WHITESTAR SIGNATURE Owners And Operation Manual
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WHITESTAR SIGNATURE Owners And Operation Manual

Phacoemulsification system
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WHITESTAR SIGNATURE
Manufactured By:
Advanced Medical Optics, Inc.
1700 E. St. Andrew Place
Santa Ana, CA 92705
USA
1-800-449-3060
www.amo-inc.com
EC
REP
AMO Ireland
Block B
Liffey Valley Office Campus
Quarryvale Co., Dublin Ireland
OWNER'S AND
OPERATOR'S MANUAL
For Order Placement
of Surgical Products
(IOLs and Phaco Supplies)
Call 1-877-AMO-4LIFE (USA)
1-877-266-4543
For Phaco Returns or Technical
Service
Call 1-877-AMO-4LIFE (USA)
1-877-266-4543
All returns must be accompanied by a
RGA#
(Returned Goods Authorization)
© 2008 Advanced Medical Optics, Inc.
™
Rx Only – Z370147 Rev C 1008

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Summary of Contents for WHITESTAR SIGNATURE

  • Page 1 ™ WHITESTAR SIGNATURE OWNER’S AND OPERATOR’S MANUAL For Order Placement Manufactured By: of Surgical Products Advanced Medical Optics, Inc. (IOLs and Phaco Supplies) 1700 E. St. Andrew Place Call 1-877-AMO-4LIFE (USA) Santa Ana, CA 92705 1-877-266-4543 1-800-449-3060 www.amo-inc.com For Phaco Returns or Technical...
  • Page 2 Trademarks AMO, the AMO ADVANCED MEDICAL OPTICS logo and WHITESTAR are registered trademarks. ELLIPS, FUSION, LAMINAR, PHACOFIT, OCCLUSION MODE, and WHITESTAR SIGNATURE are trademarks of Advanced Medical Optics, Inc. DUET and SOLO are trademarks of Micro-Surgical Technology, Inc. The Bluetooth word mark, figure mark (stylized “B Design”), and combination mark (Bluetooth word mark and “B Design”) are registered trademarks of the Bluetooth SIG.
  • Page 3 Accessories ............. . 1-4 WHITESTAR SIGNATURE™ System Console ....... . . 1-5 WHITESTAR SIGNATURE™...
  • Page 4 Sterilization Procedures ........... . 9-4 WHITESTAR SIGNATURE™ System Cleaning and Care ......9-5 WHITESTAR SIGNATURE™...
  • Page 5 Index ............. . .Index-1 WHITESTAR SIGNATURE™ System...

  • Page 7: Introduction

    INTRODUCTION About this Manual About Phacoemulsification Intended Use WHITESTAR SIGNATURE™ System Description & Features WHITESTAR® Technology FUSION™ Fluidics System Accessories WHITESTAR SIGNATURE™ System Console WHITESTAR SIGNATURE™ System Operating Modes WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 8: About This Manual

    This HIGH FREQUENCY (HF) SURGICAL EQUIPMENT is specified for use without a NEUTRAL ELECTRODE. WHITESTAR The WHITESTAR SIGNATURE™ System is a multi-functional tool for use in anterior segment surgery and procedures. The WHITESTAR SIGNATURE™ SIGNATURE™ System represents the latest generation of AMO™ phacoemulsification technology.

  • Page 9: Whitestar® Technology

    Technology represents the many enhancements to the power Technology ® modulation for the WHITESTAR SIGNATURE™ System. The WHITESTAR Technology enhancement was the first to deliver finely modulated pulses of energy, interrupted by extremely brief cooling periods. This allows the WHITESTAR SIGNATURE™ System to achieve full ultrasound cutting efficiency and magnetic followability, while introducing less energy into the eye.

  • Page 10: Fusion™ Fluidics System

    1 • Introduction FUSION™ Fluidics The WHITESTAR SIGNATURE™ System has both a flow-based peristaltic pump system and a vacuum based Venturi pump system. The patented microprocessor- System based system continuously monitors and controls intraocular conditions of the flow and vacuum in the eye.

  • Page 11: Whitestar Signature™ System Console

    WHITESTAR SIGNATURE™ System Display (Graphic User Interface-GUI) The WHITESTAR SIGNATURE™ System graphic screen display is easy to read and easy to operate. You can see at a glance the status of the system. The screen gives you visual indication of operating modes, settings, and system status.

  • Page 12: Whitestar Signature™ System Operating Modes

    Programmable IV Pole The WHITESTAR SIGNATURE™ System is equipped with a programmable IV pole. The programmable IV pole height settings can be entered independently for each of the PHACO modes plus settings for Diathermy, IA and Vitrectomy. During surgery, the programmable IV pole height changes to the preprogrammed height when you switch modes.
  • Page 13 Vitrectomy (VIT) The Vitrectomy mode is used to remove vitreous from the eye during surgery. The WHITESTAR SIGNATURE™ System uses air pressure to drive the vitreous cutter. The wide range of user-controlled, programmable cut rates supports both anterior segment and posterior segment surgeries.

  • Page 15: System Components

    SYSTEM COMPONENTS Receipt and Inspection Instructions WHITESTAR SIGNATURE™ System Components WHITESTAR SIGNATURE™ System with FUSION™ Tubing Pack WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 16: Receipt And Inspection Instructions

    Installation and the In-Service Training when you receive your new WHITESTAR SIGNATURE™ System. We suggest that you leave the WHITESTAR SIGNATURE™ System in the original packaging and store the package in a cool, dry environment until the AMO installation personnel arrive to assemble, install and test your equipment.
  • Page 17 2 • System Components Figure 2.1 – WHITESTAR SIGNATURE™ System 1. Programmable IV Pole 4. WHITESTAR SIGNATURE System console with Integral Cart and Mayo Tray 2. FUSION Tubing Cassette 3. Wireless Remote Control Module (Storage bay on 5. Footpedal top of the system) WHITESTAR SIGNATURE™...

  • Page 18: Whitestar Signature™ System With Fusion™ Tubing Pack

    • Monitor Drape – to cover the front of the touch screen Figure 2.2 – FUSION™ Tubing Cassette Proper handling and disposal methods for biohazards must be used when you dispose of the tubing cassette, Mayo stand drape and monitor drape. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 19: System Setup

    Warnings Symbol Definitions System Disposal Setup Sequence – Anterior Segment Surgery Footpedal Programmable IV Pole Wireless Remote Control (Optional) Surgical Media Center (SMC) (Optional) Shutdown Sequence – Anterior Segment Surgery WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 20: Safety Precautions

    6. Do not try to move the WHITESTAR SIGNATURE™ System cart on deep pile carpets or over objects on the floor such as cables and power cords.

  • Page 21: Diagnostics

    Connecting Handpieces It is very important that the electrical connectors on the handpieces are completely dry before they are connected to the WHITESTAR SIGNATURE™ System receptacles. You can receive a “Handpiece Ground Fault Error” message if the connector is wet.

  • Page 22: Care And Cleaning

    2. This device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications not expressly approved by Advanced Medical Optics, Inc. can void the user's authority to operate the equipment. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 23: Warnings

    WARNING: DO NOT use the System in the presence of flammable anesthetics, or other flammable gases, near flammable fluids or objects, or in the presence of oxidizing agents, as a fire could result. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 24 WARNING: Monitoring electrodes or other types of equipment must be placed as far from those of the WHITESTAR SIGNATURE™ System as possible. High current limiting devices are recommended for the protection of such systems. Needle monitoring electrodes are not recommended.
  • Page 25 WARNING: Not recommended for use in condensing environments. If exposed to a condensing environment, allow the system to equilibrate to typical operating room conditions prior to use. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 26 Use of contaminated or damaged system accessories can cause patient injury. WARNING: Use of non-AMO approved products with the WHITESTAR SIGNATURE™ System, can affect overall system performance and is not recommended. AMO cannot be responsible for system surgical performance if these products are utilized in surgery.

  • Page 27: Symbol Definitions

    3 • System Setup Symbol Definitions The following symbols appear on the WHITESTAR SIGNATURE™ System front and back panels and in the software: Table 3.1 – Symbol Definitions Symbol Definition Symbol on power switch indicates Power is On. Symbol on power switch indicates Power is Off.
  • Page 28 Medical Electrical Equipment.” ETL Listed Mark issued to those products that have met the requirements of product safety standards for the United States and Canada. (ETL formerly Edison Testing Laboratory) WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-10...

  • Page 29: Surgeon Programs

    The number shown changes when the position is changed. The letters indicate the location of Aspiration (A), Irrigation (I), Phaco (P), Reflux (R), Whitestar Increment/Decrement (WS) and Switch (S). ® WHITESTAR Technology is On.

  • Page 30: System Disposal

    3 • System Setup System Disposal WEEE The electronic components of the WHITESTAR SIGNATURE™ System are subject to the European Union Directive 2002/96/EC on Waste Electrical and Electronic Equipment. This directive applies to all electronic equipment in the European Union only.
  • Page 31 Distributor Advanced Medical Optics Tradomed Ltd., Spain, S.L. Marksistskaya Str. 3, c/Dr. Zamenhof, n. 22, 4B Bld 1, 28027 Madrid Moscow, Spain 109147, Phone: +34 9176 88 000 Russia WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-13...
  • Page 32 SJ/T11363-2006 (Enterprises may further provide in this box technical explanation for marking "X" based on their actual conditions.) WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-14...

  • Page 33: Setup Sequence – Anterior Segment Surgery

    WHITESTAR SIGNATURE™ System for surgery: Anterior Segment Surgery 1. Connect the WHITESTAR SIGNATURE™ System power cord to the rear of system. Plug the power cord into a grounded power outlet. 2. Connect the footpedal to the rear panel receptacle. 3. Connect the compressed air line to the compressed air receptacle (optional).
  • Page 34 1. Use caution to prevent burns when handling the handpiece directly from sterilization. 2. Remove the tubing cassette and accessories from the tubing pack and place them in the sterile area. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-16...
  • Page 35 3. Handpiece with Tip 4. Attach the connector end of the handpiece to the phaco receptacle on the front of the WHITESTAR SIGNATURE™ System. Make sure there is no moisture on the connectors prior to connecting. Moisture prevents the handpiece from operating properly.
  • Page 36 1. Open the tubing pack packaging. 2. Install the FUSION™ cassette into the side receptacle, as shown below. 3. Make sure that the drainage bag is properly attached to the cassette. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-18...
  • Page 37 5. Raise or lower the pole if needed. Use the IV pole Up and Down arrows on upper right of the touch screen. You can also use the Up/Down switch on the console. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-19...
  • Page 38 8. Attach the female luer fitting end of the aspiration tubing to the phaco handpiece. Note: To protect the patient from contamination, use only: • sterile tubing sets • sterile irrigation fluid • sterile handpieces Figure 3.7 – Phaco Handpiece Connections WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-20...
  • Page 39 2. Assemble the handpiece using the instructions provided with the vitrectomy cutter. Figure 3.10 – Vitrectomy Cutter 3. Attach the connector end of the vitrectomy cord to the vitrectomy receptacle on the front panel. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-21...

  • Page 40: Footpedal

    WHITESTAR SIGNATURE™ System instruments that must be sterilized prior to each surgical case. The recommended sterilization techniques, times and temperatures are given in Chapter 9, “Care and Cleaning”. AMO recommends that you follow the sterilization guidelines to maximize the life of your WHITESTAR SIGNATURE™ System instruments. Footpedal The footpedal controls all of the WHITESTAR SIGNATURE™...
  • Page 41 The footpedal settings and programming are addressed in Chapter 5, “Anterior Segment Surgery Operating Modes”. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-23...
  • Page 42 • includes support for the vacuum tank used in the Venturi vacuum system • does not support inter-connecting the irrigation line to the aspiration line. Therefore, only previously aspirated fluid is being refluxed. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-24...

  • Page 43: Programmable Iv Pole

    The Programmable IV Pole height for each fluidic mode or submode (PHACO, IA, VIT) is saved in the WHITESTAR SIGNATURE™ System memory. A Maximum IV Pole height can be set on the Diagnostics screen.

  • Page 44: Wireless Remote Control (Optional)

    Control (Optional) accessed and adjustments to the settings can be made with the remote control. The buttons on the remote keypad work the same as the controls on the WHITESTAR SIGNATURE™ System touch screen. Figure 3.14 – Wireless Remote Control Module 1.

  • Page 45: Surgical Media Center (Smc) (Optional)

    The surgery is displayed on a monitor Center (SMC) with the instrument settings. The SMC hardware is connected to your (Optional) WHITESTAR SIGNATURE™ System Communications port on the rear panel. (See Figure 3.1 Rear Panel Connections.) 1. To configure the Surgical Media Center, select: • Configuration •...
  • Page 46 On, the recording continues between cases. Automatic stops recording between cases. Note: The Footpedal Switch can be set up to activate the SMC Record function. 4. Press Finished to close the pop-up window. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-28...

  • Page 47: Shutdown Sequence – Anterior Segment Surgery

    7. Place the footpedal in the storage area on the console. 8. Place the Wireless Remote Control on top of the console to charge. 9. Refer to Chapter 9, “Care and Cleaning”, Cleaning Procedures for additional information. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 3-29...

  • Page 49: Equipment Operation

    EQUIPMENT OPERATION Display Screens and Controls Language Selection Startup Select Program and Install the FUSION™ Tubing Cassette Prime/Tune Verify Irrigation/Aspiration Balance Priming for Vitrectomy Selecting and Changing Mode Parameters WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 50: Display Screens And Controls

    • Vitrectomy • Diathermy Figure 4.1 – PHACO Screen Additionally, there are screens or sub-screens for: • Prime/Tune • End Case • Program • Sounds • Footpedal • Database • Diagnostics WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 51: Language Selection

    4 • Equipment Operation Language Selection The WHITESTAR SIGNATURE™ System features a 17-language user interface. Before you proceed, select one of the languages for your touch screen and controls. (English is the default language). 1. To access the Select Language screen, from the main screen, select: •...

  • Page 52: Startup

    4 • Equipment Operation Startup After you have turned on the WHITESTAR SIGNATURE™ System, the system performs a series of Self Tests. Figure 4.3 – Self Test After start up, the screen shows the available Surgeons and Programs that can be selected.
  • Page 53 • Enter the Settings (Configuration) page, where you can edit, add, or delete programs and setup operating parameters • Enter the End Case screen (Refer to Chapter 5, Anterior Segment surgery Operating Modes, End Case.) WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 54: Select Program And Install The Fusion™ Tubing Cassette

    Note: An asterisk next to a program name indicates that the surgeon as selected that program as their default program. Figure 4.5 – Select Program Screen WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...

  • Page 55: Prime/Tune

    When you Bypass prime the overall fluidics prime sequence is shortened and the time to prime the WHITESTAR SIGNATURE™ System is reduced. Bypass can be used if Continuous Irrigation has been used or the I/A tubing was primed. If the I/A tubing was not properly primed, errors can occur.
  • Page 56 Note: Prime/Tune is a combination of Tune followed by IA Prime. Figure 4.7 – Prime and Tune Screen The WHITESTAR SIGNATURE™ System tracks the successful completion of the Prime and Tune cycle independently. In the event a retune is required (new tip, failed tune), only the Tune needs to be selected and run.
  • Page 57 • At the end of the priming sequence, the WHITESTAR SIGNATURE™ System makes an audible sound to indicate that Prime process is complete. • At the end of the phaco tuning test, the WHITESTAR SIGNATURE™ System makes an audible alert sound to indicate that tune process is complete.

  • Page 58: Verify Irrigation/Aspiration Balance

    8. Press Reset in the upper left corner of the screen to open the Reset Timers pop-up window. Press Yes to rest the timers. You are now ready to begin surgery. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 4-10...

  • Page 59: Priming For Vitrectomy

    5. Press Start Vit Prime. The screen closes automatically when the handpiece is primed. Note: If you must perform vitrectomy in the middle of phaco surgery, perform steps 3 through 5. Figure 4.9 – Vitrectomy Prime Procedure WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 4-11...

  • Page 60: Selecting And Changing Mode Parameters

    Settings button on that control panel. A Settings window opens, and you can make your selections. Figure 4.10 – PHACO Mode Screen • To make overall changes to a program, press Configuration on the top panel. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 4-12...
  • Page 61 4 • Equipment Operation Figure 4.11 – Configuration Pop-up Window • Press Surgeons and Programs to access surgeon names and their associated program setups. Figure 4.12 – PHACO Submode Configuration Screen WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 4-13...

  • Page 63: Operating Mode Descriptions

    ANTERIOR SEGMENT SURGERY OPERATING MODES Operating Mode Descriptions Fusion™ Fluidics Phaco Programming the Modes and Settings Anterior Segment – Recommended Settings OCCLUSION MODE™ Phaco Settings Passive Reflux Ellips™ Technology WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 64 If Diathermy is selected during Prime, the screen indicates the Prime/Tune status and any messages associated with the prime and/or tune. The WHITESTAR SIGNATURE™ System provides power for bipolar coagulation or diathermy. The amount of diathermy power is shown on the Diathermy screen.
  • Page 65 • Linear – Diathermy power is delivered from 5% to the maximum selected value (Maximum Power) as the footpedal is pressed. • Burst – Diathermy is delivered as a single 150 ms pulse, at the selected power, as the footpedal is pressed. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 66 65–70 cm above the patient's eye level. To increase irrigation pressure, the IV bottle is raised. To decrease pressure, the bottle is lowered. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 67 6. After all the submodes are programmed, select another mode. 7. If no other changes are needed press End Case to access the SAVE buttons and save the settings. Figure 5.4 – Irrigation/Aspiration Mode WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 68 The debris is removed by suction through the hollow needle (aspiration). The resulting loss in volume of the anterior chamber is compensated by incoming balanced salt solution (irrigation). WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 69 • Aspiration Rate • Vacuum • Power Before phacoemulsification, you must complete the steps to verify the Irrigation and Aspiration balance, as recommended in the Irrigation/Aspiration section in this chapter. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 70 5. If OCCLUSION MODE™ Phaco or CASE is desired, press in the left column to activate the FUSION™ Mode screen. When OCCLUSION MODE™ Phaco is active, the On button is green. Figure 5.7 – Fusion™ Fluidics Screen WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008...
  • Page 71 This technology is available in Linear or Panel mode. When the ® WHITESTAR delivery mode is turned on, either appears on the touch ® screen, along with the WHITESTAR Duty Cycle. ® Figure 5.8 – WHITESTAR Technology ® Duty Cycles are expressed as Pulse Time On/Pulse Time Off, to WHITESTAR achieve a desired Duty Cycle.
  • Page 72 5 • Anterior Segment Surgery Operating Modes ® Table 5.1 – WHITESTAR Technology Parameter Settings Setting Pulse On Pulse Off Duty Cycle Pulse Rate Time (ms) Time (ms) (pps) 6/12 4/24 6/28 6/24 8/24 6/18 Figure 5.9 – Duty Cycle ®...
  • Page 73 1. Footpedal Position 3 ® 2. WHITESTAR Duty Cycle The WHITESTAR SIGNATURE™ System maintains duty cycles to be used with ® Variable WHITESTAR – Variable WS. Variable WS contains the four duty cycles that are used in the different quadrants. You can also use the sliding ®...
  • Page 74 On Time to the standard power setting. This is repeated for each On Time period, resulting in increased control and efficiency in phacoemulsification. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-12...
  • Page 75 To access the WHITESTAR ICE Technology settings: 1. Press the Power Settings button. 2. Press the WHITESTAR mode button. 3. Press On for Pulse Shaping. 4. Press Edit to access the Pulse Shaping parameter settings. 5. Press Finished to close the screen. Continue to press Finished to return to the main screen.
  • Page 76 5 • Anterior Segment Surgery Operating Modes Figure 5.13 – Pulse Shaping Screen ® There are four settings for WHITESTAR ICE Pulse Shaping: • Low Power Limit • High Power Limit • Percent Kick Low End of Range • Percent Kick High End of Range The Low and High Power Limit settings define the range over which pulse shaping is applied.

  • Page 77: Fusion™ Fluidics Phaco

    10. Max Vac The CASE screen shows the settings as a graph. To access the OCCLUSION MODE™ Phaco and CASE settings: 1. Press the button from the PHACO mode screen. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-15...
  • Page 78 Use the Fusion™ Fluidics screen to turn OCCLUSION MODE™ Phaco Off or On. When OCCLUSION MODE™ Phaco is On, the main PHACO operating screen provides for alternative Aspiration, Vacuum and Phaco Power settings that are used when an occlusion is detected. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-16...
  • Page 79 5 • Anterior Segment Surgery Operating Modes Figure 5.16 – PHACO Screen Vitrectomy The WHITESTAR SIGNATURE™ System uses a pneumatic guillotine vitrectomy cutter. The handpieces are designed for cutting vitreous during anterior segment surgery and operate in conjunction with the Irrigation/Aspiration mode. The cutting speed can be changed on the touch screen.
  • Page 80 2. To program the footpedal, go to Configuration, Surgeons and Programs, Foot Pedal, Configuration, VIT. 3. Select a Submode to program. 4. Edit the footpedal settings as needed. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-18...
  • Page 81 Figure 5.19 – Dual Linear Foot Pedal Settings Screen 5. When finished, press Exit Settings. 6. If no other changes are needed, press End Case to access the SAVE buttons and save the settings WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-19...
  • Page 82 Aspiration Irrigation/Cut/ Irrigation/ Irrigation/ Aspiration Aspiration/Cut Aspiration Table 5.3 Vitrectomy Advanced Control Pedal (Dual Linear) Modes Footpedal Vitrectomy Footpedal Modes Positions Side VIT Irrigation Irrigation Irrigation/Cut Irrigation/ Aspiration Aspiration WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-20...

  • Page 83: Programming The Modes And Settings

    Although these settings can be changed, they cannot be saved. Use the defaults as a source to your system settings. All default settings can be easily viewed on the Mode Configuration screens. Figure 5.20 – PHACO Program Screen WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-21...
  • Page 84 5 • Anterior Segment Surgery Operating Modes AMO Default Setups Sounds Table 5.4 – WHITESTAR SIGNATURE™ System Default Settings Specific to each surgeon program/setup Sounds Available Settings AMO Default Settings High Vacuum On, Off Mode Change Off, Tone, Voice Voice On...
  • Page 85 Footpedal – AMO Default Settings The AMO Default footpedal settings for each operating mode are shown on the System's Summary Screen. Figure 5.21 – Single Linear Footpedal Summary Settings WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-23...
  • Page 86 AMO Default Settings Settings DIA 1 DIA 2 Max Power 5–100% Power Delivery Linear, Burst, Linear Burst Type Panel Initial Mode/ Any of the Phaco 1 Phaco 1 Submode Submode Names WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-24...
  • Page 87 Initial Mode/ Any of the Phaco 1 Phaco 1 Phaco 1 Submode Submode Names Fluidic Mode Panel, Linear Panel Linear Panel Aspiration Aspiration Aspiration Linear Panel Linear Vacuum Vacuum Vacuum WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-25...
  • Page 88 Multi-Burst Continuous Burst Short Pulse Rate 1–14 pps 6 pps 6 pps 6 pps 6 pps Long Pulse Rate 1–6 pps 4 pps 4 pps 4 pps 4 pps WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-26...
  • Page 89 Panel Panel Vacuum Vacuum Cut Rate 2500 cpm 250 cpm 450 cpm – Footpedal Mode ICA, IAC Pump Ramp 10 - 100% 100% 100% Threshold Venturi Pump On, Off WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-27...
  • Page 90 The vacuum builds only when the footpedal is in Position 2 and an occlusion in the aspiration port is created. 4. Press Finished to close the window. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-28...
  • Page 91 Note: Side Vit is only available for use with a single linear foot pedal. 3. Press Linear or Panel button. 4. Press Finished to close the window. Figure 5.22 – VIT Cut Rate WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-29...
  • Page 92 Main Menu is used. 1. Press Surgeons and Programs in the pop-up window. 2. In the side panel press Foot Pedal. Figure 5.23 – Foot Pedal Pitch Thresholds - Single Linear WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-30...
  • Page 93 5. Turn the Foot Pedal Feedback On or Off. You can use the Foot Pedal Test button to test your settings. 6. Press Configuration. The Foot Pedal Settings options are shown. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-31...
  • Page 94 10. Press each of the switches in any of the four modes. A pop-up window is shown for each switch. 11. Select the Switch Assignment from the list. Note: WHITESTAR Increment/Decrement is used to increase or decrease the Duty Cycles during surgery. WHITESTAR SIGNATURE™ System Rx Only –...
  • Page 95 12. Press Finished to close the window. 13. Press SAVE to retain the settings. Note: If you entered Configuration while in an Operating mode, press Exit Settings to return to the previous mode. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-33...
  • Page 96 Save As – Saves the program changes (made to an existing program) to a new program name when you enter a program name. Restore – Erases any program changes and resets the values back to the last saved values. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-34...
  • Page 97 Use the << or >> buttons to change the time intervals. You cannot use the arrow buttons when you view an active case. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-35...
  • Page 98 Continue Case – Select Continue Case to return to the current case, after you selected Review Case or Restore. Shutdown – Select the Shutdown button to turn the System Off. At the prompt, press Yes to complete the process. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-36...

  • Page 99: Anterior Segment – Recommended Settings

    From the PHACO operating screen, press Settings and the Phaco Power selection screen appears. Figure 5.29 – Phaco Power Settings In addition to the eight Phaco Power modes, you can also select the WHITESTAR Mode. The WHITESTAR® Technology and Ellips™ Technology are discussed later in this section.
  • Page 100 1. Press the button to the right of the Long Pulse button. A Settings pop-up window appears. 2. Press the Up or Down arrow to increase or decrease the pps from 1 to 6. WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-38...

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