
Clinical Microscopes from ZEISS
Your certified microscopes for your clinical labMicroscopy play a crucial role in clinical and hospital settings, serving as indispensable tools for diagnostic and research purposes. These instruments enable healthcare professionals to examine cells, tissues, microorganisms, and other biological samples at a microscopic level. Microscopes used for diagnostic purposes must be designed and manufactured in compliance with ISO 13485. Here is how ZEISS supports your clinical workflows.
Microscope Requirements
- Compliance with Medical Standards: Microscopes used for diagnostic purposes must be designed and manufactured in compliance with ISO 13485 to ensure safety and performance in medical applications. If a microscope is specifically intended for IVD use (e.g., for examining biological specimens like blood or tissue for disease diagnosis), it must also comply with additional IVD-specific regulations such as IVDR (EU Regulation 2017/746) in the European Union or FDA 21 CFR Part 809 for IVD products in the United States.
- Details and Magnification: Clinical microscopes must offer high optical resolution and adequate magnification to reveal fine structural details in biological specimens.
- Ergonomic Design: Since clinical use often involves prolonged microscopy sessions, ergonomic accessories such as ergotubes are essential to minimize user fatigue.
- Durability and Reliability: Robust construction and consistent performance are critical for handling the demands of a busy clinical environment.
- Ease of Operation: Intuitive controls and quick adaptability are vital for efficient workflows in high-pressure settings.
- High Resolution Images: Press one button on the microscope for quick detail-rich, image acquisition.
- Work Efficiency: The microscopes support you. Less manual steps necessary save time and allows you to focus on the patient sample.
- Compatibility with Staining Techniques: The microscopes must support various contrasting techniques such as brightfield or fluorescence to visualize specific cellular or microbial structures.
Compatibility with Staining Techniques
Different staining and contrasting techniques in clinical microscopy may enhance visualization, highlight specific structures, and differentiate between cellular components or microorganisms that may otherwise be indistinguishable. Clinical samples are often transparent or colorless under a light microscope. Staining introduces color to enhance the contrast, making structures like nuclei, cytoplasm, or cell walls more visible. Different stains bind selectively to particular cellular components. For example, Hematoxylin and Eosin (H&E) highlights nuclei and cytoplasm in tissue samples; Gram Stain differentiates between Gram-positive and Gram-negative bacteria. Stainings also reveal structural or cellular abnormalities, aiding in the diagnosis of diseases. For instance, Pap stains are used to differentiate between cancerous or precancerous cells in cytology; Ziehl-Neelsen stain allows to visualize acid-fast bacteria, such as Mycobacterium tuberculosis. Additionally, you can use different microscope contrasting techniques to enhance the visibility of certain structures. Phase contrast, for instance, visualizes live, unstained cells using differences in light refraction, while fluorescence contrast target-specific molecules using fluorophores, aiding in identifying pathogens or cellular markers.
Read here examples of most common contrasting and staining techniques:
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Brightfield contrast is one of the most commonly used techniques in clinical laboratories. Staining enhances contrast, making structures and details visible under the microscope:
Hematoxylin and Eosin (H&E) Staining
This is the most widely used stain in histopathology for tissue samples.
Components:
Hematoxylin stains nuclei blue/purple.
Eosin stains cytoplasm and extracellular matrix pink.Applications:
Visualization of tissue architecture and cellular morphology.
Diagnosing diseases, identifying structural abnormalities in organs.
Gram Staining
Essential for microbiology to classify bacteria as Gram-positive or Gram-negative.
Components:
Crystal violet (primary stain), iodine (mordant), alcohol (decolorizer), and safranin (counterstain).Applications:
Identifying bacterial infections.Ziehl-Neelsen (Acid-Fast) Staining
Stains acid-fast organisms such as Mycobacterium tuberculosis.
Components:
Carbol fuchsin (primary stain), acid-alcohol (decolorizer), and methylene blue or malachite green (counterstain).Applications:
Diagnosing mycobacterial infections such as tuberculosis.
Wright or Giemsa Staining
Common in hematology for blood smears and bone marrow samples.
Components:
Mixture of acidic (eosin) and basic dyes (methylene blue or azure).Applications:
Identifying blood cells, parasites (e.g., Plasmodium in malaria), and hematological disorders such as anemia.
Papanicolaou (Pap) Stain
Primarily used in cytology, particularly for cervical cancer screening.
Components:
Multiple dyes, including hematoxylin, orange G, and eosin azure.Applications:
Visualizing abnormal or cancerous cells in e.g. cervical smears or fine needle aspirates.
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Phase contrast is primarily used for observing unstained, transparent specimens, making it highly useful in clinical settings where live cells or delicate structures need to be examined without altering their natural state.
Typical examples are:
- Living Cells: Observe cellular structures such as nuclei, vacuoles, and organelles.
- Microorganisms: Identify bacteria, fungi, protozoa, or parasites in their live and active states.
- Sperm Morphology and Motility: Assessing sperm cells in fertility studies.
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Fluorescence microscopy offers high sensitivity and specificity for visualizing cellular components, microorganisms, and molecular markers. It relies on fluorophores (dyes or tagged antibodies) that emit light at specific wavelengths when excited by a light source. By using these targeted stains and antibodies, it allows clinicians to study pathogens, genetic material, and cellular functions. See below the key staining techniques and their applications in clinical settings.
DAPI
DAPI binds strongly to DNA, used for visualizing cell nuclei.
Applications:
Cell Counting and Viability: Assessing nuclear morphology in tissue samples or cell cultures.Microbial Detection: Highlighting bacterial or fungal DNA in clinical samples.
Fluorescein Isothiocyanate (FITC)
This fluorophore conjugated to antibodies, proteins, or other biomolecules.
Applications:
Pathogen Identification: Detecting specific bacterial, viral, or fungal antigens.
Flow Cytometry: Marking immune cells for analysis of specific markers (e.g., CD4, CD8 in HIV monitoring).Fluorescence In Situ Hybridization (FISH)
Uses fluorescently labeled DNA/RNA probes to detect specific genetic sequences.
Applications:
Detect gene amplifications (e.g., HER2 in breast cancer, ALK in lung cancer).
Identify chromosomal abnormalities, deletions, or translocations.
Detect bacterial or viral DNA/RNA directly in clinical samples.
Auramine-Rhodamine
Binds to mycolic acid in the cell walls of mycobacteria.
Applications:
Detect acid-fast bacilli (Mycobacterium tuberculosis) in sputum or other samples.
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Polarization microscopy is used to observe birefringent materials that change the polarization of light. This technique is especially useful for identifying substances with specific optical properties, such as crystalline structures, fibrils, and certain biological deposits. Some specimens may naturally exhibit birefringence, while others may require specific staining to enhance birefringent properties.
Applications:
- Identify gout (monosodium urate crystals) and pseudogout (calcium pyrophosphate crystals) in synovial fluid.
- Confirm amyloid deposits in biopsies using Congo red staining.
- Characterize the composition of stones (uric acid, calcium oxalate, etc.) in urine sediments.
- Measure collagen deposition in fibrotic diseases with Sirius red staining.
- Identify calcium deposits in tissues and fluids (e.g., alizarin red staining).
- Visualize the meiotic spindle to assess oocyte quality and maturity in artificial reproductive technologies