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OCULUS BIOM® 5

INSTRUCTION MANUAL
Binocular Indirect Ophthalmo-Microscope

Instruction Manual BIOM® 5 (GA/55400/0313/en – YYYY-MM-DD) 1/1


Notes on this
Instruction Manual
The BIOM® 5 was manufactured and tested under strict quality criteria. You
have selected a modern and well-engieered product.
The Binocular Indirect Ophthalmo-Microscope, BIOM® 5, is further stage of
development of the BIOM®.
The BIOM® 5 combines an ophthalmoscope with a surgical microscope. It
enables the vitreous cavity to be viewed under stereoscopic conditions with
optimal image quality, with up to 125° non-contact observation of the fun-
dus.

To ensure safe operation, it is essential that you use the device correctly. For
this reason, you should thoroughly familiarize yourself with the contents of
this instruction manual before operating the device. Pay particular atten-
tion to the safety instructions.

This operating manual describes the following BIOM® 5- models:


 BIOM® 5c and 5cl (long version)
 BIOM® 5m and 5ml (long version)
Except for the difference in length, the respective long version is iden-
tical with respect to handling and features.
The long versions should be used at microscope focal lengths of
f=200 mm

Due to ongoing development, the diagrams shown in the instruction man-


ual may depict minor changes to the actual device delivered.
If you have any questions or would like additional information about your
device, please do not hesitate to contact us by mail or fax. Our service team
will gladly assist.

OCULUS Optikgeräte GmbH

OCULUS is certified according to DIN EN ISO 13485, setting high standards


of quality where development, manufacture, quality assurance and service
regarding the entire range of products are concerned.

i / iii Instruction Manual BIOM® 5 (G/55400/0413/en)


Table of Contents

Table of Contents

1 Scope of Delivery ........................................................................................................................ 1


2 Graphic Symbols on the Equipment ................................................................................... 2
3 Safety Instructions..................................................................................................................... 2
3.1 About this Manual ...................................................................................................... 2
3.1.1 Pictograms Used in this Manual...................................................... 3
3.2 Safety Instructions for Use ..................................................................................... 3
3.2.1 Instructions for Use .............................................................................. 5
4 Proper Use ..................................................................................................................................... 5
5 Device Description...................................................................................................................... 6
5.1 Function of the BIOM® 5 ......................................................................................... 7
6 Transport and Storage .............................................................................................................. 8
7 Connect the BIOM® 5c to the SDI® 3c............................................................................... 9
8 Initial Operation .......................................................................................................................... 9
8.1 Prior to Initial Operation .......................................................................................... 9
8.2 Prior to Start-Up.......................................................................................................... 9
9 BIOM® 5 in Use..........................................................................................................................11
9.1 Choose the Appropriate Optics............................................................................11
9.2 Assembly .......................................................................................................................12
9.3 Under Sterile Conditions: Test the Safety Functions..................................16
9.4 Connect the BIOM® 5 to the Microscope........................................................17
9.5 Swivel the BIOM® 5 to its Parked Position .....................................................19
9.6 Make the Basic Settings at the Microscope ...................................................19
9.7 Instructions for Focusing the BIOM® 5m........................................................20
9.8 Instructions for Visualization of the Posterior Eye Segment..................21
9.9 Practical Information for Use...............................................................................23
9.9.1 End Operation of the BIOM® 5.......................................................24
9.10 Remove the BIOM® 5 from the Microscope...................................................24
9.11 Dismantle......................................................................................................................26
10 Troubleshooting ........................................................................................................................26
11 Change the Drive Module .....................................................................................................29
12 Cleaning, Sterilization and Maintenance........................................................................29
12.1 Condition Components...........................................................................................29
13 Disposal of Used Devices.......................................................................................................32
14 Warranty and Service..............................................................................................................33
14.1 Assumption of Liability for Functions and Damage ...................................33
14.2 Manufacturer and Service Address....................................................................34
15 Declaration of Conformity....................................................................................................35

Instruction Manual BIOM® 5 (G/55400/0413/en) ii / iii


Table of Contents

16 Order Information, Accessories and Replacement Parts..........................................36


16.1 Components for the BIOM® 5..............................................................................36
16.2 Sterilization Components for the BIOM® 5....................................................38
16.3 Stereoscopic Diagonal Inverter Systems for the BIOM® 5.......................38
17 Technical Data............................................................................................................................38

iii / iii Instruction Manual BIOM® 5 (G/55400/0413/en)


1 Scope of Delivery

1 Scope of Delivery
BIOM® 5c

Component Order No
BIOM® 5c
 Version BIOM® 5c 55400
 Version BIOM® 5cl 55403
 Sterilizable drive belts (10 pcs)
 Sterilizable cable duct
BIOM® 5m
 Version BIOM® 5m 55462
 Version BIOM® 5ml 55463
 Instruction Manual G/55400/xxx/en
 Box with cover
 Sterilization Information G/55185/xxx/en

Supplementary components required for BIOM® 5c

Needed Supplementary Components


 Reduction lens and ophthalmoscopy lens
 Adapter for surgical microscope (if necessary,
with additional adaption modules).
 Stereoscopic Diagonal Inverter for erecting the
image

We reserve the right to change the scope of delivery in line with ongoing
technical development.
 If you find transport damage upon delivery, immediately file a claim
with the transport company.
 Have the damages noted on the bill of lading, so that your claim for
damages can be handled properly.

Instruction Manual BIOM® 5 (G/55400/0413/en) 1 / 40


2 Graphic Symbols on the Equipment

2 Graphic Symbols on the Equipment

1 2

3
6 4
5

1 Company logo + Manufacturer 4 Country of manufacture


2 CE marking 5 Device number
3 Serial number 6 Device name
Fig. 2-1: Graphic Symbols on the Equipment BIOM® 5

3 Safety Instructions

3.1 About this Manual

 Carefully read through the Instruction Manual.


 Keep the Instruction Manual in good condition near the device.
 Observe the legal regulations with regard to accident prevention.
 Read the separate operating instructions for the SDI® 4 and accesso-
ries.
 Read the special packing notice included with the adapter and acces-
sories.
If you have also selected our company’s Stereoscopic Diagonal Inverter
(SDI 4), you will find this unit and its accessories in a lined, plastic carrying
case.

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3 Safety Instructions

3.1.1 Pictograms Used in this Manual

Attention
Identifies a potentially dangerous situation which may cause minor injury
or material damage.

Note
Denotes situations which could result in incorrect findings, denotes user in-
structions and useful or other important information.

Identifies important information about the product and its use, which re-

quire special attention.

3.2 Safety Instructions for Use

Attention
Personal injury or material damage due to improper operation
 Observe the following safety instructions.
Personal injury or material damage due to equipment modifications that
could jeopardize safety
 No modifications may be made to this device without the permission
of the manufacturer.

Instructions for Operating Personnel

 Ensure that the BIOM® 5 is only used by duly trained physicians and
OR-personnel, who, based on their qualifications or their knowledge
and practical experience, can guarantee proper handling of the device.

Instruction Manual BIOM® 5 (G/55400/0413/en) 3 / 40


3 Safety Instructions

Instructions for Setup and Connection

 Also comply with the legal provisions in force in your country, and
with the hygiene and waste disposal regulations of the hospital or
clinic.
 Never mount or dismount the BIOM® 5 above a patient.
Assembly and instruction in the use of the BIOM® 5 and its accessories will
be done by an OCULUS employee or by a person authorized by OCULUS.

Instructions for Operation and Maintenance

 Prior to use: Let OCULUS or an authorized dealer train you in the op-
eration of the BIOM® 5.
 Never put a damaged BIOM® 5 into operation.
 Only operate the BIOM® 5 with the original accessories supplied by us
and only when the unit is in a technically perfect condition.
 Only operate the device if you have understood the operating instruc-
tions.
 The BIOM® 5 and all sterilizable BIOM® 5 components must be sterilely
conditioned
 prior to the first use
 after every use
 It is imperative that you heed the cleaning, disinfection and steriliza-
tion instructions given in the Conditioning Manual.

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4 Proper Use

3.2.1 Instructions for Use

Attention
Risk of eye injury if the working distance of the BIOM® 5 to the patient is
changed
When swiveling the BIOM® 5 into the work position (into the beam path)
you must comply with the following instructions:
 Do not use the coarse adjustment knob at the microscope stand.
 Do not adjust the height of the stand arm over the surgical field, ei-
ther by motor or manually.
 Do not change the patient’s position by adjusting the height of the
operating table.

 Heed the focusing instructions, sect. 9.7, page 20.


 Heed the instructions for visualisation of the posterior segment of the
eye, sect. 9.8, page 21.
 Heed the practical information for use of the BIOM® 5, sect. 9.9,
page 23.

Troubleshooting

 If a fault occurs that you cannot rectify with the help of the trouble-
shooting table (Page 27), the unit must not be used! Clearly mark the
unit as non-operational and get in touch with our service personnel.

Instructions for Disassembly and Disposal

 Dispose of the device according to legal regulations. Comply with the


hygiene and waste disposal regulations in force in the hospital or
clinic.

4 Proper Use
This Binocular Indirect OphthalmoMicroscope (BIOM® 5) is used for non-
contact observation of surgeries in the posterior segment of the eye.
The BIOM® 5 is intended for use with compatible designed surgical micro-
scopes in hospitals, clinics or other institutions for human medicine.
Use only surgical microscopes named by OCULUS Optikgeräte GmbH as
adaptable for the OCULUS.
Only operate the device using original accessory parts supplied by us, and
when the device is in technically correct working order.
 Heed the safety instructions listed above.

Instruction Manual BIOM® 5 (G/55400/0413/en) 5 / 40


5 Device Description

5 Device Description
BIOM® 5c

1 Reduction lens
(not supplied with the BIOM®)
1 2 Housing with swivel mechanism
3 Lens receptacle
4 Focus adjustment wheel
5 Control mark
6 Lensholder with safety rod
2 7 Front lens
(not supplied with the BIOM®)
8 Drive module

Fig. 5-1: Device overview BIOM® 5c with reduction lens and ophthalmoscopy lens

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5 Device Description

BIOM® 5m

1 Reduction lens
(not supplied with the BIOM®)
1 2 Adjuster, housing with swivel mechanism
3 Lens receptacle
4 Focus adjustment wheel
5 Control mark
6 Lens holder with safety rod
2 7 Front lens
(not supplied with the BIOM®)

Fig. 5-2: Device overview BIOM® 5m with reduction lens and ophthalmoscopy lens

5.1 Function of the BIOM® 5

The BIOM® 5 is used in conjunction with an SDI® (Stereoscopic Diagonal


Inverter) to erect the image for non-contact, wide-angle observation of the
fundus and vitreous body.
The combination of surgical microscope and the optical components of the
BIOM® 5 allows examination of the vitreous chamber under stereoscopic
conditions. The BIOM® 5 works as an indirect ophthalmomicroscope with-
out corneal contact during the surgery.

Instruction Manual BIOM® 5 (G/55400/0413/en) 7 / 40


6 Transport and Storage

The patient’s eyeball can be moved freely during the surgery. Peripheral
fundus portions are thus easy to examine. This combined optical system
achieves a fundus view of up to 125° in total.
The optical system of the BIOM® 5 consists of the reduction lens and the
front lens. The reduction lens ensures that the distance between the pa-
tient’s eye and the surgical microscope remains more or less the same when
the BIOM® 5 is swiveled in and out. Individually adjusted to the respective
surgical microscope, the microscope objective’s focal distance is reduced.
The position of the reduction lens with respect to the surgical microscope
is preset.
The height adjustment of the front lens is used for focusing the BIOM® im-
age. The distance between the surgical microscope and the front lens is set
using the adjusting wheel at the BIOM® 5.
For BIOM® 5c only:
Press the combination foot switch to focus by means of the electric motor.
This height adjustment of the front lens brings the fundus image into the
focal point of the microscope objective.
As the image is completely reversed when the BIOM® 5 is used, optimal use
is only guaranteed in conjunction with a SDI®. The SDI® rights the complete
image reversal and can be switched on and off as required.

6 Transport and Storage


The following values apply for a period of 6 months at most in the shipping
container.
The transport and storage conditions according to DIN EN ISO 601-1 are:

An ambient temperature range of -40°C to +70°C


A relative humidity range of 10% to 100%,
including condensation
An air pressure range of 5o kPa to 106 kPa

Attention
Risk of damage to the device due to improper transport and storage
 Transport the BIOM® 5 carefully.
 Store the BIOM® 5 under proper storage conditions.

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7 Connect the BIOM® 5c to the SDI® 3c

7 Connect the BIOM® 5c to the SDI® 3c


You need an adapter (Art. No. 54406) to connect the BIOM® 5c (4-pole) to
an SDI® 3c (2-pole).
 Plug in the unsterile adapter at the 2-pole SDI® housing.
 Carefully connect the sterilized plug of the BIOM® 5c to the adapter
plug, taking care to maintain the sterility.
 To disconnect after use, take hold of the outer sleeve of the BIOM® 5c
plug and unlock the connection.

For more information, refer to the Instruction Manual for the adapter.

8 Initial Operation

8.1 Prior to Initial Operation

 Remove the BIOM® 5 and its accessories from the packaging and dis-
pose of the latter in the proper manner.
 Clean, disinfect and sterilize the BIOM® prior to initial use, fig. 12,
page 29.
Assembly and instruction in the use of the BIOM® 5 and its accessories will
be done by an OCULUS employee or by a dealer authorized by OCULUS.

8.2 Prior to Start-Up

 An adapter is needed for attachment of the BIOM® 5. Check whether


it adapted to the respective surgical microscope type.
If necessary, extend the adapter.
 A part of the mounting fixture generally remains installed at the mi-
croscope.
Clean, disinfect and sterilize the detachable adapter plate for the
BIOM® 5 prior to use, see sect. 12, page 29.
If, however, you do have to remove the mounting fixture for any
reason, proceed as shown on the assembly diagram provided with the
adapter.
 Clean, disinfect and sterilize the BIOM® 5 prior to every use, sect. 12,
page 29.

Instruction Manual BIOM® 5 (G/55400/0413/en) 9 / 40


8 Initial Operation

Check and Mount the Dovetail Connections:

 First visually check the connection for correct mounting.


 Check this by gently rocking the connection before you begin mount-
ing any of the other attachments.

Attention
Risk of injury to the patient if the BIOM® 5 drops.
Loose connections can pose a hazard if you mount the adapter plate incor-
rectly.
 Therefore, after each conversion, check that all retaining elements (e.g.
locking screws) are present and are tight.

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9 BIOM® 5 in Use

9 BIOM® 5 in Use

9.1 Choose the Appropriate Optics

 Use the appropriate reduction lens for the surgical microscope’s objec-
tive.
 Select the appropriate front lens for the surgery.

Lens 53603 Lens 53606 Lens 53604 Lens 53602 Lens 53601
Currently available front lens:
 53603 Wide field, high definition lens with very good resolution in all
areas; can be used with maximum microscope magnification. With this
lens, the maximum field of view is approx. 60° to 125°. The outside di-
ameter of the lens mount is 20 mm.
 53606 Hi Res lens with very good resolution, can be used with maxi-
mum microscope magnification; with this lens, the maximum field of
view is approx. 60º and the working distance between the cornea and
front lens (bottom surface) is approx. 10 mm. The outside diameter of
the lens mount is 19 mm.
 53604 90D lens with very good resolution; standard lens suitable for
most cases; with this lens, the maximum field of view is approx. 90º,
and the working distance is approx. 8 mm. The outside diameter of the
lens mount is 19 mm.
 53602 Wide field (E)-lens with good resolution, large depth of focus;
lens with a maximum field of view of approx. 120º, and a working dis-
tance of approx. 3-4 mm. The outside diameter of the lens mount is 19
mm.
 53601 Wide field lens for deepset eyes; with this lens the maximum
field of view is approx. 70°, and the working distance is approx. 3-4
mm. The outside diameter of the lens mount is 12 mm.

Note
 Sterilize the front lenses in the steam autoclave.

Instruction Manual BIOM® 5 (G/55400/0413/en) 11 / 40


9 BIOM® 5 in Use

Disposable lens Sets

In addition to the re-sterilizable lenses, disposable sterile BIOM® Optic Sets


can also be used on the BIOM® 5.

Fig. 9-1: Disposable lenses (similar to those shown here)

The sets consist of a wide-angle front lens and a reduction lens, which can
be used for a microscope length of f=175 mm or f= 200 mm.
The maximum field of view is approx. 125° and the working distance is
approx. 3-4 mm.
The disposable lens sets can be combined with models BIOM® 5:

Objekctiv Model BIOM® BIOM® Optic Set


lens

for f=175 mm BIOM® 5m (55462) HD Professional 54411


BIOM® 5c (55400)
for f=200 mm BIOM® 5ml (55463) HD Professional 54412
BIOM® 5cl (55403)
for f=200 mm BIOM® 5m (55462) HD Flex 54415
BIOM® 5c (55400)

9.2 Assembly

 Make sure that all components are present and are sterile.

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9 BIOM® 5 in Use

BIOM® 5m Components

3
1 Housing with swivel mechanism 3 Front lens
2 Adapter plate 4 Reduction lens
Fig. 9-2: BIOM® 5m Components

BIOM® 5c Components

2
7
6

4 3
1 Housing with swivel mechanism 5 Cable duct
2 Adapter plate 6 Reduction lens
3 Drive belt 7 Cable connector
4 Front lens
Fig. 9-3: BIOM® 5c Components

Instruction Manual BIOM® 5 (G/55400/0413/en) 13 / 40


9 BIOM® 5 in Use

1 2

 Insert the reduction lens.  Plug in the adapter plate. You must thereby over-
come the detent that secures the connection.
Risk of injury to the patient if the BIOM® 5 is inserted
incorrectly
Attention If you do not insert the BIOM® 5 correctly, you will get
a decentered fundus image.
 Make sure that the BIOM® 5 has been slipped on up to
the limit stop.

3 4

 Insert the front lens. The BIOM® 5ml is fully assembled.


Fig. 9-4: Component assembly

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9 BIOM® 5 in Use

Additionally for the BIOM® 5:

You must insert the drive belt and put on a cable duct. The purpose of the
cable duct is to keep the connecting cable of the drive unit at the BIOM® 5c
(also fits the previous model) away from the unsterile microscope parts. The
cable duct and the drive belt can be steam autoclaved and are conditioned
in the same way as the other BIOM® 5 components.

5 6

 Install the drive belt.  First fasten the cable holder to the
connector
 Then fit the other side over the cable.
Fig. 9-5: Installation of the drive belt and cable duct

Instruction Manual BIOM® 5 (G/55400/0413/en) 15 / 40


9 BIOM® 5 in Use

9.3 Under Sterile Conditions:


Test the Safety Functions

Attention
Risk of injury in the event of malfunction
 Only use the BIOM® 5 after the following functions have been tested
and are in perfect working order.
#

1 2

control
marking

 Turn the BIOM® 5 towards the adapter plate. Make  Slide the safety rod of the lens mount up and down
sure that the housing body can be shifted without several times to check that it moves smoothly. The
resistance. control marking must be visible all times.
3

 Check that the knob turns easily and shorten the  Check whether all fastening screws are present
total length until the adjuster is at the uppermost (e.g. screws at the feather key of the safety rod).
position.
Fig. 9-6: Test the Safety Functions

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9 BIOM® 5 in Use

 Prior to each use, check that:


 The device is in technically perfect condition.
 All connections and fasteners that can be loosened are properly
tightened and are in a safe condition.
 The dovetail mount for the adapter is securely fastened at the
microscope.

9.4 Connect the BIOM® 5 to the


Microscope

Caution
Patient hazard caused by incorrect installation
 Never mount the BIOM® 5 above a patient.

1 2

 Push the sterile cap onto the knurled screw.  Slide the adapter plate with the BIOM® 5 into the
dovetail mount at the microscope.

 Secure the adapter into place with the knurled screw.


Fig. 9-7: Connect theBIOM® 5 to the Microscope

Instruction Manual BIOM® 5 (G/55400/0413/en) 17 / 40


9 BIOM® 5 in Use

For BIOM® 5c only

For the BIOM® 5c, you must connect the control cable to the SDI® 4c.

Fig. 9-8: Connect the control cable without touching the unsterile microscope parts

 Connect the control cable to one of the side couplers of the SDI® 4c.
Make sure that the cable does not touch any unsterile parts of the
microscope.

Fig. 9-9: BIOM® 5c: Connect the control cable

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9 BIOM® 5 in Use

 Connect the cable to the SDI®. The connector locks automatically.


Recommendation: If surgery is to be done on the left eye, connect the
control cable at the left hand side of the SDI®. When doing surgery on a
right eye, connect the control cable at the right hand side.

9.5 Swivel the BIOM® 5 to its


Parked Position

 During extra-ocular surgery phases, swing the BIOM® out of the beam
path into the parked position.
 When swinging out the BIOM®, push in the safety rod, including the
front lens, with you finger, until the rod reaches the limit stop.

Fig. 9-10: BIOM® 5 at its parked position

 Lift up the safety rod and move to the endposition. Then release the

safety rod.

9.6 Make the Basic Settings at the


Microscope

 Make the basic settings at the microscope in accordance with the


manufacturer’s specifications.
 Adjust the microscope to the anterior eye segment and perform the
surgery steps under microscope illumination, including starting the
infusion.

Instruction Manual BIOM® 5 (G/55400/0413/en) 19 / 40


9 BIOM® 5 in Use

9.7 Instructions for Focusing the


BIOM® 5m

Focusing on the BIOM® 5m is done manually with the adjusting wheel and
can also be done by a sterile assistant, who follows the surgery via a co-
observer viewer.

Fig. 9-11: Focusing with the adjusting wheel

Note
Adjust the ophthalmoscopy lens upwards for hyperopic eyes and
downwards for myopic eyes.

Attention
Risk of eye injury due to poor visibility conditions
If the surgeon works under poor visibility conditions, the use of intraocular
instruments can result in injury to the patient’s eyes.
 When focusing the BIOM® 5, heed the following instructions.

 Make sure that the microscope remains at this position (height) after
the surgical steps have been conducted at the anterior segment and
outside of the eye.
 Before swinging it to the operating position, make sure that the BIOM®
5 has been set to the shortest overall length.
 Before you begin to focus the BIOM® 5, check the distance from the
front lens to the patient’s eye.
 Monitor the distance between the front lens and the eye while focus-
ing the BIOM® 5.

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9 BIOM® 5 in Use

 Make sure that the front lens does not come into contact with the eye.
 Do not adjust the working height of the microscope while focusing the
BIOM® 5.
 Do not use the microscope’s focusing function while focusing the BI-
OM® 5.

For BIOM® 5c only (focusing by electric motor):

Focusing of the BIOM® 5c is done by the surgeon by means of the combi-


nation foot switch while observing through the microscope.
 Only use the BIOM® 5c’s motorised focusing function when the front
lens is far enough away from the patient’s eye.
 The surgeon may only use the motorised focusing function when the
distance between the front lens and the eye is simultaneously moni-
tored.
 It must be ensured that the operator can stop the motorised focusing
function at any time.

Attention
Risk of eye injury if the working distance of the BIOM® 5 to the patient is
changed
When swiveling the BIOM® 5 into the work position (into the beam path)
you must comply with the following instructions:
 Do not use the coarse adjustment knob at the microscope stand to
adjust the height.
 Do not adjust the height of the stand arm over the surgical field,
either by motor or manually.
 Do not change the patient’s position by adjusting the height of the
operating table.

9.8 Instructions for Visualization of the


Posterior Eye Segment

After all preparations for surgery in the posterior eye segment have been
completed, proceed as follows, without changing the microscope position!
 Use a suitable endoillumination.
 Swivel the BIOM® 5 into the beam path of the microscope. Lift up
safety rod and only release it again when the swung-in end position
has been reached.
 The lens slides down to its designated position. This position has been
reached when the control marks are fully visible.
 Turn off the microscope illumination.
 Activate the SDI® to right the complete image reversal.

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9 BIOM® 5 in Use

 Only for combination BIOM® 5c / SDI® 4c:


 The image reversal is deactivated when the BIOM® 5c is swiveled
out of the beam path.
 The SDI® 4c is automatically activated when the BIOM® 5c is
swiveled to the working position.
 The image reversal function is automatically controlled via the
position switch at the BIOM® 5c.
 Irrespective of this function, the image reversal of the SDI® 4c
can also be optionally controlled with the combination foot-
switch.
 At a low microscope magnification: Begin initial focusing of the
BIOM® 5-image by turning the BIOM® 5 adjusting wheel.
 Magnify the image section by actuating the focus switch at the
microscope.
 Then use the microscope footswitch control to zoom in to maximum
magnification. Now finely focus the image with the adjusting knob of
the BIOM® 5.
Only thus is a parfocal image (i.e. a sharp image at every
magnification) guaranteed.
 For BIOM® 5c only: Adjust the sharpness of the image with the rocker
of the combination foot switch, both for initial focusing and for
parfocally setting the image.
Recommendation: Reduce afterwards the microscope magnification to the
degree necessary to achieve as large a fundus overview as possible.
The use of the focusing function with the microscope foot pedal when the
BIOM® 5 is in use only changes the size of the image field (“keyhole effect“).

Attention
Risk of eye injury if the surgeon works under poor visibility conditions.
 During the entire process, ensure that the front lens cannot touch the
cornea, as otherwise the image may be impaired.
 Keep the cornea moist with a suitable fluid to protect the cornea and
to gain a clear view of the fundus.

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9 BIOM® 5 in Use

9.9 Practical Information for Use

Attention
Risk of eye injury as a result of uncontrolled head movements of the
patient.
 Take suitable measures to suppress uncontrolled head movements of
the patient during the surgery.

 Avoid any contact of the front lens with the cornea.


If the lens comes into contact with the cornea, the image immediately
becomes blurred.
 In an extreme emergency, e.g. uncontrolled downward movement of
the microscope:
 Stop with the Emergency Off button.
 Pull or move the complete surgical microscope upwards.
 Tilt the BIOM® 5 out of the beam path.
 After a contact with the eye, swing the BIOM® 5 out, or slide the safety
rod upwards to facilitate cleaning of the optics, so that you can clean
the lens with a sterile swab.
 Make sure that the cornea is sufficiently moistened with a suitable
solution. This will prevent damage to the cornea and will give you the
optimal view into the eye.
Adjustment of the microscope’s focus while the BIOM® 5 is in use acts as a
field diaphragm. The greater the distance between the eye and the
microscope, the smaller the angle of observation. This leads to the so-called
“keyhole effect”.
Focusing on the BIOM® 5m is done manually with the adjusting wheel and
can also be done by a sterile assistant, who follows the surgery via a co-
observer viewer.

 For BIOM® 5c only:


Focusing of the BIOM® 5c is done solely by the surgeon by means of the
combination foot switch while observing through the microscope.

Note
Adjust the ophthalmoscopy lens upwards for hyperopic eyes and
downwards for myopic eyes.

Instruction Manual BIOM® 5 (G/55400/0413/en) 23 / 40


9 BIOM® 5 in Use

9.9.1 End Operation of the BIOM® 5

 Swivel the BIOM® 5 to its parked position.


 After completing the surgery in the posterior segment: Slide up the
safety rod of the BIOM® 5 by hand and flip the BIOM® aside.
 Deactivate the SDI®.

For the Combination BIOM® 5c / SDI® 4c Only

Swiveling the BIOM® 5c out of the beam path automatically deactivates the
SDI® 4c.

9.10 Remove the BIOM® 5 from the


Microscope

Caution
Patient hazard caused by incorrect removing
 Never dismount the BIOM® 5 above a patient.

BIOM® 5m

After completing the surgery:


 Loosen the knurled screw, fig. 9-7, page 17, pict. 3.
 Pull the BIOM® 5 along with the adapter plate off the dovetail mount,
fig. 9-7, page 17, pict. 2.

24 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


9 BIOM® 5 in Use

BIOM® 5c

After completing the surgery:

1 2

 Pull the plug of the BIOM® 5c out of the coupler at  Detach the cable holder from the plug.
the SDI® 4c housing. To do this, grip the plug at the
sleeve and unlock it.
3

 Take off the drive belt.


Abb. 9-12: Demounting the BIOM® 5 c components

Note
Risk of damage to the device if the connector is pulled incorrectly.
If you pull on the cable, you could damage it and the complete drive module
would then have to be exchanged.l
 Always grasp the plug connector of the BIOM® 5c at the sleeve to
release the locking mechanism.

 Loosen the knurled screw, fig. 9-7, page 17, pict. 3.


 Pull the BIOM® 5 along with the adapter plate off the dovetail mount,
fig. 9-7, page 17, pict. 2.

Instruction Manual BIOM® 5 (G/55400/0413/en) 25 / 40


10 Troubleshooting

9.11 Dismantle

 Proceed in reverse order from assembly of the BIOM® 5.


 Pull the BIOM® 5 off the adapter plate. To do so, swivel the BIOM® 5
out, fig. 9-4, page 14, pict. 2.
 Dismount the two optics, fig. 9-4, page 14, pict. 1 and 3.
 For BIOM® 5c only:
Remove the drive belt and the flexible cable duct (fig. 9.2, page 12)
from the BIOM® 5c.
Before sterilizing, check that the drive module (1) is secure. If it is
loose, either tighten the Allen screw, 2 mm (2) at the drive module or
call in your hospital technician.

Fig. 9-13: Drive module: Check and tighten

All components are prepared for cleaning, disinfection and sterilization in


the steam autoclave, see sect. 12, page 29.

10 Troubleshooting

Attention
If an error occurs which you are unable to correct by following the instruc-
tions below, label the device as “out of order” and contact our service de-
partment. (Address: sect. 14.2, page 34).
 Never put a damaged BIOM® 5 into operation.

26 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


10 Troubleshooting

Troubleshooting Chart - BIOM® 5

Error Possible Cause Help


The safety rod of the BIOM® 5 is  Deposits on the BIOM® 5 due  Careful mechanical cleaning
sticking to inadequate sterilization and switch over to a better de-
mineralized water; clean the
BIOM® 5 with ultrasound.
The BIOM® 5 must not be used in
this condition!
 Foreign body in safety rod ex-  Careful mechanical cleaning
tension channel and removal of the foreign
body
 Clean the BIOM® 5 in an ultra-
sound bath
 Treat the rod with a suitable,
silicone oil-free lubricant prior
to the next sterilization

 The rod is bent  Send the BIOM® 5 to OCULUS


service department

Loose adapter  The locking screws are  Tighten the locking screws by
loose hand
Dovetail mount wobbles  Screws are loose  Tighten the screws with a suit-
able screwdriver
Cropped or  The SDI®, other attachments  Correct the assembly
decentered image or the BIOM® 5 adapter have
been mounted crookedly
 The magnifying lens clip is  Carefully bend the magnifying
bent or mechanically damaged lens clip back into shape or re-
place it

Unclear image  Soiled glass surfaces  Clean the glass surfaces


 The glass surfaces have been  Change the sterilization meth-
damaged during sterilization od, replace lenses if necessary
 The glass surfaces have been  Greater care in use and stor-
mechanically damaged age of lenses; replace if neces-
 The ophthalmoscopy lens is in sary
contact with the eye  Correct the working distance,
 In contact with the eye clean the lens surfaces
 Dry patient cornea  Moisten the cornea regularly
with a suitable solution

Instruction Manual BIOM® 5 (G/55400/0413/en) 27 / 40


10 Troubleshooting

Error Possible Cause Help


Unfocused image  BIOM® 5 is maladjusted  Focus the BIOM® 5 in accor-
dance with the instructions
given in the manual
 A reduction lens is not being  Use a reduction lens
used
 The reduction lens is not com-  Check the engraving on the re-
patible the microscope objec- duction lens and change the
tive lens, if necessary (see sect. 9.1,
page 11
 

Fundus view is too narrow  Too much distance between  Carefully reduce the distance
the ophthalmoscopy lens and using the microscope fine
the eye adjustment mechanism
 Magnification of the  Reduce magnification of the
microscope system to high microscope
The eye or the lens reflect strongly  The microscope light is on  Turn the light off, illuminate
only intraocular
The BIOM® 5 cannot be detached  The BIOM® 5 has not been  Swivel out the BIOM® 5 for
from the adapter swiveled out detachment
 Vacuum has developed be-  Place the BIOM® 5 and adapter
tween the BIOM® 5 and the into an ultrasound bath (for
adapter, or there are deposits approx. 5 min)
on the connecting parts
No function whatsoever when the  The combination control unit  Establish the connection to the
combination control unit is actuated is not connected to the SDI® SDI® 4c
4c  Establish the connection to the
 The SDI® 4c is not connected 6V-15V power supply
to the 6V-15V power supply

 Inform the in-house


 Power failure or power outlet electrician
is not active
 Use the 6V-15V plug
 These are not active when the transformer
sockets at the microscope  Use the mechanical adjusting
stand are in use element or adjusting wheel
 Activate the sockets in
accordance with the
instructions for the stand
 Contact the microscope
manufacturer for assistance

28 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


11 Change the Drive Module

Error Possible Cause Help


Malfunction when using the  5-pole plug has been forcibly  Plug it in the right way round
combination control unit plugged in the wrong way (pay attention to the lug and
round slot of the polarity reversal
protection)
Motorised focusing not possible with  BIOM® 5c connector not  Plug in the connector correctly
theBIOM® 5c when using the plugged into the SDI® 4c
combination control unit properly
 Defective drive belt  Install a new, sterile drive belt
or focus manually using the
focusing knob at the BIOM® 5c
 Drive belt missing  Install a sterile drive belt
 Connecting cable damaged  Exchange the drive module
 Defective drive module  Exchange

11 Change the Drive Module


 Proceed as described in the Assembly Instructions for the drive
module.

12 Cleaning, Sterilization and Maintenance

12.1 Condition Components

 Condition the BIOM® 5 and all BIOM® components before the first and
every subsequent use so that they are sterile.

Instruction Manual BIOM® 5 (G/55400/0413/en) 29 / 40


12 Cleaning, Sterilization and Maintenance

 To clean, disinfect and sterilize the equipment, proceed as described in


the Conditioning Manual.

Fig. 12-1: Specially designed insert for sterilization containers. Loaded with the BIOM® 5c setup

Attention
Risk of infection if reconditioning is done incorrectly.
 Please heed the separate Conditioning Manual.

Note
The sterilization tray from the company OCULUS Optikgeräte GmbH (Art.
No. 55185) can also be used for cleaning the BIOM® components.

Cleaning and Sterilization Instructions

The BIOM® 5, the adapter and the optics can be cleaned in a dishwasher
with a mild alkaline cleaning agent and can be cleaned and disinfected in
the disinfector (refer to the Conditioning Manual).
Due to the special surface finish required for sterilizability of the BIOM® 5,
structural patterns may become visible. This unavoidable minor blemish
does not in any way adversely affect the function, handling and sterilization
of the unit.
All of the components of the BIOM® 5 listed in sect. 16.1, page 36, the
adapter and the presently available reduction lenses and front lenses,
except for the disposable lens sets, can be steam-autoclaved (134°C).

30 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


12 Cleaning, Sterilization and Maintenance

The OCULUS Optikgeräte GmbH company offers a sterilization container


with a specially designed insert for keeping the BIOM® 5, optical
components and the adapter plate in place for optimum care during and
after sterilization
 Do not use aggressive cleaning agents that contain chlorine or
solvents, nor abrasive or sharp-edged cleaning products to clean the
unit.
 Always heed the product descriptions and directions for use of
products you use to disinfect.

Maintenance

 Maintenance oil (examples):


Aesculap Sterilit i (JG600) oil spray
Aesculap Sterilit i (JG598) Instrument oil
Medicon instrument oil spray 46.00.40
in USA: JG598 Sterilit I Drip Feed Oiler
 If the moving parts are sluggish: After cleaning and prior to steriliza-
tion, treat all moving parts of the BIOM® 5 with a sterilizable, silicone
oil-free conditioning lubricant.
 Remove any excess oil from the surfaces, as staining could otherwise
occur.

Clean and Sterilize

Cleaning materials: Damp cloth


 Clean the BIOM® 5 with water immediately after use. This prevents
incrustations which can make complete sterilization more difficult
 Always remove the optical system components before autoclaving. All
components of the BIOM® 5 listed in sect. 16, page 36 can be sterilized
in a steam autoclave (max. 134°C).

Attention
Risk of function impairment in association with the use of mineralized
water
If you use mineralized water, mineral deposits can form on the device and
impair its function.
 Use only demineralized, filtered water for steam sterilization.
Risk of damage to the device if STERRAD® is used for sterilization
The use of STERRAD® for sterilization purposes can damage the BIOM® 5.
 Do not use STERRAD® for sterilization purposes.

Instruction Manual BIOM® 5 (G/55400/0413/en) 31 / 40


13 Disposal of Used Devices

Clean and Sterilize the Reduction Lens and Ophthalmosco-


py lens

The optics can either be doubly shrink-wrapped or secured in the steriliza-


tion insert from Oculus Optikgeräte GmbH for sterilization in the autoclave.
 Dismantle the optical components of the BIOM® 5 before cleaning and
sterilizing it.
 Stand the lenses and reduction lenses as vertical as possible during
sterilization to prevent water stains from forming on the optics.
 Please be sure to heed the additional instructions given in the specific
instructions for use that are provided with all sterilizable OCULUS
products and sterilization and disinfection systems.
 Avoid damage to the surface and its coating. Always place the compo-
nents of the optical system on a soft surface.

13 Disposal of Used Devices


 Dispose of the BIOM® 5 according to legal regulations. Comply with
the hygiene and waste disposal regulations in force in the hospital or
clinic.

BIOM® 5c

In accordance with Directive 2002/96/EC of the European Parliament and of the


Council of the 27th of January 2003, and the laws in force in the Federal Republic
of Germany governing the putting into circulation and taking back and
environmentally friendly disposal of electrical and electronic devices, old electrical
and electronic devices must be recycled and must not be disposed of with normal
household waste.

32 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


14 Warranty and Service

14 Warranty and Service


Please note the following warranty provisions:
 Prior to and while operating the device it is important that you heed
the instruction manual and safety instructions.
 In accordance with legal regulations, you are entitled to a warranty for
the BIOM® 5.
 If modifications are made to the BIOM® 5 devices by unauthorized
persons, all warranty claims shall be voided. Improper modifications
and repairs may result in considerable hazards to users and patients.
 Any entitlement to a warranty shall also be void if unauthorized
persons interfere with the supplied PC hardware and software.
 Any transport damage must be reported immediately to the shipping
company. Have the transport damage noted on the bill of lading so
that complaint handling and compensation of damages can proceed
in an orderly manner.
 In general, our Business and Shipping Terms on the date of purchase
apply.

14.1 Assumption of Liability for Functions and Damage

OCULUS will only accept responsibility for the safety, reliability and
serviceability of the BIOM® 5 if the unit is used in compliance with the
following terms:
 Only use the equipment in conformance with this instruction manual.
 There are no parts either on or inside the BIOM® 5 that require
maintenance or repair by the user. If assembly work, modifications,
adjustments, repairs, changes or service is performed by unauthorized
personnel, or if the BIOM® 5 is improperly maintained or handled, then
any liability by OCULUS is voided.
Exeption: Replacing the drive unit of the BIOM® 5.
 If the above-referenced work is performed by authorized persons,
request a certification of the scope and type of repair, and, if
necessary, the changes to the standard values or to the operating
range from the service technician. This certification must contain the
date of performance and statement of the performing company, with
signature.
 If requested, OCULUS will provide the service technician with a list of
spare parts and additional descriptive material for this purpose.
 Make certain that only original OCULUS parts are used.

Instruction Manual BIOM® 5 (G/55400/0413/en) 33 / 40


14 Warranty and Service

14.2 Manufacturer and Service Address

Supplemental information is available from our Service Department or from


our authorized representatives. Manufacturer and Service address:
Germany:
OCULUS Optikgeräte GmbH
Münchholzhäuser Straße 29
D 35582 Wetzlar
Tel.: +49 641 2005-0
Fax: +49 641 2005-295
E-mail: sales@oculus.de
www.oculus.de

USA:
OCULUS, Inc.
17721 59th Avenue NE
Arlington
WA 98223-1337
Tel. +1 425-670-9977
Fax +1 425-670-0742
e-mail: sales@oculususa.com
http://www.oculususa.com

34 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


15 Declaration of Conformity

15 Declaration of Conformity

KONFORMITÄTSERKLÄRUNG / OCULUS Optikgeräte GmbH


Münchholzhäuser Str.29
DECLARATION DE CONFORMITE / D-35582 Wetzlar
DECLARATION OF CONFORMITY /
Tel: ++49 641 / 20 05 – 0
DICLARATIONE DE CONFORMITA / Fax: ++49 641 / 20 05 - 255
DECLARATION DE CONFORMITA
Wir / Nous / We / Noi / Nosotros OCULUS Optikgeräte GmbH

Erklären in alleiniger Verantwortung, dass das Medizinprodukt


déclarons sous notre propre responabilité que le dispositif médical
declare on our own responsibility that the medical device
dichiariamo sotto propria responsabilitá che il dispositivo medico
declaramos en sola responsabilidad que el producto medicina
GMDN-Code: 32237 Loupe, diagnostic/surgical

Binokulares-Indirektes-Ophthalmo-Mikroskop /
Antriebsmodul zum Biom
Name / nom / name / nome / nombre
Binocular Indirect Ophthalmomicroscope /
Motor unit for Biom

54160 BIOM® 3e, 54162 BIOM® 3m, 54163 BIOM® 3ml,


54200 BIOM® 3c, 54203 BIOM® 3c, 54205 Antriebsmodul,
Typ / type ou modél / type or model / 54462 BIOM® 4m, 54463,BIOM® 4ml 54400 BIOM® 4c,
tipo o modello / Tipo y modelo 54403 BIOM® 4cl, 54405 Antriebsmodul, 55400 BIOM® 5c,
55403 BIOM® 5cl, 55462 BIOM® 5m, 55463 BIOM® 5ml
und Zubehör

allen Anforderungen der Richtlinie 93/42/EWG inkl. Änderungen durch 2007 / 47 / EG entspricht.
meets all the provisions of the Directive 93/42/EEC included the changes 2007 / 47 / CE which apply to him.
remplit toutes les exigences de la 93/42/EEC y compris les modifications 2007 / 47 / CE qui le concernait
tutti i requisiti della direttiva 93/42/CEE, comprese le modifiche, entro il 2007 / 47 / CE
todos los requisitos de la Directiva 93/42/CEE, incluidas las enmiendas de 2007 / 47 / CE

Einstufung: (Richtlinie 93 / 42 / EWG, Anhang IX)


Classification: (MDD 93 / 42 / EEC, annex IX)
Classification: (MDD 93 / 42 / EEC annex IX) I
Classificatione: (MDD 93 / 42 / EEC, annex IX)
Clasificatión: (MDD 93 / 42 / EEC annex IX)

Konformitätsbewertung nach: Richtlinie 93 / 42 / EG Anhang VII


Conformity according: MDD 93 / 42 / EEC, annex VII
Conformité en: MDD 93 / 42 / EEC, annex VII
Conformita a: MDD 93 / 42 / EEC, annex VII
Conformidad para : MDD 93 / 42 / EEC, annex IVII

Angewandte harmonisierte Normen:


Normes harmonisées appliquées: DIN EN ISO 15004
Applied harmonized standards:
Norme armonizzate applicate
DIN EN 554
Norma armonizaciónada

Ort, Datum / Name und Funktion /


lieu, date / place, date / luogo, data / lugar, fecha nom et fonction / name and function / nome e funzione / nombre y function

Geschäftsführer / Managing Director


OCULUS Optikgeräte GmbH

Wetzlar, 19.04.2013

Dipl.-Ing. Rainer Kirchhübel

Instruction Manual BIOM® 5 (G/55400/0413/en) 35 / 40


16 Order Information, Accessories and Replacement Parts

16 Order Information, Accessories and Re-


placement Parts

16.1 Components for the BIOM® 5

Basic Unit

Component Order no.


BIOM® 5c 55400

BIOM® 5cl 55403

BIOM® 5m 55462

BIOM® 5ml 55463

Accessories for BIOM® 5c / BIOM® 5cl

Component Order no.


Drive belts (pack of 10) 54176

Cable duct (pack of 5) 54178

Optical Components for the BIOM® 5

Component Order no.


Reduction lens for f = 175 mm 55401
Reduction lens for f = 200 mm 55404

Ophthalmoscopy lenses

Component Order no.


Autoclavable lenses:
Wide-field lens, diameter 12 mm for BIOM® 5 53601
Wide-field (enhanced) lens for BIOM® 5 53602
Wide- field, high definition lens for BIOM® 5 53603
90 D lens for BIOM® 5 53604
Hi-Res lens for BIOM® 5 53606

36 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


16 Order Information, Accessories and Replacement Parts

Adaption Components for the BIOM® 5

Component Order no.


Adapter for Kaps SOM

Adapter for Leica M500/M501/M620 55445

Adapter for Leica M650/M690 55446

Adapter for Leica M822 55447

Adapter for Leica M820/ M841/ M844 55448

Adapter for Möller Ophtamic 900/ Hi-R 900/EOS 900/ 55440


Allegra 900

Adapter für Takagi OM 8/OM 18 55418

Adapter for Topcon OMS 600/OMS 610/ OMS 650/ 55441


OMS 710/
OMS 800 Pro/ OMS 800 Standard/
OMS 850 Pro/ OMS 850 Standard

Adapter for Zeiss: 55423


OPMI VISU 150/160
OPMI VISU 200/210
Lumera® 700
Lumera® T
Zeiss Lumera® i
OPMI CS with Retrolux /CS
OPMI CS with Retroskop /CS
OPMI MDI/MDO/MDU

Adapter for Zeiss OPMI 1/6 55424

Dovetail for Zeiss OPMI VISU/Lumera 54511

Distancing part for ring support objective at Zeiss OPMI 6 54535

Adapter for mounting to a 0° co-observer mount for Zeiss 54536


OPMI 6

Dovetail for Zeiss OPMI 1/6 54537

Dovetail for Zeiss MDO/Retrolux CS 54538

Distancing part Zeiss OPMI MD 54539

Distancing part for Möller Ophtamic 900 mit 20°-illumina- 54639


tion unit

Instruction Manual BIOM® 5 (G/55400/0413/en) 37 / 40


17 Technical Data

16.2 Sterilization Components for the


BIOM® 5

Component Order no.


Sterilization container with tray for the BIOM® 5 and its 55180
accessories

Insert for sterlization container 55185


Paper filters for sterilization container (100 pcs/box) 55190

16.3 Stereoscopic Diagonal Inverter


Systems for the BIOM® 5

Component Order no.


SDI® 4c (6-15 V) 54320

SDI® 4e (6-15 V) 54300

SDI® 4m (mechanical) 54302

Types for Leica microscopes:

SDI® 4c (6-15 V) 54330

SDI® 4e (6-15 V) 54310

SDI® 4m (mechanical) 54312

17 Technical Data
Dimensions BIOM® 5m and BIOM® 5c

Width 63 x 112 x 110-145 mm


(2.5 x 4.4 x 4.3-5.7 in)

Overall height approx. 123-158 mm


(4.8-6.2 in)

Travel of the safety rod approx. 29 mm (1.14 in)

38 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)


17 Technical Data

Dimensions BIOM® 5ml and BIOM® 5cl

Dimensions (W x D x H) 63 x 112 x 124-160 mm


(2.5 x 4.4 x 4.9-6.2 in)

Overall height approx. 137-173 mm


(5.4 - 6.8 in)

Travel of the safety rod approx. 29 mm (1.14 in)

Weight

BIOM® 5m approx. 186 g (0.41 lbs)

BIOM® 5ml approx. 190 g (0.42 lbs)

BIOM® 5c approx. 250 g (0.56 lbs)

BIOM® 5cl approx. 260 g (0.57 lbs)

Reduction lens approx. 30 g (0.07 lbs)

Front lens: depending on the model approx. 3—10 g


(0.007 —0.02 lbs)

Operating Conditions for Optical System

Temperature +10°C to +40°C

Humidity 30% to 70%

Air pressure 700 hPa to 1060 hPa

Sterilization and Disinfection Procedures

BIOM® 5 Steam auto-


clave, 134°C

Reduction lens (only the reduction lenses listed in Steam auto-


this manual) clave, 134°C

Ophthalmoscopy lens (only the lenses listed in this manual) Steam auto-
clave, 134°C

Adapter Steam auto-


clave, 134°C

Drive belt Steam auto-


clave, 134°C

Instruction Manual BIOM® 5 (G/55400/0413/en) 39 / 40


17 Technical Data

The unit can be attached to the following microscopes:

 Zeiss:
OPMI 1/6
OPMI CS with Retrolux /CS
OPMI CS with Retroskop /CS
OPMI MDI/MDO/MDU
OPMI VISU 150/ VISU 160
OPMI VISU 200 / VISU 210
OPMI Lumera®
OPMI Lumera® i
OPMI Lumera® T
OPMI Lumera® 700

 Leica:
M500 / M501 / M620
M650 / M690
M820 / M822 / M840 / M841 / M844

 Moeller:
Ophtamic 900 / Hi-R 900 / EOS 900 / Allegra 900

 Takagi:
OM 8
OM 18

 Topcon:
OMS 600 / OMS 610 / OMS 650
OMS 110
OMS 710
OMS 800 Standard / OMS 800 Pro
OMS 850 Standard / OMS 850 Pro

 Kaps:
SOM

40 / 40 Instruction Manual BIOM® 5 (G/55400/0413/en)

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