Reichert 7 User manual
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Reichert 7 is a cutting-edge auto tonometer designed to provide accurate and reliable intraocular pressure (IOP) measurements. Its advanced features and user-friendly interface make it an ideal choice for ophthalmologists, optometrists, and other healthcare professionals. With its ability to measure IOP quickly and comfortably, Reichert 7 helps clinicians make informed decisions about patient care.
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Reichert
®
7
User’s Guide
©2016 AMETEK, Inc.
Reichert and Reichert Technologies are registered trademarks of Reichert, Inc.
AMETEK is a registered trademark of AMETEK, Inc.
All other trademarks are property of their respective owners.
The information contained in this document was accurate at time of publication. Specifications subject to change without notice.
Reichert, Inc. reserves the right to make changes in the product described in this manual without notice and without incorporating those changes in any products already sold.
ISO 9001/13485 Certified – Reichert products are designed and manufactured under quality processes meeting ISO 9001/13485 requirements.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording, or otherwise, without the prior written permission of Reichert, Inc.
Caution: Federal law restricts this device to sale by or on the order of a licensed physician. Rx only.
Contents
Warnings & Cautions ....................................................................................... 4
Symbols ........................................................................................................... 6
Introduction ...................................................................................................... 7
Indications for Use ..................................................................................... 7
Contraindications ....................................................................................... 7
Instrument Setup ............................................................................................... 8
Unpacking Instructions .............................................................................. 8
Shipping Protector ..................................................................................... 8
Application of Input Power ......................................................................... 9
Disconnection of Input Power .................................................................... 9
Parts Identification ................................................................................... 10
Accessories ............................................................................................. 10
Icon Definition .......................................................................................... 11
Default Settings ....................................................................................... 12
Customized Options .......................................................................... 13
Tonometer Settings .................................................................................. 14
Printout Settings ...................................................................................... 15
Communication Settings .......................................................................... 16
General Settings ...................................................................................... 17
Instructions for Use ..........................................................................................18
Alignment and Measurement ................................................................... 18
Demo Puff ................................................................................................ 23
Low Confidence Readings ....................................................................... 24
Too Far Activated ..................................................................................... 26
Printing Measurement Data ..................................................................... 27
Cleaning & Maintenance ................................................................................. 28
Fuses ....................................................................................................... 28
External Cleaning .................................................................................... 28
Forehead Rest Cleaning .......................................................................... 28
Operator Display Cleaning ...................................................................... 28
Printer Paper ............................................................................................ 28
Positioning Windows and Airtube Cleaning ............................................. 29
Forehead Rest Pad Replacement ........................................................... 30
Troubleshooting ................................................................................................31
Help Screens ........................................................................................... 31
Chart of Common Errors ........................................................................ 32
Print-Related Errors ................................................................................. 33
Specifications .................................................................................................. 34
Classifications ................................................................................................. 35
Guidance Tables ............................................................................................ 36
Warranty ........................................................................................................ 39
16050-101 Rev. K
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Warnings & Cautions
Reichert Technologies
®
is not responsible for the safety and reliability of this instrument when:
• Assembly, disassembly, repair, or modification is made by unauthorized dealers or persons.
• Instrument is not used in accordance with this User’s Guide.
WARNING: AN INSTRUCTION THAT DRAWS ATTENTION TO RISK OF INJURY OR DEATH.
UNITED STATES FEDERAL LAW AND EUROPEAN REGULATIONS REQUIRE THAT
THIS DEVICE BE PURCHASED ONLY BY A PHYSICIAN OR A PERSON ACTING ON BEHALF OF A
PHYSICIAN.
THIS INSTRUMENT SHOULD BE USED IN STRICT ACCORDANCE WITH THE
INSTRUCTIONS OUTLINED IN THIS USER’S GUIDE. THE SAFETY OF THE OPERATOR AND THE
PERFORMANCE OF THE INSTRUMENT CANNOT BE GUARANTEED IF USED IN A MANNER NOT
SPECIFIED BY REICHERT TECHNOLOGIES.
WARNING: DO NOT REPAIR OR SERVICE THIS INSTRUMENT WITHOUT AUTHORIZATION FROM
THE MANUFACTURER. ANY REPAIR OR SERVICE TO THIS INSTRUMENT MUST BE PERFORMED
BY EXPERIENCED PERSONNEL OR DEALERS WHO ARE TRAINED BY REICHERT OR SERIOUS
INJURY TO THE OPERATOR OR PATIENT MAY OCCUR.
WARNING: MODIFICATIONS TO THIS INSTRUMENT ARE NOT ALLOWED. ANY MODIFICATION
TO THIS UNIT MUST BE AUTHORIZED BY REICHERT OR SERIOUS INJURY TO THE OPERATOR
OR PATIENT MAY OCCUR.
IF THIS INSTRUMENT IS MODIFIED, APPROPRIATE INSPECTION AND TESTING
MUST BE CONDUCTED TO ENSURE CONTINUED SAFE USE OF THIS INSTRUMENT.
WARNING: TO AVOID RISK OF ELECTRIC SHOCK, THIS EQUIPMENT MUST ONLY BE CONNECTED
TO A SUPPLY MAINS WITH PROTECTIVE EARTH OR DAMAGE TO THIS INSTRUMENT AND/OR
INJURY TO THE OPERATOR OR PATIENT MAY OCCUR.
WARNING: ENSURE THAT THE VOLTAGE APPLIED TO THE UNIT IS THE SAME AS THE VOLTAGE
THAT IS INDICATED ON THE DATA PLATE OR DAMAGE TO THE INSTRUMENT AND/OR INJURY TO
THE OPERATOR OR PATIENT MAY OCCUR.
WARNING: THIS INSTRUMENT MUST BE PLUGGED INTO AN OUTLET WITH AN EARTH GROUND.
DO NOT REMOVE OR DEFEAT THE EARTH GROUND CONNECTION ON POWER INPUT
CONNECTOR OR THE UNIT’S POWER CORD OF THIS INSTRUMENT OR DAMAGE TO IT AND/OR
INJURY TO THE OPERATOR OR PATIENT MAY OCCUR.
WARNING: THE EQUIPMENT OR SYSTEM SHOULD NOT BE USED ADJACENT TO OR STACKED
WITH OTHER EQUIPMENT AND THAT IF ADJACENT OR STACKED USE IS NECESSARY, THE
EQUIPMENT OR SYSTEM SHOULD BE OBSERVED TO VERIFY NORMAL OPERATION IN THE
CONFIGURATION IN WHICH IT WILL BE USED.
THIS INSTRUMENT IS NOT SUITABLE FOR USE IN THE PRESENCE OF FLAMMABLE
ANESTHETIC MIXTURES, SUCH AS OXYGEN OR NITROUS OXIDE.
WARNING: DO NOT PLACE FINGERS INTO THE OPENING SURROUNDING THE NOSEPIECE.
16050-101 Rev. K
Warnings & Cautions
( continued)
CAUTION: AN INSTRUCTION THAT DRAWS ATTENTION TO THE RISK OF DAMAGE TO THE PRODUCT.
CAUTION: THE INTERNAL CIRCUITRY OF THE INSTRUMENT CONTAINS ELECTROSTATIC
DISCHARGE SENSITIVE DEVICES (ESDS) THAT MAY BE SENSITIVE TO STATIC CHARGES
PRODUCED BY THE HUMAN BODY. DO NOT REMOVE THE COVERS WITHOUT TAKING PROPER
PRECAUTIONS.
CAUTION: THIS INSTRUMENT IS NOT INTENDED TO BE CONNECTED TO EQUIPMENT OUTSIDE
THE CONTROL OF REICHERT TECHNOLOGIES OR MUST BE TESTED TO AN APPLICABLE IEC
OR ISO STANDARDS.
DO NOT USE SOLVENTS OR STRONG CLEANING SOLUTIONS ON ANY PART OF
THIS INSTRUMENT AS DAMAGE TO THE UNIT MAY OCCUR. SEE MAINTENANCE SECTION FOR
DETAILED CLEANING INSTRUCTION.
USE OF AMMONIA BASED CLEANERS ON THE LIQUID CRYSTAL DISPLAY (LCD) MAY
CAUSE DAMAGE TO THE DISPLAY. SEE MAINTENANCE SECTION FOR DETAILED CLEANING
INSTRUCTION.
CAUTION: MEDICAL ELECTRONIC EQUIPMENT NEEDS SPECIAL PRECAUTIONS REGARDING
EMC AND NEEDS TO BE INSTALLED AND PUT INTO SERVICE ACCORDING TO THE EMC
INFORMATION PROVIDED IN THE ACCOMPANYING DOCUMENTS.
CAUTION: PORTABLE AND MOBILE RF COMMUNICATIONS EQUIPMENT CAN AFFECT MEDICAL
ELECTRICAL EQUIPMENT.
CAUTION: THIS INSTRUMENT IS NOT TO BE USED NEAR HIGH-FREQUENCY EMITTING
SURGICAL EQUIPMENT.
16050-101 Rev. K
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Symbols
Symbol Information
The following symbols appear on the instrument:
Caution symbol indicating important operating and maintenance instructions that are included in this User’s Guide
Type B Applied Part
Alternating Current Power
Protective Earth Connection
ON / OFF
Date of Manufacture
2016
Manufacturer
REF
Catalog Number
S/N
Serial Number
Waste of Electrical and Electronic Equipment
Compliance to Medical Device Directive 93/42/EEC
Authorized to mark given by Intertek ETL Semko for conformance with electrical standards
Accompanying Documents must be consulted
Authorized Representative in European Community
Fragile Contents in Shipping Container - handle with care
Keep Dry - Package shall be kept away from rain
This Way Up - Indicates correct upright position of package
16050-101 Rev. K
Introduction
Congratulations on your purchase of the Reichert
®
7 Auto Tonometer.
The Reichert 7 is an auto-aligning, non-contact tonometer used to measure the intraocular pressure of the eye by delivering a very soft air puff or puffs to the eye.
This User’s Guide is designed as a training and reference manual for operation, maintenance, and troubleshooting. We recommend that you read it carefully prior to use and follow the instructions in the guide to ensure optimum performance of your new instrument. Properly trained eyecare professionals such as ophthalmologists, optometrists, opticians and eye care technicians should operate this instrument.
Please retain this guide for future reference and to share with other users. Additional copies can be obtained from your authorized Reichert Technologies dealer or contact our Customer Service department directly at:
Tel: 716-686-4500
Fax: 716-686-4555
E-mail: [email protected]
Indications for use
A tonometer is indicated for measuring intraocular pressure to aid in the screening and diagnosis of glaucoma.
Contraindications
Use of the Reichert 7 is contraindicated in instances of:
• Edematous/ulcerated cornea
• Following keratoplasty
• Following penetrating trauma
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Instrument Setup
Great care has been taken to deliver your new Reichert 7 Auto Tonometer to you safely. The container and packaging was specially designed to transport this unit. Please retain the packaging if future transportation is required.
Shipping Container
Inner Box
Accessories Box
Unpacking Instructions
Please remove the packaging material from the instrument in the following manner (Refer to images on left).
The instrument is packaged in a shipping container to protect the instrument from damage during shipment. Please read the User’s Guide before operating the unit. A Quick Reference Card is provided for your convenience and reference during operation of the unit.
1. Remove the accessories from the shipping container.
Inner Box
Accessories box contains:
• Printer Paper (P/N 12430-887)
• Dust Cover (P/N 16050-089)
• Quick Reference Card (P/N 16050-104)
• User’s Guide (P/N 16050-101)
• Forehead Rest Pad (Spare) (P/N 16050-170)
• Power Cord (P/N RCBL10040 - 110V) or
(P/N RCBL10041 - 230V)
2. Remove the Top Foam (4 corners) from the shipping container.
3. Locate the handles on the sides of the inner box and remove the inner box.
4. Lay the inner box on its side and remove the tape.
5. Remove the foam top and bottom inserts from the inner box.
6. Lift the Reichert 7 out of the inner box.
7. Take the Reichert 7 out of the plastic bag and set the unit on a secure table.
8. Place the packing material in a safe place so that if transportation is required in the future, it will be available.
Opened Inner Box
Shipping Protector
The Reichert 7 comes with a shipping protector installed on the patient’s side of the instrument. This protector ensures that the motor does not get damaged during shipping. It is EXTREMELY important that this plastic shim is saved and installed anytime the unit is shipped to prevent damage to the motor and malfunction of the unit, most likely an M15 motor error.
Shipping Protector
CAUTION: IT IS VERY IMPORTANT TO REMOVE THE SHIPPING PROTECTOR BE-
FORE OPERATING THE UNIT.
1. Pull the plastic Shipping Protector up and out of the opening on patient side of the instrument.
IMPORTANT: Do not throw away the Shipping Protector! Keep it with the rest of the packaging material so that it can be re-installed if future shipment is necessary.
2. Continue with the instrument setup as indicated in the User’s Guide.
Note: Anytime the unit is shipped, this plastic Shipping Protector must be reinstalled, to prevent any damage to the unit.
16050-101 Rev. K
Instrument Setup
( continued)
Application of Input Power
WARNING: CARE MUST BE TAKEN TO ARRANGE THE CABLES FOR THE ACCESSORIES SUCH THAT THEY
DO NOT PRESENT A TRIPPING HAZARD TO THE EXAMINER OR A DANGER TO THE PATIENT.
WARNING: POSITION THIS INSTRUMENT SO THAT IT IS NOT DIFFICULT TO OPERATE THE DISCONNECTION
DEVICE (PLUG).
1. After the unit is in its secure location, apply the correct input voltage to the instrument using the
Power Cord from the Accessory Tray.
2. Press down on the “|” located on the ON/OFF Switch. The power inlet is located on the underside of the unit (Refer to page 10, item 8, for its location).
3. Read the User’s Guide and the Quick Reference Card before operating this instrument.
WARNING: DO NOT REMOVE THE OUTSIDE COVERS OF THE UNIT OR ATTEMPT TO REPAIR ANY INTERNAL
PARTS. REPAIR AND SERVICE OF THE UNIT MUST BE PERFORMED BY EXPERIENCED PERSONNEL OR
DEALERS THAT ARE TRAINED BY REICHERT.
CAUTION: ENSURE THAT THE VOLTAGE APPLIED TO THE UNIT IS THE SAME AS THE VOLTAGE THAT IS
INDICATED ON THE DATA PLATE NEXT TO THE INPUT CORD RECEPTACLE OR DAMAGE TO THE UNIT MAY
OCCUR.
CAUTION: FOR CONTINUED PROTECTION AGAINST THE RISK OF FIRE, ANY REPLACEMENT OF DAMAGED
FUSES MUST BE IN ACCORDANCE WITH THE RATING AS INDICATED IN THE SPECIFICATIONS SECTION OF
THIS MANUAL.
Disconnection of Input Power
1. At any time, the power switch can be set to OFF. The unit does not have a power down sequence.
To terminate operation of this instrument, press the ON / OFF switch to the OFF position (O).
2. If this instrument is intended to be OFF for an extended period of time, it can be disconnected from power by detaching the power cord from the its receptacle.
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Instrument Setup
( continued)
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5
6 7
2
8
1
Parts Identification
1. Operator Display: Displays measurement data.
2. Printer Door: Door (push to open) to access printer paper.
3. Forehead Rest: Alignment mechanism that moves right or left for correct patient positioning.
4. Nosepiece Objective: Air tube that emits “air puff.”
5. Canthus Alignment Marks (right and left side): Alignment mark that indicates the vertical position of the center of the patient’s eye.
6. ON/OFF Switch: Switch that controls input power to the unit. “O” indicates OFF, and “ | ” indicates “ON.”
7. USB Port: Communication port that transfers data to a computer.
8. Main Power Connector and Fuse Holder: Connection point for input power and the fuses. Press the top tab and bottom tab together on the fuse panel to remove the fuse holder and fuses. It is located on the underside of the unit.
9. Printer: Thermal printer supplied with the unit.
Accessories
• Chinrest (P/N 16049)
• Printer Paper (5 Pack) (P/N 12441)
• Dust Cover (P/N 16050-089)
• Quick Reference Card (P/N 16050-104)
• USB Cable - 6 ft. (1.8m) (P/N 15205-431)
• Forehead Rest Pad (Spare) (P/N 16050-170)
• Power Cord (P/N RCBL10040 - 110V) or
(P/N RCBL10041 - 230)
9
16050-101 Rev. K
Instrument Setup
( continued)
Icon Definition
The Reichert 7 incorporates a user-friendly icon/menu-based operating system that will increase the speed of measurements, training and use. Listed below are the icons that are used during the operation of this instrument.
Icon Description
MENU — Accesses secondary level menus such as setup and help.
MEASURE — Initiates a single-puff measurement process.
TRIPLE MEASURE — Initiates a triple-puff measurement process.
QUADRUPLE MEASURE — Initiates a quadruple-puff measurement process.
DEMO — Allows patient to feel a soft demonstration air puff.
CLEAR DATA — Clears both right and left data on the Operator Display and in memory.
PRINT — Sends data to the printer.
SERVICE — Displays service information.
CANCEL — Cancels measurement process.
PROCEED — Proceeds with measurement process.
SELECT — Activates the new parameter or settings in the setup menus.
BACK — Returns to the preceding screen.
RIGHT ARROW — Moves right horizontally in the setup menus.
LEFT ARROW — Moves left horizontally in the setup menus.
DOWN ARROW — Moves down vertically in the setup menus.
16050-101 Rev. K
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Instrument Setup
( continued)
Default Settings
The Reichert 7 has default settings that are set at the factory. To view a summary of these settings, refer to page 13. To view a detailed definition and explanation of each setting, refer to pages 14 through 17.
Follow these steps to customize the default settings:
1. Touch the screen on the MENU icon.
2. Touch the UP/DOWN arrows icon to choose the appropriate setup category (e.g., Printout Setup).
3. Touch the SELECT icon to display the parameters and settings of the setup categories.
4. Touch the UP/DOWN arrows icon to move the cursor box to the desired parameter.
5. Touch the SELECT icon to activate the highlighted parameter.
6. Touch the appropriate RIGHT/LEFT arrows icon to move the cursor box to the desired setting for the parameter.
7. Touch the SELECT icon to activate the highlighted setting.
8. Touch the BACK icon to step back through the previous menus until the Main Menu is shown.
CAUTION: DO NOT USE A POINTED OBJECT TO TOUCH THE SCREEN OR DAMAGE TO THE DISPLAY MAY
RESULT.
12
16050-101 Rev. K
Instrument Setup
( continued)
Default Settings
(continued)
This instrument is sent from the factory with measurement, printer, communication, and miscellaneous parameters set to default settings. These settings can be changed to suit the needs of the individual operator or clinician. A summary of these settings is given below with the default selections shown in bold type. To customize these settings, follow the steps provided on page 12,
Instrument Setup, Default Settings.
Customized Options
This instrument has the following default settings:
Tonometer Setup: (page 14)
Pressure: kPa,
mmHg
Measurement: Avg[3], Avg[4]
Printout Setup: (page 15)
Date Format: MDY, DMY, YMD
Time Format:
AM/PM, 24 HR
Date: 12/18/2007
Time: 05:00PM
Printer: On, Off
Practice:
Reichert
Communication Port Setup: (page 16)
Baud:
Parity:
Data Bits:
1200, 2400, 4800, 9600,
19200
None, Even, Odd
7,
8
Stop Bits: 1, 1.5, 2
General Setup: (page 17)
Language:
Tone:
Sleep:
Contrast:
Eng, Fra, Deu, Esp, Por, Ita
On, Off
5, 10, 20, 90
- | | | | | | | | | +
Note: Default settings are shown in Bold type.
16050-101 Rev. K
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Instrument Setup
( continued)
Tonometer Settings
14
The following options are available in the Tonometer Setup menu:
Parameters
PRESSURE
Settings
Choose either kilo Pascals (kPa) or millimeter of mercury (mmHg).
MEASUREMENTS Choose the average of 3 readings (Avg.[3]) or 4 readings (Avg.[4]).
16050-101 Rev. K
Instrument Setup
( continued)
Printout Settings
The following options are available in the Printout Setup menu:
Parameters Settings
DATE FMT
TIME FMT
DATE
TIME
PRINTER
PRACTICE
Choose the date format to display on the printer paper:
D=Day, M=Month, Y=Year.
Choose the time format: AM/PM or 24 HR.
Change the current date. Use the PLUS (+) or MINUS (-) icons to increase or decrease the numbers, then touch the SELECT icon.
Change the current time. Use the PLUS (+) or MINUS (-) icons to increase or decrease the numbers, then touch the SELECT icon.
Option that sets the printer to print (ON) or not to print (OFF) when the PRINT icon is touched.
Up to 30 characters (letters and numbers) can be printed at the bottom of the printer paper. To change the characters, use the PLUS and MINUS icons to scroll through the alphabet. Once you find the letter you need, touch the RIGHT or
LEFT icon to move horizontally to the next letter. To exit, touch the SELECT icon, then the RETURN icon.
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Instrument Setup
( continued)
Communications Settings
16
The Reichert 7 can transfer data to an external device, such as a computer, through the USB port.
The following options are available in the Communications Setup menu:
Parameters Settings
BAUD Serial transmission data rate, transfers in bits per second (bps).
PARITY
DATA BITS
Bits added to data transmission used to detect transmission errors. None, Even, or Odd are the available options.
Number of bits that make up data transmission word. Usually 7 or 8 bits in length.
STOP BITS Number of bits added to the end of the data transmission word to signal the end of transmission. Usually 1, 1.5, or 2 bits in length.
PRINTER Option that sets the printer to print (ON) or not to print (OFF) when the print button is pressed. When the printer is set to OFF, the patient data is sent only to the USB port. When the printer is set to ON, the patient data is sent to the printer and the
USB port.
16050-101 Rev. K
Instrument Setup
( continued)
General Settings
The following options are available in the General Setup menu:
Parameters Settings
LANGUAGE Sets the language that appears on the Operator Display.
TONE
SLEEP
Sets the audible tone indicator (“beep”) to be silent (OFF) or audible (ON).
Sets the duration of time (5, 10, 20 or 90 minutes) that the instrument is inactive before it enters the “sleep” mode (the Operator Display goes blank when the
“sleep” mode is active). To illuminate (“wake”) the Operator Display after the
“Sleep” mode is active, press any Control Button.
CONTRAST Adjusts the contrast of the Operator Display by changing the position of the slide bar.
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Instructions for Use
Alignment and Measurement
When power is applied to the Reichert 7, it initially performs a system check. After completion of the system check, the title screen will be displayed.
18
The Operator Display then displays a message to move the Forehead Rest fully to the left or right until it locks into position (if it is not already in this position).
16050-101 Rev. K
Instructions for Use
( continued)
Alignment and Measurement
(continued)
Slide headrest left or right
The Reichert 7 features a fully automated alignment system that enables the instrument to align itself to the apex of the patient’s left or right eye. This innovative system makes the measurement process quicker and more comfortable for the patient. Perform the following steps to take a measurement of the patient’s eye.
Air Tube
Illuminated
Nosepiece
1. Instruct the patient to locate the air tube inside the red circle on the end of the nosepiece.
2. After they have located the air tube, have the patient find the green target inside the air tube and then slowly lean forward until their forehead is on the soft pad in the middle of the Forehead
Rest. Refer to page 20.
-continued-
16050-101 Rev. K
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20
Instructions for Use
( continued)
Alignment and Measurement
(continued)
Proper Patient Alignment
(Chin close to unit.)
Improper Patient Alignment
(Chin moved away from unit.)
Note: If the patient cannot see the green target, use the canthus marks on the sides of the instrument to set the vertical alignment of the eye, and then ask the patient to move forward until the center of their forehead is pressed against the Forehead Rest pad.
Note: Verify that the patient is seated comfortably on the patient side of the instrument.
Note: Position the patient in a way that encourages them to lean forward with their chin as close to the instrument as possible. This will reduce the difficulties associated with misalignment and low confidence readings.
16050-101 Rev. K
Instructions for Use
( continued)
Alignment and Measurement
(continued)
3. Once the patient is leaning against the Forehead Rest, touch the Measure icon to begin the measurement process.
Note: Touching the Measure icon (one puff) will initiate a measurement with one puff. Touching the
Triple Measure icon (three puffs) will initiate a measurement with three rapid puffs. Touching the Quadruple Measure icon (four puffs) will initiate a measurement with four rapid puffs.
4. During the positioning process, the Operator Display will change and look similar to the one shown above.
Note: The aligning icon (+) icon will move around on the Operator Display when the patient is within the instrument’s acquisition zone. As the positioning system aligns to the apex of the eye, the (+) icon will move to the center of the screen and align over the center alignment target. Once the positioning system is aligned, the air “puff” or “puffs” are delivered to the eye and the pressure is acquired.
Note: If the instrument has trouble acquiring the patient’s eye during the measurement process
(e.g., it keeps aligning, but never takes a reading), ask the patient to:
• Remain still and try not to move
• Open their eyes wider, or
• Tilt their head towards the window.
Note: If the instrument still experiences difficulty aligning to the patient’s eye, refer to the
Maintenance section of this manual and perform the Position Window Cleaning procedure.
-continued-
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Instructions for Use
( continued)
Alignment and Measurement
(continued)
5. After the measurement is completed for the first eye, ask the patient to move their forehead away from the instrument.
6. There are several options available at this point: a. The Forehead Rest may be slid to the opposite side to continue taking measurements on the other eye.
b. All data may be cleared and other measurements taken (touch the CLEAR icon).
c. The data can be printed (touch the PRINT icon).
Note: The instrument will print out the data from both eyes if the PRINT icon is touched after both eyes are measured.
16050-101 Rev. K
Instructions for Use
( continued)
Demo Puff
Pressing the button under the DEMO icon initiates a sample air puff. This can be used to demonstrate the air puff to the patient.
After the DEMO button is pressed and the air puff is delivered, the Reichert 7 conducts a systems check to ensure its optimum performance.
Note: The DEMO icon will not display if there are measurements displayed on the screen (Touch the DELETE icon to make it visible).
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Instructions for Use
( continued)
Low Confidence Readings
During the measurement process, the Reichert 7 may detect a condition that could create a low confidence reading, identified by an asterisk after the reading.
Asterisk readings can result from blinking or interference from a patient’s eyelashes. These measurements are highlighted with an asterisk next to the reading as shown below.
Note: If a reading is followed by an asterisk, that reading will be used in the computation of the average value. A third measurement can be taken by touching the MEASURE icon, which will result in the replacement of the asterisk reading with the new reading. Touching the
TRIPLE MEASURE icon will take three new readings.
16050-101 Rev. K
Instructions for Use
( continued)
Low Confidence Readings
(continued)
Measurements with the Reichert 7 are made within a few milliseconds after the instrument “puffs” the eye. Since this measurement cycle is so short, IOP readings can be acquired at different times within a cardiac pulse period. Therefore, repetitive readings for an eye may fluctuate from 2 to 4 mmHg during this cardiac period.
Occasionally a reading greater than 4 mmHg may be shown (referred to as a “flier”) due to patient movement or other reasons. The Reichert 7 distinguishes these readings by placing the value in brackets, as shown on the screen below.
Note: If a reading is in brackets (a “flier”), it will be used in the computation of the average value and cause the average value to be out of range from the non-bracket readings. A third measurement can be taken by touching the MEASURE icon, which will replace the “flier” reading. Touching the TRIPLE MEASURE icon will take three new readings.
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Instructions for Use
( continued)
Too Far Activated
During the measurement process, the Reichert 7 may detect a situation where the patient’s eye is too far from the nosepiece. Should this occur, the instrument will return to the home position, and the screen will change to that shown below.
Should this situation arise, ask the patient to move away from the instrument, reposition the patient, and then proceed with the next measurement.
16050-101 Rev. K
Instructions for Use
( continued)
Printing Measurement Data
To print the measurement data, touch the PRINT icon.
A sample printout is shown below:
Name: ________________________________
08/08/2010
(R) (L)
01:11 PM
17 16
16 16
16 16
— —
Avg [16.3] [16.0]
Reichert
Sample Printout
If you decide not to make a printout, touch the CLEAR DATA icon. This will clear all data from the memory and the screen. The instrument is now ready for the next patient.
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Cleaning & Maintenance
Fuses
WARNING: DISCONNECT POWER BEFORE ATTEMPTING TO REMOVE THE FUSES OR SERIOUS INJURY OR
DEATH MAY OCCUR.
Replace the fuses in the Power Input Module with the fuses indicated in the Specifications section of this manual.
1. Remove input power to the instrument.
2. Press down on the tab in the middle of the Power Input
Module to release the Fuse Holder. Refer to item 1.
3. Pull the fuse holder out of the input module.
Refer to item 2.
4. Install new fuses that are indicated in the Specification section of this manual into the Fuse Holder.
5. Push the Fuse Holder into the Power Input Module until it snaps into place.
1
Fuses
2
External Cleaning
Fuse Location
Clean the external surfaces of this instrument using a clean, soft cloth moistened with a mild detergent solution (1 cc of liquid dish soap to one liter of clean, filtered water (filtered below 5 microns)).
Forehead Rest Cleaning
For hygienic reasons, the Forehead Rest may be cleaned with a clean cloth moistened with a mild detergent solution (1 cc of liquid dish soap to one liter of clean, filtered water (filtered below 5 microns)).
Note: If the Forehead Rest pad must be sanitized, a sterile wipe may be used occasionally.
Note: Replacement Forehead Rest Pads can be purchased through your local authorized Reichert dealer under P/N 16050-170.
Operator Display Cleaning
Use a clean, soft cloth with neutral detergent or ethanol to clean the operator display. Do not use any chemical solvent, acidic, or alkali solution.
Printer Paper
To change the printer paper, remove the printer paper door to expose the printer paper compartment.
Remove the cardboard roll and place a new roll of thermal printer inside the printer paper compartment as shown below. To order replacement thermal paper, call your local dealer and ask for Reichert replacement paper.
Printer Paper Replacement
16050-101 Rev. K
Cleaning & Maintenance
( continued)
Positioning Windows and Airtube Cleaning
When the Positioning Windows or the Applanation Windows become occluded with contaminants, degradation of the positioning signal occurs. When signal degradation occurs, the system may not recognize or position at the center of the eye. Consequently, the instrument will not find the center of the eye or align off center, which may prevent the unit from taking a measurement or can cause asterisk readings.
CAUTION: DO NOT USE ALCOHOL, SOLVENTS OR STRONG CLEANING SOLUTIONS ON THE ALIGNMENT
WINDOWS OR DAMAGE TO THE WINDOWS WILL OCCUR.
1. Locate the Positioning Windows and the Applanation Windows and wipe the outside surfaces with a clean, long handle cotton-tip swab moistened with a lens cleaner that is safe for plastic lenses.
2. Remove any remaining dust or foreign particles using only clean, dry, compressed air at less than 90 psig
(620 kPa).
Applanation Windows
Air tube
Positioning Windows
Positioning Windows
WARNING: AFTER CLEANING THE INSIDE OF THE AIRTUBE, TOUCH THE DEMO ICON A FEW TIMES ON
THE OPERATOR’S SCREEN SO THAT ANY CONTAMINANTS ARE SAFELY REMOVED FROM INSIDE THE
AIRTUBE.
3. Using a Pipe Cleaner, slide it in and out of the Airtube a few times to remove any contaminants inside the Airtube.
4. After cleaning the inside of the Airtube, reset power to the unit and then press the button below the DEMO icon (located on the operator’s screen) several times to ensure that any contaminants dislodged within the Airtube by the cleaning process are expelled from the Airtube before performing a measurement.
Pipe Cleaners
16050-101 Rev. K
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30
Cleaning & Maintenance
( continued)
Forehead Rest Pad Replacement
The Reichert 7 tonometer has a removable Forehead Rest Pad, to allow for easier replacement of the pad.
On the bottom part of the Forehead Rest Pad, there is a small indent, which is to allow room to grip the pad with your finger. Refer to Figure
CL-1.
1. Grip the Forehead Rest Pad with your fingers at the Indent at the bottom of the pad.
Refer to Figure CL-2.
2. Gently remove the Forehead Rest Pad by peeling it away from the Headrest. Refer to
Figure CL-3.
3. Install a new Forehead Rest Pad by pressing it onto the grooves of the Headrest. Refer to
Figure CL-4.
Note: Be sure the new Forehead Rest Pad is completely and firmly pressed down. If it is not, it could fall off.
Note: If you have the old style Headrest Assembly and need to replace the Headrest, please contact Reichert.
Indent
Figure CL-1. Forehead Rest Pad Indent
Figure CL-2. Grip Forehead Rest Pad
Figure CL-3. Remove Forehead Rest Pad
Figure CL-4. Install Forehead Rest Pad
16050-101 Rev. K
Troubleshooting
Help Screens
The Reichert 7 includes HELP screens, which provide useful information and tips on its operation.
These screens are intended to be used as a quick reference to a selection of operations.
To access the HELP menu, touch the MENU icon. Press the DOWN ARROW icon until the cursor box is positioned on HELP. Then touch the SELECT icon to access the HELP screen.
16050-101 Rev. K
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Troubleshooting
( continued)
Chart of Common Errors
The following chart provides details of common problems and solutions for the Reichert 7.
Definition
Screen blank.
Instrument not responding to icon touch.
“Position Patient” message shown.
Does not find the eye
(moves straight out, then goes straight back).
Finds one eye not the other. Infrared interference.
Will not take a reading.
Asterisk readings or No
Applanation readings shown.
Printer is not printing.
Forehead Rest Pad fell off.
Probable Cause
Unit is in Sleep Mode.
Solution
Touch any icon.
ON/OFF Switch is set to OFF.
Press the “|” on the ON/OFF Switch.
Contrast is set too low.
Fuse(s) are blown.
Instrument is “locked up.”
Touch screen needs recalibrating. (Re-boot unit while touching the screen to initiate calibration of the touch screen.)
Patient not looking at the green fixation LED.
Dirty Positioning Windows.
Adjust contrast in Setup menu.
Replace the blown fuse(s) (Refer to page 28).
Press the ON/OFF Switch to OFF, wait two minutes, then press it to ON.
Press the “blue dot” displayed on the screen at different locations to re-calibrate the touch screen.
Instruct patient to look for the green LED, then move in toward headrest.
Clean the Positioning Windows (Refer to the
Maintenance section of this manual).
External light is confusing the positioning system.
Light interference on measuring side.
Isolate sources of external light (e.g., incandescent or infrared light) and remove light source.
Remove interference (e.g., infrared light source).
Patient not holding still.
Patient’s eye too far from the
Patient Window.
Patient not focusing on the target (eye moving around).
Patient has dry eye.
Dirty Positioning Windows.
Encourage patient to remain still.
Ask patient to move toward the nosepiece.
Ask patient to look only at target.
Ask patient to blink their eyes.
Clean the Positioning Windows (Refer to the
Maintenance section of this manual).
Unit needs reboot of hardware. Unplug unit, wait 2 minutes then apply input power.
Dirty Positioning Windows.
Printer is out of paper.
Clean the Positioning Windows (Refer to the
Maintenance section of this manual).
Replace the paper with Reichert P/N 12241.
Reverse the printer paper.
Printer paper is installed backwards.
Not using Reichert thermal paper.
The Forehead Rest Pad has become loose and separated from the Headrest.
Replace the paper with Reichert P/N 12241.
Replace the Forehead Rest Pad with P/N 16050-
170. (Refer to the Maintenance section of this manual).
16050-101 Rev. K
Troubleshooting
( continued)
Print-Related Errors
If your printer runs out of paper during a print cycle, the following message will appear:
Note: If the printer paper runs out before printing all the measurement data, the data will be stored.
Once the printer paper is replaced, a complete print out of all measurement data will start.
16050-101 Rev. K
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34
Specifications
Model: 16050 - Reichert 7
Physical Dimensions
Size: Weight, unpacked: 23.0 lbs. (10.4 Kg)
Height: 19.8 in. (50.2 cm)
Width: 10.5 in. (26.7 cm)
Depth: 14.0 in. (35.6 cm)
Electrical
Voltage: 100-240 VAC
Power: 60-85 VA
Frequency: 50/60 Hz
Fuses: Time-Lag (2.5A, 250V), 5 X 20mm
Measurement Range:
0 – 60 mmHg (ISO 8612 Tonometer Standard 7 – 60 mmHg)
Measurement Accuracy: The measurement accuracy of IOP is per ISO 8612.
Operational Conditions
70°C
Environmental:
The environmental conditions are as follows:
Operating:
Temperature: 10° C (50° F) to 35° C (95° F)
Relative Humidity: 30% to 90%
Atmospheric Pressure: 80 (23.6 in. Hg) to
106 kPa (31.3 in. Hg)
Transportation & Storage:
Temperature: -40° C (-40° F) to +70° C (158° F)
Relative Humidity: 10% to 95%
Atmospheric Pressure: 50 (14.8 in. Hg) to
106 kPa (31.3 in. Hg)
-40°C
10%
50 kPa
95%
106 kPa
Disposal
This product does not generate any environmentally hazardous residues. At the end of its product service life, follow your local laws and ordinances regarding the proper disposal of this equipment.
Software Revision
The software revision can be obtained by contacting Reichert Technologies. The serial number identifies the manufacture date and will provide access to the software version.
16050-101 Rev. K
Classifications
The Reichert 7 is classified as Class I Equipment.
Class I Equipment is equipment in which protection against electric shock does not rely on basic insulation only, but which includes an additional safety precaution in that means are provided for the connection of the equipment to a protective earth conductor in the fixed wiring of the installation in such a way which accessible metal parts cannot become live in the event of a failure of the basic insulation.
The Reichert 7 is classified as Type B Equipment.
Type B Equipment provides an adequate degree of protection against electrical shock, particularly regarding allowable leakage currents and reliability of the protective earth connection.
The Reichert 7 is classified as IPX0 Equipment.
IPX0 Equipment is ordinary equipment enclosed without protection against ingress of water.
According to the mode of operation, the Reichert 7 is a Continuous Operation instrument.
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36
Guidance Tables
Table 201 – Guidance and Manufacturer’s Declaration
Electromagnetic Emissions
All Equipment and Systems
Guidance and Manufacturer’s Declaration – Electromagnetic Emissions
The Reichert 7 is intended for use in the electromagnetic environment specified below. The customer or user of the Reichert 7 should ensure that it is used in such an environment.
Emissions Test
RF Emissions
CISPR 11
Compliance
Class A,
Group 1
Electromagnetic Environment
- Guidance -
The Reichert 7 uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
Harmonics
IEC 61000-3-2
Flicker
IEC 61000-3-3
Class A
Complies or N/A
The Reichert 7 is suitable for use in all establishments,
other than domestic and those directly connected to the public low-voltage power supply network that supplies building for domestic power.
Table 202 – Guidance and Manufacturer’s Declaration
Electromagnetic Immunity
All Equipment and Systems
Guidance and Manufacturer’s Declaration – Electromagnetic Immunity
The Reichert 7 is suitable for use in electromagnetic environment specified below. The customer or user of the Reichert 7 should ensure that it is used in such an environment.
Immunity
Test
ESD
IEC 61000-4-2
EFT
IEC 61000-4-4
Surge
IEC 61000-4-5
IEC 60601
Test Level
±6kV Contact
±8kV Air
±2kV Mains
±1kV I/Os
Compliance
Level
±6kV Contact
±8kV Air
±2kV Mains
±1kV I/Os
Electromagnetic
Environment
- Guidance
Floors should be wood, concrete or ceramic tile. If floors are synthetic, the R/H should be at least 30%.
Mains power quality should be that of a typical residential, commercial or hospital environment.
Mains power quality should be that of a typical residential, commercial or hospital environment.
Voltage
Dips/Dropout
IEC 61000-4-11
±1kV Differential
±2kV Common
>95% Dip for 0.5 Cycle
60% Dip for 5 Cycles
30% Dip for 25 Cycles
>95% Dip for 5 Seconds
±1kV Differential
±2kV Common
>95% Dip for 0.5 Cycle
60% Dip for 5 Cycles
30% Dip for 25 Cycles
>95% Dip for 5 Seconds
Mains power quality should be that of a typical residential, commercial or hospital environment. If the user of the Reichert 7 requires continued operation during power mains interruptions, it is recommended that the
Reichert 7 be powered from an uninterruptible power supply or battery.
Power Frequency
50/60Hz
Magnetic Field
IEC 61000-4-8
3A/m 3A/m
Power frequency magnetic fields should be that of a typical residential, commercial or hospital environment.
16050-101 Rev. K
Guidance Tables
( continued)
Table 204
– Guidance and Manufacturer’s Declaration
Electromagnetic Immunity
Equipment and Systems that are NOT Life-supporting
Guidance and Manufacturer’s Declaration – Electromagnetic Immunity
The Reichert 7 is intended for use in the electromagnetic environment specified below. The customer or user of the Reichert 7 should ensure that it is used in such an environment.
Immunity
Test
Conducted RF
IEC 61000-4-6
IEC 60601
Test Level
3 Vrms
150 kHz to 80
MHz
Compliance
Level
(V1) = 3 V/rms
Electromagnetic
Environment
- Guidance
Portable and mobile RF communications equipment should be no closer to any part of the Reichert 7, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Radiated RF
IEC 61000-4-3
80 MHz to 2.5
GHz @ 3V/m
(E1) = 3
V/m Recommended Separation Distance: d=(3.5/V1)(Sqrt P) d=(3.5/V1)(Sqrt P)
80 to 800 MHz d=(7/E1)(Sqrt P)
800 MHz to 2.5 GHz
Where P is the max output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters
(m).
Field strengths from fixed transmitters, as determined by an electromagnetic site survey, should be less than the compliance levels in each frequence range.
Interference may occur in the vicinity of equipment marked with the following symbol.
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
* Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. The measured field strength in the location in which the ME Equipment or
ME System should be observed to verify normal operation. If abnormal performance is observed, additional measures many be necessary, such as re-orienting or relocating the ME Equipment or ME System.
* Over the frequency range 150 kHz to 80 MHz, field strengths should be less then [V1] V/m.
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Guidance Tables
( continued)
Table 206
– Recommended Separation Distances between
Portable and Mobile RF Communications Equipment and the Reichert 7 for
ME Equipment and ME Systems that are NOT Life-supporting.
Guidance and Manufacturer’s Declaration - Electromagnetic Immunity
Recommended Separation Distances for between
Portable and Mobile RF Communications Equipment and the Reichert 7
The Reichert 7 is intended for use in the electromagnetic environment in which radiated
RF disturbances are controlled. The customer or user of the Reichert 7 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile
RF Communications Equipment and the Reichert 7 as recommended below, according to the maximum output power of the communications equipment.
Max Output
Power of Transmitter
(W)
0.01
0.1
1
10
100
Separation (m)
150kHz to 80 MHz
d=(3.5/V1)(Sqrt P)
0.1166
0.3689
1.1666
3.6893
11.6666
Separation (m)
80 to 800 MHz
d=(3.5/E1)(Sqrt P)
0.1166
0.3689
1.1666
3.6893
11.6666
Separation (m)
800MHz to 2.5GHz
d=(7/E1)(Sqrt P)
0.2333
0.7378
2.3333
7.3786
23.3333
For transmitters rated at a maximum output power not listed above, the recommended separation distance (d) in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (w) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.
16050-101 Rev. K
Warranty
This product is warranted by Reichert Technologies (“Reichert”) against defective material and workmanship under normal use for a period of one year from the date of invoice to the original purchaser. (An authorized dealer shall not be considered an original purchaser.) Under this warranty, Reichert’s sole obligation is to repair or replace the defective part or product at Reichert’s discretion.
This warranty applies to new products and does not apply to a product that has been tampered with, altered in any way, misused, damaged by accident or negligence, or that has the serial number removed, altered or effaced. Nor shall this warranty be extended to a product installed or operated in a manner not in accordance with the applicable Reichert instruction manual, nor to a product that has been sold, serviced, installed or repaired other than by a Reichert factory, Technical Service Center, or authorized Reichert
Technologies Dealer.
Lamps, bulbs, charts, cards and other expendable items are not covered by this warranty.
All claims under this warranty must be in writing directed to the Reichert factory, Technical Service Center, or authorized instrument dealer making the original sale and must be accompanied by a copy of the purchaser’s invoice.
This warranty is in lieu of all other warranties implied or expressed. All implied warranties of merchantability or fitness for a particular use are hereby disclaimed. No representative or other person is authorized to make any other obligations for Reichert. Reichert shall not be liable for any special, incidental, or consequent damages for any negligence, breach of warranty, strict liability or any other damages resulting from or relating to design, manufacture, sale, use or handling of the product.
PATENT WARRANTY
If notified promptly in writing of any action brought against the purchaser based on a claim that the instrument infringes a U.S. Patent, Reichert will defend such action at its expense and will pay costs and damages awarded in any such action, provided that Reichert shall have sole control of the defense of any such action with information and assistance (at Reichert’s expense) for such defense, and of all negotiation for the settlement and compromise thereof.
PRODUCT CHANGES
Reichert reserves the right to make changes in design or to make additions to or improvements in its products without obligation to add such to products previously manufactured.
CLAIMS FOR SHORTAGES
We use extreme care in selection, checking, rechecking and packing to eliminate the possibility of error. If any shipping errors are discovered:
1. Carefully go through the packing materials to be sure nothing was inadvertently overlooked when the unit was unpacked.
2. Call the dealer you purchased the product from and report the shortage. The materials are packed at the factory and none should be missing if the box has never been opened.
3. Claims should be filed within 30 days.
CLAIMS FOR DAMAGES IN TRANSIT
Our shipping responsibility ceases with the safe delivery in good condition to the transportation company.
Claims for loss or damage in transit should be made promptly and directly to the transportation company.
If, upon delivery, the outside of the packing case shows evidence of rough handling or damage, the transportation company’s agent should be requested to make a “Received in Bad Order” notation on the delivery receipt. If within 48 hours of delivery, concealed damage is noted upon unpacking the shipment and no exterior evidence of rough handling is apparent, the transportation company should be requested to make out a “Bad Order” report. This procedure is necessary in order for the dealer to maintain the right of recovery from the carrier.
16050-101 Rev. K
39
Manufactured By
Reichert, Inc.
3362 Walden Ave
Depew, NY 14043
USA
Toll Free 888-849-8955
Phone: 716-686-4500
Fax: 716-686-4555
Email: [email protected]
www.reichert.com
Authorized European Representative
AMETEK GmbH
Business Unit Reichert
Carl-von-Linde-Strasse 42
85716 Unterschleissheim/Munich
Germany
Email: [email protected]
Tel: +49 (89) 315 8911 0
Fax: +49 (89) 315 891 99
ISO-9001/13485 Certified
16050-101 Rev. K
2016-05-04
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Key Features
- Fast and accurate IOP measurements
- User-friendly interface
- Comfortable for patients
- Suitable for various clinical settings
- Compact and portable
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Frequently Answers and Questions
What is the measuring range of Reichert 7?
How often should the device be calibrated?
Can the device be used on patients with cataracts?
What is the power consumption of the device?
What are the dimensions of the device?
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Table of contents
- 7 Introduction
- 8 Instrument Setup
- 8 Shipping Protector
- 9 Application of Input Power
- 10 Parts Identification
- 10 Accessories
- 11 Icon Definition
- 12 Default Settings
- 13 Customized Options
- 14 Tonometer Settings
- 15 Printout Settings
- 16 Communication Settings
- 17 General Settings
- 18 Instructions for Use
- 18 Alignment and Measurement
- 24 Low Confidence Readings
- 26 Too Far Activated
- 27 Printing Measurement Data
- 28 Cleaning & Maintenance
- 28 Fuses
- 28 External Cleaning
- 28 Forehead Rest Cleaning
- 28 Operator Display Cleaning
- 28 Printer Paper
- 29 Positioning Windows and Airtube Cleaning
- 30 Forehead Rest Pad Replacement
- 31 Troubleshooting
- 31 Help Screens
- 32 Chart of Common Errors
- 33 Print-Related Errors
- 34 Specifications
- 35 Classifications
- 36 Guidance Tables
- 39 Warranty