Canon CX-1 User Manual

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Digital Retinal Camera

CX-1

Operation Manual

Make sure you read this manual before using the instrument.

Keep this manual in a safe place so that you can use it in the future.

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PLEASE NOTE

1. Please contact your sales representative or local Canon dealer to have the instruments installed.

2. Use the computer, monitor, and other equipment that conforms to the system standard IEC 60601-1/ UL 60601-1 or IEC 60950-1/UL 60950-1 for the Digital Retinal Camera CX-1. Be sure that the entire system conforms to IEC 60601-1-1/UL 60601-1-1. Be sure to also use an isolation transformer conforming to IEC 60601-1/UL 60601-1 when a computer or monitor conforming to IEC 60950-1/UL 60950-1 is used. For details, consult your sales representative or local Canon dealer.

3. To maintain compliance to IEC 60601-1-2, it is recommended that the computer, monitor, and other equipment configured with the CX-1 be evaluated to IEC 60601-1-2 or FCC Part15 Subpart B Class B and CISPR 24.

4. The user is responsible for the use and maintenance of the product. We suggest that a dedicated individual is assigned responsibility for maintenance to ensure that the product is kept in good condition and can be used safely. Also, medical products must be used only by a doctor or a legally qualified person.

5. This product may malfunction due to electromagnetic waves caused by cellular phones, transceivers, radiocontrolled toys, etc. Be sure to avoid having objects such as these, which affect this product, brought near the product.

6. Disposal of this product in an unlawful manner may have a negative impact on human health and on the environment. When disposing of this product, therefore, be absolutely sure to follow the procedures which conform with the laws and regulations applicable in your area.

7. In no event will Canon be liable for direct or indirect consequential damage arising out of the use of this product. Canon will not be liable for loss of image data due to any reason.

8. Reading of images and storage of data must be performed in accordance with the law of the country where the product is being used. Also, the user is responsible for maintaining the privacy of image data.

9. The power cable supplied is designed to be used solely with this camera. Do not use it for any other product.

10.Canon reserves the right to change the specifications, configuration and appearance of the product without prior notice.

European Union (and EEA*) only.

This symbol indicates that this product is not to be disposed of with your household waste, according to the WEEE Directive (2002/96/EC) and your national law. This product should be handed over to a designated collection point, e.g., on an authorized one-for-one basis when you buy a new similar product or to an authorized collection site for recycling waste electrical and electronic equipment (EEE). Improper handling of this type of waste could have a possible negative impact on the environment and human health due to potentially hazardous substances that are generally associated with EEE. At the same time, your cooperation in the correct disposal of this product will contribute to the effective usage of natural resources. For more information about where you can drop off your waste equipment for recycling, please contact your local city office, waste authority, approved WEEE scheme or your household waste disposal service. For more information regarding return and recycling of WEEE products, please visit www.canon-europe.com/weee * EEA : Norway, Iceland and Liechtenstein

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Safety Information

This instrument conforms to IEC 60601-1-2:2001/A1:2004 and IEC 60601-1-2:2007.

For USA and Canada

• When the CX-1 is going to be operated at a voltage of 240V in USA or Canada, be sure to connect the instrument to a center tapped voltage source.

• This instrument is CLASS I EQUIPMENT according to UL 60601-1 and CAN/CSA C22.2 No. 601.1.

MEDICAL EQUIPMENT WITH RESPECT TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL 60601-1 and CAN / CSA C22.2 No. 601.1 41C4

Regulations

• Grounding reliability can only be achieved when the equipment is connected to an equivalent receptacle marked “Hospital Only” or “Hospital Grade”.

• The following mark indicates that the instrument is Type B Applied Parts (forehead rest and chin rest).

• The degree of protection against ingress of water is IPX0.

• This equipment is not suitable for use in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous oxide.

• The mode of operation is Continuous Operation.

For EU Countries

• The following mark shows compliance of the instrument with Directive 93/42/EEC.

• This instrument is CLASS I EQUIPMENT according to EN 60601-1:2006 and IEC 60601-1:2005.

• The following mark indicates that the instrument is Type B Applied Parts (forehead rest and chin rest) according to EN 60601-1.

• The degree of protection against ingress of water is IPX0.

• This equipment is not suitable for use in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous oxide.

• The mode of operation is Continuous Operation.

Für Deutschland

• Während des Betriebs liegt der Schalldruckpegel dieses Instruments bei 70 dB(A) oder weniger gemäß ISO 7779.

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Safety Information

General Safety Information

Follow the safety instructions in this manual and all warnings and cautions printed on the warning labels. Ignoring such cautions or warnings while handling the product may result in injury or accident. Be sure to read and fully understand the manual before using this product. Keep this manual for future reference.

To protect the safety of users and others and to prevent accidents, this operation manual utilizes the symbols and text shown below in warnings and cautions. Read the meanings of these caution signs and the

Precautions (see page 5)

, and follow the safety instructions.

Meaning of Caution Signs

Safety

WARNING

CAUTION

NOTE

This indicates a potentially hazardous situation which, if not heeded, could result in death or serious injury to you or others.

This indicates a hazardous situation which, if not heeded, may result in minor or moderate injury to you or others, or may result in machine damage.

This is used to emphasize essential information. Be sure to read this information to avoid incorrect operation.

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Safety Precautions

Be sure to follow the safety instructions below to ensure correct operation of the instrument.

Installation and Environment of Use

Do not use or store the instrument near any flammable chemicals such as alcohol, thinner, or benzine. If chemicals are spilled or evaporate, it may result in fire or

WARNING

CAUTION

electric shock through contact with electric parts inside the instruments. Also, some disinfectants are flammable. Be sure to exercise caution when using them.

Do not use or store the instrument in a location with the conditions listed below. Otherwise, it may result in failure or malfunction, fall or cause fire or injury.

• Close to facilities where water is used.

• Where it will be exposed to direct sunlight.

• Close to air-conditioner or ventilation equipment.

• Close to heat source such as a heater.

• Surfaces or areas prone to vibration.

• Insecure place.

• Dusty environment.

• Saline or sulfurous environment.

• High temperature or humidity.

• Freezing or condensation.

Safety Information

CAUTION

Installation Operation

WARNING

Power Supply

WARNING

Do not cover the vent holes on the cover. Otherwise, the temperature in the instrument may rise and cause fire.

Place the instrument on a firm table. Do not place it extremely near the edge of a table or it may fall and cause damage or injury.

Do not connect the instrument except in the manner specified. Otherwise, fire or electric shock may result. Also, when other equipment is going to be connected to the instrument using the connector for interface, be sure that leakage current is within the tolerable value. For details, please contact your sales representative or local Canon dealer.

Only operate with the type of power supply indicated on the rating label. Otherwise, fire or electric shock may result.

Be sure to turn OFF the power before plugging or unplugging the cables as indicated in this manual. Also, do not handle the cables with wet hands. Otherwise, you may get an electric shock that may result in death or serious injury.

WARNING

Securely plug in the power cable into the AC outlet. If contact failure occurs, or if dust or a metal object comes in contact with the exposed metal prong of the plug, fire or electric shock may result.

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Safety Information

Power Supply

Be sure to hold the plug to disconnect the power cable.

WARNING

If you pull the cable, the core wire may be damaged, resulting in fire or electric shock.

Do not cut or process the cables. Also, do not place anything heavy on the cables (including the instrument). Do not step on, pull bend, or bundle the cables. Otherwise, the cable may be damaged, which may result in fire or electric shock.

WARNING

CAUTION

Handling

WARNING

Do not get the power for more than one instrument from the same AC outlet. Otherwise, it may result in fire or electric shock.

Before connecting or disconnecting the cables, be sure to hold the instrument firmly in order to ensure safety. Otherwise, the main unit may fall over, possibly causing injury.

The instrument is shipped with a grounding type (three-core) power cable. To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth.

To make it easy to disconnect the plug at any time, avoid putting any obstacles near the outlet.

Never disassemble or modify the product as it may result in fire or electric shock. Also, since the instrument incorporates high-voltage parts that may cause electric shocks and other hazardous parts, touching them may cause death or serious injury.

Do not place anything on top of the instrument. Otherwise, the object may fall and cause injury. Also, if metal objects such as a needle or clip falls into the instrument, or if liquid is spilled, it may result in fire or electric shock.

WARNING

CAUTION

When the instrument is going to be moved, be sure to turn OFF the power, unplug the power cable from the AC outlet, and disconnect other cables. Otherwise, the cable may be damaged, which may result in fire or electric shock.

When the instrument is going to be carried, be sure to tighten the stage unit lock, hold the indentations for lifting at the left and right of the bottom panel and hold the instrument horizontally. Do not hold it by the digital camera or the head rest poles or other parts, as they may come off and result in injury.

Do not hit or drop the instrument. The instrument may be damaged if it receives a strong jolt, which may result in fire or electric shock if the instrument is used without first being repaired.

To prevent the risk of infection, wipe the forehead rest with disinfectant ethanol for each patient. For details on how to disinfect, consult a specialist. The forehead rest may be corroded if a disinfectant other than those above is used.

To ensure cleanliness, replace the chin rest paper for each patient.

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Handling

When adjusting the forward position of the main unit, be sure to move the main unit

CAUTION

slowly toward the patient while looking from the side of the patient, to prevent accidental contact of the objective lens with the patient.

Safety Information

CAUTION

Do not place your hands or fingers or allow the patient to place his/her hands or fingers between the stage and base. Otherwise, injury may occur.

When the instrument is not going to be used, turn OFF the power. Also, unplug the power cable from the AC outlet when it is not going to be used for long periods of time.

The instrument weighs approximately 26 kg (57 Ibs). Be sure that at least two people lift the instrument to transport it and that it is lifted by gripping the indentations for lifting. Otherwise, injury may occur.

When Problem Occurs

Should any of the following occur, immediately turn OFF the power of each instrument, unplug the power cable from the AC outlet, and contact your sales representative or local Canon dealer.

WARNING

• When there is smoke, an odd smell or abnormal sound.

• When liquid has been spilled into the instrument or a metal object has entered

• When the instrument has been dropped and it is damaged.

through an opening.

Maintenance and Inspection

WARNING

CAUTION

For safety reasons, be sure to turn OFF the power when the inspections indicated in this manual are going to be performed. Otherwise, electric shock may result.

When the instrument is going to be cleaned, be sure to turn OFF the power, and unplug the power cable from the AC outlet. Never use alcohol, benzine, thinner or any other flammable cleaning agents. Otherwise, fire or electric shock may result.

Clean the plug of the power cable periodically by unplugging it from the AC outlet and removing dust or dirt from the plug, its periphery and AC outlet with a dry cloth. If the cable is kept plugged in for a long time in a dusty, humid or sooty place, dust around the plug will attract moisture, and this could cause insulation failure which could result in a fire.

The instrument must be repaired by a qualified engineer only. If it is not repaired properly, it may cause fire, electric shock, or accident.

For safety reasons, be sure to inspect the instrument before using it.

Always take a test image to check that there is no foreign matter present that can affect image readings before using the instrument (see page 53).

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Safety Information

System Use

WARNING

CAUTION

Do not place multiple portable socket-outlets on the floor. Otherwise, fire or electric shock may result.

Do not connect an additional multiple portable socket-outlet or extension cord to the system. Otherwise, fire or electric shock may result.

Do not connect instruments that are not specified as part of the system. Otherwise, fire or electric shock may result.

For the system, use a power transformer of 1000 VA of the maximum permitted load. Otherwise, fire or electric shock may result.

Use multiple portable socket-outlets only for supplying power to equipment that is intended to form part of the system. Otherwise, fire or electric shock may result.

Do not connect non-medical electrical equipment that has been supplied as a part of the system to any power socket other than the multiple socket-outlets for the system. Otherwise, electric shock may result.

Do not connect any electrical equipment that has not been supplied as a part of the system to the multiple portable socket-outlets for the system. Otherwise, fire or electric shock may result.

Do not simultaneously touch a patient and non-medical electrical equipment. Otherwise, electric shock may result.

For cleaning equipment forming part of the system, follow the instruction manual for the equipment. Otherwise, it may cause failure, an accident, or fire.

CAUTION

Install the system in a way that enables the user to achieve optimal use.

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Label on the Instrument

The CX-1 has a label on it. The label contents and its position are indicated below.

Safety Information

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Components

Digital Retinal Camera CX-1............................................. 1

Digital camera .....................................1 Camera cover...................................... 1

Power cable

(3 m, Non-shielded) ............................1

* Plug shapes differ by power

specifications.

Chin rest paper ................................100 Objective lens cap............................... 1

Camera mount cap...............................1 Body cap............................................. 1

Dust cover ...........................................1 Operation manual (CX-1/control

External eye fixation lamp.................. 1

software) ..................................... 1 each

DICOM conformance statement......... 1

Software license agreement................ 1

Warranty card (for USA model only).... 1

WEEE directive leaflet (for EU model

only).................................................... 1

Installation report................................ 1

CD-ROM (Retinal imaging control

software)..............................................1

Optional Units

Internal eye fixation target

Stereo unit Chin rest paper (500 sheets)

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Safety Information ................................................................................................................ 3

Components ....................................................................................................................... 10

1. Features ........................................................................................................................13

2. Notes for Using the Instrument......................................................................................14

3. Names of Parts..............................................................................................................16

3.1 Main Unit ..............................................................................................................................16

3.2 Operation Panel ...................................................................................................................18

3.3 Observation Monitor and Viewfinder ....................................................................................19

Contents

4. Preparation.................................................................................................................... 20

4.1 Power Cable Connections ....................................................................................................20

4.2 Connecting to a Computer ...................................................................................................21

4.3 Carrying the Instrument ........................................................................................................22

5. Basic Photography ........................................................................................................23

5.1 Before Taking Photographs ..................................................................................................23

5.1.1 Turn On the Power ...................................................................................................................... 23

5.1.2 Move the Stage Unit to Get Started ............................................................................................ 24

5.1.3 Adjust the Viewfinder .................................................................................................................. 24

5.2 Photography Flow ................................................................................................................25

5.3 Non-Mydriatic Mode .............................................................................................................26

5.3.1 Color Photography Mode ............................................................................................................ 26

5.3.2 Red-free Photography Mode ....................................................................................................... 32

5.3.3 Cobalt Photography Mode .......................................................................................................... 33

5.3.4 Fluorescein Angiography Mode .................................................................................................. 33

5.3.5 Fundus Autofluorescence Mode ................................................................................................. 35

5.4 Mydriatic Mode .....................................................................................................................36

5.4.1 Color Photography Mode ............................................................................................................ 36

5.4.2 Red-free Photography Mode ....................................................................................................... 42

5.4.3 Cobalt Photography Mode .......................................................................................................... 42

5.4.4 Fluorescein Angiography Mode .................................................................................................. 42

5.4.5 Fundus Autofluorescence Mode ................................................................................................. 44

6. Photography Auxiliary Functions................................................................................... 45

6.1 Using the Focus Indicator .....................................................................................................45

6.2 ×2 photography function .......................................................................................................45

6.3 Small pupil photography function .........................................................................................46

6.4 Diopter Compensation Function ...........................................................................................46

6.5 Panning Function and Tilting Function .................................................................................47

6.5.1 Panning Function ........................................................................................................................ 47

6.5.2 Tilting Function ............................................................................................................................ 47

6.6 Using the External Monitor ...................................................................................................48

7. Daily Inspection and Maintenance................................................................................. 50

7.1 Inspection .............................................................................................................................50

7.1.1 Before Turning ON the Power ..................................................................................................... 51

7.1.2 Turning ON the Power ................................................................................................................ 52

7.1.2.1 Check Items on the Behaviors of the Equipment ........................................................... 52

7.1.2.2 Check Items on the Image ............................................................................................. 53

7.2 Before Calling a Service Technician ....................................................................................54

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Contents

7.2.1 Troubleshooting .......................................................................................................................... 54

7.3 Cleaning and Disinfection .....................................................................................................57

7.3.1 Objective Lens ............................................................................................................................ 57

7.3.2 Viewfinder ................................................................................................................................... 58

7.3.3 Forehead Rest ............................................................................................................................ 58

7.3.4 Retinal Camera and Digital Camera Outer Covers ..................................................................... 59

7.4 Refilling the Chin Rest Paper ...............................................................................................60

7.5 Removing and Installing the Digital Camera ........................................................................61

7.5.1 Removing the Digital Camera ..................................................................................................... 61

7.5.2 Installing the Digital Camera ....................................................................................................... 63

7.5.3 Cleaning the Digital Camera (imaging sensor) ........................................................................... 65

8. Main Specifications and Performance........................................................................... 66

8.1 Main Specifications ..............................................................................................................66

8.2 Functions in the Observation and Photography Modes .......................................................67

8.3 Guidance and Manufacturer’s Declaration for EMC Directive ..............................................68

9. Service Information........................................................................................................73

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1. Features

The Digital Retinal Camera CX-1 is used to observe the retinas of patients’ eyes and take photographs of

them. The camera has the following features:

Both mydriatic and non-mydriatic modes in a single unit

The CX-1 includes a mydriatic mode and non-mydriatic mode; and each mode can be selected with a

single switch.

In the mydriatic mode, the optical viewfinder is used for observation. In the non-mydriatic mode, the

observation monitor on the special digital camera is used for observation.

Fundus autofluorescence photography

Fundus autofluorescence photography is possible in both mydriatic and non-mydriatic modes.

Special digital camera

The CX-1 includes a special digital camera using EOS digital technology as a standard accessory.

This enables the CX-1 to fully maximize Canon technology for shooting high-quality, high-resolution

diagnostic images.

Compact, user-friendly design

Panning and tilting functions are provided as standard features in a compact, lightweight design.

The compact body makes it easier to assist patients and provides significantly improved ease of operation.

Vertical movement of the main body by a motorized chin rest and an operation lever significantly improves

alignment operability.

Small pupil photography function

The CX-1 can photograph dilated pupils with a diameter of at least 5.1 mm in the mydriatic mode, with

50° of their field angle. It can photograph non-dilated pupils with a diameter of at least 4.3 mm in the non-

mydriatic mode, with 45° of their field angle.

The CX-1 provides the small pupil photography function for patients whose eyes are difficult to dilate.

Using this function, it can take photographs of dilated pupils with a diameter of at least 4.3 mm and non-

dilated pupils with a diameter of at least 3.8 mm.

System optimized for digital photography

With the Retinal imaging control software (called “control software” below), images photographed by the

CX-1 can be browsed, processed, stored, output to the DICOM storage server, exported to DICOM files,

and output to a printer.

The settings for the lighting system filter, flash intensity, and digital camera are automatically optimized

for each photography mode – color, red-free, cobalt, fluorescein angiography, or fundus autofluorescence.

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2. Notes for Using the Instrument

Digital camera

• The digital camera installed on the Digital Retinal Camera CX-1 is designed for the CX-1.

• The specifications differ from the typical commercially-available Canon digital cameras. Use only for

observing and taking photographs of peoples’ eyes. Do not detach the digital camera from the main unit

to use separately or failure of the instrument may result.

• If any problems with the digital camera occur or repairs are needed, please contact your sales

representative or local Canon dealer.

Before use

• Take a daily test image to ensure that there is no foreign matter present that can affect image readings.

• Check and clean the objective lens before taking an image, as any stains or scratches on it will appear

as white spots.

• Sudden heating of the room in cold areas will cause condensation to form on the objective lens or on

optical parts inside the instrument. In this case, wait until condensation disappears before performing

photography.

• Do not touch the lens of the retinal camera or the mirror of the digital camera when attaching and

detaching the digital camera from the retinal camera body. If any dirt, fingerprints, dust, or other foreign

objects attaches to the lens or mirror part, you will not be able to take a good image.

• Be sure to adjust the diopter of the viewfinder to match the diopter of the photographer’s eye. Otherwise,

focusing will not be able to be performed correctly.

After use

• Turn OFF the power of the instrument. Place the cap over the objective lens, and place the dust cover

over the instrument. You will not be able to take a good picture when the objective lens is dirty.

• If the digital camera is removed and left unattached, dust and other foreign objects can enter the retinal

camera and the digital camera. Be sure to always attach the caps to the respective mounts.

Cleaning and disinfection

• Do not let the tip of a blower touch the objective lens.

• Do not wipe off or rub the objective lens when there is dust or other substances on it.

This could scratch the lens surface.

• Never wipe the objective lens with disinfecting ethanol, eyeglass lens cleaner, or cleaning paper

containing silicon. The lens surface could be damaged or the surface may not be completely wiped off.

• Do not clean the cover of the instrument with lens cleaner. The cover of the instrument could be

damaged.

• Never use alcohol, benzine, thinner, or other solvents to clean the cover of the instrument. This could

damage the cover of the instrument.

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• Never use disinfecting ethanol or other solvents to clean the cover of the instrument, except the forehead

rest and the chin rest. This could damage the cover of the instrument.

• If the chin rest paper will not be used, be sure to disinfect the chin rest in the same manner as for the

forehead rest for each patient.

Environment of use

• Use, store, and transport the camera in an environment that satisfies the following requirements. Use the

original packing to store or ship it.

Use

Temperature: 10°C to 35°C

Humidity: 30% to 90% RH (no condensation)

Atmospheric pressure: 700 hPa to 1060 hPa

Storage and Transportation

Temperature: –30°C to 50°C

Humidity: 10% to 95% RH (no condensation)

Atmospheric pressure: 700 hPa to 1060 hPa

• Do not install or store the camera or leave it standing in an adverse environment such as where the

temperature and humidity levels are high. Doing so may cause misoperation and/or malfunction. Be sure

to observe the points of Installation and Environment of Use (see page 5) when selecting the

installation location.

• Dust in the air will not only attach to the objective lens, but also to the optical parts inside the instrument.

You will not be able to take a good image when dust is on these parts. Please keep the room dust free.

2. Notes for Using the Instrument

Installation

• Please ask your sales representative or local Canon dealer to perform installation of this product.

• Please handle this product carefully. The adjustment can be altered if it is subjected to a strong shock or

jolt.

• If this product will be transported in an automobile or shipped a long distance, protective measures need

to be taken against vibrations and shocks. Ask your sales representative or local Canon dealer for more

information.

Others

For USA

Rx only-Caution:

Federal law restricts this device to sale by or on the order of a licensed practitioner.

Intended Use:

The device is intended to be used for taking digital images of the retina of the human eye.

For European Union

Intended Use:

This medical device is intended to observe and record images of retinal fundus through the pupil without

making contact with subject’s eye for the purpose of diagnosis by way of producing fundus image

information.

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3. Names of Parts

3.1 Main Unit

2 3

1 External eye fixation lamp (see page 29,

39)

2 Head rest

3 Forehead rest (see page 58)

4 Objective lens (see page 57)

5 Objective lens cap

6 Chin rest (see page 27)

7 Diopter compensation lever

(see page 46)

8 Focus knob (see page 29, 39)

9 Pan tilt grip (see page 47)

10 Finger guard

11 Indentation for lifting (see page 22)

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3. Names of Parts

12 Viewfinder (see page 19)

13 Digital camera (see page 10)

14 Digital camera power switch

(see page 23)

15 Digital camera cover (see page 61)

16 Observation monitor (see page 19)

17 Shutter release button (see page 30, 33,

34, 40)

18 Operation lever (see page 24, 27, 28)

19 Stage unit (see page 24, 27, 31, 41)

23 24

26 27

20 Height adjustment mark (see page 27)

21 Tilting lock lever (see page 47)

22 Panning lock knob (see page 47)

23 Operation panel (see page 18)

24 Stage unit lock button (see page 31)

25 USB connector (see page 21)

26 AC power connector (see page 20)

27 Retinal camera power switch

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3. Names of Parts

3.2 Operation Panel

1 2 3 4

1 Brightness adjuster (see page 28)

2 Focus indicator switch/lamp

(see page 45)

3 ×2 switch/lamp (see page 45)

4 Small pupil photography switch/lamp

(see page 46)

5 BA switch/lamp (see page 42)

6 Flash intensity indicator (see page 31)

7 Flash intensity switches (see page 31)

8 TIMER/C switch/lamp (see page 34)

9 Observation mode lamp

Myd (see page 36)

Non-Myd (see page 26)

10 Observation mode switch

(see page 26, 36)

11 Photography mode switches/lamps

From left to right;

COLOR (see page 26, 36)

RED FREE (see page 32, 42)

COBALT (see page 33, 42)

FLUO (see page 33, 42)

FAF (see page 35, 44)

12 FIX TARGET (internal eye fixation)

switches (see page 29)

13 Blink switch (see page 29)

14 POWER lamp (see page 23)

15 CHIN REST switch (see page 27)

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3.3 Observation Monitor and Viewfinder

Observation monitor (with x1.3 magnification)

3. Names of Parts

1 Photography mode indication

COLOR: Color (see page 26) RED FREE: Red free (see page 32) COBALT: Cobalt (see page 33) FLUO: Fluorescein angiography

(see page 33)

FAF: Fundus autofluorescence

(see page 35) 2 Focus indicator (see page 29) 3 WD Guide (Green) 4 ×2 photography indicator (see page 45) 5 Small pupil photography indicator

(see page 46)

6 Right/Left eye indicator

R: Right eye L: Left eye

7 Photography ready lamp (see page 30) 8 Small pupil photography effective area

(see page 46)

9 Internal eye fixation lamp position

(see page 29)

10 ×2 photography range (see page 45)

Viewfinder

1 ×2 photography range (see page 45)

2 Focus indicator (see page 39)

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3 Photography ready lamp (see page 30)

4 ×2 photography range (see page 45)

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4. Preparation

Please ask your sales representative or local Canon dealer to perform installation of this instrument.

4.1 Power Cable Connections

WARNING

CAUTION

Check that the power switch of the retinal camera is set to the O position (OFF).

Connect the power cable to the retinal camera.

Insert the power cable connector firmly into the AC

power connector while holding down the retinal

camera with your hand.

Be sure to operate this instrument using the power supply described in the specifications. Otherwise, fire or electric shock may result.

Before connecting or disconnecting the cables, be sure to hold the instrument firmly in order to ensure safety. Otherwise, the main unit may fall over, possibly causing injury.

Always use a grounded AC outlet for a 3-pin plug as the power outlet.

Insert the power plug into the AC outlet.

Insert the plug all the way into the AC outlet.

OFF ON

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4.2 Connecting to a Computer

Connect the retinal camera to a computer where the supplied software has been installed.

Check that the power switches for the retinal camera and digital camera are set to the OFF

position.

Connect the USB cables to the main unit.

Insert the USB cable connectors firmly into the USB

connectors while holding down the main unit with your

hand.

4. Preparation

Connect the USB connectors at the other end to the computer.

Connect the connectors at the other end of the USB cables firmly into the computer’s USB ports.

Note: Use the following type of USB cables. Communication may not be possible if any other

kind of cable is used.

• Cable with type AB connector plug supporting USB 2.0 Hi-Speed, maximum length of

3 meters

For further details, contact your sales representative or local Canon dealer.

Note: When connecting the USB cable, pass it underneath the cables of the camera main unit.

If it is passed over the main unit cables, the USB cable may become disconnected as the

main unit moves for taking images.

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4. Preparation

4.3 Carrying the Instrument

Follow this procedure when carrying the instrument by hand:

When the instrument is going to be moved, be sure to turn OFF the power, unplug the power cable from the AC outlet, and disconnect other cables. Otherwise, the cable may be damaged, fire or electric shock may result. Also, when the instrument is going to be carried, be sure to tighten the

WARNING

stage unit lock, the panning lock knob and the tilting lock lever, grip the indentations at the left and right of the bottom panel, and hold the instrument horizontally. Do not hold it by the digital camera or the head rest poles or other parts, as they may come off and result in injury.

Do not hit or drop the instrument. The instrument may be damaged if it receives a strong jolt, which may result in fire or electric shock if the instrument is used without it being repaired.

Turn off the power of the retinal camera.

Press the power switch of the retinal camera to the O side (OFF).

Remove the connected cables.

Remove all power cables and USB cables.

Secure the parts in place.

Tighten the panning lock knob, tilting lock lever and the stage unit lock.

Carry the retinal camera main unit.

Hold the retinal camera main unit by gripping the indentations for lifting at the left and right of the

bottom panel, and carry the unit horizontally.

To remove the digital camera before carrying the retinal camera

See section 7.5.1 Removing the Digital Camera (page 61).

Note: If this product will be transported in an automobile or shipped a long distance, protective

measures need to be taken against vibrations and shocks. Ask your sales representative

or local Canon dealer for more information.

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OFF ON

000_L-IE-5169D_CX-1.book Page 23 Monday, July 29, 2013 10:42 AM

5. Basic Photography

5.1 Before Taking Photographs

5.1.1 Turn On the Power

Remove the dust cover and the objective lens cap.

Turn on the computer.

Turn on the computer, and start the control software.

Concerning control software operations

For details on the control software operations, refer to the operation manual of the control

software.

Turn on the power switch of the digital camera.

Set the power switch of the digital camera to .

Concerning the Mode Dial

If the Mode Dial is set to anything other than <M>, a picture is cannot be taken.

While holding down the button at the center of the Mode Dial, turn the dial to <M>.

Turn on the power of the retinal camera.

Press the power switch of the retinal camera to the I

side (ON).

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