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IMPORTANT NOTICE
•
This manual should be read and understood before operating.
•
This equipment can be wrong operated by which generates electromagnetic waves (mobile phone,
radiotelegraph, remote-controlled things etc). Please pull apart this equipment from those instruments.
•
When this manual is issued, all information in this manual are confirmed and concluded carefully. But EZER
is not responsible for the mistake or oversight of using this manual.
•
EZER can correct, improve and reform the product or its specification on EZER own sole authority without
any notice whenever have to do. And then, this manual may not contain those alteration sometimes.
•
This manual should be placed in a user’s sight.
ERK-5200
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The name and function of each parts
Practice with a model eye
EZER
9990 NW 14th Street Unit # 105
Doral, FL 33172
CONTENTS
Phone: 786.621.0521
www.ezerusa.com
ERK-5200
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Self diagnosis and repairing
Before calling to service engineer
Product Constructions
▣ ERK-5200 Body
ERK-5200
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-25.00 ~ +22.000D (VD= 12mm) (0.12 / 0.25D step)
0.00 ~ ±10.00D (0.12 / 0.25D step)
5.0 ~ 10.2 mm (0.1 mm step)
33.00 ~ 67.50D (Cornea equivalence power=1.3375)(0.05 / 0.12 / 0.25D)
0.00 ~ -15.00D (0.05 / 0.12 / 0.25D step)
2.0 ~ 12.0 mm (0.1 mm step)
Can store 10times measurements result of both eyes
[Environmental Conditions]
▣ Model Eye
▣ User Manual
▣ Power Cable
▣ Print Paper
▣ Chin rest Paper
▣ Dust Cover
Specifications
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300(W) × 500(D) × 430(H) mm
Protective earth (ground)
Attention, consult ACCOMPANYING DOCUMENTS
Off (power : disconnect to the mains)
On (power : connection to the mains)
The mark is that a danger could happen, unless be careful.
You or the other person could be injured seriously.
SAFETY INFORMATION
■
Symbols marked on the instrument
Warning! When you see ‘WARNING’ or ‘CAUTION’, please do as this manual says.
Please read and understand this manual enough before using and operating.
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The mark is that a danger could happen, unless be careful.
You or the other person could be injured slightly and the equipment could
be damaged too.
To emphasize the basic information.
To avoid using inappropriately, please read this information carefully.
•
Unless use this equipment in a standard power source, a fire or an electric shock
can happen.
•
Must connect or separate the electric wire after switching off the main power.
•
Never operate this equipment with a wet hand or can be injured by a serious
electric shock.
•
Never disassemble or try to modify this equipment yourself or a fire, an electric
shock can happen.
•
There are some dangerous parts inside of this equipment. Touching those parts in
carelessness, can make you to be injured or die.
•
Please switch off the main power and separate the electric wire from A/C socket
■
General Safety Information
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when the symptoms as occur belows.
- when it is smoky, smelling, noisy.
- when slop any liquid or drop any metal into the equipment.
- when drop this equipment or case’s broken.
•
To reduce the electric shock, please connect the cable into the grounded A/C
socket all the time.
•
Don’t put the object person’s hand or fingers on the lower part under the chin rest.
It’s dangerous and can be injured.
•
The forehead rest should be always cleaned with cleansing liquid like ethyl or
something to protect a every new patient from a contagion.
•
Chin rest paper should be replaced every time for a new patient for hygiene.
•
Do never put anyone’s hand or finger between the Stage and the Base. It could
be dangerous and injured.
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3. Name and Function of each Parts
•
Please keep clean the objective lens, or there can be a test error.
•
Do not use alcohol, thinner, benzene to clean this equipment. The equipment can be damaged.
•
Do use as the manufacturer’s lead when you use it with other machinery in connection.
•
If you find smokes, smells or noise, during you are using this equipment, pull the power out from the
socket and call to service engineer or distributor.
•
When you try to move this equipment, check the power off first. Then, fix the body with clamping screw
and hold the bottom of the body with both hands.
• During
on it.
3-1 Body
you don't use it for a long time, disconnect the power cable from socket and put the dust cover
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Performing measurement part.
Set the height of eyes here with controlling the chin-rest.
③ Chin Rest Control Button
Display current situation.
Control location and focus on.
All sorts of buttons here.
Communication port to connect with other equipments.
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Protect the equipment from overvoltage.
Connect with power cable.
Indicate the product name and some information.
Window where a patient should see
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Change the measurement mode
3-2 Operating Board
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Set up Auto or Manual measurement
Measure the size of cornea
Suspend the monitor and check the cornea or the contact lens
Measure the eyesight of Cataract patients or artificial crystalline patients.
In this mode, PRK-9000 determines the condition of the eyes automatically
to detect even if there are IOL's or cataracts and measure them.
Show the result of the measurement
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4. Practice with a Model eye.
<Each Buttons and Modes>
Practice the measurement with a model eye before do it with a person.
(1) Release the stage clamping screw and bolt.
(2) Turn the switch on.
(3) Install the model eye
Install the model eye on the chin rest with the fixing pin.
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(4) Control the height of model eye
Press the chin rest control buttons and set the height of model eye like the picture above.
(5)
Converting to R/K Mode or REF Mode
Press the MODE button several time until the icon(R/K or REF) occur, unless there are one of them on the monitor.
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<Picture 2>
(6) Setting focus and location of the model eye
①With watching monitor, control the lever to move and set the aiming point around the inside collimating mark.
②Move and set the aiming point on the middle of the inside collimating mark.
③Control the lever back and forward and make the mire ring to be seen clearly.
(7) Measurement
•
Manual Measurement
(a) Focus a point and location of the model eye in accordance with (6) above.
(b) Press the measurement button. Then if an error massage occur on the monitor, do (a) again and
press the button again.
(c) Check and compare the measurement result with the value of diopter written on lower part of the model eye.
Unless it is satisfied, measure and check gain as a same way.
•
Auto Measurement
Operate the auto measurement continuously.
ERK-5200
(a) Press AUTO button on the operating board
(b) Focus a point and location of the model eye in accordance with (6) above.
(c) Measurement would start automatically when the Bright Dot occur in the inside collimating mark.
(d) Do the process (c) of Manual Measurement part.
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5-1 Continuous Refraction/Cornea Measurement (R / K Mode)
In R / K Mode, you would do Cornea measurement first and Refraction measurement.
(1) Converting to R / K Mode
Press MODE button until 'R/K' icon displayed on the top left of the monitor.
<
Measurement Scene>
(2) Setting up the height of eye
Make a patient to sit on the chair and put his chin and forehead on the chin rest and forehead rest.
To set up the height of the eye, turn and control the chin rest control lever.
(3) Setting focus and measurement location.
(a) Control the lever and set the patient’s right eye to be seen on the monitor.
(b)
Make him to see the fixed target on the middle of inside
(c) With watching monitor, control the lever to make the ‘mire ring’ to be seen clearly.
•
On the monitor, if the Mire ring is not seen clearly, request to the object man to open his eye widely until
when the measurement has finished. If it’s necessary, you raise his eyelid with your finger.
.
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(d) If you are not satisfied with controlling lever, you push the stage for all directions to focus.
•
When pupil and center of collimating mark do not fit, request to the object man to see the red roof of the
center of the picture.
(4) Measurement
(a) Press Measurement Button.
(b) After measuring, the result would be displayed on the monitor.
(d) When you measure continuously, the last result would be displayed.
(e) You can select an expression of Vertex Distance, the value of CYL and KER in USER 's SET.
(Refer to USER's SET)
NOTES:
① If the pupil is out of the outside collimating mark, an error could happen.
② An error could happen by the modification of cornea after surgery or the lens pollution.
③ During IOL switch is on, the trust-ability of measurement can be low.
④ IOL button is only operated on 'R/K Mode' and 'REF Mode'.
⑤ You can convert to IOL or normal with pressing IOL button.
(5) Continuous Measurement; You can measure continuously if it's necessary.
(a)
Whenever you measure, the last result would be displayed
(b) Last 10 Measurement results but except 'error' can be remembered.
(c) Those results would be seen on the monitor in DISPLAY MODE.
.
(6) Measuring the eye other side.
(a) You measure a left eye to push the stage to right with the control lever.
(b) After the binocular measurement, the PD (pupil distance) would be displayed on the monitor.
•
If you push the stage to right eye without pressing the PRINT button, then the last measurement result of
right eye would be displayed on the monitor. Then you press the button, the new measurement result would
be added.
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<Controlling Location>
<After Measurement>
------------------------------
(7) Print
(a) Press PRINT button to print the result.
(b) It would be printed in accordance with SETUP MODE. (Refer to page. SETUP MODE)
(c) Pull
down
the printed paper to take off.
(d) Write the name of patient on 'NAME' if it is necessary.
NOTES:
① After Printing / Sending, all data would be removed.
② All printings are printed by heat. To keep the printing for a long time, make a copy of it.
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•
Do not put your hand or fingers between the stage and the base. It could be damaged.
•
Clean the forehead rest with ethyl or something like it for every new patient.
•
Replace a chin rest paper for every new patient.
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------------------------------
5-2 REF Mode
You can only measure a Refraction on this mode.
(1) Select REF Mode.
Press the 'MODE' button several times until 'REF' mark is displayed on the top left of the monitor.
(2) Do as like (2) of 'R/K' Mode.
(3) Setting focus and location.
Make the pupil and the collimating mark to be fit and focus the Mire ring on that with control lever.
(4) Measurement;
Press Measurement Button.
(5) Do as like (5) ~ (7) of 'R/K Mode'.
NOTES:
① If the pupil is out of the outside collimating mark, an error could happen.
② An error could happen by the modification of cornea after surgery or the lens pollution.
③ During IOL switch is on, the trust-ability of measurement can be low.
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5-3 KER Mode
You can only measure a corneal curvature on this mode.
(1) Selecting KER Mode
Press the 'MODE' button few times until you can see the 'KER' mark on the top left of the monitor.
(2) Do as like (2) and (3) of 'R / K Mode'.
(3) Measuring
(a) Press the Measurement button.
(b) After measuring, the result is displayed on the monitor.
(c) If you measure continuously, the last result would be displayed.
(4) Do as like (5), (6) and (7) of 'R / K Mode'.
NOTES:
On this mode, do not measure the base curve of the hard contact lens. Measurement error can occur .
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<After measuring>
<DISPLAY>
------------------------------
NOTES:
Safety information about infrared light radiation for measurement As light sources for measurement, this instrument
adapted two type of infrared LED. It was chosen to satisfy the amount of energy exiting from the instrument never exceed
the limit value recommended by the international standard ISO 15004. This condition is satisfied even when the
instrument is operating at maximum light intensity and maximum aperture! (Maximum intensity is the highest brightness
the instrument is capable of delivering, including the highest brightness achievable if overvoltage is provided) Detailed
radiation information at normal usage of this instrument is like bellows.
① Keratometry measurement
Radiation output: below 0.03 mW/cm2 (Limit by ISO15504: 100mW/cm2)
② Refractometry measurement
Radiation output: below 0.15 mW/cm2 (Limit by ISO15504: 100mW/cm2)
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<C / B Displayed Monitor>
5-4 Measuring the Base Curve of a contact lens (C / B Mode)
You can only measure a base curve(concave side) of a hard contact lens on this mode.
(1) Selecting C / B Mode
Press the 'MODE' button until you can see the 'C / B' mark on the top left of the monitor.
(2) Bonding a contact lens
Put water on dent part of model eye for practice and put the
measurement side of contact lens to the upside. The lens
would be bonded by surface tension. Be careful lest the lens
be glued obliquely and lest air bubble occurs inside the lens.
(3) Installing model eye
Remove chin-rest paper and fix the model on the chin-rest
with clamping pin. Then the lens of model eye should be faced toward measurement window.
(4) Setting location and focus
Arrange the Sigh Mark and the Mire ring. Set the focus of Mire ring.
(5) Measuring
Press Measurement button. After measuring, the result is displayed on the monitor.
(6) Printing
Press PRINT button.
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6-1 SIZE Mode
You can not only measure diameter of cornea to decide contact lens size in this mode but also measure
how a pupil is distended. And you can measure size of the contact lens without removing it from his eye.
(1) Executing SIZE Mode
When you press SIZE button in Measurement Mode, SIZE Measurement Mode would be executed. To return to
the Measurement Mode, press ESC button.
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1 ↔ 2: Selecting result index
CAMERA: Escape from still scene
CAP: Capture Image
SAV: Save Result
<Explanation for each function>
(2) Setting location and focus
(a) Require that see red roof of fixing target of inside to the patient.
(b) Move control lever and set so that pupil may be situated between two verticality sticks.
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•
If you want to measure diameter of contact lens, focus on outside part of lens.
•
If you want to measure diameter of pupil, focus in iris
(3) Measuring
(a) If you press the measurement button, the screen will stop. Then if the screen is not clear, you can press
CAMERA button to cancel it.
(b) You can move one of the vertical stick with 'L →' or '← R'
You can move both of the vertical sticks with '→←' or '←→'
(c) Measurement result is displayed on the monitor.
(d) If you press measurement button again, the result is stored. After cancel the still scene, result index will be
changed. The result and the average are displayed each under '1' and 'AVE' on the top of the monitor,
(4) Selecting the result index; Whenever you press
'1 ↔ 2' button, '1' or '2' is selected alternately.
(5) Continuous measurement
Do (2) ~ (4) as many times as you need.
•
Recent two results are displayed and stored.
•
Average value of Recent two results is displayed under 'AVE'.
(6) Measurement opponent eye
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Reflection Light from
cornea for survey
Reflection Light from
cornea for survey
Push the Stage to opposite with control lever. Measure the opponent eye with equal method.
(7) Printing
Cornea diameter measurement result is printed by the internal printer as '[CORNEAL SIZE]' item.
6-2 RET Mode
You can observe the stat of cataract or scar of contact lens on the monitor by flash on the pupil in this
mode. You can store 2 images of each eye and can see and check them as a various size.
(1) Operating RET Mode
Press 'ILLUM' button to go to RET Mode. To return to measurement mode, press 'ESC' button.
[FREEZE MODE DISPLAY]
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[FRZ / REF MODE DISPLAY]
(2) Ready for observing
Require that to see the fixing Target of inside to the patient.
Refer to (3) of R/K Mode for how to set the measurement location and focus.
(3) Observing
(a) Regulate each brightness of light so that the image to be seen clearly.
Press '→' button to change the source of light. The selected source of light is displayed as turning in the
reverse direction.
※REF: Light for observation, ILM: Light for lightening the eye, TAG: Light for fixed target inside,
(A source of light can change from 0 to 100, and 0 means that emitting light device turns off)
(b) Control the lever to make the light to be clear which is reflected from cornea.
Then, observing the image could be easier when a light lights around the pupil.
(c) Focus the image on.
(d) When you focus the image on, if you press the measurement button, the image would be fixed.
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If you press PRINT
button, you would
back to observing
MODE without saving
the image.
If you press MEASUREMENT button,
the image would be
saved.
Measurement result
of refractor
<FREEZE Mode>
(4) Menu Display
<MENU DISPLAY>
ERK-5200
<FRZ / REF Mode >
The stored images are displayed by pressing the PRINT button. It can store 2 images for each eye.
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(5) To make the image enlarge
(a) Select an image with pressing '←' or '→' button.
(b) Press '×1' button.
ERK-5200
(c) Press 'LIST' button to back to MENU DISPLAY.
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6-3 DISPLAY Mode
You can check the stored measurement results (max 10) on this mode.
You can go to this mode with pressing DISPLAY button on measurement mode.
NOTES:
① You can go to next page with pressing MODE button.
② You can delete all stored data in the memory with pressing DELETE button.
③ You can print with pressing PRINT button.
④ You can go to set up menu with pressing SET-UP button.
⑤ You can back to measuring with pressing ESC button.
6-4 SETUP Mode
You can change everything about setting up. You can execute this mode with pressing 'DISPLAY' button
first and 'SET-UP' button also on measurement mode. The 1st page of SETUP MODE would be displayed.
You can back to measurement mode with pressing ESC button.
(1) Set up the measurement of Refraction / Cornea (1 / 3)
•
Changing page: press PAGE button.
•
Changing clause: You can select a clause with pressing '↑' or '↓' button.
•
Changing contents: You can select a content with pressing '←' / '→' buttons.
•
You can back to measurement mode with pressing ESC button.
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[Measurement Item of Refraction / Cornea]
Astigmatic indication form
Indication unit of a Spherical Surface and Astigmatism
Corrected value of a spherical surface
Indication form of measuring cornea
The minimum refraction of cornea
The maximum refraction of cornea
The angle of the minimum refraction of cornea
Indication form of cornea refraction and cornea astigmatic degree
The equivalence refraction of cornea
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[ Serial No., Date and Time, Printing type items]
Select whether you use Serial No.
Set up serial numbers.
•
RESET ('PRT' button) would be displayed.
•
If the other clause is selected, 'RESET' would be disappeared.
•
When you press PRINT button, the serial number would be reset as '00001'.
•
When you press '←' and '→'button, the number will be changed by 1.
Set up the date and time.
•
'INCREASE(measurement button)'/'DECREASE(PRT button)'would be displayed.
•
If the other clause is selected, 'RESET' would be disappeared.
•
When you press '←' or '→' button, the selected part will be changed.
•
When you press 'PRINT' or 'MEASUREMENT' button, the selected part will be
changed by 1.
- 2000 ~ 2099 : Year
- 01 ~ 12 : Month
(2) Serial No. Date and Time, Printing type.
•
Changing page: press PAGE button.
•
Changing clause: You can select a clause with pressing '↑' or '↓' button.
•
Changing contents: You can select a content with pressing '←' / '→' buttons.
•
You can back to measurement mode with pressing ESC button.
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- 01 ~ 31 : Day
- 00 ~ 23 : Hour
- 00 ~ 59 : Minutes
- 00 ~ 59 : Second
Set up the Indication form of the date.
Set up a print type of Refractometry Measurement Result.
•
ALL: Print the Last 10 results and averages
•
AVE: Print only average • OFF: No print
Set up a print type of Keratometry Measurement Result.
•
ALL: Print the Last 10 results and averages
•
AVE: Print only average • OFF: No print
Set up the translation with other instruments.
•
'INCREASE(measurement button)'/'DECREASE(PRT button)'would be displayed.
•
If the other clause is selected, 'RESET' would be disappeared.
•
When you press '⇐' or '⇒' button, the selected part will be changed.
•
When you press 'PRINT' or 'MEASUREMENT' button, the selected part will be
changed by 1.
•
TRANS Speed: 1200, 2400, 4800, 9600, 19200, 57600, 115200
•
TRANS Format: PICHINA, CANON-RK
(3) Set up the Measurement Mode
ERK-5200
•
Changing page:
press PAGE button.
•
Changing clause:
You can select a clause with
pressing '↑' or '↓' button.
•
Changing contents:
You can select a content
with pressing '←' / '→'
buttons.
•
You can back to measure-
ment mode with pressing
ESC button
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REF, KER, R/K, CLBC.
You can delete a mode unless it is useful.
•
1: Basic mode. It can’t be set to 'OFF'.
•
2~4: Measurement mode after second.
•
Set the next after setting first measurement mode.
•
When you delete a mode, it should be started from the last one.
Setting up a print order of a measurement result
•
RIGHT/LEFT; Pringting a measurement result of Right eye first and Left.
•
REF/KER; Printing a measurement result of both eyes of Refractometry
first and both eyes of Keratometry.
•
OFF: After power on, you can measure manually.
•
ON : After power on, you can measure automatically.
•
3: You can measure 3 times automatically.
•
5: You can measure 5 times automatically.
7. Self diagnosis and Maintenance
6-5 Power Saving Mode
If you do not operate anything for around 5 minutes, the power saving function will be operated.
You can return to measurement mode when you press any button.
7-1 Before you call to service engineer,
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Problem inside
the equipment
Turn the power off and on again in 10 seconds.
When you see this message, please contact to
a distributor.
•
INVALID SETUP DATA - REF
Data problem inside
Refractometr
Please call to a distributor.
•
INVALID SETUP DATA - KER
Data problem inside
Keratometry
Please call to a distributor.
Please measure after collimating cornea and
collimation mark.
•
Eyelids or eyelashes are covering
cornea.
Request that open his eyes widely to the object
person, or lift his eyelids up and measure again.
•
Cornea is smaller than outside
collimation mark.
You can measure the cornea which is more than
2mm. Though you can measure it in light place,
but if you uncover it directly in sunlight, the pupil
can be reduced.
•
The object person has disease such as
cataract.
You observe eyes in RET mode. Unless a cataract
is serious, you can measure in IOL mode.
•
Object person has been operated
artificiality crystalline lens surgical
operation.
•
When the Mire ring is not clear
Make the object to blink and blink his eyes.
•
When there’ s a trouble or disease in a
If there is any problem or mis-operation in this equipment, the warning is marked on screen. In this case,
take action as follows. If it does not return to kilter though you took action as follows, turn the power off
and call to a distributor or a service engineer which you can contact.
(1) Message when it turns on
(2) Message when you are measuring
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•
When the spherical Value is more than +22D
•
When the semi-diameter of curvature is more than 10.2mm
•
When the lens of measurement window is polluted
•
When the spherical Value is less than -25D
•
When the semi-diameter of curvature is less than 5.0mm
•
When the lens of measurement window is polluted
•
When the astigmatism value is more than 10D
•
When the cornea astigmatism value is more than 15D
•
When the lens of measurement window is polluted.
(3) Messages in Printing
7-2 Solving Problem
7.2.1 When you press PRINT button but it doesn't print,
(1) Check whether the printing function is OFF in user set up mode.
(2) Check whether the printing paper is 'Thermal Paper' and the direction of paper as well.
7.2.2 When the print is not clear
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(1) Close printer cover up again so that sounds 'clack' around print roller
(2) Or separate roller from print cover and clean the contact part.
7-3 Replacement of paper
7.3.1 Print paper
When there is a red line on the paper, replace it. Then you should check the standard of paper. (※
Thermal Paper, Size; width 58mm / diameter 50mm)
(1)
Open the print cover and put the old one out from the case
(2) Put the new one in to the case, Extract the end part of paper through aperture of print
cover. You should distinguish type-face of paper exactly.
(3) Close Printer Cover up so that sounds 'clack'.
.
7.3.2 Chin rest paper
(1) Unplug two setting pin from chin rest.
(2) Insert setting pin on hole of the paper.
(You can insert more than 50 pieces of paper on the hole.)
(3) Insert the pins on two holes in chin rest.
7-4
Cleaning Equipment
(1) Keep this equipment clearly. Do not use any volatile liquid to clean
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(2) Please use soft piece of cloth which is wetted a little by soapy water.
7-5
If you want to move this equipment,
(1) Turn off the main switch.
(2) Separate the electric wire from socket.
(3) Turn the stage clamp screw to the right to lock it.
(4) You must hold and lift the lower part and move that keeping horizontality.
7-6 Service Information
(1) Maintenance
If you can not solve a problem after doing as above 7.1(self diagnosis),
please try to contact to distributor.
(2) Su
pply of spare parts and accessories for maintenance
Spare parts and accessories of this equipment will be supplied for 8 years even after discontinuance
of man
ufacturing
.
(3) Equipment Treatment
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This equipment has lithium battery that can contaminate environment when got into leaving
alone. You must ask how to handle this to distributor or an waste disposal company before you
dispose of this.
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