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20

Humphrey Matrix Visual Field Instrument

Rev. D  08/21/06  PN 701692

5 PATIENT TESTING

To prepare to perform a visual field test, just follow the simple procedure outlined below.  A 
Quick Reference Guide is at the end of this User’s Guide for your use.

TEST SET-UP

1. When you are ready to conduct the first test of the day, 

remove 

the

 CALIBRATION CAP 

from 

the Patient Eyepiece.  Replace the calibration cap on the Patient Eyepiece when the 
instrument is not in use to minimize the accumulation of dust and debris on the Patient 
Eyepiece.

2. Check that the 

Patient Visor

 is in the correct position to test the corresponding eye.  For 

testing the RIGHT eye (factory default setting), position the Patient Visor so that it extends 
past the housings on your RIGHT side when viewing from the Operator LCD side of the 
instrument.  This positions the Patient Eyepiece on the RIGHT side facing the Patient Visor.  If 
the Patient Visor is not correctly positioned, a popup message will appear on the screen when 
the Start Test Button is pressed.

3. Make sure the 

Patient Response Button

 is properly connected.  The patient test will not 

begin if the Patient Response Button is not connected.

PATIENT SELECTION

1. From the Main Menu Screen (F1), 

select

 the button for the test that you want to perform or 

the 

Select Patient

 Button.  Pressing the Select Patient Button will use the most recent test/

settings for patients already in the instrument database.  Either selection proceeds to the 

View Patients

 Screen.  Alternately, you may select the 

View Patients (F2)

 function directly 

from the Task bar.

2. For an 

existing patient

 already in the testing database, start typing the patient’s last name, 

first name, DOB (date of birth), or ID to initiate a hot search of the testing database.  The 
patient list is automatically refined until you can see and select the desired patient.  Once the 
desired patient is selected, 

select

 the 

Run Test

 Button to open the 

Testing

 Screen (see 

Figure C ). 

3. For a 

new patient

select

 the 

Add New Patient

 Button. Complete as much data as desired 

about the patient. Note however, the minimum data requirement is DOB, first and last name, 
or DOB and patient ID.

Required fields (

DOB 

in addition to 

First

 and 

Last

 

Name

 or 

ID

) are marked with an 

asterisk (*).

Enter the Date of Birth (DOB) in the format specified in System Settings (F5).  MM-DD-
YYYY is the system default (i.e. 12 25 1919 for December 25, 1919).

Once the required patient information is entered, 

select

 the 

Add Patient

 Button to open the 

Testing

 Screen (see Figure D).

Summary of Contents for Humphrey matrix

Page 1: ...ITEC INC 5160 HACIENDA DRIVE DUBLIN CALIFORNIA USA 94568 877 486 7473 E MAIL INFO MEDITEC ZEISS COM WEB HTTP WWW MEDITEC ZEISS COM PRINTED IN U S A PART NO 701692 REV D Visual Field Instrument TM with...

Page 2: ...rl Zeiss Meditec Inc in the United States and other countries Welch Allyn is a registered trademark of Welch Allyn Inc in the United States and other countries Every effort has been made to ensure tha...

Page 3: ...INSTRUMENT ON 9 TO TURN THE INSTRUMENT OFF 9 KEYBOARD AND TOUCH PAD OPERATIONS 9 SCREENS OVERVIEW 9 4 TEST RESULTS AND RELIABILITY MEASURES 16 VISUAL FIELD TESTS SUMMARY 16 SCREENING TESTS 16 THRESHO...

Page 4: ...ATION 36 9 WARRANTY AND SERVICE INFORMATION 37 WARRANTY INFORMATION 37 SERVICE INFORMATION 37 TECHNICAL ASSISTANCE INFORMATION 37 REPLACEMENT PARTS AND ACCESSORIES 38 MODEL NUMBERS 38 TROUBLESHOOTING...

Page 5: ...ins via the appliance inlet POWER CORD Use an approved hospital grade power inlet cord only DO NOT STERILIZE the instrument or any of its components DO NOT USE the instrument near other equipment that...

Page 6: ...Connect ONLY the track pad supplied with the instrument or an approved replacement to the connector on the bottom of the instrument The track pad cable has a green connector with a mouse symbol on it...

Page 7: ...ted visual field testing instrument Years of research and clinical trials of Welch Allyn s patented Frequency Doubling Technology have resulted in an instrument that provides rapid clinically validate...

Page 8: ...e keyboard with an integrated track pad controls the operation of the instrument A plain paper 8 5 x 11 USB inkjet printer and a USB printer cable are included with the instrument Detachable Patient R...

Page 9: ...the magnocellular M cell pathway These M cells have large diameter fibers and comprise only 3 to 5 of all retinal ganglion cells The damage to these cells in the disease process is detected effectivel...

Page 10: ...s User s Guide you have received the following items in good condition Humphrey Matrix Visual Field Instrument Calibration Cap covering the Patient s Eyepiece inside the Patient Visor Patient Response...

Page 11: ...the keyboard jack the green connector to the mouse jack Open the Printer shipping box by carefully cutting the packing tape securing the top flaps of the box Remove the printer USB cable power cord P...

Page 12: ...rd INPUT receptacle Figure B Verify ALL connections are fully seated Once all the cables are connected turn the Humphrey Matrix Visual Field Instrument upright Verify that the instrument feet are not...

Page 13: ...main power switch OFF without Selecting Shut Down will make it take longer to power up next time and could potentially corrupt the Humphrey Matrix software and require service to restore normal opera...

Page 14: ...elect a backup schedule that fits your practice Many practices perform weekly backups to protect their patient visual field data The default backup reminder is 1 week or you can also change the defaul...

Page 15: ...nd revised The View Patients Screen is also accessed from the Main Menu by selecting any of the Screening Threshold or Central Test Buttons Once a patient is selected you may run a test recall previou...

Page 16: ...e the desired individual tests are selected you can then recall delete print or save to floppy or CD R as JPEG image Humphrey Matrix database backup or CSV text format the test results In addition ope...

Page 17: ...06 PN 701692 F4 FILE FUNCTIONS The File Functions Screen is where the patient test database is backed up or imported merged restored The File Functions Screen is also where available software upgrade...

Page 18: ...nstrument Rev D 08 21 06 PN 701692 F5 SYSTEM SETTINGS The System Settings Screen provides the operator with the ability to customize the configuration of the Humphrey Matrix Visual Field Instrument by...

Page 19: ...t 15 Rev D 08 21 06 PN 701692 F6 HELP The Help Screen is where the user may view the instrument s system information and the User s Guide When needed the Calibration Diagnostics and Logging Functions...

Page 20: ...e to maximize sensitivity 5 uses the 5 probability level or for population based screening to maximize specificity 1 uses the 1 probability level The screening test results consist of probability plot...

Page 21: ...lity level Refer to the sample printouts included at the end of this User s Guide The N 30 F FDT full threshold test is essentially the same 19 point full threshold test performed on the Humphrey FDT...

Page 22: ...Outside normal limits Borderline Borderline General reduction of sensitivity General reduction of sensitivity Abnormally high sensitivity Within normal limits The 10 2 44 point FDT full threshold test...

Page 23: ...did not respond to a test pattern at the maximum possible contrast level of the instrument versus the total number of times that maximum possible contrast level patterns were tested When possible fal...

Page 24: ...tton is not connected PATIENT SELECTION 1 From the Main Menu Screen F1 select the button for the test that you want to perform or the Select Patient Button Pressing the Select Patient Button will use...

Page 25: ...Humphrey Matrix Visual Field Instrument 21 Rev D 08 21 06 PN 701692 Figure C...

Page 26: ...il the test is started stimulus presentations for the selected test are automatically displayed to demonstrate the test to the patient Confirm that the patient s name ID and date of birth are correct...

Page 27: ...will display a live image of the patient s eye to aid in proper alignment of the patient and to ensure fixation during testing Selecting the Freeze Button will freeze the live image of the eye This p...

Page 28: ...ent points at the same time while fixating on the black square target in the center It is OK if the fixation target appears fuzzy to the patient Align the patient s head against the forehead rest by a...

Page 29: ...n to bring up the original Testing Screen for the same patient for additional testing Done Testing Selecting this button returns to the Main Menu At any time during the test the patient may press and...

Page 30: ...spot in the center at all times during the test While looking at the black spot in the center can you see all four triangles at the edge of the screen Are you comfortable A sample of the test is now...

Page 31: ...es by holding down CONTROL and selecting each desired test with the track pad see Figure F If you selected multiple entries choose the pull down menu at the top of the TEST DETAILS Screen see Figure G...

Page 32: ...at the upper right of the screen to view additional test information generated by the instrument PRINTING TEST RESULTS When viewing a test you may select Print to obtain printed test results select D...

Page 33: ...ilable by selecting the printer icon to the right of the shut Down button at the bottom of the Operator LCD Screen Use the Status tab view to observe print jobs pause resume printing and delete select...

Page 34: ...options available Presently only the Overview Plot is available see Figure I To generate an Overview Plot for the selected patient select a Test Selection Select Eye and Destination Count is the numb...

Page 35: ...edule that fits your practice Many practices perform weekly backups to protect their patient visual field data To make a backup copy of the testing database to either floppy disk or CD R 1 Place eithe...

Page 36: ...e then one instrument is in use at the same location or practice it is a good idea to merge synchronize the databases 1 Using the backup procedure described above backup the database from each Matrix...

Page 37: ...hanges are made select OK to save the changes If no changes were made or to disregard any changes made select Cancel SYSTEM SETTINGS F5 System Settings are provided to allow you to customize the opera...

Page 38: ...or the Alternative target for patients with severe central vision loss The alternative fixation target is a cross approximately one degree wide passing through the center of the screen extending verti...

Page 39: ...on is completed successfully Perform calibration at any time not only when requested by the instrument Calibration will take approximately 15 minutes to complete To calibrate the instrument select the...

Page 40: ...pyl alcohol Disinfection Disinfect the patient contact surfaces the Forehead Rest and Patient Response Button as necessary by wiping the surfaces with a soft cloth that has been lightly dampened with...

Page 41: ...he printer NO OTHER EXPRESS WARRANTY IS GIVEN AND ALL IMPLIED WARRANTIES ARE DISCLAIMED AND NOT APPLICABLE INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE SERV...

Page 42: ...wer Cord Europe 76402 Power Cord UK 76404 Power Cord Australia 76406 Humphrey Matrix User s Guide English 701692 Humphrey Matrix Quick Reference Guide English 112753 1 Humphrey Matrix Training Video C...

Page 43: ...ng outlet The Humphrey Matrix will turn on but will not boot up to the Main Menu Screen Turn the Humphrey Matrix OFF and let sit for 10 seconds Turn unit back on and try again The Humphrey Matrix will...

Page 44: ...th ends Cycle the printer power off on and try again Check the USB cable on a known working USB peripheral if available No paper in the printer Missing or empty ink cartridges Refer to the Printer inf...

Page 45: ...ton displays a PDF version of the Humphrey Matrix User s Guide The Quick Ref Button displays a PDF version of the Humphrey Matrix Quick Reference Guide also included at the end of this User s Guide Th...

Page 46: ...Advanced and Basic Diagnostics The Diagnostics Screen see Figure N provides basic information regarding the operational status of the Humphrey Matrix instrument This screen is useful if you are exper...

Page 47: ...button toggles between Advanced and Basic The Advanced Diagnostics capabilities see Figure O include Database Check Database Repair Database File I O HDD test Hard Drive CD RW Test Floppy Test Show L...

Page 48: ...ions during the operation of the Humphrey Matrix instrument that are reserved for Technical Service use in troubleshooting any problems Export the logs individually or all at once to a floppy CD R or...

Page 49: ...Power Output 115 VAC 50 60 Hz 50 Watts maximum for printer Power Connection IEC 320 standard power inlet connector for worldwide use Power Cord Approved hospital grade detachable power cord Printer E...

Page 50: ...3 3 0 Supra Threshold 24 2 5 1 Screening 55 2 10 10 0 Supra Threshold N 30 F Threshold 19 4 6 6 3 MOBS 24 2 Threshold 55 4 10 10 6 ZEST 30 2 Threshold 69 4 10 10 6 ZEST 10 2 Threshold 44 4 10 10 6 ZES...

Page 51: ...ening test Reliability Indices Fixation and False Positive Reliability Measures Fixation Monitoring Heijl Krakau method Catch trial contrast 25 Presentation Order Pseudo Random Pattern approximately o...

Page 52: ...2 Right Eye Humphry Matrix N 30 FDT Tests 8 9x9 10 degree FDT patterns 25 Hz 0 25 cycles degree Horizontal axis offest 1 degree Vertical axis offest 3 degrees 1 degree square stationary central fixati...

Page 53: ...54 pts HFAll 30 2 76 pts FDT 24 2 55 pts FDT 30 2 69 pts Humphry Matrix N 24 2 55 pts and 30 2 69 pts FDT Tests 5x5 degree FDT patterns 18 Hz 0 5 cycles degree Horizontal axis offest 1 degree Vertical...

Page 54: ...atrix 10 2 44 pts FDT Test 2x2 degree FDT patterns 12 Hz 0 5 cycles degree No horizontal or vertical axis offest in central 4 degrees 1 degree axis offests outside central 4 degrees 1 degree square st...

Page 55: ...e appropriate precautions to control access and use of the Matrix and its data to ensure compliance to the HIPAA requirements The CE mark on this device indicates it has been tested to and conforms to...

Page 56: ...52 Humphrey Matrix Visual Field Instrument Rev D 08 21 06 PN 701692 Complies with IEC 60065 IEC 60601 1 4 ANSI ESNA RP27 1 1996 RP27 2 2000 RP27 3 1996 IEC 60825 1 1994 A1 A2 IEC 60825 9 IEC 60950 1...

Page 57: ...declaration electromagnetic emissions The Humphrey Matrix is intended for use in the electromagnetic environment specified below The customer or the user of the Humphrey Matrix should assure that it i...

Page 58: ...ent Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode 1 kV differential mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips...

Page 59: ...m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinit...

Page 60: ...f transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 17 P V1 d 1 17 P E1 d 2 33 P E1 0 01 0 117 0 117 0 233 0 1 0 370...

Page 61: ...ENSE AGREEMENT FOR HUMPHREY MATRIX SOFTWARE 1 License Grant Welch Allyn hereby grants to you and you accept a nonexclusive license to use the machine readable object code form of the Matrix Software w...

Page 62: ...atrix Software appears you may return the Matrix instrument to Carl Zeiss Meditec or Welch Allyn and at Welch Allyn s sole discretion it will either 1 fix or replace the Matrix Software or 2 refund to...

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Page 73: ...corner of the screen will state that the Pre test Demo is being performed so the patient is able to view a demonstration of selected test Place the Patient Visor so that the Patient Eyepiece is align...

Page 74: ...remember to keep looking at the black spot in the center of the screen at all times during the test The Recall Tests Screen F3 provides the ability to view previously stored test results by clicking...

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