Ifu Provido Um en
Ifu Provido Um en
MEDICAL DIVISION
PROVIDO
User Manual
10732418 - Version 05
www.leica-microsystems.com
Thank you for choosing our products. We hope that you will enjoy the quality
and performance of your Leica Microsystems surgical microscope.
Legal disclaimer
All specifications are subject to change without notice.
The information provided by this manual is directly related to the operation of
the equipment. Medical decision remains the responsibility of the clinician.
Leica Microsystems has made every effort to provide a complete and clear user
manual highlighting the key areas of product use. Should additional information
regarding the use of the product be required, please contact your local Leica
representative.
You should never use a medical product of Leica Microsystems without the full
understanding of the use and the performance of the product.
Liability
For our liability, please see our standard sales terms and conditions. Nothing in
this disclaimer will limit any of our liabilities in any way that is not permitted
under applicable law, or exclude any of our liabilities that may not be excluded
under applicable law.
Contents 8.2
8.3
Positioning the microscope
Adjusting the microscope
32
33
8.4 Transportation 38
1 Introduction 2 8.5 Shutting down the surgical microscope 39
1.1 About this user manual 2
1.2 Symbols in this user manual 2 9 Control unit with touch panel 39
1.3 Optional product features 2 9.1 Menu structure 39
9.2 Selecting users 40
2 Product identification 2 9.3 Menu – User Settings 41
9.4 Menu – Maintenance menu 48
3 Safety notes 3 9.5 Menu – "How to..." 49
3.1 Intended use 3 9.6 Menu – "Service" 49
3.2 Indication for use 3
3.3 Contraindications 3 10 Accessories and options 50
3.4 Directions for the person responsible for the
instrument 3 11 Care and maintenance 51
3.5 Directions for the operator of the instrument 4 11.1 Maintenance instructions 51
3.6 Dangers of use 4 11.2 Cleaning the touch panel 51
3.7 Signs and labels 8 11.3 Maintenance 51
11.4 Changing bulbs 52
4 Design 11 11.5 Circuit Breaker Switch 53
4.1 PROVIDO stand 11 11.6 Notes on reprocessing of resterilizable products 53
4.2 Leica M530 Optics carriers 12
12 Disposal 55
5 Functions 13
5.1 Balancing system 13 13 What to do if ...? 56
5.2 Brakes 15 13.1 Malfunctions 56
5.3 Illumination 17 13.2 Malfunctions documentation accessories 57
5.4 Leica FusionOptics 17 13.3 Error messages on the control unit 58
5.5 Leica SpeedSpot 18
14 Specifications 59
6 Controls 18 14.1 Electrical data 59
6.1 PROVIDO microscope with arm system 18 14.2 Leica M530 59
6.2 Control unit 20 14.3 PROVIDO floor stand 61
6.3 Terminals 21 14.4 Ambient conditions 61
6.4 Stand 21 14.5 Electromagnetic compatibility (EMC) 61
6.5 Handles 22 14.6 Standards fulfilled 62
6.6 Footswitch 22 14.7 Limitations of use 62
14.8 List of weights of balanceable configurations 63
7 Preparation before surgery 23 14.9 Dimensional drawings 71
7.1 Transportation 23
7.2 Locking/unlocking the PROVIDO 25 15 Annex 74
7.3 Installing optical accessories 26 15.1 Checklist before the operation 74
7.4 Setting the binocular tube 26
7.5 Adjusting the eyepiece 27
7.6 Selecting the assistant 27
7.7 Positioning on the operating table 28
7.8 Attaching sterile controls and drape 30
7.9 Function check 31
8 Operation 31
8.1 Switching the microscope on 31
3 Safety notes X Carry out regular inspections to make certain that the
authorized users are adhering to safety requirements.
The PROVIDO surgical microscope is state-of-the-art technology. X When instructing new users, do so thoroughly and explain the
Nevertheless, hazards can arise during operation. meanings of the warning signs and messages.
X Always follow the instructions in this user manual, and in X Allocate responsibilities for commissioning, operation and
particular the safety notes. maintenance. Monitor compliance with this.
X Only use the PROVIDO surgical microscope if it is free of defects.
3.1 Intended use X Inform your Leica representative or Leica Microsystems
• The PROVIDO surgical microscope is an optical instrument for (Schweiz) AG, Medical Division, 9435 Heerbrugg, Switzerland,
improving the visibility of objects through magnification and immediately about any product defect that could potentially
illumination. It can be applied for observation and cause injury or harm.
documentation and for medical treatment. X If you use accessories from other manufacturers with the
• The PROVIDO surgical microscope is subject to special PROVIDO surgical microscope, make sure that these
precautionary measures for electromagnetic compatibility. manufacturers confirm that the combination is safe to use.
• Portable and mobile as well as stationary RF communications Follow the instructions in the user manual for those accessories.
equipment can have a negative effect on the reliability of the
PROVIDO surgical microscope's functionality. • Modifications to or service on the PROVIDO surgical microscope
• The PROVIDO is intended for professional use only. may be carried out only by technicians who are explicitly
authorized by Leica to do so.
3.2 Indication for use • Only original Leica replacement parts may be used in servicing
• The PROVIDO surgical microscope is primarily used for the product.
• After service work or technical modifications, the device must
Neurosurgery/ Ear Nose and Throat surgery (ENT)/Spine
be readjusted in accordance with our technical specifications.
Surgery/Dental surgery and PRS surgery in hospitals, clinics or
• If the instrument is modified or serviced by unauthorized
other human medical institutions.
• The PROVIDO surgical microscope may be used only in closed persons, is improperly maintained (as long as maintenance was
not carried out by us), or is handled improperly,
rooms and must be placed on a solid floor.
• These Instructions for Use are intended for professional Leica Microsystems will not accept any liability.
• The effect of the surgical microscope on other instruments has
physicians, nurses and other medical and technical staff who
been tested as specified in EN 60601-1-2. The system passed the
prepare, operate or maintain the device. It is the duty of the
emission and immunity test. Comply with the usual pre
device owner/operator to train and brief all the operating
cautionary and safety measures relating to electromagnetic and
personnel.
other forms of radiation
• The electric installation in the building must conform to the
WARNING national standard, e.g., current-operated ground leakage
Danger of injury to the eyes. protection (fault-current protection) is suggested.
X Do not use the PROVIDO in ophthalmology. • Like any other instrument in the operating theater, this system
may fail. Leica Microsystems (Schweiz) AG therefore
recommends that a backup system be kept available during the
3.3 Contraindications operation.
Do not use the PROVIDO in Ophthalmology. • Only the supplied power cord may be used.
• The power cord must have a protective conductor and must be
undamaged.
3.4 Directions for the person • The mains cable must be mechanically secured with the "Power
Input" socket to prevent accidental disconnection.
responsible for the instrument • Portable RF communications equipment (including peripherals
X Ensure that the PROVIDO surgical microscope is used only by such as antenna cables and external antennas) should be used
persons qualified to do so. no closer than 30 cm (12 inches) to any part of the Leica
X Ensure that this user manual is always available at the place PROVIDO, including cables specified by the manufacturer.
where the PROVIDO surgical microscope is in use. Otherwise, degradation of the performance of this equipment
could result.
Note: WARNING
The EMISSIONS characteristics of this equipment make it suitable
Risk of injury due to downward movement of the surgical
for use in industrial areas and hospitals (CISPR 11 class A). If it is
microscope!
used in a residential environment (for which CISPR 11 class B is
X Always lock the parallelogram:
normally required) this equipment might not offer adequate
• when transporting the microscope
protection to radio-frequency communication services. The user
• when re-equipping
might need to take mitigation measures, such as relocating or
re-orienting the equipment.
WARNING
Danger of eye injury due to possibly hazardous optical
3.5 Directions for the operator of the infrared and UV radiation.
instrument X Do not look at the operating lamp.
X Minimize exposure to eyes or skin.
X Follow the instructions described here.
X Use appropriate shielding.
X Follow the instructions given by your employer regarding the
organization of work and safety at work.
WARNING
Risk of injury due to downward movement of the surgical
3.6 Dangers of use microscope.
X Complete all preparations and adjustments to the stand
WARNING before the operation.
Danger of injury due to the PROVIDO moving down! X Never change the accessories or attempt to rebalance
X Never rebalance or re-equip with the instrument over the microscope while it is above the field of operation.
the field of operation. X Before changing accessories, always lock the PROVIDO
X Always balance the PROVIDO after re-equipping it. surgical microscope.
X Balance the PROVIDO after re-equipping it.
X Do not release the brakes when the instrument is in an
WARNING
unbalanced state.
Danger of tilting if load exceeds permitted load! X Before re-equipping during the operation, first swing
X The load placed on the microscope interface must not
the microscope away from the operating field.
exceed 8.5 kg. X Never carry out the adjustment balancing above the
patient.
WARNING X Check fitting and good connection of all parts and
Danger of injury to the eyes. cables during the preparation of the system prior to the
X Do not use the PROVIDO in ophthalmology. surgery. Not well fitted parts and bad connections can
lead to hazardous situations and system failures.
WARNING
WARNING
Danger of injury due to:
• uncontrolled lateral movement of the arm system Risk of infection.
• tilting of the stand X Always use the PROVIDO surgical microscope with sterile
• feet in lightweight shoes could become trapped beneath controls and a sterile drape.
the casing of the base
X For transportation, always move the PROVIDO surgical WARNING
microscope into the transport position. Danger of fatal electrical shock.
X Never move the stand while the unit is extended.
X The PROVIDO surgical microscope may be connected to a
X Never roll over cables lying on the floor.
grounded socket only.
X Always push the PROVIDO surgical microscope at the
X Operate the system only with all equipment in its proper
handrail and never pull it. position (all covers fitted, doors closed).
X Make sure that the movement range is free.
WARNING WARNING
Danger of eye injury due to possibly hazardous optical Danger to the patient due to failure of the magnification
infrared and UV radiation. motor.
X Do not look at the operating lamp. X If the magnification motor fails, adjust the
X Minimize exposure to eyes or skin. magnification manually.
X Use appropriate shielding.
CAUTION
WARNING Surgical microscope can move without warning.
Danger of burn injuries in otologic surgery. X Always lock the footbrake when you are not moving the
X Use the lowest comfortable light intensity. system.
X Adjust the field of view to match the operating field.
X Irrigate the wound frequently.
CAUTION
X Cover the exposed parts of the pinna with a moist
surgical sponge. Damage to the PROVIDO surgical microscope due to
uncontrolled tilting.
X Hold the handle when releasing the brake.
WARNING
Danger of injury to the eyes.
CAUTION
At a short focal distance, the light source of the illumination
unit may possibly be too bright for the operating physician Damage to the PROVIDO surgical microscope during
and the patient. transportation.
X Never move the stand in the extended condition.
X Begin with the lower-intensity light source and slowly
X Always change to transport position before moving the
increase it until the operating physician has an optimally
illuminated image. PROVIDO stand.
X Never roll over cables lying on the floor.
X Do not drive on ramps with a tilt ≥ 10°.
WARNING X Do not transport or store the system in areas with an
Danger of serious damage to tissue due to incorrect working elevation angle bigger than 10°.
distance. X Do not tilt the system to more than 10° as it might tip
X When using lasers, always set the working distance of over.
the microscope to laser distance and lock the microscope X Only move the PROVIDO in transport position.
in position.
X Do not adjust the rotary button for manual setting of
CAUTION
the working distance while using the laser.
Damage to the PROVIDO surgical microscope due to
uncontrolled tilting.
WARNING X Grasp the handles securely before pressing the ALL-FREE
Danger to the patient due to failure of the working distance button.
motor.
X If the working distance motor fails, adjust the working
CAUTION
distance manually.
There is a risk of damage to the surgical microscope from
uncontrolled tilting!
WARNING X Firmly hold the handles before triggering the
Danger injury to the eyes due to laser radiation. "All Brakes" function.
X Never point the laser directly or indirectly via reflecting
surfaces to the eyes.
X Never point the laser to the eyes of the patient.
X Do not look into the laser beam.
CAUTION CAUTION
Risk of infection. Destruction of the working distance motor.
X Leave sufficient space around the stand to ensure that X Only adjust the working distance manually if the
the sterile drape does not come into contact with non- working distance motor is defective.
sterile components.
CAUTION
CAUTION Damage to the touch panel.
Risk of damage. X Operate the touch panel using your fingers only.
X Before lifting the microscope make sure that the area Never use hard, sharp or pointed objects made out of
above the stand is clear to avoid collisions with OR wood, metal or plastic.
lamps, ceiling etc. X Never clean the touch panel using cleaners that contain
X Make sure that the movement range is free before you abrasive substances. These substances can scratch the
move the arm with the monitor. surface and cause it to be become dull.
X Parts of the stand might collide with the ceiling, wall or
other equipment in the environment. Make sure that
CAUTION
the movement range is free before you move the
microscope or stand. Danger to the patient due to changes in the user settings.
X Never change the configuration settings or edit the user
X Only move the surgical microscope when all brakes are
released. list during an operation.
X Check fitting and good connection of all parts and
cables during the preparation of the system prior to the
CAUTION surgery. Not well fitted parts and bad connections can
Risk of overheating of the system. lead to hazardous situations and system failures.
Covering the air inlet can result in a controlled shutdown of
the system due to overheating.
CAUTION
X Make sure the air inlet is always kept free.
Danger of skin burns. The lamp insert gets very hot.
X Check that the cover has cooled before you replace the
CAUTION lamp.
If the field diameter is greater than the field of view and the X Do not touch the hot lamp insert.
light intensity is too high, uncontrolled tissue heating may
occur outside of the area visible through the microscope.
CAUTION
X Do not set the light intensity too high.
Damage to the PROVIDO surgical microscope during
transportation!
CAUTION X Never move the stand in the extended condition.
Destruction of the magnification motor. X Never roll over cables lying on the floor.
X Only adjust the magnification manually if the X Do not transport or store the system in areas with an
magnification motor is defective. elevation angle bigger than 10°.
CAUTION
Damage to the housing of the stand or to the touch panel of
the control unit!
If the optics carrier is moved into the transport position or
from the transport position to the operating position:
X Ensure that the transport lock must be locked.
CAUTION
Damage to other medical equipment or injury to personnel.
X Take care of monitor movement when rotating the
tower. The monitor will move together with the tower
and can collide with other medical equipment or
personnel.
CAUTION
Risk of damage.
X Only move the surgical microscope when all brakes are
released.
26
11,12,
17,20,
21,22,
27
24
25 19
14 10
15 Laser label
7
16
10 Type label
MD
(only USA and operating lamp. Eye injury may result.
18 System weight label
12 MET label
20 ANVISA Registration
number (only brazil)
21 INMETRO label
(only brazil)
OCP 0004
23 Lamp On/Off
25 UDI Label
Device Identifier (DI)
GS1 Data Matrix Code
Production Identifier (PI)
Serial number
Date of manufacturing
4 Design
4.1 PROVIDO stand
4.2 Leica M530 Optics carriers 4.2.3 Leica M530 with ULT530
WARNING
Danger of injury due to the PROVIDO moving down!
X Never rebalance or re-equip with the instrument over
the field of operation.
X Always balance the PROVIDO after re-equipping it.
Pull the stop lever (4) and rotate it into a horizontal position. 5.2 Brakes
The transport lock is released.
X Press the ALL-FREE button. The PROVIDO has 6 electromagnetic brakes which stop the
This frees the D brake. movements of the stand and surgical microscope:
X See whether or not the microscope drifts with the articulate
arm in horizontal position. 3
4
Microscope drifts downwards: 2
Turn rotary knob (5) clockwise. 5
1 Horizontal at column
2 Horizontal front
X If the rotary knob (5) cannot be turned easily, hold the 3 Up/down in parallelogram
articulate arm higher or lower in a position where the 4 In the rotary joint
rotary knob can be turned easily. 5 In the C sledge of the microscope carrier
6 At the A/B sledges of the surgical microscope
5.2.1 Selected Brakes – XYZ Free 5.2.3 Selected Brakes – Carrier Free
The following movements can be performed with the surgical The following movements can be performed with the surgical
microscope when the brake combination "XYZ Free" is activated: microscope when the "Carrier Free" mode is activated:
Luminous energy
The optics of the PROVIDO have a variable working distance of 5.4 Leica FusionOptics
between 225 and 600 mm. For Xenon lamp 300 W the system is This feature provides an augmentation in resolution and depth of
designed in such a way that it delivers sufficient light to produce a field for an ideal 3-D optical image.
bright image even at a long working distance of 600 mm. Leica FusionOptics operates with two separate beam paths with
In accordance with the formula Ev=Iv/d2, the light quantity different information: the left beam path is optimized for high
continually increases by 710 % when the working distance is resolution, the right beam path for optimum depth of field.
changed from 600 to 225 mm. The human brain merges these two very different images to a
(Ev = light intensity, Iv= brightness, d= distance from light single, optimal spatial image.
source).
This means that less light is required to work with the microscope
at a shorter distance than at a greater distance.
Laser
1 C sledge
2 Microscope carrier
3 Handle clamping lever
Course of the laser beams 4 Handle
5 B sledge
6 A sledge
7 Optics carrier
8 Display of set working distance and magnification
9 Status LED for fluorescence recording
LED lights up red = recording in progress
10 Status LED for fluorescence
• LED OFF: Fluorescence not available
• Yellow color LED ON: Fluorescence FL800 is now
in operation.
• Cyan color LED ON: Fluorescence FL560 is now
in operation.
Laser
6.1.1 Lock Leica M530 with ULT530/Leica FL800 ULT (a) or with Leica FL560
for M530 (b)
a a
3 3
1
2
4 32 1
1
2 1 Button "Focus lock" (counter-sunk)
2 LED Focus lock active
3 Receiver Remote Control Camera
1 CAN socket (Leica M530 with Top plate and IVA530 only) 4 Rotary knob "Working distance" (emergency operation only)
2 Optical fiber connection 5 Rotary knob "Manual override AutoIris"
6 Rotary knob "Magnification" (emergency operation only)
7 Button "Reset AutoIris"
Leica M530 with ULT530 / Leica FL560 for M530 or with 6.2 Control unit
Leica FL800 ULT
14 15
13
16
12
1
11 10 9 8
17
17 Assistant right/left
Foot
Switch
6
3
DIC
IN 5
2
2
6.6 Footswitch
This is an overview of all possible footswitches you can use to
control your PROVIDO.
Assignment in the factory setting
1 Magnification Footswitch
• 12 functions Footswitch
2 4-function joystick • 14 functions
3 Working distance • crosswise
• crosswise
4 Release all brakes
5 Release preselected brakes
Y+ Y+
• Footswitches can be assigned individually for each user
in the configuration menu.
X– X+ X– X+
Y– Y–
CAUTION
Surgical microscope can move without warning.
X Always lock the footbrake when you are not moving the
system.
CAUTION
Damage to the PROVIDO due to uncontrolled tilting.
X Grasp the handles securely before pressing the ALL-FREE
button.
Risk of injury due to downward movement of the surgical "All Brakes" function.
microscope! X Grip and turn one handle to release the brakes.
X Always lock the parallelogram: X At the same time, pull the transport lock (1) and bring it into a
• when transporting the microscope vertical position.
• when re-equipping
CAUTION
There is a risk of damage to the surgical microscope from
uncontrolled tilting!
X Firmly hold the handles before triggering the
"All Brakes" function.
X Pull the transport lock (1) and bring it into a horizontal position.
2
4 3 4 2
X Using knob (1) switch the light for the assistant from left to
right or vice versa.
1
X Without looking into the eyepieces, turn both eye lenses to
+5 diopters.
X Slowly turn the eyepieces towards –5 individually for each eye
until the test object appears in sharp focus.
X Select the highest magnification and check the sharpness.
X Using knob (1) switch the light from the back assistant to the
side assistants.
7.7 Positioning on the operating table The PROVIDO achieves this large range of positions through its very
long and high arm system.
X Release the footbrakes (see page 23).
WARNING
X Move the PROVIDO carefully over to the operating table by the
Risk of injury due to downward movement of the surgical
handle and into the required position for the operation.
microscope.
X Complete all preparations and adjustments to the stand
before the operation. Recommendations for positioning the PROVIDO on the OP
X Never change the accessories or attempt to rebalance table
the microscope while it is above the field of operation.
X Before changing accessories, always lock the PROVIDO. All positions are also possible as the mirror image position.
X Balance the PROVIDO after re-equipping it.
X Do not release the brakes when the instrument is in an
unbalanced state. The instrument must be positioned such that the range of
X Before re-equipping during the operation, first swing
movement is large enough for the expected tasks.
the microscope away from the operating field.
X Never carry out the adjustment balancing above the
patient. Possible applications for neurosurgery with different working
X Check fitting and good connection of all parts and cable positions for the surgeon (approximate dimensions in mm):
during the preparation of the system prior to the
surgery. Not well fitted parts and bad connections can
lead to hazardous situations and system failures. 764
CAUTION
Risk of damage.
X Before lifting the microscope make sure that the area
above the stand is clear to avoid collisions with OR
lamps, ceiling etc.
769
X Make sure that the movement range is free before you
move the arm with the monitor.
X Parts of the stand might collide with the ceiling, wall or
other equipment in the environment. Make sure that
the movement range is free before you move the
microscope or stand.
X Only move the surgical microscope when all brakes are
released.
NOTE
Risk of damage to the surgical microscope due to collision.
X Make sure that there is free space of about 1 m around the foot.
695
1150
1196
45°
30°
564
625
984
969
455
7.8 Attaching sterile controls and X Unpack the sterile drape carefully and drape it over the
PROVIDO as far as the articulated arm.
drape X Clamp the protective glass (optional) onto the objective.
WARNING X Do not attach the sterile drape too tightly with the provided
ribbons. It must still be easy to move the instrument.
Risk of infection.
X Check the ease of movement of the instrument.
X Always use the PROVIDO with sterile controls and a
sterile drape. Follow the instructions provided by the manufacturer of the
sterile drape.
7.8.1 Covers for rotary buttons
Always use the drape with a protective glass.
Use the covers also when you use sterile disposable drapes.
The controls will be easier to grasp.
Do not drape further than to position (1).
X Fit steam-sterilizable covers on the magnification, working
distance and AutoIris manual override knobs.
8 Operation
8.1 Switching the microscope on
WARNING
Danger of fatal electrical shock.
X The PROVIDO may be connected to a grounded socket
only.
X Operate the system only with all equipment in its proper
position (all covers fitted, doors closed).
WARNING
2
Danger of eye injury due to possibly hazardous optical
infrared and UV radiation.
X Do not look at the operating lamp.
7.8.3 Attaching the protective glass to the objective X Minimize exposure to eyes or skin.
X Use appropriate shielding.
X Place the sterilized protective glass on the optics carrier so that
the markings on the PROVIDO (1) and on the protective glass (2)
are aligned. WARNING
Danger of burn injuries in otologic surgery.
X Use the lowest comfortable light intensity.
X Adjust the field of view to match the operating field.
X Irrigate the wound frequently.
X Cover the exposed parts of the pinna with a moist
1 surgical sponge.
X Connect the microscope to a grounded socket.
2 X Secure power cable (2) at the stand with the power cable
b
clip (1).
a 1
2
X Insert the protective glass upwards into the bayonet mount in
direction (a).
X Turn the protective glass in direction (b) until it engages.
X Switch on the microscope at the power switch (4) on the stand. 8.2 Positioning the microscope
After the surgical microscope is switched on, a lamp test for
both lamps is carried out and the settings of the last active user 8.2.1 Coarse positioning
are loaded. X Hold the microscope by both handles.
If a defective lamp is detected, a warning message is X Press the button for releasing all brakes and position the
displayed. microscope.
X Release the brakes button.
X Check the fiber optics cable connection to the optics carrier.
X Switch on the illumination with the key (3) on the control unit. Also refer to the "Handles" chapter on page 22.
CAUTION
Damage to the PROVIDO due to uncontrolled tilting.
X Hold the handle when releasing the brake.
1
2
4 3
8.3.4 Setting the illumination field diameter 8.3.5 Adjusting the magnification (zoom)
You can adjust the magnification using a footswitch/handle or the
CAUTION "Magnification" adjustment bar on the "Main" menu screen of
If the field diameter is greater than the field of view and the the control unit.
light intensity is too high, uncontrolled tissue heating may
occur outside of the area visible through the microscope. On the touch panel monitor in the "Main" menu screen:
X Do not set the light intensity too high.
You can read the currently set magnification on the 8.3.6 Setting the working distance (WD, focus)
display (1) on the M530 optics carrier.
WARNING
Danger of serious damage to tissue due to incorrect working
distance.
X When using lasers, always set the working distance of
the microscope to laser distance and lock the microscope
in position.
X Do not adjust the rotary button for manual setting of
the working distance while using the laser.
1 WARNING
Danger of injury to the eyes due to laser radiation.
X Never point the laser directly or indirectly via reflecting
surfaces to the eyes.
X Never point the laser to the eyes of the patient.
Manually adjusting the magnification (zoom) X Do not look into the laser beam.
CAUTION You can adjust the working distance using the footswitch/handle or
Destruction of the magnification motor. the "WD" adjustment bar on the "Main" menu screen of the
X Only adjust the magnification manually if the control unit.
magnification motor is defective.
On the touch panel monitor in the "Main" menu screen :
If the magnification motor fails, the magnification can be manually
adjusted using the rotary knob (2).
CAUTION
• Clicking the or button changes the working
distance in increments of 1. Holding down the button Destruction of the working distance motor.
X Only adjust the working distance manually if the
with your finger changes the value in increments of 5.
• You can adjust the working distance motor speed in the working distance motor is defective.
"Speed" menu . If the working distance motor fails, the working distance can be
• These values can be saved individually for each user (see manually adjusted using the rotary knob (3).
page 41).
• You can return the working distance motor to the
working distance saved for the current user using the
"WD Reset" button.
3 2 1
X Turn rotary button (3) and set the working distance as required.
Locking/releasing the working distance
WARNING
Danger of serious damage to tissue due to incorrect working
distance.
X When using lasers, always set the working distance of
the microscope to laser distance and lock the microscope
in position.
X Do not adjust the rotary button for manual setting of
the working distance while using the laser.
CAUTION
Damage to the PROVIDO due to uncontrolled tilting!
X Hold the handle when releasing the brake.
CAUTION
Damage to the PROVIDO during transportation!
X Never move the stand in the extended condition.
X Never roll over cables lying on the floor.
X Do not transport or store the system in areas with an
elevation angle bigger than 10°.
3 2 1
CAUTION
Damage to the housing of the stand or to the touch panel of
X The video focus can be adapted to your needs by pressing the the control unit!
focus button up (3) or/and down (1). This command can be If the optics carrier is moved into the transport position or
given to the GUI and from the handle, if defined. from the transport position to the operating position:
X Ensure that the transport lock must be locked.
Focus adjustment operates in both directions with an
endless circular movement.
CAUTION
The video fine focus can be re-adjusted to parfocality position by
Damage to other medical equipment or injury to personnel.
pressing the parfocality button (2). The video focal plane will then
X Take care of monitor movement when rotating the
be aligned for all observers with zero diopters respectively with
tower. The monitor will move together with the tower
correct individual diopter settings. This command can be as well
and can collide with other medical equipment or
given on the GUI and from the handle, if defined.
personnel.
8.4 Transportation X Ensure that the PROVIDO is in the transport position (see section
7.1).
WARNING
Danger of injury due to:
• uncontrolled lateral movement of the parallelogram
• tilting of the stand
• feet in lightweight shoes could become trapped beneath
the casing of the base
X For transportation, always move the PROVIDO into the
transport position.
X Never move the stand while the unit is extended.
X Never roll over cables lying on the floor.
X Always push the PROVIDO at the handrail and never pull
it.
X Make sure that the movement range is free.
• You can also add a user from the operational menu. 9.3.1 User Setting Protection
• If you want to keep the current settings, you can save To avoid unauthorized or accidental changes of user settings, each
them by clicking the "Save" button (which appears as user setting can be protected by a password/PIN. This keeps the
soon as the basic settings of the current users have been working parameters identical each time you load a protected user
changed), either for the current user ("Save") or under a setting. Changes can be done during the application, but will not be
new username ("Save as New"). stored unless "Save as Current" or "Saved as new" with entering the
correct password/PIN.
Editing the user list
Various functions are available in the user list depending on the Saving and protecting the user settings is done in two ways:
situation.
As a current user setting
You will receive a prompt for the password/PIN.
X If a password/PIN was defined save the changes of the user
settings with entering the correct password/PIN.
If it is incorrect the system will go back to "Start values main".
X Choose "Save as current" and enter the password/PIN again.
If no password/PIN was defined, you can define a password/PIN
(4-10 characters).
X Press "OK" for re-entering and confirmation.
If the re-entered password/PIN does not match the enter/re-enter
process has to be repeated.
If no password/PIN should be defined, you can exit the procedure
by pressing "Skip" or before re-entering with "Cancel".
Brightcare Plus
Changing password X Set the status of the BrightCare Plus safety function for the
selected user.
1 3
4
4
1
5
X In the left selection field, select the function group with the
desired functions.
X You can scroll forwards or backwards in the list by clicking the
arrowheads.
X Select the desired function.
X Click a free caption of the desired key to assign the selected
function to it.
X The inner switch (2) to which "Selected Brakes" is pre-assigned
can be freely assigned, as required.
X You can also assign one of the three defaults "X/Y", "FL800" or
"FL560" completely to each handle.
Drapes
Supplier Article No.Main Front Back Assistant Assistant
Inclined binocular tube 45°, Type II assistant left right
Mikrotek 8033650EU
8033651EU
Eyepiece 10× ✓ ✓ ✓ ✓
8033652EU
Eyepiece 12.5× 8033654EU
Phar- 9228H
Eyepiece 8.3× ✓ – ✓ ✓
maSept 9420H
Fuji System 0823155 ✓ – ✓ ✓
Magnification multiplier 0823154 ✓ ✓ – ✓
Spiggle &
250013OH ✓ – ✓ ✓
Theis
CAUTION
Danger of skin burns. The lamp insert gets very hot.
X Check that the cover has cooled before you replace the
lamp.
X Do not touch the hot lamp insert.
X Close the access door.
X Switch on the surgical device.
A lamp test for both lamps is carried out.
X Set the respective lamp timer to zero ("Maintenance –> Lamp
History" on page 48).
Cleaning: manually
• Equipment: running water, detergent, alcohols, microfiber cloth
Procedure:
X Rinse surface contamination off of the product (temp. < 40 °C).
Use some rinsing agent depending upon degree of
contamination.
Circuit breaker switch by default is always pressed.
X Alcohol may also be used to clean the optics if heavy
X Press the circuit breaker switch (1) if the system had a power
contamination such as fingerprints, grease streaks etc. is
trip.
present.
11.6 Notes on reprocessing of X Dry off products, except for optical components, with a
disposable cloth/paper cloth. Dry off optical surfaces with a
resterilizable products micro-fiber cloth.
11.6.1 General
Cleaning: automatically
Products • Equipment: cleaning/disinfecting device
Reusable products supplied by Leica Microsystems (Schweiz) AG It is not recommended to clean products with optical components
such as rotary knobs, objective protective glasses and capping in a cleaning/disinfecting device. In addition, optical components
pieces. must not be cleaned in ultrasonic baths in order to prevent damage.
Sterilization
See Sterilization table on page 54.
Storage
No special requirements.
Additional information
None
1) This medical device falls within the validated sertility claims of the STERRAD®100S / STERRAD® 100NX™ / STERRAD®50 / STERRAD®200
13 What to do if ...?
If your instrument has a malfunction that is not described
here, please contact your Leica representative.
13.1 Malfunctions
Malfunction Cause Remedy
The microscope tilts when you press the The arm system is not correctly X Balance microscope carrier (see page 13).
"All Brakes " button. balanced.
The microscope cannot be moved or A cable is caught. X Reroute affected cable.
moved only with a great deal of effort.
PROVIDO locked. X Release the locking mechanism (see page 23).
Functions cannot be activated using the A cable connection has come loose. X Check the footswitch connection.
footswitch or the controls on the handles.
Incorrect assignment entered at control X Change the assignment using the control unit.
unit.
No light in the microscope. The fiber-optic light guide has been X Check the connection of the fiber-optic light guide.
disconnected.
Main illuminator and/or auxiliary X Switch to the other illuminator (see page 34).
illumination defective.
Light intensity below expectation. Fiber optics cable not in place properly. X Check connection of fiber optics cable.
Lamp life time over. X Check lamp life time and change bulbs, if required.
Back assistant / side assistants have no Selection of the assistants not correct. X Check selection of the assistants (see page 27).
light.
Left / right side assistant has no light. Selection of the assistant not correct. X Check selection of the assistant (see page 27).
The image remains unfocussed. Eyepieces are not mounted correctly. X Screw the eyepieces all the way on.
Diopters not set correctly. X Perform dioptric correction exactly according to the
instructions (see page 27).
AutoFocus not working properly. X Check AutoFocus settings (see page 46).
The microscope or arm system moves up/ Arm system is not correctly balanced. X Balance out PROVIDO (see page 13).
down or rotates on its own accord.
Cables are not correctly laid or have slipped X Route cables according to installation guide and
out of position and exert force on the implement strain relief.
system (possibly additional video cable).
PROVIDO was balanced in a locked state. X Release the locking mechanism (see page 23) and
balance the PROVIDO (see page 13).
The microscope and microscope carrier Balancing has not been completed. X Make sure that position B has been assumed (see
can be moved only with difficulty or not page 13).
at all.
Magnification cannot be adjusted Failure of magnification motor. X Press the magnification rotary knob.
electrically. X Set magnification by turning (see page 36).
No XY movements possible at one of the No XY movements configured for the X Set the joystick to XY movement (see page 45).
two handles. handles in the control unit.
BrightCare Plus Safety function through working distance- Type A f162.66 10448088
dependent limitation of the brightness, Type B f170.0 10446797
controlled by a built-in luxmeter
SpeedSpot Laser focussing aid for fast and exact positioning
of the microscope
Laser Class 2
Wave length 635 nm
Optical power <1 mW
Fine focus Available for back side assistant
Magnification 1.4×
multiplier
IR sensor For remote control of the Leica HD C100
security in IEC 60601-1; EN 60601-1; UL 60601-1; X Never transport or move the system at an inclination of
4
1 Optics carrier
3 2 Top plate
3 Beamsplitter
4 180° Dual Stereo Attachment
2
1
Inclined Tube
Zoom Video Adapter
Tube 30°-150°
1 Side assistant
left or right Stereo
Remote Video Adapter / Attachment Straight Tube
Manual Video Adapter
45° Tube
1 Video adapter
opposite side assistant
Tube 30°-150° Tube 0°-180°
Magnification
Multiplier
Equipment of Leica M530 with Top plate and 180° Dual Stereo Attachment Installation
Art. No. Description Comment / Restrictions Weight # Total
10448692 M Top plate 0.22 kg .
10446565 S Beamsplitter 70/30 % 0.40 kg .
10446567 M 180° Dual Stereo Attachment 0.98 kg .
M Binocular tube for main surgeon Overall, 4 tubes must be installed.
Maybe the orientation of the tubes must
be adapted to balance the system. .
10446797 S Binocular tube var. 30°-150° T, Type II L Recommended 0.81 kg .
10446587 S Straight binocular tube T, Type II 0.72 kg .
10446618 S Inclined binocular tube 45°, Type II 0.56 kg
10446574 S Inclined binocular tube T, Type II 0.74 kg
10448668 O Magnification multiplier 0.28 kg .
M Binocular tube for back assistant .
10446797 S Binocular tube var. 30°-150° T, Type II L Recommended 0.81 kg .
10448088 S Binocular tube var. 0°-180° T, Type II 1.42 kg .
M Side observation Only 1 piece, left or right, must be
opposite to Video adapter .
10448597 S Stereo attachment 1.01 kg .
10446797 S Binocular tube var. 30°-150° T, Type II L Recommended 0.81 kg
10446587 S Straight binocular tube T, Type II 0.72 kg
10446618 S Inclined binocular tube 45°, Type II 0.56 kg
10446574 S Inclined binocular tube T, Type II 0.74 kg
M Binocular tube on Stereo attachment If Stereo attachment is selected .
10446797 S Binocular tube var. 30°-150° T, Type II L Recommended 0.81 kg .
10448028 S Eyepiece 10x 2 eyepieces per binocular tube 0.10 kg .
10448125 S Eyepiece 8.3x 0.10 kg .
10443739 S Eyepiece 12.5x 0.10 kg .
Total
M = Must, O = Option, S = Selection Load .
NOTE
Destruction of the IVA530 optics.
X Do not use the Zoom Video Adapter in combination with
Leica M530 with IVA530.
Inclined Tube Tube 30°-150° 45° Tube Straight Tube Tube 0°-180°
Magn.
Multipl.
Camera
Inclined Tube
Tube 30°-150°
1 or 2 side assistants,
switchable - only one active Stereo Attachment
Straight Tube
45° Tube
Equipment of PROVIDO Serial No. .................................. Max. load on microscope optics carrier: 8.5 kg
14.8.3 Leica M530 with ULT530 or Leica FL800 ULT and Leica FL560
2 3
1 1
1 Optics carrier
2 ULT530 or Leica FL800 ULT
3 ULT530 combined with Leica FL560
NOTE
Destruction of the ULT530 optics.
X Do not use any video adapter in combination with the ULT530.
Inclined Tube
Straight Tube
45° Tube
Magnification
Multiplier Tube 30°-150° Tube 0°-180°
Ergo Wedge *)
*) Ergo Wedge (10448429) can be installed below the Tube 0-180° but is not a must
Equipment of PROVIDO Serial No. .................................. Max. load on microscope optics carrier: 8.5 kg
Total
M = Must, O = Option, S = Selection Load .
NOTE
Destruction of the ULT530 optics.
X Do not use the Zoom Video Adapter in combination with the
Leica M530 with ULT530.
-25° ±270°
±45°
360°
+95° -30°
max. 1870
max. 1955
max. 1487
Dimensions in mm
min. 2390
Specifications
73
Annex
15 Annex
15.1 Checklist before the operation
Patient ........................................................................................................................................................................................
Surgeon ........................................................................................................................................................................................
Date ........................................................................................................................................................................................
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