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SL 220 User Manual
SL 220 User Manual
Slit lamp
Documentation set
© 2017, Carl Zeiss Meditec AG, Jena
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User manual
SL 220 Slit lamp
[000000-2115-784-GA-GB-260717]
000000-2115-784-Inhalt0-GB-260717
SL 220
Slit lamp
User manual
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Contents 1
Contents
Contents .....................................................................................1
Installation ...............................................................................20
Notes on installation and use ....................................................................... 20
Unpacking ..................................................................................................... 21
Assembly of the SL 220 ................................................................................ 22
Electrical connection ..................................................................................... 24
Power supply unit ..................................................................................................... 24
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2 Contents
Abbreviations/Glossary ............................................................ 56
Figures ..................................................................................... 57
Index ........................................................................................ 58
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Notes on the user manual 3
Correct operation of the system is imperative for its safe and successful
functioning. You should therefore ensure that you are thoroughly familiar
with this user manual before setting up and using the SL 220 for the first
time.
The user manuals and other documentation enclosed with the SL 220 should
be kept accessible to users at all times to ensure that the information
required for the use of the SL 220 is readily available.
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4 Notes on the user manual
WARNING
Indicates a hazardous situation which could result in death or serious bodily
injury if the appropriate safety precautions are not heeded.
CAUTION
Indicates a hazardous situation which could result in minor or moderate
injury if the appropriate safety precautions are not heeded.
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Package check list 5
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6 Country-specific information and labels
This declaration shall be rendered invalid if changes are made to the product
without the manufacturer's authorization.
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Country-specific information and labels 7
Intended use
An AC-powered slit lamp is intended for use in eye examination of the
anterior eye segment, from the cornea epithelium to the posterior capsule.
It is used to aid in the diagnosis of diseases or trauma which affect the
structural properties of the anterior eye segment.
Responsibility for using the device other than as intended lies with the user.
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8 Country-specific information and labels
• Ophthalmologist
• Optician
• Optometrist
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Country-specific information and labels 9
If the product or its components are resold, the seller must inform the buyer
that the product must be disposed of in accordance with the currently
applicable national regulations.
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10 Country-specific information and labels
External labels
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Country-specific information and labels 11
Manufacturer
Date of manufacture
EU conformity symbol
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12 Country-specific information and labels
Date of manufacture
Catalogue number/part
REF
number
SN Serial number
Connection data for
illumination cable
Connection data for fixation
lamp/DigiCam Illuminator
IP20 Ingress protection rating for
housing (protected against
solid foreign bodies of 12.5
mm in diameter and larger,
no protection against
penetration of water)
EU conformity symbol
Disposal advise for EU
Protective insulation,
protection class 2
"Disconnect device from the power supply
8 before opening" sign
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Country-specific information and labels 13
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14 Performance specifications
Performance specifications
Functional description
The SL 220 allows observation, diagnosis and documentation of the anterior
eye segment, including the lens and vitreous body. The SL 220 is designed
for the complete application area of a typical slit lamp. It is used by
ophthalmologists, optometrists and opticians.
The slit lamp consists of an instrument base (with joystick) onto which an
illumination system (slit projector) and an observation unit (stereomicroscope
with binocular tube and eyepieces) are mounted. The illumination system
and the observation unit can be swiveled independently of each other
around the same vertical axis. The head of the patient lies on the head rest.
Using a fixation lamp, the user can direct the patient's eye as desired. The
illumination system generates a slit image which can be modified in length,
width, position and brightness and which has a specified distance from the
slit lamp. The user can adjust each of the modifiable parameters of the slit
image using the controls. The observation unit allows the user to observe
the eye segment to be examined in selectable magnification steps. The
magnification changer is a Galilean system with telecentric beam path. The
user can position the slit lamp in relation to the examined object in all three
axes using the joystick of the instrument base so that the desired
observation area of the eye is in focus. Using different illumination methods,
variable slit images and filters, it is possible to view almost all eye segments.
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Performance specifications 15
Service life
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16 Description of the device
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Description of the device 17
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18 Description of the device
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Description of the device 19
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20 Installation
Installation
Notes on installation and use
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Installation 21
Unpacking
After you have unpacked the slit lamp, remove the transport locks and store
them for any future transportation.
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22 Installation
• The slit lamp has to be fixed to a plane surface. Place the slit lamp onto
the chosen instrument table and fasten it by means of two M4 screws
(2, Fig. 7) to be screwed through the holes (3, Fig. 7). Afterwards cover
the screws with the provided plastic caps (1, Fig. 7).
• Place the stereomicroscope onto the microscope arm. Make sure the
stereomicroscope is pushed up to the stop (8, Fig. 7). Fasten it with the
knurled screw (7, Fig. 7).
• Make sure that the eyepieces (4, Fig. 7) have been plugged into the
binocular tube (5, Fig. 7) as far as they will go.
• Taking the cable length into consideration the power supply unit can be
placed anywhere, however it is best under the instrument table top.
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Installation 23
1 Plastic caps
2 Fastening screws
3 Holes to fix the device on the instrument table
4 Eyepieces
5 Binocular tube
6 Hexagon socket screw for fastening the binocular tube
7 Knurled screw for fastening the stereomicroscope
8 Stop
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24 Installation
Electrical connection
Power supply unit
B
(in accordance with DIN EN 60601-1)
1 Fastening plate with four threaded holes
2 Control lamp
3 Power switch
• Connect the cables of the slit lamp and fixation lamp to the power
supply unit and, finally, connect the power cable of the power supply
unit to a standard socket with ground connection. The cables have
different plugs to prevent misconnection.
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Installation 25
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26 Daily use
Daily use
Switching on
Switch on the SL 220 using the power switch (3, Fig. 8) on the power supply
unit.
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Operation of the device 27
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28 Operation of the device
Preparations
Slit lamp
• Set interpupillary distance of binocular tube.
• Adjust the eyepieces:
Make sure the eyepieces are pushed up to the stop. Pull out the eyecups
when you do not wear spectacles and you have no need to compensate
ametropia (e.g. contact lens wearers). If you wear spectacles push the
eyecups in. Set the diopter setting ring on both eyepieces to 0 D. Users
who need to compensate ametropia should set their refractive powers at
the diopter scale of the eyepieces.
Make a note of the eyepiece settings for future use.
If more than one physician uses the device, it is recommended that a list
be prepared with the individual refractive powers and kept in a handy
location near the device.
• If an SL cam 5.0 or another camera system via beam splitter and DigiCam
Adapter is mounted to the stereomicroscope, please factor in any device
ametropia due to manufacturing tolerances. Device ametropia can be
compensated by performing the following steps:
− Make sure the eyepieces are completely plugged in and the eyecups
pulled out (for spectacle wearers: pushed in).
− Turn the diopter setting ring on both eyepieces fully in a "+" direction
(anti-clockwise) as far as it will go.
− Place a target in front of the SL 220 (e.g. business card attached to
forehead rest).
− Center the slit projector and binocular tube to the slit lamp base.
− On the slit lamp, choose the highest magnification.
− Open the slit.
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Operation of the device 29
− Use the joystick control to focus the slit lamp on the target while
observing the camera image on the monitor.
− If the camera image on the monitor is in focus, lock the SL 220 using
the quick-action lock.
− Close the illuminating slit to a narrow line.
− On the slit lamp, choose the lowest magnification.
− Adjust the focus plane of each eyepiece separately. Look through
each eyepiece in turn, rotating the diopter setting ring for the
eyepiece through which you are looking in the "−" direction
(clockwise) until the target, e.g. the surface of the paper, is sharply in
focus.
− Select the other magnification steps on the slit lamp.
− The image should remain sharply in focus at all magnifications. If not,
the procedure should be repeated.
− Make a note of the eyepiece settings for imaging for future.
1 Diffusor swung in
2 Diffusor swung out
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30 Operation of the device
Setting brightness
• Switch the device on at the power switch (3, Fig. 8) of the power supply
unit.
• Then turn the brightness control (13, Fig. 6) on the instrument base to
the desired brightness. The left final position of the control corresponds
to minimum illumination intensity. Turning the control allows continuous
adjustment of brightness. The right final position of the control
corresponds to maximum illumination intensity.
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Operation of the device 31
Tonometry
• The measuring prisms must be disinfected and undamaged.
Therefore, we recommend the use of several measuring prisms.
• Please refer to the instructions for use and disinfection of tonometer
measuring prisms at our website and in the manual of the AT 030
applanation tonometer.
• The instrument table must be horizontal to avoid movement of the slit
lamp with attached tonometer towards the patient. This is of particular
importance when taking tonometric measurements without locking the
instrument base.
Therefore, we recommend that you always fix the instrument base as
soon as the measuring prism touches the cornea.
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32 Operation of the device
Gonioscopy
• Contact glasses must be disinfected and undamaged.
• To cover different angular ranges, the illumination angle can be varied
relative to the horizontal between 0° and 20°, in steps of 5° when
latching the lever for the vertical inclination angle (angle of incidence)
(10, Fig. 5).
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Shutting down 33
Shutting down
Switching off
Switch off the SL 220 using the power switch (3, Fig. 8) on the power supply
unit.
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34 Maintenance and care
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Maintenance and care 35
Maintenance
Troubleshooting
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36 Maintenance and care
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Maintenance and care 37
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38 Maintenance and care
Safety inspections
• The differential current method is the preferred method for testing the
device leakage current. The measured value should not exceed 0.1 mA.
• Finally, measure the insulation resistance using a test voltage of 500 V.
The measured value may not exceed 7 MΩ.
• Note down the measured values.
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Optional accessories 39
Optional accessories
• SL Imaging Module SL cam 5.0 incl. accessories (see SL cam 5.0 user
manual)
• Beam splitter 50
• ACCENTO ergotube SL 220
• DigiCam Adapter (see DigiCam Set user manual)
• DigiCam Illuminator (see DigiCam Set user manual)
• AT 030 (see AT 030 user manual)
• Fixation lamp
• Co-observer accessory
• Focusing rod
• Breathing shield
• Paper pads
• IT 760/IT 1060 instrument table (see IT 1060, IT 760, IT 760W user
manual)
A complete up-to-date list of accessories can be obtained from your dealer.
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40 Optional accessories
1 Binocular tube
2 SL cam 5.0
3 Hexagon socket screw on SL cam 5.0
4 Stereomicroscope
5 Hexagon socket screw on the stereomicroscope
6 Camera cable
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Optional accessories 41
• Loosen hexagon socket screw (3, Fig. 13) and remove the binocular
tube.
• Attach the beam splitter 50 with its annular dovetail mount to the
stereomicroscope and fasten socket screw (3, Fig. 13) again.
Ensure that all screws are properly tightened and that the beam
splitter 50 and binocular tube are not misaligned.
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42 Optional accessories
Mount the ACCENTO ergotube SL 220, like the beam splitter 50 (Fig. 13),
between stereomicroscope and binocular tube by means of hexagon socket
screws.
Ensure that all screws are properly tightened and that the
ACCENTO ergotube SL 220 and binocular tube are not misaligned.
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Optional accessories 43
DigiCam Adapter
1 Beam splitter 50
2 Stereomicroscope
3 DigiCam Adapter
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44 Optional accessories
DigiCam Illuminator
1 DigiCam Illuminator
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Optional accessories 45
This device for intraocular pressure measurement is easy to mount to the slit
lamp. Two different tonometer holders (fixed and swivel-mounted) are
available for installation.
You can find notes on mounting and operating the AT 030 in the AT 030
user manual.
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46 Optional accessories
Fixation lamp
The fixation lamp is the lamp on which the non-examined eye of the patient
can fixate. A plug-in socket (1, Fig. 6) with electrical contact has been
provided on the head rest for mounting and power supply to the fixation
lamp (see Fig. 6, page 19).
The fixation lamp is locked by a sleeve nut (1, Fig. 18). To position the
fixation lamp properly it is not necessary to release the sleeve nut. The cable
of the fixation lamp (10, Fig. 6) must be connected to the power supply unit
(2, Fig. 9).
The cap (2, Fig. 18) produces two different sizes of luminous fixation light
spots of the white filament bulb or the red flashing diode (3, Fig. 18).
Please make sure the fixation lamp is supplied with 5 V DC, 0.1 A
coming from connectors for fixation lamp and DigiCam Illuminator
OUT 2 or OUT 3 of power supply.
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Optional accessories 47
Focusing rod
1 Focusing rod
The focusing rod can be used for determining the individual diopter setting
on the eyepieces to compensate for ametropia of the observer or possible
device ametropia.
• To use the focusing rod, install it in the hole at the axis with the black
observation plane towards the stereomicroscope. Push the rod as far as it
will go.
• Adjust the slit width to approx. 1 mm and set the illumination angle to 0°
(i.e. slit projector in middle position).
• Set the magnification to 16x.
• While carefully monitoring the slit image, a sharply focused image must
be set for each eye separately by turning the diopter scale on the
eyepiece (starting with high + values).
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48 Optional accessories
Breathing shield
The breathing shield may be mounted to the stereomicroscope to protect
the patient and physician from each other's breath.
1 Breathing shield
Paper pads
They improve hygienic conditions.
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Technical data 49
Technical data
Essential performance of the SL 220
There is no essential performance as defined in IEC 60601-1.
Device data
Rated voltage From 100 V - 10 % to 240 V + 10 %, 50/60 Hz
Power consumption < 45 VA
Current consumption 1A
Protection class II
Instrument type B (in accordance with IEC 60601-1)
Ingress protection rating IP 20
Operating mode continuous operation
Light source for projection 15 V, 1 A, LED
Lamp voltage continuously adjustable
Fixation lamp 5 V, 0.1 A
DigiCam Illuminator 5 V, 0.1 A
Magnification 6x/10x/16x/25x/40x with eyepieces 12.5x (5-step magnification)
10x/16x/25x with eyepieces 12.5x (3-step magnification)
Field of view 41 mm to 5.7 mm with eyepieces 12.5x (5-step magnification)
26.5 mm to 8.7mm with eyepieces 12.5x (3-step magnification)
Eyepiece magnification 12.5x, ±8 D compensation of ametropia
Slit width 0 to 12 mm continuously progressive
Slit length variable in steps of 0.2/1/3/5/9/12 mm, continuously 1 mm to 12 mm
with scale indication
Slit image rotation ±90° continuously
Slit decentration ±4° horizontal, fixable at 0°
Swivel range of slit projector 180°, scale for angular difference
Click-stops at -10°/0°/+10°
Vertical inclination angle 0°/5°/10°/15°/20°
(angle of incidence)
Filter blue, green (red-free); grey, red (swing-in); swing-in diffusor
Free working distance from light- 88 mm
exit prism to patient eye
Travel of instrument base 30 mm (height), 110 mm (side), 90 mm (depth)
Vertical travel of head rest 59 mm
Weight 12.5 kg
Dimensions of the basic unit
Width x Depth 300 mm x 355 mm
Height 705 mm ± 15 mm
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50 Technical data
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Electromagnetic compatibility 51
Electromagnetic compatibility
Replacement cables may only be purchased from Carl Zeiss Meditec or from
dealers authorized by Carl Zeiss Meditec.
The use of accessories, all types of transducers and cables not specified in
this user manual or not sold by Carl Zeiss Meditec as replacement parts may
result in higher emissions or reduced immunity of the device.
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52 Electromagnetic compatibility
The following guideline applies only to the accessories specified for and
delivered with the device from Carl Zeiss Meditec.
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Electromagnetic compatibility 53
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54 Electromagnetic compatibility
Note 1: At 80 MHz and 800 MHz the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the SL 220 is used exceeds the above applicable RF
compliance level, the SL 220 should be monitored to ensure normal operation. If abnormal performance is observed,
additional measures may be necessary, such as re-orienting or relocating the SL 220.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
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Electromagnetic compatibility 55
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56 Abbreviations/Glossary
Abbreviations/Glossary
D Diopters
(unit of measurement for refractive power)
EMC Electromagnetic compatibility
EN European standard
Fig. Figure
IEC International Electrotechnical Commission
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Figures 57
Figures
Fig. 1 Labeling of the SL 220................................................................. 10
Fig. 2 Labeling of the power supply unit ............................................... 11
Fig. 3 Structure of the SL 220 ............................................................... 16
Fig. 4 Controls of the stereomicroscope ................................................ 17
Fig. 5 Controls of the slit projector ........................................................ 18
Fig. 6 Controls of instrument base with head rest ................................. 19
Fig. 7 Assembly of SL 220 ..................................................................... 23
Fig. 8 Front of power supply unit .......................................................... 24
Fig. 9 Rear of power supply unit ........................................................... 24
Fig. 10 Possible positions of the diffusor on the mirror ............................ 29
Fig. 11 Adjusting the vertical inclination angle (angle of incidence).......... 32
Fig. 12 Mounting SL cam 5.0 .................................................................. 40
Fig. 13 Mounting the beam splitter 50 .................................................... 41
Fig. 14 ACCENTO ergotube SL 220 ........................................................... 42
Fig. 15 DigiCam Adapter ......................................................................... 43
Fig. 16 DigiCam Illuminator..................................................................... 44
Fig. 17 SL 220 with AT 030 applanation tonometer ................................ 45
Fig. 18 Fixation lamp .............................................................................. 46
Fig. 19 Focusing rod ............................................................................... 47
Fig. 20 Breathing shield .......................................................................... 48
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58 Index
Index
A
Abbreviations............................................................................................ 56
ACCENTO ergotube SL 220 ....................................................................... 42
Accessories, optional ................................................................................ 39
Applanation tonometer............................................................................. 45
Assembly of the SL 220............................................................................. 22
AT 030 applanation tonometer ................................................................. 45
B
Beam splitter 50........................................................................................ 41
Breathing shield ........................................................................................ 48
C
Care.......................................................................................................... 36
Cleaning ................................................................................................... 36
Contact..................................................................................................... 61
Controls of instrument base with head rest ............................................... 19
Controls of slit projector ........................................................................... 18
Controls of the stereomicroscope.............................................................. 17
Country-specific information ....................................................................... 6
D
Daily use ................................................................................................... 26
Description of the device........................................................................... 16
Device classification .................................................................................... 6
Diffusor .................................................................................................... 29
DigiCam Adapter ...................................................................................... 43
DigiCam Illuminator .................................................................................. 44
Disinfection............................................................................................... 36
Disposal of the product ............................................................................... 9
E
Electrical connection ................................................................................. 24
Essential performance ............................................................................... 49
External labels ........................................................................................... 10
F
Figures ...................................................................................................... 57
Fixation lamp ............................................................................................ 46
Focusing rod ............................................................................................. 47
Functional description ............................................................................... 14
G
Glossary .................................................................................................... 56
Gonioscopy............................................................................................... 32
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Index 59
I
Illumination, adjusting ............................................................................... 31
Installation ................................................................................................ 20
Intended use ............................................................................................... 7
Intended user profile ................................................................................... 8
L
Labels ........................................................................................................ 10
M
Maintenance and care ............................................................................... 34
Manufacturer's declaration .......................................................................... 6
O
Operation of the device ............................................................................. 27
P
Package check list........................................................................................ 5
Paper pads ................................................................................................ 48
Performance specifications ........................................................................ 14
Power supply unit ...................................................................................... 24
Preparations .............................................................................................. 28
Q
Questions and comments ............................................................................ 3
R
Risk of optical radiation ............................................................................. 27
S
Safety inspections ...................................................................................... 38
Service life ................................................................................................. 15
Shutting down .......................................................................................... 33
SL cam 5.0, mounting ............................................................................... 40
Slit brightness ............................................................................................ 30
Switching off ............................................................................................. 33
Switching on ............................................................................................. 26
Symbols....................................................................................................... 4
T
Technical data ........................................................................................... 49
Tonometry................................................................................................. 31
Troubleshooting ........................................................................................ 35
U
Unpacking ................................................................................................. 21
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Carl Zeiss Meditec AG
Goeschwitzer Str. 51-52
07745 Jena
Germany
Phone: +49 3641 220 333
Fax: +49 3641 220 112 000000-2115-784-GA-GB-260717
Email: info.meditec@zeiss.com SL 220 Slit lamp
Internet: www.zeiss.com/med Specifications subject to change
Carl Zeiss Meditec AG
Goeschwitzer Str. 51-52
07745 Jena
Germany
Phone: +49 3641 220 333
Fax: +49 3641 220 112
Email: info.meditec@zeiss.com
Internet: www.zeiss.com/med