NIDEK AUTO REF/KERATOMETER Model ARK-700A OPERATOR’S MANUAL * Specifications are subject to change without notice for improvement. NIDEK CO., LTD. (Manufacturer) NIDEK CO., LTD (Tokyo Office) NIDEK INCORPORATED (United States Agent) NIDEK SOCIETE ANONYME (Authorized Representative) : 34-14, Maehama, Hiroishi-cho, Gamagori, Aichi 443-0038, Japan Telephone: (0533) 67-6611 Facsimile: (0533) 67-6610 : 6th Floor, Takahashi Bldg., No.2, 3-chome, Kanda-jinboucho Chiyoda-ku, Tokyo 101-0051, Japan Telephone: (03) 3288-0571 Facsimile: (03) 3288-0570 Telex: 2226647 NIDEK J : 47651 Westinghouse Drive Fremont, California 94539, U. S. A. Telephone: (510) 226-5700 Facsimile: (510) 226-5750 : Europarc 13, rue Auguste Perret, 94042 CRETEIL, France Telephone: (01) 49 80 97 97 Facsimile: (01) 49 80 32 08 2003. 2 32159-P902P Printed in JAPAN BEFORE USE OR MAINTENANCE, READ THIS MANUAL. This Operator’s Manual contains information necessary for operation of the NIDEK AUTO REF/KERATOMETER Model ARK-700A. This manual provides information on operating procedures, cautions for safety, specifications, accessories, and maintenance suggestions. The instrument complies with ISO 10342 (Ophthalmic instruments - Eye Refractometers). IEC 60601-1 and UL2601-1 standards are applied in this manual. The dioptric powers are indicated with reference wavelength λd = 587.56 nm. This manual is necessary for correct use. Especially, cautions for safety and operating procedures must be thoroughly understood before using the instrument. Be sure to keep this manual together with the instrument and read it whenever needed. There are no user-serviceable parts inside the instrument except a printer paper and fuses. Therefore, if you find any problems or have questions about the instrument during operation, please contact your authorized distributor. MEDICAL ELECTRICAL EQUIPMENT 34VK UL2601-1 CAN/CSA C22.2 NO. 601.1 WITH RESPECT TO ELECTRICAL SHOCK, FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL260l-1 AND CAN/CSA C22.2 NO. 601.1 (This applies only to the equipments whose power source is 100/120Vac.) Table of Contents §1 INTRODUCTION ........................................................................................................Page 1-1 1.1 Outline of the Product .............................................................................................. 1-1 1.2 Classification ............................................................................................................ 1-1 1.3 Symbol Information ................................................................................................. 1-2 §2 SAFETY ........................................................................................................................ 2-1 2.1 Operation .................................................................................................................. 2-1 2.2 Storage ...................................................................................................................... 2-2 2.3 Placement ................................................................................................................. 2-2 2.4 Installation ................................................................................................................ 2-3 2.5 Wiring ....................................................................................................................... 2-4 2.6 After Use .................................................................................................................. 2-5 2.7 Maintenance and Checks .......................................................................................... 2-5 2.8 Disposal .................................................................................................................... 2-6 2.9 Labels ....................................................................................................................... 2-7 §3 CONFIGURATION ..................................................................................................... 3-1 §4 OPERATING PROCEDURES ................................................................................... 4-1 4.1 Operation Flow ......................................................................................................... 4-1 4.2 Preparation for Measurement ................................................................................... 4-1 4.3 AR (Refractive Power), KM (Corneal Curvature) Measurements ........................... 4-8 4.4 CS (Corneal Size) Measurement ............................................................................ 4-16 4.5 PS (Pupil Size) Measurement ................................................................................. 4-18 4.6 PD (Pupil Distance) Measurement ......................................................................... 4-20 4.7 Measuring Sagittal Radius ..................................................................................... 4-22 §5 PRINT OUT .................................................................................................................. 5-1 5.1 Printing Measurement Results ................................................................................. 5-1 5.2 Eyeprint .................................................................................................................... 5-5 §6 OTHER FUNCTIONS ................................................................................................. 6-1 6.1 System Setups .......................................................................................................... 6-1 6.2 Setting Date and Time .............................................................................................. 6-9 6.3 Entering Comments ................................................................................................ 6-10 6.4 Measuring Hard Contact Lenses ............................................................................ 6-13 §7 TROUBLESHOOTING GUIDE ................................................................................ Page 7-1 §8 MAINTENANCE ......................................................................................................... 8-1 8.1 Replacing Printer Roll .............................................................................................. 8-1 8.2 Fixing a Bunch of Chin Rest Paper .......................................................................... 8-3 8.3 Replacing Fuses........................................................................................................ 8-4 8.4 Cleaning the Measuring Window ............................................................................. 8-6 8.5 Cleaning Exterior ..................................................................................................... 8-7 8.6 List of Parts for Replacement ................................................................................... 8-7 §9 IC CARD SYSTEM (OPTIONAL) ............................................................................ 9-1 §10 SPECIFICATIONS .................................................................................................... 10-1 §11 ACCESSORIES .......................................................................................................... 11-1 11.1 Standard Accessories ............................................................................................ 11-1 11.2 Optional Accessories ............................................................................................ 11-1 A. Glossary ........................................................................................................................... A-1 B. Index ................................................................................................................................ B-1 [This page is intentionally left blank.] §1 INTRODUCTION 1.1 Outline of the Product This instrument is an auto ref/keratometer which contains both a refractometer and a keratometer in one unit. The refractometer objectively measures the refractive power of the patient’s eyes with infrared rays to obtain spherical, cylindrical powers and cylinder axis of the lens which may correct the patient’s vision into emmetropia. The keratometer measures the corneal curvature (corneal refractive power), angle of corneal meridian, and corneal cylindrical power. This instrument has a main body and a measuring unit integrated on one base. On the base is a chin rest on the patient’s side and a printer on the operator’s side which makes an output of measurement results. On the main body is a TV monitor, a control panel, and a joystick, which are used to make alignments or manipulation. The measuring unit has a measuring window, where the patient looks into and where the infrared ray radiates on the patient’s eye. Also, there is an auto-tracking mechanism which moves the measuring unit to follow eye movement, and an auto-shot function, which makes serial measurement start automatically when the instrument becomes correctly focused. 1.2 Classification [Classification under the provision of 93/42/EEC (MDD)] Class ARK-700A is classified into Class a system. a [Protection method against electric shock] Class The ARK-700A is classified as a class instrument. The class instrument is an instrument in which protection against electrical shock does not rely on basic insulation only, but which includes an additional safety precaution that provides for a connection of accessible conductive parts to the protective (earth) conductor in the fixed wiring of the installation. Therefore; accessible conductive parts cannot become activated in the event of failure in the basic insulation. Use the power outlet which is equipped with a ground terminal. [Degree of protection against electrical shock] Type B Applied Part ARK-700A is provided with a Type B Applied Part. The Type B Applied Part provides an adequate degree of protection against electrical shock, particularly regarding the following: - allowable leakage currents - reliability of the protective earth ground connection (If applicable) [Degree of protection against ingress of liquids] IP20 ARK-700A is classified as IP20.*1 ARK-700A is a normal instrument, which is provided with an enclosure not completely waterproof. Avoid splashing water on the instrument. *1 In accordance with IEC 60529 1-2 [Degree of protection against flammability] The ARK-700A is classified as an instrument not suitable to be used in a potentially flammable environment. Do not use near flammable materials. [Method(s) of sterilization or disinfection recommended by manufacturer] It is possible to wipe the forehead rest and chin rest with a cloth dampened with alcohol as necessary. [Mode of operation] Classification of ARK-700A: Continuous operation 1.3 Symbol Information This symbol on the body indicates that caution should be taken. Refer to the operator’s manual before use. This indicates that the degree of protection against electrical shock of the applied part is classified as a Type B Applied Part. This symbol on the power switch indicates the power is ON. This symbol on the power switch indicates the power is OFF. Fuse rating. This indicates the interface connector for LENSMETER. This indicates the interface connector for an external computer. This indicates that the instrument must be supplied only with alternating current. This indicates the knob for adjusting contrast. This indicates the knob for adjusting brightness. §2 SAFETY In this manual, a Signal Word is used to designate a degree or level of safety alerting, whose definitions are as follows. CAUTION: Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury or property damage. Even the cases mentioned in CAUTION may result in serious injury under a certain situation. Be sure to observe the instructions of CAUTION. 2.1 Operation CAUTION • Never disassemble or touch the inside of the instrument. This may result in an electric shock or instrument malfunction. • Never yank the power cord to disconnect from receptacles but hold the plug. This can weaken the metal core of the cord and may result in a short circuit or electric shock. • Never put a heavy object on the power cord nor catch the cord between any objects. This can weaken the metal core of the cord and may result in a fire or electric shock. • If the metal core of the power cord is exposed, power turns on and off by shaking the cord, or cord/plug gets so heated that one cannot hold it, it means that the cord is damaged. Immediately replace the cord. This may cause an electric shock or a fire. • Do not use the instrument for other than the intended purpose. NIDEK will not be responsible for accidents or malfunction caused by carelessness. • Wipe between the prongs of mains plug with a dry cloth every once in a while. If a dust settles between the prongs, the dust easily takes up moisture, and the damp dust may cause short circuit and a fire. • The measured values of objective refractive power obtained by the ARK-700A are intended to be used as a reference of lens prescription for the correction of visual acuity with spectacle or contact lenses. Manifest refraction must be used as the basis for spectacle or contact lens prescription. 2-2 CAUTION • In advance of a measurement of each patient, wipe the forehead rest and chin rest with a clean cloth. Moreover, remove one chin rest paper for each patient if the bunch of the chin rest paper is fixed on the chin rest. If necessary, wipe the forehead rest and chin rest using a cloth dampened with rubbing alcohol. • In the event of a malfunction, do not touch the inside of the instrument, but remove the power cord and contact your authorized distributor. • Keep fingerprints and dust away from the measuring window. Reliability of the measured data may be lowered substantially. 2.2 Storage CAUTION • Do not store the instrument in a place where it may get wet or where poisonous gas or liquid is stored. • Avoid storing the instrument in an area with excessive heat, humidity, or dust. To preserve the appearance or internal parts of the instrument, avoid direct exposure to sunlight. 2.3 Placement CAUTION • Do not drag the instrument by its cord or cable. This may cause possible injury or instrument damage. • To carry the instrument, hold it from the side with both your hands on its base. (Do not ever hold the forehead rest to lift up the instrument.) This may result in possible injury or instrument damage. 2-3 CAUTION • To transfer the instrument to another location, store the instrument in a shipping carton or optional carrying case to carry. In such cases, never lock the main body with the locking knob. Breakdown of the instrument may result. 2.4 Installation CAUTION • Before connecting the power cord or interface cable, provide a stable, level, and open space. Since receptacles are under the base unit, the instrument may stumble down and may cause injury or instrument malfunction. • Do not install the instrument near water. If water gets into the internal structure, there is the possibility of an electric shock or instrument malfunction. • Install the instrument in a stable and level place where vibration or shock does not occur. The instrument may not perform measurement correctly or may malfunction. Also, if the instrument is tripped over because of any accidental shock, it may result in possible injury. • Install the instrument in the following conditions. A low dust environment A low light interference environment A vibration and shock free environment • Install the instrument in the environment whose condition can be maintained under the follows. Use the instrument under the following temperature and humidity. Use environment Temperature: 10 - 40 ºC Humidity: 30 - 75% (Non-condensing) 2-4 CAUTION • This instrument has been tested and found to comply with the limits for medical devices to the IEC 60601-1-2: 1993, EN 60601-1-2: 1994, Medical Device Directive 93/42/EEC. These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. This instrument generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to other devices in the vicinity. However, there is no guarantee that interference will not occur in a particular installation. If this instrument does cause harmful interference to other devices, which can be determined by turning the instrument off and on, the user is encouraged to try to correct the interference by one or more of the following measures: - Reorient or relocate the receiving device. - Increase the separation between the instrument. - Connect the instrument into an outlet on a circuit different from that to which the other device (s) are connected. - Consult the manufacturer or field service technician for help. 2.5 Wiring CAUTION • Be sure to use a (HOSPITAL GRADE) wall outlet equipped with a grounding terminal in order to avoid an electric shock or fire in the event of a power leak. • Be sure to use the power outlet which meets the requirements of power specification. If the line voltage is too high or too low, the instrument may not give full performance. Malfunction or a fire may also occur. • Insert a mains plug into a grounded outlet. Electric shock or fire may result in case of breakdown of the instrument or power leaks. • Securely connect the mains plug into an outlet. Insecure connection may result in a fire. 2-5 2.6 After Use CAUTION • If the instrument is not to be used for a long time, disconnect the power cord from the wall outlet. This may cause a fire. • When the instrument is not in use, turn off the power switch and place the cover over the machine. If the instrument is not covered, dust may affect the measurement accuracy. 2.7 Maintenance and Checks CAUTION • Replace the fuses with the specified fuses only. A fire may result. • Disassembling for service is not permitted except at NIDEK or authorized distributor. • Be careful not to leave fingerprints or dust on the measuring window. This will substantially lower the reliability of the measurement results. • Never use an organic solvent such as paint thinner to wipe the exterior. This may ruin the surface. • When the instrument is sent back to NIDEK for repair or maintenance, wipe the surface (especially, the area where the patient’s skin contacts) of the instrument with a clean cloth immersed in ethyl alcohol for disinfection. • Contact NIDEK or your authorized distributor to check whether the instrument needs measurement accuracy calibration if the AR-measured results are largely different from the subjective measurements. 2-6 2.8 Disposal CAUTION • Follow local governing ordinances and recycling plans regarding disposal or recycling of device components. Especially the disposing method of lithium batteries varies according to the government. As rechargeable lithium battery is used in the instrument, follow the local governing ordinates and recycling plans when disposing a board with lithium batteries. • When disposing packing sort them by the materials and follow local governing ordinances and recycling plans. 2-7 2.9 Labels The following labels provide safety information about each part. or (Only marketing for NIDEK INCORPORATED) or or §3 CONFIGURATION If optionally ordered: IC Card System TV Monitor Display Panel Cover for Switches R/K Button Locking Knob IOL Button Power Switch Auto-shot Button UP Button Auto-tracking Button DOWN Button Printer 3-2 IC Card System (Optional) If the optional IC card system has been ordered, the IC card Reader/Writer should have been factory-built in this part. TV Monitor Displays the patient’s eye, Target, Focusing indicator, KM (Corneal curvature) measurement, measuring count, Mire ring projected on the patient’s eye, etc. Display Panel Displays AR (refractive power), CS, (corneal size), PS (pupil size), and PD (pupil distance) measurements. The indicators of R (right) or L (left) shows the measuring eye side as well as the eye side of the measurement result on the display. Cover for Switches Inside, there are two switches for setting measurement conditions, a switch for printing “Eyeprint”, and also knobs for adjusting contrast and brightness of the TV monitor display. Locking Knob Used to fix the main body to the base unit. To lock the main body, bring the main body to the center of the base unit, and turn the knob counterclockwise while pressing it down. To temporarily lock the body at any position, turn the knob clockwise. Do not lock the main body with this locking knob during transport. Otherwise, breakdown of the instrument may result. Used during CS and PS measurements to move the guide lines on the TV monitor. Changes between on/off of the auto-tracking function. When the auto-tracking function is on, the instrument automatically controls the up, down, right, and left movement of the measuring part to adjust the alignment. Used during CS and PS measurements to move the guide lines on the TV monitor. Changes between on/off of the auto-shot function. It is available only when the auto-tracking function is on. When the auto-shot function is on, the instrument automatically starts serial measurement as soon as the instrument is best aligned and in the best focus. Should be pressed to turn on IOL mode when measuring an IOL-implanted eye or an eye with a Contact Lens (CL) on. If such eye is measured without turning on the IOL mode, an error may appear and measurement may not be completed. Also, used for system parameter and date & time settings. Used to change modes to select whether to preform AR and KM measurements in succession or separately. The mode changes in the order of R/K mode (AR and KM in succession),→ R mode (AR measurement),→ K mode (KM measurement),→ RK mode... . 3-3 Start Button Joystick Memory Indicator Print Button Changing Button 3-4 Used to change from AR/KM measurements to CS/PS/PD measurements. By pressing this button measurement mode changes in the order of CS,→ PS,→ Manual PD,→ CS... . Also, used to change system parameter settings, date & time settings, and character code of comments. (To change back from CS/PS/ PD measurements to AR/KM measurements, press .) Prints the measurement results if pressed after measurement. Memory Indicator While the measurement result is in memory, this will be illuminated. It goes out when the result is printed out and the next measurement has begun. Joystick Used to move the main body right, left, back and forth. By turning this, the main body can be moved up and down. Start Button Used to start the AR/KM or PD measurement. Also used to change the item number of system parameters. 3-5 Auto-tracking ON Mark Auto-shot ON Mark Mire Ring Cylinder Mode Indication Focusing Indicator Measuring Count Indication Target Min. Pupil Mark Contrast Control Brightness Control Setting Switch Eyeprint Switch CYL Mode switch Auxiliary Switches 3-6 Auto-tracking ON Mark Shows that auto-tracking function is active. Auto-shot ON Mark Shows that the auto-shot function is active. Mire Ring Should be in focus at measurement. With this ring projected on the cornea, it is possible to observe the corneal shape. When auto-tracking function is on, you may move this ring close to the target so that the instrument automatically begins alignment (controls the up, down, right, and left movement of the main body to make the ring concentric with the target). When the function is off, you should manually place the ring concentric with the target. Cylinder Mode Indication Indicates the current cylinder mode. Focusing Indicator When the auto-shot function is on, indicates the focusing condition (distance between the measuring unit and the patient’s eye). Target Used during AR/KM measurement as a guide to place the patient’s eye in the center of the TV monitor. Min. Pupil Mark Indicates the minimum pupil size measurable. The instrument may not perform measurement when the measuring eye is smaller than this mark or eyelash is on this mark. Contrast Control Used to adjust the contrast of the TV monitor. Brightness Control Used to adjust the brightness of the TV monitor. Used when setting system parameters, setting date and time, and writing comments. Prints only the basic result and an Eyeprint, which graphically tells the refractive status of the eye, by pressing it after measurement. The eyeprint will be printed out regardless of the settings in system parameter. Also, used to select one of parameter setting modes or date & time setting mode. Changes the cylinder mode, the reading direction of cylinder data. + mode ....... Cylinder data will be indicated by + reading. - mode ........ Cylinder data will be indicated by - reading. MIX mode .. Cylinder data will be indicated by + reading when the refractive power is positive for any axis angle. In other cases, cyl. data will be indicated by - reading. · The cylinder mode can be changed even after measurement. · Data will be printed out with the mode status at the time of the printout. 3-7 Forehead Rest Measuring Window Eye Level Marker LED for Corneal Illumination Chin Rest PD Window Chin Rest Knob From-the-top view H Control of TV Monitor Underside View V Control of TV Monitor Fuses Power Inlet Interface Connectors 3-8 Measuring Window Patient looks at the chart through this window. Eye Level Marker A guide for the patient’s eye level for measurement. The height of the chin rest should be so adjusted that the center level of the patient’s eye almost aligns with this line. Chin Rest Knob Turning this knob moves the chin rest up and down. You may use the eye level marker as a guide to adjust patient’s eye level to the comfortable height for measurement. Fuses Be sure to use the specified ones. Power Inlet The attached power cord is to be connected here. Interface Connectors*1 side : Connect the interface cable to transfer measured results to an external computer. side : Connect the interface cable from the lensmeter to import measured results from the lensmeter. If the ARK-700A is equipped with an IC card system, the connector on side can not be used. By connecting the Lensmeter to side of the interface connectors and the refractor RT2100/RT-1200 to side, the LM (Lensmeter) data can be transmitted to the refractor via the ARK.*2 By pressing the print button on the Lensmeter, the data transmission will be started. V Control of TV Monitor Adjusted with a screwdriver when the display does not lock vertically. Can be found under the main body. H Control of TV Monitor Adjusted with a screwdriver when the display does not lock horizontally. Can be found under the main body. *1 Accessory equipment connected to the analog and digital interfaces must be certified according to the representative appropriate national standards (for example, UL 1950 for Data Processing Equipment UL 2601-1 for Medical Equipment, and CSA C22.2 No. 601-1, EN 60601-1 and IEC 60601-1.) Further more all configurations shall comply with the system standard IEC 60601-1. Everybody who connects additional equipment to the signal input part or signal output part configured a medical system, and is therefore responsible that the system complies with the requirements of the system standard IEC 60601-1. If in doubt, consult the technical service department or your local representative. *2 When communicating with the Lensmeter, set communication parameters for each instrument as follows. For the setting procedure, see the Operator’s Manual of each instrument. • ARK-700A • NIDEK Lensmeter 33: Baud Rate = 9600 RS-232C = NIDEK 34: Bit Length = 8 Baud Rate = 9600 Parity = Odd Data Bits = 8 Stop Bits = 1 §4 OPERATING PROCEDURES 4.1 Operational Flow Power ON 4.2 Preparation for Measurement (p. 4-1) Measurements → 4.3 AR (Refractive Power), KM (Corneal Curvature) Measurements (p. 4-8) → A. When using the auto-tracking function (p. 4-8) → B. When not using the auto-tracking function (p. 4-12) → 4.4 CS (Corneal Size) Measurement (p. 4-16) → 4.5 PS (Pupil Size) Measurement (p. 4.18) → 4.6 PD (Pupil Distance) Measurement (p. 4-20) → 4.7 Measuring Sagittal Radius (p. 4-22) 5. PRINT OUT (p. 5-1) Power OFF (Determine final prescription by subjective refraction.) 4.2 Preparation for Measurement Auto-tracking ON Mark 1. Turn ON the power switch. The display panel indicates as shown below. On the TV monitor, you will see the target, focusing indicator and Min. Pupil Mark in the center, Auto-tracking ON mark, and Auto-shot ON mark on the top center, Cylinder mode indication on the top right, and Measuring mode, Measuring count, and KM measurements on the bottom left. Auto-shot ON Mark Min. Pupil Mark Target Focusing Indicator 4-2 When turning the power ON, the main body makes small right/left movements in order to determine the initial setting position for the auto-tracking. This does not mean that the instrument has been broken. NOTE • If “< PD ERR >” message is on the left of the TV monitor, the instrument may not recognize the left and right (measurement may not be performed binocularly), and also PD (pupil distance) may not be measured. Check the PD window. If the PD window is covered by anything, remove it. If covered by dust, wipe lightly with a swab with little alcohol to clean it. If “<PD ERR>” message is indicated on the monitor even after performing the corrections described above, install the instrument in a low light interference environment since the error may occur due to the light interference. NOTE • “Err” appears on the TV monitor if the power switch is turned ON on condition that the printer paper is not set. To correct the condition, turn on the power switch again after setting the printer paper roll into the printer housing. (See “8.1 Replacing Printer Roll”) 2. Open the cover for switches and set measurement conditions, etc. The cover can be opened by sliding it to the left. a. Using : Perform system setups. As to the procedure, see “6. OTHER FUNCTIONS”. b. Using : Set the cylinder mode, indication of cylinder reading direction. CYL +.......Indicates cylinder power by + reading. CYL – .......Indicates cylinder power by - reading. CYL ± .......Indicates the cylinder power by + reading when the refractive power is positive for any axis angle. Indicates the cyl. power by - reading in other cases. 4-3 * The cylinder mode can be changed even after measurement. * Data will be printed out with the mode status at the time of printout. * When the cylinder mode is set to CYL+, the AXIS value in the KM measurement indicates the angle of the major meridian. In other cases (CYL - or CYL ±), the AXIS value indicates the angle of the minor meridian. 3. Press to select the measuring mode. The mode changes in the order of R/K,→ R,→ K,→ R/K... . R/K mode ............. AR/KM measurements in succession R mode ................. AR measurement K mode ................. KM measurement 4. If you are “AR measuring” an IOL-implanted eye or an eye with a Contact Lens (CL) on, turn on the IOL mode by pressing . IOL ON mark appears on the top left of the monitor. IOL ON Mark NOTE • When “AR-measuring” an IOL-implanted eye or an eye with a Contact Lens (CL) on, the IOL mode should be turned on. If such eye is measured without turning on the IOL mode, an error message may appear and measurement may not be completed. • The IOL mode automatically turns off by sliding the main body or after printout. • The IOL mode automatically turns on when an error occurs for AR measurement three times in a row. (Auto IOL*1) *1 < Auto IOL > The on/off of Auto IOL function can be changed in the system parameter. As to the changing procedure, see “6.1 System Setups”. 4-4 5. Prepare the patient’s condition. 1) Clean the forehead rest and chin rest with a clean gauze. If a bunch of chin rest papers is fixed on the chin rest, remove one paper. 2) Instruct the patient to take off his/her glasses or contact lenses and to have a seat. 3) Instruct the patient to place his/her chin on the chin rest and to rest his or her forehead on the forehead rest. 4) Adjust the height of the chin rest by turning the chin rest knob until the center level of the patient’s eye aligns with the eye level marker. NOTE • To relax the patient, explain the following before measurement. “This instrument measures your eye with infrared rays to find which kind of lens fits you. The infrared ray does no harm to your eyes.” 6. Perform rough alignment. 1) Instruct the patient to “Look through the measuring window. As you will see a picture of a balloon, watch the center of it without straining.” 2) Manipulate the joystick to place the patient’s eye on the TV monitor. By moving the joystick laterally, the main body moves right, left , back and forth. By turning the joystick, the measuring unit moves up and down. Align the eye position to the measuring point with right, left, up and down movements. Adjust the focus with back and forth movements. 4-5 NOTE • If the Min. pupil mark is on the iris in auto-aligned condition, turn off the auto-tracking function and bring the Min. pupil mark into the center of the pupil to perform measurement. 7. Perform fine alignment and focusing. A. When using the auto-tracking function: Move the mire ring close to the target so that the instrument automatically starts aligning (controls the up, down, right, and left movement of the main body to bring the ring concentric with the target). When auto-shot function is on, the focusing indicator appears. 1) Move the joystick back and forth until the focusing indicator shows the ideal state ”. “ Too close to the patient’s eye Pull back the joystick to move the main body away from the patient’s eye. Ideal state Push the joystick forward to move the main body close to the patient’s eye. Too far from the patient’s eye 4-6 NOTE • To turn off the auto-shot function, press . To turn it on, press it again. • The auto-shot function is available only when the auto-tracking function is on. • When the auto-shot function is off, focus manually. The instrument is in ideal focus when the mire ring is at its thinnest. • Serial measurement starts automatically when the instrument is best aligned and in ideal focus. • The instrument may not perform correct measurement when the eyelash is on the Min. Pupil Mark. In such cases, instruct the patient to open his/her eye wide. If the patient can not open wide, lift the patient’s lid, paying attention not to press against the eyeball. • The auto-tracking function does not work unless the mire ring is at around the center of the measuring field. If the light is off center, manipulate the joystick to move it in. When the position of the mire ring goes outside of the working range of the auto-tracking, a limit mark (a pair of arrows) appears with “<LIMIT>” sign on the left. In such a case, either move the joystick in the direction of the arrows or move the main body back once to make alignment again. The measurement will not perform as long as the limit mark in on. 4-7 B. When not using the auto-tracking function: Press once to turn off the auto-tracking function. (The function turns on by pressing the button again.) 1) Manipulate the joystick to place the mire ring concentric with the target. 2) Move the joystick back and forth to focus the mire ring until it becomes thinnest. NOTE • The instrument may not perform correct measurement when the eyelash is on the Min. Pupil Mark. In such cases, instruct the patient to open his/her eye wide. If the patient can not open wide, lift the patient’s lid, paying attention not to press against the eyeball. 4-8 4.3 AR (Refractive Power), KM (Corneal Curvature) Measurements A. When using the auto-tracking function: 1. Perform measurement. Serial measurement starts automatically when the instrument is best aligned and in ideal focus. NOTE • Instruct the patient not to blink during measurement. a. When measuring mode is set to << R/K >>: You will hear a short beep. KM measurement will take place. Measuring count will be shown on the TV monitor. NOTE • When AI mode*1 parameter is set to “OFF”, one serial measurement will contain three shots. The number of shots can be changed in the system parameter. When selected KM value is obtained and KM measurement completes, the latest value of KM measurement will be shown on the TV monitor. *1 < AI mode > This is a mode where the instrument completes a measurement as soon as a selected value is obtained. To activate the AI mode when the auto-shot function is off, the AI Mode parameter should be set to “YES”. (See “6.1 System Setups2.) 4-9 You will hear a short beep again. The patient’s view will be fogged. AR measurement will take place. You will hear a long beep, and count of measurement will be shown on the bottom left of the TV monitor. NOTE • When the auto-shot function is on, AI Mode activates automatically regardless of AI mode parameter setting, and the AR measurements will take place in Highspeed mode*2 without pressing the start button. • When the auto-shot function is off, the start button should be pressed manually to start measurements. KM measurements will continue to AR measurements in the Highspeed mode while the start button is held down. When selected AR value is obtained, the measurement is completed. “<FINISH>” appears on the left of the TV monitor, and the AR measurement will be shown on the display panel. The display panel always shows the latest measurement. *2 < Highspeed mode > This mode, when the start button is held down in AR/KM measurement, enables you to keep the fog throughout the serial measurement. As to the procedure of disabling or reactivating the Highspeed mode, see “6.1 System Setups”. 4 - 10 NOTE • If you want to repeat a measurement, press the start button again. “< FINISH >” sign disappears, and auto-shot function starts again. • The instrument can memorize up to 10 AR measurements each for right and left eyes. If AR measurements exceed 10, older data will be cleared in turn. b. When the measuring mode is set to << R >>: You will hear a short beep. The patient’s view will be fogged. AR measurement will take place. You will hear a long beep, and count of measurement will be shown on the bottom left of the TV monitor. When selected AR value is obtained, measurement completes. “<FINISH>” appears on the left of the TV monitor, and the AR measurement will be shown on the display panel. The display panel always shows the most recent measurement. 4 - 11 c. When the measuring mode is set to << K >>: You will hear a short beep. KM measurement will take place. Measuring count will be shown on the TV monitor. When selected KM value is obtained and measurement completes, the latest value of KM measurement will be shown on the TV monitor. 2. Measure the other eye in the same manner. NOTE • When error or error data*3 appears, the cause may be one of those mentioned below. If those signs appear again after repeating measurement, check the followings. a. Patient blinked during measurement. b. The eyelid or eyelash is on the Min. pupil mark. c. The patient’s pupil is smaller than the Min. pupil mark. (Let the patient be in a dark room for a while and wait until the pupil diameter becomes large enough for measurement.) d. Retinal reflection is extremely low due to an optical disease such as a cataract. e. There is some unusual reflection on the cornea during measurement. (In this case, measurement may not be performed unless IOL mode is on.) f. There is an extreme distortion on the cornea. • When AI Mode parameter is set to “NO”, take about three shots for AR measurement. If the measurement result is not stable, take some additional shots. *3 < Error data > Data that the confidence index of AR measurement is “E”. (See “6.1 System Setups”.) 4 - 12 B. When not using the auto-tracking function: 1. Perform measurement. Press the start button. The measuring count will start blinking. NOTE • Instruct the patient not to blink during measurement. a. When the measuring mode is set to << R/K >>: You will hear a short beep. KM measurement will take place. Measuring count will be shown on the TV monitor. NOTE • When AI mode*1 parameter is set to “OFF”, one serial measurement will contain three shots. The number of shots can be changed in the system parameters When selected KM value is obtained and KM measurement completes, the latest value of KM measurement will be shown on the TV monitor *1 < AI mode > This is a mode where the instrument completes measurement as soon as the selected value is obtained. To activate the AI mode when the auto-shot function is off, the AI Mode parameter should be set to “YES”. (See “6.1 System Setups”.) 4 - 13 You will hear a short beep again. The patient’s view will be fogged. AR measurement will take place. You will hear a long beep, and count of measurement will be shown on the bottom left of the TV monitor. NOTE • KM measurements will continue to AR measurements in Highspeed mode*2 while the start button is held down. When selected AR value is obtained, measurement completes. “<FINISH>” appears on the left of the TV monitor, and the AR measurement will be shown on the display panel. The display panel always shows the latest measurement. *2 < Highspeed mode > This mode, when the start button is held down in AR/KM measurement, enables you to keep the fog throughout the serial measurement. As to the procedure of disabling or reactivating the Highspeed mode, see “6.1 System Setups”. 4 - 14 NOTE • If you want to repeat measurement, press the start button again. “< FINISH >” sign disappears and serial measurement starts again. • The instrument can memorize up to 10 AR measurements each for right and left eyes. If AR measurements exceed 10, older data will be cleared in turn. b. When the measuring mode is set to << R >>: You will hear a short beep. The patient’s view will be fogged. AR measurement will take place. You will hear a long beep, and count of measurement will be shown on the bottom left of the TV monitor. When selected AR value is obtained, measurement completes. “<FINISH>” appears on the left of the TV monitor, and the AR measurement will be shown on the display panel. The display panel always shows the latest measurement. 4 - 15 c. When the measuring mode is set to << K >>: You will hear a short beep. KM measurement will take place. Measuring count will be shown on the TV monitor. When selected KM value is obtained and measurement completes, the latest value of KM measurement will be shown on the TV monitor. 2. Measure the other eye in the same manner. NOTE • When error or error data*3 appears, the cause may be one of those mentioned below. If those signs appear again after repeating measurement, check the following. a. Patient blinked during measurement. b. The eyelid or eyelash is on the Min. pupil mark. c. The patient’s pupil is smaller than the Min. pupil mark. (Let the patient be in a dark room for a while and wait until the pupil diameter becomes large enough for measurement.) d. Retinal reflection is extremely low due to an optical disease such as a cataract. e. There is some unusual reflection on the cornea during measurement. (In this case, measurement may not be performed unless IOL mode is on.) f. There is an extreme distortion on the cornea. • When AI Mode parameter is set to “NO”, take about three shots for AR measurement. If the measurement results are not stable, take some additional shots. *3 < Error data > Data with the confidence index of AR measurement is “E”. (See “6.1 System Setups”.) 4 - 16 4.4 CS (Corneal Size) Measurement Fiducial line 1. Press . “<< CORNEAL SIZE >>”, a fiducial line, and a guide line appears on the TV monitor. The display panel shows as “12.0” which is the initial value of the CS measurement. The measuring mode changes as follows for every press of . AR/KM → CS → PS → PD ↑ 2. Manipulate the joystick to align the fiducial line with the left end of the patient’s cornea. 3. Move the joystick back and forth to focus the mire ring. NOTE • If the fiducial line has been out of alignment, repeat step 2. 4. Move the guide line on the right of the TV monitor with or to align it with the right end of the patient’s cornea. ...............The guide line moves to the right. (The display panel indication increases.) ...............The guide line moves to the left. (The display panel indication decreases.) NOTE • The indication changes by steps of 0.5mm. Guide line 4 - 17 5. Press the start button. The measured value will be entered. 6. Measure the other eye in the same manner. NOTE • When AI mode and Print parameters are both set to “YES”, the CS measurement should be performed before AR/KM measurement in order to print data together with AR/KM results. 7. To change back to AR/KM measurement ........ Press To go on to PS measurement............ Press once. To go on to PD measurement ........... Press twice. . 4 - 18 4.5 PS (Pupil Size) Measurement Fiducial line 1. Press . (From CS Measurement, press once; from AR/ KM measurement, press twice.) “<< PUPIL SIZE >>”, a fiducial line, and a guide line appears on the TV monitor. The display panel shows “5.0” which is the initial value of the PS measurement. 2. Manipulate the joystick to align the fiducial line with the left end of the patient’s cornea. 3. Move the joystick back and forth to make focus of the mire ring. NOTE • If the fiducial line has been out of alignment, repeat the step 2. 4. Move the guide line on the right of the TV monitor with or to align it with the right end of the patient’s cornea. ..... The guide line moves to the right. (The display panel indication increases.) ..... The guide line moves to the left. (The display panel indication decreases.) NOTE • The indication changes by steps of 0.5mm. Guide line 4 - 19 5. Press the start button. The measured value will be entered and be shown on the display panel. 6. Measure the other eye in the same manner. NOTE • When AI mode and Print parameters are both set to “YES”, the CS measurement should be performed before AR/KM measurement in order to print data together with AR/KM results. 7. To change back to AR/KM measurement ........ Press To go on to PD measurement ........... Press once. To go on to CS measurement ........... Press twice. . 4 - 20 4.6 PD (Pupil Distance) Measurement A. Auto-PD measurement (When Auto-PD parameter is set to “YES”): The PD measurement will have been completed during AR/ KM measurement. NOTE • The PD measurement will not be on the display but will be printed out together with AR/KM results. B. Manual PD measurement (When Auto-PD parameter is set to “NO”): 1. Press . (From PS Measurement, press once; from CS measurement, press twice; from AR/KM measurement, press three times.) Display for PD measurement appears on display panel as follows. 2. Instruct the patient not to move his/her head and eyes during measurement. 3. After careful alignment and focusing for the right and left eyes, press the start button each time. 4 - 21 NOTE • If the patient’s head is tilted, straighten it before starting measurement. • To measure monocular PD at the same time as the normal binocular PD measurement, press the start button each time for the right-eye, center, and the left-eye, after careful alignment for each. To press the start button at the exact center position, let a patient wear the frame with the mark on its center and bring the mark in focus. It is recommendable to use the Pupil distance meter such as NIDEK PM-600 in order to obtain a precise monocular PD. • The r (right), c (center), and l (left) signs on the display panel disappears in turn as the start button is pressed each to show that the location of the respective point has been taken in. 4. When the measurement completes, the PD value will be shown on the display panel. NOTE • When AI mode and Print parameters are both set to “YES”, the PD measurement should be performed manually before AR/KM measurement in order to print data together with AR/KM results. 5. To change back to AR/KM measurement .......... Press To go on to CS measurement ........... Press once. To go on to PS measurement............ Press twice. . 4 - 22 4.7 Measuring Sagittal Radius 1. Set the Sagittal parameter to “YES”. For the procedure, see “6.1 System Setups”. NOTE • If the Print parameter has been set to “Auto”, it should be set back to “Manu.”. 2. On condition than KM measurement has been taken, press . The measuring mode changes to the Sagittal radius measurement mode : Indicators of L (Left), R (Right), U (Up), and D (Down) will appear and the L blinks to show the position of the illuminated fixation lamp that the patient would see. NOTE • The selected KM value or the latest KM value will be shown on the TV monitor. • To quit the sagittal radius measurement, press . 3. Instruct the patient to look at the red light on the left side and not to move his/her head. 4. Manipulate the joystick to place the mire ring concentric with the target. 5. Move the joystick back and forth to focus the mire ring until it becomes thinnest. 4 - 23 6. Press the start button. Sagittal radius of the right part of the cornea will be measured. “L” changes to “*”, then “R” starts blinking. NOTE • If the measurement is erroneous, “L” changes to “E (Error)” and “ =NEXT” message appears. In such a case, repeat the measurement by pressing the start button. If “E” remains after repeating measurement, press to proceed to the “R” side. 7. Instruct the patient to look at the red light on the right hand side and repeat steps 4 - 6 for the sagittal radius of the left side of the eye. 8. Take measurements for D (Down) and U (Up) sides in the same manner. When all four measurements for a single eye are complete, eccentricity value (E=) appears and the mode returns to R/K mode. NOTE • By the serial measurement, selected values for each sides (L, R, U and D) will be obtained individually, and the eccentricity data will be obtained by calculation on the basis of the selected values for the 4 sides and KM measurement (either selected or the latest). When Sagit Axis parameter is set to “AXIS”, these values will be converted for the angle of the major meridian which has been obtained by KM measurement. • Concerning the side at which “E” is indicated, the value of the opposite side on the same meridian will be used for the calculation of eccentricity. • If the eccentricity is indicated as “E = Err”, press measurement, however, clears the former data. to repeat measurement. Repeating 4 - 24 9. Repeat the same procedure for the right eye. It is possible to start binocular sagittal radius measurement after KM measurements for both eyes have been completed. 10. Press to print the Sagittal Radius measurement. NOTE • If KM measurement is performed once again without pressing the after Sagittal Radius measurement, the eccentricity data will be recalculated according to the new selected KM value, which is based on the memorized former data and the newly measured data. When measuring an additional patient, be sure to press the print button beforehand to print and clear data. * The followings are sample printouts for the left eye and explanations of each data. < Sample printout 1 > * This is the printout for when the Sagit Print parameter is set to “Short”. 4 - 25 < Sample printout 2 > * This is the printout for when “Sagit Print” parameter is set to “All”. < SAGITTAL > = Sagittal radius on each side SUP. = Superior side INF. = Inferior side TEM. = Temporal side NAS. = Nasal side A = Axis of Major meridian (of KM measurement) (F = Fixation Angle) S = Sagittal data which the dRo value is added to or reduced from Sagittal Radius values e = Eccentricity values of each Sagittal radius eh = Eccentricity on horizontal meridian ev = Eccentricity on vertical meridian E = Total Eccentricity ASTc = Corneal cylinder at the center ASTp = Corneal cylinder at the periphery Rh = Average of corneal curvature on horizontal meridian Rv = Average of corneal curvature on vertical meridian Ro = Average of corneal curvature at the center dRo = Difference of corneal curvature between R1 and R2 dAST = Difference of corneal cylinder between the center and the peripheral §5 PRINT OUT 5.1 Printing Measurement Results 1. Press when measurements are complete. Measured data will be printed out. NOTE • When AI mode and Print parameters are set to “YES”, data will be automatically printed out as soon as AR/KM measurements are completed for both eyes. • Do not touch the printer paper while printing out. This may cause loss of text and light printed text. • The memory indicator will be illuminated while measured data is in the memory, and as long as the lamp is on, data can be printed anytime you like. • After printing, the former data will be cleared when the next measurement is begun. • When the memory indicator is off, the serves to feed the paper. < Sample Printout 1 > Memory Indicator Print Button NOTE • This sample shows the printout for the Print Form. Parameters have,. not been changed since shipment (standard print). 5-2 < Sample Printout 2 > Description of printout contents Patient number Space for name and sex Measuring date and time Vertex distance *1 Near work distance *2 ( ’) AR Measurement ( ’), Confidence index *3 S = Sphere, C = Cylinder, A = Axis ( ’) Selected AR value *4 SE value *5 ( ’) Eyeprint *6 ( ’) Trial lens data *7 ( ’) CL conversion value *8 ( KM measurement ( ’) ’) R1 = Minor meridian R2 = Major meridian AVE = Average of R1 and R2 CYL = Corneal cylinder deg = Corneal cylinder axis Selected KM value *9 CS measurement, PS measurement Measurable range over error *10 Pupil distance Distance PD Comment *12 , (Monocular PD) , Near PD *11 ( ) 5-3 NOTE • The numbers that follows each descriptions show the Print Form. Parameters setting required to print the contents. .....Printed out when the parameter is set to “Short”. When selected value is not obtained, “ ’ ” will be printed out. .....Printed out when the parameter is set to “User”. With this setting, printing or not printing “ ’ ” depends on the setting of parameter items # 11 - 20. *1 < Vertex distance > The distance between the corneal vertex to the posterior surface of the spectacle lens. *2 < Near work distance > Used for near PD calculation. Selectable between 35 - 70 cm in the system parameter. *3 < Confidence index > One of 6 steps (9, 8, 7, 6, 5, or E) will be printed out. “E” stands for error data. *4 < Selected AR value > Printed out when more than three AR measurements (without error or error data) are in the memory. *5 < SE (Sphere Equivalence) value > Calculated for selected AR value (or the latest value when the selected AR value has not been obtained) and CL conversion value. 5-4 *6 < Eyeprint > Tells graphically the patient’s refractive status based on the selected value. The eyeprint has 8 patterns. Emmetropia Astigmatism Simple myopic astigmatism Myopia Myopic astigmatism Simple hyperopic astigmatism Hyperopia Hyperopic astigmatism *7 < Trial lens data > The selected AR value is examined and indicated by the cylinder mode (cylinder reading direction) which would make the sphere trial lens have lower power for convenience. *8 < CL conversion value > The selected AR values are converted into CL values, letting the vertex distance (VD) be 0 mm. *9 < Selected KM value > Printed out when more than three KM measurements (without error data) are in the memory. 5-5 *10 < Measurable range over error > Err +o .................. The spherical power is over the measurable limit of + side. Err -o ................... The spherical power is over the measurable limit of - side. Err co ................... The cylindrical power is over the measurable limit. When the Error Code parameter is set to “YES”, the error code will be printed out as soon as an error occurs. *11 < Near PD > PD for near work distance of 35 cm (factory setting). Use it for prescription of reading glasses or multifocals. *12 < Comment > It is possible to enter some letters or marks as you like on the printout. For the procedure of entering comments, see “6.3 Entering Comments”. 5.2 Eyeprint Aside from normal printouts, serves to print the Eyeprint and PD value based on selected AR value or latest value. This will be printed out regardless of the setting in the system parameter. It will help you to explain to the patient the refractive condition of his/her eyes. The Eyeprint has 8 patterns, the same as that on the normal printout described in “5.1 Printing Measurement Results”. §6 OTHER FUNCTIONS 6.1 System Setups The ARK-700A is equipped with a function to change parameters of several system conditions according to the operator’s use. The ways of confirming and changing each parameter are described as follows. 1. Press button. The TV monitor displays “PARAMETER SET << 1/5 >>”, and the display panel shows the setting content and the parameter item number. Setting content Item number 2. Establish the mode which contains the desired item, referring to the parameter table on pages from 6-4 to 6-8. , the setting mode changes in the order shown below. For each press of Setting mode 1 (Item # 1 - 10) → Mode 2 (Item # 11 - 20) → Mode 3 (Item # 21 - 30) → Mode 4 (Item # 31 - 40) → Mode 5 (Item # 41 - 43) → Date & Time setting mode → Setting mode 1 → …… 6-2 3. In the selected mode, press . Each contents will be printed as follows. No. Item Content 6-3 4. Make the desired item number appear on the display panel. For each press of the start button, the item number increases. NOTE • Pressing the start button on the condition that the last number of the mode is shown makes the first item number of that mode appear again. 5. By pressing or , change the setting. NOTE • Refer to the parameter table on the next page for the setting contents. • Underline indicates factory setting. (Factory setting may vary according to the destinations.) 6. To finish setting ............................................................. Press To go on to the date and time setting .......................... Press . . NOTE • The parameter setting will be kept in memory even though the power is cut off due to an internal battery*1. *1 The battery is rechargeable. When you are operating the instrument for the first time after unpacking or when the instrument has not been operated for a long time (longer than 1 month), the clock may reset to zero, and system parameters and comment settings may return to factory settings. In such a case, turn on the power and leave it “ON” for a while to recharge the battery. The battery needs 24 hours for a full charge. If you are using the instrument 8 hours a day, you will have to keep the power on for 3 days before the battery is fully charged. Once the battery is fully charged, the instrument operates normally for daily use. Rechargeable lithium battery is used in the instrument. When disposing of the battery-mounted board, follow local governing ordinances and recycling plans regarding disposal or recycling of device components. (The lithium battery is not user replaceable.) 6-4 Parameter Table < Setting Mode 1 > No. Items Contents 1 Step 0.01D / 0.12D / 0.25D 2 Vertex D. 0mm / 10.5mm / 12mm / 13.75mm / 15mm / 16.5mm 3 KM Unit mm / D 4 KM Display R1, R2 / AVE, CYL 5 Axis Step 1o/5 6 Meas. Mode Con. / Nor. 7 Print Manu. / Auto / NO 8 AI Mode YES / NO 9 Econo. Print YES / NO 10 Print Format Short / User o [Item No. 1] The indication step of SPH and CYL data for AR measurement as well as the step of corneal refractive power measurement (permitting the corneal curvature radius to be converted to refractive power). [Item No. 2] The distance between the corneal vertex to the posterior surface of the spectacle lens when patient wears them. [Item No. 3] Selection of whether to indicate the corneal curvature with radius (mm) or refractive power (D). [Item No. 4] Selects the KM measurement indication between R1 (Minor meridian) & R2 (Major meridian), and AVE (Average of R1 and R2) & CYL (corneal cylinder). [Item No. 5] The indication step of AXIS data for AR measurements. [Item No. 6] The way of fogging for AR serial measurement. Con. (Highspeed mode) .................. By holding down the start button, the fog keeps on through out the serial measurement. It is useful for children who do not fixate their eyes long. Nor............ The fog will be released for each measurement even though the start button is held down. It is useful for patients who accommodate easily. [Item No. 7] The way to start printing, or not printing. Manu. ....... Data can be printed out by pressing . Auto.......... Data will be printed out after measurement completes. (Only active when AI mode parameter is set to “YES”.) NO ............ Data will not be printed out. [Item No. 8] Selection of whether or not to use the AI mode. When set to “YES”, the serial measurement completes when the selected value is obtained. [Item No. 9] Selection of whether or not to use the economical print function. When set to “YES”, the printing will come out with narrow line-spacing so that the printer roll can be saved. [Item No. 10] The format of printing measurement results. (See “5. PRINT OUT”.) Short ......... Only the restricted data will be printed out. (Short print) User .......... Items that are specified in parameter item # 11 - 20 will be printed out. 6-5 < Setting Mode 2 > No. Items Contents 11 Patient No. YES / NO 12 Patient No. 0001 - 9999 13 Name Print YES / NO 14 Date Format Y.M.D / M.D.Y / D.M.Y / NO 15 AR Print All / Short 16 KM Print All / Short 17 SE Print YES / NO 18 Eye Print YES / NO 19 TL Print YES / NO 20 CL Print YES / NO [Item No. 11] Selection of whether or not to print the patient number. [Item No. 12] The setting of patient numbers. .......................... The patient number increases. .......................... The patient number decreases. (The works as a reset button, if pressed at first, and the value resets to “0001”.) [Item No. 13] Selection of whether or not to provide spaces for writing the patient’s name and sex on the printout. [Item No. 14] The format of date on the printout. Y.M.D = Year, Month, Day M.D.Y = Month, Day, Year D.M.Y = Day, Month, Year N O = No printing [Item No. 15] The print format of AR measurement. All .......................... All data and the selected values are printed out. Short ....................... Only the selected values are printed out. [Item No. 16] The print format of KM measurement. All .......................... All data and the selected values are printed out. Short ....................... Only the selected values are printed out. [Item No. 17] Selection of whether or not to print SE values for the selected value (or the latest value when the selected AR values have not been obtained). [Item No. 18] Selection of whether or not to print Eyeprint. [Item No. 19] Selection of whether or not to print trial lens data, which is based on the selected AR values. [Item No. 20] Selection of whether or not to print CL conversion values, which are based on the selected AR values, and SE values of the selected AR values. 6-6 < Setting Mode 3 > No. Items Contents 21 Conf. Index YES / NO 22 Near PD YES / NO 23 Working D. 35 - 70cm / 14 - 28inches 24 Auto IOL YES / NO 25 Auto PD YES / NO 26 KM Continue 1 - 10 (3) 27 Beep High / Low / NO 28 TV Auto-OFF YES / NO 29 Chart Scene 30 Ref. Index n=1 1.3375 / 1.336 / 1.332 [Item No. 21] Selection of whether or not to print confidence index. [Item No. 22] Selection of whether or not to print Near PD data. [Item No. 23] Setting of the near work distance, which is referred to as near PD calculation, between 35 - 70 cm (5 cm steps). After these, there are options of in-inch indication between 14 - 28 inches (2 inch steps). [Item No. 24] Selection of whether or not to use the Auto IOL function. When set to “YES”, the IOL mode automatically turns on after three times of erroneous measurement. [Item No. 25] Selection of whether or not to measure PD at AR/KM measurement. (Applies only when measuring both eyes.) [Item No. 26] Setting of the number of the serial measurement for KM measurement in R/K or K mode. [Item No. 27] Selection of the tone of beeps, which sound during measurement. [Item No. 28] Selection of whether or not to use the Auto-OFF function. When set to “YES” and there is no operation for more than 5 minutes, the TV monitor turns off automatically and the display panel shows time. The monitor ON condition recovers by pressing any button. [Item No. 29] Setting of the chart [Item No. 30] Selection of the corneal refractive index. 6-7 < Setting Mode 4 > No. Items Contents 31 I/F Mode NIDEK 32 I/F Format All / Short 33 Baud-Rate 9600 / 4800 / 2400 / 1200 34 Bit Length 7/8 35 CR Code YES / NO 36 Error Print YES / NO 37 Error Code YES / NO 38 Error Data YES / NO 39 IN port (LM) NIDEK 40 LM Data Prt. YES / NO [Item No. 31] Setting of the instrument to communicate with. Communicating with a NIDEK-brand instrument ..... NIDEK (There is no option besides “NIDEK”.) [Item No. 32] The format of sending data. Selectable between “All”, which sends out all data measured, and “Short”, which sends out only the restricted data. [Item No. 33] Selection of baud-rate (bit transmission speed) for communication. [Item No. 34] The bit number for a single character used for communication. [Item No. 35] Selection of whether or not to attach CR (carriage return) code at the end of sending data. [Item No. 36] Selection of whether or not to print error message for AR measurement. [Item No. 37] Selection of whether or not to display error code for AR/KM measurement and AR printing. [Item No. 38] Selection of whether or not to display and print error data of AR measurement. (When set to “YES”, “Err” appears after erroneous measurement and then the data blinks to show that it is an error data.) [Item No. 39] Setting related to the lensmeter to be connected to side.*1 Never change the setting. [Item No. 40] Selection of whether or not to print the communication data for the lensmeter connected to side by the printer built in the ARK.*1 When the parameter is set to “YES”, the printout of the data will come out from the printer by pressing the print button of the lensmeter. Use the lensmeter provided with the function of printing out the communication data. For details, refer to Operator’s Manual of the lensmeter. *1 side of the ARK cannot be used if the ARK is equipped with an optional IC card Reader/ Writer. 6-8 < Setting Mode 5 > No. Items Contents 41 Sagittal YES / NO 42 Sagit Axis AXIS / FIX 43 Sagit Print All / Short 44 45 46 47 48 49 50 [Item No. 41] Selection of whether or not to measure Sagittal radius after KM measurement in R/ K or R mode. [Item No. 42] Selection of whether or not to convert the sagittal radius measurement for the axis of the major meridian which has been obtained by KM measurement. To convert data, choose AXIS. [Item No. 43] Selection of the print format of sagittal radius measurement. All .......................... All data is printed out (See page 4-25). Short ....................... Only sagittal radius value and the total eccentricity is printed out (See page 4-24). 6-9 6.2 Setting Date and Time 1. Press . 2. Press five times so that the date and time setting mode will be established. The TV monitor shows “CLOCK SET” while the display panel shows the date with the “year” blinking. The blinking indicates that the number is changeable. Year Month Day NOTE • The clock stops during date and time setting. It restarts when the setting mode is released by pressing or . 3. Press the start button to blink the position that you want to change. The blinking order is as follows. Year → Month → Day → Hour → Minutes → Year → … … 4. Press or to change the setting. ......................................... The number increases. ......................................... The number decreases. 5. Repeat steps 3. and 4. to set whole contents of date and time. 6. After setting desired parameters, press to release the mode. If you press instead of , the mode returns to the parameter setting mode 1. NOTE • The internal clock will be working even though the power is cut off due to an internal battery. If the date and time setting goes wrong, recharge the battery. (See page 6-3, *1) 6 - 10 6.3 Entering Comments 1. Turn off the power switch. 2. While pressing down , turn on the power. The following will be printed out. < Sample Printout > Parameters Parameters for servicing Date & time Comment Model 6 - 11 3. Press six times to establish the mode for entering comments. The following appears on the display panel. Character code Line No. Figure No. NOTE • It is possible to input up to 24 × 2 characters. Figure No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 Line No. 2 4. Make the desired figure number and the desired line number appear on the display panel. By pressing the start button, the figure number increases. By pressing the start button after figure number 24 is displayed, the line number changes. 5. Press or to change the character code to the desired one. ........................................... The character code increases. ........................................... The character code decreases. For the character code, refer to the character code on the next page. 6 - 12 Character Code Table The following characters (marks) are available to input. First digit of character code 2 3 4 5 6 7 8 9 A b 0 (SPC) 0 @ P ◇ p ■ - タ ミ 1 ! 1 A Q a q 。 ア チ ム 2 ” 2 B R b r 「 イ ツ メ 3 # 3 C S c s 」 ウ テ モ 4 $ 4 D T d t 、 エ ト ヤ 5 % 5 E U e u ・ オ ナ ユ 6 & 6 F V f v ヲ カ ニ ヨ 7 ’ 7 G W g w ァ キ ヌ ラ 8 ( 8 H X h x ィ ク ネ リ 9 ) 9 I Y i y ゥ ケ ノ ル A * : J Z j z ェ コ ハ レ Second digit of character code b + ; K [ k { ォ サ ヒ ロ c , < L ¥ l | ャ シ フ ワ d - = M ] m } ュ ス ヘ ン E . > N ↑ n → ョ セ ホ ゛ F / ? O ↓ o の ッ ソ マ ゜ < Example > 1 2 3 1 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 N I D E K A R K - 7 0 0 A 2 · If you want to input the letter N in the figure number 7 of the line number 1, display “4E 17” on the panel. 6. Repeat 4. and 5. to enter your comment. 7. After entering the comment, press to release the setting mode. If you press instead of , the mode returns to the parameter setting mode 1. NOTE • The comment setting will be kept in memory even though the power is cut off due to an internal battery. If the setting returns to the factory setting, recharge the battery. (See page 6-3, *1) 6 - 13 6.4 Measuring Hard Contact Lenses 1. Fix the mount for optional CL holder onto the upper end of the head rest post and fix it with the fixing screw. 2. Fill the concave top of the CL holder with water. 3. Put the contact lens in water with the measuring surface facing upward. When measuring the concave surface, place the lens with the concave surface up. When measuring the convex surface, place the lens the other way. NOTE • Be careful not to let bubbles get under the lens or water or dust on the lens. 4. Insert the pin of the CL holder into the cavity on the top of the mount and turn the holder with the measuring surface facing toward the measuring window. 5. Select KM measurement mode and measure the lens in the same manner as usual KM measurement. NOTE • When measuring the convex surface of the contact lens, axis angle can be read directly. When measuring the concave surface, however, the measured axis should be read inversely. • Soft contact lenses cannot be measured. §7 TROUBLESHOOTING GUIDE In the event that the instrument does not work correctly, correct the problem according to the following table before contacting your authorized distributor. Symptom Suggestion ・The power cord may not be well connected to the outlet. Reconnect it securely. The TV monitor and display panel does not turn on. ・The power switch may not have been turned on. Check the power switch. ・The fuses may be blown. If so, replace the fuses with new ones. ・The auto-OFF function may have been executed. Try to The TV monitor does not turn on (cannot see well) even though the power is on. The monitor display disappears suddenly. The monitor display runs. recover the ON condition by pressing any button. ・The brightness may be darkly adjusted. Open the cover for switches and adjust the brightness by turning the brightness control. ・The auto-OFF function may have been executed. Try to recover the ON condition by pressing any button. ・The TV display is not horizontally or vertically locked. Adjust it with the H or V control. ・The locking knob may be fixing the main body. Loosen the locking knob which is beside the joystick. The main body cannot be moved laterally. ・The locking knob may be braking the main body. Loosen the lockinig knob which is beside the joystick. ・Check the printer paper. If the paper is out, set in a new printer roll. The instrument does not print. ・The Print Form. parameters may be set to "NO". Reset the Print Form. parameters. 7-2 Symptom The printer does operate, however, printed results cannot be obtained. Suggestion ・The printer roll may be set with the wrong side up. Set it with the correct side up. ・The auto-tracking button may not be on. Turn on the tracking function by pressing . ・The auto-shot button may not be on. Turn on the auto-shot function by pressing . ・Such as room illumination may be reflecting on the cornea. Change the location and try again. ・The auto-tracking function or auto-shot function does not Auto-tracking function or auto-shot function does not work. work on some eyes such as keratoconus or lately operated on corneas. In such a case, turn off the auto-tracking function to perform measurement. ・The patient who has substantial ocular ataxia or who cannot fixate his/her eyes, there are cases that auto-tracking function or auto-shot function does not work. In such cases, turn off the auto-tracking function and start a measurement. ・If the instrument is installed in the vicinity of window where the instrument is exposed to sunshine, light interference may adversely affect these functions. Change the installed position of the instrument and perform a measurement again. ・The patient may have blinked during measurement. Instruct the patient not to blink, and try again. ・The eyelid or eyelashes may be obstructing the measurement. Instruct the patient to open the eye widely. If his/her opening is not enough, open it with your hand, paying attention not to press against the eye ball. "Err" appears. ・The pupil may be too small for measurement. Let the patient be in a dark room for a while until the pupil opens enough, and try again. ・If you are measuring an IOL-implanted eye or an eye wearing a CL, press and try again. IOL appears on the monitor. ・The data may have exceeded the measurable limit. Date and time setting goes wrong, or the system parameters and comment settings return to the factory settings. ・The internal battery may be dead. Turn the power on and leave it for 24 hours to recharge the battery. * If the problem cannot be solved by following the suggestions above, contact your authorized distributor. §8 MAINTENANCE 8.1 Replacing Printer Roll When a red line appears on the side of the printer paper, it means that the paper is running short. In such a case, stop using the printer and replace the roll with a new one. NOTE • Do not run the printer without paper. It ruins the printer head. • Do not pull the paper in the printer forcefully. This may cause malfunction of the printer. Be sure to use the to feed the paper. 1. Pull the printer cover to open. 2. Flip up the lever on the left side, and turn the gear on its left backward in order to feed the paper out. 3. Pull up the shaft to take out the used paper roll, and then remove the shaft out of the roll. 8-2 4. Insert the shaft in the new printer roll. 5. Set the roll into the printer housing. NOTE • If the roll is set in such a way that the paper becomes upside down, it is not possible to print data on the paper. 6. Make sure the paper is not jagged, cut it cleanly, then pass the paper through the printer as shown on the figure on the right. NOTE • When the paper comes to point “ ”, turn the gear forward to feed the paper. 7. Pass the paper through the printer cover. NOTE • To remove the slack of paper, turn the gear forward. 8. Flip down the lever and push the printer cover towards the main body. 8-3 8.2 Fixing a Bunch of Chin Rest Paper 1. Disconnect two fixing pins from the chin rest. 2. Take out proper numbers of chin rest paper from a pack of chin rest paper. It is impossible to fix a whole bunch of chin rest paper. Be sure to fix the bunch with 6mm thickness or less. Pay attention not to scatter the chin rest papers. 3. Insert the fixing pins into the holes in the chin rest papers. Insert the disconnected pins into both holes of the bunch of chin rest paper. 4. Fix the bunch of chin rest paper onto the chin rest. 1) Insert the pins into the holes in the chin rest while holding both fixing pins and bunch of chin rest paper. Fixing pin Bunch of chin rest paper 2) Push the pins into the holes of the chin rest with the other hand. 8-4 8.3 Replacing Fuses If the instrument does not work even though the power switch is ON, fuses may be burnt out. In such a case, replace them. CAUTION • Perform replacement work in a stable and open space. If the instrument falls, it may malfunction. • Never use a fuse other than the specified one. This may cause fire. 1. Turn off the power and remove the power cord. 2. Lock the main body to the base unit with the locking knob and lay it down gently. 3. Turn the fuse holders counterclockwise as indicated by an arrow with a screwdriver and remove them. 4. Pull out the fuse holders from the base unit. 8-5 5. Remove the used fuses from the fuse holders. 6. Insert new fuses into the fuse holders. 7. Turn the fuse holders clockwise while pressing them down with the screwdriver and set it into the main body. CAUTION • If fuses blow frequently, do not touch the inside of the instrument but contact your authorized distributor. If you touch inside the instrument, you may get an electrical shock. 8-6 8.4 Cleaning the Measuring Window When the measuring window gets fingerprints or dust on it, the reliability of the measured value will be lowered substantially. Check the dirt on the measuring window before use, and then clean it if it is dirty. 1. Blow off the dust on the measuring window with a blower. 2. Wrap the lens cleaning paper around a thin stick such as a chopstick (or cotton swab) and wipe the glass of the measuring window with a material moistened with alcohol. Use a thin stick which will not damage the glass. (Never use hard objects such as a metal product.) Wrap a cleaning paper around the tip. Wipe the measuring window lightly from center to outside along an arc. Pay attention not to put alcohol onto the sensor window and cover, etc. except the measuring window. 3. Check if the window is cleaned using a penlight. If not, clean it again with a new cleaning paper. Apply light with a penlight and change the view angle to check the dirt clearly. Penlight Be sure not to wipe the sensor window except the central measuring window with alcohol. Wipe the dirt of the sensor window with a dry cleaning paper. 8-7 8.5 Cleaning Exterior When covers or panels become dirty, wipe with a dry and soft cloth. For stubborn dirt, immerse the cloth in a neutral detergent, wring well, and wipe. Finally wipe with a dry and soft cloth. NOTE • Never use an organic solvent such as paint thinner. It could ruin the surface of the instrument. 8.6 List of Parts for Replacement Printer roll Order Number Printer roll 80620-00001 Bunch of chin rest paper 32903-M047 ~ Fuse (100/120V ) ~ Fuse (200-220/230-240V 80402-02041 ) 80402-02039 §9 IC CARD SYSTEM (OPTIONAL) If the ARK-700A is equipped with an IC card system• –1, it can transmit measured results to the IC card. There are two ways to transmit data to the IC card. A. To transmit data without pressing . 1. Take a measurement. 2. Insert the IC card into the slot of the Reader/ Writer. Data will be written on the IC card and the card will come out automatically. NOTE • With this procedure, data in the ARK700A will be cleared after data transmission. B. To transmit data by pressing . 1. Insert the IC card into the slot of Reader/ Writer. 2. Take measurement. 3. Press . Data will be printed out and at the same time written on the card. The card then will come out automatically. NOTE • In this case, data in the ARK-700A will not be cleared. *1 When the ARK-700A is equipped with an IC card system, the interface connector on side can not be used. §10 SPECIFICATIONS { Measurement of refractive power (AR measurement) (VD=12mm) · Spherical power (S) Measurable range Indication step · Cylindrical power (C) Measurable range Indication step –18.00D - +23.00D 0.01D/0.12D/0.25D 0D - ± 8.00D 0.01D/0.12D/0.25D [Accuracy*1] Criterion Measuring range Deviation from the nominal value Spherical and 0.00 to ± 10.00D ± 0.25D cylindrical vertex power >10.00D (absolute) ± 0.50D · Cylinder axis (A) Measurable range Indication step 0 º - 180 º 1º/5º [Accuracy*1] Criterion 0.25D to ± 0.50D Cylinder axis for >0.50D to 3.00D cylinder power >3.00D Deviation from the nominal value of the ARK ± 10° ± 5° ± 3° *1 The accuracy specifications are based on the results of eye model testing performed in accordance with ISO 10342: 1997, Ophthalmic Instruments–Eye Refractometers. * Cylinder axis shall be indicated as specified in ISO 8429. · Minimum pupil diameter measurable φ 2.5mm · Vertex distance 0mm/10.5mm/12mm/13.75mm/15mm/16.5mm · Target fixation Auto-fogging system 10 - 2 { Measurement of corneal curvature (KM measurement) · Corneal curvature (R1, R2, AVE) Measurable range 5.00mm - 10.00mm Indication step 0.01mm Accuracy ± 0.05mm · Corneal spherical power (R1, R2, AVE) Measurable range 33.75D - 67.50D (n=1.3375) Indication step 0.01D/0.12D/0.25D Corneal refractive index n = 1.3375/1.336/1.332 · Corneal cylindrical power (CYL) Measurable range 0D - ± 10.00D Indication step 0.01D /0.12D/0.25D · Corneal cylinder axis (AXIS) Measurable range 0 º - 180º Indication step 1º/5º · KM measurement range φ 3.3mm on cornea (For corneal curvature of 7.7mm) · Size of mire ring φ 2mm on cornea (For corneal curvature of 7.7mm) { Measuring time · AR measurement · KM measurement · Serial measurements 0.3 seconds/eye Less than 0.1 second/eye Less than 2 seconds/eye { PD measurement · Measurable range · Indication step 30 mm - 85 mm (For Near PD : 28 mm - 79 mm, WD=35cm) 1 mm { CS measurement · Measurable range · Indication step 10.0mm - 14.0mm 0.5mm { PS measurement · Measurable range · Indication step 1.0mm - 10.0mm 0.5mm 10 - 3 { Sagittal Radius measurement · Measurable angle 25 º ‹each from the center (Up, Down, Temporal side, Nasal side) · Sagittal Radius measurement Measurable range 5.00 - 10.00mm Indication step 0.01mm · Eccentricity (E) – 4.10 - +2.05 { Printout · · · · Date and time of measurement, and Patient number Vertex distance Near working distance AR measurements Maximum 10 stored measurements for each right and left eye, Selected value (when there are 3 or more measurements), Latest value (When there are 2 or less measurements), · KM measurements Maximum 10 stored measurements for each right and left eye, Selected value (when there are 3 or more measurements), Latest value (When there are 2 or less measurements) · PD measurements Measured value of Distance PD Calculated value of Near PD (For Near work distance between 35 cm - 70 cm, changeable in steps of 5 cm.) · Corneal size measurement · Pupil size measurement · CL conversion value · SE (Sphere Equivalence) value · Err (Measurable range over error) · Trial lens data · Eyeprint { Chart · Scenery chart 1 10 - 4 { Alignment observation · 5 inch TV monitor { Measurement indication · LED digital display ...... AR measurements, PD measurements · TV monitor .................. KM measurements { Interface · Interface which complies with RS -232C standard Outputs all data which can be printed out. { Cross-slide travel · Back and forth : 36 mm, right and left : 85 mm, up and down : 28 mm { Working range of auto-tracking · φ 4 mm on cornea { Power source*1 · A. 100/120Vac B. 200 - 220/ 230 - 240Vac ± 10% ± 10% 100VA 100VA 50/60Hz 50/60Hz { Dimensions and weight · 260 (W) × 485 (D) × 451 (H) mm 20 kg { Environmental conditions (In transference and storage) · Temperature · Humidity – 40 ºC - 70 ºC 10 - 100% (Non-condensing) { Environmental conditions (In use) · Temperature · Humidity · Atmospheric pressure 10 ºC - 40 ºC 30 - 75% (Non-condensing) 700 - 1060 hPa * Specifications are subject to change without notice for improvement. *1 The electrical rating, A or B for the instruments is factory-configured. §11 ACCESSORIES 11.1 Standard Accessories 4 Fuses (2 of them are located in the body.) 4 rolls of Printer paper (One of them is set in the printer.) 1 Power cord 1 Dust cover 1 sheaf of Chin rest paper 11.2 Optional Accessories IC card system (Factory-built option) Video output (Factory-built option) Interface cable Model eye Contact lens holder APPENDIX. A GLOSSARY · AI Mode A mode where the instrument completes AR/KM measurement as soon as the selected values are obtained. · Auto IOL A function where the instrument automatically turns on the IOL mode after three times of erroneous AR measurement. · Auto-shot A function where the instrument automatically starts serial measurement as soon as the instrument is best aligned and in ideal focus. · Auto-tracking A function where the instrument automatically controls the up, down, right, and left movement of the measuring part to make alignment. The auto-tracking function works in a range of 4 mm in diameter on the cornea. · Comment It is possible to enter some letters or marks as you wish on the printout. The instrument accepts up to 24 letters × 2 lines as a comment. · CS Abbreviation of Corneal Size. · Eyeprint Tells graphically the patient’s refractive status based on the selected AR value (or the latest value when the selected value has not been obtained). · Highspeed Mode The mode where the start button is held down in AR measurement, and you are enabled to keep the fog throughout the serial measurement. · Limit Mark Two arrows which appear in the center of the TV monitor when the position of the mire ring goes out of the working range of the auto-tracking. “<LIMIT>” sign appears simultaneously. · Measurable range over error Err +o ........................... The spherical power is over the measurable limit of + side. Err –o ........................... The spherical power is over the measurable limit of – side. Err co ............................ The cylindrical power is over the measurable limit. · Min. Pupil Mark Indicates the minimum pupil size measurable. A-2 · Near PD Prospective PD at near, which is calculated by preset near work distance of 35 cm (factory setting). · Near Work Distance Distance between the eye and the watching target, when one sees the target through reading glasses or multifocal glasses. · PD Abbreviation of Pupil Distance. · PS Abbreviation of Pupil Size. · Selected AR Value, Selected KM Value The center value of the measured values which are put in order in the computer. · SE (Sphere Equivalence) Value The value to be obtained by adding 1/2 of the cylinder value to the spherical value. The value is calculated for selected value (or the latest value when the selected value has not been obtained) and CL conversion value. · Trial Lens Data The data where the selected AR value (or the latest value when the selected value has not been obtained) is examined and indicated by the cylinder mode (cylinder reading direction) which would make the sphere trial lens have lower power for convenience. · Vertex Distance The distance between the corneal vertex to the posterior surface of the spectacle lens. INDEX A AI mode ............................................ 4-8, 4-12 Alignment observation ............................. 10-3 AR, KM Measurments ................................ 4-8 Auto IOL ..................................................... 4-3 Auto-PD measurement ............................. 4-20 Auto-shot Button ........................................ 3-1 Auto-shot ON Mark ............................. 3-5, 4-1 Auto-tracking Button .................................. 3-1 Auto-tracking ON Mark ...................... 3-5, 4-1 Auxiliary Switches ..................................... 3-5 B Brightness Control ...................................... 3-5 Err co .......................................................... 5-5 Error data ........................................ 4-11, 4-15 Eye Level Marker ....................................... 3-7 Eyeprint............................................... 5-4, 5-5 Eyeprint Switch .......................................... 3-5 F Focusing Indicator .............................. 3-5, 4-1 Forehead Rest ............................................. 3-7 Fuses ........................................................... 3-7 H H Control of TV Monitor ........................... 3-7 Highspeed mode ............................... 4-9, 4-13 C Confidence index ........................................ 5-3 Changing Button ......................................... 3-3 Character Code Table ............................... 6-12 Chart ......................................................... 10-3 Chin Rest .................................................... 3-7 Chin Rest Knob .......................................... 3-7 CL conversion value ................................... 5-4 Cleaning Exterior ........................................ 8-7 Comment .................................................... 5-5 Contrast Control ......................................... 3-5 Cover for Switches ..................................... 3-1 Cross-slide travel ...................................... 10-3 CS Measurement ............................. 4-16, 10-2 CYL + ......................................................... 4-2 CYL - .......................................................... 4-2 CYL ± ......................................................... 4-2 CYL Mode switch ...................................... 3-5 Cylinder Mode Indication ........................... 3-5 I IC Card System ................................... 3-1, 9-1 Interface .................................................... 10-3 Interface Connector .................................... 3-7 IOL Button .................................................. 3-1 IOL ON Mark ............................................. 4-3 D Dimensions ............................................... 10-4 Display Panel .............................................. 3-1 DOWN Button ............................................ 3-1 M Manual PD measurement.......................... 4-20 Measurable range over error ....................... 5-5 Measurement indication ........................... 10-3 Measurement of corneal curvature ........... 10-1 Measurement of refractive power ............. 10-1 Measuring Count ........................................ 3-5 Measuring Hard Contact Lenses ............... 6-13 Measuring time ......................................... 10-2 Measuring Window .................................... 3-7 E Entering Comments .................................. 6-10 Err +o .......................................................... 5-5 Err -o ........................................................... 5-5 J Joystick ....................................................... 3-3 K K mode ....................................................... 4-3 L Locking Knob ............................................. Labels.......................................................... LED for Corneal Illumination .................... Limit mark .................................................. List of Parts for Replacement ..................... 3-1 2-7 3-7 4-6 8-7 B-2 Memory Indicator ....................................... 3-3 Min. Pupil Mark ......................................... 3-5 Mire Ring .................................................... 3-5 N Near PD ...................................................... 5-5 Near work distance ..................................... 5-3 O Operation Flow ........................................... 4-1 P Parameter Table .......................................... 6-4 PD Measurements ............................ 4-20, 10-2 PD ERR ...................................................... 4-2 PD Window ................................................ 3-7 Power Inlet .................................................. 3-7 Power source ............................................. 10-3 Power Switch .............................................. 3-1 Preparation for Measurement ..................... 4-1 Print Button................................................. 3-3 Printer ......................................................... 3-1 Printing Measurement Results .................... 5-1 Printout ..................................................... 10-2 PS Measurement .............................. 4-18, 10-2 R R mode ........................................................ R/K Button .................................................. Replacing Fuses .......................................... Replacing Printer Roll ................................ RK mode ..................................................... 4-3 3-1 8-4 8-1 4-3 S SE value ...................................................... Selected AR value ...................................... Selected KM value...................................... Setting Date and Time ................................ Setting Switch ............................................. Start Button ................................................. Symbol Information .................................... System Setups ............................................. 5-3 5-3 5-4 6-9 3-5 3-3 1-2 6-1 T Target .................................................. 3-5, Trial lens data ............................................. Troubleshooting Guide ............................... TV Monitor ................................................. 4-1 5-4 7-1 3-1 U UP Button ................................................... 3-1 V V Control of TV Monitor ........................... 3-7 Vertex distance ............................................ 5-3 W When measuring mode is set to << R/K >> ...................................... 4-8, 4-12 When not using the auto-tracking function .......................................... 4-7, 4-12 When the measuring mode is set to << K >>........................................ 4-11, 4-15 When the measuring mode is set to << R >> ........................................ 4-10, 4-14 When using the auto-tracking function ............................................ 4-5, 4-8 Working range of auto-tracking ................ 10-3