Manual Instructions For Use AT 900 English

SVENSKA NEDERLANDS PORTUGUÊS ESPAÑOL ITALIANO FRANÇAIS DEUTSCH ENGLISH
INSTRUCTIONS FOR USE

Applanation tonometer
AT 900® / AT 870
26. Edition / 2020 – 03
© HAAG‑STREIT AG, 3098 Koeniz, Switzerland – HS-Doc. no. 1500.7006000.04260 – 26. Edition / 2020 – 03 1
1500_7006000_04260_Gebrauchsanweisung-AT-900_01_eng.indd 1 19.03.2020 07:01:45

ENGLISH DEUTSCH FRANÇAIS ITALIANO ESPAÑOL PORTUGUÊS NEDERLANDS SVENSKA
INSTRUCTIONS FOR USE Introduction

Applanation tonometer Thank you for choosing a Haag-Streit device. Provided you comply carefully
with the regulations in this instructions for use, we can guarantee the reliable and
AT 900® / AT 870
unproblematic use of our product.
Purpose of use
26. Edition / 2020 – 03 The manual operated Goldman tonometer is an appliance that serves to measure
intraocular pressure, according to the Goldman method. The measuring of the pres‑
sure requires to maintain a uniform applanation of the surface of the cornea. It is
specially indicated in Glaucoma disease.
Contraindication
There is no absolute contraindication for execution of the tonometry. Appropriate
professional assessment and caution are necessary. The list of known contraindica‑
tions includes, but is not limited to:
• active corneal infections
• corneal epithelium defects
• eye burns
• history of recurring epithelial erosion
etc.
WARNING!
Applanation tonometry may only be conducted by appropriately trained
and qualified medical personnel.
WARNING!
Read the instruction manual carefully before commissioning this pro-
duct. It contains important information regarding the safety of the user
and patient.
NOTE!
Federal law restricts this device to sale by or on the order of a physician
or licensed practitioner.
2 © HAAG‑STREIT AG, 3098 Koeniz, Switzerland − HS-Doc. no. 1500.7006000.04260 – 26. Edition / 2020 – 03

Contents
1. Safety ........................................................................4 6. Technical data.........................................................12
1.1 Areas of application of the device........................................................... 4 6.1 Applanation tonometer AT 900.............................................................. 12
1.2 Ambient conditions.................................................................................. 4 6.2 Applanation tonometer AT 870.............................................................. 12
1.3 Shipment and unpacking........................................................................ 4
1.4 Installation warnings .............................................................................. 4 7. Maintenance............................................................12
1.5 Operation, environment.......................................................................... 4 7.1 Repairs.................................................................................................. 12
1.6 Disinfection............................................................................................. 5 7.2 Cleaning and disinfection...................................................................... 12
1.6.1 Cleaning and disinfection of the measuring prism.................................. 5 7.3 Checking the Tonometer AT 900........................................................... 13
1.6.2 Visual inspection of the measuring prisms for damages......................... 5 7.4 Checking the Tonometer AT 870........................................................... 14
1.6.3 Service life of reusable measuring prisms.............................................. 5
A. Appendix.................................................................16
1.6.4 Tonosafe................................................................................................. 6
A.1 Accessories / consumables / spare parts / upgrade............................. 16
1.6.5 Monthly device checks............................................................................ 6
A.2 Original Haag‑Streit measuring prism................................................... 16
1.7 Warranty and product liability.................................................................. 6
A.3 Tonosafe disposable prisms.................................................................. 16
1.9 Description of symbols............................................................................ 6
B. Legal regulations....................................................16
2. Introduction...............................................................6
2.1 Overview................................................................................................. 7 C. Classification..........................................................16
3. Appliance assembly / installation...........................7 D. Disposal...................................................................16
3.1 AT 900 model R...................................................................................... 7
3.2 AT 900 model T....................................................................................... 7 E. Standards................................................................16
3.3 AT 900 model BQ.................................................................................... 7
3.4 Tonometer AT 870 .................................................................................. 7
3.5 Which slit lamp with which tonometer..................................................... 7
3.6 Description of models............................................................................. 8
4. Commissioning.........................................................8
5. Operation ..................................................................8
5.1 Astigmatism............................................................................................ 8
5.2 How pressure is measured..................................................................... 8
5.3 Preparing the patient............................................................................... 8
5.4 Patient instructions.................................................................................. 9
5.5 Preparation of slit lamp and tonometer................................................... 9
5.6 Measuring correctly................................................................................. 9
5.7 Sources of error.................................................................................... 10
5.7.1 Wrong distance to patient .................................................................... 10
5.7.2 Position too far to the right / left............................................................ 10
5.7.3 Position too high / low........................................................................... 11
5.7.4 Incorrect pressure................................................................................. 11

1. Safety must be signed by you and by the representative of the transport company.
DANGER!
• Leave the device in the packaging for a few hours before unpacking it (condensa‑
tion).
Failure to comply with these instructions may result in material damage
• Check the appliance for damage after it is unpacked. Return defective appliances
or pose a danger to patients or users. in the appropriate packaging.
WARNING! • Store packaging material carefully, so that it can be used for possible returns or
These warnings must absolutely be complied with to guarantee when moving.
safe operation of the product and to avoid any danger to users and to NOTE!
patients. Check the calibration of the instrument before first use according to the
instructions in section 7.3.
NOTE!
Important information: please read carefully. 1.4 Installation warnings
WARNING!
Do not modify this equipment without authorization of the manufacturer.
1.1 Areas of application of the device Installation and repairs may only be performed by trained specialists.
The device is intended to use in professional health care facility environment, like
doctor's practices, hospitals and optometrists and opticians premises, except near NOTE!
of HF surgical equipment and in RF shielded rooms of ME-systems for magnet‑ • When performing assembly on appliances from other manufacturers,
ic resonance imaging. Some portable radio frequency equipment, like cell phones the connecting dimensions of the diverse tonometer models are to be
or RF telephone equipment including antennas may interference medical devices. taken into account!
Such equipment has to be kept in a distance of more than 30 cm (12 inches) from • Check: Are the connection parts properly positioned (tonometer on
any part of the instrument. Inobservance of this precaution may lower the correct the slit lamp, measuring prisms)?
function of the instrument. 1.5 Operation, environment
1.2 Ambient conditions WARNING!
Transport: Temperature from −40°C to +70°C • The examination is to be performed at the medical professional’s dis‑
Air pressure from 500 hPa to 1060 hPa cretion and consideration in cases of active infections and lesions of
Relative humidity from 10% to 95% the eye. Certain conditions could falsify measured values and the pro‑
Storage: Temperature from −10°C to +55°C cedure may interfere with the patient’s condition.
Air pressure from 700 hPa to 1060 hPa
• Use only original Haag‑Streit Goldmann tonometer measuring prisms
or the sterile disposable measuring prisms Tonosafe from Haag‑St‑
Relative humidity from 10% to 95%
reit.
Use: Temperature from +10°C to +35°C • Strong magnetic fields may falsify the measurement results.
Air pressure from 800 hPa to 1060 hPa
Relative humidity from 30% to 90% NOTE!
• This appliance must only be operated by qualified and trained per‑
1.3 Shipment and unpacking sonnel. The owner is responsible for their training.
• Before you unpack the appliance, check whether the packaging shows traces of • It is known that refractive surgery has an effect on GAT values, as the
incorrect handling or damage. If this is the case, notify the transport company that procedure changes the biomechanical properties of the cornea.
has delivered the goods to you. Unpack the equipment together with a represen‑ • The biomechanical properties of the cornea have an effect on the
4 tative of the transport company. Make a report of any damaged parts. This report measurement
© HAAG‑STREIT readings.
AG, 3098 Koeniz, Switzerland − HS-Doc. no. 1500.7006000.04260 – 26. Edition / 2020 – 03

1.6 Disinfection • Improper preparation can result in the transmission of diseases to the
NOTE! patient and user as well as damage to the measuring prism.
The device does not need to be disinfected. For more information on • Residue from cleaning agents and disinfectants may irritate and burn
cleaning, please refer to the 'Maintenance' chapter. the patient’s eye.
• As a rule, the measuring prisms may be prepared together with each
1.6.1 Cleaning and disinfection of the measuring prism other, but not with any other products.
DANGER!
• In order to achieve efficient disinfection of tonometer measuring
The measuring prisms are made of PMMA. Please take note of the prisms, we recommend using the disinfectant 'Sekusept Forte S'. It
following restrictions: was successfully used by the accredited testing laboratory HS Sys‑
- Do not disinfect with alcohol tem-und Prozesstechnik GmbH, 65779 Kelkheim, Germany, when
- Do not clean with acetone validating the cleaning and disinfection process − see separate in‑
- Do not disinfect using UV radiation struction manual on the cleaning and disinfection of tonometer mea‑
- Do not sterilise using steam or ethylene oxide suring prisms and contact glasses.
- Do not expose to temperatures above 60°C • The validation report is available from Haag‑Streit on request.
• A summary of the validation report can be found on the Haag‑Streit
WARNING! website (www.haag‑streit.com).
Reusable measuring prisms are not shipped disinfected and must • The operator accepts liability for the use of other disinfectants.
be cleaned and disinfected before their first use in accordance • Single-use prisms must be replaced after every examination − see
with the separate instruction manual on the cleaning and disinfec- separate instructions for use.
tion of tonometer measuring prisms and contact glasses. • The above-mentioned instruction manual, the brief instructions Disin‑
• Preparation may only be conducted by qualified and trained person‑ fection of tonometer measuring prisms and contact glasses, and addi‑
nel. Their training is the responsibility of the user. tional information can always be found on our website www.haag-st‑
• Appropriate professional assessment and caution are necessary. reit.com.
• Only use clean, undamaged, and disinfected measuring prisms! 1.6.2 Visual inspection of the measuring prisms for damages
• Please observe the separate instruction manual on the cleaning and
disinfection of tonometer measuring prisms and contact glasses! DANGER!
Never use damaged measuring prisms.
• The operator shall be liable in the event of non-observance of the
cleaning and disinfecting process! Prior to every use, the contact surface of the measuring prism must be
inspected for contaminants or damage (scratches, cracks and sharp edg‑
NOTE! es). This must be performed with a slit lamp microscope at 10× to
• Only those disinfectants tested by Haag‑Streit for material compatibil‑ 16× magnification.
ity may be used for disinfection.
• The current list is enclosed with every tonometer and measur‑ 1.6.3 Service life of reusable measuring prisms
ing prism, and can also be found on the Haag‑Streit website (www. WARNING!
haag‑streit.com). How long can measuring prisms be used?
• The separate instruction manual on the cleaning and disinfection of Due to the large number of variables to be considered (type and concen‑
tonometer measuring prisms and contact glasses is to be consulted tration of the disinfectant used, number of patients, handling, etc.) it is
regarding the exact functioning, concentration, working times, and practically impossible to provide exact information on how often and/or
idle times. how long a measuring prism can be used under safe conditions.

The measuring prisms are stamped with an expiry date ( ). They must 1.7 Warranty and product liability
not be used beyond this date. Haag‑Streit recommends a maximum ser‑ • Haag-Streit products must be used only for the purposes and in the manner des-
vice life of two years before the expiry date. This service life applies sub‑ cribed in the documents distributed with the product.
ject to normal conditions of use, i.e., in compliance with the instructions • The product must be treated as described in the ‘Safety’ chapter. Improper hand-
contained in these instructions for use. The service life starts with the first ling can damage the product. This would void all guarantee claims.
use. The above-mentioned time periods do not apply to damaged mea‑ • Continued use of a product damaged by incorrect handling may lead to personal
suring prisms; these must be immediately replaced. injury. In such a case, the manufacturer will not accept any liability.
• Haag-Streit does not grant any warranties, either expressed or implied, including
implied warranties of merchantability or fitness for a particular use.
• Haag-Streit expressly disclaims liability for incidental or consequential damage
Year: resulting from the use of the product.
• This product is covered by a limited warranty granted by your seller.
For USA only:
• This product is covered by a limited warranty, which may be reviewed at
First use
Service life:
Replace
www.haag-streit-usa.com.
Maximum two years
Service life:
Maximum two years
1.9 Description of symbols
First use Replace European certificate of General warning: Read the ac-
conformity companying documentation
1.6.4 Tonosafe
NOTE! Date of manufacture Manufacturer
Tonosafe was developed to avoid the necessary cleaning and disinfection
of measuring prisms from applanation tonometers. Tonosafe is a dispos‑
able applanation and optical duplication prism for Goldmann and Perkins HS reference number Serial number
applanation tonometers, for single use.
Additional details can be found in the separate instructions for use. Expiry date
LOT number
(YYYY-MM-DD)
1.6.5 Monthly device checks
The tonometer must be checked on a monthly basis as described in the 'Mainte‑
nance' chapter. A check will be absolutely necessary if external force is applied (e.g., 2. Introduction
striking or dropping the appliance). The applanation tonometer functions according to the Goldmann method: measure‑
NOTE! ment of the pressure required to maintain a uniform applanation of the surface of
the cornea. The exact measurement of the applanation surface is performed at 10×
If a repair is necessary, please contact your Haag‑Streit representative.
magnification on the slit lamp.
The pressure is measured on the slit lamp with the patient seated and is part of a
routine examination within the scope of conventional slit lamp microscopy.

2.1 Overview 1
3.3 AT 900 model BQ
1. Measuring prisms 2 Connect the tonometer at the provided interface to the right side of the microscope
2. Sensor arm arm.
3. Insert for control weight 3
4. Rotating knob with measuring drum
5. Type plate (underside)
4
5 3.4 Tonometer AT 870
NOTE!
The instructions for appliances from other manufacturers are to be ob‑
3. Appliance assembly / installation served.
WARNING!
Installation, repairs and modifications may only be performed by trained 3.5 Which slit lamp with which tonometer
specialists.
3.1 AT 900 model R
A pivot is required for use of the Applanation Tonometer AT 900 model R o n the BM
900 slit lamp. It is assembled as follows:
1. Unscrew the mounting screw found at the top, on the microscope's middle cyl‑
inder housing.
2. Leave the spring in the aperture.
3. Position and screw on tightly the pivot for the tonometer.
4. Place the tonometer bearer arm on the pivot's pin and swivel the tonometer to
the right until it snaps into position. The tonometer will remain in this position AT 900 model R AT 900 model T AT 900 model BQ
even when not in use. Model R Model T Model BQ AT 870
5. When using the BI 900, BM 900 and BM 900 V, the stop peg must be assembled BD 900
(a), and when using the BC 900 or BD 900, it must be removed (b).
BM 900
BI 900
BP 900
BQ 900
BX 900
(a) (b)
Various
3.2 AT 900 model T
The Applanation Tonometer is tucked into one of the holes on the horizontal guide
plate over the slit lamp axis using the peg from the tonometer base.

3.6 Description of models 5.1 Astigmatism

• The Applanation Tonometer AT 900 model R can be left on the slit lamp perma‑ • If the cornea is spherical, measurements can be taken on any meridian, but it is
nently. It is fastened to the microscope on a mounting base and swivelled in front most convenient to measure on the 0° meridian.
of the microscope for the examination. The observation of the applanated surface • The choice of meridian is of significance, however, when measuring eyes with cor‑
is conducted monocularly – only through the left eyepiece. neal astigmatism greater than 3 dioptres, since the flattened area is not circular but
• The Applanation Tonometer AT 900 model T is set on the guide plate over the slit elliptical.
lamp axis, for tonometry purposes. The instrument can be moved between two • It has been calculated that, in cases of greater corneal astigmatism, a surface of
positions on the guide plate for observation through the right or left eyepiece. The 7.354 mm2 (ø 3.06 mm) is applanated if the measuring prism is at an angle of 43°
sensor arm with the measuring prism projects from the underside into the beam (mark (A)) to the meridian of the greatest radius.
path of the microscope and the illumination. Example: If the corneal astigmatism measures
• The Applanation Tonometer AT 900 model BQ has a working position and two 6.5 mm / 30° = 52.0 dpt / 30° and (A) 43°
resting positions. To set the correct angle of incidence of the illumination, the to‑ 8.5 mm / 120° = 40.0 dpt / 120°
nometer is swivelled and the illumination apparatus is positioned to the left of the the 120° graduation mark on the prism is set on the mark (A)
tonometer bracket. In this position, the patient's left and right eyes can be easi‑ of the prism holder.
ly examined (no 60° position). The applanated surface is observed monocularly
through the right eyepiece of the stereo microscope. If, on the contrary, the measurements are
• The Applanation Tonometer AT 870 is positioned over the slit lamp's (from other 6.5 mm / 120° = 40.0 dpt / 120° and
manufacturer) microscope. The feeler arm projects into the microscope and illumi‑ 8.5 mm / 30° = 52.0 dpt / 30°
nation beam path from above. The tonometer is ready for use with a single swivel then the 30° graduation mark is set on the mark (A), meaning that simply the axis
movement of the feeler arm. position of the largest radius is placed on the mark (A).
NOTE!
The instructions for appliances from other manufacturers are to be ob‑ 5.2 How pressure is measured
served. The applanation tonometer functions according to the 'Goldmann method': measure‑
ment of the pressure required to maintain a uniform applanation of the surface of the
4. Commissioning cornea.
WARNING! • The readings obtained are based on the assumption that a cornea with a 'normal'
thickness is being measured. (a different corneal thickness leads to changes in the
It is imperative to read the 'Safety' chapter and to observe its precautions
measured IOP) A 'normal' corneal thickness is considered to fall within the range of
before operating the equipment.
530 to 560 Mikrometer.
NOTE! • If wrong measuring results are suspected, please conduct a functional verification
A smooth operation can only be guaranteed with the use of original in accordance with Section 'Maintenance'.
Haag‑Streit measuring prisms and Tonosafe.
5.3 Preparing the patient
5. Operation WARNING!
WARNING! Measurements without fluorescein can lead to false results.
Reusable measuring prisms must be cleaned and disinfected after ev‑
ery examination.

NOTE! practically reflection-free.

A smooth operation can only be guaranteed with the use of original Observation: with AT 900 model R in the left eyepiece
Haag‑Streit measuring prisms and Tonosafe. with AT 900 model BQ in the right eyepiece
1. Anaesthetise each eye AT 900 model T
2. Apply Fluorescein into the eye to be examined 1. For an examination through the tonometer’s left or right eyepiece, the angle
3. The correct eye height of the patient can be set via the chin rest. between the illumination instrument and the microscope should be approx. 60°
so that the image is bright and reflection-free. Alternatively: lighting through the
5.4 Patient instructions measuring prism at approx. 10°.
1. Press the head firmly against the chin and forehead rests. AT 870
2. The patient must look straight forward. If necessary, the small fixing light can be 1. Swing the sensor arm with the measuring prism into the beam path of the micro‑
used to steady the eyes. scope and the illumination.
3. It is recommended that the patient be repeatedly reminded to keep his eyes 2. The angle between the illumination equipment and the microscope should be
open wide during the examination. It might be necessary for the examiner to approximately 60° so that the image appears bright and free of reflections. Alter‑
keep the eye open by splaying the eyelids with thumb and index finger. natively: lighting through the measuring prism at approx. 10°.
4. This must be done without applying any pressure to the eye. 3. Set the measuring drum to the first calibration line.
4. Set a mid-level illumination intensity.
5.5 Preparation of slit lamp and tonometer
For all Haag‑Streit slit lamps and tonometers WARNING!
1. Before the examination, the eyepieces must be adjusted correctly to the exam‑ Measurements through observation with the wrong ocular can lead to
iner. false results.
2. Set the magnification to 10×. 5.6 Measuring correctly
3. Adjust the illumination to medium intensity.
NOTE!
4. Position the blue filter in the beam path of the slit lamp's illumination apparatus
and open the slit diaphragm fully. Make sure that the measuring arm of the tonometer can move freely and
5. Insert the disinfected measuring prism into the (0° position) holder on the sensor is not hindered by the patient's eyelashes, beard, etc.
arm. For Tonosafe, see the separate instructions for use. 1. Immediately before taking measurements, the patient should close his eyes
6. Snap the sensor arm into place so that the axes of the measuring prism and of briefly so that the cornea becomes sufficiently moistened with fluorescein-im‑
the microscope align. pregnated tear fluid.
7. Set the measuring drum to the first calibration line. 2. By moving the slit lamp, the measuring prism comes into contact with the centre
AT 900 model R and AT 900 model BQ of the cornea over the pupillary area.
1. Swing the illumination apparatus to the left. 3. During contact, the cornea's limbus takes on a bluish glow. This glow can be
2. Release the tonometer from the dwell position to the right of the microscope, best observed with the naked eye from the opposite side of the illumination ap‑
and swing it forward until it locks in the measuring position. paratus.
3. From the left, bring the illumination apparatus into contact with the tonometer 4. When the limbus glows, stop moving the slit lamp immediately.
bearer arm. This is the only illumination position in which both the patient’s left 5. After contact is made, viewing is conducted through the microscope. The uni‑
and right eyes can be easily examined (no 60° position). This arrangement facili‑ form pulsation of the two semi circular fluorescein bands, which could be of dif‑
tates the splaying of the patient’s eyelids, should this be necessary for measure‑ ferent sizes in drum setting 1 depending upon inter-ocular pressure, shows that
ment. The illumination of the applanated surface through the measuring prism is the tonometer is in the right measuring position.
6. Any necessary corrections are done using the slit lamp control lever, until the

flattened surface is observed in the form of two semicircles of similar size in the Fluorescein band too small (2) 2
middle of the visual field (A).
The tear fluid dried during the longer-lasting measuring.
7. Smaller changes in the depth of the slit lamp using the control lever do not affect
the size of the semicircles. Allow the patient to close his eyes a few times and then re-
8. The pressure on the eye is increased by turning the tonometer measuring drum peat the measurement.
until the inner borders of both fluorescein bands just touch = correct setting (B).
9. When the eye pulsates, both semi circles cross over each other. 5.7.1 Wrong distance to patient
10. The width of the fluorescein band around the contact point of the measuring No semi circular image, only centre line is visible (3)
prism should be about 1/10 of the diameter of the applanation surface (0.3 mm).
11. Reading the scale value: The measuring prism is not coming into contact with the cor‑ 3
• Reading the value nea! If the patient draws his head back slightly, irregular pulsa‑
• and multiplying by 10 tions will be caused because the measuring prism is touching
• yields the inter-ocular pressure in mm Hg the eye only intermittently. If the patient retreats even further,
the fluorescein rings will disappear completely.
(A) (B)
Instruct the patient to adopt the correct position.
Only parts of both oversize semicircles are visible (4)

If the slit lamp is pushed too far against the patient, or if the 4
5.7 Sources of error patient moves toward the slit lamp, the sensor arm will push
against a spring stop. The applanation surface is too large.
Ocular images The image does not change when the measuring drum is
Fluorescein band incorrect 1–2 turned. Pull the slit lamp back until the uniform pulsations
Wrong distance to patient 3–9 of a correspondingly smaller surface show the correct mea-
Position too far to the right / left 5–9 suring position and pressure changes immediately cause
Position too high / low 10 – 14 applanation surface changes.
Incorrect pressure 15 – 18
5.7.2 Position too far to the right / left
Fluorescein band too wide (1) 1 Only part of the upper semicircle (5) 5
The measuring prism was not dried after cleaning or the eyelids Measuring prism not centred on the eye, eye much too far to
came into contact with the measuring prism during measure‑ the right.
ment, or too much fluorescein has been used.
Using the control lever, move the slit lamp to the right.
The slit lamp must be pulled back and the measuring prism
dried with a lint-free cloth (e.g., made of cellulose).
Whole upper semicircle – part of the lower semicircle (6) 6
Measuring prism not centred on the eye, eye still too far to the
right.
Using theAG,
control lever,Switzerland
move the− slit lampno.to the right.
10 © HAAG‑STREIT 3098 Koeniz, HS-Doc. 1500.7006000.04260 – 26. Edition / 2020 – 03

Whole lower semicircle – part of the upper semicircle (7) 7 Correct setting! (14) 13
Measuring prism not centred on the eye, eye still too far to the Two semicircles appear exactly in the middle of the eyepiece.
left.
Using the control lever, move the slit lamp to the left.
Only part of the lower semicircle (8) 8 5.7.4 Incorrect pressure

The outside borders of the fluorescein bands are in contact 14
Measuring prism not centred on the eye, eye much too far to
the left. with each other (15)
Not enough pressure.
Using the control lever, move the slit lamp to the left. Increase the pressure slightly by rotating the knob on the
tonometer.
Correct setting! (9) 9
Fluorescein bands are superimposed to form a band (16) 15
Two semicircles appear exactly in the middle of the eyepiece.
Pressure slightly too low.
Increase the pressure slightly more by rotating the knob

on the tonometer.
5.7.3 Position too high / low Bands are no longer in contact (17) 16
Only part of a semicircle in the upper half (10) 10
Pressure is too high.
Measuring prism not centred on the eye, eye far too high.
Lower the pressure by rotating the tonometer knob in the
Using the control lever, move the slit lamp upwards. opposite direction.
Correct setting! (18) 17

Nearly entire circle above, incomplete circle below (12) 11
The inside borders of the fluorescein bands are contacting each
Measuring prism not centred on the eye, eye still too high. other.
Using the control lever, move the slit lamp upwards.
Two incomplete circles, the larger one on top (13) 12
Measuring prism not centred on the eye, eye still too high.
Using the control lever, move the slit lamp upwards.

6. Technical data 1. Nominal value 0 mN 32.66 mN

(2)
2. Maximum limiting deviation
6.1 Applanation tonometer AT 900 3. Limiting deviation of 0 to 32.66 + 0.49 mN
Measuring force gen- through leverage weight. mN: Maximum = 0.49 mN
erated
Installation 4. Limiting deviation from 32.67 (1)
AT 900 model R Can be fitted on the peg on the microscope.
AT 900 model T Can be fitted on the guide plate on the swiv‑ mN: Maximum = 1.5% of nomi‑
- 0.49 mN
elling peg for the microscope and illumina‑ nal value
tion arm. (3) (4)
AT 900 model BQ Assembly on the microscope arm. (2)
Measurement range 0 ― 80 mm Hg
Measurement deviation The measurement deviation in the measuring prism is in the measur‑
ing range from 0 – 58.84 mN and amounts to a maximum of ±1.5%
7. Maintenance
and to a minimum of ±0.49 mN of the nominal value. WARNING!
Backlash width ≤0.49 mN • Installation, repairs and modifications may only be performed by
Net weight AT 900 model R 0.73 kg (without accessories) trained specialists.
AT 900 model T 0.49 kg (without accessories) • Do not repair or service the device while it is being used on the pa‑
AT 900 model BQ 0.78 kg (without accessories) tient.
7.1 Repairs
To ensure a long service life, the device should be cleaned weekly as described. We
recommend having the device checked annually by an authorised service techni‑
cian.
7.2 Cleaning and disinfection

The Haag‑Streit slit lamps and their accessories can, if required, be carefully wiped
AT 900 model R AT 900 model T AT 900 model BQ down with ready-for-use disposable 70% ethanol disinfectant wipes. Surface-friend‑
ly disinfectants (containing aldehyde or aldehyde-free) are also permitted, such as
6.2 Applanation tonometer AT 870 Kohrsolin FF.
Measuring force generated Via spring force
WARNING!
Installation On / over the microscope • The preparation instructions provided do not apply to tonometer mea‑
Measurement range 0 ― 80 mm Hg suring prisms!
Measurement deviation See above model AT 900 • Tonometer measuring prisms must be prepared in accordance with a
Backlash width ≤0.49 mN AT 870
Net weight
different manual
0.850 kg (without accessories)
• Do not use sprays
• Observe the manufacturer's safety instructions
• Do not use any cloths that drip.
• Wring out any soaked cloths before use when necessary
• Ensure that no liquid penetrates the device
• Comply with the stipulated exposure time

NOTE!
IP code: IPX0 (device is not protected against liquids)
7.3 Checking the Tonometer AT 900

NOTE!
This check must be carried out once a month. If the check yields errone‑
ous results, please check the following points:
1. Is the measuring prism properly positioned?
2. Is the control weight correctly set?
3. Repeat the check.
Defective equipment must be sent immediately to your Haag‑Streit representative.
NOTE!
Haag‑Streit offers a repair and service package. For further information, AT 900 model R AT 900 model T AT 900 model BQ AT 870
please contact your Haag‑Streit representative directly.
Check the drum position 0

• Check position -0.05
The zero line on the measuring drum is moved downwards, opposite the index, by
a single marking width. The feeler arm must move by itself all the way to the stop-
piece, in the direction of the examiner.
• Check position +0.05
The zero line on the measuring drum is moved upwards, opposite the index. The -0.05 +0.05
feeler arm must move all the way to the stop-piece, on the patient's side.
Check the drum position 2 33
• To conduct it, a control weight is used. The weight rod is engraved with five rings.
The middle ring corresponds to a scale value of 0, the rings immediately to its left
and right correspond to a value of 2, and both outside scale rings have a value of
6.
• One of the drum setting marks is set exactly to the index line on the holder. The
weight is fitted on the feeler axis (33) so that the longer part points to the exam‑
iner.
6 2 0 2 6

• Check position 1.95

With a drum position of 1.95, the feeler arm must move from the free-movement
area toward the limit stop in the direction of the examiner.
With a drum position of 2.05, the feeler arm must move from the free-movement
area toward the limit stop in the direction of the patient.
1.95 2.05

Set the weight rod to 6 on the scale, the longer part points to the examiner.
The check point is at 5.9. Move the measuring drum's calibration mark 6 down‑
wards, opposite the index, by a ½ interval. The feeler arm must move towards the
examiner.
• Check position 6.1 5.9 6.1
The check point is at 6.1. Move the measuring drum's calibration mark 6 upwards,
opposite the index, by a ½ interval. The feeler arm must move towards the patient.
7.4 Checking the Tonometer AT 870

NOTE!
This check must be carried out once a month. If the check yields errone‑
ous results, please check the following points:
1. Is the measuring prism properly positioned?
2. Is the control weight correctly set?
3. Repeat the check.
Defective equipment must be sent immediately to your Haag‑Streit representative. AT 900 model R AT 900 model T AT 900 model BQ AT 870
NOTE!
Haag‑Streit offers a repair and service package. For further information,
please contact your Haag‑Streit representative directly.

In working position, the feeler arm is swivelled and the measuring drum is set to 0.
The arm carrying the measuring prism must swing freely between the limit stops on
contact.


• The control weight is to be used for this inspection. The weight rod is engraved
with five rings. The middle ring corresponds to a scale value of 0, the rings imme‑
diately to its left and right correspond to a value of 2, and both outside scale rings
have a value of 6.
• A mark corresponding to the measuring drum setting 2 is set exactly to the index
mark on the weight holder, whereupon the weight is fitted on the tonometer axis
so that the longer part points in the direction of the patient. The feeler arm must
move towards the patient.
6 2 0 2 6
Move calibration mark 2 on the measuring drum downwards, opposite the fixed in‑
dex, by a width of one marking. With light pressure to the feeler arm in the direction
of free movement, the feeler arm must start to move independently towards the limit
stop in the direction of the examiner.
Move calibration mark 2 on the measuring drum upwards, opposite the fixed index,
by a width of one marking. The feeler arm must start to move into direction of the 1.95 2.05
stop-piece on the patient's side.

Set the weight rod to 6 on the scale, the longer part points to the patient.
The check point is at 5.9. Move the measuring drum's calibration mark 6 down‑
wards, opposite the index, by a ½ interval.
The feeler arm should move towards the examiner.
• Check position 6.1 5.9 6.1
The check point is at 6.1. Move the measuring drum's calibration mark 6 upwards,
opposite the index, by a ½ interval.
The feeler arm should move towards the patient.

A. Appendix B. Legal regulations

A.1 Accessories / consumables / spare parts / upgrade • Haag‑Streit maintains a quality management system in accordance with EN ISO
13485.
WARNING! • The AT 900 tonometer is a Class I device with measuring function in accordance
• Do not modify this equipment without authorization of the manufacturer. with Appendix IX of Directive 93/42/EEC. By affixing the CE mark we confirm that
Installation and repairs may only be performed by trained specialists. our device complies with the applicable standards and directives.
Contact your Haag-Streit representative for installation, repairs and • You can request a copy of the declaration of conformity for the appliance from
modification work on the system. The contact details are available at Haag‑Streit at any time.
www.haag-streit.com.
• Only original Haag-Streit replacement parts may be used. C. Classification
NOTE! CE Directive 93/42/EEC Class Im (measuring function)
Order numbers are written in italics. FDA Class II
Component REF D. Disposal

Reusable tonometer measuring prism 7220316 For correct disposal, please contact your Haag-Streit representative. This will
Tonosafe disposable tonometer measuring prism 7220345 guarantee that no hazardous substances enter the environment and that valuable
Control weight 3300346 raw materials are recycled.
A.2 Original Haag‑Streit measuring prism E. Standards

The original Haag‑Streit measuring prisms are made of PMMA EN ISO 8612 EN ISO 17664
and guarantee the best optical and mechanical quality. Reus‑
able measuring prisms must be cleaned and disinfected after
every examination. See Chapter '1.6.1, Cleaning and disinfect‑
ing the measuring prism' and the separate instructions for use.
A.3 Tonosafe disposable prisms

Tonosafe disposable prisms are a comfortable and effective
solution to reduce the risk of cross-infection in patients. To‑
nosafe is available in sterile packages with 5 supports and 100
disposable prisms.




Should you have any further questions, please contact your Haag‑Streit representative at:
http://www.haag-streit.com/contact/contact-your-distributor.html
HAAG-STREIT AG
Gartenstadtstrasse 10
0297 3098 Koeniz, Switzerland
Phone +41 31 978 01 11
Fax +41 31 978 02 82
eMail info@haag-streit.com
Internet www.haag-streit.com

Manual Instructions For Use AT 900 English

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SVENSKA NEDERLANDS PORTUGUÊS ESPAÑOL ITALIANO FRANÇAIS DEUTSCH ENGLISH

INSTRUCTIONS FOR USE

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INSTRUCTIONS FOR USE Introduction

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3.6 Description of models 5.1 Astigmatism

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NOTE! practically reflection-free.

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Only parts of both oversize semicircles are visible (4)

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Only part of the lower semicircle (8) 8 5.7.4 Incorrect pressure

Increase the pressure slightly more by rotating the knob

Correct setting! (18) 17

Using the control lever, move the slit lamp upwards.

Two incomplete circles, the larger one on top (13) 12

Using the control lever, move the slit lamp upwards.

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6. Technical data 1. Nominal value 0 mN 32.66 mN

7.2 Cleaning and disinfection

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7.3 Checking the Tonometer AT 900

Check the drum position 0

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• Check position 1.95

Check the drum position 6

7.4 Checking the Tonometer AT 870

Check the drum position 0

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Check the drum position 2

Check the drum position 6

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A. Appendix B. Legal regulations

Component REF D. Disposal

A.2 Original Haag‑Streit measuring prism E. Standards

A.3 Tonosafe disposable prisms

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