e-scope Description Otoscope. The device is suitable for use in both adults and children. Ophthalmoscopes are intended for use exclusively by doctors in hospitals and medical offices. Otoscopes are intended for use exclusively by doctors in hospitals and medical offices. Diagnostic lamps are intended exclusively for use by doctors in hospitals and medical offices. Since ophthalmoscopes are used exclusively by doctors, they must have the appropriate qualifications. Since otoscopes are used exclusively by doctors, they must have the appropriate qualifications. Since diagnostic lamps are used exclusively by doctors, they must have the appropriate qualifications. How to use Inserting and removing batteries Turn the tool head counterclockwise to remove it from the handle. Insert two standard 1.5 V AA (Mignon) alkaline batteries (IEC standard designation LR6) into the handle socket so that the positive terminals are facing the top of the handle. Turn the tool head clockwise on the handle. On and off: There is an on/off slide switch on the handle. Pushing the slide switch up turns the device on; pushing it down turns it off. Place the selected speculum on the metal frame of the otoscope. Turn the speculum clockwise until you feel resistance. The size of the ear speculum is indicated on the back of the speculum. The swivel lens is attached to the device and can be rotated 360°. If you want to insert external instruments into the ear (e.g. tweezers), you need to rotate the pivoting lens (approximately 3x magnification) located on the otoscope head by 180°. Pneumatic otoscopy (= examination of the eardrum) requires a bulb, which is not included but can be ordered separately (see Spare parts and accessories). Take the metal connector, which is not included but can be ordered separately (see Spare parts and accessories) and insert it into the corresponding compartment on the side of the otoscope head. The bulb tube is inserted into the connector. You can now carefully fill and introduce the required amount of air into the ear canal. warnings Please note that the correct and safe functioning of our instruments is only guaranteed if both the instruments and their accessories come exclusively from Riester. The use of other accessories may result in increased electromagnetic emissions or reduced electromagnetic immunity of the device and may result in incorrect operation. - If the instrument is used in the presence of flammable mixtures or pharmaceutical mixtures, there may be a risk of gas ignition. - Battery-powered tool heads and handles should never be immersed in liquids. Exposure to intense light during a prolonged eye exam using an ophthalmoscope can damage the retina. - The device and ear specula are not sterile. Do not use on damaged tissue. - Use new or disinfected ear specula to limit the risk of cross-contamination. - Disposal of used specula should be carried out in accordance with current medical practices or local regulations regarding the disposal of infectious and biological medical waste. - Only use Riester or Riester-approved accessories/consumables. - The frequency and methods of cleaning should comply with the facilitys regulations for cleaning non-sterile devices. The cleaning and disinfection instructions specified in the instructions for use should be followed. - The instrument may only be used by qualified personnel. Use in MRI environments is prohibited. There is a risk of gas ignition if the device is used in the presence of flammable mixtures or mixtures of pharmaceuticals and air, oxygen or nitrous oxide. The device must not be used in rooms where flammable mixtures or mixtures of pharmaceuticals and air, oxygen or nitrous oxide are present, for example in operating rooms. The device must be used in a controlled environment. The device should not be exposed to extreme environmental conditions. It is recommended to remove the (rechargeable) batteries from the handle before cleaning or disinfecting. When cleaning and disinfecting instruments, be careful not to allow liquids to enter the handle. Never place the instrument in liquids! Instruments with battery-operated handles are supplied non-sterile. Do not use ethylene, carbon monoxide, heat, autoclaves or other methods that subject the material to excessive stress to sterilize the device. The devices are not suitable for reprocessing or automated sterilization. These procedures cause irreparable damage. - If you will not be using the device for a long period of time or if you are taking it with you on a trip, remove the batteries from the handle. - New batteries should be inserted when the instruments light intensity decreases and could compromise the examination. - For optimal luminous flux, we recommend always using new, high-quality batteries when replacing them. - Make sure that no liquid or moisture enters the handle. Since prolonged exposure to bright light can damage the retina, use of the device for ophthalmological examination should not be unnecessarily prolonged, and the light intensity set should not be higher than that required for clear visualization of the examined structures. The retinal exposure dose that constitutes a photochemical risk depends on the irradiance and the exposure time. If the irradiance value were halved, it would take twice as long to reach the maximum exposure limit. Although no acute risks related to optical radiation have been identified for direct or indirect ophthalmoscopes, it is recommended that the intensity of light directed into the patients eye be limited to the minimum level necessary for examination/diagnosis. Infants, children, aphakic individuals, or those with ophthalmological diseases will be at increased risk. The risk may also increase if the patient has already been examined with the same instrument or any other ophthalmic instrument within the last 24 hours. This is especially true if the eye has been exposed to retinal photography. The light emitted by the instrument is potentially harmful. The risk of ophthalmological damage is directly proportional to the duration of exposure. The standard risk level is exceeded when the duration of light irradiation by this instrument exceeds 5 minutes. Code 10460, 10480