Topcon TRK-1P Instruction Manual

INSTRUCTION MANUAL

AUTO KERATO-REFRACTO-TONOMETER

TRK-1P

INTRODUCTION

Thank you for purchasing the TOPCON Auto Kerato-refracto-tonometer TRK-1P.

This instrument has the following features:

• Exact measurement of refraction power, corneal curvature, intraocular pressure and central corneal thickness by simple operations

• Softer air blow in measuring intraocular pressure

•

Auto alignment and auto start functions enabling quick measurement under best conditions

This text outlines the Auto Kerato-refracto-tonometer TRK-1P and describes basic operations, troubleshooting, checking, maintenance and cleaning. To encourage the safe, efficient use of this instrument, carefully read "Displays for Safe Use" and "Safety Precautions." Also, keep this Instruction Manual in a convenient location for your future reference.

PRECAUTIONS

• This is a precision instrument, install/store it in a place with the following conditio ns: temperature (10 to 40 direct exposure to sunlight.

• To ensure smooth operation, install the in strument on a leveled st and free of vibrations. Also , do not place any objects on the instrument.

• Before using the instrument, connect all cables correctly.

• Use the specified source voltage.

• When not in use, turn off the power and put the measuring win d ow lens ca p an d du st cove r on .

• To ensure the correct reading, do not mar the measuring window with finger prints, dust, etc. Also, do not touch the measuring nozzle except during cleaning.

°C), humidity (30 to 75%) and atmospheric pressure (700 to 1060hPa). Avoid

[WARNING] When operating the instrument, be not touch the patient's eye or nose.

[WARNING] To prevent corneal damage, do not measure a patient with corneal disease or corneal surgery. To prevent corneal damage, do not measure a patient's wearing a contact lens.

This symbol is applicable for EU member countries only. To avoid potential negative consequences for the environment and possibly human health, this instrument should be disposed of (i) for EU member countries - in accordance with WEEE (Directive on Waste Electrical and Electronic Equipment), or (ii) for all other countries, in accordance with local disposal and recycling laws.

CAUTIONS ON USE

BASIC NOTES

Do not open the cover. For repair, ask our service engineer (to avoid electric shocks). Keep the instrument in a dry place. Do not open the cover. For repair, contact your authorized Topcon distributor. When changing the fuse, turn off the power, and disconnect the power cable. Use the rated fuse.

DISPOSAL

When disposing of the instrument, observe ordinances of the jurisdiction on disposal and recycling.

WORKING ENVIRONMENT

Temperature: 10 to 40°C Humidity: 30 to 75% (no dewing) Atmospheric pressure:700 to 1060hPa

STORAGE, USAGE PERIOD AND OTHERS

1. INSTALLATION CONDITIONS (WITHOUT PACKAGE)

Temperature: 10 to 40°C Humidity: 30 to 75% (no dewing) Atmospheric pressure:700 to 1060hPa

2. STORAGE CONDITIONS

(1) Keep the instrument in a dry place free of dust, salt, sulfur, chemicals or gases. (2) Keep the instrument in a place free of the effects of atmospheric pressure, temperature,

moisture, draft, sunshine, dust, salt and sulfur.

(3) Avoid storing the instrument on inclined surfaces and avoid shock and vibrations during

transport.

(4) Avoid places storing chemicals and generating gases.

3. NORMAL LIFE SPAN OF THE INSTRUMENT

Eight (8) years from delivery providing regular maintenance is performed (TOPCON data)

TRANSPORT AND STORAGE CONDITIONS (with package)

Temperature: -20°C to 50°C Humidity: 10 to 95%

MAINTENANCE AND CHECKS

1.Regularly maintain and check the equipment and parts.

2.When resuming the use after a long storage time, verify that the instrument operates correctly and safely.

3.To ensure the correct reading, do not mar the measuring window with finger prints, dust, etc.

4. If the measuring window is soiled, clean it following the "CLEANING THE MEASURING WINDOW GLASS" instructions on page 156.

DISPLAYS FOR SAFE USE

In order to encourage the safe use of the machine and prevent any danger to the operator and others or damage to properties, important warnings are placed on the product and inserted in the instruction manual. We suggest that everyone understand the meaning of the following displays and icons before reading the "Safety Precautions" and the main text.

DISPLAY MEANING

Ignoring or disregarding this display may lead to

WARNING

CAUTION

• Injury refers to cuts, bruises, sprains, fractures, burn, electric shock, etc.

• Physical damage refers to extensive damage to buildings or equipment and furniture.

ICON MEANING

death or serious injury.

Ignoring or disregarding this display may lead to personal injury or physical damage.

This icon indicates Prohibition. Specific content is expressed with words and/or an illustration near the icon.

This indicates Mandatory Action. Specific content is expressed with words and/or an illustration near the icon.

This indicates Caution. Specific content is expressed with words and/or an illustration near the icon.

SAFETY PRECAUTIONS

WARNING

Icon Description Page

To prevent corneal damage, do not measure a patient with corneal disease or corneal surgery.

To prevent corneal damage, do not m easure a patient's wearing a contact lens. Tell the patient to remove the contact lens.

Do not open the cover. For repair, contact your authorized Topcon distributor. Keep the instrument in a dry place.

To avoid fire and electric shocks, keep the instrument in a dry place.

To avoid fire and electric shocks in case of tumbling, do not place a cup or vessel containing water/fluid near the instrument.

To avoid electric shocks, do not insert metal objects into the instrument body through the vent holes or gaps.

When changing the fuse, turn off the power, and disconnect the power cord. Use the rated fuse.

To av oid fire and electric shocks by short circuiting, be sure to connect the instrument into a grounded outlet.

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In case an abnormal condition such as smoke occurs, immediately switch OFF the power and unplug the power cable. Contact your dealer for repair.

WARNING : Handling the cord on this product or cords associated with accessories sold with this product, will expose you to lead, a chemical known to the State of California to cause birth detects or other reproductive harm. Wash hands after handling

This Product Contains Mercury in the backlighting of the LCD display. Prior to disposal remove of otherwise ensure that this is dispose d of in accordance with Lo cal, State and Federal Laws. This information is applicable in U.S.A only.

This Product Contains a CR Lithium Battery which contains Perchlorate Material-special handling may apply. See http://www.dt s c.ca.gov/hazardouswaste/perchlorate/ Note; This is applicable to California. U.S.A only.

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CAUTION

Icon Description Page

To avoid injury in changing the measurement mode, do not place fingers into the measuring opening. * Inform the patient accordingly

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To avoid injury, when moving the chinrest up/down, keep fingers away from moving parts.

To avoid injury, do not install the instrument on a slope or on an unstable place.

To avoid electrical shock, do not handle the power plug with wet fingers.

To avoid failure or potential injury, do not open the printer cover while the printer is in operation.

To avoid potential injury in case of malfunction, including a paper jam, be sure to shut off the power before attempting to repair it.

Never insert your fingers under the chinrest. * Inform the patient of this, too. Careless insertion of fingers may cause injury by pinching.

Do not use or apply any spray-type cleaner near the instrument. If the cleaner remains inside the measuring nozzle, the patient's eye may be injured during measurement.

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When operating the instrument, be careful not to touch the p atient' s eye or nose.

When moving the instrument, be sure to hold it at the base with two persons. Carrying by one person may cause harm to his back or injury by falling parts. Also, holding areas other than the base may cause injury, as well as damage to the instrument.

CAUTION

Icon Description Page

When setting an instrument on an instrument table, pay attention not to injure the patient's fingers between the instrument and the table.

To avoid potential injury, do not touch the printer body while the printer is in operation or when replacing the printer paper.

Before starting measurement, be sure to confirm the measuring screen (to avoid making the ocular pressure measurement to the patient's eye wearing a contact lens.)

Before measuring, check if there is any foreign matter on and around the measuring nozzle. If any, it may enter and damage the patient's eye during the measurement.

Before measuring, set the safety stop to prevent the measuring window glass from hitting the patient's eye. Set it respectively for the right and left eyes.

Set the safety stop from the side face of the instrument. Setting operations from other positions, where checking of the eye position is not easy, may cause injury.

Clean the measuring window glas s, meas ur ing nozz le and the w indow glass inside the measuring nozzle using ethanol. Other chemicals may cause damage to the patient's eye during measurement.

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This instrument has been tested (with 100/120/230V) and found to comply with IEC60601-1-2: Ed.2.1: 2004. This instrument may emit a radio frequency energy (within the standard) and cause an adverse effect on the devices located nearby. When such effect is confirmed by the ON/OFF operation, a proper treatment as to change the direction, use another outlet, etc. is recommended. If the problem remains unsolv ed , call yo ur deal er.

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USAGE AND MAINTENANCE

PURPOSE

This Auto kerato-refracto-tonometer "TRK-1P" is a precision electrical instrument for medical use which must be used under instructions of a doctor.

USER MAINTENANCE

To maintain the safety and performance of the instrument, never attempt to do maintenance on your own. Ask our service engineer for repair except for the items specified here which can be maintained by the user. For details, follow the instructions.

CHANGING THE FUSE

The primary fuses for the main body may be changed by a non-trained service techn ician. For details, refer to "REPLACING THE FUSE" on page 160.

CLEANING THE MEASURING WINDOW

The measuring window glass may be cleaned. For details, refer to "CLEANING THE MEASURING WINDOW GLASS" on page 156.

CLEANING THE MEASURING NOZZLE AND WINDOW INSIDE THE MEASURING NOZZLE

Regarding the measuring nozzle and the window glass surface inside the measuring nozzle, cleaning is allowed. For detail see "CLEANING THE NOZZLE AND CHAMBER GLASS INSIDE THE MEASURING NOZZLE"on page 157.

ESCAPE CLAUSE

• TOPCON shall not take any responsibility for damage due to fire, earthquakes, actions by a third party or other accidents, or the negligence and misuse of the user and use under unusual conditions.

• TOPCON shall not take any responsibility for damage derived from inability to use this equipment, such as loss of business profits and suspension of business.

• TOPCON shall not take any responsibility for damage caused by operations other than those described in this Instruction Manual.

• Diagnosis shall be made on the responsibility of the doctors, and TOPCON shall not take any responsibility for the result of such diagnosis.

WARNING INDICATIONS AND POSITIONS

To ensure the safety, this machine provides warning displays. Use the instrument correctly by observing the display instructions. If any of the following display labels are missing, contact your TOPCON dealer at the address listed on the back cover.

• Do not open the cover. For repair,

WAR NI NG

contact your authorized Topcon distributor. Keep the instrument in a dry place.

• T o avoid inju ry in chang ing the mea surement mode, do not place fingers into the measuring opening. * Inform the patient accordingly.

• When operating the instrument, be careful not to touch the patient's eye or nose.

CAUTION

• To avoid injury, when moving the chinrest up/down, keep fingers away from moving parts.

CAUTION

• When changing the fuse, turn off the

WARNING

power, and disconect the power cord. Use the rated fuse.

Degree of protection against electric shock: TYPE B EQUIPMENT

CONTENT

INTRODUCTION ...................................................................................................1

DISPLAYS FOR SAFE USE..................................................................................3

SAFETY PRECAUTIONS......................................................................................4

USAGE AND MAINTENANCE ..............................................................................7

ESCAPE CLAUSE.................................................................................................7

WARNING INDICATIONS AND POSITIONS ........................................................8

COMPONENTS

COMPONENT NAMES.......... ... ... ... .... .................................................................12

COMPOSITION OF PARTS WHICH CONTACT THE HUMAN BODY........ ...... .12

CONTROL PANEL COMPONENTS (REF/KRT MODE).....................................13

CONTROL PANEL COMPONENTS (TONO/PACHO MODE) ............................16

MONITOR SCREEN COMPONENTS (REF/KRT MODE) ..................................19

MONITOR SCREEN COMPONENTS (TONO/PACHO MODE)..........................22

OTHER SCREEN DISPLAYS..............................................................................25

PRINTER OUTPUT .............................................................................................27

STANDARD ACCESSORIES....................................................... .......................32

PREPARATIONS

INSTALLING THE INSTRUMENT.......................................................................33

CONNECTING THE POWER CABLE...... ... ... .... ... ... ... .... ... ... ... .... ... ... ... ... .... .......34

CONNECTING EXTERNAL I/O TERMINALS .....................................................35

FUNCTION SETTINGS BY MEANS OF MENU.......................................................36

LIST OF MENUS................................ ... ... ... ... .... ... ... ...........................................36

INITIAL SETTING.............. .... ... ...........................................................................38

PREPARATION FOR INITIAL SETTING ......................................................38

RETURNING TO THE MEASUREMENT SCREEN......................................38

INITIAL SETTING..........................................................................................39

SETTING PRINTOUT....................................................................................49

ON-LINE SETTING (DATA COMMUNITATION)...........................................61

MENU SETTING..................................................................................................67

PREPARATION FOR MENU SETTING........................................................67

DISPLAYING THE MENU SCREEN .............................................................67

RETURNING TO THE MEASUREMENT SCREEN......................................68

MENU SCREEN UNDER FULLY AUTOMATIC MEASUREMENT MODE... 68

SETTING MENU (R/K)..................................................................................69

SEETING MENU (T/P) ..................................................................................81

SETTING THE PRINTER PAPER.......................................................................86

RESETTING FROM POWER SAVE STATUS ....................................................88

OPERATING THE CONTROL LEVER................................................................88

BASIC OPERATIONS

CHANGING THE MEASUREMENT MODE .............................................................90

MEASUREMENT MODE............. ... .... ... ... ... ... .... .................................................90

TYPE OF MEASUREMENT TO BE DONE UNDER REF/KRT

MEASUREMENT MODE............. ... .... ... ... ... ... .... .................................................92

TYPE OF MEASUREMENT TO BE DONE UNDER TONO/PACHO

MEASUREMENT MODE............. ... .... ... ... ... ... .... .................................................93

CHOOSING THE EYE TO BE MEASURED........................................................94

WHEN MEASURING THE REFRACTORY POWER AND CORNEAL

CURVATURE RADIUS OF THE EYE.......................................................................96

PREPARATION BEFORE MEASUREMENT (REF/KRT MODE) . .......................96

TURN ON THE POWER ...............................................................................96

POSITIONING THE PATIENT............................................................ .... .......98

ADJUSTING MONITOR'S ANGLE................................................................99

MEASUREMENT UNDER AUTO MODE (REF/KRT MODE)............................100

MEASUREMENT UNDER MANUAL MODE (REF/KRT MODE).......................105

DISPLAYING MEASUREMENT VALUES (REF/KRT MODE) ..........................107

DELETING MEASUREMENT VALUES (REF/KRT MODE)..............................108

WHEN MEASURING THE OCULAR PRESSURE AND CORNEA

THICKNESS OF THE EYE.....................................................................................109

PREPARATIONS BEFORE MEASUREMENT (TONO/PACHO MODE) ..........109

TURN ON THE POWER .............................................................................109

CHECKING THE MEASURING NOZZLE ...................................................110

AIR CHECK.................................................................................................111

POSITIONING THE PATIENT............................................................ .... .....113

ADJUSTING MONITOR'S ANGLE..............................................................114

SETTING THE SAFETY STOP...................................................................114

MEASUREMENT UNDER AUTO MODE (TONO/PACHO MODE)...................117

MEASUREMENT UNDER MANUAL MODE (TONO/PACHO MODE)..............124

MEASURING THE CORNEA THICKNESS (TONO/PACHO MODE) ...............130

DISPLAYING MEASUREMENT VALUES (TONO/PACHO MODE)... ...... .... ... ..131

DELETING MEASUREMENT VALUES (TONO/PACHO MODE) .....................132

IN A CASE LIKE THIS ...........................................................................................133

TO STOP MEASUREMENT..............................................................................133

TO MEASURE THE RIGHT/LEFT EYE ONLY..................................................134

THE LIMIT ICON APPEARS AND THE MEASUREMENT IS NOT POSSIBLE THE NOZZLE LIMIT APPEARS AND THE MEASUREMENT IS NOT POSSIBLE

ALIGNMENT DOES NOT START .....................................................................138

......136

....137

INDIVIDUAL OPERATIONS

CHANGING THE NUMBER OF MEASUREMENTS .........................................141

DISPLAYING ALL MEASUREMENT DATA ......................................................142

PRINTING MEASUREMENT VALUES .............................................................146

MEASURING THE CORNEA DIAMETER.........................................................148

MEASURING THE HARD CONTACT LENS.....................................................154

INPUT/OUTPUT USING RS-232C.................................................................. ..155

MAINTENANCE AND CHECKING

DAILY MEAINTENANCE...................................................................................156

CHECKING THE MEASURING ACCURACY..............................................156

CLEANING THE INSTRUMENT .................................................................156

CLEANING THE MEASURING WINDOW GLASS......................................156

CLEANING THE NOZZLE AND CHAMBER GLASS INSIDE

THE MEASURING NOZZLE ..................................................... ... ... ............157

ADJUSTING THE MONITOR SCREEN......................................................158

PRINTER PAPER JAM ...............................................................................159

REPLACING THE FUSE.............................................................................160

SPECIAL NOTE OF CLEANING.......................................................................161

CLEANING THE OUTER COVER AND MONITOR SCREEN ....................161

CLEANING THE COMPONENTS TOUCHING THE PATIENT...................161

ITEMS OF SPECIALIST MAINTENANCE...................................................161

BEFORE REQUESTING SERVICE

AIR CHECK.................................... ...................................................................162

CHECKING OPERATIONS ...............................................................................162

REFERENCES

MESSAGE LIST ................................................................................................163

OPTIONAL ACCESSORIES..............................................................................164

ORDERING CONSUMABLE SUPPLIES .. ... ... .... ... ... ... .... ... ... ... .... .....................165

SHAPE OF PLUG..............................................................................................165

RS232C COMMUNICATION SPECIFICATIONS..............................................167

SPECIFICATIONS

SPECIFICATION AND PERFORMANCE..........................................................168

DIMENSIONS AND WEIGHT............................................................................169

INTENDED USE................................................................................................169

OPERATION PRINCIPLES ...............................................................................169

ELECTRIC RATING .............................................................. ... .... ... ..................169

ELECTROMAGNETIC COMPATIBILITY ..........................................................170

EQUIPMENT CLASSIFICATION.......................................................................174

DISPOSAL OF PRODUCT................................................................................174

COMPONENTS

COMPONENT NAMES

Measuring head

Main body Section

Color LCD monitor

Control panel

Brightness control

Measurement switch

Control lever

Chinrest up/down button External I/O terminal

Printer cover open button POWER switch

Inlet cover

Measuring window at TONO/PACHO mode

Measuring window

Measuring opening

Power lamp

Power supply Section

Forehead rest

Measuring opening

Height mark

Chinrest tissue stopper pin

Chinrest

Chinrest Section

Measuring nozzle

COMPOSITION OF PARTS WHICH CONTACT THE HUMAN BODY

Forehead rest : Silicone rubber Chinrest : Acrylonitrile butadiene styrene resin

COMPONENTS

Measuring window lens cap

CONTROL PANEL COMPONENTS (REF/KRT MODE)

(1) R/L (2) Mode (3) Print

R/K

(4) Function button

(1) R/L button: Switches between right and left eyes. Sets continuous measurement

of both eyes, measurement of the right eye only and measurement of the left eye only.

(2) Mode button: Switches between REF/KRT mode and TONO/PACHO mode.

The Mode is selected: Fully automatic measurement mode (REF/KRT mode changes to TONO/PACHO mode continuously), REF/KRT mode and TONO/ PACHO mode. Turns on in orange under REF/KRT mode and in greenish-blue under TONO/PACHO mode.

(3) Print button: Prints out measurement results. When there is no measurement

value, this feeds printer paper by continuous pressing. When the result is stored, the switch green.

(4) Function button: Sets functions under REF/KRT mode.

Functions are displayed as PAGES (PAGE 1, PAGE 2, PAGE 3) on the screen.

COMPONENTS

PAGE 1

After turning power on, the initial status of PAGE is as follows.

(6) Alignment button (8) IOL button

(5) Measurement mode button (7) Target image button (9) PAGE selecting button

(5) Measurement mode button:

Switches between measurement modes of REF/KRT mode. Pressing the Function button enables you to select R/K (REF/KRT continu ous measurement), REF (REF measurement) or KRT (KRT measurement).

: REF/KRT continuous measurement : REF measurement : KRT measurement

(6) Alignment button: Switches between auto measurement and manual measurement.

: Auto measurement : Manual measurement

(7) Target image button: Allows observation of the saved image on the monitor screen.

During the REF/KRT continuous measurement (R/K mode), you can observe the target image by switching between REF and KRT modes. On the TARGET IMAGE DISPLAY screen, press th e

MEASUREMENT MODE button

ment, pressing the will change the right/left data. To return to the MEASUREMENT screen, press the

MEASUREMENT switch

(8) IOL button: When errors are frequent in measuring an IOL-inser ted eye, pressing

the button may allow the measurement.

R/L button

. During the right/left measure-

(9) PAGE selecting button:

COMPONENTS

: Turned ON when errors are frequent.

IOL mark is displayed on the measuring screen if "ON" is selected. (See page 19)

: Turned OFF during a normal measurement.

Changes the PAGE screen to another.

PAGE 2

PAGE selecting button

If the is pressed on PAGE 1, the status of PAGE changes as follows. If the button is pressed again, PAGE 3 is changed.

(11) Cornea diameter button (13) R/K menu button

(10) Fixation target button (12) Clear button (14) PAGE selecting button

(10) Fixation target button:

Varies the brightness of fixation target.

: Darkens the fixation target. : The brightness of fixation target to normal.

When Hi is selected, the fixation lamp mark appears on the MEASUREMENT screen. (See page 19)

(1 1) Cornea diameter button:Used to measure the cornea diameter.

The measurement can be made by using actual image or static image, and the status of button icon changes accordingly.

: Measuring actual image : Measuring static image

For setting of the actual and static image, refer to "CHANGING THE METHOD OF CORNEA DIAMETER MEASUREMENT" on page 44. For measuring details, refer to "MEASURING THE CORNEA DIAMETER" on page 148.

This icon is not displayed in REF (REF single measurement). (12) Clear button: Deletes measurement data. (13) R/K menu button: Displays the MENU screen of REF/KRT mode.

(See "SETTING MENU (R/K)" on page 69) (14) PAGE selecting button:Changes the PAGE screen to another.

PAGE 3

PAGE selecting button

If the is pressed on PAGE 2, the status of PAGE changes as follows. If the button is pressed again, PAGE 1 is returned.

(15) All data button (16) Page selecting button

(15) All data button: Displays all measurement data on the screen. (See page 142) (16) PAGE selecting button:

Changes the PAGE screen to another.

COMPONENTS

CONTROL PANEL COMPONENTS (TONO/PACHO MODE)

(1) R/L (2) Mode (3) Print

(4) Function button

(1) R/L button: Switches between the righ t and left eyes. Sets continuou s measure-

ment of both eyes, measurement of the right eye only and measure-

ment of the left eye only. (2) Mode button: Switches between REF/KRT mode and TONO/PACHO mode.

The Mode is selected:

Fully automatic measurement mode (REF/KRT mode changes to

TONO/PACHO mode continuously), REF/KRT mode and TONO/

PACHO mode.

Turns on in orange under REF/KRT mode and in greenish-blue

under TONO/PACHO mode. (3) Print button: Prints out measurement results. When there is no measurement

value, this feeds printer paper by continuous pressing.

When the result is stored, the switch green. (4) Function button: Sets functions under TONO/PACHO mode.

Functions are displayed as PAGES (PAGE 1, PAGE 2, PAGE 3) on

the screen.

COMPONENTS