American Diagnostic Corporation 9362-00 Diagnostix Pocket Diagnostic Instruments Instruction Manual

June 13, 2024
American Diagnostic Corporation

American Diagnostic Corporation 9362-00 Diagnostix Pocket Diagnostic Instruments Instruction Manual

General Warnings

A warning statement in this manual identifies a condition or practice which, if not corrected or discontinued immediately, could lead to patient injury, illness, or death.

CAUTION: Because prolonged intense light exposure can damage the retina, the use of the device for ocular examination should not be unnecessarily prolonged, and the brightness setting should not exceed what is needed to provide clear visualisation of the target structures.

The retinal exposure dose for a photo chemical hazard is a product of the radiance and the exposure time. If the value of radiance were reduced in half, twice the time would be needed to reach the maximum exposure limit.

While no acute optical radiation hazards have been identified for direct or indirect ophthalmoscopes, it is recommended that the intensity of light directed into the patient’s eye be limited to the minimum level which is necessary for diagnosis.
Infants, aphakes, and persons with diseased eyes will be at greater risk. The risk may also be increased if the person being examined has had any exposure with the same instrument or any other ophthalmic instrument using a visible light source during the previous 24 hours. This will apply particularly if the eye has been exposed to retinal photography.

CAUTION: Do not immerse the battery handle in liquid. Consult the cleaning and disinfection instructions for each part for further information about cleaning and disinfecting this product. Never clean or disinfect any device with batteries in it.

CAUTION: Federal law restricts this device to sale by or on the order of a physician or licensed healthcare practitioner.

CAUTION: Turn off instrument when not in use. Avoid powering on without an instrument head attached. When storing this device for extended periods of time, remove the batteries.

WARNING : The carrying cases provided with these devices are intended for long-term storage or transport between facilities or when shipping devices to and from ADC’s facility for repair or servicing. Carry cases (including internal liners) cannot be cleaned or disinfected and should be safely discarded if contaminated. Do not carry the case into a contaminated environment.

WARNING: When replacing lamp, allow lamp to cool for five minutes before handling.

WARNING: Only the approved sterilization method included in this IFU has been validated for this device or its corresponding components. Any other sterilisation method may compromise the safety and effectiveness of this device. (This includes steam sterilization.)

WARNING: Do not place devices or accessories back into carrying case after use on a patient without first cleaning/disinfecting the device/accessories as described in the cleaning and disinfection section of this manual.

WARNING : Use of any accessories or materials not indicated in the user’s manual can degrade the minimum safety of the equipment.

WARNING : Only replace listed accessories (attachments), lamps, or batteries for the device.

WARNING: During use metal components near instrument head can become warm. This is especially true if device is on for extended periods of time. Do not leave device on when not in use.

WARNING: The light emitted from this instrument is potentially hazardous. The longer the duration of exposure, the greater the risk of ocular damage. Exposure to light from this instrument, when operated at maximum intensity, will exceed the safety guideline after 3 minutes and 47 seconds. Exposure times are cumulative for a 24 hour period.

Scopes Parts and Assembly

The pocket Scopes consists of a AA battery handle (5160N), microfiber Scopes instrument head (5120N series) with attached movable viewing lens, and disposable speculate (2.75mm and 4.25mm).

Removing and Attaching the Instrument Head

Pocket Scopes heads are threaded and can be removed by rotating the threaded connection counterclockwise, or attached by rotating the threaded connection clockwise.

Viewing Lens

To move during an examination, turn the lens bezel clockwise to lift up. To reposition, reverse procedure.

Attaching the Disposable Speculate

Push the flanges end of the desired speculate onto the stainless socket and twist clockwise to engage. Reverse procedure to remove and discard after each use.”

NOTE: Scopes must be used with speculate.

Pneumatic Scopes

To perform, insert tapered end of insulator fitting (5121N, sold separately), into hole on side of Scopes head. Attach optional bulb assembly (5122N, sold separately).

Ophthalmologist Parts and Assembly

The pocket ophthalmologist consists of AA battery handle (5160N) and ophthalmologist instrument head (5140N Series).

Aperture Selection

This unit is equipped with 5 internal apertures: small, large, semi-circle, red-free, and fixation. To select, rotate the aperture selection wheel at the front of the instrument head.

Corrective Lens Selection

This unit is equipped with 19 corrective lenses from +20 to -20 adopters (negative lenses in red). To select, rotate the corrective lens selection wheel at either side of the instrument head. Selected lenses can be viewed in the lighted panel on practitioner side of instrument.

Turning Instrument On

To illuminate, slide the on/off switch located on the battery handle pocket clip away from the instrument head. Slide the switch in the opposite direction to turn off.

Replacing Lamp

Remove the instrument head by turning counterclockwise. Grab end of lamp from inside base of instrument head and remove. Replace with new lamp, taking care not to touch the glass, and align lamp metal guides on side of lamp with grooves in lamp socket (xenon ophthalmologist heads only).

NOTE : Allow lamp to cool for five minutes before handling if device has been recently used.

Lamp Replacement Part Numbers

Lamp Type Scopes Ophthalmologist
Xenon 5111N-4 5112N-4
LED 5120NL* 5112NL-4

*NOTE : Scopes LED lamp cannot be replaced, must order new head with lamp.

Battery Replacement

This unit requires 2 AA batteries. For best performance, we suggest alkaline batteries. To replace, remove the battery cap at the base of the handle by turning counterclockwise and replace batteries, taking care to observe
correct polarity.

NOTE: This instrument should be turned off when not in use. If storing for extended lengths of time, remove batteries completely.

Handle Care and Maintenance

Periodically check the condition of both the batteries, making sure there is no sign of corrosion or oxidation. Always replace both batteries. Alkaline batteries are recommended. Remove batteries from handle if instrument will not be used for an extended period of time.

Cleaning and Disinfection

Basic Cleaning Procedure for Battery Handles, Scopes and Ophthalmologist Heads.

To clean the exterior of the device, prepare a 70% is o propyl alcohol solution and soak a lint-free cloth. Wipe down the exterior of the ophthalmologist head and handle, cleaning all external surface areas. Care should be taken to prevent excess liquid from seeping into the components.

Propyl alcohol may be substituted with commonly used, EPA-registered hospital disinfectant wipes for cleaning purposes if desired. Please refer to the directions provided by the manufacturer of the wipes for appropriate instructions for use to ensure effective contact time between the wipe and the device.

It is important to note that solution residue on the magnifying lenses may decrease device performance. All excess cleaning fluids must be carefully wiped clean if these surfaces are cleaned. The lenses of the instrument head may be cleaned with a lint-free cloth or lens paper.

Steris Sterilization Processes

This product has been validated with the V-PRO 1 Standard Cycle; V-PRO 1 Plus Lumen and Non Lumen Cycles; V-PRO maX Lumen, Non Lumen, and Flexible Cycles; V-PRO 60 Lumen and Non Lumen Cycles using the V-PRO 60 Low Temperature Sterilisation System with VAPPROX HC Steriliser and V-PRO maX Low Temperature Sterilisation System.

Disposable Speculate Cleaning/Disinfection Instructions

Disposable speculate should not be cleaned or disinfected in any way. Disposable specula are single-patient use only and must be discarded after use. Disposable specula should not be used if they appear to be visibly contaminated or have accidentally come into contact with contaminated materials prior to use.

Troubleshooting

The following guidelines should be used to determine if your device has reached its end of life or requires servicing. If the corrective actions described in this section do not resolve your issues, please see the warranty section of this manual to have your device serviced.

Thank you for choosing an ADC Diagnostician brand pocket diagnostic set. We’re proud of the care and quality that goes into the manufacture of each and every diagnostic instrument that bears our name. Every component has been carefully designed to maximise performance. This booklet refers to both Scopes and ophthalmologist sets (models 5110N series, 5110E, 5111N series, 5112N series).

Device Description and Intended Use

Ophthalmologist Attachment (5110N Series, 5110E, 5112N Series)
The ophthalmologist is a handheld, battery-powered device containing illumination and viewing optics intended to examine the media (cornea, aqueous, lens, and vitreous), the retina, blood vessels, optic nerve, and other structures of the eye.
It is intended to be used by a trained healthcare professional.

Scopes Attachment (5110N Series, 5110E, 5111N Series)
A handheld battery-powered device with magnifying system that provides illumination of the ear canal and tympanic membrane.

This device should be used by a trained healthcare professional.

Contraindications

The use of this device is contraindicated in patients who have already received prolonged or intense light exposure, especially if the patients are infants, shakes, or persons with diseased eyes. Excessive exposure to light may result in patient injury. See warnings for additional information.

Symbol Definitions

The following symbols are associated with your diagnostic instrument.

Symbol Definition
Important Caution
Not made with natural rubber latex
Naphthalene free
Consult instructions for use
Meets the general safety and performance requirements of Regulation

(EU)2017/745 of the European Union
| Authorised Representative in the European Community/European Union
| Do not dispose of this product as unsorted municipal waste. Prepare this product for reuse or separate collection as specified by Directive 2002/96/EC of the European Parliament and the Council of the European Union on Waste Electronic and Electrical Equipment (WEEE). If this product is contaminated, this directive does not apply.
| Type B applied part
| Authorised Representative in the United Kingdom
| Medical Device compliant with Regulation (EU) 2017/745
| Batch code
| Catalogue Number
| Manufacturer
| Date of Manufacture
| Unique device identifier
| Non-sterile
| Do not use if package is damaged
| Importer
| Distributor
| Follow instructions for use
| Keep dry

Otoscope and Accessories Troubleshooting Guide

Trouble Area Possible Cause Corrective Action
Lamp burned out Replace the lamp
No light output Wrong lamp Installed Replace the lamp
Batteries are depleted Replace with fresh AA batteries
Lamp not fully inserted Re-insert lamp
Instrument head will not connect Thread/connection is damaged Service

required
Trouble Area| Possible Cause| Corrective Action
---|---|---
Speculate will not attach properly| Speculate mount is damaged| Service required
Loose or misaligned magnifying lens| Lens mount is damaged| Service required
Poor or obstructed view through lens| Lens is dirty Lens is damaged| Clean with lint-free cloth Service required
| Lamp near end of useful life| Replace the lamp
Dim light output| Batteries are depleted| Replace with fresh AA batteries
Visible corrosion on instrument or accessories| Damage from excessive moisture| Service required

Ophthalmologist Troubleshooting Guide

Trouble Area Possible Cause Corrective Action
No light output Aperture dial is between positions

Lamp burned out
Wrong lamp installed
Batteries are depleted| Rotate aperture dial
Replace the lamp
Replace the lamp
Replace with fresh AA batteries
Instrument headwill not connect| Lamp not fully inserted
Thread/connection is damaged| Re-insert lamp
Service required
Spot is not centered| The aperture dial is not centred| Move aperture dial to the full detent position
Dim light output| Lamp near end of useful life
Batteries are depleted| Replace the lamp
Replace with fresh AA batteries
Aperture or lens wheel will not turn or does so with difficulty| Dirt in or damage to mechanism| Service required
Visible corrosion on instrument| Damage from excessive moisture| Service required

Environment

Transportation / Storage: -4°F to 120.2°F (-20°C to 49°C)
Relative Humidity: 95 % 500 hPa – 1060 hPa, Altitude
Environmental Operating Range: 50°F to 120.2°F (10°C to 49°C) RH 95 % (Max) 500 hPa – 1060 hPa, Altitude
Max. Operating : 95°F (35°C)

LIMITED WARRANTY

ADC® warrants its products against defects in materials and workmanship under normal use and service as follows:

  1. Warranty service extends to the original retail purchaser only and commences with the date of delivery.
  2. The instruments are warranted for two years. The LED lamps are warranted for life.

What Is Covered:

Repair, or replacement of parts, and labor.

What Is Not Covered: **

**

Transportation charges to ADC. Batteries where supplied. Damages caused by abuse, misuse, accident, or negligence. Incidental, special, or consequential damages. Some states do not allow the exclusion or limitation of incidental, special, or consequential damages, so this limitation may not apply to you.

To Obtain Warranty Service: **

**

Devices should be contained in their transport/storage cases when being returned to ADC to ensure that they are not damaged during transport and handling. Do not ship contaminated devices or storage cases to ADC’s facility.

Send item(s) postage paid to ADC, Attn: Repair Dept., 55 Commerce Dr., Hauppauge, NY 11788. Please include your name and address, phone no., proof of purchase, and a brief note explaining the problem.

Implied Warranty:

Any implied warranty shall be limited in duration to the terms of this warranty and in no case beyond the original selling price (except where prohibited by law). This warranty gives you specific legal rights and you may have other rights which vary from state to state.

For our European Customers:

A printed copy of this manual can be sent to you at no charge within seven calendar days. To request a copy, e-mail us at info@adctoday.com.
Our website, https://www.adctoday.com, where these instructions for use are available fulfils the requirements of personal data protection, according to Directive 95/46/EC and GDPR on the protection of individuals with regard to the processing of personal data and on the free movement of such data.
Any serious incident that has occurred in relation to this medical device should be reported to ADC and the competent authority of the Member State in which the user and/or patient is established.

For Australian Consumers:

Our goods come with guarantees that cannot be excluded under the Australian Consumer Law. You are entitled to a replacement or refund for a major failure and com pensation for any other reasonably foreseeable loss or damage.
You are also entitled to have the goods repaired or replaced if the goods fail to be of acceptable quality and the failure does not amount to a major failure.

To register your product, visit us at  www.adctoday.com/support/warranty- registration or scan the QR code below.

ADC
55 Commerce Drive
Haulage, NY 11788
U.S.A.

Inspected, assembled and packaged in the U.S.A.
Components made in Pakistan Cases made in Indonesia and China
tel: 631-273-9600
toll free: 1-800-232-2670
fax: 631-273-9659
www.adctoday.com
info@adctoday.com

References

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