UM vB02S (EN) K-900
UM vB02S (EN) K-900
UM vB02S (EN) K-900
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
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.
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.
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
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Symbol Description
EU Battery Directive
WEEE symbol
Manufacturer
Symbol Description
General warning sign
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.
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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.
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.
Subsequent changes to the IT-network could introduce new risks and require additional
analysis.
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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.
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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.
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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
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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 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.
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.
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2.5 Usage of Product
This product is for medical use which must be used under instructions of a doctor.
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2.7 Parts Identification
LCD Monitor
Power Indicator
Operation Switch
Printer Unit
Base Unit
Slide Lock
Headrest*1
Eye Mark
Chinrest*1
*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
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
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3.3 Connection/ Wiring
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.
(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.
(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.
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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
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
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.
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.
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4.3 Measurement
(2) Make sure that the printer paper, the fuse and the
chinrest liner are installed properly.
(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
(1) Make sure that the power switch of the main unit is OFF
(○).
(2) Insert the power cord in the power plug connector of the
main unit and insert the power plug in a socket.
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.
Pupil distance
Vertex distance
Reticle mark
Icon Description
Icon Function
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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.
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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.
Kerato ring
Reticle mark
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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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.
Alignment mark
Focus indicator
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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.
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.
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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
ACCUREF K-900
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<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
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.
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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.
Cursor of the
setting item
Setting item
Setting contents
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Details of Each Setting Item
【Screen 1】
■ 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.)
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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.
■ 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.
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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.
(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)
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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 .
■ Message
This function is to input the message in the range of 24 characters/line × 2 lines and output it.
■ 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.
<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
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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.
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9) After adjusting the position and size, finish the
analysis by pressing .
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
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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.
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】
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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.
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】
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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.
Refractometer PC
D-Sub9pin D-Sub9pin
Male Female
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.
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.
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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.
(3) The screen is switched as below by pressing switch while the data is displayed.
(4) If printing out the data displayed on the screen, press the print switch one more time.
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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.
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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.
(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.
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5. Storage and Maintenance
Do not perform any maintenance when used with a patient.
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.
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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
Chinrest
Liners
Chinrest
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5.4 Storage of Device
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.”
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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.
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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.
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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.
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8. Main Troubles and Troubleshooting
If a malfunction is found, refer to the table below to take the appropriate measures.
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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