VISULAS 532s US 070414

VISULAS 532s
Documentation set
© 2014, Carl Zeiss Meditec AG, Jena
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Contents
User manual
VISULAS 532s
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Appendix
VISULAS 532s - Quick Instructions
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VISULAS 532s/Trion VITE - Quick Instructions

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Laser sign
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VISULAS 532s
User manual
000000-1967-270-GA-US-040414
Contents 1
Contents
Contents .....................................................................................1
Notes on the user manual ..........................................................4

Purpose and availability of documentation .................................................... 4
Questions and comments................................................................................ 4
Explanation of symbols used .......................................................................... 5
Package check list ......................................................................6

VISULAS 532s version for endocoagulation ................................................... 6
VISULAS 532s version with laser slit lamp (cannot be upgraded to
Multispot VITE option) .................................................................................... 6
VISULAS 532s VITE version with laser slit lamp ............................................. 7
VISULAS 532s version with VISULINK 532/U option ...................................... 7
Country-specific information and labels .....................................8

Classification/Manufacturer's declaration ...................................................... 8
Indication for use ............................................................................................ 9
Side effects/contraindications ....................................................................... 10
Intended user profile..................................................................................... 11
Disposal of the product ................................................................................ 12
Labels ............................................................................................................ 13
General warning and safety instructions..................................19

General notes ................................................................................................ 19
Safety officer ................................................................................................. 20
Laser safety goggles ..................................................................................... 21
Patient safety ................................................................................................ 22
Explosion and fire hazards ............................................................................ 22
Dangers caused by direct irradiation and reflection ..................................... 23
Performance specifications ......................................................25

Functional description................................................................................... 25
Service life ..................................................................................................... 25
Description of the device..........................................................26

VISULAS 532s device configuration .............................................................. 26
Controls, display elements and connectors .................................................. 27
LSL 532s laser slit lamp (Fig. 4) ................................................................................. 27
Instrument base with headrest (Fig. 5) ..................................................................... 29
000000-1967-270-GA-US-040414
2 Contents
Beam delivery in the laser slit lamp ...........................................................................31

Laser console ............................................................................................................32
Control panel ............................................................................................................35
VISULINK 532/U with accessories .............................................................................37
VISULINK 532/U optical system ................................................................................38
Installation ............................................................................... 39
Notes for installation and use ...................................................................... 39
Installing the instrument .............................................................................. 42
Moving the instrument table with the instrument ....................................................44
Diffused light filter for the VISULINK 532/U ................................................ 45
Attaching the diffused light filter ..............................................................................46
Removing the diffused light filter ..............................................................................46
Daily use .................................................................................. 47

Switching on ................................................................................................ 47
Function check ............................................................................................. 48
Diagnosis mode ........................................................................................................48
Operation of the device ........................................................... 49

Contact lenses ..........................................................................................................50
Menu navigation .......................................................................................... 51
Main menu ...............................................................................................................52
System information ...................................................................................................54
Program definition mode ..........................................................................................55
Treatment mode .......................................................................................................56
VISULAS 532s treatment mode with VITE multispot option (optional device
function) ...................................................................................................................59
Operation with laser slit lamp ...................................................................... 64
Adjusting the slit lamp and eyepieces .......................................................................64
Positioning the contact lens ......................................................................................64
Laser treatment with VISULAS 532s and LSL............................................... 65
Positioning and focusing the laser spot ....................................................................65
Laser configuration ...................................................................................................65
Operation with the VISULINK 532/U ............................................................ 66
Mounting the VISULINK 532/U on Carl Zeiss Meditec and Haag-Streit slit lamps .....66
Removing the VISULINK 532/U from the slit lamp ....................................................68
Adjusting the slit lamp and the VISULINK 532/U ......................................................69
Laser treatment with the VISULINK 532/U ................................................................72
Laser endoprobe (intraocular probes) .......................................................... 74
Physician's safety filter ..............................................................................................75
Application................................................................................................................77
Sterile operation .......................................................................................................77
Laser treatment.........................................................................................................79
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Contents 3
Shutting down..........................................................................81
Switching off the instrument ........................................................................ 81
Maintenance and care ..............................................................82

Fault remedy ................................................................................................. 82
Troubleshooting tables ............................................................................................. 82
Replacing the halogen bulb in the laser slit lamp ......................................... 87
Replacing the fuses ....................................................................................... 88
Replacing the flashing diode of the fixation lamp ........................................ 89
Maintenance and care .................................................................................. 90
Care and cleaning ..................................................................................................... 90
Transportation instructions ....................................................................................... 92
Safety inspections ......................................................................................... 92
Power measurement system calibration ....................................................... 92
Calibration procedure ............................................................................................... 93
Calibrating the laser console with applicator ............................................................ 93
Optional accessories .................................................................95

Connecting a doorlock isolator ..................................................................... 97
Essential performance ..............................................................98
Technical data ..........................................................................99

VISULAS 532s laser system ........................................................................... 99
LSL 532s laser slit lamp .............................................................................. 100
VISULINK 532/U .......................................................................................... 100
Electromagnetic compatibility ................................................101
Abbreviations/Glossary...........................................................106
Figures/Tables ........................................................................107
Index ......................................................................................108
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4 Notes on the user manual
Notes on the user manual

Purpose and availability of documentation
This user manual explains the safety precautions, functions, usage,
performance parameters and measures for care and maintenance of the
VISULAS 532s.
Correct operation of the system is imperative for its safe and successful
function. You should therefore ensure that you are thoroughly familiar with
this user manual before setting up and using the VISULAS 532s the first
time.
The user manuals and other documentation enclosed with the VISULAS 532s
should be kept accessible to users at all times to ensure that the information
required for use of the VISULAS 523s is readily available.
Questions and comments

If you have any questions or comments concerning this user manual or the
VISULAS 532s, please contact Carl Zeiss Meditec customer service or your
local dealer. (Contact details see reverse.)
000000-1967-270-GA-US-040414
Notes on the user manual 5
Explanation of symbols used

The symbols used in this user manual refer to important safety information
which warn against possible health risks or fatal injuries and contain useful
notes. Whenever you see these symbols, read the accompanying information
carefully and observe all safety notes and information in this user manual
and on instrument labels.
WARNING
Indicates a hazardous situation which could result in death or serious injury
if the appropriate safety precautions are not heeded.
CAUTION
Indicates a hazardous situation which could result in minor or moderate
injury if the appropriate safety precautions are not heeded.
CAUTION - PROPERTY DAMAGE

Indicates possible device damage if the appropriate safety precautions are
not heeded.

Information, hints and advice for better understanding of the
instructions to be observed in the operation of the device.
000000-1967-270-GA-US-040414
6 Package check list
Package check list

VISULAS 532s version for endocoagulation
• VISULAS 532s
• Foot switch 5.0 m
• Sterile pen holder
• Power supply cable 2.5 m
VISULAS 532s version with laser slit lamp (cannot be

upgraded to Multispot VITE option)
• VISULAS 532s
• LSL 532s laser slit lamp
• Fiber optic cable 2.0 m
• Parallel tube f = 140 mm
• 2 eyepieces 10x
• Head restrainer for VISULAS laser
• Armrest (height-adjustable)
• Dust cover
• Fixation lamp
• Cover plate for fixation lamp
• Flashing diode, red, for fixation lamp
000000-1967-270-GA-US-040414
Package check list 7
VISULAS 532s VITE version with laser slit lamp

• VISULAS 532s
• LSL 532s laser slit lamp VITE
• VITE Kit
• Fiber optic cable 2.0 m
• Parallel tube f = 140 mm
• 2 eyepieces 10x
• Head restrainer for VISULAS laser
• Dust cover
• Fixation lamp
• Cover plate for fixation lamp
• Flashing diode, red, for fixation lamp
VISULAS 532s version with VISULINK 532/U option

• VISULAS 532s
• VISULINK 532/U (2.0 m)
• Slit lamp adapter
000000-1967-270-GA-US-040414
8 Country-specific information and labels
Country-specific information and

labels
Classification/Manufacturer's declaration
WARNING - GENERAL HAZARDS

This device may only be set up, operated and used for the specified purpose
and according to national regulations, consistent with the applicable
industry standards and occupational safety and accident prevention
regulations. Further notes on classification are to be found in section
Technical data, page 99.
Device class: 2 pursuant to ISO 15004-2:2007

(for LSL 532s)
Laser class pursuant to DIN EN 60825-1-

2003 and 2008: 4
EMC: See section Electromagnetic

compatibility, page 101 and
following.
UMDNS No.: 17-446 (VISULAS 532s)
UMDNS No.: 12-281 (slit lamp)
This declaration shall be rendered invalid if changes are made to the product
without the manufacturer’s authorization.
000000-1967-270-GA-US-040414
Country-specific information and labels 9
Indication for use

The VISULAS 532s can be used for the following applications:
• Photocoagulation of the retina
• Trabeculoplasty for treatment of glaucoma
• Iridotomy for treatment of glaucoma
The VISULAS 532s system consists of

• the laser console as a radiation source,
• the LSL 532s laser slit lamp
• or the VISULINK 532/U
• and/or the LIO Trion/532s laser indirect ophthalmoscope.
The laser console can also be used in combination with laser endoprobes.
The laser indirect ophthalmoscope can also be used for fundus examination.
It is supplied together with a cold light source.
 Operation and handling of the VISULAS 532s in conjunction with

the VISULAS YAG III (combi operation) are described in the
separate user manual for the VISULAS YAG III.
000000-1967-270-GA-US-040414
Side effects/contraindications
Retinal bleeding and/or unwanted burns may occur, particularly where
excessive laser power is used.
For information regarding possible complications of, side effects of and
contraindications to laser treatment please consult the relevant literature
(e.g. “Laser Photocoagulation of the Retina and Choroid”; James C. Folk,
José S. Pulido; Ophthalmology Monographs 11; American Academy of
Ophthalmology 1997; ISBN 1-56055-045-7).
In particular please observe the notes regarding the treatment of young
people and pregnant women.
000000-1967-270-GA-US-040414
Intended user profile
CAUTION - RISK ARISING FROM OPERATING ERRORS

This device may only be installed, operated, used and maintained by
persons who have been properly trained or who have the required
knowledge and experience to do so. Please adhere to the national
qualification guidelines applicable in your country.
In the U.S. this device may only be purchased or ordered by physicians and
ophthalmologists.
People working in the laser hazard area must be given instruction

concerning safety regulations, safety precautions and operation of the
instrument at least once a year. Keep a written record of these instructions
listing the participants.
000000-1967-270-GA-US-040414
Disposal of the product
CAUTION - RISK OF ENVIRONMENTAL POLLUTION

Packaging materials should be retained for future relocation or repair.
If you wish to dispose of the packaging material, hand it over to a
recognized collection system for recycling.
The instrument contains electronic components. At the end of its lifetime,
the device and its integrated batteries should be disposed of in accordance
with the relevant national regulations.
In accordance with national regulations at the time at which the product

was brought onto the market, the product specified on the consignment
note is not to be disposed of via the domestic waste disposal system or
communal waste disposal facilities.
For further information on disposal of this product please contact your local
dealer or the manufacturer or its legal successor company. Please read the
latest internet information provided by the manufacturer.
Where the product or its components are resold, the seller must inform the
buyer that the product must be disposed of in accordance with the currently
applicable national regulations.
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Labels
Fig. 1 Warning and information labels on the VISULAS 532s and its accessories
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Item Label Explanation

1
VISULAS 532s type label
Carl Zeiss Meditec AG
Goeschwitzer Strasse 51-52
07745 Jena, Germany Manufacturer
VISULAS 532s
Date of manufacture
IP20
000000-1967-270-01-DE-Vs 03 MWIB
Application parts type B

conforming to IEC 60601-1
AC voltage
IP20 Housing protection class

(protected against solid
foreign bodies of 12.5mm in
diameter and larger, no
protection against
penetration of water)
2
REF 1967-270 VISULAS 532s identification label
SN XXXXXXX
REF Catalogue number/part number
SN Serial number
3
XX/XXXX Date of manufacture label
4
Sign with CSA approval for USA and
Canada
MWIB
0000-031-US-Vs01
5
"Disconnect device from the power
supply before opening" sign
6
"Observe user manual" sign
000000-1967-270-GA-US-040414

7
Sign: Complies with 21 CFR
Subchapter J and with FDA performance
standards for laser products except for
deviations pursuant to Laser Notice No.
50, dated June 24, 2007.
8
Laser class IV warning label
LASER RADIATION
AVOID EYE OR SKIN EXPOSURE
TO DIRECT OR SCATTERED RADIATION
Laser 1: 532 nm 3 W cw
Laser 2: 620-650 nm 5 mW cw
000000-1149-623-19-US-Vs02 CLASS IV LASER PRODUCT
9
Laser class IV warning label
LASER RADIATION
AVOID EYE OR SKIN EXPOSURE
TO DIRECT OR SCATTERED RADIATION
Laser 1: 532 nm 3 W cw
Laser 2: 620-650 nm 5 mW cw
000000-1149-623-19-US-Vs02 CLASS IV LASER PRODUCT
10
"Optical fiber applicator" warning label
11 100 V-240 V~ Label with fuse specifications

50/60 Hz
400 VA
2x T6,3 AH, 250 V
0 0 0 0 0 0 -19 6 7-2 7 0 -0 4 -DE-Vs0 1
12 VISULAS 532s Control panel identification label

REF 1195-862
SN XXXXXXX
13
Not applicable Not applicable
14
15
000000-1967-270-GA-US-040414

16
Foot switch type label
Manufacturer
Date of manufacture

REF Catalogue number/
part number
SN Serial number
CE CE label
0297 Identification number of

notified body
IPX8 Housing protection class
(protected against
continuous immersion in
water)
17
LSL 532s laser slit lamp type label
Manufacturer
Date of manufacture

CE marking label and

disposal advise for EU

protection against
18 REF 1149-675 LSL 532s laser slit lamp identification

SN XXXXXXX label
REF 1697-015 LSL 532s laser slit lamp VITE

SN XXXXXXX identification label
19 XX/XXXX Date of manufacture label
20
000000-1967-270-GA-US-040414

21 "Laser beam" warning label
22 "Laser exit aperture"

warning label
23 Type label
VISULINK 532/U
24 VISULINK 532/U identification label
25 XX/XXXX Date of manufacture label
26 "Laser beam" warning label
27 "Laser exit aperture"

warning label
28 Haag-Streit adapter identification label
29 SL 120/130 adapter identification label
30 20SL/30SL adapter identification label
31 SL 115 adapter identification label
000000-1967-270-GA-US-040414

32 Doorlock isolator type plate
Manufacturer
Date of manufacture

REF Catalogue number/

part number
SN Serial number
CE CE label
0297 Identification number of
notified body
protection against
Disposal advice for EU
000000-1967-270-GA-US-040414
General warning and safety instructions 19
General warning and safety

instructions
In this section you can find general warning and safety instructions. Also
observe the special warning and safety instructions for the individual work
steps in the respective chapters of this user manual.
General notes
WARNING - RISK OF LASER RADIATION

This instrument is a class 4 laser device. For this reason, the operator must
take precautions to prevent injuries or damage. Applicable national and
international regulations must be observed.
Use the lowest possible power necessary to achieve the desired effect.
Focus the aiming beam as carefully as possible on the tissue to be treated.
Never fire the laser if the aiming beam is not clearly visible in the target
area.
Deactivate the treatment beam and always switch the aiming beam off
before changing the applicator or releasing the applicator fibers from the
laser module for any other reason. (Please note that incorrect release of the
fibers when the laser is in operation may result in a brief discharge of
scattered radiation to the surroundings).
Switch the aiming beam off when the instrument is not in use.
 Because the aiming beam follows the same optical path through
the beam delivery system as the therapy beam, it represents a
good method for checking that the beam delivery system is
undamaged. If the aiming beam spot at the distal end of the beam
delivery system is not visible, is weak or appears diffuse, it may
indicate damage to or improper function of the beam delivery
system.
000000-1967-270-GA-US-040414
20 General warning and safety instructions
Safety officer
The operator and safety officer are responsible for carrying out all safety
measures to prevent injury to the patient, physician in attendance and other
persons present during laser operation. Observe the national regulations in
your country.
The responsibilities of the safety officer, who is appointed in writing by the

customer or the institution operating the laser, include:
• Implementation of safety measures
• Instruction of all persons working with the laser in safety precautions and
correct operation of the instrument
• Marking of the laser hazard area
• Checking the warning signs and equipment
• Correct therapeutic application of the instrument
• Safekeeping of the key for the key switch
• Safekeeping of the laser instrument
• Proper reconnection of the device after relocation
000000-1967-270-GA-US-040414
Laser safety goggles

All persons present in the laser hazard area during laser operation must
wear laser safety goggles. The patient's eye which is not being treated must
also be properly protected.
Exception:
The physician does not require laser safety goggles when observing the
target area through
• a surgical microscope equipped with a 532 nm physician's safety filter
• a laser slit lamp supplied by Carl Zeiss Meditec
• a diagnostic slit lamp as described in the user manual in conjunction
with VISULINK 532/U or
• the LIO Trion/532s laser indirect ophthalmoscope.
The institution operating the device is responsible for providing proper laser
safety goggles. The safety goggles must be approved for the wavelength of
the laser and for the type and intensity of the laser radiation (in Europe, in
compliance with DIN EN 207).
Laser safety goggles for VISULAS 532s: D 532 L5
 The laser hazard area is the area in which the maximum permissible
exposure (MPE) may be exceeded. This includes areas into which
the laser beam may unintentionally be deflected by a reflecting
surface.
000000-1967-270-GA-US-040414
Patient safety
The key parameter in laser treatment is the energy density at the target, i.e.
applied laser energy divided by the area of the laser spot. In order to achieve
a consistent physiological effect, the power should therefore be adjusted
when the spot diameter is changed.
On the VISULAS 532s, the power output can be pre-set.

If, after using an applicator (e.g. indirect ophthalmoscope), you change to a
different applicator (e.g. slit lamp), the correct applicator must be selected
from the main menu.
Never start treatment if a different applicator is shown in the display to the
one required, or if no physician's safety filter is fitted.
Do not fire the laser beam if the tip of the laser endoprobe is touching the
tissue.
Explosion and fire hazards
WARNING - FIRE HAZARD

Do not use the laser in conjunction with flammable anesthetics.
Keep potentially explosive materials away from the laser hazard zone. Easily
flammable materials may start fires.
A laser beam can set fire to many explosive or flammable gases or liquids,
including some of the solutions used in the preparation of surgical
procedures.
Flammable drapes, surgical gowns, gauze and other ignitable materials
must be kept out of the beam path. We recommend using non-flammable
materials and instruments and wearing gowns and clothing which do not
easily catch fire.
A fire extinguisher should be kept in the vicinity of the laser device.
Check the integrity of all lenses and glass surfaces before each use.
Significant contamination or detached coatings can lead to exposure to
hazardous radiation.
000000-1967-270-GA-US-040414
Dangers caused by direct irradiation and reflection

The instrument and its applicators emit visible laser radiation which is
dangerous to the human eye and skin.
The LIO Trion/532s indirect ophthalmoscope may only be used as an
applicator in combination with the Carl Zeiss Meditec VISULAS 532s laser
console.
The VISULINK 532/U may only be used as an applicator in combination with
the Carl Zeiss Meditec VISULAS 532s laser console.
Strictly avoid irradiation of the eye or skin by direct or scattered radiation.
Metallic and similar surfaces reflect laser beams!
All persons present in the laser hazard area must therefore wear laser safety
goggles as a precaution against unintentional direct or reflected laser
radiation.
Remove or cover any shiny, reflecting objects within the laser hazard area.
Cover windows and reflecting walls with non-combustible cloths.
Take safety precautions if there is a risk of noxious gases, dust and vapors,
secondary radiation or explosive gas mixtures from materials exposed to
laser radiation within the laser hazard area.
Only use medical instruments in the laser beam path which are shaped or
surface-finished to prevent hazardous reflection.
000000-1967-270-GA-US-040414
WARNING - RISK OF OPTICAL RADIATION

Because prolonged intense light exposure can damage the retina, the use of
LSL 532 or LIO Trion/532s for ocular examination should not be
unnecessarily prolonged, and the brightness settings should not exceed
what is needed to provide clear visualization of the target structures.
The light emitted from this instrument is potentially hazardous. The longer
the duration of exposure and the greater the number of pulses, the greater
the risk of ocular damage. Exposure to light from this instrument when
operated at maximum output will exceed the safety guideline after 8 min.
(filter position: white).
If you have any questions concerning the permissible prolonged exposure

time with other filter positions, please contact Carl Zeiss Meditec customer
service.
Avoid looking directly into the light emitting prism.

Take particular care, when examining infants and aphakic patients.
Never look into the sun through the binocular tube and eyepieces.
000000-1967-270-GA-US-040414
Performance specifications 25
Performance specifications
Functional description
A laser crystal generates laser radiation, the frequency of which is doubled
by means of a crystal.
Fig. 2 Generation of laser radiation with λ = 532 nm
Radiation with a wavelength of 532 nm is strongly absorbed by bodily

tissues. The thermal energy thus created causes coagulation of tissue
protein, which can be used for medical purposes.
Service life

The development, production and maintenance of this device, together
with associated risks, are based on an expected service life of eight years,
assuming that the device is serviced at the specified intervals.
Modifications to the product or failure to follow the manufacturer’s
instructions may substantially reduce the expected service life and
significantly increase the risk associated with use of the device.
It is the responsibility of the institution operating this product to follow the
manufacturer’s instructions and to decide on the risk/benefit ratio upon
expiration of the expected service life or maintenance and inspection
intervals specified by the manufacturer.
000000-1967-270-GA-US-040414
26 Description of the device
Description of the device

VISULAS 532s device configuration
Fig. 3 VISULAS 532s components
000000-1967-270-GA-US-040414
Description of the device 27
Controls, display elements and connectors

LSL 532s laser slit lamp (Fig. 4)
1 Prism head, illumination and laser exit aperture
2 Magnification changer
3 Fastening screw
This screw fastens the binocular tube or other component to the
microscope body.
4 Interpupillary distance scale
5 Binocular tube
6 Eyepieces
7 Adjustable eyecups
The eyecups should be pushed in for spectacle wearers.
8 Laser spot size control knob
9 Joystick with manual release
Fine adjustment XY by tilting the joystick in the appropriate direction
(coarse XY alignment by shifting the complete instrument base).
 When operating the LSL 532s laser slit lamp without VITE multispot
option, the hand switch is inactive.
10 Physician's detection sensor (infra-red movement sensor)
for saving energy and prolonging service life of the slit lamp:
registers the movements of the physician within a range of 2 m and
180°: if no movement is detected within five minutes (physician not
present), the slit illumination is first dimmed and then switched off.
When the physician approaches, the slit lamp switches back on and
the last brightness setting restored.
11 Halogen lamp cover
12 Slit height control knob
1/3/5/9/14 mm
Special slit positions (90°; ± 45°; 1 mm x 5 mm)
13 Illumination swivel-angle scale
14 Slit width control knob
(0 to 14 mm)
15 Filter selector
White line pointing up:
Full aperture combined with a heat-absorbing filter.
White line to the patient:
Blue filter for tonometry and fluorescence observations.
White line to the physician:
Green filter for examining the fundus.
000000-1967-270-GA-US-040414
Fig. 4 LSL 532s laser slit lamp
000000-1967-270-GA-US-040414
Instrument base with headrest (Fig. 5)

1 Fixation lamp mounting
2 Patient headrest (application part)
3 Eye level mark
4 Patient chinrest (application part)
5 Knurled knob for fastening the instrument base
6 Laser slit lamp connection cable
Insert the cable into the socket (12, Fig. 8) on the laser console.
7 Mounting holes
The instrument base is mounted to the support using the appropriate
pan head screws (M4 x 30).
8 Fast action base lock
Lever tilted towards the patient: The base is locked.
Lever tilted towards the physician: The base can be moved freely.
9 Brightness control for slit illumination
10 Micromanipulator with locking ring
When the locking ring is unscrewed, the position of the slit image
and laser spot can be finely adjusted.
11 Height adjustment for chinrest

The laser slit lamp's optional fixation lamp is to be operated with the
standard red flashing diode provided only. Otherwise, the fixation lamp may
overheat and be damaged.
000000-1967-270-GA-US-040414
Fig. 5 Instrument base with headrest
000000-1967-270-GA-US-040414
Beam delivery in the laser slit lamp

The laser beam is superimposed upon the slit illumination beam path so that
the laser spot is coincident with the slit image on the fundus at all times.
This ensures that the area of the fundus which is to be coagulated is always
illuminated, even in the peripheral fundus.
This means of combining illumination and laser beams is particularly
advantageous for small illumination fields.
1 Patient’s eye
2 Contact lens
3 Optical system for slit lamp and laser spot visualization
4 Corneal microscope with physician's safety filter
5 Laser beam expander
6 Coupling lens
7 Optical fiber
8 Slit illumination system
Fig. 6 Beam delivery in the LSL 532s laser slit lamp
000000-1967-270-GA-US-040414
Laser console
The laser console (1, Fig. 7) is the central power supply and control unit for
the VISULAS 532s. Treatment parameters are set using the detachable
control panel (2, Fig. 7).
There is a fold-away handle (4, Fig. 7) for carrying the console.
On the front of the console are
• the key switch
• the LASER STOP button
• the optical fiber sockets for the applicators
• the PCMCIA card slot and
• the control panel connector
(see Fig. 8).
On the reverse are

• the applicator supply and control connectors and
• the power input
(see Fig. 8).
CAUTION - RISK OF OPTICAL RADIATION

Unauthorized persons must be prevented from firing the laser. The user
must remove the key from the key switch after the treatment.
000000-1967-270-GA-US-040414
1 Laser console
2 Detachable control panel
3 Adjustable feet (4x)
4 Fold-away handle
Fig. 7 Laser console with control panel
000000-1967-270-GA-US-040414
1 Laser console without control panel

2 Connector for control panel
3 LASER STOP button
4 Key switch
5 PCMCIA card slot
6 Optical fiber connector for applicators
7 Power supply for light source (not connected)
8 Connection to foot switch
9 Connector for door interlock and external laser warning light
10 Serial port for servicing
11 YAG connection for combined operation with the VISULAS YAG III
12 Slit lamp connector
13 Power input with fuse compartment
Fig. 8 Connectors and controls on the laser console
000000-1967-270-GA-US-040414
Control panel
The laser console is menu operated via the buttons on the control panel (1,
Fig. 10) and the combined control knob/button (6, Fig. 10).
The control panel can be attached to the laser console using the two guide
rods (7 and 8, Fig. 10) and the retaining elements (4 and 5, Fig. 10) (snaps
into place).
• To do so, first plug the connector (2, Fig. 10) into the socket (3, Fig. 10).
• Place the guide rods (7 and 8, Fig. 10) onto the retaining elements (4 and
5, Fig. 10) and push the control panel backward until it audibly clicks into
place.
• To remove, hold the control panel at the front with both hands and tilt
the upper edge forwards so that the guide rods are released from the
retaining elements.
• Remove the control panel by pulling it forwards carefully and disconnect
the cable (2, Fig. 10) by grasping the connector by the sleeve and pulling
it directly forwards.
The lower guide rod (8, Fig. 10) can be rotated by up to 90°, allowing the
control panel to be safely angled towards the user (Fig. 9). This also allows
the control panel to be inclined whilst mounted to the control panel.
Fig. 9 Control panel, guide rod swiveled out
000000-1967-270-GA-US-040414
1 Control panel
2 Connector
3 Connector for control panel
4 Sprung retaining elements
5 Fixed retaining elements
6 Rotary knob with button
7 Upper guide rod
8 Lower guide rod
9 Cable holder
Fig. 10 Removing the control panel
The rotary knob (6, Fig. 10) is used to adjust the system parameters in the
individual operating modes by turning the knob.
The Laser power parameter is selected by pressing the button on the rotary
knob (6, Fig. 10) independently of the current setting.
000000-1967-270-GA-US-040414
VISULINK 532/U with accessories
1 Absorber 10 Optical fiber

2 Reflecting mirror with physician’s safety 11 SMA socket
filter (laser aperture)
3 Vertical mirror adjustment 12 Cable clip
4 Knurled ring for spot size adjustment 13 Focusing aid
5 Swivel arm 14 Adapter for Haag-Streit 900®
BM/900® BQ
6 Spot size scale 15 Adapter for 20/30 SL
7 Spot size scale indicator mark 16 Adapter for SL 115 Classic
8 Mount for mounting pivot 17 Adapter for SL 120/SL 130
9 Swivel arm bearing pivot
Fig. 11 VISULINK 532/U with accessories
000000-1967-270-GA-US-040414
VISULINK 532/U optical system
1 Optical fiber
2 Coupling lens
3 Beam expanding system
4 Objective
5 Reflecting mirror with physician’s safety filter
6 Absorber
7 Fundus
8 Contact lens
Fig. 12 VISULINK 532/U optical system
000000-1967-270-GA-US-040414
Installation 39
Installation
Notes for installation and use

Do not store or operate the devices in ambient conditions other than those
prescribed (see section Technical data on page 99 and following).
Set up the devices so that the power cables can be disconnected from the
power supply quickly and easily without any tools.

This device may only be installed and operated for the first time by persons
who have been authorized by Carl Zeiss Meditec.
WARNING - RISK OF ELECTRIC SHOCK

If connecting external components to the interfaces of the device, the
operator must ensure to meet the safety requirements as per IEC 60601-1-1
or IEC 60601-1:2005, chapter 16, (medical electrical systems)!
Do not use additional extension cables or portable multiple sockets.
The electrical installation must conform to IEC 60364-7-710 or the
applicable national regulations. This includes the existence of a ground fault
circuit interrupter (GFCI).
To avert the risk of an electric shock this device may only be connected to a
power supply with a protective ground conductor.
Ensure that the power supply plug is suitable and certified for the local
connection. If the supplied power cable must be replaced, at least the
following specifications must be adhered to:
• Protective earth conductor resistance maximum 0.1 Ohm
• Local certification of the power cable for connection to medical devices
• Device plug C13 conforming to IEC 60320
• Cross-section at least 0.75 mm²/AWG 18
Hospital Grade design for specific countries (e.g. USA, Canada)
(For cables > 2.5 m the cross-section must be increased to 1.5 mm²)
000000-1967-270-GA-US-040414
40 Installation
WARNING - FIRE HAZARD

The devices are not suitable for operation in explosion risk areas (e.g.
combustible mixture of anesthetic, cleaning or disinfecting agents with air,
oxygen or nitrous oxide).
The electrical installation must conform to IEC 60364-7-710.
For single-phase power systems with 120 V AC, NEMA 5-15P power plugs
must be used.
CAUTION - RISK OF LASER RADIATION

The laser hazard area should be as small as possible and demarcated by
suitable screens. Unauthorized persons should be prevented from entering
the laser hazard area. The number of persons in the laser hazard area must
be kept to a minimum. Where suitable screens are not in use, the entire
treatment room must be considered as a laser hazard area.
A warning light must be installed at the entrance door indicating when the
laser is in operation.
Preferably the Carl Zeiss Meditec AG laser warning light (see Optional
accessories, page 95) should be connected. The supplied remote door
interlock switches the laser off automatically when the door to the laser
area is opened to gain access. If a laser warning light from a third-party
supplier is used, the door interlock may only be used in conjunction with
the doorlock isolator. The laser hazard area must be clearly demarcated and
marked as such during laser operation. Other safety precautions should be
clarified with local authorities or with your laser safety officer.
Only the patient and appropriately trained personnel may remain within the
laser hazard area. These persons must wear suitable laser safety goggles
when the laser is in operation.
Persons working in the laser hazard area must be given instruction
concerning safety regulations, safety precautions and operation of the
instrument at least once a year. Keep a written record of these instructions
listing the participants.
All objects within the laser hazard area, including the floor, should have
diffusely reflecting surfaces or be covered with diffusely reflecting material.
000000-1967-270-GA-US-040414
Installation 41
CAUTION - RISK OF FALLING PARTS

When selecting a suitable table, ensure that the combination of table and
instrument is stable up to an angle of tilt of 10°. Furthermore, the table
must be designed for 4 times the weight of the device configuration. If the
table is on castors, these must have a locking device.
Read the user manual of the instrument table and follow its instructions.
CAUTION - GENERAL HAZARDS

Fiber optics may not be tightly bent, kinked or incompletely fastened. The
device may otherwise be damaged, causing injury to the patient or user.

Never touch the end of the optical fibers with your fingers and always
protect it from contamination.
Because of the laser’s high power output, any dirt may result in damage to
the end surface of the fibers.
Screw in the optical fiber by hand only. Do not use tools!
To avoid damage to the instrument, remove the key before carrying out the
installation.
Handle with care; lift or carry the laser slit lamp by the base plate.
Connect only cables and sockets that are the same color and size. Never use
force.
Do not use optical fibers and application systems from other manufacturers.
Do not store or use this device in damp rooms. Do not expose the device to
water splashes, dripping water or sprayed water.
000000-1967-270-GA-US-040414
42 Installation
Installing the instrument

The instrument will be installed by a Carl Zeiss Meditec authorized specialist.
• Avoid impact and blows during shipment of the device.

• Mount the system in a suitable location close to the physician and the slit
lamp.
• To install the laser on an instrument table with lateral table mounting, the
table mounting must first be screwed to the tabletop using the four
screws and threaded holes provided.
• Now affix the laser slit lamp to the table.
• Finally, holding it vertically, slide the VISULAS 532s, from the front, onto
the small side shelf.
• Place the foot switch in a suitable position beneath the table and insert
the plug into the socket marked red (8, Fig. 8).
1 VISULAS 532s
2 Table mounting
Fig. 13 Instrument table with VISULAS 532s
 Connectors and their respective sockets are distinguished by color

coding. All connectors and sockets are marked with a red dot.
These dots must be vertically aligned when they are connected. All
sockets are labeled.
000000-1967-270-GA-US-040414
Installation 43

Connect only cables and sockets that are the same color and size. Never use
force.
• To release the cable, grasp the connector by the sleeve and pull it directly
backwards. Pulling on the sleeve releases the lock mechanism on the
connector.
• Install the remote interlock.
If you do not wish to install an interlock, connect the yellow coding plug
provided in place of the interlock (yellow connector, 9, Fig. 8).
• The power cable for the instrument table should be connected to a fixed
power socket.
• Connect the console power cable to a fixed power socket or use one of
the instrument table power sockets.
• Insert the optical fibers into the socket on the console (6, Fig. 8). Carefully
screw the optical fibers tight by hand.
000000-1967-270-GA-US-040414
44 Installation
When operating with control panel removed:

• Fold out the control panel foot, unwind as much of the control panel
cable as required and connect it to the front of the instrument (2, Fig. 8).
• Adjust the foot to the required angle and place the control panel in the
location required.
When operating with control panel attached:
• Fold out the control panel foot, wind the control panel cable around the
cable holder (9, Fig. 10) and attach the control panel to the laser console
as described in section Control panel on page 35.
Moving the instrument table with the instrument

To avoid damage when moving the complete system, proceed as follows:
• Carefully lower the table to the lowest position.
CAUTION - RISK OF PINCHING

Before operating the rocker switch when lowering the instrument table,
ensure that there are no objects or body parts in the lifting path of the
tabletop. Special care should be taken with larger patients and wheelchair
users.
 Read the user manual of the instrument table and follow its
instructions.
• The table can now be lifted slightly by the narrow side of the tabletop, on
the slit lamp side, and placed onto the castors. Use both hands to lift the
table.
000000-1967-270-GA-US-040414
Installation 45
Diffused light filter for the VISULINK 532/U

The diffused light filter for the VISULINK 532/U enables glare-free viewing
during laser treatment with the VISULAS 532s.
1 Locking pins on the diffused light filter

2 Diffused light filter
3 Reflecting mirror on the VISULINK 532/U
4 Adjusting knob for shifting mirror vertically
5 Recess for holding diffused light filter
Fig. 14 VISULINK 532/U (section) with diffused light filter
The VISULINK 532/U is equipped with a reflecting mirror with integral

physician’s safety filter (3, Fig. 14). This physician’s safety filter ensures that
no light from the treatment beam is reflected by the mirror into the
observation optics.
However, light from the contact lens may still be reflected past the reflecting
mirror into the observation optics. This light is shielded by the diffused light
filter (2, Fig. 14), guaranteeing glare-free viewing.
000000-1967-270-GA-US-040414
46 Installation
Attaching the diffused light filter
 The initial installation of the diffused light filter for the VISULINK
532/U will be performed by a Carl Zeiss Meditec AG service
technician.
To attach the diffused light filter (2, Fig. 14) to the VISULINK 532/U proceed
as follows:
• Push the diffused light filter (4, Fig. 14) onto the reflecting mirror bracket
(I, Fig. 14) above the adjusting knob horizontally from the front.
• Push the diffused light filter down (II, Fig. 14) until the holding brackets
click into place in the recesses (5, Fig. 14).
Removing the diffused light filter

To remove the diffused light filter (2, Fig. 14) from the VISULINK 532/U
proceed as follows:
• Pull the holding brackets of the diffused light filter slightly apart from the
rear and push them upwards.
• Pull the diffused light filter away to the front over the adjusting knob
(4, Fig. 14).
000000-1967-270-GA-US-040414
Daily use 47
Daily use

Prior to using the device, the user must ensure that it is in a good condition
and fully functioning. Furthermore, the user must follow the instructions in
the user manual.
The following inspections must be carried out each working day prior to
use:
• Visual inspection of the casing, exterior markings, accessories, power
cable and user manual to ensure that they are present and intact. If parts
are missing or damage is visible, the device should not be used and
should be taken out of service.
• The ventilation slits in the casing should not be covered or otherwise
obstructed!

Please take care that the following operational requirements are met before
using the device and maintained throughout further operation:
• Use the power cable supplied with the device.
• The laser console and instrument table must always be connected to
separate mains sockets. The instrument table is simply for holding the
devices.
If using a table not approved by Carl Zeiss Meditec, the user is solely
responsible for ensuring the electrical safety of the instrument.
• The power plug must be inserted into a power outlet with an intact
protective ground connection.
• Cables and plugs may only be used if they are in perfect condition.
Switching on
• When the instrument is switched on using the key switch (4, Fig. 8) on the
console, the start-up screen is displayed on the control panel (Fig. 15).
• The system automatically performs a self-test.
• The user interface includes a progress bar, which shows the progress of
the system test.
• When the system test has been successfully completed, the program
switches to the main menu (Fig. 18).
000000-1967-270-GA-US-040414
48 Daily use
• You can switch directly into Diagnosis mode during the system test.
• To do so, touch the ECO button.
Fig. 15 Power-up mode
Function check
Diagnosis mode
This mode enables the user to use the LSL 532s laser slit lamp as a diagnostic
slit lamp. The VISULAS 532s is used merely as a power source for the slit
lamp.
• The laser module and temperature regulator remain switched off,

meaning that the ventilators are operated at minimum speed (minimal
noise production).
• The shutter remains closed in diagnosis mode.
• Touching the Arrow button switches the system into System test mode.
Fig. 16 Diagnosis mode
000000-1967-270-GA-US-040414
Operation of the device 49
Operation of the device

The patient should not touch the instrument with his/her hands. In
particular, the instrument should not be used as a support or an aid for
standing up.

Take precautions to ensure fingers and hands are not trapped when lifting
the device.
Ensure that no parts of the body (fingers, hands), or objects, are trapped
beneath the device when lowering the device.

area.
 The power monitoring system of the therapy beam automatically

locks triggering of the laser when the power exceeds a pre-defined
range.
The electronic systems monitor various functions and values. If any
of these values are outside the permitted range, the system
prevents the laser from being fired.
The possibility of triggering the laser can be made dependent on
whether a remote contact is open or closed, e. g. on a door. A
Carl Zeiss Meditec authorized specialist will be happy to assist, if
you wish to connect the laser to a remote interlock.
If the instrument is not connected to a remote interlock contact,
the dummy connector which bridges the pins must be inserted in
the interlock socket. The instrument is delivered with the dummy
plug inserted.
 The LASER STOP button is intended for handling unforeseeable

hazardous situations. When this button is pressed, the system goes
into Treatment STANDBY mode and all functions on the control
unit are locked. To resume operation, draw out the LASER STOP
button to release it.
 The laser warning light lights in Treatment READY mode and in

Treatment STANDBY mode, when the aiming beam is on.
000000-1967-270-GA-US-040414
50 Operation of the device
Contact lenses

Always hold the contact lens at right angles to the laser beam. Incorrect
positioning of the contact lens will cause distortion of the laser focus. This
can lead to unwanted side effects.
area.
A 90 D contact glass (Volk lens) may not be used together with the laser slit
lamp.
Always use the correct contact lens for the intended application.
000000-1967-270-GA-US-040414
Menu navigation
The VISULAS 532s is operated via a menu system with eight menu screens
using the control panel.
Power-up mode Diagnosis mode
System information mode
Main menu
Program definition mode
LSL and VISULINK treatment mode
YAG treatment mode LIO and ENDO treatment mode
Fig. 17 General menu navigation
000000-1967-270-GA-US-040414
Main menu
All treatment mode relevant system parameters can be set in the main
menu by the operator. These are:
Fig. 18 Main menu
• Program selection (three user-defined programs and a factory set default

program for each applicator).
These programs can be used to set up pre-defined laser parameters
(power, pulse duration, repeat interval and aiming beam).
• Activate or deactivate the audible signal.
• From the main menu the device can be switched to the following modes:
– Information mode
– Diagnosis mode
– Program definition
– Treatment mode.
• Touch the Arrow button to switch to Treatment STANDBY mode.
The system will check whether the selected applicator is ready for
operation.
If the applicator is not ready for operation, a message to this effect will
be displayed.
000000-1967-270-GA-US-040414
The buttons in the Main menu have the following functions:
Function Icon Function

Applicator LSL 532s laser slit lamp
selection
VISULINK 532/U
LIO Trion/532s
Laser endoprobe
For YAG laser in combined operation with

the VISULAS YAG III
Program Factory configured default program

selection
P1, P2 and P3 are user-defined programs
Mode selection Switch to information mode
Switch to diagnosis mode
Switch to program definition mode
Switch to treatment mode
YAG trigger Laser is fired by hand (pushbutton on slit

lamp joystick)
Laser trigger by foot switch
Audible signal Audible signal ON
Audible signal OFF
The high-lighted WHITE buttons are the functions that have been selected
and are active.
000000-1967-270-GA-US-040414
System information
• Touch the Info button to switch to System information mode.
This mode allows you to view system information. The system time (date
and time), user interface language and contrast for the control panel LCD
display can also set.
The following system information is displayed:
• Company name/instrument name,
• Laser console and control panel software versions,
• Information on any faults which may have occurred,
• Operating hours counter/system time (time/date).
Fig. 19 System information
The following options can be set in System information mode:

• Language: The user-interface is available in German, English, French and
Spanish.
Touch the appropriate button to select the language required.
• LCD display contrast (to allow adjustment for the ambient brightness).
Touch the contrast button and adjust the LCD brightness display using
the control knob (6, Fig. 10).
While System information mode is active, the shutter remains closed.
• Touching the Arrow button returns you to the Main menu.
000000-1967-270-GA-US-040414
Program definition mode

• Touch the DEF button to switch to Program definition mode.
Applicator
Pulse
duration
Interval
Power
Aiming beam
brightness
Fig. 20 Program definition mode
• In this mode, you can set the initial values for the laser parameters
power, pulse duration, interval and aiming beam intensity. These initial
values will be used whenever the system is restarted
• The software supports four programs.
Three user-definable programs (P1, P2, P3) are available for each of the
applicators, i. e. laser slit lamp, Link, LIO or ENDO. They allow the user to
define initial treatment parameter sets.
The program (P-) is a factory-set program with default values.
• To set individual laser parameters, touch the appropriate parameter
button and select the value required by turning the control knob.
• Pressing the control knob takes you directly to the entry field for the laser
power of the therapy beam. Rotate the knob to set the power required.
000000-1967-270-GA-US-040414
Treatment mode
STANDBY
• Touching the Arrow button switches the system from the Main menu
into Treatment STANDBY mode.
In treatment mode, the therapy beam can be applied via the selected
applicator.
All treatment-related laser parameters are displayed on the control panel
and can be changed in this mode.
• To set individual laser parameters, touch the appropriate parameter
button and select the value required by turning the control knob.
• Pressing the control knob takes you directly to the entry field for the laser
power of the therapy beam. Rotate the knob to set the power required.
• The pulse duration can be adjusted within the range 10 ms to 2500 ms or
set to continuous (“cw”). The “cw” setting is selected by rotating past the
2500 ms setting. The maximum power for the “cw” setting is limited to
500 mW.
 If your VISULAS 532s is equipped with VITE option, please also

refer to pages 59 to 63 of this user manual.
The following restriction is placed on the interval setting in Repeat mode:

An interval of between 100 ms and 6000 ms can be set, depending on
power and pulse duration. If no pulse interval has been set, the instrument
remains in single pulse mode.
000000-1967-270-GA-US-040414
Laser
warning
light
a) b)
Switch between STANDBY/READY

modes
Pulse counter/Reset (Icon shows "STANDBY")
Fig. 21 Treatment STANDBY mode; a) for LSL and VISULINK, b) for LIO and ENDO
• The aiming beam can be turned on and off using the Aiming beam
button. When the aiming beam is on, this button will be highlighted.
Aiming beam Aiming beam
ON OFF
• Upon touching the Brightness button, the intensity of the aiming beam
can be adjusted by rotating the control knob.
• The Reset button contains the pulse counter. This can be reset to zero by
touching the button.
• Touching the button for switching between treatment modes

STANDBY/READY switches the system, after about three seconds, into
Treatment READY mode.
This transition time is visually indicated by a flashing button.
STANDBY READY
000000-1967-270-GA-US-040414
READY
a) b)
Fig. 22 Treatment READY mode; a) for LSL and VISULINK, b) for LIO and ENDO
• In Treatment READY mode, the aiming beam and laser warning light
are always on.
• Parameters are set in the same way as for Treatment STANDBY mode.
• When the trigger is pressed, the laser beam will be fired according to the
parameters set.
• The laser emission display field lights up yellow in Treatment READY
mode and when the aiming beam is switched on. This display lights up in
red when the laser is triggered.
• Touching the STANDBY/READY button returns you to Treatment
STANDBY mode.
 If, in Treatment READY mode, more than 5 minutes elapses

without the laser being fired, the system returns to Treatment
STANDBY mode and emits a short audible signal.
000000-1967-270-GA-US-040414
VISULAS 532s treatment mode with VITE multispot option

(optional device function)
The VISULAS 532s with VITE multispot option permits variable and
interactive treatment cascades based on fast laser spot sequences. In the
following the multispot function with VITE option wil be described in brief.
• A single laser spot sequence may consist of two to twelve single pulses
arranged along a straight or curved line.
• The complete treatment cascade originates from automated and
equidistant movement of the aiming beam after a laser spot sequence
has been triggered.
• In addition, before triggering each new laser spot sequence the physician
is able to actively intervene. This may be in the form of a (slight) variation
of the aiming beam position, change in the laser spot distance,
orientation of the laser spot sequence or laser spot number per sequence.
Variable and interactive treatment cascades can be implemented with laser
pulses with lengths of 20 ms to 50 ms. Variable and interactive treatment
cascades can be employed for laser spot diameters of 50 µm to 300 µm,
treatment cascades are not applicable for laser spot diameters from 500 µm
to 1000 µm.
In contrast to single pulse operation, in which the laser pulse is triggered by
foot switch, variable treatment cascades are triggered manually with the
joystick of the laser slit lamp.

It should be noted that only contact lenses with a magnification factor of
≥ 1.0 may be used for photocoagulation with variable and interactive
treatment cascades. Contact lenses with a magnification factor < 1.0 may
not be used for treatment cascades
• Pressing the manual trigger once will release a single laser spot sequence.
The aiming beam will subsequently "jump" automatically to the treatment
positions of the next sequence.
• Pressing the manual trigger several times will release further
sequences in equidistant steps (according to the treatment cascade just
selected).
• Premature release of the manual trigger will interrupt the treatment
beam during the laser spot sequence. Immediately after the treatment is
stopped the aiming beam automatically displays the position of the next
laser spot sequence at which the treatment can be resumed by pressing
the manual trigger again.
000000-1967-270-GA-US-040414
Provided the treatment cascade is within the movement radius of the

micromanipulator, the cascade will be automatically continued. If a new
sequence falls out of this movement radius, the next aiming beam position
will return to the original sequence. Manual movement of the joystick of the
laser slit lamp will cause a new initial sequence with the aiming beam to be
adjusted to last-applied sequence of the previous cascade. When the manual
trigger is pressed again, the next cascade can develop automatically.
The possible procedures include the following:
Procedure Treatment sequence
A straight laser spot

sequence is shifted
successively (square,
rectangle).
A curved laser spot

sequence is shifted
successively (arc, sector,
quadrant).
A curved laser spot

sequence is mirrored.
A straight laser spot sequence

is shifted with the interaction
of the operator
(manual repositioning,
change in the number of laser
spots per sequence or laser
spot distance).
000000-1967-270-GA-US-040414
In the STANDBY treatment mode for the LSL 532s laser slit lamp with the
VITE multispot option (Fig. 23) touching the Arrow button will take you to
the Main menu.
1 2
5 4
1 Spot view display of the selected laser spot diameter
2 Laser warning light
3 Selection menu/display for treatment cascades
4 Toggle switch: STANDBY/READY
5 Pulse counter
Fig. 23 STANDBY treatment mode for LSL 532s laser slit lamp with the VITE multispot
option (single shot operation activated)
When switched on the device is always in single shot operation (corresponds

to VISULAS 532s function without VITE multispot option, for description see
page 56 and following).
With the VITE multispot option, the following extras described below are
also available for the laser treatment.
• To activate a treatment cascade touch the appropriate button in the
selection menu (3, Fig. 23). The activated button appears with a yellow
symbol on a black background (8, Fig. 24).
• The adjustable parameters are shown (3, 4, 5, Fig. 24).
000000-1967-270-GA-US-040414
1 2
8 4
7 6
1 Single pulse operation (corresponds to VISULAS 532s function without VITE
multispot option
2 Shifting of a straight laser spot sequence with variable initial orientation. The initial
orientation can be selected in 10° increments and defines the direction of shift of
the laser spot sequence.
3 The interval shows the distance between the spots from one edge to the next and is
several times the spot diameter of 0.75x to 2.0x.
4 Definition/display of the number of single pulses per cascade.
5 Definition/display of the direction of shift of the cascade.
6 Shifting of a curved laser spot sequence with variable initial orientation. Shifting of
a straight laser spot sequence with variable initial orientation. The initial orientation
can be selected in 10° increments and defines the direction of shift of the cascade.
7 Mirroring a curved laser spot sequence with variable initial orientation. The initial
orientation can be selected in 10° increments and defines the direction of
movement to the next laser spot sequence.
8 Horizontal/vertical shift of a straight laser spot sequence.
Fig. 24 Selection menu of an activated treatment cascade (can only be used together with
the LSL 532s VITE laser slit lamp).
Selection of an automated treatment cascade:

• To select an automated treatment cascade, touch one of the selection
buttons (2, 6, 7, 8, Fig. 24, see also page 73).
• To specify the number of single pulses of a laser spot sequence touch the
selection button (4, Fig. 24). Select the desired number by turning the
knob on the control panel (two to eight single pulses are normally
selectable).
• To specify the initial orientation of a laser spot sequence touch the
selection button (5, Fig. 24). Select the desired orientation of the laser
spot sequence by turning the knob on the control panel. The direction of
movement is given by the arrow on the button (5, Fig. 24) and can be set
in increments of 10° to 90°.
000000-1967-270-GA-US-040414
• To specify the distance between the single pulses of a laser spot

sequence or between two laser spot sequences touch the selection
button (3, Fig. 24). Select the desired distances by turning the knob on
the control panel. The setting is made in multiples of the laser spot
diameter (minimum 0.75; maximum 2.00).
• After selecting and defining a variable treatment cascade you can change
to the treatment READY mode by touching the STANDBY/READY
mode (4, Fig. 23) and start the treatment.
• Laser spot sequences in slit lamp operation together with the VITE
multispot option can only be triggered with the manual trigger on the
joystick of the laser slit lamp. In treatments in single shot operation
(procedure 1, Fig. 24) the laser is always triggered by foot switch.

The physician in charge is responsible for ensuring that the diameter and
distance, type, length and orientation of the laser spot sequence described
by the aiming beam concur with the desired and selected parameters. If
necessary, the laser spot diameter and direction of progression of the next
laser spot sequence should be checked once again on the control panel.
The treatment progress should be monitored by the physician.
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Operation with laser slit lamp

Adjusting the slit lamp and eyepieces
Before treating a patient with laser radiation you should be perfectly familiar
with the use of the slit lamp. Read the user manual carefully, paying
particular attention to the safety notes.
• Make sure the eyepieces are completely plugged in and the eyecups
pulled out (for spectacle wearers: pushed in).
• Turn the diopter setting ring on both eyepieces fully in a "+" direction
(anti-clockwise) as far as they will go.
• First of all, attach a piece of paper (business card or similar) to the object
plane of the slit lamp.
• Center the slit projector and binocular tube to the slit lamp base.
• On the slit lamp, choose the highest magnification.
• Open the slit.
• Look through the eyepieces. Use the joystick control to focus on the
paper surface and lock the slit lamp base.
• Close the illuminating slit to a narrow line.
• On the slit lamp, choose the lowest magnification.
• Look through each eyepiece in turn, rotating the diopter setting ring for
the eyepiece through which you are looking in the "-" direction
(clockwise) until the surface of the paper is sharply in focus.
• Select the other magnification steps on the slit lamp.
• The image should remain sharply in focus at all magnifications. If not, the
procedure should be repeated.
• Make a note of the eyepiece settings for future treatment sessions. In
future you will need only to adjust the eyepieces to these values.
 If more than one physician uses the device, it is recommended that

a table be prepared with the individual refractive powers and kept
in a handy location near the device.
Positioning the contact lens

Hold the contact lens such that the laser beam meets the incident surface at
a right angle. Incorrect positioning of the contact lens will cause distortion
of the laser focus. This can lead to unwanted side effects.
 As a rule, you will get the best overall view if a magnification of

12x is selected on the slit lamp.
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Laser treatment with VISULAS 532s and LSL

Positioning and focusing the laser spot
Exact positioning of the laser spot is crucial for successful laser treatment.
This allows the laser power required to be minimized and significantly
reduces unwanted side effects.
• Set the laser spot diameter by rotating the knurled ring (8, Fig. 4) on the
slit lamp.
• Using the slit lamp joystick control, carefully position the aiming beam
until the light spot appears sharply delineated and the tissue to be treated
is seen sharply in focus.

Always focus the slit lamp so that the retina and laser spot are both sharply
in focus together, even if the laser spot appears smaller in other positions.
Laser configuration
• Connect the electric and optical connectors to the laser console.
• Switch on the VISULAS 532s laser console using the key switch (4, Fig. 8).
• Set the laser parameters required in the menus.
The menu screens and the setting procedures are described in section
Daily use from page 47.
• Operating the foot switch fires laser pulses using the parameters selected.
 If no laser treatment is carried out, switch back to Treatment

STANDBY mode by touching the STANDBY/READY button. After
each treatment session, switch off the instrument using the key
switch and remove the key.
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Operation with the VISULINK 532/U

The VISULAS 532s with VISULINK 532/U is compatible with the
Carl Zeiss Meditec slit lamp models SL 120, SL 130, SL 115 Classic, 20 SL and
30 SL as well as the Haag-Streit slit lamps 900® BM and 900® BQ.
Initial installation will be carried out by a Carl Zeiss Meditec authorized
specialist.
Mounting the VISULINK 532/U on Carl Zeiss Meditec and

Haag-Streit slit lamps
 It is generally easier to mount and remove the VISULINK 532/U if

the swivel arm is grasped close to the bearing pivot.
• The correct slit lamp adapter must be mounted on the slit lamp in order
to attach the VISULINK 532/U.
• Insert the bearing pivot (9, Fig. 11) on the instrument's swivel arm
(5, Fig. 11) into the hole in the slit lamp adapter (8, Fig. 11). To ensure
easy mounting, ensure that the pivot is inserted into the guide
mechanism as straight as possible. The VISULINK 532/U is engaged and
locked into place, signaled by an audible click, through a slight pressure
on the axle. The axle must be fully inserted into the bearing.
• The instrument can now be swiveled into the operating position. When
swiveled into the operating position, the swivel mechanism will engage
perceptibly, at which point it is locked in this position.

To avoid injury to the hands, do not grasp the swivel arm of the VISULINK
532/U too close to the axle when swiveling the unit in and out of position.
 A swiveling absorber (1, Fig. 11) is fitted below the reflecting

mirror on the VISULINK 532/U. This serves as a beam trap to
remove unwanted radiation from the observation beam path.
Please adjust the absorber so that visible reflections in the

microscope are minimized and it is not possible for the beam trap
to collide with the prism. Ideally the absorber should be horizontal.
• The VISULINK 532/U can be mounted at any angle of swivel.
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• Connect the optical fiber to the laser console. Mount the holding clip on
the vertical rod of the headrest. Install footswitch.
• If necessary, the initial alignment of the laser spot with the light path of
the slit lamp illumination may be performed using the focusing aid
provided. For this purpose see section Adjusting the slit lamp and the
VISULINK 532/U on pages 69 and 70.
1 Haag-Streit slit lamp

2 Slit lamp adapter
3 VISULINK 532/U
4 Slit lamp adapter
5 Zeiss SL 130
Fig. 25 Mount VISULINK 532/U to a slit lamp
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Removing the VISULINK 532/U from the slit lamp
 The VISULINK 532/U can be removed in the swiveled out position

only.
• To do so, the instrument should be moved to the right until it is

perceptibly at the limit stop. In this position, the swivel arm can be
removed by lifting vertically out of the slit lamp adapter. An audible click
should be heard.
Fig. 26 Removing the VISULINK 532/U

When mounting and removing the VISULINK 532/U, ensure that the
physician's safety filter does not collide with any part of the slit lamp.
 When switching the VISULINK 532/U between different slit lamps,

the slit lamp adapter should remain on the slit lamp. The link only
should be changed. This makes repeated adjustment of the
VISULINK 532/U unnecessary.
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Adjusting the slit lamp and the VISULINK 532/U

The following procedure is used to ensure that the laser spot is focused in
the object plane of the slit lamp.
Adjusting the slit lamp and eyepieces
• Make sure the eyepieces are completely plugged in and the eyecups
pulled out (for spectacle wearers: pushed in).
• Turn the diopter setting ring on both eyepieces fully in a "+" direction
(anti-clockwise) as far as they will go.
• First of all, attach a piece of paper (business card or similar) to the object
plane of the slit lamp.
• Center the slit projector and binocular tube to the slit lamp base.
• Open the slit.
• Look through the eyepieces. Use the joystick control to focus on the
paper surface and lock the slit lamp base.
• Close the illuminating slit to a narrow line.
• On the slit lamp, choose the lowest magnification.
• Look through each eyepiece in turn, rotating the diopter setting ring for
the eyepiece through which you are looking in the "−" direction
(clockwise) until the surface of the paper is sharply in focus.
• Select the other magnification steps on the slit lamp.
• The image should remain sharply in focus at all magnifications. If not, the
procedure should be repeated.
• Make a note of the eyepiece settings for future treatment sessions. In
future you will need only to adjust the eyepieces to these values.
 If more than one physician uses the device, it is recommended that

a table be prepared with the individual refractive powers and kept
in a handy location near the device.
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Adjusting the laser spot to the slit lamp
 After installation by a Carl Zeiss Meditec authorized specialist, the

laser spot is already correctly focused for the image plane of the slit
lamp. If necessary, e.g. after a changeover to another slit lamp, you
may refocus the laser spot to the slit lamp using the focusing aid
provided.
1 Dial for vertical adjustment

2 Reflecting mirror
3 Mirror holder
4 Adjusting ring with scale for spot size adjustment
5 Fastening screw
Fig. 27 Laser spot adjustment
• First adjust the slit lamp and eyepieces as described above. Then lock the
base of the slit lamp.
• Activate the aiming beam and select a spot size of 100 µm.
• Attach the focusing aid to the mirror holder as illustrated in Fig. 28.
Loosen the fixing screw (5, Fig. 27) of the adapter by about half a turn,
then move the adapter and VISULINK 532/U until the white structured
lines are visible in sharp focus. Tighten the fixing screw. Recheck the
focus and repeat the adjustment process if necessary.
• The VISULINK 532/U is now adjusted to this slit lamp and does not
require readjustment as long as the adapter is not removed from this slit
lamp.
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• Center the laser spot on the slit:

Vertically:
– Adjust the illumination slit so that it is horizontal.
– The laser spot is adjusted to the centre of the illumination slit using
the dial (1, Fig. 27).
Horizontally:
– Adjust the illumination slit so that it is vertical.
– The laser spot is adjusted to the center of the illumination slit rotating
the mirror holder in its entirety (3, Fig. 27).
1 Focusing aid
2 Projection surface
3 Bearing block
4 Stop pin
Fig. 28 Mounting the focusing aid on the VISULINK 532/U

Adjustment using equipment other than that or procedures other than
those described here may result in exposure to hazardous radiation.
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Laser treatment with the VISULINK 532/U

Before carrying out laser treatment, you should be thoroughly familiar with
the operation of the slit lamp as a diagnostic instrument and with the
VISULINK 532/U and VISULAS 532s.
• Start the laser console as described in section Installing the instrument
on page 42.
• Insert the laser optical fiber into the light optical fiber socket (6, Fig. 8) on
the laser console and screw in firmly.
• Select the LINK applicator from the control panel.
• Select the appropriate program with the required operating parameters,
as described in section Program definition mode on page 55, or set the
parameters in Treatment STANDBY mode.
• Touch the Arrow button to switch to Treatment/STANDBY mode.
• Confirm the safety question by touching the Tick.
• Select the laser spot diameter required by rotating the knurled ring
(4, Fig. 11) on the VISULINK 532/U.
• Switch on the aiming beam.
• Hold the contact lens such that the laser beam meets the incident surface
vertically. Incorrect positioning of the contact lens will cause distortion of
the laser focus. This can lead to unwanted side effects.

Never begin treatment if a different applicator is displayed.
 Because of the small working distance, it may not be possible to

use the longer versions of some contact lens. Please use the shorter
versions of these (e.g. Goldmann three mirror contact lens (small),
see section Optional accessories, page 95).
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• Position the aiming beam until the light spot appears sharply delineated
and the tissue to be treated is seen sharply in focus.
• Touch the STANDBY/READY button to switch to Treatment READY
mode.
• Recheck the treatment site and operating parameters.
• Fire the laser pulse by operating the foot switch.
 In rare cases, you may perceive chain-like multiple reflections of the

aiming beam. These are virtual reflections, i.e. they are artifacts of
the microscope only and are not present on the retina. The actual
aiming beam is easily distinguishable by its brightness. These
multiple treatment laser images do not represent a risk to the eyes
of the physician carrying out the treatment or the patient.

Never activate the laser if irregular multiple reflections of the aiming beam
are visible.
Never fire the laser if the aiming beam is not unequivocally visible in the
target area.
• After treatment, switch off the laser console using the key switch and
remove the key.
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Laser endoprobe (intraocular probes)

Carl Zeiss Meditec does not supply own laser endoprobes. The VISULAS 532s
is designed for use with commercial laser endoprobes from third party
suppliers, which are approved for intraocular laser treatment.
These laser endoprobes must conform to the following specifications:
Connection SMA 905 socket

Max. laser power output in the range from 500 to
820 nm 2.5 W
Numerical aperture 0.22
Fiber core diameter 200 µm
Transmission in the range from 500 nm to 715 nm and
from 745 nm to 820 nm > 80 %
Electrical insulation between connector and needle > 100 MΩ
For these laser endoprobes from third party suppliers, Carl Zeiss Meditec
assumes no liability.
A typical laser endoprobe consists of the components illustrated in Fig. 29.
The mechanical prerequisite of the use of a laser endoprobe together with
the VISULAS 532s is the availability of a standard SMA socket (1, Fig. 29).
1 SMA socket
2 Protective cap
3 Optical fiber (3 m)
4 Handpiece (application part)
5 Protective cap
Fig. 29 Laser endoprobe example
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CAUTION - RISK OF CONTAMINATION

Intraocular laser endoprobes from third party suppliers are provided in a
sterile condition. To preserve sterility, the following measures must be
observed:
• Observe storage requirements and expiry dates.
• Do not use if the pack or probe is damaged!
• The sterile pack should be opened immediately before use.
• The probe is for single use only and should be disposed of immediately
after use. Resterilization is not permitted. Reuse of probes may cause
infection.
• When disposing of probes, the regulations for handling infectious
material must be observed.
• Optical fiber fatigue as a result of resterilization and reuse may result in
fiber breaks and misdirection of the laser beam. This may result in injury.
 Connection of the laser endoprobe to the VISULAS 532s laser

console is described in section Application, on page 77.
 Light transmission of laser endoprobes may vary from supplier to

supplier. If you change your laser endoprobe supplier, make sure
that your local Carl Zeiss Meditec service engineer measures and
stores the transmission of the new laser endoprobe. This will
enable the proper output power indicated on the graphical user
interface of the touch panel.
 When using endoprobes observe the user manual for the

respective laser endoprobe.
Physician's safety filter

To protect the attending physician's eyes from laser radiation, the surgical
microscope must be equipped with a physician's safety filter.
Fixed physician's safety filters, which remain in the beam path throughout
the treatment, and active physician's safety filters, which only move into
place when the laser is fired, are available.
The physician's safety filter should be fitted by a trained and authorized
service technician.
000000-1967-270-GA-US-040414
Please observe the following points:

• The physician's safety filter (for 532 nm) protects the attending
physician's eyes when looking through the binocular tube of the surgical
microscope.
• If an assistant's scope is connected, the physician's safety filter must be
mounted upstream of the beam splitter to the assistant's scope.
• On OPMI CS operating microscopes, the beam splitter is built into the
body of the microscope. It is therefore not possible to mount the
physician's safety filter upstream of the beam splitter. If you wish to
mount an assistant's scope on the beam splitter, you must install a
second physician's safety filter between the assistant's scope and the
parallel tube.
• If the operating microscope is equipped with an assistant's microscope, a
second physician's safety filter must be built into the optical path of the
assistant's microscope.
1 Physician's safety filter, fixed

2 Active physician's safety filter, double
3 Active physician's safety filter, single
Fig. 30 Physician's safety filter
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Application
• Open the laser endoprobe pack and carefully remove the SMA connector
of the sterile laser endoprobe. The handpiece can be left in the pack until
it is needed.
• Remove the protective cap (2, Fig. 29), if available, from the optical fiber
adapter.
• Screw the SMA connector (1, Fig. 29) into the laser console's optical fiber
socket (6, Fig. 8).

Screw in the SMA connector by hand only. Do not use tools!
• If you need to change the laser endoprobe during treatment, the laser
console must be switched to Treatment STANDBY mode.
Sterile operation
To set the laser parameters under sterile conditions, the control panel can be
operated using a sterile swab or a sterile stylus (3, Fig. 31).

Do not use sharp objects or pens/felt pens to operate the control panel.
To maintain the sterility of the sterile end of the swab or sterile stylus
between uses, a holder (2, Fig. 31) can be attached to the control panel.
Insert the sterile stylus into the holder when it is not required.

The swab or sterile stylus should be held by the sterile end only. Ensure that
the sterile end does not come into contact with non-sterile materials or
persons. Dispose of the swab or sterile stylus properly after use.
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1 Control panel
2 Holder for sterile stylus
3 Sterile stylus
Fig. 31 Control panel with sterile stylus and holder

The sterile stylus is supplied in a sterile state together with the laser
endoprobe. To preserve sterility, the following measures must be observed:
• Observe storage requirements and expiry dates.
• Carefully store the sterile endoprobe pack in the cardboard box
provided. Remove it immediately before use.
• Do not use if the pack is damaged!
• The sterile pack should be opened immediately before use.
• The sterile stylus is for single use only and should be disposed of
immediately after use. Resterilization is not permitted. Reuse of sterile
styli may cause infection.
• When disposing of sterile styli, the regulations for handling infectious
material must be observed.
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Laser treatment

Before carrying out treatment, check that the physician's safety filter is
installed in the surgical microscope.
The physician's safety filter is labeled with a continuous green strip and the
words "VISULAS Safety Filter 532 nm".
• Start the laser console as described in section Installing the instrument

on page 42.
• Switch on the VISULAS 532s using the key switch.
• Select the ENDO probe as applicator and touch the Arrow button.
• Select the physician's safety filter used Fixed (1, Fig. 30) or Active (2 or
3, Fig. 30).
Please select the physician's

safety filter to be used, and
check that it has been installed.
"Fixed safety filter 532 nm“

installed
"Active safety filter 532 nm“

installed
Fig. 32 Screen for confirming that physician's safety filter is fitted
• Select the appropriate program with the required operating parameters,

as described in section Program definition mode on page 55, or set the
parameters in Treatment STANDBY mode.

Never start treatment if a different applicator is shown in the display to the
one required, or if no physician's safety filter is fitted.
• Connect the laser endoprobe to the laser console as described in

Application on page 77.
• Switch on the aiming beam.
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• Hold the tip of the laser endoprobe near a surface and adjust the
brightness of the aiming beam.
• Introduce the laser endoprobe.

• Switch to Treatment READY mode. The foot switch is now activated.

Only operate the foot switch, if you have clearly localized the target area
and are sure that you wish to use the therapeutic laser beam.
• Localize the target area and adjust the size of the laser spot.
• The tip of the laser endoprobe should normally be 2 to 5 mm from the
retina, depending on the spot size and flux density required.

Do not fire the laser beam if the tip of the laser endoprobe is touching the
tissue.
• Operating the foot switch fires laser pulses using the parameters selected.
• After treatment, switch off the laser console using the key switch and
remove the key.
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Shutting down 81
Shutting down

If one of the following events should occur, switch the instrument and the
power isolation transformer off immediately at the key switch and
disconnect the cable from the power supply.
– Electric shocks
– Penetration of substances
– Smoke, sparks or unusual sounds
– Faults that cannot by remedied according to the descriptions in this user
manual.
Label the instrument clearly as being out of service and report the problem
to the Carl Zeiss Meditec service.
Switching off the instrument

Internal components remain under voltage after the instrument has been
switched off with the key switch.
To completely disconnect from the power supply, the instrument must be
unplugged.
Turn off all devices using the key switch.
 When the devices are not in use or unsupervised, they should be

secured against unauthorized use by withdrawing the key from the
key switch.
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82 Maintenance and care
Maintenance and care

Further maintenance procedures above and beyond those specified in this
section (maintenance, safety inspections and repairs) may only be carried
out by persons authorized by Carl Zeiss Meditec and solely according to the
service instructions issued by Carl Zeiss Meditec. For planning and
implementing these maintenance and care procedures please contact
Carl Zeiss Meditec service or your local dealer.
The manufacturer accepts no liability for damages resulting from
unauthorized tampering with the device or from the use of unapproved
accessories. Such actions will also render any warranty claims invalid.
Fault remedy
Troubleshooting tables
Faults are indicated as system information on the control unit display. The
user is also alerted by short audible signals.
Note: Follow the instructions given.
Warning message: Remedy the fault according to the troubleshooting
tables below.
If a fault occurs, which cannot be remedied by using the following tables,
please contact a Carl Zeiss authorized specialist, citing the error number
displayed.
Label the instrument as being out of order and remove the key from the key
switch.
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Maintenance and care 83
Warning messages and notes
Message Remedy
Door interlock is active, please Shut the door or check that the shorting plug is
close door. correctly plugged into the yellow socket.
LASER STOP is activated, Unlock the LASER STOP button.
please unlock.
Slit lamp or physician's safety Check that the slit lamp and the surgical
filter not connected. microscope (ENDO physician's safety filter) are
correctly connected and properly inserted.
No optical fiber connected. Check that the optical cable is properly inserted
and screwed in tightly.
No foot switch connected. Check that the foot switch is correctly
connected and that the cable is properly
inserted.
Excess temperature, please If this fault occurs frequently, ensure that the
wait. instrument’s ventilation slots are not covered
and that the ambient temperature falls below
35 °C.
Adjusting pulse interval. If the laser parameters ‘pulse duration’ or
‘power’ are changed, the system may carry out
an adjustment of the ‘pulse interval’ parameter.
To avoid overloading the system, the interval
between laser pulses is increased.
Power deviation P > 20 %. The internal monitoring systems have identified
that the actual laser power output deviates
from the target power output selected on the
control panel by more than 20%. Should this
error message occur repeatedly, please inform a
Carl Zeiss Meditec authorized specialist.
Please release actuator. Release the foot switch.
Monitoring systems You are in a special service mode. All error
deactivated. messages are deactivated. Please contact our
For service use only! service department. Patients must not be
treated in this mode!
LINK selected as applicator. Safety question, to check that the correct
Use LINK? applicator has been selected.
Confirm by touching the tick, or abort by
touching the cross.
LIO selected as applicator. Use Safety question, to check that the correct
LIO? applicator has been selected.
Confirm by touching the tick, or abort by
touching the cross.
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Message Remedy
Please select the physician's Safety question, to check that the physician's
safety filter to be used, and safety filter is fitted in the surgical microscope.
check that it has been If you are using a fixed safety filter, touch Fixed
installed. safety filter 532 nm. If you are using an active
safety filter, touch Active safety filter 532 nm.
If no safety filter is fitted, abort by touching the
’X’.
In the STANDBY and READY Switch to STANDBY mode. Touch the Demo
modes, demo is displayed button until it disappears (about 5 seconds).
beside the aiming beam
button. The laser cannot be
triggered.
Faults during operation of the LIO Trion/532s
Fault Possible cause Remedy

No or weak − Cold light source power cable not − Connect cold light source power
illumination connected. cable.
− Cold light source not switched on. − Switch on cold light source.
− Brightness too low. − Adjust brightness.
− Power failure − Call in-house electrician.
− Halogen lamp in cold light source − Replace halogen bulb.
defective.
− Illuminating optical fiber defective. − Replace illumination optical fiber.
Strong reflections visible − Aspherical lens held the wrong way. − Hold aspherical lens so that its
in the image. engraving faces the operator.
No laser beam. − Laser console in Treatment − Switch to Treatment READY mode.

STANDBY mode. − Refer to VISULAS 532s laser console
− Error message or Demo mode on troubleshooting table.
laser console. − Contact customer service.
− Laser optical fiber defective. − Contact customer service.
− Laser coupler defective. − Release LASER STOP button.
− LASER STOP activated.
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Faults during operation of the laser slit lamp

No function at all − Laser console power cable not − Connect the power cable.
connected.
− Connecting cable not properly − Insert connector into socket (12, Fig. 8).
inserted into laser console. − Change fuse.
− Fuse defective. − Switch on the laser console.
− Control unit not switched on.
No slit illumination − Slit is closed. − Adjust slit width using knob (14, Fig. 4).
− Replace halogen bulb. (see section
− Halogen bulb defective. Replacing the halogen bulb in the laser
slit lamp on page 87).
Poor slit illumination − Selected lamp voltage too low. − Set halogen lamp brightness as required
using the brightness control (9, Fig. 5).
− Halogen bulb not properly − Ensure that halogen bulb is properly
inserted. inserted. (see section Replacing the
halogen bulb in the laser slit lamp on
− Slit length not correctly adjusted. page 87).
− Adjust slit width using knob (12, Fig. 4).
− Slit width not correctly adjusted. − Adjust slit width using knob (14, Fig. 4).
− Check position of filter selector knob
− Filter selector not correctly set. (15, Fig. 4) (white line should be
pointing upward).
Difficulties when − Magnification of corneal − Turn magnification changer knob
looking through microscope not correctly adjusted. (2, Fig. 4) to select the desired
corneal microscope magnification (magnification
recommended for laser treatment: 12x).
− Interpupillary distance of binocular − Adjust interpupillary distance of
tube not correctly adjusted. binocular tube.
− Eyepieces not correctly adjusted. − Adjust eyepieces (see section Adjusting
the slit lamp and eyepieces, page 64).
Movement of − Instrument base locked with fast- − Unlock fast-action base lock (8, Fig. 5).
instrument base too action base lock. − Unscrew locking screw (5, Fig. 5).
stiff − Base locked with locking screw.
No aiming beam − Aiming beam not activated. − Switch on the aiming beam.
visible.
− Link swiveled out. − Swivel the link into position.
− Link not connected to laser − Connect the end of the optical fiber to
console. the laser console's output socket.
− Reduce the intensity of the slit lamp to
− The intensity of the slit lamp is too the required level.
high.
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Faults during operation of the VISULINK 532/U

Aiming beam is not at − Reflecting mirror is not correctly − Adjust the reflection plate to the
the centre of the adjusted to the illumination slit. illumination slit as described on
illumination slit. page 70.
A precisely repeating − Virtual reflections, visible with the − The therapeutic beam is not
series of aiming beams microscope only, have been affected. Read note on page 73 and
is visible. produced. continue working accordingly
Irregular multiple − The reflecting mirror on the VISULINK − Clean the reflecting mirror as
reflections of the aiming is contaminated. described in section
beam are visible.
− Cleaning of optical components on
− The coating on the reflecting mirror is page 91.
detaching. − Stop using the equipment
immediately and call a
Carl Zeiss Meditec authorized
specialist.
Mark the equipment as "out of
order". Do not carry out any further
treatments.
The field of view is − The absorber plate at the lower end − Clean the absorber plate as
partly overlaid with of the VISULINK is contaminated. described in section
scattered light.
− Cleaning of optical components on
− The angle of inclination of the page 91.
absorber plate is not correctly − Swivel the absorber plate into
adjusted for the slit lamp. position so that no scattered light
effects are visible.
You are dazzled by − Physician's safety filter in reflecting − Stop treatment immediately and
bright treatment light in mirror faulty. contact a Carl Zeiss Meditec
the slit lamp microscope authorized specialist as soon as
during treatment. possible.
Difficulty in using the − Contact lens is too long. − Use a shorter contact lens.
contact lens.
VISULINK cannot be − There is a foreign body in the quick − Remove the foreign body.
used. swap station.
− VISULINK is misaligned. − Insert the pivot vertically into the
quick swap station.
VISULINK cannot be − VISULINK is not in the correct − Swivel the VISULINK out completely
removed. position. until it clicks perceptibly into place.
− Grasp the VISULINK close to the
− VISULINK becomes misaligned when pivot and remove it vertically from
trying to remove it. the mounting.
000000-1967-270-GA-US-040414
Replacing the halogen bulb in the laser slit lamp
CAUTION - RISK OF BURNS

Before replacing the lamp, switch the system off at the key switch and
disconnect the power cable. Allow the lamp to cool down or wear
protective gloves.
1 Halogen lamp cover

2 Lamp holder
3 12 V/30 W halogen bulb
4 Locating pins
5 Lever
Fig. 33 Replacing the halogen bulb
000000-1967-270-GA-US-040414
• Replace the halogen bulb (3, Fig. 33) as illustrated in Fig. 33.
• To unlock the lamp holder, turn the lever (5, Fig. 33).
• Do not touch the bulb with bare fingers.
• When inserting the bulb, make sure the lamp holder (2, Fig. 33) is
properly positioned in relation to the locating pins (4, Fig. 33).
Replacing the fuses
 Only use fuses specified in section Technical data (see page 99).
1 Fuse compartment
2 Fuse
3 Fuse cartridge
Fig. 34 Replacing the fuse at the basic unit
• Remove the fuse carrier (3, Fig. 34) with fuse by pressing gently on the
snap-in clip.
• Replace the defective fuse (2, Fig. 34) and reinsert the fuse carrier with
fuse.
Ensure that the fuse carrier snap-in clip is correctly positioned.
000000-1967-270-GA-US-040414
Replacing the flashing diode of the fixation lamp
1 Flashing diode
2 Flashing diode holder
Fig. 35 Replacing the flashing diode
Unscrew the defective flashing diode (1, Fig. 35) from the holder (2, Fig. 35)
and replace it with a new diode.
000000-1967-270-GA-US-040414
Maintenance and care

Care and cleaning

Prevent moisture from penetrating the instrument or keyboard. Disconnect
the power cable from the power supply before cleaning or disinfecting the
device.
CAUTION - RISK DUE TO CROSS-CONTAMINATION

Parts with which the patient has come into contact during the examination
(chin rest, forehead rest) should be cleaned with a disinfectant approved for
the purpose. These parts are resistant to cleaning agents categorized as
“low" (e.g. suds, quaternary ammonium compounds) and “intermediate”
(e.g. alcohol, Javel water, iodine); classification pursuant to: Disinfectants
and activity spectrum according to the Center of Disease Control and
Prevention, Atlanta, USA.
CAUTION - RISK OF FALSE DIAGNOSIS

Use the supplied dust cover to protect the device against dust when not in
use.

The national disinfecting regulations must be observed in the choice of
disinfectants and methods. Please note that some cleaning agents and
disinfectants may have an adverse effect on plastic components. Damage
caused by such disinfectants is not covered by our warranty. The surfaces of
the instrument have been tested to withstand frequent and long-term
treatment with alcoholic disinfectants and cleaning agents.
Never use aggressive or abrasive cleaning agents.
 Do not use acetone or acetone-based cleaning agents to clean the

devices, as they could damage the surfaces.
000000-1967-270-GA-US-040414
Cleaning of optical components
The multilayer T* (T-star) antireflection coating of the optical components

(e.g. eyepieces and objectives) results in excellent image quality.
Even slight contamination of the optics or a fingerprint will impair image
quality. In order to protect the internal optical elements from dust, never
leave the device without the objective, binocular tube or eyepiece attached.
After use, cover the device to protect it from dust. Always store objectives,
eyepieces and accessories that are not being used in dust-free cases.
The external surfaces of optical components (eyepieces, objectives), can be

cleaned as required:
• Dust on the optical surfaces can be removed using a squeeze blower or a
clean, grease free brush.
• Thorough cleaning can be performed quickly and easily using a
moist, anti-static cleaning cloth.
Please follow the instructions on the cleaning cloth packaging.
This will enable you to maintain the high image quality of your product.
Cleaning and disinfection of painted surfaces
All painted surfaces may be cleaned with a damp cloth.

Do not use aggressive or abrasive cleaning agents.
Use spray or wipe disinfectants for cleaning and disinfecting the instrument
case, foot switch, chin rest and forehead strap.
The display should be cleaned with a lightly moistened cloth only.
 The national disinfecting regulations must be observed for selecting

the suitable disinfectant and method of disinfecting to clean the
casing and the control panel.
We recommend the use of ethanol 80 % vol or isopropanol
70 % vol for disinfecting.
Ensure that no moisture penetrates the instrument and the foot switch
during cleaning and disinfection.
Paper pads should be replaced after each patient.
000000-1967-270-GA-US-040414
Transportation instructions
Before transporting the instrument, disconnect the individual components by
disconnecting the connecting cables.
Use an appropriate means of transport, such as the transport case, in order
to prevent hard impacts and mechanical damage.
Reconnect the cables at the installation site (see section Controls, display
elements and connectors, page 27 and following and Installing the
instrument, page 42).
Packaging materials should be retained for future relocation or repair.
If you wish to dispose of the packaging material, hand it over to a
recognized collection system for recycling.
Safety inspections

The user is required to have the instrument inspected for safety once a year.
Safety inspections may only be carried out by persons authorized by
Carl Zeiss Meditec and solely according to the service instructions issued by
Carl Zeiss Meditec. For planning and implementing these safety inspections
please contact Carl Zeiss Meditec service or your local dealer.
These inspections should also be carried out when the instrument has been
out of use for more than one year.
Power measurement system calibration
WARNING - RISK OF OPTICAL RADIATION

Energy measurement system calibration is a service procedure to be
performed only by trained and authorized service technicians. Because of
the risk of exposure to laser radiation, this procedure is dangerous.
Incorrect calibration may result in serious injury.
The following instructions are written for service technicians who have been
officially trained by the manufacturer.
Possession of service literature (service manual, installation instructions or
similar) and/or the required tools does not entitle unauthorized persons to
calibrate or otherwise service this laser device.
The manufacturer accepts no liability for damage or injury caused by
unauthorized personnel tampering with the instrument. Such actions will
also render any warranty claims invalid.
000000-1967-270-GA-US-040414
The VISULAS 532s is calibrated such that the power setting on the control
panel coincides with the actual power delivered to the target area.
Calibration of the power measurement system must be checked at least
once every 12 months.
This is performed as a routine measure by our service technicians during
servicing.
The following instructions are intended for customers who, for whatever
reason, wish to check the calibration of the VISULAS 532s.
Calibration procedure
Tools and aids required for calibration of the laser system:
• Calibrated laser power meter

(with valid certificate of calibration)
Coherent Fieldmaster (or an equivalent meter) for measuring radiation at
532 nm within a range of 0.05 to 10 W
• Calibrated laser power measuring head (with valid certificate of
calibration) Coherent LM 10 (or an equivalent measuring head for
measuring cw laser radiation) for measuring radiation at 532 nm within a
range of 0.05 to 10 W
• Laser safety goggles for 532 nm laser radiation
To calibrate the instrument, proceed as follows:

All persons present in the laser hazard area while the laser is active must
wear laser safety goggles.
Calibrating the laser console with applicator

• Connect the measuring head to the laser power meter.
• Where necessary, set the wavelength of the power meter to 532 nm.
• Place the power measuring head in front of the applicator.
• Select the applicator to be measured from the laser main menu.
• Touch the Arrow button to switch to Treatment STANDBY mode.
• Switch on the aiming beam and position the measuring head and
applicator aperture to illuminate about 2/3 of the area of the measuring
head.
• Set the power to 1000 mW.
• Set the pulse duration to 100 ms.
• Set the pulse interval to 100 ms.
000000-1967-270-GA-US-040414
• Switch the laser to READY mode.

• Adjust for the aiming beam power using the meter’s offset button /
function.
• Operate the foot switch.
• Take the power reading from the laser power meter.
The device is correctly calibrated if, for a pulse duration/interval ratio of

100 ms/100 ms and a power setting of 1000 mW, the value displayed is
within the range of tolerance of 400 mW to 600 mW.
If the value displayed is outside of this range, inform an authorized service
technician immediately.
000000-1967-270-GA-US-040414
Optional accessories 95
Optional accessories
WARNING - Risk of OPTICAL RADIATION

Use only accessories and spare parts approved by Carl Zeiss Meditec.

• Foot switch 5 m
• Extension cable for control console (to 5 m)
• Instrument table IT 1060 (see instrument table user manual)
• Table mounting for VISULAS 532s on IT 1060
• Adapter plate for foot switch on IT 1060 or IT 760
• ACCENTO Ergo tube
• Convergent tube f = 140 mm
• LSL Trion/532s fiber optic cable (3.5 m)
• VISULINK 532/U (3.5 m)
• 532 adapter for Zeiss SL 120/SL 130
• 532 adapter for Zeiss SL 115 Classic
• 532 adapter for Zeiss 20 SL/30 SL
• 532 adapter for Haag-Streit 900 BM, BQ
• Mounting base with screw for Haag-Streit 900 BM
• Mounting pivot for Haag-Streit 900 BQ, 900 BP, 900 BX
• Transport case for VISULAS 532s
• Laser safety goggles Argon/532
• Laser warning light (see laser warning light addendum)
• LIO Trion/532s Laser Indirect Ophthalmoscope LIO Trion/532s (see LIO
Trion/532s indirect ophthalmoscope addendum)
• Doorlock isolator (only if third party laser warning lights are used)
• Laser model eye with holder (complete kit with 10 spare capsules,
membranes, fundi and irises)
• Spare capsules for laser model eye (25 pc.)
• Spare membranes for laser model eye (25 pc.)
• Spare irises for laser model eye (25 pc.)
• Spare fundi for laser model eye (25 pc.)
• Applanation tonometer AT 020 (own user manual)
000000-1967-270-GA-US-040414
96 Optional accessories
• Physician's safety filter for surgical microscope

– Active physician's safety filter, single, for Zeiss/Möller-Wedel surgical
microscope
– Active physician's safety filter, double, for Zeiss/Möller-Wedel surgical
microscope
– Fixed physician's safety filter for Zeiss/Möller-Wedel surgical
microscope
– Active physician's safety filter, single, for Leica/Wild surgical
microscope
– Active physician's safety filter, double, for Leica/Wild surgical
microscope
– Fixed physician's safety filter, for Leica/Wild surgical microscope
• Contact lenses
– Mainster Standard 90° contact lens (OMRA-S)
– Mainster Wide Field 118° contact lens (OMRA-WF)
– Mainster PRP 165° contact lens (OMRA-PRP 165)
– Goldmann three mirror contact lens, small (OG3MSA)
– Goldmann three mirror contact lens (OG3MA)
– Ritch trabeculoplastic contact lens (ORTA)
A complete, up-to-date list of accessories can be obtained from your dealer.
000000-1967-270-GA-US-040414
Optional accessories 97
Connecting a doorlock isolator
 The doorlock isolator may only be connected to the VISULAS 532s

laser console.
1 Interlock port for doorlock

2 Doorlock isolator
3 Output socket for third party door interlock
Fig. 36 Connection of a doorlock isolator to the VISULAS 532s laser console
• Remove the connector from the interlock port of the laser console
(1, Fig. 36) and connect the plug of the doorlock isolator with this port
(2, Fig. 36).
• Connect the door interlock of your laser warning light with a 3.5 mm jack
plug (mono) to the output socket (3, Fig. 36) of the doorlock isolator. The
contact must be operated in floating mode (potential-free).
 The connection must be installed with strain relief so that the

connector cannot be pulled inadvertently from the socket.
000000-1967-270-GA-US-040414
98 Essential performance
Essential performance
The essential performance features of the instrument are exclusively limited
by the parameters and specifications listed in the following. Any other
features not contained in this table are not essential performance features.
• Emission of pulsed laser radiation with defined values for wavelength,
pulse length, load cycles and spot size within a specified power range for
ophthalmological purposes.
– Wavelength: 532 nm ± 2 nm
– Maximum power output: 1500 mW ± 20 %
– Pulse length: adjustable in increments from 10 ms to 2500 ms,
continuous wave mode
– Spot size configuration: 50/100/200/300/500/1000 μm
(without contact lenses)
• Emission of a red light beam for determining the exact position of the
treatment beam.
• Aiming and treatment beams exhibit distinct overlapping in the focal
plane.
• The preselected parameters (power, length, load cycle) can be changed:
to do this, activate the respective parameters by pressing the symbols on
the touchscreen or turning the knob.
• Emission from the treatment beam is only possible by pressing the foot
switch or manual trigger.
• The physician's safety filter is either permanently swiveled in or swiveled
in when the trigger button on the foot switch is pressed.
000000-1967-270-GA-US-040414
Technical data 99
Technical data
VISULAS 532s laser system
Laser type Frequency doubled Nd:YVO4, diode-pumped, cw
Laser class Class 4 (EN 60825-1:2003)
Wavelength of therapy beam 532 nm
Pulse duration (single pulse): 10 to 2500 ms, cw (180 s)
Pulse duration (VITE multispot 20 ms, 30 ms, 40 ms, 50 ms
option)
Max. power at cornea 1500 mW (slit lamp)
Max. power at resonator 2.5 W
Pulse interval Adjustable from 100 to 6000 ms
Aiming beam Diode, 620 to 650 nm, max. 1 mW at the cornea, max. 5 mW at the
diode
Ambient conditions Ambient temperature: +10 °C to +40 °C
Relative humidity: 0 to 70 % (no condensing)
Altitude: up to 3,000 m above sea level
Transport and storage conditions Ambient temperature: -40 °C to +70 °C
Relative humidity: 0 % to 70 %
Rated voltage; frequency 100 to 240 V AC (±10 %); 50/60 Hz
Max. current 7A
Power consumption 400 VA
Protection mode IP 20
Protection class I
Instrument type B (in accordance with DIN EN 60601-1)
Ground connection Only use power outlets with proper ground connections
− Fuses − 2 x T6.3 AH 250 V
Cooling system Thermoelectric
Laser console dimensions H x W x D = 151 mm x 289 mm x 400 mm
Laser console weight < 15 kg (including control console)
Laser beam divergence
with LSL, LIO NA ≤ 0.1
with typical laser endoprobe NA ≤ 0.22
NOHD 10 m (with LSL)
(Nominal Ocular Hazard Distance)
3 m (with typical laser endoprobe)
20 m (with LIO Trion/532s)
000000-1967-270-GA-US-040414
100 Technical data
LSL 532s laser slit lamp

Laser treatment spot size Continuously adjustable from 50 to 1000 µm (without contact glass)
parfocal, larger spot sizes depending on contact lens used
Laser beam delivery Interlaced with slit illumination system
Illumination 12 V, 30 W brightness continuously adjustable.
Slit adjustment Slit length variable in steps of: 1/3/5/9/14 mm
Slid width continuously adjustable: 0 mm to 14 mm
Slit image rotation: 0°, ±45°, 90°
Magnification 5 magnifications, in steps of 5x, 8x, 12x, 20x, 32x
Electrical power supply Electrical power is supplied via the VISULAS 532s laser console.
Protection mode IP 20
Weight 11 kg
Accessories Tonometer, assistant's scope, video documentation equipment etc. from the
range of accessories for the SL 115, SL 120 and SL 130 slit lamps
VISULINK 532/U
Laser treatment spot size Continuously adjustable from 50 to 1000 µm (without contact glass)
parfocal, larger spot sizes depending on contact lens used
Dimensions H x W x D = 180 mm x 35 mm x 125 mm
Weight 0.4 kg
Technical details and delivery package subject to change.
000000-1967-270-GA-US-040414
Electromagnetic compatibility 101
Electromagnetic compatibility
Special precautionary measures apply to this device with regard to
electromagnetic compatibility (EMC). To avoid electromagnetic disturbances,
the device may only be installed, operated and serviced in accordance with
the user manual and using the components supplied by Carl Zeiss Meditec.

Portable and mobile RF communications equipment may affect the device.
When operating radio devices or components for radio transmission, observe
the distances to all system components recommended in this section.
CAUTION - RISK OF ELECTROMAGNETIC RADIATION

The VISULAS 532s may not be placed next to or stacked together with
other equipment with the exception of device configurations described in
this user manual. If operation close to or with other devices is necessary,
the VISULAS 532s must be closely observed to monitor proper functioning
in this configuration.
Replacement cables may only be purchased at Carl Zeiss Meditec.

The use of accessories and cables not specified in this user manual or not
sold by Carl Zeiss Meditec as replacement parts may result in higher
emissions or reduced immunity of the device.
Relevant accessories and cables:
– Power supply cable (2.5 m)
– Extension cable LSL (1.5 m)
– Extension cable control console (3 m)
– Cold device extension (0.4 m)
– Cold device extension (0.7 m)
– Foot switch (1.2 m)
– Foot switch (5 m)
– Laser warning light
– Doorlock isolator
000000-1967-270-GA-US-040414
102 Electromagnetic compatibility
The following guideline applies only to the accessories specified for and
delivered with the device from Carl Zeiss Meditec.
Guidance and manufacturer’s declaration - electromagnetic emissions

The VISULAS 532s is intended for use in the electromagnetic environment specified below. The customer or the
user of the VISULAS 532s should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
RF emissions CISPR 11 Group 1 The VISULAS 532s uses RF energy only for its
internal function. Therefore, its RF emissions
are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions CISPR 11 Class B The VISULAS 532s is suitable for use in all
establishments, including domestic
Harmonic emissions IEC 61000-3-2 Class A
establishments and those directly connected
Voltage fluctuations/flicker emissions Complies to the public low-voltage power supply
IEC 61000-3-3 network that supplies buildings used for
domestic purposes.
000000-1967-270-GA-US-040414
Guidance and manufacturer’s declaration - electromagnetic immunity

The VISULAS 532s is intended for use in the electromagnetic environment specified below. The customer or the
user of the VISULAS 532s should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic
environment - guidance
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood,
discharge (ESD) ±8 kV air ±8 kV air concrete or ceramic tile. If
IEC 61000-4-2 floors are covered with
synthetic material, the relative
humidity should be at least
30 %.
Electrical fast ±2 kV for power supply ±2 kV for power supply Mains power quality should be
transient/burst lines lines that of typical commercial or
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output hospital environments.
lines lines
Surge IEC 61000-4-5 ±1 kV line(s) to line(s) ±1 kV line(s) to line(s) Mains power quality should be
±2 kV line(s) to ground ±2 kV line(s) to ground that of typical commercial or
hospital environments.
Voltage dips, short < 5 % UT < 5 % UT Mains power quality should be
interruptions and (> 95 % dip in UT) (> 95 % dip in UT) that of typical commercial or
voltage variations on for 0.5 cycle for 0.5 cycle hospital environments. If the
power supply input 40 % UT 40 % UT user of the VISULAS 532s
lines IEC 61000-4-11 (60 % dip in UT) (60 % dip in UT) requires continued operation
for 5 cycles for 5 cycles during power mains
interruptions, it is
70 % UT 70 % UT
recommended that the
(30 % dip in UT) (30 % dip in UT)
VISULAS 532s be powered
for 25 cycles for 25 cycles
from an uninterruptible power
< 5 % UT < 5 % UT supply or a battery.
(> 95 % dip in UT) (> 95 % dip in UT)
for 5 s for 5 s
Power frequency 3 A/m 3 A/m Power frequency magnetic
(50/60 Hz) magnetic fields should be at levels
field IEC 61000-4-8 characteristic of a typical
location in a typical
commercial or hospital
environment.
Note: UT is the a.c. mains voltage prior to application of the test level.
000000-1967-270-GA-US-040414
104 Electromagnetic compatibility
Guidance and manufacturer’s declaration - electromagnetic immunity

The VISULAS 532s is intended for use in the electromagnetic environment specified below. The customer or
the user of the VISULAS 532s should assure that it is used in such an environment.
Immunity test IEC 60601 test Compliance level Electromagnetic environment -
level guidance
Portable and mobile RF communications
equipment should be used no closer to any
part of the VISULAS 532s, including cables,
than the recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended separation distance

Conducted RF 3 Vrms 3V d = 1.2 P
IEC 61000-4-6 150 kHz to
80 MHz
Radiated RF 3 V/m 3 V/m d = 1,2 P 80 MHz to 800 MHz
IEC 61000-4-3 80 MHz to
2.5 GHz d = 2,3 P 800 MHz to 2.5 GHz
where P is the maximum output power

rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site
surveya, should be less than the compliance
level in each frequency rangeb.
Interference may occur in the vicinity of
equipment marked with the following
symbol:
Note 1: At 80 and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the VISULAS 532s is used exceeds the applicable RF
compliance level above, the VISULAS 532s should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the VISULAS 532s.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
000000-1967-270-GA-US-040414
Recommended separation distances between portable and mobile RF communications equipment

and the VISULAS 532s
The VISULAS 532s is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The customer or user of the VISULAS 532s can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment (transmitters)
and the VISULAS 532s as recommended below, according to the maximum output power of the
communications equipment.
Separation distance according to frequency of transmitter
Rated maximum m
output power of
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
transmitter
W d = 1.2 P d = 1.2 P d = 2.3 P
0.01 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.2 1.2 2.3
10 3.7 3.7 7.4
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d
in metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is
the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
000000-1967-270-GA-US-040414
106 Abbreviations/Glossary
Abbreviations/Glossary
Fig. Figure
LSL Laser split lamp
MPE Maximum permissible laser energy
OPMI Surgical microscope
SL Slit lamp
SMA Plug connector for optical fiber
000000-1967-270-GA-US-040414
Figures/Tables 107
Figures/Tables
Fig. 1 Warning and information labels on the VISULAS 532s and its
accessories .................................................................................. 13
Fig. 2 Generation of laser radiation with λ = 532 nm ............................ 25
Fig. 3 VISULAS 532s components.......................................................... 26
Fig. 4 LSL 532s laser slit lamp ................................................................ 28
Fig. 5 Instrument base with headrest .................................................... 30
Fig. 6 Beam delivery in the LSL 532s laser slit lamp ................................ 31
Fig. 7 Laser console with control panel ................................................. 33
Fig. 8 Connectors and controls on the laser console .............................. 34
Fig. 9 Control panel, guide rod swiveled out ......................................... 35
Fig. 10 Removing the control panel......................................................... 36
Fig. 11 VISULINK 532/U with accessories ................................................ 37
Fig. 12 VISULINK 532/U optical system ................................................... 38
Fig. 13 Instrument table with VISULAS 532s............................................ 42
Fig. 14 VISULINK 532/U (section) with diffused light filter ....................... 45
Fig. 15 Power-up mode .......................................................................... 48
Fig. 16 Diagnosis mode........................................................................... 48
Fig. 17 General menu navigation ............................................................ 51
Fig. 18 Main menu ................................................................................. 52
Fig. 19 System information ..................................................................... 54
Fig. 20 Program definition mode............................................................. 55
Fig. 21 Treatment STANDBY mode; a) for LSL and VISULINK, b) for LIO
and ENDO ................................................................................... 57
Fig. 22 Treatment READY mode; a) for LSL and VISULINK, b) for LIO
and ENDO ................................................................................... 58
Fig. 23 STANDBY treatment mode for LSL 532s laser slit lamp with
the VITE multispot option (single shot operation activated) .......... 61
Fig. 24 Selection menu of an activated treatment cascade (can only be
used together with the LSL 532s VITE laser slit lamp). .................. 62
Fig. 25 Mount VISULINK 532/U to a slit lamp .......................................... 67
Fig. 26 Removing the VISULINK 532/U .................................................... 68
Fig. 27 Laser spot adjustment ................................................................. 70
Fig. 28 Mounting the focusing aid on the VISULINK 532/U...................... 71
Fig. 29 Laser endoprobe example ........................................................... 74
Fig. 30 Physician's safety filter ................................................................. 76
Fig. 31 Control panel with sterile stylus and holder ................................. 78
Fig. 32 Screen for confirming that physician's safety filter is fitted ........... 79
Fig. 33 Replacing the halogen bulb ......................................................... 87
Fig. 34 Replacing the fuse at the basic unit ............................................. 88
Fig. 35 Replacing the flashing diode ........................................................ 89
Fig. 36 Connection of a doorlock isolator to the VISULAS 532s laser
console ....................................................................................... 97
000000-1967-270-GA-US-040414
108 Index
Index
A
Abbreviations.......................................................................................... 106
C
Care.......................................................................................................... 90
Cleaning ................................................................................................... 90
Contraindications ...................................................................................... 10
Country-specific information ....................................................................... 8
D
Description of the device........................................................................... 26
Device classification .................................................................................... 8
Disposal .................................................................................................... 12
Doorlock isolator ...................................................................................... 97
F
Fault remedy ............................................................................................. 82
Figures .................................................................................................... 107
Flashing diode, replacing .......................................................................... 89
Function check.......................................................................................... 48
Functional description ............................................................................... 25
Fuses ........................................................................................................ 88
G
Glossary .................................................................................................. 106
I
Indication for use ........................................................................................ 9
L
Labels ....................................................................................................... 13
M
Maintenance and care .........................................................................82, 90
Manufacturer’s declaration ......................................................................... 8
P
Performance specifications........................................................................ 25
S
Safety inspections ..................................................................................... 92
Service life ................................................................................................ 25
Shutting down .......................................................................................... 81
Side effects ............................................................................................... 10
Switching on............................................................................................. 47
000000-1967-270-GA-US-040414
Index 109
Symbols....................................................................................................... 5
T
Technical data ........................................................................................... 99
Transportation instructions ........................................................................ 92
000000-1967-270-GA-US-040414
Manufacturer Distributor
Carl Zeiss Meditec AG Carl Zeiss Meditec Inc.
Goeschwitzer Str. 51-52 5160 Hacienda Drive Dublin
07745 Jena CA 94568
Germany USA
Phone: +49 3641 220 333 Phone: +1 877 486 7473/+1 925 557 4100
Fax: +49 3641 220 112 Fax: +1 925 557 4101 000000-1967-270-GA-US-040414
Email: info.meditec@zeiss.com Email: info.meditec@zeiss.com VISULAS 532s
Internet: www.meditec.zeiss.com Internet: www.meditec.zeiss.com Specifications subject to change
Manufacturer Distributor
Carl Zeiss Meditec AG Carl Zeiss Meditec Inc.
Goeschwitzer Str. 51-52 5160 Hacienda Drive Dublin
07745 Jena CA 94568
Germany USA
Phone: +49 3641 220 333 Phone: +1 877 486 7473/+1 925 557 4100
Fax: +49 3641 220 112 Fax: +1 925 557 4101
Email: info.meditec@zeiss.com Email: info.meditec@zeiss.com
Internet: www.meditec.zeiss.com Internet: www.meditec.zeiss.com
VISULAS 532s
000000-1967-270-DokS-US-070414 Specifications subject to change

VISULAS 532s US 070414

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VISULAS 532s US 070414

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VISULAS 532s

All rights reserved in the event of granting of patents or registration as a utility

This documentation set is protected by copyright. Unless expressly authorized in

Specifications due to technical developments are subject to change. This documen-

VISULAS 532s/Trion VITE - Quick Instructions

Notes on the user manual ..........................................................4

Package check list ......................................................................6

Country-specific information and labels .....................................8

General warning and safety instructions..................................19

Performance specifications ......................................................25

Description of the device..........................................................26

Beam delivery in the laser slit lamp ...........................................................................31

Daily use .................................................................................. 47

Operation of the device ........................................................... 49

Maintenance and care ..............................................................82

Optional accessories .................................................................95

Essential performance ..............................................................98

Technical data ..........................................................................99

Electromagnetic compatibility ................................................101

Notes on the user manual

Questions and comments

Explanation of symbols used

CAUTION - PROPERTY DAMAGE

Package check list

VISULAS 532s version with laser slit lamp (cannot be

VISULAS 532s VITE version with laser slit lamp

VISULAS 532s version with VISULINK 532/U option

Country-specific information and

WARNING - GENERAL HAZARDS

Device class: 2 pursuant to ISO 15004-2:2007

Laser class pursuant to DIN EN 60825-1-

EMC: See section Electromagnetic

UMDNS No.: 17-446 (VISULAS 532s)

UMDNS No.: 12-281 (slit lamp)

Indication for use

The VISULAS 532s system consists of

 Operation and handling of the VISULAS 532s in conjunction with

Intended user profile

CAUTION - RISK ARISING FROM OPERATING ERRORS

People working in the laser hazard area must be given instruction

Disposal of the product

CAUTION - RISK OF ENVIRONMENTAL POLLUTION

In accordance with national regulations at the time at which the product

Item Label Explanation

Application parts type B

IP20 Housing protection class

Item Label Explanation

000000-1149-623-19-US-Vs02 CLASS IV LASER PRODUCT

000000-1149-623-19-US-Vs02 CLASS IV LASER PRODUCT

11 100 V-240 V~ Label with fuse specifications

12 VISULAS 532s Control panel identification label

Item Label Explanation

Application parts type B

0297 Identification number of

Application parts type B

CE marking label and

IP20 Housing protection class

18 REF 1149-675 LSL 532s laser slit lamp identification

REF 1697-015 LSL 532s laser slit lamp VITE

19 XX/XXXX Date of manufacture label

Item Label Explanation

22 "Laser exit aperture"

24 VISULINK 532/U identification label