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English Guide for Bio-Medical Engineers. Учебное пособие

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7) In certain cases, illumination by optical section does not yield ... information or is
impossible.
8) A similar situation arises when areas behind the ... ... are to be observed.
9) A wide light beam is directed onto the limbal region of the ... at an extremely low
angle of incidence.
10) The magnification should be selected so that the entire cornea can be seen at
... ... .
9.1.4 Choose the verb in the proper tense:
1) In these cases, direct diffuse illumination (may be used/had to be used/are to be
used) to advantage.
2) The slit (were opened/is opened/shall be opened) very wide.
3) Attenuated survey illumination (were produced/is produced/be produced) by
inserting a ground glass screen or diffuser in the illuminating path.
4) Its main purpose (can to /must to/ is to) illuminate as much of the eye and
its adnexa at once for general observation.
5) The axes of illuminating and viewing path (is not intersect /does not intersect / do
not intersect) at the point of image focus.
6) The observed corneal area (lie /lies/ had lain) between the incident light section
and the irradiated area of the iris.
7) In certain cases, illumination by optical section (have not yielded /do not yield
/does not yield) sufficient information or is impossible.
8) Then the scattered light that is not very bright normally (were absorbed /are
absorbed /is absorbed).
9) A wide light beam (were directed /are directed /is directed) onto the limbal region of the cornea at an extremely low angle of incidence and with a laterally de-centered illuminating prism.
10) Adjustment (must to allow /must allow/ must allowed) the light beam to transmit through the corneal parenchymal layers.
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Text B. 9.2 Fundus observation and gonioscopy with the slit lamp
9.2.1 Read and translate text B in written form:
Fundus (eye) observation is known by the ophthalmic and the use of fundus cameras. With the slit lamp, however, direct observation of the fundus is impossible due to the refractive power of the ocular media. In other words: the far point of the eye (punctum remotum) is so distant in front of (myopia) or behind (hyperopia) that the microscope cannot be focused. The use of auxiliary optics - generally as a lens – makes it possible however to bring the far point within the focusing range of the microscope. For this various auxiliary lenses are in use that range in optical properties and practical application.
9.2.2 Write out medical terms from text B.
Text C. 9.3 Portable, clip-on, SLT laser
9.3.1 Read and translate text C:
The Lumenis Selecta II SLT laser offers you all the advantages of a premium SLT product together with true portability and maximum space utilization. The Selecta II is a clip-on product; conveniently fitting onto most commercially available converging-optics style slit lamps. The unique design of the unit’s laser-head makes it especially easy to attach and disconnect the system – allowing you to use your slit lamp as either a diagnostic tool, advanced laser delivery device or both.
The Selecta II is compatible with your preferred Slit Lamp, allowing you to diagnose and treat with your unit of choice.
Optimal Visualization
The Selecta II is compatible with most commercially available converging-optics style slit lamps, capitalizing on their enhanced visualization capabilities of the anterior segment.
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True Portability Weighing only 25 lbs. (11.5 Kg), the Selecta II can be easily transported from one location to another, maximizing your investment.
Space Saving The Selecta II is a clip on laser, compatible with most commercially available converging-optics style slit lamps. Easily connect it to your existing diagnostic slit lamp to perform SLT and stow away at the end the procedure or scheduled laser sessions.
Figure 14 – Additional features
Lumenis SLT
Selective Laser Trabeculoplasty (SLT) technology was developed and brought to market by Lumenis, based on the work of Dr. Mark Latina, MD, et.al.
Today, Lumenis prides itself as the company with the most robust clinical data on SLT, the largest global installed-base of SLT products, the widest range of added-value products and services to maximize SLT potential in your practice – including robust patient education collateral and multimedia - and much more!
When you buy an SLT product from Lumenis, you gain immediate access to the largest network of SLT users worldwide, receive product upgrades and updates, advance­notice invitations to SLT symposia and workshops all around the world and a long list of other benefits which are exclusive to Lumenis SLT customers.
Furthermore, all Lumenis SLT products were designed to meet the clinically recommended SLT treatment protocol that we have helped to shape. Buying a Lumenis SLT product guarantees your ability to customize treatment on a case-by-case basis and meet SLT treatment protocol requirements.
The Clinical Advantages of Lumenis SLT
Selective Laser Trabeculoplasty (SLT) is a clinically proven laser treatment to reduce IOP without coagulating the Trabecular Meshwork. SLT represents an evolution over previous laser therapies as it can be safely repeated if needed.
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Mechanism of Action:
clip-on product converging-optics commercially-available to attach disconnect portability compatible to treat to enhance robust added-value products to absorb cellular mediator activities adjacent cytokines
имеющийся в продаже прикрепляемый прибор фокусирующая оптика разъединять прикреплять портативность лечить совместимый здоровый, крепкий увеличивать наиболее привлекательные товары впитывать, поглощать иммуностимуляторы межклеточные процессы смежный
Lumenis SLT technology uses a Q-switched, frequency-doubled Nd:YAG; 532 nm wavelength green laser. When applied to the target tissue, the laser is selectively absorbed by melanin-containing pigmented cells in the Trabecular Meshwork, without causing thermal or coagulative collateral damage to adjacent tissue. The increase in expression of biological cytokines and cellular mediator activities following laser irradiation recruit macrophages to the Trabecular Meshwork. In turn, macrophages remove obstructive proteins and remodel the Trabecular Meshwork, improving aqueous humor outflow and, thereby, reducing intraocular pressure (IOP).
9.3.2 Match the words and word-combinations in the right hand column with the
words and word-combinations in the left hand column:
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9.3.3 Complete each sentence with a word or phrase from the box:
a clip-on product cellular mediator was developed prides itself access to meet evolution all the advantages compatible remove
1) The Lumenis Selecta II SLT laser offers you ... ... ... of a premium SLT product
together with true portability and maximum space utilization.
2) The Selecta II is ... ... ... , conveniently fitting onto most commercially available
converging-optics style slit lamps.
3) The Selecta II is ... with your preferred Slit Lamp, allowing you to diagnose and
treat with your unit of choice.
4) Selective Laser Trabeculoplasty (SLT) technology ... ... and brought to market by
Lumenis.
5) Today, Lumenis ... ... as the company with the most robust clinical data on SLT.
6) When you buy an SLT product from Lumenis, you gain immediate ... to the
largest network of SLT users worldwide.
7) All Lumenis SLT products were designed ... ... the clinically recommended SLT
treatment protocol that we have helped to shape.
8) SLT represents an ... over previous laser therapies as it can be safely repeated if
needed.
9) The increase in expression of biological cytokines and ... ... activities following
laser irradiation recruit macrophages to the Trabecular Meshwork.
10) Macrophages ... obstructive proteins and remodel the Trabecular Meshwork.
9.3.4 Make presentation about one of SLT lasers.
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Text D. 9.4 Endo-Ocular Probes
Aspirating
- One convenient probe combines laser and aspiration
- Connects to standard operating room units
- Features a reflux for precise control
- SMA 906 SmartFiber connector
Figure 15 – Aspirating
Figure 16 – Illuminating
Illuminating
- Provides second 500 micron fiber for illumination source
- Fits most operating room light sources
- SMA 906 Fiber connector
Acculite Contour Tip Endoprobe Ergonomically Designed and Clinically Superior
- 23-gauge contoured tip enables easy insertion through the sclerotomy site
- Angled and straight probe designs improve access to the retina
feedback and control
Acculite Otoprobe for Argon Laser Stapedotomy Procedures
Figure18–Lightweight headset
- Delivers multiple wavelengths to enhance therapeutic effect
- Coaxial Optics
- Patented high-visibility fixed physician filter provides a clear view of the retina and silent operation
- Variable working distance for ease of use and physician comfort
- Provides easier access to the far periphery of the retina
9.4.1 Read and translate text D:
Figure 17 – Acculite Contour Tip Endoprobe
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Laser Indirect Ophthalmoscope Expanding Treatment Options for the Retinal Specialist
Figure 19 Laser Ophthalmoscope
- SureSpot optics deliver a sharp-edged laser spot with even power distribution to the retina and low power density at the cornea
- High-visibility physician filters provide continuous visualization of the retina, enhanced treatment precision, and full protection for the surgeon during photocoagulation
- LaserLink HS compatible with most slit lamps: Topcon SL-3E, Topcon SL-7E, Macro III, Mentor SH-12, Nikon NS-1, Nikon FS-3 and more
- LaserLink Z compatible with the following slit lamps: Zeiss 20 SL, Zeiss 30 SL M, Zeiss 125, Zeiss SL 130
PowerEase Footswitches
- Provides hands free energy adjustment
- Increase or decrease energy by tapping your foot from inside the housing to the right and left
Figure 20– PowerEase
Smart Footswitches
- Provides hands free control of the physician filter
- Slide your foot in and out of the housing to insert or remove filter
Figure 21 – Smart
9.4.2 Advertise the products mentioned in text D.
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10 Unit 10. Phaco Module
Text A. 10.1 Phaco module assembling
10.1.1 Read and translate text A:
Quick-Start Instruction
This section includes complete instructions how to assemble the phaco handpiece and attach the tubing set of the cartridge. Connect the test chamber on the phaco handpiece to check the I/A balance.
Figure 22 – Handpiece assembling (position 1)
Figure 23 – Handpiece assembling (position 2)
Connect the infusion bottle to the "giving set" of cartridge. Select Anterior Peristaltic or Venturi. Depress the priming button and wait till priming is finished. Phaco Module appears automatically. Set the preset values or select a programmed memory. Compress the test chamber, depress switch #9, and check if the test chamber shows
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appropriate pressure at patient eye level. Disconnect the test chamber.
Figure 24 – Handpiece assembling (position 3)
Use switch #9 (position 3) to control the phaco function. The module can provide linear control of aspiration in combination with both linear, fixed and/or pulsed outputs to a phaco handpiece. This module features continuous auto-tuning. This allows the instrument to maintain constant performance and adjust automatically for changes in loading. When the Phaco is activated, the Irrigation/Aspiration Module is also activated. The peristaltic pump can produce a maximum vacuum of 400 mmHg and max. 50cc/min flow independently from each other. The Venturi pump can produce a maximum vacuum of 400 mmHg. The upper limit can be selected using the preset control buttons. The actual vacuum level can be controlled up to the maximum, using the Footswitch.
High Vacuum Sensor Cartridge
The ASSOCIATE® operates on one cartridge suitable for Peristaltic and Venturi
aspiration system and is suitable for both anterior and posterior segment surgery. An integrated microprocessor guarantees an optimal intraocular vacuum and High Vacuum Occlusion Technology for advanced capsular protection in phaco surgery. Due to the integrated microprocessor technology, a maximum sterile barrier is guaranteed.
10.1.2 Match the words and word-combinations in the right hand column with the
words and word-combinations in the left hand column:
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to assemble to attach tubing set handpiece preset values test chamber control of aspiration foot switch anterior and posterior suitable
прикреплять собирать, монтировать комплект трубок подходящий тест камера заданные величины рукоятка, ручка аппарата контроль аспирации ножной переключатель передний и задний
10.1.3 Read the text again, complete the sentences with the phrases given on the
1) Connect the infusion bottle to ...
2) Depress the priming button and wait ...
3) Set the preset values or ...
4) The module can provide linear control of aspiration in combination with both linear, fixed and/or ...
5) This module features ...
6) This allows the instrument to maintain constant performance and ...
7) When the Phaco is activated, the Irrigation/Aspiration Module ...
8) The Venturi pump can produce a maximum ...
9) The upper limit can be selected using
1) pulsed outputs to a phaco handpiece.
2) till priming is finished.
3) select a programmed memory.
4) the "giving set" of cartridge.
5) is also activated.
6) adjust automatically for changes in loading.
7) vacuum of 400 mmHg.
8) continuous auto-tuning.
9) using the Footswitch.
right:
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