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Reichert 7 Auto Tonometer - User Manual

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0% found this document useful (0 votes)
152 views40 pages

Reichert 7 Auto Tonometer - User Manual

manaula usuario reichert 7

Uploaded by

gersonbartolo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 40

Reichert 7

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.

Federal law restricts this device to sale by or on the order of a physician.

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

Instructions for Use


Alignment & Measurement............................................................................... 18-22
Demo Puff.............................................................................................................. 23
Low Confidence Readings................................................................................ 24-25
Too Far Activated................................................................................................... 26
Printing Measurement Data................................................................................... 27

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

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Introduction
Congratulations on your purchase of the Reichert 7 Auto Tonometer.

The Reichert 7 is an auto-aligning, non-contact tonometer used to measure the


intraocular pressure of the eye by delivering a very soft air puff or puffs to the eye.

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]

Indications for use


A tonometer is indicated for measuring intraocular pressure to aid in the screening
and diagnosis of glaucoma

Contraindications
Use of the Reichert 7 is contraindicated in instances of:
• Edematous/ulcerated cornea
• Following keratoplasty
• Following penetrating trauma

4 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Warnings & Cautions
Reichert, Inc. (Reichert) is not responsible for the safety and reliability of this
instrument when:
• Assembly, disassembly, repair, or modification is made by unauthorized deal-
ers or persons
• Instrument is not used in accordance with this User’s Guide
WARNING: AN INSTRUCTION THAT DRAWS ATTENTION TO RISK OF
INJURY OR DEATH
WARNING: ANY REPAIR OR SERVICE TO THE REICHERT 7 MUST BE PERFORMED BY
EXPERIENCED PERSONNEL OR DEALERS THAT ARE TRAINED BY REICHERT SO THAT
CORRECT OPERATION OF THE REICHERT 7 IS MAINTAINED.
WARNING: DO NOT PLACE FINGERS INTO THE OPENING SURROUNDING THE NOSEPIECE
WARNING: THIS INSTRUMENT IS NOT SUITABLE FOR USE IN THE PRESENCE OF
FLAMMABLE ANESTHETIC MIXTURES, SUCH AS OXYGEN OR NITROUS OXIDE.

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

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 5


Symbol Information
The following symbols appear on the instrument.

Caution symbol indicating important operating and maintenance


instructions that are included in this User’s Guide

Type B Product Classification


Class 1 Equipment, Continuous Operation

Alternating Current Power

Protective Earth Connection

ON / OFF

Date of Manufacture

[REF] Catalog 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

6 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Classification
The Reichert 7 is classified as Class 1 Equipment.

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.

The Reichert 7 is classified as Type B Equipment.

Type B Equipment provides an adequate degree of protection against electrical shock,


particularly regarding allowable leakage currents and reliability of the protective earth
connection.

The Reichert 7 is classified as IPX0 Equipment.

IPX0 Equipment is ordinary equipment enclosed without protection against ingress


of water.

According to the mode of operation, the Reichert 7 is a Continuous Operation instrument

FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN

Transportation & Storage


This instrument can withstand the following conditions while packed for transportation
or storage.
• An ambient temperature range of -40° to +158° F (-40°C to +70°C)
• A relative humidity range of 10% to 80% non condensing
• An atmosphere pressure range of 14.7 inHg to 31.3 inHg (50.0 kPa to 106.0 kPa)

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 7


Instrument Setup
Great care has been taken to deliver your new Reichert 7 Auto Tonometer to you safe-
ly. The container and packaging was specially designed to transport this unit. Please
retain the packaging if future transportation is required.

Unpacking Instructions
Please remove the packaging material from the
instrument in the following manner (Refer to
images on left).

The instrument is packaged in a shipping container


to protect the instrument from damage during
shipment. Please read the User’s Guide before
Shipping Container operating the unit. A quick Reference Card is
provided for your convenience and reference during
operation of the unit.

1. Remove the accessories box from the shipping


container
Accessories box contains:
• Power cord
• Dust Cover
• Spare printer paper (2 rolls)
• Quick Reference Card
• User’s Guide

2. Remove the Top Foam (4 corners) from the


shipping container

3. Locate the handles on the sides of the inner box


Inner Box and remove the inner box.

4. Lay the inner box on its side and remove tape.

5. Remove the foam top and bottom inserts from the


inner box. Lift the Reichert 7 out of the inner box.

6. Take the Reichert 7 out of the plastic bag and set


the unit on a secure table.

7. Place the packing material in a safe place so that


if transportation is required in the future, they will
be available.
Opened Inner Box

8 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instrument Setup (continued)

CAUTION: ENSURE THAT THE VOLTAGE APPLIED TO THE UNIT IS


THE SAME AS THE VOLTAGE THAT IS INDICATED ON THE DATA
PLATE NEXT TO THE INPUT CORD RECEPTACLE OR DAMAGE TO
THE UNIT MAY OCCUR.
CAUTION: FOR CONTINUED PROTECTION AGAINST THE RISK OF
FIRE, ANY REPLACEMENT OF DAMAGED FUSES MUST BE IN
ACCORDANCE WITH THE FOLLOWING TYPE AND RATING.

(Use “T 2.50 AH, 250V” fuses)

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 9


Instrument Setup (continued)

Parts Identification
1. Operator Display: Operator Display that dis-
plays measurement data.
1
2. Printer Door: Door (push to open) to access
printer paper.

3. Forehead Rest: Alignment mechanism that


moves right/left for correct patient positioning.

2 4. Nosepiece Objective: Air tube where “air puff”


is emitted

5. Canthus Alignment Marks (right and left side):


3 Alignment mark that indicates the vertical position
of the center of the patient’s eye.
4
6. ON/OFF Switch: Switch that controls input
power to the unit. “O” indicates OFF, and “ | ”
5
indicates “ON”.

7. USB Port: Communication port that transfers


7 printer data
6
8. Main Power Connector and Fuse Holder:
Connection point for input power and the fuses.
Press the top tab and bottom tab together on the
fuse panel to remove the fuse holder and fuses.
Located on underside of unit.

8 9. Printer: Thermal printer supplied with the unit.

10 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instrument Setup (continued)

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.

Icon Icon Description

MENU — Accesses secondary level menus such as setup and help.

MEASURE — Initiates a single-puff measurement process.

TRIPLE MEASURE — Initiates a triple-puff measurement process.

DEMO — Allows patient to feel a soft demonstration air puff.

CLEAR DATA — Clears both right and left data on the Operator Display
and in memory.

PRINT — Sends the data to the printer.

SERVICE — Displays service information.

CANCEL — Cancels measurement process.

PROCEED — Proceed with measurement process.

SELECT — Confirms entry.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 11


Instrument Setup (continued)

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.

2. Touch the screen on the UP/DOWN arrows icon to choose the


appropriate setup category (e.g., Printout Setup).

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.

5. Touch the screen on the SELECT icon to activate the highlighted


parameter.

6. Touch the screen on the appropriate RIGHT/LEFT arrows icon to


move the cursor box to the desired setting for the 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.

Icon Icon Description

MENU — Accesses setup categories such as setup and help.

BACK — Returns to preceding screen.

RIGHT ARROW — Used in the setup menus to move right horizontally.

LEFT ARROW — Used in the setup menus to move left horizontally.

DOWN ARROW — Used in the setup menus to move down vertically.

SELECT — Used in the setup menus to activate the new parameter or


setting.

12 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instrument Setup (continued)

Default Settings (Continued)


This instrument is sent from the factory with measurement, printer, communication,
and miscellaneous parameters set to default settings. These settings can be changed
to suit the needs of the individual operator/clinician. A summary of these settings is
given below with the default selections shown in bold type. To customize these
settings, follow the steps given on page 9, Instrument Setup, Default Settings.

Customized Options
This instrument has the following default settings:

Tonometer Setup: (page 14)


Pressure: kPa mmHg

Printout Setup: (page 15)


Date Format: MDY, DMY, YMD
Time Format: AM/PM, 24 HR
Date: 12/18/2007
Time: 05:00PM
Printer: On, Off
Practice: Reichert

Communication Port Setup: (page 16)


Baud: 1200, 2400, 4800, 9600, 19200
Parity: None, Even, Odd
Data Bits: 7, 8
Stop Bits: 1, 1.5, 2

General Setup: (page 17)

Language: Eng, Fra, Deu, Esp, Por, Ita


Tone: On, Off
Sleep: 5, 10, 20, 90
Contrast: -|||||||||+

Note: Default settings are shown in Bold type.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 13


Instrument Setup (continued)

Tonometer Settings

The following options are available in the Tonometer Setup menu:

Parameters Settings
PRESSURE Choose either kilo Pascals (kPa) or millimeters of
mercury (mmHg).

14 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instrument Setup (continued)

Printout Settings

The following options are available in the Printout Setup menu:

Parameters Settings
DATE FMT Choose the date format that will be shown on the
printer aper:

D=Day, M=Month, Y=Year.

TIME FMT Choose the time format: AM/PM or 24 HR.

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.

PRACTICE Up to 30 characters (letters and numbers) can be


printed at the bottom of the printer paper. To change
the characters, use the PLUS and MINUS icons to
scroll through the alphabet. Once you have found the
letter you require, touch the RIGHT or LEFT icon to
move horizontally to the next letter. To exit, touch the
SELECT icon, then the RETURN icon.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 15


Instrument Setup (continued)

Communications Settings

The Reichert 7 can transfer data to an external device, such as a computer, through
the USB port.

The following options are available in the Communications Setup menu:

Parameters Settings
BAUD Serial transmission data rate, transfers in bits per
second (bps).

PARITY Bits added to data transmission used to detect


transmission errors. None, Even, or Odd are the
available options.

DATA BITS Number of bits that make up data transmission word.


Usually 7 or 8 bits in length.

STOP BITS Number of bits added to the end of the data


transmission word to signal the end of transmission.
Usually 1, 1.5, or 2 bits in length.

FLOW The means used to control data transmission flow


between the sender and the receiver. Often called
handshaking. Can be either hardware or software
controlled (Xon/Xoff) or none.

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.

16 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instrument Setup (continued)

General Settings

The following options are available in the General Setup menu:

Parameters Settings
LANGUAGE Sets the language that is used on the Operator Display.

TONE The audible tone indicator (“beep”) can be set to be


silent (OFF) or audible (ON).

SLEEP Choose the duration of time (5, 10, 20 or 90 minutes)


that the instrument is inactive before it initiates the
“sleep” mode (the Operator Display goes blank when
the “sleep” mode is active). To illuminate (“wake”) the
Operator Display after the “Sleep” mode is active,
press any Control Button.

CONTRAST Changing the position of the slide bar adjusts the


contrast of the Operator Display.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 17


Instructions For Use
Alignment & Measurement

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.

18 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instructions For Use (continued)

Alignment & Measurement (continued)

Slide headrest left or right

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.

Illuminated Air tube


nosepiece

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 19


Instructions For Use (continued)

Alignment & Measurement (continued)

Proper patient alignment Improper patient alignment


(chin close to unit) (chin moved away from unit)

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

20 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instructions For Use (continued)

Alignment & Measurement (continued)


3. Once the patient is leaning against the Forehead Rest, touch the Measure icon
to begin the measurement process. Touching the Measure icon (one puff) will
initiate a measurement with one puff. Touching the Triple Measure icon (three puffs)
will initiate a measurement with three rapid puffs.

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 21


Instructions For Use (continued)

Alignment & Measurement (continued)


5. After the measurement is completed for the first eye, ask the patient to move their
forehead away from the instrument.

6. There are several options available at this point:


a. The Forehead Rest may be slid to the opposite side to continue taking
measurements on the other eye
b. All data may be cleared and other measurements taken
(touch the CLEAR icon)
c. The data can be printed by touching the PRINT icon

Note: The instrument will print out the data from both eyes if the PRINT icon is touched
after both eyes are measured.

22 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instructions For Use (continued)

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 23


Instructions For Use (continued)

Low Confidence Readings


During the measurement process, the Reichert 7 may detect a condition that could
create a low confidence reading, which is identified with an asterisk after the reading.

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.

24 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instructions For Use (continued)

Low Confidence Readings (continued)


Measurements with the Reichert 7 are made within a few milliseconds after the
instrument “puffs” the eye. Since this measurement cycle is so short, IOP readings can
be acquired at different times within a cardiac pulse period. Therefore, repetitive
readings for an eye may fluctuate from 2 to 4 mmHg during this cardiac period.

Occasionally a reading greater than 4 mmHg may be shown (referred to as a “flier”)


due to patient movement or other reasons. The Reichert 7 distinguishes these
readings by putting brackets around the value, as shown on the screen below.

Note: If a reading is surrounded by brackets (a “flier”), it will be used in the


computation of the average value and cause the average value to be out of
range from the non-bracket readings. A forth measurement can be taken by
touching the Measure icon, which will result in the replacement of the “flier”
reading with the new reading. Touching the Triple Measure icon will take three
new readings.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 25


Instructions For Use (continued)

Too Far Activated


During the measurement process, the Reichert 7 may detect a situation where the
patient’s eye is too far from the nosepiece. Should this occur, the instrument will back
away from the patient’s eye and then start aligning and measuring again. After three
attempts, the instrument will back away completely, and the screen will change to that
shown below.

Should this situation arise, ask the patient to move away from the instrument, then
reposition the patient and proceed with the next measurement.

26 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Instructions For Use (continued)

Printing Measurement Data


To print the measurement data, touch the PRINT icon.

A sample printout is shown below.

Name:_ ________________________________
10/08/2008 01:11 PM

(R) (L)
14 13
14 13
14 13
— —

Avg [14.0] [13.0]

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 27


Maintenance
Fuses
Fuses are located next to the power inlet (Refer to page 10, item 8). Replace fuses
with only a rating of T2.50 AH 250V as indicated on the power inlet panel.

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)).

Forehead Rest Cleaning


For hygienic reasons, the Forehead Rest may be cleaned with a clean 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.

Positioning Windows Cleaning


When the Positioning Windows or the Applanation Windows become occluded with
contaminants, degradation of the positioning signal occurs. When signal degradation
occurs, the system may not recognize or position at the center of the eye. Consequently,
the instrument will not find the center of the eye or align off center, which may prevent
the unit from taking a measurement or can cause asterisk readings.
CAUTION: Do not USE ALCOHOL, SOLVENTS OR STRONG
CLEANING SOLUTIONS ON THE alignment windows or DAMAGE
to the windows will occur.

28 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Maintenance (continued)

Positioning Windows Cleaning (continued)


1. Locate the Positioning Windows and the Applanation Windows and wipe the outside
surfaces with a clean, long handle cotton-tip swab moistened with a mild detergent
solution (1 cc of liquid dish soap to one liter of clean, filtered water (filtered below
5 microns)) to remove dirt and contaminants.

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

Operator Display Cleaning


Use a clean, soft cloth with neutral detergent or ethanol to clean the operator display.
Do not use any chemical solvent, acidic, or alkali solution.

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.

Printer Paper Replacement

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 29


Troubleshooting
Help Screens
The Reichert 7 includes HELP screens, which provide useful information and tips on its
operation. These screens are intended to be used as a quick reference to a selection
of operations.

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.

30 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Troubleshooting (continued)

The following chart provides details of common problems and solutions for the Reichert 7.

Definition Probable Cause Solution


Screen blank. Unit in Sleep Mode. Touch any icon.
ON/OFF Switch set to OFF. Press the “|” on the ON/OFF Switch.
Contrast is set too low. Adjust contrast in Setup menu.
Fuse(s) Blown. Replace blown fuse(s)
(Refer to page 28).
Press the ON/OFF button to OFF,
wait 2 minutes then push it to ON.

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 31


Troubleshooting (continued)

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.

32 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Guidance Tables
Table 201 – Guidance and Manufacturer’s Declaration
Emissions
All Equipment and Systems

Guidance and Manufacturer’s Declaration – Emissions

The Non-Contact Tonometer, Reichert 7 is intended for use in the electromagnetic


environment specified below. The customer or user of the Non-Contact Tonometer,
Reichert 7 should ensure that it is used in such an environment.

Electromagnetic Environment
Emissions Test Compliance
- Guidance -

RF Emissions The Non-Contact Tonometer, Reichert 7 uses RF


Group 1
CISPR 11 energy only for its internal function. Therefore,
its RF emissions are very low and are not likely
Harmonics to cause any interference in nearby electronic
IEC 61000-3-2 Class A equipment.

The Non-Contact Tonometer, Reichert 7 is suitable


for use in all establishments, other than domestic,
Flicker Complies
and those directly connected to the public
IEC 61000-3-3 or N/A
low-voltage power supply network that supplies
buildings used for domestic purposes.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 33


Guidance Tables (continued)

Table 201 – Guidance and Manufacturer’s Declaration


Immunity
All Equipment and Systems

Guidance and Manufacturer’s Declaration – Emissions

The Non-Contact Tonometer, Reichert 7 is suitable for use in all establishments,


other than domestic, and those directly connected to the public low-voltage power
supply network that supplies buildings used for domestic purposes. is intended for
use in the electromagnetic environment specified below. The customer or user of
the Non-Contact Tonometer, Reichert 7 should ensure that it is used in such an
environment.

Immunity IEC 60601 Compliance Electromagnetic


Test Test Level Level Environment - Guidance
Floors should be wood, concrete or
ESD ±6kV Contact ±6kV Contact
ceramic tile. If floors are synthetic,
IEC 61000-4-2 ±8kV Air ±8kV Air
the r/h should be at least 30%.

Mains power quality should be that


EFT ±2kV Mains ±2kV Mains
of a typical commercial or hospital
IEC 61000-4-4 ±1kV I/Os ±1kV I/Os
environment.

Mains power quality should be that


Surge ±1kV Differential ±1kV Differential
of a typical commercial or hospital
IEC 61000-4-5 ±2kV Common ±2kV Common
environment.

>95% Dip >95% Dip


for 0.5 Cycle for 0.5 Cycle Mains power quality should be that
of a typical commercial or hospital
60% Dip 60% Dip
environment. If the user of the
Voltage for 5 Cycles for 5 Cycles
Reichert 7 requires continued operation
Dips/Dropout
30% Dip 30% Dip during power mains interruptions,
IEC 61000-4-11
for 25 Cycles for 25 Cycles it is recommended that the Reichert 7
be powered from an uninterruptible
>95% Dip >95% Dip power supply or battery.
for 5 Seconds for 5 Seconds

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

34 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Guidance Tables (continued)

Table 204 – Guidance and Manufacturer’s Declaration


Emissions
Equipment and Systems that are NOT Life-supporting

Guidance and Manufacturer’s Declaration – Emissions

The Non-Contact Tonometer, Reichert 7 is intended for use in the electromagnetic


environment specified below. The customer or user of the Non-Contact Tonometer,
Reichert 7 should ensure that it is used in such an environment.

Immunity IEC 60601 Compliance Electromagnetic


Test Test Level Level Environment - Guidance
Conducted RF 3 Vrms (V1)=3Vrms Portable and mobile communications
IEC 61000-4-6 150 kHz to 80 equipment should be separated from
MHz (E1)=3V/m the Reichert 7 by no less than the
Radiated RF distances calculated/listed below:
IEC 61000-4-3 3 V/m
90 MHz to 2.5 D=(3.5/V1)(Sqrt P)
GHz
D=(3.5/E1)(Sqrt P)
80 to 800 MHz

D=(7/E1)(Sqrt P)
800 MHz to 2.5 GHz

Where P is the max power in watts


and D is the recommended
separation distance in meters.

Field strengths from fixed transmitters,


as determined by an electromagnetic
site survey, should be less than the
compliance levels (V1 and E1).

Interference may occur in the vicinity


of equipment containing a transmitter.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 35


Guidance Tables (continued)

Table 206 – Recommended Separation Distances between


portable and mobile RF
Communications equipment and the Reichert 7
Equipment and Systems that are NOT Life-supporting

Recommended Separation Distances for the Reichert 7

The Non-Contact Tonometer, Reichert 7 is intended for use in the electromagnetic


environment in which radiated disturbances are controlled. The customer or user
of the Non-Contact Tonometer, Reichert 7 can help prevent electromagnetic
interference by maintaining a minimum distance between portable and mobile
RF Communications Equipment and the Non-Contact Tonometer, Reichert 7
as recommended below, according to the maximum output power of the
communications equipment.

Max Output Power Separation (m) Separation (m) Separation (m)


(Watts) 150kHz to 80 80 to 800 800MHz to
MHz MHz 2.5GHz
D=1.1667(Sqrt P) D=1.1667(Sqrt P) D=2.3333(Sqrt P)

0.01 0.1166 0.1166 0.2333

0.1 0.3689 0.3689 0.7378

1 1.1666 1.1666 2.3333

10 3.6893 3.6893 7.3786

100 11.6666 11.6666 23.3333

36 Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


General Specifications
Specifications:
Height: 19.75 in (50.2 cm)
Width: 10.5 in (26.7 cm)
Depth: 14 in (35.6 cm)
Weight, unpacked: 23 lbs (10.43 kg)
Voltage: 100/240 VAC
Frequency: 50/60 Hz
Measurement Range: 7 – 60 mm Hg (ISO 8612 Tonometer Standard)

Ordering Information – Accessories


Description
Printer Paper
Dust Cover
Reichert 7 Quick Reference Card

To order any of these accessories, contact your local authorized Reichert dealer.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B 37


Warranty
This product is warranted by Reichert, Inc. (“Reichert”) against defective material and
workmanship under normal use for a period of one year from the date of invoice to
the original purchaser. (An authorized dealer shall not be considered an original
purchaser.) Under this warranty, Reichert’s sole obligation is to repair or replace the
defective part or product at Reichert’s discretion.

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.

Reichert 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Warranty (continued)

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.

CLAIMS FOR SHORTAGES


We use extreme care in selection, checking, rechecking and packing to eliminate the
possibility of error. If any shipping errors are discovered:

1. Carefully go through the packing materials to be sure nothing was inadvertently


overlooked when the unit was unpacked.

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.

3. Claims should be filed within 30 days.

CLAIMS FOR DAMAGES IN TRANSIT


Our shipping responsibility ceases with the safe delivery in good condition to the
transportation company. Claims for loss or damage in transit should be made promptly
and directly to the transportation company.

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 7 Auto Tonometer User’s Guide - 16050-101 Rev B


Reichert, Inc.
3362 Walden Ave
Depew, NY 14043
USA

Toll Free: 888-849-8955


Phone: 716-686-4500
Email: [email protected]
www.reichert.com

Reichert GmbH
Hubertstrasse 2
D-82229 Seefeld
Germany

Tel: +49 8152 993530


Fax: +49 8152 993535

ISO-9001/13485 Registered

16050-101 Rev B

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