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1. 

Overview 

1-1 

Instrument Overview, Components and Options 

Retinomax Screeen is an objective hand held refractometer, designed to measure refractive 

power and pupil diameter. 

This equipment is intended for use indoors by medical doctors, orthoptists, and 

optometrists. 

The refractive power measurement examines the refractive condition of the patient's eye to 

measure the spherical diopter power, cylindrical power, and cylinder axis angle. 

The pupil diameter measurement measures the pupil size in the horizontal and vertical 

directions. 

This instrument consists of a main unit (Retinomax Screeen), Station (Retinomax Station 5), 

and Printer (Retinomax Printer 5). 

Device and printer could be carried with ease, and contains battery, make it easier to 

measure and print out in small spaces. The station has function to charge, and power supply, 

makes it chargeable for the battery and supplies to the device and the printer. 

It also has a function to transfer the measured data to PC. 

 

■ Components 

● Main unit (1) 

● Station (1) 

● Printer (1) 

 

● Battery pack (1) 

● Model eye (1) 

● Print paper rolls (5) 

(RT-01XR) 

(DXA30109) 

● Strap (1) 

● Blower (1) 

(DDB30006) 

 

 

Summary of Contents for Retinomax K+Screeen

Page 1: ...Hand Held Auto Refractometer Instructions November 2018 D054 E...

Page 2: ...lectrotechnical Commission IEC Before using the instrument be sure to read the instructions carefully and fully understand the operation procedures and safety instructions to ensure correct usage Also...

Page 3: ...t 30 3 2 2 Printer 31 3 3 Setting Up the Instrument 31 3 4 Charging the Battery Pack 32 3 4 1 Automatic Charging of the Main Unit 33 3 4 2 Automatic Charging of the Printer 34 3 4 3 Charging a Spare B...

Page 4: ...roper Measurement 75 4 7 2 Auto Fogging 77 4 7 3 Representative Value 79 4 7 4 REF Confidence Value 79 4 7 5 Standby Mode and Auto Power off 80 4 7 6 Measurement of IOL Eyes 80 4 7 7 If Measured Value...

Page 5: ...g the Measurement Accuracy 99 7 2 Replacing the Print Roll 99 7 3 Replacing the Fuses 100 7 4 Cleaning the Forehead Rest 101 7 5 Cleaning the Measurement Window 101 7 6 Cleaning Model Eye 101 7 7 Clea...

Page 6: ...ts around the patient where disturbing measurement it may cause failure of measurement CAUTION Indicates a potentially hazardous situation which if not avoided could result in injury or damage to the...

Page 7: ...5 no condensation atmospheric pressure 800 1060 hPa This instrument does not meet the temperature requirements of ISO 15004 1 for using Do not use this instrument in conditions where the temperature m...

Page 8: ...cause afire When replacing the fuse in the station be sure to turn off the power switch and pull out the power cord Be sure to use the designated fuse Use of an undesignated fuse can lead to electric...

Page 9: ...ith the IEC 60601 1 Anyone who connects additional equipment to the signal input part or signal output part is responsible for making sure that the system complies with the requirements of the IEC 606...

Page 10: ...dow See 7 5 Cleaning the Measurement Window To clean the measuring window be careful not to make damage or broken of the window screen Internal Battery For clock function lithium battery is equipped a...

Page 11: ...e printer The battery pack is a consumable item It can be recharged but eventually wears out When the battery pack is no longer usable purchase a new one from your local dealer of the instrument CAUTI...

Page 12: ...ile radio frequency communication systems because it may have an adverse effect on operation of the device 5 Do not use cables and accessories that are not specified for the device because that may in...

Page 13: ...are used in such an environment Enclosure port Phenomenon Basic EMC standard or test method IMMUNITY TEST LEVELS Professional healthcare facility environment Electrostatic discharge IEC 61000 4 2 8 kV...

Page 14: ...ME EQUIPMENT or ME SYSTEM The IMMUNITY TEST LEVELS are applied to the a c power input of the converter 7 Applicable only to ME EQUIPMENT and ME SYSTEMS connected to single phase a c mains 8 E g 10 12...

Page 15: ...specified frequency range 6 r m s before modulation is applied 7 The ISM industrial scientific and medical bands between 150 kHz and 80 MHz are 6 765 MHz to 6 795 MHz 13 553 MHz to 13 567 MHz 26 957...

Page 16: ...1900 DECT LTE Band 1 3 4 25 UMTS Pulse modulation 2 217Hz 2 0 3 28 2450 2400 2570 Bluetooth WLAN 802 11 b g n FRID 2450 LTE Band 7 Pulse modulation 2 217Hz 2 0 3 28 5240 5500 5785 5100 5800 WLAN 802 1...

Page 17: ...meter measurement measures the pupil size in the horizontal and vertical directions This instrument consists of a main unit Retinomax Screeen Station Retinomax Station 5 and Printer Retinomax Printer...

Page 18: ...e installation in such a way that accessible metal parts cannot become live in the event of a failure of the basic insulation Always use the power cord shipped with the instrument It must be connected...

Page 19: ...nstrument indicates the need for caution This symbol indicates the necessity if referring to the relevant part of the instruction manual before use This symbol indicates that the type of protection ag...

Page 20: ...Device Directive 93 42 EEC in EU This symbol means the manufacturer This symbol means the manufacture date This symbol means this equipment conforms to China RoHS Management methods for Controlling p...

Page 21: ...s labels and marks to draw user s attention to important information and precautions If you found some scratch or rack of words please contact to dealer whom you purchased from Main unit Bottom Type B...

Page 22: ...21 Manufacture date Station Rear of the station...

Page 23: ...22 Printer Bottom Battery part Manufacture date...

Page 24: ...23 Battery pack...

Page 25: ...Forehead rest Center of measuring window Target line for measuring window lateral position Measuring part Right Left eye sensor Target line for measuring window height position Lighting part in CHILD...

Page 26: ...the power on off Symbol will change depends on the battery pack s capacity Green capacity is over50 Orange capacity is approximately 10 to 50 Blinking with orange capacity under approximately 10 When...

Page 27: ...ain to release VD Hold down 2 sec Measure with VD 0 Hold down again to release CHILD QUICK Push Switch to CHILD mode and QUICK mode Symbol is blinking CHILD mode lighting QUICK mode ANGLE Refer to rig...

Page 28: ...ntacts for charging the main unit 4 Accessories mount Contacts for connection to printer 5 Power indicator lamp Charge lamp for main unit Charge lamp for printer Accessories mount Fuse Place the model...

Page 29: ...ted charging Power indicator lamp OFF Blue Blue Charge lamp for the main unit OFF Orange OFF Charge lamp for the printer OFF Orange OFF 2 4 Printer Indication lamp Paper cover Lever opening closing of...

Page 30: ...power Blue USB suppling power Light blue Receiving data Pink Error See 8 3 Printer Troubleshooting Pink blinking Data can be output to the PC while USB power is being supplied but it cannot be printe...

Page 31: ...t in the battery pack with the clicks slide the battery pack to to install 3 To remove the battery pack slide it to reverse direction of 4 To close the grip cover slide it in the opposite direction of...

Page 32: ...nnect the power cord to AC inlet use power cableenclosed 5 Make sure that the power switch on the station is set to OFF power plug into a power outlet side and plug the 6 On the station set the power...

Page 33: ...hooting and check the blinking interval If blinking interval is 3 seconds charging stops due to the influence of room temperature Check the room temperature and restart charging if it is between 10 C...

Page 34: ...hen the charging is completed the charge lamp for the main unit goes out Only use the RT 01XR battery pack which is our designated lithium ion battery Useo fany other battery voids the operationwarran...

Page 35: ...charge lamp for the printer goes out CAUTION 3 4 3 Charging a Spare Battery Pack Insert the battery pack you want to charge into the printer and charge it See 3 2 2 Printer for how to install the bat...

Page 36: ...easurement Procedure Display of the opening screen Display of the measurement screen Confirmation of the setting Calibration with model eyes Prepare the forehead rest Positioning the measurement eye B...

Page 37: ...urement standby screen 4 1 2 Measurement Screen Measurement target Reference and examples of measurement screen Ref measurement number of times Right eye Left eye Stored data sets Storable data sets B...

Page 38: ...L eyes automatic discrimination Right eye measurement by R L eyes manual setting Left eye measurement by R L eyes manual setting Measurement mode AUTO mode AUTO2 mode Continuous measurement CONT mode...

Page 39: ...measurement setting OUTPUT Change output setting MEMORY Output and delete stored data CHILD Change CHILD mode setting OTHER Change other setting CLOCK Change time setting POWER OPTION Change power su...

Page 40: ...S ONE CYL VD 12 0 STEP AUTO OUTPUT OUTPUT SETTING OUTPUT PRINT USB PRINT ID 1 USB FORMAT PC OUTPUT FORMAT REF ALL P S ON MESSAGE OFF EYE OFF CONT FORMAT OUTPUT DATA LAST5 REF ALL P S ON MESSAGE OFF M...

Page 41: ...N OFF CHART BRIGHTNESS AUTO LCD 80 PARALLEL ON FOCUS ASSIST ON AUTO QUICK OFF CLOCK DATE FORM 120V area MDY 230V area DMY TIME FORM 120V area AM PM 230V area 24H POWER OPTION STAND BY 3MIN SHUT DOWN 3...

Page 42: ...surement See 4 3 1 Automatic Measurement Mode AUTO AUTO2 to be acknowledged how to measure 4 Compare the values measured with the model eye against the values SPH CYL printed on the model eye Confirm...

Page 43: ...y be affected If the measured values are out of the above ranges see 4 3 1 Automatic Measurement Mode AUTO AUTO2 and check that your measurement procedure was correct Then retry the measurement Also c...

Page 44: ...ximately Vertical Align to the target line for measuring window height Lateral Align to the target line for measuring window lateral position Back and forth Position the measuring window approximately...

Page 45: ...to determine the spectacle lenses that best suit you Please look at the center in a relaxed manner Try to keep your eye as still as possible Example of a tulip fixation target CAUTION In a measuremen...

Page 46: ...mire ring When the instrument judges that the measurement values are stable the measurement will endautomatically Start Fog REF measurement Measure 5 times at least Auto stop A2 Auto measurement mode2...

Page 47: ...on the patients eye approximately See 4 2 2 Positioning the Measurement Eye 3 When the is lighting as you move the main unit closer to the patient the automatic right left eye discrimination function...

Page 48: ...display direction makes it easier to acquire measurement values Move the main body in the direction to be displayed to make it easier to obtain measured values Select OTHER in SETUP and set PARALLEL t...

Page 49: ...ye measurement If you want to finish the measurement and send the data to printer please press See 4 5 Printing for the data transmission method 4 5 2 Printing Examples for the print example and 5 2 O...

Page 50: ...7 Storing Data 11 After completed transferring data the case measure the other patient push measurement switch and implement 3 to 9 process A black shadow develops if the pupil has a something that ob...

Page 51: ...een at measurement CONT 3 If you wanted to end the one eye measurement press the measurement switch Or change to the other eye while measuring 4 When completed measuring both eyes moves on to screen c...

Page 52: ...ode the symbol will be lighting and CHILD mode will be off CHILD mode The case that measure children sometime they dislike to be measured This instrument contains function that make them pay attention...

Page 53: ...CHILD mode setting screen CHILD in SETUP See 5 4 CHILD Mode Screen CHILD Perform the measurement in the same process as 4 3 1 Automatic Measurement Mode AUTO AUTO2 and 4 3 2 Continuous Measurement Mo...

Page 54: ...ful in cases when measurement is difficult because of rapid eye movements due to nystagmus or if the patient is a child or other reason QUICK mod QUICK mode measurement Perform the measurement in the...

Page 55: ...he right side of the screen Pupil measurement data Pupil size measurement The maximum values of pupil diameter both lateral and vertical directions are measured If the pupil diameter less than 2 0mm p...

Page 56: ...se the pupil size is less than 2 3 mm 6 When P S is set to ALL measurement is performed 5 times The variation is judged from REF measurement value when the pupil size is 2 3 mm or more and if stable d...

Page 57: ...e measurement Move the main unit in the indicated directions and measurements will be obtained more easily Measurement screen when alignment is on 1 Enter to SETUP with set ALIGN in OTHER to ON 2 Star...

Page 58: ...act position 1 Enter to SETUP with and setting with FOCUS ASSIST in OTHER ON Automatically measure when matched focus and alignment DISPLAY Indicates focus No auto measurement OFF The function is off...

Page 59: ...ing DISPLAY up and down white up and down green up and down green up and down green up and down green up and down green up and down white right and left blue right and left green right and left orange...

Page 60: ...e horizontal indication display is displayed in 2 increments Measurement screen when horizontal correction is ON 3 When you wanted to release the auto correction hold down for 2 seconds again 4 When t...

Page 61: ...you need to perform measurement from 45 90 or 135 rotated position as for bedside measurement astigmatic axis AX must be set appropriately The rotation correction function corrects the astigmatic axis...

Page 62: ...rection of the arrow with patient shead 3 To be off rotation correction function hold down for 2 seconds again Rotation corrected angle select screen 4 Push the arrow changes form blinking to lighting...

Page 63: ...Each corrected angle for right left eye measurement is displayed on measurement completed screen Rotation corrected angle Measurement completed screen with rotation correction function Printing examp...

Page 64: ...ed after 6 seconds shift to QUICK mode automatically 3 When switching to QUICK mode AQ is displayed on the left side of the screen Measurement screen when switching to QUICK mode by AUTO QUICK mode Th...

Page 65: ...64 5 When shifting to QUICK mode by AUTO QUICK mode AQ is printed on the measured data Printing example...

Page 66: ...ing and mire ring and background illumination are light out only the central cornea reflected light and pupil can be seen Any foreign objects such as opacity in the crystal lens that obstructthe measu...

Page 67: ...memory function is on the transferred data to the printer automatically stored to the main unit 1 Hold down for 2 seconds on measurement standby screen lights and memory function is on 2 After measur...

Page 68: ...measurement standby screen again 2 Quick Saving This function can manually save the measured data when the memory function is off 1 Implement measurement with the memory function off 2 Hold down for 2...

Page 69: ...68 4 Printing the data stored by quick saving QS is printed on the printing data Printing example one eye after measured...

Page 70: ...RMAT with SETUP to ALL an error will occur if data is transmitted while the main unit and the printer are separated by 50 cm or more Be sure to transmit the distance between the main unit and the prin...

Page 71: ...nit There is an angle of more than 45 degrees between the front side of the main unit and the data receiving window of the printer In such cases move near the printer and press once again to send data...

Page 72: ...values Right eye REF representative value Right eye Spherical equivalent power Right eye Pupil size representative value in representative value REF confidence value Left eye REF pupil diameter values...

Page 73: ...4 5 3 Cutting off the Printer Paper Auto cutter is equipped on the printer and the paper is automatically cut Tear out the paper by pulling it toward you since the central of the paper is still tied...

Page 74: ...T SETTING see 5 2 1 Output Setting OUTPUTSETTING If PRINT ID is set to SELECT the screen switches to the PRINT ID SELECT screen each time when data is transmitted Please select the PRINT ID set for th...

Page 75: ...down for 2 seconds with sub menu in SETUP Hold down for 2 seconds and release in standby mode Power off with the setting of Auto Power Off Place the main unit to the station with power on When the ba...

Page 76: ...ely in front of the patient s face as shown below The discrimination may fail if measurement is taken at an angle upward or sideways If you follow the above main unit but the right left eye discrimina...

Page 77: ...e lights off When you wanted to measure right eye press andindicatedrighteyeand symbol turns on When you wanted to measure left eye press and indicates left eye and symbol turns on If you want to rest...

Page 78: ...Fogging Fixation target appears blurred to the patient 4 Obtain data for 5 times When data is obtained a beep sound is made Fixation chart remains in fogging state and the appears blurred to the pati...

Page 79: ...ained 7 If the measurement values are fluctuating repeat movement of fixation chart and 1 data obtainment for 3 times until the measured value is stabilized The main unit stores up to 8 times of data...

Page 80: ...lease use the following as a guide for confidence value 8 or higher Low variation 7 or lower High variation Care is needed in interpreting the measurement results Pleasemeasure again with focus assist...

Page 81: ...ent errors If it is difficult to obtain measurements using the Quick Mode may make the measurement easier If the auto quick function is set beforehand it automatically changes to Quick Mode See 4 4 5...

Page 82: ...g an eye with a contact lens Measurements can usually be obtained However if the contact lens is not properly fitted correct values may not be obtained Dirt or scratch on the contact lens may hinder m...

Page 83: ...7 POWER OPTION Screen POWER OPTION PATIENT No To 5 8 Patient Number Setup PATIENT No MESSAGE To 5 9 MESSAGE Screen MESSAGE INITIAL To 5 10 INITIALIZING Screen INITIAL VERSION To 5 11 VERSION Confirma...

Page 84: ...surement ALL Measuring pupil diameter each time with REF measurement OFF Not measuring the pupil diameter CYL MIX Without CYL measurement value conversion Converts CYL value to minus Converts CYL valu...

Page 85: ...en to configure external output setting EXIT Back to the SETUP screen OUTPUT SETTING To 5 2 1 Output Setting OUTPUT SETTING OUTPUT FORMAT To 5 2 2 Output Format OUTPUT FORMAT CONT FORMAT To 5 2 3 Outp...

Page 86: ...ction Setting EXIT Back to the OUTPUT screen OUTPUT PRINT ONLY Implement print only PRINT USB Implement printing and transfers data to PC via USB USB ONLY Implement only transferring the data to PC vi...

Page 87: ...OUTPUT screen REF ALL Printout all of measurement data maximum is 8 and representative value REP Printout only representative value OFF Not printout REF value P S ON Printout pupil diameter OFF Not pr...

Page 88: ...LAST5 The last 5 data of REF measurement values are output ALL Output all REF measurement values Up to 100 data can be output REF ALL Output REF measurement value and representative value set with OU...

Page 89: ...sfer 30 latest person s data at maximum PRINT Printout the stored data The number of transfer depends on which you set at OUTPUT NUMBER USB Output stored data by USB The number of transfer depends on...

Page 90: ...when you press 3 The data transferred when you press again 4 When you press the masurement switch it goes back to MEMORY NUMBER SELECT 2 After selected DELETE screen indicates confirmation If selecte...

Page 91: ...elody is made at CHILD mode OFF Melody isn t made at CHILD mode LED ON LED at peripheral measurement window lights at CHILD mode OFF LED at peripheral measurement window doesn t light CHART COLOR ON V...

Page 92: ...IGHTNESS HIGH Brighten the fixation target LOW Darken the fixation target AUTO Brightness of target automatically changes If pupil diameter is over 3mm HIGH Within 3mm LOW LCD 5 to 100 Adjust brightne...

Page 93: ...the SETUP screen DATE FORM YMD year month day Changes the date print format MDY month day year D DMY day month year TIME FORM AM PM 12 hour system D Changes the time print format 24 hour system Selec...

Page 94: ...cally Item Selection Setting EXIT Back to the SETUP screen STAND BY 1 to 9 MIN NEVER Set time to switch into standby mode Press button to add 1minute Press button to minus 1 minute SHUT DOWN 1 to 9 MI...

Page 95: ...9 Sets the 1st digit key adds one key subtracts one 0010 0 to 9 Set the 10th digit key adds one key subtracts one 0100 0 to 9 Sets 100th digit key adds one key subtracts one 1000 0 to 9 Sets 1000th di...

Page 96: ...can be as long as 24 characters by 2 lines or 48 characters in total How to enter and set a message Button Operation Move the cursor relative position Measurement switch Enter the character at the cur...

Page 97: ...screen When you selected GO confirmation message on the screen Press INITIAL EXEC initialize all data in the SETUP and clears memory After completed FINISHING INITIALIZATION on the screen in 3 sec and...

Page 98: ...VERSION VERSION can check the software version Select PRINT USB the main unit toward to the printer and press to print the software version of the main unit and the software version of the printer Se...

Page 99: ...Remote Vision RV II the case of environment they positioned In order to wirelessly transmit to RV II it is necessary to upgrade RV II When upgrading RV II please contact the place of purchase 6 2 Conn...

Page 100: ...ease lever 2 Remove the remaining print roll 3 Remove the shipping tape from the new print roll 4 Put a crease slightly past the peel mark 5 Gently cut the paper along the crease Cutting out the paper...

Page 101: ...20 mm 250V T1 6AH 021501 6XP CAUTION 7 3 Replacing the Fuses CAUTION If the power lamp does not light up when the power switch of the station is set to ON I position the fuses may have blown Remove th...

Page 102: ...ed with the model eye its lens surface may have been contaminated by dust or fingerprints In this case gently wipe the lens surface using a soft clean cotton cloth such as gauze moistened slightly wit...

Page 103: ...s time lug fuses 021501 6XP Rating 250V 1 6A Size 5 20mm Battery pack RT 10XR Lithium ion battery 7 9 Lifetime of the Instrument Expiration date of this instrument is 8 years except consumable parts a...

Page 104: ...y switches off Charge the battery Are the batteries charging contacts 4 places dirty See 2 1 Main Unit Turn the power off and clean the pins both on the main unit and the station sides Is the main uni...

Page 105: ...nter is possibly not set to printout Make sure the setting See 5 2 OUTPUT Screen OUTPUT Error message If the following message is displayed and repeated again even after the equipment is turned off an...

Page 106: ...arging Lamp The case that charging lamp flashes while it charging defective of charging is considered The procedure to make sure following The charge lamp flashes at 0 5 sec intervals Charge lamp ligh...

Page 107: ...ndow and transfer again The printer does not receive measurement data sent from the main unit Are there any obstacles between the main unit and printer Remove the obstacles or move to a location free...

Page 108: ...s a lithium primary battery If the battery exhausted the date time varies If the display as shown in the figure following appears please contact to the dealer where you purchased the equipment Display...

Page 109: ...tex distance 12 13 5 13 75 15 16 0 Pupil size measurement Measurement range 2 0mm to 12 0mm Measurement step 0 1mm Other Functions Automatic right left eye detector Alignment direction indication Focu...

Page 110: ...month day time minute Monitor 3 5 inch color LCD QVGA External output Communication to Retinomax Printer 5 via Infrared max 6m Fixation chart Tulip Bear Firework factory option Fixation chart lighting...

Page 111: ...Powered from the station when docked with the station Battery drive when separated from the station and abattery pack is installed USB supply from the computer when separated from the station and with...

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