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UM vB02S (EN) K-900

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Manufacturer

958 Ikeuchi, Konan-cho,


Takamatsu-city, Kagawa 761-1494, Japan
TEL: +81-87-879-3131 FAX: +81-87-879-6837

Contact
Eye-care Instruments Sales Dept.
2-4-2 Kandatsukasa-machi, Chiyoda-ku,
Tokyo 101-0048, Japan
TEL: +81-3-6262-9471 FAX: +81-3-6262-9472
E-mail: eye@rexxam.co.jp
URL: http://www.rexxam.co.jp
URL: http://www.shin-nippon.jp

Rexxam Czech s.r.o.


Prumyslova 937, 334 01 Prestice, Czech Republic
TEL: +420-377-188-540 FAX: +420-377-918-879

RB-781-B02S
Revision date:Oct.29,2019
Original
Introduction
Please read this manual thoroughly so that effective operation is ensured.

(1) The information contained in this manual is subject to change without notice.
(2) While reasonable efforts have been made in the preparation of this document to ensure its
accuracy, you should contact your local distributor immediately if any quarries arise due to
editorial errors or omissions etc.
(3) If you find any imperfect collating or missing pages, contact your local distributor for
replacement.

This manual includes important contents to prevent users or the others from harms and to use
this device safely. This device (ACCUREF K-900) can objectively measure the refractive power of
the eye.

Sign and Symbol for Safety Use


Read this manual after understanding the symbols below and follow the instructions in use.

Symbol Description
Death or severe personal injury may occur when this warning is
WARNING
ignored.
Personal injury or physical damage may occur when this
CAUTION
warning is ignored.

CAUTION General ban or prohibition

General mandatory action

Additional information which is important to the text or is


NOTE
useful/ convenient to know.

40℃
The number on the left indicates the lower limit and on the
10℃
right indicates the upper limit of the temperature.
90%
% The number on the left indicates the lower limit and on the
right indicates the upper limit of the humidity.
10%

1060hPa
The number on the left indicates the lower limit and on the
right indicates the upper limit of the atmospheric pressure.
800hPa

Avoid direct sunlight.

RB-781-B02S
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Symbol Description

EC REP Authorized representative in the European community

EU Battery Directive

WEEE symbol

Manufacturer

Symbol for Compliant with CE marking i.e. with applicable


European directives.

Symbols Indicated on Outside of Device

Symbol Description
General warning sign

This is the type B equipment.

Refer to operation manual.

Manufacturing date (year)

SN Serial No.

This manual includes the information about basic operation, inspection and
maintenance etc. of ACCUREF K-900.
This device and the contents of this manual comply with IEC60601-1.

RB-781-B02S
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Safety Consideration
General Cautions
 It affects its measurement accuracy if fingerprints or dust etc. are on the optical parts, such
as the lens of the view window. Do not touch them with hands and avoid dust
 If fingerprints or dust are adhered on the optical parts, such as the lens etc, wipe it gently
with a soft cloth.
 Observe the following environmental conditions for use and storage.

Temperature Humidity Atmospheric pressure.


1060hPa
40℃ 90%

Use %
10℃
30% 800hPa

55℃
95%
Storage %
-10℃
10%

95%
No Dew Condensation
70℃
Transportation %
-40℃ 10%

 Avoid installation near TV or radio. The reception can be disturbed by electrical noise.
 If liquid is spilled on this device or a foreign substance is entered in it, unplug the power
cord and contact your local distributor.
 Cut the power immediately and contact your local distributor if malfunction (noise, smoke
etc.) occurs. It can result in fire or injury if you keep using it.
 Do not attempt to disassemble it. It can result in malfunction or fire.
 If malfunction occurs, do not touch the inside of this device. Unplug the power cord and
contact your local distributor.

Precautions Regarding IT Network


 This device can output the data to PC and so on through RS-232C interface.
 Connection of this device to an IT-network that includes other equipment could result in
previously unidentified risks to patients, operators or third parties.
 The responsible organization should identify, analyze, evaluate and control these risks.

 Subsequent changes to the IT-network could introduce new risks and require additional
analysis.

 Changes to the IT-network include:


・changes in the IT network configuration;
・connection of additional items to the IT-network;
・disconnecting items from the IT-network;
・Update of equipment connected to the IT-network; and
・Upgrade of equipment connected to the IT-network.
 Please contact your distributor about the detail of this device.

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Electromagnetic Compatibility
ACCUREF K-900 conforms to the requirements of the EMC (electromagnetic compatibility) standard.
a) This product needs special precautions regarding EMC and needs to be installed and put
into service according to the EMC information provided in this manual.
b) Portable and mobile RF communications equipment can affect medical electrical equipment.
c) The use of accessories, transducers and cables other than those specified, with the exception
of transducers and cables sold by the manufacturer of the equipment or system as
replacement parts for internal components, may result in increased emissions or decreased
immunity of the equipment or system.
d) The equipment or system should not be used adjacent to or stacked with other equipment.
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.
e) The use of the accessory, transducer or cable with equipment and systems other than those
specified may result in increased emission or decreased immunity of the equipment or
system.

Phenomenon Home healthcare environment Compliance


Conducted and radiated
CISPR 11 Class B Group 1
RF emissions
Harmonic distortion IEC 61000-3-2 Class A
Voltage fluctuations and
IEC 61000-3-3 Complies
flicker
This device is suitable for use in all establishments, including domestic establishments and those
directly connected to the public low-voltage power supply network that supplies buildings used
for domestic purposes.

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Basic EMC standard or Immunity test levels Compliance
Phenomenon
test method Home healthcare environment level
Electrostatic ±8kV contact ±8kV contact
IEC 61000-4-2
discharge ±15kV air ±15kV air
10V/ma)
Radiated RF EM
IEC 61000-4-3 80MHz to 2.7GHz 10V/m
fields
80%AM at 1kHz
Proximity fields
from RF wireless See the table
IEC 61000-4-3 See the table below.
communications below.
equipment
Rated power
30A/m
frequency magnetic IEC 61000-4-8 30A/m
50Hz or 60Hz
fields
a) Before modulation is applied.

Test Maximum Immunity


Band a) Distance Compliance
frequency Service a) Modulation b) power test level
(MHz) (m) level
(MHz) (W) (V/m)
Pulse
380 -
385 TETRA400 modulation b) 1.8 0.3 27 27
390
18Hz
FM
430 - GMRS460, ±5kHz
450 2 0.3 28 28
470 FRS460 deviation
1kHz sine
710 Pulse
704 - LTE Band 13,
745 modulation b) 0.2 0.3 9 9
787 17
780 217Hz
GSM800/900,
810
TETRA800, Pulse
800 -
870 iDEN820, modulation b) 2 0.3 28 28
960
CDMA850, 18Hz
930 LTE Band 5
GSM1800;
1720 CDMA1900;
GSM1900; Pulse
1700 -
DECT; modulation b) 2 0.3 28 28
1845 1990
LTE Band 1, 217Hz
3, 4, 25;
1790
UMTS
Bluetooth,
WLAN, Pulse
2400 -
2450 802.11b/g/n, modulation b) 2 0.3 28 28
2570
FRID2450, 217Hz
LTE Band 7
5240 Pulse
5100 - WLAN
5500 modulation b) 0.2 0.3 9 9
5800 802.11a/n
5785 217Hz

a) For some services, only the uplink frequencies are included.


b) The carrier shall be modulated using a 50% duty cycle square wave signal.

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Basic EMC Immunity test levels
Phenomenon Compliance level
standard Home healthcare environment
Input AC power port
±2kV ±2kV
Electrical fast 100kHz repetition frequency
IEC 61000-4-4
transients/ bursts Signal input/ output unit port
±1kV ±1kV
100kHz repetition frequency
Surges
IEC 61000-4-5 ±1kV ±1kV
Line-to-line
Surges
IEC 61000-4-5 ±2kV ±2kV
Line-to-ground
3Vrms
Conducted 0.15MHz - 80MHz
disturbances induced IEC 61000-4-6 6Vrms in ISM bands between 3Vrms
by RF fields 0.15MHz and 80MHz
80%AM at 1kHz
0% UT;0.5 cycle
0°, 45°, 90°, 135°, 180°, 225°, 0% UT;0.5 cycle
270° and 315°
Voltage dips IEC 61000-4-11 0%UT;1 cycle
and 0%UT;1 cycle
70%UT;25 cycle 70%UT;25 cycle
Single phase:0°
Voltage interruptions IEC 61000-4-11 0%UT;250 cycle 0%UT;250 cycle

UT is the AC supply voltage before applying inspection level.

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Contents
Introduction ......................................................................................................................... 1
Safety Consideration ........................................................................................................... 3
Electromagnetic Compatibility ........................................................................................... 4
Contents ............................................................................................................................... 7
1. Accessories .................................................................................................................... 8
2. Device ............................................................................................................................ 9
2.1 General Description of Product .................................................................................. 9
2.2 Intended Use Defined................................................................................................. 9
2.3 Classification Defined, Rule Given ............................................................................ 9
2.4 Classification of Device .............................................................................................. 9
2.5 Usage of Product ...................................................................................................... 11
2.6 Mode of Operation .................................................................................................... 11
2.7 Parts Identification .................................................................................................. 12
3. Instructions for Use .................................................................................................... 12
3.1 Conveyance ............................................................................................................... 12
3.2 Installation ............................................................................................................... 13
3.3 Connection/ Wiring................................................................................................... 14
3.4 Maintenance/ Inspection .......................................................................................... 15
3.5 Disposal .................................................................................................................... 17
4. How to Use .................................................................................................................. 18
4.1 Operation Procedure ................................................................................................ 17
4.2 Measurement Flow................................................................................................... 18
4.3 Measurement............................................................................................................ 19
4.3.1 Preparation for Measurement ......................................................................................... 19
4.3.2 Power Distribution ........................................................................................................... 19
4.3.3 Standby ............................................................................................................................. 20
4.3.4 Preparation of Examinee ................................................................................................. 21
4.3.5 Alignment ......................................................................................................................... 22
4.3.6 Measurement .................................................................................................................... 24
4.3.7 Print-out of Measurement Result .................................................................................... 25
4.4 Setting of Setup Screen ............................................................................................ 27
4.5 Scotopic Pupil Size (SPS) Measurement Function .................................................. 32
4.6 Corneal Diameter Measuring Function
(WTW : White To White Measuring Function)...................................................... 33
4.7 IOL Measurement Function .................................................................................... 35
4.8 Low Reliability Mark Display Function .................................................................. 36
4.9 Output ...................................................................................................................... 37
4.10 Data Screen Function............................................................................................. 38
4.11 Power Saving Function .......................................................................................... 39
4.12 Contact Lens: Measurement of Base Curve .......................................................... 40
5. Storage and Maintenance ........................................................................................... 41
5.1 Reload of Printer Paper............................................................................................ 41
5.2 Fuse Replacement .................................................................................................... 42
5.3 Setting of Chinrest Liner ......................................................................................... 42
5.4 Storage of Device ...................................................................................................... 43
5.5 Confirmation of Measurement Accuracy ................................................................. 44
5.6 Periodical Inspection and Maintenance................................................................... 43
6. Tip for Effective Measurement ................................................................................... 45
7. Error Display .............................................................................................................. 46
8. Main Troubles and Troubleshooting........................................................................... 47
9. Specifications .............................................................................................................. 48

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1. Accessories

Use only the accessories specified by us.


Please purchase these accessories from the distributors as necessary.

Extra care should be taken for storage of a model eye.


Do not store it at where it is dusty or high-temperature and humidity.
Because the printer paper is a thermal paper, avoid direct sunlight,
high-temperature and humidity when storing it.

Model Eye: 1 Power Cord: 1 Printer Paper: 3


With a contact lens holder (2.5m) (Width: 58mm)
The diopter value is [2 included and 1 installed
indicated on the sticker. in the unit]

Fuse: 2 Chinrest Liner: 1 Chinrest Liner Pin: 2


(T2A L 250V) (1,000 sheets)

Dust Cover: 1 Operation Manual: 1

Name Model No. Length


Power cord KP4819YKS31A 2.5m

Use of the accessory (power cord) other than specified below may adversely affect
other instruments and/or cause malfunction of this device.

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2. Device
2.1 General Description of Product
This product (ACCUREF K-900) aims to objectively measure the refractive power of the eye
by using the light that is projected to and reflected from the eyeground. It also aims to
measure the radius of corneal curvature by using the light that is projected to and reflected
from the cornea.
As the feature of this device, the LCD is tilted to the vertical direction and horizontal
direction so that the angle can be adjusted.
As for safety consideration, see “3. Instructions for Use” of this manual.

2.2 Intended Use Defined


This product (ACCUREF K-900) aims to objectively measure the refractive power of the eye
by using the light that is projected to and reflected from the eyeground. It also aims to
measure the radius of corneal curvature by using the light that is projected to and reflected
from the cornea.
Moreover, it can measure the pupil diameter by taking the image of the anterior eye of the
examinee.

2.3 Classification Defined, Rule Given


This product is the active device which does not belong to the category of the invasive/
non-invasive device and does not intend the performances below.
Supply of energy / observation of physiological process/ irradiation of ionization radiation/
medication of medicines etc.
Therefore, this is a class I medical device with a measuring function based on the rule 12 of
MDD Annex IX.

2.4 Classification of Device


Type of protection against electrical shock: Class I Equipment
Class 1 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 which a way which accessible metal parts cannot become live in
the event of a failure of the basic insulation.

Degree of protection against electrical shock: 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.

Degree of protection against harmful intrusion of water (IEC 60529): IPX0


This product does not provide protection against intrusion of water.
(The degree of protection against harmful ingress of water defined in IEC 60529 is IPX0.)

Classification by safety of use in air/ flammable anesthetic gas, oxygen or nitrous oxide/
flammable anesthetic gas atmosphere:
・ Equipment not suited for use in air/flammable anesthetic gas, oxygen or nitrous
oxide/flammable anesthetic gas atmosphere.
・This product should be used in an environment free of flammable anesthetic gas and other
flammable gases.

Classification by operation mode: Continuous operation with short-time loading.

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2.5 Usage of Product
This product is for medical use which must be used under instructions of a doctor.

2.6 Mode of Operation


This product is for continuous operation. It takes approx. 2 sec. for each measurement.

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2.7 Parts Identification

LCD Monitor

Power Indicator
Operation Switch

Printer Unit

Base Unit

Slide Lock
Headrest*1

Eye Mark

Measurement Start Switch

Chinrest*1

Power Switch Rating Plate


RS-232C Terminal Power Inlet
Fuse Holder

*1:Applied parts
NOTE

There is the parts list separated from this manual. Also there is the another parts
NOTE list related to the safety.

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3. Instructions for Use

3.1 Conveyance

(1) Before conveyance, move the main unit undermost, set it in the center of the base unit and
secure it by tightening the slide lock.

Chinrest

Main unit Handle

Base unit The side of The side of


the examiner the examinee
Slide lock

Before conveyance, make sure to lock the slide lock of the main unit.
CAUTION
If you do not lock it, it may cause failure or injury.

(2) The slide lock can be tightened by pushing it up and rotating it in counterclockwise direction.

(3) At the time of conveyance, hold the back and front of the base unit (the cutout of the front
side and the handle under the chinrest) with both hands securely. Do not hold the headrest,
chinrest or LCD monitor because it can result in deformation or malfunction of them.

(4) Do not drag the power cord with being attached to the main unit. It can result in malfunction
of the device caused by fall or drop, or personal injury if the cord is stuck or stepped on.

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3.2 Installation

(1) Do not expose the view window of the device directly to


the sunlight or bright lighting from other sources.

Great care should be taken because the


measurement cannot be carried out if the
NOTE
examinee is exposed to strong light or glare
during the measurement and his/her pupil
contracts too small.

(2) Do not operate it at the place where it is either dusty


or grubby.
Environment with extremes in heat and humidity
should also be avoided. In case of using the device,
fulfill the environmental conditions at the time of
unpacking and use. Gases
Dust

(3) Keep away from the place which stores chemicals or


which emits gas.

(4) Keep away from the sites which may experience


strong vibrations or sudden shocks.

(5) It can result in malfunction if the device is


accidentally overturns. Also, it is very dangerous if it
is dropped on your foot etc. Do not store it at the
unstable or high place.

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3.3 Connection/ Wiring

Observe the precautions below.


WARNING
It can result in malfunction, breakage, electric shock or fire.

Connect the power cord with protective earth to the three-core socket
WARNING with grounding to avoid possibility of electric shock at the time of
electric leakage.

(1) Do not damage the power cord (folding it small, pulling it or putting a heavy object on it etc.).
Also, do not remodel it.

(2) If the cord is damaged (disconnection, failure of coating etc.), replace it with the new one. It
can result in electrical shock or fire.

(3) Insert the power cord in the outlet and this device securely. If it is not connected securely, it
can result in fire or electrical shock.

(4) Clean the power cord all the time to avoid dust or oil etc. It can result in malfunction or fire if
the terminal unit is not clean.

(5) Check if the terminal unit is dirty when the power cord becomes hot. If it is not dirty, replace
it with the new one. It can result in fire or malfunction if you keep using it.

(6) Use this device with the proper power-supply voltage. If the power-supply voltage is excess, it
can result in malfunction or fire.

(7) Hold the plug unit when plugging in and out.

(8) Do not touch the power plug with wet hands. It can result in electrical shock.

(9) Plug out the power cord when it is not used for a long time.

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3.4 Maintenance/ Inspection
(1) This device is a precision optical device. Always handle it with
care and do not drop it.

(2) Do not touch the optical parts, such as a view window, with
your hands and be sure to avoid dust because its measurement
accuracy could be adversely affected.

When dust or fingerprints are on the optical parts, wipe them off with a soft cloth gently.
Take great care when cleaning them because they are particularly sensitive and fragile.

(3) If the measurement unit cover, the main unit cover or the
operation panel is dirty, gently wipe it with a dry cloth. For
stubborn stains, a little water or neutral cleanser is
recommended.

Avoid using organic solvents which will dissolve


the water based paint on surface of the device.

(4) Clean the chinrest and headrest with the neutral


cleanser. For disinfecting the parts especially where the
examinee may contact such as the chinrest and
headrest, use the ethanol for disinfection.
※ Ethanol for disinfection contains 76.9 to 81.4vol% of
ethanol (C2H6O) at 15℃ (specific gravity).
Basically, it is not necessary to replace the chinrest and
headrest rubber. They comply with ISO 10993-1.

(5) If the device is not used for a long time, remove the
power cord from the outlet.

(6) When the device is not in use, protect it with a supplied dustproof cover.
If dust is adhered, it affects its measurement accuracy.

(7) Never attempt to fix or remodel the device.


When the device fails to function properly, do not touch the inside.
Contact us or the place of purchase.

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3.5 Disposal
To avoid potential damage to the environment and possibly human health, this device
should be disposed of (i) for EU member countries – in accordance with WEEE
(Directive on Waste Electrical and Electronic Equipment), or (ii) for all other
countries, in accordance with a local disposal and recycling laws.
Separate the packaging materials and accessories according to the instructions of
each local government.

Battery users must not dispose of batteries as unsorted general waste, but treat
properly.
If a chemical symbol is printed beneath the symbol shown above, this chemical symbol
means that the battery or accumulator contains a heavy metal at a certain
concentration.
The lithium battery is used for the control board to store the information about the
date and time. Basically it is not necessary to replace it because it is rechargeable.

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4. How to Use

4.1 Operation Procedure

The operation switches under the monitor correspond to the icons displayed on the bottom of the
monitor.
For usual measurement, the operating switches correspond to the icons as shown below.

POWER

Clear Switch Print Switch ※2


Measurement Mode Selector Switch ※2 Feed Function:
It is switched to the feed function
IOL Switch
by pressing and holding the print
switch and the paper is fed.

Setup switch ※1
※1 Start method switching function:
The start method (START items on the setup screen:
Auto-Quick/Auto/Manual) can be switched on the measurement
screen by pressing and holding the setup switch.

Operation Instructions of Joystick


Forward

Measurement Start Switch: start measurement

 When moving the joystick forward, the measurement


unit moves to the side of the examinee.
Down Up  When moving the joystick backward, the measurement
unit moves to the side of the examiner.
Right  When moving the joystick to the right or the left, the
Left
measurement unit moves to the right or the left
(respectively).
 When rotating the joystick to the right, the
measurement unit moves up and when rotating the
joystick to the left, the measurement unit moves down.

Backward

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4.2 Measurement Flow

Reference
Procedure Process Relevant Section
Section
Prepare for
1 4.3.1
measurement

2 Power distribution 4.3.2

Ask an examinee to (4.4 Setting of Setup Screen)
3 ready for a 4.3.4 (5.2 Fuse Replacement)
measurement (5.3 Setting of Chinrest Liner)

4 Alignment 4.3.5 (6 Tip for Effective Measurement )

5 Take a measurement 4.3.6 (7 Error Display)

Print out the
6 4.3.7 (5.1 Reload of Printer Paper)
measurement result

Switch right/left eye
of the examinee Go to the
7
OR switch the procedure 3
examinee

8 Storage of the device 5.4

This device has the auto/manual measurement switch function. In case of the auto measurement,
the measurement is started automatically after alignment is achieved. In case of the manual
measurement, on the other hand, the measurement is started by pressing the measurement start
switch.

The measurement can be started manually by pressing the measurement


NOTE start switch even when the setting of Start is either “Auto” or “Auto-Quick”.

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4.3 Measurement

4.3.1 Preparation for Measurement


(1) Do not place the device at where outside light exposes it
directly from the examinee side.

(2) Make sure that the printer paper, the fuse and the
chinrest liner are installed properly.

(3) Refer to “5.1 Reload of Printer Paper”, “5.2 Fuse


Replacement” or “5.3 Setting of Chinrest Liner” of “5.
Storage and Maintenance” of this manual for the
installation procedures of the parts of (2) above.

(4) After distributing the power, rotate the slide lock of the Slide lock
main unit (under the base unit) and release the main
unit. Base unit
Main unit

4.3.2 Power Distribution

(1) Make sure that the power switch of the main unit is OFF
(○).

POWER RS- 232C

(2) Insert the power cord in the power plug connector of the
main unit and insert the power plug in a socket.

Always make sure that the cable is grounded.

Do not use an additional power strip or an extension cord.

(3) Turn on the power switch (|) of the main unit.

POWER

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4.3.3 Standby
When the power is turned on, the screen as shown below appears on the LCD monitor, which is
ready for the measurement.

Measurement start method


Mark of measurable minimum pupil diameter
Indication of right eye
Indication of left eye
is indicated
when measuring the left
eye.

Pupil distance
Vertex distance
Reticle mark

Icon Description

Icon Function

Indicate the eye (right or left) in process of measurement.

Indicate the measurement start method.

Indicate the vertex distance.


It can be switched between 0, 10, 12, 13.5 and 15mm.

Clear the measurement results (values).

Switch ON and OFF of the IOL mode.


It switches the measurement mode. There are 5 measurement
modes: refractive and keratometry continuous measurement,
refractive measurement, keratometry measurement, scotopic
pupil size measurement and corneal diameter measurement.
It is switched to the setup screen.

Display and print out the measurement result.

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4.3.4 Preparation of Examinee
(1) Clean the chinrest and dispose one chinrest liner on the top.

Clean the chinrest with the neutral cleanser when there is no chinrest liner.
For disinfecting the chinrest, use the ethanol.
NOTE ※ Ethanol for disinfection contains 76.9 to 81.4vol% of ethanol (C2H6O) at
15℃ (specific gravity).

(2) Ask the examinee to put his/her chin on the chinrest. Adjust the height of the chinrest so
that the examinee’s eye level is in line with the eye mark.

(3) Uncomfortable posture may fatigue the examinee during the measurement. Adjust the
chinrest or the device to avoid it.

(4) It affects its measurement accuracy if the examinee moves his/her head during the
measurement. Ask him/her to fix his/her forehead on the headrest and look at the target
with a good posture.

(5) Talk to the examinee fluently and try not to make him/her nervous.

Uncomfortable posture may fatigue the examinee during the measurement.


NOTE Adjust the height of the optical table or the chair to avoid it.

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4.3.5 Alignment
There are 3 types of startup procedures (Auto Quick, Auto and Manual) for ACCUREF K-900.
It can be switched in Start of the Setup screen.

The startup procedures of WTW measurement mode is Manual only.


NOTE See “4.6 Corneal Diameter Measuring Function (WTW : White To White
Measuring Function)” for more detail.

・In case of Auto Quick or Auto


(It starts measurement automatically when it brings the subject eye into focus.)

1) Look for the subject eye by operating the


joystick. The Kerato ring appears as bringing
it into focus.

If the eyelid is over the Kerato ring, urge


NOTE the examinee to open his/her eye wider.

Kerato ring
Reticle mark

2) Align the reticle mark with the center of the


subject’s pupil. The alignment mark ( ) and
focus indicator will appear as focusing on the
subject’s eye more precisely.

3) Then, move the main unit so as to focus on the


subject’s eye by operating the joystick as the
indicator guides.

Alignment mark
Focus indicator
4) The point which the color of the focus indicator
turns to green is the one in focus.
Measurements are started once the color of the
focus indicator turns to green.

Focus indicator
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22
If the alignment is shifted to the side after Re-alignment
starting measurement, "Re-alignment" is
NOTE displayed and measurement is stopped.
If measurement is stopped, please perform
alignment again.
Measurement resume when the focus
indicator turns green.

5) The measurement values are displayed when


the measurement is finished. The arrows are
displayed when the specific times of
measurement is finished. Move the main unit
to the direction of the arrows and take a
measurement of the other eye.

・In case of Manual


1) Look for the subject eye by operating the
joystick. The Kerato ring appears as bringing
it into focus.

If the eyelid is over the Kerato ring, urge


NOTE the examinee to open his/her eye wider.

Kerato ring Reticle mark


2) Align the reticle mark with the center of the
subject’s pupil. The alignment mark ( ) and
focus indicator will appear as focusing on the
subject’s eye more precisely.

3) Then, move the main unit so as to focus on the


subject’s eye by operating the joystick as the
indicator guides.

Alignment mark
Focus indicator
RB-781-B02S
23
4) The point which the color of the focus indicator
turns to green is the one in focus.
Start measurements by pressing the
measurement switch once the color of the focus
indicator turns to green.

Focus indicator

4.3.6 Measurement
The measurement start method is different depending on the setting.

Setting Measurement start method


The setting of Start is either The measurement is started automatically
“Auto-Quick” or “Auto” when alignment is achieved.
Start the measurement by pressing the start
The setting of Start is “Manual”
switch when alignment is achieved.

E.G.) Measurement result on the LCD monitor


Refer to the comments about the symbols on the screen.
The number of refractive
屈折度測定回数
measurement

Refractive
屈折度測定結果 measurement value
S: Spherical value
S:球面度数
C: Cylindrical value
C:円柱度数
A; Axis
A:軸角度 angle
The number of
角膜曲率半径測定回数
Kerato measurement
Kerato measurement value
角膜曲率半径測定結果
R1: Radius
R1:弱主経線曲率半径of curvature (Max)
R2: Radius
R2:強主経線曲率半径of curvature (Min)
AX: Axis Angle
AX:弱主経線軸角度
Photopic pupil diameter
瞳孔径測定結果
measurement result

Vertex distance
角膜頂点間距離
Pupillary
近用 PDdistance Pupillary
瞳孔間距離(遠用 distance
PD)
(Near vision) (Far vision)

※ The PD value is indicated after the refractive power of both right and left eyes are measured.
The order of the eye to be measured is not important.
The NPD value is indicated only if the number of “W-D (cm)” on the Setup screen is set.

RB-781-B02S
24
4.3.7 Print-out of Measurement Result
The measurement result can be printed out by pressing the print switch after the measurements.
A maximum of the data for each eye can be saved and the most reliable value among them is
indicated as the optimum value. The optimum value is printed out only when more than three
times of measurement is taken for each eye. The format of the output (All, All/Eco, Eco or Off)
can be set on Print REF/KRT on the setup screen.

※ All :Print out a maximum of ten data of the refractive measurement and Kerato
measurement for each eye.
※ All/Eco :Print out a maximum of ten data of the refractive measurement for each eye.
Print out only the optimum values for the Kerato measurement.
※ Eco :Print out only the optimum values for all of the measurement.
※ Off :Print out no data

<Sample of Printout 1>


Print REF/KRT setting:Eco

Date and time of the measurement


NAME
2019 05 31 14:30
Refractive measurement result (optimum value)
VD=12
<R> SPH CYL AX SPH : Spherical value
- 3.87 -0.75 172 CYL : Cylindrical value
<R> mm D AX AX : Axis angle
R1 8.33 40.50 175
R2 8.20 41.12 85
AVE 8.26 40.75
CYL -0.62 175
Kerato measurement result (optimum value)
<L> SPH CYL AX
- 3.75 -1.12 14 R1 : Radius of curvature (Max)
R2 : Radius of curvature (Min)
<L> mm D AX
R1 8.37 40.37 8 AVE : Average of R1 and R2
R2 8.12 41.50 98 CYL : Cylindrical value
AVE 8.25 40.87
CYL -1.13 8
PD = 70 Pupillary distance

ACCUREF K-900

RB-781-B02S
25
<Sample of Printout 2>
Print REF/KRT setting: All

Message area
ABCDEFGHIJKLMNOPQRSTUVWX
abcdefghijklmnopqrstuvwx
No. of examinee
No. 00001
NAME
2019 05 31 14:30
VD=12
<R> SPH CYL AX PPS Photopic pupil size
- 3.75 -0.75 172 6.6
Refractive data - 3.87 -0.75 170 6.5
- 3.87 -0.62 174 6.6
------------------------ Optimum values of the refractive
- 3.87 -0.75 172 6.6 measurement results
Spherical Equivalent SE – 4.25 SPS 7.9 (They are indicated when more than 3
<R> mm D AX times of measurements are taken for
R1 8.43 40.00 9 each eye.)
R2 8.21 41.12 99
AVE 8.32 40.62
CYL -1.12 9 Scotopic pupil size
R1 8.43 40.00 10
R2 8.22 41.12 100
Kerato data AVE 8.32 40.50 Data of right eye
CYL -1.12 100
R1 8.30 40.62 2
R2 8.16 41.37 92
AVE 8.23 41.00
CYL -0.75 2
------------------------
R1 8.31 40.62 180 Optimum values of the corneal
R2 8.17 41.37 90
AVE 8.24 41.00 curvature radius
CYL -0.75 180 (They are indicated when more than 3
Residual astigmatism REST -0.21 131 times of measurements are taken for
each eye.)
WTW 12.1
Measurement value of
corneal diameter <L> SPH CYL AX PPS
- 3.75 -1.12 13 6.6
(White To White) - 3.75 -1.12 15 6.6
- 3.75 -1.12 14 6.6
------------------------
- 3.75 -1.12 14 6.6
SE – 4.25 SPS 7.9

PD for far vision PD = 65 NPD = 62(50) PD for near vision

ACCUREF K-900

※Message area
It can print out the registered characters in the range of 24 characters/line × 2 lines in the
message area. Refer to the “Message” section of “4.4 Setting of Setup Screen” about
registration of the characters.

RB-781-B02S
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4.4 Setting of Setup Screen

The standard measurement mode is preset to be ready for use. However, altering the setting can
be done easily if necessary.
Press switch under the LCD monitor and display the setup screen.

【Setup screen】 Page No.

Cursor of the
setting item

Setting item

Setting contents

There are 24 setting items on the menu screen.


Select the item to be changed by pressing or and change it by
pressing .
After changing it, return to the measurement screen by pressing .

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Details of Each Setting Item
【Screen 1】

■ S/C step Select the step for Sphere and Cylinder.

■ A step Select the step for Axis angle.

■ VD Select the corneal vertex distance.

■ Custom Select the function of the operation switch.


・IOL : Switch to the mode to measure IOL.
・FL/CL : Switch the corneal vertex distance (frame value/ contact value)

■ CYL Select the sign of cylindrical value.

■ Start Select the measurement start method.


・Auto-Quick:
It starts measurement when the alignment is achieved. Take 1 time of
Kerato measurement and 3 times of refractive measurements
continuously for each eye.
The result is printed out automatically when “Auto Print” is set as
ON. (For the refractive measurement, only one time of the fog control
is done at the beginning.)
・Auto:
Take 3 times of Kerato measurements and refractive measurements
continuously for each eye.
The result is printed out automatically when “Auto Print” is set as
ON. (For the refractive measurement, the fog control is done every
time.)
・Manual:
Measurements are taken every time the measurement switch is
pressed.

■ REF Select the refractive measurement method. The setting is valid only when
the measurement start method is set as Manual.
・Normal: A measurement is taken one time by pressing the
measurement start switch.
・Quick: Continuous measurement is started as much as it is set by
pressing the measurement start switch one time. (Maximum of
10 times.) (For the refractive measurement, only one time of the
fog control is done at the beginning.)

■ KRT Select the sign of Kerato measurement result.


・mm : Corneal Curvature radius
・-D : corneal astigmatism (-)
・+D : corneal astigmatism (+)

■ Print REF/KRT Select the format of print-out.


・All : Print out all of the measurement data.
(Maximum of 10 times for each eye.)
・All/Eco: Print out all of the REF measurement.
(Maximum of 10 times for each eye.)
Print out only the optimum values for the Kerato measurement.
・Eco: Print out only the optimum values.
・Off : No measurement result is printed out.

RB-781-B02S
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■ Data screen Display the stored measurement results.
・On : Display the measurement results on the screen.
・Off : Display no measurement result on the screen.

■ Auto print Select the print-out method. This function is valid only when the setting of
Start is either Auto-Quick or Auto.
・On : Activate the auto print function.
・Off : Invalidate the auto print function.

■ Reliability Select if displaying the low reliability mark on the measurement values or
not.
・On: If it is judged that the measurement value possesses low reliability,
display the low reliability mark “*” on it.
・Off: No low reliability mark is displayed.

【Screen 2】
■ Pupil size Set the function of the photopic pupil diameter measurement.
・On : Take a measurement of the photopic pupil diameter when taking a
refractive measurement.
・Off : Photopic pupil diameter is not measured.

■ SE Set the output of SE value.


・On : Output the representative value of SE on print-out, data screen and
communication output (XML format only).
・Off : No output of SE value.

■ Rest Select the output of residual astigmatism.


・On : Display the residual astigmatism.
・Off : No astigmatism is displayed.

■ W-D(cm) Set the work distance.


The near pupil distance is automatically computed after the measurement
and displayed on the screen.

■ Target Select the brightness of the target.


・Bright : Brighten the target
・Middle : Normal setting
・Dark : Darken the target

■ Brightness Adjust/ change the brightness of the LCD monitor.

■ Save(min) Select the switchover time to activate the power saving function (unit is
min.).

■ Buzzer Set if activating the buzzer at the time of switching to the power saving
function or not.
・On : Buzzer is on.
・Off : Buzzer is off.

RB-781-B02S
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■ Option
It is switched to each option screen when selecting the item to be set on the option of the
setup screen.

【The screen of each option and the details】


1. Number
This function can set or change the number of the examinee, and select if displaying the number
on the monitor and the printout.
Set/change the number of the examinee.
(Maximum of 5 digits can be input.)

Select if printing out the number of the


examinee or not.
・Off : The number is not printed out.
・On : The number is printed out.

Select if displaying the number of the


examinee on the screen or not.
・Off : The number is not displayed.
・On : The number is displayed.

Reset of the number of the examinee


If moving the cursor to “Reset” on “Set”, the “+” switch on the bottom is
NOTE
changed to “Reset”. So, press the “Reset” switch to reset the number.

(1) Move the cursor to the item to be set or changed by pressing or and
change it by pressing or .

(2) Go back to the setup screen by pressing after the setting or the change.

2. Language
This function can select the language displayed on the screen.
Selectable language: EN (English), CN (Chinese), FR (French), SP (Spanish), PT (Portuguese),
IT (Italian), GE (German)

(1) Move the cursor to the item to be set by pressing


and execute it by pressing .

(2) Go back to the setup screen by pressing


after finishing the setting.

RB-781-B02S
30
3. Customize
・Reset screen
This function can delete the measurement
values on the screen after printout.
On : Delete the measurement values on the
screen after printout.
Off : Leave the measurement values on the
screen after printout.

・Output
This function can select the output procedure of the measurement data
・A : Standard
・B : Output data common spec. of ophthalmic testing device
(established by Japan Ophthalmic Instruments Association)

・RS-232C
Select the baud rate when sending the measurement data to the exterior computer.

■ Date form
Select the display format of the date from the followings.
YMD : Display the date as year/ month/day.
DMY : Display the date as day/month/year.
MDY : Display the date as month/day/year.
The screen on the left appears when selecting
“YMD” and pressing .

(1) Move the cursor to the item to be changed by


pressing or and input the
date by pressing or .

(2) Go back to the setup screen by pressing


after finishing the setting.

■ Message
This function is to input the message in the range of 24 characters/line × 2 lines and output it.

The message input screen on the left appears by


selecting “On” and pressing .

(1) Select the characters by pressing or


and input them by pressing .
A space can be input by pressing .

(2) Go back to the setup screen by pressing


after finishing the setting.

■ Default setting
Reset the settings to the factory setting.

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4.5 Scotopic Pupil Size (SPS) Measurement Function

This function is to measure the pupil size of the subject eye in the dark.

Switch to the SPS measurement by pressing the measurement mode switch on the front panel.
When measuring the scotopic pupil size, darken the room.

Indication of SPS measurement mode

<To print out the measurement results of SPS, R/K, REF and KRT at the same time>

NOTE
The measurement results of SPS, R/K, REF and KRT can be printed out at the same time by
pressing the print button after the measurement of SPS when switching to SPS measurement
mode without printing out their measurement result with the setting of Auto Print “Off”.

NAME
2019 05 31 14:30
VD=12
<R>
SPS 7.3
<L>
SPS 7.5
PD = 63

ACCUREF K-900

【Example of printout】 【Example of data screen output】

RB-781-B02S
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4.6 Corneal Diameter Measuring Function
(WTW : White To White Measuring Function)
This function aims to measure the corneal diameter of examinee’s eye.
There is no reticle indication in WTW measurement mode.

1) For the corneal diameter measurement, switch to the


WTW measurement mode by pressing the selector
switch of measurement mode on the front panel.

2) Capture the examinee’s eye by operating the joystick


and move the main unit so as to focus on the cornea of
examinee.

3) When it comes into focus, take a picture by pressing


the measurement switch. Indication of WTW measurement mode

4) After taking a picture, the freeze image is displayed for


3 sec. and is displayed.
Switch to the analysis screen by pressing .

Measurement value of corneal diameter


5) The analysis screen is displayed.
Change the measurement value of corneal diameter
(WTW) with and 又 to be matched
the cornea taken and measuring circle.

Return to the original value when


NOTE pressing the Reset switch.
The measurement value for one eye
is cleared when holding the Reset
switch.
Measuring circle
6) When adjusting the position of circle, press .

7) The adjustment screen of measuring circle is


displayed.
Adjust the position of circle with , ,
and .

8) After adjusting its position, go back to the analysis


screen by pressing .

RB-781-B02S
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9) After adjusting the position and size, finish the
analysis by pressing .

10) When pressing , go back to the


measurement screen.
Take a measurement of the other eye in the same
manner.

In case of printing the measurement results of WTW, R/K, REF and KRT at the same
time, move to the WTW measurement mode without printing R/K, REF and KRT
NOTE measurement values while the setting of Auto Print is turned to “Off, ” and press the
print button after the corneal diameter measurement, which the both measurement
values can be printed at once.

NAME
2019 05 31 14:30

<R>
WTW 11.0

<L>
WTW 11.0

ACCUREF K-900

【Example of printout】 【Example of data screen output】

RB-781-B02S
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4.7 IOL Measurement Function

When measuring the IOL (intraocular lens) implanted eye, the eye with a cataract, or the eye
with the scratches on the cornea, the measurement errors may occur and it is difficult to
complete the measurement with REF measurement.
In this case, it is easier to measure if moving the device closer to the examinee. Also these can be
measured with IOL mode.
Indication of IOL measurement mode
1) Activate the IOL function by pressing the IOL switch on
the front panel of the main unit and switch to the IOL
measurement mode.
At this time, the icon of the IOL measurement mode is
indicated on the top of the monitor.

2) Catch the subject eye on the monitor by operating the


joystick. As bringing the subject eye into focus, the
Kerato ring, the alignment mark “ “ and the focus
indicator appear.
Focus indicator
3) Operate the joystick by following the guidance of the
focus indicator and move the main unit to bring the
subject eye into focus.

4) It is in focus when the focus indicator turns to green.


When it turns to green, take a measurement by pressing
the measurement switch.

Measurement is started automatically when the


NOTE
setting of Start is either Auto-Quick or Auto.

NAME
2019 05 31 14:30
VD=12
<R> SPH CYL AX PPS
I - 2.50 -2.00 177 5.4
I - 2.50 -2.00 175 5.4
I - 2.50 -2.00 177 5.4
------------------------
- 2.50 -2.00 177 5.4

【Example of printout】
【Example of data screen output】

“I” is indicated on the left of the measurement value


NOTE
when measuring it in the IOL measurement mode.

RB-781-B02S
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The IOL measurement mode is canceled by performing one of the followings:
① Pressing the IOL switch one more time,
② Switching the measurement mode,
③ Pressing the print switch,
④ Turning off the power.

【When the measurement cannot be completed because of the errors with IOL mode】

There is a possibility that the measurement of the IOL (intraocular lens) implanted
eye cannot be completed because of the implanted IOL.
In this case, move the device closer to the examinee with keeping the alignment
in-focus. It might help curbing the influence and the measurement can be done.

The image of the eyeground is displayed by pressing


NOTE
and holding IOL or FL/CL switch for seconds.

4.8 Low Reliability Mark Display Function

This device has the low reliability mark display function. The low reliability mark is displayed on
the measurement result which reliability is low when taking the refractive measurement with
this function activated. Consider the refractive measurement value with the low reliability mark
as reference.

NAME
2019 05 31 14:30
VD=12
<R> SPH CYL AX PPS
* - 2.50 -2.00 177 5.4
* - 2.50 -2.00 175 5.4
* - 2.50 -2.00 177 5.4
------------------------
- 2.50 -2.00 177 5.4

【Example of printout】
【Example of data screen output】

RB-781-B02S
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4.9 Output
Do not touch the external connection terminal and examinee at the same
CAUTION
time. It may cause electric shock.

The instruments which are connected to this device by RS-232C should comply with the
safety standard of IEC60601-1 or IEC60950. Also, the instrument should be grounded, or
a separator should be used for connection.

This device is connected to PC etc. by RS-232C.


This device can output the data to PC through RS-232C interface.

Refractometer PC

D-Sub9pin D-Sub9pin
Male Female

Connect with a straight cable

【Connecting Diagram: RS-232C】


D-Sub9pin D-Sub9pin
RXD 2 2 RXD
TXD 3 3 TXD
GND 5 5 GND

Use the shielded wire for the connection cable to protect the output data from noise.
NOTE

※ Contact your local distributor about operation, connection method and output data etc.

Select the baud rate of RS-232C from below.


Selectable baud rate Setting before shipment
115200bps ○
38400bps
9600bps

In case of RS-232C, CHARACTER (data bit count), PARITY (check of transfer data)
NOTE
and STOP BIT (exit code) are set as CHARACTER (8), PARITY (NONE) and STOP
BIT (1) and cannot be changed.

RB-781-B02S
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4.10 Data Screen Function

The measurement results can be displayed on the screen and checked by using the data screen
function.

In case of displaying the measurement results

(1) Set “Data screen” on the Setup screen as “On”.

In case that the setting of “Data screen”


NOTE
is “On”, the measurement data of the
right eye is displayed regardless of the
settings of “Print REF/ KRT”.

(2) It is displayed as shown on the left by pressing the


print switch after the measurement.

In case that the setting of “Auto print”


NOTE is ”On”, it is displayed as shown on the
left after completing the measurement.

(3) The screen is switched as below by pressing switch while the data is displayed.

Right eye Left eye Ref All of the


measurement measurement measurement optimum data
data (RIGHT) data (LEFT) data (REF) (ECO)

(4) If printing out the data displayed on the screen, press the print switch one more time.

(5) It returns to the measurement mode by pressing switch.

RB-781-B02S
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4.11 Power Saving Function

The power saving function is activated when leaving it on without any switch operations.
(Refer to “Save (min.)” of “4.4 Setting of Setup Screen” about the selection of the power saving
function.)

The measurement mode is activated by pressing the switch (the switch on the front panel of the
measurement start switch).

Measurement mode
Power indicator (PW) is on.

Leave it for the set period.

Power saving mode


Power indicator (PW) blinks.

Press the switch.

Back to the measurement mode


Power indicator (PW) is on.

RB-781-B02S
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4.12 Contact Lens: Measurement of Base Curve

This device can measure the base curve of the hard contact lens.
The lens can be measured by placing it onto the contact lens holder of the model eye shown as
below.

(1) Put a small amount of water on the concave side of the contact lens holder.

(2) Place the contact lens so that its convex side faces the holder.

Contact Lens Holder

Contact Lens Model Eye

(3) Confirm that the contact lens is firmly adhered to the holder with water and does not slip
down. Then, take a measurement by setting the model eye unit on the main unit.

RB-781-B02S
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5. Storage and Maintenance
Do not perform any maintenance when used with a patient.

5.1 Reload of Printer Paper

1) Push on the printer door button to open the printer paper cover.

2) Pay attention to the direction of the paper rolled and set it in.
Note) Set the paper as coming out toward the front from the upside.

3) Close the printer cover until it clicks. If the cover is not closed completely, the error message
appears and cannot print out.

RB-781-B02S
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5.2 Fuse Replacement

For fuse replacement, unplug the power cord from the unit before
removing the fuse holder. You may be in danger of electric shock if
WARNING removing the fuse holder without unplugging the power cord.
Always use the specified fuse (T2A L 250V). Using any other type may
cause malfunction and/or fire.

When a fuse is blown, remove the fuse holder from the device for replacement. Remove it
by pushing the fuse holder and rotating it in counterclockwise direction.

!
T2A L 250V

ヒューズ
Fuse

5.3 Setting of Chinrest Liner

Set the chinrest liners onto the chinrest and


secure them with the chinrest pins (refer to Chinrest Liner Pins
the diagram on the right).

For sanitary reasons, dispose the top


NOTE
chinrest liner after every patient.

Chinrest
Liners

Chinrest

 Comply strictly with above about the chinrest liners.


 For sanitary reasons, disinfect the chinrest with the ethanol for disinfection.
※ Ethanol for disinfection contains 76.9 to 81.4vol% of ethanol (C2H6O) at 15℃
(specific gravity).

RB-781-B02S
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5.4 Storage of Device

(1) Points to check for long-term storage


 Turn off the power.
 Remove the power cord from the outlet.
 Place the main unit undermost.
 Secure the main unit by locking the slide lock of the main unit.
 Put the dust cover on the main unit.

(2) Notes about the storage environment


Avoid storage under the following conditions
 Where dust accumulates
 Where water may get on the unit
 Where temperature and humidity are high
 Where sunlight directly contacts
 Unstable and high place
Always follow the environment conditions for storage below.

Environmental Conditions for Storage

95%
55℃

-10℃
10%

Check the items above in case that the device is not used or is stored for a long time.
If you use the device after long-term storage, operate it according to the instructions of
“4.3.1 Preparation for Measurement.”

RB-781-B02S
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5.5 Confirmation of Measurement Accuracy

It is extremely important to check operation and accuracy of the device with the supplied model
eye. We recommend checking its accuracy periodically.
If the measurement result of the model eye is within the tolerance listed below, the measurement
is considered as reliable and accurate. If the result exceeds the tolerance, contact your dealer
immediately.

Model Eye Data


SPH CYL R
Indicated value ±0.25 0±0.25 Indicated value ±0.03
※ The precise value of the supplied model eye is indicated on the model eye stand (VD=12).

Setting of model eye


NOTE

 Remove the contact lens holder and set


the model eye carefully not to incline
Model eye back and forth and around.
It cannot take CYL value data correctly if
the model eye is inclined.
 Set the model eye at the position where
an alignment mark is located at the
center of the reticle mark and the model
eye comes into focus.
 When all of the conditions above are met,
start the measurement.

5.6 Periodical Inspection and Maintenance


To prevent malfunction and accidents and maintain to performance and reliability of the product,
it is recommended to request your distributor for the periodical inspection and maintenance once
a year.
The periodical inspection and maintenance include inspection of the function and performance of
the product, and cleaning, adjustment and replacement of consumable parts if necessary.
It is recommended for the distributors to perform the cleaning of each part, performance check
and accuracy check at least once in a year.
Cleaning of each part: exterior parts and optical system
Performance check:main unit and each switch
Accuracy check:measurement function of refractive power and corneal curvature radius

RB-781-B02S
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6. Tip for Effective Measurement
(1) Do not allow external light to directly penetrate the room.

(2) Fluctuation of the measurement values may occur if the examinee looks something other
than the target. Urge the examinee to concentrate on the target set in front.

(3) Talk to the examinee in a relaxed and friendly manner, so as to allay any fear or doubt they
may have.

(4) Inappropriate height of the chinrest or the chair will cause the examinee fatigue. Adjust the
(optional) instrumental table to establish the most comfortable and convenient position for
the examinee.

(5) When the eyelash or eyelid interfere measurement, an error will occur in the measurement.
Urge the examinee to keep his/her eye open wider.

(6) Tear residue or eye mucus, etc. trapped on the corneal surface may cause measurement
errors. Check the surface with the LCD monitor, and if you see something moving when the
examinee blinks, remove it before measurement.

(7) When the pupil of the target eye is smaller than the minimum measurable pupil diameter, it
cannot take a measurement correctly.
If it is difficult to take a measurement because the pupil is too small, darken the
surroundings (room) or the target to allow the pupil to dilate as much as possible.

(8) If the examinee moves his/her head during the measurement, AXIS value will be adversely
affected. Ask him/her to maintain a correct posture.

RB-781-B02S
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7. Error Display
This device automatically evaluates measurement condition or result and indicates error
messages if it is invalid. An error messages also appear when abnormality is detected in its
operational system.
When any error messages appear, always check the system with a supplied model eye. If it
appears when no abnormality in system is detected, check the measured eye for eye diseases or
problems.

Message Cause Corrective Action

Failed to capture eye image Try alignment precisely and conduct


because the examinee blinks or measurement again. Consult your dealer
Retry
moves during measurement or the immediately if the message appears again.
examined eye has eye diseases. Do not try to repair it by yourself.
Exceeded spherical measurement
SPH over range (-25 to +25D).
(In case of VD=0, contact value)
Exceeded cylindrical
CYL over measurement range (0 to ±10D)
(In case of VD=0, contact value)
Exceeded measurement value of
Err pupil diameter (2.0 to 8.5mm)

Target motor fault


Detected abnormality in motor Turn off the power and turn it back on.
control system Consult your dealer immediately if the
Focus motor fault
message appears again.
Do not try to repair it by yourself.
EEPROM fault Failure of initialization

Turn off the power and turn it back on.


Consult your dealer immediately if the
Printer overheated Printer head is overheated.
message appears again.
Do not try to repair it by yourself.
Close the printer cover properly.
Printer cover Turn off the power and turn it back on.
Printer cover is opened.
opened Consult your dealer immediately if the
message appears even after closing the cover.
Set the printer paper. Refer to “5.1 Reload of
Paper empty. No printer paper.
Printer Paper”.

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8. Main Troubles and Troubleshooting
If a malfunction is found, refer to the table below to take the appropriate measures.

Never disassemble, modify or repair the device.


WARNING
It may cause electric shock.

Symptoms Causes and Measures


・The power cord may not be properly connected.
Make sure to connect it securely.
The monitor and the power indicator are not
turned on.
・The fuse may be blown.
If so, replace it with the new one.
The fuse is blown when the power switch is
・Contact your local distributor immediately.
turned on.
・The saving function may be activated.
The monitor display is suddenly disappeared.
Press any switch to deactivate the saving function.
The moving parts such as a joystick are not ・Do not move the part forcibly.
moving appropriately. Contact your local distributor or service person.
・Check if the papers are set. Reload them if the
papers are not set.
It does not print out.
・The setting of Print REF/KRT may be set as OFF.
Change the setting.
・The printer paper may be set in a wrong direction.
The printer paper comes out but not printing.
Set the paper properly.
・The battery in the device may be run out.
The date setting is inaccurate.
Keep the power on for 24 hours and recharge it.

Contact your local distributor immediately if the situation does not improve even after taking
the measures mentioned above.

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9. Specifications
(In case of VD=12)
Sphere (S) -30D to +22D
Refractive (Step: 0.12/0.25D)
measurement range Cylinder (C) 0 to ±10D (Step: 0.12/0.25D)
Axis angle (A) 1 to 180° (Step: 1°)
Radius of
5.0 to 10.0mm (Step: 0.01mm)
curvature
(Corneal refractive n=1.3375)
Corneal curvature Corneal power 33.75 to 67.5D
(Step: 0.12/0.25D)
radius measurement
Degree of corneal
0 to ±10D (Step: 0.12/0.25D)
astigmatism
Axis angle 1 to 180° (Step: 1°)
Pupil diameter Measurement
φ2.0 to 8.5mm (Step: 0.1mm)
measurement range
Measurement
PD measurement 85mm (Step: 1mm)
range
Vertex distance 0, 10, 12, 13.5, 15mm
Minimum pupil
φ2.0 mm
diameter
Refractive measurement Approx. 0.07 sec.
Measurement time
Corneal curvature radius Approx. 0.07 sec.
Printer Thermal line printer (Paper width: 58mm)
Internal monitor 5.7 inches color LCD monitor
Shifting range of the
Back/forth ±22mm Right/left ±43mm Up/down ±17 mm
measurement unit
Vertical adjustment
±30mm
range of the chinrest
Dimensions (W) 240mm (D) 422mm (H) 430mm
Weight Approx. 13kg
Output RS-232C
100 to 240V
Power source
50/60Hz
Consumption 60VA
Power saving
OFF, 3, 5, 10 min. (switchable)
function

The circuit diagram, parts lists, and description and instructions for
NOTE
calibration and testing are available separated from this manual.

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48

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