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Gilras GRU-5000 A, Руководство по эксплуатации

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Annex E  REFERENCES 

- 58 - 

Annex F  REFERENCES 

HAIGIS W: Biometrie, in: Augenärztliche Untersuchungsmethoden, Straub W, Kroll P, Küchle HJ 
(Hrsg), F.Enke Verlag Stuttgart, 255-304, 1995   

RETZLAFF J: A new intraocular lens calculation formula, Am Intra-Ocular Implant Soc J 6:148-152, 
1980 

RETZLAFF J, SANDERS DR, KRAFF MC: Development of the SRK/T intraocular lens implant 
power calculation formula. J Cataract Refract Surg 16 (3):333-340, 1990 

SANDERS DR, KRAFF MC: Improvement of intraocular lens power calculation using empirical 
data, Am Intra-Ocular Implant Soc J 6: 263-267, 1980 

SANDERS DR, RETZLAFF J, KRAFF MC: Comparison of the SRK II formula and other second 
generation formulas. J Cataract Refract Surg 14: 136-141, 1988 

HOFFER KJ: The effect of axial length on posterior chamber lens and posterior capsule position. 
Current Concepts Ophthalmic Surg, 1:20-22, 1984 

HOLLADAY JT, PRAGER TC, CHANDLER TY, MUSGROVE KH, LEWIS JW, RUIZ RS: A 
three-part system for refining intraocular lens power calculations. J Cataract Refract Surg, 
14:17-24, 1988 

Intraocular lens power calculation after corneal refractive surgery: Double-K method. Jaime 
Aramberri, MD ,  J Cataract Refract Surg 2003; 29:2063–2068 2003 ASCRS and ESCRS 
INTRAOCULAR LENS POWER CALCULATION AFTER CORNEAL PHOTOREFRACTIVE 
SURGERY; LITERATURE.  MESA-GUTIÉRREZ JC1, RUIZ-LAPUENTE C2, ARCH SOC ESP 
OFTALMOL 2009; 84: 283-292. 

 

 

Содержание GRU-5000 A

Страница 1: ......

Страница 2: ...Address 9990 NW 14ST Suite 105 Doral FL 33172 Phone 1 888 334 4640 Fax 1 786 621 1842 Email info gilras com...

Страница 3: ...orage Conditions 2 2 4 2 Transportation Conditions 3 2 5 CLASSIFICATION 3 CHAPTER 3 INSTALLATION 4 3 1 STRUCTURE 4 3 2 ENVIRONMENTAL REQUIREMENTS 5 3 3 CONNECTION 5 3 3 1 Connection of Probe 5 3 3 2 D...

Страница 4: ...N OF THE PROBES 34 5 4 PREPARATION OF STERILIZATION AGENT 35 5 5 STANDARD METHOD 36 FOR U S A 39 5 6 CLEANING OF THE MAIN UNIT OF GRU 5000A 39 5 7 HOW TO PREVENT CROSS INFECTION 39 5 8 METHOD 39 5 8 1...

Страница 5: ...TATEMENT 48 A 2 PRINCIPLE OF ALARA AS LOW AS REASONABLY ACHIEVABLE 48 ANNEX B PROMPT MESSAGE 49 ANNEX C 1 ACOUSTIC OUTPUT REPORT IEC60601 2 37 50 ANNEX C 2 ACOUSTIC OUTPUT REPORTING TABLE 51 ANNEX D G...

Страница 6: ...meets the safety standard of medical electrical devices If damaged contact the Manufacturer to purchase Use of other adaptors may cause safety risk The manufacturer won t be responsible for any damag...

Страница 7: ...tential hazards are contained in the User Manual Please maintain vigilance at any time to those unpredictable hazards The manufacturer won t be responsible for damages and losses caused by negligence...

Страница 8: ...splayed with a minus sign Do not ignore this sign _____________________ TISSUE EXPOSURE TO ULTRASOUND ENERGY The GRU 5000 is designed for use in ophthalmology only While the manufacturer is not aware...

Страница 9: ...Printer Rear Panel Symbol of Type B Refer to User Manual Serial Number CE Mark Manufacturer FOOT SWITCH Foot Switch Socket Power Input Socket Right Panel A Probe A Biometric Probe Socket User Manual...

Страница 10: ...l Printer used to print out patient information A Scan measuring waveform IOL calculating parameter and result The built in memory of the GRU 5000A can store up to 180 patients records 1 2 Intended Us...

Страница 11: ...ng mode automatic mode or manual mode can be selectable Automatic mode for Normal Cataract and Aphakic mode Measuring method contact and immersion can be selectable IOL calculation SRK T SRK II BINK I...

Страница 12: ...e of protection against electric shock Type B As per the degree of protection against ingress of liquids Main unit IPX0 Part of Probe that can be immersed IPX7 Foot switch IPX1 As per the disinfection...

Страница 13: ...ge of AC100 240V and output voltage of DC12V 4A meets the safety requirements of medical electric device as shown in Figure 3 3 Figure 3 3 Power Adaptor DC Power Input Plug Power Adaptor DC Power Inpu...

Страница 14: ...therapy equipment etc 7 Please do not put the instrument in a place where it is difficult to disconnect the power supply 8 The instrument should be placed in a position where the operator can face the...

Страница 15: ...lug the DC Power Output Plug of the Power Adaptor in the Power Input Socket on the rear panel of the instrument 2 Connect one end of the Power Cable with the Power Adaptor and the other end to the wal...

Страница 16: ...ess OPEN button to open the cover of the paper housing 2 Take out the reel of the paper from the paper holder and add new paper see Figure 3 6 Figure 3 6 Replacement of Printing Paper 3 Pull out the p...

Страница 17: ...lights up whether the Power Cable is intertwined with other cables 4 1 2 Startup Procedure 1 Make sure there is no problem and the Power Indicator lights up before the instrument is started 2 Start th...

Страница 18: ...cable is placed properly to prevent others from stumbling by the cable and drop of instrument 3 Plug out the Main Power Plug of the Power Adaptor cable and put it properly 4 2 Interface Introduction...

Страница 19: ...Area The result of measurement display area Waveform Display Area ASCAN ultrasonic echo waveform display area Patient Information Display Area Display the input patient information Click this area to...

Страница 20: ...ed while green indicates scanning Up and Down keys used to adjust the position and value The keys are used to adjust the position of the Threshold Line when the Threshold Line displayed and to adjust...

Страница 21: ...ormation Display Area at the bottom of the screen to enter the Patient Information Interface directly The Patient Information Interface is used to input patient information including patient name ID a...

Страница 22: ...ick it the Patient ID will be restored to default value new patient information can be input at the moment meanwhile all data measured in other interfaces will be cleared MENU MENU key Click it to ret...

Страница 23: ...Interface SETUP Interface and DATA BASE Interface 4 2 5 IOL Interface The IOL Calculation Interface as shown in Figure 4 7 The keypad at the bottom of the interface is used to input numbers AL Axial L...

Страница 24: ...wn menu Select the desired formula and input parameters The formulas provided are SRK II SRK T HOLLADAY HOFFER Q HAIGIS BINK II and IOL calculation formulas after corneal refractive surgery HISTORY DE...

Страница 25: ...parameter dialogue box K2pre Keratometry before corneal refractive surgery A Constant of IOL click it to call out Constant A ACD Input Dialogue Box REFRpre Refraction before corneal refractive surgery...

Страница 26: ...hange as shown in Figure 4 10 Figure 4 10 IOL Calculation Interface MEM Memory key click it to save all the related information including the patient information measuring data waveform and IOL calcul...

Страница 27: ...ge SAVE Click it to save selected result RESET Reset key Click it to restore default value LOGOFF Click it to cancel the system and reenter into the Login Interface after 1 second EXIT Click it to exi...

Страница 28: ...lected information only All deletions are not recoverable please operate cautiously Click EXIT key to exit 4 3 Operation 4 3 1 Positioning Place the instrument beside the patient The distance between...

Страница 29: ...m separately to acquire measuring data The measuring method and eye model selection are invalid In MANUAL mode The operator can mark the position of the arrow manually according to the selected measur...

Страница 30: ...fer to item d of this section d MODE SETTING dialogue box Click NORM key to call out the dialogue box as shown in Figure 4 14 The dialogue box consists of three parts namely measuring mode setting mea...

Страница 31: ...of the tissue interface sharp front edge is preferred e When the probe is properly aligned you will hear a series of beep sounds the waveform is automatically frozen and data will be displayed on the...

Страница 32: ...omatic measurement The rest operations are the same with that of the CONTACT method 4 3 2 4 Threshold modification under the AUTO mode The threshold can be set according to the actual demand The thres...

Страница 33: ...ode c Move the probe slightly to observe the reflected waveform When the reflected waveform is clear click SCAN FREEZE key again or step on the foot switch to freeze the waveform The first group of wa...

Страница 34: ...inguish the posterior segment of the cornea then move the arrow to the reflected waveform s rising edge of the posterior segment of the cornea click ENTER key then the cornea thickness is input in the...

Страница 35: ...terface see 4 2 5 In the IOL Interface the measuring result of AL can be acquired by the calculation interface directly or be input manually Select the required formula by clicking the Formula Selecti...

Страница 36: ...or ACD can call out the Constant A ACD Input Dialogue Box meanwhile the selected key turns to green indicating the status of selected as shown in Figure 4 20 In the Constant A ACD Input Dialogue Box...

Страница 37: ...turns to blue Click OK to exit Click CAL key to make calculation after all parameters are input The calculating result will display on the screen The operator can select to print out or save the resul...

Страница 38: ...peration Select YES to confirm clearance of all data The data cleared are not recoverable Select NO to exit without clearing Click DELETE key to delete one patient s information The use of DELETE key...

Страница 39: ...he newly input parameters and calculated result can t be saved If measurement or storage of new data is required please return to the normal working interface To exit from the IOL Interface it s requi...

Страница 40: ...or cancel printing synchronously 4 3 5 2 LOGIN SET Parameter Setup Unavailable under ADMIN System Under startup selection the default system is ADMIN click ENTER key directly to enter If ADMIN is sele...

Страница 41: ...ions of SAVE and RESET will save all parameters in A_PRINT and LOGIN SET tab pages or reset all settings to initial values Please confirm before the operation 4 3 5 3 Clock Set Figure 4 26 CLOCK SET I...

Страница 42: ...ppears on the top right corner to display time Click RESET key to restore to zero Click EXIT key once to exit from the clock editing status double click EXIT key to exit from the dialogue box 4 3 5 4...

Страница 43: ...ommercial disinfectants The surface should then be dried with lint free cloth 5 2 Cleaning Disinfection of Eye Cup The following procedure of disinfection is suggested for the eye cups we provided 1 I...

Страница 44: ...diluted at 5 with distilled water The solution must be changed every day 6 Chlorometric degree solution of sodium hypo chloride at 20 The contents of the tray must be changed after each use Demineral...

Страница 45: ...if kept in sealed flask Please pour in soaking tray 500ml when sterilization is necessary Replacing Contents of soaking trays For frequent use the contents of the trays should be replaced at the begi...

Страница 46: ...d water keeping the connectors dry 6 Drying Dry it with a sterile compress 7 Now the probe is ready for use METHOD FOR HIGH RISK PATIENTS NOTES Please disconnect the probes from the machines Machines...

Страница 47: ...n a 6 chlorometric degree solution hypochloride for 60 min at 20 keeping the connectors dry D Rinsing 5 Rinse the probe and the cable with demineralized or distilled water E Disinfection 6 Dry with a...

Страница 48: ...ment 2 Do not immerse the instrument in disinfectant solution 5 7 How to Prevent Cross Infection The probe and eye cup that are intended to come in contact with mucous membranes belong to semi critica...

Страница 49: ...nd or eye cup and wipe it with sterile cloth Note 1 Disposable gloves eye protection and liquid proof gowns should be worn when cleaning soiled probe and or eye up 2 All detail information for Bianex...

Страница 50: ...ally c After disinfection processing put the A Probe and or eye cup into a sterile box Now the A Probe and or eye cup are ready for use Note 1 Steam sterilization is prohibited 2 Disconnect the probe...

Страница 51: ...External Label 1 Printing Paper Packaging Label Figure 6 1 Printing Paper Packaging Label 2 Probe Socket Label Figure 6 2 Probe Socket Label 6 2 Internal ID 1 Button cell CR2032 3V lithium cell Figur...

Страница 52: ...long time it should be power on for one hour per month to get the damp out 7 Avoid drop or severe shock when moving the instrument Give particular attention to protect the probe 8 Do not block the ven...

Страница 53: ...e is well connected 9 The probes provided with the instrument should be used in the instrument only and not be used for other purposes 7 3 Maintenance of LCD Screen 1 Clean the LCD screen with glasses...

Страница 54: ...rt check if it is back to normal 5 In case of overheat or other abnormalities please switch off the mains power immediately to prevent danger 6 The over current protection fuse is sealed inside the po...

Страница 55: ...1 Consumables SN Description Manufacturer Model Specification 1 Printing Paper Beijing Xun Pu Electronic Technology Company 57mm 40mm Thermal Printing Paper 8 2 2 Detachable Parts SN Description Mode...

Страница 56: ...ormation 47 free software update service For the expansion of software functions the manufacturer will provide users with software update information and according to users demand provide software upd...

Страница 57: ...be implemented to perform ultrasound procedure Try to use lowest level of energy that will not result in biological effect The ultrasonic energy depends on acoustic output intensity and exposure time...

Страница 58: ...YOU SURE TO SAVE prompts to confirm saving or not ARE YOU SURE TO DELETE prompts to confirm deletion or not ARE YOU SURE TO CLEAR ALL THE DATA PERMANENTLY prompts the cleared data are not recoverable...

Страница 59: ...ded output power P1 Attenuated output power P 1 86 Attenuated spatial peak temporal average intensity Ispta Attenuated peak rarefactional acoustic pressure pr 0 24 12dB output beam area Aaprt Break po...

Страница 60: ...index value 0 079 0 003 1 68 Associated acoustic parameter Pr 3 MPa 0 241 W0 Mw 0 00035 0 00035 fc MHz 9 203 9 203 9 203 ZSP cm 2 10 2 10 2 10 Beam dimensions x 6 cm 0 169 0 169 y 6 cm 0 162 0 162 PD...

Страница 61: ...Annex D Guidance and Manufacturer s Declaration 52 Annex D Guidance and Manufacturer s Declaration...

Страница 62: ...Annex D Guidance and Manufacturer s Declaration 53...

Страница 63: ...Annex D Guidance and Manufacturer s Declaration 54...

Страница 64: ...Annex D Guidance and Manufacturer s Declaration 55...

Страница 65: ...values before corneal refractive surgery and the lens power of spectacles before and after corneal refractive surgery that is to input all parameters of K1pre K2pre REFRpre and REFRpost in the dialogu...

Страница 66: ...SHAMMAS SHAMMAS Remarks 1 means the parameter is applicable to this formula and means not applicable The shaded area in the table is applicable to cases without refractive surgery 2 The parameters of...

Страница 67: ...RETZLAFF J KRAFF MC Comparison of the SRK II formula and other second generation formulas J Cataract Refract Surg 14 136 141 1988 HOFFER KJ The effect of axial length on posterior chamber lens and pos...

Страница 68: ......

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