Related Manuals for A.R.C. Laser CITO 532
Summary of Contents for A.R.C. Laser CITO 532
- Page 1 User Manual A.R.C. Laser GmbH Bessemerstr. 14 Tel.: +49 911 21779-0 info@arclaser.de 0123 90411 Nürnberg Fax: +49 911 21779-99 www.arclaser.de...
- Page 2 Tel.: +49 911 21779-0 Fax: +49 911 21779-99 service@arclaser.de Copyright © A.R.C. Laser GmbH. All rights reserved. This document contains confidential and copyrighted information and may only be used with the devices described herein. Reproduction is prohibited without written permission from A.R.C.
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Page 3: Table Of Contents
User Manual CITO 532 September 2023 INTRODUCTION ..........................5 Marking and Symbols ........................ 5 Intended Purpose ........................6 1.2.1 General Purpose ........................6 1.2.2 Medical Purpose ........................6 General Contraindications......................6 Theory and Technical Set-up ....................7 TRANSPORT AND STORAGE ......................8 Shipping and Unpacking the Device .................. - Page 4 User Manual CITO 532 September 2023 6.3.3 Laser STANDBY/READY ....................27 6.3.4 Counter ..........................28 6.3.5 Settings/Submenu ......................28 Release Laser Beam ....................... 29 Treatment ..........................29 Switch Off ..........................30 Laser-Stop ..........................30 TECHNICAL DATA ......................... 31 General ............................ 31 Laser Data ..........................
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Page 5: Introduction
September 2023 1 INTRODUCTION We thank you for having chosen our CITO 532 and wish you every success in using this versatile laser system. The CITO 532 laser generates a laser beam of high intensity, which can cause injuries if handled improperly. -
Page 6: Intended Purpose
1.2.2 Medical Purpose The purpose of the CITO 532 is to treat open-angle glaucoma. This includes the treatment of all patients who have increased intraocular pressure and in whom the anterior chamber angle is wide enough to directly treat the trabecular meshwork with laser light. For this purpose, the laser is used together with a gonioscope, which directs the laser light onto the trabecular meshwork via a built-in mirror. -
Page 7: Theory And Technical Set-Up
September 2023 1.4 Theory and Technical Set-up The CITO 532 is a diode-pumped laser with a wavelength of 532 nm. The radiation in the laser head is generated with the help of a pump diode. The laser beam that leaves the device has a small diameter;... -
Page 8: Transport And Storage
User Manual CITO 532 September 2023 2 TRANSPORT AND STORAGE We at A.R.C. Laser GmbH will make sure that the device is packed and transported with the greatest possible care. Before unpacking the laser, please check the packaging for damage and report any damage immediately to the shipping agent and A.R.C. -
Page 9: Return Shipment
2.2 Return Shipment The device will be shipped in a specially developed transport packaging. Please keep this. If you ship the device back to A.R.C. Laser GmbH, be sure to use the intended transport packaging. The transport packaging is designed so that the device fits snugly into the foam parts. -
Page 10: Set-Up And Installation
Before the device is delivered, it must be ensured that the laser can be set up in a suitable location. The CITO 532 should be operated in an easily accessible place. The laser should not be operated near a heater, since the device works only when the ambient temperature is not higher than 28°C. -
Page 11: Reflecting Surfaces
User Manual CITO 532 September 2023 3.2.3 Reflecting Surfaces To avoid danger from reflected direct and scattered radiation, there must be no reflective surfaces in the room. These can be: • Mirrors • Pictures behind glass • Chrome surfaces •... -
Page 12: Safety Information
The CITO 532 laser falls under laser class 3B according to EN 60601-2-22, EN 60825-1 respectively. Class 3B in the standard describes high-energy lasers and therefore special measures must be taken before commissioning in order to ensure safe and trouble-free working with the device. -
Page 13: Eye Safety
Never remove the housing parts of the laser. Work on the device may only be carried out by authorized A.R.C. Laser GmbH service personnel. If the mains have to be replaced, it must be carried out by authorized service personnel only. -
Page 14: Nohd Safety Distance
(full angle) Permitted Maximum Radiation: 5.34 x 10 4.7 CE-Regulations The laser system CITO 532 has been approved by the notified body in accordance with the European Directive 93/42/EEC for medical devices. Accordingly, the device bears the CE mark CE 0123. -
Page 15: Protective Housing
User Manual CITO 532 September 2023 4.9 Protective Housing The CITO 532 laser system has a protective housing. prevents radiation from the laser from escaping and protects users from touching live parts. This housing must not be removed. 1) Slitlamp PCL 5... - Page 16 To prevent a defect in the unit - caused by the power supply unit - the CITO 532 has two thermal fuses under the table. When the thermal fuses blow, they are pushed down and the red LED on the main switch goes out.
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Page 17: External Interlock Switch
Make sure the socket is stucks firmly to prevent unexpected system interlock problems. 4.12 Safety-Shutter/Aiming Beam The CITO 532 has an internal safety shutter. This shutter is opened by pressing the READY button and then releases laser radiation. However, this can only be done if the laser has passed the internal tests and calibrations. -
Page 18: Lables And Markings
User Manual CITO 532 September 2023 4.15 Lables and Markings The CITO 532 is provided with various warnings in accordance with European and worldwide guidelines. This is to prevent the laser user from being exposed to laser radiation due to carelessness. -
Page 19: Warning Label Laser
The “Laser Aperture” label marks the laser output. The other labels provide information about the type and intensity of the laser system. 4.15.5 Serial number The CITO 532 consists of several subsystems, each with its own serial number. 4.15.6 Laser Stop This symbol indicates where the laser stop button (see chapter 6.7) -
Page 20: Follow Instructions For Use
4.16 Operating Conditions The medical laser CITO 532 is not suitable for use in connection with combustible gas mixtures of all kinds. The device is not approved for operation at altitudes above 2,000 m above sea level. and only for an air pressure between 1080 hPa and 750 hPa. -
Page 21: Advice For Users
5.2 Laser-Safety-Training The CITO 532 laser is designed for medical users. It may only be used by personnel who have been instructed in its operation. The A.R.C. Laser GmbH recommends, in addition to the briefing, participation in seminars in which working with different laser systems is dealt with. -
Page 22: Device Parts And Accessories
A T T E N T I O N Only spare parts and applicators which are approved by A.R.C. Laser GmbH are to be used with the device. Accessories that have not been approved can significantly impair the safety and reliability of the device. -
Page 23: Instrument Table
(down arrow) until it comes to a complete stop. After calibration, the table is horizontal again. 5.4.2 Foot Switch (optional) An optional footswitch is available for your CITO 532. This enables the laser tob e shot by footswitch. File: User Manual CITO532_rev5.docx... -
Page 24: Operation
User Manual CITO 532 September 2023 6 OPERATION This part of the manual only describes the technical application of the device, without going into the medical application. You will receive separate application manuals from A.R.C. Laser GmbH. Settings and adjustments should only be made in accordance with the operating instructions. -
Page 25: Starting The Laser
A T T E N T I O N The CITO 532 should not be operated for longer than 5 hours at a time. Restart the laser after 5 hours at the latest so that it can carry out the system check during the start routine. -
Page 26: Add Surgeon/Surgeon Name
User Manual CITO 532 September 2023 6.2.1 Add Surgeon/Surgeon Name The desired name can be selected by clicking directly on it. You will then be automatically forwarded to the program selection. When you log in for the first time, you should enter your name: Click "New Surgeon"... -
Page 27: Selection Of Programs
User Manual CITO 532 September 2023 6.3.1 Selection of Programs Both programs P01 and P02 can be individually defined and saved. First set your desired energy and then press the disk symbol to save. The set energy value is now saved. -
Page 28: Counter
User Manual CITO 532 September 2023 6.3.4 Counter The number of shots fired and the accumulated energy are shown in the lower part of the display (shot counter). To reset the counter to 0, press the sigma symbol (for at least 1s). -
Page 29: Release Laser Beam
Press the READY button: the yellow LED flashes for 2 seconds and then changes to steady light. Treatment can start. The software of the CITO 532 allows the energy delivered to be added up, which is permanently shown in the lower area of the display. -
Page 30: Switch Off
User Manual CITO 532 September 2023 6.6 Switch Off First switch off the device on the display and then with the main switch at the table. A T T E N T I O N Do not forget to turn off the system. It should be covered with a dust cover to avoid dust deposits on the optics. -
Page 31: Technical Data
User Manual CITO 532 September 2023 7 TECHNICAL DATA 7.1 General Model CITO 532 Frequency-doubled Q-switched Nd:YAG Laser Output Single Pulse, maximum manual repetition rate 10 Hz, pulse duration <9 ns Cooling Air internal Weight 51 kg with Table and Slit lamp... -
Page 32: Maintenance
User Manual CITO 532 September 2023 8 MAINTENANCE 8.1 Introduction The device was designed, developed and tested according to the latest technical knowledge. We have set the product life to 7 years. In addition, the availability of spare parts is guaranteed by us within a period of 10 years. However, in order to ensure that everything works properly, we have made it possible for you to carry out a visual check of the status indicators from the outside. -
Page 33: Care By The User
User Manual CITO 532 September 2023 8.3 Care by the user The following maintenance instructions can be carried out by the user. These serve to make your work easier. The system must be disconnected from the mains for cleaning. Always use a damp, but never wet, soft cloth for cleaning and disinfecting. -
Page 34: Inspection And Cleaning Of Internal Slit Lamp Optics
User Manual CITO 532 September 2023 8.3.2 Inspection and cleaning of internal Slit lamp optics Regularly check all optics on the slit lamp - especially the plug-in mirror and the lens above it - for contamination. A contaminted or dirty lens could lead to a reduction of energy when the laser beam passes through. -
Page 35: Slit Lamp
User Manual CITO 532 September 2023 8.4 Slit Lamp You can find detailed information on the care and maintenance of the slit lamp in the accompanying manual. It is essential to follow these instructions. 8.4.1 Slit Lamp Mirror If necessary, clean the slit lamp mirror with a suitable lens brush. After dedusting, clean the mirror with Kodak lens cloths and a few drops of pure acetone. -
Page 36: Troubleshooting
User Manual CITO 532 September 2023 8.5 Troubleshooting F-errors are hardware errors Common F-errors: F06, F07, F08 Problems with the trigger. Low power Make sure that the Please restart the trigger is not pressed system. conitnuously. Please restart the system if necessary. -
Page 37: Disposal
A.R.C. Laser GmbH is happy to assist with the disposal of the system; Costs for the proper return of the laser to A.R.C. Laser GmbH is the responsibility of the owner. Please contact our service department. -
Page 38: Customer Service
9 CUSTOMER SERVICE 9.1 Warranty Information A.R.C. Laser GmbH grants you a two-year guarantee. Parts that have a defect will be replaced free of charge within two years. All add-on and purchased parts are exempt from this guarantee. Our guarantee extends to the repair or replacement of defective parts. -
Page 39: Guidelines And Manufacturers Declaration
User Manual CITO 532 September 2023 10 GUIDELINES AND MANUFACTURERS DECLARATION 10.1 Electromagnetic Emissions The laser is intended for use in an environment as specified below. The customer or user of the laser should ensure that it is operated in such an environment. -
Page 40: Electromagnetic Immunity (1)
User Manual CITO 532 September 2023 10.2 Electromagnetic Immunity (1) The laser is intended for use in the electromagnetic environment specified below. The customer or the user of the laser should ensure that it is used in such an environment. - Page 41 User Manual CITO 532 September 2023 Quality of the supply voltage that is usually available in domestic or clinical areas should be used. Power 0% UT; 250/300 cycles IEC 61000-4-11 interruption at 0 and 180 level It is recommended to use an uninterruptible power supply.
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Page 42: Electromagnetic Immunity (2)
User Manual CITO 532 September 2023 10.3 Electromagnetic Immunity (2) The laser is intended for use in the electromagnetic environment specified below. The customer or the user of the laser should ensure that it is used in such an environment. -
Page 43: Recommended Separation Distances Between Portable And Mobile Rf Telecommunications Equipment And The Laser
User Manual CITO 532 September 2023 10.4 Recommended separation distances between portable and mobile RF telecommunications equipment and the laser The laser is intended for use in an electromagnetic environment in which the RF disturbances are controlled. The customer or... - Page 44 User Manual CITO 532 September 2023 Notes: File: User Manual CITO532_rev5.docx...
- Page 45 User Manual CITO 532 September 2023 Notes: File: User Manual CITO532_rev5.docx...
- Page 46 User Manual CITO 532 September 2023 Notes: File: User Manual CITO532_rev5.docx...
- Page 47 User Manual CITO 532 September 2023 Notes: File: User Manual CITO532_rev5.docx...
- Page 48 A.R.C. Laser GmbH Bessemerstr. 14 D-90411 Nürnberg Tel: +49 911 21779-0 Fax: +49 911 21779-99 www.arclaser.de...