OCTOPUS 301/311 - Haag
Contents
1. Fixation monitoring absolutely necessary Switch function of headrest sensor on User is informed if the patient is moving back his or on or off respectively her head from the ideal position Message Patient moved off No message is displayed if the patient is moving back from the ideal position Independent of this setting user becomes aware of mismatch between patient s head position and setting in patient preparation Page 34 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition Pupil automatic Pupil size of the eye being examined The pupil diameter can be entered manually or determined Pupil manual by the system manual Press the Pupil button and change the Starting value by 0 5 mm with each key click Starting value 3mm if no size has been entered during preparation Size which has been entered during preparation Size which has been determined by the system automatic The pupil diameter is measured after 10 stimuli each averaged and displayed At the end of the examination pupil size is stored in the examination results Automatic pupil measurement is broken off if pupil size is entered manually before or during the examination displayed with Pupil Interval Set the stimulus interval For setting the time between two stimulus presentations Press the Interval button and change the default value by 0 5 seconds with each key c2. symbol and the examinations are selected from the examination file 9 1 Examination File The desired examinations are selected by clicking on the corresponding line in the examination list With repeated clicking the selection can be cancelled again Various functions permit multiple selections Examination file EXAMINATION FILE DISPLAY EDIT List of the completed or interrupted examinations gt b Table of contents consisting of Jackson E 09 11 39 32 06 16 01 OD _ Name ID number Jackson E 09 11 39 32 06 16 01 os Date of birth Smith J 11 23 52 CTI 06 16 01 OD Smith J 11 23 52 G1 06 16 01 06 16 01 Examination program Examination date Examined eye Examination status interrupted completed 06715 2001 10 20 800123 0 96 2001 06 15 0000 Figure 9 1 Processing Examination file W w Sort file Sort the list according to patient names or examination date In an increasing or decreasing series Patient names Click the left button AA ______ A Examination date Clickthe right button Print results x The Print function is invoked directly without a preceding sn display of the results on the monitor screen U U A 4 Scroll file forwards backwards The examination file can contain a maximum of 48 examinations Using the two buttons the list can be scrolled nz forwards or backwards until the desired examination is found E Select all examinat
3. 336 EEC directive for Electromagnetic Compatibility The instrument is designed and manufactured in such a way that generation and emission of electro magnetic parasitic signals are limited to levels that other appliances are not influenced in their specified functions Adequate inherent consistency against externally interfering electromagnetic signals is provided Technical specifications subject to change without notice OCTOPUS 301 311 User s Manual Page 49 50 H HAAG STREIT 7 ads INTERNATIONAL Precision by Tradition OCTOPUS 301 311 CE Symbol This medical device is in conformity with the following directives and standards For this it is marked with the CE symbol Directives e 93 42 EWG Medical Devices e 89 336 EWG Electromagnetic Compatibility EMC Standards e EN 60601 1 1990 e EN 60601 1 A1 1993 e EN 60601 1 A2 1995 e EN 60601 1 A13 1996 e EN 60601 1 2 1993 e ISO 12866 Page 50 50 OCTOPUS 301 311 User s Manual
4. Printer is offline A 317 Printer is busy 0 A a 318 _ Close printer COVER iii 33000 USB timeout or no cable 0 K 5 5 5 5 ii 31 o Unknown USB device nn 33300 Internal USB package error IL 41 Data reset check time ______ Levees 43432 Examination buffer cleared is 43 Setup set to defaults 000 Lovo 44 Setup modified by new software A OCTOPUS 301 311 User s Manual Page 47 50 H HAAG STREIT INTERNATIONAL 12 APPENDIX 12 1 Technical Data Manufacturer HAAG STREIT AG Gartenstadtstrasse 10 CH 3098 Koeniz Switzerland Instrument Datainput Page 48 50 _ OCTOPUS 301 Resistive Touch module U Precision by Tradition OCTOPUS 311 100 240 V AC 50 60 Hz 40 VA 2 x 13 15 AH 250 V Class Type B applied parts 450 x 530 x 560 mm 0 20 m2 450 x 450 mm 22 kg 900 x 580 x 660 mm 35 kg Operation Storage transport Operation Storage transport Direct projection perimeter Bracketing procedure Adjustable headrest Permanent video monitoring 30 0 40 dB 1dB 1592 cd m 5000 asb yellow 590 nm blue 480 nm Goldmann Ill V 100 ms 200 ms adaptive fixed 1 5 4 sec 10 cd m 31 4 asb white LED 100 cd m 314 asb yellow 530 nm RS232 Ethernet USB Printer Color LCD 640 x 480 pixels Resistive Touch module 15 C 40 C 20 C 60 C 20 79 10 95 OCTOPUS 301 311 User s Manual Precision by Tradition Instrument T
5. board connection Lovo 242 Interface board conmection isn 2430 Fixation board connection a Page 46 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition Error no Error text 244 Limit switch connection Leos 25 Battery buffer cleared iis 2460 Mainboard does not support BY Levees 27 _ Background does not supportB Y rn 251 Stimulus size relation U K rr 252 0 Stimulus DAC error A 253 o Background DAC error _ U Levon 256 _ Steps lost in x direction mips 257 2 Steps lost in y direction A aaa 28 o Steps lost in x and y direction ie 2610 Data reception failed U Levees 262 o Data reception incomplete is 233 Wrong character 0 C AAA AR ss 24 oo RTS CTS connection missing is 26565 _ Test connector missing a 26 _ Eee 267 Ethernet test failed e 28 _ Ethernet test failed nn 269 Ethernet test failed m sss 21 ELITE A 22 Stimulus size Levees EEE Stimulus size w x eee x 30 _ Internal printer package e 301 Printer notsupported U IL 302 o No printer selected A 303 Resolution not supported eee 3040 legal paper Size 35 Required cartridge not installed U IL 306 _ Function not supported nn 307 Quality duplexer not supported Levene 308 General printer error A 309 o Add paper and press resume Levee 310 Paper jam Hl C Ollll iis E Print job canceled by user K 5 5 i lisse 3 6
6. linear 16 12 0 5 6 0 0 55 0 35 Dynamic 25 21 In steps in steps in steps 36 32 of 0 1 of 1 of 1 49 45 64 52 2 0 81 69 100 76 non linear 81 69 0 5 2 6 0 0 0 0 in steps of 0 1 Low Vision linear square 16 12 0 5 6 0 0 55 0 55 round 25 21 in steps in steps in steps 36 32 of 0 1 of 1 of 1 49 45 64 52 2 0 81 69 100 76 non linear 81 69 0 5 2 6 0 0 0 0 in steps of 0 1 linear square 16 12 0 5 6 0 0 455 0 55 round 25 21 in steps in steps in steps 36 32 of 0 1 of 1 of 1 49 45 64 52 2 0 81 69 100 76 non linear 81 69 0 5 2 6 in steps of 0 1 Table 6 1 Relationships of the CT Program parameters OCTOPUS 30 311 User s Manual Page 23 50 H HAAG STREIT je si INTERNATIONAL Precision by Tradition Page 24 50 OCTOPUS 301 311 User s Manual Precision by Tradition 6 6 Settings for External Connections INTERFACES ETHERNET Printer Serial interface Auto j Service functions y Printout Baudrate black white y 19200 y Paper format H HAAG STREIT INTERNATIONAL External connections Installed printer Printout color black white Paper format Transmission parameters Figure 6 6 Setup Connections Interfaces Serial interface Baudrate Speed of data transmission Printer Selection of the connected printer rr ans er nnn re ae Definition of data transmission speed using the serial interf
7. needed They vary in importance and should help preclude risks for the patient and operator hinder damage to the perimeter and insure optimal functioning ATTENTION Instruction which must be followed to preclude risks to the patient and operator WARNING Instruction which must be followed to hinder damage to the perimeter TIP Tip for insuring optimal functioning of the perimeter In this handbook all of the functions of the OCTOPUS 301 311 are described Some functions are offered as options and may not be implemented or accessible in your instrument Page 8 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 3 GUARANTEE CONDITIONS e The instrument and accessories were manufactured from high quality materials and according to the newest methods and left our factory in perfect condition If you should nevertheless have any complaint please contact your representative e The manufacturer guarantees the instrument for one year beginning with the date of purchase The guarantee covers disorders and defects due to the materials and design Excluded from the guarantee are disorders and defects due to improper usage and outside influences as well as expendable items such as lamps ink cartridges etc e Every guarantee coverage will be denied if an intervention was made by an unauthorized person e _ Before the instrument is unpacked check whether there are traces on the packing of improper trea
8. of the optical unit O Switch to the examined test locations Switch to the eye being examined Fine horizontal positioning DO Q OR Fine vertical positioning il TIP Before selecting which button to press envisage moving the T crosshair towards the center of the pupil O O Figure 8 1 Fine positioning 8 2 Command Buttons Examination Progress During an examination with a normal or dynamic strategy and standard Norm lt gt KE L2 L3 parameters the DLI Defect Level Indicator shows the condition of the visual field The information is continuously updated The progress indicator shows how far the examination has progressed within the current phase Start Abort Figure 8 2 Examination progress The labels and functions of the various command buttons depend on the progress and status of the examination Start After the examination preparation is completed required data entered patient instructed and ne positioned the actual examination is begun Abort Abort the examination All of the data collected up to this point will be lost Break Break Insert a Stop at the end of the current stage or remove a programmed Stop Press the Break or Break buttons respectively A programmed Stop is displayed with Break The examination stops at the end of the stage in which the break has been programmed The examination can be resumed stored or aborted With Store the result
9. pull out the cable downwards Ifthe examination data are to be transmitted to a PC connect the OCTOPUS 301 311 and the PC with the serial connection cable or integrate the perimeter into your Local Area Network Plug the power cord in The built in power unit works with the voltage specified in chapter 12 1 Technical Data A change of voltage on the instrument is not required If an instrument table was delivered with the unit the OCTOPUS 301 311 can be connected using the power socket in the electronics box of the instrument table 4 4 Operating The operation of the instrument occurs with clear text elements are used which are known from the PC world such as Dialog box gt Dialog window divided into logical items Entry boxes gt Enter information using the keyboard or change by incrementing or decrementing List boxes gt Select parameter from a displayed list Buttons on off toggle gt Options activated by pressing a button Buttons with symbols gt Initiate functions Page 14 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition After switching on the perimeter the main screen appears on the monitor with the symbols for Prepare and perform an examination Analyze examination results Settings setup and an information window with ae a Current date and time 0 96 2001 06 15 0000 gt e x A Serial no of the instrument Softw
10. s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition AT arial wa ae oe ce it ale ee TY A is bye da iia Asm 1 I TAE AG CAPA SOLENN Power connector socket with fuse holder on the electronics box Up Down switch on the electronics box ATTENTION With patients in wheelchairs care must be taken when lowering the table that the table plate does not come into contact with their legs Figure 4 7 4 3 Installation 4 3 1 Instrument Table The instrument table is delivered in a separate package Utilize the instructions included with the table to put the table together and take care to select the correct voltage before connecting the power cord 4 3 2 OCTOPUS 301 311 Handle the instrument using both lower housing halves to lift it out of the packing Two ribbed grips hinder sideways slipping ATTENTION Do not use the forehead rest of the perimeter as a carrying handle This plastic part is not adequate for the weight and can be thus broken Since the OCTOPUS 301 311 works without a cupola a fully darkened room is not required In order though to make the examination conditions pleasant for the patient and for obtaining reliable results the instrument is to be placed in the room so that no direct light falls on the instrument or the patient The positioning between the patient and the operator or the operating panel can be so chosen that the room conditions are optimally used The patient
11. the examination as far as the parameters of the selected examination program permit this to be done Smith John OD z G1 z Normal Questions Repetitione Pos catch trials Neo catch trials MD dB Lv dB 2 Figure 8 3 Examination information 8 4 Parameter Changing Surname given name and date of birth of the patient eye being examined selected examination program and examination strategy being employed Number of stimuli that have been presented Number of stimuli that have been repeated Number of presented and falsely answered positive catch trials Number of presented and falsely answered negative catch trials Mean Defect MD average of the differences between thresholds and age corrected normal values Loss variance LV indicates the inhomogenity of the visual field Short term fluctuation SF only if phase 2 is examined All settings remain unchanged and will also be used in the following examinations Sensor Pupil Interval Control Video Fixation elek Figure 8 4 Sensor on adaptive med 50 50 Possibilities for Entering the pupil diameter Setting the sensitivity of fixation monitoring Setting the brightness of the eye image vial Procedure Press the desired function button arrow keys are displayed Press the arrow button until the desired value is displayed The arrow buttons disappear when the function button is pressed again not
12. trained and authorized technicians Through improper repairs considerable danger for patients and operators can arise If a part must be replaced only original parts as supplied by HAAG STREIT or your representative may be installed Guarantee coverage will be denied if instructions in the User s Manual are ignored The OCTOPUS 301 311 requires minimal care in order to perform for a long time to your complete satisfaction We recommend that you have the perimeter overhauled periodically by a service technician HAAG STREIT or your local representative will be happy to provide additional details 5 1 Cleaning It suffices to dust the instrument periodically with a soft cloth More obstinate dirt particles can be removed using a soft cloth dampened slightly with water or alcohol ATTENTION Avoid making the instrument wet and never use any solvents A dust cover is included with the accessories of the OCTOPUS 301 311 Cover the instrument when the room is cleaned or when it will not be used for a longer time 5 1 1 Patient Response Button Chin and Headrest Turning Knobs and Eye Occluder All of these parts are made from plastic which can be cleaned with no problems In order to keep them hygienically clean they should be cleaned periodically with a cloth or cotton dampened with alcohol 5 1 2 Ocular Finger prints and dust can be removed with a moist soft cloth 5 1 3 Monitor Screen Touch Module Finger prints and dust can be remo
13. with the required interface board IP examination data IP address of LAN server or PC IP address of the LAN server or a PC integrated in the LAN where the examination data of the OCTOPUS 301 311 have to be exported IP address of LAN server or PC IP address of the LAN server or a PC integrated into the LAN where patient information for examination preparation is available both addresses may be identical Gateway IP address IP address OCTOPUS perimeter IP address OCTOPUS 311 IP address of the OCTOPUS 301 311 in the Local Area Network After definitions are made and the devices are connected to tha LAN the correct communication can be checked by clicking on the Ping button Correct communication is confirmed by displaying a M sign if no communication is possible a EX sign is displayed Changes must be stored by pressing before leaving the dialog box Page 26 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 6 8 Settings for Data Communications INTERFACES ETHERNET DATA Data communication Selection of a Service Diagnostic function ai bi Selection of the analysis program where Service functions y Serial interface data have to be exported Data export Structure of patient information used to Peril rend PeriData ER er ee prepare an examination Definition of the interface used to tet communicate with a PC Patient information PeriT rend pat
14. 1 6 PalIEHERESDONSE BUllON audi EB 11 4 1 7 External GOMMGCUONS A e o 11 4 1 8 LIJN SOUCO S a ee Bee nee 11 4 1 9 LIOREINIONSIIOS 2 see een 11 A 10 SS ee ee ee 11 aR 91 0 kO 000 ere ep eee ee ea a ner ne ee On enden 12 A wanasaq cat usus apama a Q lei Ba lao nern 12 4 2 A Talenin cee ae Peale ee een beten dee 12 4 3 SA Maat tc Aukak qua nce ee Meas 13 4 3 1 IRSITUMERE TODO au ee ee ee ee 13 4 3 2 CTO BOT T nen ee A ee 13 4 4 OPEN dene ee era ee Re 14 5 CAREAND MAINTENANCE u u ee fen alas 16 5 1 CN i su supa pusu u sua Su cage as A ee tee cue k As an ua ss uns sa s te cept 16 5 1 1 Patient Response Button Chin and Headrest Turning Knobs and Eye Occluder 16 5 1 2 DET nanman ee rene eer et ert au u E AT hua eer earn ener ne emer ee eres eee ee 16 9 1 3 MONO Screen TOUCH IVIOO UC en ee ee ee 16 5 2 LIShE SO lees ee een 16 6 CONFIGURATION SETUP l ia 17 6 1 General Base SeliNgs in ee ei Eee DI 17 6 2 Presettings for Preparing an EXaminalon u a 18 6 3 Defining the Variants of the Standard Examination Programs ccccccccccsscsssescsscssescsscsssecsecessecsssessessseessesessesassessesasersaees 19 6 4 Selecting the Penimethy Metodo LI 20 6 5 Defining User defined Tests un ee 21 6 6 Settings Tor External Eohheellansan ss Eee 25 6 Ethernet Interface SENN Serisinin seele 26 6 8 Settings Tor Data Communications isase el 27 6 9 SEIVICE EUNCHONS li 27 T PERFORMING AN EXAMINATION 0000 ua ee
15. 11 ID The complete Setup information can be printed out via Setup Service Diagnostic Printer Protocols 10 3 Touch Screen Calibration Two ways to calibrate the touch screen are available It is of course wise to try to carry out calibration by using the built in service function refer to section b If access to this screen is not possible start calibration following the procedure in section a a Touch screen calibration with hidden function Procedure Switch perimeter off and on again and wait for the main screen Press patient response button and headrest sensors simultaneously and wait for confirmation 3 beeps Touch one corner of the screen by pen and confirm by pressing the patient response button 2 beeps Repeat this step with the 3 remaining corners Enter service function repeat calibration and save parameters refer to section b OCTOPUS 301 311 User s Manual Page 43 50 Lu ES INTERNATIONAL Precision by Tradition b Touch screen calibration with service function normal case Start calibration screen by pressing SETUP SERVICE DIAGNOSTIC SERVICE DIAGNOSTIC TOUCH SCREEN CALIBRATION Procedure 1 Press Start button 2 Touch one corner of the screen by pen and confirm by pressing the patient response button 2 beeps 3 Repeat step 2 with the three remaining corners Figure 10 3 Touch screen calibration 4 Press Verify button and ch
16. 123 Version no 140 96 2001 06 15 Enter new dongle code The keyboard is only released when the serial number of the instrument is stored in the memory To print out the complete instrument information see chapter 10 2 Instrument Information Figure 10 1 Setup Service Dongle Procedure to make additional functions accessible in the perimeter IMPORTANT The Dongle code function is only used when additional program options have been purchased To avoid free access and faulty manipulations the function is protected The Dongle button is only released after the two headrest sensors are pressed at the same time Customer Sends the serial no software version and the complete dongle code to HAAG STREIT or the A ee representative and orders the desired supplementary function s xU HAAG STREIT Based on the serial no and the present and ordered option s the new dongle code is computed land given to the customer 75 Customer Enters the complete new dongle code into the OCTOPUS 301 311 Open dongle code tab Click on Dongle code entry field numerical keyboard will be displayed Enter complete dongle code into the three entry fields Close keyboard with Esc Save new dongle code by clicking on Before saving the parameters are verified by the system A faulty dongle code will not be saved The message Dongle Code not accepted is displayed on the screen Delete wrong code a
17. G STREIT INTERNATIONAL Precision by Tradition 1 PARTS DELIVERED We are pleased that you have selected an OCTOPUS 301 311 the only direct projection perimeter Depending on what you ordered the parts you receive may consist of The OCTOPUS 301 311 Set of accessories Instrument table Printer Check the delivery for completeness 1 OCTOPUS perimeter 301 311 4 0692 0100 1 Set of accessories containing 4 0692 5100 1 Patient response button 4 0695 0040 1 Power cord 7 0052 900x 1 Dust cover 4 0692 5101 1 User s Manual 4 0200 0800 1 Ocular cover 4 0571 0114 3 Touch pens 7 0369 9001 1 Eye occluder 4 0692 5150 2 FuesT3 15 A 250 V 7 0027 0348 1 Allen wrench 2 5mm 9 0174 9006 1 Screwdriver 4 0692 5102 1 Instrument table for the OCTOPUS 301 311 4 0670 0100 or 4 0693 0100 1 Table top 4 0670 0260 or 4 0693 0220 1 Set of accessories 4 0670 0250 or 4 0693 0300 1 Power set 4 0670 11x0 1 Printer 1 USB connection cable Please carefully preserve the packing material so it can be used again if the instrument has to be returned or moved OCTOPUS 301 311 User s Manual Page 5 50 H HAAG STREIT INTERNATIONAL Precision by Tradition 2 SAFETY INSTRUCTIONS 2 1 General e This instrument can only be used for the purpose as described in this manual e The examination of the patients the operation of the instrument and the interpretation of the results can only be performed by persons who are experienced and who have been tra
18. RES HAAS STREI INTERNATIONAL Precision by Tradition OCTOPUS 301 311 User s Manual OHAAG STREIT 01 2004 IZ Nr 4 0200 0800 Revision 5 HAAG STREIT AG Switzerland Phone 41 31 978 0111 Fax 41 31 978 0282 info haag streit ch HAAG STREIT USA INC USA Phone 1 513 336 6858 Fax 1 513 336 7828 octopus haag streit usa com HAAG STREIT DEUTSCHLAND GmbH Germany Phone 49 4103 709 02 Fax 49 4103 709 370 info haag streit de HAAG STREIT AUSTRIA GmbH Austria Phone 43 1 895 0364 Fax 431 895 0368 info haag streit at HAAG STREIT FRANCE France Phone 33 4 5009 0033 Fax 33 4 5009 7190 info haag streit fr OCTOPUS 301 311 User s Manual HAAG STREIT No 4 0200 0800 H HAAG STREIT je si INTERNATIONAL Precision by Tradition Page 2 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition TABLE OF CONTENTS E PARTSDEFIVEREDY nu a A RESET 5 2 SAFETY INSTRUCTIONS uuu k u He 6 2 1 COSI nn AP uama D aaa ua anqana aksa 6 2 2 Instrument Transportat k uu u ee 6 2 3 SVIMDOIS Uli 6 2 4 Special NoticesIn Ne Text u uuu u T 8 3 GUARANTEE CONDITION Sii u uu uuu ss 9 2 INTRODUCTION see nee 10 4 1 OGTOPUS A ae een re acess en ii nennen 10 4 1 1 A ee ee 11 4 1 2 FUCA FOS mana una aa amata aniaya Sasa Mananash asta aasan a aaa N ama 11 4 1 3 PUTA OOS IO K san ate Ses ids io nt u nn seas nennen 11 4 1 4 A Seel 11 4 1 5 HA au ee aoa amu aa mamana el s a ee rere 11 4
19. able Operation principle Safety Regulations H HAAG STREIT INTERNATIONAL M Table 300 ELLLPLETLELPLPFLELPLELLELFLEFL PEPERELELERLELELDLLELPELLLELELLELELELERLELELLRLELELLELELELLLLELELLELRPELUELELELERLELELLELELELLLLELLELLLRLLLERLELELLRLELELLLLELELLELELELLELELELELLRLELELLELELLELELELLELELELLELBEELLRLELELERLELELDELELELLLLELLLLRLELELERLELELLLLELELLELELDELLLELLLELELELLLLELELER ELLLELELTLELPLPFLELPLELLELFLEFL PELLRLELELLLTELELPLLELELLLLELELLELELELLLLELELLELELELLELELELLLLELELLELELELLELELELLELELELLLLELELLELELELLELELELDELELLLLELELELLLLELELLRLELELLELELELLELELELLLLELELLELELELLLLELELLELELELLRLELELDELELELDLLELELLLLELELELLELELLELELELLLLELELLELELEELLLEELLELELELLELELELEN ELLLELELLELFLPFLELPLEFLELFLEFL PEPLRLELELLLLELELPLLELELLLLELELLELELELER ELELLLLELELLRLELELLLDELELLLLELELLLLELELLELELELLLLELELET ELELLLLELELPELELLLLLLEELLLLELELLELELELLELELELLELELEELLLELELLLLEELLLLELELLELELELLRLELELLELELELDELELELLLLELELELLELELLELELELLLLELELLELELDELLLEELLELELELLELELELER ELLLELELLELPLPFLELPLELLELFLEFL PEPPRLELELELLELELPLLELELLLLELELLELELELELLELELLELELELLLLELELLLLELELLLLELELLLLELELLELELELLLLELELLLLELELLLLELELPELELLLLELELELLLLELELLELELELLELELELLELELPLLLLELEELELELELLLLELELLELELELLRLELELLELELELDELELELLLLELELELLELELLELELELLLLEELLELELDELLLELELLELELELLELELELER Motorized spindle column continuously electrically adjustable The perimeter complies with the EN 60601 1 Safety Class I Type B instrument EMC The OCTOPUS Perimeter 301 311 complies with the requirements of the 89
20. ace All baudrates are set to valid default values If the baudrate is changed for the OCTOPUS 301 311 be sure to have the same baudrate in the PC Procedure Select desired parameter in Serial interface Select speed of data transmission in Baudrate and save Only printers with USB interface can be connected Normally the connected printer is identified automatically Black white or color printouts are available Be aware that color printouts take more time to be processed and printed compared to black white printouts The standard paper formats A4 Europe and Letter USA can be selected Changes must be stored by pressing El before leaving the dialog box OCTOPUS 301 311 User s Manual Page 25 50 H HAAG STREIT INTERNATIONAL Precision by Tradition 6 7 Ethernet Interface Settings INTERFACES ETHERNET DATA Ethernet interface settings P addresses of connected PC s Gateway address es Addresses for data import export ne et P address of OCTOPUS perimeter HEHE IP patient Information Gateway I T PB U TT Addresses OCTOPUS 311 Subnet mask m m Figure 6 7 Setup Connections Ethernet In connection with the integration of an OCTOPUS perimeter into a Local Area Network some specific settings and installations have to be carried out on the server and on the OCTOPUS 301 311 preferably by an IT specialist Details are available in a separate description shiped
21. addition to other entry possibilities the following symbols are used for operating the perimeter Main Monitor Screen Examination preparing and performing Analysis of examination results Configuration Setup Page 6 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition Examination m v 4 gt A Female patient Male patient Delete all entered items set examination parameters to standard values Sort patient file according to name or examination date Select parameter 4 Scroll patient file upwards or downwards Select all examinations Remove selection Switch to monitoring examination progress Switch to monitoring patient eye Horizontal fine positioning Vertical fine positioning Data Analysis Display the next selected examination page forward d Display the previously selected examination page backwards y Sort examination file according to name or examination date h W Scroll examination file upwards or downwards Print k Store changes Setup 4 b Select parameter Store selected parameter Back to previous screen Back to main screen OCTOPUS 301 311 User s Manual Page 7 50 H HAAG STREIT INTERNATIONAL Precision by Tradition Messages Errors Messages information O Error messages Warning AN Warning against hazard 2 4 Special Notices in the Text Further safety instructions are put into the text as
22. al Page 31 50 H HAAG STREIT INTERNATIONAL a VF Scroll file forwards backwards w ZZ Br eT o ep san 7 7 Information Precision by Tradition The patient file can contain a maximum of 48 examinations Using the two buttons the list can be scrolled forwards or backwards until the desired examination is found When a patient is to be examined whose patient data is already in the list proceed as follows Search for the patient in the list Highlight the patient Press the New button gt Data will be taken over in the boxes of the Preparing an Examination Standard Program screen All entries can be changed see chapter 7 4 gt Start examination with OK When an interrupted examination is to be resumed proceed as follows Search for the patient in the list Highlight the patient Press the Continue button gt Program continues with Monitoring an Examination see chapter 8 Entries cannot be changed Various program parameters from the selected examination program and the age corrected normal values are shown in the information window Parameters cannot be changed here Information from the examination program PATIENT ENE PATIENT FILE INFORMATION Brief description of the selected G1 Glaucoma program examination program Program for the examination and follow up of glaucoma Age Eye Stimulus size Duration ms Background ed m2 Strategy Me
23. are version link date Accessible options Figure 4 11 GENERAL METHODS Tab Reference address 1 Entry box LA List box A F a Buttons on off toaale L EZ Button anguage English w Dial tone Tar DO MMI Y YY Figure 4 12 Dialog box MM DD YYYY MM DDAYYY GENERAL METHODS Ref rn After an entry box has been activated buttons are presented which can be gt used to increment or decrement the PO preset values or an alphanumeric keyboard is displayed which can be Date format used to enter the required information DD MMAYYYY Y a a 2002 9 Time format e a A a Figure 4 13 Entry fields Tab with capital letters ID Date of birth NI Tab with small letters Tab with numbers and special symbols Program Strategy la A ma Y Delete character on the cursor s left A Close keyboard ABC abc 123 eZ Figure 4 14 Keyboard Delete character on the cursor s right ENTER key Move cursor left Move cursor right OCTOPUS 301 311 User s Manual Page 15 50 H HAAG STREIT 7 ne INTERNATIONAL Precision by Tradition 5 CARE AND MAINTENANCE WARNING Housing sections of the perimeter may only be removed by trained persons The on off switch does not separate the perimeter from the power Before the housing section is removed the instrument must be disconnected from the power by detaching the power cord Repairs may only be made by
24. by Tradition Set the fixation target which is displayed for the patient during the examination If the selected fixation target collides with a test location another target is displayed during the corresponding stage Number of examination stages Specify the number of examination stages which shouldbe Fixation symbol Stages gone through If the auto button on the side has been pressed the program will end after the preset stages have been worked through Select reference address to be printed in the header of a printout After clicking on the default address is selected address which is presented in the Setup Configuration General window Delete entries set standard values When an examination is being prepared the patient data and the program parameters from the previous examination are offered After the Delete button is pressed the patient data is deleted and the program parameters defined in the setup are taken over The OK button turns blue when all the required data have been entered Press OK to start the examination Examination monitoring and examination procedure are described in chapter 8 Monitoring an Examination IMPORTANT The required items can be reduced to a minimum when the setup has been well matched to your needs PATIENT EYE PATIENT FILE INFORMATION Examination preparation Eye related data Pupil Acuity Sphere Cylinder Axis IOP Notes Smith John Right eye DD Fi
25. d the selected printout will be printed automatically at the end of the examination If the button has not been pressed the Report selection has no meaning selecting a further variant Perimetry methods O Stimulus and background colors Stimulus and perimetry method O E Figure 6 4 Setup Configuration Methods Stimulus Background Stimulus and background colors Page 20 50 Examination x Connections x Service x In the OCTOPUS 301 white white perimetry is used In the OCTOPUS 311 blue yellow is available in addition and can be selected and user defined filters can be utilized The required entries for calibrating the perimeter are described in chapter 6 6 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition Perimetry method In the OCTOPUS 301 standard perimetry is used normal rectangular stimulus for specified duration In the OCTOPUS 311 additional options are available see separate description Changes must be stored by pressing before leaving the dialog box 6 5 Defining user defined Tests In the OCTOPUS 301 311 five examination programs CT1 CT5 can be defined by the user and stored optional in the OCTOPUS 301 For programs in which the grid center does not lie at the zero point x y 0 0 one must insure that the programs are defined for examining the right eye The conversion of the test location coordinates takes place then a
26. de with the fixation target are eliminated from the program Examination strategy Specify the examination strategy which controls the examination process Strategy TOP not available OCTOPUS 301 311 User s Manual Page 21 50 H HAAG STREIT INTERNATIONAL Precision by Tradition 5 oa co Ben Stimulus size Size of the displayed stimuli Set the stimulus size according to Goldmann III or V Stimulus duration Duration of the displayed stimuli Set the duration of the individual stimuli UI U Report Desired printout Select the default image to be printed out The possibilities nn depend on the selected parameters see Table 9 2 Image Desired display Select the default image which is to be shown on the monitor screen The possibilities depend on the selected parameters 0 AA Spacing Spacing of the test location grid Specify the spacing between the individual test locations Center x x coordinate of the test area center Define the x and y coordinates of the test area center Center y y coordinate of the test area center UU Center Examine center point of the test area Specify whether the center point of the test area should be examined or not Changes must be stored by pressing before leaving the dialog box Page 22 50 OCTOPUS 301 311 User s Manual Precision by Tradition HS INTERNATIONAL Strategy Pattern Shape 1 Testlocations Spacing Centerx Centery Center Stimulussize Stimulus duration Normal
27. e ee 28 7 1 INS IEUELNGE TINS Pale ee teats en ee en ee ee een rennen ee 28 7 2 TALLEN SES u nu a N o nee 28 7 3 Sitlating the Pateh u u yu 2 ar ibas 28 7 4 Preparing an Examination Standard Program I n n n nn 29 7 5 Preparing an Examination ET PO sl 31 7 6 A en ee een here ee 31 1 7 MN a Rod AS O tee 32 8 MONITORING AN EXAMINATION en 33 OCTOPUS 301 311 User s Manual Page 3 50 H HAAG STREIT INTERNATIONAL Precision by Tradition 8 1 Fie FOS HI CNMI FOCUSING erica ba 33 8 2 Command Buttons Examination Progress ee 33 8 3 Examination Monna lO een 34 8 4 Parametros nee 34 8 5 Continuing an interrupted Examination anne 35 9 ANALYSIS OF EXAMINATION RESULTS 36 9 1 EXAMINAN E O ede ee E EE qushaq ES 36 9 2 DISPLAY NE ROSS orrs O E E ORE 37 9 3 Fe GATES EG RESUS AO PP LE 37 9 4 Man n TING l eire E npa aaa 39 9 4 1 REPI aUai 5 53 e O reine 39 9 5 SAA PP RL 39 9 6 Chanding Patent AAA e o o een 40 10 AUXILIARY FUNCTIONS ee een ar nenne innere 42 104 Releasing Program Oplons ans ae 42 WOT FOCU e A AA A A EA 42 103 2 ENCIMA DION A Eee cake 43 1013 The RESUNS OF Code Mistakes ia dk ae 43 19 2 SUITE TUE ITO NIV AOI uuu tidad iaa id 43 10 3 Touchscreen Calibration tee ee ee 43 11 SYSTEM MESSAGES aa ee 45 Il MESSAGES rennen 45 112 JENS rt 45 12 APPENDIX u ee ER OP TN MC RST oC A eee en eee 48 121 Po Ti A RS 48 Page 4 50 OCTOPUS 301 311 User s Manual H HAA
28. eck at any screen position if cursor follows the pen 5 Save parameters if calibration is acceptable otherwise press Start and repeat procedure Figure 10 4 Verification of calibration Page 44 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 11 SYSTEM MESSAGES Two kinds of system messages are distinguished Messages The instrument performs a function which takes a certain amount of time The message disappears automatically when the function has completed its action The instrument is unable to perform a function due to the reason which is shown The message disappears automatically when the problem has been solved Errors The instrument is unable to perform a function and the message is deleted by operator response The problem must be resolved by the operator or if necessary by a service technician 11 1 Messages 401 Close ocular for adjustment 402 ________ Dimroomlight for examination jy CO K aaaaaa 403 Dim room light for recheck ee 410__________ Dongle code not accepted U L J A Parameters not accepted I 42 _ Serialnumber missing Z 43 No modification of serial number 40 _ Examination buffer full x 1 421 sd Calibration buffer fUll x 430 Function not supported A 901 Parameter adjustment 92 Parameter ee 910 Select othereve tee i911 Pationt rests ie 9312 Position patient correctly UU 913 Set trial l
29. en two successive stimuli varies according to the instrument settings and the patient response speed of the patient It can range from roughly 1 5 to 4 seconds 7 2 Trial Lenses The patient sees the stimuli at infinity and thus his or her eye must be corrected for distance The spherical lens is put on the patient s side the cylindrical on the ocular side of the lens holder For the correct positioning of the cylindrical correction axis the trial lens holder is fitted with marks separated by 10 The first mark to the above right corresponds to the O position The trial lenses can remain in place during the whole examination The trial lens holder can be swung out roughly 25 towards the front for changing the trial lenses comfortably 7 3 Situating the Patient We recommend using a chair in which the back and the seat can be adjusted Place the chair so that the patient is in as relaxed a posture as possible An electrically adjustable instrument table optional allows the height of the instrument to be fitted to the patient s physical size comfortably Cover the eye not being examined with the occluder which is included in the accessories give him or her the patient response button and explain its operation Adjust the headrest and table height so that the patient can rest his or her chin on the chin rest without having to alter their posture and so that his or her forehead touches the sensors in the forehead rest right eye left indentati
30. enses if required 94 Patient MOVed ade 95 _ Fixation loss sisi 930 931 Commandinprogress I L 90 _ Incorrect settings not saved 91 o Restart to activate Ethernet U 11 2 Errors Error no Error text 1 69 GeneralOSerror 1 69 OO 70 19 General examination error 70 149 I 150 Position not adjusted yet TN 151 No WW parameters 000 152 Brightness not adjusted yet hee L 153 Z Stimulus not detected dann 15400 Stimulus fine adjustment NEE 155 _ Stimulus center adjustment denn 156 Stimulus not on sensor center eee AST No WW parameters sii 158 DAC control timeout l l 159 Nouserparameters see 160 o Examintion parameter out of range 162 No background light OCTOPUS 301 311 User s Manual Page 45 50 H HAAG STREIT INTERNATIONAL Precision by Tradition Error no Error text x x 163 GE No light on BG sensor Lovo 164 0 No light on A iii 165 Stimulus intensity recheck _______ D 166 Ooo Background intensity recheck mis 167 0 Reference position lost IL 168 Wrong stimulus positions se 170 No B Y parameters e AM Stimulus intensity t00 lOW i 172 Background intensity too low _ Levees 173 OdB stimulus adjustment range l aa 174 _20dB stimulus adjustment range Leone A Background adjustment range 176 0dB stimulus out of tolerance IL T _20dB stimulus out of tolerance un 178 Background out of tolerance Levene 179 OdB stimulus adjustment
31. fe by removal of the power cord Housing parts may only be removed by trained and authorized technicians 4 1 5 Operating Unit The operation of the instrument takes place in clear text via the Touch Screen Information is made available via a color LCD monitor The contrast of the display can be adjusted using the screwdriver contained in the accessories see position 22 in Figure 4 3 Operation and data entry occurs by touching the data entry module with the finger or with the touch pen which is included in the accessories When alphanumeric entries are requested a keyboard is shown in the lower half of the display WARNING In order to protect the module surface do not employ a pointed object ball point pen pencil etc for entering the data 4 1 6 Patient Response Button The patient response button is connected on the underside of the headrest holder RJ11 connector 4 1 7 External Connections Connection possibilities for a printer USB interface and for a PC RS 232 and Ethernet interface are provided on the connector panel 4 1 8 Light Sources LEDs are built in for background illumination fixation targets and stimulus LEDs produce no waste heat and thus no active cooling is required 4 1 9 Light Intensities The light intensity of the stimulus and background are measured with independent photo sensors and are calibrated to their preset reference values every time the perimeter is switched on 4 1 10 Stimulus T
32. gure 7 2 Examination Eye Entering the eye related data is not absolutely necessary The dialog box can only be selected when the eye to be examined has been selected All entered information is deleted when the other eye is selected Pupil Pupil size All information entered here is voluntary and is not checked Acuity Acuity for plausibility If data has been entered and the other eye is Sphere Spherical refraction correction selected everything entered up to that point is deleted Cylinder Cylindrical refraction correction After is pressed see above eye related data is also Axis Axis of the refraction correction deleted IOP Intra ocular pressure Comment Lines for comments aa As information the surname given name date of birth and the examined eye of the patient are shown Click on the Patient tab to start the examination Page 30 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 7 5 Preparing an Examination CT Program In order to select a user defined program the CT button has to be pressed Program Strategy Report Examination preparation for CT Program fin A auto ci d gt E J w KA Program parameters Fixation target Stages El E auta SN Figure 7 3 Examination Patient CT program Enter the personal patient data and the eye related data See chapter 7 4 Preparing an Examination Standard Program 7 ARA a ae Teer a e Select the pr
33. he duration and brightness of the stimuli are controlled electronically A mechanical shutter and optical attenuation elements are unnecessary OCTOPUS 301 311 User s Manual Page 11 50 H HAAG STREIT o 7 INTERNATIONAL Precision by Tradition 4 1 11 Fixation Monitoring The eye of the patient being examined is illuminated with IR LEDs recorded using a CCD camera and displayed on the LCD monitor The built in automatic patient monitoring guarantees the reliability of the examination results The fine positioning of the examined eye takes place via a motorized fine adjustment of the optical unit 4 1 12 Examination Data The built in data storage offers room for 48 examinations Examination results can be shown on the built in LCD monitor issued on the printer connected to the USB interface and or transmitted over the serial interface to a PC 4 2 Instrument Table An electrically adjustable instrument table optional makes it possible to comfortably adjust the height of the instrument to the individual size of the patient Table top with holder for patient response button Electronics box Patient response button Electrical column Table foot N oF 0 FN Figure 4 4 6 Voltage selection switch on the electronics box 7 Power connector for attaching the OCTOPUS 301 311 WARNING Be sure to set the correct voltage before Inserting the power cord connector Figure 4 5 Page 12 50 OCTOPUS 301 311 User
34. ient b Ethernet Data format e H Configuration x Examination Connections Service x S x Figure 6 8 Setup Connections Data ServicelDiagnostic Service and diagnostic functions Per default this parameter is set to Service functions Service functions is used to upgrade application software and to modify User texts To apply these two functions the serial interface is required Data export Analysis program where data have Selection of the analysis program where data have to be to be exported exported For data export to PeriData the serial interface is required For data export to PeriTrend Ethernet or serial interface is used To use the Ethernet interface the corresponding installation and configuration of the OCTOPUS perimeter and a PC or the LAN server is required Patient information Patient information for the Demographics to identify the results of the patient to be Data format preparation of an examination examined can be selected from PeriTrend or an EDP system special PeriTrend or EDP functions required Auto export Automatic data export Examination results are automatically exported to the connected PC at the end of an examination or after an automatic printout on the OCTOPUS 301 311 if this button is pressed After transmission the data is deleted from perimeter buffer Changes must be stored by pressing f before leaving the dialog box 6 9 Service Functions The service functions a
35. iguration Examination x Connections x Service i x Figure 6 1 Setup Configuration General Reference address es Address information on printout Input fields for up to six addresses or information sequences The one selected during examination preparation is printed in the printout header After clicking to the input field the keyboard is automatically displayed After clicking on the next input field is presented save previous input first Date format Sequence of the date entry and The entry sequence of the current date and the date of birth display of the patient are set with Day Month Year or Month A j Day Year 000 Actual date Current date x Setting the current date sequence according to the Date A A Oa el L a Time format Display type of the current time x Specifying whether the current time is to be entered and ne and the time of the examination displayed in 12 or 24 hourmode I Actual time Current time Setting the current time according to the Time format SER Language User language 5 languages English German French Italian and Spanish are selectable The selected language is adopted after leaving the setup Using a software tool on the PC the text in further not implemented user languages can be translated separate description OCTOPUS 301 311 User s Manual Page 17 50 H HAAG STREIT u eg INTERNATIONAL Precision by Tradition For activating or deactivating a s
36. ined accordingly e The instrument is to be installed on the height adjustable table and employed in a dimly lit room in a medical area e Keep this User s Manual there where persons who operate the instrument can consult it at all times Guarantee claims can only be valid when the instructions in the User s Manual are followed e The doctor or operator is to instruct the patient in the safety instructions and check that they are observed e Make sure that the instrument is connected only to the power source as defined on the perimeter rating plate The on off switch does not separate the perimeter from the power lines Before maintenance or cleaning work is performed the power cord must be removed from the wall socket e Removal of the housings and repairs to the instrument are permitted only by trained and authorized technicians Considerable danger for the operator and patients can be caused by improper repairs e Only original replacement parts and original accessories are permitted for repairs 2 2 Instrument Transportation Transport the instrument over large distances in the original packing For short distances the instrument can be lifted using the two lower housing sides Two ribbed grips are provided on the left and right sides which prevent from slipping sideways Do not use the forehead rest of the perimeter as a carrying handle This plastic part is not adequate for the weight and can be thus broken 2 3 Symbols used In
37. ions Highlight all the examinations in the examination file Cancel the selections in the examination file Cancel the selection Page 36 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 9 2 Displaying the Results Select examination s in the examination file and press the Display tab The type of image which has been defined in setup see chapter 6 3 Defining the Variants of the Standard Examination Program will be displayed on the monitor EXAMINATION FILE DISPLAY EDIT Images on monitor 30 Types of images depend on the selected MD2 10 5 MD1 2 5 en examination program 08 12 1977 Right eye OD 20 08 2002 17 06 G1 Normal 4 gt MD3 5 5 MD4 4 3 a gt Greyscale CO 20 08 2002 17 06 Eooo00 13 93 2002 08 14 2047 Figure 9 2 Processing Display 4 gt Scroll through the various images Display further image when the selected examination permits ee a A multiple images L lig Select previous next examination Display image of a further examination when multiple examinations have been selected Printer menu Invoke printing The function is only available when a single examination has been selected 9 3 Printing the Results Select one examination in the examination file Access to the Printer menu is available by pressing the symbol or via the Display tab EXAMINATION FILE DISPLAY EDIT Printing the re
38. is software must be present in the PC e g PeriT rend 3 examinatinon s will be exported and removed from memory x 06 16 2001 10 23 B00123 e dh N 0 96 2001 06 15 0000 Figure 9 4 Processing Edit Export Invoke the Export function The highlighted results will not be transmitted when the dialog box is closed by pressing the in the OCTOPUS 301 311 memory icon The data remain unchanged 9 5 Deleting Results Select examination s in the examination file and press on the Edit tab and the Delete button For your information the number of selected examinations is shown and the real deletion procedure must be started by pressing OK The procedure can not be rescinded OCTOPUS 301 311 User s Manual Page 39 50 HS INTERNATIONAL Precision by Tradition Deleting results Delete examination results irretrievably from the data memory ande a KS Figure 9 5 Processing Edit Delete Invoke the Delete function Delete The highlighted results will not be deleted when the dialog box is closed by pressing the 5 icon The data remain unchanged in the OCTOPUS 301 311 memory 9 6 Changing Patient Data Select one examination in the examination file and press on the Edit tab and the Change button As when preparing an examination there exists a dialog box with personal patient data and a further one with eye related data Corrections are possible for personal patie
39. k on the corresponding symbol a Date of birth Patient s date of birth The patient s date of birth must be entered The sequence of how it is typed Day Month Year or Month Day Year was defined in the setup see chapter 6 1 General Basic ee Wi IMM Eye Eye to be examined Click on the eye which is to be examined This item is ee absolutely required ct La Program Standard examination program Select the program to be used for the examination To select a standard program do not press the CT button For each of these programs three variants can be defined see chapter 6 3 Defining the Variants of the Standard Examination Programs By clicking on gt the next variant will be selected This button has no function for CT programs CT CT button If a CT program is to be used see chapter 7 5 Preparing an Examination CT Program for examination preparation The CT button is not pressed for standard examination Be E A A E PO Strategy Examination strategy Select the strategy which is to be used in the examination TOP optional O a aaa aaa Report Desired printout Select the default image which is to be printed The auto Report possibilities depend on the selected program see Table 9 1 If the auto button at the side is pressed the selected printout will be printed automatically at the end of the examination OCTOPUS 301 311 User s Manual Page 29 50 H HAAG STREIT m ne INTERNATIONAL Precision
40. lick or set interval to adaptive fix Fixed time between 1 5 4 seconds adaptive The time interval is matched automatically to the response behavior reaction time of the A O en patient Control Sensitivity of the fixation monitoring Press the Control button and change the parameter to the desired value off No automatic fixation monitoring min Only lid close detection Deviations of the pupil from the ideal position are not checked med Medium sensitivity of the fixation monitoring max Maximum sensitivity of the fixation monitoring auto Automatic fine positioning option is u Ve Video Brightness of the displayed eye Press the Video button and change the parameter until the er desired brightness is achieved U Fixation Brightness of the fixation target Press the Fixation button and change the parameter until the desired brightness is achieved 8 5 Continuing an interrupted Examination Interrupted examinations can be restarted and resumed The procedure is described in chapter 7 6 Patient File OCTOPUS 301 311 User s Manual Page 35 50 HAAG STREIT INTERNATIONAL H 9 ANALYSIS OF EXAMINATION RESULTS The analysis of the examination results consists of Displaying results on the monitor Printing results Transmitting results to evaluation software on a PC Changing certain data Deleting results Precision by Tradition The functions are always accessed via the Analysis
41. nd enter it the correct way OCTOPUS 301 311 The new additional functions are accessed via the graphical user interface Page 42 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 10 1 2 Entering the Dongle Code Dongle code The complete dongle code consists of a multi digit three part series of numbers see example on the left Entering the code is done via Setup Service Dongle 1234567890 123 a 0 1 You need to click Dongle while pressing both forehead support IMPORTANT For safety reasons the Dongle menu will only become active when the two sensors on the forehead support are pushed in until you clicked on the Dongle button Then you may release the sensors The additional functions are only made accessible when the dongle code is entered without any mistakes into the instrument it was created for 10 1 3 The Results of Code Mistakes Every dongle code is unique and only valid for a specific instrument Mistakes made while entering it or the entering of it into the false instrument false serial no have the consequence that only the basis functions are then accessible Changing to the old code is possible at all times 10 2 Instrument Information Instrument information Dongle 0311 ID Diagnostic Calibration The complete instrument information can x be printed out via Setup Service O311 ID Figure 10 2 Selup Service O3
42. nt data eye related data Corrections are not possible for program specific data the examined eye Changing patient data Altering and augmenting personal patient data E ar EE AOS Ciossmaks MM H nn m Figure 9 6 Processing Edit Change Patient Page 40 50 OCTOPUS 301 311 User s Manual Precision byTradition H INTERNATIONAL Changing eye related data Altering and augmenting eye related data Figure 9 7 Processing Edit Change Eye Before leaving the dialog box changes must be stored by pressing El Changes are not stored if the dialog box is closed by pressing 5 in which case the former values remain unchanged OCTOPUS 301 311 User s Manual Page 41 50 H HAAG STREIT INTERNATIONAL Precision by Tradition 10 AUXILIARY FUNCTIONS 10 1 Releasing Program Options some of the functions of the OCTOPUS 301 311 are offered as options and are not accessible in the basic version of the software Basically all the functions are present in the software but some can only be made accessible with a code This code is delivered by HAAG STREIT and is then entered by the customer into the instrument Information about such additional functions can be obtained directly from HAAG STREIT or from your representative 10 1 1 Procedure DONGLE CODE Dongle codes Read out software master data Actual dongle code Serial no Software version Dongle code Serial no B00
43. ogram in the Program list box Program CT examination program Select one of the 5 predefined CT programs in the list box e The gt z button has no function for CT programs U Strategy These parameters are displayed for your information They can only be changed in the setup see Report chapter 6 5 Defining user defined Tests Fixation target a AAA OR auto Report auto Stages 7 6 Patient File All interrupted and completed examinations are recorded in the patient file Interrupted examinations can be resumed again and the personal patient data can be taken over in a new examination from a completed one PATIENT EYE PATIENT FILE INFORMATION Patient file Directory of the examinations which have been performed Resume interrupted examinations Jackson E 09 11 39 06 16 01 xxx Jackson E 09 11 39 06 16 01 xxx Examination status 52 016 01 OD interrupted completed Smith J 11 23 52 06 16 01 The examination file can contain a maximum of 48 examinations The message Examination buffer full indicates that results have to be transmitted or deleted before starting a new examination 06 16 2001 10 14 600123 0 96 2001 06 15 0000 Figure 7 4 Examination Patient file v w Sort file Sort the list according to patient names or examination date in an increasing or decreasing series Patient names Click the left button Examination date Click the right button OCTOPUS 301 311 User s Manu
44. on left eye right indentation The height of the chin rest should be set using the adjustment knob so that the eye of the patient lies even with the inscribed rings on the two columns Page 28 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 7 4 Preparing an Examination Standard Program Examinations or examination preparation are always accessed via the Examine symbol Before an examination can begin a few items must be entered PATIENT EYE PATIENT FILE INFORMATION Preparing an examination Personal patient data Name First name Gender Program parameters N ew eae on u onda 1 xamination and chapter 6 3 Defining the ial a f f Eu os KZ Variants of the ad irn Program Strategy Report Program show how the presettings can be 6111 y gt Normal 7in1 y ato optimized Fixation target H Stages Reference address Dr John Smith z 20 08 2002 17 04 E00000 NS 13 93 2002 08 14 2047 Figure 7 1 Examination Patient standard programs The information which the system requests depends on the setup see chapter 6 Configuration Setup The items which are always required are the patient s date of birth and the eye to be examined Patients name Enter the patient s surname Co Firstname Patient s given name Enter the patient s given name KHU D Patients identification number Enter the Identification number U I Gender Patients gender Clic
45. on by Tradition Four in One report For specifying where the types of display should be shown on Option the Four in One printout Every combination of the four selectable images is possible If the results of a program are printed for which one or more images are not supported the corresponding fields remain empty Changes must be stored by pressing before leaving the dialog box 6 3 Defining the Variants of the Standard Examination Programs The G1 32 M2 ST and LVC examination programs are built into the OCTOPUS 301 311 For each of these programs three variants 1 2 and 3 can be defined and stored as buttons P V1 P V2 and P V3 SETUP PROGRAMS CUSTOM TESTS CT Program variants Parameters for standard examination Program programs 51 5 a Strategy Stages P 2 Normal y 8 y auto e P v3 Catch trials Z Report 10 v 7in1 y FA Fixation target Image Cross marks y DE v f Configuration x Figure 6 3 Setup Examination Programs Procedure Select the examination program from which the variants should be formed from the Program list box Select the variant which is to be changed by pressing one of the P V1 P V3 buttons Define the variants by assigning the various parameters Store the parameters Repeat the procedure for all the desired programs and variants Strategy Program dependent examination Assign the selected examination program an examination TOP op
46. ound as confirmation when a button is pressed Changes must be stored by pressing before leaving the dialog box 6 2 Presettings for Preparing an Examination SETUP PROGRAMS CUSTOM TESTS CT Presettings Additional patient information when Patient data Program preparing an examination Name first name gender aan gt Desired examination program O a 1B Gender ea Layout of the Four in One printout Four in One report Image 2 Image 1 Values y Greyscale YA Image 3 Image 4 Defect curve y Corrected comparison y Configuration x Examination Connections x Service x Figure 6 2 Setup Examination Setup Name first name gender Patient surname given name and For determining which parameters must be entered for gender identifying the patient ID gender A e Patient ID number and gender Every combination of these two buttons is possible Program Desired examination program For determining which program should be presented as standard when preparing an examination Per program three variants 1 2 and 3 can be selected Choose the program from the list first and click on gt in order to change the variant number the variants are defined in chapter 6 3 Defining the Variants of the Standard Examination Program Sound which accompanies stimulus presentation Page 18 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precisi
47. re described in the x x x OCTOPUS 301 Service Manual Configuration Ezntmrrutiori Connections Service Figure 6 9 Setup Service OCTOPUS 301 311 User s Manual Page 27 50 H HAAG STREIT mr ER INTERNATIONAL Precision by Tradition 7 PERFORMING AN EXAMINATION Careful examination preparation helps increasing the reliability of the results The patient should be informed about the examination process so he or she can cooperate optimally 7 1 Instructing the Patient Fixation During the entire examination the patient concentrates on the fixation target which is displayed in the center of the field of view Examination Process At various locations in the field of view stimuli flashes of light of a certain duration and intensity are shown The patient acknowledges that he or she perceives the stimulus by pressings quickly on the patient response button Perception of the Stimuli It is normal that the patient is unable to see many stimuli The number depends on the selected examination strategy and the condition of the patient s visual field Duration of the Examination The duration of the examination depends on the selected examination program and the examination strategy and can range from roughly 3 to 15 minutes Stopping the Examination Process By closing the eye being examined or holding the patient response button down the patient can stop the examination process Stimulus Interval The time betwe
48. s obtained up to this point from the completed stages are stored and examination is marked as having been interrupted Stop Stop the examination process at some place The examination can be resumed stored or aborted With Store the results obtained up to this point from the completed stages are stored and examination is marked as having been interrupted Continue Resume an examination that has been halted by pressing Stop Restart A part of the first stage of an examination is often used to show the procedure to a patient who is new to this type of examination After stopping within the first stage the examination can be started again without leaving the monitoring mode All of the data collected up to this point will be lost OCTOPUS 301 311 User s Manual Page 33 50 H HAAG STREIT INTERNATIONAL Precision by Tradition Resume an examination that has stopped after Break at the end of a stage Start the next phase of an examination after the end of a phase has been reached and the selected examination program permits one or more further phases When the examination program has completed all the test locations the results are stored automatically By pressing Save the results from the stages which have been completed up to the point of pressing are stored and marked as being an interrupted examination Next or ee A 8 3 Examination Information All the displayed information is continuously updated during
49. sits across from The patient sits on the The patient sits on the the operator operator s left operator s right Figure 4 8 OCTOPUS 301 311 User s Manual Page 13 50 H HAAG STREIT Bun INTERNATIONAL Precision by Tradition 1 Headrest holder with 3 Allen screws T Figure 4 9 Loosen the three Allen head screws roughly 2 turns counterclockwise on the perimeter of the headrest holder Allen wrench is included with the accessories and turn the headrest together with the optical unit into the desired position Tighten the three Allen head screws again A complete rotation around the column is blocked by a built in limit Place the instrument on the table so that the opening of the table foot and the headrest are in the same direction Connect the patient response button to the connector located on the support of the headrest The connector housing for the patient response button is accessible from below on the headrest support The catches on the patient response button connector are oriented in the direction of the instrument column ATTENTION Besides the patient response button no other cable should be attached to the RJ11 connector Headrest support with connector Instrument column Figure 4 10 Connector with catches Stick the connector plug so far into the connector housing that the catches audibly click To remove the patient response button press the catches in the direction of the headrest and
50. sults Direct from the examination file or ii di After displaying the results on the monitor Seven in One Four in One Two on One Values Comparison Greyscale YA Greyscale CO 5 06 16 2001 10 22 800123 db 0 96 2001 06 15 0000 Figure 9 3 Processing Display Print OCTOPUS 301 311 User s Manual Page 37 50 H HAAG STREIT INTERNATIONAL Precision by Tradition The possible images depend on the examination programs which have been performed or the selected examination parameters Tables 9 1 and 9 2 show the various possibilities Program mg Report CT programs Table 9 2 Defect curve Comparison Greyscale CO Values Greyscale VA Indices Defect curve Comparison Greyscale CO Values Greyscale VA Indices Defect curve Comparison Greyscale CO Values Greyscale VA Indices susya Dynamic Low Vision Images CT programs Page 36 50 Comparison Greyscale CO Values Greyscale VA Four in One Seven in One Comparison Greyscale CO Values Greyscale VA Four in One Seven in One Comparison Greyscale CO Values Greyscale VA Four in One Seven in One Defect curve Comparison Greyscale CO Values Greyscale VA Indices Defect curve Comparison Greyscale CO Values Greyscale VA Indices Symbols CO Symbols VA Comparison Greyscale CO Values Greyscale VA Four in One Seven in One Comparison Greyscale CO Val
51. t LCD monitor Figure 4 3 Electrical fuses are located on the bottom of the Instrument base plate Page 10 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition ATTENTION AN All external devices connected to the connector panel must comply with the corresponding safety standards 4 1 1 Optical Unit HAAG STREIT is the only company which offers perimeters with a direct projection system OCTOPUS 301 311 1 2 3 The stimuli are projected directly into the patient s eye via the optical unit which replaces the cupola This technique does not require a darkened room for examinations 4 1 2 Headrest A slightly tilted headrest permits the patient to maintain a comfortable posture during the examination Sensors in the forehead rest provide information about the correct position of the patient s head 4 1 3 Trial Lens holder If necessary trial lenses can be used during the entire duration of the examination The stimulus is seen at infinity and thus only a correction for distance is required The trial lens holder can be swung forwards approximately 25 for changing the trial lens in comfort 4 1 4 Housing The optical unit and the electronics are protected by a housing with three sections The optical unit and the electronics of the OCTOPUS 301 311 are accessible after the upper section of the housing has been removed 4 screws WARNING Before opening the instrument must be made sa
52. thod Age corrected normals Stimulus Also suitable for general purpose threshold examinations 20 08 2002 17 05 Eoo000 13 93 2002 08 14 2047 Parameters of the selected examination program Display of the age corrected normal values at the test locations when the standard program parameters were In Pe employed in a threshold value program 100 10 Ifthe age of a patient is defined the Normal numbers correspond to the age corrected white white normals Standard If no age is defined the numbers correspond to the normal values of a 20 years old person Examination Information Figure 7 5 To specify luminances the two units asb and cd m are used Conversion asb divided by Pi 3 14 cd m cd m2 multiplied by Pi 3 14 asb Page 32 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 8 MONITORING AN EXAMINATION After the examination preparation has been completed by pressing the OK button the monitoring screen appears This is the right moment to position the patient at the instrument see chapter 7 3 Situating the Patient 8 1 Fine Positioning Focusing The fine positioning of the eye to be examined takes place via the arrow buttons on the Touch module For larger horizontal movements the optical unit can be turned manually Position the pupil precisely on the crosshairs and focus the display of the eye with the adjustment knob
53. timeout rn 180 Too bright for light adjustment Levon j M Too bright for position recheck mis 18200 Stimulus projector timeout UU Levon 18300 Limit switch es notreached aa 18400 Limit switch es pressed U Ua 185 mi k Svith es detecte y y y y yCKK COU aaaaaal 186 Upper limit switch not reached U Levon 187 Bottom limit switch not reached r U a 188 Left limit switch not reached UU Levees 18900 Right limit switch not reached rn 190 Upper limit switch pressed 0 D da Bottom limit switch pressed a 192 Left limit switch pressed 000 Levee 193 Right limit switch pressed aa 194 Upper limit switch detected Levees 195 Bottom limit switch detected A 196 Left limit switch detected _ IL 197 Right limit switch ete 198 _20dB stimulus adjustment timeout Levee 199 Background adjustment timeout ms 2200 No response from PC A rr 201 PC Mot ready iii 202 Transmission error U 0 Levees 203 Receiver Cron aaa 215 _ Ethernet setup not valid Levees 26 _ No response from Server nn 27 Ethernet transmission error a 218 00 Ethernet receiver error iis 21 Battery low O y Levees 23200 USB power failed iii s 0 0 SIM flash checksum _ 7 Levon 234 Boot flash checksum iii 2353 _ Calibration flash checksum_____ Levers 26 _ Memoryerror A 2 2 _ Video RAM error Levees 238 Battery buffer A 239 Setup parameters lost U Leese 240 EM a 244 Sensor
54. tional strategy strategy The available possibilities depend on the OCTOPUS 301 311 User s Manual Page 19 50 HAAG STREIT INTERNATIONAL H Stages Number of examination stages auto Stages aa a RER Fixation symbol Image Desired type of display er nn ee auto Report Store the definitions by pressing before leaving the dialog box or 6 4 Selecting the Perimetry Method GENERAL METHODS Stimulus Background Stimulus white white Standard Blue Yellow Flicker Precision by Tradition Specify the number of examination stages which should be gone through If the auto button on the side is pressed the program will end once the stages have been gone througn If it is not pressed the Stages selection has no meaning Set the number of catch trials as a percentage which should be presented during the examination same number of positive and negative catch trials Set the fixation target which is displayed for the patient during the examination If the selected fixation target collides with a test location another target is displayed during the corresponding stage Select the default display which is to be shown on the monitor The possibilities depend on the selected examination program see Table 9 1 Select the default display which is to be printed The possibilities depend on the selected examination program see Table 9 1 If the auto button at the side is presse
55. tment or damage is evident If present advise the transport company who brought the article Unpack the instrument together with a representative from the transport company Make a protocol concerning possible damaged parts which you and the transport firm representative should then sign OCTOPUS 301 311 User s Manual Page 9 50 H HAAG STREIT INTERNATIONAL Precision byTradition 4 INTRODUCTION 4 1 OCTOPUS Perimeter 301 311 The OCTOPUS 301 311 is a direct projection perimeter for examinations of the central visual field 30 It is a stand alone system which means the examination and control units are integrated into the instrument i 1 Optical unit with upper housing 9 2 Lower housing left and right 2 3 Grip locations left and right 4 Rotation and height adjustable instrument column for 10 3 fine positioning 5 Headrest with 6 Forehead rest with integrated sensors 7 4 7 Chin rest 8 Turning knob for chin rest positioning rough positioning 8 gt 9 Ocular 10 Trial lens holder with IR eye illumination 14 11 Connector for patient response button Figure 4 1 12 Turning knob for image focusing 13 Operating unit with LCD monitor and Touch module 14 Instrument base with Connector panel and Power supply le 15 Connector panel with 18 16 Power switch 19 17 Power connector gt 18 Printer connector USB 19 Serial interface RS 232 22 20 Ethernet connector 21 Ethernet control lights 15 22 Contras
56. ues Greyscale VA Four in One Seven in One Symbols CO Symbols VA OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 9 4 Transmitting the Results The examination results can be transmitted to a PC with the corresponding analysis software for data storage and analysis Required are Personal Computer PeriTrend data storage and analysis software Data transmission cable IZ no 4 0571 9250 or standard RJ45 LAN cable 9 4 1 Preparation PC data transmission and analysis software is installed the reader is referred to the PeriTrend User s Manual for details Connect the serial interface of the PC and the OCTOPUS 301 311 connector panel with the data transmission cable fasten connector screws or integrate the OCTOPUS 301 311 into your Local Area Network Setup the parameters of the OCTOPUS 301 311 correctly see chapter 6 6 Settings for External Connection Select examination s in the examination file and press on the Edit tab and the Export button For your information the number of selected examinations is shown and the real transmission procedure must be started by pressing OK Following a successful transmission the results are deleted from the memory The procedure can not be rescinded MINATION FILE DISPLAY EDIT Transmitting the results Transmit examination results to a connected PC and delete them from the memory A data storage and analys
57. utomatically when a left eye is examined SETUP PROGRAMS CUSTOM TESTS CT CT Programs Parameters for user definable Test locations Stimulus size Grid examination program S 64 52 y II bad E Pattern Stimulus duration Spacing linear 100 y g Ai Strategy Phases Center x CT3 Normal j 2 y Shape Report Center v CT4 round ini y B ET5 Fixation target Image Cross marks y DC Center Configuration x Examinator Connections x Service x Figure 6 5 Setup Examination Custom tests CT Procedure Select the CT program which is to be defined by pressing the associated CT1 CT5 button Define the program by assigning the various parameters Some parameters depend on each other or on the examination strategy Not all combinations are thus selectable see Table 6 1 Store the definitions by pressing E before leaving the dialog box or choosing a further CT program Test locations Number of test locations Specify the number of test locations which are to be examined The number in front of the slash defines the number for a square test area the number after the slash the number for a round one Pattern Distribution of the test locations a alii he y e AS Shape Form of the test area Square or round test area AA Fixation target Fixation symbol Set the fixation target to be displayed for the patient during the examination Test locations which colli
58. ved with a moist soft cloth 5 2 Light Sources In contrast to other perimeters in the OCTOPUS 301 311 LEDs are employed as light sources for the background illumination and the stimulus These almost never burn out Should it ever prove necessary to replace one of the LEDs please contact the customer service of your representative Page 16 50 OCTOPUS 301 311 User s Manual H HAAG STREIT INTERNATIONAL Precision by Tradition 6 CONFIGURATION SETUP In order to perform examinations with the OCTOPUS 301 311 and analyze the results only a few items have to be entered or manipulations made when configuration and setup has been correctly carried out It will prove valuable to study the following chapter in order to work with the instrument efficiently Basically The options are selected which are shown in the window of a dialog box A function is activated when the associated button is pressed For alphanumeric information a keyboard is displayed automatically or the values are changed by incrementing or decrementing Before the box is closed the selected changes must be stored 6 1 General Basic Settings GENERAL METHODS Basic settings Date date format Reference address 2 E Time time format g John Smith gt o User language A Mills Drive 24 0455 Pretoria Dial tone Date format DD MM AY z E goe Time format HH MM 24h y E i Language English z Dial tone Conf
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