Canon TX-F Specifications

Operation Manual
Before using the instrument, be sure to read this manual thoroughly.
Keep the manual where it is easily accessible.
PLEASE NOTE
1.
The user is responsible for the use and maintenance of the product. We suggest that a
member of the user’s staff be designated as being in charge of maintenance so as to
ensure that the product is kept in a safe and good condition.
Also, medical products must be used only by a qualified person.
2.
In no event will Canon be liable for direct or indirect consequential damage arising out of
the use of this product.
3.
This product may malfunction due to electromagnetic waves caused by portable personal
telephones, transceivers, radio-controlled toys, etc. Be sure to avoid having objects such
as these, which affect this product, brought near the product.
4.
Canon reserves the right to change the specifications, configuration and appearance of
the product without prior notice.
© CANON INC. 2004
All rights reserved.
Under copyright laws, this manual may not be copied, in whole or in part, without the written
consent of Canon.
Safety Information
Regulations
For U.S.A.
Federal law restricts this device to sale by or on the order of an ophthalmologist or optometrist.
This instrument is a CLASS I EQUIPMENT and TYPE B APPLIED PARTS according to
UL2601-1.
Do not make any changes or modifications to the equipment unless otherwise specified in the
manual.
If such changes or modifications should be made, you could be required to stop operation of
the equipment.
NOTE: This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of the FCC rules.
These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment.
This equipment generates, uses, and can radiate frequency energy and, if not
installed and used in accordance with the instruction manual, may cause harmful
interference to radio communications.
Operation of this equipment in a residential area is likely to cause harmful interference in with case the user will be required to correct the interference at his own
expense.
Use of shielded cable is required to comply with class A limits in Subpart B of part 15 of FCC
rules. The following mark shows compliance of the instrument with Directive 93/42/EEC.
For Canada
This equipment complies with the Canadian ICES-003 class A specifications.
(1)
Safety Information
General Safety Information
Follow the safety instructions in this manual and all warnings and cautions printed on the warning
labels. Ignoring such cautions or warnings while handling the product may result in injury or accident.
Be sure to read and fully understand the manual before this product.
Keep this manual for future reference.
Meaning of Caution Signs
! WARNING
This indicates a potentially hazardous situation which, if not heeded, could
result in death or serious injury to you or others.
! CAUTION
This indicates hazardous situation which, if not heeded, may result in minor or
moderate injury to you or others, or may result in machine damage.
NOTE
This is used to emphasize essential information.
Be sure to read this information to avoid incorrect operation.
Environment of Use and Storage
! WARNING
Do not use or store the instrument near any flammable chemicals such as
alcohol, thinner, benzine, etc. If chemicals are spilled or evaporate, it may
result in fire or electric shock through contact with electric parts inside the
instruments. Also, some disinfectants are flammable.
Be sure to take care when using them.
! WARNING
Do not use or store the instrument in a location with the conditions listed
below. Otherwise, it may result in failure or malfunction, fall or cause fire or
injury.
- Close to facilities where water is used.
- Where it will be exposed to direct sunlight.
- Close to air- conditioner or ventilation equipment.
- Close to heat source such as a heater.
- Prone to vibration.
- Insecure place.
- Dusty environment.
- Saline or sulfurous environment.
- High temperature or humidity.
- Freezing or condensation.
! CAUTION
Place the instrument on a firm table
Do not place it extremely near the edge of the table in order to avoid damage
or injury due to falling.
! CAUTION
Do not cover the vent holes on the cover.
Otherwise, the temperature in the instrument may rise and cause fire.
(2)
Safety Information
Installation Operation
! WARNING
Do not connect the instrument with anything other than specified.
Otherwise, it may result in fire or electric shock.
Also, when other equipment is going to be connected to the instrument using
the connector for interface, be sure to check after connection that leakage current is within the tolerable value.
For details, please contact Canon representative or distributor.
Power Supply
! WARNING
Only operate the instrument with the type of power supply indicated on the rating label. Otherwise, it may result in fire or electric shock.
! WARNING
Be sure to disconnect/connect the cables as indicated in this manual.
The unit weighs 21 kg, so bear in mind that it may tip over if proper care is not
taken.
Also, do not handle them with wet hands. Otherwise, you may get an electric
shock that may result in death or serious injury.
! WARNING
Securely plug in the power cable into the AC outlet.
If contact failure occurs, or if dust or metal object comes in contact with the
exposed metal prong of the plug, fire or electric shock may result.
! WARNING
Be sure to hold the plug or connector to disconnect the cable.
If you pull the cable, the core wire may be damaged, resulting in fire or electric
shock.
! WARNING
Do not cut or process the cables. Also, do not place anything heavy, including
the instrument on it, step on it, pull it, bend it, or bundle it.
Otherwise, the cable may be damaged, which may result in fire or electric
shock.
! WARNING
Do not get the power for more than one instrument from the same AC outlet.
Otherwise, if may result in fire or electric shock.
! CAUTION
The instrument is shipped with a grounding type (three-core) power cable.
To reduce the risk of electric shock, always plug the cable into a grounded
power outlet.
! CAUTION
To make it easy to disconnect the plug at any time, avoid putting any obstacles
near the outlet.
(3)
Safety Information
Handling
! WARNING
Do not measure an eye of which cornea is frail due to corneal disease or due
to it having undergone an operation. Otherwise, complications may occur.
! WARNING
Never disassemble or modify the product as it may result in fire or electric
shock. Also, since the instrument incorporates high-voltage parts that may
cause electric shocks and other hazardous parts, touching them may cause
death or serious injury.
! WARNING
Do not place anything on top of the instrument.
Otherwise, the object may fall and cause injury.
Also, if metal objects such as needle or clip falls into the instrument, or if liquid
is spilled, it may result in fire or electric shock.
! WARNING
When the instrument is going to be moved, be sure to turn OFF the power
switch, unplug the power cable from the AC outlet, and disconnect other
cables. Otherwise, cable may be damaged, which may result in fire or electric
shock.
Also, when the instrument is going to be carried, be sure to support the bottom of the instrument an hold it horizontally.
Do not hold it by the face rest poles or other parts, as they may come off and
result in injury.
! WARNING
Do not hit or drop the instrument. The instrument may be damaged if it
receives a strong jolt, which may result in fire or electric shock if the instrument is used without it being repaired.
! CAUTION
Wipe the forehead rest with ethanol or glutaraldehyde solution to disinfect it
each time a different patient uses the instrument, in order to prevent infection.
Please consult a specialist for the procedure for disinfection.
! CAUTION
Change the chin rest paper each time the examinee changes in order to keep
the chin rest clean.
! CAUTION
Measurement head moves when the instrument is initializing or after printing
the result. Do no have the examinee place his/her face on the chin rest until
movement is completed. Otherwise, the examinee may be hurt.
! CAUTION
Set the position where to stop the measurement head with the LIMITER
switch each time the examinee changes in order to prevent accidental contact
of nozzle with examinee. Be sure to look from side of the examinee when
deciding the stop position. If the stop position is not set correclty, the examinee may be injured. Also, if the message “LIMITER OFF” does not disappear
even after LIMITER switch pressed several times, stop the measurement and
contact Canon representative or distributor.
! CAUTION
Do not have the examinee place his/her hand or fingers under the chin rest or
near the measurement head. Otherwise, injury may result.
! CAUTION
Do not touch the cutter of the printer. Otherwise, fingers may be cut.
! CAUTION
When the instrument is not going to be used, turn OFF the power switch.
Also, unplug the power cable from the AC outlet when it is not going to be
used for a long time.
(4)
Safety Information
Handling
! CAUTION
This instrument uses a lithium battery, which may pollute the environment if
the instrument is abandoned.
Please contact Canon representative or distributor before disposing of the
instrument.
When Problem Occurs
! WARNING
Should any of the following occur, immediately turn OFF the power of each
instrument, unplug the power cable from the AC outlet, and contact Canon
representative or distributor.
- When there is smoke, odd smell or abnormal sound.
- When liquid has been spilled into the instrument or a metal object has
entered through an opening.
- When the instrument has been dropped and it is damaged.
Maintenance and Inspection
! WARNING
For safety reasons, be sure to turn OFF the power of each instrument when
the inspections indicated in this manual are going to be performed.
Otherwise, it may result in electric shock.
! WARNING
When the instrument is going to be cleaned, be sure to turn OFF the power of
each instrument, and unplug the power cable from the AC outlet.
Never use benzine, thinner or any other flammable cleaning agents.
Otherwise, fire or electric shock may result.
! WARNING
Clean the plug of the power cable periodically by unplugging it from the AC
outlet and removing dust or dirt from the plug, its periphery and AC outlet with
a dry cloth. If the cable is kept plugged in for a long time in a dusty, humid or
sooty place, dust around the plug will attract moisture, and this could cause
insulation failure which could result in a fire.
! WARNING
The instrument must be repaired by a qualified engineer only.
If it is not repaired properly, it may cause fire, electric shock, or accident.
! CAUTION
For safety reasons, be sure to inspect the instrument before using it.
(5)
Safety Information
Rating Label and Warning Label
The TX-F has a rating label and a warning label on it.
Contents of those and positions where they are attached are indicated below.
Warning Label
See manual
Mirar el manual
This unit weighs 21 kg –
it may tip over if proper care is
not taken.
This mark indicates that this
is a Type B Applied Part
according to UL2601-1/
EN60601-1.
This unit can be installed in
the patient environment.
Rating Label
(6)
Contents
Safety Information ................................................................................................ (1)
1. Overview ........................................................................................................ 1
2. Notes for Using the Instrument ...................................................................... 2
3. Description ..................................................................................................... 3
3.1 Main Unit ...................................................................................................................... 3
3.2 Connectors under the Main Unit .................................................................................. 5
3.3 Operation Panel ........................................................................................................... 6
3.4 Display on Measurement Screen ................................................................................. 8
3.5 Display on DISPLAY and SET Modes Screens ........................................................... 11
4. Measurement Modes ..................................................................................... 12
4.1 Measurement Modes ................................................................................................... 12
4.2 Relation between Settings and Measurement Operation ............................................ 13
5. Measurement ................................................................................................. 15
5.1 Preparation .................................................................................................................. 15
5.2 FULL AUTO/AUTO Measurement ............................................................................... 20
5.3 MANUAL Measurement ............................................................................................... 27
6. Measurements Stored in Memory [DISPLAY Mode] ...................................... 31
7. Various Settings [SET Mode] ......................................................................... 32
7.1 Settings for Measurement (Page: 1/3) ......................................................................... 33
7.2 Settings for Printing and Transfer (Page: 2/3) ............................................................. 36
7.3 Entering Message for Internal Printer (Page: 3/3) ....................................................... 39
8. Daily Inspection and Maintenance ................................................................. 43
8.1 Inspection .................................................................................................................... 43
8.2 Before Calling a Service Person .................................................................................. 45
8.3 Cleaning and Disinfection ............................................................................................ 51
8.4 Replacement ................................................................................................................ 55
8.5 Expendable Parts List .................................................................................................. 59
9. Installation ...................................................................................................... 60
9.1 Installation .................................................................................................................... 60
9.2 Precautions when Moving the Instrument .................................................................... 62
10. Service Information ...................................................................................... 63
11. Specifications ............................................................................................... 64
12. Components ................................................................................................. 66
1. Overview
The Canon Full Auto Tonometer TX-F is an instrument for measuring intraocular pressure
without making contact with examinee’s eye.
Just by displaying the examinee’s eye somewhere on the monitor and pressing the START
switch, the TX-F then automatically performs alignment and measurement by a three
dimensional tracking system.
Measurement mode can be selected
The examiner can select a measurement mode from three modes: FULL AUTO, AUTO and
MANUAL.
In FULL AUTO mode, measurement of both eyes will be performed automatically.
Also, the result can be selected to be printed automatically after measuring both eyes.
Thus, full measurement can be done very easily in a short time.
In AUTO mode, alignment and measurement will automatically be performed once each
time the START switch is pressed. Thus, you can perform measurement after checking the
condition of examinee’s eye each time. Also, you can measure the eye as many times as
required.
In MANUAL mode, measurement can be performed manually when examinee’s pupil is
eccentric, or when measurement is apt to result in error.
Observation range of examinee’s eye on the monitor has been
widened and the depth of focus is deep
It is easier to check the position of the eye or whether eyelashes are covering the pupil.
Level meter will be displayed
The TX-F obtains intraocular pressure from the waveform of the signal obtained by detecting light reflected from the cornea when air is blown onto the eye.
However, when the reflected light is obscured by the eyelid or eyelashes, the waveform of
the signal becomes low, reducing the reliability of the measurement value.
The level of the waveform can be displayed in four steps as a mark (“level meter”) on the
measurement mode screen, display mode screen and the printout by the setting in SET
mode. Thus, the level meter can be used to check the reliability of the measured values.
When error has occurred, image will be displayed immediately
on the monitor
This makes it easier to determine the cause of the measurement error.
Also, the eyelid warning line on the warning image will enable you to see if the eyelid or
eyelashes were too low during measurement. If the eyelid or eyelashes are below the line,
help the examinee open the eye wide by gently holding up the upper eyelid with your fingers.
–1–
2. Notes for Using the Instrument
Before Use
(1) Sudden heating of the room in cold ares will cause condensation to form on the protective glass in the measurement window and on optical parts inside the instrument. In
this case, wait until condensation disappears before performing measurement.
During Measurement
(1) Before measurement, explain about the measurement that is going to be performed to
the examinee so he/she will not be surprised by a sudden air puff. Demonstrate the
intensity of the air puff by having the examinee place a finger in front of the nozzle
and pressing the CLEAR (DEMO) switch for more than 2 seconds.
(2) Measurement head automatically moves after the power is turned ON. Do not prevent
movement of measurement head by holding it or placing something near it.
(3) It is recommended that a hard copy of the printout be made if you wish to store it for a
long time, because printouts on thermal paper are apt to deteriorate.
After Use
(1) Turn OFF the power, put the cap over the nozzle in order to prevent dust from attaching to it, and place the dust cover over the instrument.
During Cleaning and Disinfection
(1) If the surface of the objective lens on the nozzle is wiped when dust or dirt is on it, it
will be scratched. Also, do not wipe the objective lens with ethyl alcohol or with
cleaning paper containing silicone. Otherwise, the surface will be corroded, or will be
stained. See section 8.3.2.
(2) Do not use alcohol, benzine or thinner for cleaning the cover of the instrument. Also,
never wipe the cover with ethanol or glutaraldehyde solution. Otherwise, coating will
be corroded. See section 8.3.4.
Environment of Use
(1) After a long time of use, dust in the air will attach not only on the nozzle, but also on
optical parts inside the instrument, which may cause incorrect measurement, Always
keep the room clean.
During Installation
(1) Handle the instrument carefully, as preadjustment may be altered if the instrument
receives a strong jolt.
(2) Do not install the instrument where it will be exposed to direct sunlight. Otherwise, it
will be hard to see the monitor properly, or you may not be able to obtain a correct
measurement.
(3) Blow off the dust in the connectors of the cables with a blower before connecting
them. Otherwise, connection failure may occur.
(4) Do not lay the instrument on its side when the power is turned ON. Otherwise, the
instrument will malfunction.
(5) When the instrument is going to be transported, it must be protected against vibration
and shocks. Contact Canon representative or distributor for advice on the procedure
for packing it.
–2–
3. Description
3.1 Main Unit
3.1.1 Examiner’s Side
Measurement head
Unit that performs measurement.
Height adjustment mark
Align the height of the
examinee’s eye with this
mark by adjusting the
height of chin rest.
Monitor
Displays the screen for measurements and various settings.
Operation panel
See section 3.3.
Contrast adjuster
Adjusts contrast of monitor.
Brightness adjuster
Adjusts brightness of monitor.
–3–
3.1 Main Unit
3.1.2 Examinee’s Side
Forehead rest
Place the examinee’s forehead against this rest.
External eye fixation lamp
Lamp to be used when the
examinee’s eye cannot be fixed
by the internal eye fixation
lamp.
Printer
Prints measurements.
Nozzle
Supplies air used for measurement.
Must be always kept clean.
Chin rest
Place the examinee’s chin on
this rest.
Rating label
Name of the product,
rated voltage, serial number, etc. are indicated on
the label.
Power switch
Switch for turning power
ON and OFF.
–4–
3.2 Connectors under the Main Unit
3.2 Connectors under the Main Unit
Power supply connector
Connector for the power
supply cable.
Grounding terminal
Terminal for grounding the instrument.
RS232C Connector
RS232C connector for connecting external instrument.
External instrument must be
connected in compliance with
the IEC601-1-1 standard.
–5–
3.3 Operation Panel
3.3 Operation Panel
LIMITER switch
Switch for stopping the measurement head
in a certain position in order to prevent the
nozzle accidentally hitting the examinee’s
eye.
Trackball
Moves the measurement head up
and down, right and left.
DISP./SET switch
Press this switch in order to enter
DISPLAY mode, where you can see
measurement data stored in memory.
You can enter SET mode, where various settings can be made, from
DISPLAY mode.
DISP./SET
FIXATION
LIMITER
R L
IN/EX
C
CLEAR
(DEMO)
PRINT switch
Press this switch in
order to print or
transfer the measurement manually.
3/1
A/M
PUFF
TIMES
AUTO/
MANU.
CHIN REST
READY
FIXATION switch
Each time the switch is
pressed, the eye fixation
lamp switches between
internal and external.
When the external eye
fixation lamp is ON, the
lamp below the switch
lights.
R/L switch
Each time the switch is
pressed, the measurement
head moves either to the
right or left eye.
–6–
START switch
When this switch is pressed in FULL AUTO
or AUTO mode, automatic alignment and
measurement are performed. In MANUAL
mode, only measurement is performed.
3.3 Operation Panel
CLEAR (DEMO) switch
This switch has two functions.
If printing is not necessary after the measurement, press this switch for an instant.
Displayed measurement will be deleted,
clearing the display for the next examinee.
Or, if the switch is pressed for more than
two seconds, air will be emitted from the
nozzle for demonstrations of air puff.
AUTO/MANU. switch
Press this switch to select measurement mode
(FULL AUTO/AUTO/MANUAL). The selected
mode will be displayed on the upper left side of
the monitor. Lamp above the switch lights when
FULL AUTO or AUTO mode is selected.
CHIN REST switches
Switches for raising/lowering the chin rest.
DISP./SET
FIXATION
LIMITER
R L
IN/EX
C
CLEAR
(DEMO)
3/1
A/M
PUFF
TIMES
AUTO/
MANU.
CHIN REST
READY
PUFF TIMES switch
Each time the switch is
pressed, the number of times
of measurement (1 or 3) in
FULL AUTO mode can be
selected. The number of
times will be displayed
within the brackets next to
“FULL AUTO”.
Roller
Moves the measurement head back and
forth.
READY lamp
It is ON when the instrument is ready for
measurement, and blinks during initialization
or when power-saving system is operating.
–7–
3.4 Display on Measurement Screen
3.4 Display on Measurement Screen
The screen below is an example when FULL AUTO mode is selected.
3.4.1 Before Measurement
Number of times of measurement
The number of times of measurement (1 or 3) to be performed in FULL AUTO mode is displayed.
It is not displayed in AUTO and MANUAL mode.
Number of times can be selected by pressing PUFF
TIMES switch.
Measurement mode
Measurement mode (FULL
AUTO, AUTO or MANUAL) is
displayed. Measurement mode can
be selected with AUTO/MANU.
switch.
Order of displaying the result
Order of displaying the result (“ ”
for reliability or “ ” for sequence)
is shown. Order can be selected
from “ORDER” on page 1/3 of SET
mode.
FULLAUTO (3 )
30
Serial number
Serial number is displayed when “COUNT”
on page 1/3 of SET mode is set to “ON”.
The initial value can also be set from the
same page of SET mode.
N o. 0 0 0 0 0 1
LIMITER OFF
Condition of limiter
When the limiter for preventing the
nozzle from coming into contact
with examinee’s eye is not working,
message “LIMITER OFF” will be displayed.
Limiter can be set to ON/OFF with
LIMITER switch. See section 5.1.
mmHg
STD
R
L
[
[
,
,
,
,
]
]
Unit of intra-ocular pressure
Measurement range
Measurement range (“30” for 0 –
30 mmHg or “60” for 25 – 60
mmHg) is displayed. It can be
selected from “RANGE” on page
1/3 of SET mode.
Alignment ring
This is the ring used for
positioning the examinee’s
pupil during manual measurement.
Right or left side eye
The display of the side of the eye
where the measurement head is
positioned will be reversed.
–8–
3.4 Display on Measurement Screen
3.4.2 After Measurement
When measurement has been done normally
Serial number
Serial number counts up after printing, transferring or
deleting the data, or after function is restored from the
power-saving mode if “COUNT” on page 1/3 of SET mode
is set to “ON”.
F U L L AU TO ( 3 )
30
R
L
[ 17 ,
[ 9 ,
N o. 0 0 0 0 0 1
8
9
,
,
STD value
The value calculated from measurement data (maximum
of 10 data) in memory is displayed. The upper data is the
right side eye’s STD value, and the lower one is the left
side eye’s value.
After the first measurement:
Value to the first decimal place
After the second measurement:
Value with higher reliability
After more than three measurements:
The most appropriate value “standard value” obtained
by reliability and statistically processing the data.
However, measurement with low reliability mark (*)
will not be included in the calculation.
mmHg
STD
7 ]
7.2
8 ]
8.9
Measurement data
Maximum of three measurements are displayed in the
order set from “ORDER” on page 1/3 of SET mode.
The upper row is the data of the right side eye, and the
lower row is the data of the left side eye.
Maximum of 10 measurements for each eye can be seen in
DISPLAY mode. See chapter 6.
Low reliability mark (*)
Mark that appears when the reliability of the measurement
has been determined to be low after multiple measurement
values have been statistically analyzed.
Level meter
Level meter is a mark that shows the level of the waveform of the signal
obtained by detecting light reflected from the cornea when air is blown onto
the eye.
The height of the signal waveform was high.
The height of the signal waveform was low.
When reflected light is obscured by the eyelid or eyelashes, the waveform of
the signal becomes low, reducing the reliability of the measurement value.
Therefore, the level meter can be used to check the reliability of the measured
values.
To display the level meter, set “( ) LEVEL” to ON as described on page 2/3
of SET mode. Level meter of the newest measurement will be displayed on the
measurement mode screen. Level meter of all the measured values can be seen
in the display mode screen.
NOTE: Maximum level of the level meter differs for each eye, due to differences in corneal reflection rates.
–9–
3.4 Display on Measurement Screen
When measurement error has occurred
FULLAUTO(3)
30
Eyelid warning line
If the eyelid or eyelashes are below the eyelid
warning line on the image, instruct the examinee
to keep the eye open wide, or help them open
their eye wide.
N o. 0 0 0 0 0
1
mmHg
STD
R ERROR
L
[
[
,
,
,
,
]
]
Warning image
Eye front image when measurement error has
occurred will be displayed if “WARNING IMG” is
set to “ON” on page 1/3 of SET mode.
Warning image will not be displayed when error
is caused by blinking or when result is over the
measurement range, etc.
ERROR display
“ERROR” is displayed when measurement
was a failure. Take the required measures
and try again.
– 10 –
3.5 Display on DISPLAY and SET Modes Screens
3.5 Display on DISPLAY and SET Modes Screens
In DISPLAY and SET modes, a diagram showing the switches and their functions for the
operation will be displayed on the lower part of the monitor, because the functions differ
from that screen in the display of the switches.
The diagram corresponds to the switches on the operation panel as follows:
DI SPL AY M O DE
IOP
LIMITER switch
FIXATION switch
DISP./SET switch
1
2
3
4
5
6
7
8
9
10
STD
SET
RELIABIL
mmHg
LEFT
RIGHT
8
9
7
9
17
8
R/L switch
Trackball
PRINT switch
[
7.2
8.9
CLEAR
]
PRINT
START switch
END
CLEAR (DEMO) switch
Roller
CHIN REST
switches
PUFF TIMES switch
AUTO/MANU. switch
– 11 –
4. Measurement Modes
4.1 Measurement Modes
There are three modes for performing measurement: FULL AUTO, AUTO and MANUAL.
Measurement mode can be selected with the AUTO/MANU. switch.
However, in the following cases, FULL AUTO or AUTO mode will automatically be
selected according to the “DEFAULT” setting in SET mode no matter what modes has been
selected:
– After power is turned ON
– After PRINT switch is pressed
– After CLEAR (DEMO) switch is pressed to delete measurement data
– After returning to measurement mode from power-saving mode
FULL AUTO Mode
After displaying the examinee’s eye on the monitor, the examiner presses the start switch.
The instrument will then automatically perform alignment, focusing and measurement.
After measuring one eye, the instrument automatically measured the other eye in turn.
By setting the options in SET mode as follows, the result will automatically be printed
after both eyes have been measured, and the measurement head will return to the initial
position:
“PRINT: ON” (See section 7.2)
“AUTO PRINT: ON” (See section 7.2)
AUTO Mode
In the same way as in FULL AUTO mode, the examiner presses the START switch after
displaying the examinee’s eye on the monitor. However, the instrument will automatically
perform alignment, focusing and measurement only once. Press the START switch if you
wish to repeat measurement.
It is recommended that AUTO mode be selected where the examiner wishes to check the
condition of the examinee’s eye each time before starting the measurement in cases such
as when the examinee cannot keep his/her eye open.
Press the R/L switch to move the measurement head to the opposite side if you wish to
measure the other eye.
Press the PRINT switch to print out the result.
MANUAL Mode
Select MANUAL mode when the pupil is eccentrics, or when measuring a certain examinee is apt to result in error in FULL AUTO or AUTO mode.
In MANUAL mode, the examiner must perform precise alignment and focus manually,
and then press the START switch to measure. Result will be printed by pressing the PRINT
switch. However, after printing the result or deleting the data, the instrument will return to
FULL AUTO or AUTO mode.
– 12 –
4.2 Relation between Settings and Measurement Operation
4.2 Relation between Settings and Measurement Operation
The measurement operation differs according to the combination of measurement mode
and settings selected in SET mode.
The following table shows typical examples of combinations.
Settings
Measur
ement
Mode
(AUTO/
MANU.
switch
SET Mode
DEFAULT
FULL
AUTO
/
AUTO
PRINT
ON
AUTO
PRINT
ON
Measurement Operation
Use
ON
After measuring both eyes automatically as many times as set, result will
automatically be printed and transferred.
Then, measurement head returns to the
initial position.
To have the result printed
and transferred automatically after full automatic
measurement.
ON
Both eyes will automatically be measured as many times as set.
Result will be transferred by pressing
PRINT switch.
Then, measurement head returns to the
initial position.
To transfer but not print
the result after full automatic measurement.
ON
One eye will automatically be measured
once. If you wish to measure the other
eye, press R/L switch and then START
switch.
Result will be printed and transferred
by pressing PRINT switch.
To print and transfer the
result after automatic
measurement.
ON
One eye will automatically be measured
once. If you wish to measure the other
eye, press R/L switch and then START
switch.
Result will be transferred by pressing
PRINT switch.
To transfer but not print
the result after automatic
measurement.
TRANS
FULL
AUTO
FULL
AUTO
/
AUTO
FULL
AUTO
/
AUTO
OFF
ON
OFF
ON/
OFF
AUTO
FULL
AUTO
/
AUTO
OFF
ON/
OFF
– 13 –
4.2 Relation between Settings and Measurement Operation
Settings
Measur
ement
Mode
(AUTO/
MANU.
switch
SET Mode
Measurement Operation
DEFAULT
FULL
AUTO
PRINT
ON
AUTO
PRINT
ON/
OFF
TRANS
ON
Alignment and measurement are performed manually. Result is printed and
transferred by pressing PRINT switch.
Then, the measurement head returns to
initial position.
After printing/transferring/deleting the
result, instrument returns to FULL
AUTO mode.
To print and transfer the
result after manual measurement from FULL
AUTO mode.
ON
Alignment and measurement are performed manually. Result is printed and
transferred by pressing PRINT switch.
Then, the measurement head returns to
initial position.
After printing/transferring/deleting the
result, instrument returns to AUTO
mode.
To print and transfer the
result after manual measurement from AUTO
mode.
MANUAL
AUTO
ON
ON/
OFF
Use
– 14 –
5. Measurement
!
!
!
WARNING
Do not measure an eye of which cornea is frail due to corneal disease or due
to it having undergone an operation.
Otherwise, complications may occur.
WARNING
Should any of the following occur, immediately turn OFF the power switch,
unplug the power cable from the AC outlet, and contact Canon representative
or distributor.
– When there is smoke, odd odor or abnormal sound.
– When liquid has been spilled into the instrument or a metal objects has
entered through an opening.
– When the product has been dropped or its housing damaged.
CAUTION
Measurement head moves when the instrument is initializing or after printing
the result.
Do no have the examinee place his/her chin on the chin rest until movement is
completed.
Otherwise, the examinee may be hurt.
When any operation has been interrupted for more than 3 minutes with the power turned
ON, power-saving system of the TX-F operates.
Buzzer sounds when the instrument is entering or going out of this mode, and READY
lamp blinks while this system is operating. Press any one of the switches in order to restore
the function.
5.1 Preparation
Preparation is the same for any measurement mode and for both automatic and manual
measurements.
1
Turn ON The power
Remove the cap from the nozzle
and turn ON the power switch.
NOTE: Make sure that dust does not attach on the cap while measurement is being
performed.
– 15 –
5.1 Preparation
Initial checks inside the instrument start automatically. When the checks are completed, the measurement head will move and stop at the right eye side (initial position).
2
Measurement screen will appear
Display as shown on the right
will appear when initialization
ends.
F U L L AU TO ( 3 )
30
N o. 0 0 0 0 0 1
LIMITER OFF
See section 3.4 for details on the
display.
mmHg
STD
R
L
3
[
[
,
,
,
,
]
]
Check the settings
Check and change the settings concerning measurement and printing as required
(see sections 4.2, 7.1 and 7.2).
If you want to print a message with the result, enter it (see section 7.3).
4
Explain about the measurement to the examinee
Explain about the measurement to the examinee so he/she will not be surprised by
a sudden air puff.
By pressing CLEAR (DEMO) switch for more than two seconds, you can demonstrate the strength of air puff to the examinee, even without examinee’s eye displayed.
5
Select the eye to be measured
Press R/L switch as required in order to move the measurement head to the side of
the eye to be measured.
The display of the side of the eye will be displayed in reversed image.
– 16 –
5.1 Preparation
6
Adjust the height of the examinee’s eye
! CAUTION
Ensure that the examinee has not placed his/her hand or
fingers under the chin rest. Otherwise, fingers may be
hurt.
! CAUTION
Wipe the forehead rest with ethanol or glutraraldehyde
solution to disinfect it each time a different examinee
uses it, in order to prevent infection.
Please consult a specialist for the procedure of disinfection.
If you are using disinfectant other than those specified
above, or if you are mixing another disinfectant with ethanol, please also consult a specialist, because they may
harm the forehead rest.
! CAUTION
Change the chin rest paper each time the examinee
changes in order to keep the chin rest clean.
NOTE: Have the examinee remove contact lenses or spectacles, if he/she is wearing any.
(1) Turn the roller toward you in order to move the measurement head away from
the examinee.
(2) Have the examinee sit and place his/her chin and forehead rest and forehead
rest.
(3) Adjust the height of the chin
rest by pressing CHIN
REST switches so that the
eye of the examinee is
aligned with the height
adjustment mark on the face
rest.
– 17 –
5.1 Preparation
IMPORTANT
7
Set the measurement head stop position
! CAUTION
Set the position where to stop the measurement head
with LIMITER switch before measurement in order to prevent accidental contact of nozzle with examinee.
Be sure to have the examinee firmly press his/her forehead against the forehead rest, and look from the side of
the examinee when deciding the stop position.
If the stop position is not set, the examinee may be
injured.
Also, if the message “LIMITER OFF” does not disappear
even after LIMITER switch is pressed several times, stop
the measurement and contact Canon representative or
distributor.
(1) Check that “LIMITER OFF”
is displayed on the monitor.
F U L L AUTO(3 )
30
N o. 0 0 0 0 0 1
LIMITER OFF
Press the LIMITER switch if
it is not displayed.
mmHg
STD
R
L
(2) Have the examinee firmly
press his/her face against
the forehead and chin rests.
While looking at the examinee’s eye from the side,
slowly turn the roller
toward the monitor so the
nozzle gradually moves
toward the examinee’s eye.
– 18 –
[
[
,
,
,
,
]
]
5.1 Preparation
When the distance between
the tip of the rubber cover
on the nozzle unit and the
eye becomes about 8 mm,
press LIMITER switch.
F U L L AUTO(3 )
30
N o. 0 0 0 0 0 1
Message “LIMITER OFF”
will disappear from the
monitor.
mmHg
STD
R
L
[
[
,
,
,
,
]
]
(3) Slightly turn the roller back and forth in order to ensure that the nozzle does
not go further the point where it has been locked.
NOTE: Limiter turns OFF when turning ON the power of the instrument, pressing
PRINT switch, clearing data or when recovering from power-saving mode.
– 19 –
5.2 FULL AUTO/AUTO Measurement
5.2 FULL AUTO/AUTO Measurement
In FULL AUTO and AUTO modes, the examiner presses the START switch after displaying the examinee’s eye on the monitor.
The instrument will then automatically perform the alignment, focusing and measurement.
After measuring the first eye as many times as set in FULL AUTO mode, the instrument
automatically measures the other eye.
This measurement is performed only once in AUTO mode, however.
Therefore, START switch must be pressed each time you want to perform measurement in
AUTO mode.
NOTES: 1. Be sure to do the preparation mentioned in section 5.1
2. Measure the eye in AUTO mode if the examinee cannot keep his/her eye open
and continuous measurement cannot therefore be performed in FULL AUTO
mode.
3. Measure the eye in MANUAL mode if measurement in FULL AUTO or AUTO
mode results in an error due to deformation of cornea, keratitis, low reflection rate of cornea, etc. See section 5.3.
1
Select FULL AUTO or AUTO mode
Press AUTO/MANU. switch until
“FULL AUTO” or “AUTO” is
displayed on the upper left side
of the display.
F U L L AUTO(3 )
30
N o. 0 0 0 0 0 1
mmHg
STD
R
L
[
[
,
,
AUTO
30
,
,
]
]
N o. 0 0 0 0 0 1
mmHg
STD
R
L
– 20 –
[
[
,
,
,
,
]
]
5.2 FULL AUTO/AUTO Measurement
2
Select the number of times of measurement in FULL AUTO mode
Press PUFF TIMES switch and
select 1 or 3.
F U L L AUTO(3 )
30
N o. 0 0 0 0 0 1
The number of times will be displayed within brackets () after
the words “FULL AUTO”.
mmHg
STD
R
L
[
[
,
,
,
,
]
]
NOTE: It is recommended that the measurement to be repeated at least three times
in order to obtain more reliability.
3
Check that the examinee’s eye is displayed on the monitor
If you cannot see it at all, adjust the position of the measurement head using the
trackball.
♦ Adjustment of measurement head position
Measurement head moves to right and left when trackball is turned to right and
left. Measurement head moves up and down when it is turned back and forth.
4
Have the examinee look at the eye fixation lamp
Have the examinee look at the green internal eye fixation lamp.
♦ If the examinee cannot see
the lamp well and so the eye
cannot be fixed
Press FIXATION switch and have
the examinee look at the external
eye fixation lamp on the side of
the nozzle with the eye that is
not going to be measured.
External eye fixation lamps
– 21 –
5.2 FULL AUTO/AUTO Measurement
5
Start measurement
Tell the examinee that the measurement is going to be performed and ask the examinee to
open his/her eye wide.
Press START switch.
F UL L AU TO(3 )
30
N o. 0 0 0 0 0 1
Bright dots
mmHg
STD
R
L
[
[
,
,
,
,
]
]
♦ How to stop auto alignment
Press any switch or turn the roller or trackball. The measurement head will stop.
However, if the measurement head is in a position where measurement can be
made, measurement will be performed if the START switch is pressed during automatic alignment (compulsory measurement). Measurement error may occur, however, if the positioning is not accurate.
♦ When a warning message “[1] EYE CANNOT BE FOUND PRESS START
SW AGAIN” is displayed, or when alignment does not end
When automatic alignment cannot be performed within a specified time, the measurement head stops moving and a warning message “[1] EYE CANNOT BE
FOUND PRESS START SW AGAIN” will be displayed. Also, in some cases, automatic alignment does not end, due to the condition of examinee’s eye. In this case,
take the measures indicated below according to the cause.
[Cause 1]
The position of examinee’s eye is off the automatic alignment
range.
[Remedy 1] Move the position of examinee’s eye displayed on the monitor
toward the center a little more using the roller and trackball. Then,
press the START switch. Adjust the height of the examinee’s eye
with the height of the chin rest as required.
[Cause 2]
Examinee’s eye is moving restlessly.
[Remedy 2] Have him/her look at the eye fixation lamp. Or, if two bright dots
are displayed on the monitor, measurement will be performed if the
START switch is pressed timely during automatic alignment (compulsory measurement).
NOTE: Measurement error may occur if the positioning is not
accurate. Perform compulsory measurement only when
measurement must be done even when the examinee’s eye
is not fixed.
– 22 –
5.2 FULL AUTO/AUTO Measurement
[Cause 3]
The pupil is obscured by eyelashes or eyelid.
[Remedy 3] Instruct the examinee to keep his/her eye open wide until measurement ends, or help them open the eye widely by lifting up the upper
eyelid lightly with your fingers. Then, press the START switch
again.
[Cause 4]
Pupil is eccentric or deformed. Examinee has undergone an iris
operation.
[Remedy 4] Display the bright dots near the center using trackball and roller.
Then, press the START switch again.
[Cause 5]
There is problem in surface of examinee’s cornea.
[Remedy 5] Perform measurement in MANUAL mode (see section 5.3). However, error may occur even in MANUAL mode if the disease is serious.
[Cause 6]
Effect of artificial light or sunlight reflected from the examinee’s
eye.
[Remedy 6] Do not expose the examinee’s eye directly to bright artificial light
or sunlight.
If the alignment still cannot be performed, align and measure the eye manually by
referring to section 5.3.
6
After the alignment, measurement is performed automatically
When the alignment is done, air is puffed and the intraocular pressure will be measured.
FULL AUTO mode
Alignment and measurement will be performed. They will be repeated three times
when number of times of measurement you have selected is “3”.
AUTO mode
Measurement will be performed once. Press START switch again to perform alignment and measurement repeatedly. Maximum of 10 data can be saved in memory.
NOTE: It is recommended that the measurements be repeated at least three times
in order to obtain most reliable measurement.
– 23 –
5.2 FULL AUTO/AUTO Measurement
The result immediately after the
measurement is displayed on the
left side of the brackets [].
F UL L AU TO(3 )
30
N o. 0 0 0 0 0 1
While the instrument is charging
up, the mark indicating the eye
being measured and the measurement value blinks.
mmHg
STD
R
L
After the charge up for the
measurement is completed, the
result will be displayed within
the brackets [] and the next
measurement will start.
See section 3.4.2 for more
information on the display.
If the setting in SET mode is
ON, level meter for the newest
measurement will be displayed.
11
[
[
,
,
F UL L AU TO(3 )
30
R
L
[ 11 , 12
[
,
,
,
]
]
N o. 0 0 0 0 0 1
mmHg
STD
, 12 ]
11.7
,
]
♦ If level meter is low
[Cause 1]
Eye was obscured by eyelid or eyelashes.
[Remedy 1] Look at the monitor. If the eyelid or eyelashes are covering the
pupil, instruct the examinee to open the eye wider, or lift up the eyelid lightly with your fingers and measure again.
[Cause 2]
Examinee has blinked frequently.
[Remedy 2] Tell the examinee to try not to blink for a while and measure again.
[Cause 3]
Corneal reflection rate is low.
[Remedy 3] Maximum level of the level meter differs for each eye, due to differences in corneal reflection rates. Level meter will be low if corneal
reflection rate is low. Continue the measurement.
♦ If any message appears and measurement is suspended
Take the measures by referring to section 8.2.2.
♦ If message “[5] IOP > (<) = xx mmHg!” appears
This message appears when values have been set for “WARNING IOP” in SET
mode (see section 7.1) and the result of the measurement in FULL AUTO mode
was under or above the set value.
Press START switch to measure the eye again. Measurement is performed once
each time the switch is pressed.
– 24 –
5.2 FULL AUTO/AUTO Measurement
Press R/L switch to measure the other eye. Alignment will be started automatically.
Or, if the other eye already has been measured, press PRINT switch to printout the
result.
NOTE: Value may become high when the eye is covered by eyelashes or eyelid.
♦ If warning image appears
If “WARNING IMG” is set to
“ON” in SET mode, eye front
image taken at moment when the
error occurred will be displayed
on the monitor.
If the eyelid or eyelashes are
below the eyelid warning line,
take remedial action and then
press START switch again to
perform measurement.
Eyelid warning line
F UL L AU TO(3 )
30
N o. 0 0 0 0 0
1
mmHg
STD
R ERROR
L
7
[
[
,
,
,
,
]
]
Move measurement head toward the other eye
FULL AUTO mode
After the required number of data is obtained, measurement head automatically
moves toward the other eye.
AUTO mode
Press R/L switch in order to move the measurement head toward the other eye.
8
Alignment and measurement of the other eye are performed
FULL AUTO mode
Alignment and measurement are
performed automatically in the
same ways as measuring the
right eye is done when the pupil
of the left eye has been detected.
F UL L AU TO(3 )
30
N o. 0 0 0 0 0 1
AUTO mode
Display the other eye somewhere on the monitor and press
START switch.
Measure as many times as
required.
– 25 –
R
L
[ 11 , 12
[ 12 , 14
mmHg
STD
, 12 ]
11.7
13.7
, 15 ]
5.2 FULL AUTO/AUTO Measurement
The result is printed out
9
FULL AUTO mode
If “PRINT” and “AUTO PRINT” are set to “ON” in SET mode, the result will be
printed out automatically after both eyes are measured.
If “AUTO PRINT” is “OFF”, press PRINT switch.
AUTO mode
Press PRINT switch.
♦ If printing is unnecessary after the measurement
Press CLEAR (DEMO) switch for an instant.
(If the switch is pressed for more than two seconds, air will be emitted from the
nozzle for demonstration of air puff.)
Measurement values of both eyes will be deleted from the monitor and serial number will count up if “COUNT” is set to “ON” in SET mode.
However, measurement data remains in memory until the next measurement is performed. Data in memory can be seen in DISPLAY mode (see section 6).
Also, data will be printed if PRINT switch is pressed.
NOTES: 1. Results will be erased from the monitor after printing/transfer is performed. Serial number will count up if “COUNT” is set to “ON” in
SET mode.
2. It is recommended that a hard copy of the printout be made if you
wish to store it for a long time, because printouts on the thermal
paper are apt to deteriorate.
Date
Serial number
Space for name
Measurement values
Standard value
Optional message
10
CANON TX-F
2004/01/20
No. : 000001
NAME:
14:25
M/F
IOP -SEQUENCE- mmHg
RIGHT
LEFT
11
12
12
14
12
15
[ 11.7
13.7 ]
CANON CLINIC
Time
Sex
Type of result
STANDARD: Only the standard value
RELIABIL: The three values with the
highest reliability
SEQUENCE: The three newest values
Level meter
(Printed when setting in SET mode is
ON)
Measurement head returns to initial position
When printing is completed, the measurement head returns to its initial position
and waits for the next measurement.
– 26 –
5.3 MANUAL Measurement
5.3 MANUAL Measurement
Select MANUAL mode when measurement cannot be performed automatically due to
deformation of cornea, corneal disease such as keratitis, low reflection rate of cornea, or
when measuring a certain examinee is apt to result in error.
NOTE: Be sure to perform focusing precisely in MANUAL mode. Otherwise, measurement
error may occur.
1
Choose manual measurement
Press AUTO/MANU. switch to
display the word “MANUAL” on
the monitor.
MANUAL
30
N o. 0 0 0 0 0 1
mmHg
STD
R
L
2
[
[
,
,
,
,
]
]
Display the examinee’s eye on the monitor
Use the roller and the trackball
so that the right eye of the examinee is seen approximately in the
center of the monitor.
MANUAL
30
N o. 0 0 0 0 0 1
mmHg
STD
R
L
[
[
,
,
,
,
]
]
♦ Adjustment of measurement head position
Measurement head moves back and forth when the roller is turned.
It moves up and down when trackball is turned back and forth, and to right and left
when trackball is turned to right and left.
– 27 –
5.3 MANUAL Measurement
3
Have the examinee look at the eye fixation lamp
Have the examinee look at the green internal eye fixation lamp.
♦ If the examinee cannot see
the lamp well and so the eye
cannot be fixed
Press FIXATION switch and have
the examinee look at the external
eye fixation lamp on the side of
the nozzle with the eye that is
not going to be measured.
External eye fixation lamps
4
Check that the alignment ring is not covered by eyelashes
Looking at the monitor, check that the inner alignment ring (see the illustration in
step 5 below) is not covered by eyelashes. If they are covering the ring, instruct the
examinee to keep his/her eye opened wide until measurement ends, or help them
open the eye wider by lifting up his/her upper eyelid lightly with your fingers.
NOTE: Value may become high when eye is covered by eyelid or eyelashes.
5
Perform alignment
Use the trackball to position the bright dots inside the center alignment ring.
If you cannot see the dots clearly, turn the roller back and forth until you can see
them.
MANUAL
30
N o. 0 0 0 0 0 1
Bright dots
Center alignment ring
mmHg
STD
R
L
[
[
,
,
,
,
]
]
NOTE: It may not be possible to see the bright dots clearly if the cornea is markedly deformed or when the examinee has serious keratitis. In this case,
measurement may result in an error even in MANUAL mode.
– 28 –
5.3 MANUAL Measurement
6
Perform focusing
Turn the roller back and forth to position the bright dots vertically between the
alignment guides.
Guides
7
Measure the eye
Tell the examinee that measurement is going to be performed
and ask the examinee to open
his/her eye wide.
After ensuring that the positioning and focusing are as required,
press the START switch.
Air is puffed and the intraocular
pressure will be measured.
MANUAL
30
N o. 0 0 0 0 0 1
mmHg
STD
R
L
[ 12 ,
[
,
,
,
]
]
The result immediately after the measurement is displayed on the left side of the
brackets [].
If the level meter is set to ON in SET mode, the level meter for the newest measurement will be displayed.
While the instrument is charging up, the mark indicating the eye being measured
and the measurement value blinks.
After the charge up for the measurement is completed, the result will be displayed
within the brackets [] and the next measurement will start.
See section 3.4.2 for more information on the display.
♦ If any message appears and measurement is suspended
Take the measures by referring to section 8.2.2.
♦ If error occurs even though the positioning is correct
Error may occur when bright dots are dim due to deformation of cornea or keratitis, even if positioning is performed properly.
– 29 –
5.3 MANUAL Measurement
8
Repeat the measurement as many times as required
NOTE: It is recommended that the measurements be repeated at least three to five
times in order to obtain most reliable measurement.
Repeat alignment and measurement as many times as required. Maximum of 10
data can be saved in memory.
9
Measure the eye
Press R/L switch in order to move the measurement head toward the other eye.
10
Measure the eye
Measure the left eye in the same way as measuring the right eye.
11
Print/transfer the result
Press PRINT switch.
Instrument will return to the measurement mode (FULL AUTO or AUTO)
selected for “DEFAULT” in SET mode.
♦ If printing is unnecessary after the measurement
Press CLEAR (DEMO) switch for an instant.
(If the switch is pressed for more than two seconds, air will be emitted from the
nozzle for demonstration of air puff.)
Measurement values of both eyes will be deleted from the monitor and serial number will count up if “COUNT” is set to “ON” in SET mode.
However, measurement data remains in memory until the next measurement is performed. Data in memory can be seen in DISPLAY mode (see section 6).
Also, data will be printed if PRINT switch is pressed.
NOTES: 1. Results will be deleted from memory at the measurement after printing/transfer is performed.
2. It is recommended that a hard copy of the printout be made if you
wish to store it for a long time, because printouts on thermal paper
are apt to deteriorate.
– 30 –
6. Measurements Stored in Memory [DISPLAY Mode]
In DISPLAY mode, you can see the results (maximum of 10 data for each eye) of the measurements stored in memory.
Data will be deleted on measuring an eye after printing/transferring the result.
Order of displaying
the result selected
from SET mode
D I S P LAY M O D E
IOP
1
2
3
4
5
6
7
8
9
10
STD
RELIABIL
mmHg
LEFT
RIGHT
8
9
7
9
17
8
Measurements in
memory
Level meter (Displayed only
when it is set to ON in SET
mode)
[
7.2
SET
8.9
CLEAR
]
Standard value
PRINT
END
How to enter DISPLAY mode
Press DISP./SET switch in measurement mode.
How to print the data
Press PRINT switch.
How to return to measurement mode
Press CLEAR (DEMO) switch.
How to delete all data
Press R/L switch.
Confirmation message will appear. Press START switch to delete, or PRINT switch to cancel.
How to enter SET mode
Press DISP./SET switch in DISPLAY mode.
– 31 –
7. Various Settings [SET Mode]
Various settings concerning measurement, printing and data transfer can be performed in
the SET mode.
There are three pages in the SET mode.
Page 1/3: Display to set items concerning measurement.
Page 2/3: Display to set items concerning printing and transfer.
Page 3/3: Display to enter message to be printed with the TX-F printer.
Settings are stored and remain even after power is turned OFF.
SET MODE
RANGE
;:
PAGE : 1 / 3
30
60
COUNT :
ERROR :
[No.] :
ON
ON
=012345
OFF
OFF
RESET
ORDER
SEQU
RELI
:
DATE
:
[ O D R ]:
25/SEP/2002
14:50
YMD
MDY
DMY
UNDER
A B OV E
WA R N I N G I O P
:
OFF
25
WA R N I N G I M G
:
ON
OFF
END
PAGE
PAGE
How to enter SET mode
In measurement mode, press DISP./SET switch. You will enter DISPLAY mode.
Press DISP./SET switch again. The first page of the SET mode will appear.
How to change the page
To display the next page, press AUTO/MANU. switch.
To display the previous page, press PUFF TIMES switch.
How to go out of SET mode
Press CLEAR (DEMO) switch.
– 32 –
7.1 Settings for Measurement (Page: 1/3)
7.1 Settings for Measurement (Page: 1/3)
SET MODE
RANGE
;:
PAGE : 1 / 3
30
60
COUNT :
ERROR :
[No.] :
ON
ON
=012345
OFF
OFF
RESET
ORDER
SEQU
RELI
:
DATE
:
[ O D R ]:
25/SEP/2002
14:50
YMD
MDY
DMY
UNDER
A B OV E
WA R N I N G I O P
:
OFF
25
WA R N I N G I M G
:
ON
OFF
END
PAGE
PAGE
7.1.1 Basic Operation
How to Select the Item
Turn the roller to select the item to be changed.
The selected item will be displayed in reverse image.
How to Change the Setting
Press either FIXATION switch, LIMITER switch, START switch or PRINT switch.
The selected setting will be highlighted.
NOTE: Some settings must be changed in different ways. The procedure for changing
those settings will be indicated under the explanation of each item.
7.1.2 Items
RANGE
Measurement range
“30”:
Used for measuring the range 0 - 30 mmHg.
If the result is over 30 mmHg, the range automatically
changes to “60”. This is recommended to be used for
group examinations and normal screening.
“60”:
Used for measuring the range of 25 - 60 mmHg. (The
air puff is stronger.)
If the result is under 25 mmHg, the range automatically changes to “30”. This is recommended to be used
for examination of glaucoma, etc.
– 33 –
7.1 Settings for Measurement (Page: 1/3)
COUNT
Choosing whether to display the serial number on the monitor and
print it out with the result
“ON”:
Serial number will be displayed on the monitor and
printed/transferred with the result. It counts up after
data is printed/transferred or deleted.
“OFF”:
Serial number will neither be displayed nor printed.
ERROR
Choosing whether to count up the serial number when all the measurements result in error. “COUNT” must be set to “ON” in order to
choose “ON”.
“ON”:
Even when all the measurements result in error, header
(name of the instrument, date, etc.) will be printed and
serial number will count up by pressing the PRINT
switch.
“OFF”:
When all the measurements result in error, “NO PRINT
DATA” will be displayed on the monitor, nothing will
be printed and serial number will not count up even if
PRINT switch is pressed.
[No.]
“6-digit number”: Serial number
[How to change the number]
(1) Turn the roller, or press FIXATION switch or LIMITER switch to
select the digit. The number of the selected digit will be displayed in reverse image.
(2) The number increases when PRINT switch is pressed, and
decreases when START switch is pressed.
“6-digit number”: Serial number
[How to change the number]
(1) Turn the roller, or press FIXATION switch or LIMITER switch to
select “RESET”.
(2) Press START switch or PRINT switch.
ORDER
Order of displaying the result
“SEQU”: The newest three measurements will be displayed in
measurement mode, or the newest 10 measurements in
DISPLAY mode. When “SEQU” is selected, it will be
displayed as “ ” mark on the measurement mode display.
“RELI”:
The three measurements of the highest reliability will
be displayed in measurement mode, or the newest 10
measurements in DISPLAY mode. When “RELI” is
selected, it will be displayed as “ ”mark on the measurement mode display.
DATE
Date and time
“01” - “31”:
Day
– 34 –
7.1 Settings for Measurement (Page: 1/3)
“JAN” - “DEC”:
Month (When “YMD” is selected for “ORDER”
below, month will be displayed in numbers “1” “12”)
“2000” - “2099”: Year
“00” - “23”:
Hour
“00” - “59”:
Minutes
[How to change the setting]
(1) Select the item by turning roller, or by pressing FIXATION
switch or LIMITER switch.
(2) Number increases when PRINT switch is pressed.
[ODR]
Order of displaying the date
“YMD”:
Year, month, day
“MDY”:
Month, day, year
“DMY”:
Day, month, year
WARNING IOP
Choosing whether to display a warning message (“[5] IOP >(<) =
xx* mmHg!”) and stop measurement when the result of measuring
the eye in FULL AUTO mode is above or below the value selected
here. See step 6 in section 5.2.
* Value set here will be displayed.
[How to change the setting]
(1) Select “UNDER” by turning roller, or by pressing FIXATION
switch or LIMITER switch.
(2) Press PRINT switch to select the required setting for
“UNDER”.
“OFF”:
Warning message will not be displayed and mea-
surement will not stop.
“1” - “9”: Warning message will be displayed and measurement will stop when the result is below the intraocular pressure selected here.
(3) Select “ABOVE” by turning roller, or by pressing FIXATION
switch or LIMITER switch.
(4) Press PRINT switch to select the required setting for “ABOVE”.
“OFF”:
Warning message will not be displayed and measurement will not stop.
“15” - “25”:Warning message will be displayed and measurement will stop when the result is above the intraocular pressure selected here.
WARNING IMG
Choosing whether to display a still image immediately after measurement error has occurred in order to enable the cause of the error
to be determined.
“ON”:
Error image will be displayed.
“OFF”:
Error image will not be displayed.
Press AUTO/MANU. switch to proceed to page 2/3.
Press CLEAR (DEMO) switch to return to measurement mode.
– 35 –
7.2 Settings for Printing and Transfer (Page: 2/3)
7.2 Settings for Printing and Transfer (Page: 2/3)
SET MODE
PAGE ; 2 / 3
:
PRINT
[ D ATA ]
[MSG]
[ECO]
ON
STD
ON
ON
TRANS :
[FMT]
[ B AU ]
ON
OFF
1
19200.8N1
AU TO P R I N T
D E F A U LT
(
) LEVEL
CHARACTER
END
PAGE
OFF
MEM
OFF
OFF
:
:
ON
AUTO
ON
JIS
:
:
OFF
FULL AUTO
OFF
L AT I N - 1
PAGE
7.2.1 Basic Operation
How to Select the Item
Turn the roller to select the item to be changed.
The selected item will be displayed in reverse image.
How to Change the Setting
Press either FIXATION switch, LIMITER switch, START switch or PRINT switch.
The selected setting will be highlighted.
NOTE: Some settings must be changed in different ways. The procedure for changing
those settings will be indicated under the explanation of each item.
7.2.2 Items
PRINT
Whether to print out the results with the internal printer of the TX-F
“ON”:
“OFF”:
[DATA]
Results are printed.
Not printed.
Results to be printed/transferred.
“STD”:
Standard values
“MEM”:
10 newest measurements and a standard value for each
eye in memory
– 36 –
7.2 Settings for Printing and Transfer (Page: 2/3)
NOTE: Regardless of the setting, data in memory will be printed/
transferred if the PRINT switch is pressed more than two
seconds.
[MSG]
Whether to print the messages entered in section 7.3 with the result
“ON”:
Message is printed.
“OFF”:
Message is not printed.
[ECO]
Whether to reduce the size of the printout
“ON”:
Size of printout will be reduced.
“OFF”:
Non-reduction
[How to change the setting]
Press either START switch or PRINT switch.
TRANS
Whether to transfer the measurement data to external instrument or
not
NOTE: Please contact Canon representative or distributor when
connecting external instrument to the TX-F.
“ON”:
“OFF”:
[FMT]
Data is output in RS232C interface.
For no transfer.
Transfer format
NOTE: For details concerning format, please contact Canon representative or distributor.
[How to change the setting]
Press either START switch or PRINT switch.
[BAU]
RS232C data transfer speed and data format
9600.8N1
9600:
8:
N:
1:
Transfer speed “300/600/1200/2400/4800/9600/
19200”
Transfer bit “7/8”
Parity “E/O/N”
Stop bit “1/2”
[How to change the setting]
(1) Turn the roller or press FIXATION switch or LIMITER switch to
select transfer speed or transfer format.
(2) Press either START switch or PRINT switch to change the setting.
– 37 –
7.2 Settings for Printing and Transfer (Page: 2/3)
AUTO PRINT
Whether to automatically have the results of measuring both eyes
printed out in FULL AUTO mode
“ON”:
Results will be printed out automatically.
“OFF”:
PRINT switch must be pressed to print out the results.
When “PRINT” and “TRANS” are set to “OFF”,
“AUTO PRINT” will also be set to “OFF”.
DEFAULT
Choosing whether to automatically return to AUTO mode or
FULL AUTO mode in the following cases:
- After power is turned ON
- After pressing PRINT switch
- After deleting data by pressing CLEAR (DEMO) switch
- After recovering from power-saving mode
“AUTO”:
The instrument returns to AUTO mode.
“FULL AUTO”: The instrument returns to FULL AUTO mode.
(
Choosing whether to display level meter on the measurement mode
screen, display mode screen and printout.
Level meter is a mark showing the waveform level of the signal
obtained by detecting light reflected from the cornea when air is
blown onto the eye.
“ON”:
Level meter will be displayed.
“OFF”:
Level meter will not be displayed.
) LEVEL
CHARACTER
The type of characters displayed for entering message on page 3/3
can be selected. See the illustration of the monitor in section 7.3.
“JIS”:
Japanese characters will be displayed.
“LATIN-1”: Characters such as with umlaut will be displayed.
Press AUTO/MANU. switch to proceed to page 3/3.
Press PUFF TIMES switch to return to page 1/3.
Press CLEAR (DEMO) switch to return to measurement mode.
– 38 –
7.3 Entering Message for Internal Printer (Page: 3/3)
7.3 Entering Message for Internal Printer (Page: 3/3)
Enter a message to be printed out with the result of measurement with the internal printer.
You can enter messages in 18 characters × 4 lines.
Message is backed up by battery, and will be retained even if power is turned OFF.
SET MODE
PAGE ; 3 / 3
PRINT MESSAGE
Position cursor
Character cursor
ABCDEFGHIJKLMNOPQRSTUVWXYZ
abcdefghijklmnopqrstuvwxyz
Character list
0123456789sp
!"#$%&'() +,-./:;<=>?@[]
CHAR CLEAR / LINE CLEAR / ALL CLEAR
Deletion message
END
PAGE
PAGE
INS
LINE
PUT
DEL
7.3.1 About the Display
Position cursor:
Square in the message entering area is called a position cursor.
Input will be made at the place were the cursor is located.
Position cursor moves to left by pressing FIXATION switch, and to
right by pressing LIMITER switch.
Character cursor:
Square in the character list or deletion message is called a character
cursor.
Character being selected with character cursor will be entered.
Or, deletion operation can be selected with the character cursor in
the deletion message.
Character cursor moves to right or left by turning the roller.
Character list:
A list of characters that can be entered is displayed here.
Line that includes the required characters can be selected by pressing PRINT switch.
Character can be selected by turning the roller.
Deletion message:
For details, see section 7.3.4.
– 39 –
7.3 Entering Message for Internal Printer (Page: 3/3)
7.3.2 How to Enter the Characters
1
Move the position cursor to the required position
Press FIXATION switch or LIMITER switch.
2
Select the required character
Press PRINT switch to select the line that includes the required character. Then,
turn the roller to select the character.
3
Enter the character
Press START switch.
4
Enter the whole message
Repeat the steps from 2 to 3 until the whole message is entered.
7.3.3 How to Insert
1
Move the position cursor to the required position
Press FIXATION switch or LIMITER switch.
2
Insert a space
Press CHIN REST ↑ switch. A space of one character will be inserted at the place
where the cursor was.
3
Enter the character
Repeat the steps 2 and 3 in section 7.3.2.
– 40 –
7.3 Entering Message for Internal Printer (Page: 3/3)
7.3.4 How to Delete
In order to delete single character and shift all the characters on the righthand side to the left by one space
1
Move the position cursor to the character to be deleted
Press FIXATION switch or LIMITER switch.
2
Delete the character
Press CHIN REST ↓ switch.
In order to delete single character without shifting the remaining characters
1
Move the position cursor to the character to be deleted
Press FIXATION switch or LIMITER switch.
2
Select the line “CHAR CLEAR / LINE CLEAR / ALL CLEAR”
Press PRINT switch.
3
Select “CHAR CLEAR”
“CHAR CLEAR” is first selected. However, if you have changed the selection, turn
the roller until “CHAR CLEAR” is displayed in reverse image.
4
Delete the character
Press START switch.
In order to delete a line
1
Move the position cursor to the line you wish to delete
Press FIXATION switch or LIMITER switch.
– 41 –
7.3 Entering Message for Internal Printer (Page: 3/3)
2
Select the line “CHAR CLEAR / LINE CLEAR / ALL CLEAR”
Press PRINT switch.
3
Select “LINE CLEAR”
Turn the roller until “LINE CLEAR” is displayed in reversed image.
4
Delete a line
Press START switch.
Following message will be displayed for confirmation:
“DELETE A LINE?”
If it is OK to delete the line, press START switch.
If you wish to cancel the deletion, press PRINT switch.
In order to delete the whole message
1
Move the position cursor to the line you wish to delete
2
Select the line “CHAR CLEAR / LINE CLEAR / ALL CLEAR”
Press FIXATION switch or LIMITER switch.
Press PRINT switch.
3
Select “ALL CLEAR”
Turn the roller until “ALL CLEAR” is displayed in reversed image.
4
Delete the whole message
Press START switch.
Following message will be displayed for confirmation:
“DELETE ALL DATA?”
If it is OK to delete the whole message, press START switch.
If you wish to cancel the deletion, press PRINT switch.
Press AUTO/MANU. switch to proceed to page 1/3.
Press PUFF TIMES switch to return to page 2/3.
Press CLEAR (DEMO) switch to return to measurement mode.
– 42 –
8. Daily Inspection and Maintenance
! CAUTION
For safety reasons, be sure to inspect the instrument daily before using it.
8.1 Inspection
In order to ensure that the instrument is used safely and normally, please be sure to inspect
the instrument before use.
If any problem is found during the inspection, please take measures indicated in this chapter. If problem still cannot be corrected, please contact Canon representative or distributor.
! WARNING
The instrument must be repaired by a qualified engineer only.
If it is not repaired properly, it may cause fire, electric shock, or
accident.
8.1.1 Before Turning ON the Power
! WARNING
For safety reasons, be sure to turn OFF the power switch when
the following inspections are going to be performed.
Otherwise, it may result in electric shock.
! WARNING
Clean the plug of the power cable periodically by unplugging it
from the AC outlet and removing dust or dirt from the plug, its
periphery and AC outlet with a dry cloth.
If the cable is kept plugged in for a long time in a dusty, humid or
sooty place, dust around the plug will attract moisture, and this
could cause insulation failure which could result in a fire.
It is recommended that a record of the inspection be kept by copying this and the next
page, or making a separate check list.
Result
Cable
Inspection
Remedy
Date
/
Date
/
Date
/
(1) Check that cable is not damaged or cover of cable is not
torn.
Good/
Bad
Good/
Bad
Good/
Bad
Contact Canon or distributor if
there is any problem.
(2) Check that the power cable
is inserted fully into the connector on the instrument and into
the AC receptacle.
Good/
Bad
Good/
Bad
Good/
Bad
Fully insert the cable.
– 43 –
8.1 Inspection
Result
Main Unit
Inspection
Remedy
Date
/
Date
/
Date
/
(3) Check that the cover or parts
are not damaged and not loose.
Good/
Bad
Good/
Bad
Good/
Bad
Contact Canon or distributor if
there is any problem.
(4) Clean the nozzle and objective lens.
Good/
Bad
Good/
Bad
Good/
Bad
See sections 8.3.1 and 8.3.2.
(5) Disinfect the forehead rest.
Good/
Bad
Good/
Bad
Good/
Bad
See section 8.3.3.
(6) Check that there are enough
sheets of chin rest paper on the
chin rest.
Good/
Bad
Good/
Bad
Good/
Bad
Obtain paper if not enough.
See section 8.4.1.
(7) Check that there is enough
printing paper left.
Good/
Bad
Good/
Bad
Good/
Bad
If not, replace the roll of paper.
See section 8.4.2.
(8) Check that the monitor is
clean.
Good/
Bad
Good/
Bad
Good/
Bad
Clean the monitor.
See section 8.3.4.
8.1.2 After Turning ON the Power
Result
Main Unit
Inspection
Date
/
Date
/
Date
/
(1) Check that the READY lamp
lights and measurement display
on the monitor is normal.
Good/
Bad
Good/
Bad
Good/
Bad
(2) Check that the chin rest
moves up ad down smoothly
when CHIN REST switches are
pressed.
Good/
Bad
Good/
Bad
Good/
Bad
(3) Check that the measurement
head moves up and down, right
and left when the trackball is
turned.
Good/
Bad
Good/
Bad
Good/
Bad
(4) Check that the measurement
head moves back and forth
when the roller is turned.
Good/
Bad
Good/
Bad
Good/
Bad
(5) Check that the measurement
head moves properly when R/L
switch is pressed.
Good/
Bad
Good/
Bad
Good/
Bad
(6) Check that air is puffed when
CLEAR(DEMO) switch is
pressed for more than two seconds.
Good/
Bad
Good/
Bad
Good/
Bad
Remedy
Contact Canon or distributor if
there is any problem.
– 44 –
8.2 Before Calling a Service Person
8.2 Before Calling a Service Person
Whenever a problem occurs or message appears on the monitor, take the countermeasures
indicated below according to the cause.
If function is still not restored, contact Canon representative or distributor.
8.2.1 If Problems Such as Following Occur
Problem
Cause
Remedy
Eyelid or eyelashes are covering the
pupil.
Instruct the examinee to open the
eye wider, or lift up the eyelid lightly
with your fingers and measure
again.
Examinee’s eye is not fixed. (Eye is
moving restlessly.)
Relax the examinee and have him/
her look at the eye fixation lamp.
Examinee’s eye is exposed to external light.
Do not expose the examinee’s eye
directly to bright artificial light or
sunlight.
Eyelid or eyelashes are covering the
pupil.
Instruct the examinee to open the
eye wider, or lift up the eyelid lightly
with your fingers and measure
again.
Frequent blinking.
Tell the examinee to try not to blink,
or lift up the eyelid lightly with your
fingers and measure again.
The reflection rate of the cornea is
low.
Level meter will not be high in this
case. Continue the measurement.
Settings in the SET mode have
changed for no apparent reason.
When power is turned OFF and
then ON again, message “LOW
BATTERY” appears on the monitor.
Voltage of battery for data backup is
low.
Contact Canon or distributor for
replacement of battery.
READY lamp blinks and nothing
is displayed on the monitor.
Power-saving system is functioning
because no operation has been performed for over 3 minutes.
Press any switch.
Measurements vary widely.
Level meter is low.
– 45 –
8.2 Before Calling a Service Person
8.2.2 If Message Such as Following Appears on the Monitor
If message does not disappear even after taking the countermeasures indicated in this section, contact Canon representative or distributor.
During automatic alignment
Message / Display
[1] EYE CANNOT BE FOUND
PRESS START SW AGAIN
[10] CANCELLED BY USER
Cause
Remedy
The position of examinee’s eye
is off the automatic alignment
range.
Use the roller and trackball to
move the position of the examinee’s eye on the monitor toward
the center a little more and press
the START switch again.
Examinee’s eye is moving restlessly.
Have the examinee look at the
eye fixation lamp and press the
START switch again.
Or, if two bright dots are displayed on the monitor, measurement will be performed if the
START switch is pressed timely
during alignment. However,
measurement error will occur if
the positioning is not accurate.
The pupil is obscured by eyelashes or eyelid.
Instruct the examinee to keep
his/her eye open wide, or help
them open the eye widely by lifting up the upper eyelid lightly
with your fingers. Then, press
the START switch again.
Pupil is eccentric or deformed.
Use the roller and trackball to
move the position of the examinee’s eye on the monitor toward
the center a little more and press
the START switch again.
The center of the pupil could not
be found due to effect of surgery,
etc.
Measure the eye manually.
Problem in surface of cornea.
Measure the eye manually. However, error may occur even in
MANUAL mode if the disease is
serious.
Effect of external light.
Do not expose the examinee’s
eye directly to bright artificial
light or sunlight.
The examiner has cancelled the
automatic measurement by
pressing one of the switches, or
measurement error has
occurred.
Press START switch again as
required.
– 46 –
8.2 Before Calling a Service Person
Message / Display
Cause
[20] LEFT LIMIT
CHECK POSITION OF FACE
Check the height of the chin
rest, ensure that the examinee’s
face is properly positioned, and
press the START switch again.
[21] RIGHT LIMIT
CHECK POSITION OF FACE
During automatic alignment
[22] FRONT LIMIT
CHECK POSITION OF FACE
[23] BACK LIMIT
CHECK POSITION OF FACE
Check the position of the chin
rest, ensure that the examinee’s
face is properly positioned, and
press the START switch again.
[25] LOWER LIMIT
CHECK POSITION OF FACE
MOTOR ERROR 1 (2 / 3)
PRESS ANY SW TO RESET
During measurement
The measurement head has
reached the mechanical limit
during alignment.
[24] UPPER LIMIT
CHECK POSITION OF FACE
[26] LIMITER POSITION
RE-SET LIMITER POSITION
[2] ERROR
TRY AGAIN
[3] BLINK ERROR
TRY AGAIN
Remedy
Focusing cannot be performed
because the nozzle has reached
the measurement head stop
position and cannot go nearer to
the examinee’s eye during automatic alignment.
Check that the examinee’s face
is properly fixed, and set the
measurement head stop position
with LIMITER switch again.
Movement of measurement
head has been interrupted.
Do not interrupt the movement
of the measurement head such
as by holding it. Press any
switch to reset the measurement
head.
The pupil is obscured by eyelashes.
Instruct the examinee to keep
his/her eye open wide, or help
them open the eye widely by lifting up the upper eyelid lightly
with your fingers. Then, measure again.
The examinee’s eye moved just
before the measurement.
Ask the examinee not to move
his/her eye and measure again.
Reflection of the examinee’s eye
is low.
Measure again.
Effect of external light.
Do not expose the examinee’s
eye directly to bright artificial
light or sunlight.
Measurement error has
occurred because the examinee
blinked or examinee’s eye
moved.
Ask the examinee not to blink
and not to move his/her eye.
Then, press the START switch
again.
– 47 –
8.2 Before Calling a Service Person
Message / Display
[4] OVER ERROR
TRY AGAIN
Cause
Result was over the measurement range (30mmHg/
60mmHg).
Remedy
[When “30” is selected for
“RANGE” in SET mode]
Press the START switch again
as the range will automatically
switch to “60”.
Measurement range will return
to “30” if the result of measurement is under 25 mmHg, or if R/
L switch, PRINT switch or
CLEAR (DEMO) switch is
pressed.
During measurement
[When “60” is selected for
“RANGE” in SET mode]
Press the START switch again.
If the error still appears, it means
measurement cannot be made
with the TX-F as the pressure of
the examinee’s eye is higher
than 60 mmHg.
[5] IOP > (<) = xx* mmHg!
ONE MORE -> START SW
NEXT EYE -> R/L SW
(END -> PRINT SW)
The result was over (under) the
value set from “WARNING IOP”
in SET mode.
* xx: Value set in SET mode
Press START switch to measure
again. Measurement will be performed once each time the
switch is pressed. After the measurement, press R/L switch to
measure the other eye.
Or, if the other eye has already
been measured, press PRINT
switch to print out the result.
The pupil is obscured by eyelashes.
Check the image and instruct
the examinee to keep his/her
eye open wide, or help them
open the eye widely by lifting up
the upper eyelid lightly with your
fingers. Then, measure again.
The examinee’s eye moved just
before the measurement.
Check the image and ask the
examinee not to move his/her
eye. Then, measure again.
[11] STOPPED BY USER
The movement of measurement
head has been cancelled
because the examiner has
pressed one of the switches
when the measurement head
was moving to the other side, or
during initialization.
Press R/L switch again as
required.
[12] CHARGING
Examinee pressed the START
switch to measure the eye forcibly during automatic alignment,
but the measurement failed
because the instrument was not
charged.
Check that the READY lamp is
lit, and measure again.
[6] WARNING IMAGE
TRY AGAIN
– 48 –
During printing
During measurement
8.2 Before Calling a Service Person
Message / Display
Cause
*
Reliability has been determined
to be low after multiple measurement data have been analyzed.
The cause of the low reliability
may be:
(1) Eye has moved.
(2) Reflection rate of examinee’s
eye is low.
Measure again.
PRINT CANCELLED
Printing has been cancelled by
pressing one of the switches
during printing.
Perform printing again as
required.
NO PRINT DATA
There is no measurement data.
Print after measurement.
PRINT: OFF
“PRINT” is set to “OFF” in SET
mode.
Set “PRINT” to “ON” as required.
PRINT: OFF / TRANS: OFF
Both “PRINT” and “TRANS” are
set to “OFF” in SET mode.
Set them to “ON” as required.
PRINTER LEVER IS DOWN
Printer lever is lowered.
Raise the lever.
NO PRINT PAPER
There is no printing paper.
Load role of printing paper.
PRINTER TOO HOT
The printer head is too hot.
PRINTER TOO COLD
The printer head is too cold.
Wait for about 5 minutes and try
again.
TRANSMITTING
TRANS COMPLETED
Data is being transmitted.
-----
Data transfer has been completed.
-----
There is no measurement data.
Transfer after performing measurement.
TRANSMISSION CANCELLED
Transmission has been cancelled by pressing one of the
switches during transfer.
Transfer again as required.
RECEIVED BREAK CHARACTER
The instrument has received a
break character from the external equipment.
Transfer again as required.
COMMUNICATION ERROR
(401)
The connected equipment is not
ready yet or not connected.
Prepare the external equipment.
COMMUNICATION ERROR
(402) - (410)
Format set in SET mode and
that of the external equipment
do not match.
Change the settings as required.
NO TRANS DATA
During transfer
Remedy
– 49 –
8.2 Before Calling a Service Person
Message / Display
Cause
LOST BACKUP DATA
Problem has occurred in the
instrument.
Although you can continue the
measurement for time being, the
data cannot be backed up.
Immediately ask Canon or distributor for replacement.
LOW BATTERY
Voltage of the battery for data
backup is low.
Although you can continue the
measurement for time being, the
data that are backed up will be
lost in time. Immediately ask
Canon or distributor for replacement.
SYSTEM ERROR
(xxx*)
Problem has occurred in the
instrument.
Turn OFF the power switch and
turn it ON again after about 10
seconds.
Problem has occurred in the
instrument.
Turn OFF the power switch and
turn it ON again after about 10
seconds.
LOST DATE DATA
Error in the system
Remedy
ILLEGAL CODE ERROR
ILLEGAL SLOT ERROR
CPU ADDRESS ERROR
DMAC ADDRESS ERROR
* xxx indicates a three-digit number.
– 50 –
8.3 Cleaning and Disinfection
8.3 Cleaning and Disinfection
8.3.1 Nozzle
When dust is on or inside the nozzle, press CLEAR (DEMO) switch for more than two seconds to blow it off.
8.3.2 Objective Lens of Nozzle
Clean the objective lens of nozzle as indicated below when dust is on it, or if it is stained
with tears.
NOTES: 1. If the objective lens is wiped when there is dust on it, the surface will be
scratched.
2. Do not wipe the objective lens with disinfecting alcohol or cleaning paper
containing silicone as the surface may be damaged or be stained.
3. Do not touch the nozzle during cleaning as lint of gauze, etc. may attach to it.
4. Be sure to put the cap over the nozzle when the instrument is not in use.
1
Blow off dust
Remove the brush from the
blower brush and blow off the
dust on the objective lens.
2
Wipe the objective lens
Wipe the objective lens lightly
with sterile gauze or non treated
lens paper, on which you can put
some lens cleaner. Please consult Canon representative or distributor about lens cleaners that
can be used.
– 51 –
8.3 Cleaning and Disinfection
8.3.3 Forehead Rest
! CAUTION
Wipe the forehead rest with ethanol or glutaraldehyde solution to
disinfect it each time a different examinee uses it, in order to prevent infection.
Please contact a specialist for the procedure for disinfection.
If you are using disinfectant other than those specified above, or
if you are mixing another disinfectant with ethanol, please also
consult a specialist, because they may harm the forehead rest.
8.3.4 Cover, Monitor and Roller
Clean the cover and monitor if they are dirty.
! WARNING
1
When the instrument is going to be cleaned, be sure to turn OFF
the power switch and unplug the power cable from the AC outlet.
Never use alcohol, benzine, thinner or any other flammable
cleaning agents. Otherwise, fire or electric shock may result.
Turn OFF the power
Turn OFF the power switch and disconnect the power cable from AC receptacle.
2
Wipe the cover and monitor
(1) Wipe the cover and monitor with a piece of soft cloth soaked in neutral detergent for plastics diluted in water and wrung dry.
(2) Wipe the cover with a piece of cloth soaked in water and wrung dry whenever
neutral detergent has been used.
– 52 –
8.3 Cleaning and Disinfection
8.3.5 Trackball
Clean the trackball if it does not rotate smoothly.
1
Remove the trackball cover
Turn the trackball cover in counterclockwise direction to remove it.
NOTE: Trackball cover will be
removed with the trackball.
Be careful not to hit or drop
the trackball cover when the
trackball is attached to it, as
the trackball will fall out
easily.
2
Trackball cover
Remove the trackball and wash it
Remove the trackball from the claws of the trackball cover and wash it in water.
3
Wipe the roller and trackball cover
There are three rollers inside the hole where trackball was placed. Wipe those rollers and the back of trackball cover with a piece of cloth soaked in water and wrung
dry.
4
Return the trackball
After the trackball and other parts that have been wiped are dry, return the trackball
to the trackball cover.
– 53 –
8.3 Cleaning and Disinfection
5
Attach the cover
Return the trackball cover by aligning the longer claw of the cover
with the arrow indicated on the
edge of the aperture.
NOTE: Cover will not fit into the
hole unless the longer claw
is properly aligned with the
arrow.
Then, turn the cover in clockwise
direction until it stops.
– 54 –
Longer claw
Arrow
8.4 Replacement
8.4 Replacement
Please refer to “8.5 Expendable Parts List” for ordering chin rest paper and printing paper.
8.4.1 Chin Rest Paper
NOTE: When chin rest paper is not going to be used, disinfect the chin rest in the same
ways as disinfecting the forehead rest each time the examinee changes.
1
Pull out the two pins on the chin rest
2
Insert the pins into the holes on the chin rest paper
Maximum of 100 sheets of paper can be attached.
3
Replace them in the chin rest
NOTE:Insert the pins straight
into the holes.
– 55 –
8.4 Replacement
8.4.2 Printing Paper
Replace the roll of printing paper as soon as possible after the red line appears on the
paper.
1
Open the printer cover
Cut off the paper that has been
fed through the printer and pull
it out.
Pull the top part toward you.
2
Lower the printer lever
Lower the lever on the right
hand side.
3
Remove the old roll of paper
Remove the old roll of paper together with the shaft and take the shaft out of the
roll.
4
Insert the shaft into a new roll
– 56 –
8.4 Replacement
5
Load the roll of paper
Load the roll of paper into the
printer as illustrated.
NOTE: Be sure to check that the
direction of roll is the
same as shown in the
illustration.
6
Raise the printer lever
7
Turn ON the power
Turn ON the power of the TX-F.
8
Insert the end of paper into the slot
Insert the end of paper into the
slot in the printer.
– 57 –
8.4 Replacement
9
The paper will automatically come out
If the power is ON, the end of
paper will automatically come
out from the slot in the front.
NOTES: 1. If the edge of paper is creased, it may not feed through printer properly. In this case, pull out the paper, neatly cut off the end of paper
and reload.
2. If the paper is fed through the printer aslant, it may cause paper jam.
Lower the lever and straighten the paper. Then, raise the lever again.
10
Close the cover
! CAUTION
Do not touch the cutter for the printing paper.
Otherwise, fingers may be cut.
Pull out the edge of paper from
the printer cover slot and close
the cover.
– 58 –
8.5 Expendable Parts List
8.5 Expendable Parts List
Please contact Canon representative or distributor for purchasing the following parts:
Name
Chin rest paper
Printing paper
Reference Number
Note
BA3-0151
500 sheets/set
BH4-8143
Thermal printing paper
10 rolls/set
Width: 58 mm
Length: 30 m
Outside diameter of the roll: 52 mm
Inside diameter of the core: 12 mm
– 59 –
9. Installation
9.1 Installation
! WARNING
Only operate the instrument with the type of power supply indicated on the
rating label. Otherwise, it may result in fire or electric shock.
! WARNING
Be sure to disconnect/connect the cables as indicated in this manual.
The unit weighs 21 kg, so bear in mind that it may tip over if proper care is not
taken. Also, do not handle the cables with wet hands. Otherwise, you may get
an electric shock that may result in death or serious injury.
! CAUTION
This instrument is shipped with a grounding type (three-core) power cable.
To reduce the risk of electric shock, always plug the cable into a grounded
power outlet.
NOTE: Do not install the instrument in a location with the conditions listed on page (2).
1
Turn OFF the power switch
2
Expose the bottom of the instrument
Lay the instrument on its side on
a table as illustrated so the bottom can be seen.
NOTES: 1. The measurement head is positioned at the center when the instrument is shipped from Canon. However, if it is positioned either on the
right or left side, lay the instrument on the side opposite the side from
which the measurement head is protruding. Otherwise, the measurement head will be damaged.
2. Do not lay the instrument on its side with the power turned ON. Otherwise, the instrument may malfunction.
– 60 –
9.1 Installation
3
Connect the power supply cable to the instrument
Hold the instrument firmly with your hand and securely connect the power supply
cable to the power supply connector on the bottom of the instrument. See section
3.2.
4
Set up the instrument
5
Connect the power supply cable to an AC outlet
6
Place the chin rest paper on the chin rest
See section 8.4.1.
7
Load the printing
See section 8.4.2.
8
Customize the settings as required
Turn ON the power and change the settings concerning the measurement as
required. See chapter 7.
9
If you are using external equipment
Please contact Canon representative or distributor.
– 61 –
9.2 Precautions when Moving the Instrument
9.2 Precautions when Moving the Instrument
! WARNING
When the instrument is going to be moved, be sure to move the measurement
head to the center, turn OFF the power switch, unplug the power cable from
the AC outlet, and disconnect other cables. Otherwise, the cable may be damaged, which may result in fire or electric shock.
Also, when the instrument is going to be carried, support the bottom of the
instrument and hold it horizontally.
Do not hold it by the face rest or other parts as they may come off, resulting in
injury.
! WARNING
Do not hit or drop the instrument. The instrument may be damaged if it
receives a strong jolt, which may result in fire or electric shock if the instrument is used without being repaired.
NOTE: When the instrument is going to be transported by automobile, etc., it must be protected against vibration and shocks. Contact Canon representative or distributor
for advice on the procedure for packing it.
1
Move the measurement head to the center
Turn ON the power while pressing the START switch.
Release the switch when you hear a beeping sound.
2
Turn OFF the power
Turn OFF the power switch.
3
Disconnect the cables
Lay the instrument in the same position as when connecting the power cable (see
section 9.1). After disconnecting all the cables, set the instrument upright again.
4
Carrying the instrument
Support the instrument by holding the sides at the base.
– 62 –
10. Service Information
10. Service Information
Repair
If problem cannot be solved even after taking the measures indicated in sections 8.1 and
8.2, contact Canon representative or distributor for repair.
Please refer to the rating plate and let us have the following information:
Name of the instrument: TX-F
Serial number of the instrument: 6-digit number indicated on the rating plate
Phenomenon: In detail.
Limit for Supplying Performance Parts for Repair
Performance parts* of this product will be stocked for eight years after discontinuance of
production, to allow for repair.
* Parts required to maintain the functioning of the product.
Expendable Parts Replaced by Service Person
Following parts are apt to become worn out or to deteriorate due to the characteristics of
the material or structure.
These parts cannot be replaced by the user.
If these parts are found to be worn out or to have deteriorated during daily inspection or
use, contact Canon representative or distributor for repair.
– Backup batteries for the clock and data
Disposal of the Instrument
! CAUTION
This instrument incorporates a lithium battery, which may pollute
the environment if the instrument is abandoned.
Please ask a professional waste disposal company to handle
disposal, or contact Canon representative or distributor before
disposing of the instrument.
– 63 –
11. Specifications
Purpose
Measurement of intraocular pressure of human eye
Type
Non-contact type
Measurable range
0 to 60 mmHg (0 to 30 mmHg / 25 to 60 mmHg
changes automatically)
Measuring increment
1 mmHg
Operation distance
Approximately 11 mm from front of nozzle
Measurement mode
Fully automatic, automatic and manual modes
Measurement accuracy
ISO standard: Percentage of measurements out of tolerable range must be under 5%.
Number of
measured eyes
Number of measurements out of
tolerable range
Percentage of measurements out of
tolerable range
16mmHg>GAT≥7mmHg
298
6
2.0%
23mmHg>GAT>16mmHg
198
6
3.0%
GAT≥23mmHg
42
2
4.8%
Total
538
14
2.6%
Range
Data of some eyes have been excluded from the above
data due to following reasons:
Phthisis bulbi (1 eye), corneal erosion (1 eye), unstable
stare (1 eye), keratitis (1 eye), too many blinks (31
eyes)
Regression and correlation:
TX-F
(Compared with Applanation Tonometer)
Regression Slope
Regression
Intercept
Coefficient of
Correlation
0.933
1.721
0.882
Observation range
Approximately 15 mm × 12 mm
Memory
Maximum of 10 measurements for each eye
Printer
Thermal line printer
Data output format
RS232C
– 64 –
11. Specifications
Display
5-inch monochrome monitor
Environmental requirements
Operation:
Temperature: 10 to 40°C
Humidity: 30 to 85%RH
Storage and Transportation:
Temperature: -10 to 55 °C
Humidity: 10 to 95%RH
Atmospheric pressure: 700 to 1060 hPa
Power supply
100 - 240 VAC, 50/60 Hz, 0.8 - 0.4A
Power consumption
80 VA
Dimensions
280 (W) × 520 (L) × 480 ± 15 (H) mm
Mass
Approximately 21 kg
NOTE: According to the International System of Units, 1 mmHg is approximately 0.133
kPa.
– 65 –
12. Components
TX-F main unit ..............................................................1
Power supply cable........................................................1
Nozzle cap .....................................................................1
Chin rest paper...............................................................100 sheets
Printing paper ................................................................4 rolls
Dust cover......................................................................1
Optional Accessories
Chin rest paper (500 sheets)
Printing paper (10 rolls)
Motorized table CO-MT
– 66 –
CANON INC. Medical Equipment Group
20-2 Kiyohara-Kogyodanchi, Utsunomiyashi, Tochigiken, Japan
Telephone: (81)-28-667-5711
CANON MEDICAL SYSTEMS Eye Care Systems Department
15955 Alton Parkway, Irvine, CA 92618, U. S. A.
Telephone: (1)-949-753-4162
PUB. L-IE-5124C
0000P0.000
Printed in Japan