Constellation™ Vision System

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Constellation™ Vision System

SECTION FOUR - CARE AND MAINTENANCE

INTRODUCTION
This section of the manual is designed to inform the operator of basic care and
maintenance of the instrument. If a problem occurs on the instrument, call the Alcon
Technical Services Department and give details of the breakdown circumstances and
effects. From these elements, a specialized technician will evaluate the problem and
determine the maintenance requirements.

For optimum performance, it is the user’s responsibility to schedule preventive

maintenance service on the system and its accessories at least two times each year.
Alcon’s Field Service Engineers are trained and equipped to provide the highest
quality of workmanship.

CAUTION
There are no operator replaceable parts, including the illuminator lamps. Contact Alcon
Technical Services for all servicing issues.

WARNING!
The Constellation™ Vision System battery can only be serviced by a factory-trained
Alcon service personnel. Access by untrained personnel can lead to injury.

CARE AND CLEANING

The following recommendations are for proper care of the Constellation™ Vision
System:

• Follow cleaning and maintenance schedules outlined in this section of the manual.
• Periodically check chassis appearance.
• Pay attention to correct operation of controls, connectors, and indicators.
• Damaged hardware must be replaced to ensure safe operation. Call Alcon
Technical Services for assistance.

WARNING!
A qualified technician must perform a visual inspection of the following components
every twelve months:
• Warning Labels (see section one of this manual)
• Power Cord

In case of a deficiency, do not use the system; call Alcon Technical Services.

A qualified technician must check ground continuity for leakage current every
twelve months to ensure they are within the applicable standards (for example:
EN60601-1/IEC601-1). Values must be recorded, and if they are above the applicable
standards, do not use the system; call Alcon Technical Services.

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 Constellation™ Vision System

UPON COMPLETION OF THE PROCEDURE

CAUTION
Do not remove tubing from cassette or fluid in cassette reservoirs will leak down front
of machine.

1 Select End Case - Press End Case tab at top right corner of screen. The system
will confirm that you want to end the case. Select Yes or No.
2 Ensure infusion clamp is closed and turn Infusion off - Press “Infusion” icon
at top left corner of screen to turn infusion off. The system will confirm that
you want to turn off infusion. Select “Continue” and the cassette will start the
cleaning process.
3 Once cleaning is complete, remove irrigation bottle from hanger and set aside.
Remove spike from irrigation bottle.
4 Push ejection button above cassette to remove. Discard cassette with tubing per
facility guidlines.
5 Move the irrigation bottle holder to its storage position.
6 Press Standby switch located at top of rear panel (or Shutdown in Options
menu) to remove operating power from the system.
7 Turn the Main power switch OFF. It is located in the middle of the rear panel
above the power cord.
8 Remove air hose. Turn off C3F8 and SF6 valves.
9 Disconnect the power cable from the wall receptacle and wind the cable around
the cord wrap.
10 Place the footswitch and cable in storage compartment in front of base.
11 If required, the front panel, the console, the footswitch, and the remote control
may be wiped with non-corrosive germicidal solution, alcohol, or mild soap and
water.
CAUTIONS
• Do not clean console or accessories using solvents or abrasives.
• Avoid spilling BSS™ solution, or moisture of any kind, around the electrical
handpiece connectors.
12 Clean handpieces, probes, cables, forceps, etc., as instructed in DFU's supplied
with each accessory.

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Constellation™ Vision System

STERILIZATION INSTRUCTIONS
Please consult the accompanying Directions For Use (DFU) for cleaning and
sterilization instructions for Alcon approved reusable accessories. The DFU will
provide the recommended time and temperature guidelines for steam autoclave
cycles performed by Alcon, Inc. The sterility assurance level achieved with these
parameters must be validated by each surgical facility. Please refer to Association
for the Advancement of Medical Instrumentation (AAMI) Standards or your facility’s
standard procedures for the most current specifications.

Additionally, per the Sterilizer Equipment Manual, the sterilizer reservoir is to be

filled with distilled or deionized water.

NOTE: The reusable items will withstand steam autoclave cycles at 134° C
(273°F). Due to the variations found in steam autoclaves and the variable
bioburden on devices in clinical use, it is not possible for Alcon to provide
specific parameters to ensure an adequate sterility assurance level. Validation of
the individual autoclave, and verification of the sterility assurance level achieved
with a given steam sterilization cycle, must be performed by each surgical
facility. Please refer to current AAMI Standards or your facility’s standard
procedures for the most current specifications.

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 Constellation™ Vision System

DISPOSAL OF XENON LAMPS

WARNING!
The bulb of the xenon lamp is under constant high pressure. There is a risk it may
burst with explosive force if knocked or damaged. Protective measures:
- Keep the lamp in its protective sleeve at all times during installation
- If you are handling the lamp without its protective sleeve, always wear safety
goggles, a face mask, gauntlets with wrist protectors and a breast protector.

In the USA contact the Alcon Technical Services Department for lamp disposal at
800/832-7827. Outside the USA contact your local Alcon affiliate.

REPLACEMENT OF REMOTE CONTROL BATTERIES

WARNING!
Changing batteries will cause the remote to default to channel A; therefore the
remote may need to be reset to the instrument's unique channel after installing
new batteries.

1 Loosen two captive screws on the rear cover with a standard slotted screwdriver
and remove cover.
2 Replace old batteries and replace cover (correct battery positions are identified
inside each battery slot). When closing the cover it is important that the rubber
buttons slide into the slots in other half of the remote without binding (see
Figure 4-1).
3 To check correct installation of batteries, press a backlight button on the side of
the remote and verify that the remote control buttons illuminate, then turn off
after a few seconds. If illuminated buttons don't turn off, rubber buttons are not
properly inserted into slots, so you must repeat the procedure.
4 Dispose of batteries following local governing ordinances and recycling plans.

Rubber Buttons(2)
must enter slots
without binding

Figure 4-1 Remote Control Battery Replacement

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Constellation™ Vision System

LASER MAINTENANCE
Calibration verification must be performed at least every twelve months to verify that
the laser output is within tolerance and calibration is not required. It is recommended
to call Alcon Technical Services before conducting the calibration verification
procedure.

CAUTION
Serious damage to the instrument may occur if these procedures are not performed by
qualified personnel.

Special Tools
• Computer with browser software (MicroSoft** Internet Explorer or equivalent);
TFTP file transfer program, or equivalent.
• Custom service ethernet cable (Alcon p/n 023-100)
• Power Meter, Thermopile type (Coherent FieldMaster w/ LM-10 head or
equivalent)
• Energy Meter (optional) for direct energy measurements (Ophir Nova meter, with
3A-P or PE25-BB head, or equivalent)
• Oscilloscope / Voltmeter (Fluke Scopemeter, or equivalent)
• Laser Safety Goggles (OD4 or above, at 532 nm wavelength)
• Optics cleaning kit, including spectroscopic grade methanol, lens paper, and air
blower
• LIO Voltage Load Box (Alcon dwg 995-5620-069)
• Timing Photocell (Alcon dwg 995-5320-038)

Service Computer Connection

A computer with an ethernet connection and browser software (MicroSoft** Internet
Explorer or equivalent) is required to calibrate the Constellation™ laser. The IP / URL
addresses and passwords used to establish communication are subject to change.
Contact Alcon Technical Services for information on the most current settings.

In some cases it may be necessary to temporarily change the TCP/IP settings

and/or proxy/firewall settings on the service computer, and this usually requires
administrative access rights.

The ethernet cable used for service computer connection is a custom cable. Contact
Alcon Technical Services for more information.

8065000411 Rev. A 4.5

 Constellation™ Vision System

LASER POWER VERIFICATION

WARNING!
Laser light emitted from the fiber and laser head is powerful enough to cause
serious eye or skin damage. Maintenance should be performed only by
properly trained personnel, following established guidelines for laser safety.
The use of protective eye wear is mandatory.

NOTE: Calibrated Power / Exposure Time may be verified by two different test
methods:
1) Watts X Time method: Use an oscilloscope to measure exposure
time, and power meter to measure output power, and perform the
multiplication to enter value in the energy matrix on the data sheet.
2) Energy method: If an appropriate energy-meter is available, enter
“N/A” for the exposure time and power fields on the data sheet, and use
the energy-meter to measure and record values directly into the energy
matrix.

1 Exposure Time Verification

1.1 Connect a test fiber or endoprobe to the system and direct the distal output into
the photo cell connected to an ocilloscope.
1.2 Adjust the distance between the endoprobe and photo cell to obtain a beam size
of 2 mm or more on the photo cell. Use aiming beam to determine spot size on
the photo cell.
1.3 Set the exposure time to 0.01 s and treatment beam power to minimum, then
select READY mode.
1.4 Fire the laser and record the exposure time as determined from the oscilloscope.
1.5 Repeat steps 1.3 and 1.4 for each time value listed in Table 4-1.

2 Endoprobe Power Verification

2.1 Direct the endoprobe distal output beam into the wattmeter cell connected to a
wattmeter.
2.2 Set the exposure time to CW.
2.3 Set the treatment power to 0.10 W then press the Standby/Ready key.
2.4 Fire the laser and record the power reading as determined from the Wattmeter.
2.5 Repeat steps 2.3 and 2.4 for each value listed in the Endoprobe section of Table
4-1.

3 LIO Power Verification

3.1 Direct the LIO distal output beam into the wattmeter cell.
3.2 Set the exposure time to CW.

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Constellation™ Vision System

3.3 Set the treatment power to 0.10 W then press the Standby/Ready key.
3.4 Fire the laser and record the power reading as determined from the Wattmeter.
3.5 Repeat steps 3.3 and 3.4 for each value listed in the LIO section of Table 4-1.

4 Energy Matrix Completion

4.1 Complete the matrix in Table 4-1 by multiplying actual power by actual
exposure time and recording the result, as shown in the example below.
0.01 S Measured
exposure
Measured power 0.011 time entered
entered here
here

Product of
0.50 W 0.51 0.00561 power x time entered
here and compared to
(0.00425 - 0.00575) tolerance in brackets.

4.2 Ensure that all calculated results are within the values listed in each matrix cell.
The listed values are ±15% of the set energy.
• If all calculated energy values are within the specified limits, the system
calibration is OK.
• If any of the calculated energy results are not within the specified limits,
the terminal efficiencies will need to be adjusted. Perform the "Setting the
Calibration Factor (Terminal Efficiencies)" procedure following Table 4-1,
or call Alcon Technical Services.
5 Aiming Beam Calibration
5.1 With the unit off, connect the service ethernet cable between the Constellation™
console “Tethered Laser” connector on the rear panel, and service computer
then turn the system ON. Allow two minutes for the Laser Module to initialize.
5.2 Type the IP address into the address box, and hit return. When the page loads,
enter the password. Click the Output Calibration tab at the top of the screen.
5.3 Adjust aiming beam power output for Port 1 as high as possible but less than
950 μW.
5.4 Click “Set Max Value” for Aiming Beam on the computer.
5.5 Repeat for Port 2.

6 LIO Illumination Calibration

6.1 Connect the LIO Voltage Load Box to the front panel LIO Illumination port, and
connect the scopemeter/DVM across the resistor to read the voltage.
6.2 Adjust LIO Illumination knob to obtain 6.3V +/- 0.3V.
6.3 Click “Set Max Value” for LIO Illumination on the computer.

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 Constellation™ Vision System

Table 4-1 Laser Energy Matrix for Calibration Verification

Exposure Time > 0.01 S

Power

>
0.10 W

ENDOPROBE
(0.0085 - 0.0115)

0.30 W
(0.0255 - 0.0345)

0.70 W
(0.0595 - 0.0805)

0.10 W
(0.0085 - 0.0115)
LIO

0.30 W
(0.0255 - 0.0345)

0.70 W
(0.0595 - 0.0805)

SETTING THE CALIBRATION FACTOR (TERMINAL EFFICIENCIES)

If unable to successfully complete the Energy Matrix table, use the following
procedure to adjust the Calibration Factor, and retest.
1 With the unit off, connect the service ethernet cable between the Constellation™
console “Tethered Laser” connector on the rear panel and service computer, then
turn system ON. Allow two minutes for the laser module to initialize.
2 Turn the computer ON and start the browser program. Type the IP address into
the address box, and press return. When the page loads, enter the password.
3 On the Internal Calibration screen, enter 100% for Calibration Factor for Endo
and LIO, and click Save for each. Restart the system when complete.
4 Direct the distal output beam of the selected device into the wattmeter cell. Set
power to 1.0 watt on the console, exposure time to CW, and select READY
mode.
5 Fire the laser and record the power reading as determined from the wattmeter.
Divide the reading, in milliwatts, by 10 to determine the new value for
Calibration Factor for that device.
Example: 895 milliwatts recorded power = 89.5% Calibration Factor
6 Using the service computer, return to the Internal Calibration screen, enter the
new value in the Calibration Factor window for the respective device, and click
the SAVE button. Restart the system when complete.
7 Repeat as needed to bring all values within compliance to complete the Energy
Matrix in Table 4-1, for each delivery device. If unable to successfully complete
the matrix, perform the Laser Calibration procedure on the next page.

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Constellation™ Vision System

LASER CALIBRATION

WARNING!
Laser light emitted from the fiber and laser head is powerful enough to cause
serious eye or skin damage. Maintenance should be performed only by properly
trained personnel, following established guidelines for laser safety. The use of
protective eye wear is mandatory.

1 With the unit off, connect the service ethernet cable between the Constellation™
console “Tethered Laser” connector on the rear panel and service computer, then
turn system ON. Allow two minutes for the laser module to initialize.

Note: IP / URL addresses and passwords are subject to change. Contact

your local Alcon representative for information on most current settings.
2 Type the IP address into the address box, and press return. When the page loads,
enter the password.
3 Photomonitors Calibration
Pmon 1 Low-Power Calibration -
3.1 Select Port 1 on the console.
3.2 Press “Output Calibration” tab on computer.
3.3 Set laser in CONTINUOUS mode on the console.
3.4 Set POWER to 100 mw on the console.
3.5 Select READY mode on the console.
3.6 Press “Start Pmon1 Calibration” on the computer.
3.7 Fire the laser and measure output power directly from Port 1.
3.8 Input 0.10 W into the Low Power Display field.
3.9 Input the power, as previously measured, into the Actual Low Power Field, and
press Save.
3.10 Repeat the Pmon 1 Low-Power Calibration as needed (two or three times) to
bring Displayed/Actual tracking as close as possible.
Pmon 1 High-Power Calibration -
3.11 Set laser in CONTINUOUS mode on the console.
3.12 Set POWER to 1 Watt on the console.
3.13 Select READY mode on the console.
3.14 Press “Start Pmon1 Calibration” on the computer.
3.15 Fire the laser and measure output power directly from Port 1.
3.16 Input 1.0 Watt into the High Power Display field.

8065000411 Rev. A 4.9

 Constellation™ Vision System

3.17 Input the power, as previously measured, into the Actual High Power Field, and
press Save.
3.18 Repeat the Pmon 1 High-Power Calibration as needed (two or three times) to
bring Displayed/Actual tracking as close as possible.
3.19 Repeat steps 3.1 through 3.20 for Low/High Power Calibration for Pmon 2.
3.20 Repeat Laser Power Verification and Setting the Calibration Factor as required
to successfully complete the Energy Matrix for each delivery device, then
continue to step 4.

4 Exposure Time Calibration

4.1 Use the test setup described in Exposure Time Verification and set the output
power to 30 mW, exposure time to 10 mS, Single Shot mode.
4.2 Fire the laser and determine the actual values for exposure and interpulse times,
as measured on the oscilloscope. Enter and save the correction value, on the
Internal Calibration screen, to bring the actual time value as close as possible to
the displayed value.
4.3 Select Repeat mode and set the interpulse time to 30 mS.
4.4 Fire the laser and determine the actual value for interpulse time as measured on
the oscilloscope. Enter and save the correction value on the internal calibration
screen to bring the actual time value as close as possible to the displayed value.

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Constellation™ Vision System

SECTION FIVE - TROUBLESHOOTING

SYSTEM MESSAGES
The system communicates information to the user through the display of System
Messages which are displayed and described to the user as Faults, Errors, Advisories
or System Information. These terms are used to classify the level of response required
to ensure fail-safe operation of the system. The presentation of a System Message
alone does not indicate that a malfunction has occurred. System Messages typically
occur when the system detects a condition that is not met but is required for the
system to continue. System Messages and associated actions are intended functions
presented as a precursor to mitigate an unanticipated condition.

System Messages are priority based, with Fault Messages being the highest priority,
followed by Error Messages, Advisory Messages, and Information Messages. Each
type of message is color coded as follows:
• Fault:
- Recoverable Fault - Red stop sign with blue background
- Unrecoverable Fault - Red stop sign with black background
• Error - Yellow
• Advisory - Green
• Information - Blue

Each message also has a number associated with it that indicates the submodule
that prompted the message. The number range for each submodule in the system is
assigned as follows:
• Host Submodule - 1000 to 1999
• Supervisor Submodule - 2000 to 2999
• Fluidics Submodule - 3000 to 3999
• US/Diathermy Submodule - 4000 to 4999
• Table Top Illuminator Submodule - 5000 to 5999
• Pneumatics Submodule - 6000 to 6999
• Auxillary Illuminator Submodule - 7000 to 7999
• Laser Submodule - 8000 to 8999

When an Advisory or Information message is displayed that is related to a setup issue,

it may be helpful to access the Video or Wizard Help for assistance in solving the
issue. These help aids are available in any of the setup screens by pressing the Help
button.

The Event Log (shown in Figure 5-10) displays a list of the system messages that
have occurred on the system. It is recommended to view the Event Log for details of
a system message prior to calling your local Alcon representative for assistance.

For additional assistance in determining what action to take in the event a system
message is displayed, refer to the Troubleshooting Guide in Figure 5-11.

8065000411 Rev. A 5.1

 Constellation™ Vision System

System Fault Messages

System Fault messages are displayed full screen and come in two types: Recoverable
and Unrecoverable as shown in Figure 5-1.

The system performs the following actions when a fault condition is detected:
• The applicable System Fault screen is shown with appropriate Fault Number and
one or more acknowledgment buttons.
• A fault tone is generated.
• All surgical functions are placed in a safe state.
• All operator input from the touch screen and footswitch is ignored (with the
exception of the [Start Recovery], [Quick Start], and [Shutdown] buttons).

The majority of all generated system faults are recoverable and the displayed Fault
message includes the following recovery instructions:

Recovery Instructions:
1) Stabilize eye. Leave infusion cannula in, remove other
instruments (i.e. vit probe/illuminator) and plug trocar
cannulas/sclerotomies.
2) Press the "Start Recovery" button.

3) Wait for recovery to complete and continue the case.

After the system recovers from a fault, the system state is restored to the state when
the fault occurred.

See "Recovery from an Unrecoverable Fault Screen or Unexpected Shut Down" on

page 5.7 for a step-by-step procedure for recovering from an Unrecoverable Fault
Screen.
Recoverable System Fault Display Screen Unrecoverable System Fault Display Screen

Figure 5-1 System Fault Display Screen Examples

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Constellation™ Vision System

System Error Messages

System Error messages are displayed in a popup window as shown in Figure 5-2.
These messages are displayed when the system detects a condition that is not met
and requires partial elements of the system to shutdown in a safe state. The partial
shutdown cannot be reversed until the next power cycle. The system performs the
following actions when an error is detected.
• The System Error dialog is shown with the appropriate error number, description,
and buttons. The upper right corner shows the name of the submodule generating
the error.
• An error tone is generated.
• All surgical functions associated with the error become unavailable. These
functions are also put into a safe state and are grayed out on the touch screen.
• The System Error dialog is removed when the operator presses either Recover
or Cancel. If the Cancel button is pressed, no attempt is made to recover and the
related surgical function is unavailable and its buttons grayed-out. In this case,
pressing a grayed-out (unavailable) surgical function, the System Error dialog is
displayed again with the same error number.
If the Recover button is pressed, an Error Recovery popup is displayed as shown in
Figure 5-2. This popup contains instructions on how to step through the recovery
process. Upon pressing the Start Recovery button, the recovery sequence is initiated
and an attempt is made to recover (reset and restart) the failed module. After recovery
is complete, the system displays a message indicating whether or not the recovery
was successful.
Pressing the Cancel button in the Error Recovery popup, removes the popup and
continues system operation without attempting to recover the failed module.

Figure 5-2 System Error Popup Window

8065000411 Rev. A 5.3
 Constellation™ Vision System

System Advisory Messages

System Advisory messages are displayed in a popup window as shown in Figure 5-3.
Advisory messages are displayed when the system detects that a minor condition
is not being met, typically a situation that can be corrected by the user. When an
advisory condition is detected, the system performs the following actions:

• The System Advisory popup is shown with an appropriate advisory number,

description, and one or more acknowledgment buttons. The upper right corner
also shows the name of the submodule generating the advisory.
• An advisory tone is generated
The System Advisory popup is removed when the operator presses a button to
acknowledge the advisory or the condition causing the advisory no longer exists.
Certain advisory messages that only present a single user response button may also be
configured to automatically fade away.

Figure 5-3 System Advisory Popup Window

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Constellation™ Vision System

System Information Messages

Information messages are displayed in a popup window as shown in Figure 5-4.
Information messages are displayed to advise the user of the current system state
based upon current user interaction. When an information condition is detected the
following actions occur:

• A System Information dialog is displayed with appropriate information number,

description, and one or more acknowledgment buttons. The upper right corner
also shows the name of the submodule generating the informational discrepancy.
• An information tone is generated.
The System Information dialog is removed when the operator presses a button to
acknowledge the informational discrepancy or the condition causing the informational
discrepancy no longer exists. Certain informational messages that only present a
single user response button may also be configured to automatically fade away.

Figure 5-4 System Information Popup Window

8065000411 Rev. A 5.5

 Constellation™ Vision System

Power Lost/Recovery
If the system experiences a loss of power, all surgical functions are stopped and the
"Power Lost" message shown in Figure 5-5 is displayed. If system power is not
restored within 1 minute, the system automatically powers down.

If power is restored within 1 minute, the system displays the "Power Recovered"
message and the system will be restored to the doctor and settings in use at the time
of power loss. Accumulated metrics and calibration state are not restored. In order to
resume a procedure after a loss of power, the handpieces/probes must be recalibrated/
reprimed.

Figure 5-5 Power Lost and Power Recovered Screens

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Constellation™ Vision System

Recovery from an Unrecoverable Fault Screen or Unexpected Shut Down

NOTE: This procedure is for an unrecoverable fault condition as indicated by
the screen shown below. Recoverable fault screens have a blue background and
include recovery instructions.
1 Stabilize eye. Leave infusion cannula in, remove other instruments (i.e. vit
probe/illuminator) and plug trocar cannulae/sclerotomies.

Turn system ON (press the Standby Switch) or if a Fault Screen is displayed,

select “Quick Start” (see Figure 5-6).

Standby
Switch

Quick Start Button

Figure 5-6 Standby Switch Location and Quick Start Button on Fault Screen

2 Immediately clamp smaller infusion cannula tubing with hemostats. (See Figure
5-7). Infusion pressure will be off when Setup Screen is displayed.
NOTE: The yellow stopcock is optional and may not be part of setup.
Green Luer Fitting Yellow Stopcock

Infusion tubing
with Snap Clamp

Infusion Cannula

Figure 5-7 Clamped Infusion Cannula Tubing (Stopcock optional)

8065000411 Rev. A 5.7

 Constellation™ Vision System

NOTE: DO NOT select Doctor and Procedure until prime is complete.

IOP Control, if being used, will NOT be available. Machine will default to
pressurized infusion.
3 Disconnect green luer fitting from infusion tubing or stopcock.
4 Place green striped infusion tubing with snap clamp in a sterile cup as shown in
Figure 5-8.

Figure 5-8 Infusion Tubing in Sterile Cup

5 Ensure snap clamp is open.

6 When Setup Screen is displayed, select the following
• PROBE “Skip Prime” (see Figure 5-9)
• Handpiece “None”

Infusion ON Button

Figure 5-9 Setup Screen Selections

5.8 8065000411 Rev. A

Constellation™ Vision System

7 Select “Start Prime”. NOTE: Priming will take about 1 minute to complete.
8 Press Infusion ON button and clear any bubbles.
9 Close the snap clamp.
10 Reconnect the green luer fitting.
11 Open snap clamp and remove hemostats from the smaller infusion tubing.
12 Select Doctor and Procedure, then continue the case.

8065000411 Rev. A 5.9

 Constellation™ Vision System

Event Log
Figure 5-10 shows the Event Log where system messages are displayed that have
occurred during the previous seven days. The list can be filtered to display a specific
type of message by pressing the associated button on the right side of the screen.

To view the Event Log:

1. Press Options from the Menu bar.
2. Under the Info tab press "Event Log." The default view is displayed showing a list
of all faults, errors, advisories, and information messages. Pressing the associated
button will hide that type of message on the list. If the list goes beyond the
viewable area, a scroll bar is provided to move through the list.
3. For an expanded view of a specific message, select the message on the list, then
press View Details. A pop up appears with a description of the message and the
date and time it occurred.
4. Press Close to go back to the previous screen.

Figure 5-10 The Event Log

5.10 8065000411 Rev. A

Constellation™ Vision System

Problem No message is displayed, Contact Alcon Technical Support or your

Encountered but unable to setup and local Alcon representative.
operate as described in this
operator's manual and other
applicable labeling.

System displays an Access the Video Help for assistance. If

Information or Advisory unable to fix the problem, write down the
number and message. number and message exactly as it appears
These messages are on the screen, then contact Alcon Technical
displayed within a dialog Support or your local Alcon representative.
box. Information messages
have a blue border, while
Advisories are green.

System displays an Error Attempt Error recovery by pressing Recover

number and message. button on Error popup and following
These messages are directions on the Error Recovery popup
displayed within a dialog box
and have a yellow border. If recovery is unsuccessful, write down
the Error number and message exactly
as it appears on the screen, then contact
Alcon Technical Support or your local Alcon
representative. Some or all of the functions
could be disabled. Do not use unit unless
the case is already started and no back-up is
available.

System displays a Fault For Recoverable Faults, attempt Fault

number and message. recovery by following the directions on the
These messages are System Fault screen.
displayed full screen and
have a red border. For Unrecoverable Faults, follow directions
on page 5.7 for recovery from Unrecoverable
Fault Screen or Unexpected Shut Down.

If recovery is unsuccessful, write down

the Fault number and message exactly
as it appears on the screen, then contact
Alcon Technical Support or your local Alcon
representative. Discontinue use of unit until
the problem is resolved.

Figure 5-11 Troubleshooting Guide

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 Constellation™ Vision System

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5.12 LAST PAGE OF THIS SECTION 8065000411 Rev. A

Constellation™ Vision System

SECTION SIX - ACCESSORIES AND PARTS

In this section of the Constellation™ Vision System Operator's Manual is a list of Alcon‑approved
accessories and replacement items. Use of non‑approved accessories is not permitted.
Please contact the Alcon Sales Department for in-service information prior to initial use of
handpieces, accessories, or packs. For additional information, please contact the Alcon Sales
Department.
Phone: Write:
(800) 862‑5266 or Alcon, Inc.
(817) 293‑0450 6201 South Freeway
Ask for Customer Service Fort Worth, TX. 76134‑2099
INTERNATIONAL: Please contact your local Alcon Sales Office.
The Constellation™ Vision System is designed around the Table Top and the accessories listed in
Table 6-1 can be added for expanded functionality. The Table Top can operate as a standalone unit,
and is also the primary user interface that operates and controls the add-on accessories. The laser
module, auxiliary illuminator, and the tray arm assembly attach to the Base therefore the Base must
be installed in order to use these accessories.
ACCESSORIES
Table 6-1 General Accessories
DESCRIPTION SUPPLIED BY CATALOG NUMBER/SUPPLIER
8065753041
Table Top† Alcon 8065751536 (China)
8065751817 (Japan)
Base Unit† Alcon 8065751451
Laser Module Kit† Alcon 8065751450
Auxiliary Illuminator† Alcon 8065751452
TRAY ARM ASSEMBLY† (all three items required):
• Tray Arm 8065751539
Alcon
• Ballast 8065751540
• Support Column 8065751541
Constellation™ Remote Alcon 8065750968
Constellation™ Footswitch Alcon 8065750977
Constellation™ Pneumatic Pressure Hose Alcon 8065751694
Monolith Dust Cover Alcon 8065751507
Table Dust Cover Alcon 8065751508
Laser Footswitch Alcon 562-1360-501
Laser Room Interlock Alcon 562-1362-501
PurePoint™ Laser System† Alcon 8065750597
PurePoint™ LIO (Keeler) Alcon 8065752987
PurePoint™ LIO (Heine**) Alcon 8065751050
PurePoint™ LIO RFID Alcon 562-1331-001
MMC Data Card Customer Any SD data card up to 2 GB
High Definition Video Overlay Alcon 8065753061
Video Recorder - High Definition Customer Sony HVO-1000HD
NGENUITY™ 3D Visualization System (1.2B)† Alcon 8065753091
NGENUITY™ 3D Visualization System (4K OLE)† Alcon 8065753090
† Alcon installation required

8065000411 Rev. A 6.1

 Constellation™ Vision System

NOTE: Refer to the Directions For Use (DFU) included with each accessory kit/consumable
pack for detailed instructions on how to setup that accessory.

Table 6-2 General Consumables

DESCRIPTION CATALOG NUMBER
Remote Control Transfer Pouch 20000TP
Constellation™ Standalone Drain Bags 8065751162
Constellation™ Tray Arm Cover 8065751163
Infusion Tubing Set with Auto Infusion Valve 8065750914
Auxiliary Aspiration Tubing 8065750917
Irrigation/Aspiration Tubing Set 8065750918
GFI Administration Tubing Set 8065750920

Table 6-3 Laser Accessories and Consumables

DESCRIPTION CATALOG NUMBER
PurePoint™ Laser System 8065750597
Filter, Microscope Wild 8065-5002-01
Front Actuated Filter, Microscope 8065750448
PurePoint™ LIO (Heine**) 8065751050
PurePoint™ LIO (Keeler) 8065752987
Passive Dr. Filter 8065751051
25 GA Straight Laser Probe with RFID 8065750978
20 GA Curved Laser Probe - CHANG Aspirating with RFID 8065750979
20 GA Straight Laser Probe - CHANG Aspirating Soft Tip with RFID 8065750981
20 GA Curved Illuminated Laser Probe with RFID-SMA/STD ACMI 8065750982
20 GA Straight Illuminated Laser Probe with RFID-SMA/STD ACMI 8065750983
20 GA Curved Illuminated Laser Probe with RFID-SMA/RFID-ACMI 8065750985
20 GA Straight Illuminated Laser Probe with RFID-SMA/RFID-ACMI 8065750986
20 GA Curved Laser Probe with RFID 8065750989
20 GA Straight Laser Probe with RFID 8065750990
23 GA Straight Laser Probe with RFID 8065750991
23 GA Flexible Tip Laser Probe 8065751111
25 GA Flexible Tip Laser Probe 8065751112
23 GA Flexible Tip Laser Probe with RFID 8065751113
25 GA Flexible Tip Laser Probe with RFID 8065751114
23 GA Illuminated Flexible Curved Laser Probe 8065751588
25 GA Illuminated Flexible Curved Laser Probe 8065751589
23 GA Illuminated Flexible Curved Laser Probe with RFID-SMA/STD-ACMI 8065751590
25 GA Illuminated Flexible Curved Laser Probe with RFID-SMA/STD-ACMI 8065751591
23 GA Illuminated Flexible Curved Laser Probe with RFID-SMA/RFID-ACMI 8065751592
25 GA Illuminated Flexible Curved Laser Probe with RFID-SMA/RFID-ACMI 8065751593
27+™ Flexible Tip Laser Probe 8065751708
27+™ Flexible Tip Laser Probe w/ RFID 8065751709
Endo Laser Probe Curved 20G Alcon/Coherent 8065010203
Endo Laser Probe Straight 20G Alcon/Coh 8065010219
Aspirating Endo Laser Probe Curved 20G Alcon/Coh 8065010703
Aspirating Endo Laser Probe Straight 20G Alcon/Coh 8065010719
Probe Laser 25G 8065750133

6.2 8065000411 Rev. A

Constellation™ Vision System

Table 6-3 Laser Accessories and Consumables

DESCRIPTION CATALOG NUMBER
23 GA Artic Illum Laser Probe W/RFID 8065752554
25 GA Artic Illum Laser Probe W/RFID 8065752555
27 GA Artic Illum Laser Probe W/RFID 8065752556

Table 6-4 Posterior Segment Accessories

DESCRIPTION CATALOG NUMBER
UltraVit™ Probes / HyperVit™ Probes
Constellation™ 20 GA UltraVit™ Vitrectomy Probe, 5000 CPM 8065750948
Constellation™ 23 GA UltraVit™ Vitrectomy Probe, 5000 CPM 8065750949
Constellation™ 25 GA UltraVit™ Vitrectomy Probe, 5000 CPM 8065750950
Constellation™ 25+™ UltraVit™ Vitrectomy Probe, 5000 CPM 8065751438
Constellation™ 23 UltraVit™ Vitrectomy Probe, 7500 CPM 8065751571
Constellation™ 25 GA UltraVit™ Vitrectomy Probe, 7500 CPM 8065751569
Constellation™ 25+™ GA UltraVit™ Vitrectomy Probe, 7500 CPM 8065751570
27+™ UltraVit™ 7500 CPM Vit Probe 8065751700
23 GA UltraVit™ 10000 CPM Vit Probe 8065752407
25 UltraVit™ 10000 CPM Vit Probe 8065752408
25+™ UltraVit™ 10000 CPM Vit Probe 8065752409
27+™ GA UltraVit™ 10000 CPM Vit Probe 8065752411
23 GA UltraVit™ Bev 10000 CPM Vit Probe 8065752413
25 GA UltraVit™ Bev 10000 CPM Vit Probe 8065752414
25+™ GA UltraVit™ Bev 10000 CPM Vit Probe 8065752415
27+™ GA UltraVit™ Bev 10000 CPM Vit Probe 8065752417
23 GA HyperVit™ 20000 CPM Vit Probe 8065830020
25+™ HyperVit™ 20000 CPM Vit Probe 8065830022
27+™ HyperVit™ 20000 CPM Vit Probe 8065830023
23 GA HyperVit™ Bev 20000 CPM Vit Probe 8065830024
25+™ HyperVit™ Bev 20000 CPM Vit Probe 8065830026
27+™ HyperVit™ Bev 20000 CPM Vit Probe 8065830027
Endoilluminators with RFID
20 GA Straight Endoilluminator w/ RFID 8065750971
23 GA Straight Endoilluminator w/ RFID 8065750972
20 GA Shielded Bullet Endoilluminator w/ RFID 8065750973
20 GA Bullet Endoilluminator w/ RFID 8065750974
20 GA Sapphire Wide Angle Endoilluminator w/ RFID 8065750975
25 GA Straight Endoilluminator w/ RFID 8065750976
20 GA Ryan Pik Endoilluminator 8065751000
20 GA End Irrigating Endoilluminator 8065751001
20 GA Illuminated Mem Pik 8065751002
20 GA Shielded Bullet Endoilluminator w/ Pik 8065751003
23 GA Sapphire Wide Angle Endoilluminator w/ RFID 8065751184
25 GA Sapphire Wide Angle Endoilluminator w/ RFID 8065751185
25+™ Straight Endoilluminator w/RFID 8065751441
25+™ Sapphire Wide Angle Endoilluminator w/ RFID 8065751486
25 GA Illuminated Mem Pik 8065751572
23 GA Illuminated Mem Pik 8065751576

8065000411 Rev. A 6.3

 Constellation™ Vision System

Table 6-4 Posterior Segment Accessories

DESCRIPTION CATALOG NUMBER
25 GA Chandelier 8065751577
27+™ Endoilluminator 8065751701
20 GA Sapphire Wide Angle Illum Probe 8065750425
Probe,Illumination,25 GA 8065750426
Endoilluminator,23 GA 8065750802
Probe,Endo,23 GA 8065750803
Endoilluminator,25 GA,En,Stalon 8065751165
23 GA Wide Ang W/Rfid 8065751183
25 GA Wide Ang Lt Prb 8065751186
Illuminated Pik,25 GA 8065751575
Illuminated Pik,23 GA 8065751578
Endoilluminators
Wide Angle Diffusion Light Pipe (Product of Grieshaber) 630.45
Infusion and Extrusion Accessories
20 GA Self Retaining Infusion Cannula, 4.0 mm 8065750580
23 GA Infusion Cannula 8065750841
25 GA Infusion Cannula 8065751459
20 GA Self-Retaining Infusion Cannula w/Tray 8065752148
23 GA Infusion Cannula w/Tray 8065752149
23 GA Sutured Infusion Cannula, 4mm w/Tray 8065752150
25 GA Infusion Cannula w/Tray 8065752151
27+™ Infusion Cannula w/Tray 8065752173
20 GA Soft Tip Extrusion Needle 8065149520
23 GA Soft Tip Extrusion Needle 8065149523
25 GA Soft Tip Needle 8065149525
23 GA Small Parts Kit 8065750842
23 GA Trocar Plug 8065750837
19/20 Gauge Scleral Plugs 8065807550
27+™ Valved Entry System 3 ea 8065751697
23GA 6 mm Cannula 1 ea 8065751444
23GA Enhanced Entry System 1 ea 8065751446
23GA Enhanced Entry System 3 ea 8065751447
25GA Enhanced Entry System 1 ea 8065751448
25GA Enhanced Entry System 3 ea 8065751449
23GA Valved Entry System 1 ea 8065751585
25GA Valved Entry System 1 ea 8065751586
23GA Valved Entry System 3 ea 8065751657
25GA Valved Entry System 3 ea 8065751658
27+™ Advanced DSP Backflush Blunt 337.87
27+™ Advanced DSP Backflush Soft Tip 337.88
Soft Tip Needle 23G Disposable 8065149523
23G 1.0mm Soft Tip,DSP 8065149527
20G Soft Tip,DSP 8065149528
27G Soft Tip,DSP 8065149529
25G 1.0mm Soft Tip,DSP 8065149530

6.4 8065000411 Rev. A

Constellation™ Vision System

Table 6-4 Posterior Segment Accessories

DESCRIPTION CATALOG NUMBER
Lens Fragmentation
Constellation™ Fragmentation Handpiece 8065750888
20 GA Fragmentation Pack 8065750958
Diathermy
Diathermy Probe DSP, 25Ga 339.21
27+™ Diathermy Probe, DSP 339.31
Auto Gas Fill
Auto Gas Fill Pack 8065751014
C3F8 450 Gram Cylinder 8065797104
SF6 450 Gram Cylinder 8065797004
C3F8 125 Gram Cylinder 8065797105
SF6 125 Gram Cylinder 8065797005
Pneumatic Handpiece and Accessories
Constellation™ Pneumatic Handpiece DSP 725.03
Posterior Standalone Accessories
Constellation™ Viscous Fluid Control (VFC) Pack 8065750957

Table 6-5 Anterior Segment Accessories

DESCRIPTION CATALOG NUMBER
U/S Handpiece
Infiniti™ Ultrasound Handpiece 8065750121
Infiniti™ OZil™ Handpiece 8065750469
U/S Tips
30° KELMAN™, 0.9 mm 30KTS
30° Round, 0.9 mm 30RTS
30° Round, 1.1 mm Flared ABS 8065740806
30° Round, 0.9 mm MicroTip Flared ABS 8065740837
45° Round, 0.9 mm MicroTip Flared ABS 8065740838
30° KELMAN™, 0.9 mm MicroTip Flared ABS 8065740839
30° Round, 0.9 mm Tapered ABS 8065750261
30° KELMAN™, 0.9 mm Tapered ABS 8065750263
45° KELMAN™, 0.9 mm Tapered ABS 8065750264
30° KELMAN™, 0.9 mm Mini-Flared ABS 8065750852
45° KELMAN™, 0.9 mm Mini-Flared ABS 8065750853
30° OZil™ - 12, 0.9 mm Mini-Flared ABS 8065751176
45° OZil™ - 12, 0.9 mm Mini-Flared ABS 8065751177
30° Reverse OZil™ - 12, 0.9 mm Mini-Flared ABS 8065751178
30° Reverse OZil™ - 12, 1.1 mm Mini-Flared ABS 8065751179
30° Round, 0.9 mm ABS 8065790020
30° KELMAN™, 0.9 mm ABS 8065790022
45° KELMAN™, 0.9 mm ABS 8065790023
30° KELMAN™, 0.9mm Mini-Tip ABS 8065752065
45° KELMAN™, 0.9mm Mini-Tip ABS 8065752066

8065000411 Rev. A 6.5

 Constellation™ Vision System

Table 6-5 Anterior Segment Accessories

DESCRIPTION CATALOG NUMBER
Irrigation Sleeves/Small Parts Kits
0.9 mm MICROSMOOTH™ High Infusion Sleeve Small Parts Kit 8065740842
1.1 mm MICROSMOOTH™ High Infusion Sleeve Small Parts Kit, 8065740872
0.9 mm MICROSMOOTH™ Small Parts Kit, 8065750159
1.1 mm MICROSMOOTH™ Small Parts Kit, 8065750160
0.9 mm MICROSMOOTH™ Ultra Sleeves Small Parts Kit 8065750517
1.1 mm MICROSMOOTH™ Ultra Sleeves Small Parts Kit 8065750518
1.1 mm MICROSMOOTH™ Micro Sleeves Small Parts Kit 8065750519
Intrepid™ Ultra Small Parts Kits 8065752900
Intrepid™ Nano Small Parts Kits 8065752901
BSS 15ml Bottle 0065079515
BSS 250ml Bottle glass 0065079525
BSS 30ml Bottle 0065079530
BSS 500ml Bottle glass 0065079550
BSS Plus 250ml Bottle kit glass 0065080025
BSS Plus 500ml Bottle kit glass 0065080050

6.6 8065000411 Rev. A

Constellation™ Vision System

Table 6-5 Anterior Segment Accessories

DESCRIPTION CATALOG NUMBER
BSS™ Irrigating Solution1
The following bottles and bags are provided under the following codes.
International customers should contact their local distributor for more specific
ordering information.
BSS™ Irrigating Solution bottle, 500 ml
0065079550 0007950010
0065079557 0007950012
0065079501 0007950025
0065079550M 0007950038
0065079558 0007950055
0065079560 0007950059
0065079562 0007950062
0065079523 0007950072
0065079518 0007950077
0065079519 0007950080
0065079520 0007950094
0065079534 0007950097
0065079536 0007950099
0065079537 0007950100
0065079574 0007950114
0065079570 0007950118
0065079572 0007950119
0065079577 0007950122
0065079579 0007950124
0065079587 0007950127
0065079594 0007950132
0065079589 0007950134
0065179501 0007950137
0065179507 0007950148
0065179513 0007950156
0065179546 0007950191
0065179554 0007950199
0065179559 0007950204
0065179563 0007950207
0065179597 0007950208
0065179571 0017950062
0065179527 0007950172
0065179528 0007950173
0065179530 0007950175
0065179531 0007950176
0065179532 0007950177
0065179533 0007950178
0065179534 0007950179
0065179536 0007950181
0065179538 0007950183
0065179539 0007950184
0065179540 0007950185
0065179541 0007950186
0065179542 0007950187
0065179543 0007950188
0065179547 0007950192
0065179550 0007950195
0065179553 0007950198
0065179555 0007950200
0065179557 0007950202
0065179558 0007950203
0065179560 0007950205
0065179561 0007950206
0065179570 0017950061
0065179573 0017950064

1 Part contacts the patient or fluid path during surgery (an applied part).

8065000411 Rev. A 6.7

 Constellation™ Vision System

Table 6-5 Anterior Segment Accessories

DESCRIPTION CATALOG NUMBER
BSS PLUS™ Irrigating Solution2
The following bottles and bags are provided under the following codes.
International customers should contact their local distributor for more specific
ordering information.
BSS PLUS™ Irrigating Solution bottle, 500 ml
0065080011 0008000002
0065080050 0008000009
0065080054MAL 0008000013
0065080012 0008000014
0065080033 0008000015
0065080040 0008000016
0065080013 0008000017
0065080034 0008000023
0065080004 0008000025
0065080041 0008000029
0065080003 0008000038
0065080061 0008000039
0065080047 0008000048
0065080049 0008000049
0065080058 0008000052
0065080064 0008000055
0065080065 0008000056
0065080069 0008000057
0065080066 0008000060
0065080067 0008000062
0065080072 0008000063
0065080075 0008000066
0065080076 0008000068
0065080081 0008000073
0065080085 0008000077
0065080086 0008000078
0065080087 0008000079
0065080091 0008000083
0065082003 0008200003
0065082004 0008200004
0065082005 0008200005
0065082006 0008200006
0065082009 0008200009
0065082011 0008200011
0065080092 0008000084
0065080093 0008000085
0065080094 0008000086
0065080097 0008000089
0065080098 0008000090
0065080103 0008000095
0065080104 0008000096
0065080106 0008000098
0065080107 0008000099
0065080111 0008000103
0065080115 0008000107
0065082001 0008200001
0065082002 0008200002
0065082007 0008200007

2 Part contacts the patient or fluid path during surgery (an applied part).

6.8 8065000411 Rev. A

Constellation™ Vision System

Table 6-5 Anterior Segment Accessories

DESCRIPTION CATALOG NUMBER
I/A Accessories-Reusable
I/A Tip .033 OD, .3mm, Intrepid 8065751012
I/A Tip .033 OD, .3mm Bent, Intrepid 8065751013
I/A Tip 0.3 mm, Polymer, Straight 8065751510
I/A Tip 0.3 mm, Polymer, Angled 8065751511
I/A Tip 0.3 mm, Polymer, Curved 8065751512
Silicone I/A Tip, Bent 8065740969
Silicone I/A Tip, Straight 8065740970
ULTRAFLOW™ SP Straight Tip, 3mm 8065817001
ULTRAFLOW™ Tip Protector, Standalone 8065817002
ULTRAFLOW™ SP 45° Bent Tip, .3mm 8065817201
ULTRAFLOW™ SP 90° Bent Tip, .3mm 8065817301
ULTRAFLOW™ SP Irrigation Only Luer 8065817501
ULTRAFLOW™ SP Curved Tip, .3mm 8065817601
ULTRAFLOW™ I/A Box 8065-A001-01
Replacement O-ring ULTRA O-RNG RPL
Anterior Vitrectomy
Constellation™ 20 GA Anterior Vitrectomy Pack 8065751020
Anterior Vitrectomy Coaxial Irrigation Sleeve 8065750352
Bipolar Accessories-Single Use
Curved Jewelers/Iris Forceps 8065129101
Coaptation Forceps 8065129301
Straight Jewelers/Iris Forceps 8065129501
BVI1 Wet-Field Eraser Bipolar, 18G, Bevel Tip, Straight 221250
BVI1 Wet-Field Eraser Bipolar, 18G, Blunt Tip, Angled 45 degree 221251
BVI1 Wet-Field Eraser Bipolar, 20G, Blunt Tip, Straight 221260
BVI1 Wet-Field Eraser Bipolar, 20-23G, Tapered, Fine Tip, Straight 221265
1 BVI contact information: Beaver-Visitec International, Inc
411 Waverley Oaks Road, Waltham, MA 02452
TEL: (866) 906-8080 FAX: (866) 906-4304
Website: http://www.beaver-visitec.com
Pro Med Instruments Bipolar Accessories
Doro Reusable Bipolar Cable, 3.6m (12') 5011.241
Doro Reusable Bipolar Cable, 4.6m (15') 5011.242
Symmetry Surgical Bipolar Accessories
Symmetry Surgical2, Reusable Bipolar Cable,3.6m (12') 87006-28
Symmetry Surgical2, Single Use Bipolar Cable,Straight Termination, 40-1105-28
3.6m (12')
Symmetry Surgical2, Single Use Bipolar Cable, Angled (45deg) Termination, 40-1106-28
3.6m (12')
2 Symmetry Surgical** contact information: Symmetry Surgical Inc.
3034 Owen Drive, Antioch,TN 37013 USA
TEL: +1 800 251 3000
Website: http://www.symmetrysurgical.com
AutoSert™ IOL INJECTOR
AutoSert™ INTREPID™ IOL Injector (with plunger and wrench) 8065751755
Plunger, IOL Injector 8065751776
Wrench, IOL Injector 8065751775

8065000411 Rev. A 6.9

 Constellation™ Vision System

Constellation™ Consumables Pack

The Constellation™ Total Plus™ Pak product family consists of three (3) segment-
based procedure packs:
• Vitrectomy Packs (Posterior Segment)
• Phaco Packs (Anterior Segment)
• Combined Procedure Packs (Posterior and Anterior Segment).

The procedure packs are an assemblage of accessories (listed in the previous tables)
specifically for use with the Constellation™ Vision System. Contact your local Alcon
Representative for available Constellation™ Procedure Packs.

6.10 8065000411 Rev. A

Constellation™ Vision System

ALCON PUREPOINT™ LASER INDIRECT OPHTHALMOSCOPE (LIO) - HEINE**

Introduction
The PurePoint™ Laser Indirect Ophthalmoscope (LIO) is an accessory for use
exclusively with the Alcon PurePoint™ Laser and the Constellation™ Vision System.
The PurePoint™ LIO is composed of a HEINE** diagnostic headset with integral
laser delivery adaptation and an illumination power supply. The treatment laser beam
and the aiming beam are both provided by the PurePoint™ Laser.

The PurePoint™ LIO is connected to the laser via a fiber optic cable for the treatment
and aiming beams, and by electrical cable for illumination. The illumination light is
adjustable from approximately 0 to 1000 lux using the illumination control knob on
the power supply.

A permanent Doctor Protection Filter protects the surgeon against incidental laser
beam reflections. The operator will have a colored† view through the Doctor
Protection Filter due to blocking of the 532 nm wavelength (green).

Figure 6-1 The PurePoint™ Laser Indirect Ophthalmoscope (HEINE**)

† Newer Doctor Protection Filters will have less tint than older ones.

8065000411 Rev. A 6.11

 Constellation™ Vision System

WARNINGS!

The head-worn Laser Indirect Ophthalmoscope (LIO) is designed solely for examination
and treatment of the eye, particularly the retina.

Use only the illumination power supply provided on the Constellation™ Vision System
or the PurePoint™ Laser System (in tethered mode). It is specially designed for the
PurePoint™ LIO.

Insure that the selection on the Constellation™ Vision System display is LIO. It is the
responsibility of the operator to verify that the selection is correctly confirmed.

The operator will have a colored** (pink) view through the Doctor Protection Filter due to
blocking of the 532 nm wavelength (green).

The operator must be careful to avoid potential secondary reflections; therefore the room
used to treat the patient should be approved by a qualified laser safety officer.

All personnel in the treatment room must wear protective eyewear (OD 4 or above at 532
nm) when the system is in Standby, Ready, or Firing modes.

The laser delivery system is an integral part of the LIO and is not designed to be used
with an observer. Never use a teaching or observation system in conjunction with the LIO.
There is no eye protection provided for the observer.

Before each use of the headset, the operator must check the permanent Doctor Protection
Filter for scratches, breaks, or alterations. If there is any doubt, please call Alcon Technical
Services, and discontinue use of device.

There are potential hazards when inserting, steeply bending, or improperly handling of
the fiber optic cable. Not following the recommendations of the manufacturer may lead to
damage to the fiber or delivery system and/or harm to the patient or user.

Since the aiming beam passes down the same delivery system as the treatment beam,
it provides a good method of checking the integrity of the delivery system. If the aiming
beam spot is not present at the distal end of the delivery system, or its intensity is reduced
or it looks diffused, this is a possible indication of a damaged or not properly working
delivery system. If there is any doubt, contact Alcon Technical Services.

The use of flammable anesthetics or oxidizing gases such as nitrous oxide (N2O) and
oxygen should be avoided. Some materials - for example cotton wool when saturated with
oxygen - may be ignited by the high temperatures produced in normal use of the laser
equipment. The solvents of adhesives and flammable solutions used for cleaning and
disinfecting should be allowed to evaporate before the laser equipment is used. There is
also danger of ignition of endogenous gases.

A qualified technician must perform a visual inspection of the following components every
twelve months: warning labels, power cords, and fuses. In case of a deficiency, do not use
the system; call Alcon Technical Services.

A qualified technician must verify the LIO performance by performing an LIO calibration,
power output, and energy matrix test every twelve months to ensure the LIO is operating
within specifications. See Section Four of this operator's manual for instructions. If the
LIO is not operating within specifications, do not use the system; call Alcon Technical
Services.

A qualified technician must check and record ground continuity and both polarities for
leakage current every twelve months to ensure they are within the applicable standards
(for example: EN60601-1/lEC601-1). If they are above the applicable standards, or 50%
above initial measurement, do not use the system; call Alcon Technical Services.

6.12 8065000411 Rev. A

Constellation™ Vision System

PurePoint™ LIO Icons and Labels (HEINE**)

The labels and icons shown in Figure 6-2 are found on the PurePoint™ LIO and are
defined as indicated.

Use appropriate take-back

Caution: Consult accompanying
documents system (See Environmental
Considerations in this manual)
Follow Instructions for Use
(white figure with blue
background) No Continuous Use of LIO-AT;
10 Minutes ON/20 Minutes OFF.
Laser Radiation

Manufacture Date

Laser Aperture

532 nm Fragile - Handle Laser Fiber

With Care
542-1476-001REV

NOTE: The LIO may use either of the label examples shown above depending upon the date of manufacture.

Figure 6-2 PurePoint™ LIO Labeling (HEINE**)

Table 6-6 PurePoint™ LIO Technical Specifications (HEINE**)

CATEGORY SPECIFICATION
Width: 22.0 cm (8.7 inches)
Dimensions Length: 24.2 cm (9.5 inches)
Height: 20.0 cm (7.9 inches)
Headset Weight 571 g (1.26 lbs.)
Operating: Temperature: 15º C ≤ Tº ≤ 35º C
Relative Humidity: 10% to 90% with no condensation
Environmental Limitations
Storage: Temperature: -40º C ≤ Tº ≤ 70º C
Relative Humidity: 10% to 90% with no condensation
PurePoint™ Laser with PurePoint™ LIO complies with CE MDD
requirements (CE 0123).
Not suitable for use in the presence of flammable anesthetic, oxygen, or
Miscellaneous
nitrous oxide.
System not protected against the ingress of water.
Class Ib, IEC 601-1

8065000411 Rev. A 6.13

 Constellation™ Vision System

PurePoint™ LIO Safety Features

• Labels on the instrument warn the operator about laser dangers.
• The illuminator power knob controls the illumination power supply.
• A protective housing covers the laser source completely and the beam will only
exit through the LIO exit window.
• A permanent Doctor Protection Filter on the LIO headset protects the operator
from incidental reflections of the laser beam. Prior to using the laser system,
ensure that the filter is in good condition and that it has not been damaged,
displaced, or moved.
• An emergency switch located on the Constellation™ Vision System can be used
to shut off power to the laser. After using the emergency switch, pull it back to its
initial position to restore power and start the instrument.

General System Precautions

All personnel operating laser systems shall follow each of the general safety
precautions listed below.

• Never look into the laser beam.

• Restrict laser room access to people whose presence is required and who are
familiar with the laser precautions.
• The laser room should be clearly identified with proper warning signs.
• Never direct the laser beam towards an opening in the rooms light shielding walls
or window or door coverings..
• Never place any reflecting object in the path of the laser beam, or direct the laser
beam toward objects that may reflect light (such as surgical instruments).
• Turn the LIO illuminator power knob to OFF when not in use.
• Only authorized personnel thoroughly familiar with the recommendations
contained in this manual may operate the LIO. Any use of this laser system
beyond the design intentions may result in dangerous exposure to laser radiation.
• Familiarity and understanding the use and application of the Indirect
Ophthalmoscope is a prerequisite to using the LIO.

Using the Optics Overband

The pivoting overband allows the laser optics to be pushed up out of the operator's
field of view (see Figure 6-3). It is locked in the end position and can only be released
by pressing the Overband Adjustment Knob.

To pivot the overband, press the Overband Adjustment Knob with the right hand
and pivot the overband into the desired position (up for the “rest” position and down
for the “working” position). When the unit is properly adjusted, the overband can
be lowered into the same pre-selected working position. Once set, changing the
adjustments is required only if another examiner uses the instrument.

6.14 8065000411 Rev. A

Constellation™ Vision System

Figure 6-3 Adjusting the PurePoint™ LIO Overband (HEINE**)

Observation Optics Adjustment

1. Loosen the Observation Optics Adjustment Knob (see Figure 6-4) so that the
observation optics are free to move. The Observation Optics Adjustment Knob
can be unscrewed and reversed to the other side for left-handed operators.
Remove dust cover protecting delivery window.

2. Place the LIO on your head and adjust the circumference and height using the
Circumference and Height Adjustment Knobs so that the headband is firmly
positioned but comfortable.

3. For convenience, use clothing clip to attach the fiber/cable assembly to clothing.

4. Move the eyepieces as close as possible to your eyes and look at the light spot
at a distance of 30 cm. A small object (such as a pencil) held in front of the
eyepieces at 30 cm must be clearly focused.

5. Using the Delivery Mirror Control Knob, adjust the optics so that the light spot
is centered vertically in your field of view, then tighten the Observation Optics
Adjustment Knob.

6. If the light spot is not centered horizontally, adjust the headband left or right
accordingly.

7. Adjust the pupil distance setting by viewing the light spot alternately with the
left eye then the right eye, and sliding the eyepieces so that the spot is centered
within your field of view.

8. Remove the LIO and look at the scale on the eyepieces to insure that the pupil
distance is symmetrical. If not, center the headset and readjust the eyepieces.
Correct adjustment of the optics is particularly important when examining small
pupils.

Once set, changing the adjustments is required only if another examiner uses the
instrument.

8065000411 Rev. A 6.15

 Constellation™ Vision System

Controls for Observation and Illumination

The Aperture Lever (see Figure 6-4) allows you to choose between two different-
sized illumination fields. The choice of illumination field size depends mainly on the
size of the patient’s pupil (the small illumination field is the recommended setting).
The positions of the Aperture Lever for large and small illumination fields are marked
with large and small black dots, respectively.

The Convergence Control Knob provides synchronized adjustment of both

examination and illumination beams to suit the patient's pupil size. Wide convergence
and parallax selection allows for maximum stereopsis with large pupils. Narrow
convergence and parallax selection allows stereoscopic examination for small pupils.
NOTE: Use the small pupil setting and narrowest convergence angle at the small
illumination field size setting; otherwise, clipping (shadow) of the illumination
field will occur. The Convergence Control Knob adjustment range is limited in
the LIO to 50% of the original HEINE** range to accommodate for the laser
beam delivery requirements.

The Delivery Mirror Control Knob can be rotated to move both the illumination beam
and the laser beam in the vertical plane.

CAUTION
Do not use the LIO with the illumination power supply set at maximum intensity for
more than 10 continuous minutes. The LIO must be allowed to cool down at least
20 minutes between uses. Use as little observation/illumination light as possible and
always switch power supply OFF using the illuminator power knob.

Height Adjustment Knob

Circumference
Adjustment Knob
(on backside of band)

Observation Optics
Adjustment Knob

Aperture Lever

Laser Vertical Laser Spot Size Lever

Adjustment Knob

Delivery Mirror
Control Knob

Convergence Control Knob

Figure 6-4 PurePoint™ LIO Controls and Adjustments (HEINE**)

6.16 8065000411 Rev. A

Constellation™ Vision System

Using the PurePoint™ LIO for Observation (HEINE**)

If the PurePoint™ LIO is used for illumination purposes only, the laser fiber still
needs to be connected to the PurePoint™ Laser.
1. Turn the illumination power on and adjust the light intensity using the
illuminator power knob.

Using the PurePoint™ LIO for Laser Treatment (HEINE**)

Using the system in this mode enables photocoagulation with the LIO.

WARNING!

All the personnel in the room during the operation must wear protective safety
eyewear with a minimum optical density OD 4 to filter 532nm radiation.

Before each use of the headset, the operator must examine the permanent
Doctor Protection Filter for scratches, breaks, or alterations by looking through
the ocular lens. If there is any doubt, discontinue use of device and please call
Alcon Technical Service.

NOTE: The PurePoint™ LIO is shipped with +2 diopter ocular lenses installed.
These may be changed with 0 (zero) diopter lenses.
1. If desired, change the ocular lenses by unscrewing the eyecup retainer in the
counterclockwise direction, change each lens, and replace the eyecup retainers.
Ensure that the new lenses are clean; i.e. no fingerprints or debris. Refer to the
PurePoint™ LIO maintenance section for cleaning instructions.

Figure 6-5 Eyecup Retainers and Ocular Lens on the PurePoint™ LIO

2. Turn the Constellation™ Vision System console power ON and make the
appropriate selections.
3. Select the appropriate illumination field size by toggling the illumination
aperture lever to the desired setting.
4. Adjust the illumination intensity using the LIO Intensity up/down buttons.

8065000411 Rev. A 6.17

 Constellation™ Vision System

5. On the touchscreen, set the power below the nominal titration level. If the power
parameter is not set below the nominal titration level, the message “Set Power <
xxxx mW” will appear on the display.
6. If necessary press the Reset button to reset the shot counter to 0.
You can now adjust exposure time, aiming beam power, and treatment beam
power.
7. Select exposure time by pressing the Exposure Time Adjustment arrow buttons.

WARNING!
Verify that all personnel are wearing protective eyewear (OD 4 or above at 532 nm)
as soon as the system is in Standby/Ready mode, as well as during treatment.

NOTE: It is not recommended to use exposure times longer than two seconds
in CW (Continuous Wave) mode. Depending on the thermal load,
the system may shut down prior to the footswitch being released. A
message will appear on the display indicating this condition.

8. Select the aiming beam intensity by pressing the Aiming Beam up/down
buttons.

WARNING!
Do not attempt treatment if aiming beam is not present. Patient injury may occur.

9. Set the desired treatment power by pressing the Power up/down buttons.
10. Select the laser spot size using the Laser Spot Size lever (see Figure 6-4). The
positions of the Laser Spot Size lever for large (approximately 1 mm) and small
(approximately 0.5 mm) laser spot sizes are marked with large and small black
dots on the right side of the box, respectively. The change of laser spot size from
large to small results in approximately four times increase in irradiance within
the treatment area, provided that laser power was not adjusted.

It is recommended to adjust laser power each time the Laser Spot Size Control
setting is changed. Start with low power and a short duration pulse, then
increase until the desired coagulation result is achieved.

WARNING!
If unsure which settings are required, select a low power, short duration, and large
laser spot size. Failure to properly adjust delivered energy may lead to patient injury.

6.18 8065000411 Rev. A

Constellation™ Vision System

11. Press the Ready selection under Laser Mode on the touchscreen. The system
will emit a voice confirmation that it has entered Ready mode.

NOTE: The footswitch must be released to proceed to Ready mode. If the

footswitch is depressed during power-up or while in Standby mode,
“Release footswitch” is displayed. Release footswitch and proceed.
12. Use the Laser Vertical Adjustment knob (see Figure 6-4) on the laser delivery
adaptation to aim the laser at the desired location within the illumination field.
13. Press the footswitch when ready to fire. The system will emit a four millisecond
beep each time the laser fires. If the footswitch is not pressed within 2 minutes
starting from entry into “Ready” mode, the system emits one beep and switches
to “Standby” mode.

NOTE: The aiming beam is off during treatment beam exposure, except in
repeat mode.
14. Repeat the firing procedure as often as necessary, making adjustments to power
output and duration as appropriate to complete the treatment session.
15. When the treatment is completed, release the footswitch and press the Standby
button on the touchscreen.

NOTE: The Emergency switch on the front panel must only be used in case of
emergency. After using the Emergency switch, return it to its initial
position to restore power and start the instrument.

PurePoint™ LIO MAINTENANCE (HEINE**)

This section contains information for basic care and maintenance of the LIO. If a
problem occurs on the instrument, call the Alcon Technical Services department and
give details of the breakdown circumstances and effects. From these elements, a
technician will evaluate the problem and determine the maintenance requirements.

Checking the LIO Appearance

The condition of the hardware components must be checked periodically to identify
any fault which might cause incorrect operation of the system.
• Operation of controls and indicators.
• State of the fibers and connecting cables.
• Check permanent Doctor Protection Filter for damage; i.e., scratches and cracks.

Any damaged hardware must be replaced. Contact your Alcon Technical Service
representative.
CAUTION
Care and cleaning operations must be performed with the instrument turned off and
power disconnected.

Headset Care and Maintenance

• The eyepieces and the glass in front of the binocular assembly can be cleaned
with a soft cloth (dipped in alcohol if necessary).
• The cushions for forehead and nape can be removed for wiping with soapy water.
• The rest of the instrument can be cleaned with a soft cloth dipped in alcohol.
Under no circumstances should cleaning fluids be used.
8065000411 Rev. A 6.19
 Constellation™ Vision System

Storage
The PurePoint™ LIO should be stored either on the headset stand or in its storage
case when not in use to prevent inadvertent damage to the headset or cables.

Changing the Illumination Bulb

1. Ensure that the LIO is not connected to the Constellation™ Vision System.
2. Pull the cord socket away from the bulb connector (see Figure 6-6).
3. Unscrew and remove the bulb connector, then pull the bulb out of the socket.

WARNING!
The bulb and bulb connector may be hot, and can burn your fingers.

CAUTION
Do not touch the glass part of the new bulb directly with your fingers. Oil from fingers
can dramatically reduce bulb life.
4. Clean the new bulb with a soft, clean cloth.
5. Insert the new bulb so its locating pin engages in the housing slit.
6. Rest the bulb connector on the base of the bulb and firmly screw it in.
7. Re-connect the cord socket.

Figure 6-6 PurePoint™ LIO Bulb Replacement (HEINE**)

Calibration
Alcon recommends that the LIO be calibrated on an annual basis as an integral
part of the laser system with which it is used. Refer to Section Four for calibration
information.

PurePoint ™ LIO SPARE PARTS AND ACCESSORIES

Bulb 6V . . . . . . . . . . . . . . . . . . . . . . P/N 542-1119-001
Laser Protective Eyewear. . . . . . . . . P/N 8065750107
28 D Lens. . . . . . . . . . . . . . . . . . . . . P/N 8065750158
20 D Lens. . . . . . . . . . . . . . . . . . . . . P/N 8065-6879-01
+2 D Ocular Lens. . . . . . . . . . . . . . . P/N 301-361
0 D Ocular Lens. . . . . . . . . . . . . . . . P/N 301-362
Headset Stand. . . . . . . . . . . . . . . . . . P/N 8065750891
6.20 8065000411 Rev. A
Constellation™ Vision System

ALCON PUREPOINT™ LASER INDIRECT OPHTHALMOSCOPE (LIO) - KEELER

Product Description
The PurePoint™ Laser Indirect Ophthalmoscope (LIO) is an accessory for use with
the PurePoint™ Laser. The PurePoint™ LIO is composed of a diagnostic headset
with integral laser delivery mechanism and LED illumination that is powered by a
rechargeable lithium battery pack. The treatment laser beam and the aiming beam are
both provided by the PurePoint™ Laser or the Constellation™ Vision System.
The PurePoint™ LIO is connected to the PurePoint™ Laser via a fiber optic cable for
the treatment and aiming beams. The angle of projection of the laser is adjustable by
approximately +/- 3 degrees. The illumination light is adjustable from approximately
1300 to 6500 lux using the illumination control knob on the headset.
A permanent Doctor Protection Filter protects the surgeon against incidental laser
beam reflections.

Figure 6-7 The Alcon PurePoint™ Laser Indirect Ophthalmoscope (Keeler)

8065000411 Rev. A 6.21

 Constellation™ Vision System

Intended Use(s)
The PurePoint™ LIO is intended to be used to facilitate coagulating or cutting tissue
of the eye, orbit, or surrounding skin by a laser beam.
The PurePoint™ LIO is intended to be used by licensed ophthalmic surgeons
Indication(s) for Use
The PurePoint™ LIO is an accessory to be used with the PurePoint™ Laser System
or the Constellation™ Vision System for delivery of laser treatment beam to patients.
The LIO is indicated for use in treatments of the following disease states:
• Proliferative diabetic retinopathy
• Macular degeneration
• Retinal detachment
Contraindications
There are no specific contraindications for the PurePoint™ LIO.
Clinical Benefits
The intended clinical benefit of the PurePoint™ laser system, when used as indicated,
in conjunction with a compatible Alcon surgical system and/or with compatible
accessories, is to contribute to ophthalmic surgical interventions that improve or
preserve vision.

6.22 8065000411 Rev. A

Constellation™ Vision System

WARNINGS and CAUTIONS

The head-worn Laser Indirect Ophthalmoscope (LIO) is designed solely for examination
and treatment of the eye, particularly the retina.

The PurePoint™ LIO must be installed by an Alcon trained representative for power
output verification prior to the initial use. To schedule installation, contact the Alcon
Technical Services Department at 800-832-7827. Outside the USA, contact your local
Alcon Affiliate.

Insure that the selection on the Constellation™ Vision System display is LIO. It is the
responsibility of the operator to verify that the selection is correctly confirmed.

The operator must be careful to avoid potential secondary reflections; therefore, the
room used to treat the patient should be approved by a qualified laser safety officer.

All personnel in the treatment room must wear protective eye wear (OD 4 or above at 532
nm) when the system is in Standby, Ready, or Firing modes.

The laser delivery system is an integral part of the LIO and is not designed to be used
with an observer. Never use a teaching or observation system in conjunction with the
LIO. There is no eye protection provided for the observer.

Never treat a patient when the PurePoint™ Laser is connected to a service computer.

Before each use of the headset, the operator must check the permanent Doctor
Protection Filter for scratches, breaks, or alterations. If there is any doubt, please call
Alcon Technical Services, and discontinue use of device.

There are potential hazards when inserting, steeply bending, or improperly handling the
fiber optic cable. Not following the recommendations of the manufacturer may lead to
damage to the fiber or delivery system and/or harm to the patient or user.

Since the aiming beam passes down the same delivery system as the treatment beam,
it provides a good method of checking the integrity of the delivery system. If the aiming
beam spot is not present at the distal end of the delivery system, or its intensity is
reduced or it looks diffused, this a possible indication of a damaged or not properly
working delivery system. If there is any doubt, contact Alcon Technical Services.

The use of flammable anesthetics or oxidizing gases such as nitrous oxide (N2O) and
oxygen should be avoided. Some materials - for example cotton wool when saturated
with oxygen - may be ignited by the high temperatures produced in normal use of the
laser equipment. The solvents of adhesives and flammable solutions used for cleaning
and disinfecting should be allowed to evaporate before the laser equipment is used.
There is also danger of ignition of endogenous gases.

A qualified technician must verify LIO performance every twelve months to ensure the
LIO is operating within specifications. See Section Four of this operator’s manual for
instructions on verifying and calibrating the system. If the LIO is not operating within
specifications, do not use the system; call Alcon Technical Services.

This device must only be used by clinicians trained in the use of ophthalmic laser
devices.

This device is designed for safe use with a laser of 532 nm wavelength. Check the
markings on the top of the LIO (near the optical fiber connection) and ensure they match
those on the connected Laser.

Always look through the ophthalmoscope when the treatment beam is activated. Do not
look over the ophthalmoscope when the treatment beam is activated.

This product should not be immersed in fluids.

Do not disassemble or modify the battery. There are no serviceable parts inside.

8065000411 Rev. A 6.23

 Constellation™ Vision System

WARNINGS and CAUTIONS (continued)

Do not dispose of battery in fire, puncture or short circuit, Dispose of batteries in line
with local environmental regulations.

Do not use a battery that is deformed, leaking, corroded or visually damaged. Handle
a damaged or leaking battery with care. If you come into contact with electrolyte,
wash exposed area with soap and water. If it contacts the eye, seek medical attention
immediately.

Use only Alcon supplied batteries, chargers and power supplies as per the accessories
listed.

When replacing lithium battery pack, turn illumination power off and attach new pack.

Remove batteries when device may not be used for prolonged periods.

Do not charge battery in any environment where the temperature may exceed 40˚C or fall
below 0˚C.

Ensure device is securely held in docking station to minimize risk of injury or damage to
equipment.

At product end of life dispose of in accordance with local environmental guidelines

(WEEE).

The LIO is intended to be used with the LIO LED only. Any other light source used with
the LIO will not function.

The LIO is intended to be used with the LIO docking station only.

No other equipment apart from the LIO and spare battery should be mounted onto the
charging dock when fixed to the wall to prevent the likelihood of the charging dock from
falling.

Switch off the electrical supply and disconnect from the mains electrical supply before
cleaning and inspection.

Do not fit mains power adapter into a damaged mains outlet socket.

Route charger power cords and fiber optic cable safely to eliminate risk of tripping or
damage to equipment.

LED’s can reach high temperatures in use – allow to cool before handling.

Do not exceed maximum recommended exposure time.

Maintenance, care, and cleaning must be performed with the instrument turned off and
power disconnected.

To minimize hazardous light exposure, operate light source at lowest intensity setting
consistent with adequate visibility of the surgical area.

The light emitted from this instrument is potentially hazardous. The longer the duration
of exposure, the greater the risk of ocular damage. Exposure to light from this instrument
when operated at maximum intensity will exceed the safety guideline after 60 minutes
using a ancillary 20D lens.

Do not use the PurePoint™ LIO if it is received in a defective condition. In this case,
contact:
By phone:
USA - (800) 757-9780
EU/International: Contact your local Alcon Representative.

By website: https://www.alcon.com/contact-us/

6.24 8065000411 Rev. A

Constellation™ Vision System

Safety Considerations – Illumination

It is well established that exposure of the eye to intense light sources for extended
periods of time poses a risk of retinal photic injury. Many ophthalmic instruments
illuminate the eye with intense light. The decision about the intensity of the light
level to use in any procedure must be made on a case to case basis. In each case, the
clinician must make a risk benefit judgement about the intensity of light to be used.
Use of insufficient intensity may result in inadequate visualization and adverse effects
more serious than retinal photic damage. Further, despite all efforts taken to minimize
the risk of retinal damage, damage may still occur. Retinal photic injury is a possible
complication of the need to use bright light to clearly visualize ocular structure during
delicate ophthalmic surgical procedure.
While no visible retinal lesions have been identified for ophthalmic instruments, it
is recommended that illumination levels be set to the minimum level necessary to
perform the function. Young children and persons with diseased eyes may be at a
higher risk. The risk may also be increased if the person being examined has had
any exposure with the same instrument or any other ophthalmic instrument using an
intense visible light source during the previous 24 hours. This will apply particularly
if the eye has been exposed to retinal photography.

CAUTION
The light emitted from this instrument is potentially hazardous. The longer the
duration of exposure, the greater the risk of ocular damage. Exposure to light from this
instrument when operated at maximum intensity will exceed the safety guideline after
60 minutes using a ancillary 20D lens.

Figure 6-8 Relative Spectral Output of LED Light Source

8065000411 Rev. A 6.25

 Constellation™ Vision System

PurePoint™ LIO (Keeler) Icons and Labels

Labels and symbols may vary according to the date of manufacture and are shown for
reference only. Figure 6-9 shows label locations and defines symbols that are used on
the PurePoint™ LIO.
Laser Wavelength Label

Right Nameplate Label

(not shown)

Front Nameplate Label

Left Nameplate Label

Caution: Consult accompanying Consult instructions for use or

documents (black figure on consult electronic instructions for use
yellow background) Caution: US Federal Law restricts
Follow Instructions For Use this device to sale by or on the order
of a physician
(white figure on blue back-
ground)
Medical Device

Laser Aperture (black figure on

yellow background) Authorized representative in the
EC REP
European Community

Manufacturer CE Mark

REF Catalog Number

Country of Manufacture: CC
CC Manufacture date: YYYY-MM-DD
SN Serial Number

No continuous use of LIO; 10

minutes ON / 20 minutes OFF LOT Batch Code

Use appropriate take-back

system

Figure 6-9 PurePoint™ LIO Labeling (Keeler)

6.26 8065000411 Rev. A

Constellation™ Vision System

Table 6-7 PurePoint™ LIO Technical Specifications (Keeler)

CATEGORY SPECIFICATION
Width: 25.0 cm (9.8 inches)
Dimensions Length: 34.0 cm (13.4 inches)
Height: 20.0 cm (7.9 inches)
Net Weight
(including fiber optical <800 g (1.76 lbs)
cable)
Input mains data: 100-240V; 50/60Hz; 700mA
Power supply rating: 12V; 2.5amps (PSU only)
Electrical Characteristics Operation: Continuous
Classification: Class II equipment (charging dock & PSU only)
IP rating: IPX0
Transport: Temperature: -40º C≤ Tº ≤ 70º C
Relative Humidity: 10% to 95% with no condensation

Storage: Temperature: -10º C≤ Tº ≤ 55º C

Environmental Limitations
Relative Humidity: 10% to 95% with no condensation

Operating: Temperature: 10º C≤ Tº ≤ 35º C

Relative Humidity: 30% to 90% with no condensation
Illumination Intensity: 6500 Lux +/-500
Illumination patch sizes: 18/34/43mm +/-5%
(Measurements taken at 280mm from the center of the dichroic mirror.)
Ophthalmoscope
Interpupillary adjustment: 48 to 76mm
Ophthalmoscope filters: Red free, Blue and Diffused
PurePoint™ Laser complies with CE MDD requirements (CE 0123).

Not suitable for use in the presence of flammable anesthetic, oxygen,

Miscellaneous
or nitrous oxide.

System not protected against the ingress of water.

8065000411 Rev. A 6.27

 Constellation™ Vision System

PurePoint™ LIO (Keeler) Safety Features

• Labels on the instrument warn the operator about laser dangers.
• A protective housing covers the laser source completely and the beam will only
exit through the LIO exit window.
• A permanent Doctor Protection Filter on the LIO headset protects the operator
from incidental reflections of the laser beam. Prior to using the laser system,
ensure that the filter is in good condition and that it has not been damaged,
displaced, or moved.
• An emergency switch located on the Constellation™ Vision System console can
be used to shut off power to the laser. After using the emergency switch, pull it
back to its initial position to restore power and start the instrument.

General System Precautions

All personnel operating laser systems shall follow each of the general safety
precautions listed below.

• Never look into the laser beam.

• Restrict laser room access to people whose presence is required and who are
familiar with the laser precautions.
• The laser room should be clearly identified with proper warning signs.
• Never direct the laser beam towards an opening.
• Never place any reflecting object in the path of the laser beam, or direct the laser
beam toward objects that may reflect light (such as surgical instruments).
• Turn the laser OFF when not in use.
• Turn the LIO illuminator power knob to OFF when not in use.
• Only authorized personnel thoroughly familiar with the recommendations
contained in this manual may operate the LIO. Any use of this laser system
beyond the design intentions may result in dangerous exposure to laser radiation.
• Familiarity and understanding the use and application of the Indirect
Ophthalmoscope is a prerequisite to using the LIO.

6.28 8065000411 Rev. A

Constellation™ Vision System

LIO Controls and Components (Keeler)

Headband Height Adjustment Knob

Headband Circumference
Adjustment Knob

Brow Band
Tension Knob (2)

Illumination On/Off and

Intensity Adjustment Knob

Illumination Vertical Adjustment Knob

Laser Vertical Adjustment Knob

Observation Optics
Adjustment Knob Aperture
Lever
Filter
Selection
Lever

Illumination LED
Under some single fault conditions the
temperature of the surface shown below
could get hot and there is a possible risk of
a burn if touched.

Laser View Top View

Figure 6-10 PurePoint™ LIO (Keeler) Controls and Adjustments

8065000411 Rev. A 6.29

 Constellation™ Vision System

Aperture Lever
The Aperture Lever shown in Figure 6-11 allows you to choose between three
different-sized illumination fields. The choice of illumination field size depends
mainly on the size of the patient’s pupil. When an aperture is selected, the
illumination and viewing mirrors automatically adjust for maximum stereopsis.

Aperture Lever

Figure 6-11 The Aperture Lever

• Large - This large, round, uniform patch is suitable for routine examinations
through fully dilated pupils. In this position the mirror remains in the
forward position and the optics are diverged.
• Intermediate - The intermediate patch is designed to reduce reflections
when entering a partially or poorly dilated pupil (3 mm). It is also ideal for
close inspection of particular fundal areas. The mirror and optics stay in the
mid position.
• Small - This light patch is ideal for small, undilated pupils. The mirror
moves back and the optics automatically converge.

Filter Selection Lever

The Filter Selection Lever shown in Figure 6-12 has the following selections:

Blue Circle - Cobalt blue filter for fluorescein angioscopy.

White Circle - Clear light; select the clear with no filter when inspecting a
specific pathology and a brighter, whiter light is desired.

Green Circle - Red free filter; this filter reduces the red light so blood will appear
black, silhouetted against a dark background.

Diffuser - This unique extra wide beam of diffused light permits a more relaxed
technique during more challenging fundus examinations. When using this filter,
the alignment between the headset, the condensing lens, and the pupil, in order to
achieve a full lens image, is not as critical as with the conventional beam.

6.30 8065000411 Rev. A

Constellation™ Vision System

Filter Selection Lever

Figure 6-12 The Filter Selection Lever

Illumination On/Off and Intensity Adjustment Knob

Rotating this knob (see Figure 6-10) in the clockwise direction turns the illumination
LEDs on and increases the intensity.
Illumination Vertical Adjustment Knob
The illumination patch can be adjusted up or down using the Illumination Vertical
Adjustment Knob. The illumination control has a larger adjustment range than
the laser control so it is recommended to adjust the laser first, then overlay the
illumination.
Laser Vertical Adjustment Knob
The laser angle of projection can be adjusted up or down using the Laser Vertical
Adjustment Knob.
Observation Optics Adjustment Knob
Loosening this knob allows the Observation Optics to move freely while the user is
positioning the LIO on their head.
Headband Height and Circumference Adjustment Knobs
Turning these knobs adjusts the height and circumference of the headband to ensure
that the LIO is firmly and comfortably fit to the user's head.

8065000411 Rev. A 6.31

 Constellation™ Vision System

Battery and Charging Station

The PurePoint™ LIO uses a rechargeable battery, attached to the rear of the
headband, to power the illumination LED (see Figure 6-13). The Battery Status LED
flashes when the battery requires charging. At that time the battery can be replaced
with the spare battery from the charging station shown in Figure 6-14.

Status LED Battery

Figure 6-13 Rechargeable Battery

Battery Charging Station

The Battery Charging Station is used to charge both the spare battery and the battery
currently mounted on the LIO headband. The battery pack can be used at any time
during the charging cycle and will automatically resume charging when the battery
is placed back in the charging station. The direction arrow on the charging station
indicates which battery is being charged. The LED's on the charging station indicate
the status of the charges as follows:
• No indicator - Battery is fully charged.
• Flashing indicator - Top up charge.
• Solid indicator - Rapid charge.
Spare Battery
Charging Dock

Charging Spare
Battery LED

Charging Battery
on LIO Headband

LIO Headband
Charging Dock

Figure 6-14 Battery Charging Station

6.32 8065000411 Rev. A

Constellation™ Vision System

Mounting the Battery Charging Station

1. Use the provided template to mark the position of the charging station and drill
holes.
2. Using Figure 6-15 as reference, install the mounting screws and mount the
charging station as shown.

Figure 6-15 Reference Diagram for Mounting the Battery Charging Station

3. Replace the power supply blanking plate with the appropriate mains plug
adaptor (if required). Plug the power supply into an appropriate mains plug and
connect it to the charging station.

Charging Batteries on the Charging Station

1. Ensure the charging station is plugged in and the LIO illumination is turned off.
2. Place the spare battery and/or the LIO headset into the charger as shown in
Figure 6-16.

The battery attached to the LIO headset will take approximately 2 hours to fully
charge and will last approximately 2 hours on the full power setting. The spare
battery will take approximately 4 hours to charge.

8065000411 Rev. A 6.33

 Constellation™ Vision System
Spare Battery Dock

Power
Supply
Connector

Figure 6-16 Placing the Headset in the Charger

Removing and Replacing the Battery on the LIO Headset

3. Release the battery by pressing the release button and lifting the battery pack
from the LIO headset as shown in Figure 6-17.
4. Install battery onto the LIO headset by placing the rear of the battery in place
and pressing the front of the battery until it snaps into place on the headset.
NOTE: Removing and replacing the spare battery on the charging station
is accomplished in the same manner.

Release Button

Removing the battery

Replacing the battery

Figure 6-17 Removing and Replacing the Battery on the LIO Headset

6.34 8065000411 Rev. A

Constellation™ Vision System

USING THE PUREPOINT™ LIO (Keeler)

Adjusting the Headband
1. Loosen the Observation Optics Adjustment Knob (see Figure 6-10) so that the
Binocular Block is allowed to move. The Observation Optics Adjustment Knob
can be unscrewed and reversed to the other side for left-handed operators.

2. Place the LIO on your head and adjust the circumference and height using the
Circumference and Height Adjustment Knobs so that the headband is firmly
positioned but fits comfortably on the head (see Figure 6-18).

Height Adjustment Knob -

rotate so band over top of
head fits firmly.

Brow Band Adjustment Knob -

rotate to adjust height of metal
brow bar/optics block.

Circumference Adjustment Knob -

rotate to fit firmly around head.

Figure 6-18 Adjusting The PurePoint™ LIO Headband (Keeler)

3. For convenience, use clothing clip to attach the fiber/cable assembly to clothing.
4. Ophthalmoscope Angle Alignment
4.1 For vertical alignment of the eyepieces and binocular block, adjust the
height of the Metal Outer Brow Bar if necessary by using the Brow Band
Tension Knobs located on each side of the headset.
4.2 Position the Binocular Block as close to the eyes or spectacles as possible
for maximum field of view and tighten the Observation Optics Adjustment
Knob.

8065000411 Rev. A 6.35

 Constellation™ Vision System

5. Interpupillary Distance Setting Control

5.1 Set the Aperture to the large light patch setting.
5.2 Place an object, perhaps a pen or your thumb, approximately 40 cm from
the face and center it horizontally in the light patch.
5.3 Close one eye. Using the thumb and forefinger of the opposite hand, slide
the P.D. Control of the open eye (located directly under each eyepiece) so
that the object moves into the center of the field, keeping the object in the
center of the light patch.
5.4 Repeat for the other eye.
5.5 Ensure the object is clearly focused.
6. Using the Illumination Adjustment Knob, adjust the optics so that the light spot
is centered vertically in your field of view, then tighten the Observation Optics
Adjustment Knob.
7. If the light spot is not centered horizontally, adjust the headband left or right
accordingly.
8. Adjust the pupil distance setting by viewing the light spot alternately with the
left eye then the right eye, and sliding the eyepieces so that the spot is centered
within your field of view.
9. Remove the LIO and look at the scale on the eyepieces to insure that the pupil
distance is symmetrical. If not, center the headset and readjust the eyepieces.
Correct adjustment of the optics is particularly important when examining small
pupils.
10. Once set, changing the adjustments is required only if another examiner uses the
instrument.

WARNING!
To minimize hazardous light exposure, operate light source at lowest intensity
setting consistent with adequate visibility of the surgical area.

Using the PurePoint™ LIO (Keeler) for Observation

11. Turn the illumination power on and adjust the light intensity using the
Illuminator Power knob.

6.36 8065000411 Rev. A

Constellation™ Vision System

Using the PurePoint™ LIO (Keeler) for Laser Treatment

Using the system in this mode enables photocoagulation with the LIO.

WARNING!
All the personnel in the room during the operation must wear protective safety
eye wear with a minimum optical density OD 4 to filter 532 nm radiation.

Before each use of the headset, the operator must examine the permanent Doctor
Protection Filter for scratches, breaks, or alterations by looking through the
ocular lens. If there is any doubt, discontinue use of device and please call Alcon
Technical Service.

NOTE: The PurePoint™ LIO is shipped with +2 diopter ocular lenses installed. These
may be changed with 0 (zero) diopter lenses.

12. If desired, change the ocular lenses by unscrewing the eyecup retainers in the
counterclockwise direction, change each lens, and replace the eyecup retainers.
Ensure that the new lenses are clean; i.e., no fingerprints or debris. Refer to the
PurePoint™ LIO maintenance section for cleaning instructions.
13. Turn the Constellation™ Vision System console power ON and make the
appropriate selections as specified in this manual.
14. Turn LIO Illumination ON.
15. Select the appropriate illumination field size using the Aperture lever.
16. Adjust the illumination intensity using the Illumination Intensity Adjustment
knob.
17. On the touchscreen, set the power below the nominal titration level.
18. If necessary, press the Reset button to reset the shot counter to 0.
19. Select exposure time by pressing the Exposure Time Adjustment arrow buttons.

WARNING!
Verify that all personnel are wearing protective eye wear (OD 4 or above at
532 nm) as soon as the system is in Standby/Ready mode, as well as during
treatment.

NOTE: It is not recommended to use exposure times longer than two seconds in
CW (Continuous Wave) mode. Depending on the thermal load, the system may
shut down prior to the footswitch being released. A message will appear on the
display indicating this condition.

20. Select the aiming beam intensity by pressing the Aiming Beam up/down
buttons.

WARNING!
Do not attempt treatment if aiming beam is not present. Patient injury may occur.

8065000411 Rev. A 6.37

 Constellation™ Vision System

21. Set the desired treatment power by pressing the Power up/down buttons.
22. Press the Ready selection under Laser Mode on the touchscreen. The system
will emit a voice confirmation that it has entered Ready mode.

NOTE: The footswitch must be released to proceed to Ready mode. If

the footswitch is depressed during power-up or while in Standby mode,
“Release footswitch” is displayed. Release footswitch and proceed.
23. Use the Laser Vertical Adjustment knob on the laser delivery adaptation to aim
the laser at the desired location within the illumination field.
24. Press the footswitch when ready to fire. The system will emit a 4 millisecond
beep each time the laser fires. If the footswitch is not pressed within 2 minutes
starting from entry into “Ready” mode, the system emits one beep and switches
to “Standby” mode.

NOTE: The aiming beam is off during treatment beam exposure, except in
repeat mode.
25. Repeat the firing procedure as often as necessary, making adjustments to power
output and duration as appropriate to complete the treatment session.
26. When the treatment is complete, release the footswitch and press the Standby
button on the touchscreen.
Turn Off Sequence
27. Turn the key to the OFF (O) position and, for safety reasons, remove the key.
NOTE: The Emergency switch on the front panel must only be used in case
of emergency. After using the Emergency switch, pull it back to its initial
position to restore power and start the instrument.
28. Place the Illumination On/Off switch to the OFF (O) position.

6.38 8065000411 Rev. A

Constellation™ Vision System

PUREPOINT™ LIO (KEELER) MAINTENANCE

This section contains information for basic care and maintenance of the instrument.
If a problem occurs on the instrument, call the Alcon Technical Services department
and give details of the breakdown circumstances and effects. From these elements, a
technician will evaluate the problem and determine the maintenance requirements.
Checking the LIO Appearance
The condition of the hardware components must be checked periodically to identify
any fault which might cause incorrect operation of the system.
• Overall appearance.
• Operation of controls and indicators.
• State of the fibers and RFID/SMA connector.
• Check permanent Doctor Protection Filter for damage; i.e., scratches and cracks
by looking through the ocular lens.
• Check mirror at front of LIO for damage.
Any damaged hardware must be replaced. Contact your Alcon Technical Service
representative.
WARNING!
Care and cleaning operations must be performed with the instrument turned off
and power disconnected.

Headset Care and Maintenance

• Wipe the external surface with a clean, absorbent, non-shedding cloth dampened
with a water/detergent solution (2% detergent by volume) or water/isopropyl
alcohol solution (70% IPA by volume). Avoid optical surfaces.
• Ensure that excess solution does not enter the instrument. Use caution to ensure
cloth is not saturated with solution.

Storage
The PurePoint™ LIO should be stored either on the Charging Station or in a storage
case when not in use to prevent inadvertent damage to the headset or fiber optic cable.

8065000411 Rev. A 6.39

 Constellation™ Vision System

Changing The Illumination LED

1. Ensure that the Illumination On/Off Switch is in the OFF (O) position.

WARNING!
The LED may get hot during prolonged use.

2. Allow the LED to cool.

3. Grasp the LED on each side and pull out to remove from the illumination block
(see Figure 6-19).

Illumination LED

Pull LED out to remove

Figure 6-19 LED Removal

4. Insert the new LED ensuring that the alignment key is in the proper orientation
(facing upward) so that the LED easily slides into the opening then snaps into
place. NOTE: Only LEDs provided by Alcon should be used in the LIO.
5. Ensure that the red switch on the Illumination On/Off and Intensity knob
assembly is in the forward position as shown in Figure 6-20.

6.40 8065000411 Rev. A

Constellation™ Vision System

Red switch in
forward position

Figure 6-20 Illuminator Rheostat (red) Switch Position

POWER VERIFICATION
Alcon recommends that a power verification be performed on an annual basis as an integral
part of the laser system with which it is used. Refer to Section Four of this manual for system
calibration information.

PUREPOINT™ LIO (KEELER) ACCESSORIES

• 8065753009 Illumination LED
• 8065753010 Battery Pack
• 8065753011 Battery Charger

8065000411 Rev. A 6.41

 Constellation™ Vision System

THIS PAGE INTENTIONALLY BLANK

6.42 LAST PAGE OF THIS SECTION 8065000411 Rev. A

Constellation™ Vision System

SECTION SEVEN - INDEX

Symbols D
3D SUBMODE........................................................................ 2.90 Detailed Setup........................................................................ 2.74
(Hold) Duration....................................................................... 2.36 DFU.......................................................................................... 4.3
% Time On............................................................................ 2.119 diagnostics............................................................................... 3.1
Diathermy/Coagulation Handpieces..................................... 2.166

A
Diathermy Global Control....................................................... 2.64
Diathermy Power.................................................................... 1.27
Directions For Use (DFU)......................................................... 4.3
About Constellation™............................................................. 2.50 display panel................................................................... 2.1, 2.14
ABS™................................................................................... 2.162 display screens....................................................................... 2.14
Accessories Setup Panel....................................................... 2.71 DISPOSAL OF XENON LAMPS............................................... 4.4
Accessory Equipment............................................................. 1.12 Doctor Protection Filter........................................................... 1.37
Accurus™ Classic.................................................................. 2.85 DOCTOR SETTINGS............................................................. 2.22
AcrySof™ intraocular lenses................................................ 2.166 drainage bag........................................................................ 2.168
Add Favorite........................................................................... 2.19 DVD/CD.................................................................................. 2.46
Add to Procedure................................................................... 2.19 DVD/RW................................................................................... 2.7
Advisory Messages........................................................... 5.3, 5.4 Dynamic Rise....................................................................... 2.103
Aiming Beam On During Standby Mode................................ 2.36
Air Pressure Requirements.................................................... 1.12
Aspiration Bypass System.................................................... 2.162
Audio Input........................................................................ 2.7, 2.8
E
AUTO GAS FILL............................................................ 2.44, 2.80 eConnectivity.......................................................................... 2.39
Auto Gas Filling...................................................................... 2.71 Electrical Connectors............................................................... 2.1
Auto Gas Fill Purge Cycles.................................................... 2.38 electrical interconnections........................................................ 2.7
AutoSert™ IOL Injector........................................................ 2.166 Electromagnetic Emissions.................................................... 1.14
Auxiliary Illuminator Module Eject Button................................. 2.9 Electromagnetic Immunity...................................................... 1.15
EMC Statement...................................................................... 1.14

B
End Case................................................................................ 2.57
END CASE........................................................................... 2.150
Endoprobe Power Verification.................................................. 4.6
Barcode Reader....................................................................... 2.7 Energy Matrix........................................................................... 4.8
Barcode scanner connection............................................. 2.7, 2.8 Environmental Limitations........................................................ 1.6
Basic Setup............................................................................ 2.66 Equipotential Ground Connector.............................................. 2.9
batteries are installed............................................................. 2.13 error message........................................................................ 1.19
Bimanual mode...................................................................... 2.88 Event Log............................................................................... 2.49
biohazards................................................................... 1.25, 2.169 Exposure Time Verification....................................................... 4.6
Bottle Hanger........................................................................... 2.2 EXTRACT SUBMODE.......................................................... 2.147
Bubble Suppression Insert................................................... 2.163 EXTRAS................................................................................. 2.43
BURST SUBMODE................................................... 2.110, 2.112 EXTRUSION MODE............................................................. 2.133
buttons.................................................................................... 2.14

C F
Facility Pressure Source Connectors....................................... 2.8
CALIBRATION VERIFICATION................................................ 4.4 Fault Messages........................................................................ 5.2
CARE AND CLEANING............................................................ 4.1 FCC Compliance Statement................................................... 1.16
care and maintenance.............................................................. 4.1 Field Service........................................................................... 2.43
CASSETTE.......................................................................... 2.168 Fill Progress........................................................................... 2.44
caster wheels........................................................................... 2.4 FIXED SUBMODE................................................................ 2.125
Cautions.................................................................................... viii Fluid/Air Exchange (F/AX) Global Control............................. 2.62
CD/DVD.................................................................................. 2.46 Fluidic Management System.................................................... 2.1
Circulating Nurse...................................................................... 3.1 fluidics module.......................................................................... 2.1
Clean Cassette....................................................................... 2.43 Fluidics Module........................................................................ 2.1
cleaning.................................................................................... 4.1 Fluidics Setup Panel............................................................... 2.67
cleaning and sterilization instructions....................................... 4.3 footswitch........................................................................ 2.2, 2.10
Coagulation Handpieces...................................................... 2.166 Footswitch....................................................................... 2.4, 2.30
Composite Video In/Out.................................................... 2.7, 2.8 Footswitch Button Actions...................................................... 2.31
Configure Printer.................................................................... 2.38 footswitch cable connector....................................................... 3.2
CONNECTING A PUREPOINT LASER.................................. 3.11 Footswitch Configuration........................................................ 2.35
Connectors............................................................................... 2.1 Footswitch Storage Hook......................................................... 2.2
connectors and outlets............................................................. 2.7 Force English......................................................................... 2.41
Consumables................................................................ 2.45, 2.79 Forceps.................................................................................. 2.71
Continuous........................................................................... 2.122 FORCEPS MODE................................................................ 2.142
CONTINUOUS SUBMODE...... 2.107, 2.109, 2.120, 2.122, 2.123 Fragmatome™* handpiece.................................................. 2.160
Contra Indications.................................................................. 1.38 Fragmentation Handpiece.................................................... 2.160
Copying data.......................................................................... 2.48 FRAGMENTATION MODE................................................... 2.123
Creating New Tables............................................................ 2.153 front display panel.................................................................. 2.14
Customer Service................................................................... 1.26 Front Display Panel.................................................................. 2.1
Custom Procedure................................................................. 2.86 FRONT PANEL......................................................................... 2.1
CUSTOM SUBMODE................................................ 2.113, 2.115

8065000411 Rev. A 7.1

 Constellation™ Vision System
Laser Safety........................................................................... 1.38
G LASER SAFETY..................................................................... 1.34
Laser settings......................................................................... 2.35
Gas Mix Ratio Guide.............................................................. 2.45 Lasers Setup Panel................................................................ 2.73
Gas Selection......................................................................... 2.44 lens insertion........................................................................ 2.135
General Safety Precautions................................................... 1.34 LINEAR SUBMODE............................................................. 2.127
GLOBAL CONTROLS............................................................ 2.58 LIO................................................................................. 6.11, 6.21
GN2........................................................................................ 1.12 LIO Bulb Replacement........................................................... 6.20
Ground Connector.................................................................... 2.9 LIO Icons and Labels.................................................... 6.13, 6.26
LIO Labeling.................................................................. 6.26, 6.27

H
LIO Maintenance........................................................... 6.19, 6.39
LIO Power Verification.............................................................. 4.6
LIO Safety Features...................................................... 6.14, 6.28
handpieces and probes........................................................ 2.159 LIO Technical Specifications................................................... 6.13
Handpiece Setup Panel.......................................................... 2.69 Load Plunger button.................................................. 2.135, 2.136
Help........................................................................................ 2.53 logo screen............................................................................... 3.1
Hi-Def Margin......................................................................... 2.41 Longitudinal Pulse Duration................................................. 2.106
High Definition Video Overlay................................................. 2.41 Longitudinal / Torsional Ratio............................................... 2.106
HIGH DEFINITION VIDEO OVERLAY................................... 2.41
horizontal/vertical switches..................................................... 2.10
M
I Mackool** U/S Tips............................................................... 2.162
Main Power Switch................................................................... 2.9
I/A handpiece........................................................................ 2.164 Main Screen........................................................................... 2.15
IEC Standard.......................................................................... 1.13 Manual Revision Record............................................................. ii
Illumination............................................................................... 2.4 Menu Bar................................................................................ 2.16
ILLUMINATOR........................................................................ 1.31 Metrics.................................................................................. 2.151
Illuminator Global Control....................................................... 2.65 MicroSmooth™* Infusion Sleeves........................................ 2.163
Illuminator Module Eject Button................................................ 2.9 Modify Procedure................................................................... 2.19
Indications for Use.................................................................... 1.3 MOMENTARY SUBMODE.......................................... 2.93, 2.129
Industry of Canada (IC).......................................................... 1.17 Monitor Type........................................................................... 2.40
Infiniti™ Ultrasonic (U/S) Handpiece.................................... 2.161 moving the instrument.............................................................. 2.4
Information Messages.............................................................. 5.5 MP3................................................................................... 2.7, 2.8
Infusion sleeves.................................................................... 2.163 MULTICUT SUBMODE........................................................ 2.143
Infusion Sleeves................................................................... 2.163 multi media card (MMC)........................................................... 2.1
Initial Rate............................................................................ 2.135 Multiple Cut or MPC submode............................................. 2.143
INITIAL SYSTEM SETUP......................................................... 3.2
Inject..................................................................................... 2.148
Injector.................................................................................. 2.166
INJECT SUBMODE.............................................................. 2.148
N
installation.............................................................................. 1.12 N2........................................................................................... 1.12
Installation.............................................................................. 1.12 Navigation.............................................................................. 2.57
instrument tray.......................................................................... 2.2 Network Connection............................................................... 2.38
Instrument Tray........................................................................ 2.2 NGENUITY*.......... 1.3, 2.7, 2.8, 2.30, 2.41, 2.53, 2.53–2.56, 3.16
intraocular lenses................................................................. 2.166 NGENUITY* 3D Visualization................................................. 2.38
INTREPID™ AutoSert™ IOL Injector................................... 2.166 NGENUITY * Auxiliary............................................................ 2.30
IOL Injector.................................................................. 1.22, 2.166 NGENUITY* Image Orientation.............................................. 2.30
IP Settings dialog.................................................................. 2.105 NGENUITY* Margin............................................................... 2.41
IRRIGATION/ASPIRATION (I/A) MODE............................... 2.131 NGENUITY* Menu................................................................. 2.30
Irrigation Global Control......................................................... 2.63 NGENUITY* Setup Screen..................................................... 2.54
IV Pole...................................................................................... 2.2 Nurse........................................................................................ 3.1
IV pole extender....................................................................... 2.2

O
J Operator Profile......................................................................... viii
No entries O-ring tool............................................................................. 2.165
Ozil™.................................................................................... 2.104
OZIL™ BURST..................................................................... 2.112
K OZIL™ CUSTOM PULSE..................................................... 2.115
OZil™/Phaco Sequence......................................................... 2.28
key tone.................................................................................. 2.14 OZIL™ PULSE..................................................................... 2.119
OZil™ Torsional Handpiece.................................................. 2.161

L
LABELING....................................................................... 1.9, 1.10
P
Label Opacity......................................................................... 2.40 Paks....................................................................................... 1.26
Language............................................................................... 2.37 Patient Eye Level Offset......................................................... 2.23
Languages.............................................................................. 2.50 phaco handpieces................................................................ 2.160
Laser........................................................................................ 2.4 PHACO MODE..................................................................... 2.103
Laser Calibration Verification.................................................... 4.4 Phaco Ultrasound Handpieces............................................. 2.160
Laser Indirect Ophthalmoscope (LIO)........................... 6.11, 6.21 PIN......................................................................................... 2.22
LASER MODE...................................................................... 2.138 Pneumatic Scissors.............................................................. 2.159
Lasers..................................................................................... 1.39 pole extender............................................................................ 2.2

7.2 8065000411 Rev. A

Constellation™ Vision System
Power Control and Ready Standby........................................ 2.35 sterilization instructions............................................................ 4.3
Power Control Only................................................................ 2.35 STERILIZATION INSTRUCTIONS........................................... 4.3
power cord.............................................................................. 1.19 Suction Prime......................................................................... 2.78
Power Module.......................................................................... 2.8 supplies...................................................................................... vii
Power switch............................................................................ 3.1 SURGERY SCREEN.............................................................. 2.79
POWER UP SEQUENCE......................................................... 3.1 Surgery screens..................................................................... 2.14
pps........................................................................................ 2.119 Surgery Steps panel............................................................... 2.19
Preload IOL button.................................................... 2.135, 2.136 Surgical Control Drop Lists..................................................... 2.84
PRESSURE SOURCE............................................................. 3.6 Surgical Control Options........................................................ 2.83
preventive maintenance........................................................... 4.1 Surgical Controls.................................................................... 2.82
PRINTING.............................................................................. 2.47 SURGICAL MODES AND SUBMODES................................. 2.88
PROBES AND HANDPIECES.............................................. 2.158 Surgical Procedures............................................................... 2.84
Probe Setup Panel................................................................. 2.68 Surgical Steps........................................................................ 2.84
Procedure Paks.................................................................... 2.170 Surgical Submode Buttons..................................................... 2.87
PRODUCT SERVICE............................................................. 1.29 S-Video In/Out................................................................... 2.7, 2.8
PROP SUBMODE................................................................ 2.145 SYSTEM SETTINGS.............................................................. 2.37
PROPVAC SUBMODE........................................................... 2.96 SYSTEM STATE AREA.......................................................... 2.65
PULSED SUBMODE................................................. 2.117, 2.119

T
PUREPOINT™ LASER SAFETY FEATURES....................... 1.35
Push Prime............................................................................. 2.78

tension adjustment knob........................................................ 2.10

Q TERMS..................................................................................... 1.8
Test Instrument....................................................................... 2.43
No entries Tethered Laser Connection............................................... 2.7, 2.8
Timer...................................................................................... 2.81
timing configurations............................................................ 2.105
R Tips....................................................................................... 2.162
Toggle Video Recording................................................ 2.30, 2.41
Radio Frequency Identification (RFID)................................... 1.16 tone........................................................................................ 2.14
Ramping................................................................................. 2.33 touch screen........................................................................... 2.14
REAR PANEL........................................................................... 2.5 Touchscreen........................................................................... 2.14
Recover.................................................................................... 5.3 Touch Screen........................................................................... 2.1
Recovery Training.................................................................. 2.51 Transparent Text..................................................................... 2.40
Remote Battery Low............................................................... 2.13 treadle.................................................................................... 2.10
REMOTE CONTROL.............................................................. 2.11 Treatment Hazards................................................................. 1.38
Remote Control Batteries................................................ 2.13, 4.4 TROUBLESHOOTING GUIDE............................................... 5.11
Remote Control Channel........................................................ 2.13 TurboSonics™...................................................................... 2.162
Remote Control Settings........................................................ 2.39 TurboSonics™ Tips.............................................................. 2.162
Remote Control Settings dialog.............................................. 2.13
Retract.................................................................................. 2.135
Retract button............................................................ 2.135, 2.136
Revert to Standby Timeout..................................................... 2.36
U
Ultraflow™* handpiece......................................................... 2.164
Ultraflow™* Handpieces and Tips........................................ 2.164
S Ultraflow™* I/A handpiece.................................................... 2.164
uncrating.......................................................................... 1.12, 4.4
Scissors.................................................................................. 2.71 Universal Precautions............................................................ 1.14
Scissors mode...................................................................... 2.143 USB Connector................................................................. 2.7, 2.8
SCISSORS MODE............................................................... 2.143 User Manual........................................................................... 2.51
Screen Brightness.................................................................. 2.37 U/S Handpiece..................................................................... 2.161
Scrub Nurse............................................................................. 3.1 U/S tips................................................................................. 2.162
SD-Card................................................................................. 2.46 Utility Requirements............................................................... 1.34
self-test..................................................................................... 2.1
self-test diagnostics.................................................................. 3.1
servicing issues........................................................................ 4.1
Settings Restoration............................................................... 1.13
V
Setup...................................................................................... 2.66 Vacuum mode vs. Flow mode................................................ 2.88
Setup Form........................................................................... 2.151 VFC mode............................................................................ 2.147
Setup screen.......................................................................... 2.14 VGA out.................................................................................... 2.8
silicone oil............................................................................. 2.147 Video Broadcast..................................................................... 2.40
sleeves................................................................................. 2.163 Video Connection.......................................................... 2.40, 2.41
Smart Pulse.......................................................................... 2.104 Video Overlay.................................................................. 2.8, 2.41
SOUND SETTINGS................................................................ 2.36 Video Overlay Connection............................................. 3.15, 3.16
source air pressure................................................................. 1.12 Video Overlay setting.................................................... 2.40, 2.41
SPECIAL TOOLS..................................................................... 4.5 Video Recorder.............................................................. 2.41, 3.14
SPECIFICATIONS.................................................................... 1.6 View All................................................................................... 2.19
Spectral Output...................................................................... 1.31 View/Copy/Delete................................................................... 2.46
STANDARD DEFINITION VIDEO OVERLAY......................... 2.40 View Favorites........................................................................ 2.19
Standard vs. Advanced mode................................................ 2.88 Viscous Fluid Control.............................................................. 2.71
Standby Power Switch............................................................. 2.9 VISCOUS FLUID CONTROL (VFC) MODE......................... 2.147
Standby switch......................................................................... 3.1 VIT: Proportional Vacuum submode....................................... 2.93
Start Prime............................................................................. 2.78 Vitrectomy Mode............................... 2.90, 2.93, 2.96, 2.99, 2.101
Startup Screen....................................................................... 2.14 Vitrectomy Probes................................................................ 2.159
Status Setup panel................................................................. 2.74
Step Filtering.......................................................................... 2.19
8065000411 Rev. A 7.3
 Constellation™ Vision System

W
Warnings................................................................................... viii
WARRANTY........................................................................... 1.30
WETANT SUBMODE.................................................. 2.99, 2.101
Wireless LAN device.............................................................. 1.16

X
No entries

Y
No entries

Z
No entries

7.4 LAST PAGE OF THIS SECTION 8065000411 Rev. A