Johnson and Johnson Surgical Vision SIGACPM2 Advanced Control Pedal Master User Manual User s Manual 2

Abbott Medical Optics Advanced Control Pedal Master User s Manual 2

Contents

User Manual 2

5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-393. Press Finished to close the window.Low Power Pulse Phaco PowerLow Power Pulse generates short pulses of ultrasonic power in footpedal Position 3. When you press the footpedal, the pulses become longer and eventually blend together to become continuous phaco power. High Power Pulse Phaco PowerHigh Power Pulse generates continuous Phaco Power in footpedal Position 3. When you press the footpedal, the continuous pulse changes into long pulses and then gradually changes to short pulses.Figure 5.31 – AMO™ Phaco Burst Power ModesSingle Burst Phaco Power (Panel Only)Single Burst delivers a single burst of ultrasonic power of 110 ms duration when you press the footpedal to Position 3. You must return to footpedal Position 2, pause for approximately one-half (.5) second, and then press the footpedal to Position 3 to obtain an additional burst of energy. Multiple Burst Phaco Power (Panel Only)Multiple Burst generates a burst of ultrasonic power of 110 ms duration, with additional bursts deployed beginning at approximately 1 burst per second when you press the footpedal to Position 3.The frequency of burst increases as you press the footpedal. At the maximum level of footpedal Position 3, the bursts are delivered at the rate of 4 bursts per second.
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-40Continuous Burst Phaco Power (Panel Only)Continuous Burst delivers a 110 ms ultrasonic burst duration. As you press the footpedal through Position 3, the bursts get closer together. At the maximum level of footpedal Position 3, the bursts blend together, and the power becomes continuous (at the preset power level).Override PHACO Submode SettingsYou can override the settings for a PHACO submode by selecting the submode, and either press the Up and Down arrows to increase or decrease Aspiration Rate, Vacuum, or Power settings, or press Settings on the control panels for Aspiration Rate, Vacuum, or Power. If you pressed the Settings button, the Settings pop-up window appears.Figure 5.32 – Override PHACO Submode Settings
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-41OCCLUSION MODE™ Phaco SettingsCASE ModeTo access the OCCLUSION MODE™ Phaco and CASE settings:1. Press the button from the PHACO operating screen.Figure 5.33 – CASE OCCLUSION MODE™ PhacoCASE maintains a stable chamber by detecting an impending occlusion break, and reducing the vacuum before occlusion surge can occur. When the occlusion is detected, the System waits long enough to allow the particle to be firmly grasped, and then reduces the vacuum to a lower level in order to allow the occlusion to be safely cleared. When the occlusion is fully cleared, the vacuum returns to the previous vacuum level.
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-42Figure 5.34 – CASE OCCLUSION MODE™ PhacoYou can control and customize the CASE behavior by setting the:1. Upper and Lower Vacuum Threshold levels2. CASE Vacuum Level3. “Up Time” delay, which determines the maximum time that the Upper Threshold Vacuum level is maintained.1. CASE Vacuum 6. Up Time2. Upper Threshold 7. Vacuum Level3. Lower Threshold 8. Vacuum4. Vacuum Level crosses Upper Threshold 9. Time5. Phaco activated 10. Max Vac
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-43CASE One TouchTo simplify the programming of the CASE function, you only need to define the basic CASE parameters once. The CASE function can then be adjusted quickly and simply from the CASE One Touch settings on the surgical screen. Using these controls, the CASE functionality can be changed to provide greater efficiency (Up arrow) or provide more control (Down arrow) to suit any particular combination of cataract density, surgical technique or personal preference.When CASE is On, use the One Touch buttons to adjust the CASE parameters.Figure 5.35 – CASE One TouchTable 5.10 – CASE One Touch Parameter SettingsParameter CASE -2 CASE -1 CASE STD CASE +1 CASE +2Pump Ramp Setting Program defaultProgram defaultProgram defaultCASE STD +10%CASE STD +20%CASE Occlusion Delay CASE STD -200 msCASE STD -100 msProgram defaultCASE STD +100 msCASE STD +200 msCASE Upper ThresholdCASE STD -5%Program defaultProgram defaultProgram defaultCASE STD +5%
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-44OCCLUSION MODE™ Phaco SettingsYou can set different Aspiration Rates for occluded aspiration as opposed to unoccluded aspiration. With the OCCLUSION MODE™ Phaco you can set a different vacuum rise time when the phaco tip is occluded without changing the aspiration rate through an unoccluded needle. To set the Occluded Aspiration Rate thresholds:1. Press PHACO.2. Press on the left of the screen. Three new control panels appear for Aspiration and Power. The center panel is for a graphical display of the CASE settings.3. Press On to set the thresholds.4. Change the settings in the new control panels as needed. 5. Press Finished to close the window.Figure 5.36 – OCCLUSION MODE™ Phaco 6. Press Finished to close the screen.
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-45Occlusion Vacuum ThresholdIn OCCLUSION MODE™ Phaco, you can set an occluded threshold value for vacuum. When in OCCLUSION MODE™ Phaco, there is an additional control panel for Vacuum. The Vacuum Threshold setting lets you choose the vacuum level at which occluded settings take effect.To adjust the Occluded Vacuum Threshold:1. Press the Up or Down arrows, in Occlusion mode, to increase or decrease the Occluded Vacuum Threshold. 2. When the threshold is decreased, the occlusion settings take effect sooner. Occlusion Aspiration RateIn OCCLUSION MODE™ Phaco, you can set a different Max Flow value for aspiration. There is an additional control panel for aspiration below the standard aspiration control panel.To adjust the occluded aspiration rate:1. In OCCLUSION MODE™ Phaco, press the Up or Down arrows to increase or decrease the occluded aspiration rate. Figure 5.37 – Occlusion Aspiration RateOr 2. Press Settings. The Occluded Aspiration Rate pop-up window appears.
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-46Figure 5.38 – Occluded Aspiration Rate Pop-up Window3. Press the Up or Down arrows to increase or decrease the occluded aspiration rate.4. Press Finished to close the window.
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-47OCCLUSION MODE™ Phaco Power SettingsYou can set different power levels when the phaco tip is occluded.When you are in OCCLUSION MODE™ Phaco, there is an additional control panel for Power.Figure 5.39 – OCCLUSION MODE™ Phaco Power SettingsTo adjust the occluded power delivery:1. In OCCLUSION MODE™ Phaco, press the Up or Down arrows to increase or decrease the occluded power level.2. Press Settings to change other power settings. A Power Settings screen opens. 3. Press Linear or Panel. Depending on whether you select Linear or Panel, there are a total of nine different power settings you can choose.4. Press the buttons on the right of the Settings screen to select a power delivery value.5. Press the On button to engage WHITESTAR® Technology. 6. Press Finished to close the screen.Venting an OcclusionWhen the aspiration port is blocked or occluded by tissue or other material, the vacuum pressure builds up. The aspiration flow system vents to the bottle when the footpedal is released. Another choice is that you can release the footpedal to Position 1 and that causes the aspiration system fluid to vent using pump rotation. 1. WHITESTAR® Technology with Pulse Shaping with Ellips™ Technology2. WHITESTAR® Technology without Pulse Shaping
5 • Anterior Segment Surgery Operating ModesWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-48These methods release the material at the aspiration port and gives you full control if the tip accidentally grabs the capsule or iris. The internal fluidic system allows the desired vacuum level to be maintained when you hold the footpedal at a constant position. The two adjustments associated with aspiration flow are Max Vac and Max Flow.Passive Reflux You can select from either Yes or No. The Yes reverses the pump to vent. The No option opens a path to the bottle pressure and allows reflux into the eye.1. Select Configuration.2. Select Surgeons and Programs.3. Select the applicable operating mode and submode.4. Press the Passive Reflux button to select either Yes or No. The system default is Yes.Ellips™ Technology Press the Ellips™ Technology button on the Phaco Power Settings screen to activate. The is shown on the Phaco operating mode screen when Ellips™ Technology is on. Ellips™ Technology can be set for each Phaco submode. Note: You must have an Ellips™ Phaco handpiece attached to the system before you can activate the Ellips™ Technology.Figure 5.40 – Phaco with Ellips™ Technology
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-1Select Surgeon/ProgramAdd a New SurgeonEdit a SurgeonSelect a Preferred ProgramCreate a New ProgramEdit a Surgeon ProgramCopy a Surgeon ProgramDelete a SurgeonDelete a ProgramDelete a DatabaseLock a ProgramProgram – Assign Order6SURGEON PROGRAMS
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-2Select Surgeon/Program1. When the System completes the Self Test routine, you are prompted by the System to select a Surgeon (by name). If there are no surgeons defined on the system this screen is not shown.Note: If your name is not listed, you can use Standard Surgeon, the AMO default surgeon setup, and then save those settings to your name.2. After you select a surgeon, the System prompts you to select a Surgeon Program. If there are no programs defined on the system, the Select A Surgeon Program screen is not shown.Figure 6.1 – Select Surgeon Window
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-3Add a New Surgeon To create a new Surgeon program: 1. Press Configuration. 2. Press Surgeons and Programs. Figure 6.2 – Configuration Pop-up Window3. The Program Settings screen opens. 4. Press Add New Surgeon. The Keyboard window opens.5. Enter the name of the surgeon.6. Press Enter to save the new surgeon and exit the Keyboard window. The new Surgeon now appears in the list of available surgeons. Figure 6.3 – Keyboard Screen
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-47. Edit the settings for this surgeon on the Program Settings screen. Use the Copy Program to copy another surgeon's program. Refer to Copy a Surgeon Program in this chapter.Figure 6.4 – PHACO Submode Settings
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-58. Press SAVE. If you do not edit any of the settings you can only use Save As.9. Press Exit Settings.Edit a Surgeon 1. Press Configuration. 2. Press Surgeons and Programs. 3. Press Database.4. Press Surgeon Database button.5. Select a surgeon from the list.Figure 6.5 – Select Surgeon6. Press Edit Surgeon Name. The Keyboard window appears.7. Edit the name.8. Press Enter.9. Press Exit Settings.
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-6Select a Preferred ProgramUse the Select Surgeon screen to assign your preferred or default program. the program selected here is indicated with an asterisk (*) on the Select Program to Begin screen when the system is started. When you select Next Case the system asks if you want to return to your preferred program. You are prompted only if you are not in your preferred program.1. Press Configuration. 2. Press Surgeons and Programs. 3. Press Database.4. Press Surgeon Database.5. Select a surgeon from the list.6. Select Assign Default Program.Figure 6.6 – Select Default Program Pop-up7. Select a program or select None to clear a selection.8. Select Finished to close the window. Your preferred program is indicated with an asterisk on the Select Program to Begin screen when the system is started.
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-7Figure 6.7 – Select a Program to Begin Screen
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-8Create a New ProgramWhen you create a new surgeon, that surgeon is assigned the AMO Default Program setup. You can customize a program for that surgeon name with your preferred settings. You can also create new programs for existing surgeons. 1. Press Configuration. 2. Press Surgeons and Programs. 3. Press Select Program.4. Select the surgeon or program from the list.5. Press Enter.6. Edit the settings for this program on the Settings window. Use the Copy Program to copy another surgeon's program. Refer to Copy a Surgeon Program in this chapter.7. Press Save As. The Keyboard window opens.8. Enter the name of the program.9. Press Enter.10. Press Exit Settings.
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-9Edit a Surgeon Program1. Press Configuration. 2. Press Surgeons and Programs. 3. Press Select Program.4. Select the surgeon or program from the list.Figure 6.8 – Select Program5. Press Enter.6. Select the mode and submode to edit.7. Edit the settings for this program on the Settings window. 8. Press SAVE.9. Press Exit Settings.
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-10Copy a Surgeon Program You can copy the settings of one surgeon program for use by another surgeon. To copy a surgeon program: 1. Press Configuration. 2. Select Surgeons and Programs. 3. Press Copy Program and select the Surgeon or Program you want to copy from the list. This copies all of the settings of the selected program and the submodes. Note: If Standard Surgeon is the active surgeon, Copy Program is not available to the user. Press Select Program to change the surgeon and program.4. Press Enter.5. Press Save As at the bottom of the screen. The Keyboard window opens. 6. Enter the new name for the program.7. Press Enter to save the new program and exit the Keyboard window. The new program now appears in the list of available programs. 8. Press Exit Settings.
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-11Delete a Surgeon Use Delete Surgeon to remove a surgeon from the Select Surgeon screen. You cannot delete the current surgeon.Note: You cannot delete a current surgeon or a surgeon that is selected on the Settings screen.1. Press Configuration. 2. Press Surgeons and Programs.3. Press Database.4. Press Surgeon Database.5. Select a surgeon to delete.6. Select Delete Surgeon. A delete confirmation pop-up appears.Figure 6.9 – Delete Confirmation Pop-up Window7. Press Yes.8. Select Exit Settings.
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-12Delete a Program Use Delete Program to remove a surgeon program from the Select Program screen. You cannot delete the current program.Note: You cannot delete a current program or a program that is selected on the Settings screen.1. Press Configuration. 2. Press Surgeons and Programs.3. Press Database.4. Press Program Database.5. Select a program to delete.6. Select Delete Program. A delete confirmation pop-up appears.Figure 6.10 – Deletion Confirmation7. Press Yes.8. Select Exit Settings.
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-13Delete a Database You can delete a database from your memory device. Contact your AMO Service Representative to delete a database from your system's hard drive.Note: Use only AMO recommended USB stick drives.1. Insert the USB flash drive into the port on the back of the system.2. From Configuration, press System Configuration to access the Diagnostic screen.3. Press Restore All.4. Press the database to delete from the list.5. Press Delete Selection.6. Press OK at the confirmation window.7. Press Finished to close the window. Figure 6.11 – Database Restore ScreenLock a Program Press the open padlock at any time to lock the program. To edit a locked program, use Save As and rename the program.Note: When a program is locked the program cannot be unlocked. You cannot edit a locked program.Figure 6.12 – Program Lock Button
6 • Surgeon ProgramsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-14Program – Assign OrderUse Program Assign Order to change the order in which the surgeon names are shown on the Select Surgeon window.1. Press Configuration. 2. Press Surgeons and Programs.3. Press Database.4. Select Program Database. A list of programs appears.5. Select a program.6. Use the Assign Program Order Up and Down arrows to move the Program. The arrows are found at the bottom of the window.Figure 6.13 – Surgeon and Program Databases7. Repeat steps 5 and 6 until you are satisfied with the order. 8. Select Exit Settings.
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-1DiagnosticsWireless Footpedal SetupWireless Foot Pedal CalibrationWireless Remote Control SetupCalibrate Touch Screen7DIAGNOSTICS
7 • DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-2Diagnostics To access diagnostics:1. Press Configuration. Figure 7.1 – Configuration Pop-up Window2. Press System Configuration. On the System Configuration screen, Diagnostic is selected by default.The Diagnostic screen shows the various Diagnostic Routines, Logs, System Utilities and Database Management functions that can be accessed by the Operator. Press the button for the diagnostic routine you want to run or view. Follow the instructions on the screen to complete the test process. The Service and Factory Diagnostic routines can only be accessed by authorized AMO service personnel.Figure 7.2 – Diagnostics Screen
7 • DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-3Wireless Footpedal SetupYou can pair the Wireless Foot Pedal (Advanced Control Pedal) to the system with either the Footpedal Cable or wireless. The Wireless Foot Pedal uses Bluetooth® technology to communicate with the system. The Wireless Foot Pedal has a range of ten (10) feet from the system.1. Press Wireless Setup.2. Select Footpedal.Figure 7.3 – Wireless Setup Pop-up Screen3. Select either Wireless Pairing or Wired Pairing. To use Wired Pairing you must have the Footpedal Cable attached to the system.Figure 7.4 – Footpedal Pairing Screen4. Follow the instructions shown on the screen.
7 • DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-4Figure 7.5 – Wireless Footpedal Pairing Instructions 5. Press Exit to close the screen and access the Foot Pedal Test screen. • If the blue light is on, the wireless foot pedal is paired.• If the blue light is flashing the wireless foot pedal is not paired.• If the green light is on, the batteries in the foot pedal are charged.• If the green light is blinking, the batteries in the wireless foot pedal need to be charged. Attach the cable to charge the batteries.6. Use UnPair to unpair either of the Advanced Control Pedals (dual linear) from the system.
7 • DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-5Wireless Foot Pedal CalibrationTo maintain optimal use of the foot pedal, the wireless foot pedal must be calibrated from time to time. Figure 7.6 – Footpedal Calibration Screen1. Press Footpedal Calibration from the Diagnostic screen. The Footpedal Calibration screen can also be accessed from the Foot Pedal Threshold screen.Note: Only press the foot pedal when you are instructed. If you press the foot pedal at any other time the calibration of the foot pedal can fail.2. Follow the instructions shown on the screen. The Calibration screen closes automatically when completed and the Foot Pedal Test screen opens.3. Test the foot pedal.
7 • DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-6Wireless Remote Control SetupUse the Wireless Setup button to connect the System with a Wireless Remote Control.Note: Make sure that the Backlight feature for the Wireless Remote Control is off (before you start the Wireless Setup process). Figure 7.7 – Wireless Setup Screen1. Press Wireless Setup.2. Select Remote Control.3. Press Remote Pair.4. Follow the messages shown on the screen.5. For the Remote Control:• Press the corresponding buttons on the wireless remote control as prompted. If Remote Pair fails, follow the instructions on the screen.• Press the buttons on the wireless remote control.• Verify for each button that the corresponding button on the screen lights. If the button does not light on the screen, the test fails. If the test fails contact AMO for technical service.6. Press Exit to close the window.7. Press the Unpair button to unpair the Remote.
7 • DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-7 Calibrate Touch ScreenThe System touch screen needs to be calibrated as part of the system maintenance. Press Calibrate Touch Screen to start the calibration procedure. 1. Press the center of the target circle until the Touch message changes to Release.Figure 7.8 – Touch Screen Target Circle2. When released, the circle moves to the next point to be calibrated.3. Repeat Step 1 for all of the calibration points. 4. Press Accept when all of the calibration points are completed.
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 8-1System Check-out8CHECK-OUT PRECAUTIONS
8 • Check-out PrecautionsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 8-2System Check-out The purpose of the check-out procedure is to verify that the System is installed and operating properly. The check-out procedure must be performed at least prior to the first case of the day and any time program changes are made as outlined in the following steps. The IA mode and handpiece are tested first, then the PHACO mode and handpiece, so that the phaco handpiece (which is used first) is set up and ready for surgery.If any of the check-out steps are not successfully performed, they must be repeated. If the instrument still does not work correctly, refer to Chapter 10, “Error Messages Troubleshooting and Diagnostics”.Note: Refer to WARNINGS in Chapter 3, “System Setup” before you set up the System.Set-Up and Prime/TuneRefer to the System Setup and Equipment Operation chapters of this manual for instructions on installing the tubing and priming/tuning the system.Irrigation and Aspiration1. Connect the tubing to the IA handpiece.2. Select IA mode. 3. Hold the test chamber near the handpiece tip, press and hold the footpedal in Position 1. 4. Observe the irrigation flow.Phacoemulsification1. Connect the tubing to the phaco handpiece.2. Screw the phaco needle onto the handpiece, use your fingers to engage the screw thread, and then use the tip wrench to tighten the needle. Screw the irrigation sleeve assembly over the needle.3. Select the PHACO mode. 4. Press and hold the footpedal in Position 1.5. Observe the irrigation flow.6. Hold the handpiece approximately at the patient’s eye level, and fill the test chamber with irrigation fluid.7. Place the test chamber over the irrigation sleeve.8. Occlude the aspiration tubing just below the phaco handpiece. Press and hold the footpedal in Position 2. The actual vacuum level should rise to the preset level.
8 • Check-out PrecautionsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 8-39. Release the occlusion and watch the test chamber to make sure that the test chamber does not collapse. A dent or dimple in the test chamber is normal.10. To test irrigation, pinch the irrigation tubing at the IA handpiece and watch for the test chamber to collapse. Release the irrigation tubing and the test chamber should fill.11. Press Next Case to reset the Phaco timer.Phacoemulsification check-out is complete.Diathermy CAUTION: IF A TONE IS NOT HEARD WHEN THE FOOTPEDAL IS PRESSED AND VOLUME ADJUSTMENT IS UNSUCCESSFUL, THE MODE IS NOT FUNCTIONING PROPERLY. REFER TO Chapter 10, “Error Messages Troubleshooting and Diagnostics”.1. Connect the Diathermy forceps to the cable and the cable to the front panel of the console.2. Select the Diathermy mode.3. Press the footpedal. A tone should be heard when the footpedal is pressed.Vitrectomy1. Attach the irrigation and aspiration cassette pack tubing together.2. Press Prime on the Prime/Tune screen.3. Press the VIT button to enter VIT mode.4. Follow the instructions on the screen.5. Observe that the: • irrigation fluid flows• aspiration tubing is full and clear of air• the vitrectomy cutter motor is activated (slight sense of motion of the handpiece)• cutter blade operates6. Press Start Vit Prime. The screen closes automatically when the handpiece is primed.Vitrectomy check-out is complete.!
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-1Cleaning ProceduresSterilization ProceduresWHITESTAR SIGNATURE™ System Cleaning and Care9CARE AND CLEANING
9 • Care and CleaningWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-2Cleaning Procedures All previously used reusable items must be handled according to ANSI/AAMI ST79:2006 Comprehensive guide to steam sterilization and sterility assurance in health care facilities. Information about the reuse of any products can be found in the Directions for Use for the particular product. All single use items or items which have completed their recommended useful life must be disposed of in accordance with accepted hospital practices and procedures and local governing ordinances and recycling plans. These items can include, but are not limited to, waste materials, waste collection bags, tubing, infusion-sleeves and test chambers.Note: Inspect the Diathermy, Vitrectomy and Phaco handpiece cables for possible damage on a daily basis.Phaco HandpieceThe following cleaning procedures for the phaco handpieces must be implemented immediately after use. The straight-through design of the phaco handpiece makes cleaning easy and greatly reduces the likelihood of the handpiece clogging.However, to maximize the life of your instruments, you must clean the instruments immediately after use. Failure to properly clean the instrument can result in tissue buildup and dangerous cross-contamination. WARNING: Balanced salt solutions tarnish and pit metals, which causes the handpiece to deteriorate. Proper cleaning of the instruments prolongs their useful life. AMO recommends using sterile nonpyrogenic water to clean the handpieces and accessories. CAUTION: DO NOT STERILIZE THE HANDPIECES PRIOR TO PERFORMING THE CLEANING PROCEDURES DESCRIBED BELOW.The following cleaning procedure is to be performed at the end of each surgical case:1. With the tip cap sleeve and phaco tip still in place on the handpiece, inject 60 cc of sterile nonpyrogenic water through the irrigation tubing of the handpiece with a syringe. Remove the syringe and fill the syringe with air. Attach the syringe and flush the tube and handpiece with air.2. Inject 60 cc of sterile nonpyrogenic water through the aspiration tubing of the phaco handpiece. It is helpful to use a female to female connector to attach the syringe to the aspiration tubing. Remove the syringe and fill the syringe with air. Attach the syringe and flush the tube and handpiece with air.3. Carefully remove the phaco tip cap sleeve and phaco tip from the handpiece for disposal or to be sanitized and stored4. Inject sterile nonpyrogenic water into the test chamber with a syringe and then empty. Repeat this step three to four times.!!
9 • Care and CleaningWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-35. Aspirate sterile nonpyrogenic water through the phaco tip into a syringe; this clears any debris from within the tip and prevents clogging of the suction port.6. Gently wipe the power cable of the handpiece with gauze soaked in distilled water. WARNING: Improper/inadequate cleaning may result in particulate matter adhering to the instrument and exfoliation of particles into the surgical field. In addition, the function and life expectancy of the phaco handpiece can become compromised. CAUTION: DO NOT CLEAN THE PHACO HANDPIECE WITH ANY TYPE OF ULTRASONIC CLEANING DEVICE; THE CLEANING DEVICE CAN DAMAGE THE PIEZOELECTRIC CRYSTALS.Irrigation/Aspiration Handpiece1. Back-flush the IA handpieces immediately at the end of the procedure.Use a 10cc syringe with sterile nonpyrogenic water and flush the water from the back of the handpiece through the tip. This process must be performed at least two times through both the irrigation and aspiration channels. Note: You can use other available AMO™ products designed for this process (IA Cleaning Kit, AMO Part No. OM05510114).Figure 9.1 – I/A Handpiece Cleaning2. Make sure IA handpieces are dry when they are stored.Diathermy HandpieceClean the diathermy handpieces with the same procedures you use to clean other ophthalmic instruments.Note: Inspect the Diathermy, Vitrectomy and Phaco handpiece cables for possible damage on a daily basis.Vitrectomy CutterThe vitrectomy cutter is a disposable, single-use instrument.!!
9 • Care and CleaningWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-4 Sterilization ProceduresAMO recommends that you follow the sterilization procedures outlined in this section to maximize the life of your System instruments.All parts must be cleaned thoroughly prior to sterilization, and all sterilization equipment must be validated prior to use. CAUTION: DO NOT STERILIZE THE HANDPIECES PRIOR TO PERFORMING THE CLEANING PROCEDURES DESCRIBED EARLIER IN THIS SECTION.THE STORAGE CASES PROVIDED CANNOT BE PLACED IN AN AUTOCLAVE.The following sterilization techniques, times, and temperatures must be used in order to ensure consistent product performance:Gravity Displacement Sterilization – A type of sterilizer in which incoming steam displaces the residual air through a port or drain usually in or near the bottom of the sterilizer chamber. Typical operating temperatures are 121 to 123°C (250 to 254°F) and 132 to 135°C (270 to 275°F).Prevacuum Sterilization – A type of sterilizer which relies on one or more pressure and vacuum excursions at the beginning or end of the cycle.This method of operation usually results in shorter cycle times because of the rapid removal of air from the chamber and the load by the vacuum system, the usually higher operating temperature (132 to 135°C / 270 to 275°F; 141 to 144°C / 285 to 290°F), and the shorter exposure time for porous loads.Note: The cycle times require the product to be wrapped. In an emergency situation only Flash Sterilization in accordance with ANSI/AAMI ST79:2006 Comprehensive guide to steam sterilization and sterility assurance in health care facilities can be used. The parameters for mixed porous and nonporous items must be used. CAUTION: GAS STERILIZATION IS NOT RECOMMENDED. Cooling is not necessary prior to reassembly; however, caution must be used to prevent burns. Follow the handpiece assembly instructions.!!
9 • Care and CleaningWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-5 WARNING: Sterility assurance is the responsibility of the user. All non-sterile accessories must be sterilized prior to use. In addition, AMO recommends a terminal sterilization cycle in the autoclave after the final case of the day. This cycle must include a drying cycle to remove moisture from the tubing and handpieces for storage. Devices undergoing sterilization must be thoroughly cleaned to minimize bio-burden. Validation of the sterilization vessel and the sterilization cycle is the responsibility of the user.1. After sterilization, store the instruments in a safe, clean environment. Keep the instruments dry and free of dust. Make sure that the handpiece nose cone tips are adequately protected during storage.2. Do not wind the phaco handpiece cord too tight. Handle the cord as you would a fiber optic cable. Follow the natural curve of the cord and wind only as tight as the natural curve of the cord (approximately 6 inch coiled cord diameter). WARNING: Handle the phaco handpiece with extreme care. The piezoelectric crystal in the handpiece is very sensitive to shock. If the handpiece is dropped, it is possible that the handpiece might not function correctly. If this happens, contact AMO for repair information or replacement.WHITESTAR SIGNATURE™ System Cleaning and Care1. Turn the power switch on the back of the System Off before you unplug the system from the wall outlet.2. At the end of the day, thoroughly wipe down the system, cart, power pole and footpedal using a cloth dampened with a germicidal detergent and sterile nonpyrogenic water. Be careful not to saturate any part of the system or the footpedal with liquid. Excessive liquid can damage the System electronics.3. Do not push or pull on the system components.4. AMO recommends that you leave the footpedal and power cords connected to the system to prevent loss and unnecessary wear on the electrical connectors. 5. Although the footpedal is water-resistant, make sure that the footpedal is kept as dry as possible.6. Place the Advanced Control Pedal (dual linear) in the storage recess at the bottom of the console so that the footpedal batteries can charge. You can attach the footpedal cable to the console to charge the batteries.7. Place the wireless remote control in the storage recess on the top of the console so that the Wireless Remote Control batteries can charge.!!
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-1Error Message DisplayFuse Replacement ProcedureWireless Foot Pedal Battery Replacement ProcedureMost Common User-Correctable ProblemsStatus, Warning and Error MessagesSystem Operation (Error) MessagesTroubleshooting10 ERROR MESSAGES TROUBLESHOOTING AND DIAGNOSTICS
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-2Error Message DisplayThe red Error Messages are shown at the top of the screen. Press the Help button to open the corrective action for that error. When the error is corrected, press OK to clear the error message from the screen. If the error message is cleared but not corrected, the error message is generated again.The yellow Alerts are shown at the top of the screen. The alert does not need to be cleared as an error message. An alert, for example, can be: Remote Control Battery power level is 10 – 25% of maximum. The battery needs to be charged. WARNING: DO NOT try to replace the Wireless Remote Control batteries. Call your AMO Technical Service representative to replace the batteries.Fuse Replacement ProcedureIf the System does not turn on when the power switch is turned On, and you have confirmed that the power cord is properly connected and plugged in, check to see if the fuse is bad.Note: To prevent the risk of fire or damage to the instrument, replace the fuses with the exact type and rating as indicated below (check the voltage sticker on the back panel of System to confirm your system voltage):Table 10.1 – Fuse SpecificationsTo replace the console fuses:1. Unplug the System electrical power.2. Unplug the power cord from the back panel.3. Locate the fuse holder on the back panel of the System, as shown below.4. Use a small screwdriver to gently pry open the cover and expose the fuse holder.5. Gently pry out the fuse holder.6. Remove the bad fuse and replace the fuse with a new fuse (value and size specified above).7. Replace the fuse holder. Make sure that the arrows point to the right side of the back panel. Tilt the fuse holder slightly to the right and push in.8. Push the fuse holder cover up and in until the cover snaps closed.9. Reconnect the power cord to the back panel.10. Plug the System into an electrical receptacle (outlet).!Voltage Quantity Fuse SpecificationsConsole 100/120/240 2 6.3A, 250V, Bussman GDA
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-3Figure 10.1 – Fuse LocationWireless Foot Pedal Battery Replacement ProcedureFour AA size NiMH batteries provide power to the wireless foot pedal. You must replace the batteries with the same size and type (NiMH) of batteries. If incorrect batteries are used, the wrong batteries might cause damage to the foot pedal.To replace the batteries in the foot pedal:1. Remove the screws on the battery cover. The battery cover is located on the bottom of the foot pedal.2. Remove the old batteries. Do not throw the batteries in to the garbage. Use the proper disposal method for the batteries.3. Insert the new batteries. Make sure that the batteries are inserted correctly.4. Replace the battery cover and tighten all of the screws.1. Power Switch 2. Fuse Holder12
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-4Figure 10.2 – Battery Location for the Wireless Foot Pedal1. Battery Cover Screws (7) 2. NiMH Batteries
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-5Most Common User-Correctable ProblemsUse the information in this section if you are not successful with the System Check-out. Consult this section to resolve the problem before you call AMO for technical service.Before you call AMO for service:• Make sure that the System is plugged in to a power recptacle.• Make sure that there is electrical power to the receptacle.• If there is no phacoemulsification, make sure that the phaco needle is tight on the handpiece.• If there is no phacoemulsification, make sure that the phaco needle is compatible with the handpiece (for example, non-AMO™ phaco needle on an AMO™ handpiece).• If there is no phacoemulsification, confirm that phaco needle/handpiece was not damaged by dropping or misuse.• If no irrigation occurs, shake the drip chamber to confirm that the ball or valve moves freely. If there is no rattle sound, replace the drip chamber with another disposable tubing pack. Status, Warning and Error MessagesThe System shows Status, Warning and Error Messages on the monitor.The message can show possible solutions or recommendations to clear the error. The messages can indicate the available options if a component or subsystem fails.The messages are listed in the following pages with the corrective actions to be taken to clear the error.Recycle Power as a Corrective Action means that you turn the System Off (through the normal shut down procedure), wait a few seconds, and then turn the System On. If an error cannot be corrected, document the error message before you call AMO for technical service. Technical Service needs to know the error message to diagnose and correct the error.System Operation (Error) MessagesTable 10.2 – Fluidic Controller Error MessagesErrorNumberMessage Probable Cause Corrective Action14 Vacuum Parameter Check Failure.Hardware failure or program error.Select Next Case.15 Flow Parameter Error Hardware failure or program error.Select Next Case.16 FP Yaw Parameter Error Hardware failure or program error.Select Next Case.
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-617 FP Pitch Parameter Error Hardware failure or program error.Select Next Case.18 IV Check Error Hardware failure or program error.Select Next Case.19 Vit Cutter Check Error Hardware failure or program error.Select Next Case.101 Fluidics communication error. Invalid data from the IH or communication errors.Select Next Case.102 Fluidics write error. Microcontroller SPI, SPI Bus, EEPROM, or ADC is faulty.Cycle power.103 Fluidics read error. Microcontroller SPI, SPI Bus, EEPROM, or ADC is faulty.Cycle power.104 Fluidics Reservoir Vacuum Level Error. External air pressure low.Venturi muffler clogged.External air valve clogged.External air leak.Venturi vacuum path leak.Vacuum sensor not calibrated or faulty.Reprime the System.105 Fluidics Reservoir Leak. Venturi vacuum path leak Reprime the System.106 Fluidics Tank Vacuum Level Error. Reservoir vacuum is low.Tank vacuum path leak.Vacuum sensor not calibrated or faulty.Vacuum regulator not calibrated or faulty.Vacuum regulator drive circuit failure.Reprime the System.107 Fluidics Tank Leak. Tank vacuum path leak. Reprime the System.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-7108 Fluidics Pack Vacuum Level Error.Reservoir vacuum is low.Pack vacuum path leak.Vacuum sensor not calibrated or faulty.Vacuum regulator not calibrated or faulty.Vacuum regulator drive circuit failure.Reprime the System.109 Fluidics Pack Leak. Pack leak. Reprime the System.110 Fluidics RAM error. Bad Microcontroller. Cycle power.111 Fluidics ROM error. Bad Microcontroller. Cycle power.112 Fluidics Master Communication error. Instrument Host malfunction.Bad microcontroller.Cycle power.113 Drain Pump Fault. Droplets, bubbles, or fog on chamber walls.Bad fluid level sensor(s).Bad cable.Fluid level sensor drive circuits faulty.Drain pump drive circuit fault.Check the chamber and the bag for over-inflation.Select Next Case.114 Fluidics DAC Fault. Circuit failure (I2C bus, DAC, or micro).Reprime the System.115 Fluidics Evacuation Vacuum Level Error.Reservoir vacuum is lowEvacuation vacuum path leakVacuum sensor not calibrated or faultyVacuum regulator not calibrated or faultyVacuum regulator drive circuit failureReprime the System.116 Fluidics Evacuation Leak. Evacuation path leak. Reprime the System.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-8117 Fluidics Fluid Level Sense Error.Droplets, bubbles, or fog on chamber walls.Bad fluid level sensor(s).Bad cable.Fluid level sensor drive circuits faulty.Check the chamber and the bag for over-inflation.Select Next Case.118 Fluidics Irrigation Valve error.Valve failure.Drive circuit failure.Cycle power.119 Fluidics Pinch Valve error. Valve failure.Drive circuit failure.Cycle power.120 Fluidics Silicone Extraction Valve FaultValve failure.Drive Circuit failure.Disable Venturi or select Next Case.121 Fluidics Pack Alignment Valve Fault.Pump failure.Drive circuit failure.Reinsert the pack and reprime.122 Fluidics Dump Valve Fault. Valve failure.Drive circuit failure.Disable Venturi or select Next Case.123 Fluidics Venturi Valve Fault.Valve failure.Drive circuit failure.Disconnect compressed air.Reprime the system.124 Fluidics Rotary Vane Fault. Pump failure.Drive circuit failure.Connect compressed air.Reprime the system.125 Fluidics Pack Valve error. Valve failure.Drive circuit failure.Cycle power.127 Fluidics Valve Vent error. Irrigation blocked. 1. End the current Case. 2. Start a New Case.3. Reprime the System.4. Turn the system off, wait a few seconds, then turn the system on.5. Install a new tubing cassette6. If the error does not clear or if the error continues to occur, document the Error Message and contact AMO for technical service.128 Fluidics Pack Loading error.Pack not properly seated. Reload the tubing cassette.Reprime.129 Fluidics Proportional Valve Fault.Valve failure.Drive circuit failure.Disconnect compressed air.Reprime the system.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-9130 Fluidics Encoder error. Pack loading problem.Encoder is faulty.Decoder circuit is faulty.Stepper driver circuit is faulty.Reload the tubing cassette.Select Next Case.131 Fluidics Mode error. Instrument Host malfunction.Bad SSC Board.Bad footpedal.Cycle power.132 Fluidics VAC regulator current is too high or too low.Vacuum regulator faulty.Drive circuit faulty.Disable Venturi or select Next Case.133 Fluidics strain gauge ADC error.ADC is faulty. Cycle power.134 Fluidics Drain Pump Rotational Error.Pack loading problem.Encoder is faulty.Decoder circuit is faulty.Stepper driver circuit is faulty.Insert Fusion™ Pack or select Next Case.Reprime the system.135 Low external air pressure. Leak in external air supply path.Pressure regulator set too low.Pressure sensor faulty.Reinsert the pack and reprime.Check the external air supply.136 Fluidics VAC Regulator Vent Fault.Pinch valve is blocked. Disable Venturi or select Next Case.137 Footpedal error. Bad footpedal or user depressing footpedal.Release the footpedal.Disconnect and reconnect footpedal. Cycle power and retry.138 Tank fluid level has reached the top sensor.Drain pump cannot keep up with the input of fluid.Please wait for the tank to drain144 Fluidics Vacuum Senors Disagree Error.Leak in vacuum pathVacuum sensor faulty.Reinsert the pack and reprime.147 Reservoir vacuum is too low. Target vacuum cannot be reached.LeakVacuum regulator faultyDrive circuit faultySelect Next Case.Reprime the system.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-10148 Pressure to pack capture mechanism is less than 60 psi.Leak Reinsert the pack and reprime.149 Unloaded strain gauge reading is too high or too low.Pack not loaded correctly. Reinsert the pack and reprime.201 Phaco Communication error. Bad data sent from host. Retune or cycle power.202 Phaco power error. Hardware failure (phaco driver).Retune or cycle power.203 Phaco handpiece error. Bad handpiece. Retune or cycle power.Replace the phaco handpiece.204 Phaco handpiece error. Wire in handpiece broken. Retune or cycle power.Replace the phaco handpiece.207 Incompatible Handpiece Error.Incompatible handpiece. 1. Turn off Ellips™ Technology.2. Attach the Ellips™ handpiece.3. Tune the handpiece.210 Phaco RAM error. Chip is bad. Cycle power.211 Phaco ROM error. Bad 196 processor. Cycle power.212 Phaco controller timeout. Host stopped writing to the Phaco controller.Cycle power.281 Phaco communication error. Software bug or Hardware failure.Cycle power.282 Phaco error. Bad handpiece. Check handpiece and retune.283 Phaco error. Driver failure. Check handpiece and retune.Replace the handpiece and tune.284 Phaco power supply error. Bad Power Supply. Cycle power or call service.285 Check for loose handpiece and retune.Tip is loose. Check for loose handpiece tip and retune.Replace the handpiece and tune.286 Phaco handpiece impedance error. Bad handpiece. Check handpiece and retune.Replace the handpiece and tune.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-11288 Diathermy error. DIA subsystem issue. Check handpiece.Select Next Case or cycle power.290 Footpedal error. Bad footpedal or user pressing the footswitch.Check footpedal. Cycle power.291 Phaco Diathermy power supply error.Software or hardware failure.Cycle power.301 Pneumatics RAM error. Microcontroller failure. Cycle power.302 Pneumatics ROM error. Microcontroller failure. Cycle power.303 Pneumatics Master communication error. Watchdog event.PC104 Bus failure.Micro failure.CPLD failure.Cycle power.307 Pneumatics communication error. Invalid data received by the IH or communication error.Cycle power.308 External air pressure high/low.Valve failure.Drive circuit failure.Check compressed air supply. Select Next Case.309 Piston pump pressure high/low. Pump failure.Drive circuit failure.Select Next Case.310 Vit selector valve pressure high/low. VIT Selector Valve failure.Drive circuit failure.Select Next Case.311 Dump valve pressure high/low. VIT Dump Valve failure.Drive circuit failure.Select Next Case.312 Cut valve pressure high/low.VIT Cut Valve failure.Drive circuit failure.Select Next Case.322 Pneumatics system pressure too low. V1 External Air valve not open.Piston Pump not working.System leak.Dump valve not closing.Vitrectomy Cut valve always on.Select Next Case.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-12323 Pneumatics system pressure too low. PP1 Piston Pump not working.Piston Pump not working.System leak.Dump valve not closing.Vitrectomy Cut valve always on.Select Next Case.327 Pneumatics system pressure too low at the high cut rates.PP1 Piston Pump not working.Piston Pump not working.System leak.Dump valve not closing.Vitrectomy Cut valve always on.Selector valve is not changing.Select Next Case.336 Pneumatics system pressure too low at the low cut rates.PP1 Piston Pump not working.Piston Pump not working.System leak.Dump valve not closing.Vitrectomy Cut valve always on.Selector valve is not changing.Select Next Case.353 IH to GUI Communication Timed Out.Software error or hardware error.Select Next Case.360 IH Fluidics – read error. Communication error. Cycle power.361 IH Fluidics – write error. Communication error. Cycle power.362 H Fluidics – Comm. error. Communication error. Cycle power.370 IH Phaco read error. Communication error. Cycle power.371 IH Phaco write error. Communication error. Cycle power.372 Bad Phaco long pulse. Communication error. Check program setting. Cycle power.373 IH Invalid Phaco burst setting. Communication error. Check program. Cycle power.374 Handpiece removed during Phaco. No handpiece is connected.1. Attach a handpiece.2. Tune the handpiece.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-13375 Incompatible HP. Attempted to use Ellips™ Phaco settings with a WHITESTAR® handpiece.1. Turn off Ellips™ Technology.2. Attach the Ellips™ handpiece.3. Tune the handpiece.380 IH Pneumatics – read error. Communication error. Cycle power.381 IH Pneumatics – write error. Communication error. Cycle power.390 IH Diag read error. Communication error. Cycle power.391 IH Diag write error. Communication error. Cycle power.416 Footpedal communication error. Could not open port.Footpedal not responding.Reconnect footpedal. 418 Footpedal compatibility error. New footpedal firmware. Replace footpedal. 501 Prime excessive vacuum error. Communication error. Check the tubing cassette. Reload or replace the tubing cassette.Reprime.502 Prime low bottle height error. Bottle not at the proper height.Increase bottle height and reprime.503 Prime low vacuum error. Hardware failure. Check the tubing cassette. Reload or replace the tubing cassette.Reprime.507 Prime EQ pressure error. Hardware failure. Reprime.508 Prime low venturi vacuum error. Hardware failure. Reprime.511 IV Pole communications error. Communication error. Reprime the system.512 IV Pole communications error. Communication error. Reprime the system.513 IV Pole communications error. Communication error. Reprime the system.514 IV Pole error. Communication error. Reprime the system.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-14515 IV Pole calibration error. Communication error. Reprime the system.516 IV Pole communication error. Communication error. Reprime the system.517 IV Pole jammed. Jammed.Motor failure.A “Short” in the motor wires.Obstruction is not allowing the pole to moveCheck for obstructions.Reprime the system.601 Tune excessive vacuum error. Hardware failure. Check the tubing and the connections to the handpiece. Retune.605 Tune no handpiece error. Hardware failure. Insert handpiece and retune.2000 DLL CRC Error DLL checksum does not match config.dat.Cycle power.2001 CRC Error STR checksum does not match config.dat.Cycle power.2002 Database Self Test Error Database file checksum does not match config.dat.Cycle power.2003 Error updating database file.Error when database was saved.Cycle power.2004 Error adding language. Error during the Install Language session.Cycle power.2005 Error reading USB memory stick.Error during an Import or Export session.Cycle power.2006 Error loading DLL. Cannot find or load a DLL file.Cycle power.2007 Record file save error. Error when Record database file was saved.Cycle power.2008 Error reading Record file. Cannot read Record database file.Cycle power.2010 IH Communication timed out.No communication with the IH.Cycle power.ErrorNumberMessage Probable Cause Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-15Troubleshooting Table 10.3 – Troubleshooting – General2011 Error retrieving version strings from IH.Cannot not retrieve the IH version numbers.Cycle power.2012 IH timeout error. No communication with IH.Cycle power.2014 IH Selftest error. Cannot get Selftest status from the IH.Cycle power.ErrorNumberMessage Probable Cause Corrective ActionGeneralProblem Corrective ActionThe System does not come on when the power switch is turned on.1. Turn the power switch Off.2. Confirm that the power cord is connected to the console back panel.3. Confirm that the power cord is plugged into the electrical receptacle or another power source.4. Confirm that there is electrical power to the wall receptacle or power source.5. Turn the system On.6. If the system still does not come on, turn the power Off. Check for bad fuses and replace the fuse if necessary.7. Contact AMO for Technical Service.
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-16The wireless remote control does not pair.1. Make sure that you are pairing only one remote. If you try to pair more than one remote at the same time, the pairing fails.2. Only pair the remote with one console at a time. Do not press the pairing key sequence on multiple remote controls as this causes the pairing to fail.3. Do not have any other Bluetooth™ devices in the same area as the remote and the console (other remote controls, dual linear foot pedals, cell phones, or headsets, for example) as the pairing operation will fail. The software only detects a maximum of nine (9) devices any more than nine and the pairing fails.4. Check to see if the remote control is in “Sleep” mode. If the remote is in “Sleep” mode, press the Backlight button on the remote. Complete the UP, DOWN, RIGHT, LEFT, RELOAD key sequence to pair the remote.Note: Always press the Backlight button before you pair the remote.5. The remote control can only be paired with one console at a time. Make sure that the remote has not been paired with another console. You must:• Unpair the remote from the console. • Shut down the console.• Pair the remote with the new console. Make sure this console is at least 40 meters away from the first console.6. The remote cannot be paired with another console after that remote has been paired. (You cannot pair one remote with two (2) consoles.)• Unpair the remote from the console. • Move the first remote out of range from the console.• Wait for the first remote to go into “Sleep” mode.• Pair the new remote.7. Make sure that the batteries are fully charged before you pair the remote with the console. Low batteries can cause pairing failures.8. Charge the batteries if pairing has failed after several attempts.9. When the batteries are charging (the remote is in the charge cradle):• The Bluetooth™ is turned off• The remote cannot be used• Pairing cannot be performedGeneralProblem Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-17Dual Linear Foot Pedal does not pair.(Advanced Control Pedal)1. Make sure that the foot pedal is not paired with another console.2. Do not have any other Bluetooth™ devices in the same area as the foot pedal and the console (other remote controls, dual linear foot pedals, cell phones, or headsets, for example) as the pairing operation will fail. The software only detects a maximum of nine (9) devices any more than nine and the pairing fails.3. Make sure that the batteries are fully charged before you pair the foot pedal with the console. Low batteries can cause pairing failures.4. Charge the batteries if pairing has failed after several attempts.5. When the batteries are charging (the foot pedal is in the charge cradle):• The Bluetooth™ is turned off• The foot pedal cannot be used• Pairing cannot be performedThe footpedal is not operating properly.1. Go to the Diagnostics section and perform a Footpedal Test.2. Confirm the footpedal cord is connected at the back of the console.3. Confirm the footpedal is paired to the System, for the Advanced Control Pedal (dual linear) only.4. Perform a Foot Pedal Calibration, for the Advanced Control Pedal (dual linear) only.5. Replace the wireless footpedal batteries, Advanced Control Pedal (dual linear) only.The Programmable IV Pole does not respond.1. The pole might have reached maximum or minimum height.2. Attempt a Programmable IV Pole height adjustment with the touch screen, remote, or the up and down switch on the side of the system.The Touch Screen does not respond.Perform the Touch Screen Calibration procedure as described in Diagnostics.Priming Errors. 1. Check the tubing pack loading, including reloading the tubing cassette.2. Verify that there are no kinks, clogs, or loose fittings.3. Replace the handpiece and the tip and prime.4. Replace the tubing cassette.5. Check the test chamber for proper installation and leaks.6. Contact AMO Technical Service to check the vacuum.GeneralProblem Corrective Action
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-18Table 10.4 – Troubleshooting – IrrigationIrrigationProblem Corrective ActionNo irrigation flow. 1. Make sure the appropriate mode is selected on the screen.2. Check for kinks in the irrigation tubing.3. Check the tubing connection to the handpiece.4. Tap the drip chamber to make sure the valve operates properly.5. Check the bottle height.6. Press the footpedal to Position 1 and check for flow.7. Listen for the irrigation pinch valve in the tubing manifold area to confirm that the valve operates when the footpedal is pressed.8. If there is still no flow, replace the tubing cassette.Reduced/insufficient irrigation flow.1. Check for kinks in the tubing or leaks in the tubing or the handpiece.2. Check the bottle height.3. Check the tubing connections.4. Check for a pinched irrigation sleeve at the incision.Irrigation flow continues even when footpedal is Off (Position 0).1. Check that the footpedal is not obstructed and not stuck in P 1.2. Check the footpedal operation.3. Verify that Continuous Irrigation is not active.Anterior chamber is too shallow or too deep.1. Check the bottle height.2. Too shallow, check for a pinched irrigation sleeve at the incision.3. Check the pump speed (flow rate).4. Check that the irrigation tubing is not obstructed.5. Make sure Irrigation and Aspiration are balanced.Using large amounts of fluid.1. Check the bottle height.2. Check the incision size.3. Check the flow rate (pump speed too high).4. Check that no fluid enters the collection bag when you do not use irrigation.5. Reseat or replace the tubing.
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-19Table 10.5 – Troubleshooting – AspirationAspirationProblem Corrective ActionNo aspiration. 1. Make sure the appropriate mode is selected on the screen.2. Check for kinks or clogs in the tubing.3. Check the tubing connection to the handpiece.4. Make sure that the handpiece is not clogged.5. Press the footpedal to Position 2 and check the pump function.Poor aspiration. 1. Check the flow rate.2. Check the footpedal operation. 3. Check for kinks or clogs in the tubing.4. Make sure that the handpiece is not clogged.5. Check the tubing connection to the handpiece.6. Check the IA handpiece o-rings for excessive wear. Replace the o-rings, if needed.Not building vacuum.Pump does not turn.1. Check the programming. If the surgeon is in “linear vacuum” as opposed to “linear aspiration”, the footpedal must be pressed through Position 2 for the vacuum to reach the preset maximum.2. Make sure the footpedal is pressed.3. Check the tubing connection to the handpiece.4. Check for air in the irrigation and aspiration tubing.5. Check the system vacuum settings.6. Replace the tubing cassette7. Run IA Prime.8. Check the flow rate.Chamber shallowing or partially collapses.1. Check the bottle height and the handpieces for correct position.2. Check the flow rate setting.3. Check the tubing fittings to the handpiece.4. Check for kinks in the tubing.5. Remove the handpiece and perform the test chamber test to make sure the handpiece is balanced.6. Make sure Irrigation and Aspiration are balanced.
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-20Table 10.6 – Troubleshooting – PhacoemulsificationTable 10.7 – Troubleshooting – Diathermy PhacoemulsificationProblem Corrective ActionNo phacoemulsification. 1. Make sure that the PHACO mode is selected on the touch screen.2. Make sure that the System is Primed and Tuned.3. Check the footpedal operation. 4. Make sure that the phaco handpiece cord is properly connected to the phaco receptacle on the front of the system.5. Check the Phaco Power setting.6. Make sure that the phaco tip is tight on the handpiece.7. Check to make sure that the phaco tip is not damaged.8. If the tip is damaged, replace the tip with a new tip and retune.Poor or intermittent phacoemulsification.1. Check all of the corrective steps above for “No Phacoemulsification”.2. Remove the phaco tip and then replace the tip. Make sure the tip is tight on the handpiece.3. Check the Phaco Power delivery setting for both unoccluded and occluded (if applicable) settings.4. Tune the phaco handpiece.DiathermyProblem Corrective ActionNo diathermy or poor diathermy.1. Make sure that the Diathermy mode is selected on the touch screen.2. Check the footpedal operation. 3. Check the Diathermy Power setting.4. Check the diathermy cord for a secure connection to the forceps and to the diathermy receptacles on the system.5. Make sure that the diathermy cord connections are dry.6. Try to use diathermy starting at a low power setting and gradually increase the power.7. Replace the diathermy cord.8. Replace the diathermy handpiece.No sound when using diathermy.1. Make sure the Volume Setting is set at 6 or greater in Settings.2. Check for sounds when you push any touch screen or remote buttons.3. Check for an audible confirmation upon completion of system start-up test (at power up).4. Perform the Sound Test on the Diagnostics screen.
10 • Error Messages Troubleshooting and DiagnosticsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-21Table 10.8 – Troubleshooting – VitrectomyVitrectomyProblem Corrective ActionNo vitrectomy cutting or poor cutting.1. Make sure that the Vitrectomy mode is selected on the touch screen.2. Verify that the surgeon is in footpedal Position 3, if IAC step vitrectomy is programmed. If ICA is programmed, verify the footpedal is in Position 2.3. Check the footpedal operation. 4. Check the tubing connections to the vitrectomy cutter.5. Check the vitrectomy tubing connection to the front panel receptacle on the system.6. Check the Vitrectomy Rate (CPM) setting on the touch screen. Lower the CPM, if necessary.7. Check that irrigation and aspiration are working correctly.8. Verify that the cutter blade moves.9. Replace the vitrectomy cutter and try again.
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 11-1Warranty Statement11 WARRANTY AND MAINTENANCE
11 • Warranty and MaintenanceWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 11-2Warranty Statement AMO warrants for a period of two years (24 months) from the date of installation of the WHITESTAR SIGNATURE™ System console, footpedal, wireless remote control, programmable power pole and the phaco handpiece to be free from defects in materials and workmanship when properly installed, maintained, and used for the intended purpose.MISUSE AND MISHANDLING ARE NOT COVERED UNDER WARRANTY. AMO’s sole obligation is to repair or replace, at AMO’s option, the defective part(s).The Irrigation/Aspiration Handpiece Set, Diathermy Forceps and Diathermy Cord are warranted for ninety (90) days.This warranty applies only to the original purchaser/user of the device and only so long as the equipment is used in the country to which it was originally shipped by AMO.THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WITHOUT LIMITATION THE WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT SHALL AMO BE LIABLE TO THE PURCHASER FOR CONSEQUENTIAL DAMAGES.Extended WarrantyExtended Warranty Contracts (excluding the phaco handpiece) are available. Contact AMO for information on the availability of an Extended Warranty Contract.Note: If outside the United States, contact your local AMO office or representative for warranty information.MaintenanceUser maintenance of the WHITESTAR SIGNATURE™ System is limited to those adjustments and corrective actions given in the Error Messages and Troubleshooting, and Diagnostics sections of this manual. There are no user serviceable components within the machine and you must not attempt to access the internal components. Any attempt to do so will void the warranty.Routine or periodic maintenance of the WHITESTAR SIGNATURE™ System by an AMO representative is recommended at least annually. AMO recommends the measurement of PE resistance and leakage current according to IEC 601-1 every two years.If a problem continues following setup, check-out and troubleshooting as per the procedures given in this manual, contact AMO for corrective action (1-877-AMO-4LIFE in USA 1-877-266-4543). Please contact your local AMO office or representative for region-specific phone numbers.
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-1Physical SpecificationsEnvironmental SpecificationsElectrical SpecificationsDiathermy SpecificationsIrrigation and Aspiration SpecificationsPhacoemulsification SpecificationsVitrectomy SpecificationsDiathermy Power GraphsDiathermy Power versus Load ImpedancePhaco Power Graphs12 SPECIFICATIONS
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-2Physical SpecificationsTable 12.1 – System Physical SpecificationsEnglish / U.S.Metric:WHITESTAR SIGNATURE™ System Console:Console Dimensions (with display)Width 24 inches 61 cmDepth 24 inches 61 cmHeight 54 inches 137 cmPower Cord Length 20 feet 6 metersElectrical Enclosure Current LeakageIEC 60601-1 complianceUL 60601-1Weight (including IV pole) 195 pounds 88.5 kgFootpedal:Single LinearDimensions Width 12 inches 31 cmLength 10.5 inches 27 cmHeight 5.5 inches 14 cmWeight 10.0 pounds 4.5 kgAdvanced Control Pedal (Dual Linear)Dimensions Width 10.5 inches 27 cmLength 14 inches 36 cmHeight 5.5 inches 14 cmWeight 15 pounds 7 KgCord Length 11.8 feet 36 cmPower IV Pole:Maximum Travel 41 inches 107 cmVelocity 2.4 inches/sec 6 cm/sec.Maximum Lift Weight 2.43 pounds 1.1 kgWireless Remote ControlWidth 5 inches 13 cmLength 5 inches 13 cmHeight 1.5 inches 4 cmWeight 2.0 pounds .9 kg
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-3Environmental SpecificationsTable 12.2 – Environmental SpecificationsElectrical SpecificationsTable 12.3 – Electrical SpecificationsDiathermy SpecificationsTable 12.4 – Diathermy SpecificationsIrrigation and Aspiration SpecificationsTable 12.5 – Irrigation and Aspiration SpecificationsEnvironmental SpecificationsOperating TemperatureHumidity10 to 40°CUp to 95% RH, non-condensingStorage/Transportation ConditionsStorage TemperatureHumidity-20 to 60°CUp to 95% RH, non-condensingVoltage Frequency Rated Power Fuse Rating Enclosure Current LeakageSystem 100/120/240 Vac50/60 Hz 750 VA 6.3A, 250V, Bussman GDA<500 uADiathermy SpecificationsPower AdjustmentDiathermy Power (maximum power into rated load)Diathermy Type5 to 100%, in 5% increments8.5 Watts into 350 ohms 386 KHzBipolarIA SpecificationsPeristaltic Pump Vacuum Level 0–650 mmHg in 5 mmHg increments Pump Flow 0 to 60 cc/minuteVenturi Pump Vacuum Level 0-600 mmHg in 5 mmHg increments
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-4Phacoemulsification SpecificationsTable 12.6 – Phacoemulsification SpecificationsVitrectomy SpecificationsTable 12.7 – Vitrectomy SpecificationsPhacoemulsification SpecificationsPhaco Power 0 to 100%, in 5% increments Peristaltic Pump Vacuum Level 0–650 mmHg in 5 mmHg increments Pump Flow Rate 0 to 60 cc/minuteVenturi Pump Vacuum Level 0-600 mmHg in 5 mmHg increments Vitrectomy SpecificationsPeristaltic Pump Vacuum Level 0–650 mmHg in 5 mmHg increments Pump Flow Rate 10 to 60 cc/minute, in 2 cc incrementsVenturi Pump Vacuum Level 0-600 mmHg in 5 mmHg increments
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-5Diathermy Power GraphsTable 12.8 – Diathermy Output Power (Typical) 50 OhmDiathermy Output Power (Typical) 50 Ohm00.511.522.533.544.50 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-6Table 12.9 – Diathermy Output Power (Typical) 100 OhmDiathermy Output Power (Typical) 100 Ohm012345670 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-7Table 12.10 – Diathermy Output Power (Typical) 200 OhmDiathermy Output Power (Typical) 200 Ohm0123456780 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-8Table 12.11 – Diathermy Output Power (Typical) 500 OhmDiathermy Output Power (Typical) 500 Ohm01234567890 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-9Table 12.12 – Diathermy Output Power (Typical) 1000 OhmDiathermy Output Power (Typical) 1000 Ohm012345670 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-10Diathermy Power versus Load ImpedanceTable 12.13 – Diathermy Output Power (50% Setting)Diathermy Output Power (50% Setting)01234560 100 200 300 400 500 600 700 800 900 1000Load Resistance (Ohms)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-11Table 12.14 – Diathermy Output Power (100% Setting)Diathermy Output Power (100% Setting)01234567890 100 200 300 400 500 600 700 800 900 1000Load Resistance (Ohms)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-12Table 12.15 – Diathermy Voltage Diathermy Voltage0204060801001201401600 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Voltage (Volts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-13Phaco Power GraphsTable 12.16 – Longitudinal Phaco PowerPhaco Power (Longitudinal)05101520250 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-14Table 12.17 – Ellips™ Phaco Power EllipsPhaco Power (Ellips™)05101520250 10 20 30 40 50 60 70 80 90 100Control Panel Settings (%)Output Power (Watts) +/- 20%
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-15Table 12.18 – Ellips™ and Longitudinal Phaco PowerPow er Output (Watts)0.005.0010.0015.0020.0025.0030.0035.0040.000% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%Displayed % Pow erWattsEllipsLongitudinal
12 • SpecificationsWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-16Table 12.19 – Ellips™ Phaco Power Linear ModeEllips™ Power (in Linear Mode) Depending Upon User Defined Max Power Setting0.005.0010.0015.0020.0025.000.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%100.00%Footpedal P3% DepressionDelivered Power (Watts)0%10%20%30%40%50%60%70%80%90%100%
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-1List of Accessories with Part Numbers13 ACCESSORIES AND PARTS REORDERING
13 • Accessories and Parts ReorderingWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-2Table 13.1 – WHITESTAR SIGNATURE™ System Part NumberList of Accessories with Part NumbersThe following table is a list of accessories that you can use to reorder parts for your WHITESTAR SIGNATURE™ System. Your AMO representative can advise you of recommended inventory levels based on the volume of phacoemulsification procedures done in your facility. All of the items listed below are ordered through your AMO representative or directly through AMO Customer Service.Table 13.2 – Accessories and Parts ListName Description Part No.WHITESTAR SIGNATURE™ ConsoleAn ophthalmic microsurgical system. NGP680300System Accessories Description Part No.Phaco Handpiece AMO™ Phaco Handpiece SOV680290WHITESTAR™ Phaco Handpiece, Coaxial690697Ellips™ Phaco Handpiece 69085819 Gauge LAMINAR™ Flow Phaco Tip, 0° Round TipOPOR0019L19 Gauge LAMINAR™ Flow Phaco Tip, 15° Round TipOPOD1519L19 Gauge LAMINAR™ Flow Phaco Tip, 30° Round TipOPOD3019L19 Gauge LAMINAR™ Flow Phaco Tip, 45° Round TipOPOD4519LDisposable 20 Gauge LAMINAR™ Flow Phaco Tip, 0° Round TipOPOD0020LDisposable 20 Gauge LAMINAR™ Flow Phaco Tip, 15° Round TipOPOD1520LDisposable 20 Gauge LAMINAR™ Flow Phaco Tip, 30° Round TipOPOD3020LDisposable 20 Gauge LAMINAR™ Flow Phaco Tip, 45° Round TipOPOD4520LDisposable LAMINAR™ Flow Phaco Tip, 19 Gauge, 30° CurvedOPOCR3019LDisposable LAMINAR™ Flow Phaco Tip, 20 Gauge, 30° CurvedOPOCR3020L19 Gauge LAMINAR™ Flow Irrigation Sleeve and Test ChamberOPOS19LDisposable 20 Gauge LAMINAR™ FlowInfusion Sleeve and Test ChamberOPOD20L
13 • Accessories and Parts ReorderingWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-3LAMINAR™ Flow Tip Wrench OPOMTWLSOLO™ I/A Handpiece, 20 Ga., Curved Silicone Sleeve TipOPOIA20CRVSOLO™ I/A Handpiece, 20 Ga., 45° Silicone Sleeve TipOPOIA2045DSOLO™ I/A Handpiece, 20 Ga., Straight Silicone Sleeve TipOPOIA20STRSOLO™ I/A Handpiece Kit OPOIA20KITI/A Handpiece PHACOFIT™ Titanium Handle OM055002PHACOFIT™ I/A Tip Curved .5 mm Port OM05510110PHACOFIT™ O-Ring's I/A Tip (5PK) OM05510112PHACOFIT™ Titanium, Multi-Tip Set OM05510113PHACOFIT™ Cleaning/Flushing Kit OM05510114PHACOFIT™ Tip, Luer Adapter (Aspiration)OM05510115PHACOFIT™ Tip, 45 Degree Silicone (No Sleeve)OM05510116PHACOFIT™ I/A Tip Straight .3MM PortOM0551011PHACOFIT™ I/A Tip Curved .3 mm Port OM0551012PHACOFIT™ I/A Tip 45 Degree 0.3 mm PortOM0551013PHACOFIT™ I/A Tip 90 Degree 0.3 mm PortOM0551014PHACOFIT™ I/A Tip Binkhorst 0.3 mm PortOM0551015PHACOFIT™ I/A Tip Straight SI 0.3 mm PortOM0551016PHACOFIT™ I/A Luer Adapter, F/F OM0551017PHACOFIT™ I/A Tip Curved, SI, .3 mm PortOM0551018PHACOFIT™ I/A Tip Straight .5MM PortOM0551019PHACOFIT™ Athlete I/A Tip Straight TypeOM0551020JPHACOFIT™ Athlete I/A Tip 45 Degree TypeOM0551021JDUET™ STARTER KIT, 20GA DUA02020System Accessories Description Part No.
13 • Accessories and Parts ReorderingWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-4DUET™ ASPIRATION HANDLE DU02100DUET™ IRRIGATION HANDLE DU02200DUET™ 20G CURVED IRRIGATOR CLOSED ENDDU02301DUET™ 20G CURVED ASPIRATION .3MM PORT CAP POLDU02302DUET™ 19G FINE IRRIGATING CHOPPERDU02303DUET™ 20G OLSON II IRRIGATING CHOPPERDU02305DUET™ MST Aguirre Duet Tip DU02325DUET™ MST Fine/Nagahara Tip DU02335Diathermy Handpiece Bipolar Cord with Fischer Connection K106075Bipolar Forceps, Curved Iris 0.5 mm Tip K12108518 Gauge Straight Diathermy Pencil, reusableK147000Vitrectomy Cutter 20 gauge Vitreous Cutter NGP002023 gauge Vitreous Cutter NGP002325 gauge Vitreous Cutter NGP0025FUSION™ Tubing Pack Fusion™ Tubing Pack (disposable, sterile)OPO70Fusion™ Dual Pump Tubing Pack (disposable, sterile)OPO71Wireless Remote Control WHITESTAR SIGNATURE™ System Remote ControlNGP680135Footpedal WHITESTAR SIGNATURE™ Foot Pedal (Single Linear)NGP680701Advanced Control Pedal for the WHITESTAR SIGNATURE™ (Dual Linear)NGP680702Miscellaneous Power Cord, Hospital Grade, 20 ft., 6.1 meters2410-0049-LFootpedal Cable to WHITESTAR SIGNATURE™ System0100-0055WHITESTAR SIGNATURE™ Dust Cover0100-0750Sterilization Tray MSR309WHITESTAR SIGNATURE™ System Owner's Manual (English)NGP Z370147System Accessories Description Part No.
13 • Accessories and Parts ReorderingWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-5WHITESTAR SIGNATURE™ System Owner's Manual (Chinese)NGP Z370161WHITESTAR SIGNATURE™ System Owner's Manual (Korean)NGP Z370163WHITESTAR SIGNATURE™ System Owner's Manual (Japanese)NGP Z370162WHITESTAR SIGNATURE™ System Owner's Manual (French)NGP Z370148WHITESTAR SIGNATURE™ System Owner's Manual (German)NGP Z370150WHITESTAR SIGNATURE™ System Owner's Manual (Swedish)NGP Z370157WHITESTAR SIGNATURE™ System Owner's Manual (Finnish)NGP Z370160WHITESTAR SIGNATURE™ System Owner's Manual (Portuguese)NGP Z370152WHITESTAR SIGNATURE™ System Owner's Manual (Italian)NGP Z370149WHITESTAR SIGNATURE™ System Owner's Manual (Spanish)NGP Z370151WHITESTAR SIGNATURE™ System Owner's Manual (Danish)NGP Z370158WHITESTAR SIGNATURE™ System Owner's Manual (Dutch)NGP Z370153WHITESTAR SIGNATURE™ System Owner's Manual (Greek)NGP Z370156WHITESTAR SIGNATURE™ System Owner's Manual (Norwegian)NGP Z370159WHITESTAR SIGNATURE™ System Owner's Manual (Polish)NGP Z370154WHITESTAR SIGNATURE™ System Owner's Manual (Russian)NGP Z370155WHITESTAR SIGNATURE™ System Owner's Manual CD, MultilingualNGP Z370164System Accessories Description Part No.
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-1GLOSSARYTerm DefinitionActive Reflux Reflux that occurs in response to a user request (typically by way of the footpedal).Active State The state where the instrument responds to the footpedal in all zones. All the surgical modes are operative.Active Vacuum Vent The vacuum is relieved by a controlled reversal of the peristaltic pump or by the vacuum regulator.Advanced Control Pedal (Dual Linear)A footpedal for the WHITESTAR SIGNATURE™ Phacoemulsification System that operates in two independent linear movement planes (Pitch and Yaw). The two linear movement planes provide proportional control of user-defined functions.Anterior Chamber A fluid filled space inside the eye between the iris and the innermost corneal surface.Anterior Mode The Anterior function operating mode of the instrument.Anterior Segment The front third of the globe; includes structures located between the front surface of the cornea and the vitreous.Aspiration Removal of fluid from the eye using the pumps.Aspiration Line Fluids pathway within he handpiece that is utilized to extract fluid and tissue from the eye.Burst Mode One of the available options on the WHITESTAR SIGNATURE™ System for phaco power delivery. Characterized by short periods of time where the power is turned on, interspersed with off times.CASE ChAmber Stabilization Environment is an intelligent vacuum system that monitors occlusions and adjusts the vacuum to prevent or reduce post occlusion surge or chamber collapse.Cassette The tubing packs that are installed on the system to connect the tubing on the hand pieces to the vacuum and irrigation sources in the instrument.Compatible Surgeon Programs Programs that have the same Pack Type, Pump Type, and Infusion method.Continuous Phaco Power One of the available Phaco power delivery modes.
GlossaryWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-2Controller A processor or microcontroller that is programmed to fulfill a specific task. It can be anything from a small 8-bit microprocessor to a PC-compatible system. On the WHITESTAR SIGNATURE™ system, the following controllers have been identified: GUI Host Processor, Instrument Host Processor, Fluidics Controller, Phaco-Diathermy (PD) Controller, Pneumatic Controller, Diagnostic Controller, IV Pole Controller, Remote Controller, Touch Screen Controller, Footpedal Controller, Footpedal Wireless Controller, Remote Wireless Controller, and Sound Controller.Continuous Burst Phaco Power One of the available Phaco power delivery modes.Diathermy Method used to coagulate blood vessels during a cataract procedure and to join together the conjunctiva at the end of a cataract procedure using electrical current.DLL Dynamic Link Library. A collection of software routines that can be loaded and accessed at run time.Ellips™ Technology A technology that provides both longitudinal and transverse movement within the Ellips™ handpiece.EMI Electromagnetic Interference. Emitted by electrical circuits carrying rapidly changing signals, as a by-product of their normal operation, and which causes unwanted signals (interference or noise) to be induced in other circuits.Evacuation The removal, by suction, of fluids from the eye cavity through a phacoemulsification ultrasonic handpiece.Extraction The process or act of pulling or drawing out fluids from the eye cavity during Phacoemulsification surgery.Fluidics The components and aspects of the system involving fluid; specifically, irrigation, aspiration, vacuum, pressure and their performance as interdependent systems.FPn Foot Pedal zone position (0, 1, 2, or 3). The zone changes when the footpedal is pressed.FUSION™ The screen in which the Occlusion mode, CASE mode, and Actual Maximum Vacuum settings can be modified.FUSION™ Fluidics Pack (OPO70)The fluidic tubing pack which interfaces only with the peristaltic pump related components.FUSION™ Dual Pump Pack (OPO71)The FUSION™ dual pump fluidic tubing pack which interfaces with both the peristaltic and the vacuum-based pump related components.Gravity Infusion The bottle height-induced irrigation when the IV pole is positioned at a specific height.GUI Graphical User Interface. Used to reference the interface presented to the user on a graphical screen.High Power Pulse Phaco Power One of the available Phaco power delivery modes.Term Definition
GlossaryWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-3IV Pole The programmable pole used to position the irrigation solution during the phacoemulsification process.I/A A general term for Irrigation/Aspiration, and a specific footpedal configuration.IAC A Vitrectomy mode that uses the Irrigation, Aspiration, and Cutting sequences as the footpedal is pressed.ICA A Vitrectomy mode that uses the Irrigation, Cutting, and Aspiration sequences as the footpedal is pressed.Irrigation Causing fluid to be moved into/toward the eye via the irrigation line.Irrigation Line The fluid path within the handpiece that is used to allow the clean balanced salt solution to travel from the bottle into the eye.LCD The Liquid Crystal Display on the WHITESTAR SIGNATURE™ System.Linear Variable Any switch on the footpedal that is used for Linear control. (Pitch or Yaw.)Long Pulse Phaco Power One of the available Phaco power delivery modes.Low Power Pulse Phaco Power One of the available Phaco power delivery modes.Max Vac (Maximum Vacuum) The value for a vacuum based fluidic is the lesser of 600 mmHg or 85% of the CASE Upper Threshold. The maximum value for a peristaltic pump is 650 mmHg.Motor Venting Used with both the FUSION™ Fluidics pack (OPO70) and the Dual Linear (OPO71) pack. Driving the peristaltic pump in the reverse direction to vent.Multiple Burst Phaco Power One of the available Phaco power delivery modes.NiMh Nickel-Metal Hydride. A type of rechargeable battery.One-Touch CASE The ability to alter the CASE settings with a single press of a button. The modes are +2, +1, Standard, -1, -2.Operating Mode The current operating mode of the instrument. The modes are Phaco, I/A, Vitrectomy, and Diathermy.Pairing The process of matching two BlueTooth Devices, the console and the remote control or the console and the wireless foot pedal, so that they can communicate with one another.Pars Plana Incision A surgical cut into the eyeball that passes through the sclera and the pars plana area of the cilary body, between the pars plans and the ora serrata. Common site for instruments used for Vitrectomy procedures.Passive Reflux A small reflux from the aspiration line that occurs automatically when the system vents. Historically, this has occurred on AMO systems that utilize valve venting.Peristaltic A flow based pump.Term Definition
GlossaryWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-4Phacoemulsification / Phaco The term is abbreviated as Phaco. Phaco is a cataract extraction technique originally developed by Dr. Charles Kelman. To use this technique, a surgeon makes a small incision in the eye and emulsifies the cataract with the help of a vibrating needle inserted through the incision. The emulsified particles of the cataract are gently aspirated through the needle while the surgeon continues to irrigate the eye's chamber to maintain intraocular pressure (IOP).Pitch The vertical travel of the footpedal.Pneumatics Components and aspects of the system involving high and low pressure and vacuum.Post Occlusion Surge A result of rapidly changing pressures within the anterior chamber of the eye. The fluid surge is caused when the Phaco Tip is blocked during a procedure and is suddenly cleared. The surge can cause an imbalance of fluids leaving the eye and potential damage to the eye tissue.Power Boost Mode An operating mode in which the yaw movement of the Advanced Control Pedal (Dual Linear Footpedal) is utilized to provide a temporary increase (Boost) in phaco power.Primary Venting Mechanism A venting mechanism (valve, motor) selected by the host software as the preferred means of performing venting.Programming Mode (System Configuration)When the system is not Primed/and not Tuned Phaco, I/A, and Vitrectomy surgical modes are not available. However, the user can program and update surgical and system settings.Pump Ramp A characteristic of the peristaltic pump that determines the point at which the pump speed is decreased in order to maintain a manageable rate of vacuum rise.Pulse Shape A feature of WHITESTAR® Technology which allows the user to define a "kick" of increased power at the beginning of a WHITESTAR® pulse over a range of Phaco power settings.Reflux Fluid that is moved into/toward the eye via the aspiration port/line. The reverse flow within the aspiration line that can be used to release or dislodge unwanted material from the handpiece tip or to “tent” the incision site to allow easier tip insertion. Reflux is not intended to clear a clogged handpiece. However, reflux can be used to identify a blockage. Remote Control A user interface control for the GUI system through a wireless connection. The Remote Control commands are interpreted to control the GUI software.Safe State A state where the Phaco, Vitrectomy, Diathermy, and fluidics functions are disabled, with irrigation on and the fluid vented. The instrument the footpedal is disabled. As a result, all of the surgical modes become inoperable.Term Definition
GlossaryWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-5Secondary Venting Mechanism A venting mechanism (valve, motor or vacuum regulator) automatically used by the system to attempt venting if the primary venting mechanism should fail.Short Pulse Phaco Power One of the available Phaco power delivery modes.Single Burst Phaco Power One of the available Phaco power delivery modes.Single Linear Footpedal A footpedal with only one plane of travel allowing proportional control of system parameters.SubMode A submode is a defined set of parameters for the current mode. Most operating modes have multiple submodes. For example, there are three I/A submodes for Anterior surgery, each of which contains a set of potentially different parameters for the I/A mode.Surgical Media Center (SMC) An optional accessory product that can be connected to the WHITESTAR SIGNATURE™ system to generate and record video images of the surgery. The video images contain embedded information about the instrument status and settings throughout the surgical procedure.System A hardware unit and associated peripherals including software required to perform a specific function.Tenting the Incision (Wound) Using reflux while inserting the handpiece into the eye. This technique causes the incision (wound) to open slightly (tent), thus making handpiece insertion easier.Touch Screen The display surface of the Liquid Crystal Display (LCD) that responds to touch.Vacuum Boost Mode An operating mode in which the yaw movement of the Dual Linear Footpedal is utilized to provide a temporary increase (Boost) in the maximum vacuum.Vacuum Regulator Venting Using the vacuum regulator in the WHITESTAR SIGNATURE™ system to vent the vacuum in the OPO71 vacuum tank. Used only with the Venturi pump.Valve Reflux The fluid flows back through the pinch valve.Valve Vent The vacuum is vented through the aspiration line.Valve Venting Used with OPO70 pack only. Manipulation of the fluidic connections to cause fluid from the irrigation bottle to be directed toward the aspiration port in order to vent. Typically this results in passive reflux.Variable WS A mode where the user can define the WHITESTAR® Technology delivery based on the footpedal position.Venting Relieving vacuum in the aspiration tube. Typically venting is performed when the Footpedal is moved from position 2 into position 1 or 0.Venturi A vacuum based pump.Term Definition
GlossaryWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-6Vitrectomy The removal of vitreous with a needle-like cutter that has fluid injection and suction capabilities.WHITESTAR® Technology A proprietary software technology that is used to deliver finely modulated pulses of energy, interrupted by extremely brief cooling periods.Yaw The horizontal movement of the footpedal that works from either the left or the right of the footpedal.Yaw Threshold The programmed yaw movement that is allowed before the yaw switch is activated on the footpedal.Term Definition
WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-1AAccessories 13-1Add a Surgeon 6-3AdjustingCut Rates 5-30Flow Rate 5-29Advanced Control PedalDoes Not Pair 10-18Dual Linear 1-4, 3-11, 3-22, 7-4, 9-5, 12-2ModesVitrectomy 5-21PitchThresholds 5-32VIT 5-33SettingsDual Linear 5-20Wireless 3-22Anterior chamber too deep 10-19Anterior SegmentSettings 5-38Surgery 3-15Anterior Segment Surgery 5-1AspirationSpecifications 12-3Troubleshooting 10-20Aspiration Flow Rate 5-29Aspiration RateOcclusion 5-46PHACO 5-7Vitrectomy 5-18Assign Order 6-14Autoclave 9-4BBacklight button 10-17BalanceIrrigation/Aspiration 4-10balanced salt solution 3-19batteriesfootpedal 3-22, 9-5remote control 3-26BatteryLocationWireless Foot Pedal 10-4ReplacementWireless Foot Pedal 10-3Begin Tune 4-9blockedaspiration port 5-49Bluetooth™ 10-17Bluetooth™ devices 10-18Bottle HeightIA 5-26PHACO 5-27Vitrectomy 5-28Burst 5-3Bypass 4-7, 4-11INDEX
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-2CCalibrationTouch Screen 7-7Wireless Foot Pedal 7-5Care of the System 9-5CASE 5-7CASE Lower ThresholdPHACO 5-27CASE Mode 5-42PHACO 5-27CASE ONE Touch 1-7, 5-44CASE Upper ThresholdPHACO 5-27CASE VacPHACO 5-27CASE Vacuum 5-17CassetteLoading 3-18Chamber partially collapses 10-20ChangingIrrigation 3-3Mode Parameters 4-12charging the footpedal 9-5Check-out 8-2Irrigation/Aspiration 8-2Phacoemulsification 8-2Vitrectomy 8-3CleaningHandpiece 9-2System 9-5Common Problems 10-5CompleteSetup 3-19Components 2-2Configuration 4-12Connecting Handpieces 3-3ConnectionsRear Panel 3-16Console Dimensions 12-2Continuous Burst 5-38PHACO Power 5-41Continuous Irrigation 1-5, 4-7, 5-6Cup Fill 4-9IA 5-26PHACO 5-27Continuous Phaco Power 5-39Continuous Power 5-38ControlsScreens 4-2Copy a Program 6-10Cup Fill 4-7, 4-9Custom Duty Cycles 5-12Cut RateAdjusting 5-30Vitrectomy 5-18, 5-28cuts per minute 5-30CutterVitrectomy 3-21Cutting RatesVitrectomy 5-30DDatabase 4-2Delete 6-13Management 7-2Program 6-14Restore 6-13Default Program 4-6, 5-22Default SettingsDiathermy 5-25Footpedal 5-24Irrigation/Aspiration 5-26PHACO 5-27Sound 5-23Vitrectomy 5-28DeleteDatabase 6-13Program 6-12, 6-13Surgeon 6-11DIA time 5-3Diagnostics 4-2, 7-2, 10-1
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-3Diathermy 1-6, 3-4, 5-2Default Settings 5-25Forceps 3-21Handpiece 9-3Part Numbers 13-4Output Power 12-10Pencil Probe 3-21Power 12-10Power Graphs 12-5Specifications 12-3Troubleshooting 10-21Using 5-3Voltage 12-12Dimensions 12-2drainage bag 3-18DT 5-3Dual LinearAdvanced Control Pedal 1-4, 3-11, 3-22,5-32, 7-4, 9-5, 12-2Settings 5-20SettingsAdvanced Control Pedal 5-20VIT Footpedal Settings 5-33Dual Linear Foot Pedal does not pair 10-18Dual Pump 1-5Duty Cycles 5-10PHACO 5-28EEditProgram 6-9Surgeon 6-5Effective Phaco Time 5-36ElectricalSpecifications 12-3Ellips™ 1-4Handpiece 1-4, 3-17Technology 5-49End Case 4-2, 5-35EnvironmentalSpecifications 12-3EPT 5-36Equipment Operation 4-1Error Message 10-2Error Messages 10-5Ffailed to pair 10-17FeedbackFootpedal 5-25Flash Sterilization 9-4Flow RateAdjusting 5-29Fluidics 1-4Error Messages 10-5ModePHACO 5-27Foot PedalBattery Replacement 10-3Calibration 7-5PitchAdvanced Control Pedal 5-32Pitch Thresholdssingle linear 5-31Settingssingle linear 5-20Single Linear 1-4wireless 3-4Footpedal 1-4, 3-22, 4-2Advanced Control Pedal 3-11charging 9-5Dual LinearAdvanced Control 3-11Feedback 5-25ModesVitrectomy 5-21Part Number 13-4Pitch 3-23Pitch Regions 5-25Positions 3-23, 5-12Settings 5-24, 5-31SetupWireless 7-3Single Linear 3-22Specifications 12-2
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-4Summarysingle linear 5-24Switch Assignment 5-33Threshold 5-25Vitrectomy 5-18, 5-28Wireless 1-4, 3-22Forceps 11-2Diathermy 3-21FuseLocation 10-3Replacement 10-2Fusion 5-17, 5-45FUSION™ 2-4FUSION™ Tubing PackPart Number 13-4GGas Sterilization 5-29, 9-4GeneralTroubleshooting 10-16GraphPhaco Power 12-13Graphic User Interface 1-5GraphsDiathermy Power 12-5Gravity Displacement Sterilization 9-4GUI 1-5HHandpieceCleaning 9-2, 9-3Connecting 3-3IA 3-18Phaco 3-20Priming 4-8Ultrasonic 3-3Warranty 11-2Help 10-2High PowerLimit 5-15Pulse 5-38PHACO Power 5-40IIAHandpiece 3-18Submodes 5-5IAC 5-21ICA 5-21ICE Pulse ShapingWHITESTAR® 5-15Infusion Sleeve 2-4Initial Mode 5-8, 5-25, 5-26, 5-29Inspection Instructions 2-2Install Tubing Cassette 4-6IrrigationChanging 3-3Continuous 4-7, 5-6flow does not stop 10-19Inadequate 3-3Specifications 12-3Troubleshooting 10-19Irrigation/Aspiration 1-7, 5-4Balance 4-10Check-out 8-2Default Settings 5-26IV Poledoes not work 10-18Programmable 3-4, 3-25, 5-4Kkick 5-15LLAMINAR™ Flow 3-18Linear 5-2, 5-3, 5-29Occluded Power 5-48List of Accessories 13-1LoadImpedance 12-10Resistance 12-10Locked Program 6-13Logs 7-2
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-5Long PulsePHACO Power 5-39Power 5-38RatePHACO 5-27Low batteries 10-17, 10-18Low PowerLimit 5-15Pulse 5-38PHACO Power 5-40Lower Threshold 5-17MMaintenance 4-2, 11-2Touch Screen 7-7Max AspirationIA 5-26RateOccludedPHACO 5-28PHACO 5-27Vitrectomy 5-28Max Phaco PowerOccludedPHACO 5-28UnoccludedPHACO 5-28Max PowerDiathermy 5-25Max Vacuum 5-9IA 5-26PHACO 5-27Vitrectomy 5-28maximum vacuum 5-16Mayo Stand Drape 2-4MessagesError 10-2Miscellaneous Part Numbers 13-4Mode Programming 1-6ModesChanging Parameters 4-12How to program 5-22Monitor Drape 2-4Multiple BurstPHACO Power 5-40Power 5-38Multiple Mode Programming 1-6NNiMH 3-22, 10-3No aspiration 10-20No diathermy or poor diathermy 10-21No irrigation flow 10-19No phacoemulsification 10-21No sound when using diathermy 10-21No vacuum 10-20No vitrectomy cutting 10-22OOccluded Aspiration Rate 5-45Occluded Phaco 5-7OcclusionAspiration Rate 5-46Threshold 5-9PHACO 5-27Vacuum Threshold 5-46Venting 5-49OCCLUSION MODE™ PhacoSettings 5-27, 5-42, 5-45Off Time 5-28On Time 5-28ONE TouchCASE 5-44Operating Modes 1-6Anterior Segment 5-1Operating the Equipment 4-1Output PowerDiathermy 12-10Override Settings 5-41
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-6PpairAdvanced Control Pedal 10-18Dual Linear Foot Pedal 10-18Wireless Remote Control 10-17Pairing InstructionWireless Remote Control 7-6Pairing InstructionsWireless Foot Pedal 7-4Panel 5-2, 5-3, 5-29Occluded Power 5-48Parameter SettingsWHITESTAR® Technology 5-11ParametersProgramming 1-6Part Numbers 13-2PartsReordering 13-1Passive Reflux 5-49Pencil ProbeDiathermy 3-21Percent KickHigh End of Range 5-15Low End of Range 5-15Peristaltic Pump 12-3PHACODefault Settings 5-27Program 5-8Submodes 5-7Using 5-8Phaco Handpiece 1-4, 3-4, 3-17, 3-20, 9-2Part Numbers 13-2PHACO Power 5-38Phaco Power 5-7Continuous 5-39Graph 12-13Phacoemulsification 1-2, 1-7, 3-3, 3-16, 5-6, 5-7,8-3, 10-21, 12-4Check-out 8-2Specifications 12-4Troubleshooting 10-21Physical Specifications 12-2PITCH 3-23Pitch RegionsFootpedal 5-25Poor aspiration 10-20Poor phacoemulsification 10-21PositionsFootpedal 3-23PowerContinuous 5-38Continuous Burst 5-38DeliveryDiathermy 5-25PHACO 5-27, 5-28Failure 3-3High Pulse 5-38Long Pulse 5-38Low Pulse 5-38Multiple Burst 5-38PHACO 5-7Phaco 5-38Short Pulse 5-38Single Burst 5-38Switch 10-5Power Cord Length 12-2pps 5-39Precautions 8-2Safety 3-2Preferred Program 6-6Prevacuum Sterilization 9-4PrimeBypass 4-7Prime/Tune 1-5, 4-2, 4-7, 4-8, 4-9, 5-3, 8-2PrimingHandpiece 4-8Vitrectomy 4-11ProblemsCommon 10-5
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-7Program 4-2Assign Order 6-14Configuration 5-22Database 6-14Defaults 5-22Delete 6-12Edit 6-9Lock 6-13Locked 6-13Preferred 6-6Programmable IV Pole 1-6, 3-4, 3-19, 3-25, 5-4Specifications 12-2ProgrammingMultiple Mode 1-6PHACO 5-8ProgramsSelect 4-4Surgeon 6-1Pulse Off Time 5-11Pulse On time 5-11Pulse Rate 5-11Pulse Shaping 5-13pulses per second 5-39Pump not working 10-20Pump RampPHACO 5-27ThresholdIA 5-26RRear Panel 3-16Recording Mode 3-29Reduced/insufficient irrigation flow 10-19Reflux 3-24Passive 5-49Remote Control 3-4Wireless 3-26, 7-6Remote Pair 7-6ReorderingParts 13-1ReplacingBatteries 10-2, 10-3Replacing the Fuse 10-2ResetTimers 4-10RestoreDatabase 6-13Restriction of Hazardous Substances 3-14RoHS 3-14SSafety Precautions 3-2ScreensControls 4-2Select Program 4-6Selecting a Language 4-3Self Test 4-4SettingsAnterior Segment 5-38Footpedal 5-31How to program 5-22Occlusion Mode 5-45, 5-48OCCLUSION MODE™ Phaco 5-42Override 5-41Submode Parameters 5-4SetupCompletion 3-19Sequence 3-15System 8-2Wireless 7-6Short PulsePHACO Power 5-39Power 5-38RatePHACO 5-27ShutdownSequence 3-30Side VIT 5-21Side vitrectomy 5-21Single BurstPHACO Power 5-40Power 5-38Single LinearFoot Pedal 1-4, 12-2Settings 5-20Pitch Thresholds 5-31
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-8Sleep Mode 10-17SMCSurgical Media Center 3-28SOLO™ 3-18Sounds 4-2Default Settings 5-23SpecificationsDiathermy 12-3Electrical 12-3Environmental 12-3Footpedal 12-2Fuse 10-2IA 12-3IV Pole 12-2Phacoemulsification 12-4Physical 12-2Vitrectomy 12-4Start Vit Prime 8-3Startup 4-4Status 10-5STD Surgeon 6-2Sterilization 3-22, 9-4Gas 9-4Gravity Displacement 9-4Prevacuum 9-4Storage Conditions 12-3SubmodeParameters 5-4PHACO 5-7, 5-41SubmodesIA 5-5PHACO 5-7SurgeonAdd 6-3Copy 6-10Delete 6-11Edit 6-5Select 6-1STD 6-2Surgeon/ProgramSelect 4-4Surgeons and Programs 4-13Surgical Media CenterSMC 3-28Switch Assignment 5-31Footpedal 5-33Symbol Definitions 3-9SystemCheck-out 8-2Cleaning 9-5Console 1-5Default Settings 5-23Description 1-2Disposal 3-12does not turn on 10-16Self Test 4-4Shutdown 3-30Tests 7-2Utilities 7-2TTechnical Service 10-5TechnologyWHITESTAR® 5-9Test Chamber 2-4, 13-2ThresholdVacuum 5-46TimersReset 4-10Touch ScreenCalibration 7-7Does not respond 10-18Using 4-12Translucency 3-28Troubleshooting 8-2, 10-1Aspiration 10-20Diathermy 10-21General 10-16Irrigation 10-19Phacoemulsification 10-21Vitrectomy 10-22Tubing Cassette 2-4Install 3-18, 4-6Tune 4-7Begin 4-9
IndexWHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-9UUltrasonic (U/S) Time 5-36Ultrasonic Handpiece 3-3Unoccluded Phaco 5-7Unpair 10-17Up TimePHACO 5-27Threshold 5-17Upper Threshold 5-17UsingDiathermy 5-3PHACO 5-8too much fluid 10-19Touch Screen 4-12Vitrectomy 5-19VVacuum 5-35monitoring 5-16PHACO 5-7pressure 5-49RateLinear 5-29Panel 5-29Vitrectomy 5-18Variable WHITESTAR® Technology 5-12Variable WS 5-12VentingOcclusion 5-49Venturi pump 5-17VIT Foot Pedal Settingsdual linear 5-33Vitrectomy 3-4, 3-21, 5-18Advanced Control Pedal (Dual Linear) Modes5-21Check-out 8-3Cut Rate 5-30Cutter 3-4Default Settings 5-28Footpedal Modes 5-21Prime 4-11Specifications 12-4Troubleshooting 10-22Using 5-19VIT 1-7VoltageDiathermy 12-12WWake-up 3-24Warnings 3-2, 3-5Warranty 11-1Watts 12-5, 12-14WHITESTARDecrement 5-33Increment 5-33WHITESTAR® ICE Technology 1-3WHITESTAR® Technology 1-3, 5-9Wireless Advanced Control Pedal 3-22Wireless Foot Pedal 3-4Battery Location 10-4Calibration 7-5Wireless FootpedalPairing 7-4Setup 7-3Wireless Remote Control 1-5, 3-4, 3-26Part Number 13-4Setup 7-6wireless remote control does not pair 10-17YYaw 3-23

Navigation menu