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SCHWIND Manuals
Measuring Instruments
Amaris 1050RS
User manual
SCHWIND Amaris 1050RS User Manual
Excimer laser
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Contents
Table of Contents
Troubleshooting
Bookmarks
Table of Contents
Dear Customer
Table of Contents
Content
List of Figures
List of Tables
1 General Information
System Identification Data
Symbols for Warnings, Precautionary Measures and Notes
Notes on the User Manual
Scope of Documentation
Declaration of Manufacturer
Liability of the Manufacturer
Warranty
License Agreement
Copyright
Trademarks
2 Safety
General Safety Notes
Regulations for Medical Devices
Restrictions of Use and Safety Precautions
Manufacturer's Responsibility
Training of User and Operating Personnel
Protective Measures of the Manufacturer
Conformity with Safety Standards
Operator's Responsibility
Patient Safety
Device Safety
Electrical Safety
Patient Bed Interlock
Laser Warning Lamp and Door Interlock
Protective Glasses
Protective Clothing
Data and Virus Protection
Data Input
Protection from Data Loss
Protection from Unauthorized Use
Dangers Resulting from Laser Operation
Laser Radiation
Mirrored Reflection
Ablation Products
Figure 2-1: Accessible Beam Area (Example AMARIS 750S)
Working Gas
Topic Ozone
Electrical Safety - Connection of Devices to External Plugs
Figure 2-2: Samples of Printer Connection
Table 1: MAXIMAL LOAD at POWER OUTLET X1
In Case of Emergency
Device Labelling
Identification Label of the Device
Figure 2-3: Identification Labels AMARIS 750S / 1050RS
Figure 2-4: Identification Label AMARIS 500E
Connection Terminal Label of the Device
Figure 2-6: Position of "Connection Terminal" Label AMARIS 750S/1050RS
Figure 2-7: Label "Connection Terminal AMARIS 500E
Mains Input Label of the Device
Laser Warning Labels
Figure 2-8: Mains Input Label AMARIS
Figure 2-9: Laser Data Labels
3 Introduction
Intended Use
Disclaimer SCHWIND AMARIS Excimer Laser (Initial Model)
Contraindications and Side Effects
Absolute Contraindications for Refractive Photo Ablation
Relative Contraindications
Direct Side Effects (Caused by the Laser Surgery)
Indirect Side Effects (Caused by the Complete Surgery)
Residual Risks
Biocompatibility of Touchable Parts
4 Device / System Description
General Notes
The Product
System Overview
Figure 4-1: View of AMARIS 750S / AMARIS 1050RS / AMARIS Excimer Laser with Patient Bed
System Description
Figure 4-2: View of AMARIS 500E Excimer Laser with Patient Bed
Laser Classification
Excimer Laser
Aiming Laser and Cross Laser
OCP Laser
Laser Description
The Main Principle of the Excimer Laser
Positioning Slit Lights
Fixation LED
Aiming Laser
Gas Supply
The Optical System
Microscope and Illumination
Major Components
Magnification Changer 5 Step
Figure 4-3: LED Illumination
Microscope Binocular Tube
Particle Aspiration System
Description
Figure 4-4: Components of the Operation Microscope (Example AMARIS 750S)
Figure 4-5: Particle Aspiration System
Replacing the Partical Aspiration Nozzles
Package Labelling of the Partical Aspiration Nozzle
Figure 4-6: Type Lable for Packaging of Partical Aspiration Nozzles, Colour Blue, 6 Pcs
Plume Evacuation System
Description
Plume Evacuation System - INTERNAL Version
Plume Evacuation System - EXTERNAL Version
Figure 4-7 Single-Channel Nozzle for the Plume Evacuation System
Figure 4-8: External Evacuation Unit with Filter and Tubing Mounted to the Nozzle
Replacing the Plume Evacuation Nozzle
Package Labelling of the Plume Evacuation Nozzle
Labelling - Plume Evacuator
Figure 4-9: Type Label for Packaging of Plume Evacuation Nozzle - Internal Version
Figure 4-10: Type Label for Optional Plume Evacuation System - External Version
Patient Bed
Foot Switch
Optional Features
Video System
Printer
Slit Lamp of the Excimer Laser
Figure 4-11: Excimer Laser Slit Lamp
Figure 4-12: Apertures for the Slit Lamp (Sample)
Figure 4-13: Exchange of Aperture Modules
Online Coherence Pachymetry (OCP)
7D-Eye Tracking
Cross Laser Module
Figure 4-14: Cross Laser Projected on Patient's Head
Figure 4-15: Cross Laser ON/OFF Button
Vario (Cross Linking)
Figure 4-16: CXL-365 Vario
Uninterruptable Power Supply (UPS)
Figure 4-17: SCHWIND CXL-365 Vario in Treatment Position
Plume Evacuation System - External
Video Extender HDMI
Figure 4-18: Overview AMARIS Video Extender Connection
Figure 4-19: HDMI Female Connector at the Main Supply Connector Plate
Approved System Combinations and Optional Accessories / Features
5 Installation
General Installation Notes
Room and Installation Requirements
General Requirements
Device and Room Dimensions
Figure 5-1: AMARIS / AMARIS 750S/ AMARIS 1050RS with Swivelling Patient Bed - Front View
Figure 5-2: AMARIS / AMARIS 750S/AMARIS 1050RS with Swivelling Patient Bed - Side View
Figure 5-3: AMARIS / AMARIS 750S / AMARIS 1050RS with Swivelling Patient Bed- Standard Position
Figure 5-4: AMARIS / AMARIS 750S / AMARIS 1050RS with Swivelling Patient Bed - 30° Position
Figure 5-5: AMARIS / AMARIS 750S / AMARIS 1050RS with Swivelling Patient Bed - 90° Position
Figure 5-6: AMARIS 500E - Front View
Figure 5-7: AMARIS 500E - Side View
Figure 5-8: AMARIS 500E with Swivelling Patient Bed - Standard Position
Figure 5-9: AMARIS 500E with Swivelling Patient Bed - 30° Position
Figure 5-10: AMARIS 500E with Swivelling Patient Bed 90° Position
Arrangement of the AMARIS Laser Feet
Figure 5-11: Arrangement of AMARIS / AMARIS 750S / AMARIS 1050RS Feet
Figure 5-12: Arrangement of AMARIS 500E Feet
Environmental Conditions
Installation Requirements
System Software Requirements
SCHWIND CAM Software
Shipping
Scope of Delivery
Packing of the Shipping Units
Figure 5-13: Truck Dimensions
Transport Configuration SCHWIND AMARIS / AMARIS 750S / AMARIS 1050RS
Figure 5-14: Transport Configuration of AMARIS / AMARIS 750S / AMARIS 1050RS
Transport Configuration SCHWIND AMARIS 500E
Figure 5-15: Transport Configuration of AMARIS 500E
Unpacking and Checking the Delivery
Transportation Damages
Initial Installation / Start-Up
Relocation of the Excimer Laser System
6 Device Control and Operation
General Operation Notes
Control System
Figure 6-1: AMARIS / AMARIS 750S/ AMARIS 1050RS with Key Switch and Emergency Stop
Keyboard with Card Reader, Touch Pad and Re-Sterilisable Pen
Figure 6-2: AMARIS 500E with Key Switch and Emergency Stop
Figure 6-3: Keyboard with Touch Pad, Two Re-Sterilisable Pens and Card Reader
USB Connectors
Emergency Stop Switch
Figure 6-4: Panel PC ONYX - USB
Figure 6-5: Label for Laser Stop
Switch on the Device
Main Switch
Key Switch
Figure 6-6: Main Switch
Figure 6-7: Key Switch
Switch off the Device
Figure 6-8: Key Switch Positions
Disconnection from the Electronic Circuit
UPS - Mains Failure or Power Breakdown
Control Panel of the Excimer Laser
Figure 6-9: Control Panel of the Excimer Laser
Matrix Display
Operating of the Microscope
Figure 6-10: Components of the Operation Microscope (Example AMARIS 750S)
Microscope Crosshair
Figure 6-11: Microscope Crosshair
Positioning Slits
Figure 6-12: Height Adjustment of the Excimer Laser
Software Managed Operation of the Excimer Laser
User Login
Password Input
Figure 6-13: User Login Menu
Main Menu
Figure 6-14: Main Menu
Movement of the Swivel Laser Arm - AMARIS / AMARIS 750S / AMARIS 1050RS
Figure 6-15: Swivel Laser Arm Window
Troubleshooting
7 Service Procedures and Functions
Functions Menu
Figure 7-1: Functions Menu
Registration / User Accounts
Figure 7-2: User Account Management (Admin User)
Figure 7-3: Creation of New Users
Figure 7-4: User Account Management (Standard User)
Settings Menu
Figure 7-5: Settings Menu of the AMARIS Application Software
Credit System
Figure 7-6: Credit Code Overview
Figure 7-7: Import of a New Credit File
Figure 7-8: Credit Code Overview
Figure 7-9: Credit System Settings in the Settings Menu
Figure 7-10: Message Because of Decreasing Time of Credit Activation
Figure 7-11: Message Because of Decreasing Number of Available Credits
Treatment Assistant Manager
Figure 7-12: Treatment Assistant Manager
Editing the List of Surgical Steps
Figure 7-13: Edit Step Dialog
Software Update
Figure 7-14: Software Update
Fluence Measurement
General
Connection of the Fluence Detector
Figure 7-15: Connection of the Fluence Detector at AMARIS / AMARIS 750S/1050RS and AMARIS 500E
Performing a Fluence Test
Figure 7-16: Holder for the Fluence Detector
Figure 7-17: Fluence Detector with HS-Foil - Holder
Figure 7-18 : Fluence Detector Cleaning Message
Figure 7-19: Start Screen of the Fluence Test
Figure 7-20: Fluence Test Successfully Completed
Automatic Pre-Set Energy Adjustment
Figure 7-21: Fluence Result Message/Borderline Pre-Set Energy
Troubleshooting - Fluence Test
Drift Test
Figure 7-22: Start of the Drift Test Measurement
Figure 7-23: Confirmation Message 'Drift Test
Gas Exchange - Excimer Laser
Performing of a Gas Change
Figure 7-24: Start of a Gas Change
Figure 7-25: Gas Change in Progress
Figure 7-26: Gas Change Successful
Figure 7-27: no Gas Exchange Needed
Export of Log File and Treatment Data
Figure 7-28: Export Log Files
Export to External Data Analysis Software
Figure 7-29: Export to External Data Analysis Software
Printout and Video (Export of Treatment PDF and Video)
Figure 7-30: Printout and Video
Figure 7-31: Selecting a Specific Day for Printout
Figure 7-32: Printing All Treatment PDF from a Specific Day
Figure 7-33: Treatment Video
Treatment Printout
Figure 7-34: Treatment Printout ORK Page 1 and 2
8 Treatment Selection
General
Figure 8-1: Main Menu AMARIS
Planning SCHWIND CAM Treatments
Planning of New Treatments
Import of SCHWIND CAM Treatments
Figure 8-2: Project File Loading Settings SCHWIND CAM
Figure 8-3: Selection of SCHWIND CAM Import File (Folder)
Figure 8-4: Summary Page
Figure 8-5: Question to Start with Which Eye First
Performing SCHWIND CAM Treatments
Figure 8-6: AMARIS Treatment Screen
Figure 8-7: Surgery Comment
Recovery Function
Eye Tracking
Figure 8-8: Recovery Menu
Figure 8-9: Arrangement of the Coordinate System for the Eye Tracker
Figure 8-10: Pupil Is Not in Hot Zone
Figure 8-11: Message "Pupil Not Found
Eye Tracking Coordinates Orientation
Figure 8-12: Eye Tracking Orientation
Eye Tracking Quality
Figure 8-13: Infrared Leds for Eye Tracking System
Figure 8-14: Good Eye Tracking Contrast
Static Cyclotorsion Control
Figure 8-15: Poor Eye Tracking Contrast
Figure 8-16: Static Cyclotorsional Correction
Figure 8-17: Result - Static Cyclotorsional Correction
Figure 8-18: SCC Result Bigger 5
Figure 8-19: Result - Static Cyclotorsional Correction
Dynamic Cyclotorsion Correction
Eye Tracking
Figure 8-20: Result - Dynamic Cyclotorsional Correction
Figure 8-21: Z-Tracking Slider
Figure 8-22: Treatment Screen with 6D Tracking (Exemplary Illustration)
Eye Tracking (Latency Free Tracking)
Online Coherence Pachymetry (OCP)
Figure 8-23: Online Coherence Pachymeter
Figure 8-24: Online OCP Setting in the Settings Menu
Timer
Figure 8-25: Timer Function
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TREAT
USER MANUAL
(Instruction for Use)
Original version
Excimer Laser
0483
SCHWIND eye-tech-solutions GmbH
Mainparkstrasse 6-10 · 63801 Kleinostheim GERMANY
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Table of Contents
Troubleshooting
Troubleshooting
107
Troubleshooting - Fluence Test
128
Troubleshooting and Remedies of Operating Microscope
179
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Amaris 750s
Amaris 500e
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