Topcon SL-D4 Instruction Manual
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Topcon SL-D4 Instruction Manual

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INSTRUCTION MANUAL
SLIT LAMP
SL-D2
SL-D4
SL-D4Z

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  • Page 1 INSTRUCTION MANUAL SLIT LAMP SL-D2 SL-D4 SL-D4Z...

  • Page 2: Introduction

    • SL-D4Z makes continuous observation by manual zoom microscope possible. This Instruction Manual gives a summary of the basic operation, troubleshooting, checking, maintenance and cleaning of Slit Lamps SL-D2, SL-D4 and SL-D4Z. To ensure the best use of the instrument, read "Displays for Safe Use" and "Safety Precautions".
  • Page 3 Humidity: 10-95%...
  • Page 4 MAINTENANCE AND CHECKS 1. Regularly maintain and check equipment and parts. 2. When using equipment for the first time in a while, check in advance that everything is operating as it should. 3. Keep the objective lens free of fingerprints and dust. 4.

  • Page 5: Displays For Safe Use

    DISPLAYS FOR SAFE USE In order to ensure the safe use of the product and to prevent danger to the operator and others, or damage to property, important warnings are placed on the product and described in the instruction manual. All users are recommended to take note of the meaning of the following displays and icons before reading the "Safety Precautions"...
  • Page 6 SAFETY PRECAUTIONS CAUTION Icons Prevention item Page “To prevent units from falling during use and movement, secure each unit.” To avoid injury to the patient’s eye and nose, pay particular attention while operating the instrument body. To prevent fingers from being caught between moving parts, beware of the moving parts while operating the main body.
  • Page 7 CAUTION Icons Prevention item Page This instrument has been tested (with 120V/230V) and found to comply with IEC60601-1-2: 2001. This instrument radiates radio frequency energy within standards and may affect other devices in the vicinity. –– If you have discovered that turning the instrument on or off affects other devices, we recommend you change its position, keep it at a proper distance from other devices, or change the outlet.

  • Page 8: Maintenance

    Fuses on the primary side can be replaced, if necessary. For specific instructions, see page 36. ESCAPE CLAUSE • TOPCON shall take no responsibility for damage due to fire, earthquakes, actions by a third party or other accidents, or the negligence and misuse of the user and use under unusual conditions.

  • Page 9: Warning Indications And Positions

    To ensure safety, warning labels are provided on the instrument body. Abide by these warning instructions. If any of the following labels are missing, contact your dealer or TOPCON (see the back cover). CAUTION • To prevent electric shocks, switch off the power supply and remove the power cable before replacing the lamp.
  • Page 10 CONTENTS INTRODUCTION ..................1 DISPLAYS FOR SAFE USE..............4 SAFETY PRECAUTIONS................5 MAINTENANCE..................7 USER MAINTENANCE................7 ESCAPE CLAUSE..................7 WARNING INDICATIONS AND POSITIONS ..........8 CONFIGURATION NAMES OF MAIN BODY COMPONENTS ..........11 STANDARD ACCESSORIES ..............12 COMPONENTS COMPONENTS ..................14 ASSEMBLY PROCEDURE SECURING THE INSTRUMENT TYPE TABLE TOP......15 SECURING THE UNIT TYPE TABLE TOP ..........16 SECURING THE PATIENT GRIP PG-1 (OPTIONAL ACCESSORY) ..16 SECURING THE CHINREST BASE PLATE ...........17...
  • Page 11 ELECTRIC RATING ................35 SYSTEM CLASSIFICATION ..............35 PURPOSES OF USE ................35 OPERATION PRINCIPLES ..............35 SYSTEM CONFIGURATION..............36 SHAPE OF PLUG..................37 SYMBOL....................37 MAINTENANCE AND CHECKS PERIODIC MAINTENANCE ..............38 DAILY MAINTENANCE ................38 ORDERING CONSUMABLES..............38 REPLACING ILLUMINATION LAMPS.............39 REPLACING FUSES ................41 RESTOCKING CHINREST TISSUE............41 MAINTENANCE PROCEDURE...............42 CLEANING REMOVABLE PARTS ............42 CLEANING LENSES AND PRISMS............42 CLEANING THE SLIDING PLATE, RAIL AND WHEEL SHAFT .....43...

  • Page 12: Names Of Main Body Components

    Microscope arm locking knob Control lever Base relay cable Base locking knob Brightness adjustment knob Base Table unit (3) Power supply unit Table Power switch SL-D4 Microscope unit SL-D4Z Microscope unit Objective lens Objective lens Magnification Magnification index mark index mark Magnification Magnification...

  • Page 13: Standard Accessories

    STANDARD ACCESSORIES Make sure that all the following standard accessories are included. Figures in parentheses are the quantities. Chinrest tissue (1) Dust cover (1) Test rod (1) Crosshead screwdriver (1) (This is not always included with the standard specifications.) Spare illumination lamp (1) Screwdriver (1) Spare socket (1) Spare fuse (2)
  • Page 14 Spare chinrest tissue pin (2) Cleaning brush (1) Instruction Manual (1) Accessory case (1) (This is not always included with the standard specifications.) For optional accessories, see “Optional Accessories” on page 40. CONFIGURATION...

  • Page 15: Components

    COMPONENTS COMPONENTS (1) Illumination unit (2) Binocular tubes (3) Base unit * The illustration shows the SL-D2 type. (4) Instrument type table top (4)’ Unit type table top* (5) Rail cover (w/power supply)* (6) Chinrest base unit* (7) Power cable (8) Setscrew (for chinrest base unit) (9) Cable cover...

  • Page 16: Each Unit

    ASSEMBLY PROCEDURE To prevent units from falling during use and movement, secure CAUTION each unit. SECURING THE INSTRUMENT TYPE TABLE TOP SECURING ON AUTOMATIC INSTRUMENT TABLE AIT-20/AIT-15 Remove the cover of the instrument table. Remove the 3 screws of the cover (AIT-20 only: For details, refer to the instruction manual of AIT-20.) Place the tabletop on the instrument table, and fasten it with the 4 bolts attached to the instrument table.

  • Page 17: Securing The Unit Type Table Top

    SECURING THE UNIT TYPE TABLE TOP Remove the plastic washer from the unit type table top; this washer is taped to the shaft assembly. Insert the plastic washer and the shaft together into the cavity for the ophthalmic unit arm. Washer In the unit type table top, the power supply is fitted so that the ophthalmic unit is on the right-hand side.

  • Page 18: Securing The Chinrest Base Plate

    SECURING THE CHINREST BASE PLATE Secure the chinrest base plate to the unit type table top with 2 screws (8). Chinrest base plate SECURING THE BASE UNIT AND RAIL COVER Align the wheel of the base unit with the rail of the chinrest base plate. Fasten the rail covers with 4 screws (11): (2 screws each on the right and left sides).

  • Page 19: Securing The Binocular Tubes

    SECURING THE BINOCULAR TUBES Align the pin of the microscope unit with the groove on the binocular tubes, and fasten the fixing screw. Make sure you do not touch the lens surfaces. Fixing screw Microscope unit * The illustration shows the SL-D2 type.
  • Page 20 Loosen the fixing screw on the outside of the fitting cavity of the illumination unit with a screwdriver. Align indices and slowly lower the illumination unit on to the shaft of the base unit. Indices While assembling the illumination unit, take care not to get your fingers caught. Firmly tighten the fixing screw with a screwdriver.

  • Page 21: Connecting And Securing Cables

    CONNECTING AND SECURING CABLES Connect the cable of the illumination unit and the power cable to the power supply. Illumination cable Fixation cable Power cable Pass the 5-pin connector of the metal plug connected to the power supply through the hole of the chinrest and connect it to the base unit.

  • Page 22: Fitting The Cap

    FITTING THE CAP Fit the cap to the shaft, aligning the guide rod with the groove in the cap. SECURING THE TONOMETER MOUNT (OPTIONAL ACCESSORY) SO-TM1 and SO-TM2 may be included in standard accessories, depending on the specifications. SO-TM1 Align the locating pins of SO-TM1 into the holes of the SL-D2/D4 microscope, and fasten the screw.
  • Page 23 SO-TM3 Align the locating pins of SO-TM3 into the holes of the SL-D4Z microscope, and fasten the two screws. Screws The holes Locating pins The applanation tonometer R900 type can be mounted on SO-TM3. SO-TM4 Align the locating pins of SO-TM4 into the holes of the SL-D4Z microscope, and fasten the two screws.

  • Page 24: Counter-Balancing The Vertical Movement

    COUNTER-BALANCING THE VERTICAL MOVEMENT When you fit accessories, including the photography unit, to the main body, you may need to adjust the vertical counter-balance movement. To do this, auxiliary springs must be fitted. Major Combinations of Accessories and Necessary Auxiliary Springs Necessary auxiliary spring Accessories Without...
  • Page 25 Insert the auxiliary spring unit vertically into the auxiliary spring port, with the flange face turned upwards. (Make sure that the spring is inserted into the groove in the bottom of the port.) Auxiliary spring port Open the auxiliary spring unit with the auxiliary spring port, and lightly push the spring till it stops.

  • Page 26: Powering On

    PREPARATIONS POWERING ON Connect the power cable. Turn the POWER switch ON. ADJUSTING THE DIOPTER AND PUPILLARY DISTANCE (PD) To ensure sharp observation of slit images, always carry out NOTICE the diopter and eye width adjustment. If no test rod is provided, turn the diopter adjusting ring to set the diopter scale to your diopter. Insert the test rod into the rotation shaft cavity, and set the black face square with the microscope.
  • Page 27 While holding the prism box, look through the eyepiece with both eyes, and adjust the eye width so that the image projected on the test rod comes together and looks three- dimensional. Prism box Diopter scale Diopter adjusting ring * The illustration shows The eyepiece with scale may be included in the components, depending on the specifications.
  • Page 28 Holding the prism box, look through the eyepiece with both eyes, and adjust the pupillary distance so that the image projected on the test rod can be seen without diplopia (double vision), and appears to be three dimensional. Diopter adjusting ring Prism box * The illustration shows...

  • Page 29: Fixing The Patient's Face And Fixation

    Canthus marker Chinrest Chinrest adjuster OPERATING THE MICROSCOPE UNIT Turn the magnification selector handle and set a magnification mark to the magnification index mark. SL-D2 Magnification index mark Magnification selector handle SL-D4 Magnification selector handle Magnification index mark OPERATION PROCEDURES...

  • Page 30: To Avoid Injury To The Patient's Eye And Nose, Pay Particular Attention While Operating The Instrument Body

    SL-D4Z Magnification index mark Magnification selector handle For the overall magnification in conjunction with the magnification marks of the magnification selector handle, see page 46. OPERATING THE BASE AND FOCUSING To avoid injury to the patient’s eye and nose, pay particular CAUTION attention while operating the instrument body.

  • Page 31: To Avoid Causing The Patient Pain And Damage To The Patient's Eye

    Fasten the base locking knob to fix the base. Base locking knob Control lever Base • Rough focusing is carried out with major movements, following steps 1 to 3. Fine focusing is done with the microscope, following steps 2 and 3 above. OPERATING THE ILLUMINATION UNIT To avoid causing the patient pain and damage to the patient’s CAUTION...
  • Page 32 ADJUSTING THE SLIT WIDTH Turn the slit width control knob. The slit width can be changed gradually between 0 and 14mm (14mm = circle). Slit width control knob CHANGING THE APERTURE/SLIT LENGTH Turn the aperture/slit length selector knob. When the slit is fully opened, 5 types of spot illumination (φ14, φ10, φ5, φ1, φ0.3mm) are available.

  • Page 33: Ending Procedure

    SWINGING THE SLIT SIDEWAYS Turn the slit scanning ring and swing the illumination to the right and to the left. This provides indirect illumination, displacing the slit light from the microscope centre. This function is used for scanning observation and observation with indirect illumination.
  • Page 34 • Dust can affect this instrument adversely. Put the dust cover over it when you are not using ORDERING CONSUMABLES • When you order consumable items, contact your dealer or TOPCON (see the back cover) and specify the article name, product code and quantity.

  • Page 35: When Replacing The Lamp, Switch Off The Power Supply And Remove

    REPLACING ILLUMINATION LAMPS When replacing the lamp, switch off the power supply and CAUTION remove the power cable to avoid electric shocks. If you replace the lamp immediately after switching it off, CAUTION beware of high temperatures: they could cause burns. To ensure perfect illumination, make sure that the socket flange NOTICE and notch are fitted firmly.
  • Page 36 Pull off the socket plug. Plug Pull out the lamp unit. Pull out the illumination lamp from the socket and replace a new lamp in the socket: Take note of the socket direction. The notch of the illumination lamp should face the opposite side from the cable.

  • Page 37: When Replacing Fuses, First Switch Off The Power Supply And Remove The Power Cable To Avoid Electric Shocks

    REPLACING SOCKETS The socket may deteriorate due to the constant heat: it should NOTICE therefore be replaced after the lamps have been changed two or three times. Remove the lamp following steps 1 to 4 of “Replacing Illumination Lamps”. Replace the socket with a new one. Install the lamp unit and lamp house cover in reverse order.

  • Page 38: Before Carrying Out Daily Maintenance, Remove The Power Cable (To Avoid Electric Shocks) And Wait Until The Body Has Cooled Down (To

    Remove dust from the lens and prism surfaces with the attached cleaning brush, or a blower. Using clean gauze, lightly draw a spiral from the lens/prism centre outward. If the stain remains, repeat this 2 to 3 times. If stains are persistent, call your dealer or TOPCON (see the back cover). MAINTENANCE AND CHECKS...

  • Page 39: The Base Contains Strong Springs. Do Not Attempt To Disassemble Or Burn The Base, As The Springs Could Cause Injury By Shooting Out

    CAUTION injury by shooting out of it. For disposal of the instrument and consumables, contact a waste disposer or call your dealer or TOPCON (see the back cover). MAINTENANCE AND CHECKS...

  • Page 40: To Avoid Electric Shocks, Do Not Attempt Overhauling, Rebuilding Or Repairs. Contact Your Dealer For Repairs

    If you suspect a problem, use the check list below to check the possible cause. If the check list below does not solve the problem, or if the problem is not included in the list, contact your dealer or TOPCON (see the back cover). Check List...

  • Page 41: Optional Accessories

    OPTIONAL ACCESSORIES TOPCON Slit Lamp SL-D2/SL-D4/SL-D4Z has the following optional accessories. For enquiries, please contact your dealer or TOPCON (see the back cover). To prevent items from falling during use and movement, attach CAUTION optional accessories securely. • For details, please refer to the instruction manual of each product.
  • Page 42 CONNECTABLE CAMERA Size of camera’s Shape of Recommendation Attachment & TV relay lens light receiving unit camera mount FUJI APS-C size NIKON F mount Still camera Adapter FINEPIX attachment SO-CMNF for S-Pro Series SR-53 NIKON F BEAM SPLITTER FEATURES • Used to attach the TV relay lens T-53 (w/ beam splitter type) and observation tube. •...
  • Page 43 TV RELAY LENS TL-54 TV RELAY LENS TL-55 • The type of TV relay lens depends on the type of TV camera to be used. For C mount 1/2 type TV camera: TL-54 For C mount 1/3 type TV camera: TL-55 FEATURES •...
  • Page 44 TV ATTACHMENT TL-57 • Used to connect PANASONIC GP-KS162. • Combined with beam splitter. • The beam splitter division ratio is TV 50%: patient 50%. BACKGROUND ILLUMINATION BG2-GN FEATURES • Used for background illumination with LED light source. • Power is supplied from the slit lamp power supply. •...
  • Page 45 APPLANATION TONOMETER FEATURES • For measuring the intraocular pressure, models R900 type and T900 type, Haag-Streit, are available. * The Topcon tonometer mount is required to enable use of the applanation tonometer, as follows: APPLANATION SLIT LAMP TONOMETER TONOMETER...

  • Page 46: Tv Relay Lens

    PARALLEL BINOCULAR TUBE PB-2 FEATURES • Can observe a parallel view of the object. YELLOW FILTER UNIT FEATURES • Combines with the blue filter prepared in the main body for a high-contrast fluorescence observation. • Easy filter insertion and removal. AUXILIARY SPRING SO-AS 0, 1, 2, 3 FEATURES •...
  • Page 47 SPECIFICATIONS AND PERFORMANCE SPECIFICATION AND PERFORMANCE SL-D2 SL-D4 SL-D4Z Microscope unit Type Galileo type Magnification Drum, 3-step Drum, 5-step Manual zoom magnification magnification Magnification steps 10, 16, 25 6, 10, 16, 25, 40 10, 16 and 25 w/clicks φ φ...

  • Page 48: System Classification

    SL-D2, SL-D4 and SL-D4Z are the ordinary instruments (enclosed instrument without protection against ingress of water). • Methods of sterilization or disinfection recommended by the manufacturer: SL-D2, SL-D4 and SL-D4Z do not have any part to be sterilized or disinfected.

  • Page 49: System Configuration

    SYSTEM CONFIGURATION SL-D2/SL-D4/SL-D4Z System Chart Applanation Tonometer Applanation Tonometer R900 type 870 type Observation Tube Optional accessories Marketed accessories Still Video Printer Monitor Recorder Relay Lens Video Camera Fixation Tonometer mount Tonometer mount Target SO-TM1(SL-D2,D4) SO-TM2(SL-D2,D4) SO-TM3(SL-D4Z) SO-TM4(SL-D4Z) Beam Splitter...

  • Page 50: Shape Of Plug

    SHAPE OF PLUG Country Voltage/frequency Shape of plug Mexico 110V/50Hz Type C&E Argentina 220V/60Hz Type A Peru 220V/60Hz Type A Venezuela 110V/50Hz Type C&E Type A (Most common) Bolivia & Paraguay 220V/60Hz Type H (Infrequently) Chile 220V/60Hz Type A Colombia 110V/50Hz Type C 220V/60Hz...
  • Page 51 When youcontact us, please have the following information about your unitat hand: ¥Machine type: SL-D2, SL-D4, SL-D4Z ¥Manufacturing No. (Displayed on the rating plate on the left of the base.) ¥Period of Usage (i,e. the purchase date). ¥Description of Problem (as detailed as possible).
  • Page 52 Topcon House,Kennet Side,Bone Lane,Newbury,Berkshire RG14 5PX United Kingdom Phone:01635-551120 Fax:01635-551170 TOPCON SOUTH ASIA PTE.LTD. Blk 192 Pandan Loop, #07-01 Pantech Industrial Complex, SINGAPORE 128381 Phone:62780222 Fax:62733540 www.topcon.com.sg TOPCON INSTRUMENTS ( MALAYSIA ) SDN.BHD. Excella Business Park Block C,1st Floor,Jalan Ampang Putra,Taman Ampang Hillir, 55100 Kuala Lumpur,MALAYSIA Phone:03-42701192 Fax:03-42704508 TOPCON INSTRUMENTS ( THAILAND ) CO.,LTD.

  • Page 53: Periodic Maintenance

    INTRODUCTION ..................1 DISPLAYS FOR SAFE USE..............4 SAFETY PRECAUTIONS................5 MAINTENANCE..................7 USER MAINTENANCE................7 ESCAPE CLAUSE..................7 WARNING INDICATIONS AND POSITIONS ..........8 CONFIGURATION NAMES OF MAIN BODY COMPONENTS ..........11 STANDARD ACCESSORIES ..............12 COMPONENTS COMPONENTS ..................14 ASSEMBLY PROCEDURE SECURING THE INSTRUMENT TYPE TABLE TOP......15 SECURING THE UNIT TYPE TABLE TOP ..........16 SECURING THE PATIENT GRIP PG-1 (OPTIONAL ACCESSORY) ..16 SECURING THE CHINREST BASE PLATE ...........17 SECURING THE BASE UNIT AND RAIL COVER ........17...

  • Page 54: Disposing Of The Product

    DISPOSING OF THE PRODUCT............38 TROUBLESHOOTING TROUBLESHOOTING GUIDE ..............39 OPTIONAL ACCESSORIES DIGITAL CAMERA UNIT DC-1..............40 STILL CAMERA ATTACHMENT SR-53 ..........40 BEAM SPLITTER ..................41 TV RELAY LENS ..................41 TV RELAY LENS TL-54................42 TV RELAY LENS TL-55................42 TV ATTACHMENT TL-56 ................42 TV ATTACHMENT TL-57 ................43 BACKGROUND ILLUMINATION BG2-GN ..........43 OBSERVATION TUBE ................43 FIXATION TARGET.................43...

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