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Wave Analyzer Medica 700 User Guide

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Appendices

31.08µm to -23.34µm.

Figure A1: Bland Altmann graph for the pachymeter comparison showing the difference
between the reference and test pachymeters, the average difference and 95% (red) and 99%
(green) confidence levels.

Tonometry Study:

In a clinical comparison with a Goldmann tonometer on 231 eyes covering the range 7 – 33
mmHg, 96% of measurements with the Wave Analyzer Medica 700 tonometer were within
±5mmHg of the Goldmann tonometer measurements.

13. 3 Conformity to International Standards

The Wave Analyzer Medica 700 conforms to the international standards described below.

Directives and Standards

The Wave Analyzer Medica 700 complies with the Medical Device Directive 93/42/EC and is in
Class IIa (rule 10).

Laser Class: Class 1 Product

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Summary of Contents for Medica 700

Page 1: ...Version 8 2 2018 28 Wave Analyzer Medica 700 2018 Visionix User Guide UM WAM 700 MAY 2018 Rev2 2...

Page 2: ......

Page 3: ...ent Supplied 3 1 11 Description of the Device 3 2 12 User Side 13 Patient Side 15 Side 16 Installation Procedures 3 3 16 Site Requirements 16 Unpacking the Unit 17 Electrical Connection 17 Loading Pap...

Page 4: ...6 Actions 5 89 Managing Patients 89 Adding New Patients 5 1 89 Adding a Patient Before Performing an Exam 91 Adding a Patient After Performing an Exam 91 Adding Related Patients 91 Adding a Patient fr...

Page 5: ...ote Access 119 Printing the Test Results 120 Generating a Report 121 Saving the Test Results 7 123 Managing the List of Test Results 123 Selecting Test Results 7 1 124 Loading Test Results 7 2 125 Exp...

Page 6: ...xport Data 166 Remote Access 172 Reports 180 Restoring the Factory Settings 10 8 181 Maintenance Screen 10 9 11 184 What Should I Do If 12 186 Maintenance 186 Cleaning the Unit 12 1 187 Replacing the...

Page 7: ...1 Introduction I...

Page 8: ...mpflug technique The air puff non contact tonometer measures the intraocular pressure Retro illumination imaging captures the light reflected from the eye to help identify dark spots on camera It is d...

Page 9: ...play exporting and importing the database deleting patient records General Actions and Features Additional information about the Wave Analyzer Medica 700 and its features screen saver password protect...

Page 10: ...Wave Analyzer Medica 700 User Guide 4 Introduction Copyright 2018 Manufacturer All rights reserved...

Page 11: ...2 Safety II...

Page 12: ...ing parts on the device This is a Class 1 laser product with an embedded Class 3R laser 2 1 Electricity Important To avoid risk of electric shock or bodily injury do not handle the electrical plugs wi...

Page 13: ...700 in a hot air current e g above a heater Do not obstruct the ventilation vents Never place the Wave Analyzer Medica 700 close to the following types of equipment which can perturb the reception of...

Page 14: ...o sale by or on the order of a physician 2 5 Network Configurations The safety of the Wave Analyzer Medica 700 has not been verified when connected to IT networks including other equipment and may res...

Page 15: ...3 Equipment and Installation III...

Page 16: ...ed PACKING LIST Wave Analyzer Cornea Medica 700 I t e m Part No Description Quan tity Serial No Pre sent 1 Wave Analyzer Cornea Medica 700 1 2 40150073 00 Nylon Bag 1 N A 3 Desiccant Bag Inside the ny...

Page 17: ...No Pre sent 1 0 30204034 00 Dust Cover 1 N A 1 1 UM30200001 00 User Manual CD 1 N A 1 2 WI 30201002 00 Packing Instructions For Wave Analyzer 1 N A Date __________________ Approved by Name Signature...

Page 18: ...rm all of the measurements during patient diagnostic exams 2 On Off switch Shuts down the machine 3 6 Ventilation Slots 4 Power cable connector Connect the supplied power cable to this connector plug...

Page 19: ...e and or to import data to the unit Connect a keyboard to use instead of or along with the virtual keyboard Connect a mouse to use instead of or along with the touch screen Connect a printer to print...

Page 20: ...Equipment and Installation No Description 1 Headrest The patient should lean their forehead on the headrest during all diagnostic procedures 2 Chin rest The patient should lean their chin on the chin...

Page 21: ...r is turned off LED on not flashing Printer is turned on and ready to print LED flashing Printer is on but either there is no paper or there is a malfunction 3 Printer paper feed button Press to feed...

Page 22: ...h limited illumination Unpacking the Unit To unpack the unit Remove the straps around the box Open the carton with care Lift the protective top cover to uncover the accessories listed in the packing l...

Page 23: ...per roll is in the printer remove it Insert the new roll with the end of the paper on the top of the roll Feed the paper into the slot at the top of the compartment Push the paper compartment door clo...

Page 24: ...e secure from unauthorized persons Subsequently the device will require the username and password each time you turn on the unit 1 Select the user Diagnostic 2 Enter this default password user The dev...

Page 25: ...4 Overview of the Software IV...

Page 26: ...of the Software Home Screen Patient Screen Measure Screen Results Screen 4 1 Home Screen The Home screen is the main menu of the Wave Analyzer Medica 700 It gives you access to all of the functional s...

Page 27: ...matically generated ID number 3 Open Patient screen button Opens the Patient screen and displays the list of patients 4 Turn Off button Shuts the unit down See Turning the Unit On and Off 5 Configurat...

Page 28: ...ter button Clear all patient filters and display all the patient records in the database 8 Mark all patients Mark the check boxes of all the displayed patient records Delete Patient 15 is applied to a...

Page 29: ...he cut measures and then select Paste to insert them 18 Delete Measure button Deletes all the measures whose check boxes are marked Note This button is only available when the check boxes of one or mo...

Page 30: ...reen Select to print a screenshot of the summary screen this requires a connection to an external printer 5 Cancel Cancels your selection 6 Send Confirms the selection and performs the transfer The ex...

Page 31: ...s the Home screen 2 Patient Name or ID of current patient Note If no patient was selected before the Measure screen was opened a temporary name is generated by the system by combining Temp with a numb...

Page 32: ...s no information available for loading For more information go to Importing XML data 8 Eye selector Select the eye or eyes to be tested 9 Right eye indicator When active indicates that the head is ali...

Page 33: ...anging the values in the dialog box will have no effect 15 Cancel Cancel the measurement procedure and return to the previous screen 16 Go Begin the diagnostic test 17 Down arrow Lower the unit s head...

Page 34: ...king on Parameters no 13 above the following dialog box is displayed No Description 1 Demo Puff Select to demonstrate tono air puff 2 WF Measurements The number of Wavefront measurements to perform 3...

Page 35: ...ent After you select Go to begin the selected measurement procedure the Measure screen shows information about the measurement process During the measurement process you can adjust the unit s head and...

Page 36: ...e is currently being performed 8 Completed test Indicates that the measure was already performed 9 Right eye indicator When active indicates that the measure is currently being performed on the patien...

Page 37: ...iscontinue the measurement on that eye and begin measuring the other eye 16 Stop Stop the entire measurement process When this button is selected the measurement procedure is aborted and the pre test...

Page 38: ...Wave Analyzer Medica 700 User Guide 32 Overview of the Software Ringer Screen...

Page 39: ...s position 1 Note If you erase more than 10 of the topography rings you may reduce the accuracy of the results 2 Add Select the position number of the ring shown in blue then trace the ring in that po...

Page 40: ...To add to the ring move the cursor over the area you would like to draw In the image above the ringer selected is in position number 11 To erase rings at will select AUTO and then slowly move the cur...

Page 41: ...ight eye 3 Left Measurements for the left eye 4 Both Measurements for both eyes 5 List of measurements The list of measurements that were performed previously and that can be repeated 6 OK Validates t...

Page 42: ...ored test results are loaded from the Patient screen The Results screen initially displays the Summary tab which gives a condensed view of the results The other tabs of the Results screen show certain...

Page 43: ...Description 1 Home button Opens the Home screen 2 Patient name date and time The surname and first name of the patient and the date and time of the measurement 3 Left eye Indicator Results displayed...

Page 44: ...utton Closes the Results screen and displays the default screen which is selected in the configuration settings 9 Tabs This section may have fewer tabs depending on the diagnostic chosen Select a tab...

Page 45: ...f the eye as well as the keratometry values Double tap or double click to open the topography map sub tab for the eye 5 Pachymetry Displays a Scheimpflug image if Multi Slit pachy taken of the cornea...

Page 46: ...Low Order aberrations 3 E Simulation The clarity of the E indicates how well the patient sees from the eye under photopic or mesopic conditions Double tap or double click the E to open a visual acuity...

Page 47: ...errations 3 E Simulation The clarity of the E indicates how well the patient sees from the eye under photopic or mesopic conditions Double tap or double click the E to open a visual acuity simulation...

Page 48: ...reater detail Summary tab for Glaucoma Evaluation diagnostic No Description 1 Tonometry Displays the IOP reading average IOP and corrected IOP according to formula chosen in settings 2 Pachymetry Disp...

Page 49: ...clarity of the E indicates how well the patient sees from the eye under photopic or mesopic conditions Double tap or double click the E to open a visual acuity simulation for daytime nighttime vision...

Page 50: ...tometry Displays the K1 and K2 values 2 Aberrations Chart Displays the LOA and HOA as well as KPI kerataconus index values 3 Topo Displays the corneal topography map 4 K Readings Displays the keratome...

Page 51: ...y Screen for Pachymetry Diagnostic No Description 1 Pachy Image Image of corneal anterior chamber with pachymetery results 2 Negative Pachy Image A negative of the image of corneal anterior chamber wi...

Page 52: ...fferent of 1D sphere and 0 75D cylinder the caution is also displayed When Sphere is above 20D or Cylinder is more than 8D When pupil diameter is less than 2 5mm in at least one eye When Pupil size di...

Page 53: ...d topographic maps of the cornea Ocular Corneal Internal Compare Ocular The WF sub tab displays wavefront maps of the measured ocular aberrations of one or both eyes Display options allow you to view...

Page 54: ...s Essentially WFE represents the required correction for achieving unaberrated vision OPD and WFE modes relate in the following way OPD x y WFE x y The chosen mode will be marked on each map in the lo...

Page 55: ...d in the eye selector R or L mode 6 RR or LL mode Display two maps both for the same eye namely the eye selected in the eye selector displaying two maps of the same eye allows you to compare two types...

Page 56: ...e selector Select one of the following map types Total Display composite of all aberrations HOA Display only high level aberrations LOA Display only low level aberrations Sphere Display only the spher...

Page 57: ...is activated the step and central value of the map are set automatically and the Step and Central Value selectors are disabled When it is deactivated the Step and Central Value selectors are enabled...

Page 58: ...orneas of one or both eyes Display options allow you to view maps of both eyes at once or of each eye individually to view four different types of topographic maps to change the step and central value...

Page 59: ...in the eye selector displaying two maps of the same eye allows you to view the same data in different ways For example you could display HOA data in one of the maps and LOA data in the other RR or LL...

Page 60: ...10 Transparent Displays the photo of the eye in the background with the projection of the Placido rings 11 Map Displays the topographic map of the cornea according to the map selected from the drop do...

Page 61: ...dicating where the pupil is or remove it when it is displayed 15 Zones Superpose zone guidelines 3 5 and 7mm on the map display or to remove them when they are displayed Map with zone guidelines 16 An...

Page 62: ...on topographic map Refraction Display a refractive topographic map 20 Date Tab If more than one measurement was performed for the current patient this tab opens a drop down menu with the dates of othe...

Page 63: ...e map click on a point in the map and a table with the value and location appears as seen below Internal The Internal aberrations map represents the calculated differences between the corneal aberrati...

Page 64: ...ct a map from this menu to be displayed The maps available for selection are Total LOA HOA Cylinder and Coma maps 4 Eye selector Select the eye you wish to be displayed 5 Corneal map This displays the...

Page 65: ...indication of Cataract or an internal eye issue Compare The Compare map feature compares two maps for the same patient and generates a delta map to illustrate changes over time This map is available a...

Page 66: ...on 3 Map Selection Select a map type from this menu to be displayed 4 Map Selection Select a map from this menu to be displayed The maps available for selection for Corneal maps are Axial Tangential T...

Page 67: ...to be displayed The maps available for selection for Ocular maps are Total LOA and HOA maps Corneal maps available for selection are Axial tangential total HOA and LOA maps 5 Pupil Diameter This is t...

Page 68: ...3 Geometry table Geometry of the cornea P 1 e2 and Q P 1 P Is a factor indicating how similar the shape of the cornea is to a perfect sphere in the case of a perfect sphere P 1 e This is a factor des...

Page 69: ...onus indices are designed to be an adjunct to a clinical examination and should never be used as a sole assessment tool in the diagnosis of Keratoconus Results of a clinical trial of the Keratoconus P...

Page 70: ...inferior and superior semi meridians and the horizontal and vertical meridians The mean is the average of the horizontal and vertical meridians Sagittal Radius Table The Sagittal Radius table shows t...

Page 71: ...y Tab The Tono tab displays the results of tonometry measures and the results of pachymetry measures For each eye the results of the measures are displayed individually and their average is also displ...

Page 72: ...the interior chamber angles for each eye Warning The safety and efficacy of the Wave Analyzer Medica 700 in measuring intraocular pressures in patients with greater than 3 diopters of corneal astigmat...

Page 73: ...tive Displays a negative of the image of the cornea 3 Enhance Enhances the outlines of the image 4 Corneal Thickness Displays values of the corneal thickness in a few areas on the cornea image 5 Irido...

Page 74: ...rnea is marked in green The Central Corneal Thickness CCT in microns is displayed in red Edit The Edit screen allows the user to relocate the measured points on the image in order to obtain better val...

Page 75: ...Corneal Thickness To edit central corneal thickness Select the yellow cross and drag it to the outer border of the cornea Please note This is only recommended if dissatisfied with the automatic corne...

Page 76: ...ral overview of the anterior chamber No Description 1 Ocular aberrations Displays values for ocular high order aberrations 2 Corneal aberrations Displays values for corneal high order aberrations 3 Le...

Page 77: ...most clearly resembles the patient s retroillumination image The image on top represents the mildest posterior opacity while the image on bottom represents the most severe posterior opacity 2 Cortica...

Page 78: ...an be selected at once in the LOCS menu After exiting the results screen you will see the message Click Yes to save or No to discard changes 4 9 Coeff Aberr The Aberration Coefficients tab shows the v...

Page 79: ...settings screen The Optical Path Difference OPD is defined as the difference between the aberrated and the ideal unaberrated wavefronts The OPD is positive if the aberrated wavefront leads the ideal u...

Page 80: ...displayed 2 Left Right display Choose right left display 3 Photopic Mesopic display Choose day night display 4 Graphical representation Each of the bars represents either Night Day aberrations or Righ...

Page 81: ...om the corneal topography measurement It is possible to display either day night data or right left data No Description 1 Aberration coefficients Choose aberration coefficients to be displayed 2 Left...

Page 82: ...or R L eyes 7 Scale Changes scale of graphical representation Internal The Internal Coefficient of Aberrations tab represents the differences between the corneal aberrations and the ocular aberrations...

Page 83: ...settings menu 6 Numerical representation These are the values for the coefficient of aberrations they are listed by type and according to either Night Day or R L eyes 7 Scale Changes scale of graphic...

Page 84: ...Visual acuity card display and the PSF Point Spread Function Display 4 MTF selector Displays the MTF graph 5 Correction selector Select HOA to access the same image with an HOA correction Select LOA t...

Page 85: ...for one eye 9 Visual Acquity image Reflects the actual quality of patient eyesight 10 PSF Image of the corneal PSF Point Spread Function Corneal The Corneal sub tab is identical to the Ocular one sin...

Page 86: ...elect LOA to access the same image with a LOA correction It is possible to select no correction at all or Full correction 6 RL Display two cards one for each eye Both cards are displayed with the same...

Page 87: ...upils 2 RL Display two cards one for each eye Both cards are displayed with the same display options 3 History Displays map results from previous and current topographic maps according to selected dat...

Page 88: ...well as their dimensions in the dropdown menu of the CL Fitting tab Choose a specific lens type and the software calculates the approximate fitting for you Note It is possible that the contact lens d...

Page 89: ...T setting and uses this criterion the next time the Contact Lenses environment is accessed 2 Fix Angle The orientation of K1 allows selecting the direction of the flattest meridian of a toric lens The...

Page 90: ...ye 8 Scale The scale used for the image in the display Values No Description 1 Section Display Displays a cross section of the lens 2 Values Display Select the display of the values on the contact len...

Page 91: ...lues of the patient 6 Display Displays the contact lens image superimposed on the image of the eye 7 Scale The scale used for the image in the display Display No Description 1 1st Scale selection 2 2n...

Page 92: ...or the patient 8 Keratometry values Displays the keratometry values of the patient 9 Display Displays the contact lens image superimposed on the image of the eye 10 Scale The scale used for the image...

Page 93: ...ription 4 Refraction values Displays the refraction values for the patient 5 Keratometry values Displays the keratometry values of the patient 6 Display Displays the contact lens image superimposed on...

Page 94: ...5 Managing Patients V...

Page 95: ...before or after you perform exams on them You can also add a number of related patients to the database quickly by duplicating the current patient record and modifying those parts that are different...

Page 96: ...een added the note will appear like this 2 Cancel Cancels saving new patient 3 Save Save the new patient in the database close the dialog box and display the patient screen 4 Save New Save the new pat...

Page 97: ...t Patient Adding Related Patients To add patients from the same family to the database In the Patient Information dialog box fill in the fields for the first member of the family Select Save New The p...

Page 98: ...n this field to open a browser and select the path to import the XML data 3 Clear After Import This button will erase all of the data in the Waiting Room popup once it has been imported This erases th...

Page 99: ...ent Click on the Add Patient button to import the patient s Now the patients will appear along with the rest of the patients in the patients screen 5 2 Modifying a Patient s Information To modify a pa...

Page 100: ...t a single patient in order to see the patient s information and test results In the Patient screen in the patient list select the patient The patient s entry in the list is highlighted with a blue bo...

Page 101: ...screen in the Surname field enter one or more letters from the beginning of the surname you want to see Only those entries whose surnames begin with the sequence of characters you entered are display...

Page 102: ...s from the patient list In the Patient screen select the check box beside each patient record you want to delete At the bottom of the screen select Delete Patient You are prompted to confirm that you...

Page 103: ...6 Performing a Diagnostic VI...

Page 104: ...ation or by cutting the results from the temporary patient record and pasting them into a permanent record see Moving Test Results to a Different Patient Initiating a Diagnostic from the Patient Scree...

Page 105: ...Parameters In the dialog box that opens modify the parameters as required and then select OK to save the changes Instruct the patient to sit down place their chin on the chin rest and lean their fore...

Page 106: ...rection arrows Press on arrows to center patient s eye in the camera view 3 Camera Cross The patient s eye should be in the center of the camera cross 4 Chinrest Arrows Use the arrows to raise or lowe...

Page 107: ...pupil Note To ensure maximum accuracy if the examiner accidentally moves the head of the Wave Analyzer Medica 700 so that the patient s eye is not centered in front of the camera view the device will...

Page 108: ...lus Minus Buttons To improve the measurement click on the button and the Hartman Shack image No 1 will be enhanced If the measurement is still unsuccessful click on the button the Hartman Shack image...

Page 109: ...nostic you can choose to make the measurement process faster if necessary To speed the Wave Front measurement process up In the Measurement screen select Quick Mode Note this only works for the wave f...

Page 110: ...tion as a stand alone measurement or select the ALL measurement where it is automatically included After the unit completes the pachy measurement it descends to the tonometer mode It uses the centerin...

Page 111: ...Wave Analyzer Medica 700 needs to be centered and focused The cross should be focused and clear behind the black large dot By default the tonometer will usually do the measurement automatically but i...

Page 112: ...oss are focused and clear but the device has not taken a measurement you can force the device to take a measurement by pressing Force Fire If the device remains in one location and does not seem to be...

Page 113: ...to get a good focus enabling the examiner to correct the focus manually using the and buttons It may be activated in the following modes Topo Measurement Pachy Tono How do you know if you are in Manua...

Page 114: ...Select Acquire Tono Manual Focus For instructions on improving the tono focus go to Glaucoma Evaluation Topo Manual Focus During the Topo measurement if device is unable to focus automatically it wil...

Page 115: ...1 Center and Focus the rings and select ACQUIRE Select OK and complete the steps listed in Topo Manual Focus Once that step is completed you will see a message Step 2 Use the focus buttons to align t...

Page 116: ...ed above the cross 2 above accurately and may appear below it or above it For example if it appears like this Image of the Camera View How to Fix it Cornea is too low illustration Use the and buttons...

Page 117: ...front Diagnostic In the Measurement screen select the Parameters button 1 Demo Puff Select to demonstrate 2 Wave Front The number of Wave front measurements to be selected 3 Tono Measurements The numb...

Page 118: ...patient database so you can see them again at any time Please note if automatic export is selected the exports will be performed after exiting the results Retaking Adding a Measurement Exporting the R...

Page 119: ...ts screen select the Measure button immediately after completing the measurement If no measurements are to be repeated this popup menu will not open Select a diagnostic and continue with the examinati...

Page 120: ...ted in the Export Settings menu and that it is properly connected to the Wave Analyzer Medica 700 Exporting the Results to a Computer or USB Storage Medium From the Results screen you can export test...

Page 121: ...Export dialog box opens Export dialog box Under Data Transfer you may select your preference Network or USB Select Send and this browser opens Browse for your preferred location and Select OK Note Ma...

Page 122: ...ults to an External Device In the Results screen select the Export button An Export dialog box opens Export dialog box Under Data Transfer select External Device Select Send Note Make sure that the de...

Page 123: ...een you can export test results to an email message to a default recipient or to a new recipient To export test results in an Email message In the Results screen select the Export button An Export dia...

Page 124: ...ting Email 4 Subject This can be free text or a default subject To select the current subject as default click on 9 Set as Default button 5 Summary Select to add summary screen to the message 6 Topo P...

Page 125: ...d Remote Access button in the Settings menu Printing the Test Results In the Results screen you can print the test results by exporting them to the built in printer To print the test results on the bu...

Page 126: ...ser Guide 120 Performing a Diagnostic Generating a Report To generate a report In the Results screen select the Export button The following dialog box opens Under Print select Report Select Send The R...

Page 127: ...ved under the patient s name If no patient was selected when the diagnostic was initiated the system generates a temporary name with surname Temp and a number for the first name e g Temp 1185 Temporar...

Page 128: ...7 Managing the List of Test Results VII...

Page 129: ...screen Selecting Test Results Loading Test Results Exporting Test Results from the Patient Screen Exporting Test Results from the Results Screen Moving Test Results to a Different Patient Deleting Tes...

Page 130: ...the result list select the check box beside each result you want to delete Test results selected individually and as a group No Description 1 Selected patient 2 Check box selected to select results as...

Page 131: ...the Patient Screen above select the measure you want to export The measure is highlighted with a blue border At the bottom of the list select Export The Export dialog box opens Export dialog box To p...

Page 132: ...nal Device Select to transfer data from the device to an external device for example XML data and XML databases or data to a phoropter head To view external device options go to the Export Settings co...

Page 133: ...u this requires a connection to an external printer 8 Preview Opens a report preview of the measurement results 9 Send Confirms the selection and performs the transfer To print the test results on the...

Page 134: ...test results The patient entry is highlighted with a blue border and the Cut button is replaced with a Paste button Patient screen with Paste button Select Paste no 1 You are prompted to confirm that...

Page 135: ...8 Managing the Database VIII...

Page 136: ...usly exported and delete all of the patient records or all of the temporary patient records from the Wave Analyzer Medica 700 database For general information about working with patient records see Pa...

Page 137: ...131 Wave Analyzer Medica 700 User Guide 131 Managing the Database To export your database to an external device Selecting the Maintenance tab opens the following screen...

Page 138: ...the folder in which you want to save the data Select OK The backup begins A folder called ClientDB is created in the folder you selected and the data from the database is saved in it A Copying dialog...

Page 139: ...l the data in the database To do so in the ClientDB folder select the patient s folder The name of the folder contains the patient s full name birth date and gender For example the folder called Melod...

Page 140: ...ds displayed that are not temporary records that is records of patients whose surnames begin with Temp If there are any clear the check boxes beside their names Below the Patient list select Delete Pa...

Page 141: ...9 General Actions and Features IX...

Page 142: ...o launch the screen saver automatically after a specified number of minutes have passed without any user actions see Screen Saver Note We recommend activating and modifying the default password to the...

Page 143: ...connect a mouse and or a keyboard to the unit s USB ports If you connect a keyboard you can enter characters into text fields with either the virtual keyboard or the physical keyboard Similarly if you...

Page 144: ...nput field for entering text such as Last name First name or New Patient and the windows keyboard appears like shown above 2 Language Button Click on this button to select the language options availab...

Page 145: ...d save it either on the Wave Analyzer Medica 700 itself or on a device to which it can connect For example download the update file to a USB flash drive and then plug the flash drive into the unit s U...

Page 146: ...screen 9 6 Getting Assistance If your Wave Analyzer Medica 700 is connected to the internet technical support staff can connect to the unit on line if necessary to give guidance and troubleshoot prob...

Page 147: ...10 Configuring the Unit X...

Page 148: ...lect the Configuration Screen button 5 in the diagram above To open the Configuration screen from the Patient screen Select the Configuration button 12 in the diagram above 10 2 Overview of the Config...

Page 149: ...hat were made to the configuration settings Save Save all changes that were made to the configuration settings close the Configuration screen and display the Home screen 10 3 Modifying Configuration S...

Page 150: ...screen The default screen can be the Home screen the Patient screen or the Measure screen 3 Device Parameters 4 Security 5 Screen Saver Select the check box to configure the screen saver to be activat...

Page 151: ...mporary patient records from the database Note Temporary patient records are the results of measurements that were performed without being associated with a patient record They have the surname Temp a...

Page 152: ...with AM and PM to indicate which half of the day is intended 24 Hours The 24 hour clock 10 5 Measurement Settings Default Diagnostic Tests Default Device Settings Pupillo Diagnostic The Diagnostic sub...

Page 153: ...urement screen 2 Default Select the default measurement only one measurement may be selected 3 Custom Diagnostic Select the measurements to be included in the Custom diagnostic 4 Topo Select either To...

Page 154: ...Scroll down to view additional diagnostics Diagnostic Description All Includes WF Topo Tono Keratometry Pachy and Refraction Glaucoma Includes Pachy and Tono measurements Refraction Includes Refractio...

Page 155: ...enu will appear in the measurement menu Default The Default sub tab of the Measure tab has two sections In the first section Default Device Settings you can set default sound and luminosity settings a...

Page 156: ...d Near Vision in the Wave Front test Select the and to change the default distance for near vision testing Note this will add Near Vision testing to every wavefront test Tono Measurements Allows you t...

Page 157: ...nation settings although they can be modified in this screen No Description 1 Illumination Level Use the and to adjust the illumination levels 2 Waiting Time Use the and to adjust the waiting time bet...

Page 158: ...nology for the map and scale to Tangential or Instantenous for the map and to Standard or Absolute Auto or Normalized for the scale 2 Refraction Default settings for Refraction and Ocular Wavefront 3...

Page 159: ...the required correction for achieving unaberrated vision OPD and WFE modes relate in the following way OPD x y WFE x y 7 Zernike Unit Select the units microns or diopters for displayed measurements 8...

Page 160: ...ughty MJ Zaman ML Human corneal thickness and its impact on intraocular pressure measures a review and meta analysis approach Surv Ophthalmol 2000 44 367 408 Doughty 2 for glaucomatous eyes Formula Co...

Page 161: ...en Hans J Grein Lutz E Pillunat Effect of central corneal thickness corneal curvature and axial length on applanation tonometry Arch Ophthalmol 2006 124 471 476 Herndon Formula IOP correction 0 05 CCT...

Page 162: ...pectively 3 Step Select the default rate of change for the color scale the range of values represented by each distinct color Select to increase the step or to decrease it Note You can manually change...

Page 163: ...ding of topographic maps will be implemented The color palette on the left side of the screen changes dynamically as you change the settings in the Palette Topography section In addition when certain...

Page 164: ...ther settings in the Palette Topography section are set automatically as required by this convention and cannot be changed The middle value will be set to 44D and step to 1D ISO Use the ISO color codi...

Page 165: ...ht and dark blue show the flattest areas ISO has 26 steps from red to blue Custom palette has 26 steps from white to blue The central value is yellow In the settings you can choose this color palette...

Page 166: ...10 7 Export Settings The export settings define the settings that control how the results of the selected or current diagnostic can be exported to other devices or printed Note These settings relate...

Page 167: ...ur preferences fill in the checkboxes of the data you want exported 3 Export Directory Choose the path to the directory you wish to export to 4 External Device Check this box if you would like to expo...

Page 168: ...re information go to Adding a Patient via XML 8 WF Convention After checking External Device No5 select this field to specify the data convention to be sent via XML two types of conventions are possib...

Page 169: ...an be imported from this file to another database Surname Select this option to include the patient s surname in the exported data 1st Name Select this option to include the patient s first name in th...

Page 170: ...e Ticket Header check box and then enter the text in the lines below it For example you could enter your name and address in the lines 3 Header Text Enter the text of the header here 4 Format Select t...

Page 171: ...t recipient To add additional laboratories click buttons 2 3 16 Host Configurations This popup shows possible host configurations such as SMTP configurations Port settings Email To configure the Email...

Page 172: ...inting no 6 Select Popup Always Open 7 to always open the Export dialog box when Export is selected Clear this option to automatically perform the actions selected in the Selected Items for Export Pop...

Page 173: ...o view Remote Access data in your browser click on this button to save your login and password You will be required to enter this information when viewing the webservice data 5 Save Allows the user to...

Page 174: ...Access Data button and the following screen appears No Description 1 Cancel Cancels selection 2 No Once selected only missing data will be added to the remote access site Any data already saved in the...

Page 175: ...ve Analyzer Medica 700 User Guide 169 Configuring the Unit Viewing in Your Browser Once you have completed the configuration you can see the maps and data in the browser or your PC MAC or tablet with...

Page 176: ...onfigured in the Remote Access settings menu No Description 1 User Name Enter the user name selected in the settings menu here 2 Password Enter the password selected in the settings menu here 3 Login...

Page 177: ...e 3 Diagnostic List of diagnostics and dates measurements were taken 4 IP address Identical address as listed in browser is indication you are connected to site properly 5 Show Names Images Select che...

Page 178: ...ear and they are selected in the settings menu wait a few minutes and refresh the browser Click EXIT to go back to the database Reports The Wave Analyzer Medica 700 comes with a Report feature which e...

Page 179: ...fault report template No Description 1 Patient Info Includes patient s name or ID date and time of examination 2 Name of map Name of map displayed 3 Map Displays a map of the selected preference defau...

Page 180: ...available in the Export popup from the Results screen it needs to be selected in Settings Export Print Report For learning about how to define a Custom report go to Configuring a Report Configuring a...

Page 181: ...next to the template you wish to save as default and click Save 2 Update This options allows you to edit an existing template Click on the checkbox next to the template and then select the Update butt...

Page 182: ...t you wish to edit 2 Update Click on the Update button 3 Template Name Displays the name of the template 4 Add Map Click on this image to add a map to the template Next click on any available space on...

Page 183: ...e is filled up it will appear as 7 and 8 10 Save Click on the Save button to save your changes and return to the Report menu 11 Cancel Click on cancel to cancel any changes you made and to return back...

Page 184: ...a table to the template Next click on any available space on the page 9 to save the table there 5 Erase Select a map or table and then click on this button to erase them 6 Available Space Click on th...

Page 185: ...to or Standard 5 Available Space Click on the available space to add a map or a table Once the space is filled up it will appear as below To add tables to the report click on the table button and foll...

Page 186: ...preference For more information on creating a report go to Generating a Report 10 8 Restoring the Factory Settings You can return all the configuration settings to their factory default values To rest...

Page 187: ...is option allows you to upgrade software for more information go to Updating the Software 4 System Information Displayed here is the Computer name IP address Version and Serial Number of the unit 5 Te...

Page 188: ...ou to display patients by Surname or ID number in the database 11 Database path This displays the path that the database is located 12 Index Setting up This button updates the index of the patient scr...

Page 189: ...11 What Should I Do If XI...

Page 190: ...asured pupil size is different from the expected or actual pupil size External lights or windows near the unit Large patches of light near the unit Ensure that there no bright lights or windows near t...

Page 191: ...12 Maintenance XII...

Page 192: ...ommercial non abrasive cleaner and gently wipe the top bottom and front surfaces CAUTION Do not spray or pour any liquid directly on the device CAUTION Do not use caustic or abrasive cleaners Chin Res...

Page 193: ...n the middle of the paper compartment and pull the cover down If an empty paper roll is in the printer remove it Insert the new roll with the end of the paper at the top of the roll Feed the paper int...

Page 194: ...Wave Analyzer Medica 700 User Guide 188 Maintenance 2 Click on Turn Off button 3 Click on OK button...

Page 195: ...189 Wave Analyzer Medica 700 User Guide 189 Maintenance 4 Head and ChinRest are lowered 5...

Page 196: ...Wave Analyzer Medica 700 User Guide 190 Maintenance 6 7...

Page 197: ...191 Wave Analyzer Medica 700 User Guide 191 Maintenance 8 9...

Page 198: ...Wave Analyzer Medica 700 User Guide 192 Maintenance 10 11...

Page 199: ...193 Wave Analyzer Medica 700 User Guide 193 Maintenance 12...

Page 200: ...Wave Analyzer Medica 700 User Guide 194 Maintenance 13...

Page 201: ...195 Wave Analyzer Medica 700 User Guide 195 Maintenance 14...

Page 202: ...Wave Analyzer Medica 700 User Guide 196 Maintenance 15...

Page 203: ...197 Wave Analyzer Medica 700 User Guide 197 Maintenance 16...

Page 204: ...13 Appendices XIII...

Page 205: ...of protection against electric shocks Class 1 Degree of protection against electric shocks Type BF IP classification IPXo Size W L H 312mm 530mm 570mm Weight 25 kg Operating Conditions Temperature 10...

Page 206: ...0 mm 7 0 mm pupil 3 zones Number of Measuring Points 1400 points for 7mm pupil Working Distance 94mm Method Shack Hartmann Corneal Topography Specifications Number of Rings 24 Number of Measuring Poin...

Page 207: ...nn tonometer measurements 13 2 Clinical Studies Pachymeter Study A clinical study was performed including 68 normal eyes that compared the Wave Analyzer Medica 700 pachymeter function with the Pentaca...

Page 208: ...l comparison with a Goldmann tonometer on 231 eyes covering the range 7 33 mmHg 96 of measurements with the Wave Analyzer Medica 700 tonometer were within 5mmHg of the Goldmann tonometer measurements...

Page 209: ...erefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class B The Wave Analyzer Medica 700 is suitable for use in all...

Page 210: ...power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 sec Complies Mains power quality shoul...

Page 211: ...e may occur in the vicinity of equipment marked with the following symbol Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all solutions Electro...

Page 212: ...that such electronic and electrical devices should not be scrapped as ordinary domestic waste To avoid environmental risks or other dangers caused by irresponsible scrapping this product and all its...

Page 213: ...152 Configuration screen 142 Connections Electrical 17 Cornea Biometry 66 CCT 66 Opacity 70 Thickness of 66 Cornea tab 61 Eccentricity 64 Geometry 61 Keratoconus 61 63 Meridians 64 Sagittal Radius 64...

Page 214: ...8 LCD screen 199 Specifications 199 LOA map 47 Loading paper 17 Luminosity target 149 M Maintenaince screen Exporting the Patient database 130 Importing patient records 130 Maintenance 186 Maintenance...

Page 215: ...ting 130 Importing 130 Managing 130 Refraction and aberration settings 152 Replacing paper 187 Restoring fact 142 Restoring factory settings 180 Results 36 65 Biometry 66 Cornea 63 64 66 Cornea tab 61...

Page 216: ...oading 124 Managing 123 Moving 128 Printing 125 126 Selecting 123 Text entering 137 Topo Data tab 61 Topographic maps 52 Topography Aperture 157 Settings 157 Transporting the Wave Analyzer Medica 700...

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