Constellation® Vision System Detailed Setup: Probe The Probe setup panel shown in Figure 2-38 displays the steps required to properly connect the various vit probes to the system. 1. Select Probe - Provides a selection of probes and, when a probe is selected, shows where to connect to the front panel. When the system detects that the operator has plugged in the probe, the handpiece type is automatically selected, the “connected” icon appears next to the selection list, and the selection list is locked. 2.
Constellation® Vision System Detailed Setup: Handpiece The Handpiece setup panel shown in Figure 2-39 displays the steps required to properly connect the various handpieces to the system. 1. Select Handpiece - Provides a selection of handpieces and, when a handpiece is selected, shows where to connect the handpiece. When the system detects that the operator has plugged in the handpiece, the handpiece type is automatically selected and the “connected” icon appears next to the selection list. 2.
Constellation® Vision System Detailed Setup: Accessories The Accessories setup panel shown in Figure 2-40 displays the steps required to properly connect the following accessories: • Scissors • Viscous Fluid Controller • Forceps • Auto Gas Fill • Diathermy 1. Select Optional Accessory - Provides a selection of accessories and, when an accessory is selected, shows where to connect the accessory.
Constellation® Vision System Detailed Setup: Illuminators The Illuminators setup panel shown in Figure 2-41 displays the steps required to properly setup and connect illuminator probes to the front panel. 1. Select Illuminator - Provides a selection of illuminator probes and shows where to connect the probe. When the system detects that the operator has connected the illuminator probe, that probe is automatically selected and the “connected” icon appears next to the selection list.
Constellation® Vision System Detailed Setup Screen: Lasers The Lasers setup panel shown in Figure 2-41a displays the steps required to properly setup and connect endoprobes or an Laser Indirect Ophthalmoscope (LIO). 1. Select Laser - Provides a selection of laser options and shows where to connect the selected option. 2. Select Laser Type - Shows the Laser type the operator has chosen and/or inserted for the highlighted laser port.
Constellation® Vision System • • • • • Forward - Forwards the video to be forwarded one segment. End - Forces the video to be forwarded to the end. Move Left - Moves the entire video popup to the left side of the surgical panels. Move Right - Moves the entire dialog to the right side of the surgical panels. Close - Closes the popup and does not launch the Video Help dialog. The controls on the Wizard Help Display operate as follows: • Previous - Rewinds the video one segment and play stops.
Constellation® Vision System Start Prime Button And Popup After the instrument connections are complete, pressing the Start Prime button displays the Prime & Test Status popup (see Figure 2-43) and begins the prime/test process for the current setup. The status bar uses different colors to indicate the progress and completion status of each segment of the prime/test process. • • • • Figure 2-43 Partial green bar - indicates that the current segment is in progress.
Constellation® Vision System The General Purpose Timer Pressing the Timer Tab (00:00:00) next to the Consumbles button displays the Timer Configuration popup shown in Figure 2-45. The timer provides for counting up and counting down from a pre-configured value. The timer features the following functionality: • Pressing the timer tab when it is running will stop the timer. • Pressing the timer tab when it is not running will launch the Timer Configuration popup.
Constellation® Vision System SURGERY SCREEN The Surgery Screen shown in Figure 2-46 is organized in the following way: • Menu Bar - This menu bar is context aware and changes the options depending on the surgical mode. • Surgery Panels - Each Surgery Panel corresponds to a “Surgical Function” and contains the various controls necessary to control each function. • Step Panel - The Step Panel allows the user to select Surgical Modes and Submodes by pressing a Step Button and a Submode Button.
Constellation® Vision System Surgery Screen: Surgical Controls The surgical panels make use of the surgical controls to change the values of the associated surgical functions. The controls provide a variety of information and capability to the user. As an example, the Vacuum control is shown in Figure 2-47.
Constellation® Vision System • • • • Actual value – Displays the current value of this parameter and depends on the position of the footswitch treadle. The actual value is shown as an absolute value and also as a relative percentage of the maximum via the progress bar. Surgical function name – The value displayed represents the surgical function being manipulated by the On/Off or Action buttons.
Constellation® Vision System Surgery Screen: Surgical Controls - Surgical Control Drop Lists For some controls in certain configurations it is necessary for the user to define additional parameters. Such parameters might include the Cutting Table, whether Linear or Fixed Flow is desired, or dynamic rise time among others. When such a choice is needed, a drop list appears near the surgical control as shown in Figure 2-49. Surgical Control with dropdown list.
Constellation® Vision System Surgery Screen: Surgical Steps A “Surgical Step” identifies a related set of activities performed during a surgical case. Examples are “Membrane Peeling” and “Core Vitrectomy.” A Surgical Step is associated with a Surgery Mode and contains unique information relevant to that mode such as the sub mode, which functions are on, and various values of surgical parameters. Selecting a Surgical Step determines which surgical functions are available.
Constellation® Vision System Figure 2-50 Accurus® Classic Surgery Screen Surgery Screen: Surgical Procedures - Custom Procedure Custom Procedures can contain any combination of steps in any order and with user defined names as shown in Figure 2-51. Custom Procedures are intended to contain all the steps that the user has included to perform a certain task. However, in some cases the user may need to do something that is not included in the current procedure.
Constellation® Vision System Surgery Screen: The Surgical Step Panel The Surgical Step Panel organizes the set of activities (steps) to be performed during a surgical procedure in a left to right sequence. The procedure may be customized as desired to meet the needs of the surgeon and the case to be performed. The Step panel provides the following functionality: • Shows which step is currently selected (note that a step is associated with only one surgical mode).
Constellation® Vision System SURGICAL MODES AND SUBMODES The Constellation® Vision System offers nine surgical modes that can be customized to meet the needs of each surgeon. Table 2-1 lists each mode and its associated submodes. TABLE 2-1.
Constellation® Vision System Aspiration Panel Configuration Button Vacuum Panel Figure 2-52 Surgery Screen: Vitrectomy Mode3D Submode Vitrectomy: 3D SUBMODE In the 3D submode, the user controls both the vitreous cut rate and the vacuum pressure linearly. This submode allows for setting the treadle start and end values for both the cut rate and the vacuum pressure. Additionally, in Advanced Display Mode that is shown in Figure 2-52, the Forceps End Pressure can be changed.
Constellation® Vision System The controls for each panel in 3D submode have the following functions: Vacuum Panel: • On/Off - Turns vacuum on or off. • Vacuum Start Up/Down Buttons - Sets the vacuum level at treadle start (3D mode only). • Vacuum End Up/Down Buttons - Sets the vacuum level at full treadle. • Vacuum Configuration Button - Displays the configuration popup allowing the user to make changes using slider controls.
Constellation® Vision System Forceps Panel (Advanced view only): • Pressure On/Off Button - Turns Bimanual mode on or off. When Bimanual mode is off the only option is to turn it on. When Bimanual mode is on, the Forceps pressure can be set. • Pressure End Up/Down Buttons - Sets the pressure at full treadle. • Forceps Configuration Button - Displays the configuration dialog.
Constellation® Vision System Probe cutting at a preset rate is activated when the applicable footswitch switch is momentarily activated. The default activation switch is the right horizontal switch but may be configured differently for each doctor. To view the current configuration, press the footswitch icon in the upper left corner of the display.
Constellation® Vision System Probe cutting at a preset rate begins when the footpedal is pressed. The Cut Rate is adjusted by pressing Up/Down arrow buttons on the Cutting control or selecting the Configuration button to display the Configuration popup that has a slidebar for large numeric adjustments in cut rate. The controls for each panel in PropVac submode are the same as in 3D submode with the following exceptions: • No Vacuum Start Up/Down buttons - Vacuum always begins at zero.
Constellation® Vision System is adjusted by pressing Up/Down arrow buttons on the Cutting control or selecting the Configuration button to display the Configuration popup that has a slidebar for large numeric adjustments in cut rate. The controls for each panel in VitWet submode are the same as in 3D submode with the following exceptions: • No Vacuum On/Off or Start Up/Down buttons - Vacuum always begins at zero. • No Flow Start Up/Down buttons - Flow always begins at zero.
Constellation® Vision System Vacuum Panel Configuration Button Aspiration Panel Figure 2-56 Surgery Screen: Phaco Mode - Burst Submode The controls for each panel in Burst submode have the following functions: Aspiration Panel: • Flow End Up/Down Buttons - Sets the flow level at full treadle. • Dynamic Rise Drop List - Select for the rise value. The rise value determines the slope of the increase applied. • Flow Configuration Button - Displays the configuration popup.
Constellation® Vision System • • • • initiate a drainbag change. Flow Limit On/Off Button - Turns flow limit on or off. When the maximum rate is reached, the vacuum level can no longer be increased. If the Flow Limit is turned off, the vacuum level is limited only by the Start and End values. Flow Limit Up/Down Buttons - Sets the maximum flow rate. Flow Limit Progress Bar and Numerical Value - Shows the current flow level. Flow Limit Configuration Button - Displays the configuration popup.
Constellation® Vision System • • • • Power Limit Control Type Drop List (Advanced view only) - Determines whether the power is fixed or linear. In Fixed, the power is constant. In Linear the power varies depending on the treadle position. Phaco Power Configuration Button - Displays the configuration Popup. Simplifies large value changes by providing slider controls. Phaco Burst On Time Up/Down Buttons - Sets the Phaco burst on time. Phaco Burst Off Time Up/Down Buttons - Sets the Phaco burst off time.
Constellation® Vision System Same as Burst submode. Ultrasound Panel: • Phaco Power End Up/Down Buttons - Sets the power at full treadle. • Phaco Power Progress Bar and Numerical Value - Shows the current power value. • Phaco Power Limit Control Drop Down List - Determines whether the power is fixed or linear. In Fixed the power is constant regardless. In Linear the power varies depending on the treadle position.
