Single-Step Colposcope Featuring LED Light Source: • Lasts longer • Cool to the touch • Gives you more of a sure color balance LED Bulb Cover Diopter Knobs Rheostat Knob Fine Focus Handle Gross Height Adjustment and Locking Knob Clutter Reducing Internal Power Cables Now easier to move with our new Rol er Base. Plus, once in position, the platform remains stable. 360º Motion On/Off Switch and Power Indicator Light 2 Single-Step Colposcope Instructions for Use Rol er Base LED Bulb Cover Green Filter Knob Head Inclination Adjusting Knob Rheostat Knob Diopter Knobs Fine Height Adjustment Handle Fine Focus Handle Gross Height Adjustment and Locking Knob Fuse Seat Power Plug Single-Step Colposcope Instructions for Use 3 Indications for Use The GYNEX brand Colposcope is a device designed to permit viewing of the tissues of the vagina and cervix by a telescopic system located outside the vagina. A Colposcope is used to diagnose and examine abnormalities of the vagina and cervix. 1. Features • Hand polished optics for exceptional clarity • Individual y adjustable binocular optics for true stereoscopic view • Optical measuring circles for precise measurements • Focal length: 320mm Field of View: > 22mm diameter Depth of Field: > 3mm • Smooth adjustable controls for gross and fine focus • Universal Teflon® bal joint never has to be tightened or adjusted and it gives you fluid 360° motion for gross focus • A space saving smal footprint: Length is 14", Width is 12" • Clutter reducing internal power cable • Working height: 33" – 47" • Clear, bright, long-lasting LED light source • Light intensity 6.5V / 10,000 LUX • One piece shipping that puts you in operation with minutes of opening the box (no salesperson necessary) • Overal magnification 9X 2. Contents of Box • 1 Colposcope • 1 Power Cord • 2 Fuses • 1 Plastic Dust Cover • 1 Instructions for Use • 1 Phillips Screwdriver 3. Removing the Colposcope From the Box The Colposcope comes with a one year warranty with free repairs (shipping not included). Please keep this box and the protective foam for at least a year; should you need to return it to GYNEX for any warranty repairs. Otherwise there wil be a nominal fee for us to send you a new box. 4 Single-Step Colposcope Instructions for Use • During the handling and unpacking, the box must be placed in the up position according to the arrows that are printed on the outer box. • Remove top protective material. • Grasp the Colposcope at the center post (A cutout in the foam for your hands is provided.) and lift the Colposcope straight out of the protective material. Note: When removing the instrument out of the protective foam, remove with care to prevent the instrument from being damaged. 4B. 4. Setting Up the Colposcope A. Remove the power cord from the shipping box. B. Insert the power cord into the plug located at the back end of the base. C. Insert the other end of the power cord into the wal socket. Note: It must be a 3 hole wal socket, in order to ensure proper grounding of the instrument. D. Depress the power on/off button with your right foot, to turn on the power. The power indicator light wil come on at that time. E. Important: Rotate the Rheostat Knob to turn on the Viewing Light. F. When the instrument is ready to be shut off, simply depress the power on/off button with your right foot. The power indicator light wil go off at that time. 5. Precautions A. For storage, the instrument should be placed in a clean, dry environment with stable temperatures to extend the life of the components and ensure longevity of the instrument. B. Please cover the Colposcope with the plastic dust cover that is included with this instrument. This wil keep the optics and components relatively dust free. C. When storing or carrying the instrument, adjust the instrument to the lowest position. This wil help ensure that if it is inadvertently hit, it wil resist tipping over. Single-Step Colposcope Instructions for Use 5 IPD 6B. Rheostat Knob 6C. 6. Adjustment of the Eyepieces The interpupillary distance (IPD) is the distance in the spacing between a person’s eyes. To Adjust the IPD A. Turn on power by pressing the foot-switch on the base. On/off indication light wil come on. B. Turn the black Rheostat Knob on the left to adjust the light intensity. Light wil project from upper part of the Colposcope. C. Gently place your eyes against the black rubber eyepieces. Grasp the tan metal housing with both hands. Gently rotate the barrels together or apart. A singular circular image should be seen through both eyepieces. This adjustment is similar to adjusting the eyepieces of binoculars. Lenses Before Adjustment Lenses Adjusted 6 Single-Step Colposcope Instructions for Use Lenses During Adjustment 7. Adjustment of the Diopter Knobs Measurement at Tissue Site 9X 7F. Lens 7.6mm Line 1.5mm Line Focusing the Colposcope A. Set the Diopter Knobs at zero. B. Turn the Colposcope on, place your eyes against the eyepieces, and focus the Colposcope on a fixed object until that object appears clear and sharp. C. It is recommended to focus on letters such as a book or a magazine. D. Close your right eye. With your left hand, rotate the Diopter Knob until the object is clear and sharp for your left eye. Note: The Diopter al ows you to adjust for plus and minus vision corrections. E. Then close your left eye. With your right hand, rotate the diopter knob until the object is clear and sharp for your right eye. Note: The Diopter al ows you to adjust for plus and minus vision corrections. F. This adjustment of the diopters wil put the in Colposcope focus. You wil see two measuring circles ⎞mm A B A 9X 1.5 7.6 through the lens. The large circle is 7.6mm and the B smal circle is 1.5mm. Note: There is a chart on the right tan metal housing. G. It is important to keep a record of the adjustments on the Diopters for both your left and right eyes. Since most offices have multiple people using the Colposcope, the eyepieces wil be different when someone else wants to use it. By remembering your diopter settings, clarity can be achieved by simply moving the diopters to your setting when you are ready to use the Colposcope. This avoids you going through steps A–E each time. A Note for Eyeglass Wearers: For best results when wearing eyeglasses, fold down the Colposcope’s rubber eye cups. Then place your eyeglasses against the folded down eye cups while using the Colposcope. When you are finished using the Colposcope, unfold the rubber eyepieces to maintain the correct memory in those rubber eyepieces. Single-Step Colposcope Instructions for Use 7 8A. 8. Colposcope Instructions for Use The fol owing briefly describes using the Colposcope with a patient. It is recommended that you practice using the Colposcope to familiarize yourself with al of the features it has to offer. A. With patient in lithotomy position, your Colposcope should be placed so that the head of the scope is 320mm from the area you wish to view, with the post to as near vertical as possible. Rotate the Gross Height Adjustment and Locking Knob to loosen it and move the inner post up or down. Tighten the knob to lock the inner post in place. Gross Height Adjustment and Locking Knob 8B. B. In a sitting position, place your feet on the rubber pad part of the base. Place your eyes against the eyepiece. Adjust for pupil ary distance and make sure that you set your correct diopter reading. Place your right hand on the Fine Height Adjustment Handle and your left hand on the Fine Focus Handle. Note: Do not try to focus with Fine Focus Adjustment at this point. Fine Height Adjustment Handle Fine Focus Handle 8C. C. With your right hand on the Fine Height Adjustment Handle, slowly push or pul the Colposcope, until the field comes into view. 8 Single-Step Colposcope Instructions for Use Move Head Up & Down If patient is not centered, you can move the Colposcope head in multiple directions to change your field of vision. See photos D–H. 8D. Move Head Left Move Head Right 8E. 8F. Fine Focus Handle Fine Height Adjustment Handle Twist the adjustment handle to move the head up or down. Push the Fine Height Adjustment Handle forward and to the left (counterclockwise). Pull the Fine Height Adjustment Handle backward and to the right (clockwise). Angle Head Up Angle Head Down Push the Fine Focus Handle down and forward. Pull the Fine Focus Handle up and backward. Single-Step Colposcope Instructions for Use 9 I. Adjust the Fine Focus Controls to provide clear, magnified views of the area to be examined. Rotate your left hand on the Fine Focus Handle which wil finely move the optics towards or away from the object that you wish to view. Also, rotate your right hand which is on the Fine Height Adjustment Handle up or down to raise or lower the optics. 8I. Rheostat Knob Adjust light intensity rheostat as needed by turning the black Rheostat Knob. Turn the silver Green Filter Knob for optimum assessment of affected area. Fine Focus Handle Green Filter Note: Both the black Rheostat Knob and the silver Green Filter Knob are conveniently located on the Colposcope head, thus al owing the user complete control without looking up from the eyepieces. 8J. Head J. The Colposcope head may be tightened or loosened according to your preference by turning the Head Inclination Adjusting Knob. Inclination Adjusting Knob t 9. Moving the Colposcope Gross Height Adjustment and Locking Knob 10 A. Rotate the Gross Height Adjustment and Locking Knob to move the post to a comfortable position. B. Tighten the Gross Height Adjustment and Locking Knob. C. Place your foot between the wheels at the front end of the base. D. With your hand on the Fine Height Adjustment Handle, pul and rol across the floor. Single-Step Colposcope Instructions for Use forward 10. Fuse Replacement • Unscrew the Fuse Seat located at the back end of the base using the Phillips screwdriver that is included with the Colposcope. Remove the broken fuse (dispose of correctly). • Replace with the fuse that is also included with the Colposcope. Two fuses have been included for your convenience. Screw the Fuse Seat into the proper position, using a Phil • ips screwdriver. 11. Troubleshooting Viewing Light Will Not Come On On-Off Light Indicator Burning •Check power plug to ensure that it is secure. •Rotate •Cal the black Rheostat Knob. GYNEX Customer Service for assistance: 1 (800) 220–5988. On-Off Light Indicator Not Burning •Place hand in front of Colposcope head, as light indicator bulb may be burned out. •Push On/Off switch. •Check cord to see if plug is in at both the Colposcope and wal . •Check fuse. Fuses are located on the edge of the tilt stand base. •Check •Cal wall plug with another electrical instrument GYNEX Customer Service for assistance: 1 (800) 220–5988. Colposcope Head Keeps Turning •Tighten Gross Height Adjustment and Locking Knob.