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Geuder Megatron S4HPS Product Training

Cataract solution
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HPS
Megatron S4
Cataract Solution
Product Training
04.02.2016
1
Geuder AG/APG/AlS 15.05.2014

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Summary of Contents for Geuder Megatron S4HPS

  • Page 1 Megatron S4 Cataract Solution Product Training 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 2 Agenda GUI - General GUI - Cataract GUI - Service GUI - Service GUI - Advanced Service 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 3 Agenda GUI - General GUI - Cataract GUI - Service GUI - Service GUI - Advanced Service 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 4 Megatron S4 – GUI General 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 5 Megatron S4 – GUI General Video output Energy output – Gone! USB flash drive Power switch Additional grounding pin (equipotential bonding) Connecting socket power cord Connecting socket footswitch Fuse retainer Connecting socket drip stand 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 6 Megatron S4 – GUI General Release knob Port iv line Port iv tubing Port aspiration tubing Port drain to collecting bag Drawer for dusk filter Bracket for collecting bag hook 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 7 Megatron S4 – GUI General While booting up the system lower info bar is displayed and at the end it should be green 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 8 Megatron S4 – GUI General Button Bluetooth Button display of information Button switch off system Button navigation to main menu Button select languages Button to choose language directly 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 9 Megatron S4 – GUI General Notice about GEUDER accessories Notice can be inactivated by an authorized service partner partner In the service menu it can be set, if the device starts in start screen or main screen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 10 Megatron S4 – GUI General By pressing info button you will be guided to information screen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 11 Megatron S4 – GUI General By pressing info button you will be guided to information screen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 12 Megatron S4 – GUI General 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 13 Megatron S4 – GUI General Saves resp. loads all Configuration data to a Backup USB Stick Backup USB Stick For authorized service partners the device supplies further options for data transfer 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 14 Megatron S4 – GUI General Activation of vitrectomy modules by entering a device-specific licence device-specific licence code Inactivation of [Reminder cassette] = Reflux limitation For subsequent order of the licence code the MAC adress is required 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 15 Megatron S4 – GUI General to be continued,... Switching back to surgery,... Switching back to surgery,... 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 16 Megatron S4 – GUI General 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 17 Megatron S4 – GUI General Possibility to enter name of patient, which is then displayed on the Operation displayed on the Operation Screen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 18 Megatron S4 – GUI General EDIT Surgeon Operation Surgical step RENAME SORT DELETE COPY 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 19 „Edit“ menu Any „normal“ step can be copied as a direct step by selecting „D“ Mandatory: no previous „Direct Step“ present – delete first if necessary Don‘t forget to set up AC- Vitrectomy as a direct step!!! 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 20 Megatron S4 – GUI General Switch to select surgery, if not an operation or a surgical step was selected surgical step was selected 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 21 Use arrows to adjust volume, keep pressed for faster change Save for this surgical step or all steps in this surgery Window will close automatically 10 seconds after the last change, after discarding changes with “Cancel” or after accepting with “OK” 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 22 Megatron S4 – GUI General Timer Being able to define a countdown for several indications…e.g. drug administration, exposure time for Brilliant Peel, etc. Brilliant Peel, etc. 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 23 Agenda GUI - General GUI - Cataract GUI - Service GUI - Service GUI - Advanced Service 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 24 Megatron S4 – GUI Cataract current Surgeon current Operation Button Bluetooth Button OPMI inview Button VSC 04.02.2016 Geuder AG/APG/AlS 15.05.2014...

  • Page 25: Module Display

    Megatron S4 – GUI Cataract Module display 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 26 Buttons to adjust preset value Actual value (numerical value and colored bar) Phaco handpiece / sensor / pump / ext. air pressure status Switch between options and information about the module settings Options for the module 04.02.2016 Geuder AG/APG/AlS 15.05.2014...

  • Page 27: Double Click

    Megatron S4 – GUI Cataract Double click! Only possible if footswitch is not activated!!! Enter US power directly and confirm by green hook Maximum can‘t be exceeded! It‘s for all modules possible! 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 28 Megatron S4 – GUI Cataract Surgical step Arrow keys Arrow keys 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 29 Megatron S4 – GUI Cataract Information window Button Direct step to AC-Vitrectomy Phaco Handpiece status and settings Flow and vacuum settings Phaco time / average phaco power Cassette / Peristaltic Pump status 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 30 Megatron S4 – GUI Cataract Footswitch configuration Displays the current FS configuration Display only, changes in the parameter menu Window will close automatically after 10 seconds Footswitch functions are blocked for surgeon until info window is opened 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 31 Lower infusion pole to change bottle Reset phaco time Phaco test long and short (with/without tube filling) Choice of active plug for test (8 / 9) Test progress and option to cancel Return to the main screen without changes 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 32 Megatron S4 – GUI Cataract Changes in the following screens should exclusively be made by trained be made by trained personnel After [Changing parameters] a safety prompt must be confirmed 04.02.2016 Geuder AG/APG/AlS 15.05.2014...

  • Page 33: Modify Parameters

    Modify parameters Change active modules and their Change active modules and their parameters Activate and deactivate modules Some modules are automatically activated if mandatory for others Settings / preset values of each module can be changed 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 34 Megatron S4 – GUI Cataract Footswich setting overview 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 35 Combine position “B” and “C” Reset / erase the Footswitch settings (you will be prompted to acknowledge) Return to parameter menu Accept changes and return to main operating screen (only active if no “necessary” function left) 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 36 Megatron S4 – GUI Cataract Footswich setting overview Historical footswitch pre- allocations 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 37 Megatron S4 – GUI Cataract Indicators of phaco handpiece, sensor and pump must/should be green and pump must/should be green 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 38 Megatron S4 – GUI Cataract Standard: continuous, linear control 60% power 60% power Options: Flash Mode Cool Flash Mode Power fix Power lin Power exp Power log 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 39 Megatron S4 – GUI Cataract 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 40 Select plug to setup (8/9) Each plug can be programmed seperately Only the plug which is Only the plug which is selected at the time of saving is available for surgery Phaco test available for both 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 41 Megatron S4 – GUI Cataract Set maximum power 100% means full voltage to achieve maximum stroke most handpieces stroke most handpieces 100% = 100 µm Select between linear, fix exponential and logarithmical power control 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 42 Flash and Cool Flash Reduced energy applied to the tissue Less friction – less heat Less friction – less heat Achieved by switching the phaco power on and Effectivity depends on tip design, sleeve, incision size and handpiece itself 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 43 Megatron S4 – GUI Cataract Cool Flash Duty time, 10/90% to 90/10% 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 44 Megatron S4 – GUI Cataract Cool Flash Duty time, 10/90% to 90/10% Frequency, 1 to 60 Hz Frequency, 1 to 60 Hz 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 45 Megatron S4 – GUI Cataract Cool Flash Duty time, 10/90% to 90/10% Frequency, 1 to 60 Hz Frequency, 1 to 60 Hz Display of the real duty cycle in ms, activation after 1st change 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 46 Frequency, 1 to 60 Hz Frequency, 1 to 60 Hz Display of the real duty cycle in ms, activation after 1st change The duty cycle 3 ms on – 22 ms off is repeated 40x per second 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 47 Frequency, 1 to 60 Hz Display of the real duty cycle in ms, activation after 1st change The duty cycle 3 ms on – 22 ms off is repeated 40x per second Footswitch still controls stroke 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 48 Prevention of corneal burns The duty cycle 3 ms on – 22 ms off is repeated 40x less energy-transfer to the eye per second Protection of endothelial tissue Footswitch still controls well-directed energy-transfer stroke decreasing the thermal exposure 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 49 Megatron S4 – GUI Cataract Flash Define pulse packages 1 to 10 pulses on 0 to 20 pulses off 0 to 20 pulses off 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 50 Megatron S4 – GUI Cataract Flash Define pulse packages 1 to 10 pulses on 0 to 20 pulses off 0 to 20 pulses off 1 pulse = 50%on / 50% 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 51 Define pulse packages 1 to 10 pulses on 0 to 20 pulses off 0 to 20 pulses off 1 pulse = 50%on / 50% Frequency defines how often pulse on + pulse off package is repeated per second 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 52 Footswitch controls the less energy-transfer to the eye number of pulses off (i.e. Protection of endothelial tissue the distance between the „on-pulse“ packages well-directed energy-transfer All pulses have the set decreasing the thermal exposure maximum power! 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 53 Megatron S4 – GUI Cataract Standard: linear control 130 mmHg (Cat 2.85mm 130 mmHg (Cat 2.85mm Sculpting) Options: Automatic vacuum control SOS – Save Occlusion System High Vacuum Vacuum fix 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 54 Megatron S4 – GUI Cataract Automatic vacuum control Activation limit 0 to 600 mmHg 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 55 Megatron S4 – GUI Cataract Automatic vacuum control Activation limit 0 to 600 mmHg Flow reduction 0 to 50 ml/min 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 56 Megatron S4 – GUI Cataract Automatic vacuum control Activation limit 0 to 600 mmHg Flow reduction 0 to 50 ml/min Vacuum Decrease 10 to 50 mmHg 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 57 – GUI Cataract Automatic vacuum control Activation limit 0 to 600 mmHg Flow reduction 0 to 50 ml/min Vacuum Decrease 10 to 50 mmHg Flow reduction mode only or combined with Vacuum release which is a venting 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 58 Set activation limit Set Flow reduction If vacuum below act. limit, flow is reduced to set limit above act. Limit flow is limited by flow module If normal vacuum value is changed, activation limit is altered proportionally 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 59 Megatron S4 – GUI Cataract vacuum flow occlusion collapse Vacuum decrease vacuum limit by module irrigation activation limit flow reduction level time 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 60 0 to 600 mmHg limit visualized by red marker in module display Set phaco power below activation limit If vacuum above limit, phaco power is fully controllable if below limit, only available to the value set 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 61 0 to 600 mmHg limit visualized by red marker in module display Set phaco power below activation limit If vacuum above limit, phaco power is fully controllable if below limit, only available to the value set 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 62 HV visualized by bar and grey field in module display Value cannot be set lower than normal vacuum If normal vacuum value is changed, value is altered proportionally Footswitch must be programmed 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 63 HV visualized by bar and grey field in module display Value cannot be set lower than normal vacuum If normal vacuum value is changed, value is altered proportionally Footswitch must be programmed 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 64 HV visualized by bar and grey field in module display Value cannot be set lower than normal vacuum If normal vacuum value is changed, value is altered proportionally Footswitch must be programmed 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 65 HV visualized by bar and grey field in module display Value cannot be set lower than normal vacuum If normal vacuum value is changed, value is altered proportionally Footswitch must be programmed 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 66 Vacuum pump control Peristaltic pump (Flow) Venturi Effect (Rise Time) Venturi Effect (Rise Time) Venturi pump (Rise Time) Options (peristaltic mode): Puls Pump rotation varies in speed – easier aspiration of large nucleus fragments Linear control 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 67 Megatron S4 – GUI Cataract Peristaltic mode Aspiration proportional to pump rotation Flow control (0 to 50 ml/min) Linear or fix (fix standard, vacuum control is linear!) Pulsation adjustable in frequency [Hz] and „superincrease“ (dynamic overshoot) [ml/min] 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 68 Venturi Effect mode Emulation of venturi pump Fast pump rotation Rise time control (0.5 to 5 s) No flow control (due to high pump rotation, high flow!) Venturi mode Rise time control (0.5 to 5 s) 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 69 2 Hz = (250 ms on / 250 ms off) x 2 50 Hz = (10 ms on / 10 ms off) x 50 100 Hz = (5 ms on / 5 ms off) x 100 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 70 Megatron S4 – GUI Cataract Quit Surgery 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 71 Empty the cassette reservoir into collecting bag Repeat the latter surgery Shut down the machine (you will be prompted to acknowledge) Never switch off before the black screen appears, switching of during read/write cycles may damage the software and hardware! 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 72 Megatron S4 – GUI Cataract 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 73 Megatron S4 – GUI Cataract [Print parameters] has no function at the moment Always [Empty cassette] before ejecting it After pushing button [Off] DO NOT switch off the power switch... Until also this prompt HAS DISAPPEARED. 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 74 Agenda GUI - General GUI - Cataract GUI - Service GUI - Service GUI - Advanced Service 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 75 Megatron S4 – GUI Service 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 76 Megatron S4 – GUI Service Start screen can be chosen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 77 Megatron S4 – GUI Service Start screen can be chosen Language can be chosen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 78 Megatron S4 – GUI Service Start screen can be chosen Language can be chosen Color theme can be chosen Color theme can be chosen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 79 Start screen can be chosen Language can be chosen Color theme can be chosen Color theme can be chosen Mode of Filling time, Tubing test, Reflux Source and Vacuum Release, Reflux limitation and the infusion valve can be chosen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 80 Language can be chosen Color theme can be chosen Color theme can be chosen Mode of Filling time, Tubing test, Reflux Source and Vacuum Venting can be chosen Save mode and Phaco time can be chosen 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 81 Megatron S4 – GUI Service Parameter changes are Parameter changes are temporarily stored when switching between surgery steps Changes are discarded, if they are not saved with [Save As...] before switching to next surgery step 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 82 100% phaco power have been applied As the piezoelements perform more effective in the mid-range of phaco power, less energy is used and the count is slower 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 83 100% power for 1 s = 100% 1.0 sec = 100% 1.0 sec 100% power for 1 second and 50% power for 1 s = 75 2.0 sec i.e. average phaco power and total phaco activation time is displayed 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 84 Megatron S4 – GUI Service Microscope inview connection... 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 85 Megatron S4 – GUI Service Voice output menu... Choose between its possibilities... 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 86 Agenda GUI - General GUI - Cataract GUI - Service GUI - Service GUI - Advanced Service 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 87 Megatron S4 – GUI Advanced Service Change from service mode to advanced service mode 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 88 Megatron S4 – GUI Advanced Service Type in password to enter advanced service mode 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 89 Megatron S4 – GUI Advanced Service Choose startscreen w/o Geuder notice 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 90 Megatron S4 – GUI Advanced Service Application-Specialists save in advanced mode surgeons settings After every visit the parameters After every visit the parameters should be downloaded and stored 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 91 Megatron S4 – GUI Advanced Service Before pressing [Memory] insert USB-drive at the back of the device! 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 92 Megatron S4 – GUI Advanced Service Create new folder (I use City‘s name and/or capitals of the clinic to name it) Press EDIT to generate folder 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 93 Megatron S4 – GUI Advanced Service Press NEW and continue 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 94 Megatron S4 – GUI Advanced Service Mark [Settings] and all surgeons STANDARD can‘t be transferred! STANDARD can‘t be transferred! Press right direction arrow to implement the settings from the device into choosen folder of the external memory 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 95 Megatron S4 – GUI Advanced Service Confirm with YES 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 96 Megatron S4 – GUI Advanced Service Settings and all surgeons parameters are stored 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 97 Megatron S4 – GUI Advanced Service Set it as shown !!! 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 98 Megatron S4 – GUI Advanced Service In case of trouble store error memory also by using USB-drive Insert drive and press save button In urgent cases hold the errors in readiness for our Hotline!!! 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 99 Megatron S4 – GUI Advanced Service 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 100 Megatron S4 – GUI Advanced Service Just an overview 04.02.2016 Geuder AG/APG/AlS 15.05.2014...
  • Page 101 Thanks a lot for your attention 04.02.2016 Geuder AG/APG/AlS 15.05.2014...