Gima SLOAN OPTOMETRIC CHART, SNELLEN OPTOMETRIC CHART User guide

PROFESSIONAL MEDICAL PRODUCTS

TABELLE OPTOMETRICHE
OPTOMETRIC EYE CHARTS
DIAGRAMMES OCULAIRES OPTOMÉTRIQUES
CARTAS OCULARES OPTOMÉTRICAS

Istruzioni d'uso - Instructions for Use - Mode d'emploi - Instrucciones de uso

È necessario segnalare qualsiasi incidente grave vericatosi in relazione al dispositivo medico
da noi fornito al fabbricante e all’autorità competente dello Stato membro in cui si ha sede.

All serious accidents concerning the medical device supplied by us must be reported to the
manufacturer and competent authority of the member state where your registered office is
located.

Il est nécessaire de signaler tout accident grave survenu et lié au dispositif médical que nous
avons livré au fabricant et à l’autorité compétente de l’état membre où on a le siège social.

Es necesario informar al fabricante y a la autoridad competente del Estado miembro en el que
se encuentra la sede sobre cualquier incidente grave que haya ocurrido en relación con el
producto sanitario que le hemos suministrado.

M31301-M-Rev.3.05.22

31301-31302-31303-31304-31307­31308-31309-31310

Gima S.p.A.

Via Marconi, 1 - 20060 Gessate (MI) Italy
[e-mail] - [e-mail]

www.gimaitaly.com

Made in India

ENGLISH

Including: Snellen Eye Chart (Black) or
Coloured, tumbling "E or C" charts, also
referred to as Illiterate tests, OPTO Type,
SLOAN, LOGMAR, Kindergarten, SYMBOLS,
NUMBERS

1. Chart Size 14 x 9 Inches:

- Model No. 31301, 31302, 31303, 31304

2. Chart Size 22 x 11 Inches:

- Model No. 31307, 32308, 31309, 31310

Home/Office/School/Nursing/Industries

use of this Optometric Eye chart will help you
determine the clarity of person distance vision.
This can be useful to screen children for near­sightedness, which causes blurry distance vision.

Only a trained eye care professional
can properly diagnose vision disorders,

home use of an Optometric chart is not
a replacement for professional vision testing. While
invaluable for determining near-sightedness, the
optometric chart does not detect any of other
vision disorders.
The optometric chart can be cleaned using
a mild cleaning solution and a soft cotton cloth
or swab. Do not use any paint thinner or
alcohol. It may damage the quality of Chart Sheet
and fade Inks.
Before Checking Visual Acuity, please ensure
person is standing/seating on distance that
mentioned on the Chart. 10Feet or 20Feet.
(3meter, 4meter or 6meter)

Equipment Required

• Multi-letter Optometric Eye chart (Any type:
Snellen, OPTO Type, SLOAN, LOGMAR,
SYMBOLS, NUMBERS)

• E or C Snellen chart or a chart with
illustrations for patients who cannot read
or speak.

• Plain Occluder (not essential)

• Ruler or measuring tape

• Patient's documentation.

Important Note:

• Ensure good natural light or illumination
on the chart.

• Wash and dry the occluder and pinhole.
If no plain occluder is available, ask the patient to
wash his/her hands as they will use a hand to
cover one eye at a time.

• Test each eye separately - the ‘bad’ eye rst.

• Ask the patient to wear any current distance
spectacles, to cover one eye with his/her hand (or
with a plain occluder), and to start reading
from the top of the chart.

How to USE:

a) Secure the Snellen chart to a at surface in a
well-lit room. The chart should be at a comfortable
height, which may change depending on
the individual's height.
b) Measure twenty feet from the chart and mark
a spot facing the chart directly. (The test results
will only be accurate if it is taken from this
distance.)
c) Stand at the twenty-foot line and cover your
left eye, so you can only see out of your right eye.
Starting from the top, read each row from left to
right for as far down as you can still make out
the letters. Note the last line on which you could
correctly identify every letter. Have an assistant
verify that you are reading the letters correctly.
d) Repeat the test with your left eye, covering your
right eye this time. Note the last row you could
read with complete accuracy. The row for
each eye will not necessarily be the same.
e) Take note of the fraction shown to the left of
each row: It identies how your vision rates. For
example, if you could read to the fth line,
you have 20/40 vision; if you could read to the
seventh line, you have 20/25 vision.
f) Look at your results to determine the quality
of your eyesight. For example, someone with
20/60 vision can read at 20 feet away what a
person with normal vision could read at 60 feet
away. In the United States, a score of 20/40 or
better is required to drive a car without
corrective lenses, vision of 20/200 or worse
qualies an individual as legally blind. Explain
the procedure to the patient.
g) In the patient's documentation, record the VA
for each eye, stating whether it is with or without
correction (spectacles)

Example, if using the E or C chart:

h) Point to each letter on each line and ask
the patient to point in the direction toward which
the open end of the letter is facing
i) Follow the same procedure and recording
methods as above.

GIMA WARRANTY TERMS

The Gima 12-month standard B2B
warranty applies

IT Codice prodotto - GB Product code - FR Code produit - ES Código producto

IT Numero di lotto - GB Lot number - FR Numéro de lot - ES Número de lote

IT Conservare in luogo fresco ed asciutto - GB Keep in a cool, dry place - FR Á
conserver dans un endroit frais et sec - ES Conservar en un lugar fresco y seco

IT Conservare al riparo dalla luce solare - GB Keep away from sunlight - FR Á
conserver à l’abri de la lumière du soleil - ES Conservar al amparo de la luz solar

IT Leggere le istruzioni per l'uso - GB Consult instructions for use - FR Consulter les
instructions d'utilisation - ES Consultar las instrucciones de uso

IT Dispositivo medico conforme al regolamento (UE) 2017/745

- GB Medical Device compliant with Regulation (EU) 2017/745

- FR Dispositif médical conforme au règlement (UE) 2017/745

- ES Producto sanitario conforme con el reglamento (UE) 2017/745

IT Attenzione: Leggere e seguire attentamente le istruzioni (avvertenze) per
l’uso - GB Caution: read instructions (warnings) carefully - FR Attention: lisez
attentivement les instructions (avertissements) - ES Precaución: lea las instrucciones
(advertencias) cuidadosamente

IT Dispositivo medico - GB Medical Device - FR Dispositif médical

- ES Producto sanitario

IT

Fabbricante -

GB

Manufacturer -

FR

Fabricant -

ES

Fabricante

IT

Data di fabbricazione -

ES Fecha de fabricación

GB Date of manufacture

-

FR Date de fabrication