Haag-Streit VISUTRON 900 Touch User Manual

VISUTRON 900 Touch

User’s Guide

Reichert, Reichert Technologies, Phoroptor, and ClearChart are registered trademarks of Reichert, Inc.

LensChek and OptoChek are trademarks of Reichert, Inc.

Bluetooth is a registered trademark of Bluetooth SIG.

AMETEK is a registered trademark of AMETEK, Inc.

All other trademarks are property of their respective owners.

The information contained in this document was accurate at time of publication. Specifications subject to change without notice. Reichert, Inc. reserves the right to make changes in the product described in this manual without notice and without incorporating those changes in any products already sold.

ISO 13485 Certified – Reichert products are designed and manufactured under quality processes meeting ISO 13485 requirements.

Refer to IEC 60601-1 for system level information.

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording, or otherwise, without the prior written permission of Reichert, Inc.

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

Table of Contents

Symbol Information................................................................................................................................................ 5

Warnings and Cautions .........................................................................................................................................6

Introduction ............................................................................................................................................................ 8

Instrument Setup ................................................................................................................................................... 9

Unpacking Instructions .................................................................................................................................... 9

 PartsIdentication ......................................................................................................................................... 9

Connecting the Visutron 900 Touch System ................................................................................................. 11

Connecting a Right or Left Mount Visutron 900 Touch ................................................................................. 12

Connecting with Cables ................................................................................................................................ 13

Connecting with Bluetooth Dongles .............................................................................................................. 14

Bluetooth Dongle LED Lights Description ..................................................................................................... 16

Connecting with Bluetooth USB (ClearChart 4 Series Only) ........................................................................ 17

EMR Setup .................................................................................................................................................... 19

One-Way EMR ........................................................................................................................................... 19

Two-Way EMR ........................................................................................................................................... 19

Setup .......................................................................................................................................................... 20

Printer ........................................................................................................................................................... 21

Daisy Chaining Multiple Visutron 900 Touch Systems .................................................................................. 22

Connecting with Internal Bluetooth ............................................................................................................ 23

Near Vision Rod and Card ............................................................................................................................ 24

Face Shields ................................................................................................................................................. 24

Turn the Unit On and Off ............................................................................................................................... 24

Controller Keypad ......................................................................................................................................... 25

Lens Buttons .............................................................................................................................................. 26

Chart Buttons ............................................................................................................................................. 27

In & Out Buttons ......................................................................................................................................... 27

Quick Comparison Buttons ........................................................................................................................ 28

Special Function Buttons ........................................................................................................................... 28

Controller Screen .......................................................................................................................................... 29

Top Menu Bar ............................................................................................................................................. 30

Data Fields ................................................................................................................................................. 30

Side Menu .................................................................................................................................................. 30

Acuity Chart Menu ......................................................................................................................................31

Control Knob and Button Functions ........................................................................................................... 31

Program ..................................................................................................................................................... 32

Bottom Menu Bar ....................................................................................................................................... 32

Auxiliary Lenses or Filters .......................................................................................................................... 33

Settings ......................................................................................................................................................... 34

Settings Options ......................................................................................................................................... 34

Programs ................................................................................................................................................... 38

Creating a Program .................................................................................................................................. 38

Clearing a Program .................................................................................................................................. 38

Modifying and Deleting Steps .................................................................................................................. 39

Copying a Program .................................................................................................................................. 39

Exporting a Program ................................................................................................................................ 39

Importing a Program From a USB Drive .................................................................................................. 39

Charts ........................................................................................................................................................ 40

Selecting a Preferred Chart ..................................................................................................................... 40

Default Charts .......................................................................................................................................... 40

Selecting a Default Chart ...................................................................................................................... 40

Performing an Exam ............................................................................................................................................ 41

Aligning the Phoroptor Head ......................................................................................................................... 41

Data Input ..................................................................................................................................................... 42

16243-101 Rev. G

Table of Contents (continued)

Inputting Data Electronically ...................................................................................................................... 42

Direct Connection .................................................................................................................................... 43

Imported Data List .................................................................................................................................... 43

Entering Data Manually .............................................................................................................................. 44

Starting a Refraction From Previously Saved, Transferred, or Input Data .................................................... 45

Running a Program ....................................................................................................................................... 45

The Basics .................................................................................................................................................... 46

Eye Selection ............................................................................................................................................. 46

Selecting a Data Field ................................................................................................................................ 46

Adjusting Sphere ........................................................................................................................................ 47

Adjusting Cylinder ......................................................................................................................................47

Adjusting Sphere and Cylinder Together .................................................................................................... 47

Adjusting Axis ............................................................................................................................................. 47

Near Vision Addition ................................................................................................................................... 47

Cross Cylinder .............................................................................................................................................. 48

Examination for Astigmatism ......................................................................................................................48

Manual Test ................................................................................................................................................ 49

Smart Test .................................................................................................................................................. 51

Split Cyl Test .................................................................................................................................................. 53

Binocular Balance ......................................................................................................................................... 54

Near Vision Test ............................................................................................................................................ 55

Fused Cross Cylinder Test ......................................................................................................................... 56

NRA/PRA Test ............................................................................................................................................ 56

Amplitude of Accommodation Test ............................................................................................................. 57

Prism Testing ................................................................................................................................................ 58

Phoria ......................................................................................................................................................... 59

Phoria Testing - Distance ......................................................................................................................... 59

Horizontal Phorias Test ............................................................................................................................ 59

Vertical Phorias Test ................................................................................................................................ 60

Complete the Phoria Test ......................................................................................................................... 60

Phoria Testing - Near ............................................................................................................................... 60

Vergence .................................................................................................................................................... 61

Vergence Testing or Fusion Range Measurement - Distance .................................................................. 61

Power of Divergence ................................................................................................................................ 61

Power of Convergence ............................................................................................................................ 61

Infraergence ............................................................................................................................................. 62

Supravergence ......................................................................................................................................... 62

Vergence Testing or Fusion Range Measurement - Near ........................................................................ 62

Vertex Distance Calculator ............................................................................................................................63

Saving Visual Acuity ...................................................................................................................................... 63

Comparing Refraction Data .......................................................................................................................... 64

EMR and Printing .......................................................................................................................................... 65

Data Output ................................................................................................................................................ 66

Clear ............................................................................................................................................................. 67

Cleaning and Maintenance .................................................................................................................................. 68

Troubleshooting ................................................................................................................................................... 70

Service Menu ................................................................................................................................................ 72

Specications ...................................................................................................................................................... 75

 Classications ............................................................................................................................................... 76

Guidance Tables .................................................................................................................................................. 77

Appendix A - Compatibility Chart ......................................................................................................................... 81

Appendix B - Visutron 900 Touch, Lensmeter, and Auto Refractor Data ............................................................. 82

Warranty .............................................................................................................................................................. 83

4 16243-101 Rev. G

Symbol Information

The following symbols appear on the instrument.

Refer to Instruction Manual

Caution

Type B Product Classification

Protective Earth

Alternating Current Power

ON / OFF

2019

REF

Date of Manufacture

Catalog Number

Serial Number

Waste of Electrical and Electronic Equipment

Compliance to Medical Device Directive 93/42/EEC

Authorized to mark given by Intertek ETL Semko for conformance with electrical standards

Fragile Contents in Shipping Container - handle with care

Keep Dry - Keep package away from rain

Authorized Representative in European Community

Unplug before opening

Operating Instructions

16243-101 Rev. G

Warnings and Cautions

Reichert Technologies® (Reichert®) is not responsible for the safety and reliability of this instrument when

unauthorized dealers or persons assemble, disassemble, repair, or modify the instrument, or when a person does not use the instrument in accordance with this User’s Guide.

WARNING: AN INSTRUCTION THAT DRAWS ATTENTION TO THE RISK OF INJURY OR DEATH.

WARNING: UNITED STATES FEDERAL LAW AND EUROPEAN REGULATIONS REQUIRE THAT ONLY

A LICENSED PRACTITIONER OR A PERSON ACTING ON BEHALF OF A LICENSED PRACTITIONER

PURCHASE THIS DEVICE.

WARNING: THE OPERATOR OF THIS INSTRUMENT SHOULD USE IT IN STRICT ACCORDANCE WITH THE

INSTRUCTIONS OUTLINED IN THIS USER’S GUIDE. REICHERT TECHNOLOGIES CANNOT GUARANTEE

THE SAFETY OF THE OPERATOR AND THE PERFORMANCE OF THE INSTRUMENT IF THE OPERATOR

USES THE INSTRUMENT IN A MANNER NOT SPECIFIED BY REICHERT TECHNOLOGIES.

WARNING: DO NOT REPAIR OR SERVICE THIS INSTRUMENT WITHOUT AUTHORIZATION FROM THE

MANUFACTURER. EXPERIENCED PERSONNEL OR DEALERS WHO ARE TRAINED BY REICHERT MUST

PERFORM ANY REPAIR OR SERVICE TO THIS INSTRUMENT TO PREVENT SERIOUS INJURY TO THE

OPERATOR OR PATIENT.

WARNING: NO PERSON IS ALLOWED TO MODIFY THIS INSTRUMENT. REICHERT MUST AUTHORIZE ANY

MODIFICATION TO THIS UNIT TO ENSURE CORRECT OPERATION.

WARNING: IF ANY PERSON MODIFIES THIS INSTRUMENT, REICHERT MUST CONDUCT INSPECTION

AND TESTING OF THE INSTRUMENT TO ENSURE ITS CONTINUED SAFE USE.

WARNING: CONNECT THIS EQUIPMENT ONLY TO A SUPPLY MAINS WITH PROTECTIVE EARTH TO

AVOID THE RISK OF ELECTRIC SHOCK AND TO PREVENT DAMAGE TO THE INSTRUMENT AND/OR

INJURY TO THE OPERATOR OR PATIENT.

WARNING: APPLY RATED INPUT VOLTAGE TO THE UNIT AS INDICATED ON THE DATA PLATE TO

PREVENT DAMAGE TO THE INSTRUMENT AND/OR INJURY TO THE OPERATOR OR PATIENT.

WARNING: ONLY PLUG THE INSTRUMENT INTO AN OUTLET WITH AN EARTH GROUND. DO NOT

REMOVE OR DEFEAT THE INSTRUMENT’S EARTH GROUND CONNECTION ON THE POWER INPUT

CONNECTOR OR THE UNIT’S POWER CORD, OR YOU COULD CAUSE DAMAGE TO THE INSTRUMENT

AND/OR INJURY TO THE OPERATOR OR PATIENT.

WARNING: DO NOT USE THE EQUIPMENT OR SYSTEM ADJACENT TO OR STACKED WITH OTHER

EQUIPMENT. IF YOU NEED TO USE ADJACENT OR STACKED EQUIPMENT, OBSERVE THE EQUIPMENT

OR SYSTEM TO VERIFY NORMAL OPERATION IN THE CONFIGURATION IN WHICH YOU USE IT.

WARNING: RISK OF ELECTRIC SHOCK OR FIRE. THIS DEVICE IS NOT INTENDED TO BE USED WITH

LIQUIDS. DO NOT PLACE OR USE OPEN LIQUID CONTAINERS NEAR THE DEVICE, DUE TO THE RISK OF

SPILLAGE OF LIQUID ONTO THE DEVICE.

WARNING: THIS INSTRUMENT IS NOT SUITABLE FOR USE IN THE PRESENCE OF FLAMMABLE

ANESTHETIC MIXTURES, SUCH AS OXYGEN OR NITROUS OXIDE.

WARNING: THE USE OF ACCESSORIES OR CABLES OTHER THAN THOSE SPECIFIED, WITH THE

EXCEPTION OF THOSE SOLD BY THE MANUFACTURER AS REPLACEMENT PARTS FOR THE INTERNAL

COMPONENTS, MIGHT RESULT IN INCREASED EMISSIONS OR DECREASED IMMUNITY OF THE

EQUIPMENT OR SYSTEM.

6 16243-101 Rev. G

Warnings and Cautions (continued)

WARNING: PRIOR TO INSTALLING THE PHOROPTOR HEAD ONTO THE STAND ARM, VERIFY THAT THE

ROD ON THE STAND ARM IS SECURE BEFORE ATTEMPTING TO INSTALL THE PHOROPTOR HEAD OR YOU MIGHT DAMAGE THE UNIT AND/OR INJURE THE PATIENT.

WARNING: OTHER ELECTRICAL OR ELECTRONIC EQUIPMENT CAN INTERFERE WITH THE BLUETOOTH WIRELESS CONNECTION TRANSMITTERS OR RECEIVERS, EVEN IF THAT EQUIPMENT ALSO COMPLIES WITH CISPR EMISSIONS REQUIREMENTS.

WARNING: PORTABLE RF COMMUNICATIONS EQUIPMENT (INCLUDING PERIPHERALS SUCH AS ANTENNA CABLES AND EXTERNAL ANTENNAS) SHOULD BE USED NO CLOSER THAN 30 CM (12 INCHES) TO ANY PART OF THE NSTRUMENT, INCLUDING CABLES SPECIFIED BY THE MANUFACTURER. OTHERWISE, DEGRADATION OF THE PERFORMANCE OF THIS INSTRUMENT COULD RESULT.

CAUTION: AN INSTRUCTION THAT DRAWS ATTENTION TO THE RISK OF DAMAGE TO THE PRODUCT.

CAUTION: THE INTERNAL CIRCUITRY OF THE INSTRUMENT CONTAINS ELECTROSTATIC DISCHARGE

SENSITIVE DEVICES (ESDS) THAT ARE SENSITIVE TO STATIC CHARGES PRODUCED BY THE HUMAN BODY. DO NOT REMOVE THE COVERS WITHOUT TAKING PROPER ESDS PRECAUTIONS.

CAUTION: DO NOT USE SOLVENTS OR STRONG CLEANING SOLUTIONS ON ANY PART OF THIS INSTRUMENT TO ENSURE THAT YOU DO NOT DAMAGE THE UNIT. SEE THE MAINTENANCE SECTION OF THIS GUIDE FOR DETAILED CLEANING INSTRUCTIONS.

CAUTION: DO NOT USE AMMONIA-BASED CLEANERS ON THE LIQUID CRYSTAL DISPLAY (LCD) TO ENSURE THAT YOU DO NOT DAMAGE THE DISPLAY. SEE THE MAINTENANCE SECTION OF THIS GUIDE FOR DETAILED CLEANING INSTRUCTIONS.

CAUTION: MEDICAL ELECTRONIC EQUIPMENT REQUIRES SPECIAL PRECAUTIONS REGARDING EMC AND IT NEEDS TO BE INSTALLED AND PUT INTO SERVICE ACCORDING TO THE EMC INFORMATION PROVIDED IN THE ACCOMPANYING DOCUMENTS.

CAUTION: PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT CAN AFFECT MEDICAL ELECTRICAL EQUIPMENT.

CAUTION: DO NOT USE THIS INSTRUMENT NEAR HIGH-FREQUENCY EMITTING SURGICAL EQUIPMENT.

CAUTION: THIS INSTRUMENT IS NOT INTENDED TO BE CONNECTED TO EQUIPMENT OUTSIDE THE

CONTROL OF REICHERT TECHNOLOGIES OR IT MUST BE TESTED TO APPLICABLE IEC OR ISO STANDARDS.

CAUTION: DO NOT INSTALL ANY ADDITIONAL SOFTWARE OTHER THAN WHAT IS SUPPLIED WITH THIS INSTRUMENT. IF YOU INSTALL ADDITIONAL SOFTWARE, IT MIGHT CAUSE UNEXPECTED OPERATION, RESULTING IN INSTRUMENT MALFUNCTION.

CAUTION: YOU MUST PLUG THIS INSTRUMENT INTO AN OUTLET WITH AN EARTH GROUND THAT IS CONNECTED TO THE RECEPTACLE TO PREVENT DAMAGE TO THE UNIT. DO NOT DISABLE OR REMOVE THE GROUND PIN.

CAUTION: INGRESS PROTECTION CLASSIFICATION FOR THE PHOROPTOR HEAD IS IP2X, WHILE THE CONTROLLER, AND CENTRAL UNIT ARE IP3X. DO NOT SPRAY, SPLASH, OR IMMERSE THESE INSTRUMENTS IN CLEANING SOLUTIONS.

CAUTION: ELECTROMAGNETIC INTERFERENCE FROM OTHER DEVICES MAY AFFECT THE PERFORMANCE OR SERVICE LIFE OF THIS INSTRUMENT. IF INTERFERENCE IS PRESENT, TURN OFF OTHER ELECTRONIC DEVICES, OR REMOVE THEM FROM THE IMMEDIATE AREA WHILE OPERATING THIS INSTRUMENT.

16243-101 Rev. G

Introduction

Congratulations on your purchase of the Reichert Technologies (hereafter referred to as Reichert) Visutron 900 Touch.

This User’s Guide is designed as a training and reference manual for operation, maintenance, and troubleshooting. We recommend that you read it carefully prior to use and follow the instructions in the guide to ensure optimum performance of your new instrument. Only properly trained eye care professionals, such as ophthalmologists, optometrists, opticians, and eye care technicians should operate this instrument. All parts of this Medical Electrical system are suitable for use within the patient environment.

Please retain this guide for future reference and to share with other users. For additional copies of this manual or questions related to the Visutron 900 Touch, contact your local authorized Reichert dealer, or contact our Customer Service department directly:

Tel: 716-686-4500 Fax: 716-686-4555 Email: reichert.information@ametek.com

Indications for Use

The Visutron 900 Touch Digital Refraction System is designed for:

• Subjective measurement of the refractive error of the eye.

• Determination of correction data for refraction anomalies and binocular functions as the basis for manufacturing eyeglasses and contact lenses.

• Use in refraction rooms in clinics and practices of physicians, optometrists, or opticians.

• ConnectiontoothermedicalexaminationequipmentortoanofceElectronicMedicalRecords (EMR) system.

• Operation by physicians, optometrists, opticians, or properly trained clinical personnel.

• Installation under the conditions for medical equipment.

• The digital refractor Visutron 900 Touch with Prism is additionally designed for:

• Measurement of ocular deviation in patients with latent or manifest strabismus.

Contra-Indications

• There are none associated with the Visutron 900 Touch Digital Refraction System.

8 16243-101 Rev. G

Instrument Setup

Unpacking Instructions

Great care is taken to deliver the Visutron 900 Touch intact. Please read this User’s Guide before operating the unit.

We package the instrument in shipping containers to protect the instrument from damage during shipping. Please carefully remove the Phoroptor Head, Controller, Central Unit, and Accessories Box from the packaging material.

Note: Please retain the original packaging and use it if future transportation of the instrument is required.

The main components of the Visutron 900 Touch are packed in two separate boxes. The first box contains the Phoroptor Head and Reading Rod, the second box contains the Central Unit, Controller, and Accessories Box.

Note: The Accessories Box includes a power cord, cable for the Phoroptor Head, Bluetooth antenna for

the Central Unit, ClearChart 4 Bluetooth Adaptor, near vision card and illuminator, face shields, dust covers for the Phoroptor Head and Controller, and User’s Guide.

Note: If any accessories or parts are missing, immediately contact Reichert.

Parts Identification

One of the following Visutron 900 Touch Systems is in the shipping container, depending on the system speci- fications ordered.

Systems Without Prisms Systems With Prism Visutron 900 Touch System - Middle Mount 16243 Visutron 900 Touch System - Middle Mount 16246

Visutron 900 Touch Head Assembly 16222 Visutron 900 Touch with Prism Head Assembly 16223 Central Unit 16219 Central Unit 16219 Controller 16228 Controller 16228

Visutron 900 Touch System - Left Mount 16244 Visutron 900 Touch System - Left Mount 16247

Visutron 900 Touch Head Assembly 16224 Visutron 900 Touch with Prism Head Assembly 16225 Central Unit 16219 Central Unit 16219 Controller 16228 Controller 16228

Visutron 900 Touch System - Right Mount 16245 Visutron 900 Touch System - Right Mount 16248

Visutron 900 Touch Head Assembly 16226 Visutron 900 Touch with Prism Head Assembly 16227 Central Unit 16219 Central Unit 16219 Controller 16228 Controller 16228

The following accessories are included in all Visutron 900 Touch Systems:

Item REF Item REF

User’s Guide - German 16243-101-GER Dust Cover – Phoroptor Head 559-153 Power Cord 230V WCBL10027 Dust Cover – Controller 16217-029 Phoroptor Cable - Middle Mount 559-275 Near Bright Illuminator Kit 16200-869 Phoroptor Cable - Left/Right Mount 559-276 Face Shield Kit (2 sets) 16200-835 ClearChart 4 Bluetooth Adapter 13779

The following optional accessories are available for use with the Visutron 900 Touch System:

Item REF Item REF

Decimal Near Vision Kit 16237 Snellen Near Vision Kit 16236 Extension Cable (15ft),

Visutron 900 Touch Head or Controller Thermal Printer 16230 Cables and Bluetooth Dongle Kits (Various) Phoroptor Cable - Left/Right Mount 559-276 Snellen Card Holder 16231 Decimal Card Holder 16235 Card Beam Assembly 11636-860

16243-101 Rev. G

16213-432 Extension Cable (25ft),

Visutron 900 Touch Head or Controller

16213-433

Instrument Setup (continued)

Parts Identification (continued)

21 3 4

Controller

22 2121

Phoroptor Head

Figure IS-01, Parts Identication

2020

7 8

Central Unit

171216 15

1. Illuminated Bubble Level & Power Indicator Light

2. Threaded Screw for Near Vision Rod

3. Convergence Lever

4. Leveling Thumb Screw

5. Vertex Distance Adjustment Knob

6. Touch Screen Display

7. USB Port (on back)

8. Power Indicator Light

9. Control Knob

10. Phoroptor Head Connection Port

11. Instrument 1 Connection Port for connecting pre-test equipment

12. Projector Connection Port

10 16243-101 Rev. G

13. EMR Connection Port for connecting to a computer

14. Wireless Antenna

15. Transfer Port for Daisy Chaining

16. Power Indicator Light

17. Printer Connection Port

18. Instrument 2 Connection Port for connecting pretest equipment

19. Controller Connection Port

20. Corneal Vertex Distance Windows

21. Lens Apertures

22. Forehead Rest

23. Asymmetrical Height Adjustment Knob

24. Mid Position Height Marking

Instrument Setup (continued)

Connecting the Visutron 900 Touch System

WARNING: APPLY RATED INPUT VOLTAGE TO THE UNIT AS INDICATED ON THE DATA PLATE TO PREVENT

DAMAGE TO THE INSTRUMENT AND/OR INJURY TO THE OPERATOR OR PATIENT.

WARNING: CAREFULLY ARRANGE THE CABLES FOR THE UNIT AND ACCESSORIES, SO THE CABLES DO NOT PRESENT A TRIPPING HAZARD TO THE EXAMINER OR A DANGER TO THE PATIENT.

WARNING: POSITION THIS INSTRUMENT SO THE PLUG IS EASILY ACCESSIBLE.

WARNING: DO NOT PLUG IN THE CENTRAL UNIT UNTIL THE VISUTRON 900 TOUCH SYSTEM IS FULLY SETUP.

The basic system setup contains three components programmed to interact with each other: the Phoroptor Head, the Central Unit, and the Controller. The Central Unit directs communication between the Phoroptor Head, Controller, and other pre-test devices, while the Controller acts as the user interface and controls the Phoroptor Head and the Input/Output of data.

The Visutron 900 Touch is also designed to communicate with Reichert and other manufacturers acuity systems.

External devices, including digital acuity systems, projectors, Lensmeters, Auto Refractors, printers, and computers are connected using serial cables or Bluetooth wireless serial adapters.

Note: Ensure that the pre-test equipment being interfaced is compatible. Refer to Appendix A for a

complete list of external devices that communicate with the Visutron 900 Touch.

Please refer to the Connection Diagram below for plug and cable layout.

Phoroptor Head

Power

EMR

Central Unit

Projector or Digital Acuity System

16243-101 Rev. G

Controller

Figure IS-02, Connection Diagram

Instrument Setup (continued)

Connecting the Visutron 900 Touch System (continued)

1. Align the pins in the Phoroptor Cable with the Phoroptor head.

RefertogureIS-03.

2. Connect the cable by turning the metal collar clockwise until it is

fullysecure.RefertogureIS-04.

3. Connect the other end of the Phoroptor Cable to the Phoroptor port in the Central Unit. Refer to Figure IS-05.

4. Connect the built-in cable on the Controller to the Controller port on the Central Unit.

5. Connect the Power Cord to the Central Unit, then plug in the power cord to an outlet providing appropriate voltage. Turn the unit on by turning the ON/OFF switch to ON.

6. Connect the Projector to the Projector port on the Central Unit in one of the following ways.

a. Refer to the Connecting with Cables section if connecting

with cable.

b. Refer to the Connecting with Bluetooth Dongles section if

connecting with Bluetooth.

c. Refer to the Connecting With Bluetooth USB (ClearChart 4

Series Only) section if connecting with Bluetooth USB.

7. Connect Lensmeters or Auto Refractors to the Instrument 1 or Instrument 2 ports on the Central Unit in one of the following ways.

a. Refer to the Connecting with Cables section if connecting

with cable.

b. Refer to the Connecting with Bluetooth Dongles section if

connecting with Bluetooth.

8. Connect a computer to the EMR port on the Central Unit in one of the following ways. Refer to the EMR Setup section for setup instructions.

a. Refer to the Connecting with Cables section if connecting

with cable.

b. Refer to the Connecting with Bluetooth Dongles section if

connecting with Bluetooth.

9. If needed, connect the Transfer port to another Visutron 900 Touch in one of the following ways to send data from one device to another. Refer to the Daisy Chaining Multiple Visutron 900 Touch’s section for instructions.

a. Refer to the Connecting with Cables section if connecting

with cable.

b. Refer to the Connecting with Bluetooth Dongles section if

connecting with Bluetooth.

c. Refer to the Connecting with Internal Bluetooth section if

connecting with Bluetooth.

Figure IS-03, Phoroptor Cable

Figure IS-04, Phoroptor Connected

Figure IS-05, Phoroptor Connected

Connecting a Right or Left Mount Visutron 900 Touch

Connect the Visutron 900 Touch using the connection cable (559-276) according to Figure IS-05A.

12 16243-101 Rev. G

Figure IS-05A, Connection Diagram

Instrument Setup (continued)

Connecting with Cables

The Visutron 900 Touch can connect to multiple Pro- jectors, Lensmeters, and Autorefractors easily with a wired connection. Refer to the instructions below to connect instruments with a cable.

1. Tap Settings, located at the top right of the

Controller screen. Refer to Figure IS-06

2. Tap Ports in the Settings menu.

3. In the Port Selection panel, tap the

portbeingcongured(e.g.,Projector,

Instrument 1, etc). Refer to Figure IS-

07.

4. In the Port Settings panel, select the

device being connected from the dropdown menu. Refer to Figure IS-07.

5. Set the Connection Type to Cable.

Refer to Figure IS-07.

6. If storing or transferring of data is

needed, check the corresponding boxes. Refer to the Daisy Chaining Multiple Visutron 900 Touch’s section of this manual for more information on these two options.

7. If available, set the serial

communication parameters to match the settings on the device being connected.

8. Tap Apply. “Connected” should appear

in the top right. Refer to Figure IS-08.

Figure IS-06, Settings

Figure IS-07, Port Settings Screen

16243-101 Rev. G

Figure IS-08, Port Settings Screen

Instrument Setup (continued)

Connecting With Bluetooth Dongles

Reichert developed a Bluetooth dongle to connect external devices wirelessly to the Visutron 900 Touch. To communicate properly, the Bluetooth dongle must be paired with a specific port on the Central Unit. Perform the following steps in order to configure each Bluetooth dongle.

Note: Do not connect the Bluetooth dongle to the

power cord until directed to.

1. Tap Settings, located at the top right of the Controller screen. Refer to Figure IS-09.

2. Tap Ports in the Settings menu.

3. In the Port Selection panel, tap the

portbeingcongured(e.g.,Projector,

Instrument 1, etc). Refer to Figure IS-10.

4. In the Port Settings panel, select the device being connected from the dropdown menu. Refer to Figure IS-10.

5. Set the Connection Type to Bluetooth (Dongle). Refer to Figure IS-10.

6. If storing or transferring of data is needed, check the corresponding boxes. Refer to the Daisy Chaining Multiple Visutron 900 Touch’s section of this manual for more information on these two options.

7. If available, set the serial communication parameters to match the settings on the device being connected. Refer to Figure IS-11.

Figure IS-10, Port Settings Screen

Figure IS-09, Settings

Figure IS-11, Serial Communication Parameters

14 16243-101 Rev. G

Instrument Setup (continued)

Connecting With Bluetooth Dongles (continued)

8. Connect the Bluetooth dongle to the power adapter

provided. The LED should illuminate red, indicating it is ready to be paired. Refer to Figure IS-12.

9. Connect the Bluetooth dongle to the corresponding

Central Unit port with the provided pairing cable. Refer to Figure IS-13.

10. In the Port Settings panel on the Visutron 900 Touch

controller tap Pair. Refer to Figure IS-14.

CAUTION: DO NOT TAP PAIR AGAIN. IF PAIR IS ACTIVATED, IT WILL BE NECESSARY TO REPEAT THE ABOVE PROCEDURE TO RE-ESTABLISH THE WIRELESS CONNECTION.

Red Light

Figure IS-12, Ready to Pair

Power

Cord

Pairing

Cable

Bluetooth

Dongle

Figure IS-13, Bluetooth Dongle to Central Unit

11. While connecting, the LED will illuminate blue. Do not disconnect the dongle. Refer to Figure IS-15.

12. Once the connection has been established, the LED will illuminate green. Refer to Figure IS-16.

Blue Light

Figure IS-14, Pair Button

Green Light

Figure IS-15, Actively Pairing

16243-101 Rev. G

Figure IS-16, Connected

Instrument Setup (continued)

Connecting With Bluetooth Dongles (continued)

Note: The LED will blink red if the connection fails.

Note: If the Bluetooth dongle was successfully paired, “Connected” will appear in the upper right

corner of the panel. Refer to Figure IS-18. If “Failed” appears, then press and hold the Bluetooth dongle’s reset switch, using an appropriate object (e.g., paperclip) for approximately 2 seconds. The reset switch is on the side of the Bluetooth dongle. Refer to Figure IS-17. The LED will illuminate solid red. Repeat the directions starting with step 10.

13. Disconnect the power cord and pairing cable from the Bluetooth dongle.

14. Connect the Bluetooth dongle to the external device’s serial port using the appropriate serial cable and/or adaptor using the corresponding cable, then power on using the power adaptor. The LED will illuminate blue.

15. Once the connection has been established again, the LED will remain green.

Note: At this point the Central Unit and Bluetooth dongle

may be powered off and on in any order. The wireless connection will be established automatically once both devices are powered on.

Red

Light

Figure IS-17, Reset the Dongle

Paperclip

Bluetooth Dongle LED Lights Description

Solid Red

Light

Blinking Red

Light

Solid Blue

Light

• No connection.

• Ready to be paired

• Pairing Failed

• Reset Dongle and try to pair again

• Connection In Progress.

• Do not disconnect dongle from Central Unit

Figure IS-18, Connected Status

Solid Green

Light

16 16243-101 Rev. G

• Dongle successfully paired

Instrument Setup (continued)

Connecting With Bluetooth USB (ClearChart 4 Series Only)

Reichert has a Bluetooth USB option to connect a ClearChart 4, 4X, or 4P to the Visutron 900 Touch. In order to establish wireless communications between the Visutron 900 Touch and a ClearChart, the Projector port must first be paired to the Bluetooth USB adapter.

1. Ensure the ClearChart is turned off before pairing.

2. Tap Settings, located at the top right of the Controller screen.

3. Tap Ports on the Settings menu.

4. In the Port Selection panel, tap Projector.

5. In the Port Settings panel, select the ClearChart model from the device list.

Figure IS-19, Device & Connection Type

Note: The Bluetooth USB is only

compatible with the ClearChart 4, 4X or 4P.

6. Set the Connection Type to Blue- tooth (USB). Refer to Figure IS-19.

7. Install the Bluetooth USB into the ClearChart.

8. Turn the ClearChart ON.

Note: The Bluetooth USB must be

installed in the ClearChart before the ClearChart is powered ON or the Bluetooth USB will not be paired properly.

9. Press the Menu button on the ClearChart remote and view the Bluetooth address in the lower right corner of the ClearChart. Refer to Figure IS-20.

10. Tap Discover on the Ports page and the Visutron 900 Touch will search for all available ClearChart Digital Acuity Systems. Refer to Figure IS-19.

Figure IS-20, Bluetooth Address

16243-101 Rev. G

Instrument Setup (continued)

Connecting With Bluetooth USB (ClearChart 4 Series Only) (continued)

Note: If the desired Bluetooth

USB device is not found, tap the Discover button again.

11. Once the Bluetooth address is displayed, select the address that matches the address on the ClearChart and tap Pair. (Tapping Apply is not needed.) Refer to Figure IS-21.

12. Press the Menu button on the ClearChart remote to exit the menu.

Note: The Visutron 900

Touch will only display ‘Initializing Device’ until the ClearChart menu is exited. Once the ClearChart is displaying a chart, only then can the Bluetooth connect and Connected will appear. Refer to Figure IS-22 .

Figure IS-21, USB Address & Pair

13. If pairing is unsuccessful, check all the connections and repeat the steps in this section.

Figure IS-22, ClearChart Connected

18 16243-101 Rev. G

Instrument Setup (continued)

EMR Setup

The Visutron 900 Touch can connect to an EMR system one of two ways, depending on the capability of the EMR system. Contact the EMR company to find out if the specific EMR system is configured to support one-way or two-way communication.

One-Way EMR

One-way communication means the EMR system can only accept data coming in. This configuration requires pre-test equipment to send data to the Visutron 900 Touch, then all of the data (the pre-test data and final refraction data) would transfer to the EMR. Refer to Figure IS-23.

Pre Test Data goes

the

Visutron 900

Touch

All Data Goes

the EMR

Figure IS-23, One-Way Communication Diagram

Note: If there are multiple lanes with Visutron 900 Touch systems, they will need to be connected via

daisy-chaining. This will allow all pre-test data to be transferred to each Visutron 900 Touch system. From there, each Visutron 900 Touch can load the pre-test data and send all of the data to the EMR system. Refer to the Daisy chaining Multiple Visutron 900 Touch’s section for more detailed information on this setup.

Two-Way EMR

Two-way communication means the EMR can send pre-test data out to the Visutron 900 Touch and receive final refraction data in from the Visutron 900 Touch. At the end of the exam, the Visutron 900 Touch will send only final refraction data out to the EMR. Refer to Figure IS-24.

Pre Test Data Goes

FROM

Pre Test Data Goes

the EMR

ONLY Final Refraction Data Goes

TO the EMR

the EMR

the Visutron 900

Touch

16243-101 Rev. G

Figure IS-24, Two-Way Communication Diagram

Instrument Setup (continued)

EMR Setup (continued)

Setup

1. Tap Settings, located at the top right of the Controller screen.

2. Tap Ports on the Settings menu.

3. In the Port Selection panel, tap EMR. Refer to Figure IS-25.

4. In the Port Settings panel, select the device according to the list below.

Devices Visutron 900 Touch - Sends Visutron 900 Touch final refraction data only (including subjective re-

fraction data and binocular test results). Visutron 900 Touch Exp - Sends Visutron 900 Touch final refraction data (including subjective re- fraction data and binocular test results) and pre-test data.

AutoPhor - Sends Visutron 900 Touch final refraction data only. AutoPhor Exp - Sends Visutron 900 Touch final refraction data and pre-test data. Vis900 - Sends data in original Visutron 900+ format, for Visutron 900 units only.

5. Connect the computer to the EMR port on the Central Unit with a cable or Bluetooth dongle. a. Refer to the Connecting with Cables section if connecting with a cable.

b. Refer to the Connecting with Bluetooth Dongles section if connecting with Bluetooth.

6. Set the serial communication parameters to match the settings of the computer serial port.

7. Tap Apply.

Figure IS-25, Port Settings Screen

20 16243-101 Rev. G

Instrument Setup (continued)

Printer

1. Tap Settings, located at the top right of the Controller screen.

2. Tap Ports on the Settings menu.

3. In the Port Selection panel, tap Printer. Refer to Figure IS-27.

4. In the Port Settings panel, select the MCP1000. Refer to Figure IS-27.

5. Connect an MCP1000 printer to the system with a cable or Bluetooth dongle.

a. Refer to the Connecting with Cables section if connecting with a cable. b. Refer to the Connecting with Bluetooth Dongles section if connecting with Bluetooth.

6. Select the Device driver in the Ports Settings panel and tap Apply.

7. Select the data to print in the Output Options in the

Settings menu, in the lower right corner of the screen. Refer to Figure IS-26. The data printing options include:

• Subj, AR, and LM values

• Visual Acuity, FCC, NRA/PRA, Accommodation, Phoria, and Vergence value

The Print Format drop-down list options include:

• Far • Far/Near

• Near • Far/Add

Figure IS-27, Printer Settings

Figure IS-26, Printing Options

16243-101 Rev. G

Instrument Setup (continued)

Daisy Chaining Multiple Visutron 900 Touch Systems

When an EMR system only supports one way communication in a setup with multiple Visutron 900 Touch units, Daisy chaining is required to get the pre-test data to all of the Visutron 900 Touch units. Pretest equipment is sent to the first Visutron 900 Touch in the chain, and the data is then sent to all of the other Visutron 900 Touch systems via the Instrument 1 or 2 and Transfer ports as shown in Figure IS-28.

Lensmeter Data Goes

Autorefractor Data Goes

Instrument 2 Port

Instrument 1 Port

Visutron 1

Instrument 1 Port

Data Goes

OUT

Transfer Port

Data Goes

Visutron 2

Data Goes

OUT

Transfer Port

To Next Visutron 900 Touch

Instrument 1 Port

Figure IS-28, Daisy Chain Setup Diagram

1. Tap Settings, located at the top right of the Controller screen.

2. Tap Ports on the Settings menu.

3. Setup the Auto Refractor and Lensmeter to communicate with the Visutron 900 Touch closest to that location, using the Instrument 1 and Instrument 2 ports. Refer to the Connecting the Visutron 900 Touch System section of this manual for setup instructions for the pre-test equipment.

4. For both Instrument 1 and Instrument 2 section of the Ports page, check off both Store and Transfer in the Port Settings panel.

5. Connect the Transfer port on Central Unit of the first Visutron 900 Touch to the Instrument 1 Port on the Central Unit of the Visutron 900 Touch next in line, using a cable, Bluetooth dongle, or internal Bluetooth connection. Refer to Figure IS-28. a. Refer to the Connecting with Cables section if connecting with a cable. b. If connecting with Bluetooth dongles, refer to the Connecting With Bluetooth Dongles section of

this manual.

c. If connecting with internal Bluetooth, refer to the Connecting With Internal Bluetooth section of this

manual.

Note: TheTransferportontherstVisutron900Touch is the data output port, and the Instrument 1

port on the next Visutron 900 Touch is the data input port.

6. IntherstVisutron900Touch of the chain, for the Transfer port of the Port Settings panel, select VRx Transfer as the device, then tap Apply.

7. In the second Visutron 900 Touch in the chain, for the Instrument 1 port of the Port Settings panel, select AutoPhor Receive as the device then tap Apply. For the Transfer port of the Port Settings panel, select VRx Transfer as the device, then tap Apply.

8. Continue this process until all exam rooms with Visutron 900 Touch systems are connected.

Note: The last Visutron 900 TouchinthechaindoesnotneedtohavetheTransferportcongured,

only the Instrument 1 port. Under Instrument 1, the Transfer box does not need to be checked off, only the Store box.

Note: There is no limit to the number of Visutron 900 Touch units that can be linked together.

22 16243-101 Rev. G

Instrument Setup (continued)

Daisy Chaining Multiple Visutron 900 Touch’s (continued)

Connecting with Internal Bluetooth

1. Tap Settings, located at the top right of the Controller screen.

2. Tap Ports on the Settings menu.

3. In the Port Settings panel, tap Transfer in the Port Selection column. Be sure that under Device,

VRx Transfer is selected. Refer to Figure IS-30.

4. Select Bluetooth (Internal) under Connection Type. Refer to Figure IS-30.

5. Tap Discover under Bluetooth Address. Refer to Figure IS-30.

6. Tap the Bluetooth address for the Visutron 900 Touch that the data will be transferred to, then tap Pair.

Note: The Bluetooth address is found in System Information, in the Service Menu. Refer to Figure IS-29.

Figure IS-29, Bluetooth Address

7. Repeat all the above steps for the Instrument 1 port on the Visutron 900 Touch that is having the data

transferred to it. Be sure that under Device, AutoPhor Receive is selected. Refer to Figure IS-31.

8. Repeat these connection steps for every Visutron 900 Touch in the chain.

Note: If the Bluetooth was successfully paired, “Connected” will appear in the upper right corner of

the panel on both Visutron 900 Touch units. “Connected” will not appear until both Visutron 900 Touch’sarecongured.If“Failed”appearsoneitherVisutron900Touch instruments, then repeat the directions from step 3.

Note: ThelastinstrumentinthechainonlyneedstohavetheInstrument1portcongured,andnotthe

Transfer port.

Figure IS-30, Internal Bluetooth Transfer

16243-101 Rev. G

Figure IS-31, Internal Bluetooth Receive

Instrument Setup (continued)

Near Vision Rod and Card

The Visutron 900 Touch includes a Near vision rod, and a near vision card attached to a card illuminator. Place the three AAA batteries in the card illuminator.

Slide the card illuminator onto the near vision rod. Loosen the convergence lever thumb screw, install the rod into the convergence lever, and tighten the thumb screw. The reading rod is held up in the stored position by a spring clip.

Use caution when moving the Visutron 900 Touch head to make sure the rod is not accidentally lowered. The card illuminator will automatically turn on when the rod is lowered, and turn off when the rod is raised. Use the button on the underside of the NearBright to adjust the illumination level. The card illuminator will automatically shut off after 15 minutes when the rod is lowered.

Face Shields

The Visutron 900 Touch includes two pairs of face shields. These are attached with magnets to the patients side of the Phoroptor head.

Turn the Visutron 900 Touch On and Off

The ON/OFF switch is located on the Central Unit. The entire system is powered by the Central Unit and turned ON/OFF from there.

When the Visutron 900 Touch is turned ON, the Controller software will bootup and the Phoroptor head will perform its initialization procedure. This will take approximately one minute.

To shut down the system, set the ON/OFF switch to OFF.

Figure IS-32, Near Vision Rod

and Card Holder

Figure IS-33, Card Illuminated

24 16243-101 Rev. G

Instrument Setup (continued)

Controller Keypad

31 30

29 28

26 25 18

Figure IS-33, Controller Keypad

202123 22 1924

10 1198765432

12 13

14 15 16

1. C—Clear

2. AR—Auto Refractor

3. LM—Lensmeter

4. R—Right Eye Occluder

5. S—Sphere Adjustment

6. C—Cylinder Adjustment

7. A—Axis Adjustment

8. ADD—Near Vision Addition Adjustment

9. L—Left Eye Occluder

10. Display Multiple Lines of Optotypes

11. Improves Visual Acuity or Increases Optotype Size

12. Horizontal Line

13. Vertical Line

14. Single Optotype

15. Red/Green Filter

16. Decreases Visual Acuity or Decreases Optotype Size

16243-101 Rev. G

17. Enter Key

18. Green button for Split Prism Test

19. L—Open Left Eye, Close Right Eye

20. Control Knob

21. B—Binocular Vision Measurement

22. R—Open Right Eye, Close Left Eye

23. Red button for Split Prism Test

24. PD—Pupillary Distance Measurement

25. BB—Binocular Balance

26. PRISM—Brings in prism lenses

27. OUT—Export Refraction Data

28. IN—Import Pre-test Data

29. SC—Data Without Correction/Plano

30. CC—Data With Correction/Final

31. SUBJ—Subjective Refraction Data

Instrument Setup (continued)

Controller Keypad (continued)

Lens Buttons

These buttons control the lenses and apertures during an exam. Press the different types of buttons (S, C, A, Add) to activate different sets of lenses in the Visutron 900 Touch Head.

C Enters Clear Mode, to enable the clearing of individual data or all of the data. R Occludes the right eye. L Occludes the left eye. S Activates sphere adjustment. C Activates cylinder adjustment. A Activates axis adjustment. ADD Activates the near vision mode.

R Opens the right eye, occludes the left eye. B Opens both eyes. L Opens the left eye, occludes the right eye.

Red Either adjusts the current value by a single increment, or indicates patient preference in the Split

Cylinder test.

Green Either adjusts the current value by a single increment, or indicates patient preference in the Split

Cylinder test.

Enter Functionality depends on the current mode or test.

Control Knob

• Turn the Control Knob to adjust the sphere power, cylinder power, axis, or the power of prism.

• Press and turn the Control Knob at the same time to adjust the sphere by 1.00 D increments, to the cylinder by 1.00 D increments, the prism power by 1.00 D increments, or the axis by 10° increments.

• PresstheControlKnobtomovetothenextrefractionstepornishtheoperation.

Turn Button

-continued-

26 16243-101 Rev. G

Press Button

Instrument Setup (continued)

Controller Keypad (continued)

Chart Buttons

These buttons control the optotype size and layout on the connected acuity chart.

Up Arrow Improves visual acuity or increases optotype size, depending on the user selected

setting.

Square Displays three lines of optotypes. Down Arrow Decreases visual acuity or decreases optotype size, depending on the user selected

setting.

Horizontal Line Displays a single horizontal line of optotypes. Vertical Line Displays a single vertical line of optotypes. Single Optotype Displays one single optotype. Red/Green Displaysred/greenlteronselectedoptotype.Eachhalfcontainsidenticaloptotypes.

In & Out Buttons

These buttons access incoming pre-test data or export outgoing exam data.

IN Presents pre-test equipment data imported into the Visutron 900 Touch. OUT SendsdataouttotheEMRsystemorprintsthedata.Thespecicdatasentisselectedinthe

Settings menu.

16243-101 Rev. G

+ 61 hidden pages

Haag-Streit VISUTRON 900 Touch User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual