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Essilor Instruments VISION-R 700, Руководство пользователя

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IV. B

ASIC

 

FUNCTIONS

 

FOR

 

PERFORMING

 

A

 

REFRACTION

EXAMINATION

Содержание VISION-R 700

Страница 1: ...USER MANUAL...

Страница 2: ...ting up the patient 19 a Adjusting the horizontality of the refraction head 20 b Adjusting the inter pupillary distances 20 c Adjusting the forehead rest 22 d Going from far vision mode to near vision...

Страница 3: ...us 94 a General information 94 b Measurement data 98 c Import Export data 100 d Communication settings 103 e Local settings 105 f Backups restore 107 IX TROUBLESHOOTING 109 X TECHNICAL DATA 111 XI CAU...

Страница 4: ...I INTRODUCTION...

Страница 5: ...nstrument The design and manufacture of this instrument have meticulously taken care of in terms of ease of use patient safety and reliability It is marked Date of first marking 2020 Its estimated min...

Страница 6: ...to the mains O OFF Turned off power supply disconnected to the mains On the packaging Handle with care This way up Maximum stacking of 4 products above market product Fragile Keep dry CE Marking Euro...

Страница 7: ...ree of charge is strictly prohibited without Essilor s prior written consent 5 Confidentiality of patient data The instrument is a system that can save store and share relative information with the pa...

Страница 8: ...II INSTRUMENT...

Страница 9: ...s 1 electric cable running from the refraction head 2 m with a 1 extension 2 m 1 electric cable running from the console 7 m 2 CBOX Vision RTM 700 network cables running to the local network Face shie...

Страница 10: ...ations or sudden shocks Do not use the instrument with flammable anaesthetics or in conjunction with flammable agents The instrument should not fall that would likely cause malfunctions If it does fal...

Страница 11: ...rest as close to the refraction head side as possible 4 Place the arm in the same orientation as the refraction head 5 Loosen the M5 screw safety screw then the M6 screw attachment screw 5 Identifica...

Страница 12: ...est 7 User side observation windows Patient eyes observation side 8 Patient side observation windows SCV module Patient side front area where the patient is positioned and through which he or she look...

Страница 13: ...ch Used for comparing different refraction measurements and rendering the data 6 Buttons R BINO L Used for selecting the vision condition Monocular right eye R by de selecting and blocking out the lef...

Страница 14: ...he answers of the dissociated tests Confirming the answers of the dissociated tests with the middle button There are two USB ports located on the side of the console d Power supply box Ref V01PS1 1 St...

Страница 15: ...ion mode To apply filters or masks to the eyes of the patient To modify the steps of the current setting To lock an eye 4 Controlled parameters Used to select and modify the values of the presented op...

Страница 16: ...III ADJUSTMENTS BEFORE THE EXAMINATION...

Страница 17: ...e Hold the switch down until the console turns off a Set the instrument data to zero At the end of each examination it is possible to set the instrument data to zero The expert can then start a new se...

Страница 18: ...on or displayed by default Once the mode is chosen the display of the upper strip changes for manual mode for automatic mode c Import and export data The importing and exporting of the instrument data...

Страница 19: ...importing or the export of the data You can select several types of products 2 Setting up the patient Before each refraction examination perform various adjustments The adjustment below can be carrie...

Страница 20: ...n indication of its horizontality If when both LEDs are lit up the adjustment is correct when only one of the LEDs flickers or if a LED is not lit up it is necessary to adjust the horizontality by usi...

Страница 21: ...ce By default the step is 1 mm for the total distance The adjustment of the inter pupillary distances can be carried out on the console By turning the central button clockwise or counterclockwise By p...

Страница 22: ...the top of the console screen Adjust the position of the vertical lines to match the corneal apex of each eye using the central button or the incrementation keys on the console keyboard The Vertex di...

Страница 23: ...rface for far vision mode for near vision mode Far vision Near vision Switching to near vision mode modifies the inter pupillary distances the convergence of the refraction head and the lighting up of...

Страница 24: ...IV BASIC FUNCTIONS FOR PERFORMING A REFRACTION EXAMINATION...

Страница 25: ...est that you want to start A visualization of the test is displayed at the bottom of the main screen When you select a test the controlled settings as well as the applied filters are automatically mod...

Страница 26: ...completed recommendation the ECP will need to enter objective measurement lensmeter and age of the patient Then the recommended program will appear in bold The list of available test programs are dis...

Страница 27: ...o initiate the next test once the end point has been calculated in the current test If you wish to select a test outside the program in progress press on the test list or favorite tests icons It is po...

Страница 28: ...o another can be carried out On the touch screen by pressing on the setting that you wish to check on the value of the right eye or the left eye or on the setting On the console keyboard by pressing o...

Страница 29: ...ower can be carried out On the touch screen by pressing a second time on the desired controlled setting In this case a numeric keypad is displayed Enter the desired value and confirm Once input is com...

Страница 30: ...on steps Three step variation choices are configurable 1 Sphere and cylinder variation step 2 Axis variation step 3 Prism variation step The value is displayed in the upper blue strip and depends on t...

Страница 31: ...isplayed in degrees and are adjustable to 1 5 10 20 45 or 90 By default the step is 5 The prisms Hor and Vert are displayed in prismatic diopters and are adjustable to 0 1 0 5 1 0 2 0 3 0 or 6 0D By d...

Страница 32: ...patient The value of this is displayed on the selected eye Selecting the eye to be masked Example of black mask Example of power mask The mask set up is automatic during the automated refraction test...

Страница 33: ...new session The selected filters are displayed in the top part of the window Once this is done press on to confirm the selection to cancel c Modify the type of occlusion To personalize the type of oc...

Страница 34: ...f a type of occlusion is applied the adjustment is temporary up to the start of a new session 4 Manage the patient data a Add a patient folder To create a patient folder press on USER MANUAL BASIC FUN...

Страница 35: ...rm to cancel 5 Access with contextual assistance To access with contextual assistance press on The phraseology of the tests as well as actions to be performed on the console are displayed on the right...

Страница 36: ...nformation on the test press on More help An additional help page is displayed Press on to close the page USER MANUAL BASIC FUNCTIONS FOR PERFORMING A REFRACTION EXAMINATION Vision R 700 Essilor autom...

Страница 37: ...V PERFORMANCE OF TESTS DURING A REFRACTION EXAMINATION...

Страница 38: ...patient 2 The objective refraction measured with the auto refractometer or a skiascope retinoscope determined by an aberrometer 3 The patient folder b Data importing from Essibox com The patient refr...

Страница 39: ...memories are available in all It is possible to rename the memories c Manual entry The entry of the starting refraction can be performed either Eye by eye Two eyes at the same time You can manually en...

Страница 40: ...clockwise or counterclockwise The line of the selected setting is displayed in blue Press the selected parameter again to display the numeric keypad The data is displayed on the screen and is applied...

Страница 41: ...Do not forget to save the data entered in one of the available memories here Lensmeter 3 Data memorization Press The list of the available memories is displayed USER MANUAL PERFORMANCE OF TESTS DURIN...

Страница 42: ...nt For each test a contextual in situation help is available by pressing on User is prompted to refer to this Reminder Before performing the refraction tests it is recommend to first enter the data of...

Страница 43: ...of optotypes scales 1 Rational progression scale in opposite and decimal acuity letters numbers C of Landolt E of Snellen stylized figures 2 Logarithmic progression scale letters numbers C of Landolt...

Страница 44: ...x The table of optotypes allows you to Display the value of corresponding acuity Display the unit of acuity Choice of optotypes scale Scales of acuity Types Icons Display zone at the bottom of the sc...

Страница 45: ...size On the touch screen by pressing on the points above the optotypes On the console keyboard by pressing on the horizontal keys Display of the visual acuity values To display acuity values press on...

Страница 46: ...alue on the screen On keyboard On screen Choice of optotype table display To choose a kind of display press on It is possible to choose four display types of optotypes 1 In table 2 In column 3 In line...

Страница 47: ...this section the ECP can fix the focus of the patient on a specific area Press Now it is possible to focus from Arrow Block Underline Opposite lines Choice of contrast type To choose a type of contra...

Страница 48: ...eye the left eye or both eyes by using the keys R L or BINO on the console keyboard Scroll through the acuity tests using the vertical arrows on the console keyboard Ask the patient the following ques...

Страница 49: ...d On the touch screen by pressing on the acuity value appearing in the display area The value of the visual acuity of patient RE LE or BINO changes into blue and is saved in the section Patient Data i...

Страница 50: ...he test and tell me if the characters appear darker to you or more contrasted on the red background on the green background or if they seem identical to you If the answer is On the console keyboard by...

Страница 51: ...atient which can make him prefer the red it is possible to ask the patient to lock on the green background before proceeding to the red green comparison lightly blur by adding a power of 0 50 D in ord...

Страница 52: ...optical module through combination with the patient s correction It is not an additional lens added in front of the correction of the patient as in the traditional phoropters A cross made up of black...

Страница 53: ...st again until the patient sees equal clearness between the horizontal and vertical lines or a greater clearness for the horizontal ones On the console keyboard by pressing on the key On the console k...

Страница 54: ...d cross cylinders test was performed using a lens made up of a positive cylinder and a negative cylinder of the same powers and perpendicular portions between them This lens was mounted on a shaft and...

Страница 55: ...difference it is necessary to modify the power of the cylinder If the patient prefers The position of the cross cylinder with the negative axis aligned with that of the correction it is necessary to...

Страница 56: ...y on the console keyboard It is important to always propose the three options Position 1 Position 2 Same Blue highlighting of positions 1 and 2 Cross cylinder position change The cross cylinder is pla...

Страница 57: ...erence between the two positions in the cross cylinder The axis the negative cylinder of the correction and the cross cylinder rotate in the direction of the negative axis of the patient s preferred p...

Страница 58: ...cylinder of 0 50 D in the specified range of 45 and then perform the above procedure This information corresponds to the phoropter default settings The no change in cylinder axis is by default 5 but c...

Страница 59: ...u To Show the dots in position 1 press the 1 key on the console keyboard To show the dots in position 2 press the 2 key on the console keyboard It is important to always propose the three options Posi...

Страница 60: ...erence between the two positions in the cross cylinder The negative cylinder value of the correction is then increased by 0 25 D Repeat the test until the patient no longer sees any difference between...

Страница 61: ...isplay area Procedure Test run step 3 sphere power adjustment Adjust the sphere value to maintain the constant spherical equivalent Perform this operation in case two power step variations have been m...

Страница 62: ...eye It is easier to compare two fuzzy visions to two sharp ones If the patient sees more clearly with one eye than with the other blur the eye that sees the best increasing the power by 0 25 D so as...

Страница 63: ...display area at the bottom of the touch screen of the console The polarized filters are placed in front of the patient s eyes so that the vision is separated from the eyes Masks are displayed Two pola...

Страница 64: ...50 D or three times 0 75 D Ask the patient the following question Look at the two lines of letters Tell me if the letters look darker or more contrasted on the top line on the bottom line or if they l...

Страница 65: ...nsole keyboard Press the key Or turn the center button counterclockwise Repeat the operation until the patient sees a balance in the blurred vision between the top and bottom lines or its reversal sha...

Страница 66: ...perform a binocular sphere check with the red green test to be performed with both eyes open Notes If the patient reports that the lines appear and disappear or shift horizontally or vertically he is...

Страница 67: ...smart tests function are based on the principle of inserting patient answers and the progression of the algorithm to determine the checked setting And this until the right value is found a Refraction...

Страница 68: ...possible to modify the values of controlled settings the masks the filters or the adjustments of the instrument The Red Green smart test is shown in the display area in the bottom of the console s tou...

Страница 69: ...n the corresponding answer on the touch screen On the console keyboard by pressing on the key Pressing on the corresponding answer on the touch screen On the console keyboard by pressing on the key da...

Страница 70: ...ws for 1 Return to the beginning of the test 2 Visualize the progress of the test Three status indications on the progression bar are available 3 Cancel the last answer no preference doesn t know Sele...

Страница 71: ...t in the available list In the case of a test program moving to the following test is done when link is deactivated On the touch screen by pressing on Next On the console keyboard by pressing on the c...

Страница 72: ...ole keyboard by pressing the comparison button With the action button which can be set up in a personalized test 1 New refraction tab This value will give the refraction done last and if you press on...

Страница 73: ...ll change to those values 5 Display windows The 4 display windows will allow you to change the screen being viewed comparing from log MAR to 3D and video One you know what data you want to compare to...

Страница 74: ...t that when you select the new refraction this is how he she will see with their new spectacles and that he she should be able to see the improvement This is way we call it the money button It convert...

Страница 75: ...etting screen When activated the ECP can decide whether to see this Alert when the dioptric difference is greater than 0 50 D or when greater than 1 00 D 5 Other tests USER MANUAL PERFORMANCE OF TESTS...

Страница 76: ...VI MEASUREMENT...

Страница 77: ...ed to the Vertex distance of the spectacles the power change could have an effect on the performance of the spectacles This is even more evident on higher powers Measurement procedure Ask the patient...

Страница 78: ...e images of the eyes which is displayed on the console On the console keyboard by turning the central button clockwise or counterclockwise or by pressing on the keys Two vertical lines appear on the i...

Страница 79: ...e s of the Vertex distance s are automatically displayed and can then be recorded A Vertex distance of 10 to 20 mm is appropriate USER MANUAL MEASUREMENT 79 Vision R 700 Essilor automatic phoropter V1...

Страница 80: ...VII REFRACTION PROGRAMS...

Страница 81: ...automaticaly to the next test In the rational scale this fonction is available only if isolated line or symbols 2 Customized programs a Editing and customizing programs and tests Customize program Th...

Страница 82: ...1 2 Press on Click on and click on to create a new program The following page appears USER MANUAL REFRACTION PROGRAMS Vision R 700 Essilor automatic phoropter V1 09 2020 82...

Страница 83: ...t this stage it is possible to modify the name of the program Name the program and click on The new program appears in italics in the list of programs USER MANUAL REFRACTION PROGRAMS 83 Vision R 700 E...

Страница 84: ...or the library by clicking on the corresponding tab at the top of the right column The test contents appear in the center block of the screen The contents of the program appear in the left section Th...

Страница 85: ...ate the program It is possible to change the order of the tests by dragging and dropping the list of tests in the program Click on to validate the changes You can click on Stop to return to the list o...

Страница 86: ...test to customize on the left column You can then click on to remove the selected test to edit and change the test to duplicate the test USER MANUAL REFRACTION PROGRAMS Vision R 700 Essilor automatic...

Страница 87: ...orced into monocular This setting is particularly recommended for astigmatism testing 6 Step Allows you to choose the power variation step 0 05 0 10 0 25 0 50 1 00 or kept the same as before 7 Display...

Страница 88: ...change prism activation etc It is possible to override the suggested settings 2 Display Personalize your chart to be initiated with this test 3 Summary Help wording with each default test 4 Rename Na...

Страница 89: ...Vision RTM700 allows you to add favorite test Click on the Favoris tab in the left column Select a first test from the test bank or library by clicking on the corresponding tab at the top of the right...

Страница 90: ...Do the same for the following tests You can then click on to remove the selected test to edit and change the test to duplicate the favorite You can change the order of the tests by dragging and droppi...

Страница 91: ...ection Click on to confirm to cancel Click and hold on the name of the favorite to change its name or order in the list of favorites The following page appears USER MANUAL REFRACTION PROGRAMS 91 Visio...

Страница 92: ...inally click on to confirm to cancel A favorite test section can be removed if more than one section is present If only one section is present it cannot be removed USER MANUAL REFRACTION PROGRAMS Visi...

Страница 93: ...VIII INSTRUMENT SETTINGS...

Страница 94: ...by pressing on The instrument settings page is displayed 1 Description of the settings menus a General information The general information menu has two pages 1 General 2 Devices USER MANUAL INSTRUMENT...

Страница 95: ...s to the remote maintenance 4 Access to the statistics and the log files 5 Recording on SIS 6 Deletion of recording 7 Connection refreshing 8 After sales service 9 Restoration of the factory default s...

Страница 96: ...the photopter head On the Device page press on 1 Launch of all the autotests 2 List of available autotests 3 Display of errors codes and comments 4 Number of autotests launch 5 Test of LEDs horizontal...

Страница 97: ...the console On the Device page press on 1 Not used 2 Test of the speaker 3 Not used If you press a button on the console then the buttons are displayed in blue The autotests starts The following page...

Страница 98: ...lows for the addition of a negative value OK authorizes the negative addition for specific tests Error only a positive addition can be taken into account 4 S to Add Allows user to combine or separate...

Страница 99: ...on test The values indicated correspond to a default setting in cm 5 Vertex Distance en mm Sets the Vertex distance by default taken into account for the conversion of the refraction value of a standa...

Страница 100: ...e default variation step of the pupillary distance 6 Cross Cylinder Lens Sets the default value of the cross cylinder used for finding the cylinder in manual mode 7 Axis Rounding Determining whether r...

Страница 101: ...riority to be inserted in phoropter 3 Export Type Defines the way data is processed during export Sent to the printer Sent to the Essibox Both 4 Horizontal axis Selecting default value of either 0 or...

Страница 102: ...r night and allows you to choose them 6 Source Allows you to label the data type according to the source and choose it 7 Display Allows you to view the default exported data display 8 Export Allows yo...

Страница 103: ...ent settings menu consists of three pages Chart IP Essibox 2 0 1 Page Chart 1 Mirror Mode Mirror Mode Activation according to configuration 2 IR Channel Used during set up of chart system for communic...

Страница 104: ...2 Page Ip 1 Ip adress Can be Static or Dhcp 3 Page Essibox 2 0 USER MANUAL INSTRUMENT SETTINGS Vision R 700 Essilor automatic phoropter V1 09 2020 104...

Страница 105: ...ngs menu consists of three pages Chart Display Keyboard Settings Regional Settings 1 Chart Display Page 1 Visual acuity format Define the visual acuity format depending on local usage 2 ETDRS progress...

Страница 106: ...Left Tab Sets the default display on the left side of the console screen 5 Defaut Right Tab Sets the default display on the right side of the console screen 3 Page Regional Settings 1 Language Sets th...

Страница 107: ...Once the adjustments are made press on to confirm to cancel f Backups restore The backups restore menu has two pages 1 Backup 2 Restore 1 Page Backup 1 Export of refraction head data to an USB key 2 E...

Страница 108: ...d 2 Settings importing 3 Importing a memory update 4 Importing new tests favorites and test programs 5 Statistics importing Once the adjustments are made press on to confirm to cancel USER MANUAL INST...

Страница 109: ...IX TROUBLESHOOTING...

Страница 110: ...power supply box is on Frozen console screen No power Check mains lead is connected Turn the console off with the Clear switch and restart the product Rainbow on the screen Video cable error Check tha...

Страница 111: ...X TECHNICAL DATA...

Страница 112: ...1 increments with adjustable steps Auxiliary lenses Occluders dark Pin hole yes Retinoscopic lenses 1 50 D 2 00 D powered by optical module Fog lenses 1 50 D 2 00 D powered by optical module Jackson c...

Страница 113: ...CCT 2700 K Flux 8 lm to 120 Class NC Infra red LED Color IR Wavelength 850nm Energy intensity 50mW Sr Class NC Input Output Power supply box AC input 100 240V 50 60 Hz 1 2 0 5A DC output 24V Power ou...

Страница 114: ...XI CAUTIONS WARNINGS...

Страница 115: ...nowledge However it must be considered as information without any binding effect including third party industrial property rights It does not exempt the customer from checking current versions communi...

Страница 116: ...le them with your fingers and to keep them away from dust If there are fingerprints or dust on the optical parts gently wipe them with a soft cloth The covers are fragile handling them while wearing j...

Страница 117: ...ion all such combinations Medical Electrical Systems shall comply with the requirements stated in clause 16 of IEC 60601 1 Any equipment not complying with the leakage current requirements in IEC 6060...

Страница 118: ...waste collection The supplier or manufacturer is required to recover the old equipment By joining a consortium for the waste of technological equipment the manufacturer covers the treatment and recyc...

Страница 119: ...frequency transmission equipment Portable RF communications devices including devices such as antenna cables and external antennas must not be used closer than 30 cm 12 inches to any part of the devi...

Страница 120: ...ifferential mode 1 kV in current mode Assigned industrial frequency magnetic field IEC61000 4 8 30 A m Voltage dips short interruptions and voltage variations IEC61000 4 11 0 UT for 0 5 cycles 0 45 90...

Страница 121: ...to ensure safety and the performance of the instrument all maintenance operations unless otherwise specified in this manual must be carried out by qualified maintenance technicians This instrument is...

Страница 122: ...with your fingers b Cleaning the console Always use a slightly damp soft cloth microfiber silicone to clean the elements of the console The touch screen The keyboard Do not spray liquid on the touch...

Страница 123: ...No undesirable side effects USER MANUAL CAUTIONS WARNINGS 123 Vision R 700 Essilor automatic phoropter V1 09 2020...

Страница 124: ...XII QR CODE...

Страница 125: ...USER MANUAL QR CODE 125 Vision R 700 Essilor automatic phoropter V1 09 2020...

Страница 126: ...USER MANUAL QR CODE Vision R 700 Essilor automatic phoropter V1 09 2020 126...

Страница 127: ...USER MANUAL QR CODE 127 Vision R 700 Essilor automatic phoropter V1 09 2020...

Страница 128: ...Essilor Instruments USA 8600 W Catalpa Avenue Suite 703 Chicago IL 60656 Phone 855 393 4647 Email info essilorinstrumentsusa com www essilorinstrumentsusa com...

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