Reichert 7 Auto Tonometer - User Manual
Reichert 7 Auto Tonometer - User Manual
Auto Tonometer
User’s Guide
©2008 Reichert, Inc. Reichert is a registered trademark of Reichert, Inc.
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 9001 Certified – Reichert products are designed and manufactured under quality processes meeting ISO
9001 requirements.
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.
Contents
Description Page
Introduction.............................................................................................................. 4
Indications for Use................................................................................................... 4
Contraindications..................................................................................................... 4
Warnings & Cautions............................................................................................... 5
Symbol Information.................................................................................................. 6
Classification............................................................................................................ 7
Transportation & Storage......................................................................................... 7
Disposal................................................................................................................... 7
Instrument Setup
Unpacking Instructions............................................................................................. 8
Parts Identification................................................................................................. 10
Icon Definition.........................................................................................................11
Default Settings...................................................................................................... 12
Tonometer Settings................................................................................................ 14
Printout Settings..................................................................................................... 15
Communication Settings........................................................................................ 16
General Settings.................................................................................................... 17
Maintenance
Fuses..................................................................................................................... 28
External Cleaning................................................................................................... 28
Forehead Rest Cleaning........................................................................................ 28
Positioning Windows Cleaning......................................................................... 28-29
Operator Display Cleaning..................................................................................... 29
Printer Paper.......................................................................................................... 29
Troubleshooting
Help Screens......................................................................................................... 30
Troubleshooting Chart........................................................................................... 31
Print-Related Errors............................................................................................... 32
Appendix A –Specifications
Guidance Tables............................................................................................... 33-36
General Specifications........................................................................................... 37
Ordering Information – Accessories....................................................................... 37
Warranty
This User’s Guide is designed as a training and reference manual. We recommend you
carefully read and follow the steps in this guide to ensure optimum performance from
your new instrument.
Please retain this guide for future reference and to share with other users. Additional
copies can be obtained from your authorized Reichert, Inc. dealer or contact our
Customer Service department directly at:
Tel: 716-686-4500
Fax: 716-686-4555
E-mail: [email protected]
Contraindications
Use of the Reichert 7 is contraindicated in instances of:
• Edematous/ulcerated cornea
• Following keratoplasty
• Following penetrating trauma
CAUTION:
. AN INSTRUCTION THAT DRAWS ATTENTION TO THE RISK
.OF DAMAGE TO THE PRODUCT.
CAUTION: DO NOT USE SOLVENTS OR STRONG CLEANING SOLUTIONS ON ANY PART OF
THIS INSTRUMENT AS DAMAGE TO THE UNIT MAY OCCUR. SEE MAINTENANCE SECTION
FOR DETAILED CLEANING INSTRUCTION.
CAUTION: USE OF ALCOHOL ON THE LIQUID CRYSTAL DISPLAY (LCD) MAY CAUSE
DAMAGE TO THE DISPLAY. SEE MAINTENANCE SECTION FOR DETAILED CLEANING
INSTRUCTION.
CAUTION: THIS INSTRUMENT IS NOT SUITABLE FOR USE IN THE PRESENCE OF
FLAMMABLE ANESTHETIC MIXTURES SUCH AS OXYGEN OR NITROUS OXIDE.
CAUTION: PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT CAN AFFECT
MEDICAL ELECTRICAL EQUIPMENT.
CAUTION: THE INTERNAL CIRCUITRY OF THE INSTRUMENT CONTAINS ELECTROSTATIC
DISCHARGE SENSITIVE DEVICES (ESDS) THAT MAY BE SENSITIVE TO STATIC CHARGES
PRODUCED BY THE HUMAN BODY. DO NOT REMOVE THE COVERS WITHOUT TAKING
PROPER PRECAUTIONS.
CAUTION: MEDICAL ELECTRONIC EQUIPMENT NEEDS SPECIAL PRECAUTIONS
REGARDING EMC AND NEEDS TO BE INSTALLED AND PUT INTO SERVICE ACCORDING
TO THE EMC INFORMATION PROVIDED IN THE ACCOMPANYING DOCUMENTS.
CAUTION: THIS INSTRUMENT IS NOT TO BE USED NEAR HIGH-FREQUENCY EMITTING
SURGICAL EQUIPMENT
CAUTION: THIS INSTRUMENT IS NOT SUITABLE FOR USE IN THE PRESENCE OF
FLAMMABLE ANESTHETIC MIXTURES SUCH AS OXYGEN OR NITROUS OXIDE.
CAUTION: PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT CAN AFFECT
MEDICAL ELECTRICAL EQUIPMENT.
CAUTION: THE INTERNAL CIRCUITRY OF THE INSTRUMENT CONTAINS ELECTROSTATIC
DISCHARGE SENSITIVE DEVICES (ESDS) THAT MAY BE SENSITIVE TO STATIC CHARGES
PRODUCED BY THE HUMAN BODY. DO NOT REMOVE THE COVERS WITHOUT TAKING
PROPER PRECAUTIONS.
CAUTION: MEDICAL ELECTRONIC EQUIPMENT NEEDS SPECIAL PRECAUTIONS
REGARDING EMC AND NEEDS TO BE INSTALLED AND PUT INTO SERVICE ACCORDING
TO THE EMC INFORMATION PROVIDED IN THE ACCOMPANYING DOCUMENTS.
CAUTION: THIS INSTRUMENT IS NOT TO BE USED NEAR HIGH-FREQUENCY EMITTING
SURGICAL EQUIPMENT
ON / OFF
Date of Manufacture
Class 1 Equipment is equipment in which protection against electric shock does not
rely on basic insulation only, but which includes an additional safety precaution in that
means are provided for the connection of the equipment to a protective earth conductor
in the fixed wiring of the installation in such a way which accessible metal parts cannot
become live in the event of a failure of the basic insulation.
Exposure to these extreme conditions indicated above should not exceed 15 weeks.
Disposal
This product does not generate any environmentally hazardous residues. At the end
of its product life, follow your local laws and ordinances regarding the proper disposal
of this equipment.
Unpacking Instructions
Please remove the packaging material from the
instrument in the following manner (Refer to
images on left).
1. After the unit is in its secure location, apply the correct input voltage to the
instrument using the Power Cord that was contained in the Accessory Tray.
Press down on the “|” located on the ON/OFF Switch. The power inlet is located on
the underside of the unit (Refer to page 10, item 8 for location).
2. Read and fully understand the User’s Guide and the Quick Reference Card before
operating this instrument.
WARNING: DO NOT REMOVE THE OUTSIDE COVERS OF THE UNIT
OR ATTEMPT TO REPAIR ANY INTERNAL PARTS. REPAIR AND
SERVICE OF THE UNIT MUST BE PERFORMED BY EXPERIENCE
PERSONNEL OR DEALERS THAT ARE TRAINED BY REICHERT.
Parts Identification
1. Operator Display: Operator Display that dis-
plays measurement data.
1
2. Printer Door: Door (push to open) to access
printer paper.
Icon Definition
The Reichert 7 incorporates a user-friendly icon/menu-based operating system that will
increase the speed of measurements, training and use. Below are the Icons that are
used during the operation of this instrument.
CLEAR DATA — Clears both right and left data on the Operator Display
and in memory.
Default Settings
The Reichert 7 has default settings that are set at the factory. A summary of these
settings is given on the next page. A detailed definition/explanation of each setting is
given on pages 13-17.
The following steps provide the details on how to customize the default settings.
How to Customize:
1. Touch the screen on the MENU icon.
3. Touch the screen on the SELECT icon to display the parameters and
settings of the setup categories.
4. Touch the screen on the UP/DOWN arrows icon to move the cursor
box to the desired parameter.
7. Touch the screen on the SELECT icon to activate the highlighted setting.
8. Touch the screen on the BACK icon to step back through the previous
menus until the Main Menu is shown.
CAUTION: Do not use a pointed object to touch the screen
or damage to the display may result.
Customized Options
This instrument has the following default settings:
Tonometer Settings
Parameters Settings
PRESSURE Choose either kilo Pascals (kPa) or millimeters of
mercury (mmHg).
Printout Settings
Parameters Settings
DATE FMT Choose the date format that will be shown on the
printer aper:
DATE Change the current date. Use the PLUS (+) or MINUS
(-) icons to increase or decrease the numbers, then
touch the SELECT icon.
TIME Change the current time. Use the PLUS (+) or MINUS
(-) icons to increase or decrease the numbers, then
touch the SELECT icon.
PRINTER Option that sets the printer to print (ON) or not to print
(OFF) when the print icon is touched.
Communications Settings
The Reichert 7 can transfer data to an external device, such as a computer, through
the USB port.
Parameters Settings
BAUD Serial transmission data rate, transfers in bits per
second (bps).
PRINTER Option that sets the printer to print (ON) or not to print
(OFF) when the print button is pressed. When the
printer is set to OFF, the patient data is sent only to the
USB port. When the printer is set to ON, the patient
data is sent to the printer and the USB port.
General Settings
Parameters Settings
LANGUAGE Sets the language that is used on the Operator Display.
When power is applied to the Reichert 7, it will initially perform a calibration check. After
completion of the calibration, the title screen will be displayed.
The Operator Display will then display a message to move the Forehead Rest fully to
the left or right until it locks into position if it is not already in this position.
The Reichert 7 features a fully automated alignment system that enables the
instrument to align itself to the apex of the patient’s left or right eye. This innovative
system makes the measurement process quicker and more comfortable for the patient.
Perform the following steps to take a measurement of the patient’s eye.
1. Instruct the patient to locate the air tube inside the red circle on the end of the
nosepiece.
2. After they have located the air tube, have the patient find the green target inside
the air tube and then slowly lean forward until their forehead is on the soft pad in the
middle of the Forehead Rest. Refer to next page.
Note: If the patient cannot see the green target, use the canthus marks on the sides of
the instrument to set the vertical alignment of the eye and then have the patient
move forward until the center of their forehead is against the Forehead Rest
pad.
Note: The patient should be seated comfortably on the patient side of the instrument.
Note: The patient should be positioned in a way that encourages them to lean forward
with their chin as close to the instrument as possible. This will reduce the
difficulties associated with misalignment and low confidence readings
4. During the positioning process, the Operator Display will change and look similar to
the one shown below. The measuring icon will move around on the Operator Display
when the patient is within the instrument’s acquisition zone. As the positioning
system aligns to the apex of the eye, the measuring icon will move to the center of
the screen and align over the center alignment mark (+). Once the positioning
system is aligned the air “puff” or “puffs” are delivered to the eye and the pressure
is acquired.
Note: If the instrument seems to have trouble acquiring the patient’s eye during the
measurement process (e.g., it keeps aligning but never takes a reading), it may
be necessary to ask the patient to:
• Remain still and try not to move
• Open his/her eyes wider, or
• Tilt his/her head toward the window
Note: If the instrument still seems to have difficulty aligning to the patient’s eye, refer
to the Maintenance section of this manual and perform the Position Window
Cleaning procedure.
Note: The instrument will print out the data from both eyes if the PRINT icon is touched
after both eyes are measured.
Demo Puff
Pressing the button under the DEMO icon initiates a sample air puff. This can be used
to demonstrate the air puff to the patient.
After each time the DEMO button is pressed and the air puff is delivered, an internal
check of the Reichert 7’s systems is conducted to ensure optimum performance of your
instrument.
Note: The DEMO icon will not display if there are measurements displayed on the
screen. Touch the DELETE icon to make the DEMO icon visible.
Asterisk readings can result from an untimely blink or interference from a patient’s
eyelashes. These measurements are highlighted with an asterisk next to the reading
as shown below.
Note: If a reading has an asterisk following it, that reading will be used in the
computation of the average value. A forth measurement can be taken by
touching the Measure icon, which will result in the replacement of the asterisk
reading with the new reading. Touching the Triple Measure icon will take three
new readings.
Should this situation arise, ask the patient to move away from the instrument, then
reposition the patient and proceed with the next measurement.
Name:_ ________________________________
10/08/2008 01:11 PM
(R) (L)
14 13
14 13
14 13
— —
Reichert 7
Sample Printout
If you decide not to make a printout, touch the Clear DATA icon. This
will clear all data from the memory and the screen. The instrument is
now ready for the next patient.
An internal fuse for the power circuits is located on the main circuit board inside the unit.
Note: Replacement of this fuse must be performed by qualified service personnel only.
External Cleaning
Clean the external surfaces of this instrument using a clean, soft cloth moistened with
a mild detergent solution (1 cc of liquid dish soap to one liter of clean, filtered water
(filtered below 5 microns)).
Note: If the Forehead Rest pad must be sanitized, a sterile wipe may be used
occasionally.
2. Remove any remaining dust or foreign particles using only clean, dry, compressed
air at less than 90 psig (620 kPa).
Applanation Windows
Air tube
Positioning Windows
Positioning Windows
Printer Paper
To change the printer paper, remove the printer paper door to expose the printer paper
compartment. Remove the cardboard roll and place a new roll of thermal printer inside
the printer paper compartment as shown below. To order replacement thermal paper,
call your local dealer and ask for replacement paper.
To access the HELP menu, touch the MENU icon. Press the DOWN ARROW icon
until the cursor box is positioned on HELP. Then touch the SELECT icon to access the
HELP screen.
The following chart provides details of common problems and solutions for the Reichert 7.
Instrument not responding Instrument is “locked up.” Press on the “blue dot” dis-
to icon touch. played on the screen at different
Touch screen needs
locations to re-calibrate the
recalibrating
touch screen
Position Patient Patient not looking at green Instruct patient to look for green
Message shown. fixation LED. LED, then move in toward
headrest.
Does not find the eye (moves Dirty Positioning Windows. Clean the Positioning Windows
straight out, then goes straight (Refer to the Maintenance section
External light confusing
back). of this manual)
positioning system.
Isolate sources of external light
(e.g., incandescent or infrared light)
and remove light source.
Finds one eye not the other. Light interference on measuring Remove interference
Infrared interference. side. (e.g., infrared light source).
Will not take a reading. Patient not holding still. Encourage patient to remain still.
Patient’s eye too far from Have patient move toward
Patient Window. nosepiece.
Patient not focusing on target Have patient look only at target.
(eye moving around).
Have patient blink eyes.
Patient has dry eye.
Clean the Positioning Windows
Dirty Positioning Windows. (Refer to the Maintenance section
of this manual).
Asterisk readings or Unit needs reboot of hardware. Unplug unit, wait 2 minutes
No Applanation readings. then apply input power.
Dirty Positioning Windows.
Clean the Positioning Windows
(Refer to the Maintenance
section of this manual).
Printer not printing. Printer out of paper. Replace paper with Reichert P/N
12241.
Printer paper in backwards.
Reverse the printer paper.
Not using Reichert thermal paper.
Print-Related Errors
If your printer runs out of paper during a print cycle, the following message will appear.
Note: If the printer paper runs out before printing all the measurement data, the data
will be stored. Once the printer paper is replaced, a complete print out of all
measurement data will start.
Electromagnetic Environment
Emissions Test Compliance
- Guidance -
Power Frequency
Power frequency magnetic fields
50/60Hz
3A/m 3A/m should be that of a typical commercial
Magnetic Field
or hospital environment.
IEC 61000-4-8
D=(7/E1)(Sqrt P)
800 MHz to 2.5 GHz
To order any of these accessories, contact your local authorized Reichert dealer.
This warranty applies to new products and does not apply to a product that has been
tampered with, altered in any way, misused, damaged by accident or negligence, or
that has the serial number removed, altered or effaced. Nor shall this warranty be
extended to a product installed or operated in a manner not in accordance with the
applicable Reichert instruction manual, nor to a product that has been sold, serviced,
installed or repaired other than by a Reichert factory, Technical Service Center, or
authorized Reichert, Inc. Dealer.
Lamps, bulbs, charts, cards and other expendable items are not covered by this
warranty.
All claims under this warranty must be in writing directed to the Reichert factory,
Technical Service Center, or authorized instrument dealer making the original sale
and must be accompanied by a copy of the purchaser’s invoice.
This warranty is in lieu of all other warranties implied or expressed. All implied
warranties of merchantability or fitness for a particular use are hereby disclaimed. No
representative or other person is authorized to make any other obligations for Reichert.
Reichert shall not be liable for any special, incidental, or consequent damages for any
negligence, breach of warranty, strict liability or any other damages resulting from or
relating to design, manufacture, sale, use or handling of the product.
PATENT WARRANTY
If notified promptly in writing of any action brought against the purchaser based on
a claim that the instrument infringes a U.S. Patent, Reichert will defend such action
at its expense and will pay costs and damages awarded in any such action, provided
that Reichert shall have sole control of the defense of any such action with information
and assistance (at Reichert’s expense) for such defense, and of all negotiation for the
settlement and compromise thereof.
PRODUCT CHANGES
Reichert reserves the right to make changes in design or to make additions to or
improvements in its products without obligation to add such to products previously
manufactured.
2. Call the dealer you purchased the product from and report the shortage. The
materials are packed at the factory and none should be missing if the box has
never been opened.
If, upon delivery, the outside of the packing case shows evidence of rough handling or
damage, the transportation company’s agent should be requested to make a “Received
in Bad Order” notation on the delivery receipt. If within 48 hours of delivery, concealed
damage is noted upon unpacking the shipment and no exterior evidence of rough
handling is apparent, the transportation company should be requested to make out a
“Bad Order” report. This procedure is necessary in order for the dealer to maintain the
right of recovery from the carrier.
Reichert GmbH
Hubertstrasse 2
D-82229 Seefeld
Germany
ISO-9001/13485 Registered
16050-101 Rev B