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        User Manual - Bioresonator Good Eye
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1.   BioResonator  Good Eye    User Manual         ART Manual    Applanation Resonance Tonometer for clinical use    1011 ART MUM en    A  IMPORTANT    Read all instructions and warnings before use   ART   Manual operators must be trained before using the    system     A WARNING    Never lift the instrument by its head  the measurement sensor  can be damaged        BioResonator will only accept liability for effects on the safety  usability    and design of the equipment if     The equipment is used in accordance with its intended use  and      maintenance and repair are performed by persons authorized    by BioResonator  and      installation and configuration of software are performed by    persons authorized by BioResonator  and     noother software is installed in the system  and      the device is used according to the production documentation     and      the equipment is used  fitted as designed  to a slit lamp and    biomicroscope  as per this manual  chapter 4  and    the equipment is checked before use as per this manual  and      the equipment may not be used if it is damaged in any way     2 ARTG Manual    User Manual ART   en doc    The following labels and markings on ART   Manual contain warning  texts together with mandatory information and instructions     ART Manual     mm    BioResonator Good Eye AB 0413  Tvistevagen 47  SE 907 19 Umea  SWEDEN       Nameplate on the exterior of the battery cover contains information  relating to the mandatory requirement to re
2. 40 ART R  is an accessory that allows the ART    to be hung from the slit lamp  The slit lamp biomicroscope must have a  pole for an R bracket  supplied by the respective lamp manufacturer   fitted to it before the R mount can be used        Figure 2 5 R mount    See section 4 1 2 for instructions on fitting the ART   unit using the R   mount     12 ART   Manual    User Manual ART   en doc    3 Safety rules    3 1 Intended use    The ART   unit is designed to measure intraocular pressure  IOP  during  eye examinations by direct measurement of intraocular pressure on an  anaesthetised cornea     The unit is intended to be used by personnel specifically trained in its    operation     For training and information about the ART   Manual     contact your  local dealer  see section 6 7 and 8 5     3 2 General Safety rules    The unit is not supplied with the battery installed  The battery should  never be installed in the unit during transport  but should instead be  stowed in its intended compartment in the case     Never keep the unit close to heat sources or places where the unit may  heat up unsupervised or unknowingly  e g  in direct sunlight      there is a    risk of burn injuries where patients and or users touch hot components     In order to minimize the risk of external interference on the ART   unit  it  must not be used close to strong sources of electromagnetic radiation     e g  diathermy equipment      3 3 Patient safety    Use of the ART   unit must always be base
3. R E Se RENE enter Nd 12  2 3 1  R moOUurit     5 iie tete tieu E UR ee PE ERE eek dodo 12   3 Safety r  le5 4 rr We PER ERU Ree eire 13  3 1 intend  d Br                 M      13  3 2 General Safety r  l  s    in amer en oet sea aret lan leve 13  3 3 Patient safety      13  3 4 Eunctlonal safety 4 de e e ae 14   4 Haridling   ctor tr ei rt toot pet Ee da 15  4 1 Tan o  D AAE E E EEA b AS E EENE tpe eleg Maa a ares ne 15   4 1 1 Fitting of ART   unit on slit lamp biomicroscope            15    4 1 2 T mount  4 1 3 R mount          4 2 Battery charging and handling                         eene 18  4 3 Control panel      20  4 4 Visual information      ce ec aceti cech rero de a ete re at 22  4 4 1  Aligning light symbol                      esses 22  4 4 2 Battery symbol e ar ea tie aai reiii nennen nns 23  4 4 3    Messages E EA A E T 23  4 4 4 Error Messages    ss 25  4 5 Audible signals                                                    enne 25  5 NURSES 26  5 1 Prepare for measurement    mentale iste 26  5 2 Measuring procedure    26  5 3 Interpretation of quality index    28  5 4 Measurement flowchart ss 29  6 Care and maintenance    30  4 ART   Manual    User Manual ART   en doc    6 1 OVerVieW   irse ne terne nee road a tee au LR en ES             6 2 Safety check before during use   6 3 Cleaning and disinfection  6 3 1 Cleaning the casing                              E E  6 3 2 Cleaning of sensitive parts    31   6 4 Battery   6 5 Storage   6 6 Automatic system check  
4. RT   unit s components parts or accessories may be    exposed to sterilisation processes     The unit and its accessories are not cleaned disinfected when supplied   but this must take place before initial use     6 3 1 Cleaning the casing    The instrument housing  the sensor housing  the sensor arm and any  accessories must be cleaned at regular intervals  the recommended  interval is once daily  more frequently in the presence of suspected  contamination  All components must be cleaned before storing in their    storage case     The recommended method of cleaning these parts is drying with an  alcohol swab or soft cloth towel  e g  Kleenex towel  lightly moistened in  alcohol  70 96  Ethanol Isopropanol   Note that the cloth must not be  dripping wet as this may damage the unit     6 3 2 Cleaning of sensitive parts    The sensor tip  the sensor element and the connector at the end of the  sensor housing must be cleaned as described below before the first    ART   Manual 31    User Manual ART   en doc    measurement  between patients  after a completed measuring period   i e  at the end of the day  and also before the unit is packed away in its    storage case     1  Moisten a clean  dry cloth with spirit  70  ethanol   isopropanol   Make sure the cloth is sufficiently moist to clean  properly  but not dripping wet     2  Carefully clean the entire sensor tip  the part of the sensor  element that is accessible and all round the entire connector   See Figure 6 2  Avoid direc
5. ad the manual before using  the ART   Manual  and that on disposal of the instrument it is obligatory  to follow the WEEE directive  See also chapter 8 5        The Battery nameplate on the battery contains a warning not to  incinerate or disassemble the battery  short the battery terminals  or  expose the battery to temperatures greater than or equal to 100   C since  this involves risk of fire or explosion     The nameplate also includes information regarding the mandatory  requirement to dispose of the instrument according to the WEEE  directive  see also chapter 8 5     The nameplate on the inside of the battery compartment contains  information about the type of battery  Varta EasyPack L  and arrows  indicating in which way the battery contact plates should be oriented     ART   Manual 3    User Manual ART   en doc    Contents                  1 Introductions nes ence tite ete ie dre rte 6  1 1 D  finitions  Msn EE 6  1 2 General description    ss 6  1 3 Witendbd usb code SRL Nana nee p eI SN tt 6  1 4  A Pa ST    Led PEDE 7  1 5 Contraindications nr  1 6 Died ii mr                                y  1 7 ITEMS RTS aeree pred exe one e uctus dai nn o P 7  1 8 The Manual     8   2 System descriptions cer ero tanins ER Reges 9  2 1 The ARTO Unite atten Cree ne tte aks ehe eie inate tes ati tes ant 9  2 2 Standard  accessories geoin anie ieii aa aE 11   22t T mo  nt   eem we 11  2 2 2 Battery and battery charger    11  2 3 ACCeSSOF  GS  4 252 c ed PS de cede e eee REO e PA NE
6. against  cornea      Tone  Short  high      M        Correct measurement    Figure 5 1    ART   Manual 29  User Manual ART   en doc    6 Care and maintenance    6 1 Overview    The user must visually manually inspect the unit and its accessories prior    to use     The following points must be checked     Status of the battery cover     the cover must not be loose  Sensor housing and sensor arm     must be undamaged and not  subject to any strain   Instrument housing     no scratches or damage to the control  panel   No visible fluids moisture on any part of the unit or accessories  R  T mount     correctly attached to the unit    R  T mount and unit     firmly mounted on the slit lamp    6 2 Safety check before during use    The following points must be checked before use  while using the ART      unit to take a measurement series  and also if there are any doubts    concerning the function or safety of the instrument  See Figure 6 1    below for guidelines     Tip  these checks may be performed at the same time as the unit is    cleaned disinfected as per section 6 3     30    Check that the unit is properly attached to the adapter in use   R  or T mount   The unit must be firmly attached to the  adapter and the adapter must be firmly and securely mounted  on the slit lamp    Check that the sensor tip is undamaged and properly located     ART   Manual  User Manual ART   en doc    Sensor tip    Sensor housing       Figure 6 1    6 3 Cleaning and disinfection    None of the A
7. art up     system started   tone Measuring mode     measurement    commenced  stop applanation        Medium length  high   pitched tone    Measuring mode     New measuring series  commenced    Measuring mode   result accepted  relieve  cornea        Long  multi tone    Measuring mode     measuring series finished        Long  dull tone          Measuring mode   the measuring result is not  accepted  try again   Other modes     an error has occurred        ART   Manual    User Manual ART   en doc    25       5 Measuring    5 1 Prepare for measurement    Install a charged battery  section 4 2  in the unit and attach the unit to  the slit lamp  section 4 1 3 or 4 1 2      The unit must be checked as described in section 6 1 and 6 2  must be  done before the first patient  between patients and if there is a  suspected fault with the unit      The unit must be cleaned disinfected as per instructions in section 6 3   Moisten a clean  dry cloth with spirit  70  ethanol isopropanol   Make  sure the cloth is sufficiently moist to clean properly  but not dripping    wet  Carefully clean the entire sensor tip     5 2 Measuring procedure  When the ART   unit is fitted on the slit lamp and the preparations as per    section 5 1 completed  the unit is ready to use     1  Anaesthetise the patient s cornea s  and wait for the  anaesthetic to achieve its full effect     I  2  Switch the unit on using the  Off On  button Q   3  Waituntil the display shows  Ready to measure    4  Position the 
8. ay mode after  2 minutes of inactivity  If a measurement has  commenced  this current measurement finishes and  the unit goes into display mode     l  In all modes  a 2 second press on the    On Off    buttons O switches the  unit off  The message    Powering down       shows on the display     ART   Manual 21  User Manual ART   en doc    4 4 Visual information    The visual information is notified via the display  which is divided up as  per Figure 4 5     Battery symbol Pressure  IOP     212 0    Q3 nz5    1    Aligning light  symbol    Measuring    T       Message Quality index Measurement  number  Figure 4 5    4 4 1 Aligning light symbol    The aligning light is only active in    measuring mode    and the chosen  light intensity level is shown in the display when the user adjusts the  intensity  When the unit is started  the light intensity is set at level 1   Four modes of light intensity are available  O  off   1  2 and 3     ey The aligning light is off  level 0    o The aligning light is set at level 1            The aligning light is set at level 2   g The aligning light is set at level 3     Figure 4 6 Indication of aligning light intensity        22 ART   Manual    User Manual ART   en doc    4 4 2 Battery symbol    Battery status is indicated by the battery symbol on the display  When  the battery is fully charged  the battery symbol is shown in full   decreasing as the battery charge reduces  When the battery requires    charging  a    Charge battery    message 
9. calibration   6 7 Training  advice and help ss   7 Troubleshooting orseson arnan ia nennen nnns                7 1 Error Messages  7 2 Common causes of Measurement faileds  8 Appendix    eerte te he ee ente iiber aaaea a Haas it  8 1 Technical Specificatigrs      5  Ann nn tel  8 2 Aligning light intensity  8 3 Other accessories items  not supplied     36  8 4 Guarantee  36  8 5 Support and service  collection    37  ART   Manual 5    User Manual ART   en doc    1 Introduction    1 1 Definitions       ART   Applanation Resonance Tonometer                IOP Intraocular pressure       1 2 General description  The Applanation Resonance Tonometer ART   Manual     ART        the    ART   unit     is a new type of contact tonometer  intended for use by    ophthalmologists  trained and experienced in use of contact tonometers     A resonance sensor with an integral aligning light is applied to the centre  of the patient s cornea  On contact with the cornea  the system senses  the size of the area applanated by the sensor  By continuously  measuring the force and the contact surface  the intraocular pressure   IOP  can be calculated     The operator hears an audible signal when a sufficient contact surface  has been obtained and also when sufficient data has been collected and  the sensor tip can be removed from the cornea  Numerical results from  calculation of IOP and a quality index  Q1  Q2 or Q3  are shown on the  unit s display  The quality index reflects the quality of the mea
10. d on caution and professional  medical assessment  especially where the patient suffers from an eye  disease or condition where contact with the cornea may cause injury or    aggravate an existing condition     The ART   unit must never be used unless the patient s cornea has been    anaesthetised     ART   Manual 13    User Manual ART   en doc    Before each measurement on a new patient  the ART   unit must be  cleaned and disinfected as per the description in section 6 3     An assessment of the patient s tolerance to light intensity must always  take place  after which the intensity of the aligning light should be  adjusted  Section 4 4 1 contains a description of the intensity of the  ART   unit aligning light     3 4 Functional safety    Never dip or immerse any part of the ART   unit in any form of liquid  If a  liquid penetrates any part of the unit  it must not be used but instead  must be returned to the distributor for testing  see section 8 5      Always follow the instructions for cleaning and disinfection in section  6 3  Failure to do so may result in the unit being damaged and or    exposure of patients and users to contaminated parts     Caution should be observed when touching components of the unit   especially the moveable arm and sensor housing  since incorrect  handling may damage the unit  resulting in potential risk to the user or    patients     No tools are required or should be used when operating the ARTG  Any  attempt to open or modify the unit inv
11. for the  current measured value     A measured value usually consists of a consecutive series of three  individual  two second duration measurements  If Q1 is obtained  the  measurement series is stopped and an IOP value is shown on the display   If Q2 or Q3 is obtained  the operator can choose to extend the  measurement series to a maximum of six repetitions  The operator can  choose to stop the measurement at any time  though a Q index is not    obtained until after three individual contacts with the cornea      If an insufficient number of measurement points have been collected  during one measurement  e g  due to the patient blinking during the    ART   Manual 27  User Manual ART   en doc    measurement  the system can still calculate the IOP based on the  available data  so called  dynamic analysis       5 3 Interpretation of quality index    Once three measured values have been obtained  n 3  a quality index is    displayed together with an IOP value   Q1  Measuring series with high reliability     Q2  Measuring series is OK  but the measuring series  standard deviation  is somewhat high     Q3  Measuring series has high standard deviation and should be  repeated     All measured values are shown in millimetres of mercury  mmHg      28 ART   Manual  User Manual ART   en doc    5 4 Measurement flowchart    Measuring procedure       On Off  short press            pupa rar    l Tone  Intermediate I    i  aig         Tone  Long  low      Tone  Long  high        Application 
12. hnical Specifications    These technical specifications are valid for a period of 6 years from the    date of purchase  providing that all instructions in this manual have been    complied with        Item number    1460 2AD034       Description    Applanation Resonance    Tonometer       Type of instrument    Contact tonometer       Name    ART         Classification    Class lla  according to MDD  93 42        Certification  EU     CE       Ultrasound intensity  estimated     134 mW cm        IOP measuring range    7 50 mmHg       IOP accuracy of measurement      0 2 mmHg  Numerical    precision        Battery voltage    3 7V       Battery model    VARTA EasyPack L       Battery charger    RRC EZPO6DC       Usage time      for 5 measurements hr     At least 8 hours       Dimensions    172  H  x 83  W  x 71  D  mm       Temperature range  in use     10 35   C       Temperature range  stored      10 55   C       Air pressure  in use     800 1060 hPa       Air pressure  stored     700 1060 hPa                Ambient humidity  in use  30 75 96  Ambient humidity  stored  10 95    Weight  without with battery  193 221 g    approx            ART   Manual    User Manual ART   en doc    35             Weight  including packaging   3000g           with accessories  approx         8 2 Aligning light intensity  The ART   unit has an aligning light which facilitates centring of the    sensor on the cornea to ensure correct contact when taking a    measurement     The light source is a l
13. ight emitting diode  LED  that produces white   visible  light  The total width of the beam emitted by the LED is 380      800 nm  The maximum available energy for powering the LED  at  maximum intensity  is 80 mW  and at an optimised efficiency of 25   the  normal efficiency for this type of LED is 10 2096  the emitted optical  output is approx  20 mW  not taking into account loss due to the light s  passage through the sensor tip      The norm for ophthalmological instruments  EN ISO 15004  limits the  permitted radiated light intensity in the wavelength range 380   700 nm  to 49 mW  Consequently  20 mW    49 mW is deemed to be the  maximum acceptable radiated light intensity of the ART   instrument    with regard to possible risks for patient and user     8 3 Other accessories items  not supplied     e  R mount for mounting the ART onto a biomicroscope     e  Cleaning disinfection agent     see section 6 3 for information  about recommended agents   8 4 Guarantee    For guarantee terms  see the separate guarantee slip  delivered with the    unit or provided by the local distributor      36 ARTG Manual    User Manual ART   en doc    8 5 Support and service  collection    All maintenance and servicing of the ART   unit and its accessories is to  be performed by the local distributor or someone acting on their behalf   The ART   unit has no parts that can or must be repaired by the  operator user  Any attempt to repair and or modify the unit represents  a breach of the guaran
14. led by means of two buttons located on a  control panel that faces the operator          Display    se     W   Aligning light  intensity    O  On off    Figure 4 4    These buttons have different functions  depending on which mode the       system is in    Mode Description of buttons and display functions in  different modes   Off No information is displayed on the screen  The unit is    switched on by pressing briefly on the  On Off       button        Start up The unit is initiated and undergoes a system test   The buttons are inactive in this mode     20 ART   Manual    User Manual ART   en doc    Measuring mode In this mode the system waits for the sensors to detect  a commenced measurement  A short press on the    l     On Off     button O discontinues the measurements    and moves to the display position   vie    The  VB  button changes the intensity of the aligning  light     Display mode In this mode  the measurement value from the current  measurement series is displayed  A short press on the    l     On Off    button O leaves this mode and switches to     Measuring mode        The unit can also go into two energy saving modes     Standby display  n display mode the background light on the display  goes off after 2 minutes of inactivity  A short press of    I  the  On Off  button O switches on the background    light  After a further 3 minutes the unit switches off     Standby measurement In measuring mode  before a measurement  commences  the system returns to displ
15. nced  in eye examinations involving use of contact tonometers  All users must  be trained to operate the unit     For training and information about the ART   Manual     contact your  local dealer  see section 6 7 and 8 5     ART   Manual 7    User Manual ART   en doc       1 8 The Manual    Before using the ART   unit  the operator must study the information  contained in this manual in order to ensure that the function and  properties of this unit are taken into consideration when using it     Failure to comply with the instructions contained in this manual may  entail some risk for the patient and or the user     The following symbols are displayed on the marking on the unit and their  meanings are explained below              Symbol Meaning     Type BF applied part     R  IEC 60601 1   Read and follow the instructions for use   A Failure to observe the instructions may  involve some risk to the patient and or the  user        CE marking   Conformit   Europ  enne     M  M    0413     SN  The unit serial number    Electrical and electronic products that  must be disposed off separately in  accordance with the WEEE Directive          Lid             A flowchart is also supplied as reference when using the ART   unit  This  chart is not intended to replace the manual  and all the rules and  instructions contained in the manual must be followed when using the  unit     8 ART   Manual  User Manual ART   en doc    2 System description    2 1 The ARTe unit    The ART   system is 
16. olves a potential risk to the user    and or the patient     Handle the battery and the charger with care and ensure that the    battery is charged at regular intervals     Only accessories supplied with the unit or by an official distributor may  be used  Using accessories from any other source may involve a safety  risk     14 ART   Manual  User Manual ART   en doc    4 Handling  4 1 Assembly    4 1 1 Fitting of ART   unit on slit lamp biomicroscope     The ART   unit can be fitted on a slit lamp biomicroscope in two  different ways  by using an R mount  see section 4 1 3  and by using a T   mount  see section 4 1 2       The ART   unit has currently been tested for use with Haag Streit 900  and CSO 990 slit lamps  although it can be used with most other brands   When fitted with any of the adapters  the unit s display is visible to the  operator and the control panel is accessible     ART   Manual 15  User Manual ART   en doc    4 1 2 T mount    To be compatible with the ART   unit with T mount  the slit lamp  requires  8 0 mm diameter centre hole  fixing track on the front edge of    the fastening 9 6 mm and outer diameter on the fixing plate of  gt 42 mm     Fitting of ART   unit on slit lamp with T mount    1 Locate the ART   unit on the adapter and adjust it so that the hole in  the adapter marries up with the hole in the bottom of the unit        2 Fix the adapter to the unit with the two screws provided  see Figure  4 1  Use a T25 Torx wrench    3 Fit the ART   unit 
17. on the slit lamp by placing the pin on the T mount  in the hole in the plate on the slit lamp  Check that the unit is level  and stable    Figure 4 1   16 ART   Manual    User Manual ART   en doc    4 1 3 R mount    To be compatible with an ART   unit with an R mount  the R bracket    attachment shaft must have a diameter of 12 0 mm     Fitting the ART   unit on slit lamp biomicroscope with R mount    1 Remove the two cover plugs which sit over the screws  see 4 2      2  Fixthe R mount on the ART   unit with the two included screws  see  4 2  after removing the two cover plugs which sit over the screws   Use a T25 Torx wrench        3 Attach the R mount on the fitting axle for R fixing    4 Check the unit s stability by swinging it in both directions and then  returning it to its central position  i e  with the sensor housing facing  forwards     Figure 4 2  ART   Manual 17    User Manual ART   en doc    4 2 Battery charging and handling    The battery is charged in a separate charger supplied with the unit  The  battery must be charged before initial use     Instructions for use of the supplied battery charger can be found in the  separate manual supplied with the unit  Always follow these instructions  in order to avoid damaging the battery or the charger  A full charge is  indicated by a constant green light on the charger     Remove the battery from the unit by opening the battery cover on the  left side of the unit  as seen from the front  and pulling the projecting  pa
18. rt of the cover straight out  Never open the battery cover with the  compartment facing down since the battery may fall out and break     If the battery is stuck for some reason  carefully tilt the unit onto its side  with the battery compartment facing downwards  Be careful and be  prepared for the battery to suddenly come loose     make sure that it  does not fall and knock into anything     A damaged battery may cause damage to the unit and or personal  injury to the patient and or operator     The battery cover in the ART   unit must be kept closed during charging  to prevent any moisture or dust getting in     These instructions are reversed to replace the battery  insert the battery  in the unit with the contacts on the side of the battery facing inwards   see 4 3  Shut the cover  An audible click indicates that the cover is    properly shut and is locked     Check that the battery has been inserted properly by switching the unit  on and off     18 ART   Manual  User Manual ART   en doc       Figure 4 3    The unit is not supplied with the battery installed  The battery should  never be installed in the unit during transport  but should instead be  stowed in its intended compartment in the case     For optimum battery life and performance  the battery should be  charged at least once every six months  The first charge should take  place no later than one year after delivery     ART   Manual 19    User Manual ART   en doc    4 3 Control panel    The ART   unit is control
19. sensor tip close to the patient s eye  a distance of  about 5 10 mm is suitable   with the tip centred relative to the    cornea     5  Adjust the aligning light intensity as required using the   1        Aligning light intensity    button        6  Carefully move the tip forwards in a gentle movement towards  the patient s eye  stopping when you hear a tone  A short  high     26 ART   Manual    User Manual ART   en doc    pitched tone confirms that a measurement has been started  a  long dull tone indicates an error in measurement and  measurement is then repeated     7  Once the system has sufficient data to calculate the IOP  the  unit emits a high pitched light tone once again and the sensor  tip must then be withdrawn from the cornea    If the measurement was conducted correctly and the  measurements have been accepted  the calculated values are  shown on the display and the message    Ready to measure    is  shown once again     If a measurement fails  a dull tone is emitted and the system ignores the  data collected  An error message displays for 3 seconds  and the system  then returns to measuring mode  The message  Ready to measure  is  then redisplayed     8  Repeat steps 6 7 up to five more times to obtain a complete  measurement series     The user may stop the measurement at any time by pressing the    I     On Off    button O     When the measurement series is concluded  the messages    Measure  complete    displays  and the system returns to    display mode    
20. shows on the display       The battery is fully charged   a   The battery is half full        The battery is empty     4 4 3 Messages    The following illustrations show examples of various values and    messages that are shown on the unit s display     L 1    Figure 4 7 Off     no information is displayed        ART1 Software  Version 1 0 2010 06 30     BioResonator 2010    System Starting          Figure 4 8 Start up     system information is displayed     ART   Manual 23    User Manual ART   en doc       do    Ready to measure       Figure 4 9 Measuring mode   before first measurement        1 UI be    Ready to measure       Figure 4 10 Measuring mode     after accepted measurement   measurements 1 and 2     o1 Jmm    Q2 n 3    Ready to measure       Figure 4 11 Measuring mode     after accepted measurements 3  4   5 and 6 a quality index is also given     24 ARTG Manual    User Manual ART   en doc    o1 I    Q1    Measure complete  n 4       Figure 4 12 Display mode     Following completion of a    measurement series  the unit switches to display mode and the    measured value and quality index are displayed     444 Error Messages    Any error messages are presented on the display  See section 7 1 for a    list of error messages and their content     4 5 Audible signals    The system produces audible signals that notify the operator of the    unit s status  These signals vary  depending on what mode the system is          in   Signal Mode   Meaning  Short  high pitched St
21. supplied in a case containing    ART tonometer    T bracket for slit lamp  an R bracket is available as an accessory    Battery    Battery charger    Torx wrench  T25        Sensor housing _ __Sensor tip  Sensorarm  Instrument  housing  Figure 2 1  ART   Manual    User Manual ART   en doc    Display        Control panel  Battery cover    Figure 2 2    The battery provides power to the unit during operation  It is charged  outside the unit in a separate charger     10 ART   Manual    User Manual ART   en doc    2 2 Standard accessories    Standard accessories are understood to mean the accessories included  in the standard version of the ART   unit     2 2 1 T mount    The unit is supplied with a T mount  item   1030 ART T   which is used  to fit the ART   unit standing on the slit lamp        Figure 2 3 T mount    See section 4 1 2 for instructions on setting up the ART   unit using the  T mount     2 2 2 Battery and battery charger    The unit is supplied with a battery  Varta EasyPack L  item   1051 ART B   and a charger  item   1050 ART BC  with a mains lead  The charger can  operate on mains supplies of 100 240 V AC  50 60 Hz        Figur 2 4 Battery and battery charger    See section 4 2 for description of battery charging and handling     ART   Manual 11    User Manual ART   en doc    2 3 Accessories    Accessories refers to attachments compatible with the ART   unit  For  information  contact the manufacturer  see section 8 5     2 3 1 R mount    The R mount  item   10
22. surement  series  with Q1 being the highest quality and Q2 being good quality  It is  recommended that Q3 level readings be repeated     The user is provided with information via both a visual display and    audible signals     1 3 Intended use    The ART   unit is designed to measure intraocular pressure  IOP  during  eye examinations by direct measurement of intraocular pressure on an  anaesthetised cornea     6 ART   Manual    User Manual ART   en doc    The unit is intended for use by personnel trained specifically in use of  this unit     For training and information about the ART   Manual     contact your    local dealer  see section 6 7 and 8 5     1 4 Indications    Indications for use include the diagnosis and follow up of patients with  suspected abnormal intraocular pressure     1 5 Contraindications    Use of the unit is contraindicated where contact with the cornea may  cause or aggravate injuries and or pathological conditions or cause  unnecessary suffering for the patient  Contact lenses must be removed    before the anaesthetic is applied     Medical diagnoses should not be made solely on the basis of measured  intraocular pressure     1 6 Normal use    ART   Manual is intended for routine clinical use and it is used as an aid    in diagnosing and monitoring intraocular pressure     The unit is intended to be used by personnel specifically trained in its    operation     1 7 Intended users    The unit is intended for use by medically trained personnel experie
23. t contact with the fingers  Check that  the sensor tip is undamaged     3  Note that the sensor element contains a small proportion of  nickel     4  Allow all cleaning agents fluids to evaporate before using the  unit     Sensor tip Flange          Sensor housing  Sensor element    Figure 6 2    Never use cleaning agents that are applied by means of a spray can or  similar as this may damage the unit     Never use any kind of tool or brush for cleaning as this may damage    the unit     32 ART   Manual    User Manual ART   en doc    If you are at all uncertain about cleaning  its effect or the unit s function  and or safety  stop using the unit and contact the distributor for advice     see section 8 5      6 4 Battery    To obtain optimum battery life and performance  the battery should be  charged at least once every six months     6 5 Storage    The climate in which the unit is stored must meet the criteria stated in  the technical specifications in section 8 1     6 6 Automatic system check  calibration    When the unit is switched on  from the off mode  the system runs a self  check  This includes checking the resonance sensor  the power indicator    and other system parameters     If the system should detect an error or deviated value  the user is  presented with an error message  If this happens  stop using the unit and  report the fault to the distributor  see section 8 5      The unit is calibrated on supply from the distributor  and no new  calibration is required 
24. tee terms and as a result the function and safety    of the unit cannot be guaranteed     For local distributor  visit  www bioresonator com    Manufactured by     Address  BioResonator Good Eye AB  Tvistevagen 47  Box 7952  SE   907 19 Umea  Sweden  URL  http   www bioresonator com  E mail address  info bioresonator com    Note that the unit contains substances that may be harmful to people   animals and the environment  The unit may not be disposed of by the  user  but it must instead be returned to the distributor     Used batteries that can no longer be fully charged must be disposed of in    accordance with local laws and regulations     ART   Manual 37  User Manual ART   en doc    ce    BioResonator    2014 10 10 Good Eye    
25. with normal use  If you suspect deviating results  and or incorrect function as a consequence of incorrect calibration  stop  using the unit and report the fault to the distributor  see section 8 5      6 7 Training  advice and help    All operators must undergo training for the ART   Manual unit approved  by BioResonator AB  For training  advice and help with the ART   Manual  unit and its accessories  contact your local distributor     For contact information  see section 8 5     ART   Manual 33  User Manual ART   en doc    7 Troubleshooting    7 1 Error Messages    The following error messages may be displayed when taking    measurements using the ART   unit                    Error message Meaning cause  Measurement failed See 7 2 for usual causes  Charge battery The battery needs charging  Technical problem  contact Fault in resonance sensor      distributor contact distributor  see 8 5           7 2 Common causes of Measurement faileds    There are a number of reasons why the unit may give erroneous  measurement results  or indicate errors in measurement  Frequent  causes are found below     e Object between the sensor tip and the cornea surface  e g  hair  strand  part of the eyelid etc     e The patient blinked during the measurement procedure   e The patient moved during the measurement procedure and the  sensor tip lost contact with the eye    e The patient has abnormally moist or dry corneas    34 ART   Manual    User Manual ART   en doc       8 Appendix    8 1 Tec
    
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