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

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5 • Anterior Segment Surgery Operating Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-39

3. Press Finished to close the window.

Low Power Pulse Phaco Power

Low 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 Power

High 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 Modes

Single 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 Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-40

Continuous 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 Settings

You 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 Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-41

OCCLUSION

MODE™ Phaco

Settings

CASE Mode

To access the OCCLUSION MODE™ Phaco and CASE settings:

1. Press the button from the PHACO operating screen.

Figure 5.33 – CASE OCCLUSION MODE™ Phaco

CASE 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 Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-42

Figure 5.34 – CASE OCCLUSION MODE™ Phaco

You can control and customize the CASE behavior by setting the:

1. Upper and Lower Vacuum Threshold levels

2. CASE Vacuum Level

3. “Up Time” delay, which determines the maximum time that the Upper

Threshold Vacuum level is maintained.

1. CASE Vacuum 6. Up Time

2. Upper Threshold 7. Vacuum Level

3. Lower Threshold 8. Vacuum

4. Vacuum Level crosses Upper Threshold 9. Time

5. Phaco activated 10. Max Vac

5 • Anterior Segment Surgery Operating Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-43

CASE One Touch

To 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 Touch

Table 5.10 – CASE One Touch Parameter Settings

Parameter CASE -2 CASE -1 CASE STD CASE +1 CASE +2

Pump Ramp Setting Program

default

Program

default

Program

default

CASE STD

+10%

CASE STD

+20%

CASE Occlusion Delay CASE STD

-200 ms

CASE STD

-100 ms

Program

default

CASE STD

+100 ms

CASE STD

+200 ms

CASE Upper

Threshold

CASE STD

-5%

Program

default

Program

default

Program

default

CASE STD

+5%

5 • Anterior Segment Surgery Operating Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-44

OCCLUSION MODE™ Phaco Settings

You 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 Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-45

Occlusion Vacuum Threshold

In 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 Rate

In 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 Rate

2. Press Settings. The Occluded Aspiration Rate pop-up window appears.

5 • Anterior Segment Surgery Operating Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-46

Figure 5.38 – Occluded Aspiration Rate Pop-up Window

3. 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 Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-47

OCCLUSION MODE™ Phaco Power Settings

You 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 Settings

To 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 Occlusion

When 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™ Technology

2. WHITESTAR® Technology without Pulse Shaping

5 • Anterior Segment Surgery Operating Modes

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 5-48

These 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 6-1

Select Surgeon/Program

Add a New Surgeon

Edit a Surgeon

Select a Preferred Program

Create a New Program

Edit a Surgeon Program

Copy a Surgeon Program

Delete a Surgeon

Delete a Program

Delete a Database

Lock a Program

Program – Assign Order

6SURGEON PROGRAMS

6 • Surgeon Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-2

Select Surgeon/

Program

1. 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-3

Add a New Surgeon To create a new Surgeon program:

1. Press Configuration.

2. Press Surgeons and Programs.

Figure 6.2 – Configuration Pop-up Window

3. 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-4

7. 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-5

8. 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 Surgeon

6. Press Edit Surgeon Name. The Keyboard window appears.

7. Edit the name.

8. Press Enter.

9. Press Exit Settings.

6 • Surgeon Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-6

Select a Preferred

Program

Use 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-up

7. 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-7

Figure 6.7 – Select a Program to Begin Screen

6 • Surgeon Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-8

Create a New

Program

When 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-9

Edit a Surgeon

Program

1. Press Configuration.

2. Press Surgeons and Programs.

3. Press Select Program.

4. Select the surgeon or program from the list.

Figure 6.8 – Select Program

5. 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-10

Copy 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-11

Delete 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 Window

7. Press Yes.

8. Select Exit Settings.

6 • Surgeon Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-12

Delete 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 Confirmation

7. Press Yes.

8. Select Exit Settings.

6 • Surgeon Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-13

Delete 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 Screen

Lock 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 Programs

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 6-14

Program – Assign

Order

Use 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 Databases

7. 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 7-1

Diagnostics

Wireless Footpedal Setup

Wireless Foot Pedal Calibration

Wireless Remote Control Setup

Calibrate Touch Screen

7DIAGNOSTICS

7 • Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-2

Diagnostics To access diagnostics:

1. Press Configuration.

Figure 7.1 – Configuration Pop-up Window

2. 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 • Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-3

Wireless Footpedal

Setup

You 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 Screen

3. 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 Screen

4. Follow the instructions shown on the screen.

7 • Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-4

Figure 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 • Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-5

Wireless Foot Pedal

Calibration

To maintain optimal use of the foot pedal, the wireless foot pedal must be

calibrated from time to time.

Figure 7.6 – Footpedal Calibration Screen

1. 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 • Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-6

Wireless Remote

Control Setup

Use 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 Screen

1. 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 • Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 7-7

Calibrate Touch

Screen

The 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 Circle

2. 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 8-1

System Check-out

8CHECK-OUT PRECAUTIONS

8 • Check-out Precautions

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 8-2

System 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/Tune

Refer to the System Setup and Equipment Operation chapters of this manual for

instructions on installing the tubing and priming/tuning the system.

Irrigation and Aspiration

1. 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.

Phacoemulsification

1. 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 Precautions

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 8-3

9. 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.

Vitrectomy

1. 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 operates

6. 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 9-1

Cleaning Procedures

Sterilization Procedures

WHITESTAR SIGNATURE™ System Cleaning and Care

9CARE AND CLEANING

9 • Care and Cleaning

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-2

Cleaning 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 Handpiece

The 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 stored

4. Inject sterile nonpyrogenic water into the test chamber with a syringe and then

empty. Repeat this step three to four times.

9 • Care and Cleaning

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-3

5. 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 Handpiece

1. 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 Cleaning

2. Make sure IA handpieces are dry when they are stored.

Diathermy Handpiece

Clean 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 Cutter

The vitrectomy cutter is a disposable, single-use instrument.

9 • Care and Cleaning

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 9-4

Sterilization

Procedures

AMO 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 Cleaning

WHITESTAR 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

Care

1. 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 10-1

Error Message Display

Fuse Replacement Procedure

Wireless Foot Pedal Battery Replacement Procedure

Most Common User-Correctable Problems

Status, Warning and Error Messages

System Operation (Error) Messages

Troubleshooting

10 ERROR MESSAGES

TROUBLESHOOTING AND

DIAGNOSTICS

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-2

Error Message

Display

The 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

Procedure

If 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 Specifications

To 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

Specifications

Console 100/120/240 2 6.3A, 250V,

Bussman GDA

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-3

Figure 10.1 – Fuse Location

Wireless Foot Pedal

Battery Replacement

Procedure

Four 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 Holder

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-4

Figure 10.2 – Battery Location for the Wireless Foot Pedal

1. Battery Cover Screws (7) 2. NiMH Batteries

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-5

Most Common

User-Correctable

Problems

Use 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 Messages

The 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) Messages

Table 10.2 – Fluidic Controller Error Messages

Error

Number

Message Probable Cause Corrective Action

14 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 Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-6

17 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.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-7

108 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 low

Evacuation vacuum path

leak

Vacuum sensor not

calibrated or faulty

Vacuum regulator not

calibrated or faulty

Vacuum regulator drive

circuit failure

Reprime the System.

116 Fluidics Evacuation Leak. Evacuation path leak. Reprime the System.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-8

117 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 Fault

Valve 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

cassette

6. 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.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-9

130 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

drain

144 Fluidics Vacuum Senors

Disagree Error.

Leak in vacuum path

Vacuum sensor faulty.

Reinsert the pack and

reprime.

147 Reservoir vacuum is too

low. Target vacuum cannot

be reached.

Leak

Vacuum regulator faulty

Drive circuit faulty

Select Next Case.

Reprime the system.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-10

148 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.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-11

288 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.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-12

323 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.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-13

375 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.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-14

515 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 move

Check 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.

Error

Number

Message Probable Cause Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-15

Troubleshooting Table 10.3 – Troubleshooting – General

2011 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.

Error

Number

Message Probable Cause Corrective Action

General

Problem Corrective Action

The 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 Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-16

The 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 performed

General

Problem Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-17

Dual 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 performed

The 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.

General

Problem Corrective Action

10 • Error Messages Troubleshooting and Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-18

Table 10.4 – Troubleshooting – Irrigation

Irrigation

Problem Corrective Action

No 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 Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-19

Table 10.5 – Troubleshooting – Aspiration

Aspiration

Problem Corrective Action

No 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 cassette

7. 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 Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-20

Table 10.6 – Troubleshooting – Phacoemulsification

Table 10.7 – Troubleshooting – Diathermy

Phacoemulsification

Problem Corrective Action

No 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.

Diathermy

Problem Corrective Action

No 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 Diagnostics

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 10-21

Table 10.8 – Troubleshooting – Vitrectomy

Vitrectomy

Problem Corrective Action

No 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 11-1

Warranty Statement

11 WARRANTY AND MAINTENANCE

11 • Warranty and Maintenance

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 11-2

Warranty 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 Warranty

Extended 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.

Maintenance

User 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 12-1

Physical Specifications

Environmental Specifications

Electrical Specifications

Diathermy Specifications

Irrigation and Aspiration Specifications

Phacoemulsification Specifications

Vitrectomy Specifications

Diathermy Power Graphs

Diathermy Power versus Load Impedance

Phaco Power Graphs

12 SPECIFICATIONS

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-2

Physical

Specifications

Table 12.1 – System Physical Specifications

English /

U.S.

Metric:

WHITESTAR SIGNATURE™ System Console:

Console Dimensions (with

display)

Width 24 inches 61 cm

Depth 24 inches 61 cm

Height 54 inches 137 cm

Power Cord Length 20 feet 6 meters

Electrical Enclosure Current

Leakage

IEC 60601-1

compliance

UL 60601-1

Weight (including IV pole) 195 pounds 88.5 kg

Footpedal:

Single Linear

Dimensions Width 12 inches 31 cm

Length 10.5 inches 27 cm

Height 5.5 inches 14 cm

Weight 10.0 pounds 4.5 kg

Advanced Control Pedal

(Dual Linear)

Dimensions Width 10.5 inches 27 cm

Length 14 inches 36 cm

Height 5.5 inches 14 cm

Weight 15 pounds 7 Kg

Cord Length 11.8 feet 36 cm

Power IV Pole:

Maximum Travel 41 inches 107 cm

Velocity 2.4 inches/sec 6 cm/sec.

Maximum Lift Weight 2.43 pounds 1.1 kg

Wireless Remote Control

Width 5 inches 13 cm

Length 5 inches 13 cm

Height 1.5 inches 4 cm

Weight 2.0 pounds .9 kg

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-3

Environmental

Specifications

Table 12.2 – Environmental Specifications

Electrical

Specifications

Table 12.3 – Electrical Specifications

Diathermy

Specifications

Table 12.4 – Diathermy Specifications

Irrigation and

Aspiration

Specifications

Table 12.5 – Irrigation and Aspiration Specifications

Environmental

Specifications

Operating Temperature

Humidity

10 to 40°C

Up to 95% RH,

non-condensing

Storage/Transportation

Conditions

Storage Temperature

Humidity

-20 to 60°C

Up to 95% RH,

non-condensing

Voltage Frequency Rated Power Fuse Rating Enclosure

Current Leakage

System 100/120/240

Vac

50/60 Hz 750 VA 6.3A, 250V,

Bussman

GDA

<500 uA

Diathermy

Specifications

Power Adjustment

Diathermy Power (maximum power

into rated load)

Diathermy Type

5 to 100%, in 5% increments

8.5 Watts into 350 ohms 386 KHz

Bipolar

IA Specifications

Peristaltic Pump Vacuum Level 0–650 mmHg in 5 mmHg increments

Pump Flow 0 to 60 cc/minute

Venturi Pump Vacuum Level 0-600 mmHg in 5 mmHg increments

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-4

Phacoemulsification

Specifications

Table 12.6 – Phacoemulsification Specifications

Vitrectomy

Specifications

Table 12.7 – Vitrectomy Specifications

Phacoemulsification

Specifications

Phaco 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/minute

Venturi Pump Vacuum Level 0-600 mmHg in 5 mmHg increments

Vitrectomy Specifications

Peristaltic Pump Vacuum Level 0–650 mmHg in 5 mmHg increments

Pump Flow Rate 10 to 60 cc/minute, in 2 cc increments

Venturi Pump Vacuum Level 0-600 mmHg in 5 mmHg increments

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-5

Diathermy Power

Graphs

Table 12.8 – Diathermy Output Power (Typical) 50 Ohm

Diathermy Output Power (Typical)

50 Ohm

0.5

1.5

2.5

3.5

4.5

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Power (Watts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-6

Table 12.9 – Diathermy Output Power (Typical) 100 Ohm

Diathermy Output Power (Typical)

100 Ohm

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Power (Watts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-7

Table 12.10 – Diathermy Output Power (Typical) 200 Ohm

Diathermy Output Power (Typical)

200 Ohm

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Power (Watts) +/- 20

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-8

Table 12.11 – Diathermy Output Power (Typical) 500 Ohm

Diathermy Output Power (Typical)

500 Ohm

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Power (Watts) +/- 20

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-9

Table 12.12 – Diathermy Output Power (Typical) 1000 Ohm

Diathermy Output Power (Typical)

1000 Ohm

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Power (Watts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-10

Diathermy Power

versus Load

Impedance

Table 12.13 – Diathermy Output Power (50% Setting)

Diathermy Output Power (50% Setting)

0 100 200 300 400 500 600 700 800 900 1000

Load Resistance (Ohms)

Output Power (Watts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-11

Table 12.14 – Diathermy Output Power (100% Setting)

Diathermy Output Power (100% Setting)

0 100 200 300 400 500 600 700 800 900 1000

Load Resistance (Ohms)

Output Power (Watts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-12

Table 12.15 – Diathermy Voltage

Diathermy Voltage

100

120

140

160

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Voltage (Volts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-13

Phaco Power

Graphs

Table 12.16 – Longitudinal Phaco Power

Phaco Power (Longitudinal)

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Power (Watts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-14

Table 12.17 – Ellips™ Phaco Power Ellips

Phaco Power (Ellips™)

0 10 20 30 40 50 60 70 80 90 100

Control Panel Settings (%)

Output Power (Watts) +/- 20%

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-15

Table 12.18 – Ellips™ and Longitudinal Phaco Power

Pow er Output (Watts)

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Displayed % Pow er

Watts

Ellips

Longitudinal

12 • Specifications

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 12-16

Table 12.19 – Ellips™ Phaco Power Linear Mode

Ellips™ Power (in Linear Mode) Depending Upon User Defined

Max Power Setting

0.00

5.00

10.00

15.00

20.00

25.00

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

Footpedal P3% Depression

Delivered Power (Watts)

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-1

List of Accessories with Part Numbers

13 ACCESSORIES AND PARTS

REORDERING

13 • Accessories and Parts Reordering

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-2

Table 13.1 – WHITESTAR SIGNATURE™ System Part Number

List of Accessories

with Part Numbers

The 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 List

Name Description Part No.

WHITESTAR SIGNATURE™

Console

An ophthalmic microsurgical system. NGP680300

System Accessories Description Part No.

Phaco Handpiece AMO™ Phaco Handpiece SOV680290

WHITESTAR™ Phaco Handpiece,

Coaxial

690697

Ellips™ Phaco Handpiece 690858

19 Gauge LAMINAR™ Flow Phaco Tip,

0° Round Tip

OPOR0019L

19 Gauge LAMINAR™ Flow Phaco Tip,

15° Round Tip

OPOD1519L

19 Gauge LAMINAR™ Flow Phaco Tip,

30° Round Tip

OPOD3019L

19 Gauge LAMINAR™ Flow Phaco Tip,

45° Round Tip

OPOD4519L

Disposable 20 Gauge LAMINAR™

Flow Phaco Tip, 0° Round Tip

OPOD0020L

Disposable 20 Gauge LAMINAR™

Flow Phaco Tip, 15° Round Tip

OPOD1520L

Disposable 20 Gauge LAMINAR™

Flow Phaco Tip, 30° Round Tip

OPOD3020L

Disposable 20 Gauge LAMINAR™

Flow Phaco Tip, 45° Round Tip

OPOD4520L

Disposable LAMINAR™ Flow Phaco

Tip, 19 Gauge, 30° Curved

OPOCR3019L

Disposable LAMINAR™ Flow Phaco

Tip, 20 Gauge, 30° Curved

OPOCR3020L

19 Gauge LAMINAR™ Flow Irrigation

Sleeve and Test Chamber

OPOS19L

Disposable 20 Gauge LAMINAR™ Flow

Infusion Sleeve and Test Chamber

OPOD20L

13 • Accessories and Parts Reordering

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-3

LAMINAR™ Flow Tip Wrench OPOMTWL

SOLO™ I/A Handpiece, 20 Ga., Curved

Silicone Sleeve Tip

OPOIA20CRV

SOLO™ I/A Handpiece, 20 Ga., 45°

Silicone Sleeve Tip

OPOIA2045D

SOLO™ I/A Handpiece, 20 Ga., Straight

Silicone Sleeve Tip

OPOIA20STR

SOLO™ I/A Handpiece Kit OPOIA20KIT

I/A Handpiece PHACOFIT™ Titanium Handle OM055002

PHACOFIT™ I/A Tip Curved .5 mm Port OM05510110

PHACOFIT™ O-Ring's I/A Tip (5PK) OM05510112

PHACOFIT™ Titanium, Multi-Tip Set OM05510113

PHACOFIT™ Cleaning/Flushing Kit OM05510114

PHACOFIT™ Tip, Luer Adapter

(Aspiration)

OM05510115

PHACOFIT™ Tip, 45 Degree Silicone

(No Sleeve)

OM05510116

PHACOFIT™ I/A Tip Straight .3MM

Port

OM0551011

PHACOFIT™ I/A Tip Curved .3 mm Port OM0551012

PHACOFIT™ I/A Tip 45 Degree 0.3 mm

Port

OM0551013

PHACOFIT™ I/A Tip 90 Degree 0.3 mm

Port

OM0551014

PHACOFIT™ I/A Tip Binkhorst 0.3 mm

Port

OM0551015

PHACOFIT™ I/A Tip Straight SI 0.3 mm

Port

OM0551016

PHACOFIT™ I/A Luer Adapter, F/F OM0551017

PHACOFIT™ I/A Tip Curved, SI, .3 mm

Port

OM0551018

PHACOFIT™ I/A Tip Straight .5MM

Port

OM0551019

PHACOFIT™ Athlete I/A Tip Straight

Type

OM0551020J

PHACOFIT™ Athlete I/A Tip 45 Degree

Type

OM0551021J

DUET™ STARTER KIT, 20GA DUA02020

System Accessories Description Part No.

13 • Accessories and Parts Reordering

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-4

DUET™ ASPIRATION HANDLE DU02100

DUET™ IRRIGATION HANDLE DU02200

DUET™ 20G CURVED IRRIGATOR

CLOSED END

DU02301

DUET™ 20G CURVED ASPIRATION

.3MM PORT CAP POL

DU02302

DUET™ 19G FINE IRRIGATING

CHOPPER

DU02303

DUET™ 20G OLSON II IRRIGATING

CHOPPER

DU02305

DUET™ MST Aguirre Duet Tip DU02325

DUET™ MST Fine/Nagahara Tip DU02335

Diathermy Handpiece Bipolar Cord with Fischer Connection K106075

Bipolar Forceps, Curved Iris 0.5 mm Tip K121085

18 Gauge Straight Diathermy Pencil,

reusable

K147000

Vitrectomy Cutter 20 gauge Vitreous Cutter NGP0020

23 gauge Vitreous Cutter NGP0023

25 gauge Vitreous Cutter NGP0025

FUSION™ Tubing Pack Fusion™ Tubing Pack (disposable,

sterile)

OPO70

Fusion™ Dual Pump Tubing Pack

(disposable, sterile)

OPO71

Wireless Remote Control WHITESTAR SIGNATURE™ System

Remote Control

NGP680135

Footpedal WHITESTAR SIGNATURE™ Foot

Pedal (Single Linear)

NGP680701

Advanced Control Pedal for the

WHITESTAR SIGNATURE™

(Dual Linear)

NGP680702

Miscellaneous Power Cord, Hospital Grade, 20 ft., 6.1

meters

2410-0049-L

Footpedal Cable to WHITESTAR

SIGNATURE™ System

0100-0055

WHITESTAR SIGNATURE™ Dust

Cover

0100-0750

Sterilization Tray MSR309

WHITESTAR SIGNATURE™ System

Owner's Manual (English)

NGP Z370147

System Accessories Description Part No.

13 • Accessories and Parts Reordering

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 13-5

WHITESTAR SIGNATURE™ System

Owner's Manual (Chinese)

NGP Z370161

WHITESTAR SIGNATURE™ System

Owner's Manual (Korean)

NGP Z370163

WHITESTAR SIGNATURE™ System

Owner's Manual (Japanese)

NGP Z370162

WHITESTAR SIGNATURE™ System

Owner's Manual (French)

NGP Z370148

WHITESTAR SIGNATURE™ System

Owner's Manual (German)

NGP Z370150

WHITESTAR SIGNATURE™ System

Owner's Manual (Swedish)

NGP Z370157

WHITESTAR SIGNATURE™ System

Owner's Manual (Finnish)

NGP Z370160

WHITESTAR SIGNATURE™ System

Owner's Manual (Portuguese)

NGP Z370152

WHITESTAR SIGNATURE™ System

Owner's Manual (Italian)

NGP Z370149

WHITESTAR SIGNATURE™ System

Owner's Manual (Spanish)

NGP Z370151

WHITESTAR SIGNATURE™ System

Owner's Manual (Danish)

NGP Z370158

WHITESTAR SIGNATURE™ System

Owner's Manual (Dutch)

NGP Z370153

WHITESTAR SIGNATURE™ System

Owner's Manual (Greek)

NGP Z370156

WHITESTAR SIGNATURE™ System

Owner's Manual (Norwegian)

NGP Z370159

WHITESTAR SIGNATURE™ System

Owner's Manual (Polish)

NGP Z370154

WHITESTAR SIGNATURE™ System

Owner's Manual (Russian)

NGP Z370155

WHITESTAR SIGNATURE™ System

Owner's Manual CD, Multilingual

NGP Z370164

System Accessories Description Part No.



WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-1

GLOSSARY

Term Definition

Active 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.

Glossary

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-2

Controller 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

Glossary

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-3

IV 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

Glossary

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-4

Phacoemulsification / 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

Glossary

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-5

Secondary 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

Glossary

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Glossary-6

Vitrectomy 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-1

Accessories 13-1

Add a Surgeon 6-3

Adjusting

Cut Rates 5-30

Flow Rate 5-29

Advanced Control Pedal

Does Not Pair 10-18

Dual Linear 1-4, 3-11, 3-22, 7-4, 9-5, 12-2

Modes

Vitrectomy 5-21

Pitch

Thresholds 5-32

VIT 5-33

Settings

Dual Linear 5-20

Wireless 3-22

Anterior chamber too deep 10-19

Anterior Segment

Settings 5-38

Surgery 3-15

Anterior Segment Surgery 5-1

Aspiration

Specifications 12-3

Troubleshooting 10-20

Aspiration Flow Rate 5-29

Aspiration Rate

Occlusion 5-46

PHACO 5-7

Vitrectomy 5-18

Assign Order 6-14

Autoclave 9-4

Backlight button 10-17

Balance

Irrigation/Aspiration 4-10

balanced salt solution 3-19

batteries

footpedal 3-22, 9-5

remote control 3-26

Battery

Location

Wireless Foot Pedal 10-4

Replacement

Wireless Foot Pedal 10-3

Begin Tune 4-9

blocked

aspiration port 5-49

Bluetooth™ 10-17

Bluetooth™ devices 10-18

Bottle Height

IA 5-26

PHACO 5-27

Vitrectomy 5-28

Burst 5-3

Bypass 4-7, 4-11

INDEX

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-2

Calibration

Touch Screen 7-7

Wireless Foot Pedal 7-5

Care of the System 9-5

CASE 5-7

CASE Lower Threshold

PHACO 5-27

CASE Mode 5-42

PHACO 5-27

CASE ONE Touch 1-7, 5-44

CASE Upper Threshold

PHACO 5-27

CASE Vac

PHACO 5-27

CASE Vacuum 5-17

Cassette

Loading 3-18

Chamber partially collapses 10-20

Changing

Irrigation 3-3

Mode Parameters 4-12

charging the footpedal 9-5

Check-out 8-2

Irrigation/Aspiration 8-2

Phacoemulsification 8-2

Vitrectomy 8-3

Cleaning

Handpiece 9-2

System 9-5

Common Problems 10-5

Complete

Setup 3-19

Components 2-2

Configuration 4-12

Connecting Handpieces 3-3

Connections

Rear Panel 3-16

Console Dimensions 12-2

Continuous Burst 5-38

PHACO Power 5-41

Continuous Irrigation 1-5, 4-7, 5-6

Cup Fill 4-9

IA 5-26

PHACO 5-27

Continuous Phaco Power 5-39

Continuous Power 5-38

Controls

Screens 4-2

Copy a Program 6-10

Cup Fill 4-7, 4-9

Custom Duty Cycles 5-12

Cut Rate

Adjusting 5-30

Vitrectomy 5-18, 5-28

cuts per minute 5-30

Cutter

Vitrectomy 3-21

Cutting Rates

Vitrectomy 5-30

Database 4-2

Delete 6-13

Management 7-2

Program 6-14

Restore 6-13

Default Program 4-6, 5-22

Default Settings

Diathermy 5-25

Footpedal 5-24

Irrigation/Aspiration 5-26

PHACO 5-27

Sound 5-23

Vitrectomy 5-28

Delete

Database 6-13

Program 6-12, 6-13

Surgeon 6-11

DIA time 5-3

Diagnostics 4-2, 7-2, 10-1

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-3

Diathermy 1-6, 3-4, 5-2

Default Settings 5-25

Forceps 3-21

Handpiece 9-3

Part Numbers 13-4

Output Power 12-10

Pencil Probe 3-21

Power 12-10

Power Graphs 12-5

Specifications 12-3

Troubleshooting 10-21

Using 5-3

Voltage 12-12

Dimensions 12-2

drainage bag 3-18

DT 5-3

Dual Linear

Advanced Control Pedal 1-4, 3-11, 3-22,

5-32, 7-4, 9-5, 12-2

Settings 5-20

Settings

Advanced Control Pedal 5-20

VIT Footpedal Settings 5-33

Dual Linear Foot Pedal does not pair 10-18

Dual Pump 1-5

Duty Cycles 5-10

PHACO 5-28

Edit

Program 6-9

Surgeon 6-5

Effective Phaco Time 5-36

Electrical

Specifications 12-3

Ellips™ 1-4

Handpiece 1-4, 3-17

Technology 5-49

End Case 4-2, 5-35

Environmental

Specifications 12-3

EPT 5-36

Equipment Operation 4-1

Error Message 10-2

Error Messages 10-5

failed to pair 10-17

Feedback

Footpedal 5-25

Flash Sterilization 9-4

Flow Rate

Adjusting 5-29

Fluidics 1-4

Error Messages 10-5

Mode

PHACO 5-27

Foot Pedal

Battery Replacement 10-3

Calibration 7-5

Pitch

Advanced Control Pedal 5-32

Pitch Thresholds

single linear 5-31

Settings

single linear 5-20

Single Linear 1-4

wireless 3-4

Footpedal 1-4, 3-22, 4-2

Advanced Control Pedal 3-11

charging 9-5

Dual Linear

Advanced Control 3-11

Feedback 5-25

Modes

Vitrectomy 5-21

Part Number 13-4

Pitch 3-23

Pitch Regions 5-25

Positions 3-23, 5-12

Settings 5-24, 5-31

Setup

Wireless 7-3

Single Linear 3-22

Specifications 12-2

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-4

Summary

single linear 5-24

Switch Assignment 5-33

Threshold 5-25

Vitrectomy 5-18, 5-28

Wireless 1-4, 3-22

Forceps 11-2

Diathermy 3-21

Fuse

Location 10-3

Replacement 10-2

Fusion 5-17, 5-45

FUSION™ 2-4

FUSION™ Tubing Pack

Part Number 13-4

Gas Sterilization 5-29, 9-4

General

Troubleshooting 10-16

Graph

Phaco Power 12-13

Graphic User Interface 1-5

Graphs

Diathermy Power 12-5

Gravity Displacement Sterilization 9-4

GUI 1-5

Handpiece

Cleaning 9-2, 9-3

Connecting 3-3

IA 3-18

Phaco 3-20

Priming 4-8

Ultrasonic 3-3

Warranty 11-2

Help 10-2

High Power

Limit 5-15

Pulse 5-38

PHACO Power 5-40

Handpiece 3-18

Submodes 5-5

IAC 5-21

ICA 5-21

ICE Pulse Shaping

WHITESTAR® 5-15

Infusion Sleeve 2-4

Initial Mode 5-8, 5-25, 5-26, 5-29

Inspection Instructions 2-2

Install Tubing Cassette 4-6

Irrigation

Changing 3-3

Continuous 4-7, 5-6

flow does not stop 10-19

Inadequate 3-3

Specifications 12-3

Troubleshooting 10-19

Irrigation/Aspiration 1-7, 5-4

Balance 4-10

Check-out 8-2

Default Settings 5-26

IV Pole

does not work 10-18

Programmable 3-4, 3-25, 5-4

kick 5-15

LAMINAR™ Flow 3-18

Linear 5-2, 5-3, 5-29

Occluded Power 5-48

List of Accessories 13-1

Load

Impedance 12-10

Resistance 12-10

Locked Program 6-13

Logs 7-2

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-5

Long Pulse

PHACO Power 5-39

Power 5-38

Rate

PHACO 5-27

Low batteries 10-17, 10-18

Low Power

Limit 5-15

Pulse 5-38

PHACO Power 5-40

Lower Threshold 5-17

Maintenance 4-2, 11-2

Touch Screen 7-7

Max Aspiration

IA 5-26

Rate

Occluded

PHACO 5-28

PHACO 5-27

Vitrectomy 5-28

Max Phaco Power

Occluded

PHACO 5-28

Unoccluded

PHACO 5-28

Max Power

Diathermy 5-25

Max Vacuum 5-9

IA 5-26

PHACO 5-27

Vitrectomy 5-28

maximum vacuum 5-16

Mayo Stand Drape 2-4

Messages

Error 10-2

Miscellaneous Part Numbers 13-4

Mode Programming 1-6

Modes

Changing Parameters 4-12

How to program 5-22

Monitor Drape 2-4

Multiple Burst

PHACO Power 5-40

Power 5-38

Multiple Mode Programming 1-6

NiMH 3-22, 10-3

No aspiration 10-20

No diathermy or poor diathermy 10-21

No irrigation flow 10-19

No phacoemulsification 10-21

No sound when using diathermy 10-21

No vacuum 10-20

No vitrectomy cutting 10-22

Occluded Aspiration Rate 5-45

Occluded Phaco 5-7

Occlusion

Aspiration Rate 5-46

Threshold 5-9

PHACO 5-27

Vacuum Threshold 5-46

Venting 5-49

OCCLUSION MODE™ Phaco

Settings 5-27, 5-42, 5-45

Off Time 5-28

On Time 5-28

ONE Touch

CASE 5-44

Operating Modes 1-6

Anterior Segment 5-1

Operating the Equipment 4-1

Output Power

Diathermy 12-10

Override Settings 5-41

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-6

pair

Advanced Control Pedal 10-18

Dual Linear Foot Pedal 10-18

Wireless Remote Control 10-17

Pairing Instruction

Wireless Remote Control 7-6

Pairing Instructions

Wireless Foot Pedal 7-4

Panel 5-2, 5-3, 5-29

Occluded Power 5-48

Parameter Settings

WHITESTAR® Technology 5-11

Parameters

Programming 1-6

Part Numbers 13-2

Parts

Reordering 13-1

Passive Reflux 5-49

Pencil Probe

Diathermy 3-21

Percent Kick

High End of Range 5-15

Low End of Range 5-15

Peristaltic Pump 12-3

PHACO

Default Settings 5-27

Program 5-8

Submodes 5-7

Using 5-8

Phaco Handpiece 1-4, 3-4, 3-17, 3-20, 9-2

Part Numbers 13-2

PHACO Power 5-38

Phaco Power 5-7

Continuous 5-39

Graph 12-13

Phacoemulsification 1-2, 1-7, 3-3, 3-16, 5-6, 5-7,

8-3, 10-21, 12-4

Check-out 8-2

Specifications 12-4

Troubleshooting 10-21

Physical Specifications 12-2

PITCH 3-23

Pitch Regions

Footpedal 5-25

Poor aspiration 10-20

Poor phacoemulsification 10-21

Positions

Footpedal 3-23

Power

Continuous 5-38

Continuous Burst 5-38

Delivery

Diathermy 5-25

PHACO 5-27, 5-28

Failure 3-3

High Pulse 5-38

Long Pulse 5-38

Low Pulse 5-38

Multiple Burst 5-38

PHACO 5-7

Phaco 5-38

Short Pulse 5-38

Single Burst 5-38

Switch 10-5

Power Cord Length 12-2

pps 5-39

Precautions 8-2

Safety 3-2

Preferred Program 6-6

Prevacuum Sterilization 9-4

Prime

Bypass 4-7

Prime/Tune 1-5, 4-2, 4-7, 4-8, 4-9, 5-3, 8-2

Priming

Handpiece 4-8

Vitrectomy 4-11

Problems

Common 10-5

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-7

Program 4-2

Assign Order 6-14

Configuration 5-22

Database 6-14

Defaults 5-22

Delete 6-12

Edit 6-9

Lock 6-13

Locked 6-13

Preferred 6-6

Programmable IV Pole 1-6, 3-4, 3-19, 3-25, 5-4

Specifications 12-2

Programming

Multiple Mode 1-6

PHACO 5-8

Programs

Select 4-4

Surgeon 6-1

Pulse Off Time 5-11

Pulse On time 5-11

Pulse Rate 5-11

Pulse Shaping 5-13

pulses per second 5-39

Pump not working 10-20

Pump Ramp

PHACO 5-27

Threshold

IA 5-26

Rear Panel 3-16

Recording Mode 3-29

Reduced/insufficient irrigation flow 10-19

Reflux 3-24

Passive 5-49

Remote Control 3-4

Wireless 3-26, 7-6

Remote Pair 7-6

Reordering

Parts 13-1

Replacing

Batteries 10-2, 10-3

Replacing the Fuse 10-2

Reset

Timers 4-10

Restore

Database 6-13

Restriction of Hazardous Substances 3-14

RoHS 3-14

Safety Precautions 3-2

Screens

Controls 4-2

Select Program 4-6

Selecting a Language 4-3

Self Test 4-4

Settings

Anterior Segment 5-38

Footpedal 5-31

How to program 5-22

Occlusion Mode 5-45, 5-48

OCCLUSION MODE™ Phaco 5-42

Override 5-41

Submode Parameters 5-4

Setup

Completion 3-19

Sequence 3-15

System 8-2

Wireless 7-6

Short Pulse

PHACO Power 5-39

Power 5-38

Rate

PHACO 5-27

Shutdown

Sequence 3-30

Side VIT 5-21

Side vitrectomy 5-21

Single Burst

PHACO Power 5-40

Power 5-38

Single Linear

Foot Pedal 1-4, 12-2

Settings 5-20

Pitch Thresholds 5-31

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-8

Sleep Mode 10-17

SMC

Surgical Media Center 3-28

SOLO™ 3-18

Sounds 4-2

Default Settings 5-23

Specifications

Diathermy 12-3

Electrical 12-3

Environmental 12-3

Footpedal 12-2

Fuse 10-2

IA 12-3

IV Pole 12-2

Phacoemulsification 12-4

Physical 12-2

Vitrectomy 12-4

Start Vit Prime 8-3

Startup 4-4

Status 10-5

STD Surgeon 6-2

Sterilization 3-22, 9-4

Gas 9-4

Gravity Displacement 9-4

Prevacuum 9-4

Storage Conditions 12-3

Submode

Parameters 5-4

PHACO 5-7, 5-41

Submodes

IA 5-5

PHACO 5-7

Surgeon

Add 6-3

Copy 6-10

Delete 6-11

Edit 6-5

Select 6-1

STD 6-2

Surgeon/Program

Select 4-4

Surgeons and Programs 4-13

Surgical Media Center

SMC 3-28

Switch Assignment 5-31

Footpedal 5-33

Symbol Definitions 3-9

System

Check-out 8-2

Cleaning 9-5

Console 1-5

Default Settings 5-23

Description 1-2

Disposal 3-12

does not turn on 10-16

Self Test 4-4

Shutdown 3-30

Tests 7-2

Utilities 7-2

Technical Service 10-5

Technology

WHITESTAR® 5-9

Test Chamber 2-4, 13-2

Threshold

Vacuum 5-46

Timers

Reset 4-10

Touch Screen

Calibration 7-7

Does not respond 10-18

Using 4-12

Translucency 3-28

Troubleshooting 8-2, 10-1

Aspiration 10-20

Diathermy 10-21

General 10-16

Irrigation 10-19

Phacoemulsification 10-21

Vitrectomy 10-22

Tubing Cassette 2-4

Install 3-18, 4-6

Tune 4-7

Begin 4-9

Index

WHITESTAR SIGNATURE™ System Rx Only – Z370147 Rev. C 1008 Index-9

Ultrasonic (U/S) Time 5-36

Ultrasonic Handpiece 3-3

Unoccluded Phaco 5-7

Unpair 10-17

Up Time

PHACO 5-27

Threshold 5-17

Upper Threshold 5-17

Using

Diathermy 5-3

PHACO 5-8

too much fluid 10-19

Touch Screen 4-12

Vitrectomy 5-19

Vacuum 5-35

monitoring 5-16

PHACO 5-7

pressure 5-49

Rate

Linear 5-29

Panel 5-29

Vitrectomy 5-18

Variable WHITESTAR® Technology 5-12

Variable WS 5-12

Venting

Occlusion 5-49

Venturi pump 5-17

VIT Foot Pedal Settings

dual linear 5-33

Vitrectomy 3-4, 3-21, 5-18

Advanced Control Pedal (Dual Linear) Modes

5-21

Check-out 8-3

Cut Rate 5-30

Cutter 3-4

Default Settings 5-28

Footpedal Modes 5-21

Prime 4-11

Specifications 12-4

Troubleshooting 10-22

Using 5-19

VIT 1-7

Voltage

Diathermy 12-12

Wake-up 3-24

Warnings 3-2, 3-5

Warranty 11-1

Watts 12-5, 12-14

WHITESTAR

Decrement 5-33

Increment 5-33

WHITESTAR® ICE Technology 1-3

WHITESTAR® Technology 1-3, 5-9

Wireless Advanced Control Pedal 3-22

Wireless Foot Pedal 3-4

Battery Location 10-4

Calibration 7-5

Wireless Footpedal

Pairing 7-4

Setup 7-3

Wireless Remote Control 1-5, 3-4, 3-26

Part Number 13-4

Setup 7-6

wireless remote control does not pair 10-17

Yaw 3-23

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

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