- Frank`s Hospital Workshop
Contents
1. standard deviation of different measurements is clearly greater than normal but the effect on the result is usually not relevant A new measurement is recommended if the IOP is more than 19 mmHg P line up The standard deviation of different measurements is great and a new measurement is recommended Badouin C Gastaud F Influence of topical anesthesia on tonometeric values of intraocular pressure Ophthalmologica 1994 208 309 313 Other functions Accessing old measurement values Starting position Press the right or left selector button until Old appears on the display Then press the measurement button The old values can now be scanned back and forward by pressing the selector buttons right older left recent Press the measurement button to exit the old values search Old is on the display Press either of the selector buttons to access the other functions 0O measurement End turning OFF Turning the tonometer OFF Press either of the selector buttons until the display shows End Press the measurement button for two seconds The display shows ByE and the tonometer turns off The used probe is ejected from the tonometer Be careful to dispose of the probe properly p 7 The tonometer turns off automatically after two minutes idle time 62. Error Nese ae GS ccaceavncshdecawutcneseacuevaceededescueeessencsecuse 10 SEVICE ae au Beek r unico oe aie Mba a ce ea ecm E 10 Technical information nstustatewsvicnceusaveswiasescessGeseteetucanekcad 11 Spare parts and supplies icccxdete nedweresiatandesevebeseseccaecancs 11 Diagram of tonometer functions 0 0 lc cece ccc cece ccc cccccccccces 11 Introduction The iCare Tonometer is used in the diagnosis follow up and screening of glaucoma The iCare is based on the new patented induction based rebound method which allows intraocular pressure IOP to be measured accurately rapidly and without an anaesthetic There is no risk of microbiological contamination as one use probes are used in the measurement Intraocular pressure changes due to the effects of pulse breathing eye movements and body position Because the measurement is made handheld in fractions of a second several measurements are needed to obtain an accurate reading The software is pre programmed for six measurements but the result can be seen from the first successful measurement C 0537 ISO 13485 2003 certified Parts of the tonometer Forehead support adjustment wheel Forehead support Display Selector button Collar left right Measurement button Central groove Grip Battery compartment Loading a new disposable probe Accurate measurement is guaranteed only when using probes made by Tiolat Oy Hold the d
3. Safety instructions Read this manual carefully because it contains important information on using and servicing the tonometer e Keep this manual for future use e When you have opened the package check for any external damage or faults Check especially that the casing is not damaged If you suspect that there is something wrong with the tonometer contact the manufacturer or the distributor e Use the tonometer only for measuring intraocular pressure Any other use is incorrect The manufacturer cannot be held responsible for any damage arising from improper use or for the consequences thereof e Never open the casing of the tonometer except for the battery compartment or to change the probe base e The manual contains instructions for replacing batteries and changing the probe base e Never use the tonometer in wet place e The probe base battery compartment cover collar and probes are so small that a child could swallow them Keep the tonometer out of the reach of children e Do not use the device near the substances that are flammable including flammable anaesthetic agents e Check that a clean new disposable probe is used before each measurement e Be sure that the probe contains the small plastic round tip in front e Certain microbiological agents e g bacteria can be transmitted from the forehead support To avoid this the forehead support should be cleaned regularly with a disinfectant e g an alcohol soluti
4. bject s eye The central groove should be in a horizontal position The distance from the eye to the front part of the collar is the length of the collar The distance should be 4 8 mm from the tip of the probe to the cornea of the eye If necessary adjust the distance by turning the forehead support adjustment wheel Measure takes place by lightly pressing the measurement button The tip of the probe should hit the central cornea Six measurements are made consecutively Press the measurement button carefully to avoid shaking the tonometer After each successful measurement there is a short beep After the six measurements the IOP is shown on the display after the P letter If there is an erroneous measurement the tonometer will beep twice and show an error message page 10 Press the measurement button to clear the error message If several erroneous measurements appear see the section Error messages page 10 Display after the measurements Before After the second After the sixth measurement measurement OO 2 13 P13 After the sixth measurement the letter P appears in the display followed by the IOP Intraocular pressure reading If the P is blinking it means that the standard deviation of the measurements is greater than normal P_ line down The standard deviation of different measurements is slightly bigger value than normally but the effect to the result is not likely to be relevant P line in the middle The
5. isposable probe in your hand open the package and load the probe into the sensor base according to the illustrations Place the opened disposable package against the collar component Turn to the device and the probe package at the same time so that the probe package is uppermost Check that the probe has dropped into the probe base before removing the package The probe in the probe base Turning the device ON and magnetizing the probe Raise the device to the vertical operating position ensuring that the probe cannot fall out of the probe base Press the measure ment button The probe will be magnetized by moving back and forward for a short time and the mechanism that prevents the probe dropping out accidentally will start The device is ready for measurement when the reading OO appears in the display If the display shows the message LoAd there is either no probe in the device or the probe is stuck Check that the probe has not dropped out or press the function button again Adjusting the forehead support The forehead support can be adjusted back This allows the correct measurement distance to be set for each individual 4 and forward by turning the adjustment wheel Measurement The measurement should be done without anesthetic because an anesthetic may reduce the tonometer reading Ask the subject to relax and look straight ahead to a specific point Bring the tonometer near to the su
6. lting the tonometer downward and pull the probe base out of the tonometer Put a new probe base into the tonometer Screw the collar in to lock the probe base 8 Replacing the batteries Unscrew the battery compartment locking screw with a screwdriver or a small coin Remove the battery compartment cover Remove the old batteries Put new AA batteries into the tonometer according to figures inside the battery compartment terminals should be down on the display side of the tonometer behind terminals should be up on the measurement side the front side Replace the battery compartment cover and secure it in place by screwing it lightly with the coin or screwdriver Be careful not to use excessive force when screwing the cover in place Error messages Press the central button to clear error messages after which the measurement can be repeated The following messages may appear s DAT peremees the batteries are low Replace the batteries SEUT aurana The probe did not move at all If this error message is repeated turn the tonometer so that the collar faces down for a short time If the error message is still repeated take out the probe and replace with a new one If the error message continues to appear replace the probe base EU uaman The probe did not touch the eye The measurement was made from too far away or the probe base is dirty SE r Probe speed was too low The measureme
7. nt was made from too far away or the tonometer was tilted upwards too much s EUS uninin Probe speed was too high The tonometer was tilted downwards Be sure the groove is in the horizontal position sE op Bad bounce The probe did not hit the central cornea Service procedures e Replace the batteries when the lt bAtt gt message appears e Change the probe base if the probe does not move smoothly e There are no other service procedures that can be carried out by the user All other servicing and repairs must be carried out by the manufacturer or certified service facilities e The device can be cleaned with a damp cloth containing desinfectant 10 Technical information Type TAO1 The device conforms to CE regulations Dimensions 13 32 mm W 45 80 mm H 230 mm L Weight 155 g without batteries 250 g 4 x AA batteries Power supply 4 x AA batteries Measurement range 1 99 mmHg Accuracy of display 1 Measurement accuracy 2 8 mmHg 5 30 mmHg 15 30 80 mmHg Display unit Millimetre mercury mmHg The serial number is on the back of the battery compartment cover There are no electrical connections from the tonometer to the patient The device has B type electrical shock protection Storing transportation environment Temperature 5 to 40 C Rel humidity 10 to 80 without condensation C 0537 ISO 13485 2003 certified A CAUTION Indicates that important ope
8. on e The tonometer must not come into contact with the eye except for the probes for a fraction of a second during the measurement therefore Do not bring the tonometer into contact with the eye or push it to the eye tip of the probe should be 4 8mm from eye e The tonometer conforms to EMC requirements IEC 60101 1 2 2001 but interference may occur in it if used near to lt 1m a device causing high intensity electromagnetic emissions like a cellular phone Though the tonometer s own electromagnetic emissions are well below the levels in the relevant standards they may cause interference in another device e g a sensitive sensor nearby e If the device is not to be used for a long time removing the batteries is recommended as the AA batteries may leak Removing the batteries will not affect the subsequent functioning of the tonometer e Be sure to dispose of the one use probes properly eg in a container for disposable needles because they may contain micro organisms from the measured patient e Batteries packaging materials and probe bases must be disposed of according to local regulations TrOLAT www tiolat fi Replacing the probe base After several months of use dust may collect in the probe base affecting the probe movement The probe base should be replaced if the probe no longer moves smoothly Unscrew the probe base collar and put it in a safe place Remove the probe base by ti
9. rating instructions are included in this User s and Maintenance Manual Spare parts and supplies e Probes in one use package e Probe base replacement kit Diagram of tonometer functions Tonometer ON Ready for measurement Old values search Turning OFF 9 AOE 8 o _O k Shutdown 2018 Q ole bs Earlier measurement values 0 9 Central button measure confirm 5 selecting buttons left and right Final result 11 ET ii USER S AND MAINTENANCE MANUAL FOR FUTURE VISION TrOLAT www tiolat fi Contents INMOCUCTION x esctynoaewsokreeeeeesswsebeatuacasas eepeeat enue a eestor sae 1 Parts of the tonometer c sevecoekswessuseesuccetae ences nedeewseeaecaecd 2 Loading a new disposable probe 0000000000000000000000000000000 3 Turning the device on and magnetizing the probe 2206 4 Turning the tonometer off 0000000000000000eeeeeeeeeeeeeeeeeet 4 Meas rementssrisrssssnrocessesesete ider sanns e sese enere Te SEE eai 5 Other functions ssireser kerane e e e e r Ea aa a 6 Accessing old measurement values 1 0 0 0 ccc cece ccc ceccccccccece 6 Changing the calibration table for different species 6 Safety instructions co uaccron liw cucladidkaincdhedckuemewareblewvenwcecdewes 7 Replacing the probe base 6 6 onccaneevusccadeceweestesccasdccceswdecs 8 Replacing the batteries 000 occ ccc ccc ccc cc ccc cece ccccccccccess 9
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