Alcon Research 212-1 Constellation Vision System User Manual NGVS Book 1 indb

Alcon Research Ltd. Constellation Vision System NGVS Book 1 indb

User Manual part 2

Download: Alcon Research 212-1 Constellation Vision System User Manual NGVS Book 1 indb
Mirror Download [FCC.gov]Alcon Research 212-1 Constellation Vision System User Manual NGVS Book 1 indb
Document ID918925
Application IDsBKtA4hWBeI8mg3/zUHGPQ==
Document DescriptionUser Manual part 2
Short Term ConfidentialNo
Permanent ConfidentialNo
SupercedeNo
Document TypeUser Manual
Display FormatAdobe Acrobat PDF - pdf
Filesize173.61kB (2170078 bits)
Date Submitted2008-03-25 00:00:00
Date Available2008-05-09 00:00:00
Creation Date2006-03-29 07:31:58
Producing SoftwareAdobe PDF Library 6.0
Document Lastmod2008-03-24 11:24:07
Document TitleNGVS Book 1.indb
Document CreatorAdobe InDesign CS (3.0.1)

Constellation® Vision System
SECTION TWO
DESCRIPTION
INTRODUCTION
The Constellation® Vision System is a multi microprocessor-controlled ophthalmic
surgical instrument with associated memory and input/output (I/O) circuitry.
The system communicates with the user via its Front Panel display, with voice
confirmations, and with tones. An automatic self-test is initiated each time the system
power is turned on.
This test performs a variety of functions including the following:
•
•
•
Tests the Central Processing Unit (CPU)
Tests the RAM and ROM memory, and the I/O circuits
Initializes the system
When the system successfully completes the self-test, it automatically goes into the
Setup mode. If the system fails the self-test, an error message is displayed.
This section of the manual is broken into two major parts. The first part describes
the console and its accessories. All the parts of the system are described, including
the front panel, rear panel, IV pole, connectors, fluidic interface, footswitch, remote
control, and VideOverlay system.
The second part of this section describes the operator interface. This is where the
display screens for system setup, surgery, programming, and dialogs are shown.
FRONT PANEL
Fluidics Module
The fluidics module is located in the center of the front panel. The module allows fast
and easy insertion of the cassette that contains all the fluidics connections required for
surgery.
Front Display Panel and Touch Screen
The 17-inch front display panel tilts and extends forward to allow easy positioning
during setup and surgery. The front display is the user's main source of system
control, allowing fingertip command of system functions throught the enhanced
graphical user interface.
A data card slot is located just beneath the LCD display. A data card (SD Memory
Card) can be inserted into this slot when the user wants to back up or restore system
settings.
8065751025
2.1
Constellation® Vision System
Pneumatic and Electrical Connectors
The Constellation® Vision System console contains two vertical columns of connectors,
located on the left side of the cassette, for surgical probes and handpieces. The right
column is for pneumatic probes, and the left column is for electrical handpieces.
LED Rings - The rings surrounding each front panel connector automatically
illuminate in a particular color to guide the user in making the proper connection to
the system as follows:
• Blue - When a surgical tool selection is made in a Setup screen, the LED ring
around the related connector illuminates in a blue color
• Green - When the surgical tool is connected correctly, the system changes the
LED ring to green. Once lit, the LED ring remains on until another tool/port is
selected or the system transitions to the surgery screen(s).
• Amber - If the surgical tool is connected incorrectly, the LED ring illuminates in
an amber color until the condition is corrected.
WARNING!
Connect only Alcon supplied consumables to console/cassette connectors. Do
not connect consumables to patient intravenous connections.
Footswitch Storage Hook
This footswitch storage hook is located at the bottom of the front panel. When the
footswitch is not in use or the system is being moved, use this hook to store and
protect the footswitch.
Instrument Tray (optional)
Provides a movable instrument tray within the sterile field. There is a curved metal
rod on either side of the tray arm that allows for creation of a sterile pouch when
used with sterile tray arm cover. The tray is capable of accommodating a variety of
positions in the operating room environment: right, left, front and rear of the surgeon
as well as the front of the bed. The tray is height adjustable.
WARNINGS!
The maximum allowable load on the instrument tray is 20 lb (9 kg). If the load
exceeds this limit, the tray arm will automatically lower itself in order to avoid
tipping the system over. Additionally, if the instrument tray is positioned over
a patient, a mayo stand should be placed beneath it to avoid a potential collapse
of the tray arm onto the patient.
Place the instrument tray in the stored position (see Figure 2-1) prior to
transportation to avoid a situation that could cause the system to tip.
IV Pole with Bottle Hanger (optional)
A bottle of BSS® or BSS Plus® irrigating fluid is hung from the hook on top of this
pole. The IV pole is used to raise and lower the bottle height, causing irrigation
pressure to increase or decrease.
WARNING!
Do not use Legacy® IV pole extender with Constellation® Vision System IV pole.
2.2
8065751025
Constellation® Vision System
Front Display and
Touchscreen
Power IV Pole
w/Bottle Hanger
(optional)
SD Memory Slot
Illumination Connectors
Fluidics Module
Optional Instrument Tray
(shown in stored position)
Laser Module
(optional)
Auxillary
Illumination
(optional)
Footswitch
Connector
Footswitch
Not used
Auto Gas Filling (AGF)
Viscous Fluid Control (VFC)
U/S
Forceps
TBD
Scissors
Diathermy
Figure 2-1
8065751025
Ultravit
The Constellation® Vision System Console Output Connectors
2.3
Constellation® Vision System
Caster Wheels
Four large caster wheels support the Constellation® Vision System. The wheels rotate
360º for ease of system mobility, and have a locking lever to secure the system in
place. The wheels should always be locked (handle up) when the unit is in use, and
unlocked when being moved.
Illumination
Primary illumination is provided by two independently controlled ports located
just below the display. The light output at these ports is based on xenon arc lamp
technology that generates high brightness white light. Each port will allow the use
of 20, 23, and 25 GA ACMI Terminated fiber probes. For 20 GA probes, the port
provides a minimum of 50 lumens at 100% setting (0-200 hours), and for 25 GA
probes, the port provides a minimum of 15 lumens at 100% setting (0-200 hours).
Auxillary illumination is available as an optional feature that provides for two
additional channels of high brightness white light.
Laser (optional)
The optional laser module is used for retinal and macular photocoagulation;
iridotomy and anterior segment procedures; trans-scleral cyclophotocoagulation;
laser trabeculoplasty, trans-scleral retinal photocoagulation, and other diode laser
treatments.
Footswitch Connector
The footswitch connector is located on the front panel and is used to connect the
Constellation® Vision System footswitch to the console. (In monolith configuration,
the footswitch connection is made in the front of the base.)
Handles
Handles are located on the sides and back of the instrument, and should always be
used to move the unit. For greater safety and control, the unit should be pulled, not
pushed.
CAUTION
The system must be moved carefully, otherwise the system could tip over and become
damaged. Do not push or pull the unit by the display, the tray, or the IV pole. Handles
located at the rear and sides of the unit are provided for moving the instrument. The
unit should be pulled and not pushed, especially over elevator and door thresholds.
2.4
8065751025
Constellation® Vision System
REAR PANEL
Barcode Reader
The barcode reader allows the user to quickly scan any pak or related consumable at
any time during the case to input critical information about the pak into the system.
The information enables the system to direct the operating room staff to any special
requirements of the device, offer in-depth videos, and automatically prime the device
once connected (if required).
When the operator scans a barcode through the reader and the system recognizes
the barcode as one that is preconfigured in the system, it produces an audible beep
and adds the associated consumable to the current surgical case. If the barcode is not
recognized by the system then an advisory message is displayed.
DVD/RW
Barcode Reader
(Optional)
External Connector
Panel
Stationary Hanger
Mount
Power Module/
Footswitch Connector
(shown w/panel removed)
Illuminator
Module Eject
Compressed Air
Connectors
Main Power
Switch
Aux. Illuminator
Module Eject
Accessory Drawer
ISPAN Gas Tanks
Base Input Power/
Equal Potentiality Lug
Figure 2-2
8065751025
The Constellation® Vision System Rear Panel
2.5
Constellation® Vision System
The operator can verify the bar code has been properly entered into the system
by tapping the Consumables button to bring up the Consumables list window. In
addition, all surgical tools associated with consumable (e.g., pack) will be preselected by the system.
DVD/RW
The DVD player/recorder allows the recording of the surgery process onto a DVD
through an external device for reference or teaching purposes.
Laser Connection
The rear panel connections for the optional laser provide connections for the Laser
Footswitch, Remote Interlock, External Ready Indicator, and two Dr. Filter ports.
Power Module
The power module is located on the lower rear panel shown in Figure 2-2 and
contains an AC power connector.
• AC Power Connector - Power cord from AC power outlet connects here. A
hospital grade power cord must be used.
• Main Power Switch - Connects AC power to power supply.
Equipotential Ground Connector
For Service personnel use.
External Connectors
This module, located in the middle of the rear panel, contains various connectors and
outlets used for electrical interconnections.
• USB Connector - Not used.
• Serial Connector - Used for VideOverlay.
• Barcode scanner connection
• Video in s-video
• Video out s-video
• Video in component
• Video out component
• VGA out
• Service Ethernet (not used)
• Tethered Laser
• Audio input
CAUTION
The USB connector (
) and service ethernet connector located on the rear
panel are for use by Alcon trained personnel only. Failure to comply will void
warranty.
Accessory Drawer
One drawer allows the storage of miscellaneous accessories.
2.6
8065751025
Constellation® Vision System
FOOTSWITCH
Functional operations of the Constellation® Vision System console are controlled by
the footswitch shown in Figure 2-3. The footswitch consists of a treadle, left and right
horizontal/vertical switches, left and right heel switches, and a tension adjustment
knob. An advisory popup window is displayed if the footswitch is not connected.
Generally, the treadle is used to provide control of a parameter, such as vacuum, with
the treadle's angle of depression proportional to the parameter output. In some modes
of operation, the treadle is used to provide on/off control of a function, with any
depression resulting in a fixed output of its parameter.
The footswitch treadle is used in a mode-dependent fashion during system operation.
In U/S mode for example, when the treadle is depressed its range of travel is divided
into ranges 0, 1, 2 and 3. Each range, except range 1, is separated from the previous
range by a detent. Detent firmness levels are programmable in the Doctor Settings
menu which is discussed later in this section of the manual (see Settings). The
footswitch icon located in the upper left corner of the screen displays the current
treadle position.
Right and left switches are used to enable and disable system functions. The switches
are nudged sideways (horizontal) for some functions, and pressed down (vertical) for
others.
The tension adjustment knob, located on the front of the footswitch, is used to adjust
the pressure needed to depress the treadle.
Handle
Tension Adjustment Knob
(not shown)
Footpedal
Right Horizontal/Vertical Switch
Left Horizontal/Vertical Switch
Right Heel Switch
Left Heel Switch
Handle
Figure 2-3
8065751025
The Constellation® Vision System Footswitch
2.7
Constellation® Vision System
REMOTE CONTROL
The Remote Control is a wireless, handheld, battery operated device that uses
infrared light to communicate with the Constellation® Vision System console. Each
of the different keys on the Remote Control unit has its own unique key code that is
transmitted to the Constellation® Vision System console when the key is pressed. The
transmitted key codes are translated into commands that control the Constellation®
Vision System console.
Figure 2-4 shows the Remote Control and the keys provided. When a Remote Control
Transmitter key is pressed, the Constellation® Vision System console determines
whether or not the key press was valid and generates an appropriate valid or invalid
key tone.
Global Controls Up/Down Keys
Global Controls
Navigation Key
Backlight button (2)
Parameter Value
Adjustment Keys
Surgery Screen
Navigation Keys:
Left/Right; Up/Down
Previous Step Key
Enter Key
Next Step Key
Figure 2-4
The Constellation® Vision System Remote Control
The Remote Control is divided into three sections from top to bottom. The three
sections of the display screen are 1) the top section is for Global Selection and
adjustments of global values, 2) the main (middle) window is for surgery screen
navigation and parameter settings, and 3) the bottom section is for selecting steps and
enabling/disabling selected controls. Some items on the Constellation® Vision System
console display screens are not accessible with this Remote Control unit.
Global Control Up/Down Keys
The Global Control up/down keys on the remote control function as they do on the
Host Display touchscreen. Each individual press of the up arrow key increments the
setting on the selected global control in the Globals panel on the touchscreen. Each
individual press of the down arrow key decrements the setting on the selected global
control. To move rapidly up or down, the key is pressed and held until the desired
setting is reached. The Global Control keys are only valid in the Setup and Surgery
screens, and are not valid when any pop up dialog is displayed.
2.8
8065751025
Constellation® Vision System
Global Controls Navigation Key
The function of the Global Controls Navigation key is to navigate to any control on
the Globals panel and be able to select a specific control (refer to Figure 2-6 to see the
Globals panel). Pressing this button the first time selects the Infusion Control which
is the first control on the Globals panel. The selected control will be highlighted with
a golden outline. Each successive press of the Global Controls Navigation key causes
the next available control on the Globals panel to be selected. An exception to this
rule occurs if the Infusion Control is selected. In this case the IOP Compensation
button on the control is selected to adjust IOP settings.
Surgery Screen Navigation Key
The Surgical Screen Navigation key is a four way switch that enables a remote
control user to move up, down, left and right on the surgery screen and to select the
controls and/or panels on the screen. Once a control is selected, the user can press
the Parameter Value Adjustment keys to increase/decrease the control parameters.
When the ON/Off button is highlighted with a gold border, pressing the Enter key
alternately toggles the control ON and OFF.
The Navigation Key button is valid when the Surgery screen is being shown, but is
invalid when a dialog is displayed.
Parameter Value Adjustment Up/Down Keys
The Parameter Value Adjustment Up/Down keys are used to adjust settings
(parameters) in a Surgery Control Panel that has adjustment arrows (i.e., pressure,
vacuum, cut rate). Surgery control panels are selected via the Navigation Key and a
blue border indicates that the panel is selected.
Previous Step/Next Step Keys
The Previous Step/Next Step keys are used to move left and right through the surgery
steps at the bottom of the Surgery screen (see Figure 2-29). In the Surgery screens,
when a step is selected by using the Previous Step/Next Step key on the remote, the
system selects the next step to the left or to the right. If it is a valid step, it will be
selected immediately without having to press any other keys. Continuing to press the
keys causes the system to move through the steps and wrap around to the beginning
step. It is not possible to access the submodes from the Remote Control Unit.
The Previous Step/Next Step keys can also be used in an information dialog to select
a button (e.g., OK, Cancel, Save, etc.).
Enter Key
The Enter key is used to enable/disable a selected control. For example, if the vacuum
control is selected and the Enter key is pressed, the vacuum control is disabled and
the ON/OFF button is grayed out.
8065751025
2.9
Constellation® Vision System
Remote Control Batteries
When the batteries in the remote control are low, the status message “Remote Battery Low”
will appear in a popup dialog the first time a key is pressed after the system is turned on.
The message will disappear after new batteries are installed and a remote control key
is pressed. A battery holder inside the remote holds three (3) AAA (LR3) batteries.
To replace batteries:
1. Loosen two captive screws on the rear cover with a standard slotted screwdriver
and remove cover.
2. Replace old batteries and replace cover (correct battery positions are identified
inside each battery slot). When closing the cover it is important that the rubber
buttons slide into the slots in other half of the remote without binding (see Figure
2-5).
3. To check correct installation of batteries, press a backlight button on the side of
the remote and verify that the remote control buttons illuminate, then turn off
after a few seconds. If illuminated buttons don't turn off, rubber buttons are not
properly inserted into slots, so you must repeat the procedure.
4. Dispose of batteries following local governing ordinances and recycling plans.
Rubber Buttons(2)
must enter slots
without binding
Figure 2-5
2.10
Remote Control Battery Replacement
8065751025
Constellation® Vision System
Select Remote Control Channel
The remote control can be configured to operate on one of four channels. This feature
allows four remote controls to independently control four Constellation® Vision
Systems operating in the same room or area. Remote controls are factory preset to
channel A. For proper remote operation, the Constellation® Vision System must be
set to the same channel as the remote.
The Option/System Settings/Remote Control window allows the selection of four
remote receive codes: A, B, C, & D. This selection must correspond to the channel
selection on the remote control. Set the remote channel as instructed below.
To select a remote channel on the Constellation® Vision System:
1. Press the Options button to open the Options popup screen.
2. Press the System key to bring up the System Settings screen.
3. Press the Remote Control tab to display the Remote Control Settings screen (see
Figure 2-6).
4. Hold the remote control in front of the Constellation® Vision System display
screen and simultaneously press its parameter value adjustment up/down keys
(labeled 1 & 2 on the screen). Simultaneously release the buttons.
5. On the remote control, press the navigation key corresponding to the new channel
as label in the Remote Control Settings screen.
6. Press the Enter key on the remote, then press Save on the screen.
No additional steps are needed once the remote channel is set, and only one remote
channel is stored per unit.
NOTE: If necessary to distinguish between remote controls, identify the remote
controls and the units with unique labels.
CAUTION
Do not sterilize the remote control as it will damage the unit.
Figure 2-6
8065751025
Remote Control Channel Selection Screen
2.11
Constellation® Vision System
FRONT PANEL DISPLAYS AND TOUCHSCREEN
The Constellation® Vision System front display panel and touch screen has a flat,
non-glare surface, and is mounted above the console. Control buttons are located
within the active touch screen area. There are three basic types of pushbuttons on the
display screen: up/down arrow buttons, sliders, and momentary buttons. The user can
press and hold the up/down arrow buttons until the desired adjustment is complete, or
press the momentary buttons with a single push-and-release to activate a function.
The Constellation® Vision System emits an audible tone to indicate button activation.
Activation of a valid touchscreen button or remote control button results in a valid key
tone; an invalid button results in an invalid key tone, and, in some circumstances, its
icon symbol is ghosted to indicate an invalid function.
There are four types of display screens: the Setup screen, Surgery screens, End Case, and
Dialogs.
• The Setup screen is used to prepare for surgery; i.e., connecting instruments,
priming the fluidic management system and testing the handpiece.
• Surgery screens contain surgical settings for each of the current surgical
procedures. Settings can be adjusted by pressing the touch screen buttons for the
associated controls.
• The End Case screen provides the user with a summary of the case and a tabbed
interface area for display of the various metrics associated with the case.
• Dialogs are displayed as a result of selecting an option from the Options drop list
(i.e., System Settings, Doctor Settings, etc.) or pressing the Footswitch button.
Dialogs enable the user to view and modify system settings, doctor settings, and
some surgical settings. There are also dialogs displayed to advise or warn the user
of a situation, or to indicate progress on a function in the Setup screen.
Startup Screen
Upon power-up of the system, an introductory screen is displayed as shown in Figure
2-7 while the system completes initialization and self-test diagnostics. All user inputs
are locked out while this screen is displayed. If initialization is successful, the main
screen is displayed as shown in Figure 2-8.
Main Screen
Figure 2-7
2.12
The Startup Screen
8065751025
Constellation® Vision System
The main screen is divided into three areas: Menu Bar, Globals, and the System State
area as shown in Figure 2-8. The Menu Bar provides selections that are available in
any system state. The Globals area provides control of functions that are available in
all surgical modes and for any system state. The System State area provides specific
information on one of the following available states : Setup, Surgery, or End Case.
These states are selected by pressing the associated tab in the menu bar. Figure 2-8
shows the Setup state.
MENU BAR
SYSTEM STATE AREA
GLOBALS
Figure 2-8
8065751025
The Main Screen
2.13
Constellation® Vision System
Menu Bar
Figure 2-9 below shows the Menu Bar section of the screen. This portion of the
screen is always available regardless of the System State. The menu bar allows the
user to change various high-level functions as well as certain system options.
Footswitch
Icon
ion
lect
tor
Doc
Screen Navigation Tabs
ns
Figure 2-9
io
Opt
Procedure
Selection
Help
The Main Screen Menu Bar
Menu Bar: Footswitch Icon
The Footswitch icon provides feedback relating to the current state of the main
console footswitch as follows:
• The icon displays the current position of the treadle indicated by the number
shown on the icon.
• When a button on the footswitch is pressed, the icon shows which button and,
when applicable, which way it was pressed.
2.14
8065751025
Constellation® Vision System
Selecting the Footswitch icon displays the Footswitch popup shown in Figure 2-9.
This popup shows the footswitch with labels indicating the current mapping for each
button. Pressing the Configure button closes the dialog box and displays the Doctor
Settings screen with the Footswitch tab selected. In this screen the footswitch can be
configured as desired. Refer to Doctor Settings\Footswitch later in this section for
detail information on configuring the footswitch.
Menu Bar: Doctor Selection
Pressing the Doctor Selection button displays a popup with the names of all available
doctors. Selecting one of the entries will change the currently selected doctor and also
update the current procedure and – if in surgery – the current step.
New doctors can be added to the list by pressing the “Add Doctor” button. When this
entry is selected, a keyboard is displayed allowing the user to enter a new doctor. The
new doctor is automatically selected if the name is valid (the name cannot be more
that 40 characters or a duplicate name). If the name is identical to a doctor already in
the system, an advisory is displayed.
Menu Bar: Procedure Selection
The Procedure Selection popup (see Figure 2-9) contains the names, sorted
alphabetically, of all available procedures for the current doctor with the currently
selected procedure highlighted. To select another procedure, simply press the desired
procedure. The procedure will become highlighted and the popup will close. The
Close button can be used to exit the dialog without changing the procedure.
Pressing the "Add New Procedure" button starts the process of adding a new
procedure to the list of available procedures for the currently selected doctor. Refer to
the following section entitled "Adding a New Procedure" for detailed instructions on
adding a new procedure and an description of the screens used to setup the procedure.
ADDING A NEW PROCEDURE...
To add a new procedure to the list of procedures available to the current doctor,
follow the steps below:
1.
Press the "Add New Procedure" button in the Procedure Selection Popup.
A keyboard is displayed allowing the user to name the new procedure.
2.
Using the keyboard, enter the name of the new procedure then press "Save".
The keyboard popup closes and the Modify procedure screen is displayed as
shown in Figure 2-9a.
The Modify procedure screen is used to create custom surgical procedures. The
dialog presents a scrollable list of available surgical steps the user can add to the
procedure being created or modified. Note: Procedures can also be modified in
Surgical mode by pressing the Modify button. In addition to adding steps, the user
can also remove, rename, and move steps within the current procedure. The steps can
be manipulated using the buttons in the Modify or by Drag-and-Drop functionality,
i.e., press and drag the step icon to the new location.
8065751025
2.15
Constellation® Vision System
In general, customization of a procedure is performed by selecting a step from the
list of available source steps in the Procedure Manager and inserting the step into a
list of destination steps in the upper panel named "In Procedure". Only the current
procedure can be modified. The available steps in the Procedure Manager can be
filtered as desired using the selections in the "Filter by:" drop down menus.
Creating Or Editing Procedures
As shown in Figure 2-9a, the name of the current procedure and surgeon are shown at
the top of the screen. This is followed by the steps comprising the current procedure.
Below the current procedure steps is the Procedure Manager which contains a
complete library of steps that can be added to the current procedure.
Figure 2-9a
Procedure Modify Screen
The items on the Modify screen are defined and operate as follows:
In Procedure: xxx - Shows the name of the procedure containing the selected
available Step.
Left button - Moves the selected step one position to the left.
Rename button - Opens the keyboard popup to enable renaming of the currently
selected step.
Right button - Moves the selected step one position to the right.
Add to Favorites button - Adds the selected step to the Favorite Steps panel.
Add button - Adds the selected step to the list of steps in the current "In Procedure"
steps list.
Delete button - Deletes the selected step from the list.
Procedure Manger Panel - This panel contains the list of steps available for insertion
into the In Procedure list. Pressing the arrows on the scroll bar scrolls through the
complete list. Also included in this panal are the following filters:
•
2.16
Doctor Step Filter - Restricts the available steps to those belonging to the
specified doctor’s procedures.
8065751025
Constellation® Vision System
•
•
•
Procedure Step Filter - Restricts the available steps to those belonging to the
specified Procedure.
Mode Step Filter - Restricts the available steps to those belonging to the specified
Mode.
Favorites - Clicking this button restricts the available steps to those that have been
added to the current doctor's Favorites list.
Trash icon - Allows for removal of the selected step from the In Procedure steps list
or Favorites List by dragging the step onto the icon.
Save button - Closes the dialog and saves all changes to the current procedure.
Note: The changes are saved in temporary memory only. To save changes after the
system has shut down, the procedure must be saved from the Quick Save popup. If
no steps are in the procedure an error message is displayed saying, “At least one step
must be added to the procedure”.
Cancel button - Closes the dialog and discards all changes made to the current
procedure.
EDITING THE CURRENT PROCEDURE:
1. To filter the available steps listed in the Procedure manager, set the Doctor,
Procedure, and Mode filters so that only the desired steps are shown. The system
default is to show all available steps.
2. To add a step to the current procedure, select a step from the Procedure Manager
steps list and then press the Add button. When pressed, the selected step is
inserted into the In Procedure panel at the position immediately following
the currently selected procedure step. Alternatively, the same action can be
performed by selecting and dragging the step into the In Procedure panel. To
ensure step name uniqueness, if the name of the added step matches the name
of an existing step in the procedure, the step name is modified by appending a
numeric suffix (e.g. Vitrectomy2).
3. To move a procedure step to the left or right, select the step and drag it to the left
or right.
4. To remove a step from the procedure, select the step from the procedure then
press the Remove button. If all steps are removed from the procedure, the
Remove and Add to Favorite buttons are disabled.
EDITING THE FAVORITE STEPS LIST:
1. To add a step from the procedure to the list of Favorite steps, select the step from
the procedure then press the Add to Favorites button. Upon being pressed, the
procedure step will be added to the end of the Favorites list.
If a step is added which has the same name as an existing Favorite Step, a prompt
is displayed stating: "Overwrite existing favorite step with the same name?" If the
user replies Yes, the existing Favorite Step is overwritten. If the user replies No,
the keyboard is displayed allowing a new step name to be entered.
2. To delete a Favorite step from the Favorite Steps list, select the Favorite Step and
then press the Delete button.
8065751025
2.17
Constellation® Vision System
Menu Bar: Options
Button Pressing the Options button on the Menu Bar displays the Options Selection
popup shown in Figure 2-9. Each of the four tabs contains various options that may
be adjusted here.
SETTINGS: Doctor Settings; System Settings
MAINTENANCE: Test Instrument; Clean Cassette
EXTRAS: Auto Gas Fill; Video Recorder
INFO: View/Copy/Delete; Event Log; About
Menu Bar: Options - DOCTOR SETTINGS
Selecting "Doctor Settings" from the Options menu displays the screen shown
in Figure 2-10. It allows the user to specify doctor specific configurations in the
following areas as indicated by the tabs at the top of the popup window:
• Surgical Preferences
• Footswitch Programming of buttons and treadle
• Laser settings including laser footswitch programming
• Volume levels for all sounds
The Save, Cancel, and Revert to Defaults buttons apply to all pages.
•
•
•
Close Button - Saves the configurable items on the current settings tab into
persistent memory and also applies the settings to the current surgery screen (if
applicable).
Cancel Button - Exits the dialog without saving or applying any settings.
Revert To Defaults Button - Resets all the configurable items on the current
settings tab to default values.
Menu Bar: Options - DOCTOR SETTINGS - GENERAL
The General Preferences tab contains the following items:
• Language - Drop down list that allows the user to select the language for labels
and annunciations. The drop list contains an entry for English and for each
language pack installed on the machine.
• Heel Double Click - This selection determines whether or not heel double click
functionality is available. Choices: Enabled or Disabled.
PIN - This section allows the user to add a Personnal Identification Number
•
(PIN) the must entered before accessing that doctor's settings.
- Add Button - Pressing the Add button displays a numeric keypad that
enables the user to enter a PIN. Not present for Alcon Defaults.
- Modify Button - Allows the user to change an existing PIN for a doctor.
Not present for Dr. Alcon Defaults.
- Delete Button - Allows the user to delete an existing PIN for a doctor. Not
present for Dr. Alcon Defaults.
• Extraction Display Mode - Allows the user to determine which controls and
functionality are present in the extraction panel.
• Ultrasound Display Mode - Allows the user to determine which controls and
functionality are present in the ultrasound panel.
• Vitrectomy Display Mode - Allows the user to determine which controls and
functionality are present for Vitrectomy Bimanual Mode.
2.18
8065751025
Constellation® Vision System
Figure 2-10
8065751025
The Doctor Settings Popup - General Tab
2.19
Constellation® Vision System
Menu Bar: Options - DOCTOR SETTINGS - SURGICAL
The Surgery tab contains three sub-tabs that are related to surgery: Infusion/Irrigation,
Reflux, and General
Menu Bar: Options - DOCTOR SETTINGS - SURGICAL - INF/IRR
The infusion/irrigation (INF/IRR) surgery sub-tab (shown in Figure 2-10a) allows the
user to change certain preferences related to infusion and irrigation during surgery.
•
•
•
•
•
•
Gravity Mode - Currently disabled.
IOP Compensation - Determines whether IOP Compensation should be used
(when possible).
Infusion Flow Limit - Allows the user determine whether or not infusion flow
limiting functionality should be used.
Elevated Infusion Alarm Set point - Allows the user specify which infusion
value should be regarded as elevated. When the current infusion setting equals or
exceeds the specified value, the elevated infusion timer is started. NOTE: the
timer is applicable to both liquid and air infusion.
Infusion Units - Allows the user specify the units (mmHg or cmH20) used for the
Infusion Global control.
Irrigation Units - Allows the user specify the units (mmHg or cmH20) used for the
Irrigation Global control.
Figure 2-10a
2.20
The Doctor Settings Popup - Surgery/Inf/Irr Tab
8065751025
Constellation® Vision System
Menu Bar: Options - DOCTOR SETTINGS - SURGICAL - REFLUX
This surgery sub-tab (shown in Figure 2-10b) allows the user change certain
preferences related to reflux during surgery.
•
•
•
•
•
Posterior Reflux Mode - Allows the user to choose which reflux mode,
Proportional or Micro, should be used in posterior steps.
Anterior Reflux Mode - Allows the user to choose which reflux mode, Continuous
or Micro, should be used in anterior steps.
Continuous Reflux Set point - Allows the user choose the set point for continuous
reflux. Range: 0 – 120.
Proportional Reflux Set point - Allows the user choose the set point for
proportional reflux. Range: 0 – 120.
Micro Reflux Set point - Allows the user choose the set point for micro reflux.
Range: 10, 25, 50, 75, 100.
Figure 2-10b
8065751025
The Doctor Settings Popup - Surgery/Reflux Tab
2.21
Constellation® Vision System
Menu Bar: Options - DOCTOR SETTINGS - SURGICAL - GENERAL
This is Surgery sub-tab (shown in Figure 2-10c) allows the user to change the
following preferences related to surgery.
•
•
Diathermy Control Type - Allows the user to determine the type of diathermy,
Fixed or Proportional, to be used.
Illumination Units Selection - Allows the user to determine the units, Lumens or
Percent, used for the Illumination Global controls.
Figure 2-10c
2.22
The Doctor Settings Popup - Surgery/General Tab
8065751025
Constellation® Vision System
Menu Bar: Options - DOCTOR SETTINGS - FOOTSWITCH
Selecting the Footswitch Settings tab from the Doctor Settings screen allows the user
to specify functions for each surgical footswitch button and configure the treadle
detents and transitions (see Figures 2-11 through 2-13).
Figure 2-11
Doctor Settings - Footswitch Buttons Screen
Menu Bar: Options - DOCTOR SETTINGS - FOOTSWITCH BUTTONS
The Footswitch Buttons screen allows the user change the function of each footswitch
button associated with the currently connected footswitch. Each button is labeled with
a dropdown menu that lists the all possible selections for that button in the current
mode. Below the footswitch is a horizontal list of modes for the currently selected
domain; Anterior or Posterior.
EXAMPLE: Changing the button configuration.
In the Footswitch Buttons Screen, follow the steps below to change the button
assignments.
8065751025
1.
Select the domain: Anterior or Posterior.
2.
Select the mode.
3.
If applicable, select the submode.
4.
Select the label next to the button to be changed. The Footswitch Action
Selection popup shown in Figure 2-12 appears with the available selections.
2.23
Constellation® Vision System
5.
Select the desired action from the list shown on the popup. To show additional
actions, use the scrollbar to the right of the list.
6.
Select whether to apply the change to the current mode/submode or to all modes
in the current domain. Selecting cancel will close the popup without changing
the button action.
Figure 2-12
2.24
Footswitch Action Selection Popup
8065751025
Constellation® Vision System
Menu Bar: Options - DOCTOR SETTINGS - FOOTSWITCH TREADLE
The Footswitch Treadle screen shown in Figure 2-13 enables the user to program the
treadle vibration, detent firmness, and spans. Depending on the current surgical mode
and sub-mode, the treadle has either 2 or 3 positions and the user can program the
treadle travel of each position.
• 2-Position Footswitch Transition Position - Sets the transition position (in % of
treadle travel). Valid range: 20% - 80%
• 3-Position Footswitch Transitions
- Point 1 - Sets the transition position (in % of treadle travel) for transition
point 1. Valid range: 15% - 31%
- Point 2 - Sets the transition position (in % of treadle travel) for transition
point 2. Valid range: 50% - 100%
• Vibration Enable/Disabled - Allows the user to enable/disable treadle vibration
(for both treadle up and treadle down).
• Vibration Frequency - Adjusts the vibration frequency of the treadle when it goes
through detents.
• Treadle Firmness - Adjust the firmness of the treadle in a range from 0 to 100%.
Figure 2-13
8065751025
Doctor Settings - Footswitch Treadle Screen
2.25
Constellation® Vision System
Menu Bar: Options - DOCTOR SETTINGS - SOUND SETTINGS
Selecting the Sound tab displays the screen shown in Figure 2-14. This screen enables
the operator to set a volume for all continuous tones as well as voice confirmations
for each doctor. In addition to volume level, the operator can also enable/disable a
sound, except for the following, which can never be completely turned off:
• Diathermy
• Errors
• Invalid Key
Each sound can be changed individually or all at once by enabling the Master
Override button.
Figure 2-14
2.26
Doctor Settings - Sound Screen
8065751025
Constellation® Vision System
Menu Bar: Options - DOCTOR SETTINGS - LASER
The settings available in the Laser settings screen are for setting the Revert to
Standby Timeout and Footswitch configuration (see Figure 2-15).
Revert to Standby Timeout
This setting determines the time period, in minutes, after which the system will
revert to the Standby mode of operation due to inactivity. Inactivity is defined as no
footswitch activation during the time period. The setting can be adjusted to 2, 5 or 10
minutes.
Footswitch Configuration
The Side Switch settings allow the user to enable the side switches to control laser
power and transition the system between Ready and Standby.
Power Control Only
This selection allows the side switches to increment (left switch) or decrement (right
switch) the treatment laser power.
Power & Ready <-> Standby
When this selection is enabled, the user can transition from Standby to Ready by
pressing the right side switch longer than 1.5 seconds until a tone sounds. Similarly,
pressing the left side switch longer than 1.5 seconds (until a tone sounds) will
transition the system from Ready back to Standby. Pressing the side switches for
intervals shorter than 1.5 seconds will increase or decrease treatment laser power.
Standard
This setting disables the side switches entirely so the footswitch can only be used for
firing the laser. Power control and switching from Standby to Ready mode can only
be done from the front panel of the system.
8065751025
Figure 2-15
Doctor Settings - Laser Screen
Figure 2-16
Deleted
2.27
Constellation® Vision System
Menu Bar: Options - SYSTEM SETTINGS
Selecting "System" from the Options menu displays the screen shown in Figure 2-17.
This popup screen allows the user to configure settings that are part of the system's
normal operation. Once saved by pressing the Close button, the settings become the
default when the system is powered up.
SYSTEM SETTINGS - SETTINGS
The settings screen allows adjustments to the following system parameters:
• Screen Brightness - Sets the relative brightness of the touch screen. The
allowable range is 1 – 9 with 7 as the default.
• Language - Allows the user set the language used for system purposes such as end
case reports.
• WiFi Status - Allows the user determine whether or not WiFi functionality will be
available.
• Patient Eye Level Offset - Allows the user set the difference in height between the
cassette and the patient’s eye level. Range: 0 – 100.
• Patient Eye Level Offset Units - Allows the user determine the units (inches or
cm) associated with Patient Eye Level Offset values.
• Auto Gas Fill Purge Cycles - Allows the user determine the number of purge
cycles (0-3) when performing an AGF.
Figure 2-17
2.28
System Settings - Settings Screen
8065751025
Constellation® Vision System
Menu Bar: Options - SYSTEM SETTINGS - CONNECTION
The Connection screen shown in Figure 2-18 allows the operator to specify
connection information for the instrument to communicate with the Alcon Enterprise
Server for eConnectivity activities.
• Time of Day - Allows selection of time slots in .5 hour increments to schedule
connection activities.
• Recurring Frequency - Indicates at what frequency a connection will be made:
Daily - Every day at the specified time.
Weekly – Once a week at the specified time on the specified day of week.
Monthly – Once a month on the specified day of month and time of day.
Note: Selecting a day greater than 28 will prevent a connection from
occurring in all months.
• Network Connection:
Enabled – Indicates the connection is active and available for use.
Disabled – Connection is not active or not available for use.
Figure 2-18
8065751025
System Settings - Connection Screen
2.29
Constellation® Vision System
Menu Bar: Options - SYSTEM SETTINGS - REMOTE CONTROL
For information regarding the Remote Control Settings (see Figure 2-6), refer to the
Remote Control description found ealier in this section.
Menu Bar: Options - SYSTEM SETTINGS - VIDEO OVERLAY
The VideoOverlay setting screen shown in Figure 2-19 provides the settings to enable
and setup the VideoOverlay system with the Constellation® Vision System.
• Video Overlay - Allows the user determine whether or not Video Overlay is
available. Choices: Enabled or Disabled.
• Video Broadcast - Allows the user determine the video format (NTSC or PAL).
• Video Connection - Allows the user set the type of cable (S-Video or Composite)
used to connect to the video recording equipment.
• Label Opacity - Allows the user determine the opacity of the video overlay output
(range: 0 – 100).
Figure 2-19
System Settings - VideoOverlay Screen
Video Recorder - There are no controls for configuring a Video Recorder other than
footswitch mapping that allows the user to start recording and to pause recording
when the footswitch is pressed and also a Video Camera icon that appears in the
upper left hand corner of the Main Constellation® screen when the recorder is
recording.
The Video Recorder is a separate user supplied piece of equipment. There are two
video recorders that have been officially approved for use with Constellation® Vision
System. The approved recorders are:
•
•
2.30
Sony Medical Grade DVD Recorder P/N DVO-1000MD
Sony Electronics Inc. - Medical Systems Division
1 Sony Drive, Park Ridge, NJ 07656-8003
Vitec DVD Recorder P/N VMS-3200
Vitec Multimedia Products
2914 Seagull Drive
Duluth, GA 30096
8065751025
Constellation® Vision System
Menu Bar: Options - MAINTENANCE
Maintenance options selectable from the Options popup (see Figure 2-9) include Test
Instrument and Clean Cassette.
Test Instrument - This button is reserved for additional functionality.
Clean Cassette - The Clean Cassette feature allows the operator to pump the
aspirated fluids from the cassette into the drainbag without having to go through to
End Case. Pressing the Clean Cassette button causes the process begin without further
user interaction. Once the cleaning process has begun, a popup appears providing
feedback on the progress of the cleaning.
Note: This popup also comes up automatically when the user transitions from
the Surgery screen area to End Case.
Menu Bar: Options - EXTRAS
Extras options selectable from the Options popup (see Figure 2-9) include Auto Gas
Fill and Video Recorder.
Auto Gas Fill - The Auto Gas Fill popup shown in
Figure 2-20 steps the operator through the process of
filling syringes with the specified gas (either C3F8 or
SF6). In Surgery Mode, the operator can optionally
use the Auto Gas Fill button within the surgery header
to launch this popup. Either technique will launch
Figure 2-20
the same popup with the same functionality and
Auto Gas Fill Popup
interactions.
WARNING!
Be sure to connect gas bottles to the proper connectors. Bottle valves, tubing,
and connectors are color coded as follows: C3F8 = Red, SF6 = Blue.
1. Make Canister Selection: C3F8/SF6 - Connect gas bottle(s) to system through the
mechanical regulator valve located at the back of the console.
2. Press Start To Begin Filling - Press the “Start” button to start filling the syringe
with the selected gas type. The button is initially disabled and is only enabled
during the time period between a gas selection and the commencement of a fill
operation.
3. Purge Cycles Requested: (XX) - The number of purge cycles can be set by the
user ranging from 0 to 5 cycles. The purge cycle is designed to remove any
impurities within the system prior to initial use. Press the Stop button to stop
filling the syringe in the middle of a fill cycle. The button is initially disabled and
is only enabled during a fill operation. The status bar graphically illustrates the
progress of the fill operation.
8065751025
2.31
Constellation® Vision System
Menu Bar: Options - INFO
Info options selectable from the Options popup (see Figure 2-9) include View/Copy/
Delete, Event Log, and About (system information).
View/Copy/Delete - The View/Copy/Delete screen shown in Figure 2-21 is where the
user can perform data management related tasks including:
•
•
•
•
•
Copy data from a source memory device to a destination memory device. This is
essential to backup data or to move settings to another system.
Rename selected data items including doctor names, procedure names, and
surgical end case names.
Delete selected data items including procedures, doctor settings, and surgical end
cases.
View selected data items including procedures, doctor settings, and surgical end
cases.
Print selected data items including procedures, doctor settings, and surgical cases.
Scroll
Arrows
Copy Data
Button
Figure 2-21
View/Copy/Delete Screen
The Source tab of this screen shows information about the media used as the
source of a data management or copy operation. The Destination section shows the
information for the media used as the targeted location to move data to. Each section
shows the media options available to manage data. To select a media option, simply
press the selection and the display will show the current contents in a hierarchial
structure. The media options are:
• System – refers to the local Constellation® Vision System file.
• DVD/CD – Removable media.
• Auxiliary – Removable USB Media card.
If DVD/CD or Auxiliary are selected and no disk or USB media inserted into the
system, a popup will appear indicting that no media has been detected and prompting
the user to insert a valid media.
2.32
8065751025
Constellation® Vision System
At the top of each section, the status of the selected media is displayed.
• xx% Free - Percent of total space available for storage. In Figure 2-21, the display
indicates that 35% of the system data storage media is availage for additonal data.
• Locked – Indicates that a read-only CD/DVD is inserted into the system.
The Data Structure Tree displayed after media selection allows the user to rename,
delete, view, or print the selected item. If any of these operations can be performed on
the item, the associated button, located at the bottom of the screen, will have a dark
background color. There are items such as "Alcon Defaults" that cannot be renamed
or deleted.
If an item has additional items below it in the structure, selecting it will expand the
structure and selecting again will collapse the structure. If the structure tree expands
beyond the screen limits, scroll arrow are available in each corner to scroll to hidden
parts of the structure.
To Rename an item:
1. Press the item to select it then press the Rename button. Only doctor names,
procedure names, and surgical end case data items can be renamed. Items that
cannot be renamed include the Alcon Defaults and the currently selected doctor.
2. When the Keyboard popup appears, press the Backspace key to delete the current
name then type in the new name.
3. Press Close to save the name and return to the previous screen. Pressing Cancel
will close the keyboard popup without saving the changes.
To Delete an item:
1. Press the item to select it then press the Delete button. Some items cannot be
deleted such as the Alcon Defaults or the currently selected doctor.
2. When the confirmation popup appears, press Yes confirm or No to cancel the
delete action.
Menu Bar: Options - INFO - VIEWING AND PRINTING DATA
Procedures, Doctor Settings, and Surgical end case data items can be viewed and
printed. To view the data associated with one of these items, select the item then
press the View button. A detailed view of the item is displayed such as the sample
shown in Figure 2-22. The Page arrow buttons are used to navigate to the previous
page and next page. Pressing the close button will close the View screen and return to
the previous screen.
To print a detailed report of an item, select the item then press the Print button.
A popup will be displayed indicating that the report is being sent to the printer
connected to the system. Printouts of data are identical to the layout of a reports
displayed using the View button.
8065751025
2.33
Constellation® Vision System
Figure 2-22
Sample View of a Doctor Settings Report
Menu Bar: Options - INFO - COPYING DATA
Copying data between the source device and destination device is performed by first
selecting a source data item and then pressing the Copy Data button. When pressed,
the source data item is copied to the destination device at the same location defined
by the source data item (i.e. the hierarchy is preserved). To write the data to a DVD/
CD, the Finalize button must be pressed. If the selected destination device is not the
DVD/CD, then the Finalize button is disabled.
If an attempt is made to copy a file that already exists on the destination device,
a popup will be displayed indicating the file already exists and three options are
available as follows:
• Overwrite - replaces the destination file with the new source file.
• Copy - selecting Copy opens the keyboard popup so the user can rename the file.
The old file is not overwritten in this case.
• Cancel - Stops the Copy process with no changes.
2.34
8065751025
Constellation® Vision System
Menu Bar: Options - INFO - Event Log
The Event log displays error, advisory, and information messages for the current case
(see Figure 2-23). If the user needs to see a message that was previously displayed for
the current case, it can be found in the Event Log. Errors, Advisories, and Information
messages will be displayed by selecting the respective buttons.
To view the Event Log:
1. Press Options from the Menu bar.
2. Under the Info tab press "Event Log." The default view is displayed show a list
of all errors, advisories, and information messages. Pressing the associated button
will hide that type of message on the list. If the list goes beyond the viewable
area, a scroll bar is provided to move through the list.
3. To view the details of a specific message, select the message on the list, then press
View Details. A pop appears with a description of the message and the date and
time it occurred.
4. Press Close to go back to the previous screen.
Figure 2-23
Event Log
Menu Bar: Options - INFO - About Constellation
The About Constellation popup
(shown in Figure 2-24) displays the
following information for the Host
and all sub modules:
• Software Revision
• Slot ID
• Hardware Revision
• Logicware Revision
• Patent listings
All Languages installed in the system
are also listed here.
Figure 2-24
8065751025
About Constelllation
2.35
Constellation® Vision System
Menu Bar - Screen Navigation
The Constellation® Vision System system operates in one of three “System States”:
• Setup – Contains the screens for setting up the system in preparation for surgery.
• Surgery – Contains the screens for controlling and viewing surgical functions
(vacuum, ultrasound, etc.)
• End Case – Contains the screens for completing and reporting a case.
Navigation between the System States is associated with certain rules stated in the
following table:
2.36
From
To
Rules
Setup
Surgery
Surgery
End Case
End Case
Setup
None
Surgery
Setup
The intended use of the system is to always end each case
by going to End Case. However, the user is not forced to go
through End Case to start a new case. In order for the system
to know when a case ends without going through End Case,
a pop-up is displayed when navigating from Surgery to Setup.
This popup asks the user whether he wants to start a new
case (or just go back to Setup for the current case).
End Case
Surgery
Not possible
Setup
End Case
Not Possible
None
Going from Surgery to End Case will “close” the case. This
includes saving case related information. To avoid accidentally
closing a case, the user is asked to confirm the transition.
8065751025
Constellation® Vision System
GLOBAL CONTROLS
The Globals area of the screen allows the user to control certain functions that are
available in any of the system states (Setup, Surgery and End Case). Global functions
can typically be turned on or off independently of other surgical functions (vacuum,
U/S power, etc.), although in some cases global functions are required to be on in
order to perform surgery. When a global function is on, the On/Off button is green
and the background becomes lighter in color.
Infusion Global Control
The Infusion global control (see Figure 2-25) is a dual function that controls both
infusion and IOP Compensation. Currently, infusion is the only dual control used on
the system. The infusion global control allows the user to:
• Turn infusion On/Off
• Adjust infusion setpoints
• Enable IOP Compensation mode (secondary function buttons)
• Display an advanced configuration screen that allows the infusion values to be
changed in more detail. Pressing the Advanced Setup button on the global control
displays the Advanced Infusion Setup screen.
Infusion Set point/Actual Value
Infusion On/
Off Button
Increase Value Button
Infusion Source
Infusion Units
IOP On/Off
Button
Decreases Value Button
IOP Value
More
Information
Button
Secondary Function Units
NOTE: Advanced Setup
Popups have built-in timers
that allow them to fade
away after a few seconds
of inactivity. In addition,
pressing anywhere outside
the popup causes it to
disappear.
Figure 2-25
8065751025
Infusion Global Control and Advanced Setup Popup
2.37
Constellation® Vision System
The More Information popup for Infusion allows the user to quickly set values for its
two different set points:
• Regular infusion - Infusion value the system will go to upon entering infusion
mode.
• Alternate infusion - Infusion value the system will go to when the footswitch
button is pressed that is assigned the "InfusionFaxAltRegularToggle" action.
Additionally, the popup contains a change bottle button that will open the Fluid
Container Setup popup discussed later in this section.
Fluid/Air Exchange (F/AX) Global Control
The F/AX global control turns F/AX on/off, adjusts setpoints and brings up advanced
settings. The More Information popup is design to enable the user to quickly set
values for its two setpoints:
• Regular F/AX - F/AX value the system will go to upon entering F/AX mode.
• Alternate F/AX - F/AX value the system will go to when the footswitch button is
pressed that is assigned the "InfusionFaxAltRegularToggle" action.
F/AX Set point/Actual Value
Increase Value Button
F/AX On/
Off Button
Decreases Value Button
F/AX Source
F/AX Units
More
Information
Button
Figure 2-26
F/AX Global Control and Advanced Setup Popup
Irrigation Global Control
The Irrigation global control turns Irrigation On/Off, adjusts setpoints and brings up
advanced settings. The advanced setup popup for Infusion allows the user to quickly
set values for its two different set points:
• Regular Irrigation - Irrigation value the system will go to upon entering Irrigation
mode.
• Alternate Irrigation - Irrigation value the system will go to when the footswitch
button is pressed that is assigned the "InfusionFaxAltRegularToggle" action.
Additionally, the popup contains a change bottle button that will open the Fluid
Container Setup popup discussed later in this section.
2.38
8065751025
Constellation® Vision System
Irrigation Set point/Actual Value
Increase Value button
Irrigation
On/Off
Button
Decrease Value button
Irrigation Source
Irrigation Units
Advanced
Setup
button
Figure 2-27
Irrigation Global Control and Advanced Setup Popup
Diathermy Global Control
Diathermy Global control turns diathermy on/off, enables fixed or proportional
mode, adjusts setpoints, and displays an advanced configuration screen that allows
diathermy values to be changed in more detail. Selecting Fixed diathermy provides
a fixed percentage of diathermy power when the footswitch treadle is pressed.
Proportional diathermy increases the diathermy power in proportion to the distance
the footswitch treadle is depressed.
Diathermy Set point/Actual Value
Mode Toggle Button
Increase Value button
Fixed
Decrease Value button
Proportional
Advanced
Setup
Figure 2-28
8065751025
Diathermy Global Control and Advanced Setup Popup
2.39
Constellation® Vision System
Illuminator Global Control
The Illuminator globals control turns up to four illuminators on/off, adjusts setpoints
and opens the advanced settings popup. The bulb usage indicator ring light that
surrounds the On/Off button, shows how long the illuminator bulb has been in use.
This indicator ring has three indication colors:
• Green: 0 to 200 hours
• Yellow: 201 to 400 hours
• Orange: 401 to 800 hours
Illluminator Set point/Actual Value
Increase Value button
Illumination
On/Off Button
and usage ring
Decrease Value button
Advanced
Setup button
Figure 2-29
Illumination Units
Illuminator Global Control and Advanced
Setup Popup
The advanced setup popup for the Illuminators allows the user to set values for the
setpoints, select unit type, and confirm bulb changes. The system automatically sets
the lumen upper limit for each probe by reading the RFID tag for the probe. The
surgeon has the ability to override this automatic upper limit for luminous flux, but if
he does so, a pop-up will appear that will alert him to the consequences of doing so
(i.e. reduction in exposure time to give the equivalent aphakic energy exposure)
Pressing the Change Bulb button displays a popup asking the user to confirm a bulb
change. If four illuminators are available, the Advanced Setup screen allows for the
setup of all four illuminators in one screen.
WARNING!
To minimize hazardous light exposure, operate light source at lowest intensity
setting consistent with adequate visibility of the surgical area. NOTE: Light output
from a new lamp may greatly exceed the output from the old lamp. Adjust output
to lower settings after installing a new lamp.
CAUTION
Avoid prolonged operation of any fiber optic illluminator probe in air at output settings
higher than 10 Lumens. This may result in tip deformation of plastic fiber optic
illuminator probes. Avoid placing illuminated fiber optic illuminator probes in contact
with materials such as sterile drapes.
2.40
8065751025
Constellation® Vision System
SYSTEM STATE AREA
The System State area provides specific information on one of the following available
states : Setup, Surgery, or End Case. These states are selected by pressing the
associated tab in the menu bar.
Setup
System setup can be accomplished using the six setup panels shown in Figure 2-30,
the Detailed Setup screens, or a combination of both. The Detailed Setup screens
are explained later in this section and include much more detailed information than
the Setup panels. In both the Setup panels and Detailed Setup screens the user can
perform the following actions:
• View available surgical tools and consumables options.
• Connect the surgical tools and options essential for the upcoming operation.
• Prime/Test the surgical tools before commencing surgery.
Basic Setup
The basic setup uses the six setup panels shown in Figure 2-30. These panels are
always displayed in the system state area during setup. Experienced Constellation®
Vision System users will normally use these panels to quickly setup the system. If
desired, the detailed setup screens can be displayed by pressing the Setup button in
the Menu Bar or pressing the expand button
on any of the six panels.
Note: Using the barcode scanner to scan a pak automatically sets up these panels
for the accessories in that pak.
The six panels displayed on the Setup Screen are:
• Fluidics
• Accessories
• Probe
• Illuminators
• Handpiece
• Lasers
Figure 2-30
8065751025
The Setup Screen
2.41
Constellation® Vision System
Basic Setup: The Fluidics Setup Panel
The Fluidics Setup panel allows the user to view and update setup information
relating to the cassette, fluid container, and associated surgical tools. Figure 2-31
shows the panel first without a cassette inserted then with a cassette inserted and
primed.
No Cassette Inserted
Figure 2-31
Cassette inserted and primed
The Fluidics Popup Screen(s)
Pressing the option buttons on these panels displays the following selections:
Source Button (Infusion/Irrigation):
• Gas Forced Infusion
• Power Pole
• Gravity
Tubing Set Button:
• Automatic Stopcock – User does not have to operate the stopcock when switching
between air and fluid.
• Manual Stopcock – User has to turn the switch on the tubing set to alternate
between air and fluid flow.
Infusion Cannula Button:
• 20 guage cannula
• 23 guage cannula
• 25 guage cannula
Pressing the expand button
this section.
2.42
opens the detailed setup popup that is covered later in
8065751025
Constellation® Vision System
Basic Setup: The Probe Setup Panel
This panel shows setup information related to the handpiece and vitreous probe
selections. Figure 2-32 shows the Probe Setup Panel:
Figure 2-32
The Probe Setup Panel
Type Button - Pressing this button displays the options for vitreous probe selection.
The following probe types are selectable from the drop list:
• UltraVit
• Low Speed Vit
The panel shows the vitreous probe the user has chosen and/or plugged in. When
the system detects that a probe has been connected, the probe type is automatically
selected and the “connected” icon
appears next to the selection list.
Type Button - Pressing this button displays the gauge size options. When the system
detects connection of a probe and probe gauge size, the user will not be able to select
another probe from the touchscreen (the selection list is locked). The following probe
gauge sizes are selectable from the drop list:
• 20 Gauge
• 23 Gauge
• 25 Gauge
Skip Prime Option Button - Selecting this option tells the system to skip priming
the selected vitreous probe. This button is a toggle switch that displays a checkmark
in the center of the button when active. When the checkmark is present, the system
will not prime nor tune the vitreous probe in the next Prime/Tune request.
Expand Button
- Pressing the expand button opens the detailed setup popup that
is covered later in this section.
Probe status is displayed at the bottom of the setup panel and indicates whether the
probe has been primed and tested. A "√"indicates that the priming and/or testing has
been completed, while an "X" indicates the they have not.
8065751025
2.43
Constellation® Vision System
Basic Setup: The Handpiece Setup Panel
This panel shows setup information related to handpiece selections. Figure 2-33
shows the Handpiece Setup Panel and the Detailed Handpiece Setup Popup screen.
Figure 2-33
The Handpiece Setup Panel
Type Button - Pressing the Type button on the panel displays the list of handpieces
that may be used with the system. When the system detects that the user has plugged
in the handpiece, the handpiece name is automatically selected and the “connected”
icon
appears next to the selection list.
The following handpiece types are selectable from the drop list:
• Extrusion
• Extrusion SoftTip
• Fragmentation*
• Irrigation/Aspiration
• Phaco*
• None
Handpieces that are marked with an asterisk (*) are automatically detected by the
system. When the system detects connection of a handpiece, the user will not be able
to select another handpiece from the touchscreen (the user list is locked).
Tip Button - Pressing the Tip button displays the tips that the operator can choose
for the currently selected/inserted handpiece. The tip selection button is hidden if the
currently selected handpiece is “None”
Expand Button
- Pressing the expand button opens the detailed setup popup that
is covered later in this section.
Handpiece status is displayed at the bottom of the setup panel and indicates whether
the probe has been primed and/or tuned. A "√"indicates that priming and/or tuning
has been completed, while an "X " indicates the it has not.
2.44
8065751025
Constellation® Vision System
Basic Setup: The Accessories Setup Panel
Figure 2-34 shows the Accessories Setup Panel. On the panel, pressing a button next
to an accessory will display a popup with specific selections for that accessory.
The following accessories selections are available:
• Scissors Handpiece
• Forceps Handpiece
• VFC (Viscous Fluid Control)
• AGF (Auto Gas Fill)
• Diathermy
Figure 2-34
The Accessory Setup Panel
Scissors - Pressing the button next to Scissors shows the following scissors options:
• Proportional
• Multicut
• Undefined - no scissors has been selected or scissors has been detected but is not
a known type.
When the system detects that the user has plugged in the Scissors handpiece, the
scissors type is automatically selected and the connected icon
appears next to
the selection list. In addition, when the user selects an item from this list, the system
illuminates the LED on the scissors port on the front panel.
Forceps - Pressing the Forceps button displays the forceps options that are available:
• Normally Open
• Normally Closed
When the system detects that the user has plugged in the Forceps handpiece, the
forceps type is automatically selected and the connected icon
appears next
to the selection list. In addition, when the operator presses this drop list, the system
illuminates the LED on the forceps port on the front panel.
8065751025
2.45
Constellation® Vision System
VFC (Viscous Fluid Control) - Pressing this button illuminates the ring on the VFC
port on the front panel. When the system detects connection of the VFC tubing set,
the connected icon
appears next to VFC.
AGF (Auto Gas Filling) Syringe - Pressing this button illuminates the ring on the
AGF port on the front panel.
Diathermy Handpiece - Pressing this button illuminates the ring on the Diathermy
port on the front panel. When the system detects that a diathermy handpiece has been
plugged in, the connected icon
appears.
Expand Button
- Pressing the expand button opens the detailed setup popup that
is covered later in this section.
Illuminators Setup Panel
This panel shows setup information related to illuminator selections. Figure 2-35
shows the Illuminators Setup Panel and the Detailed Illuminators Setup Popup screen.
Illuminator Ports 1 through 4 - Pressing any one of the four illuminators ports
allows the user to select between a straight or wide angled illuminator probe. In
addition, when the operator presses this drop list, the system illuminates the ring on
the associated illuminator port on the front panel. When the system detects connection
of an illuminator probe on a port, the “connected” icon will appear next to that port
on the selection list. The operator will not
be able to select another probe type from the
touchscreen for that port.
Expand Button
- Pressing the expand
button opens the detailed setup popup that is
covered later in this section.
Figure 2-35
The Illuminator Setup Panel
2.46
8065751025
Constellation® Vision System
Basic Setup: Lasers Setup Panel
The Laser Setup panel shown in Figure 2-36 displays setup information related to
laser probes.
Laser Port 1 and 2 Probe Selection - Pressing the Laser Port 1 or 2 button displays a
list of selectable probe types.
• Endo
• Aspirating Endo
When one of the buttons is pressed, the system also illuminates the ring on the
associated laser port on the front panel. When the system detects the connection of a
laser probe on a port, the connected icon
appears next to the selection list, and
the user will not be able to select another probe from the touchscreen for this port.
Expand Button
- Pressing the expand button opens the detailed setup popup that
is covered later in the advanced setup section.
Figure 2-36
8065751025
The Laser Setup Panel
2.47
Constellation® Vision System
Detailed Setup
The Detailed Setup screens are displayed by pressing the Setup button in the Menu
Bar or pressing the expand button
on any of the six setup panels discussed
previously. Figure 2-37 shows the Fluidics Detailed Setup screen. On the left side
of the screen are seven selection controls that, when pressed, display the detailed
information related to that control.
The seven selections on the Detailed Setup screen are:
• Fluidics
• Probe
• Handpiece
• Accessories
• Illuminators
• Lasers
• Priming Tray
Pressing a selection presents a graphical display of the step required to successfully
setup that selection. The Help button at the bottom of the setup screen allows the user
to access a video demonstration of the setup process (see Video Help at the end of the
Detailed Setup section).
Connection Help - Pressing a highlighted area on the Constellation® system shown
below the selection area displays a detailed view of the connections for each the
following areas on the front panel: electrical/pneumatic, cassette, illuminators, and
lasers.
Start Prime Button - The Start Prime button at the bottom of the screen enables the
user to initiate the priming process from this screen.
2.48
8065751025
Constellation® Vision System
Selection Controls
Connection Help
Figure 2-37
The Detailed Fluidic Setup Panel
Detailed Setup: Fluidics
The Fluidics setup panel shown in Figure 2-37 displays the steps required to properly
setup the fluidics system after a cassette has been inserted. If a cassette has not been
inserted, this screen will direct the user to insert the cassette. Once inserted, the type
of cassette is displayed at the top of the panel.
1. Select Operating Mode - The options available here a dependent upon the type
of cassette inserted into the system. A Premium Combined cassette is inserted in
Figure 2-38 and therefore all options are available. If an anterior or posterior only
cassette is inserted, the user can only select the associated mode.
2. Select Infusion/Irrigation Source - A selection from the Power IV Pole, Gravity or
Pressurized options is made here by pressing the bottle associated with the source
to be used. The desired source is highlighted in yellow when selected.
3. Select Infusion Tubing - Allows the user to select between Auto and Manual
Stopcock tubing sets.
4. Select Infusion Cannula - Allows the user to select one of the following infusion
cannula: 20, 23, or 25 guage.
5. (Optional) Specify Initial Fluid Level - Allows the user to set the starting level of
the fluid in the container using the increment and decrement arrow buttons. This
enables the system to accurately track the fluid level (in terms of percentage) as
the operation progresses and alerts the operator when fluid level is low.
8065751025
2.49

Source Exif Data:
File Type                       : PDF
File Type Extension             : pdf
MIME Type                       : application/pdf
PDF Version                     : 1.4
Linearized                      : No
Create Date                     : 2006:03:29 07:31:58Z
Creator                         : Adobe InDesign CS (3.0.1)
Producer                        : Adobe PDF Library 6.0
Modify Date                     : 2008:03:24 11:24:07-07:00
Trapped                         : False
About                           : uuid:cfe646db-ea30-11dc-b710-0003933e69a0
Creation Date                   : 2006:03:29 07:31:58Z
Mod Date                        : 2008:03:24 11:24:07-07:00
Creator Tool                    : Adobe InDesign CS (3.0.1)
Metadata Date                   : 2008:03:24 11:24:07-07:00
Rendition Class                 : proof:pdf
Document ID                     : adobe:docid:indd:6f862a62-c088-11da-b0cf-836282a3a012
Instance ID                     : uuid:2ee4752d-06cb-457e-8d5e-58bb0bfd4b57
Manifest Link Form              : ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, DirectStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream, ReferenceStream
Manifest Reference Instance ID  : uuid:1a7a8460-68e6-11dc-878b-da2ea1767908, uuid:c924f465-71c3-11dc-af6b-a2054c060ad0, uuid:5eab61cf-6e64-11dc-8765-b089d3721619, uuid:5eab61d2-6e64-11dc-8765-b089d3721619, uuid:39f6ad82-6e67-11dc-8765-b089d3721619, uuid:39f6ad85-6e67-11dc-8765-b089d3721619, uuid:39f6ad88-6e67-11dc-8765-b089d3721619, uuid:39f6ad8b-6e67-11dc-8765-b089d3721619, uuid:60b94ff7-6e67-11dc-8765-b089d3721619, uuid:60b94ffa-6e67-11dc-8765-b089d3721619, uuid:60b94ffd-6e67-11dc-8765-b089d3721619, uuid:927563dc-6dc5-11dc-b23f-cd86ff88e1e5, uuid:60a3b57a-6dc6-11dc-b23f-cd86ff88e1e5, uuid:60b95000-6e67-11dc-8765-b089d3721619, uuid:8869de3c-6e67-11dc-8765-b089d3721619, uuid:8869de3f-6e67-11dc-8765-b089d3721619, uuid:d5d004b3-6d14-11dc-8a27-0003933e69a0, uuid:91096b42-7601-11dc-becc-0003933e69a0, uuid:f9579084-6d14-11dc-8a27-0003933e69a0, uuid:c69d4cf6-7601-11dc-becc-0003933e69a0, uuid:078d92ef-6d15-11dc-8a27-0003933e69a0, uuid:70a6121c-6d15-11dc-8a27-0003933e69a0, uuid:7abe7bfd-6d15-11dc-8a27-0003933e69a0, uuid:86cca66e-6d15-11dc-8a27-0003933e69a0, uuid:b766de7d-7042-11dc-a1df-0003933e69a0, uuid:ebb0a060-7601-11dc-becc-0003933e69a0, uuid:b25468b2-6d15-11dc-8a27-0003933e69a0, uuid:b7ff377e-6d15-11dc-8a27-0003933e69a0, uuid:1aa4b38c-7602-11dc-becc-0003933e69a0, uuid:ff1fca84-7601-11dc-becc-0003933e69a0, uuid:430c56cc-7602-11dc-becc-0003933e69a0, uuid:863a1dac-7603-11dc-becc-0003933e69a0, uuid:6167ec94-7602-11dc-becc-0003933e69a0, uuid:c2a430d0-6d15-11dc-8a27-0003933e69a0, uuid:c7ebcf50-6d15-11dc-8a27-0003933e69a0, uuid:cdb43929-6d15-11dc-8a27-0003933e69a0, uuid:35555b89-c01a-11dc-b7e4-a592c3e34115, uuid:ad344e45-7603-11dc-becc-0003933e69a0, uuid:15e860ae-6d16-11dc-8a27-0003933e69a0, uuid:27efee72-6d16-11dc-8a27-0003933e69a0, uuid:32619b7d-6d16-11dc-8a27-0003933e69a0, uuid:4267052e-6d16-11dc-8a27-0003933e69a0, uuid:c04ce3a9-7603-11dc-becc-0003933e69a0, uuid:eddb4f75-7603-11dc-becc-0003933e69a0, uuid:7070aa5e-6d16-11dc-8a27-0003933e69a0, uuid:05ae8b36-7604-11dc-becc-0003933e69a0, uuid:2b6d4d44-7604-11dc-becc-0003933e69a0, uuid:fbc1b340-becf-11dc-87da-0003933e69a0, uuid:3e327c92-7604-11dc-becc-0003933e69a0, uuid:e65ff6dd-df12-11dc-8a62-0003933e69a0, uuid:f233c22e-aa44-11dc-94ee-937cdca42f81, uuid:7b31cac9-cb59-11dc-9444-a0c9beb0bb18, uuid:7b31cacc-cb59-11dc-9444-a0c9beb0bb18, uuid:ca9bea67-ea2f-11dc-b710-0003933e69a0, uuid:c4315b2c-b9f6-11d8-bf9b-9dd37d4cd1ed, uuid:9adc0095-afa5-11dc-acc7-d7dadba389a4, uuid:e9a0a7fb-afcd-11dc-acc7-d7dadba389a4, uuid:a3d64944-afce-11dc-acc7-d7dadba389a4, uuid:30ddf4b5-773a-11dc-b132-8e446680effa, uuid:91c798e6-71ba-11dc-af6b-a2054c060ad0, uuid:957c8e70-7064-11dc-a1df-0003933e69a0, uuid:957c8e70-7064-11dc-a1df-0003933e69a0, uuid:40c53640-706e-11dc-a1df-0003933e69a0, uuid:5690520c-706e-11dc-a1df-0003933e69a0, uuid:6d3e077c-706e-11dc-a1df-0003933e69a0, uuid:733cb5b0-706e-11dc-a1df-0003933e69a0, uuid:782f0f09-706e-11dc-a1df-0003933e69a0, uuid:7e766d67-706e-11dc-a1df-0003933e69a0, uuid:842decea-706e-11dc-a1df-0003933e69a0, uuid:30ddf4b8-773a-11dc-b132-8e446680effa, uuid:aa33a092-40c2-11da-a42d-000a956bbdfe, uuid:36105330-7079-11dc-a1df-0003933e69a0, uuid:ec94ceb6-0261-11dc-a2b5-0003933e69a0, uuid:75b1d08a-03bb-11dc-a4bf-bb09e1bde95e, uuid:6bf2c3c6-03ab-11dc-a4bf-bb09e1bde95e, uuid:75b1d085-03bb-11dc-a4bf-bb09e1bde95e, uuid:fbf41f38-03bd-11dc-a4bf-bb09e1bde95e, uuid:534f56f3-0460-11dc-8cbb-e6899bdfb4c5, uuid:794bc7d4-0489-11dc-8cbb-e6899bdfb4c5, uuid:ee5ccc16-12de-11dc-8275-0003933e69a0, uuid:7a86aab6-1413-11dc-b28e-f7d8e276393a, uuid:126c60de-0526-11dc-bc86-b8979bccde02, uuid:6e48096a-3f59-11db-b176-ae1396a2483b, uuid:bd4240ce-12e2-11dc-8275-0003933e69a0, uuid:69956d80-751a-11dc-9e92-001b63a6adb3, uuid:a72432f1-7254-11dc-9f73-bdedaec81ed8, uuid:84506513-7671-11dc-8c6c-f401294d0d48, uuid:d0a2e6c0-7697-11dc-8c6c-f401294d0d48, uuid:d0a2e6c4-7697-11dc-8c6c-f401294d0d48, uuid:d0a2e6c8-7697-11dc-8c6c-f401294d0d48, uuid:a1b7f277-76a4-11dc-8c6c-f401294d0d48, uuid:e2bfdac1-1387-11dc-8e9d-c854e6c63bae, uuid:a1b7f27b-76a4-11dc-8c6c-f401294d0d48, uuid:9be15dbc-76a5-11dc-8c6c-f401294d0d48, uuid:9be15dc0-76a5-11dc-8c6c-f401294d0d48, uuid:0d0861d5-7708-11dc-b132-8e446680effa, uuid:7a86aab3-1413-11dc-b28e-f7d8e276393a, uuid:93ef8d30-1422-11dc-b28e-f7d8e276393a, uuid:0dcd3724-7280-11dc-ac27-c0020e9cf769, uuid:dde7ca43-158b-11dc-a25c-bf35a0eac099, uuid:dde7ca46-158b-11dc-a25c-bf35a0eac099, uuid:0a496057-15b4-11dc-a25c-bf35a0eac099, uuid:0dcd3729-7280-11dc-ac27-c0020e9cf769, uuid:900c6d7c-15c4-11dc-a25c-bf35a0eac099, uuid:8dbbaceb-1619-11dc-ae4c-e7644e1d1360, uuid:8dbbacef-1619-11dc-ae4c-e7644e1d1360, uuid:2191700d-426f-11db-a5ca-bb9c65621d1a, uuid:ec94f457-1679-11dc-aa4d-d8585f4cd75d, uuid:68ceb7af-165e-11dc-88d2-e076757c5fca, uuid:a6cec596-1679-11dc-aa4d-d8585f4cd75d, uuid:ec94f44f-1679-11dc-aa4d-d8585f4cd75d, uuid:ec94f454-1679-11dc-aa4d-d8585f4cd75d, uuid:4249ec6e-168b-11dc-aa4d-d8585f4cd75d, uuid:4249ec72-168b-11dc-aa4d-d8585f4cd75d, uuid:294f9126-16ae-11dc-aa84-c68d3cab37ee, uuid:bbc70d70-732d-11dc-a63a-ca84fec77b19, uuid:bbc70d73-732d-11dc-a63a-ca84fec77b19, uuid:d092251a-16d7-11dc-aa84-c68d3cab37ee, uuid:f9266250-41af-11db-86af-0003933e69a0, uuid:698e6377-1757-11dc-a033-b62e01a49e71, uuid:f9266250-41af-11db-86af-0003933e69a0, uuid:bbc70d76-732d-11dc-a63a-ca84fec77b19, uuid:f9266250-41af-11db-86af-0003933e69a0, uuid:f9266250-41af-11db-86af-0003933e69a0, uuid:f9266250-41af-11db-86af-0003933e69a0, uuid:f9266250-41af-11db-86af-0003933e69a0, uuid:5bb394c8-432f-11db-9a91-be00d540c8af, uuid:f9266250-41af-11db-86af-0003933e69a0, uuid:a4dad663-18fa-11dc-855f-80ab6f6a988b, uuid:a208868d-7394-11dc-bed8-e46ed045d41d, uuid:a208868a-7394-11dc-bed8-e46ed045d41d, uuid:68c1a9bb-7398-11dc-bed8-e46ed045d41d, uuid:68c1a9be-7398-11dc-bed8-e46ed045d41d, uuid:8cdb084f-73df-11dc-9ec2-84e07f4481ba, uuid:8cdb084c-73df-11dc-9ec2-84e07f4481ba, uuid:b5abca46-1a76-11dc-a5d2-f7b61f8b24e6, uuid:794ce66f-73f4-11dc-9ec2-84e07f4481ba, uuid:794ce672-73f4-11dc-9ec2-84e07f4481ba, uuid:692d2d89-1a79-11dc-a5d2-f7b61f8b24e6, uuid:126b985b-1acd-11dc-8b93-adf950b1794b, uuid:126b985f-1acd-11dc-8b93-adf950b1794b, uuid:fd076522-1e86-11dc-a0ea-0003933e69a0, uuid:5022fe92-72a6-11dc-ae36-0003933e69a0, uuid:6917e291-1f22-11dc-b753-e82c112a3850, uuid:6917e296-1f22-11dc-b753-e82c112a3850, uuid:f175e4df-1fda-11dc-98f8-c169dfe2e8e9, uuid:794ce675-73f4-11dc-9ec2-84e07f4481ba, uuid:f175e4df-1fda-11dc-98f8-c169dfe2e8e9, uuid:3270d07e-2005-11dc-84ed-cad65a37f805, uuid:215f5653-20c9-11dc-bc42-f508ebf1985a, uuid:57651377-741b-11dc-9ec2-84e07f4481ba, uuid:d89f49bc-cbee-11dc-ba57-ac7b0cd213e5, uuid:9e1274c4-2188-11dc-8689-eff49db54419, uuid:9e1274be-2188-11dc-8689-eff49db54419, uuid:15ac6df6-218b-11dc-8689-eff49db54419, uuid:15ac6df0-218b-11dc-8689-eff49db54419, uuid:592e8621-2195-11dc-8689-eff49db54419, uuid:592e861d-2195-11dc-8689-eff49db54419, uuid:22cd7461-2261-11dc-a1c5-ea8b368f8909, uuid:22cd745b-2261-11dc-a1c5-ea8b368f8909, uuid:c2fffcdf-2304-11dc-ae58-c093df63e8a8, uuid:c2fffcd9-2304-11dc-ae58-c093df63e8a8, uuid:56770507-2309-11dc-ae58-c093df63e8a8, uuid:56770501-2309-11dc-ae58-c093df63e8a8, uuid:b658b22b-23ba-11dc-9eff-e1973bb7bd13, uuid:b658b231-23ba-11dc-9eff-e1973bb7bd13, uuid:280e0921-23c2-11dc-9eff-e1973bb7bd13, uuid:95358ffc-23c2-11dc-9eff-e1973bb7bd13, uuid:95359002-23c2-11dc-9eff-e1973bb7bd13, uuid:280e0924-23c2-11dc-9eff-e1973bb7bd13, uuid:280e0927-23c2-11dc-9eff-e1973bb7bd13, uuid:efe067a7-23c2-11dc-9eff-e1973bb7bd13, uuid:efe067ab-23c2-11dc-9eff-e1973bb7bd13, uuid:2a0ce970-23cd-11dc-9eff-e1973bb7bd13, uuid:2a0ce974-23cd-11dc-9eff-e1973bb7bd13, uuid:d3b97f14-308e-11dc-9863-bb04cacbde84, uuid:d25f2586-2faa-11dc-9752-b8682d2a2466, uuid:d25f258a-2faa-11dc-9752-b8682d2a2466, uuid:0468c02a-314d-11dc-ad97-f832b64dca9c, uuid:0468c02e-314d-11dc-ad97-f832b64dca9c, uuid:b5ecd495-3158-11dc-ad97-f832b64dca9c, uuid:f2e533ba-321f-11dc-9937-9f863333554e, uuid:f2e533bd-321f-11dc-9937-9f863333554e, uuid:c48e067a-43d0-11db-97b5-ba5247640223, uuid:01754c31-774d-11dc-b132-8e446680effa, uuid:acc8277d-44dc-11db-9223-0003933e69a0, uuid:01754c34-774d-11dc-b132-8e446680effa, uuid:3732fd50-73c6-11dc-8261-001b63a6adb3, uuid:c99bceff-56eb-11da-8413-000a956bbdfe, uuid:ca79aab2-28e9-11dc-a9b7-0003933e69a0, uuid:dfd5722e-28e9-11dc-a9b7-0003933e69a0, uuid:ec6eac64-28e9-11dc-a9b7-0003933e69a0, uuid:eea57227-56eb-11da-8413-000a956bbdfe, uuid:50076297-56ec-11da-8413-000a956bbdfe, uuid:7066adae-3547-11dc-a7d1-a86f9e08aa95, uuid:b158e7c4-ae20-11dc-bef7-b53f25b8570a, uuid:b158e7c6-ae20-11dc-bef7-b53f25b8570a, uuid:1c3bbbbb-ab1c-11dc-90b7-f11506d0d088, uuid:d3c3b1cc-ab1f-11dc-90b7-f11506d0d088, uuid:b158e7ca-ae20-11dc-bef7-b53f25b8570a, uuid:20d95df7-5c61-11dc-8c9e-fb5d6d050811, uuid:20d95df3-5c61-11dc-8c9e-fb5d6d050811, uuid:d473736e-5c61-11dc-8c9e-fb5d6d050811, uuid:01a4effa-4489-11db-a471-e60bff48b129, uuid:01a4effe-4489-11db-a471-e60bff48b129, uuid:706aaf7a-449f-11db-a471-e60bff48b129, uuid:706aaf7f-449f-11db-a471-e60bff48b129, uuid:6f6b7c8a-4718-11da-9161-000a956bbdfe
Manifest Reference Document ID  : adobe:docid:photoshop:1a7a845e-68e6-11dc-878b-da2ea1767908, adobe:docid:photoshop:91c798ea-71ba-11dc-af6b-a2054c060ad0, adobe:docid:photoshop:5eab61cd-6e64-11dc-8765-b089d3721619, adobe:docid:photoshop:5eab61d0-6e64-11dc-8765-b089d3721619, adobe:docid:photoshop:5eab61d3-6e64-11dc-8765-b089d3721619, adobe:docid:photoshop:39f6ad83-6e67-11dc-8765-b089d3721619, adobe:docid:photoshop:39f6ad86-6e67-11dc-8765-b089d3721619, adobe:docid:photoshop:39f6ad89-6e67-11dc-8765-b089d3721619, adobe:docid:photoshop:39f6ad8c-6e67-11dc-8765-b089d3721619, adobe:docid:photoshop:60b94ff8-6e67-11dc-8765-b089d3721619, adobe:docid:photoshop:5eab61ca-6e64-11dc-8765-b089d3721619, adobe:docid:photoshop:927563d9-6dc5-11dc-b23f-cd86ff88e1e5, adobe:docid:photoshop:927563e1-6dc5-11dc-b23f-cd86ff88e1e5, adobe:docid:photoshop:60b94ffe-6e67-11dc-8765-b089d3721619, adobe:docid:photoshop:8869de3a-6e67-11dc-8765-b089d3721619, adobe:docid:photoshop:8869de3d-6e67-11dc-8765-b089d3721619, uuid:d5cff9b0-6d14-11dc-8a27-0003933e69a0, uuid:91095ecb-7601-11dc-becc-0003933e69a0, uuid:f957853a-6d14-11dc-8a27-0003933e69a0, uuid:c69d3f84-7601-11dc-becc-0003933e69a0, uuid:078d8829-6d15-11dc-8a27-0003933e69a0, uuid:70a606fc-6d15-11dc-8a27-0003933e69a0, uuid:7abe712c-6d15-11dc-8a27-0003933e69a0, uuid:86cc9b1b-6d15-11dc-8a27-0003933e69a0, uuid:b766cd19-7042-11dc-a1df-0003933e69a0, uuid:ebb09456-7601-11dc-becc-0003933e69a0, uuid:b2545d40-6d15-11dc-8a27-0003933e69a0, uuid:b7ff2c16-6d15-11dc-8a27-0003933e69a0, uuid:1aa4a783-7602-11dc-becc-0003933e69a0, uuid:ff1fbe68-7601-11dc-becc-0003933e69a0, uuid:430c4769-7602-11dc-becc-0003933e69a0, uuid:863a1172-7603-11dc-becc-0003933e69a0, uuid:6167df37-7602-11dc-becc-0003933e69a0, uuid:c2a425c2-6d15-11dc-8a27-0003933e69a0, uuid:c7ebc3f0-6d15-11dc-8a27-0003933e69a0, uuid:cdb42a5e-6d15-11dc-8a27-0003933e69a0, adobe:docid:photoshop:35555b86-c01a-11dc-b7e4-a592c3e34115, uuid:ad344139-7603-11dc-becc-0003933e69a0, uuid:15e85550-6d16-11dc-8a27-0003933e69a0, uuid:27efe364-6d16-11dc-8a27-0003933e69a0, uuid:32618f7f-6d16-11dc-8a27-0003933e69a0, uuid:4266f9c3-6d16-11dc-8a27-0003933e69a0, uuid:c04cd75b-7603-11dc-becc-0003933e69a0, uuid:eddb4327-7603-11dc-becc-0003933e69a0, uuid:707096e0-6d16-11dc-8a27-0003933e69a0, uuid:05ae7f1a-7604-11dc-becc-0003933e69a0, uuid:2b6d4196-7604-11dc-becc-0003933e69a0, uuid:fbc1a85b-becf-11dc-87da-0003933e69a0, uuid:3e3270c5-7604-11dc-becc-0003933e69a0, uuid:7BECB709401A11DB8A31B50C483777E1, adobe:docid:photoshop:f233c22c-aa44-11dc-94ee-937cdca42f81, adobe:docid:photoshop:7b31cac7-cb59-11dc-9444-a0c9beb0bb18, adobe:docid:photoshop:7b31caca-cb59-11dc-9444-a0c9beb0bb18, uuid:BAAC4B31DA1E11DCAAB0BACD790B7C38, adobe:docid:photoshop:c4315b25-b9f6-11d8-bf9b-9dd37d4cd1ed, adobe:docid:photoshop:9adc0092-afa5-11dc-acc7-d7dadba389a4, adobe:docid:photoshop:e9a0a7f9-afcd-11dc-acc7-d7dadba389a4, adobe:docid:photoshop:e9a0a7fc-afcd-11dc-acc7-d7dadba389a4, adobe:docid:photoshop:30ddf4b3-773a-11dc-b132-8e446680effa, adobe:docid:photoshop:b5add2ce-409c-11db-ac9e-cef8b53e7d73, uuid:957c831e-7064-11dc-a1df-0003933e69a0, uuid:957c831e-7064-11dc-a1df-0003933e69a0, uuid:40c5259a-706e-11dc-a1df-0003933e69a0, uuid:569046ac-706e-11dc-a1df-0003933e69a0, uuid:6d3dfc1f-706e-11dc-a1df-0003933e69a0, uuid:733ca7db-706e-11dc-a1df-0003933e69a0, uuid:782f03c0-706e-11dc-a1df-0003933e69a0, uuid:7e7661ba-706e-11dc-a1df-0003933e69a0, uuid:842de12a-706e-11dc-a1df-0003933e69a0, adobe:docid:photoshop:30ddf4b6-773a-11dc-b132-8e446680effa, uuid:aa33971e-40c2-11da-a42d-000a956bbdfe, uuid:361047ac-7079-11dc-a1df-0003933e69a0, uuid:ec94c3f5-0261-11dc-a2b5-0003933e69a0, adobe:docid:photoshop:75b1d088-03bb-11dc-a4bf-bb09e1bde95e, adobe:docid:photoshop:6bf2c3c4-03ab-11dc-a4bf-bb09e1bde95e, adobe:docid:photoshop:6bf2c3ce-03ab-11dc-a4bf-bb09e1bde95e, adobe:docid:photoshop:75b1d08d-03bb-11dc-a4bf-bb09e1bde95e, adobe:docid:photoshop:534f56f0-0460-11dc-8cbb-e6899bdfb4c5, adobe:docid:photoshop:794bc7d1-0489-11dc-8cbb-e6899bdfb4c5, uuid:ee5cbe7c-12de-11dc-8275-0003933e69a0, adobe:docid:photoshop:7a86aab4-1413-11dc-b28e-f7d8e276393a, adobe:docid:photoshop:126c60dc-0526-11dc-bc86-b8979bccde02, adobe:docid:photoshop:6e480968-3f59-11db-b176-ae1396a2483b, uuid:bd423458-12e2-11dc-8275-0003933e69a0, uuid:69954da9-751a-11dc-9e92-001b63a6adb3, adobe:docid:photoshop:a72432ef-7254-11dc-9f73-bdedaec81ed8, adobe:docid:photoshop:84506511-7671-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:d0a2e6be-7697-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:d0a2e6c2-7697-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:d0a2e6c6-7697-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:a1b7f275-76a4-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:e2bfdabf-1387-11dc-8e9d-c854e6c63bae, adobe:docid:photoshop:a1b7f279-76a4-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:a1b7f27d-76a4-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:9be15dbe-76a5-11dc-8c6c-f401294d0d48, adobe:docid:photoshop:0d0861d3-7708-11dc-b132-8e446680effa, adobe:docid:photoshop:7a86aab1-1413-11dc-b28e-f7d8e276393a, adobe:docid:photoshop:7a86aab7-1413-11dc-b28e-f7d8e276393a, adobe:docid:photoshop:0dcd3722-7280-11dc-ac27-c0020e9cf769, adobe:docid:photoshop:dde7ca41-158b-11dc-a25c-bf35a0eac099, adobe:docid:photoshop:dde7ca44-158b-11dc-a25c-bf35a0eac099, adobe:docid:photoshop:0a496055-15b4-11dc-a25c-bf35a0eac099, adobe:docid:photoshop:0dcd3725-7280-11dc-ac27-c0020e9cf769, adobe:docid:photoshop:0a49605d-15b4-11dc-a25c-bf35a0eac099, adobe:docid:photoshop:8dbbace9-1619-11dc-ae4c-e7644e1d1360, adobe:docid:photoshop:8dbbaced-1619-11dc-ae4c-e7644e1d1360, adobe:docid:photoshop:2191700b-426f-11db-a5ca-bb9c65621d1a, adobe:docid:photoshop:ec94f455-1679-11dc-aa4d-d8585f4cd75d, adobe:docid:photoshop:68ceb7ac-165e-11dc-88d2-e076757c5fca, adobe:docid:photoshop:5af18c32-1679-11dc-aa4d-d8585f4cd75d, adobe:docid:photoshop:a6cec597-1679-11dc-aa4d-d8585f4cd75d, adobe:docid:photoshop:ec94f451-1679-11dc-aa4d-d8585f4cd75d, adobe:docid:photoshop:4249ec6c-168b-11dc-aa4d-d8585f4cd75d, adobe:docid:photoshop:4249ec70-168b-11dc-aa4d-d8585f4cd75d, adobe:docid:photoshop:779a19c6-16aa-11dc-aa84-c68d3cab37ee, adobe:docid:photoshop:bbc70d6e-732d-11dc-a63a-ca84fec77b19, adobe:docid:photoshop:bbc70d71-732d-11dc-a63a-ca84fec77b19, adobe:docid:photoshop:d0922518-16d7-11dc-aa84-c68d3cab37ee, uuid:f9264d89-41af-11db-86af-0003933e69a0, adobe:docid:photoshop:6c8d70c4-1736-11dc-a033-b62e01a49e71, uuid:f9264d89-41af-11db-86af-0003933e69a0, adobe:docid:photoshop:bbc70d74-732d-11dc-a63a-ca84fec77b19, uuid:f9264d89-41af-11db-86af-0003933e69a0, uuid:f9264d89-41af-11db-86af-0003933e69a0, uuid:f9264d89-41af-11db-86af-0003933e69a0, uuid:f9264d89-41af-11db-86af-0003933e69a0, adobe:docid:photoshop:5bb394c6-432f-11db-9a91-be00d540c8af, uuid:f9264d89-41af-11db-86af-0003933e69a0, adobe:docid:photoshop:a4dad660-18fa-11dc-855f-80ab6f6a988b, adobe:docid:photoshop:a208868b-7394-11dc-bed8-e46ed045d41d, adobe:docid:photoshop:a2088688-7394-11dc-bed8-e46ed045d41d, adobe:docid:photoshop:a208868e-7394-11dc-bed8-e46ed045d41d, adobe:docid:photoshop:68c1a9bc-7398-11dc-bed8-e46ed045d41d, adobe:docid:photoshop:8cdb084d-73df-11dc-9ec2-84e07f4481ba, adobe:docid:photoshop:8cdb084a-73df-11dc-9ec2-84e07f4481ba, adobe:docid:photoshop:b5abca43-1a76-11dc-a5d2-f7b61f8b24e6, adobe:docid:photoshop:794ce66d-73f4-11dc-9ec2-84e07f4481ba, adobe:docid:photoshop:794ce670-73f4-11dc-9ec2-84e07f4481ba, adobe:docid:photoshop:692d2d87-1a79-11dc-a5d2-f7b61f8b24e6, adobe:docid:photoshop:126b9858-1acd-11dc-8b93-adf950b1794b, adobe:docid:photoshop:126b985d-1acd-11dc-8b93-adf950b1794b, uuid:fd075a6e-1e86-11dc-a0ea-0003933e69a0, uuid:5022f1f6-72a6-11dc-ae36-0003933e69a0, adobe:docid:photoshop:6917e28e-1f22-11dc-b753-e82c112a3850, adobe:docid:photoshop:6917e293-1f22-11dc-b753-e82c112a3850, adobe:docid:photoshop:f175e4dd-1fda-11dc-98f8-c169dfe2e8e9, adobe:docid:photoshop:794ce673-73f4-11dc-9ec2-84e07f4481ba, adobe:docid:photoshop:f175e4dd-1fda-11dc-98f8-c169dfe2e8e9, adobe:docid:photoshop:3270d07b-2005-11dc-84ed-cad65a37f805, adobe:docid:photoshop:58405b34-20c5-11dc-bc42-f508ebf1985a, adobe:docid:photoshop:57651375-741b-11dc-9ec2-84e07f4481ba, adobe:docid:photoshop:d89f49b6-cbee-11dc-ba57-ac7b0cd213e5, adobe:docid:photoshop:9e1274c2-2188-11dc-8689-eff49db54419, adobe:docid:photoshop:9e1274bc-2188-11dc-8689-eff49db54419, adobe:docid:photoshop:15ac6df4-218b-11dc-8689-eff49db54419, adobe:docid:photoshop:9e1274c5-2188-11dc-8689-eff49db54419, adobe:docid:photoshop:592e861f-2195-11dc-8689-eff49db54419, adobe:docid:photoshop:15ac6dfa-218b-11dc-8689-eff49db54419, adobe:docid:photoshop:22cd745f-2261-11dc-a1c5-ea8b368f8909, adobe:docid:photoshop:22cd7459-2261-11dc-a1c5-ea8b368f8909, adobe:docid:photoshop:c2fffcdd-2304-11dc-ae58-c093df63e8a8, adobe:docid:photoshop:c2fffcd7-2304-11dc-ae58-c093df63e8a8, adobe:docid:photoshop:56770505-2309-11dc-ae58-c093df63e8a8, adobe:docid:photoshop:c2fffce0-2304-11dc-ae58-c093df63e8a8, adobe:docid:photoshop:b658b229-23ba-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:b658b22f-23ba-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:b658b232-23ba-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:95358ffa-23c2-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:95359000-23c2-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:280e0922-23c2-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:280e0925-23c2-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:efe067a5-23c2-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:efe067a9-23c2-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:efe067ad-23c2-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:2a0ce972-23cd-11dc-9eff-e1973bb7bd13, adobe:docid:photoshop:d3b97f11-308e-11dc-9863-bb04cacbde84, adobe:docid:photoshop:d25f2584-2faa-11dc-9752-b8682d2a2466, adobe:docid:photoshop:d25f2588-2faa-11dc-9752-b8682d2a2466, adobe:docid:photoshop:0468c028-314d-11dc-ad97-f832b64dca9c, adobe:docid:photoshop:0468c02c-314d-11dc-ad97-f832b64dca9c, adobe:docid:photoshop:0468c030-314d-11dc-ad97-f832b64dca9c, adobe:docid:photoshop:c2d43a35-3210-11dc-9937-9f863333554e, adobe:docid:photoshop:f2e533bb-321f-11dc-9937-9f863333554e, adobe:docid:photoshop:c48e0675-43d0-11db-97b5-ba5247640223, adobe:docid:photoshop:01754c2f-774d-11dc-b132-8e446680effa, uuid:acc81c22-44dc-11db-9223-0003933e69a0, adobe:docid:photoshop:01754c32-774d-11dc-b132-8e446680effa, uuid:3732d0b4-73c6-11dc-8261-001b63a6adb3, uuid:c99bc604-56eb-11da-8413-000a956bbdfe, uuid:ca799e01-28e9-11dc-a9b7-0003933e69a0, uuid:dfd564e5-28e9-11dc-a9b7-0003933e69a0, uuid:ec6ea01e-28e9-11dc-a9b7-0003933e69a0, uuid:eea565e6-56eb-11da-8413-000a956bbdfe, uuid:5007597c-56ec-11da-8413-000a956bbdfe, adobe:docid:photoshop:30ade7e7-353f-11dc-a7d1-a86f9e08aa95, adobe:docid:photoshop:b158e7c1-ae20-11dc-bef7-b53f25b8570a, adobe:docid:photoshop:b158e7c0-ae20-11dc-bef7-b53f25b8570a, adobe:docid:photoshop:61e9ef67-ab12-11dc-90b7-f11506d0d088, adobe:docid:photoshop:1c3bbbc1-ab1c-11dc-90b7-f11506d0d088, adobe:docid:photoshop:b158e7c8-ae20-11dc-bef7-b53f25b8570a, adobe:docid:photoshop:20d95df5-5c61-11dc-8c9e-fb5d6d050811, adobe:docid:photoshop:20d95df1-5c61-11dc-8c9e-fb5d6d050811, adobe:docid:photoshop:d473736c-5c61-11dc-8c9e-fb5d6d050811, adobe:docid:photoshop:01a4eff8-4489-11db-a471-e60bff48b129, adobe:docid:photoshop:01a4effc-4489-11db-a471-e60bff48b129, adobe:docid:photoshop:01a4f000-4489-11db-a471-e60bff48b129, adobe:docid:photoshop:706aaf7d-449f-11db-a471-e60bff48b129, uuid:6f6b72d0-4718-11da-9161-000a956bbdfe
Format                          : application/pdf
Title                           : NGVS Book 1.indb
Page Count                      : 49
Has XFA                         : No
EXIF Metadata provided by EXIF.tools
FCC ID Filing: VMC212-1

Navigation menu