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Microscope Integration Cranial/ent 3.x

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UNCONTROLLED INFORMATION IF NOT READ ONLINE MICROSCOPE INTEGRATION FOR CRANIAL/ENT 3.X SERVICE MANUAL SM 10-285 REVISION 03 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 1 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................................ 2 1 DOCUMENT OVERVIEW ............................................................................................................. 5 1.1 Purpose ......................................................................................................................................... 5 1.2 Scope ............................................................................................................................................ 5 1.3 Responsibilities ............................................................................................................................. 5 1.4 Symbols ......................................................................................................................................... 5 1.5 Definitions, Abbreviations, and Documentation Conventions ....................................................... 5 2 REQUIRED EQUIPMENT ............................................................................................................. 8 2.1 Prerequisites ................................................................................................................................. 8 2.2 Software and Programs ................................................................................................................ 8 2.3 Hardware and Tools ...................................................................................................................... 8 2.4 Templates and Documents ........................................................................................................... 9 2.4.1 Acceptance Protocols .............................................................................................................. 9 2.4.2 Function Checklists .................................................................................................................. 9 2.4.3 Training Requirements ............................................................................................................. 9 2.4.4 Other Brainlab Service manuals .............................................................................................. 9 2.4.5 3rd Party Support ..................................................................................................................... 9 3 INSTALLATION .......................................................................................................................... 10 3.1 Microscope Installation ................................................................................................................ 10 3.1.1 Overview ................................................................................................................................ 10 3.1.2 Strain-Relief for OMS CABLE 3.0 .......................................................................................... 11 3.1.2.1 Strain-Relief for Kick Navigation Platforms ....................................................................... 11 3.1.2.2 Strain-Relief for Curve CM Platforms ............................................................................... 13 3.1.3 Haag-Streit Surgical Hi-R 1000 / Hi-R 700 Integration .......................................................... 14 3.1.3.1 Hardware Overview .......................................................................................................... 14 3.1.3.2 Hardware Installation ........................................................................................................ 15 3.1.4 Zeiss OPMI VARIO 700 Integration ....................................................................................... 26 3.1.4.1 Hardware Overview .......................................................................................................... 26 3.1.4.2 Hardware Installation ........................................................................................................ 27 3.1.5 Zeiss OPMI Neuro (MultiVision) Integration ........................................................................... 40 3.1.5.1 Hardware Overview .......................................................................................................... 40 3.1.5.2 Hardware installation ........................................................................................................ 41 3.1.6 Zeiss OPMI Pentero / OPMI PENTERO 900 / OPMI PENTERO 800 Integration ................. 51 3.1.6.1 Hardware Overview .......................................................................................................... 51 3.1.6.2 Hardware Installation ........................................................................................................ 52 3.1.7 Leica Integration ..................................................................................................................... 66 3.1.7.1 Hardware Overview .......................................................................................................... 66 3.1.7.2 Hardware Installation ........................................................................................................ 68 3.1.7.3 Additional Instructions for Leica Microscopes ................................................................... 86 3.1.7.4 Cabling Instructions for DI C500 / DI C700 ....................................................................... 86 3.1.7.5 Balancing the Microscope on OH4 / OH5 / OH6 Stands .................................................. 88 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 2 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.7.6 Preparing the Microscope for IGS Navigation .................................................................. 90 3.1.7.7 Creating User Profiles for the Image Injection Positions. ................................................. 95 3.1.8 Olympus Integration ............................................................................................................... 97 3.1.8.1 Hardware Overview .......................................................................................................... 97 3.1.8.2 Hardware Installation ........................................................................................................ 98 3.1.8.3 Additional Cabling Instructions for OME-9000 (PiP/MOC) ............................................. 114 3.1.8.4 Additional Cabling Instructions for OME-7000 / OME-8000 (PiP) .................................. 116 3.2 3.2.1 Microscope Calibration .............................................................................................................. 117 Service Calibration ............................................................................................................... 118 3.2.1.1 Overview ......................................................................................................................... 118 3.2.1.2 Best Practice ................................................................................................................... 119 3.2.1.3 Preparing the Microscope for Service Calibration .......................................................... 119 3.2.1.4 Calibrating Haag-Streit and Zeiss Microscopes .............................................................. 124 3.2.1.5 Calibrating Leica, Olympus, and Zeiss OPMI VARIO 700 Microscopes ........................ 125 3.2.1.6 Verifying the Service Calibration ..................................................................................... 126 3.2.2 Video-Overlay Calibration .................................................................................................... 127 3.2.2.1 Overview ......................................................................................................................... 127 3.2.2.2 Preparing the Video-Overlay Calibration ........................................................................ 127 3.2.2.3 Performing the Video-Overlay Calibration ...................................................................... 129 3.2.2.4 Verifying the Video-Overlay Calibration Accuracy .......................................................... 135 3.2.3 HUD Calibration ................................................................................................................... 136 3.2.3.1 Overview ......................................................................................................................... 136 3.2.3.2 Preparing the HUD Calibration ....................................................................................... 136 3.2.3.3 Performing the HUD Calibration ..................................................................................... 138 3.2.3.4 Verifying the HUD Calibration Accuracy ......................................................................... 142 3.2.4 User Calibration ................................................................................................................... 144 3.2.4.1 Overview ......................................................................................................................... 144 3.2.4.2 Performing the User Calibration ..................................................................................... 144 3.2.4.3 Verifying the User Calibration ......................................................................................... 148 3.3 Function Check ......................................................................................................................... 149 3.3.1 Smart Auto-Focus ................................................................................................................ 149 3.3.2 Microscope Advanced Features .......................................................................................... 149 3.3.3 HUD and Video-Overlay....................................................................................................... 151 3.3.4 Microscope Tracking ............................................................................................................ 151 3.3.5 Handle Buttons and Menu Control ....................................................................................... 152 4 TROUBLESHOOTING / KNOWN ISSUES .............................................................................. 153 5 REFERENCES .......................................................................................................................... 160 5.1 Microscope User Manuals ......................................................................................................... 160 6 APPENDIX ................................................................................................................................ 161 6.1 Appendix A - Overview of Navigation Options .......................................................................... 161 6.2 Appendix B – Overview Microscope Integration Kits ................................................................ 165 6.2.1 41767-01C Microscope Integration Kit Haag-Streit Surgical / MOELLER ........................... 165 6.2.2 41767-04C Microscope Integration Kit Leica ....................................................................... 166 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 3 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 6.2.3 41767-16B Microscope Integration Kit Zeiss ....................................................................... 166 6.2.4 41767-07B Microscope Integration Kit Olympus.................................................................. 167 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 4 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 1 DOCUMENT OVERVIEW 1.1 Purpose This document describes the proper installation of the Brainlab Microscope Integration Hardware, as well as the software integration and microscope calibration, in order to navigate the corresponding microscope including pointer navigation, HUD (Image Injection), Video-Overlay and all other advanced functionalities (Smart Auto-Tracking, etc.) with Curve 1.0, Curve 1.1, Curve CM, and Kick platforms. The installation and integration can be performed either during the setup of a new system or as a system upgrade. 1.2 Scope This document includes all necessary information for a proper hardware and software installation, as well as instructions for the preparation of the Brainlab navigation platform in order to proceed with microscope integration. For details on the installation of the navigation applications, refer to the corresponding service manuals. It applies to the following navigation applications, that support the navigation of 3rd party microscopes from the manufacturers described further below in this document:  Cranial 3.x ENT 3.x 1.3 Responsibilities All installation and servicing is to be carried out by a trained Brainlab-authorized representative. 1.4 Symbols Warning Warnings are indicated by triangular warning symbols. They contain safety-critical information regarding possible injury, death or other serious consequences associated with equipment misuse. Caution Cautions are indicated by circular caution symbols. They contain safety-critical information regarding possible problems with the device. Such problems include device malfunctions, device failure, damage to device or damage to property. Note NOTE: Note text 1.5 Definitions, Abbreviations, and Documentation Conventions Definitions Term Definition Device The term “device” describes one unit of a platform, software-item, computer, instrument or any other similar or related accessory. System The term “system” describes the combination of two or more devices. Installation The term “installation” describes the setup and/or startup of a device/system. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 5 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Term Definition Servicing The term “servicing” describes the maintenance and inspection and/or repair of a device/system. Maintenance and Inspection The term “maintenance and inspection” describes the maintaining/testing of a device/system according to the correct functioning and safety conditions after a pre-defined time period. Repair The term “repair” describes the reconstitution to a defined condition by exchanging relevant parts/modules of a device/system. Training The term “training” describes the relevant training content Brainlab provides to the customer to using a device/system, including intended usage and safety considerations. C40: Leica microscope ceiling mounted stand CAN: CAN-PCI/331 PCI CAN-bus interface (card) CT40: Leica microscope ceiling mounted stand with telescopic arm CU 3-23 MOELLER Hi-R 700 / Hi-R 1000 microscope ceiling-mounted stand DI C500: Leica Image Injection Module with extended capabilities (true color, shutter) DI C700: Leica Image Injection Module with extended capabilities (true color, shutter, binocular) F40, F50: Leica microscope floor stand FS 3-23, FS 3-32, FS 3-33, FS 3-43, FS 4-20: Haag-Streit Surgical / MOELLER Hi-R 700 & Hi-R 1000 microscope floor stand Haag-Streit MIOS: Microscope Imaging and Operation System = Haag-Streit MIOS is designed for recording, viewing, editing, presenting, and storing of single images and video sequences as well as for the transfer to archives via DICOM. Hi-R 1000: Haag-Streit Surgical microscope optics carrier (w/ Advanced Features) Hi-R 700: Haag-Streit Surgical microscope optics carrier M520 Leica microscope optics carrier M525: Leica microscope optics carrier M530: Leica microscope optics carrier M720 (SAI): Leica microscope optics carrier (w/ horizontal optics) / SAI = Small Angle Illumination MediLive™: Zeiss video camera system w/ 3-chip CCD camera MOC: Monitor Control Unit (Olympus only) MS2: Leica microscope floor stand MS3: Leica microscope floor stand (w/ Advanced Features) MultiVision™: Zeiss product name for OPMI® Neuro microscope with extended image injection capabilities (true color, shutter) NC4 CM: Zeiss OPMI® Neuro microscope stand—ceiling mounted NC4: Zeiss OPMI® Neuro microscope floor stand OH3, OH4, OH5, OH6: OHX Leica microscope floor stands (w/ Advanced Features) OH4C / OH5C: Leica microscope ceiling mounted (w/ Advanced Features) OHC: Leica microscope stand – ceiling mounted (w/ Advanced Features) RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 6 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Term Definition OHS-1: Leica microscope floor stand OME-7000: Olympus OME-7000 microscope OME-8000: Olympus OME-8000 microscope OME-9000: Olympus OME-9000 microscope OPMI® Neuro®: Zeiss microscope optics carrier for NC4 microscope stand OPMI® PENTERO®900 Zeiss microscope optics carrier and stand (w/ integrated HD camera and monitor) OPMI® PENTERO®800 Zeiss microscope optics carrier and stand (w/ integrated HD camera and monitor) OPMI® Pentero® C: Zeiss microscope optics carrier and stand ceiling mounted OPMI® Pentero®: Zeiss microscope optics carrier and stand OPMI® VARIO 700: Zeiss microscope optics carrier and stand (w/ optional HD camera) Table 1: Definition Abbreviation Abbreviation Meaning BL Brainlab Curve: Curve Single Display and Curve Dual Display Curve CM Curve Ceiling-Mounted Single Display and Curve Ceiling-Mounted Dual Display PDM: Patient Data Manager IGS: Image Guided Surgery DICOM: Digital Imaging and Communication in Medicine PACS: Picture Archiving and Communication Server Q/R: Query / Retrieve SM Service Manual SW Software FOV: Field Of View HUD: Head-Up Display (image injection, data superimposing monitor) - a device for injecting a computer generated picture into the microscope’s FOV MIOS: Microscope Imaging and Operation System. MOC: MOnitor-Control Unit (Olympus only) PiP: Picture-In-Picture Unit (Olympus only) Table 2: Abbreviation RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 7 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 2 REQUIRED EQUIPMENT 2.1 Prerequisites It is important to make sure you have the following software, service tools, and documents prior to starting microscope integration. Preferably, please try to collect these items prior to arriving on-site to perform the integration. The article numbers, bundles, and contents of these bundles are listed here as well for your convenience, in the event that they need to be ordered. 2.2 Software and Programs The following software must be previously installed on the navigation system and/or should be available (on your laptop or removable storage media) for installation: Navigation Software Requirements  Cranial/ENT 3.x  Patient Data Manager latest revision, minimum 2.0.2  Settings Editor 2.x  BrainLOCK 2.x  Global and local licenses For manufacturer-specific test software refer to the microscope hardware installation chapters 2.3 Hardware and Tools The following hardware items are needed for the installation procedure: NOTE: Make sure to use the latest released revisions of the listed hardware items. Check with Quotebase or SAP.  Brainlab   Microscopespecific        Scantom (Art. No. 22550-0) or Rubberhead (Art. No. D-10009) and corresponding data with outlined objects Microscope Calibration Array (Art. No. 41737A) Standard Cranial Reference Array (Art. No. 41735, 41735A, 41735B) Standard Cranial Reference Array - 4 Marker (Art. No. 41725) Brainlab Pointer (Art. No. 41780-0x, 41780-5x, or 53106) New reflective marker spheres (Art No. 41773 or 41774) Microscope Integration Kit Leica (Art. No. 41767-04C) Microscope Integration Kit Haag-Streit (Art. No. 41767-01C) Microscope Integration Kit Olympus (Art. No. 41767-07B) Microscope Integration Kit Zeiss (Art. No. 41767-16B) For detailed information on the content of the Microscope Integration Kits, refer to Document overview. For a list of available microscope integration kits and their contents, refer to section 6.2. Table 3: The latest revision of the BREAKOUT INTERFACE CABLE 15234-01A is required for microscope integrations with Curve 1.0 platform. The communication with the microscope is not possible with revision 15234-01 since the driver is incompatible. The installation of the driver is explained in the troubleshooting section (chapter 4). RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 8 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 2.4 Templates and Documents 2.4.1 Acceptance Protocols Form Document Name 09-561 Acceptance Protocol IGS 09-686 Acceptance Training Table 4: 2.4.2 Function Checklists Form Document Name 09-895 Function Checklist Cranial/ENT3.x 09-896 Function Checklist Microscope Cranial/ENT3.x 09-898 Repair Function Checklist Cranial/ENT 3.x 09-903 Repair Function Microscope Integration Cranial/ENT 3.x Table 5: 2.4.3 Function checklists Training Requirements Form Document Name 09-899 Training Requirements Cranial/ENT3.x 09-900 Training Requirements Microscope Cranial/ENT3.x Table 6: 2.4.4 Acceptance protocols Training requirements Other Brainlab Service manuals Form Document Name SM 10-196 iHelp SM 10-274 Elements SM 10-232 PatientDataManager_2.x SM 10-284 Cranial/ENT3.x SM 10-286 Curve 1.0 SM 10-293 Curve 1.1 SM 10-255 Kick SM 10-292 Master Installer Table 7: Other Brainlab documents User manuals of various microscope models can be found in SharePoint: SharePoint -> Solutions -> Neurosurgery -> Marketing Material -> Product Info -> Microscope 2.4.5 3rd Party Support Microscope hardware installation Refer to the respective microscope hardware installation chapters for further information. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 9 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3 INSTALLATION 3.1 Microscope Installation 3.1.1 Overview These instructions describe the hardware and software required to integrate a compatible microscope with Cranial/ENT 3.x.  Refer to SM 10-134 for instructions on microscope integrations with:  Cranial/ENT essential and unlimited 1.0  VV Cranial/ENT versions 7.x  Kolibri Cranial/ENT versions 2.x  Refer to WOI 10-101 for instructions on microscope integrations with:  VV Cranial/ENT 7.0  Refer to SM 10-250 for instructions on microscope integrations with:  Cranial/ENT 2.x Additionally, the Microscope Adapter installation sections in this chapter illustrate examples of how to install one of the Microscope Adapters available for a particular microscope manufacturer. On-site training of the users by trained support engineers ensures proper handling of the system when working with an integrated microscope - avoiding basic problems, for example, due to re-attaching/re-positioning the Microscope Adapter, or loose connections between Microscope Adapter and microscope. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 10 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.2 Strain-Relief for OMS CABLE 3.0 A strain-relief supports the “OMS CABLE 3.0” that is used for connecting a microscope to a navigation platform. 3.1.2.1 Strain-Relief for Kick Navigation Platforms Mounting the strain-relief requires the supplied "STRAIN RELIEF ADAPTER FOR K3 MSCOPE INT." kit (Art. No. 15230-04). Procedure Proceed as follows to mount the strain-relief to a Kick navigation platform: Step Action 1. Pull out the left front wheel from the Kick housing and attach the strain-relief adapter to the wheel. Figure 1 2. Re-attach the wheel with the strain-relief adapter to the Kick. Figure 2 RELEASED: September 24, 2015 Strain-relief adapter Strain-relief adapter on Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 11 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 3. Insert the hook-and-loop tape through the strain-relief loops on the “OMS CABLE 3.0” and wrap the cable (one turn). Figure 3 4. Strain-relief loops of the “OMS CABLE 3.0” With the hook-and-loop tape, attach the “OMS CABLE 3.0” to the strain relief adapter on the Kick. Figure 4 “OMS CABLE 3.0” with strain-relief Table 8: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 12 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.2.2 Strain-Relief for Curve CM Platforms Use the hook-and-loop velcro strap delivered with the OMS 3.0 cable. Procedure Proceed as follows to mount the strain-relief to a Curve CM navigation platform: Step Action 1. Insert the hook-and-loop tape through the strain-relief loops on the “OMS CABLE 3.0” and wrap the cable (one turn). Figure 5 2. Strain-relief loops of the “OMS CABLE 3.0” With the hook-and-loop tape, attach the “OMS CABLE 3.0” to the rail on the ceiling supply unit where the Curve CM Connection Unit is installed to. …. Figure 6 “OMS CABLE 3.0” with strain-relief NOTE: Instead of the ceiling supply unit, Figure 6 shows a medicine cabinet with a standard rail to illustrate the mounting of the strain relief. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 13 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.3 Haag-Streit Surgical Hi-R 1000 / Hi-R 700 Integration 3.1.3.1 Hardware Overview Available microscope and stand combinations   HS Hi-R 1000 with FS 4-20, FS 3-43, FS 3-33, FS 3-32, FS 3-23, CU 3-23 HS Hi-R 700 with FS 4-20, FS 3-43, FS 3-33, FS 3-32, FS 3-23, FS 2-23, CU 3-23 Figure 7 (from L to R): HS Hi-R 1000 FS 4-20, HS Hi-R 1000 FS 3-34, HS Hi-R 700 FS 3-34 Available features Standard Functionality 1) Image Injection 12 12 2) Color Overlay 3) Closed Shutter 12 4) Smart Auto-Focus 5) Handle Control 12 6) Microscope Video Advanced Functionality 1 7) Smart Auto-Tracking 8) Store / Go To Stored Focal Point 9) Continuous Target Return 1 1 10) Align To Trajectory 1 available for Hi-R 1000 only 2 available for Hi-R 1000 w/ Light router LR 1000i only NOTE: Refer to Appendix A - Overview of Navigation Options for a detailed description of the features. Integration requirements  The “Microscope Integration Kit Haag-Streit/Moeller” (Art. No. 41767-01C) is required for the installation of Hi-R 1000 / Hi-R 700 microscopes. For further details, refer to section 6.2.  Hi-R 1000 on FS 4-20 requires stand firmware version 14.1 or higher. To verify the firmware, you need the Haag-Streit/Moeller interface test software . Please contact your Customer Care Team to receive the tool. The software is explained in the file. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 14 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.3.2 Hardware Installation Installing the Hi-R 1000 / Hi-R 700 Microscope Adapter The Hi-R 1000 / Hi-R 700 Microscope Adapter supports two mounting positions of the “Microscope Tracking Array“:  Standard (0°) 90° Turned Right in order to use the microscope with an opposite observer (e.g. Spine). Figure 8 Hi-R 1000 Microscope Adapter (Art. No. 41767-85) with “Microscope Tracking Array“ (Art. No. 41767-19) mounted in [Standard] position (left) and [90º Turned Right] position (right) Procedure Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array“ to Hi-R 1000 / Hi-R 700 microscopes. Step Action 1. Hi-R 1000: Attach the Microscope Adapter to the microscope optics carrier (right side) using the 2 self-centering short screws provided (M3x16). Attention: Do not use the long M3x20 for the Hi-R 1000; these are too long and must be used for Hi-R 700 only! 2. Hi-R 700: Attach the Microscope Adapter to the microscope optics carrier (right side) using the 2 self-centering long screws provided (M3x20). Attention: Do not use the short M3x16 for the Hi-R 1000; these are too short and must be used for Hi-R 1000 only! 3. Attach the “Microscope Tracking Array“ (Art. No. 41767-19) to the Microscope Adapter. Table 9: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 15 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Microscope Imaging and Operation System Most Haag-Streit microscopes are equipped with a MIOS (Microscope Imaging and Operation System). This is a benefit for you, as all ports you need to access for the integration are located at the MIOS connection panel (Figure 9 - left). NOTE: For connecting Haag-Streit Surgical microscopes without MIOS, refer to the “Microscopes w/o MIOS” notes in the instructions below. For communication, connect the “RS232 SERIAL” cable to the Computer port behind the flap on the stand. For HUD, connect the “DVI” cable to the DVI port behind the flap on the stand. For video, connect the “VIDEO OUT” cable to the BNC port of the external video unit. The external video unit is located either behind the flap on the stand or at the black rail. Turn knob to “RS 232” Figure 9 RELEASED: September 24, 2015 Ext. Video Unit only for microscopes w/o MIOS (from L to R): HS 3-700 with MIOS, MIOS connection panel, Video Unit (rear) Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 16 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.0, The latest revision of the BREAKOUT INTERFACE CABLE 15234-01A is required for microscope integrations with Curve 1.0 platform. The communication with the microscope is not possible with revision 15234-01 since the driver is incompatible. The installation of the driver is explained in the troubleshooting section (chapter 4).  The “BREAKOUT INTERFACE CABLE FOR CURVE” (Art. No. 15234-01A) is supplied to connect the microscope.  A “Microscope Serial Interface Cable” (Art. No. 15204) is supplied for communication.  A “BNC Cable RG59” (Art. No. 18562-08) is supplied for video connection. A microscope-specific “SVGA Monitor Cable” is supplied for HUD. Proceed as follows to connect the microscope cables (see Figure 10 and Figure 11): Step Action 1. Curve Interface Breakout Cable: Connect the supplied “BREAKOUT INTERFACE CABLE FOR CURVE” to the Microscope port on the rear side of the Curve 1.0,. 2. Communication:  Connect the supplied “Microscope Serial Interface Cable” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect “Microscope Serial Interface Cable” to the RS232 / Computer connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the Computer port on the rear side of the stand near the bottom (behind the flap on the stand). 3. Video:  Connect the supplied “BNC Cable RG59” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the supplied “BNC Cable RG59” to the BNC connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the BNC port on the rear side of the video unit (Figure 9- right). 4. Video (HD):  If HD video is available, connect the “BNC Cable RG59” to the “HD-SDI” connector of “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the HD-SDI connector of the microscope as shown in the figures below. 5. HUD (Hi-R 1000 only):  Connect the supplied “SVGA Monitor Cable” to the “Image Injection” connector of the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in Figure 10 and Figure 11.  Connect the “SVGA Monitor Cable” to the VGA/DVI Adapter of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the DVI port on the rear side of the stand near the bottom (behind the flap on the stand). NOTE: HUD is not supported for Hi-R 700 microscopes. Table 10: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 17 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 10 Cabling diagram for Haag-Streit Hi-R 1000 / Hi-R 700 with Curve 1.0 Microscope connector Curve ① ① ② ② RS232 CAN (not used) Composite (CVBS, BNC) ③ ③ ④ ④ HD-SDI (BNC) Curve 1.0 connection panel Image Injection (RGB) (not used) Breakout K2 Interface Cable Figure 11 RELEASED: September 24, 2015 Connection panel of Curve 1.0 / “BREAKOUT INTERFACE CABLE FOR CURVE” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 18 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.1 A specific “MICROSCOPE CABLE OMS 3.0 HAAG-STREIT/MOELLER” (Art. No. 15237) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 14 and Figure 15) Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve 1.1 connection panel as shown in the figures below.  “MICROSCOPE VIDEO” cable to Microscope – Composite In 2  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – HUD 2. Communication:  Connect the “RS232 SERIAL” cable of the “OMS CABLE 3.0” to the RS232 / Computer connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the “Computer” port on the rear side of the video unit (behind the flap on the stand). 3. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the BNC port on the rear side of the video unit (behind the flap on the stand or at the black rail). 4. HUD (Hi-R 1000 only):  Connect the “DVI” cable of the “OMS CABLE 3.0” to the DVI (HUD) connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the DVI port on the rear side of the video unit (behind the flap on the stand). NOTE: HUD is not supported for Hi-R 700 microscopes. However, to avoid loose cabling, connect the “DVI” cable of the “OMS CABLE 3.0” to the microscope if a DVI connector is provided. Table 11: Figure 12 RELEASED: September 24, 2015 Cabling diagram for Haag-Streit Hi-R 1000 / Hi-R 700 with Curve 1.1 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 19 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Curve 1.1 Connection Unit ③ ② MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ RS232 SERIAL ⑤ ⑤ VIDEO OUT ⑥ ⑥ DVI HUD (IMAGE INJECTION) ① Haag-Streit Hi-R 1000/Hi-R 700 connection “OMS CABLE 3.0 HAAG-STREIT” Figure 13 RELEASED: September 24, 2015 Connection Panel of Curve 1.1 / “MICROSCOPE CABLE OMS 3.0 HAAGSTREIT/MOELLER” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 20 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve CM A specific “MICROSCOPE CABLE OMS 3.0 HAAG-STREIT/MOELLER” (Art. No. 15237) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 14 and Figure 15) Step Action 5. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve CM connection unit as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 6. Communication:  Connect the “RS232 SERIAL” cable of the “OMS CABLE 3.0” to the RS232 / Computer connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the “Computer” port on the rear side of the video unit (behind the flap on the stand). 7. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the BNC port on the rear side of the video unit (behind the flap on the stand or at the black rail). 8. HUD (Hi-R 1000 only):  Connect the “DVI” cable of the “OMS CABLE 3.0” to the DVI (HUD) connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the DVI port on the rear side of the video unit (behind the flap on the stand). NOTE: HUD is not supported for Hi-R 700 microscopes. However, to avoid loose cabling, connect the “DVI” cable of the “OMS CABLE 3.0” to the microscope if a DVI connector is provided. Table 12: Figure 14 RELEASED: September 24, 2015 Cabling diagram for Haag-Streit Hi-R 1000 / Hi-R 700 with Curve CM Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 21 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Curve CM Connection Unit ① ② MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ RS232 SERIAL ⑤ ⑤ VIDEO OUT ⑥ ⑥ DVI HUD (IMAGE INJECTION) ③ Haag-Streit Hi-R 1000/Hi-R 700 connection “OMS CABLE 3.0 HAAG-STREIT” Figure 15 RELEASED: September 24, 2015 Connection Unit of Curve CM / “MICROSCOPE CABLE OMS 3.0 HAAGSTREIT/MOELLER” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 22 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Kick A specific “MICROSCOPE CABLE OMS 3.0 HAAG-STREIT/MOELLER” (Art. No. 15237) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 16 and Figure 17) Step Action 1. “OMS CABLE 3.0” to Kick: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE VIDEO” cable to Video In 1 connector NOTE: Connect the “MICROSCOPE VIDEO” cable to the Video In 2 connector if another device is connected to the Video In 1 connector.  “MICROSCOPE COMMUNICATION” cable to Microscope Communication connector  “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) connector 2. Communication:  Connect the “RS232 SERIAL” cable of the “OMS CABLE 3.0” to the RS232 / Computer connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the Computer port on the rear side of the video unit (behind the flap on the stand). 3. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the BNC port on the rear side of the video unit (behind the flap on the stand or at the black rail). 4. HUD (Hi-R 1000 only):  Connect the “DVI” cable of the “OMS CABLE 3.0” to the DVI (HUD) connector of the microscope as shown in the figures below. NOTE: Microscopes w/o MIOS: Look for the DVI port on the rear side of the video unit (behind the flap on the stand). NOTE: HUD is not supported for Hi-R 700 microscopes. However, to avoid loose cabling, connect the “DVI” connector of the “OMS CABLE 3.0” to the microscope if a DVI connector is provided. Table 13: Figure 16 RELEASED: September 24, 2015 Cabling diagram for Haag-Streit Hi-R 1000 / Hi-R 700 with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 23 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ② ③ MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ RS232 SERIAL ⑤ ⑤ VIDEO OUT ⑥ ⑥ DVI HUD (IMAGE INJECTION) OMS CABLE 3.0 HAAG-STREIT Figure 17 RELEASED: September 24, 2015 Connection panel of Kick / “MICROSCOPE CABLE OMS 3.0 HAAGSTREIT/MOELLER” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 24 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Finishing the Hi-R 1000 / Hi-R 700 hardware installation Calibrating the microscope requires the use of a cross-hair ocular. Procedure Proceed as follows to mount the cross-hair ocular (eye-piece). Step Action 1. Remove one of the oculars from the main observer. 2. Attach the supplied cross-hair ocular. Make sure the size of your cross-hair ocular is identical to the remaining ocular of the main observer. Available sizes are 10x and 12,5x. The size is imprinted on the ocular. 3. 4. Make sure both oculars are positioned at a diopter of 0° before you start the service calibration! Adjust the diopter by rotating the upper part of the ocular. If you leave the cross-hair ocular installed, make sure the removed original ocular is given to the customer for safe keeping Table 14: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 25 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.4 Zeiss OPMI VARIO 700 Integration 3.1.4.1 Hardware Overview Available microscopes OPMI VARIO 700 (with SD or HD Video) Figure 18 OPMI VARIO 700 Available features Standard Functionality Advanced Functionality 1) Smart Auto-Focus not available 2) Microscope Video NOTE: Refer to Appendix A - Overview of Navigation Options for a detailed description of the features. Integration requirements  The “Microscope Integration Kit Zeiss” (Art. No. 41767-16B) is required for the installation of OPMI VARIO 700 microscopes. For further details, refer to section 6.2.  OPMI VARIO 700 requires firmware version 2.0.x or higher. To verify the firmware, you need the (Navigation Interface Tool Kit). Please contact your Customer Care Team to receive the tool. The software is explained in the file. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 26 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.4.2 Hardware Installation Installing the Microscope Adapter The OPMI Pentero / VARIO 700 Microscope Adapter supports two mounting positions of the “Microscope Tracking Array“.  [Standard] (0°) [90° Turned Right] in order to use the microscope with an opposite observer (e.g. Spine). Figure 19 OPMI Pentero / VARIO 700 Microscope Adapter (Art. No. 41767-55B) with “Microscope Tracking Array“ (Art. No. 41767-19) mounted in [Standard] position (left) and [90° Turned Right] position (right) Procedure Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array“ to OPMI VARIO 700 microscopes. Step Action 1. Attach the Microscope Adapter to the microscope optics carrier (right side) using the 4 screws provided (DIN912 M3x20). 2. Attach the “Microscope Tracking Array“ (Art. No. 41767-19) to the Microscope Adapter. Table 15: Microscope video unit OPMI VARIO 700 microscopes have an integrated video unit (w/ optional HD camera) with a LEMO (S-Video) port located at the connection panel of the microscope itself. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 27 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.0 The latest revision of the BREAKOUT INTERFACE CABLE 15234-01A is required for microscope integrations with Curve 1.0 platform. The communication with the microscope is not possible with revision 15234-01 since the driver is incompatible. The installation of the driver is explained in the troubleshooting section (chapter 4).  The “BREAKOUT INTERFACE CABLE FOR CURVE” (Art. No. 15234-01A) is supplied to connect the microscope.  A “Microscope Interface Cable Zeiss” (Art. No. 15217C) is supplied for communication. A “BNC Cable RG59” (Art. No. 18562-08) is supplied for video connection. Proceed as follows to connect the microscope cables (see Figure 20 and Figure 21): Step Action 1. Curve Interface Breakout Cable: Connect the supplied “BREAKOUT INTERFACE CABLE FOR CURVE” to the Microscope port on the rear side of the Curve 1.0. 2. Communication:  Connect the “RS 232” connector of the supplied “Microscope Interface Cable Zeiss” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “RS 232” connector of the “Microscope Interface Cable Zeiss” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the supplied “BNC Cable RG59” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the BNC connector of the microscope as shown in the figures below. 4. Video (HD):  If HD video is available, connect the “BNC Cable RG59” to the “HD-SDI” connector of the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the HD-SDI connector of the microscope as shown in the figures below. Table 16: Figure 20 RELEASED: September 24, 2015 Cabling diagram for OPMI VARIO 700 with Curve 1.0 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 28 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Microscope connector Curve ① ① ② ② RS232 CAN (not used) Composite (CVBS, BNC) ③ ③ ④ ④ HD-SDI (BNC) Curve 1.0 connection panel Image Injection (RGB) (not used) Breakout K2 Interface Cable Figure 21 RELEASED: September 24, 2015 Connection panel of Curve 1.0 / “BREAKOUT INTERFACE CABLE FOR CURVE” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 29 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.1 A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. VARIO 700 (w/ SD Video): Proceed as follows to connect the microscope cables (see Figure 22 and Figure 24). Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve 1.1 Connection Panel as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 2. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. Table 17: Figure 22 RELEASED: September 24, 2015 Cabling diagram for OPMI VARIO 700 SD with Curve 1.1 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 30 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE OPMI VARIO 700 (w/ HD Video): Proceed as follows to connect the microscope cables (see Figure 26 and Figure 27). Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve 1.1 Connection Panel as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – SDI-In  “MICROSCOPE COMMUNICATION” cable, to Microscope Communication  “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) 2. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the HD-SDI BNC port of the microscope as shown in the figures below. Table 18: Figure 23 RELEASED: September 24, 2015 Cabling diagram for OPMI VARIO 700 HD with Curve 1.1 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 31 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ③ ② ① ① MICROSCOPE ① VIDEO (OPMI VARIO 700 SD) ② MICROSCOPE ② COMMUNICATION OPMI VARIO 700 SD connection panel ③ ② ③ INJECTION) ④ ④ MICROSCOPE VIDEO (OPMI VARIO 700 HD) ④ OPMI VARIO 700 HD connection panel HUD (IMAGE ③ ⑤ ⑤ NAV IF (ODU) ⑥ ⑥ VIDEO OUT OMS CABLE 3.0 ZEISS Figure 24 RELEASED: September 24, 2015 Connection Panel of Curve 1.1 / “MICROSCOPE CABLE OMS 3.0 ZEISS” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 32 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve CM A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. VARIO 700 (w/ SD Video): Proceed as follows to connect the microscope cables (see Figure 25 and Figure 27). Step Action 4. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve CM Connection Unit as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 5. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 6. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. Table 19: Figure 25 RELEASED: September 24, 2015 Cabling diagram for OPMI VARIO 700 SD with Curve CM Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 33 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE OPMI VARIO 700 (w/ HD Video): Proceed as follows to connect the microscope cables (see Figure 26 and Figure 27). Step Action 7. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve CM Connection Unit as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – SDI-In  “MICROSCOPE COMMUNICATION” cable, to Microscope Communication  “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) 8. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 9. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the HD-SDI BNC port of the microscope as shown in the figures below. Table 20: Figure 26 RELEASED: September 24, 2015 Cabling diagram for OPMI VARIO 700 HD with Curve CM Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 34 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ③ ② ① MICROSCOPE ① VIDEO (OPMI VARIO 700 SD) ② MICROSCOPE ② COMMUNICATION OPMI VARIO 700 SD connection ④ OPMI VARIO 700 HD connection ② HUD (IMAGE ③ ③ INJECTION) ④ ④ MICROSCOPE VIDEO (OPMI VARIO 700 HD) ⑤ ⑤ NAV IF (ODU) ⑥ ⑥ VIDEO OUT ③ OMS CABLE 3.0 ZEISS Figure 27 RELEASED: September 24, 2015 Connection Unit of Curve CM / “MICROSCOPE CABLE OMS 3.0 ZEISS” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 35 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Kick A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. OPMI VARIO 700 (w/ SD Video): Proceed as follows to connect the microscope cables (see Figure 28 and Figure 30). Step Action 1. “OMS CABLE 3.0” to Kick: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE VIDEO” cable to Video In 1 connector NOTE: Connect the “MICROSCOPE VIDEO” cable to the Video In 2 connector if another device is connected to the Video In 1 connector.   “MICROSCOPE COMMUNICATION” cable to Microscope Communication connector “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) connector 2. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. Table 21: Figure 28 RELEASED: September 24, 2015 Cabling diagram for OPMI VARIO 700 SD with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 36 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE OPMI VARIO 700 (w/ S-Video): In addition to the “MICROSCOPE CABLE OMS 3.0 ZEISS”, the “ZEISS CZ 457-982 “Video Out“ Cable” (supplied by ZEISS) and the “ADAPTER CABLE SVHS TO 2BNC” (supplied by Brainlab, Art. No. 19602-26) are used for the Y/C LEMO connection. Proceed as follows to connect the microscope cables (see Figure 29 and Figure 30). Step Action 1. “OMS CABLE 3.0” to Kick: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE COMMUNICATION” cable, to Microscope Communication connector  “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) connector NOTE: The Kick does not support HD Video input. To avoid loose cabling, you may connect the “MICROSCOPE VIDEO” cable of the “OMS CABLE 3.0” to the Video In 2 connector of the Kick unless this port is used. 2. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video (see Figure 29 and Figure 30):  Connect the “ADAPTER CABLE SVHS TO 2BNC” to the S-Video In connectors (Y and C) of the Kick  Connect the “ZEISS CZ 457-982 “Video Out“ Cable” to the “ADAPTER CABLE SVHS TO 2BNC”.  Connect the “ZEISS CZ 457-982 “Video Out“ Cable” to the Y/C LEMO connector of the microscope. Table 22: Figure 29 RELEASED: September 24, 2015 Cabling diagram for OPMI VARIO 700 S-Video with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 37 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ② ③ ① MICROSCOPE VIDEO (OPMI ① Vario / VARIO 700 SD) ② ② COMMUNICA- MICROSCOPE TION HUD (IMAGE ③ ③ INJECTION) ④ ④ (OPMI VARIO SVHS TO 2BNC 700 HD) OPMI VARIO 700 SD connection ⑤ ⑤ ZEISS “Video Out” (OPMI ⑤ VARIO 700 SVideo) ⑥ ⑥ NAV IF (ODU) ⑦ ⑦ VIDEO OUT ④ (OPMI Vario / VARIO 700 SD) ⑧ ⑧ ZEISS “Video Out” (OPMI VARIO 700 HD) OPMI VARIO 700 S-Video connection OMS CABLE 3.0 ZEISS ZEISS CZ 457-982 “Video Out“ Cable (OPMI VARIO 700 S-Video) Figure 30 RELEASED: September 24, 2015 Connection panel of Kick / “MICROSCOPE CABLE OMS 3.0 ZEISS” / ZEISS CZ 457982 “Video Out“ Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 38 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Finishing the OPMI VARIO 700 hardware installation Calibrating the microscope requires the use of a cross-hair ocular. Procedure Proceed as follows to mount the cross-hair ocular (eye-piece). Step Action 1. Remove one of the oculars from the main observer. NOTE: Zeiss uses magnetically mounted oculars. Remove the ocular by pulling it straight up and out. 2. Attach the supplied cross-hair ocular. Make sure the size of your cross-hair ocular is identical to the other ocular of the main observer. Available sizes are 10x and 12,5x. The size is imprinted on the ocular. 3. 4. Make sure both oculars are positioned at a diopter of 0° before you start the service calibration! Adjust the diopter by rotating the upper part of the ocular. If you leave the cross-hair ocular installed, make sure the removed original ocular is given to the customer for safe keeping. Table 23: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 39 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.5 Zeiss OPMI Neuro (MultiVision) Integration 3.1.5.1 Hardware Overview Available microscope and stand combinations  OPMI Neuro NC4 OPMI Neuro NC4 CM Figure 32 (from L to R): OPMI Neuro NC4, OPMI Neuro NC4 CM Available features Standard Functionality 1) Image Injection 1 Advanced Functionality not available 1 2) Color Overlay 3) Smart Auto-Focus 4) Handle Control 12 5) Microscope Video 1 available for OPMI Neuro with MultiVision only 2 not supported by all Curve platforms NOTE: Refer to Appendix A - Overview of Navigation Options for a detailed description of the features. Integration requirements  The “Microscope Integration Kit Zeiss” (Art. No. 41767-16B) is required for the installation of OPMI Neuro (MultiVision) microscopes. For further details, refer to section 6.2.  OPMI Neuro (MultiVision) requires firmware version 1.45 or higher To verify the firmware, you need the (Navigation Interface Tool Kit). Please contact your Customer Care Team to receive the tool. The software is explained in the file. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 40 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.5.2 Hardware installation Installing the Microscope Adapter The OPMI Neuro Microscope Adapter supports two mounting positions of the “Microscope Tracking Array“:  [Standard] (0°) [90° Turned Right] in order to use the microscope with an opposite observer (e.g. Spine). Figure 33 OPMI Neuro Microscope Adapter and “Microscope Tracking Array“ (Art. No. 41767-60A) mounted in [Standard] position (left) and [90º Turned Right] position (right) Procedure Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array“ to OPMI Neuro microscopes. Step Action 1. Remove the round plate on the right side of the optics carrier by turning it counter-clockwise. 2. Attach the Microscope Adapter to the microscope optics carrier using the 3 screws provided (DIN912 M3x35). Attach the “Microscope Tracking Array“ to the Microscope Adapter. 3. Re-attach the round plate that has been removed in step 1. Table 24: Figure 34 RELEASED: September 24, 2015 OPMI Neuro Microscope Adapter and “Microscope Tracking Array“ mounted to the microscope in [Standard] position Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 41 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Microscope video unit OPMI Neuro microscopes are equipped with a MediLive video system (Figure 35Figure 35) with BNC / S-Video ports on the rear side of the video control unit. Figure 35 Rear view of MediLive video system Connecting the microscope to a Curve 1.0 The latest revision of the BREAKOUT INTERFACE CABLE 15234-01A is required for microscope integrations with Curve 1.0 platform. The communication with the microscope is not possible with revision 15234-01 since the driver is incompatible. The installation of the driver is explained in the troubleshooting section (chapter 4).  The “BREAKOUT INTERFACE CABLE FOR CURVE” (Art. No. 15234-01A) is supplied to connect the microscope.  A “Microscope Interface Cable Zeiss” (Art. No. 15217C) is supplied for communication and HUD. A “BNC Cable RG59” (Art. No. 18562-08) is supplied for video connection. Proceed as follows to connect the microscope cables (see Figure 36 and Figure 37). Step Action 1. Curve Interface Breakout Cable: Connect the supplied “BREAKOUT INTERFACE CABLE FOR CURVE” to the Microscope port on the rear side of the Curve 1.0. 2. Communication, HUD:  Connect the “RS 232” connector of the supplied “Microscope Interface Cable Zeiss” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “Image Injection” connector of the “Microscope Interface Cable Zeiss” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “Microscope Interface Cable Zeiss” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the supplied “BNC Cable RG59” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the Video connector of the MediLive video system as shown in figure 30 above. Table 25: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 42 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 36 Cabling diagram for OPMI Neuro (MultiVision) with Curve 1.0 Microscope connector Curve ① ① ② ② RS232 ③ ③ Composite (CVBS, BNC) ④ ④ Image Injection (RGB) Curve 1.0, connection panel HD-SDI (BNC) (not used) CAN (not used) Breakout K2 Interface Cable Figure 37 RELEASED: September 24, 2015 Connection panel of Curve 1.0 / “BREAKOUT INTERFACE CABLE FOR CURVE” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 43 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.1 A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 43 and Figure 39) Step Action 4. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve 1.1 Connection Panel as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 5. HUD, Communication:  Connect the “NAV IF (ODU)” cable of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 6. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. Table 26: Figure 38 RELEASED: September 24, 2015 Cabling diagram for OPMI Neuro (MultiVision) with Curve 1.1 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 44 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ NAV IF (ODU) ⑤ ⑤ VIDEO OUT Curve 1.1 Connection Panel HUD (IMAGE INJECTION) OPMI Neuro (MultiVision) connection Figure 39 Connection Panel of Curve 1.1 / “MICROSCOPE CABLE OMS 3.0 ZEISS” OMS CABLE 3.0 ZEISS RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 45 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve CM A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see figures below) Step Action 7. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve CM Connection Unit as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 8. HUD, Communication:  Connect the “NAV IF (ODU)” cable of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 9. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. Table 27: Figure 40 RELEASED: September 24, 2015 Cabling diagram for OPMI Neuro (MultiVision) with Curve CM Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 46 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Curve CM Connection Unit ① ② OPMI Neuro (MultiVision) connection ③ MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ NAV IF (ODU) ⑤ ⑤ VIDEO OUT HUD (IMAGE INJECTION) OMS CABLE 3.0 ZEISS Figure 41 RELEASED: September 24, 2015 Connection Unit of Curve CM / “MICROSCOPE CABLE OMS 3.0 ZEISS” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 47 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Kick A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 42 and Figure 43) Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE VIDEO” cable to Video In 1 connector NOTE: Connect the “MICROSCOPE VIDEO” cable to the Video In 2 connector if another device is connected to the Video In 1 connector.   “MICROSCOPE COMMUNICATION” cable to Microscope Communication connector “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) connector 2. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. Table 28: Figure 42 RELEASED: September 24, 2015 Cabling diagram for OPMI Neuro (MultiVision) with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 48 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ② MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ NAV IF (ODU) ⑤ ⑤ VIDEO OUT HUD (IMAGE INJECTION) ③ OMS CABLE 3.0 ZEISS Figure 43 RELEASED: September 24, 2015 Connection panel of Kick / “MICROSCOPE CABLE OMS 3.0 ZEISS” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 49 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Finishing the OPMI Neuro (MultiVision) hardware installation Calibrating the microscope requires the use of a cross-hair ocular. Procedure Proceed as follows to mount the cross-hair ocular (eye-piece). Step Action 1. Remove one of the oculars from the main observer. NOTE: Zeiss uses magnetically mounted oculars. Remove the ocular by pulling it straight up and out. 2. Attach the supplied cross-hair ocular. Make sure the size of your cross-hair ocular is identical to the remaining ocular of the main observer. Available sizes are 10x and 12,5x. The size is imprinted on the ocular. 3. 4. RELEASED: September 24, 2015 Make sure both oculars are positioned at a diopter of 0° before you start the service calibration! Adjust the diopter by rotating the upper part of the ocular. If you leave the cross-hair ocular installed, make sure the removed original ocular is given to the customer for safe keeping. Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 50 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.6 Zeiss OPMI Pentero / OPMI PENTERO 900 / OPMI PENTERO 800 Integration 3.1.6.1 Hardware Overview Available microscopes  OPMI Pentero  OPMI Pentero C (ceiling unit) OPMI PENTERO 900 / OPMI PENTERO 800 Figure 44 (from L to R): OPMI Pentero C, OPMI Pentero, OPMI PENTERO 900 Available features Standard Functionality Advanced Functionality 1) Image Injection 6) Smart Auto-Tracking 2) Color Overlay 7) Store / Go To Stored Focal Point 3) Smart Auto-Focus 7) Align to Trajectory 4) Handle Control 5) Microscope Video NOTE: Refer to Appendix A - Overview of Navigation Options for a detailed description of the features. Integration requirements  The “Microscope Integration Kit Zeiss” (Art. No. 41767-16B) is required for the installation of OPMI Pentero microscopes (all versions). For further details, refer to section 6.2.  OPMI Pentero requires firmware version 2.0.x or higher. OPMI Pentero C requires firmware version 2.1.x or higher. OPMI PENTERO 900 / OPMI PENTERO 800 require firmware version 1.2.x or higher.  To verify the firmware, press the [Config] button on the main menu of the microscope’s main screen. Go to System Info > Version. If you need the (= Navigation Interface Tool Kit) software to test the IGS interface of the microscope, please contact your Customer Care Team to receive the tool. The software is explained in the file. The integration of all Pentero microscopes requires at least Rev. B or higher of the “Zeiss Microscope Interface Cable 10m”. With older revisions, the HUD (Image Injection) might not work properly. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 51 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.6.2 Hardware Installation Installing the Microscope Adapter The OPMI Pentero Microscope Adapter supports two mounting positions of the “Microscope Tracking Array“:  [Standard] (0°) [90° Turned Right] in order to use the microscope with an opposite observer (e.g. Spine). Figure 45 OPMI Pentero (all versions) / VARIO 700 Microscope Adapter (Art. No. 4176755B) with “Microscope Tracking Array“ (Art. No. 41767-19) mounted in [Standard] position (left) and [90° Turned Right] position (right) Procedure Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array“ to OPMI Pentero microscopes (all versions) Step Action 1. Remove the ring on the right side of the optics carrier by turning it counter-clockwise. The components might be difficult to remove, as they sometimes stick together due to lacquer. If necessary, try carefully using gas pipe pliers and a towel around the ring. If this does not work, we recommend contacting Zeiss service. 2. Using a small screwdriver, lift the plastic plate that covers the navigation adapter interface and take it away. This reveals four holes used for attaching the Microscope Adapter. 3. Attach the Microscope Adapter to the microscope optics carrier, using the 4 screws provided (DIN912 M3x20). Re-install the ring that was removed in step 1 4. RELEASED: September 24, 2015 Attach the “Microscope Tracking Array“ (Art. No. 41767-19) to the Microscope Adapter. Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 52 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Table 29: Figure 46 OPMI Pentero (all versions) Microscope Adapter and “Microscope Tracking Array“ mounted to the microscope in [Standard] position Microscope video unit OPMI Pentero microscopes have an integrated video unit with a BNC and a Y/C LEMO port located at the connection panel of the microscope itself (Figure 47). The Y/C LEMO connection can be used via the “ZEISS CZ 457-982 “Video Out“ Cable” that is delivered with every OPMI Pentero microscope. OPMI PENTERO 900 microscopes have an integrated HD Video unit with the HD-SDI port located at the connection panel. Currently, HD Video is supported only by Curve 1.0, Curve 1.1 and Curve CM platforms. Figure 47 RELEASED: September 24, 2015 OPMI Pentero connection panel / OPMI PENTERO 900 connection panel Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 53 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.0 The latest revision of the BREAKOUT INTERFACE CABLE 15234-01A is required for microscope integrations with Curve platform. The communication with the microscope is not possible with revision 15234-01 since the driver is incompatible. The installation of the driver is explained in the troubleshooting section (chapter 4).  The “BREAKOUT INTERFACE CABLE FOR CURVE” (Art. No. 15234-01A) is supplied to connect the microscope.  A “Microscope Interface Cable Zeiss” (Art. No. 15217C) is supplied for communication and HUD. A “BNC Cable RG59” (Art. No. 18562-08) is supplied for video connection. Proceed as follows to connect the microscope cables (see Figure 48 and Figure 49) Step Action 1. Curve Interface Breakout Cable: Connect the supplied “BREAKOUT INTERFACE CABLE FOR CURVE” to the Microscope port on the rear side of the Curve 1.0. 2. Communication, HUD:  Connect the “RS 232” connector of the supplied “Microscope Interface Cable Zeiss” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “Image Injection” connector of the “Microscope Interface Cable Zeiss” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “Microscope Interface Cable Zeiss” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the supplied “BNC Cable RG59” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the BNC connector of the microscope as shown in the figures below. 4. Video (HD) (OPMI PENTERO 900/ OPMI PENTERO 800)  Connect the “BNC Cable RG59” to the “HD-SDI” connector of the „BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the HD SDI connector of the microscope as shown in the figures below. Table 30: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 54 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 48 Cabling diagram for OPMI Pentero (all versions) with Curve 1.0 Curve 1.0 connection panel Microscope connector Curve ① ① ② ② RS232 ③ ③ ④ ④ HD-SDI (BNC) (OPMI PENTERO 900) ⑤ ⑤ Composite (CVBS, BNC) Image Injection (RGB) CAN (not used) Breakout K2 Interface Cable Figure 49 RELEASED: September 24, 2015 Connection panel of Curve 1.0 “BREAKOUT INTERFACE CABLE FOR CURVE” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 55 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.1 A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 50, Figure 51, and Figure 52). Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve 1.1 connection panel as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 2. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video (OPMI Pentero):  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. 4. Video (HD) (OPMI PENTERO 900 / OPMI PENTERO 800)  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the HD SDI port of the microscope as shown in the figures below. Table 31: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 56 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 50 Cabling diagram for OPMI Pentero with Curve 1.1 Figure 51 Cabling diagram for OPMI PENTERO 900 / OPMI PENTERO 800 with Curve 1.1 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 57 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE MICROSCOPE ① ① VIDEO (OPMI Pentero) ② ② COMMUNICA- MICROSCOPE TION HUD (IMAGE ③ ③ INJECTION) ④ ④ ⑤ ⑤ NAV IF (ODU) ⑥ ⑥ VIDEO OUT OPMI Pentero connection MICROSCOPE VIDEO (OPMI PENTERO 900/800) OPMI PENTERO 900 / OPMI PENTERO 800 connection OMS CABLE 3.0 ZEISS Figure 52 RELEASED: September 24, 2015 Connection Panel of Curve 1.1 / “MICROSCOPE CABLE OMS 3.0 ZEISS” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 58 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve CM A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 53, Figure 54, and Figure 55). Step Action 5. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve CM Connection Unit as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 6. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 7. Video (OPMI Pentero):  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. 8. Video (HD) (OPMI PENTERO 900 / OPMI PENTERO 800)  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the HD SDI port of the microscope as shown in the figures below. Table 32: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 59 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 53 Cabling diagram for OPMI Pentero with Curve CM Figure 54 Cabling diagram for OPMI PENTERO 900 / OPMI PENTERO 800 with Curve CM RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 60 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ② ③ MICROSCOPE ① ① VIDEO (OPMI Pentero) ② ② COMMUNICA- MICROSCOPE TION OPMI Pentero connection ④ ② ③ INJECTION) ④ ④ ⑤ ⑤ NAV IF (ODU) ⑥ ⑥ VIDEO OUT ③ OPMI PENTERO 900/ OPMI PENTERO 800 connection HUD (IMAGE ③ MICROSCOPE VIDEO (OPMI PENTERO 900/800) OMS CABLE 3.0 ZEISS Figure 55 RELEASED: September 24, 2015 Connection Unit of Curve CM / “MICROSCOPE CABLE OMS 3.0 ZEISS” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 61 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Kick A specific “MICROSCOPE CABLE OMS 3.0 ZEISS” (Art. No. 15235) is supplied to connect the microscope. OPMI Pentero: Proceed as follows to connect the microscope cables (see Figure 56 and Figure 58). Step Action 1. “OMS CABLE 3.0” to Kick: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE VIDEO” cable to Video In 1 connector NOTE: Connect the “MICROSCOPE VIDEO” cable to the Video In 2 connector if another device is connected to the Video In 1 connector.   “MICROSCOPE COMMUNICATION” cable to Microscope Communication connector “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) connector 2. HUD, Communication  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. Table 33: Figure 56 RELEASED: September 24, 2015 Cabling diagram for OPMI Pentero with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 62 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE OPMI PENTERO 900 / OPMI PENTERO 800: In addition to the “MICROSCOPE CABLE OMS 3.0 ZEISS, the “ZEISS CZ 457-982 “Video Out“ Cable” (supplied by ZEISS) and the “ADAPTER CABLE SVHS TO 2BNC” (supplied by Brainlab, Art. No. 19602-26) are used for the Y/C LEMO connection. Proceed as follows to connect the microscope cables (see Figure 57 and Figure 58). Step Action 1. “OMS CABLE 3.0” to Kick: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE COMMUNICATION” cable, to Microscope Communication connector  “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) connector NOTE: The Kick does not support HD Video input. To avoid loose cabling, you may connect the “MICROSCOPE VIDEO” cable of the “OMS CABLE 3.0” to the Video In 2 connector of the Kick unless this port is used. 2. HUD, Communication:  Connect the “NAV IF (ODU)” connector of the “OMS CABLE 3.0” to the ODU MAC connector of the microscope as shown in the figures below. 3. Video (see Figure 57 and Figure 58):  Connect the “ADAPTER CABLE SVHS TO 2BNC” to the S-Video In connectors (C and Y) of the Kick.  Connect the “ZEISS CZ 457-982 “Video Out“ Cable” to the “ADAPTER CABLE SVHS TO 2BNC”.  Connect the “ZEISS CZ 457-982 “Video Out“ Cable” to the Y/C LEMO connector of the microscope. Table 34: Figure 57 RELEASED: September 24, 2015 Cabling diagram for OPMI PENTERO 900 / OPMI PENTERO 800 with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 63 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① MICROSCOPE ① VIDEO (OPMI Pentero) ② MICROSCOPE ② COMMUNICATION OPMI Pentero connection HUD (IMAGE ③ ③ INJECTION) ④ SVHS TO 2BNC (OPMI ④ PENTERO 900/80 0) ⑤ ZEISS “Video Out” (OPMI ⑤ PENTERO 900/80 0) ⑥ ⑥ NAV IF (ODU) ⑦ ⑦ VIDEO OUT (OPMI Pentero) ⑧ ⑧ ZEISS “Video Out” (OPMI PENTERO 900/80 0) OPMI PENTERO 900/800 connection OMS CABLE 3.0 ZEISS ZEISS CZ 457-982 “Video Out“ Cable Figure 58 Connection panel of Kick / “MICROSCOPE CABLE 3.0 ZEISS” (OPMIOMS PENTERO 900) / ZEISS CZ 457982 “Video Out“ RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 64 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Finishing the OPMI Pentero hardware installation Calibrating the microscope does not require a cross-hair ocular. Procedure Proceed as follows to adjust the oculars (eye-pieces). Step 1. Action Make sure both oculars are positioned at a diopter of 0° before you start the service calibration! Adjust the diopter by rotating the upper part of the ocular. Table 35: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 65 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.7 Leica Integration 3.1.7.1 Hardware Overview Available microscope and stand combinations  M520 with C40, CT40, F40, MS2, MS3*, OH3*, OHC*, OHS-1  M525 with C40, CT40, C50, F40, F50, MS3*, OH4*, OH4C*  M530 with OH6* M720 (SAI) with OH5*, OH5C* *: Stand supports “Advanced Functionality” (X/Y Movement) Figure 62 Figure 59 (from L to R): M520 MS2 & MS3, M520 OHS-1 & OH3 Figure 60 (from L to R): M520/M525 C40 & CT40, M520/M525 F40 & OH4 Figure 61 (from L to R): M525 OH4, M720 (SAI) OH5 (from L to R): M530 OH6, M530 OHX RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 66 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Available features Standard Functionality 1) Image Injection 1 1 2) Color Overlay 3) Closed Shutter Advanced Functionality 2 7) Smart Auto-Tracking 8) Store / Go To Stored Focal Point 1 4) Smart Auto-Focus 5) Handle Control 1 2 2 10) Align to Trajectory 1 available with DI C500 / DI C700 only 2 available only with stands supporting X/Y Movement 6) Microscope Video NOTE: Refer to Appendix A - Overview of Navigation Options for a detailed description of the features. Integration requirements The “Microscope Integration Kit Leica” (Art. No. 41767-04C) is required for the installation of Leica microscopes (all versions). For further details, refer to section 6.2. Leica M520 requires at least firmware version 1.87 or higher To verify the firmware on M520 microscopes, turn the microscope off and turn it back on. The firmware is displayed during the first seconds of the booting process on the control display of the microscope. Leica M525 and M720 (SAI) require the “OH4 / OH5 Software Pack Index P” firmware package:  MDC (Microscope Device Controller) 5.6  UIC (User Interface Controller) 5.6  OH4 Adapter 6.1  M525 4.7 or 6.1  M720 1.2  DI C700 3.1 (if installed)  DI C500 3.1 (if installed) Leica M530 with OH6 requires the “OH6 Software Pack Index 02” firmware package:  MDC (Microscope Device Controller) 1.8  UIC (User Interface Controller) 2.0  OH6 Adapter 7.2  M530 1.6  DI C500 3.1 (if installed) Leica M530/M720 with OH X requires the “OH package:  MDC (Microscope Device Controller)  GUI  M530  M720  DI C500/700 X Software Pack Index 02” firmware 1.4 2.7 1.6 1.2 3.1 (if installed) To verify the firmware on M525, M530 and M720 (SAI) microscopes, press Menu on the control display of the microscope. Go to Service Menu (PW: 6642), -> Diagnose and select the Versions tab. The integration with Curve 1.0 platforms requires the “CAN BUS CABLE LEICA 10M CURVE” (Art. No. 15222C). RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 67 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.7.2 Hardware Installation Installing the Microscope Adapter The Leica Microscope Adapter supports two mounting positions of the “Microscope Tracking Array“:  [Standard] (0°) [90° Turned Right] in order to use the microscope with an opposite observer (e.g. Spine). Figure 63 RELEASED: September 24, 2015 Leica Microscope Adapter (Art. No. 41767-70C) with “Microscope Tracking Array“ (41767-19) mounted in [Standard] position (left) and [90° Turned Right] position (right) Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 68 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Leica M520, M525 - Attaching the Microscope Adapter Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array“ to Leica M520 and M525 microscopes (see Figure 64). Figure 64 Optics carrier and handle (left); lens and Microscope Adapter (right) Step Action 1. Remove the right handle (2) and attach the Microscope Adapter (1) between the optics carrier and the handle/distance piece, using the 4 long M3x30 screws provided with the Microscope Integration Kit (Art. No 41767-04C). NOTE: The right handle (2) and the distance piece (3) are one piece. Do not use the short M3x16 screws for the silver “new style” handles. These screws are too short to securely hold the Microscope Adapter and handle. If the microscope zoom does not work after attaching the Microscope Adapter, the adapter mounting screws block the zoom motor movement. 2. Make sure that the Microscope Adapter (1) is parallel to the lowest lens (5) of the optics carrier (red dotted lines in Figure 65 (right)). 3. Attach the “Microscope Tracking Array“ (Art. No. 41767-19) to the Microscope Adapter. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 69 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Leica M720 (SAI) - Attaching the Microscope Adapter Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array“ to Leica M720 (SAI) microscopes (see Figure 65). Figure 65 M 720 (SAI): optics carrier and Microscope Adapter (left); lens and Microscope Adapter (right) Step Action 1. Remove the right handle (2). NOTE: Usually, the right handle (2) and the distance piece (3) are two different pieces. 2. Attach the Microscope Adapter (1) between the distance piece (3) and the handle, using the Leica screws that were used to hold the handle. If the Leica screws are too short, use the 4 short M3x16 screws provided with the Microscope Integration Kit (Art. No 41767-04C). 3. Make sure that the Microscope Adapter (1) is parallel to the lowest lens (5) of the optics carrier (red dotted lines in Figure 65 (right)). 4. Attach the “Microscope Tracking Array“ (Art. No. 41767-19) to the Microscope Adapter. Table 36: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 70 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Leica M530 - Attaching the Microscope Adapter Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array“ to Leica M530 microscopes (see Figure 65). optics carrier 1 3 2 Figure 66 M 520 (SAI): optics carrier and Microscope Adapter (left); Disassembled handle and Microscope Adapter (right) Step Action 1. Remove the right handle (2). And then the distance piece (3). NOTE: Usually, the right handle (2) and the distance piece (3) are two different pieces. 2. Attach the Microscope Adapter (1) between the optics carrier and the distance piece (3), using the Leica screws that were used to hold the distance piece. If the Leica screws are too short, use the 4 M3x35 screws provided with the Microscope Integration Kit (Art. No 41767-04C). 3. Reattach the handle using the Leica screws. 4. Make sure that the Microscope Adapter (1) is parallel to the lowest lens of the optics carrier. 5. Attach the “Microscope Tracking Array“ (Art. No. 41767-19) to the Microscope Adapter. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 71 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Leica video control unit Some Leica microscopes (e.g. M520 OHS-1, etc.) are equipped with a video system (Figure 67) with BNC / S-Video ports on the rear side of the video control unit. Newer Leica microscopes (e.g. M525 OH4, M530 OH6, M720 OH5, etc.) have an integrated video control unit (w/ optional HD camera) with BNC / S-Video ports located at the connection panel of the microscope itself. Figure 67 RELEASED: September 24, 2015 Rear view of the Leica video control unit (M520) / integrated video control unit (i.e. OH4, OH5) Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 72 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.0 The latest revision of the BREAKOUT INTERFACE CABLE 15234-01A is required for microscope integrations with Curve 1.0 platform. The communication with the microscope is not possible with revision 15234-01 since the driver is incompatible. The installation of the driver is explained in the troubleshooting section (chapter 4).  The “BREAKOUT INTERFACE CABLE FOR CURVE” (Art. No. 15234-01A) is supplied to connect the microscope.  A “Curve CAN BUS Cable Leica” (Art. No. 15222C) is supplied for communication.  A “BNC Cable RG59” (Art. No. 18562-08) is supplied for video connection. A microscope-specific “SVGA Monitor Cable” is supplied for HUD Proceed as follows to connect the microscope cables (see Figure 68, Figure 69, and Figure 70): Step Action 1. Curve Interface Breakout Cable: Connect the supplied “BREAKOUT INTERFACE CABLE FOR CURVE” to the “Microscope” port on the rear side of the Curve 1.0. 2. Communication:  Connect the supplied “Curve CAN BUS Cable Leica” to the „BREAKOUT INTERFACE CABLE FOR CURVE” cable as shown in the figures below.  M520: Connect the “Curve CAN BUS Cable Leica” to the IN/OUT connector of the microscope as shown in the figures below.  M525 / M530 / M720: Connect the “Curve CAN BUS Cable Leica” to the EXTERN CAN connector of the microscope as shown in the figures below. 3. Video (M520):  Connect the supplied “BNC Cable RG59” to the “Composite (BNC)” connector of the „BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the video control unit of the microscope as shown in the figures below. 4. Video HD (M525 / M720 / M530):  Connect the supplied “BNC Cable RG59” to the “HD-SDI (BNC)” connector of the „BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the video control unit at the connection panel of the microscope. 5. HUD (M520) ):  Connect the Leica XGA cable that comes from the microscope directly to the „BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below. If the Leica cable is too short, use the “SVGA Monitor Cable” provided with the Microscope Integration Kit. 6. HUD (M525 / M720 / M530):  Connect the supplied “SVGA Monitor Cable” to the „BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below  Connect the “SVGA Monitor Cable” to the connection panel of the microscope located behind the little door that can be opened on the lower front of the stand. NOTE: For additional instructions, refer to section 3.1.7.3. Table 37: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 73 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 68 Cabling diagram for M520 with Curve 1.0 Figure 69 Cabling diagram for M525 / M530 / M720 (SAI) with Curve 1.0 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 74 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ② ② CAN ③ ③ Composite (CVBS, BNC) (M520) ④ ⑤ Curve 1.0 connection panel Microscope connector Curve ① ⑥ HD-SDI (BNC) ④ (M525/M530/M7 20) ⑤ Image Injection ⑥ (RGB) RS232 (not used Breakout K2 Interface Cable Figure 70 RELEASED: September 24, 2015 Connection panel of Curve 1.0 / “BREAKOUT INTERFACE CABLE FOR CURVE” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 75 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.1 A specific “MICROSCOPE CABLE OMS 3.0 LEICA” (Art. No. 15236) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 71, Figure 72, and Figure 73). Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve 1.1 Connection Panel as shown in the figures below.  M520: “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  M525 / M530 / M720 (SAI):“MICROSCOPE VIDEO” cable to Navigation Imaging – SDI In (only if microscope is equipped with HD camera otherwise connect like M520)  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 2. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. 3. HUD:  M520: Connect the “XGA IN” cable of the “OMS CABLE 3.0” to the DI C500 cable/connector of the microscope as shown in the figures below.  M525 / M530 / M720 (SAI): Connect the “XGA IN” cable of the “OMS CABLE 3.0” to the XGA IN 1 connector of the microscope stand as shown in the figures below. NOTE: For additional instructions on connecting the image injection unit (HUD) of M525 / M530 / M720 microscopes, refer to section 3.1.7.3. 4. Communication:  Connect the “EXTERN CAN” cable of the “OMS CABLE 3.0” to the CAN EXTERN connector of the microscope as shown in the figures below. Table 38: Figure 71 RELEASED: September 24, 2015 Cabling diagram for Leica M520 with Curve 1.1 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 76 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 72 RELEASED: September 24, 2015 Cabling diagram for Leica M525 / M530 / M720 (SAI) (no HD) with Curve 1.1 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 77 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE MICROSCOPE VIDEO (M 520) ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ MICROSCOPE VIDEO (M 520 / M 720 (SAI)) ⑤ ⑤ VIDEO OUT ⑥ ⑥ XGA IN ⑦ ⑦ Leica M520 connection HUD (IMAGE INJECTION) EXTERN CAN Leica M525 / M530 / M720 (SAI) HD connection OMS CABLE 3.0 LEICA Figure 73 RELEASED: September 24, 2015 Connection Panel of Curve 1.1 / “MICROSCOPE CABLE OMS 3.0 LEICA” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 78 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve CM A specific “MICROSCOPE CABLE OMS 3.0 LEICA” (Art. No. 15236) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 74, Figure 75, and Figure 76). Step Action 5. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve CM Connection Unit as shown in the figures below.  M520: “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  M525 / M530 / M720 (SAI):“MICROSCOPE VIDEO” cable to Navigation Imaging – SDI In (only if microscope is equipped with HD camera otherwise connect like M520)  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication  “HUD (IMAGE INJECTION)“ cable to Microscope – Video Out 6. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. 7. HUD:  M520: Connect the “XGA IN” cable of the “OMS CABLE 3.0” to the DI C500 cable/connector of the microscope as shown in the figures below.  M525 / M530 / M720 (SAI): Connect the “XGA IN” cable of the “OMS CABLE 3.0” to the XGA IN 1 connector of the microscope stand as shown in the figures below. NOTE: For additional instructions on connecting the image injection unit (HUD) of M525 / M530 / M720 microscopes, refer to section 3.1.7.3. 8. Communication:  Connect the “EXTERN CAN” cable of the “OMS CABLE 3.0” to the CAN EXTERN connector of the microscope as shown in the figures below. Table 39: Figure 74 RELEASED: September 24, 2015 Cabling diagram for Leica M520 with Curve CM Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 79 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 75 RELEASED: September 24, 2015 Cabling diagram for Leica M525 / M530 / M720 (SAI) (no HD) with Curve CM Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 80 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ③ ② MICROSCOPE VIDEO (M 520) ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ MICROSCOPE VIDEO (M 520 / M 720 (SAI)) ⑤ ⑤ VIDEO OUT ⑥ ⑥ XGA IN ⑦ ⑦ HUD (IMAGE INJECTION) Leica M520 connection ④ ② Leica M525 / M530 / M720 (SAI) HD connection ③ EXTERN CAN OMS CABLE 3.0 LEICA Figure 76 Connection Unit of Curve CM / “MICROSCOPE CABLE OMS 3.0 LEICA” RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 81 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Kick A specific “MICROSCOPE CABLE OMS 3.0 LEICA” (Art. No. 15236) is supplied to connect the microscope. Proceed as follows to connect the microscope cables (see Figure 77, Figure 78, and Figure 79) Step Action 1. “OMS CABLE 3.0” to Kick: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE VIDEO” cable to Video In 1 connector NOTE: Connect the “MICROSCOPE VIDEO” cable to the Video In 2 connector if another device is connected to the Video In 1 connector.   “MICROSCOPE COMMUNICATION” cable to Microscope Communication connector “HUD (IMAGE INJECTION)“ cable to Microscope (Video Out) connector 2. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC connector of the microscope as shown in the figures below. 3. HUD:  M520: Connect the “XGA IN” cable of the “OMS CABLE 3.0” to the DI C500 cable/connector of the microscope as shown in the figures below.  M525 / M530 / M720 (SAI): Connect the “XGA IN” cable of the “OMS CABLE 3.0” to the XGA IN 1 connector of the microscope stand as shown in the figures below. NOTE: For additional instructions on connecting the image injection unit (HUD) of M525 / M530 / M720 microscopes, refer to section 3.1.7.3. 4. Communication:  Connect the “EXTERN CAN” cable of the “OMS CABLE 3.0” to the CAN EXTERN connector of the microscope as shown in the figures below. Table 40: Figure 77 RELEASED: September 24, 2015 Cabling diagram for Leica M520 with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 82 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 78 RELEASED: September 24, 2015 Cabling diagram for Leica M525 / M530 / M720 (SAI) with Kick Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 83 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ② ③ MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ ④ ④ VIDEO OUT ⑤ ⑤ XGA IN ⑥ ⑥ EXTERN CAN HUD (IMAGE INJECTION) “OMS CABLE 3.0 LEICA” Figure 79 RELEASED: September 24, 2015 Connection panel of Kick / “MICROSCOPE CABLE OMS 3.0 LEICA” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 84 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Finishing the Leica hardware installation Calibrating the microscope requires the use of a cross-hair ocular. Procedure Proceed as follows to mount the cross-hair ocular (eye-piece). Step Action 1. Remove one of the oculars from the main observer. 2. Attach the supplied cross-hair ocular. Brainlab supplies a 10x-size cross-hair ocular. For calibration, make sure the size of the other ocular of the main observer is also 10x. NOTE: Available ocular sizes are 10x and 8.33x (M720 only!). The size is imprinted on the ocular. 3. 4. Make sure both oculars are positioned at a diopter of 0° before you start the service calibration! Adjust the diopter by rotating the upper part of the ocular. If you leave the cross-hair ocular installed, make sure the removed original ocular is given to the customer for safe keeping. NOTE: If required, re-attach the original 8.33x size oculars after calibration. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 85 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.7.3 Additional Instructions for Leica Microscopes NOTE: For Cranial 3.0 a new driver for the CAN device has to be installed manually. Refer to chapter 4 “Troubleshooting – CAN communication issues” for detailed information about the installation process. Overview  3.1.7.4 Cabling Instructions for DI C500 / DI C700  3.1.7.5 Balancing the Microscope on OH4 / OH5 / OH6 Stands  3.1.7.6 Preparing the Microscope for IGS Navigation 3.1.7.7 Creating User Profiles for the Image Injection Positions. 3.1.7.4 Cabling Instructions for DI C500 / DI C700 Detailed instructions on the integration of Leica OH4 / OH5 / OH6 can be found in the following document in the service document folder on ftp or here: O:\Template\Support\IGS Applications\3rd party\WOI_Service Manual\Previous Product Versions  SM_09-080_Microscope Integration_ LeicaOH4_OH5.pdf Connecting the image injection unit Proceed as follows to connect the Leica DI C500 / DI C700 image injection unit (HUD) on Leica OH4 / OH5 / OH6 stands: Step Action 1. Open the stand cover to access the image injection connector. Figure 80 RELEASED: September 24, 2015 Leica stand cover Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 86 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 2. Connect the image injection unit. A B C A) XGA cable to the DI C500 (OH4/OH6) or DI C700 (OH5) head-up display (Leica component). B) “SVGA Monitor Cable” or “XGA IN” cable of the “OMS CABLE 3.0” (Brainlab component). C) Optional - available only for specific Leica configurations, e.g. Monitor, Fluorescence. Figure 81    3. Image injection connectors Always connect the “OMS CABLE 3.0” (Kick, Curve CM platforms) or the “SVGA Monitor Cable” (Curve platforms) to the second position from top (position B) = XGA IN 1). If there is already a cable connected to B (e.g. microscopes with fluorescence), re-connect it to position C (XGA IN 2). If A is not available, the XGA (RGB) connection to the head-up display is missing. If you are sure the microscope has a head-up display, contact Leica to get the head-up display correctly connected to position A. Close the stand cover. “OMS CABLE 3.0”: Attach the strain relief loop to the stand. Figure 82 RELEASED: September 24, 2015 “OMS CABLE 3.0” on Leica stand Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 87 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 4.     Kick: Connect the “HUD (IMAGE INJECTION)“ cable of the “OMS CABLE 3.0” to the Microscope (Video Out) connector on the platform. Curve CM: Connect the “HUD (IMAGE INJECTION)“ cable of the “OMS CABLE 3.0” to the Microscope (Video Out) connector on the Connection Unit. Curve 1.0: Connect the “SVGA Monitor Cable” to the “Image Injection” connector on the “BREAKOUT INTERFACE CABLE FOR CURVE”. Curve 1.1: Connect the “HUD (IMAGE INJECTION)“ cable of the “OMS CABLE 3.0” to the Microscope (Video Out) connector on the platform. Table 41: 3.1.7.5 Balancing the Microscope on OH4 / OH5 / OH6 Stands Balancing the microscope By attaching the Microscope Adapter and the “Microscope Tracking Array“, weight was added to the optics carrier of the microscope. Most likely, the microscope is out of balance now. To compensate for this, the microscope has to be (auto-)balanced. Proceed as follows to auto-balance the microscope on OH4 / OH5 / OH6 stands. Step Action 1. Move the microscope (optics carrier) to position A. 2. Press the [AUTO BALANCE] button on the stand. 3. As soon as position A is balanced, proceed to step 4. 4. Move the microscope (optics carrier) to position B. 5. Press the [AUTO BALANCE] button on the stand again. 6. Auto-balancing is complete. RELEASED: September 24, 2015 . Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 88 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 83 Auto-balancing Table 42: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 89 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.7.6 Preparing the Microscope for IGS Navigation Preparing the microscope for IGS navigation includes the following tasks:  Loading the preset for IGS  Changing the brakes mode  Disabling the zoom range limiter Setting the brakes for the left thumb button Loading the Preset for IGS Step Action 1. Press [Presets] on the Leica Main menu. 2. Select Image Injection IGS DI C700. NOTE: On a Leica M525 OH4 / M530 OH6select Image Injection IGS DI C500. 3. Press [Select] to accept. Figure 84 Preset selection Table 43: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 90 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Changing the Selected Brakes mode Proceed as follows to change the brake mode from Focus Lock to XYZ Free. NOTE: This procedure changes the mode of the Selected Brakes in order to move the microscope horizontally and vertically only. The angle of the microscope (optics carrier) will stay locked. Step Action 1. Press [Speed] on the Leica Main menu. 2. Select XYZ Free. 3. Press [Save]. 4. Proceed with [Save as Current]. 5. Type in the service password 6642 and accept with [OK]. Figure 85 RELEASED: September 24, 2015 Brake mode change Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 91 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Disabling the Zoom Range Limiter Proceed as follows to disable the Zoom Range Limiter. Step Action 1. Press [Menu] on the Leica Main menu. 2. Select [Service Menu]. 3. Type in the service password 6642 and proceed with [OK]. 4. Press [Save]. Figure 86 RELEASED: September 24, 2015 Leica Service Menu Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 92 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 5. Select the System 2 tab. 6. Press [Toggle] to change the Zoom Range Limiter to inactive. 7. Select the Accessory List tab. Figure 87 Leica Service Menu: Zoom Range Limiter Leave the Zoom Range Limiter inactive at any time. Otherwise, the user calibration cannot be performed. 8. Press [Toggle] to set the DIC (Head-up Display) to present (1). 9. Depending on the firmware installed, you may have the IGS option (2). Skip step 8 if there is no DIC (Head-Up Display) installed Make sure that Brainlab is selected. 10. Press [Main] to exit the Service Menu (3). Figure 88 Leica Service Menu: DIC and IGS Table 44: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 93 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Setting the Selected Brakes to the thumb button of Handle Left Many users are used to have Selected Brakes on both thumb buttons (left and right). Leica’s initial configuration for the left thumb button toggles through the connected XGA signals (e.g. HUD, MDRS, etc.). Thus, the user can unintentionally turn off the HUD by toggling to another XGA signal. Proceed as follows to prevent toggling to another XGA signal for the left thumb button. Step Action 1. Press [Menu] on the Leica Main menu. 2. Select [User Settings]. 3. Select the Handle Left tab. 4. Use the left/right arrows to access the Extra options. 5. Select Selected Brakes in the list on the left. 6. Press [XGA Out toggle ½] that is currently on the right side as option for the thumb button of the left handle. NOTE: Selected Brakes now is the option for the thumb button of the left handle. 7. Press [Save]. 8. Proceed with [Save as current] and type in the service password 6642. Press [OK] to accept. Figure 89 Figure 90 Table 45: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 94 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.7.7 Creating User Profiles for the Image Injection Positions. Leica microscopes with a DI C500 image injection module support injecting the image either into the right ocular or into the left ocular (right/left mode). Leica microscopes with a DI C700 image injection module additionally support image injection into both oculars simultaneously (binocular mode). The binocular mode is referred to as Combined in the HUD calibration process (see section 3.2.3.3). On a Leica M720 OH5 with DI C700, the image injection position into the oculars (left, right, combined) can only be changed on the main menu of the microscope. For the HUD calibration, you need user profiles for all 3 positions. The following procedures are important in order to perform the HUD calibration. Procedure Proceed as follows to create a user profile for the Combined image injection position. Step Action 1. Press [Menu] and select User Settings > Image Injection IGS DI C700. 2. Use the right arrow in the upper right corner and select the DIC tab. 3. Use the left/right arrows and select the open option. 4. Use the left/right arrows and select the open option. 5. The display of both oculars shows the word Overlay. 6. Press [Save]. 7. Save as [New User]. 8. Select any free position, save, and name it IGS IMG INJ BOTH. Figure 91 Figure 92 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 95 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Procedure Proceed as follows to create user profiles for the Right and Left image injection positions. Step Action 1. Press [Menu] and select User Settings > Image Injection IGS DI C700. Use the left/right arrows and select the left closed option. 2. Use the left/right arrows and select the left closed option. 3. Both oculars will display a picture, but only the right ocular’s display shows the word Overlay. 4. Press [Save]. 5. Save as [New User]. 6. Select any free position, save, and name it IGS IMG INJ Right. 7. Repeat steps 1-6: 1. and 2.:right closed 3.: the left ocular’s display shows the word Overlay 6.: save and name it IGS IMG INJ LEFT. Figure 93 Figure 94 Table 46: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 96 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.8 Olympus Integration 3.1.8.1 Hardware Overview Available microscopes  OME-7000  OME-8000 OME-9000 Figure 95 (from L to R): OME-8000, OME-9000 microscope Available features Standard Functionality Advanced Functionality 1) Picture in Picture 4) Smart Auto-Tracking 2) Smart Auto-Focus 5) Store / Go To Stored Focal Point 3) Microscope Video 6) Align to Trajectory NOTE: Refer to Appendix A - Overview of Navigation Options for a detailed description of the features. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 97 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Integration requirements The “Microscope Integration Kit Olympus” (Art. No. 41767-07B) is required for the installation of Olympus microscopes. For further details, refer to section 6.2. OME-9000 microscopes require firmware V 0101 or higher. Proceed as follows to verify the firmware version: 1. Establish a COM communication via HyperTerminal using the following settings:  Bits per second: 9600  Data bits: 8  Stop bits: 1  Parity: even  Flow control: none 2. Type VR and press [Enter]. 3. The firmware version is displayed, e.g. OMEX000 V0101. OME-7000 and OME-8000: In case the microscope communication does not work, try to turn off and on the Navigation Interface Unit (watch the green light that indicates that the communication has been established). 3.1.8.2 Hardware Installation Installing the OME-7000 Microscope Adapter The OME-7000 Microscope Adapter supports two mounting positions of the “Microscope Tracking Array”:  [Standard] (0°) [90° Turned Right] in order to use the microscope with an opposite observer (e.g. Spine). Figure 96 RELEASED: September 24, 2015 OME-7000 Microscope Adapter and “Microscope Tracking Array” (Art. No. 41767-45) mounted in [Standard] position (left) and [90º Turned Right] position (right) Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 98 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Procedure Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array” to OME-7000 microscopes. Step Action 1. Attach the Microscope Adapter to the bottom of the microscope optics carrier, using the 4 screws already available in the optics carrier. 2. Attach the “Microscope Tracking Array” to the Microscope Adapter. Table 47: Installing the OME-8000 Microscope Adapter The OME-8000 Microscope Adapter supports two mounting positions of the “Microscope Tracking Array”:  [Standard] (0°) [90° Turned Right] in order to use the microscope with an opposite observer (e.g. Spine). Figure 97 OME-8000 Microscope Adapter and “Microscope Tracking Array” (Art. No. 41767-10A) mounted in [Standard] position (left) and [90° Turned Right] position (right) Procedure Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array” to OME-8000 microscopes. Step Action 1. Attach the Microscope Adapter to the bottom of the microscope optics carrier, using the 4 screws provided (DIN912 M3x16). 2. Attach the “Microscope Tracking Array” to the Microscope Adapter. Table 48: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 99 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Installing the OME-9000 Microscope Adapter The OME-9000 Microscope Adapter supports three (!) mounting positions of the “Microscope Tracking Array”:  [Standard LEFT] (0°)  [Standard RIGHT] (0°) [90° Turned Right] in order to use the microscope with an opposite observer (e.g. Spine). Figure 98 OME-9000 Microscope Adapter (Art. No. 41767-18) with “Microscope Tracking Array” (Art. No. 41767-19) mounted in [Standard RIGHT] position (left), [Standard LEFT] position (center) and [90º Turned Right] position (right) Procedure Proceed as follows to attach the Microscope Adapter and the “Microscope Tracking Array” to OME-9000 microscopes. Step Action 1. Remove the cover on top of the optics carrier OME-9000. Figure 99 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 100 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 2. Attach the Microscope Adapter using the four screws provided (ISO4762 M4x12). Figure 100 3. Attach the “Microscope Tracking Array” (Art. No. 41767-19) to the Microscope Adapter. Table 49: Olympus video control units OME-7000 / OME-8000 microscopes are equipped with a video system (Figure 101) with BNC / S-Video ports on the rear side of the video control unit. Figure 101 Rear view of the OME-7000 / OME-8000 video control unit (i.e. OTV-SX2) OME-9000 microscopes are equipped with a video system (Figure 102) with BNC / SVideo ports on the rear side of the video control unit. Figure 102 Rear view of the OME-9000 video control unit (IKEGAMI MKC-307) with “MICROSCOPE CABLE OMS 3.0 OLYMPUS” RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 101 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.0 The latest revision of the BREAKOUT INTERFACE CABLE 15234-01A is required for microscope integrations with Curve 1.0 platform. The communication with the microscope is not possible with revision 15234-01 since the driver is incompatible. The installation of the driver is explained in the troubleshooting section (chapter 4).  The “BREAKOUT INTERFACE CABLE FOR CURVE” (Art. No. 15234-01A) is supplied to connect the microscope.  A “Microscope Serial Interface Cable” (Art. No. 15204) is supplied for the communication interface.  A 9-pole female-female “GENDER CHANGER DB9” adapter (Art. No. 10816) is supplied for the communication interface.  A “BNC Cable RG59” (Art. No. 18562-08) is supplied for video connection.  A “SVGA Monitor Cable” (Art. No. 15229A) is supplied for MOC (OME-9000). A “Cable 5XBNC M > HD15 M” (Art. No. 19190-71) is supplied for PiP (OME-7000, OME8000). Proceed as follows to connect the microscope cables (see Figure 103, Figure 103, and Figure 105): Step Action 1. Curve Interface Breakout Cable: Connect the supplied “BREAKOUT INTERFACE CABLE” to the Microscope port on the rear side of the Curve 1.0. 2. Communication:  Connect the supplied “GENDER CHANGER DB9” adapter to the RS-232 connector (OME-9000), or to the Navigation Interface Unit (OME-7000, OME8000) of the microscope.  OME-7000 / OME-8000: Connect the supplied “Microscope Serial Interface Cable” to the “BREAKOUT INTERFACE CABLE FOR CURVE” and to the previously connected “GENDER CHANGER DB9” adapter (see Figure 103).  OME-9000: Connect the supplied “Microscope Serial Interface Cable” to the “BREAKOUT INTERFACE CABLE FOR CURVE” and to the previously connected “GENDER CHANGER DB9” adapter (see Figure 104). 3. Video:  Connect the supplied “BNC Cable RG59” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in the figures below.  Connect the “BNC Cable RG59” to the video unit of the microscope as shown in the figures below. 4. PiP (OME-7000 / OME-8000):  Connect the supplied “Cable 5XBNC M > HD15 M” to the “Image Injection” connector of the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in in Figure 103 below.  Connect the “Cable 5XBNC M > HD15 M” to the RGB 2D/L connectors of the Picture-in-Picture unit as shown in Figure 103 below. NOTE: For additional cabling instructions, refer to section 3.1.8.4. 5. MOC (OME-9000):  Connect the supplied “SVGA Monitor Cable” to the “BREAKOUT INTERFACE CABLE FOR CURVE” as shown in Figure 104 below.  Connect the “SVGA Monitor Cable” to the rear side of the Picture-in-Picture unit as shown in Figure 104 below. NOTE: For additional cabling instructions, refer to section 3.1.8.3. Table 50: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 102 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 103 Cabling diagram for OME-7000 / OME-8000 with Curve 1.0 Figure 104 Cabling diagram for OME-9000 with Curve 1.0 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 103 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Microscope connector Curve ① ① ② ② RS232 ③ ③ ④ ④ Image Injection ⑤ (RGB) ⑤ Curve 1.0, connection panel Composite (CVBS, BNC) CAN (not used HD-SDI (BNC) (not used Breakout K2 Interface Cable Figure 105 Connection panel of Curve 1.0 / “BREAKOUT INTERFACE CABLE FOR CURVE” RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 104 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve 1.1  A specific “MICROSCOPE CABLE OMS 3.0 OLYMPUS” (Art. No. 15237) is supplied to connect the microscope.  A “CABLE DVI-I > VGA HD15” (Art. No. 15237-02) is supplied for PiP or MOC. A 9-pole female-female “GENDER CHANGER SUB D9” (Art. No. 10816) adapter is supplied for the communication interface. Proceed as follows to connect the microscope cables (see Figure 106 and Figure 107). Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve 1.1 Connection Panel as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication NOTE: Do not connect the “HUD (IMAGE INJECTION)“ cable of the “OMS CABLE 3.0” to the Curve 1.1. 2. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC / Video Out connector of the microscope as shown in the figures below. 3. Communication:  Connect the supplied “GENDER CHANGER SUB D9” to the RS-232 connector (OME-9000) or to the Navigation Interface Unit (OME-7000, OME-8000) of the microscope.  Connect the “OMS CABLE 3.0” to the previously connected “GENDER CHANGER SUB D9” adapter as shown in the figures below. 4. PiP or MOC:  Connect the DVI connector of the supplied “CABLE DVI-I > VGA HD15” cable to the Microscope – Video Out connector of the Curve 1.1 Connection Panel as shown in the figures below.  Connect the VGA connector of the “CABLE DVI-I > VGA HD15” to the PIP IN or MOC IN (RGB 2D/L) connector of the Picture-in-Picture unit as shown in the figures below. Curve 1.1 platforms cannot be connected to the MAJ-560 PiP control unit of OME-7000 / OME-8000 microscopes. NOTE: Refer to sections 3.1.8.3 and 3.1.8.4 for additional cabling instructions for PiP/MOC units. Table 51: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 105 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 106 Cabling diagram for OME-7000 / OME-8000 / OME-9000 (MAJ-975 PiP/MOC unit) with Curve 1.1 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 106 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ CABLE DVI-I > VGA HD15 ④ ④ VIDEO OUT ⑤ ⑤ RS232 SERIAL ⑥ ⑥ Curve 1.1 Connection Panel CABLE DVI-I > VGA HD15 Olympus connection “OMS107 CABLE 3.0 OLYMPUS” “CABLE DVI-I > VGA HD15” Figure Connection Panel of Curve 1.1 “MICROSCOPE CABLE OMS 3.0 OLYMPUS” / “CABLE DVI-I > VGA HD15” RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 107 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Curve CM  A specific “MICROSCOPE CABLE OMS 3.0 OLYMPUS” (Art. No. 15237) is supplied to connect the microscope.  A “CABLE DVI-I > VGA HD15” (Art. No. 15237-02) is supplied for PiP or MOC. A 9-pole female-female “GENDER CHANGER SUB D9” (Art. No. 10816) adapter is supplied for the communication interface. Proceed as follows to connect the microscope cables (see Figure 108 and Figure 109). Step Action 5. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Curve CM Connection Unit as shown in the figures below.  “MICROSCOPE VIDEO” cable to Navigation Imaging – Composite In  “MICROSCOPE COMMUNICATION” cable to Microscope - Communication NOTE: Do not connect the “HUD (IMAGE INJECTION)“ cable of the “OMS CABLE 3.0” to the Curve CM. 6. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC / Video Out connector of the microscope as shown in the figures below. 7. Communication:  Connect the supplied “GENDER CHANGER SUB D9” to the RS-232 connector (OME-9000) or to the Navigation Interface Unit (OME-7000, OME-8000) of the microscope.  Connect the “OMS CABLE 3.0” to the previously connected “GENDER CHANGER SUB D9” adapter as shown in the figures below. 8. PiP or MOC:  Connect the DVI connector of the supplied “CABLE DVI-I > VGA HD15” cable to the Microscope – Video Out connector of the Curve CM Connection Unit as shown in the figures below.  Connect the VGA connector of the “CABLE DVI-I > VGA HD15” to the PIP IN or MOC IN (RGB 2D/L) connector of the Picture-in-Picture unit as shown in the figures below. Curve CM platforms cannot be connected to the MAJ-560 PiP control unit of OME-7000 / OME-8000 microscopes. NOTE: Refer to sections 3.1.8.3 and 3.1.8.4 for additional cabling instructions for PiP/MOC units. Table 52: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 108 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 108 Cabling diagram for OME-7000 / OME-8000 / OME-9000 (MAJ-975 PiP/MOC unit) with Curve CM RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 109 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Curve CM Connection Unit ① ② ① ② MICROSCOPE ② COMMUNICATION ③ ③ CABLE DVI-I > VGA HD15 ④ ④ VIDEO OUT ⑤ ⑤ RS232 SERIAL ⑥ ⑥ ③ Olympus connection “OMS CABLE 3.0 OLYMPUS” MICROSCOPE VIDEO ① CABLE DVI-I > VGA HD15 “CABLE DVI-I > VGA HD15” Figure 109 Connection Unit of Curve CM “MICROSCOPE CABLE OMS 3.0 OLYMPUS” / “CABLE DVI-I > VGA HD15” RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 110 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Connecting the microscope to a Kick  A specific “MICROSCOPE CABLE OMS 3.0 OLYMPUS” (Art. No. 15237) is supplied to connect the microscope.  A “CABLE DVI-I > VGA HD15” (Art. No. 15237-02) is supplied for PiP or MOC. A 9-pole female-female “GENDER CHANGER DB9” adapter (Art. No. 10816) is supplied for the communication interface. Proceed as follows to connect the microscope cables (see Figure 110 and Figure 111). Step Action 1. “OMS CABLE 3.0”: Connect the cables of the supplied “OMS CABLE 3.0” to the connectors of the Kick as shown in the figures below.  “MICROSCOPE VIDEO” cable to Video In 1 connector NOTE: Connect the “MICROSCOPE VIDEO” cable to the Video In 2 connector if another device is connected to the Video In 1 connector.  “MICROSCOPE COMMUNICATION” cable to Microscope Communication connector NOTE: Do not connect the “HUD (IMAGE INJECTION)“ cable of the “OMS CABLE 3.0” to the Kick. 2. Video:  Connect the “VIDEO OUT” cable of the “OMS CABLE 3.0” to the BNC / Video Out connector of the microscope as shown in the figures below. 3. Communication:  Connect the supplied “GENDER CHANGER DB9” adapter to the RS-232 connector (OME-9000) or to the Navigation Interface Unit (OME-7000, OME-8000) of the microscope.  Connect the “OMS CABLE 3.0” to the previously connected “GENDER CHANGER DB9” adapter as shown in the figures below. 4. PiP or MOC:  Connect the DVI connector of the supplied “CABLE DVI-I > VGA HD15” to the Microscope Video connector of the Kick as shown in the figures below.  Connect the VGA connector of the “CABLE DVI-I > VGA HD15” to the PIP IN or MOC IN (RGB 2D/L) connector of the Picture-in-Picture unit as shown in the figures below. Kick platforms cannot be connected to the MAJ-560 PiP control unit of OME-7000 / OME-8000 microscopes. NOTE: Refer to sections 3.1.8.3 and 3.1.8.4 for additional cabling instructions for PiP/MOC units. Table 53: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 111 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 110 Cabling diagram for OME-7000 / OME-8000 / OME-9000 (MAJ-975 PiP/MOC unit) with Kick RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 112 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE ① ② “OMS CABLE 3.0 OLYMPUS” Figure 111 RELEASED: September 24, 2015 ③ MICROSCOPE VIDEO ① ① ② MICROSCOPE ② COMMUNICATION ③ ③ CABLE DVI-I > VGA HD15 ④ ④ VIDEO OUT ⑤ ⑤ RS232 SERIAL ⑥ ⑥ CABLE DVI-I > VGA HD15 “CABLE DVI-I > VGA HD15” Connection panel of Kick / “MICROSCOPE CABLE OMS 3.0 OLYMPUS” / “CABLE DVI-I > VGA HD15” Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 113 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Finishing the Olympus hardware installation Calibrating the microscope does not require a cross-hair ocular. Procedure Proceed as follows to adjust the oculars (eye-pieces). Step 1. Action Make sure both oculars are positioned at a diopter of 0° before you start the service calibration! Adjust the diopter by rotating the upper part of the ocular. Table 54: 3.1.8.3 Additional Cabling Instructions for OME-9000 (PiP/MOC)  The built-in Picture-in-Picture unit (PiP) of OME-9000 microscopes injects the upper left navigation view into the FOV of the microscope. The built-in Monitor Control unit (MOC) of OME-9000 microscopes injects the upper left navigation view right underneath both oculars of the main observer. Figure 112 Front view of the Olympus MAJ-975 PiP/MOC unit RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 114 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 113 Rear view of the Olympus MAJ-975 PiP/MOC unit Connecting the OME-9000 PiP/MOC unit Proceed as follows to connect the Olympus OME-9000 PiP/MOC unit. Step Action 1. Kick / Curve CM platforms: Connect the VGA connector of the “CABLE DVI-I > VGA HD15” (Art. No. 15237-02) to the MOC IN (2D/L RGB) connector on the rear side of the MAJ-975 MOC unit and the DVI connector to the  Microscope Video connector of the Kick.  Microscope – Video Out connector of the Curve CM Connection Unit. Curve platforms: Connect the provided “SVGA Monitor Cable” (Art. No. 15229A) to MOC IN (RGB 2D/L) on the rear side of the MAJ-975 MOC unit and the other end to the “Image Injection” connector of the “BREAKOUT INTERFACE CABLE FOR CURVE”. 2. RELEASED: September 24, 2015 Connect the PiP cables coming out of the OME-9000 microscope to Output A and Output B on the front of the MAJ-975 PiP/MOC unit. Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 115 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.1.8.4 Additional Cabling Instructions for OME-7000 / OME-8000 (PiP) OME-7000 and OME-8000 microscopes have a built-in Picture-in-Picture (PiP) unit in order to inject the upper left navigation view into the FOV of the microscope. Figure 114 Front view of the Olympus OME-7000 / OME-8000 microscope control unit Figure 115 Rear view of the Olympus OME-7000 / OME-8000 microscope control unit Connecting the OME-7000 / OME-8000 Picture-in-Picture unit Proceed as follows to connect the Olympus OME-7000 / OME-8000 Picture-in-Picture Unit: Step Action 1. Connect the supplied “Cable 5XBNC M > HD15 M” (Art. No. 19190-71) with the R-/G-/B-end to RGB 2D/L on the rear side of the MAJ-560 PiP control unit and with the other end to the “Image Injection” connector on the “BREAKOUT INTERFACE CABLE FOR CURVE”. 2. Connect the PiP cable coming out of the OME-7000 / OME-8000 microscope to Video Out on the front of the MAJ-560 PiP control unit. Table 55: Kick and Curve CM platforms cannot be connected to the MAJ-560 PiP control unit. Only OME-7000 / OME-8000 microscopes equipped with the MAJ-975 MOC unit can use the PiP/MOC connection to the Kick or Curve CM (see section 3.1.8.3):  Connect the VGA connector of the “CABLE DVI-I > VGA HD15” to the MOC IN (RGB 2D/L) connectors on the rear side of the MAJ-975 MOC unit and the DVI connector to the - Microscope Video connector of the Kick - Microscope – Video Out connector of the Curve CM Connection Unit. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 116 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2 Microscope Calibration The microscope calibration comprises the following calibration steps:  Service calibration  Video calibration HUD calibration In addition, the customer can perform a user calibration of the microscope to correct minor calibration inaccuracies. Required Equipment The following equipment is required for the microscope calibration (see also section 2 Required Equipment)  Scantom (Art. No. 22550-0) or Rubberhead (Art. No. D-10009) with corresponding data and outlined objects  Cross-hair ocular (supplied microscope-specifically) “Microscope Calibration Array“(Art. No. 41737A) Figure 116 “Microscope Calibration Array“ The “Microscope Calibration Array“ is to be used for the service calibration only. Do never use it during surgery or any surgical procedures. COM port settings for Zeiss, Olympus and Haag-Streit The installer of Cranial/ENT 3.x will automatically adjust the COM port settings depending on the platform. The settings can be found in the file located in the …/Settings folder of the application. The following Com port entries can be found there:  Kick: 7  Curve 1.0: 7  Curve 1.1: 7 Curve CM: 7 RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 117 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.1 Service Calibration 3.2.1.1 Overview Only certified support engineers are allowed to perform the service calibration. The service calibration must be performed in the following cases::  New microscope integration  Updating from a previous software version, for example:  VV Cranial/ENT 7.x  Cranial/ENT unlimited 1.x  Cranial essential 1.x  Cranial/ENT 2.x  The Microscope Adapter has been removed and re-installed The microscope optics has been modified, for example, by service of the manufacturer, etc. The service calibration must be completed separately for each mounting position of the “Microscope Tracking Array“, i.e. [Standard] and [90° Turned Right]. If an application is copied between identical workstations, it is allowed to copy all calibration files. The microscope accuracy of the service and HUD calibrations must be verified afterwards. The microscope video calibration must be performed again even if all calibration files have been copied. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 118 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.1.2 Best Practice Calibration Limits To ensure highest possible accuracy for surgical microscopes that are integrated with the Brainlab navigation system, Cranial 3.0 introduces individual calibration limits for the 3- and 6-point service calibration. For the first time the navigation software is able to evaluate the quality of each calibration point individually. The navigation software calculates the total error per calibration point. Depending on the microscope to be integrated, the individual total error must not exceed the defined “Max. Error” (calibration limit) as shown in the table below: Max. Error 3-Point Service Calibration Point 1 Point 2 Point 3 1.0 mm 1.0 mm 1.5 mm 6-Point Service Calibration Points 1 - 6 1.5 mm At the end of the service calibration the software will notify about exceeding any calibration limit and will reject the service calibration. In this case please repeat the service calibration and try to be as precise as possible when you adjust the cross hair and the focus of the microscope to the cone of the microscope calibration array. Point Acquisition w/ handles or foot switch Use the handles or foot switch of the microscope as an optional possibility to acquire calibration points – instead of pressing [Acquire] or [Next] on the main monitor. Be aware that using the handles for acquisition of a calibration point might provoke a movement of the microscope that may cause an additional inaccuracy. Best conditions for microscope calibration For best results following aspects should be considered before starting the calibration process: 1. Rigid fixation of the microscope adapter and microscope tracking array 2. New disp. reflective marker spheres on microscope tracking array and microscope calibration array 3. High intensity of light source to ensure best possible contrast 4. Open the “Iris” of the microscope completely in order to ensure best illumination of the “Field Of View”, which in turn helps for a more precise focus adjustment. Look for a knob to control the Iris on the right side of the microscope / optics carrier. 5. Position the camera in a way that both arrays (microscope calibration array and microscope tracking array) are always visible at maximum and minimum WD of the microscope. 3.2.1.3 Preparing the Microscope for Service Calibration Proceed as follows to prepare the microscope and the Curve 1.0, Curve 1.1, Curve CM, or Kick navigation system for service calibration. Step Action 1. Make sure that all cables are connected correctly as described in the microscopespecific integration sections. 2. Make sure both oculars are positioned at a diopter of 0° before you start the service calibration! Adjust the diopter by rotating the upper part of the ocular. 3. Attach the “Microscope Calibration Array“ to the Scantom or Rubberhead. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 119 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 4. Position the Scantom or Rubberhead with the mounted “Microscope Calibration Array“ on a stable surface underneath the microscope. Position the microscope as perpendicular as possible onto the “Microscope Calibration Array“. 5. On the navigation platform, start the BrainLOCK 2.2 software and enable the Service mode. 6. Load the Scantom or Rubberhead data and register it accurately. 7. Open the Tools dialog and select [Microscope] > [Connect Microscope]. Figure 117 Microscope connection 8. Select the corresponding microscope manufacturer and press [New Configuration]. Figure 118 New microscope configuration RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 120 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action Using the virtual keyboard, enter a unique and descriptive Microscope Configuration name that includes the identification of the microscope and the position of the “Microscope Tracking Array“, for example, OPMI Pentero STANDARD or OPMI Pentero TURN90. 9. Figure 119 Microscope Configuration - virtual keyboard  Press [Proceed] NOTES: Train the customer/user to relate the Microscope Configuration name to the corresponding microscope setup. Select the Leica stand (for Leica microscopes only) according to section 3.1.7 and press [Proceed]: If the stand supports Advanced Functionality: [with XY Movement] If the stand does not support Advanced Functionality: [without XY Movement] Figure 120 Leica stand selection NOTE: If the Leica Stand Selection page also includes a selection for the optics carrier (M520), you may not have the correct firmware installed. Refer to section 3.1.7.1 for a list of valid Leica software/firmware versions. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 121 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 10. Automatic focus range determination After the microscope has been detected by the software, the Automatic Focus Range Determination starts automatically. Wait for this step to finish before proceeding. Do not touch the microscope during the movement of the focus. The dialog will proceed to the next page automatically. Figure 121 Focus range If you experience problems with the Automatic Focus Range Determination, go ahead and press [Manual]. Use the handles and move the focus manually: First to maximum, then to minimum Automatic Focus Range Determination is not available for Olympus microscopes. Use the handles and move the focus manually to maximum and minimum. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 122 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 11. Select the mounting position of the “Microscope Tracking Array“. Figure 122 Mounting position options The [Standard] position refers to a “Microscope Tracking Array“ mounted on the opposite site of the user. The [90° Turned Right] position refers to a “Microscope Tracking Array“ mounted 90 degrees turned right to the right hand side of the user. This position is required if a second observer is mounted to the microscope optics carrier. The service calibration must be completed separately for both mounting positions of the “Microscope Tracking Array“, [Standard] and [90° Turned Right]. The service calibration for the selected mounting position starts. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 123 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.1.4 Calibrating Haag-Streit and Zeiss Microscopes Haag-Streit and Zeiss microscopes (except for Zeiss OPMI VARIO 700) require three focus positions for service calibration. Acquiring calibration points The microscope calibration wizard will move the focus of the microscope to the optimal position close to the minimum and maximum focus. Follow the on-screen instructions to acquire three calibration points. Figure 123 Service Calibration screen for three calibration points Proceed as follows to acquire the calibration points. Step Action 1. Position the microscope directly over the center of the “Microscope Calibration Array“. 2. Set the zoom to the maximum level. 3. Move the microscope up or down to bring the divot of the “Microscope Calibration Array“ into focus. 4. Fine-adjust the focus using the buttons on the microscope handles. The bottom of the divot should be clearly in focus and centered in the cross-hair. 5. After fine-adjusting the focus, make sure that you are still in the green area. 6. Press the [Acquire] button. NOTE: With Cranial/ENT 3.x you can acquire the points either with the “Acquire” button or with the handles or footswitch. Pressing the [Cancel] button closes the Service Calibration dialog and restores the previous service calibration if available. Otherwise, the microscope remains uncalibrated. 7. Repeat the procedure for the second and third calibration point. Table 56: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 124 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.1.5 Calibrating Leica, Olympus, and Zeiss OPMI VARIO 700 Microscopes Leica, Olympus, and Zeiss OPMI VARIO 700 microscopes require six focus positions for service calibration. Acquiring calibration points The microscope calibration wizard will move the focus of the microscope (except for Olympus microscopes) to the optimal position close to the minimum and maximum focus. Follow the on-screen instructions to acquire six calibration points. NOTE: Use the manual focus to acquire the calibration points for Olympus microscopes. Figure 124 Service Calibration screen for six calibration points Proceed as follows to acquire the calibration points. Step Action 1. Position the microscope directly over the center of the “Microscope Calibration Array“. 2. Set the zoom to the maximum level. 3. Move the microscope up or down to bring the divot of the “Microscope Calibration Array“ into focus. 4. Fine-adjust the focus using the buttons on the microscope handles. The bottom of the divot should be clearly in focus and centered in the cross-hair. 5. After fine-adjusting the focus, make sure that you are still in the green area. 6. Zoom out until the field of view matches the circle on the “Microscope Calibration Array“. 7. Press the [Acquire] button. NOTE: With Cranial/ENT 3.x you can acquire the points either with the “Acquire” button or with the handles or footswitch. Pressing the [Cancel] button closes the Service Calibration dialog and restores the previous service calibration if available. Otherwise, the microscope remains uncalibrated. 8. Repeat the procedure for all calibration points. Table 57: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 125 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.1.6 Verifying the Service Calibration After the acquisition of the last calibration point, the Microscope Tracking Accuracy Verification dialog opens up. Figure 125 Microscope Tracking Accuracy Verification dialog Proceed as follows to verify the tracking accuracy Step Action 1. Do not move the microscope after the acquisition of the last calibration point. Make sure that the distance of the microscope’s focal point to the “Microscope Calibration Array“ divot is < 3 mm. Verify the distance Microscope > Reference Array as shown in Figure 125. 2. Reposition the microscope and focus on the “Microscope Calibration Array“ divot in at least three different working distances covering the full focus range. 3. Make sure the distance of the microscopes focal point to the divot stays within an acceptable range (< 3 mm). If the tracking accuracy is not sufficient, press [Recalibrate] and repeat the service calibration according to the instructions in sections 3.2.1.4 and 3.2.1.5. 4. 5. Alternatively, you can focus on a fiducial marker or an anatomical landmark of the Scantom or Rubberhead (e.g. tip of the nose) in order to verify the accuracy. Close the dialog and display the Scantom or Rubberhead data in Axial, Coronal, Sagittal, and Microscope Depthview views. Switch the microscope to 2D-display and check the calibration accuracy on anatomical landmarks of your data set. 6. 7. Check if the focus point is displayed correctly and if the field of view and the orientation of the depth view correspond to the real field of view. Check if Advanced Features (X/Y-movement) is working correctly (see section 3.3.2). Table 58: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 126 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.2 Video-Overlay Calibration 3.2.2.1 Overview Only certified support engineers with training on video calibration are allowed to perform the Video-Overlay calibration. A new Video-Overlay calibration must be performed in the following cases:  The video unit or the video unit mount has been removed and re-installed, repositioned, exchanged, or modified.  The microscope optics has been modified, for example, by service of the manufacturer, etc.  Relevant components between the microscope’s video unit and the navigation platform have been changed after the calibration, for example, the Framegrabber card, the video camera, cables, plugs, etc.  The Framegrabber card software (or its parameters) which is used for the video calibration has been changed, modified, or updated due to a new driver release. . A service calibration (initial or re-calibration) has been performed. NOTE: Before starting the Video-Overlay calibration, mark the position of the camera regarding the magnification setting and the rotation in the mount. Thus, the camera position used for the calibration can be restored if it was accidently changed. Make sure that no additional components with a potentially negative effect on the video image are used between the microscope and the navigation system, for example, video splitter, etc. Using such components can result in wrong VideoOverlay calibration. Prerequisites for performing the Video-Overlay calibration via the Video-Overlay Calibration dialog:  Video camera connected to the video port of the navigation platform  Framegrabber card installed in the navigation platform  Service calibration has been performed already  Microscope video is available and connected  Microscope video license is available Some microscopes have a very bright light source which makes it difficult to see the overlay cross-hair on the “Microscope Calibration Array“. It is recommended to turn down the light to the lowest level during the Video-Overlay calibration. 3.2.2.2 Preparing the Video-Overlay Calibration Proceed as follows to prepare the system for Video-Overlay calibration. Step Action 1. Attach the “Microscope Calibration Array“ to the Scantom or Rubberhead. 2. Position the Scantom or Rubberhead with mounted “Microscope Calibration Array“ on a stable surface underneath the microscope. Position the microscope as perpendicular as possible onto the “Microscope Calibration Array“. 3. Turn on the video camera / video control unit (if applicable). RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 127 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 4. On the navigation platform, start the BrainLOCK 2.2 software and enable the Service mode. 5. Load the Scantom or Rubberhead data and register it accurately. 6. Open the Tools dialog and select [Microscope] > [Calibrate Microscope]. Figure 126 Microscope calibration selection 7. Select [Video-Overlay Calibration] in the Microscope Calibration Selection dialog. Figure 127 Video-Overlay calibration selection The Microscope Video-Overlay Calibration dialog is displayed. NOTE: If no service calibration has been completed yet, only the [Service Calibration] option is available in the Microscope Service Calibration dialog. Table 59: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 128 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.2.3 Performing the Video-Overlay Calibration Selecting the video input Proceed as follows to select the video input source and the video signal type. Step Action 1. Press [Select Input] to select the Video input source platform-specifically. Figure 128 Video input selection 2. Select the Video input source the microscope is connected to:  Kick platforms: [S-Video In] for OPMI PENTERO 900/800 HD and OPMI VARIO 700 HD microscopes [Composite In] for all other microscopes  Curve 1.0, Curve 1.1 and Curve CM platforms: [Microscope (SD)] if it is an analog signal (standard definition) [Microscope (HD)] if it is a digital signal (high definition) Figure 129 Video input options (may vary depending on platform) Press [Back] to return to the Microscope Video-Overlay Calibration dialog. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 129 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 3. Select the appropriate Signal Type [PAL]/[NTSC] according to the video camera used. Figure 130 4. In case the orientation is wrong, turn the camera (e.g. Leica Zoom2 Video Adapter) in order to have the correct orientation on the video screen as seen through the oculars 5. Apply clearly visible markings on the camera mounting so that the camera can be reattached in the same orientation (in case it accidentally gets moved). 6. Press [Proceed] to define the Video-Overlay region of interest. Table 60: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 130 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Configuring the Video-Overlay settings Proceed as follows to define the Video-Overlay region of interest (i.e. the acquisition window), adjust the color settings, and position the optical axis of the microscope. Step Action 1. Define the Video-Overlay region of interest (acquisition window). Figure 131 Video-Overlay calibration - acquisition window    2. Use the Horizontal size and Vertical size sliders or, alternatively, the arrow buttons in the video image, to adjust the yellow acquisition window. Adjust the acquisition window to exclude black borders from the video image. Press [Proceed] to adjust the Video-Overlay color settings. Adjust the Video-Overlay color settings. Figure 132 Video-Overlay calibration – color settings   RELEASED: September 24, 2015 Use the Brightness, Contrast, Saturation, and Hue sliders to adjust the video to look as natural as possible. Press [Proceed] to adjust the microscope position. Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 131 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 3. Adjust the microscope position. For best calibration results:  Position the microscope lens as parallel as possible to the plane of the “Microscope Calibration Array“.  Position the optical axis of the microscope as perpendicular as possible onto the divot of the “Microscope Calibration Array“ . Figure 133 Microscope optical axis perpendicular onto “Microscope Calibration Array“ plane     Focus on the bottom of the “Microscope Calibration Array“ divot, using the maximum zoom possible. Rough-align the microscope until the Current level displays a value closes to 0°. Press [Autoalign] for exact positioning of the microscope. Press [Proceed] if the Current level is close to or exactly 0° and the bottom of the divot is in focus and centered in your cross-hair. The [Proceed] button is only active if the Current level value is < 2°. This is accepted as worst case, although it is not recommended to proceed with an angle deviation that high. For best calibration results, get a deviation as small as possible. Table 61: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 132 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Calibrating the Video-Overlay Proceed as follows to calibrate the Video-Overlay. Step Action 1. Shift, resize, and rotate the virtual cross-hair. The virtual cross-hair displayed in the video image must be perfectly overlaid over the engraving on the “Microscope Calibration Array“. The outer lines of the virtual cross-hair must match with the circle on the “Microscope Calibration Array“. Figure 134 Video-Overlay calibration  Zoom out until you see the entire engraving on the “Microscope Calibration Array“.  Do not move or rotate the “Microscope Calibration Array“ or the microscope anymore. Otherwise, the previously adjusted angle deviation will be changed and the virtual cross-hair will be distorted.  Use the Horizontal position and Vertical position sliders to move the virtual cross-hair left/right and up/down in order to match the divot of the “Microscope Calibration Array“.  Press [Accept] to confirm the calibration. The Microscope Calibration Verification dialog opens up. Pressing the [Cancel] button closes the Microscope VideoOverlay Calibration dialog and restores the previous VideoOverlay calibration if available. Otherwise, the microscope Video-Overlay remains uncalibrated. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 133 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 2. Adjust the limits for shifting, resizing and rotating the virtual cross hair (VideoOverlay). If it is not possible to adjust the virtual crosshair to the correct position (e.g. microscopes with HD video cameras) you can adjust the limits for the calibration in the microscope section of the file. …\settings\ Sequence of the Video calibration limits values: max negative offset, max positive offset, min scale, max scale, max rotation counterclockwise, max rotation clockwise 3. Verify the special setting for microscopes with a camera filming the HUD (double overlay in the video image) in the microscope section of the file. …\settings\ Video Overlay (with active HUD):  false: no contours are displayed in the microscope video when the HUD is activated.  true: contours are always displayed in the microscope video. If the microscope video camera captures the HUD, set Video Overlay (with active HUD): to false. Otherwise, the contours are injected twice. Table 62: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 134 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.2.4 Verifying the Video-Overlay Calibration Accuracy The Video-Overlay accuracy must be verified after each calibration. To verify the accuracy of the microscope Video-Overlay calibration, check if the overlaid geometry fits the “Microscope Calibration Array“. For a correct verification,  the distance of the focal point to the “Microscope Calibration Array“ divot is as close as possible to 0 mm the angle between the microscope’s optical axis and the perpendicular of the “Microscope Calibration Array” plane is as close as possible to 0 ° Proceed as follows to verify the accuracy of the microscope Video-Overlay calibration. Step Action 1. Position the microscope directly over the “Microscope Calibration Array” with the optical axis as close to perpendicular as possible. 2. Focus on the divot of the “Microscope Calibration Array”. 3. Verify that the injected geometry matches the actual “Microscope Calibration Array” geometry and the circle that represents the bottom of the divot is correctly overlaid. Figure 135 Microscope calibration verification with calibrated Video-Overlay The distance from focal point to divot must be < 3.0 mm. NOTE: Verify that the lines representing the legs of the “Microscope Calibration Array” are consistent and correctly overlaid in the video image. Alternatively, you can verify the accuracy by focusing on a fiducial marker or any anatomical landmark (e.g. tip of the nose) of the Scantom or Rubberhead EXN52' dataset. 4. Move the microscope to three different positions. Change zoom and focus levels to check if the overlay adapts accordingly. 5. Zoom from the minimum to the maximum position and make sure that the overlaid lines that represent the legs of the “Microscope Calibration Array” are always correlated to the real “Microscope Calibration Array” seen in the video image. Table 63: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 135 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.3 HUD Calibration 3.2.3.1 Overview A new HUD calibration must be performed in the following cases:  The HUD unit has been removed and re-installed, repositioned, exchanged, or modified.  The microscope optics has been modified, for example, by service of the manufacturer, etc.  Relevant components between the microscope’s video unit and the navigation platform have been changed after a previous HUD calibration, for example, the graphics card, the graphics driver, settings of the graphics driver, etc.  Relevant components between the microscope’s HUD unit and the navigation platform have been changed after a HUD calibration, for example, cables, plugs, etc. A service calibration (initial or re-calibration) has been performed. Only certified support engineers with training on the HUD calibration are allowed to perform the HUD calibration. Make sure that no additional components with a potentially negative effect on the video image are used between the microscope’s HUD unit and the navigation platform, for example, video/VGA splitter, etc. Using such components can result in wrong HUD calibration. Prerequisites for performing the HUD calibration via the HUD Calibration dialog:      The service calibration has been performed already The HUD unit is installed in the correct position (e.g. not upside down) The HUD is connected and activated The VGA/DVI output of the navigation platform is activated Microscope HUD license is available Some microscopes have a very bright light source which makes it difficult to see the overlay cross-hair on the “Microscope Calibration Array”. It is recommended to turn down the light to the lowest level during the calibration. 3.2.3.2 Preparing the HUD Calibration Image injection preset for Leica M720 (SAI) microscopes For Leica M720 (SAI) microscopes, use the Image Injection IGS DI C700 preset. In the microscope Main control menu, go to Main > Presets. PiP units for Olympus microscopes  Olympus OME-7000 and OME-8000 microscopes feature a Picture-in-Picture unit that injects the top left navigation view (uncorrelated) in one of the oculars.  Olympus OME-9000 microscopes feature a Picture-in-Picture unit (with MOC) that injects the top left navigation view (uncorrelated) underneath each ocular. Both features are enabled via the External Display function. Set the resolution to 800x600 for PAL-type video signals 640x480 for NTSC-type video signals RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 136 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Procedure Proceed as follows to prepare the system for HUD calibration. Step Action 1. Attach the “Microscope Calibration Array” to the Scantom or Rubberhead. 2. Position the Scantom or Rubberhead with mounted “Microscope Calibration Array” on a stable surface underneath the microscope. Position the microscope as perpendicular as possible onto the “Microscope Calibration Array”. 3. Turn on the video camera / video control unit (if applicable). 4. On the navigation platform, start the BrainLOCK 2.2 software and enable the Service Mode. 5. Load the Scantom or Rubberhead data and register it accurately. 6. Open the Tools dialog and select [Microscope] > [Calibrate Microscope]. Figure 136 Microscope calibration selection 7. Select [HUD Calibration] in the Microscope Calibration Selection dialog. Figure 137 HUD calibration selection The Define Visible HUD Area dialog is displayed. NOTE: If no service calibration has been completed yet, only the [Service Calibration] option is available in the Microscope Service Calibration dialog. Table 64: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 137 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.3.3 Performing the HUD Calibration Configuring the HUD settings In the first dialog of the HUD calibration process you define the visible area of the HUD. A text box is injected into the HUD - if not, check the hardware setup or consult the troubleshooting section at the end of this manual. NOTE: You don’t necessarily see the box and the text in the microscope video view of your navigation platform’s screen - only if the video camera of the microscope captures the HUD injection. Always look into the oculars to make adjustments during the HUD calibration. For the HUD calibration, you must look through the oculars and do adjustments according to the overlay you see there. If the HUD unit injects the image into both oculars, or allows image injection into both oculars, you must look through both oculars for the HUD calibration. If your microscope has a video camera that captures the Image Injection (HUD) you will see an overlay in your video image. Do not use the overlay in the video image for any HUD calibration adjustments. Proceed as follows to define the visible HUD area and position the optical axis of the microscope. Step Action 1. Define the visible HUD area. Figure 138 Define Visible HUD Area dialog  Look into the oculars and make sure you can clearly read the displayed text.  Adjust the four sliders which define the size of the visible area in order to have the rectangle within the ocular. The rectangle shall be as large as possible while being completely visible in the HUD (oculars).  Use the [Fontsize] buttons near the bottom to select the size that is adequate for the HUD resolution. Select the smallest font size that can easily be read by the user.  RELEASED: September 24, 2015 Press [Proceed] to adjust the microscope position. Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 138 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 2. Adjust the microscope position. For best calibration results:  Position the microscope lens as parallel as possible to the plane of the “Microscope Calibration Array”.  Position the optical axis of the microscope as perpendicular as possible onto the divot of the “Microscope Calibration Array”. Figure 139 Microscope optical axis perpendicular onto “Microscope Calibration Array” plane     Focus on the bottom of the “Microscope Calibration Array” divot, using the maximum zoom possible. Rough-align the microscope until the Current level displays a value close to 0 °. Press [Autoalign] for exact positioning of the microscope. Press [Proceed] if the Current level is close to or exactly 0 ° and the bottom of the divot is in focus and centered in your cross-hair. The [Proceed] button is only active if the Current level value is < 2 . This is accepted as worst case, although it is not recommended to proceed with an angle deviation that high. For best calibration results, get a deviation as small as possible. Table 65: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 139 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Calibrating the HUD Proceed as follows to calibrate the HUD. Step Action 1. Shift, resize, and rotate the virtual cross-hair. The virtual cross-hair with tick marks and the VK symbols that is injected in the HUD must be perfectly overlaid over the engraving on the “Microscope Calibration Array”. The outer lines of the virtual cross-hair must match with the circle on the “Microscope Calibration Array”. Figure 140 HUD calibration NOTE: For Leica microscopes with DIC 500 or DIC 700 image injection modules, the software prompts you to calibrate separately for the Combined (DIC 700 only), Left, and Right, image injection modes. Always switch the image injection mode on the microscope accordingly before performing the corresponding HUD calibration. For further information, refer to the “Additional HUD calibration instructions for Leica microscopes” sections below.      Zoom out until you see the entire engraving on the “Microscope Calibration Array”. Do not move or rotate the “Microscope Calibration Array” or the microscope anymore. Otherwise, the previously adjusted angle deviation will be changed and the virtual cross-hair will be distorted. Use the Horizontal position and Vertical position sliders to move the virtual cross-hair left/right and up/down in order to match the divot of the “Microscope Calibration Array”. Make sure the VK symbols are correctly oriented. Use the Rotation slider to rotate the virtual cross-hair around the center.Use the Horizontal size and Vertical size sliders to change the horizontal/vertical size of the virtual cross-hair. Press [Accept] to confirm the calibration. The Microscope Calibration Verification dialog opens up. Pressing the [Cancel] button closes the HUD calibration dialog and restores the previous HUD calibration if available. Otherwise, the HUD remains uncalibrated. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 140 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 2. Adjust the limits for shifting, resizing and rotating the virtual cross hair (HUD). If it is not possible to adjust the virtual crosshair to the correct position you can adjust the limits for the calibration in the microscope section of the file. …\settings\ Sequence of the Calibration limits values: max negative offset, max positive offset, min scale, max scale, max rotation counterclockwise, max rotation clockwise Table 66: Additional HUD calibration instructions for Leica microscopes with DI C500 Leica microscopes with a DI C500 image injection module support injecting the image either into the left ocular or into the right ocular. During the HUD calibration, the software prompts you to calibrate for both image injection modes. To switch the image injection mode, turn the knob on the right side of the DI C500 module which is installed on top of the optics carrier. The [Accept] button in the corresponding HUD calibration dialogs (Figure 141) becomes active only if the knob is switched to the correct side. Figure 141 Left/Right HUD calibration for Leica DI C 500 image injection modules RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 141 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Additional HUD calibration instructions for Leica microscopes with DI C700 Leica microscopes with a DI C700 image injection module additionally support image injection into both oculars simultaneously (binocular mode). During the HUD calibration, this mode is referred to as Combined and has to be calibrated in addition to the calibration of the Left and Right image injection modes. There is no knob on the Leica DI C700 module to switch the image injection modes. Use the LEFT, RIGHT, and BOTH user profiles described in section 3.1.7.7 to switch through the different image injection modes. The [Accept] button in the corresponding HUD calibration dialogs (Figure 141, Figure 142) becomes active only if the image injection mode is switched correctly. Figure 142 Combined HUD calibration for Leica DI C700 image injection modules 3.2.3.4 Verifying the HUD Calibration Accuracy The HUD calibration accuracy has to be verified after each calibration. To verify the accuracy of the microscope HUD calibration, check if the overlaid geometry fits the “Standard Cranial Reference Array“. For a correct verification:  the distance of the focal point to the “Standard Cranial Reference Array“ divot is as close as possible to 0 mm. the angle between the microscope’s optical axis and the perpendicular of the “Standard Cranial Reference Array“ plane is as close as possible to 0 °. Proceed as follows to verify the accuracy of the microscope HUD calibration. Step Action 1. Position the microscope directly over the “Standard Cranial Reference Array“ with the optical axis as close to perpendicular as possible. 2. Focus on the divot of the “Standard Cranial Reference Array“ RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 142 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 3. For a rough HUD calibration verification, check that the injected geometry matches the actual “Standard Cranial Reference Array“ geometry and the circle that represents the bottom of the divot is correctly injected into the HUD. Figure 143 Microscope Calibration Verification with calibrated Video-Overlay and HUD The distance from focal point to divot shall be < 3.0 mm. NOTE: Verify that the lines representing the legs of the “Microscope Calibration Array“ are consistent and correctly injected into the HUD. 4. Zoom from the minimum to the maximum position and make sure that the overlaid lines that represent the legs of the “Standard Cranial Reference Array“ are always correlated to the real “Standard Cranial Reference Array“ seen through the microscope. 5. For a detailed HUD calibration check, verify the accuracy by focusing on a fiducial marker or any anatomical landmark (e.g. tip of the nose) of the Scantom or Rubberhead dataset. 6. Move the microscope to three different positions. Change zoom and focus levels to check if the image injection adapts accordingly. NOTE: For Leica microscopes with DIC 500 or DIC 700 image injection modules, also switch the microscope to different image injection modes to check if the image injection adapts accordingly. 7. Zoom from the minimum to the maximum position and make sure that the injected objects are always correlated to the real objects seen through the microscope. Table 67: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 143 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.4 User Calibration 3.2.4.1 Overview In case the customer experiences any calibration inaccuracies, try to improve the calibration accuracy by performing a user calibration. The user calibration can correct minor calibration inaccuracies that occur over time. NOTE: The customer/user shall be trained how to perform the user calibration. NOTE: The user calibration shall be performed with the new “Standard Cranial Reference Array - 4 Marker”. Pre-requisites for performing the user calibration    3.2.4.2 The service calibration has been performed already “Standard Cranial Reference Array – 4 Marker” (Art. No. 41725). Scantom (Art. No. 22550-0) or Rubberhead (Art. No. D-10009) Performing the User Calibration Proceed as follows to perform the user calibration. NOTE: With the new “Standard Cranial Reference Array - 4 Marker” the calibration points for the user calibration can be acquired at the divot or the marked points (calibration crosses) located on the legs of the reference array (see fig.126) as well. Figure 144 Additional calibration crosses on “Standard Cranial Reference Array - 4 Marker” RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 144 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 1. Open the Tools dialog and select [Microscope] > [Calibrate Microscope]. NOTE: In Service Mode, select [User Calibration] in the Microscope Calibration Selection dialog. Microscope calibration selection NOTE: The [User Calibration] option in the Microscope Calibration Selection dialog is available only if the service calibration has been performed. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 145 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 2. Position the “Standard Cranial Reference Array – 4 Marker“ on a stable surface underneath the microscope. Position the microscope as perpendicular as possible above the “Standard Cranial Reference Array – 4 Marker“ cone or calibration cross. Figure 145 Microscope user calibration Position the microscope as close as possible to the “Standard Cranial Reference Array – 4 Marker“ cone and stay within the green marked area. 3. Lower the microscope until the green marked area is reached (transparent microscope). Fine-adjust the focus at maximum zoom and center the cross-hair at the bottom of the cone or at any calibration cross of the reference array. 4. Press [Next] to acquire the first calibration point. NOTE: With Cranial/ENT 3.x you can acquire the points either with the “Next” button or with the handles or footswitch. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 146 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Step Action 5. Raise the microscope until the green marked area is reached (transparent microscope). The bar shows the focal distance from the first point. A second calibration point within the green range will provide the best calibration result. Figure 146 Second calibration point 6. Fine-adjust the focus at maximum zoom and center the cross-hair at the bottom of the cone or at any calibration cross of the reference array. 7. Press [Next] to complete the user calibration. NOTE: With Cranial/ENT 3.x you can acquire the points either with the “Next” button or with the handles or footswitch. Table 69: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 147 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.2.4.3 Verifying the User Calibration Verify the accuracy of the user calibration in the Microscope Tracking Accuracy Verification dialog. Figure 147 Microscope tracking accuracy verification dialog Proceed as follows to verify the tracking accuracy. Step Action 1. Do not move the microscope after the acquisition of the last calibration point. Make sure that the distance of the microscope’s focal point to the “Microscope Calibration Array-4 marker“ divot is < 3 mm. Check Microscope - Reference Array as shown in Figure 147. 2. Reposition the microscope and focus on the “Standard Cranial Reference Array-4 marker“ divot in at least three different distances. 3. Make sure the distance of the microscope’s focal point to the divot stays within an acceptable range (i.e. < 3 mm). If the tracking accuracy is not sufficient, press [Recalibrate] and repeat the user calibration If the tracking accuracy again is insufficient, perform a new service calibration according to the instructions in sections 3.2.1.4 and 3.2.1.5. 4. Alternatively, you can focus on a fiducial marker or an anatomical landmark, of the Scantom or Rubberhead (e.g. tip of the nose) in order to verify the tracking accuracy. Table 70: If, after a user calibration, the real “Standard Cranial Reference Array – 4 Marker“ seen in the video image and the overlaid image do not match completely, a new service calibration must be performed. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 148 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.3 Function Check 3.3.1 Smart Auto-Focus After the microscope service calibration has been performed, you must test if Smart AutoFocus is working correctly. Checking the Smart Auto-Focus Proceed as follows to check the Smart Auto-Focus. Step Action 1. Switch on the Smart Auto-Focus mode in the microscope options page. 2. Check with the pointer at different positions within the FOV (=Field Of View) of the microscope, that the microscope constantly sets the focus to the pointer tip. Make sure that the microscope is not outside the field of view of the camera. Table 71: 3.3.2 Microscope Advanced Features After the microscope service calibration has been performed, it must be tested if Advanced Features (X/Y-movement) is working correctly. X/Y-movement functionality. Checking Store Focal Point and Go To Stored Focal Point Proceed as follows to check Store Focal Point and Go To Stored Focal Point. Step Action 1. Store a target point using the [Store Focal Point] button in the microscope options page. 2. Move the microscope to a different position and press the [Go To Focal Point] button. 3. Check if the microscope moves in the correct direction and stops close to the previously stored focal point. 4. Repeat the test multiple times with different target points. Make sure that the microscope is not outside the field of view of the camera. Table 72: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 149 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Checking the Smart Auto-Tracking Proceed as follows to check the Smart Auto-Tracking. Step Action 1. Switch on Smart Auto-Tracking in the microscope options page. 2. Check with the pointer whether the microscope constantly follows the tip of the pointer and stops whenever the pointer is not moved anymore. Table 73: Checking Align to Trajectory Proceed as follows to check Align to Trajectory. Step Action 1. Create a trajectory, for example, by using the Tooltip Offset function. 2. Rough-align the microscope to the trajectory. 3. Press [Align to Trajectory] in the microscope options page. Table 74: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 150 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.3.3 HUD and Video-Overlay Checking HUD and Video-Overlay Proceed as follows to check the correct function of the HUD and Video-Overlay Step Action 1. Move the microscope to an outlined object of the Scantom or Rubberhead. 2. Check whether the contours displayed in the HUD and the microscope video are correlated to reality. Table 75: 3.3.4 Microscope Tracking Carefully check the tracking accuracy for each mounting position of the “Microscope Tracking Array“. Checking the tracking accuracy Proceed as follows to check the tracking accuracy Step Action 1. Focus on a registration marker on the Scantom or Rubberhead. 2. Check that the deviation is less than 2 mm from the center (the marker has a diameter of 8 mm). Table 76: Checking the field of view Proceed as follows to check the field of view Step Action 1. Focus on a part of the Scantom or Rubberhead. 2. Check whether the microscope’s field of view representation (blue circle) on the navigation screen adapts accordingly to any changes of the microscope’s zoom and focus. Table 77: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 151 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 3.3.5 Handle Buttons and Menu Control Haag-Streit Hi-R 700, Olympus (all versions) and Zeiss OPMI VARIO 700 microscope handle buttons cannot be used to control navigation functions except for zoom and focus communication. Test whether the handle buttons of all other microscopes are working as expected according to the following assignments. NOTE: Zeiss OPMI Neuro MultiVision handle control is not supported with Kick, Curve, and Curve CM platforms. Menu Control for all Leica, Haag-Streit Hi-R 1000, and Zeiss OPMI Pentero / OPMI Pentero C / OPMI PENTERO 900 / OPMI PENTERO 800 The menu control for the microscopes is supported by the joystick or D-pad. Figure 148 Joystick handle controls RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 152 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 4 TROUBLESHOOTING / KNOWN ISSUES If you cannot find the [Service Calibration], [HUD Calibration],- or [Video-Overlay Calibration] button… Switch the navigation computer into Service Mode. Make sure the correct license flags are present. RS232 communication issues with all Curve platforms: 1. Check with the Device Manager if the COM7-port is available. 2. If (COM7) is not available, check and, if required, correct the COM-port assignment according to the “Curve 1.0 Service Manual”. CAN communication issues with Curve platforms: Manual installation of new CAN driver: Step Action 1. With the “BREAKOUT INTERFACE CABLE FOR CURVE” connected, check if the CAN device is listed in the Device Manager. If the CAN device is not displayed, the CAN controller in the “BREAKOUT INTERFACE CABLE FOR CURVE” or the internal USB controller port of the Curve 1.0 is defective. Alternatively check if you have the correct revision (Rev. A) of the “BREAKOUT INTERFACE CABLE FOR CURVE” which is required for Cranial 3.0. 2. Right click on the CAN device and install the driver located in: C:\Windows\AddDrivers\Can 3. After the installation restart the navigation system and check with Device Manager if the CAN device is installed properly. Table 78: RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 153 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE If you receive the message: “The microscope could not be detected”… (no communication to the microscope): Verify the settings of the COM port used for the microscope communication section of the Cranial/ENT file (open via Service Mode) as shown below. …\settings\ Figure 149 COM port setting for Zeiss microscopes Figure 150 COM port setting for Olympus microscopes RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 154 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Figure 151 COM port setting for Haag-Streit microscopes (Hi-R 700, Hi-R 1000) If the COM Port Setting is correct, switch off the microscope, wait for 10 seconds, switch on, and try again. Olympus microscopes:  OME-7000 and OME-8000: Check if the green light at the main switch of the communication interface box is lit. If not, switch the communication interface box off, wait for a few seconds, and switch it on again. OME-9000: Switch off the microscope completely, wait for a few seconds, and switch it on again. Zeiss OPMI Pentero, OPMI PENTERO 800 and OPMI PENTERO 900 microscopes: Check if the microscope is in navigation mode. Go to the Zeiss touch screen. On the Main menu, press Config > MultiVision and make sure the Navigation Interface switch is turned on. Zeiss OPMI Neuro NC4 microscopes: Verify if the microscope is switched into OP mode. Zeiss OPMI VARIO 700 microscopes: Switch on the NAV option on the second page of the Main menu. Haag-Streit with MIOS system: Verify if the knob on the MIOS connection outlet is switched to RS 232. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 155 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE If the [HUD Calibration] button is not shown in Service Mode… You might not have the license entry MicroscopeHeadUpDisplay activated. Check if the second monitor, or the third monitor on Curve Dual Display platforms, is activated:  Go to Windows Control Panel > Display > Change display settings.  Make sure the monitor used for HUD is activated and in Extended Mode. Curve 1.0/Curve 1.1/Curve CM Dual Display: Make sure the monitor used for HUD is not located between the Curve monitors. If so, drag it with the mouse to the right to be at the third monitor position. Make sure to verify the HUD Display in the Microscope section of the file as shown below: …\settings\  Switch the Display Type from Touch to HUD, if required Curve 1.0/Curve 1.1/Curve CM Dual Display: Display 3 must be set to HUD. Check the settings of the Patient Data Manager software:  Go to F:\Brainlab\Appls\PatientDataManager\ContentManager\ Settings Open the file and check if the Display Type of Display 2 (or Display 3 for Curve 1.0/Curve 1.1/Curve CM Dual Display platforms) is HUD. Figure 152 PDM Content Manager Settings RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 156 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE If the HUD is not working correctly… Use an external monitor to verify the correct output of the DVI/VGA signal from the graphics card of the Curve 1.0, Curve 1.1, Curve CM, or Kick. Depending on the platform used, you need to use either the VGA Out connector of the Curve 1.0 with connected “BREAKOUT INTERFACE CABLE FOR CURVE”, or the DVI Out connector of the Kick/Curve 1.1/Curve CM. Troubleshooting with an external DVI monitor (Kick/Curve 1.1/Curve CM): 1. Connect a powered DVI monitor directly to the Microscope (Video Out) connector on the Kick/Curve 1.1/Curve CM.  If you see the Brainlab background on the monitor, your graphics card output works as intended.  If you don't see the Brainlab background, proceed to step 2. 2. Verify - via Control Panel > Display > Change display settings - that the second monitor (Kick) or third monitor (Curve 1.1/Curve CM Dual Display) is available.  If it is available, make sure to click on it and activate it via Multiple Displays: Extend desktop to this display. Now, you should see the Brainlab background on the monitor. If there is still no signal available, the DVI Out of the Kick/Curve 1.1/Curve CM is most likely defective and the system must be replaced. Troubleshooting with an external VGA monitor (Curve 1.0): 1. Make sure the “BREAKOUT INTERFACE CABLE FOR CURVE” is connected correctly. Connect a powered VGA monitor directly to the VGA connector of the “BREAKOUT INTERFACE CABLE FOR CURVE”.  If you see the Brainlab background on the monitor, your graphics card output and the “BREAKOUT INTERFACE CABLE FOR CURVE” work as intended.  If you don't see the Brainlab background, proceed to step 2. 2. Verify - via Control Panel > Display > Change display settings - that the second monitor (Curve Single Display) or third monitor (Curve Dual Display) is available.  If it is available, make sure to click on it and activate it via Multiple Displays: Extend desktop to this display. Now, you should see the Brainlab background on the monitor. If there is still no signal available, unplug the “BREAKOUT INTERFACE CABLE FOR CURVE”, re-plug it and click on [Detect] in the Change display settings dialog. If this also doesn't help, the Curve 1.0 and/or the “BREAKOUT INTERFACE CABLE FOR CURVE” are most likely defective and must be replaced. NOTE: There is no way to bypass the “BREAKOUT INTERFACE CABLE FOR CURVE” to test the Curve 1.0 system only. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 157 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE If the [Video-Overlay Calibration] button is not shown in Service mode…  Check if you have the MicroscopeVideoOverlay license entry activated.  Check if the frame grabber card is correctly installed. Check if the files are correctly installed.  If no [Video-Overlay Calibration] button is displayed, make sure to always start the Cranial/ENT application through Patient Data Manager. This ensures that all essential video components are started as well:    For more information, refer to the “Patient Data Manager 2.x Service Manual”. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 158 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE If the [Accept] button on the ‘hold microscope perpendicular’ page during HUD or Video-Overlay Calibration will not turn blue … For Leica M525 / M530 / M720 (SAI) check that the Zoom Range Limiter is inactive. Go to Menu > Service (password: 6642) > Setup > System 2 Figure 153 Leica Menu If you cannot calibrate the Video-Overlay or HUD because the overlay cross-hair doesn’t fit the “Microscope Calibration Array” (e.g., shifting, resizing, and rotating) … You might want to increase the following settings in the Microscope section of the file: …\settings\ …\settings\ If Smart Auto-Focus with Zeiss OPMI Neuro MultiVision does not work… Verify if the microscope runs the firmware 1.45 or higher using the Zeiss NITK software. Older versions do not allow Smart Auto-Focus (or interrupt long focus drives). RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 159 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 5 REFERENCES 5.1 Microscope User Manuals Please visit the Neurosurgery portal in SharePoint in order to access microscope user manuals. SharePoint -> Solutions -> Neurosurgery -> Marketing Material -> Product Info -> Microscope RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 160 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 6 APPENDIX 6.1 Appendix A - Overview of Navigation Options HUD When activating [HUD], the microscope’s image injection unit superimposes a computer generated image onto the microscope field of view. The computer image is transparent, enabling the surgeon to see the focused region as well as the injected information. Depending on the microscope, the image injection may be visible in the main observer only. The navigation system uses the image injection display to superimpose contours of outlined objects and additional target information into the microscope field of view. The information displayed in the image injection is similar to the microscope depthview on the navigation screen, except that the microscope field of view replaces the reconstructed data. This means, the intersection of focal plane objects are displayed as solid contour lines, while the extension of objects above or below the focal plane are indicated by a dotted line. This dotted line serves for orientation, as it is not in the focal plane. Some image injection units offer color display. In this case, objects may be displayed in a different color as seen on the navigation screen. Regardless of the display type, we recommend opening the microscope depth view or video view in conjunction with the image injection, so the objects are not confused. Additionally, use context information such as size and position to identify the objects. NOTE: The image injection display area may not fully cover the microscope’s field of view. If this occurs, the contours end at the borders of the display. Some image injection units deliver HUD information to both eyes at the same time. Parallax can cause a shift in the apparent position of the object in relation to the background if you focus with one eye only. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 161 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE HUD Warnings Set the microscope to maximum zoom before adjusting the focal plane on patient structures. This leads to a lower field of depth and enables the best possible display of the injected solid object outlines. These outlines represent the border of the planned object on this plane. Dashed lines represent the complete extension of the object located below the focal plane and serve as rough overview only. Superimposed 3D objects serve as an overview, but do not relate exactly to the underlying patient structure. As superimposed objects are based on the pre-operative image set, the current position of the real object may differ due to e.g., brain shift or resection. The installation and calibration of the image injection display must be performed by qualified Brainlab personnel. Removing and remounting the image injection hardware from the microscope or replacing the microscope will significantly reduce the accuracy of the contours displayed in the image injection display. In this case, the image injection display must be re-calibrated by Brainlab support. Color Overlay When you activate [Color Overlay], the color of superimposed objects is defined by the color information from the navigation system. If you deactivate [Color Overlay], objects are displayed in the default color defined by the injection unit. NOTE: The [Color Overlay] is only enabled when [HUD] is activated. Shutter When [Shutter] is activated, the shutter of the microscope closes and the upper left view of the navigation screen is displayed in the microscope oculars. This allows you to view, for example, MR images within the oculars. The displayed data does not correlate to the actual patient. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 162 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE HUD Objects Press [HUD Objects] to open the View Configuration dialog. Function ExplanationSetting Item Lists all available objects Visible Enabling/disabling Visible shows/hides the object within the image views:  An open eye icon means the object is visible  A closed eye icon means the object is hidden Visualization Toggle between display options, e.g., object displayed outlined, filled-in with color, or in 3D. Smart Auto-Focus When you activate [Smart Auto-Focus], the microscope constantly keeps the tip of the tracked instrument in focus. While the microscope is focusing, the tip of the tracked instrument is indicated by a crosshair in the HUD. NOTE: If the instrument tip is out of the working range of the microscope, the microscope cannot focus completely. NOTE: If the microscope is not focusing, double check that the instrument, the “Microscope Calibration Array“, and the “Microscope Tracking Array“ are in the camera field of view. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 163 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE Smart Auto-Tracking When you activate [Smart Auto-Tracking], the function continuously tracks the actual instrument position and focuses on the tip. The tracked instrument is indicated by a crosshair in the HUD. A corresponding message is displayed in the HUD while the microscope is moving. When the instrument tip leaves the field of view, the microscope follows it. The microscope stops tracking when it reaches the instrument tip. When you remove the instrument being tracked from the camera field of view, cover one of the reflective marker spheres with your fingers to prevent the microscope from following it. NOTE: The microscope only follows if the instrument is kept still for some time near the head of the patient. If the microscope doesn’t follow, double check that the instrument, the “Microscope Calibration Array“, and the “Microscope Tracking Array“ are in the camera field of view. Make sure that the microscope cannot collide with other instrumentation, or the patient, or that it does not become unsterile during its movement. Store Focal Point and Go To Stored Point  Pressing [Store Focal Point] saves the position and focal plane information of the actual point. Pressing [Go To Stored Point] returns the microscope to the position and focus of the prior stored focal point. NOTE: If the microscope does not move to the stored point, double check that the “Microscope Calibration Array“ and the “Microscope Tracking Array“ are in the camera field of view. Continuous Target Return Pressing [Continuous Target Return] recalls the position and focal plane of the most recently focused point. This allows you to focus on the point of interest from different viewing angles. When you release the microscope’s brakes to change the viewing direction, the most recently adjusted focus point is stored and immediately recalled from the new direction once the brakes are released. The microscope continues to focus on this point until the [Continuous Target Return] is switched off. NOTE: If the microscope does not return to the last position, double check that the “Microscope Calibration Array“, and the “Microscope Tracking Array“ are in the camera field of view. RELEASED: September 24, 2015 Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 164 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 6.2 Appendix B – Overview Microscope Integration Kits Below you will find information about the exact content of Microscope Integration Kits. Please be aware that the articles you finally receive depend on the platform and the microscope you will integrate. Every Microscope Integration Kit consists of the standard items listed below and of specific items according to the platform and microscope used on-site. 6.2.1 41767-01C Microscope Integration Kit Haag-Streit Surgical / MOELLER Standard Items # 15202 # BL-IL-60914-04 CROSSHAIR OCULAR HAAG-STREIT/MOELLER BL-IL-60914-04 MICROSCOPE INTEGRATION REV. 2 Platform-specific Items Curve 1.0: Curve 1.1, Curve CM: Kick 1.0: # 15204 # 15234-01A # 18562-08 # 15237 MICROSCOPE SERIAL INTERFACE CABLE 10M BREAKOUT INTERFACE CABLE FOR CURVE BNC CABLE RG59, 10M MICROSCOPE OMS 3.0 CABLE HS/MOELLER # 15230-04 # 15237 STRAIN RELIEF KIT FOR KICK WITH OMS 3.0 MICROSCOPE OMS 3.0 CABLE HS/MOELLER Microscope-specific Items Hi-R 1000 Hi-R 700 RELEASED: September 24, 2015 # 41767-85 # 41767-19 # 15229A # 19190-10 # 41767-85 # 41767-19 MSCOPE ADAPTER MOELLER-WEDEL HiR700/1000 MICROSCOPE UNIVERSAL TRACKING ARRAY SVGA MONITOR CABLE MALE-MALE 10M ADAPTR DVI-I M > HD15 F FARNELL 9973940 MSCOPE ADAPTER MOELLER-WEDEL HiR700/1000 MICROSCOPE UNIVERSAL TRACKING ARRAY Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 165 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 6.2.2 41767-04C Microscope Integration Kit Leica Standard Items # 15221 # 41767-19 # 41767-70C # BL-IL-60914-04 CROSS HAIR OCULAR LEICA 10x/21B MICROSCOPE UNIVERSAL TRACKING ARRAY MICROSCOPE ADAPTER LEICA LEAFLET MICROSCOPE INTEGRATION REV 2.0 Platform-specific Items Curve 1.0: # 15222C # 15234-01A # 18562-08 # 15236 # 15230-04 # 15236 Curve 1.1, Curve CM: Kick 1.0: CAN BUS INTERFACE CABLE LEICA 10M CURVE BREAKOUT INTERFACE CABLE FOR CURVE BNC CABLE RG59, 10M MICROSCOPE OMS 3.0 CABLE LEICA STRAIN RELIEF KIT FOR KICK WITH OMS 3.0 MICROSCOPE OMS 3.0 CABLE LEICA Microscope-specific Items OH4, OH5, OH6, OH X Stands: Other Stands 6.2.3 # 15229A # 15220A SVGA MONITOR CABLE MALE-MALE 10M* SVGA MONITOR CABLE MALE-FEMALE 10M* *for integration with Curve 1.0 only 41767-16B Microscope Integration Kit Zeiss Standard Items # BL-IL-60914-04 BL-IL-60914-04 MICROSCOPE INTEGRATION REV. 2 Platform-specific Items Curve 1.0: # 15217C # 15234-01A # 18562-08 # 15235 # 15230-04 # 15235 Curve 1.1, Curve CM: Kick 1.0: MICROSCOPE INTERFACE CABLE ZEISS 10M BREAKOUT INTERFACE CABLE FOR CURVE BNC CABLE RG59, 10M MICROSCOPE OMS 3.0 CABLE ZEISS STRAIN RELIEF KIT FOR KICK WITH OMS 3.0 MICROSCOPE OMS 3.0 CABLE ZEISS Microscope-specific Items PENTERO, PENTERO 800, PENTERO 900 VARIO 700 NEURO NC4 RELEASED: September 24, 2015 # 41767-19 MICROSCOPE UNIVERSAL TRACKING ARRAY # 41767-55B # 15218 # 15228 # 41767-19 # 41767-55B # 15218 # 15228 # 41767-60A MSCOPE ADAPTER ZEISS PENTERO / VARIO 700 CROSS HAIR OCULAR ZEISS 10X CROSS HAIR OCULAR ZEISS 12.5X (optional) MICROSCOPE UNIVERSAL TRACKING ARRAY MSCOPE ADAPTER ZEISS PENTERO / VARIO 700 CROSS HAIR OCULAR ZEISS 10X CROSS HAIR OCULAR ZEISS 12.5X (optional) MSCOPE ADAPTER & ARRAY ZEISS OPMI NEURO Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 166 OF 167 UNCONTROLLED INFORMATION IF NOT READ ONLINE 6.2.4 41767-07B Microscope Integration Kit Olympus Standard Items # 10816 # BL-IL-60914-04 GENDER CHANGER DB9 FA440-R2 (PLUG/PLUG) BL-IL-60914-04 MICROSCOPE INTEGRATION REV.2 Platform-specific Items Curve 1.0: Curve 1.1, Curve CM: Kick 1.0: # 15204 # 15234-01A # 18562-08 # 15238 # 15230-04 # 15238 MICROSCOPE SERIAL INTERFACE CABLE 10M BREAKOUT INTERFACE CABLE FOR CURVE BNC CABLE RG59, 10M MICROSCOPE OMS 3.0 CABLE OLYMPUS STRAIN RELIEF KIT FOR KICK WITH OMS 3.0 MICROSCOPE OMS 3.0 CABLE OLYMPUS Microscope-specific Items OME-7000 OME-8000 OME-9000 RELEASED: September 24, 2015 # 19190-71 # 41767-45 # 19190-71 # 41767-10A # 15229A # 41767-18 # 41767-19 CBL 5XBNC M > HD15 M 5M UL* MSCOPE ADAPTER & ARRAY OLYMPUS OME 7000 CBL 5XBNC M > HD15 M 5M UL* MSCOPE ADAPTER & ARRAY OLYMPUS OME 8000 SVGA MONITOR CABLE MALE-MALE 10M* MICROSCOPE ADAPTER OLYMPUS OME 9000 MICROSCOPE UNIVERSAL TRACKING ARRAY *for integration with Curve 1.0 only Microscope Integration Cranial/ENT 3.x I SM 10-285 Rev.3 PAGE 167 OF 167

Microscope Integration Cranial/ent 3.x

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