Scientist in lab coat examining a microscope slide infront of the Axiolab 5 microscope
Microscopy applications for your laboratory

Clinical Microscopes from ZEISS

Your certified microscopes for your clinical lab

Microscopy 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.

Clinical Microscopes from ZEISS

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.

Application Examples

ZEISS microscopes meet the needs of a wide range of medical and laboratory applications. The outstanding optical quality of ZEISS microscopes provides accurate and detail-rich visualization of patient samples. This allows professional users e.g. to identify malignancies in tissue biopsies or pathogens in bodily fluids. Explore how ZEISS technologies enhance microbiology, hematology, cytology, urinalysis, and histopathology. Get the best out of your microscope for precise diagnostics and effective patient care.

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:

  • Brightfield contrast is one of the most commonly used techniques in clinical laboratories. Staining enhances contrast, making structures and details visible under the microscope:

    Microscopic view of Hematoxylin and Eosin Staining acquired with Axioscan 7 clinical
    Microscopic view of Hematoxylin and Eosin Staining acquired with Axioscan 7 clinical

    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.

    Microscopic view of Gram Staining
    Microscopic view of Gram Staining

    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.

    Microscopic view of Ziehl-Neelsen (Acid-Fast) Staining
    Microscopic view of Ziehl-Neelsen (Acid-Fast) Staining

    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.

    Microscopic view of Wright or Giemsa Staining
    Microscopic view of Wright or Giemsa Staining

    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.

    Microscopic view of Papanicolaou (Pap) Stain
    Microscopic view of Papanicolaou (Pap) Stain

    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.

  • Microscopic view of unstained, transparent specimens
    Microscopic view of unstained, transparent specimens

    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.
  • 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.

    Visualization of cell nuclei through DAPI
    Visualization of cell nuclei through DAPI

    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.

    Fluorophore conjugated to antibodies, proteins, or other biomolecules.
    Fluorophore conjugated to antibodies, proteins, or other biomolecules.

    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).

    Fluorescently labeled DNA/RNA probes to detect specific genetic sequences.
    Fluorescently labeled DNA/RNA probes to detect specific genetic sequences.

    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.

    Detection of acid-fast bacilli
    Detection of acid-fast bacilli

    Auramine-Rhodamine

    Binds to mycolic acid in the cell walls of mycobacteria.

    Applications:
    Detect acid-fast bacilli (Mycobacterium tuberculosis) in sputum or other samples.

  • Microscopic view of crystals in urine
    Microscopic view of crystals in urine

    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

Webinars

Watch these videos to learn more about clinical microscopes
  • Woman in a lab adjusting a microscope while looking through it.
  • Image excerpt from the product trailer ZEISS Axiolab 5 and Axioscope 5 - For Your Clinical Lab
  • Image excerpt from the product trailer Axioscan 7 clinical
  • A Step-by-Step Guide for Clinical Professionals
    How to Adjust Your Microscope for Ergonomic Use
  • 10 Highlights in 90 Seconds
    ZEISS Axiolab 5 and Axioscope 5 - For Your Clinical Lab
  • 10 Highlights in 90 Seconds
    ZEISS Axioscan 7 clinical - Go Beyond Routine Diagnostics

Downloads

    • Clinical Laboratory Testing of Sputum

      ZEISS Primo Star iLED

      1 MB
    • Quick Guide: Microscopy in Hematology

      11 MB
    • A Quick Guide to Cytological Staining

      1 MB
    • Your Compendium for Microscopy in Urinalysis

      Observing urine, detecting abnormalities.

      21 MB
    • Microscopic Anatomy in the Study of Medicine

      Fundamentals of Histology

      2 MB


Visit the ZEISS Download Center for available translations and further manuals.

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