- Medical equipment
- Optomed
- Halo
- User manual
- 64 Pages
Optomed HALO User Manual
Optomed Halo is an automated portable retinal camera that provides non-mydriatic color retina and external images of the eye. It aids clinicians in the diagnosis of diabetic retinopathy, AMD, glaucoma, and other retinal diseases. It's a non-contact, high-resolution digital imaging device that captures, displays, and stores images of the retina and external areas of the eye under non-mydriatic conditions.
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Automated Portable Retinal Camera User Manual Reading through accompanying documents is a mandatory action before using this equipment 810-C2701-131 Rev. D Automated Portable Retinal Camera (Optomed HALO) User Manual Content 1 Introduction 1.1 Outline 1.2 Intended use 1.3 Indication for Use 1.4 Proper instrument use 2 Safety information 2.1 Displays for safety use 2.2 Symbols and labels 2.3 Protective packing symbols 2.4 Product labels 2.5 Service life 2.6 Cybersecurity information 2.7 Cybersecurity functions 2.8 Data back up 3 Instrument description 3.1 Introduction 3.2 Standard accessories 4 Log in and introduction of user interface 4.1 Patient management 4.2 Capture image 5 Specifications 5.1 Product specification 5.2 Environmental conditions 5.3 Electric rating 6 Maintenance 6.1 Lens cleaning 6.2 Chinrest and forehead rest 7 Software installation 8 Installation and setup with external laptop 8.1 Place carton box on the floor. Page 1 3 3 3 3 4 5 5 9 10 17 17 17 18 19 20 20 21 22 29 34 55 55 56 57 58 58 58 59 61 61 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 8.2 8.3 8.4 8.5 8.6 Remove the buckles Take off the Optomed Halo machine Setup machine and relative cables Connect the external laptop Remove lens cover Page 2 61 62 62 62 63 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 1 Introduction 1.1 Outline The Automated Portable Retinal Camera Optomed Halo is an auto 3D tracking, fast and easy to carry retinal imaging system. Optomed Halo is designed to provide images of the eye as an aid to clinicians in the diagnosis of diabetic retinopathy, AMD, glaucoma and other retinal diseases. 1.2 Intended use Optomed Halo provides non-mydriatic color retina and external images of the eye as an aid to clinicians in the evaluation and diagnosis of eye disease. 1.3 Indication for Use Optomed Halo is a non-contact, high resolution digital imaging device which is suitable for photographing, displaying and storing images of the retina and external areas of the eye to be evaluated under non-mydriatic conditions. Optomed Halo is indicated for in-vivo viewing of the posterior and external area of the eye and the images are intended for use as an aid to clinicians in the evaluation, diagnosis and documentation of ocular health. Page 3 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 1.4 Proper instrument use 1. Optomed Halo is a medical device; it must be operated by properly trained and qualified person(s) only. The operation should be supervised by a physician. If abnormal behavior is observed due to EM disturbances, please relocate the device accordingly. 2. Please be sure to read the user manual to understand the safety precautions before operating this device. 3. Always enter patient information first. 4. Prepare patient contact surfaces (forehead and chin rest) according to the cleaning method in this manual. 5. Instantly turn off the power switch of this instrument and disconnect the power cable if uncertain problems arise. 6. Clean ocular lens frequently to ensure good image quality. 7. Adjust the height of motorized adjustable table properly to ensure patient’s comfort during the examination. 8. Align the patient’s eye position to the canthus indicator mark on the chin and forehead rest assembly. 9. Dim the room lights to allow natural dilation of the patient’s pupil and to provide a comfortable visualization of the fixation target without glare. 10. Inspection of the system’s functionality before use whether any repair is needed. Page 4 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 2 Safety information 2.1 Displays for safety use Display Meaning WARNING CAUTION “WARNING” indicates the presence of a hazard that could result in severe personal injury. “CAUTION” indicates the presence of a hazard that could result in minor injury. “NOTE” provides useful information for operation which is important. NOTE WARNING Accessory equipment connected to the digital interfaces must be certified according to the respective IEC standards (e.g., IEC 60950 for laptop or IEC 60601-1 for medical equipment). Furthermore, all configurations shall comply with the system standard IEC 60601-1-1 and IEC 60601-1:2005. Any person who connects or installs devices to the system has responsibility to verify that compliance. If in doubt, consult the Optomed local representative or distributor. WARNING WARNING WARNING To avoid risk of electric shock, this equipment must only be connected to the supply mains with protective earth. Do not modify this equipment without authorization of the manufacturer. THE Optomed Halo CANNOT REPLACE CLINICAL JUDGEMENT AND IS INTENDED TO BE USED ONLY IN CONJUCTION WITH OTHER CLINICAL TOOLS CONSIDERED TO BE THE STANDARD OF CARE FOR MEASUREMENT AND DIAGNOSIS OF THE EYE. Page 5 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual WARNING The Optomed Halo is a medical device. The software and hardware has been designed in accordance with U.S., European and other international medical device design and manufacturing standards. Unauthorized modification of the Optomed Halo software or hardware, or any addition or deletion of any application in any way can jeopardize the safety of operators and patients, the performance of the instrument, and the integrity of patient data. Any changes, additions or deletions to factory installed applications, operating system or modifications to hardware in any manner VOIDS the Warranty completely. WARNING Optomed Halo is not intended for home use and may not be stored or operated in environment conditions other than those prescribed. (see Specification) WARNING Phototoxicity Because prolonged intense light exposure can damage the retina, the use of the device for ocular examination should not be unnecessarily prolonged, and the brightness setting should not exceed what is needed to provide clear visualization of the target structures. The retinal exposure dose for a photochemical hazard is a product of the radiance and the exposure time. If the value of radiance were reduced in half, twice the time would be needed to reach the maximum exposure limit. Page 6 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual WARNING Do not obstruct the mains power switch or position the equipment where the connection to the mains line can be accidentally disconnected. WARNING Equipment is not suitable for use in the presence of a Flammable Anesthetic Mixture with Air, Oxygen, or Nitrous Oxide. WARNING The Optomed Halo has no special protection against harmful ingress of water or other liquids (classified IPX0). To avoid damage to the instrument and cause a safety hazard, the cleaning solutions, including water, should not be directly applied to the device. Using a dampened cloth (without dripping), is a good method to clean the exterior surface of the enclosure. WARNING The patient cannot touch any electrical device that is not powered by Optomed Halo with any part of his or her body while being examined. In addition, the Optomed Halo operator must not attempt to touch the patient and any electrical device that is not powered by Optomed Halo at the same time while examining the patient. Failure to do so could result in electrical shock to the patient and/or operator. WARNING Do not connect the instrument with anything other than specified. Otherwise, it may result in fire or electric shock. For details of purchasing accessories, please contact a Optomed representative or distributor. Page 7 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual CAUTION Be sure to hold the bottom of the base when Optomed Halo is moved. CAUTION CAUTION When adjusting chinrest, be careful not to pinch the patient’s hand. The device need to install on the stable table. Do not install in location that are unstable or exposed to vibration CAUTION Federal law restricts this device to sale by or on the order of a Physician or Practitioner (CFR 801.109(b)(1)). CAUTION Careful consideration of this information is essential when stacking or collocating equipment and when routing cables and accessories. CAUTION Please do not use any other cables or accessories not approved by the manufacturer in this manual to avoid negative influence on electromagnetic compatibility. CAUTION This equipment is not intended for use in residential environments and may not provide adequate protection to radio reception in such environments. CAUTION Distance between Optomed Halo and wall not less than 22cm CAUTION To ensure cleanliness, replace the chinrest paper whenever changing patients. Page 8 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 2.2 Symbols and labels Presence of electrical shock hazard. Note: Indicates risk of electrical shock due to the presence of uninsulated high voltage inside the instrument. Do not remove the instrument cover or parts. Circuit Breaker Type B applied parts. Note: This instrument complies with the specified requirements to provide protection against electrical shock, particularly regarding allowable patient leakage current. Manufacturer Crystalvue Medical Corporation No. 116, Ln. 956, Zhongshan Rd., Taoyuan Dist., Taoyuan City 33072, Taiwan Authorized Representative in the European Union Medical Device Safety Service (MDSS) GmbH Schiffgraben 41 30175 Hannover, Germany Serial number Catalog number / part number Prescription Use Page 9 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 2.3 Protective packing symbols The protective packing symbols specify the handling requirements and the transport and storage conditions. Fragile, Handle with care Keep dry This end up Relative Humidity Temperature Do not stack 2 Layers only Waste Electrical and Electronic Equipment (WEEE) Recycling Instructions When determined that the device is ready for disposal, it is to be recycled following the policies and procedures reflecting respective country’s requirements. Do not dispose of device as general waste. Page 10 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Product compliance 93/42/EEC/M5 Medical Device Directive Indicates this equipment contains Type B applied parts The Optomed Halo is classified as follows: Class I Equipment – Protection against electrical shock. Type B – Degree of protection against electric shock of applied part (chin and forehead rests). Ordinary Equipment (IPX0) – Degree of protection against ingress of liquids (none) (4th edition). Continuous Operation – Mode of operation Electromagnetic Compatibility (EMC): EN 60601-1-2:2015 (4th edition) The Optomed Halo TM device has been tested to comply with the emission and Immunity requirements of EN60601-1-2:2015 (4th edition). The Optomed Halo TM is intended for use in an electromagnetic environment where radiated RF disturbances are not beyond the standard defined in EN60601-1-2:2015 (4th edition). Page 11 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Certification: under IEC 60601-1 Guidance and manufacturer’s declaration – electromagnetic emissions The Optomed Halo is intended for use in the electromagnetic environment specified below. The customer or the user of the Optomed Halo should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment – guidance RF emissions Group 1 The Optomed Halo uses RF energy only for its internal function. Therefore, its RF emissions are very CISPR 11 low and are not likely to cause any interference in nearby electronic equipment. RF emissions Class A establishments other than domestic and those CISPR 11 Harmonic emissions Class A flicker emissions IEC 61000-3-3 directly connected to the public low-voltage power supply network that supplies buildings used for IEC 61000-3-2 Voltage fluctuations/ The Optomed Halo is suitable for use in all Complies domestic purposes. WARNING: The Optomed Halo is intended for use by healthcare professionals only. The Optomed Halo may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures, such as re-orienting or relocating the system, or shielding the location. Page 12 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Manufacturer’s declaration-electromagnetic immunity The Optomed Halo is intended for use in the electromagnetic environment (for professional healthcare) specified below. The customer or the user of the Optomed Halo should assure that it is used in such an environment. Immunity test IEC 60601 Compliance level Electromagnetic environment-guidance (for professional healthcare environment) test level Electrostatic Contact:±8 kV Contact:±8 kV Floors should be wood, concrete or discharge(ESD) Air±2 kV,±4 kV,±8 kV, Air±2 kV,±4 kV,±8 ceramic tile. If floors are covered IEC 61000-4-2 ±15 kV kV,±15 kV with synthetic material, the relative humidity should be at least 30% Electrical fast + 2kV for power supply + 2kV for power supply Mains power quality should be that transient/burst lines lines of a typical professional healthcare IEC 61000-4-4 + 1kV for input/output Not applicable environment. lines Surge + 0.5kV, +1kV line(s) to + 0.5kV, +1kV line(s) to Mains power quality should be that IEC 61000-4-5 line(s) line(s) of a typical professional healthcare + 0.5kV, +1kV,+ 2kV + 0.5kV, +1kV,+ 2kV environment. line(s) to earth line(s) to earth Voltage Dips, short Voltage dips: Voltage dips: Mains power quality should be that interruptions and 0 % UT; 0,5 cycle 0 % UT; 0,5 cycle of a typical professional healthcare voltage variations on 0 % UT; 1 cycle| 0 % UT; 1 cycle environment. If the user of the power supply input 70 % UT; 25/30 cycles 70 % UT; 25 cycles Optomed Halo requires continued lines IEC 61000-4-11 operation during power mains Voltage interruptions: Voltage interruptions: interruptions, it is recommended that 0 % UT; 250/300 cycle 0 % UT; 250 cycles the Optomed Halo be powered from an uninterruptible power supply or a battery. Power frequency(50, 30 A/m 30 A/m The Optomed Halo power frequency 60 Hz) magnetic field 50 Hz or 60 Hz 50 Hz magnetic fields should be at levels IEC 61000-4-8 characteristic of a typical location in a typical professional healthcare environment. NOTE UT is the a.c. mains voltage prior to application of the test level. Page 13 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Manufacturer’s declaration-electromagnetic immunity The Optomed Halo is intended for use in the electromagnetic environment (for professional healthcare) specified below. The customer or the user of the Optomed Halo should assure that it is used in such and environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment-guidance (for professional healthcare environment) Conducted RF 3 Vrms: 3 Vrms: Portable and mobile RF communications IEC 61000-4-6 0,15 MHz – 80 MHz 0,15 MHz – 80 MHz equipment should be used no closer to any part of 6 Vrms: 6 Vrms: the Optomed Halo including cables, than the in ISM bands between in ISM bands between recommended separation distance calculated from the 0,15 MHz and 80 MHz 0,15 MHz and 80 MHz equation applicable to the frequency of the transmitter. 80 % AM at 1 kHz 80 % AM at 1 kHz Recommended separation distance: Radiated RF 3 V/m 3 V/m d = 1,2 √P IEC 61000-4-3 80 MHz – 2,7 GHz 80 MHz – 2,7 GHz d = 1,2 √P 80MHz to 800 MHz d = 2,3 √P 800MHz to 2,7 GHz 80 % AM at 1 kHz 80 % AM at 1 kHz Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m). Interference may occur in the vicinity of equipment marked with the following symbol: NOTE1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Page 14 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Recommended separation distance between portable and mobile RF communications equipment and the Optomed Halo The Optomed Halo is intended for use in an electromagnetic environment (for professional healthcare) in which radiated RF disturbances are controlled. The customer or the user of the Optomed Halo can help prevent electromagnetic interference by maintaining a minimum and wall portable and mobile RF communications equipment (transmitters) and the Optomed Halo as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power Separation distance according to frequency of transmitter of transmitter m W 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2,7 GHz d =1,2√P d =1,2√P d =2,3√P 0,01 0,12 0,12 0,23 0,1 0,38 0,38 0,73 1 1,2 1,2 2,3 10 3,8 3,8 7,3 100 12 12 23 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. Page 15 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Manufacturer’s declaration-electromagnetic immunity Test specifications for ENCLOSURE PORT IMMUNITY to RF wireless communications equipment The Optomed Halo is intended for use in the electromagnetic environment (for professional healthcare) specified below. The customer or the user of the Optomed Halo should assure that it is used in such an environment. Modulation b) Maximum power (W) Distance (m) IMMUNITY TEST LEVEL (V/m) Compliance LEVEL (V/m) (for professional healthcare) Pulse modulation b) 18 Hz 1,8 0,3 27 27 0,3 28 28 0,2 0,3 9 9 GSM 800/900, TETRA 800, Pulse 800 – 960 iDEN 820, modulation b) CDMA 850, 18 Hz LTE Band 5 2 0,3 28 28 1 700 – 1 990 GSM 1800; CDMA 1900; Pulse GSM 1900; modulation b) DECT; 217 Hz LTE Band 1, 3, 4, 25; UMTS 2 0,3 28 28 2 400 – 2 570 Bluetooth, WLAN, 802.11 b/g/n, RFID 2450, LTE Band 7 2 0,3 28 28 5 100 – 5 800 Pulse WLAN 802.11 modulation b) a/n 217 Hz 0,2 0,3 9 9 Test frequency (MHz) Band a) (MHz) 385 380 –390 TETRA 400 450 430 – 470 GMRS 460, FRS 460 704 – 787 Pulse LTE Band 13, modulation b) 17 217 Hz 710 745 780 810 870 930 1 720 1 845 1 970 2 450 5 240 5 500 5 785 Service a) FM c) ±5 kHz deviation 2 1 kHz sine Pulse modulation b) 217 Hz NOTE If necessary to achieve the IMMUNITY TEST LEVEL , the distance between the transmitting antenna and the ME EQUIPMENT or ME SYSTEM may be reduced to 1 m. The 1 m test distance is permitted by IEC 61000-4-3. a) b) c) For some services, only the uplink frequencies are included. The carrier shall be modulated using a 50 % duty cycle square wave signal. As an alternative to FM modulation, 50 % pulse modulation at 18 Hz may be used because while it does not represent actual modulation, it would be worst case. Page 16 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 2.4 Product labels Optomed Halo system labels (samples only): 2.5 Service life The service life of Optomed Halo is five years if specified inspections and maintenance are done. 2.6 Cybersecurity information 2.6.1 Objective The purpose of this section is to summarize the cybersecurity controls of the Optomed Halo system. 2.6.2 System overview The Optomed Halo system has the following interface that are critical for cybersecurity: • USB ports of the laptop or PC for connecting to various USB devices. 2.6.3 General principles • Cybersecurity risk management is a shared responsibility among stakeholders including the medical device manufacturer, the user, and the health care facility. Failure to Page 17 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual maintain cybersecurity can result in compromised device functionality, loss of data availability or integrity, or expose other connected devices or networks to security threats. • The laptop or PC is limited to install Windows 10 operation system and is dedicated for Optomed Halo, for the risk of viruses and other malwares, users must install and enable window defender or anti-virus software and follow the suggestion of third- party software (including virus updates) to update it. 2.7 Cybersecurity functions 2.7.1 Authentication of users Optomed Halo system uses Microsoft Windows 10 as the main operating system. The operating system itself allows the end user to establish and configure “User Accounts” (example: standard users, power users, administrators) and “User Passwords” so that authentication is performed by password. 2.7.2 Auto-logoff • The operating system has the ability to prevent access and misuse by unauthorized users if the device is left idle for a period of time. • The length of inactivity time before auto-logoff/screen lock is user/administrator configurable. • The auto-logoff/screen lock should be always enabled. • Local supervisor should avoid unauthorized users access the delicate Laptop or PC in order to preserve system and data confidentiality, integrity and availability. • Local supervisor must set the expiration time of screen saver to reduce casual viewing data. Page 18 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 2.8 Data back up • To avoid the loss of patient data due to damage to the storage device of the user's PC, it is recommended that the user should regularly back up the data. • It is recommended to store the data in multiple different and independent storage media to disperse the risk of data loss or damage to the storage device. Page 19 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 3 Instrument description 3.1 Introduction OM Forehead rest Ocular lens Power switch (Back side) ( Base Chinrest (motorized) Page 20 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual D-Sub I/O AC power in D-Sub I/O Power switch USB to external laptop or tablet or PC 3.2 Standard accessories Item Description Q’ty 1 User manual 1 pc. 2 USB cable 1 pc. 3 AC power cord 1 pc. 4 D-Sub cable 1 pc. 5 Dust cover 1 pc. 6 Lens cover 1 pc. Page 21 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 4 Log in and introduction of user interface ◼ Log in Username Password ⚫ Username: Input the user name. ⚫ Password: Input the password. ◼ Default account: ⚫ Username: camera ⚫ Password: 00000000 Page 22 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Modify account After logging in, go to the settings page to modify the username and password. Username Password Confirm Password Account ⚫ Username: Change username when needed. ⚫ Password: Change password when needed. ⚫ Confirm password: Confirm the password. Page 23 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual If the password inputs are not same, please check them again. If the password inputs are same, below dialog is displayed. Page 24 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Change password every six months Password is requested to be changed every six months. ⚫ Old password: Input the old password. ⚫ New password: Input the new password. ⚫ Confirm new password: Input the password again. Page 25 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Below graph shows error occurs. Click Change button if no error occurs. Page 26 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Below error message means input password is incorrect. Below graph shows new password is changed successfully. Page 27 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Three tabs are displayed on screen after logging in and describe in below sections. Patient management Capture Image Review captured image Page 28 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 4.1 Patient management Select patient, add patient and modify patient information Search Information Quick Search Delete / Edit Settings Patient List Add Pati ent Recent Images ◼ Patient list: Displays all the patients associated with the search result. ◼ Search: Provide patient search function by entering keywords. ⚫ ◼ Search by all fields: Fill in keyword such as “Moon” Add patient : Click to add new patient profile and information. Page 29 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ⚫ The columns with * mark are mandatory before adding new patient to database. ⚫ By clicking , the new patient information is saved to the database. The main screen will then return to the main Patient Information window and the newly added patient is listed under the patient list window. Select the new patient added and patient detail will be displayed accordingly. ⚫ ◼ By clicking , it will return to main patient window without saving. Patient information Displaying selected patient information ⚫ Edit patient information :Click for patient information editing and comment editing saving. The operations are just like Add Patient. ⚫ Delete patient : Click for delete patient information and images. When the “Delete” dialog appears, click “OK” to delete patient information or click “Cancel” to quit. Page 30 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ⚫ Settings ⚫ Packing: Enabling auto packing, the camera head moves to packing : Click to show settings of Optomed Halo program position before Optomed Halo shutting down. ⚫ Export: Enabling auto export, the captured image will be copied to specific path automatically where the user set ⚫ Archive: Creates a backup file of Optomed Halo database. Page 31 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Step1. Choose the target folder for backup file Step2. Click “ARCHIVE” button to create backup file The target folder for backup file Process progress NOTE: The file system of target drive should be NTFS ⚫ Restore: Restore the database of Optomed Halo by backup file Step1. Choose the target folder where the backup file is saved Page 32 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Step2. Choose the backup file from the list and click the “RESTORE” button to restore the database of Optomed Halo Backup file list ⚫ Language: Multi-language selection Page 33 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ⚫ About: Display software version of Optomed Halo 4.2 Capture image Main window for image capture X/Y Control Patient Name or Patient ID Capture Mode Control Chinrest Lighting Control Fixation Setting Diopter Control OS/OD Select Start Capture Z Control Mode Selection Default Position Advance Setting Control buttons on the screen ◼ Chinrest: Control chinrest up and down ◼ Z Control: Move camera forward or backward ◼ X/Y Control: Click center of pupil on screen to alignment Page 34 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Reset: Reset camera to default position ◼ Fixation setting: Selection of the fixation position ◼ OS/OD select: Choose OD or OS for image capture ◼ Start: Click for automatic eye alignment and image capture ◼ Mode selection: Auto alignment mode or manual alignment mode ◼ Advanced: Display settings of Optomed Halo program ⚫ Semi auto mode: User needs to switch eye manually. ⚫ Full auto mode: The Optomed Halo will switch to another eye automatically. ⚫ Enable manual mode helper: It can help to find suitable working distance and do capture processes automatically if enable it. ◼ Capture mode control: Display capture mode setting panel and provide retina (default) and cornea mode. Page 35 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Diopter control: Display diopter setting panel and provide empty lens (default), - lens and + lens ◼ Lighting control: Display lighting setting panel and provides viewing and flash LED level ◼ Dilate selection: The captured image will save with this setting. 4.2.1 Automatic alignment and focus operation ◼ Adjust chinrest with ◼ Click pupil position on screen to align the camera. ◼ Click and table to suitable position. to start tracking and capture. 4.2.2 Montage mode ◼ Press and hold the Start button for 3 seconds, the Montage button will be shown. Page 36 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Click the montage button and select fixation LEDs. ◼ Click the SET button. ◼ Click the OK to start montage capture Page 37 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Click CONTINUE button for next shot. 4.2.3 Manual alignment and manual capture ◼ Click mode selection button to manual mode ◼ Adjust chinrest by ◼ Click pupil position on screen or press and table to suitable position. buttons to align the camera. Page 38 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Approach to the pupil by ◼ Align split bar by buttons until split bar is visible (Click on the button, the fixation mask plate will be removed. User can see the live retina video. ) Page 39 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Enter the pupil by ◼ Use click button buttons until two spots are appeared buttons to align two spots and to capture Page 40 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Click on the button, the operation tips will be shown. Page 41 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 4.2.4 Cornea capture mode ◼ Add forehead adaptor to forehead rest ( refer to item 7.1 forehead rest installation) ◼ Click the ◼ Adjust Chinrest with ◼ Click pupil position on screen or press button and then select the cornea capture mode. and table to suitable position. buttons to align the camera. ◼ Use buttons until the image is clear. Page 42 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Click to capture 4.2.5 Send DICOM Image When the selected patient which is found from DICOM server, the DICOM sending widnow is displayed before user leaves the Capture Image page. User can choose images and send them to DICOM server. Page 43 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 4.2.6 Review captured image Display the Visit List classified by capture date, and the capture time is also displayed with each image. Operator can review images in this window on a particular date. Select Patient Select Visit Date Click on Image to enter Photo Viewer ◼ Multiple selections ⚫ Press and hold on image thumbnail can enter the multiple selection mode. ⚫ Click image thumbnail to select image for batch delete or export. Page 44 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Selected Image Montage ◼ Printer Compare Export Delete Cancel Select Image delete ⚫ Click on button, warning dialog will show. Click yes to delete selected image. Be careful, Deleted image cannot restore! ◼ Montage ⚫ Click on button, montage dialog will show. Page 45 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Date List Switch ⚫ Click button, the visit date list of selected patient will show. Visit Date List Click on image to assign it to candidate list Candidate List ⚫ Click Close Deselect Start Montage button and the montage result will be shown. Page 46 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Image export ⚫ Click on button, warning dialog will be shown and then choose the destination folder, image compression format. The Export ID means the file name should be included patient ID. ⚫ Press and hold the patient name from patient list, the export button will be appeared. Click the button and finish export options, the all images of selected patient will be exported. Page 47 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ◼ Image comparison ⚫ Click on button, comparison dialog will be shown Date List Switch Close Reset Redfree ⚫ Date list switch: Click button, the visit date list of selected patient will be shown. Page 48 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Visit date list Click on image to assign it to left or right frame Left frame Right frame ◼ ⚫ Reset: Click ⚫ Redfree: Click button, all image settings are reset to default button to show the redfree image Printer ⚫ Click on button, printer dialog will show. Click the PRINT to print selected image. Page 49 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Preview Selected printer Image Browse Copy count Selected paper Comment Perform print Close printer dialog ⚫ Select two images and click on button, printer dialog will show. Click the PRINT to print selected images. Preview Selected printer Image Browse Copy count Selected paper Comment Close printer dialog Perform print Page 50 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 4.2.7 Photo viewer ◼ Click image of Image List, the Photo Viewer will show. The Photo Viewer includes below functions. Image Information Close Contrast Brightness Negative Red Free RGB Separation CD Ratio Export Reset Back Next Image ⚫ Image information ID: Patient ID Eye: Captured eye Mode: Capture mode Time: Capture date and time ⚫ Close: Exit the photo viewer ⚫ Contrast: Adjust the selected image. The level up and the button is contrast button is contrast level down. Page 51 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Level up Level down ⚫ Brightness: Adjust the selected image. The brightness level up and the button is button is brightness level down. Level up Level down ⚫ Negative: To do negative process for selected image ⚫ RedFree: Remove the red channel and convert to grayscale for selected image. ⚫ RGB Separation: To do RGB channels separation and display in color or grayscale mode. The button is grayscale mode and the is color mode. Grayscale ⚫ Color CD Ratio: To do disc and cup measurement. Below describes how to measure the cup to disc ratio. Step1. Use the pinch gesture to zoom in/out for region of interest Step2. Click the CD Ratio button and click the Page 52 button. Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Step3. Tap the border of disc until the blue line fit it. Step4. Click the CD ratio button and click the button. Step5. Tap the border of cup until the yellow line fit it. Step6. Click the CD ratio button and click the button to save the measurement result. The measurement is displayed on the top-right side of Photo Viewer. Cup to disc horizontal ratio Cup to disc vertical ratio Click the ⚫ button is for clear measurement. Export: Export the current image Page 53 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual ⚫ Reset: Reset all measurement, scaling ratio, image position and processing level etc… Back/Next: Choose the next or previous image The estimate CD ratio is obtained manually by operator and it is for reference only. Page 54 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 5 Specifications 5.1 Product specification Function Value/Type Fundus image Remark Non-mydriatic, color image Field of view 45 degrees Illumination for retina White LED Strobe mode with flashing image (Capture) illumination. Cornea Image (Capture) White LED Strobe mode with flashing illumination Illumination during NIR LED alignment to patient’s Central wavelength in the range of 735-850nm retina Focus Diopter -15D to +10 D Without compensation lens adjustment range -30D to -10D or +5D to + With compensation lens 30D Minimum pupil size 4 mm Focus Adjustment Auto/ Manual Image sensor CMOS 12 Megapixel Working Distance 25mm from lens to Split-image technique Accuracy: +/- 0.5mm cornea Fixation Internal 10 points Alignment Fully automatic 3D tracking Alignment Mode Full Auto / Auto/ Manual Chinrest Motorized Interface USB 2.0 port Input/ Output format Image format: JPEG, DICOM : optional PNG Operation Range Front / Back: 40mm Page 55 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Left/ Right: 90mm Up/ Down: 30mm Chinrest Range Up/ Down: 50mm Note-1: USB interface is used to connect external laptop or tablet or PC. Note-2: Spec of external laptop or PC, the laptop or PC is dedicated for Optomed Halo and for the risk of viruses and other malwares, users must install and enable window defender and anti-virus software and follow the suggestion of third- party software (including Windows defender and virus updates) to update it. ➢ ➢ ➢ ➢ Operating system: Windows 10 (64bits), OS limit to Windows. Memory: >=2 GB; Hard disk: >=500 GB; USB I/O ports:>= 2 USB 2.0 ports 5.2 Environmental conditions 1) Operating conditions: • Temperature: 10°C to 35°C • Humidity: 30% to 90%RH • Atmospheric pressure: 800–1060 hPa 2) Storage conditions: • Temperature: -10–55°C • Relative humidity: 10–95%RH • Atmospheric pressure: 700–1060 hPa Page 56 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 3) Transport conditions: • Temperature: -40–70°C • Relative humidity:10–95%RH • Vibration, sinusoidal: 10–500Hz, 0.5g • Shock:1/2 Sine Wave, 6 msec, 30G peak (packaged) • Bump: 1/2 Sine Wave, 6 msec,10G peak (packaged) 5.3 Electric rating • Source voltage :AC100-240V • Frequency :50-60Hz • Power input : < 65VA Page 57 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 6 Maintenance 6.1 Lens cleaning It is recommended to regularly clean the ocular lens of the Optomed Halo on weekly basis or when needed. 6.1.1 Material required for ocular lens: a) Diluted Acetone or Lens cleaning solution b) Lens cleaning paper 6.1.2 Method: Wet the lens paper with cleaning solution and wipe the ocular lens with one pass in one direction. Discard the used lens paper. Use a new sheet for each repeat cleaning until the ocular lens is clean. 6.2 Chinrest and forehead rest Soak the cleaning cloth or towel in disinfecting solution or use a wet isopropyl alcohol cleaning paper pad. Wipe the chinrest and forehead rest with the cleaning towels or paper pad before or after use. The chinrest paper must be used, remove one piece for each patient. When the chinrest paper has run out, pull off the chinrest pins and replace it with new paper. Page 58 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 7 Software installation Step 1. Copy the Optomed Halo installation package file to Windows desktop. Step 2. Perform the Optomed Halo installation package, below installation dialog will be shown. Click here Page 59 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual Step 3. Click the “Install” button and wait for installation Step 4. Perform the Optomed Halo program. Page 60 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 8 Installation and setup with external laptop (Need to be executed by trained person or qualified agency). 8.1 Place carton box on the floor. 8.2 Remove the buckles Page 61 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 8.3 Take off the Optomed Halo machine 8.4 Setup machine and relative cables 8.5 Connect the external laptop Page 62 Ver. D Automated Portable Retinal Camera (Optomed HALO) User Manual 8.6 Remove lens cover Page 63 Ver. D
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Key Features
- Automated 3D tracking
- Non-mydriatic imaging
- High-resolution imaging
- Portable design
- Retina and external eye images
- Patient management system
- Montage capture mode
- Manual alignment mode
- Diopter control
Frequently Answers and Questions
What is the intended use of Optomed Halo?
Optomed Halo is intended to provide non-mydriatic color retina and external images of the eye as an aid to clinicians in the evaluation and diagnosis of eye disease.
What conditions can Optomed Halo help diagnose?
It can aid in the diagnosis of diabetic retinopathy, AMD, glaucoma, and other retinal diseases.
Is Optomed Halo a contact or non-contact imaging device?
Optomed Halo is a non-contact imaging device.
How do I clean the ocular lens?
Please refer to the manual for instructions on lens cleaning.
What are the recommended environmental conditions for using Optomed Halo?
Refer to the manual for specifications on environmental conditions.