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INSTRUCTION MANUAL AUTO KERATO-REFRACTO-TONOMETER TRK-1P

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Page 1: INSTRUCTION MANUAL AUTO KERATO-REFRACTO-TONOMETER … · 2018. 10. 26. · This Auto kerato-refracto-tonometer "TRK-1P" is a precision electrical instrument for medical use which

INSTRUCTION MANUALAUTO KERATO-REFRACTO-TONOMETER

TRK-1P

Page 2: INSTRUCTION MANUAL AUTO KERATO-REFRACTO-TONOMETER … · 2018. 10. 26. · This Auto kerato-refracto-tonometer "TRK-1P" is a precision electrical instrument for medical use which

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 opera-tions, troubleshooting, checking, maintenance and cleaning.To encourage the safe, efficient use of this instrument, carefully read "Displays for SafeUse" 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 conditions: tempera-ture (10 to 40°C), humidity (30 to 75%) and atmospheric pressure (700 to 1060hPa). Avoiddirect exposure to sunlight.

• To ensure smooth operation, install the instrument on a leveled stand free of vibrations. Also, donot 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 window lens cap and dust cover 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.

[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.

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CAUTIONS ON USE

BASIC NOTESDo 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 ratedfuse.

DISPOSALWhen disposing of the instrument, observe ordinances of the jurisdiction on disposal andrecycling.

WORKING ENVIRONMENT

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

STORAGE, USAGE PERIOD AND OTHERS

1. INSTALLATION CONDITIONS (WITHOUT PACKAGE)Temperature: 10 to 40°CHumidity: 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 INSTRUMENTEight (8) years from delivery providing regular maintenance is performed (TOPCON data)

TRANSPORT AND STORAGE CONDITIONS (with package)

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

MAINTENANCE AND CHECKS1. Regularly maintain and check the equipment and parts.2. When resuming the use after a long storage time, verify that the instrument operates cor-

rectly 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.

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DISPLAYS FOR SAFE USEIn order to encourage the safe use of the machine and prevent any danger to the operator andothers or damage to properties, important warnings are placed on the product and inserted in theinstruction manual.We suggest that everyone understand the meaning of the following displays and icons beforereading the "Safety Precautions" and the main text.

DISPLAY MEANING

Ignoring or disregarding this display may lead to death or serious injury.

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

• 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

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.

WARNING

CAUTION

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SAFETY PRECAUTIONS

Icon Description Page

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

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

113

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

8162

To avoid fire and electric shocks, keep the instrument in a dryplace. —

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

To avoid electric shocks, do not insert metal objects into the instru-ment body through the vent holes or gaps. —

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

8160

To avoid fire and electric shocks by short circuiting, be sure to con-nect the instrument into a grounded outlet. 34

In case an abnormal condition such as smoke occurs, immediatelyswitch OFF the power and unplug the power cable. Contact yourdealer for repair.

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

This Product Contains Mercury in the backlighting of the LCD display. Prior to disposal removeof otherwise ensure that this is disposed of in accordance with Local, 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 han-dling may apply. See http://www.dtsc.ca.gov/hazardouswaste/perchlorate/Note; This is applicable to California. U.S.A only.

WARNING

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Icon Description Page

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

89096

109

To avoid injury, when moving the chinrest up/down, keep fingersaway from moving parts. 8

To avoid injury, do not install the instrument on a slope or on anunstable place. 33

To avoid electrical shock, do not handle the power plug with wet fin-gers. 34

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

86159

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

86159

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

98113

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

161

When operating the instrument, be careful not to touch the patient'seye or nose. 8

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

33

CAUTION

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When setting an instrument on an instrument table, pay attentionnot to injure the patient's fingers between the instrument and thetable.

33

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

86159

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

101106119126

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

110

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

114

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

114

Clean the measuring window glass, measuring nozzle and the win-dow glass inside the measuring nozzle using ethanol.Other chemicals may cause damage to the patient's eye duringmeasurement.

156157

This instrument has been tested (with 100/120/230V) and found tocomply with IEC60601-1-2: Ed.2.1: 2004.This instrument may emit a radio frequency energy (within the stan-dard) and cause an adverse effect on the devices located nearby.When such effect is confirmed by the ON/OFF operation, a propertreatment as to change the direction, use another outlet, etc. is rec-ommended. If the problem remains unsolved, call your dealer.

Icon Description Page

CAUTION

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USAGE AND MAINTENANCE

PURPOSE

USER MAINTENANCE

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

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

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

CLEANING THE MEASURING NOZZLE AND WINDOW INSIDE THE MEASURING NOZZLERegarding 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 MEASUR-ING NOZZLE"on page 157.

ESCAPE CLAUSE

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

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

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

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

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

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

• When operating the instrument, becareful not to touch the patient's eyeor nose.

CAUTION• To avoid injury, when moving the

chinrest up/down, keep fingers awayfrom moving parts.

WARNING• When changing the fuse, turn off the

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

Degree of protection against electric shock:TYPE B EQUIPMENT

CAUTION• To avoid injury in changing the mea-

surement mode, do not place fin-gers into the measuring opening.* Inform the patient accordingly.

WARNING• Do not open the cover. For repair,

contact your authorized Topcon dis-tributor.Keep the instrument in a dry place.

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CONTENT

INTRODUCTION ...................................................................................................1DISPLAYS FOR SAFE USE..................................................................................3SAFETY PRECAUTIONS......................................................................................4USAGE AND MAINTENANCE ..............................................................................7ESCAPE CLAUSE.................................................................................................7WARNING INDICATIONS AND POSITIONS ........................................................8

COMPONENTSCOMPONENT NAMES........................................................................................12COMPOSITION OF PARTS WHICH CONTACT THE HUMAN BODY ...............12CONTROL PANEL COMPONENTS (REF/KRT MODE) .....................................13CONTROL PANEL COMPONENTS (TONO/PACHO MODE) ............................16MONITOR SCREEN COMPONENTS (REF/KRT MODE) ..................................19MONITOR SCREEN COMPONENTS (TONO/PACHO MODE)..........................22OTHER SCREEN DISPLAYS..............................................................................25PRINTER OUTPUT .............................................................................................27STANDARD ACCESSORIES ..............................................................................32

PREPARATIONSINSTALLING THE INSTRUMENT .......................................................................33CONNECTING THE POWER CABLE .................................................................34CONNECTING EXTERNAL I/O TERMINALS .....................................................35

FUNCTION SETTINGS BY MEANS OF MENU.......................................................36LIST OF MENUS .................................................................................................36INITIAL SETTING ................................................................................................38

PREPARATION FOR INITIAL SETTING ......................................................38RETURNING TO THE MEASUREMENT SCREEN ......................................38INITIAL SETTING..........................................................................................39SETTING PRINTOUT....................................................................................49ON-LINE SETTING (DATA COMMUNITATION)...........................................61

MENU SETTING..................................................................................................67PREPARATION FOR MENU SETTING ........................................................67DISPLAYING THE MENU SCREEN .............................................................67RETURNING TO THE MEASUREMENT SCREEN ......................................68MENU SCREEN UNDER FULLY AUTOMATIC MEASUREMENT MODE ...68SETTING MENU (R/K) ..................................................................................69SEETING MENU (T/P) ..................................................................................81

SETTING THE PRINTER PAPER .......................................................................86RESETTING FROM POWER SAVE STATUS ....................................................88OPERATING THE CONTROL LEVER ................................................................88

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BASIC OPERATIONSCHANGING THE MEASUREMENT MODE .............................................................90

MEASUREMENT MODE .....................................................................................90TYPE OF MEASUREMENT TO BE DONE UNDER REF/KRT MEASUREMENT MODE .....................................................................................92TYPE OF MEASUREMENT TO BE DONE UNDER TONO/PACHO MEASUREMENT MODE .....................................................................................93CHOOSING 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)........................96TURN ON THE POWER ...............................................................................96POSITIONING THE PATIENT.......................................................................98ADJUSTING MONITOR'S ANGLE ................................................................99

MEASUREMENT UNDER AUTO MODE (REF/KRT MODE)............................100MEASUREMENT UNDER MANUAL MODE (REF/KRT MODE).......................105DISPLAYING MEASUREMENT VALUES (REF/KRT MODE) ..........................107DELETING MEASUREMENT VALUES (REF/KRT MODE) ..............................108

WHEN MEASURING THE OCULAR PRESSURE AND CORNEA THICKNESS OF THE EYE.....................................................................................109

PREPARATIONS BEFORE MEASUREMENT (TONO/PACHO MODE) ..........109TURN ON THE POWER .............................................................................109CHECKING THE MEASURING NOZZLE ...................................................110AIR CHECK .................................................................................................111POSITIONING THE PATIENT.....................................................................113ADJUSTING MONITOR'S ANGLE ..............................................................114SETTING THE SAFETY STOP ...................................................................114

MEASUREMENT UNDER AUTO MODE (TONO/PACHO MODE)...................117MEASUREMENT UNDER MANUAL MODE (TONO/PACHO MODE)..............124MEASURING THE CORNEA THICKNESS (TONO/PACHO MODE) ...............130DISPLAYING MEASUREMENT VALUES (TONO/PACHO MODE)..................131DELETING MEASUREMENT VALUES (TONO/PACHO MODE) .....................132

IN A CASE LIKE THIS ...........................................................................................133TO STOP MEASUREMENT ..............................................................................133TO MEASURE THE RIGHT/LEFT EYE ONLY..................................................134THE LIMIT ICON APPEARS AND THE MEASUREMENT IS NOT POSSIBLE ......136THE NOZZLE LIMIT APPEARS AND THE MEASUREMENT IS NOT POSSIBLE....137ALIGNMENT DOES NOT START .....................................................................138

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INDIVIDUAL OPERATIONSCHANGING THE NUMBER OF MEASUREMENTS .........................................141DISPLAYING ALL MEASUREMENT DATA ......................................................142PRINTING MEASUREMENT VALUES .............................................................146MEASURING THE CORNEA DIAMETER.........................................................148MEASURING THE HARD CONTACT LENS.....................................................154INPUT/OUTPUT USING RS-232C ....................................................................155

MAINTENANCE AND CHECKINGDAILY MEAINTENANCE...................................................................................156

CHECKING THE MEASURING ACCURACY..............................................156CLEANING THE INSTRUMENT .................................................................156CLEANING THE MEASURING WINDOW GLASS......................................156CLEANING THE NOZZLE AND CHAMBER GLASS INSIDE THE MEASURING NOZZLE .......................................................................157ADJUSTING THE MONITOR SCREEN ......................................................158PRINTER PAPER JAM ...............................................................................159REPLACING THE FUSE .............................................................................160

SPECIAL NOTE OF CLEANING .......................................................................161CLEANING THE OUTER COVER AND MONITOR SCREEN ....................161CLEANING THE COMPONENTS TOUCHING THE PATIENT...................161ITEMS OF SPECIALIST MAINTENANCE...................................................161

BEFORE REQUESTING SERVICEAIR CHECK .......................................................................................................162CHECKING OPERATIONS ...............................................................................162

REFERENCESMESSAGE LIST ................................................................................................163OPTIONAL ACCESSORIES..............................................................................164ORDERING CONSUMABLE SUPPLIES...........................................................165SHAPE OF PLUG..............................................................................................165RS232C COMMUNICATION SPECIFICATIONS ..............................................167

SPECIFICATIONSSPECIFICATION AND PERFORMANCE..........................................................168DIMENSIONS AND WEIGHT ............................................................................169INTENDED USE ................................................................................................169OPERATION PRINCIPLES ...............................................................................169ELECTRIC RATING ..........................................................................................169ELECTROMAGNETIC COMPATIBILITY ..........................................................170EQUIPMENT CLASSIFICATION.......................................................................174DISPOSAL OF PRODUCT ................................................................................174

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COMPONENTS

COMPONENT NAMES

COMPOSITION OF PARTS WHICH CONTACT THE HUMAN BODY

Forehead rest : Silicone rubberChinrest : Acrylonitrile butadiene styrene resin

Color LCD monitor

Control panel

Measuring head

Chinrest up/down button

External I/O terminal

Brightness control

Measurement switchControl lever

Power lamp

Printer cover open button

POWER switch

Inlet cover

Forehead rest

Measuring opening

Height mark

Chinrest tissue stopper pin

Chinrest

Main body Section

Measuring window at TONO/PACHO mode

Power supply Section

Measuring window

Measuring nozzleMeasuring window lens cap

Measuring opening

Chinrest Section

12COMPONENTS

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CONTROL PANEL COMPONENTS (REF/KRT MODE)

(1) R/L button: Switches between right and left eyes. Sets continuous measurementof both eyes, measurement of the right eye only and measurement ofthe 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 toTONO/PACHO mode continuously), REF/KRT mode and TONO/PACHO mode.Turns on in orange under REF/KRT mode and in greenish-blueunder TONO/PACHO mode.

(3) Print button: Prints out measurement results. When there is no measurementvalue, 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) onthe screen.

R/K

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

(4) Function button

13COMPONENTS

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PAGE 1After turning power on, the initial status of PAGE is as follows.

(5) Measurement mode button:Switches between measurement modes of REF/KRT mode. Press-ing the Function button enables you to select R/K (REF/KRT continu-ous measurement), REF (REF measurement) or KRT (KRTmeasurement).

: 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 the

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

(8) IOL button: When errors are frequent in measuring an IOL-inserted eye, pressingthe button may allow the measurement.

: 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.(9) PAGE selecting button:

Changes the PAGE screen to another.

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

(6) Alignment button (8) IOL button

MEASUREMENT MODE buttonR/L button

MEASUREMENT switch

14COMPONENTS

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PAGE 2

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

(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)

(11) Cornea diameter button:Used to measure the cornea diameter.The measurement can be made by using actual image or staticimage, and the status of button icon changes accordingly.

: Measuring actual image

: Measuring static imageFor setting of the actual and static image, refer to "CHANGING THEMETHOD OF CORNEA DIAMETER MEASUREMENT" on page 44.For measuring details, refer to "MEASURING THE CORNEA DIAM-ETER" 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

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

Changes the PAGE screen to another.

PAGE selecting button

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

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

PAGE selecting button

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

15COMPONENTS

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CONTROL PANEL COMPONENTS (TONO/PACHO MODE)

(1) R/L button: Switches between the right and left eyes. Sets continuous 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 toTONO/PACHO mode continuously), REF/KRT mode and TONO/PACHO mode.Turns on in orange under REF/KRT mode and in greenish-blueunder TONO/PACHO mode.

(3) Print button: Prints out measurement results. When there is no measurementvalue, 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) onthe screen.

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

(4) Function button

16COMPONENTS

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PAGE 1After turning power on, the initial status of PAGE is as follows.

(5) Measurement mode button:Switches the measurement modes of the ocular pressure measure-ment and the cornea thickness measurement.Pressing the Function button enables you to select T/P (ocular pres-sure measurement/cornea thickness continuous measurement),TONO (ocular pressure measurement) or PACHO (cornea thicknessmeasurement).If is selected by in Page 2:

: Ocular pressure measurement/cornea thickness continuous measurement

: Ocular pressure measurement

: Cornea thickness measurement

If is selected by in PAGE 2:

: Ocular pressure measurement/cornea thickness continuous measurement

: Ocular pressure measurement

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

: Auto measurement

: Manual measurement(7) Count change button:In the AUTO measurement, the number of measurements can be

selected between "single measurement" and "the previously setnumber of measurements".

: Single measurement

: Previously set number of measurements This is not displayed under MANUAL mode. When the measurement mode is changed by the

, is returned.(8) Safety stop button: Used for position setting to keep the measuring window glass from

the patient's eye during the measurement. For details, see page 113.(9) PAGE selecting button:Changes the PAGE screen to another.

(5) Measurement mode button (7) Count change button (9) PAGE selecting button

(6) Alignment button (8) Safety stop button

30 30/60 button

60 30/60 button

MEASUREMENT MODE button

17COMPONENTS

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PAGE 2

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

(10) Air check button: Checks correct operations of the measurement system inside theinstrument. For detail, see page 111.

(11) 30/60 button: Switches between 0-30 range and 0-60 range. This is not displayedunder PACHO mode.

(12) Clear button: Deletes measurement data.(13) T/P menu button: Displays the MENU screen of TONO/PACHO mode.

(See "SEETING MENU (T/P)" on page 81)(14) PAGE selecting button:

Changes the PAGE screen to another.

PAGE 3

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

Changes the PAGE screen to another.

PAGE selecting button

(14) PAGE selecting button

(11) 30/60 button (13) T/P menu button(12) Clear button(10) Air check button

PAGE selecting button

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

18COMPONENTS

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MONITOR SCREEN COMPONENTS (REF/KRT MODE)

(1) Mode display: Displays measurement mode of REF/KRT and TONO/PACHO. : Fully automatic measurement mode.

Measurements in REF/KRT and TONO/PACHO are continuously carried out.Measuring begins in REF/KRT mode.

: REF/KRT mode. REF and KRT measurements are available.

: TONO/PACHO mode. Ocular pressure and cornea thickness measurements are available.

(2) Instrument No.: Displays the instrument No.In the INITIAL MENU screen, setting and display/nondisplay can beswitched. (See page 43)

(3) Patient No.: Displays the patient No.In the INITIAL MENU screen, setting and display/nondisplay can beswitched. Also, the patient No. received from an external device (bar-code reader and the like) is displayed. (See page 42)

(4) Right/left eye: Displays the right/left eye of the patient.The display in measurement is framed.

Measured :

The other measured :

(3) Patient No.

(4) Right/left eye

(5) REF measurement value

(6) KRT measurement value

(7) Number of REF/KRT measurements

(11) VD setting

(8) Function menu

(9) Measurement result unit setting

(15) Fixation lamp mark

(14) IOL mark

(10) Set value of CYLINDER sign

(12) Outer alignment mark(13) Alignment mark

(2) Instrument No.(1) Mode display

(16) Selected measuring eye mark

19COMPONENTS

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(5) REF measurement value:Displays the REF measurement value.Of measurement values, the latest data is displayed on the screen.Figures only: When the measurement was done correct.Figures with *: When the reliability of measurement is low.ERROR: When the measurement was not done correctly.

(6) KRT measurement value:Displays the KRT measurement value.The latest measurement data is displayed on the screen.In the INITIAL MENU screen, the display of HV (horizontal/verticaldirection) and R1R2 (major meridian direction) can be switched.(See page 76)

(7) Number of REF/KRT measurements:Displays the number of REF and KRT measurements.

(8) Function menu: Display the function button under REF/KRT mode.For details, see "CONTROL PANEL COMPONENTS (REF/KRTMODE)" on page 13.

(9) Measurement result unit setting:Displays the unit of the result of KRT measurement (diopter or mm).Diopter setting :mm setting :The setting can be changed in the INITIAL MENU screen. (See page75)

(10) Set value of CYLINDER sign:Displays the CYL set value.The setting can be changed in the INITIAL MENU screen. (See page77)

(11) VD setting: Displays the set value of vertex distance.The setting can be changed in the INITIAL MENU screen. (See page73)

(12) Outer alignment mark:Used to get coarse alignment in aiming at the patient's eye.

(13) Alignment mark: Indicates the starting area of auto alignment.(14) IOL mark: Displayed when the IOL button is ON.(15) Fixation lamp mark:Displayed when the Fixation button is Hi.(16) Selected measuring eye mark:

Selected patient's eye is shown.:Both eyes are measured continuously.:Only the right eye is measured. When fullyautomatic measurement mode is selected, only the righteye is measured repeatedly.

:Only the left eye is measured. When fully auto-matic measurement mode is selected, only the left eye ismeasured repeatedly.

continuous measurement is set in initial settings.After or is selected, automatically return to initial setting(continuous measurement), if printing is carried out.

R LR R/K T/P

L R/K T/P

R LR L

20COMPONENTS

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REF mode KRT mode

21COMPONENTS

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MONITOR SCREEN COMPONENTS (TONO/PACHO MODE)

(1) Mode display: Displays measurement mode of REF/KRT and TONO/PACHO. : Fully automatic measurement mode.

Measurements in REF/KRT and TONO/PACHO are continuously carried out.Measuring begins in REF/KRT mode.

: REF/KRT mode. REF and KRT measurements are available.

: TONO/PACHO mode. Ocular pressure and cornea thickness measurements are available.

(2) Instrument No.: Displays the instrument No.In the INITIAL MENU screen, setting and display/nondisplay can beswitched. (See page 43)

(3) Patient No.: Displays the patient No.In the INITIAL MENU screen, setting and display/nondisplay can beswitched. Also, the patient No. received from an external device (bar-code reader and the like) is displayed. (See page 42)

(4) Right/left eye: Displays the right/left eye of the patient.The display in measurement is framed.

Measured :

The other measured :

(3) Patient No.

(4) Right/left eye

(5) TONO measurement value

(8) Number of TONO/PACHO measurements

(9) Function menu

(2) Instrument No.(1) Mode display

(11) Alignment mark(12) Outer alignment mark

(6) TONO average value

(7) PACHO measurement value

(10) Number of measurements mark(13) Measuring range mark

(14) Ocular Pressure (Value unit) mark

(15) Selected measuring eye mark

22COMPONENTS

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(5) TONO measurement value:Displays ocular pressure measurement values.For one eye, three measurement values are displayed on the screen,and thereafter the oldest measurement value is deleted.White figures: When the measurement was done correct.[ ]Yellow figures: When the reliability of measurement is low.ERROR: When the measurement was not done correctly.OVER: When the measurement range is exceeded.

(6) TONO average value:Displays the average value of ocular pressure measurements. Inte-ger/decimal representation of the average value can be selected onthe setting menu (see page 82).

(7) PACHO measurement value:Displays the cornea thickness measurement value.Only the latest measurement data is displayed in the screen.

(8) Number of TONO/PACHO measurements:Displays the number of ocular pressure and cornea thickness mea-surements.

(9) Function menu: Displays the function button under TONO/PACHO mode.For details, see "CONTROL PANEL COMPONENTS (TONO/PACHOMODE)" on page 16.

(10) Count change mark:In the AUTO measurement, the number of measurements can beselected between "single measurement" and "the previously setnumber of measurements". For details, see "CHANGING THE NUM-BER OF MEASUREMENTS" on page 141. This is not displayedunder MANUAL mode.

: Single measurement

: Previously set number of measurements(11) Alignment mark: Indicates the starting area of auto alignment.(12) Outer alignment mark: Used to get coarse alignment in aiming at the patient's eye.(13) Measuring range mark:

The measuring range set by the 30/60 button is displayed. This is notdisplayed under PACHO mode.

(14) Ocular Pressure (Value unit) Mark:Indicates the unit of the measured ocular pressure value.In the INITIAL MENU screen, the unit can be selected. (see p.48)This is not displayed under PACHO mode.

(15) Selected measuring eye mark:Selected patient's eye is shown.

:Both eyes are measured continuously.:Only the right eye is measured. When fullyautomatic measurement mode is selected, only the righteye is measured repeatedly.

:Only the left eye is measured. When fully auto-matic measurement mode is selected, only the left eye ismeasured repeatedly.

continuous measurement is set in initial settings.After or is selected, automatically return to initial setting(continuous measurement), if printing is carried out.

R LR R/K T/P

L R/K T/P

R LR L

23COMPONENTS

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MEASUREMENT SCREEN UNDER MANUAL MODE

(16) Inner alignment mark:Used to get alignment in aiming at the patient's eye in manual mode.Change the mark according to the status of alignment.

: Alignment is insufficient.: Alignment is sufficient in back/forth, left/right and up/down

directions (in the range where measuring is possible).For details, see MEASUREMENT UNDER MANUAL MODE (TONO/PACHO mode) on page 124.

TONO mode PACHO mode

(16) Inner alignment mark

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OTHER SCREEN DISPLAYS

INITIAL SETTING SCREEN

(1) Set item change button: Move the cursor up/down and select the set item.(2) Execution button: Execute the menu selected by the cursor.(3) Menu end button: Quit the MENU screen and save the set content.

MENU SETTING SCREEN (REF/KRT MODE)

(1) Set item: Displays settable menu items. (The cursor is yellow.)(2) Set value: Displays the set content of set items and the current settings.

The cursor is displayed on the content being set. (The cursoris blue.)

(3) Set item change button: Move the yellow cursor up/down and select the set item.(4) Set value change button: Move the blue cursor up/down and select the set value.(5) Menu end button: Quit the MENU screen and save the set content.

(3) Menu end button

(1) Set item change button (2) Execution button

(2) Set value

(5) Menu end button

(1) Set item

(4) Set value change button(3) Set item change button

25COMPONENTS

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CORNEA DIAMETER MEASUREMENT SCREEN

(1) Left positioning bar: Set the left position of cornea diameter measurement.(2) Right positioning bar: Set the right position of cornea diameter measurement.(3) Move left positioning bar button: Move the left positioning bar right/left.(4) Move right positioning bar button:Move the right positioning bar right/left.(5) Initial position button: The bar returns to the initial position.

WAITING SCREEN

This screen appears after powering on, after printing out and after clearing data.If the screen is displayed, no measurement is done.In this case, following the screen message, pressing the willenable measurement.

(1) Left positioning bar (2) Right positioning bar

(3) Move left positioning bar button (4) Move right positioning bar button(5) Initial position button

REF/KRT mode TONO/PACHO mode

MEASUREMENT switch

26COMPONENTS

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PRINTER OUTPUT<R/K> MODE

The near-vision PD value is calculated based on the general addition number.

Instrument No.

Bar code

Work ID No.

Patient No.Instrument No.

Cylindrical power mark

Measurement Results of 5 right eye measurements(recordable up to 10 measurements)

Typical value of right eye (The * mark is displayed when3 or more measurements are done.)SPHERICAL EQUIVALENT of right eye

The ( ) mark is added when measurement values are not fully reliable.

Pupil distance (PD value)ADD (ordinary additional power)Near vision PD value

Measured value of horizontal corneal curvatureMeasured value of vertical corneal curvatureAverage valueCorneal astigmatic powerCornea diameter

(Example) REF data “ALL”, KRT data “AVE”

VD (vertex distance)Right eye measure-ments

Left eye measurementsMeasurement Results of 5 left eye measurements(recordable up to 10 measurements)

Typical value of left eyeSPHERICAL EQUIVALENT of left eye

Message column(If the message is entered, it will be displayed in any mode.)

27COMPONENTS

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When measurement is done under the IOL mode, a reliability factor is printed outfollowing the I mark.The reliability factor is formed with integers 1 to 9 in increasing order of reliability.Additionally, if the reliability is high enough, the reliability factor is not shown in theprintout.

The I mark is displayed at IOLmode.If the reliability is low and valuesof C and A cannot be determined,** marks are given to pertainingcolumns.

28COMPONENTS

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<REF> MODE <KRT> MODE

Patient No.Instrument No.

VD (vertex distance)Cylindrical power mark

Results of 5 refractory power mea-surements of right eye (recordableup to 10 measurements)Typical value of right eye

Results of 5 refractory power mea-surements of left eye (recordableup to 10 measurements)

Pupil distance(PD value)

Results of 5 right eye cor-neal curvature measure-ments of right eye,average value and astig-matic power of cornea(recordable up to 10 mea-surements each for right /left eye)

Typical measured valueof right eye corneal curvature

Measured value of righteye cornea (mm)

Measured value of left eye

Reliability mark (displayed only when reliability is low)

SPHERICAL EQUIVALENT of right eye

Typical value of right eye

SPHERICAL EQUIVALENT of left eyeTypical value of left eye

ADD(ordinary additional power)

Near vision PD value

<R/K> <KRT> MODE(Kerato data is printed as belowwhen H/V is set to R1/R2.)

29COMPONENTS

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<T/P> MODE

Printed example on setting the display unit of intraocular pressure measurementvalues at hPa.

Instrument No.

Measured of intraocularpressure values

Measured value of centralcorneal thickness

Bar code

Work ID No.

Average intraocular pressure values

Measured value of central corneal thickness

Instrument No.Patient No.

Average value of central corneal thickness

Measured intraocular pressure values

Measurement value at the unit of mmHg

Measurement value at the unit of hPa

30COMPONENTS

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<TONO> MODE <PACHO> MODE

Printed example on setting the display unit of intraocular pressure measurementvalues at hPA on TONO mode.

Measured intraocular pressure values

Average intraocularpressure values

Measured value of central corneal thicknessAverage value of central corneal thickness

31COMPONENTS

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STANDARD ACCESSORIES

The following are standard accessories. Make sure that all these items are included (quantity).

Power cable (1) Chinrest tissue pin (2)

Printer paper (2) Silicon cloth (1)

Chinrest tissue (1) Dust cover (1)

Fuse (2) Instruction manual, unpacking and assembling (1 each)

Accessory case (1) Model eye (1)

Hexagon wrench (1) Window glass cleaning procedure (1)

Blower (1) Cotton applicator for nozzle cleaning (1)

Measuring window lens cap (1)

32COMPONENTS

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PREPARATIONS

INSTALLING THE INSTRUMENT

1 Hold the instrument body firmly at the specified positions and place it on the automaticinstrument table.For the automatic instrument table, see "OPTIONAL ACCESSORIES" on page 164.

2 Place the instrument horizontally, with care not to trample cables.

CAUTION

When moving the instrument, be sure to hold it at the base withtwo persons. Carrying by one person may cause harm to hisback or injury by falling parts. Also, holding areas other thanthe base may cause injury, as well as damage to the instru-ment.

CAUTIONWhen setting an instrument on an instrument table, pay atten-tion not to injure the patient's fingers between the instrumentand the table.

CAUTIONTo avoid injury, do not install the instrument on a slope or on anunstable place.

Holding positions Holding the instrument

33PREPARATIONS

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CONNECTING THE POWER CABLE

1 Make sure the instrument is OFF.

2 Remove the inlet cover.

3 Connect the power cable to the instrument body.

WARNINGTo avoid fire and electric shocks by short circuiting, be sure toconnect the instrument into a grounded outlet.

CAUTIONTo avoid electrical shock, do not handle the power plug withwet fingers.

Make sure you can see the mark "O" (it shows power is OFF).

34PREPARATIONS

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4 Then put the inlet cover.

5 Plug the power cable into the 3-pin AC outlet with grounding.

CONNECTING EXTERNAL I/O TERMINALS

DATA OUTPUTThis instrument can be connected to another device, including a personal computer via theRS232C or USB terminal.

1 Connect the cable to the RS232C OUT terminal of the instrument.

2 Connect the other cable end to the PC and other external device.

DATA INPUTThis instrument can be connected to another device, including a barcode reader via theRS232C terminal.

1 Connect the cable to the RS232C IN terminal of the instrument.

2 Connect the other cable end to the external device.

Use the external device complying with IEC60950/IEC60950-1 or UL60950/UL60950-1.

USB OUT terminal can be connected to Series B plug.When connecting cable, be sure to use the cable with correct shape of plug.

For inquiries about the RS232C, call your dealer or TOPCON at the addressprinted on the back cover of this manual.

USB OUT terminalRS232C IN terminal

RS232C OUT terminal

35PREPARATIONS

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FUNCTION SETTINGS BY MEANS OF MENU

LIST OF MENUS

MAIN MENU SUB MENU MENU ITEMS SETTING ITEMS PageINITIAL SETTING

INITIAL SETTING

BUZZER Setting the buzzer sound 39INIT AUTO Setting the start mode after turning the

power on 40

AUTO PRINT Auto print after finishing auto measure-ment 40

PRINT SWITCH Selecting print button functions 41SERIAL No. RESET Setting the power resetting the patient

No. 41

SERIAL No. INPUT Setting the patient No. 42SERIAL No. DISPLAY Displaying the patient No. 42INSTRUMENT No. INPUT Setting the instrument No. 43INSTRUMENT No. DISPLAY Displaying the instrument No. 43DIOPTER SHIFT Shifting the refractory power 44C.D MEMORY Changing the method of cornea diameter

measurement 44

MEASURING MODE Setting the measurement mode after powering on 45

POWER ON MODE Setting the measurement mode under R/K and T/P mode after power-on 46

POSITION SET Setting the waiting position after mea-surement 46

POWER SAVE TIME Setting the power save time 47AUTO MEASURE COUNT Setting the number of continuous mea-

surements 47

UNIT SELECT Setting the display unit of ocular pressure measurement values 48

SETTING PRINTOUT

VD PRINT Printing VD values 49CYL PRINT Printing the CYLINDER sign 50REF PRINT FORM Changing the printout format of refraction

measurement values 50

S.E DATA Printing the SPHERICAL EQUIVALENT (s.e. data) 51

GRAPHIC PRINT Printing the REFRACTION 51PD PRINT Printing PD values 52CL PRINT Printing COMPUTERIZED LENSME-

TER data 52

CREDIBILITY NUM Printing the credibility number 53ADD PRINT Printing the addition number 53KRT PRINT FORM Changing the printout format of cornea

measurement values 54

36PREPARATIONS

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MAIN MENU SUB MENU MENU ITEMS SETTING ITEMS Page(INITIAL SETTING)

(SETTING PRINTOUT)

KRT AVE PRINT Printing the average value of cornea shape measurements 54

KRT DATA ORDER Changing the PRINTING SEQUENCE cornea shape measurement values 55

KRT CYL PRINT Printing corneal astigmatism and AXIS 55PRINT R/L Changing the PRINTING SEQUENCE 56BAR CODE PRINT Printing the barcode 56NAME PRINT Printing names 57DATE PRINT Printing the date 57DATE PRINT FORM Changing the printout format of date dis-

play 58

SERIAL No. PRINT Printing the patient No. 58INSTRUMENT No. PRINT Printing the instrument No. 59TOPCON PRINT Printing the TOPCON mark 59PRINT DATA Setting for printing the measurement

result 60

ON-LINE SETTING

OUTPUT DATA TYPE Selecting the output data format 62DATA FORM Setting the communication format 63DATA OUTPUT PORT Selecting the output port 65BAUD-RATE Setting the speed of RS-232C communi-

cation 65

CL INPUT Computer the lensmeter data receiving format 66

MENU SETTING

R/K CONT.MEAS. Setting cont. Meas. (continuous mea-surement) 69

DATE/TIME Setting the date and time 70STEP Setting step 71AXIS STEP Setting axis step 72VD Setting VD 73ADD Setting the addition number 74D/mm Setting D/mm 75HV/R1R2 Setting HV/R1R2 76CYL SIGN Setting CYLINDER sign 77INITIAL MODE Setting the measurement mode under

REF/KRT mode 78

MESSAGE INPUT Setting message input 79T/P DATE/TIME Setting the date and time 81

AVERAGE MODE Setting the average value of ocular pres-sure measurements 82

INITIAL MODE Setting the measurement mode under TONO/PACHO mode 83

MESSAGE INPUT Setting message input 84

37PREPARATIONS

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INITIAL SETTING

In the initial setting, patient No., instrument No., refractory power shift, data input/output,printer output, etc. can be set.

PREPARATION FOR INITIAL SETTING

1 Make sure the power cable is connected.For connection, see "CONNECTING THE POWER CABLE" on page 34.

2 While pressing the of the control panel, press on the .

Continue to press the till the buzzer sounds. The POWER lamp lightsand the INITIAL MENU screen is displayed.

RETURNING TO THE MEASUREMENT SCREEN

1 Press .

2 Initialization starts, and the START UP screen is displayed.

MENU button POWER switch

MENU button

Menu button

EXIT

38PREPARATIONS

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INITIAL SETTINGIn the INITIAL SET screen, buzzer sound, start mode, patient No., refractory power shift, mon-itor display of typical value, method of corneal diameter measurement, etc. can be changed.

1 In the "INITIAL MENU screen," make sure that the cursor is on "INITIAL SET," and then

press . The monitor screen is changed to the "INITIAL SET screen."

SETTING THE BUZZER SOUNDThe buzzer sound can be turned ON/OFF. Before shipment, it is set to "ON" (buzzer sound).

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL SET screen."

2 Press the Set value change button or and select "ON" (buzzer sound) or"OFF" (no buzzer sound) of "BUZZER."

3 Setting is done by pressing the Set item change button , and the cursor goes to thenext item.

To exit from this screen• Press .• Close the "INITIAL SET screen" and return to the "INITIAL MENU screen".

To return to the previous item in the screen:• Press the Set item change button .

ENTER

EXIT

39PREPARATIONS

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SETTING THE START MODE AFTER TURNING THE POWER ONThe start mode after powering on can be changed. Before shipment, it is set to "AUTO" (automeasurement after powering on).

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL SET screen."

2 Press the Set item change button and bring the cursor to "INIT AUTO."

3 Press the Set value change button or and select "AUTO" (auto measurementafter powering on) or "MANUAL"(manual measurement after powering on).

4 Press the Set item change button ; the setting is done and the cursor moves to thenext item.

AUTO PRINT AFTER FINISHING AUTO MEASUREMENTAfter finishing the measurement of right and left eyes under auto measurement, the result canautomatically be printed. Before shipment, it is set to "ON" (auto print).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "AUTO PRINT."

3 Press the Set value change button or and select "ON" (auto printout) or "OFF"(no auto print).

4 Press the Set item change button ; the cursor moves to the next item.

40PREPARATIONS

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SELECTING PRINT BUTTON FUNCTIONSThe Print button function can be changed. Before shipment, it is set to "ON" (print).

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL SET screen."

2 Press the Set item change button and bring the cursor to "PRINT SWITCH."

3 Press the Set value change button or and select "ON" (print) or "OFF" (do notprint).

4 Press the Set item change button ; the cursor moves to the next item.

SETTING THE POWER RESETTING THE PATIENT No.The patient No. can be reset by powering on. Before shipment, it is set to "OFF" (do not reset).

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL SET screen."

2 Press the Set item change button and bring the cursor to "SERIAL No. RESET."

3 Press the Set value change button or and select "ON" (reset) or "OFF" (do notreset).

4 Press the Set item change button ; the cursor moves to the next item.

41PREPARATIONS

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SETTING THE PATIENT No.The patient No. can be set between 0 and 9999. Before shipment, it is set to "0001."

1 In the "INITIAL MENU screen," select " INITIAL SET" and get the " INITIAL MENUscreen."

2 Press the Set item change button and bring the cursor to "SERIAL No. INPUT."

3 Press the Set value change button to decrease the value, or to increase.

4 Press the Set item change button ; the cursor moves to the next item.

DISPLAYING THE PATIENT No.The patient No. can be displayed in the monitor screen. Before shipment, it is set to "ON."

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL MENU screen."

2 Press the Set item change button and bring the cursor to "SERIAL No. DISPLAY."

3 Press the Set value change button or and select "ON" (display) or "OFF" (donot display).

4 Press the Set item change button ; the cursor moves to the next item.

Press the , and the cursor moves to the nextPATIANT No.'s digit to input.

MEASUREMENT switch

42PREPARATIONS

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SETTING THE INSTRUMENT No.The instrument No. can be set between 0 and 99. Before shipment, it is set to "01."

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL MENU screen."

2 Press the Set item change button and bring the cursor to "INSTRUMENT No.INPUT."

3 Press the Set value change button to decrease the value, or to increase.

4 Press the Set item change button ; the cursor moves to the next item.

DISPLAYING THE INSTRUMENT No.The instrument No. can be displayed on the monitor screen. Before shipment, it is set to"OFF" (do not display).

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL MENU screen."

2 Press the Set item change button and bring the cursor to "INSTRUMENT No. DIS-PLAY."

3 Press the Set value change button or and select "ON" (display) or "OFF" (donot display).

4 Press the Set item change button ; the cursor moves to the next item.

Press the , and the cursor moves to the next INSTRU-MENT No.'s digit to input.

MEASUREMENT switch

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SHIFTING THE REFRACTORY POWERThe refractory power (S value) can be shifted. Before shipment, it is set to "+0.375."

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL SET" screen.

2 Press the Set item change button and bring the cursor to " DPTR SHIFT."

3 Press the Set value change button to increase the value, or to decrease.The value can be set between -1.000D and 1.000D with 0.125D steps.

4 Press the Set item change button ; the cursor moves to the next item.

CHANGING THE METHOD OF CORNEA DIAMETER MEASUREMENTThe method of cornea diameter measurement can be selected between using an actualimage or a static image. Before shipment, it is set to "OFF" (measurement using actualimage).

1 In the "INITIAL MENU screen," select "INITIAL SET" and get the "INITIAL MENU screen."

2 Press the Set item change button and bring the cursor to "C.D MEMORY."

3 Press the Set value change button or and select "ON" (measurement usingstatic image) or "OFF" (measurement using actual image).

4 Press Set item change button ; the cursor moves to the next item.

44PREPARATIONS

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SETTING THE MEASUREMENT MODE AFTER POWERING ONIt is possible to set the measurement mode after powering on. Factory setting, it is set to "R/K-T/P" (REF/KRT, TONO/PACHO continuous measurement).

1 Select "INITIAL SET" of the INITIAL MENU screen and get the INITIAL SET screen.

2 Press of the Set item change button and bring the cursor to " MEASURING MODE."

3 Press or of the Set value change button and select the desired measurementmode."R/K-T/P" : REF/KRT, TONO/PACHO continuous measurement mode"R/K" :REF/KRT measurement mode"T/P" :TONO/PACHO measurement mode

4 Press the Set item change button to move the cursor to the next item.

When R/K-T/P is set, measurement starts from the REF/KRT mode.

45PREPARATIONS

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SETTING THE MEASUREMENT MODE UNDER R/K AND T/P MODE AFTER POWER-ONFor both the REF/KRT and TONO/PACHO mode, it is possible to set the measurement modeafter powering on. Factory setting, it is set to "INIT" (initial setting state).

1 Select "INITIAL SET" of the INITIAL MENU screen and get the INITIAL SET screen.

2 Press of the Set item change button and bring the cursor to "POWER ON MODE."

3 Press or of the Set value change button and select "INIT" (initial setting state)or "PREV" (state set before previous power-off).

4 Press the Set item change button to move the cursor to the next item.

SETTING THE WAITING POSITION AFTER MEASUREMENTIt is possible to set the waiting position of the main body after finishing each measurement.Factory setting, it is set to "R" (right eye measuring initial position)

1 Select "INITIAL SET" of the INITIAL MENU screen and get the INITIAL SET screen.

2 Press of the Set item change button and bring the cursor to "POSITION SET."

3 Press or of the Set value change button and select the desired measurementmode:"R" : Waiting at the right eye measuring initial position"L" : Waiting at the left eye measuring initial position"FINISH" : Waiting at the position of the measured eye and pulled toward the operator

4 Press the Set item change button to move the cursor to the next item.

46PREPARATIONS

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SETTING THE POWER SAVE TIMEA time for the power save function can be selected. For shipment, 10min. is set.

1 Select "INITIAL SET" of the INITIAL MENU screen and get the INITIAL SET screen.

2 Press of the Set item change button and bring the cursor to "POWER SAVE TIME."

3 Press the Set value change button or and select "OFF", "5", "10", "20", "30",or "60".

4 Press the Set item change button ; the cursor moves to the next item.

SETTING THE NUMBER OF CONTINUOUS MEASUREMENTSUnder AUTO mode, the number of continuous measurements can be set for each of REF/KRT, TONO and PACHO. Before shipment, it is set to 3.

1 Select "INITIAL SET" of the INITIAL MENU screen and get the INITIAL SET screen.

2 Press of the Set item change button and bring the cursor to "AUTO MEASURECOUNT."

3 Press the of the control lever and bring the cursor to thedesired mode.

4 Press the Set value change button or and set the count.

If "OFF" is selected, no power saving function works.

MEASUREMENT switch

47PREPARATIONS

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5 Press the Set item change button ; the cursor moves to the next item.

SETTING THE DISPLAY UNIT OF OCULAR PRESSURE MEASUREMENT VALUESThe unit of ocular pressure measurement values displayed on the monitor screen can beselected from mmHg, digit, hPa or Torr. Before shipment, it is set to "mmHg."

1 Select "INITIAL SET" of the INITIAL MENU screen and get the INITIAL SET screen.

2 Press the Set item change button and bring the cursor to "UNIT SELECT." The dis-play unit of ocular pressure measurement values is displayed on the right, and the set unitis highlighted.

3 Press the Set value change button or and bring the cursor to the desired unitof display unit of ocular pressure measurement values:mmHg : The display unit of measurement values is set to mmHg.digit : The display unit of measurement values is set to digit.hPa : The display unit of measurement values is set to hPa.Torr : The display unit of measurement values is set to Torr.

4 Press of the Set item change button and move the cursor to the next item.

The count can be set between 1 and 10.

The same count is set for REF and KRT.

If different counts are set for TONO and PACHO when the measurement mode isset at T/P, measurement repeats respectively as specified.

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SETTING PRINTOUTIn the PRINT OUT screen, printout format, printing equivalent spherical power, printing com-puter lensmeter data, and printing barcode, sequence of print out, etc. can be changed.

1 In the "INITIAL MENU screen," press and move the cursor to "PRINT OUT."

2 Press , and the monitor screen is changed to the "PRINT OUT screen."

PRINTING VD VALUESVD values can be printed out. Before shipment, the setting is "ON" (print VD values).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the " PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "VD PRINT."

3 Press the Set value change button or and select "ON" (print VD values) or"OFF" (do not print VD values).

4 Press the Set item change button ; the cursor moves to the next item.

To quit the operation• Press .• Close the "PRINT OUT screen" and return to the "INITIAL MENU screen."

To return to the previous item in the screen:• Press the Set item change button .

ENTER

EXIT

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PRINTING THE CYLINDER SIGNThe CYLINDER sign can be printed out. Before shipment it is set to "ON" (print CYLINDERsign).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the " PRINT OUT" screen.

2 Press the Set item change button and bring the cursor to "CYL PRINT."

3 Press the Set value change button or and select "ON" (print CYLINDER sign)or "OFF" (do not print CYLINDER sign).

4 Press the Set item change button ; the cursor moves to the next item.

CHANGING THE PRINTOUT FORMAT OF REFRACTION MEASUREMENT VALUESThe printout format of refractory power can be changed. Before shipment it is set to "ALL"(print all data).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "REF PRINT FORM."

3 Press the Set value change button or and select "ALL" (print all data) or "AVE"(print date, settings and typical refraction value only).

4 Press the Set item change button ; the cursor moves to the next item.

50PREPARATIONS

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PRINTING THE SPHERICAL EQUIVALENT (S.E. DATA)The SPHERICAL EQUIVALENT can be printed out. Before shipment, it is set to "ON" (printequivalent spherical power).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "S.E. DATA."

3 Press the Set value change button or and select "ON" (print S.E. data) or"OFF" (do not print S.E. DATA).

4 Press the Set item change button ; the cursor moves to the next item.

PRINTING THE REFRACTIONYou can print out the pattern showing the refractive state of the measured eye.Before shipment, it is set to "OFF"(do not print out refractive state).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "GRAPHIC PRINT."

3 Press the Set value change button or and select "ON" (print out refractivestate) or "OFF" (do not print refractive state).

4 Press the Set item change button ; the cursor moves to the next item.

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PRINTING PD VALUESPD values can be printed out. Before shipment it is set to "ON" (print PD values).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "PD PRINT."

3 Press the Set value change button or and select "ON" (print PD values) or"OFF" (do not print PD values).

4 Press the Set item change button ; the cursor moves to the next item.

PRINTING COMPUTERIZED LENSMETER DATACOMPUTERIZED LENSMETER data can be printed out. Before shipment, it is set to "OFF"(do not print COMPUTERIZED LENSMETER data).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "CL PRINT."

3 Press the Set value change button or and select "ON" (print COMPUTER-IZED LENSMETER data) or "OFF" (do not print COMPUTERIZED LENSMETER data).

4 Press the Set item change button ; the cursor moves to the next item.

52PREPARATIONS

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PRINTING THE CREDIBILITY NUMBERThe credibility number of measurement data can be printed out. Before shipment, it is set to"OFF" (do not print credibility number).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "CREDIBILITY NUM."

3 Press the Set value change button or and select "ON" (print credibility num-ber) or "OFF" (do not print credibility number).

4 Press the Set item change button ; the cursor moves to the next item.

PRINTING THE ADDITION NUMBERThe addition number can be printed out. Before shipment, it is set to "OFF" (do not print addi-tion number).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "ADD PRINT."

3 Press the Set value change button or and select "ON" (print addition number)or "OFF" (do not print addition number).

4 Press the Set item change button ; the cursor moves to the next item.

53PREPARATIONS

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CHANGING THE PRINTOUT FORMAT OF CORNEA MEASUREMENT VALUESThe printout format of cornea measurement values can be changed. Before shipment it is setto "ALL" (print all data).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "KRT PRINT FORM."

3 Press the Set value change button or and select "ALL" (print all data) or "AVE"(print typical values only).

4 Press the Set item change button ; the cursor moves to the next item.

PRINTING THE AVERAGE VALUE OF KERATOMETRY MEASUREMENTSThe average value of KERATOMETRY measurements can be printed out. Before shipment itis set to "ON" (print average value).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "KRT AVE PRINT."

3 Press the Set value change button or and select "ON" (print average values),or "OFF" (do not print average value).

4 Press the Set item change button ; the cursor moves to the next item.

54PREPARATIONS

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CHANGING THE PRINTING SEQUENCE KERATOMETRY MEASUREMENT VALUESThe sequence of displaying the cornea refractory power and curvature in the printout can bechanged. Before shipment, the setting is "D/MM" (print diopter value first)

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "KRT DATA ORDER."

3 Press the Set value change button or and select "D/MM" (print diopter valuefirst), or "MM/D" (print mm value first).

4 Press the Set item change button ; the cursor moves to the next item.

PRINTING CORNEAL ASTIGMATISM AND AXISThe corneal astigmatism and AXIS can be printed out. Before shipment it is set to "ON" (printcorneal astigmatism and AXIS).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "KRT CYL PRINT."

3 Press the Set value change button or and select "ON" (print corneal astigma-tism and AXIS), or "OFF" (do not print corneal astigmatism and AXIS).

4 Press the Set item change button ; the cursor moves to the next item.

55PREPARATIONS

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CHANGING THE PRINTING SEQUENCEThe sequence of display in the printout can be changed. Before shipment, it is set to "DATA"(print REF and KRT values separately).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "PRINT R/L."

3 Press the Set value change button or and select "DATA"(print REF and KRTvalues separately), or "R/L" (print right and left eyes in order irrespective of REF/KRT).

4 Press the Set item change button ; the cursor moves to the next item.

PRINTING THE BARCODEThe barcode can be printed out. Before shipment, it is set to "OFF" (do not print barcode).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and move the cursor to "BARCODE PRINT."

3 Press the Set value change button or and select "ON" (print barcode) or"OFF" (do not print barcode).

4 Press the Set item change button ; the cursor moves to the next item.

56PREPARATIONS

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PRINTING NAMESThe name list can be printed out. Before shipment it is set to "ON" (print names).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "NAME PRINT."

3 Press the Set value change button or and select "ON" (print names), or "OFF"(do not print names).

4 Press the Set item change button ; the cursor moves to the next item.

PRINTING THE DATEThe date can be printed out. Before shipment it is set to "ON" (print date).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "DATE PRINT."

3 Press the Set value change button or and select "ON" (print date), or "OFF"(do not print date).

4 Press the Set item change button ; the cursor moves to the next item.

When the built-in clock battery is used up, the date is not printed and "DATE" isprinted. For questions about the replacement of the built-in battery, call your dealeror TOPCON at the address printed on the back cover of this manual.

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CHANGING THE PRINTOUT FORMAT OF DATE DISPLAYThe date printout format can be changed. Before shipment it is set to "YMD" (print year/month/day).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and move the cursor to "DATE/TIME FORM."

3 Press the Set value change button or and select:"YMD" (print year/month/day: 2008.03.06)"MDY" (print month/day/year: MAR.06.2008)"DMY" (print 06.MAR.2008)

4 Press the Set item change button ; the cursor move to the next item.

PRINTING THE PATIENT No.The patient No. can be printed out. Before shipment, it is set to "ON" (print patient No.).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and move the cursor to "SERIAL No. PRINT."

3 Press the Set value change button or and select "ON" (print patient No.) or"OFF" (do not print patient No.).

4 Press the Set item change button ; and the cursor goes to the next item.

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PRINTING THE INSTRUMENT No.The instrument No. can be printed out. Before shipment, it is set to "OFF" (do not print instru-ment No.).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and move the cursor to "INSTRUMENT No.PRINT."

3 Press the Set value change button or and select "ON" (print instrument No.)or "OFF" (do not print instrument No.).

4 Press the Set item change button ; the cursor goes to the next item.

PRINTING THE TOPCON MARKThe TOPCON mark can be printed out. Before shipment it is set to "ON" (print TOPCONmark).

1 In the "INITIAL MENU screen," select "PRINT OUT" and get the "PRINT OUT screen."

2 Press the Set item change button and bring the cursor to "TOPCON PRINT."

3 Press the Set value change button or and select "ON" (print TOPCON mark)or "OFF" (do not print TOPCON mark).

4 Press the Set item change button ; the cursor goes to the next item.

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SETTING FOR PRINTING THE MEASUREMENT RESULTIt is possible to set the type of printing for the measurement results of the REF/KRT and/orTONO/PACHO mode. Before shipment, it is set to "ALL" (data of both REF/KRT and TONO/PACHO mode are printed, with a cut between them).

1 Select "PRINT OUT " of the INITIAL MENU screen and go to the PRINT OUT screen.

2 Press of the Set item change button and bring the cursor to " PRINT DATA."

3 Press or of the Set value change button and select the desired measurementmode:"ALL(C)" : Both REF/KRT and TONO/PACHO data are printed, with a cut between them."ALL(NC)" : Both REF/KRT and TONO/PACHO data are printed, but without a cut

between them."R/K" : REF/KRT data are printed."T/P" : TONO/PACHO data are printed

4 Press the Set item change button ; the cursor goes to the next item.

In the case of ALL(C) and ALL(NC), printing proceeds in order of the REF/KRTand TONO/PACHO.

If R/K is set, only REF/KRT data are printed (even if measurement was also doneunder the T/P mode).Or, if T/P is set, only TONO/PACHO data are printed (even if measurement wasalso done under the R/K mode).

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ON-LINE SETTING (DATA COMMUNITATION)In the "ON-LINE screen," COMPUTERIZED LENSMETER receiving format, communicationformat, communication speed and output data can be changed.

1 In the "INITIAL MENU screen," press and move the cursor to "ON-LINE."

2 Press ; the monitor screen is changed to the "ON-LINE screen."

To exit the screen• Press .• Close the "ON-LINE screen" and return to the "INITIAL MENU screen."

To return to the previous item in the screen:• Press .

ENTER

EXIT

61PREPARATIONS

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SELECTING THE OUTPUT DATA FORMATThe output data format can be selected. Before shipment, it is set to "REF."

1 In the "INITIAL MENU screen," select "ON-LINE" and get the "ON-LINE screen."

2 Press the Set item change button and bring the cursor to "OUTPUT DATA TYPE."

3 Press the Set value change button or and select:REF (output REF measurement data only),KRT (output Kerato measurement data only),R/K (output REF and KRT data),TONO (output ocular pressure measurement data only),PACHO (output cornea thickness measurement data only),T/P (output ocular pressure measurement and cornea thickness measurement

data), orALL (output all data, REF measurement/Kerato measurement/ocular pressure

measurement/cornea thickness measurement)4 Press the Set item change button ; the cursor moves to the next item.

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SETTING THE COMMUNICATION FORMATThe communication format can be set. Before shipment, it is set as follows by the setting of"OUTPUT DATA TYPE":REF, KRT, R/K: "OLD" (old TOPCON format)TONO, T/P: "MODE1" (average value output format)PACHO, ALL: "STD3" (TOPCON STD3 format)

1 In the "INITIAL MENU screen," select "ON-LINE" and get the "ON-LINE screen."

2 Press the Set item change button and move the cursor to "DATA FORM."

3 Press the Set value change button or and select the desired format:• When the setting of "OUTPUT DATA TYPE" is REF.KRT.R/K:

OLD (OLD TOPCON format);NEW (new TOPCON format);STD1 (TOPCON STD1 format);STD2 (TOPCON STD2 format);STD3 (TOPCON STD3 format);ALL (tool mode);CM1 (custom specification);CM2 (custom specification);CM3 (custom specification);CM4 (custom specification); orCM5 (custom specification)

When outputting all data of REF measurement data or Kerato measurement data,select "STD2" or "STD3".

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• When the setting of "OUTPUT DATA TYPE" is TONO or T/P:

MODE1(average value output format);MODE2(latest value output format;STD1 (TOPCON STD1 format);STD2 (TOPCON STD2 format); orSTD3 (TOPCON STD3 format)

• When the setting of "OUTPUT DATA TYPE" is PACHO or ALL:

STD3 (TOPCON STD3 format); orCM6 (custom specification)

4 Press the Set item change button ; the cursor goes to the next item.

When outputting all data of ocular pressure measurement value, select "STD2" or"STD3".

For inquiries about the RS-232C communication format, call your dealer or Topconat the address stated on the back cover.

When data is outputted from the USB OUT terminal, either STD1, STD2 or STD3is taken regardless of setting here.

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SELECTING THE OUTPUT PORTThe data output port can be selected. Before shipment, it is set to "OFF."

1 In the "INITIAL MENU screen," select "ON-LINE" and get the "ON-LINE screen."

2 Press the Set item change button and bring the cursor to "DATA OUTPUT PORT."

3 Press the Set value change button or and select:OFF (do not output data); orRS232C (output data via RS-232C OUT terminal)

4 Press the Set item change button ; the cursor moves to the next item.

SETTING THE SPEED OF RS-232C COMMUNICATIONThe RS-232C communication speed can be set. Before shipment, it is set to "2400" (baud rate2400).

1 In the "INITIAL MENU screen," select "ON-LINE" and get the "ON-LINE screen."

2 Press the Set item change button and move the cursor to "BAUD-RATE."

3 Press the Set value change button or and select:2400 (baud rate 2400), or9600 (baud rate 9600)

4 Press the Set item change button ; the cursor goes to the next item.

The USB OUT terminal outputs data when the cable is connected to it.Even if RS232C is selected, data are outputted from the USB OUT terminal whenthe cable is connected to it and the external device is ready for receiving.

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COMPUTERIZED LENSMETER DATA RECEIVING FORMATThe RS-232C receiving format for COMPUTERIZED LENSMETER data can be set. Beforeshipment, it is set to "NO" (do not receive COMPUTERIZED LENSMETER data).

1 In the "INITIAL MENU screen," select "ON-LINE" and get the "ON-LINE screen."

2 Press the Set item change button and move the cursor to "CL INPUT."

3 Press the Set value change button or and select:NO (do not receive COMPUTERIZED LENSMETER data),OLD (when RS-232C format of COMPUTERIZED LENSMETER is OLD),NEW (when RS-232C format of COMPUTERIZED LENSMETER is NEW),STD1 (when RS-232C format of COMPUTERIZED LENSMETER is STD1),R-ID (receive patient No. via RS-232C input terminal) - processed as real ID, orW-ID (receive patient No. via RS-232C input terminal) - processed as work ID

4 Press the Set item change button ; the cursor goes to the next item.

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MENU SETTING

In menu setting, data step, contact/glasses, continuous measurement, addition number, dateand time, as well as the display of cornea shape measurement results and ocular pressuremeasurement results and the like can be set.

PREPARATION FOR MENU SETTING

1 Make sure the power cable is connected.For connection, see "CONNECTING THE POWER CABLE" on page 34.

2 Press on the .

DISPLAYING THE MENU SCREEN

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel.

3 Make sure of the "SETTING MENU screen."Set items are displayed for each mode.

POWER switch

MENU button

REF/KRT mode TONO/PACHO mode

MENU screen of REF/KRT mode

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RETURNING TO THE MEASUREMENT SCREEN

1 Press the of the control panel.

MENU SCREEN UNDER FULLY AUTOMATIC MEASUREMENT MODE

When the is pressed when the WAITING screen is displayed under AUTOmode for continuously measuring the REF/KRT mode and TONO/PACHO mode, the SET-TING MENU (R/K) screen and SETTING MENU (T/P) screen can be displayed.

1 On the WAITING screen, press the .

2 The SETTING MENU SELECT screen is displayed. Move the cursor to the desired mode

and press .

EXIT

MENU button

MENU button

MENU button

Fully automatic measurement mode is selected.

ENTER

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3 The SETTING MENU (R/K) screen or the SETTING MENU (T/P) screen is displayed.

4 To return to the MEASUREMENT screen, press .

SETTING MENU (R/K)

SETTING CONT. MEAS. (CONTINUOUS MEASUREMENT)Continuous measurement can be set. Before shipment, it is set to "ON" (continuous measure-ment).

1 Press the of the control panel and get the "SETTING MENU (R/K)screen." "CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.The cursor shows the set content.

2 Press the Set value change button or and bring the cursor to "ON" for contin-uous measurement.

ON (continuous measurement)OFF(do not execute continuous measurement)

3 Press the Set item change button ; the cursor moves to the next item (DATE/TIME).

4 To exit from the menu, press and return to the MEASUREMENT screen.

EXIT

MENU button

EXIT

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SETTING THE DATE AND TIME

1 Press the of the control panel and get the "SETTING MENU (R/K)screen." "CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.The cursor shows the set content.

2 Press the Set item change button and bring the cursor to "DATE/TIME."The date/time is displayed on the right.

3 Press the and highlight the desired item (year, month, date,hour, minute, second).Press the Set value change button (increase) or (decrease) as changing fig-ures.

4 Press the Set item change button ; the cursor moves to the next item (D/MM).

Press the Set item change button ; the cursor moves to the previous item (CONT.MEAS).

5 To exit from the menu, press and return to the MEASUREMENT screen.

Setting of "DATE/TIME" can also be done on the "SETTING MENU (T/P) screen."

MENU button

MEASUREMENT switch

EXIT

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SETTING STEPThe measurement step can be selected from 0.12 and 0.25. Before shipment, it is set to"0.25."

1 Press the of the control panel and get the "SETTING MENU (R/K)screen." "CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.The cursor shows the set content.

2 Press the Set item change button and bring the cursor to "STEP." Measurementsteps are displayed on the right. Set figures are highlighted.

3 Press the Set value change button or and bring the cursor to the figure ofdesired measurement step:

0.12 : The display step is set to 0.12 units.0.25 : The display step is set to 0.25 units.

4 Press the Set item change button ; cursor moves to the next item (AXIS STEP).

Press the Set item change button ; the cursor moves to the previous item (DATE/TIME).

5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING AXIS STEPThe axial angle step can be selected from 1° or 5°. Before shipment, it is set to "1°."

1 Press the of the control panel and get the "SETTING MENU (R/K)screen." "CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.The cursor shows the set content.

2 Press the Set item change button and bring the cursor to "AXIS STEP." figures ofAXIS are displayed on the right. Set figures are highlighted.

3 Press the Set value change button or and bring the cursor to the figure ofdesired AXIS:

1 : The display step is set to 1° units.5 : The display step is set to 5° units.

4 Press the Set item change button ; cursor moves to the next item (VD).

Press the Set item change button ; the cursor moves to the previous item (STEP).5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING VDIn vertex distance (VD) setting, contact lens (0) or glasses (12mm or 13.75mm) can beselected. Before shipment, it is set to glasses (12mm).

1 Press the of the control panel and get the "SETTING MENU (R/K)screen." "CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.

2 Press the Set item change button and bring the cursor to "VD." VD figures are dis-played on the right. Set figures are highlighted.

3 Press the Set value change button or and bring the cursor to the figure ofdesired VD figures:

0.00 : The VD value is set to contact lens (0.00mm)12.00 : The VD value is set to glasses (12.00mm)13.75 : The VD value is set to glasses (13.75mm)

4 Press the Set item change button ; cursor moves to the next item (ADD).

Press the Set item change button ; the cursor moves to the previous item (AXISSTEP).

5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING THE ADDITION NUMBERBy selecting an age, the general addition number for the age can be selected. Before ship-ment, it is set to "NO" (unset).

1 Press the of the control panel and get the "SETTING MENU (R/K)screen." "CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.

2 Press the Set item change button and bring the cursor to "ADD." Age zones are dis-played on the right. Set figures are highlighted.

3 Press the Set value change button or and bring the cursor to the desired agezone.

4 Press the Set item change button ; cursor moves to the next item (D/mm).

Press the Set item change button ; the cursor moves to the previous item (VD).5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING D/mmThe unit of kerato measurement result displayed on the monitor screen can be selected fromD (refractory power) or mm (curvature). Before shipment, it is set to "mm" (curvature).

1 Press the of control panel and get the "SETTING MENU (R/K) screen.""CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.

2 Press the Set item change button and bring the cursor to "D/mm." The unit of keratomeasurement result is displayed on the right, and the set unit is highlighted.

3 Press the Set value change button or and bring the cursor to the desired unitof kerato measurement result:

D: The unit of kerato measurement result is set to refractory power.mm:The unit of kerato measurement result is set to curvature.

4 Press the Set item change button ; cursor moves to the next item (HV/R1R2).

Press the Set item change button ; the cursor moves to the previous item (ADD).5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING HV/R1R2The display format of kerato measurement result displayed on the monitor screen can beselected from HV (horizontal/vertical) or R1R2 (major/minor meridian). Before shipment, it isset to "HV" (horizontal/vertical).

1 Press the of control panel and get the "SETTING MENU (R/K) screen.""CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.

2 Press the Set item change switch and bring the cursor to "HV/R1R2." Display for-mats of kerato measurement result are displayed on the right, and the set format is high-lighted.

3 Press the Set value change button or and bring the cursor to the desired dis-play format of kerato measurement result:

HV : The display format of kerato measurement result is set to horizontal/vertical display.R1R2 : The display format of kerato measurement result is set to meridian display.

4 Press the Set item change button ; cursor moves to the next item (CYL SIGN).

Press the Set item change button ; the cursor moves to the previous item (D/mm).5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING CYL SIGNThe display format of CYLINDER sign on the monitor screen can be selected from "-," "+" and"MIX." Before shipment, it is set to "-."

1 Press the of control panel and get the "SETTING MENU (R/K) screen.""CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.

2 Press the Set item change button and bring the cursor to "CYL SIGN." Display for-mats of CYLINDER sign are displayed on the right, and the set format is highlighted.

3 Press the Set value change button or and bring the cursor to the desired dis-play format of CYLINDER sign:

(-) : The display format of CYLINDER sign is set to "-" display.(+) : The display format of CYLINDER sign is set to "+" display.MIX : The display format of CYLINDER sign is set to "MIX" display.

4 Press the Set item change button ; cursor moves to the next item (INITIAL MODE).

Press the Set item change button ; the cursor moves to the previous item (HV/R1R2).

5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING THE MEASUREMENT MODE UNDER REF/KRT MODEIt is possible to set the measurement mode under the REF/KRT mode after power-on. Factorysetting, it is set to "R/K" (REF/KRT measurement mode).

1 Press the of the control panel and get the SETTING MENU(R/K)screen. "CONT. MEAS." is highlighted with "ON" on the right and "OFF" on the left. Theset content is highlighted.

2 Press of the Set item change button and bring the cursor to "INITIAL MODE."The measurement mode is displayed on the right and the set item is highlighted.

3 Press or of the Set value change button and bring the cursor to the desiredmeasurement mode.

REF: REF measurement modeKRT: KRT measurement modeR/K : Continuous measurement under REF/KRT mode

4 Press of the Set item change button to move the cursor to the next item (MESSAGE

INPUT). Or, press of the Set item change button to move the cursor to the previousitem (CYL SIGN).

5 To quit the menu, press ; the MEASUREMENT screen is returned.

MENU button

EXIT

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SETTING MESSAGE INPUTYou can add a brief message to the printout.

1 Press the of control panel and get the "SETTING MENU (R/K) screen.""CONT. MEAS." is highlighted, and "ON" and "OFF" are displayed on the right.

2 Press the Set item change button and bring the cursor to "MESSAGE INPUT."

3 Press or of the Set item change button and display the MESSAGE INPUTscreen.

4 Press and move the CURSOR MOVEMENT button or and select the inputtedcharacter from the character list.

SP : Sets a space.

BS : Using the Back Space key, move the cursor backward or delete the inputted character

in the message input area.

MENU button

Message input area

Character list

Menu end button

CURSOR MOVEMENT button Execution button

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5 With the cursor on the inputted character, press .

6 Input the message by repeating steps 4 and 5.

When the input operation is finished, press .

7 Press the Set item change button ; the cursor moves to the previous item (INITIALMODE).

8 To exit from the menu, press and return to the MEASUREMENT screen.

Setting of "MESSAGE INPUT" can also be done on the "SETTING MENU (T/P)screen."

ENTER

EXIT

EXIT

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SEETING MENU (T/P)

SETTING THE DATE AND TIME

1 Press the of the control panel and get the "SETTING MENU (T/P)screen." "DATE/TIME" is highlighted, and date/time is displayed on the right. The cursorshows the set content.

2 Press the and highlight the desired item.

Change figures by pressing (increase) or (decrease).

3 Press the Set item change button ; the cursor moves to the next item (AVERAGEMODE).

4 To exit from the menu, press and return to the MEASUREMENT screen.

Setting of "DATE/TIME" can also be done on the "SETTING MENU (R/K) screen."

MENU button

MEASUREMENT switch

EXIT

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SETTING THE AVERAGE VALUE OF OCULAR PRESSURE MEASUREMENTSThe display format of average value of ocular pressure measurements displayed on the moni-tor screen can be selected from INT (integer) or REAL (to tenth). Before shipment, it is set to"INT" (integer).

1 Press the of the control panel and get the "SETTING MENU (T/P)screen." "DATE/TIME" is highlighted, and date/time is displayed on the right.

2 Press the Set item change button and bring the cursor to "AVERAGE MODE."The display format of average value of ocular pressure measurements is displayed on theright.

3 Press the Set value change button or and bring the cursor to the desired for-mat of average value of ocular pressure measurements.

REAL : The average value of measurements is decimal-displayed.INT : The average value of measurements is integer-displayed.

4 Press the Set item change button ; the cursor moves to the next item (INITIALMODE).Press the Set item change button ; the cursor moves to the previous item (DATE/TIME).

5 To exit from the menu, press and return to the MEASUREMENT screen.

MENU button

EXIT

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SETTING THE MEASUREMENT MODE UNDER TONO/PACHO MODEIt is possible to set the measurement mode under the TONO/PACHO mode after power-on.Factory setting, it is set to "ocular pressure" (TONO measurement mode).

1 Press the of the control panel and get the "SETTING MENU (T/P)screen." "DATE/TIME" is highlighted, and date/time is displayed on the right.

2 Press of the Set item change button and bring the cursor to " INITIAL MODE."The measurement mode is displayed on the right and the set item is highlighted.

3 Press or of the Set value change button and bring the cursor to the desiredmeasurement mode.

“TONO”: Ocular pressure measurement mode“PACHO”: Cornea thickness measurement mode“T/P”: Continuous measurement under ocular pressure mode and cornea thickness

measurement mode4 Press of the Set item change button to move the cursor to the next item (MESSAGE

INPUT). Or, press of the Set item change button to move the cursor to the previousitem (AVERAGE MODE).

5 To quit the menu, press ; the MEASUREMENT screen is returned.

MENU button

EXIT

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SETTING MESSAGE INPUTYou can add a brief message to the printout.

1 Press the of control panel and get the "SETTING MENU (T/P) screen.""DATE/TIME" is highlighted, and date/time is displayed on the right.

2 Press the Set item change button and bring the cursor to "MESSAGE INPUT."

3 Press or of the Set value change button and display the MESSAGE INPUTscreen.

4 Press and move the CURSOR MOVEMENT button or and select the inputtedcharacter from the character list.

SP : Enter a space.

BS : Using the Back Space key, move the cursor backward or delete the inputted character

in the message input area.

MENU button

Message input area

Character list

Menu end button

CURSOR MOVEMENT button Execution button

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5 With the cursor on the inputted character, press .

6 Input the message by repeating steps 4 and 5.

When the input operation is finished, press .

7 Press the Set item change button ; the cursor moves to the previous item (INITIALMODE).

8 To exit from the menu, press and return to the MEASUREMENT screen.

Setting of "MESSAGE INPUT" can also be done on the "SETTING MENU (T/P)screen."

ENTER

EXIT

EXIT

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SETTING THE PRINTER PAPER

1 Press the printer cover OPEN button and open the printer cover.

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

CAUTIONTo avoid failure or potential injury, do not open the printer coverwhile the printer is in operation.

CAUTIONTo avoid potential injury in case of malfunction, including apaper jam, be sure to shut off the power before attempting torepair it.

MEMO • Note that printing cannot be done if the paper back faces up by settingthe roll in opposite direction.

MEMO• Please insert the paper deep enough into the printer.• Otherwise the paper may not come out. At this time "PAPER END" will

be displayed on the monitor.

To avoid failure in the printer when opening, do not hold any part of the cover. Besure to open the printer by pressing the opening button for the cover.

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2 Set the paper into the shaft support, taking care of the roll direction of paper. Pull out thepaper top 2 to 3cm forward.

3 Pull the paper along the paper guide and draw it out straightly from the cover.

4 Close the printer cover as if to press the drawn-out paper.

Use the following 58mm wide printer paperTF50KS-E2C (Nippon Paper)Using another paper may cause a printing noise or thin prints.

Please insert the printer cover until it clicks."CLOSE PRINTER COVER" is displayed on the monitor screen if the printer coveris not properly closed.

Roll direction

Roll direction

Paper guide

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RESETTING FROM POWER SAVE STATUS

This instrument uses a power save system for saving electric power. When the main body isnot in operation for approximately 10 minutes, power supply to the monitor is stopped. Underthe power save condition, only the POWER lamp of control panel lights and the monitorscreen is off.

1 Press the .

In a few seconds, the monitor screen is displayed and measurement is enabled.

OPERATING THE CONTROL LEVER

Control lever operation includes coarse movement dynamically moving the measuring headand fine movement for fine adjustment. Also, by turning the control lever, the measuring headmoves up/down. The Measurement switch is located at the top of the lever.

1 Coarse movementWhen moving the measuring head back and forth or right/left, tilt the lever toward thedesired direction and slide the tilted lever as is. Coarse movement occurs while the con-trol lever is being slid.

2 Fine movementTo move the measuring head back and forth or right/left, tilt the control lever toward thedesired direction. The amount of movement is increased as the tilt angle is increased.

The time for moving to the power save status can be changed by the initial setting"SETTING THE POWER SAVE TIME" (see page 47).

MEASUREMENT switch

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3 Vertical movementWhen the control lever is rotated, the measuring head moves up and down. Turning thelever clockwise will raise the measuring head and turning counterclockwise lowers it.

4 Measurement operationPressing the Measurement switch at the top of the control lever will start measurement.

During the AUTO measurement, continuously pressing the Measurement switch will effectthe following movements:REF/KRT measurement: The buzzer rings twice and the automatic measurement stops.TONO/PACHO: While the Measurement switch is being pressed, automatic

measurement does not start even when alignment is reached,and starts when the switch is released.

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BASIC OPERATIONS

CHANGING THE MEASUREMENT MODE

MEASUREMENT MODE

Select the desired measurement mode by pressing the of the controlpanel.

The measurement mode can be selected from three modes.Continuous REF/KRT TONO/PACHO mode :

The REF/KRT measurement and the TONO/PACHOmeasurement are done continuously. First the REF/KRT measurement is done, and then the TONO/PACHO measurement is done.

REF/KRT measurement mode : Only the REF/KRT measurement is done.TONO/PACHO measurement mode :Only the TONO/PACHO measurement is done.

CAUTIONTo avoid injury in changing the measurement mode, do notplace fingers into the measuring opening.* Inform the patient accordingly

If "CHECK EYE LEVEL AND FOREHEAD, PRESS MEASURE SW" message isnot shown, the instrument is in measuring status. At this time ispressed and buzzer sounds 3 times. "CHECK EYE LEVEL AND FOREHEAD, PRESS MEASURE SW" messageshown and the instrument becomes measurement waiting status. If the

is pressed again, mode selection is allowed.

MODE button

MODE button

MODE button

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Press the to go to the next screen.

When the screen is displayed, press the and select the desired mea-surement mode.

After selecting the measurement mode, press the and finish setting.

In the initial setting the REF/KRT TONO/PACHO is set, but this can be changed.For details, see page 45.

MODE button

MODE button

PRINT button

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TYPE OF MEASUREMENT TO BE DONE UNDER REF/KRT MEASUREMENTMODE

Select the type of measurement to be done under the REF/KRT mode.In the REF/KRT measurement mode screen, press the

of function button on the control panel and select the desired type of measurement.

R/K measurement mode : Both REF mode (refractory power measurement) and KRTmode (corneal curvature radius measurement) are done con-tinuously.

REF measurement mode : Only REF mode (refractory power measurement) is done.KRT measurement mode : Only KRT mode (corneal curvature radius measurement) is

done.

In the initial setting the R/K measurement mode is set, but this can be changed.For details, see page 78.

MEASUREMENT MODE button

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TYPE OF MEASUREMENT TO BE DONE UNDER TONO/PACHO MEASURE-MENT MODE

Select the type of measurement to be done under the TONO/PACHO mode.In the TONO/PACHO measurement mode screen, press the

of the control panel and select the desired type of measurement.

T/P measurement mode : Both TONO mode (ocular pressure measurement) andPACHO mode (cornea thickness measurement) are donecontinuously. The PACHO mode is previously done, andafter it ends, TONO mode is done.

TONO measurement mode : Only TONO mode (ocular pressure measurement) is done.PACHO measurement mode : Only PACHO mode (cornea thickness measurement) is

done.

In the initial setting the TONO measurement mode is set, but this can be changed.For details, see page 83.

MEASUREMENT MODE button

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CHOOSING THE EYE TO BE MEASURED

Choose the eye to be measured. Press the of the control panel.

: Both eyes are measured continuously (Both eye measurement mode): Only the right eye is measured. (Right eye measurement mode)

If the main body is positioned for measuring the left eye, it moves to theposition for measuring the right eye by choosing .

: Only the left eye is measured. (Left eye measurement mode)If the main body is positioned for measuring the right eye, it moves to theposition for measuring the left eye by choosing .

When the is pressed, the following screen is displayed.

R/L button

R LR

RL

L

R/L button

S CAH V A

R/L SELECT

Select the operation.

Select OK

R 00K 00

0000

SCAHVARK

L

CYL VD[–] 12.00

0002R/KR T/P 01

R L

AUTO

D mm

R

L

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When the screen is displayed, press the and choose the measurementmode.

After choosing the eye to be measured, press the and finish setting.

In the initial setting, the mode for continuous measurement of both eyes is set.When the measurement of the right/left eye only is selected by the , themode is changed to the initial setting of continuous both eye measurement after printingout the measurement result.If is selected when the main body is positioned for measuring the right eye, or if

is selected when the main body is positioned for measuring the left eye, the mainbody moves after pressing the and the right/left is changed.

R/L button

S CAH V A

R/L SELECT

Select the operation.

Select OK

R 00K 00

0000

SCAHVARK

L

CYL VD[–] 12.00

0002R/KR T/P 01

R L

AUTO

D mm

R

L

S CAH V A

R/L SELECT

Select the operation.

Select OK

R 00K 00

0000

SCAHVARK

L

CYL VD[–] 12.00

0002R/KR T/P 01

R L

AUTO

D mm

R

L

S CAH V A

R/L SELECT

Select the operation.

Select OK

R 00K 00

0000

SCAHVARK

L

CYL VD[–] 12.00

0002R/KR T/P 01

R L

AUTO

D mm

R

L

PRINT button

S CAH V A

R/L SELECT

Select the operation.

Select OK

R 00K 00

0000

SCAHVARK

L

CYL VD[–] 12.00

0002R/KR T/P 01

R L

AUTO

D mm

R

L

R/L button

LR

PRINT button

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WHEN MEASURING THE REFRACTORY POWER AND CORNEAL CURVA-TURE RADIUS OF THE EYE

PREPARATION BEFORE MEASUREMENT (REF/KRT MODE)

TURN ON THE POWER

1 Make sure the power cable is properly connected.For connection, see "CONNECTING THE POWER CABLE" on page 34.

2 Press on the .

3 Confirm that the title screen is displayed and then the MEASUREMENT screen will be dis-played in a few seconds.

CAUTIONTo avoid injury in changing the measurement mode, do notplace fingers into the measuring opening.* Inform the patient accordingly

MEMO

The measurement in auto mode may be impossible due to the eyelid andthe eyelashes over to the pupil.For this case, an operator tells the patient to open eyes enough, or liftsthe eyelid while taking care so as to press the patient's eye.

MEMO

The measurement in auto mode may be impossible due to the frequentblinks or an abnormality in the corneal surface because of corneal dis-ease etc.In this case, use manual mode.

As press the during the title screen is displayed, theMEASUREMENT screen is displayed.

POWER switch

MEASUREMENT switch

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4 If the MEASUREMENT screen is displayed, the message "CHECK EYE LEVEL ANDFOREHEAD, PRESS MEASURE SW" is shown.

At this time, alignment operation is unavailable even if the alignment mode has been setto AUTO.

5 Press the of the control panel and display the REF/KRT screen.

Press following the message given, and normal mea-surement screen is gained.Now alignment operation begins if the alignment mode has been set to AUTO.

With initial setting, the mode will be set at measurement mode as the power isturned ON. This setting can be modified in setting menu. (See page 78)

MEASUREMENT switch

MODE button

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POSITIONING THE PATIENT

1 Make sure the MEASUREMENT screen is on.

2 Let the patient sit in front of the instrument.

3 Adjust the height of the automatic instrument table or the chair so that the patient can putthe chin on the chinrest with comfort.

4 Let the patient put the chin on the chinrest and stop the forehead at the forehead rest.

5 Pressing the or of the power supply section, adjust the height of the chinrest so

that the patient's eye becomes level with the height mark of the chinrest support.

CAUTIONNever insert your fingers under the chinrest.* Inform the patient of this, too.Careless insertion of fingers may cause injury by pinching.

The chinrest moves up/down only while the button or button is pressed.If the chinrest does not work even when the button or button is pressed (afailure), turn off the , pull off the power cable, and call yourdealer or TOPCON at the address printed on the back cover of this manual.

Height mark

POWER switch

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ADJUSTING MONITOR'S ANGLEAdjust the monitor's angle to a comfortable viewing position either standing or siting.

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MEASUREMENT UNDER AUTO MODE (REF/KRT MODE)

SETTING THE AUTO MODEIn the initial status after power on, the mode is set to auto mode (AUTO).

1 Make sure the MEASUREMENT screen is on.

2 In case that no auto mode is set, press the of the control panel

and set the measurement mode to auto mode (AUTO).

SETTING THE MEASUREMENT MODEThis instrument can select the measurement mode from R/K (REF/KRT continuous measure-ment), KRT (KRT measurement) and REF (REF measurement).

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel and select the mea-surement mode.

MEMOAdjust the height of the automatic instrument table so that the patientcan sit on the chair comfortably and correct measurement values can beobtained.

This operation is available even if the message "CHECK EYE LEVEL AND FORE-HEAD, PRESS MEASURE SW" is displayed.

ALIGNMENT button

Alignment mark

ALIGNMENT button

MEASUREMENT MODE button

MEASUREMENT MODE button

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ALIGNMENT AND MEASUREMENT

Alignment operations are done by the control lever.

• To perform fine adjustment of the main body position, incline the control lever back andforth and around.

• To move the main body up/down, turn the control lever clockwise for upward movementand counterclockwise for downward movement.

CAUTIONBefore starting measurement, be sure to confirm the measur-ing screen (to avoid making the ocular pressure measurementto the patient's eye wearing a contact lens.)

MEMOIf measurement is not possible under auto mode (this may occur whenthe cornea condition is not good enough), perform the measurementusing manual mode.

How to move the main body using the control lever.See to "OPERATING THE CONTROL LEVER" on P.88.

Operating the control lever(back and forth and around)

Operating the control lever(rotate)

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1 Hold the control lever and move the main body to the operator side.

2 Operate the control lever laterally and vertically and get the patient's eye in the center ofthe color LCD monitor screen.

3 While moving the main body toward the patient, focus on the patient's eye. A vague refer-ence dot for alignment appears reflected on the cornea.

4 When the reference dot enters the alignment mark, auto alignment is done for back/forthand up/down directions, and the reference dot becomes clearly seen.

5 After auto alignment is done for back/forth and up/down directions, auto alignment for lat-eral directions starts.

Alignment markReference dot

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6 Then auto alignment starts, and alignment and measurement is done automatically.After the measurement is finished, the measurement result is displayed on the color LCDmonitor screen.

7 When left and right eyes continuously measurement is selected, measurement of the oneeye is done, the main body moves to another eye measuring position automatically. Ifone-sided eye measurement mode is selected the measurement is end.

If the limit icon " " appears during auto alignment, indicating that the main body hasreached the limit of movement, manually operate the unit toward the direction of align-ment.

Limit icons:: The main body exceeds the limit to the left (to the patient's right eye).: The main body exceeds the limit to the right (to the patient's left eye).

: The main body exceeds the limit to the front (to the operator).

: The main body exceeds the limit to the rear (to the patient).

: The main body is too low. Raise the chinrest, and raise the main body.

: The main body is too high. Lower the chinrest, and lower the main body

Auto alignment is not done while the control lever is operated.To enable a smooth auto alignment operation, do not operate the control lever.

It is also possible not to automatically go to the position for measuring the othereye after measuring one eye. For details, see "CHOOSING THE EYE TO BEMEASURED" on page 94).

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8 If returning to another eye measuring position is complete, alignment operation starts andthe measurement is carried out automatically. If the measurement completes, the result isshown on the color LCD monitor screen.

9 In fully automatic measurement mode (REF/KRT and TONO/PACHO modes), after REF/KET measurement, the measurement mode is changed to TONO/PACHO automatically.Then TONO/PCHO measurement starts.For TONO/PACHO mode, see to page 109.

Stopping the auto startPress the and release it after the buzzer sounds twice;the automatic measurement stops. To resume automatic measurement, press the

.After the measurement is stopped, press the and print out themeasurement result.Auto print (available only under auto mode)When "ON" is selected for auto print in the initial setting, after measuring the rightand left eyes, measurement results are printed out automatically with buzzersound.

MEASUREMENT switch

ALIGNMENT buttonPRINT button

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MEASUREMENT UNDER MANUAL MODE (REF/KRT MODE)

SETTING THE MANUAL MODEIn the initial status after power on, the mode is set to auto mode (AUTO).

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel, set the measurement mode to"MANUAL" (manual mode).

SETTING THE MEASUREMENT MODEThis instrument can select the measurement mode from R/K (REF/KRT continuous measure-ment), KRT (KRT measurement) and REF (REF measurement)).

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel and select the mea-surement mode.

MEMOAdjust the height of the automatic instrument table so that the patientcan sit on the chair comfortably and correct measurement values can beobtained.

ALIGNMENT button

ALIGNMENT button

MEASUREMENT MODE button

MEASUREMENT MODE button

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ALIGNMENT AND MEASUREMENT

Alignment operations are done by the control lever.

1 Hold the control lever and move the main body to the operator side.

2 Operate the control lever laterally and vertically and get the patient's eye in the center ofthe color LCD monitor screen.

3 While moving the main body toward the patient, focus on the patient's eye. Make the ref-erence dot the smallest.

4 Adjust the main body position laterally and vertically so that the reference dot comeswithin the auto alignment mark on the color LCD monitor screen.

CAUTIONBefore starting measurement, be sure to confirm the measur-ing screen (to avoid making the ocular pressure measurementto the patient's eye wearing a contact lens.)

For operating the main body by the control lever, see "ALIGNMENT AND MEA-SUREMENT" on page 101.

Alignment markReference dot

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5 When the luminous point becomes the smallest and enters the alignment mark, press the

.

6 Measurement is done and measurement values are displayed.

7 If measurement of the one eye is completes, move the main body to another eye measur-

ing position by pressing the on control panel or operating the control lever,then carry out the measurement.

DISPLAYING MEASUREMENT VALUES (REF/KRT MODE)

Data of the latest measurement are displayed on the color LCD monitor screen.Figures only: Measurement was done correctly.*Figures: The reliability of measurement is low.ERROR: Measurement was not done correctly

Even when alignment is not correct, measurement is done by pressing the. To ensure accurate measurement results, surely

obtain correct alignment before starting measurement.

If the control lever is used to change left/right, pull the main body toward the oper-ater's side once, then carry out the measurement.

For messages on the color LCD monitor screen, see "MESSAGE LIST" on page163.

It is also possible to display all measurement data on the screen. For details, see"DISPLAYING ALL MEASUREMENT DATA" on page 142.

MEASUREMENT switch

MEASUREMENT switch

R/L button

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DELETING MEASUREMENT VALUES (REF/KRT MODE)

1 Press the of the control panel. PAGE 2 is displayed.

2 Press the of the control panel until the buzzer sounds" Pi!".

3 All measurement values, both right and left eyes are cleared, and the system returns tothe initial status after power on.

PAGE selecting button

PAGE selecting button

CLEAR button

CLEAR button

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WHEN MEASURING THE OCULAR PRESSURE AND CORNEA THICKNESS OF THE EYE

PREPARATIONS BEFORE MEASUREMENT (TONO/PACHO MODE)

TURN ON THE POWER

1 Make sure the power cable is connected.For connection, see "CONNECTING THE POWER CABLE" on page 34.

2 Press ON the .

3 Make sure the TITLE screen is displayed and the MEASUREMENT screen is displayed in

a few seconds.

4 Press the of the control panel and display the TONO/PACHO MEA-SUREMENT screen.

CAUTIONTo avoid injury in changing the measurement mode, do notplace fingers into the measuring opening.* Inform the patient accordingly

MEMO

The measurement in auto mode may be impossible due to the eyelid andthe eyelashes over to the pupil.For this case, an operator tells the patient to open eyes enough, or liftsthe eyelid while taking care so as to press the patient's eye.

MEMO

The measurement in auto mode may be impossible due to the frequentblinks or an abnormality in the corneal surface because of corneal dis-ease etc.In this case, use manual mode.

If the is pressed while the title screen is displayed, theMEASUREMENT screen is obtained.

POWER switch

MEASUREMENT switch

MODE button

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CHECKING THE MEASURING NOZZLE

1 Remove the measuring window lens cap.

2 Check if there is any foreign matter on and around the measuring nozzle. If any, turn OFF

the , clean it off and then turn ON the .For cleaning, see "CLEANING THE NOZZLE AND CHAMBER GLASS INSIDE THEMEASURING NOZZLE" on page 157.

CAUTION

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

Measuring window lens cap

POWER switch POWER switch

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AIR CHECKThis instrument is equipped with a function for checking correct operations of the measure-ment system inside the instrument.

1 In the TONO/PACHO mode measurement screen, press the .

2 The is displayed in the function menu display.

3 Check if there is any object before the measuring nozzle, and press the

. If any, the confirming message is displayed to remove the object.

PAGE selecting button

PAGE selecting button

Air check button

Air check button

Air check button

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4 After the message is displayed for a few seconds. Air is blown out from the measuringnozzle and checking is done automatically.

5 Make sure "OK" is displayed on the color LCD monitor screen.

6 After checking, press the to select function menu and displaythe MEASUREMENT screen.

If NG [+] or NG [-] is displayed, the condition is not normal. Check if there is anyobject before the measuring nozzle.If any, remove it, press the and do the check again.If there is no object, a failure is suspected. Turn the to OFF,unplug the power cable, and call your dealer or TOPCON at the address printedon the back cover of this manual.

Normal operation screen

Air check buttonPOWER switch

Abnormal operation screen

PAGE selecting button

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POSITIONING THE PATIENT

1 Make sure the Measurement screen is on.

2 Let the patient sit in front of the instrument.

3 Adjust the automatic instrument table or the chair for height so that the patient can placethe chin on the chinrest in a comfortable position.

4 Let the patient places the chin on the chinrest and stops the forehead at the forehead rest.

5 Pressing the or of the power supply section, adjust the height of the chinrest so

that the patient's eye becomes level with the height mark of the chinrest support.

WARNINGTo prevent corneal damage, do not measure a patient's wear-ing a contact lens.Tell the patient to remove the contact lens.

CAUTIONNever insert your fingers under the chinrest.* Inform the patient of this, too.Careless insertion of fingers may cause injury by pinching.

MEMO Before starting measurement, explain the functioning so patients are notsurprised by the air puff.

The chinrest moves up/down only while the button or button is pressed.If the chinrest does not work even when the button or button is pressed (afailure), turn off the , pull off the power cable, and call yourdealer or TOPCON at the address printed on the back cover of this manual.

Height mark

POWER switch

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ADJUSTING MONITOR'S ANGLEAdjust the monitor's angle to a comfortable viewing position either standing or siting.

SETTING THE SAFETY STOP

1 It sets with the of the control panel.

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

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

Carry out setting the safety stop for left and right eyes respectively.The measuring window glass might hit patient's eyes erroneously if it is set witheither one eye or without setting operation.

Safety stop button

Safety stop button

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2 Press the and open the SAFETY STOP SETTING screen. The dis-

play of is highlighted.

3 When it enters into setting mode, the below-mentioned message is indicated in alter-nately. Hold the control lever and pull the main body fully toward the patient side.

4 Turn the control lever and bring the measuring nozzle to a height of the cornea center ofthe patient's eye.

5 Operate the control lever and move the measuring head slowly toward the patient side.

Safety stop button

Safety stop button

Safety stop button

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6 When the measuring nozzle reaches a position 8-9mm from the cornea, press the

. This sets the safety stop position and returns the highlighted to the normal display condition.

7 Hold the control lever and push out the measuring head a little forward, and make surethat the message "NOZZLE LIMIT" is displayed on the screen. If the main body does notmove further forward, setting is completed.

When the is highlighted, pressing the again will cancel the position setting and returns to the previously set position.

MEASUREMENT switchSafety stop button

8-9mm

Safety stop button Safety stop button

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MEASUREMENT UNDER AUTO MODE (TONO/PACHO MODE)

SETTING THE AUTO MODEIn the initial status after power on, the mode is set to auto mode (AUTO).

1 Make sure the Measurement screen is on.

2 In case that no auto mode is set, press the of the control panel and

display the alignment bar on the monitor screen.

MEMOAdjust the height of the automatic instrument table so that the patientcan sit on the chair comfortably and correct measurement values can beobtained.

This operation is available even if the message "CHECK EYE LEVEL AND FORE-HEAD, PRESS MEASURE SW" is displayed.

ALIGNMENT button

ALIGNMENT button

Alignment mark

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SETTING THE MEASUREMENT MODEThis instrument can select the measurement mode from T/P (ocular pressure/cornea thick-ness continuous measurement), TONO (ocular pressure measurement) and PACHO (corneathickness measurement).

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel and select the mea-surement mode.

SETTING THE MEASURING RANGEIn this instrument, the measuring range can be switched in 2 steps between 0-30 and 0-60.Normally, "0-30" is used, but if the patient's ocular pressure is high, switch it to 0-60. The initialstatus after power on of the measuring range is 0-30.

1 Make sure the MEASUREMENT screen is on.

2 Press the .

MEASUREMENT MODE button

MEASUREMENT MODE button

PAGE selecting button

Page selecting button

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3 Press the of the control panel and set the measuring range.

ALIGNMENT AND MEASUREMENT

Alignment operations are done by the control lever.

CAUTIONBefore starting measurement, be sure to confirm the measur-ing screen (to avoid making the ocular pressure measurementto the patient's eye wearing a contact lens.)

MEMO

It is recommended that you do ocular pressure measurements severaltimes. Since the ocular pressure varies by heart beats and tears, often itis not possible to obtain exact measurement values by measuring onlyonce or twice.

MEMOIf measurement is not possible under auto mode (this may occur whenthe cornea condition is not good enough), do the measurement undermanual mode.

For operating the main body by the control lever, see MEASUREMENT UNDERAUTO MODE (REF/KRT MODE) "ALIGNMENT AND MEASUREMENT" on page101.

In fully automatic measurement mode (REF/KRT and TONO/PACHO modes),after REF/KET measurement, the measurement mode is changed to TONO/PACHO automatically. Without any control lever operation, alignment and TONO/PCHO measurement starts.

30/60 button

30/60 button

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1 Hold the control lever and move the main body to the operator side.

2 Operate the main body laterally and vertically the control lever and get the patient's eye inthe center of the color LCD monitor screen.

3 Tell the patient to gaze at the yellow-green light.

4 Move the main body to the patient side slightly.As the instrument comes in the range where ocular pressure measurement is possible,the focus is switched and the outer alignment mark displays.

5 While moving the main body further toward the patient, focus on the patient's eye. A vague reference dot for alignment appears reflected on the cornea.

Auto area markOuter alignment mark

Reference dot

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6 As reference dot for alignment appears, auto alignment operation begins so to maintainthe reference dot.When the main body approaches the patient's eye, the alignment bar and FORWARD aredisplayed on the color LCD monitor screen.

To ensure correct measurements, take care so that the eyelash and eyelid do notenter the outer alignment mark.

If the main body is too close to the patient's eye, relative to the alignment position,TOO CLOSE, or if it is too far, FORWARD, are displayed on the color LCD monitorscreen.

The alignment bar is displayed with a broken line when the instrument is near thepatient's eye, and with a solid line when it is apart. The alignment bar becomesshorter as the alignment position comes closer.Also, each display appears only when the reference dot is near the inner align-ment mark.

If the patient's eye comes too close to the main body, "TOO CLOSE" is shown. If itcomes to the main body further, the buzzer sounds. As the main body doesn'tcomes to patient any more, use the control lever in order to move it.

Alignment bar

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7 After the alignment bar is displayed, move the main body to the patient side only a little.Auto alignment starts, and alignment and measurement is done automatically.After the measurement is finished, the measurement result is displayed on the color LCDmonitor screen.

8 When left and right eyes continuously measurement is selected, measurement of the oneeye is done, the main body moves to another eye measuring position automatically. Ifone-sided eye measurement mode is selected the measurement is end.

Auto alignment is not done while the control lever is operated.To enable a smooth auto alignment operation, do not operate the control lever.

If the control lever is operated during an auto alignment, the auto alignment isinterrupted by a vertical movement.

When the outer alignment mark is OFF, measurement cannot be done. The outeralignment mark is displayed in a few seconds, and measurement can be done.

It is also possible not to automatically go to the position for measuring the othereye after measuring one eye. For details, see "CHOOSING THE EYE TO BEMEASURED" on page 94).

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9 If returning to another eye measuring position is complete, alignment operation starts andthe measurement is carried out automatically. If the measurement completes, the result isshown on the color LCD monitor screen.

If the limit icon " " appears during auto alignment, indicating that the main body hasreached the limit of movement, manually operate the unit toward the direction of align-ment.

Limit icons:: The main body exceeds the limit to the left (to the patient's right eye).: The main body exceeds the limit to the right (to the patient's left eye).

: The main body exceeds the limit to the front (to the operator).

: The main body exceeds the limit to the rear (to the patient).

: The main body is too low. Raise the chinrest, and raise the main body.

: The main body is too high. Lower the chinrest, and lower the main body.

When alignment is done with the pressed, auto align-ment is done but measurement is not. While the alignment by auto alignment iscomplete, release the from the pressed condition soas to perform measurement without missing the timing. This is effective for apatient whose blinking is frequent.

MEASUREMENT switch

MEASUREMENT switch

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MEASUREMENT UNDER MANUAL MODE (TONO/PACHO MODE)

SETTING THE MANUAL MODEIn the initial status after power on, the mode is set to auto mode (AUTO).

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel, set the measurement mode to"MANUAL" and display the inner alignment mark on the monitor screen.

SETTING THE MEASUREMENT MODEThis instrument can select the measurement mode from T/P (ocular pressure/cornea thick-ness continuous measurement), TONO (ocular pressure measurement) and PACHO (corneathickness measurement).

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel and select the mea-surement mode.

MEMOAdjust the height of the automatic instrument table so that the patientcan sit on the chair comfortably and correct measurement values can beobtained.

ALIGNMENT button

ALIGNMENT button

Inner alignment mark

MEASUREMENT MODE button

MEASUREMENT MODE button

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SETTING THE MEASURING RANGEIn this instrument, the measuring range can be switched in 2 steps between 0-30 and 0-60.Normally, "0-30" is used, but if the patient's ocular pressure is high, switch it to 0-60. The initialstatus after power on of the measuring range is "0-30."

1 Make sure the MEASUREMENT screen is on.

2 Press the .

3 Press the of the control panel and set the measuring range.

PAGE selecting button

PAGE selecting button

30/60 button

30/60 button

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ALIGNMENT AND MEASUREMENT

Alignment operations are done by the control lever.

1 Hold the control lever and move the main body to the operator side.

2 Operate the main body laterally and vertically the control lever and get the patient's eye inthe center of the color LCD monitor screen.

3 Tell the patient to gaze at the yellow-green light.

CAUTIONBefore starting measurement, be sure to confirm the measur-ing screen (to avoid making the ocular pressure measurementto the patient's eye wearing a contact lens.)

MEMOIt is recommended measure the ocular pressure several times. Since theocular pressure varies by heart beats and tears, often it is not possible toobtain exact measurement values by measuring only once or twice.

MEMOIf measurement is not possible under auto mode (this may occur whenthe cornea condition is not good enough), perform the measurementusing manual mode.

For operating the main body by the control lever, see MEASUREMENT UNDERAUTO MODE (REF/KRT MODE) "ALIGNMENT AND MEASUREMENT" on page101.

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4 Move the main body to the patient side slightly.As the instrument comes in the range where ocular pressure measurement is possible,the focus is switched and the outer alignment mark displays.

5 While moving the main body further toward the patient, focus on the patient's eye. A vague reference dot for alignment appears reflected on the cornea.

6 Adjust the main body position laterally and vertically so that the reference dot comeswithin the inner alignment mark on color LCD monitor screen.

7 While keeping the reference dot within the inner alignment mark, move the main body littleby little to the patient side.When the main body approaches the patient's eye, the alignment bar and FORWARD aredisplayed on the color LCD monitor screen.

To ensure correct measurements, take care so that the eyelash and eyelid do notenter the outer alignment mark.

Inner alignment markOuter alignment mark

Alignment bar

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8 While keeping the reference dot within the inner alignment mark based on the alignmentbar, move the main body back and forth.When alignment is obtained, the shape of the inner alignment mark is changed to a mark.

If the main body is too close to the patient's eye, relative to the alignment position,TOO CLOSE, or if it is too far, FORWARD, are displayed on the color LCD monitorscreen.

The alignment bar is displayed with a broken line when the instrument is near thepatient's eye, and with a solid line when it is apart. The alignment bar becomesshorter as the alignment position comes closer.Also, each display appears only when the reference dot is near the inner align-ment mark.

If the patient's eye comes too close to the instrument, "TOO CLOSE" is shown. If itcomes to the main body further, the buzzer sounds. As the main body doesn'tcomes to patient any more, use the control lever in order to move it.

Aligned condition

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9 Under the aligned condition, press the .

Air is ejected and measurement is done, and the measurement value is displayed.

10 If measurement of the one eye is completes, move the main body to another eye mea-

suring position by pressing the on control panel or operating the controllever, then carry out the measurement.

Even when alignment is not correct, measurement is done by pressing the. To ensure accurate measurement results, make sure

to obtain correct alignment before starting.

MEMO

• If the shape of the inner alignment mark does not change to a evenafter correctly adjusting the alignment, check again to see if the align-ment is adjusted correctly. Sometimes the shape of the inner align-ment mark does not change to a if the condition of the cornea isunfavorable.

If the control lever is used to change left/right, pull the main body toward the oper-ater's side once, then carry out the measurement.

MEASUREMENT switch

MEASUREMENT switch

R/L button

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MEASURING THE CORNEA THICKNESS (TONO/PACHO MODE)

SETTING THE MEASUREMENT MODEThis instrument can select the measurement mode from T/P (ocular pressure/cornea thick-ness continuous measurement), TONO (ocular pressure measurement) and PACHO (corneathickness measurement).

1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel and set the measure-ment mode to T/P (ocular pressure/cornea thickness continuous measurement) orPACHO (cornea thickness measurement).

ALIGNMENT AND MEASUREMENTFor the alignment and operation methods, see "MEASUREMENT UNDER AUTO MODE(TONO/PACHO MODE)" (page 117).After a measurement is finished, the measurement value of cornea thickness is displayed.

MEMOAdjust the height of the automatic instrument table so that the patientcan sit on the chair comfortably and correct measurement values can beobtained.

MEASUREMENT MODE button

MEASUREMENT MODE button

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DISPLAYING MEASUREMENT VALUES (TONO/PACHO MODE)

For one eye, three measurement values are displayed on the screen, and thereafter the oldestmeasurement value is deleted.

White figures: When the measurement was done correct.For changing the display unit, see "SETTING THE DISPLAY UNIT OFOCULAR PRESSURE MEASUREMENT VALUES" on page 48.

[ ] Yellow figures:When the reliability of measurement is low.ERROR: When the measurement was not done correctly.OVER: When the measurement range is exceeded.

For messages on the color LCD monitor screen, see "MESSAGE LIST" on page163.

When [ ] yellow figures and "ERROR" are displayed, perform the measurementagain while taking care of eye lashes and blinking. When "OVER" is displayed,switch the measuring range from 0-30 to 0-60.

It is also possible to display all measurement data on the screen. For details, see"DISPLAYING ALL MEASUREMENT DATA" on page 142.

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DELETING MEASUREMENT VALUES (TONO/PACHO MODE)

1 Press the of the control panel. PAGE 2 is displayed.

2 Press the of the control panel. All measurement values, both right and left eyes are cleared, and the system returns tothe initial status after power on.

If the is pressed while the measurement mode is set at MAN-UAL, the data will be deleted and alignment mode change to AUTO.

PAGE selecting button

PAGE selecting button

CLEAR button

CLEAR button

CLEAR button

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IN A CASE LIKE THIS

TO STOP MEASUREMENT

Stop the measurement by pressing the

You can stop the measurement in the middle by pressing the duringthe measurement operation.

When the is pressed during the auto measurement of REF/KRT mode,or during the auto measurement of TONO/PACHO mode, the buzzer rings 3 times and thewaiting screen of each mode is given.

When the is pressed, the measurement operationstarts again. To finish the measurement, either press the and output data, orpress the and delete data.

MODE button

MODE button

MODE button

REF/KRT mode TONO/PACHO mode

MEASUREMENT switch

PRINT buttonCLEAR button

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Stop the measurement by operating the control lever

Tilt the control lever and pull to the operator side. The main body retreats.

TO MEASURE THE RIGHT/LEFT EYE ONLY

Normally continuous measurement is done. To measure the right or left eye only, do thefollowing operations. For details, see "CHOOSING THE EYE TO BE MEASURED" onpage 94.

TO MEASURE THE RIGHT EYE ONLY

1 Press the and display the R/L MEASUREMENT SELECT screen, press

the and select "R," and finally press the .

2 The measurement starts by pressing the of the control lever.

To resume the measurement operation, tilt the control lever to the patient side, andbring the main body slowly into focus on the patient eye. In the auto measurement,the measurement operation starts automatically when the focus is reached.

To finish the measurement, either press the and output data, orpress the and delete data.

PRINT buttonCLEAR button

R/L button

R/L button PRINT button

S CAH V A

R/L SELECT

Select the operation.

Select OK

R 00K 00

0000

SCAHVARK

L

CYL VD[–] 12.00

0002R/KR T/P 01

R L

AUTO

D mm

R

L

MEASUREMENT switch

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3 When the continuous REF/KRT TONO/PACHO mode is set, first the REF/KRT measure-

ment is done, followed by the TONO/PACHO measurement.

TO MEASURE THE LEFT EYE ONLY

1 Press the and display the R/L MEASUREMENT SELECT screen, press

the and select "L," and finally press the .

2 The measurement starts by pressing the of the control lever.

3 When the continuous REF/KRT TONO/PACHO mode is set, first the REF/KRT measure-

ment is done, followed by the TONO/PACHO measurement.

When "R" is selected while the main body is at the position for measuring the lefteye, the main body moves automatically to the position for measuring the righteye.

When "L" is selected while the main body is at the position for measuring the righteye, the main body moves automatically to the position for measuring the left eye.

R/L button

R/L button PRINT button

S CAH V A

R/L SELECT

Select the operation.

Select OK

R 00K 00

0000

SCAHVARK

L

CYL VD[–] 12.00

0002R/KR T/P 01

R L

AUTO

D mm

R

L

MEASUREMENT switch

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THE LIMIT ICON APPEARS AND THE MEASUREMENT IS NOT POSSIBLE

When the main body moves to the other eye after measuring one eye, sometimes the limiticon appears and the measurement is not possible. In this case, often the patient's faceleans to the right or left side.

1 Tilt the control lever and pull to the operator side.

2 Adjust and bring the patient's face to the center of the forehead rest.

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THE NOZZLE LIMIT APPEARS AND THE MEASUREMENT IS NOT POSSIBLE

If the nozzle limit appears and the measurement is disabled under TONO/PACHO mode,check the position of the patient's face.

If the patient's face is put on the chinrest, with the forehead stopped correctly at the fore-head rest, set again safety stop.

1 Press the and open the SAFETY STOP SETTING screen.

2 Carry the main body slowly to the patient side by operating the control lever, and bring themeasuring nozzle to a position 8 - 9mm from the cornea.

Safety stop button

8-9mm

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3 Press the and set the safety stop.

ALIGNMENT DOES NOT START

If the alignment does not start, any of the following can be suspected:

THE WAITING SCREEN IS DISPLAYED

1 When the message "CHECK EYE LEVEL AND FOREHEAD, PRESS MEASURE SW" isdisplayed on the color LCD monitor screen (waiting status), the alignment operation is notavailable.

MEMO

The measurement in auto mode may be impossible due to the eyelid andthe eyelashes over to the pupil.For this case, an operator tells the patient to open eyes enough, or liftsthe eyelid while taking care so as to press the patient's eye.

MEMO

The measurement in auto mode may be impossible due to the frequentblinks or an abnormality in the corneal surface because of corneal dis-ease etc.In this case, use manual mode.

MEASUREMENT switch

REF/KRT mode TONO/PACHO mode

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2 Press the and start the measurement.

THE IMAGE OF THE PATIENT'S EYE DISPLAYED ON THE MONITOR IS NOT CLEAR

1 Check if the patient's forehead is pressed against the forehead rest. If not, move the fore-head forward.

2 If the patient's eye and the main body are not aligned, tilt the control lever to the patientside, move the main body slowly toward the patient's eye and get it focused.

3 If the patient's eye and the main body are too close, tilt the control lever to the operatorside, move apart the main body slowly from the patient's eye and get it focused.

MEASUREMENT switch

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THE PATIENT'S EYE IS WIDELY OFF THE SCREEN CENTERIf the patient's eye is off the screen center too much, alignment is not done or the align-ment operation takes long.

1 Tilt the control lever and bring the patient's eye closer to the screen center.If the patient's eye leans to the left side of the color LCD monitor screen, for example, tiltthe control lever to the left.

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INDIVIDUAL OPERATIONS

CHANGING THE NUMBER OF MEASUREMENTS

MEASUREMENT COUNT SETTING BY INITIAL SETTINGUnder auto mode, the number of measurements of REF/KRT, TONO and PACHO can bechanged respectively. From factory the set count and setting range are as follows:

For initial setting, see "SETTING THE NUMBER OF CONTINUOUS MEASUREMENTS" onpage 47.

COUNT SETTING UNDER T/P MODEFor TONO/PACHO, the number of measurements can be changed temporarily from the ini-tially set count to 1.By pressing the of the Function witch, the count by initial setting canbe changed to 1 (measurement).

Initially set count (measurements) Setting range (measurements)REF/KRT 3 1-10TONO 3 1-10PACHO 3 1-10

When single measurement is selected, it is not possible to automatically go to theposition for measuring the other eye after measuring one eye. Press the

or operate the control lever and move to the main body position formeasuring the other eye.

When measurement is finished under single measurement setting, the main bodystops at a position closer to the operator. To continuously measure the same eye,move the measuring head to the patient side by operating the control lever.

If the measurement mode is changed by the ,regardless of selection of single measurement, the count setting by initial setting isreturned.

Count change button

Count by initial setting Single measurement setting

R/L button

MEASUREMENT mode button

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DISPLAYING ALL MEASUREMENT DATA

The latest data are displayed as measurement values, but it is possible to confirm all the datameasured. Measurement data can be selected and displayed from "REF data," "KRT data"and "ocular pressure/cornea thickness data."1 Under KRT mode, press the of the control panel.

2 Press the of the control panel.

3 The data display screen comes out with REF right eye data.

The operation is the same for T/P mode.

PAGE selecting button

All data button

All data button

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4 When the of the control panel is pressed, REF left eye data is displayed,and when the switch is pressed again, REF right eye data is returned.

5 When the of the control panel is pressed, KRT data is displayed. The datadisplayed first include 1st and 2nd measurements.

6 Each time the of the control lever is pressed, displayed datachanges as 3rd and 4th, 5th and 6th up to 10th measurements, to return to the data of 1stand 2nd measurements.

If there is no measurement data, the display is blank.

Under T/P mode, "ocular pressure/cornea thickness data" is displayed first.

R/L button

KRT button

MEASUREMENT switch

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7 When measuring the ocular pressure/cornea thickness, pressing the of the

control panel displays ocular pressure/cornea thickness data.

8 When the of the control panel is pressed, T/P left eye data is displayed,and when the switch is pressed again, T/P right eye data is returned.

If data include three measurements only, 1st and 2nd data are returned after dis-playing 3rd data.

When the of the control panel is pressed, the screen displays REFdata, and when the is pressed, the screen displays ocular pressure/cornea thickness data.

Under T/P mode, pressing the of the control panel displays ocu-lar pressure/cornea thickness data first.

hPa data are displayed when the display unit of ocular pressure/cornea thicknessis set to hPa.

When the of the control panel is pressed, the screen displays REFdata, and when the is pressed, the screen displays KRT data.

REF buttonT/P button

T/P button

All data button

REF buttonKRT button

R/L button

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9 To exit the data display and return to the Measurement screen, press of the con-trol panel.

EXIT

EXIT button

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PRINTING MEASUREMENT VALUES

This instrument is equipped with a built-in printer.1 Make sure the MEASUREMENT screen is on.

2 Press the of the control panel.Measurement values on the monitor are printed out.After printing, the measurement values are cleared automatically from the screen.

MEMO

• To avoid paper jam in the printer, do not feed the paper if it is partlycut/torn or wrinkled.

• To avoid discoloring the printing paper (particularly the recording area)during storage, use a polypropylene holder and not one containingplasticizer (PVC, etc.).

• To avoid discoloring the printing paper (particularly the recording area)after pasting, use water-soluble glue and not one containing solvent.

• Since the printer paper is thermosensitive, it is not suitable for record-ing for a long period. If necessary to keep records for long, preparecopies separately.

Even after printing operation is complete and the result displayed on the screen isdeleted, the result data is stored in the instrument. So you can repeat printing outthe data by pressing the . lights when data isstored. However, it turns off at the following case.• If mode is changed to REF/KRT TONO/PACHO continuous measurement

mode or TONO/PACHO mode after measuring on REF/KRT mode only.• If mode is changed to REF/KRT TONO/PACHO continuous measurement

mode or REF/KRT mode after measuring on TONO/PACHO mode only.

The data is fully erased by pressing and turned off.

PRINT button

REF/KRT mode TONO/PACHO mode

PRINT button PRINT button

CLEAR button PRINT button

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3 When measurement values are printed out, the paper is cut automatically.

4 Printing result data is completed, the main body returns to the initial position.

If "CLOSE PRINTER COVER" is displayed, close the printer cover till it clicks, andthen press the again.

The "ERROR" mark is not printed. Also, printing is not done if there is no measure-ment value. When a red line appears at the end of the printer paper, replace it witha new one. For details about the replacement of printer paper, see "SETTING THEPRINTER PAPER" on page 86. Additionally, a 58mm wide printer paper (example:TF50KS-E2C (Nippon Paper) is recommended.

When measurement data of both REF/KRT mode and TONO/PACHO mode areprinted at a time, the printer paper is cut once when the printing of REF/KRT datais finished. Thereafter, printing of TONO/PACHO data starts and again the paper iscut after the printing.

It is possible to suppress automatically cutting out of paper between REF/KRTmode and TONO/PACHO mode. Refer page 60 "SETTING FOR PRINTING THEMEASUREMENT RESULT" for detail.

The item of data to be printed out is selectable. Refer page 49 for detail.

If the printer paper is not cut, hold of a top corner of the paper and cut by pullingthe paper diagonally.

The main body position to return can be changed in INITIAL SET screen.Refer page 46 for detail.

PRINT button

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MEASURING THE CORNEA DIAMETER

For measuring the cornea diameter, "ON" (measuring static image) or "OFF" (measuringactual image) can be selected at C.D MEMORY in the initial setting.To change the setting, see "CHANGING THE METHOD OF CORNEA DIAMETER MEA-SUREMENT" on page 44.

MEASURING THE ACTUAL IMAGE

1 Press the .

2 Focus on the patient's eye.

3 Make sure the CORNEA DIAMETER screen is on.

CORNEA DIAMETER button

Positioning bar

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4 Press the MOVE LEFT POSITIONING BAR button (move to the left) or (moveto the right) and bring the left positioning bar to the left end of iris.

5 Press the MOVE RIGHT POSITIONING BAR button (move to the left) or (move to the right) and bring the right positioning bar to the right end of iris.

6 Press .

7 The cornea diameter is displayed.

MOVE LEFT POSITIONING BAR button

MOVE RIGHT POSITIONING BAR button

MEASUREMENT switch

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8 Press the and display the change right/left message. Press the

and make the mode for measuring the left eye.

9 Measure the left eye in like manner.

10 After data for both eye are displayed, press the and return to

the MEASUREMENT screen.

To exit the mode during the measurement, press the .When measurement data is required only for one eye, press the

after measuring the eye and exit the mode.Cornea diameter measurement is not possible under REF mode.

When positioning was done again from the beginning after moving the positioningbar, press the of the control panel.The right and left positioning bars return to their initial positions.

Press the to change eyes. After setting, you can try positioningonce again.

MEASUREMENT switch

R/L button

MEASUREMENT switch

PRINT button

PRINT button

INITIAL POSITION button

R/L button

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MEASURING THE STATIC IMAGE

1 Press the .

2 Focus on the patient's eye.When saving the image of the right eye, for example, first aim at the right eye.

3 Make sure the CORNEA MEMORY screen is on.

4 Press the . The image of the right eye is save and the memorycounter on the screen is changed to "1."

5 When the image of the right eye is saved, the saved image is displayed. Confirm the

image and press the .

CORNEA DIAMETER button

MEASUREMENT switch

MEASUREMENT switch

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6 To do image saving again, press the .

The change right/left message is displayed. Press the and move the mea-suring head to the left eye.

7 Save the image of the left eye in like manner.

8 After saving images of both eyes, the screen is changed to the CORNEA DIAMETER

MEASUREMENT screen.

If you want to save again the image of the right eye after moving to the left eye,press the to move to the right eye, and then press the

. The memory counter remains "1" but the latest imageis saved.

To save the screen of one eye only, press the after saving the screen.

MEASUREMENT switch

R/L button

R/L buttonMEASUREMENT switch

CORNEA DIAMETER button

(Measuring the left eye only)

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9 Make sure the CORNEA DIAMETER screen is on.

10 Press the MOVE LEFT POSITIONING BAR button (move to the left) or (move to the right) and bring the left positioning bar to the left end of iris.

11 Press the MOVE RIGHT POSITIONING BAR button (move to the left) or (move to the right) and bring the right positioning bar to the right end of iris.

12 Press ; the cornea diameter is displayed.

13 Press the , and measure the left eye in the same way.

To select screens between the saved right and left eyes, press the .(If you save the screen of one eye only, you can not select the screen.)To exit the mode during a measurement, press the .The cornea diameter measurement is not possible under REF mode.

MEASUREMENT switch

MEASUREMENT switch

R/L button

PRINT button

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MEASURING THE HARD CONTACT LENS

1 Make sure of kerato measurement (R/K mode or KRT mode). If not, choose kerato mea-

surement (R/K mode or KRT mode) by the .2 Fill the recessed part of the contact lens holder with water, and place the contact lens

there.• The contact lens adheres by surface tension.• Take care not to allow bubbles in between.• Keep the measured lens surface free of water drops.

3 Insert the attached model eye into chinrest tissue pins.

4 Perform measurement in the same manner as the kerato measurement.

When measuring the base curve (recessed part) of contact lens, the axial angle isreversed from the normal kerato measurement (projected part.)

MEASUREMENT MODE button

Contact lens

Contact lens holder

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INPUT/OUTPUT USING RS-232C

OUTPUT USING RS-232CThis instrument can output data to PC and the like via the RS-232C interface.1 Make sure that the connection is to the RS-232C OUT.

For connection, see "CONNECTING EXTERNAL I/O TERMINALS" on page 35.2 Check settings for data communication.

For data communication settings, see "ON-LINE SETTING (DATA COMMUNITATION)"on page 61.

3 Perform measurements.

4 Press the of the control panel.When output is completed, "RS-232C DATA OUT" is displayed on the monitor screen.

INPUT USING RS-232CThis instrument can input ID numbers from a bar code reader and the like via the RS-232Cinterface.1 Make sure that the connection is to the RS-232C IN.

For connection, see "CONNECTING EXTERNAL I/O TERMINALS" on page 35.2 Check settings for data communication.

For data communication settings, see "ON-LINE SETTING (DATA COMMUNITATION)"on page 61.

3 Make sure the MEASUREMENT screen is on.

4 Input ID numbers from the external device.Input ID numbers are displayed in the screen.

PRINT button

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MAINTENANCE AND CHECKING

DAILY MEAINTENANCE

CHECKING THE MEASURING ACCURACYMeasure the attached model eye and check the accuracy at regular intervals.

CLEANING THE INSTRUMENT• Dust on examination window.....................................Blow off dust using a blower.• Fingerprints and oil spots on measuring window ......Blow off dust using a blower and wipe the

surface lightly with a camera lens cleanerusing a clean gauze.

CLEANING THE MEASURING WINDOW GLASS• To ensure auto alignment and correct measurement values, clean the measuring window

glass after each day's work.• Clean the glass when "CLEAN THE MEASURING WINDOW GLASS" is displayed on the

monitor screen.

1 Prepare ethanol.

2 Using a blower, remove dust and dirt from the glass surface.

3 Moisten the applicator with ethanol.

Keep this instrument free of dust. When not in use, put the measuring lens capand dust cover on.

When not in use, turn off the .

CAUTIONClean the measuring window glass, measuring nozzle and thewindow glass inside the measuring nozzle using ethanol.Other chemicals may cause damage to the patient's eye duringmeasurement.

MEMO

• Do not use commercial tissues, as they may make the stain morenoticeable.

• Do not use tweezers or gauze, as these may scratch lens and glasssurfaces.

POWER switch

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4 Wipe the glass surface lightly with the applicator, from the center outward.

5 Use a new applicator and wipe the glass surface repeatedly several times.

6 Cleaning is completed when oil spots are removed.

If stains cannot be removed easily, call your dealer.

CLEANING THE NOZZLE AND CHAMBER GLASS INSIDE THE MEASURING NOZZLE• If there is any foreign matter on or around the measuring nozzle, it may enter and damage

the patient's eye during the measurement. If any, clean the nozzle.• When the window glass inside the nozzle becomes stained, it makes the fixation target

unclear, causing errors in auto alignment and measurement values. If the fixation target isunclear or measurement values with parentheses are frequent, clean the window glassinside the nozzle.

• Clean the glass when "CLEAN THE CHAMBER GLASS" is displayed on the monitorscreen.

1 Prepare the ethanol.

2 Moisten the applicator with ethanol.

Repeat the cleaning operation several times, using a new applicator each time, tilloil spots are removed from the window glass.

When the measuring window glass becomes stained "CLEAN THE MEASURINGWINDOW GLASS" is displayed on the monitor screen.

CAUTIONClean the measuring window glass, measuring nozzle and thewindow glass inside the measuring nozzle using ethanol.Other chemicals may cause damage to the patient's eye duringmeasurement.

MEMO

• Do not apply unreasonable force to the measuring nozzle while clean-ing.

• To avoid problems, do not leave the cotton fibers inside.• Be sure to use only the attached applicator.

Wiping the glass surface

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3 Insert the applicator into the nozzle, lightly touch the glass surface, and turn the applicatora few times.

4 Use a new applicator and wipe the glass surface in a similar manner; repeat this a fewtimes.

5 Cleaning is completed when the grease is thoroughly removed. Please confirm normaloperation by "Air check" function on menu screen. If stains cannot be removed easily, callyour dealer.

ADJUSTING THE MONITOR SCREEN• Although the instrument is adjusted for optimal screen conditions before shipment, a screen

readjustment may be required due to vibrations during transportation.• To adjust brightness, use the brightness control below the color LCD monitor.

The used applicator contains grease and it only scatters grease if used again; thelight transmittance is not improved at all. Be sure to replace the applicator and usea new one for each of these repeated cleaning operations.

When the window glass inside the nozzle becomes stained, it makes the fixationtarget unclear and "CLEAN THE CHAMBER GLASS" is displayed on the monitorscreen.

Applicator (attached)

Brightness control

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PRINTER PAPER JAM

1 Press the printer cover OPEN button, open the printer cover, and take out the jammedpaper with the paper retainer lever fully released.

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

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

CAUTIONTo avoid potential injury in case of malfunction, including apaper jam, be sure to shut off the power before attempting torepair it.

MEMO• If paper jam occurs inside the printer, printing is not done, and, using

the printer further without removing the jammed paper may cause afailure.

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REPLACING THE FUSE

1 Make sure the power is OFF and the power cable is unplugged.

2 Press the fuse holder with a screwdriver and turn it counterclockwise.The fuse holder can be taken out.

3 Replace the fuse with the attached fuse.

4 Press the fuse holder lightly with a screwdriver and turn it clockwise.The fuse holder is now reset.

WARNINGWhen changing the fuse, turn off the power, and disconnectthe power cord. Use the rated fuse.

Replacing the fuse

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SPECIAL NOTE OF CLEANING

CLEANING THE OUTER COVER AND MONITOR SCREEN

1 If outer covers, color LCD monitor and the operation panel are stained, clean them with asoft dry cloth.

2 If the stain is extreme, use a neutral tableware detergent and warm water. Dip a soft clothin the solution, squeeze out excess water and then wipe off the stain.

CLEANING THE COMPONENTS TOUCHING THE PATIENTIf the forehead rest and chinrest become stained, use a neutral tableware detergent and warmwater. Dip a soft cloth in the solution, squeeze out excess water and then wipe off the stain.

ITEMS OF SPECIALIST MAINTENANCE

CAUTION

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

MEMO • To avoid discoloring/deterioration of plastic components, do not usevolatile solvents (benzine, thinner, ether, gasoline, etc.).

Item Checking time Contents

Cleaning each compo-nent

Within 12 months • Cleaning outer covers• Checking the optical system

Operation check Within 12 months • Checking the main body operation• Checking switches

Accuracy check Within 12 months • Confirming the refractory power mea-surement functions (using special tools)

• Confirming the corneal curvature mea-surement functions (using special tools)

• Confirming the ocular pressure mea-surement functions (using special tools)

• Confirming the cornea thickness mea-surement functions (using special tools)

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162BEFORE REQUESTING SERVICE

BEFORE REQUESTING SERVICEAIR CHECK

If a problem is suspected, do the air check.If the result is "NG[+]" or "NG[-]," call your dealer or TOPCON at the address printed on theback cover of this manual.For details about the air check, see "AIR CHECK" on page 111.

CHECKING OPERATIONS

If a problem is suspected, perform checks following the Check List shown below. If the condition isnot improved by the suggested remedy or if it is not described in the list, call your dealer or inquiryprinted on the back cover of this manual.

CHECK LIST

WARNINGDo not open the cover. For repair, contact your authorizedTopcon distributor.Keep the instrument in a dry place.

Problem: Check point: Remedy: Page:Monitor screen does not work.

Power cable is not plugged into receptacle.

Plug in power cable. 34

Power cable is not plugged into instrument body.

Plug power cable into instru-ment body. 34

Power save status is on. Return to normal status. 88Fuse is burned. Replace fuse. 160

Monitor screen display is notclear.

The image is dark. Turn brightness control and adjust monitor screen. 158

Auto measurement is not possible.

Measuring window needs to be cleaned.

Clean measuring window. 156

The nozzle and the area around the nozzle are dirty.

Clean the nozzle and the win-dow glass inside the nozzle. 157

Condition of patient's eye is not good.

Do measurement under manual mode.

105124

Manual mode is on Change it to auto mode. 100117

Measurement values have* or ( ), or ERROR is displayed.

Measuring window is stained.

Clean measuring window. 156

The nozzle and the area around the nozzle are dirty.

Clean the nozzle and the win-dow glass inside the nozzle. 157

Paper comes out unprinted. Printer paper winding is reversed.

Set printer paper correctly. 86

Paper does not come out. Printer paper is used up. Supply printer paper. 86Communication is not possi-ble.

Setting of communication format is incorrect.

Reset communication for-mat. 63

Anomaly in control lever and other movable components

Leave it as is, and call our service engineer. 101

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REFERENCES

MESSAGE LIST

"OVER-SPH" Spherical power exceeds +22D or -25D (at VD=12mm)."OVER-CYL" Cylindrical power exceeds ±8D (at VD=12mm)."OVER-R" Corneal curvature exceeds 5.00-10.00mm."NO TARGET" No patient's eye or the eye image is too dark."AGAIN" A difference of more than 5D from the value of previous measure-

ment"NO CENTER" Not possible to find the center of patient's eye."ALIGN ERROR" In measuring, aligning fails."PAPER END" Printer paper is used up."CLOSE PRINTER COVER" Printer cover is open when PRINT button is pressed."PRINT" Printing is under way."ERROR" Patient's eye blinked or moved during measurement.

If this appears when measurement is done properly with themodel eye, a problem is suspected: Call our service engineer.

"CUTTER INIT ERR" The position of the printer auto cutter is incorrect."PUSH PRINT SW" Indicates printing steps under no paper/head up condition."NO ID" ID input is not done under ID input setting."RS232C DATAOUT" RS232C data transmission is under way."RS232C SUCCESS" RS232C data transmission is completed."RS232C FAIL" RS232C data transmission has failed."CABLE UNCONNECTED" The RS232C cable is not connected, or the power supply of the

other party is OFF."WAITING" Ready for RS232C transmission (CTS), and waiting for the signal."ERROR" Error in RS232C data input."READY" Ready for RS232C data input."USB DATAOUT" USB data transmission is under way."USB SUCCESS" USB data transmission is completed."USB FAIL" USB data transmission has failed."NOZZLE LIMIT" The main body exceeds the limit to the patient side.

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OPTIONAL ACCESSORIES

Automatic instrument table AIT-16Because the instrument height can be adjusted to the desired position, you can take a picturemore easily.

Specification• Dimensions ................525(W)x490(D)mm• Table height................600 - 880mm• Table size ...................490 x 500mm• Weight........................Approx. 23kg

(only the instrument body)• Power consumption ...220VA• Maximum load............50kg

• RS232C on-line cable

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ORDERING CONSUMABLE SUPPLIES

When ordering consumable supplies, tell your dealer the product name, part No. and the nec-essary quantity.

SHAPE OF PLUG

Product name Part No.Chinrest tissue 40310 4082Silicone cloth 31087 2007Dust cover 42360 9002Applicator 41601 8606

Printer paper 44800 4001Fuse 3A 250V T2400 0158A

Country Voltage/frequency Shape of plug

Mexico 110V/50Hz Type C&EArgentina 220V/60Hz Type APeru 220V/60Hz Type AVenezuela 110V/50Hz Type C&E

Bolivia & Paraguay 220V/60Hz Type A (Most common)Type H (Infrequently)

Chile 220V/60Hz Type AColombia 110V/50Hz Type C

Brazil 220V/60Hz127V/60Hz

Type AType C

Ecuador 110V/50Hz Type C&EUSA 120V/60Hz Type A (Hospital Grade)Canada 120V/60Hz Type A (Hospital Grade)

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MARKS DISPLAYED OUTSIDE THE MAIN BODY

Symbol IEC Publication Description Description (French)

60417-5032 Alternating Current Courant alternatif

60348 Attention, consult accompa-nying documents

Attention, consulter les docu-ments d'accompagnement

60417-5008 Off (power: disconnectionfrom the main power supply)

Eteint (courant: coupureavec le secteur)

60417-5007 On (power: connection to themain power supply)

Allume (courant: raccorde-ment sur le secteur)

60878-02-02 Type B applied part Partie appliquee du Type B

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RS232C COMMUNICATION SPECIFICATIONS

CONNECTOR TYPEDSUB 9-pin (EIA RS232C)DE-9S-N (JAE)

INPUT TERMINAL PIN ARRANGEMENT9pin-9pin connection

9pin-25pin connection

TRANSMISSION FORMULA

RIS-CTS control TOPCON new format

Code Description TRK-1P side Transmission/Receiving side

RD (RXD) Data receiving 2 2SD (TXD) Data transmission 3 3ER (DTR) Data terminal ready 4 4SG (GND) Signal grounding 5 5DR (DSR) Data set ready 6 6RS (RTS) Request transmission 7 7CS (CTS) Transmission ready 8 8

Code Description TRK-1P side Transmission/Receiving side

RD (RXD) Data receiving 2 2SD (TXD) Data transmission 3 3ER (DTR) Data terminal ready 4 4SG (GND) Signal grounding 5 5DR (DSR) Data set ready 6 6RS (RTS) Request transmission 7 7CS (CTS) Transmission ready 8 20

Synchronization Non-synchronous Synchronization Non-synchronousCommunication speed 2400/9600 bps Communication speed 2400/9600 bps

Start bit 1 bit Start bit 1 bitStop bit 1 bit Stop bit 2 bit

Data length 8 bit Data length 7 bitParity None Parity Even

Operating code ASCII code Operating code ASCII code

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SPECIFICATIONSSPECIFICATION AND PERFORMANCEREF measurement Measuring range Hyperopia: 0 to +22D

0.25D step display (switchable to 0.12D step display)Myopia: 0 to -25D 0.25D step display (switchable to 0.12D step display)Astigmatism: 0 to 10D (+ or -) 0.25D step display (switchable to 0.12D step display)Axial angle: 0 to 180° 1° step display (switchable to 5° step display)

Minimum measurable pupil diameter

2.0mm

Target fixation Auto fog system Measurement data display Color LCD monitor screen Measurement data recording Built-in printer

(10 measurement data each of right and left eyes)Kerato measurement Measuring range

Measurement data display Measurement data recording

Radius of corneal curvature: 5.00 to 10.00mm 0.01mm step displayCorneal refractory power: 67.50 to 33.75D 0.25D step display (switchable to 0.12D step display) (Proviso: corneal refractive index = 1.3375)Corneal astigmatic power: 0 to 10D (+ or -)Corneal astigmatic axial angle: 0 to 180° 1° step display (switchable to 5° step display)Color LCD monitor screenBuilt-in printer (10 measurement data each of right and left eyes)(Proviso: printing only typical values for R/K mode)

Ocular pressure measurement Measuring range Working distance Measurement data display Measurement data recording

0 to 30/0 to 60mmHg11mmColor LCD monitor screen (with average value)Built-in printer (with average value)

Alignment Color LCD monitor screenPD measurement measuring range 85mm max., 1mm display unitTV Monitor 6.5 type VGA color LCD monitorExternal output terminal RS-232x2, USBx1Operating temperature 10 to 40°CMain body travel distance 40mm back/forth, 90mm sides, 30mm up/downChinrest travel distance 60mm up/down (electric)

* For product improvements, the specification and appearance are subject to change without prior notice.Essential performance• Measurement can be done.• Monitor display is not disturbed.

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DIMENSIONS AND WEIGHT

Dimensions: 304(W)x521(D)x551-581(H)mmWeight: 27.0kg

INTENDED USE

Measurement of spherical refractory power, cylindrical refractory power, astigmatic axial direction,corneal curvature, meridian direction, corneal refractory power, ocular pressure and cornea thick-ness.

OPERATION PRINCIPLES

REF measurement: Measurement of spherical refractory power, cylindrical power and astigmaticaxial direction is computing based on the reflected image, which is received by the CCD camera,of the luminous flux for refractory measurement (near-infrared light) projected to the retina.Kerato measurement: Measurement of corneal curvature, meridian direction and corneal refrac-tory power is computing based on the reflected image, which is received by the CCD camera, ofthe KERATO ring projected to the cornea surface.Ocular pressure measurement: Measurement of ocular pressure by emitting measuring luminousflux to the cornea, ejecting air from the air ejection system to the cornea, detecting the corneareaching the prescribed deformed state by the reflected beam of the measuring luminous flux, andcomputing based on the air pressure value.Cornea thickness measurement: measures cornea thickness based on reflecting slit lights whichare obliquely projected on the cornea surface and corneal endothelium of patients' eye.Measurement of pupil distance (PD) by the travel of main body required for detecting the reflectedlights from the right/left cornea vertices.Automatic measurement function: Automatic positioning of the main body by the reflected lightfrom the cornea, and automatic measurements performed when optimal conditions are reached.

ELECTRIC RATING

Supply voltage: 100-240VAC, 50-60HzPower input: 100VA

169SPECIFICATIONS

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ELECTROMAGNETIC COMPATIBILITY

This product conforms to the EMC Standard (IEC 60601-1 Ed.2.1:2004).

a) MEDICAL ELECTRICAL EQUIPMENT needs special precautions regarding EMC and needs tobe installed and put into service according to the EMC information provided in the ACCOMPA-NYING DOCUMENTS.

b) Portable and mobile RF communications equipment can affect MEDICAL ELECTRICALEQUIPMENT.

c) The use of ACCESSORIES, transducers and cables other than those specified, with theexception of transducers and cables sold by the manufacturer of the EQUIPMENT or SYSTEMas replacement parts for internal components, may result in increased EMISSIONS ordecreased IMMUNITY of the EQUIPMENT or SYSTEM.

d) The EQUIPMENT or SYSTEM should not be used adjacent to or stacked with other equipment.IF adjacent or stacked use is necessary, the EQUIPMENT or SYSTEM should be observed toverify normal operation in the configuration in which it will be used.

e) The use of the ACCESSORY, transducer or cable with EQUIPMENT and SYSTEMS other thanthose specified may result in increased EMISSION or decreased IMMUNITY of the EQUIP-MENT or SYSTEM.

Item Parts code Length(m)AC power cord 4184050100 1.5AC power cord 4184053100 3.0RS-232C CROSSING CABLE (shielded) - 5.0RS-232C CROSSING CABLE (shielded) - 5.0USB CABLE - 3.0

Guidance and manufacturer's declaration - electromagnetic emissionsThe TRK-1P is intended for use in the electromagnetic environment specified below.The customer or the user of the TRK-1P should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment - guidance

RF emissionsCISPR 11

Group 1 The TRK-1P uses RF energy only for its internalfunction. Therefore, its RF emissions are very lowand are not likely to cause any interference innearby electronic equipment.

RF emissions CISPR 11

Class B The TRK-1P is suitable for use in all establish-ments other than domestic and those directly con-nected to the public low-voltage power supplynetwork that supplies buildings used for domesticpurposes.

Harmonic emissions IEC61000-3-2

Class A

Voltage fluctuations/ flicker emissions IEC61000-3-3

Complies

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Guidance and manufacturer's declaration - electromagnetic immunityThe TRK-1P is intended for use in the electromagnetic environment specified below.The customer or the user of the TRK-1P should assure that it is used in such an environment.

Immunity test IEC 60601test level

Compliance level

Electromagnetic environment - guidance

Electrostaticdischarge (ESD)IEC 61000-4-2

±6 kV contact

±8 kV air

±6 kV contact

±8 kV air

Floors should be wood, concreteor ceramic tile. If floors are cov-ered with synthetic material, therelative humidity should be atleast 30%.

Electrical fasttransient/burstIEC 61000-4-4

±2 kV for powersupply lines

±1 kV forinput/output lines

±2 kV for powersupply lines

±1 kV forinput/output lines

Mains power quality should bethat of a typical commercial orhospital environment.

SurgeIEC 61000-4-5

±1 kVline(s) to line(s)

±2 kVline(s) to earth

±1 kVline(s) to line(s)

±2 kVline(s) to earth

Mains power quality should bethat of a typical commercial orhospital environment.

Voltage dips, shortinterruptions andVoltage variationson power supplyinput linesIEC 61000-4-11

<5% Ut(>95% dip in Ut)for 0.5 cycle40% Ut(60% dip in Ut)for 5 cycles70% Ut(30% dip in Ut)for 25 cycles<5% Ut(>95% dip in Ut)for 5 sec.

<5% Ut (>95% dip in Ut)for 0.5 cycle40% Ut(60% dip in Ut)for 5 cycles70% Ut(30% dip in Ut)for 25 cycles<5% Ut(>95% dip in Ut)for 5 sec.

Mains power quality should bethat of a typical commercial orhospital environment. If the useror the TRK-1P requires contin-ued operat ion dur ing powermains interruptions, it is recom-mended that the TRK-1P bepowered from an uninterruptiblepower supply or battery.

Power frequency(50/60 Hz)magnetic fieldIEC 61000-4-8

3 A/m 3 A/m Power frequency magnetic fieldsshould be at levels characteristicof a typical location in a typicalcommercial or hospital environ-ment.

NOTE Ut is the a.c. mains voltage prior to application of the test level.

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Guidance and manufacturer's declaration - electromagnetic immunityThe TRK-1P is intended for use in the electromagnetic environment specified below.The customer or the user of the TRK-1P should assure that it is used in such an environment.Immunity test IEC 60601

test levelCompliance

levelElectromagnetic environment-

guidance

Conducted RFIEC 61000-4-6

Radiated RFIEC 61000-4-3

3 Vrms150kHz to 80MHz

3 V/m80MHz to 2.5GHz

3 V

3 V/m

Portable and mobile RF communica-tions equipment should be used nocloser to any part of the TRK-1P,including cables, than the recom-mended separation distance calcu-lated from the equation applicable tothe frequency of the transmitter.

Recommended separation distance

80MHz to 800MHz 800MHz to 2.5GHz

where P is the maximum outputpower rating of the transmitter in watts(W) according to the transmitter man-ufacturer and d is the recommendedseparation distance in meters (m).Field strengths from fixed RF trans-mitters, as determined by an electro-magnetic site survey, a should be lessthan the compliance level in each fre-quency range. bInterference may occur in the vicinityof equipment marked with the follow-ing symbol:

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is

affected by absorption and reflection from structures, objects and people.a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and

land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predictedtheoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, anelectromagnetic site survey should be considered. If the measured field strength in the location in whichthe TRK-1P is used exceeds the applicable RF compliance level above, the TRK-1P should be observedto verify normal operation. If abnormal performance is observed, additional measures may be necessary,such as reorienting or relocating the TRK-1P.

b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

d 1.2 P=

d 1.2 P=d 2.3 P=

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Recommended separation distance between portable and mobile RF communications equipment and the TRK-1P

The TRK-1P is intended for use in an electromagnetic environment in which radiated RF distur-bances are controlled. The customer or the user of the TRK-1P can help prevent electromag-netic interference by maintaining a minimum distance between portable and mobile RFcommunications equipment (transmitters) and the TRK-1P as recommended below, accordingto the maximum output power of the communications equipment.

Rated maximum output power of

transmitterW

Separation distance according to frequency of transmitterm

150kHz to 80MHz 80MHz to 800MHz 800MHz to 2.5GHz

0.01 0.12 0.12 0.230.1 0.38 0.38 0.731 1.2 1.2 2.3

10 3.8 3.8 7.3100 12 12 23

For transmitters rated at a maximum output power not listed above, the recommended separa-tion distance d in metres (m) can be estimated using the equation applicable to the frequency ofthe transmitter, where P is the maximum output power rating of the transmitter in watts (W)according to the transmitter manufacturer.NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range

applies.NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is

affected by absorption and reflection from structures, objects and people.

d 1.2 P= d 1.2 P= d = 2.3 P

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EQUIPMENT CLASSIFICATION

• Type of protection against electric shocks: Class The Class equipment provides means to connect itself to the protective grounding systemof utilities to thereby independently provide protection against electric shocks by keeping con-nectable metal components nonconductive in case of a failure in the basic insulation.

• Degree of protection against electric shocks: B type applied componentThe B type applied component provides the specified degree of protection against electricshocks with regard to the reliability particularly of leak current, patient measuring current andprotective utility connection (in case of Class equipment).

• Degree of protection against harmful intrusion of water (IEC 60529): IPX0This product does not provide protection against intrusion of water.(The degree of protection against harmful ingress of water defined in IEC 60529 is IPX0)

• Classification by sterilization/disinfection method specified by manufacturerThis product does not have a component requiring sterilization/disinfection.

• Classification by safety of use in air/flammable anesthetic gas, oxygen or nitrous oxide/flamma-ble anesthetic gas atmosphere

• Equipment not suited for use in air/flammable anesthetic gas, oxygen or nitrous oxide/flam-mable anesthetic gas atmosphere

• This product should be used in an environment free of flammable anesthetic gas and otherflammable gases.

• Classification by operation modeContinuous operation refers to an operation under normal load conditions, within the specifiedtemperature and without limitations on the operating time.

DISPOSAL OF PRODUCT

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

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When calling please give us the following information aboutyour unit:• Instrument type: TRK-1P• Manufacturing No. (Shown on the rating plate on the back

of the instrument)• Period of Usage (Please give us the date of purchase.)• Instrument’s condition (Please provide us with as much

detail as possible on the problem.)

AUTO KERATO-REFRACTO-TONOMETER TRK-1P

INSTRUCTION MANUALVersion of 2008 (2008.04-100LW0)Date of issue: 1st, April, 2008

Published by TOPCON CORPORATION

75-1 Hasunuma-cho, Itabashi-ku, Tokyo, 174-8580 Japan.

©2008 TOPCON CORPORATION ALL RIGHTS RESERVED

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TRK-1P

AUTO KERATO-REFRACTO-TONOMETER

41850 95990

Printed in Japan 2008.04-100LW0