Pach VI User Manual
Contents
1. 24 USB Flash Drive 27 Example of Patient Record Printout 29 AccuPach VI The Accutome AccuPach VI pictured below has all the Overview features that make it easy to obtain extreme accuracy and improved patient outcomes Figure 1 AccuPach VI Accutome AccuPach VI User Guide L L i L L L Li L L L L Features The AccuPach VI is designed for easy access to all screens and functions The unsurpassed ease of use of the touchscreen and the straightforward Graphical User Interface guide you through every operation What you can t see on the surface is also important Industry leading signal acquisition and processing helps you assure accurate measurements Reliable design and efficient manufacturing provide fiscal value Upgradeable software protects your investment The AccuPach VI lets you accomplish even the complex simply The AccuPach VI provides the following general features 128 X 64 high resolution LCD screen with touchscreen to provide an intuitive User Interface External universal input worldwide power supply 10 X 10 X 2 3 4 size makes the unit very portable Synthesized voice output of each measurement for ease of use Allows entry of Intraocular Pressure IOP and provides Corrected IOP based on corneal thickness measurements Adjustable handle stand allows viewing at different angles User2. ACCUTOME AccuPach VI Pachymeter il cor User s Guide 24 6204 RevA Federal law restricts this device to sale by or on the order of a physician FEDERAL COMMUNICATIONS COMMISSION FCC UNINTENTIONAL EMITTER PER FCC PART 15 This device has been tested and found to comply with the limits for a Class B digital device pursuant to Part 15 of the FCC rules These limits are designed to provide reasonable protection against harmful interference in an office installation This equipment generates uses and can radiate radio frequencyenergy and if not installed and used in accordance with the instructions in the user manual may cause harmful interference to radio or television reception However there is no guarantee that interference will not occur in a particular installation If this equipment does cause interference to radio and television reception which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures ate Reorient or relocate the receiving antenna Increase the separation between the equipment and receiver Connect the equipment to an outlet on a different circuit from that to which the receiver is connected Consult Accutome Ultrasound Inc or an experienced radio TV technician for help This device complies with Part 15 of the FCC Rules Operation of this product is subject to the following two conditio
3. Assembling the AccuPach VI 13 What you need 13 Probe 252 5s ee ee ee ee 14 Keyboard 14 Foot Switch 14 Placing the AccuPach VI 14 Connecting the Components 14 Accutome AccuPach VI User Guide Connecting the Footswitch 14 Connecting the Keyboard 15 Connecting the Probe 15 Connecting the Power 17 How to Set Preferences 17 Setting the Speed of Sound 18 Setting the Method for Capturing Readings 18 Setting the Clock 18 Setting the LCD Presentation 19 Setting the Annunciator 19 Returning to the Measure Screen 20 Basic Operation 21 How to Power On the AccuPach VI 21 Using the Test Block 22 How to Start a New Patient 24 How to Take a Measurement 25 Notes ee ee ee er eee 25 How to Perform a Calculation 26 How to Save a Record 27 How to Print a Record 29 Maintenance lt BO General Maintenance 30 Specifications 32 Overview ee eee 32 Physical Specifications 32 Environmental Specific
4. READ selection toggles between Auto and Manual If you wish to use the footswitch to trigger readings select READ AUTO and it will change to READ MANUAL 2 If you wish to switch from the foot switch to auto capture select READ MANUAL and it will change the unit to READ AUTO Setting the Clock There is a date time stamp printed on every patient record When you first receive the AccuPach 5 you will need to correctly set the instrument clock To set the clock 1 Activate the clock setting by selecting SET CLOCK 2 Set the day of the week by selecting UP or DOWN 18 Getting Started How to Set Preferences LJ L LJ L L LJ L EAEE E EEEE ENE EEEN EENEN EEN EEEE EEEE EEEN f 3 Select NEXT to set the next part of the date and time Continue selecting UP or DOWN to change the values and NEXT to set the next part of the date and time 4 Select DONE when finished to return to the UTIL screen Setting the LCD Presentation The AccuPach allows you to adjust the LCD display and brightness with the Screen function To set the LCD presentation 1 Set the LCD presentation by selecting SCREEN This will allow you to change the screen presenta tion from NORMAL factory default to REVERSE inverse video by selecting the appropriate box 2 Screen brightness can be changed by selecting UP or DOWN When finished select DONE to return to the UTIL screen Setting the Annunciator T
5. 93 12 93 12 93 ated Acoustic Zsp m 0 3 0 3 0 3 Parame Beam x cm 0 124 0 124 ters dimen sions y cm 0 124 0 124 PD iS 0 071 0 071 PRF Hz 20 20 EBD Az cm 0 224 Ele cm 0 224 Operating Control Conditions 36 Warranty Accutome Inc warrants its new equipment to be free from defects in workmanship or materials Any product that is proven to be defective will be repaired or replaced at our discretion free of charge up to one year from the date of purchase by the initial user of the equipment from Accutome Inc or any of its authorized distributors This warranty covers all repairs and servicing of parts that proved defective by manufacture and not by misuse or mishandling This type of service will be handled by our trained sales force or if necessary in our home office Shipping charges for returns or repair of non warranted items will be the responsibility of the customer Alteration repair or modification of any product that is performed by persons not authorized by Accutome Inc will result in immediate loss of warranty 37 Accutome AccuPach VI User Guide L L i L L L L LJ L L Product Follow the instructions given below to return products to Returns Accutome Inc Service and Repair Before returning instruments for service or repair contact the Accutome Technical Service Group for a Return Goods Authorization RGA number Tol
6. Single phase alternating current Keyboard Connector Foot switch input connector Attention Consult Instruction Manual Type B Medical Device Do not use near flammable or explosive gasses Safety Safety Precautions LJ L LJ L LJ L LJ i LJ i Electrical Shock Hazard G No user serviceable parts inside Se Ultrasound Probe Connector Safety There are several areas in the use of the AccuPach VI Precautions that require special attention as they may pose a safety threat The AccuPach VI has an enclosure rated Degree of Protection of IP32 The enclosure provides protection for objects larger than 2 5 mm and dripping water The foot switch is rated IP20 In the event of a spill contacting the unit disconnect the mains cord and wipe the unit completely dry before returning it to service Accutome AccuPach VI User Guide L L L L L L L L L L ERROR SSSA Sterilization Sterilization issues are confined to the AccuPach VI probe that comes in contact with the patient s eye In order to prevent the transmission of disease medical authority ies having jurisdiction guidelines are referenced for proper control of sterilization issues These guidelines are frequently updated so be sure to contact your local disease control officer for the latest information and sterilization techniques The probe tip should be sterilized or disinfected before use
7. on each patient The recommended sterilization technique is to immerse the probe tip and only the probe tip in an antibacterial solution Follow the manufacturer s written protocol when using any antibacterial solution Disinfection and Cleaning Disinfection issues are confined to the AccuPach VI probe that comes in contact with the patient s eye and to the test block In order to prevent the transmission of disease medical authority ies having jurisdiction guidelines are referenced for proper control of sterilization issues These guidelines are frequently updated so be sure to contact your local disease control officer for the latest information and disinfection techniques The probe tip should be sterilized or disinfected before use on each patient The test block should be disinfected after each use The recommended disinfection technique is to gently wipe the probe tip or the test block with isopropyl alcohol and no other substance It is imperative that the alcohol be given time to evaporate before applying a probe to the patient s eye WARNING Dno nort autoclave Safety Safety Precautions WARNING WARNING Cleaning DO NOT IMMERSE THE PROBE S CABLE OR METAL CONNECTOR IN ANY LIQUID ALLOW TO DRY BEFORE USE DO NOT USE THE TEST BLOCK AND THEN TAKE A PATIENT MEASUREMENT STERILIZE OR DISINFECT THE PROBE TIP AFTER USING THE TEST BLOCK AND BEFORE TAKING A PATIENT MEASUREMENT Kee
8. Physical Specifications Probe Use only Accutome PN 24 5001 Frequency 10 5 MHz Composite Dimensions 64 cm 25 diameter X 4 45 cm 1 75 length Cable Length 1 52 m 5 ft Keyboard Use only Accutome PN 24 4003 Dimensions 29 19 X 13 21 X 2 29 cm 11 1 x 5 2 x 0 9 Number of Keys 83 Footswitch Use only Accutome PN 24 4004 Optional Accessory Dimensions 8 9 cm 3 5 x 6 6 cm 2 6 x 2 5 cm 1 Weight 2 kg 7 oz Environmental IP20 IP68 USB Flash Drive Any USB Flash Drive can be used Safety Meets EN 60601 1 Series electrical standards for medical equipment 33 Specifications Measurement Accuracy LJ L LJ L LJ LJ LJ i LJ Environmental Table 3 below lists the AccuPach VI system operating Specifications and storage values for temperature and humidity Table 3 Environmental Specifications Temperature Operating 10 C to 40 C 50 F to 104 F Storage 20 C to 60 C 4 F to 140 F Relative Humidity Operating 20 to 80 non condensing Storage 15 to 90 non condensing Atmospheric Pressure Operating 700 1060 hPa Storage 500 1060 hPa Measurement Table 4 below lists the AccuPach s accuracy Accuracy Table 4 Measurement Accuracy Measurement Corneal Thickness Clinical Accuracy 1 Sigma 5 Micrometers Ele
9. SB Flash Drive 6 Select Done box to return to UTIL screen Note If Done box is selected prior to the Save box the record will not be saved The record can still be saved by simply runnnig through the process again 7 Remove Flash Drive from AccuPach VI unit to save or print record to from a computer 28 Getting Started Basic Operation LJ L LJ LJ LJ L LJ Sa EENE ee od How to Print a Record In order to print a record you will first need to save the record to the USB Drive To print a record 1 Follow the steps outline in How to Save a Record on Page 27 2 Remove the USB Drive from the Pach VI unit and plug it into any computer 3 Access the USB Drive as you would any external storage peripheral 4 Open the exam TXT File to be printed 5 Click File and Select Print TEST TXT Accutome Pach VI Date Fri 01 09 2009 Time 02 37 AM Patient s Name CCT Reading 1 2 3 4 5 6 7 8 9 Average CCT MIOP TIOP File Name TEST TXT Figure 10 Example of Patient Record Printout 29 General Maintenance Maintenance that should be performed on the AccuPach VI consists of activities such as keeping surfaces free of dust and dirt and storing in a dry and cool place so as to not adversely effect electronic parts Refer to Chapter 2 page 8 through page 10 for details on sterilization disinfection and cleaning before doing any sterilizat
10. ations 34 Measurement Accuracy 34 Operating Modes 35 Acoustic Output 36 Warranty amp Repairs 37 Warranty eee eee 37 Product Returns ee eek bs 38 Service and Repair 38 Contents All Other Returns 38 Non Returnable Merchandise 38 Replacement Parts 39 Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 Table 7 IOP Correction Values 26 AccuPach VI Physical Specifications 32 Environmental Specifications 34 Measurement Accuracy 34 Operating Mode s 35 Acoustic Output Reporting Table for Track 1 Non Autoscanning Mode 36 Accutome Replacement Parts 49 Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 Figure 10 AccuPach VI e cece eee eeee 1 AccuPach VI Components 13 Probe Connector Front of Instrument 15 Probe Connected 16 Component Connectors Back of Instrument 17 Measure Screen Displayed 21 AccuPach VI Test Block Top of Instrument 22 Measure Screen Starting New Patient
11. ctronic Resolution 1640 m sec 1 Micrometer Range 300 999 Micrometers 34 Accutome AccuPach VI User Guide Operating The following table summarizes the mode application Modes possibilities for each system transducer combination Table 5 Operating Mode s ace Com Clinical A B m Pwp cwpl cD binea _Othert Application Specify Specify Ophthalmic X Fetal Imaging amp Other Cardiac Adult amp Pediatric Peripheral Vessel Abdominal Intraoperative Pediatric Small Organ breast thyroid testes etc Neonatal Cephalic Adult Cephalic Musculo Skeletal conventional Musculo Skeletal superficial t Examples may include Amplitude Doppler 3 D Imaging Harmonic Imaging Tissue Motion Doppler Color Velocity Imaging 35 Specifications Acoustic Output L LJ LJ LJ i L LJ LJ i Acoustic Table 6 below provides the acoustic output reporting for Output the following System AccuPach VI Transducer Model Operating Mode Application s A Mode Probe S N 0604 5651 A Mode Ophthalmic Table 6 Acoustic Output Reporting Table for Track 1 Non Autoscanning Mode Acoustic MA Ispta 3 Isppa 3 Output mW cm W cm Maximum Value 0 182 0 022 15 34 P 3 0 656 MPa Wo mW 0 000256 0 000256 Associ fe MHz 12
12. ecord if printer is connected oo How to Power On the AccuPach VI To power on the AccuPach VI 1 Press the I on the power rocker switch When you power on the AccuPach VI asplash screen will appear The AccuPach VI will go through an ini tialization process and when completed will display the Measure Screen 2 The first screen you see will be the Measure Screen Treas mror cece uri FRI 01709709 Oe 37 AM 5859 543 Sgp 59 eee NEW PT Figure 6 Measure Screen Displayed 21 Accutome AccuPach VI User Guide L L i L Li L L L 8 L L L Pe ene eee eS EE EES EST e e e N Using the Test Block The AccuPach VI is equipped with a test block located on the top of the instrument Refer to below for location The test block is provided as a way to test the basic operation of the AccuPach VI and the probe To test the AccuPach VI and probe 1 Apply some immersion fluid water or BSS to the test block 2 Place the probe on the test block 3 You should receive a measurement in the Measure Screen Note If you cannot detect a waveform call the Accutome Service Group at 610 889 0200 TEST BLOCK PACHYMETRY VERIFIER 600 gt 50p Figure 7 AccuPach VI Test Block Top of Instrument 22 Getting Started Basic Operation WARNING Do not use the test block and then take a patient measurement Sterilize or disinfect the probe tip after using the
13. esigned to be placed on a surface such as a counter or a desk Connecting the Components All of the connectors for the AccuPach VI components except for the probe and USB Flash Drive are located on the back of the instrument Connecting the Footswitch To connect the footswitch 1 Locate the footswitch connector on the back of the instrument see on page 17 2 Insert the connector of foot switch cable into the foot switch connector 14 Getting Started Assembling the AccuPach VI Connecting the Keyboard To connect the keyboard 1 Locate the keyboard connector on the back of the instrument see on page 18 2 Insert the connector of keyboard cable into the keyboard connectorConnecting the Probe Connecting the Probe The AccuPach VI probe connector is located on the front of the instrument To connect the probe 1 Locate the probe connector on the front of the instrument see Figure 3 below Figure 3 Probe Connector Front of Instrument 15 Accutome AccuPach VI User Guide 2 Insert the probe Refer to Figure 4 below Figure 4 Probe Connected 16 Getting Started How to Set Preferences LJ LJ LJ LJ LJ L SE oe Connecting the Power To connect the power 1 Locate the power entry connector on the back of the instrument see Figure 5 below 2 Insert the power cable provided with the AccuPach into the power connector 3 Co
14. have frayed or damaged connection cables The device covers must not be removed except by qualified personnel There are no user controls inside the unit To avoid injury do not operate the AccuPach VI without protective covers The system is intended to operate from a power source of 100 240 VAC 47 63 Hz Protective earth grounding through the grounding connection in the power cord is essential for safe system operation Use only a hospital grade power cord and the connectors supplied with the AccuPach VI Also be sure the power cord and connector are in good condition 11 Accutome AccuPach VI User Guide L LJ i LJ L LJ LJ LJ LJ RE a SSS Avoiding Equipment Damage The only peripheral equipment that may be connected to an AccuPach VI is a printer that has been selected and installed in compliance with EN60601 1 requirements The AccuPach VI provides no explosion protection from static discharge or arcing components Do not operate the instrument in the presence of explosive gases such as flammable mixtures of anesthetic and air or nitrous oxide ALARA Principle This instrument has no useroperated controls or settings that affect the acoustic output When using the device the ALARA As Low As Reasonably Achievable principle should be followed This principle is used to reduce unnecessary potentially hazardous exposure to individuals by keeping doses and test repetitio
15. he AccuPach VI has an annunciator to provide a voice output of the measurements taken The factory default is to have this voice output on If you wish to change the voice volume level 1 Select the UTIL box on the LCD 2 Select the Speach box on the LCD 3 Select the UP box to increase the volume of the voice 4 Select the DOWN box to decrease the volume of the box 5 Select DONE box to return to UTIL screen Note The volume levels are 1 thru 7 Each time the volume is increased or decreased the voice will repeat Accutome AccuPach IV at the selected volume 19 Accutome AccuPach VI User Guide L L i L L L L LJ L L L gt DE ed If you wish to turn the voice output off 1 While in Speach screen Select Mode On box to turn the voice Off 2 To turn the voice back on Select Mode Off box 3 Select DONE box to return to UTIL screen Returning to the Measure Screen When finished setting the unit preferences select MEAS to return to the measurement screen 20 Getting Started Basic Operation LJ L L d L LJ Basic The basic operation of the AccuPach VI consists of the Operation following steps 1 Power on the AccuPach V instrument 2 Adjust the LCD display contrast 3 Take up to nine measurements per eye 4 Enter the measured IOP and calculate the cor rected IOP for each eye Save the Patient Record Print the Patient R
16. ion disinfection or cleaning of the AccuPach VI CAUTION Noabrasives or harsh cleaning solutions should be used while cleaning the AccuPach VI Regularly check the probe foot switch and mains power cable for cracked or frayed insulation or any other damage WARNING Donor usE any PROBE FOOT SWITCH OR MAINS CABLE THAT HAS BEEN DAMAGED OR 30 Accutome AccuPach VI User Guide L L i L Li L Li L L L HAS CRACKED OR FRAYED INSULATION See Warranty amp Repairs on page 39 of this manual for user replaceable parts 31 Overview Physical Specifications This section provides the physical and operational specifications of the AccuPach VI Table 2 below lists the physical specifications of the AccuPach instrument and associated peripherals Table 2 AccuPach VI Physical Specifications Main Unit Dimensions 25 4 cm X 25 4 cm X 6 35 cm 10 X 10 X 2 5 Weight 1 4 Kg 3 1 Ib Input Voltage 100 240 VAC 47 63 Hz Current 100 mA Fuses Littlefuse 218 001 250V 1A Type T 5 X 20mm Display Type Monochrome Liquid Crystal Display LCD Size 73 75 mm 2 9 Diagonal Viewable Area Resolution 128 X 64pixels 16 shades of gray External I O Connectors Foot Switch 3 5 mm mono phone jack 32 Accutome AccuPach VI User Guide L L i L Li L L L J L L Table 2 AccuPach VI
17. l Free in USA 1 800 979 2020 Tech Service 1 610 889 0200 Fax 1 610 889 3233 After receiving authorization print the RGA number on the outside of the package and send the instrument to Technical Service Group Accutome Inc 3222 Phoenixville Pike Malvern PA 19355 USA All Other Returns Returns for non service related reasons must be authorized by the Accutome Customer Service Department Please contact Customer Service for an RGA number Merchandise returned within 60 days of date of invoice will be credited as follows Full credit for all merchandise returned in resalable condition Non Returnable Merchandise Accutome Inc will not authorize a return for Merchandise held longer than 60 days 38 Warranty amp Repairs Replacement Parts LJ LJ L LJ L L LJ LJ LJ i Sa oe Replacement Table 7 below lists items that are available from Parts Accutome Inc or from your local sales representative Please be sure to use the Accutome part number for the item when placing an order Table 7 Accutome Replacement Parts Description Accutome Part No Standard Parts Probe 24 5001 Keyboard 24 4003 Foot Switch 24 4004 USB Flash Drive 24 6210 Power Supply Cable U S 9510 1100 39
18. n As Low As Reasonably Achievable to achieve the required diagnostic information 12 Assembling The AccuPach VI is designed to be used in multiple the AccuPach medical settings and can be rested on a surface such VI as a counter or desk The AccuPach VI requires little assembly All components standard and optional can be quickly and easily connected What you need For a complete AccuPach VI medical setting you will need the following Ka Sa s Koa Sa Sa t se AccuPach VI instrument including display Ultrasonic Probe Keyboard Power Cord USB Flash Drive Footswitch Optional Accessory Computer and Printer User Supplied Figure 2 AccuPach VI Components 13 Accutome AccuPach VI User Guide ERS Os ore ool Probe The probe provided with the AccuPach VI is an essential component of the AccuPach VI No other probes should be used with the instrument Keyboard The keyboard is not required for operation but provides convenience for entering alphanumeric data when saving a patient report to the USB Flash Drive Foot Switch The foot switch can be used to capture measurements Note The foot switch is ONLY to be used on the floor and only actuated by the operator s foot It is never to be operated as a hand held switch USB Flash Drive The USB Flash Drive is used to store patient data which can be transferred to a computer for storage or printed Placing the AccuPach VI The AccuPach VI is d
19. nnect the power cable to the power mains Figure 5 Component Connectors Back of Instrument How to Set There are several features of the AccuPach VI that you Preferences can set to your own preferences a Speed of sound Readings captured automatically or with the foot switch Instrument clock LCD presentation Annunciator to provide voice output o as s fo BS se Note The AccuPach VI uses an LCD with a touchscreen as the user interface To make selections touch and release the appropriate box displayed on the LCD 17 Accutome AccuPach VI User Guide L L i L Li L L L Li L Sa ees After setting up the AccuPach VI set the instrument preferences by turning the unit on and selecting the UTIL box on the touchscreen The AccuPach VI will then display the preferences screen Setting the Speed of Sound To set the speed of sound 1 The current setting for the speed of sound is dis played along with UP and DOWN boxes default factory setting is 1640 2 Select either UP or DOWN to change the speed of sound as you wish When finished select DONE to return to the UTIL screen Setting the Method for Capturing Readings The AccuPach VI is designed so that you can take readings automatically or manually by using the foot switch The factory default is automatic readings and is displayed as READ AUTO To change the method for capturing readings 1 The
20. ns 1 this device may not cause harmful interference and 2 this device must accept any interference received including interference that may cause undesired operation CAUTION Changes or modifications not expressly approved by Accutome Ultrasound Inc could void the FCC compliance and negate your authority to operate the product Authorized Representative in Europe for regulatory affairs only Emergo Europe P O Box 18510 2502 EM The Hague The Netherlands Tel 31 70 345 8570 Fax 31 70 346 7299 CE 0086 ey fag EL Introduction aS ee Se ee AccuPach VI Overview 1 Features 2 Measurements 3 Components 3 Optional Components 3 About This Manual lt 4 5 22 2 2 62 4 Safety ay te Ge Se te et tae Te G Safety Information 5 Safety Issues to Consider When Using the AccuPach VI 5 se cee eee 5 Indications for use 6 6s Sees es 5 Symbol Definitions for the AccuPach VI 6 Safety Precautions 7 Sterilization 8 Disinfection and Cleaning 8 Cleaning a 5 ne ee ee a eS Soe 9 Electrical Hazard and Safety 11 Avoiding Equipment Damage 12 ALARA Principle 12 Getting Started 13
21. nstructions overview of AccuPach VI basic operation Section 4 Maintenance Provides general maintenance instructions Section 5 Specifications Provides AccuPach VI physical and operational specifications Section 6 Warranty and Describes AccuPach Repairs VI warranty information and repair procedures Having read this manual you will be able to set up the AccuPach VI take measurements enter and calculate Corrected IOP and print and save Patient records Safety The section lists Information Safety Precautions associated with the AccuPach VI Safety Precautions of a general nature Safety Issues to Consider When Using the AccuPach VI The AccuPach VI is non invasive The ultrasonic biometry probe touches the surface of the anesthetized cornea during the scanning process Indications for Use This instrument is used for measuring the corneal thickness of the eye It is to be used in a medical setting and only by technicians optometrists and opthalmologists who are experienced in ultrasonic biometric techniques CAUTION General indications for use of the AccuPach VI include on external structurally intact areas of the eye globe and orbit only Accutome oe moe 8 AccuPach VI User Guide Symbol Definitions for the AccuPach VI gt eN Statements graphics and symbols listed below are used on components of the AccuPach VI Descriptions and meanings are listed to the right of the symbols
22. p the surfaces of the AccuPach VI free of dust and dirt and store the instrument in a dry and cool place so as not to adversely affect any electronic parts No specific cleaning interval is recommended Accutome AccuPach VI User Guide WARNING pisconnect THE AccuPach VI FROM THE MAIN POWER SOURCE BEFORE ATTEMPTING ANY CLEANING CAUTION No abrasive or harsh cleaning solutions should be used while cleaning the AccuPach VI or any of its components When the unit needs cleaning use only a damp soft lint free cloth Do not pour or spray any liquids or cleaners onto the unit at any time The damp lint free cloth may contain mild soap if necessary Gently wipe down the instrument surfaces and component cables as needed Allow the unit to completely dry before using again If the probe needs cleaning it may be wiped with a damp soft lint free cloth as needed Disinfect the probe after cleaning 10 Safety Precautions L LJ L LJ L LJ LJ Electrical Hazard and Safety The instrument foot switch and probe of the AccuPach VI are electrical electronic devices Reasonable care should be taken when making electrical connection and handling electrically powered devices Avoid the use of damaged electrical equipment or frayed electrical cords If repair or maintenance is to be performed on the AccuPach VI the equipment must be turned off and the power cord disconnected Do not use probes or foot switches that
23. r used when calculating the True IntraOccular Pressure TIOP The symbol by a measurement indicates the reading for that eye which is furthest away from the average for that eye You can review the measurements taken by select ing touching and releasing the measurement value You can delete any measurement taken by touch ing and holding the measurement value until the unit emits a high pitched chirp After deleting a measurement the unit will automatically recalcu late the average of the measurements 25 Accutome AccuPach VI User Guide How to Perform a Calculation After you have completed a Patient s measurements you can calculate the true IOP for the Patient You can perform the calculation from the MIOP Screen To calculate True IOP 1 Select the MIOP box on the LCD 2 Enter the measured IOP by selecting the digits of the measurement For example if the measured IOP is 17 select 1 then select 7 If you make a mistake just reselect the correct digits 3 Select the CALC box onthe LCD and the True IOP will then be displayed 4 Select MEAS and return to the Measurement screen Table 1 below provides the IOP correction values Table 1 IOP Correction Values Corneal Thickness micrometers Correction Values mm Hg 405 7 425 6 445 5 465 4 485 3 505 2 525 1 545 0 565 1 585 2 605 3 625 4 645 5 665 6 685 7 705 8 Co
24. rrection Values according to corneal thickness of 545 micrometers These correction values are modified from the work of Doughty and Zamen This chart was reproduced from the Review of Ophthalmology July 2002 Leon Herndon MD Duke University Glaucoma Service Pages 88 89 90 26 Getting Started Basic Operation How to Save a Record After you have completed a patient exam you may want to save the record to a USB Flash Drive Using the flash drive allows the user to save and print a patient s record to from any computer To save a record 1 Select the UTIL box on the LCD 2 Select the Save Ready box on the LCD Note A USB Flash Drive must be plugged into the USB port otherwise Save No Disk will be displayed The USB Flash Drive can be plugged into the port at anytime to activate the Save Ready function a Figure 9 USB Flash Drive 3 Begin typing on the keyboard if you wish to rename the file The name of the file automatically defaults to the date 27 Accutome AccuPach VI User Guide L LJ i L LJ LJ LJ LJ SS a SSS 4 Tab to Patient Name field to enter patient s name Note The Tab button can be used to maneuver between the File Name and Patient Name fields Note Any text entered in the Patient Name field will be displayed at the top of the Patient Record when opened The record will be in txt format 5 Select Save box to save patient exam to U
25. settable speed of sound Display of measured corneal thickness entered IOP Corrected IOP and average and standard deviation for all stored measurements Automatically or manually capture and store up to nine measurements for each eye along with the running average of all measurements taken Introduction Features Measurements The high accuracy of the AccuPach VI measurements is provided by the following High resolution real time waveform analysis High speed signal digitalization that acquires over 4000 points per signal waveform Automatic gain control to acquire the optimum signal Highly sensitive 10 5MHz composite probe 20 individual signals acquired and analyzed to produce each measurement e s t Components The components that are standard with each AccuPach VI instrument are Ultrasonic probe Keyboard USB Flash Drive Optional Components There are also several components which further simplify the use of the AccuPach VI Footswitch User Supplied Computer User Supplied External Printer Accutome AccuPach VI User Guide L L i L Li L L Li 8 L L L About This This manual is a guide for technicians and Manual opthalmologists who are experienced in ultrasonic biometric techniques This manual is organized as follows Section 2 Safety Summarizes safety precautions warnings symbols and terms Section 3 Getting Started Provides assembly i
26. test block and before taking a patient measurement 23 Accutome AccuPach VI User Guide L Li i L L L Li L i L L L How to Start a New Patient To start a new Patient 1 Touch and release the New Patient box on the LCD as shown in Figure 8 below 2 When you start a new patient the AccuPach VI will set all measurements averages IOP entries and Calculations to zero AVERAGE Figure 8 Measure Screen Starting New Patient WARNING The probe tip must be properly sterilized or disinfected before taking any measurements on a new patient 24 Getting Started Basic Operation LJ L LJ How to Take a Measurement To take a patient measurement Notes 1 Select the NEW PATIENT box on the LCD display to reset all measurements averages and IOP information to zero Choose the appropriate eye by selecting the OD or OS box on the LCD Selecting this box again returns it to the other eye Apply the probe to the patient s eye If the AccuPach VI is not in the AUTO READ mode press the foot switch to take the measure ment The AccuPach VI will automatically proceed to the next empty measurement if it is available The AccuPach VI will emit a high pitched chirp when you have automatically acquired a measure ment The AccuPach VI can take up to 9 measurements for each eye and provide the average of those measurements This average is the numbe
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