
9.1 ON/OFF switch (Shown as 2 in fig. 8
above)
It is located under the swivel arm. At ‘ON’
position, green LED glows and cooling fan starts
running. Keep the intensity control knob at
minimum level before switching on the system.

To save burning life of lamp, switch OFF the


appliance if the microscope is not in use for
longer time.

9.2 Intensity control knob


It is located in front of the suspension arm (A).
Brightness of field of view can be adjusted as per Fig. 9
user comfort using intensity control knob.

9.3 Brakes
Locks the stand from unwanted movement by
pressing down the two brakes provided on caster A
wheels. To unlock press upper portion of brake.
See Figure 9.

9.4 Swivel arm locking knob


This knob helps you to lock the movement of
swivel arm at the desired position after initial
focusing of the attendance area by turning it
clockwise.
Fig. 10

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Prima ENT

10 INSTRUCTIONS FOR USING THE MICROSCOPE

Setting up of Microscope:

1 Lock all the brakes on base wheels after


setting up of microscope on the attendance
area for stability.

2 Adjust tension on suspension arm using


tension adjustment screw as per your 11a
convenience by turning the knob clock
wise or anti-clock wise. 11c
3 Lock the Up & Down movement of 11b
suspension arm using locking knob after
coarse focusing of the attendance area. Fig. 11

4 Adjust the eye distance as per IPD scale


according to your convenience.

Setting up of magnification (Ref. Fig. 11)

1 Adjust to highest magnification with one of


the rotating knobs (11a) provided at
magnification changer.

2 Fine focusing is done through FOV knob


(11b).

3 Absolute centering of observation area in


field of view can be done by manual
handle(11c).

4 Make sure that the magnification changer is Fig. 12


engaged in the index point at the click stop
position.

5 The illumination is controlled through the


control knob (A), fig. 11. Rotate it clockwise
or anti clock wise to achieve desired
illumination level.

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Prima ENT

11 How to focus the object

1. Adjust both the eyepieces to ‘0’ diopter


adjustment.

2. Adjust IPD of the observation head using IPD


scale.

3. Bring highest magnification factor in the click


stop position using one of the knobs provided
at the magni-changer unit. By doing so
observation area will remain par-focalized in
all magnifications.
1
4. Fine focusing is done by using FOV knob (1)
by turning it clockwise or anti clockwise. Fig. 13

12 Changing the objectives / eyepieces

1. The objectives can be taken out by rotating it


in anti-clock wise direction. It can be threaded
in by rotating in clock wise direction.

2. To install the eyepieces, insert in the eye tubes


of observation head.

3. A range of objectives/eyepieces can be


selected by choice.

Fig. 14

13 Replacing the illumination source

Open the swivel arm cover’s. Detach the fibre


optic cable and replace the illumination assembly
A with new assembly. Secure back the arm
cover’s.

Fig. 15

11
Prima ENT

14 Fuse replacement
The fuse is located with the AC inlet, provided
near the on/off switch. Use a flat head screw
driver to open the fuse compartment. Two fuses
are provided in this, i.e. one is live fuse and
second as spare fuse. Replace the blown fuse
with live fuse and secure back the fuse
compartment.

Fig. 16

15 Adjustment of Tension while using Accessories

After Supplementary accessories are mounted,


the additional load of suspension arm must be
compensated by adjusting tension on tension
control screw provided on suspension arm by
moving it clock wise or anticlockwise.

Fig. 17

16 Disinfection and Sterilization

For Diagnosis:

Moisten smooth cotton with antiseptic fluid (for example Sagrotan – P); when required,
clean often touched parts, like rotating knobs, handles and so on.

After surgery:-

Sterilizable polymer covers are provided on every part that require to be touched during
operation. Sterilize them after every use of the instrument.

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Prima ENT
17 CLEANING AND SERVICING
17.1 Cleaning of optical surfaces:

Remove coarse dirt particle with a clean dry air from optics outer surfaces (Objectives,
Eyepieces).

Moisten smooth cotton cloth with lens cleaning agent and wipe on the lens surface
gently starting from the middle of the lens to the outer edge.

17.2 Cleaning of mechanical surfaces:

All mechanical surfaces of the equipment can be cleaned by wiping with a moist cloth.
Don’t use any aggressive or abrasive cleaning agents.

Any household dish washing fluid can be used for cleaning residue.

17.3 Servicing:

Service whenever required, inform after-sale service.

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Prima ENT
18 TROUBLESHOOTING TABLE

Problem Possible Cause Remedy

No Illumination at all Power cable not plugged Plug in power cable.

Power switch not pressed Press power switch

Defective instruments fuse Change instrument fuse

Defective power cable Change power cable

Line power failure Contact in-house Techician

Failure of suspension Contact service dept.


system electronics

Light guide not properly Insert light guide to the


inserted in lamp or maximum intensity.
microscope.

Insufficient Brightness level set too Adjust brightness using the


Illumination low brightness control knob.

Light guide not properly Insert light guide to the


inserted in lamp or maximum illumination
microscope.

Defective light guide Chance light guide.


(illumination not uniform)

Halogen lamp in the Knob for brightness control


illumination system
remains dark, and Lamp module has no Insert lamp module properly.
fan is running contact.

Halogen lamp goes Defective halogen lamp. Switch to backup lamp.


constantly off and on
during operation. Ventillation slots are Ventillation slots must be clear,
covered or contaminated clean them if necessary.

14
Prima ENT

Problem Possible Cause Remedy

Thermal cut-off in lamp Clean thermal cut-off with a


housing is contaminated. dry brush; blow it clean, if
necessary

Defective fan. Failure of Contact service dept.


system electronics. Illuminate surgical field using
an Or illuminator. Contact
service dept.
Up & Down motion Friction adjustment screw Loosen friction adjustment
of screw on on suspension system screw on suspension system
suspension system tightened too firmly. as require
too stiff

Microscope Unstable Brakes on wheels not Use Brakes.


used.

No image visible in Magnichanger is not Index magnichanger properly.


field of view. indexed properly.

15
19 SPECIFICATIONS
Technical Data (Specifications)
Binocular tubes Straight, 90 degree

Eyepieces WF 10x/16mm with eye guards; optional WF


12.5x/16mm; WF 16x/16mm; WF 20x/12mm

Apochromatic magnichanger 0.4x, 0.6x, 1.0x, 1.6x & 2.5x

Objective f=250, manual fine focus, optional: f=300mm,


f=400mm; motorized fine focus

Light source 50W LED

Built-in filters Green & Yellow

Vertical movement of arm 600mm

Microscope carriers 120° ENT carrier

Accessories Assistant Binocular attachment Beam


splitter integrated digital camera Module;
Double Beam splitter; 0-210° inclinable ergo tube

Type: Floor stand

Base (Dimensions): 600mm width

620mm length

Stand Height: 1677mm

Weight of complete microscope: 72 Kg. Approx.

Elevation Stroke: 600mm

Stand Height in Horizontal Position: 1100mm

Field of illumination with F.O.V. f=200mm objective; Ø85.0mm

16
Dimensions

1124.6 1124.6

525 525

1124.6

525 1464.6

843 525.0

767.7

1733.09
1245
1280.8
930
536

17
www.laboamerica.com

Our policy is one of continuous development. Labo America, Inc., reserves the right to change design and specifications without prior notice.

Labo America Inc. U.S.A.


920 Auburn Court Telephone: 510 445 1257
Fremont Fax: 510 991 9862
CA 94538 sales@laboamerica.com

LABOMED and Prima ENT are registered trademarks of Labo America, Inc.
With a policy of continuous development, Labo America, Inc. reserves the right to change design and specifications without prior notice.
ISO 9001 : 2008
© 2010 Labo America, Inc. | 6137000-990A 02-2010 File No. A9020

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