Stimuli™ 4.0 Manual 201010.cwk (WP) - Haag
Contents
1. buttons turn the background white or black respectively Page 16 Astigmatic Dial The dial can be presented and a confirmation dot can be displayed with the Left and Right F Circle buttons The indicators can be cleared with the Select button The optional foot pedals duplicate the Left and Right circle buttons and the Select button Page 17 Playing Video The Video Play button controls playing and stopping of video clips When a video clip is playing the Up and Down f Circle buttons and the Direct Access buttons control selection of additional clips The black Up and Down buttons are used to adjust volume when a film clip is playing The Mute amp button mutes the audio while the clip continues to play Sleep Mode If video or audio is playing the Pause A button will pause the video or audio otherwise the system will be put to sleep Page 18 Video Clip Sets Setl Set Set In addition to the provided set of pediatric cartoons other sets of clips may be added such as a set of Patient Education clips and a set of advertisements for the dispensary may be added Any number of sets of video clips or still images may be customized for the practice This is done simply by creating a folder of videos or stills and placing it in the Videos folder in the Stimuli folder Stimuli will automatically recognise the new folder and add it to the clip sets Sets of multiple video clips2. the letter and blocking your view simply use the mouse to move the window by clicking and holding the title bar at the top of the window and dragging the window to anew position Note If you happen to click anywhere outside the Control Panel then the Stimuli Calibration Setup screen will come to the front occluding the Control Panel Simply select the System Preferences function again Close the Displays Control Panel Click once on the Calibration Setup screen to ensure it is in the front to receive commands Now press the Menu button once on the hand controller to get to the Menu screen and using the Down iF Navigation button select Quit and press the Select 5 button The system will save all settings then quit Simply relaunch as described in Starting Up above and the Stimuli system is ready to use OUTCOME You have calibrated your system to a fine accuracy You can easily check the calibration of your system at any time by going to the Calibration window and measuring the actual refraction distance and the size of the calibration target and checking it against the denoted size and refraction distance Page 8 Configuring The System Your Stimuli Vision Station can be adjusted t to suit a great number of individual preferences Highlight a particular feature with the Right or Left Navigation buttons then use Up and Down F buttons to select the option you desire the system allows changing numerou
3. Stimuli a k AS J sa i Qoc Integrated Refraction System Direct Access Remote Controller Programmable Tests 7 Based on International Standards Version 4 0 Advanced Accommodata Corporation U S Patent Number 6 108 634 U K Patent Number 2329992 Japan Patent 3302697 Germany Patent 19781691 Canada Patent 2 251 080 Other Patents Pending Setting Up Your System Installing the Remote Unit Simply connect the remote receiver to the supplied cable and plug the cable into any available USB port on the computer or the keyboard Extension cables for the receiver are available for long examination rooms Place the receiver where it is most likely to pick up the signals from the hand controller Batteries last for approximately 6 months and are available at most drugstores or electronics supply store Batteries are also available directly from your dealer In the event you notice the unit is not always responding to button presses or that you must point the controller directly at the remote receiver install a fresh pair of batteries in the hand controller Installing the Security Key To install the Security Key simply plug the Key into any available USB port on the computer Once finished setting up and calibrating the unit the Keyboard and mouse may be disconnected and stored If you had installed your Security Key in a USB port on the keyboard it now must be moved to the spare USB port on the computer Star
4. To make a custom set use the black Up 6 and Down T buttons to select Custom 1 2 or 3 Use the Left 4 and Right E Navigation buttons to make the cursor square traverse the full list of Optotypes and the button to select the optotypes desired Page 10 Setup Media Pediatric Animal Parade Cebu Cheeseburger Keep Walking Larry Boy Video Thankfulness Water Buffalo CGGGEGEE E 6 aCe Stimuli s fixation educational videos set the standard Our exclusive Animal Parade is a pediatric favorite with interesting motorized animals that don t wear out or require replacement The automatic sequencing feature moves the system on to a new Animal every few seconds without intervention by the practitioner Both child and examiner can stay focused on the task at hand with Stimuli Animal Parade A set of cartoons is also included The Video Play D button is used to Play and Pause the selected video clip in the review window Clips can be directly selected with the Size buttons A number of Video Clip folders are available The Pediatric Clips folder is included with the system Sets of Multiple Clips may be added The Sets of Multiple Clips allow different varieties of video clips to be kept in different sets This is detailed in Video Clip Sets on page 19 Page 11 Acuity Charts Sleep FLCT SPEQT mire OHH cef Legends Menu EPGH peut The four main varieties of Acuity Ch
5. art are Progressive Lines Single Line Single Character and Multiple Lines of the same size These are chosen with the Left 4 and Right P Navigation buttons TFAGa aca mr rnp oO J i T Sizes are varied with both the Up and Down F buttons and the column of Direct Access buttons Note additional sizes between those represented by the Direct Access buttons are available both larger and smaller with variations in progression see Setup In Chart mode the black Up and Down amp buttons select the different optotypes available for testing some of which are optional Option Buttons The two feature buttons 4 and HF directly above the navigation buttons provide features which act upon the selected chart These features include a single column when in chart mode isolation contour bars pointer and an optional inverse light on dark Page 12 Pointer A pointer is available when in Line mode This helps with many younger older and foreign speaking patients It is easily controlled by the 4 and H buttons along with other test features The pointer is used to indicate the desired test object in a given line of characters The pointer automatically sizes to be easily viewable to the patient Isolation Contour Bars When operating in the Line or Single Character mode isolation is available The two feature buttons directly above the navigation buttons 4 and selectively provide an isolation box along
6. can be selected using the and feature buttons when a clip is playing When a Clip Set is selected and playing the Direct Access buttons allow direct selection of the first eight clips in each set The Up a and Down buttons allow selection of every clip in the set Page 19 Contrast Sensitivity OFPLOT SPEGT HHH TIVES An Contrast chart with similar features to the normal Acuity charts has the ability to lower contrast of the optotypes Sizes are selected with the Up and Down Y Circle buttons A new line of optotypes is generated each time the Select button is pressed The 4 and buttons will adjust contrast level from 100 down to 0 6 The contrast level and size can be displayed via the Legend button Page 20 Software License Agreement This is a legal agreement between you and Accommodata Corporation covering your use of Accommodata Corporation software Be sure to read the following agreement before using the software IF YOU DO NOT AGREE TO THE TERMS OF THIS AGREEMENT DO NOT USE THE SOFTWARE AND DESTROY ALL COPIES OF IT The software including any documentation electronic keys images photographs animations video audio music text and fonts accompanying this License whether on disk in read only memory on any other media or in any other form are licensed to you by Accommodata Corporation Accommodata Corporation does not transfer title to the software to you This L
7. ctual width in inches or millimeters The other terms will be automatically calculated OUTCOME The above adjustments have selected the type of computer you are using and provided the screen resolution Page 7 Step 3 Setting the Refraction Distance Measure the refraction distance from screen to patient s eyes Using the Left and Right E Navigation buttons on the hand controller move the Highlight Box to the Foot adjustment and select the refraction distance to the nearest foot using the Up 4 and Down F Circle buttons Using the Right E Circle button highlight the Inches adjustment and adjust the inches for the refraction distance as measured in the room If you prefer to work in meters then navigate to the Configuration screen and select Units Metric For an LCD flat panel monitor Confirm the measurement of the calibration target E Measurement is best effected by closing one eye and looking directly at the edge of the letter while aligning a ruler laid on the screen The indicated measurement should be within a fraction of a millimeter of the measured size For a CRT monitor To calibrate Cathode Ray Tube monitors which are separate from the computer using the Height and Width size adjustments on the monitor itself refer to monitor s User Manual adjust the size of the calibration target E until it exactly equals the calculated size If the Displays Control Panel is in front of
8. ent of Stimuli options amp features Optotypes Supports selection of optotypes presented Media Adjusts all film clip display and volumes Quit Allows you to leave the Stimuli program Shutdown Quits and shuts down the computer Navigation of the control screen is affected by the Up and Down navigation buttons Simply scroll to the desired feature and press the Select button to enter the chosen control screen Page 3 The Help Screen Legends Menu EEF EB o The help screen provides explanations of the different tests and the buttons used to control test features The graphical help for each test is adjusted to the features which are included with the system For example here is a help screen for a DuoChrome test Page 4 Calibrating the System 25 Refraction Distance 192 inches 21 B B 20 16 0 9 W W 18 Platform I iMac_21 5 1 Other 17 16 15 l4 Screen Size 13 1920 x 1080 12 102 6 0 248 DPI mnvP 11 Screen Width o BI am Current resolution 9 1920 1080 8 7 2 M feet System Preferences Your system should be delivered calibrated for your examination room from your local dealer If for some reason you wish to change the calibration or if you have moved the unit and need to adjust the calibration follow these instructions Press the Menu button on the handheld remote control to reach the man Menu screen Using the Up i and Down F navigation buttons on t
9. ess Other 7 2 M feet Candelair Choose the Displays function in under Hardware to set to the maximum resolution Please refer to the Apple documentation that came with your computer If the mouse is not connected to the system simply plug it into a USB port and it will begin working Page 6 OC iMac Resolutions 800 x 600 1024 x 768 1024 x 768 stretched 1280 x 720 1280 x 1024 1280 x 1024 stretched 1344 x 756 1600 x 900 1680 x 1050 A c A 1920 x 1080 Detect Displays _ Show displays in menu bar 0O Brightness ACTION Adjust the Resolution of the monitor to its maximum by choosing the setting Close the Preferences window and click on the Stimuli screen OUTCOME Your system is now set for the highest resolution Step 2 Selecting the Platform ACTION Ensure that the correct Platform is selected by pressing the Right Circle button to move the white Highlight Box to the Platform pane and select the correct Platform or computer you are using For example when using a typical iMac based system choose iMac_21 5 The Other setting is for any other computer display size such as a larger iMac or an older platform If using Other the horizontal and vertical resolutions must be entered in the fields provided Then screen s resolution may be entered as dots per inch DPD pixels per millimeter or simply by entering the screen s a
10. he remote scroll down until Calibration is highlighted and press Select You can navigate the calibration screen with your Right and Left 1 buttons and then use the Up Down buttons to adjust that aspect The on screen calibration calculator tells the user the measurable on screen size The maximum resolution setting for the computer must be used For older CRT displays that have adjustable rasters the following procedure requires confirming the size of the test E by measuring it on the screen with a ruler Page 5 Calibration of the Stimuli System requires three steps Step 1 Adjust display to its maximum resolution The maximum resolution setting for the computer must be used The computer should arrive already set to its maximum resolution To confirm this or to adjust the resolution of the screen launch the System Preferences on top of Stimuli by pressing the Star amp button 25 Refraction Distance 4 ANA System Preferences a a0 i 7 Gi stow at gt 22 Personal 9 oe oi es amp A o Q 6 Appearance Desktop amp Dock Expos amp Language amp Security Spotlight 19 Screen Saver Spaces Text 18 17 5 A 16 Keyboard Mouse Print amp Fax Sound 15 l4 Internet amp Wireless 4 13 oA l 2 MobileMe Network Bluetooth Sharing l1 System a9 eo gg og n C Accounts Date amp Time Parental Software Speech Startup Disk Time Machine Universal 8 Controls Update Acc
11. i will return to your programmed choice This feature greatly speeds vision testing and helps keep the patient s attention Note that the buttons both for programming and for navigating to the programmed chart are at the corners of the remote making reprogramming and navigation a snap Page 14 Sizable 4 Dot Test Our unique sizable Four Dot chart sets the standard The test is correctly calibrated for the refraction distance The intensity of of the circles may be adjusted for different Red Green eyewear to assure maximum extinction via the Four Dot Setup This test can be sized with the Up and Down F Circle buttons The external and internal angles in degrees can be displayed or spoken via the button Page 15 Fixation Dot o Upon entering this test you will be presented a white dot on a black background Stimuli includes many features to make this the most flexible and useful fixation device The different features supported include 1 Disappearing Dot Game 2 White Dot on Black background 3 Black Dot on White background 4 Animated dot 5 Flashing Dot 6 Combinations Pressing the center button makes the dot disappear and reappear The 44 and feature buttons Blink and Animate the dot respectively For convenience the Left 4 and Right buttons duplicate the feature buttons The animated dot moves in a varying trajectory in the patient s central field The Up and Down
12. icense allows you to install and use the software on a single computer at a time You cannot use the software without obtaining an electronic key from the copyright owner You may not decompile reverse engineer disassemble modify rent lease loan sublicense distribute or create derivative works based upon the software in whole or part or transmit the software over a network or from one computer to another If you violate any part of this agreement your right to use this software terminates automatically and you then must return all copies of this software documentation and electronic keys to Accommodata Corporation The software and related documentation are provided AS IS and without warranty of any kind and Accommodata Corporation expressly disclaims all other warranties express or implied including but not limited to the implied warranties of merchantability and fitness for a particular purpose and noninfringement of third party rights Under no circumstances shall Accommodata Corporation be liable for any incidental special or consequential damages that result from the use or inability to use the software or related documentation even if Accommodata Corporation has been advised of the possibility of such damages In no event shall Accommodata Corporation s liability exceed the license fee paid if any This Agreement shall be governed by the laws of the State of Ohio If for any reason a court of competent jurisdiction finds an
13. ites as described below Its range is over 7 6M 30 feet with a wide dispersion angle A Help Screen and all Stimuli setup screens are available through the Menu button on the bottom center of the wireless remote The Help option will show which buttons affect each particular test Page 2 Controlling the Stimuli System Control of the Stimuli System is reached through the Menu f button on the wireless remote To return from any setup screen press the Menu f button again Accommodata Stimuli ee na n Version 4 0 Advanced Som Help Copyright 1994 2010 Snellen Accommodata Corporation Numerals Calibrate All Rights Reserved TumbE _ _ _ Landolt F Canada Patent 2251080 Seton Configuration Germany Patent 19781691 PedShapes Japan Patent 3302697 MFE toty United Kingdom Patent 2329992 Wright Op lolypes United States Patent 6108634 ACShapes p Other Patents Pending T Rings Media Arabic Letters Arabic Optotypes DuoChrome Qu it Copyright 1983 Elias I Traboulsi M D Fixation FourDot T Rings Sue Shutdown Copyright 2004 Elias I Traboulsi M D Pointer Reahout Wright Figures MultiClip Copyright 2000 Kenneth W Wright M D Animals Cartoons VeggieTales Copyright Big Idea Productions Inc accommodata CORPORATION Help Displays functions of the Wireless Remote Control Calibration Allows access to Calibration controls of the unit Configuration Permits adjustm
14. mber of hand held devices such as an occluder The optional foot pedal unit allows handsfree control of the chart size Up and Down and Select 5 buttons Page 13 Direct Access to Tests Stimuli has always been the easiest system to use In addition to providing for direct access to different optotype sizes and for direct access to film clips when playing Stimuli supports direct access to tests This feature is easier than 1 2 3 1 Press the Pause button 2 Press any direct access button Button numbers correspond to the different available tests Programmed Favorite Chart 200 Acuity Charts 160 Red Green 125 Fixation 100 Astigmatic Dial 80 4 Dot Test 50 Contrast Sensitivity 30 lt reserved gt 20 Programmability The initial test screen presented to the patient is progressive from 20 20 up to and including 20 80 depending on screen size However Stimuli also supports a programmable chart starting point To program your favorite chart size optotype and presentation option into memory 1 Navigate to your favorite test chart such as the Pediatric progressive column of optotypes 2 Press the Pause a button on the remote The test screen will go into Sleep mode black 3 Press the bottom left button Star button twice you will hear a Ding Dong your test is now programmed To return to the programmed favorite chart form anywhere go into Pause and then press the 200 direct access button Stimul
15. s features Scale E Snellen _I logMAR _ Decimal 7 J6 m5 14 13 12345 jE Calibration units English or Metric units for refraction computer Optotype Units Snellen logMAR or Decimal units for optotype legends Progression American modified Snellen or true logarithmic chart progression Red Green Extinction Matches colors to Red Green Glasses View Direct viewing or Reflected mirrored examination lane Feedback Clicks when tests change with volume control or Silent operation Legends Allows selection of Far Near Desktop Readout or Audible Max Characters Line Adjust number of characters on a line Max Lines Chart Allows selection number of lines on multi line charts Progressive Equal or Filled charts Master Volume Overall volume control In general the Menu 4 button steps back up a level each time it is pressed all the way back to the current test chart Page 9 Setup Optotypes Many optotypes are available Some are options others are included and may be turned on or off at the clinician s preference j Highlight an optotype using the Up and Down buttons Activate or deactivate optotypes with the Select S button The system is configured to allow customizing of all optotype sets The Right Navigation button moves to a customization screen for each hi lighted optotype Choices include All optotypes Standard Selection or three Custom sets
16. ting Up Your Stimuli system from Accommodata Corporation can automatically turn on and off at preset times This is adjusted through the Schedule option under Energy Saver of the System Preferences control panel Please refer to Apple documentation You may also start up manually at any time by pressing the Power button on the unit The system will be available for use in about a minute Stimuli is set to launch when the computer is started If it is not configured this way or you have exited Stimuli you may launch Stimuli by pressing the Star amp button on the hand controller If a keyboard and mouse are connected you may also launch Stimuli by double clicking its icon on the desktop When you see the Stimuli startup screen press the Next Test button on the remote control to advance to the tests See Setting Up the System above for additional installation notes Page 1 The Stimuli Remote Previous Test Next Test Legends Menu Designed for ease of use the lightweight Stimuli Remote allows wireless control of all functions without the need for a bulky wired controller keyboard or mouse The buttons are luminescent for use in low light while the geometric layout allows the practitioner to make selections without looking at the remote Logical groupings of functions make control of each test intuitive The column of Direct Access Size buttons are also useful for directly accessing all major test su
17. with the other features When in single character mode contour bars are also available Random Charts For common letter charts the first set in a size is a common selection of characters Each time the Select 5 button is pressed a new chart of optotypes is presented which eliminates memorization by the patient The second and third sets of common optotypes are different but consistent so that the practitioner can eventually memorize them After the third chart all charts are randomly generated This randomly generated selection eliminates the problematic Memory Effect of conventional automatic and manual projector systems Legends Legends are controlled by the star amp button Visible legends can be selected in the Setup menu If a remote display panel is used it will indicate the Chart Mode and test details A second press of the star button provides a second page of legends for multi line optotype charts Audible Legends may also be selected which announce the size of the first optotype line and then announce the identity of each optotype upon a second press of the star amp button Young children like this Talking test feature which can simplify some testing Optional Foot Pedals Stimuli was first with foot pedal control of charts This hands free innovation is a boon to those working with younger patients or patients with special needs This option is especially useful if the practitioner wishes to use a nu
18. y provision of this Agreement or portion thereof to be unenforceable that provision of the Agreement shall be enforced to the maximum extent permissible so as to affect the intent of the parties and the remainder of this Agreement shall continue in full force and effect The software and documentation is provided with RESTRICTED RIGHTS Use duplication or disclosure by the Government is subject to restrictions as set forth in subdivision b 3 ii of The Rights in Technical Data and Computer Software clause at 252 227 7013 Manufacturer is Accommodata Corporation 20950 Edgecliff Road Euclid OH 44123 Accommodata Corporation 20950 Edgecliff Road Euclid OH 44123 Under License from Accommodata Corporation U S Patent Number 6 108 634 U K Patent Number 2329992 Japan Patent 3302697 Germany Patent 19781691 Canada Patent 2 251 080 Other Patents Pending 201010 Page 21
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